Feel Better with Firelands
Transcription
Feel Better with Firelands
WINTER 2013 Feel Better with Firelands 3 The Region’s First Senior ER Emergency care designed for patients 60 years and older 4 A Patient’s Story After suffering from GuillainBarré syndrome, Mike was able to walk again. 8 12 Treating Major Depressive Disorder Ask a Healthcare Professional Effective treatments for severe depression Healthcare professionals answer common health-related questions. R Health Talk Celebrate Doctor’s Day! Saturday, March 30 As patients, we rely on our physicians for their compassion and understanding in treating our illnesses and in returning us to the quality of life we have come to enjoy and expect. As a society, we owe our doctors a debt of gratitude for their neverending search for scientific knowledge and new ways to effectively treat disease. When our loved ones or we become sick, there is no other person we rely on more to provide us with hope and answers than our physicians. Doctor’s Day is the ideal time for us to show appreciation to the men and women who provide quality healthcare to us and our loved ones. There are several ways you can recognize and pay tribute to the physicians who have made a difference in your life: 䡲 Send a card to let your doctor know how much you appreciate all he or she does for you. 䡲 The red carnation is the symbol of Doctor’s Day. Drop off a red carnation or bouquet at your physician’s office. 䡲 Send a Tribute Gift to Firelands Regional Medical Center using the attached envelope. Your physician will receive a beautiful card informing him or her that a gift in their honor was made by you in recognition of Doctor’s Day. Donations received from the Doctor’s Day Tribute Gifts will be used to purchase needed equipment and supplies used by Firelands’ physicians and their staff. All Doctor’s Day Tribute Gift donors and their physician designee will be recognized on the Physician Tribute Wall in the main hallway of Firelands’ Patient Tower. For more information about Doctor’s Day and how you can acknowledge a physician, please call 419-557-7150. 2 Dear Community Friend, AS WE BEGIN A NEW YEAR, we would like to take a moment to reflect on what Firelands Regional Medical Center has done this past year to advance healthcare in our community. Some of the highlights from 2012 include: 䡲 Opening of the 5420 Milan Road facility, housing Corporate Health Center, Home Health, Physical Therapy & Lab services; 䡲 Opening of the region’s first Senior ER; 䡲 Offering Laboratory Community Collection Centers in Castalia and Port Clinton; 䡲 Addition of Firelands Physician Group Urgent Care; 䡲 Offering select imaging services at an additional location – 2500 W. Strub Road; 䡲 Introduction of the Health Home Program, where an individual’s medical and mental health care needs are met under one roof; 䡲 Addition of a Population Health Nurse to lead the Medical Center’s efforts to improve the population’s health outcomes. As we switch gears and begin to focus on what’s ahead for 2013, we are pleased to share that Firelands has more plans to meet the growing healthcare needs of our community. Some of what we can expect includes: 䡲 Relocation and building of a new Inpatient Rehabilitation Unit; 䡲 Renovations to the Obstetrics Department, including the building of two ante-partum triage and recovery rooms. As physicians who are affiliated with one of the most progressive and technologically advanced healthcare facilities in the region, we are very proud of the exceptional services and care Firelands Regional Medical Center provides to our patients. We look forward to another year as Firelands continues to attain new achievements and milestones in offering our community and our patients the very best in healthcare. May you enjoy a healthy, happy and prosperous 2013. Sincerely, Fredric H. Itzkowitz, DO Co-Chief, Medical Staff General Surgery Christopher E. Avendano, MD Co-Chief, Medical Staff Pulmonary/Critical Care/Sleep Medicine Emergencies are not planned! According to the American College of Emergency Physicians (ACEP), nearly 100 million people go to the emergency room each year. Be Prepared for an Emergency Have a list of phone numbers such as police and fire, poison control, and your family doctor, ready near the phone. ACEP also suggests a list that includes all your medications and dosages, allergies, insurance information, and family contacts. Firelands Introduces the Region’s First Senior ER Emergency Care Designed for Patients 60 Years & Older AS THE BABY BOOMER GENERATION begins to age, emergency rooms are seeing increasing numbers of older patients, many of whom have multiple health issues or require specific accommodations. In addition, emergency rooms by nature can be busy, noisy, and for some senior patients, somewhat intimidating. To better serve the area’s older residents, Firelands Regional Medical Center has opened the region’s first Senior ER. “The purpose of Firelands Senior ER is to decrease noise, improve privacy, and provide a calmer, less chaotic, and safer environment for patients 60 years and older who are suffering from minor illnesses or injuries,” explains Bill Turton, Director of Firelands Emergency Services. Patients will be assessed by a nurse when they arrive at the Emergency Room at Firelands Regional Medical Center. Older patients with minor illnesses and injuries will be escorted to the Senior ER, but those with more serious medical problems will be treated in the main Firelands Emergency Room. Firelands Senior ER is open daily from 9 am – 9 pm. Firelands Senior ER is designed to accommodate the more complex healthcare needs of the senior patient: 䡲 Review of all medications by a Firelands pharmacist 䡲 Screenings for medical conditions common in older adults 䡲 Coordination of care with other healthcare providers 䡲 Follow-up to ensure a safe transition home 䡲 Specially trained physicians and nurses uniquely qualified to treat conditions affecting older adults Located within the main Emergency Room at Firelands Regional Medical Center, Senior ER is a five-bed unit that provides added amenities for the older patient: 䡲 Quiet & calming atmosphere 䡲 Softer lighting 䡲 Availability of visual & assistive devices 䡲 Thicker mattresses on beds for increased comfort 䡲 Reclining lounge chairs for patients who do not need beds 䡲 Large, private patient rooms spacious enough to accommodate family members 䡲 Private bathroom in each room “Our goal is to reduce our senior patients’ possible anxiety during an ER experience, better understand their condition and medical needs, provide the best possible care, and lower their chance of readmission,” says Turton. “Firelands Senior ER does that and more.” For more information about Firelands Senior ER, visit firelands.com. Recognize an Emergency The American Heart Association points out that most of the damage from a heart attack occurs in the first two hours. But most people wait several hours before seeking help. It is often better to err on the side of caution. Something else to consider – should you drive yourself, have someone else take you, or should you call an ambulance? Remember, with an ambulance if the situation is serious enough, such as a heart attack, stroke, a deep cut, or burn, or your condition could become life threatening, treatment can begin on the way to the emergency room. At the Emergency Room When you arrive, the first person you may see is a triage nurse. They will do a quick exam to decide what your condition is and how quickly you need to be treated. You will probably have to wait to see a physician and it will all depend on your individual situation. Wait time can also depend on how busy it is in the ER. Individuals may also have to wait because they are waiting for tests or x-rays to be performed and then again for the results. If you need to be admitted to the hospital there may be a delay if there aren’t any beds available or just to get the paperwork done. If you do go to the ER, remember to stay calm. The emergency room should not be used as a substitute for routine medical care, but in a true emergency, it can literally be a lifesaver. For more information about emergencies or other health-related topics, visit the Health Library at firelands.com. 3 A Patient’sStory Mike Drumm The first indication something was wrong with Mike Drumm was when he tried to unscrew a bottle of water that had already been opened. MIKE’S HANDS WERE SO WEAK HE COULD NOT DO IT. Unsure as to what was happening he decided to wait to see how he felt the next day. When he climbed out of bed the following morning he had trouble walking. Mike’s wife, Pam, had seen enough. She quickly drove Mike the short few blocks from their Sandusky residence to the Emergency Room at Firelands Regional Medical Center. “After the ER doctors had examined me and asked me several questions, one of them knew right away what I had – GuillainBarré syndrome,” remembers Mike. A relatively rare disease, Guillain-Barré syndrome occurs when the body’s immune system attacks part of the peripheral nervous system. The first symptoms of this disorder include varying degrees of weakness or tingling sensations in the legs. In many instances, the weakness and abnormal sensations spread to the arms and upper body. These symptoms can increase in intensity until the muscles cannot be used at all and the patient is almost totally paralyzed. Usually Guillain-Barré syndrome occurs a few days or weeks after the patient has had a respiratory or gastrointestinal viral 4 infection. Occasionally, surgery will trigger the syndrome. The disorder can develop over the course of hours or days, or it may take up to three to four weeks. It is not known why Guillain-Barré strikes some people and not others or what sets the disease in motion. What is known is that the body’s immune system begins to attack the body itself, causing an autoimmune disease. Three days after he was admitted to Firelands Regional Medical Center, Mike celebrated his 65th birthday. Mike was in intensive care, paralyzed from the neck down, breathing with the aid of a ventilator and receiving nourishment through a feeding tube inserted in his nose. The standard treatment for Guillain-Barré to remove or block the proteins that attack the nerve cells, called antibodies, by using high-dose immunoglobulin therapy (IVIG). The immunoglobulins are added to the blood in large quantities through IVs, blocking the antibodies that cause inflammation. Mike was given six treatments of IVIG. He gradually was able to move again, and after one and a half weeks in ICU, was transferred to the Inpatient Rehabilitation Program at Firelands Regional Medical Center. “Everyone was cheering and there weren’t too many dry eyes when Mike walked less than six weeks after he began rehab.” “I started rehab very strong, really pushing myself, but instead of becoming stronger, I felt weaker,” says Mike. “After a week in rehab I had a relapse and the paralysis happened again. This time, the nerves affected were in my chest and diaphragm, causing me to slowly suffocate.” Mike was given two options – he could receive more IVIG therapy at Firelands Regional Medical Center, or he could be transferred to Cleveland, where he could undergo plasmapheresis, a procedure used to remove the antibodies from the blood. The process involves taking blood from the body, usually from the arm, pumping it into a machine that removes the antibodies, and then sending it back into the body. He chose the plasmapheresis. After spending a week and a half in Cleveland, where he received seven plasmapheresis treatments, Mike returned to the Inpatient Rehabilitation Program at Firelands Regional Medical Center. “When I left Firelands, I told the rehab nurses I would be back. Later I learned that most of them were afraid I wouldn’t. The doctors in Cleveland thought the same thing a few times during my stay there,” remembers Mike. Mike did make it back to rehab, and he surpassed all expectations. “For most of my stay I worked with student therapist Brian Sabo. We hit it off right away. He would push me, I would push back, and he pushed me harder. I credit myself, Brian and my wife for my recovery. We are the ones who turned me around,” says Mike. “When I left Cleveland, the doctors told my wife not to expect me to walk for six months to a year and it might take two years for me to recover completely. When I was discharged after six weeks of inpatient rehab at Firelands I was able to walk with the aid of a walker.” Adds Pam, “Patty Gerber (Brian’s supervisor) and Brian spent many hours and a lot of hard work getting Mike to walk again. Everyone was cheering and there weren’t too many dry eyes when Mike walked less than six weeks after he began rehab. We have never experienced such dedication and commitment to helping someone. Enough can’t be said about the support and encouragement they gave Mike.” Pam and Mike’s gratitude also extend to all the nurses, orderlies, and other rehab team members, including his case manager Donna Furrer. “She is one of the most helpful and kindest people I’ve ever met. Not only did she keep us informed and up-to-date on all issues, but she was very helpful with all our insurance questions and problems,” says Pam. “Dr. Christopher Parnell, Mike’s rehab doctor, was very encouraging. We both admire and respect him.” After being discharged from the Inpatient Rehabilitation Program at Firelands Regional Medical Center, Mike continued his rehab in the outpatient program at Firelands for another four weeks. Six months after his symptoms began, he returned to his job as a process application engineer at JBT Food Tech (formerly Sam Stein Associates) in Sandusky. Mike has since retired. He has little residual effects from his illness. His legs aren’t quite as strong and he cannot straighten the fingers on his left hand. “For some reason my left hand was so swollen I was unable to do therapy. Because of that the tendons shrank, but my fingers still work. I can do about 95% of what I use to do.” Today Mike spends his summers with Pam working seven acres of property they own near Ashland. Pam, a master gardener cultivates several flower gardens, and Mike enjoys mowing the grass and helping Pam however he can. This past winter he began volunteering at Firelands Regional Medical Center in the Inpatient Rehabilitation Program’s physical therapy department, helping the staff as well as offering encouragement to patients. “Rehab can be very tough. I know because I went through it myself. It’s easy to become depressed and discouraged. If I see a patient who is ready to give up I tell them my story and how difficult rehab was for me. Most of the time that makes them work harder, and that makes me feel like I am really helping them. I also like to joke around and get the patients to laugh. Seeing them smile while they’re straining so hard to do an exercise is a great feeling.” What is Inpatient Rehabilitation? Firelands Regional Medical Center Inpatient Rehabilitation offers an intensive therapy program for patients transitioning from the hospital or post-surgery, for example. Patients benefit from their stay on the Inpatient Rehabilitation Unit because: 䡲 Therapy is provided a minimum of 15 hours per week as compared to other facilities that may only provide 3–5 hours of therapy per week; 䡲 Therapies are provided by a consistent staff of Physical, Occupational, and Speech Therapists; 䡲 Physicians are specialized in Rehabilitation Medicine (Physiatry); 䡲 Physicians are accessible daily and medically manage patients compared to other facilities in which physicians are only required to see patients monthly; 䡲 Nurses are Certified and Registered in Rehabilitation Nursing (CRRN); 䡲 RNs are on staff 24/7 compared to other programs where RNs may not be available on every shift; 䡲 There is one RN/LPN and one Rehab Technician for every ten patients–far above the state minimum of one State Tested Nurses Aide (STNA) for every 15 patients. For more information about Firelands Regional Medical Center’s Inpatient Rehabilitation Program, please call 419-557-7836 or visit firelands.com. 5 Firelands 55+ Club Membership is free! Call 419-557-7722 or visit firelands.com Firelands Presents Total Body Joint Protection & Body Mechanics Series May 14, 21 & 28 at 1pm Firelands South Campus Community Resource Room 1912 Hayes Ave., Sandusky FOR VARIOUS REASONS, AS WE AGE WE tend to experience increased joint pain. If joint pain is limiting or preventing you from participating in everyday activities and other activities you enjoy, you will want to attend this three-part series focusing on the back, neck, upper extremities, wrists and hands. Taught by Lanette Acord OTR/L and April Hamlin, PT, the series will cover: 䡲 The mechanics of how our body works in relation to movement in general. 䡲 How to position and move your body to protect from injury or to minimize or decrease pain levels. 䡲 How to complete daily activities with less pain and more endurance. 䡲 Specific exercises to improve mobility and decrease pain. 䡲 Adaptive equipment/tools or methods that will aid in protecting your joints/ increase ease of performing or even decrease pain levels. To register for this free program, call 419-557-7410. You can attend all three presentations or just one or two depending on your interest and schedule. Join us for the Firelands 55+ Club 2013 Luncheon Club Series at the Sandusky Yacht Club Sandusky Yacht Club, 529 E. Water Street, Sandusky Enjoy the Yacht Club’s delicious Wednesday buffet lunch, which includes the following for $15 per person (includes tax/tip; cash or check only please): deluxe salad bar, soup station and rolls, cold cut sandwich bar, hot entrees with at least two meats, vegetables, pasta or fish, assorted desserts, hot tea, iced tea, and coffee. The buffet lunch is from 11:00 am – 12:30 pm and will be followed by a presentation at 12:30 pm. The Luncheon Club program is open to the public and features knowledgeable healthcare providers. We look forward to seeing you there! Early reservations are recommended. Please call 419-557-7840 by the Wednesday prior to the Luncheon Club. MARCH 27 䡲 Speaker: Paul Laffay, DO General Surgeon 䡲 Topic: The latest procedure for the treatment of hemorrhoids APRIL 24 䡲 Speaker: Carlos Lowell, III, DO 䡲 Topic: Staying Mentally Sharp & Positive MAY 22 䡲 Speaker: Michael Canfield VP of Information Systems Firelands Regional Medical Center 䡲 Topic: Managing your Electronic Health Records Travel Opportunities The popular Firelands 55+ Club Tours are a wonderful way to travel our country, both near and far, as well as see the historic cities and towns of our ancestors across the sea. Trips are open to members, non-members, and to travelers of all ages. For more information or a detailed brochure, please call 419-557-7722. EXTENDED TRIPS EXTENDED TRIPS Tunica, Mississippi Casino Capital of the South & Memphis – Home of the Blues Great Trains & Grand Canyons in Sedona, AZ Departing April 14, 2013 Cost: $1,999 per person, double Your trip includes: 䡲 Roundtrip airfare 䡲 8 meals (5 breakfasts & 3 dinners) 䡲 5 night accommodations 䡲 Professional tour director 䡲 Grand Canyon Railway ride through Oak Creek Canyon to the South Rim of the Grand Canyon 䡲 Montezuma Castle National Monument 䡲 Jerome “Wilderness Train” ride through the Verde Canyon 䡲 Admissions per itinerary Discover Cuba Departing October 20, 2013 Cost: $3,999 per person, double Your trip includes: 䡲 Roundtrip airfare 䡲 16 meals 䡲 1 night in Miami 䡲 6 nights in the First Class Melia Habana Hotel 䡲 Professional Tour Guide 䡲 Old Havana Walking Tour 䡲 Bocoy Rum Factory 䡲 Tropicana Show 䡲 Hemingway’s Farm 䡲 Francisco Donatien Cigar Factory 䡲 Admissions per itinerary Departing September 8, 2013 Cost: $545/person, double Your trip includes: 䡲 Motorcoach transportation 䡲 6 nights lodging including 4 nights at a Tunica area Casino Resort 䡲 10 meals (4 dinners & 6 breakfasts) 䡲 Graceland 䡲 Tunica Museum 䡲 Guided Tour of Memphis 䡲 Admissions per itinerary TRAVEL PRESENTATIONS Join us for these no obligation information sessions to learn what will be included on your trip. Firelands South Campus Community Resource Room 1912 Hayes Avenue, Sandusky 䡲 San Antonio – Christmas on the Riverwalk Wednesday, March 20, 2:00 pm 䡲 Discover Cuba! Tuesday, March 26, 10:30 am Registration is appreciated, but not required. Call 419-557-7722. San Antonio – Christmas on the Riverwalk Departing November 18, 2013 Cost: $1,614 per person, double Your trip includes: 䡲 Roundtrip airfare 䡲 7 meals (4 breakfasts & 3 dinners) 䡲 Cruise the Paseo del Rio 䡲 Guided tour of San Antonio 䡲 Tour the LBJ Library, Ranch & Museum 䡲 Visit the Alamo DAY TRIPS Sister Act Playhouse Square, Cleveland 䡲 Tuesday, March 12, 2013 4:30 pm – 11:00 pm Cost: $100 per person Explore Columbus, OH Visit the Phoenix Bat Company, German Village, Krema Nut Company, AnthonyThomas Chocolates, and more! 䡲 Thursday, May 23, 2013 7:30 am – 8:30 pm Cost: $85 per person Bargain Bonanza in Grove City, PA Enjoy shopping at over 140 brand name outlets at Prime Outlets in Grove City, PA. 䡲 Thursday, November 1, 2013 7:30 am – 8:30 pm Cost: $34 per person 7 Discover the Joy of Helping Others Become a Firelands Volunteer Firelands Regional Medical Center volunteers play an integral role in the delivery of patient care in the hospital’s various departments. One in particular, the Firelands Infusion Center, benefits enormously from the assistance of volunteers. Infusion Center nurses and staff administer blood transfusions, IV medications, medication injections, therapeutic phlebotomy and wound care as prescribed by physicians. The department’s need for volunteers has expanded as the number of patient visits has increased. From greeting patients upon their arrival, to collecting charts and assisting with patient needs such as meals, beverages and blankets, the volunteers are a much needed and appreciated part of the infusion care team. For more information about volunteering at Firelands, call 419-557-7460 or visit firelands.com/volunteer. Scheduling is flexible, and can be tailored to your schedule. Firelands Auxiliary Sponsors Cash Club Fundraiser Firelands Regional Medical Center Auxiliary is hosting their fifth annual Cash Club Fundraiser. Each month, two winners will be selected to receive a $100 or $25 cash prize. After the winners are selected their tickets are re-entered into the monthly drawing. Firelands Auxiliary Cash Club tickets are $20 each and can be purchased from any Firelands Auxiliary board member or at the Firelands Main or South Campus Gift Shops through March 14, 2013. Each monthly drawing will be held every third Thursday of the month with the final drawing held in December, 2013. All proceeds from Cash Club tickets will benefit patient care needs and projects at Firelands Regional Medical Center. For more information about Cash Club or joining the Firelands Auxiliary, call 419-557-5471 or visit firelands.com/auxiliary. 8 Vein-Mapping Ultrasound Machine “Funded by the generosity of our donors, this machine, along with three others of its kind, allows surgeons to easily map out vessels and arteries with a probe, making surgeries easier, faster, and less invasive.” WHEN IT COMES TO SURGERY, Firelands Regional Medical Center prides itself on being a top-rated facility providing our area with excellent outcomes. One piece of equipment that helps our surgery department is a vein-mapping ultrasound machine. Funded by the generosity of our donors, this $37,700 machine, along with three others of its kind, allows surgeons to easily map out vessels and arteries with a probe, making surgeries easier, faster, and less invasive. “This has really made a difference in patient care,” says Ann Arnold, RN, CNOR, Area Director, Surgical Services at Firelands Regional Medical Center. “With the new equipment, surgeons are able to fully use their skills and get patients back to good health as quickly as possible.” Each year, the Surgery Department puts in requests for equipment and tools. The vein-mapping ultrasound machine was chosen because of a recent increase in vascular surgery patients, in particular, which Arnold attributes to lifestyle choices. “The population is more overweight than it has been in the past. Poor eating habits and lack of exercise can lead to health issues such as diabetes, which can eventually lead to heart and vascular issues,” explains Arnold. Today, many heart and vascular treatments are non-invasive, allowing for easier recovery and better outcomes. Using equipment like the vein-mapping machine makes this possible, and the fact that Firelands has the technology is another factor that has increased patient volume. Having four of these machines makes it easier to share between the different surgery rooms. “The addition of this new piece of equipment to our department has really made an impact on peoples’ lives,” adds Arnold. Firelands Regional Medical Center Surgery Department performs operations in many different areas and uses the veinmapping machine for specialty surgeries including vascular, neurologic, orthopedic, and general surgeries. For more information on the Surgery Department at Firelands Regional Medical Center visit www.firelands.com. The “Caddyshack” Open Monday, June 24 Four-person Scramble 12 pm Shotgun Start Plum Brook Country Club 3712 Galloway Road, Sandusky Thank You to Our Donors... Your gifts have improved the lives of others. IN 2012, GENEROUS DONORS TO THE FOUNDATION FOR FIRELANDS provided area residents with more than $250,000 in healthcare-related services and amenities. These funds purchased more than 125 mammograms, provided medication assistance to cancer patients and therapies to make their journey through cancer easier. Donations also purchased two total body workout machines for cardiac rehabilitation to help cardiac patients recover faster. Additionally, breast cancer patients received post-mastectomy camisoles and books about living with breast cancer from donations received by The Foundation for Firelands Breast Cancer Fund. One way our donors and their gifts keep Firelands Regional Medical Center on the leading-edge of healthcare is through funding new technology for various departments, such as the vein-mapping ultrasound machine highlighted on page 8. Additionally, the men and women of our Auxiliary have made a huge impact on patient care through proceeds generated in the Firelands Regional Medical Center Gift Shops and through special sales they conduct throughout the year. In 2012, the Firelands Auxiliary provided donations totaling more than $121,000 to purchase: 䡲 A Radio Frequency Machine for the Digestive Health Center; 䡲 New patient beds equipped with smart technology to prevent falls and promote patient safety; 䡲 An Automated External Defibrillator (AED) for Behavioral Health; 䡲 One Urinalysis Analyzer and Plasma Thawer for the Laboratory; 䡲 Electrical Stimulation/Ultrasound Combination with cart for Inpatient Rehabilitation; 䡲 Instruments for Bicep Tendon Repair and Esophageal Dilators for the Surgery Center at 2800 Hayes Avenue. Private funds have also been set aside for newborn starter kits. This program was established as tribute to Airica Mae Benko, and is named in her honor. Her grandparents graciously started the fund to pay tribute to their granddaughter and to provide parents with essential items for babies in need born at Firelands Regional Medical Center. To learn more about the many ways The Foundation for Firelands helps area residents get well and stay well, contact the Development Office at 419-557-7150. Each gift made to The Foundation for Firelands helps strengthen our community through the health of our children, our workforce, and our neighborhoods. For a listing of recent donors, visit the donors section at firelands.com/giving. The Foundation for Firelands can now accept donations online. Gifts made to The Foundation for Firelands may be designated to support a specific department, area of interest, or to the area of greatest need. To make a donation online, visit firelands.com/onlinedonations. The third annual “Caddyshack” Open golf tournament sponsored by KeyBank is a fun and wacky scramble-style outing based on the 80’s movie “Caddyshack”. Raising money and awareness for The Foundation for Firelands Cancer Program Fund, The “Caddyshack” Open will be sure to provide hours of entertainment and laughs. In 2012, The Foundation for Firelands Cancer Program Fund assisted patients by providing patient care expenses. Funds generated from The “Caddyshack” Open and other Cancer Program Fund donations assist with: 䡲 Essential medications for underinsured or uninsured patients; 䡲 Port placement fees to help prevent a delay in treatment for patients qualify for Medicaid assistance; 䡲 Pre-treatment dental care necessary for patients to receive treatments without suffering infections and other complications; 䡲 Massage and Reiki therapies as prescribed by the physician for stress relief; 䡲 Transportation assistance for those living outside of Erie County; 䡲 Educational and survivorship materials; 䡲 Support group activities to promote positivity and healing; 䡲 Nutritional assistance as needed to support treatment and overall health; 䡲 “Journey Bags” provided to all patients when they begin treatment. These bags include personal items such as bottled water, tissues, and hand sanitizer; educational materials, crossword puzzles, a notepad and pen for patients to write down questions or concerns, and other materials as deemed necessary by the staff. Join us in continuing our efforts to help members of our community on their journey through cancer. Space is limited and this event has a history of selling out. To register or to learn about sponsorship opportunities call 419-557-7152. 9 Firelands Regional Medical Center received the following HealthGrades 2013 awards, ratings, and rankings: Spine: 䡲 Ranked #1 in Ohio for Spine Surgery in 2013 (Among the Top 10 in Ohio for 8 Years in a Row, 2006–2013) 䡲 Ranked Among the Top 5% in the Nation for Spine Surgery 䡲 One of HealthGrades America’s 100 Best Hospitals for Spine Surgery™ 䡲 Recipient of the HealthGrades Spine Surgery Excellence Award™ 䡲 Five-Star Recipient for Spine Surgery for 8 Years in a Row (2006–2013) 䡲 Five-Star Recipient for Back and Neck Surgery (except Spinal Fusion) 䡲 Five-Star Recipient for Back and Neck Surgery (Spinal Fusion) for 8 Years in a Row (2006–2013) Orthopedic: 䡲 Ranked #4 in Ohio for Overall Orthopedic Services (Among the Top 5 in Ohio for 4 Years in a Row, 2010–2013) 䡲 Ranked Among the Top 10% in the Nation for Overall Orthopedic Services 䡲 One of HealthGrades America’s 100 Best Hospitals for Orthopedic Surgery™ 䡲 Recipient of the HealthGrades Orthopedic Surgery Excellence Award™ 䡲 Five-Star Recipient for Overall Orthopedic Services for 4 Years in a Row (2010–2013) 䡲 Five-Star Recipient for Hip Fracture Treatment for 4 Years in a Row (2010–2013) Vascular: 䡲 Ranked #4 in Ohio for Vascular Surgery (Among the Top 10 in Ohio for 9 Years in a Row, 2005–2013) 䡲 Ranked Among the Top 5% in the Nation for Vascular Surgery 䡲 Recipient of the HealthGrades Vascular Surgery Excellence Award™ for 4 Years in a Row (2010–2013) 䡲 Five-Star Recipient for Vascular Surgery for 3 Years in a Row (2011–2013) 䡲 Five-Star Recipient for Carotid Surgery for 9 Years in a Row (2005–2013) 䡲 Five-Star Recipient for Peripheral Vascular Bypass for 3 Years in a Row (2011–2013) Find us on Facebook! 10 Firelands Regional Medical Center is Ranked #1 in Ohio for Spine Surgery Several Firelands Regional Medical Center departments received top rankings in the state in a recent report from Healthgrades, the leading provider of information to help consumers make an informed decision about a physician or hospital. According to the report Firelands is: 䡲 #1 in the State of Ohio and in the Top 5% in the Nation in Spine Care 䡲 #4 in the State of Ohio and in the Top 5% in the Nation in Vascular Surgery Outcomes 䡲 #4 in the State of Ohio and in the Top 10% in the Nation for Overall Orthopedic Outcomes The report, American Hospital Quality Outcomes 2013: Healthgrades Report to the Nation, evaluates how approximately 4,500 hospitals nationwide performed on risk-adjusted mortality and complication rates for nearly 30 of the most common conditions treated and procedures performed from 2009 through 2011. Firelands Regional Medical Center worked together with the Neurosurgeons, Orthopedic Surgeons, and Vascular Surgeons on the Medical Staff of Firelands Regional Medical Center to achieve these high quality rankings. “What this means to the patients of Firelands Regional Medical Center and the patients of these surgeons is that the care they receive is performed by some of the nation’s best neurosurgeons, orthopedic surgeons and vascular surgeons at a top-rated hospital in the state of Ohio,” shares Martin Tursky, President & CEO of Firelands Regional Medical Center. “Furthermore, these awards and rankings demonstrate the team effort of the surgeons along with the therapists, nurses and surgical technicians, who provide leading edge care to their patients every day. Firelands is pleased to be able to offer nationally-rated, advanced medical care, close to home.” About Healthgrades Healthgrades independently measures hospitals based on data that hospitals submit to the federal government. No hospital can opt in or out of the analysis, and no hospital pays to be measured. Healthgrades risk adjusts data for patient demographic characteristics and clinical risk factors, thereby taking into account how sick patients are upon admission. More information on the American Hospital Quality Outcomes 2013: Healthgrades Report to the Nation, including the complete methodology, can be found at www.healthgrades.com/quality. Treating Major Depressive Disorder FEELING SAD AT TIMES DOES NOT MEAN YOU HAVE DEPRESSION. But when feel- ings of sadness become so intense that you feel helpless, hopeless, or worthless for longer than a few days you may be suffering from major depressive disorder. Depression can often be successfully treated with antidepressants by your primary care physician, but if you need additional care you can be referred to a board certified psychiatrist who has specific training in treating the disease. “Major depressive order is the number one diagnosis we treat,” says Carlos Lowell, DO, a psychiatrist on the medical staff at Firelands Regional Medical Center. “Depression affects approximately 25% of the adult population at some point in their lives, but with a treatment combination of medications and counseling most people can return to a normal life.” About 70% of Dr. Lowell’s patients are effectively treated with antidepressant medications. There are many different kinds of antidepressants, and if one type does not work, Dr. Lowell can prescribe another or change the dosage. Most people can be treated as outpatients, but if Dr. Lowell believes they would benefit from an inpatient program, he can admit them to the inpatient psychiatric unit at Firelands Regional Medical Center. “Depression affects approximately 25% of the adult population at some point in their lives, but with a treatment combination of medications and counseling most people can return to a normal life.” “Most people feel sad or low at some point in their lives. But clinical depression is marked by a depressed mood most of the day, particularly in the morning, and a loss of interest in normal activities and relationships – symptoms that are present every day for at least two weeks,” says Dr. Lowell. For patients who do not respond to medications, Dr. Lowell can prescribe ECT, or electroconvulsive therapy. Dr. Lowell is the only psychiatrist in the area certified in ECT, which he performs on patients at Firelands Regional Medical Center. ECT is among the safest and most effective treatments available for depression. With ECT, electrodes are put on the patient’s scalp and a finely controlled electric current is applied while the patient is under general anesthesia. The current causes a brief seizure lasting 30 to 60 seconds. ECT is the fastest way to relieve symptoms in severely depressed or suicidal patients. It’s also very effective for patients who suffer from mania, psychosis, and catatonia. “We consider ECT as an option if a patient has not responded after trying three or more antidepressants, the patient cannot tolerate the drugs, or if the patient is psychotic or catatonic,” says Dr. Lowell. “ECT is the most effective treatment for severe depression and works when other treatments fail.” Carlos Lowell, DO Medical Director Department of Psychiatry Firelands Regional Medical Center To make an appointment please call: 419-627-9289 143 East Water St., Sandusky 11 Ask a Healthcare Professional Nutritionally Sweet: Sweet Potatoes! The sweet, orange-colored root vegetable that is often thought of as a yam in the United States is actually a sweet potato. Behind their orange interior, sweet potatoes are chock full of nutrients from which you can easily benefit when prepared properly. In fact, when eaten with the skin on, a medium sweet potato has four times the recommended daily intake for beta carotene. Beta carotene is a precursor to vitamin A, meaning the body coverts it to vitamin A and it plays a vital role in vision, bone development and immune function. Sweet potatoes are also a good source of Vitamin C, manganese, fiber, complex carbohydrates, antioxidants, and are low in calories. Sweet potatoes are as American as apple pie. Native Americans were growing sweet potatoes when Columbus landed in 1492, and by the 16th century, sweet potatoes were being cultivated in the southern states, where they became a staple in the traditional cuisine. The Feel Better with Firelands Healthy Lifestyles program offers website visitors the opportunity to purchase sweet potatoes and other vegetables from the Chef’s Garden®, a small family-owned farm located in Huron, that is dedicated to paving the way to a sustainable future through better, healthier eating. In addition, visitors can download recipes created by the Firelands’ chef, view menu options, and chef’s specials for Firelands Main Campus dining area. Firelands Regional Medical Center is committed to improving the health of those who live, work, and play in our North Central Ohio region. Join Firelands in our commitment to help he residents of the communities we serve develop lifestyles that lead to a healthier tomorrow. Visit firelands.com/healthylifestyles to learn more. 12 Q: A: Why do I feel sick and bloated when I drink milk or eat cheese? For most of us, milk and dairy products are a great source of calcium. But for someone with lactose intolerance, dairy products can produce unwanted symptoms. Lactose is the sugar found in milk. According to the National Digestive Diseases Information Clearinghouse, in order to digest lactose, our bodies must produce an enzyme called lactase. This enzyme is normally produced by the cells that line the small intestine. But some people don’t produce enough lactase. As a result, they can’t really digest the lactose of milk. This in turn leads to a host of symptoms, including: 䡲 Nausea 䡲 Bloating 䡲 Cramps 䡲 Diarrhea 䡲 Indigestion Symptoms usually start about a half-hour to two hours after drinking milk or eating dairy products. Lactose intolerance can be present in childhood; however many people don’t start to develop its symptoms until later in life. According to the International Food Information Council (IFIC), infants are born with high levels of lactase but for most of the world’s population, the levels drop off dramatically as we age. Coping with Lactose Intolerance The symptoms of lactose intolerance can mimic that of other problems. If you suspect lactose intolerance, a doctor can perform several tests to determine if the condition is present. If it is present, there are varying degrees of lactose intolerance. Some people may be able to have small amounts of certain dairy products, such as cheese or yogurt for example. Others may develop symptoms only when dairy products are consumed on an empty stomach. For people with this condition there are several options: 䡲 One is to avoid foods containing lactose. Milk and dairy products are obvious examples of this. However, lactose can be found in other products too, so it’s important to read food labels. For example, an item may contain lactose if the label indicates its ingredients include whey, milk by-products or dry milk solids. 䡲 It’s also important to ask a doctor about finding other sources of calcium. Some of the non-dairy foods that contain calcium include broccoli, kale and fish such as salmon. A doctor may also suggest calcium supplements. 䡲 People who are lactose intolerant may also find non-prescription forms of lactase enzyme to be helpful. Lactase enzyme can be used in drop form, with several drops being added to milk prior to use. Tablets consumed prior to eating dairy products can be helpful too. A doctor or registered dietitian can provide more information on which form of lactase enzyme is most appropriate for an individual. This issue’s answer was provided by: Seth M. Ruggles, DO, Family Practice, Firelands Physician Group CALENDAR of events FEBRUARY 2013 – MAY 2013 PEDIATRIC SPECIALTY CLINICS WOMEN & CHILDREN BABYSITTING COURSE Children 11 years of age and older will learn important safety info and responsibility guidelines when caring for younger children. Firelands South Campus 1912 Hayes Avenue, Sandusky 8:30 am – 4 pm Cost: $65 䡲 Saturday, March 23 䡲 Saturday, June 1 Call 419-557-7840 to register. BREASTFEEDING BASICS Teaches new parents the benefits of breastfeeding and how to successfully breastfeed their baby. Firelands South Campus 1912 Hayes Avenue Sandusky 10 am – 12 pm Cost: $10 – no fee with coupon 䡲 Saturday, March 9 䡲 Saturday, April 13 䡲 Saturday, May 18 Call 419-557-7840 to register. CHILDBIRTH EDUCATION Prepares new parents for childbirth and caring for their new baby. Firelands South Campus 1912 Hayes Avenue Sandusky Cost: $35 䡲 Wednesday March 6, 13, 20 & 27 6 – 8:30 pm 䡲 Friday & Saturday April 19 & 20 6 – 9 pm & 9 am – 4 pm 䡲 Wednesday May 7, 14, 21 & 28 6 – 8:30 pm Call 419-557-7840 to register. CHILDBIRTH REFRESHER Anyone who has previously taken a full childbirth education course may repeat the course for $10. Although welcome to attend an entire course, parents can limit their attendance to select classes of the course, which will provide information the parents may wish to review. Cost: $10 Friday & Saturday Course: Attend Sat. only, 9 am – 3 pm Weekday Course: Attend 2nd and 3rd night of the 4-class course Call 419-557-7840 to register. DIAPERS & DOGGIES Teaches parents how to introduce the family dog to the new baby. Firelands South Campus 1912 Hayes Avenue, Sandusky 6 – 7:30 pm Cost: $20 per family 䡲 Thursday, April 25 Call 419-557-7840 to register. HAPPIEST BABY ON THE BLOCK Parents will learn a step-by-step approach to soothe the fussiest baby. Based on the techniques of worldrenowned pediatrician Dr. Harvey Karp. Cost: FREE Firelands South Campus 1912 Hayes Avenue, Sandusky 䡲 Tuesday, March 19 12:30 – 2:30 pm 䡲 Thursday, May 16 6 – 8 pm Call 419-557-7840 to register. Erie County Health Department 420 Superior Street, Sandusky 䡲 Thursday, April 18 12:30 – 2:30 pm Call 419-626-5623 to register. CPR FOR FAMILY & FRIENDS This course focuses on rescue techniques of CPR and choking for infants and children. Participants will learn appropriate safety guidelines and life-saving procedures. Firelands South Campus 1912 Hayes Avenue, Sandusky 9 am – 12 pm Cost: $10/person or $15/couple 䡲 Saturday, February 23 䡲 Saturday, April 27 Call 419-557-7840 to register. SIBLING COURSE This course prepares children for the upcoming birth of their sibling by helping them feel comfortable with the hospital setting and the visiting routine after birth. Firelands Main Campus 1111 Hayes Avenue, Sandusky 10 – 11:30 am Cost: $10 per family 䡲 Saturday, May 4 Call 419-557-7840 to register. STORK EXPRESS Free program designed to give pregnant women the opportunity to start on paper work that is required during their hospital stay. For any mom-to-be that is at least 34 weeks into her pregnancy. Firelands Main Campus 1111 Hayes Avenue, Sandusky 9 – 11 am 䡲 Saturday, March 9 䡲 Saturday, April 13 䡲 Saturday, May 11 Call 419-557-7840 to register. Monthly specialty clinics for children, staffed by Board Certified Pediatric Specialists. Firelands Main Campus 1111 Hayes Avenue, Sandusky Pediatric Cardiology Clinic Fouad Butto, MD Toledo Children’s Hospital Pediatric Cardiology Specialist Firelands South Campus Outpatient Specialty Clinic 1912 Hayes Avenue, Sandusky Pediatric Epilepsy Clinic Ingrid Tuxhorn, MD Rainbow Babies & Children’s Hospital Pediatric Epilepsy Specialist Pediatric Gastroenterology Clinic Judy Splawski, MD Rainbow Babies & Children’s Hospital Pediatric Gastroenterology Specialist Pediatric Neurology Clinic Max Wiznitzer, MD Rainbow Babies & Children’s Hospital Pediatric Neurology Specialist Pediatric Orthopaedic Clinic George Thompson, MD Christine Hardesty, MD Rainbow Babies & Children’s Hospital Pediatric Orthopaedic Specialist Pediatric Physiatry Virmaire Quinones-Pagan, MD Cleveland Clinic Children’s Hospital Pediatric Physiatry Specialist Pediatric Pulmonology Clinic Daniel Craven, MD, Rainbow Babies & Children’s Hospital Pediatric Pulmonology Specialist Bruce Barnett, MD Toledo Children’s Hospital Pediatric Pulmonology Specialist To schedule an appointment, call: 䡲 Dr. Butto (Cardiology) or Dr. Barnett (Pulmonology): 419-557-7840 䡲 Dr. Quinones-Pagan Pediatric Physiatry Clinic: 216-448-6179 䡲 All Other Pediatric Clinics: 1-800-377-3117 䡲 General Information: 419-557-6767 13 CALENDAR of events FEBRUARY 2013 – MAY 2013 SCREENINGS SUPPORT GROUPS For a listing of support groups, please visit firelands.com or call 419-5577410. FREE BLOOD PRESSURE & BLOOD SUGAR SCREENINGS Screenings are offered at various locations throughout Erie County. For a listing of dates and locations, please call 419-557-7410 or visit firelands.com. 55+ CLUB The 55+ Club is open to all residents 55 years of age and older. Members receive numerous benefits, including a 10% discount in the hospital gift shops. The following programs are specifically for 55+ Club members. Please see page 7 for other Firelands 55+ Club tours and events! HEALTH & WELLNESS SCREENINGS Various screenings offered to community members for a low-cost fee. Cash or check only. Costs: 䡲 Complete Blood Count with Metabolic & Lipid Panel – $45 (No eating or drinking for 12 hours – water allowed) 䡲 Hemoglobin A1C – $25 䡲 PSA – $30 䡲 Saturday, March 9 7 – 10:30 am Firelands Main Campus 1111 Hayes Avenue Sandusky 䡲 Saturday, April 20 7:30 – 9:30 am Office of Dr. Crow 3960 Harbor Light Landing Dr. Port Clinton 䡲 Tuesday, May 14 7:30 – 9:30 am Office of Dr. Ruggles 348 Milan Ave., Ste. 2 Norwalk Call 419-557-7840 to register. MORNING COFFEE VASCULAR & ECHOCARDIOGRAM SCREENINGS Firelands Main Campus 1111 Hayes Avenue, Sandusky 7 – 11:00 am 䡲 Saturday, April 13 䡲 Saturday, June 8 Costs: 䡲 Abdominal Aortic Aneurysm – $40 (8-hour fast required) 䡲 Peripheral Arterial Disease – $40 䡲 Stroke/Carotid Artery – $40 䡲 Echocardiogram – $60 䡲 Package of Two Vascular Tests – $75 䡲 Package of Three Vascular Tests – $110 Call 419-557-7410 to register. EDUCATION FREEDOM FROM SMOKING 14 This 6-week program provides a supportive group environment and teaches a step-by-step method for changing behavior and quitting smoking for long-term freedom. Firelands Main Campus 1111 Hayes Avenue, Sandusky 6 pm 䡲 Tuesdays March 12 – April 16 䡲 Tuesdays May 14 – June 18 Call 419-557-6151 to register. HEALTHCARE PROVIDER CPR This course provides information for healthcare providers who currently do not have certification. Firelands South Campus 1912 Hayes Avenue, Sandusky Cost: $50 (includes textbook) 8 – 11:30 am 䡲 Thursday, February 21 䡲 Wednesday, March 20 䡲 Thursday, March 28 䡲 Tuesday, April 9 䡲 Wednesday, April 24 䡲 Wednesday, May 22 䡲 Thursday, May 30 䡲 Tuesday, June 4 1 – 4:30 pm 䡲 Monday, March 11 䡲 Monday, May 6 Call 419-557-6740 to register. HEARTSAVER FIRST AID WITH CPR/AED This full provider course covers adult, child and infant CPR plus AED usage, and also obstructed airway. Firelands South Campus 1912 Hayes Avenue, Sandusky 8 am – 1:00 pm Cost: $90 (includes textbook) 䡲 Wednesday, March 13 䡲 Wednesday, April 17 䡲 Wednesday, May 15 Call 419-557-6740 to register. Free blood pressure and blood sugar screenings. Special 55+ Club rate. Blood cholesterol for $7. Fasting lipid profile for $17. Firelands South Campus Community Resource Room 1912 Hayes Avenue, Sandusky 䡲 First Wednesday of every month 8 – 10 am LUNCHEON CLUB Held at Sandusky Yacht Club 529 E. Water Street, Sandusky Firelands presents a speaker at 1 2:30 pm. Please call 419-557-7840 or 1-800-342-1177 a week in advance to make your reservation. See our schedule on page 6. CALENDAR of events FEBRUARY 2013 – MAY 2013 HONEY BAKED HAM SALE COMMUNITY EVENTS & PRESENTATIONS Place your order for Honey Baked Hams. Orders will need to be picked up on Thursday, March 28. Firelands Main Campus 1111 Hayes Avenue, Sandusky 䡲 Friday, March 22 8 am – 4 pm Call 419-557-5470 for more information. SPORTS MEDICINE SEMINAR Ohio Dept. of Education approved First Aid training for coaches needing a Pupil Activity Supervisor’s Permit. Firelands Main Campus Mylander Conference Center 1111 Hayes Avenue Sandusky 5 – 7 pm Cost: $20 䡲 Monday, May 13 Call 419-557-7329 to register or for more information. MASQUERADE JEWELRY SALE The latest trends in jewelry and accessories. All items are $5. Firelands Main Campus 1111 Hayes Avenue, Sandusky 䡲 April 24, 25 & 26 8 am – 4 pm HIDDEN DANGERS OF TECHNOLOGY Learn how technology could negatively be affecting your health. Great Wolf Lodge 4600 Milan Road Sandusky 6 – 7:15 pm Cost: $15 Includes heavy Hors d’oeuvres, dessert & beverage 䡲 Thursday, March 21 Call 419-557-7410 to register. WOMEN’S HEALTH PROGRAM – GOT PAIN? Learn how to reduce pain and inflammation though diet. Sandusky Yacht Club 529 E. Water Street Sandusky 5:30 – 7:30 pm Cost: $18 (Includes dinner) 䡲 Thursday, April 25 Call 419-557-7410 to register. JOINT PROTECTION 3-week program will teach proper body mechanics and tips to protect your joints from everyday tasks. Firelands South Campus 1912 Hayes Avenue, Sandusky 1 – 2 pm Cost: FREE 䡲 Tuesday, May 14, 21 & 28 Call 419-557-7410 to register. WATER SAFETY – IMPORTANCE OF HYDRATION Learn the importance of hydration during activities and hot weather. Great Wolf Lodge 4600 Milan Road, Sandusky 6 – 7:15 pm Cost: $15 Includes heavy Hors d’oeuvres, dessert & beverage 䡲 Thursday, May 23 Call 419-557-7410 to register. AUXILIARY/GIFT SHOP SALES & EVENTS BOOKS R FUN Featuring a wide variety of new books at prices up to 70% off retail value. Firelands Main Campus 1111 Hayes Avenue, Sandusky 䡲 Thursday, March 14 8 am – 4 pm Firelands South Campus 1912 Hayes Avenue, Sandusky 䡲 Tuesday, May 7, 8 am – 4 pm Find us on Facebook! 15 NON-PROFIT ORG. U S POSTAGE PAID SANDUSKY, OH 44870 PERMIT NO. 11 1111 Hayes Avenue Sandusky, OH 44870 Pork Tenderloin with Roasted Sweet Potatoes Serving Size: 3 ounces of pork, 1 cup of sweet potatoes Servings per Recipe: 6 Prep Time: 25 minutes Cook Time: 50 minutes Standing Time: 5 minutes Non-stick cooking spray 2 pounds of sweet potatoes, cut into 1-inch pieces 1 cup orange juice 2 teaspoons dried oregano, divided in half 2 tablespoons vegetable oil 2 teaspoons finely chopped garlic ½ teaspoon salt ½ teaspoon ground black pepper 1–½ pounds pork tenderloin, trimmed of all excess fat 䡲 Preheat oven to 400°F. Lightly spray a 13x9 inch baking pan with non-stick cooking spray. 䡲 Place sweet potatoes into the baking pan. Combine orange juice and 1 teaspoon of oregano in a small bowl and pour over potatoes. Combine vegetable oil, garlic, remainder of oregano, salt and pepper in a small bowl. Coat pork with oil mixture. Place seasoned pork tenderloin on top of sweet potatoes. 䡲 Cover pan tightly with aluminum foil and bake for 35 minutes. 䡲 Increase oven temperature to 425°F. Remove foil and bake uncovered for 10 to 15 minutes, until internal temperature of pork reaches 145°F. Let pork stand for 5 minutes before slicing. Nutrition Information Serving Size: 1/6 of recipe Amount per Serving: Total Calories Total Fat Saturated Fat Monounsaturated Fat Polyunsaturated Fat Cholesterol Sodium Carbohydrate Protein Fiber 320 calories 8 grams 2 grams 13 grams 3.5 grams 62 milligrams 290 milligrams 37 grams 25 grams 5 grams Information compiled from data in the USDA National Nutrient Database for Standard Reference, accessed 12/17/12. Feel Better with Firelands® is published by the Marketing Department of Firelands Regional Medical Center. Reproduction or use without written permission of written or pictorial content in any manner is prohibited. This publication is for informational purposes only and should not be relied upon as medical advice.