Tips for a Healthy Heart

YAKIMA FALL 2008 REGIONAL MEDICAL CENTER & CARDIAC House Call Traveling the Road to Recovery Officer Darryl Henning’s Story Tips for a Healthy Heart Breast Cancer: What You Should Know and How Yakima Regional Can Help Yakima Regional Philip Capp, MD Resident, Central Washington Family Medicine Urana Commet, ARNP Yakima Regional Hospitalists Margarita Deluna, DA YVFWC Lincoln Ave. Medical-Dental Clinic Joel Deming, PA-C Central Washington Neurosciences Clinic Joe DiMeo, DO Family Medicine, Terrace Heights Family Physicians Byron Gatlin, MD Obstetrics and Gynecology, Cascade Women’s Health Care Mark Gonsky, DO Resident, Central Washington Family Medicine Jennifer Hill, RCS Yakima Heart Center Tracy Keniston, PA-C Orthopedics Northwest Seshurao Kruthiventi, MD Neurology, Central Washington Neurosciences Clinic Kerby Laguerre-Simon, MD Resident, Central Washington Family Medicine Jonathan Wilson, DO Resident, Central Washington Family Medicine 2 FALL 2008 Welcomes New Clinical Staff Alfredo Loera Jr., PA-C Yakima Regional Emergency Room Janet Menieur, DA Yakima Valley Farm Worker’s Clinic Amra Nasir, MD Resident, Central Washington Family Medicine Patrick O’Brien, MD Diagnostic Radiology, Yakima Valley Radiology Geoffrey Ping, DDS General Dentistry, Viewcrest Pediatric Dentistry Ankur Rana, MD Resident, Central Washington Family Medicine Tyrone Rodriguez, DDS Pediatric Dentistry, Children’s Village Amber Sheets, RCS Yakima Heart Center Pragati Singh, MD Internal Medicine, Yakima Neighborhood Health Services Kathleen Stewart, PA-C Terrace Heights Family Physicians Maria Verduzco, MD Resident, Central Washington Family Medicine Rui Yang, MD Resident, Central Washington Family Medicine Building the Future On May 2, Yakima Regional Medical and Cardiac Center broke ground on a significant expansion designed to raise the standard of patient care available in central Washington. “We are currently working on three big projects—a new pharmacy, an in-house magnetic resonance imaging (MRI) unit scanner, and a central energy plant,” says Joe Ketterer, assistant administrator at Yakima Regional. “We began these projects to serve the needs of our growing community and to improve the already high quality of care available at Yakima Regional.” these construction projects? Changes will include: • a larger pharmacy with more storage area and increased security features. The pharmacy’s new location also will put this vital service in closer proximity to the emergency room. • a permanent home for the leading-edge MRI equipment already available at Yakima Regional. • an energy plant with three new generators so Yakima Regional is fully supplied with power in case of emergency. For more information, visit www.yakimaregional.org. Looking AheAd These construction plans are part of an ongoing effort to revamp the campus at Yakima Regional. By December 2009, residents of the Yakima Valley will have access to the area’s first in-house MRI, as well as 32 new rooms designed to take comfort for patients and their families to the next level. What will patients see at Yakima Regional thanks to A Season to Remember Each December, the caring staff and volunteers at Yakima Regional Home Health and Hospice gather with community members around the Tree of Remembrance to honor and remember loved ones. The annual celebration began in 1990 after a chaplain suggested establishing a special place where people could come during the holidays to grieve and remember. The 2008 event is slated for December 18 at 11 a.m. in St. Elizabeth Hall at Yakima Regional Medical and Cardiac Center. The service combines music, poetry, and religious readings. Each attendee is also invited to share memories of his or her loved ones. Dove ornaments cover the Tree of Remembrance, and at the end of the service, attendees can take a dove from the tree home with them to create their own loving remembrance. “This ceremony is very important to our community because it provides comfort to those in need at a painful time of year,” says Ellen Rowley, bereavement coordinator at Yakima Regional Home Health and Karen Hamilton and daughter Becky Jones reminisce at their Tree of Remembrance. Hospice. “We hope to help people express their grief over their loss. People come back year after year because our volunteers act as a support group that offers hope and honor.” To find out more about honoring a loved one or the Tree of Remembrance Ceremony, call (509) 575-5093. HOUSE CALL 3 traveling the road to recovery March 5 began as just another day for Yakima Police Department Officer Darryl Henning. He was conducting a routine traffic stop with his motorcycle lights flashing when a van failed to yield and pulled out directly in his path. van pulled out and stopped right in front of me. I braked, but my motorcycle couldn’t stop and struck the van on the driver’s side. The next thing I remember is waking up on my back in the street with people hovering all around me.” The impact was so forceful, Henning’s gun and holster were found 15 feet from his body. Henning was rushed to Yakima Regional Medical and Cardiac Center. The accident left Henning’s body battered and bruised— he had two broken wrists, a fractured pelvis, and his left leg was broken in four places, including the kneecap. The initial going was tough, but never once did Henning quit. After spending two weeks in the hospital, he began physical therapy at Yakima Regional, also attending therapy at the hospital’s outpatient clinic for help with his wrists. “When I first started out, I couldn’t do anything for myself, not even scratch my nose,” says Henning. “For a while, I got around in an electric wheelchair, and after a couple months, I was finally able to walk again on my own. You learn to never give up.” “I don’t remember the impact,” says Henning. “A An outpouring oF Support While Henning began his rehabilitation at Yakima Regional, the community set out to comfort him. As a member of the Yakima Police Department for nearly two decades, Henning was well known throughout the community for his kind heart and dedication. “When Officer Henning was in the accident, he and his family received support from all across the community,” says Marti Brunelle, CRRN, director of inpatient rehabilitation services at Yakima Regional. “Not only did he receive encouragement from the law enforcement community, but he even had someone he’d given a ticket to previously write him a get-well card. That’s the kind of reaction people have to Officer Henning.” Henning continues to participate in physical rehabilitation, and his therapists are helping him regain movement and strength in his legs and hands. With determination and the help of Yakima Regional therapists, he hopes to one day ride again in the line of duty. “I’d rather be on a bike than in a car,” says Henning. “This job is what I was made to do.” For information about rehabilitation services at Yakima Regional, visit www.yakimaregional.org and select “Services” and then “Inpatient Rehabilitation.” “ Inpatient rehabilitation at Yakima Regional Medical and Cardiac Center offers the community peace of mind by providing intensive and expert care from an entire team of professionals who have hundreds of years of combined experience. We specialize in helping you feel better as quickly as possible. In fact, the average length of stay is only 9 to 10 days. —M. Sean Mullin, DO, medical director of inpatient rehabilitation services at Yakima Regional ” 4 FALL 2008 Providing a SAne refuge According to the National Coalition Against Domestic Violence, a woman is sexually assaulted every 2.5 minutes. Yakima Regional Medical and Cardiac Center provides help when women need it most. THE HISTORY OF SANE Sexual Assault Nurse Examiner (SANE) programs first appeared nationwide in the 1990s, but the story of these caring providers of vital services for victims of sexual assault began several decades ago. In the 1970s, locations including Memphis and Minneapolis began offering programs for nurses with a special interest in providing compassionate care to sexual assault victims. The program continued to grow through the 1980s and 1990s. By 1999, it was estimated that 300 SANE programs were available across the country. you can rest assured that you will receive the most respectful and compassionate treatment from the Sexual Assault Nurse Examiners (SANE) at Yakima Regional. No one likes to think about sexual assault, but if the unthinkable happens, FiLLing the Void When Jacqui Bush, RN, BSN, SANE, clinical resource nurse at Yakima Regional, realized that there were no nurses in Yakima County able to provide specialized care to sexual assault victims, she approached her director about taking the training course to become SANE-certified. The program has grown, and now she is one of a handful of Yakima Regional nurses who are SANE-certified. “Prior to this training, these victims might have been left alone in the hospital waiting room until a nurse and a physician became available,” says Bush. “Now, we immediately find a room and notify our local sexual assault advocate. The medical staff is still very involved in the care of these victims, but a SANE nurse can assess for injury and complete evidence collection in a timely and respectful manner.” After a sexual assault, SANE nurses: • get important health information from the victims • assess the possible psychological side effects of the attack • gather evidence and document findings • assist the victim in getting additional medical care, including referrals to physicians or psychologists “For me, there is a great deal of satisfaction in working on cases like this, even though they can be emotionally draining,” says Bush. “We are always ready and willing to help the victims of sexual assault because we focus on not only collecting evidence after the attack, but also on providing the victims with emotional support.” For more information about the programs and services offered through Yakima Regional Medical and Cardiac Center, visit www.yakimaregional.org. A SAne nurSe’S roLe If you or a loved one has been sexually assaulted, seek medical attention immediately, prior to showering or changing clothes. HOUSE CALL 5 “You have breast cancer.” These are the words every woman fears. Recent studies show it’s time to take heart— detected at its earliest stages, breast cancer is treatable, and more women than ever are surviving. Yakima Regional Medical and Cardiac Center has the detection tools you need. In honor of Breast Cancer Awareness Month, isn’t it time you were screened? Screen for better breast health younger women based on family history and other risk factors. • breast self-exams for women starting in their 20s (optional). • clinical breast exams—at least every three years for women in their 20s and 30s and annually for women over age 40. “Early detection saves thousands of lives every year by allowing physicians to diagnose and treat breast cancer at a less advanced stage,” says Joanne Callahan, RT(R), mammography coordinator at Yakima Regional Medical and Cardiac Center. “Women should take proactive steps by performing monthly breast self-exams and getting mammograms every year after age 40.” The American Cancer Society offers several steps women can take to guard their breast health, including: • annual mammograms for most women ages 40 and older and for WhAt SerViceS Are AVAiLAbLe? Yakima Regional provides comprehensive imaging and screening services, including specialty exams needed for diagnosis. “Our facility offers routine screening mammograms, diagnostic mammograms, breast ultrasounds, ductograms, ultrasound-guided core biopsy, and needle localizations,” says Callahan. “Beginning in November, women will also be able to receive magnetic resonance imaging (MRI) of the breast at Yakima Regional, which will provide patients and physicians with an additional diagnostic tool. Our goal is to provide complete care for women’s breast health.” For more information about breast health services at Yakima Regional, visit www.yakimaregional.org and select “Services” and then “Breast Health Center.” tipS For hAVing A MAMMogrAM Have an appointment for your first mammogram? The American Cancer Society offers the following guidance for preparing for a mammogram: • Avoid the week before your period when scheduling a mammogram. Your breasts tend to be most swollen and tender at that time. • Arrive 10 minutes early to complete paperwork and allow 30 minutes for the mammogram. 6 FALL 2007 2008 Have You Had Your Mammogram? In recognition of National Breast Health Month in October, Yakima Regional Medical and Cardiac Center will be offering a discount on routine screening mammograms. For more information, contact the Breast Health Center at (509) 454-6130. • Don’t wear deodorant or antiperspirant to the exam. Some contain substances that can interfere with the mammogram results. • Wear a shirt that is easily removable. • Speak with your physician or technician regarding any concerns you have about your mammogram or what it could reveal. To schedule a mammogram at Yakima Regional Medical and Cardiac Center, please call (509) 454-6130. Renowned healthy Lifestyle expert Coming to Yakima in February Yakima Regional Medical and Cardiac Center is hosting a free public presentation by Joe Piscatella, one of the nation’s foremost experts on the relationship of lifestyle habits to cardiac health. His February 5 appearance at Seasons Performance Hall will kick off Yakima Regional’s Heart Month efforts to educate the community about issues related to heart health. During the past two decades, Piscatella has created “teachable moments” for others—practical advice on living a healthy lifestyle in the real world. His work includes 10 best-selling books that are used by cardiac rehabilitation and wellness programs in more than 5,000 hospitals. The books have sold 7.5 million copies. His newest books are Take a Load off Your Heart, a cutting-edge book on stress, and The Road to a Healthy Heart Runs Through the Kitchen— straight information on a healthy diet. As a spokesman for a healthy lifestyle, Piscatella is regularly interviewed on the Today Show, CNN, Good Morning America, and Fox News. He has hosted three PBS television specials including Take a Load Off Your Heart, which is currently airing nationally. He has served as the only nonmedical member of the National Institutes of Health Cardiac Rehabilitation Expert Panel, which is charged with developing clinical practice guidelines for physicians. Only 400 seats are available for this great event. Call (509) 575-5799 to obtain your free tickets. Joe Piscatella’s These are a few of the steps you can take to help you on your way to achieving a healthy heart: Feel Your Oats Foods high in soluble fiber— oatmeal, beans, fresh fruits, broccoli—form a gel that not only interferes with cholesterol absorption but actually helps excrete it naturally. Watch Out for Trans Fat One study showed that women who consume lots of trans fats had a 66 percent higher risk of heart disease. Don’t Pass on the Sweet Potatoes Brimming with beta-carotene, fiber, folate, and vitamins E and C, the sweet potato is rated No. 1 healthiest vegetable. Morning Math Choose whole-grain cereals that contain at least 3 grams of fiber per serving. Nothing Fishy About It Eat fish at least twice a Tips for a Healthy Heart week. Omega-3 fatty acids, found abundantly in salmon, mackerel, and other oily fishes, have been shown to lower cholesterol, reduce triglycerides, help prevent blood clots, and contribute to the body’s production of anti-inflammatories. Drink to Your Health Studies show that moderate consumption of coffee, black tea, and alcohol can reduce heart attack risk. Go Nuts One serving a day (about the size of a shot glass) of walnuts or almonds can reduce harmful LDL-cholesterol. Picture It A healthy serving size of meat = a deck of cards. Cheese = four dice. Peanut Butter = a golf ball. Bagel = hockey puck. Pasta or rice = cupcake liner. HOUSE CALL 7 Calendar of Events Yakima Regional Medical and Cardiac Center offers the following free classes in the ICCU Conference Room. Call (509) 573-3592 to find out more about dates and times or to register. Learn what facts on food labels are important and how to apply this information to your individual needs. A tobacco control manager from the American Lung Association will help you understand nicotine addiction and why it is so hard to quit. You will learn the benefits of quitting and tips on how to make a successful quit plan. Would you like to look forward to going to bed and getting a good night’s rest? Many people struggle with getting to sleep and/or staying asleep. This class covers the basics of good sleep hygiene. Come and sleep better! This class is designed to give you an understanding of how your heart works. Identified are basic heart anatomy and physiology, cardiac risk factors and ways to reduce your risk, symptoms of heart attack, and skills to assist those who have recently had cardiac surgery or heart attack through the recovery process. Cardiac Rehabilitation Classes following questions will be addressed: • How often should I exercise? • How long should I exercise? • How do I know how hard to exercise? • What if I don’t even like to exercise? The ability to relax or de-stress is as simple as taking a breath and as challenging as focusing on that breath without distractions. Come and learn some simple tools you can use to create a more peaceful, reduced-stress life for yourself. Discover the power and rejuvenating benefits of relaxation. Changing what you eat is one of the most effective ways to reduce cholesterol levels, blood pressure, and weight. This class covers nutrition guidelines, label facts, restaurant dining, and “good” vs. “bad” fats, as well as how to put exercise and food together to make positive lifestyle changes. Pleasure is commonly thought of as a positive experience related to happiness, entertainment, and enjoyment. People usually feel pleasure through activities like being with loved ones, listening to music, writing, and/or accomplishing something. As we age and confront illness, our experience of pleasure can be interrupted. This class offers you a chance to consider dozens of potentially pleasurable activities and decide which new ones you might like to try. The presenter also explains the concept of psychological neoteny, which might offer you a few ideas about play, spontaneity, and reckless abandon—why not? A pharmacist will help answer your medication questions with regard to problems frequently encountered, how to make your prescription dollar count, and how to keep your medications straight. Want more information? Call (509) 573-3592. Yakima Regional Medical and Cardiac Center Monte Bostwick, CEO Board of Trustees Label Reading Introduction to Relaxation Techniques Tobacco 101 Heart Healthy Eating Getting to Sleep Dr. John Adkison Maureen Adkison Dr. Ashutosh Bapat Sen. Alex Deccio Michael Gamache Dennis Green Gayle Hall Rep. Bill Hinkle Norm Johnson Jake Jundt Dr. Phil Menashe Ken Messer Dr. Pat Overand Dr. Julia Robertson Betsy Roy Pleasure Heart Basics For health information, physician referral, employment opportunities, and more, please visit our Web site at www.yakimaregional.org. Diabetes is such an important risk factor for heart attack that it is often referred to as “another name for heart disease.” Type 2 diabetes puts you at three times the risk for the development of cardiovascular disease, and this class helps you to recognize the signs and symptoms. This class will highlight aerobic exercise, strength, and flexibility. Answers to the Diabetes: Another Word for Heart Disease House Call is published by Yakima Regional Medical and Cardiac Center as a public service to the people of Central Washington. This publication in no way seeks to serve as a substitute for professional medical care. Consult your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines. Editor: Janice Richards, marketing director (509) 575-5282 Understanding Your Medications Principles of Exercise FR OM ZIP C O D M AIL E PRSRT STD U.S. Postage Permit No. 456 E D 85 7 26 PAID 110 S. 9th Avenue, Yakima, WA 98902