Spring 2014

Botsford
HEALTH
SOURCE
“They had 20 minutes
to save my life from
the ‘widow maker’
blockage."
w w w. b o t s f o r d . o r g
“When I had cancer,
it was nice to be
surrounded by people
who truly cared.”
—Michael Bailey, Jr.
—Audrey Watson
BECAUSE IT’S PERSONAL…
I wonder
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“Doing
my
residency
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Botsford
I got
saerecemeant
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toconseri
train on highly
tatur?
“I drove past
another ER to get to
Botsford.”
Ibusam, corupta se
advanced da Vinci
surgical techniques.”
—Regina Reed
INSIDE Spring 2014
—Rachel Kaplan, D.O.
“My job is to treat
my patients the
way I treat my own
mother.”
“Every day we make
lifesaving decisions in
the Emergency and
Trauma Center.”
—Frank Zureak, R.N.
­—Sanford Vieder, D.O.
2
Brain attack
You can count
on our stroke team
4
Where ER = excellent results
Bring it to Botsford
6
Relieve suffering
Our palliative care
service helps families
Nothing is more
personal than
health care
Placing your health care in
someone else’s hands is
as personal as it gets. At
Botsford Hospital, we’re
keenly aware of the trust
you extend to us. That’s why
we never take your needs
for granted—whether, like
Michael Bailey, Jr., you enter
our ER in an ambulance
or you press your hospital
call button in the middle
of the night to ask for a
drink of water.
In this issue of
HealthSource, we highlight
our mission by showing you
some of the ways we work
on the front lines to bring
you that care. You’ll read
about a lung cancer surgeon
whose commitment to his
patients takes him from
the operating room to a
support group he started
for his patients; emergency
medicine doctors who
consider their patients
family; and our new stroke
center certification that,
while new and important,
only shows the type of care
we’ve been committed to
all along…because our
care is personal.
BOTSFORD HEALTHSOURCE is produced
by the Marketing and Public Relations
Departments of Botsford Hospital.
BOTSFORD HEALTHSOURCE is published
by Botsford Hospital to provide general
health information. It is not intended
to provide personal medical advice,
which should be obtained directly from a
physician. Printed in Michigan.
Copyright © 2014 Coffey
Communications, Inc.
CUM29950
2
Botsford Hospital
Stroke
treatment
Time and expertise matter
William Boudouris, D.O., likes to use the phrase
brain attack when talking about strokes. The reason:
The words stress just how serious strokes are. “Like
heart attacks, brain attacks are medical emergencies,”
says Dr. Boudouris, who is chairman of Botsford
Hospital’s Neurology Department and director of
Botsford’s Stroke Center. “There are so many times I
hear, ‘My symptoms started last night but I thought
they’d go away, so I waited,’” he says. “By then, it’s
too late for some interventions.”
Botsford treats about 200 patients a year for
stroke and is well-equipped to do so. So much so that
it’s certified as a primary stroke center (see below).
What that means is the hospital is prepared to accept,
evaluate, and treat stroke emergencies 24 hours a day,
7 days a week. Then, when the patient is ready for
rehabilitation, Botsford offers programs and support
groups that can substantially help patients achieve
the best possible outcomes.
Why is time so important for someone having
a stroke? One reason is because some therapies are
time-sensitive, including a medication called tissue
plasminogen activator, or tPA. TPA dissolves blood
clots that are blocking blood flow to the brain. To be
effective, tPA must be given within three hours after
a stroke starts. That means patients must arrive at the
hospital soon after symptoms start in order to allow
time for evaluation and treatment.
If tPA isn’t an appropriate treatment, others
are available—but time matters for them as well.
“Basically, if someone shows signs of a stroke, it’s
an emergency,” he says. “The sooner you get to the
hospital, the better your prognosis.”
Botsford earns status as primary stroke center
Botsford Hospital has earned certification as a primary stroke center from
the national Healthcare Facilities Accreditation Program. What that means
is Botsford meets the high standards that support better outcomes in stroke
patients. “It’s a very rigorous process,” says William Boudouris, D.O. “They
looked at our data, our benchmarks, how patients are triaged, how quickly
patients get through the emergency room, how quickly they get a CT scan.”
When stroke strikes
What is a stroke?
There are two major types of strokes:
Ischemic strokes are caused by a blood
clot that blocks or plugs a blood vessel or artery
in the brain.
Hemorrhagic strokes are caused by a
blood vessel in the brain that breaks and bleeds
into the brain.
About 80 percent of strokes are ischemic and
20 percent are hemorrhagic, according to the National
Institute of Neurological Disorders and Stroke. Strokes
rob the brain of blood and nutrients, and when that
happens brain cells start to die. The results can range
from mild to devastating, affecting speech, movement,
thinking, and emotions. Permanent paralysis and
death are possible—in fact, more than 4,400 people in
Michigan died from stroke in 2010, according to the
Centers for Disease Control and Prevention.
Symptoms you shouldn’t ignore
The American Stroke Association suggests the acronym FAST as an easy way to
remember key warning signs and action steps when you suspect a stroke. FAST stands for:
FACE drooping. Does one side of the face droop, or is it
numb? Ask the person to smile. Is the smile uneven?
ARM weakness. Is one arm weak or numb? Ask
the person to raise both arms. Does one
arm drift downward?
SPEECH difficulty. Is speech slurred?
Is the person unable to
speak or hard to understand? Ask the person to
repeat a simple sentence, like “The sky is blue.”
Is the sentence repeated correctly?
Lowering your risk
Of course, the best scenario is to
prevent strokes altogether, Dr.
Boudouris stresses. Some risk factors
can’t be changed, like age and family
history, but there are many ways
to reduce your risk for strokes,
William
including these:
Boudouris,
Control blood pressure.
D.O.
Having high blood pressure can raise
your risk of having a stroke by four to six times.
Control cholesterol. A buildup of LDL, the
bad cholesterol, can block blood vessels and reduce
blood flow to the brain.
Control diabetes. Diabetes is interconnected
to many other health conditions that raise stroke
risks. Also, brain damage may be more severe if blood
sugar is high when a stroke happens.
Quit smoking. Smoking makes the heart work
harder, increases plaque buildup in the arteries, and
affects oxygen in the brain, all of which can lead
to a stroke.
A healthy, low-fat diet, regular exercise, and
taking medications if needed are fundamental
lifestyle changes that can dramatically improve health
and lower the risk of stroke. “Work with your doctor,
set goals, and follow up regularly,” Dr. Boudouris
says. “Prevention is really what we’re after.”
TIME Call 911 to get the person to the
hospital if someone shows any of
these symptoms, even if the symptoms go away.
Check the time too. You’ll need to know when
the first symptoms appeared.
Numbers of note
600,000
The estimated stroke-related
medical and disability costs
in the U.S. for 2010
The estimated number
of strokes in the U.S. that
could be prevented each
year—about 80 percent
of the 750,000 total
$73.7 billion
60%
Nationally, the percentage of death from
strokes each year that occur in women
Botsford had to meet certain standards, including having:
• An on-call stroke team that arrives at bedside within 15 minutes
• A program director with extensive experience in acute stroke care
• Neurologists, endovascular expertise, lab testing, and advanced imaging
capabilities available 24/7
• Designated stroke services available at the hospital
• A hospital staff trained and ready to handle stroke patients
37 percent
The decline in the
relative rate of stroke
deaths in the United
States from 1999 to 2009
30 minutes
The amount of exercise per day,
five days a week, that can improve blood
pressure, cholesterol, and other risk
factors for stroke
Botsford’s medical and support staff also had to show that it could
stabilize and treat acute stroke patients and administer the clot-busting
medicine tPA and other acute therapies safely and efficiently.
“All said, we really haven’t changed the way we do things. The
accreditation just gives us recognition,” says Dr. Boudouris. “What it
also does, though, is let our community know we are committed
to excellence.”
S
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Be ready to spot a stroke FAST. Call for your free bookmark: 248-442-2565.
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Botsford Hospital
3
Emergency care
Botsford’s Emergency & Trauma Center
Taking it
personally
WHERE ER = EXCELLENT RESULTS. BRING IT TO BOTSFORD.
Thousands of people choose Botsford’s Emergency &
Trauma Center every year. Our doctors give eight great
reasons why you should too.
Emergency Center
(EC)
The EC is like your very best
friend: No matter what time of
day or night—no matter what
you need—it’s there to help.
What makes Botsford’s EC
special is our team attitude and
feeling of family. The hospital
has markedly grown in both
size and technology, but we’ve
made a point to keep our
community hospital feel. We
can handle everything from a
sprained ankle to a heart attack
to a gunshot wound. And if you
need additional care, we can
call on one of Botsford’s experts
in almost any specialty.
—Matthew A. Warpinski, D.O.
4
Wait time =
12 minutes
We expedite wait times by
working as quickly—but as
safely—as we can. And we usually
hit our mark to have patients
seen by an emergency physician
within 25 minutes of their arrival.
We’re actually kind of obsessive
about it. Once a patient’s in a
room, our goal is to be bedside
within one minute. Patients
with a simple complaint, like a
sprain or laceration, are usually
in and out within an hour. Our
whole EC staff shares the same
mission: to treat patients as if
they’re family. Nobody wants their
family waiting and worrying in an
emergency department.
—Diane Kaiser, D.O.
Triage =
10 minutes
Within 10 minutes of walking
through our door, a patient is
evaluated in a process called
triage. If the nurse identifies
a life-threatening injury or
condition, the patient goes
immediately to a treatment
area. If the problem isn’t lifethreatening, the nurse takes a
medical history. At Botsford, the
average time for patients to get
through triage and be seen by
an emergency physician is about
12 minutes—even when they
don’t have a life-threatening
problem. When possible, we do
triage at the bedside, with the
physician and nurse providing
immediate treatment.
—Laurie C. Wallace, D.O.
The highly trained medical team in Botsford Hospital’s Emergency & Trauma Center
treats every patient with the care and compassion they bestow on their own family.
Communication
between the
EC and EMS
It’s critical. Every month,
we receive 80 to 100
incoming trauma radio
calls from paramedics in
the field. When an EMS
(emergency medical service)
rig radios in a priority one,
which is a life-threatening
situation, we immediately
activate the trauma team.
Whatever that patient
needs—emergency surgery,
respiratory resuscitation,
cardiac catheterization—
we’re ready to roll when
they arrive. It can give us a
10- to 15-minute jump on
treatment. Additionally, in
the trauma training classes
we offer for EMS teams,
we stress how important it
is to communicate with us
early—even before they’re en
route—so together we can
save even more lives.
—Richard W. Traicoff, D.O.
Saving lives
It can be extremely stressful,
but the emotional reward is
unmatched by anything else
I’ve experienced. Recently, a
4-month-old baby was brought
to the EC near death, and I
was on the team that was able
to save his life. A couple of
weeks later, his mother brought
him by to thank us and show
everyone who had cared for
him that he was healthy and
happy because of our lifesaving actions. The smile on
that child’s face was more
memorable and special than
any words of thanks or praise
ever could be.
—Zachary J. Baselle, D.O.
Michael Bailey, age 31, was
close to death from a “widowmaker” heart attack. His life
was saved at Botsford. Check
out this Oak Park resident's
dramatic story in our new TV
and radio ads, now airing,
or go to www.botsford.
org/about/newsroom.
Just as the ads say: “Where
ER = excellent results. Bring
it to Botsford.”
EM residents
Meet baby Cameron
in our new ads! Go to
www.botsford.org/about/
newsroom.
Keeping current
To stay current and maintain
certification, every physician
at Botsford must complete
continuing education credits
every year in the form of
lectures, readings, and handson instruction. Because we also
train emergency medicine (EM)
resident physicians, EM attending
physicians have to be at the
forefront of advances that provide
the level of physician training that
we’ve become known for—and
that our patients deserve.
—Eric L. McDowell, D.O.
We have 27 residents in our
rigorous four-year program. The
seven in our current first-year class
were chosen from 300 applicants,
which shows how selective we can
be. An important part of training
is being the first at the bedside
to meet patients and assess their
concerns, with department staff
right there. The experience of
seeing a patient first is important
in building competence and
confidence. We also teach
residents to be customer serviceoriented. We want patients and
their families to have a good
experience even when they’re in a
scary situation.
—Jacklyn Mary McParlane, D.O.,
Residency Director
Entrust your
family to us
First and foremost, because our
EC provides high-quality care
on a daily basis. We focus on
a high level of communication
between our physicians, nurses,
and other staff. That’s critical
when it comes to emergency
care. And unlike many other
ECs in the city, we have
remarkable longevity among
emergency physicians, whose
average length of service at
Botsford exceeds 18 years.
This speaks to the group’s
cohesiveness and the quality
of care they provide—to my
family and to yours.
—Sanford J. Vieder, D.O.,
Medical Director
Numbers of note
minutes
CALL
The national
benchmark for
emergency
patients
to be seen
by a physician
minutes
The average
time a Botsford
patient will wait
before seeing a
board-certified
emergency
physician
129.8 million
The approximate number
of emergency center visits
across the U.S. each year
The number of
board-certified
physicians on staff
in Botsford’s EC
18
Botsford Hospital Emergency & Trauma Center is open 24/7. Contact us directly at 248-471-8566.
This will connect you with an Emergency & Trauma Center staff member.
62,000
The average
number of
patients seen
in Botsford’s EC
every year
5
Palliative care
HEALTHY EATING
EVENTS AT BUSCH’S
Cooking Demonstrations
Main Dish Salads
Learn to fill up with healthy, hearty salads
with Busch’s Chef Rebecca Wauldron.
A Botsford Hospital dietitian will give
tips on how to keep the recipes healthy
and nutritious.
6 to 7:30 p.m.
• Tuesday, April 29 | Busch’s Fresh Foods,
Livonia
• Tuesday, May 13 | Busch’s Fresh Foods,
Farmington Hills
Cost: $10. Your ticket includes recipes,
samples, cooking tips, nutritional advice,
and a $10 Busch’s coupon.
Nutrition Workshops
Build a Better Lunch
Care where you are. Most people receive palliative care in the hospital. But
Annette Carron, D.O., also sees patients on an outpatient basis at Botsford
Commons. Call 248-473-4718 to learn more about the program.
Support and comfort
Early in her graduate medical
training, Annette Carron, D.O.,
stood outside the door of a dying
patient who was on the phone with
her young daughter. She was telling
the child good night. Dr. Carron
knew it might be one of the last
Annette
times she would say those comforting Carron, D.O.
words. That incident led to
Dr. Carron’s work in palliative care.
At Botsford Hospital, Dr. Carron and her Geriatrics
and Palliative Care team provide steady support and
compassionate care to patients and families when they
need it most—throughout a serious illness. Palliative
care relieves symptoms and enhances the quality of life
for patients with advanced illness. It helps provide relief
from pain or shortness of breath and helps loved ones
to cope with the stress of a life-threatening illness.
“It is in addition to the care your doctor provides,”
says Dr. Carron, who is the director of Geriatrics
and Palliative Care. “There is a myth that somehow
CALL
6
it’s going to take away care. But that’s not the case.”
What this also means is someone can start palliative
care at any point in an illness—you don’t have to stop
other treatments.
In focus: You and your family
Palliative care offers more than symptom relief. From
the start, a doctor meets with a patient and his or her
family, assessing how much they know about the illness
and helping with care goals. They can also help with
questions loved ones might have about caregiving.
“It’s emotional, spiritual, and physical comfort for the
patient, and even support for the family,” Dr. Carron
says. A social worker, a chaplain, and other team
members also provide emotional support as needed.
Palliative care also can help patients decide what
treatments they would want should a disease become
more advanced. There’s also help for important issues
such as medical power of attorney activities. “Botsford
is ahead of the curve in supporting this service,” says
Dr. Carron.
For a brochure about Botsford’s Palliative Care Program that will be
sent to your home, call 248-442-2565.
Botsford Hospital
Learn how eating a nutritionally balanced
lunch can help you stay healthy in this fun
and interactive workshop with a Botsford
Hospital dietitian.
6 to 7 p.m.
• Tuesday, April 1 | Busch’s Fresh Foods,
West Bloomfield
• Tuesday, May 6 | Busch’s Fresh Foods,
Livonia
• Tuesday, June 10 | Busch’s Fresh Foods,
Farmington Hills
Cost: $5. Your ticket includes recipes,
samples, and a $5 Busch’s coupon.
Register today!
Seating is limited. Registration is required
for all events. Register by calling or visiting
the Busch’s Guest Service Counter at
the hosting store.
Busch’s Fresh Food Markets:
• 24445 Drake Road, Farmington Hills
248-427-7400
• 37083 Six Mile Road, Livonia
734-779-6100
• 33300 W. Fourteen Mile Road,
West Bloomfield
248-539-4581
Calendar
BOTSFORD HOSPITAL
CLASSES AND EVENTS FOR THE COMMUNITY
CLICK
Find a full, searchable list of events, classes, and support groups at www.botsford.org/events.
Project Healthy Living
• Friday, April 4, 9 a.m. to 2 p.m.
Costick Center, 28600 Eleven Mile,
Farmington Hills
Free and low-cost health
screenings. For more information,
call 248-473-1830 or go to
www.projecthealthyliving.org.
ReNew Weight
Management Program
Childbirth
education
We offer valuable hands-on classes to prepare
you and your partner for delivering and caring
for your newborn. For class descriptions and
to register online, go to www.botsford.org/
events. Or, to register by phone, call 248888-2500. All classes are taught in Botsford
Hospital’s A&E Center.
Comprehensive
Childbirth Education
Four-week series:
• Thursdays, April 3 to 24, June 5 to 26,
Aug. 7 to 28, or Oct. 2 to 23
• Wednesdays, Nov. 5 to 26
7 to 9:30 p.m.
S75 | Classroom A/B
Baby Care Basics
One-night course:
• Monday, March 3 or May 5
• Tuesday, Aug. 5, Oct. 7, or Dec. 2
6 to 9 p.m.
S35 | Classroom C
Breast-Feeding Class
One-night course:
• Tuesday, April 8, June 10, Aug. 12,
Oct. 14, or Dec. 9
6:30 to 9:30 p.m.
S35 | Classroom C
Free information sessions:
• Saturday, April 5, April 12,
May 3, May 17, 11 a.m.
• Monday, March 10, April 7,
May 5, 7 p.m.
Botsford TRACC/Renew,
40245 Grand River, Novi
A medically supervised weightloss program. Small classes focus
on long-term strategies. Features
meal replacements with fruits
and vegetables. Supportive,
comprehensive, proven approach.
Call 248-473-3100 to register or
go to www.botsford.org/renew.
Head and Neck Cancer
Screening
• Saturday, April 26, 9 a.m. to
1 p.m.
FREE | Botsford Cancer Center
Registration required. Call 248471-8120 to register. Limited
number of appointments.
Gilda’s Club:
Breast Cancer & You
Support Group
• Thursdays, 5:30 to 7:30 p.m.
FREE | Botsford Cancer Center
Weekly support group for adult
men and women living with breast
cancer—newly diagnosed, those
in treatment, and those who have
completed treatment. Call
248-471-8120 for more
information.
Gilda’s Club:
Life After Treatment
• Tuesdays, 5:30 to 7:30 p.m.
FREE | Botsford Cancer Center
Weekly support group for adults
who have completed cancer
treatment to discuss survivorship
and how to create a new normal.
Call 248-471-8120 for more
information.
Look Good...Feel Better
• Second Monday of each
month, 10:00 a.m. to noon
FREE | Botsford Cancer Center
Group workshop that teaches
beauty techniques to women
currently undergoing treatment
for a cancer diagnosis.
Registration is required. Call
248-471-8120 to register.
Walk with a Doc
FREE | Nature Center at
Heritage Park, Farmington Road
between 10 Mile and 11 Mile
Roads, Farmington Hills
Botsford Hospital hosts community
walks led by a health caregiver,
emphasizing exercise and
providing health tips. Healthy
snacks are provided. Register
by calling Botsford at 1-877477-Doc1 (3621), option 1.
Upcoming events:
Better Shoes for Better Feet
Marshall Solomon, D.P.M.
• Thursday, March 20, noon to
1 p.m.
Living Longer, Aging Better
Matteo Valenti, D.O.
• Thursday, April 17, noon to
1 p.m.
Advance Care Directives:
Planning Your Medical Care
Ahead of Time
Jennifer L. Beal, D.O.
• Thursday, May 15, noon to
1 p.m.
Healthy Lungs and Esophagus
David I. Sternberg, M.D.
• Thursday, June 12, noon to
1 p.m.
Gilda’s Club:
Yoga Workshop
• Tuesdays, 4:30 to 5:30 p.m.
FREE | Botsford Cancer Center
All men and women touched
by cancer are welcome. The
instructor can modify the
movements for varying physical
capabilities. Call 248-471-8120
for more information.
7
Nonprofit Org.
U.S. Postage
Botsford online resources
Where to find us
www.botsford.org
Farmington
Hills
Farmington
PAID
Botsford General Hospital
28050 Grand River Ave.
Farmington Hills, MI 48336
Midland, MI
Permit No. 8
www.botsford.org/blog
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Living well
with lung cancer
When David I. Sternberg, M.D., a thoracic surgeon at Botsford Hospital, treats a
patient with lung cancer, his compassion is tangible. “As a kid with asthma, I grew
up being acutely aware of what it was like to be breathless,” he says.
As a medical student, that awareness led him to identify with patients struggling
with lung problems, and he committed himself to treating them. “I feel like these
are my people, and they deserve my best efforts,” he says.
Quality of life: An important measure
His commitment helped him become an expert in lung cancer surgery. But there
was more to learn. “When I first started, I thought my job was to keep patients
alive after diagnosis,” he says. “As I got to know the patients, I realized that my job
also included restoring some normalcy to their lives.”
That’s when Dr. Sternberg began to champion minimally invasive surgical
techniques for lung cancer patients. With these techniques, patients have smaller
incisions, less pain, shorter hospital stays, and quicker recoveries.
“In the past, surgeons felt that since patients were in a fight for their lives,
these other issues weren’t as important,” Dr. Sternberg says. “But I believe that
CALL
Quality of life. David I. Sternberg,
M.D. (right), runs a support group for
lung cancer patients like Angela Scott,
of Northville.
quality of life is always worthy of
Lung Cancer Support meets on the
consideration.”
third Monday of the month from
Dr. Sternberg has committed
7 to 8:30 p.m. at the Botsford
to expanding the minimally
Cancer Center, Suite 230. For
invasive thoracic surgery program
information, call 248-471-8120.
at Botsford. He also personally
runs a support group for lung
cancer patients, who often lack such services. “Because lung cancer may be the
result of smoking, people tend to blame, rather than help, the patients,” he says.
Screening: An important step
Unfortunately, concerns about blame and shame might also stop smokers from
getting a lung cancer screening. But Dr. Sternberg strongly advises those at risk
to have a CT scan. It’s important because that scan may find a problem before it
develops into cancer—or find cancer at its earliest stage, when it is easiest to treat.
And that’s where Dr. Sternberg’s commitment lies. “Helping people with lung
problems is the reason I go to work in the morning,” he says.
Get your breath back. Schedule a low-dose CT scan for lung screening at Botsford by calling 248-471-8100.