John C. Lincoln HealthBeat Sep - Oct 2014

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> Chronic Disease Management > Robotic Partial Knee Surgery > Back Surgery Advances > Help When Needed

Essential Health News and Information

September/October 2014

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The Beat Goes On

Center Earns Elite Accreditation The John C. Lincoln Breast Health and Research Center is the first freestanding imaging center in Arizona to earn a three-year/full accreditation designation by the National Accreditation Program for Breast Centers (NAPBC), a program administered by the American College of Surgeons.

The Breast Health and Research Center was in compliance with 100 percent of NAPBC standards and was recognized for providing a higher level of care.

The accreditation ensures a patient will have the highest level of quality breast care and every significant advantage while battling breast cancer, including:

> Comprehensive care,

including a full range of state-of-the-art services.

> A multi-disciplinary team

approach to coordinate the best treatment options.

> Information about ongoing clinical trials and new treatment options.

> Quality breast care close to home.

“The reviewers were so impressed with the strong alliances and coordination we have established with all our partners who provide follow-up care that they described us a comprehensive breast center without walls,” said Sherry Gage, RTRM, Center director.

Learn more at JCL.com/ breasthealth.

Dealing with a

Difficult Diagnosis Staff at Breast Health and Research Center support patient through diagnosis, surgery and reconstruction

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n fall 2012, Tamikqwa Burrus noticed it hurt when water hit her nipples in the shower. When she wore a bra during the day, her breasts felt normal, so she brushed off the sensitivity.

Eventually, though, it became so painful that she showered with her back to the water.

And she felt a lump in her right breast that was also painful.

“That’s when I knew something wasn’t right,” said the Tempe resident. The first doctor she saw performed a fine needle aspiration to evaluate her breast, “but there was no communication about what was happening during the procedure.

I was extremely upset,” she said. continued on Page 2

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Tamikqwa Burrus hugs her breast surgeon, Brenda Moorthy, DO.

Cover Story >

Groundbreaking 3D Mammography Study

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size, and my other breast also had a Tamikqwa soon received a call from mass,” Tamikqwa said. “I was depressed the doctor’s office; she needed to come in. about the thought of my breasts being That night, she prayed for guidance to a cut into, but my family and the ladies at hospital that would care about and the Center encouraged me to understand educate her. “I searched ‘breast cancer’ recent study highlighted in what needed to be done to make me online, and through my church’s website, The Journal of the American healthier and happier.” there was a link to Medical Association found Tamikqwa had a the John C. Lincoln that 3D mammography uncovers double, nipple-sparing Breast Health and significantly more invasive cancers and mastectomy in Research Center.” reduces unnecessary patient callbacks.

November 2012.

“From the first Linda Greer, MD, medical director “Although nippletime I called the of the Breast Health and Research sparing mastectomy Center, the women Center, co-authored the study. is a procedure that not there literally Key findings revealed that 3D all surgeons provide, guided me through mammography resulted in: in good candidates it turmoil,” Tamikqwa can offer a superior said. “They talked to > A 41 percent increase in detection cosmetic result,” me like they knew of invasive cancer.

Dr. Moorthy said. me. Prior to the “I am grateful that I > A 15 percent decrease in Post surgery, each surgery, staff at the had a group of people unnecessary patient call backs for day for 10 years, Center provided false alarms.

Tamikqwa is taking books to feed my who were truly a tamoxifen, an knowledge and > A 29 percent increase in the blessing to me, anti-estrogen drug. soul. My prayers detection of all breast cancers.

“I also changed my were answered.” including all of the With 3D mammography, Dr. Greer lifestyle and eating ladies at the Breast reduced call backs for additional spot habits,” she said. views by 93 percent. This reduces “I’m healthier.” She’ll Health and Research patient anxiety, lowers overall exposure visit Dr. Moorthy Center.” – Tamikqwa Burrus to radiation and reduces costs due to every six months for During her first unnecessary testing. five years. appointment at the The Center is the only imaging center In February 2014, Center, Tamikqwa in Arizona that screens all patients with Lewis Albert Andres, MD, a board-certified had a mammogram where an 3D, low-dose imaging without additional plastic surgeon, performed Tamiqkwa’s abnormality was noted. An ultrasound to charges. The Center is accredited by the characterize the abnormality was done, reconstructive breast surgery. She’s content American College of Radiology as a Breast and a biopsy confirmed the diagnosis: with where she’s at now.

Center of Excellence and by the American papillary carcinoma in situ, which means “Anytime I reflect back, I am grateful College of Surgeons in the National that the cancer was contained in the duct. that I had a group of people who were Accreditation Program for Breast Centers.

A rare type of breast cancer that occurs truly a blessing to me, including all of the To learn more, please visit mostly after menopause, its name comes ladies at the Breast Health and Research JLC.com/breasthealth. from finger-like projections, or papules, Center,” she said. seen under a microscope.

The mean age at diagnosis is 63 to 67.

Tamikqwa was 38, with no family history of breast cancer.

“Tamikqwa had received her diagnosis The Breast Health and Research Center in North Phoenix was Arizona’s first site at the Breast Health and Research to offer low-dose 3D mammography, the latest innovation in breast cancer Center before I met with her,” said screening. Join us for a seminar to learn more about the benefits of lower-dose Brenda Moorthy, DO, a board-certified 3D mammography, breast cancer awareness and how to schedule your annual breast surgeon. “She and her family mammogram. Snacks will be served. reviewed her options together, and

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Rare Type of Cancer

3D Mammography Seminars

Tamikqwa ultimately decided to have a double mastectomy. This decision was driven by her age at diagnosis, the fact the abnormality was four centimeters, and that a lumpectomy with radiation alone might deform the breast.”

“Between September and October, the mass in one breast had doubled in

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HealthBeat

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> Thursday, Oct. 2 6-7:30 p.m.

John C. Lincoln Sonoran Health and Emergency Center Second Floor Community Room 33423 N. 32nd Ave., Phoenix

> Wednesday Oct. 29 6-7:30 p.m.

Anthem Community Center 3701 W. Anthem Way Suite 201 Anthem

Register for either event at JCLbreasthealth.eventbrite.com or call 623-434-6265.

September/October 2014

JCL.com

Your Health

Access Your Health Info Online via MyChart MyChart is a free, secure website giving you access to your health information quickly and conveniently from your personal computer, smartphone or tablet.

With MyChart you can: > Schedule, confirm or cancel appointments. > Email your doctor with a non-urgent medical question. > Review medications, immunizations, allergies and health history. > Request prescription refills. > Review post-visit instructions.

All physician practices and hospitals in the John C. Lincoln Health Network offer MyChart. For more information, please visit AZMyChart.com and click on the sign-up button.

Looking for Dr. Right?

Find the right health care provider for you in Scottsdale Healthcare Primary Care and John C. Lincoln Physician Network.

You’ll find board-certified providers, flexible hours and convenient locations throughout the Valley.

Find your Dr. Right at RightDocForMe.com.

Corina Veatch, MD, is an expert in chronic disease management.

Checking blood pressure is a routine vital sign in the care plan for her patient, Obie Jenkins III, who has diabetes and hypertension.

How to Manage Your Chronic Disease

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t can be disquieting to learn you’re living with a chronic illness or disease such as diabetes or high blood pressure. To avoid letting your disease rule your life, take charge and learn to manage it.

The first step is to understand what’s happening and why. Schedule an appointment with your primary care physician and partner with him or her to manage your condition.

“Chronic disease is best managed with a plan,” said Corina Veatch, MD, of Cave Creek Family Medicine. “I’ll set goals with you and see you at regular visits to assess whether we’re meeting the goals.”

It’s working for Obie Jenkins III, a Cave Creek Family Medicine patient with diabetes and hypertension. “I have been seeing Dr. Veatch for more than a year now, and we worked together to balance my glucose levels. I feel much better.”

Other steps to manage a chronic disease include: > Taking prescribed medications.

“Although it can be daunting or

JCL.com

even overwhelming to see several prescription bottles on the counter,” Dr. Veatch said, “remedy that by talking with your doctor.” Discuss why you need to take a medication, how best to take it and what the possible side effects are. > Investing the time and energy to make healthy lifestyle changes. Exercise more, stop smoking and change unhealthy eating habits to feel better and live longer.

“I like to sit with a patient and come up with specific goals for diet and exercise,” Dr. Veatch said. “We devise a plan for the type of exercise, and how many times and how many minutes a week to do it. How many calories will it burn?

We then schedule a monthly appointment to see how you do in achieving the goals we set together.”

Effectively managing chronic conditions in the primary care setting can help patients live a happier and healthier life — and prevent unnecessary visits to the hospital.

For more information or to find a primary care physician who specializes in chronic disease management, visit JCL.com/practices.

September/October 2014

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Medical Technology

Goodbye, Pain Hello,Tennis!

“When it comes to quality of life, I feel like I’ve done a complete 180 in the last 10 months,” said Robert McAllister, a parttime Valley resident. “I feel so great now that it’s hard to even remember the pain that once took over my life.”

It started a year ago with stiffness and soreness in the 67-year-old’s left knee.

The pain put the brakes on physical activities that he enjoyed. “For six months I couldn’t do anything,” he said. “Even walking was painful. I felt old, and I was missing out on the things I wanted to do.

I didn’t want to be left behind! At that point, I realized that I didn’t want to waste any more time.”

After a few months of conservative treatments that gave him little relief, Robert visited Vishal Ganesh, MD, an orthopedic surgeon at John C. Lincoln Deer Valley Hospital. After reviewing Robert’s X-rays, Dr. Ganesh informed him that one compartment of his knee had no cartilage left and was literally bone-on-bone, but the other two compartments were perfectly healthy.

“Because he still had normal cartilage and function in his other two knee compartments, Robert was a perfect candidate for a MAKOplasty partial knee

MAKOplasty Fast Facts

> 10 to 20 percent of knee replacement patients could benefit from MAKOplasty. > MAKOplasty’s robotic arm and threedimensional imaging help the surgeon resurface the diseased part of the bone and align the implant precisely. > The incision is four to five inches long. > The surgeon also makes small incisions in the femur and tibia.

resurfacing procedure,” Dr. Ganesh said.

“This procedure involves using a robotic arm and 3-D imaging of the knee, allowing the implant to be fitted precisely to the damaged section of the knee while leaving the healthy areas untouched.”

Walking the Same Night Robert had his surgery on a Friday at John C. Lincoln Deer Valley Hospital. He was up and walking the unit using a walker that evening. He stayed one night in the hospital, and was released on Saturday afternoon. “I used a walker that weekend and by Monday

Less Pain, Faster Recovery The benefits of robotic partial knee surgery include: > Smaller incision. > Bone and tissue sparing. > Reduced blood loss.

> More natural-feeling knee. > Preservation of normal knee function. > Longer lasting implant.

HealthBeat

> A more natural-feeling knee. > Faster recovery. > The potential for the joint to last longer.

Robert has no intention of sitting on the sidelines anymore. He’s back to playing tennis, golf, pickleball and everything else his active lifestyle Vishal Ganesh, MD, brings his way. “It is poses next to the absolutely fantastic,” he surgeon-controlled said. “There’s no doubt robotic arm used to that I made the right perform partial decision. My only regret is knee replacements that I didn’t do it sooner!” at John C. Lincoln For more information, Deer Valley Hospital. please visit JCL.com/mako.

Attend one of our free seminars led by orthopedic surgeons specially trained in MAKOplasty procedures.

Visit JCL.com/events for information on upcoming events.

> Rapid recovery.

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morning, I was walking without any assistance at all. It literally took a weekend – it doesn’t get much easier than that!” he said.

After two weeks of therapy, Robert was walking without a limp and was pain free. Two weeks later, he had worked his way up to walking three miles a day. “After seeing the X-rays after the procedure, I was completely amazed at the accuracy of the implant and how perfectly it fits,” he said.

The MAKO robot, along with its computer-mapping ability, allows the surgeon to continuously make adjustments within a fraction of a degree during the procedure. Dr. Ganesh said this level of accuracy results in:

Learn More

> Minimal hospitalization.

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After a one-night hospital stay and a few weeks of physical therapy, Robert McAllister is back on the tennis court – pain free.

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September/October 2014

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Ridin’ HIGH “I have a miracle worker at John C. Lincoln North Mountain Hospital,” said Terry Sills, 62, of Glendale. “His name is Dr. Igor Yusupov.”

Thanks to Dr. Yusupov’s skilled hands and some sophisticated equipment at North Mountain Hospital, the retired Phoenix Police Department officer has resumed his vigorous lifestyle after spinal surgery.

He once again team ropes in rodeos, does some light jogging, plays golf and even hauls hay for his horses and cattle.

Before the surgery in the summer of 2013, “I walked like a drunk,” Terry said.

His years of riding bulls and broncs, not to mention 31 years as a motorcycle cop, resulted in two bulging discs and spinal fusion in his lower back.

“I couldn’t put my foot in a stirrup or ride my motorcycle,” he said. “I’d lost the use of my legs. Aleve and Tylenol didn’t touch it.” Cortisone shots helped for a while, but it’s only safe to get a few.

He talked to other surgeons, but was reluctant to have surgery. Then he talked to Dr. Yusupov.

Motivated Patient “I asked him how his quality of life was,” Dr. Yusupov said. “And I told him that if he did what I told him to do, he would be fine. It’s great to have a motivated patient.”

Fifteen or 20 years ago, back surgery meant a scar as long as 18 inches, Dr. Yusupov One of Terry Sills’ said. Now there’s a accomplishments one-inch incision, is showcased on and with the help his saddle. of technology, better results.

“John C. Lincoln North Mountain Hospital is one of the few hospitals in the country to realize the value of new technology and make the investment in it, he noted. “With Terry’s surgery, we used JCL.com

Terry Sills is back in the saddle after Igor Yusupov, MD, performed spinal surgery using the Medtronic O-arm and Stealth Station Navigation System.

the Medtronic O-arm and Stealth Station Navigation System.”

Resembling a huge doughnut, the O-arm gives surgeons real-time CT imaging of the patient’s anatomy, allowing them to bypass nerves and other vulnerable parts of the body on the way to the spine. “It’s like a GPS system of the back. I know exactly what lies beneath the skin as I navigate about eight inches of tissue before reaching the spine,” Dr. Yusupov said. “I placed a tube as a channel to the spine. I fixed the discs causing nerve root compression through that tube.” He also repaired Terry’s spinal instability with rods and pins.

The result? “Terry has done phenomenally well,” the surgeon said.

Fast Progress “For the first month, Dr. Yusupov told me ‘no bending, no lifting.’ So I didn’t,” Terry said.

“Then I started physical therapy, and during the next two months, the therapists were astonished how fast I progressed. I like to push myself.

“Immediately after surgery, I had no back pain,” he added. “And the tingling in my legs was gone. It was the most wonderful feeling. The nurses and care at North Mountain were unbelievable. I’ll never go to another hospital.”

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

Technological Advantages

The O-arm Surgical Imaging System gives surgeons: > Real-time CT imaging of the patient’s anatomy in two and three dimensions.

This allows surgeons to navigate around delicate nerves and blood vessels. > The ability to confirm that rods and pins have properly aligned the spine before the patient leaves the operating room. > The ability to do less invasive surgery, resulting in less blood loss and faster recovery. > Reduced X-ray exposure.

September/October 2014

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Foundation News

Helping Those in Need A

n Emergency Food Box from Desert Mission Food Bank helps feed hungry individuals and families for a short time. But keeping food on the table often requires applying for Supplemental Nutrition Assistance Program (SNAP, or food stamp) assistance.

Filling out the SNAP forms — and those for AHCCCS, Arizona’s Medicaid agency — can be challenging for clients without a computer at home and for those who don’t speak English as their first language.

Desert Mission, the community service arm of John C. Lincoln Health Network, has three eligibility experts who “Our goal in offering services can help. These bilingual experts guide clients like these is long-term through the forms empowerment on a Desert Mission computer. The of our Desert eligibility experts’ Mission clients.” salaries are paid for Presciliano Valdez-Beltran, a community resource through partnerships coordinator with Desert Mission, helps Modesta Laura Dix with local nonprofit Montes Garcia complete a government agency form.

Associate Vice President agencies.

John C. Lincoln Modesta Montes up the government forms online and completing Health Foundation Garcia recently made the application with the client. an appointment with He often helps clients who first come to Presciliano ValdezDesert Mission Food Bank for an Emergency Beltran, a community Food Box. “They’re what we call ‘food insecure’ at that point,” resource coordinator, through Desert Mission’s eligibility hotline. he noted. “Helping enroll them in SNAP helps them become “I was very nervous at first because I did not know him or ‘food secure.’” what to expect from our session,” she said. “After 10 minutes, Laura Dix, associate vice president of Grants and Contracts I was confident that he was going to answer all the questions at John C. Lincoln Health Foundation, partners with local I had about AHCCCS and SNAP. He was also very helpful nonprofit organizations such as First Things First and informing me about other Desert Mission services.”

Children’s Action Alliance to obtain state and federal funding for the three eligibility experts’ salaries.

Safe Environment “Our goal in offering services like these is long-term empowerment of our Desert Mission clients,” she said. “I know Presci said he’s happy to give his clients “the freedom to speak up and not feel judged. In our office, it’s a safe they appreciate the help they receive in the short-term.” environment. I can help provide them with what they need, For more information about Desert Mission, please visit when they need it, to meet basic needs.” That includes pulling JCL.com/desertmission.

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Last Call for Golf

Save the Date

Tee off in support of Desert Mission programs benefiting the community at the 28th annual Lincoln Guild Invitational. The event starts at 6:30 a.m. Friday, Sept. 19, at Camelback Golf Club, 7847 N. Mockingbird Lane, Scottsdale.

Please register at JCL.com/golf or call 602-331-7860.

Reserve a special date, Saturday, March 21, for the 46th annual Gold Ball at The Phoenician Resort, 6000 E. Camelback Road, Scottsdale.

The evening raises funds for the hospital and community programs of the John C. Lincoln Health Network.

For more information, please call 602-331-7860.

HealthBeat

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September/October 2014

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What’s Happening

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

> Education

John C. Lincoln audiologist Kristin Wells, AuD, will conduct free hearing screenings for adults from 8 a.m.-4 p.m. Sept. 16, 17 and 18 and Oct. 14, 15 and 16 at the Tatum Health Center, 18404 N. Tatum Blvd., Suite 101, Phoenix. Call for a required appointment, 602-494-6237.

6-8 p.m. beginning Sept. 9 for four weeks, John C. Lincoln Medical Office Building 1, 19841 N. 27th Ave., Room 406, Phoenix, on the campus of John C. Lincoln Deer Valley Hospital. Preregister with Scottsdale Healthcare Diabetes Center at 480-323-4921.

Learn how to take control of your diabetes. Most insurances cover diabetes education with a physician referral.

Hearing Screenings

> Support Groups 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 necessary. 602-870-6374.

Mended Hearts 6-7 p.m.

Th., Sept. 4, in John C. Lincoln Medical Office Building 2, Suite LL4 (basement), 19636 N. 27th Ave., Phoenix, across from Deer Valley Hospital. Th., Oct. 2, 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.

Better Breathers 1:30-3 p.m.

the fourth Thursday of every month, John C. Lincoln North Mountain Hospital, 250 N. Dunlap Ave., Phoenix. Call the Respiratory Care Department at 602-870-6060, ext. 5793, for meeting locations and more information. Free for those living with lung disease and their caregivers.

JCL.com

Diabetes Education Series

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.

Free Event

HEALTHY

FAMILY Breakfast Bash

At John C. Lincoln Sonoran Health and Emergency Center 33423 N. 32nd Ave., Phoenix, AZ 85085

Saturday, Sept. 13 * 8:30-11:30 a.m.

Grab the family and join us at the Sonoran Healthy Family Breakfast Bash!

You’ll enjoy a FREE breakfast buffet and learn about nutrition, fitness, safety and prevention through interactive activities, games and crafts.

You will be able to talk directly with our team of health experts about how to keep you and your family healthy. We’ll make it fun for the kids through games, quizzes, activities and prizes. At the end of the event, each child will receive a certificate of completion for his/her participation.

Please RSVP at jclsonoranbreakfast.eventbrite.com.

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SPACE IS LIMITED D. RE UI Q RE E AR s RSVP

side effects of cancer treatment.

Co-sponsored by the American Cancer Society. RSVP: 623-4342784 or BHRC@JCL.com.

Experience the physical as well as emotional benefits of yoga.

No RSVP required.

Breast Cancer Learn & Support Group 6-8 p.m. on

the second and fourth Thursday of every month. Discuss aspects of living with cancer, treatments, side effect management and survivorship. Open to family and friends. No RSVP required.

Circle of Help Advanced Breast Cancer Support Group 6-8 p.m. on the fourth

Thursday of every month for those living with advanced or recurrent breast cancer.

Co-sponsored by Bosom Buddies of Arizona. No RSVP required.

A non-medical, brand-neutral public service program that teaches beauty techniques to cancer patients to help them manage the appearance-related September/October 2014

6-8 p.m. Tues., Sept. 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.

Men Only: Supporting the Women They Love Through Breast Cancer

Look Good ... Feel Better!

Yoga for Recovery 6-7:30 p.m. 4:30-6:30 p.m. Tues., Sept. 9. every Wednesday. (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).

Cooking for Wellness

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Join other men whose loved ones also have been affected by breast cancer and discuss all aspects of being a caregiver. 6-8 p.m. the fourth Thursday of every month. RSVP required at 623-434-2784 or BHRC@JCL.com.

Note: Time and date are subject to change due to attendance.

Please visit JCL.com/events for more information.

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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:

/ Immediate Care

> Five leading Valley hospitals including two Level 1 trauma centers certified by the American College of Surgeons. > The Sonoran Health and Emergency Center. > 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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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.