{"id":1526,"date":"2008-09-17T14:21:16","date_gmt":"2008-09-17T18:21:16","guid":{"rendered":"https:\/\/engineering.jhu.edu\/magazine-archive\/?p=1526"},"modified":"2014-12-17T14:21:51","modified_gmt":"2014-12-17T19:21:51","slug":"cool-thinking-saves-day","status":"publish","type":"post","link":"https:\/\/engineering.jhu.edu\/magazine-archive\/2008\/09\/cool-thinking-saves-day\/","title":{"rendered":"Cool Thinking Saves the Day"},"content":{"rendered":"<figure id=\"attachment_1527\" class=\"wp-caption aligncenter\" style=\"width: 476px\"><a href=\"https:\/\/engineering.jhu.edu\/magazine-archive\/wp-content\/uploads\/2014\/07\/fall2008-rd05.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-1527\" src=\"https:\/\/engineering.jhu.edu\/magazine-archive\/wp-content\/uploads\/2014\/07\/fall2008-rd05.jpg\" alt=\"Spine specialist Andrew Cappuccino performed the surgery that allowed tight-end Kevin Everett to walk again.\" width=\"466\" height=\"331\" srcset=\"https:\/\/engineering.jhu.edu\/magazine-archive\/wp-content\/uploads\/2014\/07\/fall2008-rd05.jpg 466w, https:\/\/engineering.jhu.edu\/magazine-archive\/wp-content\/uploads\/2014\/07\/fall2008-rd05-300x213.jpg 300w\" sizes=\"auto, (max-width: 466px) 100vw, 466px\" \/><\/a><figcaption class=\"wp-caption-text\">Spine specialist Andrew Cappuccino performed the surgery that allowed tight-end Kevin Everett to walk again.<\/figcaption><\/figure>\n<p>It was the opening day of the NFL season at Ralph Wilson Stadium in Buffalo, N.Y., last September. Buffalo Bills tight-end Kevin Everett made a tackle that injured his spine and left him lying on the field, paralyzed.<\/p>\n<p>Andrew Cappuccino \u201984 was there. Cappuccino, a spine specialist who has been an assistant team orthopedic surgeon for the Buffalo Bills since 1995, was one of the first medical professionals to reach Everett in the moments after the accident. His immediate assessment? The 24-year-old football player would most likely be a quadriplegic for life. But, at that point, Cappuccino\u2019s focus was on keeping Everett breathing.<\/p>\n<p>\u201cDon\u2019t leave me like this,\u201d Cappuccino remembers a frightened Everett saying to him that day. And so, with Everett and his family\u2019s agreement, the physician began a course of treatment that included spine surgery and induced hypothermia, an extreme cooling of Everett\u2019s body temperature to reduce swelling of the tissue surrounding his spine. Hypothermia had never been used in a human spine patient before, but Cappuccino felt that it was the best course of action\u2014both during the surgery and in the hours afterward. \u201cIf I did nothing, chances were he would remain a quadriplegic and on a respirator for the rest of his life,\u201d he says. \u201cOr I could try something risky [risks include cardiac arrhythmia] and it might help to preserve some spinal cord function. He was just a kid\u2014the same age as one of my boys. I wanted what was best for him.\u201d<\/p>\n<p>His strategy paid off. Several days after the injury, Everett could move his legs. Today he can walk.<\/p>\n<p>It\u2019s the kind of recovery that makes headlines, lands one on Oprah, and causes people to bat around words like \u201cmiracle.\u201d Cappuccino, 46, credits his studies at Johns Hopkins for teaching him how to make critical decisions. \u201cOne thing my professors always pushed us<br \/>\nto do was to think outside the box,\u201d says Cappuccino, who earned undergraduate degrees in biomedical engineering and materials science before returning to Johns Hopkins after medical school to undertake specialty training with nationally recognized spine surgeon Paul McAfee. \u201cThey encouraged us to think critically and not to be afraid to make decisions we could support in our work and support in the literature.\u201d<\/p>\n<p>In addition to running his private practice, Cappuccino does research and product development on the biomechanics of spine implants. He lives in Lockport, N.Y., with his wife, breast surgeon Helen Cappuccino. They have six children, aged 14 to 27.<\/p>\n<p>For Cappuccino, treating Everett last fall was a life-changing experience. \u201cOver 15 years, things can become pretty straightforward,\u201d he says. \u201cYou can be at the top of your practice but things can become routine. This whole experience reminded me that what we do is significant. We can make a difference.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>It was the opening day of the NFL season at Ralph Wilson Stadium in Buffalo, N.Y., last September. Buffalo Bills tight-end Kevin Everett made a tackle that injured his spine and left him lying on the field, paralyzed. Andrew Cappuccino \u201984 was there. Cappuccino, a spine specialist who has been an assistant team orthopedic surgeon&#8230;<\/p>\n","protected":false},"author":4,"featured_media":1527,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[75],"tags":[],"class_list":["post-1526","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-research-development","issue-fall-2008"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Cool Thinking Saves the Day - JHU Engineering Magazine<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/engineering.jhu.edu\/magazine-archive\/2008\/09\/cool-thinking-saves-day\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cool Thinking Saves the Day - JHU Engineering Magazine\" \/>\n<meta property=\"og:description\" content=\"It was the opening day of the NFL season at Ralph Wilson Stadium in Buffalo, N.Y., last September. 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