2012 julyaugust medinfoonline · july • august 2012 | medinfo | 3 dr. lazar performed minimally...

2 | Medinfo | NWHOSPITAL.ORG

DIANE MIRANTE considers herself a lucky person – a job she loves, wonderful health and a

loving, supportive family.

“My everyday life is pretty ordinary,” she laughs. “I don’t consider myself special

in any way, but I am also blessed in many ways.”

Last year on Halloween, Mirante, 45, gave up smoking. A few days later, the

Magnolia resident woke with a dull ache between her shoulder blades. She has

worked in healthcare for more than 19 years – most recently as an admitting

representative, and prior to that as a certified nurse assistant – so she initially

took the achiness in stride.

As the days passed, the pain grew more severe. A normally active person,

Mirante had to curtail her activities, abruptly halting spinning classes and walks

with her dog, Rocco.

“I couldn’t even drive,” she said. “My mom drove me to medical appointments.”

Her primary care physician thought it was a cervical spine strain due to her

sleep position. Despite some recommended exercises and medications, the pain

became worse. She knew something was not right and, at that point, became her

own health advocate. She sought the advice of Dr. Daniel Lazar, a Northwest

Hospital neurosurgeon, who practices with Neurosurgical Consultants of

Washington.

“My MRI showed a bulging disc that was pinching a nerve in my neck,” she said.

“I couldn’t believe it. Dr. Lazar assured me he would get it taken care of. I knew

I was in good hands because he treats a lot of patients with cervical spine injuries

and I always hear good things about him from patients and nurses.”

The spine is an intricate set of bones (vertebrae), muscles, nerves and discs (the rubbery cushions

between the vertebrae). It contains five regions: cervical (neck), thoracic (chest), lumbar (low back),

sacral (pelvis) and coccygeal (tail bone). Each vertebra is separated from its neighbor by a disc,

which acts as a cushion or shock-absorber between the bones. About the size of a quarter and one

quarter of an inch thick, these discs help the spine bend and move with ease.

Normally, discs remain contained between each bone, but they can herniate (also known as

bulging, ruptured or slipped discs) when their fibrous covering is torn or breaks down from age

or injury. Nearly 90 percent of herniated discs occur in the lower spine where there is more

movement. Mirante was in the smaller group, with a herniated disc between cervical bones five

and six in the middle of her neck.

“Herniated discs like Diane’s can be caused by an injury, but most of the time, it’s just wear and

tear,” said Dr. Lazar. “Herniated discs are usually very painful and can actually be damaging or

debilitating if left unattended or untreated. In Diane’s case, the disc was pressing against a nerve

root in her neck.”

BACK IN THE GAME

Diane is the fi rst person many patients see when they check in for surgery.

JULY • AUGUST 2012 | Medinfo | 3

Dr. Lazar performed minimally invasive surgery to address the problem.

“I made a one-inch ‘keyhole’ incision on the back of Diane’s neck, located the fragment of the

disc that was hitting the nerve and removed it,” said Dr. Lazar. “It was a very small portion of the

disc and will not affect her physical function in any way.”

The smaller surgical incisions used in minimally invasive procedures have many patient benefits –

less blood loss, lower infection risk and faster recovery time. The procedure lasted about an hour

and Mirante was able to return home following an overnight stay. After a few weeks, she returned

to part-time work and started four weeks of physical therapy at The Sports Medicine Clinic, a

Northwest Hospital-affiliated clinic. She returned to a full-time work schedule just a couple of

months after surgery.

Mirante says physical therapy and therapeutic massage played a big role in her return to the

activities she enjoys.

“Alison Gillespie was my physical therapist and she provided terrific care during my recovery,” she

said. “She showed me how to stay active while recovering and I had no weight gain! That made

me very happy.”

“I restricted Diane’s activities for the first month following surgery,” Dr. Lazar said. “I expected no

lifting or overhead work in order to rest her neck. She was then able to return to normal activities,

but not too rigorous. We all have aches and pains, but anytime you experience numbness or pain

that doesn’t go away, especially if the numbness travels down your arm or leg, see your doctor.”

Dr. Lazar said herniated discs and other spine injuries can be prevented by reducing stress on

the spine, including maintaining a healthy weight, doing core-strengthening exercises and staying

physically fit. Both smoking and unsafe heavy

lifting can also lead to herniated discs.

“If you smoke, your primary care provider can

recommend a number of ways to help you quit,”

said Dr. Lazar.

“I am so glad I had the surgery and was so lucky

to get this taken care of quickly and thoroughly,”

Mirante said. “The pain caused quite a lifestyle

change and I am so happy everything’s back to

normal!”

She recently travelled to Palm Springs, once

again attends spinning classes three times a week,

and takes long walks with her dog. This summer,

she is planning tennis lessons.

“Dr. Lazar is excellent,” she said. “He spends a

lot of time with you and explains everything. He is

straight to the point and has a wonderful team.”

For more information about Neurological Consultants of Washington, call 206.368.1701 or

visit nwhospital.org/neurodocs. For more information on The Sports Medicine Clinic, call

206.368.6100 or visit thesportsmedicineclinic.com.

Dr. Daniel Lazar and Diane Mirante


The best way to maintain spine health is by enhancing

strength and flexibility. This is important because the spine

is at the center of everything we do every day. It’s made up

of a complex network of nerves, blood vessels, ligaments,

vertebrae, joints and discs – some moveable, some not –

and it helps us move, bear weight and protect vital nerves.

“It’s the simple things we incorporate into our daily lives

that make a huge difference,” said Kyle Stewart, a physical

therapist at Northwest Hospital & Medical Center.

“Stretches and exercises can help maintain overall spine

health at any age. Even small changes can provide better

health.”

Stewart recommends the following stretches and exercises.

“These are a few of many exercises that can restore and

maintain spine mobility and strength,” he said. “Although

they are appropriate for the majority of the population, you

should always check with your physician before beginning

an exercise program.”

LOWER TRUNK ROTATION STRETCH“A lot of people lose the ability to be flexible for a

variety of reasons and this stretch helps maintain spinal

flexibility. This stretch should feel good and relaxing.”

Method: Lay on your back.

Keeping your back flat

against the floor and feet

together, rotate your knees

to the right side, and

then to the left side.

Do not move into a

painful range. Hold

for 10 seconds on each side.

KNEE-TO-CHEST STRETCH“Lower back muscles are strengthened with this stretch.

You may use both knees at once, but in general, it’s better

to just use one knee at a time. This exercise should feel

good and helps loosen up the back, especially if it is

feeling stiff.”

Method: Lay on your back. Place your hands behind

one knee and pull knee into chest until you feel a

comfortable stretch in the lower back and buttocks. Keep

the back relaxed. Hold for

30 seconds. Repeat with

the opposite

knee. Again,

perform only

in a pain-free range.

PELVIC TILT“This engages the core muscles of the abdomen and hips

which help support

the lower back.”

Method: Lay on

your back

with your

knees bent and feet flat on the floor. Rock your pelvis

up toward your ribcage and hold for two seconds. You

should feel your lower back flatten and press into

the floor.

CHAIR SQUAT“This stretch keeps you toned and is great for the

optimum functioning of several muscles in the thighs

and buttocks, including the gluteus maximus, hamstrings

and quadriceps. Do not perform this exercise if you have

problems with your knees.”

Method: With feet flat on floor and shoulders’

width apart, squat as low as you

are comfortable. Hold onto a

support, like the back of a high-

backed chair or the back of the

couch, as necessary

to maintain good

balance. Also, do not

let your knees extend

outward beyond the

position of your toes.

SIMPLE STRETCHES & EXERCISES FOR SPINE HEALTH

d. Hold for

peat with

port

”

n

you

o a

high-

the


IF YOU HAVE ARTHRITIS or other conditions of the hip and knee, Northwest Hospital is now one of your best sources for expert joint replacement and treatment services in the region. UW Medicine orthopedic surgeons in the new Regional Joint Care Clinic provide high quality, state-of-the-art, safe and efficient surgical care for arthritic disorders of hip and knee joints, from diagnosis through rehabilitation.

These fellowship-trained specialists include internationally recognized orthopedic surgeons Drs. Seth Leopold and Paul Manner, who recently moved their surgical practices from UW Medical Center to Northwest Hospital, as well as Drs. Justin Klimisch and Thomas Tanous, who have been at Northwest Hospital for the past two years. Together, they have performed thousands of hip and knee replacements and other procedures, with excellent outcomes.

DR. LEOPOLD specializes in surgical treatments for hip and knee arthritis. He is particularly skilled in minimally invasive methods of hip and knee replacement surgery, which can decrease postoperative pain and surgical risk and shorten the postoperative recovery period. Dr. Leopold also is a professor in the Department of Orthopaedics & Sports Medicine at the University of Washington, and recently was named the next editor-in-chief of Clinical Orthopaedics and Related Research, one of the leading journals of his specialty.

“The patient with arthritis and I share a lifelong journey, and I hope to serve as guide, coach and cheerleader on that journey,” Dr. Leopold says. “I care for my patients by actively listening and

educating them about contemporary treatments.”

DR. MANNER also specializes in joint replacement surgery, including minimally-invasive hip and knee replacement. His major interests include care and treatment of osteoarthritis. He sees patients for osteoarthritis (hip/knee); rheumatoid arthritis (hip/knee); developmental hip dysplasia; metastatic disease to the hip/pelvis/knee; hip fracture; and meniscus tears in the knee. Dr. Manner is also an associate professor of orthopedics and sports medicine at the University of Washington.

“Many patients express interest in minimally-invasive approaches to hip and knee surgery,”

Dr. Manner says. “I believe this type of surgery, though technically challenging, offers many

benefits to the patient, including less tissue injury,less post-operative pain, faster rehabilitation

and a shorter hospital stay.”

DR. KLIMISCH specialzies in adult reconstruction and joint replacement surgery. He offers minimally invasive hip and knee replacement surgery utilizing computer navigation, which ensures more precise positioning of joint implants. Dr. Klimisch also provides a wide range of treatments for hip and knee disorders, including hip and knee injections, arthroscopy, partial knee replacement, hip resurfacing and total joint replacement. He is also a clinical assistant professor of orthopedics and sports medicine at the University of Washington.

UW MEDICINE REGIONAL JOINT CARE CLINICFORMS AT NORTHWEST HOSPITAL

(continued on page 6)

Dr. Seth Leopold Dr. Paul Manner Dr. Justin Klimisch Dr. Thomas Tanous


“My goal is to improve the quality of lifefor my patients with hip and knee disorders

and to help each one attain his or herhighest level of function,” Dr. Klimisch says.

DR. TANOUS also specializes in adult reconstruction and joint replacement surgery, including state-of-the-art lower extremity surgery techniques. Dr. Tanous performs minimally invasive hip and knee replacement surgery, computer navigated joint replacement, partial knee replacements, and total hip resurfacing. In addition to joint replacement procedures, he also offers early intervention options such as hip and knee arthroscopy, femoral acetabular impingement surgery, osteotomies about the knee, and osteochondral allograft/meniscal transplantation of the knee and ankle. While he specializes in surgical treatment, Dr. Tanous also employs a comprehensive, conservative care model, reserving surgery for only those patients whose symptoms don’t respond to less-invasive treatments. He also serves as a clinical assistant professor of orthopedics and sports medicine at UW.

“I strive to get patients back to their previouslevel of function,” Dr. Tanous says, “whether it’s

playing with a grandchild or enjoyingsports such as tennis, biking, or skiing.”

Northwest Hospital’s joint replacement program also features award-winning inpatient care, including comprehensive rehabilitation therapy, which starts with individualized visits by licensed physical and occupational therapists while patients are still in the hospital and continues with outpatient physical therapy at the hospital’s Northwest Outpatient Medical Center.

For information about Drs. Leopold, Manner, Klimisch or Tanous, or to make an appointment, please phone 206.520.5000 or visit uwmedicine.org or orthop.washington.edu.

For information about Northwest Hospital’s rehabilitation therapies, visit nwhospital.org.

UW MEDICINE REGIONAL JOINT CARE CLINIC (continued)

NORTHWEST HOSPITALEARNS AN “A” FOR SAFETY

Northwest Hospital & Medical Center recently earned an “A” rating for patient safety from

Th e Leapfrog Group, an independent not-for-profi t safety advocacy organization.

“Th is is just another example of the hard work of hundreds of wonderful members of our

healthcare delivery team,” said Bill Schneider, Northwest Hospital CEO. “Congratulations to

all who work to provide quality care to every patient, every time!”

A panel of the nation’s top patient safety experts provided guidance to Th e Leapfrog

Group to develop the hospital safety score, which is calculated using publicly available

data on patient injuries, medical and medication errors, and infections. More than

2,600 hospitals across the country received a letter grade of an A, B or C based on a

compilation of these safety measures.

For more information on the ratings for hospitals in Washington State and across the country,

visit hospitalsafetyscore.org.


UW MEDICINE MULTIPLE SCLEROSIS CENTER OPENS On July 2, UW Medicine opened the doors to a new, dedicated, comprehensive multiple sclerosis (MS) center on the Northwest Hospital campus.

globally-recognized Multiple Sclerosis Rehabilitation Research and Training Center, which ultimately helps transform MS care and treatment. Dr. George Kraft, UW professor of rehabilitation medicine, MS Society Lifetime Achievement Award recipient and one of the field’s most distinguished physicians and researchers, leads the research center. “We do groundbreaking research work at UW,” says Dr. Kraft. “For example, we were the first to recognize that fatigue is a problem with MS patients, and now everyone agrees it’s one of the most

common problems.”

“Multiple sclerosis cases are as unique as fingerprints,” says Dr. Johnson. “It’s a huge spectrum, some with milder, some with more aggressive cases. Every patient’s cluster of symptoms, their progression, their treatment needs, their rehabilitation, is different. That’s why a multidisciplinary center with expertise in all those areas results in the best care for those patients.”

To learn more about the UW Medicine Multiple Sclerosis Center, visit nwhospital.org/ms or call 206.598.3344 for an appointment.

The facility is modeled on a multi-disciplinary clinic concept pioneered by UW Medicine. It is staffed by one of the region’s strongest concentrations of MS-focused specialists, including neurologists, physical medicine and rehabilitation specialists and psychologists with special education and experience in MS management.

The clinic also includes other staff and healthcare providers trained to serve the needs of people living with MS, including MS-specialized nurses and vocational and rehabilitation counselors that help patients improve quality of life and daily function as well as preserve their employability. A clinic coordinator also helps facilitate patient referrals.

The easy-access, first-floor location in the McMurray Medical Building at Northwest Hospital, will improve patients’ access to care, says Dr. Shana Johnson, a UW Medicine rehabilitation medicine specialist. “It’s a short, straight shot from the parking lot into the clinic – no more elevators or long corridors. I think patients will appreciate that,” Johnson says.

Many MS symptoms can make walking difficult. In fact, interpreting patients’ ambulation problems is a large part of Dr. Johnson’s job.

“You might expect that an MS patient falls because of weakness, but it can be due to foot drop, loss of balance, lack of safety awareness, motor fatigue, poor vision or many other factors,” she says. “To stop a patient from falling, you need to understand why they are falling.”

Dr. Johnson will co-direct the new center with Dr. Annette Wundes, a fellowship-trained UW Medicine neurologist who specializes in demyelinating diseases of the brain and spinal cord, such as MS and related conditions like neuromyelitis

optica or other autoimmune diseases. “In the last few years, our treatment options for MS have dramatically improved, but these advances also make management of the disease more complex,” says Dr. Wundes.

“In a complicated disease like MS, there is nothing like one size fits all. Some of the newer medications control MS much better than what we are used to. But they also come with certain risks, and that’s where our special knowledge quickly comes into play,” Dr. Wundes explains. “How we use these drugs, and for which patients, and how we look at risks and benefits have all changed dramatically.”

The new center is equipped with an infusion suite and an education and resource center, and patients will have direct access to state-of-the-art MRI scans nearby on the campus.

Patients also will work with Northwest Hospital’s physical, occupational and speech/language therapists, who are widely recognized for their expertise in neurologic rehabilitation. Treatment will include the use of Northwest Hospital’s Easy Street environment, a life-size replica of a city street, including a restaurant, supermarket, movie theater and home. Easy Street allows patients to experience real-world obstacles in order to practice physical and cognitive skills for daily living.

One of the most important benefits for the center’s patients is the leading-edge research coming from UW’s

See the back cover for details about upcoming multiplesclerosis-related events.


Meet the DoctorDenise Cho, MDObstetrics & Gynecology

How do you approach caring for mothers and their babies?I believe in developing a partnership with mothers-to-be and their families, as well as focusing on continuity of care and emotional support. I try to create personal connections and respectful, unrushed relationships. I off er choices and empower my patients.

What unique expertise do you bring to your patients who are over age 40? Th e most important approach to women’s health is preventive screening based on national guidelines for gynecologic cancer, cardiovascular health, breast cancer and osteoporosis. Working as a director for the over-40 women’s healthcare center at Johns Hopkins Hospital in Baltimore taught me a multi-disciplinary approach that also encompasses nutrition, diet and exercise. For example, women should get plenty of rest, limit alcohol and quit smoking.

What’s the single most important thing a mom can do for her unborn child?Quit smoking. It can have signifi cant negative eff ects on the developing fetus and it doubles the risk of delivering a low birth weight or pre-term baby. Certain birth defects are also connected to smoking, such as cleft-lip or palate. Many babies whose mothers smoked during pregnancy will experience learning and behavior problems and may have respiratory issues, such as asthma.

What does every woman need to know about maintaining reproductive health?Regular pap tests save women’s lives and are one of the best ways to prevent cervical cancer for women over the age of 21. Th e test cannot diagnose HPV, but it does look for abnormal cells in the cervix before they become pre-cancerous or cancerous. If a test result is irregular, appropriate clinical follow-up is important. It is also important to seek medical care whenever there is any unusual pelvic discomfort or fever/chills.

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What are some exciting advances in obstetric care today?Th e management of postpartum

hemorrhage using interventional radiology (IR). In the past when a patient had life-threatening placenta issues, removal of the uterus (hysterectomy) was required to save both the mother and unborn child. Th is uterine artery embolization procedure, performed by our interventional radiologists, may avoid hysterectomy in certain cases. Another exciting new development at

Northwest Hospital is banking newborn cord blood and tissue stem cells. Stem cells are the body’s master cells - they create our organs, tissues, blood and immune system. Saving the stem cells provides the benefi ts of having access to the lifesaving quality of cord blood and the potential future uses of cord tissue.

What’s your advice to parentson choosing the HPV vaccine

for their children?Th e HPV vaccine is a choice worth making. It helps protect 9 to 26-year-old males and females against Human Papilloma Virus (HPV): HPV type 16 and 18 are known to cause cervical cancer. Currently, there are two HPV vaccines off ered – Gardasil protects against four types of HPV, and the other one, Cervarix, protects against two types.

What’s the best thing about practicing at Northwest Hospital?Th e natural beauty of the Northwest Hospital campus inspires me to provide quality medical care while working with a dedicated team of staff and medical providers. Having known everyone here for many years, I utilize teamwork to provide a safe and caring atmosphere for my patients. We are part of a small community, yet provide really innovative and advanced medical care.

Dr. Cho is accepting new patients. For an appointment, call 206.361.1300 or visit nwhospital.org.

Northwest Hospital & Medical Center off ers a variety of classes, support groups and other programs for members of our community. Whether you are planning a pregnancy, working to maintain good health, learning to live with a chronic disease or are newly diagnosed with cancer or another serious condition, our trained experts have the most up-to-date information to share.

For more information about our programs, or to register for a class, please see the contact information and phone number under each program or e-mail us at [email protected]. For more classes and events, visit us at nwhospital.org/classes.

COMMUNITY CLASSES AND WELLNESS PROGRAMS

(continued on page 10)

CHILDBIRTH, PARENTING ANDNEW BABY CLASSES

All childbirth, parenting and new baby classes at NorthwestHospital are off ered on the Northwest Hospital campus by Great Starts. Pre-registration is required. Full payment is due at registration. Medical coupons can be used for the Seven Week Series, Four Week Series and Labor & Birth miniseriesclasses. To register online visit nwhospital.org/classes, or Great Starts at 206.789.0883.

CHILDBIRTH PREP CLASSES Seven Week SeriesTh is series meets on seven weeknights and includes: • Preparing for labor and

birth, including stages of labor, emotional and physical challenges during labor, how a support person can comfort the laboring mother, hospital routines, possible interventions and postpartum recovery

• Newborn care class • Breastfeeding • Reunion after all the

babies are born Cost: $180 per pair or Provider One Card

Four Week Series Th is series meets on four Saturdays and includes the same material covered in the full Seven Week Series.Cost: $180 per pair or Provider One Card

Labor & Birth Miniseries - Two SaturdaysTh is class is for parents who

need a class to fi t their busy schedule. Th e same labor and birth material that is covered in the full series is consolidated into two Saturday mornings. Th is class does not include newborn care or breastfeeding.Cost: $125 per pair or Provider One Card

Newborn Care ClassAn important class for fi rst-time parents, this course focuses on caring for the baby during the fi rst few months of life. Topics include newborn characteristics, daily care, infant cues, sleep, health and illness, diapering, cord care, sleep and feeding habits, colic relief and changes that occur in newborn babies. Included in the full series or can be taken as stand-alone class.Cost: $30 per family

Breastfeeding BasicsTh is class educates parents on proper feeding techniques and positioning, how often to feed, preventing and coping with common challenges and how partners can support breastfeeding mothers.Included in the full series or can be taken as stand-alone class.Cost: $30 per family

NEWLife with BabyTh is class helps prepare parents for adjusting to the fi rst year after baby’s birth. Includesinformation on developingroutines, getting sleep, returning to work, strengthening thecouple’s relationship, fi nding asupportive network, and othertopics of relevance to newparents.Cost: $30 per pair

NEWBecoming Parents ProgramTh is class equips expectingparents and new-parent coupleswith skills, information, and support for having the best parenthood experiencepossible. Learn how to parent eff ectively as a team and keep your relationship thriving after the arrival of a new baby. Class meets weekly for six weeks.Cost: $380/couple or $285 if also taking a Four Week, Seven Week or Lamaze birth series

BabysafeTh is three-hour weeknight course is taught by a certifi ed CPR instructor. Topics include infant development, SIDS risk reduction, injury prevention and care of common injuries. Infant choking rescue and infant CPR is demonstrated and practiced. Th is class does not include a certifi cation card. Cost: $40 per pair

Conscious FatheringFor expectant or new fathers, this class provides informationto help fathers feel more involved and confi dent in birth and child-rearing. Topics include how to connect from day one, keeping the baby as comfortable as possible and how to cope when “everything goes wrong,” plus how to meet the baby’s basic needs, as well as developing your own defi nition of the kind of father you want to be and determining how you want to interact with your child.Cost: $30 per pair

Sibling PreparationTh is class prepares children for the birth of a new family member. It is appropriate for

children, ages 2 1/2 to 6 years of age, accompanied by a parent. Th e class is taught to the children with parents listening in. Information is presented at a young child’s learning level. Topics include information about pregnancy, birth, how newborns behave, and some of the ways that family life is aff ected by new babies. Cost: $20 per pair

Happiest Baby on the BlockTh is class is for expectant parents and parents of young infants who would like to learn techniques for calming and soothing a baby. You will learn step-by-step how to help your baby sleep better and how to soothe even the fussiest baby in minutes...even seconds! Th is class can be taken before baby’s birth or anytime in the fi rst the fi rst three months of life. It’s okay to bring your baby to class! And it’s okay if they cry during class - gives us a chance to see the techniques in action! Cost: $50 per family, includes DVD

Cloth DiaperingTh ese are not your grandma’s diapers! Th is class is for expectant and new parents who want to learn about healthier, eco-conscious and cost-saving ways to diaper your baby. You will learn all you need to begin using modern cloth or hybrid diapering systems. You will have the chance to see, feel and practice with dozens of kinds of cloth diapers, learn to diff erentiate between styles, and fi gure out which diaper is best for your lifestyle.Cost: $20 per pair


FOR MORE CLASSES AND EVENTS, VISIT US ONLINE AT NWHOSPITAL.ORG.

PRENATAL SERVICES

Baby Your BackBack pain is a frequent problem for pregnant women, with many causes. Baby Your Back is a two-hour class for expectantmothers taught by a licensed physical therapist. Second Wednesdays. Call 206.368.6032 to register. Healthcare provider referral required. Cost: $10

EMERGENCY SERVICES EDUCATION

CPR TrainingLearn life-saving skills from Medic II personnel. Th ird Tuesdays, 7-9 p.m. Registration required. Toregister, visit nwhospital.org or call 206.368.1564 for more information. Cost: Donations are greatly appreciated. Checks should be made out to Medic II CPR.

SUPPORT GROUPS

Better Breathers ClubJoin the club to learn tips and techniques to better manage lung disease. SecondMondays at 10:30 a.m. Rehab patient dining room. Call 206.368.1853.

Breast Cancer - A Healing PlaceTh is support group is an opportunity for sharing and receiving support while coping with advanced breast disease. Off ered second and fourth Wednesdays, 9:30-11 a.m. Call the facilitator at 206.920.5462 for a brief interview prior to joining.

Diabetes Support GroupDiscuss meal planning, blood glucose monitoring, activity, problem solving, medication management, dietary supplements, and what’s newin diabetes research andtechnology. Second Tuesdays, 1-2:30 p.m. To register visit nwhospital.orgor call 206.368.1564.

Weight Loss Surgery Support GroupsOur monthly support groups provide an opportunity to interact with other post-operative weight loss surgery patients and discuss thephysical and emotional changes following bariatric surgery. Open to patients from other practices and individuals researching bariatric surgery. Call 206.368.1350 for more information. Groups are held in the TCU auditorium from 6:30-8 p.m. Visit nwhospital.org/bariatric for dates.

Young Adult Stroke Survivors Support GroupFor stroke survivors, theirfamilies and caregivers. Th ird Saturdays, NorthwestHospital Easy Street, Medical Rehabilitation Center, 2-4 p.m. For more information, call 206.364.0500 or visit seattleYASS.weebly.com.

WELLNESS CLASSES

AARP Driver Safety ProgramAARP off ers the popular Driver Safety Program for drivers 50 years and older. Graduates may be eligible for multi-year auto insurance discounts. Th e class is off ered on two consecutive Saturdays, September 22nd

and 28th, 9 a.m.-1p.m., on

the hospital campus. A $14 fee is payable to AARP on the fi rst day of class. Participants must attend both days of class to complete the course. To register, call 206.368.1564.

Brain Health: Simple Tools for Clear Th inkingTh ese 90 and 120-minute workshops, led by Dr. Jane Tornatore, a nationally known speaker on brain health and memory problems, will explain why everyone experiences “senior moments” and what to do about them. Learn easy ways to improve memory and keep the mind active to reduce the risk of Alzheimer’s. Much of the workshop will involve participation in brain-strengthening activities. Th ursdays , July 19 and Sept.ember 13 1-2:30 p.m.$20 for 90 min. session and$25 for 120-min. session. Call206.368.1564 to reserve your seat.

Pathways to Stress-Free LivingDemanding and busy lives will always have some stress caused by work, family and play, and that’s okay. Th e right amount of stress can fuel a happy, healthy lifestyle. Workshop presented by brain health and memory expert Dr. Jane Tornatore. Th ursday, September 27th, 2012. $20. Call 206.368.1564 to reserve your seat.

Early Stage Memory LossProgramOpen to those recentlydiagnosed with dementia, and their loved ones. Northwest Hospital campus. August 16th from 1-4 p.m. Preregis-tration required; call Anita at Alzheimer’s Association at 206.529.3868. FREE.

Journaling for Recovery from Mild Brain InjuryTh e process of journaling can help you discover the hope and gifts within to support your optimum wellness. Focus on embracing your new life by sharing your story with others who are also recovering. Facilitated by a licensed speech language pathologist and licensed medical social worker and counselor. 8 weeks, 90 min. sessions. Call 206.368.1094 for dates and more information.

Let the Games Begin!A conversational support group that gives people with acquired brain injury the opportunity to participate in a supportive, encouraging environment. Th is group is facilitated by a licensed speech language pathologist who provides suggestions and encouragement, helping people build confi dence while having fun. Th ursdays, 11-noon. Call 206.368.1848 for more information.

Reduce Your Diabetes Risk & Gain Tools for Healthy Living Th rough the YMCA’s Diabetes Prevention Program Th e program helps those at high risk of developing type 2 diabetes adopt and maintain healthy lifestyles by eating healthier, increasing physical activity and losing a modest amount of weight in order to reduce their chances of developing the disease by up to 58 percent. To register or fi nd out if you are eligible, contact Mandi George at 206.344.3181 or via email at [email protected].


Breast Cancer Update on Research & TreatmentDoug Lee, MD Discussion about new research and treatment options for people facing breast cancer.

Monday, July 9; 7-8 p.m.Dietary Supplements During & After Cancer TreatmentChad Aschtgen, ND Join us for an update and lively discussion about the benefi ts and contraindications of many popular herbal and dietary supplements often used during and after cancer treatment.At the Living with Cancer Support Group., Open to anyone aff ected by cancer.Monday, Aug.ust 13; 7-8pm

Laughter & HealingTammy Lianu, MABring your grouchiness or bring your glee. It doesn’t matter if

SUPPORT GROUPS

Breast Cancer NetworkingGroup NEW DAYZandi Salstrom, MSWFor all women touched by breast cancer, whether newly diagnosed, in or post treatment. Second Mondays, July 9Aug. 137-8:30 p.m.

Gynecological Cancer SupportGroupTracy Kalloway, MAFor patients and survivors of gynecological cancer, their family and friends. Fourth Wednesdays, July 25, Aug.ust 22 6-7:30 p.m.

Living with Cancer SupportGroup NEW DAY & TIMEBasha Brownstein, MSW For patients and survivors with all types of cancer, their family

UPCOMING EVENTS

FREE Weight-Loss Surgery SeminarsAug. 7, 2012with Dr. Nicole WhiteAre you interested in surgicaloptions for weight-loss? Join NWH bariatric surgeons for a free informational seminar held in the E-Wing Auditorium on the NWH campus. Call 206.368.1350 to register. Or register online at nwhospital.org/bariatric.

and friends. First Wednesdays, Aug. 1; 6-7:30 p.m.No meeting in July.

CLASSES

Gentle Yoga NEW TIMEChristy Fisher, CYILearn easy stretches, guided meditation and breathing exercises. Please bring your own mat. Tuesdays, July 10 to Aug. 21; 6:30-7:30 p.m.

Th e Lebed Method: HealthSteps, Moving You to Better HealthSherry Lebed Davis, FounderGentle and fun exercises for people concerned about lymphedema and interested in increasing physical stability, strength and range of motion. Mondays, July 9 to Aug. 20; 5:30-6:30 p.m.

All programs are free. Th ey are held in the Medical Arts Building, Room 112, on the Northwest Hospital Campus. For more information or to register call 800.255.5505 or 206.297.2500 or visit cancerlifeline.org.

Living Well with DiabetesTh is program has been formally recognized for excellence by the ADA. In this monthly, four-session series, participants will gain information and skills to manage their diabetes. Physician referral is required for class. For more information, contact your physician, or call 206.368.1564 to receive a brochure.

Nutrition ClinicFood & Nutrition Services off ers outpatient nutrition education to help you plan healthy, nutritious meals to suit your

it’s real or fake, research shows laughter to be a truly power-ful medicine for strengthening the immune system, reduc-ing cortisol levels, increas-ing growth hormone levels, endorphins and much more. Skeptical? Come give it a try.Wednesday, Aug.ust 22; 6-7pm

Supporting Your Cardiovas-cular System After TreatmentDan Labriola, NDLearn how endurance and cardiovascular status recover after treatment. Understand how diet, exercise and herbal interventions aff ect recov-ery. Learn how to develop a safe and sensible plan for optimizing cardio function.At the Living with Cancer Support Group. Open to anyone aff ected by cancer.Wednesday, Aug.ust 1; 6-7pm

dietary needs. Registered dietitians help you design a meal plan to meet your individualized requirements. Many insurance carriers cover nutrition consultations if ordered by a physician. Call 206.368.1919 for moreinformation or visit nwhospital.org.

Yoga For People With Parkinson’sCall 206.368.5935 for more information and to register.

FREE Joint CampAre you suff ering from arthritis and thinking about a joint replacement? Or are you scheduled to have a joint re-placement at NWH? Explore the latest, state-of-the-art surgical options in joint care and joint replacement. Second Wednesdays, 7-9 p.m. in the Community Health Education& Simulation Center. Call 206.368.6360 for moreinformation. Register at [email protected].

1550 N 115th St | Seattle, WA 98133

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Need a physician?Call our free physician referral line at 206.633.4636 or toll free at 800.633.4636, 24-hours a day.

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Managing EditorKaren Peck

Graphic DesignerJulie Elting Wessel

Photography©Scott Areman Photography

Bariatric Surgery

Cancer Care

Cardiac Care

Center for Medical Rehabilitation

Childbirth Center

Diagnostic Imaging

Emergency Department

Geropsychiatric Center

Inpatient & Outpatient Surgical Services

Neurosciences

Northwest Clinical Lab

Orthopedics

Physical Th erapy

Plastic & Reconstructive Surgery

Preventative Health & Wellness

Primary Care

Pulmonology

Rheumatology & Arthritis Care

Seattle Breast Center

Sleep Center

Sports Medicine

Stroke Program

Wound Care & Hyperbaric Center

For a complete list of services, visit us online at nwhospital.org.

Northwest Hospital & Medical Center has earned the 2012 HealthGrades Distinguished Hospital Award for Clinical Excellence.

Medinfo newsletter is published bi-monthly as a community service by the Marketing & Public Relations Department. To contact us about the newsletter, e-mail [email protected] or call 206.368.1645. ©Northwest Hospital & Medical Center. 1550 N 115th St, Seattle, WA 98133. 206.364.0500 or toll-free at 800.NWH.HOSP (697.4677).

If you would like to receive your next copy of Medinfo by email, please fill out the online form at nwhospital.org/newsletters.

SAVE-THE-DATE! See a complete list of events and more atnwhospital.org/classes

Multiple Sclerosis Center Open HouseSaturday, July 21 | 11 a.m. to 2 p.m.McMurray Medical BuildingNorthwest Hospital & Medical Center Join us for the opening of the UW Medicine Multiple Sclerosis Center on the Northwest Hospital campus. Come see our new space, learn about our services and meet the staff . Visit our Easy Street environment, where MS patients will receive rehabilitation therapies. Refreshments will be provided. For directions and parking information, visit nwhospital.org/map.

“How Do Doctors Choose Medication to Treat Your MS?”Tuesday, Aug. 21 | 6:30 p.m. TCU (E-Wing) AuditoriumNorthwest Hospital & Medical CenterJoin Dr. Sylvia Lucas to learn how your doctor decides whether to recommend medication and what the medication should be when you’re diagnosed with multiple sclerosis. You and your doctor will make this decision after discussing the aggressiveness of your MS, the eff ectiveness of the medication, the safety of the medication, and the ease or diffi culty of taking the medication. You’ll also learn about related programs and services available through the Greater Northwest Chapter, National Multiple Sclerosis Society. Registration is required by calling 800.344.4867, select option 1, or at MSnorthwest.org.

2012 julyaugust medinfoonline · july • august 2012 | medinfo | 3 dr. lazar performed minimally...

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