Informed Magazine - Winter 2009.pdf - Parma Community General ...

news FROM the expert
Ask the
Orthopedist
Matthew Lyman, DO
How can a hip be preserved?
Orthopedists have performed hip
replacements for decades, mainly in
patients with osteoarthritis of the hip. But
hip preservation allows us to postpone
or prevent hip replacement. When
patients have hip or groin pain but no
arthritis, they may be candidates for hip
preservation.
What is hip impingement?
Orthopedists’ understanding of the causes
of arthritis has been limited through the
years, but in the last 10 years a new
cause for hip arthritis has become clear:
hip impingement. Impingement is a
conflict between two bones. In the case
of the hip, it occurs when the hip is flexed
up into the position of sitting or kicking.
One part of the ball of the hip runs into
a part of the cup of the hip and a very
important piece of cartilage –the labrum
– is damaged. Damage to the labrum is
the first step in developing arthritis of
the hip. I remedy this hip impingement
by performing arthroscopy of the hip. It is
hoped that this will prevent the need for
hip replacement.
What do you offer patients
who already have hip arthritis?
I encourage patients to put up with the
pain for as long as they can. If they end up
needing a surgical intervention, I perform
hip replacements or hip resurfacing. In
hip resurfacing, more of the patient’s
own bone – the femoral neck and part
of the femoral head – is preserved. This
allows for more natural loading patterns
to the bone and a larger femoral head
replacement. Patients who have a hip
resurfacing can return to running sports,
which isn’t really encouraged for a
standard hip replacement. Hip resurfacing
is reserved primarily for younger patients
who want to return to sports or jobs
involving heavy lifting.
Matthew Lyman, DO is an orthopedic
surgeon with Southwest Orthopaedics.
Their office is on the Parma Hospital
campus in Medical Arts Center 4, 6115
Powers Blvd., Suite 100, Parma. Make an
appointment by calling 440-842-1570.
GERIATRIC PSYCHIATRIC UNIT
Treating the mind, curing the whole person
An experienced medical director
at Parma Hospital’s
Behavioral Center for Older
Adults put David Kushman’s
mind at ease.
Emotionally exhausted
from three frustrating experiences
at another hospital,
where psychiatrists would
not involve him in the care of
his severely depressed wife,
Kushman finally discovered
psychiatrist David Fox, MD
and the caring team he has led
since the psychiatric unit for
older adults opened in 1996.
“I can’t say enough about
Parma Hospital,” says the
Middleburg Heights man, who
brought his wife home on his
65th birthday. “At the other
hospital, I couldn’t even get the doctors to
talk to me about my wife’s treatment. Here,
Dr. Fox called me. He did everything right.”
Dr. Fox notes that effective treatment
requires establishing a baseline of behavior
prior to the onset of illness. The secured
unit located on the hospital’s fifth floor offers
hope to patients who oftentimes have
dementia and psychiatric problems overlapping
complicated medical conditions.
Typically, physicians ask Dr. Fox to see their
patients due to a change in mental status,
indicated by agitation or confusion.
“Late in life, depression is extremely
common,” said Geriatrician William Crowe,
MD. “If we can get a depressed or demented
person on the right medicines, they can
Health clinic opens in
Independence Drug Mart
Health screenings, immunizations and
treatment of minor ailments from
sinus infections to strep throat have come
to another drug store near you.
Parma Hospital has opened Community
Express Care inside the Discount Drug Mart
on Brecksville Road near Rockside Road in
Independence. A similar health clinic was
opened in Olmsted Falls in 2008.
The clinic can take patients as young
as 2 years old. Most visits take just 15
minutes. The certified nurse practitioners
on staff can:
• Treat ailments like seasonal allergies,
ear infections, strep throat and pink eye.
Psychiatrist David Fox, MD, displays in his waiting room the
impressionist paintings of a former patient whose artistic side was
reawakened during her treatment.
often go home. The Behavioral Center is a
great resource for our patients.”
Services include recreational,
occupational and physical therapy, as well
as individual, group and family counseling.
A social worker spends time with each
family during discharge planning and a
designated home health care nurse visits
regularly until the patient stabilizes.
The Behavioral Center’s comprehensive
assessments determine whether a patient
is suffering from behavioral issues – such
as Alzheimer’s disease, dementia or
depression – beyond the natural aging
process.
For information or admissions, call 440-
743-4189.
• Provide screenings for blood pressure
and blood sugar.
• Perform immunizations for
pneumonia, tetanus, hepatitis B and
measles/mumps/rubella.
• Perform sports or camp exams.
“I have people stop by who just thank
us for being here,” says Melissa Nemeth,
the certified nurse practitioner who opened
the Olmsted Falls location for Parma
Hospital. “I definitely think we’re filling a
niche in the community.”
For hours of operation and more
information, call the clinic at 216-447-9155.
6 Informed www.parmahospital.org