A Hometown Hero Earns Dignity Health, YRMC’s 2021 Physician of the Year Recognition
The Dignity Health, Yavapai Regional Medical Center (YRMC) 2021 Total Healing Environment Physician of the Year, Ronael Eckman, MD, is challenging the old saying that no one is a hero in their own country, or in this case, their community. “I’m a third-generation native of Yavapai County and a fourth-generation resident,” says Dr. Eckman, who grew up in the Verde Valley. “It was important to me to serve my community and the county by coming home to practice medicine.” Dr. Eckman graduated in 2007 from the University of Arizona College of Medicine in Tucson. She then undertook a three-year pediatric residency at Phoenix Children’s Hospital. By the fall of 2010, Dr. Eckman was back in Yavapai County caring for newborns and young children at Dignity Health, Yavapai Regional Medical Group (YRMG), Ponderosa Pediatrics in Prescott. Combining Medicine and Technology But, Dr. Eckman didn’t stop there. She became interested in how information systems and clinical data can be used to improve patient care and inform healthcare decisions. This inspired her to pursue certification in Clinical Informatics from the American Board of Preventive Medicine. Soon, Dr. Eckman was serving her community in a dual role: As YRMC’s Chief Medical Information Officer (CMIO) and as a pediatrician. Her knowledge and experience as YRMC’s CMIO have been particularly valuable during the COVID-19 pandemic. “Dr. Eckman has been at the center of every innovative response developed to care for the people of our community during the pandemic,” says John Amos, President and CEO, Dignity Health, YRMC. “Her colleagues witnessed her tireless efforts to protect the health of our community this past year. They’re acknowledging that extraordinary work with the 2021 Physician of the Year recognition.” Some of Dr. Eckman’s recent achievements include coordinating, launching and managing: A monoclonal antibody therapy program for people with COVID-19. Telehealth virtual visits for all YRMG clinics. Remote monitoring of eligible COVID-19 patients. A community COVID-19 vaccination site. Friends & Family “There are many people – administrators, employees, physicians, and even my own family members – who have, in different ways, worked hard to ensure the success of these initiatives,” Dr. Eckman says. “The collaboration on these projects has been intense. They’ve stretched all of us. I’m so grateful to everyone who has helped make these important initiatives a reality for our community.” YRMC’s Total Healing Environment Physician of the Year is selected annually by YRMC employees and medical staff and presented to a physician who: Provides excellent patient care. Demonstrates sensitivity to patients’ needs and desires. Fosters positive relationships with employees and volunteers. Shows respect to all and is a team player. Takes pride in YRMC and the community.
Longtime Smokers: Learn about Lung Cancer Screening
Early and regular screening has made lung cancer – the leading cause of all cancer deaths – a potentially curable disease. With low-dose computed tomography (LDCT), 80 percent of lung cancers detected early can be cured. “This is a giant leap forward for many reasons,” says Sierra-Amber Mabry, RT, Prescott Medical Imaging (PMI) at Dignity Health, Yavapai Regional Medical Center (YRMC). “LDCT not only catches lung cancer early, the screening exam also uses a very low dose of radiation.” LDCT is available at both Dignity Health Imaging Centers — Prescott Medical Imaging and Prescott Valley Medical Imaging (PVMI). The radiologic technologists from PMI and PVMI are enthusiastic supporters of LDCT and YRMC’s Lung Cancer Screening and Care program. Do you think LDCT would be good for you or someone important to you? Check out the Healthy Conversations video below to learn how Mabry and the PMI-PVMI team make the process easy for you. How does LDCT work? The technical definition of LDCT includes a CT scan – a diagnostic tool that combines special x-ray equipment with sophisticated computers – which takes cross-sectional pictures of the lungs. Mabry’s explanation of LDCT, however, is more patient friendly. “I explain LDCT by comparing the body, particularly the chest area, to a loaf of bread,” Mabry says. “To study a certain area within the chest cavity, the LDCT images are sliced into pieces, much like a loaf a bread. Our radiologists are then able to pull out a single slice from the loaf, examine that slice, return it to the loaf, then pull out another slice, and so on.” LDCT can detect nodules and other issues while using 90 percent less radiation than a conventional chest CT scan. Making LDCT easy for you PMI-PVMI radiologic technologists are experts at alleviating any concerns people may have about their LDCT. Are you worried the CT scan equipment may make you claustrophobic? Mabry and other radiologic technologists are ready with a warm or cool washcloth to cover your eyes. They’re also good at talking people through the exams. And, you can ask your physician for a prescription to relax you before you arrive for your LDCT. “The actual exam only takes eight seconds,” she says. “That’s a surprise to people. So with registration, changing in and out of a gown, and positioning on the table, people are usually out the door and on with their day in about 30 minutes.” If it’s your first LDCT, just prior to your exam you’ll meet briefly with Jennifer Harvey, RN, Patient Navigator for YRMC’s Lung Cancer Screening and Care program. She will answer questions about LDCT and discuss the Lung Cancer Screening and Care program. Getting screened for lung cancer Are you eligible for a LDCT? The best way to find out, is to contact YRMC’s Lung Cancer Screening and Care patient navigator. But basically, the program includes people who are: Current smokers or smokers who have quit in the last 15 years 55 – 77 years of age and in some cases 50 – 80 years of age Free of any lung cancer symptoms with no prior lung cancers Heavy smokers (1 pack a day for 30 years or the equivalent) For more information about LDCT, speak with your primary care provider or contact: Lung Cancer Screening and Care program at (928) 771-5454 PMI or PVMI at (928) 771-4728
Woodruff Family Conference Center Dedicated at Dignity Health, YRMC West
Benny and Ellen Benson at the newly dedicated Woodruff Family Conference Center, Dignity Health, Yavapai Regional Medical Center On December 7th, family and friends of Bob and Margaret Woodruff, together with members of the Yavapai Regional Medical Center (YRMC) Foundation (a member of Dignity Health), the YRMC Foundation Board and YRMC leadership, gathered at YRMC’s new Outpatient Services Building for the dedication of the Woodruff Family Conference Center. The Woodruffs moved to the Prescott community in the early 1980’s. Being recently retired, they quickly adopted Prescott as their new hometown and became involved in many local activities. In addition, they volunteered for community service organizations including Friends of the Library, Meals on Wheels, and Yavapai Regional Medical Center. Their daughter, Ellen Benson, noted, “My mother and father believed that it is through kindness and helping others, using the grace we have been given, that we meet the world in its needs. When my parents decided to include the Medical Center as a beneficiary of their estate, they did so knowing their gift would be invested wisely.” Ellen recognized the knowledge and learning that will be shared in the new Conference Center will enrich the lives of the people of our community and is a wonderful tribute to the legacy of Margaret and Bob. The Woodruff Family Conference Center is located on the first floor of the newly completed Outpatient Services Building at YRMC’s Prescott campus. The Conference Center, fully equipped with state-of-the-art conferencing technology, includes a multipurpose lecture room, two classrooms and a demonstration kitchen. “The Woodruff family has honored our organization and our community through their kindness and generosity,” said YRMC Foundation Executive Director Robbie Nicol. “The Center will serve as the hub for the continuous education of our staff, ensuring the ongoing delivery of quality and compassionate patient care. Additionally, it will be a gathering place for our community, a place for learning where community members can enjoy educational programs such as YRMC’s Healthy Conversations speaker series and the ‘Your Healthy Kitchen’ programs.” To learn more about community education at YRMC or to speak with a YRMC Foundation staff member, please contact (928) 771–5686 or foundation@yrmc.org, or visit www.yrmcfoundation.org.
Fork in the Road Restaurants Help “Boot Out Cancer” with Support for YRMC’s Breast Care Center
Pictured left to right: David Beasar, The Office Cantina; Mary Mallory, YRMC Foundation Board; Joe Terrinoni, Fork in the Road; Dr. LaNette Smith, YRMC Breast Surgeon; Bill Sonsin, YRMC Foundation Board Secretary/Treasurer; Wendy Price, Fork in the Road; Dave Barrett, YRMC Foundation Board Chair; Krystal Burge, Desert De Oro Foods; Chad Burge, Desert De Oro Foods. Members of Desert De Oro Foods, Inc. and the Yavapai Regional Medical Center (YRMC) Foundation, a member of Dignity Health, met recently to celebrate the success of this year’s “Boot Out Cancer” fundraising program to benefit the Breast Care Center at Dignity Health, Yavapai Regional Medical Center (YRMC). Krystal Burge, co-owner of Fork in the Road Restaurants, presented a check in the amount of $27,695 to Dave Barrett, Chair of the YRMC Foundation and YRMC breast surgeon Dr. LaNette Smith in support of the Center. Boot Out Cancer is an annual fundraiser held by Desert De Oro’s Fork in the Road restaurants including the Gurley St. Grill, Murphy’s and The Office Cantina during October to raise funds for YRMC patients with needs related to breast cancer. The tradition started 14 years ago to honor Sonya Peterson, Mark Peterson and Krystal Burge’s mother, who bravely fought a 20-year battle with breast cancer. Mark and Krystal wanted to help our communities where others may need support, and they match all funds raised at 100%. The Boot Out Cancer program has raised more than $125,000 in charitable support for the Breast Care Center. “We thank our employees and guests at all of our restaurants who support this journey with their donations each October in memory of our mother. We hope this tradition has improved the quality of lives of those who have been affected by breast cancer,” says Ms. Burge. Funds donated to the Breast Care Center are used to provide screening mammograms for those without insurance, essential health support for breast cancer patients including food cards, transportation vouchers and wigs, as well as continuing staff education. They also help ensure the Center has the latest technology, including the recent purchase of ultrasound units designed specifically for breast imaging. To learn more about the Breast Care Center at YRMC or to speak with a YRMC Foundation staff member, please contact (928) 771–5686 or foundation@yrmc.org or visit www.yrmcfoundation.org.
Healthy Conversations Explores a Revolutionary Hip Replacement Surgery
Total hip replacement surgery was so revolutionary in the 1990s that it was coined “the surgery of the century.” Since then, this quality-of-life enhancing procedure has continued to advance. The most recent innovation? A minimally invasive procedure called anterior-approach hip replacement, which appears to offer even greater improvement to the already groundbreaking hip replacement of the 1990s. “Anterior-approach hip replacement is a beautiful procedure,” says Jason Weisstein, MD, MPH, FACS, Orthopedic Surgeon at Dignity Health, Yavapai Regional Medical Group (YRMG). “I say this because unlike other types of hip replacement surgery, it’s a muscle-sparing procedure. That means the orthopedic surgeon goes through natural muscle planes rather than directly through muscle fiber.” This “gentler” approach – also called the mini-anterior approach hip replacement or muscle-sparing hip replacement – is popular among patients. That’s because the recovery is fast, pain is minimal and the results are excellent. According to Dr. Weisstein – an anterior-approach hip replacement expert – patients typically return home the day of surgery and without a list of precautions in hand. Because no tendons are detached during the procedure, people are able to resume their regular daily activities immediately. Six-to-eight weeks after surgery, most are back on the golf course, pickleball court or enjoying other favorite activities. Check Out this “Healthy Conversations” In addition to anterior-approach hip replacement, during “Farewell to Hip Arthritis … Hello to Hip Health,” Dr. Weisstein also discusses: The causes of hip arthritis Non-surgical strategies for treating the condition How to decide if you need a hip replacement Questions to ask your orthopedic surgeon about hip replacement Choosing the Hip Replacement that’s Right for You Among the most positive aspects of hip replacement surgery is the availability of different options that suit the unique needs of every individual. In addition to anterior-approach hip replacement, patients may undergo: Posterior-approach hip replacement – This is the most common hip replacement surgery and as the name suggests, it involves an incision on the back of the hip. Lateral-approach hip replacement – During this surgery, the least common of the three procedures, the hip is replaced through an incision on the side. Studies show hip replacement surgery has an unprecedented 95 percent success rate. Additionally, 90 percent of artificial hips still function more than 20 years after surgery. Dr. Weisstein: An Expert in Anterior-Approach Hip Replacement Only 10-20 percent of orthopedic surgeons nationwide perform anterior-approach hip replacement surgery. The reason? Anterior-approach hip replacement requires special training and is challenging to master. “After an orthopedic surgeon undergoes training for anterior-approach hip replacement, there’s a steep learning curve,” explains Dr. Weisstein. “By that I don’t mean performing five or 10 surgeries. I mean 100 to 200 surgeries.” Dr. Weisstein has successfully performed nearly 2,000 anterior-approach hip replacement surgeries. During the procedure, he uses the Hana® table, a specially designed surgical table needed to perform the surgery. The Hana® table is available at both Dignity Health, Yavapai Regional Medical Center (YRMC) campuses. Schedule an Appointment To schedule an appointment with Dr. Weisstein, speak to your physician or call YRMG, Orthopedic Surgery at (928) 708-4545. Dr. Weisstein’s office is located in suite 1300 of the recently opened Outpatient Services Building West, on the campus of YRMC West in Prescott. For more information about YRMG, Orthopedic Surgery, visit our web community.
Capital Canyon Club’s “Swing Fore the Cure” Raises Nearly $30,000 for the Breast Care Center at YRMC
Pink was the color of the day on October 7th as nearly 100 members of the Capital Canyon Club teed off in the “Swing Fore the Cure” golf tournament that raised $29,484 for the Breast Care Center at Dignity Health, Yavapai Regional Medical Center (YRMC). “This was the first time we had come together to organize such an event, so our committee set a modest goal. We hoped, with fingers crossed, to raise perhaps $15,000,” said event Chair Judith Hinds. “We were overwhelmed by the enthusiasm and generosity of our Club members and our sponsors. In addition to exceeding our fundraising goal, the event generated such a warm feeling of community and purpose that was both inspirational and gratifying.” The Breast Care Center at YRMC was established in 2013 in response to studies that indicated Yavapai County had the highest incidence of breast cancer in Arizona. Today, the Center’s multidisciplinary team – physicians, nurses, imaging professionals, volunteers and more – provides comprehensive and coordinated breast care in a compassionate and supportive environment. In 2020, the Center provided care to more than 10,000 patients. In addition to raising philanthropic support for the Center, Club members wanted to use the tournament as a vehicle to increase community awareness about breast health. “We worked with the Foundation staff to produce a 19-minute breast health education video that we played at our registration table and at our luncheon and awards program,” said committee member Teresa Busser. “Additionally, we set up a breast health information table for event participants displaying information about breast self-examination, breast screening guidelines, lifestyle habits that protect against breast cancer and Breast Care Center services.” Capital Canyon Club’s “Swing Fore the Cure” committee presents the YRMC Breast Care Center a check for the proceeds from their event. Pictured left to right: John Goodenow (Director of Philanthropy, YRMC), Laura Scrivner, Dr. LaNette Smith (Breast Surgeon, YRMC Breast Care Center), Robbie Nicol (Executive Director, YRMC Foundation), Dave Barrett (Chair, YRMC Foundation), Judith Hinds, Teresa Busser, Pam Mitchell, Keith Seppanen, Kathleen Seppanen, Michael Longoria and David Loomis (not pictured: Terri Gallagher). “Our hearts are filled with gratitude,” said the YRMC Foundation’s Executive Director, Robbie Nicol. “We are so appreciative of the Club’s members and staff for hosting such a wonderful event. The money raised through the event will positively impact thousands of lives here in our community.” The YRMC Foundation’s Breast Care Center Fund supports the purchase of the latest medical technology and essential health supports for patients undergoing treatment who have limited resources and are at risk. Professional staff education and the Center’s breast health community outreach initiatives are also supported through our community’s charitable support. To learn more about the Breast Care Center at YRMC or to speak with a YRMC Foundation staff member, please contact (928) 771–5686 or foundation@yrmc.org, or visit YRMCFoundation.org.
Fabulous and Gluten Free – Holiday Cookies Everyone will Love
It’s holiday baking time, and lots of folks are looking for recipes that are decadent, delicious, and gluten free. Here at YRMC’s Your Healthy Kitchen, I’ve been testing gluten free chocolate chip cookie recipes for weeks, and have two great recipes to share. The first utilizes a variety of gluten free flours, including white and brown rice, potato and tapioca to create a buttery, crisp Tollhouse cookie that is pretty close to the original. The second is based on a simple blend of almond flour and oats, which results in a cake-like cookie that is satisfying, rich, and even a bit nutritious! Check them both out here, in our latest video, where you’ll also learn about gluten, gluten free flours, and tips for gluten free baking success. Recipe: Gluten Free Chocolate Chip Walnut Cookies Recipe: Gluten Free Oatmeal Chocolate Chip Cookies Remember to view all of our Your Healthy Kitchen videos and recipes at yrmchealthconnect.org. You’ll find something for everyone, including more great holiday recipes for soups, snacks, and dessert. You can follow me on Facebook too, at YRMC’s Your Healthy Kitchen, to see what I’m making at home this holiday season. Happy and healthy holidays!
A Re-Brand for a Common Group of Venous Disorders
Marketing professionals call it “brand recognition.” It’s consumer recall of a product – athletic shoes, a local coffee shop, or even the Olympics – by its name, logo or other characteristics. When medical experts gather for a similar discussion about a health condition, the stakes must be particularly high. In fact, it was the increasing frequency of certain venous conditions, and their lack of diagnosis, that led the American Vein and Lymphatic Society to convene an international, multidisciplinary panel. Their mission? To rebrand the conditions historically known as: May-Thurner syndrome, nutcracker syndrome, and pelvic congestion. “Those outdated names were actually hindering the diagnosis and treatment of a group of medical conditions.” says Anil Kumar, MD, MRCP, FACC, RPVI, RPhS, Medical Director, The Vein Center at Dignity Health, Yavapai Regional Medical Center (YRMC). “That’s why vascular surgeons, vein specialists and radiologists came together to give them a contemporary, understandable and meaningful name.” Dr. Kumar and other vein specialists hope the name refresh – pelvic venous disorders (PeVD) – is one patients will feel more compelled to discuss with their respective providers. The causes and symptoms of PeVD According to Dr. Kumar, PeVD is caused by varicose veins that develop in the body’s pelvis region and other unusual locations, including, for example, the abdomen (below the navel) as well as the upper thighs and groin area. It’s also a painful condition. “My patients describe their pain as a diffuse achiness or heaviness in lower back and pelvic area,” Dr. Kumar says. “It’s most noticeable during prolonged standing or periods of inactivity. It is worse at the end of the day. Usually the pain subsides after lying down or elevating the legs and pelvis.” Other PeVD-related symptoms may include: Swelling in one leg but not the other Blood in the urine Pain, discomfort or itching in the pelvic region Frequent urination (tests indicate no infection is present) Numbness at the base of the spine (even though an MRI does not show nerve compression or restriction in the back) Hemorrhoids Irritable bowel syndrome “Sometimes the only symptom, in addition to pain, is a subtle asymmetry of the legs. This is why we measure patients’ legs at the Vein Center,” explains Dr. Kumar. PeVD: From Pregnancy through Perimenopause PeVD often develops during pregnancy, when the body produces additional hormones. Women may find new veins in their lower abdomen, upper groin or buttocks area. These are frequently dismissed as temporary. “In reality, these women should be referred to a vascular or vein specialist at that time or following their pregnancy,” Dr. Kumar says. “PeVD will often continue to develop gradually in the decades that follow a pregnancy and become more pronounced with menopause.” This is why PeVD mostly affects postmenopausal women who have had multiple pregnancies. However, women in their 20s – who have not had children – may also experience PeVD . Unfortunately, the condition is frequently undiagnosed, even in patients who have classic symptoms. According to Dr. Kumar, this leads some people to pursue answers from pain experts, urologists, neurologists and psychiatrists. Diagnosing and Treating PeVD Diagnosing PeVD at the Vein Center begins with a thorough medical history, examination and an ultrasound study. It also involves education. Patients learn how to manage their PeVD and the associated pain by: Lying down and elevating their legs and pelvis Learning specific pelvic exercises Wearing compression pantyhose The Vein Center collaborates with a vascular surgeon and interventional radiologists for treatment of advanced PeVD cases. “PeVD is not simple to diagnose,” Dr. Kumar says. “It can involve many symptoms that when put together add up to a proper diagnosis. That’s the first step to making a big difference in someone’s life.” And that is something Dr. Kumar hopes will soon be part of the PeVD brand. For more information about PeVD, talk to your physician or call the Vein Center at YRMC at (928) 759-5890.
Fork in the Road Restaurants Help “Boot Out Cancer” with Support for YRMC’s Breast Care Center
Pictured left to right: David Beasar, The Office Cantina; Mary Mallory, YRMC Foundation Board; Joe Terrinoni, Fork in the Road; Dr. LaNette Smith, YRMC Breast Surgeon; Bill Sonsin, YRMC Foundation Board Secretary/Treasurer; Wendy Price, Fork in the Road; Dave Barrett, YRMC Foundation Board Chair; Krystal Burge, Desert De Oro Foods; Chad Burge, Desert De Oro Foods. Members of Desert De Oro Foods, Inc. and the Yavapai Regional Medical Center (YRMC) Foundation, a member of Dignity Health, met recently to celebrate the success of this year’s “Boot Out Cancer” fundraising program to benefit the Breast Care Center at Dignity Health, Yavapai Regional Medical Center (YRMC). Krystal Burge, co-owner of Fork in the Road Restaurants, presented a check in the amount of $27,695 to Dave Barrett, Chair of the YRMC Foundation and YRMC breast surgeon Dr. LaNette Smith in support of the Center. Boot Out Cancer is an annual fundraiser held by Desert De Oro’s Fork in the Road restaurants including the Gurley St. Grill, Murphy’s and The Office Cantina during October to raise funds for YRMC patients with needs related to breast cancer. The tradition started 14 years ago to honor Sonya Peterson, Mark Peterson and Krystal Burge’s mother, who bravely fought a 20-year battle with breast cancer. Mark and Krystal wanted to help our communities where others may need support, and they match all funds raised at 100%. The Boot Out Cancer program has raised more than $125,000 in charitable support for the Breast Care Center. “We thank our employees and guests at all of our restaurants who support this journey with their donations each October in memory of our mother. We hope this tradition has improved the quality of lives of those who have been affected by breast cancer,” says Ms. Burge. Funds donated to the Breast Care Center are used to provide screening mammograms for those without insurance, essential health support for breast cancer patients including food cards, transportation vouchers and wigs, as well as continuing staff education. They also help ensure the Center has the latest technology, including the recent purchase of ultrasound units designed specifically for breast imaging. To learn more about the Breast Care Center at YRMC or to speak with a YRMC Foundation staff member, please contact (928) 771–5686 or foundation@yrmc.org or visit www.yrmcfoundation.org.
Capital Canyon Club’s “Swing Fore the Cure” Raises Nearly $30,000 for the Breast Care Center at YRMC
Pink was the color of the day on October 7th as nearly 100 members of the Capital Canyon Club teed off in the “Swing Fore the Cure” golf tournament that raised $29,484 for the Breast Care Center at Dignity Health, Yavapai Regional Medical Center (YRMC). “This was the first time we had come together to organize such an event, so our committee set a modest goal. We hoped, with fingers crossed, to raise perhaps $15,000,” said event Chair Judith Hinds. “We were overwhelmed by the enthusiasm and generosity of our Club members and our sponsors. In addition to exceeding our fundraising goal, the event generated such a warm feeling of community and purpose that was both inspirational and gratifying.” The Breast Care Center at YRMC was established in 2013 in response to studies that indicated Yavapai County had the highest incidence of breast cancer in Arizona. Today, the Center’s multidisciplinary team – physicians, nurses, imaging professionals, volunteers and more – provides comprehensive and coordinated breast care in a compassionate and supportive environment. In 2020, the Center provided care to more than 10,000 patients. In addition to raising philanthropic support for the Center, Club members wanted to use the tournament as a vehicle to increase community awareness about breast health. “We worked with the Foundation staff to produce a 19-minute breast health education video that we played at our registration table and at our luncheon and awards program,” said committee member Teresa Busser. “Additionally, we set up a breast health information table for event participants displaying information about breast self-examination, breast screening guidelines, lifestyle habits that protect against breast cancer and Breast Care Center services.” Capital Canyon Club’s “Swing Fore the Cure” committee presents the YRMC Breast Care Center a check for the proceeds from their event. Pictured left to right: John Goodenow (Director of Philanthropy, YRMC), Laura Scrivner, Dr. LaNette Smith (Breast Surgeon, YRMC Breast Care Center), Robbie Nicol (Executive Director, YRMC Foundation), Dave Barrett (Chair, YRMC Foundation), Judith Hinds, Teresa Busser, Pam Mitchell, Keith Seppanen, Kathleen Seppanen, Michael Longoria and David Loomis (not pictured: Terri Gallagher). “Our hearts are filled with gratitude,” said the YRMC Foundation’s Executive Director, Robbie Nicol. “We are so appreciative of the Club’s members and staff for hosting such a wonderful event. The money raised through the event will positively impact thousands of lives here in our community.” The YRMC Foundation’s Breast Care Center Fund supports the purchase of the latest medical technology and essential health supports for patients undergoing treatment who have limited resources and are at risk. Professional staff education and the Center’s breast health community outreach initiatives are also supported through our community’s charitable support. To learn more about the Breast Care Center at YRMC or to speak with a YRMC Foundation staff member, please contact (928) 771–5686 or foundation@yrmc.org, or visit YRMCFoundation.org.
Woodruff Family Conference Center Dedicated at Dignity Health, YRMC West
Benny and Ellen Benson at the newly dedicated Woodruff Family Conference Center, Dignity Health, Yavapai Regional Medical Center On December 7th, family and friends of Bob and Margaret Woodruff, together with members of the Yavapai Regional Medical Center (YRMC) Foundation (a member of Dignity Health), the YRMC Foundation Board and YRMC leadership, gathered at YRMC’s new Outpatient Services Building for the dedication of the Woodruff Family Conference Center. The Woodruffs moved to the Prescott community in the early 1980’s. Being recently retired, they quickly adopted Prescott as their new hometown and became involved in many local activities. In addition, they volunteered for community service organizations including Friends of the Library, Meals on Wheels, and Yavapai Regional Medical Center. Their daughter, Ellen Benson, noted, “My mother and father believed that it is through kindness and helping others, using the grace we have been given, that we meet the world in its needs. When my parents decided to include the Medical Center as a beneficiary of their estate, they did so knowing their gift would be invested wisely.” Ellen recognized the knowledge and learning that will be shared in the new Conference Center will enrich the lives of the people of our community and is a wonderful tribute to the legacy of Margaret and Bob. The Woodruff Family Conference Center is located on the first floor of the newly completed Outpatient Services Building at YRMC’s Prescott campus. The Conference Center, fully equipped with state-of-the-art conferencing technology, includes a multipurpose lecture room, two classrooms and a demonstration kitchen. “The Woodruff family has honored our organization and our community through their kindness and generosity,” said YRMC Foundation Executive Director Robbie Nicol. “The Center will serve as the hub for the continuous education of our staff, ensuring the ongoing delivery of quality and compassionate patient care. Additionally, it will be a gathering place for our community, a place for learning where community members can enjoy educational programs such as YRMC’s Healthy Conversations speaker series and the ‘Your Healthy Kitchen’ programs.” To learn more about community education at YRMC or to speak with a YRMC Foundation staff member, please contact (928) 771–5686 or foundation@yrmc.org, or visit www.yrmcfoundation.org.
Fork in the Road Restaurants Help “Boot Out Cancer” with Support for YRMC’s Breast Care Center
Pictured left to right: David Beasar, The Office Cantina; Mary Mallory, YRMC Foundation Board; Joe Terrinoni, Fork in the Road; Dr. LaNette Smith, YRMC Breast Surgeon; Bill Sonsin, YRMC Foundation Board Secretary/Treasurer; Wendy Price, Fork in the Road; Dave Barrett, YRMC Foundation Board Chair; Krystal Burge, Desert De Oro Foods; Chad Burge, Desert De Oro Foods. Members of Desert De Oro Foods, Inc. and the Yavapai Regional Medical Center (YRMC) Foundation, a member of Dignity Health, met recently to celebrate the success of this year’s “Boot Out Cancer” fundraising program to benefit the Breast Care Center at Dignity Health, Yavapai Regional Medical Center (YRMC). Krystal Burge, co-owner of Fork in the Road Restaurants, presented a check in the amount of $27,695 to Dave Barrett, Chair of the YRMC Foundation and YRMC breast surgeon Dr. LaNette Smith in support of the Center. Boot Out Cancer is an annual fundraiser held by Desert De Oro’s Fork in the Road restaurants including the Gurley St. Grill, Murphy’s and The Office Cantina during October to raise funds for YRMC patients with needs related to breast cancer. The tradition started 14 years ago to honor Sonya Peterson, Mark Peterson and Krystal Burge’s mother, who bravely fought a 20-year battle with breast cancer. Mark and Krystal wanted to help our communities where others may need support, and they match all funds raised at 100%. The Boot Out Cancer program has raised more than $125,000 in charitable support for the Breast Care Center. “We thank our employees and guests at all of our restaurants who support this journey with their donations each October in memory of our mother. We hope this tradition has improved the quality of lives of those who have been affected by breast cancer,” says Ms. Burge. Funds donated to the Breast Care Center are used to provide screening mammograms for those without insurance, essential health support for breast cancer patients including food cards, transportation vouchers and wigs, as well as continuing staff education. They also help ensure the Center has the latest technology, including the recent purchase of ultrasound units designed specifically for breast imaging. To learn more about the Breast Care Center at YRMC or to speak with a YRMC Foundation staff member, please contact (928) 771–5686 or foundation@yrmc.org or visit www.yrmcfoundation.org.
Exploring the Gut/Heart Connection with YRMC Cardiologist Phillip Tran, DO
If you have ever had a ‘gut feeling’ about something, you’ve sensed a connection that science is proving true: your gut communicates with the rest of your body. Specifically, research shows that the gut microbiome, or the collection of bacteria that live in the digestive tract, influences a host of bodily functions, including cholesterol metabolism, inflammation, blood pressure, and more. Recent studies suggest that an imbalance in the number and diversity of gut bacteria may even contribute to the development of cardiovascular disease (CVD), a group of conditions that includes atherosclerosis, heart attack, heart failure and stroke. As we learn more about the important role the gut microbiome plays in preserving health and triggering disease, a whole new box of tools for treating and preventing CVD may result. The Gut Microbiome Our bodies host trillions of bacteria that live on and within us, with the largest concentration of bacteria found in the lower digestive tract. These tiny organisms maintain the health of the lining of gut, produce important nutrients, regulate the immune system, and can trigger or reduce inflammation throughout the body. Research suggests that the number, diversity, and balance of different families of bacteria have a direct influence on cardiovascular health. Phillip Tran, DO, Cardiologist at Yavapai Regional Medical Group, is enthusiastic about these discoveries. “We know there are several known and common risk factors for CVD, including smoking, obesity, diabetes, and inactivity. Abnormal gut flora is now being considered another major risk factor. This may open up exciting new modalities for treating and preventing CVD.” Inflammation Inflammation results from a complex series of immune reactions in the body that can be triggered by a host of conditions. Dr. Tran states, “Chronic inflammation is a root cause of cardiovascular disease. An important factor in reducing inflammation in the body appears to be maintaining a healthy population of the bacteria that protect and feed the lining of the gut.” When bacterial populations are healthy and diverse, the lining of the gut, which prevents pro-inflammatory, disease-causing substances from entering the body, remains intact. However, when bacterial populations shift, either through dietary changes, stress, medications, or other causes, the gut lining itself can become damaged and inflamed, thus allowing disease-causing substances to enter the blood stream. This condition, often called leaky gut, may lead to an increased risk of cardiovascular disease. Cholesterol, Blood Pressure and TMAO Some of the most interesting medical research done in the last few years relates to the discovery of a potential link between gut bacteria, diet, increased CVD risk, and a chemical called trimethylamine N-oxide, or TMAO. Dr. Tran describes the connection. “TMA, or trimethylamine, is produced by certain gut bacteria when people regularly consume red meats. TMA is converted to TMAO in the liver, and research suggests that TMAO may increase inflammation in atherosclerotic plaque, decrease the elimination of cholesterol from the body, and indirectly promote increased cholesterol production. Foam cells, which are the cholesterol-filled cells found in plaque, may also increase in number and size under the influence of TMAO.” Several studies from the US and Europe have demonstrated that blood levels of TMAO are often linked to an increased risk of heart attack and stroke. Higher levels of TMAO have also been measured in people suffering from heart failure. Keeping in mind that these correlations do not prove that TMAO causes cardiovascular disease, researchers continue to study this intriguing connection. Prebiotics and Probiotics Several studies have shown that food and supplement-based pre and probiotics may reduce total cholesterol, LDL-cholesterol and inflammation. Prebiotics are plant fibers that feed the health-promoting bacteria living in the gut. These fibers may be one of the reasons why a high fiber, plant-based diet is strongly linked with better blood cholesterol levels, reduced inflammation, and reduced CVD risk. Probiotics include beneficial bacteria, yeasts and fungi, many of which are produced from the fermentation of a variety of foods. Probiotics can be taken as supplements or eaten as a natural part of fermented foods. Some common, probiotic-rich fermented foods include yogurt (dairy or plant based), sauerkraut, kimchi (a spicy Korean condiment), kefir, and kombucha (a type of fermented tea). Dr. Tran thinks we need more research to clarify and prove the benefits of taking probiotic supplements to prevent or treat CVD. He states, “Although many studies suggest that probiotics can favorably alter serum lipids, some human studies examining the benefits of probiotics on serum lipids have shown conflicting results.” Many researchers concur, stating that the science is new and will take time to determine what types and blends of probiotics might be therapeutic for certain conditions, and in what form probiotic supplements should be consumed for the best outcomes. Steps to Improve Gut and Cardiovascular Health Dr. Tran suggests the following steps to improve the health of your gut and possibly reduce your risk of CVD. Maintain healthy intestinal flora by eating a diet rich in high fiber, plant based foods, and by regularly consuming healthy fermented foods. Take antibiotics with caution and care as they kill all bacteria and can promote the growth of unhealthy bacteria in the gut. Supplement with prebiotics and probiotics whenever you take antibiotics. If you have cardiovascular disease, talk to your cardiologist about the potential benefits of pre and probiotics. While the science is not yet clear, boosting a healthy population of gut bacteria may reduce inflammatory processes that trigger cardiovascular conditions.
Women with Diabetes Have a Greater Risk of Heart Disease than Men
If you are a woman with diabetes, your risk of developing (and dying from) heart disease may be greater than you think. Diabetes seems to erase, or even reverse the protective effect of female gender against cardiovascular disease and heart attack, making women with diabetes significantly more susceptible than men with diabetes. While the reasons for this are not entirely clear, researchers and healthcare providers agree that women with diabetes need more careful prevention, treatment and tracking to protect their cardiovascular health. Women are Frequently Diagnosed with Diabetes at a More Advanced Stage Both type 1 and type 2 diabetes increase the risk of a number of health concerns in men and women, including cardiovascular disease, kidney disease, and neuropathy (nerve damage). The longer someone has diabetes, especially with poor glucose control, the greater the risk of complications. Similarly, the longer someone has prediabetes, when glucose levels are above normal, but not yet in diabetes range, the greater the risk of cardiovascular disease. Research suggests that more than 90% of people with prediabetes don’t know they have it and that women tend to have undiagnosed prediabetes for a longer period of time than men. Additional research suggests that men and women can have elevated blood sugar or insulin levels (a sign of impaired glucose tolerance) for up to 20 years before they are actually diagnosed with diabetes, and that women are often diagnosed with diabetes at a later stage than men. Women Have Different Responses to Disease and Medical Treatment Diabetes may be more damaging to the vascular system in females than in males, at any age. A study following a group of children and adolescents with well-controlled type 1 diabetes discovered that girls were more likely to have heart abnormalities and other indicators of early cardiovascular disease than boys. Indeed, research indicates that women and girls are more susceptible to the cellular and vascular damage caused by elevated blood glucose and low-grade inflammation, a chronic side effect of diabetes. Women may also not respond as well to medical treatment for cardiovascular disease. For example, data suggests that some medications, including those used to reduce blood clotting, may not be as effective in preventing heart attacks in women compared with men. Sub-optimal treatment may be a consequence of women historically being under represented in the clinical trials used to determine the effectiveness and proper dosage of drugs. There may even be disparities in healthcare for women when compared to men. Data indicate that women may be less likely to have their cardiac risk factors assessed by physicians, and are typically not treated as aggressively as men. Most critically, women with diabetes are more likely to die as the result of a heart attack than men. This could be partially due to the fact that women are typically diagnosed with heart disease at a later and more debilitated age, but other factors may also come into play. For example, research from a Scottish study suggests that the blood levels of troponin, a heart muscle protein, that when detected in the blood signals a heart attack, are often lower in women having a heart attack than men. Consequently, a woman having a heart attack may not receive appropriate emergency treatment. In addition, women may not experience classic heart attack symptoms, including pain in the chest, arms, back and jaw, heartburn and shortness of breath. The most common symptom of heart attack women may experience is unusual fatigue. In fact, in one study, women reported deep fatigue and disturbed sleep as much as a month or two before a heart attack. During a heart attack, only about one in eight women report chest pain, and tend to describe it as pressure, aching, or tightness rather than pain. Know Your Risks of Prediabetes, Diabetes and Cardiovascular Disease Considering all of the risks of cardiovascular disease for women with diabetes, researchers encourage women and their healthcare providers to take extra care and precautions; catching prediabetes, diabetes and signs of cardiovascular disease at their earliest possible stages. Women at risk for prediabetes, diabetes and cardiovascular disease include those who: Currently have or have had gestational diabetes Smoke Are inactive Carry extra abdominal fat Have polycystic ovarian syndrome (PCOS) Experience chronic stress Eat a poor diet Have periodontal disease Have a family history of diabetes and cardiovascular disease Some symptoms of diabetes or prediabetes are: Fatigue Depression and mood changes Increased cravings for sweets Sudden weight gain or weight loss Chronic vaginal yeast infections Chronic urinary tract infections Increased hunger, thirst and urination Sexual dysfunction If you have prediabetes or diabetes, check out the services and resources offered at the YRMC Pendleton Center. The Pendleton Center offers excellent classes and individualized counseling for people with prediabetes and diabetes and also has an adult fitness program, featuring a complete gym and large variety of exercise classes designed for people at all levels of fitness, flexibility and strength. Our education and fitness programs are designed to help anyone achieve good blood sugar control and improved fitness, which reduces the risk of cardiovascular disease. For more information, call 928-771-5794.
A Hometown Hero Earns Dignity Health, YRMC’s 2021 Physician of the Year Recognition
The Dignity Health, Yavapai Regional Medical Center (YRMC) 2021 Total Healing Environment Physician of the Year, Ronael Eckman, MD, is challenging the old saying that no one is a hero in their own country, or in this case, their community. “I’m a third-generation native of Yavapai County and a fourth-generation resident,” says Dr. Eckman, who grew up in the Verde Valley. “It was important to me to serve my community and the county by coming home to practice medicine.” Dr. Eckman graduated in 2007 from the University of Arizona College of Medicine in Tucson. She then undertook a three-year pediatric residency at Phoenix Children’s Hospital. By the fall of 2010, Dr. Eckman was back in Yavapai County caring for newborns and young children at Dignity Health, Yavapai Regional Medical Group (YRMG), Ponderosa Pediatrics in Prescott. Combining Medicine and Technology But, Dr. Eckman didn’t stop there. She became interested in how information systems and clinical data can be used to improve patient care and inform healthcare decisions. This inspired her to pursue certification in Clinical Informatics from the American Board of Preventive Medicine. Soon, Dr. Eckman was serving her community in a dual role: As YRMC’s Chief Medical Information Officer (CMIO) and as a pediatrician. Her knowledge and experience as YRMC’s CMIO have been particularly valuable during the COVID-19 pandemic. “Dr. Eckman has been at the center of every innovative response developed to care for the people of our community during the pandemic,” says John Amos, President and CEO, Dignity Health, YRMC. “Her colleagues witnessed her tireless efforts to protect the health of our community this past year. They’re acknowledging that extraordinary work with the 2021 Physician of the Year recognition.” Some of Dr. Eckman’s recent achievements include coordinating, launching and managing: A monoclonal antibody therapy program for people with COVID-19. Telehealth virtual visits for all YRMG clinics. Remote monitoring of eligible COVID-19 patients. A community COVID-19 vaccination site. Friends & Family “There are many people – administrators, employees, physicians, and even my own family members – who have, in different ways, worked hard to ensure the success of these initiatives,” Dr. Eckman says. “The collaboration on these projects has been intense. They’ve stretched all of us. I’m so grateful to everyone who has helped make these important initiatives a reality for our community.” YRMC’s Total Healing Environment Physician of the Year is selected annually by YRMC employees and medical staff and presented to a physician who: Provides excellent patient care. Demonstrates sensitivity to patients’ needs and desires. Fosters positive relationships with employees and volunteers. Shows respect to all and is a team player. Takes pride in YRMC and the community.
Woodruff Family Conference Center Dedicated at Dignity Health, YRMC West
Benny and Ellen Benson at the newly dedicated Woodruff Family Conference Center, Dignity Health, Yavapai Regional Medical Center On December 7th, family and friends of Bob and Margaret Woodruff, together with members of the Yavapai Regional Medical Center (YRMC) Foundation (a member of Dignity Health), the YRMC Foundation Board and YRMC leadership, gathered at YRMC’s new Outpatient Services Building for the dedication of the Woodruff Family Conference Center. The Woodruffs moved to the Prescott community in the early 1980’s. Being recently retired, they quickly adopted Prescott as their new hometown and became involved in many local activities. In addition, they volunteered for community service organizations including Friends of the Library, Meals on Wheels, and Yavapai Regional Medical Center. Their daughter, Ellen Benson, noted, “My mother and father believed that it is through kindness and helping others, using the grace we have been given, that we meet the world in its needs. When my parents decided to include the Medical Center as a beneficiary of their estate, they did so knowing their gift would be invested wisely.” Ellen recognized the knowledge and learning that will be shared in the new Conference Center will enrich the lives of the people of our community and is a wonderful tribute to the legacy of Margaret and Bob. The Woodruff Family Conference Center is located on the first floor of the newly completed Outpatient Services Building at YRMC’s Prescott campus. The Conference Center, fully equipped with state-of-the-art conferencing technology, includes a multipurpose lecture room, two classrooms and a demonstration kitchen. “The Woodruff family has honored our organization and our community through their kindness and generosity,” said YRMC Foundation Executive Director Robbie Nicol. “The Center will serve as the hub for the continuous education of our staff, ensuring the ongoing delivery of quality and compassionate patient care. Additionally, it will be a gathering place for our community, a place for learning where community members can enjoy educational programs such as YRMC’s Healthy Conversations speaker series and the ‘Your Healthy Kitchen’ programs.” To learn more about community education at YRMC or to speak with a YRMC Foundation staff member, please contact (928) 771–5686 or foundation@yrmc.org, or visit www.yrmcfoundation.org.
YRMC 2020 Volunteers of the Year: Service, Friendship, Family
There are as many reasons to volunteer as there are volunteers. Some who step up are looking for added meaning to their lives. Some are hoping to find new friends. Some wish to continue using the skills they developed during their professional careers. Some want to feel like they are part of a larger effort. And some simply want to give back. Described as “the cream of the crop” by Nancy Thomes, Director of Volunteer Services, YRMC volunteers enhance the patient experience and provide much needed support to YRMC staff and physicians. They work in a myriad of ways across the hospital to keep things running smoothly. Recently, YRMC Volunteer Services named its choices for the 2020 Volunteers of the Year. An annual tradition, it celebrates three deserving volunteers whose service to the hospital, its patients and the community at large embodies the Mission and Vision of YRMC. While the top picks for 2020 have a wide range of reasons for volunteering, they share one impressive trait: a true passion for the work they do. Tom Hubbard – West Campus 2020 Volunteer of the Year Hubbard was not new to volunteering when he joined YRMC. He had previously volunteered for Meals on Wheels and the Lions Club. In 2012, his wife died after a long illness. “After a while, I decided that I could either sit at home doing nothing or get out and get busy. I got on with the Emergency Department at YRMC,” Hubbard says. He has been a volunteer at YRMC for 8 years and has logged more than 4,000 hours. Hubbard had continued his involvement with the Lions newspaper recycling project as well, collecting newspaper from around town and making sure the shredded documents from YRMC are bagged and out to the curb for pick up each week. “As COVID 19 restrictions started lifting and we started to re-open some of the volunteer service areas, Tom was first to say, ‘put me where you need me,’” Thomes recalls. “We were so grateful. He is now supporting the Information Desk, which is where we had the greatest need.” “I like this job because I’m up and moving all the time,” says Hubbard. “I get to the various departments and see lots of people. We help with registration, get authorization for early visitors, log people coming and going, and deliver flowers and other items to the patients. But I especially like helping the patients and visitors feel comfortable.” Hubbard’s fellow volunteers look forward to their shifts together. Comments include: If the afternoon volunteers are running late, he stays at the desk longer to ensure things progress as smoothly as possible. He is always the first to offer to fill in if there is a shift that isn’t covered. Tom is a can-do, proactive person who treats patients like his own family members. He is a great teacher, willing to share his knowledge. Tom is a great partner. Beyond the superb effort, his humor makes the shift seem too short. Hubbard chuckles at the comment about his sense of humor and casually describes the camaraderie he has with his fellow volunteers. “I’m very copasetic with the people I work with. We have a lot of fun,” he says. “I guess I have to admit, even though I’m 83 years old, I have a case of arrested adolescence.” With his signature humility, Hubbard reflects on what this recognition means. “I feel very proud, but I have to say that the notoriety makes me uncomfortable,” he says. “I just enjoy working with the patients, visitors and the staff. I don’t have any family here in the area – they’re all out of state, so I consider the folks I work with as part of my family. It’s very rewarding on so many levels.” Micki Freshour – East Campus 2020 Volunteer of the Year “I’m a natural caregiver and I’m very compassionate,” Freshour states. “I naturally take people under my wing, like a mother figure. That’s why I needed to be in a volunteer job where I could work one-on-one with patients. The Breast Care Center was a perfect fit. I wouldn’t want to be anywhere else.” Like Hubbard, Freshour is a long-time volunteer. Prior to her work at YRMC, she spent 14 years volunteering at a hospital in California and 11 years at a hospice in Arizona. She has been with the YRMC Breast Care Center since January, 2014 and has given more than 1,500 hours. “My job is to bring the patients back, show them the dressing area and keep them company while they’re waiting,” Freshour explains. “When they’re finished with their procedure, I cut their wrist band off and walk them out. Then I clean and sanitize everything and prepare the room for the next patient.” “But really, the main thing I do is help our patients feel comfortable. It can be stressful for our patients, particularly those who are having biopsies. I explain what they can expect and try to comfort them.” The added companionship and reassurance that Freshour offers helps to make the Breast Care Center patient experience brighter and easier. Her fellow volunteers and staff are grateful for the role she plays during her volunteer shifts. Comments include: Micki is very comforting to our patients. Micki goes above and beyond. She will not leave until all the patients have left, even though it is after her scheduled time frame. She is joyful and happy to help. Micki keeps things flowing smoothly. We love having her, she makes our days easier. She is a hard worker, she is compassionate, a pleasure to work with and a valued member of our team. Freshour was blindsided by the award. “Nancy called me and asked me to come to the West Campus because they needed some photos taken. It seemed odd, but I agreed,” Freshour recalls. “I met her in the lobby with two other volunteers, then we went into a conference room. Oh my goodness, there were whistles, balloons, yelling and screaming. And I couldn’t figure out why! When they introduced Tom Hubbard as the West Campus Volunteer of the Year, I thought, ‘Well, that is so nice. It’s like something you always dream of!’ But it still didn’t register why I was there.” “Then when they said my name, I just cried, I was so humbled. It’s so special, I can’t put it into words. I couldn’t wait to get my pin on my badge. I’m so proud of it!” “When people say that it’s ‘just’ volunteering, I immediately disagree,” Freshour continues. “The staff and patients count on me. I always say that I do get paid, but the payment I get is not monetary – It’s emotional. And that’s better than gold.” Carol Shepherd – Sandy Zinn Martin 2020 Award Winner “Carol embodies the spirit of this award. Like Sandy Zinn Martin, the former volunteer for whom this award was named, Carol is quick to extend support and assistance to other volunteers,” says Thomes. “Whether it’s taking meals over after a volunteer has had a procedure, offering to take in a volunteer’s dog after a volunteer injury, picking up volunteers for social gatherings, or regular calls to check in, she is always ready with a meaningful and timely offer.” Shepherd’s response to this generous description? “Well, I just do these things – it’s in my nature!” “It’s my way of giving back,” she continues. “I have so many things to be grateful for, both in my working career and my personal life. I’ve always worked with the public, so this is a natural thing for me. Volunteering is just a part of me. I love helping people, showing compassion, and offering a gentle word or gentle touch to our patients and visitors. I get more out of it than they do.” Shepherd has been volunteering at YRMC for three years, working in the Cath Lab, Registration, and as an Escort at the Front Desk. “You get to know the people you work with. They become family,” Shepherd says. “If I don’t see someone for a couple of weeks, I get concerned and will check in or ask about them. We’re a source of emotional support for each other when we have personal issues.” In true form, Shepherd initiated ‘Thursday Night Hamburger Nights’ with her fellow volunteers. On Thursday evenings, they’d meet for a burger and socializing, which led to taking turns hosting everyone in their homes, not to mention lasting friendships. “Volunteering is a great way to make new friends, and they’re always there for you,” she continues. “In fact, my husband said yesterday, ‘Two days a week, you’re up at 7 AM and out the door with a smile on your face!’ Well, those are the days I volunteer at YRMC.” There are even more YRMC friendships on the horizon for Shepherd. She explains: “A few days ago, a fellow volunteer handed me a nice card congratulating me on the Sandy Zinn Martin award. She said that she had gotten the same award in a previous year and said with a smile, ‘Welcome to our Club!’” “So now I’m determined to track down all the other recipients so that we can all celebrate together!” To learn more about becoming a volunteer at Yavapai Regional Medical Center, visit yrmc.org. Or you can call Volunteer Services in Prescott at (928) 771-5678, or in Prescott Valley at (928) 442-8683.
YRMC’s Kim Haugen Named PV Chamber of Commerce 2020 Volunteer of the Year
Photo: Kim Haugen, Prescott Valley Chamber of Commerce 2020 Volunteer of the Year (center) with Frank Almendarez, YRMC East Chief Administrative Officer (left) and Chris Graff, Chair of the PV Chamber of Commerce (right). After working in corporate management in Illinois, Kim Haugen moved to Prescott and became a Medical Transcriptionist. She enjoyed working from home and appreciated the flexibility the job offered. However, Haugen sometimes felt like she was missing out on regular interaction with others. Eleven years ago, after some thoughtful consideration, she decided to volunteer once a week with the PAWS (Pets are Warm Support) pet visitation program at Yavapai Regional Medical Center (YRMC) with her then two-year-old Bouvier dog, Dirk. “Joining PAWS at YRMC was one of most worthwhile things I have ever done,” says Haugen. “There’s nothing like that connection between a dog and a person. He has touched so many lives. People have even recognized him on the street!” Dirk is now 13 years old and no longer joins Haugen at YRMC. “When Dirk could no longer walk, I requested a different job on Thursdays,” Haugen continues. “It was important to me to keep seeing the other YRMC volunteers, management and staff who had become my friends.” She started delivering the mail each Thursday, and over the years has tackled positions as varied as stocking supplies in the Family Birthing Center and Nutrition Department, helping with the ‘Pet Partners’ certification process, working as an Escort and serving at the Information Desk. She has become a well-respected volunteer throughout the hospital, known for her dedication and hard work. Victoria Spears, YRMC East Volunteer Services Manager, wanted to give Haugen special recognition for all she has done for YRMC. She submitted a nomination to the Prescott Valley Chamber of Commerce for their Volunteer of the Year Award. “Kim constantly goes above and beyond the call of duty,” states Spears. “When she sees a need, Kim is the first one to offer to fill it. She displays all the qualities of a valuable volunteer, exemplifying the spirit of cooperation. She is respected not only by the other volunteers but by staff as well.” The Chamber chooses one recipient each year for their Norm Pariseau Volunteer of the Year Award. Pariseau was a longtime member of the Prescott Valley Early Bird Lions and was Board Chairman of the Prescott Valley Chamber. Each year, the winner exemplifies Pariseau’s commitment to the community and generosity of spirit. Haugen won the award. “Kim not only works hard and does an excellent job, but she truly loves to serve YRMC and our community and this is very apparent when you see her in action,” says Spears. Haugen was not expecting the honor. “This certainly surprised the heck out of me!” admits Haugen. “It’s very humbling. There are so many wonderful, deserving volunteers. And I was chosen not only from YRMC, but from all over Prescott Valley. It’s so exciting.” Haugen continues, “I like to think of this as an honor not only for me, but for YRMC – for the way they have cared for the community, not only during the pandemic, but over the years. I felt that the award was as much for the hospital as for me, and this was the Chamber’s way of thanking the hospital through me.” “Volunteering makes you feel like you are helping the community. It’s so nice to give back, to feel like you’re making a difference in someone’s life,” says Haugen. “And even behind the scenes – helping make the staff’s job easier. That’s a good feeling. You’re giving the workers a chance for more quality time with their patients.” Haugen’s beloved dog Dirk was, in many ways, responsible for bringing her to YRMC and launching her years-long commitment to the hospital. It’s nice to know that while Dirk has ‘retired’ from volunteering, he has a little brother named Sebastian. Haugen is happy to report that Sebastian may begin visiting YRMC patients through the PAWS Program in the not too distant future! To learn more about becoming a volunteer at Yavapai Regional Medical Center, visit yrmc.org. Or, you can call Volunteer Services in Prescott at (928) 771-5678, or in Prescott Valley at (928) 442-8678.
Taking Charge of a Precious Resource with Patient Blood Management
Patient-shared decision making is an important aspect of healthcare today. However, advocating for yourself – or someone you love – requires information, especially with a relatively new concept like patient blood management (PBM). This is one reason the Society for the Advancement of Patient Blood Management (SABM) is sponsoring its 15th annual SABM Patient Blood Management Awareness Week®, November 1-5, 2021. This worldwide awareness week is dedicated to informing patients about the importance of blood health, particularly when it comes to hospitalization and surgical procedures. In our community, Dignity Health, Yavapai Regional Medical Center (YRMC) is home to Arizona’s only PBM program that’s recognized by SABM. Local leaders also understand the importance of PBM. Mayor Greg Mengarelli, for example, is continuing a 10-year tradition by issuing a proclamation declaring “Patient Blood Management Week” in Prescott. “Dignity Health, YRMC has been forward-thinking in its implementation of PBM nearly a decade ago,” says Dale Black, Program Coordinator, Patient Blood Management at Dignity Health, YRMC. “The people of Yavapai County are fortunate that YRMC has embraced blood conservation. This means residents have access to local providers for information about PBM.” In fact, he notes that in October 2021 – nearly 10 years after YRMC introduced PBM – the World Health Organization (WHO) released a policy brief titled, The Urgent Need To Implement Patient Blood Management. Getting to Know PBM What is PBM and why is it important to you? “PBM is about keeping your blood in you and keeping it working well,” explains Beth Black, Administrative Assistant and Program Data Manager, Patient Blood Management at Dignity Health, YRMC. This Healthy Conversations – Patient Blood Management: Your Blood, Your Call – focuses on how PBM supports your good health by preventing anemia, an underdiagnosed condition among people of all ages. And, because PBM is patient-centered, you’ll learn how to put PBM into practice before, during and after surgery. The Pillars of PBM YRMC’s successful PBM program uses a team approach to: Manage anemia Ensure that bleeding is under control and blood is clotting appropriately (not too much, not too little) Utilize blood-conserving measures during surgery Involve patients in decision making about their blood Blood tests – particularly during hospitalization – provide your physician important information about your health. However, drawing too much blood can lead to anemia in hospitalized patients. That’s why “phlebotomy stewardship” is becoming more and more important. This means taking only the needed amount of blood for testing in order to avoid hospital-acquired anemia. A Few Words About Anemia When you have anemia, your body lacks the healthy red blood cells needed to carry oxygen to your body’s tissues. Symptoms of anemia include, for example: Fatigue Weakness Cold hands and feet Dizziness Irregular heart rhythm Shortness of breath Headache Pale or yellowish skin “Once a year, ask your physician to order a complete work up of your blood,” Dale Black says. “If you are anemic, work with your doctor to learn the underlying cause of your anemia.” Prepping for Surgery with PBM If a surgery is in your future, ask your physician to order blood work two to four weeks before the procedure. If your blood counts are low, your doctor may recommend dietary changes. You may also need iron, vitamin B-12 or folic acid to fuel red blood cell production before surgery. “You’ll also want to discuss any herbals you take, along with other over-the-counter medications, such as ibuprofen,” says Beth Black. “These can all affect your body’s ability to clot.” In the Operating Room Before your operation, talk to your surgeon about strategies that reduce blood loss. If you’re undergoing heart or orthopedic surgery – which are known to cause blood loss – discuss collecting blood lost during surgery for immediate post-operative reinfusion, if needed. Medications and blood products that promote clotting and reduce bleeding are also available. PBM is About You, the Patient Want to ensure blood conservation is part of your healthcare? Talk to your providers about PBM, especially prior to hospitalization. “Let your team know that you want to be treated in a manner that conserves your blood,” says Dale Black. “You can even mention your desire for minimal blood draws – just what is necessary for testing – during your hospitalization. With PBM, you are in charge of that precious resource, your blood.” Interested in learning more about YRMC’s PBM program? Check out these PBM resources or call (928) 771-5109.
Your Blood, Your Call
Patient Blood Management (PBM) is a multi-disciplinary approach to maximizing your own blood health and supply. Often this is most crucial during surgery. When large amounts of blood are lost in surgery, it is often possible to get the blood you need by electing to use your own blood. Not blood from a donor, not blood limited by type. And not blood straining the nation’s precious blood supply. (This is especially important during COVID-19 when national blood banks have experienced a drop in donations, which in turn reduces blood supply and drives up blood costs.) The decision is yours—the YRMC PBM program hinges on informed consent. Meaning you have the right to be informed of your choices. Then you have the right to choose to optimize and/or use your own blood (captured and reinfused during surgery), receive someone else’s blood, or receive a combination of both when necessary. It’s your blood, your call. Based on your decision, a team of medical professionals will assess your blood management needs and develop a clinically sound, evidence-based plan of care during your hospital stay. This plan marshals pharmaceuticals, technology and medical techniques to decrease blood loss and enhance blood cell production—which reduces or eliminates the need for a blood transfusion. Progressive Leadership Yavapai Regional Medical Center (YRMC) has the only officially recognized PBM program in Arizona and one of the relatively few in the nation. When it comes to PBM, your local hospital is doing some of the highest caliber work in the country and even the world. That’s why YRMC hosts an annual PBM Symposium in Prescott, an event viewed internationally and presented by some of the world’s leading PBM experts. How did this happen? “We owe our PBM program to progressive leaders and top-notch medical professionals at our hospital,” said PBM Program Coordinator Dale Black. The program started in 2012 after Black and Pierre Tibi, MD broached the subject with hospital administrators. “It never would have happened without leadership’s forward-thinking mindset and ongoing commitment over the past eight years,” Black said. “In less than a decade we’ve become part of a worldwide initiative that uses evidence-based science to achieve better patient outcomes using blood management principles.” Today Dr. Tibi is a leading authority on PBM and serves as the Medical Director of the YRMC PBM Program and The James Family Heart Center. Better Outcomes While blood transfusions remain a vital life-saving procedure, growing evidence shows that patients who maximize their own blood supply benefit from: lower infection rates. less anemia. fewer kidney, lung and heart complications. less exposure to viruses and other blood-borne disease. shorter hospital stays. all-around better surgical outcomes. A Continuum of Care YRMC’s PBM program provides you with care and support before, during and after surgery. Presurgical measures center on optimizing red blood cell mass to prevent anemia. This may involve iron therapy, a vitamin regime, nutritional support and medication management. Erythropoietin-stimulating agents (ESAs) may be administered via a shot to stimulate the production of additional red blood cells. Surgical techniques may include removing a calculated amount of blood, adding non-blood expanders, and reinfusing red cells back to the patient. Or they may include cell-salvage, collecting blood lost during surgery—then washing, filtering and reinfusing red blood cells back to the patient. Hemostatic agents may be used to promote rapid blood coagulation. Postsurgical procedures include detecting and mitigating bleeding, minimizing the frequency and volume of blood draws, nutritional support, and continued iron therapy, possibly in conjunction with ESA administration if appropriate. The next time you are scheduled for surgery at YRMC, be sure to ask about Patient Blood Management, or PBM. For more information you can also contact Dale Black directly at dblack2@yrmc.org or (928) 771-5109. You can also visit the Society for the Advancement of Blood Management and download their Patient Guide.
Longtime Smokers: Learn about Lung Cancer Screening
Early and regular screening has made lung cancer – the leading cause of all cancer deaths – a potentially curable disease. With low-dose computed tomography (LDCT), 80 percent of lung cancers detected early can be cured. “This is a giant leap forward for many reasons,” says Sierra-Amber Mabry, RT, Prescott Medical Imaging (PMI) at Dignity Health, Yavapai Regional Medical Center (YRMC). “LDCT not only catches lung cancer early, the screening exam also uses a very low dose of radiation.” LDCT is available at both Dignity Health Imaging Centers — Prescott Medical Imaging and Prescott Valley Medical Imaging (PVMI). The radiologic technologists from PMI and PVMI are enthusiastic supporters of LDCT and YRMC’s Lung Cancer Screening and Care program. Do you think LDCT would be good for you or someone important to you? Check out the Healthy Conversations video below to learn how Mabry and the PMI-PVMI team make the process easy for you. How does LDCT work? The technical definition of LDCT includes a CT scan – a diagnostic tool that combines special x-ray equipment with sophisticated computers – which takes cross-sectional pictures of the lungs. Mabry’s explanation of LDCT, however, is more patient friendly. “I explain LDCT by comparing the body, particularly the chest area, to a loaf of bread,” Mabry says. “To study a certain area within the chest cavity, the LDCT images are sliced into pieces, much like a loaf a bread. Our radiologists are then able to pull out a single slice from the loaf, examine that slice, return it to the loaf, then pull out another slice, and so on.” LDCT can detect nodules and other issues while using 90 percent less radiation than a conventional chest CT scan. Making LDCT easy for you PMI-PVMI radiologic technologists are experts at alleviating any concerns people may have about their LDCT. Are you worried the CT scan equipment may make you claustrophobic? Mabry and other radiologic technologists are ready with a warm or cool washcloth to cover your eyes. They’re also good at talking people through the exams. And, you can ask your physician for a prescription to relax you before you arrive for your LDCT. “The actual exam only takes eight seconds,” she says. “That’s a surprise to people. So with registration, changing in and out of a gown, and positioning on the table, people are usually out the door and on with their day in about 30 minutes.” If it’s your first LDCT, just prior to your exam you’ll meet briefly with Jennifer Harvey, RN, Patient Navigator for YRMC’s Lung Cancer Screening and Care program. She will answer questions about LDCT and discuss the Lung Cancer Screening and Care program. Getting screened for lung cancer Are you eligible for a LDCT? The best way to find out, is to contact YRMC’s Lung Cancer Screening and Care patient navigator. But basically, the program includes people who are: Current smokers or smokers who have quit in the last 15 years 55 – 77 years of age and in some cases 50 – 80 years of age Free of any lung cancer symptoms with no prior lung cancers Heavy smokers (1 pack a day for 30 years or the equivalent) For more information about LDCT, speak with your primary care provider or contact: Lung Cancer Screening and Care program at (928) 771-5454 PMI or PVMI at (928) 771-4728
The Robert Altmanshofer Radiologic Technology Scholarship – Good Work in Our Own Backyard
While most 34-year-olds are busy building a career, paying the bills, and putting a little money away for the future, Robert Altmanshofer is concerned about what his legacy will be, long after he is gone. Altmanshofer is a radiologic technologist at Dignity Health, Yavapai Regional Medical Center (YRMC) in Prescott, Arizona. His dream is to build an endowment that will provide full-ride scholarships every year to students in the Radiologic Technology program at Yavapai College. He graduated from that program four years ago. And his dream of an endowment is very close to becoming a reality. If I Can Do This, Anyone Can “While I was doing my prerequisites, I got a few scholarships that were really helpful,” recalls Altmanshofer. “Then, when I applied to the Radiologic Technology program, the Jewish Community Foundation gave me a full-ride scholarship. I was beside myself with gratitude and excitement. Their generosity changed my life in so many ways.” He was able to fully focus on the rigorous program at Yavapai College. “They actually tell you that you should not work while you’re in this program because you will be so busy with school, clinicals, travel and preparing for board exams,” says Altmanshofer. “It’s an enormous commitment.” As a first-generation college student, Altmanshofer was doubtful that the academic world was even the right path for him. “I never saw myself going to college. I was sure I would fail. But when I started at Yavapai College and saw the opportunities coming my way, I realized that if I can do this, anyone can.” He carried a 4.0 GPA. An X-Ray Saved My Life Pursuing a career in Radiologic Technology was born from an experience Altmanshofer had when he was 23 years old. “An x-ray saved my life,” he explains. Altmanshofer had been experiencing intermittent bouts of severe abdominal pain for about 6 months. He was in and out of the Emergency Room a number of times. Upper GI tests, CAT scans and endoscopies showed no signs of abnormalities. Finally, an x-ray revealed a massive bowel obstruction. He underwent an immediate emergency bowel resection and removal of tumors in his small intestine. “I was in the hospital for two weeks and had a lot of time to think about what I should do with this new chance at life,” he remembers. “The radiologic technologists were always so friendly and helpful. They talked about what a great job it is, where you really get to help people get well. My mind was made up.” Giving Back Altmanshofer remembers the moment he decided to give back. “It was 2017. I made it through the program at Yavapai College and was just completing my last semester. I remember I was on campus, walking out to my car, and the idea hit me – I want to start a scholarship.” The Yavapai College Foundation staff offered guidance and encouragement. His newly established scholarship was $500. The scholarship amount has grown every year ever since. In 2020, Altmanshofer asked the Foundation about crowd funding. They helped him create a page on justgiving.com. His goal of $3,000 was met in six days. It had more than doubled after 30 days. He was able to award two students a $3,000 scholarship each. No Buyer’s Remorse This year, in keeping with his commitment to grow the scholarship year after year, Altmanshofer has taken the next step. “I started an endowment this year,” he says. “I prayed about it and talked to several mentors. I knew that I needed to really show my personal commitment to this effort. I started the endowment with $10,000 of my own money.” “I’m the kind of person who always has buyer’s remorse whenever I purchase something tangible,” he explains with a smile. “But this is different – we are getting something so intangible. The ripple effects of what we’re doing will serve people for decades. As soon as I hit ‘submit’ on that $10,000 contribution, I knew it was a good decision – no buyer’s remorse!” The target amount for the endowment was originally set at $30,000. YRMC physicians, surgeons, nurses, radiologic technologists, staff, and many community members continue to come forward with generous contributions. The fund has now exceeded the $30,000 goal and continues to grow. Altmanshofer is humbled. “If you would have asked me four years ago if I pictured myself doing this, I’d say no way. But we are making it happen. I’m hoping we’ll reach $50,000.” “To hear ‘we believe in you, we want to help you,’ humbles me,” he continues. “Being able to see the students come through the program and now have them working beside me at YRMC is beyond fulfilling. It brings so much meaning and purpose to my life.” “It feels so good to have started doing good things now – not waiting until some ideal time. I see what people have done for me. It is imperative for me to give back. If it made this much of a difference in my life, I hope and pray I can make a difference in someone else’s life. My ultimate goal is to have enough in the endowment to be able to give full-ride scholarships year after year.” Our Own Backyard Every recipient of the Robert Altmanshofer Radiologic Technology Scholarship at Yavapai College is employed at Dignity Health, Yavapai Regional Medical Center. “The beauty of this whole thing is that it is happening locally at our own hospital and through our own community college,” says Altmanshofer. “The people we are awarding these scholarships to are dedicating themselves to a career right here in our community, and on top of that, they’re helping people during a pandemic. It just gives you a sense of hope. There are still good people doing good work right here in our own backyard.” The Robert Altmanshofer Radiologic Technology Scholarship provides funds to Yavapai College students enrolled in the Radiologic Technology degree program. To learn more, and to contribute to the endowment, visit https://www.justgiving.com/fundraising/ycradtechendowment.
Fabulous and Gluten Free – Holiday Cookies Everyone will Love
It’s holiday baking time, and lots of folks are looking for recipes that are decadent, delicious, and gluten free. Here at YRMC’s Your Healthy Kitchen, I’ve been testing gluten free chocolate chip cookie recipes for weeks, and have two great recipes to share. The first utilizes a variety of gluten free flours, including white and brown rice, potato and tapioca to create a buttery, crisp Tollhouse cookie that is pretty close to the original. The second is based on a simple blend of almond flour and oats, which results in a cake-like cookie that is satisfying, rich, and even a bit nutritious! Check them both out here, in our latest video, where you’ll also learn about gluten, gluten free flours, and tips for gluten free baking success. Recipe: Gluten Free Chocolate Chip Walnut Cookies Recipe: Gluten Free Oatmeal Chocolate Chip Cookies Remember to view all of our Your Healthy Kitchen videos and recipes at yrmchealthconnect.org. You’ll find something for everyone, including more great holiday recipes for soups, snacks, and dessert. You can follow me on Facebook too, at YRMC’s Your Healthy Kitchen, to see what I’m making at home this holiday season. Happy and healthy holidays!
Focus on Fiber to Lower Breast Cancer Risk
Body weight, physical activity, and alcohol intake are three important factors known to influence a woman’s risk of breast cancer. In fact, the American Cancer Society states that the following healthy habits may offer significant protection against the disease. Be physically active, and get at least 300 minutes of moderate exercise, or 175 minutes of vigorous exercise each week. Maintain a healthy body weight throughout your lifetime and avoid excess weight gain as you age. Avoid alcohol or limit intake to one drink or less per day. While the links between diet and breast cancer are not completely clear, research also suggests that a high fiber diet featuring daily portions of fruits, vegetables, whole grains, beans, nuts and/or seeds may protect against breast cancer in a number of ways. Join me in our latest Dignity Health, YRMC’s Your Healthy Kitchen to learn more about the important role fiber seems to play in reducing a woman’s risk of breast cancer and check out our new, delicious recipe! It’s a gorgeous vegetable curry packed with fiber, cancer-fighting nutrients, and savory, seasonal flavors. Recipe: Pumpkin Vegetable Curry 25 High Fiber Foods Researchers offer a number of theories for why and how a plant-forward, high fiber diet may reduce breast cancer risk. As fiber moves through the digestive system, it binds with and removes estrogens and estrogen metabolites from the body. This may protect women from estrogen-positive breast cancer. A high fiber diet may also lower blood sugar and insulin levels after meals. Some research suggests that chronically elevated insulin levels in the blood – which can occur in diabetes, pre-diabetes, or even after high-carb, low fiber meals – may contribute to increased breast cancer risk. High fiber foods and meals fill us up and reduce cravings for munchies throughout the day. This likely helps us to maintain a healthy weight. In addition, many plant foods contain important phtyonutrients with anti-cancer properties. A few of the phytonutrients currently under study for protection against breast cancer include: Curcumin – present in turmeric. Ellagitannins – concentrated in berries, pomegranate seeds, and nuts. EGCG (Epigallocatechin gallate) – found in green tea. Quercitin – concentrated in onions. Other sources include raspberries, apples, cherries, tea, and red grapes. Kaempferol – mostly found in green leafy vegetables. Remember to check out dozens of additional videos and delicious recipes at yrmchealthconnect.org. Our recipes are curated or created with ease or preparation, cost, flavor, and health in mind, and you’ll find something for everyone on the Your Healthy Kitchen blog. You can also follow me on Facebook, at YRMC’s Your Healthy Kitchen, where I regularly post the plant-forward meals I make at home, plus share links to my favorite food and recipe sites on the web.