Perspectives of Health 5-22-2012

PERSPECTIVES OFHealthwww.nonpareilonline.com

The rise of exercise

TIM [email protected]

The popularity of exercise inCouncil Bluffs is gaining speed allthe time, those in the know said.

Parks Director Larry Foster esti-mated that more than 308,000 peo-ple annually use the city’s trail sys-tem.

“That’s a large number,” he said.Indoors, activity is on the rise, too.The Center has seen an increase

in its physical activities, said Gen-eral Manager Tom Jensen.

“Our members are more active,”he said. “I think they are more inter-ested in health than before so as tolive longer and have more produc-tive lives.”

Council Bluffs has nearly 40miles of trails that allow the activeset to run, walk at a leisurely pace orride a bike. Besides meandering allaround town, these trails also con-nect to the Wabash Trace Trail nearthe Iowa School for the Deaf. Thetrail stretches all the way south toMissouri. On the west side, trailsconnect with the Bob Kerrey Pedes-trian Bridge over the Missouri River,allowing users access to the trails onthe Nebraska side.

“They get great usage,” saidSkyler Beck, the park’s departmentproject development coordinator.“And, they’re a means for trans-portation, even to work. They’regreat for connecting to where youwant to go.”

“Our observation is the trail sys-tem is one of the more popular parksand recreation facilities that wehave in Council Bluffs,” Foster said.“It draws people from Omaha, east-ern Nebraska and western Iowa, andwe’ve seen high usage since thepedestrian bridge opened.”

Speaking of usage, Foster said

that based on a study, 218,454 peo-ple annually walk on the bridge.

“That’s a large number, also,” hesaid.

Many of them may simply walkthe length of the bridge and back,

but no doubt others cross it to usethe Council Bluffs trails and are partof that 308,000 annual figure, Fostersaid.

These trails allow the whole fam-ily to enjoy the same physical activ-

ity together, he added.“When you’re all on bicycles, you

ride and enjoy it together,” Fostersaid. “I believe the popularity of thetrails will continue to grow.”

“I think physical activity is an

interaction with other people,”Jensen added. “We’re seeing morereferrals for physical activities andsocialization.”

The Center’s goal, as published inits monthly newsletter, is extensive,yet quite simple: “Make new friends,learn new skills, get healthy, feel bet-ter, have fun!”

The state-of-the-art fitness facil-ity offers cardiovascular equipmentand strength training machines;physical and mental fitness classes;and a golf simulator. The Center hasfully-equipped locker rooms withshowers and dressing rooms, plus a40 foot-by-60 foot warm water poolwith an average temperature of 92degrees.

“The pool has been a real drivingforce for the center,” Jensen said.

Perhaps most important, thereare individualized fitness and bal-ance assessments from the trainedstaff to ensure each member exer-cises at the proper level.

“We have a tremendous amountof land and water exercises,” Jensensaid.

There are also weekly dances tokeep the body moving, he added.

Staff photos/Erin Duerr

Women work out during a pilates class at The Center in Council Bluffs. According to General Manager Tom Jensen, The Center has seen anincrease in its physical activities. Outdoors, people in the area are taking the opportunity to work out on the city’s nearly 40 miles of trails.“They get great usage,” said Skyler Beck, the park’s department project development coordinator. “And, they’re a means for transportation,even to work. They’re great for connecting to where you want to go.”

Officials happycity trails, TheCenter getting

more use

At left, Bob Morgan works out in the weightroom of The Center. At right, a group of swimmers enjoys the swimming pool at The Center.

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The Center is constantlyadapting to the ever-chang-ing needs of its membersand the Council Bluffs com-munity.

And, that shows by thecommunity’s response.

“We’ve gone from 400members in 2002 to 2,000members now,” said Direc-tor Tom Jensen.

The growth has beenmore than just increasedmembership. In 2002, afteryears in a rather crampedfacility, The Center movedinto its sleek, modern facil-ity at 714 S. Main St.

Further expansion mayappear soon, according toJensen.

The growing list of physi-cal activities The Centerhas initiated over the yearscovers the gamut from A, asin Ai Chi, to Z, as in Zumba.Besides those two exercises,members can enjoy cardiokicking, pilates, spinning,yoga, muscle workouts andT’ai Chi, to name just a few.

“When we started in ourold building, there wereonly five or six classes aday,” Jensen said.

There’s been a growing

list of water exercises in thepool, such as aqua zumba,aquatic gentle joints, aquat-ics for arthritis, water walk-ing and basic swimming les-sons.

“The pool has been a realdriving force for The Cen-ter,” Jensen said.

There has also been atremendous focus on fallprevention, which has beenapplauded by the medicalcommunity, he said.

“It started with a $65,000grant by the Iowa WestFoundation,” Jensen said.“Now, when seniors join TheCenter, we do balance andfall assessments. Approxi-mately 34 percent of thosewe test have a moderate tohigh risk of falling.”

Among its fitness classesis Better Balance emphasiz-ing moderate to higher legstrengthening exercises.

But, fitness isn’t justphysical, but also mental.

“The largest part of ourprogram in non-physical,”Jensen said.

Over the years, The Cen-ter has started various sup-port groups dealing withissues like blindness, dia-betes, Alzheimer’s andbereavement. Members cantake an arts and crafts class

like ceramics. A book clubmeets regularly to discussthe works of popularauthors. The Center also

has a computer lab.Age membership is

changing, Jensen said.“Over half of our mem-

bers are in the 50 to 64 agegroup.”

Since most of them workduring the day, The Centeris in the process of provid-ing more of its programs inevenings and weekends, hesaid.

Members have also beensurveyed on their experi-ences as a way to ensure

their needs are being met,Jensen said. For the mostpart, the comments havebeen positive, especially onphysical improvements, hesaid.

One area that neededimprovement, however, wascleanliness. The Center hasresponded, Jensen said.

“We’re cleaning it four orfives times a day, instead ofjust once in the evening.”

Like any successfulorganization, The Center is

also thinking of the future.That includes more space.

“We’re at capacity, maybeeven over capacity,” Jensensaid. “We’ve identified 7,000square feet of expansionspace and we’re looking at acapital campaign in thenext two or three years.”

The estimated cost is$1.8 million, he said.

The Center is also consid-ering more outreach pro-grams to seniors in outlyingcommunities, Jensen said.

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The Center has grown from 400 members in 2002 to 2,000 members. It is constantly adapting to the ever-changing phys-ical and social needs of its members and the Council Bluffs community. The Center moved into its current location at714 S. Main St. in 2002, after years in a rather cramped facility. Further expansion may appear soon, according to Direc-tor Tom Jensen. Above, Tim Javosky performs for a group at The Center on April 19.

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Although an increasingnumber of Americans arebattling weight problems,many have become morehealth-conscious.

“People, I think, are moreeducated right now,” saidLinda Robicheau, fitnessdirector at the Council BluffsYMCA.

Robicheau, however, does-n’t paint a rosy picture inspite of the raised awareness.

“I don’t think we’re ahealthier society … Peopleare living longer, but we’rehaving more chronic ill-nesses like diabetes andheart disease. More thanone-third of the adults in theUnited States are obese rightnow, and Iowa is at 28.4 per-cent. Approximately 17 per-cent of children and adoles-cents ages 2-19 are obese. Weeat more refined foods now,we eat less fresh (fruits andvegetables).”

Robicheau believes peopleneed more than information

to adopt healthy lifestyles.“At the YMCA, our policy

is you need social support …You’re going to be more suc-cessful in a group class thanwith personal training. Thesocial aspect comes into playwhen you’re trying to make alifestyle change.”

The problem comes whenpeople have to choosebetween exercise and easieroptions, she said.

“We know exercise is goodfor us, but it has to be betterfor us in our heads than thelatest episode of ‘Dancingwith the Stars’ or the latestcomputer game,” Robicheausaid.

The Y’s new equipment,installed in mid-April in thecardio room, brings exerciseand television together. The20-plus new exercisemachines – treadmills, exer-cise bikes, rowing machinesand an arc trainer – haveiPod, iPad, iPhone and TVcapabilities. In the past,exercisers had to watchwhatever was being shown

on three big-screen TVs inthe room. Now, they canwatch their favorite shows ontheir machines with head-phones for sound or closed-captioning.

Grocery stores haveresponded to growing publicinterest in health topics.

Hy-Vee Food Stores hasadded health-food areas inmany of its stores andincreased programmingrelated to healthy diets andweight loss, said WendyKritenbrink, dietitian at theHy-Vee on Madison Avenue.The public has respondedwell.

Hy-Vee started puttingdietitians in stores in about2003, Kritenbrink said. Shestarted with Hy-Vee in 2005.

While there was publicinterest in health, the movetoward health markets andprogramming also fit withHy-Vee’s mission, she said.

“One of Hy-Vee’s missionsis to try to include health inyour grocery-shopping expe-rience,” she said.

The effort has generated aresponse to the store’sclasses, as well as merchan-dise, Kritenbrink said.

“We have a (lot) of interestin our classes,” she said.

The store offers sessionson health, weight loss, prod-ucts and trends, she said.

The Y offers “Moving forBetter Balance” fall-preven-tion Tai Chi classes, FamilyZumba Nights and otheractivity programs for fami-lies, Kids Boot Camp, “PressPlay” to help Baby Boomersrecover lost athletic skillsand many other options. Thisfall, the facility will addLIVESTRONG to help can-cer-survivors “reclaim theirhealth and well being.”

Tuesday, May 22, 2012 3CThe Daily Nonpareil PERSPECTIVES OF HEALTH

Are more people adoptinghealthier lifestyles?

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The YMCA’s new equipment, installed in mid-April in the cardio room, brings exerciseand television together. Now, people working out can watch their favorite shows ontheir machines with headphones for sound or closed-captioning.

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On a Tuesday morning inApril, Jackie Jager satpatiently in a classroomtucked inside Jennie Edmund-son Hospital. Her 6-month-oldson, Jacob, on her lap. Jacobcuriously eyed each womanwho walked in the room.

It’s been a while since Jagerhad sat in the classroom, thelocation of Baby & Me, aweekly breastfeeding supportgroup. Back to work now, themom can’t make it to themorning meetings anymore.That day, however, little Jacobhad some immunization shots,so here she was, eager toreconnect with fellow moms.

As the clock ticks closer to10, women carrying baby car-riers trickle in, filling the circleof chairs. Some withdraw tinybabies from carriers; anotherholds her inquisitive 5-month-old baby girl, a full head ofhair accented with a prettyheadband.

Jager likes this group; itreminds her of what it was likewhen she came in for the firsttime six months ago. She’scomfortable among them.Looking around, one of thenewer moms has a sleep-deprived dazed look. “Beenthere, done that,” according toJager, who has experiencewith Jacob’s two older siblingsto know it gets better.

“I feel like I’m getting to bea pro,” said Jager.

Jenny Etter sat a few seatsover from Jager, her 5-week-old Rylee asleep in the carrierat her feet. Etter has an 8-year-old and 10-year-old, soshe’s not a first-timer, but sheis new to breastfeeding. She’slearned a lot from the othermoms.

“And it’s nice just to talk toother people, too,” said Etter.

Rita Madden, a lactationconsultant at Jennie, breezesinto the room to start themeeting by asking everyone toupdate the group on anychanges. When one mom asksa question, Madden is not thefirst to answer, though.

“I let the other moms havea chance to answer it becausethere’s a wealth of knowledgehere,” she said.

Around Council Bluffs,there are a few options avail-able to new moms (and newfathers) to connect with othersin their situation. Similar tothe one at Jennie Edmundson,Alegent Health Mercy Hospi-

tal offers a weekly breastfeed-ing support group on Wednes-days at 9:30 a.m. Those groupsare led by lactation consult-ants, though really, it’s themoms running the show.

FAMILY INC. began offer-ing two support groups forparents in April. The nonprofitoffers a variety of program-ming around the community,including in-home visits, toassist parents in Pottawat-tamie County. These newgroups – Baby Chat for Momsand Baby Chat for Dads –

expand on those offerings,allowing parents to gather andshare stories in a friendlyenvironment. The group formoms has an emphasis onbreastfeeding support and abreastfeeding counselorattends the meetings to offerguidance. Like the breastfeed-ing support groups at the hos-pitals, children are welcome atboth Baby Chat groups’weekly meetings.

The parenting groups areall casual, with parentsencouraged to drop in rather

than register. Likewise, it’s nobig deal to show up late to thegroups or leave early – a nec-essary thing when dealingwith young children.

The groups offer a forum fornew parents to share frustra-tions, and for more seasonedones to offer sympathy andadvice. In the Jennie Edmund-son group, the been-there-done-that moms may havepassed some early milestones,but they too have news toshare: There are new teethcoming in, wiggly eaters mak-ing nursing difficult now, andfriends who are surprised tosee the moms still are breast-feeding. The moms also talkabout baby equipment, clothesshopping and online socialgroups a few women belong to.

In addition to offering aplace to vent and bond, thegroups also provide a socialoutlet. New mom KarenLehmer regularly goes to theweekly meetings at JennieEdmundson because “this ismy mommy day.” She belongsto an online breastfeedingsocial group, but likes the face-to-face interaction at the hos-

pital more.“This is my trusted source,”

said Lehmer, glad to haveadvice coming from someonecertified like Madden.

Going through major lifeexperiences at the same timeas other parents gives people achance to form friendshipsthat could last a lifetime.Jager became friends withsome of the moms in the classat Jennie Edmundson, assum-ing they had good reason tobelieve the friendships wouldendure for years.

“We figured our kids wouldbe in school together,” saidJager, thinking about thefuture life changes they canweather together.

The Daily NonpareilPERSPECTIVES OF HEALTH4C Tuesday, May 22, 2012

Parents support each other

Council BluffsParenting

Support Groups■ Jennie Edmund-

son Hospital Baby &Me Breastfeeding Sup-port Group – Tuesdaysat 10 a.m., Kanesvilleroom. For information,call the birthing centerat 396-6037.

■ Alegent HealthMercy Hospital Lacta-tion Clinic Breastfeed-ing Support Group –Wednesdays at 9:30a.m., room 218. Call325-2525 for informa-tion.

■ Baby Chat forMoms – Thursdaysfrom 3:30 to 5 p.m.,FAMILY, INC., 3501Harry Langdon Blvd.,Suite 150

■ Baby Chat forDads – Saturdaysfrom 10 to 11:30 a.m.,FAMILY, INC., 3501Harry Langdon Blvd.,Suite 150


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Ladies, imagine you’re eightmonths pregnant. You walk a littlefunny now that your center of grav-ity has shifted. You can’t sit comfort-ably for long. You feel heavy, jointsare popping and there’s a naggingheadache. If you had to pick a wordfor how you’re feeling, would“uncomfortable” be sufficient?

Last summer, “uncomfortable”was an understatement for me in thethird trimester of pregnancy. I hadlearned to live with the back pain,but a headache came on that wouldnot go away. Prescribed pain medi-cine could not help it, and so I wasdirected to a chiropractor.

I found relief after the firstadjustment. I became an instantbeliever. I wished I had known aboutthis treatment for pregnancy symp-toms sooner.

Chiropractic care is used mostoften to treat neuromusculoskeletalcomplaints: Back pain, neck painsand the aches in joints. I never knewchiropractic adjustment, or spinalmanipulation, could help headache,and as an added bonus from theadjustment, my lower back paincaused by my growing belly.

“I tend to see a lot of women atthe 33-week time frame,” said Dr.Amber Streff, who practices atMouw Family Chiropractic, 20Power Drive. “Proper alignmenthelps, pain-wise, and it helps thebaby engage better.”

According to the American Chiro-practic Association, chiropractors“practice a drug-free, hands-onapproach to health care thatincludes patient examination, diag-nosis and treatment. Chiropractorshave broad diagnostic skills and arealso trained to recommend thera-peutic and rehabilitative exercises,as well as to provide nutritional,dietary and lifestyle counseling.”

In addition to helping with backpains, headaches and other commonpregnancy symptoms, Streff has hadwomen come to her to help with afew things you might not expect.

“I’ve adjusted pregnant women tohelp with morning sickness … acidreflux, GERD,” she said. “And it justfeels good.”

The benefits of chiropractic carefor pregnant women, said Streff, aremany:

■ Less pain■ A lot better sleep■ More energy■ Better transition during labor.“A lot of women tend to have

faster and easier labor,” said Streff,adding, women who stay properlyadjusted tend to have smoothertransitions, too.

Streff also said the Webster Tech-nique could be used to help move ababy in breech position. She esti-mated the adjustment worked tomove the baby into proper position90 percent of the time if started soonenough.

A woman planning to becomepregnant could also benefit from vis-iting a chiropractor, according to theACA. A doctor of chiropractic candetect any imbalances in the pelvisor elsewhere in the body that couldcontribute to pregnancy discomfortor possible neuromusculoskeletalproblems after childbirth.

There isn’t a whole lot done dif-ferently when adjusting pregnantpatients versus everyone else, saidStreff. At Mouw, there is a portion ofthe table removed so the patient canlay face down comfortably. The chiro-practor I frequented had me liedown on my side for adjustments; forthe rest of the adjustments, I sat ona chair like every one else.

Chiropractic care can also helpafter childbirth, for the baby and themother. The ADA recommends jointproblems brought on during preg-

nancy be treated before the liga-ments return to their pre-pregnancystate. The treatment is intended toprevent muscle tension, headaches,rib discomfort and shoulder prob-lems.

Streff ’s interest in caring forpregnant women grew because ofpersonal reasons: Her own experi-ence with pregnancy.

“I enjoy taking care of pregnantwomen at that time because I wentthrough it,” she said.

And now a mom, she has adjustedher daughter – now 2 – since birth.Streff adjusts a lot of youngsters.

Chiropractic care can help chil-

dren of all ages. For the youngest, iteases pains caused by traumaticbirth, and Streff noted parents havebrought babies in to help with earinfections, constipation and colic.

“I tell the parents the baby willprobably sleep a lot more after anadjustment,” said Streff, and with aconstipated baby, she’ll advise theparents that they’ll see a big bowelmovement soon. Parents typicallysee changes in their baby in one tothree weeks.

If you’ve been around moremobile children for any period oftime, you know they’re very active,and with heavy activity comes falls

and bumps. The ADA stated thatinjuries from daily living and sportscan be treated with chiropracticcare. Beyond injuries, Streff addedthat parents bring children in for earinfections, ADHD type symptoms,bed wetting, asthma and more.

Streff has adjusted babies thatwere days old on up to teenagers. Totreat an infant, she only uses 6ounces of pressure. The adjustmenttakes minutes.

“Chiropractic care is alwaysadapted to the individual patient,”according to the ADA. “It is a highlyskilled treatment, and in the case ofchildren, very gentle.”


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Fixing bumps in the road of lifeChiropractors help ease pain for

pregnant women, children

Staff photo/Erin Duerr

Dr. Amber Streff of Mouw Chiropractic in Council Bluffs demonstrates making adjustments on her 2-year-old daughter, Landri. Streff has been adjusting Landri since she was a newborn and adjusts other childrenpatients at her office. She also specializes in adjusting pregnant women.


There are times when a furry friend can givea person a boost.

Hospice with Heart, with offices at 300 W.Broadway and a hospice house in Glenwood,sends dogs out to visit clients who request them.

The hospice has nine therapy dogs and own-ers who visit hospice patients, said Tracy Get-zschman, volunteer coordinator. Hospice withHeart launched the program in spring 2011 andhas already served about 150 clients.

“We can go into any type of facility – nursinghome, assisted living, hospice house, home,” shesaid. “If you go into a large facility to see just oneor two patients, you can count on at least anhour, (because other residents also want to seethe dogs).”

First, canine candidates must go throughabout six weeks of training and pass a test tobecome certified therapy dogs, Getzschman said.The dogs have to learn to listen to and obey com-mands, such as “sit,” “stay” and “stay down.”

“Some patients maybe can’t get down to thedog, but we can get the dog up to the patient,”she said.

“We teach the dogs not to be scared of thesounds of a nursing home – the squeak of awalker, the wheel on a wheelchair,” she said.

Pet therapy is available to any of the clients,Getzschman said. Each volunteer generally vis-its the same patients to provide some consis-tency, she said. Visits vary in frequency, depend-ing on the client.

Bruce and Marlene Sprain of Glenwood aretwo of the volunteers. They visit patients withHank, a purebred Labrador, and Flo, a mixedbreed, respectively.

“The nice thing about Hank is he’s a nice sizefor people in wheelchairs,” Bruce Sprains said.“He can walk up, and they can just reach overand pet him. They don’t have to bend over.”

“Marlene goes to the (Hospice with Heart)Hospice House every day; and then on the week-end, we go to some of the nursing homes, visitpeople in their houses,” he said.“Places like this, they usuallyhave a day room. We go in there,and you can just see their eyeslight up, some of them.”

The couple has been takingtheir dogs to visit people forabout 1 ½ years, Marlene Sprainsaid.

“Flo and I always went to anursing home in Glenwood, butshe wasn’t certified,” she said.“We started with Hospice withHeart, and they offered to certifyher.”

Howard Hough, a patient the couple visitedon a recent trip to Risen Son Christian Village,said it was really great having the dogs stop in.

“I sure thank you people for bringing the dogsin,” he said.

Hospice with Heart also has a Pet Peace ofMind program that helps patients keep theirown dogs with them.

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The new, 18,400-square-footCouncil Bluffs CommunityHealth Center facility is tak-ing shape near South SixthStreet and Ninth Avenue.

The center, when fullyequipped and furnished, isexpected to cost $5.6 million.Most of the funding will comefrom a $4.9 million grant fromthe U.S. Department of Healthand Human Services.

The building is on track toopen this fall, said CeceliaCreighton, executive director.The project’s general contrac-tor is ConStruct Inc.

“It is on time, so we’re stillanticipating a November 2012occupancy date,” she said. “Weare just so very excited. This isreally going to be a huge bene-

fit to the community.”The new facility is needed

because space limitations donot allow the center to providetimely care to all patients,Creighton said.

“We are at capacity,” shesaid.

Patients have to wait two tothree weeks to see a physician– longer to see a dentist,Creighton said.

“New patients have to waitfour months,” she said.

Meanwhile, demand issoaring. The center is gettingabout 200 new patients amonth, she said.

The new building, withalmost twice as much space asthe center’s current 10,200-square-foot space in the OmniCentre Business Park, willoffer room for more medical,

dental and behavioral healthproviders, Creighton said. Ini-tially, the center will add onefull-time family practice physi-cian, one nurse practitionerand one dentist.

That means the health cen-ter, which served 6,465patients in 2010, will eventu-ally be able to serve an addi-tional 1,500 to 1,800 peopleper year.

The facility will have itsown in-house pharmacy, whichwill open in January, she said.

“It’s going to be wonderfulfor the patients in the commu-nity,” Creighton said.

When the new buildingopens, the health center will becalled All Care Health Center.

“September is the date weplan to launch the transitionfrom Council Bluffs Commu-

nity Health Center to All CareHealth Center,” she said.

The new center will be apioneer in the patient-cen-tered medical home conceptseen by some as a more effi-cient way to deliver healthcare services. The medicalhome would be a patient’s

entrance into the health caresystem.

Federally funded commu-nity health centers arerequired to eventually get adesignation as a primary caremedical home from the JointCommission or the NationalCommission for Quality Assur-

ance. Approval requires themedical home to acquirerecords of all tests and visits tospecialists, etc. The CHCimplemented an electronicmedical records system May 3,2011, that will help the clinickeep track of this information.The CHC is part of a network


New health center taking shape

Staff photo/Erin Duerr

Construction continues on the new community health center at South Sixth Street andNinth Avenue in Council Bluffs. The new location, which will be called the All CareHealth Center, will replace the Council Bluffs Community Health Center currentlylocated in the Omni Center.

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Will robots someday per-form surgeries at CouncilBluffs’ two hospitals?

It’s not out of the realm ofpossibility. Most Omaha hospi-tals already have a robotic sur-gical system, and the Bluffshospitals are part of Nebraska-based health systems.

The robots are controlled bya surgeon who sits at a console,looks at a 3-D image of the sur-gery site and moves four roboticarms with his/her hands andfeet.

The advantage such a sys-tem offers is a minimally inva-sive alternative for proceduresnormally too complex for mini-mally invasive techniques,according to the website for theda Vinci Surgical System, aproduct of Intuitive Surgical.

Jennie Edmundson Hospitalofficials are consideringwhether, over the long term, asystem like the da Vinci wouldbe a good investment for thehospital.

“At the moment, we’re actu-ally looking at that,” said VinceRew, marketing director.“Methodist has two of them, sowe can send people there to getthat. So we’re looking at

whether we want to invest inthat here. It’s on the radarscreen with all the technologywe’re looking at. But since it’salready in the health system,we need to look at what themarket dictates here in CouncilBluffs and southwest Iowa.”

Alegent Health Mercy Hos-pital does not plan to purchasea robotic surgical system in thenear future, said Chris Evans,

operations director of ancillarysupport services at Mercy.

“Less than two years ago, weupdated Mercy’s surgical suiteswith state-of-the-art technologyto better service our communi-ties,” he said. “That advancedmedical technology is workingjust fine for us so, in the shortterm, we are not looking to adda da Vinci Surgical System toour hospital.

“If robotic-assisted surgeryis needed, Alegent Health hasthree procedure centers thatoffer that service: BerganMercy Medical Center,Immanuel Medical Center andLakeside Hospital.”

The da Vinci Surgical Sys-tem was introduced in 1999and approved by the FDA for awide range of procedures in2000.



Cutting-edge diagnostictests are likely to see moreuse in the future as agingbaby boomers tax the healthcare system.

Molecular testing likethat conducted by the lab atJennie Edmundson Hospitalis likely to be one of those indemand, said MaureenRushenberg, lab manager.

“There will be more andmore testing coming downthe pike,” Rushenberg said.“I definitely think moleculartesting will have anexpanded role. You can takea specimen, and you don’thave to grow anything. Youcan have an answer in aboutan hour and a half.”

On surgical tissues, shesaid, “If you remove them,there are molecular markersin there that will tell you thetype of abnormality.”

Since tumors have a cer-tain kind of molecularmakeup, the tests can beused to determine the bestkind of chemotherapy to use,she said.

Genetic testing is alsolikely to become more com-mon, Rushenberg said.

“I think there’s a hugefuture in genetic testing,”she said. “The genetic testingshould be useful in screeningfor particular diseases.”

For example, cystic fibro-sis used to be very difficultto diagnose, Rushenbergsaid.

“You can diagnose it witha genetic test that is veryspecific” and have a clearanswer, she said.

It is also possible toscreen for certain risks witha genetic test, Rushenbergsaid. A couple consideringhaving a child could betested to see whether theirchild would have an elevatedrisk of getting a rare geneticdisorder. Members of a fam-ily with a history of breastcancer could be tested to seewhich ones were atincreased risk for developingthe disease.

Currently, most of JennieEdmundson’s genetic testsare processed by an outsidelab, she said.

As baby boomers becomefrail, bone scans are likelyto be in heavy demand. Ale-gent Health Mercy Hospitalinstalled the latest versionof a DXA scanner in Marchto help meet that need. Thescanner, a dual-energy x-raymachine, measures bonedensity and can determine aperson’s risk of fracture.

“It’s the gold standard for(diagnosing) osteoporosisand measuring bone den-sity,” said Judy Ambrose,operations director for diag-nostic services at Mercy.“Only about 10 percent ofwomen over age 65 have anormal bone mass, so this isan important study forthem.”

The scanner at Mercy isone of very few in CouncilBluffs, Ambrose said. In itsfirst month of operation, themachine served 14 patientsa week.

“It’s an excellent healthand wellness resource for thecommunity,” she said.

A bone scan is noninva-sive and takes only 15 to 20minutes, she said. It exposespatients to a relatively lowlevel of radiation. Mercy’sscanner can perform a com-puter-aided fracture assess-ment and give a score. Theresults are read by a board-certified radiologist.

“I want to increase thenumber of people beingscanned,” Ambrose said.

“DXA tests help doctorsdiagnose osteoporosis early –a disease that results in 2million Americans sufferinga bone fracture and costs ourcountry $19 billion eachyear,” the American Societyfor Bone and MineralResearch said in a recentstatement.

When a person needs tobe scanned depends on sev-eral variables, includinglifestyle, medical history andfamily history, Ambrose said.

All women should betested at age 67, and all menshould be scanned at 70,according to the ASBMR.Those who should bechecked earlier include:

■ Post-menopausalwomen not taking estrogen

■ Those with a personalor maternal history of hipfracture or smoking

■ Tall or thin post-menopausal women

■ People who use medica-tions known to cause boneloss, including corticos-teroids like Prednisone, anti-seizure medications likeDilantin and certain barbi-turates or high-dose thyroidreplacement drugs

“Long-term corticosteroiduse can affect your bonemass,” Ambrose said.

A bone scan requires adoctor’s order, she said.Medicare will cover a scanevery two years. Insurancecoverage varies, but manywill pay for scans for peoplewho have risk factors.

Testing expectedto increase aspopulation ages

Will a robot someday perform your operation?

Submitted photo

The da Vinci Surgical System has four robotic arms controlled by a surgeon from a console with a 3-D monitor.

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No city or town from south-west Iowa moved on in thequest to become a Blue Zonedemonstration site, but lead-ers in the area say they’ll con-tinue to work toward improv-ing community health.

“We’re disappointed,” saidSheri Bowen of Mills CountyPublic Health and leader ofthe Glenwood Blue Zoneseffort. “However, there’s somuch to be gained from theexperience we’ve alreadyhad.”

The phrase “Blue Zone”comes from a three-year proj-ect by author Dan Buettner,who teamed with NationalGeographic to find the areasof the world with the longestlife expectancy in the world(and in conjunction with that,the highest percentage of cen-tenarians) – he calls themBlue Zones.

The Blue Zones Project, ajoint venture of WellmarkBlue Cross and Blue Shield ofIowa and Healthways Com-munications, aims to turncities throughout Iowa intoBlue Zones in their own right.

Project officials chose thecities of Spencer, Mason City,Cedar Falls and Waterloo tobe demonstration sites, withBlue Zone experts workingwith the cities on a variety ofhealth-improvement issues.Those cities, in turn, willimpart knowledge on citiesthroughout the state. Theeffort is the centerpiece to theIowa Healthiest State Initia-tive, which aims to take thestate from 19th to No. 1 in theGallup-Healthways Well-Being Index by 2016.

Courtney Greene withWellmark media relationssaid project organizers hopethe selected cities “can inspireother communities that relateto their size and demograph-ics.”

The Blue Zone Projecthopes the ideas and practicesfor healthy towns “goes viral,”Greene said.

In January 54 communi-ties, including Glenwood,Woodbine and Harlan, sub-mitted applications to becomea demonstration site as partof the second round of thesearch for demonstrationsites. The project selected 11cities, with Sioux City theonly one in western Iowa, forsite visits by the experts todetermine that final four.

Of the paucity of westernIowa representation in thefinal 11, Greene said eachapplication was judged on itsown merit.

“There was a criteria, witheach city or town judged on itsown merit,” she said.

And despite not moving on,all southwest Iowa citiesinvolved in the process areable to access Blue Zone Pro-ject web tools. Bowen said theGlenwood involvement raisedawareness.

Glenwood and the rest ofMills County will continue tostrive toward better healthwith the help of a CommunityTransformation Grant, a fed-eral grant administered bythe Iowa Department of Pub-lic Health. The county willreceive $65,000 annually forthe next five years.

A study by the Universityof Wisconsin’s Population

Health Institute and theRobert Wood Johnson Foun-dation scored Mills 96th of 99in overall health in the state,including 96th in mortality.Bowen pointed to those statis-tics as the impetus forimproving county health.

“There’s a raised interestin improving the health of ourcommunity,” Bowen said.


Towns aimfor ‘Blue’Southwest Iowa communitiesstrive toward health after Blue

Zones Project involvement

The phrase “BlueZone” comes from athree-year projectby author Dan Buet-tner, who teamedwith National Geo-graphic to find theareas of the worldwith the longest lifeexpectancy (and inconjunction withthat, the highestpercentage of cente-narians) in theworld – he callsthem Blue Zones.The Blue Zones Pro-ject, a joint ventureof Wellmark BlueCross and BlueShield of Iowa andHealthways Commu-nications, aims toturn cities through-out Iowa into BlueZones in their ownright.

Submitted photo

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Perspectives of Health 5-22-2012

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