Winter 2013 vol 6, issue 1

INSIDE THIS ISSUE:

Heart Health Oscar, Tony, Emmy Colorectal Cancer Screening and Grammy winner Helping Mr. Sandman

Rita Moreno Give Yourself A Hand On Preventing We’re Fighting Heart Disease Heart Disease Heartburn or Heart Attack?

Visit: www.loganmemorial.com A Message from the CEO

James L. Bills, CEO Logan Memorial Hospital Take This to Heart I am so pleased to lead the exceptional team at Logan Memorial Hospital and be a part A Heartfelt Message of Logan County. My wife Lara and I, along with our two Rita Moreno’s Lifesaving Mission Is children, Sara Margaret and Calloway, look forward to Preventing Heart Disease and Diabetes establishing roots here and becoming active in our church, Rita Moreno first captured the heart of America in 1961when she won an school, and youth athletics. Academy Award for her portrayal of Anita in West Side Story. More than 50 years later, From a professional perspec- tive, my vision for Logan she’s still going strong, starring in the third season of the television series Happily Memorial Hospital is a simple Divorced. Rita is one of only a handful of performers who have won all four of the most one. Build our community prestigious awards in show business: an Oscar, an Emmy, a Tony and a Grammy. And in hospital into a facility where employees are proud to work, 2004, Rita was awarded the Presidential Medal of Freedom, the highest honor given to physicians are greatly satisfied an American civilian, for her lifetime of service. HealthPoint recently spoke with the with the care delivered, and is the community’s first choice for award-winning singer and actress about her passion to help prevent heart disease personalized, compassionate and diabetes. healthcare. Logan Memorial Hospital is What motivated you to become involved in the fight against heart an integral component of this disease and diabetes? community’s infrastructure. Your choice to utilize local I guess you could say it’s personal. I lost both my mother and my sister-in-law from healthcare services has an complications related to type 2 diabetes. My late husband suffered a heart attack early enormous impact on the economic stability of Logan in life, and several of my family members have battled high cholesterol. I wanted to do County. We employ 236 people what I could to help prevent these diseases. with an annual payroll of nearly $11 million, much of which goes So you teamed up with the American Heart Association? right back into the community since the majority of our Yes. I served as a spokesperson for their program The Heart of Diabetes: employees live in Logan Understanding Insulin Resistance. Heart disease and stroke are the #1 causes of death County. Patrick Hayden, M.D. in people with type 2 diabetes. Yet many people who have type 2 diabetes are not Please enjoy the first install- Family Medicine ment of our new community aware that they have a much higher risk of developing heart disease. Being from newsletter. It is our intent to Puerto Rico, I especially wanted to reach out to Latinos and Hispanics, who are twice provide more resources on making healthier lifestyle as likely to suffer from type 2 diabetes. choices. I am excited and honored to lead Logan Memo- You’ve also been involved in helping women understand the risk of heart disease. rial Hospital into a new era in That’s right. I participated in The Heart Truth campaign that was launched in 2002 healthcare. Together we can make a difference in building a and introduced the red dress as a national symbol for heart disease awareness among healthier community. women. It’s been very successful. In 2000, only 34 percent of women knew the risks of heart disease. In just a few years, that number increased to 62 percent. Even though we’ve made great progress in increasing awareness among women, we still have a lot of work to do. (continued on following page) Are You at Risk? What do women need to know about heart disease? They need to know that heart disease is not just a man’s Some risk factors for heart disease, such as problem. One in four women will die of heart disease. It’s the #1 growing older or a family history of the cause of death in women. More than 80 percent of women ages disease, can’t be changed. But fortunately, there are risk factors you can control: 40 to 60 have at least one risk factor for heart disease. Women share several of these risk factors with men, including high blood High blood pressure: HBP is known as the pressure, high cholesterol and being overweight. But there are Silent Killer because it can go undetected for also a number of other factors that play a major role in the years. That’s the reason it’s so important to have your blood pressure checked regularly. development of heart disease in women, for example, smoking, mental stress and depression and low levels of estrogen High cholesterol: Too much bad cholesterol, after menopause. called LDL, narrows the arteries and makes them less flexible. So what can people do to stay heart healthy? Other controllable risk factors include: First, see your doctor at least once a year to check your blood • Smoking • Lack of Exercise • Diabetes pressure and cholesterol levels. And talk to your doctor about • Being Overweight your risk for diabetes. Second, get off the couch and start exercising 30 minutes a day. Third, start a heart-healthy diet. Eat more fruits and vegetables. Stay away from fried foods. Cut down on fat and salt. When I was growing up, my mother used to sauté mushrooms in fat. They were delicious, but now we know that wasn’t exactly a healthy way to eat. Now I use olive and canola oils when I’m cooking. To prevent heart disease, it all comes down to educating ourselves so we can make smart choices.

For more information, call or visit us online at:

www.loganmemorial.com

Live it Out

Here are four simple ways you can live heart-smart. And if you need some motivation, just remem- ber: 80 percent of heart disease and stroke is preventable! Patrick Hayden, M.D. Family Medicine 1) Eat Smart: Avoid foods with saturated fats and trans fats. Choose meat and poultry that is lean. Eat more fish. Cut down on salt. Include plenty of whole grains, fresh fruits and vegetables and low-fat dairy products in your diet. 2) Unpack Those Extra Pounds: People who are overweight or obese have a higher risk for heart disease. 3) Get Off The Couch: Physical activity, whether it’s a brisk walk or mowing the lawn, strengthens your heart and improves circulation. Try to exercise 30 to 60 minutes a day, five days a week. 4) Say No To Tobacco: If you smoke, the single best way to prevent heart disease is to quit the habit. Screen for Life – Your Life

March Is National Colorectal Cancer Awareness Month

Over 50? It’s time to talk to your doctor about Colonoscopy scheduling a regular screening for colorectal cancer. A colonoscopy remains the gold standard for the Cancer of the colon and rectum is the second leading diagnosis of colorectal cancer. It is better for patients cause of cancer death in the United States. There are no since the examination and polyp removal can be done in symptoms for colorectal cancer during the first stages the same procedure. It also helps physicians make an of the disease. That’s the reason early detection is so accurate diagnosis because they can examine the entire important. Scheduling a regular screening test is the length of the patient’s colon. best way to find the disease early, when treatment is Logan Memorial Hospital offers a full range of most effective. colorectal procedures including: Colonoscopy, Polypectomy, Upper Intestinal Endoscopy, Colon/ Intestine Removal, Colon Resection, Hemicolectomy, Hemorrhoidectomy, Hemorrhoidal Disease Treatment, Perianal Abscess, and Sigmoidectomy. Physicians who perform colorectal procedures at Logan Memorial are Dr. Abrar Arshad and Dr. Adam Ellis. Dr. Patrick Hayden performs flexible sigmoidoscopy. During the months of March and April, Logan Adam Ellis, M.D. Memorial Hospital will offer free Fecal Occult Blood General Surgery Tests (FOBT) to the community. To request a test kit either call 725-4601 or visit LoganMemorial.com.

Risk Factors and Prevention Factors that increase your risk for colorectal cancer include a high intake of fatty foods, a family history of the disease, and the presence of polyps, a fleshy growth on the inside of the intestines. Eating a low-fat, high- fiber diet and getting regular physical exercise are the two most important ways to help prevent the disease.

Introducing 24/7 Surgical Coverage! Logan Memorial Hospital is pleased to announce an addition to our medical staff. Dr. Thomas Unruh has partnered with Dr. Adam Ellis to form Apogee Thomas Unruh, M.D. Physicians. Together this team will now offer round-the- General Surgery clock expert surgical coverage. These surgeons have a combined 40 years of general surgery experience. For more information or to schedule an appointment call 726-8090. Helping Mr. Sandman A good night’s sleep is important for good health. Unfortunately, an estimated 70 million Americans have a hard time falling or staying asleep. They suffer from a wide variety of sleep disorders – everything from snoring and sleep apnea to insomnia and restless leg syndrome. Lack of sleep contributes to chronic tiredness, weight gain, depression and other health problems. For example, If you’re not getting about 25 percent of adults are habitual snorers, a sign of a serious disorder called sleep apnea. People a good night’s sleep or with sleep apnea stop breathing for 10 to 15 seconds or longer, sometimes hundreds of times during think you might snore the night. As a result, the brain and the rest of the body are not getting enough oxygen. Left untreated, sleep apnea can result in multiple health problems, including high blood pressure, stroke, (just ask your loved ones!), heart failure, diabetes and depression. talk to your doctor or call The Sleep Center at 725-4792 for more information.

GIVE YOURSELF A HAND We depend on our hands to perform a wide variety of functions throughout the day. If any of the many tendons, bones, or ligaments in the hand fail to work properly then treatment with medicine, splints, physical therapy or injections may help. More common painful problems include

nerve compression, rheumatoid arthritis, injuries or just wear and tear. Joseph Zehner, M.D. Possible side effects of foregoing treatment could lead to decreased Board Certified range of motion, stiffness, abscess, scar formation and in rare cases the loss Orthopedic Surgeon of limb. Dr. Joseph Zehner is a Board Certified Orthopedic Surgeon with 35 years of experience treating common problems with the hand, including surgery if needed. If you have pain in the hand or wrist, do not continue to suffer. Call Dr. Zehner at 725-8660. Appointments are available each weekday in Russellville. We’re ALL How Logan Memorial Hospital Is Fighting Heart Disease

OK – let’s start with the bad news: More than one in three Americans have some form of heart disease, the leading cause of death in the United States.

Now here’s the good news: 80 percent of heart disease and stroke can be prevented! At Logan Memorial Hospital, we provide multiple resources to help you and your family take a stand against the nation’s #1 killer. Here’s a quick look at some of the technology and expertise we provide.

G.S. Scoville, Jr., M.D. FACC Assessing Your Personal Risk Factors Cardiovascular Diseases The first step in fighting heart disease is to see your doctor at least once a year. Saint Thomas Health Your personal physician can review your family history of heart disease, evaluate your overall health, and help you control the key risk factors. High Blood Pressure: More than 76 million Americans have high blood pressure. High Cholesterol: If your cholesterol is high, talk to your doctor about medications that can control your condition. Smoking: Smokers are two to four times more likely to develop heart disease. Physical Inactivity: Just 30 minutes of exercise each day can lower your blood pressure as much as some medications and increase your good cholesterol. Being Overweight: More than 60 percent of Americans are overweight or obese. Diabetes: At least 65 percent of people with diabetes die from some form of heart disease or stroke.

Diagnosis To make the best possible diagnosis, our physicians have access to a wide range of advanced imaging capabilities. Chest X-ray: Used to check for an enlarged heart or fluid buildup in the lungs. Stress Test: This involves walking on a treadmill or pedaling a stationary bike to check the heart’s performance under exertion. Electrocardiogram (ECG): Uses electrodes to check the heart rhythm and possible damage from a heart attack. Echocardiogram: Uses sound waves to create a video image of the heart.

*Provided to our patients through an affiliation with Saint Thomas Heart Don’t have a primary care physician? Don’t worry. Just go to our hospital website address and click on Find A Physician. www.loganmemorial.com ALLheart! How Logan Memorial Hospital Is Fighting Heart Disease

Cardiac CT Scan*: This is an advanced X-ray machine that moves around the body to produce 3D images. Cardiac MRI*: Uses a magnetic field and radio waves to create a detailed image of the heart. Holter Monitoring: Patients wear this lightweight, portable device for 1 -3 days to record their heart rhythms. Angiogram: This procedure takes a movie of the heart in action by injecting a special fluid, called a contrast, which is visible to X-rays.

Treatment In advanced cases of heart disease, cardiac surgery is sometimes the only option. Interventional Catheterization*: During this procedure, a long, narrow tube is inserted into a vessel and then guided to the heart with the aid of an X-ray machine. It is often used to close an opening in the wall between the upper chambers of the heart or to open up a blocked valve or vessel. Angioplasty*: When coronary arteries become narrow or blocked, an angioplasty can restore the blood flow. A thin flexible tube with a balloon on its tip is threaded through the coronary artery. Once in place, the balloon is inflated to widen the artery. In many cases, a small wire mesh tube, called a stent, is placed in the artery to help keep it open.

Recovery After patients have been treated for a heart attack, stroke or other heart condition, it’s time to start building a healthier future. Participation in our Cardiac Rehab program dramatically decreases the risk of future heart problems. After a heart attack, for example, people who participate in a cardiac rehab program have a 50 percent greater survival rate after three years compared to people who don’t. Our team of cardiologists, nurses, dieticians and physical therapists can help you stop smoking, manage your blood pressure, create a heart-healthy diet, or develop an exercise program customized to your specific needs and goals. They provide ongoing support, education and counseling to promote a faster recovery and a healthier lifestyle. www.loganmemorial.com Winter 2013 vol 6, issue 1

LOGAN MEMORIAL HOSPITAL

HealthPoint is published as a community service by Logan Memorial Hospital. It in no way seeks to diagnose or treat illness or to serve as a substitute for professional medical care. For individual guidance, consult your physician. For more information about Logan Memorial Hospital or anything in this publication, please call 270-725-4601. Photos of Rita Moreno by Mike LaMonica Logan Memorial Hospital 1625 Nashville Street Russellville, KY 42276

Important News and Helpful Advice for a Healthier Life inside: Heart Health

Colorectal Cancer Screening

Helping Mr. Sandman

Give Yourself A Hand

We’re Fighting Heart Disease

Heartburn or Heart Attack?

Heartburn – Or Heart Attack?

You’re feeling a burning sensation in your chest. Is it just a case of heartburn? Or the first signs of a serious heart attack? Answering those questions can be the difference between life and death. So how do you know? Heartburn Symptoms Heartburn has nothing to do with your heart. It occurs when a small amount of digestive acid leaks out of the stomach and into your throat. People with heartburn experience a burning sensation, usually after lying down, bending or eating. Sometimes there is a bitter taste in the mouth. Heart Attack Symptoms Like heartburn, a heart attack can start with mild chest pain or upper body discomfort. Indeed, most heart attack symptoms begin slowly. The pain often spreads to the back, neck, jaw, stomach and arms, especially the left arm. Other heart attack symptoms include: Sudden and severe pressure, pain, or tightening in the center of the chest (How- ever, in many cases, women having a heart attack do not experience chest pain.) Shortness of breath Chest discomfort with sweating, nausea, dizziness and lightheadedness When in doubt, play it safe and call 9-1-1 within the first five minutes after symptoms occur.