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vigor HEALTHY LIVING FOR YOUR FAMILY WKHS.COM VIM & SPRING 2015 Senior Class 32 ways to make the later years your best PLUS how the show must go on for actress Judi Dench despite a serious eye condition HOW EXERCISE BENEFITS THE BODY AND BRAIN Willis-Knighton is innovating heart care REHAB BRIDGES THE GAP FROM HOSPITAL TO HOME FdVVSP1593_00_Cover.indd 1 12/10/14 3:49 PM Contents SPRING 2015 THE BIG STORY 2 3 4 6 7 8 40 42 44 46 50 Perspective Fit & Well In the Know Inside The Oaks Bon Appétit Spotlight Plan & Prepare This Just In The Truth About Allergies Healthy Buys: Golden Gifts Quiz: Freak Out or Chill Out? 52 At a Glance: Smoke Alarm 54 In the Market: Spinach 56 Health by the Numbers: Focus on Fertility Studies show that people often save the happiest years for last. PAGE 16 FEATURES 9 Age Is Just a Number Past your prime? Maybe not. See some amazing achievements by older folks. 10 The Long View Despite a serious eye condition, actress Judi Dench is determined to do what she loves at age 80 and beyond. 14 You: Part 2 Life is full of surprises, and they don’t stop when you’re on the other side of 50. 22 Going Through the Motions Our joints endure a lifetime of bending, twisting and rotating. Here’s how to keep them in top shape. IN EVERY ISSUE 28 Your Last Chapter: Expressing End-of-Life Wishes It’s something that no one wants to think about, but everyone needs to. 38 What Rehab Can Do for You If you want to see the full benefits of therapy at Willis-Knighton’s Rehabilitation Institute, just ask Mark Thompson. Can too much gaming cause osteoarthritis? PAGE 43 33 Mending Broken Hearts Willis-Knighton is an innovator for cardiac care in the Ark-La-Tex and beyond. Read three people’s stories that illustrate why. 36 Well-Rounded Workout Physical activity is important to physical wellbeing and mental health. See the many opportunities available to residents at The Oaks of Louisiana. 6 Community Garden Residents of The Oaks of Louisiana can plant, grow and harvest their pick of fresh vegetables and herbs. COVER PHOTO BY NEIL TINGLE-ALLSTAR-GLOBE PHOTOS INC. SPRING 2015 FdVVSP1593_01_TOC.indd 1 1 12/10/14 3:49 PM PERSPECTIVE GOOD HEALTH THROUGH THE YEARS Life after 50 can be exciting and fulfilling VIM & VIGOR PRESIDENT AND CEO, WILLIS-KNIGHTON HEALTH SYSTEM James K. Elrod FACILITY ADMINISTRATORS Jaf Fielder, Willis-Knighton Medical Center Keri Elrod, Willis-Knighton South Cliff Broussard, WK Bossier Health Center Sonny Moss, WK Pierremont Health Center Margaret Elrod, The Oaks of Louisiana Joshua Mason, WK Innovation Center REGIONAL EDITOR Marilyn S. Joiner CONTRIBUTORS Marian Dehan, Kim Foulk, Darrell Rebouche, Terrie M. Roberts, Lyne Robinson A new year, another spring, the rebirth of nature. It’s a beautiful and invigorating time. Just like nature, Vim & Vigor has been renewed with a fresh design introduced last year and an overall theme for each issue. This issue is one of my favorites because it focuses on making the most of your life after 50. As I look forward to celebrating my 50th year at Willis-Knighton in April, I am constantly reminded that the later years can be just as exciting and fulfilling as the earlier years. It’s certainly the case for noted actress Judi Dench, our cover celebrity. It’s as if that cover feature on her was written to reinforce exactly what we offer at The Oaks of Louisiana. Be sure to read Terrie Roberts’ story on the vibrant active lifestyle there and what residents at The Oaks are enjoying. You’ll find it on page 36. Just as older vehicles need repairs, so do older bodies, and where we receive care for our bodies is important. I believe that Willis-Knighton has the finest range of services in our region to support healthcare, particularly those of us who need some of those “body repairs.” And when that happens, we’re also fortunate to have wonderful options to help people recover, from home health to inpatient rehabilitation. Lyne Robinson covers some of those options in her story on page 38. Some of us remember when heart surgery was in its infancy in our community, when Dr. Stan Shelby performed the first open heart surgery in Shreveport. Today, heart surgery is quite different, thanks to superb technology, including our hybrid operating suite at the Willis-Knighton Heart & Vascular Institute. Look for Darrell Rebouche’s story that features some of the outstanding developments for mending broken hearts. It’s on page 33. As you read through this magazine, I hope you’ll gain knowledge and information to help you be healthier and happier. An old Arabian proverb says, “He who has health, has hope; and he who has hope, has everything.” My wish for you is good health, now and in the future. PRODUCTION EDITORIAL EDITOR-IN-CHIEF: Amy Saunders EDITORS: Erin Feeney, Meghan Krein, Matt Morgan, Ellen Olson, Tom Weede COPY EDITOR: C.J. Hutchinson DESIGN CHIEF ART DIRECTOR: Tami Rodgers ART DIRECTORS: Rod Karmenzind, Kay Morrow PRODUCTION SENIOR PRODUCTION MANAGER: Laura Marlowe SPECIAL PROJECTS & PRICING MANAGER: Jenny Babich IMAGING SPECIALIST: Dane Nordine PRODUCTION TECHNOLOGY SPECIALISTS: Julie Chan, Sonia Fitzgerald CIRCULATION SENIOR DIRECTOR OF BUSINESS INTELLIGENCE GROUP: Tracey Lenz POSTAL AFFAIRS & LOGISTICS DIRECTOR: Joseph Abeyta CLIENT SERVICES CHIEF CLIENT OFFICER: Beth Tomkiw CLIENT STRATEGY AND SERVICES MANAGERS: Annika Honkanen, Lauren Keeton, Gerry Kubek, Barbara Mohr ADMINISTRATION CHIEF EXECUTIVE OFFICER: Matthew J. Petersen SVP, BUSINESS DEVELOPMENT – HEALTHCARE: Gregg Radzely, 212-574-4380 CREATIVE DIRECTOR: Marc Oxborrow VIM & VIGOR FOUNDER: J. Barry Johnson CHAIRMAN EMERITUS: Preston V. McMurry Jr. 2600 Greenwood Road Shreveport, LA 71103 318-212-4000 wkhs.com If you wish to be removed from the mailing list, please visit mcmurrytmg.com/circulation. James K. Elrod President and CEO 2 Vim & Vigor™, Spring 2015, Volume 31, Number 1, is published quarterly by McMURRY/TMG, LLC, 1010 E. Missouri Ave., Phoenix, AZ 85014, 602-395-5850. Vim & Vigor™ is published for the purpose of disseminating health-related information for the well-being of the general public and its subscribers. The information contained in Vim & Vigor™ is not intended for the purpose of diagnosing or prescribing. Please consult your physician before undertaking any form of medical treatment and/or adopting any exercise program or dietary guidelines. Vim & Vigor™ does not accept advertising promoting the consumption of alcohol or tobacco. Copyright © 2015 by McMURRY/TMG, LLC. All rights reserved. Subscriptions in U.S.: $4 for one year (4 issues). Single copies: $2.95. For subscriptions, write: Circulation Manager, Vim & Vigor™, 1010 E. Missouri Ave., Phoenix, AZ 85014. S P RIN G 2015 FdVVSP1593_02_Perspective.indd 2 12/10/14 3:50 PM Fit & Well By Joyce Florance Joyce Florance, fitness coordinator Someone to Guide You A fitness center’s value is in the people who work with you to achieve your goals Fitness center promotions often include hours, locations, amenities, cleanliness, equipment, classes and cost. But what do you know about the fitness staff? It doesn’t matter how long a gym is open or what it charges unless it also offers the proper guidance, encouragement and motivation to allow you to fully realize the benefits of exercise. Your fitness specialist should: • Communicate with you about your goals, also discussing other things that may affect your exercise, like time commitments, family, job and history. • Hold a college degree and/or certification from a reputable institution or accrediting body. CALL • Use kind words and encouragement, not intimidation. • Be patient and understand that everyone has different goals. • Show interest in you and your progress. • Devote his or her life to helping others through fitness and wellness. • Talk on your level, avoiding fitness jargon. • Work with all ages and abilities. • Perform an initial fitness assessment and then track your progress, scheduling updates regularly. • Speak to you as a person and not as a customer. Here’s a glimpse of this kind of professionalism as described in a letter written to a fitness specialist by one of our members. “I just want you to know how much I appreciate all you do. You are so amazing! As a trainer, you are truly in tune with what my body is doing, how I am breathing, if I am tensing up and how far to push my exercises. Your attention to detail shows me that you truly care about my well-being. I feel confident about placing myself in your care. You help me to feel good about what I am doing, because physical fitness not only makes me strong, but helps pick me up emotionally as well. … You are an encourager who makes me want to do more. You are a positive person who is fun to be with; always quick to smile and share some laughter. … I think you must already know that you are not only my trainer, but I consider you my dear friend.” I tell my staff members that each day their goal should be to strive to say something to someone that makes that person glad they came in on that day. I think it demonstrates that WK Fitness & Wellness specialists really care about your health and well-being and want to help you achieve your fitness goals. n bottom photo by thinkstock We’re Here to Help Want to get started on an exercise program? Call 318-212-4475 or stop by and talk to the friendly and encouraging staff at a WK Fitness & Wellness Center today. SPRING 2015 FdVVSP1593_03_FitWell.indd 3 3 12/10/14 3:50 PM IN THE KNOW Anthony Martin TAKE WILLISKNIGHTON HOME WITH YOU 4 Warmer weather won’t be the only enticement drawing Oaks of Louisiana residents outdoors this spring. The all-adult community promotes an active, healthy lifestyle, and activities in the sunshine are encouraged. This spring, residents have a new croquet lawn, chipping green and putting green to enjoy. The croquet lawn and chipping green are in the center of campus, on the lawn between the Tower at The Oaks and the Chapel at The Oaks. The putting green is behind the Tower at The Oaks. “The croquet lawn is part of a long-range plan that has been in place from the outset,” says Margaret Elrod, executive director of The Oaks. “One of the things we noticed when we first started traveling to the East Coast looking at communities like The Oaks is a few of them had croquet lawns. The one in Asheville, N.C., was very much used and enjoyed.” Chipping and putting greens were included at the request of residents. More opportunities to stay engaged and active— and enjoy the beauty of The Oaks campus. Margaret Elrod CROQUET PHOTO BY THINKSTOCK When you have been impressed with your care at Willis-Knighton, know that you can take that same level of professionalism with you by choosing Willis-Knighton for your home care. “Home care is a vital part of the continuum of care for patients,” says Anthony Martin, director of Home Care Services for Willis-Knighton Health System. “Our professionals pick up when the patient leaves the acute-care professionals.” Every patient’s No. 1 goal is to get home, Martin says. But sometimes the person is not prepared for the reality of being home and dealing with recuperating from the disease or condition that prompted the hospital visit. Willis-Knighton Home Care provides a variety of services like wound care, IVs, fluid regulation, Coumadin monitoring and education about the condition. And Martin says he is always willing to talk to a doctor about something a patient might need. “We may not have offered it before,” he says, “but if there is something we can do to help a patient at home, we’re open to new ideas.” Martin acknowledges that there are many companies, including for-profits, that provide care in the home and that people may not be as familiar with them as they are with Willis-Knighton. Thankfully, they can have an extra level of confidence in the care being delivered by Willis-Knighton, knowing that home-care employees are affiliated with the hospital and must meet the exacting standards that hospital employees meet. Come Out and Play Croquet! S P RIN G 2015 FdVVSP1593_04-5_InTheKnow.indd 4 12/10/14 3:50 PM BY THE NUMBERS 706 Complimentary 3-D screening mammograms performed during Breast Cancer Awareness Month (October) 26 Quarterly issues of Vim & Vigor magazine (including this one) presented by Willis-Knighton Health System since 2009 $1,563 CROQUET PHOTO BY THINKSTOCK Minimum monthly cost to live independently at The Oaks of Louisiana, including apartment, lunch, scheduled transportation, activities, entertainment and security Joyce Hooper Better Technology, Better Mammograms The introduction of 3-D breast imaging at Willis-Knighton last fall has been well received by patients and their physicians and will continue to make an impact throughout Willis-Knighton Health System. The technology was phased in at outpatient screening locations at Pierremont, Bossier and South and will be at all WK campuses by midyear. This is a significant investment but one that is important, says Joyce Hooper, administrative director of radiology. “This technology allows radiologists to better see the breast tissue in a 3-D view of scans of the entire breast, meaning that they can identify abnormalities when they are very small and easier to treat,” Hooper says. “With this also comes a reduction in the number of callbacks for additional views or other tests,” she says. “This not only reduces anxiety but helps to control the cost of healthcare, because it means we won’t have to perform additional tests when they are not needed.” The 3-D imaging is added to a 2-D screening mammogram and takes only a few additional seconds. If a patient chooses to have 3-D imaging and it is not covered by insurance, the additional cost can be paid out of pocket. SPRING 2015 FdVVSP1593_04-5_InTheKnow.indd 5 5 12/10/14 3:50 PM INSIDE THE OAKS BY TERRIE M. ROBERTS Recycled gutters make great containers for planting herbs and strawberries. Residents Opal Wimberly (left) and Louise Choate enjoy planting, growing and harvesting vegetables in The Oaks’ community garden. Eating the bounty is especially satisfying. COMMUNITY GARDEN Much grows where residents are planting Preparing soil. Planting seeds. Watering, weeding and harvesting. For some, gardening is work. For others, it is therapy. The power of nature was the impetus behind the creation of a community garden at The Oaks of Louisiana. That, and “the opportunity for residents to enjoy fresh vegetables and herbs that they’ve grown themselves,” says Sharon Champagne, campus and grounds manager for The Oaks. “We want everyone here to be healthy and happy,” she says. “We don’t use insecticides or pesticides, so everything is pure, natural and organic.” The community garden is on the north side of Garden Apartments at The Oaks and consists of eight raised boxes to 6 allow not only able-bodied residents to garden, but also those who use walkers or wheelchairs. Attached to the fence that surrounds the garden area are recycled gutters filled with herbs such as thyme, oregano, mint, basil, dill and parsley. Nearby is a plot of land, in addition to the raised boxes, that has been tilled. “This spring, that area will include broccoli, kale and lettuces, mustard greens, English peas, radishes, spinach, carrots, even flowers,” Champagne says. “Residents are welcomed, even encouraged, to come and pick what they want— even flowers for their homes.” Opal Wimberly, Louise Choate, Al Fischer and Max Greene were among residents last spring who planted, grew and harvested such seasonal favorites A larger area near the community garden is tilled by Oaks’ groundskeepers and is the perfect place for planting corn, pumpkins, squash, peas and more. as okra, potatoes, onions, tomatoes and cucumbers. “The residents who tested their hands in gardening had so much fun,” Champagne says. “I ate a little too well. They made zucchini bread. One day they fixed me a lunch of purple hull peas, corn on the cob, cornbread and pork chops!” The garden, though, yields more than delicious bounty. “There are psychological benefits for those who take part,” Champagne notes. “Having something to care for and nurture helps you live longer. It also improves hand strength and hand-eye coordination and is a mild form of aerobic activity.” Adds Fischer: “Gardening gives me pleasure, even if I’m not good at it, and it’s good for you. It gets you in the sunshine, if nothing else.” Champagne agrees. “Research shows that enjoying activities in natural environments is beneficial. We have the perfect natural environment for community gardening here at The Oaks. It’s easy to be healthy and happy.” ■ S P RIN G 2015 FdVVSP1593_06_TheOaks.indd 6 12/10/14 3:50 PM BON APPÉTIT SUPER SALADS Toss your conception of traditional greens and enjoy these savory dishes Broccoli Bacon Salad INGREDIENTS 1 clove garlic, minced ¹₃ cup fat-free mayonnaise ¹₃ cup light sour cream 2 teaspoons red wine vinegar 1 teaspoon Splenda artificial sweetener 4 cups finely chopped broccoli crowns 1 (8-ounce) can sliced water chestnuts, rinsed and chopped ¹₄ cup diced red onion 3 slices cooked turkey bacon, crumbled 3 tablespoons dried cranberries ¹₄ teaspoon black pepper INSTRUCTIONS PHOTOS BY THINKSTOCK Whisk garlic, mayonnaise, sour cream, vinegar and Splenda in a large bowl. Add broccoli, water chestnuts, red onion, bacon, cranberries and pepper; stir to coat with the dressing. Refrigerate until ready to serve. Yield: 12 servings. Serving: ¹₂ cup. Calories: 66. Fat: 2 grams. Recipe modified by Alicia Smith, MS, RD, LDN, CDE, Willis-Knighton Diabetes & Nutrition Center. Smoked Salmon Salad INGREDIENTS 8 ounces fresh salmon Salt and pepper to taste 1 8-inch wood plank (cedar preferred) Salad: 1 whole English cucumber 3 radishes 2 scallions Fresh spinach, about 10 ounces Vinaigrette: 3 lemons 2 limes 1 tablespoon extra-virgin olive oil 1 tablespoon dill, chopped ¹₃ cup extra-virgin olive oil (optional) INSTRUCTIONS Heat plank on grill. While plank is heating, prepare vegetables for salad: Slice cucumber in half, lengthwise, then slice thinly on the bias. Wash and thinly slice radishes (thin enough to see through). Slice scallions. Next, prepare vinaigrette: Squeeze juice from lemons and limes into a small bowl. Add 1 tablespoon olive oil to juices (citrus liquid) and whisk to blend. Stir in fresh dill. Season salmon with salt and pepper. Slice salmon into thin strips. Place salmon strips on hot plank and cook roughly 3 to 5 minutes. Remove salmon from plank and place in refrigerator to cool. Place spinach, cucumber, radishes and scallions in a bowl and toss to combine. Drizzle with citrus vinaigrette and additional extra-virgin olive oil if desired. Stir gently to distribute vinaigrette. Divide salad evenly among three plates. Top salad with cooled salmon. Yield: 3 servings. Recipe submitted by Billy Wiethaupt III, chef at The Oaks. SPRING 2015 FdVVSP1593_07_BonAppetit.indd 7 7 12/10/14 3:50 PM Spotlight Management Profile Chief Traffic Controller Glenda Turner Glenda Turner feels like an air traffic controller. As executive assistant to Willis-Knighton President and CEO James K. Elrod, Turner manages a dizzying array of incoming and outgoing traffic, all while preventing dangerous “midair collisions.” She juggles phone calls, emails, drop-ins and dozens of daily demands for a priority place on the boss’ schedule. She keeps things moving. From her forward position, she says she sees how it takes so many people to make the health system thrive. During her tenure with Willis-Knighton, which began in 1981, she has witnessed a remarkable evolution in healthcare in general and the expansion of WillisKnighton in particular. “As Mr. Elrod has said many times,” she says, “healthcare is constantly evolving and we always need to be prepared for change or to make changes. Every day in this office presents a new challenge; therefore, we always must be prepared for those challenges.” Turner knows Willis-Knighton’s remarkable growth and success have been thanks to a collaborative effort. She cites top-notch physicians and thousands of dedicated co-workers. “We all have a common goal of serving our patients and community to the best of our ability,” she says. “I’m fortunate to be a part of this team.” 8 WK Employees Active in the Community Every day, Matt Armstrong sees people who have been hurt, and every day he helps them recover. A physical therapist in outpatient rehabilitation at Willis-Knighton South, he has a calling to help people. Each July, Armstrong joins a group of healthcare providers to visit Ecuador to help farmworkers. The Ecuadorian climate creates a year-round growing season, which means neverending physical labor for people harvesting bananas, flowers, melons, coffee, vegetables—the list goes on and on. The work is demanding and taxing. “We’re doing a lot of things where we’re instructing them to make their jobs a little bit easier and also things to help them be more mobile,” Armstrong says. “Most of them are working well into their 80s.” Typically, the group offers four clinic days and has a steady stream of patients. “Each day is an adventure,” he says. “It’s amazing the things that will make a difference there but that we take for granted here, like giving someone crutches or a cane to help them walk. … A knee brace does a world of good for somebody who’s working in the field all day long.” Matt Armstrong S P RIN G 2015 FdVVSP1593_08_Spotlight.indd 8 12/10/14 3:50 PM Haughton High School coach Rodney Guin is surrounded by his players at a practice session. Mending R Broken Hearts Meet three people who illustrate why Willis-Knighton is an innovator for cardiac care BY DARRELL REBOUCHE ODNEY GUIN is a busy man, but he will fi nd time to talk with you. His life’s pace is far less frenetic than it was a year ago, a dramatic change for a man who has dedicated his life to coaching football and teaching at Haughton High School. Guin, who almost always leans forward, instead subtly reclines as he sits behind the desk in his spacious coaching office on campus. The conversation inevitably turns to April 25, 2014, the day he had a heart attack in his Haughton home. He was rushed to WK Bossier Health Center, where procedures were performed that helped him cling to life, and then he was immediately transferred to the Willis-Knighton SPRING 2015 FdVVSP1593_33-35_mending.indd 33 33 12/10/14 3:50 PM Trusted Care Near Home T.J. JACKSON is 38 years old with a wife and three young children. There was a time when he feared his kids might not remember him. Jackson started fighting heart disease at age 19, and his heart deteriorated over time to the point where it just would not sustain his life. In October 2008, he had a left ventricular assist device, or LVAD, implanted. It’s often described as a kind of mechanical heart, but it’s more of a helper. It pumps blood for a heart that is too weak to do it on its own. It’s a lifetime commitment for the Shreveport native who says he is not inclined to pursue a heart transplant. In May 2014, Jackson noticed some changes in his device. He was directed to the LVAD program at Willis-Knighton. “They took care of me,” Jackson says, “and now I’m making regular visits to Willis-Knighton.” His LVAD was implanted at Baylor University Medical Center in Dallas, and while he visits there twice a year for checkups, the availability of an LVAD program in Shreveport is a major convenience, not to mention a significant cost savings. “At Willis-Knighton, they can take care of any problem I might have,” he says. 34 LVAD program here. If I need something, I don’t have to pack up and go all the way to Dallas,” she says. “Those centers are telling patients to come to us,” says Kellie Hart, coordinator for Willis-Knighton’s mechanical circulatory support and VAD program. Why are they recommending WillisKnighton? “Because they know we have the staff and the equipment to take care of them,” she explains. “They trust us with the care of their patients and are very appreciative.” T.J. Jackson, outside his Shreveport home. CAROLYN HOWARD, a 70-yearold from Shreveport, had her LVAD device implanted in 2011. “It’s given me new life,” she says. Howard participates in the shared care program. Willis-Knighton is caring for patients like her and Jackson, who were originally treated in Dallas, along with LVAD patients from New Orleans and Durham, N.C. “It’s nice to have the National Acclaim for Saving Lives The cardiovascular surgeons who work with Willis-Knighton Heart & Vascular Institute provide the full spectrum of cardiothoracic and cardiovascular surgical services, excelling in state-of-theart technology, including minimally invasive techniques, and off-pump bypass heart procedures. A highly skilled surgical team is in place, and now all cardiovascular surgery in the Willis-Knighton system is consolidated at the Willis-Knighton Medical Center Kellie Hart evaluates parameters and history of Carolyn Howard’s left ventricular assist device during a checkup at Willis-Knighton Heart & Vascular Institute. S P RIN G 2015 FdVVSP1593_33-35_mending.indd 34 12/10/14 3:50 PM PHOTO BY THINKSTOCK Heart & Vascular Institute. Guin shakes his head. “I’m told they didn’t think I would make it,” he says. His doctors confirm that assessment. Guin’s heart was so severely damaged that it simply couldn’t function well enough to keep him alive, but things went his way. At the Heart & Vascular Institute, cardiothoracic surgeons are proficient in a procedure called extracorporeal membrane oxygenation, or ECMO. Curtis Prejean, MD, and ECMO came through. “My heart got fi xed at WillisKnighton,” Guin declares. “They saved my life. That’s the only way to put it.” website Committed to Excellence photo by thinkstock Cardiologists are on the front line of heart care at the Willis-Knighton Heart & Vascular Institute, identifying and treating heart disease. Learn more about the specialty medical services available for heart conditions at wkhs.com/heart. Search Find a Doctor at wkhs.com for the right doctor for your condition. and its Heart & Vascular Institute. This is a real benefit, since patients have a better chance of a good result when treated at a center that sees a large number of patients, especially one that is supported by experts in cardiology, cardiovascular surgery and care teams that routinely deal with cardiovascular patients. J. Stanford Shelby, MD, a retired cardiothoracic surgeon, says that when the heart program was in its nascent stages, Willis-Knighton was “just a little suburban hospital.” He and others marvel at what it has become: one of the largest health systems in the South with four full-service acute care hospitals, a thriving active adult community and a growing heart program. It’s no surprise that Willis-Knighton’s heart services are receiving national acclaim for its technology and success in saving lives. Rodney Guin spent some time in Dallas for what he terms “other issues,” but he’s quick to make a point: “The doctors at Baylor said Willis-Knighton did everything that needed to be done for my heart. We’ll never repay them for that.” n Forward-Thinking Heart Care Sophisticated and comprehensive heart services at Willis-Knighton save lives daily. The health system’s long-standing commitment to making cutting-edge equipment and procedures available to top-notch cardiologists and surgeons has not wavered. J. Stanford Shelby, MD, a retired cardiothoracic surgeon, helped build the heart program that is now the most respected in the region. “We built it up from scratch,” he says. He remembers the first heart surgery his team performed at Willis-Knighton. “A woman was in really bad trouble. We operated on her and we were about to have kittens wondering if she was going to survive. We got the bypasses done and she did fine. In fact, she sent us a card every year on the anniversary of her surgery saying, ‘I’m still alive.’ ” Chuckling as he recalls the story, Dr. Shelby marvels at the technological progress made in cardiac technology, as well as the prowess of the doctors using it. “The health system has always been supportive of new technologies,” says Kathy Walker, director of cardiovascular services. “It keeps us forward thinking.” An example of this is a nonsurgical procedure to address the risk of stroke that accompanies a common heart rhythm disorder, atrial fibrillation. A part of the heart called the left atrial appendage (LAA) is often a source of blood clots that lead to stroke in atrial fibrillation patients. This new procedure is called LARIAT (think of a lasso). Doctors use a catheter to enter the heart and seal off the LAA with a suture loop, like a lariat. In some patients, this can be an alternative to open heart surgery and possibly to blood thinners. This is the kind of thing Dr. Shelby has in mind when he points out that cardiology and cardiac surgery have changed dramatically since he started. SPRING 2015 FdVVSP1593_33-35_mending.indd 35 35 12/10/14 3:50 PM Well-Rounded Workout At The Oaks, body and brain both get good exercise by Terrie M. Roberts Residents have a variety of health and wellness classes from which to choose—all aimed at keeping them healthy, active and independent. 36 T o live life well, you need to be active. You need to engage not only your body in exercise, but your brain as well. “Your brain is no different than any other part of your body,” says Holly Winterrowd, manager/senior wellness coordinator for The Oaks of Louisiana. “You either use it or lose it.” Residents at The Oaks of Louisiana have plenty of opportunities to live life well. The active adult community promotes healthy living through a wide range of classes that support physical health as well as brain health and programs that help participants stay cognitively active. That component of The Oaks lifestyle is appealing to Doris and Jerry Grass, who moved to The Oaks in October 2011. They live in the Tower at The Oaks, one of four residences in the 312-acre all-adult community. “The Spa & Wellness Center is one of the best amenities we have,” Jerry says. “We don’t have to get up, get dressed and go scrape ice off the car windows. We just get in the elevator and walk down the hall.” Both he and his wife have long made exercise a part of their daily routine. “Before we moved here, we worked out at WK Bossier Wellness Center,” Jerry says. While Doris enjoys walking, both do cardio on the machines, alternating machines on different days to work different muscle groups. “The more exercise you do, the better health you are going to be in,” Jerry says. “We want to be able to get up and go.” Good for the Body Being physically active on a regular basis is one of the healthiest things you can do for yourself, Winterrowd says. “Research shows that physical activity provides many health benefits and helps you maintain your independence as you age,” she says. “It is extremely important.” As people age, Winterrowd says, they begin to lose muscle mass. Endurance declines. Muscles tighten, and there is less flexibility. Bone mass decreases. Joints are less supple. Balance is compromised. “Many older adults are reluctant to exercise because they don’t feel good or they are afraid exercise will be too hard,” Winterrowd says. “However, by not doing anything they lose their ability to do things on their own.” Winterrowd suggests seniors do 30 minutes of cardio exercise five days each week and strength training two or three days each week. “Not only will they feel better, but regular exercise can help prevent or delay many diseases and disabilities, such as cardiovascular disease, diabetes, high blood pressure, high cholesterol, some cancers and arthritis,” she says. At The Oaks, residents stay physically active through group fitness classes, such as cardioblast, which uses combinations of chair and ball exercises, circuit training and dancing; total body, which includes elements of endurance, core work, strength, flexibility and balance; water aerobics, consisting of cardiovascular moves and muscular toning with noodles and hand weights; and yoga. In addition, the Spa & Wellness Center features an indoor saltwater pool and a fitness room with Keiser resistance equipment, which is designed with older adults in mind. There are no S P RIN G 2015 FdVVSP1593_36-37_active.indd 36 12/10/14 3:50 PM CALL Live Healthfully. Live Here Stop by The Oaks and ask about all the fitness activities (for body and mind!) available at the active adult community. Or call 318-212-OAKS (6257) to talk to a lifestyle consultant. The Spa & Wellness Center, with its indoor saltwater pool and a fitness room with Keiser resistance equipment, is part of The Oaks’ appeal for Doris and Jerry Grass. Both make exercise a part of their daily lifestyle. heavy plates or pins to move. Moreover, trained exercise specialists assess residents on an individual basis and design workout programs to meet their specific needs. Good for the Brain As important as physical activity is to one’s physical well-being, research shows it also improves mental health, particularly of those suffering from depression, Winterrowd notes. Therefore, physical exercise at The Oaks is offered in tandem with monthly activities to keep residents’ brains healthy. Rhonda MacIsaac, director of independent living, acknowledges the importance of stimulating the brain and building brain capacity to prevent mental decline. “The brain’s pathways start to disconnect if there is a lack of learning,” MacIsaac says. “The best way to keep your brain fit besides physical exercise is through brain stimulation.” The Oaks of Louisiana offers a number of activities each month to do just that. Residents stay socially active through events such as monthly birthday celebrations, block parties, teas and cookouts. “Holding conversations and contributing to discussions requires a lot of mental dexterity and helps form new neural pathways,” MacIsaac says. There are trips to intellectually stimulating places like museums, presidential libraries and historical sites. There are book reviews, lectures on world religions, the University at The Oaks history series, symphony and opera performances, painting classes and more. “We play board games, which are associated with a lower risk of developing dementia and activate strategic, Sunshine and the beauty of Lake Eleanor often entice residents to work out outdoors. spatial and memory parts of the brain,” MacIsaac says. “Residents work jigsaw and crossword puzzles and participate in word games, bridge and dominoes.” The inclusion of the iN2L (It’s Never Too Late) touch-screen computer system, MacIsaac says, offers more varied programming and activities tailored to individuals. Residents enjoy brain exercises, educational and travel videos, interactive games, TV games, card games, puzzles, word games, history and news topics, and trivia. At The Oaks, healthy living is about keeping the body and brain healthy. n SPRING 2015 FdVVSP1593_36-37_active.indd 37 37 12/10/14 3:50 PM Rehab H You What Can Do for For Mark Thompson and so many like him, returning to a functional quality of life is the ultimate goal by Lyne Robinson ave you ever stopped to think about the effort your body makes to carry out day-to-day activities? Mark Thompson never really did— until he began experiencing numbness in his arms and legs. Within days, he was undergoing spinal surgery. Afterward, Thompson came to WillisKnighton Medical Center’s inpatient Rehabilitation Institute with little to no use of his body from the neck down. Paul Bellotte, physical therapist at Willis-Knighton Physical Medicine & Rehabilitation, helps Mark Thompson improve his walking and balance. 38 S P RIN G 2015 FdVVSP1593_38-39_rehab.indd 38 12/10/14 3:50 PM Helping patients return to a highfunctioning quality of life is important to physical therapist Lydia Finger. Relearning basic functions makes a person appreciate the little things that most take for granted, like walking, running or simply squatting to lift a grandchild. At Willis-Knighton, rehabilitation is more than learning to stand and walk without assistance. “Our goal is to take the patient from injury or surgery all the way back into the home with a highfunctioning quality of life,” says Chris Mangin, director of physical medicine and rehabilitation for Willis-Knighton Health System. Thompson is a testament to the quality of care the Rehabilitation Institute at Willis-Knighton Medical Center offers. “The care and professionalism of this department was top-notch,” he says. “The staff Willis-Knighton has assembled is the best you will find anywhere.” In Good Hands Physical therapists like Lydia Finger, occupational therapists like Keith Hedges, and nurses, case managers and social workers all compose the caring, highly skilled team that works with patients undergoing rehabilitation. Thompson’s condition limited his mobility and his ability to function independently, yet he remained optimistic about walking again. “Immediately after I arrived at Willis-Knighton, the nursing staff took over and began to help me. I knew I was in good hands,” Thompson recalls. To return patients to a functional quality of life, the team works together to move individuals from inpatient rehab to the next step in the continuum of care, which may be outpatient rehab, skilled nursing, home health or assisted living— all services available through WillisKnighton. “We strive to be a system that can provide quality patient care in every rehabilitation setting,” Mangin says. “Willis-Knighton fits in every niche.” Thompson has been through all the levels of rehab, interacting with therapists, nurses, case managers and others. “I was determined to walk out and not be confined to a wheelchair or become a permanent resident within the skilled nursing facility,” he says. Chris Mangin, director of physical medicine and rehabilitation, reinforces that Willis-Knighton has provided exceptional rehabilitation services for more than 30 years. housekeeping staff who washed his garments. “They went above and beyond,” he says. After two surgeries on his spine and subsequent rehabilitation at WillisKnighton, he left on his own two feet with the aid of a walker. “The rehab process and therapists who worked with me were incredible at returning me to a walking stage of life,” Thompson says. One thing that really impressed Thompson was the consistently excellent care at each WK facility. “Paul Bellotte at WK Portico outpatient is “Our goal is to take the patient from injury or surgery all the way back into the home with a high-functioning quality of life.” —Chris Mangin With confidence in his team of therapists, Thompson kept moving forward throughout his therapy, reaching milestone after milestone. He indicates that everyone kept his spirits high, encouraged him and rejoiced with him when he stood without assistance for the first time. He recalls each of these moments vividly, with emotion in his voice. “The look on their faces reflected the true joy they felt in sharing that moment with me,” he explains. Walking Out the Door Throughout his time in Willis-Knighton’s Rehabilitation Institute, Thompson was impressed with the concern everyone exhibited for him, from therapists who pushed him daily to exercise to the just as committed to my physical therapy success as every other therapist I worked with in the hospital,” Thompson says, citing one example. Thompson’s most recent milestone was graduating from a walker to a cane for support. Once confined to a wheelchair, Thompson is a walking testimony for the Willis-Knighton Physical Medicine & Rehabilitation Institute. “This staff cared for more than just my injury,” he explains. “They cared about me as a person. I have a lot of gratitude for that.” Thompson’s success, and his praise for the rehabilitation staff, makes Mangin smile. “Bridging the gap from hospital to home,” Mangin says. “That is what rehab is all about.” n SPRING 2015 FdVVSP1593_38-39_rehab.indd 39 39 12/10/14 3:50 PM Plan & Prepare Live & Learn FEATURED EVENT/ WILLIS-KNIGHTON WK and The Oaks host a variety of informative programs each month Space is limited for all events, and advance reservations are required. Make your reservations for any event at The Oaks or Willis-Knighton by visiting classes.wkhs.com or calling the WK call center at 318-212-8225. The Oaks of Louisiana Celebration of Violins Maestro Michael Butterman, concertmaster Matt Albert and violin soloist Jennifer Carsillo team up with members of the Shreveport Symphony Orchestra to bring you an afternoon recital of violin favorites. The program will feature the Concerto for Two Violins by J.S. Bach, along with other works for solo violin. The Painted Violins, a yearlong project of the symphony engaging local artists, will be on display for a complete violin experience. When: Thursday, April 30, at 4 p.m. Where: Alta and John Franks Community Centre Cost: Free for residents, $5 for nonresidents Willis-Knighton Punctuating Health With the Internet and social media, it’s easy to be inundated with health information. How do we find the credible information about cancer, orthopedics, digestive health and gender-specific topics in a pinch? Learn firsthand from WillisKnighton physicians and health experts at this health fair. Move, connect and find answers for many of your health concerns. When: Thursday, May 14, 5:30 to 7:30 p.m. Where: WK Bossier Health Center Auditorium Cost: $5 n Dance Fest Dancing burns as many calories as activities like swimming, walking and bike riding. It doesn’t matter if you’re ballroom dancing or grooving to the latest tunes on your iPod. Dancing provides physical and mental health benefits. Whether you have two left feet or all the right moves, bring your family and friends to Dance Fest to participate in health screenings, listen to music, and learn fun and simple ways to dance to better health. When: Thursday, Feb. 26, 5:30 to 7:30 p.m. Where: WK Pierremont Health Center Auditorium Cost: Free for WK Fitness & Wellness Center members, $5 for nonmembers Painted Violins 40 S P RIN G 2015 FdVVSP1593_40_Plan.indd 40 12/10/14 3:50 PM Willis-Knighton Health System 2600 Greenwood Road Shreveport, LA 71103 Non-Profit Org. US Postage PAID Vim & Vigor The World’s First ProteusONE™ Proton Therapy System Now at Willis-Knighton Willis-Knighton Cancer Center is the first cancer center in the world to offer revolutionary radiation therapy treatment with ProteusONE™. This unique pencil beam scanning (PBS) system delivers radiation into the tumor, conforming exactly to the shape of the tumor while protecting the surrounding healthy tissue. WK Proton Therapy Center at the Willis-Knighton Cancer Center will treat the following cancers: Prostate Brain Central Nervous System Pelvic & Abdominal (pancreatic, rectal, anal, vulvar) Head & Neck Learn more and view videos at wkproton.com or call (318) 212-4639. FdVVSP1593_C4.indd 4 Breast If you or a loved one is facing a diagnosis of cancer, you owe it to yourself to discover more about this revolutionary technology. 12/10/14 3:50 PM