SPRING/SUMMER 2013 ISSUE HEALTHWISE

HEALTHWISEHEALTHWISEt h e M a G a Z i N e o F M e t h o d i s t h o s p i t a l s

L E A D I N G T H E W A Y T O B E T T E R H E A L T H .

SPRING/SUMMER 2013 ISSUE

ready for emergencies!methodist opens new, state-of-the-art emergency department on southlake campus.

ready for emergencies!methodist opens new, state-of-the-art emergency department on southlake campus.

PORTER COUNTY - 1

Methodist hospitals

to find a physician, call 1-888-909-docs (3627) or visit methodisthospitals.org

2

Welcome from the ceo

summer fun with the foundationsupport the methodist hospitals foundation at these summertime community events.

Foundation Master’s Golf Outing: June 24, 2013Whether you’re a serious golfer or just play for fun, you can enjoy a whole day of golf and support the Foundation at the same time. The fourth annual Foundation Master’s Golf Outing will be held on Monday, June 24 at the Innsbrook Country Club in Merrillville. Recreational golfers can enjoy nine holes of golf and an afternoon at the pool, while serious players can play eighteen holes in the team scramble. For both, the day ends with cocktails and dinner at the club.

For information contact Maria Diaz at 219-886-4688 or [email protected].

Mardi Gras Night at the Railcats: June 22, 2013 Join the Methodist Hospitals Foundation for a fun night at a Gary Southshore Railcats Game. In addition to exciting baseball action at the beautiful Railcats stadium, there will be fun activities sponsored by the Foundation, including stiltwalkers, face painting, balloon animals, gift basket drawings and more. The Foundation’s reigning Mardi Gras King and Queen, Kelly Bello and Judy Rathjen, will throw out the first pitch. Proceeds from select tickets will be donated to the Methodist Hospitals Foundation.

For more information visit MethodistHospitals.org and click the Foundation tab.

Now Open: Long established as a premier provider of emergency services in the region, Methodist Hospitals has invested $8 million in a new Southlake Campus Emergency Department.

At 21,000 square feet of space, the new space is almost double the size of its predecessor. The number of rooms has been increased from 17 to 23. Methodist has also added two procedure rooms, an additional nurses’ station and doubled its trauma room capacity.

The expanded space increases efficiency, which improves workflow for physicians, nurses, technicians and other staff. Together with technology upgrades, the new design facilitates the lifesaving work the hospital’s caring professionals perform on a daily basis.

According to Methodist Hospitals President and CEO Ian McFadden, “This project is our first major expansion in more than a decade. It demonstrates our commitment to investing in health care in Northwest Indiana.”

William Braman, Methodist Hospitals Board Chairman, explained, “It is an important milestone in our far-reaching expansion plan.”

patient treatment is enhanced with an ambulance entrance that provides

direct access to trauma rooms for immediate, private care.

Welcome to the Spring/Summer 2013 issue of HealthWise, the community magazine of Methodist Hospitals. In this issue we are proud to introduce you to our new, state of the art emergency department at our Southlake campus.

Methodist Hospitals has long been known as the premier provider of emergency services in this region. We employ an unmatched team of skilled and experienced emergency physicians, nurses, technicians and support staff who provide the very best care around the clock every day of the year.

Last year, our emergency departments responded to more than 60,000 patient visits. It is critical that we have an environment that lives up to the same high standards as our team and that can comfortably and efficiently accommodate the volume of patients who come through our doors. Our new Southlake emergency department does just that.

In this issue, you will also find important information about our new Lung Care Center, which features the latest technologies for the early diagnosis of lung cancer and other lung conditions.

May is stroke awareness month, so be sure to read about recognizing the signs and symptoms of stroke. The issue also includes stories on women’s health, cosmetic surgery, diabetes and osteoporosis.

As always, we welcome your feedback. Call our Marketing andCorporate Communications department at 219.886.5972 or email us at [email protected].

Sincerely,

Ian E. McFadden, FACHE President/CEO

The 2012 Foundation Master champions (left to right): Joe Proctor of Loxogon; Christopher Romo of Boman, Heintz, Boscia and Vician Professional Corp.; and Methodist Hospitals Board Member, Glenn S. Vician.

Railcats mascots, Rusty and Rascal, with 2012 Mardi Queen Fran Taylor and King Peter Melcher at last year’s Foundation Night at the Railcats.

leading the Way to Better health. 3


Methodist’s New Southlake Emergency DepartmentBy its very nature, a visit to the Emergency Department is stressful and quite often, every second counts.

The new lobby design enables hospital staff to immediately evaluate patient needs and route them to the most appropriate care. Patients are greeted at the door and assessed using Quick Emergency Service Indexing (ESI) Leveling.

Three separate lobby areas include fast track, a main area, and a child-friendly family room.

Also located in the lobby are two immediate care rooms, and a holding area for safety. Patient privacy has been considered in every aspect of the new Emergency Department design.

Two trauma rooms accommodate two persons each and are equipped to provide state-of-the-art monitoring for therapeutic hypothermia. The area also includes separate lock-down capability.

Patient treatment is enhanced with an ambulance entrance that provides direct access to trauma rooms for immediate, private care. Patient documentation is quickly accessed in the Emergency Medical Technician (EMT) room. This area now houses the region’s only indoor hazmat showers.

Computers in each exam room bring bedside charting capability, which allows nurses to remain at the patient’s side. A state-of-the-art cardiac monitoring system feeds into Methodist’s electronic medical record system.

The new Emergency Department demonstrates Methodist Hospitals’ commitment to providing the very best in programs, technology and facilities for the people of Northwest Indiana. It lives up to the hospital’s high standards of care, enabling doctors, nurses and staff to more comfortably and efficiently accommodate the volume of patients that come through its doors.

Methodist Hospitals is also in the process of elevating to Level III trauma center status. Additionally, Methodist will soon begin construction on a 12-bed clinical decision unit for patients who need 24-hour observation, but do not require admission to the hospital.

“Our goal,” McFadden said, “is to change the way emergency medicine is delivered in Northwest Indiana.”


4 Methodist hospitals

Methodist welcomes new medical staff physicians in 2012…

Stroke is a medical emergency in which every second counts. So, it is vitally important to be aware of its warning signs.

In addition to being the fourth leading cause of death in the U.S., stroke is the leading cause of disability. It can be devastating to individuals and their families, robbing them of their independence.

A stroke occurs when a blood vessel carrying oxygen and nutrients to the brain ruptures, or is blocked by a clot. When that happens, part of the brain can’t get the blood and oxygen it needs, so brain cells die.

It cannot be emphasized enough that “time is brain.” That means the longer you wait to treat a stroke, the more brain cells are dying. As valuable time is wasted, we are also left with fewer and fewer viable treatment options. As a result, those who fail to seek immediate treatment are at greater risk of losing their lives or being permanently disabled as the result of stroke.

Yet it’s common for people to wait two or three hours after experiencing stroke symptoms to seek treatment.

While many people experiencing stroke symptoms are in denial, many others fail to recognize the sometimes-subtle symptoms of stroke. In fact, the stroke itself doesn’t hurt.

That’s why the National Stroke Association established an easy way to remember the sudden signs and symptoms of stroke: F. A. S. T.

f. a. s. t. is the face, arm and speech test

face drooping: Ask the person to smile. Does one side of the face droop or is it numb?

arm Weakness: Ask the person to raise both arms. Look for unilateral drift or weakness. Does one arm drift downward?

speech difficulty: Ask the person to say, “The sky is blue.” Is the sentence repeated correctly? Or is speech slurred, are they unable to speak, or are they hard to understand?

time to call 911: Test all three symptoms, and if one fails, call 911.

If you think someone is having a stroke, call 911 immediately. Also, check the time so you’ll know when the first stroke symptoms appeared. A clot-busting drug called Tissue Plasminogen Activator (tPA) may improve the chances for recovery. At Methodist, this window of opportunity can be extended up to eight hours by performing a special procedure for clot removal therapy, utilizing our state-of-the-art Biplane technology.

Beyond F.A.S.T., there are other stroke symptoms you should know: •Suddennumbnessorweaknessoftheleg •Suddenconfusionortroubleunderstanding •Suddentroubleseeinginoneorbotheyes •Suddentroublewalking,dizziness,lossof

balance or coordination •Suddensevereheadachewithnoknowncause

Of course, the most effective way to treat stroke is to prevent it in the first place. Exercise regularly and watch your weight. Get your high blood pressure and cholesterol under control. If you’re a smoker, quit. If you have diabetes, take the necessary steps to diligently manage it.

Not so long ago, little could be done to help the victims of a stroke. Today, there are treatments that can actually reverse the damage – if those treatments are administered in time. And Methodist Hospitals is Northwest Indiana’s leader in extending the window for treatment further and further.

Sanjeev Maniar, MD, is a Methodist Physician Group board certified neurologist.

Dr. Sanjeev Maniar

Know the Warning Signs of Stroke, and Act F.A.S.T.

“of course, the most

effective way to treat stroke

is to prevent it in the

first place.”methodist is the only area hospital to receive the gold plus award for strokeMethodist Hospitals has received the 2013 American Heart Association/American Stroke Association’s Get With The Guidelines® Stroke Gold Plus Performance Achievement Award.

This award recognizes Methodist Hospitals’ commitment and success in delivering excellent care for stroke patients, according to rigorous, evidence-based guidelines.

To receive the award, Methodist achieved at least 85 percent adherence to all “Get With The Guidelines” stroke quality achievement indicators for two or more consecutive 12-month intervals, and achieved 75 percent or higher compliance with at least five of eight additional stroke quality measures. These measures include appropriate use of life-saving medications and lifestyle/behavior modifications, all aimed at reducing death and disability and improving the lives of stroke patients.

Methodist Hospitals is the first and only Northwest Indiana hospital to earn the Gold Plus Award for Stroke.



Know the Warning Signs of Stroke, and Act F.A.S.T.

As women mature, our health needs and preventative care requirements evolve. Each decade brings certain risk factors that are associated with aging.

When we’re younger, we’re not thinking about our health and the future. But by our 30’s, we need to establish good habits because they can set the tone for the rest of our lives.

Women in their 30’sIn our 30’s we’re typically so focused on everything and everyone else, we don’t take care of ourselves.

Around 35, our metabolism starts to slow and weight begins to creep up on us. Many women begin to develop hypertension in their 30’s as a result of weight gain.

An annual exam is the best way to identify any problems that may be on the horizon. It’s important to establish a baseline that includes

a diabetes screen, cholesterol levels, thyroid function, weight and routine vitals like blood pressure and body mass index (BMI).

Th is visit should also include a Pap smear with HPV, STD testing, pelvic and breast examinations. Your physician should also teach you how to perform a monthly breast self-exam.

Women in their 40’sWomen in their 40’s often have children, a job, and may have to take care of aging parents. So, stress management and sleep deprivation are big issues.

We’re also more prone to develop chronic diseases, so screenings you began in your 30’s are more important than ever, adding an anemia status check to the list. Th is is the time in our lives in which most experts encourage women to start having annual mammograms. If there is a strong

family history of breast cancer, mammograms done in the third decade may be

recommended.

Because we begin to lose muscle mass in our 40’s, women should add strength training and

weight bearing exercises to at least 30 minutes of aerobic

exercise. If we don’t watch our weight, we become more prone to developing hypertension and diabetes.

Th e onset of symptoms of perimenopause can bring on hot fl ashes,

night sweats, mood swings and insomnia.

Women 50 and overWhen we are 50 and over, we need to be very diligent about our heart health. Heart disease is the number one cause of death among American women, and after menopause we lose the protection of estrogen.

Now, it’s more important than ever to watch our fasting blood glucose, cholesterol levels, blood pressure and BMI.

Ninety percent of people who have heart attacks possess at least one risk factor of heart disease: smoking, high blood pressure, high cholesterol, obesity, diabetes or family history. If you have any risk factors, discuss the benefi t of having an EKG or stress test with your doctor.

Colon cancer is highly preventable, and you should have your fi rst screening after 50.

As we get older, we also become more prone to developing life-threatening complications of the fl u, making it highly advisable to receive a yearly fl u vaccination.

All women over age 65 are urged to have a bone density test. Some doctors may encourage you to have one in your 50’s, which is perfectly acceptable.

Keeping on top of health challenges and considerations greatly increases your chances of enjoying good health. Be sure to watch your “medical checklist,” and you will be rewarded with “healthy dividends” for years to come.

Angelique Brown, MD, is a Methodist Physician Group family practice physician.

Dr. Angelique Brown

Timing is Everything: Optimizing Women’s Health Th rough Every Stage of Life

“Keeping on top of health

challenges and considerations

greatly increases your chances of

enjoying good health.”

Choose Methodist. Northwest indiana’s FiRst 3d Mammography.

3D Screening Mammogram - Only $125 Same-day appointments available. Call 219-981-5440.

Schedule your 3D mammogram by 5/31/2013. Cash, check or credit card payment due in full at time of service.

NORTHWEST INDIANABREAST CARE CENTER

THEMOST

ACCURATERESULTS

A lung cancer diagnosis can be frightening, and it helps to have someone by your side. As Lung Care Nurse Navigator with Methodist Hospitals’ new Lung Care Center, I am that person.

My job is to help patients in any way that I can - from

the time the work up for cancer begins through the duration of their treatment. That includes coordinating appointments and care, providing additional information about diagnosis and treatment, or being there for emotional support.

I serve as the “go-to” person for all lung cancer patients. This way, they have one source who can gather any information they need and facilitate communication with the doctors involved in their care.

When a patient is scheduled to be biopsied with our new electromagnetic navigational bronchoscopy system,

the endobronchial ultrasound system, with a CT guided biopsy or a traditional bronchoscopy, I am available beforehand to answer any questions. I like to try to meet with them before the procedure and follow-up with them when they get their results.

I also work with patients who feel they are at risk for developing lung cancer and might benefi t by participating in Methodist Hospitals’ new low-dose CT lung cancer screening program.

All of our lung cancer patients, whether they are in the diagnosis or treatment stage, can rely on my services.

meet Julie Kerns, methodist’s lung care nurse navigator

Methodist hospitals6


Newest Lung Care Technologies FacilitateTh e new Lung Care Center at Methodist Hospitals is a multi-disciplinary resource for the prevention, diagnosis and treatment of lung disease. It houses some of the most advanced diagnostic and treatment technologies in Northwest Indiana, delivering the best outcomes possible for patients with every type of lung problem.

Karen Kordys is one such patient, who came to the Center following an accidental discovery. Th e Valparaiso resident visited a medical facility for an abdominal scan in 2008. At that time, the testing facility performed a chest scan in error. Remarkably, that scan revealed the presence of nodules.

Hearing about Dr. Hakam Safadi, Director of Respiratory and Intensive Care at Methodist, Karen made an appointment. He asked about her background and, learning she grew up on a farm, thought it might be scar tissue from histoplasmosis.

“Karen was not at high risk for developing cancer. She is a non-smoker. So we watched for changes,” said Dr. Safadi.

diligence and technology“Dr. Safadi checked me every six months and then, after there were no changes for a long time, we went to yearly checks,” Karen explained. In December of 2012, a routine scan showed a slight change in size in one of the nodules.

“Th e nodules were small. So, I suggested she have an Electromagnetic Navigation Bronchoscopy, or ENB. Th e

alternative would be to do a fi ne needle aspiration but the lesion was deep enough that the chance of having a collapsed lung was high,” explained Dr. Safadi. “Plus, a fi ne needle aspiration in that remote location may not obtain enough tissue to make a diagnosis.”

Karen’s ENB revealed the presence of a carcinoid tumor.

“I’m glad we did the biopsy because carcinoid tumors spread locally and get bigger. It’s fortunate we got a diagnosis,” Dr. Safadi said. “It’s very rewarding because there are non-cancerous lesions that look like cancer and using this procedure, you can make a diagnosis.

the region’s first electromagnetic navigation BronchoscopyAccording to Dr. B.H. Barai, Medical Director for Methodist Hospitals Cancer Institute, the ENB uses GPS computer guidance to locate even the most remote tumors of the lung and determine whether they are malignant or benign.

“Methodist Hospitals was the fi rst to introduce this technology to Northwest Indiana in 2012,” Dr. Barai said.

“In Karen’s case, I feel good because we proceeded at the right time and we have that technology at Methodist to do such a procedure,” Dr. Safadi added.

Dr. Olusegun Apata

Dr. B.H. Barai

Dr. Sharon Harig

Dr. Charles Rebesco

methodist hospitals offers two of the most advanced diagnostic technologies

for lung cancer, including northwest indiana’s fi rst electromagnetic

navigation Bronchoscopy.

detect lung cancer at earlier, more curaBle stagesLow-Dose CT Lung Cancer ScreeningMethodist Hospitals offers screening with low-dose computed tomography (CT) for those at high risk for lung cancer. Recent research found that low-dose screening helped reduce mortality by 20% for those at high risk of developing lung cancer.

If you are a current or former smoker, you may be a candidate for Low-Dose CT Lung Screening at a special low price. To learn more, call 219-757-7212.

only $99

Karen went on to have surgical treatment and is now considered cured.

“I couldn’t be more grateful to Methodist Hospitals for having the foresight to have the technology that enabled Dr. Safadi to fi nd the cancer so early. It could have been bad at every turn but it wasn’t,” Karen said.

advanced lung careIn addition to the ENB, the new Lung Center off ers the latest generation, most advanced Endobronchial Ultrasound (EBUS), and a full range of radiation therapy services for lung cancer treatment.

“We off er the full spectrum of services, from prevention programs to participation in national clinical trials in affi liation with the University of Chicago for the treatment of lung cancer,” Dr. Barai said. “We are also unique in Northwest Indiana for having a Lung Care Nurse Navigator to guide patients through for the most effi cient, timely care.

Hakam Safadi, MD, is a board certifi ed Pulmonologist, and the Methodist Hospitals Director of Respiratory and Intensive Care.

B.H. Barai, MD, is a board certifi ed Medical Oncologist and Hemotolgist, and Medical Director of the Methodist Hospitals Cancer Institute.

Olusegun Apata, MD; Sharon Harig, MD; and Charles Rebesco, MD, are board certifi ed Pulmonologists affi liated with Methodist Hospitals Lung Care Center.

Lung cancer patient, Karen Kordys (left), with Methodist Hospitals pulmonologist,

Dr. Hakam Safadi.

leading the Way to Better health.


7

Newest Lung Care Technologies Facilitate the Best Possible Outcomes

thursday, June 20 at 5:30 p.m.Methodist HospitalsSouthlake Campus – Pavilion B200 E. 89th Ave., Merrillville

New Lung Cancer Diagnosis Technologiesfree seminarPresented by Pulmonologist, Sharon Harig, MD Every current or former smoker should know that lung cancer is much more treatable when it’s diagnosed early. Learn how Low-Dose CT Screening and our new ENB and EBUS technologies are enabling Methodist Hospitals to fi nd lung cancer at earlier, more treatable stages at this FREE SEMINAR.

Space is Limited! Reserve your seat today. call 1-888-909-docs (3627) or visit methodisthospitals.org

treating pulmonary hypertension

Pulmonary Hypertension (PHTN) is a fairly rare disease that develops when the lung’s tiny pulmonary arteries and capillaries become narrowed, blocked or destroyed.

It’s a form of high blood pressure in the lungs that makes it diffi cult for blood to fl ow through the lungs, causing pressure to build and making the heart work harder. This can eventually weaken the heart muscle and cause eventual heart failure.

While there is no cure for PHTN, early diagnosis is instrumental for its effective treatment. We have a Pulmonary Hypertension clinic, located in our offi ce at 650 Grant Street, Gary, where patients can be diagnosed and treated by trained specialists.

Additional risk factors for developing PHTN include autoimmune diseases that damage the lungs, birth defects of the heart, blood clots in the lung, congestive heart failure, heart valve disease, HIV infection, lung disease, and use of some medications, including certain diet drugs.

The symptoms of PHTD often come and go. They may include shortness of breath during activity, fast heart rate, ankle or leg swelling, bluish lips or skin, chest pain or pressure, dizziness or fainting, fatigue, increased abdomen size, and weakness.

Many of these symptoms can be confused with those of other conditions. So, patients should be referred to a specialist for the most accurate diagnosis.

In the past, the outlook for those with Pulmonary Hypertension was poor. However, new treatments, including medications and surgery for those with certain heart conditions are delivering better results. Early diagnosis is the key to effectively treating PHTN.

Sophie Toya, MD, is a board certifi ed Pulmonologist, affi liated with Methodist Hospitals.

Dr. Sophie Toya

Methodist hospitals


8

Plastic surgery has evolved in society. It is no longer only for the rich and famous and more for everyone. Shows like Extreme Makeover and Th e Swan have helped fuel public interest.

In general, people are working and more active later in life. Th ey feel younger than what they see in the mirror and the Weekend Lift helps create a closer match.

Th e Weekend Lift is a facial rejuvenation technique we have developed and perfected over the last ten years. A mini-facelift, it is much less invasive and risky than a traditional facelift, costs considerably less, and involves signifi cantly less recovery time.

And contrary to fads that sound too good to be true, the Weekend Lift delivers the ideal balance of great results with minimal downtime. Th e procedure can “reset the clock” by taking between fi ve and 10 years off a person’s appearance. Some of my patients have said they look 15 years younger after their lift.

Th e Weekend Lift off ers other advantages over a full facelift.

For a traditional facelift, a patient is under a general anesthesia for four to six hours. Th e doctor’s incision starts in the hairline above the ear and goes down around the ear to the bottom of the hairline on the neck. Th e skin is lifted or peeled off the face to the corner of the eye and mouth, pulled taut and tissues are tightened.

A full facelift results in signifi cant bruising and swelling, taking months to heal. A full facelift can cost up to $20,000. What’s more, the result is often an unnatural, “wind tunnel” look.

In contrast, the Weekend Lift incision is about one quarter the size of a traditional lift incision. It starts

at the top of ear and goes around the earlobe to the back. Patients receive local anesthesia and if requested, intravenous sedation to make them a little sleepy.

During the procedure, we lift the skin and use permanent suture to pull the tissue to reverse the eff ects of gravity and aging. Stretchy skin is removed and in many cases, the neck is re-contoured using liposuction. Th e entire procedure takes about one hour, give or take a few minutes.

Th e Weekend Lift earned its name because the swelling only lasts for about three days, and patients may return to work much sooner.

Th e majority of my patients are women, who typically take care of their husbands and then their children, rarely really considering their own needs. Th e Weekend Lift provides them with a safe opportunity to do something for themselves, safely and at a lower cost.

We currently off er free consultations. At that time, I ask people what they are looking for and show them a reasonable estimate of what a Weekend Lift will do for them. If someone does not

qualify for a Weekend Lift and is not a good candidate, we do not off er them the procedure. Th is candid approach has resulted in over 99% patient satisfaction.

To learn more, visit our website at theweekendlift.com, phone 219-836-2201, or attend our free seminar.

Sreek Cherukuri, MD, is a facial plastic surgeon, board certifi ed in Otolaryngology Head and Neck Surgery, affi liated with Methodist Hospitals.

Dr. Sreek Cherukuri

Th e Weekend Lift : Look as Young as You Feel with Minimal Downtime with a Mini-Facelift

“the Weekend lift earned its

name because the swelling only lasts

for about three days, and patients

may return to work much

sooner.”

thursday, may 23at 5:30 p.m.Methodist HospitalsSouthlake CampusPavilion B200 E. 89th Avenue, Merrillville

Look as Young as you Feelfree WeeKend lift seminarPresented by Dr. Sreek CherukuriLearn how Dr. Cherukuri’s minimally invasive procedure can help you look and feel rejuvenated, without experiencing the pain, downtime and expense of traditional facelifts at this free seminar.

community invited. free refreshments.




Osteoporosis is a disease that occurs when the body loses bone mass, causing bones to thin and break easily. Many who have this disease are not even aware that they do because, while the disease can cause aches and discomfort, the tendency is to dismiss it as old age.

Th e fi rst real symptom of osteoporosis is often a broken bone. When the hip or spine are involved, some of the elderly are unable to recover. In some advanced osteoporosis cases, the spine curves and the rib cage drops against the pelvis, compressing the intestines and internal organs. Some patients report losing as much as four inches of height.

prevention is possible, preferableTo help prevent the development of osteoporosis, young women should begin taking small doses of calcium and Vitamin D after the age of 25 to improve their bone health. Once a woman reaches menopause, her bone mass drops. Bone mass will also drop below a safe level for those who haven’t had enough calcium in their system. Men can also develop osteoporosis.

A healthy lifestyle is important to prevent the disease or help stop its progression. It’s important to stop smoking, cut down on caff eine, limit alcohol intake and eat a healthy diet.

Maintaining and building strength helps to build up bone – by doing nothing, you lose bone.

diagnosisIt is recommended that women 65 and older and men 70 and older undergo a non-invasive, painless DEXA bone density scan to detect how porous their bones are. Additional diagnostic tools include blood tests and visual examination including a balance check. Once it is diagnosed, patients

should continue to take Calcium and Vitamin D, in addition to a pharmacological agent to treat osteoporosis.

treatmentTh ere are two classes of medications for treating osteoporosis: antiresorptives and anabolic agents.

Antiresorptives slow down the bone destruction. A pill form has been traditionally used, but the newer subcutaneous injection every six months or annual IV injection is much simpler.

Anabolic agents build the bone and can reverse bone loss. Th ey must be injected by the patient daily for 18 months. Patients who elect to use anabolic treatment should follow with an antiresorptive medication at the end of those 18 months. Unfortunately, the two can’t be taken together, however new and better medications are being developed.

It’s important to stick with the medications because they are eff ective and problems will arise otherwise. Patients should take them for life, but their doctor may advise a “drug holiday” for one or even two years, carefully monitoring the condition to determine when to return.

raising awarenessTh ere is a critical need to raise awareness of osteoporosis. Th e Spine Center at Methodist Hospitals off ers an Osteoporosis Program to educate, diagnose, advise and treat patients who are at risk for or who already have osteoporosis.

As part of our program, patients who have osteoporosis are referred to a Physical Th erapist who will instruct them about proper exercises and tell them what not to do. Our nutritionist provides diet advice and can recommend the proper amount of supplemental Calcium and Vitamin D to take for prevention or maintenance.

Elian M. Shepherd, MD, FACS, the Director of the Methodist Hospitals Spine Care Center, is a Methodist Physician Group board certifi ed orthopedic surgeon.

Dr. Elian M. Shepherd

Osteoporosis: A Silent Killer that’s Undertreated and Under-Detected

“the spine center at methodist

hospitals offers an osteoporosis

program to educate, diagnose,

advise and treat patients who

are at risk for or who already have

osteoporosis.”

Get FREE screenings along with useful education and information about bone health, and the prevention and treatment of osteoporosis.

Screenings are performed on the heel of the foot. Participants must be able to remove shoes and socks.

FREE BONE DENSITY SCREENINGSthursday, may 30, 4 p.m.-5 p.m.thursday, June 20, 4 p.m.-5 p.m.

methodist hospitalsSouthlake Campus – Pavilion B200 E. 89th Avenue, Merrillville

Wednesday, June 12, 8 a.m.-10 a.m.Wednesday, July 10, 8 a.m.-10 a.m.Wednesday, august 14, 8 a.m.-10 a.m.

valparaiso family ymca1201 Cumberland Crossing Drive

Valparaiso

Methodist hospitals10


Th ere are approximately 26 million Americans with diabetes. Among them, about half are likely to develop some form of neuropathy, even if they have good blood sugar control.

Diabetic neuropathy usually involves tingling, burning and/or numbness in the extremities, particularly the feet. When this painful condition results in a complete lack of sensation, we worry about major complications such as wounds and amputations.

Neuropathy can be caused by nerve loss or nerve compression. Because the two are treated diff erently, it’s essential to make the distinction through accurate diagnosis.

With compression neuropathy, something is trapping the nerve. Performing outpatient nerve decompression relieves approximately 80 percent of patients. Following this treatment, I have yet to see a recurrence.

In order to understand the cause of a patient’s neuropathy, we fi rst perform standard offi ce exams including a monofi lament exam, vibratory exam, and a check of nerve thresholds.

One of the best new protocols for diagnosis is the Epidermal Nerve Fiber Density test. Th is simple, in-offi ce test takes a 3-milimeter biopsy of tissue requiring no stitches. Th e skin specimen is sent to a lab, where the exact number of nerve fi bers to the skin can be counted.

In addition to helping us make an accurate diagnosis, this test also serves as a baseline to measure the eff ectiveness of subsequent treatments.

Other forms of testing include quantitative sensory testing to assess damage to the small nerve endings. Now used less frequently for diabetic neuropathy,

nerve conduction velocity testing can indicate how quickly electrical signals move through the nerves.

If nerve loss is found to be causing the neuropathy, I usually prescribe Metanx, a highly eff ective new treatment that can achieve remarkable results. Th is prescription vitamin is specifi cally targeted at providing what the body needs to combat peripheral neuropathy with diabetes.

Th e body is actually capable of re-growing peripheral nerves. Metanx can encourage nerve regrowth by helping to stimulate local circulation.

Metanx begins to work immediately. Patients’ symptoms usually begin to improve within six months. After six months to one year, we perform a second 3-milimeter biopsy. We then compare those results with the original baseline results to see how many nerves have regrown.

If response to any given therapy is poor, we have alternative options to try. In all cases, we urge patients to continue to control their blood sugar, and we continue work with their primary care doctor and other specialists.

Breakthrough diagnosis and treatment protocols represent a paradigm shift in how we’re eff ectively managing diabetic neuropathy. Th e future will

soon bring more exciting protocols for treating diabetic neuropathy giving us the ability to inject a patient’s own stem cells in and around the nerves. In trials, patients’ symptoms have improved following this treatment.

Mark A. Jones, DPM, is a Methodist Physician Group board certifi ed podiatric surgeon. Dr. Jones is also a core surgical instructor for the PM&S podiatric residency at Weiss Memorial Hospital in Chicago.

Dr. Mark A. Jones

A New Era Dawns in the Diagnosis and Treatment of Diabetic Neuropathy

“Breakthrough diagnosis and

treatment protocols

represent a paradigm shift

in how we’re effectively

managing diabetic neuropathy.”

Wednesday, June 5, 6:00 p.m.Methodist HospitalsSouthlake Campus - Pavilion B200 E. 89th Avenue, Merrillville

Wednesday, June 12, 5:30 p.m.Valparaiso Family YMCA1201 Cumberland Crossing DriveValparaiso

Understanding Diabetic Neuropathy: Prevention and New Treatments free diaBetic neuropathy seminarsPresented by Dr. Mark JonesLearn the steps you can take to prevent the pain and complications associated with diabetic neuropathy, and get an overview of new and emerging treatments at these FREE seminars.

community invited. free refreshments.


leading the Way to Better health. PORTER COUNTY - 11

for more information, call 1-888-909-docs (3627) or visit methodisthospitals.org

No registration required.

Bone DensityFree screenings along with education and information about bone health and the prevention and treatment of osteoporosis. Screening is performed on the heel of the foot: participants must be able to remove their shoes.8:00 a.m. - 10:00 a.m.Wednesday, June 12Wednesday, July 10Wednesday, august 14

Total Cholesterol/HDL/Blood Sugar This screening is for those who have not had their cholesterol checked in the past six months. A 12-hour fast is recommended but not required.8:00 – 10:00 a.m.Wednesday, may 29Wednesday, June 26Wednesday, July 24

Blood Pressure Checksevery tuesday 1:30 - 2:30 p.m.

Body Mass Index Checksevery thursday 1:30 - 2:30 p.m.

LIVESTRONG at the YMCA A 12-week group exercise program for adult cancer survivors, focusing on cardiovascular endurance, muscle strength, flexibility, balance and overall physical improvement. LIVESTRONG at the YMCA is a free program because it is 100% supported by donations. Open to the community.Contact Lee Baker at 219-462-4185, ext. 260 to register.

Mother’s Day Plant Sale: May 9 thru 11Beautiful “Knockout Roses” pink or red, or blue Endless Summer Hydrangea will be available for purchase for $15 at the Valparaiso Family YMCA. Proceeds will benefit the YMCA’s Annual “Changing Lives” Campaign.

thursday, may 9, 10:00 a.m. - 6:00 p.m. friday, may 10, 10:00 a.m. - 2:00 p.m. saturday, may 11, 9:00 a.m. - 2:00 p.m.Pre-orders available at www.valpoymca.org

Zumba-thon for LIVESTRONG at the YMCAfriday, may 17, 6:00 p.m. - 8:00 p.m.Collect pledges or pay $25 at the door. Visit www.valpoymca.org for details.

Spin-a-thon for LIVESTRONG at the YMCAsaturday, may 18, 8:00 a.m. - 11:00 a.m.Individual or team. Must pre-register. Visit www.valpoymca.org for details.

Seating is limited. Reserve your seats at our seminars today!

Call 1-888-909-DOCS (3627), or visit MethodistHospitals.org

Bone Health / Back and Neck Pain SeminarLearn about overall bone health and the prevention and treatment of osteoporosis. Identify your back and neck pain and learn about the most effective treatments available. Presented by Kristy Darnell, RN, MSN, FNP-BC, CNRN Methodist Hospitals Spine Care Center ManagerWednesday, June 19, 5:30 p.m.Wednesday, July 17, 5:30 p.m.

Weight Loss Surgery OptionsLearn how weight loss surgery can help you restore your health and reclaim your life.Presented by Dr. James Siatras Methodist Physician Group Bariatric SurgeonWednesday may 29, 6:00 p.m.

Maintaining Vascular Health – Preventing StrokeLifestyle tips for maintaining a healthy vascular system. Learn how to identify the warning signs of a stroke and the importance of timely treatment in patient outcomes.Sherry Mosier, RN, BSN, CNRN Methodist Hospitals Stroke Coordinatortuesday, may 14, 12:00 noon

Foot Care for People with DiabetesPeople with diabetes need to take special care of their feet. Learn about new treatments for diabetic neuropathy.Presented by Dr. Mark Jones Methodist Physician Group Foot and Ankle SurgeonWednesday, June 12, 5:30 p.m.

Skin Cancer ScreeningsMost skin cancers can be treated successfully if detected early. A skin cancer screening is a visual examination of your skin. A screening does not take much of your time and can save your life.Presented by Dr. Karen Jordan, Dermatologistsaturday, June 8, 9:00 a.m. to 12 noontuesday, June 11, 1 to 4 p.m

screenings:

YMCA events

seminars:

Event Calendar

Methodist Hospitals and the Valparaiso Family YMCA:

Partners in Wellnessall screenings &

seminars freeto the public and ymca members

All events held at the valparaiso family ymca

1201 Cumberland Crossing Dr., Valparaiso



only $99

6 Ways to avoid common Warm Weather injuries/illnessesNow is a great time to spend outside enjoying the fresh air and getting exercise. However, if you aren’t careful, an injury or illness could knock you off your feet during the most beautiful days of the year.

Here are some tips to help you stay safe…

Know your limitsIf you aren’t active, don’t push yourself too far, too fast. Too much physical activity at once can be dangerous if your body isn’t used to it. Always consult your physician before starting an exercise regimen.

stretch it outEven a friendly game of softball or volleyball at a picnic deserves a warm-up. Take a few minutes to warm-up and stretch before you exercise.

stay hydratedDehydration can cause cramping and more serious health problems. Drink plenty of water before, during and after your activities. Thirst is a poor indicator of your body’s level of hydration. If you are doing intense activity, drinking only when thirsty is not adequate. Alcohol increases fluid losses, which can lead to dehydration.

fight the biteTo lower your risk of contracting West Nile Virus, use mosquito repellent when you’re outside.

practice Water safetyIf you and/or your children don’t know how to swim, NOW is the time to learn. Do not leave children unattended near water. Never swim in open water alone. Even experienced swimmers can get into trouble.

sun safetyUse an adequate amount of a sunscreen with SPF 30 or higher, and both UVA and UVB protection, seek shade and wear hats to limit your direct sun exposure. This will reduce your risk of sunburn, heat illness and skin cancer.

We have endured months of cold, snowy days waiting for these warm spring and summer days. Follow the tips so you are less likely to spend them with me in the ER.

Dr. Airron RichardsonMethodist Hospitals

Emergency Physician

leading the Way to Better health.

for more information, call 1-888-909-docs (3627) or visit methodisthospitals.org

LAKE COUNTY - 11

Free Scoliosis Screeningssouthlake campus, pavilion B, neuroscience institute 200 e. 89th ave., merrillvilleBy Appointment. For information call 219-738-4926.

Bone Health / Back and Neck Pain SeminarLearn about overall bone health and the prevention and treatment of osteoporosis. Identify your back and neck pain and learn about the most effective treatments available.southlake campus, pavilion B, 200 E. 89th Ave., Merrillville • 4:00 p.m.• June 5 • July 3• August 7• September 4 To register call 1-888-909-DOCS (3627).

Bone DensityFree screenings along with education and information about bone health and the prevention and treatment of osteoporosis. Screening is performed on the heel of the foot: participants must be able to remove their shoes.southlake campus, pavilion B 200 E. 89th Ave., Merrillville • 4:00 p.m.• May 30• June 20To register call 1-888-909-DOCS (3627).

Health Matters SeminarsPresented by Methodist HospitalsyWca of northwest indiana, 150 W. 15th ave., garyall health matters seminars begin at 12:15 p.m.• May 24 • June 21• July 19• August 16

Heart Attack and PAD Risk Assessments and Stroke ScreeningsHeart Attack and PAD Risk Assessments and Stroke Screening: Blood Pressure and Carotid Bruit Check.methodist hospitals midlake campus, 2269 25th Ave., Gary • 12 to 2:00 p.m.• August 6• November 5methodist hospitals southlake campus, pavilion B 200 East 89th Ave., Merrillville • 4:00 to 6:00 p.m.• June 4• September 3To register call 1-888-909-DOCS (3627).

Free Weight Loss Surgery SeminarAn informational seminar about weight loss and surgery options. The session is open to all interested persons and their families or friends. northwest indiana center for Bariatric surgery at methodist hospitals southlake campus, pavilion a 101 east 87th ave., ste. 430, merrillville• May 11, 10:00 a.m.• May 16, 6:00 p.m.• June 15, 10:00 a.m.• June 20, 6:00 p.m.• June 27, 6:00 p.m.• July 2, 6:00 p.m.• July 11, 6:00 p.m.• July 27, 10:00 a.m.To register call 1-888-909-DOCS (3627).

screenings & seminars:Diabetes Self-Management Education Classes Comprehensive diabetes education involving all aspects of treatments as well as prevention of chronic complications. southlake campus, pavilion d, 303 e. 89th ave., merrillville• Tuesdays, 1 p.m. to 4 p.m. or 5 p.m. to 8 p.m.

(3 tuesdays in a row) To register call 219-944-4160. Must have physician referral.

Prepared Childbirth Classes A five-week course to help pregnant mothers and their partners learn about labor, delivery and the immediate post partum period. Recommendation for attendance is 7 – 8 month of pregnancy. southlake campus, pavilion B, 200 e. 89th ave., merrillville 6:30 p.m. to 9:00 p.m.• May 28• July 2• August 6• September 10To register call 1-888-909-DOCS (3627).

classes:Genetics ClinicIdentify your potential genetic health risks in order to make informed decisions about your genetic health. The clinic also helps identify your genetic results, and provides support throughout the process. southlake campus, pavilion B, oncology institute, 200 e. 89th ave., merrillvilleBy Appointment. Call 219-757-7212.

Lymphedema ClinicPatients with lymphedema and/or other edemas can learn proper skin care, diet & exercises, massage and other compression techniquessouthlake campus, pavilion d, 303 e. 89th ave., merrillvilleBy Appointment. Call 219-944-4160.

FREE Outpatient Congestive Heart Failure ClinicThe goal of this clinic is to assist heart failure patients in learning how to monitor and control their symptoms, improve their quality of life and prevent hospital stays.cardiac rehab, 753 e. 81st place, merrillvilleBy Appointment. Call 219-738-1075.

Diabetes Support and Education Groups A wide variety of topics related to diabetes are discussed. For persons with diabetes and their family members. methodist hospitals southlake campus pavilion d, 303 east 89th ave., merrillville• Free. Classes meet the 4th Tuesday

of every month from 10:30 a.m. to 12 noon or 5:00 p.m. to 6:30 p.m.

To register call 219-944-4160.

Multiple Sclerosis Support Group A support group for friends and family of people with multiple sclerosis. methodist hospitals southlake campus pavilion B, 1st floor conference room 11:30 a.m. to 1:00 p.m.• May 17 • July 19• June 21 • August 16For more information call 219-738-4926. No registration required.

Living After Loss A support group for adults grieving the death of a loved one. northlake campus, south pavilion auditorium, 600 grant st., gary 4:00 p.m.-5:30 p.m. every Wednesday southlake campus, lower level, classroom 2 8701 Broadway, merrillville 6:00 p.m.-7:30 p.m. every mondayFor more information call 219-886-4522.

clinics:

support groups:

We’re Holding a Jacket for You.Become a Methodist Hospitals VolunteerWe can never have too many helping hands and smiling faces. Volunteering is a wonderful way to make a difference in the life of someone else. Methodist Hospitals’ Volunteer Services offer unique opportunities for anyone 15 years or older to share their time, talents and interests to support our mission. As a volunteer, you’ll be providing vital support, assisting with many of the services that contribute to the care and comfort of our patients.For more information on volunteer opportunities, call Northlake Campus, Gary: 219-886-4969 or Southlake Campus, Merrillville: 219-738-5622

Community Event Calendar



only $99

6 Ways to avoid common Warm Weather injuries/illnessesNow is a great time to spend outside enjoying the fresh air and getting exercise. However, if you aren’t careful, an injury or illness could knock you off your feet during the most beautiful days of the year.

Here are some tips to help you stay safe…

Know your limitsIf you aren’t active, don’t push yourself too far, too fast. Too much physical activity at once can be dangerous if your body isn’t used to it. Always consult your physician before starting an exercise regimen.

stretch it outEven a friendly game of softball or volleyball at a picnic deserves a warm-up. Take a few minutes to warm-up and stretch before you exercise.

stay hydratedDehydration can cause cramping and more serious health problems. Drink plenty of water before, during and after your activities. Thirst is a poor indicator of your body’s level of hydration. If you are doing intense activity, drinking only when thirsty is not adequate. Alcohol increases fluid losses, which can lead to dehydration.

fight the biteTo lower your risk of contracting West Nile Virus, use mosquito repellent when you’re outside.

practice Water safetyIf you and/or your children don’t know how to swim, NOW is the time to learn. Do not leave children unattended near water. Never swim in open water alone. Even experienced swimmers can get into trouble.

sun safetyUse an adequate amount of a sunscreen with SPF 30 or higher, and both UVA and UVB protection, seek shade and wear hats to limit your direct sun exposure. This will reduce your risk of sunburn, heat illness and skin cancer.

We have endured months of cold, snowy days waiting for these warm spring and summer days. Follow the tips so you are less likely to spend them with me in the ER.

Dr. Airron RichardsonMethodist Hospitals

Emergency Physician

12 - PORTER COUNTY

12 - LAKE COUNTY

SPRING/SUMMER 2013 ISSUE HEALTHWISE

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