PatientBond presentation at the AHIP 2019 Consumer Experience & Digital Healt...
Final Layout- YHM Summer 2015 Gala Promo
1. Foundation news
Show your heart for healing this fall
at the 2015 Peterson Regional Medical
Center Foundation Legacy Gala
See page 6 for details!
Peterson Regional Medical Center is the only hospital in Texas that is five-star rated for total
knee replacement, total hip replacement, and hip fracture treatment for five consecutive years.
matters
yourHealthpetersonrmc.com ■ Summer 2015
the new vip
Very important patients get
more out of health care. 8
er vs. urgent care
Do you know where
you should go? 2
do-it-all dads
The new family norm shows
fathers feel the pressure. 9
Medical Care When You Need It
Peterson Urgent Care:
2. Now Open: Peterson Urgent Care
Peterson Regional Medical Center opened Urgent Care
on June 1. Conveniently located at 1740 Junction Highway
(Spur 98/Hwy. 27 intersection), the clinic is open seven
days a week and holidays.
Hours of operation are Monday through Friday,
9 a.m. to 4 p.m., and weekends, 10 a.m. to 4 p.m.
No appointment needed.
Call 830-258-7NOW (830-258-7669).
M
aking choices can be
tough—especially
when you or
someone in your
family needs quick medical
attention and you don’t have much
time to decide where to go for
help—either an urgent care center
or the emergency room.
But knowing where to go for
appropriate care ahead of time is
important because studies show
that half of all emergency room
visits are not for true emergencies.
And the less of an emergency you
have, the longer you may have to
wait to get the care you need.
That’s because the doctors and
nurses are busy treating other
patients in life-or-death situations.
What’s the Difference?
An emergency room and urgent
care center offer some of the same
types of services, such as X-rays
and blood tests. But they differ
in important ways. For example,
an emergency room is open
24 hours a day, seven days a
week, and treats patients with
life-threatening illnesses or
injuries. An urgent care center
has limited hours and is designed
to treat minor medical problems.
What’s a True
Emergency?
Although this is not a complete
list, here are examples of true
emergency situations:
• Chest pain
• Trouble breathing
• Sudden, severe pain, such as a
headache or stomachache
• Head or back injuries
• Bleeding or vomiting that
won’t stop
• Loss of consciousness
Do You Know Where
The ER or Urgent Care Center:
2 Your Health matters Summer 2015
3. petersonrmc.com 3
W
hen you leave the
hospital after an
illness, the last
thing you want
to do is return. But one in five
older adults makes a repeat
visit the month after discharge.
According to a new Yale
University study, the risk of
heading back remains elevated
for months or even a year
afterward, depending, in part, on
the type of condition that took
you there the first time.
Doctors can help reduce
these risks by providing targeted
follow-up care, the study authors
note. But patients have a role to
play, too. Watch your health—or
your family member’s—closely
during the months after a
hospital visit. Report any
changes or concerns quickly to
the health care team.
The Price
of Admission
The first days home after
hospitalization pose a number
of risks. For one thing, you’re
still recovering from the illness
that required inpatient care to
begin with, be it pneumonia or
a heart attack.
But that’s not all. Your odds
of developing conditions not
related to your initial diagnosis
also increase. Why? Stress from
the hospital experience, changes
in medications, and exposure
to new infections create a bad
mix. You may develop a new
gastrointestinal, respiratory, or
other type of illness as a result.
Planning Starts
Before Discharge
Health care experts are working
to reduce these risks in several
ways. Some of this starts while
you’re still in the hospital.
Doctors now try to take better
care of your overall health and
encourage inpatients to eat well,
sleep properly, and move more.
Patients and their families
can take an active role in
preventing readmissions, too.
Keep a checklist for when you
check out. Make sure you
ask—and write down the
answers—to these questions:
• What should I do to continue
getting better?
• What problems should I
watch for? And what should
I do if I have them?
• What medicines do I need,
and how do I take them?
• Will I need a walker or other
medical equipment?
• Do I need to schedule
follow-up visits and tests?
Request written information
you can take with you about
your diagnosis and treatment
plan. And if you and your
family need further help coping
with the transition, ask whether
you can speak with a social
worker. He or she can speed
access to the resources you need
for a full recovery.
• Poisoning
• Major burns and cuts
• Choking
What’s an Urgent
Care Need?
An urgent care center is
the right place to go for
medical problems that
need immediate—but not
emergency—attention.
Examples of these types of
medical situations include:
• Minor sprains
• Small cuts
• Sore throats
• Fevers
• Ear infections
Even though an urgent care
center can provide important
medical treatment, if you are in
doubt, go to the nearest
emergency room or call 911.
Avoid a Round-Trip
Ticket Back to the Hospital
ER
peterson medical center
2015.08.07
Peterson Community
Care (PCC), a
department of Peterson
Regional Medical Center,
celebrates three years
of specialized care.
The hospital-based
community clinic
specifically meets the
PRMC Board’s strategic
goal of Patient Access
to Appropriate Level
of Care by offering
quality primary care and
specialty care for all
patients seeking health
care at PRMC regardless
of payment status.
The clinic has
decreased charity
care and/or bad debt
absorbed by the
hospital, averaging
$2 million a month,
by reducing the number
of unfunded patients
entering the ER for
nonemergent care or
in place of a primary
physician. To date,
PCC has served over
5,000 patients and
growing!
PCC
Turns 3!
to Go?
4. 4 Your Health matters Summer 20154 Your Health matters Summer 2015
T
he American Academy of Pediatrics
recommends that mothers feed their
babies only breast milk for six
months and continue breastfeeding
for at least one year. After that, it depends
on how long the mother and child want to
continue. Remember that breastfeeding
even for a few weeks has positive effects.
Your friends and family may have
strong beliefs about when you should stop
breastfeeding. But in the end, it’s a very
personal decision. Only you and your child
know what’s best for the two of you.
reasons you may Stop
After nine to 12 months, your child may
decide that he or she no longer wants to
nurse. Some other reasons that you might
stop breastfeeding include:
• A business trip or other extended
absence from home
• A return to work. But you can keep
breastfeeding after you go back to the
office if you choose. Talk with your
employer about a more flexible
schedule, or ask your doctor or a
lactation consultant how to pump and
store your milk.
It’s important to consider your feelings.
Some mothers long to regain the
independence they had before they began
breast-feeding. Other moms feel guilty, sad,
or lonely when their children no longer
want to nurse. They miss the bonding they
experienced with their children while
breastfeeding. Remember that your child
will still need you even after he or she is
done breastfeeding. Weaning is the start of
a new stage in your relationship.
Changes Your Body May Face
When you stop breastfeeding, expect
differences in:
• Breast size and shape. Your breasts
will probably get smaller again,
although it may take several months.
They might end up a slightly different
size or density than they were before
you got pregnant. If they feel too full,
try using your hand or a pump to
release a little bit of milk.
• Fertility. If you’re feeding your baby
only breast milk, your chances of getting
pregnant again are low for six months
after your baby is born or until you start
getting your period again. Your chance
increases when you stop breastfeeding.
Join Us for World Breastfeeding Week! Come to our annual World
Breastfeeding Week event, Saturday, August 1, from 10:30 a.m. to noon. Our
panel of experts, including a certified lactation consultant, midwife, and other
specialists, will discuss the stages of breastfeeding, laws protecting working
moms, and breastfeeding tips for a smooth transition at work. At exactly 10:30
a.m. to 10:31 a.m., join us to be part of The Big Latch On that takes place
worldwide with registered locations. For more information, call 830-258-7444.
Award-Winning
Efforts to Promote
Breastfeeding!
Peterson is a Texas Ten
Step facility, a designation
received by fewer than 100
hospitals in the state. We
employ an international
lactation consultant to offer
guidance on a successful
path to breastfeeding until
you’re ready to wean.
Visit www.texastenstep.org
to learn more.
When Should You Stop Breastfeeding?
5. Attend Our Annual Flu Shot Clinic
This year’s flu shot clinic will be held Wednesday, September 16, from 10 a.m. to
6 p.m. at the Hill Country Youth Events Center located off Hwy. 27. Vaccine details
(strains) and cost will be available soon. For more information, please call the HEB
Pharmacy at 830-896-0227 or Peterson Regional Medical Center at 830-258-7628
or the Texas Department of Health and Safety at 830-896-5515.
Several families that traveled
to Disneyland last winter came back
with an unwanted souvenir: measles.
Before this, the disease hadn’t struck the
United States since 2000.
Health experts believe low rates of
vaccination have allowed measles to
return—and spread. If current antivaccine
trends continue, they warn, more dreaded
diseases could make a comeback. After all,
even those eradicated from the country are
only a plane ride away.
Could Your Child Catch
These Diseases?
Emerging threats include:
1Chickenpox. Outbreaks of this disease
still occur. But each year, vaccines
prevent more than 3.5 million cases and
100 deaths.
2Mumps. Vaccination decreased
cases of the mumps from 200,000
to about 1,150 per year. However,
outbreaks have occurred at schools,
colleges, and camps.
3Polio. The United States hasn’t had a
case of polio in 30 years. Still, it affects
children in some African countries.
Dangerous Diseases That Might
Return—and How to Stop Them
Infected people can spread polio for weeks
before and after they have symptoms.
4Pertussis. Case study: In the late
1970s, whooping cough vaccination
rates dropped from 80 percent to
10 percent in Japan. Consequently, the
number of pertussis cases soared from 393
to more than 13,000. When kids began
getting shots again, the numbers fell.
5Rubella. Also called German measles,
this disease can be mild in children and
adults. If pregnant women catch it, their
babies may develop severe birth defects.
Prevent Diseases Safely
with Vaccines
The way to fight off these diseases? Vaccines.
But social media has spread questionable
information about the shots’ safety record.
As a result, some parents are hesitant or
flat-out refuse them for their children.
the flu vaccine lowers
the risk for flu-related
doctor visits by
—Centers for Disease
Control and Prevention
60%
5 However, evidence shows vaccines are
safe and save lives, preventing hundreds of
thousands of cases of disease each year.
Meanwhile, reports from organizations
like the Centers for Disease Control and
Prevention and the Institute of Medicine
have cleared vaccines of causing autism
and many other adverse effects.
Getting vaccinated protects not
only your child, but also others. This
concept is often referred to as herd
immunity. For example, if between
96 and 99 percent of the people in
a community get the measles vaccine,
those too young or sick for shots also
have protection. But experts believe
maybe as few as half of people near the
recent California outbreak had been
vaccinated. That left everyone—not just
those who skipped shots—at risk.
If you have questions or concerns about
vaccines, your child’s doctor can point you
toward reliable sources of information.
petersonrmc.com 5
6. 6 Your Health matters Summer 2015
This Fall, Show Your Heart
Mark your calendar for the 2015 Peterson Regional Medical Center Foundation Legacy Gala! Peterson
recognizes the continued community need for heart-related health care and we want to expand our
Peterson Heart and Vascular Center in response. Join us this November as we show our Heart for Healing.
>
>
>
Chad Houser’s charisma
and passion to teach life,
social, and employment
skills to Dallas’ most
at-risk youth makes him
a hit with everyone from
philanthropists and
dinner-goers to the young
men participating in
the program.
Photo Credit:
Stanton J. Stephens
Captain Jack Stevens and his wife,
Mrs. Frances Stevens, dance the night
away at the 2013 Legacy Gala.
Celebrity Chef
Cooking School
Thursday, November 12
CarteWheels Provisions &
Event Center
Discover the culinary heart of
Chef Chad Houser of Café
Momentum in Dallas at our
Celebrity Chef Cooking
School. Come enjoy wine
pairings and delectable culinary
delights as Chad Houser selects
quality ingredients, demonstrates
how to make his premier
recipes, and brings together a
complementary menu.
Café Momentum is a
restaurant training platform that
provides post-release paid
internships for juvenile offenders.
They receive life-skills training as
well as continued mentoring and
support to foster successful
re-entry into the community.
Meet Our 2015 Legacy Gala Honorary Co-Chairs
L to R: Jim & Carrie Wilson, Dell & Audrey Sheftall, Michael Melucci, M.D.,
Charles Rabinowitz, M.D, Nat Sanderson, M.D., and Feras Elbash, M.D.
7. petersonrmc.com 7
Legacy Gala
Saturday, November 14
A Heart for Healing—Gala evening
Hill Country Youth Event Center
Have a Heart for Healing at our
gala evening, where we will raise
funds for the Peterson Heart and
Vascular Center. Guests will dine
on a multicourse meal from Chef
Chad Houser and staff, while
enjoying the sounds and show of
The Grooves band, an exciting
combination of classic rock,
Motown, oldies, disco, rock and
roll, country, standards, swing,
eighties dance, plus all the most
up-to-date dance music.
As an independently owned
community hospital, we need our
community support to continue our
vision of world class care—today,
tomorrow, and always. The focus
of this gala’s funds will be on the
Peterson Heart and Vascular Center,
as well as on other important
hospital functions. PRMC desires to
add a second cardiac catheterization
lab as we experience increased
patient needs and services with
PRMC now performing stents to
open blocked vessels in the heart.
We want to continue increasing the
ability to care for cardiac patients
closer to home.
Register Today!
To learn more about the Legacy Gala or register online,
visit www.legacygala.org. You can also register by
calling 830-258-7411. Don’t delay! Seats are limited.
t for Healing
> Top L to R: Thomas and Sara Hamilton enjoy the Gala
VIP Reception with Frank and Julia Dunlap in 2013.
Bottom Harold Wilson, PRMC Board Member and his
wife, Judy Wilson, show their support for PRMC.
1. Be an event sponsor
or underwriter
2. Buy a table … or two!
3. Bring a friend or family member
Help us as we raise funds for the new
catheterization laboratory to circulate
healing in our region! For more information,
call Sumer Perkins at 830-258-7421
4. Tell a friend about our
event and PRMC services
5. Become a volunteer
5 Ways to Show Your Heart for Healing!
8. 8 Your Health matters Summer 2015
T
oday we have access to more
health information and resources
than ever before. Patients have
evolved from silent partners in the
health care system to savvy consumers.
They expect more. And physicians are
responding with specialized care and
services that put the patient first.
Care Focused on You
Research shows that patients who trust
their doctors and feel their needs are
respected require fewer tests and tend to be
in better health. There has been increased
attention on the patient-centered care
model recently. In this approach, the
physician focuses on the patient, not just the
health condition to be treated.
New Ways to Connect
Beyond patient-centered care, what exactly
does VIP—or very important patient—
service entail? You can:
• Stay in touch 24/7. Up to two-thirds
of doctors now communicate with
patients via email. And secure websites
called patient portals let you log on any
time. You can view or update records,
book visits, and request prescription
refills. You can often send and receive
secure messages, too.
• Follow your doctor on social
media. Many health care providers
post updates on Twitter, Facebook, and
other platforms. Some even use Twitter
as extensions of their offices—a tactic
called “TwitterCare.” They may send
drug-safety or disaster alerts, or provide
health tips.
• Sign up for “concierge care.” In a
concierge care arrangement, you pay a
membership fee to your doctor or a
group of doctors. In exchange, you can
expect some perks. For instance, you
may receive longer office visits,
same-day appointments, more thorough
checkups, and streamlined referrals.
Some even offer house calls and
24-hour access to doctors.
Not all experts agree when it comes to
concierge care, however. They question
how physicians will sustain these services
over the long term. How will they balance
concierge care patients and patients who
aren’t enrolled in the program? Also, they
raise ethical questions about patient equality.
Not every type of arrangement works
well with health care plans, either. To
address this issue, some doctors offer fees
on a sliding scale.
You Lead Your Care
Patient-centered care works best when you
take an active role in your treatment. Ask
questions if you don’t understand what your
doctor tells you. And make sure you’re clear
on any agreements you sign with your
doctor’s office, as well as what’s covered
under your health care plan.
very important patient
THE NEW VIP:
Proof Positive that Patients are Peterson’s Priority
What do you want families to
know about your role?
Ensuring patients and their families
have the best experience possible is
very important to PRMC, so
important that they implemented a
new position to explore and improve
the patient experience throughout
our organization.
What drew you to PRMC?
I worked for PRMC for nine years
previously and grew to love the people
of the organization and the people of
the community. After three years
obtaining administrative experience at
other hospitals, I recognized my main
passion is working to improve
compassionate care, and I feel
blessed that I was given the
opportunity to return to PRMC and
incorporate this passion into my work.
As director of patient experience,
what services do you provide?
My role is to improve patients’
physical, emotional, and spiritual
environment during their time with us.
I work closely with staff, striving to
incorporate empathy and compassion
into every interaction with patients
and family members. I recognize that
patients and family often feel
vulnerable and afraid when they have
to seek health care, and my goal is to
make the experience as comfortable
as possible.
When you’re not in the hospital,
how do you spend your free time?
I love to hike with my husband and
three Labradors.
Audrey Cortez, the new
director of patient experience
at Peterson Regional
Medical Center.
9. petersonrmc.com 9
Men Matter!
For the past three years, the Annual Men’s Event
has attracted an average of 80 to 100 participants,
both men and women. The 4th Annual Event
was another great success thanks to Dr. Michael
Rensch, Dr. Sylvester Ramirez, Dr. Charles
Rabinowitz, and Dr. Thomas Shaw. To learn
about upcoming health and wellness events,
email mypeterson@petersonrmc.com.
The new Family Norm:
Fathers Feel the Pressure
From childbirth classes to housework to high-powered careers,
today’s dads and stepdads do it all. That means they share the joy of parenting
with moms—but also its burdens.
A recent survey found family men have caught up to women in the stress
department. About half of fathers with outside jobs say they find it somewhat
or very difficult to balance work and family roles. That’s compared with 56
percent of working moms.
This stress has ripple effects throughout the whole family. Over time,
it can increase the risk for depression. Dads who feel strained or sad may act
differently toward their kids and partners. Some evidence suggests stressed-
out or depressed parents even affect children’s development.
Pressure Piles on Dads
What’s producing this pressure?
Experts point to a few trends:
• Changing social norms. Now,
most men aim to be loving,
supportive partners and parents
instead of merely breadwinners.
This modern version of fatherhood
may be more fulfilling, but it’s also
more challenging.
• Blending families. Some men
have several parental roles—for
instance, fathering roles will differ
for biological kids who don’t live
with their dads and stepchildren
who do. A recent study suggests
these dads feel the most stress of all.
• Career challenges. The most
recent recession left more men
than women out of jobs. The
resulting role changes and money
problems add to family tensions.
• Gender differences. Men tend
to express stress and depression
differently than women. They
may feel more emotions like anger
instead of sadness, or withdraw
from those they love the most.
Getting men the
Help they Need
Cultural ideas sometimes prevent
men from addressing these concerns.
In some cases, they don’t know they
can feel better. Or they think seeking
support makes them weak.
Fortunately for today’s dads,
experts now know that self-care and
professional treatment can ease stress
and depression. To cope with life’s
challenges, busy fathers (and
mothers) can:
• Use emergency stress
stoppers. Keep a list of quick
fixes to defuse moments of anger
or frustration. For instance, count
to 10, go for a walk, or take a few
deep breaths.
• Work it out. Physical activity
relaxes tense muscles and eases
anxious minds. Aim for about two
and a half hours of exercise
weekly.
• Plan ahead. At work or at home,
use to-do lists and prioritize your
time. Prepare yourself well for
difficult conversations, from job
interviews to confrontations with
the kids. Have a back-up plan if
things don’t go as expected.
Talk with a mental health
professional or doctor if you or the
man in your life feel overwhelmed
by pressure. These experts can
suggest other ways of coping. In
some cases, medications or therapy
can help fathers ease the strain.
10. A lack of rhythm may embarrass
you on the dance floor, but when it comes
to your heart, slipping out of sync has
much more serious consequences.
Hospitalizations for a type of irregular
heartbeat called atrial fibrillation—or
AFib, for short—increased about
23 percent between 2000 and 2010. In all,
the condition sent nearly 4 million
Americans to hospital beds during that
time. That’s according to a new study in
the journal Circulation.
Older, Sicker Population
Has More Heart Troubles
Atrial fibrillation occurs when the
electrical signals that control your heartbeat
go haywire. The atria, or small upper
chambers of your heart, quiver rapidly
instead of contracting fully. As a result,
your heart can’t pump blood properly.
As the population ages, more people
than ever are at risk for AFib, the
researchers note. In addition, other risk
Suspect an
Irregular Heartbeat?
Let Your Doctor Know
Introducing our
new cardiologist,
Feras Elbash, M.D.
Peterson Regional Medical
Center welcomes
Ahmad F. Elbash, M.D.,
our newest Cardiologist
with South Texas
Cardiovascular Consultants.
Dr. Elbash received his
Doctor of Medicine form
West Virginia University
in Morgantown, WV, and
completed his Internal
Medicine Residency
at Marshall University in
Huntington, WV. His
certifications include
American Board of Internal
Medicine, American Board
of Cardiovascular Disease,
and American Board of
Interventional Cardiology.
For more information or
to make an appointment,
call 830-258-7245.
factors for irregular heartbeats are on the
rise. These include high blood pressure,
sleep apnea, and diabetes.
Watch for These Red Flags
People with untreated AFib have five times
the risk of having a stroke as those with a
regular heartbeat. Talk with your doctor if
you have symptoms such as:
• Irregular or rapid heartbeats
• Thumping in your chest
• Frequent fainting
• Feeling weak or having trouble exercising
• Dizziness, shortness of breath, or anxiety
• Chest pain
Medications, a pacemaker, or
sometimes surgery can correct your
heart’s wiring problem. Download
resources on the condition, including a
treatment guide and medication tracker,
from the American Heart Association.
Just log on to www.heart.org and
search for “AFib.”
11. petersonrmc.com 11
Let’s face it: Our skeletons take a beating.
They help take us where we need to go and
perform the activities we want to do. But
they aren’t invincible, and it’s common to
experience aches and pains in your bones
and joints. Wondering what’s causing yours?
Although skeletal pain can have many
different causes and should be evaluated by
a doctor, below are a few examples of
common sources of pain.
Shoulder
Your shoulder is a prime target for painful
injuries. That’s because the ball of the joint
is larger than the socket that holds it, so it
can be easily dislocated. Repetitive motion,
injury, or wear and tear can also strain and
weaken the shoulder’s rotator cuff muscles,
increasing the risk for painful tears.
In addition to injuries, the shoulder can
develop conditions such as tendinitis and
bursitis, both of which cause joint inflamma-
tion and lead to growing pain and discomfort
in the shoulder. And like other joints in the
body, the shoulder can be affected by
osteoarthritis or rheumatoid arthritis.
Hips
When it comes to injury due to falls, the
hips are susceptible to painful fractures.
This is especially true for people who have
osteoporosis—thinning and weakening of
the bones.
But not all hip pain stems from
problems in the hip itself. For example,
pain in the back of the hip that travels
from the lower back to the buttocks may be
sciatica, a pinched nerve in the back.
Knees
The knees provide our body stability and
bear the brunt of our weight. But the many
parts of the knee are subject to disease or
injury. For example, because the knee is
under continuous strain, its protective
cartilage can gradually wear away over
time. The result? Painful osteoarthritis.
There are many ways the knee can
become injured. The meniscus, the
cartilage that provides padding between
the thighbone and shinbone, can be torn
if the knee is twisted while bearing weight.
The ligaments that hold the knee together
can be sprained or torn by a sudden twisting
motion. Tendinitis, which is inflammation,
can develop in the tendons, and the tendons
can be torn by overuse or falls.
Neck/Spine
Neck and back pain are very common,
and the causes are many. For example, it’s
possible to develop a condition called
spinal stenosis, a narrowing of the spinal
column that puts pressure on the spinal
cord and nerves, causing discomfort. Disk
degeneration, which occurs when the disks
between the vertebrae break down with
age and lose their cushioning ability, can
result in pain. And back sprains can occur
when twisting or lifting improperly.
Get Back to Life!
Peterson’s award-winning Back to Life total hip and total knee replacement program continues to
expand. Our new Center for Orthopedic Health encompasses our injury prevention, surgical, and
postsurgery recovery services and includes community education classes, inpatient and outpatient
rehabilitation, and support for you and your caregiver at any time along the way. To learn more about
our Back to Life program, contact Joint Education Coordinator Todd Lovelady at 830-258-7336.
What Pain in Those
Bones and Joints
Could Mean