1the SILVER CROSS experience | WINTER 2017

1900 Silver Cross Blvd., New Lenox, IL 60451 • 815-300-1100 • www.silvercross.org

WINTER 2017

Hope Marsden and Dr. Tom Antkowiak

Silver CroSS PerformS firSt mako™ robotiC Surgery for Partial knee rePlaCement

Hope Marsden suffered from intense pain in her right knee. Since the bones were rubbing against one another, climbing stairs became painfully challenging. At the suggestion of her family physician, she met with orthopedic surgeon Dr. Tom Antkowiak. Hope tried cortisone injections to relieve her discomfort, but the pain never subsided. Together, they decided that the best course of treatment was robotic-assisted surgery.

On August 8, 2016, Hope was the first patient to have partial knee replacement using the new Mako™ robotic system at The Midwest Institute for Robotic Surgery at Silver Cross Hospital. Silver Cross is the only facility in Will, Grundy and Kankakee Counties offering Mako robotic-arm assisted partial knee and total hip replacement procedures for adults living with early to mid-stage osteoarthritis.

Mako partial knee replacement is less invasive than traditional total knee surgery. A pre-surgical plan is created based on a CT scan of the patient’s own knee, and the surgeon uses the robotic

arm during surgery to resurface the diseased portion of the knee, sparing healthy bone and surrounding tissue for a more natural feeling knee. An implant is then secured in the joint to allow the knee to move smoothly again.

“Accuracy is key in planning and performing partial knee procedures,” said Dr. Antkowiak. “The Mako robot helps take the guesswork out of surgery, resulting in a more accurate placement and alignment of the implant.”

Up and AboutToday, Hope is no longer exhausted from being in so much pain. “In a few weeks, I was able to fully move my knee with no pain and walk really well,” said the 65-year-old Mokena resident.

There are many benefits to Mako robotic-assisted partial knee replacement surgery. “After this type of procedure, many patients, like Hope, experience a shorter hospital stay, faster recovery, and quickly resume most activities,” said Dr. Antkowiak. “More importantly, patients experience a significant relief of pain as Hope did.”

To ensure that joint replacement is a success, patients attend a special program to learn exactly what to anticipate before and after the surgery, the daily expectations of rehabilitation therapy, and what you can do to recover more quickly. If additional care is needed, patients have convenient access to Silver Cross Home Health and The Rehabilitation Institute of Chicago (RIC) at Silver Cross Hospital for inpatient and outpatient therapy.

To learn more about partial knee replacement and find a physician on staff at Silver Cross Hospital who is trained to use the Mako robot, visit midwestroboticsurgery.org. Ì

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Ken enjoyed a well-deserved vacation with his children and grandchildren at Walt Disney World.

Surviving Stroke: ken garland’S Story

Ken Garland was rehabbing his basement when he suffered a stroke on Sept. 8, 2015. After eating dinner, he stood up to get back to work when he felt dizzy and a loss of balance. He was slouched down on the sofa when his wife returned from walking the dog. She called 911 and within minutes the Manhattan paramedics were transporting Ken to the Silver Cross Emergency Department (ED) where a Code Stroke Team was awaiting his arrival. By this time, Ken felt tingling in his arms and legs.

Dr. Richard Burgess, Neurointerventional Radiologist and Stroke Neurologist with the Silver Cross Neuroscience Institute, immediately gave Ken tPA to

talking and swallowing needing nourishment through an IV over the next three days.

“I made up my mind that I was not going to let this get me down,” said the 54 year old. “I needed to keep a positive attitude if I was going to overcome this and make a full recovery.”

Recovery with RIC specialistsWhile in the ICU, Dr. Burgess visited Ken every day along with several other specialists monitoring his treatment closely and making adjustments as necessary. Ken also began working with a team of therapists with The Rehabilitation Institute of Chicago (RIC) at Silver Cross.

In less than a week, Ken’s progress had improved and he was moved to RIC’s rehabilitation unit at Silver Cross where Ken took his first steps in the therapy gym after just a few days. He spent a total of four weeks on the unit working with RIC-trained physical, occupational and speech/language therapists to re-learn how to walk, move his hands and fingers, and swallow. “Rehabilitation makes an enormous difference,” said Dr. Burgess. “With my RIC colleagues at Silver Cross, patients

get world-class rehabilitation, maximizing their chances of getting back to their life and the things that matter to them.” “The doctors, nurses, therapists, and aides are all fantastic,” praised Ken. “They were always pushing me to take that extra step and do every exercise so I can fully recover. They even made it possible for me to visit my new grandson in Silver Cross’s Birthing Center and also go to my other grandson’s birthday party one afternoon.”

Disney or Bust!Upon discharge on Oct. 12, 2015, Ken has continued his recovery in RIC’s outpatient facility at Silver Cross

Hospital, Pavilion A over the past year. “I continue to work with my occupational therapist, Debbie, on my fine motor skills,” Ken said.

In November, Ken took a long overdue vacation to Orlando, FL with his children and 4 grandchildren and is back to work full-time.

“Because of the outstanding care I received, I have since switched my insurance plan and primary care doctor so I can continue to come to Silver Cross for all my medical care. “They are the best!” adds Ken. Ì

Learn More

Modern Advancements and Treatments for Stroke March 14, 6:30-7:30 p.m. Silver Cross Hospital Conference Center Join Dr. Richard Burgess as he discusses the latest minimally invasive treatment and recovery options for new and recurrent strokes. Register to attend this free program at www.silvercross.org/neuro.

begin dissolving any blood clots and improve the flow of blood to the brain. A MRI revealed a tiny clot in a constricted area of Ken’s brain stem, which can be devastating, even fatal.

“Ken had a rare type of stroke in the back of his brain—often times the symptoms from these are missed,” said Dr. Burgess. “The tiny blood vessel that clogged off was so small it wasn’t even visible on our CT scans and was far too small to be reached by a clot-retriever in our endovascular suite. But by starting intravenous tPA in the ED as fast as possible, we minimized the damage and set Ken up for the best recovery.”

After Ken was admitted to the ICU, paralysis had set in completely on his left side. He had difficulty

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Baseline Cardiac Risk Assessment Silver Cross Hospital Outpatient Testing CenterThis screening includes a 12-lead EKG measurements of total cholesterol including HDL and LDL levels, blood glucose level, triglyceride level, blood pressure and body fat. A 12-hour fast is required. To schedule an appointment, call (815) 300-7076. $40.

Colon Cancer Screening KitBeginning at age 50, individuals should begin regular colorectal screenings. Using the kit, you will collect a stool sample in your home and send it to the hospital’s Lab to be tested for blood. Results are mailed back to share with your physician. Request a colon cancer kit at www.silvercross.org. FREE.

Obesity & Your Health: Is Weight Loss Surgery Right for You?Every Wednesday, 5:45- 7 p.m.Silver Cross Hospital, Pavilion A, Suite 260Learn about the advantages and risks of traditional and laparoscopic bariatric weight loss surgery including ReShape® gastric balloon placement and the REALIZE® and LAP-BAND® gastric band systems. To find out if you are a candidate for the procedure, talk with the physician. FREE.

Low Back Pain ScreeningJan. 23The Rehabilitation Institute of Chicago at Silver Cross Hospital, Pavilion A Screening and treatment

recommendation from a physical therapist with The Rehabilitation Institute of Chicago at Silver Cross for individuals experiencing aches, pain, spasm, stiffness or weakness of the lower back. Call (815) 300-7110 to schedule an appointment. FREE.

Dispelling the Myths of Ovarian Cysts Jan. 24, 6:30-7:30 p.m.Silver Cross Hospital Conference CenterDr. Nicole Gress, gynecologist, will talk about the types of ovarian cysts, diagnosis, management and removal using laparoscopic and daVinci robotic surgery techniques. FREE.

What’s New in the Prevention & Treatment of Pelvic Floor Disorders?Feb. 7, 6:30-7:30 p.m.Silver Cross Hospital Conference CenterDr. Sandra Culbertson, urogynecologist, will discuss symptoms, management and newer treatments including daVinci robotic surgery for urinary incontinence; prolapse of the vagina, bladder and/or uterus; and other pelvic floor disorders. FREE.

Robotic Gallbladder SurgeryFeb. 16, 6:30-7:30 p.m.Silver Cross Hospital Conference CenterMillions of people suffer from gallbladder disease and gall stones. Join Dr. Laura Ragauskaite, general surgeon, to learn about the symptoms, diagnosis, and the latest treatment options for gallbladder disease including daVinci Single-Site robotic surgery

through a tiny incision in your belly button with virtually scarless results. FREE.

Hernia RepairMarch 7, 6:30-7:30 p.m.Silver Cross Hospital Conference CenterDr. Tom Vasdekas, general surgeon, will talk about how to repair ventral (abdominal) hernias and inguinal (groin) hernias using daVinci robotic surgery for a speedy recovery. FREE.

Stop Snoring!March 22, 6:30-7:30 p.m.Silver Cross Hospital Conference CenterDr. Salah Lababidy, medical director of the Silver Cross Sleep Disorders Center, will discuss snoring and its relationship to various illnesses and disease. Learn how to distinguish if your snoring is a serious health problem and the treatment options available. FREE.

Peripheral Arterial Disease March 30, 6:30-7:30 p.m.Silver Cross Hospital Conference CenterDr. James Sur, cardiologist, will discuss the symptoms, health impact, and treatment of peripheral vascular disease (PAD), how to know if you might have PAD, and what you can do about it. FREE.

Helping You Stay Well

For more information or to register, visit www.silvercross.org

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Find us online!The Silver Cross Experience is published by Silver Cross Hospital. The information isintended to inform and educate about subjects pertinent to health, not as a substitutionfor consultation with a personal physician. If you would like to be included in or removedfrom our mailing list, contact us at silvercross.org.Paul Pawlak, President/Chief Executive OfficerRuth Colby, Senior Vice President of Business Development/Chief Strategy OfficerTracy Simons, Director of Marketing/Community Relations

Have you ever felt unsteady or dizzy? Or maybe you sometimes lose your footing. Without proper treatment, falls can result in hip fractures, broken bones, and head injuries. Falling can also cause an older adult to become fearful or depressed, making it difficult to stay active.

To help active and older adults stay on their feet, The Rehabilitation Institute of Chicago (RIC) at Silver Cross Hospital has opened Brain and Balance Clinic on Joliet’s west side.

“The clinic is an extension of our Neurosciences and Stroke Rehabilitation program at Silver Cross Hospital making it even more convenient for patients

requiring physical therapy for vestibular (balance) disorders, headaches and migraines, and fall prevention,” said Matt Boebel, Administrative Director of Rehabilitation Services with RIC at Silver Cross.

“Our therapists are specially trained to conduct a thorough evaluation and develop individualized treatment plans to improve the

strength, stability and mobility of patients with brain and balance problems.”

Finding, Maintaining and Teaching BalanceLoss of balance can be caused by medical conditions or when your vision, inner ear or muscular systems are not working properly.

“Patients who are referred by their doctor are asked a series of questions about their symptoms and condition,” said Matt Degraff, senior physical therapist with the Brain and Balance Clinic. “We then perform tests such as motion, strength, coordination, visual tracking using Frenzel Goggles, and balance assessments with our new Balance System, to help evaluate overall physical ability. We also talk with our patients’ doctors to get a good picture of their health history so we can effectively address the problem.”

Once the causes have been identified, RIC’s Brain and Balance Clinic therapists develop an individual program to address the patient’s specific needs including exercises that can be performed at home. Therapists also provide recommendations to the patient and their family members on how to create and maintain a fall-proof home environment.

“Decreased balance can diminish your ability to lead an active and independent life,” said Dr. Andrew Hendrix, medical director of The Rehabilitation Institute of Chicago at Silver Cross. “About one third of people over 65 and almost half of people over 80 will fall at least once this year.”

Free Balance Enhancement and Fall Prevention ScreeningsAt RIC’s Brain and Balance Clinic, therapists conduct free screenings year round to determine fall risk. The 15-minute screening includes medical history, blood pressure measurements, and balance assessment to identify risk factors, posture, range of motion, strength, static and dynamic balance. Based on the results, therapists may provide recommendations to improve balance and reduce risk of falls and/or a referral for treatment. To schedule a screening, call (815) 300-6580.

In addition to vestibular disorders rehabilitation, balance enhancement therapy, and fall prevention screenings, the Brain and Balance Clinic offers evaluation and treatment of headaches and migraines using the latest evidenced-based rehabilitation practices. To schedule an appointment, call (815) 300-6580. Ì

riC at Silver CroSS oPenS brain and balanCe CliniC in Joliet