Health Report 091508 - lfh.org

FALL ISSUEOCTOBER 2008 Health Report

A Lifesaving Team Keeps

Ann-Claire’s Olympic Dream Alive

B 1

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main telephone

847 234 5600

physician referral

847 535 6171

patient scheduling

847 535 8000

website

www.lfh.org

LAKE FOREST

Lake Forest Hospital

700 Medical Office Buildings

Bays Medical Office Building (900)

Dearhaven Child Care and Learning Center

Hunter Family Center for Women’s Health

Health & Fitness Center

McGaw Medical Office Building (800)

Posy Krehbiel Breast Care Center

Waud Family Maternity Services

Westmoreland Long-term Care Center

GRAYSLAKE

Acute Care Center

Audiology and Speech Therapy

Breast Care Center

Cardiac Testing

Imaging (Radiology)

Laboratory Services

Occupational Therapy

Physical Therapy

Physician Offices

GURNEE

Imaging (Radiology)

Home Health Care

Occupational Health

Physician Offices

LINDENHURST

Health & Fitness Center

Physical Therapy

LIBERTYVILLE

Administrative Offices

VERNON HILLS

Imaging (Radiology)

Physical Therapy

Physician Offices

Occupational Therapy

Locations

FPO

For many women, lower urinary tract and

pelvic floor disorders can be frustrating,

painful and debilitating to their quality of life.

Years of therapies and exercises often provide

little or no relief, and the area of medicine

known as urogynecology has until very recently

been sadly underserved. As a result, far too

many women have been misdiagnosed and

suffer unnecessarily for years.

“This is why I chose to focus my efforts in the

field of urogynecology,” said Dr. Sanjay Gandhi,

who launched North Shore Urogynecology in

2004 following completion of his residency

and subsequent three-year fellowship in

urogynecology at Evanston Continence Center

of Northwestern University Medical School.

He is on staff at Lake Forest Hospital. “Lake

Forest Hospital offers exceptional quality of

care and caliber of nursing,” explains Dr.

Gandhi, “which complements the holistic

approach to health that urinary tract and pelvic

floor disorders require.

“Many women mistakenly assume that

surgery is the only treatment option for

most urinary tract and pelvic floor problems,

or that they have to live with their symptoms,”

said Dr. Gandhi. “This is not true. At least

70 percent of the more than 600 new

patients we see annually select and benefit

greatly from non-surgical treatment plans.”

Women who seek out urogynecologists

experience a wide range of medical issues,

such as urinary and fecal incontinence, pelvic

prolapse or pressure, pelvic pain, overactive

bladder, constipation/irritable bowel syndrome,

recurrent urinary tract infections, painful

intercourse, and difficulty emptying their

bladder or bowels. Dr. Gandhi has seen

patients as young as 13 and as senior as 98.

“The main reason we’re getting smarter about

how to treat women with these disorders is

that we now know how to diagnose the

problem correctly,” said Dr. Gandhi.

“Advanced diagnostics in urogynecology

didn’t exist until recently. Now we work

closely with radiologists and other

diagnosticians, using the most advanced

technology available, to get it right the first

time and set a multidisciplinary course of

treatment that may involve relevant experts

in physical therapy, nutrition, gynecology,

urology, psychology and gastroenterology.”

If a urogynecology patient does require surgery,

there are now less invasive options through

vaginal access that tend to ease recovery over

traditional abdominal surgery.

Added Dr. Gandhi, “Increasingly, we are

providing more post-pregnancy care for

women, many of whom have experienced

some pelvic damage from the strain of

pregnancy and childbirth and can benefit

greatly in feeling and function from our

multidisciplinary approach to better health.

My hope is that we can soon develop an

integrated program with Lake Forest Hospital’s

Department of Obstetrics and Gynecology.”

The bottom line: There is definitely hope for

women of all ages who are dealing with

urinary tract and pelvic floor issues. Seek

out a trained urogynecologist as a first step

to putting your life back on track.

For more information or to schedule

a consultation with Dr. Gandhi, please

visit www.lfh.org or call (847) 234-1100.

Dr. Sanjay Gandhi Takes the Mystery Out of Urogynecology

“ The main reason we’re

getting smarter about how

to treat women with these

disorders is that we now

know how to diagnose the

problem correctly.”

FIRST LAKE COUNTY-BASED PHYSICIAN TO SPECIALIzE IN THE FIELD

Dr. Sanjay Gandhi

Cover photo: Surrounding Ann-Claire Karalyos are (clockwise from top center) her father, Laszlo; Lake Forest Hospital Trauma Nurse Specialist Laura Peery-Keller, R.N.; Lake Forest Firefighter Paramedics Cory Kazimour and Matt Penar; and Lake Forest Fire Department Lt. Art Tekampe

2 32

Q: Dr. Sharpless, since October is Breast Cancer Awareness Month,

what should consumers be thinking about related to breast health?

A: Actually I dislike the way our society sometimes exploits “disease

awareness months.” It can increase public fears without teaching the

basics. In October we often see pictures of infl ammatory breast cancer

when the reality is that infl ammatory breast cancers comprise a fraction

of a percentage of all breast cancer cases. I rarely see one case a year

out of the 2,500 patients I assess annually.

Q: But with more media attention paid to the subject of breast cancer

each October, what do you feel is most important to convey?

A: First, most breast cancers cannot be felt. There is rarely a pea-

sized lump that everybody looks for in their breasts. It could merely

be a subtle thickening or change in the skin. It could also be a

change in the nipple, from outward hanging to fl at or slightly inward.

In some patients, if they simply raised their arms in the mirror, they

would see the change in their skin and might detect breast cancer at

an earlier stage. Self breast exams and regular doctor exams (at

least twice a year if you don’t do self-exams) are a necessity,

especially at age 40 onward.

Q: What about MRIs versus mammograms?

A: As my radiologist colleague, Dr. Beth Anne Sylvester, aptly points

out, MRIs are very useful in high risk patients. But my concern is

with MRIs for general breast cancer screening among the rest of the

population. First, MRI results tend to raise more questions that can

lead to unnecessary needle biopsies. Second, there is no established

protocol for post-surgical repeat MRIs. To have one within 6-12

months following breast surgery does not give the body time to heal

and thereby tends to raise unwarranted fears of recurrence. Oncologic

surgeons from around the country are developing guidelines for repeat

MRIs that hopefully will be approved and widely accepted by 2009.

Q: You clarifi ed one misconception about breast cancer when you

said most cannot be felt. Any others fallacies about which you can

set the record straight?

A: One I hear a lot is: “I don’t have a family history, so how can I get

it?” My answer is, “You’re female, and you’re getting older. That is

our common risk.” Another is regarding age. Many women believe

their breast cancer risk goes down with old age. The bottom line is

the older we get, the more likely a cancer will occur. So we need to

keep up with regular breast exams throughout our lives. I also hear

women who believe that if they have cancer in one breast, it might

“jump” to the other. There is no jumping of cancer from one breast to

the other. If you had cancer in one breast and a cancer was diagnosed

in the other breast, this would be a new cancer.

Q: Anything you’d like to add?

A: Just one thing. For many patients and their physicians,

reconstructive surgery becomes an automatic part of any breast

cancer surgery discussion. I would remind patients that reconstructive

surgery is a very personal decision. It adds perioperative risk, and

therefore no patient should ever be hurried into a decision of this

magnitude. Healing and recovery can take up to one year.

Remember, breast cancer surgery is not an emergency, but should

be done in a timely fashion from diagnosis. There is time to weigh

options, discuss and make an educated surgical decision within six

weeks of diagnosis.

October is Breast Cancer Awareness MonthA CANDID Q&A WITH SURGICAL ONCOLOGIST

DR. SONYA SHARPLESS

We sat down with Lake Forest Hospital’s Dr. Sonya Sharpless, one

of the area’s leading oncologic surgeons and a graduate of Queen’s

University Medical School in Ontario, Canada (yes, she’s Canadian)

for a brief question and answer session in recognition of Breast

Cancer Awareness Month.

Laparoscopic surgery has entered a new

chapter in less invasive surgical alternatives

with the introduction of single-incision

laparoscopy for appendectomy and

cholecystectomy (gallbladder removal).

And Lake Forest Hospital’s Surgeons

Group is among the region’s fi rst to put the

procedure into practice.

“While not every patient is a candidate for

single-incision surgery – i.e., obese, infl amed

gallbladder, ruptured appendix or signifi cant

previous abdominal scar tissue – it is our

sincere hope and belief that we will

ultimately be performing through a single

incision on as many as 75 percent of our

roughly 600 annual appendectomies and

cholycystectomies,” said Dr. Stephen

Ganshirt, who along with Drs. John Andrews

and Kim Sobinsky can perform single-incision

laparoscopic surgery on an increasingly regular

basis at Lake Forest Hospital when a patient’s

circumstances warrant.

“We’re only in the infancy of this procedure,”

said Dr. Andrews. “But as the equipment

and technology continue to improve, I can

envision many more types of abdominal

surgeries being performed through a single

incision. For those patients who are

candidates, the cosmetic, pain-reduction

and overall recuperative benefi ts of a

single incision are truly exciting.”

Maria Malin would certainly agree. On a Friday

in mid-July, the 44-year-old client services

manager for Windward Builders and columnist

(Lake Forester – “21st Century Mom”) was

scheduled to have her gallbladder removed by

Dr. Ganshirt at Lake Forest Hospital. Weeks

of severe stomach pain attributed to an

enlarged gallbladder and gallstones were

about to hopefully be relieved.

“Having never had a C-section or any

abdominal surgery, I was nervous about

the procedure,” said Malin. “Dr. Ganshirt

mentioned that I might be a good candidate

for a new single-incision laparoscopic

surgery that he and his group had recently

trained for and were introducing in their

practice. He said he wouldn’t know for

sure until I was in surgery, but I was

excited by the possibility of only a single

small incision.”

Malin’s fi tness going in to the procedure paid

off. She had her single-incision laparoscopic

cholycystectomy and was home the next

morning, requiring nothing more than

Ibuprofen for discomfort.

“It’s now two weeks since my surgery, and I’m

a new person,” said Malin. “I hardly have any

tenderness at the incision site and my belly

button looks close to what it did before my

surgery. My strength and stamina are back to

normal, and I don’t even think the word ‘scar’

applies here. It’s great to feel good again!”

Dr. Sonya SharplessLake Forest Hospital Surgeons Group Introduces Single-Incision Laparoscopy

Maria Malin can smile again as she tends her garden

Laparoscopy

4

When it comes to pediatric care, be it an

emergency delivery or a sick infant or child,

no parent ever wants to hear the words “we

are trying to reach the /she should be calling

back shortly.” At Lake Forest Hospital, they

never have to thanks to Children’s Memorial

Hospital’s highly trained pediatric

hospitalists.

“We provide immediate response because our

hospitalists are onsite 24 hours a day, seven

days a week,” explains Dr. Janice Krakora-

Looby, chairperson of the Department of

Pediatrics at Lake Forest Hospital. “Our

pediatric hospitalist program started at Lake

Forest eight years ago. You can imagine the

difference it has made for our patients and

their families – immediate care versus

waiting for a pediatrician to get in the car

and drive to the hospital following a page.”

Dr. Virginia Kaperick, a Children’s Memorial

Hospital physician who has overseen the

pediatric hospitalist program since its

inception, sees the added value provided as

vital to quality of care. “A sick child’s

condition can often change more quickly

than an adult’s, making our immediate

availability extremely important. Also, so

much is done now medically on an outpatient

basis that it’s difficult for personal physicians

to be everywhere whenever needed. That

heightens the need for qualified hospitalists.

“Our six pediatric hospitalists staff the entire

hospital, from the Emergency Room to the

Maternity Center to the inpatient unit.

Wherever an infant or child is being treated

at Lake Forest Hospital we are here to

provide the expertise children need,” adds

Kaperick.

Pediatric Hospitalists 24/7 Onsite at Lake Forest Hospital Ensures Immediate Response

“A sick child’s condition

can often change more

quickly than an adult’s,

making immediate

availability extremely

important.”

- DR. VIRGINIA KAPERICK, CHILDREN’S

MEMORIAL HOSPITAL PHYSICIAN

For more than nine years, Lake Forest Hospital’s Mobile Health Unit,

known as the CareCoach, has been providing free health screenings and

education to thousands of medically under-served children and adults

of all ages throughout Lake County and surrounding communities. Early

detection of such problems as high blood pressure and high blood sugar

is often the first step in preventing larger, more difficult and more costly

medical issues down the road.

Thanks to an initial grant from Abbott Laboratories and ongoing donor

support, the CareCoach takes its free health services and educational

programs to more than 25 community locations each month, including

retail establishments, senior centers, village halls, schools, missions

and places of worship. Among the potentially life-saving free screenings

provided by the CareCoach are blood pressure, blood sugar, asthma,

depression, osteoporosis, hearing and bone density. Every patient who

visits the CareCoach consults with a registered nurse to discuss the

results of his or her screenings and to receive additional educational

information related to any personal health risks.

For many patients over the years, the CareCoach has truly been a

lifesaver. In February of 2008, David noticed the CareCoach at the

Open Arms Mission in Antioch and decided to have his blood pressure

and blood sugar checked. To his surprise, Terri Klowden, the CareCoach

nurse, suggested he go directly to the Emergency Department at Lake

Forest Hospital due to very high blood sugar levels. David was

diagnosed with Type 2 Diabetes, and immediately started a program

to reduce weight and lower his glucose levels. He has worked hard to

lose over 20 pounds and his blood sugar levels have responded well

to medication and exercise.

Continued support of the CareCoach program is critical in order to

meet the growing demand. This year alone, nearly 4,000 patients

will be treated at 289 community visits, with more requests coming

in regularly. The Healthcare Foundation of Northern Lake County

(HFNLC) made a grant earlier this year in the amount of $35,000

to support the extended hours and increased staffing needs of

Lake Forest Hospital’s CareCoach. “Our Foundation’s focus is

improving access to health services,” said Ernest Vasseur, HFNLC

CareCoach Keeps On Caring!

Left to Right: Drs. Valerie Beck and Virginia Kaperick, two of the CMH pediatric hospitalists making a difference at Lake Forest Hospital

CareCoach Coordinator Michael Smith treats a patient

Philanthropy

Executive Director. “Supporting the CareCoach goes a long way

toward meeting our objectives among the under-served in both

urban and rural settings.”

Fundraising for a new CareCoach van is also underway. The nine-year-

old coach has reached the end of its cost-effective life. A new vehicle

will allow for enhanced services and also include electronic medical

records, providing better tracking of screening results and patient

outcomes. Replacing the aging CareCoach will cost $300,000.

The Women’s Auxiliary Board of Lake Forest Hospital has already

committed all proceeds from its live auction held at their annual Fall

Benefit. Every donation, big or small, helps the CareCoach provide vital

health services to under-served residents – people like Dave may not

otherwise get a second chance.

For more information about the CareCoach program, including

a schedule of locations, visit www.lfh.org/carecoach or call

(847) 535-6709. To support the CareCoach, or hospital

program of your choice, visit www.lfh.org/philanthropy or call

(847) 535-6111.

6

“If she didn’t have such a muscular neck, back

and shoulders from her years of training and

dedication, my little girl probably wouldn’t be

here talking to you now,” said her father and

workout coach, Laszlo Karalyos.

While Ann-Claire’s superb athletic conditioning

clearly helped her survive a potentially

devastating trauma to her body, an entire team

of people played a crucial role in her stabilization

and emergency medical care on that day.

From a fellow swimmer, Michael Davitt,

who along with swimming coach, John

Higgins, first attended to her at the Lake

Forest High School pool with appropriate

backboard stabilization and cervical

immobility…to a Lake Forest Fire

Department EMS team that arrived within

minutes of the call and did what it does on

a regular basis regarding crucial assessment

and transport. From a Lake Forest Hospital

trauma team that awaited Ann-Claire’s

arrival by ambulance and completed

multiple patient assessments – including

cervical spine X-rays and CT…to a superbly

coordinated transfer effort between Lake

Forest Hospital’s Emergency team led by

Dr. Steven Edelstein and their counterparts

at Children’s Memorial Hospital, where

Ann-Claire was transported by helicopter

roughly three hours later.

“Many people don’t realize that approximately

35 percent of our Emergency Department

(ED) volume is pediatric care,” said Lake

Forest Hospital’s Director of Emergency

Services, Bev Weaver. “All of our ED doctors

and nurses have specialized training in both

pediatric and trauma care.”

In the aftermath of Ann-Claire’s eight-day

stay at Children’s Memorial Hospital, their

Coordinator of Emergency Services, Bonnie

Mobley, forwarded to Lake Forest Hospital a

letter of gratitude and praise from Children’s

regarding the care Ann-Claire received at the

pool and at Lake Forest Hospital immediately

following her accident, care that should

“minimize the damage to her spinal cord and

probably give this girl a complete recovery.”

Hope and expectations abound at the swimming

medal-laden Karalyos’ home as Ann-Claire

continues her battle to have her body heal from

a C5 pedicle fracture and C7 burst fracture that

impinges her spinal cord. The young girl who

was born in Hungary and whose family has

moved several times in her young life due to her

mother’s (Adel) position as an information

technology project manager and chief cost

comptroller – Hungary, Canada and several

states in the U.S. – is now completely restricted

from any movement of the upper torso to allow

her body to heal. She may need to wear this

brace for several months in her freshman year

at Lake Forest High School.

For Laszlo, who has taken on the role of full-

time nurse and in-house “medical coach”

since the accident, he works to keep alive his

daughter’s dream of swimming in the

Olympics. The beaming smile from just above

Ann-Claire’s body brace leaves little doubt

that she will win this uphill battle. “The

water’s my second home,” she says. “I need

to get back to it.”

While Lake Bluff’s Ann-Claire (“AC”) Karalyos watched the Olympics from her living room

this past August, the 14-year-old with a smile that never stops did so as a highly decorated

competitive swimmer with very realistic future Olympic aspirations. She was locked in a

Minerva body brace down to her waist that she must wear as a result of a horrendous

accident. On June 27 during swim practice at Lake Forest High School she smashed her

head on the bottom of the concrete pool, breaking her spine in two places.

“ The water’s my second home, I need to get back to it.”

7

Cover Story

A Fellow Swimmer and Coach, Lake Forest Fire Department Paramedics, Lake Forest Hospital and Children’s Memorial Hospital

Team Up to Keep a Young Girl’s

Olympic Dream AlivePrevious page: Ann-Claire Karalyos with her coach and father, Laszlo

8 9

Medical Staff News

PHILIPPA M. DEVENNEY, M.D., Internal

Medicine, is certified by the American Board

of Internal Medicine. She completed residency

requirements at Loyola University in 1997. Dr.

Devenney practices in Grayslake and can be

reached at (847) 223-4446.

MARK K. ESKANDARI, M.D., Vascular Surgery,

is certified by the American Board of

Surgery in general and vascular surgery.

He completed residency requirements at

the University of Pittsburgh in 1999. Dr.

Eskandari practices in Chicago and can be

reached at (312) 695-2716.

DARRYL J. FLEISHMAN, M.D., Emergency

Medicine, is certified by the American Board of

Emergency Medicine. He completed residency

requirements at Wayne State University in

1994. Dr. Fleishman practices in Lake Forest

and can be reached at (847) 535-6150.

GERALD GAMALSKI, III, M.D., Internal


of Internal Medicine. He completed residency

requirements at Lutheran General Hospital

in 2007. Dr. Gamalski practices in Gurnee


LUCY R. HAMMERBERG, M.D., Emergency


Emergency Medicine. She completed residency

requirements at Christ Hospital in 1987. Dr.

Hammerberg practices in Lake Forest and can

be reached at (847) 535-6150.

RAY W. HELMS, M.D., Cardiac Electrophysiology,

is certified by the American Board of Internal

Medicine with a subspecialty certification in

cardiovascular disease. He completed

residency requirements at University of

Illinois/Chicago in 2003. Dr. Helms practices

in Libertyville and can be reached at

(847) 367-7171.

MEHRAN JABBARzADEH, M.D., Cardiac

Electrophysiology, is certified by the American

Board of Internal Medicine with a subspecialty

certification in cardiovascular disease. He

completed residency requirements at Saint

Francis Hospital in 2000. Dr. Jabbarzadeh

practices in Libertyville and can be reached at

(847) 367-7171.

STEPHEN F. JANAS, M.D., Radiology, is

certified by the American Board of Radiology.

He completed residency requirements in

diagnostic radiology at Mayo Graduate

School of Medicine in 2007. Dr. Janas

practices in Lake Forest and can be reached

at (847) 535-6300.

ANTHONY W. KIM, M.D., Thoracic Surgery,

is certified by the American Board of Surgery

and the American Board of Thoracic Surgery.


Rush University Medical Center in 2004. Dr.

Kim practices in Chicago and Lake Forest


ELLEN E. KIM, M.D., Pediatric Endocrinology,


Pediatrics with a subspecialty certification

in pediatric endocrinology. She completed

residency requirements at Children’s

Memorial Hospital in 2003. Dr. Kim

practices in Chicago and Lake Forest and

can be reached at (773) 327-7740.

KAREN K. LIN, M.D., Neurology, is certified

by the American Board of Psychiatry and

Neurology. She completed residency

requirements at Mayo Graduate School of

Medicine in 1993. Dr. Lin practices in Wilmette


TODD J. NEGA, M.D., Infectious Disease,


Internal Medicine. He completed residency

requirements at Lutheran General Hospital

in 2006. Dr. Nega practices in Glenview


AGATA OCzKO-DANGUILAN, M.D., Internal


of Internal Medicine. She completed residency

requirements at Illinois Masonic Medical

Center in 2005. Dr. Oczko-Danguilan practices

in Round Lake Beach and can be reached at

(847) 546-5600.

LUIS SALAzAR, M.D., Family Practice,


Family Practice. He completed residency

requirements at St. Joseph Hospital in

1990. Dr. Salazar practices in Grayslake


CONOR D. SHEA, M.D., Internal Medicine

Hospitalist, completed residency requirements

at Lutheran General Hospital in 2007. Dr.

Shea practices at Lake Forest Hospital and


ALAN SMOOKLER, M.D., Palliative & Hospice


Internal Medicine with a subspecialty

certification in geriatrics, and the American

Board of Hospice & Palliative Medicine. He

completed residency requirements at Evanston

Northwestern Healthcare in 1986. Dr. Smookler

practices in Glenview and can be reached at

(847) 467-7423.

WALTER TATCH, D.D.S., Oral/Maxillofacial

Surgery, is certified by the American Board

of Oral and Maxillofacial Surgery. He

completed residency requirements at the

University of Illinois/Chicago in 2003. Dr.

Tatch practices in Waukegan and can be

reached at (847) 623-5915.

VICKI A. UREMOVICH, D.O., Pediatric

Hospitalist, completed residency requirements

at Advocate Christ Medical Center in 2008.

Dr. Uremovich practices in Lake Forest and


WILLIAM H. WARREN, M.D., Thoracic Surgery,

is certified by the American Board of Surgery

and the American Board of Thoracic Surgery.


University of Toronto Hospitals in 1981 and

Rush University Medical Center in 1985. Dr.

Warren practices in Chicago and Lake Forest


LAKE FOREST HOSPITAL WELCOMES ITS NEWEST PHYSICIANS TO THE STAFF AND RECOGNIZES THOSE WHO HAVE FURTHERED THEIR PROFESSIONAL KNOWLEDGE.

10 11

Lake Forest Hospital Welcomes Dr. Ellen Kim, Children’s Memorial Hospital Endocrinologist, to its StaffLake Forest Hospital’s 60+ medical specialties grew this summer with

the addition of another key practice area to its growing portfolio –

pediatric endocrinology. Dr. Ellen Kim, board certified in both

pediatrics (2003) and pediatric endocrinology (2007), joined Lake

Forest Hospital’s staff and is now seeing patients at both Children’s

Memorial Hospital and Lake Forest Hospital.

She will continue to serve as assistant professor of Pediatrics at

Northwestern University’s Feinberg School of Medicine, where she

attended medical school and graduated in 2000.

Endocrinology is the study and treatment of disorders of the endocrine

system (glands) and the hormones they secrete. This includes the

comprehensive diagnosis and treatment of cancers and diseases of

the pituitary, thyroid, parathyroid and adrenal glands. Conditions often

seen include diabetes, gestational diabetes, overactive thyroid and

pituitary tumors.

Dr. Kim, an active a member of the Endocrine Society, completed her

residency in pediatrics at Children’s Memorial Hospital in 2003

and continued her postgraduate training with fellowships in pediatric

endocrinology at University of Chicago Children’s Hospital and

Children’s Mercy Hospital in Kansas City, MO.

Acknowledgments

Dr. Joseph M. Purpura, Assistant Clinical Professor, Department of Obstetrics and Gynecology, Northwestern University’s

Feinberg School of Medicine, and Vice Chairman, Department of Obstetrics and Gynecology, Lake Forest Hospital, presented

a Continuing Education seminar to the Institute for Healthcare Studies, entitled “Characteristics of High-Reliability

Organizations.” The presentation took place at Northwestern University’s Feinberg School of Medicine and was simulcast

to the ENH Research Institute.

Dr. Trevor W. Lissoos, FACG, was unanimously recommended for Advancement to Fellowship by the Credentials Committee

of the American College of Gastroenterology and subsequently approved by its Board of Trustees.

Dr. Joel Klein was recently elected as historian of the Illinois Society of Allergy, Asthma and Immunology.

For an appointment, please visit www.lfh.org or contact Lake Forest

Hospital’s Department of Pediatrics at (847) 535-6171.

‘ Lake Forest Hospital Introduces Illinois’ First

‘ Next Generation’ VitalStim Therapy To Help Ease Swallowing Difficulty

For recently retired Waukegan dentist, Dr. Edward Sarsha, successful

throat cancer surgery in June 2007 was followed by a protocol of

chemotherapy and radiation therapy. Scar tissue from the radiation

treatments, combined with chemo-related excessive phlegm and

mucus, made swallowing almost intolerable, not an uncommon

occurrence for head and neck cancer patients.

Referred to Lake Forest Hospital’s Speech, Audiology and

Neurodiagnostics team for dysphagia (difficulty in swallowing)

therapy, Dr. Sarsha began 3-4 times-a-week treatment sessions this

past April. Lake Forest was among the early adapters of VitalStim

therapy in 2005, using neuromuscular electrical stimulation (NMES)

to treat dysphagia patients. Approximately two months into Dr.

Sarsha’s dysphagia treatment regimen, Lake Forest Hospital became

the first hospital in Illinois to acquire and become staff certified in

the use of Experia™, a new technology that delivers a wider range of

modalities to enhance neuromuscular stimulation.

Treatment

Christine Corl, Lake Forest Hospital Speech Language Pathologist, treats Dr. Edward Sarsha with new VitalStim swallowing therapy

“The biggest difference for me is that the electronic impulses are

more consistent and profound with the new equipment, giving me

more sustained swallowing control,” said Sarsha. “I’m also gradually

gaining more flexibility and movement in my jaw, which is helping

my swallowing ability.”

As of June 2008, there were 12 Experia™ machines in use in the

U.S., with two of them in operation at Lake Forest Hospital. In

addition to neuromuscular stimulation being applied electronically to

two locations on the throat instead of one, advantages include

several different pulse waveforms, triggered stimulation based on

muscle activation reaching a preset target, and combined visual and

auditory real-time biofeedback during swallowing that empowers the

patient to become more actively involved in his or her therapy.

“For many patients, the original VitalStim therapy we’ve been using

since 2005 is sufficient,” said Christine Corl, MS, CCC-SLP, Speech

Language Pathologist at Lake Forest Hospital. “But the Experia™ is

more effective at enabling us to help patients with deeper scar tissue

issues, such as Dr. Sarsha.”

“After 30-some treatments and daily, home-based exercises,” added

Sarsha, “I’ve gone from a guy in almost constant swallowing-related

distress living on a soft diet of eggs, oatmeal, pasta and the like, to

one who can actually eat real food, even meat. When I can go to a

buffet and eat almost anything, then I’ll know I’m back!”

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Cancer Update: The Latest and Greatest WELLES MEMORIAL COMMUNITY EDUCATION SERIES LECTURE

Lake Forest Hospital’s Radiation Oncologist, Radiologist, Oncologist, Surgeon, Plastic Surgeon, Dietician and Chaplin will present the latest technology, treatment and philosophy in a panel discussion followed by question and answer time. Registration Required.

Date: Tuesday, October 28Time: 6:30 p.m. Appetizers

7 p.m. Dinner & Panel DiscussionLocation: Lake Forest HospitalRegister: (847) 535-6112

Couples Living With Cancer Changes in emotional and physical intimacy are a common occurrence for couples coping with cancer. Find out about coping with these changes and strategies to help promote emotional closeness in your relationship.

Date: Tuesday, December 16Time: 6:30 to 8 p.m.Location: Grayslake Acute Care CenterPresenter: Dr. McMahon

Cancer Wellness CenterRegister: www.lfh.org or (847) 535-6112

Health Insurance Plans Accepted by Lake Forest HospitalLake Forest Hospital accepts all major health insurance plans listed below. For your most up-to-date coverage, we recommend you

check directly with your health insurance company or employers benefi ts offi ce.

Aetna US Healthcare PPO POS HMO WC

Blue Cross/Blue Shield PPO POS

Blue Choice MCNP POS POS

Blue Cross PPO PPO

CCN/Equipal Network/Medview PPO

ChoiceCare PPO

CIGNA Healthcare of Illinois PPO POS HMO WC

County of Lake (Workers’ Compensation) WC

First Health PPO WC

Galaxy Health Network/MCI PPO

Great West/One Health Plan of Illinois PPO POS HMO

Healthcares’ Finest Network PPO WC

Health Payors Oganization (HPO) PPO WC

Humana Health Care Plans PPO POS HMO

ppoNext/Beyond Benefi ts PPO

Preferred Plan, Inc. PPO

Private Healthcare Systems, Inc. (PHCS) PPO

TriCare/Champus PPO POS HMO

Unicare PPO HMO

United Healthcare of Illinois PPO POS HMO

PPO: Preferred Provider Organization, POS: Point-of-Service, HMO: Health Maintenance Organization, WC: Worker’s Compensation

Life After Prostate Cancer You beat Prostate Cancer, now plan to attend an important free talk to learn how you can overcome ED or incontinence to reclaim life.

Refreshments will be provided.

Date: Tuesday, October 21Time: 7 to 9 p.m.Location: Lake Forest HospitalPresenter: H. Merrill Matschke, M.D.Register: www.lfh.org or (847) 535-6112

Date: Wednesday, November 5Time: 7 to 9 p.m.Location: Outpatient Acute Care Center – GrayslakePresenter: H. Merrill Matschke, M.D.Register: www.lfh.org or (847) 535-6112

Date: Tuesday, December 2Time: 7 to 9 p.m.Location: Outpatient Acute Care Center – GrayslakePresenter: Nejd Alsikafi , M.D.Register: www.lfh.org or (847) 535-6112

Stress Reduction TechniquesLearn about various stress reduction techniques that can calm a person’s mind which will positively affect overall health. Experience a short demonstration of two specifi c strategies.

Date: Wednesday, October 22Time: 7 to 8 p.m.Location: Grayslake Presenter: Deborah Kronenberger, M.A., L.P.C.

Cancer Wellness CenterRegister: www.lfh.org or (847) 535-6112

Events + Community

CLINICAL DIAGNOSITCS & TREATMENT

UPCOMING EVENTS FOR YOUR HEALTH, FITNESS AND WELLNESS

Note: Programs with a “Lake Forest Hospital” location will be held in the hospital’s A. Watson Armour III Patient Services and Health Education

Center. “HFC” means one of the hospital’s affi liated Health & Fitness Centers. Programs are offered free of charge unless otherwise specifi ed.

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2008 Welles Memorial LectureMark Your Calendars, Tuesday, October 28, 2008!

Join us for a dinner and panel discussion you won’t want to miss!

Learn about the latest cancer-related technologies, treatments and

philosophies from Lake Forest Hospital’s multidisciplinary experts.

See Community Listings for registration information.

Currently scheduled panel:

Radiation Oncologist Mark Posner, M.D.

Surgeon Sonya Sharpless, M.D.

Radiologist Beth Anne Sylvester, M.D.

Plastic Surgeon Anthony Terrasse, M.D.

Oncologist Dean Tsarwhas, M.D.

Manager of Pastoral Care Emily Rosencrans, M.Div, M.FT

Dietician Edye Wagner, RE,CDE

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Bringing Out Their Best: How to Teach Your Kids Outstanding Skills for LifeMichael Brandwein, writer and host of the Emmy® award-winning TV program, Parenting Puzzle, will teach you how to increase positive communication with your children while developing warm, supportive relationships to guide them to success.

Date: Tuesday, November 11 Time: 7 to 9 p.m. Location: Lake Forest Hospital Presenter: Michael Brandwein, nationally acclaimed educator,

author and dadFee: $10.00 per person/$15.00 per coupleFor: Parents of children preschool to 5th gradeRegister: (847) 295-9075

Childhood Immunization Clinic Please bring your child’s immunization records with you. The cost is

$10 per dose; no one will be turned away due to inability to pay.

Date: Saturday, October 25 or November 22Time: 9 to 11 a.m.Location: Lake Forest HospitalInfo: (847) 377- 8470

Senior Lunch & LearnsA delicious complimentary lunch with educational speakers discussing issues for seniors is offered at Lake Forest Hospital and its Grayslake Outpatient & Acute Care Center. Lunch starts at 11:30 a.m. Registration is required for each program. Call (847)535-8800.

Osteoporosis & Fractures presented by Gregory Caronis, M.D., Orthopedic Surgeon October 14 at Grayslake October 21 at Lake Forest HospitalRegistration begins Sept. 9 after 2 p.m. (847) 535-8800

Innovations & Advances in Treating Hip & Knee Arthritis presented by Bruce Summerville, M.D., Orthopedic Surgeon November 11 at Grayslake November 18 at Lake Forest HospitalRegistration begins Oct. 14 after 2 p.m. (847) 535-8800

Senior Holiday PartyDecember 9 at Grayslake December 16 at Lake Forest HospitalRegistration begins Nov. 11 after 2 p.m. (847) 535-8800

Wellness 180 Lose weight, lower blood pressure, improve cholesterol! Let our team of experts help you live a healthier lifestyle through meal planning, exercise, and behavior modification.

Date: Ongoing 8 week programTime: Mondays & Wednesdays 5 to 7 p.m.

Tuesdays & Thursdays 9:30 to 10:30 a.m.Location: Lake Forest Hospital & Lake Forest

Health & Fitness CenterRegister: Jennifer Labovitz (847) 535-7071Fee: Call for cost

Freedom From Smoking® Smoking Cessation Program The American Lung Association’s popular smoking cessation program is now at Lake Forest Health and Fitness. Millions of people have quit smoking and you can do it too!

Date: OngoingLocation: Lake Forest Hospital & Lake Forest

Health & Fitness CenterRegister: Jennifer Labovitz & Laura Bookman

(847) 535-7071, [email protected]: Call for cost

Runner/Walker Series Our physical therapists will instruct small groups on a variety of topics ranging from injury prevention to strength and flexibility training. Topics and locations vary each month. Registration required. No online registration.

Date: Tuesday October 7Time: 6 to 8 p.m.Location: Lake Forest Hospital HEC APresenter: Amanda Wright PT and Kristin Scott PT, DPTRegister: (847) 535-8066

Oh, My Aching Back Physical Therapist, Caryn Reuland, will discuss spinal stenosis, degenerative disc disease, and herniated/bulging discs. Anatomy, etiology, and physical therapy care will be covered. Registration Required.

Date: Tuesday November 11Time: 7 to 8:30 p.m.Location: Grayslake Acute Care CenterPresenter: Caryn Reuland PT, ATCRegister: (847) 535-8832

WELLNESS AND PREVENTION

55+ HEALTHY AGING

FAMILY LIFE Fitness Boot Camp For 6 weeks your boot camp instructors are going to take you through workouts you will never forget. You can go to any or all of the class times that are offered.

Session Dates: October 13, 2008 – March 23, 2009Times: Mondays & Wednesdays 6 to 7 a.m.

Tuesdays & Thursdays 10 to 11 a.m.Location: Lake Forest Health & Fitness CenterFee: $150 for members, $300 for nonmembersRegister: (847) 535-7037 or [email protected]

Getting to Know Your BreastsEarly detection of breast cancer saves lives. This course provides you with the tools you need to do a thorough breast exam which puts you in control or your own breast health.

Date: Thursday, October 23Time: 6:30 to 8 p.m.Location: Lake Forest HospitalPresenters: Iva Kurien, RN, breast health specialist

Jennifer Tepper MS, APN, CNS, nurse navigatorRegister: (847) 535-8545 or [email protected]

Pre/Post Natal: Mom’s Can Workout Pre/Post Natal Yoga, Yoga Baby, Go Momma Spin & Strength and Aqua Momma, moms can choose from the different classes that suit them best for their activity and comfort level.

Date: VariesTime: VariesLocation: Lake Forest Health & Fitness CenterFees: $150 for 10 classes or $20 for drop-inRequired: Physician’s approvalRegister: (847) 535-7037 or [email protected]

Mommy Make-Over A board certified plastic surgeon will present a talk specifically concentrating on changes to the breast/abdomen, but also covering facial rejuvenation/skin care. Aesthetician Paulette Vanko will also be present.

Date: Tuesday, November 12Time: 7 to 8:30 p.m.Location: Lake Forest HospitalPresenter: Paul Steinwald, M.D.Register: www.lfh.org or (847) 535-6112

WOMEN’S HEALTH

Heart Smart Screening This screening for men & women includes full cholesterol panel, blood sugar, blood pressure, body mass index & waist/hip ratio. Easy finger-stick with immediate results plus counseling with nurse practitioner.

Fee: $30 (fasting is required)Dates: Weekly appointments available. Location: Lake Forest Campus - Specialty Care CenterRegister: (847) 535-8500

Hearing Screenings Contact the audiology department to sign up for a free hearing screening at either the Lake Forest or Grayslake campus. Adults only.

Register: (847) 535-6114

Free Speech and Language Screening for Children Schedule an appointment to screen your child’s (3 to 6 years old) speech and language development or have a telephone consultation with a speech/language pathologist for children under 3.

Register: (847) 535-6114

HEALTH SCREENINGS

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The following childbirth courses and related educational

programs are open to the community. Call (847) 535-6182 or

send an e-mail to [email protected] for more information, class

schedules, fees or a complete childbirth course listing.

Childbirth Preparation Newborn Care Basics

Preparation for Breastfeeding Infant CPR and Safety

Sibling Preparation Surviving Motherhood

Spring Training for Dads Infant Massage

Surviving Motherhood I and II For new (or not-so-new) moms. Two groups are offered based

on your baby’s age, and you can participate regardless of where

you delivered.

Transitioning into ParenthoodEvery birth has a unique set of circumstances that will affect

the family during this transition. In this class we will talk about

economic concerns, social support systems, hormonal

changes, and the difference between normal baby blues and

postpartum depression.

What’s Next for Me? Changing Times, Changing BodiesPre-adolescent girls (ages 9 to 12) learn about how their

bodies will change as they grow older. This three-hour class,

offered in the Hunter Family Center for Women’s Health,

includes the physical, emotional and social aspects of puberty.

Moms will get advice on guiding their daughters through

adolescence and beyond. The $30 fee per mother/daughter

team includes a nutritious breakfast.

Newborn Hotline Help is only a phone call away. Call (847) 535-6161, 24 hours a

day, seven days a week to talk to a registered nurse with any

questions or concerns about your new baby (up to six weeks old).

Lactation Hotline and Breastfeeding Support Group For your breastfeeding questions and concerns or to register

for the Breastfeeding Support Group, call the Lactation Center

at Lake Forest Hospital, (847) 535-6262, to speak to a

breastfeeding expert.

Maternity Programs+ Hotlines

Community First Aid CPR Associates Inc. offers instruction that includes first aid for bleeding, broken bones, insect bites, sudden illnesses and a variety of other injuries. (This course does not include CPR)

Fee: $40Date: Saturday, November 1Time: 9 a.m. to NoonLocation: Lake Forest HospitalRegister: (773) 973-6933

HeartSaver CPR Learn infant, child and adult CPR through the American Heart Association Pediatric and Heartsaver course offered by CPR Associates Inc.

Fee: $40Dates: Saturday, October 11, November 8 or December 13Time: 9 a.m. to 1 p.m.Location: Lake Forest HospitalRegister: (773) 973-6933

Health-Care Provider CPR CPR Associates Inc. is offering health-care provider CPR classes for those individuals who need CPR to fulfill a job requirement in the healthcare/medical industry.

Fee: $40Dates: Saturday, October 4Time: 9 a.m. to 2 p.m.Location: Lake Forest HospitalRegister: (773) 973-6933

CPR CLASSES

Yes, please send me the following materials:

Physician Directory

Waud Family Maternity Services

Diagnostic Imaging

Westmoreland Nursing Center

Health & Fitness Centers

Posy Krehbiel Breast Center

Outpatient & Acute Care Center, Grayslake

Adult Volunteer Opportunities at LFH

Student Volunteer Opportunities at LFH

Name

Address

City State Zip

Telephone E-mail

Please mail, fax, or e-mail to:

Lake Forest Hospital, Marketing Department 660 N. Westmoreland Road, Lake Forest, IL 60045-9989 Fax: (847) 535-7814 e-mail: [email protected]

The Health Report is published by Lake Forest Hospital’s marketing department. Tel: (847) 535-6789.

The information contained in this newsletter is intended to inform and educate about subjects pertinent to health and should not be interpreted as a substitute for consultation with a personal physician.

©2008 Lake Forest Hospital Foundation. All rights reserved.

main telephone

847 234 5600

physician referral

847 535 6171

patient scheduling

847 535 8000

website

www.lfh.org

660 N. Westmoreland Road Lake Forest, Illinois 60045

www.lfh.org

Non-Profit Org. U.S. Postage

PAID

Lake Forest Hospital

Ask people what they cherish most in life, and you’ll

receive many different responses. Their answers reflect

who they are, what they value, how they like to spend

their time and what they want to accomplish.

At Lake Forest Hospital, the things you cherish are

important to us. Whether you need a routine exam or

are facing a cancer diagnosis, we deliver quality health

care with compassion and caring.

You can support Lake Forest Hospital by making a gift online at www.lfh.org/philanthropy.

Health Report 091508 - lfh.org

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