@Affinity Magazine - Summer 2012 - The Mind of the Matter

Personalized Care

Summer 2012

y o u r g u i d e t o h e a l t h & w e l l n e S S

theMind~ of the ~

Matter

2 | @Affinity • S u m m e r 2 0 1 2 w w w. af f i n i t y h e a l t h . o rg / b l o g

I’m sure you’ve heard the expression: “There are two seasons in wisconsin - winter

and road construction.” while i won’t try to deny that, we can’t take this weather for granted. enjoy all summer has to offer - cookouts with friends and family, water sports, farm markets and festivals.

Just like you’re in control of what you do each weekend, you’re also in control of your health. Be aware of your body and stay informed on the proper arenas for care.

in this issue, we take a look at integrative medicine and how it is benefiting the lives of local individuals. By blending conventional and complementary therapies to promote optimal health and prevent disease, holistic medicine considers the whole human instead of focusing on one part. For some, this type of care is imperative to maintaining a healthy life. turn to page 10 to read about three affinity Medical group physicians who practice integrative medicine and two patients whose chronic conditions have hugely improved with alternative therapies.

i invite you to read about an effort in concussion awareness, determine the right venue for receiving care, learn of an orthopaedic program designed to prepare patients for replacement surgery, and discover a recipe for a fancy, yet fun, summer salad, plus much more.

lastly, a year has passed since we launched @Affinity, and we are interested in what you – our readers – found to be the most compelling stories in our publication. let us know what you think by posting your comments on our blog or Facebook page. we’re listening!

Sincerely,

daniel e. neufelder, FaChePresident, affinity health SystemSenior Vice President of hospital operations, Ministry health Care

AFFINITY HEALTH SYSTEM IS.. . • St. Elizabeth Hospital - Appleton• Mercy Medical Center - Oshkosh• Calumet Medical Center - Chilton• Affinity Medical Group Clinics• Affinity Occupational Health

For a complete list of Affinity clinic locationsor to find a physician, go to our website atwww.affinityhealth.orgor call Affinity NurseDirect at 1-800-362-9900.

Our blog: www.affinityhealth.org/blog Follow us:

Good luck to Community First Fox Cities Marathon

runners on Sunday, September 23. We admire your

determination, dedication, self-discipline and effort! It’s

not too late to register. Visit www.foxcitiesmarathon.org.

Summer in the CitieSSave the date for these fun, family-friendly events.

OPEN uNTIL SEPTEMBER 9

Eat Well, Play Well Exhibit

The Building for Kids,

Downtown Appleton

Discover the many fun and interesting

ways to stay active!

EVERY SATuRDAY THROuGH OCTOBER 27Downtown Appleton Farm MarketShop local! Delight in more than 140 vendors selling fresh fruits and vegetables, meats and cheeses, breads and baked goods, and specialty foods and handcrafted items.

AuGuST 18The Big Green™ Sustainable Music Festival

Sunset Park, Kimberly; noon-9:30pm

The first annual Big Green™ is a one-day, near-zero

waste music festival that encourages sustainability,

community involvement, diversity and cultural

exploration. Come for live music, local food and

marketplace, handcrafted beers and exhibits!

OPEN uNTIL OCTOBER 21Ansel Adams: Masterworks ExhibitPaine Art Center and Gardens, OshkoshA major exhibition featuring 48 of his most iconic images of the 20th century that capture the splendor of the country’s natural environments.

c o n t e n t sAffinity Health SystemMenasha, WIwww.affinityhealth.org

Senior Vice President of Hospital Operations, Ministry Health CarePresident, Affinity Health SystemDaniel E. Neufelder, FACHE

Vice President of Marketing, Communications and Planning, Ministry Health CareVince Gallucci

Editorial ManagementJennifer Wagner MaukJohn EganAlison Fiebig

Volume 2, Number 1The material in @Affinity 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.

@Affinity is published four times annually by Affinity Health System.

For permission to reprint any portion of this magazine, change your address, discontinue multiple copies or stop receiving @Affinity, please contact us at [email protected].

© 2012 Affinity Health System. No portion of this magazine may be reproduced without written permission from Affinity Health System.

F E AT U R E s

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10 Harmonious HealingTwo local women have found peace through integrative medicine. Learn how mind-body therapies have proven to be a complementary, difference-making way of caring for chronic conditions. Photographs by Shane Van Boxtel, Image Studios

15 Where for Care Emergency department and urgent care doctors weigh in on many factors that play into the decision of when and where to seek health care.Photographs by Shane Van Boxtel, Image Studios

Cover illustration by Christiane Beauregard

SHorT CLIPS 4 Comprehending

Concussions raising brain injury awareness

through Affinity’s concussion clinics Illustration by Travis Foster

By THE NuMBErS 5 Fruit factoids and the reality about

“r & r”

in SeASon SuMMEr 6 Weathering the Wilderness A refresher on camping basics and

how to avoid itch and injury

GooD EAT’N

7 Salad unexpected A summer fruit spin on the garden

fresh classic

BE WELL 8 A Joint Venture Pre-operative program prepare

patients for hip and knee replacements

S u M M E R 2 0 1 2

D E PA RT M E N T s

mission, Promise and Values

At Affinity Health System, our mission guides our actions.

missionThe mission of Affinity Health System is to live out the healing ministry of Christ by providing services that promote the health and well-being of the communities we serve, especially the poor.

PromiseWe promise to provide personalized care by listening, treating you with respect and putting your needs and interests first.

ValuesThe way we accomplish our mission is as important as the mission itself. These values of our sponsor, Ministry Health Care, guide our actions.

SERVICE

TEAMWORKJUSTICE

INTEGRITYCREATIVITY

STEW

ARDS

HIP

15

10

AFTEr CArE

18 A Healthy Balance How an Affinity Medical Group

couple achieves a balanced life between their busy careers and raising two young boys

GIVING BACk20 Many Hands Make Light Work An Affinity team lends hands and hearts to rebuilding Together

Fox Valley

LEArN & LIVE22 Residents of the

Fox Valley The uW Fox Valley Family

Medicine residency Program

kIDS@AFFINITy23 Summer on the Sidewalks Chalk games and more for outdoor fun

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S u m m e r 2 0 1 2 • @Affinity | 3


S H O R T C L I P S

More than 50 percent of high school athletes will sustain some sort of concussive injury before graduation according to the Centers for disease Control and Prevention (CdC). This

is why concussion awareness continues to grow as the number of injuries rise and professional athletes speak out about the importance of managing the condition before it occurs.

Concussions (the most common form of traumatic brain injury) are a disturbance in brain function that occurs following either a blow to the head or body.

“when football season starts in august, i’ll see one a day,” says dr. Christoffer Birn, affinity Medical group (aMg) pediatrician at St. elizabeth hospital in appleton. “with kids becoming involved in sports at an earlier age, we’re seeing concussions and injuries more.”

Comprehending Concussions

Concussion education is the ongoing effort of four pediatricians and one sports medicine doctor with aMg who host concussion clinics, in which each doctor blocks out time in their schedule to see patients for concussions.

it’s important to remember that you don’t have to be knocked out to sustain a concussion. in fact, less than 10 percent of athletes lose consciousness. a forceful blow to the head when colliding with other players or course obstacles can also result in a concussion.

Coaches and local medical experts are acutely aware of the symptoms, but with fall sports approaching, the time is right to connect with both coaches and doctors about prevention and treatment.

“we see kids who need clearance to go back to sports and can help provide them

the education they need after they get a concussion,” dr. Birn says. “Because of the clinics, we are able to get kids in quickly.”

The path to recovery involves plenty of sleep (daytime naps when feeling tired), limited

physical and cognitive activity, and drinking lots of fluids.

returning to activity or sports too soon puts athletes at risk of causing more injury,

increasing complications and recovery time.For decades, the american academy

of neurology has recommended certain guidelines be followed regarding return to regular activities.

“avoidance of repeat injury while one is healing is paramount,” says dr. robert Jones, an aMg neurologist at Mercy oakwood Clinic in oshkosh.

a week free of symptoms, including those that are exertion-related, is a common rule.

as the CdC says, “it is better to miss one game than the whole season.”

Raising brain injury awareness through Affinity’s concussion clinics By ALISoN FIEBIG

For more information on concussions, visit the Wisconsin Interscholastic Athletic Association site at www.wiaawi.org.

Common signs and symptoms following a concussion:· Headache· Nausea/vomiting · Confusion/disorientation· Dizziness· Problems concentrating

· ringing in the ears· Disruption of balance/unsteadiness· Blurry/fuzzy vision· Feeling mentally slowed down· Sensitivity to light or noise· Stumbling/slowed movement

To schedule an appointment in the concussion clinic, call Affinity NurseDirect at 1-800-362-9900. 4,

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w w w. af f i n i t y h e a l t h . o rg / b l o g S u m m e r 2 0 1 2 • @Affinity | 5

B Y T H E N U M B E R S

According to a study performed by Harris Interactive for JetBlue, approximately 57 percent of working Americans had unused vacation time at the end of 2011, most leaving an average of 11 days on the table (about 70% of their allotted time off). It’s no surprise that taking time off is essential to a healthy well-being. Recharging the batteries can lower stress levels, reverse burnout, reignite creativity, improve relationships and, overall, refresh our outlook on life. Be it a staycation or vacation, R & R does a body good.

2,695Marking its one-year anniversary, the Center for Spine & Brain Health at Mercy Medical Center in Oshkosh has treated 2,695 patients to date – 327 of which were brain- and spine-related surgeries.

The percentage of water in watermelon. This picnic-perfect treat – hotly debated as a vegetable and cousin to the cucumber, pumpkin and squash – contains potassium, vitamin A and one of the highest levels of lycopene, an antioxidant which has been shown to decrease the risk of cancer and cardiovascular diseases. For a new way to serve watermelon, turn to page 7.

4,50

0 The square footage of the living roof on top of St. Elizabeth Hospital’s Heart, Lung & Vascular Center in Appleton. There is also a 3,000 square-foot live roof atop the Cancer Center that is visible to patients receiving cancer treatment or staying in the hospital. In addition to aesthetics, a green roof boasts environmental perks by contributing to energy savings, reducing cooling costs in the summer and decreasing storm water run-off.

57


ou’re enjoying the great outdoors while roasting weenies

over the campfire and relaxing under the night summer sky, but did

you think to tuck your pants into your socks? don’t worry, Mother nature

will overlook the fashion faux pas; she cares more about your health than style.

if you’re planning to camp this summer, as many folks do at more than 50 sites in northeast wisconsin, there is a lot to remember, such as protecting against lyme disease, engaging in fire safety and steering clear of poisonous plants.

Protecting Against PestsKeeping yourself covered in the great outdoors is one way to avoid bug bites and prevent lyme disease – an infectious disease transmitted by a wood tick.

as dr. Ben heinzen, an internal medicine physician with affinity Medical group in oshkosh, advises, “wearing long sleeves and tucking your pants into your socks will keep ticks off.”

originally from western wisconsin, dr. heinzen knows a thing or two about camping (he frequents Kettle Moraine and devil’s lake).

in addition to covering your arms and legs, use an insect repellent that contains 10-30 percent deet – an active ingredient used to repel bugs (the higher the concentration, the longer the repellent will work).

he says not to worry about using products that contain deet on children older than two

months of age. he recommends applying it to clothing instead of skin when possible, but cautions it may cause damage to clothing made from rayon or spandex.

“The benefit of not getting bit by a tick exceeds the risk,” he adds.

Check yourself regularly. if you find a tick, remove it immediately, making sure you get all its parts.

Campfire Safetywith your bug spray applied and your campsite situated, it’s on to building the fire. Choose a location away from trees, tents and thick brush. and the bigger the fire, the hotter it burns. Keeping it to a manageable size allows people to enjoy cooking s’mores without having to battle an uncomfortable heat.

when it’s time to pack up, pour plenty of water on the fire, drowning all embers, until the hissing sound stops. Then, stir the campfire ashes and embers with a shovel

while scraping the sticks and logs to remove any embers. Finally, before leaving, stir the pit and make sure everything is wet and cold to the touch.

Plant Wisdomas the saying goes, “leaves of three, let it be.”

This rule is true for poison ivy, which has three, toothed-like, pointed leaves. The native, woody wisconsin species most commonly grows in the ground as a shrub but can also appear as a tree vine. it is light green when young, but darkens as the plant matures.

if you run into contact with it, a rash will usually appear on the skin within 24-48 hours. use soap to wash the area. Poison ivy/oak can transfer on contact so avoid touching any other parts of your body until you have washed your hands.

whether camping in wisconsin or another state, make a mental note of the local hospital. you can never be too prepared for the outdoors. But most of all, enjoy the fresh air and summer sights.

Weathering the Wilderness

summer 6 • good eat’n 7 • be well 8

A refresher on camping basics and how to avoid itch and injury By Alison FieBig

For more camping-related pointers and recipes, follow Affinity Health on Pinterest!

Don’t panic if you find a tick on you. To learn more about Lyme disease, visit www.affinityhealth.org/check-for-ticks.

Y

in season summer


Weathering the WildernessSalad unexpected Yo u ’ V e h e a r d i t B e F o r e :

you are what you eat. This is true especially for those who

suffer from chronic inflammation, a pathway of an overactive, misdirected immune system that may underlie the basic processes that lead to arthritis, heart disease, alzheimer’s disease and certain forms of cancer. Following an anti-inflammatory diet has been shown to reduce inflammation and decrease your risk for chronic disease.

according to dr. andrew weil, founder of the integrative medicine program at the university of arizona, “an anti-inflammatory diet is not a diet in the popular sense . . . it is a way of preparing and mindfully eating foods based on scientific knowledge to maintain your optimal health.”

having trained under dr. weil in integrative medicine and specializing in mindful eating, dr. Sudeep Sodhi, a gastroenterologist with affinity Medical group in Menasha, advocates a diet rich in omega-3 fatty acids (wild-caught fish, grass-fed meats, flaxseed) and whole grains, complemented by water, fruit and vegetables.

he has three pieces of advice: 1. eat food that spoils. Foods that have a

long shelf-life are the result of adding chemicals and compromising nutrients.

2. Stick to unprocessed foods.3. By the end of the day, make sure you have

eaten all seven rainbow colors of food. increasing intake of fruits and vegetables

has been shown to improve health and help treat chronic inflammation.

anyway you slice it, a diet rich in fruits and vegetables is beneficial in reducing the risk of heart disease and cancer.

take watermelon and tomatoes, for example. Both are abundant sources of lycopene – an antioxidant protecting against prostate, breast, lung and colon cancers – and popular summertime foods.

Salsa and fruit salad are predictable cookout grub, but what if you showed up toting an unexpected dish? Pairing watermelon with heirloom tomatoes, herbs and dabs of olive oil and balsamic vinegar will not only up the antioxidant ante, but have you appreciating the simple fusion of healthy foods.

Watermelon and Heirloom Tomato Salad* Ingredients 1-2 small organic watermelon, peeled and cut into chunks 8 organic heirloom tomatoes (various colors and sizes), cut up24 mint or basil leaves 2 tablespoons red onion, sliced paper-thin 4 tablespoons extra-virgin olive oil2 tablespoons white or balsamic vinegar Feta cheese (to taste)Coarse sea salt, to taste Pepper, to taste PreparationArrange the pieces of watermelon and tomato on a serving platter. Sprinkle with mint or basil leaves and red onion. Drizzle with olive oil and balsamic vinegar. Finish with salt and pepper.

Serves 6. Calories: 570, Protein: 10.7g, Fat: 12.2g, Saturated Fat: 1.7g, Monounsaturated Fat: 8g, Polyunsaturated Fat: 1.7g, Carbohydrate: 122.3g, Fiber: 8.1g, Cholesterol: 0g

*Recipe from the official website of Dr. Andrew Weil.

A summer fruit spin on the garden fresh classic By ALISoN FIEBIG

good eat’n

To submit your favorite recipe for consideration in an upcoming issue, please email us at [email protected].


A Joint Venture

“This is a very highly information-driven program that can get you from point a to point B with a little bit more knowledge,” says dr. Joe McCormick, one of several aMg orthopaedic surgeons who perform replacement surgeries.

The Nuts and Boltsheld every wednesday from 8:30 a.m. to noon, othopaedic patients are encouraged to attend

Any surgery, even a planned one, can incite a few nerves and hesitation. That’s one of the reasons affinity Medical group (aMg) created

Joint Camp, a unique, pre-operative program for patients preparing for hip or knee replacement surgery.

having launched six years ago at St. elizabeth hospital in appleton, the program brings together orthopaedic surgeons, nurses, patient care facilitators and occupational and physical therapists to speak to patients about the surgery itself and the recovery and rehabilitation process.

Joint Camp one to two weeks prior to surgery (although not mandatory).

McCormick estimates that about 90 to 95 percent of patients planning for replacement surgery through aMg do attend – some with spouses or friends for support.

one such attendee was Bill Brown, 64. on January 5, 2012, Brown had both knees

replaced. as a retired nurse and former chief nursing officer at St. elizabeth hospital, he was very familiar with replacement surgery but understands the trepidation the event can bring to those less informed.

“at Joint Camp, you have the opportunity to ask questions you may not have thought about in an appointment setting,” he explains. “you can ask a question without embarrassment.”

A Collaborative EffortThe first three-quarters of the program walks patients through what’s to come prior to checking in to the hospital.

a team of experts in one setting brings

Affinity’s Joint Camp educates patients on knee and hip replacement

By SHAroN VErBETEN

Resources for Recovery

Here is a list of outlets where patients can purchase or loan rehabilitation

equipment, such as crutches, canes, walkers and other supplies, for a small donation:» Lion’s Club of Winneconne/

Winchester/Larsen (920-427-3244)» options for Independent Living,

Appleton, (920-997-9999 / 888-465-1515)» American red Cross, oshkosh, (920-231-3590)» Berlin Senior Center, (920-361-5422)» Fond du Lac County Nurses, (920-929-3085)

be well

Patients follow along in their Joint Camp handbook

(Above) Physical and occupational therapists provide demonstrations and information on recovery; (Right) Candace Mitchell, RN, speaks to the group about what to expect after surgery


the most positive results and ensures personalized care.

“we do the teaching in a real, open way,” says McCormick. “The question and answers flow well. it’s a very nice mix of communal teaching, as well as some individual discussions.”

in addition to presenting details on the procedures, information is given about pain management, medications, anesthesia, mobility and rehabilitation. after a group session, individuals spend the last portion of the program completing lab work and an eKg test.

a pre-admission consultant and education (PaCe) nurse, like Julie Blemberg, is on hand to address personal concerns.

“The education presented at Joint Camp helps the patient to better understand what to expect,” Blemberg says. “it eases their anxieties and aids in the recovery process.”

Big Event in a Small WorldMaking the information understandable to a patient is essential.

“as health care providers, this is routine to us, but it’s a really big event for the patient,” McCormick adds.

in addition to networking with other patients, Joint Camp touches on the idea of a “small world” by familiarizing patients with the nurses, doctors and therapists prior to seeing them in a hospital room.

“Knowledge is power,” McCormick says. “it’s an effective way to provide better care.”

To learn more about Joint Camp, visit www.affinityhealth.org/jointcamp.

From Patient to Advocate

C yprian “Bud” Zemblowski, 84, had hip replacement surgery six

years ago – a time before Joint Camp at St. Elizabeth Hospital

was established. While he personally wasn’t nervous about his

surgery, he understood that others may not feel quite as confident.

That’s why when he was asked to be a volunteer for a newly-

established Joint Camp program, he was happy to do it.

“I like meeting people,” says the Appleton

resident, who has now been a volunteer with the camp since its

inception. “It’s interesting to see how people interact.”

Zemblowski sets up the room for the event, brings in any necessary

equipment and escorts patients to the program. He finds that having gone

through the hip replacement surgery allows him to share his experiences

with others.

“They ask questions and talk to each other about their experiences,”

he adds. “It seems to relax them.”

Bud be nimble!


Integrative medicine promotes peace through philosophies and treatments that focus on the mind, body and spirit. Two Affinity Medical Group patients will tell you that it is more than an alternative way of healing — it’s a way of living.

H A R M N I O U S

B y A l i s o n F i e b i g w i t h p h o t o g r a p h s b y S h a n e V a n B o x t e l , I m a g e S t u d i o s • S t a g e p h o t o g r a p h s @ O u t e r E d g e

H E A L I N G

S u m m e r 2 0 1 2 • @Affinity | 11

H A R M N I O U S


SuSTAInInG HeAlTH And Well-BeInGFinch credits Dr. Norden for giving her the tools to stay healthy – the guiding principle of integrative medicine.

AMG is the forerunner in the Fox Valley for providing alternative care with a team of integrative medicine specialists, which includes three physicians - Dr. Jennifer Norden, Dr. Elizabeth Kimbrough and Dr. Sudeep Sodhi - Tammy Gillespie, a massage therapist, and Corrine Rathbun, a licensed acupuncturist.

In the late 1990s, Mary Kimball Anhaltzer made a generous donation through the Alberta S. Kimball Foundation to develop the Affinity Health System (AHS) Integrative Medicine program. Oshkosh businessman Ted Leyhe shared her vision and added to the grant through the Alexandra Charitable Trust to get the program underway.

The initiative was led by Mercy Health Foundation at Mercy Medical Center and today, Dr. Norden and Dr. Kimbrough see patients at Mary Kimball Anhaltzer Center for Integrative Medicine at the Koeller Street clinic in Oshkosh.

In May 2011, AMG’s Greenville clinic became the site for an integrative medicine pilot program. Rathbun and Gillespie worked with the Greenville Medical Home staff to incorporate acupuncture and massage therapy into patient care.

St. Elizabeth Hospital Foundation provided a grant from Marne Keller-Krikava’s discretionary fund designated specifically for start-up costs of the program. The support from Keller-Krikava has allowed health care providers to work in tandem with patients to facilitate and sustain health, healing and well-being.

A portion of the fund was used to develop a patient library and offer resources on the physical, emotional and spiritual factors of an individual’s health and wellness.

The remaining money was used to purchase equipment. Because of the support from Keller-Krikava, the program now has two massage tables and chairs, a caress face cradle and hanging armrest, four acupuncture units, and a sleep adaptive sound machine - all contributing to the enhancement of personalized, synergistic patient care.

evIdence-BASed THerApIeSDr. Norden, Dr. Kimbrough and Dr. Sodhi treat chronically-ill patients by understanding the pathology of disease and how it affects the person experiencing it.

The practice of integrative medicine focuses on the whole person – mind, body and spirit. Take the definition of integration: the combining and coordinating of separate parts or elements into a unified whole.

CCLOSING HER EyES, SHE puSHES THE BOw EFFORTLESSLy across the strings of her viola and soulfully sways to the emerging melody.

This is Jane Bradshaw Finch on a good day, but the Appleton woman – a Suzuki music teacher, freelance violist and violinist, and member of the Fox Valley and Manitowoc symphonies and Heritage String Quartet – has her fair share of unharmonious days.

Since the age of 19, Finch has suffered from the piercing pain of debilitating migraines.

“Migraines have been a major monkey wrench in my life,” the musician says. “It’s unpredictability interfered with my friendships, travel, family life and professional commitments.”

In spring 2007, Finch visited one of Affinity Medical Group’s (AMG) urgent care clinics so regularly that her primary care physician finally asked her, "why do you choose to live this way?"

“It occurred to me in that moment that I do have a choice,” she remembers.

Migraine pain and discomfort stems from changes in the nervous system (brain and nerves innervating head and neck), which lead to inflammation and dilation of the blood vessels. Foods, such as aged cheese and processed meats, changes in barometric pressure or altitude, strong smells, or bright lights can also trigger these disabling headaches.

At the time, Finch was experiencing 15-20 migraines a year. She was not alone in the condition - her grandmother, mother, brother, sister and her son suffer from migraines.

After a series of visits, Dr. Nancy Homburg, AMG family physician, referred her to an integrative medicine specialist, Dr. Jennifer Norden, who has been treating Finch for the last five years.

“There is an expectation that you can and will take control of your condition,” she says. “My whole system had to be rebooted in order for me to be well.”

Dr. Norden, a board-certified internist with Affinity Medical Group (AMG) in Oshkosh, performs acupuncture on Finch every other week; on alternate weeks, she sees Tammy Gillespie, a massage therapist with AMG.

Between the techniques and care she has received from Dr. Norden and Gillespie, Finch has learned how to manage her migraines – from assessing the weather and dietary choices to avoiding certain smells and types of light.

“Today, I rarely get a migraine to the degree that I used to,” Finch adds. “I like to think there are 100 decisions I make every day to keep myself healthy.”


Likewise, integrative medicine is a blend of conventional and complementary therapies to promote optimal health and prevent disease by addressing contributing factors.

“why does the brain do what it does? How is it trying to cope with their condition?” Dr. Kimbrough asks. “By helping our patients understand that, it takes away the shame and guilt of their condition.”

According to the Centers for Disease Control and prevention (CDC), growing evidence indicates that a comprehensive approach to prevention can save tremendous costs and needless suffering. This is good news considering more than 75 percent of health care costs are due to chronic conditions.

“The last century has seen astounding progress in technology in diagnosis and treatment of diseases,” Dr. Sodhi explains. “Along with this comes the realization that an ounce of prevention is worth more than a pound of treatment. western health systems are under enormous pressure due to the burden of chronic disease, for which modern medicine does not have good answers.”

The three physicians will also tell you that the integrative medicine treatments they practice are evidence-based therapies.

“we’re just learning how acupuncture works, but it’s been around for thousands of years,” says Dr. Norden. “There are both clinical outcomes and brain research that serves as evidence that it is an effective treatment.”

Defined as a centuries-old alternative therapy, acupuncture is a key component of traditional Chinese medicine and is most commonly used to treat pain. Thin needles are shallowly inserted into points along pathways throughout the body called meridians. Once these points are stimulated, blood flow is increased and balance is restored.

Acupuncture eases pain and stress, increases saliva production, and helps improve heart rate variability and fatigue. It is also especially beneficial in treating headaches, nausea and fibromyalgia.

“we have seen very good results in people who have suffered through decades of pain and have tried numerous conventional treatments,” Dr. Kimbrough explains.

Finch, who falls into that category, has now begun to notice that acupuncture isn’t only improving her physical well-being, but her emotional and spiritual health, too.

“The two things we do that set us apart are acupuncture and mind-body therapies,” explains Dr. Norden. “we also do more counseling than other doctors have time for. we use breathing techniques and meditation, as well as educating patients on how their brain works.”

Some might say it’s easy to see results when you see your doctor every

other week like Finch does, but Dr. Norden explains that the uniqueness of integrative medicine allows her the luxury to see patients more often.

This way, she is able to better understand how every part of life impacts a patient’s health, such as lifestyle, relationships, career and nutrition.

More MASSAGe, FeWer MIGrAIneS Finch has also become more educated on massage therapy after being introduced to Tammy Gillespie, an AMG-licensed massage therapist with 10 years of experience.

Migraine sufferers have trigger point areas in the head, neck and upper back areas. Massage therapy works to quiet the nervous system by relaxing tight muscles and reducing stress – the more common migraine trigger. It also helps increase circulation, promotes joint flexibility, enhances immunity by stimulating lymph flow, lowers blood pressure and reduces anxiety.

“Many of my patients see me for an acute or chronic injury and then continue as part of their self-care routine and to avoid going back to the acute stage of the original injury,” says Gillespie. “Massage therapy works well in conjunction with what the physicians offer.”

Every other week, Finch receives a 60-minute, deep tissue massage on her upper back and neck, with her main points of tension being on her right side. Gillespie explains that Finch’s massage “relieves the muscles of lactic acid and allows for increased circulation.”

Because migraines are sometimes associated with less oxygenated blood being circulated through the brain, improving circulation may help in relieving the severity of each occurrence. Massage loosens the muscle tissue and allows blood to flow through the tissues more freely. This improves circulation and also allows the blood to carry more oxygen and nutrients to the tissues.

“Sadly, many people view integrative medicine as a last ditch effort, to avoid surgery, or because traditional treatments have failed,” Gillespie says. “Ideally, patients would see us for prevention or as a part of an initial treatment for an injury.” continued»

Dr. Jennifer Nordon performs electroacupuncture (a form of acupuncture where a small current is passed between needles) on Jane’s back


BeInG In conTrolwhat if you found out you have a chronic condition that can not be cured?

According to Dr. Sodhi, that is the time to realize the difference between fixing (pills and surgery) and healing (which is helped along by nutrition, rest, exercise and management of stress).

Five years ago, Carol Schotz, of Neenah, learned she had chronic pancreatitis. In the months leading up to her diagnosis, she made frequent road trips to visit doctors in Madison, was prescribed countless antibiotics, spent 19 weeks on a feeding tube and suffered through excruciating stomach pains.

pancreatitis is a painful condition caused by the inflammation of the pancreas in which fat and the essential nutrients are not absorbed adequately and, in Schotz’s case, makes it difficult to maintain a healthy weight.

At 5’4", Schotz weighs 106 pounds.when her primary care physician saw her for an annual visit, he

referred her to Dr. Sodhi.At her first appointment, Schotz, now 61, remembers spending the

first several minutes venting about her condition, eventually asking Dr. Sodhi, “what are you going to do to fix me?”

She recalls him guilelessly asking her, “what can you do to fix you?”The last thing Schotz expected was the new physician to answer her

question with a question. In constant pain, restricted to her living room couch, fatigued, dehydrated and suffering from uninterrupted stomach pain, she was at her wits’ end.

But Dr. Sodhi believes wholeheartedly that good health begins with the patient realizing their strengths and weaknesses.

“I think it was Carol’s understanding of her body and willingness to make efforts that moved her along a trajectory of healing in a condition that can reduce others to bitterness and defeat,” he says.

For Schotz, the understanding came in the way of an “ah ha” moment. “This type of care has been life-changing,” she says. “My attitude is

totally different. I own this now. This thing doesn’t control me, I control it to the degree that I can, and I let go of the degree that I can’t. That’s the important lesson I learned from him.”

eATInG rIGHTwhile her daily intake of 5,000-6,000 calories isn’t exactly the norm, Schotz has learned to manage her condition in such a way that allows her to live a normal life.

During their first office visit, Dr. Sodhi asks patients to write down their food intake. This helps them to work out a mutually acceptable eating plan, similar to the one Schotz now follows.

But before she started seeing Dr. Sodhi, she was eating whenever and whatever she could – especially carbs – in order to gain weight. He affirms that what, when and how a person eats is critical to being well.

If Schotz can’t pronounce it, she won’t eat it. She stays away from grainy carbohydrates (like bread), sweets and anything artificial. She loves chicken, indulges in yogurt and cheese, and favors fruits and vegetables, especially from her garden.

“I understand my body because I have to,” she says. “I think I’m healthier in the long run. I exercise, I eat right, I sleep – all of those things play a role. If I try to get away with something, it comes back to get me right away.”

Other simple tweaks, such as holding off on liquids before she eats, make all the difference in how her body takes in food.

“Most physicians won’t ask patients what they’re eating and that makes a huge difference,” Dr. Sodhi says. “when a patient has a gastrointestinal condition, it is critical to look for cues in their meal patterns."

Schotz feels empowered again. She is confident today that she knows her body better than anyone else.

“Some days are going to be horrible and I just accept it,” she says. “Nothing you do on those days is going to change how you feel. I’ve learned a lot about myself, and how to care for myself. It’s been a really rewarding experience.”

rIGHT ScIence, rIGHT TIMe As william Osler, one of the founders of Johns Hopkins Hospital, says, “It is much more important to know what sort of a patient has a disease than what sort of a disease a patient has.”

physicians providing integrative care do just that by treating the whole patient instead of a part of a patient with a combination of therapies.

“It is using the right science at the right moment,” Dr. Sodhi explains. “There is no division in my mind between conventional and non-conventional approaches so long as they are backed with scientific evidence. I hold in my heart and my mind that healing is always possible, even when cure is not.”

Dr. Sodhi, Dr. Norden and Dr. Kimbrough agree that a patient can’t get better without accepting their condition and recognizing that we all have innate power of healing in our bodies.

Finch has let go of her fear of the next migraine and Schotz now knows she doesn’t have to put her life on hold while awaiting a cure.

when both needed guidance, they might have found it in integrative medicine, but ultimately, the strength to make a change came from within.

From left to right: Dr. Elizabeth Kimbrough, board certified in internal medicine; Corrine Rathbun, acupuncturist; Dr. Sudeep Sodhi, board certified in gastroenterology, integrative medicine and nutrition; Dr. Jennifer Norden, board certified in internal medicine; Tammy Gillespie, massage therapist

Jane and her husband Bob Reifsnyder

S u m m e r 2 0 1 2 • @Affinity | 15

Where for Care The Emergency Department vs. Urgent Care

B y S h e r e e O l S O n r O g e r S | I l l u S t r a t I O n B y t r a v I S F O S t e r

W hen being seen by a doctor is the only solution

to a health care concern, deciding when and

where is not always clear. are the symptoms severe enough

to warrant a trip to the emergency department (eD)?


Can it wait until a primary care physician is available? Could the doctor at an urgent care clinic provide treatment?

The doctors at affinity health System’s emergency departments and urgent care clinics offer a few guidelines to help folks decide when and where to be treated.

They also note that, sometimes, there is more than one good option. “There is overlap in what we do,” explains Dr. David Sickels, medical

director at St. elizabeth hospital.The seven-year veteran of St. elizabeth hospital’s eD has treated

plenty of sprained ankles and ear infections. he says an affinity urgent care clinic can be a more cost-effective, timely option for patients with medical conditions that require immediate care but fall short of the “life- or limb-threatening” eD standard.

What’s an Emergency?“Severe chest pain, the worst headache of your life, sudden numbness or weakness in your arm or leg, facial drooping, uncontrolled bleeding, if you’re short of breath or passing out, then you should be on your way to the emergency department,” Dr. Sickels advises. “If you have a major fracture or trauma, if you are coughing or vomiting blood, have a very high fever or a seizure – any of these can be life-threatening and it’s time to dial 911.”

Because the eD doors are open 24/7, affinity doctors and nurses also treat less serious medical conditions that occur after business hours. Dr. Sickels encourages patients and caregivers to trust their own instincts.

“Things like earaches and sore throats can be seen better at urgent care, but you have to put it into perspective,” he explains. “We’ll see a working mother who works 12 hours a day and can’t get to the urgent

care when it’s open. It’s midnight and her child is screaming and needs pain control. to her it might be an emergency and she can’t wait until the next day.”

Just as there are patients who come to the eD with medical needs that are not necessarily a matter of life and limb, there are patients who underestimate the need for medical attention.

“The classic would be the adult male who is profusely sweating with severe pain in his chest, insisting it is heartburn,” says Dr. Sickels. “They’re good at recognizing the signs of a heart attack at urgent care. They’ll do a quick eKg, call the ambulance and get him to the eD as soon as possible.”

When it’s UrgentStaffed by one or more physicians during its hours of operation, urgent care clinics are an alternative for people who need immediate medical attention for illnesses and injuries that are not life-threatening, such as small fractures, sprains, cuts and burns, ear infections, sore throats, common colds and respiratory illnesses.

“Cost is the number one factor,” says Dr. Jose Dias, who divides his time between the affinity urgent care clinics in Oshkosh and appleton, which are open evenings, weekends and holidays.

Depending on the patient’s insurance coverage and the treatment received, the out-of-pocket cost for an urgent care office visit can be

almost half the cost of similar services provided at the eD. The savings are especially important to the growing number of people with high deductible insurance policies or people with no insurance coverage.

Convenience is another motivating factor for choosing urgent care.“We are here if you don’t have a doctor or if you can’t get in to see your

regular doctor,” Dr. Dias adds.affinity’s urgent care clinics do not schedule appointments in advance

and have typical wait times of 20 minutes or less. The doctors at each of the Oshkosh and appleton clinics see approximately 75 patients per day, treating maladies ranging from sprains, broken bones and rashes, to common colds, urinary infections and mild asthma.

“While we do see a few patients more than once, we try to get them back to their primary care physician for follow up. If they don’t have a primary care doctor, we’ll give them information to help them find one,” Dr. Dias says.

Can it Wait?Patients have help in choosing when and where to see a doctor.

“Fortunately, we do have affinity nurseDirect,” explains Dr. Sickels. “They are open 24/7 and can advise you over the telephone about

A Phone Call AwayAffinity NurseDirect RNs listen carefully to patients’ concerns, combining critical thinking skills with medical expertise to determine the needs of the patient and recommend options for the delivery of care.

Next time you need health-related help and aren’t sure what to do, call Affinity NurseDirect at (920) 738-2230 in the Fox Cities, (920) 231-6578 in Oshkosh or toll-free 1-800-362-9900.

Need to choose a doctor? Meet Affinity Medical Group physicians at www.affinityhealth.org/doctor.

“You should be on the way to the emergency department if you are experiencing severe chest pain,

the worst headache of your life, sudden numbness or weakness in your arm or leg , facial drooping ,

uncontrolled bleeding , or if you’re short of breath or passing out. If you have a major fracture or major

trauma, if you are coughing or vomiting blood, have a very high fever or a seizure – any of these can be

life-threatening and it’s time to dial 911.” — Dr. David Sickels

Affinity Urgent Care Locations and HoursAppleton, 3329 N. Richmond StreetMonday – Friday, 7:30 a.m. – 7:30 p.m.Sat./Sun./Holidays*, 7:30 a.m. – noon

Oshkosh, 1855 S. Koeller StreetMonday – Friday, 7:30 a.m. – 7:30 p.m.Sat./Sun./Holidays*, 7:30 a.m. – noon

Adult Walk-In CareNeenah, 411 Lincoln StreetMonday – Thursday, 7:00 a.m. – 7:00 p.m.Friday, 7:00 a.m. – 5:00 p.m.Sat./Sun./Holidays*, 8:00 a.m. – noon* Closed Dec. 25


A condition that requires immediate care but is not life-threatening

Common sprain

Earache

Cold and flu

Sore throat

Abrasion and cut requiring stitches

Urinary tract infection

Mild asthma

Rash without fever

Broken bone with intact skin and no obviousneed to reset bone

A condition that is life- or limb-threatening

Chest pain

Facial drooping

Head and eye injuries

Sudden numbness or weakness in arm or leg

Uncontrolled bleeding and severe cuts

Vaginal bleeding with pregnancy

Coughing or vomiting blood

Sudden shortness of breath or difficulty breathing

Rash with fever

Major fracture that breaks the skin or needs to be reset

or

whether you do need to be seen immediately. Often times, a medical condition can wait until the next day.”

affinity nurseDirect is a call center staffed by registered nurses (rn) and support staff 24 hours a day, 365 days a year. Its services are free to affinity patients and anyone living in Oshkosh and the Fox Cities.

“There is a wide variety of calls and no two calls are alike,” says Deb Cross, rn and director of affinity nurseDirect. “Callers have single and multiple concerns. Some callers are looking for health education.”

Many of the calls involve children’s health concerns. “It’s common to have more calls in the morning and the afternoon;

children are waking up sick and it’s a school day, or they are coming home from school sick,” Cross explains. “In interviewing the parent, the

nurse may ask a parent to put the phone close to the child to hear them breathe. a stuffy nose and wheezing related to asthma will be assessed and directed differently.”

Once a direction of care is determined, the affinity nurseDirect rn helps the caller navigate the next steps. The rn might explain what a patient can do at home, help schedule an appointment with a primary care physician, recommend seeing a doctor at urgent care or, if necessary, dial 911 to send an ambulance to the caller’s location.

If waiting is an option, Drs. Sickels and Dias agree that a patient’s first call should be to a primary care doctor to see if an appointment is available.

“urgent care is a good option, but your primary care doctor is the best place to start,” Dr. Dias says.


after care Get to know your care provider by Sheree OlSOn rOgerS

he garden growing in the backyard of Drs. Ronald and Michal Slovick’s Appleton home reflects the family’s togetherness and also their varied interests. Enclosed and protected by a weathered picket fence, the planting beds yield crops both beautiful and nourishing—a variety of cutting flowers that will

adorn the Slovick home, and carrots, squash, cucumbers, asparagus, tomatoes, peas, eggplant, broccoli and Swiss chard for their dinner table.

Most of the plants growing in garden started from seeds that were planted carefully by their boys, with assistance from mom and dad, and the help of an unusually warm spring. Ben, 7, and Charlie, 5, are great helpers.

“The boys are always looking to find a worm, toad, frog or snake,” says Ron, an Affinity Medical Group (AMG) urologist and husband to Michal, an AMG physician at Affinity Urgent Care clinics.

“We love what Wisconsin has to offer,” he adds. “We enjoy going up north. As an avid fisherman and duck hunter, I love the outdoors and our boys are right there with me.”

The Slovicks joined Affinity Health System and planted themselves in the Fox Cities six years ago after completing their residencies at the University of Wisconsin Hospital and Clinics in Madison. Together, the Chicago natives – who met as first-year medical students at Loyola University Stritch School of Medicine – are cultivating a lifestyle balanced between busy medical careers and being good parents to their young sons.

They chose Northeast Wisconsin as the location of their profession in part because of the sense of balance they discovered in Appleton and the close proximity to Chicago. Impressed by the cultural and community resources that the Fox Cities offers, the duo also discovered it to be a great place to practice medicine and raise a family.

Both doctors commend their Affinity colleagues for their commitment to making a healthy work-family balance possible.

“Our partners have great relationships with their patients and the hospital, and also prioritize time with their families,” Michal says.

Though balance sometimes takes a bit of effort to achieve, as many working parents will attest, the Slovicks prioritize daily family activities that are especially evident in the evening. The collective interest in the garden often continues to the kitchen with the boys lending a hand with dinner.

The Slovicks make an effort to enjoy a home-cooked meal most evenings, using the time at the dinner table to catch up on what happened earlier in the day. Each family member takes turns answering questions, such as “What did you learn today?” and may be

Two Affinity Medical Group doctors juggle married life, busy careers and growing boys. While teaching the importance of family time and togetherness, balance remains a priority in the Slovick household.

asked to teach the others something new.The backyard garden, Ron adds, has made a difference in how Ben

and Charlie have grown to appreciate where food comes from. “I attribute their time helping out in the garden to their enjoying all

vegetables,” he explains. “Our kids will eat anything. They see it go into the ground, water it, take care of it and watch it grow. They’ll snap off a piece of broccoli and start chewing on it.”

When the doctors are not at work, their attention turns to family. “We do most everything with the boys,” Michal says. “Whether it’s

traveling, going on a bike ride, tending the garden or taking in a baseball game, we prioritize being together as a family.”

As Wisconsin’s weather warms, the activity schedules for a family obsessed with the outdoors heat up. Ben, who will be in second grade this fall, is playing soccer and baseball, and Ron wears the coaching hat. Most days, but especially on game day, it’s a family affair.

“Absolutely, every game,” Michal says. “We’re cheering. I’m chasing Charlie. We’re all there.”

As for the professional side of the balance? “Whenever you carry a pager, it’s unpredictable,” Ron says. He recalls, with a laugh, a spring day not too long ago when he was

called in to the hospital to do an emergency surgical procedure just as he was picking up the boys from school. At that particular moment his wife was driving home from a professional conference and it was time for soccer practice.

Michal says, “His car was running as I pulled in the driveway.” The boys hustled into Mom’s car, a fellow coach took over the reins of

the soccer practice, and Ron hurried to the hospital. Without skipping a beat, he arrived with time to spare.

Michal enjoys an entirely different kind of hustle and bustle. Following Charlie’s birth five years ago, Michal traded her family practice with its on-call responsibilities for a faster-paced environment at urgent care clinics in Appleton and Oshkosh. She values the opportunity to care for acutely-ill patients.

“When we were both on call it was tough to give the kids what we wanted to,” she says. “Now, I can fully devote myself to patient needs in the clinic, and when I get home, I can be a focused parent.”

Neither doctor would change a thing. “I love my patients,” Ron says. “I feel fortunate

to have such a great group of people to care for.”At the same time, Michal adds they are blessed

to have successfully intertwined extremely satisfying medical careers with the active, family-oriented lifestyle they desire.


“We do most everything with the boys. Whether it’s traveling, going on a bike ride, tending the garden or takingin a baseball game, we prioritize being together as a family.” — Michal SlOvick

Drs. Ronald and Michal Slovick with their sons Charlie (left) and Ben (right).


Finding this organization fit well with my own values, I decided to apply for a position on the board of directors. I joined several others from local Fox Cities companies – Affinity Health System now being one of them.

Since 2008, Affinity volunteers have participated in five Project Days. This year, our team participated in the rebuild of Verna’s home.

Verna has lived in her Appleton home for more than 50 years. As a business owner who came on to hard times a few years ago, she was faced with the hard financial decision to discontinue her health insurance. Shortly after, Verna became very ill and spent her savings on hospital bills. This left Verna in a predicament: a home in desperate need of repair without any financial resources.

giving back

Each issue, an Affinity Health System team member will share their story of volunteerism at a local nonprofit organization. Affinity is committed to supporting local organizations and charitable events aligned with our mission of providing services that promote the health and well-being of the communities we serve.

Many hands make light work

IT IS HARD TO BELIEVE FOUR yEARS HAVE PASSED SINCE I became a volunteer with Rebuilding Together Fox Valley (RTFV). The local nonprofit aims to preserve and revitalize homes and communities, ensuring low-income homeowners, specifically seniors and those with disabilities, can continue to live in warmth, safety and independence.

It was then that the St. Elizabeth Hospital Leadership Team was asked to participate in a project to help repair the home of a woman named June. The Appleton woman lived alone in a modest, two-story home that was in need of some TLC. She didn’t have the money or resources to make the repairs herself so she applied for assistance through RTFV.

After the screening process, June’s home qualified as a Project Day initiative - a spring day dedicated to a large-scale project. It was an eye opener; a leaky roof caused water damage to the interior walls and there was old wiring and plumbing that needed upgrading. We organized the team by talent and off we went to give this Rebuilding Together thing a shot.

After a couple of days of hard work, the home was renovated. The look of relief on June’s face and the tears of happiness flowing from her eyes was an experience that is difficult to match. That is the moment I became a believer in RTFV; I wanted to do more.

Not long after, I met with Kate Dugan, executive director of RTFV, and DeDe Heid, the president of the board, to discuss how I could get involved. We spent an hour over lunch discussing the organization’s mission, structure, Project Days, and year-long “quick fix” projects.

By Steve Kappell, director of facilitieS at St. elizaBeth hoSpitalPhotographs by Shane Van Boxtel, Image Studios

TK

(Upper left) Janine Boldra, manager of rehabilitation services at St. Elizabeth Hospital; (middle) Tara Pearce, marketing manager, and Alison Fiebig, publications coordinator, stain the garden bench; (lower left) Affinity volunteers replaced the living room floor; (right) Steve Kappell, Rebuilding Together Fox Valley team leader for Affinity


Foundations for Giving Back by alison Fiebig

SNAPSHOTestablished in 2001, Rebuilding Together Fox Valley (rTFv) is rebuilding and repairing the homes of those in need. a nonprofit, volunteer-based organization, rTFv improves mobility and accessibility while preserving affordable housing for homeowners who otherwise do not have the financial resources to make repairs or necessary home modifications.

each year, more than 1,000 people donate their time and talents to rTFv. The organization looks for both amateur and skilled volunteers. Skilled trade-people are essential to leading teams through the proper sequence of repairs in areas such as carpentry, electrical, painting, plumbing, roofing, masonry and landscaping.

To learn more about in-kind donations or volunteer opportunities with rTFv, call 920-730-2156 or visit www.rtfv.org.

Caring for Cancer: Mind, Body and Spirit

With their chairs forming a halo in the Mercy Oakwood rehab gym, a small group led by Donna chaltry, physical therapist at Mercy Medical center, segues into warm-ups: breathing exercises, shoulder circles, arm lifts and neck stretches. between

reports on the weather and how everyone is feeling, the Peace cancer exercise and relaxation Program gets underway.

The program (which stands for People exercising after cancer) started in December 2011 to improve endurance and balance, instill hope, and help cancer survivors manage their fatigue and stress. it’s modeled after Mercy’s Fitness for the Physically challenged Program and is fully-funded by Mercy health Foundation (MhF) donors.

“Our goal is to improve the quality of life in a positive group atmosphere,” says chaltry, a cancer survivor and educated cancer exercise specialist. “everybody wants hope. it’s refreshing to be surrounded by people going through the same thing.”

The program, which is individualized for a variety of fitness levels, starts with a warm-up (and conversation) and moves into strengthening, balance and cardio exercises. at the end of the session, chaltry has participants practice relaxation using guided imagery or gentle movements. Occasionally, guest speakers attend to discuss related health topics.

vicki Schorse, executive director of MhF, says they couldn’t wait to set this program in motion. “it complements the other enhancements we are working on for cancer care patients and

their families,” she says. “Peace is an example of how a small grant from contributed funds can make a difficult situation better for people in our community.”

bill Polzin, of Oshkosh, will testify to that.“i went through radiation twice; you lose a lot of strength and

it doesn’t come back,” says Polzin, Peace Program participant. “if you give up, what good are you?”

in part to support the rehabilitation needs that surface after the diagnoses and conditions of cancer, St. elizabeth hospital Foundation (SehF) funded a two-part oncology rehabilitation course for a group of 40 physical, occupational and speech therapists using the dollars raised at the 2010 Women’s golf and luncheon benefit.

“caring for cancer patients extends beyond technology and treatments,” says Tonya Dedering, executive director of SehF. “rehabilitation is a crucial piece to getting these people back to living and celebrating life.”

in the course, therapists acquired an in-depth knowledge of oncology exercise programs with manual therapy skills to ensure a comprehensive management approach for these patients.

“We identified cancer survivors as a growing population, especially at affinity,” says Wayne Winistorfer, director of rehabilitation services at St. elizabeth hospital. “We knew we had to do more for people so they can be well and thrive.”

Winistorfer acknowledges the course as the starting point for more oncology rehabilitation programs and services at affinity health System for cancer survivors, such as post-surgical treatment and cancer-related fatigue.

To make a tax-deductible, charitable donation to support these and other projects at Mercy health Foundation and St. elizabeth hospital Foundation, please visit www.affinityhealth.org and under ‘about Us’ click on ‘Foundations.’

Donna Chaltry helps Victor with his balance activity

On April 27, 2012, our team of 26 Affinity volunteers descended on Verna’s home, armed with everything from paint brushes to hammers.

As the saying goes, “many hands make light work.” Throughout the first day of the project, we painted the exterior of the home, installed seven new windows, tiled a shower, replaced a bathtub, installed new front and back doors, replaced the living room flooring due to trip hazards, and cleaned up the landscaping. As we worked, Verna chatted with each volunteer and expressed her gratitude.

Then, on May 5 – the official Project Day – we returned to finish the job. We gave the exterior of the home another coat of paint, installed a bathroom exhaust fan, grouted a shower, painted the interior window trim, painted both bathrooms and hallway ceilings, cleaned out the attic, and cleaned up our mess.

My co-workers and I discovered the powerful impact these projects have on others’ lives, making us excited for the next opportunity.

Affinity volunteers tidy the backyard


learn & live Education Happening at Affinity

Residents of the Fox ValleyDoctors-in-training complete their residency in our community

When Fox Valley folks think of local educational institutions, there are the obvious top dogs – Lawrence

University, Fox Valley Technical College and UW Oshkosh – but there is another shining star teaching the “art and heart of health care” in our community.

The UW Fox Valley Family Medicine Residency Program is in its 32nd academic year and has set the groundwork for outstanding emerging physicians. This August, the program will graduate its 30th class of residents.

Training takes place at the UW Health Fox Valley Clinic located downtown Appleton where approximately 7,000 patients receive primary care. The clinic houses 75 staff members, including family medicine faculty, 18 residents,

a mid-level clinician, clinical psychologist and health educator.

With only three years to learn what it takes to practice independently, the program is rigorous and covers a breadth of specialties. Curriculum is tailored to meet the interests of each resident and offer the greatest career flexibility after residency.

Residents complete their obstetrics, pediatric, surgery and emergency medicine rotations at St. Elizabeth Hospital. By the end of their third year, a resident has delivered 150 babies on average, which puts them in the top 10th precent for delivery volume among family medicine residency programs nationally – an ambitious accomplishment. In addition, residents fulfill their inpatient medicine teaching service, critical care rotations and a variety of electives at Appleton Medical Center; a two-month-long primary care rotation at Brewster Village in Appleton; and see patients

at the Fox Cities Community Health Center as part of the community medicine rotation.

“If you want to populate your community with family doctors, you bring people here and they stay,” says Dr. Lee Vogel, campus director for the Fox Valley Family Medicine Residency Program. “I truly believe residents learn an intimacy for patient care in this community and that helps them become better physicians.”

Two-thirds of residents stay within a 100-mile radius of their residency training. Of the 175 program graduates, 109 (62 percent) practice in the state of Wisconsin, 78 (45 percent) in Northeast Wisconsin, and 48 (27 percent) in the Fox Cities area.

Part of that 27 percent is Dr. Katie Jacobe, a UW Health family medicine provider, who graduated from the Fox Valley Family Medicine Residency Program in August 2011. Born and raised in Green Bay, she completed her undergraduate studies and medical school in Madison before returning to Northeast Wisconsin.

“Because I trained here, I was able to jump into my practice more easily,” she says. “I was exposed to the environment early on, such as negotiating the two health systems (Affinity Health System and ThedaCare) and understanding the logistics of how to get things done for patients.”

While practicing a full scope family medicine at the UW Health clinic, Dr. Jacobe also sees her patients when they are admitted to St. Elizabeth Hospital or Appleton Medical Center and uses the hospitals when it’s time to deliver a baby.

“We are always vetting the latest research and procedures,” she says. “In a way, it forces local providers to stay innovative. I chose to stay in this community because the residents push me to stay on top of what’s new.”

Building on personalized care, Dr. Jacobe’s practice is like that of the “golden days” of care. She views her physician role as one that is ever-evolving – dividing time between hospitals,

treating patients at the clinic and educating and supervising residents.

Certain there were ample opportunities to work side-by-side seasoned physicians in the community, Dr. Wendy Schroeder returned to the Fox Valley for her residency. Today, she is a family medicine physician at the Affinity Medical Group clinic in Greenville.

“Our community is an active participant in the future of medical care,” Dr. Schroeder says. “Graduates go on to care for the surrounding communities and around the world.”

The impact on patient care is substantial. An average physician takes care of 1,500-2,000 patients each year. In the last three decades, the residency program has graduated almost 50 who have remained in the community, caring for about 100,000 patients locally.

“The program keeps the whole community involved,” says Dr. Allen Last, program director for the Fox Valley Family Medicine Residency Program. “Both health systems are really outstanding in training our residents to be able to serve in many different positions in health care. They are building incredible role models in this leading edge of care.”

Little Chute Clinic» karen beutler, MD» Meena vir, MDKaukauna Clinic» nicole brady, MDGreenville Clinic» Wendy Schroeder, DO » John Steinlage, MD

Administrative Roles» lawrence Donatelle, MD

vice president of medical affairs for St. Elizabeth Hospital and senior director of Behavioral Health Services for Affinity Health System

The impact of the program is felt deeply at Affinity, with a number of Affinity Medical Group physicians having completed their residency at Fox Valley Family Medicine Residency Program:

Richmond Street Clinic, Appleton» karen adler-Fischer, MD» Maria editha bautista-Santos, MD» richard Johnson, MD » Sourasack vongsa, MDAirport Road Clinic, Menasha» Jeffrey bastasic, MD» lance grammont, DO» reid Sousek, MD

Dr. Katie Jacobe, family medicine

provider at UW Health

Dr. Wendy Schroeder, family medicine physician at Affinity Medical Group Greenville Clinic

by aliSOn Fiebig

i sk d

snail hopscotch

Draw a large dot on the ground. Then, draw a very large spiral board starting at the

circle and spiraling out to look like a snail’s shell. Make 3-4 large spirals around the center circle and divide the spirals into spaces about 12 – 14 inches apart. number each space. The first player hops on one foot

from the center circle to the end of the snail and back. if they make it without stepping on a line or losing their balance, they use sidewalk chalk to initial any space they want. no other player is allowed to jump on that space the rest of the game. The next player must hop on one foot from the center and back – jumping over

initialed spaces. if they make it then they may write their initials on any

square they choose. The person with the most initialed squares at

the end wins!

driveway baseball

Draw the playing field as shown (left). near the field, create a scoreboard.

have each player choose a stone and use chalk to decorate it with her team’s colors. The first player to bat stands or kneels at home plate and tries to land her stone on a spot indicating a hit. if she misses, it’s an out. if her stone lands on the target, the other player gets a chance to toss his stone on the same spot. a matching toss turns the hit into an out; a miss means the hit stands. Use other stones to mark the locations of base runners, and move them according to the results of the tosses. The winner is the team with the most runs after the designated number of innings.

summer on the sidewalks

Next time rain puts a damper on outdoor fun, try this do-it-yourself art

project – homemade chalk!

HOMEMADE CHALK RECIPEWhat you will need: • Toilet paper tubes• Scissors• Duct tape• Wax paper• Small bucket or disposable container• 3�4 c. of warm water• 1 1/2 c. Plaster of Paris• 2-3 Tbs. of tempera paint• Paper bag or a “mess mat”

STEP 1: cover one end of each tube with duct table to hold the mixture within.STEP 2: cut wax paper for your tubes. line the tubes by rolling the wax paper loosely and insert into the tubes. The wax paper liner will keep the chalk mixture from sticking to the cardboard tubes and will eventually be peeled off.STEP 3: Pour the warm water into your bucket. Sprinkle the Plaster of Paris over the water and stir. The Plaster of Paris starts hardening within 20-30 minutes (work fast so it doesn’t harden too quickly).STEP 4: Pour the tempera paint into the Plaster of Paris mixture and stir. For brighter colors, add more tempera paint into the mixture. if making a variety of colors of chalk, spoon about 1/2 to 3�4 cup of Plaster of Paris in separate containers and mix the colors in each bowl. STEP 5: Stand each tube with the tape side down on a cookie sheet. Pour the colored mixture into the tubes. release air bubbles by lightly tapping the sides of the tubes (to avoid having holes in your chalk). if you have multiple colors, make each mix one-by-one (otherwise the mixture hardens). Trim the excess wax paper so that it is closer to the cardboard tube.STEP 6: chalk dries in about 24-36 hours. On the last day of drying, peel off the duct tape so that the underside can dry. When the chalk is fully dried, peel off the paper tubes and wax paper. it’s ready!

*Source: Modern Homemade Child

No need to go far for fun! Head outside and dare your neighbor pals to play these chalk games right in the driveway (or a sidewalk will do).

Note to Parents: Kids who spend time outdoors not only burn more calories and make more vitamin D, but they also score higher on tests than kids who, on average, spend about six hours a day watching TV, playing video games or sitting in front of a computer.

*As reported by Richard Louv, author of “Last Child in the Woods: Saving Our Children From Nature-Deficit Disorder.”

chalk games

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Affinity Health System1570 Midway Pl.Menasha, WI 54952

sn@psWe don’t just care for the community,

we’re proud to be an active part of it.

Here is a glimpse of some of our recent

activities in the communities we serve.

On June 10, Affinity Health System invited cancer survivors, health care providers, family and friends to the 7th annual Cancer Survivors Day Celebration at Bridgewood Resort and Conference Center in Neenah. Guests enjoyed a heartfelt program, lunch, gifts and free chair massages by Affinity integrative medicine employees.

theMind~ of the ~

MatterLeigh Anne Tuohy, the inspiration behind the movie “The Blind Side,” shared her story at the Women’s Fund of the Oshkosh Area Community Foundation’s “Power of the Purse” biannual luncheon and evening event on Thursday, April 26. As a partnering sponsor, Affinity Health System team members took in her life lessons and celebrated the power of women.

Local families and kids attended the Ripon Noon Kiwanis Children’s Fair on Saturday, April 21, where Affinity Medical Group sponsored a health booth. Dr. Jeanne Lyke, pediatrician, and Angie Schoebel, health care associate – from the Affinity Medical Group Ripon Street Clinic – and Rich Hanson, marketing manager for Affinity Health System, played games with kids.

On Saturday, May 5, Affinity Medical Group’s Deerwood Clinic in Neenah hosted its annual “Protect Your Melon” event. Fang and several Timber Rattlers players, along with the Diablo Bike Racing Team from Cranked Bike Studio in Neenah, fitted helmets for 160 children and talked about bike safety.

Affinity Health System, along with ThedaCare, co-sponsors the Health Care Volunteer Award, which was presented on April 14 to Raymond Durkee during the 15th annual “Celebrating Our Volunteers” gala. Durkee received $5,000 to give to a local charity of his choice. Sponsored by the Community Foundation for the Fox Valley Region and The Post-Crescent, the event recognizes the humble work of our community members. We salute you!

Documents

@Affinity Magazine - Summer 2012 - The Mind of the Matter