Marshall Medical: For Your Health Winter 2012

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

WINTER 2012

Celebrating the South Wing Teddy Bear Clinic, Tours and Open House Festivities Mark Construction Completion  Marshall Celebrates Completion of South Wing  Robot-Assisted Surgery Comes to Marshall  Marshall Wound Care Center is a Healing Place

Did You Know?

Celebrating the South Wing Timing of Opening Dependent on Final State Inspections El Dorado County Fire and EMS personnel were on hand to help celebrate the new wing and Emergency Department.

A giant inflatable slide was a huge hit in the carnival atmosphere on September 14 - Community Day.

In September, Marshall Medical Center celebrated the completion and upcoming opening of the South Wing, housing a new Emergency Department and Birth Center. A large tent was built in front of the new wing and housed various events over the three-day celebration.

Highlights included events shown here, including an employee luncheon, donor and physician receptions. A ribbon cutting ceremony was well-attended by all three area chambers of commerce, punctuated with remarks from local dignitaries, such as Placerville Mayor Mark Acuna. The grand finale was a Community Open House, featuring a very popular Teddy Bear Clinic for children, as well as entertainment, carnival games and face painting. Tours of the South Wing were given throughout the events.

Building the 88,000 square-foot South Wing was a true community effort.

More than $1million in donations came from employees, the Marshall Auxiliary, physicians and members of the community. A new donor wall adorns the main lobby, filled with names of those who contributed to the fundraising campaign.

“Our hospital expansion and investment in technology mark a new era in patient care for our community. We have finally elevated the level of our facility to match the high standard of care we provide every day,” said Marshall CEO James Whipple.

Placerville Mayor Mark Acuna remarked about the central role of Marshall Hospital in Placerville’s overall success.

The ribbon is officially cut for Marshall’s new South Wing. Shown l-r, Marshall CEO James Whipple; OB/GYN Department Head Robert Carter, MD; Emergency Department Director Marc Walter, MD, and Marshall Board President Gael Barsotti.

Placerville Police Chief and Marshall Foundation Board President George Nielsen congratulates Marshall CEO James Whipple at the South Wing Ribbon Cutting.

Steve Linde, FNP, examines a young patient at the Marshall Teddy Bear Clinic for kids, part of the Community Day festivities.

At the time of this publication being finalized, the opening of the South Wing was pending final inspections by the state. Visit www. marshallmedical.org for the latest updates.

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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 105 beds located in

Marshall Now Offers Urology Services

Marshall Introduces Urology Service

Marshall Medical Center is pleased to expand its specialty care offerings with Urology services. Urologists treat conditions including infertility, prostate and urinary cancers, urinary infections and other problems, voiding disorders and incontinence, as well as vasectomies. Office appointments are available via physician referral in Cameron Park at Marshall Specialty Care office, 3501 Palmer Drive, Suite 201, Cameron Park.

Call 530-626-9488 for more information.

Placerville; several outpatient facilities in Cameron Park, El Dorado Hills, Placerville

New Healthcare Providers

and Georgetown; and many community health and education programs. Marshall has over 200 board-certified physicians and a team of over 1,200 employees providing quality healthcare services to more than 150,000 residents of El Dorado County.

For Your HEALTH is published as a community service by MARSHALL MEDICAL CENTER 1100 Marshall Way

Anita Heart, MD Marshall Family Medicine 1095 Marshall Way Placerville, CA 95667 530-626-2920

Samuel Ceridon, MD Marshall Family Medicine 1095 Marshall Way Placerville, CA 95667 530-626-2920

Cory Meeder, DO Emergency Physicians Medical Group Marshall Hospital 1100 Marshall Way Placerville, CA 95667

Michelle Throp, MS Marshall Hearing Center 4300 Golden Center Drive, Suite D Placerville, CA 95667 530-344-2010

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 For Your Health 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.

For more detailed information about construction and progress at 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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Raising the Bar

Robot-Assisted Minimally Invasive Surgery Comes to Marshall

Investment Means More Options for Local Patients

The Da Vinci surgical system is made by Intuitive Surgical, Inc., located in Palo Alto.

OB/GYN physician Robert Carter, MD, shows how the surgeon console controls the robotic instruments.

Marshall Medical Center recently purchased the Da Vinci Surgical System, a robot-assisted method of surgery that reduces blood loss, recovery time and pain. It falls within the category of minimally-invasive surgery.

Robot-assisted surgery is especially useful in urological, gynecological and general surgery procedures, in some cases taking the place of laparoscopic procedures. The FDA-approved system has been in use for about 10 years, but until recently, it has generally been available only at large, multi-hospital systems. Many international clinical trials over the years have proven the system safe and beneficial for many surgeries.

Michele Cherry, DO, and Robert Carter, MD, physicians with Marshall OB/GYN, are two of the first providers to start using the Da Vinci for surgeries in their specialty. It will be available to all OB/GYN providers, but Dr. Cherry and Dr. Carter are in the current process of certification.

“When I saw this demonstrated at a conference last year, I was really excited at the prospect of Marshall obtaining a unit,” Dr. Cherry says. “The precision of the instruments and the benefits to our patients will be remarkable.”

Dr. Carter echoes, “The visualization through the control console and the precise

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For Your Health / www.marshallmedical.org

movements of the instruments are truly impressive. I think this will eventually help many people who would benefit from surgery but who might shy away due to the pain and recovery time involved.”

The Da Vinci surgical system requires intense and lengthy training for surgeons, and involves hours of practice using a simulator. In Da Vinci surgery, the surgeon sits at a console that controls the robot, which is positioned above the patient. Real time, magnified 3D views of the surgical area enhance the views surgeons can see. The robot itself is equipped with incredibly precise instruments that can rotate better than a human hand and wrist.

Dr. Cherry explains, “This system enhances our skills through improved dexterity, increased range of motion, better visualization and access and the precision is incredible.

The smaller incisions alone make this a very attractive option.” She says patients may experience less pain and blood loss, and enjoy faster recovery and return to normal activities.

“I can’t wait to offer this to our patients.”

If you’re facing surgery, talk to your physician about the availability and appropriateness of Da Vinci surgery for your condition.

Marshall Invests in Medical Technology

This photo helps show the generous size and comfortable furnishings in our new Birth Center labor and delivery rooms.

The completion of the South Wing spurred advancements in technology at Marshall, which, from the day it was founded, has consistently invested in the latest technology available.

A $2 million cardiac monitoring system will be in place hospital-wide, allowing healthcare providers to view patient heart rates from anywhere.

An electronic tracking board in the new Emergency Department will show real-time patient status.

A 64-slice CT scanner, dedicated for Emergency Department use, will speed diagnostic imaging needs for many emergent situations, including trauma cases. It also provides redundancy for the hospital, so that if one CT scanner is having technical issues, the other can be used, instead of patients having to be transported to the Diagnostic Imaging Center in Cameron Park.

In the Emergency Department, physicians and nurses will communicate via lapel radios when in different areas of the unit, for faster patient care and communication.

In the second Floor Birth Center, a dedicated operating room provides for c-section needs without having to move laboring moms to the surgery area of the main hospital. Whirlpool tubs, iPod docking stations and many comforts complete the luxurious surroundings. www.marshallmedical.org / For Your Health

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Raising the Bar

The Healing Place Marshall’s New Wound Care Center is Saving Limbs and Improving Lives

A major goal of the program is to prevent wounds from getting so severe, that limb amputation is required. “We are here to save limbs, which ultimately may save a life,” says Sharon.

Wound care involves many providers coming together to treat the root cause, as well as the wound itself and the patients’ overall health. Depending on the nature of the wound, treatments can range from advanced dressing techniques as well as bioengineered tissue, negative pressure therapy, debridement (removal of dead tissue) and surgery, just to name a few.

Until this past May, El Dorado County residents needing outpatient wound care services had to travel to Roseville or Sacramento or further to get help.

Marshall Medical Center, in its long tradition of expanding services close to home, saw that need and invested in a new outpatient Wound Care Center at the hospital campus in Placerville.

The Medical Director of Marshall’s Wound Care Center is Robin Locke, MD, an experienced general surgeon. It’s additionally staffed by specially trained wound care nurses and Dr. Harprit Bajwa, a podiatrist, with more physicians coming on board as the service expands. They work in close concert with primary and specialty physicians, as well as other resources such as Marshall Home Care, to plan out the most effective and convenient treatment plan possible. All services are done via physician referral.

Chronic wounds – or those that don’t heal – can have any number of causes, from infection, pressure ulcers (bed sores), cellulitis, surgery, cancer treatment-related tissue damage and many other chronic conditions, most notably, diabetes.

of lower extremity amputations occur in patients with diabetes”

“The need is great,” says Wound Care Center specialist Sharon Goldsmith, RN. “We have a high percentage of elderly patients in our community, including many diabetic patients. These individuals have a greater risk in general for developing non-healing wounds, so our goal is to intervene early with advanced wound healing practices. “ “Because of the poor circulation and neuropathy that many diabetics have, we see a great number of foot ulcers in these patients,” adds Iris Marshall, Certified Wound Specialist. “We work hard to educate patients on issues of prevention, to hopefully avoid future foot ulcers.”

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The Wound Care center is only seven months old, but already changing lives. Patients get advanced, effective care close to home, as well as care that is encouraging, uplifting and positive from the staff.

In T heir Own Words

“60%

Marshall Wound Care Center patients and family share their experiences Kathy Elliot “I’m so grateful for this service. It’s so needed in our community. The staff here is amazing, so caring and supportive to me. They truly can make you forget you’re hurting. I’m healing very well now.”

Tom Kowaleski, about his 97-year-old mother’s care “My mother had a hip injury and over time, with her favoring that leg, a deep pressure ulcer erupted that went down to the bone. We live in Shingle Springs and were traveling down to Roseville to another center, but she wasn’t getting better. We learned about Marshall’s new Wound Care service and started coming here, and what a difference. I’m very pleased with the care and the healing progress. The wound is nearly gone now, and it was down to the bone.”

Vergie Drury “I fell in the tub and had a severe wound and hematoma on my shin. It was so painful and became infected. There was so much tissue damage, I needed a bio engineered skin graft from Dr. Harprit Bajwa [podiatrist and Wound Care team member], which I’m healing from now. It’s going to take a little more time, but it’s so much better than it was, and they see me every few days to make sure I’m progressing.”

For Your Health / www.marshallmedical.org

Foundation News

Local Family Leaves a Legacy On the walls of the new Emergency Room at Marshall Hospital are the big, bold words The Arnold and Frances Jones Endowment Emergency Department and Trauma Center. The simple story behind the largest donor to the $4 million dollar Campaign for Emergency Services and Community Health conveys our mantra: Hope.Healing.Here.

Arnold was a simple man of Dutch descent: no frills but tons of common sense. If you saw him on the street, you would never pick him out as a person with much money. But in his heart, he had a passion for healthcare.

You would often see him in a red flannel shirt or a cotton one made by his loving wife Frances. A heavy equipment operator by trade, Arnold owned his own business and worked hard.

A former El Dorado Rose, Frances owned Frances’ Clothes Closet in Camino. Most of the smartly dressed ladies in Apple Hill purchased their wardrobe at the small but popular shop across from the Jones property on Pony Express Trail. Renowned for her classes in pine needle basketry, Frances later died of respiratory failure.

The Joneses believed in helping their community. Arnold’s passion for the community good and for healthcare – spurred by his own mother’s profession as a nurse – brought him to consider leaving a large gift to Marshall Hospital as a lasting tribute to his only true love, Frances.

Scholarship Recipients

Shown with Placerville Police Chief and Foundation Board President George Nielsen, are scholarship recipients shown l-r: Alea Marie Benavides, Lory Amey, Kristy Berger and Mary Melton.

Often Arnold would fix tuna sandwiches for representatives of Marshall who came to visit him and his little dog as he told many stories of their life in Apple Hill.

He believed in investing in gold and silver and after his death, coins valued at over $400,000 were found in the walls of his very unassuming home. He asked only that his estate, valued at $1.2 million, be used for the community good. Marshall hopes to one day build a health clinic on the Jones property site . As a result of the Jones legacy gift, the healthcare community will benefit for years to come.

For more information about how you can leave your own legacy, contact Executive Director Karen Good at Marshall Foundation 530-642-9984 or email kgood@marshallmedical.org.

No gift is too small to help provide a better life for future generations.

Congratulations to the recent Mathewson-Bonser Scholarship winners: Raquel Alfaro, North 1; Lory Amey, TCC; Jessika Balderston, ER; Alea Marie Benavides, Lab; Kristy Berger, ER; Leanne Boyd, TCC; Teresa Hinz, North 1 & 2; Mary Melton, Surgery; Janet Powers-Gray, North 1; Heather Sebren, North 2; Amanda Seivert, North 2; and Lisa Seivert, TCC. During the past 21 years, $153,189 in scholarships have been awarded to 121 recipients, thus fulfilling the dream of Dr. Quentin Bonser and Dr. John Mathewson to help continue the education of our outstanding nurses and to upgrade their skills.

www.marshallmedical.org / For Your Health

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Programs & Classes

Marshall Health & Wellness Programs & Classes Marshall’s programs can help you get healthy and stay healthy. Offering services for all ages and stages of life, we hope to see you at one or more of the classes below. Our Community Health Education Classes include Smoking Cessation and Childbirth related classes, in addition to a babysitting class. Call 530-626-2990 for more information and to register. We also offer diabetes and Nutrition Education through our Physician Clinic Services. Call 530-672-7021 for more information.

COMMUNITY HEALTH EDUCATION CLASS SCHEDULE Healthy Pregnancy

Designed for women who are thinking about becoming pregnant or have recently become pregnant, the class focuses on nutrition and exercise, fetal development, prenatal tests, hazards to avoid and preventing preterm labor.

Tuesday, February 6 7-9 p.m. (funded by generous grant from Marshall Foundation for Community Health) Childbirth Education

Come spend a day with our medical professionals and gain insight into the exciting medical fields. Call 530626-2990 for more details.

Friday, January 11 8 a.m.-4:30 p.m.

Fee: $50 Smoking Cessation 7-Week Series

Pre-registration required and space is limited.

Call 530-626-2990 for more information.

6-week series

Fee: $75

This class provides information on labor, delivery and postpartum issues.

Tuesdays, Jan. 3 - Feb. 7 7-9 p.m.

HEALTHY LIVING DIABETES EDUCATION CLASSES

Childbirth Education

1-Day Intensive A custom designed childbirth class for those who do not have the time for the traditional 6-week class format.

Saturday, February 9 9:00 a.m. - 3:30 p.m.

Fee: $60 The Breastfeeding ExperiencE

This class will help you understand breastfeeding, learn techniques and positions, and will give you the confidence to handle common breastfeeding challenges.

Wednesday, January 9 6-8 p.m.

Fee: $25 Baby Basics

This class reviews basic newborn care for the first few weeks of life. Topics include newborn characteristics, physical and emotional needs of the baby, as well as health and safety skills.

Tuesday, February 5 7-9 p.m.

Fee: $25

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HEALTH CAREER EXPLORATION DAY EVENT

Live your best life with diabetes!

Our classes can help you gain the knowledge and tools to remain motivated with your healthy lifestyle in the days and years ahead.

Individual Diabetes Education

Appointments with our Registered Nurse, Certified Diabetes Educators (CDEs), are strongly encouraged especially if: • You are newly diagnosed • Beginning a new medication • Need extra support to gain control.

Learn about the latest tools and techniques for self-management of your diabetes.

Individual Nutrition Education

Our Registered Dietitians (RDs) are available for appointments to discuss: • Diabetes meal planning • Weight management/Cholesterol control • Medical Nutrition Therapy for most medical conditions Healthy Living Class #1: Diabetes Essentials

• What diabetes is • Controlling blood glucose levels

For Your Health / www.marshallmedical.org

• Using your meter effectively Tuesday, January 8, 1-2 p.m. Cameron Park Healthy Living Class #2: Carbohydrates, Food & You

• Carbohydrates and diet • Meal planning • Managing your weight Thursday, December 13, 1-3 p.m. Placerville Wednesday, February 20, 6-8 p.m. Placerville Thursday, March 7, 9:30-11:30 a.m. Placerville Healthy Living Class #3: Gaining Better Control

• Making sense of your blood glucose numbers • Medication options • Tips on eating out Wednesday, February 6, 1-3 p.m. Placerville Tuesday, April 2, 6-8 p.m. Cameron Park Healthy Living Class #4: Your Plan for Success

• Reducing your risk—long term complications • Exercise—make it work for you • Staying motivated • Diabetes and emotions Thursday, March 14, 1-3 p.m. Placerville Tuesday, April 9, 1-3 p.m. Cameron Park

Class Locations: 681 Main St., Ste. 206/207, Placerville 3581 Palmer Dr., Bldg. 600 Cameron Park For more information call: (530) 672-7021