Presence: Winter 2019

SAINT FRANCIS HEALTH SYSTEM | WINTER 2018

Providing HighQuality Care Saint Francis Health System Maternal and Newborn Services Heart Hospital at Saint Francis Marks Its 500th TAVR Procedure Community Invited to Upcoming Health Zone Event

Health and Wellness Expo Page 24

Contents

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Saint Francis Hospital Selected to Participate in a New Initiative Supporting

Maternal and Newborn Health

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Saint Francis Health System:

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Taking Steps for Cancer Prevention

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Saint Francis Opens Three New Outpatient Physical Medicine and Rehabilitation Locations

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More Deliveries than Any Hospital in Oklahoma

500th TAVR Procedure

Heart Hospital at Saint Francis

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Saint Francis Hospice Supports Those Mourning a Loss

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Health and Wellness Expo 2019 Health Zone at Saint Francis

Calendar 2019 Health Expo at the Health Zone at Saint Francis

6th Annual Health Zone Kids Mini Triathlon

Saturday, January 12, 2019

8:30 a.m. – 1:00 p.m.

9:00 a.m. – 1:00 p.m.

Health Zone at Saint Francis 5353 East 68th Street Tulsa, Oklahoma

Saturday, March 2, 2019 Health Zone at Saint Francis 5353 East 68th Street Tulsa, Oklahoma Kids ages six to 13 are invited to take part in

You're invited to attend the Health Expo 2019

the annual Health Zone Kids Mini Triathlon.

at the Health Zone at Saint Francis on Saturday,

These indoor events—swimming, cycling and

January 12. This event is free and open to the

running—take place at the Health Zone at

public and will include fitness classes, cooking

Saint Francis located at 5353 East 63rd Street.

demonstrations, free health screenings and

The registration fee of $25 in advance or $30

wellness education.

on the day of the event benefits The Children's

Additional details are provided in this

Hospital Foundation at Saint Francis.

issue of Presence or by visiting

For more information, please email

saintfrancis.com/healthzone.

events@saintfrancis.com or visit saintfrancis.com/healthzone.

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a publication of Saint Francis Health System

Letter from Jake Henry Jr., President and Chief Executive Officer With the holiday season upon us, it is natural to look back on the year that has passed and look forward to the year ahead. During this season, I can’t help but think of friends and loved ones who have passed.

I was recently at a funeral for the daughter of a good friend and colleague. In his eulogy, this friend read and reflected on a poem called “The Dash.” Contextually, the dash refers to the simple, and often overlooked line one would traditionally see printed between the year of someone’s birth and the year they were called home to the Lord. He beautifully articulated how fully his beloved daughter spent her “dash.” The dash is life; the dash is where the memories happen; the dash is our legacy. In healthcare, we have the unique privilege to be with people during the most intimate and emotional stages of their life—from the beginning, through their dash and as they pass from this world.

In this issue of Presence, you will read about some of the ways the women and men of this health system interact with our patients through the course of their life and the lives of their loved ones. From our labor and delivery services to hospice, Saint Francis is here to meet the needs of our community when and where they need it.

You may see the phrase “Healthcare for Life” on many of our advertisements or publications. Particularly when seen through the lens of the dash, this phrase epitomizes the purpose of our ministry. We exist to extend the healing presence and ministry of Christ in all that we do, from conception to natural death.

I wish you all a happy and blessed New Year. May you live your dash to the fullest.

Warm regards,

Saint Francis Health System Board of Directors John-Kelly C. Warren, Chairman Judy Kishner, Vice-Chair Jake Henry Jr. Michael Case Michael Cooke, J.D. Brent Dennis, M.D. Rev. Gary Kastl William R. Lissau Charles McEntee, M.D. Sanjay Meshri

Saint Francis Health System Executive Council Jake Henry Jr.

President and Chief Executive Officer, Saint Francis Health System

Barry Steichen

Executive Vice President and Chief Operating Officer, Saint Francis Health System

Eric Schick

Executive Vice President and Chief Financial Officer, Saint Francis Health System

Charley Trimble

Senior Vice President – Quality, Saint Francis Health System

Tom Neff

Senior Vice President – Strategic Planning and Corporate Business Development, Saint Francis Health System

Mark Frost, M.D.

Senior Vice President – Medical Affairs, Saint Francis Health System

Doug Williams

Senior Vice President, Saint Francis Health System and Administrator, Saint Francis Hospital

Tony Young

Senior Vice President, Saint Francis Health System and Administrator, Saint Francis Hospital Muskogee

Mike Lissau, J.D.

Senior Vice President – General Counsel

Collin Henry, J.D.

Jake Henry Jr. President and Chief Executive Officer, Saint Francis Health System

Vice President, Warren Clinic Operations and Physician Recruitment, Saint Francis Health System

Michele Keeling

Vice President, Saint Francis Health System and Administrator, Laureate Psychiatric Clinic and Hospital

Todd Schuster

Vice President, Saint Francis Health System and Administrator, Saint Francis Hospital South Saint Francis Health System

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Warren Clinic Community Flu Vaccinations On a recent fall evening, 100 Warren Clinic and Saint Francis volunteers headed downtown for Night Light Tulsa, a night of fellowship and of serving others.

Joining together with many other volunteers throughout the city, the Saint Francis group helped to provide flu shots, serve meals and do anything else they could to serve members of Tulsa's homeless community and inner city neighborhoods. Among those in attendance was Sister Mary Sarah Macht, APRN, who assisted at the flu vaccination clinic offered by Warren Clinic.

Serving approximately 250 to 300 individuals and cooking an average of 440 hamburgers every Thursday evening, Night Light Tulsa provides opportunities for volunteers to connect and provide hope to other community members. For more information, please visit nightlighttulsa.org.

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Friends at First Sight At The Children’s Hospital at Saint Francis, Halloween just wouldn’t be the same without the annual pet parade presented by local pet therapy dogs and their owners.

During the much anticipated visit, the human (small human, as the case may be) and animal bond is undeniable. Everywhere you look, eye-to-eye and heartto-heart encounters are a common occurrence—as is the unmistakable delight on each child’s face.

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Saint Francis Glenpool Open House Inspires “Hospital-warming” Gift On August 27, approximately 2,000 people attended Saint Francis Glenpool’s open house to check out the new facility, meet the doctors and tour the new emergency room.

Longtime Saint Francis security officer, Joe Rogers, has seen many things in his time; yet, the thoughtfulness of one particular open house guest took him by surprise.

“A local resident went to the trouble of bringing us a housewarming plant,” he says.

“That has never happened before at any of our events.

We were very touched by this nice ‘welcome to the Glenpool community’ moment—and, we promise to do our best to keep the plant healthy and thriving.”

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Saint Francis Hospital Selected to Participate in a New Initiative Supporting

Maternal and Newborn Health

Saint Francis Hospital in Tulsa was recently selected as one of four hospitals in the U.S. to participate in a pilot project supporting maternal and newborn health and safety during labor and delivery.

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“We believe the methods refined in the Team Birth Project will soon be utilized worldwide.”

Dr. Don Loveless, Jr., Warren Clinic OB/GYN specialist and Chairman, Saint Francis Hospital OB/GYN Department

The project, known as the Delivery Decisions Initiative, is led by Boston-based Ariadne Labs. This joint health system innovation center of Brigham and Women’s Hospital and the Harvard T.H. Chan School of Public Health was founded by renowned surgeon Dr. Atul Gawande. The program’s goal is to provide new approaches to perinatal care and reduce the number of medically unnecessary Caesarian-section (C-section) deliveries.

with a greater risk of infection and/or complication.”

Improving Communication and Safety

“Saint Francis Hospital is honored to participate with Ariadne Labs on this farreaching project,” says Dr. Don Loveless, Jr., Warren Clinic OB/GYN specialist and Chairman, Saint Francis Hospital OB/GYN Department. “Ever since I first became section chair, a primary goal was to try to reduce the rate of Cesarean sections performed here. The Delivery Decisions Initiative was an ideal fit to help us achieve that goal. Beginning with the decision to admit a patient, through the plans for delivery, three tools are used to include the patient in the decision-making process.

We believe the methods refined in the Team Birth Project will soon be utilized worldwide.”

According to statistics provided by the U.S. Center for Disease Control and Prevention (CDC), 32 percent of all deliveries in the country are by C-section. Experts say this number has gradually risen over the past few decades. “There is no doubt that there are those deliveries that require surgical intervention as the best—and often lifesaving—decision for mother and baby,” said Shannon Filosa, executive director of Saint Francis Women’s and Children’s Services. “Overall, C-sections are more taxing on a woman’s health. They require greater recovery time and come

At the center of Ariadne Labs’ Delivery Decisions Initiative is the Team Birth Project, which provides the childbirth team with three key tools that aid in the decision-making process by fostering teamwork, improving communication, and empowering women and families during labor to help ensure appropriate care and prevent what can be an avoidable C-section.

The key elements of the Team Birth Project include the tools illustrated below to help guide the birth process from start to finish.

This allows everyone involved, including the laboring mother, family, nurses, obstetricians, anesthesiologists and other specialists to review and consider the same information about the patient’s progress, all at the same time.

In addition to Saint Francis Hospital, Ariadne Labs selected three other hospitals to take part in the two-year study for the Team Birth Project: Evergreen Health in Kirkland, Washington; Overlake in Redmond, Washington; and South Shore Hospital in South Weymouth, Massachusetts.

“Every single member of the Saint Francis labor and delivery team is committed to our overall mission of delivering the best possible birth experience in a safe, supportive environment,” Dr. Loveless says. “With that in mind, we welcome opportunities to further improve our care by participating in forward-thinking initiatives such as the Team Birth Project that can advance patients’ health and well-being.”

Labor and Delivery Planning Board TEAM

PLAN Mom: Baby:

PREFERENCES

Labor Progress: NEXT ASSESSMENT

© 2018 Ariadne Labs: A Joint Center for Health Systems Innovation (www.ariadnelabs.org) at Brigham and Women’s Hospital and the Harvard T.H. Chan School of Public Health. Licensed under the Creative Commons AttributionNonCommercial-ShareAlike 4.0 International License, https://creativecommons.org/licenses/by-nc-sa/4. 0

EARLY LABORA

CTIVE LABORP

USHING

Labor and Delivery Planning Board developed by the Delivery Decisions Initiative a t Ariadne Labs. 04-01-2018

Admission Decision Aid

Labor and Birth Planning Board

Delivery Decision Aid

A one-page tool is utilized during obstetrical triage to prevent premature admission of women in the latent stages of labor.

A white board located in all labor and delivery rooms is used as a shared reference for the expectant mother, her family and all birth team members; information includes the mother’s birth plan along with guidance from the labor team.

A one-page tool to improve decision accuracy when considering C-section deliveries; this is utilized by the physician and laboring nurse as they discuss delivery options with the laboring mother.

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Saint Francis Health System:

More Deliveries than Any Healthcare Provider in Oklahoma Last year alone, more than 4,000 births took place at Saint Francis Hospital. Add in the approximately 2,000 additional deliveries at regional facilities Saint Francis Hospital South and Saint Francis Hospital Muskogee, and that makes Saint Francis Health System the largest labor and delivery service in the state. Yes, this vast number is impressive; but, even more extraordinary are the clinical teams that make it possible.

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“Labor and delivery is a very busy service line and it takes a highly experienced staff to work together cohesively,” says Shannon Filosa, executive director of Saint Francis Hospital Women’s and Children’s Services. “It is our responsibility to provide our patients with the safest and best care available. That’s why we work so hard to try to ensure our services cover all bases and foresee all scenarios. We want to provide a safety net and peace of mind for all of our patients.”

Saint Francis Hospital Obstetrical Hospitalist Program Due to the high number of deliveries that occur at Saint Francis, the hospital established the state’s first obstetrical hospitalist program in 2010. What this means is a that a board-certified OB/GYN physician is available 24/7 in-house, with the overriding goal of promoting safety—as well as protecting and saving lives. Presently, there are four OB/GYN hospitalists within the program—each of whom is specially trained to handle unexpected and emergency deliveries.

“When Saint Francis’ OB/GYN Hospitalist program was first put into place, it was the

first program of its kind in the state. Since then, it’s not been surprising to see how this program has taken off locally, as well as throughout the country,” says Dr. Lora Larson, director of the program. “The whole concept is brilliant—it just makes so much sense! And, our patients seem to appreciate this service immensely. Saint Francis Hospital is blessed to have such a large and talented antepartum and postpartum staff— all under one umbrella.”

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Maternal fetal medicine specialists (also known as perinatologists): Specialists who manage health concerns of the mother and fetus prior to, during and shortly after pregnancy.

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Neonatal nurse practitioners: This type of nurse has received special training to care for babies in the NICU.

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Lactation consultant: This is a nurse certified as an International Board Certified Lactation Consultant (IBCLC) that works exclusively with our NICU families.

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Neonatal transport team: This highly trained team specializes in the stabilization and transport of neonatal babies from the surrounding region to The Children's Hospital at Saint Francis NICU.

The Henry Zarrow Neonatal Intensive Care Unit (NICU) As the only Level IV NICU in eastern Oklahoma, this unit provides aroundthe-clock care—including lifesaving procedures like therapeutic hypothermia and extracorporeal membrane oxygenation (ECMO) for critically ill newborns. Along with the clinical support and resources available at The Children’s Hospital at Saint Francis, the dedicated team of NICU physicians, nurses and staff include the following: •

Neonatologists: Pediatricians with special training in providing care for babies who are sick and require intensive care after birth.

Saint Francis Hospital South In addition to the services available at Saint Francis Health System’s flagship facility, Saint Francis Hospital South provides expectant mothers a labor and delivery experience in a smaller hospital setting.

Conveniently located east of Highway 169 on 91st Street, closer to Broken Arrow,

“When Saint Francis’ OB/GYN hospitalist program was first put . into place, it was the first program of its kind in the state.”

Dr. Lora Larson, director of the Saint Francis Hospital OB/GYN Hospitalist program

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"Our labor and delivery physicians, nurses and staff work as a team to provide new moms, infants and families comprehensive care in a unique hospital setting."

Dr. Conchita Woodruff, Saint Francis Hospital South

Dr. Conchita Woodruff, Dr. Lee Ramos, Dr. Amanda Christian and Tamara Madjid, APRN-CNP.

Bixby, South Tulsa and surrounding communities, Saint Francis Hospital South includes eight state-of-the-art labor and delivery suites, a postpartum unit, lactation support services and childbirth education.

“Our labor and delivery physicians, nurses and staff work as a team to provide new moms, infants and families comprehensive care in a unique hospital setting,” says Dr. Conchita Woodruff, Warren Clinic OB/GYN. “We are extremely proud of the care provided at Saint Francis Hospital South.”

Recognized for Excellence in Perinatal Care In November, Saint Francis Hospital was one of only three hospitals in Oklahoma to be recognized as a Spotlight Hospital at the fifth annual Oklahoma Perinatal Quality Improvement Collaborative (OPAQIC) summit held in Oklahoma City. Criteria for the award were based on participation in and outcomes of quality improvement initiatives.

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Saint Francis Hospital Muskogee As the newest facility to join the health system, Saint Francis Hospital Muskogee provides labor and delivery services for patients residing in and around the Muskogee community.

With services consolidated at the main hospital campus in Muskogee and a newly renovated women’s services unit, the hospital offers labor and delivery and postpartum care to women who want to deliver closer to home rather than traveling into Tulsa for care. Onsite services also include birthing classes and lactation education and support.

Xavier Medical Clinic Saint Francis OB/GYN care is also provided at Xavier Medical Clinic. Operated by the health system since 1999, Xavier Medical Clinic is in a newly remodeled site located at 10711 East 11th Street in Tulsa.

“At Xavier Medical Clinic, we provide services for those who might not otherwise have access to quality medical care—and, that’s something for which we are extremely proud,” Filosa says. “The clinic provides no cost prenatal care and labor and delivery services at Saint Francis to patients who

qualify. This program is supported by Saint Francis OB/GYN physicians.”

As of January 2, the Xavier Medical Clinic will be open Monday through Friday from 8:00 a.m. – 3:00 p.m. for OB/GYN patients as well as pediatric care. Walk-in appointments are welcome.

For more information about the vast array of labor and delivery services available at Saint Francis Health System, please visit saintfrancis.com or call Saint Francis HealthLink at 918-488-6688.

WARREN CLINIC WOMEN’S HEALTH SPECIALISTS TULSA AREA

FAMILY MEDICINE WITH OBSTETRICS

McALESTER

Warren Medical Building 6465 South Yale Avenue, Suite 615 Tulsa, Oklahoma 74136

Saint Francis Hospital South 10507 East 91st Street South, Suite 550 Tulsa, Oklahoma 74133

1401 East Van Buren McAlester, Oklahoma 74501

Lana Oglesbee, M.D.

Matthew Stevens, M.D.

Warren Medical Building 6465 South Yale Avenue, Suite 815 Tulsa, Oklahoma 74136 Michelle Brotherton, M.D. Patricia Daily, M.D. Kenneth Hamilton, D.O. Elizabeth Harris, D.O. Donald Loveless, Jr., M.D.

Warren Clinic Tower 6600 South Yale Avenue, Suite 650 Tulsa, Oklahoma 74136 Candice Meyer, D.O. Denise Shaw, M.D. Melanie Mead, APRN-CNP

Saint Francis Hospital South 10507 East 91st Street South, Suite 250 Tulsa, Oklahoma 74133 Amanda Christian, M.D. Lee Ramos, D.O. Conchita Woodruff, M.D. Tamara Madjid, APRN-CNP

Warren Clinic Broken Arrow – Elm 2950 South Elm Place, Suite 260 Broken Arrow, Oklahoma 74012

MATERNAL AND FETAL MEDICINE Kelly Medical Building 6565 South Yale Avenue, Suite 601 Tulsa, Oklahoma 74136 Christine Blake, M.D. David Gorenberg, M.D. Stephen Jones, M.D.

GYNECOLOGY ONLY Kelly Medical Building 6565 South Yale Avenue, Suite 508 Tulsa, Oklahoma 74136

David Doyle, M.D. Edwin Henslee, M.D. Stephen Riddel, M.D. Gina Powers, PA-C Janie Cloud, APRN-CNP

MUSKOGEE AREA 354 West Okmulgee Street Muskogee, Oklahoma 74401 Jonathan Baldwin, M.D.

108 Lone Oak Circle Fort Gibson, Oklahoma 74434 Holly Patton, D.O. Sarah Poplin, APRN-CNM

Rachel Gibbs, M.D. Jenna Aizenman, APRN-CNP

Saint Francis Hospital South 10507 East 91st Street South, Suite 220 Tulsa, Oklahoma 74133 Erin Hill, D.O.

Warren Clinic Jenks 2605 West Main Street Jenks, Oklahoma 74037 Teressa McHenry, M.D.

To schedule with any of Warren Clinic women’s health specialists, please call 918-488-6688.

Amanda Christian, M.D.

Warren Clinic Glenpool 140 West 151st Street South, Suite 202 Glenpool, Oklahoma 74033 Lee Ramos, D.O. Saint Francis Health System

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Taking Steps for

Cancer Prevention Taking proactive steps can help with cancer prevention and, for cancer diagnoses that are not preventable, being proactive can lead to early detection.

What Experts Say About Cancer Risks Cancer occurs when cells grow out of control. This can happen for many reasons—behaviors, environment or your genes. We have no control over our genetics, but we can change behaviors to help lower our risk.

Chelsea Thomas, D.O., Warren Clinic Medical Oncology

“I feel very strongly about cancer prevention and making sure people are aware of preventive measures that can really make a difference,” says Saint Francis Cancer Center oncologist, Dr. Chelsea Thomas. “I believe it is up to each and every one of us to do what we can to take control of our health. What could be more important?

And, if we don’t, who will?”

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At the top of Dr. Thomas’ list of preventive measures is leading a healthy lifestyle.

“Leading a healthy lifestyle is the most important thing a person can do to prevent cancer and many other diseases, as well,” she says.

Stay active and maintain a healthy weight: Exercise preferably at least 30 minutes per day, five days a week. “Exercise helps to increase the body’s metabolism, which makes it easier to maintain an ideal weight. Additionally, studies confirm obesity is linked to many forms of cancer, including breast, colon, uterine, kidney, pancreatic and esophageal cancer,” Dr. Thomas says. “And, if that’s not convincing enough, exercising and maintaining an ideal weight has been shown to reduce the risk of a recurrence of breast cancer.”

Maintain a healthy diet: • Eat at least 2-½ cups of vegetables and fruits each day.

• Choose whole-grain bread, pasta and cereal instead of processed (refined) grains.

• Minimize the amount of processed meats you eat (like cold cuts, bacon and hot dogs), and limit your intake of red meats, such as beef, pork and lamb. If you eat red meat, try lean meats and smaller portions.

Also try skinless poultry, fish or legumes (peas and beans) as healthier sources of protein.

Reduce alcohol intake: (And, yes, this includes wine and beer.) Excessive alcohol use has been linked to a number of cancers, including mouth, throat, colon and breast.

The American Cancer Society (ACS) guidelines for alcohol intake: two or less drinks a day for men, and one or less drinks a day for women.

Quit smoking and/or tobacco use: A common misconception is lung cancer is the only type of cancer linked to smoking.

Not so. Use of tobacco also increases the risk of many other types of cancer including head, neck, bladder, kidney and esophageal.

On top of that, tobacco use compromises the immune system, i.e., the body’s first line of defense.

“…if a person is diagnosed with a solid tumor cancer, it is much more likely to be cured if it is detected early.” –Dr. Chelsea Thomas

Apply sunscreen (regardless of your skin type) and avoid tanning beds: It is also important to get in the habit of becoming familiar with your skin in the event of any changes. Fair-skinned and those with a family history of skin cancer are advised to schedule an annual full-body exam with a dermatologist.

Awareness of your family history: If there is a family history of certain cancers in your family, talk with your primary care physician; according to the ACS, screenings can help prevent some types of cancer or detect them early, when they are easier to treat.

See your primary care physician (PCP) regularly: In terms of keeping upto-date on screenings that can detect cancer early, your PCP is your best friend to ensure you receive regular screenings.

“I’d like to make the point that if a person is diagnosed with a solid tumor cancer, it is much more likely to be cured if it is detected early,” Dr. Thomas says. “In this day and age, there are many treatment options available—with more becoming available all the time.”

Cancer screenings for adults: The ACS has published detailed guidelines for cancer screenings for most adults.

These include those screenings specifically recommended for women and those for men. To learn more, visit cancer.org/healthy for more detailed information to help you better understand these screenings, take control of your health and help reduce cancer risk. Most importantly, talk to your primary care physician, ask questions about cancer prevention and discuss what screenings may be right for you.

SAINT FRANCIS LUNG CANCER SCREENING PROGRAM Saint Francis Health System is offering low-dose CT screenings to individuals who are at the highest risk for developing lung cancer. Lung cancer screening has proven to lower mortality by 20 percent.* *Statistic based on a National Cancer Institute study.

Who is at high risk of developing lung cancer?

People aged 55-77: • with a smoking history of at least 30 pack-years (i.e., one pack-per-day for 30 years or two packs-per-day for 15 years); • asymptomatic (no signs or symptoms of lung cancer); or • current smoker or you’ve quit smoking within the last 15 years.

People aged 50-54: With a 20 pack-year history of smoking (i.e., one pack-per-day for 20 years, two packs-per-day for 10 years or the equivalent) and one or more of the following: • a history of cancer and/or radiation therapy; • pulmonary fibrosis; • have an immediate family member with a history of lung cancer; • have documented chronic obstructive pulmonary disease (COPD); or • have had radon or other environmental exposure (i.e., asbestos).

Scheduling an appointment: For more information or to determine eligibility, call the Saint Francis Lung Cancer Screening Program Coordinator at 918-494-6467.

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t n e i t s a n p t o i u t O a c w o e L N n e o i e t r a h t i T l i s b n a e h p e O R s d i c n a n a e r n F i t c i n i d a e S cal M i s y Ph

Earlier this year, Presence featured a story detailing the broad range of physical medicine and rehabilitation services provided at Saint Francis Health System. Since then, these invaluable services are now available to more community members with the opening of three new outpatient rehabilitation locations in the area.

Saint Francis Physical Medicine and Rehabilitation services can help patients with a broad range of medical conditions, illnesses or injuries that limit one’s ability to move and function.

Services provided at the new outpatient locations include the following:

Skilled Therapy – System-wide, Community-wide

• physical, speech and occupational therapies;

In addition to hospital-based, inpatient services, existing outpatient physical rehabilitation services are available in Tulsa near the Saint Francis Hospital campus, at Saint Francis Broken Arrow, Saint Francis Hospital Vinita and the Grand Lake area.

• neurological rehabilitation services;

New Saint Francis Physical Medicine and Rehabilitation sites that have opened this fall include the following locations: Glenpool 140 West 151st Street South, Suite 201 (located at the new Saint Francis Glenpool campus) 918-321-7480 Owasso 11560 North 135th East Avenue (located near 116th Street North and Highway 20) 918-502-2721 Sand Springs 235 South Adams Road 918-502-2701

• rehabilitation for sports injuries; • recovery from bone fractures; • orthopedic rehabilitation; and • post-surgical care following hip or knee replacement.

“Physical medicine and rehabilitation can do so much to help patients feel better and enjoy a much higher, more active quality of life,” said Marilynn Bartel, vice president of ancillary services for Saint Francis Health System. “With the opening of the new Saint Francis Physical Medicine and Rehabilitation location in Sand Springs, as well as in Owasso and Glenpool, we are pleased to provide these services in these growing communities making it a bit easier for patients and families to access the healthcare they need closer to home.”

To learn more about any of the rehabilitation services available within Saint Francis Health System, or to schedule an appointment at any outpatient location in the area, please call 918-488-6688.

Like at each new Saint Francis facility location, blessing ceremonies were recently held to open the new Saint Francis Physical Medicine and Rehabilitation locations in Sand Springs and Owasso. Pictured are Sister Mary Benedicta Maier; Debbi Beichler, supervisor; Don Delozier, manager, outpatient physical medicine; Father Todd Nance, St. Patrick Catholic Church, Sand Springs; Marilynn Bartel, vice president, ancillary services; Kristin Fiske, manager; Sister Maria Anata Rossi.

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THE HEART HOSPITAL AT SAINT FRANCIS ACHIEVES SIGNIFICANT MILESTONE WITH THE

500th TAVR Procedure Transcatheter Aortic Valve Replacement

Medical experts often say that cardiology is one of the most quickly evolving clinical specialties today. With the ongoing addition of new technologies, procedures and surgical methods currently being researched, tested and introduced at hospitals, physicians and patients are gaining access to even more state-of-the-art care.

Doug Ensley, M.D., Warren Clinic Cardiology of Tulsa

One of those landmark procedures, called Transcatheter Aortic Valve Replacement, or TAVR, is significant for so many patients, as it is a non-surgical alternative for those who previously were ineligible for open-heart surgery. And thanks to the amazing clinical team at the Heart Hospital at Saint Francis, it recently reached the momentous milestone of performing its 500th TAVR procedure.

“This is a very exciting milestone. I like to tell patients that what we do here is much like a

choreographed dance,” says cardiologist Dr. Doug Ensley. “Achieving this milestone is a testament to our entire team’s commitment to providing quality care and dedication to serving our patients. Due to their hard work, we have seen Saint Francis’ TAVR program grow exponentially since we began offering it in 2012—and more importantly, seeing patients with an opportunity to enjoy a better quality of life.”

In addition to cardiologists, other TAVR team members include cardiac surgeons; cardiac nurses; anesthesiologists; heart valve coordinators; echocardiography (ECHO) specialists—those who use high frequency sound waves to create an image of the heart in motion; and catheterization (CATH)— lab technicians who study blood flow and pressure in the heart.

These are exciting times in the world of cardiology!

Dr. Doug Ensley

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TAVR: New Hope for Those Suffering from Aortic Stenosis Approved by the U.S. Food and Drug Administration (FDA) in 2011, TAVR is a minimally invasive, catheter-based valve replacement procedure that offers an alternative to traditional, open-chest surgery for patients with aortic stenosis, a condition that causes narrowing of the aortic valve and obstruction of blood flow to the heart.

According to the American Heart Association (AHA), aortic stenosis is one of the most common and serious valve diseases with approximately 2.5 million people affected in the U.S. This condition, which is most common in those aged 70 and up, may cause several different symptoms—however, it’s important to understand heart valve disease may occur without outward symptoms. Most commonly, aortic stenosis causes congestive heart failure with shortness of breath and fluid retention. It may also cause episodes of chest pain, fatigue, difficulty when exercising, feeling faint or fainting.

How Does TAVR Work?

During the TAVR procedure, catheters (or hollow tubes) are used to place a new valve inside the heart instead of opening the chest. Doctors make a small opening in the artery—either from the groin or chest area—and thread the catheter and the new valve into the proper position.

At this time, the FDA has approved the TAVR procedure for those whom an open heart procedure poses intermediate risk.

For that reason, most people who have this procedure are in their 70s or 80s, and often have other medical conditions that make them a better candidate for this type of surgery.

TAVR can be an effective option to improve quality of life in patients who otherwise have limited choices for repair of their

aortic valve. “Now we can perform many procedures less invasively,” says Dr. Sanjeev Trehan. “TAVR has made it possible for even the frailest patients to be considered for treatments to improve their overall heart function.”

Revolutionizing the Treatment for Aortic Stenosis Since TAVR first received FDA approval in the states in 2011, its impact on those suffering from aortic stenosis—and on the field of structural cardiology in general—has been remarkable. As the Heart Hospital’s interventional cardiologists and cardiac surgeons have used new and improved valve technology, smaller implantation devices and moderate sedation techniques have also come into play to improve patient outcomes and allow for a quicker recovery.

Sanjeev Trehan, M.D., Warren Clinic Cardiology

“TAVR was the ‘new kid on the block’ when it first became available. But, now I can’t resist likening it to historic moments such as ‘Neil Armstrong stepping off the lunar module’. These are exciting times in the world of cardiology!” Dr. Ensley says. “It’s mind-boggling to think a procedure that’s been around for a relatively short period of time is predicted to outnumber the procedures we’ve been doing for the past 40 years within the next five to 10 years. It has been very gratifying to see how it has improved the lives of so many.”

A Breeze!

It is apparent cardiologists aren’t the only ones who are elated about the advent of TAVR. Patients seem to be very pleased about it, as well—and are more than happy to share their experiences.

Ninety-year-old, Robert Nabozny, who underwent TAVR surgery at the Heart Hospital at Saint Francis last July—calls his TAVR procedure “a breeze.” “I’ll tell you

TAVR is just the first of many options to treat valve disease...

We are looking forward to what’s ahead for patients.

Dr. Sanjeev Trehan

Saint Francis Health System

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what—nobody was as surprised as I was that the surgery and recovery were so easy. There was no pain and I only spent one night in the hospital. Looking back, I’m still marveling at how easy it was. I’m feeling great now and am so thankful to all—the doctors and nurses—everybody was outstanding.”

Donald Shoemaker, who is 87 years young, had a similar experience. "I had TAVR surgery in August and can honestly say, it was one of the—if not the—best surgical experiences I’ve ever had—and believe me, I’ve had many!” Shoemaker says. “I stayed

two nights, only because I’m diabetic and they had to be extra careful. Everything went very smoothly and I just can’t say enough about the staff. Everyone was so encouraging, informative and kind. I feel really good now and am so thankful to live in a day and age when this amazing technology is available for people like me.”

ahead in addition to a number of other new, less-invasive treatments for cardiac patients. “TAVR is just the first of many options to treat valve disease and our next frontier is treatment for mitral valve disease.

We are looking forward to what’s ahead for patients,” Trehan says. “And for all of us at the Heart Hospital, it doesn’t get much better than that.”

In the Days to Come

For more information about the TAVR procedure at the Heart Hospital at Saint Francis, visit saintfrancis.com/hearthospital or call 918-494-2464.

From the look of things, the staff at the Heart Hospital at Saint Francis has at the very least, another 500 TAVR procedures

Transcatheter Aortic Valve Replacement Changing the Face of Treatment for Patients with Aortic Stenosis

Aortic stenosis (AS) is one of the most common and most serious valve disease problems.

The symptoms of AS are commonly misunderstood by patients as ‘normal’ signs of aging.

75+

COMMON SYMPTOMS INCLUDE Fainting Breathlessness

With AS, the opening of the aortic heart valve narrows. As a result, the heart needs t o work harder and may not pump enough oxygen-rich blood to the body.

Over time, there are two common problems that can develop with a surgical heart valve; stenosis, when your valve is narrowed and does not completely open due to causes such as a build-up of calcium or high cholesterol; and regurgitation, when your surgical valve does not fully close and allows blood to leak backwards through the valve. Patients who feel sick from a failing aortic surgical heart valve and who are at high or greater risk for open heart surgery can benefit from transcatheter aortic valve replacement.

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Chest pain, pressure or tightness

Approximately 2.5 million people in the U.S. 75 years or older suffer from AS.

STEP 1

Decline in activity level or reduced ability to do routine physical activities

STEP 2

STEP 3

WARREN CLINIC URGENT CARE

Save time.

Schedule online.

For sudden illnesses, minor injuries and after-hours care that can’t wait, visit the convenient Warren Clinic Urgent Care near you.

Monday – Friday: 8 a.m. to 8 p.m. (all locations) Saturday: 8 a.m. to 8 p.m. (Springer location only) 10 a.m. to 6 p.m. (all other locations) Sunday: 10 a.m. to 6 p.m. (all locations)

TULSA Springer Building 6160 South Yale Avenue

Tulsa Hills 7858 South Olympia Avenue

South Memorial 10506 South Memorial Drive

Online scheduling is available at warrenclinic.com/urgentcare.

For additional information, call 918-488-6688.

SAND SPRINGS 102 South Main Street

BROKEN ARROW Elm Place 2950 South Elm Place, Suite 120 (101st Street and Elm Place)

Kenosha 1801 East Kenosha Street (71st Street and OK-51) warrenclinic.com/urgentcare

Saint Francis Hospice Supports Those Mourning a Loss The new year and celebrations that come with it are a time when families gather to enjoy cherished activities.

Yet, for those who have lost a loved one, this time can trigger an onslaught of sadness, loneliness and despair.

Celebrations and holidays are a time when everyone is supposed to be happy and lighthearted. But, for those who are grieving, it’s often hard to face these events and observe traditions as in years past.

Facing the “Firsts” For anyone who has lost someone within the past year, there are an entire set of “firsts”—like a “first” without their dad at the family meal, or a ‘first’ without their mother providing her signature flourish on wrapping gifts.

“Navigating the various holidays can be really tough since memories and traditions remind us of our loss,” says Kyle Terry, director of Saint Francis Hospice. “The message we want to convey is that people needn’t go it alone.

I’m very proud to be part Saint Francis Hospice and our close-knit team can provide professional support to those who have recently lost a loved one.”

Since the recent death of his father, Terry and his family find themselves on the other side of the fence this year. “As my family faces our own set of ‘firsts,’ we will also be looking for support.

After all, I have firsthand knowledge of this team’s level of commitment— and its depth of compassion. I know the tools they provide and the loving support they offer truly helps people cope. So, on a personal level, I’m grateful to have Saint Francis Hospice help us—as it does so many other families,” he says.

No Right or Wrong When a family experiences a loss, one person’s perceptions and expectations can be very different from another’s.

“There’s no right or wrong way to grieve. Each of us deals with loss in our own unique way,” says Cathy Haguewood, chaplain for the Saint Francis Hospice program. “It is

so important for people to give themselves permission to grieve in their own way—while also keeping the lines of communication open to better understand the perceptions and feelings of others. We encourage people to practice honest, open communication. Tell people what you want to do for family celebrations, as well as what you do not want to do.”

Individualized Support Just as everyone’s expression of grief differs, so too does their response to treatment and support. “We understand some people may not feel comfortable sharing their feelings with a group—and, that’s okay,” says Jess Barr, grief and bereavement coordinator. “Since everyone’s response is different, we work with each individual to determine a plan that resonates with them. They each have a ‘say’ in creating a care plan that is as

“At Saint Francis Hospice, we are committed to treating people with the same dignity and compassion they receive when they enter this world, as when they leave it.”

–Kyle Terry, Saint Francis Hospice director

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unique as they are—and one with which they are completely comfortable.”

Tips for managing grief include: • Protect and be gentle with yourself.

• Don’t feel compelled to partake in all activities ­– only do things that feel right and serve your soul and your loss.

• Don’t repress your feelings – it is okay to admit you are struggling with your grief.

• Allow others to help – there are certain times when we all need a helping hand.

• In times of loss, be sure to pay extra attention to the children – children are too often the forgotten grievers.

• Don’t hesitate to seek professional help – if you are finding it difficult to manage your grief on a day-to-day basis, don’t hesitate to seek professional help.

Year-Round Support The Saint Francis Hospice team focuses on providing bereavement support throughout the entire year.

“We pinpoint when triggers may occur— such as Mother’s Day, Father’s Day, birthdays and anniversaries—and make sure we offer support and services for those who have lost loved ones,” Terry says. “Our experience has been that people seem to really appreciate having the opportunity to gather, acknowledge and remember someone dear to them.”

Please remember, loving support is yours for the asking. Simply call Saint Francis Hospice at 918-494-6465 to learn more about the services and programs that can help provide solace through any time of the year.

About Saint Francis Hospice Saint Francis Hospice provides the comfort and supportive care needed by patients and their families. The primary focus of hospice care is to offer expertise in controlling the patient's pain and/or other physical symptoms while the patient remains in his or her home environment.

Additional Resources in the Community: Saint Francis Hospice partners with local community organizations to connect individuals and/or families with additional grief support services.

Grief Share hosts several support groups throughout the Tulsa area to assist individuals and families with grief support. To learn more and find a gathering in the community, please visit griefshare.org.

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As in years past, the upcoming Health and Wellness Expo will provide a fantastic opportunity to sample everything Health Zone at Saint Francis has to offer. The event is free and open to the public and will include fitness classes, cooking classes, free health screenings and wellness education.

Health and Wellness Expo Specials Include: $0 guest fees all day.

HEALTH AND WELLNESS EXPO 2019 Free health screenings, wellness presentations, class samples and more!

WHEN

Saturday, January 12, 2019 9:00 a.m. to 1:00 p.m.

WHERE

Health Zone at Saint Francis 5353 East 68th Street

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Members receive a $20 Zone Rewards Card for each guest who joins during the Expo, PLUS one month free membership.

Guests who join that day pay $0 joining fee AND pay $0 monthly membership dues for the rest of January. $0 joining fee January 5 – 12, 2019.

Health Zone Features and Services: 70,000 square-foot fitness facility Full schedule of classes Premier cardio, weight training and strength equipment A dedicated Pilates equipment studio Boot camp, suspension training and CrossFit Two indoor saltwater pools Year-round swimming lessons Indoor cycling Zumba, barre and yoga Basketball and racquetball Aqua Stand Up® Massage services Weight loss and life balance classes Locker rooms with steam room, sauna and towel service Parents’ night out Annual kids’ triathlon Cooking classes for kids and adults Kids Zone activity center Indoor walking track Grab-and-go deli with smoothies, wraps and sandwiches Summer programs for kids and teens

Health Zone Now Has Aqua Stand Up

®

Health Zone at Saint Francis is pleased to offer Aqua Stand Up® USA, a new small group aquatic program choreographed to music and inspired by stand up paddle boarding. It is a safe, fun and efficient workout accessible to all ages. Principles such as HITT, Pilates, yoga and muscular conditioning are used.

Orientation: Members are encouraged to partake in a one-time, complementary introduction to Aqua Stand Up. Registration: Sign up at the Member Services Desk or on the Health Zone mobile app. Space is limited.

Rates: Walk-in session:

Members $15.00

Non-members $25.00

Packages (members only): 4 sessions for $50.00 8 sessions for $80.00

Reservation Policy: Our Aqua Stand Up staff strives to accommodate as many members as possible. If you need to cancel your session, please do so before 5:00 p.m. on the day prior to your scheduled time. If you are unable to cancel in advance, there will be a reservation fee equal to 50 percent of the session fee charged.

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6161 South Yale Avenue • Tulsa, Oklahoma 74136

a publication of Saint Francis Health System

MISSION

To extend the presence and healing ministry of Christ in all we do

VISION

Saint Francis Health System will be the leading integrated Catholic healthcare system providing high quality, comprehensive and innovative care across our regional continuum of services.

VALUES EXCELLENCE Promoting high standards of service and performance DIGNITY Respecting each person as an inherently valuable member of the human community and as a unique expression of life JUSTICE Advocating for systems and structures that are attuned to the needs of the vulnerable and disadvantaged and that promote a sense of community among all persons INTEGRITY Encouraging honesty, consistency and predictability in all relationships STEWARDSHIP Ensuring prudent use of talents and resources in a collaborative manner

SAINT FRANCIS HOSPITAL | THE CHILDREN’S HOSPITAL AT SAINT FRANCIS | WARREN CLINIC | HEART HOSPITAL AT SAINT FRANCIS | SAINT FRANCIS HOSPITAL SOUTH | LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL SAINT FRANCIS HOSPITAL MUSKOGEE | SAINT FRANCIS HOSPITAL VINITA | SAINT FRANCIS BROKEN ARROW | SAINT FRANCIS CANCER CENTER | SAINT FRANCIS HOME CARE COMPANIES | SAINT FRANCIS GLENPOOL

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