health! - St. Francis Hospital, Winter '12 by CHI Franciscan

health! St. Francis

FROM

ST. FRANCIS HOSPITAL AND THE OTHER SERVICES OF FRANCISCAN HEALTH SYSTEM

St. Francis is baby central

Ouch!

Obesity hurts See page 12

You gotta have heart!

Franciscan experts answer your questions See page 13 fo r o u r

Calendar of Events

Franciscan Health System â&#x20AC;˘ WINTER 2012

Find your new health care professional today! 3 PRIMARY CARE The biggest secret for better health: Your doctor

6 HEART HEALTH You gotta have heart! Talk with our experts

10 PALLIATIVE CARE Live life to the fullest— even toward the end

11 DIGESTIVE HEALTH What is IBS and could you have it?

12 WEIGHT LOSS

Amparo Franco, MD ›› St. Francis Medical Clinic 253-874-2227 34503 Ninth Ave. S., Suite 100 Federal Way

Reid Holtzclaw, MD ›› Port Orchard Medical Clinic 360-874-5900 451 S.W. Sedgwick Road, Suite 110 Port Orchard

Kevin Schoenfelder, MD Brenda Lee, ARNP ›› Kevin Schoenfelder, MD 253-272-0186 1515 Martin Luther King Jr. Way Tacoma

Karen Casseday, ARNP ›› Port Orchard Medical Clinic 360-874-5900 451 S.W. Sedgwick Road, Suite 110 Port Orchard ›› Franciscan Women’s Health 253-530-2955 11511 Canterwood Blvd. N.W., Suite 145 Gig Harbor

Bahman Saffari, MD, PhD Julie Peerboom, ARNP ›› Bahman Saffari, MD, PhD 253-426-4780 1624 S. I St., Suite 402 Tacoma

Obesity hurts the whole body

Check out! us

Health! online ›› WWW.FHSHEALTH.ORG

Know your health risks! ›› When it comes to health conditions and diseases, early detection is key. Get insight into your health risks at www.knowmyhealthrisk.org. The assessments are simple, quick— and may just keep you healthy!

Sign up for free health talks ›› Interested in attending? Get more information or register by visiting the Franciscan website at www.FHShealth.org/classes or calling 888-825-3227 toll-free.

Franciscan Health System | Winter 2012

Find us on Facebook, Twitter and YouTube! ›› Get news and information about health events and more at: www.facebook.com/ FranciscanHealth

www.twitter.com/ FHShealth www.youtube.com (Search for Franciscan Health System.)

Primary care

The biggest secret for better health:

your doctor

You wouldn’t dream of changing your hairstylist or mechanic. But do you have the same loyalty to your most important service provider—your doctor? “Primary care is coordinating care for patients,” says Lijo Thomas, MD, a primary care physician at Franciscan Medical Clinic on Lijo Thomas, MD 11th Place in Federal Way. “We refer patients to medical specialists and check medication other doctors prescribe for negative drug interactions.” Primary care doctors coordinate your care

Having a regular primary care physician (PCP) or family doctor can improve your health and your medical care experience.You’re likely to see this doctor first when you need a checkup or have minor symptoms or complaints. However, he or she does more than ease your sniffles. A PCP’s responsibility is to: • help you make health care decisions • treat minor problems before they become more serious • provide preventive care • refer you when you need to see a specialist • manage chronic conditions • keep track of your medical records and health history “Regularly seeing a PCP can help prevent a lot of diseases by appropriately organizing risk factors. If we can diagnose early, we can treat early so there are no complications in the future,” says Dr. Thomas.

Reap the benefits of regular visits

Your PCP may not give you a frequent shopper card for stopping by, but studies show that patients who see the same primary doctor regularly experience the following perks: • higher satisfaction with their health care • more coordinated care • lower costs Another benefit is a stronger doctorpatient relationship. “If there is trust between the doctor and patient, the patient is more likely to discuss problems,” Dr. Thomas says. “When a patient is comfortable with a doctor they are more likely to follow recommendations and there will be better health outcomes.” Your family or primary care doctor is trained to care for you through all the phases of life. Even if you see specialists for certain conditions, you should still have a PCP for your general health needs. He or she will help you get the tests you need for your age and risk profile.

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For an appointment with Dr. Thomas or another Franciscan Medical Group primary care doctor, call 888-825-3227 or go to www.SouthSoundDoctors.org.

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Scan this QR code with your smartphone for direct access to our South Sound Doctors’ website!

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St. Francis Hospital

In Federal Way, Franciscan is

Baby Central!

Franciscan Women’s Care physicians Excellent OB care close to home! Our Obstetrician Team

For expectant parents in the South Sound, a long drive to the hospital doesn’t have to be factored into their birth plan. At St. Francis Hospital, parents-to-be have the peace of mind knowing that resources needed to guide them through all stages of pregnancy and childbirth are close to home, including: • leading-edge medical expertise • comprehensive roster of technology • and the hospital’s affiliation with the region’s most skilled obstetricians, gynecologists and perinatologists St. Francis also has a state-of-the-art (Level II) special care nursery, staffed by specially trained nurses. This means that babies who need special attention will get to stay with their moms instead of being transferred to another facility. Take a tour

For a firsthand look at the services available at the Family Birth Center, the first thing you need to do is sign up for a free tour. On the tour you’ll see and learn about: • private labor and delivery suites with sleeper chairs • spacious postpartum rooms • special care nursery • prenatal consultation and care • breastfeeding/lactation consultation program • parenting and childbirth education During the tour, you’ll also meet the exceptional staff who will answer any questions you have about your upcoming birth experience. At St. Francis, we understand that no pregnancy or birth experience is ever routine, so we deliver the individualized attention, care and support you need to cherish this special time in your life.

Parents-to-be have peace of mind at St. Francis Hospital’s Family Birth Center 4

Franciscan Health System | Winter 2012

Robert Snyder, MD

Lyle Calcamuggio, MD

Karen Robinson, MD

Sharon Metcalf, MD

Franciscan Women’s Health Obstetrics & Gynecology 34709 Ninth Ave. S., Suite B-500 Federal Way Phone: 253-944-6950

Our Perinatology Team

Peter Robilio, MD

Kerry McMahon, MD

Pacific Northwest Maternal Fetal Medicine – Federal Way 34503 Ninth Ave. S., Suite 200 Federal Way Phone: 253-835-6260

St. Francis Hospital

Special events for women at St. Francis Hospital Hysterectomy: New Options, New Choices Tuesday, March 27, 6 – 7p.m. St. Francis Medical Office Building, 34509 Ninth Ave. South, Federal Way Considering hysterectomy? Join us for a free health talk and learn more. Come and meet Barbara Levy, MD. A surgeon and women’s health expert, Dr. Levy is one of the region’s top gynecologists. She will discuss advancements in minimally invasive hysterectomy techniques. Smaller incisions mean less pain, less scarring and shorter recovery periods. Bring a family member and your friends and enjoy refreshments while you learn about how advanced gynecologic surgery options can help you get back to living the life you love! Space fills quickly. Register today! Call 888-825-3227 or visit www.FHShealth.org.

Shop for a Doc Thursday, April 19, 6 – 8p.m. St. Francis Hospital, Medical Office Building Planning a pregnancy? Already pregnant and searching for an obstetrician? Meet our obstetricians at a ‘meet the doctor’ event created especially for women who are either pregnant or planning a pregnancy and are seeking an OB provider. Spend one-on-one time with each of the providers who will answer your questions. Tours of the Family Birth Center will be available. Registration is required. Call 888-825-3227.

New to St. Francis Medical Clinic Amparo B. Franco, MD, an internal medicine specialist with experience Amparo B. treating a wide range of medical conditions including diabetes, hyperten- Franco, MD sion and preventive medicine, is new to the Federal Way area. Dr. Franco believes in treating her patients with empathy, respect and involves them in all of their treatment decisions. To make an appointment with Dr. Franco, call 253-874-2227. The St. Francis Medical Clinic is located at 34503 Ninth Ave. S, Suite 100, Federal Way.

www.FHShealth.org

Heart health

Cut the salt to help your heart

Reducing your daily sodium intake reduces your risk for heart disease.

Franciscan Health System | Winter 2012

Most people know that exercising and eating a low-fat diet can lower the risk for heart disease. But many don’t realize that reducing their sodium (salt) intake may be just as important. In fact, a new study published in the British Medical Journal reports that people with slightly elevated blood pressure who reduced their daily intake of sodium by just 25 to 35 percent significantly cut their risk for this deadly disease. Older adults, African-Americans, and people with high blood pressure— who together make up almost 70 percent of the American population— should eat only 1,500 milligrams or less

of sodium each day. Other adults should aim for 2,300 mg or less. But the average person eats twice that amount. Why? The American diet is high in processed and restaurant foods—both of which are notorious for elevated sodium levels. The good news is you can reduce your sodium intake—and boost your heart health—with a few simple steps: • Choose fresh vegetables and foods that are fresh whenever possible. Or, look for canned or frozen foods without added sauces or salt. • Cut back on convenience foods that are typically high in sodium, such as

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HeartAware? The HeartAware Risk Assessment is a free and confidential online health survey about your heart. This quick survey will help assess your heart health to see if you should consider any lifestyle changes. Visit www.KnowMyHealthRisk. org and click the “HeartAware” link.

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My doctor says I have metabolic syndrome. What does that mean?

Height and weight aren’t your only vital statistics. Many of the conditions that lead to metabolic syndrome and put your heart at risk are silent. They have no symptoms. Daniel Wuthrich, Metabolic syndrome is a health condition most often seen in MD, Franciscan people who are overweight and inactive. It can signal serious Cardiology trouble ahead, from diabetes to heart disease, cancer and Associates stroke. Metabolic syndrome can more negatively affect women’s hearts than men’s, so it’s very important for women to watch their numbers. If you have three or more of the following conditions, you have metabolic syndrome: • blood pressure higher than 129/84 • waist circumference greater than 40 inches for men or 35 inches for women • fasting blood sugar 100 mg/dL or higher • HDL “good” cholesterol less than 40 mg/dL for men or 50 mg/dL for women • High triglycerides—a type of fat in the blood (150 mg/dL or higher)

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Metabolic syndrome can be life-threatening. But the good news is that it can be controlled and even cured. Exercise, lose excess weight with a focus on decreasing abdominal obesity, don’t smoke, and work closely with your doctor to manage these important numbers: blood pressure, blood sugar and cholesterol levels.

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frozen pizza, TV dinners, instant rice mixes, and canned soups. If you must buy packaged or processed foods, check the label first. Whenever possible, choose foods that have less than 100 mg of sodium per 100 grams. Try not to use salt in cooking water and remove the salt shaker from the table. Limit salty snacks such as chips, pretzels, and salted nuts. Eat at home more often to better control your intake of sodium. Add flavor with herbs and salt-free seasonings. When dining out, request that your meal be prepared with little salt.

Can damaged heart valves actually be repaired instead of replaced?

In the past, damaged heart valves could only be replaced, not repaired. Opening the chest was the only John Luber, MD, option. Today’s minimally invasive heart procedures make it St. Joseph possible to repair heart valves. This results in less blood loss, Cardiothoracic less discomfort and shorter hospital stays for patients. Surgeons Small-incision heart procedures have been around since the mid-1990s. The technique does require a higher level of technical expertise, which helps explain why it is still not the mainstream approach. At the Heart and Vascular Center, we believe everyone who comes to us for valve repair or replacement is potentially a candidate for minimally invasive surgery. Small incisions usually mean less pain, faster recovery for our patients, and the cosmetic results are excellent.

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Orthopedics

Preserve your aging joints Many people over 40 have been tough on their knees, hips, and other joints all their lives—jogging, playing tennis or racquetball. In a quest to stay active and reduce pain, an ever-growing number of people are now turning to joint replacement surgery. Denise Wells, MD, is a board-certified orthopedic surgeon at Federal Way Orthopedic Associates in Federal Way. In her 23 years of practice, she has seen many patients with joint pain either from overuse, sprains, tendonitis, torn muscles or arthritis. Some of the injuries are from over-exercising while trying to get back into shape or lose weight too quickly. Her best advice for getting to a healthy weight is to: “Start exercising slowly with low-impact exercises—then make steady increases over time while being careful not to overdo it.” Even though joint replacements have a high success rate, you should take alternative steps to protect your joints. The Arthritis Foundation and the American Academy of Orthopaedic Surgeons suggest the following: • Maintain a healthy weight. Losing extra pounds reduces stress, wear and tear on knees, hips, back and feet. • Exercise regularly. Physical activity protects joints by strengthening the muscles that support them. • Swap high-impact sports for low-impact activities. Instead of tennis or running, try swimming, walking or playing golf. • Avoid repetitive stress. Alternating strenuous activities with rest puts less stress on sensitive joints.

• Use over-the-counter or prescription medications to control pain and inflammation. You can also receive injections of corticosteroids directly in the painful knee joints. • Take part in physical or occupational therapy. This can increase joint flexibility, muscle strength and range of motion. • Use mechanical aids. Braces, crutches, walkers, or canes may offer some help. When to replace joints

Denise Wells, MD In the best of circumstances, these lifestyle changes may be enough to improve function and control pain. But if you have the following signs, speak with your doctor about possible joint replacement: • joint pain is disturbing your sleep • noninvasive treatments, including pain medications, are not controlling your joint pain • joint pain is limiting your ability to keep up a normal routine • your joint pain makes it hard for you to get out of a chair, climb stairs or get out of bed

Over the years, surgical techniques have improved and new materials have been developed for implants. As a result, these surgeries have become one of the most dependable procedures performed today.

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suffering from joint pain? Get in touch with a Franciscan orthopedic specialist at a free health talk. Call 888-825-3227 to sign up.

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Franciscan Health System | Winter 2012

Pelvic floor disorders

Don’t suffer in silence Talk with your doctor about Franciscan’s expert treatment for pelvic floor disorders It may not be your favorite conversation topic, but one in four American women suffers from a pelvic floor disorder, or PFD. The pelvic floor is made up of ligaments and muscles that act as a hammock to keep the bladder, uterus and other organs in place. As women age, particularly if they have given birth vaginally or are genetically predisposed to having weaker pelvic muscles, PFDs can result in embarrassing symptoms. These symptoms don’t have to be a lifelong hindrance.Your Franciscan Health System primary care physician can help you seek individualized care and effective treatment for PFDs. Here is a quick Q&A to help you learn more about this common condition.

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William André Silva, MD

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What is a PFD?

“Pelvic floor disorders occur when weakened or injured pelvic ligaments and muscles allow internal organs to shift out of position,” says William André Silva, MD, Franciscan’s only fellowship-trained urogynecologist, who practices at Franciscan Women’s Health in Federal Way and Franciscan Urology Associates in Lakewood. Common PFDs include: • urinary incontinence. Women may experience urinary leakage with a cough or sneeze (stress incontinence) or frequency and urgency (urge incontinence). • pelvic organ prolapse. The uterus or other organs shift. Heaviness, vaginal bulges, abdominal aches and pressure result. • fecal incontinence. Women may experience leakage of liquid or solid stool.

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Who develops PFDs?

Women who have given birth vaginally are most likely to develop a PFD. PFDs often worsen after menopause because hormonal changes weaken pelvic tissue. Increased pelvic pressure, caused by being overweight, can also trigger symptoms.

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How are PFDs treated?

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Treatment for PFDs may include: dietary modifications weight loss pelvic floor strengthening exercises such as Kegels prescription medication devices called pessaries that hold organs up and can also treat stress incontinence physical therapy surgery

you from getting help. Call 888-825-3227 to be connected to a free health talk or a primary care physician today.

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“Franciscan physical therapists can train patients to do Kegel exercises, and help them retrain their bladder for greater control,” says Dr. Silva. If surgery is required, Dr. Silva emphasizes evidence-based, minimallyinvasive procedures. “Most are performed vaginally on an outpatient basis,” he notes, including slings for stress incontinence. Several newer procedures are being used to treat urinary urgency incontinence. In one treatment, called Urgent PC®, a small acupuncture-type needle is inserted into the ankle that stimulates a nerve that eventually improves bladder control. This is performed in half-hour sessions, weekly for 12 weeks. “Urinary urgency patients who haven’t found relief from other methods including medication are finding relief with it,” Dr. Silva says.

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A permanent nerve stimulator called InterStim® placed under the skin on the lower back as an outpatient procedure is also offering many patients improved bladder and bowel control for both urinary urge incontinence and fecal incontinence.

www.FHShealth.org

Palliative care

Living each day to the fullest As life nears the end, palliative care offers support to patients and loved ones When a loved one nears the end of his or her life, it can be a sad and difficult time. It may even seem like there’s no roadmap for getting Georganne through those challengTrandum, RN ing last days. For a long time, that’s how Gig Harbor resident Marianne Reed felt. Her husband, Lloyd, 85, suffers from dementia. “He would tell me that he was ready to die, but he was afraid of death,” Marianne says. “I didn’t know what to do. He was depressed and I felt stuck.” Marianne’s daughter, who is a nurse at St. Joseph Medical Center in Tacoma, suggested palliative care. Palliative care is a service that helps support a patient and his or her family toward the end of life with whatever medical services or social resources they need most, says Georganne Trandum, RN, clinical division manager of Palliative Care Services at Franciscan Health System. “Palliative care is for patients at risk of passing away in one to two years from a life-threatening illness. Hospice care is for patients who are within the last six months of life.”

Lloyd and Marianne Reed are finding joy again, thanks to Palliative Care Services.

as a chaplain. “They helped us focus on living the life we have now to the fullest,” Marianne says.

Support when you need it most

Palliative care often begins with a visit from a nurse practitioner or physician’s assistant.You may not have met this person before, but you will get to know them well. He or she will perform a comprehensive physical assessment and will speak with the patient and his or her family to find out what else may be needed from a physical, mental, emotional or spiritual standpoint. For Marianne and Lloyd, that meant meeting with a social worker as well 10

Rediscovering the joy in life

At Franciscan, palliative care providers take the time and care to get to know your family and find out what you need and what will make a difference for you. This can include having warm meals delivered to your home or getting help with chores, Georganne says. This is in addition to the expert-level medical care you receive from your regular Franciscan physician.

Franciscan Health System | Winter 2012

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“The help we’ve received through palliative care has allowed me to stop feeling like Lloyd’s caregiver all the time and to feel like I can be his wife again,” Marianne says. “In fact, I used the word ‘joy’ last night for the first time in years.”

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member benefit from Palliative Care Services? Give us a call at 253-534-7028.

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Digestive health

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Irritable bowel syndrome: What it is and how to know if now you havenow it Digestive disorders, irritable bowel syndrome and inflammatory bowel syndrome are not at the top of anyone’s list of interests, but when you’re suffering from intestinal cramping and pain, constipation and diarrhea without relief, you want to learn everything you can to reclaim control of your life. And learn it fast! Irritable bowel syndrome (IBS) and inflammatory bowel diseases (IBD) share the symptoms of altered bowel habits associated with abdominal pain or discomfort. The difference between the two is that IBS, also known as spastic colon, is the result of a functional abnormality diagnosed by a characteristic cluster of symptoms in the absence of detectable structural defect, while IBD’s

(including Crohn’s and ulcerative colitis) are structural bowel disorders. IBS is the more common ailment. About one in six people in the United States have symptoms of IBS. Symptoms are subtle, including bloating, constipation, diarrhea and feelings of fullness that come and go. The bowel doesn’t seem to work as it should. These symptoms often show up when the patient is experiencing a higher volume of stress than normal. When symptoms also include weight loss, persistent pain, anemia, persistent diarrhea, diarrhea at night and bloody stool, then IBD is considered, especially if there is a family history.

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If you have symptoms of irritable bowel syndrome or if you notice a change in your bowel habits that does not go away, don’t wait. Make an appointment with a Franciscan Digestive Care Associates doctor today. Call 888-825-3227.

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Signs and tests

Most of the time, your doctor can diagnose IBS based on your symptoms. Eating a lactose-free diet for 2 weeks may help the doctor spot a lactase deficiency, and although there isn’t a test to diagnose IBS, tests may be conducted to rule out other problems. For example, blood tests can determine if you have celiac disease (an immune reaction to gluten) or a low red blood cell count (anemia).

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Simple changes make a big difference

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Lifestyle changes can help in some cases of IBS. Regular exercise and improved sleep habits may reduce anxiety and help relieve bowel symptoms. Dietary changes can also be helpful. No specific diet or medication can be recommended for IBS patients, because the condition differs from one person to another. Talk with your doctor before taking over-the-counter medications.

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Franciscan Digestive Care Associates GIG HARBOR John Carrougher, MD Michael Kimmey, MD Amy Tsuchida, MD LAKEWOOD Brian Mulhall, MD Kyung Noh, MD

PUYALLUP William Hirota, MD Michael Lyons, MD TACOMA Steven Larson, MD. Sangik Oh, MD W. Michael Priebe, MD Katherine Britt, ARNP Tobie Halpin, PAC James McMahon, PAC

www.FHShealth.org

Weight loss

Obesity hurts! How the extra weight affects your overall health The statistic is staggering: One-third of American adults are obese. The combination of poor diet and lack of exercise is second only to smoking as the leading cause of preventable death in this country. But research shows bariatric surgery can reverse a number of health conditions and reduce your risk of death by 89 percent. Take a look at how carrying around 100 extra pounds taxes the body:

4 Neurological disorders

A study published in the journal Neurology found obesity doubles the risk for Parkinson’s disease.

4 Depression Obese patients have a 20 percent to 44 percent increased risk of depression.

4 Sleep apnea

Excess neck fat constricts airways, making breathing difficult or loud or stopping it altogether during sleep. Weight loss surgery corrects apnea 85 percent of the time.

1 Heart disease Obesity ups the risk of heart attack, stroke, high blood pressure and high cholesterol. Bariatric surgery reduces hypertension in 79 percent of patients and cholesterol in 70 percent of patients.

5 Cancer

2 Liver disease Fat buildup in the liver causes inflammation, damage, cirrhosis and, ultimately, liver failure.

Gaining 45 pounds or more after age 18 doubles a woman’s odds of developing breast cancer. Obesity also increases the risk of cancers of the colon, esophagus, kidneys, uterus and prostate.

3 Incontinence Obesity is associated with urinary stress incontinence and urge incontinence in women.

3 Fertility Obese women are five times more likely to develop polycystic ovary syndrome, which affects fertility. They’re also three times more likely to have menstrual disturbances.

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6 Osteoarthritis

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Shed the weight! To learn how bariatric surgery can benefit you, sign up for a weight loss seminar today! Go to www.StFrancisWeightForLife.org or call 800-823-6523.

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5 Type 2 diabetes Obesity is the largest environmental cause of diabetes, but losing 5 percent of your weight can improve blood sugar control. In fact, bariatric surgery is shown to resolve or improve diabetes in 86 percent of patients.

Franciscan Health System | Winter 2012

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Health Resources & Events F ran c is c an H ealth S y ste m

ST. JOSEPH MEDICAL CENTER 1717 S. J St Tacoma • 253-426-4101

ST. FRANCIS HOSPITAL 34515 Ninth Ave S Federal Way • 253-944-8100

ST. CLARE HOSPITAL 11315 Bridgeport Way S.W. Lakewood • 253-985-1711

ST. ANTHONY HOSPITAL 11567 Canterwood Blvd N.W. Gig Harbor • 253-530-2000

ST. ELIZABETH HOSPITAL 1455 Battersby Ave Enumclaw • 360-802-8800

Most programs and classes are free, but many require registration. For more information, call the number listed.

UPCOMING EVENTS ›› Pierce County Cancer Survivors’ Conference 2012 Join us on Tuesday, March 13, for the Pierce County Cancer Survivors’ Conference. Connect with other survivors to discuss and learn about the physical, mental and spiritual aspects of the cancer journey. This event is presented by multiple community organizations and cancer care advocates. This event is free and open to all people affected by cancer as patients, family members and caregivers. To register, visit www.pccancersurvivorship.org or call 253-267-5814. Tues, March 13 • 8 a.m.-4 p.m. TACOMA University of Puget Sound, 1500 N. Warner

›› Shop for a Doc Looking for an obstetrician? Shop for a Doc gives you the opportunity to spend one-onone time with each of our OB providers. Tours of the Family Birth Center will follow. To register, call 888-825-3227. Thurs, Apr 19 • 6-8 p.m. FEDERAL WAY St. Francis Medical Office Building, 34509 Ninth Ave. S.

›› MardiGrams Screening Event Woman who are 40 to 64 and are uninsured or underserved are invited to the Carol Milgard Breast Center for its 3rd Annual MardiGrams—where mammograms and Mardi Gras rendezvous! Includes screening mammograms, breast self-exam classes, complimentary spa services and light refreshments! Must pre-qualify by calling 253-680-3394 and reference MardiGrams. Space is limited. Walk-ins will not be accommodated. Tues, Feb 21 • 1-4 p.m. TACOMA Carol Milgard Breast Center, 4525 S. 19th St.

HEALTH TALKS ›› Women: Your Heart, Your Hormones Presented by Rosemary Peterson, MD Call 888-825-3227 to register. Thurs, Feb 16 • 6-7 p.m. TACOMA St. Joseph Medical Center, Lagerquist Conference Room

›› Healthy is Delicious Series: Keep the Taste, Lose the Waist! Let’s face it. Your clothes just don’t fit the way they used to. Join your good health partners from Franciscan for an evening of learning how eating healthy truly can be delicious, using REAL, fresh ingredients and learning cooking methods that enhance flavor without adding calories. Plus we’ll cover proper portion sizes. Call 888-825-3227 to register (required). March 1 • (Time noted upon registration) TACOMA St. Joseph Medical Center, Lagerquist Conference Rooms A & B

›› Hysterectomy: New Options, New Choices Considering hysterectomy? Join us for a free health talk and learn more. Come and meet Barbara Levy, MD, one of the region’s top gynecologists, surgeons and women’s health expert. Dr. Levy will discuss advancements in minimally invasive hysterectomy surgical techniques. Smaller incisions mean less pain, less scarring and shorter recovery periods. Bring a family member and your friends and enjoy hors d’oeuvres while you learn about how advanced gynecological surgery options can help you get back to living the life you love! Space fills quickly. Register today! Call 888-825-3227 or visit us online at www.FHShealth.org. Tues, Mar 27 • 6-7 p.m. FEDERAL WAY St. Francis Medical Office Building, 34509 Ninth Ave. S.

Winter 2012

›› Men’s Health Solutions for ED and Incontinence Christopher Arroyo, MD, Franciscan Urology Associates Call 888-825-3227 to register. Tues, Mar 27 • 6:30 p.m. GIG HARBOR St. Anthony Hospital, Smalling Education Center Wed, Mar 28 • 6:30 p.m. TACOMA St. Joseph Medical Center, Lagerquist Conference Room

›› Transfusion-Free Medicine and Surgery Program-Educational Event Series Franciscan’s Transfusion-Free Medicine and Surgery Program is a special service for patients who wish to avoid the use of donor blood during medical and surgical procedures. Join our expert team of professionals at a free educational seminar about transfusion-free medicine and surgery. We’ll cover the advantages to using transfusion-free medical techniques, common reasons people choose transfusion-free treatment, ways to make sure your wishes are known in an emergency situation, and much more. Refreshments will be served. Registration: Seating is limited and registration is required. Call 253-426-6918 or toll-free 888-311-2655. Sat, Mar 10 • 2-4 p.m. TACOMA St. Joseph Medical Center, Lagerquist Conference Room

ORTHOPEDIC HEALTH TALKS ›› Advancements in Joint Treatment Health Talks Joint replacement has seen many innovations in the recent past including new implants, new surgical techniques and equipment. Come to a free seminar. Learn about your options for total joint replacement surgery and how people are responding to joint replacements today. continued on page 14 www.FHShealth.org

Health Resources & Events, continued from page 13 “Six Weeks to a Healthier You” A Community Wellness Program from St. Anthony Hospital and Joe Piscatella Don’t let your New Year’s resolution go to “waist!” Fast-track your start to a healthier lifestyle with this six-week series. Whether your goal is to lose weight, reduce stress, exercise more or eat better, this program will help you achieve success. Led by nationally acclaimed speaker and one of the foremost authorities on lifestyle habits and heart health, Joe Piscatella, with the experts at St. Anthony Hospital. Biometric screens, to establish baselines of key health indicators, including cholesterol and glucose levels, blood pressure and body mass index (BMI), will be taken at the beginning and end of the series. Registration fees are: $75 per person, $125 per couple, and include the six sessions and the biometric screening series. To register, call 888-825-3227. BIOMETRIC SCREENINGS: Located at St. Anthony Hospital in the Smalling Education Center. (Appointments are encouraged.) April 14, 8 a.m. to noon Pre-Series Screening These biometric screens will establish baselines of key health conditions before you start the class series. May 19, 8 a.m. to noon Post-Series Screening These biometric screens will be taken after the class series is over to see how your health may have improved. Class series: Class sessions will be held at Chapel Hill Presbyterian Church, 7700 Skansie Avenue, Gig Harbor. Week 1/Session 1 • April 19 Make Your Health Last as Long as Your Life Learn the difference between longevity (the number of years you live) and health span (the number of years you live in good health). Joe will examine lifestyles around the world and explain how people in some parts of the world live longer and have extended years of good health. Week 2/Session 2 • April 26 Eating Healthy in a Doubleburger Dotcom World Joe will offer practical principles for healthy eating, including leading-edge methods for controlling your

Franciscan Health System | Winter 2012

fat tooth. Holly Martindale, Franciscan outpatient nutrition education center registered dietitian, will share the latest information on nutrition. Week 3/Session 3 • May 3 Move It or Lose It Committing to exercising regularly is a critical component of living a healthy lifestyle. Learn about the link between physical activity and weight control, cardiac health and stress management. With a certified fitness trainer, Joe will examine how to establish a balanced exercise program— aerobic, weight resistance and flexibility—and share ways to make exercise an integral and fun part of everyday life. Week 4/Session 4 • May 10 Take a Load Off Your Heart Americans today live with chronic stress. Understand the major impact chronic stress has on diet, exercise, productivity and quality of life. Discover how you can better manage stress by learning how to respond to stress, not react to stress. Week 5/Session 5 • May 17 Healthy Cooking at Home It is one thing to understand the basics of healthy eating, but quite another to make those basics work in the meals you cook for your family. Enjoy a Mediterranean diet demonstration by a Franciscan Health System chef, with recipes (and taste testing) to show how eating well can be delicious. Post-series biometrics screens: May 19, 8 a.m. to noon, St. Anthony Hospital (appointments encouraged; walk-ins welcome) Week 6/Session 6 • May 24 Raising Fit Kids in a Fast World Raised with the temptations of fast food, texting, television and computer games, kids are more sedentary, overweight and out-of-shape than a generation ago. In the last decade, childhood obesity has soared by more than 50 percent. The result is elevated cholesterol, high blood pressure and more type 2 diabetes. This may be the first generation not to live as long as their parents. Learn practical and easy-to-implement strategies for teaching children healthy exercise and eating habits to last a lifetime.

Joint Replacement Health Talks continued from page 13 Refreshments will be served. Registration required. Call 888-825-3227.

Advancements in Joint Replacement: Options and Outcomes for Total Joints Lance Bear, MD, orthopedic surgeon, Harbor Orthopedics Wed, Feb 22 • 6-7 p.m. PORT ORCHARD Clubhouse at McCormick Woods, 5155 McCormick Woods Drive SW

Advancements in Joint Replacement Steven Teeny, MD, orthopedic surgeon Tues, March 6 • 6-7:30 p.m. LAKEWOOD St. Clare Hospital, Classrooms A, B &C

Advancements in Joint Replacement David Bishop, MD, orthopedic surgeon Visit www.FHShealth.org/ StElizabethHealthTalks or call 888-825-3227. Wed, Mar 7 • 6-7 p.m., hospital tours 7-7:30 p.m. ENUMCLAW St. Elizabeth Hospital, Rainier Room

›› Podiatry Health Talks Healthy Feet for a Happy Life Christopher Bock, DPM If you’re tired of aching feet, learn how to take unhappy feet and make them happier! Christopher Bock, DPM, will talk about some of the most common foot problems and how you can treat them—and even prevent some of them. Evening includes refreshments and a gift. Hospital tours available following the talk. Wed, Mar 21 • 6-7 p.m. ENUMCLAW St. Elizabeth Hospital, Rainier Room

Wellness for the Sole: Total Foot and Ankle Health

›› Free Weight Loss Surgery Information and Seminars

Come hear Chad Farley, DPM, of Franciscan Foot & Ankle Specialists, talk about common foot ailments, such as hammertoes, bunions and more. He will discuss ways to keep your feet healthy, as well as surgical and nonsurgical solutions to foot and ankle conditions. Register by calling 888-825-3227 or visit www.FHShealth.org/classes. Wed, Apr 18 • 6:30-7:30 p.m. PUYALLUP Best Western Park Plaza, 620 S Hill Park Dr.

We invite you to learn how weight loss surgery can help you lose weight, reclaim your body, and lead a healthier, happier life. You can register by calling 888-825-3227 or online at www.FHShealth.org.

LIVING BETTER ›› Quieting Tremors: New Treatments for Symptoms of Movement Disorders Are you bothered by tremors? Hands that shake uncontrollably may be no more than a minor nuisance, but over time, tremors can worsen and make it hard to hold a glass of water or write legibly. Neurologist Lissa Brod, MD, Franciscan Medical Group, and neurosurgeon Peter Shin, MD, and radiation oncologist Herbert Wang, MD, will share the latest information about understanding and treating tremors, including treatment with Gamma Knife. If tremors are affecting your quality of life or that of someone you love, come learn how this condition can be improved. Call 888-825-3227 for more information or to register. Tues, Mar 6 • 6-7 p.m. TACOMA St. Joseph Medical Center, Lagerquist Conference Room

›› Heart-Healthy Nutrition Series Four-week series on heart-healthy eating topics, including meal planning, food labels, eating out and portion control. Call 888-825-3227 to register and for more information. For Nutrition Services, call the St. Joseph Outpatient Nutrition Center at 253-426-4926.

SUPPORT GROUPS Please visit www.FHShealth.org/support for a list and details of current support groups available.

›› WomenHeart of Pierce County Ladies! If you are a heart attack survivor, you have heart disease or you are at risk for it, attend our first support network meeting! This group will be led locally by Franciscan Health System Regional Manager Tina Blackett, a heart attack survivor and support network coordinator at WomenHeart of Pierce County. WomenHeart is the only national organization dedicated to advancing women’s heart health through advocacy, community education and patient support. Group members will also receive free e-mails and updates. To RSVP or for more information about WomenHeart of Pierce County, contact Tina at TinaBlackett@ FHShealth.org. Act soon—seating is limited. Last Tuesday of the month. Next meeting is Tues, Feb 28 • 5-7 p.m. TACOMA St. Joseph Medical Center Please use valet parking and meet in main lobby.

Franciscan Orthopedics and Sports Medicine announces sponsorship of Rainier to Ruston Well known for its Ultra (50 mile) Marathon and Relay race, Rainier to Ruston (R2R) was founded to bring public attention to the Foothills Trails, from the shoulders of Mt. Rainier to the shores of Puget Sound. Celebrating its 10 year anniversary, R2R has changed the courses to offer Pierce County’s most scenic routes. R2R includes an Ultra (50 mile) Marathon and Relay, 50k Ultra, Full (27.7mile) Marathon and Half (13.1 mile) Marathon. Join us on National Trails Day, June 2, 2012! Learn more at www.rainiertoruston.com.

›› Grief Support Group First and third Wednesday of the month. Call 800-338-8305 for more information.

›› Caregiver Support Group First and third Thursday of the month. 1-2:30 p.m. ENUMCLAW St. Elizabeth Hospital, Cedar Room Call 360-802-8800 to confirm dates, rooms and times.

›› Internal Cardiac Defibrillator (ICD) Support Group

›› Honoring the Legacy and Memory of Parents

Free quarterly meetings offer support for those living with an ICD. Light refreshments will be served. Sponsored jointly by Franciscan Health System and MultiCare Health System. Call 253-426-6709 for more information. Tues, Mar 27 • 6:30-8 p.m. TACOMA Tacoma General Hospital, Jackson Hall Auditorium, 314 Martin Luther King Jr. Way

We invite sons and daughters to gather in memory of the lives and legacies of their mothers and fathers and to share ways to make meaning of the loss at a time when others are making plans to celebrate. Join us for a Saturday brunch, short program and opportunity to connect. $18 per person. Please call Peggy McEntee at 253-661-4077 or Susan Mix at 253-5347016 for more information and to register. Sat, April 21 • 10 a.m.-Noon TACOMA Tacoma Dome Best Western, 2611 East E Street

Franciscan Health is now on Facebook, YouTube and Twitter! ›› Search for “Franciscan Health System.” www.FHShealth.org

health! St. Francis

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St. Francis Hospital 34515 Ninth Ave S, Federal Way, WA 98003 St. Joseph Medical Center 1717 South J St, Tacoma, WA 98405 St. Clare Hospital 11315 Bridgeport Way SW, Lakewood, WA 98499 St. Elizabeth Hospital 1455 Battersby Ave, Enumclaw, WA 98022 St. Anthony Hospital 11567 Canterwood Blvd NW, Gig Harbor, WA 98332 Franciscan Medical Group 1313 Broadway Plaza, Suite 200, Tacoma, WA 98402 CEO, Franciscan Health System Joe Wilczek President, St. Francis Hospital Tony McLean Managing Editor Joan B. Artman Franciscan Health System is part of Catholic Health Initiatives, which has health care facilities throughout the United States. ©2012, Franciscan Health System. All rights reserved. For questions or comments, or if you’d like to be removed from the health! mailing list, please contact us at 253-382-3850, (fax) 253-382-3877, www.FHShealth.org or write to: Editor, Franciscan health!, Franciscan Health System, Marketing & Communications, PO Box 2197, Tacoma, WA 98401-2197.

About Franciscan Health System

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OUR MISSION To create healthier communities OUR VISION To be the South Sound's first choice for healing of mind, body and spirit OUR VALUES Reverence, Integrity, Compassion, Excellence

St. Francis Hospital • St. Joseph Medical Center • ST. CLARE HOSPITAL • st. elizabeth HOSPITAL • ST. ANTHONY HOSPITAL • FRANCISCAN MEDICAL GROUP

Having a baby? Register for our ‘Shop for a Doc’ event on April 19 Planning a pregnancy? Already pregnant and searching for an obstetrician? Meet our obstetricians at a ‘Shop for a Doc’ event created especially for women who are either pregnant or planning a pregnancy and are seeking an OB provider. Spend time with each of the providers who will be on site to answer your questions. Take a tour to get a firsthand look at our Family Birth Center.

Shop for a Doc Thursday, April 19 • 6 – 8p.m. St. Francis Hospital, Medical Office Building Registration is required. Call 888-825-3227.