Get Healthy Sept/Oct 2015

A PUBLICATION OF THE TIMES

LIFE AFTER

Cardiac Arrest The Treatment that Saved Paula Olsen’s Life

ALSO

Coping with PTSD Exercises for Improving Balance Finding a Workout Routine that’s Best for You SEPTEMBER/OCTOBER 2015

NWI.COM/GETHEALTHY

your life. better.

When you have hip or knee pain, you also have the pain of giving up the things you love to do. Our Joint Care Program has reinvented joint replacement surgery into 3 easy steps to bring you the kind of relief that’ll get you active again. For more information, visit PorterJOINTCARE.com.

3 SIMPLE STEPS 1 2 3 SO YOU CAN START LIVING AGAIN.

You’ll attend a pre-surgery class where you can ask questions and learn how to choose a coach who’ll help you after surgery.

The day of surgery, our Joint Care staff will guide you through the entire process.

You’ll begin recovery with a physical therapist and attend group classes as you prepare to go home with your coach.

Take your first step toward relieving joint pain and attend a free seminar.

To register, visit PorterJOINTCARE.com or call 219-210-4845.

Porter Regional Hospital is directly or indirectly owned by a partnership that proudly includes physician owners, including certain members of the hospital’s medical staff.

september/october 2015 | GET HEALTHY | 1

GET HEALTHY EXECUTIVE PARTNERs Center for Otolaryngology and Facial Plastic Surgery LLC

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Community Hospital Doherty Therapeutic and Sports Medicine Franciscan Hammond Clinic Franciscan Healthcare-Munster Franciscan Medical Specialists Franciscan St. Anthony HealthCrown Point and Michigan City Franciscan St. Margaret HealthDyer and Hammond

VOLUME 10, ISSUE 5

Meyers Glaros Group

Publisher Christopher T. White

North Point Orthopedics

Co-Editors GILES BRUCE, Julia Perla Huisman

Oral Surgery and Dental Implant Center Orthopaedic Specialists of Northwest Indiana Pinnacle Hospital Porter Healthcare System Spine Care Specialists St. Catherine Hospital

Hospice of the Calumet Area

St. Mary Medical Center

Ingalls Health System

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Design Director Mary Garrison Designer April Burford Contributing Editors Jane Ammeson, Lesly Bailey, Ashley Boyer, Christine Bryant, Julie Kessler, Trish Maley, Jennifer Pallay, Philip Potempa, Carrie Rodovich Niche Publication Sales Account Executives MIKE CANE, ANDREA WALCZAK General Manager and Vice President, Sales and Marketing Deb Anselm Advertising Operations Manager Eric Horon Advertising Manager Craig Chism Publications Director Lisa Tavoletti

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Published by Lee Enterprises The Times of Northwest Indiana Niche Productions Division 601 W 45th Ave, Munster, Indiana 46321 219.933.3200 2080 N Main St, Crown Point, Indiana 46307 219.662.5300 1111 Glendale Blvd, Valparaiso, Indiana 46383 219.462.5151 Copyright, Reprints and Permissions: You must have permission before reproducing material from Get Healthy magazine.

Get Healthy magazine is published six times each year by Lee Enterprises, The Times of Northwest Indiana, Niche Division, 601 W 45th Ave, Munster, IN 46321.

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what’s new Compiled by Times Staff

Prostate cancer awareness events planned POP on Violence hosts 5K

Hospitals recognized for stroke care

Methodist Hospitals in Gary and Merrillville announced that it received the American Heart Association/American Stroke Association’s Get With The GuidelinesStroke Gold Plus Quality Achievement Award with Target: Stroke Honor Roll.

Methodist Hospitals is awarded with a Community Hospital plaque at the annual Go Red for Women Symposium from the American Heart in Munster also Association for achieving Get with the announced that it received Guidelines Stroke Gold Plus Quality the American Heart Achievement Award with Target: Stroke Association/American Honor Role.

Stroke Association’s Get With The Guidelines-Stroke Bronze Quality Achievement Award.

Hospitals win Women’s Choice Awards

Community Hospital in Munster, St. Mary Medical Center in Hobart and Methodist Hospitals in Gary and Merrillville announced they earned the 2015 Women’s Choice Award as three of America’s Best Breast Centers.

They earned the award by having met the National Accreditation Program for Breast Centers standards from the American College of Surgeons. The NAPBC is a consortium of national, professional organizations focused on breast health and dedicated to the improvement of quality care and outcomes of patients with diseases of the breast through evidence-based standards and patient and professional education.

Also, St. Mary Medical Center announced that it was named one of America’s Best Hospitals for Obstetrics. The 2015 Women’s Choice Award was presented to just 350 hospitals across the nation based on female patient satisfaction measurements and clinical excellence.

4 | GET HEALTHY | nwi.com/gethealthy

The Project Outreach and Prevention on Violence Foundation’s annual 5K walk/run took place July 25 in Gary’s Marquette Park.

Proceeds from the event went to Project Outreach and Prevention, a Northwest From left, the winners of the POP on Violence Indiana charitable 5K were, in the women’s category, Andrea Gill (third place), Nicole Peterson (second) and organization that is Laura Hecht (first), and, in the men’s category, raising funds and next to POP founder Michael McGee, Dijon awareness to reduce teen Smith (first), Weslei Blackhawk (second) and violence in the 219 area Dr. Michael Ward (third). code. The group was founded by Methodist Hospitals’ Dr. Michael McGee, medical director of emergency services, and Dr. Reuben Rutland, medical director of trauma.

Purdue Calumet announces scholarships

Three Purdue University Calumet fitness management students have received $750 scholarships from the university’s Department of Fitness, Wellness and Recreational Sports for the 2015-16 academic year.

Victoria Carrillo, of Whiting, and Sarala Morrow, of Schererville, Sarala Morrow, Jamie Reinhart, Sharon have each been awarded the Steinhubel and Victoria Carrillo Jennie Hamilton Endowed Scholarship. Kaitlyn Galka, of Dyer, has accepted the John Friend Endowed Scholarship.

Beyond her Purdue Calumet academic curriculum, Carrillo is a certified group fitness instructor who teaches Zumba classes at several local YMCAs. Morrow looks forward to applying her knowledge and training in exercise and fitness by opening her own fitness facility to help Kaitlyn Galka and John Friend minority women and veterans. Galka has been a competitive bowler for the past 20 years, and serves as assistant coach of the Lake Central High School bowling team.

PHOTOS PROVIDED

After losing her husband suddenly to prostate cancer, Munster resident Ally Novotney decided to help others know more about the devastating disease.

On Sept. 4, at the Munster High School football game, Novotney and others will be passing out fliers and other information about prostate cancer and PSA testing. Leading up to that day, blue ribbons will be distributed at Munster schools and businesses, and blue lights can be seen at Community Hospital in Munster and other local establishments. Novotney hopes this public display will help men know the signs and get tested.

“We check our cars, furnaces, air conditioners, etc., and yet most men don’t check themselves,” Novotney says. “Just to know your little number could possibly save your life.”

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the body shop HOW TO AVOID “TEXT NECK”

A

Pain Neck

To avoid textingrelated neck pain, Dr. Srinivasu Kusuma, an orthopedic surgeon and spine specialist on the medical staff of Ingalls Memorial Hospital in Harvey, Ill., recommends the following:

IN THE

1.

Look down at your device with your eyes. Don’t bend the neck.

R

aise your hand (the one that’s not gripping your smartphone) if you would have guessed that chronic neck problems would emerge as one of the biggest health issues associated with heavy texting.

A head injury (and accompanying bruised ego) suffered from walking into a pole while staring at the phone? Sure.

Extremely localized carpal tunnel of the thumbs? Of course. A blown eardrum from the constant shouting of an ignored parental request? Without question. But “text neck”? Believe it, says Dr. Robert Kauffman, a veteran local chiropractor with offices in Merrillville and Crown Point.

“I’ve been in practice for over 25 years and we used to see this same problem with bank tellers or really anybody who worked with the head down in a forward position,” he says. “Then we went to the computer, then the laptop and then eventually the handheld, and you can just picture the angle of the neck going

6 | GET HEALTHY | nwi.com/gethealthy

2. forward and forward and forward. So it’s probably a bigger problem now, not only in the number of people suffering from it, but the awareness of it as well. We used to call it ‘head-forward posture,’ but ‘text neck’ is obviously a much catchier title.”

According to the nonprofit Foundation for Chiropractic Progress, text neck is a condition characterized by pain and loss of mobility in the neck and spine due to extended periods of looking down at a handheld digital device. The problem stems largely from the angle of the user’s neck while texting and what that does to the weight of the head on the spine.

While the average human head may weigh about 12 pounds, its burden on the spine increases exponentially with every added degree of forward tilt, to the point where the spine of someone looking down at his or her phone may be feeling the weight of an almost 50-pound head. Combine that kind of load with long stretches in the same position, and you’ve got a great recipe for long-term neck and lower-back pain, headaches and

spinal problems.

Kauffman says that while most patients coming into his office don’t specifically refer to text neck, he has noticed an increase in inquiries about these symptoms, particularly among clients in the 16-to-25 age range. In terms of treatment, his staff focuses on chiropractic adjustments, physical therapy and deep-tissue muscle work. Short of (gasp) texting less, Kauffman recommends trying as much as possible to keep the phone at eye level while texting to avoid neck problems, and cautions parents to monitor the amount of time that kids—especially young kids—spend staring down at handheld devices.

“With the way technology is changing, texting may become a thing of the past before long,” he says. “But in the meantime, as long as kids and young adults especially are almost serially texting all the time, this is a problem that’s probably going to get worse before it gets better.”

Ouch. —Mark Loehrke

During smartphone or tablet use, be sure to exercise the neck frequently by moving your head from left to right several times.

3.

Take frequent breaks. About every 20 minutes, stand up, roll your shoulders and neck or go for a short walk to improve blood flow.

4.

Limit your child’s use of smartphones and tablets.

He says the best treatment for “text neck” is physical therapy of the neck muscles.

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Ingalls is committed to helping you enjoy a rich, fulfilling life. So regardless of which hospital treated you for cancer, please contact the only hospital in the Chicago southland area to be certified in survivorship – Ingalls. Take the next step after cancer and truly thrive.

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september/october 2015 | GET HEALTHY | 7

on your mind

Coping with post-traumatic stress disorder

N

early 45 years ago, Jim Chancellor’s been married and divorced three times. helicopter was shot down in After the mental health expert asked, “Do you Vietnam. think Vietnam has influenced your life?” Chancellor A crew chief/door gunner for the responded that he felt it hadn’t.

U.S. Army, Chancellor was awarded “When I said no, the entire student body burst into a Purple Heart and a heroism laughter,” he recalls. “Then my friend said, ‘This is your medal for valor, but his personal war didn’t end there. typical Vietnam veteran. He will give his heart and soul Like millions of others in the United States, for others, but won’t look into the mirror.’”

Chancellor, of Lowell, suffers from post-traumatic stress Now Chancellor is working toward bringing disorder. Though his stems from his experiences in awareness to PTSD by holding workshops and meeting war as a soldier, PTSD can affect anyone who has gone with veterans so others know they don’t have to suffer through a traumatic event in life. alone.

In fact, according to the National Center for PTSD, “I want our youth, who will be our decision-makers about 7 to 8 percent of the population will have PTSD of tomorrow, to know the true cost of war,” he says. at some point in their lives.

“Every day there are 22 veterans, who For Chancellor, 66, recognizing his were willing to put their lives on the For more symptoms and the fallout from his line so we can enjoy the freedoms that information PTSD didn’t come easy. As a veterans’ we do, who commit suicide.”

Learn more at advocate, he was speaking at Indiana While it is normal to have stress veteranscollection.

University when during the closing reactions after a traumatic event, com or by emailing Jim Chancellor at jim@ question-and-answer session, a mental according to the National Center for veteranscollection.com. health expert asked him several PTSD, stress should ease and get better questions. This led Chancellor to in time. If the traumatic event still disclose he was self-employed, worked causes great distress after three months as many as 60 hours a week, had suffered from drug and disrupts work or home life, a person should seek and alcohol addictions during his lifetime, and had help. —Christine Bryant

Vietnam War veteran Jim Chancellor, who works with veterans with post-traumatic stress disorder, at the Lansing, Ill., Veterans Memorial.

TIPS FOR MANAGING PTSD • Know that recovery is a process.

Recovery is an ongoing, daily process that happens little by little.

• Learn about trauma and PTSD. When you learn symptoms of PTSD are common, you realize you are not alone or weak.

• Practice relaxation methods.These may include muscle relaxation exercises, breathing exercises, meditation, swimming, stretching, yoga, prayer, listening to quiet music and spending time in nature.

• Talk to others for support. Don’t isolate yourself, and instead, make efforts to be with others.

• Distract yourself with positive activities.

For example, creating artwork allows you to express feelings in a positive way.

• Take advantage of resources around you. If efforts at coping don’t work, depression may follow. Instead, reach out and call a counselor or your doctor.

For more tips or where to find help, go to ptsd.va.gov.

Source: National Center for PTSD

8 | GET HEALTHY | nwi.com/gethealthy

PHOTO BY TONY V. MARTIN

After Effects

Sweet

Emotion STOPPING EMOTIONAL EATING BEFORE IT STARTS

We’ve all done it—reached for that bowl of chips, favorite chocolate bar or carton of ice cream to soothe our bad day. It’s called emotional eating, and while it may provide some comfort, experts say it’s often not good for the body.

“People are usually drawn to food because it is a way to self-soothe and often brings a sense of comfort,” says Angie Cerniglia, a therapist with New Leaf Resources, which has locations in Crown Point, Winfield and Lansing.

“Food can also be a way to distract from our problems. It can be easier to soothe our feelings with food than face what is really happening inside of us.”

Though sometimes people find solace in healthy choices, most comfort foods—sweets, fried foods and foods high in starch—tend to be unhealthy, she says. Weight gain and other health issues can result from connecting food with emotions rather than feeding the body, Cerniglia says.

Dr. Rushia Butler, a family medicine physician on staff at Advocate South Suburban Hospital in Hazel Crest, Ill., says people often lack healthy coping mechanisms. “There’s no shame in seeking the help of a licensed clinical psychologist to help pinpoint the origin of one’s anxiety,” Butler says.

One of the best ways to overcome anxiety is to allow yourself to be imperfect, to have anxieties and to learn healthy ways to handle those issues, she says.

Though it’s often thought that emotional eating stems from a negative experience in life, it can occur when someone is in a positive mood as well.

“The basis of emotional eating is eating based on feelings rather than hunger, so it is very possible to emotionally eat when in a good mood,” Cerniglia says.

“We often do this when we celebrate holidays or other special events, when we are in a great mood or feeling positive, and usually eat way more than our body needs.”

To avoid emotional eating, try replacing coping mechanisms with healthier behaviors, Butler says.

“Feeling stressed about an upcoming job interview?

Instead of indulging in a bowl of ice cream or a few glasses of wine, meet a friend for a power walk through the park, or call someone to join you for a roller skating or biking excursion,” she says.

Cerniglia also suggests first figuring out what triggers you to emotionally eat, and then confiding in a friend, family member or therapist to discuss those issues. Deep breathing exercises, meditation, yoga, and finding a peaceful place to relax also can help, she says. —Christine Bryant

orthopaedic specialists

of Northwest Indiana

I have over 25 years experience with hip replacement surgery.The majority of hip replacements in the US were taught using posterior or lateral approaches to the joint and these have an excellent track record of successfully relieving pain from severe arthritic hip joint disease. Those techniques position the patient on their side and require some dissection (cutting) near muscles that can lead to postoperative limping. The posterior approach also had the problem of a higher rate of post-operative dislocations than other techniques.

Our local hospitals now have the HANA traction table (see above), which extends the surgeon’s ability to perform the Anterior Approach to heavier and larger patients.

X-Ray’s intra-operatively are facilitated with the traction table, confirming proper positioning of the replacement components and confirmation of leg length equalization.

Direct Anterior Hip Replacement Although most minimally invasive hip techniques involve a single incision that can be as small as 3-4 inches, the benefits of the Direct Anterior approach other than small incision include: ♦ Slightly lower risk of post-operative blood clots, possibly because there is less twisting of the leg during surgery. ♦ Patients lie on their back during surgery rather than their side. This makes it easier for the anesthesiologist to monitor the patient during surgery. ♦ Lying on your back (supine), during surgery also makes it easier for the surgeon to measure and match leg lengths. This means there’s a smaller chance of needing a shoe lift after surgery. ♦ Finally, some patients are walking without a limp or cane in as little as 2 weeks because the “walking muscles” were not directly affected during surgery.

ARTHRITIS UPDATE:

ADVANCES IN JOINT REPLACEMENT ♦ Residency/Training: Univ. of Chicago ♦ Diplomate of the American Board of Orthopedic Surgeons (ABOS) ♦ Member American Academy of Orthopedic Surgeons (AAOS)

For more information about Direct Anterior Hip Replacement Surgery, I can be contacted at:

Joseph Hecht, M.D

Orthopaedic Specialists of Northwest Indiana 730-45th Street, Munster, IN 46321

www.josephhechtmd.com Phone 219-924-3300 Fax (219) 922-5424

september/october 2015 | GET HEALTHY | 9

senior scope

act F g n i c n a Bal

10 | GET HEALTHY | nwi.com/gethealthy

alling—not the it-was-just-adream falling, but the real, “uhoh” thing—can be a big worry for older adults. But there’s something that can dramatically decrease the odds of taking a tumble.

Most seniors need better odds. Hips and wrists are the most common fractures associated with falls, and painful sprains are another result, says Jane Bogordos, exercise physiologist at Franciscan Omni Health & Fitness in Schererville. The key to help avoid falling?

Developing good balance.

“Improving balance is one of the biggest things I work on with clients. If you don’t use your balance system, you lose it. When we were young we were running around, playing, riding bikes,” says Bogordos. But as people get older, they often become more sedentary.

The good news: “With a little work that balance will return. You’re never too old.”

Specific exercises can strengthen and support muscles. (But check with your physician before beginning an exercise program, advises Bogordos.)

First try posturing exercises. “If older people are slumped forward, that correlates to increased risk of falling,” she says, since you’re offcenter and already headed farther forward.

Next come balance exercises, which don’t take a lot of effort or time. “Doing these little things five to 10 minutes a day, after a few weeks your balance will improve,” she says.

Bogordos works with individuals and groups at Franciscan Omni Health & Fitness and says the rewards are great for her as well. “I’ve been doing this for 22 years, and I love my job because I get to help people every day, from teenagers to seniors. And it’s exciting to see people improve their daily function with less soreness and to be able to play with their grandkids.” —Julie Dean Kessler

Posture and balance exercises POSTURE’S IMPORTANT • Stretch the chest and shoulders. They get tight as you sit, watching TV or reading.

• Strengthen all the upper back muscles by using a pulling motion. (You can use a big, wide rubber band.)

• Strengthen the core muscles— around the spine, the abdominals, the back muscles. They help stabilize and balance the spine.

• Strengthen the lower extremities— thighs, calves, and ankles.

BALANCING ACTS • Work on static balance: Stand still on one leg like a stork; gradually increase the number of seconds you do this.

• Work on dynamic balance: Stand up while watching TV, holding on to something as you stand to avoid falling. Pretend you’re on a tightrope, or use a marking on the floor.

For how-to info on balance exercises, visit nihseniorhealth.gov and type “balance exercises” in the search bar.

PHOTOS COURTESY OF JANE BOGORDOS

MOVES TO IMPROVE BALANCE AND AVOID FALLING

Heeltoe balance move

Karly Taylor demonstrates a single leg stance.

Botox FOR

I

Bladder

t’s back already, that urgency you just can’t ignore, much as you’d like to. An overactive bladder can reorganize the day’s activities, and not in a good way. The problem may be an overactive bladder, but how can you tell? (By the way, it’s not a normal part of aging.)

Here are some things to look out for: • Frequent visits to the bathroom

(can be eight or more times per day) • Feeling of urgency, not being able to wait • Awakened two or more times in the night by urge to go • Urge incontinence—involuntary loss of urine immediately after an urgent need to urinate If a urologist confirms the bladder is working overtime, a common cosmetic procedure may be able

to calm it back to normalcy, says Dr. Gregory Bales, a urologist affiliated with Community Hospital in Munster.

“An overactive bladder is spastic, meaning the muscle contracts.

Patients complain they can’t get to the bathroom in time,” he says. “The Botox treatment option is a 10-minute procedure that involves inserting a very small scope into the urethra, then using the scope to inject Botox into the bladder muscle.”

Bales explains that while Botox has been used to calm overactive bladders for more than a decade, it became more common after the Food and Drug

Administration approved the treatment in January 2013. Bales was the first Chicago-area urologist to perform the procedure, having done a clinical trial a decade earlier.

Still, it’s not for everyone. You’re not a candidate if you have another urinary problem or medication can manage the overactive bladder. Medication works for about a quarter of patients, Bales says, while the rest may get relief from Botox.

The downside: Botox wears off, requiring a repeat procedure in nine to 12 months. The upside: “The nice thing is it seems to work just as well each additional time,” the urologist says. —Julie Dean Kessler

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Get Them

MOVING Creative ways to increase your kids’ fitness

C

hildhood obesity is on the rise, other activities that are being done that they may not but health experts are determined feel are activities yet still are,” Gold says. Walking to to turn the trend around. and from school, helping with yard work, and even Increasing physical activity and running around the house counts. Do keep track, decreasing sedentary time are the however. “We need to schedule time for it.” keys to keeping kids fit.

Just as important as increasing physical activity Both the American is decreasing sedentary time. “Set limits on TV Academy of Pediatrics and American Heart viewing and time in front of the computer and Association recommend that children get 60 game system,” Gold says. minutes of physical activity a day. This may One way for parents to encourage kids to get seem overwhelming to moving is to exercise busy parents, but Dr. with them. LJ Mattraw, Lisa Gold, a Crown Point of Parisi Speed School at FAMILY FITNESS pediatrician who is part of Franciscan Omni Health Dr. Lisa Gold suggests some the Franciscan Physician & Fitness, says if kids see physical activities that parents Network, says to get creative parents trying a physical and kids can do together: with it: “The goal is to have activity, they’ll be much • Playing football • Jumping rope fun as a family.” more likely to want to • Swimming • Playing She suggests breaking participate themselves. He • Gardening hopscotch • Karate • Playing at the up the 60 minutes: four points out that exercising • Tennis playground 15-minute sessions or together can also help • Dancing • 30-day challenges two 30-minute sessions, bring the family together • Flying a kite (can be found • Walking at online) for example. Or phase it and make it more fun. “If the mall in slowly; try adding 60 it is something they enjoy You could also visit local fitness minutes three out of the and look forward to then locales such as Sky Zone Trampoline seven days and increase they are much more likely Park, Parisi Speed School, your from there. to stick with it.” —Julia local gym (which usually has family activities planned), the Dunes “Parents can think about Perla Huisman (for hiking), or any number of indoor inflatable playgrounds.

12 | GET HEALTHY | nwi.com/gethealthy

DON’T BE AFRAID OF

For so long now, we’ve been told to choose foods that are nonfat or low-fat. And it makes sense.

We don’t want to ingest the very thing we’re trying to avoid becoming: fat. The low-fat craze comes with a cost, however.

“The problem with low- or nonfat foods is that when you remove fat from food, it doesn’t taste good,” says Heather Watkins, clinical nutrition manager at Porter Regional Hospital in Valparaiso. “Food companies still have to sell their products, so they add extra sugar. Now instead of having fat in our diet, we have tons of products on the market that are loaded with sugar.”

Thus begins the vicious cycle: “If you consume more sugars than your body needs, it turns to fat,” Watkins says. Back to square one.

The other issue is that our body does actually need fat, just the right kind. “It is pretty useful,” Watkins says. “It’s one of our main ways that we store energy.” It also helps absorb vitamins and protects the organs, among other benefits.

This doesn’t mean you should go chow down on a bag of chips.

Try to consume only unsaturated fats: the kind found in oils (canola, olive, safflower), fish, avocados, and nuts.

The other kind—saturated fats—“should be limited to 10 percent of calories,” says Kelly Devine Rickert, a dietitian and health coach for Franciscan Wellcare.

“Saturated fats are found in animal products such as butter, cheese, whole milk, ice cream, cream and fatty meats.” They’re also found in processed and fast foods, she adds.

Watkins recommends consuming 2 to 3 tablespoons of healthy oils per day, and a fish such as salmon two to three times a week.

Other ways to fit in healthy fats is to sprinkle flax or chia seeds on your cereal or yogurt in the morning. —Julia Perla Huisman

fat

PURPOSES OF DIETARY FAT • Helps with absorption of fat-soluble vitamins (A, D, E and K) • Help keep us full after meals • Controls inflammation, blood clotting, and brain development

• Provides energy • Supports cell growth • Protects the organs • Helps keep the body warm • Aids in hormone production

SOURCES: HEATHER WATKINS AND KELLY DEVINE RICKERT

PARK PHOTO BY JOHN LUKE

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c o l o therapy How therapeutic hypothermia saved a Valpo woman’s life

P

aula Olsen’s memories of the day she and her husband, Don, had breakfast with their son before driving him to the airport are completely gone.

But Don remembers how, upon returning to their home in Valparaiso, his wife decided to take a nap on the living room couch.

He was in the other room when just a few minutes later he heard her loudly call his name at least twice. By the time he made it to her side, she had stopped breathing.

“I called 911 and started doing CPR,” he recalls.

“Luckily the police had been just down the street and they were at our house within minutes and they immediately took over doing CPR.” Before long, emergency medical technicians had

14 | GET HEALTHY | nwi.com/gethealthy

also arrived at the Olsen home and began using a paddle to electrically shock Paula’s heart back into functioning. “They had to do it several times, but they finally got a pulse,” Don recalls.

Paula Olsen

But Paula, a 60-year-old homemaker, wasn’t out of the woods. The paramedics placed her in the ambulance and then had to intubate her. By the time they arrived at Porter Regional Hospital in Valparaiso, she remained in critical condition, having gone into cardiac arrest. The doctors put in a pacemaker and defibrillator.

To give her time to heal following the procedure and prevent any further deterioration of her brain cells caused by lack of oxygen, Dr. Daniel Linert, a cardiologist, and Dr. Douglas Mazurek, a critical care physician, met with Don and his daughter and her husband, who by then had arrived at the hospital, to discuss their options.

The statistics for the grandmother’s survival and well-being were sobering. According to an article in American Nurse Today, cardiac arrest outside the hospital kills roughly 250,000 Americans each year. Worldwide, the average survival rate for outof-hospital cardiac arrest is just 6 percent. Those who survive are at risk for neurological injury.

Historically, only about 20 percent of cardiac-arrest survivors who remained comatose have awakened with a good neurological outcome.

“They said this was a critical time,” Don says.

“And they talked to us about the hypothermia protocol.”

Therapeutic hypothermia (also called targeted temperature management) is a procedure that deliberately reduces the patient’s body temperature when he or she doesn’t regain consciousness after return of spontaneous circulation following a cardiac arrest. It works because inducing hypothermia helps reduce the degree of cell death, counteracting many of the destructive mechanisms of cardiac arrest.

Though the procedure sounds simple, it carries many risks.

“It’s a dangerous procedure in that you can bleed, and extensive monitoring is necessary,” Mazurek says. “You often have two nurses at the bedside all the time and you need to do labs six times a day.”

The criteria for therapeutic hypothermia includes a patient whose heart has stopped and who hasn’t regained consciousness. “You wouldn’t do it with someone who had a stroke because when the temperature drops, blood becomes thinner,” Mazurek says.

PHOTOGRAPHY BY TONY V. MARTIN

survivor spotlight

“We have six hours after the witnessing of an event, meaning someone has to actually see it, to start the procedure,” says Linert, noting that Porter is one of the few major medical centers in Northwest Indiana performing therapeutic hypothermia.

Paula Olsen was the perfect candidate for the protocol. Her husband had heard her call him and then found her on the floor so it qualified as a witnessed event. By the time she arrived at the emergency room, CPR had been administered and she had been shocked and intubated.

Indeed, both doctors say the excellent work of the paramedics who treated Paula at her home and on the way to the hospital is a major reason why she survived and was able to undergo the protocol.

Don Olsen was unsure of what to do. His wife faced risks either way. “I asked the doctors what they would do if it were them or a loved one,” he says. “They told me it was new and very risky but also said it was probably her only chance.”

Decision made.

Mazurek says to proceed with this type of procedure they need evidence that there isn’t any reason not to do it—a good outcome any other way seemed very unlikely.

So it was time to begin the chilling process. “We cool the patient’s body temperature to 33 degrees Celsius for 24 hours,” Linert says. “Then we insert a catheter into a large blood vessel in the abdomen.”

Mazurek says Paula had a good outcome. “She may have woken up anyway,” he says. “We don’t know what would have happened.”

Paula indeed did wake up as her body temperature was gradually restored to normal.

“I don’t remember that day or the day before the event,” she says. “The only thing I remember is that several days later as I was waking up my throat hurt. People said they came to visit but I didn’t remember them being there. ... It took me six days to become totally aware.”

Paula says she feels stronger every day and her stamina is returning. She had no history of heart issues and was told a virus had attacked her heart, causing the cardiac arrest. There’s still a sense of shock about the whole ordeal.

“I just turned 60 in January,” she says. “Before this I felt like I was a young 60. With time, I’ll get there again.” —Jane Ammeson

From left, Dr. Douglas Mazurek, a critical care physician, and Dr. Daniel Linert, a cardiologist, in the trauma center at Porter Regional Hospital in Valparaiso with Paula Olsen, who survived cardiac arrest. september/october 2015 | GET HEALTHY | 15

Dr. Jay Platt has served Northwest Indiana for over 20 years with quality oral surgery care. Choosing an oral surgeon is an important decision. Our team is composed of experienced professionals who are dedicated to your care. Dr. Platt attends 100 or more hours of Continuing Education per year and provides many Continuing Education seminars to the surrounding dental community often lecturing himself. Dr. Platt has extensive training and expertise in placing dental implants, preserving and rebuilding the jaw, and treating conditions that affect a person’s face, teeth and mouth structures. Dr. Platt has placed thousands of dental implants over the past 24 years - placing his first one in 1989. We have a state-of-the-art Cone Beam CT Scanner in our office which provides 3D images enabling us to better plan for patient care and treatment. We offer a no-cost consultation and a complimentary CT scan if necessary for patients who are treated by Dr. Platt.

Do You Need to Go to an Implant Center?

since surgical procedures are involved, so that each patient receives You have undoubtedly seen and heard t.v. and radio ads promoting the optimal outcome. Some implant centers claim to be the leaders in implant centers which are springing up all over the country. Many of implant dentistry and to have more experience than other clinicians. It is them are advertising the convenience of having everything under one implied that because of the volume of implants placed and restored they roof: the surgeon, the prosthodontist, the dental lab and a CT scan. It is are more experienced. However, the volume of implants placed in some certainly convenient for the patients and the doctors providing treatment cases is for all of their centers. The truth is that some of the doctors to have everything in one location; however, convenience should not be in these centers are very experienced and some are not any more the primary consideration with implant treatment. The most important experienced than their colleagues in the area. Some implant centers factors should be the experience of the treating clinicians, especially have general dentists placing and restoring

16 | GET HEALTHY | nwi.com/gethealthy

implants who do not have near the training or experience as specialists. It is important to remember that this “advertising” is intended to “sell” the benefits of those particular implant centers, and you should take this into consideration when evaluating your various options.

New Teeth in One Day??

We get many patients asking about the TV commercials and billboards that promise Teeth in A Day®. It is somewhat of a misleading statement. However, Dr. Platt, working with your dentist, can in some cases AFTER planning remove your teeth (if necessary), place implants and attach fixed teeth in one procedure. We are happy to see you to discuss and work with your dentist or refer you to one of our restorative colleagues.

No Need to Change Dentists!

Unlike some “one stop shop” dental implant centers that make you use their dentists; we work with you and your current dentist. We are very fortunate in that in Northwest Indiana and Northeastern Illinois, there are many outstanding restorative clinicians. Dr. Platt works with most of them on a regular basis. We would encourage you to seek treatment from your current dentist whom you have a long standing relationship with. If you do not currently have a dentist, we can refer you to one that we work with frequently.

Please feel free to contact our implant coordinator, Monette, if you have any questions about treatment or to schedule a no-cost consultation.

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september/october 2015 | GET HEALTHY | 17

After a lifetime of inactivity, Jan Ellsworth, 61, of Beecher, found the circuit training class at ProFit in Dyer three years ago and has been hooked ever since.

FIND THE

NWI fitness experts weigh in on where enjoyment comes from with exercise

18 | GET HEALTHY | nwi.com/gethealthy

PHOTOGRAPHY [THIS PAGE, TOP] BY JOHN J. WATKINS, [BOTTOM] MICHEALA SOSBY; [OPPOSITE PAGE] JOHN J. WATKINS

achael Hofer enjoys her exercise routine, but not just because she has fun doing it.

She likes her cycle class because of the music the instructor plays, swimming because it relieves her joint pain, and running because it clears her head, gets her outside and leaves her feeling refreshed.

“I do think it’s important to find a workout routine that you enjoy, but it’s even more important that you know why you enjoy it,” says Hofer, a personal trainer at Franciscan Omni Health & Fitness in Chesterton. “When I associate that positive feeling with the activity, I have a strong desire to do it.”

Fitness experts agree that it’s important you enjoy your exercise routine, but not necessarily that you have fun doing it. The enjoyment often comes from other places, they say: improved physical and mental health, heightened energy and focus, less aches and pain.

“It’s kind of like healthy eating,” says Alex Montoye, assistant professor of clinical exercise physiology at Ball State University.

“You may not love to eat the spinach salad.

But when you’re healthier from it, the way you feel is what’s fun about it.”

Experts say that regular exercise brings about such short-term benefits as a boost in mood and energy, lower risk of depression and anxiety, higher self-esteem and improved sleep quality.

“Would you rather have fun in your exercise program or have back pain?” says Jack Raglin, a professor of kinesiology at the Indiana University School of Public Health. “If you’re low on energy, that’s not fun.”

And the long-term positives of working out

Bernadette Durham, 45, of Munster, got into shape by running, which she used to hate but now loves. She demonstrates one of her workouts with personal trainer Bonnie Kleinfelder at Community Hospital Fitness Pointe in Munster.

Only 7 to 8 percent of the adult population in the United States works out on a regular basis and there’s a reason: It’s work.

Michael Sena, owner of ProFit in Dyer

on a routine basis include a reduced risk of osteoporosis, cancer, diabetes, heart disease and obesity, as well as an increased life

Deb Bross of Chesterton works out with personal trainer Linda Callahan at Franciscan Omni Health & Fitness in Chesterton.

11

AN EXERCISE PROGRAM

YOU’LL STICK WITH

1 Deb Bross of Chesterton works out with personal trainer Linda Callahan at Franciscan Omni Health & Fitness in Chesterton.

Seek guidance from a fitness expert to make sure you’re exercising properly so you prevent injury and get the best results.

2

Talk to your doctor about whether you have any restrictions.

3 expectancy. But don’t expect it to be easy to get there.

“Only 7 to 8 percent of the adult population in the United States works out on a regular basis and there’s a reason: It’s work,” says Michael Sena, owner of the Dyer-based gym ProFit. Still, Sena says the “fun factor” is a must for staying consistent with exercise. But to get there, he notes, you need to work with a trainer who will personalize your fitness regimen to your age and physical characteristics.

“One of the biggest, easiest ways to turn someone off is to put them in an exercise routine that is not conducive to their body,” he says. “If they experience pain and discomfort over and above the challenges of exercise, they will stop. Fitness isn’t one-size-fits-all.”

CONTINUED ON PAGE 22

20 | GET HEALTHY | nwi.com/gethealthy

Start slow: Don’t set too high of expectations right off the bat.

4

If you don’t like an activity, try something else.

5

Stay focused to get through those first few weeks when it probably won’t be fun.

6

Get back into activities that you’ve previously enjoyed doing or had success with.

7

Mix cardio and strength-training

Boxing with trainer David Elizalde is part of Jan Ellsworth’s regimen.

exercises to get the most out of your routine.

8

Use a fitness measurement tool like a FitBit or a Jawbone to give yourself feedback on what you’re accomplishing.

9

Work out with your spouse. Married couples who go to the gym together are much

more likely to keep exercising. If you don’t have a significant other, exercise with a group to hold yourself accountable.

10

Gradually increase the intensity of your program.

11

Figure out what you want out of exercise and continuously aim to meet those goals.

Sources: Professors Alex Montoye and Jack Raglin; trainers Rachael Hofer, Linda Callahan, Barb Ferrari, Audric Warren, Michael Sena, Becca Gruhlke and Bonnie Kleinfelder

ON HOW THEY

PHOTOS [THIS PAGE, CLOCKWISE FROM LEFT] BY JOHN J. WATKINS, JOHN J. WATKINS, TONY V. MARTIN; [OPPOSITE PAGE, LEFT] MICHEALA SOSBY, [RIGHT] JOHN J. WATKINS

THESE THREE FOUND A PLAN AND STUCK WITH IT Name: Jan Ellsworth

in Dyer.

Age: 61

She liked the small class sizes, how the training changes every few weeks, and working closely with trainers. And the training moves fast and works out all the different muscle groups.

Hometown: Beecher, Ill. Occupation: Color technician Her fitness routine: Circuit training three times a week

Name: Bernadette Durham Age: 45 Hometown: Munster Occupation: Computer software consultant Her fitness routine: Running, cross-training, working out with a personal trainer at Community Hospital Fitness Pointe in Munster Why she stuck with it: “I’ve struggled with weight gain and weight loss pretty much my entire life, from probably 15 onward. Going back about six years, I became almost religious about exercising. I lost 95 pounds. I remember seeing that number on the scale and thinking, ‘Great, I’m done.’ A few years later, I gained 60 pounds. Every exercise I did was only a means to

Why she stuck with it: In her late 50s, Ellsworth, who had never been very physically active, saw her peers getting sick and decided to make a lifestyle change. She joined ProFit

an end of losing weight.”

So, in 2014, she made a New Year’s resolution to run a 5K. For Durham, a goal-oriented person, that was all it took.

She has been running consistently ever since. While she didn’t used to enjoy running, she’s grown to love it, because of the physical results, the sense of accomplishment and her drive to continue setting and meeting her fitness goals.

Does exercise have to be fun? “I think if you hate every aspect of it, it will be very difficult to keep it going for very long at all,” she says. “I think you’ve got to do something where you see regular results and feel better. But if you don’t like it, you’re not going to keep doing it.”

Does exercise have to be fun? “I enjoy it. For me, it’s fun,” she said. “But it’s like a job.” She shows up at ProFit two nights a week and every Saturday, like clockwork.

Name: Robin Osmolski Age: 21 Hometown: Peotone, Ill. Occupation: College student Her fitness routine: Performance training for about an hour and weight-lifting for about 40 minutes at least four times a week.

Why she stuck with it: She found a trainer, Audric Warren of Midwest Training & Ice Center in Dyer, who was willing to put as much effort into the sessions as she was. “He can usually tell when I’m getting tired and start slacking in something,” she says. “He’s always

encouraging me to finish.”

Osmolski, who plans to play volleyball for Purdue North Central, had to take a year off from her athletic career because of knee pain. Her fitness

routine made it go away.

Does exercise have to be fun? “My trainer makes it a fun time,” she says. “He makes you feel really comfortable around him, and he’s really encouraging.”

PHOTO BY TONY V. MARTIN

CONTINUED FROM PAGE 20

Barb Ferrari, heart health coordinator at Ingalls Wellness Center in Flossmoor, Ill., says having fun is one of the top three reasons people stick with a workout plan, along with convenience and seeing results.

“Just because something’s trendy doesn’t mean it’s going to work or you’re going to like it,” she says.

So she suggests people exercise when— and where—they can. That could be doing squats or pushups at your desk at work, going for a walk on your lunch break, or watching and participating in an on-demand fitness program at home.

Becca Gruhlke, a personal trainer and fitness instructor at Fitness Premier in Lowell, says that going from a sedentary lifestyle to working out regularly isn’t going to be fun at first—again, that word “work.”

“But don’t make exercise something you have to do: Make it something you want to do,” she says. “Make it something you enjoy doing. That’s the only way you’re going to stick with it.”

A person might continue with a workout routine they struggle with because they like the challenge it brings, says Audric Warren, an athletic trainer at Midwest Training & Ice Center in Dyer, giving yoga as an example. “It’s a different kind of lovehate relationship there,” he says.

“In my opinion, I think the best plan for most people is they should enjoy what they’re doing. Otherwise, they’re not going to stick with it,” Warren adds. “And if you’re not going to be consistent with working out, you’re going to end up wasting your time or hurting yourself.”

Bonnie Kleinfelder, a personal trainer at Community Hospital Fitness Pointe in Munster, says she develops her clients’ fitness plans around their likes and dislikes.

“If there’s something somebody really hates doing, I won’t do that. When you find something your clients really enjoy, you try to put that in every session,” she says.

“If you enjoy high-intensity workouts, they would be incorporated into your program.

I’ve been teaching some women boxing.

They can’t wait for that session to come up.

That’s what you want.” —Giles Bruce

22 | GET HEALTHY | nwi.com/gethealthy

Robin Osmolski, 21, a college volleyball player from Peotone, Ill., working out with personal trainer Audric Warren at Midwest Training & Ice Center in Dyer.

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ask the expert

DR. MARK JONES

Introducing a new, faster treatment for foot pain

Q: What is the difference between

Q: How is the Tenex procedure different?

tendonitis and tendinosis, and what causes it? A tendon is a flexible band of tissue that connects muscle to the bones in your joints. Tendonitis is inflammation of the tendon, while tendinosis is the thickening of the tendon or small tears in the tendon.

If it doesn’t heal properly, it becomes thick and irregular and runs the risk of rupturing.

It can be caused by a variety of factors, including running or other sports, climbing stairs or walking. It can occur through repetitive movements including typing, gripping a tool or even cleaning.

With the Tenex system, the patient is under local anesthesia or twilight anesthesia. There is a minimal incision. You use an ultrasonic guiding system to place the probe, which means we can target the diseased tissue with the probe, which is the size of a small needle or toothpick.

Once you make the little incision and the Tenex goes in, you push the button on a foot pedal and it takes between 45 and 90 seconds. It can debride the tendon down to a more normal thickness, and it restarts the inflammatory process, which stimulates the body to heal naturally.

And with the minimal incision, patients usually need a single stitch or no stitches. The whole process takes 10 to 20 minutes. The patient wakes up with a wrap on the area and they go home.

Q: What were treatment options for

tendinosis prior to Tenex? Generally the treatment options were limited. Someone with chronic tendon pain would get an MRI or have an ultrasound done, and ultimately they would need surgical intervention if they weren’t responding to other forms of treatment. Previously, the doctor would have to make an incision along the tendon, go to where the problem with the tendon had occurred, debride and remove the diseased part, sew up the tendon and then close the patient up.

24 | GET HEALTHY | nwi.com/gethealthy

Q: Who qualifies for the Tenex procedure?

The Tenex procedure is good for someone who has had chronic tendon pain or tendinosis, someone who has been suffering for three months or more.

It is for someone who has not responded to

PROVIDED

Dr. Mark Jones is a podiatrist with the Methodist Physician Group who has offices in Highland and Merrillville. He specializes in foot-andankle reconstructive surgery, podiatric orthopedics, podiatric medicine, diabetes foot care and limb salvage, and nerve surgery and treatment.

Jones is focused on developing personal relationships with his patients while bringing them the latest innovations and treatment options.

treatment including physical therapy, stretching, antiinflammatory medications or off-loading treatments, which include a brace, boot or cast.

I am doing these procedures on people who have problems with the tendons in their foot, which would primarily be the Achilles tendon or even plantar fasciitis.

Q: How often do you do this procedure?

Are there other applications? We have been doing this here at Methodist for about a year, and have had great success. Right now, it has become pretty routine. They have the quick procedure and then about six weeks of recovery before they can resume their normal activities.

Doctors are looking at using it for other tendon injuries, like shoulder or knee pain, or things like tennis elbow. —Carrie Rodovich

FOR MORE INFORMATION

To make an appointment or learn more, contact Dr. Mark Jones of the Methodist Physician Group in Highland at 219.923.9090 or in Merrillville at 219.738.6670.

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