MethHsp HEALTHWISE winter2013 ALLPGS...Title: MethHsp_HEALTHWISE_winter2013_ALLPGS.indd Created Date: 1/24/2013 9:32:26 AM

L E A D I N G T H E W A Y T O B E T T E R H E A L T H .

WINTER 2013 ISSUE

In this issue:• Education is key to preventing, living with heart failure• Advanced technologies are improving joint replacement outcomes• Methodist launches Comprehensive Movement Disorders program …and much, much more.

HEALTHWISEHEALTHWISET H E M A G A Z I N E O F M E T H O D I S T H O S P I T A L S

Photo by Steve Brandt, photographer

PORTER COUNTY - 1

Partnersin Wellness

Methodist teams with Valparaiso Family YMCA to promote better health in Porter County.

Partnersin Wellness

Methodist teams with Valparaiso Family YMCA to promote better health in Porter County.

METHODIST HOSPITALS

TO FIND A PHYSICIAN, CALL 1-888-909-DOCS (3627) OR VISIT METHODISTHOSPITALS.ORG

2

WELCOME FROM THE CEO

Join the fun at the Methodist Foundation’s

Mardi Gras 2013The 2012 reigning royalty, King Peter Melcher and Queen Fran Taylor will host the Mardi Gras Ball on Saturday, February 9, 2013 at the Radisson Star Plaza. During the evening they will crown the 2013 King and Queen, who will serve the foundation as goodwill ambassadors for the next year.

This year’s ball also closes the First 100 Initiative, an employee-driven campaign honoring the 20 physicians who donated $100 each to fund operations and purchase equipment in 1911 for what would later become Methodist Hospitals. The goal of the initiative was to encourage 100 donations in each of 10 giving categories. Meeting this goal would result in 1,000 donors and the fi rst $1 million for the Foundation, which was launched in 2011.

The Foundation is an important part of the hospitals plan for expanding and strengthening its partnership with the community. Giving to the Foundation is an ideal way for community members to take part in furthering the hospitals’ mission. The Foundation invites you to become a contributor to the First 100 Initiative, to join one of our Mardi Gras Krewes, and help us continue to serve you.

For more information, call 219-886-4468, or visit MethodistHospitals.org and click the Foundation tab

Methodist Hospitals and

Methodist Hospitals and the Valparaiso Family YMCA have forged a partnership to deliver wellness and other medical services to residents of the Porter County area. � e partnership furthers Methodist Hospitals’ goal to establish a presence in Valparaiso and Porter County while ful� lling the YMCA’s strategic plan to provide expanded health and wellness services.

“Our missions are very closely aligned and centered on a strong commitment to building healthy families and communities,” said Ian McFadden, President and CEO of Methodist Hospitals.

Methodist was chosen after an extensive selection process conducted by the Valparaiso Family YMCA to � nd a health care provider that would embrace its mission while also realizing the possibilities this kind of partnership would hold for the community.

“Our missions are very closely aligned and centered on a strong commitment to building healthy

families and communities.”

Mark Hardwick, Valparaiso Family YMCA Chief Volunteer O� cer (left) with William G. Braman,

Chairman, Methodist Hospitals Board of Directors.

Partners in Wellness

2012 Mardi Gras Queen Fran Taylor and King Peter Melcher

Guests enjoy entertainment like a Mardi Gras Stilt Walker

In this issue of HealthWise, we are proud to feature our new partnership with the Valparaiso Family YMCA. This is a unique association that joins two established institutions that are committed to making Northwest Indiana a better place to live. Our shared goal for this partnership is to develop new ways to better meet the health and wellness needs of those we serve.

We are also providing an overview of upcoming Methodist Hospitals Foundation events, as well as stories on the growth of the Methodist Physician Group and new additions to our general medical staff.

Don’t miss our features about the excellence of our breast cancer program, our new Total Joint Replacement and Parkinson’s Disease and Movement Disorders programs, as well as the story of a Methodist Hospitals patient who benefi tted from our da Vinci Robotic Surgery System.

Finally, February is Heart month. So, we are featuring important information to help you prevent and manage heart failure. And over the next three months, Methodist Hospitals will also host a series of community seminars focusing on heart health.

As always, we welcome your feedback. Call our Marketing and Corporate Communications department at 219.886.5972 or email us at [email protected].

Sincerely,

Ian E. McFadden, FACHEPresident/CEO

Leading the Way to Better Health. 3


Valparaiso Family YMCA:

“Methodist really came out on top,” said Valparaiso Family YMCA CEO, Bob Wanek. “It has a lot to do with their mission, their leadership, and attitudes about quality service. � ere is a lot of enthusiasm and a strong commitment to cutting edge medicine.”

“Our ultimate goal is to change the way health care is delivered in Northwest Indiana,” McFadden said. “� is partnership is a signi� cant step towards achieving that goal.”

In the program’s initial phase, Methodist will administer health screenings, risk assessments, support groups, classes and physician seminars, plus programs to help prevent and manage chronic conditions such as obesity and diabetes.

Onsite services will include cardiac rehabilitation, physical therapy and employee assistance programs. Methodist is particularly excited to be locating a primary care and sports certi� ed physician, Dr. Hiren Italia, at the Valparaiso Family YMCA to see and treat those who need care.

� e menu of services will expand over time. Plans include specialty care, complementary medicine and an eventual addition to the YMCA building to house physician o� ces.

With more than 50 corporate members, the Valparaiso Family YMCA sees the potential for providing o� -site screenings, educational programs and preventive care to local businesses.

� e Valparaiso YMCA, whose membership numbers 15,000, was speci� cally designed for this kind of partnership.

“People are a lot more educated about their health needs these days. We wanted to accommodate those folks, and knew at some point we would need to attract a very signi� cant healthcare partner to come in and provide these services,” said Wanek.

With two hospital campuses, several physician o� ces and outpatient centers, and more than 2,100 employees, Methodist o� ers a great depth of resources from which the YMCA can bene� t.

� e YMCA building was also designed to accommodate people with special needs, including a warm water pool and elevator. Exercise machines were chosen based on recommendations from Physical � erapists and the building has space for Occupational � erapy.

“We are proud to have been chosen to support this exceptional facility in delivering its mission to the community,” McFadden said. “It’s been a great � t from the start.”

“Our ultimate goal is to change the way health care

is delivered in Northwest Indiana. This partnership is

a signifi cant step towards achieving

that goal”

Methodist Hospitals President and CEO, Ian McFadden (left) and Valparaiso Family

YMCA CEO, Bob Wanek celebrate the new partnership.Partners in Wellness


4 METHODIST HOSPITALS

By James M. Kirchner Vice President, Physician Integration

When it comes to the manner in which healthcare is delivered, the future is now. Methodist Physician Group is prepared for the new healthcare landscape. We have created an integrated framework based on cooperation and coordination to improve the quality, safety and e�ciency of patient care in Northwest Indiana.

Methodist Physician Group has spent the last year building the medical practice infrastructure required to support a 21st Century multi-specialty physician group. �ose building blocks include recruiting quali�ed, experienced sta� and establishing practice operational procedures.

Methodist Physician Group has also successfully expanded its roster of accomplished physicians and surgeons. Its strategic plan calls for Methodist Physician Group to develop a broad referral network of primary care physicians, as well as to continue to recruit physicians and surgeons specializing in cardiology, oncology, neuroscience and orthopedics.

Expanding the group’s geographic reach throughout �e Region is another primary objective. As a result, Methodist Physician Group has expanded into more Northwest Indiana communities, such as Hebron and St. John, within the past year. In 2013, the group will develop more new locations, including family and sports medicine care at the Valparaiso Family YMCA.

All of these actions are part of the larger mission to create a framework in which Methodist Hospitals and Methodist Physician Group can deliver more e�ective, a�ordable and coordinated care beyond the walls of the hospital campus locations.

Methodist Physician Group is on a mission

Methodist welcomes new medical sta� physicians in 2012…Zainab Abbas, MDHospitalist600 Grant StreetGary, IN 46402219-886-4405

Rajive Adlaka, MDPain Management7280 W. Lincoln HighwayCrown Point, IN 46307 219-864-9494

Mohammad Al-Kharrat, MDInternal Medicine17648 Morse StreetLowell, IN 46356 219-696-6258

Clive Alonzo, MDHospitalist600 Grant StreetGary, IN 46402 219-886-4405

Danielle Borg, PAPhysician Assistant333 W. 89th Ave, Suite W5Merrillville, IN 46410 21-755-4448

Kobie Douglas, MDPsychiatry1100 West 6th AvenueGary, IN 46402 219-885-4264

Carol Harris, MDPain Management11456 BroadwayCrown Point, IN 46307 219-488-0154

Hiren Italia, MDMethodist Physician Group Family / Sports Medicine200 East 89th Ave, Suite 3CMerrillville, IN 46410 219-756-7566

Saveen Kondamuri, MDPain Management8840 Calumet Avenue, Suite 103Munster, IN 46321 219-836-7246

Justin Martinez, PA-CEmergency Medicine600 Grant Street Gary, IN 46402 219-886-4710

Nkechi Onyeukwu, FNPFamily Nurse Practitioner2914 Highway AvenueHighland, IN 46322 219-838-0066

Ammar Shaheen, MDPulmonology8909 BroadwayMerrillville, IN 46410219-769-0054

Mark Silver, DOHospitalist600 Grant StreetGary, IN 46402219-886-4405

Zaruhi Vardanyan, MDHospitalist600 Grant StreetGary, IN 46402219-886-4405

Jessica Bruskoski, PAPhysician Assistant / Hospitalist600 Grant StreetGary, IN 46402 219-886-4405

Tara Fox, DPMPodiatry9105-A Indianapolis Blvd, Suite 102Highland, IN 46322 219-923-9090

Sherri Hernandez, NPNurse Practitioner8560 BroadwayMerrillville, IN 46410 219-793-9248

Hend Abdul-Jauwad, MDInfectious Disease761 45th Street, Suite 103Munster, IN 46321 219-922-3002

Donald Kucharzyk, DOPediatric Orthopedics11360 Broadway Crown Point, IN 46307219-662-2279

Neville Mordi, MDAnesthesia19627 La Grange RoadMokena, IL 60448 708-326-1637

Shelley Sandiford, MDFamily Medicine1619 West 5th AvenueGary, IN 46404 219-886-4788

Anne Sharkey, DPMPodiatry2001 U.S. 41Schererville, IN 46375 219-365-0970

Alan Tan, MDOncology200 East 89th Ave, Suite 2AMerrillville, IN 46410 219-736-2915

Ronald Villareal, MDNephrology801 Macarthur Blvd., Suite 400AMunster, IN 46321 219-931-5227

Fritz-Jose Chandler, MDAnesthesia19627 La Grange RoadMokena, IL 60448 708-326-1637

Kimberly Goodrich, NPNurse Practitioner / Hospitalist600 Grant St Gary, IN 46402 219-886-4405

Arnold Herskovic, MDRadiation Oncology8701 BroadwayMerrillville, IN 46410219-738-5598

Sirajuddin Khaja, MDPulmonology921 Fran Lin Parkway Munster, IN 46321 219-836-0488

Sorin Lazar, MDCardiology200 East 86th PlaceMerrillville, IN 46410219-756-1400

Kevin Myrie, MDNephrology90 West 86th AvenueMerrillville, IN 46410 219-791-1555

Havishakrishna Sarma, DO Internal Medicine1400 BroadwayGary, IN 46407219-882-2305

Anastasia Siatras, DORadiology8701 BroadwayMerrillville, IN 46410219-738-5565

Mohammad Tinawi, MDNephrology801 Macarthur Blvd.Munster, IN 46321219-931-5227

Michael Ward, MDEmergency Medicine600 Grant StreetGary, IN 46402219-886-4710

Laura Doloszycki, RNNurse Practitioner5800 BroadwayMerrillville, IN 46410 219-884-9180

Vijay Gupta, MDPain Management8840 Calumet Avenue, Suite 103Munster, IN 46321 219-836-7246

Mary Hutchinson, NPNurse Practitioner5800 BroadwayMerrillville, IN 46410 219-884-9180

Suk Kim, MDInfectious Disease1101 Glendale Road, Suite 110 Valparaiso, IN 46383219-477-6828

Anemaria Lutas, MDMethodist Physician Group Internal Medicine10200 Wicker Avenue, Suite 1St. John, IN 46373 219-365-6728

Cameron Nourani, MDEmergency Medicine600 Grant StreetGary, IN 46402 219-886-4710

Tarek Shahbandar, MDPain Management8687 Connecticut Street, Suite DMerrillville, IN 46410219-750-9630

James Siatras, DOMethodist Physician Group Bariatric Surgery101 East 87th Avenue, Ste. 430Merrillville, IN 46410219-738-5617

Sophie Toya, MDPulmonology650 Grant Street, Suite 7Gary, IN 46402219-882-9900



When it comes to cancer, the outcomes count Methodist breast cancer care exceeds national and regional quality standardsAccording to the American College of Surgeons National Cancer Database

A recent analysis of Methodist Hospitals standards of care for breast cancer treatment revealed that the hospital is exceeding quality standards among institutions within the American Cancer Society Great Lakes Division.

Methodist Hospitals’ survival rate also surpassed the �ve-year national breast cancer survival rate for patients with Stage I breast cancer.

Until recently, those seeking care for cancer relied on word-of-mouth recommendations from friends or family, or other anecdotal in�uences to help them select the institution for that care. As a result, those decisions were essentially leaps of faith without the support of any real evidence or data.

Today, there are new ways to evaluate how institutions are delivering care. Patients are now able to compare clinical outcomes of area hospitals versus other entities, other cancer programs or within a geographic area such as the Great Lakes Division of the American Cancer Society.

To promote continuous practice improvement, Methodist regularly submits breast cancer care data to the American College of Surgeons National Cancer Database.

�is practice enables Methodist to compare its cancer performance with other entities. �e following graphs compare Methodist Hospitals clinical outcomes with hospitals in the American Cancer Society Great Lakes Division, which includes Indiana, Illinois, Michigan, Ohio and Wisconsin.

“Methodist Hospitals has developed the expertise that comes with experience and volumes typically associated with large academic medical centers,” said B. H. Barai, MD, Medical Director of the Oncology Institute at Methodist Hospitals. “Our quality outcomes are equally as impressive, with breast cancer survival rates superior to the national average.”

Early Stage (Potentially Curable) Breast Cancer Survival

“Survival is the ultimate desired clinical outcome of care and re�ects the quality of the treatment provided to individual patients,” Dr. Barai said. “We know that a key to improving clinical outcomes for women with breast cancer is early, accurate diagnosis. As a result Methodist Hospitals has embarked on several initiatives, such as being the �rst Northwest Indiana hospital to o�er three-dimensional mammography, which detects breast cancer sooner.”

�e Northwest Indiana Breast Care Center at Methodist Hospitals is a state-of-the-art, full-service facility. Methodist Hospitals’ comprehensive breast care includes screening, early detection, diagnostic imaging services, and treatment of breast cancer in a warm, welcoming environment close to home.

Methodist Hospitals’ cancer program has been accredited by the American College of Surgeons Commission on Cancer since 1974. In its most recent accreditation, the program was awarded seven of seven possible commendations. Methodist Hospitals was the �rst in Northwest Indiana to be designated a Breast Imaging Center of Excellence and to receive accreditation by the National Accreditation Program for Breast Centers (NAPBC).

Dr. B.H. Barai

Methodist

Great Lakes Division

Combination chemotherapy is considered or administered within four months of diagnosis for women under 70 with AJCC T1c NO MO, or Stage II or III hormone receptor negative breast cancer.

Methodist


Tamoxifen or third generation aromatase inhibitor is considered or administered within one year of diagnosis for women with AJCC T1c NO MO, or Stage II or III hormone receptor negative breast cancer.

Methodist


Methodist

Greater Lakes Division*

Radiation therapy is administered within one year of diagnosis for women under age 70 receiving breast conserving surgery for breast cancer.

Methodist Great Lakes Division

at diagnosis

after 1 yr

after 2 yr

after 3 yr

after 4 yr

after 5 yr

PERCENTAGE SURVIVING

92

100

100

100

100

100100

94

96

98

99

94Exceeds National Survival Statistics

Methodist Hospitals and National Cancer Database 5-Year Observed Survival for Stage I Breast Cancer Diagnosed 2003-2005

“Methodist Hospitals has developed the expertise that

comes with experience and

volumes typically associated with large academic

medical centers.”

Leading the Way to Better Health.METHODIST HOSPITALS


76


Methodist Hospitals is taking your health to heartHeart Failure a� ects nearly � ve million Americans. � e numbers are growing, with 400,000 to 700,000 new cases diagnosed each year. Heart failure is seen most often in the elderly but can a� ect people of all ages.

It is a condition that develops slowly when the heart is unable to pump enough blood to meet the body’s needs. Many who have heart failure don’t know it. Often, the � rst time people seek medical help is when symptoms interfere with their quality of life – symptoms that may have been mistaken for “normal” signs of aging.

Some common signs of heart failure are tiredness, shortness of breath, trouble breathing while lying � at, swelling, weight gain, and chest pain. Without early diagnosis and treatment, symptoms may worsen until normal activities are a� ected. A common reason for a trip to the emergency department is from a symptom of heart failure – trouble breathing.

Knowledge is power. Know and manage your personal risk factors to prevent heart failure in the � rst place.

Risk factors include:• High blood pressure• Prior heart attack• History of heart murmur

or damage to heart valves• Enlarged heart• Diabetes• Obesity

� ere are simple, painless tests we employ to check for heart failure. One test, an echocardiogram, or ECHO, gives information about heart function - the ejection fraction, or EF. Th e EF can show how well your heart is working as a pump.

After diagnosis, it’s important for patients to understand what heart failure is, and how to make lifestyle changes to live with it. Our main objectives in treating heart failure are to slow disease progression, decrease symptoms and avoid frequent hospital stays.

At the Heart Failure Program at Methodist Hospitals our comprehensive team of physicians, nurses, pharmacists, dietitians, case managers, social services, and home health work together to develop an individual treatment plan for each patient. We consider patients and their family members the most important part of each team!

We strive to educate patients and their families on a variety of heart failure topics to help them better self-manage after they are discharged back home.

Topics include medications and how to take them; diet changes to limit salt intake; daily weight checks; what to do if weight increases and/or heart failure symptoms worsen; and when to notify a doctor or nurse for help. Many heart failure patients have family members to help manage medicines, shop for food or prepare meals in their home. � at’s why it’s so important for them to be included in education.

At Methodist Hospitals, our goal is to increase heart failure awareness in and out of the hospital. Additionally, we are committed to preventing heart disease in general, which continues to be the number one killer of Americans, through education.

Living with heart failure can be challenging. However, the good news is patients who take an active role in their care may have the most success in managing their symptoms and maintaining their quality of life.

Connie Adams, RN CNS, is a Cardiovascular Clinical Nurse Specialist at the Methodist Hospitals Heart and Vascular Institute.

Th e Methodist Hospitals Electrophysiology Lab, which diagnoses and treats heart rhythm disorders, such as arrhythmias and atrial � brillation, has recently expanded its capabilities to provide an extensive level of care that is normally found only at major hospitals.

According to Electrophysiologist Dr. Sorin Lazar, who comes to Methodist from the University of Chicago, Methodists’ new non-contact mapping system for performing complex ablation enables us to locate, precisely map, and ablate arrhythmias from just one abnormal heartbeat.

Previously, several arrhythmias had to occur which sometimes required inducing then, in turn slightly increasing patient risk.

� is mapping system enhances Methodist’s ability to treat even the most severe cases including ventricular tachycardia and atrial � brillation.

“Now, complex ablations previously performed only at university hospitals can be taken care of right here,” said Dr. Lazar. “I believe we are the fi rst hospital in Northwest Indiana to have this system.”

Laser Lead Extraction SystemPacemaker leads must be replaced for a variety of reasons, such as recalls and upgrades. � ey may fracture and either cause unexpected shocks, or fail to deliver a shock when they are supposed to.

Until now, the pacemaker lead removal required open heart surgery or the patient was scheduled for the procedure at a university hospital. For that reason, some doctors chose to leave the old lead in and place the new one next to it.

“� e problem with this is that the leads go through a heart valve, and you’re better o� with fewer leads going through any valve,” said Dr. Lazar.

“Now we can place a catheter over the top of the lead and put a laser through its tip that cuts through the tissue so we can pull the lead right out,” said Jackie Hoekema, Cardiac Catheterization and Electrophysiology Lab Manager. “It’s a minimally invasive procedure instead of open heart surgery, which is a great improvement.”

“When I trained at the University of Chicago we performed more than 1,000 of these extractions with very good results,” Dr. Lazar added.

Th e Electrophysiology Lab performs a full spectrum of heart studies to detect abnormal rhythms. � ey insert implantable cardiac defi brillators (ICD) for the treatment of advanced heart failure, all kinds of pacemakers for slow heartbeats, and de� brillators for the prevention of sudden cardiac death.

“We are growing this program with new technologies and the addition of Dr. Lazar, who has a great deal of expertise and is committed to Methodist Hospitals,” Hoekema said. “We’re now a full spectrum lab, just like you’d � nd at a university hospital.”

Connie Adams, RN, CNS Dr. Sorin Lazar

Understanding Heart Failure: � e Silent Epidemic Methodist brings the most advanced cardiac care to Northwest Indiana

“Because knowledge is

power, the Heart Failure Clinic at Methodist

Hospitals focuses on patient and

family education.”

“This mapping system enhances

Methodist’s ability to treat even

the most severe cases including

ventricular tachycardia and

atrial fi brillation.”

Warfarin therapy entails much more than simply taking medication.

Warfarin, most commonly known by the name of Coumadin®, requires adherence to specifi c guidelines. To help patients learn about and adapt to these guidelines, the Pharmacy Department at Methodist Hospitals has created a comprehensive Warfarin Counseling program. Pharmacy Clinical manager, Cindy Conley, PharmD., launched the program in May of 2012.

Warfarin is an anticoagulant that helps reduce the formation of blood clots inside the vessels. Patients with a deep vein

thrombosis or a pulmonary embolism, an artifi cial heart valve, or who suffer from atrial fi brillation, are among those who may require this therapy.

While in the hospital, the patient’s warfarin therapy is monitored with regular blood tests. Counseling is donebefore the patient is discharged. An initial session is done with a shorter follow-up session the next day to ensure all of the patient’s questions and concerns are answered.

Through the program, patients learn vital diet do’s and don’ts, common drug interactions, herbal supplements to avoid, and much more.

The pharmacists stress the importance of keeping physician appointments for blood work (INR) and general follow-up. Tips on how to reduce the risk of bleeding and other helpful information are provided, such as the importance of wearing an identifi cation bracelet.

Compliance with warfarin therapy is essential for reducing the risk of forming blood clots. Methodist Hospitals’ inpatient counseling program has been carefully designed to increase patients’ chances of success.

Take Steps to Protect Your Heart & Vascular Health Vascular Screening PackageOnly $85

Schedule your Cardiovascular Screening Package today.Call 219-738-1075

The package includes: • PADNet: a non-invasive test to help identify

peripheral artery disease • Cholesterol, HDL and Blood Glucose Test

(non-fasting), LDL (fasting only) • Single-lead EKG to assess heart rhythm • Carotid Bruit Check to identify potential artery blockage • Vascular risk assessment: a review of your family

history, medical history and lifestyle risk factors.

Methodist Launches New Warfarin Counseling Program

Dr. Sorin Lazar with members of the Methodist Hospitals Electrophysiology Lab team, Lisa Reynolds, RN, (left), Manager Jackie Hoekema, RT, and Katherine Roberts, RN.

METHODIST HOSPITALS


8

In a choice between laparoscopic surgery and open surgery, the minimally invasive, laparoscopic approach o�ers patients bene�ts that include smaller incisions and faster recovery times. Methodist Hospitals now o�ers minimally invasive laparoscopic surgery using the latest, upgraded da Vinci SI robotic platform.

“Every patient is di�erent,” said Dr. Perkin Stang, Chief of Methodist Hospitals Obstetrics and Gynecology Division. “�e treatment path is tailored speci�cally for each patient, not vice versa. We don’t push technology onto the patient. In most cases, however, the da Vinci robotic platform can be used.”

�e advantages of the da Vinci approach to minimally invasive surgery are signi�cant:

Better Optics. According to Dr. Stang, “�e vision is superb.” What’s more, with the camera right there, you can see the tissue and blood vessels in sharp detail. Surgeons are able to work in smaller surgical �elds with the �nest precision and accuracy – like operating on a blade of grass. Because of better optics, dissection planes are clearer, and movements are more precise.

Less Blood Loss. Enhanced visual capabilities enable the surgeon to preemptively cauterize blood vessels to prevent further or new bleeding.

Greater Dexterity. �e instrumentation used in regular laparoscopy can only open and close and is limited in motion by its rigidity. �e da Vinci’s “endo wrist” provides an even greater range of �exibility than the human wrist.

More Control. �e surgeon has direct control of two to three robotic arms as well as a three-dimensional camera arm that provides a clear layout of the operative �eld.

Seated at the robotic console, the doctor bene�ts from reduced fatigue. For the patient, bene�ts include less pain and blood loss, and a quicker return to normal routines.

“Using the robotic platform, we’re able to do some things laparoscopically that would have been too di�cult to perform with a standard minimally invasive technique,” Dr. Stang said. “In some cases, using the da Vinci can spare patients from having open surgery.”

When Diana Jimenez was presented with the option of having her hysterectomy performed using the daVinci robotic system she was initially hesitant.

“Dr. Stang gave me some literature, then sat down with me and explained it all in full detail,” she said. He also assured Diana she would be up and feeling better, faster.

“I didn’t expect to be up and around so quickly. I was able to get up, sit up in bed, and walk the next day. Yes, I had pain, but it was manageable,” Diana said.

By the next week, Diana was able to go walking in the mall, and within two weeks, she was driving.

“I can’t thank Dr. Stang enough,” she added.

�e da Vinci Surgical System can be used across specialties. Expanded uses include general surgery, cardiovascular surgery, urological procedures including prostate, and many others.

To learn more about the da Vinci robotic surgery system at Methodist Hospitals,call 1-888-909-DOCS (3627).

Perkin Stang, MD, FACOG, FAAFP, is the Chief of the Methodist Hospitals Obstetrics and Gynecology Division.

Dr. Perkin Stang

daVinci Robotic Surgery Reduces Hysterectomy Pain and Recovery Time

“Using the robotic platform,

we’re able to do some things

laparoscopically that would have

been too difficult to perform with

a standard minimally

invasive technique.”

Methodist Hospitals patient, Diana Jimenez (left) with Dr. Perkin Stang.



� e Total Joint Replacement Program at Methodist Hospitals is focused on optimizing patient outcomes with the goal to eliminate pain and improve function. Improving your quality of life is our primary objective.

To accomplish that, we are emphasizing three simple yet speci� c points.

First, we provide open and transparent communication about the procedure with the patient and family members, who are often post-surgical caregivers. We fully explain the entire surgical experience, from pre-operative evaluation, to the actual surgical experience and post-operative experience. We achieve our best outcomes when patients and family are fully prepared for surgery.

Next, we perform surgery emphasizing reduced tissue trauma surgery (RTTS) and multi-modal pain management. � is approach eliminates the need for nerve blocks, epidurals or pain pumps.

Our technique involves localized injections in the hip or knee during surgery, which are very similar to what a dentist would do in the mouth. In addition, patients have the option to supplement the injection with oral and IV pain medications.

Our goal is to have all patients walk the day of the surgery. Regarding RTTS, it is important to remember that what happens beneath the skin, including how well the implants are placed, is far more important than the size of the scar. � e damage that results from the rough tissue manipulations required by a small incision a� ects both the recovery and results.

Finally, Methodist Hospitals has brought technologically advanced options to Northwest Indiana for both knee and hip replacement.

In addition to standard knee replacements, patients may choose between computer-guided surgical navigation, or patient-speci� c matched knee replacement.

In computer navigation, knee replacement is accomplished using the computer to assist the surgeon in conducting an accurate surgery. For patient-speci� c matched technology, images from a CT scan of the a� ected leg are used to develop the cutting guides that assist in making appropriate cuts for the � nal implantation of the new knee.

� ese cutting blocks are customized for each patient. � ey eliminate the need to insert an alignment rod in the femoral (thigh bone) canal, resulting in less invasive surgery. As a result, patients experience less blood loss and thigh pain.

We also o� er unique techniques not commonly seen in Northwest Indiana for hip replacement.

In addition to standard hip replacement using a posterior incision, we also perform a minimally invasive anterior approach. � e incision is made on the front of the thigh where muscles can be spread and not cut, resulting in less post-operative pain and a quicker recovery. � is approach renders greater overall stability, and there are no lifelong prohibitions against bending the leg more than 90 degrees or crossing your legs.

By combining optimal communication, comprehensive pain management, and state-of-the-art technologies, Methodist Hospitals has established a genuine center of excellence for joint replacement in Northwest Indiana.

Vineet P. Shah, DO, MPH, is a Methodist Physician Group board certifi ed orthopedic surgeon, who is fellowship-trained in total joint replacement.

Dr. Vineet P. Shah

Communication, Pain Management and Technology are Key in Methodist’s Total Joint Replacement Program

“This approach renders greater overall stability,

and there are no lifelong

prohibitions against bending

the leg more than 90 degrees

or crossing your legs.”

COMMUNITY INVITED. FREE REFRESHMENTS.

Space is Limited!Reserve your seat today.

Call 1-888-909-DOCS (3627) or visit MethodistHospitals.org

Thursday, February 14, 2013at 11:15 a.m.

Valparaiso Family YMCA1201 Cumberland Drive • Valparaiso

Wednesday March 13, 2013at 5:30 p.m.

Methodist Hospitals Southlake CampusPavilion B Conference Room

200 E. 89th Avenue • Merrillville

Don’t Let Fear of the Unknown Keep You

From Considering Joint Replacement

FREEJOINT

REPLACEMENT SEMINARS

Presented by Dr. Vineet Shah

Get up-to-date information about the causes of joint pain and the latest

treatment options offered at Methodist Hospitals at these

free seminars.

In keeping with its commitment to bring state-of-the-art care to Northwest Indiana, Methodist Hospitals has launched a new Parkinson’s Disease and Movement Disorders Program that eliminates the need for patients to travel far from home for the latest treatments.

Our program incorporates a team approach to treating Parkinson’s disease, tremor disorders, including Essential Tremor, and the many kinds of dystonia.

My fellowship training in Parkinson’s disease and movement disorders has helped prepare me to lead a team that includes a neurosurgeon, physiatrist, physical therapist, occupational therapist, neurophysiologist, neuropsychologist, and nurse clinician. � ese dedicated specialists o� er a thorough understanding of movement disorders delivered with compassionate care.

Quality is a cornerstone of our philosophy. Following a quality methodology based on the American Academy of Neurology guidelines, we take a comprehensive approach to diagnosing and treating movement disorders.

Parkinson’s DiseaseAmong the most common nervous system disorders, Parkinson’s disease a� ects both men and women, usually over age 50. It is a progressive disorder with symptoms that include tremors, sti� muscles, slow movement and di� culties with walking or balance.

Parkinson’s disease a� ects about one million Americans, with 50,000 to 60,000 new cases diagnosed yearly. � ere is no cure, but early diagnosis and management can optimize patient success.

Accurate DiagnosisA correct diagnosis of any movement disorder is essential to delivering the appropriate treatment. Our approach avoids both an inaccurate or missed diagnosis of Parkinson’s disease. Patients are evaluated according to standardized Parkinson’s disease rating scales and if indicated, with DaTscan imaging.

Newly approved by the FDA, DaTscan imaging helps improve the accuracy of diagnosis by ruling out disorders with similar symptoms, such as Essential Tremor. Unlike routine MRI or CT imaging, this new technology can assess the functional status of the dopamine system and thus provides a unique insight into the di� erential diagnosis.

Individualized Treatment Every patient with Parkinson’s disease presents di� erently, exhibiting varying symptoms at di� ering degrees of severity. Individualized treatment plans are developed based on each patient’s unique symptoms.

Each aspect, from medicines and physical therapy to surgical treatment in the form of Deep Brain Stimulation (DBS) is tailored to each patient’s needs. Our program o� ers special expertise in programming for DBS therapy, and specializes in the use of botulinum toxins to manage dystonia and other movement disorders.

Preserving Quality of Life Rather than simply managing the disease with medications, we consider quality of life issues from a comprehensive, holistic standpoint at each stage of treatment. Ancillary measures such as physical and occupational therapy are used as needed. We

also advise on speci� c nutritional guidelines that improve quality of life and response to medications in patients with Parkinson’s disease.

Addressing Parkinson’s disease early on and developing the optimal plan for each patient’s individual pro� le is key to maximizing their quality of life.

Arif Dalvi, MD, MBA, Director of the Parkinson’s Disease and Movement Disorders Program at Methodist Hospitals, is fellowship trained in Parkinson’s disease at Columbia University, New York. He is a member of the Parkinson’s Research Group, an international study group involved in Parkinson’s disease, and a published author about Parkinson’s disease and other movement disorders.

METHODIST HOSPITALS10


Dr. Arif Dalvi

Comprehensive Movement Disorders Program Debuts at Methodist

“Our program incorporates a

team approach to treating

Parkinson’s disease, tremor

disorders, including essential

tremor, and the many kinds

of dystonia.”

Thursday, March 14, 2013at 5:30 p.m.Methodist Hospitals Southlake CampusPavilion B Conference Room200 E. 89th Avenue • Merrillville

Thursday, April 4, 2013at 5:30 p.m.Valparaiso Family YMCA1201 Cumberland Drive • Valparaiso

New Advances and Opportunities in Parkinson’s DiseaseFREE PARKINSON’S DISEASE SEMINARSPresented by Dr. Arif DalviDr. Dalvi will discuss the latest life-changing tools now available for those with Parkinson’s disease at these free seminars.

Space is Limited! Reserve your seat today.Call 1-888-909-DOCS (3627) or visit MethodistHospitals.org

COMMUNITY INVITED. FREE REFRESHMENTS.


FOR MORE INFORMATION, CALL 1-888-909-DOCS (3627) OR VISIT METHODISTHOSPITALS.ORG

Free Scoliosis ScreeningsSouthlake Campus, Pavilion B, Neuroscience Institute 200 E. 89th Ave, MerrillvilleBy Appointment. For information call 219-738-4926.

Back and Neck Pain SeminarsThe New Spine Care Center takes an innovative team-oriented approach to treatment. Identify your back or neck pain and learn about the most effective treatments available. Southlake Campus, Pavilion B, 200 E. 89th Ave, Merrillville • 4:00 p.m.• February 20 • April 3• March 6 • April 17• March 20To register call 1-888-909-DOCS (3627).

Health Matters SeminarsPresented by Methodist HospitalsYWCA of Northwest Indiana, 150 W. 15th Avenue, GaryAll Health Matters seminars begin at 12:15 p.m.• April 27 • May 25 • June 22

Heart Attack and PAD Risk Assessments and Stroke ScreeningsHeart Attack and PAD Risk Assessments and Stroke Screening: Blood Pressure and Carotid Bruit Check.Methodist Hospitals Midlake Campus, 2269 25th Ave, Gary • 12 to 2:00 p.m.• April 2Methodist Hospitals Southlake Campus, Pavilion B200 East 89th Ave., Merrillville• 4:00 to 6:00 p.m.• March 5• May 7 • June 4To register call 1-888-909-DOCS (3627).

Free Weight Loss Surgery SeminarAn informational seminar about weight loss and surgery options. The session is open to all interested persons and their families or friends. Northwest Indiana Center for Bariatric Surgery at Methodist Hospitals Southlake Campus, Pavilion A, Restart Center101 East 87th Ave, Ste, 430, Merrillville• February 23, 10:00 a.m. • March 7, 6:00 p.m.• March 21, 6:00 p.m • March 30, 10:00 a.m.To register call 1-888-909-DOCS (3627).

Diabetes Self-Management Education Classes Comprehensive diabetes education involving all aspects of treatments as well as prevention of chronic complications. Southlake Campus, Pavilion D, 303 E. 89th Ave., Merrillville• Tuesdays, 1 p.m. to 4 p.m. or 5 p.m. to 8 p.m.

(3 Tuesdays in a row) To register call 219-944-4160. Must have physician referral.

Prepared Childbirth Classes A fi ve-week course to help pregnant mothers and their partners learn about labor, delivery and the immediate post partum period. Recommendation for attendance is 7 – 8 month of pregnancy. Southlake Campus, Pavilion B, 200 E. 89th Ave, Merrillville6:30 p.m. to 9:00 p.m.• February 12 • April 23• March 19 • May 28To register call 1-888-909-DOCS (3627).

Genetics ClinicIdentify your potential genetic health risks in order to make informed decisions about your genetic health. The clinic also helps identify your genetic results, and provides support throughout the process. Southlake Campus, Pavilion B, Oncology Institute, 200 E. 89th Ave, MerrillvilleBy Appointment. Call 219-757-7212.

Lymphedema ClinicPatients with lymphedema and/or other edemas can learn proper skin care, diet & exercises, massage and other compression techniquesSouthlake Campus, Pavilion D, 303 E. 89th Ave, MerrillvilleBy Appointment. Call 219-944-4160.

FREE Outpatient Congestive Heart Failure ClinicThe goal of this clinic is to assist heart failure patients in learning how to monitor and control their symptoms, improve their quality of life and prevent hospital stays.Cardiac Rehab, 753 E. 81st Place, MerrillvilleBy Appointment. Call 219-738-1075.

support groups:Diabetes Support and Education Groups A wide variety of topics related to diabetes are discussed. For persons with diabetes and their family members. Methodist Hospitals Southlake CampusPavilion D303 East 89th Ave, Merrillville• Free. Classes meet the 4th Tuesday

of every month from 10:30 a.m. to 12 noon or 5:00 p.m. to 6:30 p.m.

To register call 219-944-4160.

Multiple Sclerosis Support Group A support group for friends and family of people with multiple sclerosis. Methodist Hospitals Southlake CampusPavilion B, 1st Floor Conference Room11:30 a.m. to 1:00 p.m.• February 15 • April 19• March 15 • May 17For more information call 219-738-4926. No registration required.

Living After Loss A support group for adults grieving the death of a loved one. Northlake Campus, South Pavilion Auditorium,600 Grant St., Gary 4:00 p.m.-5:30 p.m.Every Wednesday Southlake Campus, Lower Level, Classroom 28701 Broadway, Merrillville6:00 p.m.-7:30 p.m.Every MondayFor more information call 219-886-4522.

screenings & seminars:

classes: clinics:

We’re Holding a Jacket for You.Become a Methodist Hospitals VolunteerWe can never have too many helping hands and smiling faces. Volunteering is a wonderful way to make a difference in the life of someone else. Methodist Hospitals’ Volunteer Services offer unique opportunities for anyone 15 years or older to share their time, talents and interests to support our mission. As a volunteer, you’ll be providing vital support, assisting with many of the services that contribute to the care and comfort of our patients.For more information on volunteer opportunities, call Northlake Campus, Gary: 219-886-4533 or Southlake Campus, Merrillville: 219-738-5536

Space is Limited!Reserve your seat today.Call 1-888-909-DOCS (3627) or visit MethodistHospitals.org

Community Event Calendar

Protect your heart when shoveling snowSnow shoveling can be more strenuous than running full throttle on a treadmill. That’s no problem if you’re healthy and fi t. But it can be dangerous if you are not.

Picking up a shovel with tons of snow, particularly after months of limited physical activity, can put a big strain on the heart. Pushing a heavy snow blower can do the same thing.

As a result, the Methodist Hospitals Emergency Department often sees an infl ux of heart attack cases after signifi cant snowfalls.

Here are some tips for safe snow shoveling:• First, check with your doctor• Warm up your muscles before starting• Take frequent breaks• Stay hydrated

Heart attack victims too often ignore their symptoms, and wait too long to seek treatment. Those delays are only risking further damage to the heart, and potentially sudden death.

If you feel pain, are experiencing diffi culty breathing or extreme fatigue, or if you feel like you’re going to pass out, call 911.

According to Methodist’s emergency department manager, Cindy Mirabella, 90 percent of heart attack victims drive themselves to our ERs. That’s a potentially fatal mistake. Instead of being a driving risk, let trained EMTs bring you to us. If something happens in transit, they have the training and equipment to potentially save your life.

Shoveling snow isn’t worth risking your health or your life. Remember, spring is just around the corner.

FREE COLON CANCERPREVENTION SEMINARSColon cancer is among the most treatable cancers when diagnosed early. Learn more at these free seminars.

Thursday, March 14, 2013at 12:00 noonPresented by Dr. Harsh DalalValparaiso Family YMCA1201 Cumberland Drive • Valparaiso

Tuesday, March 19, 2013at 4:30 p.m.Presented by Dr. Kumar VenkatMethodist Hospitals Southlake CampusPavilion B Oncology Institute200 E. 89th Avenue • Merrillville

Dr. Ruby LongEmergency Services Quality

Assurance Director

12 - PORTER COUNTY

SUNDAY, FEBRUARY 24, 20131:00 p.m. - 4:00 p.m.

Valparaiso Family YMCA1201 Cumberland Crossing Drive

Call 219-462-4185, ext. 260 for more info

FREE Health Screenings

FREE Exercise Classes & Demonstrations

FREE Physician Seminars

FREE Healthy Cooking Demonstrations

Raffles, Prizes & much,

much more!7:30 a.m. - 9:30 a.m.Registration Required

Call 1-888-909-362712-hour fasting required

CHOLESTEROL AND GLUCOSE SCREENINGS

Community Welcome

Don’t Be Afraid to Consider Joint ReplacementGet up-to-date information about the causes of joint pain and the latest, high-tech treatment options.Presented by Dr. Vineet ShahThursday, February 14, 2013 11:15 a.m.

Preventing Colon CancerLearn the latest diagnosis and treatment options for one of the most treatable cancers when diagnosed early.Presented by Dr. Harsh DalalThursday March 14, 2013 12:00 noon

Bone Health For MomsLearn how today’s moms can take steps to avoid osteoporosis in the future.Presented by Kristy Darnell, RN, MSN, FNP-BC, CNRNFriday March 15, 2013 10:30 a.m.

New Advances and Opportunities in Parkinson’s DiseaseLearn about the latest life-changing tools now available for those with Parkinson’s disease.Presented by Dr. Arif DalviThursday, April 4, 2013 5:30 p.m.

Weight Loss Surgery SeminarLearn how weight loss surgery can help you reclaim your life and restore your life.Presented by Dr. James SiatrasSaturday, April 13, 2013 10:00 a.m.

Owning Your Heart HealthLearn how you can work as a partner with your doctor to ensure long-term heart health.Presented by Dr. Nazzal ObaidThursday, April 25, 2013 5:30 p.m.

Community Invited. Free Refreshments.

Space is Limited! Reserve your seat today.Call 1-888-909-DOCS (3627) or visit MethodistHospitals.org

METHODIST HOSPITALS / VALPARAISO FAMILY YMCA

Health & Wellness S E MIN A R S

Methodist Hospitals and the Valparaiso Family YMCA have partnered to offer these FREE, informative workshops to the residents of Porter County. Each of these events will be held at the

Valparaiso Family YMCA • 1201 Cumberland Crossing • Vaparaiso

Documents

MethHsp HEALTHWISE winter2013 ALLPGS...Title: MethHsp_HEALTHWISE_winter2013_ALLPGS.indd Created Date: 1/24/2013 9:32:26 AM