For Your Health - Fall 2017

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Committed to the Health & Well-Being of El Dorado County

FALL 2017

BACK TO SCHOOL RULES

Healthy Homework for All of Us

Why a Marshall doctor is right for you

Solving the diabetes puzzle

Marshall Birth Center: A Sierra sanctuary

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DID YOU KNOW

Open Enrollment Is Here Seven Great Reasons to Choose a Marshall Medical Center Doctor It’s fall – a time to think about 5 your healthcare options. Now’s your chance to select a health plan that enables you to see a provider affiliated with Marshall. Here’s why:

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We come highly recommended – Independent agencies like Healthgrades® and HCAHPS (Hospital Consumer Assessment of Healthcare Providers and System) have rated our physicians and hospital among the “Best” in class. Our focus on service and quality also ranks us highly among various healthcare rating organizations.

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Board-certified Physicians – Our affiliated physicians are all board certified or board eligible, demonstrating exceptional expertise in their medical specialty. Highcaliber primary and specialty medicine is our commitment to the community.

Marshall loves moms – Expecting moms can expect personalized prenatal care by board certified physicians focused on a healthy pregnancy and safe delivery for mom and child. Our birth center features private suites and whirlpool tubs with the most modern amenities for families. For excellence in maternity care, we are designated as a Baby Friendly Hospital by the World Health Organization and UNICEF.

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Cancer care, close to home – The last thing cancer patients need is a long journey to get treatment. Marshall’s accredited cancer program is located in Cameron Park. Services include board certified hematology/oncologists, radiation oncology treatment, advanced diagnostic technology and surgical services. In addition, our Cancer Registry and Cancer Resource Center offer education, social services and support groups.

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Advanced medical technology – Marshall boasts modern technology you’d be surprised to find at an independent community hospital, including alldigital imaging, 64-slice CT, MRI, digital mammography with CAD and PET/CT. This means Marshall’s patients have access to the kind of diagnostic equipment you’d find in larger cities. Our electronic medical records system ensures a more accurate medical record archiving with your safety in mind.

ABOUT MARSHALL MEDICAL CENTER Marshall Medical Center is an independent, nonprofit community healthcare provider located in the heart of the Sierra Foothills between Sacramento and South Lake Tahoe. Marshall Medical Center includes Marshall Hospital, a fully accredited acute care facility with 125 beds located in Placerville; several outpatient facilities in Cameron Park, El Dorado Hills, Placerville and Georgetown; and many community health and education programs. Marshall has nearly 300 physicians and a team of over 1,500 employees providing quality healthcare services to over 175,000 residents of El Dorado County.

For Your HEALTH is published as a community service by MARSHALL MEDICAL CENTER 1100 Marshall Way Placerville, CA 95667 telephone 530-622-1441 or 916-933-2273; www.marshallmedical.org It is intended to provide information about health in general as well as healthcare services and resources available in El Dorado County.

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When you need care, we’re right in your neighborhood – You don’t need to travel far for medical appointments, lab work, imaging services, physical and speech therapy and more. Marshall has convenient locations and hours to serve you.

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Emergency care at a higher level – Marshall Hospital’s Level 3 Trauma Center means specially trained staff, advanced medical technology, immediate availability of surgeons and anesthesiologists are available 24-hours a day. The hospital offers 24-hour hospitalist and pharmacy care. |

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HOW TO CHOOSE MARSHALL MEDICAL CENTER 1. Visit marshallmedical.org and choose “Find a Doctor” to choose a doctor by name, location or specialty. 2. Call the doctor’s office to make your first appointment, while confirming if the doctor a) accepts new patients and b) belongs to the health plan you’ve chosen. If you have any questions, please call 530-676-0777. Customer Service hours are Monday – Friday, 8 a.m. to 4:30 p.m.

www.marshallmedical.org

Information comes from a wide range of medical experts. If you have any concerns or questions about specific content that may affect your health, please contact your healthcare provider. If you have questions, concerns or suggestions for future topics, contact the editor, Mark DeVaughn, at 530-626-2816 or via email at mdevaughn@marshallmedical.org.


BETTER CARE FOR YOU

November is Diabetes Awareness Month Marshall’s Diabetes and Nutrition Education Team Can Help

Clark Durham, a 54-year-old resident of Georgetown, savors a life free of soda, chewing tobacco and bacon (which he ate 3-4 times per day before his doctor referred him to the DNE program in 2014). Within six months of enrolling, he went from requiring five shots of insulin per-day to none. “A.J. helped me a lot,” he said. “I could call her right now and ask her questions, and she’d help me out. But you have to want to change.”

November is Diabetes Awareness Month, a time to focus on a condition that affects nearly one in 11 Americans, according to the Centers for Disease Control & Prevention. Marshall’s DNE team is a resource for the most and current and accurate information, tailored to your unique situation. “Diabetes can be confusing and overwhelming. It’s one big puzzle,” said Certified Diabetes Educator A.J. Kenworthy, RN, CDE. “We’re here to help people put it all together.” Led by Program Coordinator Lisa Hartley, RN, CDE, the team consists of a Registered Nurse, Certified Diabetes Educators (CDE) and

Registered Dieticians (RD). They assist you and your provider to create a comprehensive, self-management plan. CDEs are healthcare clinicians – they meet specific competency and continuing education requirements – who offer care customized to each individual. They elicit your perspective and priorities, and present new options, tools and information for shared decision making. The Marshall DNE services include both individual appointments and classes. The Healthy Living with Diabetes class series offers useful lessons and tools to assist in the management of diabetes. The team hosts appointments and classes year-round in both Placerville and Cameron Park. From newlydiagnosed adults to mothers with gestational diabetes, or for those experiencing new challenges, Marshall DNE welcomes anyone seeking support on their journey.

 For those newly diagnosed

with diabetes, in the first 12 months after the diagnosis, Medicare covers up to 10 hours of diabetes education (and three hours of medical nutrition therapy (MNT) and two hours of diabetes education and two hours of MNT in the following calendar years.

Date, time and registration information for the Healthy Living Series classes can be found on www.marshallmedical.org/education.

Marshall Diabetes and Nutrition Education 3581 Palmer Drive, Suite 201 Cameron Park, CA 95682 530-672-7021

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re you stressed by your diabetes diagnosis? Conquer the uncertainty with Marshall’s nationally-recognized Diabetes and Nutrition Education (DNE) program in your corner.

Marshall’s Diabetes and Nutrition Education program is recognized by the American Diabetes Association (ADA). This valuable distinction means the program meets the national ADA standards for providing diabetes education. Most of the DNE services are covered by insurance with a referral from a provider.

For more information about Marshall, visit www.marshallmedical.org or follow us on Facebook.com/ marshallmedicalcenter, twitter.com/MarshallMedical or Google+ Marshall Medical Center. www.marshallmedical.org | FOR YOUR HEALTH

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COVER STORY

Health Class is in Session How to Eat Better, Stress Less and Stay Pain-Free This School Year

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ance recitals. Football practice. Horseback riding. Spanish tutoring. Our children’s lives keep getting busier, a race made even more hectic when the calendar turns to fall.

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Our expert panel is here for some direction. What can your family do to eat healthier? How to choose the right shoes or the proper backpack for your kids? And how can we keep our busy days free of stress? With school back in session, a panel of Marshall clinicians answers these important questions.

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To eat healthy, don’t fail to prepare

Avoid processed foods whenever possible. The perimeter of the grocery store – home to produce, bulk bins of |

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nuts/seeds, the meat and dairy sections – should influence your grocery list. Prep foods after returning home from the grocery store. Chop, steam or roast those vegetables. Store them in see-through containers, not the refrigerator drawer. Balance quality and quantity. Don’t mind if your kids eat only two or three kinds of fruits or vegetables. Pack lunches with their favorites. Introduce new ones at dinner time. Wrap your deli meats in lettuce. Hummus or guacamole can be a main course served with bell peppers, carrots and cucumbers. A thermos: not just for drinks. Use them for leftover chili, soup, or rice and beans with salsa.

www.marshallmedical.org

– Chelsea Britton, RD, Marshall Diabetes Nutrition & Education


Schedules should prioritize fun and wellness Childhood is a journey, not a final destination. Don’t judge kids with adult standards. It puts too much pressure on both parent and child.

Set boundaries. Cut down on the stresses of unlimited choices, i.e., the next sport, the latest electronic toy or clothing trend. Ask your child: How much fun is this (extracurricular activity, sport)? The answer will be revealing. Let healthy habits speak volumes. Show your kids the benefits of aerobic exercise, eating properly and relaxing through meditation or yoga. They just might join you.

Behold the power of failure. We can learn more from our mistakes than accomplishments. Constant criticism of mistakes can make tough situations even more stressful. – Elizabeth Peterson, MD, Marshall Pediatrics

Lighten your backpack load

Pack light. Kids should leave unnecessary items at home or school, pack heavier items low and toward the center and drop heavier books at their lockers throughout the day. Buy a lightweight backpack with the following features: Two wide, padded shoulder straps, along with a padded back and a waist strap. Rolling backpacks are also recommended. Use both shoulder straps. These distribute the weight across your child’s back. Tighten the straps to keep the weight closer to the back.

arm or leg pain, numbness or tingling. It may indicate an overweight backpack or poor fit.

gait. Working with your doctor to pick the right shoes can ease children’s psychological burdens.

– Stephen Cyphers, MD, Marshall Orthopedics & Sports Medicine

– Harprit Bajwa, DPM, Marshall Podiatry

Dependable shoes are supportive

Listen to the experts: The American Podiatric Medical Association (APMA) grants a Seal of Acceptance/Seal of Approval to shoes that promote good foot health (ASICS, Stride Rite and Umi Children’s Shoes among them). Don’t hand me down: Their feet grow quickly. Given kids’ high activity and growth rate, new shoes should be just that (new). Fashion faux pas: Kids with a history of foot pain should steer clear from low-top canvas shoes. They aren’t supportive enough for their growing feet.

Lift properly by bending at the knees when picking up a backpack.

A child’s foot is more pliable than an adult’s: A shoe not designed properly will mold the foot in the wrong direction.

No gain from pain: If your child experiences back pain, don’t ignore it. Encourage them to tell you about any

Enable the disability: Some kids suffer from developmental disorders like clubfoot and in-toed/out-toed

Photos by Menka Belgal Photography

Marshall Diabetes and Nutrition Education 3581 Palmer Drive, Suite 201 Cameron Park, CA 95682 530-672-7021 Marshall Pediatrics 4341 Golden Center Drive, Suite A Placerville, CA 95667 530-626-1144 Marshall Podiatry 3501 Palmer Drive, Suite 201 Cameron Park, CA 95682 530-676-FOOT (3668) Marshall Orthopedics & Sports Medicine 4300 Golden Center Drive, Suite C Placerville, CA 95667 530-344-2070 SPECIAL AD SECTION

Plan activities or assignments one step at a time. This will help children become better organized. Tasks will get more manageable and deadlines more reasonable.

5137 Golden Foothill Parkway, Suite 120 El Dorado Hills, CA 95762 916-805-2320

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FOUNDATION NEWS

Sharing Hope One Life at a Time Jean’s legacy gift of $90,000 through the El Dorado Community Foundation is benefitting one life at a time through the Images of Hope program. One recipient is the Mindfulness-Based Stress Reduction Program, which is designed to teach patients and their caregivers mind and body awareness techniques to help live with physical or psychological symptoms due to stress, pain or illness. The benefactors include the annual monthlong Pink in the Night celebration, when lights illuminate local storefronts and bring awareness to those walking the journey of cancer. The funds also benefit patients at Marshall Medical Center, where the canine therapy program features Max, a warm bundle of smiles. Sadly, Jean passed away in 2017. “This gift will provide hope for so many people and will make a significant impact on these three programs for years to come,” said Wendy Goossen, Marshall’s Director of Cancer Services. Jean Tindel admires a photo of Anne Finck. Anne passed away in 2014, three years before Jean. Their legacy gift of $90,000 supports both cancer patients and their caregivers.

Where does love begin? And how does its compassion span the years and eventually provide hope for so many people? For Jean Tindel, it all started in 1934 in Butte, Mont. When she was old enough, she and her sister were allowed to travel to California where they lived in the Speckles Mansion in San Francisco. Jean obtained her degree in social work at San Jose State. Later she moved to El Dorado County where she became not only a social worker, but the Director of the El Dorado County Chamber of Commerce as a trusted real estate agent.

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In the meantime, a tall young woman, Anne Finck, who excelled at 4-H growing up in Rock Rapids, Iowa, used the sale of her prize steer to finance a degree in nursing. Anne later became a nurse anesthetist. After moving to Northern California, she practiced nursing at Folsom Prison and later at the old Placerville Sanatorium on Coloma Street. At the time, it was the only hospital in Placerville. Anne was determined to find her own special place here. What she found was much more!

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Jean became Anne’s real estate agent and later discovered they shared the same birthday, Valentine’s Day. They would share the remaining 43 years together. After Anne’s passing in 2014, Jean understood firsthand the evolving needs of caregivers and their love and commitment to the cancer patient. That’s why she chose to benefit three different projects that supported not only cancer patients, but their caregivers as well. |

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To learn more about how you can Leave Your Own Legacy, contact Marshall Foundation for Community Health at 530642-9984. Visit our easy Planned Giving Guide at www.marshallfound. org and remember, no gift is too small to provide hope.

GOLFERS TEE OFF FOR HEALTH Thank you to everyone who joined in the fun at Cold Springs Golf and Country Club for the 34th annual Bob West Drive for Marshall, proudly sponsored by UNION BANK. The June event hit a record in proceeds and benefitted the proposed Cancer Center Healing Garden in Cameron Park, as well as other healthcare programs at Marshall Medical Center. “Raising over $880,000 since its inception, this was the best tournament ever,” said tournament chair Bob Gillett. Carter-Kelly, Inc. and the Shingle Springs Health and Wellness Center were also significant partners. A longtime supporter of healthcare, Brian Veerkamp – a Foundation Board Member and District 3 Representative on the El Dorado County Board of Supervisors – joined team members Greg Witherow, Chad Spencer and Tiffany Spencer in placing first in gross score. The first place net score winners were Mike Murphy, MD, Kenneth Nelson, MD, Brian Nelson and Mark Hoshall. For further information on next year’s extravaganza, please contact Tanya Moran at the Marshall Foundation For Community Health, tmoran@marshallmedical.org. The 2018 tournament is tentatively planned for Friday, June 22, at Cold Springs Golf and Country Club. Join us for the 35th!


BETTER CARE FOR YOU

No Better Birth Place Marshall Birth Center Offers Deluxe Comforts, Quality Care

that immediate skin-to-skin contact between mom and baby helps relieve pain, stress and stabilizes body temperature for both mom and child, not to mention boosts bonding and initiates breastfeeding. The baby stays with the parents and dedicated lactation consultants provide valuable breastfeeding instruction.. These efforts helped Marshall’s Birth Center earn the distinction as a “Baby Friendly” hospital, one of approximately 300 worldwide designated by UNICEF and the World Health Organization.

Opened in 2013, the Marshall Birth Center is the newest and most modern center in the region. It boasts spacious, all-private suites with many amenities to keep you and your family comfortable and safe. Terra Edwards gave birth to her son Henry last May. For the Placerville resident, the convenience of giving birth close to home came with an added perk. “It was really comfortable. It felt more like a hotel than a hospital,” she said. Large birthing suites, where mothers can labor and deliver in the same

room have lots of natural light and scenic views. Labor rooms are equipped with whirlpool tubs to ease contraction pains and aromatherapy is available to relieve nausea or headaches. Because babies can take their time coming into the world, a comfortable sleeper sofa is available for family or mom’s support person to stay during labor. WiFi access, TVs with DVD players —in addition to a library of children’s books and movies — are available to pass the time. In case of an emergency surgery, a dedicated operating room is located within the birth center, eliminating the need to be transported to an operating room in another building. Marshall’s Birth Center has been designed to anticipate every need when it comes to your safety and comfort. Parents are coached on the benefits of skin-to-skin contact with baby right after birth. Research shows

Marshall OB/GYN 1095 Marshall Way, Suite 201 Placerville, CA 95667 530-344-5470 Robert Carter, MD Michele Cherry, DO Timna Hughes, MD Michael Jones, MD Kenneth Nelson, MD Kathryn Sullivan, FNP Marshall OB/GYN 3501 Palmer Drive, Suite 204 Cameron Park, CA 95682 530-672-7060 Christine Cambridge, MD Alicia Tobin-Williams, MD SPECIAL AD SECTION

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ou’re expecting? Congratulations! While there are many decisions you need to make in the coming months, two of the most important choices are your obstetrician and where you’ll give birth to your child. Keep in mind: When you choose an obstetrician, their hospital privileges will dictate where you’ll deliver.

Marshall’s Birth Center is staffed with caring and hard-working doctors, nurses and lactation consultants. “The staff is over-the-top friendly,” Terra remembered. “They explain everything. They gave great advice, from labor to post-partum. Having a beautiful facility was nice, but the staff made the difference.”

Take a photo tour at www. marshallmedical.org/birthcenter or call 530-626-2638 for a Birth Center tour.

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NEW PROVIDERS Marshall Medical Center welcomes these physicians to its clinics. Harprit Bajwa, DPM Cameron Park 530-676-3668

Need a doctor? Choose Marshall this open enrollment season. Our primary care physicians are now accepting new patients.

Matthew Cole, MD Marshall Gastroenterology Cameron Park 530-672-7060

Jeremy Ernst, DO (Psychiatrist) Marshall Family & Internal Medicine Cameron Park 530-672-7000

Steven Mills, MD Marshall Family Medicine El Dorado Hills 530-344-5400 or 916-933-8010

Emilie Riddle, MD Marshall Family & Internal Medicine Placerville 530-626-2920

Board Certified Physicians Primary & Specialty Care MARSHALL FAMILY & INTERNAL MEDICINE PLACERVILLE 1095 Marshall Way | 530-626-2920 MARSHALL FAMILY & INTERNAL MEDICINE CAMERON PARK 3581 Palmer Drive, Suite 602 | 530-672-7000 MARSHALL FAMILY & INTERNAL MEDICINE EL DORADO HILLS 5137 Golden Foothill Parkway, Suite 120 | 530-344-5400 MARSHALL SIERRA PRIMARY MEDICINE PLACERVILLE 4341-B Golden Center Drive | 530-621-3600 MARSHALL DIVIDE WELLNESS CENTER GEORGETOWN 6065 State Hwy 193 | 530-333-2548

Tonantzin Rodriguez, MD Marshall Sierra Primary Medicine Placerville 530-621-3600

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Mamatha Siricilla, MD Marshall Hematology/Oncology Cameron Park 530-676-6600

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MARSHALL PEDIATRICS PLACERVILLE 4341-A Golden Center Drive | 530-626-1144 MARSHALL WHOLE CHILD HEALTH PLACERVILLE 5137 Golden Foothill Parkway, Suite 120 530-344-5400 | 916-933-8010

www.marshalldoctors.org |

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