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2011 Health Care Heroes: Gregory P. Gramelspacher

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Health Care HeroesWINNER: Physician

Gregory P. Gramelspacher, MD

Professor of Medicine; Director, Palliative Care Program, Wishard Health Services; Director, Palliative Medicine Fellowship, Indiana University School of Medicine

gramelspacher-gregory (IBJ Photo/ Perry Reichanadter)

Gregory Gramelspacher, M.D., intended to enter law school after graduating from Notre Dame. But a year in Bangladesh volunteering with the World Hunger Coalition changed his career path to medicine. The thousands of people he has helped as director of the Palliative Care Program for Wishard Health Services are very glad he did.

When Gramelspacher, 57, joined the faculty of the Indiana University School of Medicine in 1989, his responsibilities included developing an ethics program and serving as an ethics consultant. He was often called to the bedside of sick and dying patients when there was conflict among family members or between the family and the doctors concerning the best course of action for the patient. Unfortunately, by the time his services were requested, many of those patients had suffered for days.

“It was one of those consults, back in 1996, that was a signature event for me to change my career path in medicine,” Gramelspacher said. “I saw the need to have doctors … help patients and families get to the end of their life in as dignified a way as possible, with as little suffering as possible, with as much support as possible. We needed to move upstream and provide palliative care consults.”

That became his mission and passion. He applied for funding, lobbied and finally gained approval to start the program.

For the first seven years, it was a one-man show, with Gramelspacher on-call 24/7. “This was a brand new field,” Gramelspacher said. “So I just started asking doctors if I could help them with their problem patients—the ones that came to the hospital frequently or who weren’t able to grasp the severity of their illness or come to terms with the fact that their life was winding down.”

That’s how he met “Cowboy,” a 73-year-old lung cancer patient, with emphysema and an attitude, who routinely disappeared from the hospital. Gramelspacher, or “Dr. G” as staff and patients affectionately call him, earned Cowboy’s trust and learned that he lived under the underpass at 16th Street and Dr. Martin Luther King Street, in his “cave.” He also revealed he had a dog named “Cowgirl.” Cowboy’s daily disappearing acts involved collecting food scraps to take to her. Despite attempts to get Cowboy housing, he always ended up back at the cave. Gramelspacher brought him a gas generator and a space heater, and when it turned bitterly cold, took him to a hotel. Cowboy was finally admitted to a nursing home, and when it came time, Gramelspacher arranged for Cowgirl to join him. She was in his arms when he passed peacefully.

This is just one story of many that illustrate Gramelspacher’s compassion and concern for patients who are vulnerable, confused, scared and sometimes facing death alone. That’s why he’s a Health Care Hero.

“It’s an extraordinary privilege to be able to come to work each day and make a difference for people who nobody really cares about,” Gramelspacher said. “It all seems so natural, really.”

It may come naturally to Gramelspacher, but many physicians are at a loss for words and actions when it comes to dealing with the inevitable.

“Palliative care is all about dealing with challenging emotions, going deep into the needs of patients and families to join them in their journeys, being present, honoring and healing them through whatever each day brings,” said Reverend Karen Estle, spiritual advisor to the palliative care team. “Dr. Greg Gramelspacher is the teacher, the director, the guiding force in Wishard Hospital’s nationally recognized palliative care team.”

Today the palliative care program at Wishard has seen more than 4,000 patients. Under Gramelspacher’s leadership, it has received prestigious awards, including the American Hospital Association’s Circle of Life Award, and the National Association of Public Hospitals’ Jim Wright Safety Net Award. On the program’s 10th anniversary, Gramelspacher trekked from California to South Carolina on a bicycle. Dubbed the “Ride to Remember” he rode in remembrance of the people the program had served and to raise awareness of the dying poor.

“Our excellent palliative care program would not have become a reality without Greg’s imagination, determination, powerful persuasive personality, and single-minded passionate devotion toward providing comprehensive and compassionate end of life care for the poorest in our community,” said Meg Gaffney, M.D., chairwoman of the Wishard Ethics Committee.

Gramelspacher’s efforts go beyond the program. He partnered with the Visiting Nurse Service to establish the Abbie Hunt Bryce Home, a home for terminal patients without financial resources, and he supports the Pro Bono Palliative Care Program, which provides Wishard patients with needed legal assistance. He also established the IU Palliative Medicine Fellowship at Indiana University and serves as its director. Currently three Fellows are training to become specialists in palliative care.

What’s next for Gramelspacher?

“I’m very interested in building our program here at Wishard,” he said, “but I want to metastasize it across campus and establish programs at Riley, University, Methodist and the VA. Then I want to find some Kenya champions to build capacity for palliative care in Kenya. If I can do anything to improve the situation for dying patients in that little piece of the world, I would be real happy.”•

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Click here to return to the Health Care Heroes landing page.

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  • Hope for the right thing
    Two comments: I'd like to note that Methodist, University and the VA Hospitals all have established Palliative Care programs. In addition, Riley Hospital is recruiting physician leadership for their program. Also, I don't believe that hope is ever gone. As T.S. Eliot would say, we need to "hope for the right thing"

    I am very honored to receive this award on behalf of the thousands of patients who come to Wishard for help.
  • Great News
    Very nice to know a native Jasper, IN kid, who is one year older than I, get recognized for his medical greatness. So happy that some of the people from Greg's hometown, took the time to relate this story to us back home! Congrats, Dr. Greg!
  • Dr. Greg is a GameChanger
    I'm glad to see Dr. Greg, whom I've known since were were kids growing up in southern Indiana, get recognized for the amazing work he does. See how he says he'd like to 'metastasize' the Palliative Care program? 'Metastasize' is a word that, like 'death,' we usually hear as a negative. Turning negatives into positives is Greg's talent. In his lexicon, metastasize becomes a good thing, a gift, an opportunity to hold one another in higher regard. His program creates opportunities for nd-of-life patients to re-connect with families, re-discover their dignity, and achieve a kind of peace they would not know without the programs and facilities he has helped guild. For more on the beautiful story of Cowboy and Cowgirl: http://www.gamechangers.com/index.html/archives/265

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  1. These liberals are out of control. They want to drive our economy into the ground and double and triple our electric bills. Sierra Club, stay out of Indy!

  2. These activist liberal judges have gotten out of control. Thankfully we have a sensible supreme court that overturns their absurd rulings!

  3. Maybe they shouldn't be throwing money at the IRL or whatever they call it now. Probably should save that money for actual operations.

  4. For you central Indiana folks that don't know what a good pizza is, Aurelio's will take care of that. There are some good pizza places in central Indiana but nothing like this!!!

  5. I am troubled with this whole string of comments as I am not sure anyone pointed out that many of the "high paying" positions have been eliminated identified by asterisks as of fiscal year 2012. That indicates to me that the hospitals are making responsible yet difficult decisions and eliminating heavy paying positions. To make this more problematic, we have created a society of "entitlement" where individuals believe they should receive free services at no cost to them. I have yet to get a house repair done at no cost nor have I taken my car that is out of warranty for repair for free repair expecting the government to pay for it even though it is the second largest investment one makes in their life besides purchasing a home. Yet, we continue to hear verbal and aggressive abuse from the consumer who expects free services and have to reward them as a result of HCAHPS surveys which we have no influence over as it is 3rd party required by CMS. Peel the onion and get to the root of the problem...you will find that society has created the problem and our current political landscape and not the people who were fortunate to lead healthcare in the right direction before becoming distorted. As a side note, I had a friend sit in an ED in Canada for nearly two days prior to being evaluated and then finally...3 months later got a CT of the head. You pay for what you get...

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