Bonita Wilson, RN, Empowers People with Diabetes to Live Longer, Healthier Lives
Healthcare organizations around the world are celebrating the important role nurses play in helping people with diabetes to live longer, healthier lives. After all, multiple studies show that when nurses and diabetes educators work alongside physicians as part of a healthcare team, people with diabetes are more likely to reach their blood sugar goals, have fewer complications, feel more in control, and experience much less diabetes-related stress. To honor and recognize the nurses, educators, and people with diabetes in our community, we invited Bonita Wilson, Registered Nurse and YRMC Diabetes Educator to the set of YRMC’s Your Healthy Kitchen via Zoom, to talk about her work and prepare an easy, delicious, diabetes-friendly meal! Grilled Fish with Salsa Fresca Recipe Prior to our video chat, Bonita shared what she enjoys about her job. “I love making a difference and am continually inspired by the people who live long, healthy lives with diabetes. Life can be challenging for all of us sometimes, so imagine having diabetes on top of the everyday ups and downs we all face. I am impressed by the strong, resilient people living with diabetes in our community. They inspire me each day to be a great nurse and diabetes educator”. Diabetes educators are healthcare professionals who apply their in-depth knowledge to help patients manage the daily and future challenges of diabetes. As part of a healthcare team, diabetes educators provide individualized counseling and classroom-based education related to every aspect of diabetes management, including diet, physical activity, medications, monitoring and stress management. Studies show that the more informed people with diabetes are about the disease, the more likely they are to maintain their health and avoid long term complications, including cardiovascular disease, kidney failure and neuropathy. Remember, one in every three Americans currently has, or is at risk for developing diabetes, so talk to your healthcare provider about your risks of developing the disease. If you have diabetes or pre-diabetes, get more information and connect with YRMC’s Diabetes Education Program at 928-771-5794 in Prescott and 928-759-5920 in Prescott Valley.
YRMC Foundation Contributes $250,000 in COVID Relief to Support Local Patient Care
The Yavapai Regional Medical Center (YRMC) Foundation has provided $250,000 in COVID-19 relief to support patient care and safety at YRMC during the pandemic. “The YRMC Foundation is so grateful for the generous support from so many in our community during this time of crisis,” states Robbie Nicol, Executive Director, Yavapai Regional Medical Center Foundation. “Foundation funds have been used to purchase personal protective equipment, decontamination technology, and medical supplies to protect our patients, visitors and caregivers during the pandemic,” adds Nicol. Personal protective equipment (PPE) purchased with Foundation funds include the now familiar N95 masks and Powered Air Purification Respirators for YRMC caregivers. Foundation funding also financed more state-of-the-art Tru-D SmartUVC decontamination systems that utilize UVC light to disinfect entire surgical suites and patient rooms. Smaller units are used throughout the hospitals to disinfect items such as medical instruments, keyboards, cell phones and television remotes. The YRMC Foundation is also underwriting the building rental fee for the Medical Center’s COVID-19 vaccination clinic at the Prescott Gateway Mall. The clinic, staffed by 20 healthcare professionals and volunteers, can administer 500 vaccine doses daily. In addition to our community’s generous monetary support, the Foundation has received thousands of in-kind gifts from hundreds of donors. These include donations of meals and snacks, personal care items and PPE for staff. “Both hardships and opportunities have filled our landscape these past many months,” states Nicol. “The YRMC Foundation has been called upon to meet patient care needs like never before—both large and small. Through it all our donors and trusted partners have walked beside us in a historic and unprecedented way. And we are very grateful.” The Yavapai Regional Medical Center Foundation is a 501(c)(3) charitable organization and is governed by a volunteer Board of Directors. One hundred percent of all donations to the YRMC Foundation support Dignity Health, YRMC programs and services in our community. To learn more about the YRMC Foundation, please contact (928) 771–5169 or foundation@yrmc.org or visit www.yrmcfoundation.org. Robbie Nicol
YRMC Expands Patient Visitation, Resumes Elective Procedures
Dignity Health, Yavapai Regional Medical Center (YRMC) is expanding patient visitation and resuming elective procedures at both hospital locations in Prescott and Prescott Valley. These changes, while serving as a benefit to patients and their loved ones, will be monitored closely and may be revised based on COVID-19 infection rates in the community. “Ensuring peace of mind and peace of heart for our patients and visitors is always our top priority at YRMC,” states Ken Boush, Director of Marketing and Communications, Dignity Health, Yavapai Regional Medical Center. “As COVID-19 infection rates have stabilized, YRMC is able to ease patient visitation restrictions while resuming elective procedures at both hospital campuses.” YRMC, like other Dignity Health hospitals in Arizona, has four visitation levels—Green, Yellow, Red and Purple—to limit the spread of COVID-19 and to protect patients, visitors and caregivers. Green is the least restrictive and allows for conventional visitation outside of COVID-19 units. Yellow allows for limited visitation between the hours of 10am and 8pm. Red allows for limited visitation between 4pm and 8pm. Purple is the most restrictive. Based on the current low-to-moderate COVID-19 infection rate in the community, YRMC is currently at the Yellow level for visitation. Inpatient visitation is now permitted on a limited basis from 10am to 8pm, Monday through Sunday. All visitors must check in at the front entrance of the hospital where they are temperature and symptom screened and given a mask. Visitors who fail screening are not allowed to enter. Visitors receive a visitor’s pass after the health screening process is successfully completed. This pass must be worn at all times while in the hospital. Patients hospitalized in non-COVID-19 units may choose one individual (18 years of age or older) as their designated visitor. One visitor per patient per day. Visitation restrictions for COVID-19 units remain in place. Exceptions are made for end-of-life visits and/or care planning discussions. Exceptions exist for pediatric patients in COVID-19 units. Pediatric patients may have two parents or guardians as visitors, even within COVID-19 units. Two parents or guardians may also accompany a pediatric patient during a visit to YRMC’s Emergency Department. Patients with disabilities requiring assistance from a family member or caregiver can designate a support person (18 years of age or older) to accompany them during their appointment. Patients who present for care to YRMC’s Emergency Department may have one visitor (18 years of age or older). Visitors may not enter the COVID-19 triage tents. Laboring mothers may have one support person with them. For additional visitation questions relating to YRMC’s Family Birthing Center, please call (928) 442-8800. All visitors must follow YRMC’s strict mask-use policy while inside any YRMC facility. A procedural mask is required. These masks are provided at screening. Outpatients and inpatients going for surgery or an invasive procedure may have one adult support companion (18 years of age or older) accompany them to the perioperative area, wait during the procedure or surgery, and see them, as appropriate, post-operatively. Special circumstances may warrant an exception to these rules. YRMC leadership will consider exception requests on a case-by-case basis. “Although there are limitations on the number and type of visitors to our hospitals and Emergency Department, we understand that communicating with loved ones and friends is an important part of a patient’s healing,” states Boush. “We continue to encourage visitors to communicate electronically or by phone with patients. Video chat, voice, and texting options are digital alternatives and can help you stay connected with your loved one.”
Stay in Shape at Home with the Pendleton Center Virtual Fitness Classes
For years, Eben Fetters and his wife Nelda had been regular participants at the fitness classes offered by the Pendleton Center at Dignity Health – Yavapai Regional Medical Center. That is, until the pandemic hit. “When Covid-19 shut things down, we really missed the classes and the exercise routines, not to mention the interactions with our wonderful instructors,” says Fetters. Although in-person opportunities became limited, it was important for Fetters and his wife to continue their focus on keeping fit and getting regular cardiac conditioning. Similarly, Mary Meyers needed to find a way to maintain the progress she had made since her joint replacement surgery. The staff at the Pendleton Center heard Fetters, Meyers and many other loyal Pendleton fitness participants, as well as newcomers, loud and clear. A full range of live fitness classes is now available online, free of charge. “People are so isolated these days and tend to be more sedentary,” notes Andrea Klein, Director of Preventive Medicine and Wellness, Arizona Division, Dignity Health – YRMC Cardiac Rehabilitation. “It’s important to stay active and engaged, maybe now more than ever. We’re offering an easy opportunity to stay active safely.” There’s something for all ages and all fitness levels, including Yoga/Pilates, Balance and Strength, Tai Chi, Low Impact Workout, Circuit Training, Chair Yoga, Seated Chair Class and Interval Training. The classes also provide an opportunity to receive real-time feedback and encouragement from trained Pendleton Center instructors. “The instructors are all aware of our needs and make the sessions meaningful and fun,” says Judy Dore, who takes the Balance and Strength class as well as the Low Impact Workout. “This is a great service and I hope it continues until the gym opens up again.” “We can pick and choose the classes we want,” explains Fetter. “The instructors are the same, the routines are the same and the class time of 45 minutes is the same as when we were doing the classes in person.” Meyers reports that her balance has steadily increased since her joint surgery, thanks to the Balance and Strength class she attends from home. “Thank you, YRMC for making this class available online,” she says. Sandra Nearing has been exercising at the Pendleton Center since 2018. She joined the Low Impact Workout virtual classes about 5 weeks ago. “The convenience and consistency motivate me and give me more energy to get through the day,” she says. “I keep a ‘tight tummy’ the remainder of the day.” Registration is easy. Click here to learn about the various classes, class times and to sign up. Once you’re registered, you’ll receive an email invitation for a series of WebEx meetings called Pendleton Virtual Classes. Accept the series and simply sign in when you want to attend a class. Or you can contact the Pendleton Center in Prescott at (928) 771-5794 or Prescott Valley at (928) 759-5920 for assistance. Klein encourages those who are just starting an exercise program to talk with their care provider. She shares a few additional tips. “Create a safe place in your home with a chair. Have water on hand. Wear comfortable clothes and safe shoes. Remember, you need a computer that has a camera so that you can see the instructor. And of course, if you have any concerns or questions at any time, communicate them to your instructor.” Klein says that feedback has been very positive. “People are grateful to have the opportunity to have healthy activities, to be a part of a group, and to stay connected to the Pendleton Center from the safety of their home.” “My compliments to YRMC for understanding our interest in staying fit in these unusual times,” Fetter adds. “They are providing a much-needed service. Compliments also go to the Pendleton Wellness Staff for their ongoing hard work and support.”
Laboratory Draw Centers Resume Normal Operations
On Monday, February 15, Dignity Health, Yavapai Regional Medical Center (YRMC) resumed normal business operations at each of its three outpatient laboratory draw centers in Prescott and Prescott Valley. YRMC’s outpatient laboratory draw centers provide medical laboratory services to the community, including blood work and other physician-ordered laboratory studies, and are conveniently located at: Yavapai Regional Medical Group, Family Medicine 1050 Gail Gardner Way, Suite 200 Prescott, Arizona 86305 Hours: Monday – Friday, 7:30 am – 12:30 pm, 1:15 pm – 4:00 pm Phone: (928) 717-5234 Yavapai Regional Medical Group, Internal Medicine 3120 Clearwater Drive Prescott, Arizona 86305 Hours: Monday – Friday, 7:45 am – 12:00 pm, 1:00 pm – 4:00 pm Phone: (928) 445-0690 Outpatient Draw Center at YRMC East 7880 East Florentine Road Prescott Valley, Arizona 86314 Hours: Monday – Friday, 6:30 am – 4:30 pm Phone: (928) 759-5800 “YRMC is pleased to resume normal operations at our outpatient laboratory draw centers,” states Ken Boush, Director of Marketing and Communications, Dignity Health, Yavapai Regional Medical Center. “Due to improvements in YRMC’s COVID-19 admission rate, laboratory staff who were temporarily reassigned to support other areas, can now return to their normal duties.” Visit DignityHealth.org/YRMC for more information about YRMC’s Outpatient Draw Centers.
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.
James Family Heart Center Welcomes Top-Tier Cath Lab
The recently renovated Cardiac Catherization Laboratory at the James Family Heart Center – located at Dignity Health, Yavapai Regional Medical Center (YRMC) in Prescott – caps a multi-year plan to expand needed cardiovascular services to the community. “It’s exciting to see this come together,” says Lauren Weedon, RN, MSN, Director, Cardiovascular Services at Dignity Health, YRMC. “Our most recent Cath Lab renovation includes top-of-the-line technology and the highest-quality imaging equipment available. This means our physicians use the most advanced tools to make important decisions as they care for our heart patients.” These latest generation imaging tools not only produce precise images of the heart, they also accomplish that with the lowest radiation dose possible. Additionally, the new Cath Lab is fully integrated, meaning all aspects of any procedure take place within the Lab. “Today, we have a total of three Cath Labs, two for cardiac needs and one focused on structural heart needs,” Weedon explains. “They are all equally equipped and together they have allowed us to introduce many innovative procedures. Patients in any of our three Cath Labs receive the best available on every front: technology, safety, equipment and, of course, our amazing team.” Planning for this latest Cath Lab was a team effort that included input from Cardiovascular Services staff members and Dignity Health, YRMG physicians. Those professionals also collaborate daily on the diagnostic and therapeutic procedures that take place in the Cath Lab, including: Diagnostic angiography Peripheral angioplasty (opening of blocked arteries) Right and left heart catheterization Right and left ventricular digital angiography Stent implants and grafts ”Our Cath Labs are considered to be the best of the best,” says Weedon. “With our third Cath Lab on board and our talented team, we’re focused on growing our excellent Heart Program for the people of our community.”
Ventilating the Home During COVID
Home is where we tend to feel the most safe during COVID. Yet when a family member returns from an errand, or someone decides to pay us a visit, virus particles can enter the home and accumulate in the air. That’s why we need good home ventilation to help keep the air clean during the pandemic. To improve ventilation within our homes the CDC and Environmental Protection Agency (EPA) recommend the following measures. Increase ventilation To increase ventilation, bring in as much fresh air as possible: Open windows and screened doors unless doing so poses a safety or health risk to children or other family members (extreme cold, risk of falling, triggering asthma symptoms, etc.). While it’s best to open doors and windows wide, even a slight crack can help. Use a window air conditioner that has an outdoor air intake or vent, with the vent open. Turn on the bathroom fan when the bathroom is in use or run it continuously if possible. Improve the flow Even with an open window or door, natural ventilation is limited when outdoor air is still or when indoor and outdoor temperatures are about the same. To improve natural ventilation: Increase cross-ventilation by opening windows or doors at opposite sides of the home and keeping internal doors open. Open the highest and lowest windows at the same time (especially on different floors). For double-hung windows, open the top sash of one window and the bottom sash of another. Even when using a single window, partially opening both the top and bottom sash improves ventilation. Use indoor fans in combination with open doors or windows to further increase ventilation. Place box fans or tower fans in front of windows. Use multiple fans to push air out one window and in from another. (Face a fan toward the window to blow suspect air out, away from the window to bring fresh air in.) Make sure fans don’t blow air directly from one person to another to reduce the risk of airborne transmission. Put your HVAC to work Since HVAC systems filter the air they circulate, they can help reduce airborne contaminants, including viruses. If you have an HVAC system: Run the system fan for a long as possible or even continuously. HVAC systems only filter the air when the fan is running. Most fans can run without the heating or cooling function. Make sure the filter is correctly in place and consider upgrading to the highest-rated filter your system can manage. If your HVAC system has one, use the energy-efficient air-to-air heat exchanger, heat recovery ventilator (HRV) or energy-recovery ventilator (ERV). These help increase ventilation. Consider a portable air cleaner While HVAC systems filter air throughout the home, portable air cleaners—also known as air purifiers or air sanitizers—filter air in a single room or area. When combined with other best practices recommended by the CDC, they help can protect your home. The Environmental Protection Agency (EPA) provides extensive information on air cleaners and air filters for the home.
Taking On Breast Cancer
October is National Breast Cancer Awareness Month—a annual observance aimed at raising both awareness and funding. The funding is for research into the prevention, diagnosis, treatment and ultimately the cure for breast cancer. Awareness is generated in part through a pink ribbon, a symbol of solidarity among women and families touched by the disease. Such solidarity is found year around at The BreastCare Center at YRMC East in Prescott Valley. The center bands together to take on breast cancer and support women through all phases of the disease—prevention, detection, diagnosis, treatment and supportive care. At the BreastCare Center, women can receive one-on-one support from a clinical navigator, a registered nurse assigned just to them. This navigator serves as personal guide, advocate, educator and friend. And should the need arise, helps to perform a risk analysis. “If a patient’s family history shows they carry a higher risk for breast cancer, one of our navigators can perform a more comprehensive risk assessment called the Tyrer-Cuzick,” said Kathleen Hoffer, Imaging Operations Manager at the BreastCare Center. The tool is used to help inform a person’s decision about whether to get more genetic counselling and testing. Such genetic testing may be done through the center or a genetics expert may visit the home. Risk Factors Along with risk factors associated with family history and genetics, the National Breast Cancer Foundation has identified the following breast cancer risks: Gender: Women are 100 times more likely to get it than men Age: Two out of three women are diagnosed after age 55 Race: White women are more likely to get it Personal health history: If you get cancer in one breast, you risk getting it in the other breast Menstrual and reproductive history: Your risk increases if you started menstruating early (before age 12), started menopause after 55, had your first child when older or never gave birth Dense breast tissue: Increases your risk and make lumps harder to detect Early Detection “When patients are aware they carry a higher risk for breast cancer, they are usually more diligent about getting their regular screenings done,” Hoffer said. “Those at a really high risk might have an MRI along with their mammogram. If they find they have dense breast tissue, we may recommend tomography or ultrasound.” Early detection saves lives. When caught early enough, breast cancer is often stopped before it spreads. Regular screenings can detect breast cancer even before symptoms occur. These symptoms, once evident, include: Change in the look or feel, size or shape, of the breast Change in the look or feel of the nipple, including nipple discharge A lump or hard knot in the breast or underarm area Swelling, warmth, redness or darkening of the breast Dimpling or puckering of the skin Persistent pain in one area of the breast Prevention A healthy body is better equipped to fight off disease, including cancer of the breast. So basic healthy living is your main defense against breast cancer. These basics haven’t changed: exercise at least 30 minutes a day, five days a week; maintain a healthy weight; don’t smoke; and limit alcohol to one drink a day for women, two drinks a day for men.
Lifestyle Habits that Protect Against Breast Cancer
Today, one in eight women living in the U.S. will develop breast cancer in her lifetime, according to data cited by the American Cancer Society. That’s why it’s so important to do everything you can to reduce your risk. Experts agree that women (and men) can lessen their likelihood of getting breast cancer by moving more and sitting less everyday; working up a sweat a few times a week; building some muscle; and cutting back on alcohol. In fact, research shows that Americans could prevent one in three cases of breast cancer with healthy lifestyle habits. Move More and Sit Less Physical activity tops the list of lifestyle practices that provide protection to women and men at every age. According to a study released in 2017 by the American Institute for Cancer Research and the World Cancer Research Fund, 150 minutes per week of regular moderate activity, like walking at a pace that causes a slight increase in heart rate and deeper than normal breathing, reduces the risk of breast cancer in pre- and post-menopausal women by about 13% when compared to sedentary individuals. Vigorous exercise, or that which causes a faster heart rate and some sweating, boosts protection for pre-menopausal women to 17%. Other studies suggest even higher rates of protection when individuals increase exercise time to up to 300 minutes per week. Moving more and sitting less throughout the day and engaging in regular physical activity likely reduces the risk of breast cancer by lowering inflammation in the body (a risk factor for many types of cancer and other chronic diseases), reducing insulin resistance (which lowers blood glucose and insulin levels in the blood), improving immune function, and by reducing circulating levels of estrogen. In fact, some research suggests that a sedentary lifestyle, or one with little to no physical activity, is a major risk factor for breast and other types of cancer. A Lifetime of Enjoyable Exercise Decreases Breast Cancer Risk! Take away tips: Shoot for a minimum of 150 minutes of moderate, or 75 minutes of vigorous exercise 5 days a week. If you are new to physical activity, start with 5-10 minutes of activity at a time and gradually build your strength and stamina. Always check with your doctor before engaging in any new exercise plan. Get up every hour and do some walking, stretching, or other movement for 5 minutes if your lifestyle and job are sedentary. If you tend to be active only during certain seasons, plan to continue some type of regular, enjoyable movement year round. Since physical activity throughout life reduces the risk of breast and other types of cancer, encourage children to engage in regular physical activity that they enjoy and can continue into adulthood. Muscle Up After Menopause Multiple studies show that reducing body fat (especially abdominal fat) while increasing muscle mass can lower breast cancer risk in women after menopause. According to a study done by the University of North Carolina’s Lineberger Comprehensive Cancer Center, higher levels of body fat seem to be related to lower breast cancer risk in younger women, while weight and fat gain after menopause increases risk. While the reasons for this are not totally clear, researchers think that body fat protects breast tissue from excessive estrogen production in younger years, but increases exposure after menopause. Add Weights to Your Workouts! Take away tips: Maintain a healthy percentage of body fat throughout your lifetime. Keep physically active after menopause, and be sure to include strengthening exercises that build muscle and reduce body fat. Limit Alcoholic Beverages According to the American Cancer Society, even small amounts of alcohol may increase a women’s risk of breast cancer. Ethanal, the by-product of alcohol metabolism, can directly damage the DNA in cells, potentially leading to cancer growth and spread. Alcohol also raises estrogen levels in the blood, thus increasing risk of some breast cancer types. Take away tips: Consider limiting alcohol to three drinks per week or less. One drink is equal to 5 ounces of wine, 12 ounces of beer or 1.5 ounces of 80-proof liquor. Experiment with fun and flavorful mocktail recipes! Some physicians recommend that women at high risk of breast cancer avoid alcohol altogether. Enjoy Fun, Flavorful Mocktails! No one can predict exactly what combination of factors might lead to the growth and spread of breast cancer cells. However, good and extensive research shows that healthy lifestyle habits offer significant protection against this debilitating and potentially deadly disease. You can learn more about breast cancer, preventive testing, treatment, and local resources at YRMC’s Breast Care Center.
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.
James Family Heart Center Welcomes Top-Tier Cath Lab
The recently renovated Cardiac Catherization Laboratory at the James Family Heart Center – located at Dignity Health, Yavapai Regional Medical Center (YRMC) in Prescott – caps a multi-year plan to expand needed cardiovascular services to the community. “It’s exciting to see this come together,” says Lauren Weedon, RN, MSN, Director, Cardiovascular Services at Dignity Health, YRMC. “Our most recent Cath Lab renovation includes top-of-the-line technology and the highest-quality imaging equipment available. This means our physicians use the most advanced tools to make important decisions as they care for our heart patients.” These latest generation imaging tools not only produce precise images of the heart, they also accomplish that with the lowest radiation dose possible. Additionally, the new Cath Lab is fully integrated, meaning all aspects of any procedure take place within the Lab. “Today, we have a total of three Cath Labs, two for cardiac needs and one focused on structural heart needs,” Weedon explains. “They are all equally equipped and together they have allowed us to introduce many innovative procedures. Patients in any of our three Cath Labs receive the best available on every front: technology, safety, equipment and, of course, our amazing team.” Planning for this latest Cath Lab was a team effort that included input from Cardiovascular Services staff members and Dignity Health, YRMG physicians. Those professionals also collaborate daily on the diagnostic and therapeutic procedures that take place in the Cath Lab, including: Diagnostic angiography Peripheral angioplasty (opening of blocked arteries) Right and left heart catheterization Right and left ventricular digital angiography Stent implants and grafts ”Our Cath Labs are considered to be the best of the best,” says Weedon. “With our third Cath Lab on board and our talented team, we’re focused on growing our excellent Heart Program for the people of our community.”
Ventilating the Home During COVID
Home is where we tend to feel the most safe during COVID. Yet when a family member returns from an errand, or someone decides to pay us a visit, virus particles can enter the home and accumulate in the air. That’s why we need good home ventilation to help keep the air clean during the pandemic. To improve ventilation within our homes the CDC and Environmental Protection Agency (EPA) recommend the following measures. Increase ventilation To increase ventilation, bring in as much fresh air as possible: Open windows and screened doors unless doing so poses a safety or health risk to children or other family members (extreme cold, risk of falling, triggering asthma symptoms, etc.). While it’s best to open doors and windows wide, even a slight crack can help. Use a window air conditioner that has an outdoor air intake or vent, with the vent open. Turn on the bathroom fan when the bathroom is in use or run it continuously if possible. Improve the flow Even with an open window or door, natural ventilation is limited when outdoor air is still or when indoor and outdoor temperatures are about the same. To improve natural ventilation: Increase cross-ventilation by opening windows or doors at opposite sides of the home and keeping internal doors open. Open the highest and lowest windows at the same time (especially on different floors). For double-hung windows, open the top sash of one window and the bottom sash of another. Even when using a single window, partially opening both the top and bottom sash improves ventilation. Use indoor fans in combination with open doors or windows to further increase ventilation. Place box fans or tower fans in front of windows. Use multiple fans to push air out one window and in from another. (Face a fan toward the window to blow suspect air out, away from the window to bring fresh air in.) Make sure fans don’t blow air directly from one person to another to reduce the risk of airborne transmission. Put your HVAC to work Since HVAC systems filter the air they circulate, they can help reduce airborne contaminants, including viruses. If you have an HVAC system: Run the system fan for a long as possible or even continuously. HVAC systems only filter the air when the fan is running. Most fans can run without the heating or cooling function. Make sure the filter is correctly in place and consider upgrading to the highest-rated filter your system can manage. If your HVAC system has one, use the energy-efficient air-to-air heat exchanger, heat recovery ventilator (HRV) or energy-recovery ventilator (ERV). These help increase ventilation. Consider a portable air cleaner While HVAC systems filter air throughout the home, portable air cleaners—also known as air purifiers or air sanitizers—filter air in a single room or area. When combined with other best practices recommended by the CDC, they help can protect your home. The Environmental Protection Agency (EPA) provides extensive information on air cleaners and air filters for the home.
Our Healthcare Heroes Speak Candidly About COVID-19
Healthcare heroes from Dignity Health, Yavapai Regional Medical Center and Dignity Health, Yavapai Regional Medical Group share their thoughts about caring for our community during COVID-19 via a new video series. Sleeves Up for the COVID-19 Vaccine features brief videos of YRMC physicians, nurses, radiologic technologists, support staff, and other members of the team, discussing all aspects of COVID-19. “The Sleeves Up for the COVID-19 Vaccine series is a rare glimpse into the world of healthcare during COVID-19,” says Ken Boush, Director of Marketing and Communications, Dignity Health, Yavapai Regional Medical Center. “These are people whose lives, and in some cases their views, have been profoundly altered by the pandemic. I’m grateful to each and every one of them for sharing their truth on these videos.” First up is Robert Thompson, MD, MBA, Executive Medical Director, Dignity Health, Yavapai Regional Medical Group. Dr. Thompson – a board certified Internal Medicine physician and Allergist-Immunologist – is uniquely qualified to talk about the safety of the COVID-19 vaccine. Follow us on Facebook for other Sleeves Up for the COVID-19 Vaccine video messages from our community’s healthcare heroes.
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.
Longest Running YRMC Volunteer Celebrates Her 40th Year
Forty years ago, volunteering at Yavapai Regional Medical Center (YRMC) would often mean joining the Medical Auxiliary. Dues were $5 a year. Auxiliary members would dedicate their time assisting at the Information Desk or Gift Shop. The dress code was strict. In fact, Auxiliary members purchased their own uniforms and wore regulation blouses. Dorothy Kalabus, YRMC’s longest-running volunteer, remembers those days with fondness and a good dose of her signature humor. “Imagine today if you had to pay to be a volunteer!” she jokes. Kalabus had just moved to Prescott from Pittsburgh. She had three school-aged children and her husband’s airline job often took him out of town. Not one to sit at home, she soon joined the Auxiliary and started a decades-long relationship with YRMC. It wasn’t long before Kalabus was asked to join the Auxiliary Board. In those days, the Auxiliary Board decided upon ‘wish list’ purchases for the hospital, funded by proceeds from the Gift Shop. When her grandson was born, Kalabus recalls that the stress monitor, just purchased by the Auxiliary, was used during his delivery. “I was so glad it was there for the staff to use,” says Kalabus. Dorothy Kalabus is the 10th of 12 children. Her father died when she was eleven. She and her siblings were raised to pitch in whenever and wherever possible. She graduated with honors and earned college scholarships. “There was never any idle time at our house,” she remembers. “I can’t even imagine sitting and doing nothing.” Now, at nearly 80 years old, Kalabus still has the energy of someone a fraction of her age. Forty years at the YRMC Information Desk isn’t the only impressive item on her volunteer resume. “Back in the 80’s I volunteered at Sacred Heart Church and at the Prescott Rodeo, where I became the chair of the Cattleman’s Club. I even earned my gold and silver rodeo belt buckle. I offered to stuff envelopes for Judge Ann Sterling’s campaign, and ended up becoming the campaign chair!” Nancy Thomes, Director of Volunteer Services at YRMC, emphasizes the important role Kalabus plays at the Information Desk. “Dorothy is such a joy to have at our Information Desk,” says Thomes. “This is a challenging position since the questions that are asked are often new. These volunteers often have to problem-solve while extending good customer service. Dorothy’s knowledge and willingness to serve is always evident, and the joy that she feels while doing this is always apparent.” When asked why she has stayed with her service to YRMC for forty years, Kalabus explains, “This is so important. You’re dealing directly with people in need. People come in with so many different needs. Most of them aren’t just asking for a patient’s room number, and often they’re in pain or feeling stress. You have to remember a lot of information about the hospital, and communicate it simply and clearly.” “And then there are the free lunches!” she laughs. “Every Friday, a dozen or so volunteers from all different departments get together for lunch, and new volunteers are always welcome. These people have all become my friends. We have such a good time!” Kalabus notes that she belongs to a special ‘foursome’ that makes her time at YRMC extra special. She works with Escorts Carol Shepherd and Shirley Reeves and fellow Information Desk volunteer Rob Petrocci each Friday. “We’re a great team,” she says. Kalabus was honored for her 40 years of service on July 2nd. Thomes and Chamine David, Volunteer Services Manager, visited Kalabus in her front yard for a ‘physically distanced’ celebration. Kalabus’ husband and daughter were there, as well as fellow volunteers Shepherd and Reeves. The neighbors across the street even held up a large handmade ‘Congratulations’ sign and took photos. “Dorothy enjoyed telling a few stories about her first days at YRMC,” says Thomes. “It was clear that her commitment to her role began 40 years ago when she first started volunteering.” “It was a fun visit,” Kalabus recalls. “There were balloons and flowers and we visited and reminisced. It’s fun telling the old stories and marveling at how far YRMC has come over the years. But I still can’t believe it’s been 40 years!” “I tell people that volunteering gives you life,” she explains. “It gives you something to look forward to and makes your life so much more interesting. Volunteering changes your whole world.” Kalabus continues. “When I started volunteering at YRMC 40 years ago, it was just to get to know a few people in my new hometown. But soon, I came to realize that this is a commitment. And as you can tell, when I start something, I finish it. Well, I’m not finished yet!” To learn more about becoming a volunteer at Yavapai Regional Medical Center visit yrmc.org, or call Volunteer Services in Prescott at (928) 771-5678, or in Prescott Valley at (928) 442-8678.
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.
YRMC: Your Destination for Heart Care and Patient Blood Management
What does the phrase “destination healthcare” bring to mind? For a growing number of people in Arizona and the southwest it means heart care, patient blood management or both of these specialized programs, provided by Yavapai Regional Medical Center (YRMC). Cardiac specialists from the James Family Heart Center and leaders from YRMC’s Patient Blood Management program (PBM) joined a live-stream event on October 17, 2019 at Yavapai College Performing Arts Center to speak about both of these innovative programs. Over 600 participated in “YRMC – Your Destination for Cardiac Care and Blood Management” at Yavapai College and the live-stream the event online. YRMC – Your Destination for Cardiac Care and Blood Management featured exceptional cardiac specialists: a Cardiologist, Cardiac Electrophysiologist, Cardiothoracic Surgeon, and a Structural and Interventional Cardiologist. Patient Blood Management experts also took part in the event. Together, these professionals highlighted the services, technology and teamwork that are the hallmark of YRMC’s Heart Program and Patient Blood Management Program. “Neither of these programs existed 12 years ago,” said Pierre Tibi, MD, FACS, Medical Director of YRMC’s James Family Heart Center and Patient Blood Management Program. “Today, there is no other community hospital in Arizona or the southwest that offers what YRMC does. We are now a destination program for Cardiac Care and PBM.” Defining PBM Until recently, prestigious organizations like the Society for the Advancement of Blood Management (SABM), the World Health Organization (WHO) and the American Association of Blood Banks (AABB), all mentioned blood transfusions in their PBM definitions. “They focused on thresholds for blood transfusion,” said Dr. Tibi, SABM’s Immediate Past President. “Today, the SABM definition states that PBM is a patient-centered approach that aims to improve patient outcomes.” At YRMC, this is accomplished by: Involving the patient in decision making Identifying anemia and other conditions early Managing conditions that can affect blood count Minimizing blood loss during hospitalization Embracing PBM tactics throughout the organization “We focus on taking care of the entire patient and keeping the patient as safe as possible before, during and after a procedure,” said Dale Black, Coordinator, Patient Blood Management, YRMC. “And one way to keep patients safe is to not subject them to possibly unnecessary blood transfusions.” YRMC: What Your Heart Needs John Amos, President and CEO, YRMC, recalled the beginning of YRMC’s heart services, which launched in 2004 with a single Cardiac Catheterization Lab at YRMC West in Prescott. “Even then, we envisioned a heart program that would bring together the latest services, exceptional specialists, unparalleled technology and compassionate caregivers,” said Amos. YRMC took a major step toward that goal in 2007 when Dr. Tibi – a highly regarded Cardiothoracic Surgeon from Phoenix – joined YRMC. Dr. Tibi brought open heart surgery to the community, launched YRMC’s Heart Program and introduced PBM. Under Dr. Tibi’s leadership, YRMC’s thriving, comprehensive Heart Program has grown to feature these services and exceptional cardiac specialists: Structural Heart Disease Services – Soundos Moualla, MD, FACC, FSCAI, Structural and Interventional Cardiologist, YRMC PhysicianCare, Prescott Mitral Valve Repair with MitraClip Paravalvular Leak Closure (PVL) Transcatheter Aortic Valve Replacement (TAVR) Transcatheter Mitral Valve Replacement (TMVR) WATCHMAN™/Left Atrial Appendage Closure (LAAC) Electrophysiology Services – Nisha Tung-Takher, MD, Cardiac Electrophysiologist, YRMC PhysicianCare, Prescott Curative Management and Ablation Procedures for Cardiac Arrhythmias (atrial fibrillation, atrial flutter, supraventricular tachycardia, atrial tachycardia, premature ventricular contractions and ventricular tachycardia) Device Implantations (pacemakers and defibrillators) Remote Monitoring (pacemakers, defibrillators and cardiac resynchronization therapy, CRT) Heart Failure Management Care with Compassion YRMC’s Heart Program and PBM Program combine science and service, according to George Rizk, MD, Invasive Cardiovascular Medicine, YRMC PhysicianCare in Prescott. “YRMC is doing what’s best for patients,” said Dr. Rizk, who presented during the live-stream event. “If you deliver the most scientifically advanced services without putting the patient’s interest first, you don’t get too far. YRMC’s team has a passion for helping patients.” One way that YRMC does what’s best for patients was described by Elizabeth Black, YRMC’s Patient Blood Management, Data Manager. In the tradition of healthcare and acronyms, she called it “KTBITP” or “keeping the blood in the patient.” Less than a decade ago, Black noted, blood transfusion was the most common procedure performed in U.S. hospitals. While some blood transfusions are deemed medically necessary, she said, they all come with risks. Those risks include increased infection rates, medical complications (kidney, lung and heart), and higher death rates. PBM strategies combine evidence-based medicine with good clinical practice to maximize the patient’s blood health and reduce exposure to risks associated with transfusion. A Field of Dreams Dr. Rizk remembers the opening of YRMC’s first Cath Lab as a “field of dreams” moment. “We thought: If we build it, they will come,” he said. “And, if you build it well, they will never leave.” These statements are even more relevant today as YRMC’s Heart and PBM Programs emerge as destination programs. To learn more about YRMC – Your Destination for Cardiac Care and Blood Management check out YRMC HealthConnect. For information about YRMC’s Heart Program and PBM Program, visit our website.
Is Interventional Radiology Right for You?
Medical innovation moves forward at a rapid pace, with continuing technological advances and an ever-increasing understanding of health and the human body. Interventional Radiology may be one of the best examples of this phenomena. Thanks to this highly specialized medical field, procedures that once required surgery, a hospital stay, and extensive recovery time are now being performed on an outpatient basis using minimally invasive techniques. In fact, most of the procedures are performed without an incision. Interventional Radiology (IR) combines the use of advanced imaging such ultrasound, X-rays, CT scans and MRI to guide the treatment of a variety of conditions. Interventional Radiologists are board-certified physicians who are trained in both radiology and minimally invasive therapies. They treat conditions in virtually every organ system, including: Blood vessels Nervous system Reproductive system Gastrointestinal tract Liver Urinary tract Cardiovascular disease Cancer Dialysis access Back pain Leg pain and swelling Dr. Matthew Dicker is a Diagnostic and Interventional Radiologist with Yavapai Regional Medical Center. He emphasizes that a team approach delivers the best care for his patients. “Taking care of each patient starts with our office staff and administrative staff at the hospital. A great group of nurses and technologists help before, during and after each procedure,” Dicker says. “And of course, collaboration with the hospitalists and vascular surgeons as well as primary care providers creates the best possible 360-degree care for the patients in our community.” Dicker explains that Interventional Radiologists are consultants to virtually all of the specialties and subspecialties at YRMC, in addition to performing procedures specific to each. “Having the expertise to perform these procedures and having the facilities and support staff to perform them is a great benefit to the Quad Cities,” says Dicker. “The hassle of driving to Phoenix or elsewhere is no longer necessary.” As with the practice of medicine in general, Interventional Radiology continues to keep pace with ever-developing research and technology. “New and different ways to treat disease are happening almost daily,” Dicker notes. “We strive to perform the newest treatments safer than before. For instance, opening blockages in the leg arteries is being performed with access through the ankle as opposed to the groin where it had been typically performed, which significantly decrease the risk of bleeding while having the same excellent results.” “We are excited to introduce intravascular lithotripsy to break up plaque in the arteries that causes blockages,” he continues. “It uses the same technology that has been used for years to break up kidney stones.” Interventional Radiology allows for a quicker recovery time, less pain, reduced cost and a lower risk of complications. If you are a candidate for surgery, talk to your healthcare provider to see if an Interventional Radiology procedure makes sense for you as an alternative. “It is rewarding when a procedure is successful, a patient is happy with the results, and they are surprised that it was done without an incision with very little if any pain,” says Dicker. Click here to learn more about YRMC Imaging Services.
Musculoskeletal Radiologist Dr. Warren Spencer Joins the YRMC Team
Dignity Health, Yavapai Regional Medical Center (YRMC) is pleased to introduce Musculoskeletal Radiologist Warren Spencer M.D. to the Quad City area. Dr. Spencer has joined the team at YRMC, specializing in medical imaging of the extremities, specifically the joints, bones and muscles. “When a patient comes in for an x-ray, ultrasound, CT, or MRI of a bone or joint, it will be interpreted by a board-certified radiologist. I serve as a reference for other radiologists when unique or challenging musculoskeletal cases present themselves,” explains Dr. Spencer. “The majority of musculoskeletal studies that I interpret are related to arthritis or trauma that occur in the spine and joints,” he continues. “For example, many people in our community suffer from painful joint disease as a result of trauma or age-related wear and tear. Proper diagnosis and care will extend the quality of life for many of our aging population.” Working closely with YRMC orthopedic surgeons, pathologists, general practitioners and emergency department physicians, Dr. Spencer specializes in all varieties of disease of the musculoskeletal system, including trauma, sports medicine, arthritis, and bone and soft tissue tumors. “Each day at YRMC, I interpret imaging for patients in inpatient and outpatient settings, as well as in the emergency department,” says Dr. Spencer. “I also perform image-guided procedures, which include biopsies, injections and fluid drainages. I particularly enjoy interpreting musculoskeletal MRI.” Dr. Spencer earned his medical degree from the Medical School of Wisconsin and completed his Internship at Wheaton Franciscan Healthcare St. Joseph’s Hospital in Milwaukee, Wisconsin. Both his residency training in Diagnostic Radiology and Fellowship in Musculoskeletal Radiology were completed at the University of Iowa Hospitals and Clinics in Iowa City. Dr. Spencer is certified by the American Board of Radiology and he practiced as a Radiology Specialist in Iowa for six years. He is also a member of the American College of Radiology and the Radiological Society of North America. Originally from Utah, Dr. Spencer chose to move to Prescott because of the collegial and collaborative environment among the physicians at his practice. In addition, he and his family were drawn to the quality of life in the Prescott area. “Prescott reminds me of my hometown in Utah, with beautiful scenery and temperate weather. Moving from the Midwest, we have enjoyed being in closer proximity to extended family.”
Bonita Wilson, RN, Empowers People with Diabetes to Live Longer, Healthier Lives
Healthcare organizations around the world are celebrating the important role nurses play in helping people with diabetes to live longer, healthier lives. After all, multiple studies show that when nurses and diabetes educators work alongside physicians as part of a healthcare team, people with diabetes are more likely to reach their blood sugar goals, have fewer complications, feel more in control, and experience much less diabetes-related stress. To honor and recognize the nurses, educators, and people with diabetes in our community, we invited Bonita Wilson, Registered Nurse and YRMC Diabetes Educator to the set of YRMC’s Your Healthy Kitchen via Zoom, to talk about her work and prepare an easy, delicious, diabetes-friendly meal! Grilled Fish with Salsa Fresca Recipe Prior to our video chat, Bonita shared what she enjoys about her job. “I love making a difference and am continually inspired by the people who live long, healthy lives with diabetes. Life can be challenging for all of us sometimes, so imagine having diabetes on top of the everyday ups and downs we all face. I am impressed by the strong, resilient people living with diabetes in our community. They inspire me each day to be a great nurse and diabetes educator”. Diabetes educators are healthcare professionals who apply their in-depth knowledge to help patients manage the daily and future challenges of diabetes. As part of a healthcare team, diabetes educators provide individualized counseling and classroom-based education related to every aspect of diabetes management, including diet, physical activity, medications, monitoring and stress management. Studies show that the more informed people with diabetes are about the disease, the more likely they are to maintain their health and avoid long term complications, including cardiovascular disease, kidney failure and neuropathy. Remember, one in every three Americans currently has, or is at risk for developing diabetes, so talk to your healthcare provider about your risks of developing the disease. If you have diabetes or pre-diabetes, get more information and connect with YRMC’s Diabetes Education Program at 928-771-5794 in Prescott and 928-759-5920 in Prescott Valley.
Delicious Recipes for Happy, Healthy Holidays!
Holiday meals can be delicious, satisfying, memorable and healthy too! After all, the holiday season is also a time when late fall and winter produce is at its peak. Sweet winter squashes, bright greens, savory herbs, crunchy apples, and earthy root vegetables can all be transformed into countless nourishing, celebratory meals. Join me here in our latest episode of YRMC’s Your Healthy Kitchen as I share some of my healthy holiday favorites! Gingery Homemade Cranberry Sauce Recipe Anadama Dinner Rolls Recipe Wild Mushroom Farro Risotto Recipe A few of my favorite holiday recipes have been featured in YRMC’s Your Healthy Kitchen before, like winter green salad sweetened with seasonal fruit and toasted pecans, luscious baked apples, and a simple carrot soup warmed with ginger, cinnamon and coriander. Each of these recipes can be switched up a bit and serve as templates for your creativity. Try apples or mandarin oranges and toasted walnuts or pumpkin seeds in the salad instead of pears and pecans. Substitute butternut squash for the carrots in the soup. Change up the baked apple stuffing to include a variety of dried fruits and nuts and create your own flavorful sauce using different cooking liquids, spices and/or herbs. Winter salads can feature a variety of greens, toasted nuts and fruits Winter Salad with Seasonal Greens, Nuts and Fruit Recipe Ingredients for Fruit and Nut-Stuffed Baked Apples Baked Apples Recipe Creamy carrot or butternut squash soup with warm winter spices Carrot Soup with Warm Spices Recipe I wish everyone happy, healthy holidays and look forward to seeing you again in the new year! Until then, remember to to visit our collection of videos and healthy, delicious recipes at YRMC’s Your Healthy Kitchen. All of our recipes include nutrient-packed plants; affordable, local ingredients; and easy to follow instructions. You can also follow me on Facebook at YRMC’s Your Healthy Kitchen, to see what I am making at home, get insider tips and link to some of my favorite food and nutrition destinations on the web.