- Research and Publications
- Frequently Asked Questions
- Supportive Care and Survivorship Clinic
- Lynne Cohen and Norma Livingston Preventive Care Program for Women's Cancer
- Comprehensive clinical evaluations for breast and ovarian cancer risk
- Comprehensive genetic counseling
- Genetic testing including multi-gene panel testing
- Screening and prevention programs
- Screening and prevention research trials
- An assessment by a physician or nurse practitioner and certified genetic counselor
- Detailed family history and assessment of genetic cancer syndrome
- Collection of serum for germ line genetic testing (when appropriate)
- Development of an appropriate screening plan with mammography, magnetic resonance imaging (MRI), pelvic ultrasound, or serum-based tests
- Critical Care Transport Fun Facts
- Did its first transport in March 23, 1983 of quadruplets from UAB Hospital to Brookwood Medical Center.
- Has transported to 46 states and 38 countries
- Had the first civilian aircraft in the country with a liquid oxygen system; the oxygen canisters had serial numbers 1 and2.
- Has appeared on The Learning Channel, the National Geographic Channel, Discovery Channel, CNN, MSNBC and the film CCT team members starred in, “Johnny Flinton”, won an Oscar in 2003 for Best Short Films.
- Provided the medical team for President Bush's visit to Birmingham in 2001.
- Has performed up to 77 defibrillations on one transport. And the patient survived!
- Supplied one of the first 10 items writers for the Certified Flight Registered Nurse exam and served on the Exam Construction and Review Committee
- Has two brands of equipment that are still in use that have been used since the beginning of the program: the MVP-10 ventilator and Airborne isolette.
- Evacuated 21 patients during Hurricanes Katrina & Rita and provided staff, supplies, equipment and ambulances for NDMS (National Disaster Management System) twice in 2005
- Transported 8 babies simultaneously in the jet out of New Orleans during Hurricane Gustav in 2008
- Were the only civilian aircraft allowed back in the air on 9/11 returning a patient from Monroe, LA to UAB.
- Has the first Cessna Citation Bravo jet in the world to have a clam-shell type door installed
- Was the first U.S. aircraft to fly a new route over Cuban airspace to evacuate an earthquake victim following the earthquake in Haiti January 2010. This saved 30 critical minutes flight time, and the new medevac flight path was followed by many air ambulances afterward.
- “Ground transportation” on one international trip was a gondola in Venice.
- Supplied the ground content for ASTNA’s Transport Safety Position Paper in 2006 making it the first transport professional association to have all modes addressed in a safety position statement.
- Co-edited, authored and reviewed several chapters in ASTNA’s (Air and Surface Transport Nurses Association) Standards for Critical Care & Specialty Care Ground Transport, 2nd Edition” published in 2010. CCT also did the artwork for the book cover.
- Longest working full-time team member: Valorie Tucker, NNP, worked from 1999 – 2010, transported 1842 patients and traveled ~ 680,000 miles
- Most transports in one day – 23; Transport Coordinator Sheryl Pettis
- Most intra-aortic balloon pump transports in one day: 3 on multiple dates
- First nurse to transport 2,000 patients: John Doriety, RN, CCRN on 1-28-2016
- Bariatric Surgery Frequently Asked Questions
- Bariatric Surgery Private Pay Fees
- The Brain That Changes Itself
- The Brain’s Way of Healing
- Preparing a Patient for Critical Care Transport
- Make a copy of the patient's chart and all pertinent x-rays for the team to take with them to the recieving medical facility.
- Make sure the patient has patent I.V. access, preferably two I.V. sites; place extension sets or twinsites to tubing. Have all of the I.V. fluids in bags and not glass containers.
- Have a family member available to sign for consent to transport/provide care for the patient while being transported if the patient is unable to give consent or the patient is a minor.
- Communicate any major changes in the patient's condition to the team through the Critical Care Transport Coordinator.
Research and Publications
Demmons, L., “Infectious and Communicable Diseases”; Clark, D., Treadwell, D., et al (2017), ASTNA Critical Care Transport Core Curriculum, Air and Surface Transport Nurses Association, Aurora, CO, p. 423-434.
Demmons, L., James, S., (2010) ASTNA Standards for Critical Care and Specialty Ground Transport, 2nd Edition, Air and Surface Transport Nurses Association, Centennial, CO, Cottrell Printing Company.
Demmons, L., "Twenty-five Years Later: Critical Care Transport", Air Medical Journal, Nov - Dec 2008, Vol. 27, No. 6, p. 276-280.
Air and Surface Transport Nurses Association: Demmons, L, Stevens, L, High, K, Lin, J., "Transport Nurse Safety in the Transport Environment, Position Paper", Sept 2006.
Demmons, L., "Chasing Ambulance Safety", Air Medical Journal, May-June, 2005.
Gruszecki, A., Kahler, D., Smith, D., Vines, J., Lancaster, L., et al, "Utilization, Reliability and Clinical Impact of Point-of-care Testing during Critical Care Transport: Six Years of Experience", Clinical Chemistry, Vol. 49, No. 6, 2003.
Commission on Accreditation of Medical Transport Systems Best Practices, Volume II, 2001; Volume III, 2004; most cited program in Volume IV, 2007; Volume V, 2012; and Volume VI, 2017
Randolph, V., Kahler, D., Howard, C., Hortin, G., "Laboratories on the Move: Blood Gas Analysis", Laboratory Medicine, Vol. 31, No. 1, 2000.
Brunson M., Lancaster L., "Transport of Critically Ill Patients: How to Avoid Pitfalls", Clinical Pulmonary Review, Vol. 6, No. 4, July 1999.
Demmons, L., Cook,E., "Anxiety in Adult Fixed-Wing Air Transport Patients", Air Medical Journal, July - September 1997.
Frequently Asked Questions
Q: Will insurance companies pay for the services of Critical Care Transport?
A: Most major commercial insurance companies will cover 50 to 80 percent if "medical necessity" terms are met. However, persons should check with their insurance company to discuss individual coverage.
Q: What about Medicare Coverage?
A: For medicare to cover ground/air transport, a patient must be in a condition that would justify the need for transport. "Medical necessity" must be established. In addition, for maximum coverage, Medicare requires that the patient be transported to the "nearest appropriate facility."
Q: How does CCT determine to fly or drive a patient for transport?
A: Generally, patients within 100 to 150 miles radius of Birmingham will be driven from one facility to another. The patients outside of the 125 mile radius will usually be flown from the referring facility to the receiving facility.
Q: Will Critical Care Transport move a patient to a hospital other that UAB?
A: Yes. However, for patients to be transported to a facility other than UAB, payment must be secured prior to the transport. We can bill the insurance of most patients who have Medicare or Blue Cross. Certified check, VISA, Master Card, Discover, or American Express can be used. Persons should ask the transport coordinator if their hospital or company has an agreement with CCT, as many do. If this agreement exists, then the requirements for pre-payment will be waived. Some insurance companies, with prior arrangements, will allow CCT to bill the insurance company directly.
Q. Do you have a service available if you are traveling in the U.S. or abroad, become sick or injured and want to get back home?
A. Yes. Critical Care Transport works with AirMed Intl. to provide these repatriation services for an annual fee. You may call (205) 443-4840 or go to www.AirMed.com/UAB for more information and to obtain your membership instantly.
We understand that you may have additional questions. Please feel free to contact the Critical Care Transport Coordinator at 1-800-822-6478 to have these questions answered.
Supportive Care and Survivorship Clinic
The Supportive Care and Survivorship Clinic takes an interdisciplinary approach to caring for patients with serious illnesses, whether they are in active treatment or have completed treatment. Our goal is to help patients fulfill their maximum physical, emotional, spiritual, vocational, and social potential.
The health professionals at the Supportive Care and Survivorship Clinic help patients manage the side effects associated with cancer. Referrals to the Supportive Care and Survivorship Clinic can be made by any treating physician or nurse or by patient self-referral. A broad range of insurance is accepted.
Patient appointment scheduling is flexible and based on patient needs and other concurrent treatments. Clinic sessions are held Wednesday and Friday mornings with palliative care physicians and fellows. A physician assistant is available Monday through Friday.
Physicians and physician assistants have special expertise in complex symptom management including depression, anxiety, insomnia, fatigue, loss of appetite, pain syndromes, and others.
Nurses support patients by facilitating the clinic sessions as well as managing communication with patients. They are the front line of patient care.
Physical therapists develop individualized programs for each patient to help with coordination, balance, strength, endurance, flexibility, or range of motion. Counselors are experienced in structuring counseling sessions to meet the specific needs of each person. Individual, couple, and family sessions are available.
Nutritionists have expertise in nutrition for patients with serious illnesses.
Massage therapists are trained in all types of massage, including oncology massage, which is a specialized approach that supports the body's health before, during, and after treatment for cancer.
Our clinic is an active teaching environment with fellows, residents, and students in both medicine and nursing participating in patient care.
The UAB Supportive Care and Survivorship Clinic is located on the 3rd floor of The Kirklin Clinic.
Patients can request an appointment online or by calling UAB Healthfinder at 205.934.9999 or 800.822.8816.
Lynne Cohen and Norma Livingston Preventive Care Program for Women's Cancer
UAB’s Lynne Cohen Preventive Care Program for Women's Cancer provides comprehensive risk assessment and prevention for breast, ovarian, and uterine cancer, arming women with knowledge to make informed decisions about their cancer risk and care. Launched more than a decade ago, the clinic merges multiple medical specialties with clinical expertise and research to create one of only a few programs of its kind in the nation dedicated to women’s cancers. In addition to offering sophisticated genetic counseling and assessment, the clinic provides access to preventive interventions and clinical trials. The program is staffed by a distinguished group of medical professionals, including surgical and gynecologic oncologists, genetic counselors, nurse practitioners, and research staff, who work together to deliver the highest level of personalized care.
The Lynne Cohen Preventive Care Program for Women's Cancer offers the following services:
When you choose the Lynne Cohen Preventive Care Program for Women's Cancer, your initial one-hour visit (completed in person or soon by telemedicine) will consist of:
Critical Care Transport Fun Facts
Critical Care Transport…
Standing CCT Records:
Bariatric Surgery FAQ
Considering bariatric surgery can raise many questions. At UAB, we want you to have all the answers you are looking for—and to feel completely confident in your weight loss surgery decision. If you have a question that is not addressed here, we invite you to ask us.
Pre and post-op care questions: Christina Lundeen, RN - 205.975.3000 email@example.com
Eligibility, insurance, scheduling: Marci Howard - 205.996.5182 firstname.lastname@example.org
Eligibility, support group, general: Nakia McMullen - 205.996.6984 email@example.com
What is bariatric surgery?
Bariatric—or weight loss—surgery, involves altering your digestive process in order to restrict food intake and alter calorie absorption. The goal of bariatric surgery is to induce weight loss and improve overall health.
How do I know if I am a candidate for bariatric surgery?
There are several important factors, such as your body mass index (BMI), your overall health, and previous weight loss attempts, among others. See the full list of requirements on our eligibility page .
Is bariatric surgery covered by insurance?
Not all insurers provide coverage for weight loss surgery, so it is important that you contact your provider to find out. Learn more about insurance and bariatric surgery our Private Pay Fees page under More Information.
What if insurance will not cover the cost of surgery?
Visit our patient resources page to review estimated private pay fees.
What are the risks of bariatric surgery?
Like any major surgery, there are risks associated with bariatric surgery. During your consultation, your surgeon will discuss your individual risk.
How much weight will I lose—and how long will it take to lose it?
Each patient will have a different experience depending on the surgery option they choose, their body, and there is no guarantee of success. Patients who continually diet and exercise have the best results. With that in mind:
Gastric bypass patients lose an average of 60 – 80% of their excess weight.
Gastric banding patients lose an average of 25 – 40% of their excess weight.
Sleeve gastrectomy patients lose an average of 50 – 70% of their excess weight.
How long do I need to stay in the hospital for surgery?
The typical hospital stay is 1 – 2 nights for gastric bypass, 1 night or less for gastric banding, and 1 -2 nights for sleeve gastrectomy.
How long will I need to be out of work?
Most patients are able to return to work within 2 weeks of surgery, but the amount of time required varies with the individual and the type of work they do.
How will my diet change after surgery?
Diet progression varies with each operation, but generally follows the pattern in the table below.
I am interested in seeing if bariatric surgery is right for me. What should I do next?
If you have read our eligibility page and feel that you are a candidate for weight loss surgery, read our get help page for next steps.
Diet Progression Table
|Time After Surgery||Gastric Bypass||Gastric Banding||Sleeve Gastrectomy|
|Day of surgery||Nothing||Liquids||Nothing|
|2nd day - 2 weeks||Pureed||Pureed||Pureed|
|2-4 Weeks||Soft (fork tender)||Soft (fork tender)||Soft (fork tender)|
|4 Weeks and Beyond||Regular||Regular||Regular|
Private Pay Fees
In the event that your insurance does not approve you to have the operation or does not pay for these procedures:
Initial Consultation: Approximately $461.00 (Cost incurred for Pre-op Assessment Appointment prior to surgery not included)
Blood Work: $600-$1200
Psychological Evaluation: Depends on each individual's insurance coverage. Patient must call insurance company to determine fees.
Nutritional Evaluation: $100
Laparoscopic Adjustable Gastric Banding, Sleeve Gastrectomy, or Gastric Bypass Fees: $21,300
The Brain That Changes Itself
What is neuroplasticity? Is it possible to change your brain? Norman Doidge’s inspiring guide to the new brain science explains all of this and more
An astonishing new science called neuroplasticity is overthrowing the centuries-old notion that the human brain is immutable, and proving that it is, in fact, possible to change your brain. Psychoanalyst, Norman Doidge, M.D., traveled the country to meet both the brilliant scientists championing neuroplasticity, its healing powers, and the people whose lives they’ve transformed—people whose mental limitations, brain damage or brain trauma were seen as unalterable. We see a woman born with half a brain that rewired itself to work as a whole, blind people who learn to see, learning disorders cured, IQs raised, aging brains rejuvenated, stroke patients learning to speak, children with cerebral palsy learning to move with more grace, depression and anxiety disorders successfully treated, and lifelong character traits changed. Using these marvelous stories to probe mysteries of the body, emotion, love, sex, culture, and education, Dr. Doidge has written an immensely moving, inspiring book that will permanently alter the way we look at our brains, human nature, and human potential.
The Brain’s Way of Healing
Now a New York Times Bestseller!
The bestselling author of The Brain That Changes Itself presents astounding advances in the treatment of brain injury and illness
In The Brain That Changes Itself, Norman Doidge described the most important breakthrough in our understanding of the brain in four hundred years: the discovery that the brain can change its own structure and function in response to mental experience—what we call neuroplasticity.
His revolutionary new book shows, for the first time, how the amazing process of neuroplastic healing really works. It describes natural, non-invasive avenues into the brain provided by the forms of energy around us—light, sound, vibration, movement—which pass through our senses and our bodies to awaken the brain’s own healing capacities without producing unpleasant side effects. Doidge explores cases where patients alleviated years of chronic pain or recovered from debilitating strokes or accidents; children on the autistic spectrum or with learning disorders normalizing; symptoms of multiple sclerosis, Parkinson’s disease, and cerebral palsy radically improved, and other near-miracle recoveries. And we learn how to vastly reduce the risk of dementia with simple approaches anyone can use.
Preparing for Transport
We understand that often times caring for critically ill patients can be challenging. To facilitate the transport of the patient, we ask that you assist with the following prior to the team's arrival:
Assisting us with these guidelines will assure a speedy and safe transport of the patient from one medical facility to another medical facility.