BRAYDEN’S TIMELY TRIP - Kettering Health Network Sp18.pdf · KETTERING HEALTH CONNECTION FOR BETTER LIVING is published quarterly by Kettering Health Network, 3535 Southern Blvd.,

SPRING 2018

Kettering | Grandview | Sycamore | Southview | Greene | Fort Hamilton | Soin | Kettering Behavioral

IN THIS ISSUE

BRAYDEN’S TIMELY TRIP Local, lifesaving care

Could it be allergies?LIGHTEN UP WITH AHEALTHY RECIPE

IS TECHNOLOGY YOUR FRENEMY?

On the Cover:

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KETTERING HEALTH CONNECTION FOR BETTER LIVING is published quarterly by Kettering Health Network, 3535 Southern Blvd., Kettering, OH 45429, to improve the health literacy of the community and connect readers to health information and services.

Information in KETTERING HEALTH CONNECTION FOR BETTER LIVING comes from a wide range of medical experts. Models may be used in photos and illustrations. If you have any concerns or questions about specific content that may affect your health, please contact your healthcare provider.

2018 © Kettering Health Network and Coffey Communications, Inc. All rights reserved.

CEO Fred Manchur

Managing Editor Emily Dahl

Art Direction Kelly Long

Photography John Rossi, Lee Ann Yahle, and Kettering Health Network staff

Writing Emily Dahl, Addison Hudgins, Leigh Wilkins, and Kettering Health Network staff

2018SPRING

/KetteringHealthNetwork

@KetteringHealth

/KetteringHealth

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Connect with us

4 Could it be allergies?

5 Fire up the grill for tasty veggies with quinoa

6 Seeing the world like never before

8 Got tech neck? Texter’s thumb? Get health-savvy

10 A heart-stopping emergency, a little boy’s life saved

12 Classes and screenings for a healthy you

16 Women: You have options for managing menopause

18 A new solution for a worn-out hip

20 Men: Cancer prevention tips you can follow at any age

22 Get a good night’s sleep for a healthy heart

5

10 18

16

ketteringhealth.org 3

SEASONAL ALLERGIES

Ask a doc

Q&A

Q Recently I’ve been experiencing itchy eyes and

a scratchy throat, especially when spending time outdoors. Could this be seasonal allergies? What can I do to help relieve them?

A Many patients experience symptoms like yours in the

spring and fall around the Greater

Dayton area. Often, they also have a runny nose, headaches, nasal congestion, coughing, sneezing, wheezing, itchy skin, or even hives. These are all symptoms that constitute the medical definition of seasonal allergies.

Essentially, your body is treating an otherwise harmless substance (pollen from ragweed, grass, trees, or flowers) like a foreign invader. These “invaders” trigger an immune system response that results in the symptoms you’ve mentioned. Sometimes the symptoms are mild; however, many people experience moderate to severe allergies that require medical intervention. In fact,

Dayton was ranked as the most challenging city in the Midwest for those who suffer from allergy symptoms, according to the Asthma and Allergy Foundation of America’s 2016 Regional Rankings.

If you think you are experiencing seasonal allergies, here are a few preventive measures to help control your symptoms:

• Avoid triggers such as cigarette smoke, pet dander, and allergens.

• Keep your windows closed, and run your air conditioning to circulate clean air.

• Make sure you have an air filtration system installed.

• Pay attention to local weather forecasts, and do your best to stay indoors when mold and pollen levels are high.

If avoiding these triggers is not effective in controlling your symptoms, further steps may be needed. Many over-the-counter options help with allergies, and sometimes allergy shots or prescription medications may be appropriate.

If you have any questions about allergies or medications to treat them, ask your primary care physician. He or she will be able to direct you to the most effective and specific treatment option for you.

Nicholas R. Bellanco, MD, is a board-certified family medicine physician with Kettering Physician Network Primary Care at Sugarcreek Health Center.


BREATHE EASIERCall 1-855-870-9749 to schedule an appointment with a Kettering Physician Network provider.

Eating WELL

As the weather warms up, get outside and try this flavor-packed recipe with roasted veggies on the grill.

Ingredients 2 large red bell peppers 2 medium zucchini, sliced

crosswise 4 tablespoons olive oil, divided 2 tablespoons fresh basil,

chopped 2 teaspoons balsamic vinegar 1 tablespoon sun-dried

tomatoes, chopped 1 tablespoon Kalamata olives,

pitted

Veggie & quinoa salad

Mix it up! Customize this

recipe using your favorite

veggies.

Quinoa is packed with

protein and filled with fiber.

HELP TO EAT HEALTHYTo find out how nutrition can help improve your health, talk to your doctor about nutrition counseling at Kettering Health Network. Call (937) 401-7588 for more information.

From our kitchen to yours: This recipe was created by Jeff Nagel, a sous-chef at Kettering Health Network.

to perfection 1 garlic clove, minced 1 cup red quinoa, cooked 2 cups small arugula leaves 3 ounces feta or goat cheese,

crumbled

Directions1. Preheat the grill on high.

2. Place peppers on the grate, close the grill, and cook 10 to 12 minutes, turning occasionally. Transfer the peppers to a bowl and cover, letting stand for about 20 minutes. Once cooled, peel peppers over the bowl to catch juices. Discard seeds, then dice the peppers.

Jeff Nagel

3. Brush the zucchini with oil and season with salt. Grill for 5 to 8 minutes, turning once.

Transfer the zucchini to a plate. Dice when cooled.

4. Combine 2 tablespoons oil, pepper juice, basil, vinegar, sun-dried tomatoes, olives, and garlic in a small bowl to make the dressing.

5. In a larger bowl, combine the cooked quinoa, diced veggies, arugula, cheese, and dressing. Toss to mix.


I’m THEREBRAIN & SPINE

Travis Wells hadn’t been able to look someone in the eye for years. He had a severe neck deformity that caused his head to lean to the point where his ear touched his shoulder, making it impossible for him to walk upright, drive, or even work. His head and neck were in constant pain, and he experienced chronic migraines.

“I was in tremendous pain. I had a constant headache for more than three years,” Travis says. “It was embarrassing to walk around staring at the ground and not be able to look people in the eyes.”

The most common treatments for his condition, ankylosing spondylitis, didn’t help his symptoms. He then sought help from surgeons throughout the state, but no one could help him. “I was actually considering going outside of the United States to search for treatment,” says Travis. “And then I met Dr. Woods.”

Gaining a new

An answer to prayer Kamal Woods, MD, literally changed Travis’ outlook on life by performing a surgery that is the first of its kind.

“When I first met Travis, one of the things that struck me right away was his faith,” recalls Dr. Woods, medical director of the Brain & Spine program for Kettering Health Network. Travis believed meeting Dr. Woods was an answer to prayer.

“At first glance, I knew that this was going to be a huge challenge. I had never seen anything quite like it before,” says Dr. Woods. “I reviewed medical literature and could not find any mention of a similar case. We had to go back to the drawing board. I found inspiration just thinking of what

Life is looking up for Travis, who, thanks to a revolutionary surgery, is seeing the world like never before


perspective

a difference successful surgery would make in this patient’s life. We found a way and prayerfully and successfully executed the plan.”

Travis says Dr. Woods’ confidence was very comforting. “Dr. Woods said he could help me. He wasn’t sure how at first, but it was obvious that he was going to find a way.”

Dr. Woods decided to perform the surgery in three stages, intentionally breaking Travis’ neck in four places to straighten his spine.

“I was completely comforted before surgery,” says Travis. “I knew the risk was there, but there is just something about Dr. Woods and his confidence that helped. I prayed about it every day and night.”

A new lease on life Travis’ condition improved immensely following the first one-of-a-kind procedure, which lasted 12 hours.

“It was like night and day,” Travis says. “After I left the hospital, I saw new buildings, trees—things I hadn’t seen in a long time. I was used to seeing the car dashboard. The whole experience was a gift from God. It was life-changing.”

While Travis has additional procedures planned with Dr. Woods to continue correcting his spinal condition, he is already experiencing a whole new perspective. Travis is now able to do things like attend a baseball game, see a movie, and eat at a restaurant. “I have a new lease on life,” he says.

Kamal Woods, MD


“I found inspiration just thinking of what a difference successful

surgery would make in this patient’s life,” says

Kamal Woods, MD, about Travis Wells.

WORLD-CLASS CAREThe Brain & Spine team at Kettering Health Network treats a variety of conditions in innovative ways. To see if they could treat your unique condition, call 1-855-786-2649, or learn more about services at ketteringhealth.org/neuro

I’m THERETECH & HEALTH

Smartphones, tablets, and computers enhance our lives, but they also put us at risk for many ailments—poor sleep, neck strain, and an aching back, just to name a few. Here, three experts from Kettering Health Network talk about how to prevent and combat these perils of modern life.

Is technology your

Pull the plug on modern-day maladiesFRENEMY?

Poor sleep After sunset, darkness signals our brain that it’s time to produce melatonin, the hormone that controls sleep and wake cycles. But artificial lighting—especially the “blue” light that comes from many electronic devices—suppresses melatonin production, making it more difficult to wind down.

“Research shows that this disruption to our internal clock affects sleep not just that night but the next night as well,” says Kevin Carter, DO, a family medicine physician who is fellowship-trained in sleep medicine. “Unfortunately, many people use their devices before bed, thinking it will help them relax, but it’s doing just the opposite.”

To help your brain wind down for sleep naturally, Dr. Carter recommends the following: Kevin Carter, DO

• Dim the lights in your home after the dinner hour.

• Establish a “digital curfew” starting two hours before bedtime.

• If you or your children must use devices at night (such as for homework), dim the screens. Some devices have a “night mode” function that blocks the more stimulating types of light.

• If you prefer reading on a screen, use an e-reader that mimics the appearance of ordinary ink on paper rather than a tablet or smartphone. This technology is easier on your eyes—and your brain!

Still having trouble sleeping? Learn about the services our sleep centers offer at ketteringhealth.org/sleep


Pull the plug on modern-day maladies

Tech neck That glowing device in your hand isn’t just hard on your sleep cycle—it’s putting your neck at risk, too! That’s because when you look down to tap, scroll, read, or watch, your neck muscles are holding your head in an unnatural (head forward and down) position. This can cause pain and inflammation, sometimes referred to as “tech neck.” To avoid it, try these tips:

• Don’t look down at your device for more than 15 to 20 minutes at a time. Set a timer to remind yourself to change positions, and when the timer goes off, roll your shoulders and stretch. Better yet, walk around.

• Use a tablet or phone holder if you are watching something for long stretches of time. Position the screen directly in front of your eyes.

• Sit in a chair with a headrest and remind yourself to hold your head against it. This forces you to look forward, not down.

From neck strain to sports injuries, Kettering Health Network Sports Medicine is here to help. Learn about the programs we offer to all ages at ketteringhealth.org/sportsmed

Texter’s thumb Your thumb was not designed for fine motor activity, which is why frequent texting and gaming puts your thumbs at risk for injury.

“These activities can lead to inflammation of the tendons and lining around the tendons, a condition called de Quervain’s tendonitis, or texter’s thumb,” says Adam Dann, DO, an orthopedic and hand surgeon. “Telltale signs include tenderness along the tendon on the side of the wrist, especially when making a fist or moving the wrist from side to side. Without treatment, this inflammation can lead to poor range of motion, wrist weakness, and chronic wrist pain.”

If you have symptoms of texter’s thumb, Dr. Dann recommends giving your thumbs a rest by significantly limiting your texting and gaming activity. “To encourage the healing process, we might recommend using a night splint to immobilize the thumb or anti-inflammatory medication to reduce inflammation,” he adds. “A cortisone shot also can help. If these therapies don’t work, surgery to open up the sheath around the tendon and give it more space is an option. But it isn’t usually necessary.”

Kettering Health Network’s Hand Center is the most advanced facility for hand surgery and hand trauma needs in the region. Learn more at ketteringhealth.org/hand

Adam Dann, DO

Posture problems Many—perhaps most—technology-related injuries are caused by simply sitting at your desk. It is just too easy to hunch your shoulders, crane your neck, and tense your back when you are hard at work. A posture-friendly workstation can help, says athletic trainer Lori Oda.

“One of the most common problems is that the chair is not at the right height for the desk,” Oda explains. “Adjust the chair so that your feet can rest flat on the floor, and your knees can bend at a 90-degree angle. As you type, you should be able to rest your forearms flat on the desk, and your wrists should be in a relaxed position. Try to keep your shoulders in a relaxed position, not hunched.”

Perhaps most importantly, don’t just sit there! “Moving around for 10 minutes an hour, or switching from sitting to standing throughout the day can help,” Oda says. “And when you aren’t at work, make it a point to be physically active.”

Athletic trainers and physical therapists at Kettering Health Network

offer workstation assessments for local employers. To learn more, call (937) 558-3988.


Around 4 a.m. on Nov. 17, 2017, seven-year-old Brooke Ballinger woke up to a scream. She got out of bed to find her 10-year-old brother, Brayden, lying unresponsive on the bathroom floor.

Brooke woke her parents, who dialed 911 when they couldn’t detect a heartbeat on Brayden. Gasper Township Fire and Emergency Medical Services arrived within four minutes, performed CPR, and shocked Brayden once with defibrillators at the residence, then again on the ambulance ride to Kettering Health Network’s Emergency Center in Preble County.

Brayden arrived at the emergency center at 4:36 a.m., under the care of Medical Director Philip Lam, MD, Respiratory Therapist Susie Howard, and Tesha Smith, RN. After stabilization at the emergency center, Eaton Fire and Emergency Medical Services transported Brayden to Dayton Children’s Hospital. The diagnosis was unexpected: hypertrophic cardiomyopathy.

heart stoppedHow his little sister and timely emergency care

saved his life

I’m THEREEmergency CARE

The night Brayden’s


Life-saving service Hypertrophic cardiomyopathy affects about 1 in 500 people and is usually hereditary. The condition makes it difficult for the heart to pump blood and can lead to abnormal heart rhythms (arrhythmia), cardiac arrest, and even sudden death.

Brayden had showed no symptoms of the condition before the incident. Each point in his care played a crucial role in saving his life: Brooke hearing her brother scream, the EMS team arriving so swiftly, and the local emergency center being nearby and ready to stabilize him.

Living life today Brayden had surgery to insert an implantable cardioverter-defibrillator (ICD), which will sense any arrhythmias and introduce a shock to normalize his heart rhythm. Brayden is also on medication to lower his heart rate and will have ongoing appointments with a cardiologist and electrophysiologist.

Because of the genetic nature of cardiomyopathy, Brayden’s parents were checked for the condition, and his father, Brent, was diagnosed and received an ICD as well. It’s likely that Brayden’s diagnosis saved not only his own life but also his father’s.

Even though life with this heart condition will be an adjustment, Brayden is lucky and thankful to be alive. To express his gratitude for their care, Brayden brought a thank-you card and cookies to the nurses at the emergency center in Preble.

“God was with that boy every step of the way,” says Jeremy Meredith, nurse manager of the Kettering Health Network Emergency Center in Preble County.

IT’S LIKELY THAT BRAYDEN’S DIAGNOSIS SAVED NOT ONLY HIS OWN LIFE BUT ALSO HIS FATHER’S.

KNOW YOUR NEAREST EMERGENCY CENTERWhen you need emergency care, every minute matters. Kettering Health Network has 10 full-service emergency centers ready to care for you and your family. Find your nearest location at ketteringhealth.org/emergency



I’m THEREI’m THERE

HEALTHY LIVING EVENTS

BRAIN & SPINEStrokeAct FAST: Knowing the signs and symptoms is vital to beating a stroke. Learn more at this panel discussion from our stroke team.

Kettering Medical CenterMay 23, 5:30–7 p.m.

CANCER CAREIntegrative MedicineLearn how therapies such as massage and acupuncture work with medical treatment to promote healing and enhance care.

Kettering Medical CenterApril 11, 5:30–7 p.m.

HEART & VASCULARHeart HealthKeep your heart healthy. Learn about prevention and treatment options for heart disease from our cardiology specialists.

Sycamore Medical CenterMay 1, 5:30–7 p.m.

Kettering Medical CenterJune 13, 5:30–7 p.m.

Emmanuel Christian Academy, SpringfieldJune 28, 5:30–7 p.m.

Grandview Medical CenterJune 28, 5:30–7 p.m.

Meet our physicians and medical experts to get your health questions answered. All presentations and events include a mini health fair and lunch or appetizers.

Register online at ketteringhealth.org/healthcalendar or call 1-844-883-3420.

ORTHOPEDICSJoint PainDo you have joint pain? Are your activities sometimes limited by this pain? Join our orthopedic specialists to learn about treatment options.

Fort Hamilton HospitalApril 12, 5:30–7 p.m.

Southview Medical CenterApril 17, 11:30 a.m.–1 p.m.

Grandview Medical CenterMay 8, 11:30 a.m.–1 p.m.

Kettering Sports Medicine, Far HillsMay 16, 5:30–7 p.m.

Sycamore Medical CenterJune 20, 5:30–7 p.m.

Pain Management Do you suffer from chronic pain? Are your activities sometimes limited by this pain? Join our orthopedic specialists to learn more about treatment options.

Southview Medical CenterApril 17, 11:30 a.m.–1 p.m.

Sycamore Medical CenterMay 30, 5:30–7 p.m.

Hand CareDo you have swelling, stiffness, or pain in your hands? Join our orthopedic hand specialist as we discuss symptoms and treatment options.

Southview Medical CenterMay 15, 5:30–7 p.m.

Emmanuel Christian Academy, SpringfieldMay 24, 5:30–7 p.m.

Sports MedicineNo one wants to get injured, but if you are, it’s important to know the treatment options to get you back to your active lifestyle. Join our specialists to learn more about sports injury prevention and treatment.

Soin Medical CenterJune 7, 5:30–7 p.m.

SURGICAL OPTIONSColon CareColon cancer is the third most commonly diagnosed cancer in the United States. Join us to learn how the colon is important to your overall health.

Soin Medical CenterApril 5, 5:30–7 p.m.

For the COMMUNITY

SPRING INTO HEALTH 5KLearn more at kc.edu/5k

Kettering CollegeApril 8, 2 p.m.

Register online at ketteringhealth.org/healthcalendar or call toll-free 1-844-883-3420. Register online at ketteringhealth.org/healthcalendar or call toll-free 1-844-883-3420.

YOURHEALTHCALENDAR


Gastrointestinal Distress TreatmentsJoin us as we discuss treatment options for gastrointestinal distress.

Sycamore Medical CenterApril 3, 5:30–7 p.m.

Soin Medical CenterJune 20, 5:30–7 p.m.

Hernia CareKettering Health Network specializes in state-of-the-art treatment of simple and complex hernias. Learn from our specialists about hernia treatment options to help you find relief.

Soin Medical CenterMay 17, 5:30–7 p.m.

Grandview Medical CenterJune 12, 11:30 a.m.–1 p.m.

WOMEN’S HEALTHBreast HealthDid you know 1 in 8 women

Join US

in the United States will be diagnosed with invasive breast cancer? Join our specialists to learn more about treatment and prevention.

Grandview Medical CenterApril 10, 11:30 a.m.–1 p.m.

MenopauseGoing through menopause? Join us as we discuss treatment options to alleviate the symptoms.

Soin Medical CenterApril 19, 11:30 a.m.–1 p.m.

Fertility Did you know 1 in 8 couples face fertility challenges? If you have been unsuccessfully trying to get pregnant, you may benefit from medical assistance. Join our fertility specialists to learn about your options.

Kettering Medical CenterApril 25, 5:30–7 p.m.

2018APRIL, MAY, JUNE, JULY

Safety FairGreene Memorial Hospital April 15

Kettering Health Network Emergency Center, Huber Heights June 10

Family Wellness DayFeaturing the Walk for Women’s Wellness

Kettering Medical CenterMay 6, noon–4 p.m.

Arthritis Walk Southview Medical Center May 17

Strike Out StrokeDayton Dragons Stadium May 20

Sycamore’s Anniversary ConcertFeaturing Ricky Skaggs

Join us at the Riverscape in Miamisburg as Sycamore Medical Center celebrates its 40th anniversary and the city of Miamisburg celebrates its bicentennial!

June 20, 8 p.m.

Boom-n-BlastPreble County Medical Center July 1

SAVE THE DATE!


Free events featuring all things baby for those who are expecting or planning to expect.

Kettering Medical Center April 22, 2–4 p.m.

BABY FAIR

I’m THERE

EXERCISE & FITNESS

Dartfish Movement AnalysisUse video motion analysis software to improve your gait pattern and other sport-specific motions. Prevent injury and improve performance. Call 1-855-583-9991.

Kettering Sports Medicine

Fall Risk AssessmentAs we age, we become more prone to falls, which can result in injury. The NeuroRehab and Balance Center will help determine your fall risk and provide education to help you stay safe. Appointments will last approximately 20 minutes. $8. Call to register.

Southview Medical Center–Yankee Medical CenterApril 13 and July 139 a.m.–noon


HEART & STROKE

Blood PressureScreeningsKnow your numbers. No appointment needed. Free.

Charles Lathrem Senior Center, KetteringApril 3 and May 1 11 a.m. –1 p.m.

Miamisburg Community CenterApril 20, May 18, June 15, and July 20 11:30 a.m.–1 p.m.

Town & Country ShoppingCenter, KetteringApril 23, June 25, and July 23 9–11 a.m.

Call 1-844-883-3420. Registration required unless otherwise noted.

CLASSES & SCREENINGS

CAREGIVING

Powerful Tools for Caregivers This six-week educational workshop is for people who are taking care of a family member or friend. It uses an evidence-based curriculum designed to support and improve the well-being of the caregiver. Free.

Troy YMCAMondays, April 23–June 4 (no class May 28) 1–3 p.m.

DIABETES Prediabetes Not diabetic, but want to know your risk? Take a free prediabetes risk quiz with a nurse. If it shows you are at risk, you can take an A1c test ($10) to show your average blood sugar. Call for appointment.

Charles Lathrem Senior Center, KetteringMay 1, 11 a.m.–1 p.m.

FITT for Life This six-week fitness class with a certified athletic trainer is designed for seniors of all fitness levels. The program focuses on improving strength, balance, coordination, and flexibility. $60 for Years Ahead members; $70 for all others. Call (937) 477-4269.

Southview Medical CenterMondays and Wednesdays10–11 a.m. and 12:30–1:30 p.m.Optional class: Fridays 10–11 a.m.

Performance Positive Athletes and runners of all levels can join this six-week program to focus on strength, flexibility, agility, injury prevention, nutrition, and running form. $80. Call 1-855-583-9991.


Prices and availability are subject to change without prior notification. Unless otherwise noted, registration is required for all classes and screenings.

I’m THEREFor the COMMUNITY

Register online at ketteringhealth.org/healthcalendar or call toll-free 1-844-883-3420.

Therapy to Fitness Interested in fitness, proper lifting technique, and age-appropriate exercise? This individualized fitness program provides 60 minutes of one-on-one instruction to work toward your goals. $35. For more information, call 1-855-583-9991.



Prices and availability are subject to change without prior notification. Unless otherwise noted, registration is required for all classes and screenings.

Register online at ketteringhealth.org/healthcalendar or call toll-free 1-844-883-3420.


YOURHEALTHCALENDAR

10-Minute Heart CheckThis free check includes blood pressure, heart rate, oxygen saturation, and body mass index. No appointment needed.

Charles Lathrem Senior Center, KetteringJune 5, 11 a.m.–1 p.m.

Advanced Heart Screen Our most complete evaluation offered in a two-visit program. Testing, results, and education help you understand your risk for heart disease. $399.

Call 1-855-472-0134.

Healthy Arteries Screening Learn your artery age and stroke risk with a noninvasive ultrasound. This screening is for ages 40 or older and for younger participants who have a family history of heart disease, abnormal cholesterol, or diabetes. $60–$139.

Call 1-855-472-0134.

Healthy Heart Risk-Reduction Class Free class to help you understand how heart disease occurs and learn lifestyle strategies for optimal heart health.

Call 1-855-472-0134.

Healthy Heart Screenings Know your cholesterol levels, blood sugar, and personal risk factors for heart disease with a few quick tests. Includes a personal heart-health plan. $25 ($40 with optional EKG).

Call 1-855-472-0134.

Heart Calcium Scan This scan detects coronary artery calcium and is intended for those with a strong family history of heart disease or other risk factors. $99.

Call 1-855-472-0134.

Join US

ORTHOPEDICS

Osteoporosis ScreeningThis screening determines potential bone loss without using radiation in less than five minutes. $10. Call to register.

Charles Lathrem Senior Center, KetteringApril 3, 11 a.m. –1 p.m.

THANK A NURSE For Nurses Week

STOP SMOKING

Quit Smoking This free, five-week class takes you through the quitting process and provides a month of nicotine patches. Free parking. Provided in partnership by Kettering Health Network and Public Health–Dayton and Montgomery County.

Kettering Medical Center Wednesdays, May 9 through June 6; June 20 through July 25 (no class July 4), 6–7 p.m.

2018APRIL, MAY, JUNE, JULY

May 6–12Leave a comment and thank a nurse you know at

ketteringhealth.org/thankanurse


FIND MORE ONLINEVisit ketteringhealth.org/healthcalendar for more classes and screenings.

I’m THEREWomen’s HEALTH

Menopause is different for each woman. Some women may not notice significant changes, while others have their lives disrupted by symptoms—from hot flashes and irregular periods to sleep trouble and mood changes. Going through menopause isn’t always easy, but it can help to work with your physician and to focus on your overall health and well-being.

A woman within the age range officially hits menopause 12 months after her last menstrual cycle. But symptoms can begin one to three years before that, what’s referred to as perimenopause. During this time, a woman’s ovaries produce less of the hormones estrogen and progesterone.

“My patients tell me that hot flashes are the most distressing symptom of perimenopause, followed by increased anxiety and depression and vaginal issues such as dryness,” says William McCullough, MD, an OB-GYN with Kettering Health Network. “Treatment really depends on the intensity of a woman’s symptoms, how much they are affecting her

GOT THIS

Feeling your best when menopause brings changes

William McCullough, MD

By

the

num

bers

48 to 53Average age for

onset of menopause

You’ve


GET RELIEFLearn more about resources and services for women’s health at ketteringhealth.org/women

quality of life, and her health history.”

Exploring your options If you are experiencing menopause-related symptoms, an important first step is to see your doctor for an evaluation and conversation about your options. You can discuss whether hormone replacement therapy (HRT) may be right for you. It’s one of the best ways to tame bothersome symptoms like hot flashes. However, some research has shown a link between HRT and certain cancers, and the risk is higher for women who have already had cancer or have a family history of cancer.

Nonhormonal strategies include avoiding hot-flash triggers, such as caffeine and alcohol, and taking medication for sleep issues and vaginal dryness.

Taking care with healthy habits Following a healthy lifestyle also can lessen menopausal symptoms. Dr. McCullough suggests:

• Taking a multivitamin and calcium and vitamin D supplements

• Getting 30 to 45 minutes of cardiovascular exercise at least three times a week

• Maintaining a healthy weight

• Doing weight-resistance exercise to preserve bone and joint health

• Tending to your emotional and spiritual health

Moving forward with confidence Dr. McCullough advises his patients to seek support from their family and

friends. “Menopause often occurs at a time in a woman’s life when her responsibilities at home and at work are changing,” he says. “But menopause also marks a new beginning, the second half of a woman’s adult life, which can bring new opportunities and possibilities as well.”

Women seek medical help

for menopause symptoms

1 in 3

8 in 10

Women experience hot flashes during menopause

Average number of months that hot flashes occur

18 to 3670

1 in 10Women

experience hot flashes

into their 70s

Help for problematic periods: Surgical solutions can bring reliefDuring the years leading up to menopause, some women experience very heavy blood flow, multiple periods in a month, or frequent breakthrough bleeding. But there can be other causes of problematic periods too. For example, fibroids (usually noncancerous tumors) or endometriosis can cause heavy cycles and pain during periods. Doctors may prescribe medications, but some women opt for surgery as a solution. Depending on a woman’s condition, needs, and medical history, surgery can involve removing:

• The uterus (partial hysterectomy)• All of the lining of the uterus (uterine ablation)• Part of the lining of the uterus (dilation and curettage, or D&C)

Minimally invasive surgery Dr. McCullough has performed several thousand hysterectomies in his career. About a third of those surgeries have utilized a robotic surgical system.

“Kettering Health Network has four da Vinci robotic systems, whose advanced technology allows us to operate through tiny incisions with great accuracy,” he says. “Robotic surgery is associated with less blood loss, less pain, faster healing, and shorter hospital stays—and, in some cases, no hospital stay at all. Patients are often amazed by how quickly they recover from these surgeries and are able to get back to their normal lives.”


Orthopedic CARE

Tom Bankston had tried many different treatments to reverse the degeneration of his hip—and the pain that came with it—but nothing was helping.

In his role as artistic director for the Dayton Opera, Tom is on his feet for long periods of time during productions, and his office across the street from the Schuster Performing Arts Center has him walking back and forth for much of the day. His hip had worn down over time and, as he says, “It had become a huge source of aggravation and discomfort.”

After consulting with orthopedic surgeons, including Kettering

Dayton Opera’s artistic director gives his innovative hip surgery a standing ovation

Health Network’s orthopedic surgeon Chad Weber, DO, the conclusion was clear: Surgery was the best option to relieve his pain.

Innovative options Tom chose Dr. Weber to perform the surgery at Grandview Medical Center. He had done significant research—surgery is no small matter. Under the guidance of Dr. Weber, he opted for an anterior hip replacement, an innovative technique where the incision is made at the front of the leg instead of the back or side. This single incision allows for less disruption to the muscles and a speedy recovery.

Dr. Weber is one of many Kettering Health Network physicians who perform anterior hip replacements. He says his goal is “to provide the highest-quality and most comprehensive general orthopedic and orthopedic trauma care.”

He makes his patients his highest priority. “Consideration of the whole patient, open communication, and easy accessibility will enable us to be successful in obtaining our goal of a positive and functional outcome,” Dr. Weber says.

Exceptional results Dr. Weber performed the surgery on July 6, and Tom was up and walking that same day. Tom had two weeks of in-home physical therapy and says he is now “completely functional and moving about.”

The whole experience was positive from beginning to end.

GET MOVINGFor questions about our physicians or specialty practices, please call 1-855-646-0365.

BE ACTIVEKettering Health Network provides extensive services to help you live and maintain a healthy and active life. We provide orthopedic care in seven of our hospitals and many outpatient locations serving southwest Ohio. Find your nearest location at ketteringhealth.org/ortho

What is anterior hip replacement?The anterior approach to hip replacement creates an incision in the front of the leg instead of the back or side. Overall, anterior hip replacement surgery facilitates a quick recovery. Other benefits of this approach include:

• Less disruption to the muscles

• Less risk of dislocation• Fast healing

Kettering Health Network surgeons perform the highest volume of hip and knee replacements in the Greater Dayton area. Total hip replacement is available at all Kettering Health Network locations, and anterior hip replacement is available at Soin Medical Center, Sycamore Medical Center, Grandview Medical Center, and Kettering Medical Center.

“ MY NURSES WERE TERRIFIC. THE COMMUNICATION AND

MY REHAB EXPERIENCE WERE GREAT.”—Tom Bankston

Tom didn’t know much about Grandview Medical Center before the operation. Now, he is enthusiastically positive: “My nurses were terrific. The communication and my rehab experience were great. The whole procedure was clear and well-managed.”

“I’m just so pleased,” Tom says. “I can’t say enough good about my experience.”


I’m THERECancer CARE

PROSTATE1

Take on the odds—these steps may lower your cancer risk

MEN: It’s your future

John Haluschak, MD

Preventing cancer might not be something guys think about every day. But considering the impact cancer can have on their quality of life, it probably should be!

About 38.5 percent of men will be diagnosed with cancer at some point in their lifetime.

Eat well and exercise According to John Haluschak, MD, a cancer specialist with Kettering Health Network, the most important prevention strategies relate to diet. “My advice to men is that they maintain a healthy weight and follow a diet that has an emphasis on vegetables, whole grains, and lean proteins. I encourage patients to avoid foods that contain a lot of carbohydrates. Exercise is very important

as well—research shows it can reduce your risk for 13 different types of cancer.”

Dr. Haluschak adds that men who smoke should quit as soon as possible—for their own health and the health of those around them.

Know your risk and get tested Finally, men need to know their personal cancer risk, which is affected by factors such as age, race, and family history. “For example, If you have two first-degree relatives who were diagnosed with prostate cancer, you are five times as likely to get prostate cancer,” Dr. Haluschak says.

The most common type of cancer in men. Nearly 12 percent of men will be diagnosed with prostate cancer in their lifetime.

WHO IS AT RISK? Risk increases with a person’s age. Most prostate cancers are found in men over the age of 65. Having one or more close relatives with prostate cancer also increases a man’s risk. African-American men are more likely to develop prostate cancer than men of other races.

EARLY DETECTION The prostate-specific antigen (PSA) blood test is a screening test for prostate cancer. Experts do not agree on who should have the PSA test, since it sometimes leads to unnecessary treatment. Starting at age 50, talk to your doctor about the pros and cons of PSA testing so you can decide if it is the right choice for you. If you are African-American or have a father or brother who had prostate cancer before age 65, talk to your doctor by age 45.

The second most common type of cancer in men and the leading cause of cancer death in men. About seven percent of men (smokers and non-smokers) will be diagnosed with lung cancer in their lifetime.

WHO IS AT RISK? About eight out of 10 lung cancer deaths are thought to result from smoking. People who don’t smoke also can develop lung cancer. If you are a smoker, ask a healthcare provider to help you quit. If you don’t smoke, don’t start. Also avoid second-hand smoke.

EARLY DETECTION If you are at high risk for lung cancer, talk to your healthcare provider about whether getting yearly low-dose CT scans is right for you. This test may detect lung cancer early, when it is easier to treat.

LUNG2



Source: cancer.org

The most serious form of skin cancer. About two percent of men will be diagnosed with melanoma in their lifetime.

WHO IS AT RISK? The primary risk factor for melanoma is exposure to ultraviolet light, including sunlight and tanning beds. Other risk factors include: • A family history of melanoma • Fair skin, freckling, and light hair (which increase the risk of sunburns) • A tendency to develop moles on the skin, especially irregular or large moles

EARLY DETECTION Be aware of all moles and spots on your skin, and report any changes to a healthcare provider right away.

If you are at increased risk for melanoma, consider having a skin cancer check annually, whether from your primary care doctor or a dermatologist.

COLON MELANOMA3 4

“It is important to be proactive with your primary

care doctor to make sure you are doing all you can to reduce your

risk and get the screenings you need.”

—John Haluschak, MD

Learn more about the comprehensive cancer services Kettering Health

Network offers at ketteringhealth.org/cancercare

The third most common type of cancer in men. Approximately four percent of men will be diagnosed with colorectal cancer at some point during their lifetime.

WHO IS AT RISK? Your risk for colon cancer may be higher if you have: • Inflammatory bowel disease • A personal or family history of colorectal cancer or colorectal polyps • A genetic syndrome, such as familial adenomatous polyposis

EARLY DETECTION Colon cancer almost always starts with a polyp—a small growth on the lining of the colon or rectum. It is important to find and remove these polyps before they become cancerous, and screening tests can help. Ask your doctor about being screened beginning at age 50, unless you are considered to be at higher risk. Tests include colonoscopy, blood tests, or stool tests.


Know the bliss of waking up from a great night’s sleep? Quality sleep plays a vital role in health and well-being, whereas poor sleep can cause problems for your health. Damage from sleep deficiency can increase your risk for chronic health conditions, including heart failure.

A connection between sleep and your heart “Sleep disturbances can result in increased risk for heart disease,” says Deepthi Mosali, MD, cardiologist at Kettering Health Network. “When people come in with symptoms of heart failure, one of the first questions I ask them is about their sleep.”

Sleep apnea is a common sleep disorder that affects 1 in 5 adults. In some cases, sleep apnea contributes to heart disease; for others, the reverse is true.

There are two types of sleep apnea. When the brain isn’t sending the signals for proper breathing during sleep, the condition is called central sleep apnea (CSA), which can result from progressive heart failure. Obstructive sleep apnea (OSA) occurs when the upper airway becomes blocked repeatedly, preventing proper airflow. OSA can contribute to a higher risk for heart disease.

When to call a doctor Dr. Mosali suggests consulting a physician if:

• You have restless nights and extreme sleepiness• You wake up feeling extremely tired or with

a headache• Your blood pressure is not well-controlled• You experience an irregular heartbeat • You wake up choking or gasping for air

These symptoms could indicate some type of disturbed breathing associated with a sleep disorder, particularly in people who are overweight with uncontrolled blood pressure.

Heart CARE

HEARTFELT ADVICE

How a good night’s sleep can help your heart


GET YOUR HEART CHECKEDTo better understand your heart health, get a quick, 30-minute heart screening. Schedule one today: 1-888-822-4114.

Take a sleep quizTake a quiz to see if you may have a sleep disorder, and learn more about our sleep centers at ketteringhealth.org/sleep

TAKE ACTION STEPS TO TAKE

Cut back on fluids and sodium. People with heart failure are prone to retaining fluid. If you consume a lot of liquids or eat foods high in salt, fluid retention may get worse.

• Ask your doctor how much fluid is safe to consume.• Read food labels and choose foods with the lowest

amounts of sodium.• Use less salt to season foods. Instead, enhance flavor

through herbs and other salt-free seasonings.

Weigh yourself regularly. Weight gain can be a sign you’re retaining fluid, which can make heart failure worse.

• Bring weight gain to your doctor’s attention. If you gain two pounds in a day, or five or more pounds in a week, call your physician.

• Step on the scale every day, preferably before breakfast and after urinating.

Manage your medications. Several types of medicines help keep heart failure in check. Ask your doctor to explain how your medicines work, and be sure to take them exactly as directed.

• Use a checklist, pillbox, or other device to track your medication use.

• Consult with your doctor before taking a new medicine or supplement.

• Tell your doctor if you have problems with your medications, including difficulty paying for them.

Don’t ignore emotional distress. Heart failure can cause anxiety and depression, which can make it harder to stick with your treatment plan—affecting your quality of life.

• Report any feelings of anxiety or depression to your doctor right away.

• Tell family and friends how you’re feeling and what they can do to help.

• Consider joining a support group.

Work closely with your doctor. Her or his guidance is essential in helping you manage heart failure.

• Follow your doctor’s advice. • Know how often to seek regular medical care and

when you might need emergency care. • Keep all scheduled appointments, including those for

tests and lab work.

Know when to seek emergency care. Go to the emergency room or call 911.

• Watch for these emergency warning signs: > Struggling to breathe > Unrelieved shortness of breath while sitting still > Chest pain > Confusion or inability to think clearly

Sources: American Heart Association; National Heart, Lung, and Blood Institute

* #

MAKE A PLAN If you’re living with heart failure, the Cardiac Rehab program may be right for you. Learn more at ketteringhealth.org/heart


Living with heart failure6 steps you can takeThere are more than five million Americans living with heart failure—and the key word here is living.

While there’s no cure for this condition, there’s plenty you can do to relieve symptoms and lead a comfortable, productive life.

Kettering Health Network3535 Southern Blvd.Kettering, OH 45429

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Sunday, April 222-4 p.m.

Kettering Medical Center

BabyBabyFair

ketteringhealth.org/babyfairRegister for a chance to win!

18OB0071-0617 KMC Baby Fair HC AD.indd 1 3/13/18 12:54 PM

Bring your family, friends, and co-workers! • Family fun

• Kettering Cancer Center tours

• Cancer screenings

• Health fair

• Food trucks

• Face painting

Sign up for the Walk for Women’s

Wellness and join the fight against breast

cancer! The Walk for Women’s Wellness

benefits the Kettering Medical Center

Foundation’s Women’s Wellness Fund,

which helps underserved women in the

Dayton area receive lifesaving breast

cancer screenings and services.

Walk starts at 2 p.m.

Kettering Cancer Center

Sunday, May 6Noon-4 p.m.Wellness Day

FAMILY

Register now at ketteringhealth.org/wellnessdaylet’sgo

Featuring:Walk for Women’s Wellness

• Bouncy houses

• Prizes

• Cooking demos

Documents

BRAYDEN’S TIMELY TRIP - Kettering Health Network Sp18.pdf · KETTERING HEALTH CONNECTION FOR BETTER LIVING is published quarterly by Kettering Health Network, 3535 Southern Blvd.,