John C. Lincoln HealthBeat Nov-Dec 2014

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> Healthy Holiday Eating Tips > Rib Plating Technique Aids Healing > Brighten the Holidays with Your Donation

Essential Health News and Information

November/December 2014

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The Beat Goes On North Mountain in Best Hospitals List

John C. Lincoln North Mountain Hospital is included in the 2014-2015 Best Regional Hospitals rankings released

by U.S. News & World Report.

The hospital was recognized as high performing in geriatrics, nephrology, orthopedics, pulmonology, urology and gastroenterology and gastrointestinal (GI) surgery.

“We are honored by this recognition, which reflects our commitment to delivering high-quality, compassionate care and a satisfying healthcare experience for our patients and their families,” said North Mountain Hospital CEO Maggi Griffin.

In Case of Emergency You need one special item on your refrigerator and in your billfold: an I.C.E. card.

The In Case of Emergency (I.C.E.) card has the crucial medical information paramedics need if you have a medical emergency.

By filling out an I.C.E. card for you and your family members, you’ll have:

> Your emergency contacts.

> Your physician information,

including the phone number.

> Your insurance providers. > A list of your primary medical conditions.

> A list of your medications and supplements.

> Your drug allergies.

To request a free I.C.E. card, please call 480-882-4636 or email ICEcard@jcl.com.

‘Widow Maker’ J

une 4 started like any other Wednesday for Anthem resident Campbell Hess, 71. He was doing yard work early to beat the heat. His wife, Paula, left for her job around 7 a.m.

“I worked in the yard for over an hour, and then felt extremely fatigued. I was shaking a little, and my fingers were going numb. My first thought was that I had heat stroke,” Campbell said. “I went inside and tried to cool off.”

He soon called his wife, then 9-1-1. The next thing he remembers is waking up at John C. Lincoln Deer Valley Hospital about 24 hours later.

Campbell didn’t know that his heart stopped in the ambulance on Interstate 17 on the way to Deer Valley Hospital.

He didn’t know that Daisy Mountain Fire Department

Chris Stewart, RN, paramedics then veered off I-17 at the Dove Valley Monique Bushman, Road exit to divert to the MD, and Genevieve John C. Lincoln Sonoran Price, RN, celebrate Health and Emergency with Campbell Hess Center for more advanced several weeks after his help. He didn’t know how heart attack and hard he fought to live. lifesaving visit to the Monique Bushman, Sonoran Health and MD, an emergency Emergency Center. department physician at the Center, remembers that Campbell was literally fighting for his life.

“We shocked him three times, administered CPR and inserted a tube in his airway,” Dr. Bushman said. “We sedated him because he was fighting us so hard.” continued on Page 2

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Cover Story Daisy Mountain paramedics share a moment with Campbell Hess when they reunite at the Sonoran Health and Emergency Center weeks after his heart-stopping ambulance ride.

Sonoran Health and Emergency Center Services >

continued from Page 1

About an hour later, Campbell was finally stable, and the ambulance rushed him to John C. Lincoln Deer Valley Hospital.

In the Cath Lab, cardiologist Allen Rafael, MD, inserted a stent in two of Campbell’s coronary arteries.

One of the major arteries branching off the aorta was completely blocked, and a blood clot obstructed the other one. The stents restored blood flow to Campbell’s “All these people heart. and doctors stopped Because it by to visit with can lead to sudden death, me in my room,” the type of he said. “They all heart attack wanted to see this Campbell suffered is miracle patient that nicknamed a survived a widow “widow maker.” maker.” From – Campbell Hess the minute a widow maker begins, survival times range from minutes to a few hours. Initial symptoms may include shortness of breath, pain in the head, jaw, arms or chest, numbness in fingers and an irregular heartbeat.

“The pieces fell into place for Campbell,” said Chris Stewart, RN, Sonoran Health and Emergency Center’s clinical coordinator.

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“We opened this facility about six months before his heart attack, in December 2013.

We’re happy we were here for him.”

Caregivers Were ‘Angels’ “When I woke up on Thursday, I ached,” Campbell remembers. His throat was sore from the breathing tube, and he had bruises from fighting so hard while in cardiac arrest. “I just thanked God that I was here.”

“Everything fit into place,” said his wife of 27 years. “It was amazing.” Paula called all of Campbell’s caregivers “angels.”

Nurses in the Progressive Cardiac Care Unit observed Campbell for four days before he went home to recover and eventually participate in cardiac rehabilitation at Deer Valley Hospital. “All these people and doctors stopped by to visit with me in my room,” he said. “They all wanted to see this miracle patient that survived a widow maker.”

Campbell and Paula have four children, 10 grandchildren and two great grandchildren. “Lives just change,” Campbell said. “Having this heart attack has made me rethink my priorities.

Family’s always come first, but there were many other day-to-day things I took for granted. I appreciate the little things more than ever.”

For more information, please visit JCL.com/heart.

November/December 2014

Located at 33423 N. 32nd Ave., the Sonoran Health and Emergency Center serves the community with: > Emergency care 24 hours a day, seven days a week from experienced emergency physicians, nurses and technicians. > Diagnostic Imaging with low-dose CT and an MRI that is the quietest now available. On-site radiologists and caring, experienced technologists. > Low-dose 3D mammography in the Breast Center to detect breast cancers at earlier, more treatable stages with less X-ray exposure and compression time. Bone densitometry tests also are available in the Breast Center.

For more information, please visit JCL.com/Sonoran.

JCL.com

Your Health

Celebrate the Healthy Way

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Find a Doctor

Nearby

If you’re new to the neighborhood and need a doctor nearby, check out these John C. Lincoln Physician Network practices:

Seventh Street Family Medicine 5333 N. Seventh St. Suite 305B, Phoenix 602-812-3080 Physician: Heather O’Toole, MD.

North Peoria Family Medicine 21681 N. 77th Ave. Suite 1410, Peoria 623-312-2265 Physicians: Valerie Bustos, DO; Nimisha Shah, MD; Matt Anderson, MD.

Cave Creek Family Medicine 20330 N. Cave Creek Road Suite 160, Phoenix 602-730-8443 Physicians: Corina Veatch, MD; Andrea Patton, MD. For more information about primary care offices, visit JCL.com/practices and www.shc.org/primarycare.

JCL.com

orried about gaining weight over the holidays?

Don’t be. Instead, “relax, enjoy yourself and take charge,” said Debbie Richmond, nutritionist at John C. Lincoln Wellness Elements, 6320 W. Union Hills Dr. Cobie Belli, 49, of Phoenix, has worked with Debbie to whittle away at her body mass index (BMI), and plans to watch her holiday eating carefully. “I started at 38.6, and now I’m at a BMI of 35.5, using Debbie’s ‘real food’ plan,” Cobie said. “It’s slow progress (to reach the ideal 24.9 BMI), but I feel so much better, it’s shocking.

My migraines are gone, and so is my achy back.

“I start with fresh food — nothing boxed or canned,” she continued. “And no processed meats like bologna, and no sodas, cookies and cakes. I replaced those with fruit and nuts, and they have taken away the sweet craving.”

Previous fad diets and skipping meals added up to too few calories, Debbie told her, putting Cobie’s metabolism into fat storage mode.

“During the holidays, I plan to snack on fruit before a party. Or I’ll have a salad before I go.

I can gorge on fruits and vegetables. If I crave chocolate, I have a cup of hot chocolate using skim milk. It works!”

For more information about BMI, visit cdc.gov/healthyweight. For more information about John C. Lincoln Wellness Elements, please visit JCL.com/practices.

E I G H T T I P S F O R H E A LT H Y H O L I D AY E AT I N G 1 Focus on the social aspects of a party instead of the food. Distance yourself from the food table.

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Ask if you can bring something. Take a dish that fits your goals, such as fresh fruit. Chances are, several others at the party will appreciate it.

2 Eat on a regular basis and don’t feel deprived. Avoid saving up calories – your body can only process so much food at one time. Tell yourself, ‘I’m going to have a little bit to eat at the party,’ then savor it.

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Think before you drink.

Calories in holiday drinks (eggnog has a whopping 343 calories a cup) can add up quickly.

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Don’t arrive starving.

Before you go, drink a glass of milk or dip apple slices in some peanut butter.

A 50-calorie cheese stick is another option.

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Pay attention to what you’re eating: how it tastes, the texture, the temperature, what it looks like. Enjoy it on all levels.

4 Be mindful of portion control. Scope out all your choices, then choose wisely.

Eat a little, not a lot.

November/December 2014

8 Stay active. Plan walks and activities/games with family members and friends.

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Medical Technology

Center Verified by American College of Surgeons

Brian Frias is grateful for the rib plating surgery performed by trauma surgeon Francis Ali-Osman, MD. The surgery helped him heal faster.

When Life Hangs in the Balance O

multiple places — but they were also n June 11, Brian Frias, 35, started his severely displaced, causing significant daily routine by saying good morning to his wife and kids chest wall instability. Given the nature of before getting behind the wheel. these injuries, it was possible he would Unfortunately, require the ventilator this would be for a long time, and anything but that would include a “Because of Dr. Ali-Osman’s a routine day. tracheostomy and a knowledge and experience While driving feeding tube. with this procedure, I was for a work “Our team made delivery, he was the decision to out of the ICU and off the critically hurt in proceed with rib ventilator within 14 days.” a car crash and plating,” he continued.

– Brian Frias airlifted to John “Technological C. Lincoln North advancements in equipment and better Mountain’s Level 1 understanding of pulmonary mechanics Trauma Center. The North Mountain make this surgery a good option today. trauma center is verified by the American College of Surgeons as providing a full spectrum of medical and surgical Technology specialists available at any time for Mimics the Ribs treating the most critically injured patients. That’s an important distinction “We performed his surgery in two when minutes matter. stages,” the trauma surgeon continued.

“Brian had suffered severe blunt-force “On the right side, we stabilized four ribs trauma to both sides of his chest, resulting with titanium plates less than 24 hours after his arrival. Six days later, we in multiple rib fractures, bleeding into the stabilized two ribs on the left side in a chest and lung contusions,” said trauma similar fashion. The technology allows the surgeon Francis Ali-Osman, MD. “We rib plates to mimic the ribs and move immediately put him on a ventilator.

“A CT scan of his chest revealed that not while the patient breathes, but holds firm at the site of the break. In Brian’s case, we only were ribs broken — many of them in

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The Level I Trauma Center at John C. Lincoln North Mountain Hospital has earned the nation’s highest verification for trauma centers from the prestigious American College of Surgeons (ACS).

This verification signifies that John C. Lincoln’s Level I Trauma Center has the capability to provide total care for every aspect of injury, from prevention through rehabilitation. The Center offers a full range of highly trained surgeons in several specialties, support staff and specialized equipment, all available 24 hours a day.

ACS-verified Level I centers also must have a major commitment to education, research and planning. This includes support for surgical residency programs and postgraduate training in trauma for physicians, nurses and first responders.

The trauma team cares for 3,000 life- and limb-threatening cases per year — as well as patients with lesser injuries and always with compassion for each individual. Visit JCL.com/trauma for more information.

were able to plate six ribs, four on his right side and two on his left. This procedure helps patients with broken ribs recover faster with less pain.”

The day after the second surgery, doctors took Brian off the breathing machine. “We were pleased to help return him to his family,” Dr. Ali-Osman said.

“Because of Dr. Ali-Osman’s knowledge and experience with this procedure, I was out of the ICU and off the ventilator within 14 days and into a rehabilitation center,” Brian said. “Not bad since I later found out it was the worst chest injury that year for North Mountain’s Level I trauma center. I am so happy to be alive and home with my wife and kids. Every day I improve more and more on my way to a full recovery.

“Not a day goes by where I don’t thank the Lord that he put me in the hands of Dr. Ali-Osman and the rest of the medical staff at John C. Lincoln’s Level 1 Trauma Center,” he said.

Visit JCL.com/trauma for more information.

JCL.com

Medical Technology

A Better Way to Heal W

Trauma Care for Seniors

and a much longer recovery time. hen you fall off a horse, you get right Kathleen also benefited from JCL geriatric back on, right? It wasn’t so easy for trauma program dubbed “G-60” and 70-year-old Kathleen Connal. pioneered by Dr. Mangram (see sidebar).

On an August Saturday morning, Kathleen “When older patients have and two other traumatic injuries, they riders set out on cannot be managed the way a Tonto National “I know without the rib we would treat 30-year-old Forest trail. plating, I would be in more patients,” she said. The G-60 “While we were severe pain, take longer to program treats trauma conversing, my patients over the age of 60 horse, Midnight, heal and be unable to do more aggressively through suddenly turned the things I am doing now.” expedited care and a to avoid a kick – Kathleen Connal multidisciplinary team of from the horse clinical staff. The program in front of him,” has led to better patient said Kathleen. outcomes at both Deer Valley and North Thrown from the horse, Kathleen landed Mountain Hospitals. on her back, knocking her helmeted head on the rocky ground below.

“It was difficult to breathe and painful to No More Grating Bones move in any way,” she said. An ambulance “I felt an immediate difference once the rushed her to John C. Lincoln Deer Valley surgery was over,” Kathleen said. “I could Hospital. move without feeling and hearing the bones “It was not my first rodeo to be bucked off grating.” She spent two weeks in the hospital a horse,” said Kathleen. “I cracked my pelvis and is now recuperating at home. She and once, but this was the worst thing I have ever experienced. Thank God I had the helmet on — her horse have retired from riding, and Kathleen is getting stronger every day. it was dented.”

“I know without the rib plating, I would be in more severe pain, take longer to heal Painful Broken Ribs and be unable to do the things I am doing now,” she said.

A CT scan revealed five broken ribs. “With her age, we knew the longer we waited to For more information about John C. Lincoln’s treat her, the worse the outcome could be,” G-60 program, please visit JCL.com/G60. said Alicia Mangram, MD, Trauma Services medical director. It hurts to breathe with broken ribs, and shallow breathing can lead to pneumonia and other complications.

Dr. Mangram and fellow trauma surgeon Francis Ali-Osman, MD, suggested that Kathleen consider a new rib plating procedure. Rib plating is now being done more Alicia Mangram, MD commonly, using a minimally invasive approach. The technique uses titanium plates and screws to hold broken ribs in place. Patients recover more quickly and experience much less pain. The usual conservative treatment for broken ribs is pain management or bracing techniques JCL.com

November/December 2014

The G-60 program for patients 60 and over at both Deer Valley and North Mountain Hospitals feature: > Rapid identification and triage of potential G-60 patients in the Emergency Department and Trauma Center. > Expedited admission — within two hours — to the hospital. > Activation of a specially trained multi-disciplinary G-60 clinical team: trauma surgeons, trauma nurse practitioners and coordinators, hospitalists, physical medicine and rehabilitation specialists, floor nurse supervisors, physical/ occupational/speech/respiratory therapists, nutritionists, pharmacists, social workers and case managers. > Aggressive and expedited clinical care, including surgery when indicated, by the G-60 team. > Private rooms at North Mountain Hospital have special geriatric accommodations such as larger clocks, built-in handles and fixtures for safer movement, and specially designed beds to ease comfort.

After being thrown from her horse, Midnight, Kathleen Connal is recovering at home. She benefited from G-60 care and rib plating surgery at Deer Valley Hospital.

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Foundation News

Make it a Brighter Holiday Season

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he hundreds of individuals and families coming through the doors of Desert Mission each day are still facing challenging times. You can help make their holidays much brighter by:

Making a Financial Donation for Thanksgiving Turkeys Just before Thanksgiving, Desert Mission will distribute more than 2,000 turkeys to struggling families so that they can celebrate the holiday. Give thanks by giving back. To make a donation, visit JCL.com/donate and select “Turkey” from the dropdown menu.

Adopting a Family for the Holidays For years, community members have been providing gifts and a holiday meal to low-income children and families through Desert Mission’s Holiday Adopt-A-Family Program. Individuals, families and organizations can participate in a number of ways: > Spread the joy yourself. Adopt a family and experience the joy of delivering gifts and a holiday meal to them directly. > Let Desert Mission spread the joy.

Buy gifts and drop them off at the Desert Mission Food Bank, 9229 N. Fourth St., Phoenix. Desert Mission staff will make sure they get to your adopted family.

Golfers enjoy a day on the links while helping support Desert Mission.

Lincoln Guild Invitational

Raises $160,000

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hanks to 260 golfers and many generous sponsors, the Sept. 19 golf tournament at Camelback Golf Club raised $160,000 in support of Desert Mission programs. Desert Mission is the community service arm of John C. Lincoln Health Network.

Visit JCL.com/adoptafamily or call 602-331-7860.

Desert Mission offers a platform of integrated services to help individuals and families reach their full potential for health and self-sufficiency.

Desert Mission’s philosophy is that with the proper tools and resources, a better life is within reach for all members of the With the Working Poor Tax Credit, you can help struggling individuals community. and families and reduce your state income tax payment at the same time.

Double Eagle Presenting Sponsor was W.D. Manor Mechanical Contractors. Birdie You can contribute as much as $200 for an individual and $400 for sponsors included Affiliated Hospitalists, a married couple filing jointly when you give that amount to Desert PLC; Blue Cross Blue Shield of Arizona; Delta Mission. A tax credit is more beneficial than a tax deduction — a tax Dental of Arizona; Independent Hospitalists credit reduces your Arizona income taxes dollar for dollar. and Alliance Medical Clinic; Integrity The community service arm of John C. Lincoln Health Foundation, Building Corp.; Kitchell; Lincoln Emergency Desert Mission has been meeting the health and social needs of Physicians; Net App and Trace 3; Republic struggling families in North Phoenix more than 85 years.

Services; Wastequip; and Wells Fargo.

To make an online donation, please visit JCL.com/donate.

For a complete list of sponsors, please visit JCL.com/golf. > Make a financial contribution to Desert Mission.

Your donation will be used to buy food and gifts for families in need during the holidays.

Donate at No Cost to You

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November/December 2014

JCL.com

Whatâ&#x20AC;&#x2122;s Happening

November & December

John C. Lincoln Health Network offers a variety of classes, events and support groups to the community each month.

> Support Groups

Mended Hearts 6-7 p.m. Thursday,

Nov. 6, in John C. Lincoln Medical Office Building 2, Suite LL4 (basement), 19636 N. 27th Ave., Phoenix, across from Deer Valley Hospital. Thursday, Dec. 4, will be at Cowden Center, 9202 N. Second St., Phoenix, on the campus of John C. Lincoln North Mountain Hospital. Free. RSVP to alice.montoya@JCL.com or 623-879-5583.

Find support for and education about your heart condition.

Caregivers 10:30 a.m.-noon the first

Wednesday of every month, Cowden Center, 9202 N. Second St., Phoenix, on the campus of John C. Lincoln North Mountain Hospital. Free. No registration required.

602-870-6374.

> Education Get PAST Asthma 6:30-8 p.m. the

second Monday of every month, John C. Lincoln Medical Office Building 1, 19841 N. 27th Ave., Room 400, Phoenix, on the campus of John C. Lincoln Deer Valley Hospital.

For more information, call 623-879-5452 or email PCOC@JCL.com. Free education for parents of children with asthma.

> Breast Cancer Programs The John C. Lincoln Breast Health and Research Center, 19646 N. 27th Ave., Suite 205, Phoenix, hosts several free programs and support groups to meet the needs of those affected by breast cancer. For more information about any of the groups, call 623-780-HOPE (4673), email BHRC@JCL.com or visit JCL.com/breasthealth.

Yoga for Recovery 6-8 p.m. every

Wednesday, except Nov. 26 and Dec. 24.

(Note: held at John C. Lincoln Medical Office Building 1, 19841 N. 27th Ave., Room 400, on the campus of John C. Lincoln Deer Valley Hospital).

Experience the physical and emotional benefits of yoga. No RSVP required.

Meditation for Healing 6-7 p.m. the first and third Thursday of every month, except Nov. 27 and Dec. 25.

Introduces techniques of meditation including visualization, breath work, positive affirmation and guided meditation. Free. No RSVP required.

Breast Cancer Learn & Support Group 6-8 p.m. the second Thursday

of every month. Discuss aspects of living with cancer, treatments, side effect management and survivorship.

For ages 18 and over. No RSVP required.

Look Good ... Feel Better!

Get Healthbeat In Your Inbox Please call 480-323-1271 or email healthbeat@jcl.com if youâ&#x20AC;&#x2122;d prefer to receive an electronic version of this publication.

JCL.com

4:30-6:30 p.m. Tuesday, Nov. 11, a non-medical, brand-neutral public service program that teaches beauty techniques to cancer patients to help them manage the appearancerelated side effects of cancer treatment.

Co-sponsored by the American Cancer Society. RSVP: 623-434-2784 or BHRC@JCL.com.

Minimally Invasive MAKOplasty Knee Surgery Seminars > Tuesday, Nov. 18, 6-7 p.m. in John C. Lincoln Medical Office Building 1, 19841 N. 27th Avenue, Room 400, Phoenix, on the campus of John C. Lincoln Deer Valley Hospital. Free. > Wednesday, Dec. 3, 6-7 p.m. in John C. Lincoln Medical Office Building 1, 19841 N. 27th Avenue, Room 406, Phoenix, on the campus of John C. Lincoln Deer Valley Hospital. Free.

RSVP by calling 480-882-4636 or email khall@shc.org.

Cooking for Wellness

6-8 p.m. Tuesday, Dec. 16, a registered dietitian covers nutrition topics related to breast cancer during a cooking demonstration. Open to family and friends. RSVP: 623-780-HOPE (4673) or BHRC@JCL.com.

Sonoran: Breast Cancer Learn & Support Group 6-8 p.m. the first

Tuesday of every month. (Note: Held at the Breast Health and Research Center, 33423 N. 32nd Ave., Phoenix, on the John C. Lincoln Sonoran Health and Emergency Center campus). Discuss aspects of living with cancer, treatments, side effect management and survivorship.

For ages 18 and over. No RSVP required.

Please visit JCL.com/events and www.shc.org/events for more information on upcoming events.

November/December 2014

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NONPROFIT ORG. U.S. POSTAGE

PAID

PHOENIX, AZ PERMIT NO. 4524

P.O. Box 9054 Phoenix, AZ 85068-9054 ADDRESS SERVICE REQUESTED

Scottsdale Healthcare and John C. Lincoln Health Network

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wo of the Valley’s most respected locally based, non-profit health systems joined forces in October 2013 to create the health care organization of the future.

John C. Lincoln Health Network and Scottsdale Healthcare are now working together as one organization to continue to bring you high-quality, compassionate care with the latest technology.

Separately, we were strong health care providers. You’ll find that together, we’re even better. Our shared vision is to be a fully integrated health system that improves the health and well-being of those we serve.

Together, we provide access to the care you need at:

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/ Level 1 Trauma

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/ Immediate Care

> Five leading Valley hospitals including two Level 1 trauma centers certified by the American College of Surgeons.

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> The Sonoran Health and Emergency Center.

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> The Virginia G. Piper Cancer Center offering groundbreaking cancer treatment and support, research, and clinical trials. > A state-of-the-art Breast Health and Research Center. > Valley-wide primary and specialty physician locations with Urgent Care and Immediate Care services at several practices. > Two Foundations providing extensive community services.

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CMYK / .ai

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To learn more, visit JCL.com/affiliation.

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facebook.com/JCLHN facebook.com/JCLfoundation

twitter.com/johnclincoln

Youtube.com/JohnCLincolnTV

Call 480-323-1271 or email healthbeat@jcl.com if you’d prefer to receive an electronic version of HealthBeat, if you’d prefer not to receive future issues, or if you have questions or comments.