In this Issue:

Foglia Family Foundation Residential Treatment Center Opens

Pioneering Total Knee Surgery

Volunteer at an AMITA Health Hospital

Revolutionary Repair of Sam’s Heart Valve HEALTHLife

SUMMER 2017

SUMMER 2017

SUMMER 2017

SUMMER 2017

SUMMER 2017

eAMITA Makes Virtual Doctor Visits A Reality

If you’re looking for a doctor who is:• close by• a coordinator for your care• easy to talk to…

...look here:

Or, see a provider virtually using your digital device — just $35 per virtual visit.AMITAhealth.org/eAMITA

AMITAhealth.org/ahmgor call: 844.366.0613

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AMITA Health Hospitals:

AMITA Health Adventist Medical Center Bolingbrook

AMITA Health Adventist Medical Center GlenOaks

AMITA Health Adventist Medical Center Hinsdale

AMITA Health Adventist Medical Center La Grange

AMITA Health Alexian Brothers Behavioral Health Hospital Hoffman Estates

AMITA Health Alexian Brothers Medical Center Elk Grove Village

AMITA Health Alexian Brothers Women & Children’s Hospital Hoffman Estates

AMITA Health Alexian Brothers Rehabilitation Hospital Elk Grove Village, in partnership with Rehabilitation Institute of Chicago

AMITA Health St. Alexius Medical Center Hoffman Estates

© 2017 AMITA Health

HealthLife is published by the AMITA Health Communications Department for the educational benefit of individuals and families in our community. Consult your physician before undertaking any medical treatment or beginning any new exercise program or dietary guidelines.

About AMITA Health:

AMITA Health (AMITAhealth.org) is an integrated health system serving communities in western and northwest-ern suburban Chicago. AMITA Health is a joint operating company by Adventist Midwest Health, based in Hinsdale, IL., and Alexian Brothers Health System, based in Arlington Heights, IL., encom-passing nine hospitals and an extensive physician provider network of more than 3,500 physicians, including a 500+ member AMITA Health Medical Group practice. AMITA Health is committed to delivering the most efficient, highest quality, faith-based care possible and respecting the faith traditions of all people.

CONTENTS: THE SUMMER ISSUE

Community Partnership 6 Targets Heroin Epidemic Schedule a Virtual Doctor 7 Visit with eAMITA

Foglia Family Foundation 8Residential Treatment Center Opens

Saving Lives From 9 Colon Cancer: The 80% by 2018 Pledge

Pioneering Total 10 Knee Surgery

AMITA Health 12

Protect Yourself from 13Heat Exhaustion Volunteer at an AMITA 14Health Hospital

Repairing Heart Valves... A Gentler but Revolutionary Approach COVER IMAGE: Sam Speziale and his daughter Sally Lavin.

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Andrei Pop, MD, explains how the TAVR procedure allows him to repair the valve and return patients to their normal lifestyles very quickly.

Repairing Heart Valves ...

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Minimally invasive medical procedures have grown rapidly over the past 15 years, and one of the most promising recent developments is in the repair of damaged heart valves. Until recently, treating a deteriorated aortic valve required open-heart surgery, which particularly in the elderly carries significant risks and necessitates a long recovery period.

For some patients, there is a gentler alternative.

AMITA Health Alexian Brothers Medical Center Elk Grove Village is the first hospital in the northwest suburbs to perform the ground-breaking transcatheter aortic valve replacement (TAVR) procedure. TAVR involves using a catheter inserted through an artery, usually in the groin, to reach the heart and replace the old aortic valve with a new one. Recovery periods tend to be much quicker compared to open-heart surgery, with fewer side effects and complications.

AMITA Health Heart & Vascular Institute’s heart valve clinic enables a patient to receive a very rapid evaluation from a group of highly experienced physicians. Each Wednesday, a multi-disciplinary team of physicians and surgeons meet to review the details of the previous week’s clinic patients.

“Our Wednesday heart valve conferences are where we discuss complex and routine cases. Together we determine the best solution for a particular patient, whether it’s medications, surgery or TAVR,” said Andrei Pop, MD, interventional cardiologist. Pop, together with Michael Bresticker, MD, heart surgeon, lead the Heart Valve Program at the AMITA Health Heart & Vascular Institute.

“TAVR used to be available only for people who had no other options, but now we are able to offer the procedure to people who have at least an intermediate risk of complications from surgery,” added Pop. “Based on the latest data, it’s actually a better option for many people, who typically range from age 70 to well into their 90s.”

Back to yoga in a weekAt the age of 95, Sam Speziale doesn’t just take yoga classes, he teaches them at his senior living community. Last year he passed out, which led to a meeting with Pop. “I went to sit down during a class, but instead I fell flat on my face,” he said. A black eye, bruises and 13 stitches in an eyelid were just the start of his latest health journey.

Tests revealed that a problem with his aortic valve had likely been the cause. Sam had been having slowly worsening problems for years. “Occasionally I would fall, like I did during the yoga class, and I didn’t know why,” he said. “The tests showed that my heart valve was deteriorating. I had two choices: repair the valve or keep experienc-ing problems.”

Sam decided to take action. “I was very impressed with Dr. Pop. He explained everything thoroughly and put me completely at ease. I make my own decisions, and I chose to have him do the procedure.”

The multi-disciplinary TAVR team performed more than 100 procedures during its first two years, and the team anticipates performing as many as 100-150 more during 2017. “It’s been great to be able to help so many patients, and it’s extremely satisfying when patients tell us about the activities they’re able to do now that they couldn’t do before their TAVR,” said Pop.

“I highly recommend the procedure. It was nothing,” said Sam. He returned to teaching yoga a week after his TAVR procedure. “Well, I haven’t fallen,” he said with a smile. “I feel fine. Actually, I get choked up when I think of how I was before. Dr. Pop is fantastic.”

To schedule an appointment with an AMITA Health heart specialist, call 855.MyAMITA (855.692.6482).

Sam Speziale, 95, chose TAVR last year to repair his heart and restore his life.

... a Gentler but Revolutionary Approach

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Community Partnership Targets Heroin EpidemicEighteen months ago, AMITA Health Adventist Medical Center GlenOaks and the GlenOaks Hospital Foundation hosted its biannual Community Partnership Committee meeting, designed to strengthen and enhance communication between the hospital and the communities it serves.

The committee is comprised of 60 key stakeholders from local communities – including Glendale Heights, Bloomingdale, Carol Stream and Addison. Committee members identified a common critical issue – the growing presence of heroin in their communities and concern as to how the hospital was addressing this alarming increase.

Following several meetings with community leaders and the county coroner, leaders from AMITA Health GlenOaks developed an action plan to target heroin intrusion. Police and fire chiefs and mayors from each surrounding community were invited to come together to help design the solution. The team assembled a panel of experts from AMITA Health and the community to deliver a “no holds barred” report on the opioid epidemic and its widespread impact.“It was an eye opening event for everyone,” said Christin Kruse, associate vice president of advancement at AMITA Health

GlenOaks. “Of particular concern was how to work with schools, parents and students to educate them on the situation and provide guidance on how to deal with it.

“We invited 30 students to share their perspectives about existing drug prevention programs, while the school superintendents and mayors listened in,” Kruse said. “The students told us that these

programs weren’t working. They don’t want statistics. What they want is an ongoing conversation with credible stories from small advisory groups that encourage intimate conversation. Students also recommended integrating drug education into other classes, such as speech, and not just focus on health classes.”

With these key findings in hand, Kruse and the team identified the Peer Mentor Program as the tool through which they could reach students. This program teaches students what it means to be a facilitator – enhancing their

listening skills and showing them how to ask leading questions. “We invited all the school principals and superintendents to meetings where they could go through the process themselves,” said Kruse.

On May 15, AMITA Health GlenOaks co-hosted its first Day of Champions at Addison Trail High School in coordination with 14 area schools. Students from six local high schools in Addison, Carol Stream and Glendale Heights were invited to a morning session that taught them peer mentorship skills.

In the afternoon, when students from the eight surrounding middle schools arrived, the high school representatives were equipped to facilitate honest interaction with their younger counterparts and the impact drug use has had on them personally. In total, 250 students representing 14 DuPage County schools led the inaugural Day of Champions.

“On the Day of Champions I saw young people excited and willing to step up and be part of the solution,” said Rich Veenstra, Mayor of Addison. “Seeing the initiatives of the schools involved and our three communities coming together with the hospital to address such a critical issue offers us hope that we can one day solve this problem.”

AMITAhealth.org 7Summer 2017

When Caroline, a single mom, got sick with a nasty, lingering cough, she knew what she had to do.

So she rounded up her 9-year-old son and drove to the pharmacy-based medical clinic, nearest to her home for diagnosis and treatment. Registering at the pharmacy desk, she was told it would be at least an hour before anyone would be able to see her. Caroline and her son settled in among the others, preparing for a long wait.

“I was just sitting there with my son when I remembered, “oh, wait, I can use eAMITA,” said Caroline. “I quickly downloaded the eAMITA app and scheduled a virtual visit. The physician assistant came online right away.

“I had my visit while I was still sitting there waiting. eAMITA had my prescription sent over and filled just as the pharmacy clinic nurse practitioner came out for the next patient. I advised her they could cancel my appointment, as I had already been seen by a health care professional!”

eAMITA is a quick and easy way for adults 18 and older to schedule a virtual visit with a medical provider for common, non-emergency conditions — all from the convenience of your smartphone, tablet or computer. Common conditions include upper respiratory infections, skin conditions, sinus infections and more.

By downloading an app and utilizing the camera and microphone on your device, an eAMITA medical provider will be able to see and hear you, evaluate your condition, and send a prescription

to your pharmacy, if needed. Each appointment costs $35, and providers are available from 9 a.m. to 6 p.m. seven days a week.

“eAMITA offers a way for patients with uncomplicated symptoms to get help from our local physicians or advanced practice providers,” said Dr. Reinhold Llerena, chief medical officer, AMITA Health Medical Group. “It is not intended to replace the high-quality care our patients currently receive from AMITA Health Medical Group physicians.”

Danielle, new mom to a 7-month-old baby, had trouble finding time in her busy schedule to visit her primary care physician when her persistent cough continued for more than three weeks. After experiencing a coughing fit in the middle of an important meeting, she knew she had to get treatment quickly.

“Immediately following the meeting, I sat in my car in the parking lot and downloaded the app on my phone,” said Danielle. “Within 10 minutes, I had a prescription I could pick up from my house on my way home from work.

“My primary care physician is wonderful and still an important part of my health care program, but I like the convenience of using eAMITA for minor conditions. It helped me stay on track with my busy work and home schedule and allowed me to spend more time with my sweet new baby,” said Danielle.

Visit AMITAhealth.org/eAMITA to learn more and access links to the app.

eAMITA Makes Virtual Doctor Visits a Reality

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New Residential Treatment Center Opens For People with OCD, Anxiety and AddictionsAMITA Health has opened a 48-bed residential treatment center.

The AMITA Health Foglia Family Foundation Residential Treatment Center opened its doors April 24 in the renovated former Alexian Brothers residence on the campus of AMITA Health Alexian Brothers Medical Center Elk Grove Village. It is the only facility of its kind in Illinois and one of only four such treatment centers in the nation.

The new center, open to existing patients of AMITA Health Behavioral Medicine Institute and to patients referred from outside the system, will address a growing community need related to increased awareness of OCD and anxiety and the fact that they often occur in tandem with addiction to drugs and/or alcohol.

In Chicago’s suburbs, addiction to heroin and other opiates is a growing problem, said Sarah Briley, clinical director of the Center for Addiction Medicine

at AMITA Health Behavioral Medicine Institute. “What really will set us apart from other pro-viders is that we will be treating multi-symptomatic patients,” Briley said. “So, for example, the individual who presents with co-occurring alcoholism and anxiety disorder can be treated in our OCD/anxiety program and our addictions program.” The residential center’s services include individual therapy, group therapy and psychiatric care/ medication management. The center offers the best in evidence-based care, with options such as expressive therapy, motivational interviewing, mindfulness and cognitive behavioral therapy, including exposure response prevention therapy. Residents also have access to 12-step addiction recovery groups that meet at AMITA Health Elk Grove Village. Salahuddin Irfan Syed, MD, a board-certified addictionologist, is the center’s medical director and leads its addiction treatment program. The center’s staff includes psychologists, therapists and nurses. Psychiatrists and other doctors also will be available to residents.

Clay Ciha, president and chief executive officer of AMITA Health Behavioral Health Hospital, expects the center to treat nearly 500 individuals a year, with residents staying at the facility for three to six weeks, depending on the nature and complexity of their disorders.

The center includes four beds for veterans, their spouses and their children up to age 26, and donations to the Alexian Brothers Foundation will cover their care. Veterans suffering from post- traumatic stress disorder (PTSD) will have access to virtual reality treatments that simulate battle situations. The center also provides other virtual reality treatments for residents struggling with phobias and addictions.

Ciha said that using the Alexian Brothers’ former residence for the new center will continue the Brothers’ 800-year-old tradition of serving those on society’s margins. “There really is nobody more marginalized and disenfranchised than individuals who are mentally ill or addicted,” Ciha said. “By choosing this purpose for their former residence, the Brothers will be changing people’s lives forever.”

AMITAhealth.org 9Summer 2017

Saving Lives From Colon Cancer: The 80% by 2018 Pledge

Did you know? Colorectal cancer is the second leading cause of cancer death for men and women combined, with more than 135,000 adults diagnosed each year.

The good news is that colorectal cancer can be detected early, at a curable stage – and can be prevented through the detection and removal of precancerous polyps.

AMITA Health is working toward helping to eliminate colorectal cancer as a major public health problem in those 50 and older with the 80% by 2018 pledge. Together with the American Cancer Society and the National Colorectal Cancer Roundtable, we are pledging to embrace the shared goal of regularly screening 80 percent of adults in this age group for the cancer by 2018.

More than 1,000 organizations across the country have also taken the pledge.

“Eighty percent of the population being screened for colorectal cancer is a lofty goal, but we might as well go big,” said Martin Boyer, MD, radiation oncologist and medical director for the

AMITA Health Cancer Institute in Elk Grove Village. “If we are able to get 60 to 80 percent of people over the age of 50 screened, we will likely detect a lot of very early cancers that would not have been caught until they were larger, more advanced and less curable.”

To help achieve this goal, physicians affiliated with AMITA Health are being educated to be particularly vigilant with their patient populations and consider the family histories of those populations–encouraging patients to follow recommended screening guidelines. “By detecting colorectal cancer early, we can increase cure rates,” said Boyer. “There aren’t a lot of cancers that we can catch through regular screening. Colorectal cancer is one of the few cancers that we can quickly diagnose and treat while still in its early stages and even detect before it develops

into cancer, thereby preventing a future malignancy.”

This type of cancer is very common. It touches all ethnicities in the United States and all age groups ranging from young adults to the elderly. It also runs in families, so if one family member has been found to have colorectal cancer, it can be more likely to occur in other members. While colorectal cancer can affect anyone, it also happens to be readily screen-able with a colonoscopy.

“I had my own colonoscopy at age 50 and experienced all the same trepidations that most people have when considering this screening,” said Boyer. “Once I had the procedure, I found it to be easier than I thought it would be. There is a cleansing prep that was more of a nuisance than the procedure itself. With the colonoscopy, you have no sense of anything happening. You’re given a medicine to become sleepy and the procedure is performed while you are under this conscious sedation. I woke up from my colonoscopy with no memory of the colonoscopy being performed.”

For more information visit AMITAhealth.org/cancer or to a schedule a screening, call 855.MyAMITA (855.692.6482).

Martin Boyer, MD, radiation oncologist and medical director, AMITA Health Medical Group, AMITA Health Cancer Institute Elk Grove Village

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Surgeons Pioneer Robotic-arm AssistedJoint Replacements...

10 AMITAhealth.org

Now for Total Knee

AMITAhealth.org 11Summer 2017

Continuing its pioneering trail in robotics, AMITA Health Orthopedics Institute has introduced the new robotic-arm assisted surgery for total knee replacement.

Surgeon Robert Daley, MD, used the Food & Drug Administration approved Mako™ robotic technology System to perform the institute’s first robotic-arm assisted total knee replacement at AMITA Health Adventist Medical Center Hinsdale.

The new technology enables a surgeon to plan and to perform total knee replacements more precisely, customizing every surgery based on a patient’s condition and anatomy, Daley said. “We believe it will result in better alignment and fit of the knee replacement, which will translate into an easier, faster recovery, along with a more durable, longer-lasting replacement,” he said.

The institute is one of 30 sites across the nation – and one of the first in Illinois – to offer the Mako technology for total knee replacement as part of a limited market release, said Kyle Grate, AMITA Health associate vice president, AMITA Health Orthopedic Institute. AMITA Health has had the robotic-arm assisted partial knee and hip surgery system for 7 years with excellent results.

“We want to make sure we’re giving our physicians and staff the resources – including research, technology and facilities – that they need to deliver the best possible value and outcomes for our patients,” Grate said. He expects about 500 robotic-arm

assisted partial knee, total hip and total knee replacements to be performed at AMITA Health Hinsdale in 2017.

“I’m a big believer in this robotic technique,” said Bruce Crowther, 65, a retired hospital chief executive officer who had both of his hips replaced during robotic-arm assisted surgeries at AMITA Health Hinsdale. “In both cases, I was walking and able to go up and down stairs without any assistance the same day as the surgery.”

Each time, Bruce returned home after an overnight stay in the hospital and resumed routine activities, including driving, within one to two weeks. Although he was prescribed strong pain medication, he never used it, because his pain was minimal, especially when compared with the pain of osteoarthritis that he had endured before the surgeries. That pain disappeared after his surgeries, and he has resumed his active lifestyle, which includes golfing, hiking and playing paddle tennis. His hips feel so normal that he never thinks about them. “It’s really remarkable,” he said.

Benjamin Domb, MD, a pioneer in the development and use of the Mako technology for hip replacements, performed both of Bruce’s surgeries. The technology enables surgeons

“to customize the hip replacement to fit a patient’s own anatomy and to do so with a superhuman degree of precision,” said Domb. “This allows the hip replacement to feel – and to function – as near to a normal hip as possible. It also can reduce the rate of complications and can increase the longevity of the hip replacement.”

The technology also enables surgeons to complete hip replacements with a muscle- sparing, minimally invasive anterior approach, often allowing the surgery to be performed on an outpatient basis with “a very quick recovery,” said Domb.

Michael Durkin, MD, who has performed approximately 500 robotic-arm assisted partial knee replacements, said the surgery minimizes post-operative physical therapy for patients and helps them “get back to golfing, riding their bike and getting on with their lives a lot faster.” He also uses the technology when performing total hip and total knee replacements.

For more information about robotic-arm assisted surgery for partial knee, total hip or total knee replacement, visit AMITAhealth.org/orthopedics or to schedule an appointment, please call 855.MyAMITA (855.692.6482).

Benjamin Domb, MD, and Robert Daley, MD, were featured speakers at a community program about advances in orthopedics in April.

AMITAhealth.org

Now for Total Knee

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A new, proactive approach to engaging and managing symptoms and conditions is helping members of the AMITA Health care team assist their patients.

AMITA Health , run on the TapCloud software platform, is a downloadable mobile app that gathers insights on a patient’s well-being, symptoms, pain, medications and vitals, allowing them to communicate directly with their care team and simplify complex care plans into daily steps. A “cloud” of available words is presented to the patient via the app and, using previously reported symptoms, becomes smarter and more personalized with each use. The patient simply taps on any

word or phrase that describes something they feel that day. A second tap indicates the symptom is increasing, or is high intensity on that day. The cloud includes positive and negative symptoms, as well as both emotional and physical symptoms. Doctors, nurses and other care team members have access to a monitoring dashboard to keep track of conditions and receive alerts to help prevent complications.

“My patients appreciate the simplicity of the AMITA Health layout,” said Pamela Davis, licensed clinical social worker at AMITA Health Behavioral Medicine Institute. “It’s not too complicated or visually overwhelming for them to use. As the clinician, I appreciate the color coding between when an emotion was tapped versus double tapped. It’s another easy way for me to visually scan and identify the more intense feelings that patients experienced during that week.”

AMITA Health is currently available for download on the App Store and Google Play store, for our patients in:

Behavioral Medicine - depression, anxiety & OCD patientsOrthopedics - joint surgery preparation & post-surgeryBariatrics - nutrition & surgery preparationNeurosciences - stroke, after discharge.

For more information, visit AMITAhealth.org/healthcheck.

Staying Connected to Patients with AMITA Health

AMITAhealth.org 13Summer 2017

It’s summer, and everyone wants to make the most of the warmer weather. Mark Collins, MD, with AMITA Health Alexian Brothers Medical Center Elk Grove Village has supported the community for 35 years and offers these tips to help you to enjoy the heat while keeping your body from becoming overstressed.

• In hot weather, it’s important to stay hydrated. As you perspire, your body loses vital fluids that need to be replaced to keep it cool. Symptoms of heat exhaustion include sweating profusely, dizziness, faintness and nausea.

If any of these symptoms appear, get to a cool area as quickly as possible and drink plenty of water.

• Individuals on high blood pressure medication, those with diabetes and the elderly are at particular risk for heat exhaustion and should take great care to limit outside activity on hot days. Look in on elderly neighbors or relatives to make sure they are okay and their homes are adequately cooled.

• Outdoor concerts and events with large crowds and alcohol can also offer a perfect opportunity for heat exhaustion if you’re not careful. Limit alcoholic beverages and move inside when the heat becomes oppressive.

Heat exhaustion is preventable and easily treated. However, it can progress to heat stroke in as little as 30 minutes, if not addressed. A fast heartbeat, a drop in blood pressure, headache, mental confusion and cool, clammy skin are all signs of heat stroke. Should these symptoms occur, seek immediate medical attention.

For more information, or to schedule an appointment with an AMITA Health physician visit AMITAhealth.org/request-an-appointment.

Protecting Yourself from Heat Exhaustion

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AMITAhealth.org 15Summer 2017

Consider Becoming a Valued Volunteer

VOLUNTEERS BY THE NUMBERS

Maybe you have thought about volunteering at a hospital. But you hesitate because you are looking for:

• a wide array of jobs to choose from

• tasks that require some skill• interesting peers to meet • many varied departments• something fulfilling and

rewarding to do with your time

If all this applies, then look no further than AMITA Health medi-cal centers, where volunteers are deeply appreciated. “I can’t tell you how rewarding it is to work with volunteers,” said Rose Verona, administrative director of volunteer services for AMITA Health Alexian Brothers MedicalCenter Elk Grove Village and AMITA Health St. Alexius Medical

Center Hoffman Estates. “They bring a wide variety of amazing, extraordinary skillsets which enhance the patient experience.”

AMITA Health volunteers range in age from 16 to 99. There are about 40 volunteer positions to choose from, including overseeing pet therapy, hosting electronic bingo broadcasts on closed-circuit television, and sitting with a dying patient who has no family or friends nearby. Volunteers assist in distributing communion to patients, and in transporting the art cart (with craft projects) and the kindness cart, which has small amenities that are provided to patients free of charge.

“I feel so blessed to work with our volunteers,” said Sandy Mueller, director, volunteer and patient services, at AMITA Health Adventist Medical Centers Bolingbrook, Hinsdale and La Grange. “Our volunteers are talented, accomplished people. I have so much respect for them. They know they are blessed and they want to give back. They get it.”

Some volunteers work the main desks of the hospitals, and direct patients and family members, or escort them, to various departments such as outpatient surgery. Some choose to do data entry or secretarial tasks, help out in the gift shop, warehouse or the cafeteria, or assist the valet parking staff direct traffic.

Kash Chadha of Schaumburg has been a volunteer at AMITA Health GlenOaks for 14 years. He has worked in many different areas of the hospital. When patients are discharged, he helps them into wheelchairs and escorts them to their vehicles. Sometimes he just sits with an elderly patient who needs comforting.

“I have done anything and everything that I have been asked to do,” said Chadha. “It gives me immense pleasure and satisfaction, serving the patients and their needs. Because I have had a wonderful life, I want to give back to society. I have had a successful career. I have a wonderful family. I like to serve — to give rather than take.”

In 2016, more than 1,800 active volunteers donated 260,000 hours to AMITA Health. For more information on volunteering, visit AMITAhealth.org/VolunteerToday or call 855.MyAMITA (855.692.6482).

Have a concern? Talk with us.AMITAhealth.org/ahmg • 844.366.0613

At AMITA Health Medical Group we believe more understanding leads to improved care. That’s why our doctors take the time to really listen. So whether it’s treating a recent condition, catching up over a yearly physical or working with you to help manage a serious medical concern, we’re here for you, always. In sickness and in health.TM

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Should I worry about that?

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