Oxford Health & Life Spring 2022

OXFORD SPRING 2022

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TRIHEALTH.COM/MHMH

THE VALUE OF VOLUNTEERING KINDER SHOES VITAMIN D: WHAT TO KNOW

SERVING THE OXFORD COMMUNITY FOR OVER 60 YEARS

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MAKING A

DIFFERENCE THE AUXILIARY INVITES YOU TO JOIN ITS TEAM OF VOLUNTEERS. THE AUXILIARY AT McCullough-Hyde Memorial Hospital | TriHealth (MHMH) sponsors annual events that fund everything from capital equipment to an arts program to scholarships for aspiring healthcare workers.

Its volunteers provide hands-on assistance throughout the hospital—at the Courtesy Desk and the Daisy Gift Shop, in the Emergency and Imaging Services Departments, on nursing units, in offices and more.

“Our mission is to improve the health of the people we serve,” says Michael Everett, President and Chief Operating Officer at MHMH, “and our Auxiliary does just that. Its members contribute daily by volunteering and fundraising for important operational projects that enhance patient safety and satisfaction.”

Below, meet just a few of our many exceptional volunteers (and Auxiliary members).

MARY BAUSANO, Outgoing President Mary Bausano served as the Auxiliary’s President from 2020-2021. “Just in time to meet the COVID-19 epidemic head-on!”

For Mary, volunteerism is more rewarding now than during pre-COVID times. “It feels good to keep our hospital functioning so people can receive care.” A former licensed mental health professional at Miami University, Mary is a mainstay at the Courtesy Desk.

“I like to help people get through tough times,” she says. “A friendly word, a bright smile even through a mask. Personal touches mean so much.”

Volunteering brings a sense of vitality and accomplishment. “One of our volunteers retired at age 95 with over 11,000 hours!” says Mary. Even a small time commitment makes a difference. “It can be as little as three to four hours a week.”

BETH BEATON, Incoming President When Beth Beaton needed extensive ankle surgery, she turned to MHMH. “My family and I have been patients for years,” she says. “I knew I’d receive excellent care.” It was only natural for the retired teacher to transition from patient to volunteer. “For the last four years, I’ve volunteered in the Daisy Gift Shop and Same Day Surgery. I’ve found a warm atmosphere where you become part of a team, make friends and professional connections, help others and set an example of giving.”

Beth points to large-scale contributions of the Auxiliary: “We allotted $15,000 toward the purchase of an IV hood for the pharmacy and two HEPA-air filtration vents.” She also takes pride in smaller touches, such as providing staff meals during the COVID-19 pandemic and making the hospital more welcoming with floral touches and seasonal decorations. “This year, we’re looking forward to funding more projects and programs.”

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CONNIE CLEMENTS, Chair, Ways and Means and Newsletter “I see volunteering as a way to give back to my community,” says Connie Clements. “But I must say, I have gotten as much back as I have given in new friends, new opportunities and new skills.”

Connie considers the Auxiliary the eyes and ears of the community—sharing feedback with hospital administrators. “In our small community, people feel they have a stake in our hospital and know we are all fortunate to have one of such quality.”

As chair of Ways and Means, the retired middle school teacher coordinates the Healing Arts Program, purchasing art that’s displayed at the hospital.

On site, she screens patients and visitors for COVID-19, one of many job opportunities. “We always have openings for volunteers.”

KATIE PIRIGYI, 1st Vice President and Chair, Scholarship Committee Katie Pirigyi knew MHMH well when she joined the Auxiliary board in 2020. Two of her three young children were born there. “It’s truly a community hospital, and you feel that the minute you enter the doors. As a patient, you receive exceptional and compassionate care from staff who are also your neighbors,” she says.

In addition to raising her family and volunteering with the Auxiliary, Katie serves as Head of Partnerships on the marketing team for Stride, Inc., and runs a small business.

Katie encourages community members to consider serving on the Auxiliary board, on one of its committees or as a volunteer.

“Our volunteers are gems.

Each brings a unique asset and fosters that community feeling so prevalent at MHMH. And we have a lot of fun!”

ALYCE POTTER, Gift Shop Co-Manager/ Buyer 2022 marks 25 years of volunteerism for Alyce Potter, a longtime Auxiliary member.

“When I was president, the Auxiliary donated $150,000 to the new oncology clinic,” she says. ”That was the single largest donation ever made.”

Now a buyer for the Daisy Gift Shop, Alyce has volunteered there for two decades. She chooses gift shop items carefully, lately with an eye toward staff needs because they’ve been working so many hours and the number of patient visitors has decreased.

“That’s what volunteering is all about,” says Alyce. “Friendship, kindness and taking care of each other.”

THE McCULLOUGH-HYDE MEMORIAL HOSPITAL AUXILIARY WELCOMES VOLUNTEERS AGE 14 AND OLDER. TO LEARN MORE, CALL VOLUNTEER SERVICES AT 513.524.5421 OR FILL OUT AN APPLICATION AT WWW.BIT.LY/MHMHVOLUNTEER.

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INFUSING CARE WITH KINDNESS AT THE GOOD SAMARITAN INFUSION CENTER—OXFORD, EXPERT CARE AND A FRIENDLY ATMOSPHERE IMPROVE THE INFUSION TREATMENT EXPERIENCE FOR PATIENTS.

MALLORY HELTON, RN, BSN, BC, leads a team of four infusion nurses in the Good Samaritan Infusion Center—Oxford at McCullough-Hyde Memorial Hospital (MHMH). She says the Infusion Center’s partnership with the TriHealth Cancer Institute coupled with the small size of her nursing team gives patients the best of both worlds.

“It’s a personal experience for nurses and patients,” says Helton, a nine-year employee of the Infusion Center who is now the charge nurse.

“We see patients for a long time and

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really get to know them. We become a family.” The Infusion Center’s three medical oncologists, Faisal Adhami, MD, Seerin Shatavi, MD, and Edward Crane, MD, bring the personalized medicine that TriHealth Cancer Institute is known for, along with access to its specialized services.

In an infusion, chemotherapy or another treatment is delivered to the bloodstream through a needle in a vein in the arm or through a device known as a “port” in a vein in the chest. But patients often need

more than treatment. “As nurses, we advocate for patient needs,” says Helton, remarking that she recently arranged transportation for a patient within minutes through the TriHealth network. Whatever the need—whether a connection to social services, a nutrition consult, an extra blanket or a friendly ear—support is readily available, says Helton.

For patients with cancer, infusion is the most common way to receive chemotherapy, in which powerful drugs are administered to stop or

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information,” Helton says. “The early days of treatment are overwhelming, so we urge patients to call us with questions.”

At each visit, patients first visit the Infusion Center’s laboratory where a blood sample is drawn to determine overall health and medication dosage.

The hospital’s pharmacy prepares the medication and delivers it to the Infusion Center. “Everything is steps away, so patients don’t have to go to multiple locations or wait long,” says Helton.

Once patients are settled in a heated recliner in a private, curtained area, the infusion begins. The duration and number of infusions is individualized for patients, who can pass the time watching TV, using their iPad or smartphone, or napping.

Patients also have access to adult coloring books and comfort gift bags given by donors. A second recliner is available for a friend or family member, but visitors should confirm in advance they can be accommodated based on current COVID-19 restrictions.

After therapy, Helton and her team help patients manage side effects with medication, diet and lifestyle advice— encouraging them to call once home.

“We’re always here to help,” she says.

PERSONALIZED CARE

slow cancer cell growth. Infusion therapy also is used for a variety of other medical conditions, including gastrointestinal diseases and disorders, congestive heart failure, hemophilia and immune deficiencies.

Patients referred to the Infusion Center are scheduled with a physician who specializes in their specific disease.

When patients come to the Infusion Center, they meet with their physician and the nursing infusion team. “We educate patients about their treatment and give them a binder filled with

Sandy Solomon, 69, was surprised and pleased with the personalized care she received at MHMH when she became an Infusion Center patient three years ago. The Oxford resident has common variable immune deficiency (CVID), also known as hypogammaglobulinemia, which means she has low levels of immunoglobulins (antibodies) in her bloodstream. Antibodies are proteins that circulate in the blood fighting infection, so having fewer of them than normal makes people like Sandy prone to recurrent infections. To stay healthy, she receives intravenous

immunoglobin (IVIG) treatments, which give her the antibodies her body isn’t making.

Sandy, who will need IVIG for the rest of her life, knows her way around infusion treatment. She and her husband, Ed, moved frequently as his job often required relocation. Each time, Sandy sought care for her rare disease. The former teacher says she tried immunoglobin injections at home with Ed as her caregiver, a situation neither of them liked, and received infusion therapy at a large medical center in Atlanta she describes as hectic and impersonal.

When Sandy and Ed retired to Oxford, where Sandy’s best friend Annie lives, she recommended Molly Emmert, MD, of Oxford Internal Medicine, who referred Sandy to Dr. Adhami. “He’s thorough and a great listener,” Sandy says of Dr. Adhami, a cancer specialist who also treats blood cell production, clotting and bleeding disorders.

Dr. Adhami started Sandy on a regimen of IVIG at the Infusion Center.

Currently, she receives treatment there once a month.

“He asks a lot of questions and always figures out exactly what’s going on,” says Sandy, pointing out that Dr. Adahmi’s recommendation to slow down the speed of her infusion reduced post-treatment headaches. “It used to take two days to recover from an infusion, but now I feel like myself the next day,” she says. Sandy is no longer plagued by persistent bronchitis and pneumonia.

Sandy is enthusiastic when she talks about her Infusion Center nurses.

“They care for all kinds of patients with different needs, yet give everyone special attention,” she says. “Not only are they problem solvers who think on their feet, they’re always smiling and never lose patience. They love their jobs, and that makes all the difference.”

FOR MORE INFORMATION ON THE GOOD SAMARITAN INFUSION CENTER IN OXFORD, CALL 513.524.5540.

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THE ABC’S OF

VALVULAR HEART DISEASE THIS TYPE OF HEART DISEASE IS BECOMING MORE COMMON. HERE’S WHAT YOU NEED TO KNOW. 6

EACH YEAR, more than five million people in the U.S. are diagnosed with valvular heart disease (VHD). Because it’s often age-related, this type of heart disease is becoming more prevalent as people live longer. Here, we answer common questions about VHD.

WHAT IS VHD? The heart has four valves. Each valve has a tissue flap that opens and closes with each heartbeat to keep blood flowing properly through the heart’s four chambers and out to the rest of the body.

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If one or more of the valves doesn’t open fully or lets blood leak back into the heart chambers, the heart has to work harder and may not be able to pump enough blood through the body.

WHAT ARE THE DIFFERENT TYPES OF VHD? There are three basic categories: • Stenosis, the most common type of VHD, occurs when the flaps of a heart valve thicken, stiffen or fuse together so that it doesn’t fully open and too little blood flows through the valve and out to the body. These changes are often age-related.

• Regurgitation, in which a valve doesn’t close tightly, allowing blood to leak back through the valve into the heart.

• Atresia, in which a valve lacks an opening for blood to flow through. This is a condition people are born with.

WHAT CAUSES VHD? VHD can be present at birth (congenital) or develop as a result of cardiac-related conditions such as heart failure, arrhythmia, atherosclerosis (buildup of waxy plaque inside the arteries) and heart attack. Less frequently, an infection or rheumatic fever can damage heart valves. Risk factors include aging, smoking, high blood pressure, high cholesterol, diabetes, being overweight, lack of physical activity and a family history of early heart disease.

WHAT ARE THE SYMPTOMS? During a physical exam, doctors can pick up unusual heartbeat sounds using a stethoscope. Called heart murmurs, these can signal a heartvalve problem and may need to be investigated further. Other signs of VHD include unusual tiredness, shortness of breath and swelling of the ankles, feet, legs, abdomen and veins in the neck. Some valve issues are mild and don’t need to be treated.

To determine the severity of VHD and whether it requires treatment, doctors use tests such as chest X-ray,

electrocardiogram, echocardiogram and cardiac catheterization.

HOW ARE HEART-VALVE CONDITIONS TREATED? VHD can be treated with medicines, such as blood thinners and drugs to lower cholesterol and blood pressure. Lifestyle changes, including maintaining a healthy weight, quitting smoking, managing stress and becoming more physically active, also are recommended.

For more serious conditions, such as mitral valve disease, heart valves can be repaired or replaced surgically. To repair a valve, surgeons reconstruct it using the patient’s own tissues. Repair offers several significant, lifelong benefits compared to replacement, including a lower risk of mortality, a better chance of longterm survival and more freedom from reoperation. At the TriHealth Heart Institute, through which McCulloughHyde Memorial Hospital | TriHealth patients can receive treatment, surgeons repair rather than replace the mitral valve in 90 percent of cases, outpacing the national average of 60 percent repairs.

When a valve does need to be replaced, less invasive procedures have been developed in recent years that allow smaller incisions, lower risk of infection and a faster recovery time.

For mitral valve replacement, for example, surgeons at the TriHealth Heart Institute often are able to use robotic-assisted surgery. This technology brings many benefits for patients, including lower risk of infection, shorter hospital stay, less pain and scarring and a quicker return to normal activities.

Transcatheter aortic valve replacement (TAVR) is another example of a less invasive treatment option for VHD. It’s now used to treat many patients with a type of valve disease called aortic stenosis. In

TRACKING SYMPTOMS IS KEY Valvular heart disease progresses slowly, so it’s important to take note of your symptoms over time and alert your doctor if they get worse.

At least once a year, and preferably every six months, the American Heart Association recommends asking yourself how often you experience each of the symptoms below (never, occasionally, often or always): •P ain, tightness or pressure in the chest • Lightheadedness or dizziness • Shortness of breath (note which activities cause this) • Rapid fluttering heartbeat • Fainting • Difficulty sleeping or sitting up • Swollen ankles or feet • Difficulty walking distances • Not engaging in activities you once did

TAVR, an artificial valve is placed on the tip of a catheter and threaded through a blood vessel to the heart. The procedure replaces the malfunctioning valve without traditional open-heart surgery and while the heart continues to beat, eliminating the need for cardiopulmonary bypass. Once in place, the new valve begins to work immediately. Typically, patients can go home the day after the procedure. The TriHealth Heart Institute was one of the first hospital systems in the United States to offer this treatment.

TO SEE A CARDIOLOGIST AT McCULLOUGH-HYDE MEMORIAL HOSPITAL, CALL THE TRIHEALTH HEART INSTITUTE AT 513.246.2400.

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KILLER (AND KINDER) SHOES HOW TO KEEP YOUR FEET HAPPY AND STYLISH.

THERE’S A SAYING that you have to suffer for fashion, and it seems to be most relevant when it comes to footwear.

The best-looking, most on-trend shoe styles are often the least comfortable and the worst for foot health.

Fortunately, you can avoid problems— and still look good—by adjusting shoe styles. If you haven’t experienced foot issues yet, this guide will help you keep your feet healthier, longer. If you’ve already noticed changes that can come with age, including collapsed

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arches, weaker tendons, swollen feet and arthritis, read on to learn how to accommodate those changes and minimize their impact.

One of the most important rules is to wear shoes that fit well, not shoes you choose just because they’re attractive or low-priced. Here’s what to look for in different parts of a shoe.

THE HEEL While many women love the look of high heels, they’re terrible for your feet.

Over time, wearing heels can shorten the Achilles tendon on the back of the ankle and lead to plantar fasciitis—an inflammation of the band of tissue that runs along the bottom of the foot, from the toes to the heel, and is continuous with the Achilles tendon.

In addition, over time you lose fat from the ball of your foot, which leads to increased pressure on the bones in the front of the foot, causing pain. This can lead to neuromas—benign but painful nerve tumors—and stress fractures in the metatarsals, the bones of the midfoot, which take all the pressure when you’re wearing heels.

Wearing flat shoes isn’t the solution, however. Very flat shoes don’t support the arch and don’t provide much cushioning between the foot and the ground. If you want to wear a flat, choose one with some support and a thick sole.

Optimal heel height is less than an inch. If you do choose to wear higher heels, even just for special occasions, pass up the stilettos and choose stacked

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KILLER

KINDER With stiletto heels, body weight is pinpointed to one small area, leading to risk of sprains.

Chunky heels distribute weight more evenly, making feet much more stable. One inch is the ideal height.

Flip-flops provide no arch support and leave your feet unprotected.

Straps help hold sandals on your feet; thick soles can have good arch support and keep your feet away from the ground.

Pointed toes squeeze feet and lead to nerve pain, bunions, blisters and more.

A wider toe box allows your feet to retain their natural shape.

The angle of a wedge sole puts pressure on the metatarsals (long, tubular bones of the midfoot), and rigid footbeds impair natural walking movement.

A wide wedge or platform that is nearly parallel to the ground will ease pressure on the ball of the foot, though rigid footbeds can still be problematic.

or chunky heels, which are more supportive and distribute pressure better.

THE INSOLE When possible, choose shoes that have removable insoles so you can replace them with specialized insoles—either storebought or custom-made—that are more cushioned, provide more arch support or address any issues specific to your foot. Extra insole padding is good to add to almost any kind of shoe, from heels to flats.

THE TOE Rounded toe boxes are better than pointy ones, which can lead to corns— hard patches of skin that occur at pressure points—and even crossover toe deformity, in which the second toe overlaps the big toe. Shoes with plenty of space for toes can prevent these issues from developing.

Both men and women can suffer from bunions, bony bumps that form on the joints where the big toe meets the foot, and hammertoes, in which tendons that are too tight pull and curve the toe under the foot. Wearing tight-fitting shoes with pointy toes is linked to both problems.

Whatever your shoes are made of, change footwear every day. It allows your shoes to air out so they don’t stay sweaty or get moldy, and that’s good for your feet. Wearing a variety of shoes also reduces the likelihood that any one pair will have a lasting negative impact on your feet.

THE BOTTOM LINE THE MATERIAL Leather shoes are good because the material is flexible and you can take them to a shoe repair shop to change the shape of the upper to offset hammertoes or bunions. For tennis or running shoes, a breathable nylon mesh is best, with a solid heel counter—an insert that reinforces the heel cup.

So, what’s the ideal shoe for happy feet? Good, supportive running shoes are the best thing you can wear. They cushion the ball of the foot and the heel, providing shock absorption as you walk.

In addition, they’re generally roomier in front, allowing toes to spread out.

Of course, no one can wear running shoes all the time. Choose footwear that has as many elements of comfort as possible. For example, if you want a pointy toe, choose a shoe that has a lower heel. That way you don’t have gravity pushing your foot forward into a smaller space. Conversely, if you opt for a shoe with a taller heel, look for one with a more rounded toe. Careful shoppers can find shoes that look as good as they feel and keep the wearer walking and dancing for years to come.

TO MAKE AN APPOINTMENT WITH DR. TATYANA HAMILTON (PODIATRY) IN OXFORD, CALL 513.863.8798.

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WHAT TO KNOW ABOUT

VITAMIN D

YOU NEED THIS NUTRIENT FOR GOOD HEALTH. FIND OUT HOW TO MAKE THE MOST OF IT. YOU PROBABLY KNOW that vitamin D helps strengthen bones and teeth, but did you know that research also links it to a reduced risk of cancer, heart disease, stroke, diabetes and autoimmune diseases? Your muscles need vitamin D to move, and your nerves use it to carry messages between your brain and your body.

Vitamin D also helps your immune system fight off bacteria and viruses.

There are two ways to get vitamin D: through food and through exposure to sunlight, which causes your body to

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create this nutrient. However, because vitamin D is only available in a few foods, it may be difficult to eat enough to get the recommended dose.

In addition, many people whose work is indoors or who live in latitudes far from the equator don’t have sufficient exposure to the sun to create vitamin D, especially as days get shorter in fall and winter. Your body doesn’t make vitamin D from sunlight through a window—only when your bare skin is exposed to the sun.

Your primary care provider can have

your vitamin D level checked during a routine blood test. In the meantime, try these tactics to get the most out of this essential vitamin.

Eat a variety of foods that provide vitamin D. These include fatty fish, like tuna, mackerel and salmon; foods fortified with vitamin D, like some dairy products, orange juice and cereals; beef liver; ricotta cheese; and egg yolks.

Consume vitamin D along with a fatty food. It is best absorbed in fat rather than water.

Consider taking a vitamin D supplement, but know that too much vitamin D can be harmful. Very high levels of vitamin D in the blood can cause nausea, pain, dehydration and even kidney failure. The recommended amount for adults ages 19 to 70 is 600 IU (international units) per day.

Consult with your physician about possible interactions with any supplement if you’re also taking prescription medication.

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SALMON SALAD WITH HORSERADISH SAUCE Serves 4

WHO’S AT INCREASED RISK?

INGREDIENTS: • 1 Tbs. prepared horseradish • 1 Tbs. Dijon mustard • ½ cup 0% fat Greek yogurt • ¼ tsp. kosher salt • 1 Tbs. canola oil • 1 pound skinless salmon fillet • 8 cups salad greens • ½ cup sliced cucumber • ¼ cup sliced radishes DIRECTIONS:

According to the National Institutes of Health’s Office of Dietary Supplements, some people are more likely than others to have trouble getting enough vitamin D, including:

• In a large bowl, whisk together the horseradish, mustard, yogurt and salt.

• Heat the oil in a large nonstick skillet over medium heat. Sauté the salmon until lightly browned and cooked through, 3 to 5 minutes per side.

• Remove, allow to cool, break into large pieces and gently toss with the horseradish sauce.

• Put the salad greens on a platter and top with the dressed salmon, cucumber and radish.

• B reastfed infants. Breast milk alone does not provide infants with enough vitamin D.

Note: You can also use canned, no-salt-added salmon. (Bonus: Canned salmon is almost always wild.) Just drain, remove any skin and bones, and toss with the horseradish sauce.

Source: The Healthy Cook, www.nutritionaction.com

• Older adults. With age, the skin’s ability to make vitamin D when exposed to sunlight declines.

•P eople who seldom expose their skin to sunshine because they do not go outside or because they keep their body and head covered. Sunscreen also limits the amount of vitamin D your skin produces.

• People with dark skin. The darker a person’s skin, the less vitamin D they make from sunlight exposure.

• People with conditions that limit fat absorption, such as Crohn’s disease, celiac disease or ulcerative colitis.

This is because the vitamin D consumed is absorbed in the gut along with fat, so if the body has trouble absorbing fat, it will also have trouble absorbing vitamin D. •P eople who are obese or have undergone gastric bypass surgery. They may need more vitamin D than other people.

STIR-FRIED BROCCOLI AND SHRIMP Serves 2.

INGREDIENTS:

• 3 Tbs. dry sherry • 1 Tbs. reduced-sodium soy sauce • 1 Tbs. hoisin sauce • 1 tsp. grated ginger • 1 tsp. corn starch • 1 Tbs. and 1 Tbs. canola oil • 3 cloves garlic, minced • ½ lb. broccoli florets (4 cups) • ½ lb. peeled, deveined shrimp • 1 8 oz. can sliced water chestnuts, drained • 2 scallions, sliced DIRECTIONS:

• In a small bowl, stir together the sherry, soy sauce, hoisin sauce, ginger and corn starch.

• Heat 1 Tbs. of the oil in a large, non-stick skillet over medium-high heat. Add the garlic and stir-fry for 30 seconds. Add the broccoli and ¼ cup of water and cook until the broccoli is bright green and all the water has cooked off, about 2 minutes. Remove from the skillet.

• Add the remaining 1 Tbs. of oil and stir-fry the shrimp until just pink, 2-3 minutes.

Stir in the soy sauce mixture and bring to a boil. Return the broccoli to the pan, add the water chestnuts, and toss with the sauce. Sprinkle the scallions on top.

Source: The Healthy Cook, www.nutritionaction.com

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NON PROFIT U.S. POSTAGE PAID Harrisburg, PA Permit #324

110 N Poplar Street Oxford, OH 45056

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Big city care.

Small town feel.

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