Your Health Our Mission Summer 2014

Counting sheep? See page 5.

S U M M E R 2 O 1 4

Y0UR HEALTH

2 YOUR HEALTH. OUR MISSION.

1600 Prairie Center ParkwayBrighton, CO 80601www.pvmc.org

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Your Health. Our Mission. is published by Platte Valley Medical Center. This publication in no way seeks to serve as a substitute for professional medical care. Consult your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines. Send comments, questions and suggestions to [email protected].

Charmaine WeisEDITOR

Tom GilboyWRITER/DESIGNER

Evelyn WiantWRITER/EDITOR

Volume 7, Issue 1

© 2014 Platte Valley Medical Center

Dear friends and family,Finally, the bright, warm days of summer are approaching. Don’t you want to feel your best so you can enjoy every day of good weather?

Many people struggle with sleep related issues, so it’s easy to assume that endlessly counting sheep is normal night time behavior. Turn to page 4, learn about our new sleep lab, and take a short quiz to determine if your sleep problems need to be addressed by a physician.

Recently, Platte Valley Medical Center became the first hospital in Colorado to install the world’s smallest heart monitor in a patient. Turn to page 8 to read the inspiring stories of how this tiny monitor changed the lives of Mary Martin and Eduardo Diaz.

This weekend, treat your family to a healthy, home made brunch with a Cajun Quiche (page 3). They’ll be so proud of you, and we won’t even mind if you forget to mention who got you the recipe.

Finally, it is my great joy to announce that PVMC was recently awarded Planetree Designation, recognizing us as among the world’s most patientcentered hospitals. On page 6 you’ll learn what this means for you.

Have a great day,

John R. Hicks President/ CEO

New Cardiac Monitor Meet Dr. Anderson

Heart Attack Symptoms

10

12 13

Sleep problems?

E P W O R T H S L E E P S C A L E

Patient Name

Date

How likely are you to doze off or fall asleep in the following situations, in contrast to just feeling tired?

This refers to your day-to-day life in the recent past. (Even if you have not engaged in some of these

activities recently, try to think about how they might affect you now.)

Use the following scale to choose the most appropriate number for each situation.

0 = would never doze

1 = slight chance of dozing

2 = moderate chance of dozing

3 = high chance of dozing

SITUATION

CHANCE OF DOZING (0–3)

Sitting and reading

Watching TV

Sitting in a public place (theatre or meeting)

As a passenger in a car for an hour without a break

Lying down to rest in the afternoon if time

Sitting and talking with someone

Sitting quietly after lunch without alcohol

In a car while stopped for a few minutes in traffic

TOTAL

16 0 0 P R A I R I E C E N T E R PA R K WAY B R I G H T O N , C O 8 0 6 01 303 4 9 8 -15 03 FA X 303 4 9 8 -1516

Your score means:

0 – 7 It’s unlikely you’re abnormally sleepy

8 – 9 You have an average amount

of daytime sleepiness

10 – 15 You may be excessively sleepy, depending

on the situation. You may want to consider

seeking medical evaluation.

16 – 24 You are excessively sleepy. Consider

seeking medical attention.

Ask your doctor

zz

z

PLATTE VALLEY SLEEP LAB

if a sleep study is right for you

PL AT TE VALLEY

SLEEP MEDICINE4This issue…

Dr. Baxter on Hip Pain

6Planetree Designation

8

3pvmc.org

YOU’RE DRIVING MINDLESSLY towards an intersection when the light turns yellow. Should you zoom ahead or slow down and stop? Those who slow to a stop have the right idea, not only for driving but for approaching diets—especially the sensational “miracle” diets you see on the covers of popular magazines.

Desiring a healthy weight is admirable, but how you get there is just as important as reaching your goal. Suppose you are able to fit into the outfit you bought for the class reunion, only to find that you’re tired and your skin looks washedout due to a lack of nutrients. Besides that, if the diet you followed is overly restrictive, it will be all too tempting to ditch it when you pass the next donut case at the grocery.

And that’s just the problem with fad diets—there’s a high failure rate long term with the dieter eventually gaining back all the weight, plus a few “bonus” pounds. If you don’t want to experience

that boomerang effect or the toll such diets take on your health, use this fadfree route to a smaller waist size:

• Have a reasonable goal of 1–2 pounds of weight loss per week. Ongoing loss at a faster rate results in decreasing your lean muscle and fluid stores rather than fat.

• Avoid diets that require you to buy special foods or supplements, that claim you must eat foods only in certain combinations or at certain times, recommend large amounts of certain foods, or completely give up foods such as carbohydrates

• Celebrity endorsement certainly is no guarantee of solid scientific proof.

• Before and after photos may be phony or not reflect long term results.

Instead, use these proven strategies that thousands have used to lose 30 or more pounds without regaining:

• Start the day with a healthy breakfast.

• Weigh yourself weekly to stay on track, and write down your progress.

• Watch less than 10 hours of television each week. You burn very few calories sitting on the couch staring at a screen and are storing extra calories as fat if you’re viewing and snacking.

• Be physically active one hour a day, and remember that you can break up the time into several sessions.

Simply eating less than what you eat now or eliminating sugary beverages are good first steps. The next step might be consulting a registered dietitian nutritionist to assist you with customized scientific weight loss advice. Meanwhile, approach the next fad diet intersection with caution to achieve the healthy life you want two, five and fifteen years from now. n

See the National Weight Control Registry (http://www.nwcr.ws/) for more inspiring and proven weight loss information

S T E E R I N G C L E A R O F F A D D I E T S BY CY NTH I A FO S TE R , R . D .

MARTHA SHARESA FAMILY FAVORITE

FIND THE RECIPE ATPVMC.ORG/MARTHA

We asked Martha Hernandez-Velasco in Housekeeping for her recipe for Capirotada. Simple and festive, it’s a breakfast, it’s a dessert, it’s a side dish. Download the recipe and give it a try!

Ingredients, crust2 cups cooked long-grain white rice, cooled1 teaspoon garlic powder1 teaspoon onion powder1/2 teaspoon salt1 large egg Cooking spray 1/4 cup (1 ounce) reduced-fat shredded cheddar cheese

Ingredients, flling1/2 cup prechopped onion 1/2 cup prechopped celery 1/2 cup prechopped red bell pepper1 teaspoon bottled minced garlic3 ounces andouille sausage or kielbasa, chopped (about 2/3 cup)3/4 cup egg substitute 1/4 cup plain fat-free yogurt 1/4 teaspoon salt1/4 teaspoon hot pepper sauce (such as Tabasco)2 large egg whites 1/4 cup (1 ounce) reduced-fat shredded cheddar cheese

PVMC Executive Chef Mike Anderson puts a couple of spins on a classic. Crust prep: Combine rice, garlic and onion powder, 1/2 teaspoon salt, and 1 egg. Spread mixture into the bottom and up sides of a 9-inch pie plate coated with cooking spray. Sprinkle bottom of crust evenly with 1/4 cup shredded cheddar.

Filling prep: Preheat oven to 375°. Heat a medium nonstick skillet over medium-high heat. Coat pan with cooking spray. Add onion and the next 4 ingredients (through sausage); sauté 5 minutes. Spoon mixture evenly into prepared rice crust. Combine the egg substitute, fat-free yogurt, salt, hot pepper sauce, and egg whites; stir with a whisk until well blended. Pour egg substitute mixture over sausage mixture. Sprinkle with 1/4 cup shredded cheddar cheese. Bake at 375° for 30 minutes or until the center is set. Let stand 5 minutes before serving. n

PER SERVING: Calories: 291 (from fat: 32%)Protein: 19.5g, Fat: 10.3g, Fiber: 0.9g, Carbohydrate: 29.4g, Saturated fat: 4.5g, Monounsaturated fat: 3.7g, Polyunsatu-rated fat: 1.6g

Cajun Quiche in a Rice crust

4 YOUR HEALTH. OUR MISSION.4 YOUR HEALTH. OUR MISSION.

ZZZZZZ

ZZZ

ZZZZZZ

If you are sleepy throughout the day because you snore at night, you’re not alone. When asked,

six out of ten adults say their partner snores. Snoring is a major symptom of obstructive sleep apnea.

Snoring occurs when the flow of air from the mouth or nose to the lungs is disturbed during sleep, usually by a blockage or narrowing in the nose, mouth, or throat (airway). Individuals with sleep apnea will often have changes in how loud and how often they snore.

Sleep apnea is a very serious condition that causes a person to stop breathing in their sleep. This can occur hundreds of times throughout the night, causing the sufferer to briefly awake resulting in poor sleep and feeling tired in the morning, fatigue throughout the day, and memory issues from sleep deprivation.

With sleep apnea, the throat muscles relax during sleep and allow soft tissue in the throat to collapse and block the passage of air. This disruption of sleep causes breathing to stop at times, and

oxygen levels in the blood to drop. If your snoring is steady and does not disturb your sleep, chances are you do not have sleep apnea and don’t stop breathing during the night.

Sleep apnea may not be a killer by itself, but has been linked to motor vehicle crashes, industrial disasters, and other occupational errors. If left untreated, those experiencing sleep insufficiency are also more likely to suffer from chronic diseases such as heart disease, high blood pressure, diabetes, stroke, depression, and obesity, as well as cancer, increased mortality, and reduced quality of life and productivity. People with untreated sleep apnea can have mortality three times higher than those who do not have the condition.

If you have symptoms of loud snoring, sleep apnea, wake up multiple times a night and are sleepy during the day, ask your family doctor, cardiologist or neurologist if a sleep study is right for you. There are simple therapies available to help you live long and sleep well.

DR JAMES I. MEYER is board certified by the American Board of Internal Medicine in Pulmonary, Critical Care, and Sleep. Dr. Meyer believes in being open and honest about a patient’s condition and diligence in ordering tests and referring specialty physicians to enhance patient wellbeing. His office accepts Medicare Assignment. In his free time he enjoys running, ice fishing, and fly fishing.

To learn more visit http://pvmc.org/services/sleep

BY JAMES I. MEYER MD

SOURCES

http://www.cdc.gov/features/dssleep http://www.statisticbrain.com/snoring-statistics

http://www.everydayhealth.com/health-center/snoring-and-obstructive-sleep-apnea-info.aspx

Snoring loud at night? Feeling drowsy during the day?

Get tested for Sleep Apnea.

5pvmc.org 5pvmc.org

How likely are you to doze off or fall asleep, as opposed to simply feeling tired, in the situations

listed at the right? Use this Epworth Sleep Scale to choose the appropriate number for how you react during these situations. (Even if you haven’t engaged in some of these activities lately, consider how you would be likely to respond in the situation.)

What does your score mean?


8 – 9 You have an average amount of daytime sleepiness

10 – 15 You may be excessively sleepy depending on the situation.*

16 – 24 You are excessively sleepy.*

Sitting and reading?

Watching TV?

Sitting in a public place (theatre or meeting)?

As a passenger in a car for an hour without a break?

Lying down to rest in the afternoon if time?

Sitting and talking with someone?

Sitting quietly after lunch without alcohol?

In a car while stopped for a few minutes in traffic?

TOTAL

How to rate your response:





Are you getting good sleep?

Do you doze off…

Concerned about lack of sleep? Overnight Sleep Studies are now available at PVMC. If you experience trouble sleeping due to sleep apnea, insomnia, restless leg syndrome, or another sleep disorder, talk to your doctor about having a sleep study at Platte Valley Medical Center in Brighton. Our technicians perform overnight sleep studies in our quiet, comfortable hospital rooms weeknights between 8 p.m. and 8 a.m.

Find out more at pvmc.org/sleep or call your doctor.


Patient Name Date









SITUATION CHANCE OF DOZING (0–3)

Sitting and reading

Watching TV







TOTAL

16 0 0 P R A I R I E C E N T E R PA R K WAY B R I G H T O N , C O 8 0 6 01 3 03 4 9 8 -15 03 FA X 3 03 4 9 8 -1516

Your score means:


8 – 9 You have an average amount of daytime sleepiness

10 – 15 You may be excessively sleepy, depending on the situation. You may want to consider seeking medical evaluation.

16 – 24 You are excessively sleepy. Consider seeking medical attention.

Ask your doctor

zz z



PL AT TE VALLEYSLEEP MEDICINE

* Consider seeking medical attention. Ask your doctor if a sleep study is right for you.

6 YOUR HEALTH. OUR MISSION.1600 Prairie Center Parkway, Brighton, CO 80601 • (303) 498-1600 • www.pvmc.org

T H E A G I N G B R A I N

A S E M I N A R

F O R C A R E G I V E R S

Wednesday, May 21, 6–7 p.m.PLATTE VALLEY MEDICAL CENTER CONFERENCE CENTER

21MAY

Join us Wednesday, May 21, at 6 pm as Neurologist Rai Kakkar, M.D. discusses the variety of illnesses that can affect the aging brain.

RSVP NOW

(303) 498-1481

pvmc.org/rsvp

A FREE event brought to you by Platte Val ley Medical Center. If you’re caring for someone who suffers from dementia, Alzhiemer’s Disease, Parkinson’s, or a similar condition, please join us to learn about issues that affect caregivers and their families. Come and learn about common diseases affecting the aging brain, diagnosis and treatment, care-giver stress and coping strategies, and community resources available at local and national levels. Seating is limited, so call or visit our website today.

DR. KAKKAR is a board-certified neurologist at Platte Valley Medical Center who treats patients with neuromuscular disorders and Parkinson’s disease.

For the first time since moving to Prairie Center seven years ago, we are pleased to announce the addition of a new Internal Medicine physician, Dr. Kenneth Anderson.

Dr. Anderson joined our medical staff in April and is now working in Brighton with Dr. Robert Massa at Integrative Internal Medicine and Medical Acupuncture.

Dr. Anderson grew up in Colorado and received his undergraduate degree at Western State Colorado University in Gunnison. He then moved to Nevada and received his medical degree from Touro University Nevada, College of Osteopathic Medicine, prior to finishing his residency at Valley Hospital Medical Center.

“In my mind everyone should have a doctor they can trust to teach them how to be healthy,” says Dr. Anderson. “I love developing relationships with my patients and hope they will trust me to not only help prevent their illness, but treat their illnesses as well.”

He is happy to have returned to Colorado, and hopes to offer the best access to health care for our community. In his free time, he likes to spend time with his family, and enjoys skiing and hiking.

If you are looking for a new physician and would like to meet Dr. Anderson, call (303) 6594476 for an appointment. His office is at 1606 Prairie Center Parkway, Suite 370, in the medical office building on the hospital campus.

What is an Internal Medicine physician (Internist)?Internal medicine physicians are specialists who care for adult patients, typically over the age of 18. They have at least three of their seven or more years of medical school and postgraduate training dedicated to learning how to prevent, diagnose, and treat diseases that affect adults. Internists are sometimes referred to as the “doctor’s doctor,” because they often act as consultants to other physicians to help solve puzzling diagnostic problems.

KENNETH ANDERSON, D.O. TEAMS UP WITH DR. ROBERT MASSA FOR INTEGRATIVE MEDICINE

7pvmc.org

Extreme Fatigue

If you can’t walk a block comfortably, or you have

to stop and rest while going about your daily activities, it

may be a sign not enough blood is getting to your

heart fast enough.

KENNETH ANDERSON, D.O. TEAMS UP WITH DR. ROBERT MASSA FOR INTEGRATIVE MEDICINE

Knowing the warning signs of heart attack is key. Why? 85% of the damage from a heart attack occurs within the first 2 hours. Calling 9-1-1 not only saves lives, it saves quality of life.

Most heart attacks give early warnings, making it possible to treat the disease before your heart is damaged. The difference in early versus late symptoms is this: early symptoms are mild and intermittent, often appear with physical exertion or times of high stress, and subside with rest. As the heart attack progresses however, symptoms become more severe and persistent. They may come on without cause and may not subside with rest.

Last year in the US, about 38,000 women

under the age of 50 had heart attacks.

Discomfort

or burning in chest or back

Women often describe a heart attack as a tightness, heaviness, pressure,

or squeezing. The pain doesn’t have to be severe or sudden; it can come and go for weeks and be mistaken for indiges-tion. If it doesn’t come on shortly after

a meal, if you normally don’t suffer from indigenstion, or if you’re also

experiencing nausea, it needs to be checked promptly by

a doctor.

Tingling

down one or both arms or legs

While this often points to a pinched nerve or arthritis in

your neck, it’s important to rule out heart problems first. See

your doctor if you notice any tingling in your

extremities.

Nausea and

vomiting You could have more than just a bug if your tummy

woes come along with other heart-related symptoms like shortness of breath, a cold

sweat, or pain in your chest or back.

Short breath, racing heart

Though panic attacks and heart attacks can be triggered by stressful events and share many symptoms, there are differences.

Panic attacks can include trembling, intense terror, a sense of doom, and typically pass in 5 minutes.

Heart attack symptoms tend to start slower, and

linger.

Source: Health Vol. 28, No. 1

Dizzy or

lightheaded Feeling faint for no obvious

reason (like a tough workout, or being dehydrated) could mean not enough blood is getting to the heart, espe-

cially if you’re suffering from shortnes of breath or a

cold sweat.

Jaw pain

The nerves attached to the jaw lie close to the ones

that come out of your heart. If the pain is constant you prob-ably have dental problems. If it pops up intermittantly and gets worse when you exert

yourself, it’s more likely heart related.

Listen to your body.


It’s a life-saving, future-changing device. Once, it may have been only science fiction, but a tiny heart monitor, smaller than a aaa battery,

helped save the lives of Mary Martin and Eduardo Diaz.

Mary Martin is already a survivor; she beat breast cancer in 2007, so when she began having heart palpitations, she knew it was important to seek

medical help. Mary was admitted to the emergency room because her heart was racing out of control. She was given a round of standard tests, and fitted with a screen filter to lower her risk of heart damage from a clot. In December, her cardiologist, Dr. Qaisar Khan, had her wear a halterstyle heart monitor for a month to try and pinpoint the cause of her racing heart.

Although the halter monitor was effective, Dr. Khan felt he needed more information to accurately diagnose Mary’s condition. Lucky for Mary, a new stateoftheart heart monitor had just been approved by the FDA and was available to the medical profession.

The Medtronic Reveal LINQ Insertable Cardiac Monitor (ICM) System is indicated for patients who experience symptoms such as dizziness, heart palpitation, syncope (recurrent fainting), unexplained stroke, atrial fibrillation, and chest pain suggesting a cardiac arrhythmia (irregular heartbeat). It is also used with those patients who are at increased risk for cardiac arrhythmias.

The monitor is approximately onethird the size of a aaa battery, making it over 80% smaller than previously available cardiac monitors. While significantly smaller, the device is part of a powerful system that allows physicians to continuously and wirelessly monitor a patient’s heart for up to three years, with 20 percent more data memory than its larger predecessor, Reveal® XT.

In addition to its continuous and wireless monitoring capabilities, the system transmits patients’ cardiac diagnostic data remotely to their physician from nearly any location in the world through the Care link® Network. Through the Network, physicians are alerted if their patients have had cardiac events. This ensures early and accurate diagnosis of irregular heartbeats, even when the patient is not physically in the hospital.

Placed just beneath the skin through a small incision of less than a centimeter in the upper left side of the chest, the monitor is nearly invisible to the naked eye once inserted. The device is placed using a minimally

invasive insertion procedure, which simplifies the experience for both physicians and their patients.

On February 24, Mary became the first patient at Platte Valley Medical Center and in the state of Colorado to receive the Reveal Monitor. “It was completely unnoticeable,” said Mary. “I was sore because of the incision, but otherwise I wouldn’t have known it was there.”

Within a few days of placing the monitor, Dr. Khan discovered

Mary had a misfiring nerve in her heart that was causing it to beat abnormally. “The monitor actually was able to tell him which nerve it was,” said Mary.

On March 6, Mary’s monitor was removed and a pacemaker was inserted. The pacemaker now sends electrical signals into Mary’s heart to regulate her heartbeat and force her heart to beat normally. The pacemaker records Mary’s heart functions and sends a regular report to her cardiologist using a home monitor and a WiFi signal. For the rest of Mary’s life, she’ll get regular checkups to make sure her device is functioning correctly, and in 8–10 years the batteries will need to be changed.

T H E F U T U R E O F C A R D I A C M O N I T O R I N G I S H E R E A N D I T ’ S S M A L L

O N F E B R U A R Y 2 4 A T P V M C M A R Y B E C A M E T H E F I R S T P A T I E N T I N C O L O R A D O T O R E C E I V E T H E N E W R E V E A L H E A R T M O N I T O R .


Miniaturized InsertableCardiac Monitor

Up to 3 yearsUp to 30 days

External Cardiac Monitors

9pvmc.org

Mary is already feeling much better, despite a fourweek recovery as her heart tissue heals around her pacemaker’s leads. She says she has more energy now, and is looking forward to spending more time with her two grandchildren at their 4H shows. “Don’t wait,” said Mary of her experience. “If you think something is wrong, see your doctor and get it taken care of right away.”

Eduardo Diaz is only 22, so when he started feeling dizzy and fainting without notice, and seemingly

without cause, he didn’t think he could have a heart problem. Over the course of a year, his fainting spells got worse, and Eduardo could no longer drive himself to work. “I didn’t want to cause an accident,” he said. He had to be careful of his surroundings and limit his activity to avoid passing out in dangerous situations.

At first, it was difficult to diagnose Eduardo. His girlfriend was worried that his problem was caused by energy drinks. He was given test after test, and then his cardiologist, Dr. Khan, recommended the Reveal Monitor to get more pinpointed results, and his monitor was installed the same day as Mary’s.

Within a week, Eduardo was diagnosed with bradycardia, an abnormally slow heart rate, which led to syncope (fainting). His fainting spells and dizziness were caused by his heart rate dropping so low that he could no longer remain conscious. “It was scary. Once I blacked out and hit my head on a car,” said Eduardo. “But I would rather it had been me than someone I love.”

After the miniature heart monitor was removed, Eduardo received a pacemaker, which kicks in when his heart rate drops too low. Eduardo is full of energy now. He is back at work, and is once again enjoying his freedom. He likes spending time outdoors, playing baseball and basketball. He has given up energy drinks and made changes to his diet. He is currently majoring

in business at the University of Colorado and intends to open his own fiber optics business someday.

Eduardo’s pacemaker, like Mary’s, will require new batteries about once every decade. It will monitor and send a report on his heart function to his cardiologist remotely every three months.

“If you notice something is wrong, go get checked, and don’t wait as long as I did,” said Eduardo. He wants people his age to remember that health issues like heart arrhythmias can happen to anyone. “Never think it can’t happen to you,” Eduardo says. “It doesn’t matter if you’re young or old.” n

T H E F U T U R E O F C A R D I A C M O N I T O R I N G I S H E R E A N D I T ’ S S M A L L

NEVER THINK IT CAN ’T HAPPEN TO YOU,” SAYS EDUARDO. “ IT DOESN ’T MATTER IF YOU ’ RE YOUNG OR OLD.”

“

9pvmc.org

Miniaturized InsertableCardiac Monitor

Up to 3 yearsUp to 30 days

External Cardiac Monitors

OVER TIME these devices have grown smaller and smarter—evolving from large external wired apparatuses to miniature devices nearly invisible to the naked eye once implanted.

ADVANCES IN CARDIAC MONITORING


GALLERY ON THE GO Painting for a purpose! 5:30 to 8:30 p.m., Thursday, May 8 at Valley Bank & Trust, 4900 E Bromley Lane Brighton, CO 80601. $50 per person, includes hors d’oeuvres and wine. Register online at galleryonthego.net

Benefits the Campaign for Women’s Services

A WARMER J0IN US F0R

PAINTING F0R A PURP0SE THURSDAY,

MAY 8

FAMILY MEDICINE, PEDIATRICS, OB/GYNS COMING TO REUNION THIS FALLCONSTRUCTION HAS BEGUN for PVMC’s first offsite medical office building in the Reunion Marketplace in Commerce City. The project is scheduled for completion this fall.

“As Commerce City continues to grow, so does the need for direct access to retail and services,” says Commerce City Mayor Sean Ford. “The investment made by PVMC in our city will address significant needs, providing a full spectrum of primary health care services in an easily accessible location.”

The Reunion Marketplace in Commerce City is already a supermarket hub for neighbors. Beginning this fall, those shopping for new tires, French fries, milk and eggs will be able to consult their family doctor, OB/GYN, or pediatrician as well.

“We know that close proximity to health care services is important for you, your family, and your business,” said PVMC President and CEO John Hicks at the groundbreaking ceremony, held in March.

The onestory, 11,800 square foot building will be located directly next door to King Soopers. Its design will mirror the style and shape of Platte Valley Medical Center’s current medical office building on the hospital campus in Brighton.

Eagle Ridge Family Medicine, Integrative Internal Medicine & Medical Acupuncture, Premier Pediatrics, and Alcott Women’s Center will each occupy the building upon completion. n

There’s no need to take

hip pain sitting down

BY A A R O N B A X T E R , M D

Hip pain can be disabling. Some patients must decrease or even stop their exercise programs, activities, or hobbies due to painful symptoms.

Hip pain can be caused by different ailments such as bursitis, lumbar spine problems, hernias, gynecological issues, labral pathology, and arthritis.

Sometimes it can be difficult to tell exactly what is causing the pain. When trying to differentiate, I use these general guidelines:

> pain radiating to the buttock is often a lumbar spine issue.

> pain directly on the lateral side (outside) of the hip, worsened with laying on that side, is often due to an inflammation of softtissues on the side of the hip bone (trochanteric bursitis).

> pain radiating to the groin is often due to hip joint problems such as cartilage injuries and hip arthritis.

If hip pain is causing you to reduce your activity level, you should be evaluated by

your doctor. An evaluation will include a careful history and examination, and likely xrays. Many issues may be improved with nonsteroidal antiinflammatories and physical therapy. If symptoms persist after treatment, you may need to be evaluated by an orthopedic surgeon.

For some diagnoses, steroid injections can be helpful. For other problems such as endstage hip arthritis, surgical intervention such as a total hip replacement may be needed.

With the warming weather, we like to keep our patients involved with outside exercise and activities. Don’t let hip pain slow you down. If hip pain is getting in your way, see your medical professional. n

Is hip pain keeping you from doing the things you love?

A Board-Certified Orthopedic Surgeon with a fellowship in Joint Reconstruction, DR. AARON BAXTER completed specialty training in adult reconstruction with the world-renowned Dr. Anthony Hedley in Phoenix. Over the past eight years, Dr. Baxter has performed hundreds of revisions for complex hip and knee problems. He specializes in total hip and knee replacements using the most advanced techniques available.

1606 Prairie Center Parkway in Brighton, #170 303 498-1885

mountainviewortho.com

.

HIP JOINT HEALTH CAN BE KEY TO STAYING ACTIVE, HEALTHY, AND HAPPY.

A A R O N B A X T E R , M D

Redefining patient care.

FAMILY MEDICINE IS GOOD MEDICINE. Families and friends

are encouraged to visit as the patient’s desires

and condition allow.

From the subtle sounds of classical music gently playing on the CARE Channel, to the

calming lavender aroma in your hospital room, to surprise visits by our therapy dogs, to the fresh poached salmon with rosemary sprigs and free massage, hospital stays are different at Platte Valley Medical Center. So are our visiting hours, your access to your own medical records, and family involvement in your care—all of which are patient directed.

This innovative approach to redefining patient care has garnered worldwide attention. In fact, PVMC was recently recognized as one of the world’s most patientcentered hospitals by Planetree, Inc. Following a rigorous review of the hospital’s culture, including programs, policies, practices and the environment of care, the hospital has been officially designated a “Planetree PatientCentered Hospital,” distinguishing it as among those hospitals worldwide doing the most advanced work in patientcentered care. It is the third hospital in the state, and one of only 55 healthcare organizations worldwide, to have received the designation since the program’s launch in 2007. Planetree Designation is the only

award that recognizes excellence in patientcentered care and says that PVMC is a hospital where providers partner with patients and families, and where patient comfort, dignity, empowerment, and wellbeing are prioritized with providing topquality clinical care.

Planetree — an international nonprofit organization—has been at the forefront of this movement to transform healthcare from the perspective of the patient for nearly 30 years, taking the lead in defining “patientcentered care.” Designated hospitals are also nationally recognized by The Joint Commission, which has approved the designation program as one of the awards recognized on its Quality Check website in the special quality awards section.

The program is coordinated by Plane tree; however all designation

determinations are made by an independent designation committee whose membership includes national health care experts with experience with the National Quality Forum, Institute for Healthcare Improvement, and American Health Care Association. Committee members include CEOs

In March, PVMC was named one of the world’s most patient-centered hospitals.

INTEGRATIVE THERAPIES

like pet therapy, aromatherapy, and

massage have been demonstrated to help

patients feel better.

WE BELIEVE every human interaction

is an opportunity for a positive experience.

WE OFFER PATIENTS A COMPLIMENTARY 20-MINUTE MASSAGE. We recognize that healing touch is an essential tool for providing support and comfort.

A POSITIVE PHYSICAL ENVIRONMENT IS KNOWN TO PROMOTE HEALING.

Our architecture and home-like atmosphere promote wellness

and encourage patient and family involvement.

THE ROLE OF SPIRITUALITY AND INNER RESOURCES IN

HEALING THE WHOLE PERSON. Our healing garden, labyrinth, and meditation center provide

opportunities for reflection or prayer, and our chaplain is a vital member of our care team.

Redefining patient care.In March, PVMC was named one of the world’s most patient-centered hospitals.

from previously designated hospitals.

The more than 60 specific criteria that

Platte Valley Medical Center had to

satisfy to achieve designation reflect

what patients, family members and

healthcare professionals in hundreds

of focus groups held around the world

say matters most to them during

a healthcare experience. This quali

tative data aligns with the growing

evidencebase for patientcentered

care, and establishes the Planetree

Designation as a concrete framework

for defining and measuring excellence

in patientcenteredness.

“Planetree is very pleased to award

Platte Valley Medical Center with this

designation,” said Planetree President

Susan Frampton, Ph.D. “This achieve

ment is a true testament to the staff and

leadership, each of whom has played a

crucial role in integrating the philoso

phy of patientcentered care into their

daytoday work. The team at PVMC

is not only making a difference for in

dividual patients and family members,

they are transforming the culture of

their organization and fundamentally

altering what the community expects

when they come to the hospital.”

Guided by core components of a patientcentered culture, PVMC

has over the past four years implement

ed a substantial number of initiatives—

aptly named “Pillars of Healing”—

to enhance both the patient and staff

experience. These initiatives include

an active patient partnership council, a

care partner program, an open medical

records policy, massage, aromatherapy,

madetoorder meals, and our pet part

ner program.

“Providing care and support to our

patients that is unique and individu

alized is not only the foundation of

patient centered care, it is the core of

everything we do—it’s important to

all of us,” says PVMC President John

Hicks. “We have always considered

ourselves patient centered and will

continue to implement programs and

services to help our patients change

the way they think about healing and

healthcare. This designation con

firms that we’re on the right track

and that we provide the very best to

those who entrust us to take care of

them. We’re honored to receive such

recognition.” n

YES, THEY COME FOR THE HOSPITAL FOOD. Every day people come from miles around to join us for lunch in our Bistro. Executive Chef Mike Anderson and his crew pride themselves on preparing healthy, nutritious cuisine— not only for patients, their friends and family, but for the community at large.

WE ENCOURAGE YOU TO REVIEW YOUR MEDICAL RECORDS and we provide a variety of educational resources to help you understand them.

NOW A PLANETREE® DESIGNATED HOSPITAL Following a rigorous 4-year review of our practices, PVMC has been recognized by Planetree, Inc® as among the world’s most patient-centered hospitals. The sixty plus criteria we met to achieve this designation reflect what patients, family members, and health care professionals — in hundreds of focus groups around the world — say matters most during the patient experience. What does this mean to you? Along with top-quality clinical care, you can trust us to provide for your comfort, dignity, empowerment, and well-being during your stay. Learn more about Planetree at planetree.org

THE HEALING ARTS Music, custom artwork

and interactive art proj-ects can help create a healing environment.


Dates and times are subject to change. Visit pvmc.org/events for the latest course descriptions and event information.

(Ask about our multi-class discount.)

Spring Seminars, Classes & Events

Childbirth Classes WOMEN’S & NEWBORN CENTER FREE TOURSWhen: May 7 & 21, June 4 & 18,

July 9 & 23, August 6 & 20 Time: 6:00 p.m. Where: Meet in the hospital lobby by the fireplace Price: Free, by appointment. Tour size is limited.

Visit: www.pvmc.org/events or call (303) 498-3518 to register

FAST TRACK PREPARED CHILDBIRTH SERIESThis one-day class is designed to acquaint you and your coach with the labor and birthing process through interactive discussions and the aid of handouts, posters, and videos. Relaxation, breathing, and comfort techniques for a natural labor and birth are practiced. Please bring two pillows to class. Pain management options are also reviewed.When: May 17, June 21, July 19, August 9 Time: 9:00 a.m. – 5:00 p.m. Where: Conference Rooms A & B Price: $80 Visit: www.pvmc.org/events or call (303) 498-3518 to register BREASTFEEDING BASICSLearn the basics of breastfeeding, such as positioning, latching on, nipple care, and breast milk supply. Taught by a certified lactation spe-cialist, we will discuss returning to work while breastfeeding. Partners are encouraged to attend.When: May 8, June 19, July 31, August 14 Time: 6:00 – 8:30 p.m. Where: Conference Room A Price: $43 Visit: www.pvmc.org/events or call (303) 498-3518 to register

LACTATION PROGRAM & BREASTFEEDING SUPPORTBreastfeeding is special for many reasons – the joy of bonding with your baby, the cost savings, and related health benefits. Along with these benefits, challenges are sometimes prevalent. If you have specific questions or want to schedule an appointment with a certified lactation consultant, call (303) 498-3415.

BABY BASICSThis class helps you set realistic expectations for your baby’s first months and provides information and hands-on practice with bath-ing, diapering, cord/circumcision care. This class covers your baby’s first days of life, feeding, diapering, bathing, baby care basics, SIDS risks, safe sleeping, and safe car seat use.When: May 15, June 24, August 7 Time: 6:00 – 8:30 p.m. Where: Conference Room A Price: $43 Visit: www.pvmc.org/events or call (303) 498-3518 to register

Support GroupsCANCER SUPPORT GROUPWhen: May 10 & 24, June 14 & 28, July 12 & 26, August 9 & 23 Time: 11:00 a.m. – 12:00 p.m. Where: Oncology Clinic (Suite 270 of the medical office building adjacent to the hospital) Price: Free Call: (303) 498-2200 to register STROKE SUPPORT GROUPWhen: May 5, June 2, July 7, Aug 4 Time: 1:30 – 3:00 p.m. Where: Conference Center Price: Free Call: (303) 498-1840 to register CARDIAC SUPPORT GROUPWhen: May 13, June 10, July 8, August 12 Time: 12:30 – 2:00 p.m. Price: Free Call: (303) 659-7000 to register

15pvmc.org

Spring Seminars, Classes & Events

Exercise & Wellness YOGAWhen: Tuesdays: 4:45 – 5:20 p.m. Thursdays: 12:15 – 12:50 p.m. Where: Conference Center Price: $6 drop-in fee or $58 for a 10-class punch card Call: (303) 498-1840 to register PILATESWhen: Tuesdays: 5:45 – 6:30 p.m. Where: Conference Center Price: $9/class, or $80 for 10-class punch card Call: (303) 498-1840 to register

TOTAL JOINT UNIVERSITY Total Joint University (TJU) is for patients who are scheduled for, or contemplating, a joint replace-ment procedure. TJU is designed to provide you with the information you need regarding pre-op, day of surgery, your hospital stay and recovery, so that you can proceed with confidence.When: May 13, June 10, July 8, Aug 12 Time: 5:30 – 7:30 p.m. Where: Conference Center Price: Free Visit: www.pvmc.org/events or call (303) 498-1840 to register

Planning a Pregnancy? A SPECIAL SEMINAR IN REUNION WITH DR. ANNA KELLYIs it possible to influence the chance for a healthy baby? What if you could drastically improve your chances for having a healthy baby, even before conception? Most women don’t realize that many health factors are already decided by the time the +/– sign appears on their pregnancy test. What your health status is PRIOR to your pregnancy can affect the outcome of your pregnancy in ways that medical researchers are just now coming to understand. Many health issues can be screened for, and treated before pregnancy, leading to much better odds of a healthy baby.If you have dreams of becoming a parent, join Anna Kelly, M.D. for a highly informative seminar in Reunion about the importance of pre-planning your pregnancy. When: July 23, 6:00 p.m.Where: Reunion Recreation Center 17910 E Parkside Drive North in Commerce CityPrice: FreeCall: (303) 498-1481 or visit pvmc.org/rsvp

Seminar Series & Special Events BONFILS BLOOD DRIVEWhen: May 9, July 11 Time: 10:00 a.m. – 3:30 p.m. Where: Conference Center Price: FREE – every pint you donate can help up to 3 people! Call: (303) 363-2300 or www.donors.bonfils.org to register (use site code 5489)

THE AGING BRAIN: A SEMINAR FOR CAREGIVERSWhen: May 21 Time: 6:00 p.m. Where: Conference Center Price: Free Call: (303) 498-1481 or pvmc.org/rsvp to register

LET’S TALK OVER CHOCOLATE: WOMEN’S HEALTH When: June 18 Time: 6:00 p.m. Where: Conference Center Price: Free Call: (303) 498-1481 or pvmc.org/rsvp to register

To Friends and Family of Platte Valley Medical Center Postal Patron

NONPROFIT ORG

US PostagePAID

Brighton, COPermit No. 18

1600 Prairie Center ParkwayBrighton, CO 80601

The Joint Commission Top Performer on Key Quality Measures®

HEART ATTACK PNEUMONIA SURGICAL CARE

LET’S TALK OVER CHOCOLATE

A sumptuous and informative evening for women of all ages.

Join us for an intimate evening to mix and mingle with PVMC’s OB/GYNs, Denise Slusher, MD and Maureen

Fleming, MD. Bring your questions—from infertility, family planning, and pregnancy, to menopause and arterio-sclerosis—along with your sweet tooth. A delicious array of chocolate deserts will delight your senses while our doctors answer your questions during this friendly hour of Q&A.

Space is limited, so RSVP now for this exclusive evening, which includes entry for a FREE massage. New patients will also receive a voucher for a FREE breast exam or 10-minute consultation.

DENISE SLUSHER, MD

MAUREEN FLEMING, MD

Wednesday, June 18 6 to 7 p.m.

PLATTE VALLEY MEDICAL CENTER

CONFERENCE CENTER

RSVP NOW

(303) 498-1481

pvmc.org/rsvp

18 JUN

WEDNESDAY, JUNE 18, AT 6 PM

New Cardiac Monitor Meet Dr. Anderson Heart Attack Symptoms

10 12 13Sleep problems?


Patient Name

Date









SITUATION

CHANCE OF DOZING (0–3)

Sitting and reading

Watching TV







TOTAL

16 0 0 P R A I R I E C E N T E R PA R K WAY B R I G H T O N , C O 8 0 6 01 303 4 9 8 -15 03 FA X 303 4 9 8 -1516

Your score means:


8 – 9 You have an average amount

of daytime sleepiness

10 – 15 You may be excessively sleepy, depending

on the situation. You may want to consider

seeking medical evaluation.

16 – 24 You are excessively sleepy. Consider

seeking medical attention.

Ask your doctor

zz

z



PL AT TE VALLEY

SLEEP MEDICINE4

This issue…

Dr. Baxter on Hip Pain

6Planetree Designation

8 1O

Your Health Our Mission Summer 2014

Documents

Transcript of Your Health Our Mission Summer 2014