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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

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