2017-2018 EJC Healthcare Directory by The Examiner

Fall 2017

Eastern Jackson County Healthcare Directory

2017-2018 Eastern Jackson County

Healthcare Directory

A Supplement to

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Eastern Jackson County Healthcare Directory

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Eastern Jackson County Healthcare Directory

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Specializing in Women’s Health Complete women’s healthCare … …for all stages of your life.

Richard K. Gutknecht, M.D., F.A.C.O.G.

Timothy Hall, M.D., F.A.C.O.G.

Robert T. Caffrey, M.D., F.A.C.O.G.

Michelle R. Lemberger, M.D., F.A.C.O.G.

Alisa Ash, M.D., F.A.C.O.G.

Kiersten Moreno M.D.

Debra Sims, WHNP, BC.

Lindsay Hartley, WHNP, BC.

We invite you to schedule your appointment today!

816.478.0220

Visit us on the web: www.independencewomensclinic.com 19550 E. 39th Street Suite 300, Independence, MO 64057

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Eastern Jackson County Healthcare Directory

Fall 2017

Audiology �� 6 Chiropractic �� 6 Cardiology �� 6 Dentistry �� 10 Family Medicine �� 11 Family Nurse Practitioner ��15 Internal Medicine ��18 Gastroenterology ��13 Obstetrics/Gynecology ��28 Orthodontics ��32 Orthopedics ��35 Pharmacy ��43 Podiatry ��43

Editorial Index Tips to Boost Your Metabolism 7 Helping Kids Feel Comfortable at The Dentist �� 13 A New Cessation: E-Cigarettes......................................................................... 17 Myths and Facts about the HPV Vaccine �� 20 When and How to Use Antibiotics................................................................. 24 Potential Signs of Breast Cancer.................................................................... 26 Moving Forward: Exercise Key to Recovery ��27 Know the Facts: Double Mastectomies........................................................ 30 A Friends and Family Plan.................................................................................. 31 Protect Your Heart................................................................................................40 What to Know for Flu Season.......................................................................... 44 Advertiser Index DFP Orthopedics �� 2 Independence Women’s Clinic �� 3 St. Mary’s Medical Center �� 5 Monheiser Family Dental �� 9 St. Mary’s Medical Center - Directory �� 19 Summit Gastroenterology ��22 Wilshire at Lakewood ��23 St. Mary’s Gynecological Services ��33 Signature Behavioral Healthcare ��39 Summit Strength & Physical Therapy ��35 Centerpoint Medical Center �� 46 Rockhill Orthopedic ��47 John Knox Village �� 48

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Eastern Jackson County Healthcare Directory

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On the most important ride of my life, I knew where I needed to go. Easy highway accessibility, lower wait times and immediate, quality care – for all the things you never saw coming. When it’s a matter of life, make it St. Mary’s. hear Joyce’s story at SM-EMERGENCY.com

201 NW R.D. Mize Road, Blue Springs, MO 64014 816-228-5900 | stmaryskc.com Member of Prime Healthcare

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Eastern Jackson County Healthcare Directory

Fall 2017

AUDIOLOGY American Hearing + Audiology Kristy Schieszer, M.S., CCC-A, Audiologist 1765 NW Burdett Crossing Blue Springs, MO, 64014 o. (816) 463-4259 www.AmericanHearing.US

Kristy Schieszer is an audiologist who sees patients in our new Blue Springs office. A Missouri native, Kristy earned her Bachelors Degree Speech Disorders and Masters in Audiology from Central Missouri University. Like Dr. Parks, she has extensive clinical experience in a large ENT practice environment but prefers the more personal approach to care that she can provide in a private practice Audiology clinic. Before joining American Hearing and Audiology in 2016, Kristy was caring for patients in a hearing clinic in Blue Springs.

CHIROPRACTIC L. Russell Matthias, D.C. 1050 NW South Outer Road, Suite 400 Blue Springs, MO 64015 (816) 228-5113 Serving Jackson County Since 1974

CARDIOLOGY Kansas City Cardiology F. Douglas Biggs, MD, FACC Board certified in Internal Medicine and Cardiovascular Disease 3200 NE Ralph Powell Rd Leeâ&#x20AC;&#x2122;s Summit, MO 64064 p. 816-525-1600 â&#x20AC;˘ f. 816-525-0173 stmaryskc.com Dr. Biggs received his medical degree from Washington University School of Medicine in St. Louis and has been in practice for more than 20 years. He is board certified in Internal Medicine and Cardiovascular Disease.

Fall 2017

Eastern Jackson County Healthcare Directory

Page 7 PHOTOS: BIGSTOCK/FREEPIK.COM

Tips to boost your

METABOLISM “Any type of aerobic exercise — even done in small increments — can keep the fire of metabolism going and can also work to decrease your body fat and increase lean muscle mass, to further keep your metabolism running.”

Abby Sauer

impact of three to 10 calories on your resting metabolism. If you wake up, are not hungry and eople who struggle will be sitting at a desk all mornwith their weight ing, researchers questioned may complain that the benefit of eating unnecestheir metabolism is sary calories, especially sugary too slow and look for ways cereals or other poor choices. The study found that eating to speed it up. But just what breakfast did not make obese is metabolism, and can you individuals lose weight but did do anything to speed it up? “Metabolism is basically your result in more physical activity in the morning and reduced body’s process of converting food intake later in the day. anything you eat or drink into “If weight loss is the key there usable energy. Many things is little to suggest that just havaffect metabolism including age, ing breakfast or skipping it body size and composition, as well as your gender,” said Abby will matter. However, based on other markers of a healthy Sauer, a registered dietitian lifestyle, like being more active specializing in adult nutrition for Abbott, maker of such prod- or controlling blood sugar levels, then there’s evidence ucts as Ensure and Similac. that breakfast may help,” said Your thyroid glands play a lead author Dr. James Betts. major role in regulating your metabolism as well as regulating Size it right your energy. Everyone’s metabEating several smaller meals olizes at a slightly different rate. throughout the day instead Here are some tips and tricks of three large meals can also to kick-start your metabolism: help increase metabolism. “This helps to keep your Healthy breakfast helps metabolism and energy levels “No matter your age, you consistent and is a better choice should eat breakfast every than trying to skip meals to save morning. Eating a meal in the calories — and likely getting so morning jump-starts your metabolism for the day, and eat- hungry that you find yourself ing a protein-rich breakfast food binge-eating later in the day,” like eggs will keep you feeling full Sauer said. “Be sure those throughout the day,” Sauer said. ‘small’ meals really are small and sensible, or else you risk eating However, the Bath Breakfast five to six regular-sized meals Project study in the UK found that eating breakfast has a small and the calories that follow.” By Melissa Erickson More Content Now

Convert carbs Your body needs help to convert carbohydrates, protein and fats from food into energy. “Eating foods high in B vitamins facilitates this process. Foods rich in vitamin B include beans, lentils, whole grains and most deeply-colored produce,” Sauer said. A new study from Tufts University suggests that substituting whole grains for refined grains increases calorie loss by speeding up metabolism. Get up and get moving “Any type of aerobic exercise — even done in small increments — can keep the fire of metabolism going and can also work to decrease your body fat and increase lean muscle mass, to further keep your metabolism running. Make sure you add weight resistance to support your muscle health,” Sauer said. Too good to be true “Be wary of supplements that promise shortcuts. It’s always best to eat a healthy diet and exercise to keep a healthy metabolism. Always ask a health-care professional before starting any supplement that claims to boost your metabolism,” Sauer said.

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Eastern Jackson County Healthcare Directory

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CARDIOLOGY Kansas City Cardiology David R. Blick, MD, FACC Specializes in Interventional Cardiology and Board Certified in Cardiovascular Disease, Internal Medicine and Interventional Cardiology 203 NW R D Mize Rd # 200 Blue Springs, MO 64014 p. 816-220-1117 • f. 816-525-0173 stmaryskc.com Dr. Blick earned his medical degree from the University of Kansas School of Medicine and completed his cardiovascular fellowship at Baylor College of Medicine in Houston. He is an interventional cardiologist at St. Joseph and St.Mary’s Medical Centers and has organized more than 17 cardiovascular conferences to help advance the practice.

Kansas City Cardiology John M. Holkins, MD, FACC Specializes in Interventional Cardiology and Board Certified in Internal Medicine, Interventional Cardiology, Cardiovascular Disease 3200 NE Ralph Powell Rd Lee’s Summit, MO 64064 p. 816-525-1600 • f. 816-525-0173 stmaryskc.com Dr. Holkins graduated from the Stanford University School of Medicine in 1975 and has over 40 years of experience. He specializes in Interventional Cardiology.

Kansas City Cardiology Michael J. Liston, MD, FACC Specializes in Cardiology and Cardiovascular Disease and Board Certified in Cardiovascular Disease. 203 NW R D Mize Rd # 200 Blue Springs, MO 64014 p. 816-220-1117 • f. 816-525-0173 stmaryskc.com Dr. Liston is a practicing cardiologist with Kansas City Cardiology and serves as the Chief Medical Officer for St. Mary’s Medical Center. He earned his medical degree from the University of Kansas School of Medicine, where he also completed a residency in Internal Medicine and a Cardiovascular fellowship. He is board certified in both Internal Medicine and Cardiovascular Disease.

Fall 2017

Eastern Jackson County Healthcare Directory

FRIENDLY & GENTLE DENTAL CARE FOR ALL AGES

SMILE

• • • • • • • • • • • • • • •

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Bonding Cosmetic Contouring Crowns and Bridges Specialty Dentures Cosmetic Fillings Implants Veneers Whitening Sealants Root Canal Therapy Extractions Scaling and Root Planing Dentures Cosmetic Dentistry Braces

Most Insurance Plans Accepted

Mark Monheiser, D.D.S

Jennifer Schilke, D.D.S

Financing & Payment Plans Available

Monheiser Family Dental

Mark Monheiser, DDS & Jennifer L. Schilke, DDS 1100 NW Jefferson Ct, Blue Springs, MO 64015

816.229.3828 | www.bsmodental.com

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Eastern Jackson County Healthcare Directory

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CARDIOLOGY Kansas City Cardiology Marco S. Mazzella, MD, FACC Specializes in Cardiology and Cardiovascular Disease and Board Certified in Cardiovascular Disease. 203 NW R D Mize Rd # 200 Blue Springs, MO 64014 p. 816-220-1117 â&#x20AC;˘ f. 816-525-0173 stmaryskc.com Dr. Mazzella received his medical degree from the University of Missouri - Kansas City School of Medicine. He specializes in Cardiology and Cardiovascular Disease.

DENTISTRY Monheiser Family Dental Mark Monheiser, D.D.S., P.C. 1100 N.W. Jefferson Ct. Blue Springs, MO (816) 229-3828 www.bsmodental.com

Monheiser Family Dental Jennifer L. Schilke, D.D.S. 1100 N.W. Jefferson Ct. Blue Springs, MO (816) 229-3828 www.bsmodental.com

Precision Dental Micah L. (Gray) Snyder General/Family Dentistry 3379 NE Ralph Powell Road Leeâ&#x20AC;&#x2122;s Summit, MO 64064 P. (816) 787-8778 F. (816) 272-0446 lsprecisiondental.com Dr. Micah (Gray) Snyder grew up in Blue Springs and upon completion of her Doctorate in Dental Surgery at UMKC, she was honored to join the clinical faculty as a Fellow. After working as an associate, Dr. Snyder opened her own practice - PRECISION DENTAL. Her patient-centered approach provides the whole family with welcoming, personal attention that is unmatched. Her beautiful state-of-the-art facility offers the latest advancements in the field of dentistry, including impression-free, same-day permanent crowns! Precision Dental accepts most dental insurance plans and Care Credit.

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Eastern Jackson County Healthcare Directory

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DENTISTRY Suchman & Darnall Family Dentistry David Suchman, D.D.S., F.A.G.D. Caring & compassionate dentistry. 3907 S. Crackerneck Rd. Independence, MO (816) 373-3101 www.suchmandarnall.com Dr. David Suchman graduated from the University of Missouri-Kansas City School of Dentistry (UMKC) in 2000. In 2001, he completed an advanced education in General Dentistry Residency at UMKC. Dr. Suchman has been President of the Greater Kansas City Dental Society, been awarded the Fellowship in the Academy of General Dentistry, and is a Fellow in the American College of Dentists. He is a member of the American Dental Association, the Missouri Dental Association, the Eastern Jackson Dental Study Club, and the University Dental Study Club. Dr. David Suchman is actively involved in community service, participating in Give Kids a Smile, Donated Dental Services, Missouri Mission of Mercy, and dental screenings for the Independence School District. He enjoys providing a wide range of services to patients of all ages, including Invisalign, implant dentistry, and cosmetic dentistry.

Suchman & Darnall Family Dentistry Thomas “Mac” Darnall, D.D.S. Caring & compassionate dentistry. 3907 S. Crackerneck Rd. Independence, MO (816) 373-3101 www.suchmandarnall.com

Dr. Thomas “Mac” Darnall graduated from University of Missouri-Kansas City (UMKC) in 2007. In 2008, he completed a residency in the Advanced Education General Dentistry at UMKC. Dr. Darnall is a member of the American Dental Association, Missouri Dental Association, Eastern Jackson County Dental Health Study Club, University Study Club, and and served as past president to the Greater Kansas City Dental Society. Dr. Mac is active in the community and provides donated care through programs like Give Kids A Smile, Donated Dental Services, Dentistry for the Heart, and Missouri Mission of Mercy. In his free time, Dr. Darnall enjoys BBQ, cycling, and spending time with his family and friends. Dr. Darnall provides treatment for the whole family. He is experienced in providing general care as well as other treatment options including placement of dental implants, Invisalign, and other cosmetic treatment options.

FAMILY MEDICINE Family Health & Wellness Center Robin West, ARNP, FNP, BC 1938 NW Copper Oaks Circle Blue Springs, MO 64015 (816) 988-8350 • f (816) 988-8451 RobinWestFNP.com Family Health Care Services, Prevention, Cosmetic Procedures Robin West received her Bachelors of Science in Nursing from Graceland University, as well as a Bachelor’s of Science in Psychology from Park University. With goals to continue to advance her education, she received a Master’s of Science in Nursing Education from Webster University and a Post Masters Certificate as a Family Nurse Practitioner. She has been working in the healthcare setting for over 25 years. Robin is board certified by the American Nursing Credentialing Center. She specializes in family health care across the life span, preventative health services and cosmetic procedures. Robin believes in treating patients as if they were her family members and exhibits a high degree of compassion and respect. She is an exceptional healthcare provider.

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HELPING KIDS FEEL

Eastern Jackson County Healthcare Directory

Fall 2017

Comfortable

METRO CREATIVE CONNECTION

AT THE DENTIST

Fall 2017

Eastern Jackson County Healthcare Directory

arents may be unaware of the dental health timeline, or they could be reluctant to bring their children for fear of how their kids will behave — especially if parents are harboring their own apprehensions about the dentist.

The American Academy of Pediatric Dentistry recommends that a child go to the dentist by age 1, or within six months of the eruption of his or her first tooth. Yet, according to a survey commissioned by Delta Dental Plans, the average age of a child’s first dental visit is 2.6 years. Parents worried about how their kids will respond to the dentist can take the following steps to acclimate kids to dental visits to make them more comfortable during their appointments now and down the road. Be a positive role model. Children frequently learn by example. If they see their parents being diligent about dental care, they’re more likely to embrace proper oral hygiene. Bring children to your own dental appointments so they understand the process and become familiar with the type of equipment used. Stick to the first-tooth milestone. Take your child to the dentist on or about when his or her first tooth erupts. Early dental visits will get kids used to going to the dentist and prevent minor problems that may lead to more complex dental issues. Read books about the dentist and role play. Information can allay kids’ fears about the

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dentist. Read books together about dental visits and act out possible scenarios with your kids. Give kids toy dental health tools and have them practice exams on you and vice-versa. Be supportive and instill trust. Avoid telling your child that everything will be okay. If a procedure is needed, this could affect his or her trust in you and make the dental office an even greater source of anxiety. Simply be supportive and offer a hand to squeeze or a hug if your child needs you. Consider using your dentist. Some parents like to take their children to a pediatric dentist, but it may not always be necessary. Many family practices cater to patients of all ages, and the familiarity of the office may help make children feel more comfortable. Speak with your dentist about the ages they see. Steer clear of negative words. Michael J. Hanna, DMD, a national spokesperson for the AAPD, suggests using positive phrases like “clean, strong, healthy teeth” to make the visit seem fun and positive rather than scary and alarming. Let the office staff come up with their own words to describe processes that won’t seem too frightening. By employing these techniques, kids’ dental visits can be more pleasant for all involved, paving the way for a lifetime of healthy teeth.

Routine dental examinations and cleanings are an important component of oral healthcare for both children and adults. However, many children do not visit the dentist until well after the time recommended by medical and dental professionals.

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Metro Creative Connection # TF162883

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FAMILY MEDICINE Family Medical Care Associates Linda J. McCormick, DO 801 NW St. Mary’s Drive, Suite 101 Blue Springs, MO 64014 p. 816-228-1000 • f. 816-463-6035 stmaryskc.com

Linda McCormick, DO, is board certified in Family Medicine. She graduated from Kirksville College of Osteopathic Medicine in Kirksville, MO and has been in practice for over 30 years.

Family Medical Care Associates Vincent DeMarco, DO 801 NW St. Mary’s Drive, Suite 101 Blue Springs, MO 64014 p. 816-228-1000 • f. 816-463-6035 stmaryskc.com

Vincent DeMarco, DO, is board certified in Family Practice with a special interest in NaPROtechnology and the Creighton Model of Fertility Care. He earned his Doctor of Osteopathic Medicine degree from the Kansas City University of Medicine and Biosciences in Kansas City, MO.

Oak Grove Medical Clinic Steve T. Gialde, DO 302 SE Salem St. Oak Grove, MO 64075 p. 816-690-6566 stmaryskc.com

Dr. Steve Gialde is board-certified by the American Osteopathic Board of General Practitioners and has a special interest in palliative medicine and hospice care. He’s been a physician with the Oak Grove Medical Clinic for over 35 years.

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Eastern Jackson County Healthcare Directory

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FAMILY MEDICINE Oak Grove Medical Clinic Maggie Ngar, DO 302 SE Salem St. Oak Grove, MO 64075 p . 816-690-6566 stmaryskc.com

Dr. Maggie Ngar is board certified in family medicine and has a special interest in preventative care and women’s health. She earned her medical degree at Kansas City University of Medicine and Biosciences and her undergraduate degree at the University of Arkansas at Monticello.

FAMILY NURSE PRACTITIONER Kansas City Cardiology Lacey Case, MSN, FNP-C 3200 NE Ralph Powell Rd, Lee’s Summit, MO 64064 p. (816) 525-1600 stmaryskc.com

Lacey Case, MSN, FNP-C is a nurse practitioner with Kansas City Cardiology. She attended the University of Central Missouri for both undergraduate and postgraduate education and graduated summa cum laude. Originally from the Kansas City area, her passion is to provide quality cardiovascular care to the area and approaches disease with a preventative mindset and a focus on education and being a partner in health promotion alongside her patients

Oak Grove Medical Clinic Kimberley Criss, FNP-BC 302 Southeast Salem, Oak Grove, MO 64075 p. (816) 690-6566 stmaryskc.com

Criss graduated in 2007 with her Master’s degree in Nursing from the University of Missouri Columbia. She is a Board Certified Family Nurse Practioner. Criss enjoys seeing patients of all ages and has been practicing for 10 years. In her spare time, she enjoys spending time with her husband and children.

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Eastern Jackson County Healthcare Directory

FAMILY NURSE PRACTITIONER

Fall 2017

Family Medical Care Associates Cathy Hostettler, DNP, APRN, FNP-BC 302 SE Salem St. Oak Grove, MO 64075 p. 816-690-6566 stmaryskc.com

Hostettler is originally from Ohio and moved to Missouri in 2008. She earned her Doctorate of Nursing and Health Professions Educator Certificate from the University of Kansas (KUMC Campus) in 2016. She has been practicing for 20 years. In her spare time, she likes to sing in her church choir, read, cook/bake, and run with her fur child, Honey.

Oak Grove Medical Clinic Stephanie Hutchison, NP 302 Southeast Salem, Oak Grove, MO 64075 p. (816) 690-6566 stmaryskc.com

Hutchison earned her bachelor of science and her masters of science in nursing at the University of Missouri-Kansas City. She is a boardcertified nurse practitioner. Prior to joining Oak Grove Medical Clinic, Stephanie worked as an emergency department nurse for 16 years.

Kansas City Cardiology Stefanie Neill, FNP-C 3200 NE Ralph Powell Rd, Leeâ&#x20AC;&#x2122;s Summit, MO 64064 p. (816) 525-1600 stmaryskc.com

Neill received her Nurse Practitioner degree from the University of Central Missouri in 2011 and a Bachelor of Science in Nursing from Missouri State University in 2008. She is a full-time Cardiology Nurse Practitioner and has been with Kansas City Cardiology since 2011.

Blue Springs Internal Medicine Tammy Osborn, NP 205 NW R D Mize Rd Suite 400 Blue Springs, MO 64014 p. (816) 228-9841 stmaryskc.com

Osborne is an adult nurse practitioner providing a wide range of preventive and acute health services. She has a passion for patient care and believes in listening and one-on-one time with patients to help them set and achieve their health goals.

BIGSTOCK.COM

Fall 2017

Eastern Jackson County Healthcare Directory

A NEW CESSATION

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E-cigarettes may be helping smokers quit

By Melissa Erickson More Content Now

-cigarettes are helping smokers kick the habit. The popularity of vaping is linked to a sharp rise in the number of adults quitting smoking, presenting a strong case that e-cigarettes are one more tool people can use if they want to snuff out their cigarettes for good, a new study finds. The study, published in the journal BMJ, was based on the largest representative sample of e-cigarette users to date based on five population studies from 2001 to 2015. During that time the smoking cessation rate increased for the first time in 15 years. The annual rate of smoking cessation has hovered around 4.6 percent for years, but in the 2014-15 Current Population Survey-Tobacco Use Supplement survey the rate increased to 5.6. The 1.1 percentage point increase may seem small, but it is statistically significant. “That’s 350,000 people who quit (in a 12-month period). That’s a big number,” said Dr. Shu-Hong Zhu, University of California San Diego professor of Family Medicine and Public Health and director of the Center for Research and Intervention in Tobacco Control. The scientific community is divided on the question of whether e-cigarettes can help wean smokers from their addiction. This research “is very encouraging” that it can, Zhu said.

intensively. More than 70 percent of people who had successfully quit smoking recently were still using e-cigarettes daily, which may help prevent relapse, researchers said. “Our analysis of the population survey data indicated that smokers who also used e-cigarettes were more likely to attempt to quit smoking, and more likely to succeed. Use of e-cigarettes was associated both with a higher quit rate for individuals as well as at the population level, driving an increase in the overall number of people “We don’t quitting,” Zhu said. “The cessation rate among those who did not know how safe use e-cigarettes remained the same compared to e-cigarettes are, previous years. These data suggest that e-cigabut we know rettes play the role of a cessation tool,” he said. they are much

less dangerous” than traditional cigarettes. “It’s not really surprising to people who already use e-cigarettes to stop smoking. They know it helps, but now there’s

Safety still a question

The study has to be taken in context. “We don’t know how safe e-cigarettes are, but we know they are much less dangerous” than traditional cigarettes, Zhu said. “It’s not really surprising to people who already use e-cigarettes to stop smoking. They know it helps, but now there’s proof for the scientific community,” he said. E-cigarettes are considered less dangerous because of how the burning process in cigarettes affects the body. Tobacco smokers ingest carbon monoxide, tar and other harmful carcinogens, proof for the which negatively impact the heart, lungs and scientific other parts of the body, Zhu said. community.” “E-cigarettes are one part of the toolbox for Dr. Shu-Hong Zhu people who want to quit,” Zhu said. They can be especially useful for people who have tried and About the study failed to quite with other methods, he said. Earlier studies have looked at e-cigarettes as a cessation This study did not investigate whether the use of e-cigarettes tool, and some have concluded that e-cigarette use did not aid leads people to start smoking nor address the long-term health smokers in quitting. A key finding in this analysis, said Zhu, is effects of e-cigarette use. that in 2014-15 more people using e-cigarettes were doing so

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Eastern Jackson County Healthcare Directory

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INTERNAL MEDICINE Blue Springs Internal Medicine Dean Mundhenke, MD Specializes in Internal Medicine 205 R.D. Mize Road, Suite 400 Blue Springs, MO 64014 p. 816-228-9841 • f. 816-228-8667 stmaryskc.com Dr. Mundhenke graduated from the University of Nebraska College of Medicine in 1978 and has been in practice for more than 20 years. He specializes in Internal Medicine.

Blue Springs Internal Medicine David Voshall, MD, PhD Specializes in Internal Medicine 205 R.D. Mize Road, Suite 400 Blue Springs, MO 64014 p. 816-228-9841 • f. 816-228-8667 stmaryskc.com Dr. David Voshall specializes in Internal Medicine. He graduated from the University of Missouri, Kansas City School of Medicine in 1977 and has been practicing for 40 years.

Blue Springs Internal Medicine Lin Clark, MD, PhD Specializes in Internal Medicine 205 R.D. Mize Road, Suite 400 Blue Springs, MO 64014 p. 816-228-9841 • f. 816-228-8667 stmaryskc.com Dr. Lin Clark received her medical degree from the University of Missouri - Kansas City School of Medicine and has been in practice for more than 20 years.

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Your Health. Our Calling

Blue Springs Internal Medicine

205 NW R.D. Mize Rd, Ste 400 Blue Springs, MO 64014 816-228-9841 Lin Clark, MD Dean Mundhenke, MD David Voshall, MD, PhD Tammy Osborn, FNP M-F 8 a.m.-5 p.m.

Family Medical Care Associates

801 N.W. St. Mary’s Drive, Ste 101 Blue Springs, MO 64014 816-228-1000 Linda J. McCormick, DO Vincent DeMarco, DO Cathy Hostettler, DNP, APRN, FNP-BC Jackie TeBeest, FNP M-F 8 a.m.-5 p.m.

St. Mary’s Specialty Clinic

206 NW Mock Ave, Ste 200 Blue Springs, MO 64014 816-416-8633 Terry V. Morris, MD, FACOG Jason Montone, DO M-F 8 a.m.- 5 p.m.

Kansas City Cardiology

3200 NE Ralph Powell Rd Lee’s Summit, MO 64064 816-523-4525 203 NW R.D. Mize Rd #200 Blue Springs, MO 64014 816-220-1117 7201 E 147th St, Ste 120 Grandview, MO 64030 816-523-4525 F. Douglas Biggs, MD, FACC David R. Blick, MD, FACC John M. Holkins, MD, FACC Michael J. Liston, MD, FACC Marco S. Mazzella, MD, FACC Stefanie Neill, FNP-C

Oak Grove Medical Group

302 S. Salem Oak Grove, MO 64075 816-690-6566 Steve T. Gialde, DO Maggie M. Ngar, DO Kimberely Criss, FNP-BC Stephanie A. Hutchison, FNP M-F 7:30 a.m.-4:30p.m.

201 NW R.D. Mize Road│Blue Springs, MO, 64014│816-228-5900│StMarysKC.com

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Eastern Jackson County Healthcare Directory

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Myths and facts about the

BIGSTOCK.COM

HPV VACCINE

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Eastern Jackson County Healthcare Directory

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“We hope that requiring two shots instead of three will make it easier for children to be vaccinated, bringing rates closer to the (government’s) Healthy an a shot prevent cancer? The answer is yes. People 2020 goal of 80 percent,” Ramondetta said. “HPV is an anti-cancer vaccine that can HPV-related cancers are on the rise, with about protect a child’s health long-term and prevent 39,000 new cases diagnosed each year in the United a number of cancers,” said Dr. Lois RamonStates, Ramondetta said. The HPV vaccine is given to detta, professor of Gynecologic girls to prevent cervical cancer, but it Oncology and Reproductive Medicine also prevents vulvar and vaginal canwith the University of Texas MD cers. It prevents 90 percent of anal Anderson Cancer Center, Houston. cancer in men and women, and up to HPV, or human papillomavihalf of penile cancers. Additionally rus, is the most common sexually for boys, it helps prevent orophatransmitted infection in the United ryngeal, or middle throat, cancers. States, according to the Centers for The vaccine protects both sexes Disease Control and Prevention. It’s against non-cancerous genital warts so common that nearly all sexually and some head and neck cancers. active men and women will get the Most cases of HPV do not result in virus at some point in their lives. symptoms, and often people don’t Unfortunately, it’s statisknow they have it. Other strains of “It’s really a tics like these that scare some HPV can lead to life-threatening no-brainer. parents away from getting cancers. According to the National Trust the their children vaccinated. Cancer Institute, in the United Proven safe and effective at preStates, high-risk HPV types cause science. venting multiple types of cancer, approximately 3 percent of all cancer This is the the HPV vaccine is often overlooked cases among women and 2 percent first time a by parents or not discussed by of all cancer cases among men. health-care providers, Ramondetta “I see people diagnosed who vaccine is said. A primary concern is safety, lose everything. Their health, their available but the vast majority of people who relationships, and it’s totally preto prevent receive the vaccine have no side ventable,” Ramondetta said. effects other than redness and a sore cancer.” arm from the injection, she said. Longer the wait, the less Dr. Lois Ramondetta The HPV vaccine was effective approved by the Food and Drug A 2014 study published in the Administration 10 years ago journal Translational Andrology and and no serious adverse effects Urology found the top five reasons for parents not vachave occurred since, Ramondetta said. cinating adolescents with the HPV vaccine are lack of knowledge, not needed or necessary, safety concerns/ Low vaccination rates side effects, not recommended, and not sexually active. Across the United States, 41.9 percent of girls and But, the best time to get vaccinated is before 28.1 percent of boys are completing the recommended infection occurs, Ramondetta said. That means vaccine series, according to a 2015 CDC report. before a child becomes sexually active. New CDC guidelines recommend boys and girls “It’s something that parents don’t want to ages 11 to 12 receive two doses of the 9-valent HPV think about. It doesn’t necessarily mean intervaccine at least six months apart. This is a revicourse. It could be just close touching,” said sion from a previous guideline that required three Ramondetta, who recommends the vaccine. shots, Ramondetta said. Adolescents 15 and older Adding HPV to the traditional schedule of childhood should continue to complete the three-dose series. vaccinations simply means you’re protecting your child. The vaccine is not recommended for people older “It’s really a no-brainer. Trust the scithan 26 because it is less effective in lowering cancer ence. This is the first time a vaccine is availrisk, according to the American Cancer Society. able to prevent cancer,” Ramondetta said. By Melissa Erickson More Content Now

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Eastern Jackson County Healthcare Directory

With Screening colonoscopy, colon cancer is preventable.

Fall 2017

All of the physicians at Summit Gastroenterology are Board Certified in Gastroenterology. • • • •

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Currently seeing patients at St. Luke’s East Hospital, St. Luke’s East Surgicenter, St. Luke’s Multi Specialty Clinic - Blue Springs & Lee’s Summit Medical Center

Fall 2017

Eastern Jackson County Healthcare Directory

Page 23

Page 24

Eastern Jackson County Healthcare Directory

Fall 2017

When and how to use

ANTIBIOTICS By Melissa Erickson More Content Now

PHOTOS: BIGSTOCK.COM

odern medicine relies on antibiotics to protect people against infection, but Americans are overusing and misusing these powerful drugs, according to the Antibiotic Use in the United States, 2017 report from the Centers for Disease Control and Prevention. Up to one-third of antibiotic use in humans is either unnecessary or inappropriate, according to the report. Each time an antibiotic is used, it can increase the risk that a future infection will be resistant to antibiotics. Like any medicine, using antibiotics carries risks. When used correctly to treat true bacterial infections, including whooping cough, strep throat and urinary tract infections, the benefits outweigh the risk.

Fall 2017

Eastern Jackson County Healthcare Directory

Page 25

Relieve symptoms naturally

“Some parents who hate to see their child suffer will contact the doctor’s office at the first sign of an ear infection, hoping for a prescription for antibiotics to quickly end the child’s suffering.”

Barbara Cole, Penn State Medical Group Antibiotics don’t kill viruses Many patients expect health-care professionals to prescribe antibiotics to “cure” minor illnesses and viral infections such as colds, flu, bronchitis and sore throats. When antibiotics are overused or misused, patients get no benefit. “Some parents who hate to see their child suffer will contact the doctor’s office at the first sign of an ear infection, hoping for a prescription for antibiotics to quickly end

the child’s suffering,” said Barbara Cole, a nurse practitioner with Penn State Medical Group. “But the painful condition is usually caused by a virus,” which requires different treatment. Although antibiotics kill most bacteria at first, some of the microbes survive and eventually become resistant to that particular drug. As a result, new, stronger antibiotics are developed to fight the resistant bacteria, and then the bacteria become

resistant to them, as well. When a person is infected with an antibiotic-resistant infection, medical professionals must resort to stronger, more toxic antibiotics. Illnesses last longer and, in more cases, lead to death. Every year more than 23,000 people in the United States die from bacterial infections that are resistant to antibiotics, according to the Centers for Disease Control and Prevention.

“Antibiotics are not the answer for every cold, flu or ear infection,” Cole said. “Often, a few days of rest and at-home remedies will cure a minor illness.” She recommends: • Cold or flu: Drink fluids; get plenty of rest. • Comfort for a sick young child: Simply sit with and rock him or her. • Ear infections: Apply warm compresses. • Runny nose: Use saline drops or sprays, run a coolmist vaporizer and elevate the head, such as by putting an infant in a car seat. • Sore throat: Soothe with cool drinks, cough drops (for older children) or honey (for children older than 1). When an antibiotic is prescribed, patients should be sure to take it correctly: • Take each dose at the appropriate time to maximize the effectiveness of the drug. • Take the antibiotic for as long as prescribed, even if symptoms are gone. Otherwise, some bacteria can survive and become resistant. • Don’t take leftover antibiotics or those prescribed for someone else. They might not be appropriate for current symptoms and could allow bacteria to multiply. “Remember, don’t demand antibiotics when a health-care professional says they’re not necessary. An antibiotic offers no benefits in treating a viral infection,” Cole said. “Taking an unnecessary antibiotic increases the chances that a resistant infection will arise later.” Moreover, an antibiotic can kill the good bacteria in the human body, causing intestinal and other problems.

Page 26

Eastern Jackson County Healthcare Directory

Fall 2017 Some of the signs of potential breast cancer:

w Red, inflamed breast A swollen and sometimes warm, red breast should be evaluated promptly, Bevers said. Inflammatory breast cancer is a rare but aggressive disease. Swelling and redness affecting one-third or more of the breast is cause for concern. Smaller changes, like the size of a half-dollar, are probably not breast cancer, “but get it diagnosed,” Bevers said. BIGSTOCK.COM

w Peeling, scaling

POTENTIAL

SIGNS

BREAST CANCER

By Melissa Erickson More Content Now

eeling a lump in the breast is a classic sign of breast cancer, but there are other less-wellknown signals that can tip off potential trouble. “The hope is that women know their own bodies and would find a mass before it becomes palpable, but the truth is that radiologists can find tumors so small — 3, 4 or 5 millimeters — that it’s rare to be able to feel a small tumor before it can be discovered by mammogram,” said Dr. Therese Bevers, medical director of the Cancer Prevention Center at MD Anderson in Houston and an expert in breast cancer screenings. Today, breast self exams are not widely recommended, but that doesn’t mean you should stop investigating your breasts, Bevers said. The keywords now are “breast awareness. You know

how your breasts look and feel. If something feels different, “You know have it checked out,” Bevers said. how your Women themselves discover “a substantial amount of breast breasts cancer because nobody knows look and a woman’s body as well as she does herself,” said Dr. Rachel Brem, director of breast imagfeel. If ing and intervention at The GW something Medical Faculty Associates in Washington, D.C. feels “Women have to understand that mammograms are imperdifferent, fect. Fifteen percent of breast cancers cannot be seen on mamhave it mograms. The death rate of checked breast cancer has decreased 35 percent in the past few decades, and mammograms are one part out.” of that. They’re one tool in our Dr. Therese toolbox, but there’s other things like MRIs, diagnostic ultraBevers sounds and molecular breast imaging,” Brem said. “We have many kinds of technology; no one size fits all.”

Flaky, peeling or scaling skin on the breast could be a sign of Paget’s disease, a type of breast cancer, or it could be minor skin irritation, Bevers said. Watch for whether the skin changes only occur in one breast, often starting in the nipple area, and spread from there.

w Dimpling of the skin “A dimpling on the skin of the breast like a pimple that doesn’t heal” can also be a sign of breast cancer, Brem said. The nipple may also become retracted because there’s a tumor pulling it inward, Bevers said. The dimpling might be subtle and noticeable only at certain times, for example, when you stand in front of a mirror and raise your arms to brush your hair, Bevers said.

w Nipple discharge Most nipple discharge is not breast cancer, but it is of more concern if it is spontaneous, from one breast only, or clear rather than milky or greenish, Brem said. Nipple discharge may not have a high suspicion rate, but have it checked out.

w Mass in the armpit An ancillary mass in the region, such as a lump in the armpit, could be breast cancer in the lymph nodes, Bevers said. “Not all lumps in the armpit are breast cancer. It could be an ingrown hair, but it needs to be checked out,” she said.

w A thickening If your breast feels firmer than before, that change should be evaluated by a doctor. “If it’s a change to you, it doesn’t matter what you can see or feel,” Bevers said. Use your awareness of your breasts. If something doesn’t feel normal, get it checked out.

Fall 2017

Eastern Jackson County Healthcare Directory

MOVING FORWARD

Page 27

It can be difficult, but exercise is key during cancer fight

By Melissa Erickson

xercise helps keep a body healthy and lowers risk of some diseases. For women with cancer, physical activity can do many things, including control weight, improve mood, boost energy, increase sleep, and be fun and social — as long as exercise is done safely. It is well-documented that physical activity benefits patients with cancer, both during and after treatment. Exercise helps patients combat physical and psychological impacts of cancer treatment, giving them a sense of well-being, control, stress reduction and empowerment. So why aren’t more oncologists discussing exercise with their patients? A focus group study from Gundersen Health System in Wisconsin found that 95 percent of patients surveyed felt they benefited from exercise during treatment, but only three of the 20 patients recalled being instructed to exercise. The investigators interviewed nine practitioners plus 20 patients 45 and older with two kinds of cancer: non-metastatic cancer after adjuvant therapy and metastatic disease undergoing palliative treatment, both across multiple tumor types. While the sample size is small, the study provides an understanding of how the group as a whole has the potential to influence the practice of physical activity recommendations.

A focus group study from Gundersen Health System in Wisconsin found that 95 percent of patients surveyed felt they benefited from exercise during treatment, but only three of the 20 patients recalled being instructed to exercise.

The results indicated that exercise is perceived as important to patients with cancer, but physicians are reluctant to consistently include recommendations for physical activity in patient discussions, said Dr. Agnes Smaradottir, medical oncologist and lead investigator of the focus group study, which was published in the Journal of the National Comprehensive Cancer Network in May. A key finding was that physicians expressed concerns about asking patients to be more physically active while undergoing arduous cancer treatments. “Regular exercise has been a part of the breast cancer treatment plan for years,” Smaradottir said. “Exercise regularly from the day you are diagnosed and beyond and have exercise be an important part of your life. Carve out time for exercise at least every other day. It is that important.” For breast cancer patients,

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410 S.PUBLISHED: Liberty, Independence, MO 64050 | 816.254.8600 January 2018 April 2018

July 2018 October 2018

Fall 2017

Eastern Jackson County Healthcare Directory

Page 35

ORTHOPEDICS Drisko, Fee & Parkins, P.C. Robert M. Drisko, II, M.D. Board Certified by American Board of Orthopaedic Surgery Sub-Specialty – Spine Surgery 19550 E. 39th Street, Ste. 410 2790 Clay Edwards Drive, Ste. 600 Independence, MO 64057 North Kansas City, MO (816) 303-2400 (816) 561-3003 www.dfportho.com

Dr. Robert M. Drisko II is an orthopedist specializing in injuries of the spine and general orthopedics. He was educated at Northwestern University as an undergraduate, the University of Kansas School of Medicine for medical school, the New York Orthopedic Hospital for orthopedic residency, and the New York Orthopedic Hospital for spine fellowship. He is certified by the American Board of Orthopedic Surgery.

Drisko, Fee & Parkins, P.C. Jeffrey M. Bradley, M.D. Board Certified by American Sub-Specialty - Hand, Elbow 19550 E. 39th Street, Ste. 410 Independence, MO 64057 (816) 303-2400 www.dfportho.com

Board of Orthopaedic Surgery & Upper Extremity 2790 Clay Edwards Drive, Ste. 600 North Kansas City, MO (816) 561-3003

Jeffrey M. Bradley, M.D. is a fellowship trained orthopaedic surgeon. His specialty training focuses on trauma, reconstruction, and disorders of the hand, wrist, elbow, and shoulder. He obtained his undergraduate degree from the University of Illinois at Urbana-Champaign and completed medical school training at Southern Illinois University School of Medicine. Dr. Bradley completed his orthopaedic surgery residency at Michigan State University in Grand Rapids, MI, and recently completed a Hand, Upper Extremity, and Microsurgery fellowship at the Indiana Hand to Shoulder Center. Dr. Bradley is a candidate member of the American Society for Surgery of the Hand (ASSH), and the American Association for Hand Surgery (AAHS). He continues to be involved with leadership development in the Emerging Leaders program through the American Orthopaedic Association (AOA).

Drisko, Fee & Parkins, P.C. Paul Cowan, M.D., M.P.H. Board Eligible Sub-Specialty Sports Medicine 19550 E. 39th Street, Ste. 410 2790 Clay Edwards Drive, Ste. 600 Independence, MO 64057 North Kansas City, MO (816) 303-2400 (816) 561-3003 www.dfportho.com

Dr. Cowan is a Kansas City native who returns to join DFP as a Sports Medicine fellowship trained Orthopaedic Surgeon. He received his undergraduate degree from Kansas State University, his medical and master’s degrees from the University of Kansas, and completed his orthopaedic residency at the University of Kansas in Kansas City, KS. As part of his fellowship at the TRIA Orthopaedic Center in Minneapolis/St. Paul, MN, Dr. Cowan provided medical care for the NHL’s Minnesota Wild, MLB’s Minnesota Twins, Gustavus-Adolphus college football, and area high schools. His interests are in athletic injuries to people of all ages including ACL reconstruction, multi-ligamentous knee injuries, rotator cuff repairs, and many more procedures for the knee, shoulder, and elbow. When not taking care of patients, Dr. Cowan enjoys spending time with his wife, three children, and extended family. He also enjoys fitness, travel, and cooking.

Page 36

Eastern Jackson County Healthcare Directory

Fall 2017

ORTHOPEDICS Drisko, Fee & Parkins, P.C. Andre Jakoi, M.D. Board Eligible Sub-Specialty Spine Surgery 19550 E. 39th Street, Ste. 410 2790 Clay Edwards Drive, Ste. 600 Independence, MO 64057 North Kansas City, MO (816) 303-2400 (816) 561-3003 www.dfportho.com

Dr. Jakoi comes to DFP Orthopedics as a fellowship trained surgeon specializing in all facets of spine disorders. His special interests in spine surgery include the use of minimally invasive surgery for degenerative conditions, adult deformity, trauma and complex reconstruction. He completed his medical degree from George Washington University in Washington, DC and orthopedic surgery residency at Drexel University in Philadelphia, PA. He was then awarded a fellowship in spine surgery at the University of Southern California in Los Angeles, CA. Dr. Jakoi is especially committed to the practice of evidence-based medicine and is actively involved in advancing the field of orthopedics through research.

Drisko, Fee & Parkins, P.C. Nathan Kiewiet, M.D. Board Certified by American Board of Orthopaedic Surgery Sub-Specialty - Foot & Ankle Surgery 19550 E. 39th Street, Ste. 410 2790 Clay Edwards Drive, Ste. 600 Independence, MO 64057 North Kansas City, MO (816) 303-2400 (816) 561-3003 www.dfportho.com

Nathan J. Kiewiet, MD comes to DFP Orthopaedics as a fellowship trained orthopaedic foot and ankle surgeon. He has special interest and training in the treatment of complex foot and ankle problems, including complex trauma, post-traumatic reconstruction, and Charcot deformity. He also has expertise in the non-surgical and surgical treatment of flatfoot deformities, bunions, and toe deformities. He has extensive experience with total ankle replacement and revision total ankle replacement He obtained fellowship training in foot and ankle surgery at Harborview Medical Center/University of Washinton in Seattle, WA. He attended medical school at the University of Iowa and completed his orthopaedic surgery residency in Grand Rapids, MI. He accepts transfers of patients with complex foot and ankle problems from outlying facilities without foot and ankle expertise.

Drisko, Fee & Parkins, P.C. Jeffrey A. Krempec, M.D. Board Certified by American Board of Orthopaedic Surgery Sub-Specialty â&#x20AC;&#x201C; Joint Preservation, Resurfacing, and Replacement Surgery 19550 E. 39th Street, Ste. 410 2790 Clay Edwards Drive, Ste. 600 Independence, MO 64057 North Kansas City, MO (816) 303-2400 (816) 561-3003 www.dfportho.com

Dr. Krempec is Fellowship trained in Joint Preservation, Resurfacing, and Replacement at Washington University Orthopaedics Barnes Jewish Hospital, St Louis, Missouri. He has had fellowship training in total joint revision: surgery performed when joint replacements have worn out, failed, or become infected. He obtained his medical degree from the University of Michigan Medical School in Ann Arbor, MI and subsequently completed his orthopaedic surgery residency at Carolinas Medical Center in Charlotte, NC.

Fall 2017

Eastern Jackson County Healthcare Directory

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ORTHOPEDICS Drisko, Fee & Parkins, P.C. Paul F. Nassab, M.D. Board Certified by American Board of Orthopaedic Surgery Sub-Specialty – Hand, Elbow & Upper Extremity Surgery 19550 E. 39th Street, Ste. 410 2790 Clay Edwards Drive, Ste. 600 Independence, MO 64057 North Kansas City, MO (816) 303-2400 (816) 561-3003 www.dfportho.com

Paul F. Nassab, M.D., comes to DFP Orthopedics as a fellowship trained surgeon specializing in trauma, reconstruction, and disorders of the hand, elbow, and shoulder. He obtained his undergraduate degree from the University of Michigan and his graduate degree at the Boston University School of Medicine. He completed his post Doctoral Fellowship in Combined Hand at the prestigious Cleveland Clinic in Cleveland, Ohio.

Drisko, Fee & Parkins, P.C. C. Craig Satterlee, M.D. Board Certified by American Board of Orthopaedic Surgery Sub-Specialty – Shoulder & Upper Extremity Surgery 19550 E. 39th Street, Ste. 410 2790 Clay Edwards Drive, Ste. 600 Independence, MO 64057 North Kansas City, MO (816) 303-2400 (816) 561-3003 www.dfportho.com

Dr. Satterlee received his medical degree and general orthopedic training from the University of Missouri – Columbia. Subsequently, he was the senior Anne C. Kane Fellow in Shoulder and Elbow Surgery at the New York Orthopedic Hospital – Columbia Presbyterian Hospital directed by the nationally recognized Dr. Charles S. Neer II. Dr. Satterlee sees patients with general orthopedic problems. His expertise and focus is in disorders of the shoulder and elbow.

Drisko, Fee & Parkins, P.C. Alexandra J. Strong, M.D. Board Certified by American Certified in Sports Medicine 19550 E. 39th Street, Ste. 410 Independence, MO 64057 (816) 303-2400 www.dfportho.com

Board of Orthopaedic Surgery 2790 Clay Edwards Drive, Ste. 600 North Kansas City, MO (816) 561-3003

Alexandra J. Strong obtained her undergraduate degree from the University of Missouri – Kansas City. She then went on to Butterworth Hospital in Grand Rapids, MI, where she finished an internship in general surgery. Dr. Strong’s special interests lie in treatment of the shoulder and knee with an emphasis in sports medicine. and is Sports Medicine Certified.

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ORTHOPEDICS Drisko, Fee & Parkins, P.C. Christopher L. Wise, M.D. Board Certified by American Board of Orthopaedic Surgery Sub-Specialty – Trauma Surgery 19550 E. 39th Street, Ste. 410 2790 Clay Edwards Drive, Ste. 600 Independence, MO 64057 North Kansas City, MO (816) 303-2400 (816) 561-3003 www.dfportho.com

Dr. Wise comes to DFP Orthopedics as a fellowship trained Orthopedic Trauma surgeon with special interest in complex fractures of the pelvis, acetabulum, and lower extremity. He has expertise in fractures that have failed to heal (nonunion), become infected, or have healed with deformity (malunion). He obtained his medical degree from Saint Louis University, completed an Orthopedic Surgery residency at Michigan State University and then obtained further subspecialty expertise in Orthopedic Trauma at Carolinas Medical Center in Charlotte, NC.

Drisko, Fee & Parkins, P.C. Zachary Roberts, M.D. Board Certified by American Board of Orthopaedic Surgery Sub-Specialty Trauma Surgery 19550 E. 39th Street, Ste. 410 2790 Clay Edwards Drive, Ste. 600 Independence, MO 64057 North Kansas City, MO (816) 303-2400 (816) 561-3003 www.dfportho.com

Dr. Roberts is a board certified, fellowship trained, orthopedic trauma surgeon who specializes in providing care to patients with fractures. His special interests include fractures of the pelvis and acetabulum, as well as periarticular fractures of the upper and lower extremities. Dr Roberts also has experience treating many post traumatic complications such as deformity, nonunion, and infection. Dr. Roberts received his undergraduate degree from Oklahoma State University and his medical doctorate from the University of Oklahoma. Dr. Roberts completed his internship and residency in Orthopedic Surgery at Medical College of Virginia in Richmond, VA, and then completed an additional year of fellowship training in orthopedic trauma care at Harborview Medical Center in Seattle, WA. Following his fellowship, he returned to OU Medical center (Oklahoma’s only Level 1 trauma center) where, for 8 1/2 years, he held a faculty position with OU College of Medicine and helped teach resident orthopedic surgeons to provide care for patients with traumatic injuries.

Drisko, Fee & Parkins, P.C. Erich J. Lingenfelter M.D. Board Certified by American Certified in Sports Medicine 19550 E. 39th Street, Ste. 410 Independence, MO 64057 (816) 303-2400 www.dfportho.com

Board of Orthopaedic Surgery 2790 Clay Edwards Drive, Ste. 600 North Kansas City, MO (816) 561-3003

Erich J. Lingenfelter M.D. comes to DFP orthopedics as a fellowship trained shoulder and elbow surgeon specializing in complex shoulder and elbow pathology including trauma, revision shoulder and elbow surgery and all surgically treatable shoulder and elbow conditions. He has particular interest in stabilization of shoulder instability, primary and revision rotator cuff repair, total and reverse total shoulder arthroplasty and arthroscopic treatment of the stiff elbow. He obtained his undergraduate degree at UMKC and his graduate degree from UMKC school of medicine. He completed two fellowships in shoulder and elbow surgery, one at the University of Zurich-Balgrist, Switzerland and also a visiting clinician fellowship at the Mayo clinic in Rochester, Minnesota. He is board certified by the American Board of Orthopedic Surgery and is fluent in German and English

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Eastern Jackson County Healthcare Directory

Signature is there with you every step of the way, from inpatient through recovery...

Hope for a brighter future!

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 HOSPITAL 24 bed inpatient unit in North Kansas City that specializes in crisis stabilization and medical detox.

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Fall 2017

PROTECT YOUR

Heart

FREEPIK.COM

Even small weight gains can strain your cardiovascular system

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Eastern Jackson County Healthcare Directory

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risk for heart disease for seven years. Participants had MRI scans of their hearts and multiple body fat measurements at the start of the study and then s the years go by, for many people the seven years later. After seven years, 41 percent number on the scale tends to creep up. Even gained weight, 15 percent lost weight and the others though this is pretty common, a new study remained stable. finds that gaining even a little bit of weight How much a person weighed at the beginning of may increase the risk of heart failure. the study didn’t impact the changes, Heart failure happens when the suggesting that even those of normal heart cannot pump enough blood and weight could experience adverse oxygen to support other organs in heart effects if they gain weight over your body. It is a serious condition, time. but it does not mean that the heart has The researchers caution that the stopped beating. Heart failure affects study was relatively small and their about 5.7 million adults in the United findings do not mean that every States, according to the Centers for person with weight gain will necesDisease Control and Prevention. sarily develop heart failure. “It’s hard to About half of people who develop Conversely, people who lost weight heart failure die within five years of lose weight,” decreased the thickness of the heart diagnosis. muscle, Neeland said. and people Putting on a few pounds over the “It’s hard to lose weight,” and who can’t years affects the structure of the heart people who can’t should focus on and its ability to pump blood, said Dr. should focus “weight stability,” Neeland said. Ian Neeland, the study’s senior author “Counseling to maintain weight on “weight and a cardiologist and assistant stability, even in the absence of professor of medicine at University of stability.” weight loss, may be an important Texas Southwestern Medical Center preventive strategy among high-risk Dr. Ian Neeland, in Dallas. individuals,” he said. cardiologist and “Small fluctuations up or down study senior What to change now — even as little as 5 percent — affect author the way the heart functions and how Body-mass index is a “crude much blood the heart can accommomeasurement” for proper weight, date,” Neeland said. A small weight gain can lead to Neeland said. Instead, look at your weight-overa remodeling of the heart, “thickening and enlarging height ratio, which is determined by dividing your the left side, a well-established indicator of future waist circumference by your height in inches. heart failure,” Neeland said. Two studies in the United Kingdom this year Five percent of body weight is the equivalent of also advised keeping “your waist to less than half a 6 ½-pound gain for a 130-pound woman or 7 1/2 your height.” That means someone who is 5 foot 5 pounds for a 150-pound man. (65 inches) — about the height of the average U.S. These changes in heart muscle appearance and woman — should maintain a waistline smaller than function persisted even after the researchers elimi- 33 inches, and a person who is 6 feet tall (72 inches) nated other factors that could affect heart muscle should keep his or her waist to less than 36 inches. performance and appearance, including high blood In addition to maintaining a healthy weight, tips pressure, diabetes, smoking and alcohol use. to decrease your risk of heart failure include being physically active. Try to get 150 minutes of moderAbout the study ate to intense physical activity each week, which The study, published in the Journal of the could include walking or biking, Neeland said. American Heart Association, followed 1,262 adults Follow a heart-healthy diet low in fat and cho(average age 44, 57 percent women, 44 percent lesterol and high in fruits, vegetables, nuts and black, 36 percent obese) who were free from heart legumes. Visit your doctor to be appropriately disease and other conditions that put them at high screened for blood pressure and cholesterol levels. By Melissa Erickson More Content Now

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Fall 2017

SummitStrength.com

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Eastern Jackson County Healthcare Directory

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ORTHOPEDICS Greiner Orthopedics Robert F Greiner, II, DO 19201 E. Valley View Parkway Suite C Independence MO 64055 (816) 317-5070 www.greinerorthopedics.com

Robert F. Greiner, DO, is a board-certified orthopedic surgeon. His professional interests include sports injuries, joint replacement surgery and arthritis management. Dr. Greiner earned his medical degree from the Kansas City University of Medicine and Biosciences College of Osteopathic Medicine and completed his residency at St. Maryâ&#x20AC;&#x2122;s Medical Center and Orthopedic Surgeons, Inc. in Blue Springs. He is board certified, including Orthopedic Surgery. Accrediting Board: American Osteopathic Board of Orthopedic Surgery. As an orthopedic surgeon, Dr. Greiner cares for injuries to bones and joints including joint replacement surgery, treatment of sports injuries, fracture and trauma management, and arthritis management.

PHARMACY Lowe Drug at Centerpoint Mike Hefley, R.Ph Centerpoint Medical Building 19550 E. 39th St., Suite 120 Independence, MO 64057 (816) 795-0086

PODIATRY Heartland Podiatry, P.C. 2406 East R.D. Mize Road Independence, MO 64057 (816) 478-FEET (3338) www.heartlandpodiatry.com

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What to know for

Metro Creative Connection

FLU SEASON

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as safe and effective as traditional flu shots. About the same cost to manufacture as a flu shot, the patch can dramatically reduce the cost very year flu season arrives but the strain of vaccination because it can be delivered for of flu differs, ebbing and flowing from mild self-administration without health-care workto severe. The flu shot also changes annuers overseeing the process. ally, as the medical community seeks to However, we’ll have to wait for the flu patch. anticipate just what strain of flu “The microneedle vaccine will hit the public. patch was only a phase 1 clini“It’s important to protect cal trial, and the team would yourself and those around you. need to design and conduct at Everybody needs a flu shot,” said least two additional phases of Dr. John Meigs, a family physiresearch, including a much larger cian practicing in Centreville, trial, before the experimental Alabama, and president of the microneedle vaccine patch would American Academy of Family be approved for use,” Selimovic Physicians. said. “The skin is For people who don’t like Core recommendations for the an immune shots — and who does — an exciting 2017-18 flu season remain the same surveillance organ. new way to deliver the flu vaccine as last year: It’s our interface has been created by researchers with the outside No nasal spray led by a team at the Georgia Instiworld, so it’s very Studies have found that the nasal tute of Technology and Emory well-equipped to flu vaccine, which is made from University. This alternative to detect a pathogen a weakened form of influenza as needle-and-syringe immunization and mount an opposed to flu shots that are made could eliminate the discomfort of immune response from the dead virus, is largely inefan injection as well as the inconagainst it.” fective, Meigs said. The Centers venience and expense of visiting a Dr. Mark Prausnitz, on a for Disease Control and Prevenclinic. flu vaccine patch being tion recommends against using the Just like slapping on a bandage, a researched spray, marketed under the name sticky patch with 100 microneedles FluMist. will painlessly penetrate the skin and transfer the flu vaccine as the Shot OK for egg-allergic needle tips dissolve within minutes. The patch is People with egg allergies can receive an agepeeled away and discarded. appropriate flu vaccine. The most common way “The skin is an immune surveillance organ. It’s that flu vaccines are made is using an egg-based our interface with the outside world, so it’s very manufacturing process, which has been used well-equipped to detect a pathogen and mount for more than 70 years, Meigs said. People with an immune response against it,” said Dr. Mark serious egg allergies should visit their family Prausnitz, regents professor and J. Erskine Love physician for a flu vaccine rather than getting it chair in chemical and biomolecular engineering, someplace else. Georgia Institute of Technology. “A person would not feel the microneedles Everyone should get one very much at all. In the clinical trial, some of the The flu shot is advised for everyone 6 months participants reported some redness and minor and older and is especially important for the discomfort, but they did not feel the individual very young and old, for pregnant women, and needles. The microneedle vaccine patch does not for people with chronic illnesses or who are feel like being stuck with 100 needles at once,” immunocompromised. said Dr. Seila Selimovic, director, National Institute of Biomedical Imaging and Bioengineering. Preliminary testing showed the flu patch was

By Melissa Erickson More Content Now

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Eastern Jackson County Healthcare Directory

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Growing to Care for You • Coming 2018: Inpatient Rehabilitation Expanded ICU and Medical Units

Making healthcare better.

• Eastern Jackson County’s Most Advanced Trauma Center

Centerpoint features 221 private rooms, state-ofthe-art equipment and technology, and the latest clinical services available to patients.

• 24/7 online primary care physician appointment scheduling at mymidwestphysician.com • Most Awarded Cardiology Program in Kansas City and Primary Stroke Center • Comprehensive freestanding cancer care built for our patients

19600 E. 39th St. Independence, MO 64057 (816) 698-7000

• Orthopedics and sports medicine specialists, both partners with the Kansas City Mavericks, specializing in the care and rehabilitation of injuries, pain control and full or partial replacement of joints

4357 RS 3/17

• Women’s Services, including a Level III Neonatal Intensive Care Unit to provide care for early or ill newborns and a labor and delivery unit

Need a physician? Call (816) 751-3000 ER Wait Times Visit KCFastER.com for information on all HCA Emergency Rooms and wait times. CenterpointMedical.com

Fall 2017

Eastern Jackson County Healthcare Directory

K E E P I N G PAT I E N T S A C T I V E & PA I N F R E E O RT H O PA EDIC S U RGEO N S

Robert J. Takacs, MD

Gerald F. Dugan, MD

General Orthopaedic Surgery

General Orthopaedic Surgery Hip and Knee Replacement Sports Medicine

Larry F. Frevert, MD

Scott A. Langford, MD

General Orthopaedic Surgery Sports Medicine, Shoulder Surgery Shoulder and Knee Replacement

Hand & Upper Extremity General Orthopaedic Surgery

Gary A. Go, MD

Amar Patel, MD

General Orthopaedic Surgery Sports Medicine

Foot & Ankle Reconstruction, Sports Medicine General Orthopaedic Surgery

Alan J. Zonno, MD

Jay H. Rapley, MD

Foot & Ankle Reconstruction Sports Medicine General Orthopaedic Surgery

Sports Medicine General Orthopaedic Surgery Shoulder Surgery, Knee Surgery

Wesley Frevert, MD

Christopher Maugans, MD

Sports Medicine General Orthopaedic Surgery Shoulder, Hip and Knee Arthroscopic Surgery Shoulder, Hip and Knee Replacement

Hand & Upper Extremity General Orthopaedic Surgery

PHY S ICA L M E DICINE A ND RE HA BIL ITATION P HY S ICIA NS

Andrew C. Palmisano, M.D. General Orthopaedic Surgery Hip and Knee Replacement

Jarron I. Tilghman, MD Physical Medicine & Rehabilitation Interventional Pain Management

P H Y S IC A L MEDIC IN E A ND R E H AB I L I TAT I O N PH YSI C I AN S

Terrence Pratt, MD

Kam-Fai Pang, MD

Physical Medicine & Rehabilitation

816.246.4302 or 800.434.0633

816.246.9493

Saint Luke’s East–Hospital Campus

120 NE Saint Luke’s Boulevard, Suite 200 • Lee’s Summit, Missouri 64086 Saint Luke’s Multispecialty–Blue Springs

600 N.E. Adams Dairy Parkway, Suite 160 • Blue Springs, Missouri 64014

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We’re a Part of Your Community Bringing home care services to wherever you call home. With a complete continuum of home care services, John Knox Village’s community health services can provide the care you need – wherever you call home.

Physical, occupational and speech therapy services, along with skilled nursing services after an illness or surgery.

Non-medical in-home personal services including assistance with household tasks, personal care, errands and respite care to help you live independently.

816-524-1133

816-524-2676

A personal emergency pendant and other devices to help you live with confidence.

Care and support for a family member facing a life limiting illness with dignity, compassion and grace.

816-347-4590

816-525-0986

Our dedicated, professional staff cares for patients at John Knox Village, in Lee’s Summit and the greater Kansas City community. Call today to find out more or go to www.jkvhealthservices.org

Fall 2017