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.

For more healthy recipes, wellness tips and events sign up for our monthly Live Well newsletter.

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

 

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

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 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.
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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.

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.

 

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

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 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.”

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.

 

 

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 Offering FREE, Online Childbirth-Preparation Videos

Anyone who is bringing a new life into the world has questions about what is best for mom and baby.

Tucson Medical Center now offers their FREE birthing presentations –online . Although informative and helpful, the online videos are best used for distance learners and a refresher for those who have previously taken a class.

Nothing can completely take the place of a face-to-face, expert-led child birth class and we encourage first time parents to take one or more of the TMC Preparation for Childbirth classes.

Childbirth VideosHow do I sign-up for the online videos?

There’s no sign-up, no cost and no requirement – just point and click on the five, fun and informative courses. They are available 24 hours a day, 365 days a year.

 

 

What will I Learn?

The videos focus on childbirth basics and preparation –viewers will learn what to expect throughout the journey, from pregnancy to birth.

Is this just more hefty reading?

Absolutely not! In each video, the viewers are an interactive part of a presentation facilitated by TMC’s own Certified Childbirth Educator Margie Letson.

With 30 years of experience, Margie has a strong grasp of the clinical information and effective communication techniques. Many say they found the videos to be fun, as well as informative.

Do I have to watch every video?
Childbirth videos 2
No, there are no requirements. Viewers do not have to watch all videos, do not have to view them in order and do not have to view them to completion. The presentations can be started and stopped at anytime and even viewed more than once.

Moms and families can pick and choose which videos are most applicable to their concerns and questions. Although, most viewers say they benefited from every video – so we recommend trying them all.

How long are the videos – is there an exam?

The length of the presentations varies from about 20 minutes to about 1.5 hours, depending on the subject. Remember, the videos can always be stopped at any time and viewed at a later date.

There are no questions, exams or other requirements – just the information moms and families need when it is convenient for them.

NICU Blanket PhotoA meaningful resource

“The childbirth videos are a helpful service for expectant parents that are not able to attend TMC classes,” said Certified Childbirth Educator Margie Letson. “For parents who have attended the TMC childbirth classes, the videos offer reinforcement on what they learned and practiced.”

For answers to your questions or for more information, please call Kellie at TMC Family Support Services, (520) 324-1817.

 

Additional Support

CHildbirth Videos 5Online Guide for New Parents

Tucson Medical Center also provides an Online Guide for New Parents. From breastfeeding to diaper changes, and fingernail care to breastfeeding – the six pages of bullet points are a helpful resource of need-to-know facts.

 

Birthing and parenting classes

TMC offers additional birthing and parenting classes to the public. These courses are live presentations at the TMC campus. Attendees receive materials and have the opportunity to ask questions.

You can view the TMC class calendar and register for courses online. Please note that some courses require a fee. Click here for childbirth and parenting class overviews.

TMC Mom-Baby UnitMaternity Services Tours

Moms and families can take a FREE tour though the labor and delivery area, as well as the mom/baby unit where she will be staying. No pre-registration is necessary and families are welcome! Click to find upcoming dates of the tour.

 

 

 

Artwork at TMC Rincon Health Campus reflects Vail’s community connection and spirit

Vail Preservation SocietyVail – the town between the tracks – is a vibrant community resting in the foothills of the Rincon mountains on Tucson’s eastside.

Along with its leading school system , picturesque landscapes and family-oriented neighborhoods, another of Vail’s greatest attributes is the community’s strong connection to the rich, cultural heritage of the area.

The community values its history, preserving locations like the Old Vail Post Office (built in 1908) and founder’s chronicles like those of the Estrada, Escalante, Leon and Monthan families. You’ll recognize the name Monthan from Tucson’s Air Force Base. Davis-Monthan gets half its name from early Vail resident Oscar Monthan.

Vail Preservation Society 3“Residents, especially the young ones, want to know who came before them,” explained J.J. Lamb, executive director of the Vail Preservation Society. “Our past shows us there is something unique about Vail that it is worth preserving.”

Tucson Medical Center recently opened the TMC Rincon Health Campus at Houghton and Drexel. In the final stages of construction, the community-owned hospital worked with the Vail Preservation society to include artwork and photography that would reflect the Vail community’s connection to their history and to the land itself.

“These photographs give us a sense of place and community continuity,” said Lamb. “We Vail Preservation Society 2were glad to work with TMC and establish these connections to our community through public art.”

The art and photos have an ancillary but equally important effect for the Vail residents visiting the Rincon Health Campus.

“It’s the right fit,” said Lauren Rabb, curator of the TMC Healing Art Program. “Art can be Vail Preservation Society 4powerful medicine, and we took it a step further at Rincon– including comforting and therapeutic images of local landscapes, history and people.”

Local photographer Gregory Cranwell shares thoughts on his photo of Jesus Arvizu that is displayed at Rincon. “Photographs like this show the backbone of our area,” Cranwell said. “This is a rancher doing real ranching. It’s not for show – he’s going about his daily work to provide for his family.”

Vail Preservation Society 7For Cranwell, the photos provide both beauty and truth. “You can’t separate the beauty of our landscapes from the beauty of our culture – all we have is our roots and I hope people will feel this place is special.”

Bill Steen is a Southern Arizona photographer who took several of the landscape photos provided. “Sometimes they just come together and the same conditions will never happen again in the exact way,” he said. “Photos can make people more aware of where they live – and enrich the possibility of being connected to it.”

Vail Preservation Society 6At Rincon, you’ll find many stopping to appreciate Bill’s photos of clouds passing over the Mustang Mountains and of the moon rising above the Huachuca foothills. “They are also designed to soothe – helping people stop and escape the moment.”

Vail Preservation Society 5TMC’s Healing Art Program accepts donations of gallery-quality paintings, graphics, photography and sculptures. The program considers all styles of art that would further our mission to enhance patient care through the creation and maintenance of a healing environment.

 

“Most Wired” designation shows TMC continues leading the way in information technology

MostWired2017_smlIncreasingly, technology is helping patients become more engaged in their own wellness and more active in their care.

For the sixth year running, Tucson Medical Center has secured a place among America’s “Most Wired” hospitals. The distinction recognizes hospitals that leverage information technology to provide stronger care for patients, to improve quality, to reduce costs and to streamline operations.

TMC was the only Tucson-area hospital to achieve recognition in HealthCare’s Most Wired® survey, released by the American Hospital Association’s (AHA) Health Forum.

“We know that data-driven decisions help us to better serve our patients, our employees and our community,” said TMC’s Chief Information Officer Frank Marini. “This designation recognizes that it’s not just about having the technology in place: It’s about using it effectively as we continue to strive for clinical excellence.”

“We also know that today’s patients are increasingly comfortable in a digital environment so it’s critical to provide mobile tools to increase convenience, access and engagement.”

Survey respondents demonstrate technology usage throughout the hospital industry is creating a new dynamic in patient interactions, although there is continued room for growth.

“The Most Wired hospitals are using every available technology option to create more ways to reach their patients in order to provide access to care,” said AHA President and CEO Rick Pollack. “They are transforming care delivery, investing in new delivery models in order to improve quality, provide access and control costs.”

Detailed results of the survey and study can be found in the July issue of H&HN. For a full list of winners, visit www.hhnmag.com.

Southern Arizona hospital coalition addresses opioid misuse in rural areas

SAHA.jpgA coalition of five independent Southern Arizona hospitals this week secured a federal grant to diminish opioid misuse and dependence across rural communities in Southern Arizona.

The Rural Health Network Development Planning Grant, which provides about $100,000 in support to the effort, comes through the federal Health Resources & Services Administration. The grant aims to:

  • achieve efficiencies by collaborating with behavioral health and police departments in rural communities
  • expand coordination of quality health care services by identifying shared communication strategies tailored for rural communities
  • strengthen the rural health care system in Southern Arizona by identifying opportunities for the Alliance to better address regional opioid misuse through the implementation of innovative collaborations and strategies

Formed in summer 2015, the Alliance consists of Northern Cochise Community Hospital, Copper Queen Community Hospital, Mt. Graham Regional Medical Center, and Benson Hospital. Tucson Medical Center is the founding member.

“Our Alliance has already demonstrated we can leverage existing relationships within our network to improve the care we deliver,” said Roland Knox, the chief executive officer of Northern Cochise Community Hospital who will lead the grant project. “Although this is a national struggle, Arizona has the fifth highest opioid prescription rate in the nation, and this award will allow us to work in a more coordinated way to improve outcomes for those grappling with this issue.”

Hope Thomas, the network director for the Alliance and TMC’s director of community programs, noted the challenges in rural communities are magnified because of more limited access to health and social services. Thomas noted an average of 26 percent of adults living in Southern Arizona’s rural counties report current prescription drug misuse and fatal opioid overdose in rural areas is as high or even higher than rates in metropolitan areas.

The grant award runs through May 2018.

Doctors, nurses share implications of federal health reform (BCRA)

What our health care providers are saying about BCRAThe medical community has not had any substantive role in drafting the proposed health care reform legislation in Washington, D.C.

Doctors, nurse practitioners and nurses who practice at Tucson Medical Center have created videos to directly share their perspectives and concerns on behalf of patients who would be affected by changes to Medicaid as envisioned in the proposals.

“As a nonprofit community hospital, TMC provides educational and community events throughout the year on a variety of different topics, from heart health to water safety to nutrition,” explained Julia Strange, the vice president of community benefit for TMC.

“In this particular case, we have been getting a lot of questions from staff and providers and the community about what these legislative proposals would mean to the community and to hospitals,” Strange continued. “We believe it is important to focus on policy and not politics, so these videos are an opportunity for providers to share their perspective, as those closest to serving patients.”

Hear directly from clinicians in the following videos. You can also view all the videos on our YouTube channel.

health care, bcra, midwive

Greta Gill – Nurse Midwife

bcra, healthcare

Mimi Coomler, RN, CNO

 

 

 

 

Dr. Donna Woods, ED Physician

Joey Rodriguez, RN

 

 

 

 

 

Melissa Young, Pediatric Nurse Practitioner

Melissa Young, Pediatric Nurse Practitioner

Kimberly Fore, RN

 

 

 

 

 

 

Dr. Pal Evans, Physician

Dr. Daniel McCabe

 

 

 

 

Randy Friese, MD, trauma critical care provider.

Donna Woods, ED physician, reading a poem she wrote

Mimi Coomler, RN, speaking about her son with Type 1 diabetes

Regardless of your viewpoint, please consider sharing your own perspectives and stories with your elected leaders in Washington as they collect feedback from their constituents to help inform their vote. For more information visit Save AZ Health Care’s website. 

Comprehensive Weight-Loss Program now available at TMC

TMC Weight Loss Program 3Super foods – juice cleansing – metabolism kick starters – core workouts. Weight-loss is very challenging and the dizzying number of diets, fads and exercises can make it even harder. Tucson Medical Center’s Comprehensive Weight-Loss Program offers safe and effective plans that are personalized to meet each patient’s needs.

These days, busy lifestyles are common– stretching schedules for career, family, activities and so much more. With only so many hours in a day, it’s hard to make time for health and easy to put on pounds fast. More than 70 percent of American adults are overweight and we understand that everyone faces unique challenges to achieving a weight loss goal.

TMC Wellness Director Mary Atkinson explains how the TMC Weight-Loss Program is different. “We look at the whole person,” she said. “Registered dietitians and certified exercise-professionals will work with you to create a personalized plan you can live with, so you can lose weight and keep it off.”

Weight-Loss Counseling Program The 12-week program includes three, one-hour initial appointments and eight follow-ups that last about 30 minutes. Periodic assessments help determine what is working best and allow you and your team to make adjustments to keep

  • Nutrition, fitness and general wellness assessments
  • Reliable advice that you can use
  • Tracking of weight and estimated body composition
  • Development of personalized nutrition and fitness plans
  • Strategies to promote long-term weight-loss success

Weight-Loss Surgery from the TMC Bariatric Center

The TMC Bariatric Center, a comprehensive center accredited by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program, guides you every step of the way on your weight-loss journey:

  • Pre-surgery counseling and evaluations
  • Post-op care that includes nutritional counseling
  • Psychological support
  • Instruction on incorporating exercises into your lifestyle
  • Discussion groups – build relationships with others who have had bariatric surgery at TMC
  • Some services may be covered by insurance.

TMC Weight Loss Program 4Weight Management Support Group

No matter what method you have used to lose weight, sticking to your new good habits and keeping the weight off can be a challenge. Don’t try to tackle it alone. Join our monthly support group, led by a certified health coach, to learn new tips and stay motivated.

Program Pricing

  • Flat fee for the entire program: $400
  • Weekly rate: $60 for one-hour sessions, $30 for 30-minute sessions (total of $480 for entire program)
  • Weight management support group = $5 per meeting (meets monthly at The Core at La Encantada)

For more details, please contact TMC Wellness, (520) 324-4163 or wellness@tmcaz.com.

TMC follows up on questions from overflow crowd at June 26 health forum

Health Care ForumTucson Medical Center on Monday held a health care forum designed to share information about the impacts and implications of federal health care reform proposals.

The panel, which included health care experts in the areas of pediatrics, public health, rural health, primary care and hospitals, answered as many audience questions as they could within the 90-minute discussion.

TMC President and CEO Judy Rich committed to answering the remaining questions, which are shared below. In the interest of reducing duplication, topics were grouped if there were multiple questions on a topic.

For those interested in watching the entirety of the session, please visit https://youtu.be/z28iVHy1pto

Single-payer related questions:

  • Do you support Medicare for all? Even under ACA, things are way too complicated, costs too high and 28 million uninsured. – Andrea
  • Why can’t the U.S. provide universal health care when every other developed nation can? – Warren
  • Since there is no way to cure the problems affecting our health care system unless we eliminate the profit motive, what are you doing to advocate the only plan that does that: Medicare for all? – Lee
  • Do you support a single-payer system like Medicare for all? – Maddy
  • Why not Medicare for all? – Tony
  • How do we achieve single payer, efficient health care? – Gary
  • What would it cost and how can it be implemented to build public health care infrastructure – the like V.A. – for civilians? – Howard
  • Will you support a single payer Medicare for all health system? – Barbara
  • What position does the AMA take on single payer? – Elizabeth

Thank you all for your question. Since they all follow a similar thread, we have grouped them together for one answer.

A single-payer system is certainly one of the policy options being considered. It’s a difficult question to answer because, as is usually the case, it depends on the details of the legislation. We are strong advocates for affordable and accessible health care insurance for all members of our community. Between Medicare, Medicaid and Tricare, government is a significant payer for most hospitals, so it’s possible there would be some system savings by consolidating at least those into a single program. Our commitment is to advocate for coverage, access and efficiency in a health care system and, as discussed at the forum, there are multiple ways to achieve that end. Unfortunately, the legislation currently proposed by the House and Senate do not achieve those objectives.

Affordable Care Act related questions:

  • How many insurance carriers have pulled out of Arizona since ACA? – Kathleen
  • ACA is collapsing under its own weight. What is the panels’ suggestion for a system that will work?  -Mike

Thank you for these questions. Kaiser Health News published a story that reported that Arizona had eight insurance carriers in 2014, 11 in 2015, eight in 2016 and two in 2017. The uncertainty of the future of the marketplace has impacted insurance companies’ interest in participating in the exchanges. (http://www.kff.org/health-reform/issue-brief/2017-premium-changes-and-insurer-participation-in-the-affordable-care-acts-health-insurance-marketplaces/)  But, remember the marketplace is just one small piece of the Affordable Care Act and, frankly, the portion of the legislation that, in our opinion needs to be addressed. Here is an opinion piece by Andy Slavitt, former director of Centers for Medicare and Medicaid Services, one some commonsense solutions that would stabilize the health care exchanges: https://www.usatoday.com/story/opinion/2017/03/26/bipartisan-path-forward-health-care-trumpcare-obamacare-column-andy-slavitt/99661882/

  • With this current political turmoil, what is the future of the Az-CHIP program? – Preshit

We agree with our colleagues at the Children’s Action Alliance, who have concluded the future of KidsCare,  Arizona’s CHIP program, is at high risk.  That means affordable coverage for more than 21,000 children already enrolled is in danger.

As Children’s Action Alliance President and CEO Dana Naimark explains, “Currently, our federal tax dollars pay for the full cost of KidsCare. Our legislature and Gov. Doug Ducey just put a provision into our state budget that says if the federal funding falls below 100 percent, then enrollment in KidsCare will be frozen again.  The federal funding expires Sept. 30, 2017.  So Congress must act soon to reauthorize funding  for all states.  And the funding must be reauthorized at the current level for KidsCare to continue. Without KidsCare, many more children will go without the check-ups, treatment and behavioral health services that keep them healthy. 

There is still bipartisan support for KidsCare and CHIP. But the issue has gotten both sidetracked and tangled in with the fights over repealing and replacing the Affordable Care Act. We will all need to raise our voices on this in the coming weeks.”

Political process

Forum.jpg

  • What does budget reconciliation allow you to do? – Brenda

Brenda, the reconciliation process may be complex, but it is also faster because it takes only 51 votes to pass a bill – allowing senators to sidestep the threat of filibuster, which would take 60 votes. Although there is some transparency in the sense that the bill is reviewed by the Congressional Budget Office and members do have an opportunity to amend the bill, this process has not been reflective of what is typical of legislation of this magnitude. The process typically includes extensive hearings as well as input from stakeholders.

  • What formal process is TMC using to register our community protest against this law? – Linda

Hello, Linda, and thank you for your question. As you know, there has been limited discussion about this legislation. TMC held this forum in an effort to share the expertise of those in the medical field about the impacts they foresee on the work they do and the people they care for. 

It was intended to provide audience members with real facts about the implications and hopefully inspire them to engage directly with their elected leaders. TMC has shared our own concerns with our federal delegation. We also will provide those leaders with a link to the forum and to these answers to your questions.

  • I’ve been told our senators do not keep a tally of calls they receive. What is the point of calling? – Robin

Although elected leaders have different approaches to how they keep track of comments directed to their offices, they absolutely know the pulse of their constituencies. Every call, every letter, every email, every tweet – they all add up and make a difference. Advocacy – not apathy and ambivalence – is ultimately what drives change, so please continue sharing your thoughts and expectations with your elected leaders.

  • Who are the senators on the fence and how can we contact them? Many of us have already reached out to Sens. Flake and McCain. – Suzann

The bill’s fate hinges on two Republican votes. At least four senators – Rand Paul, Ted Cruz, Ron Johnson and Mike Lee, are holdouts, saying the bill does not do enough to reduce the deficit or repeal the Affordable Care Act. Several others have voiced concerns about the deep cuts to Medicaid, including Dean Heller, Rob Portman, Shelly Moore and Susan Collins. The U.S. Senate website has a list of senators and their contact information at https://www.senate.gov/

General impacts

  • Are you aware of a Harvard research study that 24 million people losing health insurance means 45,000 additional deaths per year? Do you agree? – Guy

The American Journal of Public Health in 2009 published a study that associated 45,000 deaths annually with a lack of health insurance.  The study, conducted at Harvard Medical School, analyzed U.S. adults under age 65 and found the uninsured have a higher risk of death than those with private insurance. The study’s co-authors noted the numbers indicate one American dies every 12 minutes from lack of health insurance. There have been other studies that have come up with varying numbers, but the bottom line is that the body of evidence – combined with what we know as a health care provider – shows without question that coverage saves lives.

forum2Is it true that the number of uninsured will likely increase even more than the CBO score after the 10-year period? – Barry

Hello, Barry. It will probably serve best to quote directly from the report by the Congressional Budget Office and the staff on the Joint Committee on Taxation, which found that by 2026, there would be 22 million more people uninsured. “In later years, other changes in the legislation—lower spending on Medicaid and substantially smaller average subsidies for coverage in the nongroup market—would also lead to increases in the number of people without health insurance. By 2026, among people under age 65, enrollment in Medicaid would fall by about 16 percent and an estimated 49 million people would be uninsured, compared with 28 million who would lack insurance that year under current law.”

To read the report in its entirety, please visit https://www.cbo.gov/publication/52849

  • So the emergency department becomes the primary care for all who do not have insurance. How will the hospitals cope and who will cover the cost?  – Paul

Unfortunately, Paul, those of us in Arizona know all too well what happens when large numbers of people lose access to care. After enrollment in our state’s Medicaid program was frozen in 2011, more than 160,000 people fell off the program rolls over the course of the next two years. They began showing up in our emergency department and those of hospitals across Arizona, seeking health care of last resort for the uninsured. Uncompensated care at Tucson Medical Center alone climbed to more than $25 million. Last year, that number had dropped to about $8 million, thanks for expanded coverage. For many hospitals, and particularly those in rural areas, that burden may be too much to bear, reducing access to care for many who need those critical services.

Medicare impacts

  • How will this bill impact people who are on Medicare? Not on Obamacare? – unsigned
  • How is Medicare affected? – Melvin
  • What does the Senate’s BRCA do to Medicare? – Judith

Although the proposed Senate bill does not make changes to Medicare eligibility or benefits, it will reduce Medicare revenues by eliminating Medicare taxes paid by high-income earners.

Currently, Individuals who are paid annual wages more than $200,000 ($250,000 for married couples) pay a Medicare payroll surtax – a tax higher than those who are paid wages less than $200,000 annually.

The Senate bill will eliminate the Medicare payroll surtax on high-income wages by 2023.

The proposed Senate legislation also repeals the Net Investment Income Tax – a tax implemented by the Health Care and Education Reconciliation Act to help fund Medicare. This tax applies to individuals that annually earn more than $200,000 ($250,000 for married couples) on certain investments (interest, dividends, capital gains and rental income).

The Senate bill makes this tax cut on high-income investments retroactive to Jan. 1, 2017.

It is not just health care entities who are concerned about these proposals. Nancy LeaMond, president of the AARP, has expressed deep concerns about the impact of the bill.  The Senate bill also cuts funding for Medicare which weakens the program’s ability to pay benefits  and leaves the door wide open to benefit cuts.”

These are the answers we have for now. We continue to work on more questions, and will provide answers in a future blog.

Downtown discussion: Healthy strategies for the grocery store

Fruits and vegetables overhead assortment on colorful backgroundSometimes we forget what a miracle – and a trap – the grocery store really is.

It can be a place of wondrous nutritional bounty.

It can also be a place where healthy lifestyles go to get derailed.

If you’ve got 45 minutes over the lunch hour Thursday, July 6, pop over to HealthOn Broadway to join members of Tucson Medical Center’s Wellness team to learn more about thoughtfully navigating those aisles.

“People often think they’re making the right choices at the grocery store but they’re often not the right choices for their health or their finances,” said Wellness Director Mary Atkinson, a registered dietitian. “This is an opportunity to help become a more informed consumer.”

Registered dietitian Laurie Ledford will share information, for example, about how to read labels more effectively. “The front of the packaging is not an accurate source of information,” she said. “The truth is in the fine print on the back.”

TMC’s free and informative wellness conversations take place the first Thursday of each month from 11 a.m. – 11:45 a.m. and again from noon – 12:45 p.m. The conversations take place on the first floor of HealthOn Broadway, 1 W. Broadway.

And mark your calendars for August’s discussion: Your Perfect Average Day – How to make small steps count towards big change.

About HealthOn

Tucson Medical Center joined forces with El Rio Health Community Health Center to create HealthOn Tucson, a new innovative, integrated health and wellness collaboration.

HealthOn Broadway provides:

  • State-of-the-art primary care
  • Immediate care (for those unexpected illnesses)
  • Virtual visits
  • Health coaching
  • Health and wellness classes

Staying active in the Arizona heat

“At least it is a dry heat.”

Whether it is a dry heat or not, it is still getting hot out there! This is the time of year that most year-round Tucsonans try to hide from the heat by staying indoors as much as possible. This seems like a good practice, but it can hinder many of the activities we enjoy the other 9 months of the year. So what are we to do?!

We definitely don’t want you to have to give up what you enjoy doing, and we want you to stay active, but we also want you to be smart and safe during your time outdoors. Planning and preparation are the keys to safety. Here are some tips from the TMC Wellness Team to consider as we enter the hotter months.

active in arizona heat

Rise Early

Whether you are normally a morning person or not, you pretty much need to be one from June through August if you ever want to do anything outside! With the sun rising as early as 5:15, meaning that it is light outside by 5:00 (that is a.m.!), you have at least an hour before the thermometer moves over 85 degrees. So for those of you who don’t enjoy exercising indoors, try planning for some early morning activities. We are fortunate to have some beautiful sunrises here in Tucson. You just need to get up and out to enjoy them!

If you aren’t accustomed to waking up early, try going to bed earlier than you normally would, so you will feel well rested. You might also plan to meet a friend or a group that will help motivate you to move in the morning. Once you get into a routine, you will realize it isn’t quite as bad as you used to believe.

Cover Up

Summer often means fun in the sun, but we all need to be careful that we aren’t getting too much of a good thing. The CDC recommends the following to protect ourselves from harmful rays.

Sunscreen:

  • Use sunscreen with sun protection factor (SPF) 15 or higher, and with both UVA and UVB protection.
  • Be sure to use enough. Apply a thick layer to all exposed skin.
  • Reapply every 2 hours that you are out in the sun or any time you sweat, rinse or wipe it off.

Protective Clothing

  • Wear clothing to cover exposed skin.
  • Loose fitting clothing may be more comfortable. Dark colors and tightly woven fabrics may offer better protection, because they absorb or block more UV rays.

Hats

  • Wear a hat with a wide brim to shade the face, head, ears, and neck.
  • Loose fitting hats may be more comfortable in the heat.

Sunglasses

  • Don’t forget that the sun can damage your eyes and can increase your risk of cataracts.
  • Sunglasses that wrap close to your face and block both UVA and UVB will provide the greatest protection.

Hydrate

swimming in the summer to keep coolYou have gotten up early, put on the appropriate sun protection, and you are now ready to get out and do something active….Good for you! The final thing to remember about being active during the summer is to hydrate.

When it is hot out, it is easier to remember to drink water. But if you head out early or are swimming, you could forget to replenish the fluids you lose. The standard recommendation is eight to ten 8-ounce glasses of water each day. During the summer, especially in Arizona, and particularly when adding in outdoor activity, the recommendation goes way up; some recommendations go as high as 30 cups per day. The best way to determine how much you need to drink is to take a look at your urine. Urine should be light in color, similar to lemonade; dark urine the color of apple juice is an indicator of dehydration. Drinking smaller amounts more frequently maintains hydration better than drinking a large amount all at one time. Don’t wait until you are thirsty to start replacing fluids; rather, drink throughout the day.

Move

Just because it is hot outside (really hot!) is not a good enough reason to stop all activity. Too often we hear, “I’ll start exercising again once it cools down.”  What people are really saying is, “Now that it is hot outside, I have a great excuse not to be active.” WRONG! With a bit of planning, you can still be active.

Enjoy your summer activities!

For more information about our Wellness programs or to sign up for our monthly wellness newsletter Live Well visit our website.

TMCOne opens specialty clinic on NW side, providing quality care and convenience

TMC One Med Group your health your team OLProviding high-quality care means recognizing all aspects that benefit patients and their families. Convenience matters, and TMCOne’s  new clinic will make quality medical care and treatment more convenient for northwest residents by including commonly needed follow-up services at one location.

TMCOne is opening a specialized clinic on 7510 N. Oracle just south of Magee road in northwest Tucson. The office will provide comprehensive and specialized care, as well as imaging, IV infusion and health management services.

Susan Vance 1“This unique clinic has been thoughtfully designed to meet varied medical needs in one place,” said TMCOne Executive Director Susan Vance. “From sports medicine and health counseling to imaging and same-day appointments, we’re taking the next step in care.”

Specialties that often converge such as wound care, chronic disease counseling and complex medication regimens can now be managed in one office rather than several clinics. On-site lab and x-ray services will also reduce multiple trips and appointments.

Borrás Carlos
Dr. Carlos A. Borrás has joined the provider team at the Oracle office. He specializes in both internal medicine and sports medicine, providing a needed perspective for injuries related to golf, swimming, tennis, and other sports.

Dr. Dawn Lemcke also joins the northwest office, brining more than 30 years of internal medicine experience – and a strong focus on communication with patients and families.

The office is conveniently located for Oro Valley, Marana and northwest Tucson residents. Same-day appointments and expanded hours further enhance accessibility.

Patients can visit www.TMCOne.com or call (520) 324-4910 to schedule an appointment or for further information.

 

 

 

 

Safe Kids Pima County – keeping kids safe through education and advocacy

Safe Kids Pima County LogoPlenty of us have practice patching up the skinned knees and elbows of active children in our lives.

Unfortunately, though, accidents are too often far more serious than bumps and scrapes. In fact, accidents are the leading cause of death for ages 0 to 19 – according to the Centers for Disease Control and Prevention.

The good news about this chilling statistic is that we have the power to change it. “Childhood accidents can (often? always? Almost always) be prevented – a few easy steps for children and adults can help keep kids safe,” said Jessica Mitchell, Safe Kids Pima County coordinator.

Safe Kids Pima County is a network of organizations focused on preventing accidental, childhood injury by educating adults and children, creating safe environments, conducting research, and advocating for effective laws.

Mitchell is a part of TMC’s participation in the Safe Kids initiative, working with community partners to actively engage adults in taking action for stronger child safety. From providing free bike helmets and pool safety to education workshops and school presentations, Mitchell coordinates a full schedule of activities to facilitate child safety awareness.

Jessica MitchellRecently, Mitchell spent a week at Frances Owen Holaway Elementary School, educating each PE class on the merits of bike safety.

“We explain to the kids ‘the brain can’t fix itself’ and make sure every student has a helmet and how to put it on correctly,” Mitchell explained. “The kids also learn the proper hand signals, where it’s safe to ride and how to avoid taking dangerous risks.”

Many child accidents involve bike riding. Over the past three years, Safe Kids Pima County has provided more than 8,000 free bike helmets to children in our community.

Safe Kids Pima County provides information and resources to help keep kids safe. Going forward, look for Mitchell’s monthly blog posts on helping keep kids safe, happy and healthy.

For further information about Safe Kids Pima County, please email safekidspimacounty@tmcaz.com or call (520) 324-2783. If you are holding a community event and would like Safe Kids Pima County to attend or participate, click here.

TMC Sponsors June 26 Forum on Health Care Reform: What it Means to Providers and Patients

community forum tmcTucson Medical Center is conducting a series of health forums to help inform the Southern Arizona community on current health care legislation and other federal actions.

Please join us at our next Health Care Town Hall: Health Care Reform and What it Means to Providers and Patients.

Come be part of the conversation and hear what health care leaders have to say about how health care legislation will impact patients and their families.

The event will begin at 6 p.m. on Monday, June 26, at the DoubleTree Grand Ballroom,  445 S Alvernon Way in Tucson.

 The moderator will be Judy Rich, TMC HealthCare President and CEO. Panelists include:

  • Greg Vigdor, President/CEO, Arizona Hospital and Healthcare Association, who will share the impact on health care and the economic sector
  • Daniel Derksen, Professor, Public Health Policy and Management Program, who will discuss the impact on rural health
  • Nancy Johnson, President and CEO, El Rio Health, who will share the primary care perspective
  • Francisco Garcia, Assistant County Administrator, who will discuss the impact on public health
  • Tommy Schechtman, Pediatrician, Past-president of the Florida Chapter of the American Academy of Pediatrics, who will share the impact on children’s health.

Please register here for the event to ensure your seat.

We Are Tucson – We Are Family

Dominguez Family
For Edward, Matthew, and Melissa Dominguez – working at Tucson Medical Center is literally a family affair.

About a year ago, Matthew Dominguez began working in the laundry department at TMC and has recently moved into grounds-keeping. The job is more than an eight-to-five for the young man; it’s a legacy.

“My grandfather, Keith Biggs worked at TMC for many years and just retired,” said Matthew. His grandfather is just one of his family members to work for TMC. “My dad, Ed and my stepmom, Melissa have worked for TMC for almost 15 years.”

Employment at TMC is important to the Dominguez family, and Matthew shared what they appreciate most. “Everything,” he said with a chuckle. “The environment, coworkers, the chance to make a difference in the community, even the history and knowledge.”

Matthew is a proud he and his family work at TMC, and he’s taking it a step further. “I encourage so many of my friends to apply for the TMC jobs they are qualified for.”

TMC logo
He says Tucson Medical Center is more than the place to work. “We always go to TMC if we need the Emergency Department or anything else – even more of our family have been patients.”

Tucson Medical Center is Tucson’s locally governed community hospital, where advanced technology meets compassionate care. TMC employees are more than a team, they are a family working together to build stronger health throughout Southern Arizona.

For more information about joining the TMC family, visit the TMC employment page.

 

 

Wound Care Awareness Week – celebrating treatments that are changing lives

Tucson Medical Center is honoring Wound Care Awareness Week by celebrating the treatments and therapies that are improving the quality of life for patients.

WoundCare 1Healing can be taken for granted – and many are unaware that a wound, sore or infection can be a significant challenge for seniors, diabetics and individuals experiencing illnesses that impede healing.

Several years ago, Carolyn Herman began noticing small red bumps that looked like insect bites – but each bump grew into a painful sore that would not heal.

As the sores grew in number and severity, Herman sought help from dermatologists who diagnosed her with Pyoderma Gangrenosum, a rare autoimmune disease whose cause is unknown. It began taking over her life, until she found the TMC Wound Care Center and hyperbaric oxygen therapy.

“It’s so frustrating because treating it is so hard,” Herman said. “Any small cut or skin rupture can turn into a very painful lesion.”

Wound Center Lavor“I just felt like things were always going to get worse,” Herman explained. “I saw specialists and wound centers, but it wasn’t getting better. I had tens of lesions on my body.”

In early 2016, Herman’s dermatologist referred her to the TMC Wound Clinic. “Everyone from the desk clerk to the nurses did a wonderful job of making me feel comfortable and at ease.”

Herman saw Dr. Michael A. Lavor, the medical director at the TMC Wound Clinic. Lavor performed surgery to address infections and prescribed ongoing hyperbaric oxygen (HBO) therapy.

“With HBO, the patient enters a hyperbaric oxygen therapy chamber that looks like a wide hospital gurney with a large, clear acrylic cover – like a tube,” said Heather Jankowski, the director of outpatient services at the TMC Wound Care Center.

Woundcare4“The chamber is filled with 100 percent oxygen, and the air pressure in the chamber is raised– which allows the lungs to safely absorb greater amounts of oxygen,” Jankowski continued. “HBO strengthens oxygen absorption, helping tissue heal more quickly and completely by stimulating growth factors and inhibiting toxins.”

Herman engaged more than 100 treatments, every day for two hours. HBO is not painful and many patients sleep through it. Still, engaging so many treatments can take its toll. “The staff was so good to me, they were always compassionate and thoughtful – it made 117 treatments doable.”

The HBO provided great relief and sped healing. “I’m doing wonderful now – my infections are gone and I’m managing my condition much more easily,” Herman said enthusiastically.

The TMC Wound Care Center has been serving Southern Arizona for five years and treats a wide variety of patients with healing challenges such as diabetic foot ulcers, venous stasis ulcers, failed flaps, and ORN of the jaw.

For further information about the TMC Wound Care Center, please visit the webpage or call (520) 324-4220. Call (520) 324-2075 for scheduling.

 

Osteoporosis: “The most important factor is prevention”

May is Women’s Health Month, a great time to celebrate and promote stronger health and a perfect time to discuss the latest information about preventing and treating health challenges like osteoporosis.

More than 44 million American women experience the debilitating effects of the bone disease, and many women fear aching joints and brittle bones are an inevitable part of aging. It is important to know the risks, and engage opportunities to maintain optimum bone-health.

Dr. Lawrence R. Housman is an orthopaedic surgeon who specializes in musculoskeletal disease at Tucson Orthopaedic Institute. He sat down with us to discuss the best ways to prevent and treat osteoporosis.

OsteoporosisWhy are women at greater risk for osteoporosis?  

Women start with a lower bone density than men. They also lose bone mass more quickly as they age. Between ages 20-80, women will lose about 1/3 of her bone density compared to men who lose only 1/4 of their bone density in that time frame. Estrogen levels also affect bone density, and women lose bone mass more quickly in the years immediately following menopause than at any other time of their lives.

What can accentuate this risk?

Alcohol in moderation is not a risk factor, however more than four drinks per day results in a twice the risk of hip fracture. Steroids can also increase this risk. Long term use of steroids will double the risk of fracture in women.

It should be noted that proton pump inhibitors (e.g. Nexium/Protonix used for stomach disorders such as acid reflux) decrease the absorption of calcium from the stomach.

While increasing fiber, phylates (beans, wheat bran), oxalates (spinach, beet greens, rhubarb) and phosphorus (colas) can provide other health benefits they can also interfere with calcium metabolism.

What are the most effective means of preventing osteoporosis?

Regular exercise is one of the most effective means of preventing osteoporosis. Thirty minutes per day – walking is excellent, and Tai Chi reportedly decreases falls by 47 percent and hip fracture by 25 percent.

Nutrition is another import part of maintaining healthy bones. Fruits and vegetables are important. Women ages 19-50 should take in 1000 mg of calcium daily and women older than 50 should get 1200 mg per day.

Vitamin D is another vital nutrient the body needs to prevent osteoporosis. An individual can get their vitamin D through measured exposure to sunlight or through supplements. A diet with dairy, protein or calcium fortified foods (e.g. orange juice), fish (salmon/sardines) and yogurt (6 ounces has 300 mg of calcium) will go a long way in getting vitamin d to the bones.

What are the warning signs of the disease – and when is it time to see a doctor?

There are usually no warning signs before a fracture occurs; therefore, the most important factor is prevention.

A primary care provider (PCP) is the best person to monitor bone health. Most physicians recommend a DEXA (bone density test) after the age of 50.

The DEXA scan is the bone density test done most frequently and is predictive of fracture risk. The scan will also show whether you have normal bone density, osteopenia (bone is becoming weaker) or osteoporosis (bone is at high risk for fracture).

If a fracture occurs, then an orthopaedist would enter the picture to advise on treatment concerning the spine or extremity fracture.

If diagnosed with osteopenia or osteoporosis – what’s next?

With treatment patients can live normal, active and happy lives.

There are many types of medications that are now available – which work to reverse and then rebuild the bone loss. With treatment, the risk of a vertebral fracture drops from between 30-70 percent and the risk of a hip fracture drops by up to 40 percent.

Housman OsteoporosisDr. Housman is an orthopaedic surgeon who practices at the Tucson Orthopaedic Institute. He earned a medical degree from the University of Alberta in Edmonton, Canada and completed an orthopaedic surgery residency at the Montreal General Hospital and McGill University. Dr. Housman is fellowship trained in several orthopaedic pursuits and is a past chief of staff at Tucson Medical Center. He has also served as president of the Western Orthopaedic Association and Arizona Orthopaedic Society.

 

 

American Health Care Act could devastate health care system, panelists say

NursingPhoto.jpgTucson Medical Center  – as well as other hospitals and health institutions across the country – will be under threat if 23 million people lose their insurance in the coming decade under the American Health Care Act.

That was the consensus of panelists at the Mayor’s Health Forum Tuesday, part of a series of forums taking place this week in cities across the state, from Phoenix to Flagstaff and Sedona.  The forum, held at the Pima County Housing Center, was organized by Planned Parenthood.

“Having access to health care means having access to affordable health care,” said Tucson Mayor Jonathan Rothschild, who served on the panel, which also included patients. “If you can’t afford it, you can’t access it.”

With uninsured rates are at historic lows, Rothschild said he had to change his general stance of staying out of federal policy. “Being mayor gives me plenty of do here locally, but this affects all of us – at the state and at the city level,” he said. “And if bad results occur and it is left to the cities to deal with it, we likely will not have the resources necessary to address it. So to me, this is personal.”

Julia Strange, the vice president of community benefit for TMC, said as the largest hospital in the city, TMC injects $740 million in economic impact into the region, supports nearly 6,000 jobs, cares for about 100,000 people a year in its emergency room, and reinvests millions back into the community in terms of education, outreach, charity care and other benefits.

“I tell you all of this because TMC will not be the same if the AHCA happens,” she cautioned.

After the Affordable Care Act brought coverage to 400,000 Arizonans, TMC’s charity care and bad debt plummeted from $25.8 million to $8 million. Unraveling that would undermine the viability of hospitals, which would ultimately impact everyone – from the vulnerable to the wealthy.

“Even if you have insurance from your employer or are extraordinarily wealthy, coming to the hospital is the great leveler,” Strange said. “In our country, we don’t have a healthcare system for the rich and a healthcare system for the poor: It is for the community as a whole, and we need to invest in it to make sure the services we need are available when we need them,” Strange said, adding it is a moral imperative to protect the most vulnerable.

Panelists urged attendees to share with their Senators, who are largely back in their districts, the need to reset the discussion to protect their constituents.

 

TMC now offering scheduled appointments for Pediatric Emergency Department visitors

TMC now offering online appointmentsEmergencies and convenience don’t often intersect – but for those who can wait to seek medical care, Tucson Medical Center now offers scheduled pediatric appointments to make emergencies just a little easier.

Emergency Department appointments are not appropriate for those children with emergent medical conditions.

But for others, the new service offers a convenient alternative that allows them to rest in the comfort of their own home while waiting for a prescheduled time.s.

The new tool, which is easily accessible on the TMC website at www.tmcaz.com, allows patients to go online to review a list of open appointment times and secure that time slot.

Patients should know that although TMC strives to see patients as close to their appointment time as possible, projected wait times may be impacted if patients with more significant emergencies present for emergency care or if their case is determined to be more serious after a medical screening exam by a provider.

For more information, please visit www.tmcaz.com

We Are Champions initiative boosting community’s health care knowledge

We Are Champions patio

We Are Champions is an initiative created by the TMC Foundation to build a healthier Southern Arizona by bringing the community and health care knowledge together.

The group organizes in-depth health care presentations that cover important information regarding health and the health care system – helping each member champion stronger wellness and knowledge throughout our communities.

The presentations are conducted by health care leaders, offering the most current information about the technologies being used at Tucson Medical Center and the opportunity to ask questions and share experiences.

Luis LeonA recent discussion featured accomplished vascular surgeon Dr. Luis Leon, where the crowd learned details about the body’s vascular system and new advancements being used to treat complex vascular challenges.

Members will also receive guided tours of TMC, with information about each department and service line.

“This is a great way for our community to come together and share health care knowledge throughout Southern Arizona,” said Michael Duran, TMC vice president and chief development officer.

Future presentations are planned throughout the year, with the next being held by Dr. Michele Boyce Ley, a fellowship-trained breast surgical oncologist.

We Are Champions Adaline KlemmedsonAdaline Klemmedson, steering chair of We are Champions also shared her enthusiasm, “It is my privilege to be a part of Tucson Medical Center’s We Are Champions and I look forward to watching it grow in the future, particularly with your participation. We are excited to present a lecture series, facility tours and much more.  Please join us to learn more about TMC, your community hospital.  And through this experience, you will become a more healthy and informed you!”

For more information about We are Champions, call (520) 324-2296, email Krissy King or visit the We are Champions website.

 

TMC celebrates 200 TAVR procedures – Tucson visitor thankful for life-saving technique

Furman 2Pennsylvania residents Frank and Jan Furman travel to Tucson every winter. This year, the couple was also visiting to attend an award ceremony for their daughter.

While in Tucson, a cardiac emergency put Frank Furman’s life in jeopardy. Thanks to a minimally invasive heart procedure known as TAVR, Furman has a new lease on life and was able to attend his daughter’s ceremony only a few days after the procedure.

Tucson Medical Center is celebrating the completion of 200 TAVR heart procedures. TAVR stands for transcatheter aortic valve replacement, a technique used to replace the aortic heart valve with less scarring, pain and recovery time than traditional open-chest surgery.

Furman had been experiencing some heart challenges, but received the OK to travel. Still, Jan worried for her husband as they made their way from Erie, Pennsylvania to Tucson. “He’s such a trooper and never complains, but I could tell he was more winded than usual.”

TMC Cardiovascular CenterThe couple enjoys southwest culture, and visited one of their favorite Tucson spots. “I couldn’t miss the Sons of the Pioneers show at Old Tucson Studios,” Furman said with a smile. But it was during the performance that things took a turn. Furman became so faint and winded after walking just 15 feet that he had to stop to catch his breath. The frightening experience motivated him to seek a cardiologist at Tucson Medical Center.

The structural heart team at TMC completed a number of advanced diagnostics and determined Furman’s aortic valve needed to be replaced immediately. While his family was concerned for his health, Furman had something else on his mind. “My daughter’s award ceremony was five days away – she’s worked so hard and I didn’t want to miss it,” Furman said.

waggonerThe close-knit family received some relief when Interventional Cardiologist Dr. Thomas Waggoner explained Furman was a strong candidate for TAVR.

With TAVR, an interventional cardiologist (or surgeon) guides the new heart valve through a catheter inserted in the upper thigh. The cardiologist then maneuvers into the heart and expands the new valve over the damaged valve, effectively replacing it with a tight seal.

The minimally-invasive procedure is an effective option for patients who are an intermediate/high surgery risk. In addition, patients experience minimal discomfort and a three-day average hospital stay – with patients returning to their normal activity after discharge.

“I felt better almost instantly,” Furman said. “The next day I was walking so fast that the physical therapist told me to slow down.”

Two days later, Furman left the hospital feeling great. “He looked so good! His face was full of color again and he had no trouble getting around,” said Furman’s wife, Jan. As for pain, “He didn’t even fill the prescription for pain meds,” she said happily.

Frank Furman’s life has changed; he’s no longer winded, has a strong prognosis and looks forward to rounding up the golf clubs again. “It’s the best thing that happened,” his wife of 57 years said.

TAVR Frank FurmanFurman wasn’t shy about sharing what he thought the greatest advantage of TAVR was. “I recovered fast enough to see my daughter Cheryl receive the Most Inspirational Mentor of the Year award; it was fantastic.”

TAVR is one of many procedures performed through TMC’s structural heart program, featuring advanced technologies, a specially-trained staff and a team of physicians who work with patients to evaluate and determine the best treatment plan.

The Furman family will soon be returning to Pennsylvania, where a new schedule for the patriarch includes walking, golf, cardiac rehabilitation and maybe a little more golf. When asked what he’d say to patients who are candidates for TAVR, Furman didn’t mince any words. “Go do it!”

Services Thursday for cardiologist Marius Wagner

Wagner-2012Marius Wagner, M.D, was known by many at Tucson Medical Center as a talented healer.

With a lifelong sense of duty to care for the sick, he practiced interventional cardiology as a partner at Pima Heart Associates for 30 years.

“Dr. Wagner was a great cardiologist and friend to many,” said Anita Bach, TMC’s Cardiovascular and Imaging Service Line Administrator. “He was extremely passionate about the care he provided to his patients and was often described as a big ‘teddy bear’ to those who knew and loved him. He will be missed in the cardiology community; especially at TMC where he served as our Cath Lab Medical Director for several years.”

Dr. Wagner completed medical school at the University of Medicine and Pharmacy in Romania and immigrated to America in 1975, where we would complete his internship and residency at Bronx-Lebanon Hospital. His Cardiology Fellowship was completed at Coney Island Hospital.

Board Certified in both Internal Medicine and Cardiovascular disease, Dr. Wagner moved to Tucson in 1983.

On Dr. Wagner’s Pima Heart site, he shared, “I practice medicine the old-fashioned way so I really enjoy interacting with my patients and hearing about their backgrounds and experiences. Every day I learn something new and interesting”

Prayers and a eulogy will be offered at 9:30 a.m. on Thursday, May 25, 2017 at the Chapel of the East Lawn Palms Mortuary, 5801 E. Grant Road.

To read more about Dr. Wagner’s life, please visit

http://tucson.com/lifestyles/announcements/obituaries/wagner-marius-m-m-d/article_5f715937-4b51-5f3e-85df-187166627a2e.html

TMC receives prestigious Get With The Guidelines-Stroke Gold Plus Quality Achievement Award with Target: Stroke Honor Roll Elite

American Heart Association recognizes TMC’s commitment to quality stroke care

TMCawardedGetWithGuidelinesTucson Medical Center is pleased to announce that our hospital was recently honored with the American Heart Association/American Stroke Association’s Get With The Guidelines®-Stroke Gold Plus Quality Achievement Award with Target: StrokeSM Honor Roll Elite. The award recognizes TMC’s commitment to providing the most appropriate stroke treatment according to nationally recognized, research-based guidelines based on the latest scientific evidence.

Hospitals must achieve 85 percent or higher adherence to all Get With The Guidelines-Stroke achievement indicators for two or more consecutive 12-month periods and achieve 75 percent or higher compliance with five of eight Get With The Guidelines-Stroke Quality measures to receive the Gold Plus Quality Achievement Award.

To qualify for the Target: Stroke Honor Roll Elite, hospitals must meet quality measures developed to reduce the time between the patient’s arrival at the hospital and treatment with the clot-buster tissue plasminogen activator, or tPA, the only drug approved by the U.S. Food and Drug Administration to treat ischemic stroke. If given intravenously in the first three hours after the start of stroke symptoms, tPA has been shown to significantly reduce the effects of stroke and lessen the chance of permanent disability. Tucson Medical Center earned the award by meeting specific quality achievement measures for the diagnosis and treatment of stroke patients at a set level for a designated period.

These quality measures are designed to help hospital teams follow the most up-to-date, evidence-based guidelines with the goal of speeding recovery and reducing death and disability for stroke patients.

“A stroke patient loses 1.9 million neurons each minute stroke treatment is delayed. This recognition further demonstrates our commitment to delivering advanced stroke treatments to patients quickly and safely,” said TMC’s Stroke Program Coordinator Renee McAloney.  “TMC continues to strive for excellence in the acute treatment of stroke patients. The recognition from the American Heart Association/American Stroke Association’s Get With The Guidelines-Stroke further reinforces our team’s hard work.”

TMC has also met specific scientific guidelines as a Primary Stroke Center and as a Comprehensive Stroke Center, featuring a comprehensive system for rapid diagnosis and treatment of stroke patients admitted to the emergency department. Certification as a Comprehensive Stroke Center, through the Healthcare Facilities Accreditation Program, is a prestigious designation held by only two hospitals in the state of Arizona.

“The American Heart Association and American Stroke Association recognize TMC for its commitment to stroke care,” said Paul Heidenreich, M.D., M.S., national chairman of the Get With The Guidelines Steering Committee and Professor of Medicine at Stanford University. “Research has shown there are benefits to patients who are treated at hospitals that have adopted the Get With The Guidelines program.”

Get With The Guidelines®-S puts the expertise of the American Heart Association and American Stroke Association to work for hospitals nationwide, helping hospital care teams ensure the care provided to patients is aligned with the latest research-based guidelines. Developed with the goal to save lives and improve recovery time, Get With The Guidelines®-S has impacted more than 3 million patients since 2003.

According to the American Heart Association/American Stroke Association, stroke is the No. 5 cause of death and a leading cause of adult disability in the United States. On average, someone in the U.S. suffers a stroke every 40 seconds, someone dies of a stroke every four minutes, and nearly 800,000 people suffer a new or recurrent stroke each year.

 

 

TMC participates in compression-only World CPR challenge May 25

Picture1When real estate broker Gary Brauchla’s heart stopped in 2012, his wife knew to immediately begin CPR until rescuers could arrive.

“At 3 a.m., when I went into Cardiac Arrest and died:  If Kathie would have waited just the six minutes until the first responders arrived, I would not have survived,” Brauchla said. “Instead, she immediately called 911 and began pushing hard and fast. She saved my life – and will always be my hero.”

Would you know what to do if a loved one – or even a total stranger – suddenly collapsed nearby?

Tucson Medical Center, American Medical Response and Brauchla’s nonprofit, Arizona Cardiac Arrest Survivors, will team up on Thursday, May 25 from 8 a.m. to noon at various points on the TMC campus to participate in the World CPR Challenge to train as many people as possible in compression-only CPR.

Bystanders will have a chance to quickly learn two crucial life-saving steps: Call 911 and push hard and fast on the chest in uninterrupted rhythm to the Bee Gees hit “Stayin’ Alive.” Participants will be able to practice on a mannequin at tables staffed by instructors.

According to the American Heart Association, most people who experience sudden cardiac arrest die because they do not receive immediate CPR, which could otherwise double or even triple a person’s chance of survival.

The Association has maintained that compression-only works just as well as traditional CPR in sudden cardiac arrest cases. It can be easier to apply and eliminates a barrier for those who are reluctant to perform mouth-to-mouth resuscitation.

“We hope to train as many people as possible at this life-saving event, so that rather than stand by helplessly, they can take action and help another person,” said Alex Lopez, AMR account executive.

 


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