Autumn 2013

AUTUMN 2013
Feel Better
with Firelands
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10
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Firelands Spine Center
A Patient’s Story
Concussion Clinic
Now offering chiropractic, massage
and acupuncture services
Darlene could no longer ignore her
condition when she woke up one
night unable to breathe...
Providing the gold standard of
care in concussion treatment
Ask a Healthcare
Professional
Healthcare professionals answer
common health-related questions
R
Health Talk
Dear Community Friend,
AS WE BEGIN TO SETTLE INTO THE COOLER MONTHS OF THE YEAR and we become
busy with the hustle and bustle of the holidays, it’s important that we do not forget
about our health and wellness and get a start on our New Year’s resolutions.
The best way to start is by establishing a primary care provider (either family medicine
or internal medicine). This is a physician whose role is to focus on your overall wellness,
including making sure you get regular health screenings which can help with early detection
of any underlying health issues.
Firelands.com
Has a New Look!
The Firelands Regional Medical Center
website—firelands.com—recently got a
sleeker, more modern look. This simplistic
design makes it easier for you to find the
information you are looking for.
New features to firelands.com include
options for visitors to receive My Health
e-newsletters, which provide health
information on selected topics and news
from Firelands. In addition, there is also
a pregnancy e-newsletter, providing
expectant parents with timely tips, articles
and practical interactive tools that can
help take some of the worry out of this
time in their lives, as well as a new parent
e-newsletter which offers information
related to the growth of a new baby.
Other new features include a location
finder and capabilities for online
donations to The Foundation for
Firelands. Additionally, the new website
offers a mobile version for individuals to
access the site from their smart phones
or tablets.
The new firelands.com also contains some
of the features from the previous site, such
as a calendar to register for classes and
events, a health library and physician
directory, which have been enhanced
to make them more user-friendly.
We encourage you to visit the new
firelands.com!
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Another important element is physical activity – at least 30 minutes five days per week.
Exercise is necessary for good cardiovascular health, metabolic function and weight
maintenance, lymphatic system function, muscle tone/bone density/joint function
and it aids in positive mental health.
It is also critical to pay attention to your nutrition, especially during the colder seasons
and at the holidays. This tends to be a time when we look for the fattening comfort
foods and are faced with endless amounts of sweets. Make sure you are choosing
foods that are lower in calories and fat, moderate in carbohydrates and high in fiber.
In addition, make sure you are getting a good amount of Vitamin D. During this time
of the year as the daylight is shorter, it can lead to a Vitamin D deficiency and is more
likely to turn into the winter blues. You can read more about the winter blues on Page 12.
With a little motivation, you can maintain good health as you enter the New Year.
Arm yourself with some tools for success:
Keep a diary: write your motivators daily
Have a partner to be accountable to
Include your family – children copy adult behavior
Have a meal-planning calendar and let the family fill in with their healthy favorites
Break activity into smaller increments if time is limited
And remember, we must work towards preserving wellness and good health; each day
living healthy and well is priceless.
Sincerely,
Fredric H. Itzkowitz, DO
Co-Chief, Medical Staff
General Surgery
Christopher E. Avendano, MD
Co-Chief, Medical Staff
Pulmonary/Critical Care/Sleep Medicine
Spine Center
Continues to Grow
New:Chiropractic & Acupuncture
FIRELANDS REGIONAL MEDICAL CENTER
SPINE CENTER, which offers the region’s
only comprehensive team-based approach
for back, neck and spine care, has added
chiropractic, massage and acupuncture
services to its treatment options.
According to Vicenta C. Gaspar-Yoo,
MD, MBA, medical director of the Spine
Center, “not all spinal conditions are
treated with surgery, and not all patients
want to have surgery. Chiropractic and
acupuncture services were added to give
patients more options for their conservative non-surgical care. We are the only
Spine Center in the area that offers such a
comprehensive range of services. At the
Spine Center, neurosurgeons, physiatrists,
chiropractors, acupuncturists and physical therapists work together to provide a
team approach to treatment.”
Acupuncture, which is the insertion of
very fine needles on various points on the
body’s surface to influence physiological
functioning of the body, is provided at the
Spine Center by Lisa Wilson, Dipl. OM, L.Ac.
The National Institute of Health and the
World Health Organization have recognized acupuncture and Oriental medicine
as an effective treatment for numerous
common ailments, including:
Arthritis, fibromyalgia, back pain,
carpal tunnel and headaches
Allergies, asthma and other
respiratory problems
Gastrointestinal issues
Gynecological problems including
infertility, PMS and issues related
to menopause
Depression, anxiety, insomnia & stress
Chiropractic services, which use
manual adjustments to treat various
musculoskeletal and nervous system
complaints, are provided by Kiley B.
Dill, DC. Common ailments Dr. Dill
treats include:
Headaches and migraines
Joint pain and stiffness
Back pain, neck pain, whiplash
Numbness and tingling in the hands
Pain in extremities
Sciatica
Carpal tunnel syndrome
Rib pain
Radiculopathy
Scoliosis
Firelands Offers
the Area’s Only
Comprehensive
Spine Center
Firelands Regional Medical Center
Spine Center was established to provide
comprehensive spinal care, all in one
location, to members of our community
afflicted with back and neck pain. As
the area’s only comprehensive, team
based approach to spinal care, the
Spine Center offers:
Neurosurgery Services:
Back, Neck & Peripheral
Nerve Surgeries
Disk Replacement
Physical Medicine Services:
Treating Pain, Injuries, Post-Surgery,
Rehabilitation
Electrodiagnostics
Physical Therapy Services
Acupuncture Services
Chiropractic Services
Massage Therapy
Massage therapy services are provided by
Amber Brotzki.
The Firelands Regional Medical Center Spine Center
703 Tyler Street, Suite 350, Sandusky
To schedule an appointment, please call
419-55-SPINE (419-557-7463)
To learn more, visit firelands.com/spine
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A Patient’sStory
DARLENE ROEDER HAS LED A LIVELY, FASCINATING LIFE. Born and raised
Darlene could no longer
ignore her condition when
she woke up one night
unable to breathe...
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in Sandusky, she left her native city in 1979 to pursue a variety of business
opportunities ranging from livestock auctions to pawn shops in Idaho,
Washington, Colorado and Florida. The 71-year-old mother, grandmother
and great-grandmother, returned to Sandusky in 2005 to be closer to family.
Although retired, Darlene immersed herself in her hobbies, including
ball-room dancing, painting and traveling.
“I’m the type of person who can’t wait to get up in the morning because
there are so many fun things to do,” says Darlene in describing herself.
So last January when she began feeling tired all the time she could not
understand what was wrong with her.
“At times I was so tired I couldn’t get off the couch. I thought maybe
that’s what happens when you turn 71. I was making all kinds of excuses
for my lack of energy,” she recalls.
She no longer could ignore her condition when she woke up one night
unable to breathe. Frantic, she propped herself on a pillow, thinking that
would help. When she still found no relief she went to the Firelands Emergency Room. She was admitted and underwent several tests over the next
few days. An ultrasound of Darlene’s heart revealed that the bottom
half was only ejecting 20% of the blood that was being pumped into it.
Her diagnosis: congestive heart failure.
“I was enjoying life, having a
good time when the rug was pulled out
from underneath me. I wasn’t sure
what to do and I was scared.
The people at the Firelands
Heart Failure Clinic
have been wonderful.”
Congestive heart failure occurs when the
heart’s pumping power is weaker than
normal. With heart failure, blood moves
through the heart and body at a slower
rate, and pressure in the heart increases. As
a result, the heart cannot pump enough
oxygen and nutrients to meet the body’s
needs. The chambers of the heart may
respond by stretching to hold more blood
to pump through the body or by becoming stiff and thickened. This helps to keep
the blood moving, but the heart muscle
walls may eventually weaken and become
unable to pump as efficiently. As a result,
the kidneys may respond by causing the
body to retain water and salt. If fluid
builds up in the arms, legs, ankles, feet,
lungs, or other organs, the body becomes
congested, and congestive heart failure is
the term used to describe the condition.
To treat her disease, Darlene takes several
medications and has adopted a salt-free
diet. She must also strictly monitor her
fluid intake and closely watch her weight
to insure that she is not retaining water. To
help her manage her congestive heart failure, Darlene’s cardiologist, Scott Sheldon,
DO, of North Ohio Heart Center, referred
her to the Firelands Heart Failure Clinic.
According to Heart Failure Clinic Operations Director Jim Spicer, Pharm.D.,
C.A.C.P., the clinic staff works together
with heart failure providers to provide
optimal management of their patients.
“Evidence has shown that outpatient
heart failure clinics reduce morbidity,
mortality and health care costs. The clinic
focuses on patient education and adherence in an effort to reduce hospital readmissions and improve patient quality of
life. Our goal is to empower and educate
patients to help them and their physicians
better manage their condition.” For Darlene,
the Heart Failure Clinic has been a lifesaver.
“I was enjoying life, having a good time
when the rug was pulled out from underneath me. I wasn’t sure what to do and
I was scared. The people at the Firelands
Heart Failure Clinic have been wonderful.
They answer all my questions, check my
blood pressure and make sure I’m not retaining water. I take all the classes offered on
medications, nutrition and exercise. I always
feel better mentally and physically when I
leave the clinic.”
Because of her faithfulness to her
medications and diet, Darlene’s heart
function has improved, increasing from 20
to almost 50%. As a result, she is once
again enjoying her many interests and
hobbies. She is painting a series of scenes
capturing her childhood growing up on
Big Island, east of Sandusky; is planning a
trip to the Caribbean and spends weekend
nights dancing with her friends at various
area venues. She is studying Spanish and
taking creative writing classes as well as
volunteering at Stein Hospice.
“The Heart Failure Clinic has helped me
so much. I don’t know what I would do
without it and the wonderful staff who
work there,” says Darlene.
Firelands Regional
Medical Center
Receives Vascular
Testing Accreditation
by IAC
Firelands Regional Medical Center has
been granted a three-year accreditation
by the Intersocietal Accreditation
Commission (IAC) in Vascular Testing in
the areas of Extracranial Cerebrovascular
Testing, Peripheral Venous Testing and
Peripheral Arterial Testing.
Accreditation by the IAC means that
Firelands has undergone a thorough
review of its operational and technical
components by a panel of experts. The
IAC grants accreditation only to those
facilities that are found to be providing
quality patient care in compliance with
national standards through a comprehensive application process including detailed
case study review.
Firelands Regional Medical Center’s
vascular surgery program provides
quality care as proven by the long list
of recognition it has received over the
years with top national and state
rankings to name a few.
To learn more about the vascular
services at Firelands Regional Medical
Center, visit firelands.com/vascular.
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Firelands 55+ Club
Membership is free! Call 419-557-7722 or visit firelands.com
Join us for the Firelands 55+
Club Luncheon Club Series
Sandusky Yacht Club
529 E. Water Street, Sandusky
Enjoy the Yacht Club’s delicious Wednesday buffet
lunch, which includes the following for $15/person
(includes tax/tip; cash or check only please): deluxe salad
bar, soup station & 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. (There is no Luncheon Club in
November, December or January.)
FEBRUARY 12
Speaker: Lisa Wilson, Dipl.OM, L.Ac.
Acupuncturist with Firelands Spine Center
Speaker: Vicenta Gaspar-Yoo, MD, MBA
Vicenta Gaspar-Yoo, MD, MBA
Medical Director of Firelands Spine Center
Topic: Accupuncture – how it can aide in recovery and healing
Acupuncture: What is it? How can it help?
MORE AND MORE PEOPLE ARE TURNING TO ACUPUNCTURE
for pain relief and the treatment of other health issues. But what
is acupuncture and how can it help you?
Acupuncture is a component of Traditional Chinese Medicine,
which is a holistic medical system that has developed over the last
2500 years used to maintain health and treat a wide range of
illness. The other four branches (or pillars) of Traditional Chinese
Medicine are herbology, bodywork, nutrition and movement
therapy. The focus of Traditional Chinese Medicine is on the
patient’s well-being, rather than treating specific, isolated
symptoms. As a holistic medicine, the goal of Traditional Chinese
Medicine is to restore balance between a person’s physical,
emotional and spiritual aspects.
“Acupuncture is more than inserting needles in the body,”
explains Lisa Wilson, Dipl. OM., La.C., a nationally-certified,
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state-licensed acupuncturist. “It’s based on the knowledge that
living beings have a vital energy, called "qi," that circulates through
12 invisible energy lines known as meridians on the body. Each
meridian is associated with a different organ system. An imbalance
in the flow of qi throughout a meridian is how disease begins.
Acupuncturists insert needles into specified points along meridian
lines to influence and restore balance to the flow of qi.”
Lisa, who provides acupuncture at the Firelands Spine Center and
at her private practice in Sandusky, will be the guest speaker at the
February 12 Luncheon Club. The presentation will begin with an
introduction to the Spine Center by Vicenta Gaspar-Yoo, MD, MBA,
the center’s medical director. Lisa will then discuss acupuncture,
traditional Chinese medicine and how it can help you.
See the article below for more information on the Firelands
55+ Club Luncheon Club series.
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
Venice & the Italian Lakes
Departing March 31, 2014
Cost: $2,999/person, double
Your trip includes:
Roundtrip Airfare
10 Meals
Professional Tour Guide
Motorcoach Transportation
7 nights in Lecco, Italy
on Lake Como
City tour of Milan
Lake Como Cruise
Romeo & Juliet’s Balcony
Bellagio & Verona, Venice
Venice Gondola Ride
Doge’s Palace
& St. Marks Basillica
Lugano, Switzerland
Monte Bre Cable Car
Niagara Falls & Toronto
Departing June 9, 2014
Cost: $559/person, double
Your trip includes:
Motorcoach transportation
4 nights lodging
8 meals
Guided tours of Niagara Falls & Toronto
A Journey to the Falls on a “Hornblower
Niagara Cruise”
Gaming at Fallsview Casino
Visit to Niagara-on-the-Lake
& Queen Victoria Park
Visit to Casa Loma –
Canada’s most magnificent castle
TRAVEL PRESENTATIONS
Join us for these no obligation information
sessions to learn what will be included on
your trip.
Registration is appreciated by not
required. Call 419-557-7722.
Firelands South Campus
Community Resource Room
1912 Hayes Avenue, Sandusky
The Presidents &
Founding Fathers Tour
Canadian Rockies
& Glacier National Park
Departing August 6, 2014
Cost: $2,699/person, double
Your trip includes:
Head-Smashed-In Buffalo Jump
Waterton Lakes National Park
Glacier National Park
1930’s Red Jammer Touring Cars
Going-to-the-Sun Highway
Kootenay National Park
Banff Area Tour
Moraine Lake & Valley of Ten Peaks
Lake Louise & Victoria Glacier
Peyto Lake
Icefields Parkway
Athabasca Glacier Ice Explorer
“Oh Canada, Eh?!” Dinner Show
The Presidents &
Founding Fathers Tour
Departing October 13, 2014
Cost: $830/person, double
Your trip includes:
Motorcoach transportation
Hotel accommodations
(includes breakfast)
4 dinners
Old Alexandria Ghost Tour
Mount Vernon
Monticello
Montppelier
Ashlawn/Highland
Flight 93 Memorial
Admissions per itinerary
Monday, November 11, 2013, 1:30 pm
Departing October 13, 2014
Venice & the Italian Lakes
(Featuring 7 nights on Lake Como)
Tuesday, December 17, 2013, 2 pm
Departing March 31, 2014
DAY TRIPS
OSU Stadium Tour
Enjoy a guided tour of the OSU Horseshoe
Football Stadium, including the suites, press
box, visitor’s locker room, band room, VIP
lounge and will end by going through the
tunnel onto the field. Lunch will be at the
Spaghetti Warehouse and will also include
a visit to the North Market (bring a cooler).
May 2014
(Exact date & time to be determined)
Cost: $99/person
(approximate; subject to change)
The International Tour of Cleveland
Enjoy a tour of Cleveland, including
Unique Art Deco Building, Cleveland
Stockyards, Gordon Square Arts District,
Warehouse District, Terminal Tower and
Woolworth’s Store.
Thursday, July 10, 2014
8 am – 6:45 pm
Cost: $90/person
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2013
Annual Appeal
Firelands Regional
Medical Center
physicians, nurses
and staff could not
have saved Dan
Rupp’s life without
YOUR help!
The Foundation for Firelands 2013
Annual Appeal will benefit patients
served by the Firelands Regional Medical
Center Heart Center.
Gifts to the 2013 Annual Appeal help
your family, friends, neighbors and loved
ones like Dan receive excellent cardiovascular care close to home.
Thank you in advance for making a taxdeductible contribution by December 31
that just might save the life of someone
you love.
For more information on how you can
make a gift today call 419-557-7152
or visit FoundationForFirelands.com.
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IT WAS JUST ONE HOUR INTO THE
WORKDAY on Monday, September 16,
2013. Dan Rupp had just come out of his
usual Monday meeting at International
Automotive Components in Huron. The
healthy 41-year-old dad of four was waiting for his co-worker and decided to sit
down in a back corner of the plant. All of
a sudden, he began to perspire and he felt
short of breath.
“I suddenly felt a squeezing sensation in
my chest,” Dan said. “I don’t remember
anything after that.”
Dan was in full cardiac arrest. Thankfully, his coworkers immediately called
9-1-1 and just as he began to arrest, emergency personnel arrived. That was the first
time medical professionals had to shock
his heart back to life…the first of more
than 15 times medical professionals
would save Dan’s life that day.
On the way to Firelands Regional Medical Center Emergency Room, the EMS
team transmitted Dan’s EKG to the ER
staff using the LIFENET® system, purchased by donated funds to the Firelands
Regional Medical Center Heart Center in
2011. This nearly-instant transmission of
information meant the emergency room
and Cath Lab staff could provide faster
care. When Dan came into the Emergency
Room, he coded several more times.
Afterward, the staff told Dan his heart
stopped for more than 19 minutes at one
point, and the nurses and physicians had
to administer CPR to keep him alive.
Once in the Cath Lab, Dr. Ryan Christofferson, an interventional cardiologist, and
the staff had to slowly thread a wire into
Dan’s heart, stopping more than a dozen
times to shock his heart into working
again. One of the pieces of equipment
used to rest Dan’s heart was an intraaortic balloon pump, purchased in 2013
through donations made to the Firelands
Heart Fund.
“Everyone was working hard to keep
him with us… and no one was giving up,”
said Bill Turton, director of emergency
services at Firelands. “One of the nurses was
shouting to Dan to ‘keep fighting’. She was
his most vocal cheerleader, and I think he
heard her.”
“Thank you for going the extra mile,”
Dan says to everyone who saved his life.
“I’m so grateful for the care I received at
Firelands. If any of you would’ve given up,
I wouldn’t be here today.”
Taking stock
at year-end...
& giving it!
THE END OF THE YEAR IS A POPULAR
TIME FOR GENEROUS INDIVIDUALS TO
TAKE STOCK OF THEIR MANY BLESSINGS,
and to provide a “gift” to their favorite
charitable organizations. These charitable
gifts provide the donor with a good feeling from helping others, in addition to
tax benefits which may be realized the
following April.
Many people own appreciated stock–
stock that has risen in value over time.
Historically, year-end is a popular time
for making stock gifts. In fact, most stock
gifts occur during the fourth quarter of
the year. Many thoughtful donors review
their stock portfolio and select those
stocks which have appreciated the most
and which have been held for more than a
year. These donors give stock instead of
cash because they have discovered the
value and enjoyment of stretching their
giving power by giving the appreciation.
And, after all, the more they can prudently
give to help the worthy efforts of The
Foundation for Firelands, the better they
feel.
Have you considered making a gift of
appreciated stock to The Foundation for
Firelands? It may be a better option for
you than making a gift of cash. To learn
more about this, you may want to talk
with your CPA and investment advisor.
If you would like to make a gift of
appreciated stock, please call Alice
Springer in the development office
of The Foundation for Firelands at
419-557-7151.
Volunteering
Join the Firelands Regional Medical Center
Volunteer Team and discover how helping
others can benefit you as well!
Recent studies show that people who
volunteer are physically and emotionally
healthier and live longer. Did you know
that volunteering can also help you:
Learn or develop a new skill
Become a part of your community
Earn a sense of achievement & fulfillment
Develop new interests and hobbies
Meet new people
At Firelands Regional Medical Center,
volunteers are an essential part of our
healthcare team. They serve in
departments throughout the hospital,
filling positions ranging from patient care
services to clerical duties.
Firelands Volunteers Enjoy
Numerous Benefits Including:
Meal allowance
Educational benefits
Gift Shop discounts
Advanced notice on Gift Shop sales
Recognition and holiday banquets
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.
A Candle for Every
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Yankee Candles are now available at the
Gift Shop at Firelands Main Campus.
Be sure to stop in each month to find
out which scents are featured in the
“Scent of the Month Promotion.”
For WoodWick Candle lovers, you can still
purchase your candles at the Tyler Street
Boutique at Firelands Regional Medical
Center or the Gift Shop at Firelands
South Campus.
Proceeds from items bought at the
Firelands Regional Medical Center Gift
Shops, special fundraising events, and
donations make it possible for the
Firelands Auxiliary to purchase
equipment for the hospital.
For more information about donating
to or joining the Firelands Auxiliary, call
419-557-5471 or visit firelands.com.
9
Sports Injury Concussion Clinic
FIRELANDS PHYSICIAN GROUP AND
FIRELANDS REGIONAL MEDICAL
CENTER RECENTLY TEAMED UP to
provide the area with a comprehensive Sports Injury Concussion Clinic.
The clinic came in response to heightened
awareness to the dangers of concussions in
athletes and because of a bill signed into
law by Gov. John Kasich designed to ensure
that student athletes suffering from concussions are treated appropriately.
“The bill requires that parents, youth
coaches and officials receive education
about the symptoms of concussion, and
that a young athlete who shows such
symptoms be immediately removed from
a practice or game. The student cannot
return to competition unless cleared by a
physician,” explains Christopher Parnell,
DO, physiatrist and director of the Concussion Clinic. “Concussions affect everybody differently so prompt recognition and
removal from play are critical in protecting
the athlete who has suffered a concussion.”
The Firelands Sports Injury Concussion
Clinic provides preseason education and
computer baseline testing, initial injury
assessment/evaluation, physical therapy intervention to include vestibular and balance
evaluation/treatment, athletic and academic
recommendations with supervised exercise
progression program, and clearance for safereturn-to-play sports participation.
Unique to the clinic are the availability
of consultation with a neuropsychologist
and the integration of physical therapy
and athletic training into the patient’s
treatment plan.
“Any of the concussion research material clearly states that consultation with a
neuropsychologist is the ‘gold standard’
when it comes to evaluating and treating a
Concussion Clinic &
Sports Medicine Clinic Hours:
Monday –Thursday
1:30 – 4:30pm
10
head or brain injury,” explains Bill Gosser,
PTA, ATC, CSCS, lead athletic trainer and
physical therapist assistant, with Firelands
Regional Medical Center. “Our clinic allows
athletes to have that high standard of
concussion care without having to leave
the area.”
Through the Concussion Clinic, physical therapy can evaluate and treat any
vestibular or balance issues associated with
concussions and can also provide medical
supervision for a 5-Step Graduated Exertional Return to Play Program, which allows
a gradual increase in volume and intensity.
The athlete is monitored for any concussionlike symptoms or signs during and after
each physical activity.
“You can recover from a concussion
if you give yourself enough time to heal,”
says Gosser. “The law is intended to promote
safe play, and our program ensures that
student athletes recover fully before they
return to the field.”
The Concussion Clinic also serves adults
and children who suffer a concussion due
to car accidents or falls.
Physician referral is not required, but
the Concussion Clinic treatment team
will work closely with the patient’s
primary care physician.
Christopher Parnell, DO
Board Certified in Sports Medicine
Board Certified in Physical Medicine
& Rehabilitation
Jeff Biro, DO
Board Certified in Internal Medicine
Former U.S. Olympic Team Physician
Nick DenBesten, Ph.D.
Board Eligible, American Board
of Clinical Neuropsychology
Specialization/Special Certification:
Traumatic Brain Injury & Stroke
Matt Hamlin, PT, ATC, CWCE
Physical Therapist
Certified Athletic Trainer
Bill Gosser, PTA, ATC, CSCS
Certified Lead Athletic Trainer
Physical Therapist Assistant
Jordan Bowers, ATC
Certified Athletic Trainer
Firelands Regional Medical Center
703 Tyler Street, Suite 352, Sandusky
For an appointment, call:
419-55-SPORT (557-7678)
Saturday Walk-in hours available
8 am to 12 pm, at Firelands Regional
Medical Center facility, located at
5420 Milan Road, Sandusky.
SIGNS OF CONCUSSION
Headache
Nausea or vomiting
Dizziness or balance problem
Fatigue or drowsiness
Light / Noise Sensitivity
Anxiety
Neck Pain
Tinnitus (ringing/buzzing in ear)
Firelands Counseling &
Recovery Services Plus
FIRELANDS REGIONAL MEDICAL CENTER RECENTLY INTRODUCED FIRELANDS COUNSELING AND RECOVERY
SERVICES PLUS in Erie, Huron and Ottawa
counties. The program is a joint effort
between Firelands Counseling and Recovery
Services and Firelands Physician Group
to provide behavioral healthcare services
and primary medical care in one location
to people with severe mental illness.
Firelands Counseling and Recovery
Services Plus is made possible by a grant
from the Substance Abuse and Mental
Health Services Administration (SAMHSA)
with additional funding provided in part
by the Mental Health and Recovery Board
of Erie & Ottawa Counties and the Huron
County Board of Mental Health and Addiction Services.
“Research shows that people with severe
mental illness die about 25 years earlier
than the general population – mostly from
untreated and preventable chronic illnesses
such as hypertension, diabetes, obesity and
cardiovascular disease,” explains Julie Herrig,
MA, PCC, director of Firelands Counseling
and Recovery Services Plus. “Considering
that some research suggests 50% people
with serious mental illness smoke, 42% are
obese and as many as 80% do not exercise
regularly, the integration of mental health
and primary care services provides the
most effective approach to caring for
people with multiple healthcare needs.”
The program serves adults with severe
mental illness who are either uninsured,
underinsured, or have Medicaid and meet
the financial eligibility requirements (at or
below the 200% federal poverty level). As
new clients are admitted to Firelands
Counseling and Recovery Services outpatient treatment programs as well as during
the course of treatment, they are screened
for eligibility for the program. Over 325
patients have been admitted in Erie,
Ottawa and Huron Counties since the
program began on January 31, 2013. The
program will be expanding to Seneca,
Sandusky and Wyandot counties in 2014.
Participants can either see the program’s
nurse practitioner or if they already have a
primary care physician, they can remain
with him or her. The program’s registered
nurse care managers also provide care coordination between the patient’s providers
as well as illness education and health
promotion activities to help patients
better manage their illnesses.
Services provided by Firelands
Counseling and Recovery
Services Plus include:
Primary care
Comprehensive care management
Care coordination
Health promotion
Individual and family support
Referral to community
and social support
Wellness programming has been implemented including access to the local
YMCA to increase the amount of physical
activity as well as a weekly cooking class
that focuses on low-cost healthy meal
preparation.
“The number of people already benefitting from the program is a good indication how much this type of service is
needed in our area. Firelands is pleased to
be able to integrate primary care into our
mental health services,” says Julie.
Gambling Problem?
We Can Help!
Playing the lottery, bingo, poker, betting on
sports, or casino gambling can be fun and
entertaining. But when gambling begins to
disrupt your family life, interfere with work
and affect your emotional health, you may
be suffering from “problem gambling.”
Problem gambling is the term used to
describe gambling behavior, which causes
disruption in any important life function,
whether psychological, physical, social
or vocational. Problem gambling also
includes compulsive gambling. This is
a progressive addiction characterized by
increasing preoccupation with gambling, a
need to bet more money more frequently,
restlessness or irritability when attempting
to stop gambling, “chasing” losses, and
loss of control by continuing negative
gambling behavior, regardless of the
disruption and serious consequences
of such behavior.
The Huron County Mental Health and
Addiction Services Board and the Mental
Health and Recovery Services Board of
Seneca, Sandusky & Wyandot counties
both awarded Firelands Counseling
and Recovery Services funds to develop
prevention and treatment options for
problem gambling.
A person with a gambling problem may:
Brag about winning, exaggerate wins
and/or minimize losses.
Spend a lot of time gambling, thinking
about or planning to gamble.
Become restless or irritable when
not gambling.
Borrow money for gambling.
Hide the amount of time spent gambling
or hide bills and unpaid debts.
Lie about how much time or money
is spent on gambling.
If you or someone you love exhibits
any of these signs call one of the
following numbers:
Huron County: 419-663-3737
Wyandot County: 419-294-4388
Seneca County: 419-448-9440
Sandusky County: 419-332-5524
For more information please call
419-557-5177 (Erie & Ottawa Counties)
or 419-663-3737 (Huron County).
11
Celery Root: An
Underappreciated
Root Vegetable!
Celery root, also known as celeriac, is a
special variety of celery that has a knobby,
bulbous appearance. Although not the
prettiest of veggies, this root vegetable contains a delicious celery and parsley flavor
and has a potato-like texture. And this diverse vegetable can be eaten raw or cooked.
The history of celery root is quite long.
Celery has been cultivated as an edible plant
for thousands of years, and Mediterranean
gardens began to breed a form of celeriac
hundreds of years ago. In the Middle Ages,
it spread from the Mediterranean, finding
its way into Northern European cuisine.
Additionally, Asian cooks also use the vegetable and French cuisine has a number of
uses for it as it appears in salads, soups, and
other dishes as a star ingredient or garnish.
Celery root packs a healthy punch. It is very
low in calories and cholesterol. It is also a
good source of dietary fiber, vitamin B6,
magnesium, potassium and manganese,
and a very good source of vitamin C and
phosphorus.
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 the residents of
the communities we serve develop lifestyles
that lead to a healthier tomorrow.
Ask a Healthcare
Professional
Q: Why do I feel depressed during fall and winter?
A:
Come fall and winter the total amount of sunlight begins to shorten. Since this
happens so gradually, most of us are able to adjust to it without any symptoms
and dysfunction in our personal and professional lives. But for some, this change can bring
about a severe depressive illness.
What is Seasonal Affective Disorder [SAD]?
Literally, it means mood changes as the weather changes. In most cases, the episode begins
in fall or winter and lifts in spring. Less commonly, there may be recurrent summer
depressive episodes. Major depressive episodes that occur in a seasonal pattern are often
characterized by prominent energy, excessive daytime sleepiness, overeating, weight gain,
and a craving for carbohydrates.
Is it treatable?
Studies have reported that bright-light therapy is effective for treatment of seasonal affective
disorder, especially in youth. Bupropion has also been approved for treatment of SAD
and is effective.
What are concerns about the treatment?
You do need to be seen by a Psychiatrist to get help and treatment for this condition.
The light therapy, just like any treatment for depression such as antidepressants, can switch
the depression into a manic episode. But apart from this, there are no side effects from the
light therapy.
How do I get the help I need?
Please consult your physician and they will be able to diagnose this condition and get an
effective treatment for you. Considering the effectiveness of light therapy for SAD, quality
of life can drastically improve on remission of these symptoms.
12
This issue’s answer was provided by: Anupam Jha, MD
Board Eligible in Psychiatry; Firelands Physician Group
Calendar of events
NOVEMBER 2013 – JANUARY 2014
PEDIATRIC
SPECIALTY CLINICS
WOMEN &
CHILDREN
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
Saturday, November 9
Saturday, January 18
Saturday, February 15
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
Tuesday
November 5, 12, 19 & 26
6 – 8:30 pm
Friday & Saturday
December 6 & 7
6 – 9 pm & 9 am – 4 pm
Wednesday
January 8, 15, 22 & 29
6 – 8:30 pm
Wednesday
February 5, 12, 19 & 26
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.
HAPPIEST BABY
ON THE BLOCK
Parents will learn a step-by-step
approach to soothe the fussiest
baby.Based on the techniques
of world-renowned pediatrician
Dr. Harvey Karp.
Cost: FREE
Firelands South Campus
1912 Hayes Avenue, Sandusky
Tuesday, November 12
6 – 8 pm
Tuesday, December 3
12:30 – 2:30 pm
Wednesday, February 5
6 – 8 pm
Call 419-557-7840 to register.
Erie County Health Department
420 Superior Street, Sandusky
Wednesday, January 15
12:30 – 2:30 pm
Call 419-626-5623 to register.
CPR FOR FAMILY
& FRIENDS
Designed to prepare people to
provide CPR in a safe, timely and
effective manner to adults, children
and infants. This program is intended
for people with no medical training
who want to learn more about CPR,
AED use and choking.
Firelands South Campus
1912 Hayes Avenue, Sandusky
9 am – 12 pm
Cost: $10/person or
$15/couple
Saturday, February 22
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
Saturday, November 9
Saturday, December 14
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
Specialists
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:
Dr. Butto (Cardiology) or
Dr. Barnett (Pulmonology):
419-557-7840
Dr. Quinones-Pagan
Pediatric Physiatry Clinic:
216-448-6179
All Other Pediatric Clinics:
1-800-377-3117
General Information:
419-557-6767
13
Calendar of events
NOVEMBER 2013 – JANUARY 2014
SCREENINGS
EDUCATION
FREEDOM FROM
SMOKING
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.
FREE BREAST CANCER
SCREENING
For the uninsured or underinsured.
Screening will include a clinical breast
exam, education on prevention and
early detection, and screening
mammogram if indicated.
Firelands Women’s Health
& Wellness Center
703 Tyler Street, Suite 152
9 am – 12 pm
Saturday, January 18
Call 419-557-7840 to register.
HEALTH & WELLNESS
SCREENINGS
Various screenings offered to
community members for a
low-cost fee. Cash or check only.
Costs:
Complete Blood Count
with Metabolic &
Lipid Panel – $45
(No eating or drinking for 12
hours – water allowed)
Hemoglobin A1C – $25
PSA – $30
Tuesday, November 12
7:30 – 9:30 am
Office of Dr. Perez & Dr. Conley
3006 S. Campbell St., Sandusky
Saturday, December 7
7:30 – 9:30 am
Office of Kuns Family Medicine
101 S. Washington, Castalia
Saturday, January 25
7:30 – 9:30 am
Office of Kuns Family Medicine
101 S. Washington St., Castalia
Saturday, February 22
7:30 – 9:30 am
Office of Dr. Thomas
Williamson & Dr. Niharika
Juwarkar
300 Williams St., Huron
Call 419-557-7840 to register.
14
VASCULAR &
ECHOCARDIOGRAM
SCREENINGS
Firelands Main Campus
1111 Hayes Avenue, Sandusky
7 – 11:00 am
Saturday, December 7
Saturday, February 8
Costs:
Abdominal Aortic
Aneurysm – $40
(8-hour fast required)
Peripheral Arterial
Disease – $40
Stroke/Carotid Artery – $40
Echocardiogram – $60
Package of Two Vascular
Tests – $75
Package of Three Vascular
Tests – $110
Call 419-557-7410 to register.
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
Tuesdays:
January 14 – February 18
Call 419-557-6151 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)
Wednesday, November 13
Wednesday, December 11
Wednesday, January 15
Wednesday, February 12
Call 419-557-6740 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
Tuesday, November 26
Thursday, December 19
Wednesday, January 8
Thursday, February 13
Tuesday, February 25
1 – 4:30 pm
Tuesday, December 3
Tuesday, January 21
Call 419-557-6740 to register.
SPANISH FOR
HEALTHCARE
EMPLOYEES
10-week course designed to introduce
simple, effective communication tools
for speaking with Hispanic patients
and their families in nursing and
hospital situations.
Firelands South Campus
1912 Hayes Avenue, Sandusky
Cost: $75 (includes textbook)
Tuesdays
January 14 – March 18
5 – 6:30 pm
Call 419-557-6740 to register.
MEDICAL TERMINOLOGY
This course discusses the basic
knowledge of the language of
medicine and explains how complex
medical terms are formed. No
previous knowledge of medical
terminology is required.
Firelands South Campus
1912 Hayes Avenue, Sandusky
Cost: $150 (Includes materials)
Mondays
January 6 – March 3
12:30 – 2:30 pm
Call 419-557-6740 to register.
Calendar of events
NOVEMBER 2013 – JANUARY 2014
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!
MORNING COFFEE
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
First Wednesday
of every month
8 – 10 am
There will be no Morning
Coffee in December or
January.
LUNCHEON CLUB
Held at Sandusky Yacht Club
529 E. Water Street, Sandusky.
Firelands presents a speaker at
12:30 pm. Call 419-557-7840 or
1-800-342-1177 a week in advance
to make your reservation. See our
schedule on page 6.
COMMUNITY
EVENTS &
PRESENTATIONS
THYROID DISEASE
Ahmad Sabbagh, MD,
endocrinologist with Firelands
Physician Group, will discuss the
basic facts you need to know about
your thyroid..
Great Wolf Lodge
4600 Milan Road, Sandusky
Cost: $15 (Includes boxed lunch)
Tuesday, January 28
11:30 am – 1:15 pm
Call 419-557-7410 to register.
COMMUNICATION SKILLS
FOR CHILDREN WITH
DOWN’S SYNDROME
WORKSHOP
This three-part series will focus on
development of communication
through childhood.
Firelands South Campus
1912 Hayes Avenue, Sandusky
Cost: $5 per session; $10 for
all three sessions
6 – 7 pm
Thursday, February 13:
Language, Speech &
Communication
Thursday, February 27:
Reading, Literacy & Language
Thursday, March 13:
Play & Pragmatics
Call 419-557-7840 to register.
GIRLS’ NIGHT OUT
This annual event benefits several
area cancer organizations and
foundations, including The
Foundation for Firelands Cancer
Program Fund.
Kalahari Resort
7000 Kalahari Drive, Sandusky
Cost: $50
Wednesday, November 20
4 – 10 pm
Call 419-626-4548 for tickets.
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
Thursday, November 21
8 am – 4 pm
MASQUERADE
JEWELRY SALE
The latest trends in jewelry and
accessories. All items are $5.
Firelands Main Campus
1111 Hayes Avenue, Sandusky
November 25 – 26
8 am – 7 pm
November 27
8 am – 2 pm
15
NON-PROFIT ORG.
U S POSTAGE
PAID
SANDUSKY, OH 44870
PERMIT NO. 11
1111 Hayes Avenue
Sandusky, OH 44870
Sweet Potato
& Celery Root Mash
Serving Size: Makes 2 cups, 1/2 cup per serving
Servings per Recipe: 4
2 medium sweet potatoes, peeled and cubed
(about 10 ounces)
3 small celery roots, peeled and cubed
(about 6 ounces)
1 clove garlic, peeled
1 tablespoon margarine
1 tablespoon Greek yogurt
2 tablespoon chives, chopped
Place the sweet potatoes and celeriac in a medium saucepan
and cover with water 2 inches above vegetables.
Bring to a boil, then reduce heat and simmer approximately
20 minutes, until tender.
Drain vegetables and place them back into saucepan.
Using a potato masher, mash the veggies while cooking over medium
high-heat, to ensure excess water evaporates.
Sauté garlic with margarine in a small sauté pan over medium heat
until fragrant.
Remove vegetables from heat and stir in butter/garlic mixture,
yogurt and chives. Serve warm.
Nutrition Information
Servings per recipe: 4
Total Calories
Total Fat
Saturated Fat
Monounsaturated Fat
Polyunsaturated Fat
Cholesterol
Sodium
Carbohydrate
Protein
Fiber
90 calories
2 grams
0.5 gram
0.5 gram
0.5 grams
0 milligrams
70 milligrams
16 grams
2 grams
2 grams
Information compiled from data in the
USDA National Nutrient Database for
Standard Reference, accessed 09/24/2013.
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.