CBJ BALANCE Summer 2017
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FALL <strong>2017</strong> A LOCALLY OWNED QUARTERLY MAGAZINE IN IOWA’S CREATIVE CORRIDOR<br />
WWW.CORRIDORBUSINESS.COM/<strong>BALANCE</strong><br />
ON THE<br />
ATTACK<br />
Immunotherapy progress<br />
SCREENING<br />
Navigating<br />
Recommendations<br />
Common Connection<br />
Family Caregivers Center of Mercy provides support, respite<br />
Uncharted Territory<br />
Cedar<br />
Rapids<br />
man takes<br />
cancer care into<br />
own hands
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IN THIS ISSUE<br />
FEATURES<br />
UNCHARTED TERRITORY 5<br />
Cedar Rapids man takes cancer care into own hands<br />
ON THE ATTACK 8<br />
Immunotherapy makes progress in cancer treatment therapy<br />
COMMON CONNECTION 12<br />
Family Caregivers Center of Mercy provides support, respite<br />
YOUR CANCER SCREENING ROADMAP 18<br />
Listen to body signs and get checked out<br />
5<br />
DEPARTMENTS<br />
FROM THE EDITOR 4<br />
COLUMN: PRAMOD DWIVEDI 7<br />
Opioids: A public health emergency in Linn County<br />
Q&A: CHIRANTAN GHOSH 10<br />
Oncology and Hematology<br />
HEALTH CALENDAR 11<br />
MOVERS & SHAKERS 14<br />
8<br />
QUICK BITES 15 & 21<br />
<strong>CBJ</strong> PULSE 16<br />
Stats and data from the health care sector<br />
COLUMN: JEAN E. ROBILLARD, M.D. 17<br />
Academic medical centers vital to health and economy<br />
<strong>CBJ</strong> LIST: NONPROFIT SUPPORT SERVICES 20<br />
RECIPE CARDS 22<br />
PICTURES OF HEALTH 23<br />
Submitted photos of health in the Corridor<br />
COVER PHOTO:<br />
Survivors walk a lap at the Benton County Relay for Life held June 9 at Benton<br />
Community High School in Van Horne. The event was held to raise money for the<br />
American Cancer Society. Photo by Angela Holmes<br />
12<br />
<strong>CBJ</strong> <strong>BALANCE</strong> - FALL <strong>2017</strong> 3
FROM THE EDITOR<br />
AUGUST 21, <strong>2017</strong><br />
Seasons of Change<br />
Well, that was a quick summer. When the last issue of Balance came out, I had just planted my<br />
garden and was planning a bountiful season. This week, I am sending my son off to high school<br />
and harvesting the last of my tomatoes and peaches.<br />
My garden and fruit trees weren’t as plentiful as I had<br />
hoped, mainly because of pesky rabbits and those relentless<br />
Japanese beetles. I did pull in a decent crop of radishes,<br />
onions, cherries and cucumbers, and will take the<br />
misses as a lesson learned for next year.<br />
On a whim (after thinking about it for six months), I<br />
signed up for a 10-week Boot Camp Challenge through<br />
Total Balance in Vinton. I had been off the fitness wagon<br />
for five years, and the intensity of boot camp three times<br />
a week was the jolt my body needed, bad knees and all.<br />
I started a blog, Balancing Act, chronicling my renewed<br />
health and fitness journey. Check it out at www.corridorbusiness.com/balance/.<br />
In this issue, the Balance staff takes a deeper look at<br />
preventing, treating and coping with chronic illnesses<br />
such as cancer, diabetes and heart disease. Even if you<br />
have never received such a devastating diagnosis, you<br />
more than likely have been affected by someone who has.<br />
Deciding on a course of treatment is the first step to<br />
dealing with a diagnosis. Not all treatments are the same<br />
and not all are the right fit for every patient. For example, when Paul Cross was diagnosed<br />
with cancer last year, he researched different treatments and ultimately decided to forego the<br />
traditional schedule of chemotherapy and radiation. Instead, he chose an alternative route that<br />
incorporates organic foods, supplements and other natural remedies (page 5).<br />
Meanwhile, an emerging cancer treatment, called immunotherapy, uses the body’s own immune<br />
system to attack cancer cells. Starting on page 8, Dr. Mohammed Milhem of the University<br />
of Iowa’s Holden Comprehensive Cancer Center describes recent progress made in clinical<br />
trials of immunotherapy.<br />
In this issue’s Q&A (page 10), Dr. Chirantan Ghosh, founder of The Ghosh Center for Oncology<br />
and Hematology, discusses his practice’s philosophy of holistic treatment and the importance<br />
of having a good bedside manner.<br />
Chronic illnesses such as Alzheimer’s can also take a toll on the patient’s caregivers. Family<br />
Caregivers of Mercy in Cedar Rapids (page 12) helps caregivers navigate local medical, financial<br />
and human services systems, as well as provides a respite for caregivers through free services like<br />
music therapy, chair yoga and massage.<br />
Of course, preventing and recognizing the signs of various diseases is the best course of action<br />
to keeping healthy. The U.S. Centers for Disease Control & Prevention maintains a variety<br />
of guidelines of what to watch for as people age, and we’ve recapped some of its cancer screening<br />
guidance on pages 18-19.<br />
As always, this issue of Balance also includes columns from area health care experts, spotlights<br />
on local movers and shakers in the health care industry, a new list, recipes and a fall<br />
calendar full of events throughout Eastern Iowa.<br />
Enjoy the beautiful fall weather. Maybe I’ll run into you at a 5K or cross-country meet.<br />
Angela Holmes<br />
Balance Editor<br />
angela@corridorbusiness.com<br />
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EVENT MEDIA CONSULTANT<br />
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Corridor Business Journal <strong>BALANCE</strong><br />
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VOL. 1 ISSUE 3<br />
4 <strong>CBJ</strong> <strong>BALANCE</strong> - FALL <strong>2017</strong>
Uncharted Territory<br />
Cedar Rapids man takes cancer care into own hands<br />
STORY BY CINDY HADISH PHOTOS BY SHUVA RAHIM<br />
When Paul Cross was diagnosed with cancer on his right vocal chord last year, he decided to forego chemotherapy and radiation and embark on his own treatment course.<br />
Paul Cross will never forget<br />
April 15, 2016 – the day he was<br />
confronted with the devastating<br />
diagnosis of squamous cell<br />
carcinoma of the subglottic<br />
larynx, or, in common terms,<br />
cancer on his right vocal cord.<br />
In the month before his diagnosis, Mr. Cross had become increasingly<br />
bothered by the hoarseness of his voice, but was not<br />
prepared for the treatment options he was given.<br />
Doctors told him he could undergo 12 weeks of chemotherapy<br />
and radiation, or have his voice box removed.<br />
“That’s the options: poison, burn or cut,” said Mr. Cross, 48,<br />
a systems support technician at the Cedar Rapids Public Library.<br />
He felt rushed to make a decision, but told the doctor he wanted<br />
time to do research and discuss alternatives with his family.<br />
“(The doctor) looked confused and said, ‘Well, what else are<br />
you going to do? We do the same treatments as the Mayo Clinic,’”<br />
Mr. Cross said. “To me, it sounded like he didn’t want me to<br />
take my insurance money somewhere else.”<br />
That was one of several red flags he said he noticed, starting<br />
Mr. Cross on a journey to take his care into his own hands.<br />
Complementary approach<br />
He has since chartered his own treatment course that includes<br />
organic foods, supplements and other natural remedies. ><br />
<strong>CBJ</strong> <strong>BALANCE</strong> - FALL <strong>2017</strong> 5
Paul Cross has devised his own diet which includes large organic salads with spinach, kale, tomatoes and peppers, as well as raw vegetable shakes.<br />
No definitive figures are available on how many cancer patients<br />
choose complementary and alternative medicine over conventional cancer<br />
treatment, but health experts say numbers are on the rise, spurred, in<br />
part, by the Internet.<br />
A study published last year in JAMA Oncology followed 685 women<br />
with breast cancer. Those who were using dietary supplements and<br />
other forms of complementary and alternative medicine were less likely<br />
to initiate chemotherapy as prescribed, with 11 percent choosing not to<br />
undergo the standard treatment.<br />
Separately, the U.S. Food and Drug Administration and the Federal<br />
Trade Commission have issued a warning for patients to be aware of<br />
fraudulent cancer treatments.<br />
“Cancer treatment frauds aren’t new, but in recent years it has become<br />
easier for the people who market them to reach the public using<br />
the Internet,” the warning notes. “Some fraudulent cancer treatments<br />
are harmful by themselves, and others can be indirectly harmful because<br />
people may delay seeking medical care while they try them, or<br />
because the fraudulent product interferes with the effectiveness of<br />
proven cancer treatments.”<br />
Revolving door<br />
Mr. Cross contends, however, that the health care industry pushes treatments<br />
that can cause harm, describing the process as a revolving door.<br />
“Patient comes in, doctor comes in, next doctor, then the next doctor<br />
and then it starts all over with a new patient coming in the door,” he said.<br />
“Nothing is individualized and they have no knowledge of nutrition.”<br />
Mr. Cross said an oncology nutritionist suggested he eat ice cream,<br />
shakes full of sugar and “all kinds of things I wouldn’t eat normally.”<br />
Instead, he has devised his own diet, starting with large organic salads<br />
with spinach, kale, tomatoes and peppers topped with olive oil, black<br />
pepper and turmeric – the main spice in curry – as well as raw vegetable<br />
shakes and scrambled eggs with spinach, turmeric and avocado, along<br />
with herbal teas and 10 supplements, twice daily.<br />
He also eats organic grass-fed beef and other sources of protein and<br />
food high in “good” fats, while avoiding processed carbohydrates.<br />
The supplements, organic vegetable powders he uses in smoothies and<br />
other natural remedies, can be expensive, and are not covered by insurance.<br />
No convincing evidence<br />
Mr. Cross is also an advocate for medical marijuana, believing that the<br />
right course of treatment could cure his cancer. While Iowa has legalized<br />
the use of cannabis oil, it is still difficult to obtain. Also, taking a dose high<br />
enough to be effective would make it difficult to work, Mr. Cross said.<br />
The National Institutes of Health’s National Center for Complementary<br />
and Integrative Health notes that some complementary health approaches<br />
may help to manage symptoms of cancer and side effects of<br />
treatment, but so far, there is no convincing evidence that any complementary<br />
health approach is effective in curing cancer or causing it to go<br />
into remission.<br />
“Some complementary approaches can interfere with standard cancer<br />
treatments or have special risks for people who’ve been diagnosed with<br />
cancer,” the center notes, adding that cancer patients should discuss any<br />
complementary approaches with their health care providers.<br />
Mr. Cross said the doctors he saw were not interested in the supplements<br />
he was taking. He has dropped almost 30 pounds since his diagnosis,<br />
bringing his weight down to 130, but said his health is possibly<br />
the best it’s ever been, citing, for example, the blood pressure medicine<br />
he no longer needs.<br />
“Really, it’s mostly my voice,” he said, sounding raspy, but understandable.<br />
“That’s hard for me because I love talking to people. Customer<br />
service – that’s what I do.”<br />
Mr. Cross is unsure what might prompt him to return to a doctor in<br />
the future and doesn’t know what caused the cancer, which is more common<br />
in teachers, singers and others who consistently use their voice at a<br />
loud volume. He had been a smoker, but quit about a decade ago.<br />
His son was married earlier this summer, something Mr. Cross was<br />
grateful to see, and notices his younger son following his example with<br />
a healthier diet.<br />
“I want to cure this more than anything for them,” he said, adding<br />
that keeping a positive attitude is “huge…It helps with healing.” <strong>CBJ</strong><br />
6 <strong>CBJ</strong> <strong>BALANCE</strong> - FALL <strong>2017</strong>
COLUMN<br />
Opioids: A public health emergency in Linn County<br />
A silent epidemic of opioids has<br />
been engulfing our communities for<br />
many years, but now its impact on<br />
Linn County is so pronounced that<br />
it’s silent no more. The situation is<br />
truly frightful.<br />
Opioids are a class of drugs that<br />
are dangerously addictive and include<br />
oxycodone, hydrocodone,<br />
codeine, morphine, heroin and<br />
fentanyl.<br />
Between 2008-2015 in Linn<br />
County alone, 218 people died of<br />
opioid overdose. In 2015, 78 people<br />
visited the emergency room<br />
because of opioids overdose. Tens<br />
of thousands of deaths are associated<br />
with opioids use in the<br />
United States each year. In 2015,<br />
33,091 Americans succumbed to<br />
opioids-related overdoses, half of<br />
which were prescription opioids<br />
deaths. Each day we lose 91 Americans<br />
to opioids overdose. In addition,<br />
$78.5 billion is the estimated<br />
burden to the U.S. economy.<br />
According to a report from the<br />
Centers for Disease Control and<br />
Prevention (CDC), overdoses from<br />
prescription opioids are a driving<br />
factor in the increase in opioid<br />
Pramod Dwivedi<br />
Linn County Public Health<br />
Director<br />
Follow him on twitter @pdwive<br />
deaths. The amount of prescription<br />
opioids sold in our country has<br />
quadrupled since 1999, although it<br />
has declined in recent years thanks<br />
to our medical community’s action<br />
to reduce inappropriate prescription<br />
of opioids.<br />
In spite of the reduction in opioids<br />
prescription, the overdose<br />
deaths associated with opioids<br />
continue to rise largely due to the<br />
use of illicit opioids, such as heroin<br />
and fentanyl.<br />
The Linn County Public Health<br />
department is working with numerous<br />
partners to prevent and<br />
control opioid-related overdoses<br />
and death. We are working on developing<br />
a comprehensive intervention<br />
strategy. Our law-enforcement<br />
agencies, hospitals and schools are<br />
instrumental in preventing people<br />
from becoming addicted and<br />
changing the demand for opioids.<br />
One important strategy for our<br />
community is aimed at public<br />
health surveillance, data sharing<br />
and rapid response. Law enforcement<br />
seizure data will help us target<br />
the high burden areas to focus<br />
on prevention efforts such as linkage<br />
to treatment and access to naloxone<br />
to reverse opioids overdose.<br />
Our collective goal is to utilize all<br />
available tools, skills and knowledge<br />
at our disposal.<br />
We are promoting programs<br />
such as CDC’s new prescription<br />
guidelines (prescribing only threedays’<br />
worth of prescription painkillers<br />
for acute short-term pain<br />
and explore other medication and<br />
treatment for chronic, long-term<br />
pain) and Iowa Prescription Drug<br />
Monitoring Program (monitoring<br />
patients’ use of controlled substances<br />
by authorized medical prescribers<br />
and pharmacists).<br />
In our community, there are<br />
some treatment options provided<br />
by agencies such as Area Substance<br />
Abuse Council. ASAC uses Medication<br />
Assistant Treatment (MAT),<br />
which includes pharmacological<br />
medications such as naloxone,<br />
suboxone and vivitrol in combination<br />
with therapy to provide a<br />
whole-person approach to the treatment<br />
of substance use disorder.<br />
If you have a friend or family<br />
member suffering from opioids<br />
addiction and needs treatment,<br />
Between 2008-2015 in Linn County alone,<br />
218 people died of opioid overdose.<br />
PEACE<br />
OF<br />
contact ASAC at (319) 390-4611 or<br />
visit www.asac.us. For more information<br />
and resources, visit www.<br />
hhs.gov/opioids/ or http://idph.<br />
iowa.gov/mat •<br />
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<strong>CBJ</strong> <strong>BALANCE</strong> - FALL <strong>2017</strong> 7
On The Attack<br />
Immunotherapy makes progress in cancer treatment therapy<br />
STORY BY CINDY HADISH PHOTO BY SHUVA RAHIM<br />
To say advancements<br />
in cancer treatments<br />
are on a fast pace is<br />
an understatement.<br />
Dr. Mohammed Milhem,<br />
deputy director for clinical<br />
research and clinical services at<br />
the University of Iowa’s Holden<br />
Comprehensive Cancer<br />
Center, has been placing<br />
about 100 cancer patients<br />
every year in clinical trials<br />
that use immunotherapy and<br />
combinations of treatments,<br />
some of which show marked<br />
improvements in survival rates.<br />
Dr. Mohammed Milhem has an<br />
“Iowa wall” in his office displaying<br />
photos, messages and artwork from<br />
patients he has treated since 2007.<br />
8 <strong>CBJ</strong> <strong>BALANCE</strong> - FALL <strong>2017</strong>
Immunotherapy uses the body’s own immune system to<br />
attack cancer cells.<br />
Its use traces back to the 1890s – when bacteria were<br />
deliberately injected into the body to stimulate the immune<br />
system and shrink tumors – but it wasn’t until a<br />
breakthrough in 2011 that progress in cancer immunotherapy<br />
began skyrocketing, Dr. Milhem said.<br />
The Food and Drug Administration that year approved<br />
an antibody called ipilimumab, under the brand name<br />
Yervoy to treat advanced melanoma.<br />
“I don’t think it was for lack of trying,” Dr. Milhem<br />
said of the previously slow progress in immunotherapy.<br />
“But we have not understood the immune system.”<br />
Checkpoint inhibitors became one of the keys to that<br />
understanding.<br />
Cancer tumors are sometimes able to evade an immune<br />
system attack by “disguising” themselves as normal<br />
cells, Dr. Milhem said, but checkpoint inhibitors can<br />
“uncloak” the cancer cells, allowing them to be recognized<br />
as cancerous and unleashing the immune system<br />
to attack those cells.<br />
and sarcoma, a rare cancer that affects bone and soft tissue,<br />
among other types.<br />
Dr. Milhem, who also serves as Holden Family Chair<br />
in Experimental Therapeutics, noted that the cost of immunotherapy<br />
drugs are high, with the price of a single<br />
dose running up to $24,000. Drugs that are FDA-approved<br />
are usually covered by insurance, while patients<br />
do not pay for drugs in clinical trials.<br />
An “Iowa wall” in his office displays photos, messages<br />
and artwork from patients he has treated since arriving at<br />
the University of Iowa in 2007.<br />
“These are my heroes,” Dr. Milhem said of the patients,<br />
who not only stand to improve their own survival,<br />
but contribute to the understanding of the therapies involved<br />
in clinical trials for other patients.<br />
The number of immunotherapy doses – generally given<br />
intravenously or injected directly into a tumor – can<br />
vary, but could be weekly for as long as it is effective, Dr.<br />
Milhem said.<br />
Side effects are typically less severe than conventional<br />
chemotherapy, which can result in fatigue, hair loss,<br />
Dr. Milhem, who<br />
also serves as<br />
Holden Family Chair<br />
in Experimental<br />
Therapeutics, noted<br />
that the cost of<br />
immunotherapy<br />
drugs are high, with<br />
the price of a single<br />
dose running up to<br />
$24,000.<br />
Since 2011, other types of cancer immunotherapy also<br />
have been approved. University of Iowa Hospitals & Clinics<br />
lists the following types available:<br />
• Monoclonal antibodies: Manmade version of immune<br />
system proteins that boost the natural immune<br />
response<br />
• Immune checkpoint inhibitors: These help the immune<br />
system kill cancer cells by making it more difficult<br />
for cancer cells to avoid the immune system; a<br />
common type is called PD-1 inhibitors<br />
• Cancer vaccines: Put into the body to start an immune<br />
response against cancer<br />
• Cellular therapy: Involves taking immune cells out of<br />
the body and manipulating them so they are more effective<br />
at fighting cancer. One form of cellular therapy<br />
is chimeric antigen receptor (CAR) T-cell therapy.<br />
The Holden Comprehensive Cancer Center uses clinical<br />
trials – research studies that examine whether medical<br />
treatments are safe for humans – to explore new combinations<br />
of therapies, as well.<br />
For example, Dr. Milhem pointed to the use of immunotherapy<br />
in combination with radiation and surgery in<br />
increasing patients’ survival rates.<br />
Immunotherapy doesn’t work for every type of cancer,<br />
but has shown promise in the skin cancer melanoma,<br />
nausea and other reactions. Immunotherapy can result<br />
in diarrhea, skin rashes and attacks on the liver and other<br />
organs, but Dr. Milhem said side effects usually occur in<br />
less than 10 percent of patients.<br />
Denver Dvorsky, 74, of rural Toddville, underwent immunotherapy<br />
at the Iowa City Veterans Affairs Medical<br />
Center after having a tumor removed from his bladder.<br />
Mr. Dvorsky previously had a kidney removed and<br />
was being monitored to see if the cancer spread when the<br />
tumor was discovered in his bladder last year.<br />
He was given the option to have his bladder removed<br />
or undergo Bacillus Calmette-Guerin therapy,<br />
known as BCG.<br />
Bacillus Calmette-Guerin, which also is used as a tuberculosis<br />
vaccine, is injected directly into the bladder through<br />
a catheter in treating early-stage bladder cancer, and is one<br />
of the older immunotherapy treatments for cancer.<br />
Mr. Dvorsky said his weekly treatments for six weeks,<br />
followed later by three more treatments, left him with flulike<br />
symptoms, including a high fever. He was bedridden<br />
for 12 hours after each session, but described the side<br />
effects as minimal, and so far, checkups have shown no<br />
recurrence of the cancer.<br />
“It’s a very innocuous treatment, compared to what<br />
people think of as chemotherapy,” he said. “It seems to<br />
work so far.” <strong>CBJ</strong><br />
<strong>CBJ</strong> <strong>BALANCE</strong> - FALL <strong>2017</strong> 9
Q&A<br />
Chirantan Ghosh<br />
ONCOLOGY AND HEMATOLOGY<br />
Dr. Chirantan Ghosh is founder of The Ghosh Center for Oncology<br />
and Hematology, a cancer and blood disease treatment center in Cedar<br />
Rapids. He was born in Calcutta (now known as Kolkata), India, and<br />
received his medical degree from Calcutta National Medical College<br />
before coming to the United States. He completed his residency at the<br />
Edward Hines Jr. Veterans Administration in Illinois and his fellowship<br />
at University Hospitals of Cleveland in Ohio. He began practicing in<br />
Cedar Rapids 27 years ago and is board-certified in internal medicine,<br />
medical oncology, hospice and palliative medicine and hematology.<br />
Q. How does The Ghosh Center differ from other cancer centers?<br />
A. In many ways. We take care of the patient as a whole. We support their<br />
social and emotional and spiritual needs. It’s all about putting the patient<br />
first and following the Patient’s Bill of Rights. It’s a law that says this: ‘As a<br />
patient, you have the right to understand your diagnosis and have this information<br />
explained to you in everyday language; understand why tests, X-rays<br />
and procedures are ordered and how they are going to help you; understand<br />
your options, benefits and risks explained in everyday language; and make<br />
the final decision regarding your care.’ We give treatments in an effective way<br />
that follows the medical literature and looks at the data. And we do everything<br />
up front with a financial counselor so our patients can access financial<br />
help. This office has never taken anyone to a collection agency.<br />
Q. Your center offers an approach called “prehab.” What<br />
does that involve?<br />
A. We know in studies of orthopedic procedures, if you get the<br />
patients stronger, they go through treatment better. The same<br />
thing is true with oncology patients. We provide yoga, nutrition<br />
classes, meditation, fitness and other classes. That<br />
decreases the complications and the cost of health care.<br />
Q. Press Ganey has ranked your center in the top<br />
1 percent nationally for patient experience and<br />
you’ve been re-certified by the Quality Oncology<br />
Practice Initiative. Why should rankings and<br />
certifications matter to your patients?<br />
A. We know we do a good job, but that’s not enough.<br />
The ASCO (American Society of Clinical Oncology)<br />
collects data for the QOPI certification. To apply,<br />
you need to score at least 75 percent on key quality<br />
measures. We scored 94 percent. This shows the<br />
patients that they are getting the best care and that<br />
we’re meeting the highest standards.<br />
Q. You were recently named the Non-Resident<br />
Indian of the Decade in your home country for<br />
your contributions that include construction of<br />
an ER and services to villages for safe water<br />
and child education. Why is it important to give<br />
back to India?<br />
A. Usually when I go back, it’s for a project. I was<br />
last there for (the award) for seven days in February.<br />
I was born in Calcutta and I basically received a<br />
free education there, with the idea that with limited<br />
resources, that person would grow and take care of<br />
the country. That was the concept. I use that concept<br />
to give back.<br />
Q&A PAGE 21<br />
PHOTO BY SHUVA RAHIM<br />
10 <strong>CBJ</strong> <strong>BALANCE</strong> - FALL <strong>2017</strong>
HEALTH CALENDAR<br />
AUG. 25-27<br />
Ancient Wisdom for Modern Times,<br />
by Prairiewoods Franciscan Spirituality<br />
Center, 120 E. Boyson Road,<br />
Hiawatha. This two-and-a-half-day<br />
course with Debra Reis is offered by<br />
the Institute of Spiritual Healing & Aromatherapy<br />
(ISHA). Learn how essential<br />
oils affect the body, mind and spirit,<br />
and focus on integrating essential oils<br />
with heart-centered healing techniques.<br />
Cost: $450. For more information,<br />
contact ISHA at www.ISHAhealing.com<br />
or (865) 357-1541.<br />
AUG. 26<br />
Bring the Noise 5K Run/Walk, by<br />
Vinton Noon Kiwanis, Benton<br />
County Courthouse, 111 E. Fourth<br />
St., Vinton, 9-10:30 a.m. Proceeds<br />
of annual event during Boomtown<br />
Festival go toward children’s<br />
initiatives in the community and a<br />
current fundraiser for a Splash Pad<br />
at Kiwanis Park. Cost: $25 through<br />
Aug. 24; $30 after. To register, visit<br />
http://bit.ly/2tJTyAI.<br />
SEPT. 3<br />
NewBo Run – Half Marathon &<br />
10K, by Corridor Running and<br />
NewBo Run, NewBo City Market,<br />
1100 Third St. SE, Cedar Rapids,<br />
7:30-11 a.m. Everything at the<br />
event is local including custom<br />
race medals, craft beer, lots of<br />
food, post-race party and NewBo<br />
arts festival following the race.<br />
Cost: $40-$50. For more information,<br />
visit http://newborun.com/.<br />
SEPT. 24<br />
Step Up for Down Syndrome 5K/<br />
Walk, by Hawkeye Area Down Syndrome<br />
Association, Sag Wagon Deli<br />
& Brew, 827 Shaver Road NE, Cedar<br />
Rapids, 9 a.m.-2 p.m. The team with<br />
the best costume will receive a small<br />
prize during the opening ceremony<br />
along with the largest walk team<br />
and the team that raises the most<br />
money. Cost: $15-$45. For more<br />
information, visit www.crowdrise.<br />
com/HADSA.<br />
SEPT. 29<br />
The Glo Run – Cedar Rapids, by<br />
The Glo Run and All Community<br />
Events, McGrath Ampitheatre,<br />
475 First St. SW, Cedar Rapids,<br />
7:45-10 p.m. Run through five<br />
neon luau-themed zones in this<br />
evening event that raises money<br />
for the American Heart Association<br />
and American Stroke Association.<br />
Cost:$60-$66.99.For more information,<br />
visit www.theglorun.com.<br />
SEPT. 30<br />
Corridor Running Swamp Fox 5K<br />
and Little Fox Mile, by Corridor<br />
Running and Marion Parks and<br />
Recreation, Marion Square Park,<br />
1107 Seventh Ave., Marion, 7:30-10<br />
a.m. This family event is part of the<br />
citywide Swamp Fox Festival. Cost:<br />
$20. To register, visit http://bit.<br />
ly/2v60qMm/<br />
OCT. 14<br />
Hurts Donut Run, by Hurts Donuts,<br />
200 E. Park Road, Iowa City, 10 a.m.-<br />
1 p.m. This 5K is open to people of<br />
all ages and abilities. Hurts Donuts<br />
will be waiting at the finish line.<br />
Cost: $20-$35. For more information,<br />
visit www.hurts5k.com.<br />
Submit health care calendar events to<br />
news@corridorbusiness.com, subject line<br />
“Health Calendar.” Please include date, time,<br />
location and a brief description.<br />
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<strong>CBJ</strong> <strong>BALANCE</strong> - FALL <strong>2017</strong> 11
Common Connection<br />
Family Caregivers Center of Mercy provides support, respite<br />
STORY BY CINDY HADISH PHOTOS BY SHUVA RAHIM<br />
Carole Butz leads a support group at the Family Caregivers Center in Cedar Rapids.<br />
The center provides resources and support for those caring for an adult family member.<br />
CEDAR RAPIDS – Carole<br />
Butz and her husband,<br />
Mick, marked 50 years of<br />
marriage in June, but it<br />
was difficult to celebrate<br />
their milestone.<br />
Mr. Butz was diagnosed with<br />
Alzheimer’s disease in 2008 and<br />
while he still recognizes her, “I’m<br />
not sure he knows I’m his wife,”<br />
said Ms. Butz, who retired from<br />
her job at Coe College to become<br />
her husband’s caregiver.<br />
12 <strong>CBJ</strong> <strong>BALANCE</strong> - FALL <strong>2017</strong>
Having insight into such challenges is one of many reasons Ms.<br />
Butz creates a special connection to other caregivers as she serves<br />
multiple volunteer roles at the Family Caregivers Center of Mercy.<br />
The center, at 901 Eighth Ave. SE, opened in December 2015<br />
as a resource for family caregivers of adults, regardless of their<br />
hospital or physician affiliation.<br />
“It’s a community resource,” said Kathy Good, director of the<br />
center. “We don’t care where you’re receiving your medical care.”<br />
Chronic conditions such as cancer, diabetes, heart disease and<br />
Parkinson’s disease are among the reasons that lead a spouse,<br />
son, daughter or other family member to becoming a caregiver.<br />
In Linn County alone, 3,200 residents have Alzheimer’s disease;<br />
a number expected to triple by 2050.<br />
With that in mind, and after hearing about a caregivers center<br />
in New York, Tim Charles, president and CEO of Mercy Medical<br />
Center, set the wheels in motion for the Family Caregivers Center<br />
of Mercy.<br />
“He was concerned about<br />
the numbers,” Ms. Good said.<br />
CAREGIVING<br />
FACTS<br />
n 42.5 million family<br />
caregivers in the<br />
United States.<br />
n 34.2 million family<br />
caregivers care for<br />
someone 50 or older.<br />
n 52,000 family<br />
caregivers live in<br />
East Central Iowa.<br />
n 1.4 million Americans<br />
are diagnosed with<br />
cancer every year.<br />
Source: Caregiving in the<br />
U.S. 2015 report, AARP Public<br />
Policy Institute<br />
“He thinks the health care community<br />
was not ready to deal<br />
with that tsunami.”<br />
Ms. Good was a caregiver<br />
herself after her late husband,<br />
David Good, a Sixth Judicial<br />
District Court judge, was diagnosed<br />
with early onset Alzheimer’s<br />
at the age of 56. He lived<br />
at Mercy’s Hallmar Care Center<br />
for nearly four years before his<br />
death in 2015.<br />
She recalls his sense of humor,<br />
love of kayaking and other<br />
outdoor adventures and his extensive<br />
bow tie collection as Ms.<br />
Good keeps his memory alive,<br />
at the same time she strives to<br />
make it easier for other caregivers<br />
to cope with adversity.<br />
Even with her knowledge of<br />
services available in the community as a social worker, “I often<br />
felt alone and overwhelmed,” Ms. Good said of the time after her<br />
husband’s diagnosis. “That’s common.”<br />
Mr. Charles approached Ms. Good about using her expertise<br />
to lead the center.<br />
“He asked if I was interested, and I said, ‘absolutely,’” she said.<br />
More than $2.6 million was raised to endow the Family Caregivers<br />
Center of Mercy before it launched. The center employs<br />
just one staff member, office coordinator Mary Rink; others, including<br />
Ms. Good and Ms. Butz, are volunteers.<br />
Find more information at: www.mercycare.org/services/<br />
family-caregivers-center and on the Family Caregivers<br />
Center of Mercy Facebook page, or call (319) 221-8866.<br />
The Mercy Foundation continues to raise funds to support the center and its<br />
many services.<br />
Those include helping caregivers navigate the medical, financial and human service<br />
systems with the help of “caregiver coaches,” such as Ms. Butz, in order to help the<br />
caregivers find the assistance they need and determine their eligibility.<br />
The center also helps care for the physical, mental and emotional needs of caregivers<br />
through services such as music and art therapy, chair yoga and massage, all of which<br />
are offered for free.<br />
A resource library at the center offers books about chronic conditions, care giving,<br />
grief and loss, as well as a quiet spot to read, while educational sessions offer advice on<br />
topics such as financial planning and VA benefits.<br />
As of earlier this summer, nearly 500 caregivers had been served at the center. Most<br />
of the caregivers are women, with about one-fifth men, and generally are age 45 and<br />
older and caring for a spouse.<br />
The center offers connections to hourly, overnight and in-home companion respite<br />
care, with financial assistance on an as-needed basis for those who qualify.<br />
Support groups, including a Male Caregiver Coffee and “The Mindful Caregiver”<br />
book study and support group led by Ms. Butz, are among other ways the center helps<br />
caregivers find answers and solace.<br />
“We have wisdom for one another,” Ms. Butz said. “I don’t think there’s an emotion<br />
or any kind of feeling that I haven’t experienced on this journey, so I’m able to tap into<br />
that. I hope I can give them the gift of understanding.” <strong>CBJ</strong><br />
WATCH RODGER’S VIDEO<br />
www.corridorbusiness.com/balance<br />
Rodger Burnett has been taking care of his wife, Marlene,<br />
full-time since she was diagnosed with Alzheimer’s in<br />
2009. Photographer Shuva Rahim gives a glimpse of the<br />
Burnetts’ life together at their Hiawatha home.<br />
<strong>CBJ</strong> <strong>BALANCE</strong> - FALL <strong>2017</strong> 13
MOVERS & SHAKERS<br />
Kathy Wilden has been<br />
named emergency management<br />
and safety specialist in the<br />
Department of Security and<br />
Environmental Safety at Mercy<br />
Medical Center in Cedar Rapids.<br />
April Golwitzer, of UnityPoint<br />
– St. Luke’s Hospital, was<br />
awarded Kirkwood Community<br />
College’s <strong>2017</strong> All Stars of the<br />
Creative Corridor workforce<br />
award.<br />
Sara Wattnem, of Virginia<br />
Gay Hospital Clinics, was<br />
awarded Kirkwood Community<br />
College’s <strong>2017</strong> All Stars of the<br />
Creative Corridor workforce<br />
award.<br />
Matt Lapka, of MediRevv, was<br />
awarded Kirkwood Community<br />
College’s <strong>2017</strong> All Stars of the<br />
Creative Corridor workforce<br />
award.<br />
CC Lee has joined Mercy<br />
Medical Center as medical<br />
director of cardiac, thoracic and<br />
vascular surgery services.<br />
Melissa Coulter, of<br />
UnityPoint Health, was awarded<br />
an Iowa Hospital Education<br />
and Research Foundation<br />
scholarship.<br />
Michelle Pappas, of<br />
UnityPoint Health, was awarded<br />
an Iowa Hospital Education<br />
and Research Foundation<br />
scholarship.<br />
Erin Roberts has been<br />
appointed total joint program<br />
manager at UnityPoint Health –<br />
St. Luke’s Hospital.<br />
Roberta Bean, nursing<br />
department administrative<br />
assistant at Mount Mercy<br />
University, received the<br />
Distinguished Staff award.<br />
Jennifer Schulte joined the<br />
American Heart Association as<br />
the development director for<br />
the Cedar Rapids Go Red For<br />
Women luncheon and Heart Ball.<br />
Stephanie Wilson joined the<br />
team of health care providers at<br />
MercyCare North Urgent Care.<br />
Jeffrey Westpheling joined<br />
MercyCare Occupational Health<br />
at Prairie Creek in Cedar Rapids.<br />
Send Movers & Shakers to<br />
news@corridorbusiness.com<br />
Include name, title, company,<br />
brief description and a high<br />
resolution (300 dpi) head and<br />
shoulders photo.<br />
Keeli Irwin, of Mercy Pediatric<br />
Clinic, was named <strong>2017</strong> Nurse<br />
Practitioner of the Year by the<br />
Iowa Association of Nurse<br />
Practitioners.<br />
Diane Smith joined the<br />
American Heart Association as<br />
the development director for the<br />
Iowa City Go Red For Women<br />
luncheon and Heart Ball.<br />
Dilli Bhurtel joined UnityPoint<br />
Health-Cedar Rapids Cardiology<br />
Clinic as a pediatric cardiologist.<br />
14 <strong>CBJ</strong> <strong>BALANCE</strong> - FALL <strong>2017</strong>
QUICK BITES<br />
Health Solutions<br />
acquires CarePro<br />
Worksite Wellness<br />
Cedar Rapids-based Health Solutions<br />
LLC in July acquired CarePro<br />
Worksite Wellness, a provider of corporate<br />
wellness programming under<br />
the CarePro Health Services umbrella.<br />
The two companies offer many of<br />
the same services, including health<br />
risk assessments, biometric screenings,<br />
health coaching and wellness<br />
plan design, although Health Solutions<br />
officials said the merger will<br />
offer CarePro customers an expanded<br />
range of wellness technologies<br />
and predictive data analytics.<br />
“This integration will allow<br />
Health Solutions to grow our footprint<br />
within our community, offer<br />
enhanced services to the CarePro<br />
clients, provide the opportunity to<br />
CarePro team members to do what<br />
they are passionate about with expanded<br />
resources, and support<br />
and allow CarePro to expand their<br />
clinical services,” Health Solutions<br />
Founder and President Jen Musick<br />
stated in a press release. “It is a winwin<br />
for both organizations.”<br />
CarePro Health Services, one of<br />
the largest health and wellness firms<br />
in the Corridor, will now focus on<br />
its other lines of business, including<br />
pharmacies, home medical equipment<br />
sales and home care services.<br />
Health Solutions was founded in<br />
2004, and has grown to around 60<br />
employees from its home at 151 Fifth<br />
Ave. SE in downtown Cedar Rapids.<br />
Terms of the deal were not disclosed.<br />
PCI to build new<br />
facility in Cedar<br />
Rapids’ MedQuarter<br />
Physicians’ Clinic of Iowa is moving<br />
forward with plans to build a second<br />
facility on the current PCI campus<br />
in the downtown Cedar Rapids<br />
Medical District.<br />
“Our physician shareholders are<br />
not only committed to health and<br />
wellbeing in Cedar Rapids, they’re<br />
committed to the economic development<br />
and growth of the MedQ,”<br />
Michael Sundall, PCI CEO, stated in<br />
a press release. “These new construction<br />
plans come at a critical time for<br />
the MedQ, as the district advances<br />
through a strategic plan to become a<br />
regional medical destination.”<br />
Initial plans approved by the<br />
group are for a 98,000 square-foot,<br />
three-story medical facility and a<br />
new 400-plus space parking ramp.<br />
“These new facilities will accommodate<br />
PCI’s continued growth and<br />
attract other non-PCI health and<br />
wellness-related services,” Mr. Sundall<br />
continued. “When we opened<br />
the first medical pavilion four years<br />
ago, the intent was to fill the space<br />
over five years. It was full after just<br />
three years, making additional expansion<br />
a priority.”<br />
The planned medical facility will<br />
be constructed on the PCI campus<br />
on what is currently a parking lot<br />
south and west of Firestone Tire, between<br />
Second and Third avenues SE.<br />
It could potentially house PCI specialties,<br />
tenants and a sports rehabilitation<br />
and performance center.<br />
The 400-car parking structure<br />
will be located on the south side of<br />
the PCI campus, along Third Avenue<br />
SE. Current plans are to connect the<br />
new medical facility to the existing<br />
parking structure via walkway. Covered<br />
walkways will be constructed<br />
from the new parking structure to<br />
the existing PCI Medical Pavilion.<br />
Mercy’s Hiawatha<br />
Medical Park opens<br />
Mercy Medical Center opened the<br />
new 60,000-square-foot Hiawatha<br />
Medical Park at 1195 Boyson Road<br />
in July.<br />
The Hiawatha Medical Park consists<br />
of three separate components.<br />
The third floor of the building is the<br />
site of Mercy’s new outpatient surgery<br />
center, where eye surgeries are<br />
performed. Included on that floor<br />
are 11 pre-op and post-op rooms<br />
and two operating rooms, with additional<br />
space for future expansion.<br />
The second floor is home to Wolfe<br />
Eye Clinic, offering multi-subspecialty<br />
medical and surgical eye care.<br />
The building’s first floor is scheduled<br />
to open later this year as an<br />
extension of Mercy’s clinic services.<br />
Those services will include an Urgent<br />
Care, pharmacy, imaging and lab.<br />
“We are responding to significant<br />
demand for conveniently located<br />
and more accessible care,” Tim<br />
Mercy Medical Center’s Hiawatha Medical Park, which opened this summer, includes<br />
Mercy’s outpatient surgery center, Wolfe Eye Clinic and Mercy Urgent Care.<br />
Photo Mercy Medical Center<br />
Charles, Mercy president and CEO,<br />
stated in a press release. “The needs<br />
and wants of our patients are evolving.<br />
There’s been a push for many<br />
years to provide more treatment on<br />
an outpatient basis.”<br />
Mercy is leasing the space for the<br />
Hiawatha Medical Park from a local<br />
developer. The site was previously<br />
occupied by Duffy’s Collectible Cars.<br />
Helping older adults<br />
remain independent.<br />
Call Today: 319.398.3644<br />
www.abbehealth.org<br />
Services for older adults<br />
and caregivers.<br />
Healthy Aging programs<br />
and activities.<br />
Adult Day Health Centers<br />
in Cedar Rapids, Marion<br />
and Iowa City.<br />
<strong>CBJ</strong> <strong>BALANCE</strong> - FALL <strong>2017</strong> 15
Stats and data from<br />
the health care sector<br />
Despite recent<br />
declines, opioid<br />
prescribing is still<br />
high and inconsistent<br />
across the country.<br />
The Amount Of Opioids Prescribed Per Person<br />
Varied Widely Across the U.S. in 2015<br />
The amount of<br />
opioids prescribed<br />
per person was<br />
3X<br />
HIGHER<br />
in 2015 than in 1999.<br />
SOURCES: Automation of Reports<br />
and Consolidated Orders System<br />
(ARCOS) of the Drug Enforcement<br />
Figure Administration; 4.2 displays 1999. the percentages QuintilesIMS of deaths due to the selected chronic diseases. By examining the leading causes of<br />
Transactional Data Warehouse; 2015.<br />
death, statewide and local programs can determine which interventions, prevention activities, and messages are needed for<br />
various groups to prevent deaths prior to reaching life expectancy and to improve health across the state. Of all deaths,<br />
approximately 28% were due to diseases of the heart; over one in four Iowans died of heart disease.<br />
Percent of Selected Chronic Disease-Related<br />
Deaths, Iowa Residents, 2006<br />
Figure 4.2 Percent of Selected Chronic Disease-related Deaths,<br />
Iowa Residents, 2006<br />
Morphine Milligram<br />
Equivalents (MME)<br />
MME PER PERSON<br />
Insufficient data<br />
0.1 - 453<br />
454 - 676<br />
677 - 958<br />
959 - 5,543<br />
SOURCE: CDC Vital Signs, July <strong>2017</strong><br />
Some characteristics<br />
of counties with higher<br />
opioid prescribing:<br />
general atherosclerosis<br />
1%<br />
kidney disease<br />
1%<br />
hypertension &<br />
hypentensive renal disease<br />
1%<br />
all other<br />
20%<br />
heart disease<br />
29%<br />
> Small cities or large towns<br />
> Higher percent of white residents<br />
> More dentists and primary care<br />
physicians<br />
> More people who are uninsured or<br />
unemployed<br />
other circulatory system<br />
disease<br />
1%<br />
all infective & parasitic<br />
disease<br />
2%<br />
> More people who have diabetes,<br />
arthritis, or disability<br />
influenza & pneumonia<br />
3%<br />
diabetes<br />
3%<br />
chronic lower respiratory<br />
disease<br />
6%<br />
SEPTEMBER<br />
National Childhood Obesity<br />
Awareness Month<br />
stroke<br />
7%<br />
cancer<br />
26%<br />
SOURCE: Healthy Iowans: Chronic Disease Report<br />
World Suicide Prevention<br />
Day is September 10th<br />
16 <strong>CBJ</strong> <strong>BALANCE</strong> - FALL <strong>2017</strong>
COLUMN<br />
Academic medical centers vital to health and economy<br />
As the national debate about health<br />
care continues, it is important to<br />
understand the vital role of academic<br />
medical centers, like University<br />
of Iowa Health Care, in the<br />
national and local health system<br />
and economy.<br />
Academic medical centers<br />
(AMCs) bear the responsibility<br />
not only for providing all levels of<br />
patient care, but also for educating<br />
and training the nation’s doctors<br />
and associated health care providers,<br />
and conducting biomedical research<br />
that leads to new treatments<br />
and cures to share with the world.<br />
Beyond those missions, AMCs also<br />
provide important services through<br />
community benefit services.<br />
UI Health Care, which includes<br />
Jean E. Robillard, M.D.<br />
UI Health Care<br />
Vice President for Medical Affairs<br />
and surgeries to basic primary<br />
care. Like other AMCs, UI Health<br />
Care provides critical community<br />
services – such as trauma and burn<br />
centers – that are often not available<br />
elsewhere. UI Health Care<br />
also provides health care to Iowa’s<br />
vulnerable populations through<br />
charity care and state and federal<br />
health programs.<br />
The impact of UI Health Care’s<br />
education mission is also significant<br />
to Iowa’s physician workforce,<br />
with the UI Carver College of<br />
Medicine graduating 140 new physicians<br />
every year, and more than<br />
700 resident and fellow physicians<br />
in training at UI Hospitals and<br />
Clinics. Our data show that Carver<br />
College of Medicine students who<br />
of more than $231 million and<br />
644,381 persons receiving services,<br />
including free medical care for uninsured<br />
patients, health screenings<br />
and other preventive care, public<br />
seminars on health topics and population-based<br />
research.<br />
In addition to societal benefits,<br />
AMCs have a substantial positive<br />
economic impact. The most recent<br />
report (2012) by the Association<br />
of American Medical Colleges<br />
(AAMC), conducted by Tripp Umbach<br />
of Pittsburgh, showed that UI<br />
Health Care had a total employment<br />
impact of 32,598 people, supported<br />
more than $277 million in revenue<br />
for the state, and provided a total<br />
economic impact of $4.6 billion.<br />
Looking to the future, there<br />
are several key issues confronting<br />
academic medicine, including the<br />
availability of affordable, accessible<br />
insurance; status of scientific research<br />
funding; viability of learning<br />
and teaching methodologies; and<br />
caring for the well-being of the<br />
health workforce and an increasingly<br />
diverse nation.<br />
To ensure that we preserve the<br />
strengths of the nation’s AMCs and<br />
their role in improving the health<br />
of all Americans, it is incumbent<br />
on those of us working in academic<br />
medicine and our policy makers<br />
at both state and federal level to<br />
carefully evaluate these issues and<br />
design solutions for these pressing<br />
issues. •<br />
UI Health Care had a total employment impact of 32,598<br />
people, supported more than $277 million in revenue for the<br />
state, and provided a total economic impact of $4.6 billion.<br />
University of Iowa Hospitals and<br />
Clinics, the UI Carver College of<br />
Medicine and the University of<br />
Iowa Physicians, is the only comprehensive<br />
AMC in Iowa, and one<br />
of about 125 in the United States.<br />
As a major employer in the Corridor,<br />
we contribute to the growth<br />
of the local economy, while also<br />
working to improve the health and<br />
well-being of all area residents.<br />
This has included extending our<br />
patient care mission to businesses<br />
through the Work-Related Care<br />
Management program which<br />
provides several services to assist<br />
employers with solutions for improving<br />
the health and wellness of<br />
all team members<br />
Through UI Hospitals and Clinics,<br />
patient care ranges from highly<br />
specialized, complex treatments<br />
do residency training in Iowa are<br />
nearly four times more likely to<br />
enter practice in Iowa than those<br />
training outside the state.<br />
As the research engines of the<br />
American health system, AMCs<br />
conduct more than half of all<br />
extramural research sponsored by<br />
the National Institutes of Health<br />
(NIH). In fiscal year 2016, the UI<br />
Carver College of Medicine garnered<br />
more than $229 million in<br />
external funding, including 254<br />
grants totaling more than $105<br />
million from the NIH.<br />
Like other AMCs, UI Health<br />
Care faculty and staff members go<br />
beyond these mission-driven activities<br />
to provide community benefit<br />
programs or activities that promote<br />
health and wellness. In fiscal year<br />
2015, we recorded a contribution<br />
Getting YOUNGER Every Day<br />
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Live an active satisfying life.<br />
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u Up to 5 people in each small group<br />
u Initial screening addresses your<br />
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<strong>CBJ</strong> <strong>BALANCE</strong> - FALL <strong>2017</strong> 17
Your Cancer<br />
Screening Roadmap<br />
Listen to body signs and get checked out<br />
BY CINDY HADISH<br />
Carla Vawter<br />
Carla Vawter – known in the Corridor as Carla Davis on the radio<br />
and as an on-field hostess at Cedar Rapids Kernels baseball<br />
games – spent years tanning as she worked in the public eye.<br />
“I had heard the<br />
dangers, but after<br />
many years of doing<br />
it, I had this, ‘it<br />
won’t happen to me’<br />
mentality,” she said.<br />
“Several years later, I<br />
noticed I had a bump<br />
on my nose that<br />
wasn’t going away.”<br />
Ms. Vawter went<br />
to a pre-cancer<br />
screening, where several<br />
areas of concern<br />
were noted, followed<br />
by an appointment<br />
with a dermatologist.<br />
She was diagnosed<br />
with basal<br />
cell carcinoma on her back and arm, both of which were removed,<br />
and actinic keratoses – rough, scaly patches – on her<br />
face, which were frozen off with liquid nitrogen.<br />
Nonmelanoma skin cancer – the type Ms. Vawter had – is<br />
the most common cancer in the United States, but while early<br />
detection of the more deadly melanoma is less likely to cause<br />
death when treated early, health officials do not recommend<br />
regular skin cancer screenings for people not at high risk.<br />
Navigating cancer screening recommendations from various<br />
agencies can be confusing as not all are the same. The<br />
American Cancer Society, for example, offers guidelines that<br />
differ from other entities.<br />
Experts note that the best course of action is to watch your<br />
body for changes and discuss concerns with your doctor.<br />
The U.S. Centers for Disease Control & Prevention offers<br />
the following cancer screening recommendations from the<br />
Preventive Services Task Force, a panel of national experts in<br />
prevention and evidence-based medicine. <strong>CBJ</strong><br />
BREAST CANCER<br />
n A mammogram, an X-ray of the breast, is the best way to<br />
find breast cancer early, when it is easier to treat and before<br />
it is big enough to feel or cause symptoms. Having regular<br />
mammograms can lower the risk of dying from breast cancer.<br />
n Women who are 50-74 years old and at average risk for<br />
breast cancer should get a mammogram every two years.<br />
n Women ages 40-49 years old should talk to their doctor or<br />
other health care professionals about when to start and how<br />
often to get a mammogram and should weigh the benefits<br />
and risks of screening tests when deciding whether to begin<br />
getting mammograms at age 40.<br />
n Breast Magnetic Resonance Imaging (MRI) uses magnets and<br />
radio waves to take pictures of the breast. MRI is used along<br />
with mammograms to screen women who are at high risk<br />
for getting breast cancer. Because breast MRIs may appear<br />
abnormal even when there is no cancer, it is not used for<br />
women at average risk.<br />
LUNG CANCER<br />
n Yearly lung cancer screening with low-dose computed<br />
tomography is recommended for people<br />
with a history of heavy smoking, who smoke now<br />
or have quit within the past 15 years and are between<br />
55-80 years old.<br />
n Heavy smoking means smoking one pack a day<br />
for 30 years or two packs a day for 15 years.<br />
n Lung cancer screening has at least three risks:<br />
false-positive result that can lead to follow-up<br />
tests and surgeries that are not needed and may<br />
have more risks; cases of cancer that may never<br />
have caused a problem for the patient and<br />
radiation from repeated tests can cause cancer in<br />
otherwise healthy people.<br />
n Annual screenings can stop when the person turns<br />
81, or has not smoked in 15 years, or develops a<br />
health problem that makes him or her unwilling or<br />
unable to have surgery if lung cancer is found.<br />
18 <strong>CBJ</strong> <strong>BALANCE</strong> - FALL <strong>2017</strong>
COLORECTAL<br />
(COLON) CANCER<br />
Adults ages 50-75 should be screened for colorectal cancer<br />
on an annual basis or up to once every 10 years, depending<br />
on which screening method is chosen.<br />
OVARIAN CANCER<br />
There is no evidence that any screening<br />
test reduces deaths from ovarian cancer.<br />
STOOL TESTS<br />
The fecal occult blood test and fecal immunochemical test<br />
are done once per year, using a test kit to obtain a small<br />
amount of stool that is checked at a lab. With a FIT-DNA<br />
test, an entire bowel movement is collected and sent to a lab<br />
to be checked for cancer cells and done once every one or<br />
three years.<br />
FLEXIBLE SIGMOIDOSCOPY<br />
The doctor puts a short, thin, flexible, lighted tube into your<br />
rectum to check for polyps or cancer inside the rectum and<br />
lower third of the colon; performed every five years, or every<br />
10 years with a FIT every year.<br />
COLONOSCOPY<br />
The doctor uses a longer, thin, flexible, lighted tube to check<br />
for polyps or cancer inside the rectum and the entire colon<br />
and can find and remove most polyps and some cancers;<br />
performed every 10 years.<br />
COMPUTED TOMOGRAPHY (CT) COLONOGRAPHY<br />
(VIRTUAL COLONOSCOPY)<br />
X-rays and computers are used to produce images of the<br />
entire colon, which are displayed on a computer screen for<br />
the doctor to analyze; performed every five years.<br />
n Adults ages 76-85 should ask their doctor if they should be<br />
screened.<br />
n People at an increased risk of developing colorectal cancer<br />
should talk to their doctors about when to begin screening,<br />
which test is right for them and how often to get tested.<br />
n Colorectal cancer almost always develops from precancerous<br />
polyps (abnormal growths) in the colon or rectum.<br />
Screening tests can find precancerous polyps, so they can<br />
be removed before they turn into cancer and can find colorectal<br />
cancer early, when treatment works best.<br />
CERVICAL CANCER<br />
n Women should start getting regular Pap tests at<br />
age 21. The Pap test, which screens for cervical<br />
cancer, is one of the most reliable and effective<br />
cancer screening tests available.<br />
n Women ages 21-65 should be screened with a Pap<br />
test every three years, or, for women ages 30-65,<br />
every five years with a Pap test in combination with<br />
human papillomavirus (HPV) testing.<br />
n The Pap test can find abnormal cells in the cervix<br />
that may turn into cancer. Pap tests also can find<br />
cervical cancer early, when the chance of being<br />
cured is very high.<br />
n The only cancer for which the Pap test screens is<br />
cervical cancer. It does not screen for ovarian, uterine,<br />
vaginal or vulvar cancers. So even if you have a<br />
Pap test regularly, if you notice any signs or symptoms<br />
that are unusual for you, see a doctor to find<br />
out why you’re having them.<br />
SKIN CANCER<br />
PROSTATE CANCER<br />
The U.S. Preventive Services Task Force<br />
has concluded that there is not enough<br />
evidence to recommend for or against<br />
routine screening (total-body examination<br />
by a clinician) to find skin cancers<br />
early for people who do not have a history<br />
of skin cancer and who do not have<br />
any suspicious moles or other spots.<br />
The U.S. Preventive Services Task Force recommends<br />
against prostate specific antigen (PSA)-based screening<br />
for men who have no symptoms.<br />
<strong>CBJ</strong> <strong>BALANCE</strong> - FALL <strong>2017</strong> 19
<strong>CBJ</strong> LIST<br />
NONPROFIT SUPPORT SERVICES<br />
................................................................................<br />
Abbe Center for Community Mental Health<br />
Designed to encompass emotional, physical and social<br />
well-being through integrated health approach<br />
520 11th St.<br />
Cedar Rapids, IA 52405<br />
(319) 398-3562<br />
www.abbemhc.org<br />
................................................................................<br />
The ALS Association, Iowa Chapter<br />
A full range of services to guide and assist families through<br />
their journey with amyotrophic lateral sclerosis (ALS)<br />
3636 Westown Parkway, Ste. 204<br />
West Des Moines, IA 50266<br />
(515) 369-2572<br />
www.alsaiowa.org<br />
................................................................................<br />
Alzheimer’s Association<br />
East Central Iowa Chapter<br />
Offers education programs for the caregiver, individual<br />
with disease, health care professional, workplace and<br />
general public<br />
317 Seventh Ave. SE, Ste. 402<br />
Cedar Rapids, IA 52401<br />
(319) 294-9699<br />
www.alz.org/eci<br />
................................................................................<br />
American Cancer Society<br />
Covers everything from cancer research to education,<br />
prevention to diagnosis and treatment to recovery<br />
4080 First Ave. NE, Ste. 101<br />
Cedar Rapids, IA 52402<br />
(319) 866-7100<br />
cancer.org<br />
................................................................................<br />
American Heart Association<br />
Offers advocacy and research efforts to prevent heart<br />
disease and stroke<br />
1035 N. Center Point Road, Ste. B<br />
Hiawatha, IA 52233<br />
(319) 378-1763<br />
http://heart.org/easterniowa<br />
................................................................................<br />
Area Substance Abuse Council<br />
Provides comprehensive services to prevent substance<br />
misuse and address substance use disorders<br />
3601 16th Ave. SW<br />
Cedar Rapids, IA 52404<br />
(319) 390-4611<br />
www.asac.us<br />
................................................................................<br />
................................................................................<br />
Children’s Cancer Connection<br />
Enhances quality of life for families affected by childhood<br />
cancer by providing programs for education, recreation,<br />
and support<br />
401 10th Ave.<br />
Coralville, IA 52241<br />
(515) 243-6239<br />
www.childrenscancerconnection.org<br />
................................................................................<br />
ChildServe<br />
Offers pediatric therapy and family support services to<br />
children with developmental delays and disabilities<br />
1552 Mall Drive<br />
Iowa City, IA 52240<br />
370 W. Cherry St.<br />
North Liberty, IA 52317<br />
(319) 351-5437<br />
www.childserve.org<br />
................................................................................<br />
Community Health Free Clinic<br />
Provides free medical, dental, vision and prescription<br />
services for people without access to or the ability to pay<br />
for health care<br />
947 14th Ave. SE<br />
Cedar Rapids, IA 52401<br />
(319) 363-0416<br />
www.CommunityHFC.org<br />
................................................................................<br />
Eastern Iowa JDRF<br />
Funds type 1 diabetes (T1D) research with mission to<br />
accelerate life-changing breakthroughs to cure, prevent<br />
and treat T1D and its complications<br />
1026 A Ave., Ste. 113<br />
Cedar Rapids, IA 52406<br />
(319) 393-3850<br />
www.jdrf-org/easterniowa<br />
................................................................................<br />
Gems of Hope<br />
Provides cancer patients and their families support and<br />
resources to inspire hope<br />
420 Sixth St. SE, Ste. 140<br />
Cedar Rapids, IA 52401<br />
(319) 393-9681<br />
www.gemsofhope<br />
................................................................................<br />
His Hands Free Clinic<br />
Provides medical, dental, chiropractic, women’s health,<br />
mental health, physical therapy, prescription assistance,<br />
durable medical equipment and patient advocacy<br />
services for the under- and uninsured<br />
400 12th St. SE<br />
Cedar Rapids, IA 52403<br />
(319) 862-2636<br />
hishandsclinic.org<br />
................................................................................<br />
................................................................................<br />
Iowa City Hospice<br />
Provides patient-centered palliative care and grief<br />
support to anyone affected by a terminal illness<br />
1025 Wade St.<br />
Iowa City, IA 52240<br />
(800) 897-3052<br />
Iowacityhospice.org<br />
................................................................................<br />
Iowa KidSight<br />
Screens young children throughout Iowa for free and<br />
educates the public about risks of undetected vision loss<br />
431 Coral Court, Ste. 5<br />
Coralville, IA 52241<br />
(319) 353-7616<br />
www.IowaKidSight.org<br />
................................................................................<br />
Prelude Behavioral Services<br />
Offers youth prevention programming, mental health<br />
counseling, substance abuse treatment and transitional<br />
housing for families in recovery<br />
430 Southgate Ave.<br />
Iowa City, IA 52240<br />
(319) 351-4357<br />
www.preludeiowa.org<br />
................................................................................<br />
Red Shamrock Foundation<br />
Raises awareness of health care needs of childhood<br />
cancer survivors, and supports survivorship programs and<br />
research<br />
3016 Raven. St.<br />
Iowa City, IA 52245<br />
(319) 530-1981<br />
www.redshamrock.org<br />
................................................................................<br />
Ronald McDonald House Charities of Eastern<br />
Iowa & Western Illinois<br />
Provides families accommodations including housing,<br />
meals, transportation, laundry and shower facilities while<br />
their child receives treatment at a local hospital<br />
730 Hawkins Drive<br />
Iowa City, IA 52246<br />
(319) 356-3939<br />
www.rmhc-eiwi.org<br />
................................................................................<br />
Team Breast Friends<br />
Raises money to make a positive impact in the lives of<br />
individuals impacted by breast cancer<br />
1153 Hampton Court<br />
Iowa City, IA 52240<br />
teambreastfriends.org<br />
................................................................................<br />
20 <strong>CBJ</strong> <strong>BALANCE</strong> - FALL <strong>2017</strong>
QUICK BITES<br />
Ronald McDonald<br />
Family Room opens at<br />
UI children’s hospital<br />
Ronald McDonald House Charities<br />
of Eastern Iowa and Western Illinois<br />
(RMHC-EIWI) in June opened<br />
the Ronald McDonald Family<br />
Room at University of Iowa Stead<br />
Family Children’s Hospital.<br />
The service is designed as a respite<br />
for visiting families of a child<br />
being treated in the hospital’s Pediatric<br />
Intensive Care Unit or Pediatric<br />
Cardiac Intensive Care Unit.<br />
The Ronald McDonald Family<br />
Room at UI Stead Family Children’s<br />
Hospital is made up of five<br />
spaces: the Family Room Proper,<br />
which includes a kitchenette,<br />
dining area and living room; the<br />
Family Shower Suite; a Family<br />
Sleep Room for overnight stays<br />
and naps; a Parent Respite Room;<br />
and a lounge with snacks and<br />
basic services provided at all times.<br />
The Family Room also provides<br />
self-serve breakfast and lunch and<br />
serves fresh, homemade dinners<br />
every night, prepared by volunteers.<br />
“By the time a parent steps foot<br />
in the Ronald McDonald Family<br />
Room, they’re exhausted,” RM-<br />
HC-EIWI Executive Director Barbara<br />
Dee Werning stated in a press<br />
release. “After spending a stressful<br />
day surrounded by equipment and<br />
doctors, it’s invaluable to have a<br />
quiet, home-like space where you<br />
can get away from the chaos and<br />
take care of yourself.”<br />
RMHC-EIWI increases the ability<br />
of parents to spend more time<br />
with hospitalized children, interact<br />
with the clinical care providers and<br />
participate in care decisions. Research<br />
shows that RMHC bolsters<br />
a family’s psychological well-being<br />
by keeping them close together and<br />
providing emotional and physical<br />
comfort and support.<br />
Iowa City VA Health<br />
Care awarded for<br />
environmental<br />
excellence<br />
In recognition for achievement and<br />
innovation in health care sustainability,<br />
the Iowa City VA Health<br />
Care System received the Top 25<br />
Environmental Excellence Award<br />
from Practice Greenhealth, an organization<br />
dedicated to environmental<br />
sustainability in health care. The<br />
award is one of the Environmental<br />
Excellence Awards given each year<br />
to honor environmental achievements<br />
in the health care sector.<br />
As a new addition to Practice<br />
Greenhealth’s Top 25 award<br />
winners, the Iowa City VA Health<br />
Care System excelled in various<br />
efforts, ranging from energy and<br />
water conservation to reducing and<br />
recycling solid wastes. For example,<br />
the facility’s medical waste stream<br />
was reduced by 24 percent from<br />
2012-2016, and the facility’s overall<br />
recycling rate in 2016 was 32 percent.<br />
Further, with a goal to reduce<br />
water consumption by 36 percent<br />
by 2025, water reduction is a must<br />
for all VA facilities. As a result, lowflow<br />
faucets, shower heads, urinals<br />
and toilets have been installed<br />
wherever feasible.<br />
“The Iowa City VA Health Care<br />
System is committed to sustainable<br />
practices in our day-to-day<br />
operations and our planning for<br />
the future,” Heath Streck, associate<br />
director for operations, stated in a<br />
press release. “It’s an honor to be<br />
recognized for our commitment<br />
to the health and safety of our<br />
patients, staff, environment and<br />
community.”<br />
The award was presented May 18<br />
at the conclusion of Practice Greenhealth’s<br />
CleanMed Conference &<br />
Exhibition in Minneapolis.<br />
Q&A FROM PAGE 10<br />
Q. You’re also well-known<br />
for your philanthropy<br />
in Cedar Rapids, such<br />
as starting the Anna<br />
Purna Ghosh Foundation<br />
and providing financial<br />
incentives for students<br />
to take end-of-course AP<br />
examinations. Why is that<br />
important to you?<br />
A. I know two things: health<br />
care and education, so I focus<br />
on those two things. It’s<br />
an extension of the best way<br />
to take care of the patients;<br />
the community and society at<br />
large need to improve. Quoting<br />
from verses attributed to<br />
Mother Teresa and framed on<br />
the wall at The Ghosh Center,<br />
he adds: “The good you do<br />
today, will often be forgotten.<br />
Do good anyway. Give the best<br />
you have, and it will never be<br />
enough. Give your best anyway.<br />
In the final analysis, it is<br />
between you and God. It was<br />
never between you and them<br />
anyway.”<br />
- Cindy Hadish<br />
Dr. Chirantan Ghosh makes a point to give back<br />
to the community and encourage education.<br />
Photo Shuva Rahim<br />
<strong>CBJ</strong> <strong>BALANCE</strong><br />
Your Online Solution<br />
For a fresh take on health care, wellness and well-being we offer this amazing online<br />
opportunity. Advertise in the Balance enewsletter and on the Balance website. We<br />
cover everything from local health care providers and facilities to emerging research on<br />
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Contact Judith to get your business<br />
in your customer’s inbox today!<br />
319.665.NEWS or<br />
judith@corridorbusiness.com<br />
<strong>CBJ</strong> <strong>BALANCE</strong> - FALL <strong>2017</strong> 21
RECIPE CARDS<br />
RECIPE<br />
WATERMELON,<br />
FETA AND<br />
MINT SALAD<br />
6 SERVINGS<br />
SOURCE:<br />
WWW.MIDWESTLIVING.COM<br />
4 cups 1- to 2-inch chunks seedless red<br />
and/or yellow watermelon<br />
4 ounces feta cheese, coarsely crumbled<br />
1/4 cup loosely packed mint leaves, torn<br />
into rough pieces<br />
2 tablespoons extra virgin-olive oil<br />
Ground black pepper<br />
RECIPE<br />
GARDEN<br />
CAPRESE<br />
SNACKS<br />
6 SERVINGS<br />
SOURCE:<br />
REALHOUSEMOMS.COM<br />
2 tomatoes, sliced<br />
4-8 basil leaves<br />
½ cucumber<br />
8 ounces fresh mozzarella<br />
Balsamic glaze<br />
DIRECTIONS<br />
DIRECTIONS<br />
In a large bowl, combine<br />
watermelon, feta cheese, mint<br />
and oil. Season to taste with<br />
pepper. Cover and chill 2 to 4<br />
hours before serving.<br />
Slice mozzarella into eight<br />
slices. Slice cucumber and<br />
tomato into eight slices<br />
each. Layer mozzarella, basil,<br />
cucumber slice and tomato<br />
slice. Drizzle balsamic glaze or<br />
reduction over the top.<br />
NUTRITION PER SERVING: Calories 120, Sodium 210 mg, Fat 9 g,<br />
Carbohydrates 9 g, Cholesterol 17 mg<br />
NUTRITION PER SERVING: Calories 130, Sodium 215 mg, Fat 8 g,<br />
Carbohydrates 9 g, Cholesterol 13 mg<br />
RECIPE<br />
MIXED<br />
VEGETABLE<br />
GRILL<br />
6 SERVINGS<br />
SOURCE:<br />
WWW.MCCORMICK.COM<br />
1 tablespoon light brown sugar<br />
1 1/2 teaspoons fresh basil leaves<br />
1/2 teaspoon salt<br />
1/2 teaspoon garlic powder<br />
1/8 teaspoon black pepper<br />
2 tablespoons olive oil<br />
8 asparagus, spears, ends trimmed<br />
1 medium red bell pepper, cut lengthwise<br />
into 6 strips<br />
DIRECTIONS<br />
Mix brown sugar, basil, salt,<br />
garlic powder and pepper in<br />
small bowl. Drizzle oil over<br />
vegetables in large bowl; toss<br />
to coat well. Add seasoning<br />
mixture; toss to coat well. Place<br />
vegetables in grill basket, grill<br />
rack or thread onto skewers.<br />
Grill over medium heat 10 to 12<br />
minutes or until vegetables are<br />
tender, turning occasionally.<br />
NUTRITION PER SERVING: Calories 105, Sodium 215mg, Fat 5g,<br />
Carbohydrates 13g, Cholesterol0 mg, Protein 2g, Fiber 3g<br />
22 <strong>CBJ</strong> <strong>BALANCE</strong> - FALL <strong>2017</strong>
PICTURES OF HEALTH<br />
s HEALTH CARE DISCUSSION<br />
From left, Steve Baumert, president and CEO of Methodist Jennie<br />
Edmundson in Council Bluffs; Tim Charles, president and CEO of Mercy<br />
Medical Center in Cedar Rapids; Kirk Norris, president and CEO of the Iowa<br />
Hospital Association; Cindy Mann, partner of Manatt, Phelps & Phillips; Ted<br />
Townsend, president and CEO of UnityPoint Health-Cedar Rapids;<br />
and Mike Myers, CEO, Veterans Memorial Hospital, Waukon, discuss the<br />
American Health Care Act at press conference June 7 at the DoubleTree by<br />
Hilton in Cedar Rapids.<br />
s HEARTFELT GIFT<br />
Coralville-based MediRevv presented a $10,000 gift as part of its 10th<br />
anniversary initiative to The Bird House (Hospice Home of Johnson County)<br />
at the Second Annual Bird Bash held April 20 at Big Grove Iowa City. From<br />
left are Carol Tippe, home coordinator of The Bird House; MediRevv Human<br />
Resources Director Nicki Brick; and MediRevv CEO Chris Klitgaard.<br />
s RESTFUL ROOM<br />
Representatives from Ronald McDonald House Charities of<br />
Eastern Iowa and Western Illinois, University of Iowa Stead Family<br />
Children’s Hospital and University of Iowa Hospitals and Clinics<br />
held a ribbon cutting May 24 at the new Ronald McDonald Family<br />
Room at University of Iowa Stead Family Children’s Hospital.<br />
DOCTORS’<br />
DEDICATION u<br />
Dr. Melissa Kahler and Dr.<br />
Daniel VandenBosc cut the<br />
ribbon at an open house and<br />
ribbon cutting at the new<br />
UnityPoint Clinic-Westdale<br />
held June 10 at 4325 Williams<br />
Blvd. SW, Cedar Rapids. The<br />
new Westdale Clinic offers new<br />
services to the area including a<br />
Pediatric Clinic, X-ray (imaging<br />
services), laboratory services<br />
and Therapy Plus.<br />
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St. Luke’s is the area’s heart hospital.<br />
53,227 OPEN HEART SURGERIES AND PROCEDURES<br />
Dr. Hajj, UnityPoint Clinic Cardiology & St. Luke’s Cath Lab team<br />
Since 1978, over 50,000 open heart surgeries and procedures have been performed<br />
by the area’s most experienced and largest heart care team at St. Luke’s Hospital –<br />
the most in Linn County.<br />
More experience leads to better results. Choose, St. Luke’s.<br />
Located in the MedQuarter.<br />
unitypoint.org/heart<br />
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