Committed to the Health & Well-being of El Dorado County

FOCUS ONCARDIOVASCULAR

HEALTH

WInTEr 2012

Cardiac rehab gives local offi cial a new lease on life Stroke: What to Watch For heart Attack Symptoms in Men and Women

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2 For Your hEAlTh / www.marshallmedical.org

Marshall Medical Center’s hospital in Placerville is in the process of a structural, aes-thetic and technological makeover. A beautifi cation eff ort is happening along with on-going construction on the new patient wing, scheduled to open later by the Fall 2012.

In the hospital, many of the public waiting rooms received new furniture, fl ooring and paint, blinds and televisions to make visiting families more comfortable. new fl ooring and paint updated the inpatient wing. Environmen-tally friendly fl ooring has been installed along the main corridors of the hospital. Th e total ef-fect will be an earthy and soothing feel conducive to healing.

In terms of technology, Diagnostic Imaging has upgraded several systems, including adding a new nuclear medicine camera to provide the

highest quality images. Th e department also replaced its fl eet of ultrasound machines with the latest technology, including 3 and 4D imaging. In addition, a new x-ray room has been built with more capacity to accommodate emergency and hospital patients much more effi ciently.

In our Cameron Park Diagnostic Imaging facility, a new PET/CT scanner is being installed. When completed in March, 2012, Cameron Park PET/CT procedures will be expanded from two days to fi ve days a week.

ABOUT MARSHALL MEDICAL CENTER

Marshall Medical Center

is an independent,

nonprofi t community

healthcare provider located in

the heart of the Sierra Foothills

between Sacramento and

South Lake Tahoe. Marshall

Medical Center includes

Marshall Hospital, a fully

accredited acute care facility

with 105 beds located in

Placerville; several outpatient

facilities in Cameron Park,

El Dorado Hills, Placerville

and Georgetown; and many

community health and

education programs. Marshall

has over 200 board-certifi ed

physicians and a team of over

1,200 employees providing

quality healthcare services to

more than 150,000 residents

of El Dorado County.

For Your hEAlThis published as a community

service by

MARSHALL MEDICAL CENTER

1100 Marshall Way

Placerville, CA 95667

telephone 530-622-1441

or 916-933-0913;

www.marshallmedical.org

It is intended to provide

information about health in general

as well as healthcare services and

resources available in El Dorado

County. Information in For Your

Health comes from a wide range

of medical experts. If you have

any concerns or questions about

specifi c content that may affect

your health, please contact your

healthcare provider.

If you have questions, concerns

or suggestions for future topics,

contact the editor, Carrie Poggio,

at (530) 626-2816 or via email at

cpoggio@marshallmedical.org.

DID You knoW?

Marshall upgrades and Expands

For more detailed information about construction and progress at Marshall, visit www.marshallmedical.org or follow us on Facebook.com/marshallmedicalcenter, twitter.com/MarshallMedical orGoogle+ Marshall Medical Center.

Aerial view: This recent aerial view brings the hospital campus into focus, with the new wing being in the lower portion of the

photo. You can see how it nearly dwarfs the existing buildings.

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Timely treatment is important to all patients, but it’s critical for patients experiencing a stroke. That’s why Marshall Medical Center is applying for Primary Stroke Center certification. As a designated Primary Stroke Center, Marshall will participate in stroke prevention education for the community, adhere to

Millions of Americans diagnosed with heart and cardiovascular diseases can benefit from making healthy choices in their day-to-day lives. “While it’s necessary to take medications to lower high cholesterol or blood pressure, it’s equally important to have a healthy lifestyle,” says Marshall Cardiologist, Scott Yoder, M.D. “People who are informed and proactive when it comes to lowering their health risks are very likely to avoid heart disease and heart attacks.” By following these recommendations, people at normal risk for heart disease can reduce their risk and make their lives more enjoyable.

•Follow a healthy diet

•exercise more

•stop smoking

•learn to relax

•monitor your health

“Time lost is brain lost,” says Terra Nair, RN, Stroke Coordinator at Marshall. “Today there are treatments that can help reduce the risk of damage from most common strokes if given within hours of the start of symptoms. Marshall aims for certification by the end of 2012.”

time-sensitive treatment of stroke in the Emergency Department, and will provide the latest in follow-up care for stroke patients. A physician-led committee was formed to oversee quality and to ensure that stroke team members, who are comprised of medical specialists, nurses and support staff, respond appropriately to stroke situations.

hEAlTh knoW-hoW

Marshall working towardStroke Center Certification

Make your lifestyle Heart Healthy

Simply walking is a great way to get heart-healthy exercise into your life.

FACE: ask the person to smile. Does one side of the face droop?

ARMS: ask the person to raise both arms. Does one arm drift downward?

SPEECH: Ask the person to repeat a simple sentence. Are the words slurred? Can he or she repeat the sentence corectly?

TIME: If the person shows any of these symptoms, time is important be-caue brain cells are dying. Call 911 or get to a hospital FAST.

www.marshallmedical.org / For Your hEAlTh 3

Think FAST for Stroke Detection¹

¹(source: national Stroke Association)

Download the FAST Wallet Card to keep a reminder of stroke warning signs with you, visit http://www.stroke.org/site/DocServer/FAST_walletCard_2011.pdf?docID=8342

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It was just after lunchtime when he started to feel a bit off , as if the potato chips he ate with lunch were stuck, causing indigestion. Medi-cine wasn’t helping. “Th at evening, I couldn’t sleep,” recalled Jim. “Finally, at about mid-night, I turned to my wife helen and without my saying anything she looked at me and said, ‘We’re going to the hospital.’”

Jim came to Marshall Medical Center’s Emergency Department, where tests revealed an artery blockage. Jim was having a heart attack. “I was concerned and emotional. here I was, months away from my 50th birthday, 60 pounds overweight and lying in a hospital bed.” Something had to change. And change it did.

Jim was taken to a Sacramento-area hospital for an angioplasty and had a stent placed to remedy a narrowing coronary artery. As part of his treatment, his doctor referred him to Marshall’s Cardiac rehabilitation Program. Cardiac rehab is a medically supervised program that helps improve the health and well-being of people who have heart problems. rehab includes exercise training,

It was a beautiful summer afternoon, but to Jim Ware, something didn’t feel right...

HeartAttack

was a

WakeupCall

4 For Your hEAlTh / www.marshallmedical.org

marshall’s cardiac rehab exercise physiologist, reggie higashi, checks in

with Jim ware as he exercises in the gym.

cardiac rehab helped Jim recover from a heart attack and appreciate the value of a healthier diet and lifestyle.

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education on healthy living and counseling to reduce stress and to trigger an active lifestyle.

At fi rst, Jim was apprehensive. “I didn’t want to sit around with a bunch of 80-year-olds playing catch with a balloon,” he remembered. Jim was pleasantly surprised that cardiac rehab patients were of all ages and conditions. It wasn’t long before he fell into a regular routine of morning exercise and instruction before reporting to work each morning. At the end of his four-month cardiac rehabilitation program – a date that fell squarely on his 50th birthday -- Jim emerged 60 pounds lighter and with a new outlook on life.

“In those four months, I became so focused on my health and losing weight. “I’m an engineer—I assess the situation, gather information and implement a solution. Th ere was no

When you think heart attack, chest pain may be one of the classic symptoms that springs to mind. But for women, that often isn’t the case, warns Marshall Cardiologist, Scott vasconcellos, MD. “Studies have shown that especially for women, other symptoms are more prevalent, sometimes weeks prior to an actual acute myocardial infarction, commonly known as a ‘heart attack’,” he says.

A study by the national Institute of health found that 43% of women never experienced the classic “chest pain” symptom, which is the most common symptom in men.

FEATurE STorY

time for a pity party,” he said. “I’ve learned to eat well, exercise and limit red meat. I learned that every meal doesn’t have to be a feast, and that having a salad as a meal on occasion won’t kill you. I also learned to take time for myself. Work is important, but can’t be all-encompassing. I take a little more time for me.”

Th at outlook has been contagious. According to Jim, his episode has also served as a wakeup call to friends and family. “Folks tell me they have started to re-look at their lives, and have taken charge of their health. Th ey’ve contacted their doctor about taking assessments and tests. Th ey’ve started to walk and exercise more and eat better.”

It’s been a year since Jim graduated from Marshall’s Cardiac rehab program. he’s maintained his weight and lifestyle through a home exercise

www.marshallmedical.org / For Your hEAlTh 5

Jim Ware is the Director of the El Dorado County Department of Transportation (DoT). A heart attack survivor, Jim learned how to lead a healthy lifestyle with the help of Marshall’s Cardiac rehabilitation Program.

Marshall Cardiology Clinic1004 Fowler Way, Suite 4Placerville, CA 95667

3501 Palmer Drive, Suite 201Cameron Park, CA 95682530-626-9488

SCoTT A. vASConCElloS, MD

regimen and diet. “I learned so much from the program. Th ey taught me how to read labels, how to change my attitude about what I eat. I’ve surprised myself. And of course, I’m very happy to be where I am today.”

Heart Attack Symptoms: know What to Watch forSymptoms can be diff erent for men and women

MAJOR SYMPTOMS DURING A HEART ATTACK

WOMEN MEN

“Be aware of your risk factors for cardiovascular disease, including tobacco use, high blood pressure, high cholesterol and diabetes,” Dr. vasconcellos says. “And if you think you may be having a heart attack, don’t wait. Call 911.”

WOMEN’S HEART ATTACK SYMPTOMSPRIOR TO EVENT:•unusual Fatigue

•sleep disturbances/insomnia

•shortness oF breath

•indigestion

•anxiety

shortness of breath

weakness

unusual Fatique

cold sweat

dizziness/lightheadedness

chest pain

upper body/arm pain & discomfort

shortness of breath

cold sweat

dizziness/lightheadedness

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6 For Your hEAlTh / www.marshallmedical.org

According to the El Dorado County Services Department, 30 % of our population has some form of a cardiac condition. But rest assured that because of caring community members, donations made to the Marshall Foundation have made a huge difference for heart patients at Marshall Medical Center. Through philanthropy, the Marshall Cardiac Rehabilitation program has received new equipment such as a recumbent bike, treadmills with enhanced safety equipment, an elliptical machine, a Monark Arm Ergometer, weights, a professional scale and resistance balls. Donations also fund special health education classes as well as transportation vouchers for patients.

FounDATIon nEWS

www.marshallfound.org

Funding programs that care for people

For further information on giving opportunities, please contact Executive Director Karen Good,

CFRM at Marshall Foundation,530-642-9984 or visit us on the web at

www.marshallfound.org

Gifts at Work...Philanthropy Matters to heart Patients

With heart disease and cancer as the fi rst and second causes of death in our area, the Cardiac Rehabilitation Department at Marshall endeavors to improve both mind and body. Quality of life is greatly improved when patients exercise regularly and follow a healthy lifestyle. As hundreds of patients attend Cardiac Rehabilitation every year and benefi t both emotionally and physically through the caring and professional environment, the need for fi nancial support is increased signifi cantly.

“It’s all about a team effort,” contends donor Angelo Cardanini, who regularly attends the program. He has seen the value of supporting the continuing needs since 2003. Angelo has observed fi rst-hand how patients improve noticeably when donor dollars provide the latest technology in rehab equipment. Combined with caring staff that provide quality, comprehensive education by promoting heart healthy lifestyle habits in a supportive and caring manner, teaming up with donors enhances excellence for our patients.

Many of the patients enrolled in Cardiac Rehab have multiple medical problems. Some patients have a history of or are

currently suffering from cancer. And recent studies have shown decreased mortality rate for prostate cancer patients who regularly exercise.

Often, aggressive breast cancer can only be treated with chemotherapy drugs that damage the heart muscle. These patients are monitored closely in Cardiac Rehab and may have to make a choice between further damage to the heart muscle through chemotherapy or discontinuing chemotherapy and risking death. These patients greatly benefi t from the new Monark Arm Ergometer that was recently purchased through a grant from Marshall Foundation. Not only will this device condition the heart, but it will improve the range of motion and strength of the affected arm.

Former patient Ken Lee remembers, “After suffering a heart attack, it was a diffi cult time for me, and I would not have recovered as well as I did without Cardiac Rehab. I remember a woman who came into the class that could not walk without assistance, but within a year she was able to walk across the room unassisted.”

Philanthropy makes a difference every day. Please join our community donors in providing the very best resources available. Your donations to Marshall Foundation may be sent to P.o. Box 1996, Placerville, CA 95667 or donate online at www.marshallfound.org.

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www.marshallmedical.org / For Your hEAlTh 7

MAkIng ChAngES

2 servingsPreparation Time: 15 minutes

nutrition profi le:Per serving:345 calories19 g fat ( 10 g sat, 2 g mono )20 mg cholesterol54 g carbohydrates4 g protein7 g fi ber81 mg sodium382 mg potassium.

nutrition bonus:Vitamin C (90% daily value).Carbohydrate Servings: 3

INGREDIENTS• 3 ounces bittersweet chocolate, chopped• 2 tablespoons heavy cream (or substitute nonfat yogurt or low

fat soy milk instead)• 1 tablespoon brewed espresso or instant espresso powder• 1/2 teaspoon vanilla extract• Pinch of salt• 1 banana, peeled and cut into 8 pieces• 8 1-inch chunks fresh pineapple• 4 strawberries

Place chocolate, cream, espresso, vanilla and salt in a medium microwave-safe bowl; microwave on Medium, stirring every 20 seconds, until melted, 1 to 2 minutes.Pour the chocolate mixture into a serving bowl. Serve with fruit.

TIPS & NOTESYou’ll need fondue forks or bamboo skewers.no Microwave? Place chopped chocolate in the top of a double boiler over hot, but not boiling water. gently stir until almost melted. remove from the heat and stir until the chocolate melts completely. Adapted from:http://www.webmd.com/diet/news/20030827/dark-chocolate-is-healthy-chocolate

http://www.eatingwell.com/recipes/chocolate_fondue.html_0

Marshall general Surgery:941 Spring St.Placerville, CA 95667530-626-3682

new healthcare Providers

Sangeetha Balakrishnan, MD (Cardiology)Marshall Cardiology1004 Fowler Way #4Placerville, CA 95667530-626-9488Photo not available at press time

Welcome,Marshall General SurgeryEffective December 1, three established general surgeons joined with Marshall to form Marshall General Surgery. We welcome them and look forward to continue providing excellent surgical care.

Richard Detwiler, MD Marshall GeneralSurgery Clinic941 Spring St., Suite 1Placerville, CA 95667530-626-3682

Robin Locke, MD Marshall GeneralSurgery Clinic941 Spring St., Suite APlacerville, CA 95667530-626-3682

Craig Thayer, MD Marshall GeneralSurgery Clinic941 Spring St., Suite APlacerville, CA 95667530-626-3682

Valentine’s Day Fondueheart healthyand romantic

nutrition profi le:

19 g fat ( 10 g sat, 2 g mono )19 g fat ( 10 g sat, 2 g mono )20 mg cholesterol54 g carbohydrates

81 mg sodium382 mg potassium.

nutrition bonus:Vitamin C (90% daily value).Carbohydrate Servings: 3

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8 For Your hEAlTh / www.marshallmedical.org

SToP SMokIng - SMokIng CESSATIon ProgrAM Pre-registration required and space is limited. Call 530-626-2990 for more information.Fee: $75Partial scholarships are available through a generous grant from The Marshall Foundation for Community health.

WoMEn & ChIlDrEn’S SErvICEShealthy pregnancy Designed for women who are thinking about becoming pregnant or have recently become pregnant, the class focuses on nutrition and exercise, fetal development, prenatal tests, hazards to avoid and preventing preterm labor.Tuesday, April 10 Tuesday, June 12 7-9 p.m.(funded by generous grant from Marshall Foundation for Community Health)

childbirth education 6-week seriesThis class provides information on labor, delivery and postpartum issues.Thursdays, January 15-Febuary 9Fee: $70childbirth education 1-Day IntensiveA custom designed childbirth class for those who do not have the time for the traditional 6-week class format.Saturday, February 11 Saturday, March 17 Saturday, May 12 Saturday, June 9 9:00 a.m. - 3:30 p.m.Fee: $60

the breastFeeding experience This class will help you understand breastfeeding, learn techniques and positions, and will give you the confidence to handle common breastfeeding challenges.Wednesday, March 7 Wednesday, May 9 7-9 p.m.Fee: $25baby basics This class reviews basic newborn care for the first few weeks of life. Topics include newborn characteristics, physical and emotional needs of the baby, as well as health and safety skills.Wednesday, February 1 Wednesday, April 4 Wednesday, June 6 7-9 p.m.Fee: $25super sitters This fun, interactive class teaches boys and girls, ages 11 to 15, how to become competent and responsible baby-sitters.Saturday, March 24 Saturday, June 16 9 a.m.-3 p.m.Fee: $50

DIABETES AnD nuTrITIon EDuCATIonlive your best life with diabetes! our classes can help you gain the knowledge and tools to remain motivated with your healthy lifestyle in the days and years ahead.healthy living with diabetes: a Four class series on diabetes and nutrition

Healthy Living Class #1: Diabetes Essentials You will gain a better understanding of:• What diabetes is • Controlling blood glucose levels • Using your meter effectively Wednesday, February 29, 1-3 p.m. Monday, March 26, 6-8 p.m.

Monday, May 21, 9:30-11:30 a.m.Healthy Living Class #2: Carbohydrates, Food & You This class will provide you with the information on:• Making carbohydrates work for you • Meal planning • Managing your weightTuesday, February 14, 9:30-11:30 a.m. Wednesday, March 21, 1-3 p.m. Wednesday, May 2, 6-8 p.m. Tuesday, June 5, 9:30-11:30 a.m.Healthy Living Class #3: Gaining Better Control • Making sense of your blood glucose numbers • Medication options • Tips on eating outWednesday, February 1, 9:30-11:30 a.m. Tuesday, March 13, 1-3 p.m. Wednesday, May 9, 9:30-11:30 a.mHealthy Living Class #4: Your Plan for Success • Reducing your risk of long term complications • Exercise, make it work for you • Staying motivated • Diabetes and emotionsMonday February 20, 9:30-11:30 a.m. Wednesday, April 25, 1-3 p.m. Wednesday, June 13, 6-8 p.m.insulin essentials • The benefits of insulin • Gaining better control • Achieving a balance Dates not available at time of printingweight management class Stay motivated as you integrate exercise, weight loss and healthy eating into your life in the days and years ahead.• Lose weight and keep it off • Learn meal planning • Strategies for eating out • Making positive lifestyle changes Dates not available at time of printingCall 530-672-7021 for more information.

Marshall health & Wellness Programs & ClassesMarshall’s programs can help you get healthy and stay healthy. Offering services for all ages and stages of life, we hope to see you at one or more of the classes below. Our Community Health Education Classes include Smoking Cessation and Childbirth related classes, in addition to a babysitting class. Call 530-626-2990 for more information and to register. We also offer diabetes and Nutrition Education through our Physician Clinic Services. Call 530-672-7021 for more information.

ProgrAMS & ClASSES

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