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Freedom 55/65, Volume IX, No. 3, Summer 1994 Freedom 55/65, Volume IX, No. 3, Summer 1994

Aurora Health Care

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Easy Street’s simulated communitysetting is the most realistic andfunctional rehabilitation environ-ment available. Easy Streetincludes a bank, greenhouse,office, grocery store, bus, car,department store, theatre, restau

I ‘qnt and a beauty/barber salon.iere is even a golf green to get

you back intothe swing ofenjoyingleisure time.

“Easy Street isvery effectivein teachingpatients likeLauraGoranson theroutine activities necessaryfor everydayliving. Itsheavy doors,curbs, high

and low shelves, varied flooringand turnstiles provide a uniqueopportunity for patients to facereal life situations,” said MarianneRaymonds, rehabilitation programcoordinator.

Here’s the story of LauraGoranson, Easy Street’s MiracleLady.

Three times, her family was calledin to say good-bye; three times, shedefied medical prediction andpulled through. Finally after fivemonths of progress from intensivecare to inpatient rehabilitation andEasy Street, Laura Goranson, 79,went home.

St. Luke’sOutpatientFacilities:Confidence,Care andConvenience

Part I

Part one of this two-part seriesgives an overview about the qualityof care at St. Lukes outpatientfacilities. Part two will offer moreinformation about the outpatientfacilities.

St. Luke’s Medical Center recognizes the trend in health care toprovide services in outpatient set-tings. Our outpatient facilities areequipped with state-of-the-art,cost-effective technology and thestaff has the experience and carethat can be trusted. Patient needsare our first priorky.

Confidence: According to a recentstudy of 5,600 hospitals, St. Luke’swas selected as one of the 100 top-performing hospitals in the nationbecause of its high quality, cost-effective health care. ‘ Thisrecognition, along with fullycredentialed physicians and corn-prehensive medical services,provides confident, qualitydependable care.

Continued on page 2

VOL. IX NO. 3 Milwaukee, Wisconsin

Easy Street Leads to a Miracle

Summer 1994

Sinai Samaritan Medical Center isproud to offer the only Easy StreetEnvironments® in Wisconsin.Easy Street is a clinically sound,visually appealing rehabilitationenvironment where patients relearneveryday skills and regain independence and confidence in a safesetting.

r:Continued on page 2

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Easy Street continued from page 1

Laura’s story began when she wasadmitted to Sinai SamaritanMedical Center 1 8 months ago forheart failure. Unconscious for amonth in an induced coma, Lauraalso battled pneumonia and kidneyfailure.

Three months later, Laura wastransferred to the InpatientRehabilitation Program where sherecalls, “I couldn’t help myself, Icouldn’t raise my arms, walk oranything.” After weeks of intensive physical, occupational andspeech therapy, Laura was able toadvance her rehabilitation programto Easy Street.

Laura faced the challenges of EasyStreet saying, “The steps, the curbsand getting in and out of the carwere hard for me, but I did it.”The therapists and nurses begancalling Laura the miracle lady. Shesays, “I really liked rehabilitationon Easy Street. It has everything toget back to normal. I’ve goneshopping, to the bank and beengolfing.”

Laura Goranson, Easy Street’s miracle lady, credits her recovery toDrs. Mohamed Yafai and GitaBaruah and loved ones whooffered prayers and sent cards.Laura is driving her car, doing herown grocery shopping, going tothe movies and enjoying all of thethings she used to enjoy thanks toEasy Street.

if you or someone you knowwould like more informationabout Easy Street Environments®,call Sinai Samaritan MedicalCenter’s Rehabilitation Services at937-5241.

St. Luke’s Outpatientcontinued from page 1

St. Luke’s is the largestprivate medical center inWisconsin. It is renownedfor its leading programs,medical treatments andadvanced technology. Asa research and teachinghospital, the physiciansand nurses at St. Luke’sare committed to theirprofessions and devotedto serving with compassion and understanding,from registration throughdischarge.

Comfort: Advanced care in comfortable settings includes:

. Private procedure rooms:Privacy and dignity are protected.

. Private interview rooms:Questions are answered and pro-cedures explained.

. Recovery areas: Recovery takesplace in a comfortable setting,allowing enough time to preparefor a safe discharge.

. Waiting areas: Family andfriends will be comfortable in ourhome-like atmostphere.

Convenience: St. Luke’s outpatientfacilities offer:. Easy access: Each facility is con-

veniently located and hasvolunteers available to escort.

. Free transportation: St. Luke’sCommunicare Express van service is available for people whoneed transportation. Call649-7433 (St. Luke’s or SurgeryCenter) or 649-6123 (New BerlinHealth Care Center). Some limitations apply.

. Free screenings: Free glaucoma(vision) and blood pressurescreenings are available atSt. Luke’s from 7 a.m. to

3:30 p.m., Monday-Friday.Call 649-6044.

. Convenient hours: Extendedevening and Saturday hours areoffered.

. “One-stop “ service: Pharmacy,physical therapy, X rays andother services are located in thesame building for yourconvenience.

. Free parking: There is plenty offree parking including free valetservice at the main entrance ofthe Outpatient Building at thehospital location.

St. Luke’s Medical Center offerscomplete outpatient facilities tomeet your health care needs. Besure to read about them in the nextissue of Freedom 55/65 News.

For more information about physicians who practice at ouroutpatient facilities, call St. Luke’sDoctor Referral Service at649-6565 in Milwaukee, outsideMilwaukee, call 1-800-782-9797.The hours are Monday throughThursday, 8 a.m. to 8 p.m., orFriday, 8 a.m. to 4 p.m.* According to an independentstudy produced jointly by HCIA,Inc., and Mercer Health CareProvider Consulting Practice.

Our Ambulatory area has a comfortable preprocedure area for nursing care needs.

News to Use!

Alzheimer’sDisease DrugStudyIf you are caring for someone withAlzheimer’s Disease, we may be ofsome assistance.

Physicians at the GeriatricsInstitute are enrolling participantsin a clinical drug study. This studyis attempting to establish the safetyand effectiveness of a new drug inthe treatment of Alzheimer’sdementia.

For more information about par-icipating in the study and for alephone evaluation of eligibility,

call Man Pinzl, RN, study coordinator at 283-7300.

St. Luke’s Hearing Health CareCenter offers a complete range ofservices for people who have difficulty hearing. Their servicesinclude:

. Hearing evaluations

. Hearing aid sales and service

. Hearing aid batteries available inthe Audiology Department or bymail order

. Assistive listening devices

. Hearing aid discount forFreedom 55/65 members

Call 649-7772 between 8 a.m. and4:30 p.m., Monday throughFriday.

“Come HearWhat You’ve

Been Missing”

A free informationallecture open tothe community

Wednesday,July 27 at 1:30 p.m.

St. Luke’sAuditorium

Senior Celebration at the ZooSenior Celebration at the Zoo, sponsored by Aurora Health Care and theMilwaukee County Zoo, offers free health screenings and health informationprovided courtesy of Aurora Health Care and its affiliates. Music, AnimalBingo and other fun-filled events, as well as free coffee, cookies and popcornare planned for your enjoyment. Free admission for adults age 55 and older.Parking is $4/car and $12/bus. Box lunches will be available for $5.

Friday, September 2,from 9 a.m. to 3 p.m.

For more information,call the Zoo at 256-5412.

Enjoy Better Living ThroughBetter Hearing

If you or any woman you know ismoving in the next year or two,researchers at the University ofWisconsin Institute on Aging andAdult Life need your help—and,they will pay for it!

A major study about women’sdecisions to move or not to moveis underway. Researchers are alsoinvestigating which type of housing

complex best fits women’s needsand desires: an apartment, condo-minium or retirement community.Six hundred women age 55 andolder of any marital status wholive within a two hour radius ofMadison or Milwaukee may beeligible to participate.

The results of the study will pro-vide important information to

housing and service providers. Theresults will also be useful towomen and their families to helpassure that possible moves will besuccessful.

Please call toll free, outside ofMadison,1-800-462-7407 or263-2640 in the Madison area ifyou are interested in participating.

A message from Diane K. Blumer,Medicare Fraud and AbuseInformation Coordinator,Medicare Fraud Unit

When a Medicare patient needselective surgery—surgery scheduledin advance that is usually noturgent—and the charge is $500 ormore, doctors must inform thepatient if they do not plan toaccept assignment.

According to the law, a physicianwho does not accept Medicareassignment must inform the patientof the following:

. the charge for surgery

. Medicare’s approved charge

. the patient’s out-of-pocketexpense

These amounts can be estimatedand the patient should receive acopy in writing before surgery.

If a patient does not receive thisinformation from the physician,the doctor must refund any moneycollected from the patient in excessof the Medicare payment. A physician may be fined or excludedfrom Medicare if the money is notrefunded.To report doctors who fail to pro-vide the required notice, or foranswers to your questions, write orcall:

Medicare Part B Fraud UnitP. 0. Box 1787

Madison, WI 53071-17811-800-888-9063

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Calling All Women: Plaiming a Move?If So, Researchers Need Your Help

Medicare Fraud and ElectiveSurgery

“New ‘

Developments mOsteoporosis”

presented bySt. Luke’s Medical CenterEndrocrine Program and

Dr. Joseph L. Shaker

This program is designed forpeople with osteoporosis and

their family members. Itspurpose is to focus on timely

topics and provide informationthat is interesting and useful in

managing osteoporosis andliving a healthy life.

Thursday, July 7, 19942:30 p.m.

St. Luke’s Medical CenterStiemke Auditorium

2900 West Oklahoma Ave.To register, please call 649-6438.

Attendance is limited.

4 Li

Most of us have had to deal withpain in the neck at one time oranother. Sometimes, just changingpoor posture habits (see picture A)is all that’s necessary to reduce oreliminate that constant nagging inthe neck. Why? Because poorposture habits dramaticallyincrease the stress and strain of thecervical spine that may result inneck pain. So, what can you do?

Correcting poor posture meansincreasing your awareness of poorposture and its consequences. Thisexercise* may help:

0 •Look in the mirror from thefront and side, if possible.

. Accentuate your poor posture(this may reproduce symptoms).

. Sit in a straight back chair andplace 2 middle fingers on yourtop lip with your hand raised infront of you.

. Press back your top lip, carryingyour head as far back as possiblewhile keeping your hand and eyeslevel (see picture B). Do notextend your head backward.You should feel a stretch in theback of the neck.

. Hold each stretch for S seconds.

Repeat this exercise 3 to 4 timesdaily.

Forward head posture is usuallycaused by poor posture and insome cases, genetics. Poorhabits—reading in bed with yourhead propped forward, fallingasleep in a chair, knitting or cr0-cheting without supporting yourarms—may also contribute to neckpain.

Prevention, awareness and exerciseare the preferred treatments forneck pain. Remember, it’s yourneck. You can help take care of it!

For further information or toarrange for consultation, callRehabilitation Services at SinaiSamaritan Medical Center,937-5241.* Please be sure to read this paragraph before beginning the exerciseprogram:

Neck problems can be very corn-plicated. If this exercise increasesthe pain, causes dizziness orheadaches, see your physician ortherapist before you proceed anyfurther. Ifyou have rheurnatoidarthritis, do not do this exerciseuntil you discuss it with yourdoctor or therapist.

EventsS.T.E.P. U.P. Classes(Seniors Toning and ExerciseProgram)Twice per week, 8:15-9 a.m.

. August 8-September 29 or

. October 1 1-December 31St. Luke’s Outpatient

Rehabilitation Center,2741 W. Layton Avenue

Fee: $25For more details or to register, call649-6400.

Wisconsin Senior Olympic GamesWisconsin athletes will want toparticipate in a variety of athleticand social events planned forSeptember 12-1 8. For more information or for a registration form,call Senior Olympic Headquartersat 821-4444.

Attention!The Geriatric Committee of thePhysical Medicine andRehabilitation Department ofSt. Luke’s Medical Center is avail-able to present community lecturesto special interest groups onnormal age-related changes of thebody, arthritis and exercise. Formore information, please contactLinda Stelter at 546-5460.

That 01’ Pain in the Neck isBack Again A

B

Physical conditions such as arthritis or osteoporosis of the thoracicspine may also contribute to neckpain.

We regret that the discount

provided to Freedom 55/65

members from Marcus

Restaurants, Marc’s Big Boy

and Marc’s Cafe and Coffee Mill,

has been discontinued. Please

watch for new restaurant

participation in the next issue of

Freedom 55/65 News.

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Ask the Expert

StrokeWilliam J. Jones, MDNeurologistNewtowne Medical Group

Cerebrovascular disease, whichincludes stroke and brain hemorrhage (bleeding), is the third mostcommon cause of death and theleading cause of disability in theUnited States.

What is a stroke?

A stroke occurs when there is aninterruption of blood flow to aportion of the brain, resulting inpermanent damage to that area. Inmany people, TIA or TransientIschemic Attack (often referred toas a “mini-stroke”) occurs in thedays, weeks or sometimes evenmonths before a stroke.

The symptoms of a TIA are thesame as those of a stroke and alsoresult from the interruption ofblood flow to a portion of thebrain. However, with the TIA, theinterruption of blood flow is verybrief and results in a temporaryloss of function, but not in permanent damage to the brain. A TIAis a warning sign that a stroke mayoccur.

What are the symptoms of astroke?

Stroke symptoms vary dependingon what portion of the brain is

involved and also on how large anarea is involved. Common symptoms include confusion, weaknessof loss of sensation on one side ofthe body, partial or complete lossof vision and inability to speak orinability to speak clearly.Sometimes loss of consciousnessmay occur, especially with majorstrokes and brain hemorrhages.

What causes a stoke?

A stroke can be caused by hemorrhage into the brain, by blood clotsforming in the heart which breakloose and ultimately plug up anartery in the brain, or more corn-rnonly, by blood clots forming inthe vessels carrying blood to thebrain.

Some people are more likely thanothers to have a stroke, based onheredity, health and lifestyle. Riskfactors for stroke which are notwithin our control include olderage, male sex and narrowing of theblood vessels carrying blood to thebrain.

Irnportant treatable risk factors forstroke include high blood pressure,cigarette smoking, heart diseaseand TIAs. Alcohol consumption,use of birth control pills, highblood cholesterol and obesity arealso thought to increase the risk ofhaving a stroke.

Can a stroke be treated? II so,how?

The most important treatment forstroke is prevention, which meansreducing those risk factors that canbe controlled. Once a stroke has

occurred, the damage done to thebrain cannot be reversed. However,most people who survive a strokedo achieve some improvement insymptoms over the followingweeks and months as the surrounding areas of brain that wereinjured, but not destroyed, begin toheal.

Initial treatment is usually directedat preventing and treating complications of the stroke. Later, afterthe person is stable, rehabilitation(including intensive physical therapy, occupational therapy andspeech therapy) is important inachieving the best possiblerecovery from a stroke. In personswho have had a TIA or a previousstroke, medications to preventclotting are often prescribed. Incertain patients, surgery to open upa narrowed portion of an arterymay be recommended.

Although stroke is a seriousaffliction, medical scientists arecontinually working to providehope. Research is currently inprogress to try to find more effective methods of preventing stroke.New studies are just getting startedto explore ways of treating peopleearly in the course of their stroke.Hopefully, new findings willreduce the amount of permanentbrain damage, reducing or possiblyeliminating the resulting disability.

For physician referral, please call St.Luke’s Doctor Referral Service at649-6565 in Milwaukee or 1-800-782-9797 outside Milwaukee, orSinai Samaritan’s CALL-A-NURSE .

at 342-7676 in Milwaukee or 1-800-342-7676 outside Milwaukee.

Good News for People Who Experience UrinaryIncontinenceSome people are born with conditions that affect urinary functions.Women may experience problemsafter childbirth. Men may experience difficulty after prostateremoval. In fact, urinary incontinence—the inability to control theflow of urine— affects one out ofevery 25 people, no matter whatage. But the good news is thatthere is help for people whoexperience urinary incontinence

. . . the Sphincter 800.

“The Sphincter 800 is a siliconedevice that is implanted in thebody through an incision in the

lower abdomen,” explains Dr.Stuart W. Fine, a urologist on staffat St. Luke’s Medical Center whoperforms sphincter implants.

The device is filled with fluid andconsists of three main parts. Acuff surrounds the urethra, whichis the channel that urine flowsfrom. A small pump is properlyplaced to allow the cuff to drain itsfluid into a balloon. This enablesthe urethra to open and allows thefilled bladder to empty at thepatient’s discretion. After severalminutes, the cuff fills with fluidagain and continence is restored.

Rejection of the silicone implantrarely occurs.

“The Sphincter 800 can be a terrific solution for patients sufferingfrom incontinence,” said Fine. “Iencourage all patients, however totalk over the range of options withtheir urologist to determine themost appropriate treatment.”

For more information about theuse of sphincter implants to correcturinary incontinence, call St. Luke’sLaser Center at 649-6499.

More Help for Women Who ExperienceUrological ProblemsMany women have learned totolerate incontinence.Unfortunately, they assumed thatthe inability to control the flowof urine is a natural part of theaging process. But according tothe experts at Sinai Samaritan’sUrogynecology Clinic, that is notnecessarily true any more.

Sinai Samaritan’s UrogynecologyClinic is staffed by physiciansand professionals who have specia! interest and training in

Iwomen’s urological problems.Iheir expertise includes non-

surgical options and surgical treat-ments that have better and longerlasting results. Many advances indiagnosing and treating specificurological problems have beenmade. Sinai Samaritan’s professionals have a unique perspectivethat may be of help to you.

Don’t assume that incontinence is anatural part of the aging processthat must be tolerated. CallSinai Samaritan’s UrogynecologyClinic at 937-5585 for moreinformation.

News £0 Use!-- -

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The birth of a grandchild is a special moment to remember. Youcáñ commemorate that preciousday with a ceramic tile that willbecome part of the Baby Wall ofFame in the Birthing Center ofSt. Luke’s Medical Center.

Create your own tile in the designand colors of your choice. What aunique gift to give and receive!Your $35 tax-deductible contribution for the tile will be used towardthe purchase of new equipmentand programs exclusively for theSt. Luk&s Birthing Center.

For more information, callSt. Luke’s Medical Center!Foundation at 649-7123.

Valerie Menning

Joseph Jones

Suzanne Parker

I. The Baby Wall ofFame:Give the Gift that Lasts

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r_ AuroraHealtliCare Non Profit

OrganizationU.S. Postage

PAIDMilwaukee, WI

Permit No. 2304

Freedom 55/653000 West Montana StreetP.O. Box 343910Milwaukee, WI 53234-39 10

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Published quarterly for members of the Freedom 55/65program by Aurora Health Care, Inc. to provide healthcare information and inform members of new programbenefits and upcoming special events.freedom 55/65 StaffCindy Bores 937-5064

Program SupervisorCarol Skowlund 451-5509

Sheboygan Memorial Medical CenterJudy Cudwortli 893-4701

Valley View Medical Center649-6994

St. Luke’s Medical Center283-7253

Sinai Samaritan Medical Center937-5444

Sinai Samaritan Medical CenterTransportation Clerk

Susan Quantrell EditorAurora Creative Services Graphic Production

We’d like to hear from you. Please call one of thecare coordinators above or send your comments andsuggestions to freedom 55/65, Aurora Health Care,3000 W. Montana Street, P.O. Box 343910, Milwaukee,WI 53234-3910.

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