For Your Health - Spring 2013

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

SPRING 2013

Listen:

One Woman’s Story of Hearing Change

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New Birth Center and Emergency Department Open!

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Diagnostic Imaging Upgrades

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Cancer Center Campaign in Progress

Did You Know?

Marshall Community Health Library Moves to Cameron Park After serving El Dorado County for 16 years in Placerville, the Marshall Community Health Library (CHL) moved to Cameron Park in January.

Founded in 1997 through a community-driven gift from the Marshall Foundation for Community Health, the Marshall CHL has long been a source of reliable health-related information for community members. The library provides a safe, comfortable and supportive place where people can access private computers and seek information on a wide variety of health conditions.

The CHL is a public library, serving the community free of charge, with more than 5,000 titles and resource sharing with the El Dorado County Library system.

NEW LOCATION! Marshall Community Health Library Hours: Monday-Thursday (closed Fridays) 3581 Palmer Drive, Suite 101 9 a.m. – 1 p.m. and 1:30-4 p.m.

Cameron Park, Ca 95682 530-626-2778

New Emergency Department and Birth Center Open On January 15, Marshall saw the culmination of years of planning, fundraising and construction when it opened its new South Wing building at its hospital campus in Placerville. Featuring a state-of-the-art Emergency Department and family-friendly Birth Center, the 88,000 squarefoot addition is a major leap forward in comfort, technology, privacy and space.

Meet the New Birth Center’s First Baby

The night of the move from the old Birth Center to new, Sakshi Chopra was already in labor in the old unit. The move went well, and she delivered beautiful little Siya Chopra early the morning of January 15 in the new Birth Center. Calling the new unit “beautiful and quiet,” the mom and new baby enjoyed their first moments together.

The areas in the main Hospital vacated by the moves won’t be empty for long, as hospital administration plans to expand other services into them to continue improving care and convenience for our community.

Future plans to expand additional patient care services into the South Wing will unfold and be communicated as funding allows.

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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 1,200 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 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 Marshall’s new 64-slice CT scanners offer unrivaled views of the human body, with rapid scan times necessary in emergency situations

Saturday Urgent Care Available for Marshall Family Medicine Patients You can’t always see an illness coming, and often, you’re feeling the worst when most provider offices are closed. If you’re a current patient of Marshall Family Medicine (locations in Placerville, Cameron Park and Georgetown) and need to see a health provider on a Saturday, try our same-day urgent care service.

Recent and upcoming upgrades of diagnostic imaging equipment mean even greater access to the highest technology available in PET/CT and MRI at Marshall Medical Center.

At Marshall Hospital in Placerville, we’ve installed a new 64-slice CT scanner that is being used in our new Emergency Department. This machine offers unmatched views of the human body and rapid scans (up to 40-50% faster), which is critical for trauma and other emergency situations.

Also at the hospital, the space recently vacated by the Emergency Department’s move will soon be an expanded Diagnostic Imaging department, complete with in-house MRI. This MRI unit is a largebore machine, able to accommodate larger patients and also reduce claustrophobia anxiety. The machine decreases scan times by 30%. It will replace the current MRI service we have, which is housed in a trailer adjacent to the hospital. This means more comfort and convenience to patients, especially in bad weather.

At our Diagnostic Imaging center in Cameron Park, a new 64-slice CT and PET scanner has been installed, expanding PET/CT services to five days a week in Cameron Park, and offering the same advantages as the new hospital unit. PET is essential in the diagnosis and ongoing evaluation of many conditions, including cancer, heart and lung disease and brain disorders such as Alzheimer’s disease.

According to Dan Weaver, Director of Diagnostic Imaging, these enhancements are business as usual for Marshall. “We’ve made a commitment to provide the highest level of patient care in state-ofthe-art imaging, caring staff and expertise, close to home” he says.

“These latest additions are just an ongoing extension of that longstanding commitment.”

Marshall Family Medicine Urgent Care is appropriate for moderate illnesses and concerns that you feel cannot wait until Monday, but that are not life-threatening, requiring emergency medical care. Such conditions may range from severe sore throat, headache, back ache and other pains, cough, abdominal pain, vomiting/diarrhea, and others. Urgent care is not designed for routine appointments, physicals or prescription refills.

The Urgent Care phone line opens at 8 a.m. every Saturday for same-day appointments from 9 a.m.

– 3p.m. All patients are seen in the Placerville Marshall Family Medicine office, regardless of where they typically are seen.

Marshall Family Medicine Saturday Urgent Care 530-626-2920 1095 Marshall Way Placerville

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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Many Diagnostic Imaging Upgrades Happening at Marshall

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Cover Story

Listen: One Woman’s Janet Tempel wasn’t really surprised she was noticing changes with her hearing—for at least two generations before her, people in her family had hearing problems as they aged. But this awareness didn’t make it easier for Janet to accept or deal with her own hearing. It took a combination of gentle ribbing from her family, embarrassment and the timing of an injury to convince Janet to get life-changing help.

Story of Hearing Change Now that Janet can hear well again, sitting outside and listening to the sounds of nature has taken on new meaning.

An upbeat 56-year-old real estate agent, wife, and mom of two young adult sons, Janet wasn’t ready to acknowledge what was happening to her. “The major thing I noticed was that noises in some registers became muffled and I would have

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I feel like I”ve regained who I am and can interact confidently with the world and other people.

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to ask people to repeat themselves,” she remembers. “Being in real estate, conversations are so important and it quickly became embarrassing.” She would do whatever she could to avoid phone conversations, since the visual cues of communication are absent.

“That wasn’t practical for my line of work.” Embarrassment wasn’t contained only her work life either.

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For Your Health / www.marshallmedical.org

At home, her family was noticing too. “One Valentine’s Day, my husband and sons gave me a gift of ‘TV Ears’– because in order for me to hear the TV, I’d have it so loud it was bothersome to the rest of my family. So with these I could have it very loud but only in my own ears.” Janet’s reaction to the hint disguised as a gift was indignation at first. “I was offended and denied needing them, but pretty quickly I realized they were helping me and my family.”

Janet accepted her problem, but she continued putting off seeing an audiologist. “I have high deductible health insurance, and I was reluctant to spend all that money on myself,” she says. Fate intervened when she injured her shoulder, required surgery and satisfied the deductible. “Then I felt like I could take care of my hearing changes.”

She chose Mark Payne, Audiologist with Marshall Hearing Center in Placerville and Cameron Park. It was convenient because the Placerville office is directly across from Marshall Orthopedics, where she’d had her shoulder treated. She decided to test Dr. Payne by not sharing her family history. “He sure knows his stuff, because after the hearing profile, he came in and said the pattern resembled a relatively rare, hereditary type of hearing change,” she recalls. “He was very gentle, kind and understanding and I was definitely pleased with the care.”

According to Dr. Payne, the type of genetic hearing change Janet has is known as a “cookie bite” pattern for its resemblance to that on an audiogram—a visual depiction of how we hear. “Typically it can be observed early in life on an audiogram, but the hearing change doesn’t become noticeable until mid-life,” he says. “In Janet’s case the onset was late and gradual. The hearing devices she wears in each ear treat this specific type of hearing change.”

Janet’s reaction to being able to hear well was nothing short of joyous. “I walked out of the doctor’s office and it felt like I was in a scene from a fairy tale, where the birds are chirping perfectly and all is sunny and wonderful,” she says. It initially took some adjustment to all the “new” noises she was hearing. “At different times I thought the car was making a funny noise or the gas burner on our stove sounded weird and my husband would have to tell me that’s how they always sound.”

When Janet first had her hearing restored, the change was so dramatic that even the sound of her gas burner sounded strange.

Hearing well again made Janet appreciate how her life has improved since seeking care. “You know, I think people who don’t suffer hearing issues may not realize how disconnected you can feel from others, not being able to hear well. Sometimes you’re guessing at what others are saying and it can lead to awkward situations. I feel like I’ve regained who I am and can interact confidently with the world and other people. Plus, now my family has to watch what the say around me!”

These Aren’t Your Grandma’s Hearing Aids Remarkable advances have been made in hearing technology in the last few years. Forget the bulky, beige colored devices you may remember your older family members wearing years ago.

Today’s technology results in a wide range of discreet options, including a unique product that is actually invisible. “We can help the vast majority of people with hearing change by selecting devices that combine optimal treatment with being nearly unnoticeable to others,” says Mark Payne, Aud.D, CCC-A, of Marshall Hearing Center. Also, there are financial options for patients too, to make the cost manageable.

If you’d like a complete hearing profile, trust Marshall Hearing Center to evaluate your hearing, and if necessary, help you regain the real you!

Mark Payne, Aud.D, CCC-A Marshall Hearing Center 4300 Golden Center Drive, Suite D Placerville, CA 530-344-2010 3501 Palmer Drive, Suite 201 Cameron Park, CA 95682 530-672-1112

www.marshallmedical.org / For Your Health

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Foundation News

Hope. Healing. Here.

Easing the Journey for our Cancer Patients Recently, community leaders Jim and Maureen Carter, along with Barbara Ashwill were announced as campaign co-chairs to help raise $1.5 million for Marshall Medical Center’s latest expansion, a new Cancer Center in Cameron Park expected to open in 2014. Consolidating Marshall’s cancer program and services through the “Hope. Healing. Here.” Campaign will ease the journey for local cancer patients and their families by providing a single location for high quality, compassionate cancer treatment… all close to home.

Instead of traveling by car to different locations for cancer services, patients soon will be able to receive state-ofthe-art cancer services under one roof, in one location. The new $8 million dollar expansion will include: • Reconfiguration of the existing 8,440-square-foot building in Cameron Park • Relocation and expansion of key services and treatment areas, including a new Infusion Center • New Digital Mammography equipment • A soothing Healing Garden for

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How You Can Help

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For more information about the “Hope.

Healing. Here.” Campaign and how you can participate in bringing expanded, consolidated cancer services to our community, contact the Foundation Executive Director Karen Good at 530.642.9984 or email kgood@ marshallmedical.org.

Barbara Ashwill

Maureen Carter

Jim Carter

patients and their family members • A new PET/CT scanner for diagnostic purposes and • In partnership with Radiological Associates, advanced treatment options via a TrueBeam linear accelerator, the most innovative linear accelerator in the world.

The Medical Center and Foundation Boards were among the first supporters of this highly successful campaign and have been the driving force behind the project from its inception. Progress toward the goal is already significant.

Marshall’s dedicated employees, knowing firsthand the need for expanding local cancer services, raised $374,776 in voluntary contributions. Combined with $534,286 in gifts from physicians and other major donors, 60% of the total goal has already been raised for this vital project.

Campaign leaders Jim and Maureen Carter explain, “Living in El Dorado County there’s such a sense of community, and we enjoy contributing and being a part of that. We have no doubt that we’ll reach our goal as nearly everyone in our community is touched by cancer at some point in their lives.”

Marshall’s Cancer Program is the foremost community cancer center in El Dorado County, and among the top programs in the Greater Sacramento area, providing residents with a caring environment and exceptional standards of cancer diagnostic and treatment services using advanced protocols and procedures.

As campaign co-chair Barbara Ashwill reminds us, “It’s important that we don’t have to drive to Sacramento for every doctor or service, especially when someone is sick. The new center will keep our community on the forefront of providing life-saving cancer diagnosis and outpatient treatment for our friends, family, and neighbors, but it’s not going to happen without our help.”

Tax deductible gifts are being sought in the form of pledges payable over three to five years. Campaign volunteers expect to finish the campaign in the next nine months, and construction is expected to begin in the spring of 2013.

For Your Health / www.marshallmedical.org

Making Changes

Marshall Cardiology Now in El Dorado Hills Marshall is pleased to expand cardiology services to our El Dorado Hills location at 5137 Golden Foothill Parkway, Suite 120. For appointments or further information, call 530-626-9488.

Marshall Welcomes New Healthcare Providers

Honey-Herb Chicken

To help staff the new, expanded Emergency Department at Marshall Medical Center, two new Emergency physicians have joined Emergency Physicians Medical Group.

This fresh, spring-like recipe is great on its own as a dinner entrée, or for making cooked chicken to add to healthy salads for the week.

Ingredients • 4 boneless, skinless chicken breast halves (about 1 pound) • Juice of one lime (about 2 tablespoons) • 1 to 2 tablespoons fresh coriander chopped • 1 tablespoon honey Directions With a mallet (the bottom of a heavy coffee mug works too) pound each breast half to about 1/2-inch thick. Combine lime juice, coriander, and honey in a small bowl. Brush chicken breasts with glaze. Brush grill lightly with olive oil. Grill (or broil) chicken approximately five minutes on each side. Can be served hot immediately or refrigerated for use in sandwiches or salads later.

Serves four

Each serving contains about 149 calories, 27 g protein, 1.5 g fat (9 percent calories from fat), 69 mg cholesterol, 5 g carbohydrates, less than 1 g fiber, and 79 mg sodium.

Anita Borrowdale, MD Emergency Physicians Medical Group 1100 Marshall Way Placerville, CA 95667

Michael Mirhadi, MD Emergency Physicians Medical Group 1100 Marshall Way Placerville, CA 95667

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, April 9 Tuesday, June 11 Tuesday, August 6 7-9 p.m.

(funded by generous grant from Marshall Foundation for Community Health) Childbirth Education

6-week series

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

Tuesdays, April 30 - June 4 Thursdays, July 11 - August 15 7-9 p.m.

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, March 23 Saturday, May 4 Saturday, June 22 Saturday, August 10 9:00 a.m.-3:30 p.m.

Fee: $60 The Breastfeeding ExperiencE

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

Wednesday, March 13 Thursday, May 16 Wednesday, July 3 6-8 p.m.

Fee: $25

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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.

Wednesday, April 3 Wednesday, June 5 Wednesday, August 14 7-9 p.m.

Fee: $25 HEALTH CAREER EXPLORATION DAY EVENT

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

Friday, June 21 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.

Mondays, June 3 - July 15 (Midweek, Wednesday, June 26) Fee: $75

HEALTHY LIVING DIABETES EDUCATION CLASSES

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

For Your Health / www.marshallmedical.org

Healthy Living Class: Diabetes Essentials, Carbohydrates, Food & You

• What diabetes is • Controlling blood glucose levels • Using your meter effectively • Carbohydrates and diet • Meal planning • Managing your weight Thursday, March 7, 9:30-11:30 a.m.

Placerville Thursday, June 13, 1-3 p.m.

Placerville Tuesday, July 7, 9:30-11:30 a.m.

Cameron Park Healthy Living: Your meter & gaining better control

• Making sense of your blood glucose numbers • Medication options • Tips on eating out Tuesday, April 2, 6-8 p.m.

Cameron Park Tuesday, July 9, 1-3 p.m.

Cameron Park Wednesday, August 7, 9:30-11:30 p.m.

Placerville Healthy Living: 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 Thursday, June 6, 6-8 p.m.

Placerville Wednesday, August 21, 1-3 p.m.

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