My Boone Health Summer 2013

vol: 3 issue: 3

Kids On

Track These kids are ready for a marathon!

preventing osteoporosis: women fight bone loss with physical therapy

table of Contents Page 14

Page 8 Boone Hospital Center’s mission is to improve the health of the people and communities we serve.

Randy Morrow Interim President

Angy littrell Director

Ben Cornelius

Page 24

Communications and Marketing Manager

Page 30

Jacob luecke Media relations Manager

shannon Whitney Communications Coordinator

Kaeleigh Brown Freelance Writer Photos By:

Dave Hoffmaster l.G. Patterson

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A note From Boone Hospital Interim President randy Morrow

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myBoone Health Stories

8 ................................................................................................................ Hospital Headlines Follow us on Facebook, Twitter Instagram and Pinterest.

Please submit comments or feedback to bcc1170@bjc.org or call 573.815.3392

1600 East Broadway Columbia, MO 65201 573-815-8000 For a free subscription, call 573-815-3392 or visit myBooneHealth.com and click on the subscription link on the right side of the page.

10............................................................................................................................ kids On Track 14........................................................................................................................... Best For Bones 16......................................................................................................... Preventing Osteoporosis 18........................................................................................................... Heartbreak In Boston 20 .......................................................................................................................

Team Approach

22 ..........................................................................................................................Boone AppĂŠtit!

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All Of Us Are Worth Fighting For

Boone Hospital Foundation Donors

30 .............................................................................................................................. Off The Wall BooNe HosPiTAl CeNTeR summer 2013

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A Note From Randy

Looking Toward The Future

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Randy Morrow Interim President Boone Hospital Center

t Boone Hospital Center, our mission is to improve the health of our community. Most of the time, we work to achieve this by spending our energy in the present moment.

Every day, people come to our hospital with a wide variety of problems. We help them get better.

We’re working to fix today’s problems.

But what about the people who will need care 10 years from now?

What about the generations to come? Are there things we can be doing right now to improve the health of our community in the future?

We spend a significant amount of time and energy on those questions. One of the best examples of our work in this regard is on the cover of this magazine.

This summer, 1,090 local kids have pledged to run, walk, bike or skate their way to 26.2 miles. They are doing this thanks to our Kids on Track program.

For many of these kids, Kids on Track is the first time they’ve experienced this kind of health challenge. We hope that exposing them to exercise and activity encourages them to live healthier, more active lives.

We think that creating positive health habits now can pay big dividends for our community down the road. That’s why we’re so excited about Kids on Track and the outstanding community support this program has received.

Our work in mid-Missouri mirrors similar efforts on the national level.

First Lady Michelle Obama has created the Let’s Move organization, which works around the country to encourage activity and healthier eating among schoolchildren.

At Boone Hospital, our focus remains on helping the people who come through our doors. Every day, we will always be here for those who need us.

But if programs like Kids on Track can help create a healthier generation for tomorrow, that’s a movement I think we can all stand behind.

BOONE HOSPITAL CENTER Summer 2013

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myBoone Health Stories Visit myBooneHealth.com To Read More — And Share Your Own Story

‘So blessed to have a beautiful baby girl that we love so much!’ By Brittany Pescaglia, Columbia

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y husband and I had our little girl, Eliana Grace, at the Boone Family Birthplace. It was such a great experience that we went through.

We were supposed to be induced on Friday, April 5, 2013, but ended up going in Friday morning. We were discharged that next Monday around lunch time. Our little girl was born on April 6, 2013, at 7:57 a.m.

She weighed 7 pounds, 11.7 ounces and was 20.25 inches long. Through the labor and delivery process we had two of the most amazing nurses that I have ever met. Friday morning, when we got to Boone Family Birthplace, our nurse was Rachel. She was so kind and so caring, it made my husband and I feel more comfortable going through this process.

Through the night, we then had Hilary. I felt so relaxed knowing that Rachel (an amazing nurse) was leaving us with another amazing nurse. That next morning, Rachel was our nurse

Boone Blooms

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pringtime, sun and lots of color — people on Facebook saw lots to like in this photo. More than 6,100 people saw the photo online and 300 liked it. It shows that after an extended winter, we were all very excited to see spring!

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Summer 2013 BOONE HOSPITAL CENTER

again. So wonderful having the same nurses go through the process with you.

Their words were so encouraging, and they made the process so enjoyable. I knew our little girl was going to be in great hands. We also had them during our postpartum care along with some other nurses that were amazing — Sarah and Clare.

Dr. Thies was also so wonderful. I cannot imagine going through this whole entire process without her. She answered all of our questions and concerns when we had them and gave me great confidence in the experience we were about to go through.

I knew that, no matter what happened, Dr. Thies would take such great care of both of us. Such a wonderful doctor and such a sweetheart.

All of the other staff during our stay were so kind as well. We are so glad we chose the Boone Family Birthplace and are so blessed to have a beautiful baby girl that we love so much!

‘We are thankful it was at Boone’

By Andrew Bobbitt

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y father Lawrence L’Hote was recently in ICU before passing away after a fall.

Although this was a difficult time for us, the professional and caring way his nurses Ali and Celeste took care of him and us made it a more comfortable time to go through. Especially Celeste, who called me in after his seizure in the middle of the night so I could be there for him.

If he had to be in ICU, we are thankful it was at Boone, and we are thankful for Ali and Celeste. Boone, your patients and their families are all fortunate they are there.

Patient shares kudos with hospital staff

By Merle Newland

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would just like to say that every staff member at Boone Hospital that I have had to speak with regarding my surgery on April 11 has been very professional and made me feel very important.

They took the time to answer all my questions. Yesterday, when I came for blood work and joint class, I was lost and everyone went out of their way to help me get to where I needed to go.

One lady said she was heading in the direction I needed to go and said she would take me.

Kudos to the staff at Boone Hospital, job well done, and management should be proud of the job that each of you are doing.

share your story myBooneHealth.com

‘I felt like I mattered’

By Betsy Lowenberg, Moulton, Iowa

I

went to see Dr. James Pitt on April 18, 2013, for a consult. He sent me right from his office to Boone for some X-rays, and that is where my story started.

Everyone in X-ray was amazing, and Dr. Brummett looked at my X-ray and knew right away there was a problem. So he did not send me on my way and make me wait to hear from Dr. Pitt. Knowing that I drove two hours for my appointment, he called Dr. Pitt right then.

I was kept, and on Friday, April 19, I had surgery to repair my stomach. From the moment we walked into that hospital Thursday, I felt like I mattered. I had seen many doctors at home, and everyone told me it was nothing and there was nothing wrong. Dr. Pitt was a lifesaver.

I had my surgery, and it was worse than they thought once they got in there. After I was out of the OR, according to my husband, Dr. Pitt sat and talked to my husband and my mother-in-law and answered all their questions.

My first night in the surgery floor in room S526 was terrible. The NG tube made me so sick, but my nurse Tony and the tech assigned to me — I wish I remembered her name, it started with an A — they were wonderful. The concern and care they took with me was so wonderful. And my daytime nurse Jill was just a doll!

They made a bad situation bearable with their kindness, concern and Tony’s humor! I cannot thank them all enough!

I was away from home and in a scary position, but they made me at ease. No doubt about it, we will use Boone as much as we can, even with the two-hour drive each way!

‘I was given my husband back and that was a miracle’

By Sandra Meyer, Columbia

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y husband Walt was getting dressed in the bedroom; he was going to a basketball game. I was in another room cleaning when I heard a horrible noise. Not a groan or cry, but a fall that was so loud.

I ran to the room he was dressing in. He was on his stomach, face already deep purple.

He fell with such force that he wedged the top part of his head under the metal bed frame. I couldn’t move him. I called 911 and I was screaming, “I think he is dead. Please hurry!”

I couldn’t do CPR; he was on his stomach.

I cried, “Help, Dub (this is what I call him), wake up!” He was unresponsive. He was like someone that had no bones.

I placed my hands on his back the same way a person would do if this were his chest.

I pumped up and down. I cried, “How can this work?”

I got up and lifted the bed off his head. I continued to pump. I had to leave him to put the dogs up so the ambulance people could come in.

Two ambulances and a first responder were there in five minutes — but what seemed like forever. Dub was shocked five times to try to get his heart back to normal. He was intubated. They were taking him to Boone.

I was so happy that we had talked way before this episode and said if I or Dub would become ill, we wanted Boone to care for us. He was admitted to the ICU. They put him under the Arctic Sun, which lowers the body temperature to 91.4 degrees, hopefully thwarting any brain damage from the swelling.

I must also say that Jeannie, our nurse, was very supportive to my whole family and treated Walt wonderfully. He remained unresponsive until Monday at 8 a.m. when he started to respond.

I was going back to his room after having breakfast and a very sobering conversation with Dr. Scoles. When I walked to his room, Jeannie was sitting by

his bed holding his hand. She looked up at me and said, “Sandy, come here. Look.” He was squeezing her hand! She said, “Walt, move your feet.” He did!

From that moment on, he improved hourly.

Walt loves ice cream. Jeannie said we are going to have an ice cream party! He was then raised up in bed, and his precious nurse and Dub celebrated with an ice cream party.

So instead of planning a funeral, I was planning a homecoming. Dub had a defibrillator put in on Wednesday, March 20, 2013. He was walking and doing everything just like before. No issues that were concerning.

Soon he would come home. Monday, March 25, he was dismissed — 10 days after his sudden death arrhythmia (a deviation from the normal pattern of the heartbeat).

A very special thank-you to Jeannie Grant for loving my family and always supporting Walt; Dr. Fairlamb, who I believe is the best heart doctor around; Dr. Lohdi, Walt’s pulmonary doctor; and many more.

Thank all of you that helped us make it through a tough time. I was given my husband back, and that was a miracle.

He continues to do well. He drives the car and mows the lawn. He is writing again. All is well at our house.

To the best nurse, Jeannie, and the doctors, we love you, and Boone Hospital is the only hospital to go to in a critical time.

BooNe HosPiTAl CeNTeR summer 2013

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Hospital Headlines News From Boone Hospital Center

Donation Supports Boone Hospital’s Work To Provide Comfort At End Of Life

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he Boone Hospital Foundation has received a $20,000 donation in honor of the hospital’s Supportive Care service.

Supportive Care provides a wide spectrum of services that promote comfort and healing during a patient’s hospital stay.

Those services include: massage therapy, spa treatments, healing touch, music therapy and aroma therapy. In addition to these services for patients facing the end of life, Supportive Care also provides comfort bags with a soft blanket, stuffed animal, journal, photo album and visitor log.

An anonymous mid-Missouri woman provided the donation in recognition of the caregivers who gave comfort to her husband during his final days. The gift will support Boone’s Supportive Care Program.

“Boone Hospital Center is blessed to have an outstanding Supportive Care program that works with a variety of patients across our many care units,” said Barbara Danuser, executive director of the Boone Hospital Foundation. “The donor was incredibly moved by the care provided to her husband before he passed away. Her gift will help bring that same level of comfort to future patients.”

A Jump In Flu Cases

B Boone Hospital Center Celebrates Hospital Week

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ealth care workers are some of the most dedicated, talented and compassionate people out there. Each year, hospitals around the nation take one week to recognize these amazing people for the service they provide.

Boone Hospital Center celebrated Hospital Week from May 5-11. During Hospital Week, staff members enjoyed a picnic, a spirit day, yogurt bar and tricycle races. Fruit baskets were also delivered to all hospital units.

Thank you to the Boone Hospital staff and all hospital workers for your outstanding service!

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Summer 2013 BOONE HOSPITAL CENTER

oone Hospital Center saw more influenza cases this season than the previous two seasons combined. The influenza season is defined as October through May. For most people, once spring arrives, influenza has left their mind. But this season proved to be different, with new cases being confirmed much later in spring than usual.

For the 2012-2013 flu season, Boone Hospital had 224 confirmed cases. That compares to 78 influenza cases in 20112012 and 51 in 2010-2011.

To help keep patients safe, Boone Hospital Center extended its flu vaccination season through the end of April — the hospital typically ends patient flu vaccination in March.

As we prepare for the next influenza season, we encourage everyone to get vaccinated as soon as the vaccine becomes available.

Boone Hospital’s WELLAWARE has public vaccinations scheduled from 4-6 p.m. on Nov. 21 and 11 a.m. – 1 p.m. on Nov. 22. The vaccines will be available inside the Know Your Numbers mobile health unit parked outside Broadway Medical Plaza III, 1701 E. Broadway, Columbia, Mo. The hospital also offers corporate flu shot clinics to help businesses and organizations vaccinate their employees. For more information, call 573.815.3217.

The latest news boone.org

Hello, Baby!

Expo Informs, Entertains And Educates

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he first annual Hello, Baby! Expo drew huge crowds of new and expectant parents to the Holiday Inn Expo Center on June 15.

The event, put on by Boone Hospital Center and the Columbia Daily Tribune, included fun activities, educational sessions and booths from businesses and organizations from around mid-Missouri.

More than 500 people attended the event.

The event included stroller demos, baby races, a fashion show, a “mocktail� lounge, infant massage demonstrations and a look inside a Boone Hospital labor and delivery room. A $1,000 donation was made from the admission proceeds to the Boys & Girls Club of Columbia.

Thanks to everyone for attending and to the many local organizations that participated!

BOONE HOSPITAL CENTER Summer 2013

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by K aeleigh b rown

o n kids these kids are ready to tackle a marathon

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summer 2013 BooNe HosPiTAl CeNTeR

learn more boone.org/kidsontrack

TRACK !

S omething is moving across mid-Missouri this summer. Thousands of little feet are counting up the miles as 1,091 kids run, walk, bike and even skip an entire marathon.

These kids, ranging in age from 2 to 14, have all set the same goal: to complete a total of 26.2 miles by the summer’s end.

You may be thinking, “This sounds great, but what would motivate so many kids to do something most adults won’t even do?”

Thanks to Boone Hospital Center’s WELLAWARE and sponsorships from local businesses around Columbia, the participants have plenty of enticing incentives. As part of the program, the kids keep a log of their miles completed, and as they reach certain mile marks along the way, they are eligible for prizes.

The prizes are definitely worth the walk. Once the designated number of miles has been completed to redeem a prize, participants present their mile log to the sponsoring business and redeem their reward.

Kids on Track actually began in 2005. After a short hiatus, Boone Hospital decided to bring the program back last year, bigger and better than ever.

“We wanted to bring back a youth program for kids that focuses on building good exercise habits through their summer break,” said Erin Wegner, who coordinates Kids on Track.

So far the program has seen promising support from the community. When Kids on Track re-launched in 2012, participation nearly doubled. Then this summer, it nearly doubled again when 1,091 kids pledged to stay active over the summer.

Kids on Track began with a kickoff celebration on May 9, at Stephens Lake Park in Columbia. Hundreds of young children began their 26-mile journey with their families by their sides.

Despite the threatening rain, everyone was excited about the event.

Tanith Frazier, 6, and her mother, Kristen Frazier, were among the families making memories that evening.

When asked if this was her first marathon, Tanith answered, “Uh. This is my second one.”

This provoked a curious look and a laugh from her mother, who was probably wondering when her daughter thought she ran the first one. After some deliberation, Tanith said that she plans on biking the miles to complete her marathon.

Bradyn Gruenefeld, 6, also plans on biking his miles, but not all of them. When asked how he planned to finish his marathon, Bradyn said he would, “probably bike, skip and that’s all.”

Hopefully Bradyn is a good biker because skipping any number of miles might be a challenge.

Other Kids on Track participants, like Abby Hinshaw, plan on running their miles. Abby, 13, has big plans for staying active this summer. She is scheduled to run a half-marathon this month and is using the Kids on Track program as a training method.

While this is her first year participating, Abby really likes the idea of the Kids on Track program. “I think it’s pretty cool,” she said. “I see all these little kids and I’m like, ‘Go, kids, go!’”

Erin Wegner shares that enthusiasm for the program. She thinks Kids on Track will be highly beneficial to its participants.

“For me, I feel the biggest benefit is starting their exercise routine young. When you look at adults trying to lose weight, they change their nutrition habits first before starting an exercise routine,” she said. “When exercise habits start younger, that’s something they carry with them well into their adult lives.”

Kids on Track is not just about exercise; it’s also about fun. The program rewards kids for staying active, and they enjoy doing it.

This year’s Kids on Track program will conclude on Aug. 8 with a grand finale at Stephens Lake Park. There, the kids will receive T-shirts and trophies for completing their marathons.

You go, kids!

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kids on TRACK Abby Hinshaw, 13 school: smithton middle school Jonas Mazario, 7 school: parkade elementary

plan for completing the marathon: “I’m gonna probably run a mile each night.”

plan for completing the marathon: “Run” Jalen Morris, 4 school: parkade elementary plan for completing the marathon: “Biking!”

We’d like to thank the sponsors who made Kids on Track possible:

ARC; B & B Bagel; Bob McCosh Chevrolet Buick GMC Cadillac, Inc.; Boone Hospital Foundation; Chuck E. Cheese; Dairy Queen; Empire Roller Rink; Going Bonkers; HyVee; Lazer Lanes; Missouri Heart Center; The Little Gym; Twaddle Orthodontics; WELLAWARE.

Amanda Kurukulasuriya, 10 school: mill creek elementary plan for completing the marathon: “I’m not really sure.”

Tanith Frazier, 6 school: shepard elementary plan for completing the marathon: “Bike and run.”

Bradyn Gruenefeld, 6 school: alpha hart lewis elementary plan for completing the marathon: “Probably bike, skip and that’s all.”

Best For Bones How Women Are Fighting Bone Loss With Physical Therapy

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mily Frazier knew she was at risk for osteoporosis. Her mother began losing height in her 70s, so it runs in the family. On top of that, Emily is a petite, Caucasian woman in her 60s — a prime candidate for the feared bone disease that could slow down her busy life.

A registered nurse at Boone Hospital, Emily has always been an active mother and now a grandmother. When her DEXA scan showed that Emily had lost significant bone density and was in a pre-osteoporosis stage called osteopenia, she knew she had to make a change.

“I was slightly low,” Emily explains. “I don’t have osteoporosis. I’m getting toward that, but this is the time. If I’m ever going to improve, it’s now. I should have done it earlier.”

Following the BEST

Emily got a prescription from her physician to meet with a physical therapist at Boone Therapy to work on improving her bone strength. That’s when she was introduced to Laura Grise, a physical therapist who recently started working to combat osteoporosis by using the BEST Study.

BEST stands for Bone Estrogen Strength Training. The study, conducted at the University of Arizona, showed that weight-training exercises made a positive difference in the bone density of postmenopausal women.

“There’s some cardio, some postural exercises, but the main component is weightlifting,” Laura said. “Doing specific exercises that we know loads the bones, specifically the spine and the hips because they are the most at risk for fracture.”

Laura adapts the program to fit the needs of her Boone Therapy clients, including Emily. For the first 10 sessions or so, Laura taught Emily how to use the weight machines to do the exercises suggested by the study. Laura even does the exercises herself since osteoporosis runs in her own family history.

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Summer 2013 BOONE HOSPITAL CENTER

Boone Therapy boone.org/boonetherapy

GOOD, Strong Bones

“Since a lot of women have never lifted weights before, we work on proper technique, proper form with the weights and good posture,” said Laura of the training.

Since then, Emily has been working out three times a week at WELLAWARE. She’s seven months into the program.

After a year, she’ll have another DEXA scan to see if her bones look denser.

“The idea is to progress with your weightlifting by lifting heavier and heavier weights,” Laura said. “It stresses the bone, but you need to stress the bone, but not to the point it breaks. You need to stress the bone to build bone.”

Feeling BETTER

With her work every other day, Emily is feeling a positive difference.

“I don’t know what it’s done to my bones yet, but I am much stronger and much more fit. I have much more endurance,” Emily said. “I could walk a distance and not have any problems, but now I notice that it’s not even an effort.

I’m a little firmer and lost a little weight too.”

On days between her weightlifting workouts, Emily walks to stay active. Laura suggests giving the bones at least 48 hours to recover after lifting.

Everyone loses some bone density as they age. Post-menopausal women are most susceptible to osteoporosis, but men can have it also. Building bone strength is crucial as the body ages and prevents any bone decay.

Using the BEST Study can combat bone density loss that leads to osteoporosis, and Emily and Laura want to share the good news. They are both enjoying the program so far and speak highly of it to women and men looking to do something about bone strength.

“A lot of middle-aged women think, ‘I’m getting older, my mom had osteoporosis and I’ll probably get it, and there’s nothing I can do about it,’” Emily said. “But that’s not true.”

“I think the most important thing for women to know is that there is something they can do to prevent osteoporosis and improve their quality of life,” Laura said.

“There is something that you can do to take responsibility and charge of your own health.”

Dr. Barbara Tellerman is an advocate for bone health. She sees patients every day who suffer from fractures caused by osteoporosis. Boone Hospital Center offers services to help with the management of these patients from diagnosis, treatment of symptoms and dissemination of information to prevent future fractures.

“Bone health is extremely important, and it determines the quality of life and your longevity,” Dr. Tellerman said. “You’re only as strong as your weakest link.”

Another key to reversing bone loss is calcium. Emily occasionally takes supplements, but prefers to eat a calciumrich diet, including her favorite: broccoli.

Both Emily and Laura are looking forward to seeing results in their upcoming DEXA scans. They both give Boone Hospital credit for making it easy to achieve their fitness goals.

“It’s a great environment, and it’s convenient,” Emily said. “I’ve enjoyed it.”

By Shannon Whitney

BOONE HOSPITAL CENTER Summer 2013

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Contact us 573.815.3868

Preventing

osteoporosis

By Ingrid Minge, PT, DPT

osteoporosis is a bone disease characterized by a decrease in the amount of bone (low bone mass), a deterioration of the integrity of the structure of bone tissue (decreased bone density), and decreased bone strength. this results in more fragile bones that fracture more easily.

Fractures in the spine and the hip are the most common fractures due to osteoporosis. They can result in a decrease in quality of life, less independence and increased costs because of doctor’s visits, hospital admissions and nursing home admissions.

It has been shown that only 33 percent of hip fracture patients are able to return to their previous activity level, nearly 30 percent of hip fracture patients are moved to nursing homes within a year, and the mortality rate is 15-20 percent within one year after a hip fracture.

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summer 2013 BooNe HosPiTAl CeNTeR

WHo is AT RisK?

fractures

Women are primarily affected by osteoporosis, but men are not immune. Women are usually diagnosed around or after menopause and men are usually affected later in life.

People who take steroids or have certain diseases such as celiac or thyroid disease are also at risk. In addition, other risk factors include certain races, family history and an individual’s frame size. Aside from these specific risk factors, anyone who doesn’t get adequate nutrition or exercise is also at risk.

PReveNTioN

Prevention is critical for osteoporosis.

We reach our peak bone mass around the age of 30, so the younger you start with adequate nutrition and exercise, the better.

It is best to build the largest bone mass possible when we are younger because after age 30, the goal changes to slowing the rate of bone loss. In women, bone loss rate is highest three to six years after menopause due to a decrease in estrogen levels.

eXercise There have been several excellent studies that have shown exercise can increase bone mass. In order to achieve these effects, the exercise needs to be specific.

Some good tips include doing weight-bearing cardio exercise along with strength training. The strength training that will actually allow for bone building to occur should be done with a particular amount of weight. Not all exercises are appropriate for every person, and it’s important to perform them correctly to prevent injuries. It would be best to see a physical therapist at Boone Therapy so that you can have a program designed specifically for you.

sCReeNiNGs

> nutrition facts

Early detection is important because osteoporosis is a silent disease. There are no outward signs or symptoms. There are several services offered at Boone Hospital that can help with detection and treatment of osteoporosis, including ultrasonometers used for screening, the DEXA machine used for diagnosis, medications, diagnostic radiologists devoted to osteoporosis, kyphoplasty used for fracture repair, licensed dieticians and the physical therapists at Boone Therapy trained in providing evidence-based treatment.

Some tips for obtaining adequate nutrition include eating a variety of foods, including fruits and vegetables. In doing so, you will most likely be getting an adequate amount of calcium.

Many people think of calcium as only being found in dairy products, but you can actually get calcium from many foods including tofu, navy beans and fortified juices.

A good general guideline for total calcium intake is 1,200 milligrams per day, although specific amounts can vary based on individual needs.

Be sure to speak with your physician about supplementation, as there are specific instructions for taking calcium carbonate, including taking it with food and not in excess of 500 milligrams.

BooNe HosPiTAl CeNTeR summer 2013

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Heartbreak i n b o sto n by jacob luecke

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Summer 2013 BOONE HOSPITAL CENTER

a f t e r c lose c all with tr ageDy r u n n e r ’ s tr i u m p h m iXeD with saDn ess

m

ore than 20 miles into the Boston Marathon, Jennifer Anderson was feeling fatigued. Her biggest challenge stood right in front of her — Heartbreak Hill.

This hill of agony, perhaps the most famous gradient in all of running, stands near Boston College and was lined with hundreds of rowdy young spectators.

To make it up the hill, Jennifer fed off their energy.

“I veered over to high-five the people along the road, and that just gave me a little more energy,” said Jennifer, Boone Hospital’s diabetes coordinator. “I was like, ‘these people are excited. I can do this.’”

Atop of the hill, a giant inflatable arch encourages runners as they reach the summit. Jennifer read it as she passed: “The Heartbreak is Over.”

But that wasn’t the case this year.

Jennifer, 38, had fed off the crowd’s energy all day long. She’d run seven marathons before, but nothing could compare to the excitement of Boston.

There were cheering people everywhere. She loved running by children and slapping their outstretched hands.

“It’s such a big marathon, and there’s just so many people. It’s just crazy how much fun it is,” she said. “You’re running 26 miles but it doesn’t really feel like it because there are people everywhere and there are so many things to see.”

After conquering Heartbreak Hill, Jennifer felt a little surprised she hadn’t seen her family members yet. She knew her husband, 8-year-old daughter, and various other family members were somewhere along the course. But even as she crossed 25 miles, there was no sign of them.

“I was really needing to see them to get me motivated,” she said.

Finally, there they were, just before the finish line. Jennifer stopped briefly to hug

them and then finished the race at 3:53:59. It wasn’t her best time, but just to finish was a triumph.

“It was awesome to finish the race,” Jennifer said. “Just to be there and be done, it was an amazing feeling.”

After crossing the line, volunteers gave her jennifer anderson gives high-fives to the crowd a reflective blanket and as she races in the bosto n marathon. a medal. She posed for a picture and called her husband, who said they’d left the finish glued to the television learning details of line and were waiting in the family meetthe attacks. up area.

The most startling revelation was As Jennifer went to collect her jacket the location of the second bomb. It was at the coat check, she heard two loud directly across the street from where explosions. She looked back to the finish Jennifer’s family had stood all morning. line and saw smoke.

They left the area just minutes before it “Honestly, my mind didn’t exploded. immediately go to ‘that’s a bomb,’” she That thought brings tears to Jennifer’s said. “It was just, ‘What was that?’” eyes.

Over the next few minutes, panic “If I was just a few minutes behind slowly built around her as security rushed time, my family would have been right in to set up barricades, keeping people there,” she said. from going back toward the finish line.

The days after the bombing were Soon, Jennifer had reached her family. an emotional time for Jennifer. It was They were concerned, but figured the confusing to feel both joyful for finishing explosions were just a typical noise in the the race and sadness for what happened big city — or maybe a problem with the next. subway.

Her biggest physical achievement will As they walked away from the race, forever be tied to tragedy. they stopped in at a nearby bagel shop “There’s just a damper on it,” she said. so Jennifer could get something to eat.

“It was still cool, but there is something Suddenly, their phones were bombarded taken away from it because of all the with text messages: “Are you OK? We sadness.” heard there was a bomb.”

Despite the heartbreak, Jennifer They suddenly realized what had said the experience won’t stop her happened. from coming back if she has another They texted back that they were fine opportunity. and then quickly found their car so they She hopes the crowds of spectators — could retreat to their hotel. “It was like, some of whom became victims — keep ‘we need to get out of here right now,’” coming as well. They inspired her to keep Jennifer said. going and reach the finish line. They are Her family spent the rest of the day what make marathons special.

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Accepting new patients 573.815.7146

Team Approach Diabetes Doctors Work With Patients To Customize Care

D

iabetes is a challenging disease to treat.

It’s a problem where education can often be as effective as medication. It’s a disease where a patient’s story is sometimes just as important as their test results.

For the two doctors establishing a new diabetes clinic at Boone Hospital Center, those challenges are what make their work enjoyable.

“Diabetes is a disease that does not follow the rule of one-size-fits-all,” said Fadi Siyam, MD. “You have to customize the treatment; you have to redesign it for each patient individually.”

Dr. Siyam and Sonya Addison, MD, are teaming up to open the Boone Diabetes and Endocrine Center, located in Broadway Medical Plaza III. Both doctors said their work will focus on treating patients as individuals. They want to do everything they can to help patients manage their diabetes.

“I’ve always been a people person, I like to talk to people and interact with them,” said Dr. Addison. “When you’re helping treat a chronic disease, you get to know your patients and interact with them a lot. That’s what I really enjoy — that relationship.”

Dr. Addison grew up in Fairfax, Mo., in the northwest corner of the state. She came to mid-Missouri to attend Central Methodist University.

She originally majored in music — she plays flute and piccolo — but quickly changed to pre-med. She completed medical school, residency and her fellowship at the University of Missouri.

Her father is a respiratory therapist, and her mother is a registered nurse.

“I grew up around medicine,” Dr. Addison said. “I really wanted to be a doctor since I was about 6.”

Dr. Siyam grew up in a family of pharmacists, which also made it natural for him to pursue a medical career.

He grew up in Jerusalem and moved to Jordan around the time he started high school. He attended medical school in 20

Summer 2013 BOONE HOSPITAL CENTER

Dr. Sonya Addison and Dr. Fadi Siyam

“Diabetes is a disease that does not follow the rule of one-size-fits-all.”

— Dr. Fadi Siyam Jordan and then moved back to Jerusalem for his internship.

He came to the University of Missouri to become an internal medicine specialist.

During his training, he realized he most enjoyed working with diabetic patients. So that’s where he decided to focus his career.

He said mid-Missouri has been very welcoming and friendly. He enjoys living in Columbia where there are opportunities to spend time outdoors and listen to classical music concerts.

“When I had an opportunity to stay in mid-Missouri, I took it,” he said.

He also likes biking and photographing architecture.

When she’s not serving patients, Dr. Addison enjoys spending time with her

husband, Justin, and her son, Jake. She is expecting a second child this summer.

The family also owns Tucker’s Fine Jewelry in downtown Columbia.

When the Boone Diabetes and Endocrine Center opens this summer, the physicians look forward to working alongside Boone Hospital’s existing Diabetes and Weight Management services.

“Education in our subspecialty is so integral, it’s so important,” Dr. Siyam said.

“It’s totally inseparable in the management of a diabetic to have a good educator by your side to help you with a patient.”

The Boone Diabetes and Endocrine Center is accepting appointments. Drs. Siyam and Addison said they are eager to meet new patients and help them improve their health.

“The results are very tangible. With good management, you can see your patients get better,” Dr. Addison said. “Having that kind of success is very important to us.” By Jacob Luecke

Education Matters Boone Hospital’s diabetes team also includes an outstanding Diabetes Self-Management Education Program, certified by the American Diabetes Association. The program includes classes designed to help patients understand, cope and live successfully with Type I and Type II diabetes.

Our services include: • Intensified management • Gestational diabetes education • Enrichment classes • Nutrition consultations

• Insulin initiation • Insulin pump therapy • Continuous glucose monitoring

For more information about this education program, call 573.815.3870 or visit boone.org/diabetes.

BOONE HOSPITAL CENTER Summer 2013

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Weekly menu boone.org/cafe

Boone Appétit! café Dining experience comes to boone hospital

B

oone Hospital Center now offers a café dining experience full of fresh new food options.

The Boone Appétit Café is located in Boone Hospital Center’s main lobby near the hospital’s Healing Garden.

Boone Appétit features Starbucks beverages and delicious new food selections, including whole grain deli sandwiches, artisan pizza, composed salads, hot cereals and Upper Crust pastries.

“We wanted to create a cozy cafe environment that also gives our staff and visitors new options for healthy eating,” said Julie Winters, director of Nutrition and Food Services at Boone Hospital. “We’ve already seen a strong response to some of our new healthy options, such as our faro and quinoa hot cereals.”

The café is open 6:30 a.m. to 3 p.m. daily.

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summer 2013 BooNe HosPiTAl CeNTeR

see the ads boone.org/WorthFightingFor

ALL OF US ARE WORTH FIGHTING FOR Work is progressing on the Virginia and Norman Stewart Cancer Center and excitement is building across mid-Missouri. The new inpatient cancer center, to be located on the sixth floor of Boone Hospital’s south tower, is proceeding according to plans. Builders have already roughed in the electrical, mechanical and plumbing.

Drywall was going up as of mid-June. The inpatient cancer unit will include 32 private rooms and will incorporate the latest in health care design for the comfort of our patients and their families.

As construction continues, Boone Hospital has begun a new advertising campaign highlighting the Stewart Cancer Center.

The campaign features real stories from cancer patients and their loved ones. Keep reading to learn more about the stars of our ads.

eXcitement builDing for the stewart cancer center

By Jacob Luecke 24

summer 2013 BooNe HosPiTAl CeNTeR

THIS GRANDPA IS A TWO-TIME SURVIVOR Darrell Sapp is the kind of grandpa any kid would love to have. He’s dedicated to his family. He models what it means to be a hard worker. And, at 48, he’s plenty young to keep up with his five active grandkids.

“Oh my, do I love my grandbabies!” Darrell said.

Darrell is here today to experience being a grandfather because Boone Hospital Center helped him beat cancer twice during the last 10 years.

His first experience with cancer was in 2004. He had noticed a lump on the right side of his neck, under his jawbone. It was about the size of a walnut.

He wasn’t too concerned.

“I’ve had lumps before, and it was just allergies or drainage,” he said. “It was just something that happens.”

Darrell went to a doctor and got some antibiotics. When those didn’t help, he was sent to Boone Hospital to have the lump biopsied. It was just 30 minutes later when the doctor called him at home: it was cancer.

“I was home alone, everyone else was at work, and he gave me the bad news,” Darrell said. “I had not thought it was cancer at all. It floored me.”

Darrell had what’s known as squamous cell carcinoma, a cancer at the base of his tongue.

He immediately started treatment, which involved dozens of radiation sessions and several rounds of chemotherapy.

It was a dark time for Darrell. He lost a lot of weight and became dehydrated.

As he became more ill, he was afraid of sleeping; he thought he might die in his sleep.

Darrell with his granddaughter Issy

He relied on his family and the caregivers at Boone Hospital to pull him through.

“It was really hard to stay positive. I tried to, but it was really hard,” he said. “I was lucky to have a great support group: my wife, my parents, my doctors and the nursing staff.”

A recreational weightlifter, Darrell said his strength also helped keep him alive.

“I work out and lift weights,” he said. “My doctors told me on a number of occasions, if I wouldn’t have done that, it may have been a different outcome.”

After defeating his tongue cancer, life returned to normal for Darrell — for the most part.

The cancer battle left him with scarring. He also lost some hair and has to drink water when he eats because he doesn’t produce enough saliva any more. But those are things Darrell can live with.

“It becomes an everyday way of life and you adjust to it,” he said.

Then last year Darrell was faced with another challenge.

He had a prostate exam, and his PSA score was high. He had prostate cancer.

Working with urologist Dr. Steven Dresner, MD, Darrell had his prostate removed through robotic surgery.

Today, he’s again cancer-free.

After two cancer battles in the last 10 years, Darrell sometimes wonders if he is genetically predisposed to cancer.

Since he was adopted as a baby, he doesn’t know his family’s cancer history.

As a preventive step, he gets cancer screenings more often than most people. And if cancer does come back, he knows he has an outstanding community of caregivers at Boone Hospital ready to care for him.

But that thought isn’t high on his mind.

He’s too busy enjoying his life and focusing on what matters most — loving his family, especially those grandbabies.

A COMMUNITY STANDS WITH PATTY BERESWILL

This summer, all 330 Hallsville Little Leaguers will be sporting pink ribbons on their jerseys.

And earlier this year, the Hallsville High School girls’ basketball team wore pink shoelaces during a game. Both times, the gestures were inspired by Patty Bereswill, a longtime supporter of Hallsville youth sports.

As Patty fights a personal battle against breast cancer, the community she loves is standing right beside her.

“I don’t think of it as being just for me,” she said, modestly.

“There are other people in Hallsville that have breast cancer.

This is raising awareness and showing support.”

Patty’s breast cancer journey started in early January when she felt a golf ball-sized lump in her left breast, near her armpit, during a breast self-exam.

A few days later, she showed the lump to her doctor, who was concerned. In a week, Patty was at Boone Hospital Center.

Tests revealed Patty had stage 2 breast cancer that had spread to three lymph nodes in her left breast.

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summer 2013 BooNe HosPiTAl CeNTeR

The news was a shock to Patty, 48, who has a husband, Larry, and two kids — Megan, 15, and Daniel, 13.

Theirs is a fun-loving, relaxed family that enjoys spending time outdoors, cheering for each other at sporting events and going to Mass together. Sharing such serious news with her kids would be tough. So Patty tried to make it nonchalant.

“Well, kids,” she said one night as they lounged together in their living room, “Mom’s got a little breast cancer going on.”

Her kids immediately had questions. “You have cancer? Are you going to die? Are you going to lose your hair?”

She assured them she was going to be OK, but she would indeed lose her hair.

However, she wasn’t going to let cancer be the one to make her bald.

Working with Dr. Pamela Honeycutt, MD, Patty began the first of 16 chemo treatments on Jan. 31. After that first treatment, Patty and her daughter invited friends over and held a head-shaving party.

“We took pictures and laughed, and there were no tears,” she said. “No tears whatsoever.”

The party exemplified Patty’s competitive attitude when it came to defeating her cancer.

“I have cancer, but cancer doesn’t have me,” she said. “I’m going to conquer this; I’m going to beat this.”

Working with surgeon Dr. Jake Laks, MD, Patty has elected to have a double mastectomy in July. She hopes removing both breasts will reduce her odds of having a cancer reoccurrence later in life.

After her surgery to remove her breasts, she will undergo five weeks of radiation treatment and then reconstructive surgery with Dr. John Seaberg, MD. By the end of the year, she hopes to be done with cancer.

Throughout her cancer experience, Patty has been very open with anyone who wants to listen. She hopes her experience of catching cancer early inspires others in her community to be proactive about screening.

“The more people that know about my breast cancer, the more prayers I get, the more support I get,” she said.

“And if I can just save one person’s life, if I could just get a word out there, it’s to do your breast self-exams and get your mammograms.”

FIGHTING BRAIN CANCER, REDONDA MARSHALL TRUSTS HER ‘A-TEAM’

At first, it seemed like Redonda Marshall was having trouble with her eyes. She was having vague reading difficulties, but an eye doctor couldn’t find the source of the problem.

Then, Redonda began having trouble remembering words.

For example, she could picture the broad, silky flower with a darker center and a long yellow stamen. But she couldn’t remember its name: hibiscus.

“I could see it in my mind, but the word wouldn’t come,” she said.

So, last August, she went to Boone Hospital Center for an MRI exam. There, doctors immediately saw what was behind these seemingly trivial symptoms. Just under Redonda’s skull, a five-centimeter tumor was pushing down upon her left parietal lobe, where language is processed.

It was cancer and an extremely rare form — hemangeopericytoma. Only a fraction of all brain cancers fall into this category.

“I was stunned,” said Redonda of when she learned the devastating news.

But Redonda, who works as a nurse practitioner, knew she was in good hands. While the cancer was extremely rare, Boone Hospital had the perfect team of specialists needed for this fight.

“I knew I had the A-team,” she said. “I felt fortunate to be here. I felt like I could trust them.”

She was immediately admitted to Boone Hospital, where neurosurgeon Charles Bondurant, MD, began planning to remove the cancer.

“We wanted to be aggressive as we possibly could, right from the start,” she said. “If I was ever going to do something, now was the time.”

The next day, Dr. Bondurant successfully removed the entire tumor. A few days later, Redonda was able to leave the hospital. Her sight and language problems were already gone.

Back home, Redonda said she was blessed with an outpouring of support from family and friends.

Redonda, 54, is married and has a grown son and twin daughters attending college at the University of Missouri. She also has two grandkids. She said her family dropped everything to be by her side.

“Their outpouring of compassion and support has just carried me in so many ways,” she said. “I’ve been so comforted by them. In that way, I think I have actually prospered from this adversity.”

Because her cancer has a high rate of reoccurrence, she’ll have regular surveillance screenings for the rest of her life.

But today, life is largely back to normal. She’s back to work, and she can drive again. And little by little, her hair is coming back as well.

“I like to say I have a very nice crew cut,” she said with a laugh.

With her successful surgery and aggressive treatment plan, Redonda’s outlook is better than she ever hoped.

“I could not have asked for a better outcome,” she said.

BooNe HosPiTAl CeNTeR summer 2013

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Your generosity supports our care We’d like to thank the Benefactors of the Boone Hospital Foundation. Each of these people and organizations have given more than $1,000 in support of the care at Boone Hospital Center

Companies

in 2011 and 2012. Your generosity makes our care possible.

Abbott Laboratories ABCOMM, INC. Advance Orthodontics AdVentures Allergan American Document Solutions Atkins, Inc. BJC Health System/ Medical Group BJC Healthcare Board of Trustees Boone County Hospital Boehringer Ingelheim Pharmaceuticals Boone County Medical Society Boone County National Bank Boone Hospital Center Medical Staff Boyce & Bynum Pathology Laboratories, P.C. Calvary Episcopal Church Central Records Depository

Central Trust & Investment Company

Holiday Inn Executive Center

Missouri Heart Center

CenturyLink

Hospice Compassus

Missouri Perfusion Services, Inc.

Columbia Bariatric Associates, LLC

Hulett Heating & Air Conditioning

Missouri Pork Association

Columbia Family Medical Group

Imagine Nation Books, LTD.

Columbia Insurance Group

Johnson & Johnson Services Inc.

Missouri Professionals Mutual

Columbia Orthopaedic Group, LLP

Landmark Bank

Columbia Surgical Associates Commerce Bank Cubist Pharmaceuticals, Inc. Emergency Physicians of MidMissouri, P.C. Environmental Engineering, Inc Feeler Scheer Architects First Presbyterian Church of Columbia Forest Pharmaceuticals, Inc. HematologyOncology Associates of Columbia, Inc.

Lawrence Group Architects of St. Louis Inc Medtronic Meyer Electric Co., Inc. Microsoft Mid Missouri Neurosurgery, L.L.P. Mid MO Anesthesia Consultants Mid-America Anesthesia Consultants, PC Miller, Bales & Cunningham, P.C. Missouri Cancer Associates Missouri Cardiovascular Specialists Missouri Employers Mutual

Modern Litho and Brown Printing Murrell, Westgate & Bryer, Inc. National Healing NCME Holding Corp.

Nephrology & Hypertension Associates Network for Continuing Medical Education, Inc. Neurology, Inc NH Scheppers Distributing O’Brien Law Firm, P.C. Officer Mechanical Contractors, Inc. Orscheln Industries Our 365 Share More

Beth Alpers Joe & Linda Antal Jim & Mary Beck Wilson & Jan Beckett Pat & Connie Benson Mark & Amy Cohen H. Kathy Daniels Blake & Carol Danuser Dave & Barb Danuser Martha L. Delmez Charles & Laurie Digges Robert Doroghazi

Parsons Brinckerhoff Group Administration, Inc.

SSC Engineering

Patricia’s Foods

The France Foundation

PBMS, LLC Pfizer Phoenix Textile Corporation Providence Bank

The Bank of Missouri

The Graham Group The Insurance Group, Inc. The Lawrence Group

Pure Marketing, LLC

The Outsource Group

Radiology Consultants, Inc.

Tiger Express Car Wash

Reinhardt/Wilson

TKH, Inc.

River City Construction, LLC

UMB Bank

Roche Diagnostics Corporation

Uniforms Plus

UniFirst Corporation

Rost Landscaping & Design

Urology Associates of Central Missouri

Sanofi-Aventis U.S. Inc.

VA Mortgage Center

Schindler Elevator Corporation Septagon Construction Co., Inc. Smart Business Interiors

Veterans United Foundation W. L. Gore & Assoc.

Women’s Health Associates, Inc. Worldwide Recycling

Individuals

Lisa Flores & Denis McCarthy Andrew & Kim Getzoff Charles & Jean Gibbens Mangal & Kala Gupta David Hockman David & Winifred Horner George Hulett Paul Huwiler Chuck & Sheila Jira Jerry & Michele Kennett William & Sandra Marshall David McLaren Richard Miller John & Jan Monnig Rick & Katrice Montgomery Brian & Candy Neuner Gary Oxenhandler Walter & Stacy Peters June Pfefer Matt & Kate Pitzer Albert & Marjo Price Shirley A. Richardson Lois Richardson C. E. Gene Ridenhour Wanda Roberts Dan & Jane Rothery The Honorable Leslie A. Schneider and Mr. Thomas M. Schneider Wade & Martha Schondelmeyer Joann Schumer Michael Szewczyk & Susan Zurowski Robert Wagner Audrey Walton Garry & Llona Weiss James & Mary Westerfield

See a complete list of donors and learn how you can give at boone.org/foundation

Darren & Rachel Wittenberger Michelle Zvanut

see more pictures facebook.com/boonehospitalcenter

off the Wall Display at the mall encourages healthy outdoor activity

W

ith a new interactive wall at the Columbia Mall, Boone Hospital Center is seeking to inspire midMissourians to get outdoors. The Living Well Wall features scenes of activities available right here.

People walking by are invited to step into the scene for a quick photo. Interacting with the wall reminds people that getting outdoors can be both fun and have positive health benefits. Many studies have shown the benefits of spending time outside. From the cardiovascular exercise we get from walking, to the simple joy of breathing clean air and experiencing sunshine — the outdoors offer so much. So the next time you are at the Columbia Mall, stop by and see our Living Well Wall, located at the entrance near MC Sports. And once you’re done at the mall — get outside!

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Boone Hospital Center 1600 East Broadway Columbia, Mo 65201 573-815-8000

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