FamilyHealth newsletter, Fall 2011
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VISIT US ON THE Web www.northfieldhospital.org FamilyHealth N ORTHFIELD H OSPITAL & C LINICS Fall 2011 • Vol. 16, No. 4 507-646-1494 To sign up for our monthly e-newsletter, go to our clinic home page at www.familyhealthclinics.org/northfield 2 Northfield named to ‘100 Best’ list for youth 6 MyPlate promises better dietary choices 7 Early detection key to treating Alzheimer’s Complex surgeries performed routinely at Northfield Hospital Not much can come between a Minnesota grand- mother and her California grandson. But then again, as Lisa Anderson learned, there is acute diverticulitis. In March of 2010, just as she was packing for a flight west, a flare up laid her low. Lisa tried to man- age it for a time with antibiotics and diet, but her condition was not improving. In June, she opted for a complex colon resection surgery. Because it was performed laparo- scopically, she needed only one overnight at Northfield Hospital, and then she went home for what she describes as a “really easy” re- covery. A few weeks later, she was in California, playing with her grand- son. Lisa is still amazed at the exper- tise she found in her hometown of Northfield. She had the benefit of two experienced surgeons – Jose Fulco, MD, and Chris Nielsen, MD – who have the training and the skills to do complex surgeries using minimally invasive laparoscopic technique. “I was delighted with my care,” Anderson said. “The doctors were impressive. Going in, they weren’t sure if my case would require a full incision or not, but they were able to do it laparo- scopically, and I sailed right through.” Anderson’s case is just one example of the com- plex surgeries that are being performed on a rou- tine basis at Northfield Hospital. Dr. Fulco said the percentage of surgeries performed with minimally invasive laparoscopic technique is well above the national average and similar too, if not well above that of high-volume surgical centers in major metro- politan areas. “People are often surprised at the range and Continued, page 7 Lisa Anderson is back doing what she enjoys, capturing fall colors with her camera. Jose Fulco, MD Christopher Nielsen, MD
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Northfield/Lonsdale edition of the quarterly FamilyHealth newsletter from Northfield Hospital & Clinics.
Transcript of FamilyHealth newsletter, Fall 2011
VISITUS ON THE
Webwww.northfieldhospital.org
FamilyHealthN o r t h f i e l d h o s p i t a l & C l i N i C s
Fall 2011 • Vol. 16, No. 4 507-646-1494
To sign up for our monthly e-newsletter, go to our clinic home page at www.familyhealthclinics.org/northfield
2Northfield named to ‘100 Best’ listfor youth
6MyPlate promisesbetter dietary choices
7Early detectionkey to treatingAlzheimer’s
Complex surgeries performed routinely at Northfield Hospital NotmuchcancomebetweenaMinnesotagrand-motherandherCaliforniagrandson.Butthenagain,asLisaAndersonlearned,thereisacutediverticulitis. InMarchof2010,justasshewaspackingforaflightwest,aflareuplaidherlow.Lisatriedtoman-ageitforatimewithantibioticsanddiet,butherconditionwasnotimproving.InJune,sheoptedfor
acomplexcolonresectionsurgery.Becauseitwasperformedlaparo-scopically,sheneededonlyoneovernightatNorthfieldHospital,andthenshewenthomeforwhatshedescribesasa“reallyeasy”re-covery.Afewweekslater,shewasinCalifornia,playingwithhergrand-son.Lisaisstillamazedattheexper-tiseshefoundinherhometownofNorthfield.Shehadthebenefitoftwoexperiencedsurgeons–JoseFulco,MD,andChrisNielsen,MD–whohavethetrainingandtheskillstodocomplexsurgeriesusingminimallyinvasivelaparoscopictechnique.“Iwasdelightedwithmycare,”
Andersonsaid.“Thedoctorswereimpressive.Goingin,theyweren’tsureifmycasewouldrequireafullincisionornot,buttheywereabletodoitlaparo-
scopically,andIsailedrightthrough.” Anderson’scaseisjustoneexampleofthecom-plexsurgeriesthatarebeingperformedonarou-tinebasisatNorthfieldHospital.Dr.Fulcosaidthepercentageofsurgeriesperformedwithminimallyinvasivelaparoscopictechniqueiswellabovethenationalaverageandsimilartoo,ifnotwellabovethatofhigh-volumesurgicalcentersinmajormetro-politanareas. “Peopleareoftensurprisedattherangeand
Continued, page 7
Lisa Anderson is back doing what she enjoys, capturing fall colors with her camera.
Jose Fulco, MD
Christopher Nielsen, MD
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A D O L E S C E N T H E A LT H
Northfieldisagoodplaceforkids,accordingtoAmerica’sPromiseAlliance,anationalorganizationdedicatedtoposi-tiveyouthdevelopment.TheorganizationrecentlyrecognizedNorthfieldasoneofthena-tion’s“100BestCommunitiesforYoungPeople.”ItisthethirdtimeNorthfieldhasreceivedthedesignationsincetheprogramwascreatedin2005.
Thecompetitionrecognizescommunitiesacrossthecoun-trythatfocusonreducinghighschooldropoutratesandpro-vidingserviceandsupporttoyouth.Northfieldwascitedforpromotingyouthinvolvementandprovidingopportunitiesforyouthleadership.TheNorthfield
application,oneof300submit-ted,wasorganizedandwrit-tenbyhighschooljuniorsandseniorswhoserveontheMayor’sYouthCouncil(MYC).
AmongthereasonsNorth-fieldwasselecteda100Bestisthepresenceofacommunityfoodshelf,thepromotionofschoolsuccessthroughfreeafter-schoolandsummerenrichmentprogramsandanarrayofmen-toringprograms.Northfield’scommitmenttoeducationisevi-
dentinits95percentgraduationrateandtheTORCHprogramTacklingObstaclesandRais-ingCollegeHopes),whichhasincreasedthegraduationratesforLatinostudentsinNorthfieldfrom36percenttomorethan90percent,theAlliancesaid.
Asa“100Best”winner,Northfieldwillreceivea$2,500grant,signageidentifyingthecommunityasoneofthenation’s100BestCommunitiesforYoungPeople,andaccesstoAmerica’sPromiseAlliance’scommunitydevelopmentresources.TheAmerica’sPromiseAllianceissponsoredbyING,afinancialinstitution,throughitsfounda-tion.
TheSearchInstitute’sErinWalsh,anexpertonparentinginadigitalworld,hasnoillusions.Digitaltechnologyisheretostay.Andsoitfallstoparentstohelptheirchildrenunderstanditspower,maximizeitspromiseandminimizeitsrisks.
“Mediaarenotinherentlygoodorbad,”shetoldanaudienceatarecentparenteventsponsoredbytheLakev-illeandFarmingtonschooldistricts.“Theyarepowerful.Thegoodandthebaddependonhowyouusethem.”
Sheencouragesparentstoactivelytalkwiththeirchildrenaboutwhatitmeanstobeagooddigitalcitizen,
1)Thinkbeforeyoupost;2)Helpothers;3)Don’tgoonlineangry,andtohelpthemunderstandthe
consequencesoftheiractions.Teensneedtoberemindedthattechnologyisaprivilege.
Walshrecommendsthatelectronicdevicesbekeptinpublicspacesinthehome,notinbed-rooms,andthatparentsimposea“technocurfew.”Come10p.m.,allportableelectronicdevicesgoinacommonbasketinthelivingroom,pavingthewayfordigital-freesleep.
Formoreinformationonparentinginadigitalage,goto:www.search-institute.orgorwww.drdav-ewalsh.com.
Northfield receives ‘100 Best Communities’designation for youth for third time since 2005
Parents must help kids navigate digital age
Walsh
H O S P I TA L N E W S
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Clinical expansion moving forwardTheclinicalexpansionprojectforInfusionSer-
vices/ChemotherapyandSleepMedicineatNorth-fieldHospitalhasreacheditsmidpoint.WorkisonpacetobecompletedinAprilof2012.
The$2millionremodelingprojectwillimprovethepatientexperiencebyprovidingbetterac-
cessandmoreprivacyforbothinfusionservicesandsleepstudies.Theprojectincludesmov-
ingtheadmittingdeskclosertothehospital’sfrontentrance,allowingpatientsandvisitorstoconnectmorequicklywithhospitalpersonnel.
ThenewspaceforInfusionServiceswillprovideacustom-designed,therapeuticenvironmentforon-cologypatientsandnon-oncologyinfusions.There
willbespaceforconsultationswithoncologists,nutritiontherapists,andSocialServices.TheSleepCenterwillhavemoreamenitiesandgreaterprivacyinwhichtoconductdiagnosticsleepstudies.
MaryQuinnCrow,VicePresidentandChiefOperatingOfficerforNorthfieldHospital&Clinics,saidoneofthemajorobjectivesistoenhancethecancercareatNorthfieldHospital.
“Thegoalistocreateanenvironmentthatwillpromotecomfortandhealingforpatientsandtheirfamiliesastheyjourneythroughcancertreatment,”shesaid.“Wewillusenaturallight,warmcolorsandanenvironmentthatwillkeepcaregiversclosetotheirpatients.”
ShesaidsheisgratefultotheNorthfieldHospi-talAuxiliaryforitsgifttotheInfusionCenter.The$30,000theydonatedthisyearwillbeusedtopur-chaseheated,leathertreatmentchairs.Theauxiliaryhaspledged$150,000totheprojectoverfiveyears.
FluvaccineisstillavailableatFamilyHealthMedicalClinic.Publichealthofficialssayvaccineisthebestmethodofprotectionfromseasonalfluandrecom-mendanyonesixmonthsorolderbevaccinated.Ifyouneedfluvaccine,call507-646-1494foranappointment.
Thisyear’sfluvaccineisthesameaslastyear’s.Itisathreeinonethatwillprotectyouagainsttwostrainsofseasonalinfluenza,aninfluenzaAandaninfluenzaB,inadditiontoH1N1.Itwillprotectyoufromgettingsickfromthesethreeviruses,andit
canmakeyourillnessmilderifyougetarelatedbutdifferentin-
fluenzavirusstrain.Thevaccineisrecommendedevenifyouwerevaccinatedlastyear.
Influenzaisacontagiousrespiratorycausedbyavirusthatattacksthenose,throat,andlungs.Itcancausemildtosevereillnessandattimescanleadtodeath.Influenzasymptomscomeonquicklyintheformoffever,drycough,sorethroat,headache,extremetiredness,stuffed-upnose,andbodyaches.Thesesymptomscanbesevereandputyouinbedforseveraldays.
Flu vaccine available at FamilyHealth Medical Clinic
“THE GOAL IS…COMFORT AND HEALING FOR PATIENTS…AS THEY JOURNEY THROUGH CANCER TREATMENT.”
– MARY QUINN CROW
Childbirth Education class dates set for 2012NorthfieldHospital’s2012childbirtheducationclassscheduleisnowavailable.ThefirstsessionsforPregnancyPlus,aone-timeclassforcouplesinearlyandmid-pregnancy,andPreparedChildbirthbegininJanuary.Theflyerisavailableinathttp://www.northfieldhospital.org/womenshealthcenter/.
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C L I N I C S E R V I C E S
Northfield Hospital & Clinics provides primary and specialty care at seven clinics
that serve Northfield, Lonsdale, Farmington and Lakeville Here are the physicians that
are available to serve you.
Now practicingat a clinic near you!
FamilyHealth Medical Clinic
Lonsdale
Greg Randall, MDFamily Medicine
Mayo Clinic Health System
Mary Ann Scheid, MDFamily Medicine
Mayo Clinic Health System
Michelle Muench, MDOphthalmology
Private Practice
Gerard O’Halloran, MDEar, Nose & Throat
Private Practice
Jay Charles, PA-CPhysician Assistant
Mayo Clinic Health System
Julia Kelley, MDPediatrics
Mayo Clinic Health System
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Additional Medical Specialities:• Medical Oncology
• Adult Cardiology
• Pediatric Cardiology
• Nephrology
• Vascular Medicine
• Otolaryngology
• Maternal Fetal Medicine
Mary Ann Scheid, MDFamily Medicine
Mayo Clinic Health System
Melinda Burnett, MDNeurology
Mayo Clinic Health System
Adam Ailabouni, MDFamily Medicine
Mayo Clinic Health System
Randolph Reister, MDInternal Medicine
Mayo Clinic Health System
Katherine Helgen, MDInternal Medicine
Mayo Clinic Health System
Todd Amunrud, DOPediatrics
Mayo Clinic Health System
Jose Fulco, MDGeneral Surgery
Surgical Care Consultants, P.A.
Christopher Nielsen, MDGeneral Surgery
Surgical Care Consultants, P.A.
Ben Flannery, DOPediatrics
Mayo Clinic Health System
Subhadra Chereddy, MDFamily Medicine
Mayo Clinic Health System
Patrick Enders, MDPediatrics
Mayo Clinic Health System
Rhonda Meyer, CNPFamily Medicine
Mayo Clinic Health System
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C L I N I C S E R V I C E S
FamilyHealth Medical ClinicFamilyHealth
Medical Clinic
Lakeville Farmington
Brad Wille, MDOrthopaedic Surgeon
Orthopaedic & Fracture Clinic, P.A.
Eric Stroemer, MDOrthopaedic Surgeon
Orthopaedic & Fracture Clinic, P.A.
Clint Muench, MDOrthopaedic Surgeon
Orthopaedic & Fracture Clinic, P.A.
Brad Wille, MDOrthopaedic Surgeon
Orthopaedic & Fracture Clinic, P.A.
Robert Shepley, MDOrthopaedic Surgeon
Orthopaedic & Fracture Clinic, P.A.
Robert Shepley, MDOrthopaedic Surgeon
Orthopaedic & Fracture Clinic, P.A.
Melanie Dixon, MDOB/GYN
Mayo Clinic Health System
Deb Suppes, MDOB/GYN
Mayo Clinic Health System
Kerry Ace, DOPediatrics
Mayo Clinic Health System
April Fitzloff, PA-CPhysician Assistant
Mayo Clinic Health System
Melinda Burnett, MDNeurology
Mayo Clinic Health System
Paul Jacobson, MDFamily Medicine
Mayo Clinic Health System
Alice Suchomel, MDFamily Medicine
Mayo Clinic Health System
Jose Fulco, MDGeneral Surgery
Surgical Care Consultants, P.A.
Kristine Matson, MDPediatrics
Mayo Clinic Health System
Deb Suppes, MDOB/GYN
Mayo Clinic Health System
Dana Olson, MDOB/GYN
Mayo Clinic Health System
Christine Braun, MDOB/GYN
Mayo Clinic Health System
Christine Braun, MDOB/GYN
Mayo Clinic Health System
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70
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FamilyHealth Medical ClinicWomen’s Health Clinic
Northfield Eye Physicians & Surgeons(2019 Jefferson Road)
Orthopaedic & Fracture Clinic(1381 Jefferson Road)
Eric Stroemer, MDOrthopaedic Surgeon
Orthopaedic & Fracture Clinic, P.A.
Melanie Dixon, MDOB/GYN
Mayo Clinic Health System
Dana Olson, MDOB/GYN
Mayo Clinic Health System
Northfield
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TheUnitedStatesDepartmentofAgriculture’s(USDA)newMyPlategraphicwillbettercommu-nicatetheprinciplesofahealthydiet,saidCourt-
neyEby,RD,LD,anutritiontherapistatNorthfieldHospital&Clinics.
“Thisisavastimprovementovertheoldfoodpyramid,”shesaid.“MyPlateismoreintuitiveandspeaksmoreplainlyaboutwhatisincludedinahealthydiet.”
Dietisdestiny,andtherearemanychronichealthconditionsthatcanbeavoidedbybeingmoreintentionalaboutwhatweeat.MyPlateprovides
visualcuesonhowtobuildahealthyplateatmealtime.Itnamesthefivebasicfoodgroupsandsuggeststheproportionsthatwillbestmeetcaloricandnutritionalneeds.
EbyencouragespeopletovisittheUSDA’sChooseMyPlate.govtolearnmoreaboutthefoodstheyshouldbringtothetablemoreoftenandthosenotsomuch.
“Myhopeisthatthisnewrepresentationwillinformpeopleandmakeiteasierforthemtobethoughtfulaboutwhattheyconsume,”saidEby.
IfyouhavequestionsaboutMyPlateorothernutritionissues,contactCourtneyEbyorKristiVonRuden,RD,LD,at507-646-1410.
H E A LT H U P D A T E S
Eby
MyPlate promises to better inform dietary choices
–[eat less:SODIUM Reduce your daily sodium intake to less than 2,300 mg from the American average of 4650 mg. For those who are 51 and older and those of any age who are African American, or have hypertension, diabetes or chronic kidney disease, reduce intake to 1,500 mg.SATURATED AND TRANS FATTY ACIDS For a person eating 2,000 calories a day, the goal would be to consume less than 200 calories from saturated and trans fats, about 22 grams. For example, avoid cake, cookies, ice cream, doughnuts full fat cheeses and fatty meats, would help you meet this goal. ADDED SUGARS The World Health Organization and the USDA recommend that 10 percent or less of our daily calories come from added sugar. That is still the equivalent of 13 teaspoons of sugar a day. The present average is more than 42 teaspoons. A typical 20-ounce soda contains 15 teaspoons of sugar. If alcohol is consumed, it should be consumed in moderation – one drink per day for women, two drinks per day for men – and only by adults of legal drinking age.
–[eat more:VEGETABLES AND FRUITS Fill half your plate with fruits and vegetables; A variety of vegetables, especially dark green and red and orange vegetables, and beans and peas.WHOLE GRAINS Whole grains such as brown rice, whole-wheat bread, oatmeal and whole-wheat pasta. Check the label for those with the most fiber. DAIRY Fat-free or low-fat milk and milk products, such as milk, yogurt, cheese or fortified soy beverages.PROTEIN A variety of protein food, such as seafood, lean meat and poultry, eggs, beans and peas, soy products and unsalted nuts and seeds; Seafood. Choose twice each week. Oils in place of solid fats where possible. For example, choose olive, canola or peanut oil over stick butter, margarine or baking grease.
C L I N I C N E W S
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Early detection may be key to treating Alzheimer’s
TheannouncementthatthelegendaryPatSum-mitt,theUniversityofTennesee’swomen’sbasket-ballcoach,hasearlyonsetAlzheimer’sdisease,wasawakeupcallformany.
Alzheimer’s,themostcommonformofdemen-tia,isanirreversiblebraindiseasethatovertimestealsmemory,affectspersonalityanddestroyscognitiveabilities.At59yearsofageandsomeonewhoexudesmentaltoughness,Summittdoesn’tfittheprofile.Butshehasthedisease,andisnowacandidatetobecomeaveryvisiblespokespersonforAlzheimer’s.
MelindaBurnett,MD,aneurologistatFamilyHealthMedicalClinic,saidAlzheimer’saffectsmorethanfivemillionAmericansandisbecomingmorecommonbecausepeoplearelivinglonger.Shesaysitssymptomsaredistinctlydiffer-entfromthoseofnormalaging.
“Withnormalaging,peopleoccasionallyforgetnames,mis-placetheirkeysorhavetrouble
findingtherightwords,”Dr.Burnettsays,“butitusuallydoesn’tgetmuchworseovertime.
“WithAlzheimer’s,peopleforgethowtoper-formfamiliartasks,theyhavetroublewalkingordrivingtofamiliarplaceswithoutgettinglost,ortheyhavetroubledoingthingsthatrequireapro-gressionofsteps,suchasfollowingarecipe.”
Andtheircapacitygetsnoticeablyworseovertime.
ThereisnoknowncureforAlzheimer’s,butDr.Burnettsaysresearch-ersareactivelyworkingonbothtreatmentanddiagnosis.Medicationsthatwillslowtheprogressionofthediseasehavenotyetfulfilledtheirpromise.
“Itisthoughtthatmedicationsarefailingbecausewearetreatingthediseasetoolate,”saysDr.Burnett.“Itmightbeeasertocureitiftreatmentbeginswhenthediseaseismildorevenbeforesymptomsemerge.Wehavealsolearnedthatsomepeoplemetabolizethemedicationsdifferently,mak-ingthemlesseffectivethantheyshouldbe.”
Muchoftoday’sresearchisfocusedonearlydetectionthroughbrainimagingandthetestingofspinalfluid.Thesetestsarestillindevelopment,buttheyarecontributingtoabetterunderstandingofthediseaseanditstreatment.
Melinda Burnett, MD, sees patients at FamilyHealth Medical Clinic in Farmington and Northfield. Her physician services are
provided by Mayo Clinic Health System.
Dr. Burnett
University of Tennessee women’s basketball coach Pat Summitt.
Phot
o by D
oug B
enc/G
etty
Imag
es
Surgery: Minimally-invasive, wide ranging
thevolumeofsurgerieswedoatNorthfieldHospitalusinglaparoscopictechnique,”saidDr.Fulco.“Weuseitforherniarepair,anti-refluxoperationsandcolonandrectalsurgeriesamongothers.Ourexperienceisrecoveryisshorterwithlessdiscomfort.”
Dr.Fulcohas19yearsofex-perience,Dr.Nielsen14years.BothcametoNorthfieldafterpracticingformanyyearsathigh-volumesurgerycentersintheTwinCities,wheretheybothhandledtheirshareofdifficultcases.NowthetwopartnerinSurgicalCareConsultants,P.A.TheyseepatientsatbothAllina
ClinicandFamilyHealthMedi-calClinicandoperateexclu-sivelyatNorthfieldHospital.AcompletelistofthesurgeriesperformedatNorthfieldHospi-talcanbefoundat:http://www.northfieldhospital.org/medical/general-surgery-procedures.html.
From page 1
N o r t h f i e l d h o s p i t a l r o u N d u p
FAMILYHEALTH is published as a community service for households served by Northfield Hospital & Clinics. Addi-tional copies are available by calling Community Relations, 507-646-1034.
Mark Henke Dixon Bond President and CEO Chair, Board of Trustees
Randy Reister, MD Scott Richardson Clinic Medical Director Editor
Information in FAMILYHEALTH comes from a wide range of medical experts. If you have any concerns or questions about specific content that may affect your health, please contact your health care provider. Contents copyrighted. All rights reserved.
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Our focus is to provide a positive and healing environment that is patient centered. If you are interested in becoming a memberof our highly-skilled and compassionate staff, please view our employment opportunities at www.northfieldhospital.org.
FamilyHealth Medical Clinic – Northfield507-646-1494
2000 North Avenue Northfield, Minn. 55057
8 to 8, Monday, Tuesday and Thursday8 to 5, Wednesday and Friday
9 to 12, Saturday
FamilyHealth Medical Clinic – Lonsdale507-744-3245
103 15th SELonsdale, Minn.
8:30 to 5, Monday through Friday
FamilyHealth Medical Clinic – Farmington651-460-2300
4645 Knutsen DriveFarmington, Minn. 55024
7:30 to 6, Monday and Wednesday7:30 to 5, Tuesday, Thursday and Friday
FamilyHealth Medical Clinic – Lakeville952-469-0500
9974 214th St. WestLakeville, Minn. 55044
8:30 to 5, Monday through Friday8 to noon, Saturdays
Women’s Health Center507-646-1498
2000 North AvenueNorthfield, Minn. 55057
8 to 4:30, Monday through Friday
Orthopaedic & Fracture Clinic507-646-8900
1381 Jefferson DriveNorthfield, Minn. 55057
8:30 to 5, Monday through Thursday8:30 to 4, Friday
Northfield Eye Physicians & Surgeons507-645-9202
2019 Jefferson RoadNorthfield, Minn. 55057
8 to 4, Tuesday and Thursday
Clinic office hoursNorthfieldHospital&ClinicsparticipatedintheAmericanHeartAsso-
ciation’sHeartChaseOctober8inNorth-field.
Thefundrais-ingeventwasapilotprojectthatmarriedtworealitytelevi-sionconcepts,“TheAmazingRace”and“MinutetoWinIt,”tocreateafundrais-ingeventthatisbotheducationalandcompetitive.TeamsusedGPSnavigationtovisittendifferentstationsinandarounddowntownNorthfield.Theyhadtoperformataskorlearnaskillallrelatedtohearthealthbeforemovingontothenextstation.Organizerswerepleasedandplantodoitagainnextyear.
Savethosebooks.The51stAn-nualGreatNorthfield,MinnesotaBookRaid,theNorthfieldHospitalAuxiliary’sannualusedbooksale,isscheduledforTuesday,April24-Sat-urday,April28,attheNorthfieldIceArenainNorthfield.
BookswillbecollectedatthearenainApril.Ifyouneedtodonate
beforethen,callJanMatthewsat507-645-8747orJanetHahnat507-645-8917.
FundsraisedfromtheeventwillsupporttheclinicalexpansionofInfusionServices/ChemotherapyatNorthfieldHospitalandtheexpan-sionoftheSleepCenter.
HeartChase has a successful first year
Book Fair dates set for 2012
T.J. Heinricy, an American Heart Association trainer from Northfield, demonstrated hands-only CPR to one of the Heart-Chase teams.
