News for South County Health Medical Staff
OPIOID SPARING PATHWAY:
A NON-NARCOTIC APPROACH TO PAIN MANAGEMENT Drs. Henry Cabrera and Michael Bradley ease pain without opioid side-effects at the South County Health Orthopedics Center
here are very few societal issues that have caught widespread attention more than the opioid crisis. For years, opioid-based drugs have been administered to patients during and after surgery for their effectiveness in eliminating pain. But the negative effects of these drugs, pharmaceutical derivatives of heroin, can range from nausea to dependency. In an effort to combat the opioid crisis, two members of the South County Health medical staff, anesthesiologist, Henry Cabrera, MD, and orthopedic surgeon, Michael Bradley, MD, have acknowledged the problem and are doing something about it, without sacrificing patients’ outcomes or experience.
Dr. Michael Bradley, left, and Dr. Henry Cabrera, take a non-opioid approach to pain management.
“The pendulum has swung,” Dr. Bradley said. “We’re not loading people up with narcotics to eliminate pain. We’re having them understand that you will have some pain and we’ll help you get through it.” Drs. Cabrera and Bradley recently collaborated on an opioid sparing pathway to minimize, or in some cases eliminate, opioid use for orthopedic surgical patients.
“Our goal is to get patients out of the hospital sooner and healthier, without the negative side effects of these drugs,” Dr. Cabrera said. “For years we were trained to use narcotics to get patients’ pain scores down to zero. Anything above a four was unacceptable. To follow the opioid sparing pathway as it is intended, medical staff and patients need to recognize and accept that there will be some pain. It’s a complete cultural change.” The physicians describe opioid sparing as a four-part pathway, “a multi-modal attack on pain.” Green Line Apothecary, a local, independent pharmacy in Wakefield is participating in the initiative. Three days prior to surgery, patients can go to Green Line Apothecary to obtain a blister pack of pre-ordered medication. Each pack contains an analgesic such as Tylenol, an antiinflammatory medication, gabapentin (a neuropathic pain pill), and a narcotic. The pack also contains a blood clotting medication, unrelated to pain. “We never used to start treating before the surgery happens. Part of the theory behind this is that we reduce any inflammatory processes that occur by treating it before it actually happens,” Dr. Cabrera said.
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IN THIS ISSUE Opioid sparing pathway for surgical patients Q&A with general surgeon Matthew Jones, MD Welcome New Med Staff Make routine screenings part of patient care Staff News & Opportunities Do Good, Feel Good Hospital News Getaway Of Interest Health eCooking Med Staff Calendar
Opioid sparing continued from page 1 The intra-operative section, which effects patients during surgery, has been addressed with the use of a spinal anesthetic as opposed to a general anesthetic. “We do nerve blocks whenever possible. That decreases the amount of narcotics patients would need afterwards,” Dr. Cabrera said. The post-operative part of the pathway addresses the types of drugs given between the time a patient is discharged from the recovery room and then discharged from the hospital. When appropriate for the patient, pain is controlled mainly with non-narcotic options. This helps to reduce nausea, constipation, and other adverse side effects of painkilling narcotics that delay recovery. The physicians recently added a fourth part, postdischarge, to address a patient’s comfort from the last day in the hospital to about a week afterwards.
Christina Procaccianti, Green Line Apothecary owner and pharmacist, holds one of the custom blister packs given to patients prior to surgery.
A new mindset The pathway was rolled out in December 2017. The South County Health Orthopedics Center was used to introduce the initiative, given the volume of patients who receive hip and knee surgeries at South County Hospital. To date, approximately 200 patients have benefitted from the method. Some of the orthopedic patients who have undergone recent surgery using the opioid sparing pathway, were given narcotics for pain during previous surgeries. At South County Health, this process change has already begun with re-education and a new mindset for physicians, nurses, and patients, Dr. Cabrera said. Representatives from nursing, pharmacy, performance improvement, physical therapy, and home health - key services for the orthopedics center - meet regularly to ensure that the pathway is effectively used. “If the level of pain begins to compromise patient success, we’ll reassess the pathway used for that patient and change as necessary,” Dr. Bradley said. “Anecdotally, a couple of people have called with concerns about how much pain they are in, but it looks like our pain scores are not going up, and people are getting out of the hospital quicker.” Building on the pathway’s success While the pathway was originally intended for use in orthopedic patients, Dr. Cabrera adapted the pathway to be used in other surgical specialties. It is believed that no other hospitals in New England have addressed the opioid crisis and narcotic use to this scale. “There was no model for administering non-opioid options for pain relief with surgical patients. We had to create our own,” Dr. Cabrera said. “This is really changing the way we look at perioperative pain. I haven’t seen it to this scale. It’s no longer ‘what’s your pain, here’s your pill’ mindset, but ‘how can we help you’. Ice, relaxation techniques, Reiki – whatever works, we try it,” Dr. Bradley said. The opioid sparing pathway is designed to be the default in post-operative pain management, understanding that narcotics will continue to play a role in patient care when necessary. In March or April, the first quarter results of admitted patients will be available. Discharged patients who are rehabilitating at home are surveyed at intervals of six weeks, three months, and six months. Those results will also be factored into the measure of success. “It’s successful already because it’s changing the way people think, and it’s addressing and acknowledging the opioid crisis,” Dr. Bradley said.
MEDICAL STAFF OFFICERS Medical Staff President Aaron Weisbord, MD 401-471-6440
Vice President Sal Abbruzzese, Jr., DO 401-788-1590
DEPARTMENT CHIEFS Anesthesiology Henry Cabrera, MD
Diagnostic Imaging James Blechman, MD
Emergency Medicine William Sabina, MD
Medicine Stuart Demirs, MD
Family Medicine Dariusz Kostrzewa, MD OB/GYN Steven Schneider, MD
Pathology/Laboratory James Carlsten, MD
Pediatrics Roger Fazio, MD
Orthopedic Surgery Michael Bradley, MD firstname.lastname@example.org
Surgery Arnold Sarazen, MD
MEET OUR PHYSICIANS
Q&A WITH MATTHEW JONES, MD Experience and vision to improve patient care.
eneral surgeon Matthew Jones, MD joined South County Surgery in 2011. The board certified physician began practicing medicine in 1998 after graduating from Eastern Virginia Medical School in Norfolk, VA, and completing a residency in general surgery at Berkshire Medical Center in Pittsfield, MA. Over the course of his career, Dr. Jones has established a reputation of thoroughness and compassion for his patients, becoming highly sought after by new and former patients who value his consults and second opinions. Matthew Jones, MD
After a 13-year career as a physician, what motivated you to join the medical staff at South County Health? I decided to move to South County to work at South County Health back in 2011. South County Health is highly respected in the community and throughout the state of Rhode Island. I was excited to work for such a reputable healthcare system. My family and I also enjoy sailing as much as possible during the summertime and we really looked forward to being part of this sailing community. How does the interdisciplinary model of care used at South County Health impact your interactions with patients? The interdisciplinary model allows me to have the assistance from, and knowledge of, many other medical specialties close at hand. When necessary, colleagues in other specialties can provide consultation quickly, allowing me to provide better care to my patients, and in a more timely fashion. I also enjoy the expertise and camaraderie of my fellow physicians. How have patient outcomes improved from the time you began practicing medicine until now? There have been several improvements to patient outcomes including less pain for the patients, shorter hospital stays, and minimal incision length at the surgical site. These improvements are the result of technology, including doing many open type of surgical procedures laparoscopically; and instituting protocols that can dramatically decrease complications, such as giving patients antibiotics before surgery, removing Foley catheter in a timely fashion, getting patients ambulating sooner, and other initiatives that improve patient care.
What changes and/or improvements in surgical capabilities do you see on the horizon? One of the improvements or changes we see includes initiating a new protocol for bowel surgery patients that will help them to start eating sooner after surgery. This will allow them to spend less time in the hospital and get home earlier. We are currently in the process of initiating this new protocol and hopefully within the next few months we will see our patients enjoying the benefits. We are also considering the purchase of a daVinci robot. This device would allow us to do advanced abdominal surgeries here at South County Hospital. I look forward to the opportunity to use this robotic technology in general surgery. What do you consider to be your areas of expertise in surgical procedures? As a general surgeon I do a wide variety of surgeries from removing skin cancers, breast cancer, colon cancer and even hernia surgeries. I enjoy immensely doing abdominal surgery, including bowel resections for colon cancer, laparoscopic gallbladder removals, and hernia repair. What do you do to relieve the stress that is inherent as a surgeon? One of the most important ways to relieve stress as a surgeon is to make sure that your patients have excellent outcomes and positive experiences. Nothing is more satisfying then seeing a patient who is happy with the care that I, and the staff South County Hospital, provided.
Matthew Jones, MD, is part of South County Surgery. His primary office is located in the Medical Office Building of South County Hospital, 70 Kenyon Ave., Suite 325, Wakefield, RI. Dr. Jones also sees patients at the South County Health Medical & Wellness Center in East Greenwich, 3461 South County Trail (Rt. 2), Suite 201. He can be reach for more information or to schedule an appointment at either location by calling 401-284-1212.
A PHYSICIAN’S FOCUS
ROUTINE SCREENINGS ARE IMPORTANT FOR THE HEALTH OF YOUR PATIENTS
outine screenings are an important part of primary care. With the prevalence of cancer, there are several types to be aware of, and precautions to take. If cancer develops, early detection and treatment can greatly increase a person’s chance of survival. Below, medical oncologist/hematologist Tina Rizack, MD, MPH, of the South County Health Cancer Center, offers some important facts to ensure physicians are proactive in keeping patients cancer free. Dr. Tina Rizack Some cancer screening facts to consider: 1. Early detection saves lives and makes treatment more responsive. 2. Age is not the only factor used to determine when to stop screening. Other factors such as: • • • • •
life expectancy prior results type of cancer being screened for risk factors treatment for a positive test
In general, if life expectancy is 10 years or longer and the patient is in good health, screening is recommended, especially for breast and prostate cancers. 3. Treatment of breast cancer, even in an elderly patient, can be very tolerable. Yearly mammograms are recommended by the majority of guidelines as long as life expectancy is 10 years or more. Access CDC life expectancy tables. 4. Pap smear guidelines have changed, allowing less frequency for the benefit of the patient.
5. For patients who are reluctant to undergo a colonoscopy procedure, they should consider yearly guiac-based fecal occult blood tests, yearly fecal immunochemical test (FIT) or stool DNA test (sDNA) every 3 years to screen for colon cancer. NOTE: a positive screening test should lead to referral for colonoscopy. 6. Vaginal bleeding in postmenopausal women is never normal. Immediate referral to gynecology is warranted. 7. Smokers should be screened annually with a low-dose helical CT scan (LDCT). Screening criteria is: • • • •
ages 55 to 74 at least 30 pack year history current smokers or quit in last 15 years good health
Patients can be referred to South County Health Diagnostic Imaging for a LDCT scan. 8. The American Cancer Society provides screening guidelines with recommendations for early detection of cancer in average-risk asymptomatic adults. 9. Unsure what to do with results? Call the South County Health Cancer Center at 401-783-6670. 10. Please confirm that the patient will act on a positive test before you send the results. Dr. Rizack and other members of the South County Health Cancer Center staff can be reached by calling 401-783-6670.
Please note: Dr. Weisbord’s column and Dr. Corcoran’s column will return in next month’s Physician Focus.
WELCOME TO SOUTH COUNTY HEALTH The following professionals were recently appointed to the South County Health Medical Staff
JESSICA L. BRANDT, PA-C (Emergency Department)
Jessica L. Brandt joined the South County Hospital Emergency Department where she will provide care through TeamHealth. Jessica received a master of health sciences from Quinnipiac University, gaining clinical and professional experience in a variety of healthcare settings.
EMILY FAILS, NP
Emily Fails, who has been employed by South County Hospital as a registered nurse since 2014, was approved to the medical staff as a nurse practitioner assigned to the hospitalist department. She received her master of science in nursing as a family nurse practitioner and her bachelor of science in nursing from Salve Regina University.
Physician wanted: Rewarding family medicine opportunity at South County Health South County Health has a full-time opportunity for a board-certified, Family Medicine physician within the South County Medical Group. As a member of the South County Health medical staff, you will be aligned with the only hospital in Rhode Island to receive two 5-Star ratings from the Centers for Medicare and Medicaid – Hospital Quality and Patient Satisfaction - as well as numerous recognitions for healthcare excellence. We are a community healthcare system. Quality of care and the patient experience are our highest priorities. If you are a primary care physician who provides exceptional care in family medicine, this may be the perfect fit for you. Some of the benefits of South County Health: • Hospital employed • Patient centered medical home model • Customized, flexible schedule (four 10 hour days or five 8 hour days) • Work in a collaborative environment with three collegial physicians • Extensive specialist referral network • Beautiful clinic space with modern, comprehensive diagnostic services • South County Hospital is 10 minutes away for acute care needs To learn more about South County Health, this opportunity and to apply for the Family Medicine physician vacancy, visit the provider opportunity page of our website. View all the positions available at South County Health.
STAFF NEWS, ACHIEVEMENTS & OPPORTUNITIES
CONRAD - NESTOR SCHOLARSHIP Applications due by April 15, 2018
n 1999, David Chronley, MD, created the ConradNestor Scholarship in honor of two “country doctors” at South County Hospital. Robert L. Conrad, MD, was a general surgeon on staff from 1965 to 2000. 2017 scholarship recipients He was instrumental in improving the facilities, staff, and patient care at South County Hospital. He served as both president of the Medical Staff and Chief of Surgery. During his tenure he established the first EMT training in the state, the first radio communication between SCH and the rescue squads, and the first FAA-approved hospital heliport in New England. Thomas A. Nestor, MD, a surgeon and family doctor, was on staff at SCH from 1946 to 1986 and was known for his formidable schedule and compassion for his patients. He made house calls until his retirement. Serving as a Major in WWII Parachute Infantry, Dr. Nestor made numerous jumps under fire to care for wounded soldiers on the battlefields of the South Pacific. The Conrad-Nestor scholarships will be awarded to students who are entering post-secondary training and who demonstrate a combination of academic achievement and financial need.
SELECTION CRITERIA To qualify, applicants must meet the following criteria: • • • •
Be a graduating high school senior and resident of Rhode Island. Be accepted into an accredited, post-secondary institution. Be able to demonstrate financial need and academic accomplishment. Be a child/grandchild/dependent of a current South County Health employee.
APPLICATION REQUIREMENTS • A completed application form. • One essay (300 words or less) why the applicant should be considered for this scholarship. • The student’s most recent official high school transcript. • One letter of recommendation, completed by a representative of an organization or employer for whom the student has worked or volunteered, describing service to the organization. • One letter of recommendation from a teacher or guidance counselor. • A copy of the final Student Aid report. DEADLINE The Scholarship Committee must receive applications by April 15. Grants will be made on an objective, nondiscriminating basis.
CME OPPORTUNITIES Symposium on Emergency Medicine
(Up to 20.00 AMA PRA Category 1 Credits) March 26 - 30, 2018 Grand Hyatt Kauai Resort & Spa, Koloa, HI Subject matter will include a review of current topics and advances in critical care, emergency cardiovascular and neurologic medicine, shock states, emergency pediatrics, ophthalmologic, pain management, trauma, and the application of design thinking in emergency medicine.
Pain Management & Addiction Medicine for Primary Care (See website for credit information) April 20 - 22, 2018 Savannah, Georgia - Hyatt Regency This conference is designed to provide primary care practitioners with up-to-date, evidence-based information commonly encountered in neurology and pain management medical issues, while suggesting pragmatic approaches to clinical management.
DO GOOD, FEEL GOOD
“You have not lived today until you have done something for someone who can never repay you.” - John Bunyan
A legacy of community spirit remains at “her hospital.”
he Frances McGillivray Tribute Campaign quickly became a South County Health institution when it was introduced in 2013. The woman for whom the Tribute is named was, herself, a South County Health institution.
Frances McGillivray, affectionately known as “Nonnie,” was born at South County Hospital in 1935. Kind and caring, she was Frances McGillivray known throughout the South County community where she grew up and raised a family of her own. As years passed, Frances became a beloved volunteer at South County Hospital and member of the cardiopulmonary center. The McGillivray family is deeply rooted in South County Hospital and has made significant contributions to the Hospital’s community spirit and culture. Two of her three sons, Hugh “Mac” and Bobby, work at the Hospital. The McGillivray family is honored that this event is named after their mother, and each year a member of the family makes a special presentation to the honoree(s) of the year. “She considered the South County Hospital staff an extension of her own family,” her son, Bobby, said. “We share our mother’s passion and commitment to the Hospital. She used to refer to this hospital as her hospital. Everyone should feel like this is ‘their’ hospital.” Funds from the Frances McGillivray Tribute Reception benefit Cardiopulmonary Rehabilitation Services. For a $100 donation, you can add the name of a loved one to the Frances McGillivray Tribute plaque that is displayed in the Hospital lobby for the year.
South County Hospital’s rehabilitation facility is one of the most comprehensive cardiopulmonary rehabilitation centers in Rhode Island. A board-certified cardiologist oversees our programs, which are conducted at South County Hospital’s Cardiopulmonary Wellness & Fitness Center, a state-of-the-art facility. When you make a gift of $100 or more in honor or memory of a loved one, their name will be featured on the Frances McGillivray Tribute wall plaque. The Plaque is renewed each April. To make a gift, whether in a tribute amount or other, contact the South County Health Fund Development office by e-mail or phone, 401-788-1492 (ext. 1492).
Is your department or practice raising money to help the South County Health community? Let us know so you will be recognized. Contact Christine Foisy, development coordinator at 401-788-1492 or email@example.com.
HOSPITAL & INDUSTRY NEWS
WASHINGTON COUNTY GAINS/LOSES GROUND IN COMMUNITY HEALTH MEASURES
ccording to the recently published 2018 County Health Rankings, Washington County slipped in rank with regard to health outcomes, while gaining in rank for health factors. In 2017, Washington County was the second best county in Rhode Island, behind Bristol County, in health outcomes. Health outcomes represent measures of how long people live and how healthy people feel. Length of life is measured by premature death (before age 75) and quality of life based on self-assessment. In 2018, Washington County ranked third. In the category of health factors, representing focus areas that drive how long and how well people live, Washington County improved its ranking to second, after ranking third in 2017. These improvements are based on behaviors such as tobacco use, diet and exercise, alcohol and drug use, sexual activity, access to clinical care and the quality of that care, social and economic factors, including education, employment, income and support of family and community, as well as physical environment â€“ air and water quality, housing and transportation.
The County Health Rankings & Roadmaps Year-to-Year Comparison
Health Outcomes by county
2018 1 Bristol 2 Newport 3 Washington 4 Kent
2017 1 Bristol 2 Washington 3 Newport 4 Kent
South County Health is a leader in community health, participating in such initiatives as the Community Needs Assessment, supporting programs such as Healthy Bodies Healthy Minds, and working to address the needs of high risk patients through South County Healthâ€™s Community Health Team.
By aligning community health activates with local and statewide priorities, South County Health is taking a comprehensive approach to addressing the most urgent physical and behavioral health needs in the community, adjust programming and services to meet those changing needs.
2018 1 Bristol 2 Washington 3 Newport 4 Kent
2017 1 Bristol 2 Newport 3 Washington 4 Kent
For the health of the community The County Health Rankings & Roadmaps program is a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute. The rankings are meant to provide a starting point for change in communities to promote healthier lives.
Health Factors by county
Fulfill your Olympic dreams with a getaway to ...
Among the summer activities, visitors can take an extreme tube ride down the 90 meter ski jump, reaching speeds of 50 mph, as well as enjoy the features of the Olympic Village and the surrounding Adirondack area.
f the 2018 Winter Olympic Games sparked the athlete in you, but a visit to PyeongChang, South Korea didn’t fit into your schedule, you can still get the Olympic experience with a visit to Lake Placid, NY. Lake Placid played host to two winter Olympic Games – 1932 and 1980. It was during the 1980 Games that speed skater, Eric Heiden, earned five gold medals for the US, breaking five Olympic records and one world record. Lake Placid was also etched into Olympic history when the United States Men’s Ice Hockey Team took a stunning victory over the Soviet Union, inspiring the movie “Miracle on Ice.”
Where to stay The area surrounding Lake Placid’s Whiteface Mountain, including Wilmington, Saranac Lake, Keene Valley, and Upper Jay, offers a variety of accommodations. From resort hotels to B&Bs, couples and families have numerous options for a memorable stay.
Many of the structures built to host the 1980 Olympic Games remain in Lake Placid, with some of them used as museums or as training facilities for future Olympians. For the adventurous, Lake Placid offers visitors the chance to experience the thrill of an Olympian, in a recreational sense. Activities Located in New York’s Adirondacks, Lake Placid provides a variety of winter activities, as well as an outdoor escape for warm weather fun. Visitors to Lake Placid can get first-hand experience of some of the competitive events played at the Winter Olympics, even in the summertime. Rides in the four-man bobsled and participating in the biathlon event are offered in the winter and summer. Adventurous riders can slide on the one-man bobsled, but only during the winter months.
Getting there Lake Placid is approximately 300 miles from Providence, RI, situated in Upstate New York, west of Vermont. By car, the drive takes approximately five hours, whether you choose to travel route 90 through western Massachusetts before heading north on route 87 in New York, or take route 95 through Boston and route 89 through New Hampshire and Vermont.
March 30 is ... National Doctors’ Day
COMING UP ... March 2018 20th - Back Pain 6:30 - 8 pm - Greenville Public Library Orthopedic spine surgeon, Ian Madom, MD, discusses some of the common causes of back pain and the surgical and non-surgical treatments for relief. FREE 27th - Hand Pain: Symptoms, Causes & Treatments 6:30 - 8 pm - Medical & Wellness Center Westerly Dr. Ben Phillips, hand surgeon, will provide information on available options to relieve hand pain. FREE
April 5th - Men’s Health Night 6 - 9 pm - Richard’s Pub, East Greenwich South County Health’s 10th Annual Men’s Health Night features a buffet dinner, raffles, and presentations by South County Health medical staff, Dr. Ian Madom (Back Pain), Dr. Mark Zullo (Preventative Care), and Dr. Peter Bellafiore (Brain Health). FREE (Limited seating)
National Doctors’ Day is celebrated to recognize the contributions that physicians make to improve individual lives and communities. Join your colleagues at one of the South County Health events on Friday, March 30, 2018. 7 – 9 am South County Hospital Potter Conference Center Noon - 1 pm South County Health Medical & Wellness Center East Greenwich 2nd Floor Lunch Room Noon - 1 pm South County Health Medical & Wellness Center Westerly - 2nd Floor Lunch Room RSVP by March 28 to Michelle Bailey 401-788-1398
11th - Back Pain 6:30 - 8 pm - Stonington Free Library, Stonington, CT Orthopedic spine surgeon, Ian Madom, MD, discusses some of the common causes of back pain and the surgical and non-surgical treatments for relief. FREE 25th - Lyme Disease 6:30 - 8 pm - Potter Conference Center Infectious disease specialist Dr. Fred Silverblatt will discuss the many signs, symptoms, treatments, and myths that surround this tick-borne illness. FREE
March is National Nutrition Month
Healthy eating has the power to improve health and accentuate medical care. South County Health’s nationally certified diabetes program offers medical nutrition therapy to complement the medical care provided by physicians. Registered dietitians from the South County Health’s diabetes program accept referrals from all physicians and specialties to support patient success based on a physician’s diagnosis. Medical nutrition therapy is effective for many conditions, including: • • • • • • •
Diabetes Overweight/Obesity End Stage Renal Disease Celiac Disease Food Allergies Hypertension Unintended Weight Loss IBS/IBD Eating Disorders
• • • • • •
Vegetarian/Vegan diets GERD Constipation Bariatric Surgery Pancreatitis Diverticulosis
To refer patients to South County Health’s Outpatient Dietitians: • Complete your practice’s referral form or request one from the Diabetes Center • Be sure to include a medical diagnosis on the referral form • Fax the completed referral form to the South County Health Scheduling Resource Center, 401-789-7455 Once the referral is submitted, the scheduling center will contact your patient to set up an appointment. Jeryl Menard RD, LDN, CDE, CDOE Bonnie Seekell MS, RD, LDN, CDE, CDOE Betsy Barbera RD, LDN, CDOE For more information about medical nutrition therapy or to request a referral form, please call 401-782-8000 ext. 3366.
April is ... Alcohol Awareness Month According to the Rhode Island Department of Health, consumption of alcohol among Rhode Islanders ages 12 25 exceeds the national average. In both Rhode Island and the nation, the 8 - 25 year-old age group has the highest unmet need for alcohol treatment. South County Hospital has seen an increase of patients in the Emergency Department who seek medical help due to alcohol consumption. Likewise, the inpatient census has increased due to medical problems associated with alcohol abuse and prolonged hospital stays. In an effort to provide information and education to staff and others at South County Health, the Case Management Department will host an informational drop-in presentation to help South County Health staff understand how alcohol affects your health and how much alcohol is too much. WHEN: WHERE:
Thursday, April 12, from 11 am – 1 pm South County Hospital Main Lobby
Representatives from area behavioral health agencies will be present to explain the various resources, counseling and assistance available for families who have a loved one afflicted with this disease. South County Health staff can earn 25 Well Beyond Points for attending. Please call Diane Benson in the Case Management Department at 788-1462 for more information.
ON THE BOOKSHELF Thinking in Bets: Making Smarter Decisions When You Don’t Have All the Facts by Annie Duke Even the best decision doesn’t yield the best outcome every time. There’s always an element of luck that you can’t control, and there is always information that is hidden from view. By shifting your thinking from a need for certainty to a goal of accurately assessing what you know and what you don’t, you’ll be less vulnerable to reactive emotions, knee-jerk biases, and destructive habits in your decision making. You’ll become more confident, calm, compassionate and successful in the long run. Quiet: The Power of Introverts in a World That Can’t Stop Talking by Susan Cain At least one-third of people are introverts. They prefer listening to speaking; they innovate and create but dislike selfpromotion; they favor working on their own over working in teams. It is to introverts—Rosa Parks, Chopin, Dr. Seuss, Steve Wozniak—that we owe many of the great contributions to society. In Quiet, Susan Cain argues that we dramatically undervalue introverts and shows how much we lose in doing so.
IN PRINT When Opioids Make Pain Worse (RINPR March 3, 2018) Clayton Dalton In pharmacology, tolerance refers to decreasing efficacy of a drug with repeated use. Not all medications are subject to this effect, but opioids certainly are. Over time, they simply don’t work as well, and the original pain returns. While tolerance is characterized by desensitization of neural pain pathways, which can be overcome by higher doses, opioidinduced hyperalgesia is the result of hypersensitization of those pathways. This could be a major factor in the opioid crisis.
The Problem of Burnout Among Surgeons (JAMA March 7, 2018) - Marco G. Patti, MD; Francisco Schlottmann, MD; Michael G. Sarr, MD Today the world of medicine in general, and of surgery in particular, is faced with a problem that is severely affecting both trainees and practicing physicians: burnout. Unfortunately, the rate of burnout among surgeons is much greater than among the general population. Based on analysis, the following aspects of burnout have emerged: emotional exhaustion, depersonalization, and a decreased sense of personal accomplishment. Physician Focus is a monthly, e-publication distributed to members of the South County Health medical staff. Questions, suggestions, ideas, comments and content submissions should be directed to: Eric Dickervitz 401-788-1137.
ENTREE Diabetic Recipe Heart Healthy Gluten Free
WASABI PEA SALMON © Baldwin Publishing, Inc.
Pack spicy flavor into your salmon with wasabi peas—you can find them in the supermarket’s ethnic food aisle. Loaded with healthy fats, this 30-minute meal is a quick recipe for a weeknight dinner.
Yield: 4 Servings
1/3 cup wasabi peas 4 salmon fillets (4 oz each) 1 Tbsp olive oil 1 Tbsp fresh lime juice
PER SERVING Serving size: 4 oz salmon Calories: 278 Fat: 17g Saturated Fat: 3g Cholesterol: 67mg Sodium: 111mg Carbohydrates: 4g Fiber: 1gProtein: 16g
Preheat oven to 400°. Lightly coat a baking pan with nonstick cooking spray. In a food processor or blender, chop wasabi peas until they are finely ground but not a powdery consistency. Spread the chopped wasabi peas on a plate. Rinse the salmon filets with water and press the filets, skin side up, into the wasabi peas. Arrange the filets, skin side down, onto baking pan. Drizzle fillets with olive oil. Bake salmon about 12 minutes, or until cooked through. Remove from pan. Drizzle with lime juice. Recipe courtesy of: webhealthyrecipes.com Visit Healthy eRecipies for this and other great food ideas!
MEDICAL STAFF CALENDAR SUNDAY
Hospitalists/ Nurses Lunch 12:30 - 1 pm Potter B&C
OB/GYN Dept. 6 - 7:30 pm Potter
Cancer Conference 7 - 8 am Potter
7:30 am P&T Committee DI Conf. Room
Leadership Cncl. 7 - 8:30 am Med Staff Lib Noon - 1:30 pm Util. Rev. Comm. Potter
Medical Exec. Committee 7 - 9 am Lab Conf. Room (basement)
Medicine Dept. 7:15 - 8:15 am Potter
Cancer Conference 7 - 8 am Potter Credentials Committee 7 - 9 am Potter A
Board of Trustees 5 - 6 pm Potter
Cancer Conference 7 - 8 am Potter
Cancer Conference 7 - 8 am Potter
OR Dept. Staff Education 7 - 8 am OR schedule begins at 8:30 am
Dept. Emerg. Medicine 7:15 - 9:15 am DI Conf. Room
Hospitalistsâ€™ Meeting Noon - 1 pm Frost 3 For the most up-to-date medical staff calendar info, visit the Med Staff Calendar. The calendar is updated on the intranet, departments, medical staff, whenever the Medical Staff Office is informed of any changes.
Published on Mar 14, 2018