Spring 2010 - Willis-Knighton Health System
Transcription
Spring 2010 - Willis-Knighton Health System
vim& vigor vigo g r go season 2010 spring 2009 $2.95 a carefree lifestyle TLC for babies WHY THE BEST HEART DOCTORS COME HERE page 6 changing how you think about ‘hospital food’ will power no special effects here. strong physique is the result of hard work and dedication will smith’s FdVVSP1093_00_Cover.indd 1 12/9/09 4:53:04 PM contents special 4 a peek at The Tower at The Oaks, a vibrant residential community for healthy, active adults. features 6 a reputation for quality Discover why the Willis-Knighton Heart & Vascular Institute is doing increasingly more cardiac procedures despite a slowing national trend. 8 dishing up healthy, tasty choices Forget what you might think about “hospital food.” Good meals are always on the menu at Willis-Knighton. designed for living Take 22 on mended knees They’re two of our most used—and abused—joints. Find out how surgical advances might help you. 27 36 40 imaging IQ Going in for a routine screening or diagnostic test? Here’s what you need to know. 44 50 wake-up call A diagnosis of prediabetes doesn’t have to be all bad. It’s a chance to turn your health around. departments spring 10 14 18 excuses, excuses Experts bust the most commonly used cop-outs for not eating right. easing the pressure Think you work hard? Your heart pumps 24 hours a day. Keep hypertension under control. prostate predicament Read how one man got to the cause of his urinary symptoms—and found relief. 30 will power With roles that include Muhammad Ali and a superhero, iconic actor Will Smith has to stay in shape. Find out how you can get fit even without the celebrity treatment. PHOTOGRAPH BY JET SET, ICON INTERNATIONAL FdVVSP1093_01_TOC 2.indd 1 caregiving: a survival guide Caring for a loved one is hard work and fraught with unique challenges. form factors Just like the women it affects, breast cancer comes in all shapes and sizes. Learn about four types you need to be aware of. good beginnings Find out about the resources that are available if you have a problem during your pregnancy. 2 first things first New construction highlights a focus on health and well-being. 3 news you can use The latest buzz about WillisKnighton and The Oaks of Louisiana. 52 food for thought Enjoy two Louisiana culinary favorites. 53 life at the oaks The MarketPlace mixes charm and convenience. 54 focus on fitness Learn how low-back pain responds to exercise. 55 accolades WK employees are making positive differences in Shreveport. 56 parting thoughts Check out the health and wellness events available this spring. vim & vigor · s p ri ng 2010 1 12/16/09 8:20:20 AM first things first change in the air live oak’s design is part of our focus on health and well-being I In the South, warm weather is never far away. James K. Elrod On the coldest gray day of winter, we know there will soon be a bright springlike day to warm our bodies and spirits. Nowhere at Willis-Knighton is the change more evident than at The Oaks of Louisiana. The vistas change daily, and not just the trees and plants. The construction of The Tower at The Oaks has changed the landscape remarkably. The building, new lake and all the activity surrounding the construction have brought visual interest for our residents at Live Oak as well as visitors and passers-by. This new residential concept for active senior adults is one we are excited to bring to Shreveport to support the health and well-being of this rapidly growing demographic. Learn more in “Designed for Living” on page 4. As we consider the health and well-being of the people we serve, we are constantly aware of the importance of cardiovascular care. We are fortunate that the three largest cardiology groups in Shreveport and Bossier City have chosen to locate to Willis-Knighton campuses. This is an indication of the impact that our Heart Institute has had on cardiovascular care. The Centers for Disease Control and Prevention lists heart disease as the leading cause of death for both women and men in the U.S. As long as that is the case, the Willis-Knighton Heart Institute will work with physicians to combat the disease. Check out the feature on page 6, “A Reputation for Quality,” to learn about the sophisticated care available today. Most women experience pregnancy as a routine part of life, but sometimes mothers and babies need specialized help before the birth. “Good Beginnings” on page 50 offers insight into maternal/fetal health and the great support available for babies at Willis-Knighton South and the Center for Women’s Health. Also, hospital food has received a bad rap over the years, but not at WillisKnighton. Our Dietary Department is one of those behind-the-scenes areas that are critical in the day-to-day care of patients, their families and our employees. It’s a big job, as our dietary director confirms in “Dishing Up Healthy, Tasty Choices” on page 8. Finally, as always, thank you for your positive response to Vim & Vigor. I welcome your comments. Sincerely, James K. Elrod President and CEO 2 President and CEO, Willis-Knighton Health System James K. Elrod Facility Administrators Jaf Fielder, Willis-Knighton Medical Center Keri Elrod, Willis-Knighton South Cliff Broussard, WK Bossier Health Center Sonny Moss, WK Pierremont Health Center Margaret Elrod, The Oaks of Louisiana Regional Editor Marilyn S. Joiner Contributors Charlie Cavell, Kim Foulk, Denise Hiller, Sharla Inman, Danna Jacobs, Rhonda MacIsaac, David Noble, Karen Peters, Darrell Rebouche PRODUCTION Editorial V.P./Creative Director: Beth Tomkiw Editor-in-Chief: Shelley Flannery Editors: Sam Mittelsteadt, Matt Morgan, Amanda Myers, Kari Redfield, Jill Schildhouse, Tom Weede, Julie Wlodychak Copy Editor: Cindy Hutchinson Design Creative Director: Lisa Altomare Art Directors: Laura Butler, Erica Brooks, Maggie Conners, Monya Mollohan, Kay Morrow, Adele Mulford, Tami Rodgers, Keith Whitney Production Senior Production Manager: Laura Marlowe Ancillary Production Manager: Angela Liedtke Imaging Specialist: Dane Nordine Prep Specialists: Julie Fong, Sonia Washington Circulation V.P./Business Intelligence Group: Patrick Kehoe Postal Affairs & Logistics Director: Joseph Abeyta client services V.P./Sales and Product Development: Chad Rose, 888-626-8779 V.P./Strategic Marketing: Heather Burgett Strategic Marketing Team: Robyn LaMont, Barbara Mohr, Andrea Parsons, Paul Peterson, Todd Speranzo Advertising Sales Advertising Sales Representatives New York: Phil Titolo, Publisher, 212-626-6835 Phoenix: Soliteir Jaeger, Associate Publisher, 888-626-8779 Mail Order: Bernbach Advertising Reps, 914-769-0051 ADMINISTRATION im & Vigor Founder: J. Barry Johnson V Chairman: Preston V. McMurry Jr. President/Chief Executive Officer: Christopher McMurry Chief Operating Officer/Financial Officer: Audra L. Taylor President/Content Marketing: Fred Petrovsky 2600 Greenwood Road Shreveport, LA 71103 318-212-4000 wkhs.com Vim &Vigor,TM Spring 2010, Volume 26, Number 1, is published quarterly by McMurry, McMurry Campus Center, 1010 E. Missouri Ave., Phoenix, Arizona 85014, 602-395-5850. Vim & Vigor TM is published for the purpose of disseminating health-related information for the well-being of the general public and its subscribers. The information contained in Vim & Vigor TM is not intended for the purpose of diagnosing or prescribing. Please consult your physician before undertaking any form of medical treatment and/or adopting any exercise program or dietary guidelines. Vim & Vigor TM does not accept advertising promoting the consumption of alcohol or tobacco. Copyright © 2010 by McMurry. All rights reserved. Subscriptions in U.S.: $4 for one year (4 issues). Single copies: $2.95. For subscriptions and address changes, write: Circulation Manager, Vim & Vigor,TM McMurry Campus Center, 1010 E. Missouri Ave., Phoenix, Arizona 85014. vim & vigor • s p rin g 2 0 1 0 FdVVSP1093_02_FirstThings.indd 2 12/9/09 4:54:57 PM news you can use the right place for chest pain Mudbugs players Neil Clark and Dale Lupul work out at the WK Health & Fitness Center. fitness center gets a sleek update WK Health & Fitness Center is looking good! A complete renovation of Willis-Knighton’s original fitness center on Greenwood Road has included an upgrade of strength equipment from the classic Cybex line. Termed the “VR3,” this equipment has a much smaller footprint, is very user-friendly and has been ergonomically redesigned for safety, ease of entry and exit, smooth operation and long life. The sleeker look is possible with plasma-welded joints, laser-cut racking and new powder-coated finishes. Members, including athletes from Mudbugs Hockey (pictured), have appreciated this equipment line and the multiple new bright color schemes and interior finishes. Willis-Knighton Health System has been awarded accreditation by the Society of Chest Pain Centers. Willis-Knighton Medical Center received full designation as an accredited chest pain center with PCI (percutaneous cardiac intervention, a procedure used to unblock narrowed arteries). Only a small percentage of hospitals across the country have earned this designation, which requires a rigorous evaluation of heart care processes to ensure that best practices in cardiac care are integrated into cardiac services, from the emergency room to treatment. All Willis-Knighton Health System hospitals use evidence-based practices to ensure the highest quality of care in the treatment of chest pain, heart attack and other emergency cardiovascular illnesses. your home for hospice In 1980, Willis-Knighton Health System established the first hospice in northern Louisiana and the second in the state. Today, the program that has allowed patients to remain at home toward the end of life is enjoying its life in a comfortable, homelike setting. Formerly on the campus of Willis-Knighton Medical Center, Willis-Knighton Hospice of Louisiana is now at 616 E. Flournoy Lucas Road. From that location, hospice workers and volunteers provide care throughout the community to patients and families. Unlike many others in the community, Willis-Knighton Hospice of Louisiana is a not-forprofit organization. Willis-Knighton Hospice welcomes inquiries about volunteer opportunities as well as contributions to support its work as staff members care for patients with limited financial resources. vim & vigor · s p ri ng 2010 FdVVSP1093_03_News.indd 3 3 12/9/09 4:56:28 PM living the tower at the oaks offers a new kind of freedom designed for by sharla inman f From the ground up, The Tower at The Oaks is designed for living life to the fullest. “We want to create a vibrant environment at The Oaks of Louisiana and The Tower,” says Scott Green, executive manager for The Tower at The Oaks. “We offer seniors a residential opportunity in a resort-like setting that supports an active, healthy and carefree lifestyle.” Design details throughout reinforce that goal, from the architectural design of the building to furnishings and fabrics in common areas. k spaces to feed the mind, body and soul The Grand Foyer at The Tower is a welcoming environment for residents and their guests. 4 Most people don’t have the luxury of a full-scale spa and wellness center near their homes, but Tower residents will. And that’s just the start of design that enhances a lifestyle that nourishes body and mind. Every floor features dedicated spaces for engaging activities: an in-house movie theater with surround sound, billiards room, ballroom, arts and crafts studio, lounge, library and computer center, just to name a few. The spa offers two exercise areas, one with state-of-the-art hydraulic fitness and cardio equipment designed for older adults. With mirrors, ballet bar and instructor’s platform, the other room accommodates fitness and dance classes. Water is calming and healthful, and The Tower has plenty to offer starting with the view of a large, sparkling-blue lake with a half-mile vim & vigor • s p rin g 2 0 1 0 FdVVSP1093_04-5_49_Designed.indd 4 12/9/09 4:58:24 PM go come see for yourself To schedule a tour of The Oaks and get information on carefree living at The Tower at The Oaks, call 318-212-OAKS (6257). paved walking path. A saltwater pool inside the spa offers swimming year-round. And no spa would be complete without a salon with hair, massage, manicure and pedicure services. ❋ dining in delightful surroundings Perhaps the best example of The Tower’s design for healthy and carefree living is its attention to dining, with multiple venues. Menu-style dining is offered in an intimate restaurant atmosphere. The Bistro combines a short-order grill with a large salad bar and cases filled with freshly made sandwiches and take-home items. Two seating areas are nearby, plus a causal coffee shop setting and a family dining room with views of the lake. Design details including continued on page 49 Top: Year-round swimming is a pleasure in the pool at The Tower. Center: The calming view of the sparkling lake makes the Terrace a great outdoor living space. Above: Gourmet cuisine and elegance meet in the Fine Dining room. vim & vigor · s p ri ng 2010 FdVVSP1093_04-5_49_Designed.indd 5 5 12/9/09 4:59:07 PM heart & vascular institute continues to lead the way in cardiac care quality a reputation for o Kathy Walker, director of cardiovascular services, inside the Cath Lab at Willis-Knighton’s Heart & Vascular Institute 6 One of the hardest-working muscles in your body is your heart, which beats 72 times per minute on average. That’s 4,320 beats every hour, even when you’re sound asleep! Most people take the heart for granted—until something bad happens. The physicians and staff at the Willis-Knighton Heart & Vascular Institute see the results of that neglect every day. As a regional referral center for patients with heart conditions, the institute’s procedure numbers continue to grow, despite a national trend to the contrary. Today, the institute, which started on the Willis-Knighton Medical Center, offers a variety of services at all Willis-Knighton hospitals. “While procedures across the country are down 5 percent, Willis-Knighton has shown an almost 7 percent increase this year,” says Kathy Walker, director of the Willis-Knighton Heart & Vascular Institute. “We attribute this to the forward thinking and collaborative efforts of our administrators and physicians.” by charlie cavell Those people have helped shape the institute’s reputation for sophisticated technologies and treatment, which has garnered national attention for quality. One of the newest technologies, a circulatory assist device, is used during procedures to improve blood flow for high-risk patients. The pump promotes three to five times more blood flow than comparable products, leading to better patient results. the best attracts the best As Willis-Knighton has become a national leader in cardiac care, more physicians have elected to practice at its hospitals. Walker says that 95 percent of the private-practice cardiologists and 100 percent of the cardiovascular surgeons practice at Willis-Knighton, attracted by the advanced technologies and quality care. Two longtime practices, Ark-La-Tex Cardiology and Cardiovascular Consultants, helped to build the institute’s reputation for quality. Last year, Cardiology Associates moved to WK Pierremont. vim & vigor · s p rin g 2 0 1 0 FdVVSP1093_06-7_Heart.indd 6 12/9/09 5:02:09 PM Kathy Walker (left) and Renee Ward, RN, review ablation results on the EnSite System in the Heart & Vascular Institute’s Electrophysiology Lab. Also at Willis-Knighton is Robert Lafargue, MD, a noninterventional cardiologist who is part of the Willis-Knighton Physician Network. The institute is also fortunate to have the support of Curtis Prejean, MD, a well-established cardiovascular surgeon from California who joined Red River Cardiovascular Surgeons, a Physician Network surgical practice. Walker, a 20-year veteran at the institute, is proud of what it offers. “We provide treatment for patients with atrial fibrillation,” she says, “and implant 17 percent more heart-rhythm devices for the treatment of congestive heart failure than most organizations throughout the country.” decades of milestones In 1994, the Willis-Knighton Heart & Vascular Institute was the first in the area to introduce coronary stents on a nontrial basis. Stents, or tiny scaffolding-like tubes, are designed to open clogged arteries and improve blood flow. WillisKnighton also was among the first in the nation to introduce a sophisticated cardiac resynchronization system (pacemaker) that offers patients a dramatic improvement in their ability to resume a normal lifestyle. In April 2003, the institute brought another major improvement in the fight against restenosis to the Ark-La-Tex when physicians began implanting stents coated with drugs to help prevent blockages from recurring. Since then, thousands of patients at the Heart & Vascular Institute have received the drug-eluting stents. Beginning in 2005, cardiologists offered new hope to patients at high risk for stroke, when they began to place stents in carotid arteries, or arteries of the neck, rather than perform surgery. In fall 2009, Willis-Knighton Medical Center received full designation as an accredited chest pain center with PCI (percutaneous coronary intervention) following a review of protocols and an on-site To learn more about the visit by the Society of Chest Pain cardiologists and cardiovascular Centers. Processes were reevaluated surgeons at Willis-Knighton, to ensure that best practices were click “Find a Doctor” at the Willisintegrated into Willis-Knighton’s Knighton Web site, wkhs.com. cardiac care services. get to know go our doctors ‘the best can always get better’ Walker emphasizes that the institute will continue to pursue innovative technology and focus on best practices. “Even the best can always get better,” she says. “And we take this very seriously. We never know when a member of our own family will need our services, and that’s why we want to offer every patient the same level of care we would want for our family.” Clearly, with its people, protocols and technology, the Willis-Knighton Heart & Vascular Institute truly has a heart for patients. the future is here Not wanting to rest on its proven history of excellence, the Willis-Knighton Heart & Vascular Institute now offers mitral valve repair using the da Vinci Surgical System. The equipment features state-of-the-art robotic technology designed to help the surgeon see vital anatomical structures more clearly and perform a more precise surgical procedure. Curtis Prejean, MD, cardiovascular surgeon with Red River Cardiovascular Surgeons, was the first to perform this procedure at Willis-Knighton using the da Vinci system. Technologically advanced surgery complements the extensive technology at the Heart & Vascular Institute, which offers patients the most comprehensive heart services in the region. vim & vigor · s p ri ng 2010 FdVVSP1093_06-7_Heart.indd 7 7 12/9/09 5:02:19 PM dishing up healthy, tasty choices ‘hospital food’ takes on new t meaning at willis-knighton The proper dosage of medication is vital to the restoration of health in patients recovering in the hospital—and so is the food. “Proper nourishment is a lifeline to a patient’s healing,” says Kim Bickham, director of nutritional services for Willis-Knighton Health System. “No matter how nutritional a meal may be, patients are less likely to eat it if it tastes bad.” Sadly, in many hospitals, food brings complaints from patients and their families, and Bickham and her staff work hard to be sure that’s not the case at Willis-Knighton. She contends that freshness makes a big difference in taste. “Every meal served at Willis-Knighton hospitals is prepared on-site and on the same day it is Right: Menu Assistant Shirley Burns helps patients select items that are nutritious and tasty. Above: Tray liners include easy-to-read nutritional information. 8 by danna jacobs to be served, by cooks who are specially trained to prepare patient foods,” she explains. Menus and ingredients are reviewed often and rotate throughout the year. Behind the scenes, doctors and nurses collaborate with dietitians to ensure that patients’ nutritional needs are being met. According to Bickham, dietitians are available to hospital patients seven days a week at all four WillisKnighton hospitals. “They want to be certain that adequate amounts of calories, proteins, vitamins and minerals are being consumed in order to promote healing,” she adds. Many patients admitted to the hospital are on modified or restricted diets. Food allergies, cultural preferences and restricted chewing abilities also affect what is served, so staffers are ready with special menus with many tasty options. k assistance when needed What if a patient needs help deciding? Not a problem! Menu assistants visit each patient’s room and can help select a meal that meets the patient’s dietary requirements and is likely to please the palate as well. They are so familiar with the food selections that they can answer patients’ questions about their meals on the spot. Added help comes from the liner that is placed on each patient tray, which includes an easy-to-read nutrition guide to help explain the role of a correct diet in patients’ recovery and continued health. Old-fashioned comfort food, modern menu selections, patient rooms, cafeterias—good food is a hallmark at Willis-Knighton, where the words “hospital food” take on positive meaning and promote healing. vim & vigor • s p rin g 2 0 1 0 FdVVSP1093_08_Dishing.indd 8 12/9/09 5:03:38 PM elegant window treatments and tablecloths dress the private dining room, making it ideal for special occasions. Dining alfresco is available on the Terrace and in the large, lakeside gazebos. Two meals daily are included in The Tower’s monthly residence fee, ensuring that healthy eating is easier than ever. continued from page 5 k security and safety Prerequisites to a sense of well-being, security and safety are increasingly important to active seniors, some of whom travel often or live alone. At the gated entrance to the property, Oaks residents and visitors are greeted by friendly security staff on duty 24/7. In addition to staffing the gatehouse, the security team routinely patrols the property. Driving at night and in bad weather is not a problem. Residents can take advantage of curb-to-curb service for shopping, trips and organized outings, with the driving left to others. Those who enjoy walking in the evening will appreciate that lighting in the residential areas as well as parking and grounds has been engineered for maximum security and convenience. k carefree, redefined Top: Grumpy’s is a casual gathering place. Above: Relaxing is sure to be a pleasure in the study at The Tower. “We offer seniors a residential opportunity in a resort-like setting that supports an active, healthy and carefree lifestyle.” —Scott Green, executive manager, The Tower at the Oaks So how did all of these advantages in a single community come to be? Willis-Knighton Health System executives invested time to research, visiting premier communities throughout the South and Southeast to find the best of the best and bring them to Shreveport and The Oaks of Louisiana. So each resident receives a lovely residential facility and services that transfer most of the mundane chores such as home and lawn maintenance responsibility to The Oaks’ staff. “The Tower offers a new kind of freedom for active adults,” says James K. Elrod, President and CEO of Willis-Knighton Health System. “This is our region’s first concierge community. Once visitors learn all that is included in the monthly apartment fee, you can see the light bulb switch on in their heads. They realize that living at The Tower is a smart way to preserve their retirement nest egg and their children’s inheritance while having more time and opportunities for healthy, productive living.” vim & vigor • s p ri ng 2010 FdVVSP1093_04-5_49_Designed.indd 49 49 12/9/09 4:59:48 PM good beginnings by darrell rebouche a thanks to specialists, even problem pregnancies get the best start possible A baby is on the way, and a thousand questions are running through the new mother’s mind. Will my baby be healthy? How can I know? Should I feel this way? I’m not sure. That’s normal. “Many things happen during the course of a pregnancy that are normal, but a woman who has never had a baby before or doesn’t know anything about pregnancy may think something serious is going on,” says Christian Briery, MD, of Willis-Knighton Health System’s Regional Perinatal Group. If an obstetrician recommends a consultation with Dr. Briery, who specializes in problem pregnancies, there is no reason to be alarmed. His first order of business is to answer questions, and, he says, “I usually get to give great news. A lot of times, I give a lot of TLC to moms. They just want to know if the baby is going to be OK, and, about 90 percent of the time, I can say yes.” But that means that 10 percent of the time he has to break the news that the baby has a problem and explain what needs to be done. So what can be done to ensure that babies have the best chance to thrive? 50 vim & vigor · s p rin g 2 0 1 0 FdVVSP1093_50-51_Beginnings.indd 50 12/9/09 5:04:29 PM It is essential for watched Dr. Briery moms-to-be to see a at patients’ bedsides doctor early in the and describes him as pregnancy and to “hands-on, approachcommunicate openly able and a good about what they are educator.” feeling, Dr. Briery Because there says. He works with are so many factors obstetricians to identhat contribute to tify and treat issues a healthy start for that may arise. “Many babies, Dr. Briery of these pregnancy often becomes a kind symptoms start off of counselor, discussseemingly like no big ing lifestyle, diet and Christian Briery, MD, cares for moms and babies before the deal to the untrained smart choices in addibabies are born. eye, but they may reption to medicine. “It’s resent something of more concern,” he says. just important for the mother to establish early “If we can decrease maternal complications, we care, routine care and a good relationship with can keep mom pregnant longer.” her doctor,” he says. If she does, it becomes that much easier for potential problems to be identiearly arrivals fied and treated. Approximately 60 percent of expectant mothers “Usually when patients come to me, there’s that Dr. Briery sees deliver before the due date. a specific question that needs to be answered,” He speaks of a “perfect symbiosis” between his Dr. Briery explains. They ask why they are practice of medicine and that of the doctors who experiencing problems such as hypertension, care for premature infants. Generally speaking, blood sugar elevation or even thyroid malfunckeeping mom pregnant longer offers inherent tion. His goal is to answer their questions, evalubenefits, but he admits that “sometimes mommy’s ate their problems and treat moms and babies tummy isn’t the best place to be.” to make things better. When that is the case, a world-class neonatal comfort through uncertainty intensive care unit at Willis-Knighton South Dr. Briery knows that problem pregnancies can and the Center for Women’s Health plays a vital be fraught with uncertainty and are often frightrole in the baby’s overall health. “Dr. Briery has ening to parents-to-be as well as their families. made a positive difference with our high-risk Working closely with the doctors who consult moms,” says Mary Bush, patient care coordiwith him, Dr. Briery says, “I think we’re making nator for women’s services at Willis-Knighton an impact in a lot of families’ lives, especially South. She has spent more than 22 years carmoms who are sick or have sick kids that need ing for mothers and babies at the Center for to be taken care of.” Women’s Health. “Dr. Briery has added a new That impact can start even before women dimension to the level of care for our mothers become pregnant. And in many circumstances, and babies,” she adds. Dr. Briery can help before they are expecting. mutual admiration If a mother has had a problem pregnancy, he Eager to acknowledge the contributions of suggests talking in advance about how to minihis colleagues, Dr. Briery gives credit to his mize problems the next time. staff and to the caregivers in the hospital. Working with skilled, deeply compassionate “We’ve got a great, compassionate crew here,” healthcare providers like Dr. Briery and those he says. “We want our patients to know we throughout Willis-Knighton Health System can care about them and want the best for them.” give babies the best chance for a good beginning The admiration goes both ways. Bush has to life. art and science Get to know the specialties at WillisKnighton Health System. Perinatal medicine. Care for mother and baby immediately before and after birth. The meaning of the term varies from practice to practice. Generally, perinatal care commences at the 20th to 28th week of gestation and ends one to four weeks after birth. The Regional Perinatal Group expands this definition to include the entire pregnancy, as well as prepregnancy consultation. Neonatology. Care for the newborn, particularly those born prematurely or with an illness. Obstetrics. Management of pregnancy, labor and the time after a baby is delivered. Pediatrics. Care for infants, children and adolescents. vim & vigor • s p ri ng 2010 FdVVSP1093_50-51_Beginnings.indd 51 51 12/9/09 5:04:45 PM food for thought springtime in our kitchen enjoy these louisiana culinary favorites: crawfish and strawberries live oak crawfish étouffée strawberry tiramisu trifle 4 cups cooked rice (1/2 cup per person) 1 stick butter 1/2 cup celery, diced 1/2 cup onion, diced 1/2 cup green bell pepper, diced 1 small can diced tomatoes 1 can diced red peppers 1 cup flour 4 cups chicken stock 1 pound crawfish tails 2 tablespoons paprika 1 teaspoon salt 1 teaspoon pepper 4 cups fresh strawberries 1 package (1 ounce) instant sugar-free, fat-free vanilla pudding 11/4 cup fat-free milk 8 ounces fat-free cream cheese, softened 1 teaspoon almond extract 8 tablespoons strong brewed instant coffee 2 cups fat-free Cool Whip 1 package (3 ounces) ladyfingers, split 4 ounces bittersweet chocolate, grated In a sauté pan, sweat the celery, onions and bell peppers in butter. Add diced tomatoes. Season with salt and pepper (to taste). Slowly add flour to mixture and make a roux (use more flour if needed). After all flour is combined and roux is made, add small amounts of chicken stock until all is incorporated together. Add can of red peppers and paprika. Add crawfish to mixture, bring to a boil and simmer 5 to 8 minutes. Adjust seasoning to taste. Serve étouffée over rice using about a 1/2 cup of rice per person. Serves 8. 52 Set aside 3 strawberries and 2 tablespoons of chocolate for garnish; slice remaining strawberries. In a bowl, whisk milk and pudding mix for 2 minutes. Let stand 2 minutes or until soft-set. In a large mixing bowl, beat cream cheese until smooth; gradually beat in 3 tablespoons coffee and almond extract. Beat in pudding. Fold in whipped topping. Brush remaining coffee over ladyfingers. Line the bottom of 3-quart trifle bowl or glass serving bowl with half of the ladyfingers. Top with half of the sliced berries, grated chocolate and pudding mixture; repeat layers. Top trifle with remaining grated chocolate. Cut reserved berries in half; place on trifle. Cover and refrigerate for 4 hours or overnight. Recipe modified by Alicia Smith, MS, RD, LDN, CDE. Serves 12 (size: 1 cup). Calories: 136. Fat: 4 g. Protein: 5 g. Carbohydrates: 20 g. vim & vigor · s p rin g 2 0 1 0 FdVVSP1093_52_Food.indd 52 12/9/09 5:05:49 PM by sharla inman going to market the marketplace mixes charm and convenience for oaks shoppers T Tucked inside The Oaks of Louisiana is the MarketPlace at The Oaks, which is at once a nostalgic country store and a gleaming retail shop with cyber connections. Like a country store, the MarketPlace is high on convenience and friendly service. Focusing on the needs of residents at the gated community, the MarketPlace has basic convenience items as well as take-and-bake food in individual serving sizes. Two favorites are crawfish étouffée and Live Oak’s signature cookie, the Oatmeal Jumble. In the tradition of charming retail gift shops, the modern store features Willow Tree figures, door decor crafted from recycled materials, body lotions and reed infusers from Aromatique, and boxed cards from the Metropolitan Museum of Art. The shop is inside the Clubhouse at The Oaks, a place so comfortable that customers often relax in the comfy leather chairs after their purchases. Sampler parties are also held there, allowing new merchandise and foods to be sampled before earning a place at the store. Displayed proudly in the MarketPlace is a framed logo of its predecessor, the Live Oak Gift life at the oaks Far left: Denise Hiller (from left), of Live Oak Independent Living; David Winkler and Susan Beaird, children of Live Oak Gift Shop founders; and Catherine Romero, store manager, celebrate the opening of the MarketPlace at The Oaks. Left: Ester Bremer purchases an Oatmeal Jumble cookie from Catherine Romero, manager of the MarketPlace at The Oaks. Above: Live Oak residents Betty Speairs (from left), Maxine Parrish and Peggy Garland delight in the MarketPlace shopping venue at The Oaks of Louisiana. Shop, which was founded in 1982 and managed for years by the late Marjorie Beene (Beenie) Winkler and the late Carolyn Beaird. These dedicated Live Oak volunteers stocked the shelves with modest treasures from their world travels as well as hand-crafted items from local artists. “Thanks to the Web, the proximity of the World Trade Center in Dallas, and connections to local merchants and artists, we can continue Beenie and Carolyn’s buying reach without the jet lag,” says Scott Green, executive manager of The Tower at The Oaks and the shop’s lead buyer. “Not a day goes by without a new shipment of reasonably priced but very distinctive gifts.” As a free concierge service, gifts purchased for Oaks residents can be delivered by staff or held for personal delivery by the purchaser. But the ultimate convenience is the MarketPlace’s shop-in-your-pajamas online store featuring popular gifts, some only available online. “Unique and affordable, that’s what you will find here and at our online store,” says Catherine Romero, the store’s energetic and Call the MarketPlace friendly manager. at 318-212-2455 for The shop welcomes residents and hours and directions, or visit the their family members, as well as visiMarketPlace online at The Oaks’ tors. With affordable gift selections, it Web site, oaksofla.com. promises to be a go-to stop in southeastern Shreveport. now open go vim & vigor · s p ri ng 2010 FdVVSP1093_53_TheOaks.indd 53 53 12/9/09 5:19:37 PM focus on fitness by david noble low-back pain? work it out why exercise may be the best medicine N Nearly eight out of 10 people experience lowback pain. It’s termed acute pain if it lasts less than three months and chronic pain if it lasts longer. Most low-back pain is due to physical inactivity and the lack of core endurance and strength (more endurance than strength). When compounded with poor lifting techniques and posture, it’s an invitation for a back injury. Fortunately, most back injuries improve in four to six weeks with proper rest and exercise. Exercise? Yes, exercise! If you have low-back pain, it is important to discuss your health with a doctor or qualified healthcare provider before starting any exercise routine, especially if the pain is unexplained. Tests may be required for an accurate diagnosis. Once cleared by a healthcare professional, you can start exercising. Health experts know the advantages of exercising and being physically active versus the disadvantages of a sedentary, inactive lifestyle. Exercising improves your quality of life and 54 David Noble overall well-being and reduces the risk of debilitating diseases that cause heart attacks, strokes, diabetes and high blood pressure. It also reduces the likelihood of recurring low-back pain by increasing tolerance and functionality, decreasing stress, and improving body weight, stamina, strength and sleep habits. Whether you have low-back pain or a back injury, the exercise goals are the same: prevent further debilitation, improve functionality and increase exercise tolerance. These depend on your individual condition, fitness level and threshold. Your program should be progressive, starting with low-level exercises such as walking, isometric core exercises and mild stretching, and then advancing to higher-level activities. Just becoming active may improve or reduce the pain. You should always practice good back care and body mechanics: • When lifting heavy objects, keep objects waist level and close to the body and avoid twisting. Bend at the knees, not at the waist, with feet shoulder width or wider for a good base of support. • Sit and walk tall. Continually pressing your navel to your spine helps maintain good posture. • If standing for long periods, prop up a foot. Remember, being inactive may increase the pain or the risk of having recurring low-back pain. When exercising with low-back pain, “no pain, no gain” has changed to “hurt does not mean harm.” Don’t fear discomfort while exercising. If an exercise increases the pain severely, stop that activity and modify it to avoid regression. Trained exercise specialists can be of real benefit to you. Whether or not you suffer from low-back pain, an exercise program can offer you improved health and well-being. vim & vigor • s p rin g 2 0 1 0 FdVVSP1093_54_Fitness.indd 54 12/9/09 5:25:05 PM accolades reaching out WK employees extend dedication to the community serving the needs of others management profile coaching a nationally ranked team When it comes to his job, Chuck Daigle, Willis-Knighton’s chief oper ating officer (COO), is like a coach, a mixture of teacher, counselor, cheerleader, motivator and process engineer. For a patient or family member to say, “I got the best care at Willis-Knighton,” someone has to ensure that systems are in place and everyone is working together to make that happen. That’s where Daigle comes in. Clearly he understands that delivering the best care requires the skills and expertise of every employee on an ongoing basis. “Best practices are constantly changing,” Daigle says. “It’s my job Chuck Daigle, to coordinate and communicate so chief operating officer everyone is working together in an efficient manner to achieve the best possible patient outcomes.” The COO trained in economics and finance with an MBA from LSU and came to Willis-Knighton in 2007 after 14 years at Our Lady of the Lake Regional Medical Center in Baton Rouge. He and his wife, Brandi, and their two sons have adapted well to life in Shreveport, just as Daigle has adapted to his life at WK. Every day is a challenge, and one the personable executive enjoys. “It’s fun and very rewarding to engage our clinical leadership and medi cal staff, who are so incredibly talented, and to see improvements in our health system,” he says. Sherri Hagerhjelm, RN, knows a lot about reaching out to others. It was no surprise that the registered nurse was guest speaker for a benefit dinner for the Oakwood Home for Women, an addiction recovery center for women. “I spoke about my previous service work in the com munity and around the world, specif ically Indonesia,” Hagerhjelm says. Emulating Oakwood’s recovery mantra of “Trust God - Clean House - Serve Others,” Hagerhjelm encour Sherri Hagerhjelm, RN aged those attend ing to trust God for all of their needs, cleaning themselves of doubt in their ability to complete daunting tasks so they can move forward to serve others. “In this service, our needs diminish and the needs of others supersede our own,” she explains. Hagerhjelm has worked at WillisKnighton for 19 years and has traveled abroad on numerous medical mission trips. talented team Willis-Knighton and Live Oak employees auditioned to perform the national anthem at Mudbugs hockey games. Employees who have been chosen to perform this season are Amber Butts, Laura Hendrix, Glenda Moreno, Sarah Nettles, Curtis Phillips, Amanda Smith, Yevonne Tippin, Robyn Warmack and Ronnie Watson, with Melinda Baker and Christina Simpkins as alternates. vim & vigor • s p ri ng 2010 FdVVSP1093_55_Accolades.indd 55 55 12/9/09 5:26:30 PM parting thoughts healthy new year start off 2010 well with education events Make reservations for any of these events online by visiting wkhs.com and clicking “Classes and Events,” or by calling 318-212-8225. live oak BEYOND THE WILL: LEGAL ISSUES FOR SENIORS Local attorney Lamar Pugh with the Pugh Law Firm will cover the need-to-know issues of planning. This program is designed for seniors and their children. Reservations requested for nonresidents. Where: Alta and John Franks Community Centre When: Wednesday, March 24, at 6 p.m. Cost: Free EARTH DAY CELEBRATION Commemorating the 40th anniversary of Earth Day, Donna Curtis, executive director of Shreveport Green, will discuss the city’s environment, community beautification and recycling projects. Where: Patio Overlooking Lake Herman When: Thursday, April 22, at 3 p.m. Cost: Free willis-knighton GROWING UP FOR BOYS Physical and emotional changes are the threshold of adulthood. Clint Wilson, MD, family practice specialist, will help you educate and prepare your preteen for the sensitive changes of adolescence. Reservations required. Where: WK Bossier Health Center Auditorium When: Thursday, Feb. 4, at 6 p.m. Cost: Free Clint Wilson, MD Learn the answers to your questions about what screenings, tests and activities you should undertake to help ensure a healthy future. Jason Milligan, MD, family practice specialist, will guide you through the planning. Reservations required. Where: WK Bossier Health Center Auditorium When: Tuesday, March 23, at noon Jason Milligan, MD Cost: $6 GROWING UP FOR GIRLS Physical and emotional changes are the threshold of adulthood. Alisha Ware, MD, will help you educate and prepare your preteen for the sensitive changes of adolescence. Reservations required. Where: Willis-Knighton Alisha Ware, MD South Auditorium When: Thursday, April 8, at 6 p.m. Cost: Free MAN TO MAN PROSTATE EDUCATIONAL GROUP ROBOTIC HEART SURGERY The region’s most sophisticated technology now allows some heart procedures to be performed as minimally invasive heart surgery with shorter recovery time and smaller incisions. Curtis Prejean, MD, cardiovascular surgeon, will explain how the da Vinci Surgical System helps him perform surgery. Reservations required. Where: Willis-Knighton Heart Institute Auditorium When: Tuesday, Feb. 16, at noon Cost: $6 56 AGING GRACEFULLY: WHAT’S BEST FOR GOOD HEALTH? This event features life experiences, group discussion and a special guest speaker. It is cosponsored by the American Cancer Society. Wives and partners are welcome. Reservations required. Where: WK Pierremont Health Center Auditorium When: Thursday, April 29, at 6 p.m. Cost: Free vim & vigor · s p rin g 2 0 1 0 FdVVSP1093_56_Parting.indd 56 12/22/09 4:31:50 PM Willis-Knighton Health System 2600 Greenwood Road Shreveport, LA 71103 Non-Profit Org. US Postage PAID Vim & Vigor What would surgery be like if your surgeon had Superhuman abilitieS? With the da Vinci Si surgical system, it can happen. Superhuman features like intense microscopic vision and precision movements available with the da Vinci Si give surgeons at Willis-Knighton a distinct advantage. Some procedures that were once performed with large incisions can now be performed with small incisions. That means you’ll have a shorter hospital stay, smaller scars, less pain, and, most important, faster recovery. The da Vinci Si robotic surgical system is available at Willis-Knighton Medical Center so that you can get back to your life. www.wkhs.com FdVVSP1093_C4.indd 1 For a qualified surgeon, call Health+Match. (318) 212-9562 12/9/09 5:29:07 PM
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