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> MediGuide’s reduced radiation > MAKOplasty knee replacement > Child immunizations > Lincoln Learning Center
Essential Health News and Information
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The Beat Goes On
Information That’s Vital Bam! A car crash lands you or a family member in the Emergency Department. You wish you had all the details being asked of you. Oh no! Your husband is having chest pains, and the paramedics need to know which prescriptions/dosages he’s taking. You’re so stressed you can’t remember. Make it easy on yourself and have the information you’ll need in an emergency at your fingertips. Request an I.C.E. (In Case of Emergency) card, fill it out and carry it in your wallet or billfold. You might want to keep it handy on the refrigerator, too. By filling out an I.C.E. card for you and your family members before you need it, you’ll have:
> Your emergency contacts. > Your physician information, including phone number.
> Your insurance providers. > A list of your primary medical conditions.
> A list of your current medications and supplements.
> Drug allergies. To request a free I.C.E. card, please call 480-882-4636 or email ICEcard@jcl.com.
July/August 2014
Among those who cared for Chuck Smith when he had his heart attack, taking the time to get to know him, are Erin Mitchell (left), an Emergency Department patient care technician, and Vickey Taylor, RN, in the Cardiovascular Intensive Care Unit.
Healing the Heart Heart attack patient raves about care at North Mountain Hospital and Deer Valley cardiac rehab
“On Oct. 27, 2013, I had a heart attack. Fortunately for me, I was taken to John C. Lincoln North Mountain Hospital where I received world-class care,” said Chuck Smith, 67, a Moon Valley resident. While at the gym, Chuck said he experienced “an incredible pressure” across his chest. He drove himself home (against his better judgment), and his wife, a retired nurse, called 9-1-1. When the paramedics arrived, she asked, “If this was your dad, where would you take him?” They simultaneously replied, “John C. Lincoln North Mountain Hospital.”
Heart Attack Occurs in ED As the ambulance transported Chuck, the Emergency Department (ED) care team prepared for his arrival. “When we know a (possible) heart attack patient is on the way, we begin prepping the bedside immediately,” said Erin Mitchell, an ED patient care technician. “As soon as the patient is in the
door, he or she will receive an EKG, and an i-STAT System will analyze blood samples within minutes to provide real-time, lab-quality results.” While in the ED, Chuck actually suffered a heart attack. “It got busy quickly,” he said. That’s because time equals muscle. When blood flow stops, heart muscle starts to die. The faster blood flow can be restored, the less damage is done and the more complete the recovery. One of Chuck’s arteries was 90 percent blocked. An interventional cardiologist in the Cath Lab inserted three stents, followed by Chuck’s recuperation in the cardiovascular intensive care unit (CVICU). continued on Page 2 >
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“I wasn’t in any pain,” he said. “The nurses took the time to get to know me and treated me as an individual.” The father of eight said “the staff made the decision that it was OK for me to have visitors based on how I was doing – there were no rigid visitation rules.” Vickey Taylor, RN, was a member of Chuck’s CVICU care team. “We’re here to support patients and their families,” she said. “Education is part of this support – from the moment they arrive, we educate them on medications, expectations and goals.” Less than 48 hours after his heart attack, Chuck went home, with Cardiac Rehab part of his follow-up care. He recently finished 12 weeks at John C. Lincoln Deer Valley Hospital Cardiac Rehab and called it “another world-class operation.” “I wish I had the words to adequately express my gratitude, but the only thing I can say is ‘thank you,’” Chuck said. For more information, please visit JCL.com/heart.
The Road to Recovery > Cardiac Rehab is a clinically supervised program to help individuals recover from heart attacks, heart surgery, cardiac stenting and congestive heart failure. > Participants perform individualized, cardiac-monitored exercise programs and receive education and counseling on healthy lifestyles.
“A number of people were older and didn’t grasp all the concepts,” said patient Chuck Smith. “The way the staff treated them was so kind – almost like they mentally put their arms around the patient and said ‘let me help you.’ It was so impressive.”
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Heart Patients Benefit from Reduced Radiation
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here’s no denying Phil Isbell’s big heart when he talks about his wife, daughters and grandchildren. Unfortunately, that big heart started to fail last summer when he suffered a series of complications after a heart attack. “I kept getting more tired,” said Phil, 72. “I had less energy, especially when it came to swinging my golf club. My primary care physician sent me to a cardiologist for follow-up.” Phil Isbell listens as Mark Seifert, MD, explains MediGuide technology images that allow less radiation exposure.
“MediGuide allows us to take real-time 3D photos of the heart and synchronize these photos into a movie.” MediGuide allowed him to do Phil’s surgery using only 3.7 minutes of radiation. “Radiation exposure can increase the risk for cancer and can cause damage to other tissues,” Dr. Seifert said. “It’s an honor to serve at an organization that provides the best care to patients not only to improve survival, but also to minimize exposure to the harmful effects of radiation.” Phil is eager to return to the golf course. “I can’t wait to raise my arm and get back to playing golf. Dr. Seifert is dynamite.” For more information about MediGuide technology and reduced radiation heart procedures at North Mountain Hospital, please visit JCL.com/heart.
More about MediGuide
Phil was diagnosed with atrial fibrillation, a common heart arrhythmia. It led to the diagnosis of Class III (moderate) heart failure, said Mark Seifert, MD, electrophysiologist at John C. Lincoln North Mountain Hospital. With new MediGuide technology, North Mountain is the first hospital in Arizona to offer patients reduced exposure to radiation – or no radiation in some cases – during certain cardiac procedures. “After conducting an echocardiogram, I noticed the squeeze of Phil’s heart was overall weakened and not contracting simultaneously,” Dr. Seifert said. “When the walls of the left ventricle of the heart do not contract at the same time, they develop a slower increase in pressure in the chamber, leading to fatigue and breathlessness. Phil needed a bi-ventricular pacemaker – a cardiac resynchronization therapy (CRT) system. It would allow both sides of the left ventricle to pace simultaneously again. “Normal CRT procedures can take up to 30 minutes of X-ray time,” Dr. Seifert said.
July/August 2014
> Medical imaging through an X-ray only provides a snapshot of the body. To accurately project images of the heart, a continued series of X-rays – also called fluoroscopy – is necessary. However, fluoroscopy can result in prolonged exposure to radiation for patients and staff. > MediGuide’s 3D visualization system uses low-power electromagnetic signals to locate a miniature sensor in the tip of the cardiac catheters. > MediGuide Technology can reduce or eliminate the need for live fluoroscopy by using pre-recorded fluoroscopic images. This reduces radiation exposure for patients and staff because fluoroscopy is only needed at short intervals. The short duration of the fluoroscopic images can be constantly “looped” or replayed.
MediGuide can be used with: > Atrial fibrillation procedures. > Defibrillator implantation. > Pacemaker implantation. JCL.com
Medical Technology REVOLUTIONARY APPROACH TO
Partial Knee Replacement
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f you have knee pain caused by osteoarthritis, you might be a candidate for a MAKOplasty Partial Knee Resurfacing procedure. Less extensive surgery than a total knee replacement, MAKOplasty relieves pain and restores range of motion in your knee. Vishal Ganesh, MD, and Steven Kassman, MD, are two orthopedic surgeons who perform MAKOplasty at John C. Lincoln Deer Valley Hospital.
Dr. Ganesh Q- What is MAKOplasty?
Q- How soon can I walk after
A- MAKOplasty personalizes
A- You’re walking with a walker the same
MAKOplasty?
Could it help me?
your partial knee replacement. Your knee has three compartments, Vishal Ganesh, MD Steven Kassman, MD and when osteoarthritis affects only one, or even Dr. Kassman two, compartments, you may be a candidate for MAKOplasty. Q- What are the advantages of MAKOplasty features a robotic arm and three-dimensional imaging of your knee. The system helps the surgeon resurface the diseased part of the bone and place and align the implant very precisely. The robotic arm has a burr – similar to a dental instrument – that I use for the sculpting.
Q- How new is this type of surgery? A- It came into common use about four years ago.
Q- How long is the incision? A- Four to five inches. I also make small incisions in the femur and tibia.
Q- How long does the surgery take?
MAKOplasty?
A- That data is still being compiled. A lot of
> Smaller incision. > Preservation of all knee ligaments and therefore potentially a more normal “feel” and higher-level function.
> Minimal hospitalization. > Rapid recovery.
over the past several years have felt the need for formal therapy. Will I need a total knee replacement down the road?
> Bone sparing.
> Reduced blood loss.
Q- Will I need physical therapy? A- Only about 5 percent of my patients Q- How long will the implant last?
> Precision that leads to faster recovery and potentially less implant wear/loosening.
> Less scarring.
day and unassisted usually in two to seven days.
different factors come into play: your weight, activity level, quality of your bone, and how well you comply with doctor’s orders. Ninety percent of total knee replacements last 15 years. With robotic precision, the goal is longevity equivalent to a total knee replacement. If osteoarthritis progresses or other circumstances require it, you might need a total knee replacement in the future. For more information, please visit JCL.com/mako.
Is it outpatient surgery?
A- One to two hours. The surgery can be
inpatient or outpatient, depending on the time of day your surgery is scheduled, the type of anesthesia used and other factors. Inpatients typically stay in the hospital one day.
Q- What percentage of your knee
replacement patients could benefit from MAKOplasty?
Learn More – Attend a Free MAKOplasty seminar: > Tuesday, Aug. 5, from 6-7 p.m., in the Conference Room of John C. Lincoln Sonoran Health and Emergency Center, 33423 N. 32nd Ave., Phoenix. > Tuesday, Aug. 19, from 6-7 p.m., at Medical Office Building 1, 19841 N. 27th Ave., Room 400, Phoenix, on the campus of John C. Lincoln Deer Valley Hospital.
To register, please call 623-879-5249. To learn more visit JCL.com/events.
A- Ten to 20 percent. JCL.com
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Family Health
TO DO LIST Preparing your kids to go back to school is more than just checking off the list of school supplies, new shoes and clothes. Your child’s health also is a crucial factor.
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chedule an appointment with your primary care physician for a yearly physical exam and up-to-date immunizations for each child in your household. “No matter what their grade or age, preparing your child’s development and overall wellness is an absolute must,” said Stephen Williams, DO, of Gavilan Peak Immediate Care in Anthem. “The goal is to ensure the patient is in overall good health and to prevent any serious medical condition or injury from occurring.”
> Head and neck exam: The doctor checks the ears, nose, sinuses and lymph nodes for any abnormalities.
Physical Exams
> Neurological exam: Nerves, muscle strength, reflexes, balance and mental state are assessed.
An annual physical exam is also an opportunity to catch any health problems before they become serious. What’s involved in a physical exam: > History: A historical background and update of the child and family medical history will be noted. This is your chance to mention any concerns you may have regarding your child’s health.
> Heart exam: With a stethoscope, the doctor can detect an irregular heartbeat, a heart murmur or other clues to heart disease. > Lung exam: Using a stethoscope, a doctor listens for crackles, wheezes or decreased breath sounds for signs of asthma or other complications.
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> Abdominal exam: The doctor listens for bowel sounds with a stethoscope, and presses on the abdomen for tenderness.
“Vaccinations are safe and effective and are only given to children after a long and careful review...” – Corina Veatch, MD
> Vital signs: Blood pressure, heart rate, respiration rate and temperature.
HealthBeat
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Check
> Range of motion: The doctor looks for abnormalities or injuries that may limit participation in physical activities.
To schedule an appointment for a back- to-school physical or sports physical, please visit JCL.com/practices. Immediate and urgent care locations accept walk-in and weekend appointments to accommodate families with busy schedules.
Immunizations Nearly 20 million cases of infectious diseases and 42,000 deaths are prevented each year in the United States through timely vaccination, according to EveryChildbyTwo.org.
July/August 2014
“Your vaccination decision affects not only the health of your child, but also your family, your child’s friends and their families, and your community,” said Shaun Dekutowski, MD, of Glendale Family Medicine. “Vaccinations are safe and effective and are only given to children after a long and careful review by scientists, doctors and health care professionals,” said Corina Veatch, MD, of Cave Creek Family Medicine. Some diseases that can be prevented by vaccines can result in prolonged disabilities and take a financial toll because of medical bills or long-term disability care. “Parents ultimately have the final say when it comes to vaccinating their children,” said Dr. Dekutowski. “It is my job to provide my medical knowledge and explain concretely what information is out there including the risks and benefits of vaccinating.” If you have questions about vaccinations or need to get up-to-date on your child’s immunization schedule, please visit JCL.com/practices. JCL.com
Family Health
Your Childâ&#x20AC;&#x2122;s Health Choose the Right Option for Your Busy Family To schedule an appointment for a back-toschool physical or sports physical, or for back-to-school immunizations, please visit JCL.com/practices. Immediate and urgent care locations accept walk-in and weekend appointments to accommodate families with busy schedules.
Gavilan Peak Family Practice An t
h em W ay
Sonoran Health and Emergency Center
Immediate and Urgent Care Locations and Hours
Carefree Highway
Dove Valley Rd.
Gavilan Peak Family Practice 3648 W. Anthem Way, A-100 Anthem, AZ 85086 623-434-6444 Mon.-Fri. 8 a.m. - 8 p.m. Sat.-Sun. 8 a.m.- 2 p.m.
Saguaro Family Practice Saguaro Family Practice
Bell Rd.
Deer Valley Medical 59th Ave. Dunlap Ave.
Gr an d
Arcadia Family Clinic 24th Street
Indian School Rd.
Av e.
North Mountain Hospital
Scottsdale Healthcare Urgent Care Plus
7th St.
Thunderbird Rd.
Tatum Blvd.
Deer Valley Hospital
18404 N. Tatum Blvd., Suite 101 Phoenix, AZ 85032 602-992-1900 Mon.-Fri. 8 a.m. - 8 p.m. Sat. 8 a.m. DV - 4 p.m., Sun. 8 a.m. - 2 p.m.
Scottsdale Healthcare Urgent Care Plus 13843 N. Tatum Blvd., Phoenix, AZ 85032 480-323-3366 Mon.-Fri. 8 a.m. - 8 p.m. Sat.-Sun. 8 a.m. - 4 p.m.
Deer Valley Medical 6206 W. Bell Road, Suite 1, Glendale, AZ 85308 480-323-3366 Mon.-Fri. 8 a.m. - 8 p.m. Sat. 8 a.m. - 4 p.m., Sun. 8 a.m. - 2 p.m.
Arcadia Family Clinic 4131 N. 24th St., Suite B102, Phoenix, AZ 85016 602-955-6632 Mon.-Fri. 8 a.m. - 8 p.m.
JCL.com
July/August 2014
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Foundation News Lincoln Learning Center students learn about ladybugs firsthand during Earth Day activities.
Give it Five Stars I
f you’re a parent, you want only the best for your child – that includes schools. Lincoln Learning Center at 303 E. Eva St. in Phoenix provides learning opportunities for children from the ages of 6 weeks to 12 years. The Center is known for its licensed, accredited child care and early education programs. In fact, it’s one of the few schools in the state to meet the nation’s highest standards for child development and school readiness. The Center has a five-star rating from First Things First and is accredited by the National Association for the Education of Young Children. Charlotte Shaff, whose sons Eric, 3, and Jake, 4 1/2, attend Lincoln Learning Center, loves it “because of the wide variety of things they learn there. Jake’s learning how to count in Japanese. The boys are drawing or painting all the time, too. Lincoln
Learning Center really encourages their creative side.” Science, technology, engineering and math (STEM) also receive plenty of attention at the Center. Staff there recently bought such equipment as pathways, ramps, balls and see-through tubes, offering an engaging doorway into STEM topics. “We were able to buy the equipment thanks to a combination of funds from First Things First and the Ruth Ann Coleman Endowment,” said Kathryn Wauters, the Center’s director. Preschool and pre-kindergarten programs at Lincoln Learning Center help children acquire the skills they need for a successful transition into kindergarten. Scholarships are available for those needing help with tuition. If you have older children, the Center provides before-andafter school care. Tutors are available. For more information, please visit JCL.com/desertmission or call 602-943-3731.
Make Twice the Difference Many Valley companies match all or a portion of donations from their employees and retirees to nonprofit efforts in the community. Through the John C. Lincoln Health Foundation, you can help advance the quality of health care and the quality of life in the Phoenix area. If your company matches your donation, you make twice the difference. Contact your employer’s HR department to find out your company’s guidelines and for assistance with the appropriate forms. Then talk to the Foundation about your options.
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Perhaps you want to feed hungry children over the weekend through the Snack Pac program of Desert Mission Food Bank. Or you’d like to support families on the journey to wellness after breast cancer or help families care for an aging parent by providing scholarships to Adult Day Health Care. The Foundation supports two hospitals, the Sonoran Health and Emergency Center, physician practices, breast health and research programs, a dental clinic for children, a food bank, community health and behavioral health centers for families who otherwise cannot afford care, and more. Reach the Foundation at 602-331-7860 and foundation@JCL.com. Learn more at JCL.com/foundation.
July/August 2014
Fore! Desert Mission Enjoy a gorgeous day on the greens and support the many programs of Desert Mission. Register now for John C. Lincoln Health Foundation’s 28th Annual Lincoln Guild Invitational on Friday, Sept. 19, at Camelback Golf Club in Scottsdale. Sponsorship packages also are available. Please register online at JCL.com/golf or call 602-331-7860 for more information.
JCL.com
Whatâ&#x20AC;&#x2122;s Happening >
July & Aug. > Support Groups Caregivers 10:30 a.m. - noon on the first Wednesday of every month, Cowden Center, 9202 N. Second St., Phoenix, on the campus of John C. Lincoln North Mountain Hospital. Free. No registration necessary. 602-8706374. Mended Hearts
6-7 p.m. Th., July 10 in John C. Lincoln Medical Office Building 2, Suite LL4 (basement), 19636 N. 27th Ave., Ste. LL4 (basement), Phoenix, across from Deer Valley Hospital. Th., Aug. 7 will be at Cowden Center, 9202 N. Second St., Phoenix, on the campus of John C. Lincoln North Mountain Hospital. Free. RSVP to alice.montoya@JCL.com or 623-879-5583. Find support for and education about your heart condition.
Better Breathers 1:30-3 p.m.
on the fourth Thursday of every month at John C. Lincoln North Mountain Hospital, 250 N. Dunlap Ave., Phoenix. Call the Respiratory Care Department at 602-870-6060, ext. 5793, for meeting locations and more information. Free for people living with lung disease and their caregivers.
> Education Diabetes Education Series
6-8 p.m. beginning July 1 for four weeks and Aug. 12 for four weeks, John C. Lincoln Medical Office Building 1, 19841 N. 27th Ave., Room 406, Phoenix, on the campus of John C. Lincoln Deer Valley Hospital. Preregister with Scottsdale Healthcare Diabetes JCL.com
Center at 480-323-4921. Learn how to take control of your diabetes. Most insurances cover diabetes education with a physician referral.
Get PAST Asthma
6:30-8 p.m. the second Monday of every month, John C. Lincoln Medical Office Building 1, 19841 N. 27th Ave., Room 400, Phoenix, on the campus of John C. Lincoln Deer Valley Hospital. For more information, call 623-879-5452 or email PCOC@JCL.com. Free education for parents of children with asthma.
Survivorship: Who is a survivor and what does that mean? 6-8 p.m.
Th., Aug. 21, John C. Lincoln Medical Office Building 1, 19841 N. 27th Ave., Room 400, Phoenix, on the campus of John C. Lincoln Deer Valley Hospital. For more information, call 623-780-HOPE (4673) or email BHRC@JCL.com. Free breast health Q & A educational event with Rajesh Bagai, MD.
> Breast Cancer
Programs
The John C. Lincoln Breast Health and Research Center, 19646 N. 27th Ave., Suite 205, Phoenix, hosts several free programs and support groups to meet the needs of those affected by breast cancer. For more information about any of the groups, call 623-780-HOPE (4673), email BHRC@JCL.com or visit JCL.com/breasthealth.
Breast Cancer Learn and Support Group 6-8 p.m.
John C. Lincoln Health Network offers a variety of classes, events and support groups to the community each month. Thursday of every month. Discuss aspects of living with cancer, treatments, side effect management and survivorship. Open to family and friends. No RSVP required.
manage the appearance-related side effects of cancer treatment. Co-sponsored by the American Cancer Society. RSVP: 623-4342784 or email BHRC@JCL.com.
Yoga for Recovery
6-8 p.m. Tues., July 15. A registered dietitian covers nutrition topics related to breast cancer during a cooking demonstration. Open to family and friends. RSVP: 623-780HOPE (4673) or email BHRC@ JCL.com.
Cooking for Wellness
6-7:30 p.m. every Wednesday. (Note: Held at John C. Lincoln Medical Office Building 1, 19841 N. 27th Ave., Room 400, on the campus of John C. Lincoln Deer Valley Hospital). Experience the physical as well as emotional benefits of yoga. No RSVP required.
Circle of Help Advanced Breast Cancer Support Group 6-8 p.m. on the fourth
Thursday of every month for those living with advanced or recurrent breast cancer. Co-sponsored by Bosom Buddies of Arizona. No RSVP required.
Look Good ... Feel Better! 4:30-6:30 p.m. Tues., July 8. A non-medical, brand-neutral public service program that teaches beauty techniques to cancer patients to help them
Men Only: Supporting the Women They Love Through Breast Cancer
Join other men whose loved ones also have been affected by breast cancer and discuss all aspects of being a caregiver. 6-8 p.m., fourth Thursday of every month. RSVP required at 623-434-2784 or BHRC@JCL.com. Note: Time and date are subject to change due to attendance. Please visit JCL.com/events for more information on upcoming events.
Thrift Store Opens North Mountain Community Thrift Store, formerly known as Treasure Trove, held its grand opening in May with a new name and a new location at 336 E. Dunlap Ave., Phoenix. The store is run by the volunteers of the John C. Lincoln North Mountain Hospital Auxiliary, and proceeds support hospital and community programs, including scholarships for students seeking a career in health care. Hours are 9 a.m.-3 p.m. Monday through Friday, 9 a.m.- noon on Saturday and closed Sunday and major holidays. Donations of gently used clothing, accessories, books and other household items are accepted during business hours. Call 602-870-6060, ext. 1547, for details.
Looking for a volunteer opportunity?
Call 602-331-5729 or visit JCL.com/volunteers.
on the second and fourth
July/August 2014
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NONPROFIT ORG. U.S. POSTAGE
PAID
PHOENIX, AZ PERMIT NO. 4524
An affiliate of Scottsdale Lincoln Health Network
P.O. Box 9054 Phoenix, AZ 85068-9054 ADDRESS SERVICE REQUESTED
John C. Lincoln > Honored by Experts. Honored to Serve.
J
John C. Lincoln Immediate Care
N
rehabilitation hospital, an Accountable Care Organization,
John C. Lincoln Sonoran Health and Emergency Center
two foundations and extensive community services. Cave Creek Road
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For more information visit JCL.com and SHC.org.
How to Reach Us >
Dynamite
LOOP
101
Yorkshire
Union Hills
LOOP
101
17
John C. Lincoln Sonoran Health and Emergency Center
SR
51
Dunlap Avenue
2nd Street
Peoria
John C. Lincoln Health Foundation
Desert Mission
Emergency Department 623-474-1600 Breast Health 623-780-HOPE (4673) Medical Imaging Appointments 602-943-4269 Medical Imaging Main Number 623-474-1610
John C. Lincoln Immediate Care 623-580-5800 Provides walk-in care 7-days a week.
LOOP
John C. Lincoln North Mountain Hospital
101
John C. Lincoln Immediate Care
24th St.
75th Ave.
John C. Lincoln North Mountain Hospital 602-943-2381 Emergency Department and Level 1 Trauma Center.
7th Ave.
43rd Ave.
Greenway
John C. Lincoln Deer Valley Hospital 623-879-6100
Emergency Department and our 24/7 Children’s Emergency Center, Mendy’s Place.
John C. Lincoln Immediate Care
Tatum Boulevard
John C. Lincoln Deer Valley Hospital
Cave Creek Road
27th Ave.
John C. Lincoln Immediate Care
Healthcare and consists of five acute care hospitals,
centers, clinical research, medical education, an inpatient
Carefree Highway
John C. Lincoln Breast Health & Research Center
profit organization that includes Scottsdale
an extensive primary care physician network, urgent care
Anthem Way
Map Not to Scale
ohn C. Lincoln Health Network is part of a not-for-
Indian School
John C. Lincoln Health Foundation 602-331-7860
Supports the Network’s health care and community service programs through fundraising and investment of donations.
Desert Mission 602-331-5792
Providing service for our community’s most vulnerable.
John C. Lincoln Physician Practices
Find a family physician near you at JCL.com/practices.
Online at JCL.com
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