ucla doctors where you may not expect them

n addition to the six health care where our inpatient providers, called and coordinate your inpatient care with locations for the entertainment hospitalists, come into play. other specialists, including cardiologists, I industry and the 180 additional Once you are headed to a specific nephrologists and pulmonologists. primary and specialty care offices location, a member of our team can call If you are admitted to a community throughout the greater ahead and request that a UCLA Health hospital and need highly specialized region, UCLA Health also has physicians hospitalist oversee your care if you are care, you will have first priority for a who specialize in caring for hospitalized admitted to the facility. transfer to Ronald Reagan UCLA Medical patients in 10 community facilities and If you go directly to the emergency Center or UCLA Medical Center, Santa counting. Here is what you need to know department, you should identify yourself Monica, where our physicians handle the about our hospitalist program: as a UCLA Health/MPTF patient. If you most complex cases. are admitted to the hospital, our hospi- ALWAYS call your primary talist team will then oversee your care. A smooth transition home care office first Before you are sent home, a Unless there is an emergency that EXPECT care TO be coordinated hospitalist will prepare a discharge requires 911, you should always call your with outside providers summary that details what happened primary care office first if you are sick, UCLA Health hospitalists in all 10 during your hospital stay, which is then injured or have a health concern. locations can access your electronic sent to your primary care physician and Based on your symptoms, your medical records. This means that a relevant specialists. location and other factors, a member hospitalist can review your complete They will also write a prescription for of your health care team will either ask medical history without expecting you any new medications, refill most existing you to come in and see your primary to remember this information, and avoid medications and schedule any necessary care physician; tell you to go to an re-ordering imaging studies or lab tests follow-up appointments. after-hours office to receive urgent care you have already completed. Call our UCLA Health hospitalist services; or direct you to a nearby Once you are admitted, a hospitalist office with questions: (855) 488-9550. hospital for emergency care. This is will notify your primary care physician More info: uclahealth.org/hospitalists

THE CHECKUP | FALL 2019 UCLAHEALTH.ORG | 1-800-UCLA-MD1 president’s message Preventive Care inpatient care essential to Heart Disease and Stroke: community growth Understand Your Risk Johnese Spisso, President, UCLA Health Heart disease is the leading cause of death in the United States, causing 1 in 4—or just over 600,000—deaths each year. Stroke is the fifth leading cause of while the checkup death. Both are more likely to occur in patients with specific risks. newsletter is primar- ily focused on UCLA Health’s outpatient community expansion, 2 key risk factors growing our inpatient offerings is equally important to our mission. Here is what you need to know: New hospitals welcome our team. In the past year we have expanded the number of hospitals where we offer inpatient services provided by UCLA Health community-based hospitalists. At present, our hospitalists can care for entertainment industry patients at Ron- 1. high BLOOD PRESSURE 2. high CHOLESTEROL ald Reagan UCLA Medical Center and Blood pressure is the force of blood Cholesterol is a waxy, fat-like substance UCLA Medical Center, Santa Monica, plus pushing against the walls of your that’s made in your liver and travels eight other locations stretching from blood vessels that carry blood away throughout your blood stream on what Santa Clarita in the north to Torrance in from your heart to other organs. It is are known as lipoproteins. There are the south and Burbank in the east. measured using two numbers: two types: Additional inpatient services. Within these hospitals, UCLA Health Systolic blood pressure Low-density specialists and subspecialists, such as The top number, which represents the lipoproteins (LDL) “Bad” cholesterol creates fatty nephrologists, pulmonologists and pressure generated when your heart beats. buildups on the walls of your blood interventional cardiologists, also care vessels that can make it difficult for for patients with a variety of complex Diastolic blood pressure blood to travel to and from your heart. conditions. At UCLA-owned hospitals in The bottom number, which represents General guideline: < 100 mg/dL Westwood and Santa Monica, palliative the pressure in your blood vessels care teams help patients identify and when your heart rests between beats. High-density achieve their personalized treatment lipoproteins (HDL) Blood pressure guidelines “Good” cholesterol removes LDL goals, while East-West physicians in cholesterol away from blood vessels and Santa Monica offer inpatient services, Normal back toward the liver, where it is broken such as trigger point injections and Below 120 mmHG / 80 mmHG down and removed from the body. acupuncture. Elevated General guideline: > 50 mg/dL Improved care coordination. As 120-129 mmHg / 80 mmHG how to measure cholesterol UCLA Health has expanded, we have Stage 1 hypertension A lipid panel is a blood test that 130-139 mmHG / 80-89 mmHG also improved how we coordinate care measures LDL, HDL and triglycerides— between inpatient and outpatient Stage 2 hypertension the free-floating fats in your blood. providers. We involve each hospitalized Above 140 mmHG / above 90 mmHg General guideline: < 150 mg/dL patient’s primary care physician, and additionally rely on support from our specialized care coordination team when working with high-risk patients. additional risk factors This has helped us provide compre- If you smoke, have diabetes, are obese hensive, patient-centered care both in or inactive, talk to your primary care and out of the hospital, and has ensured physician or cardiologist about how that each patient has a smooth transi- you can minimize these risks. tion home after a hospital discharge, throughout our ever-expanding region.

THE CHECKUP | FALL 2019 Dr. Ravi Dave listens to Howard Brenner’s heart during a follow- up appointment.

Patient Story relieved. “It was so reassuring to have a UCLA physician there in Tarzana, with inpatient care provided access to my entire medical history,” he says. When he received a call from Dr. Relief to complex Patient Dave, who told him he knew he was hospitalized and felt confident in the plan, Brenner says he felt even better. oward Brenner had his first medication to lower his blood pressure. Dr. Law also called Encino-based heart attack at 41, and soon after, He was then admitted for testing and UCLA Health cardiologist, Dr. Boris Arbit, H became a UCLA Health patient. moved to a private room. Soon after, Dr. who visited Brenner in the hospital the In the past 20-plus years, Brenner, now Emily Law, a UCLA Health hospitalist next morning. “I already had a very clear 67, has had various imaging studies and physician, came in and introduced picture of his medical history when I procedures, including the placement of herself. She let Brenner and his wife arrived,” Dr. Arbit says. nine stents to open up his coronary know that she’d already reviewed his This coordinated, patient-centered arteries. All of this is documented in his chart through the online portal, and approach is by design. “We work as a electronic medical record. would reach out to his cardiologist, Dr. team to make every experience in the The benefit of having his extensive Ravi Dave, UCLA’s director of interven- hospital as comfortable and stress-free medical history in one place became tional cardiology, to let him know what as possible,” Dr. Law says. important in mid-January, when Brenner was going on. When it was time for Brenner to experienced severe chest pain during Immediately, Brenner says, he felt be discharged, Dr. Arbit explained how a particularly stressful day at work. He they had increased his blood pressure knew he should go straight to the medication and scheduled his follow-up emergency department, and decided to appointment with Dr. Dave in a few days. meet his wife, Lynda, at Providence ‘It was so reassuring When Brenner went in for that visit, Tarzana Medical Center, a midway point to have a UCLA physician he told Dr. Dave how impressed he was between his office in Glendale and their with his inpatient care. “Going to the Westlake Village home. there in Tarzana, hospital with chest pain can be scary,” When he arrived in the emergen- with access to my entire he says, “but having UCLA physicians cy department, Brenner was given a medical history.’ there made me feel thankful and calm.” UCLA Health Update

Hospitalist 5 Services Valencia Near You 405 Thousand Oaks CLA Health hospitalists are 6 170 5 now able to care for entertain- 101 8 ment industry/MPTF patients at 9 Burbank U 7 10 convenient locations throughout the 1 region, displayed on 101 1 4 the adjacent map. 2 3 10 Santa Monica

There are 3 ways to access 110 UCLA Health hospitalist care: Torrance 10 1. Have your primary care physician 405 call ahead before you arrive at a 1 participating hospital.

2. identify yourself as a UCLA Health/ MPTF patient and request to see a UCLA Health hospitalist if you are admitted at any of these locations. You can also present a laminat- WESTSIDE & LOS ANGELES ed UCLA Health hospitalist card, 1 ronald Reagan UCLA Medical Center 757 Westwood Plaza, Los Angeles available in all of our primary care offices, when you check in to a 2 UCLA Medical Center, Santa Monica 1250 16th St., Santa Monica participating hospital’s emergency

department. 3 Providence Saint John’s Health Center 2121 Santa Monica Blvd., Santa Monica

3. have your name flagged as a UCLA 4 Cedars-Sinai Medical Center 8700 Beverly Blvd., Los Angeles Health patient when hospital staff access your electronic medical record and see the name of your primary care physician. NORTHWEST

Once you are seen by a UCLA Health 5 Henry Mayo Newhall Hospital 23845 McBean Pkwy., Valencia hospitalist, they will coordinate your inpatient care by reaching out to your 6 Los Robles Hospital & Medical Center 215 West Janss Rd., Thousand Oaks primary care physician and involving 7 Providence Tarzana Medical Center 18321 Clark St., Tarzana any necessary specialists. They will also write a prescription for any new 8 West Hills Hospital & Medical Center 7300 Medical Center Dr., West Hills medications, oversee your discharge and book your follow-up appointments to ensure that you have a smooth transition home. EASTSIDE If you need highly specialized care, such as heart surgery or a transplant, 9 Providence Saint Joseph Medical Center 501 S Buena Vista St., Burbank you will have first priority for a transfer to Ronald Reagan UCLA Medical Center or UCLA Medical Center, Santa Monica, where our physicians handle the most SOUTH complex cases. 10 Providence Little Company of Mary 4101 Torrance Blvd., Torrance More info: uclahealth.org/hospitalists medical Center

UCLAHEALTH.ORG | 1-800-UCLA-MD1 The Checkup Covering all UCLA Health/MPTF offices, including Calabasas, Santa Clarita, Toluca Lake in Burbank, Bob Hope in Hollywood, Westside in West L.A., and the Age Well Program in Woodland Hills

practice spotlight calabasas

NEW LOCATION SPECIALTIES & SERVICES ABOUT

26585 W. Agoura Rd., Suite 330 n Internal medicine n This office replaces the Jack H. Calabasas, CA 91302 n Family medicine Skirball Health Center. Phone: (818) 876-1050 n Geriatric and palliative medicine n It offers the same physicians with an Hours: Monday – Friday: 8 am – 5 pm; n Adolescent medicine expanded list of services. Saturday: 8 am – 4 pm n Well-woman care n Same day appointments are available Parking: Free parking in lot n Routine immunizations for most medical needs. n Blood draw and lab work n All visits should be scheduled by More info: uclahealth.org/calabasas/ n Pharmacist consults phone or online via the patient portal. mptf n Additional specialties will be offered Ophthalmology: Suite 330 in the building in the coming year. Pediatric specialties: Suite 360 Clinical lab: Suite 370

Specialty expansion New specialists cardiology & cardiac imaging TOLUCA LAKE New specialists recently joined UCLA Health now offers cardiology and cardiac imaging services at 12 the Toluca Lake practice and are locations throughout the greater Los Angeles region. Your primary care available to care for both motion physician can provide a referral to the location nearest you. picture patients and general UCLA Health patients.

n Beverly Hills n Santa Monica Nephrology: Dr. Kristine Sarmosyan n Burbank n Simi Valley is now in Toluca Lake full-time. n Downtown L.A. n Thousand Oaks n Encino n Torrance Rheumatology: Dr. Lauren Freid is n Porter Ranch n Ventura also in Toluca Lake full-time. n Santa Clarita n Westwood Where: UCLA Health/MPTF Toluca Lake: 4323 Riverside Drive, Burbank More info: uclahealth.org/heart When: Monday - Friday: 8 am – 5 pm Phone: (818) 556-2700 More info: uclahealth.org/Toluca-lake

THE CHECKUP | FALL 2019 UCLAHEALTH.ORG | 1-800-UCLA-MD1 Clinical Update Protect 3 Yourself from Almost everyone can get the same the Flu vaccine Every patient between 6 Influenza, or the flu, is a contagious viral months and 64 years can illness that infects the nose, throat and get the same single-dose lungs. It can be mild to severe, and even flu vaccine. A high-dose lead to hospitalization or death. The vaccine is recommended for best way to protect you and your family patients 65 and older. is to get the flu vaccine, available in offices now. Here are 3 things to know:

where to get the vaccine All UCLA Health/MPTF offices stock the flu vaccine to administer to pa- tients. It is available now. Call ahead to confirm hours and availability.

n Bob Hope: 335 N. La Brea Ave. Los Angeles, CA 90036 (323) 634-3850 2 n Calabasas: 26585 W. Agoura Rd., The flu vaccine Ste. 330 Calabasas, CA 91302 is effective (818) 876-1050 1 According to the Centers n Santa Clarita: 25751 McBean Pkwy., You can’t get the flu for Disease Control and Ste. 210, Valencia, CA 91355 from the flu vaccine Prevention, the flu vaccine (661) 284-3100 Forget about what you’ve is up to 80% effective. While n Toluca Lake: 4323 Riverside Dr. you can still contract influenza heard. The flu vaccine does Burbank, CA 91505 even if you get the flu shot, not contain any live flu virus, 818) 556-2700 which means it’s impossible your risk of having a serious to get sick from it. A side flu illness drops to below 1% n Westside: 1950 Sawtelle Blvd., Ste. 130 effect you may experience is a with the vaccine. Los Angeles, CA 90025 temporarily sore, red arm (310) 996-9355 at the injection site. More info: uclahealth.org/MPTF

Chair, Dept. of Medicine Writer and Editor Alan M. Fogelman, MD Anne Machalinski

COO, Ambulatory and Design U.S. News & Ranked World Report’s Community Practices Sean Noyce, Noysky Projects #1 in Best Hospital Farah Elahi, MBA Survey ranks Photography California UCLA Health #1 Vice Chair, Dept. of Medicine, Reed Hutchinson PhotoGraphics in Los Angeles, Community Physicians #1 in California Network Copyright © 2019 by UCLA Health. and #6 in the Mark S. Grossman, MD All rights reserved Contact The Checkup nation. via email: [email protected]