Hidden Scar technology allows surgeons to minimize scarring without compromising breast cancer treatment

Hidden Scar breast cancer surgery centerBreast cancer surgery can save a woman’s life. And with new advances, surgery doesn’t necessarily mean leaving scars behind that serve as a visible reminder of cancer.

Tucson Medical Center is a Hidden Scar Center, with demonstrated expertise in surgical techniques that minimize scarring while retaining effective oncologic results.

Through Hidden Scar, surgeons make incisions in a location that’s harder to see so the scar is less visible. Advanced tools and technology make it easier for surgeons to make small incisions and reduce the risk of complications, all while keeping as much healthy breast tissue as possible.

“It’s important to me to individualize the care my patients receive,” said breast surgical oncologist Michele Boyce Ley. “For many women, scars do matter.  They can impact clothing choices, self-confidence, self-esteem, intimacy, and other important factors of daily life. Through Hidden Scar techniques, women can have surgical treatment that not only offers the best clinical outcomes, but provides the best aesthetic outcome as well.”

One option to consider is whether a nipple sparing mastectomy might be appropriate. “This technology facilitates preservation of the nipple for a more natural appearance after mastectomy,” said Boyce Ley, a fellow-ship trained surgeon.

Because every cancer is different, it’s important to discuss options with your physician and surgeon, based on the size and location of the tumor.

“Sometimes, we need a creative solution; I take a lot of pride in finding the solution that best matches the needs of each patient,” said Boyce Ley.

 

Bean spread – Packing a protein punch in an inexpensive and quick way

not hummus, cheap, quick bean dips for a protein punchHummus is available in almost any grocery store, and you can find it in a variety of flavors. However, not everyone is a fan of garbanzo beans or tahini or some of the other common hummus ingredients. Making your own bean spread allows you to customize it to your preferences, and it saves a little money.
You can spread it on pita triangles as a snack; use it in a sandwich for additional protein and flavor; or use it as a dip with raw veggies or tortilla chips.
If you don’t have a food processor, you can do this in a blender by adding more water to the recipe. The result will be a little runnier, which makes for a better dip than a spread.

Basic Ingredients

1 can of beans (such as pinto, kidney, cannellini, black or garbanzo)

1 Tbsp lemon juice

2 Tbsp good quality olive oil water, as needed

Variations

Choose one or more of the following ingredients to personalize your bean spread:

  • garlic
  • fresh basil, parsley or cilantro
  • spices, such as cumin, paprika or cayenne pepper
  • baby spinach
  • artichoke hearts
  • sundried tomatoes, soaked in warm water for about 20 minutes and drained
  • roasted red peppers
  • jalapeño  or other hot pepper

Directions

1. Rinse and drain beans thoroughly.

2. If using fresh garlic, peel it and process in the food processor until finely chopped.

3. Add beans and lemon juice to the food processor. Drizzle olive oil over the beans.

4. Process until beans are coarsely chopped; then add your special ingredients.

5. Continue processing until the mixture reaches your preferred consistency. You may need to add a few tablespoons of water to make it smoother.

6. Serve or chill immediately.

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Halloween Safety Tips from Jessica Mitchell, Safe Kids Pima County

I love celebrating Halloween with my family, but I must admit I feel like I’m holding my breath all evening. Like many Tucson neighborhoods, ours has few street lights and on Oct. 31, kids are EVERYWHERE, often in dark costumes, often zigzagging across the roads to trick or treat. It’s a safety nightmare! Did you know that children are more than twice as likely to be hit by a car and killed on Halloween than on any other day of the year?

We try to watch where we are going, watch where our little ones are and watch for cars all at the same time. It can be really tough. I give my kids glow sticks to help them be seen by others, including drivers of cars. An added bonus, they think glow sticks are the coolest things ever!

What can you do to make Halloween safer this year for your children?

  1. When selecting a costume make sure it is the right size to prevent trips and falls.
  2. Decorate costumes and bags with reflective tape or stickers and, if possible, choose light colors.
  3. Since masks can sometimes obstruct a child’s vision, try nontoxic face paint and makeup whenever possible.
  4. Have kids use glow sticks or flashlights to help them see and be seen by drivers.
  5. Children under the age of 12 should not be alone at night without adult supervision. If kids are mature enough to be out without supervision, remind them to stick to familiar areas that are well lit and trick-or-treat in groups.
  6. Popular trick-or-treating hours are 5:30 p.m. to 9:30 p.m. so be especially alert for kids during those hours.

Plan ahead and keep your little ghouls and goblins safe and sound this Halloween,

Jessica

Jessica Mitchell is the Safe Kids Pima County program coordinator. Safe Kids Pima County is a network of organizations whose mission is to prevent accidental childhood injury, a leading killer of children aged 19 and under. Spearheaded by Tucson Medical Center, the local coalition is part of Safe Kids Worldwide, a global network of more than 600 coalitions in 23 countries bringing together health and safety experts, educators, corporations, foundations, governments and volunteers to educate and protect families.

These halloween revelers need a few glow sticks and then theyll really be shining.

Five-part series helps inform transformation agenda for health care, business

TransformationReportHealth care industry leaders face incredible challenges in shifting from traditional, volume-driven fee-for-service to value-based care.

As a member of the national Health Care Transformation Task Force, an industry consortium, and as the hospital member of two accountable care organizations, Tucson Medical Center is at the forefront of innovative work to provide higher quality, more efficient health care.

“The Transformation to Value: A Leadership Guide” from the Health Care Transformation Task Force shares the collective experience and wisdom from organizations at the vanguard of value-based payment and care delivery.

The Health Care Transformation Task Force created the “The Transformation to Value: A Leadership Guide” to assist health care leaders as they design and implement their transition to value based delivery and payment. This series of captures the transformation journeys of individual organizations, including both successes and lessons learned, and allow decision makers to benchmark themselves against similar organizations that are actively moving toward value-based care.

“The Transformation to Value: A Leadership Guide” is one more reason we’re proud to be part of the Health Care Transformation Task Force,” said Julia Strange, vice president of community benefit for TMC. “This new series offers proven advice to health care leaders as they design and implement their own transition to value based delivery and payment. This initiative reflects our and other task force members’ common commitment to facilitate transformation, both for members and others.

The Transformation to Value: A Leadership Guide” from the Health Care Transformation Task Force is practical freeware that can save organizations at any stage of the transformation journey countless hours, while avoiding the pitfalls uncovered by early adopters. Others are encouraged to use and share this work. http://bit.ly/2ylIwEK

Dispose of unneeded medications Oct. 23 at TMC Senior Services

Meds.jpgHaving old medications lying around puts children, teens and even pets at risk from inappropriately ingesting them.

It also increases the risk of mix-ups with any of your existing prescriptions.

If you have any medications you don’t need any longer, dispose of them safely and securely at a free Dispose-A-Med event at 1400 N. Wilmot in the El Dorado Health Campus.

Tucson Police Department will be on hand from 10 a.m. to noon to accept prescriptions or over-the-counter medications and vitamins. Sorry but sharps aren’t accepted, and we have to decline medication in liquid, creme or inhalation/aerosol form.

Come early for a free 9 a.m  presentation that morning on medication safety – and make sure to bring your current bottles for free one-on-one pharmacist consultations from 10:30 am. – noon.

To RSVP for the presentation, please visit the event registration page at TMC Senior Services.

For more information, please call 324-1960.

 

Ballots are in the mail for Nov. 7 election

Engaged voters are fundamental to a healthy community and a healthy democracy.

If you’re registered to vote, watch for a ballot coming soon to your mailbox for Nov. 7’s consolidated election.

Depending on where you live, you’ll have a say in:

  • ward races for the Tucson City Council
  • ballot propositions that would raise the salary of Tucson’s mayor and council as well as to increase the sales tax to fund zoo improvements and early childhood education
  • bond or override elections in several school districts, including the Tucson, Sunnyside, Flowing Wells and Marana unified school districts
  • funding and other issues in several fire districts

Oro Valley, where voters will decide on a park improvements package, will have polling sites open on Election Day, but the other jurisdictions are holding mail elections.

Please mail your ballot by Thursday, Nov. 2 to ensure your ballot is ready for counting on Election Day.

You may also track the status of your Vote-by-Mail ballot online. Simply visit: www.recorder.pima.gov and click on “Early Ballot Status” to ensure your ballot was received and processed.

For more information, please direct questions to the Pima County Recorder’s Office at (520)724-4330

Is genetic testing right for you in determining cancer risk?

should i get genetic testing to determine my risk for breast cancer?Medical advances have now allowed us to identify whether patients with certain inherited gene mutations have an increased risk of breast cancer.

Awareness is growing among patients that there are genes related to breast cancer and steps they can take to reduce future risk – but that doesn’t necessarily mean we should all get tested.

Here are some things to consider when deciding whether testing is appropriate for you:

Genetic testing will only provide insight into one area of risk.

You might still be high risk, even if the test shows no gene mutation. Maybe you have dense breasts, maybe you’ve never had kids, maybe you smoke, or you drink alcohol daily. Genetic abnormalities are associated with about 10 percent of cancer cases. That means no matter your test result, if you have factors that place you at higher risk, it is still important to have regular screenings.

If you were tested 5 years ago or more, you may consider retesting.

Back then, tests were only looking for mutations in BRCA 1 and 2. Now, tests routinely look at more than 25 genes that have a connection to increased risk for cancer development.

Make sure testing is appropriate for you.

Testing is most appropriate for those with a family history across multiple generations. Some special populations, such as Ashkenazi Jews, also have a higher tendency toward mutation and would be good candidates for testing.

Genetic testing isn’t just for women.

Gene mutations don’t discriminate and men get breast cancer as well. Testing, however, is not recommended on minors since the mutations inform lifetime cancer risk and children are too young to consider potential interventions.

You’ll want someone with expertise to help with the results.

There are interventions that may reduce the risk of cancer, from more frequently screenings to medication and surgery. Your primary care physician may be a good place to start the conversation, but often a specialist in breast cancer risk is best equipped to partner with patients to help them identify the next steps that are right for them. TMC offers a High-Risk Breast Clinic . Please call 324-2778 for more information.

Dr. Michele Boyce Ley, a board-certified breast oncology surgeon, serves as medical director of TMC’s Breast Health Program. She is accepting new patients and is located at 2625 N. Craycroft Road.

Help celebrate Physical Therapy month throughout October

EmilyBurdettePhysical therapists work hard to help patients improve their range of motion, strength and flexibility so they can lead their most active lives and obtain better outcomes.

National Physical Therapy month is held each October and Tucson Medical Center would like to take this time to recognize the impact of our therapists. A big thank you is in order for the 14 physical therapists and six physical therapy assistants in adult acute therapies, as well as the 11 therapists in pediatric therapies.

It’s also an opportunity to highlight the achievement of those therapists that have worked towards their advanced certifications.

According to the American Board of Physical Therapy Specialists, certification was established to:

  • recognize physical therapists with advanced clinical knowledge, experience, and skills in a special area of practice
  • assist consumers and health care community in identifying physical therapists who have advanced skills
  • address a specific area of patient need

Certification takes a great deal of work: Therapists must have extensive background in their specialty area including direct clinical hours and passing a board exam.  In order to maintain the certification, therapists must retake the exam and participate in professional development activities including service to the profession, teaching, and participation in research studies.

We caught up with Emily Burdette, who recently earned her certification, to learn more about the effort.

Why did you pursue this certification?

I wanted to pursue the designation of board-certified clinical specialist in pediatric physical therapy in order to demonstrate my commitment to the profession of pediatric physical therapy as well as my patients. I wanted to set myself apart as a clinician who is considered to have advanced clinical skills in pediatric physical therapy.

I pursued this certification as a commitment to further the profession of pediatric physical therapy. In order to become re-certified as a pediatric certified specialist, I must be active in the profession of pediatric physical therapy by attending continuing education courses, teaching physical therapy students during their clinical internships, participating in research projects, and becoming a mentor to other pediatric physical therapists.

Lastly, I wanted to pursue this certification to continue my commitment for life-long learning as a pediatric physical therapist. It is a personal commitment of mine as well as the other therapists working at Tucson Medical Center Pediatric Therapies to stay as up-to-date as possible on all research regarding the treatment of children. We all pride ourselves on the emphasis Tucson Medical Center Pediatric Therapies has on evidence-based practice.

How rigorous was the process? 

I studied every day for nine months for about 2-3 hours per day. I was busy reviewing various diagnoses that are seen by pediatric physical therapists in different areas of practice. I also reviewed research papers from the Pediatric Physical Therapy Journal and Physical Therapy Journal and took continuing education courses for diagnoses that I am not as familiar with. The actual test for certification was 6 hours long and 200 questions.

Was it worth it? 

It was worth the sacrifice so that I could provide the best evidence-based care to my patients. It helped me to review treatment of pediatric diagnoses I am familiar with as well as learn about the treatment of diagnoses I am not as familiar with. I believe that all of the studying and reviewing of research articles has made me a better, more knowledgeable pediatric physical therapist!​

Optimize your fruit and vegetable choices with tips from our wellness experts

eating well doesn't have to break the bankIt should come as no surprise that eating plenty of fruits and vegetables is part of a healthy diet. The more vegetables and fruit you eat, the less likely you are to develop cardiovascular disease, age-related eye diseases, osteoporosis and some types of cancer. What does seem to be surprising to many is how easy it is to incorporate vegetables and fruit into our diets. We often hear one of these comments as the reason someone is not eating enough vegetables and fruit:

     “Fresh produce is so expensive.”

     “Fresh produce goes bad before I use it.”

     “I don’t know what I should buy, and I don’t know what to do with the stuff I do buy.”

These are legitimate questions and concerns. Here are some things to consider that will hopefully help to address how to incorporate produce more easily into your diet.

Add More Variety

We eat with our eyes. Lots of color and variety is key. We eat with our eyes – color and variety make a plate of food look more enticing. Keep this in mind when you are trying to persuade yourself or your family to eat more vegetables and fruit. Not only does variety prevent boredom, it also ensures that your body gets a full spectrum of nutrients. Different types and colors of foods provide different vitamins, minerals and other plant compounds that enable your body to perform its everyday functions and prevent disease. Add produce that is in season or locally grown is likely to be fresher and more flavorful, and generally it is more cost effective.

TIP: Purchase produce in season, cut it up into smaller pieces and freeze for use throughout the year.

Fresh vs. Frozen vs. Canned

While fresh is always best, it may not always be possible to have fresh produce. Frozen fruits and vegetables are convenient, nutritious, and often less expensive, so they are your next best option. Avoid items with added sugar, butter or sauces, as this adds extra calories and fat. In the case of beans and tomato products, canned versions are far more convenient and can still be relatively healthy. When buying canned vegetables, choose low-sodium or no-salt-added options; otherwise, drain and rinse thoroughly to reduce the sodium.

TIP: Keep some frozen vegetables on hand for a quick and easy addition to soups, pastas or rice dishes.

Think About Organic

Should you buy organic produce? That’s something you have to decide for yourself.

If you would like to eat organic foods to reduce the amount of synthetic chemicals you ingest, but you can’t buy organic every time, here are a few suggestions for prioritizing your purchases:

  • If you frequently eat a lot of certain types of fruits or vegetables, buy organic versions of them to reduce your intake of the particular pesticides commonly used on those crops.
  • Check out “The Dirty Dozen.” It is a list of conventional produce that, according the Environmental Working Group, carries a high pesticide load. Buying organic versions of these foods can reduce your consumption of toxic chemicals.
  • Most pesticide residue exists on the outer surface of produce, so you may want to buy organic if you are planning to eat the skin.

Organic foods are not necessarily more nutritious, and there is no good evidence to show that eating organic produce reduces your risk of cancer. The important thing is that you eat more fruits and veggies, however you manage to do it.

For more tips on making the most of your produce see this TMC for Women post.

Design your personalized nutrition plan or tour the grocery store with help from our registered dietitians

Is your family ready for flu season?

Are you ready for flu seasonFrom cooler temperatures to pumpkin pie, we welcome many things that come with the fall season, but the flu is not one of them. Dr. Katherine Leitner, a TMCOne provider at TMC Rincon Health Campus, provides some important pointers to best prepare families for flu season.

How should a family prepare for flu season?

The most effective preventative measure is a flu vaccination. Everyone in the family should get a flu shot.

If experiencing flu-like symptoms:

  • cover your mouth when coughing
  • avoid touching your face
  • wash your hands with soap and water frequently
  • disinfect surfaces you come in contact with
  • and stay at home for at least 24 hours

When should you get a flu shot?

The Centers for Disease Control recommends receiving a flu vaccine in October. Even if you did not receive the flu shot in October, it is still beneficial to obtain one throughout the flu season which can run through January or later. It is also important that everyone get the flu shot yearly, because the flu strain changes from year to year.

What about vitamin C and a healthy diet?

Studies have shown that supplementing with vitamin C during a cold does not actually improve the outcome or decrease the duration of illness. However, it is always important to stick to a healthy diet so you can build a good immune system for when you do get sick. During an illness, drinking lots of fluids and staying hydrated is very important.

What should you do if a child is showing flu symptoms?

Make an appointment with your child’s health care provider right away. The provider can test for the flu and treat it with a medication if caught early. To prevent the spread of illness, keep your child out of school until he or she is feeling better.

Who should get the flu shot?

Dr. Robert Jacobson, a pediatrician with Mayo Clinic, says, “The latest recommendations from the CDC reaffirm that all of us are at risk for catching and spreading the flu, and all of us should get our flu shot this fall. Very few of us cannot get the vaccine. Our getting the vaccines protects them, too.”

Influenza vaccine recommendations for the 2017-18 season include these updates and changes:

  • Afluria Quadrivalent and Flublok Quadrivalent are now available for patients 18 and older.

  • FluLaval Quadrivalent may be given to children as young as 6 months. Previously, administration was limited to children 3 and older.

  • Pregnant women may receive any age-appropriate flu vaccine that is approved and recommended by the U.S. Food and Drug Administration.

  • FluMist Quadrivalent should be not should not be used during the 2017–2018 season due to concerns about its effectiveness against influenza A(H1N1)pdm09 viruses in the U.S. during the 2013–2014 and 2015–2016 influenza seasons.

The CDC continues to recommend vaccination for all people aged 6 months and older without contraindications, preferably by the end of October. For those aged 65 and older, the CDC says standard-dose or high-dose vaccine is acceptable.
As a member of the Mayo Clinic Care Network, Tucson Medical Center works directly with Mayo Clinic, the nation’s No.1 hospital according to U.S. News & World Report. Our doctors get access to Mayo Clinic knowledge and resources, and you get the best care, close to home.

For information on how to protect infants under 6 months from the flu see this TMC for Children post.

Dr. Leitner is a TMCOne provider at the TMC Rincon Health Campus, near Drexel and Houghton.

 

DACA participant faces uncertainty with resolve, optimism

YesikaMartinezYesika Martinez looks into her future and dreams that she will someday serve others as a nurse or a counselor.

But her future possible self is on hold while she waits to see what comes next after the Trump administration’s recent directive to end the Deferred Action for Childhood Arrivals, or DACA, program in six months unless Congress comes up with a legislative solution.

Martinez, 25, has been in this country since she was 9 months old. She was born with spinal bifida, a birth defect in which the spinal canal doesn’t close before birth. Fearful her complex needs would not be met in their small community in Mexico, her parents moved to Tucson.

Growing up meant a lot of time in hospitals, with many surgeries, as well as extended physical and orthopedic therapy, and neurology and urology care. With the assistance of leg braces, she can walk, ride a bike and drive a car and is successfully working toward her career path.

Martinez watched her other friends in high school celebrate things like driver’s licenses and first jobs that were out of reach for someone with undocumented status.  Her parents instilled in her to believe that all things are possible and encouraged her growth.

When she turned 18, waiting to see if DACA participants would be eligible for in-state college tuition, she began volunteering at the Children’s Clinics, where she had received much of her care, in order to help other young patients going through other health care challenges.

In the afternoons, Martinez volunteered to teach violin to the afterschool mariachi group at her previous elementary school. “I couldn’t work, but I didn’t want to sit home. I wanted to do something with my life and contribute,” she said.

When DACA was passed, she was hired on at the Children’s Clinics as a clinical associate.

President Trump’s announcement, she said, “was a rough day for me because I know there are so many people in my same situation who don’t know what’s coming next.” Thanks to a recent renewal, her status is OK until early 2019, but she hopes a resolution will come long before then.

“What I think people don’t understand is that we go through a lengthy process to get permits,” she said. “We aren’t bad people. We’re working hard to go to school to try to contribute. I would ask this community to help fight for us and support us.”

TMC President and CEO Judy Rich recently wrote an opinion piece for the Arizona Daily Star, urging Congressional leaders to resolve DACA. Click here to read it. http://tucson.com/opinion/local/judy-rich-dreamers-make-our-workforce-stronger/article_7cdc96c8-9fb9-5435-957a-1893de6d62ce.html

 

When pregnancy leads to bed rest: a mom’s tips

Early labor story, bedrest, bed restBed rest can be a stressful time for parents while they wait days and weeks to see if their little one will arrive before term.

For Alyssa Hoyt, restricted activity started at 20 weeks, with bed rest starting at 27 weeks.

At 31 weeks, Baby Teagan tried to come early, so Alyssa spent 10 days in TMC having labor stopped twice. Alyssa went home on bed rest until Teagan – now a healthy, bubbly toddler – arrived at 37 weeks.

“I really loved all of the nurses and doctors and got to know them throughout this time, which really helped me to stay positive and compliant too,” Alyssa said.

Precisely because bed rest can be a difficult time, Alyssa shared the top five things that helped her get through:

  1. Family and friend support. Alyssa’s husband spent every night with her and took her four-wheeling in her wheelchair. Her mother brought special treats like homemade lasagna. Just taking a break from the monotony of the everyday and being able to laugh and seek comfort in love and friendship made all the difference.
  2. Remember: This is all temporary. Don’t dwell. There is an end to it and you can get through it.
  3. Comply with your doctor’s orders. The goal is to have a better outcome and a healthy, safe birth.
  4. Look to the future. Alyssa researched toys and car seats and things she would need when she brought her baby home. Being actively engaged instead of just waiting helped her feel like she had more control.
  5. Being engaged and active. Having an endurance mindset as a runner and a running coach, helped her keep in mind that this was a different kind of endurance, but it still required mental toughness and grit. Alyssa did a lot of research about what to expect, and met with physicians to understand the possible outcomes so she would feel more prepared.

Alyssa had a unique inspiration, too, in that she herself was a premature baby. Thirty years earlier, her mother, Beth Day, was at Tucson Medical Center, standing by anxiously while her baby recovered in the newborn intensive care unit.

Alyssa would spend 9 days there, until she was strong enough to go home. While Alyssa was at TMC on bed rest, staff found the handwritten log book, capturing her own time in the unit.

She and Teagan were both 5 pounds, 4 ounces, separated by 30 years.

“It was amazing to be here, with my mom, while potentially having an early baby,” Alyssa said. “Knowing my mom went through it with me I just knew it was going to be ok: we got this.”

Save the date for your maternity services tour date.

 

 

TMC wraps up summer challenge asking employees for their best ideas

Tucson Medical Center five years ago embraced the Lean management process, which works to eliminate waste and tap the knowledge of employees to make steady improvement every day.

The Summer of Ideas challenged employees to channel their creativity and share their suggestions across the hospital.

More than 250 ideas were submitted since the July kickoff. Awards were given for the team and the individual with the most ideas, as well as the best “out of the park” idea.

Some of the ideas included a TMC-specific rideshare program, new software for clinicians and an app to help patients and visitors navigate the campus.

LeanAmyThree of the four finalists – and the winner of the category – for the most ambitious idea generators work in Unit 750, an adult medical unit. Unit clerk Amy Hill, who came to TMC six years ago, won a reserved parking space for a month.

“What I really appreciate about TMC is that there is an acknowledgment that those who are closest to the work often have the best solutions to improve a process,” Hill said. “I appreciate that whether it’s finding root causes of a problem or finding the where efficiencies are, we can all have some ownership of making things better.”

Janet Heckman, the manager of Unit 750, applauded the efforts of her staff. “Taking ideas from the front line staff who actually do the work is very important as I may not realize there is an issue,” Heckman said. “I also believe being heard is a huge employee satisfaction point as they feel empowered and heard.”

Ideas were logged on a Lean tool known as an “idea board.” There are 120 idea boards throughout TMC as well as at TMCOne locations and TMC Hospice.

It’s different from a suggestion box in that ideas – as well as any outcomes or solutions – are visible to the entire team, who can contribute to the idea as it matures, said Pat Ledin, the manager of Lean and quality efforts at TMC. “We hoped the Summer of Ideas would serve as a fun catalyst to continue driving engagement and we were really pleased with the participation across so many of our departments, from environmental services to information technology to clinical staff.”

lean ideas

Medical librarian Marni Dittmar, who picked up an extra day off as an award for her most “out of the park” idea, is an example of how the process worked. She not only came up with her idea for new clinical software, but then researched it to determine the benefits and feasibility.

Click here to see a short video about how idea boards are igniting creativity and empowering staff at TMC.

TMC High Risk Breast Clinic – Personalized care, options and support

Are you at an increased risk for breast cancer? One in eight women will be diagnosed with breast cancer in their lifetime. How do you know if you are high risk? If you are at high risk – what’s next?

Tucson Medical Center has designed a clinic just for women who have these questions about developing breast cancer. The TMC High Risk Breast Clinic is focused on providing in-depth education, advanced diagnostics and compassionate support to best help high risk patients choose their next steps. TMC’s experienced high-risk team recognizes that every woman’s risk factors are different and will assess risk, and then tailor a personalized care plan based on each patient’s individual needs.

A team approach

michele boyce ley md breast cancer surgeonPatients will work with a team of breast-health professionals –who have decades of diagnostic and treatment experience. The team includes a women’s health nurse practitioner, a certified nurse navigator, and a breast surgical oncologist. In addition, patients have access to imaging specialists and genetic counseling.

“The multidisciplinary approach is central to an effective high risk program,” said Medical Director Dr. Michele Boyce Ley, a board-certified, fellowship-trained breast surgical oncologist and a fellow of the American College of Surgeons.

As a breast cancer survivor, Dr. Boyce Ley brings a unique perspective to the clinic, empathizing with patients on their journey.

“Our team meets weekly to discuss the unique aspects of each patient’s care and challenges,” Boyce Ley explained. “We leave no stone unturned, and focus on making the best care recommendations to the most important member of the care team – the patient.”

Specialized services

The TMC High Risk Breast Clinic features state-of-the-art imaging diagnostics to facilitate early and accurate detection. The dedicated breast imaging center houses the latest equipment to provide the care team with clearer images, even for patients with dense breast tissue. On-site breast biopsies by experienced physicians offers convenience and timely results.

“Our next-level diagnostics provides clearer, overall images that help identify abnormalities earlier,” said Karen Narum, WHNP-BC, the board certified, women’s health nurse practitioner at the TMC High Risk Breast Clinic. “We use an advanced breast tomosynthesis, which combines enhanced mammography with modern computer software to create three-dimensional images of the breasts.”

A genetic-testing panel can be performed to further identify risk factors and provide additional information to help guide patients through the decisions and options that are available. If surgery is determined to be the best option, patients can rely on advanced surgical techniques, including nipple sparing mastectomy and Hidden Scar techniques, which are both effective and respectful of appearance.

Meaningful support and resources

The TMC breast-health nurse navigator will be by the patient’s side every step of the way, functioning as a personal advocate, answering questions, arranging visits with specialists, lining up tests and coordinating care.

“A high-risk diagnosis can be overwhelming,” says Mary Verplank, BSN, RN, breast-health nurse navigator. “We’re here to help with anything and everything – from scheduling appointments to connecting patients with community resources.”

The nurse navigators work one-on-one with patients and family members to:

• familiarize them with all aspects of the treatment plan.

• share hospital and community resources.

• coordinate support services that may address specific needs during treatment.

• help resolve any issues that may arise, from financial questions to transportation.

For further information or to schedule an appointment call the TMC breast health nurse navigator at (520) 324-4848 or Breast.Navigator@tmcaz.com.

Are you at high risk for breast cancer? Not sure? Take our Breast Cancer Health Risk Assessment. Following completion we send the report to your email address so that you may take it to your primary care provider. Have questions? Our certified nurse navigator will reach out to those at high risk.

breast cancer risk assessment

Take a hike Tucson – 5 of our favorite trails

Hiking in Tucson with TMC's employee FEAT groupAmy Ramsey, TMC’s employee wellness and engagement manager shares some favorite Tucson hikes.

Tucson is known for its outdoor activities, and hiking is one of the top things to do in and around our breathtaking city. Below is a list of our Top 5 places to hike in Tucson.

Sanctuary Cove: If you’re in search of some solitude, it’s worth finding! Our employee group used this location on Tucson’s west side to host outdoor yoga and labyrinth walking after our hike.

Santa Catalina Mountains: Visiting the sky island to the north is a must on your list of to-dos in Tucson. TMC has hosted a number of hikes beginning at Marshal Gulch, a beautifully wooded picnic area near Summerhaven and Mount Lemmon.

Pima Canyon: Gorgeous city and canyon views on this trail, with an easy-to-reach trailhead.

Sabino Canyon: Take the tram road up and choose which way you’ll go back. For a real challenge, try Blackette’s Ridge-one of the best views from the top!

Romero Pools: Located in Oro Valley’s Catalina State Park, it’s just one of the awesome trails available, and a favorite for TMC’s hiking group.

*Bonus! Tumamoc Hill: We just couldn’t leave this one off the list. A challenging yet doable paved hike on the west side of town, Tumamoc is one of our employees’ favorites. It offers great views of downtown at the top. While you’re there, make your way over to “A” Mountain, which is just next door!

Please visit hiking in Tucson for more detailed info on all the hiking adventures that your new city has to offer.

Walk this way – Walk to School

Safe Kids Pima County and FedEx volunteers will join students from Whitmore Elementary and around the county to celebrate International Walk to School Day on October 4. International Walk to School Day raises community awareness about walking safety and promoting healthy behavior.

Did you know unintentional pedestrian injuries are the fifth leading cause of injury-related death in the United States for children ages 5 to 19? Teenagers are now at greatest risk with a death rate twice that of younger children and account for half of all child pedestrian deaths.

Whether or not your child’s school is participating, Jessica Mitchell, Safe Kids Pima County program coordinator, provides these suggestions for parents:

Teaching kids how to walk safely:

  1. Teach kids at an early age to look left, right and left again before crossing the street. Then remind them to continue looking until safely across. Teach them to never run or dart out into the street or cross between parked cars.
  2. Teach kids to put phones, headphones and devices down when crossing the street. It is particularly important to reinforce this message with teenagers. Parents, let your actions speak as loudly as your words.
  3. Encourage your children to be aware of others who may be distracted and speak up when they see someone who is in danger.
  4. It’s always best to walk on sidewalks or paths and cross at street corners, using traffic signals and crosswalks. If there are no sidewalks, walk facing traffic as far to the left as possible.
  5. Children under 10 need to cross the street with an adult. Every child is different, but developmentally, most kids are unable to judge the speed and distance of oncoming cars until age 10.
  6. Remind kids to make eye contact with drivers before crossing in front of them and to watch out for cars that are turning or backing up.
  7. It’s always best to walk on sidewalks or paths. If there are no sidewalks, walk facing traffic as far to the left as possible.
  8. Cross streets at corners, using traffic signals and crosswalks. Most injuries happen mid-block or someplace other than intersections.

As kids get older, they’re anxious for a little more freedom when walking to school or playing outside. But this is also a time when parents need to stress the importance of the little things big kids should do to stay safe.

Remember you are your child’s first role model. Lead by example:

  1. Be a good role model. Set a good example by putting your phone, headphones and devices down when walking around cars.
  2. When driving, put cell phones and other distractions in the back seat or out of sight until your final destination.
  3. Be especially alert and slow down when driving in residential neighborhoods and school zones. Be on the lookout for bikers, walkers or runners who may be distracted or may step into the street unexpectedly.
  4. Give pedestrians the right of way and look both ways when making a turn to spot any bikers, walkers or runners who may not be immediately visible.

For more resources to help keep your family safe
visit our website.

 

TMC receives prestigious national procurement recognition

procurement team

Tucson Medical Center was one of only 242 hospitals and health systems nationwide that were recognized for significant supply chain savings through efficiencies in procurement.

“As a community hospital, Tucson Medical Center knows the importance of efficiency in managing health care costs, even while never compromising on the ability to deliver high quality care,” said Kim Moon, TMC’s supply chain director.

The recognition is particularly special, Moon said, because of the 3,000 members participating in Vizient Inc’s group purchasing organizations, only 500 are even eligible for the award by participating in Vizient’s Impact Standardization Program, which helps drive down costs through group buys.

Only hospitals that earn at least $250,000 in rebates on an annual basis are eligible for an award. TMC, which has received this recognition annually since 2010, reduced its costs by achieving nearly $400,000 in rebates in 2016.

The program works through capturing rebates and reducing variation through standardization – which helps with bulk purchasing prices, but as an added benefit, improves inventory management and provides greater consistency across the hospital.

“This is not an easy bar to meet, which is why we’re so proud to receive this award,” Moon said. “Through thoughtful sourcing and standardization, we’re able to drive quality patient care, while getting the best value at the same time.”

The effort dovetails with TMC’s other work around building efficiencies throughout the hospital. The hospital introduced Lean management practices in 2013 to help root out waste and streamline processes. And TMC participates in two accountable care organizations that reward value – not volume – in health care.

“As a community hospital, TMC is responsible for the health of the people who live in this community, but we must also maintain the financial viability of our organization and keep healthcare costs under control,” said Steve Bush, TMC’s chief financial officer. “Leveraging our purchasing power is just one of the strategies we are using to do that.”

vizient award

 

TMC recognized as a Weather Ready Nation Ambassador of Excellence

BDP33616Tucson Medical Center is honored to be recognized by the National Weather Service (NWS) in Tucson as the 2017 Southeast Arizona Weather-Ready Nation Ambassador of Excellence, for going above and beyond the call of duty to help the NWS build a Weather Ready Nation.

This year,  NWS Tucson nominated TMC for its work in hosting its annual Be Safe Saturday event. For 13 years, TMC has conducted car seat checks, distributed bike helmets and booster seats and invited community partners to staff more than 100 interactive booths committed to the safety and wellness of children throughout Southern Arizona.

The National Weather Service is one of those Be Safe Saturday participants, speaking about weather safety to hundreds of families, said Ken Drozd, the Warning Coordination Meteorologist for the NWS Tucson office. “Dozens of other organizations also help educate the public about how to stay safe and we appreciate TMC’s  dedication to community safety,” he added.

BDP33551The ambassador initiative recognizes leaders in the community that help build community resilience in the face of extreme weather events – from promoting safety messages in outreach activities, to being a “weather-ready” role model.

Safety Manager Steven Barnes said TMC monitors weather conditions to ensure the safety of its HazMat team when wearing gear in the heat of the summer. The TMC Safety Department presents heat stress prevention classes to facilities personnel each June, followed by lightning safety in July and West Nile disease prevention training every August.

TMC is prepared for electrical outages during the monsoon storms with very extensive backup generator equipment for patient safety, Barnes noted, adding the hospital also has a fully equipped disaster command center and participates in local and statewide exercises every year.

“As you can imagine we are very dependent on accurate weather forecasts and prepare on a regular basis for all weather threats and situations,” Barnes said, adding he was pleased with the recognition.

Any organization can  become a Weather Ready Nation Ambassador. Schools, government agencies, private businesses, civic organizations, home owner associations and others can apply online at https://www.weather.gov/wrn/amb-tou

 

Tucson Medical Center honored with five top Readers’ Choice awards

2017 Readers' Choice Win OutLNTucson Medical Center has been named “Best Hospital” in the Arizona Daily Star’s 2017 Readers’ choice awards.

TMC also was recognized for having the best women’s center, best emergency department, best pediatric emergency department and best surgical weight loss center.

“TMC has had the privilege of serving as this region’s nonprofit, locally governed community hospital for more than 70 years,” said Judy Rich, president and CEO. “This recognition is an honor – not only because it comes from the community, but because it recognizes the work that our staff and volunteers do every day to care for those who need us.”

The Readers’ Choice awards, which launched in 2015, give the Tucson community an opportunity to vote for their favorite organizations across a variety of categories, from restaurants to shopping and home service.

Click here to see the complete list of health care winners. Search “Readers’ Choice” for other categories.

TMC salutes Walker Elementary teacher on Legendary Teachers Day for infusing wellness into her school

LegendaryTeacherMonicaBermudez.jpgA few years ago, elementary school teacher Monica Bermudez had seen one too many students pull out tortilla chips or candy for their snacks – or worse, lunch.

So she started a “Fitness Fanatics” group at her school, volunteering after school to teach as many as 95 students at a time about wellness. It’s become something of the go-to club ever since.

On Legendary Teacher Day – a day set aside to honor special teachers who make a difference – TMC celebrates Bermudez, who has been teaching for 33 years and is currently teaching second grade.

Fitness Fanatics was her own brainchild. The students earn charms for every mile they run, participate in stretching exercises and play games that keep them active. The program is open to parents and teachers, too, to broaden relationships and opportunities for wellness at the same time.

There is also a nutrition component when funding allows, teaching students how to make nutritious snacks at home – from trail mix using cereal, raisins and nuts, to a fruit salad or banana sushi, which is essentially a banana rolled in Nutella and sliced. “I wanted to use things that they can find in their cabinets at home so they can make better choices,” said the 55-year-old Bermudez.

Bermudez doesn’t stop there.

MonicaGOTR.jpgShe coaches Girls on the Run, a youth development program that teaches life skills and culminates in a 5k run to build confidence and a sense of accomplishment.

She also volunteers with Fit Kidz, a program of the Southern Arizona Roadrunners that offers free one mile races for elementary school children.

In part, Bermudez does it because she’s become a disciple herself. Although she ran in middle school, she didn’t start running again until about seven years ago, trying to find more balance and take better care of herself. “It was my release,” she said of those early forays into running.

The next thing she knew, she was running with her daughters, and then signing up for races, and then joining a running group. She’s since started triathlons and offroad running, and is doing a half Ironman next month.

“It just took on a life of its own,” she said, noting she’s noticed a significant difference in her own health. “I used to be sick year-round, starting the second week of school and I wouldn’t be well again until the week after school was out. I wasn’t sick one time last year.”

But what keeps her going is what she sees from the kids. Inevitably, the shy girls start running and by the end of the semester they’re raising their hand in class and contributing with confidence. Several of her students have made a pact not to sit during recess, but instead, will either walk or run around the playground.

“And parents come and say, ‘Please keep doing what you’re doing because my child used to go to snack aisle at the grocery store first thing, and now they’re actually picking out fruits and vegetables from the outside aisles first.’ “

Nicholas Clement, the former Flowing Wells Superintendent and founder of Legendary Teacher Day, applauded Bermudez’ work. “Monica earned her Legendary Teacher stripes by energizing, engaging and enlightening every student every day.”

TMC encourages the entire business community to take time today to celebrate a Legendary Teacher who is making a difference in our future.

For more information about Legendary Teacher Day, which is always commemorated on the fourth Thursday of September, please visit  www.legendaryteacher.com. You may also share tributes of your own Legendary Teachers on Facebook as well.

 

Eat Well- We’re going to the dogs with dog treats

It’s National Dog Week! Did you know that according to the U.S. Centers for Disease Control and Prevention, owning a pet is linked to a decrease in blood pressure, total cholesterol and triglycerides? What better way to thank your dog for all the companionship and health benefits they bring with some homemade snacks?

Puppy Pops

Pup pops

Perfect for beating the heat!

Ingredients:
Set 1:
1 cup plain yogurt
1 1/2 tbsp. honey
1 apple
Mini dog biscuits

Set 2:
2 cups watermelon
blueberries
mini dog biscuits

Set 3:
1 1/2 cup unsalted chicken broth
1/2 cup diced sweet potatoes
1/3 cup chopped carrots

Directions:
Blend/mix ingredients together
Pour in ice cube tray
Add mini dog biscuit to each cube for a handle
Freeze
Give to your pup to enjoy! Woof!

Chunky Peanut Butter Molasses Dog Biscuits

dog-biscuits.jpg

Ingredients
4 cups whole wheat flour
2 cups oatmeal
½ – ¾ cup chunky peanut butter
2 ½ cups hot water
2 Tbsp. molasses

Directions
Mix all together adding more water if too stiff, but not too sticky. Knead well. Roll out to  ¾ inch thickness and cut into shapes. Bake on greased cookie sheet for 40 min at 350 degrees Fahrenheit. Turn off heat and leave in oven overnight. (you can place them close together on cookie sheet as they do not raise.) Makes about 6 dozen

For more information on the health benefits of sharing your life with a pet check out this post.
To receive our monthly email newsletter Live Well sign up today.

Jawna and Finn – Finding support for breastfeeding at TMC for Women

Jawna and Finn, breastfeeding and lactation consultants at TMCFor six years Jawna Stickney has helped mamas welcome their babies into the world at Tucson Medical Center. When it came to her first child she had no doubt where she was going to give birth, “I had that peace of mind and that trust that comes from working with the staff at Tucson Medical Center” … “I would never deliver at any other hospital.”

“Giving birth can be nerve wrecking for first time moms. As a labor and delivery nurse, I really enjoy being part of someone’s life-changing experience, providing them with support and comfort. When I gave birth to my son, I had the ability to look over at the monitors and see that baby was fine, and to know we were both in good hands with my coworkers.”

While Jawna’s medical education and experience provided her with an added advantage when it came to childbirth, breastfeeding was another matter.

“The lactation consultants were life savers. Finn had some trouble latching on and so I asked for some one-on-one support from the lactation experts.”

Finn was tongue-tied. The tissue that connected his tongue to his mouth didn’t allow him to move his tongue so that he could nurse. While some infants can still nurse if they are tongue-tied or others may need a simple surgical procedure called a frenotomy which can be done with or without anesthesia, Finn’s tongue-tie was more significant. Finn was referred to Dr. William LaMear of Tucson Ear, Nose and Throat. At just ten days old he went into the operating room to have corrective surgery.

“As soon as he came around after the surgery he latched on. No problems. Breastfeeding was 100 percent better than before surgery. Because Finn was so young we had to stay in the Pediatric unit overnight. The lactation consultants came over to the Pediatric unit to help Finn and me.”

What breastfeeding support is available at TMC for Women

Before baby:

In the hospital:

  • Nursing assistance during your hospital stay, offered seven days a week
  • The Desert Cradle hospital-based shop offers electric breast pump rentals and sales, nursing and newborn products

After baby:

TMC offers outpatient breastfeeding support services, whether you deliver at TMC or not.

  • Outpatient Breastfeeding Support Clinic with an IBCLC*-certified nurse (by appointment only).

For more information on any of these services, please call (520)324-5730.

*International Board Certified Lactation Consultant

“I was able to exclusively breastfeed Finn because of the support I received from the lactation consultants and the lactation support group. “

Finn continued to nurse for 19 months. Jawna’s advice to new moms: “Go to the TMC breastfeeding support group and ask for help from the lactation specialists.”

Finn was two years this month, and Jawna is due on October 28 with her second child.

“This pregnancy is so different from my first. If I was tired or nauseated before, I could rest or do whatever I wanted. In some ways, having Finn made my first trimester easier this time around, because I had no time to sulk or bask in morning sickness.”

Jawna knows if breastfeeding proves challenging with her second child she will be back at the support group. “Breastfeeding has a learning curve. I knew nothing about breastfeeding with Finn. He was learning how to nurse and I was learning how to breastfeed. This time, the baby will be learning, but I will have the knowledge gained while nursing Finn.”

Join us for Breast is Best: Breastfeeding Techniques for Success

October 4, 5:30 – 6:30 p.m. The Core at La Encantada

TMC Lactation Consultants Bev Carico, RN, IBCLC, and Asa Lader, RN, IBCLC, for a free engaging presentation and Q&A on breastfeeding resources available at TMC.  Knowing all of your options can help you have a successful breastfeeding journey! Register today.

 

Tucson Medical Center certified as a great workplace

Tucson Medical Center was certified as a great workplace in early September by the independent analysts at Great Place to Work®.

Tucson Medical Center earned this credential based on extensive ratings provided by its employees in anonymous surveys. A summary of these ratings can be found at http://reviews.greatplacetowork.com/tucson-medical-center.

Overall, 80 percent of surveyed employees characterized their workplace as “great,” with 92 percent saying they feel good about the ways they contribute to the economy and 91 percent crediting TMC with a great atmosphere.

“We work hard every day to build a culture in which our employees are valued and supported in doing the best work they can every day for our patients,” said Alex Horvath, vice president and chief human resources officer. “We like to say we’re a family here. And to get to that place, you have to build relationships with each other and with the community you serve.”

Nearly 90 percent of employees said they were proud to work at TMC, which has 600 beds and has been providing quality health care to the community for more than 70 years. In addition to strong connections to the community, TMC is an award-winning hospital with an advanced information technology footprint, innovative programs to support new nurses, and a management philosophy that taps the expertise of all employees to drive improvements.

“We applaud Tucson Medical Center for seeking certification and releasing its employees’ feedback,” said Kim Peters, Executive Vice President of Great Place to Work’s Certification Program. “These ratings measure its capacity to earn its own employees’ trust and create a great workplace – critical metrics that anyone considering working for or doing business with Tucson Medical Center should take into account as an indicator of high performance.”

Tucson Medical Center employees completed 701 surveys, resulting in a 90 percent confidence level and a margin of error of ± 2.77.

About Great Place to Work®

Great Place to Work® is the global authority on high-trust, high-performance workplace cultures. Through proprietary assessment tools, advisory services, and certification programs, including Best Workplaces lists and workplace reviews, Great Place to Work® provides the benchmarks, framework, and expertise needed to create, sustain, and recognize outstanding workplace cultures. In the United States, Great Place to Work® produces the annual Fortune “100 Best Companies to Work For®” list.

Screening reveals stroke risk – An update on Norman

Norman and Mary Louise Clarke - carotid artery screening

Norman and Mary Louise Clarke

Norman Clarke had no reason to think that there was anything amiss when he stopped by for a preventative screening including a carotid artery screening at TMC two years ago. At 81 years old, the retired automotive engineer exercised three times a week at the gym, saw his doctor twice a year for checkups, took medication to keep his cholesterol in check – and his blood work always came back great.

He and his wife, Mary Louise, were stunned at his results of a preventative screening.

A scan of his carotid artery showed a blockage of more than 70 percent on the left side.

“I was shocked. There had been no symptoms and nothing to indicate this was a problem,” Norman recalled. “It was serendipity that we went that day, because I would never have known otherwise about the great risk I was facing.”

The carotid artery screening, part of the vascular wellness screening, uses an instrument called a transducer to scan the carotid artery in your neck. The transducer scans the carotid artery to check the flow of blood and can identify plaques and blockages that put you at risk for an ischemic stroke.

A stroke on the left side of Norman’s brain would have impacted the right side of his body, possibly impacting his mobility on the right side of the body, as well as speech and language problems, and memory loss.

Following the screening results, Norman’s doctor cleared the calendar to bring him in on a Monday morning, and by Monday afternoon he was having a scan of his arteries. The news was even worse than he had learned initially: the blockage was 90 percent.

Instead of being on a plane to Michigan, where the Clarke’s spend six months of the year, Norman was scheduled for surgery. The 90-minute surgery, known as a carotid endarterectomy, required one night of hospitalization and a week of good behavior at home: no lifting or dragging of heavy objects and listening to every instruction from Mary Louise, a former medical-surgical nurse and retired nursing professor.

Fast forward to 2017, Norman and Mary Louise are planning their return to their Tucson home from Michigan, to the magical pink mountains, the town and the network of Tucson friends, to volunteering at TMC, and to see Norman’s Tucson doctor.

Norman’s doctor monitors both the left and right carotid arteries every six months. The initial screening alerted the Clarke’s to the danger lurking in Norman’s left carotid artery. A subsequent screening has revealed a growing plaque in Norman’s right carotid artery. At this time there is no surgery planned, but monitoring is critical. Norman’s advice: “Be your own health advocate … get screened. Everything looked rosy for me, but just because your blood work is OK, it doesn’t mean everything is.”

 

Lucky critters – how pets improve our health

Did you know there is a week dedicated to honoring our canine companions? National Dog Week is the last full week in September and we’re taking time out, in advance, to observe National Dog Week and look at the health benefits of pets.

According to the U.S. Centers for Disease Control & Prevention, owning a pet is linked to a decrease in blood pressure, total cholesterol and triglycerides. Great, so all we need to do is adopt a pet to be healthy? While we do want to encourage everyone to consider helping our local Pima Animal Care Center by adopting or fostering one of the thousands of animals taken in each year, there is more to the connection between pets and improved health.

Important aspects of being healthy include staying active, managing stress, having a strong sense of purpose and having a good social support network. Owning, fostering or even volunteering to work with animals can help us more easily achieve these healthy behaviors.

1. Purpose and connection

Having a pet or participating in a program that cares for animals gives us purpose and helps connect us with others who have similar values and passions. Pets can serve as a social icebreaker for people who tend to be shy and more introverted, easing the creation of social bonds. Through these connections, we can develop a support network that goes beyond the commonality of pet ownership. 2. Improve mood and decrease tension or stress

2. Improve mood and decrease tension or stress

Hopefully, everyone has had the opportunity to experience the unconditional love that a pet greets you with when you return home or go to visit them. This greeting alone can improve mood and decrease tension or stress. Animals can keep us in the present moment, which helps to distract us from our worries and problems that we might tend to ruminate about.

3. Reduce heart rate and blood pressure

Many studies have demonstrated that petting an animal can reduce heart rate, blood pressure and perceived level of stress. Plus, how can you not feel joyful when animals look at you with such adoration as you pet them?

4. Maintain a routine and stay active

Pets, and dogs most specifically, help us to maintain a routine and stay active. While we may be willing to skip our own exercise, we are not likely to say no to our loving pets! Even if it is just a quick walk around the neighborhood, remember, any activity is better than nothing. If you are interested in a more rigorous workout, please take a look at our post on running with our four-legged friends.

Regardless of what type of activity you choose to do with your pet, getting into a routine can also have an impact on the other health choices we make throughout our day. Once you are consistently doing one thing to benefit your health, you are more likely to follow up with others, such as making healthy food choices or getting better quality sleep.

 

We want everyone to be ‘lucky dogs’ and enhance their lives and health. Gina Darling of Mrs Green’s World will be hosting a session on Environmental Responsible Pet Care at The Core at La Encantada on Sunday, September 24th.  And for more information on exercising safely with your pet, join us Wednesday, September 27th at 5:30pm with Gina Hansenn of PACC. Click here to learn more about the events.

Save Arizona health care – ‘No’ on the Graham-Cassidy bill

McCain say no on Graham Cassidy #saveazhealthcareToday, the Arizona Hospital and Healthcare Association (AzHHA) announced its formal opposition to the “Graham-Cassidy” legislation, the latest congressional effort to repeal and replace the Affordable Care Act. AzHHA President and CEO Greg Vigdor issued the following statement:

A central goal of the Arizona Hospital and Healthcare Association is to ensure more Arizona families have access to quality care they can afford. The Graham-Cassidy legislation being considered by Congress falls short on both counts.

This proposal erodes critical protections for patients and consumers, and would lead to costlier premiums for many individuals – especially those with pre-existing conditions. Millions would lose coverage altogether.

From a fiscal standpoint, the legislation represents a massive shift in financial risk and responsibility from the federal government to states like our own. According to an independent analysis by the non-partisan Avalere Health firm, this legislation would reduce federal funding to Arizona by $11 billion between now and 2026.

Just as troubling is all we don’t know about this bill. Because of the frenzied fashion in which it is being considered, Congress lacks even the most rudimentary analysis necessary to make an informed decision. The non-partisan Congressional Budget Office has indicated it won’t even have time to ‘score’ the bill in terms of its impacts to patient coverage and federal finances.

This process is the furthest thing from a ‘return to regular order,’ as advocated by Senator McCain. The Arizona Hospital and Healthcare Association stands ready to work with our congressional delegation to address shortcomings with the Affordable Care Act, especially to stabilize the insurance market. This legislation is a step in the wrong direction. We urge Arizona lawmakers to vote NO.

About AzHHA

AzHHA is Arizona’s statewide association for those organizations and individuals devoted to collectively building better health care and health for the patients, people and communities of Arizona. Founded in 1939, AzHHA’s objective is to improve health care through Better Care, Better Health and Lower Costs with the ultimate goal of making Arizona the healthiest state in the nation. For more information, please contact communications@azhha.org or call (602) 445-4300.

Preparing for childbirth – Katie chose TMC

Katie and Goldie KeatingKatie Keating can run a marathon, 26.2 miles, in 3 hours and 3 minutes. During graduate school she investigated what the universe is made of, literally! Her studies centered on the interactions among galaxies. So, when it came to having a baby, Katie applied the same level of dedication and effort to preparation as she did to her running and academic studies.

Katie ran during the first two trimesters of her pregnancy preparing herself physically.

“After that I walked a few miles per day up until the end. Everyone’s experience is definitely different though,” she says. “I would recommend doing what feels best to you.”

Katie and her husband, Jared, toured the TMC Mom/Baby unit, and took the weekender Preparation for Childbirth, Baby Care ABC and Breastfeeding Basics classes.

”The classes definitely helped me feel more in control, since I understood a lot more of everything that was happening around me. It was also helpful that when there were choices to make during labor, I had already thought about them ahead of time and was prepared, rather than having to make decisions in the heat of the moment when I was in a lot of pain.”

 From healthy pregnancy and VBAC classes to breastfeeding and newborn care we’ve got you covered.  Sign up for a class today

On Jan. 9, 2016, Katie and Jared welcomed their daughter Goldie to the world at TMC. Six weeks after Goldie’s birth Katie was back running. “That is just what worked for me,” she says. “ I don’t think there’s anything wrong with waiting longer to exercise, you are going through so much as a new mom that I think you should only exercise if it’s helpful to you mentally and physically. Sometimes you need a nap, sometimes you need a run.”

Interested in developing or maintaining your exercise routine while pregnant?
The Core at La Encantada offers seminars including those on exercise and pregnancy.

Katie, Jared and Goldie are expecting another addition to the Keating family in 2018. Katie reports she is able to run more than she did last time. “I feel pretty lucky it’s worked out that way this time.”

See Katie, Goldie and other TMC moms and babies in our latest video!

Improving 1 percent every day: TMC employees find their momentum

Michele S Human Resources.jpgTucson Medical Center made a commitment to its employees’ health four years ago: With the opening of new surgical suites in the tower, the previous operating room space was converted into an employee gym.

TMC employees embrace healthy lifestyles in many ways, but nearly 900 employees and their family members are part of the gym, which is open 24/7 and offers weight training, group fitness and personal training.

To mark the fourth birthday of the Optimal Results Fitness and Wellness Center, TMC asked nine employees to help us celebrate the personal health achievement of employees. Their photos will be shared over the coming weeks on social media and will be displayed in the gym.

“Perfection isn’t the goal,” said Amy Ramsey, manager of employee wellness. “It’s about being realistic and being consistent. The key is taking small steps to get incrementally better every day.”

Employees were asked to be part of the campaign based on their visibility in Jeffrey H Food Services.jpgwellness activities, their ability to inspire others and their ability to serve as role models across TMC, Ramsey said.

Michele Stewart, who works in Human Resources, said exercise gives her balance. “Also, diabetes runs in my family, so I’m literally fighting for my life, every day. As long as I’m here, I want my quality of life to be the best possible.”

Jeffrey Hirschfield, from Food and Nutrition Services, remembers far too well the impacts of poor nutritional choices and a lack of exercise. “I felt sickly all the time, I had zero energy to do anything and I hated the way I looked.”

“I train now to look good, feel good and make sure I can continue to do fun and active things even when I reach old age.”

 

Could you be a friend for a senior?

SeniorHomeVisitsThere are seniors in your area who are waiting for a visit right now.

In just an hour each week, you could make a difference in the life of an older adult.

Senior Home Visit volunteers provide a friendly face and supportive listening to older adults who may not see anyone else during the week.

Volunteers can make a positive difference in the lives of others, particularly for those who are socially isolated, since loneliness can lead to depression and worsening health conditions.

If you are 50+ and are interested in volunteering, please contact Anne Morrison at 324-3746 or anne.morrison@tmcaz.com to find out more.

Courageous TMC nurse takes on suicide stigma

Jason CuttingSeptember 10 – 16 is National Suicide Prevention Week – reduce the stigma, start a conversation and #StopSuicide.

Jason Cutting wanted to be in the middle of it all. He loved the arts and entertaining. RENT was his favorite musical, and he knew every word to every song. He put his heart into everything he did, whether crushing a performance in My Fair Lady or advocating for equal rights, regardless of sexual orientation.

Through it all, he struggled long and hard with mental illness. Even though Jason was lost to the disease when he died by suicide, he will always be a brave big brother to his sister, Sarah. She decided not to allow stigma to steal the focus from Jason’s beautiful memory.

Sarah, an Emergency Department nurse, is leading the effort to eradicate the stigma that surrounds suicide as the TMC champion for Tucson’s  Out of the Darkness Community Walk, an annual event hosted by the American Foundation for Suicide Prevention.

Suicide StigmaHard to say, hard to hear

The heart-wrenching loss of suicide – and the stigma around it – make conversations about it difficult.

“I didn’t even know how I was going to talk about it, because I was afraid people would judge, or react with shock or pity,” she said.

Sarah, though, was determined to make a difference and put aside her fears, directly challenging stigma. The open dialogue had an unexpected and positive result. “I found healing in talking about my brother, and I was surprised how many people approached me who have also lost someone to suicide.”

Better understanding, better prevention

Sarah also explained that more discussion brought about a better understanding of suicide.

Sarah Cutting“When survivors share their experiences, people will hear that suicide is not a selfish act,” she said. “Rather, people hear just how intensely someone was suffering, how they truly felt hopeless and believed they were a burden to all around them.”

Sarah believes that better understanding will lead to action. “With this knowledge, people will be motivated to learn the warning signs and feel more comfortable talking to someone they think may be having suicidal thoughts.”

 

 

You can have an impact

Out of the DarknessThe Tucson Out of the Darkness Community Walk is open to all, and free to attend. “This is a way to honor the memories of those we have lost to suicide, and the best way to start discussions and spread awareness,” said Sarah. “Join us!”

 

Walk Date: 10/14/2017                                                                 

Walk Location: Reid Park 

Check-in/Registration Time:  8:00 am

Walk Begins: 10:00 am

Walk Ends: 11:00 am

Donations can be made via Sarah’s donor page. Please note that all proceeds go to the American Foundation for Suicide Prevention.

Resources:

Suicide warning signs and risk factors

Pima County assistance resources

AZ Department of Veterans Services resources

National suicide hotline

The Trevor Project

Pima County Crisis Response Center: (520) 622-6000 or 1-866-495-6738

 

Pregnant? What you need to know about pre-eclampsia

Pregnant? Are you making all of your prenatal visits? It can seem tiresome to go to prenatal visits when it seems like they do the same blood pressure and urine tests every single time, but those prenatal visits are critical for keeping you and baby healthy. One of the conditions your midwife or obstetrician is on the lookout for is pre-eclampsia.

Pre-eclampsia is a potentially life-threatening condition for mother and baby where an expectant mother develops high blood pressure after 20 weeks of pregnancy. Pre-eclampsia and its related conditions affect somewhere between one in 10 or one in 20 pregnant women every year making it a relatively common condition.

pregnant preeclampsia

Symptoms of pre-eclampsia and eclampsia

Pre-eclampsia is often a silent condition, the signs subtle or dismissed as just a ‘normal’ part of pregnancy – making prescribed bedrest particularly frustrating to a woman who feels fine. The subtle often silent signs of pre-eclampsia mean that those prenatal visits and checks are vital to catching and treating it.

While pre-eclampsia can be a silent condition, be on the watch for any of the following symptoms:

  • Swelling
    Yes, a little in your feet might be fine, but around your face? Hands? Get it checked.
  • Sudden weight gain
    Those repeated weighing measurements are not just some torture device; they have an important purpose. Watch for more than two pounds a week.
  • Nausea or vomiting
  • Pain
    Pain in the stomach area just beneath the ribs and/or shoulder
  • Migraine-like headache
    If it doesn’t go away with your obstetrician-approved over-the-counter medication, call your provider that day.
  • Vision changes
    From flashing lights and light sensitivity to blurry vision, if your vision changes contact your provider immediately.
  • Confused, muddled thinking, racing pulse, sense of anxiety
    More than usual? See a doctor.

Eclampsia vs. pre-eclampsia

Eclampsia is viewed as a serious complication of pre-eclampsia. It can result in seizures for the expectant or postpartum mother. During a seizure, the oxygen supply to the fetus is drastically reduced. Sudden seizures can occur before, during or (rarely) up to six weeks after delivery (postpartum). Postpartum seizures are most common during the first 48 hours after delivery.

How is pre-eclampsia diagnosed and treated?

Today, the number of women who die as a result of eclampsia, or suffer complications from pre-eclampsia, is much lower than it was a century ago thanks to prenatal blood pressure monitoring, urine tests, and the use of magnesium sulfate and other anticonvulsants to treat seizures in women with eclampsia and prevent seizures in women who have pre-eclampsia. But the precise cause of pre-eclampsia and eclampsia is not known. This is why it is critical that all pregnant women get regular monitoring from their obstetrician or midwife.

During these visits, your blood pressure is measured with a blood pressure cuff. A sudden increase in blood pressure often is the first sign of a problem. You also will have a urine test to look for protein, another symptom of pre-eclampsia. If you have high blood pressure, tell your doctor right away if you also have a headache or belly pain. These symptoms of pre-eclampsia can occur before protein shows up in your urine.

Treatment of pre-eclampsia and eclampsia

The only cure for eclampsia and pre-eclampsia? The end of pregnancy! Even then, the impacts of pre-eclampsia and eclampsia can be seen up to six weeks postpartum.

If diagnosed your doctor may suggest:

  • Magnesium sulfate or another anticonvulsant if you have severe pre-eclampsia to prevent seizures
  • Blood pressure medication to lower your blood pressure until postpartum
  • Corticosteroids if you have severe pre-eclampsia or HELLP
  • Bed rest or reduced activity. Depending on the severity of the pre-eclampsia, this reduced activity might be to keep off your feet for a certain amount of time each day, bed rest at home or bed rest in the hospital.
  • Toward the end of pregnancy or if the pre-eclampsia is particularly severe, it may be suggested to induce labor or to perform a Cesarean section.

There is no cure for pre-eclampsia and eclampsia, and both are very serious medical conditions, but we do have treatment and management plans. For the healthiest pregnancy, we encourage you to keep up with your prenatal appointments with an obstetrician or midwife throughout your pregnancy.

 

5 Reasons why you need a primary care provider

5 reasons why you need a primary care physiciaWhy do you need a primary care provider?

You feel fine. No major illnesses, the occasional sniffle, and that niggling headache of course, and your mom just got diagnosed with high cholesterol, but you? You feel fine. You haven’t seen a doctor since you had to rush into urgent care that weekend two years ago.

The time to go to your PCP is when you’re sick right? You don’t have time right now.

WRONG!

Establishing a relationship with your primary care provider has all kind of benefits:

  1. Try getting in to see a provider quickly if you don’t have a primary care provider.
    They’ll want you to have had a new patient appointment to get a history and baseline information first. Those long appointments are usually at set times and not as flexible as regular appointments. Having a PCP established means the office is more able to squeeze you in for a quick appointment or call you back to discuss an issue and get you back on your feet and maybe back to work quickly.
  2. Back on the road to recovery
    A primary care provider can follow up and make sure you’re on the way to recovery following a visit to urgent care or an emergency room.
  3. Keep you up to date
    Whether it’s a new flu strain or new wellness screening guidelines, your primary care provider can help you stay current on vaccinations and preventive screenings maintaining your good health.
  4. A medical professional who looks at the whole you
    Your cardiologist is worrying about your heart rate, your neurologist your seizures, but who is looking at the big picture? Your primary care provider can oversee management of your overall health – your PCP  is able to see results from all specialists and able to get the big picture. And because your PCP has a relationship with you, he or she can help come up with a plan if you have complex medical needs. Which leads us to:
  5. Someone you can talk frankly with about your health concerns
    With a relationship that develops over time, a primary care provider can better understand what matters to you with respect to your lifestyle choices, health goals, etc. Building trust and a connection is an important piece of the relationship between a patient and a primary care provider. If you have a good relationship, it is easier to share those pertinent factors that you might be shy about otherwise.

Don’t have a primary care provider? Let us help you find one today! Call (520) 324-4900

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Deep Vein Thrombosis: What You Need to Know about DVT

Deep vein thrombosisIf you’ve spent much time flying you’ve probably heard suggestions to avoid developing deep vein thrombosis, “Get up! Walk around. Do some squats.” But what is deep vein thrombosis? If you never fly do you have nothing to worry about? And how do we test and treat DVT?

What is Deep Vein Thrombosis?

DVT occurs when a blood clot develops in a deep vein in the body, usually in the legs.

Think of a blood clot as a traffic jam: the torrent of vehicles trying to get out of the area make it nearly impossible for other cars to come in. The blood clot usually forms on the valves of a deep vein and creates an obstruction to the outflow of blood. This creates swelling, redness and pain.

“Deep venous thrombosis is a serious condition that needs immediate attention,” said Dr. Layla Lucas, a vascular surgeon and endovascular specialist at Saguaro Surgical.

According to the Centers for Disease Control and prevention, as many as 900,000 Americans are diagnosed with DVT annually.

Risk factors for DVT

Although blood clots have an increased prevalence with age, many assume clots only happen to older adults. However, the challenges can appear across the age spectrum from teens to seniors.

At some point in our lives, we have all been at risk of developing a DVT or subsequent pulmonary embolism. A pulmonary embolism most commonly results from a blood clot that migrates through the heart into the arteries of the lung.  It can be life-threatening if untreated.

The Cleveland Clinic Center for Continuing Education cites PE as the third most common cardiovascular illness after acute coronary syndrome and stroke.

It is important to recognize these risks in order to prevent this risk of DVT:

  • Frequent travel (long flights or car rides)
  • People who are immobilized
  • Major surgery or trauma
  • Past history of DVT
  • Pregnancy
  • Women taking oral birth-control
  • Obesity
  • Cancer
  • Autoimmune disorders such as lupus

What are the symptoms?

The symptoms of DVT can range from:

  • Minor pain and swelling to significantly swollen legs and arms
  • Changes in skin color (redness)
  • Leg pain
  • Leg swelling (edema)
  • Skin that feels warm to the touch

If the blood clot breaks off and moves through the bloodstream it can get stuck in the blood vessels of the lungs to form a pulmonary embolism.

Symptoms of a pulmonary embolism:

  • Chest pain
  • Coughing up blood
  • Light headedness
  • Sudden shortness of breath

How will your doctor test for DVT?

Your doctor will perform a physical exam and

  1. A blood test called a D-dimer is a fast way to test for evidence of a blood clot.
  2. Duplex ultrasound. TMC uses duplex ultrasound imaging to evaluate for DVT. Duplex ultrasound combines both traditional and Doppler ultrasound. The Doppler ultrasound creates a picture of the venous blood flow and can identify which vein the clot has developed in and how extensive it is.

What to expect when having a duplex ultrasound exam?

PE is best diagnosed with a CT scan of the chest. Certain high-risk patients may get another test called a V/Q scan.

How we treat DVT and PE

With a problem this prevalent, TMC has developed one of the busiest programs in the nation for minimally invasive DVT and PE interventions.

DVT is easier to treat the earlier it is caught. Patients are started on blood thinners right away. If the DVT is extensive and the symptoms are severe, they’re evaluated for intervention and clot removal.

DVT can typically be fixed during one or two treatments.

Dr. Lucas explained the treatment advancements are put to best use. “As vascular surgeons, we see the consequences of untreated DVT and PE and therefore are aggressive in our management of these conditions.”

To find out more about vascular exams and procedures at TMC please visit our website.

Dr. Layla Lucas

Dr. Layla Lucas of Saguaro Surgical is board-certified in General Surgery and Vascular/ Endovascular Surgery. Dr. Lucas has a special interest in wound healing, limb salvage, stroke prevention and treatment of aneurysmal disease. She has been trained in a wide variety of minimally invasive endovascular techniques, as well as traditional open procedures in order to treat the full spectrum of vascular diseases.

TMC honors 50-year employee at annual employee recognition event

BDP42971.jpgNancy Spiller left home at 17, just out of high school, armed with little more than her diploma and some experience working as a volunteer candy striper.

She landed her first job at Tucson Medical Center – and now, 50 years after she was hired into the business office that day, she’s still coming to work every morning to the same place.

“Fifty is a big year – it’s very special to me,” said Spiller, who has worked eight different jobs during her tenure, most recently serving as clerical support in pediatric therapies.

Spiller will be celebrated at TMC’s annual Service Pin ceremony, which honors employees at every five-year milestone of their careers.

There are 467 honorees this year, including 18 people with upwards of 40 years of service. Spiller is one of two employees with the longest running length of service.

Aside from the fact she needed a job, Spiller wanted to help people, which is why she served as a candy striper. When she was in the fourth grade, her mother died, which in retrospect, she said, might have fueled her interest in health care.

Spiller came to TMC two months after the arrival of Don Shropshire, a beloved and iconic leader who served 25 years as TMC’s CEO.

She remembers being so naïve that her colleagues teased her routinely. One afternoon, they told her Mr. Shropshire was holding on the phone for her. She chided them, saying she knew they were making up stories. After much back and forth, an exasperated Spiller went to the phone.

“Who was on the other end? Mr. Shropshire. He was going on a business trip out of town and I was the only person with the combination to get into the safe for business travel. I was never so embarrassed,” she recalled.

NancySpillerCelebrates50YearsTMC was a very different place then; small compared to today’s campus. A cart that wheeled from room to room served as the gift shop.  Vending machines, not a cafeteria, stocked food. Laboring mothers were just screened off from one another with privacy curtains. Calls came in on old operator switchboards.

Five of her closest friends came from TMC – one of whom she’s known since she started 50 years ago.

“We’ve been through marriages and divorces and births and sickness and death and baptisms – you name it,” she said. “We’ve been through it all.”

Spiller remembered the hospital rallying around her when she had her first child, Steven, who was born with a heart condition and required complex surgery. Mr. Shropshire sent a card. The staff raised money through a bake sale. “It wasn’t just coming to do work here – it was like a family rallying around to help,” she recalled. “If I had to do all of it on my own, I’m not sure I could have made it.”

Steven lived to the age of 24. His younger brother Matthew is now a newlywed.

Both were born at TMC.

Spiller initially meant to retire at her 45th milestone, but here she is, still, 5 years later.

In part, it’s because the work is rewarding. She mists up telling of one boy with autism who came in speaking very little, if at all, and who now tells her all about his day.

“I think it’s wonderful what TMC does in the community,” she said.

“I have gone home in tears because of these kids and what we’re able to do for them. If I can make a difference for just one person, that means a lot to me. I wouldn’t still be here if I didn’t think I still had that ability.”

TMC Jobs link

 

Tucson Mayor Jonathan Rothschild helps welcome new health care workers to Tucson; touts area strengths

NewHire1.jpgTucson Medical Center this week celebrated new employees here from out of state, wrapping up a month of hiring 130 people. Since January, TMC hires have come from 26 different states.

The mixer, held at TMC’s wellness outreach center, The Core at La Encantada, was designed to help newcomers feel welcome in Tucson.

“We’re really glad you came to Tucson. We are welcoming and friendly, that’s one of our values,” said Judy Rich, President and CEO. “Keep our patients in the center of everything we do. Be happy. Show up every day. Take care of our patients. That’s what we ask.”

NewHire5Tucson Mayor Jonathan Rothschild, who was born at TMC, credited the hospital with being a strong community partner. “You should know you’ll have great and meaningful opportunities to connect with the community and to connect to things that are good in this community,” he said.

Rothschild touted Tucson’s quality of life that includes deep historic roots, great day trips, interesting museums, fun festivals and a vibrant food culture. “Tucson is a welcoming community that celebrates diversity. We understand we’re stronger by being diverse and you’ll have lots of opportunities to experience that.”

“I think you’ll find this at the core of Tucson: We try to help each other. We try to treat each other with respect. It’s a core value in the community and it’s what TMC delivers. We’re delighted to have you join us.”

NewHire9TMC’s Vice President of Human Resources, Alex Horvath, shared that after moving here from Chicago, he was stunned to find people at a local retailer one day urging him to move ahead in the express lane. “I found myself standing at the front of the line and it occurred to me, well, this is Tucson. You don’t find that everywhere.”

TMC Jobs link

Three reasons to have a vascular screening

3 reasons to have a vascular screeningMeet Ashley Marcolin, registered vascular technologist at TMC and one of six RVTs that perform vascular screening exams at TMC. Ashley is the newest addition to the team, but manager Sarah Yeager reports Ashley reflects the kindness, compassion and empathy typical of the whole team.

“When people come in for a vascular exam they’re often very nervous. Whether they’re in the hospital for a vascular-related concern or a vascular wellness screening, I want them to know that they can relax, this is a very non-invasive test. We use no radiation, no dyes, no needles, and it takes just 30 minutes.” Ashley said. “This really is a very simple way to catch serious conditions early before they become life-threatening. The screening can save a life, and it takes very little time.”

While Ashley is a new member of the team, she has a lot of experience with performing exams of this kind. In her training, she had to complete 960 clinical hours using the techniques she now uses every day. We calculated how many exams she has performed since she started at TMC, where she also completed her clinical training. It runs into the thousands. “You know when you come to TMC that your technologist is a registered vascular technologist and has undergone a two-year intensive or four-year course before they can even take the certification exams,” Sarah explained.

What is involved in a vascular wellness screening?

We do three separate tests that together take about 30 minutes. You need to fast for four hours beforehand and wear loose-fitting clothing that allows easy access to the abdomen, neck, legs and arms. You do not need a doctor’s referral to schedule an appointment, but we will need the name of your primary care physician to send the results.

Ankle-Brachial Index

We use ultrasound scans along with blood pressure cuffs on the ankles and arms to screen for blockages or signs of disease in the arteries of the limbs. For this exam, you need to take your shoes and socks off. This is a screening for peripheral artery disease. PAD is a very common condition, especially in people over the age of 50. PAD can cause chronic leg pain when you’re walking or performing other exercises.

Abdominal Aortic Aneurysm Screening

This screening uses ultrasound scans looking for a ballooning of the wall of the abdominal aorta. If this ballooning or aneurysm ruptures it can be fatal. For this screening, you lie on your back while an RVT places the ultrasound transducer on several areas of your abdomen. The transducer has a bit of warm gel on the end. The gel helps us get clearer pictures and will not hurt your skin. You may feel slight pressure from the transducer as it moves along your body.

Carotid Artery Duplex Evaluation

Using an instrument called a transducer, the RVT scans the carotid artery in your neck to check the flow of blood, which informs us of plaque and blockages that put you at risk for an ischemic stroke.

Should you get a vascular screening?

Sarah and Ashley suggest that everyone over the age of 50 with any of the below listed risk factors get a vascular screening, and that any additional testing or screenings should be repeated at your physician’s direction.

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You may also be at increased risk of arterial vascular disease if you have one of the following:

  • Have a family history of abdominal aortic aneurysm
  • Smoke or have a history of smoking
  • Have diabetes
  • Have high cholesterol and/or high blood pressure
  • Have coronary artery disease

When will I get the results?

Our exams are read in house by a vascular surgeon and the results sent to you within 3-5 days.

Three reasons to have a vascular screening:

  1. It’s quick, easy and painless
  2. It’s affordable
  3. It can help prevent stroke and detect abdominal aortic aneurysm and peripheral artery disease

Call (520) 348-2028 to schedule your vascular screening.

vascular screening special

‘Popcorn Kid’ retiring after singlehandedly raising $51k for kids through sales

DOROTHYLongtime employee, Dorothy “Popcorn Kid” Lietha, who is retiring after 43 years, made a difference kernel by kernel.

Lietha, who has worked a variety of jobs but most recently was part of the Wellness department’s efforts in the employee gym, is probably best known for her commitment to the children of Southern Arizona.

Since the early days of TMC’s relationship with Children’s Miracle Network, Lietha has sold popcorn — first for 25 cents a bag, and now 50 cents. Those quarters have added up. The TMC Foundation estimates that she has raised more than $51,000 to benefit area children.

“Dorothy embodies the spirit of this organization because of her generosity and her deep love of this community,” said Michael Duran, vice president and chief development officer. “We can each make a profound difference just by leveraging our individual strengths and passions – and for that, Dorothy is an inspiration.”

If you’d like to honor Dorothy and her commitment to children, consider making an online gift in her name for Children’s Services via the TMC Foundation.

Lucille Luna: Grateful and giving despite health crises

Lucille Luna 4A stroke. Vision loss. A serious ulcer. Congenital arthritis. Knee and hip replacements. The past few years have not been a bed of roses for Lucille Luna. But, the series of wearing health challenges have only invigorated the exuberant spirit of the 76-year-old, who makes time to show her appreciation for the medical professionals who helped her.

“I’ll always be thankful for the people at TMC,” Luna said. “I wouldn’t trade them for the world.”

Several times throughout the year, you’ll find Luna making her way across the TMC campus to personally thank doctors, nurses and the entire staff.

“When I had my surgeries here there wasn’t a single person without a smile,” she explained. “They helped me with everything I needed – even in the middle of the night.”

Luna has certainly experienced her share of health problems. Among many challenges, BDP39412_Style004_Sunlightshe’s survived a stroke and a very serious lower-abdomen ulcer. “Dr. Kisso said my ulcer was the size of a football.”

Even as she shared her difficulties, a grin never left her face and a hearty laugh was never far off. The arthritis that causes her constant pain has not dimmed her spirit; not in the least.

“I’m alive!” she said. “I want to be involved – I help my family almost every day, no matter what they need.”

A statement confirmed by her 13-year-old granddaughter Karah. “She helps with everything – cooking, cleaning, everything…and she’s really nice to my friends.”

While her hip and knee replacements were successes, the arthritis hinders Luna’s mobility, and she walks with the assistance of a cane. This obstacle, however, doesn’t interfere with her constant movement or cheerful outlook.

Tom Bergeron“If someone does a good deed for me, I want to do a good deed for them, and TMC did so much for me,” Luna said.

When asked what she valued most at TMC, the quality of care, convenience, compassion – Luna replied, “Compassion? They go beyond that! I can’t even think of a word powerful enough to describe how much they care.”

“The medical staff at TMC offer a most sincere thank you to Lucille Luna,” said Julia Strange, vice president or TMC Community Benefit. “We appreciate her grateful and giving attitude that inspires all around her.”

Tour Tucson Medical Center’s Healing Art Collection

Bonuccelli_Dusk Carcassonne FranceTucson Medical Center has long believed in the power of surroundings in helping patients feel better.

It’s why we have 35 patios. It’s why our grounds crew cultivates a desert landscape. And it’s why we have a Healing Art Program to inspire, provoke thought, and cheer patients and visitors.

Since the program’s inception in 2014, TMC now has more than 700 gallery-quality art pieces throughout its hallways – from paintings to graphics, photography and sculpture. Each piece has been vetted to ensure quality and consistency with TMC’s healing mission.

TMC’s curator, Lauren Rabb, leads a regular tour of the Healing Art collection on campus.

“The walls of our hospital have been transformed, with more art and photography installed each month to enrich the lives of our patients, visitors and staff,” Rabb said. “But as a community hospital, we also believe it is important to share these gifts with the community – and especially since art draws its power from its stories, its imagination and its engagement.”

The tour covers one mile of hallway – with frequent stops to discuss specific works of art – and is recommended for those over the age of 12.

The next public tour is taking place Monday, August 28 at 10 a.m., with another following on Monday, Sept. 25 at 10 a.m.

Space is limited so please RSVP for instructions on where to meet at 520-444-0363 or lrauthor@cox.net.

For those who are interested in the art, but not the tour, the works may be found on our catalog at https://www.artworkarchive.com/artwork/tmc-healing-art-program

TMC celebrates pets in three September events

Pets can be part of a healthy lifestyle, from lowering blood pressure to reducing stress and encouraging owners to move more.

With the last week of September National Dog Week, TMC is going to the dogs (and cats) in three separate pet-friendly events at The Core at La Encantada.

  • Think your pup has what it takes to be a therapy dog to help cheer up patients, visitors and staff in the hospital? Come find out how to join TMC’s Pet Therapy team and – with the help of Pet Partners of Southern Arizona – learn the ins and outs of getting certified on Saturday, Sept. 2 at 10 a.m. Click here to register.
  • If you have a pet, you’ve probably at some point contemplated whether pet food, pet toys and cleaning products are OK for the environment. Come learn about environmentally friendly pet care with Mrs. Green’s World on Sunday, Sept. 24 at 2 p.m. Click here to register.
  • Pima Animal Care Center has thousands of pets each year (like PACC alumni Chester shown here) looking for a new home – and new exercise buddies. Join Care Center staff in learning more about how to exercise safely with your pet on Wednesday, Sept. 27 at 5:30 p.m. Click here to register.

Pets are welcome at these three events. Find out more by visiting The Core at La Encantada.

TMC helped support conversion of multipurpose space for homeless youth

YOTOpaintingYouth on Their Own, a nonprofit dropout prevention agency supporting homeless youth in their goals of graduating from high school, did not have a functional space to hold youth events, host Board meetings or engage donors in providing critical services for vulnerable youth.

That all changed earlier this spring.

A new multipurpose room, adjacent to the program’s resale store at 1660 N. Alvernon Way, was the culminating project of Greater Tucson Leadership, a nonprofit program designed to develop future community leaders.

Tucson Medical Center was proud to join other local businesses in providing funding and support for the 880-square foot renovation project. Other donors included Tucson Electric Power, Cenpatico, Vantage West Credit Union, BeachFleischman CPAs, architect Kim Wolfarth, Porter Construction Services, Aztec Flooring, Universal Wallboard, Gilbert Electric, Mesquite Valley Growers and Goodwill Industries. Additionally, nearly 100 individuals contributed resources – and sweat equity – to the project.

Shawn.jpgIn addition to financial support, TMC lent the skills of Construction Supervisor Shawn Cole as project manager. Cole has known of the organization’s work for a long time and appreciates the help it provides.

“It’s very rewarding to give back to an organization that gives to so many and serves such a critical need,” Cole said. “It’s tough enough growing up and that’s compounded when kids are homeless and trying to stay in school. It was nice to be able to support that effort – and especially given the importance of the work that’s done there.”

Nicola Hartmann, the CEO of Youth on Their Own, said the space is getting a lot of use. Recently, staff held a summer “cool off party” for youth, with games, pizza and ice cream, as well as assistance with school work and college preparation.

“The youth who stopped in loved it. We would never have been able to do this without the fabulous space that was created for precisely these kinds of events.”

Kasey Hill, executive director of Greater Tucson Leadership, said the project epitomizes the goals of the program.

“At its root, leadership is about identifying a need and galvanizing the community to make a difference through collective energy, focus and commitment,” she said. “The community response to this project really highlights Tucson’s strengths – we come together when there is a need.”

Eclipse watchers: Follow these tips to protect your eyes

EclipseGlassesIf you’re planning to watch the solar eclipse on Monday, Aug. 21, do it safely.

Don’t look directly into the sun without eye protection – and sunglasses alone won’t do it. Those are some of the safety tips you’ll see in a short video from @MayoClinic to protect your eyes.

As a member of the Mayo Clinic Care Network, Tucson Medical Center works directly with Mayo Clinic, which again was named the top hospital in the country by U.S. News & World Reports.

The foundation of our relationship with Mayo Clinic is a shared commitment to improving the delivery of health care through high-quality, data-driven, evidence-based medical care. Our care network membership allows TMC access to the knowledge and expertise of Mayo Clinic to enhance the care we provide locally and save our patients unnecessary travel.

Tucson will see the eclipse as a partial solar eclipse – about 60 percent. It will start after 9 a.m. and end about noon. The Flandrau Science Center & Planetarium reports there will not be another total solar eclipse visible from the continental United States until 2024 – so happy watching, but take precautions!

Dr. Patel returns to Tucson, providing pediatric endocrinology at TMCOne

Patel C PhotoDr. Chetanbabu Patel returned to Tucson in June and joined the TMCOne location on 2380 N. Ferguson, across the street from the TMC main campus.

While there are many great reasons for moving to Tucson, Dr. Patel summed it with just one. “The best care for the children we are treating,” he said. “This was a unique opportunity to be a part of a comprehensive program involving specially trained staff who communicates frequently and openly with families – that’s why I chose TMCOne.”

Dr. Patel and his team provide care for children ages 0 to 18 who are experiencing a wide range of endocrine related illnesses, including diabetes, thyroid disorders, adrenal and pituitary disorders, metabolic challenges, and much more.

“Chronic endocrine issues are complex and require a team working together to best help children achieve strong health,” the doctor explained. The team involves the coordinated efforts of specialists at the TMCOne clinic and Tucson Medical Center. The specialists include clinical dieticians, social workers, certified diabetic educators and several others.

Why the certified educators? “The importance of communication cannot be overstated – we want parents to feel comfortable and confident working with us because they are the most important part of the treatment team.”

Peds Endocrinology Care Flyer JPEGEach endocrine challenge is as unique as each human body and what works for one child may not work for another, which can frustrate parents and the patient. Dr. Patel says empathy is an important part of the care provided at his clinic.

“I try and place myself in the parent’s shoes, and understand what is happening with respect to the family dynamics as well as with happening with that particular child. I give them my undivided attention and spend enough time so that they understand why I want them to get labs or to consider one of the treatment options.”

Dr. Patel has dedicated his career to learning as much as possible about pediatric endocrine illness, and he is a devoted advocate for children and their families.

“I always dreamed of becoming a doctor to help others,” he said. “I enjoy working with the parents as well as the babies and teenagers to help them achieve optimum health.”

In addition to his medical practice, Dr. Patel has held many respected positions, including director of diabetes education at the Steele Research Center, chief of pediatric endocrinology at Texas Tech University and assistant professor of pediatric endocrinology at the University of Arizona.

His immediate and extended family also reside in Arizona, and Dr. Patel has always felt that Tucson is his home. While basketball, tennis and reading are his favorite hobbies, he most enjoys spending time with his family.

Dr. Patel is currently accepting new patients. Please call (520) 324-1010 to schedule.

 

 

Make summer snacks fun, tasty and healthy

Summer snack 3Summertime brings vacations, warm weather and great food. The TMC and TMCOne Clinical Dietician Kallie Siderewicz offers some tips to make summer food fun, tasty and healthy.

Healthy doesn’t mean boring

Try a peanut butter and low-fat Greek yogurt dip for fruit. Ranch seasoning also gives Greek yogurt the yum factor for dipping veggies.

Other fun dishes include fruit kabobs, apples slices topped with peanut butter, coconut, and chocolate chips. A summertime favorite is fruit coated with frozen yogurt.

Cool off by infusing water or tea with lemon, lime, berries, oranges, mint, or rosemary.

Summer snackFor an adult beverage, try light beer, a glass of red wine or liquor mixed with water or diet soda.

High-calorie pitfalls

Before hot summer days have you reaching for a frozen coffee drink – remember that a small serving can have over 500 calories. Sodas and most sports drinks offer hard-to-burn calories with no nutrition.

For adults, mixed drinks usually combine alcohol and sugar, piling calories on top of calories.

Fruit salads made with fruit canned in heavy syrup can have as many calories as pie and cake, especially if you add marshmallows and whipped cream.

Don’t forget water

Water is the absolute best thing you can give your body. It hydrates, helps cleanse and cool. Another good reason to drink water – it can aid in weight loss.

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Kallie Siderewicz is a clinical dietician at the TMCOne Rincon location. She also provides nutrition services at Tucson Medical Center.

Admissions nurse named ‘Heart of Hospice’

Karen Novak, R.N., sitting, with (l-r) interim director Kimberley Fore, manager Stephanie Carter and medical director Larry Lincoln

Karen Novak, R.N., with TMC Outpatient Hospice, was honored this morning at a quarterly recognition selected by her colleagues as the “Heart of Hospice.”

Novak, who has been with Tucson Medical Center for more than 20 years, is the TMC Hospice liasion for the hospital. As a TMC Hospice admissions nurse, she works closely with the Palliative Care Team and Case Management as well as with patients and families who are dealing with potential end-of-life issues.

“Karen helps to aid in transitioning patients smoothly between the hospital and Hospice,” according to her nomination. “Her bedside manner is impeccable. She has a way of speaking with patients and family members that allow them to feel that they are both being understood in what they want and cared for in a compassionate way that embodies the mission of Hospice.”

Novak learned her skills in a variety of settings, including in the Emergency Department when it included truma care, and Case Management. She works with patients of all ages, including pediatric cases.

The quarterly award comes with a recognition plaque on the unit, a pin and a dedicated parking space. The award allows colleagues to recognize their peers:

Everything he or she does is for our patients and families and personifies compassion, kindness, empathy, a great work ethic and knowledge. The Heart of Hospice is also someone who is calm under pressure, is respectful, is detail-oriented, is a critical thinker, and has great communication skills. This person is someone who is always there to help his or her peers and does so with grace and skill. Being able to nominate someone for this award is a gift because it means you have observed greatness, not just once, but every time you have interacted with this individual.

Has a hospice nurse made a difference to you or your family? Consider recognizing this extraordinary nurse with a DAISY Award nomination.

Community hospital works to reduce opioid use after surgery

PillsInHand_444966868 (002)Even as Gov. Ducey declared a public health state of emergency regarding the misuse and abuse of opioids, physicians practicing at Tucson Medical Center were already working to minimize the use of opioids for patients recovering from surgery.

Physicians have several opportunities to manage the use of narcotics, particularly important as patients leave the hospital with a plan for pain management during recovery.

Anesthesiologists from Old Pueblo Anesthesia, who practice at TMC, have been working to enhance their regional anesthesia program to provide additional options for patients.  If patients can keep opioid use to a minimum in those crucial first days after surgery, while reducing their pain and inflammation, the hope is that they can use fewer narcotics through their recovery period.

Shoulder surgery, for example, is notoriously uncomfortable for some patients because the shoulder is engaged when a patient is standing or when laying down. Traditional anesthesia only lasts about 24 hours.

Now, in addition to direct injections to numb the area and block pain during surgery, physicians can place tiny catheters near the nerves that supply the shoulder with a local anesthetic to provide greater comfort for up to 3 days. The patient can care for the pump at home and throw it away when the anesthesia is depleted.

Dr. Robin Kloth said that Old Pueblo performed a comparison of patients with total shoulder replacement who used traditional pain relief and those who used interscalene catheter placement. “Over the course of the full 3 days, the catheter patients took less than half the narcotics that our compared group took in just a single day,” she said, adding patients also reported far less nausea.

Dr. Neesann Marietta concurred. “These techniques can really extend a patient’s pain relief, which greatly increases patient satisfaction. They can go home and sleep comfortably, which is so important for the healing process.”

And that’s just one example. For abdominal surgery, patients relied previously on epidurals that could only be used during their hospital stay. Now, anesthesiologists can do a block that provides local relief in the abdominal wall that will last up to 24 hours, and patients may be sent home the same day.

Colorectal and gyn-oncology surgeons are increasingly using a slow release local anesthetic that lasts up to 72 hours.

The colorectal program reports that between greater patient education, early ambulation and regional anesthesia, patients are seeing a decrease in patient length of stay by 1.3 days and an 88 percent decrease in morphine equivalent, given in the first 24 hours post-surgery.

“Both doctors and patients are becoming increasingly aware of the potential for the misuse of highly addictive pain medications and it’s important that we be part of this national discussion,” said surgical oncologist Michele Boyce Ley, who uses regional anesthesia as well as nonsteroidal medications such as Celebrex and gabapentin to help control pain for her patients having breast surgery.

Ley said her patients are doing so well, many are managing post-surgical pain with little more than Tylenol or ibuprofen.

“We have been working on this in earnest and getting training on these techniques because of concerns about opioid usage,” Kloth said. “Opioids have been the go-to solution for many years, in part because patients had high expectations of pain relief and because a bottle of Percocet is really cheap. These techniques are more labor intensive, but we’ve demonstrated value to the patient – and it’s the right thing to do,” she said.

Many patients also feel less lucid and less awake when using narcotics, which could delay physical therapy and rehabilitation.

Marietta said the techniques are not right for every patient and every case, but patients who are concerned about the potential for opioid misuse should have a conversation with their physician about pain control – and see if a nerve block would be appropriate.

 

 

TMC encourages community members to be cautious in sharing information to avoid phone scams

MagnifierHand_221068210 (002).jpgWith local utilities recently warning customers of apparent phone scams in which payment is demanded over the phone, Tucson Medical Center is urging community members to be cautious in responding to such inquiries.

TMC does have conversations over the phone with patients about payments and we will accept payment over the phone as well.

What we won’t do is make threatening, high-pressure phone calls.

If something doesn’t sound right, ask the caller for their name and their phone number. Keep it as a reference but know that scammers have access to ID spoofing software that can disguise phone calls to appear that they are made from a reputable organization.

Instead, call Tucson Medical Center directly and ask the operator for the Business Office or call us directly at 324-1310.

A legitimate representative from TMC will be able to share information about the previous or anticipated hospital stay, including the date and procedure.

“If something sounds suspicious, honor that instinct,” said Maria Persons, the director of TMC’s billing office. “We will always understand and support your choice to be safe and to be extra diligent if someone asks you to share sensitive information over the phone.”

TMC also has a secure way for patients to pay their hospital bill online. To see TMC’s other mechanisms, please visit https://www.tmcaz.com/pay-my-bill

 

Lovell Foundation, Community Foundation for Southern Arizona partner to award nearly $3 million for end-of-life care and planning services

Conversation

The year leading up to death for those with chronic conditions can be emotionally difficult and stressful for patients and families. It’s also costly, with patients in that final year accounting for 25 percent of total Medicare spending on beneficiaries over the age of 65.

There has to be a better way.

The David and Lura Lovell Foundation and the Community Foundation for Southern Arizona in late July announced their alliance to award almost $3 million to Arizona nonprofits to cooperatively address issues related to the awareness, understanding, and availability of end-of-life care, particularly for underserved and vulnerable communities.

Tucson Medical Center Foundation is pleased to be part of that coalition, which represents one of the largest end-of-life care initiatives across the country.

It also builds on four years of focused effort at TMC on improving care for those with life-limiting illness.

“Breaking down taboos about mortality is the first step in empowering patients and their families to have conversations that provide an opportunity to share their values, priorities and beliefs about death,” said Michael Duran, TMC’s chief development officer. “Having a clear road map about what you want from health care providers to how you want to be memorialized is a gift to yourself and to your family because it reduces the guessing and power struggles that can arise in the absence of that certainty.”

TMC has engaged case management, Hospice and Senior Services teams, and two accountable care organizations, Arizona Connected Care and Abacus Health, in the effort to improve advance care planning for adults and their caregivers throughout the community. The grant will provide resources to primary care practices and hospital case management to assist patients in making more informed decisions.

Karen Popp, the director of care coordination for Arizona Connected Care, said the coalition may ultimately serve as a national model for those assisting patients with their choices at the end of life. “What is particularly profound about this collaboration is that we have an opportunity across an entire region to create positive change around the ability of patients to honor the quality of life they expect as they face the end of their lives.”

The Lovell Foundation awarded a total of $2,507,619 for end-of-life care and planning projects. CFSA grants total $390,000. Grants range from $20,000 to $1 million to support end-of-life care programs that engage the community, educate professionals and patients, institute organizational and community standards of practice, develop the healthcare workforce and impact public policy.

“Our collective goal is to fundamentally change the narrative on how we plan for, care for and experience death and dying in Southern Arizona and beyond,” said John Amoroso, executive director of the Lovell Foundation. “Ultimately we all – individuals, families, caregivers, health systems and communities – bear the responsibility for changing the status quo by helping each other to engage in compassionate, honest conversations about our mortality, the type of healthcare we wish to receive and how it is given across the spectrum of life choices.”

This year’s grants were awarded to the following organizations:

The Lovell Foundation shared this interest in end-of-life care and previously funded “Passing On,” an award-winning documentary produced by Arizona Public Media and broadcast nationally by PBS, and other projects.

“We did a community-wide scan on end-of-life issues. We discovered this group of dedicated organizations and individuals that had been working together with support from CFSA funding. That kind of energy and potential emboldened the Lovell Foundation to expand our commitment to end-of-life care and make an even bigger investment,” said Ann Lovell, president of the family foundation and daughter of its founders.

 

Voting begins next week in the City of Tucson’s primary election

 Candidate Forum

A big thank you is in order to the four candidates running for a seat in the Ward 3 City Council race, who appeared at a candidate forum Tuesday night at Tucson Medical Center, sponsored by the Arizona Daily Star and the Tucson Hispanic Chamber of Commerce.

“The foundation for democracy is an engaged and educated electorate,” said Julia Strange, vice president of community benefit for TMC. “We appreciate everyone who came out to learn more about the candidates – and importantly, we thank each of the candidates for stepping up and running for office.”

The winner among the three candidates vying for the Ward 3 Democratic primary – Thomas Tronsdal, Paul Durham and Felicia Chew – will face Gary Watson, an independent, in the general election. The winner will assume the seat currently held by City Councilwoman Karin Uhlich, who is retiring from the Council.

In addition to Ward 3, the Green Party has a contested primary race in Ward 6.

Ballots will be mailed Aug. 9 to registered voters.

 

TMC thanks, congratulates teacher in residence at close of program

Sheila at TMCCongratulations to Sheila Marquez, an anatomy teacher at Tucson High Magnet School, who finished her third summer working at Tucson Medical Center as part of the business-education partnership known as Teachers in Industry.

The program allows businesses to gain valuable perspectives by employing teachers over the summer, and allows teachers a chance to see firsthand the kind of skills students need to be effective in future careers.

“I’ve been a teacher and a research assistant for the entirety of my career – I’ve never worked outside of the academic realm,”  said Marquez, who has taught high school students for nearly 20 year. “This has been very valuable to learn about the breadth of careers available in health care as students consider their future possible selves.”

Marquez spent her first year at TMC working in infection prevention, her second year working in the lab, and her third year – the culminating year of the program – working in pharmacy.

After her first summer, she implemented a change in her classroom, emulating the one-on-one meetings her manager at TMC held with staff members. “I went back and did one-on-one meetings with each of my students in the first two weeks of class,” she said. “It made a world of difference: Instead of waiting at the end to tell them if they were in trouble with their grades or attendance, we had a chance to be proactive and talk about what might have kept them from being successful in earlier classes and what I could do to help support them.”

Marquez also learned about Lean management processes, which originated in manufacturing but are being used at TMC to empower employees to become problem solvers and to build efficiencies. Some of the problem-solving techniques can be applicable in a science-based classroom, she said.

She said businesses ultimately need students who don’t just regurgitate information, but are critical thinkers and can collaborate successfully with others. “It’s not just about knowing where the tibia is. It’s about having the tools to come up with successful solutions.”

“This has been an invaluable experience,” she said, encouraging other industries to participate in the program.

It has been a positive collaboration for TMC as well, said Pharmacy Technician Manager Sue Weygint.

Weygint credited Marquez with shadowing pharmacy technicians to learn about their processes and workflow, creating Excel spreadsheets and graphs that allowed data mining. “We can now see trends, anomalies and the overall work balance across shifts,” Weygint said, noting the goal is to increase productivity and level the workload.

“We have already made some adjustments with her help and we’re on a path to stronger metrics of productivity and efficiency,” Weygint said.

Master teachers in the program, including Marquez, will be celebrated on Sept. 12 from 5 p.m. -7 p.m. at Tucson Electric Power. For more information about the program, please visit www.teachersinindustry.arizona.edu


Tucson Medical Center | 5301 E. Grant Road | Tucson, Arizona 85712 | (520) 327-5461