Get Healthy: October, November, Decemeber 2009

8/14/2019 Get Healthy: October, November, Decemeber 2009

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Featured in this issue ...

Walk this way

Giving back toself and othersSee page 9.

a publication o Norton Healthcare

GETHealthy

nProgress in treating prostate cancer

nInammatory breast cancer:

What you need to know

nGiving preemies a fghting chance

nPain-relieving oods

nTake control o diabetes

See pullout calendar

for screenings and

special events

October/November/December 2009


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5

womens care womens care

G e t H e a l t h y

Anne Cooksey o Louisville

Though only accounting or up to 5 percent o allbreast cancer diagnoses, inammatory breast cancer(IBC) is a threat all women should be aware o but ew

women know o. Because its symptoms can be much

like other conditions or overlooked as nothing serious,

women need to know the warning signs.

Warning signs

Redness

Swelling

Warmth or burning sensation

Pink, reddish purple or bruised-looking skin

Ridges or pitting of the skin

Aching, tenderness

Heaviness or increase in size of a breast

Inammatory breast cancer occurs when cancer cells

block lymph vessels in the breast, said Janell Seeger,

M.D., oncology. The breast oten looks swollen and red,

or inamed.

Because there usually is no noticeable lump or fnding

on a mammogram, IBC can go undetected until it reaches

an advanced, difcult-to-treat stage.

Symptoms usually develop quickly over a period

o weeks or months. Swollen lymph nodes also may

be present under the arm and/or above the collarbone.

However, it is important to note that these symptoms may

also be signs o other conditions.

IBC tends to grow rapidly and advance quickly,

Dr. Seeger said. It is important to notiy your physician

immediately i you notice any changes in your breasts.

Jennifer Reynolds

Want to know more?A new era in breast health has emerged with the ability

to assess risk, recommend diagnostic tests, monitor and

provide chemoprevention or other options or women

at high risk or breast cancer. The Pink Ribbon Clinic

oers a unique venue or women seeking counseling and

direction or breast cancer prevention, helping transorm

awareness into action that can reduce the risk o

developing cancer. Concerned women who have a amily

history o breast cancer can call the Pink Ribbon Clinic at

(502) 394-6350 or more inormation or to schedule an

appointment.

nfammatorybreast cancer

After breast cancerExercise helps heal body, mind and spirit

A caretaker by nature, Anne Cooksey learned to

take care of herself by providing end-of-life care for

her mother-in-law.

Although a mammogram was on my things to do,

I kept putting it off, Cooksey said.

After her mother-in-law passed away two years

ago, Cooksey scheduled a mammogram. Her results

showed two suspicious spots resulting in a breast

ultrasound and then an open biopsy to remove

a larger tissue sample, which conrmed a very

aggressive form of cancer. Fortunately, the cancer

was diagnosed at stage 0 the earliest possible

stage which meant it had not spread within the

breast or to other parts of her body.

I had a lumpectomy, followed by a full six-week

course of daily radiation therapy, Cooksey said.

I was sore and slow afterward.

Her doctor told her about the Exercise After Breast

Cancer class at Norton Audubon Hospital. The class

uses low-impact exercises, strength training, yoga,

guided relaxation and music therapy to promote

physical and emotional well-being during treatment

and beyond. Classes are taught by oncology-

certied nurses who are nationally certied cancer

exercise specialists and understand what breast

cancer patients are going through.

These classes have helped me improve my range

of motion, exibility, strength and stamina, Cooksey

said. Ive rebuilt my condence and made some

good friends too.

The Exercise After Breast Cancer class is free but

requires physician approval. Its held Fridays from

11 a.m. to noon at Norton Audubon Hospital. For

more information, call (502) 636-8308.

Tammy Warren


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pediatric care

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pediatric care

G e t H e a l t h y

Kimberly Hicks has three beautiul children, but herthird baby came into the world with quite a story.Hicks experienced sickness throughout her frst two

pregnancies, so when she was ill and dehydrated during

her third pregnancy, she didnt think much o it. That

changed when her water broke at just 22 weeks. She

rushed to her local hospital earul that it was much too

early or her baby to be coming.

A baby has a slim chance o survival when born at

22 weeks, said Jonathan Cohen, M.D., neonatal specialist.

With each day that passes, the babys chance or survival

improves.

Although the chances o survival were in question,Hicks wanted to continue her pregnancy and give her

baby every chance possible or a normal delivery. Her

doctor immediately transerred her to Norton Hospital,

where she had access to a high-risk obstetrical team and

her baby would be just steps away rom the specialists

in the Level III neonatal intensive care unit (NICU) at

Diamond in the roughKosair Childrens Hospital. Hicks was put on bed rest,

and doctors perormed ultrasounds and took blood work

every three days to monitor the babys development.

Six weeks later, Hicks gave birth to a baby girl, exactly

three months early.

They told me it would be a roller coaster, Hicks said,

and they were right.

Diamond weighed 2 pounds and was breathing on

her own, but because she was premature, she needed

the specialized care oered at Kosair Childrens Hospital.

Diamond spent 21 days o her three-month stay in the

NICU on a breathing machine.

The nurses told me there would be good days and bad

days, but that when the good days started to outnumber

the bad days, thats when things would get better and

easier, Hicks said.

They were right. Today Diamond is a precocious

19-month-old who loves being the center o attention.

The sta at Kosair Childrens Hospital are Gods git to

these children, Hicks said. Because o them, I have my

beautiul baby.

Keri Shain

Help babies like

Diamond by attending

the Festival of Trees

& LightsProceeds rom the Festival o Trees

& Lights, Nov. 20 to 22, will beneft the

NICU, providing unding or renovations

and expansions that promote amily-

centered care or more than 1,000 babies

like Diamond who require specialized care

each year.

Visit this annual amily-riendly holiday

tradition at Louisville Slugger Field to

buy a decorated Christmas tree, wreath or

other hand-crated holiday item designed by

volunteers. The estival also eatures childrens

activities, photos with Santa, a git shop and sweet

shop, and live entertainment. Admission is $5 oradults and $3 or children. For more inormation

about this event, sponsored by Republic Bank, visit

HelpKosairChildrensHospital.com.

A faithful volunteer retiresFor the past 15 years, Sister Ann Molony has been

rocking babies as a volunteer in the neonatal intensive

care unit (NICU) at Kosair Childrens Hospital. She retired

this year, ater devoting her lie to children.

A native o Covington, Ky., Molony taught school or

25 years, including nine years teaching frst grade at an

all-boys school in Boston. She had 75 boys in one class.

She also worked in an orphanage in Memphis.

Molony is a Sister o Charity o Nazareth and a recently

commissioned Kentucky Colonel. Four days a week she

nurtured many o Norton Healthcares tiniest patients.

They need to bond to someone, she said. Some o

their parents live out o town and cant visit oten; the

babies need love.

There is no way to calculate how many childrens lives

Sister Ann has touched during her years o service, but

she insists she is the one who has benefted the most:Ive had a lot o rewards, she said. I have a lot o

memories.

To make a donation in Sister Ann Molonys honor to

support the critical services provided by the Kosair Childrens

Hospital NICU, call the Childrens Hospital Foundation at

(502) 629-8060 or visit HelpKosairChildrensHospital.com.

Diamond Hicks o Henderson, Ky.

Sister Ann Molony


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Need motivation to exercise? Fallis the season or undraisingwalks, and theres no better way to

begin or enhance an exercise regimen

than walking, especially when its or

a good cause.

Ater winning the battle against

breast cancer seven years ago, Wanda

Jackson wanted to raise awareness

and support others fghting breast

cancer by walking in the Susan G.Koman Race or the Cure.

Wanda also enlisted her husband,

William. Now the duo walks or

about eight causes each year. They

ound their shared interest has

additional benefts beyond improved

health and supporting good causes.

When partners support one

another in things theyre passionate

about, it strengthens the relationship,

Walking for a causeWanda said. Sometimes well meet

people and separate or part o the

walk, but we always come back

together at the end.

Walking or a cause is a great

distraction rom the work o

exercising. When you take the

ocus o o having to get through

a workout, it changes the thought

process, said Curtis Moudry,

American Council on Exercise-certifed personal trainer. No longer

are you just walking to exercise,

youre actually going to make a

dierence in someones lie. The

time you spend and the money you

raise will bring more awareness to

something that obviously means a lot

to you and/or your loved ones.

O course, i you have not been

exercising regularly and are interested

Wanda and William Jackson o Louisville

in taking part in an upcoming walk,

its best to consult a physician beore

you sign up to participate.

To know i youre prepared to

make it to the fnish line, go out

and time yoursel or a one-mile

walk, Moudry said. I it takes you

longer than 20 minutes, you should

start training a couple o months in

advance, walking at least three days

per week.

Lace up or upcoming

beneft walks/runsSee the special section in the

enclosed pullout calendar or a list o

all walks and runs to beneft a variety

o causes.

Jennifer Reynolds

rthopaedic care general health care

G e t H e a l t h y

you live with arthritis, theres something simple you can

every day to help reduce pain eat!

cientists now know certain oods reduce inammation,

ch is the root cause o arthritis pain. According to the

hritis Foundation, the same pathway in the body that

als the start o inammation can be switched o by

stances ound in certain oods, namely omega-3 atty acids.

Omega-3 atty acids convert into compounds that help

g the inammation response to an end, said Rita Dillman,

gistered dietitian. Omega-3s are ound in some fsh,

uding salmon, albacore tuna, sardines and mackerel.

esearch is still uncovering exactly how much omega-3uld be included in the diet, but studies indicate consuming

ams per day or at least three months is necessary to obtain

lts, according to Dillman.

Fish oil supplements also can be taken, Dillman said,

t one should consult with a physician beore starting them.

tudies also show that olive oil is benefcial in preventing

production o enzymes that cause inammation

OX-1 and COX-2 enzymes). These are the enzymes that

steroidal anti-inammatory (NSAID) medications and

OX-2 inhibitors block, thus providing pain relie. The

nger the avor o olive oil, especially those rom the

cany region, the more eective they are in helping reduce

n, according to the Arthritis Foundation.

he Arthritis Foundation states the anti-inammatory

perties in about 3 tablespoons o olive oil are equal to a

mg tablet o ibuproen. However, this amount o oil has

ut 400 calories, so i you make it a regular part o your diet

ll want to replace other ats, like butter, with the oil instead

dding those extra calories.

Jennifer Reynolds

nt to know more?king or simple, healthy recipes the whole amily will enjoy

le learning tips or getting and staying healthy? Receive a

copy o Norton Healthcares new Get Healthy Recipes

kbook by calling (502) 629-1234.

Eat to beatarthritis pain

Arthritis Expo!Presented by Norton Orthopaedic Care

Saturday, Oct. 10 9 a.m. to 2 p.m.

Crowne Plaza Hotel 830 Phillips Lane

Learn about the latest treatments and

resources or preventing and managing

arthritis:

Educationalsessions

Alternativetherapies

Exercisedemonstrations

Healthevaluations

Ask-the-Expertarea

Rheumatologists,orthopaedicsurgeons,

physical therapists

For more inormation, visit

www.arthritisexpo.com or call

(502) 585-1866.

N o r t o n H e a l t h ca r e . c o m 5 0 2 - 6 2 9 - 1 2 3 4 9


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diabetes care neurological care

G e t H e a l t h y

More on the physicians

in this issue of

Get Healthy

Jonathan Cohen, M.D.neonatal-perinatal medicine

Neonatal Intensive Care Experts PLLC

Norton Medical Plaza III Suburban

Suite 301

4121 Dutchmans Lane

Louisville, KY 40207

(502) 896-2500

Shervin Dashti, M.D., Ph.D.

neurosurgery

Norton Neuroscience Institute

210 E. Gray St., Suite 1105


(502) 583-1697

Glenn E. Lambert Jr., M.D.

vascular surgery

Norton Vascular Associates

Norton Medical Plaza II S uburban

Suite 103


(502) 897-0635

Kelley M. McIntyre, M.D.

internal medicine

Norton Community Medical Associates

Audubon East LL2

3 Audubon Plaza Drive


(502) 636-8095

Christopher Schrepferman, M.D.

urology

Allied Urology PSC

912 Dupont Road


(502) 897-5147

Janell Seeger, M.D.

medical oncology

Norton Cancer Institute Louisville

Oncology

Norton Medical Plaza Brownsboro

Suite 300

4950 Norton Healthcare Blvd.


(502) 394-6350

Trevor Soergel, M.D.

urology

Metropolitan Urology

101 Hospital Blvd.

Jeersonville, IN 47130

(812) 282-3899

Physicians quoted in Get Healthy

are on the medical staff of one or

more Norton Healthcare hospitals.

11N o r t o n H e a l t h c ar e . c o m 5 0 2 - 6 2 9 - 1 2 3 4

Through a combination o a low-carbohydrate diet

and exercising at least a ew times a week, people with

diabetes dont have to depend on medications as much

or, sometimes, at all.

Being overweight increases insulin levels in the blood,

causing insulin resistance. The body then cannot properly

metabolize sugar, which causes at storage, according to

Kelley McIntyre, M.D., internal medicine.

Were learning at cells secrete chemicals and toxins

that make it harder to lose weight, Dr. McIntyre said.

Thats why its so important to watch carbohydrate intake

carbs uel at storage.

Wright stays away rom high-carb

oods and sugary beverages. He eats

more grilled meats and less ried

meats.

Choosing a healthier diet makes

you eel better, Dr. McIntyre said.

Eating quality ood makes all the

dierence. Plus, it makes you eel good

to know youre taking better care o

yoursel thats something our society

doesnt do well.

Though it may sound difcult to

cut out oods you love and maintain

an exercise routine, the results are

motivation to keep going.

I have much more energy and its

easier to move, Wright said. Now I

can do things I havent been able to do

in years and do them easily!Jennifer Reynolds

James Wright Jr. doesnt have time to let diabetes slowhim down. The 42-year-old maintains an active lie asa teacher and an actor, all the while managing to greatly

improve his health ater being diagnosed with the disease

in February.

He learned that through diet and exercise he could

control his Type 2 diabetes, as well as improve other

health conditions.

Ive lost about 45 pounds since being diagnosed,

Wright said, and my blood sugar is in control, liver

unction is normal and my blood pressure is down.

An estimated six million Americans, orone in every 50 people, live with a brainaneurysm, according to the Brain Aneurysm

Foundation. The majority o aneurysms will

never rupture, and many people will live their

lives unaware o the potentially deadly risk.

In the simplest terms, a brain aneurysm

is ormed when bulging occurs on a weak

artery in the brain, said Shervin Dashti, M.D.,

neurosurgery. Oten the aneurysm causes no

symptoms and goes unnoticed, but in some

cases it can rupture, which can result in stroke

and even death.

Symptoms o ruptured aneurysm include

sudden or severe headache, neck pain,

nausea and vomiting, sensitivity to light,

ainting or loss o consciousness and seizures.

Approximately 40 percent o people who

experience a ruptured aneurysm will die as

a result, according to the Brain Aneurysm

Foundation.

Its imperative anyone experiencing

these symptoms seek medical attention

immediately, Dr. Dashti said. The quicker we

are able to assess and treat the aneurysm, the

greater the likelihood the patient will survive.

doesnt have to slow you down

A new procedure, known as endovascular

coiling, is giving many patients a new

minimally invasive treatment option. During

traditional aneurysm surgery, commonly

reerred to as clipping, the surgeon places

a small metal clip around the base o the

aneurysm to restrict blood ow. The reduced

blood ow makes it less likely to rupture.

Unlike clipping, coiling uses a small

catheter inserted into the patients groin and

maneuvered to the aneurysm where tiny metal

coils are used to relieve pressure, Dr. Dashti

said. Several studies have indicated the less

invasive coiling surgery is saer or some

patients than clipping, resulting in shorter

hospitals stays and recovery time and ewer

complications.Steven Jenkins

Want to know more?To fnd out more about minimally invasive

endovascular surgery to treat brain aneurysms,

visit NortonNeuroscienceInstitute.com.

New treatment may help many suffering from

a brain aneurysm

James Wright Jr. o Louisville

Norton Neuroscience Institute expands expertiseNorton Healthcares $100 million commitment to develop Norton Neuroscience Institute is

attracting physicians nationwide. Norton Neuroscience Institute recently welcomed a number

o new physicians, including our surgeons to Neurosurgical Institute o Kentucky. Shervin

Dashti, M.D., and Tom Yao, M.D., both have advanced training in endovascular neurosurgery;

and Charles Stevenson, M.D., joins the group as Louisvilles second pediatric neurosurgeon.

Kimathi Doss, M.D., brings additional neurosurgery expertise to the program with a ocus on

treatment o spinal cord disease and injuries. The addition o these neurosurgeons ensures

Norton Neuroscience Institute is able to provide adults and children in the Louisville area

with advanced treatment o a wide spectrum o neurological disorders at several locations in

Greater Louisville.

Want to know more?Need motivation and guidance to get you moving? Join Norton Healthcares Diabetes Exercise Program! The group

meets two days a week at Norton Audubon Hospital under the supervision o an experienced diabetes educator and

physical therapist. The program provides a personalized assessment and six-month exercise plan. Membership is just

$20 a month. To join or or more inormation, call (502) 636-7261. Diabetes educators also are available to provide

instruction about sel-management o the disease. They are available or ongoing support o patients, amilies and

caregivers. Call (502) 629-2604 to schedule an appointment with an educator.


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Lowering

blood pressure.

Raising a family.

Here, we specialize in both.

Lavonne White, R.N., MSN

Community Outreach Coordinator

Lavonne White, R.N., has managed blood pressure screenings and health fairs

all over this community. As a working mother, shes also managed to raise two

great kids. And shes just one of the more than 10,600 employees and physicians

of Norton Healthcare living lives just like you. Every day, at over 85 locations, we

are real people dedicated to providing remarkable care.

Real people. Remarkable care.

Norton Healthcare Inc.

P.O. Box 35070

Louisville, KY 40232-5070

NONPROFIT ORG

U.S. POSTAGE

PAID

LEBANON JCT., KY

PERMIT NO. 677

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Get Healthy: October, November, Decemeber 2009