East Valley Business - 07.14.19

east valley

Volume 1 Issue 48 Mesa, AZ

July 14, 2019

Sunny Arizona keeps plastic surgeon busy

BY PAUL MARYNIAK Tribune Executive Editor

I

IN THE BIZ

n the last 10 years, incidents of skin cancer have gone up by more than 50 percent nationwide – which means Dr. David Kelly is a pretty busy physician.

The Gilbert resident is a plastic and reconstructive surgeon who deals with the ravages of skin cancer.

The job can be challenging for Kelly, one of the partners of the Center for Dermatology and Plastic Surgery – which has grown to nine clinics across the Valley, including Chandler and Gilbert, since he joined the practice in 2015.

“I do a lot of skin cancer reconstruction on the head and neck, nose, eyelids, ears,” he said, recalling how one of his more challenging surgeries involved the reconstruction of an ear.

“It basically was the entire ear,” he said.

“All the earlobe was completely gone…I had to replace the cartilage in the ear and then also the skin on the front and back of the ear. So that required about three different surgeries to reconstruct the ear, rebuild it and put new cartilage in the ear to help support the ear.”

He sees a lot of the damage that unprotected skin can suffer from exposure to the sun. And the age range of patients is virtually limitless.

The sun generally inflicts most of its damage on people before they turn 30, but skin cancer can take decades to develop. Moreover, when older patients were that young, sunscreen products were not nearly as effective as they are today.

Public Notices ............... page 3 © Copyright, 2019 East Valley Tribune

Consequently, “We definitely have a lot of patients 60, 70, 80,” Kelly said.

“But being in Arizona, we see a fair amount of younger people in their 30s and 40s with some pretty significant skin cancers,” he added. “I see a lot of pediatric patients that pediatricians and dermatologists send me.”

Of the 19 different medical providers at the Center for Dermatology and Plastic Surgery, Kelly is one of three different types of physicians.

Besides dermatologists, the center also has Mohs Dr. David Kelly is a plastic surgeon at the Center for Dermatology and micrographic surgeons.

Plastic Surgery. (Kimberly Carrillo/Tribune Staff Photographer) Named after Dr. Frederremoves enough tissue to create disfigick Mohs, the founder of micrographic urement? That’s why Kelly and the Mohs surgery, the procedure removes cancer- surgeons coordinate their schedules ous tissue while removing as little of the with patients. healthy tissue as possible.

“I work hand in hand with them,” he They usually are the physicians whom said, explaining, “Nobody wants to have patients see before Kelly, who has two half their ear missing and wait a week or Mohs surgeons on his team, in the hope so to see another doctor. So, when that that radical reconstructive surgery patient is done with having a skin cancer might be averted. removed, I can do” reconstructive sur“Most patients will come in and they gery if needed. have a spot that’s not healing,” Kelly said.

“It’s in my same office. I meet patients, “So we’ll biopsy it and once we deter- evaluate them, talk about what we need mine it actually is skin cancer, then I nor- to do, how we need to fix this, and then mally work with a Mohs surgeon. we try to do that the same day. That way “They’ll look at the skin underneath the it’s just easier for the patient. microscope immediately and make sure “That makes a big difference, and all the skin cancer is completely gone.”

But what happens if the Mohs surgeon �ee KELLY page 3 (USPS 004-616) is published weekly

Mailing Address: 1620 W. Fountainhead Pkwy., Suite 219, Tempe, AZ 85282

(480) 898-6500 Steven Strickbine, publisher Paul Maryniak, executive editor

Subscriptions are $26 for 2 years, $14 for one year.

Periodicals postage paid at Phoenix, AZ 85026.

POSTMASTER: Send address changes to: East Valley Tribune, 1620 W. Fountainhead Pkwy., Suite 291, Tempe, AZ 85282

Chandler hospital offering home visits

BY COLLEEN SPARKS Contributor

S

ome people who have asthma, pneumonia, dehydration and other pressing medical conditions will be able to get treatment and checkups at home through a new Chandler Regional Medical Center program.

CommonSpirit Health announced recently it is introducing the new hospitallevel home care operation, Home Recovery Care, which will allow many patients to avoid repeat visits to the hospital.

The Catholic healthcare nonprofit was created through the alignment of Catholic Health Initiatives and Dignity Health, and CommonSpirit Health hopes to expand its service throughout all of Dignity’s hospitals.

This type of hospital-at-home model has existed for a long time, but it has not seen widespread use.

Home Recovery Care’s complex outpatient care management provides better health outcomes, boosts patients’ satisfaction and reduces re-admission rates to hospitals, among other benefits, according to a news release.

When a patient is evaluated at the emergency room at Chandler Regional Medical Center, he or she can get visits as needed from a nurse in their home and regular physician checkups through video visits over the course of 30 days.

Dr. Yagnesh Patel, vice president of medical affairs for Dignity Health – East Valley, and a longtime internal medicine specialist, said it is an “interesting program” with various benefits.

“A lot of patients desire to be treated at home rather than a hospital,” Patel said.

“Being in a hospital is stressful to a lot of people. There is a convenience factor at home.

“All the anecdotal statements we’ve heard from other patients (say) patients do recover quicker because they are at home. They feel much more safe and secure in their own environment other than being out of the house.”

Patel noted “all sorts of stuff that happens in a hospital that cannot happen at home, cross-contamination from other patients.”

“We try to prevent it. There’s still a risk,” he added.

The program will likely relieve some of the constraints at Chandler Regional Hospital, where there is high patient volume at times, he added.

People with certain conditions will be able to take advantage of the Home Recovery Care program, but they are not obligated to use it.

The goal is to later expand it to patients who go to Dignity Health Mercy Gilbert Medical Center and St. Joseph’s Hospital and Medical Center.

Nurses will visit patients at their homes once a day or once every few days at their homes and be on call to address any issues. Home Recovery Care will contract with nurses at a home health company to offer the services, Patel said.

“When we send a nurse (to a) home, that nurse has to be trained to a certain degree to answer questions, to be able to monitor the recovery of the patient, changes in therapy,” he said.

Patel said some conditions this new service will be ideal to handle are skin and soft tissue infections, as well as pneumonia, congestive heart failures and exacerbations of asthma. The diagnostic work of figuring out what is wrong with a patient will first have to be done in the hospital.

Judith Karshmer, dean of the Edson College of Nursing and Health Innovation at Arizona State University, loves the idea of Home Recovery Care. She is a longtime psychiatric clinical nurse specialist.

“In a word, it’s brilliant,” Karshmer said. “It’s exactly where healthcare needs to be moving. You can heal better at home. You heal better with your friends, your family, your loved ones.”

She said the home healthcare also means “less wear and tear” on the hospitals, and patients will be exposed less often to “dangerous things in the hospital.”

“This is where I think healthcare is going,” Karshmer said. “In some ways, much of this was originally motivated by when a patient gets hospitalized and discharged, the changes in reimbursement policies.

“If a patient is readmitted within 30 days (to the hospital), that will be a pay-

EAST VALLEY BUSINESS

2

ment reduction (from a health insurance company) to the hospital. It’s a gamechanger for healthcare and I think it’s going to be the kind of thing that people are going to expect.”

Patients will feel more comfortable being ill in their own homes, she added.

“Any of us who have ever had to spend time in a hospital as a patient, it’s noisy, there’s a lot going on,” Karshmer said.

“It’s not familiar. At least if you’re home you can tolerate a lot more. I think it’s amazingly wonderful.”

She predicted this type of home health care program will expand to more hospitals.

“It’s gonna take off,” Karshmer said.

“We are going to see more and more of this. Hospitals are going to love the fact that they’re going to be able to have a connection with their patients.”

She said there will be some challenges to it and organizers need to carefully plan what types of conditions they will treat at home.

“These are the kinds of innovative approaches to the future of health care that we at Edson College really support,” Karshmer said. “It’s about the patient and it’s not about the provider.”

For now, Humana health insurance is the only health insurance company participating in the program, helping to cover some of patients’ costs through the service out of Chandler Regional Medical Center.

However, Chandler Regional Medical Center is negotiating with other health insurance companies and Medicare to try to determine payment mechanisms, Patel said.

“It’s innovative,” he said. “It is definitely the way of the future.”

Information: contessahealth.com

JULY 14, 2019

KELLY from page 1

that’s one of the things that attracted me to this practice.”

A Utah native, Kelly did his post-graduate medical training in North Carolina and Kentucky.

He recalled how in North Carolina, “most patients have to wait one to two weeks to get to see a plastic surgeon, so they have a bandage on their nose or the ear for a week or so. That’s just not the best way to handle things.

“It increases the risk of infection, doesn’t have as good of an outcome. So, the way it is here, it’s nicer for the patient. We can evaluate immediately.”

Kelly, whose brother is an oral surgeon and a longtime Gilbert resident, had an lifelong ambition to become a doctor – partly because his father is a pediatrician.

“Ever since I was a kid, I wanted to be a surgeon, but I didn’t know what kind of surgeon,” he recalled.

But then he had the chance to go to Africa and Guatemala, where he helped doctors treat children and adults with significant burn injuries and birth deformities.

And those transformations he helped work on led him to plastic and reconstructive surgery.

“I liked the concept of plastic surgery, that we basically operate on like the en-

Public Notice CALL OF ELECTION OF BOARD OF TRUSTEES OF SPECTRUM IWDD No.48

Notice is hereby given to all qualified electors of the above District that an election to fill three (3) vacancies on the Board of Trustees created by the expiration of the three (2)year terms will be held on the 20th day of November, 2019.

In order to vote in this election, a qualified elector mnst own real property located within the district’s taxable boundaries at least ninety (90) days prior to the election.

Persons desiring to become a candidate for the position may obtain nomination petitions and nomination papers from: Spectrum IWDD No. 48 2928 S Spectrum Way Gilbert, AZ 85295-6276 In order for a person’s name to appear on the ballot, nomination petitions and nomination papers must be received no later than August 22,2019 by: 5:00PM at: Spectmm IWDD No. 48 2928 S Spectrum Way Gilbert, AZ 85295-6276 Voters may, at time of election,

tire body,” he explained.

“We can operate on adults, children. We kind of run the gamut.

“When I was a medical student and resident, I just loved the skin cancer aspect of it – taking care of patients with large skin cancers on their face and helping them. There’s an immediate sense of satisfaction in reconstructing Dr. David Kelly is flanked by staffers, from left, Kayla Wood, CJ Swindle, Dru the nose or the ear or the Nutlouis and Courtney Cox .(Kimberly Carrillo/Tribune Staff Photographer) eyelid or whatever.

Kelly – who with his wife of 18 years, “So that’s what attracted me, the variAshley, has four children ranging in age ety. Every day is something different….If between 3 and 12 – doesn’t let the skin the patient has a skin cancer on the nose, cancer part of his work dissuade him I don’t know if it’s going to be a small from hiking and running. skin cancer or if it’s their entire nose that “That’s one of my favorite things about I have to reconstruct. So, it’s challenge. living here is being able to be outside You kind of have to use your creative most of the year,” he said. skills trying to figure out how to reconBut Kelly takes no chances and thinks struct and how to solve their problem.” everyone should follow suit – meaning And the potential for challenges is ala nearly slavish attention to wearing ways there, especially since post-cancer protective clothing and good sunscreen reconstructive surgery accounts for at virtually any time under the sun and 60 percent of reconstructive and plastic getting a skin cancer checkup every year. surgery that the Center for Dermatology The Center for Dermatology and Plasand Plastic Surgery handles. tic Surgery has nine locations, includThe rest is cosmetic, such as face and neck ing Chandler, Sun Lakes, Scottsdale and lifts, eyelid and breast enhancements and Glendale.

Information: azcdps.com. what Kelly called “mommy makeovers.”

write in a candidate’s name of their choosing who has not submitted a timely nomination petition hut who has submitted a nomination paper to the district office listed above by Thursday, August 29,2019.

DATED this 14th day of July, 2019.

Morgan Neville Board of Trustees Chairman Spectrum Irrigation Water Delivery District #48 Published: East Valley Tribune, Jul 14, 21, 2019 / 21923

DEAN MEYER, et al. Defendant(s) NOTICES: 1) A lawsuit, the Application for Adjudication of Claim, has been filed with the Workers’ Compensation Appeals Board against you the named defend-ant by the above-named applicant(s). you may seek the advice of an attorney in any matter connected with this lawsuit and such attorney should be consulted promptly so that your response may be filed and entered in a timely fashion. If you do not know an attorney, you may call an attorney reference service or a legal aid office.

You may also request assistance/ information from an Information and As-sistance Officer of the Division of Workers’ Compensation. (See telephone directory.) 2) An Answer to the Application must be filed and served within six days of the service of the Application pursuant to Appeals Board rules; therefore, your written response must be filed with the Appeals Board promptly; a letter or phone call will not protect your interests. 3) You will be served with a Notice(s) of Hearing and must appear at all hearings or conferences. After such hearing, even absent your appearance, a decision may be made and an award of compensation benefits may issue

Public Notice STATE OF CALIFORNIA-DEPT OF INDUSTRIAL RELATIONS-WORKERS’ COMPENSATION APPEALS BOARD SPECIAL NOTICE OF LAWSUIT (Pursuant to Labor Code 3716 and Code of Civil Procedure 4 1 2 . 2 0 a n d 4 1 2 .

3 0 ) WC A B N O . : ADJ11134601 TO: DEFENDANT, ILLEGALLY UNINSURED EMPLOYER: DEAN MEYER Aviso: Usted esta siendo demandado.

La corte puede expedir una de-cision en contra suya sin darle la opportunid-ad de defenderse a menos que usted acute pronto. Lea la siguiente information.

DOUG MELANSON, Applicant vs.

EAST VALLEY BUSINESS

3

against you. The award could result in the garnishment of your wages, taking of your money or property, or other relief. If the Appeals Board makes an award against you, your house or other dwelling or other property may be taken to satisfy that award in a non-judicial sale, with no exemptions from execution. A lien may also be imposed upon your property without further hearing and before the issuance of an award. 4) You must notify the Appeals Board of the proper address for the service of official notices and papers and notify the Appeals Board of any changes in that address. TAKE ACTION NOW TO PROTECT YOUR INTERESTS! Issued by: WORKERS’ COMPENSATION APPEALS BOARD Name and Address of Appeals Board: WORKERS’ COMPENSATION APPEALS BOARD 160 PROMENADE CIR. 3d Floor; Sacramento, CA 95834 Name and Address of Applicant’s Attorney/ Form completed by: Gold Country Workers’ Comp Center PC Kim La Valley PO BOX 1070; Nevada City, CA 95959 TEL: (530) 362 7188 Notice to the person served: You are served as an individual defendant.

Published: East Valley Tribune, July 7, 14, 21, 28, 2019 / 21865

JULY 14, 2019

the tickler

east valley 1620 W. Fountainhead Pkwy., Suite 219, Tempe, AZ 85282

PERIODICALS U. S. POSTAGE PA I D GOODYEAR, AZ 85338