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MyHealthKC Magazine Summer 2017

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Your Guide to Living Well from Shawnee Mission HealthComing back fromChronic Back Pain Page 8Summer 20179100 W. 74th Street Shawnee Mission, KS 66204Nonprofit Org.…
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Your Guide to Living Well from Shawnee Mission HealthComing back fromChronic Back Pain Page 8Summer 20179100 W. 74th Street Shawnee Mission, KS 66204Nonprofit Org. U.S. Postage PAID Shawnee Mission Medical CenterIs Tai Chi for Me? Page 2 Food Feature: Zucchini Page 5 Community Spotlight Page 6 Battle Breast Cancer Page 10 Health & Wellness Classes Page 11Exercise & FitnessIs Tai Chi for Me? It’s no wonder Tai Chi is growing increasingly popular in KC. Centuries-old Tai Chi involves a series of slow, meditative body movements originally designed for self-defense and to promote inner peace. It’s believed that Tai Chi can delay aging, increase flexibility, strengthen muscles, and help treat heart disease, high blood pressure, arthritis, and many other illnesses. Here are just a few of the reasons to consider practicing Tai Chi: kkMovements are low-impact and put minimal stress on your muscles and joints. kkThe risk of injury is very low. kkYou can do it anywhere, anytime, in groups or alone. kkIt requires very little space and no special clothing or equipment.Upcoming Class: Tai Chi and QiGong for Health and WellnessYou’ll practice QiGong exercises and learn the eight Tai Chi movements.Sundays, Sept. 17-Oct. 22 Mondays, Sept. 18-Oct. 23 Sunday Classes: 1-2 p.m. Monday Classes: 5:30-6:30 p.m. Cost: $60 To register, visit ShawneeMission.org/classes or call ASK-A-NURSE at 913-676-7777, Option 2.9100 W. 74th Street Shawnee Mission, KS 66204 913-676-2000 ShawneeMission.org PRESIDENT & CEO Ken Bacon E D I TO R Mallory Laur A D M I N I S T R AT I V E D I R E C TO R OF MARKETING A N D S T R AT E G I C D E V E LO P M E N T Doug Spear C R E AT I V E & PRODUCTION The CollaborationKC The material in MyHealthKC is not intended for diagnosing or prescribing. Consult your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines. For permission to reprint any portion of this magazine, to give us a new address, to let us know if you are receiving more than one copy, or if you would prefer not to receive MyHealthKC, call 913-676-2062. Information in MyHealthKC comes from a wide range of medical experts. Models m ay b e u s ed i n phot os a nd illustrations. All contents © 2017 Shawnee Mission Health, except where otherwise noted.Summer 2017 A NOTICE FOR CPR CLASSES: The American Heart Association (AHA) strongly promotes knowledge and proficiency in all AHA courses and has developed instructional materials for this purpose. Use of these materials in an educational course does not represent course sponsorship by the AHA. Any fees charged for such a course, except for a portion of fees needed for AHA course materials, do not represent income to the AHA.2 | Shawnee Mission Health | Summer 2017Nutrition SpotlightFood Feature: Zucchini Like many in our area, you probably enjoy zucchini all year long. But the truth is that just like all vegetables, it tastes best in season. So here’s some great news: zucchini is in season and it’s incredibly good for you. Not only is zucchini one of the very low-calorie vegetables, with only 17 calories per 100 grams, but it also contains no saturated fats or cholesterol. And its peel is an excellent source of dietary fiber.Zucchini may have the following health benefits: Helps to prevent cancer and cardiovascular disease kkProtects against infections and diseases kkBeneficial in losing weight kkAids in treating enlarged prostate in men kkGives relief from the aching symptoms of rheumatoid arthritis kkRECIPE: Garlic Parmesan Zucchini Chips Craving a savory snack? Try these delicious zucchini chips! 2-3 zucchini, sliced 2 cups breadcrumbs ³⁄₄ cups parmesan cheese ¹⁄₃ cup fresh basil, chopped 1 tablespoon garlic powder ¹⁄₂ teaspoon salt 1 teaspoon pepper 1 ¹⁄₂ teaspoons red pepper flakesSauce: ¹⁄₃ cup mayonaise 1 tablespoon lemon juice 1 tablespoon garlic powder ¹⁄₂ teaspoon salt 1 teaspoon pepperDirections: Preheat oven to 450 degrees. Mix breadcrumbs, parmesan cheese, salt, pepper, garlic powder, basil and red pepper flakes. In a small bowl, whisk eggs together. Dip zucchini slices in egg, then coat in breadcrumb mixture. Place on a baking sheet. Bake 15-20 minutes. Mix sauce ingredients together. Enjoy!Summer 2017 | MyHealthKC.com | 3Notes Gregory O’Donnell, MD Family Medicine Jennifer Brown, MD Internal Medicine NOW@SMH Introducing Shawnee Mission Primary Care – Deer Creek Shawnee Mission Health’s newest primary care clinic is now open. Shawnee Mission Primary Care – Deer Creek, located at 135th Street and Lamar in Overland Park, will provide care to the entire family from doctors Boardcertified in Family Medicine and Internal Medicine. Gregory O'Donnell, MD, and Jennifer Brown, MD, serve patients alongside nurse practitioners Kate McElderry, APRN-C, and Jill Soenen, APRN-C. To schedule an appointment, call 913-632-9500. To learn more about Shawnee Mission Primary Care’s 11 Johnson County locations, visit ShawneeMission.org/primarycare, or to find the right doctor for you, visit MyHealthKC.com. kShull Institute for Surgical Robotics Reaches 4,000th Procedure Established 15 years ago as the first in a five-state area to use robotic surgery, the Shull Institute for Surgical Robotics at Shawnee Mission Health recently celebrated the milestone of 4,000 robotic procedures. Using a surgical system called da Vinci, the minimally-invasive technology lessens patient recovery time, shortens hospital stays, and ultimately improves clinical outcomes. Visit ShawneeMission.org to learn more. k4 | Shawnee Mission Health | Summer 2017Save the Date: Light the Town Pink Thursday, Sept. 28 7:15 p.m. Program 7:30 p.m. Lighting The Village Shops in Prairie Village 71st Street and Mission Road The Village Shops in Prairie Village and the Shawnee Mission Cancer Center will be adorned in pink lights for the month of October in recognition of Breast Cancer Awareness Month. Join us in Prairie Village as we flip the switch and bring light to the importance of mammograms in the early detection of breast cancer. Learn more at ShawneeMission.org/pink.Minutes Matter When Having a Heart Attack When it comes to chest pain and heart attack symptoms, you still may feel it’s easiest to drive to the emergency department for care. However, the team at Shawnee Mission Health’s (SMH) Heart & Vascular Center urges you to call 911 for chest pain and heart attack symptoms, versus driving to the emergency room. “We are seeing 61 percent of heart attack patients arriving by car versus being transported by Emergency Medical Services, and we urge patients to call 911 instead – because when having a heart attack, minutes matter,” said Executive Director of Shawnee Mission Heart& Vascular Services, Vickie Franck. “The longer a person goes without treatment, the greater the damage is to the heart.” It’s also important to know common symptoms of a heart attack or stroke, which could include: Tightness or pain in your chest, neck, back or arms kk Feeling fatigued, lightheaded and anxious kk Feeling shoulder discomfort kk Shortness of breath kk Impending feeling of doom kk Heart palpitations. kk“Though symptoms may be immediate and intense, more often than not, they start slowly and can persist for hours, days and even weeks before having a heart attack,” said SMH Cardiologist Heath Wilt, DO. “It’s also important to note that symptoms in women can be atypical, so trust your intuition. If you feel like something isn’t right, it’s best to call 911 and get the medical treatment you need.”Community Spotlight: Carlsen Center at JCCC Shawnee Mission Health is a proud supporter of the arts community in the Greater Kansas City area, including the Johnson County Community College Carlsen Center. The season, which runs through April 21, 2018, presents everything from Broadway blockbusters to classical music, plus contemporary dance, world music and international celebrities. We hope to see you at an upcoming show!Fall Events Sept. 22-23 - 8 p.m. New Dance PartnersSept. 30 - 7 p.m. Kansas Cowboy Jubilee with Hot Club of Cowtown and Asleep at the WheelOct. 4 - 7:30 p.m. John Cleese Live, plus a Screening of Monty Python and the Holy GrailOct. 13 - 8 p.m. iLuminateOct. 15 - 7 p.m. Sunday Winterlude – Hudson: DeJohnette, Scofield, Medeski, GrenadierNov. 4 - 8 p.m. Nov. 12 - 7 p.m. Dec. 9 - 8 p.m. Festival of South African Dance Rick Thomas, Illusionist Danú and the Kansas City Chorale, A Christmas GatheringFor a full list of events and to purchase tickets, visit jccc.edu/CarlsenCenter or call 913-469-4445.Summer 2017 | MyHealthKC.com | 5Today’s Besto t F i s g y h a t W in the battle against b r e as r e t can c Yes,most women are more afraid of breast cancer than heart disease, even though heart disease is the leading cause of death for women. And yes, there’s been some confusion and disagreement about the frequency and timing of regular mammograms. But let’s start with the really good news. When breast cancer is caught early, the prognosis is often excellent. According to the American Cancer Society, the five-year sur vival rate for breast cancer found early and confined to the breast is 99 percent. So, what’s the best way to catch breast cancer early? “At Shawnee Mission Health (SMH), our breast program6 | Shawnee Mission Health | Summer 2017leadership has adopted the recommendations of the American College of Radiology” said Charlene Wallace, SMH Oncology Nurse and Breast Center manager. “We advise women to screen for breast cancer with annual mammograms starting at age 40.”Let’s start with the basics.What causes breast cancer? The two biggest risk factors are being a woman and aging. However, there are other factors that can increase your risk. One of the biggest is having breast cancer in your family history. About five to 10 percent of breast cancer is hereditary.Surprisingly, your father's family counts as much as your mother's. That’s why it’s so important for your primary care doctor or OB/Gyn to know your complete family medical history. “Shawnee Mission Health is fortunate to be staffed with genetic counselors,” said Wallace. “They can help you figure out the connection between your family’s genes and your risk of a disease.” Still, it's unclear why some people with no risk factors develop cancer, while others with risk factors never do. After all, one in eight women will develop breast cancer in her lifetime. That’s why breast cancer screening is such an important part of preventive care for any woman.The best tool available is the mammogram.A mammogram (also known as a “screening” mammogram) is simply an X-ray picture of the breast to see if there are any abnormalities. You may know from personal experience that having a mammogram can be somewhat uncomfortable. Fortunately, the process onlyWhen breast cancer iscaught early, the prognosis isoften excellentsaw something indeterminate or suspicious.” In most cases, an ultrasound is also scheduled, if the radiologist believes it could help with the diagnosis. With diagnostic exams, the radiologist will make a recommendation while you’re there, so there’s no waiting and worrying about what’s going on. You’ll find out the results of your diagnostic mammogram before you leave.Regular self-exams arevitally important, too.takes a few minutes, so the discomfort is over soon. SMH also uses a soft pad for every mammogram that makes the exam warmer and more comfortable. “If you are called back for additional imaging, don’t be alarmed,” said Wallace. “About 10 percent of women are called back for a diagnostic mammogram, which lets us focus on just that area where we“If you know what your breasts look like and feel like normally,” said Wallace, “then you can tell when something changes.” Besides checking for lumps, there are other symptoms to be aware of, including nipple discharge (most concerning when it’s clear or bloody), a rash that could be an indicator of Inflammatory Breast Cancer, and a red or swollen breast. “Any of these conditions could be a sign of a problem,” saidWallace. “It should be reported to your doctor right away.” SMH offers mammography at three area locations, plus the convenience of online scheduling at ShawneeMission.org/mammo. SMH Mammogram Locations: Shawnee Mission Medical Center 9100 W. 74th Street Shawnee Mission, KS 66204 SMH-Prairie Star 23401 Prairie Star Parkway Lenexa, KS 66227 SMH-Overland Park 7840 W. 165th Street Overland Park, KS 66223 For more information about breast health services at SMH, call the SMH Breast Center at 913-676-2220 or visit ShawneeMission.org/breastcenter. From Charlene Wallace, SMH oncology nurse and Breast Center manager.Yes, breast cancer can affect men, too.Statistics show that about 1 percent of breast cancers are diagnosed in men. Male breast cancer is more common in elderly men or men who have a family history of breast cancer. While screenings aren’t suggested for men, it’s important for you to know if you have a man in your family who’s had breast cancer. If so, that’s a strong indication of a genetic alteration in your family. This year, the SMH Faces of Breast CancerCalendar will include a man. The calendar comes out in October, in conjunction with National Breast Cancer Awareness Month, and features SMH patients who have been diagnosed and treated for breast cancer. “It’s really inspiring to see the smiling, healthy faces of these beautiful breast cancer survivors,” said Wallace. “You’re technically a survivor the minute you’ve been diagnosed with cancer.”Summer 2017 | MyHealthKC.com | 7Coming back fromChronic If IF Back Painyou’ve lived 40, 50 or 60+ years without experiencing back problems, consider yourself very lucky. For the rest of us, these problems can be a real pain. “The fact is, back pain is one of the most common reasons to see your doctor,” said Darren Lovick, MD, neurosurgeon with Shawnee Mission Neurosurgery. Back pain can have many possible causes – weakening of the core muscles with subsequent strain and spasm, abnormal curvatures of the spine, and arthritis associated with aging are typical. Low back pain that doesn’t radiate down the legs is best treated with physical therapy and non-narcotic medications. One of the most excruciating forms of back problems is radiculopathy, better known as sciatica, which results from the nerves of the lower spine being compressed or pinched. “When the pain starts in your lower back and shoots down your leg, that’s radiculopathy,” said Lovick. “Radicular pain may also be accompanied by numbness, tingling and muscle weakness. It can be quite severe, even disabling.” In younger people, the nerves in the low back or lumbar area are usually pinched from a herniated8 | Shawnee Mission Health | Summer 2017disc. A disc is herniated when a piece of the padding in between the bones pushes outside the disc space and pinches a nerve. In older individuals, arthritis can cause “bone spurs” that can impinge the same nerves resulting in pain down the legs. Fortunately, there are now many options available to treat this problem.Effective treatment starts with a clear diagnosis “There are three, crucial elements in our diagnostic evaluation,” said Lovick. “If we can get all three to line up, then we have a good understanding of where the pain is coming from.” The first element is finding out the patient’s story – what the symptoms are, how long he or she has been suffering, and how severe the pain is. Second, a physical evaluation is done to determine the exact location of the pain, along with testing for loss of feeling, reflexes and muscle strength. Finally, imaging (usually an MRI) is performed in order to see the soft tissue and any nerve damage in the affected area. From Darren Lovick, MD, neurosurgeon with Shawnee Mission Neurosurgery.A Conservative Approach to Treating Radiculopathy is Best “The Center for Pain Medicine at Shawnee Mission Health provides excellent care,” said Lovick. “For the vast majority of patients with radiculopathy, they’re able to successfully relieve the pain with time and conservative, nonsurgical treatments.” Pain medications can be effective for managing severe pain or pain that makes it hard to sleep. Physical therapy can be an excellent treatment option, for example. It often involves stretching to improve flexibility, techniques for pain control and exercises to strengthen and condition the muscles that support the back. Injections of anti-inflammatory drugs are another non-surgical approach that may be used to help reduce swelling and pain. Sometimes, it’s simply a matter of putting up with the pain for a few weeks. If it gradually improves over time, there’s a good chance it’ll go away. However, if the non-surgical approaches fail to relieve the pain after six to 12 weeks, it may be appropriate to consider surgical evaluation. “Even then,” said Lovick, “surgery isn’t appropriate just because nothing else has worked. We only operate when we have a high degree of confidence that it’s going to help.” The surgical procedure typically involves removing the portion of the disc or bone spur that is compressing the nerve. This surgery takes about 45 minutes and usually requires only one day in the hospital. “We do the least amount of surgery for the most benefit,” said Lovick. “We try to weigh the amount of invasiveness against the amount of pain relief it will provide.”Finally, a word to the wise about avoiding back problems “Figure out what you can and can’t do,” said Lovick. “Find easier ways to do things, ease into activities and take breaks.” Your pain condition should first be brought to the attention of your primary care doctor, who can determine if you should be referred to the Center for Pain Medicine or a surgeon. For more information, visit ShawneeMission.org, or to find the right primary care doctor for you, visit MyHealthKC.com.Summer 2017 | MyHealthKC.com | 9Ask-A-DoctorShannon L. Robinson, MD, on recognizing signs of suicide. How many people commit suicide every year? There are 35,000 deaths per year by suicide – approximately 100 each day. The rate is much higher among military veterans. Is gender a factor? Yes. Statistics show men complete suicide four times more than women, while women attempt suicide three times more often than men. What are warning signs to be aware of? Look for a change in behavior or new behaviors, including: k Talk of “unbearable pain,” “giving up” or “I’m a burden” k Giving away belongings k Getting too little or too much sleep k Signs of agitation – handwringing, restlessness, panic
 k Sudden interest in firearms (FYI: In Johnson County, according to the Coroner’s office, more than 50 percent of deaths by suicide are committed with firearms.) k Social media postings How strong is the connection between depression and suicide? Over 90 percent of people who die by suicide have clinical depression or another diagnosable mental disorder.What other risk factors can lead to suicide or suicidal thoughts? Suicide most often occurs when stress levels exceed the coping abilities of someone suffering from a mental health condition. Risk factors can include: k Previous suicide attempt k Family history of suicide k Mental or mood disorders, schizophrenia, anxiety disorders and certain personality disorders k Alcohol and other substance abuse k Hopelessness k Aggressive and/or violent tendencies k History of trauma or abuse k Major physical or chronic illnesses k Easy access to firearms or other lethal means k Exposure to others who have died by suicide (in real life or via the Internet) What’s the best way to respond when someone talks about committing suicide or not wanting to be alive? Take it very seriously. Until evaluated by a professional, having suicidal thoughts is a medical emergency. Be a supportive, active listener. Remind them they are loved and that there is help. If the person doesn’t want help – get them help anyway. They will get over it and you m
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