Get Healthy Magazine: July, August, September 2010

8/8/2019 Get Healthy Magazine: July, August, September 2010

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Featured in this issue ...

All about

having babies!See page 6.

a publication of Norton Healthcare

GETHealthy

nAcupuncture for kids

nImproving health for all

nIs weight loss surgery for you?

nBreakthroughs in treating Parkinsons

nThe heart: When fast treatment

is crucial

See pullout calendar

for screenings and

special events

July/August/September 2010


2/12G e t H e a l t h y 2

On the cover: Jennifer Smith chose natural childbirth when she delivered hertwo boys. See page 6.

Nick

Bonura

photos

Making expertcancer care available to more people

Recognizing that 85 percent of people diagnosed

with cancer receive initial treatment in a community

hospital, in 2007 the National Cancer Institute

Community Cancer Centers Program (NCCCP) was

formed through the National Institutes of Health. Thegoal was to create a community-based cancer center

network to support research and to enhance access and

quality of care for more Americans.

The overwhelming majority of cancer care takes place

outside the university or academic setting, said Sandra E.

Brooks, M.D., MBA, system vice president of research and

Norton Cancer Institute preventive services. The NCCCP

initiative is an exciting program because it makes the

newest treatment options and clinical trials accessible to

more people in the community.

NCCCP goals for the next two years include:

Reducing disparities in cancer care

Getting more cancer patients into community-based

clinical trials

Linking medical facilities to national computer

networks that support cancer research

Improving the overall quality and scope of care for all

cancer patients

Strength in numbersThe 2010 Ride to Conquer Cancer, Sept. 25 and 26, sends

a message that together we can do great things in the

fght against cancer. The bicycle trek will begin and end

in Louisville each day, with one- and two-day options or

cyclists o all levels. Funds raised will support services and

advanced care at Norton Cancer Institute through

the Norton Healthcare Foundation. To register to ride or

serve as a volunteer, visit www.ridetovictory.org or

call (877) 688-2453.

Norton Cancer Institute

selected for elite programNorton Cancer Institute is one of 14 sites in the nation,

and the only site in Kentucky, selected to join the National

Cancer Institute Community Cancer Centers Program

(NCCCP).

Our selection marks the beginning of a new era

for cancer care in the Louisville area with the stamp

of excellence from the National Institutes of Health,

Dr. Brooks said. This will allow Norton Cancer

Institute to enhance investment in programs that will

accelerate our pace for the performance of clinical and

translational research, communication and outreach in

order to improve the quality of cancer treatment for our

community.Already the leading provider of cancer care in the

region, participation in NCCCP, which now includes 30

sites nationally, will help elevate the level of care available

at Norton Cancer Institute.

It is a great honor to be selected as an NCCCP site and

reects the solid foundation we already had in place for

quality, comprehensive cancer services, said Robert N.

Shaw, president of Norton Cancer Institute. Not only will

this program enhance and expand our cancer services,

but we will be participating in an important national effort

to expand cancer research and deliver the latest, most

advanced cancer care to more Americans in their home

communities. This represents one of the most signicant

developments in the history of Norton Healthcares cancer

programs and services.

Learn more about Norton Cancer Institutes selection

as a NCCCP site at NortonCancerInstitute.com.

Steven Jenkins


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Dr. Edin Jusufbegovic

3

Children willingly being stuck with needles may sound

like an oxymoron. But acupuncture and

other complementary medicine techniques are becoming

more and more widely used in childrens hospitals.Acupuncture is a

traditional Chinese

medicine technique

thats been practiced

for thousands of years.

It involves stimulating

points on the body by

inserting very thin metal

needles in the skin. Based

on the concept thatsymptoms result from disruption in the ow of vital energy

known as Qi (pronounced chi), an imbalance in the

forces of yin and yang, acupuncture seeks to aid healing by

restoring balance and ow of Qi, according to the National

Center for Complementary and Alternative Medicine at the

National Institutes of Health.

When it comes to treating chronic pain, children

respond very well to acupuncture, said Edin Jusufbegovic,

M.D., board-certied pediatric anesthesiologist and medical

acupuncturist. It may come as a surprise that one-third of

childrens hospitals offer acupuncture for chronic pain.

Acupuncture is not a rst-line treatment for pain but

part of a multidisciplinary approach that may include

medication, injections and/or cognitive-behavioral therapy.

Acupuncture can be successful in relieving pain from

conditions in which mainstream treatments have failed or

not delivering expected results, Dr. Jusufbegovic said.

How do you get kids to agree to be poked with needles?

Children are agreeable if they have the pain and

want relief, Dr. Jusufbegovic said. They tend to be very

cooperative. Acupuncture needles are virtually painlessbecause they are much thinner than injection needles and

solid. Hollow injection-type needles are painful because

they cut the skin.

Dr. Jusufbegovic relieves any anxiety patients or parents

may have by rst placing one of the hair-ne needles in

his own hand before beginning treatment. He also explains

that acupuncture has virtually no side effects.

Even if acupuncture isnt successful in relieving pain, it

causes no harm in the process, Dr. Jusufbegovic said. The

only side effect could be some bruising or redness at theinsertion site, but that is very rare.

Relief in a needle stickAcupuncture can help children with chronic pain

Kosair Childrens Hospital now

offers acupuncture treatment

A Pediatric Acupuncture Clinic is open two afternoonsa week at Kosair Childrens Hospital. It is the only

physician-based acupuncture practice in Kentucky that

focuses on children and is covered by insurance. Edin

Jusufbegovic, M.D., pediatric anesthesiologist with special

training in acupuncture, treats chronic pain conditions,

such as musculoskeletal pain, headache, bromyalgia

and recurrent abdominal pain, as well as chemotherapy-

induced and postoperative nausea and vomiting.

The clinic serves children ages 8 and older. For more

information or to schedule your child for an appointment,

call the clinic at (502) 629-4900.

Jennifer Reynolds


4/124

Nick

Bonura

photo


5/12


6/12


7/12

During a C-section, surgical pain is controlled while

allowing mom to be an awake participant in the birth,

Dr. Nett said. Rarely emergency cesarean delivery will not

allow time for a spinal or epidural, and general anesthesia is

used, which can affect the infants respiratory drive.The bottom line is your delivery method is a personal

decision, and there is no right or wrong answer. Its

important to consider your options well in advance, have

an obstetrician/provider who will listen to your desires and

choose a birthing facility that will fulll those wishes.

Want to know more?Norton Womens Pavilion prides itself on listening to

women. Schedule a tour of Norton Womens Pavilion to

learn more about available birthing options. In return wellgive you a free aromatherapy gift! Call (502) 629-1234 to

schedule a tour.

Jennifer Reynolds

Jennifer Smith with Olie, 1. Husband Matt with Jasper, 2, in

background.Kosair Childrens Medical

Center Brownsboro

now open!Just or those little bundles o joy

who have turned into little bundles o

energy, Kosair Childrens Medical Center Brownsboro is now open o Chamberlain

Lane in northeastern Jeerson County.

Specially trained pediatric physicians are

available to handle kids emergencies,

illnesses, outpatient surgery, diagnostic

testing and more, all in a kid-riendly

environment. For more inormation about

the new state-o-the-art medical acility,

visit MedicalCenter.KosairChildrens.com.

s

Nick Bonura photo

7


8/12

Like some 70 million Americans, Michele Lewellen

struggled with her weight. She tried diets and

exercise programs, but each time her results were short-

lived. She knew she needed to do something about her

weight and wanted to improve her quality of life, but it

needed to be safe and long-term.

Lewellen heard about new options in bariatric surgery

and decided to attend a free information seminar.

I gured I had nothing to lose but some extra pounds!

Lewellen said. After the seminar I knew the banding

surgery was the right choice for me. Between the physicianexpertise and follow-up programs and support, I knew

this time would be different.

Fast forward less than a year and Lewellen is happier

than ever. She has lost more than 70 pounds and is about

40 pounds from her goal weight.

I dont feel as self-conscious as I did before, she said,

and my health improved almost overnight! My high

blood pressure was cured within three months and my

sleep apnea has almost disappeared.

Jeff Allen, M.D., medical director of Norton Weight

Management Services, recommends surgery for people

who have tried other methods without success.

Michele Lewellen of Salem, Ind.

Surgery should be used as a tool, not a crutch,

Dr. Allen said. The patient still needs to work hard

toward his or her weight loss goal.

While weight loss surgery may not be for everyone,

Lewellen thinks it was a perfect t for her. Life is now

more rewarding and she is able to do more.

I bought a Harley, can sit comfortably in any chair and

Im able to shop in the regular sizes! Lewellen said.

Lewellen now spends time mentoring others struggling

with their weight and encouraging them to learn more

about bariatric surgery.I see how I used to be treated when I was heavy, and

I dont like it, Lewellen said. I want others to experience

the joy Ive found in my new life.

Ben Moore

Want to know more?For more information about Norton Weight Management

Services or to sign up for a free information seminar, visit

NortonBariatric.com or call (502) 629-1234.

Live to ride, ride to liveThe road to maintaining a healthy weight

8 G e t H e a l t h y Nick

Bonura

photo


9/12N o r t o n H e a l t h c a r e . c o m / G e t H e a l t h y 5 0 2 - 6 2 9 - 1 2 3 4 9

Nearly 1 million Americans are living with

Parkinsons disease, an incurable movement

disorder that worsens over time. Symptoms include

tremors of the hands, arms, legs and face; stiffness inthe limbs; slowed movement; and impaired balance

and coordination, according to the Parkinsons

Disease Foundation.

These symptoms are caused by destruction of certain

cells in the brain. Messages from the brain telling the

body how and when to move are delivered more slowly,

leaving a person incapable of initiating and controlling

movements in a normal way.

Treatment for Parkinsons is directed at relieving

symptoms, usually through the use of medication or

surgery. Other treatment approaches include general

lifestyle modications, physical therapy, support groups,

occupational therapy and speech therapy.

Strides have been made in the past decade that have

improved both medications and surgical techniques,

said Todd Shanks, M.D., functional neurosurgery.

Deep brain stimulation (DBS) surgery, a procedure to

lessen uncontrolled movements, is not only relieving

symptoms but restoring quality of life in many cases.

DBS modulates electrical signals from targeted areas

in the brain through the use of electrodes implanted intodeep nuclei of the brain. The electrodes deliver impulses

that block or override the abnormal brain activity. DBS

is an adjustable and reversible treatment modality that

does not damage healthy brain tissue.

Some people with Parkinsons become reclusive

because they are embarrassed by their condition,

according to Dr. Shanks.

After they have the DBS procedure, they are able to

feed and dress themselves, work, write and enjoy life

more, Dr. Shanks said. It makes a huge difference forthem socially and psychologically.

Many patients are able to decrease their medications

another great benet.

Certain people who suffer from Parkinsons can

experience great benets with surgical intervention,

Dr. Shanks said.

Research continues to gain ground on this disabling

condition in hopes of nding a cure.

New treatments are on the horizon, Dr. Shanks

said. Research is progressing in the areas of stimulation,

gene therapy, cellular transplantation and micro-infusion

technologies.

Jennifer Reynolds

Making strides in treating Parkinsons

Music and movement

for the mindNorton Audubon Hospital and the Parkinson SupportCenter o Kentuckiana sponsor ree weekly music therapy

and yoga groups or people with Parkinsons disease. For

more inormation, call (502) 629-1234.

Music therapyHelps improve breath support, coordination and mobility

Every Monday 9 to 10 a.m.

YogaHelps improve posture, balance, gait and mobility

Every Thursday 9 to 10 a.m.

Norton Audubon Hospital

Norton Joint Care Gym, sixth oor

1 Audubon Plaza Drive, Louisville, Ky.

How you can helpTo nd out how you can support advanced care for

people with Parkinsons disease and other movement

and neurological disorders, contact the Norton

Healthcare Foundation at (502) 629-8060 or

NortonHealthcareFoundation.com.

Bill McClurg, Frank Alvey and Patricia Hurst in a Parkinsons

music therapy group


10/12G e t H e a l t h y 0

Photo: Norton Audubon Hospital emergency department staff

As soon as 61-year-old Twana DeWeese began to

experience chest pain, she knew something was

wrong. Eight years prior she had a serious heart attack,

so she knew the symptoms.

DeWeese went to see her cardiologist, Divyesh Bhakta,

M.D., and after an initial examination, he sent her to the

hospital for treatment. The stents she received eight years

ago had developed late stent renarrowing, which was the

cause of her chest pain.

Im sure I would have had another serious heart attack

if I hadnt had my chest pain treated in time, DeWeese

said. I certainly didnt want to have open-heart surgery.

According to Dr. Bhakta it is imperative that people

experiencing chest pain seek medical care in a timelymanner.

The severity and outcome of the condition can depend

on the amount of time that passes before receiving

treatment, he said. Much more serious symptoms can

result if heart conditions are left untreated.

Dr. Bhakta points out that the chance of survival

increases signicantly if a person gets to the hospital

quickly when experiencing chest pain. He recommends

choosing a facility that has the experience to treat serious

heart conditions.

Dr. Bhakta also advises patients with serious heart

conditions to consider cardiac rehabilitation.

Patients are monitored during recovery and receive

therapy and information about lifestyle changes that may

reduce the chance of future progression of heart disease,

according to Dr. Bhakta.

DeWeese is relieved that her chest pain was treated in

time and refers to Dr. Bhakta as her angel.

Im still able to do all the things Ive always done, she

said. Im taking much better care of myself these days.

Norton Audubon Hospital

Recognized for expertise

in treating chest painNorton Audubon Hospital has received

the highest possible accreditation for

treatment of chest pain from the Society of

Chest Pain Centers (SCPC). Norton Audubon is the only

hospital in the region and one of only three in Kentucky

to achieve this designation. This means individuals who

experience chest pain can receive the highest accredited

emergency cardiac treatment available anywhere in the

region. Read more about this prestigious designation at

NortonAudubonHospital.com.Emily Lekites

Timely treatment of chest pain is crucial

In a heartbeat


11/1211

Treating an Achilles tendon tearMore on the physicians in

this issue of Get Healthy

Jeff Allen, M.D.general and bariatric surgeryNorton Surgical SpecialistsNorton Medical Plaza III SuburbanSuite 5034121 Dutchmans LaneLouisville, KY 40207(502) 899-6405

Deborah Ballard, M.D.internal medicinedirector of community outreachNorton Cancer Institute Prevention& Early Detection ProgramNorton Medical Plaza I SuburbanSuite 3004001 Dutchmans LaneLouisville, KY 40207(502) 899-6839

Divyesh Bhakta, M.D.cardiologyCardiovascular Associates PSCThe Springs Medical CenterSuite 2006420 Dutchmans ParkwayLouisville, KY 40207(502) 891-8300

Sandra Brooks, M.D.

vice president of research andNorton Cancer Institute PreventiveServices

Norton Medical Plaza I SuburbanSuite 3C4001 Dutchmans LaneLouisville, KY 40207(502) 899-6840

Philip O. Dripchak, M.D.orthopaedic surgeryNorton Orthopaedic Specialists Foot

& Ankle4420 Dixie Highway, Suite 112Louisville, KY 40216(502) 449-6448

Edin Jusufbegovic, M.D.pediatric anesthesiology & medical

acupunctureKosair Childrens Hospital

Acupuncture Clinic231 E. Chestnut St.Louisville, KY 40202(502) 629-4900

Reed Nett, M.D.obstetrics and gynecologyAdvocates for Womens Health4801 Olympia Park Plaza, Suite 2200Louisville, KY 40241(502) 423-9595

Todd S. Shanks, M.D.functional neurosurgeryNorton Neuroscience Institute210 E. Gray St., Suite 1105

Louisville, KY 40202(502) 583-1697

Physicians quoted in Get Healthyareon the medical staff of one or moreNorton Healthcare hospitals.

Imagine not being able to stand on your

toes or push off your foot as you walk.

These movements are made possible by

the Achilles tendon, the strong cord that

runs along the back of the ankle. The

thickest and strongest tendon in the body,

it works during just about every foot

movement.

Lewis H. Washington Jr. doesnt have to

imagine what its like to not have a working

Achilles tendon. After experiencing trouble

with his Achilles on and off for about three

years, on his way to work in fall 2008 he

took a step and heard a pop. It was his

Achilles tendon tearing.

When I got in to see Dr. Dripchak, I

learned the tendon had a hole the size of apencil, Washington said.

A tear, or rupture, is one of the most

common injuries to this tendon, said

Philip Dripchak, M.D., orthopaedic

surgery. In Lewis case, however, an

extensive portion of his tendon had

degenerated over the years, compounded

by diabetes and being overweight.

It was very serious.

Washington was immediately scheduled

for surgery to repair the tendon. Because

of its severity, he was not a candidate for

traditional repair consisting of stitching the

torn tissue back together.

Lewis needed an allograft, which

replaces the tendon with a transplanted

one from a donor, Dr. Dripchak said. His

situation was quite unique, and an allograft

gave him the best chance at restoring

functionality.

After surgery Washington had to reduce

his activity level, wear an air cast and a

brace, and do physical therapy for a couple

of months to strengthen his leg muscles and

Achilles tendon.

I was concerned about reducing myactivity level because I have diabetes, and

physical activity is an important part of

keeping it under control, Washington said.

Dr. Dripchak was vigilant about this and

ensured my recovery process didnt affect

my diabetes.

Achilles tendon repair normally has

very good results, Dr. Dripchak said.

Most people return to their former level of

activity within four to six months.Washington isnt missing a step anymore.

Hes back to riding his bike, walking and

leading an active life.

Jennifer Reynolds

N o r t o n H e a l t h c a r e . c o m / G e t H e a l t h y 5 0 2 - 6 2 9 - 1 2 3 4

Lewis Washington, of

Louisville, and Philip

Dripchak, M.D.

Free seminarPhilip Dripchak, M.D., presents

Treatment Options for Persistent Ankle Pain

July 14 5:30 p.m.

Norton Audubon HospitalCommunity Room

Call (502) 629-1234 to register.


12/12

This is just or Alicia who will be

getting her tonsils out in a ew

days. Her mom can eel confdent

knowing that she will be in the

best o hands at Kosair Childrens

Medical Center Brownsboro. Its a

place where the physicians, nurses

and sta are specially trained to

treat kids. From emergencies to

surgical procedures to X-rays and

MRI scans, this new outpatient

center oers the level o pediatric

specialty care that made Kosair

Childrens Hospital amous. We

built it just or kids, just like Alicia.

For more inormation, ask your

childs doctor.

Justfor

Norton Healthcare Inc.

P.O. Box 35070

Louisville, KY 40232-5070

NONPROFIT ORG

U.S. POSTAGE

PAID

LEBANON JCT., KY

PERMIT NO. 677

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Transcript of Get Healthy Magazine: July, August, September 2010