AHW Wellness Magazine

wellness waterman

Extending the Healing Ministry of Christ Winter 2020

A Walking Miracle First Responder survives major heart event

Home the Same Day Woman is discharged hours after a knee replacement

AHW-2019-1212_WatermanWellnessMagezine_11.indd 1

3/3/20 11:15 PM

8 TIPS TO GET

Nutrient Rich Foods on Your Plate If you find it hard to incorporate the most nutritious foods into your daily routine, AdventHealth Waterman CREATION Life Director Candace Huber has you in mind with these eight tips: 1. If you’re a pasta, bread, rice or tortilla lover, look for whole-grain versions. You can’t rely on a product’s brown color, which can come from dye. Instead, look for the words “whole grain” in the ingredient list.

Choose to Lose March 25 – May 13

2. Vegetables don’t have to be bland. Many vibrant-colored veggies, like

Wednesdays, 5:30 -7:30 pm

3. Find new ways to work in tasty fruits as snacks, side dishes or desserts.

AdventHealth Waterman Conry CREATION Life Center

romaine lettuce, sweet potatoes and asparagus, taste as good as they look.

Consider plums, blueberries, grapes, citrus fruits, melons, tomatoes and avocados.

4. Nuts and seeds are like nature’s snacks. Instead of chips, try unsalted almonds, cashews, walnuts or pistachios.

5. Have you tried lentils, chickpeas and beans? They’re great sources of protein and easy to prepare.

$50 per class

This 8-week weight loss program includes instruction, practice, and exercise for fitness to help you break through plateaus and lose weight healthfully — it is a lifestyle program for successful weight loss!

6. Look for the words “round,” “loin” or “leg” when choosing lower-fat meat

Diabetes Self-Management

7. Steaming, baking, poaching or broiling are the healthiest ways to cook fish

Mondays, 10 am – 12 pm

8. When you’re buying dairy products, choose fat-free (skim) or low-fat (one

$50 for 5 sessions, registration is required

selections. Bake, broil or roast them after removing skin and visible fat. and shellfish.

percent) versions. Plain nonfat yogurt is a healthy and tasty alternative to sour cream in recipes.

Nutrition plays an important role in whole-person health and it’s one of the pillars of CREATION Life. Our goal is to partner with patients to thrive in body, mind and spirit, which is why we help people find healthy food they actually enjoy eating, too.

April 13 to May 11

AdventHealth Waterman Conry CREATION Life Center This 5-session course is taught by certified diabetes and health educators who will teach you how to manage your blood sugar and medications, stay active and prepare meals.

FOR MORE DETAILS or to register for these classes, please visit: AdventHealthWaterman.com

TO LEARN MORE about our whole-person health care, please visit AdventHealthWaterman.com.

2 AdventHealthWaterman.com | Winter 2020 AHW-2019-1212_WatermanWellnessMagezine_11.indd 2

3/3/20 11:15 PM

Home the Same Day “Knowing that you could just pick up the phone and call, I don’t see any difference. You’re at your home, you’re comfortable.”

—Dawn Mosch, Umatilla patient

When Dawn Mosch began experiencing pain in the same knee she had arthroscopic surgery on just three years prior, the Umatilla resident knew something needed to be done.

“I played a lot of softball, I ran in races, I hiked with my dogs a lot, and I noticed a lot of pain in my knee,” says Mosch who said the pain got to the point where she could not sleep or drive.

Being new to the area, she researched surgeons at AdventHealth Waterman where she works as a Urology nurse and came across Donald Perry, MD. After having an MRI, Mosch says she was told she had severe arthritis in her knee.

She says Dr. Perry gave her the option of having an arthroscopic procedure to clean up the knee again, but he said it was likely the pain would return in six months.

At just 49-years-old, Mosch decided to follow his second

suggestion to have total knee replacement surgery.

Just a week before her surgery, Mosch was presented with a surprising option. She recalls Dr. Perry asked, “Dawn do you think you would be okay going home the same day as your surgery?”

“For a total knee replacement to be performed as outpatient, the ideal candidate would be somebody, probably 60 years or less, who has minimal past medical history such as they’re not a smoker, they don’t have COPD, they don’t have extensive heart disease or any other neurological issues,” explains Dr. Perry. “We look at the complete picture to determine who will have outpatient total knee arthroplasty. Most of these people are fairly healthy and on minimal medications.”

“I was worried because I knew I was going to have pain at some point,” says Mosch. “He said you’ll be taken care of. I had prescriptions beforehand, so I had a lot of reassurance that I’d be okay. And he said he would call me the next day. I was okay with it.”

Post-surgery, Mosch used AdventHealth Waterman Home Care to help with recovery. “They were wonderful,” says Mosch.

“They get in touch with you right away, ask you what a good time is to come, check your wounds,

check your house, and make sure you’re safe.”

On the third day at home after the surgery, Mosch says she was getting around the house, even doing dishes and laundry.

Mosch also began outpatient physical therapy. “Therapy is key because if it wasn’t for them, you don’t push yourself as hard as a therapist would,” Mosch says.

Today, Mosch is back at work and happy to be active again riding her bike, hiking with her dogs and working out on the elliptical.

“Knowing that you could just pick up the phone and call, I don’t see any difference. You’re at your home, you’re comfortable,” says Mosch about having the outpatient surgery option.

TO LEARN MORE our Joint Commission-certified Gold Seal of Approval for Knee and Hip Replacement Center, visit AdventHealthOrthoWaterman.com.

AdventHealthWaterman.com 3 AHW-2019-1212_WatermanWellnessMagezine_11.indd 3

3/3/20 11:15 PM

A Walking Miracle “We all think we are bulletproof.”

—Dan Miller

Lake County Fire Battalion Chief Dan Miller has responded to thousands of 911 calls in his 22 years of service. He never imagined that the 911 call he made last September would be the beginning of what many describe as a miracle.

Miller had not been feeling well for a few weeks; he wasn’t feeling anything particularly dramatic, but just didn’t feel like his normal self. That all changed one day when his symptoms intensified. Being a firefighter and paramedic, he realized the shortness of breath and severe abdominal pain meant he was likely having a heart attack and he knew he was in trouble.

When Fire and EMS arrived at Miller’s house, he was sweating and on the floor. The paramedics could not get a pulse, so they started CPR. Once stabilized, Miller was transported to AdventHealth Waterman, which is accredited by the American College of Cardiology for Chest Pain Rapid Response Systems.

While enroute, Miller lost his pulse again, and the EMS crew used a defibrillator to revive him.

A STEMI (ST-elevation myocardial infarction) alert was called in from the ambulance and upon arrival to the hospital, the AdventHealth Waterman emergency and cath lab teams were ready.

The medical team determined Miller had suffered cardiac arrest.

Sudden cardiac arrest occurs when the heart suddenly stops beating, preventing oxygen-rich blood from reaching the brain and other organs. A person can die in minutes if not treated right away.

level of support that anybody could be offered in any institution,” said Dr. Allen. “For patients who have severe heart failure, lung failure, or even pulmonary-type infections, ECMO can give their heart and lungs the opportunity to rest and recover while we treat their condition with medications, antibiotics, or even surgery. Having ECMO in Lake County has made a huge impact on the recovery and the outcome of patients.

Dan was alive, but not out of the woods by any means.

While interventional cardiologist Prabhakara Kunamneni, MD inserted a stent to clear a blockage in Miller’s heart, Miller went into cardiac arrest again and needed another round of CPR. Cardiothoracic surgeon Gary Allen, MD, then made the decision to put Miller on an ECMO machine in order to save his life. ECMO stands for extracorporeal membrane oxygenation. The ECMO machine basically takes over the patient’s heart and lung function, pumping oxygenated blood through the body and giving these critical organs time to rest.

“ECMO is an absolutely astounding piece of technology.

We are fortunate our community hospital has acquired this technology - it is the highest

4 AdventHealthWaterman.com | Winter 2020 AHW-2019-1212_WatermanWellnessMagezine_11.indd 4

3/3/20 11:15 PM

When Dr. Allen and Dr. Kunameneni consulted with Miller’s family, the news was grim.

“I gave him a 20% chance of walking out of this hospital, and less than a 5% chance of being neurologically intact,” said Dr. Allen. “With the amount of CPR, or ‘down time‘ that Dan experienced, his prognosis was not good.”

After five days, the doctors decided to wean him off the ECMO machine and braced for some form of physical and neurological loss.

But Miller had another plan. Once awakened from the ECMO, Miller was alert and moving and asking when he could go home.

“Dan Miller is a true miracle,” said Louis Guzzi, MD, Director of Critical Care at AdventHealth Waterman. “Without the coordination of the Fire and EMS crews with the hospital’s emergency medicine, cath lab, and surgical teams, as well as the ECMO technology combined with his strong will to live, Dan would not be here today. Everything worked like a symphony to keep him alive.”

“We all think we’re bulletproof— police, fireman, ambulance, ER and cath lab workers, ” Miller said. “Nobody thinks it’s going to happen to them, until it does.”

Still recovering, Miller is enjoying life with his family and he has a new found respect for the 911 system he has been a part of for over two decades.

TO LEARN MORE about Dan’s story, visit AdventHealthHeartWaterman.com

AdventHealthWaterman.com 5 AHW-2019-1212_WatermanWellnessMagezine_11.indd 5

3/3/20 11:15 PM

Painful Flu Symptoms “A lot of patients have muscle pain with the flu, that’s typical, but there are some cases of muscle pain that can become out of proportion.”

—Jaclyn Urquiola Sorzano, MD

It all began one Friday afternoon when 6-yearold Mount Dora resident Riley Lajeunesse came home from school feeling tired and out of sorts.

By Sunday, Riley’s mom, Crystal sensed the precocious first grader was just not right and took her to AdventHealth Centra Care where Riley tested positive for the flu. She was sent home to rest and recover from the virus.

At 3:30 a.m. Tuesday morning, Crystal says she was awakened by her daughter wailing in pain.

Riley explains, “I was feeling bad. As soon as my feet touched the floor, I noticed I had really bad pain.”

Crystal says, “The second we touched her calves, she’d jump up. I told my husband that we should go to AdventHealth Waterman.”

What they thought would be a quick discharge with some medication for Riley, instead became a week-long hospital stay. Riley was diagnosed with Myositis, a severe inflammation of the muscles.

“A lot of patients have muscle pain with the flu, that’s typical, but there are some cases of muscle pain that can become out of proportion. With those patients we suspect that they may have an underlying myositis,” says Jaclyn Urquiola Sorzano, DO, an AdventHealth Waterman Pediatric Hospitalist.

“Within an hour from the time the doctor told us what was going on we were upstairs, and they had her on fluids,” says Crystal.

Riley admits she enjoyed a few things about her hospital stay. “I liked that there was TV there for kids who get bored,” says Riley. “And the doctors and nurses were actually kind of fun. Two different doctors gave me two different popsicles.”

Riley even had a dance party which was part of the recovery process to get her moving. “We put on music and some nurses came by, and one of them would dance with her,” says Crystal.

“Throughout the whole process we were kept in the loop. They explained what was going on and how they were going to treat it. “Our experience was great.” says Crystal.

6 AdventHealthWaterman.com | Winter 2020 AHW-2019-1212_WatermanWellnessMagezine_11.indd 6

3/3/20 11:15 PM

A Shot of Prevention As many as 650,000 people a year can die from the flu. People whose immune systems are vulnerable, such as young children and the elderly are most at risk. Most people recover within a few weeks, but some can develop serious or deadly complications. AdventHealth Waterman Pediatrician Jaclyn Urquiola Sorzano, DO says that getting a flu vaccine is the best prevention and she dispels common myths:

The flu vaccine can give me the flu.

The injected flu vaccine contains an inactivated virus that cannot give you influenza. If you feel achy or slightly feverish, it is a normal reaction of the immune system to the vaccine, and generally lasts only a day or two.

I have had the vaccine and still got the flu, so it doesn’t work.

Given what they have been through with Riley, who had not received a flu shot this year, Crystal Lejeunesse says the entire family will get vaccinated each year.

“The most important thing about being prepared for the flu season is not only recognizing the signs of the flu and when a child has complications, but being prepared in the sense of getting your flu vaccine as soon as it’s available,” said Dr. Urquiola.

Riley is feeling a lot better now and when she’s not at school, she enjoys spending time playing her cello, going to Walt Disney World and hanging out with her little sister.

Several flu viruses are circulating all the time, which is why people may still get the flu despite being vaccinated since the vaccine is specific to one strain. However, being vaccinated improves the chance of being protected.

It’s a good idea to get the flu vaccine as late as possible so it lasts through the whole flu season.

Experts recommend getting the flu shot by the end of October so it is effective once peak season begins in December. If you miss this deadline, you can still get vaccinated at any time during the influenza season.

YOU CAN FIND specialists to help you and your family with all your health concerns by visiting AdventHealthWaterman.com.

AdventHealthWaterman.com 7 AHW-2019-1212_WatermanWellnessMagezine_11.indd 7

3/3/20 11:15 PM

AdventHealth Waterman, Inc. 1000 Waterman Way Tavares, FL 32778-5266

8 HEALTHY EATING TIPS INSIDE Find tips on page 2!

A World Class Facility to Help You Heal Inpatient rehabilitation unit offers safe, state-of-the-art services to help patients feel whole again after surgery or illness.

This is the first facility of its kind in Lake County, and features 12 private rooms, one bariatric room and telemetry capabilities. Patients can restore their spirit outside their patient rooms in the unit’s communal areas, which include a vibrant gym and dining room with gorgeous views of Lake Eustis. Additional therapy settings include residential type spaces for patients to practice real-life scenarios to be successful once at home and performing activities such as cooking in a kitchen or doing laundry.

State-of-the-art safety features are on site including a 100-foot Vector Gait Track that allows patients to practice walking without the fear or risk of falling, a 36-foot ceiling lift for safe transfer of patients, and an ArmeoSpring, the latest technology in recovery of hand and arm function.

AdventHealth Waterman is dedicated to meet the growing needs of the community and the new inpatient rehab unit gives patients, who are recovering from various medical issues, a close-to-home space that gives them the strength and courage to feel whole again.

Information in WATERMAN WELLNESS comes from a wide range of medical experts. If you have any concerns or questions about specific content that may affect your health, please contact your health care provider.

The Best in Breast Care AdventHealth Waterman is the first hospital in Lake County to receive accreditation from the National Accreditation Program for Breast Centers (NAPBC). AdventHealth Waterman Cancer Institute achieved this important certification after demonstrating excellence in program leadership, clinical services, research, community outreach, professional education and quality improvement.

The hospital is proud to be an accredited breast program and is honored to serve the Lake County community.

FOR MORE DETAILS CONTACT one of AdventHealth Waterman’s cancer care navigators, call: 352-253-3600.

AHW-2019-1212

AHW-2019-1212_WatermanWellnessMagezine_11.indd 8

3/3/20 11:15 PM