Informed - Parma Community General Hospital

Stress incontinence, prolapse create
an urge to find the right physician
Joan Bernardo no longer worries
about the location of restrooms.
The Broadview
Heights woman is
finally free of the
frequent urge to find
a bathroom and can
now stand or walk
for more than 20
minutes at a time
Jeffrey Mangel, MD
without fatigue. She
owes her current comfort to Jeffrey
Mangel, MD, an OB-GYN specialist
whom she found through her regular
OB-GYN, Stephany George, MD.
Dr. Mangel diagnosed Bernardo
with a uterine and bladder prolapse,
where the organs drop and cause
pressure to urinate. She also was experiencing
stress incontinence, an involuntary
leakage of urine triggered by
coughing, sneezing or laughing.
Both problems are common in
women as they get older, says Dr.
Mangel. There are numerous nonsurgical
treatments like therapy and
medication, as well as minimally invasive
surgical options such as insertion
of a sling under the urethra for bladder
control. Another common treatment
is a vaginal pessary, which is a removable
device that must be fitted by a
physician.
Cardiovascular Services has
achieved reaccreditation by the
Intersocietal Commission for the Accreditation
of Vascular
Laboratories
for comprehensive
testing for vascular
disease with noninvasive
testing modalities.
Accreditation
was given in three
Vincent Bertin, MD areas:
• Extracranial Cerebrovascular
Testing – Carotid duplex scans are
utilized to detect carotid blockages,
which are important to detect because
they represent a significant stroke risk.
• Peripheral Venous Testing – Venous
duplex scans can find clots and
diagnose deep vein thrombosis.
“People shouldn’t feel they’re the
only ones suffering,” says Dr. Mangel.
“These conditions are as common
as bronchitis or asthma and more
common than diabetes. It may be
common with age, but you don’t
have to live with it.”
Jeffrey Mangel, MD
Bernardo didn’t have to venture
very far for treatment, either. She saw
Dr. George at her office in WellPointe
Pavilion, just minutes from her Broadview
Heights home and Dr. Mangel
in his office on the Parma Hospital
campus.
“I had great physicians who had
the tenderness, gentleness and expertise
to make me better,” says Bernardo.
“Dr. Mangel impressed me with his
knowledge and his ability to make you
feel so comfortable. He told me that
this condition is not a matter of life or
death, but it is quality of life.”
“I have always chosen to go to
Parma Hospital. It’s closer and more
familiar,” Bernardo said. “Everything
went beautifully. I felt like I was at a
fine hotel. The nurses were marvelous.”
To make an appointment with Jeffrey
Mangel, MD, call 216-778-5890.
Stephany George, MD, can be reached
at 440-743-4780.
Reaccreditation for vascular lab
• Peripheral Arterial Testing –
Scans of the lower legs can check for
peripheral arterial disease
All of these tests are painless, accurate
and involve no radiation exposure,
notes Vincent Bertin, MD, FACS,
the medical director of the lab who is
Board-certified in both general and vascular
surgery. The accreditation, which
is voluntary, must be renewed every
three years. This shows a strong commitment
to continuous quality improvement
by the entire vascular lab staff,
Dr. Bertin added.“This accreditation
reflects the high quality of our services
and the training of our staff,” says David
Miller, manager of Cardiovascular
Services. “Patients can be assured we
have their utmost safety and health in
mind.”
Ask the Doctor
Back to School Q&A
with
Dr. Chagin
What does a back-to-school physical involve?
Back-to-school physicals address all questions and
concerns, from both the patient and the family. A
complete physical exam, including hearing and visual
acuity, urinalysis and blood work, may be done.
What immunizations are required for school?
Check your child’s medical records to see what
vaccines are needed. Over the past few years, there
have been many changes to the recommendations for
children and adolescents. The vaccines that should
be given are: Hepatitis B, Rotavirus, DPT (diphtheria,
pertussis, tetanus), Hib, IPV and MMR.
Are vitamins necessary? Vitamins are essential.
Many children do not eat a well-balanced diet.
Vitamins should be natural, without artificial coloring.
What can be done to relieve anxiety for children
returning to school? Do everything you can to get
your child familiar with a new environment. They
should meet their teachers, see their classrooms,
interact in the lunchroom and play on the playground.
This will help ease any forthcoming anxiety.
What immunizations are necessary for college?
Recommended vaccinations for college: Tdap vaccines
to protect against pertussis, diphtheria and tetanus;
HPV vaccine to protect against a virus that can cause
genital warts and cervical cancer; and MCU vaccine to
protect against meningitis and potential death.
Daniel Chagin, MD is a Board-certified family practice
physician. His office is on the Parma Hospital campus
in Medical Arts Center 1, 6681 Ridge Road, Suite 209.
Call 440-845-6700 to make an appointment.
FOUR-PART SERIES
On memory loss
four-part series this fall on memory loss
A can answer medical, legal and financial
questions from families coping with memory
loss. Hosted by Parma Hospital in cooperation
with the Alzheimer’s Association, “What Everyone
Needs to Know About Memory Loss”
will cover diagnosis and treatment, financial
and legal issues, and research.
Speakers will include a geriatric psychiatrist,
an attorney specializing in elder law, a
couple coping with early stage Alzheimer’s disease
and a researcher in the field. Participants
will be screened during registration and placed
in discussion groups appropriate to where
their loved ones are in their diagnosis. Group
discussion will follow each presentation.
See Page 7 for registration information.
You &
Your Health
What Everyone
Needs to Know About
Memory Loss
A FREE educational series for
persons living with memory
loss, family members, friends
& professionals. Each session
will include a presentation by
an expert followed by discussion
groups with practical tips.
All sessions held at the Health
Education Center.
Four Tuesday Evenings
6:30-8:30 p.m.
Registration
6 p.m.
Presentation 6:30 p.m.
Discussion Group 7:30 p.m.
Session I
Understanding Memory Loss
David Fox, MD, Psychiatrist.
Learn about causes of
memory problems, strategies
to improve your memory and
steps you can take to transform
information in a memory.
Tue., Sep. 9
Session II
Legal & Financial Planning
Daniel Seink, Esq., Attorney
Information about legal and
financial planning for those
suffering from memory loss.
Tue., Sep. 16
Session III
Living with Memory Loss
Family members discuss living
with a loved one with progressive
memory loss.
Tue., Sep. 23
Session IV
Latest Research
Paula Ogrocki, PhD, Director of
Education, Memory and Aging
Center, University Hospitals/
Case Western Reserve.
Tue., Sep. 30
For reservations call the
Alzheimer’s Association at
216-231-1335 or 440-934-7750
Ext. 1335.
NEW! Lunchtime
Lecture Series
Enjoy your own packed lunch
and we will provide the
beverage, along with an
educational lecture. Time will
be provided for questions and
answers. Advanced registration
is required. Held at the
Health Education Center.
FREE
11 a.m.-12:30 p.m.
Stroke: Facts for You
Learn the risks and different
classifications of strokes.
Information on the management,
treatment and
rehabilitation should a stroke
occur. Presented by Kimberly
Togliatti-Trickett, MD, Physical
Medicine and Rehab.
Fri., Sep. 12
Knowledge is Power:
Understanding Anxiety &
Depression
Anxiety and depression are the
most common mental
illnesses. Knowing the signs
and symptoms, and knowing
when, where and how
to ask for help are the keys
to successful prevention and
treatment. Presented by Daniel
Polster, MD, Psychiatrist.
Tue., Oct. 28
You and Your Medications
Learn new insights into
medications and have an
opportunity to discuss with
the Pharmacist the medications
you are currently taking.
Presented by Stan Fabianich,
PharmD., Clinical Pharmacy
Specialist.
Fri., Nov. 14
SCREENINGS
Appointments or registration
required call 440-743-4900. Held
at the Health Education Center
unless noted.
SENIOR Flu & Pneumonia
Vaccine Clinics
Open to adults 55 and over,
and those at high risk. Bring
all insurance cards including
Senior HMO card and your
Medicare card. If you belong
to a Medicare HMO or Senior
HMO, see your doctor or
a fee will be charged. Call
440-743-4900 to register.
Monday through Friday starting
Oct. 6 - Oct. 10 1-5 p.m.
COMMUNITY Flu & Pneumonia
Vaccine Clinic
Open to the general public
ages 19 and older. Call
440-743-4900 to register. Fee
Mon., Oct. 13, 20 1-5 p.m.
Tue., Oct. 14, 21 5-8 p.m.
Sat., Oct. 18, 25 9 a.m.-noon
Fri., Oct. 24, Nov. 7
9 a.m.-1 p.m.
FREE! Blood Pressure
Screening
Wednesdays. Walk-in. 1-2 p.m.
No screening on Nov. 26.
Bone Density
Screening for women
Testing is done on the heel –
no socks/hose. By appt. $20
Thu., Sep. 25, Nov. 13 6-8 p.m.
Tue., Oct. 7 9 a.m.-noon.
Cholesterol Screening
Includes total cholesterol, HDL,
LDL, triglycerides and blood
sugar. 12-hour fast recommended
for best results. By
appointment. $25
Wednesdays 9-10:30 a.m.
No screenings on November 26
Fall Class Schedule
September - November 2008
7300 State Road · Parma, OH 44134 · 440-7-HEALTH (743-2584)
Registration begins on August 19, 2008 · Phone in: August 25, 2008
Office Hours: Monday - Thursday 8:30 a.m. - 5 p.m. · Friday 8:30 a.m. - 4:30 p.m.
Saturday 8 - 11 a.m. · Closed Sundays. No classes on Labor Day, September 1, 2008.
FREE! Colorectal
Cancer Screening
Informational session on colon
cancer and procedures for
detection. Test kits will be
provided. Held at the Health
Education Center. Must
register.
Wed., Sep. 24 7 p.m.
Pneumococcal Vaccine
Clinics
Vaccines available for all
Medicare Part B recipients. If
you belong to a Medicare HMO
or Senior HMO, see your doctor
or a fee will be charged. Must
register: Call 440-743-4900
Fri., Sep. 5 & 19, Nov. 21
10 a.m.
FREE! Prostate Cancer
Screening
Open to all men age 50 and
over who have never been
screened before or have not
been screened within the last
year and who are not seen
by a urologist. Cancer Center,
second floor.
Tue., Sep. 16 6:30-8 p.m.
FREE! Skin Cancer/
Melanoma Screening
Robert Gerding, MD.
Appt required.
Fri., Sep. 12 9 a.m.-noon
Fri., Sep. 26 9 a.m.-noon
PERSONAL
WELLNESS
AARP Driver
Safety Program
Please bring valid driver’s
license. Bring checks first day
of class, payable to A.A.R.P.
NO CASH. Must attend both
days. $10
Tue. & Wed., Sep. 2 & 3
9 a.m. -1 p.m.
NEW! Cooking With
Your Health In Mind
Taught by Karen Skoczynski, RN
from Karen’s Creative Cuisine.
Demo format with focus on
how to make healthier alternatives
to your favorite foods
and healthy recipe makeovers.
Recipes are included to take
home and you’ll be able to
sample the recipes prepared.
Class is approximately 1 hour
and 20 minutes. Food fee of
$3 per person to be paid to the
instructor day of class.
1 session $20
Diabetic Friendly Entrées
and Side Dishes
Tue., Oct. 7
7 p.m.
Figure Friendly through
the Holidays
Tue., Nov. 11 7 p.m.
NEW! Diabetic
Management:
Making Good Health
the Priority
This program is for anyone
newly diagnosed with diabetes
or those needing an update.
Learn about the physiology of
the disease and treatment modalities
including pharmacologic
(oral agents, insulin), meal planning
with demo, and exercise. A
special feature will include how
to work with your healthcare
professionals to get the most
out of your visits. Each session
will allow time for questions
and answers. Expect a little
bit of homework and a lot of
fun! Individual consultations
will be available. May qualify
for insurance reimbursement.
Paperwork will be provided to
you the first night of class.
3 sessions $90
Mon., Sep. 22 6-9 p.m.
Families in the Kitchen
Cooking Series
Taught by Karen Skoczynski, RN
from Karen’s Creative Cuisine.
Back by popular demand! This
6 Informed www.parmahospital.org Fall 2008 Informed 7