House Call Fall 2007

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H ouseca LL [ PLUS+ ] What you need to know to keep you and your family healthy TAKING CARE OF YOUR FAMILY TREE BRINGING BEAUMONT EXPERTISE INTO YOUR HOME • FALL 2007 HEALTHY ENTERTAINING Delicious, yet wholesome, treats for your next gathering New advances in medical research Truth about cold and flu season ANNOUNCING NEW LOCATION IN GROSSE POINTE

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Bringing Beaumont expertise into your home.

Transcript of House Call Fall 2007

Page 1: House Call Fall 2007

HousecaLL

[PLUS+]

What you need to know to keep you and your family healthy

TAKING CARE OF YOUR FAMILY TREE

b r i n g i n g b e a u m o n t e x p e r t i s e i n t o y o u r h o m e • F a l l 2 0 0 7

HEALTHY ENTERTAINING

Delicious, yet wholesome, treats for your next gathering

New advances in medical researchTruth about cold and flu season

ANNOUNCING NEW LOCATIONIN GROSSE POINTE

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In These Pages V o l u m e 1 • I s s u e 1

Departments:

3 HealthShorts

5 TopTenSuperFoods

10 daVinci®Robot

Features:

4 Debunking Myths Is it urban legend or sound advice from the doctor? Take a look at common medical myths

6 Taking Care Of Your Family Tree What you need to know to keep your family healthy at any age

8 Crowd Pleaser Entertain a group of people with healthy, tasty and easy fall recipes

Faces Behind Beaumont Ads It’s a wrap! TV commercials' stars are employees, physicians

[ Lessons Of A Low-fat Diet Linger ]Teaching children about the benefits of a low-fat diet can have lasting effects, according to a study in Finland.

The study found that children who were taught to focus on healthy fats (such as those found in nuts, seeds, fish and oils from plants) had lower cholesterol levels later in life, compared to those who had an unrestricted diet.

“Eating habits are developed at a very early age,” says Summer Korponic, a registered dietitian at the Beaumont Weight Control Center in Birmingham, who specializes in working with children. “Children need fat in their diet, so educa-

tion about healthy fat choices can create healthful habits that will have a positive effect on their long-term health.”

The study followed 1,062 Finnish chil-dren from the age of 7 months to 14 years. Families participating in the study were told to keep a child’s daily cholesterol intake to less than 200 mg and aim for a fat intake of 30 to 35 percent of their daily calories.

For more information about Beaumont’s Weight Control Center, call 248-655-5900.

Heart Popper

Next time you pick up a soft drink, consider your risk for heart disease. A study released in July sug-gested that drinking one soft drink or more each

day (even if it’s a diet soda) is associated with an increase in risk factors for heart disease.

The research, published in Circulation, a journal from the American Heart Association, found that people who drank one or more 12-ounce soft drinks a day had a great-er chance of developing obesity, for gaining inches around the waist, for developing high blood sugar levels and for lowering their “good” cholesterol levels.

“It’s reasonable to recommend that people avoid all reg-ular soft drinks, and avoid or limit diet soft drinks to less than 12 ounces a day,” says Wendy Miller, M.D., medical director of the Beaumont Weight Control Center. “Instead of soda, fill up your glass with water, perhaps with some lemon or lime if you need more flavor.”

H o u S e c a l l [ P A G E � ] F a l l 2 0 0 7

Topping The Charts

Beaumont Hospitals hit the prestigious U.S. News & World Report 18th annual “America’s Best Hospitals” list in nine of 16 categories. The Royal oak hospital appeared on nine of 16

lists (Cancer, Digestive Disorders, Geriatrics, Heart/Heart surgery, Hormonal/endocrinology, Neurology/Neurosurgery, orthopedics, Respiratory Disorders, and urology); the Troy hospital appeared on one list (Neurology/Neurosurgery).

The Royal oak hospital remains the top-ranking hospital in michigan for Heart/Heart surgery.

“These rankings are a reflection of our national reputation for medical excellence,” says Ananias Diokno, m.D., executive vice president and chief medical officer. “The expertise of our physicians, the high quality of care provided by the staff at our hospitals and the superior resources and support provided by Beaumont are instrumental in achieving this recognition.”

Commerce Township’s planning commission has approved the site plan for the development of a new Beaumont Medical Center on Maple Road between M-5 and Welch Road.

The $70-million, 159,000-square-foot center will include a freestanding emergency center, physician offices, rehabilitation services, diagnostic imaging, nuclear medicine, laboratory services and a Women’s Health Center.

The Commerce Township Downtown Development Authority is also planning to build a fire sta-tion on the site. In addition, the project includes a shared-use conference room with facilities to train 100 emergency service personnel.

Construction is scheduled to begin in November.

Site Plan Approved for Beaumont Medical Center, Commerce Township

HousecaLLbRingingbeaumonTexpeRTiSe inToyouRHome Fall2007

e-mail your thoughts about this newsletter to [email protected]

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Announcing...Bon Secours Hospital has become Beaumont Hospital,

Grosse Pointe. You and your family can still expect the same

level of excellence that you have come to trust over the past

100 years. Only now, it has a new name.

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h o u s e c a l l [ P A G E � ] www.beaumonthospitals .com

A new Beaumont study recently published in The American Journal of Cardiology showed that just seeing a deer could cause a hunter’s heart rate to reach a stressful level, placing hunters with hidden or known heart disease at an increased risk for a heart attack.

“The heart rate of some hunters would almost double upon seeing a deer, even though the hunter was standing still,” says Susan Haapaniemi, a lead author and exercise physiologist in Beaumont’s Cardiac Rehabilitation program. After sighting a deer, shooting, gutting and dragging the deer out of the woods, the hunter’s heart rate often went well above the maximum recommended level.

“Exceeding the maximum heart rate for a sus-tained period of time places hunters with hid-den or known heart disease at a high risk for a heart attack,” says Susan. “The hunters were often unaware of what was happening to their heart while they were hunting.”

There were several factors that contributed to the increased heart rates, including cooler weather, bulky hunting equipment, rugged terrain and per-sonal lifestyle (smoking, drinking, fitness level).

Healthy Hunting

Before you head out for deer hunting

season, consider the effect it might have

on your heart.

Now, it could be closer to 3 ½ hours.Each year, 8 million U. S. patients seek emergency

treatment for chest pain. While most people with obvious heart attacks can be diagnosed easily and quickly with an EKG and lab tests, others require more extensive testing, including a series of electro-cardiograms and cardiac enzyme testing over 8 to 12 hours followed by a rest and/or stress imaging study.

For those patients who aren’t easily diagnosed, there’s a new alternative.

A breakthrough study at Beaumont Hospital showed that using cardiac CT (computed tomogra-phy) angiography in the emergency room is more accurate, definitive, faster and less costly in diagnosing chest pain in the emergency room.

“This study clearly dem-onstrated that we can get patients home more quickly with a definitive diagnosis and avoid unnecessary hos-pitalizations,” says James Goldstein, M.D., lead author and Beaumont’s director of cardiology research and med-ical education. “The results were so compelling that this has become the standard of care in the Emergency Center at Beaumont, Royal Oak.”

The standard approach to diagnosing patients with chest pain can be time-consuming and resource intensive, with an estimated cost of $10 to $12 bil-lion annually in the United States. In addition, stud-ies have shown that up to 8 percent of patients hav-ing a heart attack are misdiagnosed or are sent home inappropriately. Others go home without a definitive diagnosis.

“From the patient’s point of view, the answer they get with CT angiography is very conclusive,” says Gil Raff, M.D., director of the Ministrelli Center for Advanced Cardiovascular Imaging at Beaumont. “Most patients who come to the hospital with chest

pain do not actually have a heart attack. This test is extremely accurate at distin-guishing those patients who do not have coronary disease.”

Beaumont’s study was the first randomized scientific study comparing CT angi-ography with the standard testing approach to chest pain diagnosis. The revolutionary research was funded in part by philanthropists J. Peter and Florine Ministrelli and was conducted at Beaumont’s Ministrelli Center for Advanced Cardiovascular Imaging.

Tips For Healthy Hunting:• avoid smoking or drinking the day before or during hunting

• eat a light meal before hunting

• raise your fitness level before hunting – try walking or aerobic exercise

• take a break if you start to feel tired or out of breath

• find someone else to drag your deer if you know you have heart disease

• consult a doctor before you go hunting if you have high blood pressure, high cholesterol or other risk factors

• seek medical help immediately if you experience any warning signs of a heart attack, including dizziness, chest pain or heart palpitations

Speeding Up A Heart DiagnosisWhen patients come to an emergency room with chest pain, it’s likely they’ll be there more than 15 hours before a diagnosis is made.

Second OpinionQ. I had a bad cold last fall and my doctor would not prescribe an antibiotic. It’s helped in the past, and I was surprised when he said he wouldn’t prescribe one this time. Wouldn’t an anti-biotic have helped?

A. antibiotics kill bacteria, not viruses. The common cold, flu, most sore throats and even bronchi-tis are caused by virus-es, which antibiotics are useless in treating. antibiotics don't combat viruses — this is a documented medical fact.

Physicians are sometimes pressured to prescribe anti-biotics by those seeking relief from an occasional runny nose. This creates the problem of antibiotic resis-tance. Widespread inappro-priate use of antibiotics is fueling an increase in drug-resistant bacteria. Families and entire communities feel the impact when dis-ease-causing germs become resistant to antibiotics.

over the last decade, almost every type of bac-teria has become stronger and less responsive to anti-biotic treatment because of misuse of antibiotics. These antibiotic-resistant bacteria can quickly spread to family members, schoolmates and co-workers. once spread, the bacteria threaten the community with a new strain of infectious disease that is difficult to cure and expensive to treat.

People of all ages can lower the risk of antibiotic-resistance by talking with their doctors and using antibiotics appropriately during cold and flu season.

Kelly Purcell, D.O. is a

family medicine physician

in Commerce Township. To

find a Beaumont doctor

near you, call Beaumont’s

Physician Referral Service

toll-free, 800-633-7377.

HealthShorts

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Debunking Medical Myths

[ MYTHS ]

Is it an old wives’ tale, urban legend or sound advice from the doctor? Take a look at common myths about cold and flu season.

Myth: Taking vita-min C will help you avoid getting a cold

Reality: There are no studies to prove that taking vitamin C, also known as ascorbic acid, will keep you from getting a cold.

“Some cold medications can relieve the symptoms of a cold, such as aches, congestion and cough, but the best treatment for a cold is to drink a lot of fluids and get plenty of rest,” says Brent Fuller, M.D., who specializes in internal medi-cine and pediatrics at the Beaumont Medical Center, Warren. Some studies have indicated that while starting a daily vitamin C regimen won’t prevent a cold, it could help you recover faster from the colds you do catch. Just be careful: Too much vitamin C can be harmful, causing severe diarrhea, which is particularly dangerous for elderly people and children. Stick to the daily recommended allowance, generally 90 mg.

As for herbal remedies such as zinc and Echinacea, the evi-dence isn't in yet. "There are a lot of conflicting studies and no conclusive evidence about how much they'll help," says Dr. Fuller. "They may shorten the duration of a cold, but too much can be harmful."

Myth: Cold, wet weather causes colds

Reality: You don’t get a cold from cold air, slush, wind or any other weather-related situation. Colds are upper respiratory infections that can result from more than 200 different viruses.

“You get a virus through inhaling infected air droplets sneezed or coughed by an infected person, or by touch-ing something that an infect-ed person has touched and then transferring the germs to your mouth or nose,” says Dr. Fuller. “Washing your hands or using an alcohol-based hand-washing solution is the best way to avoid getting a cold.”

What contributes to this myth? Viruses are more likely to be spread across the coun-try in the winter months, and cold, wet weather may cause people to stay indoors more, which can increase the likeli-hood of transmitting the virus from person to person.

Myth: Feed a cold, starve a fever

Reality: Not true, according to Dr. Fuller. “Drinking plenty of fluids is important when you have a cold or the flu,” he says. “Not having enough to eat could hurt your ability to recover, so you should eat until you are satisfied.”

To some degree, your grand-ma was right about one thing: Chicken soup might actually help you feel better. “Hot liq-uids can soothe a sore throat,” says Dr. Fuller. “It doesn’t have any healing qualities, but it might just make you feel a little better.”

Myth: You can get the flu if you get a flu shot

Reality: The best way to avoid getting the flu is to get a flu vaccine each year, according to the Centers for Disease Control and Prevention. There are two ways to prevent the flu:

• Flu shot — The flu shot is an inactivated vaccine (killed viruses). The strains of virus included in the vaccine change each year, depending on scientists’ expectations about which types and strains of viruses will be prevalent that year. • Nasal spray vaccine — The nasal spray vaccineis made with live, weakened flu viruses. It is generally approved for people age 5 to 49 who are healthy and not pregnant.

You should get a flu vac-cine before flu season, gener-ally October or November. Although there may be side effects from getting the flu shot (soreness where the shot was given, a low-grade fever or aches), you cannot get the flu from being vaccinated.

“You may still get the flu that year, but it’ll be a milder case than if you hadn’t been vacci-nated at all,” says Dr. Fuller. Myth: I have a child in daycare, so he’s more likely to get a cold or the fluReality: Children in daycare can be more likely to be exposed to more germs. “On average, children get four to six colds a year,” says Dr. Fuller. “For children in day-care, you can probably double that, especially in the first year of starting daycare.” There might be an upside though: A study published in the Archives of Adolescent and Pediatric Medicine found that children who attended day-care experienced fewer colds when they were older, perhaps because they built up immu-nities to the more common cold viruses.

The best way to help protect your child in the daycare envi-ronment is by teaching your child to practice good hand hygiene. “Teach your child to wash hands before every meal and to avoid touching her eyes, nose or mouth,” says Dr. Fuller.

Myth: If I get a cold, I should go to the doctor for antibiotics

Reality: “There is no antibiotic that will help a cold or flu,” says Dr. Fuller. “Each year, people ask for a prescription, but it’s just not appropriate.”

In fact, it can be harmful. “Antibiotics are used to kill bacteria, not viruses,” says Dr. Fuller. “If you use too many antibiotics too often, you could build up a resistance to the drug, making it more dif-ficult to treat bacterial infec-tions in the future.” Instead of calling the doctor when you first start feeling ill, wait at least seven days, or experi-ence additional symptoms. “On average, colds last seven days, peaking on the fifth day,” says Dr. Fuller. “The first few days of a cold, I recommend ‘supportive care’—plenty of fluids and rest, a nasal spray to relieve the congestion, and maybe an over-the-counter cough medicine.”

h o u s e c a l l [ P A G E 4 ] F a l l 2 0 0 7

For a Beaumont doctor near you, call 800-633-7377

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Certain foods are packed with numerous health benefits.

Here’s a list of these super foods and their super powers.

Eat them often as a healthier alternative!

[ trends ]

H o u s E c a l l [ P A G E 5 ] www.beaumonthospitals .com

10Top Super Foods For Super Health

WHat arE pHytonutriEnts?

phytonutrients include compounds known as anti-oxidants, which help prevent and repair cellular damage. antioxidants – such as vitamins c and E, beta carotene and lycopene – neutralize destruc-tive oxygen molecules (free radicals) that naturally form in the body. By eating food with phytonutri-ents (fruits and vegetables), you are strengthening your body’s immune system, destroying certain cancer cells and even repairing Dna damage from exposure to toxins, such as cigarette smoke.

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FisHsalmon, albacore tuna and sardines are all high in omega-3 fatty acids, which decreas-es blood clotting, prevents heart arrhythmias and combats inflammation. try eating these fish twice a week. if you’re not a fish lover, take a fish oil supplement each day instead. “omega-3 fatty acids are instrumental in reducing the risk of heart attack by lowering cholesterol, reducing triglycerides and promoting the health of coronary artery walls,” says Barry Franklin, ph.D., director of Beaumont’s cardiac rehabilitation and Exercise laboratories.

almonDsthis nutritious nut is high in monounsaturated fat, which helps lower lDl “bad” cholesterol, and high in vitamin E, an antioxidant to help protect cells from everyday damage. a 1/3-cup serving provides six grams of protein and three grams of fiber, mak-ing it a satisfying snack or a crunchy topping for yogurt.

EDamamE (eh-dah-MAH-mee)these green soybeans can lower lDl “bad” cholesterol, and new research suggests they may protect against colon cancer. look for edamame in the freezer section of most grocery stores. Just steam and pop the beans out of the shells for a snack, or add them to your next salad.

4 BluEBErriEsthese blue marvels lead in antioxidant power, thanks to anthocyanins, the pigment that gives them their blue color. a one-cup serving has only 80 calories, four grams of fiber and a good dose of vitamin c. stock up on fresh or frozen blueberries and add it to a batch of pancakes or a scoop of low-fat frozen yogurt.

5 spinacHthis leafy green is loaded with vitamin c, calcium, fiber and lutein, a carotenoid that guards against age-related eye diseases. steam spinach with garlic and drizzle with olive oil for a quick, crowd-pleasing side dish.

6 FlaxsEEDs these tiny, nutty-flavored seeds are a good source of omega-3 fatty acids, fiber and lignans, a phytochemical that may block hormone-related cancers. sprinkle one to two tablespoons of ground flaxseeds (grind in a coffee grinder or buy flaxseed meal) into cold or hot cereals, yogurt, soups and batters.

7 lEntilsavailable in a rainbow of colors, lentils offer a variety of heart-protective nutrients, including folate and fiber. they are a healthy meat alternative, providing nine grams of protein and 3.3 milligrams of iron per serving. lentils can be prepared warm as a soup or cold for a summer salad.

8 Quinoa (keen-wah)these seed-like grains are packed with goodness. a ½–cup serving has 11 grams of protein, five grams of fiber and ample magnesium, potassium, zinc and iron. Just sub-stitute quinoa for white pasta in your next pasta salad.

9 yogurtthis cultured milk product is famed for its friendly bacteria, collectively called “probiotics,” which promotes good digestion and boosts immunity. For breakfast, mix your favorite flavored yogurt with fruit and milk for a healthy smoothie.

10 Dark cHocolatEsaving the best for last, dark chocolate is high in flavonoids, a type of antioxidant beneficial for health. choose dark chocolate with 60 to 70 percent cacao for the most antioxidants and moderate your portions.

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[ food ]

You don’t have to sacrifice good health for good taste when entertaining a large group of people. With a little planning,

you can surprise and delight the guests seated around your dinner table with these healthy, tasty and (dare we say) easy fall recipes:

Cream Cheese Artichoke Salad Dip or Spread

Ingredients:1 jar (12 oz.) artichoke salad or marinated artichokes 1 8 oz. package light cream cheese

Preparation:1. Drain artichoke salad and coarsely chop in a food processor.2. Add cream cheese and process mixture until artichoke salad is blended (mixture should be chunky, not smooth).

Pour mixture into a serving dish and serve with your favorite crackers or chips.

According to Beaumont’s Executive Chef Gordon Bowman:“This appetizer is great with baked tortilla chips, baked pita chips or whole-wheat crackers, or you can make your own chips with baked wonton skins glazed with skim milk.

“Look for Roland's Marinated Artichoke Salad with olives and pimientos — it adds wonderful fla-vor to the dip,” he says.

Nutritional information:116 calories2 gm protein4 gm carbohydrate9 gm fat184 mg sodium

Beaumont’s Executive

Chef Gordon Bowman

has made it his mis-

sion to surprise and

delight people who

expect boring hospital

food when they go

to Beaumont Hospital

in Royal Oak. He’s

been at Beaumont for

20 years, overseeing

more than 40 staff

members who create

more than 10,000

delicious entrees

each day.

Crowd Pleaser

H O u S E C A L L [ P A G E 6 ] F A L L 2 0 0 7

Page 7: House Call Fall 2007

[ food ]

Harvest Apple CrispIngredients:4 apples – any kind good for baking, such as Northern Spie,

Granny Smith or Fuji¼-cup brown sugar½-cup whole-wheat flour½-cup rolled oats¼-cup corn flakes or Grapenuts

(optional)2 tablespoons healthy butter

spread (with no trans fats)¼-cup currants (optional)1 tablespoon honey2 tablespoons cinnamon1 teaspoon ground ginger

Preparation:1. Preheat oven to 375 degrees.2. Peel and slice the apples, place in the bottom of an 8” x 8” pan or ceramic baking dish.3. Mix the remaining ingredients (except the honey) together by rubbing the butter into the mix with your fingertips.4. Evenly spread the dry mixture on top of the apples; drizzle with honey.5. Bake for 30 to 35 minutes; serve warm.

Makes 9 servings

Ingredients:1 yellow squash1 zucchini squash8 oz. crimini mushrooms, split2 oz. red onion, sliced ¼-inch thick1 medium red pepper1 oz. extra virgin olive oil2 tablespoons Balsamic vinegar1½ teaspoons Italian herbs

Preparation:1. Slice yellow squash and zucchini in half lengthwise. Core red pepper and cut into quarters, lengthwise.2. Place in a large bowl with mushrooms, red onion and Italian herbs. Toss with olive oil.3. Place on hot barbecue grill grids for approximately four minutes on each side. The vegetables should have grill marks on them and appear to just to begin to soften.4. Remove the vegetables from the grill, placing them on or in a serving tray/bowl.5. Drizzle balsamic over the vegetables, add a dash of black pepper. Serve immediately.

Yield: 10 3-oz. portions

Ingredients:4 chicken breasts,

boneless and skinless2 tablespoons

Dijon mustard3 tablespoons honey3 tablespoons maple syrup2 tablespoons chopped

pecans (optional)

Preparation:1. Lay the chicken breast

in a baking dish.2. Mix Dijon mustard,

honey and maple syrup together. Spread half of the mix-ture over the chicken breasts, making sure to cover all sides; cover and refrigerate the remainder of the marinade.

3. Cover chicken breasts and marinate for at least two hours (you can marinate them overnight).

Grilled Vegetable Salad

Nutritional information:281 calories 28 gm protein41 gm carbohydrate4 gm fat166 mg sodium73 mg cholesterol

Nutritional information:134 calories2 gm protein27 gm carbohydrate3 gm fat49 mg sodium3 gm fiber

Tip: This light, colorful and tasty salad is rich in phytonutrients – chemicals manufactured only in plants, which produce beneficial health effects.

Comments from sylvia:

“You can use any vegeta-

bles you and your guests

like. For example consider

using grilled eggplant or

portobello mushrooms.”

— Sylvia Veri, Beaumont registered

dietitian

Nutritional information:53 calories2 gm protein5 gm carbohydrate3 gm fat172 gm sodium

Comments from sylvia:

This entrée is great

for people with food

restrictions — it’s very

low in sodium, with

the flavoring com-

ing from the mustard,

honey and maple

syrup. If you have

guests with nut aller-

gies, just eliminate the

chopped pecans.

— Sylvia Veri, Beaumont

registered dietitian

H O u S E C A L L [ P A G E 7 ] www.beaumonthospitals .com

Comments from sylvia:

“This is a great alternative

for dessert. I like the use

of whole wheat flour

and rolled oats.

“You can embellish on

the presentation of this

dessert by serving it with

low-fat frozen yogurt.”

— Sylvia Veri, Beaumont

registered dietitian

Tip: Use whole-wheat pastry flour – it’s lighter than whole-wheat flour and won’t weigh down the crisp. You can use it in any baked recipe, with half whole-wheat pastry flour and half white flour.

Sylvia Veri, registered dietitian, is the nutrition supervisor at the Beaumont Weight Control Center in Birmingham, where she has the oppor-tunity to show people how easy and fun it can be to enjoy healthy food.

4. When you’re ready to cook the chicken, place on a preheated gas grill or charcoal fire. Cook for approximately eight minutes on each side. When the chicken breasts have been turned, baste with extra marinade. (When the chicken is done, it should have a moist glaze appearance.)

5. Remove chicken from the grill and place on a platter; cover with chopped pecans if desired and serve immediately.

Dijon Chicken with Honey Maple Glaze

Page 8: House Call Fall 2007

H O U S E C A L L [ P A G E 8 ] F A L L 2 0 0 7

WOMEN’S HEALTHHeart disease: Not just for menIt’s a myth that heart disease is a man’s disease. In fact, cardiovascular disease is the number-one killer of women. These diseases currently claim the lives of more than 500,000 women every year – that’s more than the next 16 causes of death combined.

Consider the following statistics about cardiovascular disease in women from the American Heart Association:• One out of every five women

has some form of cardiovascular disease.

• In the United States, cardiovascular diseases claim the lives of nearly 503,000 females annually, while all forms of cancer combined kill about 258,000 females.

• Coronary heart disease is the single largest cause of death for females in the United States.

Who’s at risk?You can be born with risk factors that cannot be changed, but can be improved with medical management and lifestyle changes. You’re most at risk if you have: • inherited high blood pressure • inherited low levels of HDL (high-

density lipoprotein) or high levels of LDL (low-density lipoprotein) blood cholesterol

• a family history of heart disease (especially with onset before

age 55) • type 1 diabetes

You’re also at risk based on the

activities you choose to incorporate into your life, such as:

• smoking tobacco• a stress-filled lifestyle• a sedentary lifestyle • overweight by 30 percent or more

Managing heart attack risk factors:Managing your risks for a heart attack begins with:• examining which of the risk factors

apply to you, and then taking steps to eliminate or reduce them

• becoming aware of conditions like hypertension or abnormal cholesterol levels, which may be "silent killers"

• modifying risk factors that are acquired (not inherited) through lifestyle changes.

With physicians, a nurse practitioner, a registered dietitian, medical technicians and an exercise physiologist on staff, Beaumont’s Ministrelli Women’s Heart Center is dedicated to helping women get healthy and stay healthy in order to beat the odds. For more information, call 248-898-4760.

MEN’S HEALTHDon’t delayOne third of all men haven’t seen a physician in the past year, and 10 percent haven’t seen one in the past five years. Don’t wait until you get sick to see your doctor. Many of the top causes of death and disability can be prevented or delayed with early diagnosis and treatment. Likewise,

many of the physical changes that occur as men age can also be addressed with early diagnosis and treatment. By establishing a relationship with a family physician now, signs and symptoms of conditions can be managed as they occur. “Whether it’s a lack of time, a lack of trust, or just a general level of discomfort in talking about their health, men are not as likely to come in for their complete physical exam,” says Parag Patel, M.D., a family practitioner in the Beaumont Medical Center, Macomb Township. “However, many of the physical changes men experience as they age can be addressed during a physical.”

CHILDREN’S HEALTHAre immunizations important? Immunizations (also called vaccinations) are a set of shots given to infants and children at different ages to help keep them from developing dangerous childhood diseases. “The diseases that vaccinations protect against have serious complications and can even be fatal,” says Parag Patel, M.D., a family practitioner in the Beaumont Medical Center, Macomb Township. “Making sure your child receives immunizations when scheduled is the best way to help protect your child as well as people in the general population who are vulnerable.” Although children receive the majority of the vaccinations, adults also need to stay up-to-date on certain vaccinations,

including tetanus and diphtheria. In addition, those adults who have never had chickenpox or measles during childhood (nor the vaccines against these specific diseases) should consider being vaccinated. Childhood illnesses such as mumps, measles and chickenpox can cause serious complications in adults. Many childhood diseases can now be prevented by following recommended guidelines and schedules for vaccinations. The Advisory Committee on Immunizations Practices, the American Academy of Pediatrics, and the American Academy of Family Physicians have approved a series of vaccinations for all children to protect them against diseases. You can learn more about how to protect your family by speaking with your physician or reading more information from a reputable online medical resource, such as the American Academy of Physicians (www.aap.org) or the Centers for Disease Control and Prevention (www.cdc.gov/vaccines).

GERIATRIC HEALTHIf you or a loved one is dealing with the challenges of aging, consider consulting health care professionals who are specially trained in issues related to older adults. Programs such as Beaumont’s Geriatric Evaluation Clinic help patients work with their physicians to identify problems and suggest alternatives that may help lead a more active and comfortable lifestyle. “We take all of the different

From pediatrics to geriatrics

You don’t need your own medical manual to know how to keep yourself and your family healthy. By establishing a good relationship with your family physician, you can ensure your family stays healthy. Some simple guidelines to follow:

At Any Age

FAST FACTS>>>>>>In 64 percent of women who died suddenly from cardiovascular disease, there were no previous symptoms of the disease.

>>>>Learn more about how to protect yourself from heart disease with help from BEAUMONT’S MINISTRELLI WOMEN’S HEART CENTER,

a state-of-the-art facility dedicated to the prevention, detection and treatment of heart disease.[ [

Healthy

Page 9: House Call Fall 2007

aspects of a patient’s life into consideration before making a thoughtful, careful decision about what the best options are,” says Khaled Imam, M.D., chief of Beaumont’s Division of Geriatrics. “We consider the needs of the patient first, but we’re also looking at the needs of the caregiver.” The evaluation includes an extensive questionnaire, a thorough

physical examination and testing, as well as an assessment to determine the individual’s mental abilities, psychological and social skills. A referral from your physician is needed to schedule an appointment at the Geriatric Evaluation Clinic at Beaumont Hospital in Royal Oak. For more information, call Beaumont’s Geriatric Evaluation Clinic at 248-551-1756.

For a referral to a Beaumont doctor, call Beaumont’s Physician Referral Service toll-free, 800-633-7377.

From pediatrics to geriatrics

At Any Age

H O U S E C A L L [ P A G E 9 ] www.beaumonthospitals .com

BIRTH TO 3 YEARS 3 – 19 20s & 30s 40s 50s AND BEYOND

COMPLETE

PHYSICAL EXAM

Every two to three

months.

Annually. Complete physical exam

every three years after

age 30.

Complete physical exam every

two years after age 40.

Complete physical exam

every year.

EVALUATIONS Height, weight and head

circumference; develop-

ment and behavioral

assessment.

Height, weight and

blood pressure;

development and

behavioral assessment.

Weight, blood pressure

and cholesterol levels.

Weight, blood pressure

and cholesterol levels.

Weight, blood pressure

and cholesterol levels.

DIAGNOSTIC

TESTING /

SCREENING

Bloodwork for cholesterol

and diabetes screening.

Women: Pap smear, pelvic

exam, breast exam; month-

ly self-breast exam.

Men: monthly self-

testicular exam.

Bloodwork for cholesterol and

diabetes screening.

Women: Pap smear, pelvic

exam and breast exam every

year; mammogram every one

to two years; monthly self-

breast exam.

Men: Yearly prostate exam

and PSA (prostate specific

antigen), monthly self-testicu-

lar exam.

For some patients, the physi-

cian may recommend an EKG

and stress testing based on

the patient’s risk factors for

heart disease.

Bloodwork for cholesterol and

diabetes screening.

A digital rectal examination

every year; a colonoscopy at

age 50, and then as often as

recommended by your physician

based on your family history.

Women: Annual mammogram,

pap smear, pelvic exam, breast

exam; monthly self-breast

exam.

Men: Yearly prostate exam and

PSA, a fecal occult blood test

and a monthly self-testicular

exam.

For some patients, the physi-

cian may recommend an EKG

and stress testing based on the

patients risk factors for heart

disease.

OTHER Immunizations. Immunizations.

Dental checkup once

or twice a year.

Update immunizations.

Dental checkup once or

twice a year.

Update immunizations.

Dental checkup once or twice

a year.

Update immunizations.

Dental checkup once or twice

a year.

WHAT THEY’RE LOOKING FOR

• PAP SMEAR: screening for cervical cancer

• MAMMOGRAMS AND BREAST EXAMS: screenings for breast cancer

• PROSTATE SPECIFIC ANTIGEN, DIGITAL RECTAL EXAMINATION AND PROSTATE EXAM:

screenings for prostate cancer

• COLONOSCOPY: screening for colon cancer

DIAGNOSTIC TESTINGNow Beaumont is closer to home – with a Beaumont medical center right in your community, access to Beaumont doctors and services is now more con-venient than ever. You don’t have to wait for weeks - or drive for miles - for critical tests. The Beaumont Medical Centers offer a wide range of outpatient services including cardiology, laboratory and radiology services, nuclear medicine and physical therapy. And along with board certified family doctors, you’ll have access to cardiologists, orthopedic and colorectal surgeons, urologists, obstetricians and gynecologists, pediatricians and ophthalmologists – all right in your neighborhood.

Beaumont Medical Centers are located in: Lake Orion, Macomb Township, Rochester Hills, St. Clair Shores, Warren, West Bloomfield and soon, Commerce Township and Novi.

To schedule an appointment at one of the Beaumont Medical Centers, call the Appointment Center toll-free, 1-800-328-8542. For a referral to a Beaumont doctor, call Beaumont’s Physician Referral Service toll-free, 800-633-7377.

From pediatrics to geriatrics, here are the medical exams you need to help keep you HEALTHY FOR LIFE

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h o u s e c a l l [ P A G E 10 ] F a l l 2 0 0 7

[ profile ]

da Vinci® RobotBeaumont becomes a robotic surgery teaching

center with da Vinci® surgical robot.

Surgeons throughout the region are training at Beaumont Hospital on how to use the da Vinci® surgical robot, which allows surgeons to perform operations from a remote console, with robotic instruments inserted via small incisions. The

robot translates a doctor's hand movement into corresponding micromovements of the instru-ment. The benefits of minimally invasive robotic surgery include reduced blood loss, lower risk of infection and less pain with faster recovery.

Intuitive Surgical, maker of the da Vinci® robot, selected Beaumont, Royal Oak to be a multi-specialty training center for robotic sur-gery. Beaumont joins just a handful of centers in the world teaching how to use the sophisticated equipment.

Beaumont's surgical expertise, two fully equipped mock operating rooms in the Marcia and Eugene Applebaum Surgical Learning Center and three da Vinci® Surgical robots make it uniquely positioned to provide training to sur-geons and surgical teams. Surgeons at Beaumont have been using the original model da Vinci® robot since 2002 and have performed almost 700 robotic operations. Beaumont physicians use the robot for lung, prostate, urologic and gynecologi-cal surgeries.

Beaumont, Royal Oak ranks second in surgical volume in the country and Beaumont, Troy ranks fourth in the country among hospitals of its size.

(top left) During a surgical procedure with the da Vinci® robot, the surgeon controls the device from a console while the surgical team assists in the sterile surgical field. at Beaumont hospital, Royal oak, surgeons use the robot for lung, prostate, urologic and gynecological surgeries. since 2002, they have performed nearly 700 robotic operations.

(top right) Rich ohls, a techni-cal support assistant in the operating room, positions the da Vinci® robot for a simulated surgery.

(below) Beaumont urologist James Relle, M.D., uses the da Vinci® robot for prostate surgeries, offering patients a quicker recovery.

"Being a training center

for robotic surgery is

further evidence of Beaumont's

leadership role in surgical

technology, education and

research." Charles Shanley, M.D.,

senior vice president

of surgical services

and chairman of the

Department of Surgery at

Beaumont Hospital,

Royal Oak

Page 11: House Call Fall 2007

It's A WrAp!

Everyone

was filmed doing

their everyday

jobs, as a team,

just as patients

see them when

they come to

Beaumont.

”“

SARA MAY, R.N.

HEART AND VASCULAR SERVICES

A Beaumont nurse for 15 years, Sara is proud

to serve her community. “I go home at the end

of the day knowing that I helped someone,” she

says. Beaumont’s nursing excellence has been

recognized nationally, with “Magnet” designation

by the American Nurses Credentialing Center.

Beaumont was the first hospital in Michigan

to achieve this level of recognition.

CHARLES MAIN, M.D.

PEDIATRIC HEMATOLOGY/ONCOLOGY

Dr. Main, chief of Pediatric Hematology/Oncology

at Beaumont, has been treating children with cancer

for the past 40 years. To let his young patients

know that they have a promising future, he started a

pediatric cancer survivor scholarship fund 15

years ago. The fund has provided more than

$438,000 in college scholarships to 97

childhood cancer survivors.

CINDY GRINES, M.D.

CARDIOLOGY

Dr. Grines is the youngest recipient ever of the

American Heart Association’s Distinguished

Achievement Award. In addition to publishing

more than 400 articles on heart disease, she

was one of the first doctors in the world to use

angioplasty on patients who were having a

heart attack. She also has been

named among Crain’s Detroit Business'

“Most Influential Women.”

RANDY JANCZYK, M.D.

TRAUMA SERVICE

A trauma and general surgeon, Dr. Janczyk

is also the chairman of Beaumont’s Organ

Donation Committee. He recently accepted a

Medal of Honor from the U.S. Department of

Health and Human Services in recognition of

Beaumont’s excellence in organ donation.

NAYANA DEKHNE, M.D.

SURGERY

After completing her post-graduate surgical

training, Dr. Dekhne refined her surgical skills

at Beaumont’s Comprehensive Breast Care

Center, where she received special training in

multidisciplinary breast surgery

and breast cancer.

JAMES GRANT, M.D.

ANESTHESIOLOGY

In addition to serving as Beaumont’s chief of

Anesthesiology, Dr. Grant is a leader in the medical

community. He is a delegate to the American Medical

Association, assisting in setting policy on issues such

as public health, health care delivery and medical

ethics; the chair of the Michigan Board of Medicine;

the assistant treasurer of the American Society of

Anesthesiologists and the vice-chair of the board of

directors of the Michigan State Medical Society.

H O U S E C A L L [ P A G E 11 ] www.beaumonthospitals .com

When Sara May came to work at Beaumont as a nurse 15 years ago, she didn’t know a screen test for a television commercial was in the job description. But she and more than a hundred employees and physicians auditioned, with 50 making the cut for the first series of Beaumont television commercials, airing now on television stations

throughout the metropolitan Detroit area. “Everyone was filmed doing their everyday jobs, as a team, just as patients see them when they come to Beaumont,” says Mike Killian, vice president of Marketing and Public Affairs. “That’s what makes our ads different — everyone in the ads is affiliated with Beaumont, even the children.”

Beaumont commercials star employees, physicians

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