Parma Hospital's Magazine for Healthy Living and Education

Parma Hospital's Magazine for Healthy Living and Education Parma Hospital's Magazine for Healthy Living and Education

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Laparoscopy: four Band- Aids and a few weeks off Ayman Dahman, MD A single mom can’t take six weeks off after a hysterectomy. So Donna Spurgeon was relieved when her gynecologist gave her the option of minimally invasive form of surgery, which cut her recovery time in Kristine Pelagalli, MD half. Ayman Dahman, MD, performed a total laparascopic hysterectomy on Spurgeon. She was back home after just one night in the hospital. Four bandaids were the only physical signs that she’d had a major procedure. She felt great, leaving painful menstrual periods behind her. OB Meet & Greet Brunch Thinking of having a baby or newly expecting? Come to the Meet and Greet Brunch on Saturday, June 11 from 10 a.m.-noon in Parma Hospital’s Auditorium. Take this opportunity to chat with the OB-GYNs, certified nurse midwives, neonatal nurse practitioners and pediatricians on staff at Parma Hospital. Tours of the beautiful Small Wonders Maternity Center and information about birthing and breastfeeding classes will be available. RSVP to 440-743-4900, or online at parmahospital.org. Saturday, June 11 · 10 a.m.-noon Parma Hospital’s Auditorium “I’d never had surgery before, and I couldn’t miss six weeks of my life,” said Spurgeon, 45, and a mother of three. “Coming back it’s just too hard, and I didn’t want to be in that much pain.” In a total laparoscopic hysterectomy, the uterus and cervix are removed through a small incision in the belly button. Of the 600,000 hysterectomies performed annually in the United States, the majority of these procedures are still done with a large abdominal incision. “If there are any concerns about malignancies, we won’t do this procedure,” says Dr. Dahman, who has trained other OB/ Gyns, including Kristine Pelagalli, MD, on laparoscopic hysterectomies. “But many women can benefit from it, even those with fibroid tumors or endometriosis.” Dr. Dahman recommends laparoscopic surgery for most patients undergoing hysterectomies. There is typically less bleeding and pain and a decreased risk of infection with the tiny incisions made in the navel and abdomen. The recovery time is much shorter and most women return to work within two to three weeks, compared to the six weeks of recovery recommended after an abdominal hysterectomy. Patients are amazed and very pleased that the incisions are barely visible. Spurgeon was back at UPS, hiking up 17 steps to her security office, only three weeks after surgery. “It was a lot better than I thought,” said Spurgeon. Sting from page 3 life-threatening. If it was just a concerning sting but not life-threatening, therapy may last for five years.” Dr. Hickey noted that most people prone to severe allergic reactions such as this are unaware. Now, Glowski never goes anywhere without a doublebarreled epinephrine pen handy. “What really rang true for me was the quality of the health care right here in our community,” said Mrs. Glowski, who lives less than four miles from Parma Hospital. “We knew we were really, really blessed with everyone who laid hands on him during the course of his care. We really got the best of the best.” Q&A with Orest Stecyk, MD family practice What services are covered under the Affordable Care Act? Under the Affordable Care Act (ACA) that became law after the health reform debate, insurance companies must cover certain preventive services without charging a copayment or coinsurance. Screenings such as blood pressure, Type 2 diabetes, cholesterol, colorectal cancer and depression are included, as well as a one-time screening for abdominal aortic aneurysms for men with a history of smoking. What services are covered for women? Services specific to women include screenings for breast cancer and cervical cancer as well as anemia, sexually transmitted diseases and osteoporosis. Mammograms are covered every 1-2 years after age 40. Are children covered? Many services are covered for children, from hearing screenings for newborns and autism and anemia screenings for infants to behavioral assessments and developmental screenings. Children at risk for many conditions, including lead exposure, obesity and tuberculosis also are screened. Are vaccines covered? Immunizations for adults include influenza, pneumonia, tetanus, measles/mumps/rubella, hepatitis A and B, and human papillomavirus (HPV). Why aren’t more people aware of these benefits? The ACA covers many aspects of health care, and changes are being phased in over time. The coverage of preventive services just took effect in September 2010, so many people are just learning about it now. The legislation was intended to eliminate a financial barrier that could stand between the doctor and the patient. You can still see your usual doctors, and these preventive services will be covered if they are delivered by a provider in your insurance plan’s network. This law gives patients access to care that perhaps they did not receive before. As a doctor, I see this as a wonderful piece of legislation. It will have a positive impact on public health and individual health. Now, if you have health insurance you don’t have to worry about the out-of-pocket cost of preventive services that can save your life. They’re just covered, period. For a complete list of preventive services covered under the Affordable Care Act, go to www.healthcare.gov. Dr. Stecyk’s office is located in Parma Hospital’s WellPointe Pavilion, an outpatient center at 303 E. Royalton Road, Broadview Hts. His office can be reached at 440-743-4740. 6 Informed www.parmahospital.org

Losing over 150 pounds and gaining energy, better health Pamela Cathy’s plate was full. From diabetes and failing kidneys to high blood pressure, severe arthritis and sleep apnea, Craig Eyman, DO the Brooklyn woman had struggled with health problems for over a decade. Then she saw a story about the Bariatric Center at Parma Hospital, once again designated as a Bariatric Surgery Center of Excellence by the American Society for Metabolic and Bariatric Surgery (ASMBS), which recognizes surgical programs with a demonstrated track record of favorable outcomes in weight loss surgery. “I decided I wanted to have it done myself, because I had a lot of health problems,” says Cathy, 42. “What a difference a year makes! Now I really feel great.” Cathy chose the classic gastric bypass surgery known as the Roux-en-Y, the “gold standard” of bariatric surgery. In this type of surgery – the most commonly performed type of bariatric procedure – a small pouch is created at the top of the stomach by stapling across it and the small intestine is rerouted. Food consumed bypasses the remaining stomach and the first part of the small intestine. This results in patients feeling satisfied on a smaller amount of food, eating less and absorbing fewer calories. In just over a year, Cathy dropped over 150 pounds. She now eats three modest meals per day, walks regularly in her Brooklyn neighborhood and doesn’t mind putting on a swimsuit in the summer. Her boys, now 3 and 13, are thrilled with their mother’s transformation. And her own mother is happy to lend her dressy clothes for church, even if she has to use a few safety pins to make them fit. “She’s down to the size she’s always wanted to be,” says Cathy’s mother, Gayle Wilson. “She’s happier, too.” Bariatric surgery is one of the most commonly performed elective abdominal operations in the country, with more than 220,000 procedures performed each year. It is recognized for its ability to save lives, providing remission not only of obesity, but a number of chronic diseases/comorbidities. By resolving these comorbidities, bariatric surgery can dramatically reduce the primary costs of obesity. In Cathy’s case, all her comorbidities have resolved. “Our recognition as a Bariatric Center of Excellence underscores our commitment to improving the lives and well-being of our patients,” said Craig Eyman, DO, Medical Director of Parma Hospital’s Bariatric Center. Christine Miceli, a physician assistant with the Bariatric Center, sees each patient at post-operative office visits two weeks, six months and one year after surgery. Patients continue to come in annually. In a recent follow-up with Cathy, Miceli told the patient she was doing everything right – eating small portions, stopping when she felt full, and drinking plenty of water. Regular exercise also keeps patients on track. “She’s given it her all and been perfectly compliant and achieved success,” Miceli said. “When weight loss from bariatric surgery plateaus, then you have to rely on good habits.” For details on weight loss options through the Bariatric Center, attend Weight Loss Solutions, an informative free program held the third Tuesday of each month at 7 p.m. in Parma Hospital’s Auditorium. Call 440-743- 2900 to register. New Members of the Medical Staff Join us in welcoming the newest members of our Medical Staff. Richard Li, MD INTERNAL MEDICINE/HOSPITALIST Parma Community General Hospital 7007 Powers Boulevard Parma, OH 44129 Richard Martin, MD NEONATOLOGY 11100 Euclid Avenue Cleveland, OH 44106 216-844-3387 Mukul Pandit, MD INTERNAL MEDICINE 11201 Shaker Boulevard Cleveland, OH 44104 216-721-6900 Orest Stecyk, MD FAMILY PRACTICE 303 E. Royalton Road Broadview Heights, OH 44147 440-743-4740 Florin Ioan Tcaciuc Susoiu, MD INTERNAL MEDICINE 6681 Ridge Road Parma, OH 44129 440-743-2450 Michele Walsh, MD NEONATOLOGY 11100 Euclid Avenue Cleveland, OH 44106 216-844-3759 Looking for a physician? Call 440-743-4900 for a referral to one of the more than 500 members of Parma Hospital’s Medical Staff. Pamela Cathy and her mother Gayle Wilson discuss Cathy’s success with Christine Miceli. SUMMER 2011 Informed 7

Losing over 150 pounds <strong>and</strong><br />

gaining energy, better health<br />

Pamela Cathy’s plate was<br />

full. From diabetes <strong>and</strong> failing<br />

kidneys to<br />

high blood<br />

pressure,<br />

severe arthritis<br />

<strong>and</strong><br />

sleep apnea,<br />

Craig Eyman,<br />

DO<br />

the Brooklyn<br />

woman had<br />

struggled with health problems<br />

<strong>for</strong> over a decade.<br />

Then she saw a story<br />

about the Bariatric Center at<br />

<strong>Parma</strong> Hospital, once again<br />

designated as a Bariatric<br />

Surgery Center of Excellence<br />

by the American Society <strong>for</strong><br />

Metabolic <strong>and</strong> Bariatric Surgery<br />

(ASMBS), which recognizes<br />

surgical programs with a<br />

demonstrated track record of<br />

favorable outcomes in weight<br />

loss surgery.<br />

“I decided I wanted to<br />

have it done myself, because I<br />

had a lot of health problems,”<br />

says Cathy, 42. “What a difference<br />

a year makes! Now I<br />

really feel great.”<br />

Cathy chose the classic<br />

gastric bypass surgery<br />

known as the Roux-en-Y,<br />

the “gold st<strong>and</strong>ard” of bariatric<br />

surgery. In this type of<br />

surgery – the most commonly<br />

per<strong>for</strong>med type of bariatric<br />

procedure – a small pouch<br />

is created at the top of the<br />

stomach by stapling across<br />

it <strong>and</strong> the small intestine is<br />

rerouted. Food consumed<br />

bypasses the remaining<br />

stomach <strong>and</strong> the first part<br />

of the small intestine. This<br />

results in patients feeling<br />

satisfied on a smaller amount<br />

of food, eating less <strong>and</strong><br />

absorbing fewer calories.<br />

In just over a year, Cathy<br />

dropped over 150 pounds. She<br />

now eats three modest meals<br />

per day, walks regularly in<br />

her Brooklyn neighborhood<br />

<strong>and</strong> doesn’t mind putting on<br />

a swimsuit in the summer.<br />

Her boys, now 3 <strong>and</strong> 13, are<br />

thrilled with their mother’s<br />

trans<strong>for</strong>mation. And her own<br />

mother is happy to lend her<br />

dressy clothes <strong>for</strong> church,<br />

even if she has to use a few<br />

safety pins to make them fit.<br />

“She’s down to the size<br />

she’s always wanted to be,”<br />

says Cathy’s mother, Gayle<br />

Wilson. “She’s happier, too.”<br />

Bariatric surgery is one<br />

of the most commonly per<strong>for</strong>med<br />

elective abdominal<br />

operations in the country,<br />

with more than 220,000 procedures<br />

per<strong>for</strong>med<br />

each<br />

year. It is recognized<br />

<strong>for</strong> its<br />

ability to save<br />

lives, providing<br />

remission not<br />

only of obesity,<br />

but a number<br />

of chronic<br />

diseases/comorbidities. By<br />

resolving these comorbidities,<br />

bariatric surgery can dramatically<br />

reduce the primary costs<br />

of obesity.<br />

In Cathy’s case, all her<br />

comorbidities have resolved.<br />

“Our recognition as a<br />

Bariatric Center of Excellence<br />

underscores our commitment<br />

to improving the lives <strong>and</strong><br />

well-being of our patients,”<br />

said Craig Eyman, DO, Medical<br />

Director of <strong>Parma</strong> Hospital’s<br />

Bariatric Center.<br />

Christine Miceli, a physician<br />

assistant with the Bariatric<br />

Center, sees each patient at<br />

post-operative office visits two<br />

weeks, six months <strong>and</strong> one<br />

year after surgery. Patients<br />

continue to come in annually.<br />

In a recent follow-up with<br />

Cathy, Miceli told the patient<br />

she was doing everything<br />

right – eating small portions,<br />

stopping when she felt full,<br />

<strong>and</strong> drinking plenty of water.<br />

Regular exercise also keeps<br />

patients on track.<br />

“She’s given it her all <strong>and</strong><br />

been perfectly compliant<br />

<strong>and</strong> achieved success,” Miceli<br />

said. “When weight loss from<br />

bariatric surgery plateaus,<br />

then you have to rely on good<br />

habits.”<br />

For details on weight loss<br />

options through the Bariatric<br />

Center, attend Weight Loss<br />

Solutions, an in<strong>for</strong>mative<br />

free program held the third<br />

Tuesday of each month at<br />

7 p.m. in <strong>Parma</strong> Hospital’s<br />

Auditorium. Call 440-743-<br />

2900 to register.<br />

New Members<br />

of the<br />

Medical Staff<br />

Join us in welcoming the newest<br />

members of our Medical Staff.<br />

Richard Li, MD<br />

INTERNAL MEDICINE/HOSPITALIST<br />

<strong>Parma</strong> Community General Hospital<br />

7007 Powers Boulevard<br />

<strong>Parma</strong>, OH 44129<br />

Richard Martin, MD<br />

NEONATOLOGY<br />

11100 Euclid Avenue<br />

Clevel<strong>and</strong>, OH 44106<br />

216-844-3387<br />

Mukul P<strong>and</strong>it, MD<br />

INTERNAL MEDICINE<br />

11201 Shaker Boulevard<br />

Clevel<strong>and</strong>, OH 44104<br />

216-721-6900<br />

Orest Stecyk, MD<br />

FAMILY PRACTICE<br />

303 E. Royalton Road<br />

Broadview Heights, OH 44147<br />

440-743-4740<br />

Florin Ioan Tcaciuc Susoiu, MD<br />

INTERNAL MEDICINE<br />

6681 Ridge Road<br />

<strong>Parma</strong>, OH 44129<br />

440-743-2450<br />

Michele Walsh, MD<br />

NEONATOLOGY<br />

11100 Euclid Avenue<br />

Clevel<strong>and</strong>, OH 44106<br />

216-844-3759<br />

Looking <strong>for</strong> a<br />

physician?<br />

Call 440-743-4900 <strong>for</strong> a referral to<br />

one of the more than 500 members<br />

of <strong>Parma</strong> Hospital’s Medical Staff.<br />

Pamela Cathy <strong>and</strong> her mother Gayle Wilson<br />

discuss Cathy’s success with Christine Miceli.<br />

SUMMER 2011 In<strong>for</strong>med 7

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