Fall 2011 - Our Lady of Bellefonte Hospital
Fall 2011 - Our Lady of Bellefonte Hospital
Fall 2011 - Our Lady of Bellefonte Hospital
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good help<br />
SUMMER/FALL <strong>2011</strong><br />
<br />
Hip Stories<br />
Father Noe<br />
and Others<br />
Beat the Pain<br />
Detect Lung Cancer Early with<br />
OLBH’s New Technology
If you thought you heard a cheer<br />
coming from OLBH’s beautiful hilltop<br />
campus a few weeks back, you most likely did.<br />
Allow me to explain.<br />
As <strong>of</strong> July 31, OLBH transitioned to our new electronic<br />
medical records system, known as ConnectCare. The<br />
date marks a milestone in the hospital’s history. It is the<br />
result <strong>of</strong> years <strong>of</strong> intense planning and the hard work<br />
and dedication <strong>of</strong> countless individuals. I thank all who<br />
have made this significant achievement possible. This<br />
system has been designed by physicians and clinical<br />
staff who have devoted countless hours to be certain it<br />
met both patient and clinician needs.<br />
So why should you care about our new system? In the<br />
last issue <strong>of</strong> Good Help, our cover story explained just<br />
what ConnectCare will do for our patients. However, for<br />
the short version, ConnectCare means “one patient, one<br />
record.” Each patient now will have a single medical<br />
record that can easily follow him/her throughout our<br />
health system. ConnectCare means more efficient and<br />
timely care as well as safeguards that enhance patient<br />
safety.<br />
The transition to ConnectCare was important for<br />
OLBH and Bon Secours in preparing for the future <strong>of</strong><br />
healthcare. Millions <strong>of</strong> dollars have been invested, not<br />
just because recent healthcare reform legislation has<br />
encouraged it, but because it’s the right thing to do for<br />
our patients. We now can achieve even higher standards<br />
<strong>of</strong> quality in our services and a new level <strong>of</strong> patient<br />
satisfaction. Both are exciting propositions.<br />
Finally, thank you to everyone who provided us<br />
feedback on our last issue <strong>of</strong> Good Help. The redesign<br />
seems to be a hit, with the magazine’s larger size and<br />
new features proving popular. We also hope you enjoy<br />
this issue. It contains not only interesting features, but<br />
articles with valuable advice on how to prepare for<br />
surgery and a list <strong>of</strong> available OLBH support groups.<br />
Thank you for reading.<br />
Sincerely,<br />
Kevin Halter, CEO<br />
<strong>Our</strong> <strong>Lady</strong> <strong>of</strong> <strong>Bellefonte</strong> <strong>Hospital</strong><br />
ConectCare<br />
is Here &<br />
Benefiting<br />
You<br />
Contents | <strong>Fall</strong> <strong>2011</strong><br />
GOOD HELP | ISSUE NO. 20<br />
On A Mission | 3<br />
OLBH Offers a Variety <strong>of</strong> Free Support Groups for Both<br />
Emotional and Physical Support<br />
Around OLBH | 4<br />
• OLBH Receives Fourth Straight Patient Experience<br />
Award<br />
• Additions to Women’s Care and Tri-State Pediatrics<br />
• <strong>Hospital</strong> Awarded for Environmental Efforts<br />
• Russell School Records Podcasts for Pediatrics<br />
• Presenting the Nurse <strong>of</strong> the Year<br />
• <strong>Bellefonte</strong> Cosmetic & Reconstructive Surgery Relocates<br />
• OLBH Donates Property to Shawnee State<br />
• Did You Know?<br />
Good Help For Good Health | 6<br />
• Preparing for a Positive Surgical Experience<br />
• Physician Q&A with Dr. James Martin<br />
• Firm Up! Take the Back-to-School Challenge<br />
• Healthy Recipe: Homemade Salsa<br />
Hip, Hip, Hip Hurray | 8<br />
Three Tales <strong>of</strong> Hip Pain and How the Human Motion<br />
OrthoCare Program Changed Lives for the Better<br />
A Matter <strong>of</strong> Life & Breath | 10<br />
New Technolgoy at OLBH Allows for Earliest Possible<br />
Detection <strong>of</strong> Lung Cancer<br />
Contact Us<br />
<strong>Our</strong> <strong>Lady</strong> <strong>of</strong> <strong>Bellefonte</strong> <strong>Hospital</strong>:<br />
St. Christopher Drive | Ashland, KY 41101<br />
OLBH CareLine: (606) 833-CARE (2273), careline@bshsi.org<br />
Online: www.olbh.com<br />
: www.facebook.com/ourlady<strong>of</strong>bellefonte<br />
: www.twitter.com/OLBHBonSecours<br />
: www.youtube.com/<strong>Our</strong><strong>Lady</strong><strong>of</strong><strong>Bellefonte</strong><br />
2 good help | Summer/<strong>Fall</strong> <strong>2011</strong>
| On a<br />
Mission<br />
Support Groups<br />
Offer Strength and<br />
Encouragement<br />
OLBH’s commitment to the community extends beyond the hospital’s walls and to more than<br />
just the patients in the facility’s hospital rooms. OLBH <strong>of</strong>fers support to residents <strong>of</strong> the<br />
Tri-State through its variety <strong>of</strong> support groups, including:<br />
» Alcoholics Anonymous<br />
Alcoholics Anonymous (AA), an international fellowship <strong>of</strong> men<br />
and women who have had a drinking problem, <strong>of</strong>fers a forum<br />
for members to share experiences. AA gives person-to-person<br />
service or "sponsorship" to the alcoholic.<br />
» Al-Anon<br />
Al-Anon helps families and friends <strong>of</strong> alcoholics recover from the<br />
effects <strong>of</strong> living with problem drinking.<br />
» A.W.A.K.E<br />
A.W.A.K.E (awake, well and keeping energetic) is a group that<br />
provides support for individuals with sleep apnea. Events take<br />
place quarterly.<br />
» Better Breathers<br />
The Better Breathers support group meets<br />
quarterly to provide an opportunity to meet and<br />
share experiences, ask questions and to learn how<br />
to develop a better quality <strong>of</strong> life. The group<br />
operates to provide support and encouragement<br />
through sharing and interaction and to help<br />
overcome some <strong>of</strong> the day-to-day activities <strong>of</strong><br />
living with chronic lung disease.<br />
» Breast Cancer Support Group<br />
OLBH’s breast cancer support group meets<br />
monthly. Each meeting features a new topic for<br />
those whose lives have been affected by a<br />
diagnosis <strong>of</strong> breast cancer.<br />
» Camp Quest<br />
The OLBH Diabetes & Wound Care Center’s Camp<br />
Quest is a support group for children with either<br />
diabetes or asthma. The support group meets<br />
periodically throughout the year for educational<br />
<strong>of</strong>ferings, activities and support for children and<br />
their families living with diabetes and asthma.<br />
» Cardiac Express<br />
Cardiac Express provides support for members <strong>of</strong> the Human<br />
Motion Vitality Center's Cardiac Rehabilitation program. The<br />
group provides social opportunities for patients and families<br />
who have been affected by heart disease. Cardiac Express<br />
meets monthly in addition to three special annual outings.<br />
» Look Good…Feel Better<br />
Look Good…Feel Better helps women cope with the appearancerelated<br />
side effects <strong>of</strong> cancer treatment by teaching them<br />
beauty tips to enhance their looks and boost their self-images.<br />
Experts help patients deal with the physical side effects <strong>of</strong><br />
cancer treatment and promote good hygiene. Look Good…Feel<br />
Better is <strong>of</strong>fered monthly in conjunction with the American<br />
Cancer Society, the Personal Care Products Council Foundation<br />
and the National Cosmetology Association.<br />
For meeting dates for<br />
any <strong>of</strong> the above, visit<br />
www.olbh.com to view a<br />
calendar <strong>of</strong> events.<br />
Registration for many<br />
<strong>of</strong> the classes can be<br />
completed online.<br />
To register or for more<br />
information via phone,<br />
call the OLBH CareLine<br />
at 606-833-CARE (2273).<br />
» Man to Man<br />
One <strong>of</strong> OLBH’s newest support groups, Man to<br />
Man is a free group <strong>of</strong>fered in association with<br />
the American Cancer Society for those whose<br />
lives have been affected by a diagnosis <strong>of</strong><br />
prostate cancer.<br />
» Narcotics Anonymous<br />
Narcotics Anonymous is a nonpr<strong>of</strong>it fellowship<br />
<strong>of</strong> men and women for whom drugs have<br />
become a major problem.<br />
» Smoking Cessation<br />
OLBH <strong>of</strong>fers a free, 12-week smoking<br />
cessation support group using the Cooper -<br />
Clayton method and nicotine replacement to<br />
assist individuals in kicking the habit <strong>of</strong> using<br />
tobacco products. The hospital's smoking<br />
cessation support group encourages Tri-State<br />
residents to overcome nicotine dependency,<br />
keying into both emotional and physical<br />
needs.<br />
Summer/<strong>Fall</strong> | good help 3
| Around<br />
OLBH<br />
OLBH Receives 4th Patient Experience Award<br />
OLBH is among the top five percent in the nation for patient experience based on an<br />
analysis <strong>of</strong> patient surveys from 3,797 hospitals nationwide by HealthGrades, the leading<br />
independent healthcare ratings organization. <strong>Hospital</strong>s in the top 10 percent or better were<br />
named recipients <strong>of</strong> the <strong>2011</strong> HealthGrades Outstanding Patient Experience Award. OLBH<br />
has received the award for four consecutive years.<br />
“To receive this award for all four years <strong>of</strong> its existence means so much as it’s a direct result<br />
<strong>of</strong> patients reporting a positive experience at OLBH,” Kevin Halter, OLBH CEO, said. “All the<br />
credit for this award goes to OLBH’s hard-working staff and physicians and the culture <strong>of</strong><br />
excellence they’ve established.”<br />
HealthGrades analyzed HCAHPS hospital survey data obtained from the Centers for<br />
Medicare and Medicaid Services from April 2009 to March 2010. HealthGrades identified those<br />
hospitals performing in the top 10 percent in the nation for patient satisfaction based on<br />
survey responses from patients treated at those facilities. Free information on award recipients<br />
and the ratings methodology is available at www.healthgrades.com.<br />
Additions at<br />
Sarah Lucas<br />
MSN, APRN,<br />
WHNP-BC<br />
Leigh Ann<br />
Weinfurtner<br />
PA-C<br />
Women’s Care | Tri-State Peds<br />
Sarah Lucas, MSN, APRN, WHNP-BC, has joined the staff<br />
<strong>of</strong> <strong>Bellefonte</strong> Women’s Care (2001 Winchester Avenue).<br />
Lucas is a women’s health nurse practitioner who<br />
earned her master’s degree in nursing from the University<br />
<strong>of</strong> Cincinnati in Cincinnati, Ohio, as well as earning<br />
her bachelor’s degree in nursing from West Virginia<br />
University’s Charleston campus. Lucas brings to <strong>Bellefonte</strong><br />
Women’s Care practice an expertise in all area’s <strong>of</strong><br />
women’s health.<br />
<strong>Bellefonte</strong> Women’s Care is dedicated to the hospital’s<br />
focus on better health for women <strong>of</strong> the Tri-State.<br />
The practice’s hours are Monday through Thursday, 8 a.m.<br />
to 6 p.m. The <strong>of</strong>fice can be contacted at (606) 324-7351.<br />
Leigh Ann Weinfurtner, PA-C, has joined the staff <strong>of</strong><br />
Tri-State Pediatrics (900 Saint Christopher Drive).<br />
Weinfurtner is a physician’s assistant who earned her<br />
master’s degree in physician assistant studies from<br />
the University <strong>of</strong> Kentucky’s Morehead, Ky., campus.<br />
She earned her bachelor’s degree from Morehead State<br />
University. Weinfurtner is certified by the National<br />
Commission on Certification <strong>of</strong> Physician Assistants.<br />
Tri-State Pediatrics’ hours are Monday through Friday,<br />
8 a.m. to 5 p.m. The <strong>of</strong>fice can be contacted at<br />
(606) 836-0919.<br />
Learn more about OLBH…<br />
Join the conversation at<br />
www.facebook.com/ourlady<strong>of</strong>bellefonte<br />
OLBH Awarded for<br />
Environmentally<br />
Responsible Efforts<br />
OLBH has been honored<br />
with the <strong>2011</strong> Partner<br />
for Change Award from<br />
Practice Greenhealth, a<br />
national membership organization<br />
for healthcare<br />
facilities committed to<br />
environmentally responsible<br />
operations. The award is one <strong>of</strong> the<br />
organization’s seven Environmental<br />
Excellence Awards given each year<br />
to honor outstanding environmental<br />
achievements in the healthcare sector.<br />
The Partner for Change Award<br />
recognizes healthcare facilities that<br />
continuously improve and expand<br />
upon their mercury elimination, waste<br />
reduction, and pollution prevention<br />
programs. At a minimum, facilities<br />
applying for this award must be<br />
recycling 10 percent <strong>of</strong> their total waste,<br />
have a mercury elimination program in<br />
place with a plan for total elimination,<br />
and have developed other successful<br />
pollution prevention programs.<br />
“We are so pleased to have our<br />
accomplishments recognized at a national<br />
level,” Diana Williams, chairperson<br />
<strong>of</strong> the OLBH Green Team, said. “We have<br />
been working both here at OLBH and<br />
throughout the Bon Secours Health<br />
System on reducing our environmental<br />
impact. We’re committed in these<br />
efforts.”<br />
4 good help | Summer/<strong>Fall</strong>
Russell Primary Students Record Podcasts for Pediatrics<br />
Students from Russell Primary School’s Tech<br />
Tales team recently visited the OLBH Pediatrics<br />
Department with a special gift: new iPod Nanos<br />
with audio podcasts <strong>of</strong> children’s books that<br />
the students had recorded themselves. When<br />
asked at the beginning <strong>of</strong> the school year<br />
what project to undertake, the Tech Tales<br />
team members decided to prepare audio<br />
podcasts <strong>of</strong> books that young patients could<br />
enjoy. The podcasts included public domain titles<br />
such as “Little Bo Peep” and “Humpty Dumpty” as well<br />
as stories used by permission from Scholastic Publishing.<br />
The Tech Tales team poses wth Vickie Koontz, nurse<br />
manager <strong>of</strong> OLBH’s Pediatrics Department.<br />
<strong>Hospital</strong> Announces<br />
Ella Rice, RN, a nurse in the hospital’s operating room, is<br />
the recipient <strong>of</strong> the eighth annual Sister Ruth Ellen James<br />
Nursing Excellence Award.<br />
Nominated by her peers, Rice was selected due to her<br />
demonstration <strong>of</strong> clinical excellence in the workplace.<br />
Nominations also reflected a regard and admiration for<br />
Rice’s abilities, commitment, and pr<strong>of</strong>essionalism. Rice has<br />
been a nurse at OLBH for 23 years. She earned her nursing<br />
degree from Ashland Community and Technical College.<br />
Ella Rice, RN The award is named after Sister Ruth Ellen James, a longtime<br />
nurse at OLBH known for her caring nature and<br />
commitment to the hospital’s mission. Rice was chosen from among four nurse<br />
nominees selected by their peers to represent OLBH at the 30th annual<br />
Kentucky Nurse Day Recognition Awards ceremony in Shepherdsville, Ky.<br />
“Ella is an excellent nurse who represents the values <strong>of</strong> <strong>Our</strong> <strong>Lady</strong> <strong>of</strong><br />
<strong>Bellefonte</strong> <strong>Hospital</strong> and the nursing pr<strong>of</strong>ession,” Jennifer Moore, OLBH senior<br />
vice president <strong>of</strong> Patient Care, said. “This honor is one bestowed upon Ella by<br />
her peers, which speaks to the respect she has earned for both her skills as a<br />
nurse and for her caring and compassionate heart.”<br />
OLBH Donates Building<br />
Nursing Scholarship Created<br />
Nurse <strong>of</strong> Year<br />
OLBH has donated a four-story building at<br />
310 Chillicothe St. in Portsmouth to Shawnee<br />
State University. The building formerly housed<br />
a medical supply company owned by<br />
OLBH. The university will use the building<br />
for community-based education and<br />
programming, as well as a spirituality center. Shawnee State University President Rita<br />
The building also will contain <strong>of</strong>fices for the Rice Morris, PhD, with OLBH CEO Kevin<br />
Ohio Appalachian Center for Higher Halter during a press conference announcing<br />
Education, a consortium <strong>of</strong> 10 public OLBH’s donation to the university.<br />
universities and colleges that work with<br />
schools and businesses to increase the number <strong>of</strong> college graduates.<br />
At a ceremony announcing the donation, <strong>of</strong>ficials from OLBH and the university<br />
also revealed Shawnee State will establish a scholarship that each year for the<br />
next decade will provide in-state tuition for a nursing student.<br />
“I’d like to acknowledge OLBH vice president <strong>of</strong> Foundation Chuck Charles for<br />
all his hard work,” Kevin Halter, OLBH CEO, said. “He worked tirelessly to make this<br />
donation to Shawnee a reality.”<br />
Phillip Lackey, MD<br />
<strong>Bellefonte</strong><br />
Cosmetic &<br />
Reconstructive<br />
Surgery<br />
Relocates<br />
<strong>Bellefonte</strong> Cosmetic and Reconstructive<br />
Surgery, the practice <strong>of</strong> plastic<br />
surgeon Phillip Lackey, MD, has<br />
relocated to <strong>Bellefonte</strong> Centre (1000<br />
Ashland Drive) on the OLBH campus.<br />
The practice is located on the third<br />
floor <strong>of</strong> <strong>Bellefonte</strong> Centre in suite 303.<br />
The <strong>of</strong>fice number <strong>of</strong> (606) 325-0753<br />
remains unchanged.<br />
Did You Know...<br />
?<br />
the Catholic Health Association<br />
and other national organizations<br />
have created the website<br />
www.healthcareandyou.org to<br />
inform patients and communities<br />
about the benefits <strong>of</strong> the<br />
Affordable Care Act? The website<br />
features information on the law in<br />
all 50 states, an interactive<br />
timeline <strong>of</strong> when parts <strong>of</strong> the law<br />
take effect and current health<br />
coverage options for people in<br />
various situations.<br />
Summer/<strong>Fall</strong> | good help 5
| Good Help for<br />
Good Health<br />
PREPARING FOR<br />
SURGERY<br />
FOLLOW THESE STEPS<br />
Even though surgery can be a life-improving solution to<br />
medical problems, it is natural to feel some anxiety prior to<br />
even the most minor procedure. Often times, pre-surgery<br />
worries are simply the fear <strong>of</strong> the unknown. However, patients<br />
can lessen these jitters by being prepared for the experience.<br />
“I am frequently asked about the surgical process,<br />
particularly since most <strong>of</strong> the work we do is behind closed<br />
doors and a mystery to many,” said Wilbur Spurlock, nurse<br />
manager for the OLBH Same Day Surgery Center. “I try to<br />
reinforce a few basic things with our patients prior to surgery<br />
to make their experience a more positive one.”<br />
Ask Questions - Understanding the procedure will improve<br />
the chance <strong>of</strong> a successful outcome. Ask your physician to<br />
explain the procedure to you. Knowing what to expect assists<br />
patients in achieving goals at each step <strong>of</strong> their care.<br />
Pre-Admission Testing - “If you’re having surgery, you have<br />
enough on your mind,” Spurlock, said. “The pre-admission<br />
testing we <strong>of</strong>fer here at OLBH will give you less to concern<br />
yourself with on the day <strong>of</strong> surgery.” If pre-admission testing<br />
was ordered by your physician it can be scheduled by calling<br />
(606) 833-4081. Failure to complete pre-admission testing<br />
can result in increased wait time for the patient and may lead<br />
to the procedure needing to be<br />
rescheduled.<br />
Do Not Eat/Drink - Though the<br />
length <strong>of</strong> time varies depending on<br />
the procedure, it is important to not<br />
eat or drink prior to having a<br />
procedure. “The daily routine <strong>of</strong><br />
morning c<strong>of</strong>fee can make it easy to<br />
forget for some,” Spurlock said.<br />
Bring a Friend - Most surgical procedures will require the<br />
patient have someone accompany him/her to OLBH. A family<br />
member or friend can help with medical history, receive<br />
post-operative instructions and, most importantly, drive the<br />
patient home if the procedure does not require an overnight<br />
hospital stay. “One <strong>of</strong> the most common things we see when<br />
it comes to surgery planning are those patients who haven’t<br />
arranged for a ride home,” Spurlock said.<br />
Since all surgical procedures<br />
are specific to the patient, times<br />
can vary for similar procedures.<br />
Saundra Allen (left) and Rhonda Lyons will greet you in the hospital’s Pre-Admission<br />
Testing Department. Completing pre-admission testing is an important step in<br />
preparing for surgery.<br />
Come Prepared - Sometimes it is the smallest <strong>of</strong> details that<br />
can be easily forgotten and, in the case <strong>of</strong> surgery, lead to a<br />
less ideal experience. Always be prepared to provide a medical<br />
history and bring a list <strong>of</strong> medications you are currently taking.<br />
Wear loose, comfortable clothing that will fit over dressings<br />
and do not wear jewelry or make-up to the procedure. Do not<br />
bring valuables such as cash or laptops.<br />
Be on Time - It is important to arrive at the time you were<br />
asked to report to surgery. However, it is important to be<br />
prepared for a wait as your start time may be adjusted based<br />
on the length <strong>of</strong> other procedures scheduled before you.<br />
“Since all surgical procedures are specific to the patient, times<br />
can vary for similar procedures,”<br />
Spurlock said. “The arrival time is<br />
- Wilbur Spurlock,<br />
Same Day Surgery Center<br />
Nurse Manager<br />
usually determined by the<br />
physician’s <strong>of</strong>fice based on an<br />
average time to prepare the patient<br />
and complete each procedure. So I<br />
always recommend patients bring a<br />
good book or magazine to pass the<br />
time if necessary.”<br />
While each surgery type can be<br />
as unique as the individual patient, by following the guidelines<br />
above you can be prepared for the surgery experience and<br />
ultimately improve your outcome. “We have some <strong>of</strong> the best<br />
physicians and staff in the nation right here at OLBH,” Spurlock<br />
said. “Surgery is nothing to fear, but is something that changes<br />
lives for the better. Just a little preparation on the patients’<br />
part can take the mystery out <strong>of</strong> surgery and prepare them for<br />
the better life that awaits them afterward.”<br />
6 good help | Summer/<strong>Fall</strong>
Q&<br />
A<br />
Ask the Doctor with Dr. James Martin<br />
James H. Martin, Jr., MD,<br />
is a general surgeon<br />
who practices on the<br />
OLBH campus (900<br />
St. Christopher Drive).<br />
His <strong>of</strong>fice can be<br />
reached at (606) 836-<br />
3770.<br />
Firm Up!<br />
with Ryan Arnett<br />
lead exercise physiologist<br />
at Firm Fitness<br />
Back-to-school for the kids<br />
should also mean back to basics<br />
for parents. Speaking as a dad, I<br />
know we parents have to take care<br />
<strong>of</strong> our health to be around to enjoy<br />
our kids and grandkids as we grow<br />
older. Also, we want to be positive<br />
role models to our children for<br />
nutrition and exercise. If I eat junk<br />
food all day, my daughter will think<br />
it’s ok to do likewise.<br />
There are 168 hours in a week.<br />
As a back-to-school goal, I<br />
challenge you to find at least three<br />
<strong>of</strong> those hours to dedicate to<br />
exercise. Sweat a little and focus<br />
on you. When you feel good about<br />
yourself it shows<br />
in every part <strong>of</strong><br />
your life. Now is<br />
the time…no one<br />
can do it for you.<br />
Get healthy for<br />
yourself and those<br />
around you.<br />
Firm Up! is courtesy <strong>of</strong> Firm Fitness,<br />
OLBH’s community wellness facility<br />
at <strong>Bellefonte</strong> Pavilion. The center<br />
<strong>of</strong>fers personal training, classes such<br />
as zumba, weight and cardio<br />
machines, racquetball courts, saunas<br />
and more. Call (606) 324-0339 for<br />
membership information.<br />
Q<br />
My wife is prone to scrapes and falls and bruises easily. Sometimes<br />
these areas are hard to heal and take a long time. I<br />
know you all have a wound center, but how do we know when<br />
it’s right to just go to her family doctor as opposed to going<br />
to your wound center?<br />
- Joseph, Ashland<br />
A<br />
Your family physician is fully capable <strong>of</strong> attending to your<br />
common wounds, but it is important to know a wound that<br />
does not progress may be due to a chronic problem. We have<br />
many therapies (hyperbaric oxygen therapy, surgical debridement,<br />
bio-engineered skin grafting, pressure <strong>of</strong>floading therapy,<br />
compression therapy, and specialty dressings/creams/ointments) to care for<br />
these types <strong>of</strong> wounds. During treatment, there is communication with the<br />
family physician to inform <strong>of</strong> progress and other potential interventions.<br />
Therefore, for problem, chronic wounds you (or your physician) should consult<br />
the OLBH Diabetes & Wound Care Center for treatment. The center can be<br />
reached at (606) 833-4043.<br />
Each issue, an OLBH physician answers reader questions. Submit<br />
questions via email to careline@bshsi.org or via mail to OLBH<br />
CareLine, Ask a Doctor, Saint Christopher Drive, Ashland, Ky. 41101.<br />
Readers whose questions are printed will receive a free gift.<br />
HEALTHY RECIPES<br />
from the OLBH kitchen<br />
Homemade Salsa<br />
4 medium tomatoes<br />
(peeled and diced)<br />
1 can (4 oz.) diced green<br />
chiles<br />
Dash or two <strong>of</strong> Tabasco<br />
½ cup sliced green onions<br />
4 tbsp. fresh cilantro,<br />
chopped<br />
2 tbsp. lemon juice<br />
1 clove garlic, chopped<br />
¼ tsp. pepper<br />
½ cup tomato sauce or<br />
no salt-added tomato sauce<br />
for reduced-sodium version<br />
Stir everything together except tomato sauce.<br />
Place about 1 cup <strong>of</strong> this mixture in food<br />
processor. Add tomato sauce. Cover and blend<br />
until pureed. Stir into remaining mixture. Cover<br />
and chill several hours or overnight. Store, tightly<br />
covered, in refrigerator. Makes about 3 ½ cups.<br />
Nutrition Facts (per serving):<br />
(Per ½ cup serving)<br />
Calories: 66<br />
Carbohydrate: 13g<br />
Protein: 1.7g<br />
Fiber: 2.3g<br />
Sodium: 299mg OR 87mg<br />
using NAS tomato sauce<br />
version<br />
For a super-salty salsa, use two (14.5 oz each) cans diced<br />
tomatoes, drained, in place <strong>of</strong> the four medium tomatoes:<br />
76 Calories, 17g Carbohydrate, 2.6g Protein, 5g Fiber, 789mg<br />
Sodium<br />
Summer/<strong>Fall</strong> | good help 7
Hip, Hip, Hip Hurray<br />
Three Orthopedic Success Stories<br />
An accountant, a businessman and a priest walk into a bar. No, it’s not a joke. It’s a possible scenario that couldn’t<br />
have happened a year ago because the accountant, the businessman and the priest had difficulty walking<br />
anywhere due to bad hips.<br />
“The hips are a complex part <strong>of</strong> the body that provides us with strength, stability, and support,” said OLBH Human Motion<br />
OrthoCare Coordinator Brandy Preston. “<strong>Our</strong> hip joints are the most important in terms <strong>of</strong> retaining balance and allowing us<br />
good mobility and range <strong>of</strong> motion for a wide variety <strong>of</strong> activities that occur in our daily lives. Hips also provide power for<br />
athletics. There are many strong ligaments and muscles in this area <strong>of</strong> the body. For many people, one <strong>of</strong> the reasons hips<br />
become a painful problem is due to the amount <strong>of</strong> motion and various attachments hips have. There’s a lot that can go wrong.”<br />
Rick Lewis<br />
The Accountant<br />
Rick Lewis, now 55, was in his late 40s when his left hip<br />
began to bother him. “It started with minor pain that gradually<br />
got worse,” he said. “In the six months prior to my surgery in<br />
June <strong>of</strong> 2010 the pain had got pretty bad.” The pain kept<br />
Lewis from a good night’s sleep and began to limit his physical<br />
activities.<br />
“You can sort <strong>of</strong> adjust to the pain a little easier when it’s<br />
such a gradual process,” Lewis said. His adjustments included<br />
anti-inflammatory medications and altering his activities.<br />
“When I played golf I used to walk a lot. I totally eliminated<br />
the walking. I rode the cart, and even then I’d pay for playing<br />
for a few days after.” Lewis’ discomfort led to less exercise<br />
which itself led to weight gain.<br />
As director <strong>of</strong> finance for <strong>Bellefonte</strong> Physician Services,<br />
Lewis was aware <strong>of</strong> the reputation <strong>of</strong> OLBH’s Human Motion<br />
OrthoCare program and knew it was the answer to his<br />
problem. George Aitken, MD, performed Lewis’ hip surgery. “I<br />
couldn’t have asked for my surgery to go any better,” Lewis<br />
said.<br />
During his post-surgery rehabilitation Lewis was amazed by<br />
his quick recovery process. When OLBH’s HomeCare Services<br />
would visit Lewis, a staff member would make him lie on his<br />
bed to lift his leg. “That first visit, if they would have given me<br />
$10,000 I couldn’t have lifted my leg a quarter <strong>of</strong> an inch,”<br />
Lewis said. “But in just two or three days the flexibility and<br />
strength started to come back.” Within four weeks Lewis had<br />
returned to work and was walking stairs. After eight weeks he<br />
was back on the golf course.<br />
“Ultimately everyone has to make their own decision about<br />
surgery,” Lewis said. “What helped me was everyone I had<br />
spoken to would tell me they wished they would have had<br />
surgery earlier. I never heard anyone say ‘I wish I would have<br />
gone on for three or four more years <strong>of</strong> pain before I had my<br />
replacement.’”<br />
Rick Lewis pivots at the hip during his swing. Before surgery, the hip required<br />
Lewis to use a golf cart. Post-surgery, Lewis now walks the course with ease.<br />
8 good help | Summer/<strong>Fall</strong> <strong>2011</strong>
Malcolm Howard<br />
Malcolm Howard had the joint replaced in his right hip during the winter and<br />
was ready for golf by spring.<br />
The Businessman<br />
Malcolm Howard, 68, enjoys an active retirement. After<br />
years <strong>of</strong> work at Ashland, Inc., Howard has spent his<br />
retirement participating in golf and other outdoor endeavors.<br />
Howard’s post-career plans were almost derailed, however,<br />
when he began experiencing discomfort in his hip. “I was<br />
probably in my late 40s or early 50s when I first started<br />
noticing an issue,” Howard said. “I’d have pain in the hips when<br />
playing a round <strong>of</strong> golf or just walking around. Then it just kept<br />
getting worse.”<br />
Howard worked around his discomfort for as long as he<br />
could. He would take medication for the pain, but after a<br />
decade and a half <strong>of</strong> living with the problem, the hurt became<br />
too great. “I had to dose up before I started a round <strong>of</strong> golf<br />
and then I’d have to do so again about halfway through,”<br />
Howard said. “I finally said enough’s enough.”<br />
Howard played golf with friends who had experience with<br />
joint replacement and Howard noticed how these friends lead<br />
normal lives post-surgery whether the issue had been with<br />
their knees or hips. Howard asked his physician to refer him<br />
to Michael Goodwin, MD. “I wanted to go to Mike,” Howard<br />
said. “I knew his reputation. When I got in there and all the<br />
tests were ran, it turns out my hip was pretty much bone on<br />
bone.”<br />
Dr. Goodwin suggested a total joint replacement <strong>of</strong><br />
Howard’s right hip. To not miss valuable golf time, Howard<br />
scheduled his surgery during the winter <strong>of</strong> 2010. Following<br />
surgery, Howard utilized OLBH’s HomeCare Services before<br />
transitioning his rehab to the Human Motion Vitality Center<br />
when he returned to driving. “They all did a great job,” he said.<br />
“I give rehab all the credit in the world for getting me back to<br />
normal so quickly. Rehab was the key. I never had any pain or<br />
took a pill from the moment I left the hospital.”<br />
By March, Howard was back on the golf course. “I never<br />
missed a game,” he said. “I have no regrets. The staff at the<br />
hospital was exceptional. The rehab staff couldn’t have been<br />
better. If I had to have this done again, I’d have it done right<br />
here.”<br />
The Priest<br />
It was the late 1960s when The Rev. John P. Noe, now 64,<br />
first began visiting patients at OLBH. Through the years Father<br />
Noe has provided counsel and comfort to countless individuals.<br />
Yet, Noe’s own discomfort began to interfere with his<br />
responsibilities as a priest at Holy Family Church.<br />
About 10 years ago, Noe’s problem with his right hip was<br />
revealed during a routine x-ray. However, as Noe was<br />
experiencing no pain, his physician suggested a wait-and-see<br />
approach. Noe began to notice discomfort four years ago and<br />
worked around it until the pain became impossible to ignore.<br />
“Back in October (2010) it got to the point I was limping,” Noe<br />
said. “Everything I did there was pain involved. Whether it was<br />
standing or getting up and down out <strong>of</strong> a chair, I couldn’t do<br />
the things I normally would do. It limited the activities I wanted<br />
to be involved in.”<br />
The right hip pain began to affect Noe’s duties as a priest.<br />
<strong>Hospital</strong> visits became difficult. “By the time you park and walk<br />
hallways you would be in so much pain,” Noe said. “When I’d<br />
get in the car I’d grab my pant leg and lift my leg into the car<br />
and even to the accelerator.” Standing while leading services<br />
became an excruciating experience for Noe. “I used to brace<br />
myself when rising out <strong>of</strong> the chair in the sanctuary,” he said.<br />
“Basically I’d lift myself out <strong>of</strong> the chair with the strength <strong>of</strong> my<br />
arms. It was the only way I could get up without excruciating<br />
pain.” Many <strong>of</strong> his parishioners noticed, and urged Noe to seek<br />
help.<br />
Robert Love, MD, performed Noe’s surgery March 15. “The<br />
relief was instant,” Noe said. “The pain was gone.” Within three<br />
weeks Noe returned to leading services at Holy Family. Now<br />
Noe’s parishioners who may be experiencing similar pain ask<br />
their priest about his experience. “I should have had this done<br />
years ago,” Noe said. “You put <strong>of</strong>f the inevitable and think you<br />
can handle it on your own, but there comes a time you have to<br />
get help. It’s a blessing to have had surgery to have this<br />
situation alleviated.”<br />
Noe is not only satisfied to be pain free, but appreciative <strong>of</strong><br />
those individuals who assisted him in the journey. “My<br />
association with the hospital goes back over 40 years,” he said.<br />
“The care I’ve witnessed is second to none. It’s outstanding. I<br />
wouldn’t have had my surgery anywhere else.”<br />
For more information call the OLBH CareLine<br />
at (606) 833-CARE (2273).<br />
The Rev. John P. Noe<br />
Before having surgery, Father John Noe’s right hip began to interfere with his duties<br />
as a priest. “Everything I did there was pain involved,” he said.<br />
Summer/<strong>Fall</strong> <strong>2011</strong> | good help 9
Pulmonologist Mohamad Abul-Khoudoud, M.D., prepares to use narrow-band imaging technology. The new technology can<br />
detect pre-cancerous lesions in the lungs.<br />
A Matter <strong>of</strong><br />
LIFE<br />
and<br />
Breath<br />
Lung cancer is public enemy<br />
number one. The disease kills<br />
more people than breast,<br />
prostate, colon, liver, kidney and<br />
melanoma cancers combined. This<br />
staggering statistic points to the<br />
modern epidemic that is lung<br />
cancer. With lung cancer, time is<br />
<strong>of</strong> the essence, and now OLBH has<br />
introduced technology that allows<br />
for the earliest possible detection<br />
and treatment <strong>of</strong> lung cancer.<br />
10 good help | <strong>Fall</strong> <strong>2011</strong>
Anyone is susceptible to lung cancer. It is a myth that<br />
only smokers are in real danger <strong>of</strong> contracting the<br />
disease. While smoking greatly increases one’s<br />
chances <strong>of</strong> acquiring lung cancer (see sidebar for more<br />
information on risk factors for the disease), more people who<br />
have never smoked die <strong>of</strong> lung cancer in the United States<br />
annually than die <strong>of</strong> AIDS. “Simply put, lung cancer is the<br />
largest single cause <strong>of</strong> death in our country,” said director <strong>of</strong><br />
the OLBH Respiratory Department, Sheila Burton. “More than<br />
28 percent <strong>of</strong> all cancer-related deaths are the result <strong>of</strong> lung<br />
cancer. This is why we at OLBH are trying to fight the disease<br />
by <strong>of</strong>fering technology that will allow us to catch the cancer<br />
in its earliest possible stage.”<br />
Two new technologies are being used in the hospital’s<br />
Respiratory Department to assist with early detection. The<br />
new tools OLBH are utilizing in the fight against lung cancer<br />
are Narrow Band Imaging (NBI), a technology that can<br />
identify pre-cancerous lesions in the lungs and<br />
Electromagnetic Navigation (ENB), a GPS-like technology<br />
used to locate, biopsy and prepare to treat lung lesions. OLBH<br />
is the first healthcare facility in the Ashland area to provide<br />
these services as an option for patients who are suspected <strong>of</strong><br />
having or have learned they have lung lesions.<br />
Typically a patient with a lesion on his/her lung had the<br />
options <strong>of</strong> major surgery to remove a section <strong>of</strong> the lung for<br />
biopsy or watchful waiting to see if the lesion grows. Now,<br />
OLBH can diagnose and treat cancer earlier to yield better<br />
outcomes. At OLBH, pre-cancerous cells are diagnosed with<br />
the NBI and then the ENB’s GPS-like technology utilizes a<br />
catheter-based system that travels the patient’s natural<br />
airways to access a lesion and obtain a biopsy. Previously, such<br />
areas would have been difficult to reach without surgery,<br />
An OLBH pulmonary physician utilizes the OLBH<br />
Respiratory Department to perform the new procedures on<br />
an outpatient basis. “We are pleased to <strong>of</strong>fer minimallyinvasive<br />
alternatives for patients who are suspected <strong>of</strong> having<br />
or have been diagnosed with lung spots that may be hard to<br />
reach or cannot tolerate a more invasive procedure,” Burton<br />
said. “These are options that will help many patients.<br />
Combining NBI and ENB represents a new approach for<br />
detecting lung cancer earlier. The procedures enable<br />
physicians to detect and biopsy lung lesions that are too small<br />
and inaccessible through the traditional bronchoscope. Best<br />
<strong>of</strong> all for them, patients go home after their procedures are<br />
done..”<br />
OLBH’s new technology for<br />
the earliest possible<br />
detection <strong>of</strong> lung cancer<br />
uses the body’s natural<br />
airways to access the lungs.<br />
OLBH pulmonologists, from left, Dr. Michael Ehrie, Dr. Mahmoud<br />
Moammar, Dr. Mohamad Abul-Khoudoud and Dr. Diego Maldonado.<br />
So what are some <strong>of</strong> the advantages to patients thanks to<br />
NBI and ENB? First, the patient avoids having to undergo a<br />
more invasive surgical procedure to obtain a diagnosis. In<br />
addition, compared to surgery, the complication rate is far<br />
lower, as is the risk <strong>of</strong> infection. Lastly, compared to the<br />
conventional non-surgical procedural approach <strong>of</strong> using a<br />
bronchoscope, the NBI and ENB combination is a solution that<br />
has been proven to increase accuracy for diagnosing and<br />
determining the severity <strong>of</strong> lung cancer.<br />
While early detection <strong>of</strong> any disease is important,<br />
prevention is always the best cure. One can not completely<br />
reduce the risks <strong>of</strong> contracting cancer, but the risks <strong>of</strong> lung<br />
cancer can be reduced by the following:<br />
• Do not use or quit use <strong>of</strong> tobacco<br />
• Avoid second-hand smoke<br />
• Eat a healthy diet<br />
• Maintain a healthy weight<br />
• Incorporate physical activity into each day<br />
Knowing the risks <strong>of</strong> lung cancer and attempting to lower<br />
them is vital. Yet, the risk <strong>of</strong> developing lung cancer is still<br />
there even for the healthiest <strong>of</strong> non-smokers. It is for this<br />
reason that the most important tool to combating the disease<br />
is by catching it early. Only 16 percent <strong>of</strong> lung cancer patients<br />
are diagnosed before their disease has spread to other parts<br />
<strong>of</strong> their bodies. OLBH’s new technologies can detect and<br />
combat the disease before it spreads.<br />
“Each day 450 people in the United States die from lung<br />
cancer,” Burton said. “Many <strong>of</strong> these deaths could have been<br />
prevented by early detection. This is what we <strong>of</strong>fer with NBI<br />
and ENB.” For more information on NBI and ENB, call the<br />
OLBH CareLine at (606) 833-CARE (2273).<br />
Risk Factors<br />
If you or someone you know is at high risk for lung cancer,<br />
ask your physician if you could benefit from OLBH’s newest<br />
technologies. High risk factors for lung cancer include:<br />
(1) Smoking half a pack a day for 40 years, a pack a day<br />
for 20 years, or two packs a day for 10 years<br />
(2) Emphysema or chronic bronchitis<br />
(3) Occupational-related asbestos disease<br />
(4) Previous lung cancer or head/neck or esophageal<br />
cancer<br />
<strong>Fall</strong> <strong>2011</strong> | good help 11
DIABETES & WOUND CARE CENTER<br />
AT OUR LADY OF BELLEFONTE HOSPITAL<br />
We Heal<br />
Wounds<br />
and change lives!<br />
And We Have the Awards to Prove It<br />
When you receive awards as a result <strong>of</strong> your patients being satisfied<br />
with their care, then you know you’re doing something right. At the<br />
<strong>Our</strong> <strong>Lady</strong> <strong>of</strong> <strong>Bellefonte</strong> <strong>Hospital</strong> (OLBH) Diabetes & Wound Care<br />
Center, we have been honored for our wound services for the third<br />
straight year by receiving the Diversified Clinical Services’ Center <strong>of</strong><br />
Distinction Award. The award comes in part from our patients, as it<br />
is based on high patient satisfaction rates, exceptional healing<br />
results, and outstanding clinical outcomes during the past 12<br />
months.<br />
What does this award-winning care mean for you? It means you<br />
can trust OLBH for the most advanced treatment options available<br />
for serious, chronic wounds. <strong>Our</strong> award-winning approach helps<br />
speed recovery, so you can return to the activities you love. Do you<br />
have a problem wound that refuses to heal? We’ll work with your<br />
personal doctor to create a treatment program just for you.<br />
The OLBH Diabetes &<br />
Wound Care Center<br />
boasts a 96% heal rate for<br />
wounds with an average<br />
<strong>of</strong> 28 days to heal.<br />
1000 Ashland Drive • Ashland, KY 41101<br />
(606) 833-4043<br />
www.olbh.com