my Boone Health Fall 2015

vol: 5 issue: 4

Recovered & Relaxing Jeff Troyer Completes A Trip That Almost Never Happened

page 10: charlie and kathy digges are partners in health

Table Of Contents Page 10

Page 14

Page 23

Page 28

Boone Hospital Center’s mission is to improve the health of the people and communities we serve.

Jim Sinek President

Ben Cornelius Communications and Marketing Manager

Jessica Park Marketing Coordinator

Madison Burke Mulitmedia Marketing Specialist Photos By

Madison Burke Clay Littrell Contributing Writers

Jacob Luecke Clay Littrell

5...................................................... A Note From Boone Hospital President Jim Sinek 6.....................................................................................................

myBoone Health Stories

8................................................................................................................ Hospital Headlines 10...........................................................

Partners In Health: Charlie and Kathy Digges

12............................................................................................................................

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Please submit comments or feedback to bcc1170@bjc.org or call 573.815.3392

1600 East Broadway Columbia, MO 65201 573.815.8000 For a free subscription, call 573.815.3392 or visit myBooneHealth.com and click on the subscription link on the right side of the page.

In The Loop

14....................................................................................................................... Are You Game?

16.......................................................................................................

The Skinny On Dieting

18.................................................................................................................... Slashing Sodium 20.................................................................................................................

Reel Compassion

23..................................................................................................................

Double The Love

24......................................................................................................... When Care Can’t Wait 26........................................................................................ Getting To Know A BHC Doctor 27.......................................................................................... Getting To Know A BHC Nurse 28....................................................................................................

30...............................................................

Hope & Encouragement

News From The Boone Hospital Foundation

31.....................................................................................

Boone Hospital Foundation Gala BOONE HOSPITAL CENTER Fall 2015

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A Note From Jim

Boone Hospital Is No. 1!

Y

ou might think, reading the headline, that I’m biased, but let me present evidence from three outside, independent organizations to validate my claim:

m U.S.News and World Report recently ranked Boone Hospital Center No. 1 of all hospitals in mid-Missouri and No. 3 of all hospitals in Missouri. m Cigna Insurance Co. confirmed that Boone Hospital achieved 100 percent of our eligible quality “pay for performance” incentive for the most recent time period (July 1-Dec. 31, 2014). The criteria used in Cigna’s pay for performance program include readmission rates, post-discharge follow-up visits and patient safety criteria.

Jim Sinek President Boone Hospital Center

m Anthem Insurance Co. confirmed that Boone Hospital achieved 100 percent of the eligible bonus rate increase for the Anthem Quality-In-Sight Hospital Incentive Program in 2014. This is also a hospital-based paid for performance program and uses similar clinical quality and patient safety criteria to Cigna’s program.

Boone Hospital Center has been blessed with excellent and compassionate hospital and medical staff. Their attention to detail and focus on patient safety, clinical outcomes and the patient experience has made us No. 1 in mid-Missouri. I congratulate our caregivers, and I thank you, the patients and people of midMissouri who choose Boone to care for you and your family.

BOONE HOSPITAL CENTER Fall 2015

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myBoone Health Stories Visit myBooneHealth.com To Read More — And Share Your Own Story

Two Harts Joined Together

By Joe Hart, as told to Madison Burke

I

was sitting in my chair watching TV when my wife collapsed into a chair.

She was in a different part of the room, so I didn’t even see it happen.

Fortunately, our neighbor was at our home visiting us, and he saw her and told me something was wrong.

We laid her out on the floor and called an ambulance. The next few days blurred together. The paramedics loaded Mary into the ambulance, but we didn’t even make it to the end of the street before the vehicle stopped. I asked why we stopped and was told Mary needed to be stabilized before we went any further.

The paramedics worked on her for a while and were able to stabilize her, but they said it would be best to wait where we were until a helicopter could take her to Boone Hospital Center in Columbia.

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Fall 2015 BOONE HOSPITAL CENTER

When we arrived in Columbia, the nurses and doctors worked tirelessly on Mary. Dr. Terry Ryan told me that Mary wasn’t responding as they’d hoped and that a cavity in her brain was full of blood.

A social worker came in and talked to me about unplugging her, saying there was a high chance she would be a vegetable. I talked to that social worker for probably three hours. Those were some of the hardest three hours of my life. The entire time though, I was overwhelmed with kindness and comfort from the Boone Hospital ICU staff.

I was so unsure what to do when Dr. Ryan came back in the room and leaned over Mary and loudly asked her to move anything if she could hear us and if she could move. (At that point we believed her to be paralyzed).

“I was so unsure what to do when Dr. Ryan came back in the room and leaned over Mary and loudly asked her to move anything if she could hear us and if she could move. (At that point we believed her to be paralyzed).

That’s when Mary moved her left thumb.” — Joe Hart That’s when Mary moved her left thumb. Dr. Ryan and I both knew then this was not the end of the road for Mary, and we decided she would undergo a dangerous, but hopefully lifesaving procedure to drain the blood in her brain.

The surgery was successful, but I was warned Mary might never be able to speak, walk or live normally again.

That was two years ago, and my wife now says she’s never felt better. It took months of rehab, both at Boone Hospital and in Kansas City where our kids are, but it was all worth it. I have my wife back, and we live every day grateful to be alive.

Share your story myBooneHealth.com

August 28, 2014

Dear Mr. Sinek,

O

n April 15, 2014, my husband, Paul Culp Jr., was life-flighted to Boone Hospital from Bothwell Hospital in Sedalia, Mo. His gallbladder had already been removed while in Bothwell Hospital.

He was found to have a stone blocking the bile duct and was thus transported to Boone for an ERCP procedure. At this time, he was in extremely critical condition. We did not know if he would survive the flight. His medical team at both hospitals gave us no hope in the early stages.

His gallbladder caused sepsis, therefore his organs began shutting down, and he also had an internal bleed.

On April 20, his lab values began changing for the better!

The ICU team gave us a fraction of hope. He was not out of trouble yet, but was beginning to take tiny baby steps in his recovery. Among the many complications, besides the internal bleed, he experienced blood clots in his lower legs, resulting in a Greenfield filter being placed. Multiple labs were drawn daily due to the poorly functioning organs that required constant monitoring. He developed large blisters on his right forearm due to an allergic reaction, requiring a dermatology consultation. As you can see, a multitude of employees worked together as a team to take tremendous care of my husband.

I have mentioned all the above as my family, and I truly believe the ICU staff has a team that truly went above and beyond their duty to care for my husband! They need special recognition by Boone Hospital not only for the care of my husband, but also for the genuine love and support given to me, my daughter, my son, and our three grandchildren!

The outstanding ICU nurse was Rita. She was compassionate, smart, and giving of her talents. She was easy to talk with and took the time and effort to teach and explain. She truly became a friend of our family and we felt most comfortable with my husband in her care. She was truly an angel in a nurse’s uniform.

The ICU medical staff of Dr. Abu-Saleh, Lindsay and his remaining staff were willing to talk to family and also listen!

Physician Assistants Jeremy and Eric were top notch!

I really have to mention Brenda, the unit desk secretary. She had such compassion and plenty of hugs. Also Cheryl — she was just outstanding not only in cleaning the room, but seeing to our comfort! They both checked in on our progress until we went home after leaving the ICU. My husband was medically sedated about two weeks and does not recall the excellent care provided while in the ICU. Dr. Trey James was Paul’s physician upon leaving the ICU and stayed with him until his dismissal from Boone. During the two weeks in rehab Dr. James was so open and helpful!

The entire Rehab Unit should have “state of the art” rooms and equipment as they do a tremendous job! Stephen Kriegshauser,

RN, in the Rehab Unit took extra time every day to rub an ointment onto my husband’s blistered arm and as a result, his arm healed with hardly any scarring. I feel he also went above and beyond duty!

As a result of the care and therapy received in rehab, he was able to be dismissed on May 16, 2014 from rehab to return home.

On admit to rehab he was not able to do any personal care. When he went home, he was able to walk, do steps and take basic care of himself. He has gained back 15 of the 30 pounds that he lost during his hospitalization. His personality has returned — with no mental or physical damage!

This was our first encounter with Boone Hospital and we would highly recommend Boone for any of our family or friends.

If there is any way the above dedicated employees could receive special recognition, please do so; they truly are deserving! Because of the staff along with many, many prayers and the Lord above, we were blessed and given the joy of celebrating our 50th wedding anniversary on July 25, 2014!

Thank you for your time and the superb staff you employ at Boone Hospital.

Sincerely, Ruth Ann Culp and Family Smithton, Mo. BOONE HOSPITAL CENTER Fall 2015

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Hospital Headlines News From Boone Hospital Center

Kids On Track Finale 2015

O

n August 6, 408 kids came to Stephens Lake Park with their families to finish their last mile of the Kids On Track program and to participate in the many fun festivities — facepainting, snow cones, bounce houses, a photo booth, smoothie bike and other mile-sponsor booth activities.

The participants also received a free T-shirt (provided by the Boone Hospital Foundation), a barbecue from Hoss’s Market (provided by the Missouri Heart Institute Foundation) and their finale prize: a fun portion plate to encourage kids to choose a variety of good and healthy foods (provided through the support of our prize sponsors).

The Kids On Track program continues to grow, and local programs have started in other communities in Boone Hospital Center’s service area: Ashland, Centralia and Macon. This year, 1,314 kids in mid-Missouri committed to staying active over the summer by running, biking, walking or swimming a 26.2 mile intermittent marathon from May through August.

BHC President Jim Sinek and Kids on Track Coordinator Erin Wegner with participan ts

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Fall 2015 BOONE HOSPITAL CENTER

The latest news boone.org

“The nursing staff and

all the care providers at

Boone are incredibly skillful and deeply compassionate in their work.”

— Monica Smith, RN, MSN, NE-BC

Robin Blount, MD, Named Chief Medical Officer

R

obin Blount, MD, has joined Boone Hospital Center as the chief medical officer. Dr. Blount is a Columbia native.

She graduated from Hickman High School, and then attended the University of Missouri where she received both a degree in chemistry and her medical degree. Dr. Blount has been practicing internal medicine at the Boone Clinic since 1987.

“I have been a part of the Boone Hospital Center medical staff for a long time, and I have the utmost respect for the entire team,” Dr. Blount says. “It is an honor to serve as CMO for a group that produces some of the top clinical outcomes and patient satisfaction results in the nation. I look forward to doing what I can to make us even stronger.”

Dr. Blount has served as the vice chief and then chief of medicine, as well as secretary and treasurer of the medical staff at Boone Hospital Center.

“A CMO of a hospital must have the respect and trust of the medical staff in order to be successful,” explains Jim Sinek, president of Boone Hospital Center. “Dr. Blount certainly has that. Having been a part of the medical staff family, she has an understanding of our physician’s point of view. She will be a valuable addition to the administrative team at Boone.”

Dr. Blount replaces Jerry Kennett, MD, who resigned in January of this year after serving as CMO for five years. Dr. Kennett returned to practicing full-time as a cardiologist with Missouri Heart Center, Boone’s affiliated heart care provider.

He has since been elected to the Boone Hospital Center Board of Trustees.

Monica Smith, MSN, RN, NE-BC Named Chief Nursing Officer

M

onica Smith, MSN, RN, NE-BC, is Boone Hospital Center’s new Chief Nursing Officer. Monica joined the Boone Hospital team in 2006 as director for patient care services. In that role she directed three adult intensive care units, surgical step-down, cardiology and cardiovascular and thoracic surgery, surgical specialties, neurology/stroke center, oncology, palliative care, telemetry, and respiratory therapy. In 2014, Monica accepted the role of service line director, cardiology and cardiothoracic surgery, and has been effectively developing that service line for the past 18 months.

“I am very grateful for this opportunity,” Smith says. “The nursing staff and all the care providers at Boone are incredibly skillful and deeply compassionate in their work. I look forward to my new role supporting this great team.”

Prior to her service at Boone Hospital Center, Monica served in management roles at the University of Missouri Hospital and Clinics and Harry S. Truman Memorial Veterans’ Hospital. Monica holds a bachelor’s and master’s degree in nursing from the Sinclair School of Nursing at the University of Missouri-Columbia. Her clinical background includes medical/surgical, critical care, and advanced practice nursing.

“We are all thrilled that Monica has accepted this position with Boone Hospital Center,” says Jim Sinek, president of Boone Hospital Center. “I have the utmost confidence in Monica’s leadership abilities. There is no one more suited to fill the shoes of Dr. Beck and keep Boone Hospital at the top of the health care field.”

Smith will replace Mary Beck, DNP, RN, NE-BC who is stepping down after a distinguished 22 years at Boone Hospital Center and 16 years in the role of chief nursing officer. Dr. Beck will begin teaching doctoral students at the University of Missouri Sinclair School of Nursing this fall.

“I am so happy for Monica, Boone Hospital and the citizens of midMissouri,” says Dr. Beck. “While it is difficult to leave, knowing that our nursing staff and patients have her to support their efforts makes it a little easier.”

BOONE HOSPITAL CENTER Fall 2015

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Fall 2015 BOONE HOSPITAL CENTER

Partners In Health: Charlie and Kathy Digges

M

ost 96-years-olds aren’t taking float trips and golfing on a regular basis, but Charlie Digges isn’t your average 96-year-old. Charlie and his wife, Kathy, work out every day they can, either at their local gym or by taking walks

near their home.

“Charlie has a trainer that he sees several times a week. The other days I get to be his trainer,” Kathy says with a laugh.

Kathy and Charlie have a 27-year age difference between them. Kathy says when she and Charlie first started dating, he tried to tell her she should marry someone her own age, but she told him that he’s the one for her. The couple married in 1970. Exercising together has been an important part of their 45-year marriage.

We’re partners in health and we’re partners y in life.” We’ve been ver er, blessed. We have each oth to we have our conviction the stay healthy, we have e grace of God, and we’v had great luck.”

– Kathy Digges

“It all began about 50 years ago, when a doctor friend of mine had lunch with us and told us we should start exercising,” Kathy says. “He bought us the Air Force exercise book. From that time on, we’ve been working out.”

But Charlie has had some health concerns over the years, particularly with his heart. He had an irregular heartbeat and had a pacemaker put in five years ago. Charlie often talks about how grateful he is to his cardiologist, Jerry Kennett, MD for his committed care.

“The day Dr. Kennett agreed to be my doctor was the luckiest day of my life,” Charlie says. “He has taken great care of me. He’s my dear friend and a wonderful doctor.”

Charlie’s pacemaker surgery was performed at Boone Hospital Center. Charlie and Kathy say they were impressed with the care they got at the hospital.

“All of the nurses were very kind and everyone worked well with Dr. Kennett,” Charlie says.

The couple also enjoyed getting a heart pillow from the Boone Hospital Foundation during Charlie’s stay.

“It was such a nice touch,” Kathy says. “It made us really appreciate all the Foundation does for our community.”

Dr. Kennett, who is also Kathy’s doctor, says the Digges are a wonderful example of a couple committed to their health. He’s amazed at how they encourage each other and have made exercise a part of their everyday life.

“Kathy’s like the ‘general’ in Charlie’s life when it comes to exercise,” Dr. Kennett says. “She’s honestly the reason he’s alive today. She has helped him recover from surgery and remain strong.”

Dr. Kennett says it’s well documented how important a strong support system is for one’s health. He says people with a supportive partner have been shown to heal faster, live longer and have a better quality of life.

“We’re partners in health, and we’re partners in life,” Kathy says. “We’ve been very blessed. We have each other, we have our conviction to stay healthy, we have the grace of God, and we’ve had great luck.” By Madison Burke

BOONE HOSPITAL CENTER Fall 2015

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Learn more and watch the video at boone.org/breastcancer

In The Loop The Harris Breast Center Always Keeps The Patient In Mind

By Jessica Park At Boone Hospital’s Harris Breast Center, our team members from various disciplines work together to make sure that you know your results as soon as possible.

Kristy Olson has been working in her field for more than 25 years but started at Harris Breast Center last year.

“The reason I came here was the patient-centered care,” she says. “Our staff and radiologists do an awesome job of making the patient the most important thing. We keep their anxiety in mind. If a patient is anxious after a screening exam or drove two hours to get here, we’re more than willing to take a look at it right away. We get what the patient needs done.”

Screening Mammograms Most Harris Breast Center patients come for their annual screening mammogram and have no symptoms. Mammography can detect breast cancer in very early stages, long before it causes symptoms and when it’s easiest to treat.

Electronic images from your mammogram are examined on site by a Boone Hospital Center radiologist (a physician who specializes in diagnosing and treating medical conditions using medical imaging technology). The radiologist uses a specialized workstation that allows him or her to view the images in high definition and three dimensions.

If your screening results are negative, your referring physician receives a report within three days and Harris Breast Center sends you a letter.

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Fall 2015 BOONE HOSPITAL CENTER

If the radiologist finds something on your screening exam, you’ll be called by Harris Breast Center to schedule a diagnostic screening visit.

All Harris Breast Center mammograms use 3D tomography, a technology shown to reduce the number of callbacks, saving you time and anxiety.

Diagnostic Mammograms A diagnostic mammogram uses the same technology but requires more images and views of the breast. Usually, your physician will refer you for diagnostic screening if you have symptoms like lumps in the breast, nipple discharge or a change in the shape of your breast. But you may receive a diagnostic screening if something is found during a screening mammogram.

“If you have a diagnostic screening, you’ll know your results before you leave,” explains Kristy Olson, a mammography specialist at Harris Breast Center.

“We don’t want anyone to go home worried.”

At your annual screening exam, you’ll also be asked if you’ve noticed these symptoms. If you have, Harris Breast Center will contact your referring physician right away — while you are still there — to request an order for additional images. If needed, our radiologist can write the order for the diagnostic screening, so you can have it done the same day.

If your mammogram technologist notices an abnormality during your screening exam, she will inform the radiologist immediately.

The radiologist then can order a diagnostic mammogram.

After your diagnostic mammogram, you’ll receive a breast ultrasound.

The ultrasound can reveal some things not seen on a mammogram to help the radiologist decide if a biopsy is required.

If your radiologist finds something, they’ll personally review your results with you.

A biopsy is done to confirm the presence of cancer. Whenever possible, the biopsy is scheduled for the same day as your mammogram. The biopsy is minimally invasive and done while you’re awake, using mammography or ultrasound to pinpoint where the needle will sample tissue.

Immediately after your biopsy, the tissue sample is sent downstairs to Boone Hospital’s pathology lab for examination and testing. Usually you can expect to get your biopsy results in 24 hours.

The pathology lab pages the radiologist with your biopsy results. Your radiologist will call you and your referring physician to discuss your biopsy results and, if needed, any next steps. If surgery is required, your radiologist and Harris Breast Center staff will schedule your first appointment with a surgeon, so there are no delays in your treatment.

Stewart Cancer Center’s nurse navigator is available at any point of this process to provide support and answer your questions when you need it. She may talk to you before you undergo a biopsy to discuss the procedure.

She’ll also call you after your biopsy results and, if you need treatment for breast cancer, work with you to make sure you’re taken care of.

Are You Game?

By Clay Littrell Clay Littrell is beginning his Freshman year at Central Methodist University in Fayette.

While at Glasgow High School, Clay participated in four years of basketball and track, two years of golf and one year of cross country and baseball.

As the fall season approaches and school gets back in the groove, high school athletics consumes a major amount of time for many families. To put it in perspective, more than 60 percent of high school students in Missouri are involved in high school athletics. It’s a great way to get engaged and be active, but also can result in injury. There are many ways to keep your children safe while they are involved in sports. Safety is a matter of understanding possible risks and taking the recommended safety precautions.

Hydration While competing in athletics, it is extremely important to stay hydrated. The best way to sustain hydration is to drink appropriate amounts of water before, during and after competition. Water is the main source of hydration, regulates body temperature and lubricates joints. Lack of water consumption during high activity, such as sporting events, results in dehydration.

Symptoms of dehydration include muscle cramps, rapid heart rate, vomiting, dizziness and lack of sweating. It is vital that athletes drink plenty of water, and parents should monitor their children to assess vulnerability to dehydration.

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sleep While getting the proper amount of sleep is one of the most important factors in staying healthy in high school athletics, it’s usually the most difficult to accomplish. High school athletes juggle practices, games, school and homework, all while trying to get the recommended 8 to 10 hours of sleep per day. Insufficient sleep results in poor athletic and academic performance, stress and a higher risk of injury. Maintaining a consistent schedule is one strategy to assist athletes in achieving optimal levels of sleep. Keeping a consistent schedule allows their bodies to maintain a healthy routine that facilitates a much healthier lifestyle.

I always thank the kids for participating in high school sports, because I know it is hard work when a PlayStation and Xbox are waiting at home. High school sports prepares students to be physically healthy through diet and exercise, mentally healthy through successful work relationships, and socially healthy by learning to build strong bonds.” — Mick Cropp, Glasgow High School Boys Basketball Head Coach

One change we’re seeing in youth sports is the increased intensity and focus on a single sport starting at an early age, long before high school. Often athletes as young as 8 or 9 train year-round in one specialized sport.

Without cross-training or any significant breaks from training, overuse injuries are becoming more prominent. Physical therapists can play a critical role in teaching parents how to prevent overuse injuries and protect their kids from burnout in sports before they reach high school and make it more likely they will have the benefit of the high school sports experience.” — Tracy Evers, PT, MBA Director of Therapy Services/WELLAWARE Boone Hospital Center

teamwork responsibility

with risk comes reward stretching A proper warm-up before competition is necessary for an athlete to remain injury-free.

Failure to warm up and stretch can result in tight, cold muscles, which makes athletes more vulnerable to straining or tearing. At minimum, five minutes of stretching and light jogging is recommended before and after any athletic event. This activity warms the muscles by increasing blood flow and reducing muscle tension, helping prevent muscle strain or tear.

Stretching before and after athletic events is also critical in preventing muscle soreness.

nutrition and diet A proper diet is vital for staying healthy throughout high school athletics. Food provides athletes with the required nutrients and fuels their young bodies so they can function properly. Eating three meals a day is essential when trying to achieve the optimal diet.

Frequently skipping meals affects the hormones produced by the body, preventing muscles from developing properly and resulting in a greater risk of injury. It’s important that parents understand that carbohydrates are a major source of energy that athletes need when involved in sports.

Proteins and vitamins also are key nutrients in sustaining a healthy diet.

eating three meals a day is essential to achieving the optimal diet.

Participation in high school athletics is more than an opportunity to play the game that you love. People tend to overlook the advantages of being part of a team. It presents athletes with an opportunity to learn everyday values that they will use well beyond their high school careers.

Athletics develops leadership, teamwork and responsibility — three qualities that every high school student should possess.

Athletics also provides children an opportunity to enhance social skills through interaction with teammates and coaches. If your child already is involved in sports or thinking about joining a sport, continue to encourage further involvement. Participation in athletics not only promotes good health, but also forms healthy habits that may last a lifetime.

BOONE HOSPITAL CENTER Fall 2015

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Learn more at boone.org/food

The Skinny On Dieting WELLAWARE Registered Dietitians Weigh In On Popular Fad Diets

F

ad diets surround us on social media, on magazine covers in the checkout aisle, on radio ads, on TV talk shows, and in books written by celebrities. They can be hard to ignore if you want to achieve a healthy weight. To figure out which popular weight loss diets are sensible and which are less so, we asked Boone Hospital WELLAWARE registered dietitians Jennifer Anderson (listed as JA), Kelsie Knerr (KK) and Jennifer Tveitnes (JT) for their views.

paleo A high-protein diet based on foods supposedly eaten in the Paleolithic era. No grains, dairy or legumes (beans, peas, lentils).

JA: Paleo is a popular diet. The pro is you eat more vegetables, fruits and whole foods.

JT: Avoiding processed foods and junk food is always a good thing.

JA: The downside is it’s challenging for people to eliminate any food group.

JT: Usually we advise that if a diet plan cuts out an entire food group, it’s probably not sustainable.

Raw Food Vegetarian diet that eliminates cooked foods KK: You’re eating a lot of vegetables, which is good…

JT: And you’re not eating junk food. But cooking can bring out certain nutrients in food and make them more available to you. It depends on the cooking method. But at the end of the day, eating a healthy balanced diet is what matters.

JA: And it doesn’t have to be so hard!

DASH (Dietary Approaches to Stop Hypertension) High-fiber, low-fat, low-sodium diet designed to lower blood pressure.

Gluten-Free Avoids gluten, a protein found in wheat, barley and rye.

Required for people with celiac disease.

JA: Going gluten-free doesn’t mean you’ll lose weight.

JT: Many gluten-free products in the store, like gluten-free muffins or desserts, are actually higher in calories because they’ve added fat to make them taste better.

KK: Americans tend to eat too much bread and pasta, so there can be benefits to decreasing our intake. Going gluten-free could be one way to eat fewer carbs, but it’s not the only way.

Fad Diet Red Flags: Beware if a diet ...

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u Eliminates entire food groups

Fall 2015 BOONE HOSPITAL CENTER

KK: We love that one and talk about it a lot in our diabetes education classes.

JA: It’s a healthy, balanced diet. It promotes more fruits and vegetables, whole grains, dairy, nuts and seeds.

JT: The DASH diet is based on the knowledge that sodium can increase your blood pressure, but also that some minerals like potassium can help lower your blood pressure. DASH reduces sodium and adds those minerals as part of a balanced diet.

u Claims to be a “miracle cure” or “secret to weight loss”

Blood Type MyPlate Nutrition plan that uses visuals to show recommended portion sizes of all food groups.

KK: That’s what we teach!

JA: MyPlate is easy. It’s visual.

It doesn’t eliminate anything.

And it helps you see what you’re eating and what you need — a little protein, some carbs, lots of vegetables!

Extreme calorie restriction

Ketogenic

Diets based on eating below a set amount of calories (e.g., a 500-calorie-a-day diet)

High-fat, low-carb diet designed to induce ketosis. Eliminates grains.

JA: Healthy weight loss is one to two pounds a week, so anything that says “Lose 10 pounds in 10 days” is unrealistic and not sustainable.

JT: You will lose weight on those diets. But there’s a point if you don’t eat enough you go to starvation type mode. Your body isn’t getting all the calories you need, so you start to store everything.

JA: A problem with crash diets is that, when people restrict calories then eat normal again, they’ve reset their internal thermostat. It’ll make it harder when that person tries to lose weight next time.

JA: First, this is another diet that eliminates a food group. The other problem is we don’t completely understand what ketosis does or how safe is it for the average person to be in ketosis for an extended period of time? The mild ketosis that this diets leads to is different than diabetic ketoacidosis, but I’d advise that if someone with diabetes follows this diet, they’d want to monitor for ketones more routinely.

Mediterranean Based on Mediterranean cuisines. Mostly vegetables; fruits, whole grains, legumes, nuts, olive oil; fish and lean meats; limited amounts of dairy.

JA: It’s not totally eliminating any one food group. It promotes variety.

JT: It’s high in heart-healthy fats, like olive oil.

If someone were going to buy a diet book, this would be a good one.

KK: It encourages eating fish, too – people sometimes forget how great it is to get more fish in your diet.

u Promises unrealistic weight loss (>2 pounds a week)

Based on the idea that people with different blood types have different nutritional needs JA: People do have different diets that work better for them. I don’t think one diet fits all. We may learn more how one diet works better for some than others. But I don’t think it’s based off your blood type.

Why Are Fad Diets Popular?

KK: People like structure and rules. Some clients want us to give them meal plans, but that’s hard because we don’t know what foods they like or what their day looks like. Instead we try to teach them to make these decisions on their own with less rigidity and more flexibility.

JT: People want a quick fix with quick results. They want something that’ll get the weight off so they can go back to the wv finding a balance. If you cut something out forever, then you obsess about it, then you might break, binge and start the cycle over again.

The Takeaway According to our registered dietitians, eating a healthy, balanced diet doesn’t need to be complicated. While eating Paleo might not harm you, you can achieve a healthy weight without giving up cheese. Very restrictive diets, however, can be difficult to follow. They can deprive you of nutrients, and you likely will regain weight when you stop.

Before starting a diet, you should consult a health care professional.

To make an appointment with a WELLAWARE registered dietitian, call 573-815-3870.

By Jessica Park

u Isn’t something you can see yourself doing for years BOONE HOSPITAL CENTER Fall 2015

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Slashing Sodium

E

ver wonder why you can’t stop thinking about a specific food, like a juicy cheeseburger or fries? Your body craves what you eat, so the more you eat certain foods, the more you potentially crave them. Often we crave foods that are laden with fat, sugar and sodium.

You may think of table salt when you think of sodium, but what is it, really? Sodium is an essential nutrient. Your body doesn’t need a lot of sodium, but it serves many functions, one of which is to maintain blood pressure.

Most adults should strive to eat less than 2,300 mg or 1,500 mg of sodium per day, depending on age and other individual characteristics. While nearly everyone benefits from reducing their sodium intake, African Americans; individuals with hypertension, diabetes or chronic kidney disease; and individuals age 51 and older tend to be more responsive to the blood pressure-raising effects of sodium. Therefore, they should reduce their intake to 1,500 mg per day.

Sounds easy, right? But the average American consumes about 3,400 mg of sodium every day.

Then what’s the problem?

Because sodium naturally bonds to water, eating excess sodium pulls more water into your bloodstream. When your body holds on to more water, your heart may have to work harder to pump blood throughout your, body which may increase your blood pressure; this is especially noticeable in people who are more sensitive to sodium.

Why do we consume so much excess sodium? It’s not all your fault; more than 75 percent of the sodium in the average American diet is hidden in processed, packaged, and

prepared foods from restaurants. Manufacturers use sodium for flavor, preservation, texture and color. This explains why deli meats, canned soups, salad dressings, pasta, bread and cereals tend to be packed with sodium. Remember, when you put other people in charge of the way your food is made, they aren’t always going to make your health their top priority.

With one in three Americans having high blood pressure, this is a serious concern, but fortunately it’s something you can monitor and reduce.

A good place to start is reading food labels and tracking your daily sodium intake. See if cutting back on high sodium items lessens your cravings for those foods.

Along with saying “No!” to higher-sodium options, say “Yes!” to more fruits and veggies (naturally sodium-free) and cooking more at home, where you can have more control over the ingredients you use.

If you have more questions about sodium or setting up a diet that’s right for you, you can make an appointment with one of our WELLAWARE registered dietitians by calling 573-815-3870. By Erin Wegner, BS and Kelsie Knerr, RD LD

Sodium Suspects Foods made in brine (pickles, olives, sauerkraut) Salty and smoked meats (bologna, corned beef, bacon, ham, sausage, lunch meats) Salty and smoked fish (anchovies, caviar, dried fish, smoked salmon, sardines, herring) Snack foods (potato chips, pretzels, popcorn, salted nuts, crackers) Condiments (seasoned salts, Worcestershire, soy, barbeque, ketchup, mustard, Teriyaki) Cheese Salad Dressing

Cigna Insurance Holders: Nutrition counseling is covered 100 percent at BJC and Network facilities, up to $1,000 maximum/per plan year/per participant.

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Fall 2015 BOONE HOSPITAL CENTER

Soups

Use more herbs and spices. Use garlic powder instead of garlic salt.

Watch out for the words “soda” and “sodium” in the ingredients list.

Choose foods with potassium such as fruits, veggies, legumes or dairy products that can have a counter effect on sodium, and may help lower your blood pressure.

When choosing soup or broth, try “no salt added” or “reduced sodium” varieties.

Make sandwiches with lower-sodium meats and low-fat, low-sodium cheeses.

Try pizzas with less cheese and processed meat -- and pile on the veggies!

Use fresh, skinless poultry that isn’t enhanced with a saltwater solution.

Greek Salad Dressing

By Kelsie Knerr, R.D. L.D. In the summer, my first choice to bring to a dinner party is a Greek salad with this killer homemade dressing. It is surprisingly quick to throw together in a blender and makes eating veggies an easy thing to accomplish. Plus, your dinner guests will be impressed that you didn’t just bring a store-bought bottle of ranch dressing!

2 cloves garlic, peeled (or 1 teaspoon garlic powder) 1/2 cup red wine vinegar 2 teaspoons dried oregano 1/4 cup plain dry bread crumbs (1 piece of toast in food processor works) 2 ounces feta cheese 1 teaspoon salt 1/2 teaspoon ground black pepper 2/3 cup canola oil 1/3 cup olive oil

Recipe: Kandice Johnson

Smart Swaps

In a blender or food processor, combine vinegar, garlic, oregano, bread crumbs, feta, salt and pepper; blend until smooth.

With the motor running, slowly pour in the oils, until dressing is light and airy.

Cover and refrigerate for at least 24 hours before serving. It keeps fresh in the fridge for about a week.

The feta and bread crumbs give this dressing a nice thickness, and refrigerating it overnight really helps the flavors meld together. If you prefer your dressing thinner, use less oil and for a lighter taste try more canola and less olive oil or try a “light” olive oil.

After blending it up, I use a salad dressing shaker for storage overnight and I let it set out at room temp for about 30 minutes before dinner starts. I typically chop up a bunch of tomatoes, cucumber and red onion and serve it all over Romaine lettuce with feta sprinkled on top. Feel free to add olives, skip the lettuce, or turn it into a topping for sandwiches and wraps; there are quite a few ways to work it in to your life. Enjoy!

Visit Kelsie’s Kitchen: Kelsie Knerr shares her insights on nutrition and favorite recipes on her new blog. boone.org/food

BOONE HOSPITAL CENTER Fall 2015

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Jeff Troyer and his grandson, Tyler, fish at Rothwell Park Lake.

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Fall 2015 BOONE HOSPITAL CENTER

Learn more at boone.org/GI

Reel Compassion Man’s Fishing Trip Delayed By Sudden Life-Threatening Emergency

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ou couldn’t have asked for a better summer day.

It was July 12, and the high was forecast to be in the 80s. There wasn’t a cloud in the sky. Days like this are a gift in the midst of the sweltering Missouri summer, and Jeff Troyer of Jacksonville knew exactly how he wanted to spend it — fishing with his grandson Tyler at Rothwell Park in Moberly.

“It was something I had always wanted to do,” Jeff says.

“To have something for me and him to do together.”

But as Jeff, 63, was getting ready for the fishing trip that morning, he started feeling nauseous. Before long, he was in the bathroom, where he began hemorrhaging blood.

His wife, Vickie, called 911 as Jeff continued to lose blood, going in and out of consciousness.

Jeff had no idea what was happening to him. However, the severity of his situation became clear when the ambulance crew arrived, telling him he needed to be transported to the hospital by helicopter.

“I told them, ‘Just take me straight to Boone,’” Jeff says.

Soon, Jeff was airborne, watching the scenery below as he was flown to Boone Hospital Center.

Upon landing at Boone Hospital, Jeff was transported from the hospital’s rooftop helipad directly to the emergency department. He continued to lose blood.

Doctors soon discovered Jeff had an ulcer near the bottom of his stomach, in close proximity to an artery. It was a lifethreatening situation.

In Boone Hospital’s GI Lab, gastroenterology specialists Donald Gerhardt, MD, and Matthew Struttmann, MD, repaired Jeff ’s ulcer.

Jeff ended up spending four days in Boone Hospital’s Intensive Care Unit. He says he was amazed by the compassion shown by the hospital’s caregivers. While everyone was working to heal his body, he says they also cared for him personally, too.

Hospitalist Martha Herring, MD, who cared for Jeff during his time at Boone Hospital, says displaying compassion is an important part of the service provided by Boone Hospital.

“More often than not, we are meeting patients on one of the worst days of their lives,” she says. “We must treat the physical emergency, but we also must address their fears. Along with answers to their questions, we must provide compassion and reassurance as well.”

Looking back on the experience, Jeff is reluctant to single out specific hospital staff members above the rest because he was impressed by so many of the people who cared for him.

However, he recalls days when his nurse would simply spend time by his side to help support him during a difficult time.

“A couple of days I was having really bad days, and she came in and said, ‘Jeff, do you just want to talk?’” Jeff says. “That helped just get me through things.”

Jeff was also impressed by his physicians, intensivist Ricardo Hernandez, MD, and Dr. Herring.

“They were exceptionally good doctors,” Jeff says.

Jeff Troyer recalls Once Jeff was well enough days when his to move out of the Intensive nurse would simply Care Unit, more of his extended family members could come to spend time by Boone Hospital to visit and wish his side to help him well. Jeff says the Boone support him during Hospital staff showed his family a difficult time. the same compassion they showed to him.

“They made my family feel very comfortable and kept everybody in the loop,” he says.

Nearly a week after his surprise helicopter ride to Boone Hospital — “I hope it’s my last time,” Jeff says — he was discharged from the hospital and traveled back home to Jacksonville.

Jeff and his doctors continued to monitor his condition through the summer, making sure his body was replenishing all the blood he lost during his medical emergency.

As he continues to recover, Jeff says he has a much better outlook on life. He cherishes the time he spends with his family, including his three grandchildren. He is thankful for the support shown to him by his friends and neighbors and he also thanks the staff and physicians who helped during his recovery at Boone Hospital.

As for the fishing trip, Jeff and Tyler finally had their special day together on August 24 at Rothwell Park Lake. While the fish weren’t biting, it didn’t dampen Jeff ’s enthusiasm to share this hobby with one of his grandchildren.

“It was something great to look forward to after going through what I did,” he says. By Jacob Luecke BOONE HOSPITAL CENTER Fall 2015

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Visit us online at myboonehealth.com

Double The Love Parents Of Twin Boone Babies Treated With Kindness And Compassion During Their Babies’ ThreeWeek Stay In The NICU

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hen Brandy and Michael Wheat found out they were having twins, they were ecstatic. Brandy has twins on both her mother’s and father’s sides of the family, so they knew there was a strong possibility they would welcome two bundles of joy instead of one.

“We had a feeling that’s how it was going to go, but it was still pretty exciting when the doctor told us,” Brandy says.

The young couple also knew there likely would be some challenges. Brandy had a scare at 27 weeks where she suffered from a shortened cervix and was advised to go on bed rest.

“It was pretty frightening, but I knew I would do everything I needed to do to keep my babies healthy,” Brandy says.

Brandy also suffered from high blood pressure during that time. At 33 weeks, it was decided that it was best to have a Cesarean section delivery.

The babies were delivered at Boone Family Birthplace. The twins, Waylon and Willow Mae, then spent three weeks in the Level III Neonatal Intensive Care Unit (NICU) to be treated for breathing difficulties.

“The NICU has highly skilled nurses and respiratory therapists who manage state-of-the-art technology, including oscillator ventilators and nitric oxide treatment, to assist infants with breathing,” says Laura Noren, service line director of Women’s and Children’s Health at Boone Hospital.

Brandy says she was amazed at how supporting and kind the Boone staff was during those three weeks.

“Every nurse made sure we knew what was going on at every moment. It really

Above: Michael and Brandy Wheat with twins Waylon and Willow Mae Left: The twins, at four months old, visit the nurses in the NICU.

is more than a job for those nurses. We spent so much time at the hospital, the staff became like family,” Brandy says.

One night, Brandy and Michael stayed in one of Boone Family Birthplace’s sleep rooms, a room reserved for parents who need to be near their baby after the mother has been discharged.

“We were so grateful to have a place to rest that was so close to our babies. It was wonderful to be able to wake up and go right to them,” Brandy says.

“The sleep room is just one of the ways we strive to meet the unique needs of our families. Each room has a comfortable queen-size bed, TV, mini-refrigerator,

microwave and private bathroom to allow the parents a place to rest, but still be near the NICU,” says Noren.

Brandy says the nurses worked hard to make sure Brandy and Michael felt prepared when it was finally time to take the babies home. “The nurses were so kind and really wanted us to feel confident about taking them home when the babies were discharged.”

Brandy recovered from her C-section well, and both Waylon and Willow Mae are now in good health. Brandy currently is a stay-at-home-mom and Michael works for the Missouri Gaming Commission.

By Madison Burke BOONE HOSPITAL CENTER Fall 2015

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When Care Can’t Wait Even when we take good preventive care of ourselves, unexpected injuries and illnesses will happen. Fortunately, Boone Hospital Center and Boone Medical Group are here for you and your family, with many options for same-day medical care, including primary care providers, convenient care and our hospital’s emergency department. By Jessica Park

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Fall 2015 BOONE HOSPITAL CENTER

Convenient Care Emergency Department Boone Hospital Center’s Emergency Department physicians, nurses and staff are available all day, every day, with 16 patient rooms.

Our emergency department has immediate access to our medical staff, advanced screening technologies and surgical services.

Medical emergencies — don’t take chances!

Go to an Emergency Department if you experience: • Symptoms of a stroke: loss of balance or coordination, sudden loss of vision or double vision, facial droop on one side, sudden numbness or weakness on one side of the body, speech difficulties • Chest pain • Difficulty breathing • Severe abdominal pain • Loss of consciousness • Pregnancy complications • Fever in infants less than 3 months old • Severe injuries • Compound fractures • Suspected poisoning or overdose • Knife or gunshot wounds • Suicidal thoughts Call 911. EMTs communicate with our emergency department and are trained to help you or a loved one in emergency medical situations before you get to the hospital.

Clinics like Boone Convenient Care treat patients on a walkin basis for intermittent acute problems such as: • Cough, colds, strep throat and flu • Ear infections • Sinus and allergy problems • Pink eye • Minor cuts and injuries • Sports injuries, sprains and fractures • Urinary tract infections • Skin infections and rashes “Boone Convenient Care bridges the gap when treatment for injury and illness can’t wait for an appointment with a primary care provider,” says Sara Revelle, a family nurse practitioner (FNP) with Boone Convenient Care.

Boone Convenient Care also provides school, sports or camp physicals, Department of Transportation (DOT) physical exams, and vaccinations.

Recommended: Bring a list of current medications (prescription and over the counter) and allergies.

Boone Convenient Care in Columbia is open weekdays from 8 a.m. to 7 p.m. and on Saturday and Sunday from 9 a.m. to 5 p.m.

Their office is located at Parkade Center at 601 Business Loop 70 West, Suite 275, in Columbia.

Convenient care co-pays typically cost less than a visit to an emergency department or urgent care.

Coming soon: Boone Hospital Nifong Medical Plaza, scheduled to open in early 2016, will include a convenient care clinic.

To learn more, visit boone.org/ Convenient-Care.

Your Primary Care Provider If it’s not a medical emergency, contact your primary care provider (PCP). You may be able to be seen that day.

“A patient’s primary care provider is always there for them. Patients should always call their PCP first for anything they need,” says Marie Pourooshasb, FNP-BC with Boone Medical Group North.

A PCP provides care for chronic conditions or health problems.

Your primary care provider has a relationship with you and your family and knows your medical history.

Your PCP can order lab tests and screenings or refer you to a specialist for additional care.

Walk-In Primary Care Clinic:

Patients with Boone Medical Group North can have same-day visits with their PCP without scheduling an appointment.

Pourooshasb says, “BMG North is a walk-in clinic. We’re unique; our patients can see their primary care provider on an ongoing and an urgent care basis.”

Remember: Follow up with your PCP after being treated in an emergency department or convenient care clinic.

Need a Primary Care Provider?

You can find and set up an appointment by calling our Physician Referral line at 573815-6400 or visiting boone.org/ Find-A-Physician

BOONE HOSPITAL CENTER Fall 2015

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getting to know a BHC Doctor

› trey james, MD [ hospitalist program medical doctor ] I grew up on a farm outside of Macon, Missouri. I graduated from the University of Missouri-Columbia School of Medicine in 2006, and completed residency in Internal Medicine at Wake Forest University in 2009. I have since practiced hospital medicine, caring for patients who require hospitalization. My wife, Melissa, and I have been married for nine years, and we have two dogs, Baron and Nyla.

Why did you get into the health care field? While working at Boone Hospital

during my undergraduate studies in biology at Mizzou, I was impressed with the relationships physicians had with their patients. The responsibility of caring for someone in a very vulnerable state seemed like an amazing challenge and honor. From that point, I knew medicine was something I’d feel privileged to do the rest of my life.

can be difficult. Luckily, I grew up in this community and share a lot of the same values as my patients, so it’s usually not an issue.

What do you see changing in health care in the next five to 10 years? People no longer have one

of caring for patients with serious, lifethreatening illness. When someone requires hospitalization, you can’t get much more ill than that. Most people aren’t familiar with hospital medicine or the title hospitalist.

A hospitalist is a physician who practices solely within an inpatient setting. They don’t have a clinic or office hours to see patients outside the hospital. Hospitalists are more common in metropolitan areas, but are becoming the norm throughout the U.S.

physician who takes care of them in all settings. The era of having one doctor who takes care of you in the clinic and in the hospital is going away. Within the next 10 years, most primary care physicians will care for patients in an outpatient setting and refer their patients who require hospitalization to a hospitalist. Medicine is becoming too complex to be an expert in both inpatient and outpatient settings. It leaves too little time for family life when a physician tries to do both, and it’s too taxing on the body and the mind. Physicians aren’t superheroes, even though we try to act like it sometimes.

What is the most rewarding aspect of your job? Being able to help someone with

What advice would you give someone looking to become a doctor? Make

What interested you in your particular specialty? I’ve always enjoyed the challenge

a life-altering illness return to their previous lifestyle. That’s why I do what I do; so I can keep the citizens of mid-Missouri healthy and productive.

What is the most challenging aspect of your job? When you only care for patients

who are hospitalized, you often have never met the patient prior to them presenting to the hospital. Developing a rapport with the patient and their family in a very short period of time — a very stressful time — 26

Fall 2015 BOONE HOSPITAL CENTER

sure you’re doing it for the right reasons and always have a backup plan. No one should go into medicine unless they truly enjoy interacting with people. I’ve known physicians who’ve made that mistake, but after spending so much on their education, have no way to correct the error. Students thinking of pursuing medicine should work with a physician prior to starting the medical school process. They need to know what they’re getting into and, if it’s not for them, do something else. There are a

lot of important jobs; if I hadn’t become a physician, I’d be a high school biology teacher!

What do you enjoy doing outside of work? I enjoy spending time with my wife

and our extended family. We like spending time in the kitchen and on our back deck cooking and grilling. We try to travel as much as possible and attend as many Mizzou athletic events as we can. I also bike on Columbia’s trails.

What advice would you give to someone who is going to be a patient in a hospital for a period of time?

Realize the hospital is neither your home nor a hotel. We try to keep people as comfortable as possible, but the reality is people come to the hospital because they are sick. No matter how hard we all try, you won’t always be comfortable. But we’ll always do our very best to return you to your home and family in better state than when you sought our care.

getting to know a BHC nurse

Why did you get into the health care field? Growing up,

I would go to the OR with my dad, who’s a CRNA, to watch surgeries. (This was back when observing surgeries was easy to arrange!) I loved being behind the scenes, seeing the processes and all the intricate details of the body. I was hooked and knew I wanted to be part of it.

What interested you in your particular specialty? When I was close to graduating from nursing school, I applied at Boone Hospital Center and was offered a position on the medical specialties unit, which I gladly accepted. I knew starting my nursing career there would be a great experience and a gateway to different fields of nursing.

I took full advantage of my first year. I volunteered for the difficult patients, and had opportunities for leadership roles as a preceptor and charge nurse. I decided I wanted to advance my learning and scope of practice, and I applied for a position in the ICU. I enjoy critical care and being able to support the patient and family at some of the worst times in their life. In my short time in the ICU, I have learned so much and seen many interesting patients and situations.

What is the most rewarding aspect of your job? It’s most

rewarding to see patients who come in very ill improve over time and walk out. Sadly, that’s not always the case, There are many difficult situations that we see here in the hospital, but being able to advocate and support someone, not just with their physical, but emotional, spiritual and psychological needs, is very rewarding.

› leah bernard, RN I’ve been a nurse for 1.5 years and have loved every minute of it. I started college out of high school with plans to go to nursing school, but life happened a couple semesters in, and I postponed my education. Four years ago, I went back, studying online at Columbia College, then entered their RN program. Finishing school was one of the hardest things I’ve ever done, but I am proud of my hard work and love what I do. Many of my family members work in the medical field, so this process let us share stories, experiences and knowledge. I’m a single mom to my amazing almost 16-year-old daughter, Audrey.

What is the most challenging aspect of your job? When a patient doesn’t make it or receives bad news. As a nurse, you have to be empathetic and understanding without taking that burden upon yourself. There are many nights I go home and fall asleep wondering how a patient is doing. Nursing is also a physically and mentally challenging job. We are on our feet for an entire 12-hour shift, prepared for anything. It’s long hours but very rewarding hours.

What do you see changing in the next five to 10 years?

I think we’ll see more nurse practitioners and nurses continuing their education to doctorate programs. I think the more nurses, the better. Patient are becoming more critical and sicker, living longer with the advanced medicine we currently have. Medicine and technology are always advancing.

What do you enjoy doing outside of work? Outside of work, I spend time with my family and friends. I especially like watching my daughter ride her horses and barrel race. I also like to sit down and enjoy a good fiction book, especially outdoors in the sun!

What advice would you give to someone looking to become a nurse? You must be a people person and an excellent

communicator. Anyone looking into going into nursing should have a passion for people and a drive to learn. It requires lifelong learning. Going to school will be one of the most difficult times in your life, but the outcome is worth it.

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Hope& Encouragement Patient With Heart Failure Is The First In Mid-Missouri To Receive A Device Shown To Reduce Hospitalizations

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s 84-year-old Joan Camp laid in her hospital bed waiting to become the first patient in mid-Missouri to receive a CardioMEMS device, it wasn’t fear or anxiety she was feeling; it was hope and encouragement.

Joan was diagnosed with congestive heart failure in 2011, and describes the following years as a “downward spiral” that included two open-heart surgeries, two valve replacements and constant hospital stays.

When she was diagnosed, Joan was living in Atlanta near her daughter Lisa while her son Mark lived in Columbia. However, last year, Lisa and Joan moved to Columbia to be closer to family.

The family did their research before Joan moved and decided that she would be cared for by Dan Pierce, MD, at Boone Hospital Center. Dr. Pierce adjusted Joan’s medications and recommended Joan get a pacemaker, both of which Joan says “helped a lot.”

Dr. Pierce, who is always studying the latest procedures and technologies in the industry, became interested in the new CardioMEMS device when it first came out in late 2014.

CardioMEMS is a small device that is implanted in the pulmonary artery using a catheter-based procedure. The device is a permanent implant with no battery or replaceable parts. It is the first and only FDA-approved heart failure monitoring device that has been proven to reduce hospitalizations in heart patients.

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Fall 2015 BOONE HOSPITAL CENTER

Joan Camp

The device monitors patients’ pulmonary artery pressure and then transmits the readings to their health care Dan Pierce, MD providers. The physician is able to tell when patients are having concerns before they actually have symptoms.

Dr. Pierce traveled to Los Angeles to get trained in working with CardioMEMS devices and then spent several months working to get Boone Hospital ready for the device. Early this summer, Boone Hospital was ready to offer CardioMEMS to its first patient, and Dr. Pierce felt Joan could really benefit from it.

“Joan has spent a lot of time in the hospital the past few years, so I feel the CardioMEMS will provide a way for her to stay safely at home while we monitor her progress. This device is also a way for us to know how to treat Joan before she ever starts feeling poorly and requires hospitalization,” Dr. Pierce says.

Joan underwent the implementation without complication and is now living comfortably at home. The CardioMEMS device transmits radio frequencies letting Dr. Pierce know how Joan is doing, and he keeps her updated.

“Less hospital stays and a longer life are both things I’m looking forward to because of this procedure. I’m so grateful Boone Hospital offered this right here in Columbia,” Joan says. By Madison Burke

CardioMEMS sensor

CardioMEMS has been shown to: • Significantly reduce heart failure related hospitalizations; 28 percent reduction at six months, 37 percent reduction at 15 months • Significantly improve quality of life • Persistently lower mean pulmonary artery pressures over the treatment period • Assist doctors in choosing the right medication for patients

CardioMEMS pillow with transmitter

1. Heart Failure Fact sheet. http://www.cdc.gov/dhdsp/data_statistics/fact_sheets/fs_heart_failure.htm Accessed December 23, 2013.

2. Desai AS, Home monitoring heart failure care does not improve patient outcomes: Looking beyond telephonebased disease management. Circulation. 2012;125(6):828-36.

3. Hall MJ, Levant S, DeFrances CJ. Hospitalization for congestive heart failure: United States, 2000–2010. NCHS Data Brief. No 108; October, 2012.

Images and infographic provided courtesy of St. Jude Medical, Inc. BOONE HOSPITAL CENTER Summer 2015

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Learn more at boone.org/foundation

Board of Directors Left to right, top to bottom: Dr. Lenard Politte, Jim Flink Dr. Robert Doroghazi, Missy Bonderer, Kat Cunningham, Fay Stine, Charlie Digges, Jr., Stacy Peters, Jim Schatz Kim Getzoff, Monica Smith, Dr. Joe Muscato and Barbara Weaver Not Pictured: Sara Emily LeMone, Jan Beckett and Bob Wagner

2015-2016

Calendar of events October

19, 20

Jewelry Sale

November

14

Annual Gala

November

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Boone Hospital Center Turkey Trax 5K (Register with code “Boone” for 10% off and a 10% donation to the Boone Hospital Foundation.)

January

20, 21

Art/Linen Sale

March

21, 22

Book Sale

May

9

Annual Golf Tournament

To learn more about the Boone Hospital Foundation, visit www.boone.org/foundation or call 573-815-2800.

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Fall 2015 BOONE HOSPITAL CENTER

Boone Hospital Center 1600 East Broadway Columbia, Mo 65201 573-815-8000

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