crmc fixes broken hearts - Cookeville Regional Medical Center

A MAGAZINE FOR SENIOR ADULTS DISTRIBUTED BY COOKEVILLE REGIONAL MEDICAL CENTER
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Volume 8 | Issue 4 | Winter 2015
CRMC Recognized
As One of America's
100 Best for Cardiac
and Orthopedic Care
CRMC FIXES
BROKEN HEARTS
Surgeon Repairs Aortic
Aneurysm and Replaces
Valve in Single Surgery
Vicki Foster (and
her dog, Eliza) are
STAYING
BUSY
Thyroid Surgery
For Cancerous and
Noncancerous
Thyroid Issues
Watch Out!
Tips to Help You
Prevent Falls
TA B L E O F C O N T E N T S
3
ACTIVE AFTER 50
4
NEW AT CRMC
6
FOUNDATION NEWS
Vicki Foster
"Just jump in and do it."
CRMC named among nation's 100 Best for
Cardiac and Orthopedic Care
Carings Hands Fund helps patients who are
struggling financially
8
CRMC SURGEON REPAIRS ANEURYSM, REPLACES
AORTIC VALVE IN SAME SURGERY
Patient Dwight Henry says he feels
better than he has in 20 years
15
ALIVE AND WELL
DEPARTMENTS
Women’s
W E D N E S D AY
Dealing with dry skin
Active After 50 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Body in Motion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Calendar of Events. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Club 50 Plus News. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Did You Know?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Foundation News . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
From Our Kitchen to Yours. . . . . . . . . . . . . . . . . . . . . 11
Healthy Eating. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
New at CRMC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Physician News . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Puzzles. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Puzzle Solutions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Surgery Spotlight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Train Your Brain. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Women’s Wednesday. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Paul Korth
Chief Executive Officer
Melahn Finley
Director, Marketing & Public Relations
Hannah Davis
Marketing/Public Relations Coordinator
Seasons© is published quarterly as a service of
Cookeville Regional Medical Center by
(931) 525-6020 • wdstone.com
DISCLAIMER: This publication in no way seeks to diagnose or treat illness, or to serve as a
substitute for professional medical care. Please see your physician if you have a health problem.
INFORMATION: Call (931) 525-6020 for permission to reprint any portion of this
magazine, to correct your address, to let us know that you are receiving more than one
copy, or to have your name removed from our mailing list.
Volume 8, Issue 4 © 2015 Cookeville Regional Medical Center. All rights reserved.
Cookeville Regional Medical Center
One Medical Center Blvd. • Cookeville, TN 38501
931-528-2541 • crmchealth.org
Time:
Place:
Lunch:
RSVP:
Noon to 1 p.m.
Room 3, Education Center
Catered meal $6, or bring your own
By Monday prior to luncheon (931) 783-2743
JANUARY 13 — “Women's Safety Awareness”
Join guest speakers Michael Burnette, CRMC’s director of security
with 25 years in law enforcement, and Steve Randall, CRMC’s
security supervisor with 30 years in law enforcement, as they discuss
how to stay safe. Luncheon: Chef salad, breadstick, dessert and
beverage available for $6.
Club 50 Plus
COOKEVILLE REGIONAL
Cookeville Regional Medical Center is dedicated
to improving the health and well-being of all
residents in the communities we serve.
Information on Club 50 Plus events (unless otherwise noted)
Time: Noon to 1 p.m.
Place: Rooms 2, 3 and 4, Education Center
MARCH 17 — Sam Hawkins and Lora Looper with Mortgage
Investors Group will discuss “Myths and Misunderstandings of
Reverse Mortgages.”
MAY 17 — Tony Phillips of Custom Fitness Solutions will present
“Fitness at Any Age.”
Registration is required. Contact Lisa Eldridge at (931) 783-2660.
CLUB 50 PLUS AT COOKEVILLE REGIONAL was developed for adults age
50 and beyond to encourage healthy lifestyles. Members enjoy preventive health
screenings, educational programs, referral services, activities, discounts and more! For
more information or to learn how you can join Club 50 Plus, call (931) 783-2660 or
visit crmchealth.org/club-50-plus/about.
Active After 50
Vicki Foster Enjoys Learning New Things
By Vicki Foster
I
'm 60 now, soon to be 61. I’ve never considered myself "old"
or "senior" yet. I believe being active should be mental as well
as physical. I usually walk my dog every day — one mile in the
morning, one in the afternoon.
Over the last 20-something years, I have been a Sunday school teacher
at St. Thomas Aquinas. The children keep your heart young. I have
actually taught the child of one of my students. It's amazing to watch
them grow into caring, loving adults.
For about the last five years, I've been volunteering at Manna's Hana
Riding Center on Brotherton Mountain as a side walker or leader.
This center helps children with disabilities learn to ride horses. They
learn to bond with their horses through grooming and riding. Riding
helps them strengthen their core. It helps them cognitively by taking
direction from the instructor and giving direction to the horse. It gives
them a sense of control instead of helplessness.
I've been a member of the Goal Diggers Investment Club for several
years. I've been either assistant financial partner or financial partner
for quite a while. I have always wanted to understand and learn
about investments. I believe ours is the only investment club left in
Cookeville.
→ Above, Vicki Foster takes a break
from walking with her dog, Eliza.
Below, Foster enjoys one of her
favorite hobbies, oil painting.
Sandi Bos has been my art teacher over the last several years. She has
been teaching me about oils. Learning to see colors and shapes is more
challenging than you might think. She is an excellent teacher. I want
to paint just like her.
Helen Hennessee has been teaching me to play the piano. She is an
amazing player. I have been taking lessons from her for two or three
years now. I took lessons for a short time as a child but couldn't play
a lick. My goal is to be able to sit down, pick up a piece and just play
it. I’m far from getting there, but I'm thankful for her encouragement
and patience with me.
Over this last winter, I studied and earned my realtor’s license.
I affiliated with Crye-Leike this spring. Since joining, I've been
attending the Crye-Leike college to learn as much as I can about real
estate. I'm pleased to say I am gaining sales experience and enjoying
this new career at 60. I enjoy doing it, and I enjoy helping people take
their time and look without pressure. I want them to find what they
want rather than trying to sell them something they don't want.
I still have energy, and I want to use it before I have to stay home and
crochet all day. I want to be able to do something while I still have
the energy. If you've got the energy, do it now. You're gonna run out! I
don't know what's coming next, but I can say this: I'm ready. If there is
something you've always wanted to do, just jump in and do it.
Somebody once told me, "Age is mind over matter. If you don't mind,
it doesn't matter."
Stay busy; it's healthy.
Are you over 50 and active? Tell us all about it! If you would like to share
what you do to stay active, why, and how it has helped you and/or others,
we just might feature you in an upcoming edition of Seasons©. Please email
your information to [email protected] or write CRMC Marketing
Department, 1 Medical Center Blvd., Cookeville, TN 38501.
CRMC Seasons© Winter 2015
3
New at
Physician News
The Latest Updates on
Cookeville Regional's
Physicians and Staff
CRMC Receives National
Recognition for Meritorious
Outcomes
T
he American College of Surgeons
National Surgical Quality
Improvement Program (ACS
NSQIP®) has recognized Cookeville
Regional Medical Center as one of 52
ACS NSQIP participating hospitals that
have achieved meritorious outcomes for
surgical patient care.
As a participant in ACS NSQIP,
Cookeville Regional is required to track
the outcomes of inpatient and outpatient
surgical procedures and collect data that
directs patient safety and the quality of
surgical care improvements.
“Having been a
participant in
this initiative for
more than seven
years, we have
identified areas for
Copeland
improvement and
acted upon them,” said Scott Copeland,
M.D., a CRMC general and vascular
surgeon as well as surgeon champion
for the CRMC NSQIP initiative. “As a
result, patients are receiving better care.
Our number one goal is to provide highquality patient care, and initiatives like
this one allow us to continue improving
upon that care.”
The ACS NSQIP recognition program
commends a select group of hospitals
for achieving meritorious outcome
performances related to patient
CRMC
management in eight clinical areas:
mortality, unplanned intubation,
ventilator > 48 hours, renal failure,
cardiac incidents (cardiac arrest and
myocardial infarction), respiratory
(pneumonia), SSI (surgical site
infections-superficial and deep incisional
and organ-space SSIs) or urinary tract
infection.
The 52 hospitals commended
achieved the distinction based on their
outstanding composite quality scores
in the eight areas listed above. Riskadjusted data from the July 2015 ACS
NSQIP Semiannual Report, which
presents data from the 2014 calendar
year, were used to determine which
hospitals demonstrated meritorious
outcomes.
ACS NSQIP is the only nationally
validated quality improvement program
that measures and enhances the care of
surgical patients. This program measures
the actual surgical results 30 days
postoperatively as well as risk adjusts
patient characteristics to compensate for
differences among patient populations
and acuity levels. The goal of ACS
NSQIP is to reduce surgical morbidity
(infection or illness related to a surgical
procedure) and surgical mortality (death
related to a surgical procedure) and to
provide a firm foundation for surgeons
to apply what is known as the “best
scientific evidence” to the practice of
surgery.
American College of Surgeons National Surgical Quality Improvement Program
Congratulates
Cookeville Regional
Medical Center
For achieving “Meritorious” status with regard to their composite quality score in the outcome areas of: Mortality, Cardiac, Respiratory
(pneumonia), Unplanned Intubation, Ventilator > 48 hours, Renal Failure, SSI, and UTI for All Surgery cases for the Performance Period of
January 1, 2014 – December 31, 2014.
Visit CRMCHEALTH.ORG/FIND-PHYSICIAN/BROWSE-DEPARTMENT
to find the physician ready to serve your health needs at CRMC.
4
CRMC Seasons© Winter 2015
National Study: CRMC
Named Among America's
100 Best for Cardiac
and Orthopedic Care
C
ookeville Regional Medical Center
recently announced that it has been
recognized by Healthgrades as one
of America’s 100 Best™ hospitals for
coronary intervention and orthopedic
surgery care for 2016. Healthgrades,
the leading online resource helping
consumers make informed decisions in
order to find the right doctor, the right
hospital and the right care, evaluated
nearly 4,500 hospitals nationwide for
33 of the most common inpatient
procedures and conditions and
identified the 100 best-performing
hospitals across all conditions or
procedures within these service lines.
The achievement is part of findings
recently released online and in the
Healthgrades 2016 Report to the
Nation. Cookeville Regional received
a 5-star rating, which indicates that
the hospital’s clinical outcomes are
statistically significantly better than
expected when treating the condition
or conducting the procedure being
evaluated.
Cookeville Regional not only performs
at a 5-star level – it outperforms other
hospitals in the nation in several
conditions and, as a result, has been
recognized with the 2016 Healthgrades
Specialty Excellence Award in four
categories: Cardiac Surgery, Coronary
Intervention, Orthopedic Surgery and
Pulmonary Care.
“I am proud of the strides made by our
physicians and staff to continually improve
the quality of care we provide our patients,”
stated Paul Korth, CEO of Cookeville
Regional. “Having a third party recognize us
for those efforts is further validation that our
services are among the highest quality found
anywhere. Now, even more than before,
there is very little reason for our Upper
Cumberland residents to have to travel out of
our region for health care.”
→ Proud of the recognition of The Women’s Center
as a Pink Ribbon Facility are, from left, Dr.
Jason Hardin, M.D., board-certified radiologist;
Elizabeth Dycus, RT(R)(M)(BD), staff
mammographer; Stephanie Jennings, RT(R)(M)
(BD), chief mammographer; Ann Downs, RT(R)(M)
(BD), lead mammographer; and Amanda Brannon,
manager of The Outpatient Imaging Center.
Cookeville Regional
Recognized As a Pink
Ribbon Facility
CRMC Expands Nurse
Navigator Program
T
L
he Women’s Center at Cookeville
Regional Medical Center has been
recognized as a Pink Ribbon Facility by
Hologic, Inc. for providing excellent breast
health and showing exceptional commitment
and support to the women in our community.
Pink Ribbon facilities offer on-site 3-D breast
tomosynthesis imaging, the latest in breast
screening technology.
“Being a Pink Ribbon Facility is a great way
to show patients that we continue to provide
them with the highest quality of care, and by
offering the 3-D tomosynthesis, we give them
that. The Women’s Center offers the latest
3-D tomosynthesis model and technology so
women know that they are receiving excellent
breast care when they come to us,” said
Stephanie Jennings, chief mammographer at
The Women’s Center.
To schedule a mammogram or for any questions
about 3-D mammography, please contact The
Women’s Center at (931) 783-2222.
Patients with Lung Cancer
Now Have Additional Support
ung cancer is the number one cancer killer
for both men and women in the United
States, and the Upper Cumberland is no
exception. To help patients diagnosed with
lung cancer, Cookeville Regional Medical
Center now provides the services of a nurse
navigator who will be a personal resource for
both the patient and the family.
With eight years’
experience working
with oncology patients,
Beth Slatten, RN, is
Cookeville Regional’s
new lung nurse
Slatten
navigator. She graduated
with her nursing degree in 1997 and came to
Cookeville Regional in 2001 to work in the
intensive care unit. She then transitioned to
The Cardiac and Pulmonary Rehabilitation
Center, where she spent four years before
going to work in The Cancer Center for the
past eight years.
“A diagnosis of lung cancer can be overwhelming,” said Slatten. “In my new role,
I’m available to help patients who have been
recently diagnosed, are already living with
lung cancer or have had a recurrence of the
disease. I want to help make their journey as
easy as possible.”
A lung nurse navigator helps patients cope
with the anxiety associated with lung cancer,
decreases barriers to services, helps to expedite
access to care and provides information and
available resources to help the patient and
their family.
Cookeville Regional began its nurse navigator
program eight years ago with breast cancer
patients.
“The nurse navigator program has been so
successful with our breast cancer patients,”
stated Lisa Bagci, director of The Cancer
Center at Cookeville Regional. “It was a
natural progression for us to expand the
program to our lung cancer patients. Lung
cancer is a complex disease with so many
treatment options available, and it’s often
confusing for our patients. It just makes sense
to have a navigator to help them and their
families through the process.”
The Cancer Center at Cookeville Regional
is accredited by the American College of
Surgeons’ Commission on Cancer and has
brought an advanced level of cancer care
to patients in the region. The center offers
medical and radiation oncology services as
well as clinical trials research and various
supportive services for cancer patients
and their families — all in one convenient
location at Cookeville Regional.
CRMC Seasons© Winter 2015
5
Foundation News
Caring Hands Fund
Helps Patients Who Are
Struggling Financially
By John Bell
Executive Director of The Foundation at CRMC
P
atients and
caregivers
have
a special
relationship.
Sometimes it’s
Bell
a small act that
sticks with you or a simple question
that leads to profound change.
Carl was a cardiac patient at the hospital
who had been struggling with heart
disease and health complications.
A proud man, Carl had been a hard
worker his entire life and hoped to
spend his retirement years living a
simple, good life. But over the last
several years, he found himself in and
out of the hospital for different cardiacrelated problems. Carl was about to
be released from the hospital and was
talking to his case manager when it
happened.
The case manager explained to Carl
about medication options for his
condition and recommended a generic
medication that would be more
affordable than some name brands.
The monthly expense for the generic
medication would be $50. Carl paused
for a moment, then reached into his
pocket to pull out a few dollar bills and
some change.
“How many pills can I buy for this,”
Carl asked his case manager.
That moment had a lasting effect on
Carl’s caregiver, and she went on to
help start the Caring Hands Fund
at Cookeville Regional Charitable
Foundation. The Caring Hands Fund
may be used to help any patient with a
charitable need, including purchasing
generic medications for patients who
cannot afford it.
For hundreds of patients at Cookeville
Regional, the Caring Hands Fund
is their only resource for things like
medication, equipment, screenings,
procedures or simple things like
groceries, utilities or transportation.
Without this fund, many patients
simply do not have financial resources
or a support network of friends or
family to make ends meet.
Often, a whole family is impacted by
a patient’s diagnosis, treatment and
recovery, so we give family members
special attention, as well.
Cardiac rehabilitation is a threephase rehabilitation program for
patients recovering from heart
problems. A nurse or exercise
physiologist is available at all
times to provide monitoring and
education, along with emotional
support to help further the
rehabilitation process.
Pulmonary rehabilitation is a
program for people who have
long-term breathing problems. This
program was created to give patients
and their families the information
and skills they need to cope with
breathing problems in the most
effective ways possible. Programs
are created based on each patient’s
needs.
Be a blessing to a local patient in need
— please give today.
The Cardiac and Pulmonary
Rehabilitation Center at
Cookeville Regional is certified
by the American Association of
Cardiovascular and Pulmonary
Rehabilitation (AACVPR).
(931) 783-2003 • CookevilleRegionalCharity.org
1 Medical Center Blvd. • Cookeville, TN 38501
Our foundation is compassionate care. Your gift helps us heal.
CRMC Seasons© Winter 2015
The Cardiac
and Pulmonary
Rehabilitation
Center at Cookeville
Regional utilizes
the most up-to-date
equipment, methods
and counsel to help
patients with cardiac
and pulmonary
needs.
With even a modest gift, you can help
patients like Carl. Your compassionate
gift will offer hope and healing to
individuals and families struggling with
sickness, disease or injury this winter
season. Just enclose your generous taxdeductible gift in the return envelope
of this issue of Seasons, and we will
put it to use helping patients in our
community.
COOKEVILLE REGIONAL CHARITABLE FOUNDATION
6
Did You Know?
We’re conveniently located one
block from CRMC at 228 West
Fourth Street, Suite 100. For more
information, call us at (931) 7832689.
Surgery Spotlight
CRMC Offers Thyroid
Surgery for Cancer
and Goiter
Procedure requires minimal
recovery time
C
ookeville Regional is proud to offer
thyroid surgery to patients in the
Upper Cumberland region who are
dealing with thyroid issues.
“We might perform
surgery if the thyroid
has become enlarged
enough to cause
local symptoms
from enlargement
Rohman
of the gland, things
like difficulty swallowing or a sensation of
choking or tightness of the throat. When
that's a benign, noncancerous disease,
it’s referred to as a goiter,” said Dr. Grant
Rohman, an otolaryngologist with Upper
Cumberland Ear, Nose & Throat. “Also, when
there is a lump, or nodule, in the thyroid
gland, we will often do surgery to perform a
workup to rule out thyroid cancer and also to
treat thyroid cancer if it is found.”
More than 95 percent of patients experience
relief of symptoms following surgery to
remove a goiter. While many people have
thyroid nodules, fewer than 5 percent of
them prove to be cancerous. For those that
are cancerous, surgery is sometimes the only
treatment that is needed.
Typically, either half or all of the thyroid gland
is removed during surgery, which is done
traditionally with an incision made low on the
neck and measuring from 2 to 6 inches.
“When you remove only half of the thyroid
gland, it is typically done as an outpatient
surgery,” said Dr. Rohman. “However, even
some of our total thyroidectomies are now
done on an outpatient basis. Those who do
stay in the hospital typically only stay for one
night.”
Patients who undergo thyroid surgery can
expect moderate soreness in the neck for one
to two weeks following surgery. They are able
to resume routine daily activities within a few
days, with restrictions placed on heavy lifting
or straining.
Fortunately,
over the last
decades, the
complication
rate has
become very
low.
DR. GRANT ROHMAN, OTOLARYNGOLOGIST
with an experienced surgeon, this risk is
usually 1 percent or lower.
“Thyroid surgery is a serious surgery in that
you're operating on an organ in the neck that
has a rich blood supply, but fortunately, over
the last several decades, the complication rate
has become very low,” said Dr. Rohman.
“Studies have shown that the surgeon who's
doing a good volume of thyroid surgeries is
less likely to have complications,” said Dr.
Rohman. “Fortunately, the surgeons at Upper
Cumberland Ear, Nose & Throat are very
experienced in thyroid surgery.”
The primary risk involved in thyroid surgery
is injury to the nerve that supplies the vocal
cords. When that happens, it can leave the
patient with a weak or hoarse voice. However,
For more information about the thyroid and
thyroid surgery, visit the American Thyroid
Association at www.thyroid.org.
CRMC Seasons© Winter 2015
7
CRMC DOUBLES DOWN
CRMC Surgeon Repairs Aneurysm, Replaces Aortic Valve in Same Surgery
Patient Dwight Henry says
he feels better than he has
in 20 years
D
wight Henry of Cookeville has always
been active and energetic. A Cookeville
city councilman who’s also a radio
personality, Cookeville Senior Center board
member and hospice chaplain — as well
as a former Cookeville mayor, Tennessee
state representative and state gubernatorial
candidate — Henry doesn’t let much slow
him down.
When he started experiencing dizziness
about a year ago, he went to the Cookeville
Regional ER. While doctors were searching
for the cause, they found an aortic aneurysm.
Complicating matters, Henry had a
mechanical aortic valve that he had received
at age 22 because of a congenital heart
problem, and now that the valve was nearly
40 years old, it was beginning to work less
efficiently.
“Mr. Henry had had a small neurological
event, a ministroke so to speak, and he
had developed an aneurysm near his heart,
right above the valve, which is common
for the kind of valve problem he had,” said
Dr. R. Lewis Wilson Jr., a cardiac, vascular
and thoracic surgeon at CRMC. “So his
cardiologist, Dr. Timothy Fournet, took
care of him and kept track of his valve and
his heart function and his aneurysm. His
aneurysm got big enough and his valve was
dysfunctional enough that they thought it
8
CRMC Seasons© Winter 2015
was time to have them replaced, so Mr. Henry
was referred to my practice for that.”
So, in February 2015, Dr. Wilson successfully
repaired the aneurysm and replaced the aging
mechanical valve with one made from bovine
pericardial tissue.
“If we had given him another mechanical
valve, theoretically, it would last the rest of his
life, but he would have had to take Coumadin
the rest of his life,” said Dr. Wilson. “As we
age, the potential complications of Coumadin
are greater, so as people age, we tend to move
more toward a bioprosthetic, or tissue, valve
instead of a mechanical valve.”
Henry was up walking the second day after
surgery and left the hospital after a seven-day
stay. He’s also been successful in stopping the
Coumadin.
“If heart surgery can be a great experience,
this one was,” said Henry. “I like to tell people
that Dr. Wilson fixed my aneurysm and threw
in a free valve job.”
A few weeks after his surgery, Henry began
rehab at The Cardiac and Pulmonary
Rehabilitation Center at Cookeville
Regional. He goes there three days a week for
about an hour each visit. In addition to that
program, he walks at Cane Creek Park several
days each week.
“Those nurses in the rehab center create an
individualized program for you, then they
Honestly, both
in terms of the
surgery and the
care received
at the hospital,
I couldn't have
been taken
better care of
anywhere.
DWIGHT HENRY, CRMC HEART PATIENT
monitor you and turn it up or down a notch
based on how you’re progressing,” said Henry.
“They're so encouraging, and they make you
want to do the best you can. It has been so
helpful in building my strength and stamina.
I’m 62, and I feel better than I've felt in 20
years.”
Dr. Wilson is pleased with the outcome of
→ Dwight Henry continues to benefit from
regular workouts at The Cardiac and Pulmonary
Rehabilitation Center at Cookeville Regional.
the surgery and with Henry’s recovery, and
he says the valve should last for the rest of
Henry’s life.
“In the event that it doesn't, thankfully we
have new technology coming down the
road, where the next generation of valve
replacements for him would be a catheterbased valve where he probably wouldn’t
even have to have open-chest surgery the
next time,” said Dr. Wilson.
Dr. Wilson added that, while it’s
uncommon for a complex surgery like
this to be available in a small town like
Cookeville, CRMC actually serves a
regional population of around 300,000
people.
“Because of that, we don't have a small
hospital or a small program, so it's not
uncommon for people like Mr. Henry to
have that operation in a hospital like ours,”
he said. “There just aren’t many hospitals
like ours in a town the size of Cookeville.”
Henry says that he feels very blessed and
fortunate to have a hospital like Cookeville
Regional in our community.
“Honestly, both in terms of the surgery and
the care received at the hospital, I couldn't
have been taken better care of anywhere,” he
said. “Once you figure out you can have all
of this done at home, to me it's a complete
no-brainer. I mean, why would you even
think about going anywhere else?”
CRMC Seasons© Winter 2015
9
Healthy Eating
How to Handle Leftovers
M
ake sure you store and prepare leftovers
properly to avoid foodborne illness.
Hot foods should be refrigerated within
two hours after cooking. Food that has been
standing out for more than two hours will
develop harmful levels of bacteria and should
be discarded.
When reheating leftovers, make sure that they
are completely reheated, not just warmed. Heat
kills bacteria, so it is important that you bring
leftovers to a boil or heat them to at least 165
degrees Fahrenheit. When reheating food in a
microwave oven, cover food and rotate the dish
so the food heats evenly.
Focus on Fruit – Pomegranate
A
pomegranate is a fruit the size of a large orange. The leathery reddishpink skin shelters the membranous walls and bitter tissue that house
compartments or sacs filled with hundreds of seeds. A translucent red pulp
that has a slightly sweet and tart taste surrounds these seeds. Pomegranates are
grown in California and throughout Asia and the Mediterranean countries.
Selection and Storage
Pomegranates are available in the United States from September through
December. Select fruit that is heavy for its size with bright, fresh color and
blemish-free skin. You can refrigerate whole pomegranates for up to two months
or store them in a cool, dark place for up to a month. Pomegranate seeds packed
in an airtight container and stored in the freezer will keep for up to three months.
Uses and Preparation
Pomegranates are a versatile fruit and can be used as a garnish on sweet and
savory dishes or pressed to extract the juice. To use a pomegranate, cut it in
half and pry out the pulp-encased seeds, removing any of the light-colored
membrane that adheres. The juice can stain your clothes so be sure to wear an
apron or clothing that you don’t mind getting stained.
10
CRMC Seasons© Winter 2015
From Our Kitchen to Yours – Orange Beef Stir-Fry
Ingredients
• 1 bag (12 oz.) frozen vegetable stir-fry
• 1 tbsp. peanut or vegetable oil
• 1 tbsp. onion, minced (or ½ tsp. dried)
• 1 tbsp. garlic, minced (about 2 to 3
cloves)
• 1 tbsp. ginger, minced
• 1 egg, lightly beaten (or substitute liquid
egg white)
• 2 tbsp. cornstarch
• 12 oz. beef flank steak, sliced into thin
strips
• 3 tbsp. hoisin sauce
• 1 tbsp. lite soy sauce
• ½ cup orange juice
Directions
Thaw frozen vegetables in the microwave
(or place entire bag in bowl of hot water for
about 10 minutes). Set aside. Heat oil in
large wok or sauté pan. Add onion, garlic and
ginger and stir-fry until tender, but not brown
(30 seconds to 1 minute).
Put egg white in one bowl and cornstarch in
another. Dip steak strips into egg white and
then coat with cornstarch. Add steak strips to
pan and continue to stir-fry until steak strips
are lightly browned (5 to 8 minutes). Add
hoisin sauce, soy sauce and orange juice, and
bring to a boil over high heat. Immediately
lower temperature to a gentle simmer.
Add the thawed vegetables and mix gently.
Simmer until vegetables are heated through
(3 to 4 minutes). Serve over rice or noodles.
Nutrition Information
(per serving)
• Calories 261
• Total fat 9g
• Saturated fat 2g
• Cholesterol 28mg
• Sodium 418mg
• Total fiber 3g
• Protein 23g
• Carbohydrates 23g
• Potassium 648mg
CRMC Seasons© Winter 2015
11
Body in Motion
Tips to Help Prevent Falls
E
ach year, about half of all adults 65 and
older experience falls that result in serious
injury. Falls are the most common cause
of injury in older adults, and most falls occur
in the home. Below are some helpful tips
on how to improve your home safety and
prevent falls:
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
•
Wear nonskid shoes instead of socks.
Never stand on wet floors barefoot.
Avoid loose-fitting, backless slippers or
open-toed shoes.
Never stand on a chair.
Use a sturdy stool with handrails to
reach high objects.
If you climb on a ladder, have someone
hold it steady.
Place frequently used items on lower
shelves.
Do not stack items high on shelves; store
items securely.
Install safety rails in bathtubs.
Put a nonskid mat in front of bathtubs,
showers and toilets.
Use nonskid abrasive strips in bathtubs
and showers.
Keep stairways well-lighted.
Install secure handrails on all stairways.
Apply a nonslip surface to stairs without
carpeting.
Put a light switch at the door to prevent
accidents in dark rooms.
Avoid hazardous placement of furniture.
Reduce clutter in walkways and
stairways.
← Watch for
small pets
that tend to
get under
your feet.
•
12
Elevate seat heights with a firm cushion
to assist in rising to a standing position.
CRMC Seasons© Winter 2015
← Keep electrical
cords out of walkways
to avoid tripping.
→ Remove throw
rugs from vinyl, tile
and wood floors.
Train Your Brain
Crossword Clues
Crossword
1
2
3
4
5
6
7
8
13
14
15
16
18
17
20
27
28
30
36
31
32
35
37
42
12
26
29
34
11
23
25
33
10
19
22
21
24
9
38
39
40
41
44
43
45
46
49
50
51
52
47
48
Sudoku
5
7
3 8
6
1 3
8
5
9
9 1
6
9
6 3
8
7 8
4
2 6
Look for the solutions to the puzzles on page 15.
3
1. Floors of the deep
8. Blood carrier
13. Incomplete organ development
14. Mixes up
15. Fridge feature
16. Cone-shaped dwellings
17. After-bath wear
18. The loss of one or more sounds from the end of a word
20. Kind of group, in chemistry
22. When it's broken, that's good
23. "My boy"
24. Dixie drink
26. "For shame!"
27. To be stuck in mud
30. Angers
33. "Aladdin" prince
34. Mojave plant
36. Bother
37. "Walking on Thin Ice" singer
38. Have a cow
42. Fugue endings
44. "General Hospital," e.g.
45. Coward's lack
46. Goo
49. "It's a Wonderful Life" role
50. To take one's freedom
51. Banana oil, e.g.
52. Some snakes have them
Down
8
6 4
2 7
7
Across
3
1. Pelvic bones
2. A memory chip that
maintains its data without a power supply
3. Accused's need
4. Hunting dog of African origin
5. Clairvoyance, e.g.
6. Conk out
7. A blanket-like shawl
8. Mary of "The Maltese Falcon"
9. Auditory
10. Comeback
11. Circuit disconnect (2 wds.)
12. Acceptances
19. ___ New Guinea
21. "___ Gang"
25. Inclined
27. Wailer
28. Cells that morph with moisture
29. Wandering
31. Plumbing mainstay
32. Ocean evaporation leave-behind (2 wds.)
35. Enlargement of the thyroid
37. Aquatic mammal
39. Nearby
40. Used to control flow
41. Dueling swords
43. Ashtabula's lake
47. Biochemistry abbr.
48. "C'___ la vie!"
Keep Your
Brain Active
Remembering a
List of Items
Here's a simple technique
to help commit a list of
items to memory, called
the journey method:
1. You need a journey you
know well. Each step of the
journey will be associated with
an item on your list. The journey
could be something simple like
your routine on waking in the
morning: look at the alarm
clock, go to the bathroom, go
downstairs, make a cup of coffee,
feed the dog and so forth.
2. Now associate each list
item with a journey step. Use
a bold, colorful image to make
each association memorable.
If your list starts with chewing
gum and bananas, you could
imagine looking at the alarm
clock on waking and reaching
out an arm to turn it off, only to
have your arm stuck in a huge
wad of sticky, chewing gum that
the alarm clock is inexplicably
covered in. Then on going to the
bathroom, imagine your surprise
on slipping on a banana skin
on entering, then turning on
the shower and a huge flood of
bananas comes out of the shower
instead of hot water!
3. Continue the process for each
item on your list, and once done,
use the steps of your journey to
recall each item on your list.
With a clear journey and vivid
images, you'll be able to commit
a list to memory accurately and,
if required, by rehearsing it daily
on an ongoing basis, keep it in
your memory indefinitely.
CRMC Seasons© Winter 2015
13
Calendar of Events
Cookeville Regional Medical Center welcomes you to these fun and educational health screenings and
events where you have the opportunity to ask questions about health issues.
DECEMBER
JANUARY
FEBRUARY
MARCH
28, 29
21
18
17
Blood Drive
What: Blood Assurance, the supplier of blood and
blood products at CRMC, will be on site on these
dates for anyone wishing to give blood.
When: Monday, Dec. 28, 1-8 p.m. and Tuesday,
Dec. 29, 9 a.m.-4 p.m.
Where: CRMC Education Rooms 1 & 2
DECEMBER
JANUARY
FEBRUARY
MARCH
29
26
23
29
Breast Cancer Support Group
What: An emotional and educational support
group for women with breast cancer
When: Tuesdays, Dec. 29, Jan. 26, Feb. 23 and
March 29, from 11:30 a.m. to 12:30 p.m.
Where: Education Room 3 in The CRMC
Education Center
For more information or to sign up:
(931) 783-2026
Mended Hearts Support Group
When: Jan. 21, Feb. 18 and March 17, 6 p.m.
Where: Education Center, Rooms 2, 3 and 4
For information: [email protected]
FEBRUARY
4
A Woman’s Heart
What: A gala event that includes a silent auction,
fashion show and presentations by cardiologists
and heart patients to raise awareness of heart
disease among women and to raise funds for local
heart patients in need
When: Thursday, Feb. 4, 2016
Where: Leslie Town Centre
Cost: $35 per person
Visit CookevilleRegionalCharity.org
FEBRUARY
11
JANUARY
FEBRUARY
MARCH
6
3
2
Circle of Hope
What: A support group for patients who are
diagnosed with any type of cancer, and their families
When: Wednesdays, Jan. 6, Feb. 3 and March 2, at
10 a.m.
Where: The CRMC Cancer Center
For more information or to sign up: (931) 783-2026
Look Good Feel Better
What: A program sponsored by the American
Cancer Society and other agencies that focuses
on appearance-related changes due to cancer
treatment
When: Thursday, Feb. 11, 1-3 p.m.
Where: The CRMC Cancer Center
For more information: American Cancer Society,
800-227-2345
JANUARY
FEBRUARY
MARCH
FEBRUARY
13
10
9
13
Prostate Cancer Support Group
What: A support group for men who have
experienced prostate cancer
When: Wednesdays, Jan. 13, Feb. 10 and
March 9, at 10 a.m.
Where: The CRMC Cancer Center
For more information or to sign up:
(931) 783-2026
Community Health and Fitness Fair
When: Saturday, Feb. 13, 7-10 a.m.
Where: The CRMC Education Center – East
Entrance
Cost: Free and low-cost screenings
For information or to register online:
(931) 783-2743 or crmchealth.org/healthfair
MARCH
JANUARY
FEBRUARY
MARCH
11
8
14
Weight-Loss Surgery Seminars
When: Mondays, Jan. 11, Feb. 8 and March 14,
from 6 to 7 p.m.
Where: The CRMC Education Center
To reserve seats or for more information:
(931) 783-2587
Where: Participating local restaurants
Cost: $15 and $25 menu options
Visit CookevilleRegionalCharity.org.
6-12
Cookeville Regional Restaurant Week
What: Fourteen of the best local restaurants will
offer special menu options. $5 from each purchase
will support local patients.
When: March 6-12, 2016, normal business
operating hours for each restaurant
MARCH
9
Fairfield Glade Health Fair
When: Wednesday, March 9, 7-10 a.m.
Where: Fairfield Glade Conference Center, 128
Stonehenge Drive, Fairfield Glade, TN
Cost: Free and low-cost screenings, free breakfast
For information or to register online:
(931) 783-2743 or crmchealth.org/healthfair
MARCH
12 or 19
Turkey Shoot and Sporting Clay
competition
What: A “turkey” shoot competition with special
round prizes, a silent auction, sporting clay shoot
and archery shoot
When: TBA — March 12 or March 19
Where: Ebenezer Acres (near Hidden Hollow)
Cost: $20 gate admission, $20 per round for
competition rounds.
Visit CookevilleRegionalCharity.org.
Go Pink at YMCA
What: Go Pink is a 16-week program that
provides comprehensive nutrition, exercise and
wellness services free of charge to breast cancer
patients and survivors.
To register: Contact Jenny Thacker,
(931) 528-1133, [email protected].
Lung Cancer Screenings
CRMC is proud to offer low-cost lung cancer
screenings. The screening is quick and easy
and results in a minimal amount of radiation
exposure. The exam takes less than 10 seconds; no
medications are given and no needles are used. The
cost of the screening is $99. To see if you qualify
for a lung screening at Cookeville Regional, visit
crmchealth.org/lungscreening for a questionnaire
to determine if you meet the criteria. If you think
you meet the criteria, call the CRMC Lung
Navigator office at (931) 783-4996 for more
information or to schedule a lung screening.
Visit CRMCHEALTH.ORG/ABOUT-CRMC/EVENTS for more information about coming CRMC events.
14
CRMC Seasons© Winter 2015
Solutions
FOR TRAIN YOUR BRAIN
Crossword Solution
1
S
13
2
E
Source: National Institute on Aging (NIA)
Information Center, www.nia.nih.gov.
D
C
R
I
S
P
E
R O
B
E
A M
I
28
29
L
I
N
A
G
S
T
R
H
E
E
E
42
45
49
7
N O
R
18
J
U
I
R
L
E
34
A
37
P
E
G
E
T
A
R
T
R
N
I
E
S
T
E
R
T
46
I
T
50
10
O R
11
T
12
A
T
I
R
S
T
I
P
I
S
P
O C O
P
E
A
R
S
O N
T
U
T
E
T
S
19
P
30
A
O N O
43
9
S
16
U
35
A
14
A
22
25
8
S
A
21
24
E M
A
36
51
Dry skin and itching can affect your sleep, cause
irritability or be a symptom of a disease. For
example, diabetes and kidney disease can cause
itching. Some medicines make the itchiness worse.
If your skin is very dry and itchy, see a doctor.
6
I
B
The most common treatment for dry skin is the
use of moisturizers to reduce water loss and soothe
the skin. A humidifier can add moisture to the air.
Bathing less often and using milder soaps also can
help relieve dry skin. Warm water is less irritating
to dry skin than hot water.
E
S
33
The loss of sweat and oil glands as you age also may
worsen dry skin. Anything that further dries your
skin — such as overuse of soaps, antiperspirants,
perfumes or hot baths — will make the problem
worse. Dehydration, sun exposure, smoking and
stress also may cause dry skin.
5
A
27
M
B
L
20
any older people suffer from dry skin,
particularly on their lower legs, elbows and
forearms. The skin feels rough and scaly
and often is accompanied by a distressing, intense
itchiness. Low humidity — caused by overheating
during the winter and air conditioning during the
summer — contributes to dryness and itching.
4
P
17
Dealing with Dry Skin
A
A
15
Alive and Well
3
47
R
31
P
23
26
32
S
V
E
C
A
38
44
39
L
40
V
41
E
S
O
A
P
E
A
C
L
E
48
E
N
S
L
A
V
E
R
A
T
T
L
E
S
52
Sudoku Solution
6
5
9
7
3
2
1
8
4
4
2
7
5
8
1
3
6
9
8
3
1
9
4
6
2
5
7
9
7
2
6
5
4
8
1
3
1
6
8
3
9
7
5
4
2
5
4
3
2
1
8
9
7
6
7
9
5
8
6
3
4
2
1
3
1
6
4
2
5
7
9
8
2
8
4
1
7
9
6
3
5
Look for the puzzles on page 13.
CRMC Seasons© Winter 2015
15
PRSRT STD
U.S. Postage
PAID
Permit No. 94
Cookeville, TN
Cookeville Regional Medical Center
One Medical Center Blvd.
Cookeville, TN 38501
(931) 528-2541
crmchealth.org
“ I CHOSE CRMC.”
—D
WIGHT HENRY,
Cookeville City Councilman
B
ecause it’s your heart, it’s your decision. That’s why CRMC offers
state-of-the-art, award-winning care, with
the accolades to prove it. So when Dwight
Henry needed aortic valve replacement and
aneurysm repair, the choice was simple.
1 Medical Center Boulevard • Cookeville, TN 38501
931.528.2541 • crmchealth.org