During a traditional “topping out” ceremony for the expansion project at Kellogg Eye Center and Brehm Center, clinical nurse Mary Ellen O’Keefe signs the last beam to be placed atop the new building. The Nov. 6 ceremony attracted faculty, staff and special guests. The $121 million, 222,000-square-foot building nearly will double the current space for eye care, education and research when it opens in 2010. (Photo by Martin Vloet, U-M Photo Services)