Knoxwise Summer 2015

Summer 2015

double knee replacement gives Mount Vernon resident

life

new lease on KCH WELCOMES NEW ENDOCRINOLOGIST

NURSES STRIVE FOR EXCELLENCE

2 knoxwise | summer 2015

welcome!

Summer is finally in full swing and it’s time to take advantage of being outdoors as much as possible. While the

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sun provides a much needed boost of Vitamin D, we still need to remember to protect our skin against its harmful rays by wearing sunscreen. Burns from the sun, as well as those inflicted from the mishandling of fireworks, are some of the chief reasons for ER Bruce D. White, CEO

visits during the month of July. Remember to use fireworks responsibly and supervise kids at all times when they are around

sparklers, bottle rockets and firecrackers. In addition to burns, they can cause serious eyes injuries.

Did you know that diabetes is the sixth leading cause of death in Knox County? We want to help our readers understand the differences between Type I and Type II diabetes and how they can learn to successfully manage their disease. Dr. Jaime Goodman, an endocrinologist with a special interest in diabetes, has recently joined

2015 BOARD OF TRUSTEES Joan Jones PRESIDENT Ian Watson VICE PRESIDENT Joe Street SECRETARY Thomas R. Fosnaught TREASURER Jeffrey L. Boucher Charles R. Brenneman Juan De Pascuale Inge Krajenski Thom McKinley, MD Patrick McLarnan Amy D. Murnen, MD Kim M. Rose Ann Schnormeier Michael Sullivan, MD Gordon E. Yance

the medical staff at KCH. To learn more about how to lessen your risk of diabetes and its serious complications, see page 3.

Mount Vernon resident Lucy Waltman recently celebrated her 80th birthday with a two-day party that included many family and friends. After receiving a double knee replacement at KCH she’s back to being able to keep up with her 14 grandchildren and six great grandchildren. Hear more about Lucy’s journey back to mobility and freedom from pain on page 5.

Since the mid-1980s KCH has quietly taken part in a sports physicals program for local middle and high school athletes. Through the donation of their time, our doctors, nurses and support staff allow Mount Vernon High School’s athletic department to offer physicals to its students. It’s just another way we choose to give back to the community we serve. Our article on page 6 can give you more insight.

CHIEF EXECUTIVE OFFICER

Bruce D. White

Have a happy and safe summer!

CHIEF OPERATING OFFICER

Bruce Behner CHIEF FINANCIAL OFFICER

Mike Ambrosiani

Bruce D. White, CEO

CHIEF NURSING OFFICER

James Middleton, RN, MSN, MBA CHIEF MEDICAL OFFICER

Jeffrey C. Northup, DO

A publication of the Community Relations Department at Knox Community Hospital.

knoxwise | summer 2015

Knox welcomes new

endocrinologist

to medical staff

Dr. Jaime Goodman specializes in diabetes care Jaime Goodman, MD, knew from a young age that she wanted to be a doctor. After seeing multiple family members diagnosed with diabetes she chose to pursue endocrinology, a subspecialty of internal medicine that deals with diseases related to hormonal disorders — diabetes being chief among them.

“Diabetes is the one disease where we expect people to learn how to take care of themselves,” said Dr. Goodman. “Education is very critical in this disease. People have to be aware what their blood sugar is, how their medications work, how exercise plays a role, etc.”

“Diabetes is the sixth leading cause of death in Knox County,” said Jennifer Parker, a nurse and certified diabetes educator. “Getting diabetes under control and educating patients about how to care for themselves is a priority at KCH.” The three most common types of diabetes are Type I (insulin dependent), Type II (insulin resistant) and gestational (onset related to pregnancy).

“Nothing can prevent Type I diabetes,” said Dr. Goodman.

According to the American Diabetes Association, Type I diabetes (formerly known as juvenile diabetes) only accounts

for about five percent of the diabetic population and is more common in children and young adults. People with Type I diabetes do not produce insulin, a hormone needed to convert sugar, starches and other foods into energy.

A complete Jaime Goodman, MD list of diabetes education classes is available at: www.knoxcommhosp.org/care/ diabetes-education/diabeteseducation-events

“Type II diabetes is the far more common, highly genetic form of diabetes and tends to occur later in life,” said Dr. Goodman. “Type II diabetics are still able to produce insulin, but they have a resistance to it. It is the result of many systems within the body malfunctioning.”

Dr. Goodman is excited about joining the staff at KCH and caring for the people of Mount Vernon.

The hospital’s accredited diabetes education program is run by Parker and dietitian Rosemary Farren, as well as a pharmacist, an exercise physiologist and a dietitian. The monthly classes cover things like diet, exercise, medications, complications and goal setting.

Dr. Goodman’s office is located at 307 Vernedale Drive. Her office number is 740.399.3890.

“We help them have more information on diabetes so they can have less risk of the bad complications that can accompany diabetes,” said Parker. “While some of the most serious complications can include blindness and an increased risk of heart attacks, strokes and amputations to lower extremities, these are largely preventable when diabetes is well managed.”

“No matter where you live it’s important to have access to good medical care,” she said. “People want to stay close to home.”

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new At 80 years old Lucy Waltman could easily put people half her age to shame. A mother of five boys, grandmother to 14 and great-grandmother to six, Waltman leads a very full life and with two new knees to boot.

About six years ago Waltman noticed she was having trouble doing all the things she wanted due to issues with her knees.

“I could still do things, but I was moving at a much slower place,” she said. “If I walked, you could hear my knees pop. Although it wasn’t terribly painful, I anticipated it becoming more painful if I didn’t do something about it.”

Waltman pursued physical therapy to see if she could fix her knee problems in the least invasive manner. When it became clear it wasn’t a long-term solution, she sought the advice of orthopedic surgeon, Gregory Cush, MD.

“

Although Dr. Cush wanted to do one knee at a time to reduce the risk of complications, Waltman was adamant she wanted to do both simultaneously.

“My philosophy was there was a job to be done and I wanted to get it done and over with. Why go through two separate surgeries if I don’t have to?”

After discussing the pros and cons with Dr. Cush, Waltman’s double knee replacement was performed on a Monday and by Friday she was moved to an inpatient rehabilitation facility for a full three weeks of intensive rehab.

Once steady enough to go home, she continued her outpatient rehab three days a week at KCH’s Center for Rehabilitation and Wellness where they had her on a stationary bike, walking up and down steps, and doing exercises to improve her balance and strengthen her legs.

Although it wasn’t terribly painful, I anticipated it becoming more painful if I didn’t do something about it.”

– Lucy Waltman

“I went in thinking I needed to have my left knee done because that was the one that was causing me the most grief,” she said. “Dr. Cush took X-rays of both my knees and informed me that my right knee was worse off than my left.”

Waltman found ways to modify some of her favorite activities — like gardening – to accommodate her new knees.

“I found a low bench I could sit on so I could get closer to the ground without having to kneel,” she said.

After moving to Mount Vernon from Virginia in 1998 after her husband retired from the military, Waltman started volunteering at KCH as a way to meet people.

knoxwise | summer 2015

double knee replacement gives Mount Vernon resident

lease on life “I didn’t know anybody in town,” she said.

Waltman has served as the past president of the hospital auxiliary and is the current manager of the gift shop. She’s especially proud of the fact that people come from all over the area during the Christmas season to shop for unique items that she stocks in the shop.

“I like working in the gift shop because I get to meet all kinds of people — from volunteers and visitors to patients and families,” she said.

Waltman finds it especially rewarding when the nurses who cared for her during her inpatient stay still remember her name.

“They know who I am,” she said. “They always call me by name and ask me how I’m doing. They took great care of me.”

Retired herself from a government job in logistics, Waltman has led a more than full life both before and after her surgery.

“I recommend it to all my friends who have been told they need the surgery,” she said.

“It’s the way to go.”

don’t let joint pain keep you from doing what you love KCH offers a variety of orthopedic surgical procedures to correct injuries or disorders of the skeletal system and associated muscles, joints and ligaments. Board certified orthopedic surgeons Drs. Kenneth Doolittle II, Gregory Cush and Jarrett Helming offer the following procedures at KCH: • Joint replacement surgery and revision • A rthroscopic surgery of the knee, ankle and shoulder • Hand surgery • Carpal tunnel surgery • Fracture treatment • Rotator cuff repair GREGORY J. CUSH, MD, FAAOS JARRETT HELMING, DO Knox Medical Pavilion 1451 Yauger Road, Suite 2B Mount Vernon, OH 43050 Phone: 740.393.9898 KENNETH H. DOOLITTLE, II, MD, FAAOS 1451 Yauger Road, Suite A Mount Vernon, OH 43050 Phone: 740.393.2226

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GIVING

BACK

hospital offers sports physicals to Mount Vernon students Each spring for the last 30 years, Knox Community Hospital has offered sports physicals for middle and high school athletes who attend Mount Vernon schools.

“All volunteers — doctors, physician’s assistants, nurse practitioners and support staff — donate their time to participate in this program,” said Luann Hess, who coordinates the program.

With no appointments necessary, Knox’s medical staff conducts anywhere between 100 to 200 physicals annually.

“Students start to line up around 5:30 p.m. and are seen on a firstcome, first-served basis,” Hess explained. “Clerical work and patient vitals are completed before students receive their physicals in order to make everything as efficient as possible.”

The one-night only program is traditionally held from 6-8 p.m. on the last Thursday before Memorial Day. The Mount Vernon athletic department charges a nominal $10 fee per student.

“Mount Vernon High School kindly gives each of our volunteers two free passes to any high school sport of their choice as a way of saying thanks,” said Hess. “This program is a nice community benefit because it’s convenient and inexpensive for families.”

power smoothies Here are three smoothie recipes to keep you fueled and help recovery after your workouts. They are great on their own. If you are looking for an added protein boost, add your favorite protein powder.

raspberry chia seed smoothie 1-2 cups milk (or almond, soy, coconut milk), depending on desired consistency 1 frozen banana 1 cup raspberries (frozen or fresh) 1-2 tablespoon chia seeds 1-2 scoops vanilla protein powder (optional) Put all ingredients in blender and blend until smooth.

chocolate covered peanut banana smoothie 1-2 cups milk (or almond, soy, coconut milk), depending on desired consistency 1 frozen banana 1-2 tablespoons peanut butter ¼-½ teaspoon unsweetened cocoa powder (if not using protein powder) 1 teaspoon honey Cinnamon (optional) 1-2 scoops chocolate protein powder Put all ingredients in blender and blend until smooth.

green smoothie 1-2 cups milk (or water, coconut water), depending on desired consistency 1-2 handfuls of greens (spinach, kale, swiss chard) 1 frozen banana 1 cup pineapple ½ cup mango Add liquid and greens to blender and blend until smooth. Add remaining ingredients and blend until smooth.

knoxwise | summer 2015

excellence nurses

strive for

through quality initiatives and continuing education

nursing Q&A

Knox Community Hospital is proud to employ over 275 nurses who are an integral part of the patient care team. From bedside nurses to those working on quality initiatives, our nurses are innovators of change. Their ultimate goal is always safe patient care. Chief Nursing Officer James Middleton shares some insights about the state of nursing care at KCH.

QTell me about some of the quality initiatives your

nursing staff is working on?

AWe use evidence-based practices (utilize practices that

are proven to work through research); chart audits to identify opportunities for improvement; lean initiatives (identify non-value adding barriers and remove them from daily work flows); and national and state benchmarks.

Some of the nursing quality indicators currently being addressed include: n Reduction in the use of restraints n Reduction in falls n Reduction in Central Line Blood Stream Infections

associated with central venous catheter usage n Reduction in Catheter Associated Urinary

Tract Infections n Reduction in Hospital Acquired Pressure Ulcers

QWhat is KCH doing to strive for nursing excellence?

AWe are using several different tools to shape and guide

nursing excellence. The revitalization of the Career Ladder with an emphasis on working projects and activities aims to develop future leaders while rewarding them for the extras given to the patients and organization.

QWhat kinds of continuing

education/nursing professional development is offered to staff?

AThe hospital has increased its

James Middleton, RN, MSN, MBA, CNO

tuition reimbursement as well as negotiated tuition reductions at several universities. Nursing leaders are encouraging all staff nurses to become nationally certified in their area of specialty. We also work to keep the nursing staff apprised of clinical changes, political changes, and legal changes that affect the profession.

QWhat’s the difference between an RN, BSN, MSN

and APN?

AThere are several entry points into the profession of

nursing all based on the amount of education that an individual receives including: Baccalaureate, Associate and Diploma. Registered Nurse (RN) is a title given after an individual completes a training program and sits for and successfully passes the National Council Licensure Examination.

A Master’s prepared nurse is someone who is already an RN with a baccalaureate degree and is continuing his/her education in nursing. Master’s degrees in nursing can focus on: Administration, Education, Clinical Practice (CNS, NP), Informatics and Anesthesia.

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NON PROFIT U.S. POSTAGE

PAID

AKRON, OH PERMIT NO. 286

1330 Coshocton Rd. Mt. Vernon, Ohio 43050 KnoxCommHosp.org

calendar of events Diabetes Education Events Take Your Diabetic Diet Out to Dinner Thursday, July 16; 5-6:30 pm Parkside Restaurant 108 Mount Vernon Ave., Mount Vernon This is a casual meal with a registered dietitian and the certified diabetic educator with the intention of responding to nutrition questions.

Open to the public, participants are responsible for their own meal purchase. Registration is requested, call 740.393.9970.

Kroger Grocery Store Tour Tuesday, August 4; 1:30-2:30 pm Come take a tour of the grocery store and learn what food products are healthy for people with diabetes.

Please pre-register at 740.393.9970 and meet at Starbucks inside Kroger.

Living with Diabetes Tuesdays, September 15, 22 & 29 4:30-7:30 pm KCH Childbirth Education Room All aspects of diabetes selfmanagement are covered during this three session class. Class requires registration and a physician’s order and is covered by most insurance plans/Medicare. Call 740.393.9970 to register or for questions.

For more information or any questions, please call Jenny Parker, RN at 740.393.9970 or Rosemary Farren, RD, LD, Diabetes Coordinator at 740.393.9797.

Breast Cancer Support Group

Men’s Cancer Support Group

First Monday each month, 7 p.m.

Knox Medical Pavilion Please call Becky Dangelo, MSN, RN, CNOR, CH-BH, patient navigator, 740.393.5579

3rd Tuesday each month, 6:30 p.m.

Knox Medical Pavilion Organized by men, for men.

Please call cancer navigator, 740.393.5558.

Young Survivors Breast Cancer Support Group

Free Monthly Screenings

3rd Monday each month, 7 p.m.

Knox Medical Pavilion Please call Becky Dangelo, MSN, RN, CNOR, CH-BH, patient navigator, 740.393.5579

Cancer Support Group 2nd Thursday each month, 6:30 p.m.

Knox Medical Pavilion Please call cancer navigator, 740.393.5558.

1st Wednesday of the month, 8-10 a.m., Urgent Care Classroom Screenings are available for blood pressure, glucose and cholesterol. 12-hour fasting is recommended for best results.

Look good…Feel Better Please call 740.393.5579 for information.

Please visit our website at KnoxCommHosp.org for additional details about our programs and services.