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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 />

CONTACT US<br />

John F. Lohman<br />

CHIEF EXECUTIVE OFFICER & PUBLISHER<br />

johnl@corridorbusiness.com<br />

Aspen N. Lohman<br />

VICE PRESIDENT<br />

Andrea Rhoades<br />

CHIEF OPERATING OFFICER &<br />

ASSOCIATE PUBLISHER<br />

andrea@corridorbusiness.com<br />

Angela Holmes<br />

MAGAZINE & SPECIAL PROJECTS EDITOR<br />

angela@corridorbusiness.com<br />

Cindy Hadish<br />

WRITER<br />

Shuva Rahim<br />

PHOTOGRAPHER<br />

Becky Lyons<br />

GRAPHIC DESIGN MANAGER<br />

becky@corridorbusiness.com<br />

Julia Druckmiller<br />

GRAPHIC DESIGNER<br />

julia@corridorbusiness.com<br />

Judith Cobb<br />

MAGAZINE MEDIA CONSULTANT<br />

judith@corridorbusiness.com<br />

Adam Moore<br />

<strong>CBJ</strong> EDITOR<br />

adam@corridorbusiness.com<br />

Dave DeWitte<br />

SENIOR BUSINESS REPORTER<br />

dave@corridorbusiness.com<br />

Kris Lacina<br />

<strong>CBJ</strong> MEDIA CONSULTANT<br />

kris@corridorbusiness.com<br />

Kelly Meyer<br />

<strong>CBJ</strong> MEDIA CONSULTANT<br />

kelly@corridorbusiness.com<br />

Jean Suckow<br />

MARKETING & DISTRIBUTION MANAGER<br />

jean@corridorbusiness.com<br />

Ashley Levitt<br />

EVENT MARKETING COORDINATOR<br />

ashley@corridorbusiness.com<br />

Rhonda Roskos<br />

EVENT MEDIA CONSULTANT<br />

rhonda@corridorbusiness.com<br />

Corridor Business Journal <strong>BALANCE</strong><br />

(USPS 024-715) is published quarterly by Corridor<br />

Media Group, Inc. Copyright Corridor Media Group,<br />

Inc. <strong>2017</strong>. All rights reserved. Reproduction or use,<br />

without permission, of editorial or graphic contents in<br />

any manner is strictly prohibited. Periodicals Postage<br />

Rate is paid at Iowa City, IA and additional mailing<br />

offices. POSTMASTER: Send address changes to<br />

Corridor Business Journal, 2345 Landon Rd, Ste. 100,<br />

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CORPORATE OFFICE:<br />

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Would you like to receive this quarterly magazine?<br />

Contact Jean Suckow at 319.665.NEWS or jean@corridorbusiness.com<br />

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@<strong>CBJ</strong>ournal<br />

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 />

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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 />

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opportunity. Advertise in the Balance enewsletter and on the Balance website. We<br />

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Contact Judith to get your business<br />

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<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 />

<strong>CBJ</strong> <strong>BALANCE</strong> - FALL <strong>2017</strong> 23


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 />

002256a1-1 06/17 CS

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