Winter 2018 Perspective

PERSPECTIVE An Addiction Expert Explains the Opioid Crisis

New Resource Helps Manage

Diabetes

Wound Clinic Saves Limbs and Lives

Tiny Device Makes Big Impact for Heart Patients

PALOS HEALTH WELCOMES NEW PHYSICIANS Noorain Akhtar, MD

Muhamad Amine, MD

Robert Fliegelman, DO

Specializing in family medicine, completed her residency at Swedish Covenant Hospital in Chicago.

She received her medical degree from Saint James School of Medicine/St. Vincent of the Grenadines in Kingstown, Grenadines.

Dr. Akhtar is affiliated with Palos Medical Group, 15300 West Avenue in Orland Park.

Board certified and specializing in otolaryngology and facial plastic surgery, completed his residency at Loyola University Medical Center and fellowship at Weill Cornell Medical College, New York. He received his medical degree from Saint Louis University School of Medicine, St. Louis. Dr. Amine is affiliated with Century Ear, Nose and Throat-Head and Neck Surgery, 16001 South 108th Avenue in Orland Park.

Board certified and specializing in infectious disease, completed his residency at Chicago Osteopathic Hospital & Medical Center and fellowship at RushPresbyterian-St. Luke’s Medical Center, Chicago. He received his medical degree from the Philadelphia College of Osteopathic Medicine. Dr. Fliegelman is affiliated with Metro Infectious Disease Consultants, LLC, 13755 South Cicero Avenue in Crestwood.

David Beezhold, DO

Sameul Hanif, MD

Board certified and specializing in infectious disease, completed his residency and fellowship at Rush-PresbyterianSt. Luke’s Medical Center, Chicago. He received his medical degree from the Chicago College of Osteopathic Medicine. Dr. Beezhold is affiliated with Metro Infectious Disease Consultants, LLC, 13755 South Cicero Avenue in Crestwood.

Specializing in interventional radiology, completed his residency at Drexel University/Hahnemann Hospital, Philadelphia, and fellowship at Rush University Medical Center. He received his medical degree from George Washington University, Washington, D.C. Dr. Hanif is affiliated with Radiology & Nuclear Consultants, SC, 12251 South 80th Avenue in Palos Heights.

Ankur Dave, DO

Rajesh Iyengar, MD

Board certified and specializing in infectious disease, completed his residency at University of Illinois at Advocate Christ Hospital, Oak Lawn, IL, and fellowship at Loyola University Medical Center, Maywood, IL. He received his medical degree from West Virginia School of Medicine, Lewisburg, WV. Dr. Dave is affiliated with Southwest Infectious Disease & Internal Medicine, SC, 7804 West College Drive, Suite 1NW in Palos Heights.

Board certified and specializing in family medicine, completed his residency at Jackson Park Hospital, Chicago. He received his medical degree from D.Y. Patil Education Society Medical College/Shivaji University, Kolhapur, Maharshtra, India. Dr. Iyengar is affiliated with Zmedi Healthcare, 6700 West 167th Street, Suite 5 in Tinley Park.

Fadi Aldaas, MD Board certified and specializing in pulmonary and critical care, completed his residency at Berkshire Medical Center, Pittsfield, MA, and fellowships at Bridgeport Hospital/Yale New Haven Health Systems and Montefiore Medical Center/Albert Einstein College of Medicine in New York. He received his medical degree from Damascus University, Syria. Dr. Aldaas is affiliated with Pulmonary Consultants, SC, 12820 South Ridgeland Avenue in Palos Heights.

Saadi Alhalbouni, MD Board certified and specializing in vascular surgery, completed his residency at Maimonides Medical Center in New York and fellowship at West Virginia University at Charleston, Charleston, WV. He received his medical degree from Jordan University of Science and Technology, Irbid, Jordan. Dr. Alhalbouni is affiliated with Vascular Specialists LLC, 16527 South 106th Court in Orland Park.

WINTER 2018

2

PALOS HEALTH PERSPECTIVE

Mohanad Joudeh, MD

Dave J. Pandya, MD

Abhimanyu Saini, MD

Board certified and specializing in internal medicine, completed his residency at University of Illinois at Chicago. He received his medical degree from Louisiana State University School of Medicine, New Orleans, LA. Dr. Joudeh is affiliated with Loyola Center for Health at Orland Park, 16621 South 107th Court in Orland Park.

Board certified and specializing in cardiology, completed his residency at Stanford University, Stanford, CA, and fellowship at the University of Chicago Medical Center. He received his medical degree from David Geffen School of Medicine at UCLA, Los Angeles, CA. Dr. Pandya is affiliated with Cardiovascular Care Consultants, SC, 4950 West 95th Street in Oak Lawn.

Board certified and specializing in cardiology, completed his residency at John H. Stroger Jr. Hospital of Chicago and fellowships at John H. Stroger Jr. Hospital and Baystate Medical Center, Springfield, MA. He received his medical degree from the Government Medical College and Hospital, Chandigarh, India. Dr. Saini is affiliated with Consultants in Cardiology & Electrophysiology, LLC, 5151 West 95th Street in Oak Lawn.

Joseph Kent, MD Board certified and specializing in infectious disease, completed his residency at Washington University School of Medicine in St. Louis, and fellowship at University of California-San Francisco/ Mt. Zion Medical Center. He received his medical degree from Washington University School of Medicine in St. Louis. Dr. Kent is affiliated with Metro Infectious Disease Consultants, LLC, 13755 South Cicero Avenue in Crestwood.

Sampath Kumar, MD Board certified and specializing in infectious disease, completed his residency at Maharaja Krishna Chandra Gajapati Hospital, India, and fellowship at RushPresbyterian-St. Luke’s Medical Center, Chicago. He received his medical degree from MKCG Medical College – Berhampur University, India. Dr. Kumar is affiliated with Metro Infectious Disease Consultants, LLC, 13755 South Cicero Avenue in Crestwood.

Physicians with a blue background are new additions to Palos Medical Group.

Maria Rapciak, DO Specializing in general surgery, completed her residency at Franciscan Alliance/St. James Hospital in Olympia Fields. She received her medical degree from the Chicago College of Osteopathic/Midwestern University in Downers Grove, IL. Dr. Rapciak is affiliated with the office of Dr. Thomas Vasdekas, 12701 West 143rd Street, Suite 110 in Homer Glen.

Elena Tuskenis, MD Board certified and specializing in psychiatry, completed her residency at the University of Chicago Medical Center, Chicago. She received her medical degree from the University of Utah School of Medicine. Dr. Tuskenis is affiliated with Palos Medical Group, 12255 South 80th Avenue in Palos Heights.

Mylene Remo, MD

Sandra Valaitis, MD

Board certified and specializing in hematology and oncology, completed her residency at Georgetown University Hospital, Washington, D.C., and fellowship at the University of Illinois at Chicago. She received her medical degree from the University of Chicago, Pritzker School of Medicine.

Dr. Remo is affiliated with Alpha Med Physicians Group, LLC, 17333 South La Grange Road, Suite 200 in Tinley Park.

Board certified and specializing in urogynecology, completed her residency at the University of Chicago and fellowship at St. George’s Hospital and Medical Center, London. She received her medical degree from the University of Chicago, Pritzker School of Medicine.

Dr. Valaitis is affiliated with the University of Chicago, 14290 South La Grange Road in Orland Park.

(Physicians listing continues on next page)

The physicians listed or quoted, while having privileges, are not employees or agents of Palos Health unless they are specifically identified as such.

WINTER 2018

3

PALOS HEALTH PERSPECTIVE

Darren van Beek, MD Specializing in interventional radiology, completed his residency at the University of Chicago Medical Center and fellowship at Washington University School of Medicine/Mallinckrodt Institute of Radiology, St. Louis. He received his medical degree from Northwestern University Feinberg School of Medicine, Chicago. Dr. van Beek is affiliated with Radiology & Nuclear Consultants, SC, 12251 South 80th Avenue in Palos Heights.

Perspective is a publication of Palos Health 12251 South 80th Avenue Palos Heights, IL 60463 708.923.4000 paloshealth.com

Terrence Moisan, MD President and CEO Heather Mascarello Editor, Perspective Osborn & DeLong Graphic Design

Palos Health focuses on‌ I Creating a better everyday life for our community

Neil Ybanez, MD Board certified and specializing in nephrology, completed his residency at Michael Reese Hospital and Medical Center, Chicago, and fellowship at Fletcher Allen Health Care/University of Vermont, Burlington, VT. He received his medical degree from the University of the Philippines, Manila. Dr. Ybanez is affiliated with Southwest Nephrology Associates, SC, 16605 South 107th Court in Orland Park.

I Supporting healthy living while calming the anxiety of serious illness

I Providing compassionate health care

Discrimination Is Against the Law

FOLLOW US

Like us facebook.com/paloshealth

Follow us twitter.com/Palos_Health

Watch us youtube.com/user/PalosHospital

Subscribe to us paloshealth.org/news/newsletter-signup

WINTER 2018

4

PALOS HEALTH PERSPECTIVE

Diabetes & Metabolism Center Now Open Palos Health recently launched the Palos Diabetes & Metabolism Center (PDMC). Located at the Palos Health South Campus in Orland Park, the PDMC assists in the comprehensive management of all types of diabetes, including type 1 and 2 as well as gestational diabetes.

They also treat conditions that put individuals at greater risk for developing diabetes, such as polycystic ovary syndrome (PCOS), dyslipidemia, obesity and prediabetes.

Take a prediabetes Risk Assessment Test at paloshealth.com. 䡲 Cuts/bruises that are slow to heal

䡲 Weight loss despite eating sufficient food 䡲 Tingling, pain or numbness of hands/feet

The expert staff at the PDMC includes an advanced practice nurse, dietitians and certified diabetes educators, all of whom work closely with you and your primary care physician to develop a personalized treatment plan.

This can include diabetes education classes and expert diet and weight management guidance, as well as access to the latest technology for monitoring your condition, including insulin pumps and continuous glucose monitoring systems.

While there are several types of diabetes, all of them occur when the body becomes incapable of regulating glucose, also known as blood sugar. If glucose isn’t properly absorbed by your cells, a myriad of symptoms can arise, all of which may indicate diabetes:

If you are concerned that you might be at risk for diabetes, your doctor can perform a simple screening test to check your blood sugar levels.

Your doctor also will be able to let you know if you have prediabetes, a condition in which an individual’s blood sugar levels are higher than normal but not yet high enough to indicate diabetes.

While having diabetes or prediabetes can be overwhelming, there are many methods for improving your blood sugar levels and overall health. “When patients actively work with their healthcare providers to regulate their diabetes through diet, exercise and prescription therapies, blood sugar levels can be drastically improved and serious complications often avoided,” says PDMC director Cheryl Boss.

PDMC now offers classes to treat or prevent diabetes – see page 14.

䡲 Urinating often 䡲 Feeling very thirsty 䡲 Feeling very hungry, despite eating sufficient food

䡲 Extreme fatigue 䡲 Leg cramps from dehydration 䡲 Blurry vision

Save the Date!

Palos Diabetes Fair April 21 9 am – noon Hospital Auditorium

WINTER 2018

5

Nurse practitioner Cheryl Boss helps a patient with an insulin pen device.

Cheryl Boss, clinic director of the PDMC, began her career as a nurse practitioner working with patients on dialysis, many of whom had kidney damage as a result of undiagnosed or uncontrolled diabetes. “I saw the devastating effects of diabetes, and I wanted to change that,” says Boss.

For the past seven years, she has devoted her career to treating individuals with the condition. “My passion involves educating patients and providing proper treatment to help prevent the terrible complications that can occur with unmanaged diabetes.”

Get Started Today!

Learn more or make an appointment.

Palos Diabetes & Metabolism Center Palos Health South Campus 15300 West Avenue, Suite 122 Orland Park, IL 60462 708.226.2626 Paloshealth.com/medicalservices/diabetes

PALOS HEALTH PERSPECTIVE

World’s Smallest* Pacemaker

*As of December 2017

WINTER 2018

6

PALOS HEALTH PERSPECTIVE

“Doctors and patients cannot get over how small this device is.” patients to have the new technology implanted at Palos Hospital. Robert was diagnosed with atrial fibrillation (AFib), which caused his heart to beat irregularly and at other times very slowly. He was told that a pacemaker could help correct these problems and was referred to Dr. Ballany.

Heart patients in the south suburbs can now opt to regulate their slow or irregular heart rate with a device the size of a vitamin. The Medtronic Micra™ pacemaker—approved last year by the Food and Drug Administration (FDA)—is one-tenth the size of a traditional pacemaker and weighs no more than a penny.

When he first heard he was going to need a pacemaker, Robert was immediately reminded of his own father’s pacemaker surgery over 40 years ago.

“My father loved to hunt, and he asked the doctor to implant the pacemaker on the left side of his chest so he could still hold a rifle against his right side. I remember this big box with wires coming out of it. Like my father, I enjoy hunting, and I mentioned to Dr. Ballany that I would still like to do that.” Dr. Ballany believed Robert would be a good candidate for the Micra™ pacemaker, and assured him that it would be hardly noticeable once implanted, unlike the older model his father had.

Wassim Ballany, MD, electrophysiologist, was involved in the FDA trials of the device and currently performs procedures involving the Micra™ at the hospital.

“Doctors and patients cannot get over how small this device is,” commented Dr. Ballany.

“It has revolutionized pacemaker surgery for atrial fibrillation patients, making it much less invasive.

After surgery, they hardly notice it and can resume most activities relatively quickly.”

Not only has Robert been able to enjoy a couple hunting trips since the procedure, he has seen no interruption in his daily activities. “I really don’t notice it’s there,” Robert said of the new device.

“There’s no pain, no shock, no wires or batteries show. I feel like my old self, and I’m very happy with that.”

The minimally invasive procedure does not require an incision. Instead, the device makes its way to the heart through a catheter inserted into the femoral leg vein. It attaches directly to the right ventricle of the heart by means of small prongs which “bite” into the muscle. The prongs then deliver electrical impulses that help bring a slow heart rate into the normal range.

The long battery life of the Micra™ means patients may not have to undergo replacement surgery for up to 10 years. Should a new device be needed, old devices can be left alone without harm to the patient.

Patients with bradycardia (slow heartbeat) who are pacemaker candidates should consult with their cardiologist to see if the Micra™ may be an option.

Although the pacemaker’s size is impressive, the benefits to the patient are also noteworthy. Since there is no incision, there is much less risk of infection. Eliminating wire leads reduces the risk of complications, such as damage to the tricuspid valve, vein occlusions or lung damage. In addition, the device is cosmetically invisible, with no chest scar or noticeable bump under clothing. The Micra™ is safe to use with MRIs, and patients enjoy fewer post-implant activity restrictions.

Concerned about your heart health?

Register today for a free heart class at Palos, including “Don’t Skip a Beat!

New Developments in Atrial Fibrillation.”

See the back page for details.

Robert Brady of Chicago was one of the first WINTER 2018

7

PALOS HEALTH PERSPECTIVE

Couple’s Colonoscopy Leads to Cancer-Fighting Tr T eatment Mary Ann Spitzer has worked in a hospital—specifically Palos— for most of her adult life. Yet even she was surprised when her employer became her place for care after illness hit. Fortunately, early detection and cancer-fighting treatments helped Mary Ann get back to all her regular activities, including a job she loves.

In early 2015, Mary Ann opted to receive a physical and detailed lab workup as part of her annual health screening. Her blood work reflected some levels that were concerning to her doctor, P. Gregory Striegel, MD, who suggested she have a colonoscopy.

The next week, she and her husband, Ron, made a date to have their first colonoscopies together at Palos Hospital with gastroenterologist Vincent Muscarello, MD. While Ron received a good report, Mary Ann learned she had stage three colon cancer and would need immediate surgery to remove a large tumor.

After the surgery (by Sanath Kumar, MD) Mary Ann underwent six months of chemotherapy under oncologist Wasif Shirazi, MD. Although the diagnosis happened quickly for Mary Ann, she had been struggling with not feeling well for months. “I had felt very tired for a few months, but with the busyness of the holidays and family responsibilities I didn’t think much of it,” she said. “I knew my employee physical was coming up and

figured I’d address the fatigue with my doctor then.”

According to the American Cancer Society, fatigue is one sign of colon cancer. (See box at right for other potential signs.) As with any symptoms, it’s important to see a doctor for a complete diagnosis. “Had Mary Ann not come in when she did, the tumor most likely would have grown to create a blockage that would have put her in the Emergency Department,” explained Dr. Muscarello.

Ron and Mary Ann Spitzer

Signs and Symptoms of Colon Cancer If you have any of these issues, it is important to see a doctor so the cause can be found and treated, if needed:

Although Mary Ann had to transition from employee to patient, she was able to appreciate her care at Palos in a new way.

“There’s a very warm and a comforting feeling about the patient spaces at Palos. And the care that I received here has been outstanding.”

䡲 A change in bowel habits,

Mary Ann’s specific treatment program requires her to be on oral chemotherapy medication as maintenance, and Dr. Shirazi carefully monitors her condition at regular office visits.

䡲 Rectal bleeding 䡲 Dark stools or blood in

“My husband and three sons have been so supportive, as have my seven siblings, my in-laws and my friends. I won’t forget how the management and staff of my department encouraged me throughout my illness. The support from everyone at Palos contributed to what I believe to be the best care on the south side.”

WINTER 2018

8

such as diarrhea, constipation or narrowing of the stool that lasts for more than a few days

䡲 A feeling that you need to have a bowel movement that is not relieved by doing so

the stool

䡲 Abdominal (belly) pain 䡲 Weakness and fatigue 䡲 Unintended weight loss Source: American Cancer Society

March is National Colorectal Cancer Awareness Month Talk with your doctor about scheduling a colonoscopy.

Need a doctor? Visit our website at paloshealth.com/doctor.

PALOS HEALTH PERSPECTIVE

Robotic Assisted Surgery Program Growing at Palos Many of the skilled surgeons at Palos Hospital are now performing more efficient, minimally invasive surgical procedures for their patients, thanks to the arrival of the da Vinci®Xi™ Surgical System. The new equipment allows for broader capabilities in robotic-assisted surgeries, further advancing technology used for complex diseases and conditions in thoracic, urology and general surgeries.

Key features of the new da Vinci® Xi™ include:

䡲 New overhead arrangement of the arms allows greater access to more areas of the patient’s body.

䡲 Endoscopic cameras have been redesigned

“Our team of robotically-trained multi-specialty surgeons has enthusiastically embraced this new system, which has been a technological leap forward,” said Palos Medical Group general surgeon Daniel Pacella, DO. “The new system enables surgeons and staff to be more efficient in the operating room, which is a benefit to patients. In many cases, patients have experienced less pain and shorter hospital stays.”

to be simpler and more compact, allowing for greater vision definition and clarity during surgery.

䡲 Endoscopes can be attached to any of the da Vinci’s® four arms, providing flexibility for visualizing the surgical site.

䡲 Arms are smaller and thinner, with newly designed joints, offering greater range of motion than ever before.

Ask your surgeon if you may be a candidate for robotic-assisted surgery for your next surgical procedure.

䡲 Longer instrument shafts are designed to give surgeons greater operative reach.

A surgeon and nurse set up the new da Vinci® Xi™system at Palos Hospital before a procedure.

WINTER 2018

9

PALOS HEALTH PERSPECTIVE

UNDERSTANDING THE OPIOID EPIDEMIC

Dr. Leonard Spishakoff, MD, is a board-certified physician with a special interest in addiction medicine.

His specialization includes the treatment of all addictive disorders, including narcotics, opiates, cocaine and other stimulants, cannabis, hallucinogens, benzodiazepines, alcohol dependence and complications, and chronic pain and substance use disorders.

What are opioids?

Dr. Spishakoff: Opioids are a class of drug that includes the illegal drug heroin and prescription narcotics, such as hydrocodone, oxycodone, codeine, morphine and other similar medications within the same pharmaceutical class. These drugs are chemically related and interact with opioid receptors on nerve cells in the body and brain.

Why are these drugs so appealing to so many right now?

Dr. Spishakoff: Many people who become addicted to narcotics initially had them prescribed because of a medical condition. Unfortunately some of these medications cause a stimulus in the brain that helps the individual cope with anxiety, depression and other life-altering events. In adolescence, young people can begin self-medicating with prescription medications, using them in an effort to help them calm down or relax.

Opioid pain relievers are generally safe when taken for a short

WINTER 2018

10

time and as prescribed by a doctor. But because they produce euphoria in addition to pain relief, they can be misused (taken in a different way or in a larger quantity than prescribed, or taken without a doctor’s prescription). Regular use of opioid pain relievers—even as prescribed by a doctor—can lead to dependence and, when misused, can lead to overdose and death.

Just how serious is the opioid epidemic?

Dr. Spishakoff: Of the estimated 20.5 million Americans 12 or older that have or had a substance use disorder in 2015, more than 2 million involved prescription pain relievers and close to 600,000 involved heroin.

Treatment admissions linked to prescription opioid use more than quadrupled between 2002 and 2012, although only a fraction of them received specialty treatment (18 percent in 2015).

Overdose deaths linked to these medicines nearly quadrupled since 1999. From 1999 to 2015, more than 183,000 people in the U.S. have died from overdoses related to prescription opioids.

There is now a rise in heroin use and addiction as some people shift from prescription opioids to their cheaper street relative.

Over 15,000 Americans died of a heroin overdose in 2016.

Besides overdose, consequences of the opioid crisis include a rising incidence of infants born dependent on opioids because their mothers used these substances during pregnancy and an increased spread of infectious diseases, including HIV and hepatitis C (HCV).

PALOS HEALTH PERSPECTIVE

What are some of the opioid addiction signs parents or loved ones need to look for?

Dr. Spishakoff: Each case is different, but there are some common signs of potential opioid misuse and abuse. The Drug Enforcement Administration (DEA) and Discovery Education have published a helpful online Parent Toolkit (operationprevention.com) that mentions the following signs: loss of interest in usual activities, changes in appearance (lack of concern for grooming and hygiene), and changes in eating and sleeping habits. Children and teenagers may have a negative change in grades or skip classes or school.

The Substance Abuse and Mental Health Services Administration lists other symptoms of opioid use disorders, including strong desire for opioids, inability to control or reduce use, continued use despite interference with major obligations or social functioning, use of larger amounts over time, development of tolerance, spending a great deal of time to obtain and use opioids, and withdrawal symptoms that occur after stopping or reducing use, such as negative mood, nausea or vomiting, muscle aches, diarrhea, fever and insomnia (samhsa.gov/disorders/ substance-use).

Can you describe the process at Palos once someone is admitted for opioid addiction?

Dr. Spishakoff: If the need arises to hospitalize someone affected by a substance use disorder, our priority at Palos is to assure this is done in a safe and medically accepted way. Addiction is a very complex disease that requires a comprehensive

approach by multiple medical providers. We offer a complete treatment plan characterized by medication-assisted therapy which includes the use of buprenorphine/naloxone to help substitute for the use of prescription narcotics and treat opiate withdrawal.

as the one at Palos are designed to help our community by providing care to those afflicted by addiction. We also work to give resources and direction to community leaders and others interested in treating this epidemic so they can make an impact in their neighborhoods.

Once the patient is deemed clear for discharge, they are referred to our Substance Use Disorder Intensive Outpatient Program (SUDIOP) or we help facilitate admission to a residential program followed by our outpatient program.

Palos Health is part of the Orland Park Substance Awareness Forum (OPSAF) and recently worked with them to create an online resource guide, available at opcares.net.

Is there a typical opiate-addicted patient?

Dr. Spishakoff: No. Patients come from all walks in life, from pre-teens to elderly. Addiction affects all ethnic groups and all socio-economic statuses.

What can communities do to help with the opioid crisis?

We also offer several support groups at the hospital for those dealing with substance abuse issues, as well as their friends and family.

Are you or a loved one suffering from substance use problems? Palos Health can help. Contact Behavioral Health at 708.460.2721 today.

Dr. Spishakoff: Programs such

Overdose Drug Can Be a Lifesaver

Call 911 immediately if a person exhibits any of these symptoms:

Naloxone is a medication that can help someone experiencing an opioid overdose. This potential life-saving drug is available either with a prescription or over-the-counter at many pharmacies as a nasal spray.

䡲 Their face is extremely

Note: Naloxone nasal spray is not a substitute for emergency medical care.

WINTER 2018

pale and/or feels clammy to the touch

䡲 Their body goes limp 䡲 Their fingernails or lips

have a purple or blue color

䡲 They start vomiting or

making gurgling noises

䡲 They cannot be awakened or are unable to speak

䡲 Their breathing or heartbeat slows or stops

11

PALOS HEALTH PERSPECTIVE

SAVING LIMBS AND IMPACTING LIVES PALOS WOUND CARE CLINIC When Lisa* was first admitted to Palos Hospital last summer, she was at high risk of losing her foot. A 55-year-old woman with diabetes, she had developed a pressure ulcer on her heel that was not healing due to infection. The months of pain and discomfort had caused her to become increasingly distressed and anxious. *Name has been changed for patient privacy.

After discharge from Palos Hospital, Lisa was referred to the Palos Wound Care Clinic where a multidisciplinary team approach was initiated, including a comprehensive evaluation. Nurses and physical therapists worked to help Lisa heal and get her mobile. They also provided a foot brace she could use to help her get around without disturbing the wound or impacting the healing process. To help facilitate the healing of Lisa’s wound, the decision was made to use an advanced cellular-based tissue product. After only two applications, the wound came to full closure. Today, Lisa’s wound WINTER 2018

is completely healed, and she is back to her previous levels of activity.

The above example is just one of many that experts at the Palos Wound Care Clinic treat on a daily basis. Located at Palos Hospital, the clinic recently restructured to better meet the needs of area patients with acute, chronic or surgical wounds and ostomies, often due to complications from chronic diseases. The multidisciplinary staff includes physicians, nurses and physical therapists with either advanced training or certifications in wound care management.

12

PALOS HEALTH PERSPECTIVE

PMG Physicians at Palos Wound Care

Types of wounds treated at the Clinic include:

“ Using a collaborative approach between multiple health care professionals, the Wound Care Clinic has been able to help many patients avoid life-altering amputations.”

䡲 Arterial insufficiency ulcers (or Ischemic ulcers) – commonly caused by peripheral vascular disease (PVD)

䡲 Venous ulcers (or varicose ulcers) – occur due to improper functioning of venous valves

䡲 Neuropathic ulcers – foot wounds resulting from damaged peripheral nerves

䡲 Pressure ulcers – caused by staying in one

James E. Geiger, Jr. DPM Board-certified in amputation and wound care

position for too long

䡲 Traumatic wounds – cuts, lacerations or

“ Our goal at the Clinic is to create a specific plan of care to aid healing so patients can enjoy former activities with as few limitations as possible.”

puncture wounds that have damaged skin and tissues

䡲 Surgical infections or dehiscence (opening of an incision)

䡲 Wounds related to cancer

Related conditions treated at the Clinic include: Maureen McShane, DPM

䡲 Edema – Swelling in the lower extremities can hamper wound healing. The Clinic employs certified lymphedema therapists to facilitate healing.

Board-certified podiatrist

.

䡲 Ostomy Care – An ostomy is a surgically created opening in the body for the discharge of wastes. The Clinic sees patients on an outpatient basis for follow-up care after surgery.

Certified wound-ostomy-continence (WOC) nurses are available to provide education and care for ostomy patients experiencing complications, including leaking or skin irritation.

All Palos Wound Care Clinic patients are individually assessed, and the whole person is taken into account when deciding on care. This includes not only their overall physical health but also psychosocial, emotional, functional and nutritional considerations. Treatments typically begin with a comprehensive nursing assessment. Experts from specialties including infectious disease, vascular medicine, physical medicine and rehabilitation, general medicine, endocrinology, podiatry, physical therapy, general surgery, rheumatology, plastic surgery and dermatology all may be brought in to provide care and speed healing while reducing complications. Nutritional guidance for wound care also is available with referrals to registered dietitians, as needed.

WINTER 2018

Are you a candidate for wound care? 䡲

You have a wound that has not healed after four weeks.

䡲

Your wound shows muscle, tendon or bone.

䡲

You have a non-healing wound and also have diabetes or peripheral vascular disease (PVD).

䡲

You have a wound as a side effect of radiation.

䡲 䡲

Your wound is infected.

䡲

You have a surgical wound that is not closed You have swelling in the legs with blisters or wounds.

Patients are seen in the Wound Care Clinic on an outpatient basis. If you believe the Clinic can help treat your wound or that of a loved one, please contact them directly at 708.923.5280, or ask your current physician for a referral.

13

PALOS HEALTH PERSPECTIVE

CLASSES, EVENTS & GROUPS SPRING

2018

WELLNESS Courage to Quit This seven-week program is designed for adults who are ready to quit smoking. Offered by the Respiratory Health Association. Day and evening options available.

TIME/DATES: 9 - 10 a.m. Mondays, beginning March 5, April 30 or June 25 TIME/DATES: 6:30 - 7:30 p.m.

Wednesdays, beginning March 7, May 2 and June 27 COST: Free

Kitchen Makeover: The Nutrition Edition Are your refrigerator and pantry in need of a refresh? Registered dietitian nutritionist Loretta Wojtan shares what to stock for healthier meals and snacks. Healthy kitchen tools and equipment also will be discussed.

TIME/DATE: 6:30 - 7:30 p.m., Tuesday, January 30 COST: Free

Nutrition and Cancer Good nutrition can be a challenge when dealing with cancer and treatment. Learn how to eat to maintain body weight, cut the risk of recurrence, reduce nausea and improve your overall quality of life. Led by registered dietitian nutritionist Lela Iliopoulos.

TIME/DATE: 2 - 3 p.m., Thursday, February 8 and Thursday, April 19 COST: Free

weight. Learn how losing just 5 to 10 percent of your body weight can make a difference in delaying or preventing diabetes.

Take Better Care of Your Back

TIME/DATE: 6 - 7 p.m., Tuesdays, February 20, April 3, May 15 and June 26 LOCATION: Palos Diabetes & Metabolism Center, Suite 122, South Campus, 15300 West Avenue, Orland Park COST: $10/individual; $15/couple (max 10 people)

Learn how posture, body mechanics and other forms of physical therapy can be used to prevent or manage back pain. This workshop is led by a Palos physical therapist. Registration is required.

TIME/DATE: 6 - 7 p.m., Wednesday, February 7 and Wednesday, May 9 COST: Free

Your Diabetes Game Plan

Heartburn and Cancer: GERD, Acid Reflux and the Risks of Esophageal Cancer

Don’t get sidelined by diabetes! Our nationally recognized diabetes program gives you the tools you need to manage the physical and emotional aspects of this disease. Get information about nutrition and physical activity, instructions on blood glucose monitoring, and a customized eating plan. Note: A physician referral is required to join the program.

Acid reflux and gastroesophageal reflux can be more than just annoying—they can put you at risk for other health problems, including esophageal cancer. Find out more about these conditions and learn about new treatments available.

Presented by Felipe Gracias, MD, and William Kosmala, MD.

INFORMATION: For additional information, including meeting times, call 708.226.2330.

LOCATION: Palos Diabetes & Metabolism Center, Suite 122, South Campus, 15300 West Avenue, Orland Park

TIME/DATE: 6:30 - 7:30 p.m., Tuesday, February 20 COST: FREE

A Matter of Balance This evidence-based program is led by physical or occupational therapists and emphasizes practical strategies to decrease fall risks and fear of falling, and increase activity levels and independence. Gift certificates available for purchase!

TIME/DATE: 10 a.m. - noon, Tuesdays, March 6 – April 24 or May 1 – June 19 TIME/DATE: 10 a.m. - noon, Wednesdays, March 7 – April 25 or May 2 – June 20 COST: $80

Understanding Options in Hip Replacement – Direct Anterior Approach Learn if total joint replacement could help alleviate your hip pain and discomfort. Board-certified orthopaedic surgeon Daniel Weber, MD, discusses surgical options in total hip replacement, including anterior and posterior approaches.

TIME/DATE: 6:30 - 7:30 p.m., Thursday, March 8 COST: Free

Rethink Your Resolution: Weight Loss for Healthy Living

Gentle Yoga for Cancer Patients Cancer patients and their loved ones can learn how to reduce stress and anxiety, regain strength and flexibility and minimize treatment side effects.

Poses can be done on the floor or on a chair (your choice).

TIME/DATE: 4:30 - 5:30 p.m., most Thursdays COST: Free

Diabetes Prevention: Living on the Border Led by a Palos diabetes educator, this class offers lifestyle modifications to help you eat healthy and lose

Kids Can Cook Our popular, hands-on cooking class for children returns! Students will prepare several healthy dishes while learning the importance of good nutrition, while parents will be presented with realistic ways to get their kids to eat healthy. Suitable for ages 6 – 10. Parent or guardian must be present during class. Led by registered dietitian nutritionists Lela Iliopoulos and Loretta Wojtan.

TIME/DATE: 4 - 5:30 p.m., Thursday, April 12 COST: Free

Transcranial Magnetic Stimulation (TMS) Therapy for Depression Learn about this new outpatient treatment offered at Palos for patients suffering from depression. If you or a loved one has not achieved satisfactory improvement from antidepressant treatment, TMS therapy may help. Presented by Mona Lal, MD, Palos Medical Group psychiatrist Jill Haley, TMS RN, and Kirk Bergmark, director of Outpatient Behavioral Health.

TIME/DATE: 7 - 8 p.m., Tuesday, May 1 COST: Free

Eat Your Way to a Healthy Glow What you eat can impact your appearance. Certain foods and drinks can help contribute to younger looking skin, brighter eyes, and more vibrant hair and nails, not to mention their effectiveness on overall health.

Learn what to eat and what to avoid to look your best. Led by registered dietitian nutritionist Lela Iliopoulos.

Go Green!

Plant-Based Nutrition

Fad diets come and go; they may also lead to more weight gain. Making a commitment to healthy diet and exercise choices can have a big impact on your heart health. Learn the science behind obesity and discuss strategies to drop pounds and keep them off so you can look and feel better. Presented by Cheryl Boss, Nurse Practitioner.

Grow in your understanding of a healthy diet, featuring fruits, vegetables and herbs to aid in healing, weight loss and cancer prevention.

Increase your intake of vitamins, minerals, proteins and essential fats while decreasing overall calories consumed. Presented by registered dietitian nutritionist Loretta Wojtan.

TIME/DATE: 6:30 - 7:30 p.m., Tuesday, March 27 COST: Free

TIME/DATE: 6:30 - 7:30 p.m., Tuesday, March 20 COST: Free

All classes listed take place at Palos Hospital, 12251 South 80th Avenue, Palos Heights, unless otherwise indicated.

Register online at paloshealth.com/classes-events or call 708.226.2300.

WINTER 2018

14

PALOS HEALTH PERSPECTIVE

TIME/DATE: 6:30 - 7:30 p.m., Thursday, May 3 COST: Free

Stress Less: Overcoming Anxiety Are fear and worry affecting your daily life? Stress can impact people physically, emotionally and behaviorally. Learn helpful coping skills for anxiety, and understand the difference between normal anxiety and anxiety disorders. Presented by Palos therapist Joseph Maranto.

TIME/DATE: 6:30 - 7:30 p.m., Tuesday, May 15 COST: Free

Nutrition for Your Heart Eat healthy for your heart’s sake!

Understand how to control fat and saturated fat intake, avoid trans fats, cholesterol and sodium, increase fiber, and read food labels. Taught by a Palos registered dietitian nutritionist.

INFORMATION: For additional information, including meeting times, call 708.226.2300.

Demystifying Lymphedema Gain insight into this chronic swelling disorder, including various causes, diagnostic indicators, risks and management strategies. Presented by Yasemin Ozcan, MD, and Caroline Leflar, certified lymphedema therapist.

TIME/DATE: 6 - 7:30 p.m., Tuesday, March 13 COST: Free

measures, infant care and more.

Birthing Center Tour

TIME/DATES: 8 a.m. - 4 p.m., Saturdays, January 13, February 3, March 10, April 7, May 12 and June 9 COST: $85/couple, meals provided

One of the most important decisions to make when expecting a baby is where to deliver your child. Learn how Palos is different from other hospitals through our single-room maternity care, where labor, delivery, recovery and postpartum all take place in newly remodeled private rooms.

Baby Basics This three-hour class offers up-todate information on caring for a newborn. Topics include: feeding, diapering, bathing, growth and development, infant stimulation, newborn characteristics and behavior, infant-soothing techniques, signs of illness, immunizations, choosing baby equipment, car seat safety and general safety.

Birth, Babies and Beyond Express Get the most out of your birthing experience. In a relaxed setting, expectant mothers and their support person learn about labor, birth, medical interventions, physical and emotional changes after birth, comfort

TIME/DATE: 7 - 9:30 p.m., Thursdays, January 25, March 1 and May 10 COST: FREE

Breastfeeding Basics A Palos lactation consultant provides the basics for successfully nursing your baby. This class covers breastfeeding advantages, practical techniques, pumping, storing, returning to work, dad’s role and family support.

TIME/DATES: 6:30 - 9 p.m., Thursday, February 15, March 15, April 19, May 17 and June 14 TIME/DATES: 8 - 10:30 a.m., Saturdays, January 20, February 10, March 17, April 21, May 19 and June 16 COST: $20/couple

Be prepared to act in an emergency.

This American Heart Association class is intended for anyone 11 years and older interested in learning cardiopulmonary resuscitation techniques to assist infants, children and adults in distress. Note: This is not a class for CPR certification.

TIME/DATES: 6 - 9 p.m., Thursdays, January 18, February 8, 22, March 8, April 12, 26, May 3, 24, June 7, 21 COST: $30/person

Joy of Grandparenting Are you welcoming a grandchild? Explore the many facets of the grandparent role and learn about family adjustment, as well as ways you can support the new parents. An update on childbirth practices, the latest in baby care and a tour of the Birthing Center are included.

TIME/DATES: 6:30 - 9:30 p.m., Wednesdays, January 31, February 28, March 28, April 18, May 23 and June 27 TIME/DATES: 8 - 11 a.m., Saturdays, January 27, February 17, April 28, June 23 REGISTRATION: 708.226.2300 COST: $20/couple

Infant/Child/Adult CPR

FAMILY-CENTERED

TIMES/DATES: 6 - 6:45 p.m., select Wednesdays and Thursdays; 11 11:45 a.m., select Saturdays.

Call for dates.

COST: Free

SUPPORT GROUPS Lymphedema Support Group Network with others experiencing lymphedema while receiving updates on products, community resources and management strategies.

TIMES/DATES: 5:30 - 6 p.m., Tuesday, March 13, and 5:30 - 6:30 p.m., Tuesday, May 1 COST: Free

Look Good … Feel Better Look your best during cancer-fighting treatments with training from cosmetic industry professionals.

Learn makeup, skin and nail care techniques, as well as how to wear wigs, hats and scarves to enhance your appearance. This nonmedical program is offered in partnership with the American Cancer Society.

TIME/DATES: 3 - 5 p.m., Tuesdays, February 6 and May 8 COST: Free

Nursing Moms Network

Caregiver Support Group

Get the support you need when it comes to breastfeeding. Meet and share experiences with other mothers and receive ongoing guidance and support from an experienced lactation consultant.

Offered by professionals from Palos Home Health Care, this group provides emotional and practical support for family members and friends caring for a loved one in the last years of life.

TIME/DATE: 11 - 12:30 a.m., Tuesdays COST: Free

REGISTRATION: Call for details, 630.257.1111.

COST: Free

I’m a Big Brother/Big Sister!

Future siblings can learn what to expect with a new baby and how they can be a help to their growing family.

Class includes a short tour of the birthing unit. Appropriate for children ages 3-9 years of age; children should bring a doll or stuffed animal to class.

TIME/DATES: 4 - 5 p.m., Wednesdays, January 24, March 21 and May 16 COST: $5/child with a maximum of $15/family

High Quality. Lower Cost.

Palos Imaging & Diagnostics

Fall Prevention Support Group Open to anyone interested in decreasing their fall risk and increasing their activity level. Group discussion followed by exercise demonstration.

TIME/DATE: 10 - 11 a.m., first Thursday of each month (no group in January, February, July or December) COST: Free

palosimaging.com

You’ll find competitive pricing, advanced imaging technology and highly experienced radiologists – all in a caring and convenient setting.

Call 708.226.2500 to learn more or schedule an exam.

All classes listed take place at Palos Hospital, 12251 South 80th Avenue, Palos Heights, unless otherwise indicated.

Register online at paloshealth.com/classes-events or call 708.226.2300.

WINTER 2018

15

PALOS HEALTH PERSPECTIVE

PALOS HEALTH 12251 South 80th Avenue Palos Heights, IL 60463

Non-profit Organization U.S. Postage

PAID Palos Health

Palos Hospital 12251 South 80th Avenue Palos Heights, IL 60463 708.923.4000

Palos Health South Campus 15300 West Avenue Orland Park, IL 60462 708.460.5550

Palos Women’s Center 17333 South LaGrange Road Tinley Park, IL 60487 708.590.5500

n

New Resource to Help Address Diabetes

PAGE

5

t h i s

Heart Procedure Keeps Pace With New Technology

PAGE

6

I S S U E

Robot Surgery Program Expands

PAGE

9

Opiate Crisis Explained

PAGE

10

February is Heart Month!

Don’t Skip a Beat! New Developments in Atrial Fibrillation People who experience an irregular and/or rapid heart rate are at an increased risk of stroke, heart failure and other heart-related complications. Learn how medications and other alterations can help manage this condition. Presented by cardiologist Martin Burke, DO. TIME/DATE: 6:30 – 7:30 p.m., Thursday, February, 1 LOCATION: Palos Hospital Auditorium, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: Free

Dietary Actions for Heart Health

Shake the Salt: Low Sodium Cooking Class

Healthy eating is one of the most important things you can do for your body. A nutritious diet and lifestyle are your best weapons in the fight against heart disease. A registered dietitian will share recommendations to help you make smart choices to benefit your heart and overall health.

Overcome the challenge of eating low sodium to manage heart failure.

Learn simple and effective methods to cook using less salt. Food samples, recipes and menus will be available.

Led by registered dietitian nutritionists Gary Linhart and Loretta Wojtan.

TIME/DATE: 6:30 - 7:30 p.m., Tuesday, February 6 LOCATION: Palos Hospital Auditorium, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: Free

TIME/DATE: 2 - 4 p.m., Thursday, February 15 LOCATION: Palos Hospital Woodland Cafe, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: Free

For Your Heart’s Sake: Strategies to Reduce Stress Are you handling stress as effectively as possible to reduce or prevent heart disease? Learn specific skills and approaches to turn excessive stress out of your life at this class led by Palos Behavioral Health professionals John Brogan, LCSW, and Janet Laforte, RN. TIME/DATE: 6:30 - 7:30 p.m., Thursday, February 22 LOCATION: Palos Hospital Auditorium, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: Free