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www.cch.org Fall 2013
health
a d va n ta g e
Cindy and Johnny Mitchell
celebrate his fourth year
of being cancer free.
Your Home for
Cancer Care:
Chelsea Community Hospital’s
New Cancer Center
Find Your Doctor • Affordable Care Act • Prostate Cancer Options
quick read
F
ood
4
6
7
8
3 Choosing a Primary Care Physican
Establish a relationship with your main doctor as your partner in
health for medical decisions and preventive care.
4
Chelsea Is Your Home for Cancer Care
6
7
The Affordable Care Act Is Here
8
Food Facts and Fiction
The Cancer Center breaks ground in January to bring innovative,
expert, and compassionate comprehensive care and healing.
Exchanges are open. Learn the top five things you need to know.
Prostate Cancer: Understanding Your Options
Prostate cancer is the second most common type of cancer
in men. Discuss screening with your doctor.
Say good-bye to blaming chocolate for your child’s pesky
pimples or attributing overexcitement to sugar overload.
New Doctor at CCH
At Chelsea Community Hospital, we continually improve the quality
and scope of health care we provide to you. Meet one of the newest
doctors on the CCH Medical Staff:
Doctor Shirley Tom, M.D.Specialty Internal Medicine
A Special Offer from the Gift Shop
Receive $5 off any purchase of
$10 or more. Expires December 15, 2013.
Gift Shop at Main Entrance of the
Chelsea Community Hospital
Monday through Wednesday, Thursday and Friday,
8 a.m. to 8 p.m.
8 a.m. to 5 p.m.
Clothing – Accessories – Keepsakes
Edible Goodies – Home Décor
The information provided in this newsletter should not be considered or used as a substitute for medical
advice, medical care, diagnosis, or treatment. For such advice, care, or treatment, seek the advice of a
physician or qualified health care provider.
2 Health Advantage Fall 2013
health
a d va n ta g e
Health Advantage is published quarterly by the Marketing and
Development Department at Chelsea Community Hospital.
Please forward all Health Advantage correspondence to:
Pamela Parkinson
Editor, Health Advantage
Chelsea Community Hospital
775 South Main St., Chelsea, MI 48118
[email protected]
Main Line, Patient Rooms,
and Information 734-593-6000
Physician Referral Line 734-593-5899
Behavioral Health Services
- Assessment 734-593-5251
- Outpatient
734-593-5250
- Inpatient
734-593-5200
Billing (Business office)
734-475-6914
Business Health Services
734-593-6397
Cardiopulmonary Services
734-593-5480
Cardiac Rehabilitation
734-593-5470
Community and Senior Health
734-593-5280
Development Office
734-593-5373
Diabetes Education
734-593-5280
Diagnostic/Imaging
734-593-5500
Endoscopy
734-593-5650
Head•Pain Unit
734-593-5100
Home Health Care (ChelseaCare)
734-593-5780
Home Medical Equipment (ChelseaCare)
734-593-5910
ICU
734-593-5450
Infusion Center
734-593-5690
Laboratory
734-593-5950
Lifeline
734-593-5790
Medical Records
734-593-6310
Neuro Rehabilitation
734-593-5620
Nutrition Services
734-593-5280
Occupational Therapy 734-593-5600
Orthopedics (Chelsea Orthopedic Specialists)734-593-5700
Pain Clinic
734-593-5670
Pharmacy (ChelseaCare)
734-593-5900
Physical Therapy
734-593-6370
Recreational Therapy
734-593-5626
Rheumatology (Chelsea Rheumatology)
734-593-5990
Senior Health Connection
734-593-5284
Sleep Center
734-593-6170
Social Work
734-593-6160
Speech-Language Pathology
734-593-5620
Surgery Center
734-593-5800
Urology
734-475-3535
Volunteers
734-593-5793
White Oak Inn 734-593-6125
Women’s Health Center
734-593-5979
© 2013. All models used for illustrative purposes only.
Primary Care
Choosing a Primary Care Physician
—The Smart Way
T
hink of your primary care physician (PCP) as your partner
in health. It’s important to establish a relationship with a
PCP, who helps you make medical decisions and oversees
the care you get from other more specialized physicians.
Selecting a Doctor
Here are some questions that can help you select a PCP who
understands your particular needs.
Q: What information should I find out about the doctor?
A: It may help to ask the doctor’s office these questions:
nHow
long does it take to get in to see the doctor for a routine
visit and for urgently needed care?
nWho covers for the doctor when he or she is out of town?
nIs the doctor board certified? (This means he or she has had
training after medical school and has passed an exam certifying them as a specialist in the field.)
Q: What personal qualities should I look for in a doctor?
A: It’s best to find a doctor who listens carefully to your con-
cerns, explains things clearly and fully, shows respect for you,
and anticipates your health problems. The doctor also should
allow you to ask questions.
Q: What information should I bring to my appointment?
A: It’s important to provide your doctor with the following:
nYour
health history
list of medications you’re taking
nVitamins or supplements you take
nA description of any current health problems you’re having. If
you have symptoms, the doctor will want to know when they
first appeared, how often they occur, and how long they last.
nA
It’s also important to bring a list of questions you have. Ask your doctor to explain his or her answers if you don’t fully understand them.
Tips for Preventive Care
Once you have a PCP, if you’re not sure how to start a conversation, here are some important questions to ask:
nAm I up to date on my immunizations?
nHow do the health conditions that run in my family affect me?
nDoes my lifestyle put me at risk for certain diseases?
After you get answers to your questions, make sure to schedule
any needed tests, specialist visits, and follow-up appointments
with your PCP.
Managing Conditions and Prescriptions
You might have high blood pressure or prediabetes. Your
PCP is the ideal person to find out and help you treat the
problem and stay healthy.
High blood pressure may double or even quadruple your
risk for:
nHeart attack
nStroke
nHeart failure
nOther cardiovascular problems
Get your blood pressure checked at least once a year. If your
blood pressure is high, you can lower it by watching your
salt intake, exercising regularly, and losing excess weight.
Prediabetes means that a person’s blood sugar levels are
too high. And most people don’t even know it. Prediabetes
raises the risk for:
nType 2 diabetes
nHeart disease
nStroke
People with prediabetes can help reduce these risks by:
nControlling or losing weight
nIncreasing exercise
nReducing fat and calories in their diet
www.cch.org 3
cancer center
Chelsea Is Your
Home
for Cancer Care
Drawing on our strengths and resources to create a place of hope and healing
C
helsea Community Hospital will be breaking ground in
January 2014 for a new Cancer Center that will offer
comprehensive care, innovation, expertise, compassion,
and healing.
In Michigan, 57,750 people were diagnosed with cancer in
2012. For many, the diagnosis also comes with the practical
challenge of navigating to a cancer care facility, sometimes for
daily treatments. With few services in the greater area, many
patients drive 30 minutes or more for treatment.
“A cancer diagnosis is a life changing event and we recognize
that patients need to receive care that is not only outstanding in
terms of the clinical competence but also in terms of the compassionate way in which it’s delivered,” says Kathleen Beekman,
MD, director of Chelsea Community Hospital Infusion Center.
Bringing It Together
The new cancer center, scheduled to be complete by December
2014, will be built as an addition to the main hospital in close
proximity to associated hospital programs and services. Existing
chemotherapy services will move from the Professional Office
Building into the new space and expand to include a projected
total of eight infusion bays and two private infusion rooms.
The project will include building the medical oncology and
radiation oncology suites, physician exam rooms, patient areas,
changing rooms, an onsite pharmacy for mixing chemotherapy
drugs, and the infrastructure needed for a linear accelerator and
CT simulator for radiation treatment.
Also included will be the purchase and installation of a linear
accelerator and CT simulator — computerized equipment that
creates targeted radiation treatment plans for patients — mak-
4 Health Advantage Fall 2013
ing Chelsea Community Hospital the only location in its surrounding area to offer radiation therapy. Chelsea Community
Hospital will join Saint Joseph Mercy Health System’s other
locations in Ann Arbor, Brighton and Canton in offering these
cancer services.
The new cancer center will have a dedicated entrance and
direct connection to the lab and other health care services
offered at the hospital. It will also serve as a gateway to all
additional treatment options offered at Saint Joseph Mercy
Health System, located in Ann Arbor, such as Cyberknife® for
advanced radiation therapy, da Vinci® robots for minimally
invasive surgeries, and specialized breast health services.
As part of Saint Joseph Mercy Health System based in
Southeast Michigan, and the parent company CHE-Trinity
Health in Livonia, patients of Chelsea Community Hospital will
also participate in the CHE-Trinity statewide Mercy Cancer
Network. Mercy Cancer Network joins together all CHE-Trinity
Cancer services in Michigan to share best practices, reduce clinical variation, and improve patient safety and clinical outcomes
by tracking a set of performance metrics and industry standards.
As the largest cancer network in Michigan, Mercy Cancer
Network brings patients the shared knowledge, philosophies,
and practice of more than 100 board-certified, fellowship and
subspecialty-trained experts.
Community Support
Patti and Peter Feeney are longtime Chelsea resident and dedicated supporters of Chelsea Community Hospital.
“I felt very fortunate to have had my chemotherapy and surgery at CCH,” says Patti Feeney. “For most of my eight infusion
treatments, I walked to the hospital. At the Infusion Center,
hooked up to the tubes and bags and monitors, it was pleasing
looking out at the quiet snow-covered woods.
“Afterwards if able, I would walk home. I was always grateful
that I didn’t have to get into a car or endure a long ride. It was
always a relief to be so close to home,” she says.
Three years earlier, during a Chelsea Community Hospital
fundraiser, Patti and Peter Feeney made a donation to support
building the Infusion Center, never dreaming of needing it.
“Had radiation also been in Chelsea, instead of Ann Arbor, I
can only imagine how simplistic and unfettered this last course
of treatment would have been for me and my family,” she says.
Building on Specialized Surgery
A crucial part of treatment for many cancers is surgery. “We will
build upon our specialized surgical care, the foundation for
comprehensive cancer services at Chelsea Community Hospital,”
says Jennifer Kulick, M.D.
Cindy and Johnny Mitchell are celebrating his fourth year of
being cancer free. “My surgeon, Dr. Kulick at Chelsea
Community Hospital, was second to none,” Johnny says. “The
quality of care that I received was beyond remarkable.”
The Chelsea Community Hospital Cancer Center will become
the first local facility to offer radiation therapy. It will include a:
oncology team featuring a specialized medical and
clinical staff
nCT simulator for treatment planning, which can determine
the precise location of the cancer, minimize radiation exposure to the surrounding tissue and organs, and maximize
treatment benefits
nRapidArc® Linear Accelerator, which delivers more precise
treatment in a shorter time than traditional radiation treatments—often in just two minutes
nRadiation
“Instead of having patients leave Chelsea for a 40 to 60 minute
roundtrip drive for treatment, they can stay at Chelsea
Community Hospital. This advantage cannot be underestimated
when patients are being treated for cancer,” says Walter M.
Sahijdak, M.D., Saint Joseph Mercy Health System medical
director of radiation oncology.
In building the cancer center, Chelsea Community Hospital
will create a place of hope for patients and their families. Our
belief is that the best way to offer comprehensive cancer care is
to draw on the strengths and resources of our large health system and our local hospital in ways that will heal body, mind
and spirit.
A Note from Nancy K. Graebner, President and CEO
Chelsea Community Hospital is in the midst of its largest ever fund-raising initiative — our
Branching Out Campaign, in support of our Cancer Center. As president and CEO, in support
of our campaign co-chairs Howdy and Carole Holmes, I am excited that our community hospital can address cancer treatment needs in the communities we serve.
Since the campaign began, we have received tremendous support from the community,
businesses, and individual donors. We are confident of the impact this Center will have on our
patients in western Washtenaw County and east Jackson County, especially those requiring
radiation therapy who currently must commute up to an hour to receive treatment.
Your help for our Branching Out Campaign will touch the lives of our patients — our family, friends, and neighbors — who need cancer care. Every gift will directly benefit the Chelsea
Community Hospital Cancer Center and the patients and families who rely on us.
Nancy K. Graebner,
President & CEO
Together we can make an impact
by giving hope a new home.
Opportunities to Get Involved: To make a gift to the campaign or to learn more about the
cancer center project, contact Judy Stratman, CCH director of development & marketing, at
[email protected] or 734-593-5373, or visit www.cch.org/ways-to-give-cch.
www.cch.org 5
Affordable care act
Meet the Affordable Care Act
The Top Five Things You Need to Know
N
o one plans to get sick or hurt,
but most people need to get
treated for an illness or injury at
some point. You buy health insurance to
help pay costs when you need medical
care.
Why Does Insurance Matter?
Did you know the average cost of a threeday hospital stay is $30,000? Or that fixing a broken leg can cost up to $7,500?
Having health insurance can help protect
you from unexpected costs like these.
Your insurance policy will show what
types of care, treatments, and services are
covered, including how much the insurance company will pay for different treatments in different situations.
What your policy covers is often
directly related to how expensive the
health insurance policy is. The policy
with the cheapest monthly premium may
not cover many services and treatments.
You may also have to meet a deductible once each year before the insurance
company starts to pay its share. How
much you pay for your premium and
deductible is based on the type of insurance you have.
Just as important as the premium cost
is how much you have to pay when you
get services. Examples include:
Deductible. How much you pay before
your insurance coverage starts.
Coinsurance or copayments. What you
pay out-of-pocket for services after you
pay the deductible.
Out-of-pocket maximum. How much in
total you’ll have to pay if you get sick.
A standard health insurance policy also
gives you access to preventive care to
keep you healthy, like vaccines and
checkups. Many plans also cover prescription drugs.
If you don’t have insurance, the
Affordable Care Act (ACA) helps you
find a plan that fits your family’s budget
and needs. Open enrollment for Health
Insurance Marketplace opened
October 1 and runs through March
31, 2014.
FAQs About the ACA
What are the major
benefits?
No denials for pre-existing
conditions. Essential care, like
preventive screenings, at no
additional cost. An online
health insurance marketplace, also called an
exchange, where companies compete for your
business.
1.
6 Health Advantage Fall 2013
2.
Can I get financial assistance?
Yes. Help is available to a surprisingly
large number of people based on
income and family size. Visit our website to calculate how much assistance
you could receive.
3.
How do I choose a plan?
The health insurance marketplace,
available online or by phone, will be
your one-stop-shop where you can easily compare plans based on benefits
and cost. Sign up on our website so we
can send you new information about
the marketplace as it becomes available.
4.
When can I shop for plans?
Open enrollment is from October 1,
2013 to March 31, 2014. Coverage will
go into effect as early as January 1,
2014. Don’t miss deadlines and face
tax penalties—sign up for information
on our website.
5.
Can my hospital be in my plan?
Yes. When you compare plans, you will
be able to see which hospitals are
included. By choosing a plan that allows
you to get care from our hospital, you will
have the peace of mind that comes with
selecting health care you know and trust.
For helpful videos, important
deadlines, a cost calculator, even
live chat with an expert, visit
stjoeshealth/ACA. Or call
855-SJ-Discover (855-753-4726) right
now and ask us to keep you informed.
Mens Health
Prostate Cancer:
Understanding Your Options
A
fter skin cancer, prostate cancer is the most common type
of cancer in men. The disease
occurs mostly in men older than 65,
although younger men can be diagnosed with it.
It affects the gland located below the
bladder and in front of the rectum.
Symptoms of prostate cancer can include
a frequent need to urinate and a weak
stream of urine.
Getting Tested
These screening tests can check for prostate cancer before it causes symptoms:
nProstate-specific antigen (PSA) blood
test. PSA is a substance made by the
prostate. A higher-than-normal level
of PSA in the blood means an
increased chance that you have prostate cancer.
nDigital rectal exam (DRE). A doctor
feels for cancer on the prostate. A hard
or bumpy patch may be cancerous.
Even if you have a normal PSA level, a
DRE may be able to find cancer.
Recommendations differ, so men with
questions or concerns should discuss the
advantages and limitations of screening
with their doctor beginning at age 50.
African-American men or men with a
family history of prostate cancer should
begin speaking with their doctor at age 45.
Treatment Options
Many treatment options are available for
men with prostate cancer, including surgical removal of the prostate and radiation. Both can cure prostate cancer. But
either also may cause incontinence and/
or impotence, seriously compromising a
man’s quality of life.
Or a man might choose watchful waiting, sometimes called observation or surveillance. Men who choose this option
delay their treatment until symptoms
appear or change.
Here’s why waiting can be an option:
Unlike some other cancers, prostate cancer usually advances slowly. It can take 10
to 30 years for a tumor to grow. So, some
men with early-stage prostate cancer
choose to wait and see before starting
treatment. By doing so, they avoid treatment complications.
Chelsea Community Hospital’s
two urologists specialize in
surgeries for cancer of the prostate,
bladder and kidney. To make an appointment, please contact the following:
Associates in Urology
Dr. Howard Usitalo
734-475-3535
Center for Urology
Dr. C. Peter Fischer
734-434-1000
Consider Your Options
Watchful waiting isn’t for everyone. Some
men opt for surgery to remove the prostate, which remains a common way to
cure prostate cancer.
Some questions to consider when
reviewing the options:
nWould I feel stressed knowing that I
had cancer in my body and that I was
putting off treatment?
nHow do I feel about the possible risks
and benefits of treatment?
nIf I choose watchful waiting, can I stick
to a schedule of frequent testing?
Remember, there’s usually no need to
rush into a decision. Depending on what
your doctor says, you may have several
months to research your options. Experts
suggest getting a second — or even a
third — medical opinion, and asking lots
of questions about the benefits and risks
for various treatments versus watchful
waiting. Try talking with other men who
have faced prostate cancer, too.
www.cch.org 7
LiveWell:
Community Health
& Wellness Programs
Chelsea Community Hospital
775 South Main Street
Chelsea, MI 48118
Non-profit org.
US postage
Paid
Chelsea Community
Hospital
American Heart Association Class
CCH White Oak Center, Great Room
Heartsaver CPR and AED are available
online at www.cch.org.
Call 734-593-5280 to register.
Adult /Infant/Child CPR for lay responders
Tuesday, November 19 6 to 9 p.m.
Fee: $56/Recertification $40
6053M
SRSLY New Year’s Eve Party
The 6th annual SRSLY New Year’s Eve
Party is a fun, family friendly celebration
with live music, games and door prizes.
Come to a coalition meeting to help plan
the event.
Tuesday, December 31, 4 to 8 p.m.
Beach Middle School
RXTurn
Dispose of your unused prescription and
over-the-counter medications in the Big
Red Barrel, a disposal program that is
safe, legal, convenient, and environmentally friendly. Barrels are located at the
Chelsea Police Department and
Washtenaw County Sheriff Substations in
Dexter, Manchester, and Scio townships.
For more information, go to www.chelseapd.org.
Chelsea Brain Injury Support Group
For survivors, families, and friends
First Wednesday of every month,
1 to 2 p.m.
CCH, Conference Room C
Call 734-593-5620 for information.
Look Good ... Feel Better
A free American Cancer Society Program.
Certified cosmetologists help female cancer patients improve their appearance
and self-image by teaching makeup
application and proper care for skin and
nails made fragile by cancer treatments.
Learn how to disguise hair loss and
receive a make-up kit.
CCH White Oak Center, Atrium
Last Monday of every month, 1 to 3 p.m.
Registration required. Call 800-2278 Health Advantage Spring 2013
2345.
ood
F
SRSLY Coalition Meetings
November 14, 6:30-8 p.m.
Chelsea District Library
December 12, 3:15-4:45 p.m.
Beach Middle School
Visit www.srslychelsea.org for more
information.
Facts & Fiction
Hidden Dangers
H
ave you ever blamed chocolate for
those pesky pimples or attributed
a child’s friskiness to sugar overload? Well, it’s time to say good-bye to
these and other food myths.
Myth: Certain foods—such as chocolate,
pizza, or French fries—cause acne.
Reality: Studies don’t show a link between
foods and the development of acne.
However, some people who already have
acne believe that certain foods cause their
condition to flare up. Those foods should
be avoided.
Myth: Children who eat too much sugar
are hyperactive.
Reality: There’s no known association
between eating sugar and hyperactivity in
children.
Myth: Eating too much sugar is a risk factor for diabetes.
Reality: Sugar doesn’t cause diabetes. But
for those who have the disease, moderating sugars in the diet is crucial.
On the other hand, some common foods
may harbor health hazards. Here are a few
examples:
nSome sodas contain phosphoric acid,
which may deplete bone and raise the
risk of fractures.
nMany processed lunchmeats, frozen
pizzas, and canned soups are loaded
with sodium, a risk factor for high
blood pressure.
nStore-bought baked goods are often
made with coconut and palm oils. These
oils, like red meat and butter, are major
sources of saturated fat. Saturated fat
raises total blood cholesterol levels and
heart disease risk.
Tips for Healthy Eating
Try these tactics to keep your eating habits
on track:
nWhen you’re thirsty, reach for water,
skim milk, or fruit juice. Avoid drinking
soda.
nChoose low-sodium or no-salt varieties
of canned soups and processed lean
meats.
nReduce your intake of saturated fats by
choosing fresh fruits and vegetables,
skinless chicken, and lean meat. Olive
oil is another good choice—it’s low in
saturated fat and may help lower heart
disease risk.