For
Your Health
MARTIN MEMORIAL’S WELLNESS MAGAZINE
Caring for Our Neighbors
in Western St. Lucie County
Fitness Goals:
How to Stick with Them
winter 2010
Martin Memorial to Build Hospital in Tradition
M
artin Memorial has received initial permission to build an 80-bed hospital in the Tradition development to serve the residents of western St. Lucie County. The recent decision by a judge denies an appeal that sought to prevent the construction. In June 2007, Martin Memorial received approval from the Florida Agency for Health Care Administration to build the hospital on 20 acres in Tradition. The decision was appealed in July 2007 by Lawnwood Regional and St. Lucie medical centers, the two HCA Inc.-owned hospitals in St. Lucie County. On July 31, 2009, Judge J.D. Parrish, an administrative law judge with the Florida Division of Administrative Hearings, upheld the state’s 2007 decision. “We are pleased with the decision and look forward to providing access to critical medical care for residents of western St. Lucie County,” says Mark Robitaille, president and chief executive officer of Martin Memorial. “We will wait to see if there are further appeals, review all of our options and begin planning for the next stages of this process.”
Over the past five years, St. Lucie County, in particular west Port St. Lucie, has experienced rapid population growth. In addition, residents face challenges accessing health care. Together, these factors reveal a vital need for a new hospital. Support for the hospital has come from many areas of the community, including state legislators, local government officials, Torrey Pines Institute for Molecular Studies, Vaccine and Gene Therapy Institute, Mann Research Center, doctors, nurses and more than 10,000 area residents. Many individuals submitted personal testimonials sharing their concerns about the lack of convenient access to a hospital — particularly in times of emergency. Martin Memorial is waiting to receive a final order from the state to move forward. Regardless of whether there are further appeals, the design and construction of the new building will take several years. When the hospital opens, it will create more than 400 jobs, and the capital investment will exceed $100 million, which will have a profoundly positive impact on the local economy.
To learn more about the new hospital, visit martinmemorialforpsl.com.
Contents FITNESS GOALS: HOW TO STICK WITH THEM
5
Use these tips to keep your routine on track.
MARTIN MEMORIAL IMPLEMENTs ENHANCED SECURITY MEASURES
6
Learn about Martin Memorial’s new visitor and vendor identification management system to help keep our facilities safe and secure.
IS TOTAL JOINT REPLACEMENT RIGHT FOR YOU? 8 If you suffer from ongoing hip or knee pain, find out whether total joint replacement surgery could finally help.
SHORT ON Z’S?
12
Not getting enough sleep raises your risk for health problems. The Martin Memorial Sleep Disorders Center can help you get some rest.
For Your Health, a publication of the Marketing Communications Department of Martin Memorial Health Systems, is designed to help you and your family make informed health care decisions. You can also find answers to your health-related questions by visiting our Web site at mmhs.com. If you have further questions or comments, please contact Kelly Beard at (772) 223-2835, or e-mail info@mmhs-fla.org. Editor: New Growth Media, LLC Featured Writers: Kelly Beard, Arthur M. “Rusty” Brink, Scott Samples Art Direction: Kelly Beard Photography: Steven Martine, Peter Gorman Studios Martin Memorial Health Systems is a not-for-profit, communitybased health care organization. It offers a continuum of care, including preventive, primary and acute hospital care, as well as cancer care, fitness and rehabilitation services. Its 2,900 associates and more than 385 affiliated physicians operate in 12 different locations serving Martin and St. Lucie counties.
Artist rendering above: Martin Memorial’s new hospital will be located west of Interstate 95, in the community of Tradition.
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Cover: Director of Emergency Services Brad Guffin, RN; Medical Director Steven Parr, DO; and Administrative Director of Emergency Services Dalynn Sotomayor, RN, are quick to respond to patient emergencies at the new Martin Memorial Emergency Center at St. Lucie West.
Winter 2010 For Your Health 3
Immediate Care, Close to Home: Martin Memorial Emergency Center at St. Lucie West
R
esidents of western St. Lucie County can now access emergency medical care close to home. The Martin Memorial Emergency Center at St. Lucie West is open 24 hours a day, seven days a week, at 1095 N.W. St. Lucie West Blvd. The 9,100-square-foot center can handle many of the same emergencies as a hospital. Off-site emergency departments like the St. Lucie West facility traditionally see patients with lessserious illnesses and injuries, meaning that patients can be seen more quickly and wait times are reduced. Patients with more severe injuries or conditions are taken to appropriate facilities. Those requiring inpatient admission are transported by ambulance to a hospital. “We truly believe this emergency center is an invaluable health care resource for residents of western St. Lucie County,” says Mark Robitaille, president and chief executive officer of Martin Memorial. “There is a demonstrated need for emergency services here, and we are committed to providing access to that care. Having the emergency center in this centrally located area allows us to provide immediate care to a sizable population that has not had the access it deserves.”
From left, Medical Director Steven Parr, DO; Administrative Director of Emergency Services Dalynn Sotomayor, RN; and Director of Emergency Services Brad Guffin, RN.
The center opened Sept. 1, 2009 and the staff saw 1,619 patients during the first month of operation. It is housed in Martin Memorial’s existing St. Lucie West facility, which was renovated to meet state standards for emergency departments. The facility offers diagnostic technologies such as computed tomography (CT) and magnetic resonance imaging (MRI). To learn more about the Martin Memorial Emergency Center at St. Lucie West, visit mmhs.com and click on “MDoc TV,” then “October 2009,” to view a videocast. You can also call (772) 785-5585.
Wayne and Marti Huizenga Give $1 Million to Martin Memorial The name of a familiar couple is gracing
Mark Robitaille, president and chief
You can help, too. To learn more or
the lobby of Martin Memorial’s new
executive officer of Martin Memorial. “This
make a gift to the Martin Memorial
emergency center.
gift will assist us in providing that care. We
Foundation, call (772) 223-5634 or
are deeply appreciative of their generosity
visit givemmhs.org.
Wayne and Marti Huizenga, the South
Florida entrepreneurs and former owners
and their commitment to health care in
of the Miami Dolphins and Florida Marlins,
this community.”
recently made a $1 million gift to the
Martin Memorial Foundation. In apprecia-
are unrestricted, they will be used through-
tion for their contribution, Martin Memorial
out the health system based on need. That
named the emergency center lobby in
can include everything from purchasing
their honor.
new technologies and equipment to
funding continuing education for nursing
“As residents of the Treasure Coast,
Because funds from the Huizenga gift
Wayne and Marti Huizenga recognize the
staff to benefiting the Martin Memorial
importance of having access to high-
Emergency Center at St. Lucie West.
quality health care close to home,” says
4 For Your Health Winter 2010
The clinical staff at the Martin Memorial Emergency Center at St. Lucie West.
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Fitness Goals:
How to Stick with Them
‘T
is the season to make New Year’s resolutions, and chances are that getting in shape is one of your goals. More people join health clubs in January than at any other time of the year. Unfortunately, many people don’t stick with the habit. Health club memberships drop off sharply by March. But the following tips can help you follow through on your resolution to exercise. Keep on Keepin’ on
If your workout routine is satisfying and fun, you’ll be more likely to stick with it. Try these suggestions: • Exercise outdoors. When weather permits, head for the beach or the volleyball court. Or, do some laps in the pool. • Make a change. You can make your workout more interesting by varying the terrain or the intensity, such as walking faster. If you like to walk in your neighborhood, try reversing your route sometimes or taking to the trails at a local park. • Cross train. Alternate different types of cardiovascular activities. For example, play tennis or bike one day, then walk on a treadmill the next. This cross training can work your muscles in different ways or exercise a separate set of muscles to strengthen opposing muscle groups.
Prevent Injuries
Don’t be sidelined by an injury, a common reason people stop exercising. Cross training is one way to reduce your risk for joint and muscle injury that can result from overuse. These strategies can also help: • Warm up before you work out. Walk briskly or jog for five to 10 minutes to warm up your large muscle groups. Stretch before and after your workout. • Don’t be a workout warrior. Don’t push yourself to your limit every time you exercise. • Wear proper footwear. Wearing improper or worn-out shoes puts stress on your hips, knees, ankles and feet — the sites of 90 percent of all sports injuries. To keep your motivation revved, give yourself credit for the exercise you do around your home. Gardening, mowing the lawn, taking the stairs and cleaning are all excellent sources of physical activity. They may not prepare you for the Olympics, but they can add up to enough exercise to boost your health.
Looking for a Gym?
Martin Memorial St. Lucie West Health and Fitness Center Now Open Martin Memorial’s new St. Lucie West Health and Fitness Center includes a full line of strength equipment, free weights, cardiovascular equipment and the Kinesis training system — a resistance cable device that can be used to improve your golf and tennis performance, as well as your overall fitness. The new center also provides group exercise classes, child care, massage, lockers and shower facilities. Martin Memorial St. Lucie West Health and Fitness Center 582 N.W. University Blvd., Suite 350, Port St. Lucie Monday to Wednesday, 5:30 a.m. to 8 p.m. Thursday, 5:30 a.m. to 7:30 p.m. Friday, 5:30 a.m. to 7 p.m. Saturday, 7 a.m. to 1 p.m. Sunday, 7 a.m. to 12 p.m. (772) 785-5522 CLip and Save
Health and Fitness Center Special One Month FREE! Start the new year off on the right foot. Present this coupon at any Martin Memorial Health and Fitness Center and receive one of three months or more. Offer valid through Feb. 1, 2010. Martin Memorial Health and
✂
month FREE with a membership commitment
Fitness Centers are located in Hobe Sound, Jensen Beach, Palm City, St. Lucie West and Stuart. To learn more, visit mmhs.com and click on “Services and Locations,” then “Fitness Centers,” or call (772) 781-2722.
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Winter 2010 For Your Health 5
Martin Memorial Fully Implementing Enhanced Security Measures
M
artin Memorial is continuing to increase efforts to enhance safety for patients, visitors and staff at the health system’s two hospitals. In October, a new visitor and vendor identification management system was put in place requiring all patients, visitors and vendors to check in at security sites. This includes the main lobbies of both hospitals, as well as the admitting and outpatient registration entrance at the Martin Memorial Medical Center. The identification management system was also placed at the
engineering department’s locations at both hospitals for specified contractors and vendors. Everyone entering the facilities will be required to provide a government-issued form of identification (such as a driver’s license) before entry. Martin Memorial security personnel will log visitor destinations and give them a badge to wear while visiting the facility. The computerized process takes about one minute and can be expedited by visitors having their identification ready when entering the building. Visitors with questions, including inquiries about patient locations, are requested to ask front desk volunteers first, then proceed to the security check-in. The policy for visitors to the maternal-child (OB) department remains unchanged. This policy includes specific visiting hours (11 a.m. to 2 p.m. and 4 to 8:30 p.m.) and a limit of three visitors at a time per room. Martin Memorial began enhancing new security measures on Aug. 3, 2009. Because many hospitals across the country are seeing an increase in workplace violence and theft of medical supplies and equipment, Martin Memorial received a hospital vulnerability assessment in 2008 that was funded by the Florida Department of Health. The assessment highlighted opportunities for security improvements that would prevent acts of theft and violence. As a result, Martin Memorial developed new security measures designed to enhance safety for patients, visitors and staff at both of the health system’s two hospitals. They include: • Patients and visitors must enter Martin Memorial Medical Center and Martin Memorial Hospital South through the main lobbies and register with security at the front desk. Patients may also enter through the admitting and outpatient registration entrance. Visiting hours are 8 a.m. to 8:30 p.m., and are strictly enforced. Specialty units may have different visitation policies and hours. • Maternal-child (OB) patients must enter through the main lobby of the Medical Center 24 hours a day. • From 8:30 p.m. to 6 a.m., maternal-child (OB) patients must enter through the main lobby of the Medical Center by using the intercom system that is monitored by security. • All medical emergencies are accepted through the emergency department 24 hours a day. For more information, visit mmhs.com or call (772) 287-5200. Kevin DeFeo, security officer at Martin Memorial, implements the new security measures with a smile.
6 For Your Health Winter 2010
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Martin Memorial Rehabilitation Services’ NeuroCom SMART EquiTest® Balance System plays an integral part in evaluating and restoring a patient’s balance.
FRee balance screening Jan. 14, 12 to 3 p.m., and Feb. 4, 12 to 3 p.m. Raub Rehabilitation Center, Smithfield Plaza 2189 S.E. Ocean Blvd., Stuart Come take a free 20- to 25-minute computerized “sensory organization” balance test, which identifies problems in your body’s balance systems. Call (772) 223-4936 to schedule an appointment.
Take Steps to Avoid Falls
W
hen you see people tumble on TV, it can be funny. But in reality, falling is no laughing matter. For older people, especially, accidental falls can lead to serious injury, disability and even death. That’s why the American Academy of Neurology has established new guidelines to help doctors and their patients prevent falls. Who’s at Risk?
Each year, almost 2 million people are treated in the emergency department for falls, and an additional 16,000 people die as the result of falls. The majority of these cases involve adults ages 65 and older. While there is no question that advancing age is a big risk factor, researchers have found that specific conditions put some people at even greater risk for falls. They include: • Stroke • Dementia • Walking and balance disorders • Muscle weakness in the legs and feet • Use of assistive devices to get around • A history of falling in the past year • Vision problems
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New Screening Guidelines
The American Academy of Neurology’s new guidelines encourage an open dialogue between doctors and patients about falls. This means discussing your own risk factors whenever you visit with your doctor. For example, inform your doctor if you have fallen in the past year. He or she may want to perform screening tests to evaluate your risk of falling again. “As neurologists, we are uniquely trained to evaluate patients for the many reasons falls can occur — for example, muscle weakness, disequilibrium, neuropathy and Parkinson’s disease,” says Tracey Cerbone, MD, of Martin Memorial Neurology Associates. “We are also equipped with state-of-the-art equipment for balance testing and work closely with physical therapists to restore function and improve safety.” If you are at risk of falling, your doctor will likely recommend prevention measures such as rehabilitation, getting regular physical activity and ridding your home of hazards such as throw rugs. Here are some other things you can do to avoid a fall:
• Get your doctor’s permission to begin a regular exercise program. Exercises that improve balance and coordination, such as Tai Chi, are helpful. Visit mmhs.com and click on “Services and Locations,” then “Fitness Centers,” to learn about the classes offered at the Martin Memorial Health and Fitness Centers. • Have your vision checked by an eye doctor at least once a year. • Ask your doctor or pharmacist to review all your medicines, which may be causing dizziness or confusion. • Make your home safer. For example, clear the floor of clutter, improve the lighting around stairs and other hazardous spots and install grab bars in the bathroom. • Wear supportive, low-heeled shoes. If you are experiencing dizziness or feel you are at risk of falling, talk with your physician. To find a doctor, visit mmhs.com and click on “Find a Doctor,” or call 1-866-361-HOPE (4673).
Winter 2010 For Your Health 7
Is Total Joint Replacement Surgery Right for You?
Y
our knee or hip has been damaged by arthritis, an old sports injury or some other condition — or it’s just worn from years of use. Walking, climbing stairs or getting out of a chair is painful; the joint may even hurt while you’re relaxing or sleeping. You’ve tried medications, physical therapy, exercises, changing your activity level and walking aids — but the pain won’t subside. If this sounds familiar, you may want to consider total joint replacement surgery.
techniques and materials used in joint replacement surgery continue to improve, giving patients a quicker return to normal function and more durable implants.” What to Expect
Surgeries on the Rise
If you and your doctor have decided that joint replacement surgery is the right choice for you, you are not alone. “Hip and knee replacement surgery is appropriate for many people who are currently suffering from pain. As the population grows older, more and more people are opting for this surgery. It has even become a popular option among younger people who do not want to live years in pain,” says Nathaniel Hill, MD, FAAOS, Nathaniel Hill, MD, FAAOS an orthopaedic surgeon on staff at Martin Memorial’s Center for Joint Replacement. According to the American Academy of Orthopaedic Surgeons, a combined total of more than 750,000 hip and knee replacement surgeries are performed in America each year. And researchers predict the demand for these surgeries will double by 2016. “Joint replacement surgery has been, perhaps, the most successful type of surgery in history in improving quality of life for patients with painful, crippling conditions,” says Steven Jordan, MD, FAAOS, an orthopaedic surgeon at Martin Memorial’s Center for Joint Replacement. “As technology evolves, the Steven Jordan, MD, FAAOS
8 For Your Health Winter 2010
Each total joint replacement surgery is different, depending on the amount of damage and the surgical technique used. In most cases, the surgeon removes diseased parts of the joint and replaces them with artificial parts that look and work much like the body’s natural joint. With advancements in materials and technology, total joint replacement has become one of the most reliable and long-lasting surgeries performed today. Some surgeons have begun to do minimally invasive joint replacement surgeries on certain patients. In these procedures, the surgeon uses smaller incisions — about half the size of those used in traditional surgeries. Because there is less damage to the surrounding tissues, patients recover more quickly and have smaller scars. Life After Surgery
After a few days in the hospital, most patients who have joint replacement surgery can resume common activities of daily living after three to six months. “One of the keys to the success of joint replacement surgery is vigorous rehabilitation starting immediately after surgery,” says Dr. Jordan. In addition to physical therapy, eating a healthy diet and developing an appropriate exercise program are essential. Most orthopaedic surgeons advise, however, against contact sports and activities that involve heavy lifting, running and jumping. Follow your doctor’s advice after surgery. If you are tired of living with knee or hip pain, talk with your doctor about your options. To learn more about joint replacement, visit mmhs.com and click on “Services and Locations,” then “Joint Replacement,” or call (772) 288-5848. To find an orthopaedic surgeon, visit mmhs.com and click on “Find a Doctor,” or call 1-866-361-HOPE (4673).
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Q&A
with Dr. James Hoffman Anterior Approach Total Hip Replacement
Q:
What is anterior approach total hip replacement?
A: Anterior approach total hip
replacement is a surgical procedure to replace the ball and socket joint of the hip. It is performed through the front of the hip. The surgery is used on patients with hip arthritis, hip fractures and other degenerative hip conditions.
Also, anterior approach total hip replacement does not cut or split any muscles or tendons. There is a space between two muscles in the front of the hip that is exploited to enter the hip joint. Because no muscles or tendons are damaged, recovery can be easier.
Q:
What are the advantages to anterior approach total hip replacement?
Q: Is this minimally invasive surgery? A: First, there are no restrictions or limitations after surgery. The other apA: I prefer to use the term “tissue- proaches involve restrictions on how you sparing.” Anterior approach total hip replacement is truly a tissue-sparing approach to hip replacement because it does not involve any cutting or splitting of muscles or tendons and does not damage the iliotibial band, a thick sheet of tissue on the outside of the thigh.
Q: How big is the incision? A: The size of the incision depends
on the patient. It can be as small as 3 inches, but that depends on how easy it is to visualize the anatomy of the hip.
Q:
How is this surgery different from standard hip replacement?
A: Most hip replacements are
performed through posterior or lateral approaches. The posterior approach involves replacing the hip through the back side of the hip, and the lateral approach replaces the hip through the side of the hip. Both of these procedures involve cutting through the iliotibial band. Many experts believe that the splitting of this tissue and the subsequent repair causes significant pain and loss of function during recovery. This tissue is not damaged at all with anterior approach total hip replacement.
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Q: Are there any patients who
cannot have anterior approach total hip replacement?
A: Yes. Patients that need revisions of previous hip replacements may not be candidates. Some types of hip fractures, hip deformities and certain types of hardware from previous surgery must be treated through other approaches. A simple physical exam and X-rays can determine whether anterior approach total hip replacement is possible.
can position your hip and leg and how you can sleep — patients often need to sleep with a special pillow between their legs to prevent hip dislocations. Second, since no muscles are cut and no tendons released, less function is lost and recovery can be quicker. Third, the surgery is performed with the patient lying on his or her back, which makes it easier to keep the leg lengths equal. Finally, we use live X-rays during the surgery. This makes it easier to guarantee good position of the hip replacement.
Q: Is this a new surgery? A: Not at all. This surgery has been
used for as long as hip replacements have existed. Design improvements in the implants have made this procedure more popular in recent years.
Q:
What are the disadvantages of this surgery?
A: None to the patient. For doc-
tors, it is more difficult to perform this procedure, and the surgery takes a little longer. It is important to mention that all of the surgical techniques have excellent outcomes.
James Hoffman, MD, is an orthopaedic surgeon on staff at Martin Memorial’s Center for Joint Replacement. He is one of very few surgeons on the Treasure Coast performing anterior approach total hip replacement.
Talk with your physician to find out if anterior approach total hip replacement is right for you. Learn more about joint replacement surgery by visiting mmhs.com and clicking on “Services and Locations,” then “Joint Replacement,” or by calling (772) 288-5848.
Winter 2010 For Your Health 9
Philanthropy Matters
TM
Year-End Planning for CDs and Bonds
W
hat do you plan to do with your CDs or bonds that are maturing? According to Bankrate.com, the current highest two-year CD rates are 2.3 percent, and one-year CD rates are 1.98 percent. What do you do if you have some of these CDs coming due in the next few months? Are you ready to turn to the stock market for a greater return? Or would you like to explore some other options? The Martin Memorial Foundation may have an option for you, especially if you have an interest in our health system and would like to invest in quality health care on the Treasure Coast. The Foundation offers charitable gift annuities, which we like to call “charitable IRAs.” Charitable gift annuities are one of the oldest and most commonly used forms of charitable giving. They are simple and cost-effective and can be reassuring in times of economic uncertainty. How Annuities Work
When you make an irrevocable gift of $10,000 or more, you receive a stream of income (an annuity) for the rest of your life — guaranteed. Part of the income you receive is tax-free. You also receive a very generous income tax charitable deduction, which could help to reduce your tax liability for the current year. Martin Memorial follows the annuity rates published by the American Council on Gift Annuities, and our program is registered with the state of Florida. See the example chart above for a minimum gift of $10,000.
Arthur M. “Rusty” Brink Jr., Vice President and Chief Philanthropic Officer, Martin Memorial Foundation
10 For Your Health Winter 2010
Want to Use Your IRA to Make a Gift?
Thanks to a deadline extension for the Emergency Economic Stabilization Act of 2008, if you are 70 ½ or older you have the opportunity until
Your Age
Your return annually
tax-Free Amount
Your Deduction
75
6.3% ($630)
$445
$4,488
80
7.1% ($710)
$524
$5,075
85
8.1% ($810)
$635
$5,684
Dec. 31, 2009, to use your IRA funds to make charitable gifts without the gift amount counting as a taxable distribution. These are some of the regulations: • Qualifying gifts can count toward your required minimum distribution (RMD) for this year and substantially reduce your taxable income. (Note: Effective Dec. 23, 2008, HR 7327 suspended the RMD rules for IRAs and defined contribution plans for calendar year 2009, which may serve as a disincentive for a donor to make an IRA charitable rollover as a gift in 2009.) • These charitable IRA transfers do not count toward the federal limits on deductible charitable contributions. This makes such transfers particularly attractive if you have made other gifts during the year equal to or in excess of the deductible limits, or if you have large unused deductions from previous years carried forward to this year. • In addition, charitable IRA transfers are often not subject to state income tax. This makes a charitable transfer from your IRA especially favorable if you are domiciled in a state that does not allow deductions for charitable contributions. (You save the amount of state tax you would have paid on the distribution.) Please let us know who the custodian of your IRA account is and the amount of your gift. This will enable us to send you a receipt and recognize your gift.
Your Gift Saves Lives For more information on potential charitable gift options or to make a gift to the Martin Memorial Foundation, call Arthur M. “Rusty” Brink Jr. at (772) 223-5635 or e-mail him at rbrink@mmhs-fla.org. You can also visit givemmhs.org for details on how you can make a lifesaving gift.
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$2 Million Gift to Benefit Children’s Services at Martin Memorial
O
n his 82nd birthday, David Smythe decided to give a gift rather than receive one. On Aug. 10, Smythe made a cash gift of $2 million to benefit children’s services at Martin Memorial. In gratitude for his generosity, a portion of Martin Memorial Medical Center that houses the maternal-child department will be named in his honor. It is the second large gift from Smythe, who made a $500,000 gift to Martin Memorial in June 2008 after being impressed with the care he received at the health system’s wound medicine center. In November 2008, the David L. Smythe Wound Center officially opened its doors after moving from its previous location to a new office at 314 Hospital Ave. in Stuart. “Getting a gift is not as rewarding as giving a gift. That’s why I wanted to do this on my birthday, because you receive a tremendous benefit from the act of giving,” Smythe says. “I wanted to be able to help children and their families, and this is one way I could accomplish that.” Funds will be used to support Martin Memorial’s maternal-child, pediatric rehabilitation and pediatric programs in Martin and St. Lucie counties. In addition, an endowment established by the gift will also provide annual funding for those programs, as well as other programs within the health system.
Smythe, who splits his time between Stuart and Summit, N.J., has a long history of community involvement, thanks in part to his business success. In 1959, he purchased an American Motor Corp. franchise in Summit and a few years later opened Smythe Volvo there. Today, the Smythe Volvo Organization is celebrating 50 years in the automobile sales industry and is one of the largest Volvo dealerships in the United States. “David has created a legacy of generosity that will benefit Treasure Coast residents for many years to come,” says Mark Robitaille, president and chief executive officer of Martin Memorial. “He truly understands the critical role philanthropy plays in providing exceptional health care to the community. Without it, we could not offer many lifesaving programs, such as those at the Robert and Carol Weissman Cancer Center or the Frances Langford Heart Center.” For more information or to make a gift to the Martin Memorial Foundation, call (772) 223-5634 or visit givemmhs.org.
On his 82nd birthday, David Smythe made a gift to Martin Memorial that will benefit the health system’s children’s services.
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Winter 2010 For Your Health 11
Short on Z’s? It Could Spell Trouble
P
eople who don’t get enough shut-eye have more than twice the risk of dying of heart disease compared with those who get the required amount of sleep. That’s the conclusion of a study in the journal Sleep. Scientists looked at sleep patterns and death rates in more than 10,000 middle-aged people during a 17-year period. The researchers found that those who reduced their sleep times from seven hours a night to five or fewer were much more likely to die of heart disease than those who consistently got seven hours. Lack of sleep can raise blood pressure, possibly resulting in stroke and heart attack. Too little sleep also may lead to gaining weight and developing diabetes, perhaps because it disrupts hormones that affect metabolism and appetite. “For patients with existing heart disease, sleep disorders — specifically obstructive sleep apnea — can further increase the risk for death,” says Vivek Kaul, MD, a pulmonologist with a fellowship in sleep medicine, on staff at Martin Memorial Health Systems.
than one-third of both men and women. Another study in Sleep blames our busy lifestyle. The more hours you work and the longer your commute is, the less likely you are to get enough sleep, say researchers. Slow Down
If a hectic pace is wreaking havoc on your sleep, try these tips: • Set limits with yourself and others. Figure out what you can do realistically — and say no to anything else. • Plan your time. Make a to-do list of what’s most important to you. • Write in a journal before bed. See your doctor if you regularly have trouble falling asleep, wake up a lot or if poor sleep disrupts your daily life. Visit mmhs.com and click on “Services and Locations,” then “Sleep Disorders,” or call (772) 223-4906 to learn about the services at the Martin Memorial Sleep Disorders Center.
Get Just Enough
Health experts recommend people get seven to eight hours of sleep a night. Unfortunately, sleep difficulties plague more
12 For Your Health Winter 2010
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ArtichokeCranberry Stuffing Serves 10
Winter Fruits with Punch:
Grapefruit and Cranberries
S
tep away from the holiday cookies. Instead, load your grocery cart with these two winter superfruits.
Grapefruit. A half-cup of this Florida
gem will give you 70 percent of your daily vitamin C and one-fifth of your daily vitamin A. Studies also show grapefruit: • May reduce heart disease risk because of compounds called flavonoids that bust cholesterol, clogged arteries and blood clots • Could fight hepatitis C • Helps keep blood sugar in check when combined with a protein If you’re taking prescription medications, check the labels before eating grapefruit or drinking grapefruit juice. It can sometimes cause harmful interactions.
Cranberries. Grown on vines in marshy
areas, these small red wonders are packed with heart-healthy antioxidants. Early research findings suggest cranberries may: • Prevent urinary tract infections, especially in women who have them frequently • Protect against ulcers and keep your teeth plaque-free
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Try them baked into breads or muffins, or dried in a tossed salad. The American Cancer Society, American Diabetes Association and American Heart Association all recommend eating five to nine servings of fruits and vegetables a day. “The more colorful the fruit or vegetable, the more nutritious it is,” says Sally Hastings, MS, RD, LD/N, Martin Memorial’s clinical outpatient dietitian and oncology nutritionist. “So, why not make a pact with your family to eat five-a-day during this holiday season by having fresh, cut-up fruits and veggies in the refrigerator for snacks? They are low in calories, high in nutritional value and might get you to 2010 without gaining weight!”
A variety of nutrition counseling, as well as group and private weight management services, are available at the Martin Memorial Center for Health and Healing to help you make healthy choices. For more information, visit mmhs.com and click on “Services and Locations,” then “Center for Health and Healing,” or call (772) 223-4916.
Ingredients 8 artichokes (medium size), prepared and cooked as directed for whole 2 cups chopped carrots 1 cup chopped onions 5 cups bread crumbs 2 cups cranberries, freshly chopped (for easier chopping, freeze cranberries and chop with a food processor fitted with a metal blade) 1 Tbsp. chopped fresh thyme, or 1 tsp. crushed dried thyme ½ tsp. ground allspice 1/3 cup orange juice Pepper to taste Directions 1. Remove outer petals from artichokes; save to enjoy as an appetizer or snack. Remove center petals and fuzzy centers of artichokes; trim out hearts. Chop hearts and place in a large bowl and set aside. 2. Steam carrots and onions for eight to 10 minutes, or until carrots are nearly tender. 3. Add steamed vegetables to artichokes; stir in bread crumbs, cranberries, thyme and allspice. Toss until well combined. 4. Sprinkle orange juice over mixture to moisten stuffing as desired. Toss well; season with pepper. 5. Bake stuffing in a lightly greased baking dish, covered, for 30 to 40 minutes. Per Serving (about 1/10 recipe) Calories 160, Total fat 1 g, Cholesterol 0 mg, Sodium 230 mg, Carbohydrates 35 g, Dietary fiber 11 g, Sugar 7 g, Protein 8 g Source: Centers for Disease Control and Prevention, “Fruits and Veggies: More Matters”
Winter 2010 For Your Health 13
Look What’s Happening Mark your calendar with these healthrelated events. For a complete list of community events, visit mmhs.com and click on “Calendar of Events.”
Cholesterol Screening in Jensen Beach
CARE: Cancer and Recovery Education Wednesday, Dec. 16, 5:30 to 6:30 p.m. Coping with cancer during the holidays, presented by Paulette Craft, clinical oncology social worker Robert and Carol Weissman Cancer Center, Second Floor, Board Room 501 E. Osceola St., Stuart Call (772) 223-5945, ext. 3699 to RSVP.
Stroke Support Group
Thursday, Dec. 17, 2 to 3:30 p.m. “Stress Busters” Stress Reduction Martin Memorial Medical Center, conference center 200 S.E. Hospital Ave., Stuart Call (772) 223-5945, ext. 3692, for information.
Cancer Support Group
Wednesdays, Jan. 6, 13, 20 and 27, 2 to 3:30 p.m. Robert and Carol Weissman Cancer Center, second floor classroom 501 E. Osceola St., Stuart Call (772) 223-5945, ext. 3719, for information.
Bariatrics Support Group
Wednesday, Jan. 6, 7 to 8 p.m. Martin Memorial Medical Center, conference center 200 S.E. Hospital Ave., Stuart Call (772) 223-4972 for information.
Saturday, Jan. 9, 7 to 9 a.m. Includes HDL, LDL and triglycerides; glucose screening and full lipid profile. $19 for fitness center members, $24 for nonmembers. Fast 12 to 14 hours prior. Martin Memorial Treasure Coast Health and Fitness Center 3496 N.W. Federal Hwy., Jensen Beach Call (772) 223-5683 for information.
Heart Link Cardiac Club Tuesday, Jan. 12, 2 to 3 p.m. Martin Memorial Medical Center, conference room B 200 S.E. Hospital Ave., Stuart Call (772) 221-2094 for information.
Free Balance Screening Thursdays, Jan. 14 and Feb. 4, 12 to 3 p.m. Take a free 20- to 25-minute computerized “sensory organization” balance test, which identifies problems in the body’s systems that are used for balance. Raub Rehabilitation Center, Smithfield Plaza 2189 S.E. Ocean Blvd., Stuart Call (772) 223-4936 to schedule an appointment.
CARE: Cancer and Recovery Education Wednesday, Jan. 20, 5:30 to 6:30 p.m. Chemotherapy basics and side effect management, presented by Paul Swanson, MD Robert and Carol Weissman Cancer Center, Second Floor, Board Room 501 E. Osceola St., Stuart Call (772) 223-5945, ext. 3699 to RSVP.
Welcome New Physicians! The following physicians recently joined the Martin Memorial team: Christopher Bailey, MD Radiology Adekunle Bamgboye, MD Internal Medicine Ruben Colman, MD Family Practice Gus Granada, MD Emergency Medicine Walter Lehnhoff, DO Internal Medicine Sharon Khan-Lepak, DO Family Practice Christopher Maguire, MD Emergency Medicine Lana Manley, MD Emergency Medicine Pete Papapanos, MD Obstetrics/Gynecology Jonathan Polhemus, MD Emergency Medicine
For a physician referral, call 1-866-361-HOPE (4673) or visit mmhs.com and click on “Find a Doctor.”
Cholesterol Screening in Stuart Susan G. Komen South Florida Race for the Cure Saturday, Jan. 30 Flagler Drive, Downtown West Palm Beach For more information, call (772) 223-5945, ext. 3704 or visit KomenSouthFlorida.org.
14 For Your Health Winter 2010
Saturday, Jan. 30, 7 to 9 a.m. Includes HDL, LDL and triglycerides; glucose screening and full lipid profile. $19 for fitness center members, $24 for nonmembers. Fast 12 to 14 hours prior. Martin Memorial Hospital South Health and Fitness Center 6001 S.E. Tower Rd., Stuart Call (772) 223-5776 for information.
mmhs.com
is now at the
Martin Memorial Health and Fitness Center at St. Lucie West
Whether you are a teenager, a boomer or a senior citizen, you can use the Kinesis™ training system. Kinesis™ is the newest, most innovative method of circuit training available. Kinesis™ equipment uses a unique cable and pulley system that recruits muscles of the entire body. Benefits of Kinesis™ training: • Kinesis™ means movement – your workout is movement education for your body. • Allows you to burn 30 percent more calories. • Improves functional strength, flexibility and balance. • Provides a whole-body fitness experience. • Injury prevention – the learned efficiency of movement helps to reduce incidence of injury. • Kinesis™ is just one of the exciting offerings you will find at the new Health and Fitness Center at St. Lucie West. Services will include a full line of cardiovascular and strength equipment, child care, exercise classes, massage therapy, lockers and shower facilities.
582 N.W. University Blvd., Suite 350 (772) 785-5522
Nonprofit Org. U.S. Postage PAID Martin Memorial Health Systems
P.O. Box 9010 Stuart, FL 34995-9010
5300M Please pass this magazine along to a friend or recycle when you are finished.
For Your Health is published four times a year by Martin Memorial Health Systems, P.O. Box 9010, Stuart, FL 34995-9010. Š 2009. All rights reserved. For Your Health and its graphic representation are trademarks. Reproduction without permission is strictly prohibited. No material in this issue may be reproduced without written permission.
All articles in For Your Health are written and edited by professionals in health care communications and reviewed for accuracy by appropriate specialists. For Your Health does not promote any form of medical treatment, nor does it encourage the selfmanagement of medical problems. It is meant to supplement, not replace, the advice and care of health care professionals.