For Your Health - Fall 2014

Committed to the Health & Well-being of El Dorado County

FALL 2014

Flex Your Healthcare Muscle this Open Enrollment: Choose Marshall

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AIMing for Better Care

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Wound Care Now Offering Hyperbaric Oxygen Therapy

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Da Vinci Making a Difference in Surgery

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Open Enrollment

Top Reasons to Choose Marshall Medical Center It’s fall – the time of year for you to think about your healthcare options. Now’s your chance to select a health plan that enables you to see a healthcare provider affiliated with Marshall. Here’s why: We come highly recommended – The community has long recognized the caring and personalized service they receive at Marshall. Our focus on service and quality also ranks us highly among various healthcare rating organizations.

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Board Certified Physicians – Our affiliated physicians are all board certified (or board eligible), demonstrating exceptional expertise in their medical specialty. High-caliber primary and specialty medicine is our commitment to the community.

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When you need care, we’re right in your neighborhood – You don’t need to travel far for medical appointments, lab work, imaging services, physical and speech therapy and more. Marshall has convenient locations and hours to serve you.

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Emergency care at a higher level – Marshall’s Level 3 Trauma Center at our Placerville campus means specially trained staff, advanced medical technology, immediate availability of surgeons and anesthesiologists are available 24-hours a day.

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Marshall loves moms! – Moms-to-be can expect personalized prenatal care by board certified physicians focused on a healthy pregnancy and safe delivery for mom

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HOW TO CHOOSE MARSHALL MEDICAL CENTER

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1. Visit marshallmedical.org and choose “Find a Doctor” to choose a doctor by name, location or specialty.

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2. Call the doctor’s office to confirm he or she is accepting new patients, if they belong to the health plan you’ve chosen, and to make your first appointment.

If you have any questions, please call 530-626-2787. Customer Service hours are Monday – Friday, 8 a.m. to 4:30 p.m.

Trust Marshall for excellent care with a personal touch

and child. Our all-new birth center features private suites and whirlpool tubs with the most modern amenities for families.

Cancer care, close to home – The last thing cancer patients need is a long journey to get treatment. Marshall’s Accredited Cancer program is located in Cameron Park. Services include Board Certified Oncologists and Hematologists, radiation oncology treatment, advanced diagnostic technology, surgical services, Cancer Registry and a Cancer Resource Center with information on education, social services and support groups. An expanded cancer center will be under construction soon.

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Advanced medical technology – Marshall boasts modern technology you’d be surprised to find at an independent community hospital, including all-digital imaging, 64-slice CT, MRI, digital mammography with CAD and PET/CT. This means Marshall’s patients have access to the kind of diagnostic equipment you’d find in larger cities. We have da Vinci robotic-assisted surgery available for many gynecological, general surgery and urological needs. In addition, we have installed Electronic Medical Records for faster, more accurate medical record archiving with your safety in mind.

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FOR YOUR HEALTH / www.marshallmedical.org

ABOUT MARSHALL MEDICAL CENTER Marshall Medical Center is an independent, nonprofit community healthcare provider located in the heart of the Sierra Foothills between Sacramento and South Lake Tahoe. Marshall Medical Center includes Marshall Hospital, a fully accredited acute care facility with 113 beds located in Placerville; several outpatient facilities in Cameron Park, El Dorado Hills, Placerville and Georgetown; and many community health and education programs. Marshall has over 200 board-certified physicians and a team of over 1,500 employees providing quality healthcare services to more than 175,000 residents of El Dorado County.

For Your HEALTH is published as a community service by MARSHALL MEDICAL CENTER 1100 Marshall Way Placerville, CA 95667 telephone 530-622-1441 or 916-933-0913; www.marshallmedical.org It is intended to provide information about health in general as well as healthcare services and resources available in El Dorado County.

Information in comes from a wide range of medical experts.

If you have any concerns or questions about specific content that may affect your health, please contact your healthcare provider.

If you have questions, concerns or suggestions for future topics, contact the editor, Carrie Poggio, at (530) 626-2816 or via email at cpoggio@marshallmedical.org.

Better Care for You

What a Difference

da Vinci Robotic-Assisted Surgery Speeds Recovery for Hysterectomies

For Alissa Inks, the answer was clear. “I needed a partial hysterectomy and never considered anything Alissa Inks other than the minimally invasive surgery using the da Vinci,” she recalls. “I was very happy to take advantage of having this equipment at Marshall, because I knew it offered some benefits over traditional or other minimally invasive techniques.”

Marshall’s da Vinci Surgical System is a robot-assisted method of surgery that reduces blood loss, recovery time and pain, has been used at Marshall Medical Center for the last year and a half. It’s making a difference for patients having surgery for some general, gynecologic and urological conditions.

“With the da Vinci, there is precise control and visualization of the operative field. This improves operating safety and efficiency even in complicated cases,” says Marshall Gynecologist Robert Carter, MD. “This technology, combined with the team approach from admission to discharge involving admission anesthesia and recovery personnel has made it possible for over 95% of our hysterectomy patients to be discharged within hours of surgery and avoid hospitalization completely. This is a far cry from the 3-4 day hospital stay for hysterectomy when I started my career the 1980s. In addition we have seen a significant drop in the use of postoperative pain medication and earlier return to work and lifestyle.”

Alissa says her recovery was very smooth and the only problem was that she felt so mobile so quickly, she overdid it. “I should have better heeded the pre-surgery nurse’s

advice about really taking it easy. But other than my own over-doing it, I can’t say enough about how positive an experience it was, and the minimal incisions left me with hardly any scars on my abdomen.”

At Marshall, Robert Carter, MD and Michelle Cherry, DO, are performing da Vinci surgeries for a number of benign gynecological conditions, including: hysterectomy, fibroid tumors, adhesions and endometriosis. It is also available for some general surgery and urological needs. Inquire with your physician if you’re facing surgery and think this might be an option for you.

Marshall OB/GYN 1095 Marshall Way Placerville, CA

Marshall OB/GYN 5137 Golden Foothill Parkway Suite 120 El Dorado Hills, CA

Call 530.344.5470 for both locations Learn more at marshallmedical.org/davincisurgery

Cancer Program Gets Funding Boost El Dorado County recently approved $800,000 in funding toward the expansion of the cancer center at Marshall. The community portion of the funding campaign continues through the Marshall Foundation for Community Health.

Construction in Cameron Park will start this fall and is targeted for completion in early 2015.

Drivers Needed for Transportation Program The Cancer Resource Center is seeking volunteers for its transportation program, which provides rides to and from appointments for cancer patients in the county. The Resource Center provides the vehicle and gasoline. Call 530672-7050 for information and requirements.

The Cancer Resource Center is seeking volunteer drivers for its transportation program

For more information about Marshall, visit www.marshallmedical.org or follow us on Facebook.com/ marshallmedicalcenter, twitter.com/MarshallMedical or Google+ Marshall Medical Center. www.marshallmedical.org / FOR YOUR HEALTH

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For most women, the thought of surgery for a hysterectomy is daunting.

How long would recovery take? What activities should I avoid? Do I even have time for this? And scars? What about scars?

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Cover Story

AIMing for Better Care

Treating the Whole Person with Palliative Care

AIM patient Joan Clouse and Debbie Boardman-Cheevers, FNP had many serious talks about Joan’s situation and what she was facing.

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When people hear the term “palliative care,” they tend to assume it means end-of-life hospice care. A year-old program at Marshall Hospital, Advanced Illness Management (AIM) is seeking to educate the community that palliative care is not just for people with terminal illness. As the AIM name suggests, it’s for any patient with a difficult and painful medical condition that would benefit from a comprehensive, multi-disciplinary team approach. That’s just what’s happening at the hospital with AIM.

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Jeannine Ellinwood, MD, is the Medical Director for Snowline Hospice and also for the AIM program. She works in close association with Debbie Boardman-

Cheevers, FNP and a team at Marshall comprised of medical consultation, case managers/social workers and pastoral care. She says, “Palliative care is a way of treating the whole person who is dealing with a significant chronic illness such as heart disease, COPD (chronic obstructive pulmonary disease) and even cancer. Ideally, palliative care should begin at the onset of the disease so that all the resources of support, symptom management and emotional and spiritual needs are addressed through a multidisciplinary, team effort.”

A Personal Perspective on AIM

Joan Clouse is one patient who experienced the benefits of the AIM

FOR YOUR HEALTH / www.marshallmedical.org

program firsthand during the first of two recent hospital stays and ongoing pain issues. Joan enjoyed an active life, raising her children, gardening, walking and hand-work including award-winning needle point (including winning a ribbon in the most recent County Fair). She is 83 — still vibrant and positive — but her life has changed in a very difficult way.

“A few years ago I started having problems with my feet including ulcers and a lot of pain,” she recalls.

She was diagnosed with Reynaud’s Disease, an auto-immune vascular condition that prevents proper blood flow to the extremities. It can range from mild to severe, irritating to debilitating and unfortunately, Joan’s case was so severe and painful that

“Everything has changed and it’s very difficult,” she says, “but I can’t say enough about the marvelous care I’ve received. Together with that, my family’s support and my faith, I’m trying to stay positive and appreciate my new strength in my arms, and that I can still do things I love, such as my hand-work and reading. Through the help of physical therapy, I can lift myself in and out of the wheel chair and get around pretty well.”

Debbie Boardman-Cheevers, the AIM nurse practitioner who helped with Joan’s pain issues, says her case illustrates the value of the program.

“Studies show that palliative care supports patients by providing earlier intervention with symptom management, social and emotional care. In fact, there is evidence that this type of care can help reduce ER visits, hospital readmissions and patient isolation. It can improve quality of life and even extend longevity,” she explains.

In the hospital, because a team of caregivers gets to know and understand a patient’s life and needs, the overall care is enhanced, even beyond the medical aspect. “I turned 83 and celebrated my 60th wedding anniversary while in the hospital most recently,” Joan says. “I was given a birthday party by the hospital and they arranged a family celebration for our anniversary too. They have done everything possible to make me happy, including welcoming my husband Richard every day for lunch.”

Ongoing Enhancements The Marshall staff involved in the

who would benefit from the AIM program.”

The caring and supportive involvement of the AIM program helps patients feel genuinely treasured.

AIM program is also seeing the advantages of the team approach.

Jeannie Hinds, RN and palliative care nurse, says having a group of caregivers with the same goals has been immensely helpful. “There was a misperception that I only saw dying patients,” she says. “That’s never been the case but now I have a team to go to and discuss the patient’s unique needs and we can see more patients

Up until now, there has been a gap in the comprehensive resources patients have through hospital-based palliative care, and what happens when they go home. That is changing with Marshall’s new Community Care Network. Still in its infancy, the program will provide continuity of care once a patient leaves the hospital, by tying together all the pieces of ongoing support patients need at home, so they don’t become isolated.

If you or a loved one faces a difficult, chronic illness that requires hospitalization and you think might benefit from the AIM program, be sure to ask about it. “Patients are encouraged to request palliative care, and we hope that once people understand it does not mean the same thing as hospice care, or mean a death sentence, more people will start talking about it and seeing what it can do to improve life,” Debbie concludes.

Members of the AIM team at Marshall are seeking to dispel the myth that palliative care is the same as hospice care and only for the dying. AIM members pictured, l-r: The Reverend Tim Thompson, Pastoral Care; Jeanne Hinds, RN, Palliative Care Nurse; Jeanine Ellinwood, MD, Medical Director, Snowline Hospice and AIM Program; Debbie Boardman-Cheevers, FNP, Snowline Hospice and AIM Program; Elisa Kopitzke, LMSW, Marshall Medical, AIM Program.

www.marshallmedical.org / FOR YOUR HEALTH

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in the last four years she has had to have both legs amputated at the thigh. The condition is not lifethreatening but as Joan says, “it is definitely life-altering.”

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Foundation News

Banking on us…

how your bank account could change lives!

Did you know that your bank account could change lives? Designating Marshall Foundation for Community Health as the beneficiary of your bank account, certificate of deposit or brokerage account is a simple and straightforward way to support our work. There are two options you can use to make this gift to us:

32nd event tentatively scheduled for Friday, June 26, 2015. See you there as we tee off “fore” health!

Payable on death (POD). By placing a POD designation on your bank account or certificate of deposit, you can name one or more persons or charities as the beneficiary of all funds once you, the account owner, pass away. The beneficiary you name has no rights to the funds until after your lifetime. Until that time, you remain in control and are free to use the money in the bank account, to change the beneficiary or to close the account.

Thanks to caring donors and in celebration of 82 nurses/ groups who were honored at the Honor-A-Nurse event in May, the Mathewson-Bonser Scholarship program will award $20,000 this year to assist Marshall employees in continuing their education and upgrading their skills. We are very excited to benefit our community through this annual occasion that directly benefits our patients.

Transfer on death (TOD). By placing a TOD designation on your brokerage or investment account, that account will be paid over to one or more persons or charities after your lifetime. It is not necessary for the TOD designation to transfer all of the account solely to the Foundation - you can designate a certain percentage of the account. Like a POD account, with a TOD account the beneficiary you name has no rights to the funds until after your lifetime. Until that time, you are free to use the money in the brokerage account, to change the beneficiary or to close the account.

Veerkamp Team Wins after teeing off “Fore” Health

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It was a fun-filled day as the renowned Bob West Drive for Marshall golf tournament announced that the Veerkamp team were winners of the tournament. Players Brian Veerkamp, Ed Matthews, Chad Spencer, and Tom Chandler rounded out play with a net score of 57. The non-handicap foursome winners were Mike Murphy, MD; Mark Hosholl, David Coody; and John Gardner. Winners will be listed on the permanent sponsor board that circulates throughout the county during the year as well as the golf plaque in the Hallway of Honors at Marshall Hospital.

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The event, sponsored by UNION BANK, celebrated its 31st year at Cold Springs Golf and Country Club by netting over $50,000 for community health and raising awareness of the upcoming Cancer Center expansion in Cameron Park. We thank everyone who participated or sponsored this year to help our community provide excellence in healthcare resources. Watch for the

82 Nurses Honored At Marshall To Support Scholarships

Nurses may be honored at any time of the year by accessing the Foundation website www. marshallfound.org and complete the easy to use online form with your donation of $100 for each nurse honored or mail your donation to Marshall Foundation, P O Box 1996, Placerville, CA 95667. As you support future scholarships, the nurse you choose will receive a special recognition letting them know you appreciate their caring and compassionate ways.

UNION BANK, the executive sponsor for the Honor-A-Nurse event, greatly honors the exceptional care provided from our Marshall Nurses. We know Drs. Mathewson and Bonser would be pleased to know their passionate spirit to help nurses continues to be fulfilled year after year!

For more information on how you can help your community, your children, your neighbor or even yourself, contact Marshall Foundation at 530-642-9984 or www.marshallfound.org FOR YOUR HEALTH / www.marshallmedical.org

Making Changes

Marshall Clinics Expand with Gastroenterology Clinics

Marshall is excited to expand its clinic offerings with the addition of Gastroenterology services in Cameron Park. Thomas Prindiville, MD, board certified gastroenterologist, joins Marshall after most recently caring for patients at UC Davis Medical Center.

Marshall Gastroenterology offers care for problems with the digestive system and will provide procedures as well. The clinic is located at 3501 Palmer Drive, Cameron Park and the phone number is 530-672-7060.

Marshall Expands Wound Care Services New Hyperbaric Oxygen Therapy Chambers

Outpatient wound care Marshall Wound Care - New services have been available Location at Marshall Hospital for 1095 Marshall Way, Suite 203 Placerville, CA 95667 the last few years, but 530-344-5496 have recently moved and expanded with the addition of two state-of-the-art hyperbaric oxygen therapy (HBOT) chambers. The therapy utilizes a pure oxygen environment to aid healing of difficult wounds caused by a number of conditions. If you have questions or a condition that you think may benefit from specialized wound care treatment, including HBOT, speak with your health provider.

Through fundraising efforts, the Marshall Auxiliary group Many classes generously donated $56,000 for expectant toward the purchase of parents available, as the new technology. well as Diabetes and Marshall Medical Center Nutrition Education and thanks and recognizes Life Savings classes. Visit this amazing group of marshallmedical.org and volunteers for their work click Classes tab for in improving health care complete schedules. in our region.

New Healthcare Providers

These providers are now caring for patients at Marshall clinic locations. Welcome!

Connie Kimble Burgeson, MD Internal Medicine Marshall Family & Internal Medicine Cameron Park 530-672-7000

Vickie Crosby, FNP Family Medicine Marshall Family & Internal Medicine Placerville 530-626-2920

Karen Orozco, FNP Family Medicine Marshall Family & Internal Medicine Placerville 530-626-2920

Janis Smith, FNP Family Medicine Divide Wellness Center Georgetown 530-333-2548

Thomas Prindiville, MD Gastroenterology Marshall Gastroenterology 530-672-7060

www.marshallmedical.org / FOR YOUR HEALTH

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CalPERS Members

Now you don’t have to travel far for expert primary and specialty care.

CalPERS members who reside in Folsom and El Dorado County can choose

anthem blue Cross Select Hmo and gain access to

marshall medical Center

Marshall’s board certified physicians provide a wide range of primary and specialty care services, with locations in El Dorado Hills, Cameron Park, Placerville and Georgetown.

Members also have access to specialists in 150 areas of advanced medicine at

UC davis medical Center

Nationally recognized for excellence

CalPERS oPEn EnRollmEnt EndS oCtobER 10 For information about Marshall’s primary care physicians visit www.marshallmedical.org/physicians