Your Health Today June 2013 - St. Anthony's Medical Center
Your Health Today June 2013 - St. Anthony's Medical Center
Your Health Today June 2013 - St. Anthony's Medical Center
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JUNE <strong>2013</strong><br />
ANSWERING<br />
THE CALL<br />
PAGE 6<br />
Potosi, Mo., Fire Chief Richard Knight is on the road to<br />
recovery after a life-threatening rollover accident.
8<br />
<strong>Your</strong> <strong>Health</strong><br />
today<br />
6<br />
june<br />
<strong>2013</strong><br />
5<br />
6<br />
8<br />
10<br />
Around <strong>St</strong>. Anthony’s<br />
Pruellage <strong>Center</strong><br />
delivers<br />
New name, same great care at<br />
<strong>St</strong>. Anthony’s John K. Pruellage<br />
Heart and Vascular <strong>Center</strong><br />
COVER STORY<br />
answering the call<br />
<strong>St</strong>. Anthony’s caregivers put Potosi’s<br />
fire chief on the road to recovery<br />
after a serious rollover accident<br />
FEATURE STORIES<br />
sweet victory<br />
Oakville woman is back at work<br />
after overcoming a rare type of<br />
heart attack<br />
new lease on life<br />
Heart Specialty Associates and<br />
Sleep Disorder <strong>Center</strong> deliver<br />
better health to Dave Gilbert of<br />
Webster Groves<br />
IT’S THE SCRUBBING, NOT THE SOAP:<br />
Veggie washes<br />
Not necessary<br />
Experts agree it’s important to wash all fresh<br />
fruits and veggies before eating. But you<br />
can ditch the commercially prepared fruit<br />
and vegetable washes.<br />
Rubbing the produce under warm or cold tap<br />
water worked to remove pesticide residues as<br />
well as mild soap solutions or commercial washes,<br />
a team of scientists concluded in studies at the<br />
Connecticut Agricultural Experiment <strong>St</strong>ation. The<br />
editors of the culinary magazine Cook’s Illustrated<br />
performed similar tests, and came to the same<br />
conclusion about veggie washes.<br />
For maximum effectiveness on<br />
microorganisms such as E. coli, both testing teams<br />
recommend spraying or rinsing produce with a<br />
mild vinegar solution before washing. The Cook’s<br />
Illustrated team recommends filling a plastic spray<br />
bottle with three cups of water and one cup of<br />
white vinegar for this purpose.<br />
The U.S. Food and Drug Administration<br />
(FDA) recommends all produce be washed<br />
thoroughly under running water. The FDA does not<br />
recommend using soap, detergent or commercial<br />
produce washes.<br />
Sources: FDA, National Public Radio, New York Times<br />
10<br />
12<br />
14<br />
healthy habits<br />
vintage veggies<br />
Heirloom produce adds zip,<br />
and the flavors of yesteryear, to<br />
today’s dinner table<br />
MOVE IT!<br />
stay cool in the pool<br />
Water exercise offers a gentle<br />
solution to those seeking a lowimpact<br />
workout<br />
12<br />
Web Extras<br />
Articles with this icon have<br />
more info on our website.<br />
Go to stanthonysmedcenter.com<br />
and click on <strong>Your</strong> <strong>Health</strong> <strong>Today</strong>.<br />
2 | YOUR HEALTH TODAY | june <strong>2013</strong>
THANK YOU<br />
FOR TRUSTING<br />
US WITH YOUR<br />
CARE AND THE<br />
CARE OF YOUR<br />
LOVED ONES.<br />
– David J.<br />
Morton, M.D.,<br />
Chief <strong>Medical</strong><br />
Officer<br />
LEADER’S PERSPECTIVE:<br />
Our People, Our Care, Our <strong>St</strong>ories:<br />
In A Word, AMAZING!<br />
We care about you. A simple phrase -- but it’s why we do what we<br />
do here every day at <strong>St</strong>. Anthony’s <strong>Medical</strong> <strong>Center</strong>.<br />
We’re committed to your care. It’s our calling, and my personal<br />
and professional mission, to help you and your loved ones live<br />
healthy lives.<br />
Thank you.<br />
Thank you for trusting us with your care and the care of your loved ones. We take that<br />
responsibility very seriously, and we are touched when we hear stories from you about the<br />
amazing care we provide at <strong>St</strong>. Anthony’s. In fact, three of your stories are featured in this<br />
issue of <strong>Your</strong> <strong>Health</strong> <strong>Today</strong>.<br />
We have also started sharing your stories with the whole world (or at least our immediate<br />
area). It’s called the Amazing <strong>St</strong>. Anthony’s campaign, and it was created internally by our own<br />
employees. It features patients like you. Perhaps you’ve seen the ads in the South County<br />
Times, the Webster-Kirkwood Times, the Jefferson County Leader and the <strong>St</strong>. Louis Review.<br />
Maybe you’ve heard our staff tell their stories on KEZK, KLOU, KYKY, KSLZ, WARH, WIL<br />
and KMOX radio. You might have seen our billboards as you drive along some of our busy<br />
interstates. This campaign is all about the stories you have shared with us about the amazing<br />
care you’ve received at <strong>St</strong>. Anthony’s.<br />
I invite you to visit Amazing<strong>St</strong>Anthonys.com to see more stories your neighbors and<br />
community members have told us about the care they received here. I encourage you to add<br />
your own. I’d love to read them.<br />
Thank you for choosing <strong>St</strong>. Anthony’s, and for allowing us to care for you and our community.<br />
David J. Morton, M.D.<br />
Chief <strong>Medical</strong> Officer<br />
<strong>St</strong>. Anthony’s <strong>Medical</strong> <strong>Center</strong><br />
| 3
special delivery:<br />
SimMom makes debut at <strong>St</strong>. Anthony’s<br />
Pregnancy-related deaths will claim 15<br />
of every 100,000 women who give<br />
birth in the United <strong>St</strong>ates, according<br />
to federal statistics. That’s more than double<br />
the all-time low of 7.2 deaths per 100,000<br />
births reported in 1987. Similarly, the rate of<br />
Ken Forinash of Laerdal <strong>Medical</strong> instructs Kelly Evans, left,<br />
and Karla Herrington as they tend to a newborn “SimBaby”<br />
delivered in a simulated high-risk situation.<br />
severe complications during and after delivery has<br />
doubled in the last decade.<br />
To battle those numbers, educators at <strong>St</strong>. Anthony’s<br />
have taken a proactive approach to training their<br />
Labor and Delivery nurses for high-risk deliveries,<br />
and preparing their staff for real-life emergency<br />
situations. Laerdal <strong>Medical</strong>’s SimMom, an<br />
advanced, full-body, interactive birthing simulator,<br />
joined the Education department recently through a<br />
$50,000 donation from the Dana Brown Charitable<br />
Trust to <strong>St</strong>. Anthony’s Charitable Foundation. The<br />
medical center is one of only a few in the region to<br />
have SimMom.<br />
“SimMom has a small, newborn-sized baby that<br />
she delivers, creating a very realistic event,” said<br />
Shelly O’Malley Robinson, staff development<br />
educator and coordinator of the Nurse Residency<br />
Program. “We can talk about these procedures<br />
in a classroom, collaborate on care and have<br />
nurses take a written test. But when you perform<br />
the procedure, replicating reality, it becomes<br />
hardwired. That’s when learning truly occurs.”<br />
Charitable Foundation’s video discourages heroin use<br />
<strong>St</strong>. Anthony’s anesthesiologist Joseph M. Forand, M.D., wants<br />
potential users to know heroin’s chilling effects. Dr. Forand is<br />
the executive producer of The Heroin Film Project, a 15-minute<br />
video that features interviews with local doctors, experts and<br />
recovering heroin addicts.<br />
The film was produced with unanimous support and financial<br />
assistance from <strong>St</strong>. Anthony’s Charitable Foundation’s Physician<br />
Ambassador Board, a group of 23 physicians who share the<br />
mission to improve the health of the community through<br />
fundraising and grant support. Produced by the Charitable<br />
Foundation and Pelopidas Media, the video also was funded in<br />
part by the Missouri Society of Anesthesiologists.<br />
“My goal with the film is to keep people from trying heroin,” said Dr. Forand.<br />
To view the video: Contact <strong>St</strong>. Anthony’s Charitable Foundation at (314) 525-7330 or aliciacummiskey@samcstl.org.<br />
4 | YOUR HEALTH TODAY | JUNE <strong>2013</strong>
NEW NAME, SAME GREAT CARE: The Heart and Surgical Pavilion at <strong>St</strong>. Anthony’s <strong>Medical</strong> <strong>Center</strong><br />
was recently renamed in honor of John K. “Jack” Pruellage.<br />
Continuum of Cardiac Care<br />
Pruellage <strong>Center</strong> delivers<br />
<strong>St</strong>. Anthony’s Heart and Surgical Pavilion has been renamed in honor of the late<br />
John K. “Jack” Pruellage, a dedicated member of the medical center’s board of directors<br />
and former chairman of the Lewis, Rice & Fingersh law firm.<br />
The state-of-the-art facility is home to <strong>St</strong>. Anthony’s Heart Specialty <strong>Center</strong> and boasts four<br />
cardiac catheterization labs, three Interventional Radiology suites, two electrophysiology<br />
labs, one endovascular operating room and the Heart Evaluation and Rapid Treatment<br />
(H.E.A.R.T.) Unit.<br />
It was created in 2011 through a unique partnership between the medical center and The<br />
Heart Specialty Associates, a practice that now includes 13 of the area’s top cardiologists.<br />
The Heart Specialty <strong>Center</strong> provides a seamless continuum of care for cardiac patients.<br />
“Our team members in the Heart Specialty <strong>Center</strong> are extremely dedicated and absolutely<br />
top-notch,” said interventional cardiologist David Morton, M.D., chief medical officer of<br />
<strong>St</strong>. Anthony’s <strong>Medical</strong> <strong>Center</strong>. “We stay current with the latest advancements in cardiac<br />
surgery and groundbreaking treatments for heart failure, abnormal heart rhythms and heart<br />
attacks. Having the ability to provide the highest level of care to patients, that’s our bottom<br />
line.”<br />
OUR TEAM<br />
MEMBERS ARE<br />
EXTREMELY<br />
DEDICATED AND<br />
ABSOLUTELY<br />
TOP-NOTCH.<br />
– David Morton, M.D.,<br />
Chief <strong>Medical</strong> Officer<br />
The H.E.A.R.T. Unit opened in May 2012 in the Physicians Office <strong>Center</strong>. An expanded,<br />
10-bed unit, the Lewis Rice Heart Evaluation and Rapid Treatment Unit, is scheduled to<br />
open in August and will concentrate its efforts on caring for patients with heart failure.<br />
The new unit is being funded by contributions from friends, colleagues and family of the<br />
late John K. Pruellage.<br />
| 5
amazing care<br />
<strong>St</strong>. Anthony’s caregivers put fire<br />
chief on the road to recovery<br />
ANSWERING<br />
the<br />
Richard Knight has dedicated his life to<br />
serving others. For 20 years, he has served as<br />
volunteer fire chief of the Potosi Fire Protection<br />
District. And each holiday season, he teams<br />
with Vera, his wife of 30 years, as Santa and Mrs. Claus to<br />
spread cheer at nursing homes.<br />
But on Monday afternoon, March 25, it was Richard’s turn<br />
to be served – by <strong>St</strong>. Anthony’s – after his public service<br />
took an unexpected detour. He was on a non-emergency<br />
call, hauling water for fire assistance to the neighboring<br />
town of Richwoods, Mo., when the wheels of the truck he<br />
was driving slipped off the wet road. He over-corrected,<br />
causing his load of 16,660 pounds of water to shift.<br />
The truck rolled not once, but twice. Although he was<br />
wearing a seat belt, he was halfway out the side window<br />
by the time the truck came to a rest.<br />
“I remember thinking, ‘Oh, no, this is not going to be<br />
good,’” recalled Richard, 51. “I didn’t think I was going<br />
to survive the second rollover. I guess I have a few more<br />
things to accomplish, because somebody was on my<br />
side, telling me it just wasn’t my time.”<br />
“The first night I came home from the hospital,” Vera<br />
Knight reflected, “to see his boots on the floor, and his<br />
coat and lunch box, was really hard.”<br />
He escaped the ordeal with broken ribs and vertebrae,<br />
but did not suffer a concussion. Richard was released<br />
on March 30, after he was fitted with a back brace by<br />
orthopedic surgeon Benjamin Crane, M.D.<br />
“We feel like we’ve been blessed,” Vera said.<br />
“I cannot stress to anyone enough how wonderful<br />
everyone at <strong>St</strong>. Anthony’s was. We were treated not just<br />
with professionalism, but with love. They treated us as<br />
though we were family members.”<br />
“Since we’ve been home, we’ve looked at the photos<br />
of the truck, and realize what a miracle it was that he<br />
was able to live through it,” Vera added. “It’s been a<br />
growing experience for us, a humbling experience. Petty<br />
things in our lives that once seemed so important, now<br />
are not so important.”<br />
Dr. Crane said Richard likely will make a full recovery.<br />
6 | YOUR HEALTH TODAY | JUNE <strong>2013</strong>
I remember<br />
thinking,<br />
‘Oh, no, this<br />
is not going to<br />
be good.’<br />
RICHARD KNIGHT<br />
Potosi, Mo., Fire Chief<br />
call<br />
“Fortunately, the fractures are all amenable<br />
to bracing, rather than surgery,” Dr. Crane<br />
said. “Given the nature of the accident,<br />
I think he’s very lucky that the injuries are<br />
not worse. He should be able to return to his<br />
volunteer firefighting duties without much<br />
difficulty.”<br />
At his home in Cadet, Mo., Richard<br />
improves a little each day, and friends<br />
and family have been eager to lend their<br />
support, Vera said.<br />
Richard’s fondest fans include his nieces<br />
and nephews. Missy Naeger, an R.N. at<br />
<strong>St</strong>e. Genevieve County Memorial Hospital,<br />
posted a heartfelt tribute to her uncle on<br />
Facebook after the accident. She said he<br />
had helped to inspire her to become a<br />
nurse.<br />
“A lot of why I am what I am is because<br />
of Uncle Ricky,” Missy said. “We’ve been<br />
extremely pleased with how <strong>St</strong>. Anthony’s<br />
has cared for him. He’s had great doctors<br />
and great nurses.”<br />
TO THE RESCUE<br />
On his first visit back to the<br />
firehouse since his accident, Chief<br />
Knight thanks two of his rescuers:<br />
Scott Ramsey, left, and Harvey<br />
Price, who were among the first to<br />
arrive at the scene.<br />
Rescuers used the Jaws of Life to remove<br />
Knight from the mangled wreckage, and he was<br />
rushed to <strong>St</strong>. Anthony’s with six broken ribs,<br />
several fractured vertebrae, and a full-thickness<br />
laceration on his head that exposed his skull.<br />
Catch our stories:<br />
“Amazing <strong>St</strong>. Anthony’s”<br />
Richard Knight’s story is just one example of<br />
the great care our patients have received at<br />
<strong>St</strong>. Anthony’s <strong>Medical</strong> <strong>Center</strong>.<br />
Visit Amazing<strong>St</strong>Anthonys.com today<br />
to read more of them.<br />
The wreckage of the truck<br />
Knight was driving<br />
| 7
amazing care<br />
sweet<br />
SCAD heart attack no match for Judy Novack<br />
A<br />
heart problem was the last thing on<br />
Judy Novack’s mind when she suffered<br />
from back and chest pressure for<br />
several days in February 2012.<br />
The pain continued to increase, and Judy<br />
took a day off from her job at an engraving<br />
company. (“Normally, I go in even when I’m<br />
dying,” she says). After her boyfriend, Herb<br />
Trost, returned home from work that night, the<br />
couple headed to <strong>St</strong>. Anthony’s Emergency<br />
Department, where a blood enzyme test<br />
indicated a problem with Judy’s heart.<br />
Judy, then 53, had suffered a spontaneous<br />
coronary artery dissection (SCAD) heart<br />
attack. Spontaneous coronary artery dissection<br />
happens when the coronary artery develops a<br />
tear, causing blood to flow between the layers<br />
and forcing them apart. This can create a<br />
blockage that can result in a heart attack, and<br />
is sometimes deadly.<br />
Judy was moved from the Emergency<br />
Department to Cardiac Catheterization, where<br />
cardiologist Paul Gibson, M.D., inserted a<br />
stent.<br />
“This condition is rare, but it can be the cause<br />
of sudden death. Most of Judy’s heart muscle<br />
function has returned. Her outlook is good.”<br />
Judy completed the Phase II Cardiac Rehab<br />
program at <strong>St</strong>. Anthony’s, and continues to<br />
practice heart-healthy habits by exercising<br />
in the Phase III supervised exercise program<br />
through Cardiac Rehab.<br />
“My care at <strong>St</strong>. Anthony’s was wonderful;<br />
everybody was just great,” she said. “I never<br />
thought I’d have a cardiologist, but Dr. Gibson<br />
is great.”<br />
She is active in <strong>St</strong>. Anthony’s WomenHeart<br />
Support Group, and in October she modeled<br />
in the fashion show for the annual “Go Pink<br />
and Red for Women” event.<br />
“Last year, Judy organized her family to<br />
participate in the American Heart Association’s<br />
Heart Walk, even designing their own shirts,”<br />
said Nancy Houlihan, R.N., charge nurse in<br />
Cardiac Rehab.<br />
“The first day that I woke up with it, I just felt,<br />
‘Wow, I had a heart attack,’” recalled Judy. She<br />
was amazed because she’s a vegetarian who<br />
has low blood pressure, • normal cholesterol<br />
levels and no family history of heart disease.<br />
The cause of the artery tear is a mystery,<br />
Dr. Gibson said.<br />
“In my 25 years of practice, Judy is maybe the<br />
third or fourth patient I’ve had with a SCAD<br />
heart attack,” Dr. Gibson noted.<br />
8 | YOUR HEALTH TODAY | JUNE <strong>2013</strong><br />
<strong>St</strong>. Anthony’s WomenHeart support group meets the first<br />
Tuesday of the month from 6 to 7:30 p.m.<br />
Call 314-ANTHONY (268-4669) for more information.
•<br />
“Judy’s kind demeanor and caring heart<br />
serve as an ongoing example to other<br />
patients in our exercise programs and<br />
support groups at <strong>St</strong>. Anthony’s Cardiac<br />
Rehab.”<br />
Judy enjoys a range of interests that include<br />
cake decorating and hiking. She and Herb<br />
just celebrated 23 years together.<br />
Judy urges other women to see their<br />
doctors if they experience recurring<br />
back or chest pain.<br />
“It’s important,” she said.<br />
Judy is once again pursuing her passions,<br />
including cake decorating.<br />
symptoms of<br />
heart attack<br />
in WOMEN<br />
Uncomfortable pressure, squeezing, fullness or pain in the<br />
center of your chest that lasts more than a few minutes, or<br />
goes away and comes back.<br />
Pain or discomfort in one or both arms, the back,<br />
neck, jaw or stomach.<br />
Shortness of breath, with or without chest<br />
discomfort.<br />
Breaking out in a cold sweat, nausea or<br />
lightheadedness.<br />
As with men, women’s most common heart<br />
attack symptom is chest pain or discomfort.<br />
But women are somewhat more likely than<br />
men to experience some of the other common<br />
symptoms, particularly shortness of breath,<br />
nausea, vomiting and back or jaw pain.<br />
If you have any of these<br />
symptoms, don’t delay!<br />
Call 9-1-1 and get to a hospital<br />
right away.<br />
Source: American Heart Association<br />
| 9
amazing care<br />
new lease<br />
on<br />
LIFE<br />
Dave<br />
Heart Specialty Associates,<br />
Sleep Disorder <strong>Center</strong> deliver<br />
Gilbert now is going on more photo<br />
expeditions, and is able to return to his<br />
love of kayaking.<br />
These days,<br />
Dave Gilbert<br />
wakes up<br />
feeling refreshed and<br />
energetic.<br />
“My wife asked me how<br />
it feels to look younger than I<br />
did 5 to 10 years ago,” said Dave, a<br />
professional photographer and media<br />
producer who recently celebrated his 60 th<br />
birthday.<br />
A year ago, Dave suffered from fatigue,<br />
and returned home from work each day<br />
physically exhausted. He chalked it up to age until<br />
he began having sleep problems, exacerbated by<br />
problems with his breathing when he lay down. His<br />
doctor, Brad Bernhard, M.D., at Southwest <strong>Medical</strong><br />
<strong>Center</strong>, administered an EKG and, after much armtwisting,<br />
convinced him to seek further testing<br />
immediately.<br />
Dave’s heart had been weakened by a virus, but his<br />
skepticism remained healthy. After researching his<br />
potential doctors’ qualifications and asking many<br />
questions about his care, Dave gave the okay to the<br />
<strong>St</strong>. Anthony’s team of Dr. Dobmeyer,<br />
electrophysiologist-cardiologist Greg<br />
Botteron, M.D., the staff of <strong>St</strong>.<br />
Anthony’s Heart Specialty Associates,<br />
pulmonologist Kirk Nelson, D.O.,<br />
the staff of <strong>St</strong>. Anthony’s Sleep<br />
Disorder <strong>Center</strong>, the staff of<br />
Cardiac Rehab and the Heart<br />
“Dave showed up in terrible heart failure in May<br />
2012,” recalled cardiologist David Dobmeyer,<br />
M.D. “He had a heart pumping efficiency of 20<br />
percent – in normal people it’s 60 percent – and his<br />
heart had become enlarged.”<br />
10 | YOUR HEALTH TODAY | JUNE <strong>2013</strong>
•<br />
<strong>St</strong>. Anthony’s<br />
Sleep Disorder <strong>Center</strong>:<br />
• Performs an average of five in-lab studies per<br />
night and is open five nights per week.<br />
• Now offers in-home sleep studies that can be<br />
performed in the patient’s home.<br />
• Has a staff of nine full-time sleep technicians<br />
who also are respiratory therapists.<br />
• Offers testing that can evaluate patients for<br />
different forms of sleep disorders, including<br />
obstructive sleep apnea, central sleep apnea,<br />
narcolepsy hypersomnia, insomnia, and many<br />
others.<br />
• Has a staff of physicians who specialize in<br />
sleep disorders and three physicians who are<br />
board-certified in sleep medicine.<br />
Failure Clinic. Dave underwent cardiac<br />
catheterization and received a biventricular<br />
Implantable Cardioverter Defibrillator.<br />
A sleep study confirmed Dave was suffering<br />
from sleep apnea, and he was fitted with a<br />
Continuous Positive Airway Pressure device.<br />
Obstructive sleep apnea occurs when a<br />
person stops breathing during sleep because<br />
his or her airway collapses and prevents air<br />
from getting into the lungs. Left untreated, it<br />
is known to cause high blood pressure, heart<br />
disease, heart attack and stroke.<br />
To continue his rehab, Dave built a small gym<br />
in the basement of his Webster Groves home.<br />
His prognosis is good, Dr. Dobmeyer said.<br />
“Everyone I came into contact with at<br />
<strong>St</strong>. Anthony’s, from the docs to the nurses, to<br />
the technicians and aides – each truly made<br />
a difference in my life, giving me a second<br />
chance,” Dave said. “I’m now back at work<br />
and moving forward.”<br />
For more<br />
information, call<br />
314-ANTHONY<br />
Continued<br />
CARDIAC<br />
care<br />
For follow-up care, Dave Gilbert was enrolled in<br />
<strong>St</strong>. Anthony’s Heart Failure Clinic, which seeks<br />
to improve patients’ quality of life and reduce<br />
hospitalizations. Nurse practitioners follow up<br />
with patients, monitoring symptoms such as fluid<br />
buildup, and educating them on diet and exercise.<br />
Cardiologist Charles Carey, M.D., is medical director<br />
of <strong>St</strong>. Anthony’s Heart Failure Clinic, which:<br />
• Is the only one of its kind in the region<br />
• Has treated more than 500 patients<br />
since 2007<br />
• Boasts an 85 percent reduction in hospital<br />
admission rates for enrolled patients<br />
• Has reduced the need for cardiac<br />
defibrillator devices in patients by<br />
60 percent or more<br />
“Patients in the heart failure program are monitored for<br />
life,” said nurse practitioner Vijayalakshmi Divakaran,<br />
coordinator of the Heart Failure Clinic.“That speaks<br />
to the lifelong nature of the disease.”<br />
The staff also coordinated a plan of care with Dave’s other<br />
doctors and his wife, Karen.<br />
“We’re treating the patients, in essence, to be partners<br />
with us in their care and management,” said cardiologist<br />
David Dobmeyer, M.D. “Dave took an immense interest in<br />
heart failure, and became an expert in managing his heart<br />
care. That made our job a lot easier, and<br />
contributed to the success of his therapy.”<br />
Read Dave’s first-person account of his journey at<br />
amazingstanthonys.com<br />
| 11
healthyhabits<br />
Brighten <strong>Your</strong> Table With<br />
Vintage<br />
Veggies<br />
Where to find<br />
HEIRLOOM<br />
produce<br />
Heirloom vegetables are available in<br />
local grocery stores such as Schnucks<br />
and Dierbergs, local farmers markets<br />
and farm stands, and at <strong>St</strong>. Anthony’s<br />
<strong>Medical</strong> <strong>Center</strong>. Each Wednesday this<br />
summer from noon to 5 p.m., DanJo<br />
Farms of Moberly, Mo., will host a<br />
produce stand in the hospital parking<br />
lot. Owners Dan and Joanne Nelson<br />
focus on chemical-free and heirloom<br />
vegetable growing practices.<br />
<strong>Health</strong>y diets need plenty of veggies, but<br />
repeated appearances on the menu can<br />
weaken the appeal of these antioxidant<br />
superstars.<br />
To jazz up your meals with zippy new colors and<br />
flavors, try heirloom vegetables – Cherokee<br />
Purple, Amish Deer Tongue, Golden Bantam<br />
and Kentucky Wonder Pole, to name a few.<br />
Heirlooms are vintage plant varieties that have<br />
been preserved and passed down for generations.<br />
They include many vegetable varieties, although<br />
tomatoes, beans, fingerling potatoes and<br />
cucumbers are currently the most popular.<br />
“Heirlooms are unique in color, appearance, taste<br />
and texture,” said Elizabeth Patton, dietitian and<br />
certified diabetes educator with <strong>St</strong>. Anthony’s<br />
Outpatient Diabetes and Nutrition Education.<br />
“Unlike their hybrid counterparts, heirloom<br />
seeds are always open-pollinated—bred through<br />
uncontrolled, natural methods such as the wind,<br />
insects or birds. This allows for traits such as<br />
natural disease resistance, insect resistance,<br />
weather tolerance and diversity.”<br />
Try a Red Zebra tomato, Purple Beauty pepper or<br />
Cosmic Purple carrot today!<br />
“Heirlooms<br />
are unique<br />
in color,<br />
appearance,<br />
taste and<br />
texture.”<br />
Elizabeth Patton,<br />
dietitian and<br />
certified diabetes<br />
educator with<br />
<strong>St</strong>. Anthony’s<br />
Outpatient Diabetes<br />
and Nutrition<br />
Education<br />
12 | YOUR HEALTH TODAY | JUNE <strong>2013</strong>
five popular heirloom varieties to try:<br />
BRANDYWINE TOMATO: Known for its sweet, juicy and rich flavor.<br />
LEMON CUCUMBER: Bright yellow, crisp and refreshing, without bitterness.<br />
“RED KURI” WINTER SQUASH: Pumpkin-colored exterior, creamy, nutty-flavored flesh.<br />
“JIMMY NARDELLO’S” PEPPER: Long, slender red fruit turns soft and creamy when cooked.<br />
“FRECKLES” LETTUCE: Red-speckled, light green leaves brighten any salad.<br />
Source: Sunset.com<br />
RECIPE<br />
Fresh herbed<br />
heirloom tomatoes<br />
and goat cheese crostini<br />
INGREDIENTS:<br />
1/4 cup chopped fresh basil<br />
1/4 cup chopped fresh parsley<br />
2 tablespoons water<br />
2 tablespoons fresh lemon juice<br />
1 teaspoon extra virgin olive oil<br />
8 (1/4-inch-thick) slices French bread baguette, diagonally cut<br />
4 teaspoons goat cheese, divided<br />
20 (1/4-inch-thick) slices Red Zebra tomato or other heirloom variety<br />
1/2 teaspoon kosher salt, divided<br />
1/2 teaspoon freshly ground black pepper, divided<br />
DIRECTIONS:<br />
Preheat oven to 350°.<br />
Place the first five ingredients in a blender; process until smooth.<br />
Place baguette slices in a single layer on a baking sheet. Bake at 350° for seven minutes or until crisp.<br />
Spread 1/2 teaspoon cheese over each slice.<br />
Divide tomatoes evenly among four salad plates. Drizzle each serving with one teaspoon herbed oil<br />
mixture. Sprinkle each with 1/8 teaspoon salt and 1/8 teaspoon pepper.<br />
Source: Cooking Light<br />
| 13
move it!<br />
stay cool<br />
pool<br />
in the<br />
with water exercise<br />
Gentle<br />
motion<br />
improves<br />
fitness<br />
If you’re looking to get fit with minimal<br />
wear and tear on your joints, the<br />
local swimming pool is the perfect<br />
destination.<br />
“I’ve had so many patients with chronic<br />
pain and arthritis who have done so<br />
wonderfully with water exercise over the<br />
years,” noted Sandy Lehn, manager of<br />
Therapy Services in <strong>St</strong>. Anthony’s Acute<br />
Rehab department and a former assistant<br />
professor at Saint Louis University.<br />
“The buoyancy of the water acts to<br />
support their joints and allows them<br />
to do strengthening and conditioning<br />
exercises,” Lehn said. “When using the<br />
parallel bars, some patients with spinal<br />
cord injuries cannot stand against gravity.<br />
In the water we can get them so that<br />
they are floating on their backs, kicking<br />
with their legs, and strengthening their<br />
core abdominal and back muscles. They<br />
become stronger in the pool and are<br />
able to stand in the parallel bars to begin<br />
walking. It’s amazing.<br />
“I’m sold on water exercise,” Lehn added.<br />
“It’s a great way to start out on an exercise<br />
program if you are weak or you need to<br />
work on aerobic conditioning.”<br />
Can’t swim?<br />
NO PROBLEM!<br />
14 | YOUR HEALTH TODAY | JUNE <strong>2013</strong><br />
All you need is waist-high water
Water is a pleasant environment, which can lead to<br />
longer workouts than with a land-based exercise<br />
program, said Amber O’Donnell, staff physical<br />
therapist at <strong>St</strong>. Anthony’s Sports Therapy & Physical<br />
Therapy Service at Lamplighter Square. Water<br />
also allows older people, who have a difficult time<br />
regulating their body temperatures, to exercise<br />
without the risk of becoming overheated.<br />
“Water’s buoyancy decreases the load on a person’s<br />
joints, so arthritic patients can enjoy muscle and<br />
joint relaxation in warm water,” O’Donnell said.<br />
“And water adds resistance, so muscles can be<br />
strengthened further by using weights, kickboards<br />
or foam cylinders.”<br />
USING YOUR<br />
NOODLE<br />
All sorts of nifty gadgets are available<br />
to help you make the most of your water<br />
workouts:<br />
• Foam water noodles are inexpensive and versatile<br />
as seating, for flotation, or tied around ankles or<br />
wrists as weights.<br />
• Water shoes are reasonably priced and provide<br />
needed traction during exercise.<br />
• Kickboards provide stability for leg or kicking<br />
exercises.<br />
• Water barbells increase the resistance of water,<br />
for a more challenging workout.<br />
• Flotation belts provide buoyancy for deep-water<br />
exercise.<br />
• Hand webs or water gloves help increase the<br />
resistance of water.<br />
Source: MayoClinic.com<br />
A few simple water exercises<br />
Using water weights or foam barbells in each hand,<br />
raise your forearms to the level of the water, then turn<br />
over the weights so that the palms of your hands face<br />
the bottom of the pool. Push your hands down until<br />
your arms are straight again. Repeat 12 to 15 times.<br />
Place a water noodle between your legs, making sure<br />
it is higher in the back than in the front, then walk or<br />
“jog” across the deep water. If you don’t know how to<br />
swim, wear a flotation vest or float belt.<br />
Tie a water noodle into a knot around your foot, and<br />
stand with your back to the side of the pool in waistdeep<br />
water, placing your arms on the edge of the pool<br />
for stability. <strong>St</strong>raighten your leg in front of you, then<br />
flex your knee to a 90-degree position. Return to the<br />
starting position and repeat 12 to 15 times.<br />
Source: MayoClinic.com<br />
START SLOWLY<br />
Begin by walking back and forth<br />
across the shallow end of the<br />
pool. For additional resistance<br />
and toning, swing your arms<br />
back and forth through the water<br />
as you walk.<br />
DON’T TIPTOE<br />
Land flat on your feet. For<br />
maximum traction, wear water<br />
shoes.<br />
KEEP YOUR BACK STRAIGHT<br />
Tighten your abdominal muscles as you<br />
walk, to avoid leaning too far forward or<br />
to the side.<br />
Source: MayoClinic.com<br />
| 15