Winter 2014 Reducing Pain with Shoulder, Spine Surgery Urgent Care: Now in Hudson Could You Have a Sinus Infection? Tiny Camera, Small Incisions, Big Benefits: Shoulder Arthroscopy S houlder arthroscopy has been performed for decades and has made treatment of shoulder problems safer, easier, and faster than ever. Maybe that’s why more than a million are performed around the world every year. Q: What is shoulder arthroscopy? A: It’s a procedure that surgeons use to diagnose and repair problems in the shoulder joint. Your surgeon makes a small cut in your shoulder, about the size of a buttonhole. Through it, he or she inserts a small camera that is connected to a video monitor in the operating room. This allows the surgeon to see the inside of your shoulder. Your surgeon may insert other instruments through one to three more small cuts. Most people receive a nerve block to numb their arm and shoulder during the procedure. You may also be lightly sedated. Q: H ow is arthroscopy different from traditional surgery? Q: W ho can have shoulder arthroscopy? A: It uses small incisions to access your shoulder joint. In traditional open surgery, large incisions are made to completely expose the joint. Smaller cuts generally mean less pain, fewer complications, shorter hospital stays, and faster recovery. A: Y ou might be a candidate if you have shoulder problems that persist despite nonsurgical treatment, including rest, physical therapy, medicine, and injections. Q: W hat shoulder problems can it help? A: A rthroscopy is used to repair many conditions, including: •Tears in ligaments that help stabilize the shoulder •Partly or fully dislocated shoulder •Tears to the rotator cuff, the muscles or tendons that attach your upper arm to your shoulder blade •Inflammation or damaged lining of the joint, such as from rheumatoid arthritis •Shoulder impingement syndrome, when the shoulder needs more room to move around Q: How long is recovery? A: A fter a simple arthroscopic repair, you’ll probably wear a sling and feel some pain and discomfort for at least one week. Recovery from more complicated procedures takes more time. But if the surgery is successful, most people resume their favorite activities, with less shoulder pain and better quality of life than beforehand. Welcoming Dr. James Hurt Caldwell is pleased to welcome orthopedic surgeon James Hurt III, M.D., of Carolina Orthopaedic Specialists to our Active Medical Staff. Dr. Hurt provides orthopedic care and orthopedic sports medicine at Caldwell and at our George M. Hancock Surgery Center. Providers wishing to refer patients to Dr. Hurt for care in our facility may do so by calling his practice at Carolina Orthopaedic Specialists at 828-758-7091 or Caldwell at 828-757-5100 for after-hours or emergency referrals. Carolina Orthopaedic Specialists is not a division of Caldwell Memorial Hospital. 2 winter 2014 vital link Understanding Spinal Stenosis W hen the spinal canal narrows and pinches the nerves, resulting in leg pain that is worsened by walking or standing, this is called spinal stenosis. The risk of developing spinal stenosis is greater for adults older than 50, although younger people who are born with a small spinal canal may also develop symptoms. Aging can cause ligaments (tissues that connect the spine and bones) to become thicker and the disks between vertebrae to break down. The combination of these degenerative changes may cause spinal stenosis. Watch for These Signs Symptoms include pain and difficulty walking, as well as numbness, tingling, a sensation of hot or cold, weakness, or a heavy, tired feeling in the legs. You might also experience clumsiness or frequent falls. If you notice any of these symptoms, talk with your doctor. He or she may recommend medication or injections to reduce swelling and pain; posture changes; physical therapy; or weight loss. Surgery may be considered, too, depending on the outcome of other treatments and the severity of symptoms. In some cases, less-invasive techniques can be used. Preventing Spinal Stenosis Although this condition can be treated, prevention should be a primary focus. Staying physically fit and getting regular exercise can contribute to a healthier spine by improving endurance and strengthening the back muscles. Maintaining a healthy weight can reduce the load placed on the spine. Smokers should quit because smoking can cause the spine to degenerate faster than the normal aging process. u Does Pain Stop Yo ? from Embracing Life re and state-of-the- sive spine ca If so, the comprehen center es at Caldwell’s spine ar t surgical techniqu . ain you love your life ag program may help edures for mally invasive proc The latest in mini performed e ar ies ns and injur many spine conditio m the fro ief rel s d patient here, offering qualifie stenosis, l ina sp r ba ns as lum pain of such conditio l injur y. Our scoliosis, and spina adult degenerative emphasis program features an complete spine care and, as py era and physical th on patient education anagement. appropriate, pain m , please visit For more information rial.org. www.caldwellmemo Spinal Surgery at Caldwell At Caldwell, orthopedic spine surgery is performed by Matthew Hannibal, M.D., medical director of our spine center program and a member of our Active Medical Staff. Providers wishing to refer patients to Dr. Hannibal for care in our facility may do so by calling his practice at Carolina Orthopaedic Specialists at 828-758-7091 or Caldwell at 828-757-5100 for after-hours or emergency referrals. Carolina Orthopaedic Specialists is not a division of Caldwell Memorial Hospital. www.caldwellmemorial.org 3 Growing Our Medical Staff to Meet Your Needs for Care J. Laird Griffin, M.D. Gynecologist at Laurel Park Women’s Health inside Falls Medical Park, 4355 Hickory Blvd., Lower Suite B, Granite Falls 828-757-8251 Dennice H. Herman, M.D. Adult Medicine Physician Robbins Medical Park 322 Mulberry St. SW, Lenoir 828-757-6400 James A. Hurt III, M.D. Orthopedic Surgeon and Orthopedic Sports Medicine Physician at Carolina Orthopaedic Specialists 232 Sharon Ave. NW, Lenoir 828-758-7091 arolina Orthopaedic Specialists is not a C division of Caldwell Memorial Hospital. Chris McMath, M.D. Pediatrician at The Falls Pediatrics inside Falls Medical Park, 4355 Hickory Blvd., Lower Suite, Granite Falls 828-757-5050 Mark C. Nenow, M.D. Otolaryngologist at Robbins Ear, Nose, Throat & Allergy inside Robbins Medical Park, 322 Mulberry St. SW, Lenoir 828-757-6464 Brian Tyler, M.D. Pediatrician at Mulberry Pediatrics inside Mulberry Medical Park, 401 Mulberry St. SW, Suite 202, Lenoir 828-757-5509 ulberry Medical Park is not a division of M Caldwell Memorial Hospital. 4 winter 2014 vital link Carotid Stenting Is an Option for High-Risk Patients People who suffer from carotid artery disease but are too high-risk for open surgery may be candidates for a treatment called carotid stenting. This minimally invasive procedure is helping save lives by reducing the blockages that otherwise may lead to stroke. Carotid arteries carry blood from your heart to the brain. If plaque begins to build up in them, it can narrow or block the passage of blood, potentially causing a stroke. Carotid endarterectomy is the most commonly used method to open blood flow in the carotid arteries. This surgical procedure involves manually scraping out and removing plaque from the artery. Carotid stents offer a minimally invasive alternative. Usually performed following an angiogram—a procedure in which a balloon is inflated inside the artery to push plaque against the artery wall—carotid stenting is done under local anesthesia through a tiny cut in the groin. A thin mesh cylinder called a stent is guided by a catheter to the narrowed artery. The stent works like scaffolding, holding open the artery to allow free flow of blood. Caldwell is among the first 25 hospitals in North Carolina to be approved by the Centers for Medicare & Medicaid (CMS) for carotid artery stenting reimbursement. Previously, regional patients were referred to hospitals in cities such as Asheville, Charlotte, or Winston-Salem. Now, patients and their health care providers have a convenient option for this high-level, specialty care. We Are Here for You At Caldwell, stenting is performed by Peter N. Purcell, M.D., endovascular surgeon and a member of our Active Medical Staff. Providers wishing to refer patients to Dr. Purcell for care in our facility may do so by calling his practice at Horizon Surgical Specialists at 828-758-5501 or Caldwell at 828-757-5100 for after-hours or emergency referrals. Horizon Surgical Specialists is not a division of Caldwell Memorial Hospital. Patient Is Thankful for the Center for Wound Treatment It’s been a long road, to say the least. M ary Haas has been through 18 operations in just three years. Some of those surgeries removed some of her toes. But that hasn’t slowed her down much. Mary has two good legs and she is thankful to use them! After Mary had a heart attack in 2010, her cardiologist suggested she tell her primary care doctor that she was having foot pain and difficulty walking. Mary’s diabetes and previous years of smoking had placed her feet at risk. Her doctor sent her to Caldwell’s Center for Wound Treatment, where she quickly became a patient of Caldwell’s very unique limb salvage team. “The team brings together the endovascular team, podiatry, and the Center for Wound Treatment,” says Peter N. Purcell, M.D., endovascular surgeon and a founding member of the team. “This made it much easier for us to coordinate daily on the multidisciplinary approach that’s been shown nationally to have the best limb salvage rates.” This collaboration of care includes: •Endovascular and vascular surgeons Dr. Purcell and Donald Stewart IV, M.D. •Foot and ankle surgeon P. Ross Jenkins, DPM •Acute care nurse practitioner Lindsey M. Lance •Nurses and physical therapists at the Center for Wound Treatment Since it was created, the limb salvage team has treated more than 250 cases. The feet and legs are greatest at risk for amputation, and wounds on the foot most often place the leg at risk. Pictured: Mary Haas (front row, second from left) with Center for Wound Treatment staff. Meet Our Provider Team Members 1 2 3 4 Horizon Foot & Ankle 1. P. Ross Jenkins, DPM Horizon Surgical Specialists 2. Peter N. Purcell, M.D. 3. Donald Stewart IV, M.D. 4. Lindsey M. Lance, ACNP And how is Mary now? On Christmas Eve 2012 she took her first three steps. Today, she walks without assistance, and she certainly doesn’t ride. “I wasn’t going to be pushed around in a wheelchair forever,” she says. “I made up my mind I wasn’t going to give up walking. “All the doctors, the nurses, and the staff have helped me so much!” she says. “I almost died four times but they worked to help me and I really appreciate them all.” Dr. Purcell says: “I am really very proud of the limb salvage team. The expertise and coordination of care it offers to patients of our region is as good as—or better than!—that offered anywhere in the United States.” Call 828-757-5916. Horizon Foot & Ankle is a division of Horizon Surgical Specialists. Neither is a division of Caldwell Memorial Hospital. www.caldwellmemorial.org 5 PLUS Urgent Care Now in Hudson H udson recently became home to Caldwell’s third PLUS Urgent Care location. The new service opened at A.P. and Bunch Anderson Medical Park (270 Pine Mountain Road) in December. PLUS Urgent Care is a convenient alternative for patients when regular physicians’ offices are closed or when patients cannot see their health care providers as soon as they would like. PLUS Urgent Care is also convenient for patients without a regular medical home who need to access the services of a medical provider on short notice. PLUS Urgent Care is for problems such as: • Colds • Flu • Sore throats • Ear aches • Minor infections • Minor cuts • Minor burns • Scrapes, bumps, or bruises • Treatment for asthma • Headaches and migraines • Urinary tract infections • Sports injuries • Sprains and strains • IV therapy for dehydration Urgent care is not for medical emergencies. Anyone experiencing a medical emergency should call 911 or go to the nearest hospital emergency department for treatment. Like most urgent care offices, PLUS Urgent Care can see you at your time of need, and PLUS Urgent Care accepts most health insurance plans, Medicare, and Medicaid. For patients of Caldwell Physicians practices, there may be an additional benefit. The providers at PLUS Urgent Care locations may be able to access your medical records electronically in order to enhance their ability to treat you appropriately. You do not have to be the patient of a Caldwell Physicians practice to use PLUS Urgent Care. PLUS Urgent Care at Anderson Medical Park is open the same hours as Caldwell’s other PLUS Urgent Care locations (Falls Medical Park in Granite Falls and Robbins Medical Park in Lenoir): Monday through Friday from 8 a.m. until 8 p.m. and Saturday and Sunday from 10 a.m. until 6 p.m. Appointments are not needed. A.P. and Bunch Anderson Medical Park is also home to family medicine and HealthWorks. Tips for Talking with Your OB-GYN or CNM Health care providers sometimes seem to speak a language all their own. But to communicate with yours, you don’t have to learn “medical-speak.” Just try to be as clear and honest as you can. And don’t worry about bringing up embarrassing topics—your health care provider discusses sensitive issues every day. An obstetrician-gynecologist, or OB-GYN, and a certified nurse midwife, or CNM, are health care providers who specialize in the care of women of all ages. They provide a wide range of services, including: •Prenatal, pregnancy, and postnatal care •Screenings, such as Pap tests, mammograms, and pelvic exams •Postmenopausal care 6 winter 2014 vital link Additionally, OB-GYNs perform surgery, including procedures to treat conditions of the urinary tract and pelvic organs. When you see your OB-GYN or CNM, it’s important to share information about the following: •Whether you are or might be pregnant, as well as detailed information about any previous pregnancies •Your history of menstrual periods •Your sexual habits •Unusual symptoms, such as nipple discharge, genital itching, painful urination, or severe pelvic pain—including when they started and what, if anything, triggers them •What medicines you take •Any other health care specialists you see Could You Have a Sinus Infection? G ot a cold that just won’t go away? It might be more than just a cold. It could be a sinus infection. Sinus infections often start with a cold. Allergies, pollution, and temperature changes are also common culprits. A cold usually goes away after a week or two, but a sinus infection can last longer. Plus, sinus infections usually cause more symptoms than colds do. They include a stuffed or runny nose with thick green or yellow mucus, headache, facial pain, and fever. To muzzle sinus symptoms, try the following strategies: • Drink plenty of fluids. • Inhale the steam from a hot shower or a vaporizer. • Moisten sinuses with an over-the-counter (OTC) saline nasal spray. • Ease pain by placing warm compresses over the sinus area. OTC painkillers, such as acetaminophen, also may help. • Try an OTC decongestant nose spray—but only for a few days. Longer use actually can cause more congestion. Sinus infections often clear up on their own. But if your symptoms are severe, last more than 10 days, or worsen after five days, talk with your doctor. Welcoming Dr. Mark Nenow If you are suffering from chronic sinusitis, call for an appointment with otolaryngologist Mark Nenow (pronounced Knee-no), M.D., at Robbins Ear, Nose, Throat & Allergy. Dr. Nenow specializes in the diagnosis and treatment of conditions affecting the ear, nose, and throat, and he treats allergies, which can contribute to sinus problems. Robbins Ear, Nose, Throat & Allergy is located in Robbins Medical Park across from Caldwell. Call 828-757-6464. Complete Care for Women Laurel Park Women’s Health provides a full range of obstetric and gynecologic care, including menopause care, annual examinations, birth control, infertility evaluation and treatment, urinary services, and more. Care is provided in Lenoir by David J. Evans, M.D., and Deanna Talbert, CNM (left). In Granite Falls, gynecology care is provided by J. Laird Griffin, M.D. (above right). Dr. Griffin transitioned his obstetrics practice last fall to Dr. Evans and Ms. Talbert. Call for information or appointments at either of our locations: 222 Morganton Blvd. SW, Lenoir • 828-757-3301 4355 Hickory Blvd., Lower Suite B, Granite Falls • 828-757-8251 www.caldwellmemorial.org 7 Caldwell Memorial Hospital P.O. Box 1890 Lenoir, NC 28645-1890 Postmaster: Please deliver between January 27 and 31. Nonprofit Org. U.S. Postage PAID Caldwell Memorial Hospital Laura J. Easton President and CEO, Caldwell UNC Health Care Kimberly P. Edmisten Director of Public Relations Caldwell UNC Health Care Vital Link Editor The material in Vital Link is provided for information only and is not meant to provide medical advice on personal health matters. Such advice should be obtained directly from a physician. Unless otherwise noted, all practices and affiliates named in this publication are divisions of Caldwell Memorial Hospital. © Caldwell Memorial Hospital 2014 Printed on Recyclable Paper 734M Two Men and a Stove It’s Soup Time When it is co ld outside, a hot bowl of so the inside ou up warms yo t. u from While visiting our daughter duced to a si in northeast mple yet tast Italy, I was in y local soup. troyota) is a pe Jota (pronoun asant soup cr ced eated in this reflects the region of Ital influence of y that the German of many resi and Austrian dents. 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