Monday, 7.6.15 ON THE WEB: www.yankton.net healthlines NEWSROOM: [email protected] PAGE 6 Press&Dakotan Yankton Drs. Among Best Chiropractors BROOKINGS — The Best Practices Academy has identi- The Thrill Is Back (Sort Of) fied high performing chiropractic physicians, who are leading the way for improved patient outcomes in a patient- centered care model, to participate in the Patient-Centered BY MICHAEL ROIZEN, M.D., on how you use the info. You’ll also be Connected Care Recognition, a program launched today by AND MEHMET OZ, M.D. able to send the info to your doctor or the National Committee for Quality Assurance (NCQA). King Features Syndicate, Inc. anonymously share it with scientists In an effort to promote improved working relationships conducting research studies. Note: between medical and chiropractic providers, program The father of psychoanalysis Sig- The sex tracker doesn’t work like a training focuses on integrated shared care planning, with mund Freud once asked, “What does pedometer! You put info in AFTER the providers working together for the best outcome for the a woman want?” The pioneering sex fact (or act). patient. A growing number of choices are available for researcher Alfred Kinsey puzzled over Reports have doctors saying it’s not healthcare consumers in selecting care beyond a tradi- women’s desires. Well, lately, if online very useful in and of itself; and many tional primary care physician. Patient-Centered Connected bloggers are to be believed, one pos- on social media echoed that sentiment. Care recognizes this fact and ambulatory care providers sible answer to both is: “A version of One Tweet said: “iOS 9 will include an that communicate and connect with other primary care men’s little blue pill to help ease sexual app to help you track how often you providers as they deliver care to shared patients. dysfunction!” have sex. No, thanks, Apple, I don’t Among the innovative Doctors of Chiropractic identified There are no medications approved OZ AND ROIZEN need to be reminded! (Sobs gently).” by the Best Practices Academy and involved in this new by the Food and Drug Administration But we think it’s one more way to recognition program are: to relieve hypoactive sexual desire Dr. Mehmet Oz and Dr. Michael Roizen empower YOU. Research shows that • Thomas D. Stotz, DC, FACO, FICC, James C. Fitzgerald, disorder in women. HSDD is defined as a a loving, ongoing sex life boosts heart deficiency or absence of sexual fantasies DC, FICC, Sheila K. Fitzgerald, DC, Thomas J. Stotz, DC at --Help arrange for parent volunteers health, eases bladder control prob- First Chiropractic Center with clinics in Yankton, Scotland and lack of sexual desire that triggers lems, reduces stress, increases levels distress or relationship problems. Yet to come play active games with the and Bloomfield, Nebraska. kids. of illness-fighting immunoglobulin A, it affects about 33 percent of women, is associated with generosity and hap- “We are very excited to bring value forward to patient perhaps because of childbirth, emo- --Set up excursions to local parks care through this process,” says Dr. Scott Munsterman, where kids can explore and play. piness, and makes your RealAge much tional or hormonal problems, reactions younger. CEO of the Best Practices Academy. “As health care deliv- to medications, medical conditions or --Provide day care workers with ery enters into a new phase of accountability, it is our goal activity-based CDs or videos that will Since the HealthKit app also lets you procedures. Current treatment consists track your weight, physical activity, diet to be a resource to the practices and partner with them on of a hit-or-miss collection of suggested get kids up and moving. this journey.” lifestyle changes (drink less, exercise --And suggest using the Cleveland and mood, you can see how changes in Value is important in the health care system. Insurance more, shed extra weight, avoid simple Clinic’s Food Is Knowledge program for those markers seem to correlate with payers and states are increasingly rewarding practitioners sugars and saturated fats, get enough pre-K to first grade. your sexual activity. So we say, tonight who provide improved patient care and cost savings. The sleep), treatment of medical or psychi- tell your honey that you’re doing impor- patient-centered medical home (PCMH) model of care — tant health research, and enjoy what atric issues, hormone therapy and/or THE DOWNSIDE OF ELECTIVE C-SECTIONS one in which care is centrally coordinated and tracked by marital counseling. you discover! one primary care provider — has become the standard by That may be changing: On its third Diva and “The Voice” judge Christina which primary care can achieve better patient care and review of a medication for HSDD called Aguilera scheduled an elective cesar- WATERMELON TO THE RESCUE lower costs. ean procedure during her 37th week of flibanserin, the FDA’s advisory commit- The World Championship of Water- “The American Chiropractic Association applauds the tee recommended approval. It’s not a pregnancy in 2008, when she gave birth NCQA for their willingness to include chiropractic physi- to her first child Max. She’s not alone. melon Seed Spitting is held at the Annual new drug; it was originally used to treat Watermelon Thump in Luling, Texas: cians in their newly developed Patient-Centered Connected depression by acting on the brain’s Almost 27 percent of all births in the U.S. are C-sections in low-risk situations such The world record is 68 feet, 9 1/8 inches! Care Recognition program. Patient-centered, evidence- dopamine and serotonin receptors. How Clearly, the folks in Luling take their wa- based, value-driven health care delivery is rapidly becom- it improves HSDD is unknown. Unfortu- as Aguilera’s. (“Low risk” is defined as single births, with babies in a good posi- termelon seriously, but what we’re about ing the model of care preferred by both private and public nately, it’s only 10 percent more effective to tell you is something even those payers. Best Practices Academy and the chiropractic than placebo. So if it’s ultimately ap- tion, at 37 or more weeks of gestation.) And although C-sections can be watermeloners might not be aware of. practices listed above are to be commended for their col- proved, it’s just a baby step in the right Watermelon is a super food. It has lective foresight,” said Anthony W. Hamm, DC, FACO, ACA direction. life-saving for women and newborns, doctors are trying to reduce the use of about 40 percent more lycopene per President If you have HSDD, don’t wait for cup than tomatoes. Lycopene boosts The Patient-Centered Connected Care Recognition Pro- flibanserin: Talk to your gynecologist elective C-sections. Two new studies show why. levels of a hormone called adiponectin gram aligns with that model. Sites that demonstrate they about possible causes and ways to ease that helps you maintain healthy a blood follow NCQA Patient-Centered Connected Care standards your distress. Everyone deserves to Besides the risks associated with surgery and anesthesia for both mother sugar level, burn fat, cool inflammation, are positioned to earn an NCQA seal. enjoy intimacy and the physical and lower LDL (lousy) cholesterol levels and emotional benefits it bestows. and baby (repeated fetal anesthesia exposure is a long-term risk to a baby’s blood pressure, and decrease arterial brain development), a National Vital Sta- aging or atherosclerosis. Plus, it encour- Avera Provides Video Doctor Visits COMBAT OBESITY STARTING tistics Report shows that mothers need ages cancer cells to die. That’s why lyco- Do you need to see a doctor for an ache or pain? There’s IN PRESCHOOL transfusions for C-sections at more than pene has been associated with reducing an app for that. Norman “Chubby” Chaney seemed three times the rate of vaginal births; the risk for breast, prostate, lung and On June 20, Avera launched a new a mobile video visit amusing in the “Our Gang” comedies intensive-care admissions were almost stomach cancers. that can be done over a smartphone, tablet or computer. of the 1930s and ‘40s as an overweight six times higher for first-time cesarean Another good-for-you nutrient AveraNow is offered by Avera as part of its growing direct- deliveries; and by far the highest rates found in watermelon is the amino acid child (he was 3 feet, 11 inches tall and L-citrulline. A recent study found that to-consumer, easy access points of care. Appointments are weighed 113 pounds). In part, it was of ruptured uterus and unplanned hys- $49, payable by debit or credit card and are available to all terectomy occur with repeat cesarean after you work out, citrulline accelerates because there just weren’t many. Today removal of lactic acid from your body, consumers in Avera’s service area. nearly 18 percent of kids ages 6-11 are deliveries. The service is available 24/7 for patients as young as Plus, a new study from New York reducing recovery time and next-day obese, as are 21 percent of those 12-19! muscle soreness. age 2 into adulthood. Obesity is common and not funny, espe- University shows that the child may be at increased risk for Type 1 diabetes (up Does that mean watermelon can “Our patients can now get an AveraNow visit, from cially when it comes to children. make you run faster or jump higher? anywhere, at any time of the day or night,” said Tad Jacobs, A lot of factors contribute to this 19 percent), asthma (up 1.6 percent) and obesity (up 3.6 percent) later in Sorry, that seems unlikely. Another DO, Chief Medical Officer for Avera Medical Group. “Aver- epidemic (hormone disruptors in study found that eating it doesn’t en- aNow gives people on-demand access to health care. The receipts and plastics, changes in your life, perhaps because the child doesn’t pass through the vaginal canal, where hance athletic performance -- although it service is not limited to Avera patients.” intestinal bacteria due to processed can help your muscles repair so that you AveraNow’s free mobile app is offered through the foods, the digital sit-and-stare-at-a- a newborn picks up important bacteria for a healthy gut biome and immune feel more like getting back out there the iTunes App Store, Google Play and other Android-based screen revolution, inner-city environ- next day! app distributors. Or, consumers can connect by logging system. So before scheduling an elective ments, high fructose corn syrup, sugary C-section, make sure you talk with your So bring slices of watermelon to onto a special web page at Avera.org/Now. drinks). It can seem hard to keep your your child’s next soccer game. And When consumers connect for a visit, they can fill out doctor about all of the risks and benefits child from becoming overweight. But for you and your child. think about juicing up a glass for a a checklist concerning symptoms, current medications a recent study from Seattle Children’s thirst-quenching drink after you take a and pertinent health history. AveraNow is appropriate for Hospital might indicate a good place to bike ride. Either way, chowing down on minor illnesses, such as colds, flu, bronchitis, allergy prob- start: in your preschool. SEX AND APPLE’S NEW HEALTHKIT APP watermelon this summer will make you lems, rashes, urinary tract infections and sore throat. Most Researchers found that U.S. pre- Apple recently announced that the feel better today and tomorrow. appointments last about 10 minutes. schoolers get only around 48 minutes update of iOS 9 will allow its HealthKit ——— Patients will get a real-time, two-way video visit with an of active play a day, when they should app -- in a new category called “Repro- Mehmet Oz, M.D. is host of “The Dr. Avera doctor or advanced practice provider. Some online be getting two hours or more. And this ductive” Health -- to track your sex life Oz Show,” and Mike Roizen, M.D. is health services treat patients without actually “seeing” contributes to everything from being (frequency and what contraceptive you Chief Wellness Officer and Chair of Well- them, based on their questionnaire and a phone conversa- overweight to learning and behavior used) on your iPhone or Apple Watch. ness Institute at Cleveland Clinic. To live tion. Two-way video enhances the experience and provides problems. But when preschoolers play Women will be able to monitor their your healthiest, tune into “The Dr. Oz better, safer care. actively indoors (remember duck-duck- menstrual cycle and record info on Show” or visit www.sharecare.com. Providers review medical histories, answer questions, goose?) or run around outside for even basal body temperature, cervical mu- make diagnoses and prescribe medications, excluding an hour a day, behavior and learning cus quality and spotting. That’ll make © 2015 Michael Roizen, M.D. controlled substances. If a visit is not appropriate for improve, and so does naptime. the HealthKit a digital rhythm-method and Mehmet Oz, M.D. AveraNow, for example, anything requiring lab tests, X-rays So if your child is in day care: tracker or fertility booster, depending or hands-on care, consumers are advised to go to primary care, urgent care or an emergency department for their care. AveraNow providers follow evidence-based care proto- cols for high quality care. USD, Sanford Offers New Paramedic Training Program Tractica, a market intelligence firm that focuses on hu- VERMILLION — The Uni- degree anyway, you can pursue Physician Assistant, Public be held Tuesday and Thurs- man interaction with technology, reports that home health versity of South Dakota and this and come away from it Health and Social Work. Many day in the Health Sciences technologies like AveraNow will increase from 14.3 million Sanford Health are working with paramedic certification,” students who seek a major in Center in Sioux Falls in the late worldwide in 2014 to 78.5 million by 2020. Data show that together to fill the need for said Bohlen. “You can’t really Health Sciences plan to pursue afternoon/evening hours. Labs telemedicine, like video visits, can deliver quality outcomes paramedics in rural health care put a price on the experience.” graduate education in one of and simulations will occur on comparable to in-person clinic visits. And on average, pa- facilities across the state and Here are some details about the professional programs. a select Saturday each month. tients report a 96 percent satisfaction rate with this mode region. the program: Others seek to work in the A mobile simulation lab will of health care delivery. Beginning this fall, a para- Q: What is this program? health care industry or in a then bring the experiences to Market demand and patient satisfaction are also driven medic training program will be A: The USD/Sanford public health field. In addi- Vermillion as the program pro- by the low cost of video visits. In fact, telehealth is one of added to USD’s Health Sciences Paramedic Program is a new tion, there are students who gresses and more on-campus the most cost-effective ways to see a doctor. The emer- major. It will be offered to stu- addition to the Health Sciences have previously completed students enroll. dents on the Vermillion cam- major. It consists of 43 credit associate degrees in areas Q: Why is this impor- gency room is the most expensive and least efficient way to pus or attending the University hours and is part of the 120 such as radiologic technology, tant? provide non-emergent care, costing from $1,500 to $3,000 Center in Sioux Falls who are required for a student to gradu- occupational therapy assistant, A: The shortage of certi- on average compared to $130 to $190 for a clinic visit, ac- already EMT-certified and ate. Successful completion physical therapy assistant and fied paramedics, in rural cording to a 2011 study by the Centers for Disease Control. enrolled with the university’s will result in both paramedic diagnostic medical sonogra- areas especially, is huge — and An AveraNow visit will be $49. Health Sciences major. The certification and a Bachelor phy, as a few examples who growing. Cities in the state Jacobs expects AveraNow to quickly grow in popularity. five-semester specialization of Science degree in Health wish to complete a bachelor’s and region are experiencing a “Access to a telemedicine provider can prevent an ER visit program will provide certifica- Sciences. degree in the health field. shortage of certified paramed- on a Saturday night or prevent the need to arrange travel, tion to students who success- Q: Who can enroll? Q: When is the program ics and EMS responders, forc- childcare, or time off from work for an office visit during fully complete the training. A: The program is open to available? ing EMTs to pull nurses from the week,” said Jacobs. “While AveraNow is not designed “We are excited here any nationally registered EMT A: Enrollment will be open hospitals for use in ambulanc- to replace the need for a relationship with a primary care because it is an area that student who is an enrolled in the fall semester of 2015 es and emergency calls. With a physician, it can serve as a convenient and cost-effective students have expressed student as a Health Science with roughly seven to 10 spots specific program for paramedic option.” interest in pursuing,” said June major. Students on campus, at available. certification, USD and Sanford Avera is working with American Well, the largest nation- Larson, an associate dean the University Center in Sioux Q: Where will the pro- will provide trained individuals al telehealth company, which developed the most down- and professor in the School of Falls or otherwise associated gram take place? to areas in need. loaded telehealth app of 2014, according to app analytics Health Sciences. “Being able to with the university are able to A: Classroom courses will by App Annie. A recent Harris Poll survey commissioned by offer this in collaboration with enroll. American Well found that 64 percent of patients are willing Sanford is a great opportunity Q: Who does the Health for students.” Sciences major include? to participate in a video visit with a health care provider. Of Courses will be held in Summer’s Here! those that were willing to visit with their doctor over video, A: There are 10 depart- Sioux Falls three times per ments and programs within 61 percent said convenience was a factor in this decision. week under the direction of “Telehealth is revolutionizing health care delivery,” the School of Health Sciences: Wouldn’t it be nice to hear Jon Bohlen, EMS outreach Addiction Studies, Dental Catch Every Precious Word said Danielle Russella, President of Customer Solutions at coordinator at Sanford Health Hygiene, Health Sciences what they’re saying? American Well. “Almost overnight the entire industry is em- and course director of the col- This Summer! Major, Medical Laboratory It’s summer and that means bracing technology differently. Video doctor visits provide laborative paramedic program, Science, Nursing, Occupational so many benefits, including: improved access and conveni- and his colleagues. Therapy, Physical Therapy, vacations and special times ence, decreased cost and, most importantly, an easier way “If you’re getting a four-year with family. Wouldn’t it be for ongoing patient/doctor communication and follow- nice to hear your grandkids up care. All of these things can lead to improved health when they come for a visit? outcomes and more satisfied patients. Avera is known for YANKTON Serving the healthcare needs Let Dan and Charlie help their innovative approach to caring for patients and the of the Yankton area since 1923 you improve your hearing community. The launch of AveraNow is a significant step in 109 West 3rd St., Yankton, SD abilities with the latest the industry’s widespread adoption of telehealth.” technology starting today. Visit Avera.org/Now to learn more. 605-665-7865 • 1-800-377-6337 www.yanktonrexall.com Call now for your appointment and receive your FREE hearing evaluation and consultation. A FREE trial period •Full Service Pharmacy We accept all insurance is included in this summer offer through the month of July. plans and Medicare Call today and receive a FREE Hearing Evaluation • GOLD CROWN Our Classifieds Gift Shop & Trial Period during the month of July •Sweetshop Daniel Smith, BC-HIS; Charlie Neswick, HIS 112 W. 3rd •UPS Shipping Downtown Yankton Work For You! •Liquor Shop 605-1045 1-800-246-1045 •Durable We Accept Medicaid Call The P&D At (605) 665-7811 Daniel Smith, BC-HIS has been serving the Assignments (SD & NE) Medical Michael & Dan Yankton & surrounding area for almost 30 years.