ready for emergencies!

Transcription

S P R IN G / S U M M E R 2 013 ISSUE
HEALTHWISE
t h e M a G a Z i N e o F M e t h o d i s t h o s p i ta l s
ready for
emergencies!
methodist opens new, state-of-the-art
emergency department on southlake campus.
L E A D I N G T H E W AY T O B E T T E R H E A LT H .
PORTER COUNTY - 1
Methodist hospitals
2
Welcome from the ceo
Welcome to the Spring/Summer 2013 issue
of HealthWise, the community magazine of
Methodist Hospitals. In this issue we are proud
to introduce you to our new, state of
the art emergency department at our
Southlake campus.
Methodist Hospitals has long been known as the premier provider
of emergency services in this region. We employ an unmatched
team of skilled and experienced emergency physicians, nurses,
technicians and support staff who provide the very best care
around the clock every day of the year.
Now Open:
Long established as a premier provider of emergency
services in the region, Methodist Hospitals has
invested $8 million in a new Southlake Campus
Emergency Department.
Last year, our emergency departments responded to more than
60,000 patient visits. It is critical that we have an environment
that lives up to the same high standards as our team and that
can comfortably and efficiently accommodate the volume of
patients who come through our doors. Our new Southlake
emergency department does just that.
At 21,000 square feet of space, the new space is almost
double the size of its predecessor. The number of rooms
has been increased from 17 to 23. Methodist has also
added two procedure rooms, an additional nurses’ station
and doubled its trauma room capacity.
In this issue, you will also find important information about our
new Lung Care Center, which features the latest technologies for
the early diagnosis of lung cancer and other lung conditions.
May is stroke awareness month, so be sure to read about
recognizing the signs and symptoms of stroke. The issue also
includes stories on women’s health, cosmetic surgery, diabetes
and osteoporosis.
As always, we welcome your feedback. Call our Marketing
andCorporate Communications department at 219.886.5972 or
email us at [email protected].
Sincerely,
patient treatment is enhanced with
an ambulance entrance that provides
direct access to trauma rooms for
immediate, private care.
The expanded space increases efficiency, which improves
workflow for physicians, nurses, technicians and other
staff. Together with technology upgrades, the new
design facilitates the lifesaving work the hospital’s caring
professionals perform on a daily basis.
According to Methodist Hospitals President and CEO
Ian McFadden, “This project is our first major expansion
in more than a decade. It demonstrates our commitment
to investing in health care in Northwest Indiana.”
William Braman, Methodist Hospitals Board Chairman,
explained, “It is an important milestone in our farreaching expansion plan.”
Ian E. McFadden, FACHE
President/CEO
summer fun with the foundation
support the methodist hospitals foundation
at these summertime community events.
Mardi Gras Night at the Railcats: June 22, 2013
Join the Methodist Hospitals Foundation for a fun night at a Gary Southshore Railcats Game. In addition to exciting
baseball action at the beautiful Railcats stadium, there will be fun activities sponsored by the Foundation, including
stiltwalkers, face painting, balloon animals, gift basket drawings and more. The Foundation’s reigning Mardi Gras
King and Queen, Kelly Bello and Judy Rathjen, will throw out the first pitch. Proceeds from select tickets will be
donated to the Methodist Hospitals Foundation.
For more information visit MethodistHospitals.org and click the Foundation tab.
Railcats mascots, Rusty and Rascal, with 2012 Mardi Queen Fran Taylor and
King Peter Melcher at last year’s Foundation Night at the Railcats.
Foundation Master’s Golf Outing: June 24, 2013
Whether you’re a serious golfer or just play for fun, you can enjoy a whole day of golf and support the Foundation at the same time.
The fourth annual Foundation Master’s Golf Outing will be held on Monday, June 24 at the Innsbrook Country Club in Merrillville. Recreational
golfers can enjoy nine holes of golf and an afternoon at the pool, while serious players can play eighteen holes in the team scramble.
For both, the day ends with cocktails and dinner at the club.
For information contact Maria Diaz at 219-886-4688 or [email protected].
The 2012 Foundation Master champions (left to right): Joe Proctor of Loxogon; Christopher Romo of Boman,
Heintz, Boscia and Vician Professional Corp.; and Methodist Hospitals Board Member, Glenn S. Vician.
to find a physician, call 1-888-909-docs (3627) or visit methodisthospitals.org
leading the Way to Better health.
3
Methodist’s New Southlake
Emergency Department
By its very nature, a visit to the Emergency Department is
stressful and quite often, every second counts.
The new lobby design enables hospital staff to immediately
evaluate patient needs and route them to the most
appropriate care. Patients are greeted at the door and assessed
using Quick Emergency Service Indexing (ESI) Leveling.
Three separate lobby areas include fast track, a main area,
and a child-friendly family room.
Also located in the lobby are two immediate care rooms, and
a holding area for safety. Patient privacy has been considered
in every aspect of the new Emergency Department design.
Two trauma rooms accommodate two persons each and
are equipped to provide state-of-the-art monitoring for
therapeutic hypothermia. The area also includes separate
lock-down capability.
Patient treatment is enhanced with an ambulance entrance
that provides direct access to trauma rooms for immediate,
private care. Patient documentation is quickly accessed in
the Emergency Medical Technician (EMT) room. This area
now houses the region’s only indoor hazmat showers.
Computers in each exam room bring bedside charting
capability, which allows nurses to remain at the patient’s
side. A state-of-the-art cardiac monitoring system feeds into
Methodist’s electronic medical record system.
The new Emergency Department demonstrates Methodist
Hospitals’ commitment to providing the very best in
programs, technology and facilities for the people of
Northwest Indiana. It lives up to the hospital’s high
standards of care, enabling doctors, nurses and staff to more
comfortably and efficiently accommodate the volume of
patients that come through its doors.
Methodist Hospitals is also in the process of elevating to
Level III trauma center status. Additionally, Methodist will
soon begin construction on a 12-bed clinical decision unit
for patients who need 24-hour observation, but do not
require admission to the hospital.
“Our goal,” McFadden said, “is to change the way
emergency medicine is delivered in Northwest Indiana.”
4
Methodist hospitals
Know the Warning Signs of Stroke,
and Act F.A.S.T.
Methodist welcomes new medical staff physicians in 2012…
Stroke is a medical emergency in which every
second counts. So, it is vitally important to be
aware of its warning signs.
Dr. Sanjeev Maniar
“of course,
the most
effective way
to treat stroke
is to prevent
it in the
first place.”
In addition to being the fourth leading cause of
death in the U.S., stroke is the leading cause of
disability. It can be devastating to individuals and
their families, robbing them of their independence.
While many people experiencing stroke symptoms
are in denial, many others fail to recognize the
sometimes-subtle symptoms of stroke. In fact, the
stroke itself doesn’t hurt.
That’s why the National Stroke Association
established an easy way to remember the sudden
signs and symptoms of stroke: F. A. S. T.
A stroke occurs when a blood vessel carrying
oxygen and nutrients to the brain ruptures, or is
blocked by a clot. When that happens, part of the
brain can’t get the blood and oxygen it needs, so
brain cells die.
f. a. s. t. is the face, arm
and speech test
It cannot be emphasized enough that “time is
brain.” That means the longer you wait to treat a
stroke, the more brain cells are dying. As valuable
time is wasted, we are also left with fewer and fewer
viable treatment options. As a result, those who fail
to seek immediate treatment are at greater risk of
losing their lives or being permanently disabled as
the result of stroke.
arm Weakness: Ask the person to raise both arms.
Look for unilateral drift or weakness. Does one
arm drift downward?
Yet it’s common for people to wait two or three
hours after experiencing stroke symptoms to
seek treatment.
face drooping: Ask the person to smile. Does one
side of the face droop or is it numb?
speech difficulty: Ask the person to say, “The sky
is blue.” Is the sentence repeated correctly? Or is
speech slurred, are they unable to speak, or are they
hard to understand?
time to call 911: Test all three symptoms, and if
one fails, call 911.
If you think someone is having a stroke, call 911
immediately. Also, check the time so you’ll know
when the first stroke symptoms appeared. A clotbusting drug called Tissue Plasminogen Activator
(tPA) may improve the chances for recovery. At
Methodist, this window of opportunity can be
extended up to eight hours by performing a
special procedure for clot removal therapy, utilizing
our state-of-the-art Biplane technology.
Beyond F.A.S.T., there are other stroke symptoms
you should know:
•Suddennumbnessorweaknessoftheleg
•Suddenconfusionortroubleunderstanding
•Suddentroubleseeinginoneorbotheyes
•Suddentroublewalking,dizziness,lossof
balance or coordination
•Suddensevereheadachewithnoknowncause
Of course, the most effective way to treat stroke
is to prevent it in the first place. Exercise regularly
and watch your weight. Get your high blood
pressure and cholesterol under control. If you’re
a smoker, quit. If you have diabetes, take the
necessary steps to diligently manage it.
Not so long ago, little could be done to help the
victims of a stroke. Today, there are treatments
that can actually reverse the damage – if those
treatments are administered in time. And
Methodist Hospitals is Northwest Indiana’s leader
in extending the window for treatment further
and further.
Sanjeev Maniar, MD, is a Methodist Physician Group
board certified neurologist.
methodist is the
only area
hospital to
receive the
gold plus
award for stroke
Methodist Hospitals has received the 2013
American Heart Association/American Stroke
Association’s Get With The Guidelines® Stroke
Gold Plus Performance Achievement Award.
This award recognizes Methodist Hospitals’
commitment and success in delivering excellent
care for stroke patients, according to rigorous,
evidence-based guidelines.
To receive the award, Methodist achieved at
least 85 percent adherence to all “Get With
The Guidelines” stroke quality achievement
indicators for two or more consecutive 12-month
intervals, and achieved 75 percent or higher
compliance with at least five of eight additional
stroke quality measures. These measures include
appropriate use of life-saving medications and
lifestyle/behavior modifications, all aimed at
reducing death and disability and improving the
lives of stroke patients.
Methodist Hospitals is the first and only
Northwest Indiana hospital to earn the Gold Plus
Award for Stroke.
5
Timing is Everything:
Optimizing Women’s Health Through Every Stage of Life
As women mature, our health needs and
preventative care requirements evolve. Each
decade brings certain risk factors that are
associated with aging.
Dr. Angelique Brown
When we’re younger, we’re not thinking about our
health and the future. But by our 30’s, we need to
establish good habits because they can set the tone
for the rest of our lives.
“Keeping on Women in their 30’s
top of health In our 30’s we’re typically so focused on everything
challenges and and everyone else, we don’t take care of ourselves.
considerations
Around 35, our metabolism starts to slow and
greatly increases weight begins to creep up on us. Many women
your chances of begin to develop hypertension in their 30’s as a
enjoying good result of weight gain.
health.” An annual exam is the best way to identify
any problems that may be on the horizon. It’s
important to establish a baseline that includes
a diabetes screen, cholesterol levels, thyroid
function, weight and routine vitals like blood
pressure and body mass index (BMI).
This visit should also include a Pap smear with
HPV, STD testing, pelvic and breast examinations.
Your physician should also teach you how to
perform a monthly breast self-exam.
Women in their 40’s
Women in their 40’s often have children, a job,
and may have to take care of aging parents.
So, stress management and sleep deprivation
are big issues.
We’re also more prone to develop chronic diseases,
so screenings you began in your 30’s are more
important than ever, adding an anemia status
check to the list. This is the time in our lives in
which most experts encourage women to start
having annual mammograms. If there is a strong
family history of breast cancer, mammograms
done in the third decade may be
recommended.
Because we begin to lose muscle
mass in our 40’s, women should
add strength training and
weight bearing exercises to at
least 30 minutes of aerobic
exercise. If we don’t
watch our weight,
we become more
prone to developing
hypertension and
diabetes.
The onset of symptoms
of perimenopause can
bring on hot flashes,
Choose Methodist.
Northwest indiana’s FiRst 3d Mammography.
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night sweats, mood swings and insomnia.
Women 50 and over
When we are 50 and over, we need to be very
diligent about our heart health. Heart disease is
the number one cause of death among American
women, and after menopause we lose the
protection of estrogen.
Now, it’s more important than ever to watch our
fasting blood glucose, cholesterol levels, blood
pressure and BMI.
Ninety percent of people who have heart attacks
possess at least one risk factor of heart disease:
smoking, high blood pressure, high cholesterol,
obesity, diabetes or family history. If you have any
risk factors, discuss the benefit of having an EKG
or stress test with your doctor.
Colon cancer is highly preventable, and you should
have your first screening after 50.
As we get older, we also become more prone to
developing life-threatening complications of the
flu, making it highly advisable to receive a yearly
flu vaccination.
All women over age 65 are urged to have a
bone density test. Some doctors may encourage
you to have one in your 50’s, which is
perfectly acceptable.
Keeping on top of health challenges and
considerations greatly increases your chances
of enjoying good health. Be sure to watch your
“medical checklist,” and you will be rewarded with
“healthy dividends” for years to come.
Angelique Brown, MD, is a Methodist Physician Group
family practice physician.
THE
MOST
ACCURATE
RESULTS
Schedule your 3D mammogram by 5/31/2013. Cash, check or credit card payment due in full at time of service.
NORTHWEST INDIANA
BREAST CARE CENTER
Methodist hospitals
6
Newest Lung Care Technologies Facilitate
Dr. Olusegun Apata
Dr. Sharon Harig
The new Lung Care Center at Methodist Hospitals is a multidisciplinary resource for the prevention, diagnosis and treatment of
lung disease. It houses some of the most advanced diagnostic and
treatment technologies in Northwest Indiana, delivering the best
outcomes possible for patients with every type of lung problem.
alternative would be to do a fine needle aspiration but the lesion
was deep enough that the chance of having a collapsed lung was
high,” explained Dr. Safadi. “Plus, a fine needle aspiration in that
remote location may not obtain enough tissue to make
a diagnosis.”
Karen Kordys is one such patient, who came to the Center
following an accidental discovery. The Valparaiso resident visited a
medical facility for an abdominal scan in 2008. At that time, the
testing facility performed a chest scan in error. Remarkably, that
scan revealed the presence of nodules.
Karen’s ENB revealed the presence of a carcinoid tumor.
Hearing about Dr. Hakam Safadi, Director of Respiratory and
Intensive Care at Methodist, Karen made an appointment. He
asked about her background and, learning she grew up on a farm,
thought it might be scar tissue from histoplasmosis.
Dr. B.H. Barai
Dr. Charles Rebesco
methodist hospitals offers two of the
most advanced diagnostic technologies
for lung cancer, including northwest
indiana’s first electromagnetic
navigation Bronchoscopy.
“Karen was not at high risk for developing cancer. She is a
non-smoker. So we watched for changes,” said Dr. Safadi.
diligence and technology
“Dr. Safadi checked me every six months and then, after there
were no changes for a long time, we went to yearly checks,” Karen
explained. In December of 2012, a routine scan showed a slight
change in size in one of the nodules.
“The nodules were small. So, I suggested she have an
Electromagnetic Navigation Bronchoscopy, or ENB. The
meet Julie Kerns,
methodist’s lung care nurse navigator
A lung cancer diagnosis can be
frightening, and it helps to have
someone by your side. As Lung
Care Nurse Navigator with
Methodist Hospitals’ new Lung
Care Center, I am that person.
My job is to help patients in
any way that I can - from
the time the work up for cancer begins through the
duration of their treatment. That includes coordinating
appointments and care, providing additional information
about diagnosis and treatment, or being there for
emotional support.
the endobronchial ultrasound system, with a CT guided
biopsy or a traditional bronchoscopy, I am available
beforehand to answer any questions. I like to try to meet
with them before the procedure and follow-up with them
when they get their results.
I also work with patients who feel they are at risk
for developing lung cancer and might benefit by
participating in Methodist Hospitals’ new low-dose
CT lung cancer screening program.
All of our lung cancer patients, whether they are in the
diagnosis or treatment stage, can rely on my services.
I serve as the “go-to” person for all lung cancer patients.
This way, they have one source who can gather any
information they need and facilitate communication with
the doctors involved in their care.
When a patient is scheduled to be biopsied with our new
electromagnetic navigational bronchoscopy system,
“I’m glad we did the biopsy because carcinoid tumors spread
locally and get bigger. It’s fortunate we got a diagnosis,”
Dr. Safadi said. “It’s very rewarding because there are noncancerous lesions that look like cancer and using this procedure,
you can make a diagnosis.
the region’s first electromagnetic
navigation Bronchoscopy
According to Dr. B.H. Barai, Medical Director for Methodist
Hospitals Cancer Institute, the ENB uses GPS computer guidance
to locate even the most remote tumors of the lung and determine
whether they are malignant or benign.
“Methodist Hospitals was the first to introduce this technology
to Northwest Indiana in 2012,” Dr. Barai said.
“In Karen’s case, I feel good because we proceeded at the right time
and we have that technology at Methodist to do such a procedure,”
Dr. Safadi added.
detect lung cancer at earlier,
more curaBle stages
Low-Dose CT Lung
Cancer Screening
99
$
Methodist Hospitals offers screening
with low-dose computed tomography
only
(CT) for those at high risk for lung
cancer. Recent research found that
low-dose screening helped reduce mortality by 20%
for those at high risk of developing lung cancer.
If you are a current or former smoker, you may be a
candidate for Low-Dose CT Lung Screening at a special
low price. To learn more, call 219-757-7212.
7
the Best Possible Outcomes
Karen went on to have surgical treatment and is now
considered cured.
“I couldn’t be more grateful to Methodist Hospitals for having the
foresight to have the technology that enabled Dr. Safadi to find the
cancer so early. It could have been bad at every turn but it wasn’t,”
Karen said.
advanced lung care
In addition to the ENB, the new Lung Center offers the
latest generation, most advanced Endobronchial Ultrasound
(EBUS), and a full range of radiation therapy services for lung
cancer treatment.
“We offer the full spectrum of services, from prevention programs
to participation in national clinical trials in affiliation with the
University of Chicago for the treatment of lung cancer,” Dr. Barai
said. “We are also unique in Northwest Indiana for having a Lung
Care Nurse Navigator to guide patients through for the most
efficient, timely care.
Hakam Safadi, MD, is a board certified Pulmonologist, and the Methodist
Hospitals Director of Respiratory and Intensive Care.
B.H. Barai, MD, is a board certified Medical Oncologist and Hemotolgist,
and Medical Director of the Methodist Hospitals Cancer Institute.
Olusegun Apata, MD; Sharon Harig, MD; and Charles Rebesco, MD,
are board certified Pulmonologists affiliated with Methodist Hospitals
Lung Care Center.
treating pulmonary
hypertension
Pulmonary
Hypertension (PHTN)
is a fairly rare disease
that develops when the
lung’s tiny pulmonary
arteries and capillaries
become narrowed,
Dr. Sophie Toya
blocked or destroyed.
It’s a form of high blood pressure in the
lungs that makes it difficult for blood to flow
through the lungs, causing pressure to build
and making the heart work harder. This can
eventually weaken the heart muscle and
cause eventual heart failure.
While there is no cure for PHTN, early
diagnosis is instrumental for its effective
treatment. We have a Pulmonary Hypertension
clinic, located in our office at 650 Grant
Street, Gary, where patients can be diagnosed
and treated by trained specialists.
Additional risk factors for developing PHTN
include autoimmune diseases that damage
the lungs, birth defects of the heart, blood
clots in the lung, congestive heart failure,
heart valve disease, HIV infection, lung
disease, and use of some medications,
including certain diet drugs.
The symptoms of PHTD often come and go.
They may include shortness of breath during
activity, fast heart rate, ankle or leg swelling,
bluish lips or skin, chest pain or pressure,
dizziness or fainting, fatigue, increased
abdomen size, and weakness.
Lung cancer patient, Karen Kordys (left),
with Methodist Hospitals pulmonologist,
Dr. Hakam Safadi.
New Lung Cancer Diagnosis Technologies
free seminar
Presented by Pulmonologist, Sharon Harig, MD
Every current or former smoker should know that lung cancer is much more
treatable when it’s diagnosed early. Learn how Low-Dose CT Screening and our
new ENB and EBUS technologies are enabling Methodist Hospitals to find lung
cancer at earlier, more treatable stages at this FREE SEMINAR.
thursday, June 20
at 5:30 p.m.
Methodist Hospitals
Southlake Campus – Pavilion B
200 E. 89th Ave., Merrillville
Many of these symptoms can be confused
with those of other conditions. So, patients
should be referred to a specialist for the most
accurate diagnosis.
In the past, the outlook for those with
Pulmonary Hypertension was poor.
However, new treatments, including
medications and surgery for those with
certain heart conditions are delivering
better results. Early diagnosis is the key to
effectively treating PHTN.
Sophie Toya, MD, is a board certified
Pulmonologist, affiliated with Methodist Hospitals.
Space is Limited! Reserve your seat today. call 1-888-909-docs (3627) or visit methodisthospitals.org
8
Methodist hospitals
The Weekend Lift:
Look as Young as You Feel with Minimal Downtime with a Mini-Facelift
Dr. Sreek Cherukuri
“the Weekend
lift earned its
name because the
swelling only lasts
for about three
days, and patients
may return to
work much
sooner.”
Plastic surgery has evolved in society. It is no
longer only for the rich and famous and more for
everyone. Shows like Extreme Makeover and The
Swan have helped fuel public interest.
at the top of ear and goes around the earlobe to
the back. Patients receive local anesthesia and
if requested, intravenous sedation to make
them a little sleepy.
qualify for a Weekend Lift and is not a good
candidate, we do not offer them the procedure.
This candid approach has resulted in over 99%
patient satisfaction.
In general, people are working and more active
later in life. They feel younger than what they see
in the mirror and the Weekend Lift helps create a
closer match.
During the procedure, we lift the skin and use
permanent suture to pull the tissue to reverse
the effects of gravity and aging. Stretchy skin
is removed and in many cases, the neck is recontoured using liposuction. The entire procedure
takes about one hour, give or take a few minutes.
To learn more, visit our website at
theweekendlift.com, phone 219-836-2201,
or attend our free seminar.
The Weekend Lift is a facial rejuvenation technique
we have developed and perfected over the last ten
years. A mini-facelift, it is much less invasive and
risky than a traditional facelift, costs considerably
less, and involves significantly less recovery time.
And contrary to fads that sound too good to be
true, the Weekend Lift delivers the ideal balance
of great results with minimal downtime. The
procedure can “reset the clock” by taking between
five and 10 years off a person’s appearance. Some of
my patients have said they look 15 years younger
after their lift.
The Weekend Lift offers other advantages over a
full facelift.
For a traditional facelift, a patient is under a
general anesthesia for four to six hours. The
doctor’s incision starts in the hairline above the ear
and goes down around the ear to the bottom of the
hairline on the neck. The skin is lifted or peeled off
the face to the corner of the eye and mouth, pulled
taut and tissues are tightened.
Sreek Cherukuri, MD, is a facial plastic surgeon,
board certified in Otolaryngology Head and Neck
Surgery, affiliated with Methodist Hospitals.
The Weekend Lift earned its name because
the swelling only lasts for about three
days, and patients may return to work
much sooner.
The majority of my patients are women,
who typically take care of their
husbands and then their children,
rarely really considering their own
needs. The Weekend Lift provides
them with a safe opportunity to
do something for themselves,
safely and at a lower cost.
We currently offer free
consultations. At that time,
I ask people what they are
looking for and show them a
reasonable estimate of what a
Weekend Lift will do for
them. If someone
does not
A full facelift results in significant bruising and
swelling, taking months to heal. A full facelift can
cost up to $20,000. What’s more, the result is often
an unnatural, “wind tunnel” look.
In contrast, the Weekend Lift incision is about one
quarter the size of a traditional lift incision. It starts
Look as Young as you Feel
free WeeKend lift seminar
Presented by Dr. Sreek Cherukuri
Learn how Dr. Cherukuri’s minimally invasive procedure can help you look
and feel rejuvenated, without experiencing the pain, downtime and expense
of traditional facelifts at this free seminar.
community
invited.
free
refreshme
nts.
thursday, may 23
at 5:30 p.m.
Methodist Hospitals
Southlake Campus
Pavilion B
200 E. 89th Avenue, Merrillville
9
Osteoporosis:
A Silent Killer that’s Undertreated and Under-Detected
Osteoporosis is a disease that occurs when the
body loses bone mass, causing bones to thin and
break easily. Many who have this disease are not
even aware that they do because, while the disease
can cause aches and discomfort, the tendency is to
dismiss it as old age.
Dr. Elian M. Shepherd
The first real symptom of osteoporosis is often a
broken bone. When the hip or spine are involved,
some of the elderly are unable to recover. In some
advanced osteoporosis cases, the spine curves and
the rib cage drops against the pelvis, compressing
the intestines and internal organs. Some patients
report losing as much as four inches of height.
“the spine center
at methodist
hospitals offers
an osteoporosis
program to prevention is possible, preferable
educate, diagnose, To help prevent the development of osteoporosis,
advise and treat young women should begin taking small doses
patients who of calcium and Vitamin D after the age of 25 to
are at risk for or improve their bone health. Once a woman reaches
who already have menopause, her bone mass drops. Bone mass will
also drop below a safe level for those who haven’t
osteoporosis.” had enough calcium in their system. Men can also
develop osteoporosis.
A healthy lifestyle is important to prevent the
disease or help stop its progression. It’s important
to stop smoking, cut down on caffeine, limit
alcohol intake and eat a healthy diet.
Maintaining and building strength helps to build
up bone – by doing nothing, you lose bone.
diagnosis
It is recommended that women 65 and older and
men 70 and older undergo a non-invasive, painless
DEXA bone density scan to detect how porous
their bones are. Additional diagnostic tools include
blood tests and visual examination including
a balance check. Once it is diagnosed, patients
should continue to take Calcium and Vitamin D,
in addition to a pharmacological agent to treat
osteoporosis.
treatment
There are two classes of medications for treating
osteoporosis: antiresorptives and anabolic agents.
Antiresorptives slow down the bone destruction. A
pill form has been traditionally used, but the newer
subcutaneous injection every six months or annual
IV injection is much simpler.
As part of our program, patients who have
osteoporosis are referred to a Physical Therapist
who will instruct them about proper exercises and
tell them what not to do. Our nutritionist
provides diet advice and can recommend
the proper amount of supplemental
Calcium and Vitamin D to take for
prevention or maintenance.
Elian M. Shepherd, MD, FACS, the Director of
the Methodist Hospitals Spine Care Center, is
a Methodist Physician Group board certified
orthopedic surgeon.
Anabolic agents build the bone
and can reverse bone loss. They
must be injected by the patient
daily for 18 months. Patients
who elect to use anabolic treatment
should follow with an antiresorptive
medication at the end of those 18 months.
Unfortunately, the two can’t be taken
together, however new and better medications
are being developed.
It’s important to stick with the medications
because they are effective and problems will arise
otherwise. Patients should take them for life, but
their doctor may advise a “drug holiday” for one
or even two years, carefully monitoring the
condition to determine when to
return.
raising awareness
There is a critical need to raise
awareness of osteoporosis. The
Spine Center at Methodist Hospitals
offers an Osteoporosis Program to
educate, diagnose, advise and treat
patients who are at risk for or who
already have osteoporosis.
FREE BONE DENSITY SCREENINGS
Get FREE screenings along with useful
education and information about
bone health, and the prevention and
treatment of osteoporosis.
Screenings are performed on the heel of the foot.
Participants must be able to remove shoes and socks.
methodist hospitals thursday, may 30, 4 p.m.-5 p.m.
thursday, June 20, 4 p.m.-5 p.m.
Southlake Campus – Pavilion B
valparaiso family ymca Wednesday, June 12, 8 a.m.-10 a.m.
1201 Cumberland Crossing Drive Wednesday, July 10, 8 a.m.-10 a.m.
Valparaiso Wednesday, august 14, 8 a.m.-10 a.m.
10
Methodist hospitals
A New Era Dawns
in the Diagnosis and Treatment of Diabetic Neuropathy
There are approximately 26 million Americans
with diabetes. Among them, about half are likely
to develop some form of neuropathy, even if they
have good blood sugar control.
Dr. Mark A. Jones
“Breakthrough
diagnosis and
treatment
protocols
represent a
paradigm shift
in how we’re
effectively
managing diabetic
neuropathy.”
Diabetic neuropathy usually involves tingling,
burning and/or numbness in the extremities,
particularly the feet. When this painful condition
results in a complete lack of sensation, we worry
about major complications such as wounds
and amputations.
Neuropathy can be caused by nerve loss or
nerve compression. Because the two are treated
differently, it’s essential to make the distinction
through accurate diagnosis.
With compression neuropathy, something is
trapping the nerve. Performing outpatient nerve
decompression relieves approximately 80 percent of
patients. Following this treatment, I have yet to see
a recurrence.
In order to understand the cause of a patient’s
neuropathy, we first perform standard office exams
including a monofilament exam, vibratory exam,
and a check of nerve thresholds.
One of the best new protocols for diagnosis is the
Epidermal Nerve Fiber Density test. This simple,
in-office test takes a 3-milimeter biopsy of tissue
requiring no stitches. The skin specimen is sent to
a lab, where the exact number of nerve fibers to the
skin can be counted.
nerve conduction velocity testing can indicate how
quickly electrical signals move through the nerves.
If nerve loss is found to be causing the neuropathy,
I usually prescribe Metanx, a highly effective new
treatment that can achieve remarkable results.
This prescription vitamin is specifically targeted
at providing what the body needs to combat
peripheral neuropathy with diabetes.
soon bring more exciting protocols for treating
diabetic neuropathy giving us the ability to inject a
patient’s own stem cells in and around the nerves.
In trials, patients’ symptoms have improved
following this treatment.
Mark A. Jones, DPM, is a Methodist Physician Group
board certified podiatric surgeon. Dr. Jones is also a core
surgical instructor for the PM&S podiatric residency at
Weiss Memorial Hospital in Chicago.
The body is actually capable of re-growing
peripheral nerves. Metanx can encourage nerve
regrowth by helping to stimulate local circulation.
Metanx begins to work immediately. Patients’
symptoms usually begin to improve within six
months. After six months to one year, we perform
a second 3-milimeter biopsy. We then compare
those results with the original baseline results to
see how many nerves have regrown.
If response to any given therapy is poor, we have
alternative options to try. In all cases, we urge
patients to continue to control their blood sugar,
and we continue work with their primary care
doctor and other specialists.
Breakthrough diagnosis and treatment protocols
represent a paradigm shift in how we’re effectively
managing diabetic neuropathy. The future will
In addition to helping us make an accurate
diagnosis, this test also serves as a baseline to
measure the effectiveness of subsequent treatments.
Other forms of testing include quantitative sensory
testing to assess damage to the small nerve endings.
Now used less frequently for diabetic neuropathy,
Understanding Diabetic Neuropathy:
Prevention and New Treatments
free diaBetic neuropathy seminars
community
invited.
free
refreshme
nts.
Presented by Dr. Mark Jones
Learn the steps you can take to prevent the pain and complications associated with diabetic
neuropathy, and get an overview of new and emerging treatments at these FREE seminars.
Wednesday, June 5, 6:00 p.m.
Methodist Hospitals
Southlake Campus - Pavilion B
Valparaiso Family YMCA
1201 Cumberland Crossing Drive
Valparaiso
PORTER COUNTY - 11
Methodist Hospitals and the Valparaiso Family YMCA:
Partners in Wellness
6 Ways to avoid
common Warm Weather
injuries/illnesses
Event Calendar
all screenings &
seminars free
Now is a great time
to spend outside
enjoying the fresh air
and getting exercise.
However, if you aren’t
careful, an injury or
illness could knock you
off your feet during the
most beautiful days of
the year.
to the public and ymca members
All events held at the
valparaiso family ymca
1201 Cumberland Crossing Dr.,
Valparaiso
screenings:
seminars:
No registration required.
Seating is limited. Reserve your seats
at our seminars today!
Bone Density
Free screenings along with education and
information about bone health and the prevention
and treatment of osteoporosis. Screening is
performed on the heel of the foot: participants
must be able to remove their shoes.
8:00 a.m. - 10:00 a.m.
Wednesday, June 12
Wednesday, July 10
Wednesday, august 14
Total Cholesterol/HDL/Blood Sugar
This screening is for those who have not had
their cholesterol checked in the past six months.
A 12-hour fast is recommended but not required.
8:00 – 10:00 a.m.
Wednesday, may 29
Wednesday, June 26
Wednesday, July 24
Blood Pressure Checks
every tuesday 1:30 - 2:30 p.m.
Body Mass Index Checks
Call 1-888-909-DOCS (3627),
or visit MethodistHospitals.org
Bone Health / Back and
Neck Pain Seminar
Learn about overall bone health and the
prevention and treatment of osteoporosis.
Identify your back and neck pain and learn
about the most effective treatments available.
Presented by Kristy Darnell,
RN, MSN, FNP-BC, CNRN
Methodist Hospitals Spine Care
Center Manager
Wednesday, July 17, 5:30 p.m.
Weight Loss Surgery Options
Learn how weight loss surgery can help you
restore your health and reclaim your life.
Presented by Dr. James Siatras
Methodist Physician Group Bariatric Surgeon
Wednesday may 29, 6:00 p.m.
every thursday 1:30 - 2:30 p.m.
Mother’s Day Plant Sale:
May 9 thru 11
Beautiful “Knockout Roses” pink or red,
or blue Endless Summer Hydrangea will
be available for purchase for $15 at the
Valparaiso Family YMCA. Proceeds will
benefit the YMCA’s Annual “Changing
Lives” Campaign.
Zumba-thon for
LIVESTRONG at the YMCA
A 12-week group exercise program for adult
cancer survivors, focusing on cardiovascular
endurance, muscle strength, flexibility, balance
and overall physical improvement. LIVESTRONG
at the YMCA is a free program because it is 100%
supported by donations. Open to the community.
Contact Lee Baker at 219-462-4185,
ext. 260 to register.
Here are some tips to help you stay safe…
Know your limits
If you aren’t active, don’t push yourself too
far, too fast. Too much physical activity at
once can be dangerous if your body isn’t
used to it. Always consult your physician
before starting an exercise regimen.
Foot Care for People with Diabetes
stretch it out
Even a friendly game of softball or volleyball
at a picnic deserves a warm-up. Take a few
minutes to warm-up and stretch before
you exercise.
stay hydrated
Dehydration can cause cramping and more
serious health problems. Drink plenty of
water before, during and after your activities.
Thirst is a poor indicator of your body’s level
of hydration. If you are doing intense activity,
drinking only when thirsty is not adequate.
Alcohol increases fluid losses, which can
lead to dehydration.
People with diabetes need to take special care
of their feet. Learn about new treatments for
diabetic neuropathy.
Presented by Dr. Mark Jones
Methodist Physician Group Foot and Ankle Surgeon
Skin Cancer Screenings
Most skin cancers can be treated successfully if
detected early. A skin cancer screening is a visual
examination of your skin. A screening does not
take much of your time and can save your life.
Presented by Dr. Karen Jordan, Dermatologist
saturday, June 8, 9:00 a.m. to 12 noon
tuesday, June 11, 1 to 4 p.m
99
Pre-orders available at www.valpoymca.org
saturday, may 18, 8:00 a.m. - 11:00 a.m.
Individual or team. Must pre-register.
Visit www.valpoymca.org for details.
tuesday, may 14, 12:00 noon
Methodist Hospitals
offers screening with
low-dose computed
only
tomography (CT) for
those at high risk for lung
cancer. Recent research found that lowdose screening helped reduce mortality
by 20% for those at high risk of developing
lung cancer.
$
thursday, may 9, 10:00 a.m. - 6:00 p.m.
friday, may 10, 10:00 a.m. - 2:00 p.m.
saturday, may 11, 9:00 a.m. - 2:00 p.m.
Spin-a-thon for
Lifestyle tips for maintaining a healthy vascular
system. Learn how to identify the warning signs
of a stroke and the importance of timely
treatment in patient outcomes.
Sherry Mosier, RN, BSN, CNRN
Methodist Hospitals Stroke Coordinator
detect lung cancer
at earlier, more
curaBle stages
Low-Dose CT Lung
Cancer Screening
YMCA events
friday, may 17, 6:00 p.m. - 8:00 p.m.
Collect pledges or pay $25 at the door.
Visit www.valpoymca.org for details.
Maintaining Vascular Health –
Preventing Stroke
Dr. Airron Richardson
Methodist Hospitals
Emergency Physician
If you are a current or former smoker, you
may be a candidate for Low-Dose CT Lung
Screening at a special low price. To learn
more, call 219-757-7212.
fight the bite
To lower your risk of contracting West
Nile Virus, use mosquito repellent when
you’re outside.
practice Water safety
If you and/or your children don’t know how
to swim, NOW is the time to learn. Do not
leave children unattended near water. Never
swim in open water alone. Even experienced
swimmers can get into trouble.
sun safety
Use an adequate amount of a sunscreen
with SPF 30 or higher, and both UVA and
UVB protection, seek shade and wear hats
to limit your direct sun exposure. This will
reduce your risk of sunburn, heat illness
and skin cancer.
We have endured months of cold, snowy
days waiting for these warm spring and
summer days. Follow the tips so you are
less likely to spend them with me in the ER.
for more information, call 1-888-909-docs (3627) or visit methodisthospitals.org
LAKE COUNTY - 11
Community Event Calendar
screenings & seminars:
clinics:
classes:
Free Scoliosis Screenings
Genetics Clinic
Diabetes Self-Management
Education Classes
southlake campus, pavilion B,
neuroscience institute
200 e. 89th ave., merrillville
By Appointment.
For information call 219-738-4926.
Bone Health / Back and
Neck Pain Seminar
Learn about overall bone health and the
prevention and treatment of osteoporosis.
Identify your back and neck pain and learn
about the most effective treatments available.
200 E. 89th Ave., Merrillville • 4:00 p.m.
• June 5
• July 3
• August 7
• September 4
To register call 1-888-909-DOCS (3627).
Bone Density
Free screenings along with education and
information about bone health and the prevention
and treatment of osteoporosis. Screening is
performed on the heel of the foot: participants
must be able to remove their shoes.
southlake campus, pavilion B
200 E. 89th Ave., Merrillville • 4:00 p.m.
• May 30
• June 20
Health Matters Seminars
Presented by Methodist Hospitals
yWca of northwest indiana,
150 W. 15th ave., gary
all health matters seminars begin at 12:15 p.m.
• May 24
• June 21
• July 19
• August 16
Heart Attack and PAD Risk
Assessments and Stroke Screenings
Heart Attack and PAD Risk Assessments and
Stroke Screening: Blood Pressure and Carotid
Bruit Check.
methodist hospitals midlake campus,
2269 25th Ave., Gary • 12 to 2:00 p.m.
• August 6
• November 5
methodist hospitals southlake campus, pavilion B
200 East 89th Ave., Merrillville • 4:00 to 6:00 p.m.
• June 4
• September 3
Free Weight Loss Surgery Seminar
An informational seminar about weight loss
and surgery options. The session is open to all
interested persons and their families or friends.
northwest indiana center for Bariatric surgery
at methodist hospitals
southlake campus, pavilion a
101 east 87th ave., ste. 430, merrillville
• May 11, 10:00 a.m.
• May 16, 6:00 p.m.
• June 15, 10:00 a.m.
• June 20, 6:00 p.m.
• June 27, 6:00 p.m.
• July 2, 6:00 p.m.
• July 11, 6:00 p.m.
• July 27, 10:00 a.m.
Identify your potential genetic health risks in order to
make informed decisions about your genetic health.
The clinic also helps identify your genetic results,
and provides support throughout the process.
oncology institute,
By Appointment. Call 219-757-7212.
Lymphedema Clinic
Patients with lymphedema and/or other edemas
can learn proper skin care, diet & exercises,
massage and other compression techniques
southlake campus, pavilion d,
FREE Outpatient Congestive
Heart Failure Clinic
The goal of this clinic is to assist heart failure
patients in learning how to monitor and control
their symptoms, improve their quality of life
and prevent hospital stays.
cardiac rehab, 753 e. 81st place, merrillville
support groups:
Diabetes Support
and Education Groups
A wide variety of topics related to diabetes are
discussed. For persons with diabetes and their
family members.
methodist hospitals southlake campus
pavilion d, 303 east 89th ave., merrillville
• Free. Classes meet the 4th Tuesday
of every month from 10:30 a.m. to 12 noon
or 5:00 p.m. to 6:30 p.m.
To register call 219-944-4160.
Multiple Sclerosis Support Group
A support group for friends and family of people
with multiple sclerosis.
methodist hospitals southlake campus
pavilion B, 1st floor conference room
11:30 a.m. to 1:00 p.m.
• May 17
• July 19
• June 21
• August 16
For more information call 219-738-4926.
No registration required.
Living After Loss
A support group for adults grieving the death
of a loved one.
northlake campus, south pavilion auditorium,
600 grant st., gary
4:00 p.m.-5:30 p.m.
every Wednesday
southlake campus, lower level, classroom 2
8701 Broadway, merrillville
6:00 p.m.-7:30 p.m.
every monday
For more information call 219-886-4522.
Comprehensive diabetes education involving
all aspects of treatments as well as prevention
of chronic complications.
southlake campus,
pavilion d, 303 e. 89th ave., merrillville
• Tuesdays, 1 p.m. to 4 p.m. or 5 p.m. to 8 p.m.
(3 tuesdays in a row)
To register call 219-944-4160.
Must have physician referral.
Prepared Childbirth
Classes
A five-week course to help pregnant mothers
and their partners learn about labor, delivery
and the immediate post partum period.
Recommendation for attendance is 7 – 8
month of pregnancy.
6:30 p.m. to 9:00 p.m.
• May 28
• July 2
• August 6
• September 10
detect lung cancer
at earlier, more
curaBle stages
Low-Dose CT Lung
Cancer Screening
99
Methodist Hospitals
offers screening
with low-dose
only
computed
tomography (CT) for
those at high risk for lung cancer.
Recent research found that low-dose
screening helped reduce mortality
by 20% for those at high risk of
developing lung cancer.
$
If you are a current or former
smoker, you may be a candidate
for Low-Dose CT Lung Screening
at a special low price. To learn
more, call 219-757-7212.
We’re Holding a Jacket for You.
Become a Methodist Hospitals Volunteer
We can never have too many helping hands and smiling faces. Volunteering is a wonderful
way to make a difference in the life of someone else. Methodist Hospitals’ Volunteer
Services offer unique opportunities for anyone 15 years or older to share their time, talents
and interests to support our mission. As a volunteer, you’ll be providing vital support,
assisting with many of the services that contribute to the care and comfort of our patients.
For more information on volunteer opportunities, call Northlake Campus,
Gary: 219-886-4969 or Southlake Campus, Merrillville: 219-738-5622
6 Ways to avoid
common Warm Weather
injuries/illnesses
Now is a great time
to spend outside
enjoying the fresh air
and getting exercise.
However, if you aren’t
careful, an injury or
illness could knock you
off your feet during the
most beautiful days of
the year.
Dr. Airron Richardson
Methodist Hospitals
Emergency Physician
Here are some tips to help you stay safe…
Know your limits
If you aren’t active, don’t push yourself too
far, too fast. Too much physical activity at
once can be dangerous if your body isn’t
used to it. Always consult your physician
before starting an exercise regimen.
stretch it out
Even a friendly game of softball or volleyball
at a picnic deserves a warm-up. Take a few
minutes to warm-up and stretch before
you exercise.
stay hydrated
Dehydration can cause cramping and more
serious health problems. Drink plenty of
water before, during and after your activities.
Thirst is a poor indicator of your body’s level
of hydration. If you are doing intense activity,
drinking only when thirsty is not adequate.
Alcohol increases fluid losses, which can
lead to dehydration.
fight the bite
To lower your risk of contracting West
Nile Virus, use mosquito repellent when
you’re outside.
practice Water safety
If you and/or your children don’t know how
to swim, NOW is the time to learn. Do not
leave children unattended near water. Never
swim in open water alone. Even experienced
swimmers can get into trouble.
sun safety
Use an adequate amount of a sunscreen
with SPF 30 or higher, and both UVA and
UVB protection, seek shade and wear hats
to limit your direct sun exposure. This will
reduce your risk of sunburn, heat illness and
skin cancer.
We have endured months of cold, snowy
days waiting for these warm spring and
summer days. Follow the tips so you are less
likely to spend them with me in the ER.
for more information, call 1-888-909-docs (3627) or visit methodisthospitals.org
12 - PORTER COUNTY
12 - LAKE COUNTY

ready for emergencies!

Transcription

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