Download 2016 Summer - ProHealth Care

2016
Summer
Measure your
circulatory health with
vascular screening
Restore your mobility and
regain your strength
with rehabilitation services
New wide bore MRI scanners are
faster and more spacious
Vascular screening helps detect risk of
conditions affecting your circulatory system
Stroke, aneurysms and kidney failure are examples of conditions that can be caused by
reduced blood circulation. When circulation is hindered by blocked or narrowed arteries,
vascular disease follows. ProHealth Heart & Vascular Care offers a vascular screening that
allows circulatory problems to be identified and treated early. This screening may be right for
you if you are 55 or older and have one or more of the following risk factors:
CAD
AAA
· Diabetes
· A history of smoking
· High blood pressure
· High cholesterol
· A family history of aneurysm or vascular disease
ProHealth Care’s vascular screening combines three tests:
Carotid artery disease screening
(CAD or stroke screening)
Ultrasound images are taken of the two carotid arteries on each side of the neck. The
screening checks for narrowing or clogging of these arteries caused by plaque buildup, which
can lead to stroke. Stroke is the nation’s fifth leading cause of death and a primary cause of
adult disability.
PAD
Abdominal aortic aneurysm screening (AAA)
Ultrasound is used to check for weakness in the walls of the aorta, the body’s largest artery.
The aorta carries blood from the heart through the chest and belly and then divides into
two main arteries in the legs. If the walls of the aorta weaken, they are at risk of rupturing,
potentially resulting in death. When a rupture occurs below the chest and near the belly, it is
called an abdominal aortic aneurysm.
Peripheral artery disease screening (PAD)
ProHealth Care’s PAD screening uses the ankle brachial index to compare blood pressure in the lower legs to blood
pressure in the arms. Blood pressure that is lower in the leg than in the arm is an indication of blocked arteries, or PAD.
The most common symptom of PAD is muscle pain in the hips, thighs or calves while walking or exercising.
Vascular screening results are provided immediately after the exams. Patients are encouraged to discuss the results with
their doctor. A board-certified vascular surgeon also reviews the tests and notifies the patient’s primary care physician if
there are any serious concerns.
The screening is available at ProHealth locations in Brookfield, Mukwonago and Waukesha. The fee for the screening
is $99. Medicare and most insurance companies do not cover the cost of the vascular screenings included in this
specially priced package. The cost may also be an eligible expense through your flexible spending account. To
schedule the screening, call 262-928-3000.
A physician referral is not required to schedule this screening. However, you must have a primary care physician in
the event follow-up care is needed. If you do not have a primary care physician, our physician referral specialists can
assist you. Call 262-928-2745.
Know your risk
for colon cancer
Age 50 is usually considered to be the magic
number for a first colonoscopy. These effective
colorectal health screenings can disclose
pre-cancerous polyps, which are then removed
during the same quick and painless procedure.
In general, you should be screened by colonoscopy
10 years earlier than the age when your family
member was affected. So if your mother was
diagnosed with colon cancer at age 45, you should
begin regular screenings at age 35.
Some people shouldn’t wait until age 50 for a
colonoscopy, however. Five to 10 percent of all
colorectal cancers are hereditary, caused by an
inherited gene or genes.
The genetic counselors at the UW Cancer Center
at ProHealth Care are experts at evaluating family
risks for the major types of inherited colon cancers
and know who should be tested for several genes
known to lead to colorectal cancer.
Talk with your physician if any members of your
family have had colon cancer. Your physician will
want to know whether you have any first-degree
relatives who have had colon cancer, including
parents, siblings and children. Your physician also
will want to know the age at which the cancer was
diagnosed and whether there were multiple people
in your family who had colorectal cancer.
Your risk of colorectal cancer also is increased if
you have relatives who have had pre-cancerous
polyps removed during their colonoscopies. If a
relative had the good fortune to have colon cancer
prevented by the removal of polyps, you now need
to be checked for them, too.
For most of us at normal risk, we can help
prevent colon cancer with a diet rich in fresh
fruits and vegetables, regular exercise and a
healthy body weight.
To learn more about colorectal cancer
and identify your risk factors, complete an
online health risk assessment at
ProHealthCare.org/KnowYourRisk.
If you would like to learn more about genetic
cancer testing for you or members of your family,
call 262-696-0836.
Bringing outpatient
rehabilitation services
closer to you
Most people recover faster and better when they
receive rehabilitation services after a stroke,
cancer treatment or other illness or injury.
Patients with conditions including neurological,
neuromuscular, orthopedic or pelvic floor
disorders, and those with chronic pain or balance
and dizziness problems, also can benefit greatly
from rehabilitation.
If you live or work in Waukesha County and
need rehabilitation services, you don’t have to
travel very far. With 11 locations — one each
in Hartland, Mukwonago, Muskego, New Berlin
and Oconomowoc, and three each in Pewaukee
and Waukesha — ProHealth Care can easily
match you with the right therapist to help
you rebuild strength and agility, and even
regain independence.
Therapy after an illness or injury may include
physical therapy, occupational therapy or other
therapeutic modalities such as:
•Aquatic therapy
•Pediatric
•Athletic training
rehabilitation
•Biofeedback
•Pelvic floor therapy
•Cancer rehabilitation •Speech therapy
•Driver safety
•Cognitive therapy
evaluation
•Sports medicine
•Lymphedema services •Vestibular
•Massage therapy
rehabilitation
ProHealth Care offers early morning and evening
rehabilitation appointments to make getting the
health care you need even more convenient and
accessible. To learn about our services, visit
ProHealthCare.org/Outpatient-Rehab.
ProHealth Care has expanded and remodeled its sports medicine, physical therapy and occupational
therapy areas in Mukwonago. The new space also provides more on-site sports medicine services and
rehabilitation staff. ProHealth’s D. N. Greenwald Center is conveniently located at Interstate 43 and
Highway 83. For more information, call 262-928-1916.
New
for healing
When people experience a wound, they usually
clean the area, apply a salve, bandage it and let the
healing begin.
For others it’s not that easy. They follow all of the
steps and yet the wound shows no sign of healing.
Even with a doctor’s care, it may grow worse.
That’s when ProHealth Care’s wound healing services
can make a difference. Our experts use advanced
treatments and the latest equipment to help patients
heal, when other methods have not been successful.
“Wounds that don’t heal for four or more weeks need
special attention,” says Janice Brebeck, assistant clinic
manager for ProHealth Care’s wound program.
“The culprit most often is inadequate blood flow,”
she says. “If disease affects circulation and oxygen
doesn’t get where it needs to be, then healing will
be compromised.”
David Letzer, DO
David Letzer, DO, is an infectious
disease specialist and one of the
physicians with ProHealth Care’s
wound program. “Most healthy
people won’t have problems
healing,” he says. “But those with
diabetes, venous insufficiency
or lymphedema often do as there
are underlying factors that get in
the way.”
Gerald Kernan’s diabetes was to blame for the wound
on his ankle and foot that would not heal.
“I was so frustrated because I thought I was doing
everything right,” says Kernan, 81, of Sussex. “I was
so worried. I really thought I might lose my foot.”
Because blood circulation to his foot was restricted,
stents were put in his leg, foot and upper body.
He also underwent 60 treatments in the wound
program’s hyperbaric chamber.
Hyperbaric oxygen therapy has a history of success
for wound patients like Kernan.
“The hyperbaric chamber is a clear cylinder.
A bed on rollers slides in, the chamber is closed
and the patient breathes in 100 percent oxygen,”
Brebeck explains. “That’s a significant increase over
the 20 percent concentration of oxygen in the air
we breathe.”
Hyperbaric treatment is just one approach taken
in the ProHealth wound program. Others include
special dressings, skin grafts, bio-engineered skin
substitutes that stimulate growth, or debridement
(removal of dead tissue to stimulate healing).
If you are concerned about a wound that
will not heal, call 262-928-8899 or visit
ProHealthCare.org/WoundHealing.
ProHealth wound healing services locations:
Oconomowoc Physician Center
1185 Corporate Center Drive, Suite 135
ProHealth Waukesha Memorial Hospital
725 American Avenue
Liver & Pancreatic
Cancer Program
WORKING TOGETHER TO BRING YOU
EXTRAORDINARY CANCER CARE
UW Health and ProHealth Care are committed to bringing breakthrough
therapies, promising clinical trials, state-of-the-art technology and exceptional
patient care to individuals with cancer. The UW Cancer Center at ProHealth Care
in Pewaukee, which opened in August 2015, is the centerpiece of the partnership.
Sharon Weber, MD
The team at the cancer center works to ensure that patients have a superior
patient experience — one that recognizes the stress of a cancer diagnosis and
surrounds patients with the support they need.
Two new surgical programs at the cancer center are designed to enhance the level
of care available locally. Sharon Weber, MD, a UW Health surgical oncologist,
has teamed up with Chris Davies, MD, a general and vascular surgeon, to offer
specialized care for liver and pancreas cancer.
Chris Davies, MD
Esophageal & Lung
Cancer Program
In addition, James Maloney, MD, a UW Health thoracic surgeon, is working
collaboratively with Deemy Rekkas, MD, a cardiothoracic surgeon, to offer care
for esophageal and lung cancer.
In both instances, patients will meet with the fellowship-trained surgeons in
Pewaukee and personalized treatment plans will be developed. The surgical teams
will provide coordinated care, innovative surgical therapies (including minimally
invasive techniques) and maintain the optimal quality of life for patients, during
their treatment and beyond.
James Maloney, MD
Exciting work is also underway to expand the number of clinical studies available
locally and to ensure that necessary support services are available to enhance
overall well-being after a cancer diagnosis.
To learn more about the liver and pancreas or esophageal and lung cancer
programs, call 262-696-0909.
Deemy Rekkas, MD
Wide bore MRI scanners are available
at ProHealth Oconomowoc Memorial
Hospital and at the ProHealth
Medical Group clinic in Pewaukee.
The spacious scanners offer
increased comfort for larger people
and those who are claustrophobic.
wide bore mri scanners add comfort for patients
Patients at ProHealth Oconomowoc Memorial
Hospital and ProHealth Medical Group in Pewaukee
are a little more comfortable during their MRI
exams, thanks to the latest wide bore MRI scanners
added to ProHealth Care’s advanced diagnostic
imaging equipment.
Magnetic resonance imaging is a powerful tool that
uses a magnetic field and radiofrequency waves to
create detailed images of bones, organs and tissues
within the body. It supports a wide range of medical
specialties, including neurology, orthopedics,
cardiology and oncology.
Jeffrey Fete, MD
“Wide-bore magnetic resonance
imaging exams are faster and more
comfortable for patients of many
different body types and ages,”
said Jeffrey Fete, MD, a radiologist
at ProHealth Care. “Patients
are likely to find the wide bore
MRI experience to be less
stressful overall.”
ProHealth Care’s wide bore MRI scanners feature:
• High-quality images that enable physicians to
make quicker and more accurate diagnoses.
• Faster scanning speed than conventional MRI
scanners, meaning that patients spend less time
in the scanner.
• Noise-reduction technology, making scans 70
percent quieter than conventional scanners.
• A 2.3-foot bore, or tube-like structure, where
patients lie for the scan. The machine easily
accommodates heavier patients.
• A larger opening that allows many exams to
be performed with the patient’s head outside
of the scanner.
• Custom mood lighting and soothing music that
contribute to a calming environment.
The scanner at Oconomowoc Memorial is the
centerpiece of a new state-of-the-art examination
suite, which also includes a preparation room for
patients and an MRI control room. The Pewaukee
scanner is part of the comprehensive diagnostic
imaging services available at the new ProHealth
Medical Group clinic, located along Pewaukee Road
just north of I-94.
If you require an MRI and would like to schedule
your exam in a wide bore scanner, call 262-928-3000.
Visit ProHealthCare.org/TravelMedicine or
call 262-928-5900 to learn more.
• An assessment of your medical
conditions and immunizations.
• An assessment of your travel
destination and itinerary.
• Essential advice regarding illnesses,
safety and travel insurance.
• Options for vaccinations and boosters.
• Resources such as travel and vaccine
information.
International travel medicine services are now
available in Watertown, 109 Air Park Drive,
and in Waukesha, 20611 Watertown Road.
Services include:
Two sites for international
travel medicine
N17 W24100 Riverwood Drive
Waukesha, WI 53188