PERSPECTIVE Winter 2019
New Exercise Program Helps Kick Leg Pain
Putting Out the Flames of Heartburn
U N L I K E LY P AT H L E A D S TO H E A RT S U R G E RY
PALOS MEDICAL GROUP WELCOMES NEW PHYSICIANS Sameen Ahmad, MD
Anam Ahmed, MD*
Kailash Bajaj, MD*
Board certified and specializing in Psychiatry, completed her residency at Duke University Medical Center, Durham, NC. She received her medical degree from The Aga Khan University, Karachi, Pakistan. Dr. Ahmad’s office is located at Palos Hospital, 12255 S. 80th Avenue, Suite 202, in Palos Heights.
Specializing in Internal Medicine, completed her residency at Hofstra Northwell School of Medicine, Brooklyn, NY. She received her medical degree from SUNY Downstate College of Medicine, Manhasset, NY.
Board certified and specializing in Internal Medicine, completed his residency at Prince George’s Hospital Center, Cheverly, MD. He received his medical degree from Kasturba Medical College, Manipal, India.
*Hospitalist providing general medical care to patients at Palos Hospital
Discrimination Is Against the Law
Perspective is a publication of Palos Health 12251 South 80th Avenue Palos Heights, IL 60463 708.923.4000 paloshealth.com
Palos Health complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. Palos Health does not exclude people or treat them differently because of race, color, national origin, age, disability or sex.
Terrence Moisan, MD President and CEO Heather Mascarello Editor, Perspective Osborn & DeLong Graphic Design
Palos Health focuses on… n Creating a better everyday life for our community
n Supporting healthy living while calming the anxiety of serious illness n Providing compassionate health care
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PALOS HEALTH PERSPECTIVE
Anthony J. Casini, DO
Amtul Hajira, DO
Specializing in General Surgery, completed his residency at Franciscan Health, Olympia Fields, IL. He received his medical degree from Midwestern University, Downers Grove, IL. Dr. Casini’s office is located at Palos Hospital’s St. George Ambulatory Clinic, 12251 S. 80th Avenue in Palos Heights.
Board certified and specializing in Family Medicine, completed her residency at Carle Foundation Hospital, Urbana, IL. She received her medical degree from Midwestern University, Downers Grove, IL. Dr. Hajira provides medical care at Palos Immediate Care, 15300 West Avenue in Orland Park.
Ilya Finkelshteyn, MD*
Aaysha Kapila, MD*
Specializing in Internal Medicine, completed his residency at University of Arizona Medical Center, Tucson. He received his medical degree from St. George’s University School of Medicine, Grenada, West Indies.
Board certified and specializing in Internal Medicine, completed her residency at East Tennessee State University, Johnson City, TN. She received her medical degree from Shri Guru Ram Rai Institute of Medical & Health Sciences, Dehradun, India.
Hemamaheswari Govindarajan, MD
Eugenia Kyriakopoulos, DO
Board certified and specializing in Family Medicine, completed her residency at Mount Sinai Hospital Medical Center, Chicago. She received her medical degree from Rajah Muthiah Medical College and Hospital Annamalai University, Tamil Nadu, India. Dr. Govindarajan provides medical care at Palos Immediate Care, 15300 West Avenue in Orland Park.
Specializing in Family Medicine, completed her residency at Saint Mary Mercy Hospital, Livonia, MI. She received her medical degree from Midwestern University, Chicago College of Osteopathic Medicine, Downers Grove, IL. Dr. Kyriakopoulos’ office is located at Palos Health South Campus – Building D, 15300 West Avenue, Suite 223, in Orland Park.
Jose Rivera Guerrero, MD*
Ather Malik, DO
Board certified and specializing in Internal Medicine, completed his residency at Englewood Hospital and Medical Center, Englewood, NJ. He received his medical degree from Instituto Tecnológico de Santo Domingo, Dominican Republic.
Board certified and specializing in Family Medicine, completed his residency at South Pointe Hospital – Fleet Medical Center, Cleveland, OH. He received his medical degree from Sindh Medical College (now known as Jinnah Sindh Medical University) in Karachi,
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Pakistan. Dr. Malik provides care at Palos Immediate Care, 15300 West Avenue in Orland Park.
Abhishek Mehta, MD Board certified and specializing in Family Medicine, completed his residency at Jackson Park Hospital Family Medicine Program, Chicago, IL. He received his medical degree from Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, India. Dr. Mehta’s office is located at Palos Health South Campus – Building D, 15300 West Avenue, Suite 223, in Orland Park.
Mary Monaco, DO Board certified and specializing in Neurology, completed her residency and fellowship at Northwestern Memorial Hospital, Chicago, IL. She received her medical degree from Midwestern University, Chicago College of Osteopathic Medicine, Downers Grove, IL. Dr. Monaco’s office is located at Palos Health South Campus – Building D, 15300 West Avenue, Suite 122, in Orland Park.
Anjana Nair, MD* Board certified and specializing in Neurology, completed her residency at the University of Illinois College of Medicine, Chicago and fellowships at the University of Illinois College of Medicine and the Medical College of Wisconsin, Milwaukee. She received her medical degree from Kerala Medical College, Kerala, India.
PALOS HEALTH PERSPECTIVE
Palos Health Welcomes
Jignasa Puri, DO Board certified and specializing in Family Medicine, completed her residency at Adventist La Grange Memorial Hospital, La Grange, IL. She received her medical degree from Midwestern University, Downers Grove, IL. Dr. Puri provides care at Palos Immediate Care, 15300 West Avenue in Orland Park.
Abraham Testa, MD* Board certified and specializing in Internal Medicine, completed his residency at John H. Stroger Jr. Hospital, Chicago. He received his medical degree from the University of Panama School of Medicine, El Dorado, Panama.
Anmol Tolani, MD Specializing in Psychiatry, completed his residency at University Hospitals Cleveland Medical Center/Case Western Reserve University, Cleveland, OH. He received his medical degree from American University of Antigua College of Medicine, Coolidge, Antigua. Dr. Tolani’s office is located at Palos Hospital, 12255 S. 80th Avenue in Palos Heights.
Thomas Zabiega, MD* Board certified and specializing in Neurology, completed his residency at West Suburban Medical Center, Oak Park, IL. He received his medical degree from Southern Illinois University School of Medicine, Springfield.
Angela Babbo, MD Radiation Oncologist, Alpha Med Physicians Group Sheila Barry, MD Infectious Disease, Metro Infectious Disease Consultants J. Bradford Bertumen, MD Infectious Disease, Metro Infectious Disease Consultants Humaa Bhatti, DO Pediatrics, George Skarpathiotis, MD, SC Ravi Desai, DO Anesthesiology, Palos Anesthesia Associates
Jeffrey Martin, MD Anesthesiology, Palos Anesthesia Associates Paul Park, MD Ophthalmology, with Dr. Matthew Schmidt Steven Quinn, MD Pulmonary & Critical Care, with Drs. Beri/Usmani Hareth Raddawi, MD Gastroenterology, with GI Associates Olga Radkevich-Brown, MD Dermatology, Pinnacle Dermatology Joyce Rii, DO Infectious Disease, Metro Infectious Disease Consultants
Daniel DeSimone, DO Internal Medicine, Metro Primary Care Associates
David Rhine, MD Electrophysiology, with Dr. Martin Burke
Joann Donoghue, DO Cardiology, DuPage Medical Group
Abigail Winder, MD Gynecologic Oncology, Loyola University Medical Center
Richard Harris, MD Internal Medicine, Southwest Physicians Associates, SC
Hung Jun Yun, MD Cardiology, Heart Care Centers
Rachel Holcomb, DO Pediatrics, with George Skarpathiotis, MD, SC Naveed Iqbal, MD Cardiology, Heart Care Centers Shilpa Iyer, MD Urogynecology, University of Chicago Avnit Kapur, MD Radiology, Radiology & Nuclear Consultants
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Wayne Lai, MD Anesthesiology, Palos Anesthesia Associates Kyle MacGillis, MD Orthopaedics, Parkview Orthopaedics
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PALOS HEALTH PERSPECTIVE
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We provide a 24-hour crisis and referral line
ES C I V R SE UDE: INCL
PALOS HEALTH ACTIVELY SUPPORTS 12 STEP AND FREE COMMUNITY SUPPORT GROUPS:
ation etoxific d d n a ent nt treatm s Inpatie rogram ation P z li a it p Hos Partial rams nt Prog e ti a tp e Ou ll as Intensiv , as we ts n e m s ices sses ng ser v ential a Confid hological testi ent psyc anagem m d n a n aluatio tion ev a ic d e M ps r y grou Recove apy ily ther m fa d n ual a Individ
SMART Recovery SMART Recovery Friends & Family Emotions Anonymous Families Anonymous Al-Anon Alcoholics Anonymous
paloshealth.com/medical-services/behavioral-health/ Not sure where to begin? Call Palos Behavioral Health at: 708.460.2721
Find out more at:
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PALOS HEALTH PERSPECTIVE
READY SET i GO! PAD Patients Get Moving A long stroll is great exercise, but for many older adults it can be almost impossible due to leg pain. Adults over 50 may chalk up leg cramps and discomfort to “old age” or conditions like arthritis, when in fact they could be suffering from a relatively common condition known as PAD (peripheral arterial disease). If they ignore the pain and fail to receive a diagnosis, they could be at an increased risk for heart attack, stroke and possible limb amputation. Such was the case for retired Cook County sheriff Gloria Williams. For two years, she could barely walk across a room without needing to sit down. “I was using a cane, and the pain got so bad I couldn’t put my shoes and socks on,” she says. “I was very depressed.”
show that patients who have PAD have as much risk of having a heart attack or stroke as patients who have known coronary artery disease. It’s important to identify patients with PAD and offer them risk modifications for those factors we know contribute to developing the disease,” he says. Dr. Sur initially recommended a stent be inserted in Gloria’s leg to help clear her blocked arteries, but Gloria was wary of any invasive procedures and put off having anything done. However, in May of 2018 the Palos Cardiac Rehabilitation Department launched its new SET (Supervised Exercise Therapy) program for PAD patients. Based on recommendations from the AACVPR (American Association of Cardiovascular and Pulmonary Rehabilitation), the program helps combat the effects of PAD and prevent further disease progression.
Eventually, Gloria consulted cardiologist James P. Sur, M.D., F.A.C.C., for help. “When I first saw Gloria, she was in pain, and her legs and feet were discolored,” recalls Dr. Sur. “Tests confirmed she had moderately severe PAD, which occurs when arteries to the lower extremities become blocked due to plaque buildup.” According to Dr. Sur, cardiologists often treat PAD patients, as the process of developing PAD is comparable to that of developing coronary artery disease. “The risk factors for both diseases are similar, with diabetes and smoking being major causes. Studies
SET program. “I didn’t think it was going to work, but Dr. Sur really encouraged me.” Three times a week for 12 weeks, she performed various exercises under the supervision of a registered nurse, working to alleviate pain and improve blood flow to her legs. Within a few weeks, Gloria’s movement had dramatically improved. “I went from barely walking to walking in three weeks. I can go down stairs and stand and wash dishes. I can dance too! I smile all the time because I feel good.” Another benefit of the program for Gloria was making a new friend, fellow SET program participant Luanna Domke, from Tinley Park. Like Gloria, Luanna heard about the program when she began seeing Dr. Sur for treatment.
Dr. Sur suggested Gloria give the program a try. “Studies have shown SET to be as effective as some oral medications,” he explained. “Often simple exercise can increase blood vessel growth in the areas that need more blood flow. It also allows for conditioning of the leg muscles to better utilize the oxygen being provided.” With her doctor’s order, Gloria began the SET program. At first, Gloria was skeptical about the
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Luanna and Gloria became friends while attending the SET Program at Palos Hospital.
PALOS HEALTH PERSPECTIVE
“I was diagnosed with PAD a while ago, but was told it was not serious,” explained Luanna. “Even though my husband and I walk almost every morning, I was dealing with pain and difficulty climbing stairs. Dr. Sur recommended I attend the new exercise program at Palos.”
demonstrate the improvement that can be achieved through walking. SET can be used prior to an invasive procedure or as an adjunctive therapy for those who have had an invasive procedure or vascular surgery.” Gloria has nothing but high praise for the new program. “Coming to Cardiac Rehabilitation was a challenge and an adventure,” said Gloria. “The nurses were patient, but they pushed me to help me walk and climb stairs. This program made me feel human again.”
Now that she has completed the program, Luanna finds her leg discomfort is greatly diminished. “The pain goes away within maybe 10 minutes of walking,” she states. “I’m hoping the program will help put off more invasive treatments down the road.” Kristyn Humbles, BSN, CCRP, a cardiac nurse who helped launch the SET program at the hospital, has been very encouraged by the improvements she has seen. "It’s been wonderful to see symptoms improve and walking ability increase. Quality of life has been enhanced as patients are now able to do many things they could not do before. It’s exciting to see how the program has positively impacted patients’ lives!" “The SET program offers patients the most comprehensive care available for PAD,” states Dr. Sur. “It’s a fantastic opportunity to
Gloria and Luanna keep in touch and encourage each other to continue their workouts at home. “We agreed to check in and and see how the other is doing,” said Luanna. “Gloria was very motivating to all of us at the SET therapy sessions. Her condition was severe, but you felt if she could do the workouts, you could too.” Talk to your doctor about PAD and learn if the SET program may be right for you. A doctor referral is needed to begin the program. In many cases SET therapy is approved by Medicare or major insurance carriers.
Suzanne Sipich, RN, BSN, CCRP, helps Luanna with the treadmill portion of her SET therapy. WINTER 2019
Signs & Symptoms of PAD*: Talk to your doctor if you experience any of the following symptoms: Painful muscle cramping in the hips, thighs or calves when walking, climbing stairs or exercising Leg pain that does not go away when you stop exercising Foot or toe wounds that won't heal or heal very slowly Gangrene, or dead tissue A marked decrease in the temperature of your lower leg or foot, particularly compared to the other leg or to the rest of your body Poor nail growth on the toes or hair growth on the legs Erectile dysfunction, especially in men with diabetes *According to the American Heart Association
Contact Palos Cardiac Rehabilitation with questions or to make an appointment at 708.923.5188.
Gloria exercises with the NuStep machine during her SET therapy at Palos Hospital.
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A New Normal: Adjusting to Life After ICU Stay Being released from a hospital’s Intensive Care Unit is a big step forward on the road to recovery, yet often the physical and emotional effects of being in such a stressful environment can linger. Post-Intensive Care Syndrome (PICS) is a very real condition that, until recently, was not widely recognized or understood. Former ICU patients may deal with physical symptoms like muscle weakness, cognitive issues including memory loss, concentration and problem-solving difficulties, and psychological issues such as depression, anxiety or even post-traumatic stress disorder (PTSD). Some of the above conditions can affect loved ones as well, and the Society of Critical Care Medicine estimates that at least one-third of family members experience PICS. Based on research and personal experience, Palos Health realized that support was needed in the community for post ICU patients and their families. A hospital team made up of nurses, doctors, social workers, and information systems personnel came together to develop the PICS Support Group with the goal of offering guidance and intervention to help reduce the difficulty of recovery from a critical illness. Since its inception in September 2017, the group has been a valuable resource for patients and loved ones on the road to recovery. Patients can attend as many meetings as they like; some have come to one meeting while others have been more regular. “It’s important for patients and family members to be heard and under-
stood, and we are pleased to offer a forum for them to share their stories. Our featured guest speakers address related issues, providing further insight,” according to group facilitator Dee Dee Goodale-Mikosz, LCSW. “People who have been in the ICU may find it difficult to grasp their place in the world. Many are learning how to transition to a new normal. We find that our group members need help with day-to-day living and adjusting to their current reality,” says group leader Sue Wagner, ICU practitioner – teacher. Chicago resident Marilyn was admitted to the Palos ICU with a serious illness. She ended up staying in the ICU for one month. After her discharge, she was unable to talk, walk or even feed herself. Marilyn attended her first PICS Support Group with her sister, who learned of the group through the hospital. “The facilitators were able to help me deal with some of the symptoms I was still experiencing, including moving slower and being more emotional. They helped me learn how to handle all those feelings. Sometimes I don't think people realize all that I went through and what I'm still going through; it was good to be around others that understood,” explained Marilyn. Since family members and caregivers can also face stress, anxiety and symptoms of depression that fall under the category of PICS, the Palos PICS group is open to them as well.
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“Caregivers can be so focused on their loved one that they neglect their own health. The stress of being in an unfamiliar environment and the anxiety of making important medical decisions can affect them for a long time,” observes Sue. “Others need guidance in understanding their loved one’s experience and a reminder that recovery for everyone can take time. Everyone’s needs are different, and we strive to meet them at their level.” The PICS Support Group is open to anyone who spent time in a hospital Intensive Care Unit, no matter how long ago. The group meets at Palos Hospital from 6 to 7:30 pm, the first Thursday of every month. Please call 708.923.4800 with questions or if planning to attend.
PICS Symptoms* Difficulty remembering, paying attention, solving problems, and organizing and working on complex tasks Depression and anxiety Posttraumatic stress disorder (PTSD), including avoiding thinking or talking about the ICU stay Problems falling or staying asleep Nightmares and unwanted memories ICU-acquired muscle weakness (ICU-AW) Balance issues *According to the Society of Critical Care Medicine
PALOS HEALTH PERSPECTIVE
Palos Health Employees
HOLIDAY GIVING Filled and donated 1,300 eggs with candy and arranged an Easter egg hunt for children at the crisis center.
Adopted five families for the holidays and donated 12 boxes and 12 stockings filled with gifts.
SERVICE
Year round, many of our employees donate their time and resources to support local charities through the Palos Health Employee Volunteer Program.
DONATIONS Shipped 40+ boxes overseas to active duty military personnel, with items including socks, T-shirts, hand warmers and thank-you cards.
Donated 25 backpacks for children returning to school whose families are struggling with basic expenses.
Donated 325 pairs of pajamas to families in temporary crisis and struggling to afford basic necessities on top of living expenses.
Prepared and served more than 200 meals to help individuals without a home.
Gave 25 boxes of food to a homeless prevention agency that helps supply qualifying families with basic necessities.
Organizations and Events Our Employees Supported in 2018 Southwest Half Marathon • Making Strides Breast Cancer Walk • Chicago Ridge Animal Shelter Crisis Center of South Suburbia • BEDS Plus • Together We Cope • Special Olympics Wreaths Across America • Americares • Feed My Starving Children
How One Man Found Relief from Long-standing Heartburn “I would have heartburn after every single meal,” says Robert Katcher, a 67-year-old of Peotone. “It was especially painful after eating spicy or tomatobased foods, such as salsa or pasta with marinara. During the night, I would wake up with my chest feeling like it was on fire.” The heartburn Robert describes plagued him for more than 30 years. It wasn’t until March 2018 that he found relief, thanks to a robotic-assisted surgery at Palos Hospital. Long before his surgery, Robert’s primary care physician referred him to a gastroenterologist, who diagnosed him with gastroesophageal reflux disease (GERD), a common condition that occurs when food and stomach acid back up into the esophagus. The gastroenterologist prescribed him acid-blocking medication and suggested dietary and lifestyle adjustments, such as eating smaller, more frequent meals and losing weight.
Robert Katcher enjoys a cup of coffee — a drink he avoided while suffering from GERD.
At first, those treatments calmed Robert’s heartburn, but over the years their effectiveness waned and his symptoms progressed. Instead of contending with just heartburn, he eventually had difficulty keeping food down, to the point of throwing up soon after eating. Around this time, Robert went in for an endoscopy
to examine his esophagus for changes due to his long-term GERD. Dr. William Kosmala, Robert’s current gastroenterologist, conducted the procedure and discovered more than expected. As it turns out, Robert had a hiatal hernia, a condition causing his stomach to shift into his chest cavity. It is likely that this hernia was the culprit for his long-standing battle with GERD and had simply gone undetected for years, becoming worse with time as his stomach moved gradually from its natural position in his abdomen by pushing into his chest cavity.
Causes and Symptoms of GERD GERD can be caused by:
Other symptoms of GERD can include:
increased pressure on the abdomen from being overweight, obese or pregnant
bad breath nausea
certain medications, including calcium channel blockers, painkillers and antidepressants
pain in your chest or the upper part of your abdomen
smoking
problems swallowing or painful swallowing respiratory problems
hiatal hernia
vomiting
The most common symptom of GERD is regular heartburn, a painful, burning feeling behind your sternum and in the middle of your abdomen.
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wearing away of your teeth Source: National Institute of Diabetes and Digestive and Kidney Diseases
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Depending on the severity of a hiatal hernia, individuals with the condition may not have any symptoms or they may have symptoms ranging from mild reflux to those as intense as Robert’s, in which it’s difficult to even keep food down. GERD resulting from a hiatal hernia can be managed through diet and medication, but for some individuals, surgery may be the best option – this was the case for Robert. “Many patients with GERD, even those with an underlying condition, find significant relief by taking medication, specifically a group of medications called proton pump inhibitors,” explains Dr. Kosmala. “However, due to the mechanical nature of Robert’s problem and the degree to which it had developed, surgical remediation eventually became necessary.”
Paul Gordon, MD, stands next to the daVinci® robot that he used to perform Robert’s surgery.
gastroenterologist when determining if surgery is a good treatment option for them.” While Robert loves to travel, for a while his GERD symptoms kept him close to home. However, since his surgery, he has traveled to Colorado, where he hiked in the mountains with friends, and to Arizona, where he hiked again and attended a football game to watch his beloved Bears take on the Cardinals.
Dr. Paul Gordon, a cardiovascular and thoracic surgeon, performed Robert’s surgery at Palos Hospital. The surgery accomplished three tasks: pulling Robert’s stomach back into its natural position, repairing the hernia in his diaphragm, and wrapping the top portion of the stomach around the lower part of the esophagus to tighten it to prevent reflux.
Thanks to his surgery, the road is once again wide open for Robert. “I feel like I have another 20,000 miles left under the hood,” he says. “And now I can truly enjoy the drive ahead.”
To carry out this three-part operation, Dr. Gordon used the daVinci® Surgical System, a robotic system with several arms and a 3D scope camera controlled by the surgeon. According to Dr. Gordon, the daVinci® system was ideal for Robert’s surgery because it enabled him to perform precise surgical movements within the tight confines of the region of the chest cavity into which Robert’s stomach had moved.
Talk to your doctor if you have signs or symptoms of GERD. Looking for a doctor? Visit paloshealth.com/doctor to find a family doctor or gastroenterologist.
Benefits of Robotic-Assisted Surgery
It’s been nearly a year since Robert’s surgery, and after decades of battling unrelenting heartburn and nausea, today he says, “I feel great. I eat just about anything I want to without having reflux. I no longer have the discomfort of food and stomach acid backing up.”
Nearly 30 physicians perform robotic-assisted surgery at Palos Hospital, which is home to two daVinci® Surgical Systems. Robotic-assisted surgery may offer important potential advantages to patients, including:
Surgery has given Robert relief, and can be a good option for certain individuals. “I advise patients with GERD and underlying conditions, such as Robert’s hiatal hernia, to consider surgery when their symptoms are unmanageable through treatment with medications and dietary adjustments,” says Dr. Gordon. “Surgery should also be considered if you start to develop esophagitis, narrowing of the esophagus, or some other complication. Patients should consult with their WINTER 2019
Shorter hospital stay Faster recovery time Less post-operative pain Reduced scarring Decreased chance of infection Reduced blood loss Lower risk of complications
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Walking Tall After Infection Leads to Open Heart Surgery Most people hear “open heart surgery” and think bypass or pacemaker. But for one Lemont resident, the procedure was a lot less straightforward than clogged arteries or an irregular heartbeat. John Kwak was in good health when he was diagnosed with kidney stones in October of 2017. Relatively common, kidney stones occurs when crystalline mineral material hardens in the kidneys. Although painful, most kidney stones eventually pass on their own without medical intervention. John later developed a urinary tract infection (possibly due to the kidney stones) and was put on antibiotics. Despite waiting it out for weeks on the medication, John never got better. He was often tired and lacked his usual energy. “I was sleeping a lot, even dozing off while watching television, which was unusual for me. I had constant neck pain, and I developed a cough. Finally, when my feet and ankles started to swell, my brother insisted that I go to the hospital.” WINTER 2019
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John took his brother’s advice and went to the Palos Hospital Emergency Department. Once there, doctors quickly determined his cough was due to fluid in his lungs. However, further tests revealed the presence of bacteria in his blood. More testing—including an ultrasound of John’s heart—followed. Finally, doctors were able to pinpoint the cause of John’s distress: endocarditis. Endocarditis is an infection of the endocardium, most often involving one of the heart valves. It can occur when bacteria from another part of the body spreads through the blood and makes its way to the heart. If not treated quickly, it can lead to life-threatening complications. “Once the doctor determined that it was a heart issue, everything seemed to happen quickly,” said John. “There were several disciplines all working together on a solution, because it was a complicated case. I was concerned, but everyone took care to answer all of my questions to put me at ease.”
PALOS HEALTH PERSPECTIVE
“ I was so impressed with everyone at Palos. From the surgeons and doctors to the nurses and therapists in rehab, no one dropped the ball.” — John Kwak John’s care team at Palos included infectious disease specialist Kiran Dhillon, MD, cardiologist Roland Winterfield, MD, and cardiovascular surgeon George Hodakowski, MD. Together, they collaborated to develop a specialized treatment for John, based on the unique aspects of his particular case. Although endocarditis can be treated with antibiotics, the doctors agreed that open heart surgery was his best option. Dr. Hodakowski explained, “The bacterial infection had damaged Mr. Kwak’s aortic valve, resulting in severe leakage of the valve, otherwise known as aortic insufficiency. The only prudent treatment was an aortic valve replacement.”
John was able to leave the hospital one week after his surgery. An order from his physician for home health care allowed him to continue to recover in the comfort of his home. Since the risk of infection was still high, John went home with a PICC line (peripherally inserted central catheter) in his arm so that he could receive intravenous antibiotics. Every day during the first week, a nurse came to clean and dress the PICC line, as well as offer needed instruction. In addition, a scale and blood pressure machine offered continuous monitoring of John’s condition, feeding the information back to nurses at the hospital. Palos Home Health aides came regularly to help with showering and light housekeeping.
Signs and Symptoms of Endocarditis Endocarditis can develop slowly or suddenly, depending on the germs causing the infection and whether there are any existing heart problems. Symptoms can vary but according to the American Heart Association, common signs include:
“At first I thought it was ridiculous that I had to go home with all this equipment,” said John. “But the people from Palos Home Health really helped me get used to living with it. They were so accommodating and understanding about all my questions.” Once John finished with antibiotics and had healed adequately, he was ready to begin rehab at Palos with Cardiac Rehabilitation. For three months, three days a week, John did specific cardiac exercises to improve strength and endurance, along with stretching exercises to help increase his flexibility and decrease the risk of exercise-associated injuries. “Everyone at rehab was so encouraging. I liked going because people were smiling and happy at every visit. I never felt like I was at a hospital when I was there.” Today, John feels back to his normal self, doing all the activities he was too tired to do before, including grilling and gardening at his Lemont home as well as photographing area nature, especially flowers, birds and butterflies. “I was so impressed with everyone at Palos,” continued John. “From the surgeons and doctors to the nurses and therapists in rehab, no one dropped the ball. I wouldn’t hesitate to recommend Palos for cardiac care—or any care—to anyone.”
Flu-like symptoms, such as fever and chills Fatigue
Visit paloshealth.com/ medical-services/hearthealth-care to find out more about cardiac services and treatments offered through Palos Health.
Aching joints and muscles Night sweats Swelling in feet, legs or abdomen Fast heart rate Persistent cough
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PALOS HEALTH PERSPECTIVE
CLASSES, EVENTS & GROUPS WINTER
2019
WELLNESS Take Better Care of Your Back Learn how posture, body mechanics and other forms of physical therapy can be used to prevent or manage back pain. This workshop is led by a Palos physical therapist. Registration is required. TIME/DATE: 6 - 7 p.m., Wednesday, February 6 LOCATION: ACC1 Conference Room, Palos Hospital, 12251 South 80th Avenue, Palos Heights (please park in lot 4 or 5 and enter through Rehabilitation Services) REGISTRATION: 708.226.2300 COST: Free
Diabetes Prevention: Living on the Border
NUTRITION Cooking for One, Two or a Few Singles, empty nesters and small households can all benefit from learning how to create healthy meals on a smaller scale. Avoid the fastfood mealtime solution while making the most of your grocery dollars. Shopping and meal prep tips will be discussed, as well as ways you can keep food from going to waste. Taught by registered dietitian nutritionist Loretta Wojtan. TIME/DATE: 6:30 -7:30 p.m., Tuesday, January 22 LOCATION: Palos Hospital Auditorium, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: Free
Cultivating a Plant-Based Diet Learn about the health benefits of eating mostly fruits, vegetables and whole grains. Discover ways to incorporate recommended amounts of protein, vitamins and oils in your diet to maximize nutritional intake. Taught by registered dietitian nutritionist Lela Iliopoulos. TIME/DATE: 6:30 -7:30 p.m., Thursday, March 14 LOCATION: Palos Hospital Auditorium, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: Free
Led by a Palos diabetes educator, this class offers lifestyle modifications to help you eat healthy and lose weight. Learn how losing just five to ten percent of your body weight can make a difference in delaying or preventing diabetes. TIME/DATES: 1 - 2 p.m. Tuesdays, January 8 or March 12 LOCATION: Palos Diabetes & Metabolism Center, Suite 122, Building D, Palos Health South Campus, 15300 West Avenue, Orland Park TIME/DATES: 6 - 7 p.m. Tuesdays, February 12 or April 9 LOCATION: ACC1 Conference Room, Palos Hospital, 12251 South 80th Avenue, Palos Heights (please park in lot 4 or 5 and enter through Rehabilitation Services) REGISTRATION: 708.226.2300 COST: $10/individual; $15/couple (max 10 people)
Your Diabetes Game Plan Don’t get sidelined by diabetes! Our nationally recognized Diabetes Program gives you the tools you need to manage the physical and emotional aspects of this disease. Get information about nutrition and physical activity, instructions on blood glucose monitoring and a customized eating plan. Note: A physician referral is required to join the program. INFORMATION: For additional information, including meeting times, call 708.226.2626. LOCATION: Palos Diabetes & Metabolism Center, Suite 122, Building D, Palos Health South Campus, 15300 West Avenue, Orland Park
Nutrition for Your Heart Understand how limiting saturated fat, sugar and sodium while adopting
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a predominantly plant-based wholesome diet can reduce your risk of heart disease, heart attack and stroke. Taught by a Palos registered dietitian nutritionist. INFORMATION: For additional information, including meeting times, call 708.226.2300. LOCATION: Palos Hospital, 12251 South 80th Avenue, Palos Heights
Courage to Quit This seven-week program is designed for adults who are ready to quit smoking. Offered by the Respiratory Health Association. Maximum 10 participants per class. TIME/DATES: 9 - 10 a.m., Mondays beginning January 7, March 4 or April 29 TIME/DATES: 6:30 - 7:30 p.m., Wednesdays beginning January 9, March 6 or May 1 LOCATION: Conference Room B, Palos Hospital, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: Free
A Matter of Balance Maintain your independence and reduce your fall risk. Led by physical or occupational therapists from Palos Health, this program emphasizes practical strategies to decrease risk and increase activity level. Know a loved one who might benefit? Gift certificates now available for purchase! TIME/DATE: 10 a.m. - noon, Tuesdays, March 5 - April 23 or May 7 - June 25 LOCATION: Orland Park Fitness Center, 15430 West Avenue, Orland Park TIME/DATE: 10 a.m. - noon, Wednesdays, March 6 - April 24 or May 8 - June 26 LOCATION: ACC1 Conference Room, Palos Hospital, 12251 South 80th Avenue, Palos Heights (please park in lot 4 or 5 and enter through Rehabilitation Services) REGISTRATION: 708.226.2300 COST: $80
Nutrition and Cancer Good nutrition can be a challenge when dealing with cancer and treatment. Learn how to eat to maintain body weight, cut the risk of recurrence, reduce nausea and improve your overall quality of life. Led by registered dietitian nutritionist Lela Iliopoulos. TIME/DATE: 2- 3 p.m., Wednesday, February 20 LOCATION: Palos Hospital Woodland Café Conference Room, 12251 South 80th Avenue, Palos Heights
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REGISTRATION: 708.226.2300 COST: Free
FAMILY-CENTERED Birth, Babies and Beyond Express Get the most out your birthing experience. In a relaxed setting, expectant mothers and their support person learn about labor, birth, medical interventions, physical and emotional changes after birth, infant care and more. TIME/DATES: 8 a.m. - 4 p.m., Saturdays, January 12, February 2, March 9 or April 6 LOCATION: Palos Hospital Childbirth Classroom, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: $85/couple, meals provided
Baby Basics This three-hour class offers up-todate information on caring for a newborn. Topics include: feeding, diapering, bathing, growth and development, infant stimulation, newborn characteristics and behavior, infant-soothing techniques, signs of illness, immunizations, choosing baby equipment, car seat safety and general safety. TIME/DATES: 6:30 - 9:30 p.m., Wednesdays, January 30, February 27, March 27, April 17 TIME/DATES: 8 - 11 a.m., Saturdays, January 26, February 16 or April 27 LOCATION: Palos Hospital Childbirth Classroom, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: $20/couple
Breastfeeding Basics A Palos lactation consultant provides the basics for successfully nursing your baby. This class covers breastfeeding advantages, practical techniques, pumping, storing, returning to work, dad’s role and family support. TIME/DATES: 6:30 - 9 p.m., Thursdays, January 10, February 14, March 14 or April 18 TIME/DATES: 8 - 10:30 a.m., Saturdays, January 19, February 9, March 16 or April 13 LOCATION: Palos Hospital Childbirth Classroom, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: $20/couple
Infant/Child/Adult CPR Be prepared to act in an emergency. This American Heart Association
PALOS HEALTH PERSPECTIVE
class is intended for anyone, 11 years and older, interested in learning cardiopulmonary resuscitation techniques to assist infants, children and adults in distress. Note: This is not a class for CPR certification. TIME/DATES: 6 - 9 p.m., Thursdays, January 3, 17; February 7, 28; March 7; or April 11 or 25 LOCATION: Palos Hospital Childbirth Classroom, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: $30/person
Birthing Center Tour One of the most important decisions to make when expecting a baby is where to deliver your child. Learn how Palos is different from other hospitals through our single-room maternity care, where labor, delivery, recovery and postpartum all take place in private rooms. TIMES/DATES: 6 - 6:45 p.m., select Wednesdays and Thursdays; 11 11:45 a.m., select Saturdays. Call for dates. LOCATION: Palos Hospital, 12251 South 80th Avenue, Palos Heights REISTRATION: 708.226.2300 COST: Free
Joy of Grandparenting Are you welcoming a grandchild? Explore the many facets of the grandparent role and learn about family adjustment, as well as ways you can support the new parents. An update on childbirth practices, the latest in baby care and a tour of the Birthing Center are included. TIME/DATE: 7 - 9:30 p.m. Thursdays, January 24 or March 21 LOCATION: Palos Hospital Childbirth Classroom, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: FREE
Nursing Moms Network Get the support you need when it comes to breastfeeding. Meet and share experiences with other mothers and receive ongoing guidance and support from an experienced lactation consultant. Day and evening groups now open! TIME/DATES: 11 a.m. - 12:30 p.m., most Tuesdays TIME/DATES: 6 - 7:30 p.m., third Monday of each month LOCATION: ACC1 Conference Room, Palos Hospital, 12251 South 80th Avenue, Palos Heights (please park in lot 4 or 5 and enter through
Rehabilitation Services) REGISTATION: 708.226.2300 COST: Free
friends caring for a loved one in the last years of life. REGISTRATION: Call for details, 630.923.4970 COST: Free
I’m a Big Brother/Big Sister! Future siblings can learn what to expect with a new baby and how they can be a help to their growing family. Class includes a short tour of the birthing unit. Appropriate for children ages 3-9 years of age; children should bring a doll or stuffed animal to class. TIME/DATES: 4 - 5 p.m., Wednesdays, January 16 or March 13 LOCATION: Palos Hospital Childbirth Classroom, 12251 South 80th Avenue, Palos Heights, REGISTRATION: 708.226.2300 COST: $5/child with a maximum of $15/family
SUPPORT GROUPS Look Good … Feel Better Look your best during cancer-fighting treatments with training from cosmetic industry professionals. Learn makeup, skin and nail care techniques as well as how to wear wigs, hats and scarves to enhance your appearance. This non-medical program is offered in partnership with the American Cancer Society. TIME/DATES: 3 - 5 p.m., Tuesdays, February 12 or May 7 LOCATION: Conference Room C, Palos Hospital, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: Free
Network with others experiencing lymphedema while receiving updates on products, community resources and management strategies. TIMES/DATES: 5:30 - 6:30 p.m., Wednesday, March 13 LOCATION: ACC1 Conference Room, Palos Hospital, 12251 South 80th Avenue, Palos Heights (please park in lot 4 or 5 and enter through Rehabilitation Services) REGISTRATION: 708.226.2300 COST: Free
Offered by professionals from Palos Home Health Care, this group provides emotional and practical support for family members and
Offered by rehabilitation professionals from Palos Health, this group provides information and practical support for preventing falls, increasing activity level and maintaining and improving independence. Each group includes a demonstration of tai chi or other exercises. TIME/DATES: 10 - 11 a.m., first Thursday of the month (no group January, February, July or December; 2019 group begins in March) LOCATION: Palos Hospital Auditorium, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: Free
Post-Intensive Care Syndrome (PICS) Support Group PICS is a condition of health problems that may remain after critical illness has been resolved. The PICS Support Group offers guidance and interventions to reduce the difficulty of recovery. TIME/DATES: 6 - 7:30 p.m., first Thursday of each month LOCATION: ACC1 Conference Room, Palos Hospital, 12251 South 80th Avenue, Palos Heights (please park in lot 4 or 5 and enter through Rehabilitation Services) REGISTRATION: 708.923.4800 (Please leave a message if planning to attend; include contact information.) COST: Free
Lymphedema Support Group
Caregiver Support Group
Fall Prevention Support Group
SMART Recovery SMART Recovery is an abstinencebased mental health and educational program focused on changing addictive behaviors. Weekly meetings focus on ideas and techniques to help participants change from a selfdestructive and unhappy life to one that is constructive and satisfying. TIME/DATES: 8-9 p.m., most Tuesdays LOCATION: Conference Room B, Building A, Palos Health South Campus, 15300 West Avenue, Orland Park REGISTRATION: 708.460.2721 COST: FREE
SMART Recovery Family & Friends SMART Recovery Family & Friends offers a supportive group environment for those affected by the substance abuse or addiction issues of others. Participants receive education, skills and training on how to develop a healthier relationship with their loved one, including how to increase the likelihood of recovery. TIME/DATES: 6-7 p.m., most Thursdays LOCATION: Suite 313, Building C, Palos Health South Campus, 15300 West Avenue, Orland Park REGISTRATION: 708.460.2721 COST: FREE
Breaking Free from Depression If depression is keeping you from living the life you want, don’t hesitate to seek help. From therapy to medications to healthy lifestyle changes, there are many effective treatments that can help. Palos Behavioral Health professionals will introduce you to easy-to-learn skills and concepts to help manage depression symptoms and offer available resources for treatment and support. Presented by Diane Bennett, LCSW and Katherine Dahlberg, PhD. TIME/DATES: 6 - 7 p.m., Wednesday, April 10 LOCATION: Conference Room A, Building A, Palos Health South Campus, 15300 West Avenue, Orland Park REGISTRATION: 708.226.2300 COST: FREE
Addiction and Your Loved One: Skills and Strategies to Help Is someone in your life struggling with excessive alcohol use, substance use or other addictions? Palos Behavioral Health professionals will demonstrate skills that encourage your loved one to choose recovery. Resources for treatment and support for those suffering from addictions, as well as for family members and friends, will be shared. Presented by Cynthia Blanton, LCSW, and Janet Laforte, RN. TIME/DATES: 6 - 7 p.m., Wednesday, March 13 LOCATION: Conference Room A, Building A, Palos Health South Campus, 15300 West Avenue, Orland Park REGISTRATION: 708.226.2300 COST: FREE
Register online at paloshealth.com/classes-events or call 708.226.2300. WINTER 2019
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PALOS HEALTH PERSPECTIVE
PALOS HEALTH
Non-profit Organization U.S. Postage
12251 South 80th Avenue Palos Heights, IL 60463
PAID Palos Health
Palos Hospital 12251 South 80th Avenue Palos Heights, IL 60463 708.923.4000
Palos Health South Campus 15300 West Avenue Orland Park, IL 60462 708.460.5550
Palos Women’s Center 17333 South LaGrange Road Tinley Park, IL 60487 708.590.5500
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Get Unstuck with Palos Behavioral Health
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Road to Health Results in Friendship & Freedom
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Making Sense of Life After Intensive Care
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Robotic Surgery Relieves Chronic Heartburn
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Palos Health: Committed to Your Heart Health! Heart Healthy Cooking Made Easier
Heart-to-Heart with a Pharmacist
Eating healthy doesn’t have to be hard. Learn practical food choices, as well as shopping and cooking tips. See how to make simple and healthy recipes along with tasty samples. Taught by registered dietitian nutritionist Loretta Wojtan.
Heart medications and drug interactions can be confusing. A Palos pharmacist explains the ins and outs of common medications used in heart disease and how to safely take them for maximum effect. Presented by Andrea Quinn, PharmD, BCPS.
6:30 - 7:30 p.m., Tuesday, February 5
6:30 -7:30 p.m., Thursday, February 21
Your Mind Says No But Your Heart Says Yes! Breaking Down Barriers to Exercise It’s easy to make excuses for not getting the activity we need. Let Palos physical therapists help you remove obstacles to good cardiovascular health with some creative solutions. Your heart will thank you! 6:30 -7:30 p.m., Monday, February 25
Palos Hospital Auditorium, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: Free