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Transcript
everyday EVANGELICAL COMMUNITY HOSPITAL Winter 2014 SPECIAL ISSUE STATE O F T HE HE AR T ENTER TO WIN A $100 GROCERY GIFT CARD! Simply mail the enclosed reply card. evanhospital.com IN THIS ISSUE IN PERSPECTIVE Michael N. O’Keefe President and CEO every day WINTER 2014 PHYSICIAN SPOTLIGHT....10 Petra Lynch, MD, delivers quality heart care UNDER OUR ROOF........... 6 Evangelical is at the heart of leading cardiac care. Since the opening of our cardiovascular wing in the Donehower-Eisenhauer Pavilion in the summer of 2012, we’ve completed nearly 900 elective and emergency heart catheterizations. Our cardiac rehabilitation program has grown so much that the treadmills are humming from early morning into the evening. In addition, we’ve provided emotional and educational support to patients and their families on stress management, dietary changes, smoking cessation, and exercise programs that contribute to a healthier lifestyle. The reality is expert cardiac care is available at your community hospital. Our cardiac care team is ready 24/7, 365 days of the year, our facilities are well-designed for efficiency of care, and our technology is state of the art. The quality of care our patients receive and the successful outcomes they experience are entirely the result of our physicians and staff at Evangelical — their commitment to exceptional, compassionate care is beyond measure. It’s not hard to speak highly of Evangelical’s cardiac program as it continues to have positive outcomes and is continually changing lives. Just ask the patients who have found themselves needing the services and who are getting their second chance at life. 2 DON’T MISS A BEAT............ 4 Four tips to build a stronger heart Technologically advanced cardiovascular care at Evangelical CALENDAR.......................... 11 Classes and events YOUR BEST INTEREST AT HEART................................. 8 Learning how heart disease affects women differently saves lives Under Pressure WHAT YOUR BLOOD PRESSURE MEASUREMENTS MEAN High blood pressure makes the heart work harder to pump blood and oxygen through the body. The first number (systolic) is the pressure when your heart beats. The second number (diastolic) is the pressure when your heart rests between beats. Try to stay in the “ideal” range: Ideal: less than 120/80 Borderline: 120/80 to 139/89 High: 140/90 or higher Using less salt, drinking less alcohol, losing weight, and exercising will help lower blood pressure. Talk to your family physician about which approaches will work best for you. Need a doctor? Call 877-989-EVAN. HEALTHY YOU Commitment to Care EVANGELICAL COMMUNITY HOSPITAL ACCREDITED AS A PRIMARY STROKE CENTER Each year, more than 795,000 people experience a stroke, making it the nation’s fourth leading cause of death and the leading cause of disability in the United States. The initial care received by a patient in the early stages of stroke determines the extent to which the resulting damage will affect the rest of the patient’s life. As a Primary Stroke Center accredited by DNV Healthcare Inc., Evangelical offers 24/7 multidisciplinary care, including emergency medicine, laboratory, radiology, neurosurgery consultation, and rehabilitation. Because initial care is so important for treating strokes, recognizing when you or someone you know is having a stroke can make a big difference. Signs to look for include face drooping, arm weakness, and speech difficulty. Call 911 immediately if you suspect someone is experiencing a stroke. Get Rid of Vein Pain THE VEIN CENTER AT EVANGELICAL PROVIDES QUALITY CARE FOR VENOUS DISORDERS Whether you need treatment for unsightly varicose veins, blood clotting issues, or vein inflammation, The Vein Center at Evangelical Community Hospital can provide you with minimally invasive, comprehensive treatment. The Vein Center’s program treats more vein-related conditions than any other facility in the region, which gives Evangelical’s specialists a wealth of experience. The Vein Center’s experienced staff is prepared to treat most common vein-related disorders, including: Varicose veins — Caused by weakened valves, this condition of dilated veins that bulge under the skin can be severe enough to affect someone’s ability to get through their day. Spider veins — Same cause as varicose veins; however, they are more superficial and cosmetic. Deep vein thrombosis (DVT) — Caused by a blood clot in a deep vein, this condition can become life threatening if the clot dislodges and travels to other parts of the body. Chronic venous insufficiency — Sometimes caused by DVT, this condition occurs when the veins can’t pump enough blood back to the heart. Phlebitis — Caused by vein inflammation, this condition is mostly cosmetic. LEARN MORE For more information, call The Vein Center at 570-522-4413. EVANGELICAL COMMUNITY HOSPITAL evanhospital.com 3 FEATURE heart health Don’t Miss a BEAT USE THESE 4 TIPS TO BUILD A STRONGER HEART MUSCLE 3. MANAGE YOUR MEALS W hile many a poet has likened a heartbeat to the rhythm of love, this steady lub-dub is actually the sound of four heart valves closing in perfect syncopation. To keep the beat strong and healthy, here are four tips. 2. EXERCISE YOUR OPTIONS 1. QUIT IT If you smoke, stop! Chemicals in tobacco can cause narrowing of the arteries, called atherosclerosis, which can lead to a heart attack. Also, carbon monoxide in cigarette smoke decreases blood oxygen and that makes the heart work harder. Although electronic cigarettes are advertised as a “safe alternative,” there is doubt about the faux-smokes’ safety. A healthier solution is Evangelical Community Hospital’s smoking cessation course called QuitSmart, with one-on-one counseling sessions. 4 every day WINTER 2014 Thirty minutes of daily, moderate physical activity helps you maintain a healthy weight, blood pressure, and cholesterol level—all effective ways to reduce your risk for heart disease. To stick with your exercise goals, it’s a good idea to change your workouts every two weeks or so. Begin by investigating the Evangelical Fitness Center’s wide range of classes, from ab workouts to Zumba, an aerobic dance class with a South American beat. Managing what you eat and how much you eat helps reduce the risk for high blood pressure, high cholesterol, diabetes, and obesity—all conditions that can trigger or worsen heart disease. One heart-healthy diet, cited by the American Heart Association for its cardiovascular benefits, is the Dietary Approaches to Stop Hypertension (DASH) eating plan, which emphasizes low-salt, high-fiber, and fat-free or low-fat foods. For those who need support, Evangelical’s Nutrition Counseling Services pairs you up with a Registered Dietitian for one-on-one guidance. In addition, Evangelical offers the Highmark “Drop 10-in-10” program, which helps patients lose 10 pounds in 10 weeks through optimal nutrition, regular exercise, and behavioral changes. PUT YOUR KNOWLEDGE TO THE TEST 1 If I have high blood pressure, I will: A) Always feel fatigued. B) Possibly never feel a thing. C) Have sharp chest pains. 2 Heart disease kills: A) More men than women. B) More women than men. 4. KNOW YOUR RISKS Despite your best efforts, heart disease can still become an issue, and routine health screenings help catch potential problems at their earliest and most treatable stage. Evangelical offers an array of heart health screenings, including tests for: ● Blood pressure level ● Blood sugar level ● Blood chemistry and metabolism ● Heart health ● Vascular health Aggressive risk factor modifications are now available to prevent or resolve heart disease, including new FDA-approved prescription drugs and non-invasive surgical procedures to treat cardiac and vascular diseases. However, to benefit from these medications and treatments, your doctor has to know your numbers. So schedule those screenings, discuss proactive options with your healthcare team, and keep your heart beating strong. TAKE IT TO HEART For more information about heart health screenings, call 570-768-3200. C) Both genders equally. 3 If you quit smoking cigarettes today: A) It takes about one year to realize health benefits. B) It takes 20 minutes to benefit. C) You can never reverse damage, but you can prevent future damage. 4 Which of the following are symptoms of heart attack? A) Nausea B) Back pain C) Chest pain D) All of the above 5 People who maintain an active lifestyle versus those who are sedentary can potentially lower the risk of developing heart disease by: A) 10 percent. B) 45 percent. C) Not at all if still overweight. ANSWERS ON BACK PAGE EVANGELICAL COMMUNITY HOSPITAL evanhospital.com 5 FEATURE WHAT’S Under cutting-edge care The AngioJet system is used by the Evangelical cardiovascular team to remove blood clots from coronary arteries. The equipment creates a vacuum that loosens the clot and then pulls it through a catheter for removal from the body. Timothy Evans, RCIS, stands with the AngioJet and the catheters that save lives under the team’s direction. Our EVANGELICAL’S TEAM OF HIGHLY TRAINED SPECIALISTS DELIVERS LEADING-EDGE CARDIOVASCULAR CARE TO YOU AND YOUR FAMILY E vangelical Community Hospital may boast an intimate, small-town feel, but our big-city approach to cardiovascular care offers patients the same high-end facilities, state-of-the-art technology, and sophisticated teamwork that is offered at many larger institutions. We continue to keep pace with rapidly evolving changes in medical technology that characterize leading-edge facilities, while never losing the personal touch that’s so important to our patients. Here is what’s under our roof: OUR FACILITIES ● Two catheterization labs are used for diagnostic and interventional cardiology procedures, such as angioplasty, which treats coronary artery blockages with a tiny balloon inserted into the blood vessel. ● A control room connected to the cath labs offers a full view of what is happening inside, including real-time access to images of the patient’s heart. ● A seven-bed procedure care unit (PCU) includes a Spacelabs Healthcare monitoring system to assess heart rate and rhythm, blood pressure, and oxygen saturation as patients recover. ● A cardiac rehabilitation unit helps patients get stronger, quit smoking, eat better, lose weight, and lower blood pressure and cholesterol. The rehab gym has the latest in exercise equipment, including recumbent exercise bikes and steppers, treadmills, and rowing machines. 6 every day WINTER 2014 Roof OUR TECHNOLOGY Ashley Olley, BS, RCIS, Cardiac ● Patient monitoring systems synchronize real-time patient data, such as images, oxygen levels, blood flow, and heart rhythm, to help the team of specialists react seamlessly and effectively during catheterization procedures. ● An advanced contrast injection system provides better diagnostic results. This type of system has been used to diagnose and treat more than 15 million patients in 75 countries. ● An AngioJet system restores blood flow to coronary arteries and veins by removing blood clots. ● An intra-aortic balloon pump (IABP) increases blood flow to the heart and the rest of the body to address situations such as heart failure; unstable, resistant angina; valve disease; and shock caused by cardiac arrest, among others. ● Echo/stress testing equipment uses 3-D technology that provides unique diagnostic information using sound waves on hearts at work and at rest. Staff members talk patients through what they are seeing as they analyze their heart activity during these procedures. For patients who cannot perform a physical stress test, chemical stress testing can be done through the use of medications. ● A Cardiac Science monitoring system for cardiac rehab patients includes advanced diagnostic and therapeutic cardiac devices, such as vital signs monitors, telemetry equipment, and cardiac monitoring systems, to aid in furthering the progress for the patient as well as to collect data for the physicians and staff charged with their care. DID YOU KNOW? Someone in the U.S. has a heart attack every 34 seconds. Cath Technologist at Evangelical, points to an image created by the Volcano Intravascular Ultrasound Catheter. Evangelical uses the GE MacLab patient monitoring system to visually identify blockages and get an inside view of a patient’s artery. The system combines information technology data integration with high resolution visual systems to aid the cardiovascular team in identifying and clearing blockages while capturing important information for the treatment of the patient. OUR TEAM Evangelical’s expert team of cardiovascular nurses, technologists, and rehabilitation specialists bring over four decades of combined experience to their patients. The team works hand-in-hand with board-certified interventional cardiologists to perform diagnostic and interventional catheterization procedures. With clinical expertise and state-of-the-art cardiac care combined with compassion and understanding, patients have access to expert care, close to home. KNOW YOUR HEART To assess your heart health risks, visit evanhospital.com. EVANGELICAL COMMUNITY HOSPITAL evanhospital.com 7 PATIENT-CENTERED CARE HEART Your Best Interest at LEARNING HOW HEART DISEASE AFFECTS WOMEN DIFFERENTLY SAVES LIVES H eart disease is the No. 1 killer of women in the United States, causing 1 in 3 women’s deaths each year. That makes the disease more deadly than all forms of cancer combined. At Evangelical Community Hospital, we take a proactive team approach to lower those statistics. Our Cardiac Rehabilitation Program provides education, exercise training, and psychosocial support to help patients better manage heart disease and its consequences. One-on-one consultations with cardiac experts help a woman meet her distinct heart-health needs, often including preventative interventions before a problem occurs, such as identifying and treating a 8 every day WINTER 2014 blockage before it leads to a heart attack. Our wellness programs gently guide you toward healthier lifestyle choices, such as helping you adopt a heart-healthy diet so you feel better and enjoy a longer life. RECOGNIZING THE SIGNS A woman’s heart attack symptoms are often different than a man’s, which can make it challenging to recognize the signs. It’s imperative that women and their family members recognize the following signs of heart attack specific to women: ● Constant or intermittent pressure, squeezing, fullness, or pain in the chest. ● Pain or discomfort in one or both arms, the back, neck, jaw, or stomach. ● Shortness of breath that occurs with or without chest discomfort. ● A cold sweat, nausea/vomiting, or lightheadedness. “Do the cardiac rehab. Take advantage of all the opportunities the staff at Evangelical give to you. Keep on living your life.” A NUMBERS GAME Women can work toward healthy numbers and reduce risk factors associated with heart disease. Blood pressure: The goal for both women and men is 120/80 or lower. Cholesterol: There are three values to know. Unique to women, healthy values mean an HDL (good cholesterol) of greater than 50mg/dL, and for the two bad cholesterols, less than 100 mg/dL for LDL, and less than 150mg/dL for triglycerides. Physical Activity: Women and men should aim for at least 30 minutes of exercise a day, five times a week. Weight: A Body Mass Index (BMI) of 25 or higher is associated with higher blood pressure and an increased risk of heart disease, although a woman’s ideal weight is best established one-onone with her physician. Cigarettes: For everyone, the target is zero. Perhaps the most important numbers are the number of screenings your doctor wants you to have and how often. Every woman needs to set personalized goals with her doctor, discuss risk factors, and empower herself with the knowledge that ultimately protects her heart’s health. — Margaret Moyer MARGARET MOYER, 86, LAURELTON A mother of five sons, avid gardener, and active walker, she knew something was wrong when she had chest pain that would come on even when she was lying down and at rest. After consulting with her family physician and the cardiovascular team at Evangelical, she underwent a heart catheterization that required five stents. The surgery and rehabilitation allowed her to travel to Guatemala four months later. “I can’t say enough about the heart care at Evangelical. Dr. Lynch is my angel and I wouldn’t want anyone else to take care of me and my heart.” —Kristy Watson KRISTY WATSON, 43, Mc EWENSVILLE While walking her dog with her husband, her arms went numb and she got a sharp pain in her jaw. Later that evening she got a strong pain in her shoulders, broke out in a sweat, and felt nauseous. Two days later she was in Evangelical’s catheterization lab receiving a double-stent in an artery that was 98 percent blocked. She missed death by an hour. Since her heart attack, she has changed her diet and her attitude toward exercise, and she hasn’t touched a cigarette or caffeine. EVANGELICAL COMMUNITY HOSPITAL evanhospital.com 9 PHYSICIAN SPOTLIGHT ON YOUR SIDE PETRA LYNCH, MD, DELIVERS QUALITY HEART CARE Dr. Petra Lynch is a board-certified, Geisinger interventional cardiologist and vital member of the Evangelical Community Hospital cardiovascular care team. Her clinical practice includes the diagnosis and treatment of coronary artery disease. Since her arrival at Evangelical in August 2012, she has performed over 608 procedures. Having received her medical degree from Albert-Ludwig University of Freiburg, Dr. Lynch completed her residency and fellowship training at the SUNY at Buffalo Graduate Medical/Dental Education Consortium Program. She served as a research assistant at the Department of Cardiothoracic Surgery at Beth Israel Medical Center in New York and she completed her Experimental Doctoral Thesis at the Department of Cardiovascular Surgery at the University of Freiburg. ● Why Dr. Lynch her job: “During my training, I realized the significant impact that interventional cardiology has on a patient’s quality of life and survival,” says Dr. Lynch. “With heart disease being the No. 1 killer of people in the United States, I wanted to be able to save lives through modern procedures, with minimal pain and recovery for the patient. Interventional catheterizations accomplish that goal.” ● Dr. Lynch’s heart-healthy advice: “Eat to live, don’t live to eat.” 10 every day WINTER 2014 LEARN MORE To view an online video of a heart health presentation by Dr. Lynch, visit evanhospital.com, click on Our Services, then Heart Care Services. ● On call 24/7: Dr. Lynch and the cardiovascular team are on call for emergency procedures 24 hours a day, seven days a week, 365 days a year. In addition to emergency heart treatments, the team performs scheduled interventional/ preventative catheterizations throughout the week. “Eat healthy, exercise, and go to your doctor.” —Petra Lynch, MD CALENDAR HEART HEALTH EVENTS: Looking for ways to put your heart health first? We’ve got tools to help you get started. Heart Screen DATE Friday, February 14 TIME 7–10 am LOCATION Community Health and Wellness Center, Lewisburg FEE FREE! Heart Health Panel Discussion DATE Thursday, February 27 TIME 5:30 pm FREE meal; Talk at 6:30 pm LOCATION Evangelical Community Hospital, Apple Conference Rooms at the rear of the Dining Room FEE FREE! The panel of experts includes: Petra Lynch, MD, Geisinger Interventional Cardiologist; Todd Stefan, MD, FACS, RPVI, Medical Director, Peripheral Vascular Lab; Dennis Neamand, BS, RCIS, Director of Catheterization Services; Lisa Brinckman, RN, Director of Nursing, Cardiovascular Services; and Vicki Krebs, RN, Coordinator of Cardiac Rehabilitation. Daily Steps to Less Stress DATE Thursdays, April 3–April 24 TIME 6–7:30 pm LOCATION Community Health and Wellness Center, Lewisburg FEE $65 (free for current Highmark-insured participants) This “Wellness Where You Live” Highmark Blue Cross Blue Shield lifestyle improvement program will help you manage everyday stress through practical relaxation techniques and innovative stress management strategies. From coping skills, to visualization, to progressive muscle relaxation, and humor therapy, you’ll acquire effective tools to deal with stress. Heartsaver CPR DATE Tuesday, March 11 TIME 8:30 am–12:30 pm LOCATION Community Health and Wellness Center, Lewisburg FEE $40 This course is for the lay person who wants to learn how to give CPR to an adult, child, and infant; learn how to use an AED; learn how to assess and phone your emergency response number (or 911); and learn how to help a choking adult, child, or infant. Comprehensive Blood Screen DATE Tuesday, March 18 TIME 7–10 am LOCATION Sunbury YMCA FEE $40 Includes a lipid panel for HDL, LDL, total cholesterol, and triglycerides; a complete blood count; and CMP to assess blood sugar, electrolytes, calcium, protein, liver enzymes, and more. JOIN US For more information or to register for all health screenings, seminars, and classes, call Evangelical Community Health and Wellness at 570-768-3200. EVANGELICAL COMMUNITY HOSPITAL evanhospital.com 11 Newly insured? Find a doctor. CALL TOLL FREE 877-989-EVAN With Evangelical Community Hospital’s Find a Doctor Line, you speak with a real person who can match your health needs and new insurance plan with the care that’s right for you. No automated messages or menus – just real compassion and real answers. Accepting most insurances, including GHP PUT YOUR KNOWLEDGE TO THE TEST—ANSWERS QUESTIONS FOUND ON PAGE 5 1 2 B) Possibly never feel a thing. High blood pressure, which increases risk for heart disease, is called the “silent killer” because it often has no symptoms. A simple test can measure blood pressure. When left untreated, high blood pressure can cause heart attack, stroke, kidney damage, and other serious health problems. C) Both genders equally. Heart disease is the No. 1 cause of death of both men and women in the U.S. The Centers for Disease Control and Prevention report that heart disease is responsible for 1 in every 4 male and female deaths in the United States. 3 B) It takes 20 minutes to benefit. If you smoke, you increase the risk of developing heart disease by 24 percent. However, quitting brings these near-immediate benefits: � 20 minutes after quitting, your heart rate drops to a normal level. � 12 hours after quitting, the carbon monoxide level in your blood drops to normal. � 1 year after quitting, your added risk of coronary heart disease is half that of a smoker’s. 4 D) All of the above The most common sign of a heart attack is chest pain or discomfort, but often there are other symptoms that may include shortness of breath, nausea, sweating, feeling lightheaded, and/or pain or discomfort in other parts of the upper body, such as the back, stomach, neck, or jaw. 5 B) 45 percent. The American Heart Association recommends moderatelyintense exercise for at least 30 minutes on most days of the week. ECH-014