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News and information from our members on healthcare topics you may find helpful.
Patients, families can lean on social workers
From young children to aging citizens, “Social Work Matters.”
That’s the theme of National Professional Social Work Month, taking place this March. And it’s a theme just as important in hospitals as anywhere else. Patients, families can lean on social workers. At West Valley Medical Center, social workers Gina Bosco and Karen Arguello provide 24/7/365 coverage. They offer support in emotionally intense cases, assist with complex family dynamics, and advocate for patients as they provide psychosocial and discharge planning assessments.
In the Mental Health Unit, social workers Allison Mallow, Annie Flanagan and Tim Koberlein provide specialized services in a unique, often high-tension environment. Individual and group counseling are just a small part of the vita work they do.
“Social Workers are expert problem solvers armed with a wide range of knowledge regarding local resources to help patients and families solve problems for themselves,” Arguello said.
The days of a Social Worker are as varied as the patients they meet with. For instance:
- In the ER, they maintain contact and support with families while the medical staff treats patients.
- In the CCU, they assist with complex discharge plans including referrals to long-term acute-care hospitals.
- In the Family Maternity Center, they facilitate adoptions and highlight resources for teen parents.
- In the Medical/Surgical Unit, they provide emotional support amid complicated family dynamics, facilitate hospice referrals and tout community resources.
In short, “Social Work Matters.
According to the Bureau of Labor Statistics, social work is one of the fastest-growing professions in the U.S. because of the expanding need for services supporting health, age, child, family and school-related issues. Some of the information from this article was derived from socialworkmonth.org.
Morning Meal Fuels Our Brains
Was your morning coffee accompanied by some breakfast today? What did your children put in their tummies?
March 5-9 was National School Breakfast Week, which strives to gain attention for the School Breakfast Program. SBP enables nonprofit breakfast programs in schools and childcare facilities. Whether at school or at home, a healthy meal is the best way to begin the day, said Julie Westermeier, RD, LD, CNSD, a clinical dietitian at West Valley Medical Center.
“It’s better on your metabolism to eat more often,” she said, noting that people who consistently skip meals tend to be heavier. For children, the ability to succeed at school is at stake.
“Eating a healthy breakfast is associated with improved cognitive function (especially memory), reduced absenteeism and improved mood,” according to the Centers for Disease Control and Prevention. Westermeier said breakfast foods that are targeted at youths often are high in sugar, such as frosted toaster pastries and sweet cereals.
“You’re better off choosing a whole-grain cereal and topping it with fruit,” she said. Other excellent options include waffles or pancakes with whole grain and protein-rich foods such as eggs and peanut butter.
To learn more about the importance of whole-grain foods, visit our website.
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Remember the ‘Other’ Diabetes
Don’t forget about that “other” type of diabetes.
No, not Type I or Type II. Gestational Diabetes Mellitus (GDM) doesn’t get a lot of press, but it’s a serious condition that prospective mothers need to aware of, said Greta Van Dyke, RN and diabetes educator at West Valley Medical Center.
What is it? GDM is high blood sugar first diagnosed during pregnancy, according to the Idaho Department of Health and Welfare (IDHW).
What are the risk factors? Those at a higher risk for GDM include Hispanics, African-Americans, women overweight or obese and women with family history of diabetes. The biggest risk factor, however, is if you had GDM during previous pregnancies.
Luckily, women carrying GDM risk factors most likely will be tested for it by their obstetrician, Van Dyke said.
“Have a conversation about that with your doctor,” she said.
Without treatment, GDM can increase the risk of (according to IDHW):
- Miscarriage or preterm birth
- Pre-eclampsia for the mother (increased blood pressure)
- Jaundice
- Large babies and/or delivery complications
- Obesity and developing diabetes later in life for the baby
So, how do you treat it? Sometimes GDM can be treated with improved nutritional habits, but other cases call for oral medication or insulin.
Are there long-term effects? Usually GDM disappears after the baby is born. But there’s a 30 to 60 percent chance a women with GDM will develop Type II diabetes later in life.
Group classes and individual sessions are available for those with Type I and II or gestational diabetes. A physician referral is necessary. For the class dates or to schedule an individual session, call 455-6500. More info about gestational diabetes is available on our website.
- You can contact West Valley Therapy Services/STARS at 459-2436.
- For expert info on a wide variety of health issues, please visit blog.westvalleymedctr.com.
― For more information about your family’s health, please visit westvalleymedctr.com.
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Keep shoveling — with proper form
When the snow hits, do you shovel with fervor? We suggest some caution, too.
When winter weather brings snow through the Treasure Valley, local physical therapist Matt Braun reminds us to maintain sound form when removing the aforementioned white stuff from your driveway.
Avoid lifting the snow and then twisting as you toss it away, said Braun, director of therapy services at West Valley Therapy Services/STARS. Here's what he recommends:
- Strive for a neutral spine position.
- Bend at the hips, knees and ankles.
- Push the snow aside instead of lifting it.
"Keep your back straight and use your extremities as much as possible," he said.
Happy shoveling!
- You can contact West Valley Therapy Services/STARS at 459-2436.
- For expert info on a wide variety of health issues, please visit blog.westvalleymedctr.com.
― For more information about your family’s health, please visit westvalleymedctr.com.
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Common Cold or Bacterial Sinus Infection?
By Kristin Christensen, PA-C
Physician Assistant, West Valley Medical Group – Middleton
This time of year, a common health concern is deciding whether you are suffering from a common cold or a bacterial sinus infection.
Most of us suffer numerous times during the year with a nasal discharge, sneezing, sinus congestion and facial pressure. These are common signs of a viral infection.
These symptoms are treated with noncaffeinated fluids, saline nose drops or sprays, warm facial compresses, vaporizers and extra rest. Occasionally a nasal decongestant can be used for a couple of days. Nasal steroids may also reduce symptoms, and Guaifenesin will thin the secretions.
Some people without high blood pressure can benefit from oral decongestants, and, if associated with allergies, antihistamines are helpful. Often the common cold is associated with a sore throat and cough, which helps differentiate them from allergies affecting the nose and sinuses.
A small number of people develop sinus infections, which may be bacterial. Bacterial sinus infections may develop after congestion has lasted seven to 10 days accompanied with purulent nasal drainage (white/green and thick), sinus pain, upper teeth pain, fever and frontal headaches.
Bacterial or viral sinus infections can include the inability to smell, pressure in the ears, bad breath and fatigue. Most sinus infections are viral and do not need antibiotics, as they are ineffective in treating viral infections.
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Q&A: Pain in the Workplace
Workplace injuries are frustrating ― for both employees and employers. Learn more about the prevalence, treatment and prevention of work-related injuries from this Q&A with Chris Swoboda, RN, MHS, wellness coordinator in West Valley Medical Center’s Industrial Medicine Department:
- What are the most common work-related injuries you encounter? Back injuries are the No. 1 occupational injury we encounter. This injury is the leading cause of workdays lost and a costly occupational health problem. Employees are at risk to experience a back injury sometime in their working career. Eight out of 10 people experience back pain. Back injuries often are associated with physical work, lack of body mechanics, personal health factors, static posture- sitting and standing, and other psychosocial dynamics of the workplace.
- What can people do to prevent such injuries? A major key in preventing back injuries is to exercise. Being active will promote disc health in your back. Exercise helps reduce the negative effects of stress on your back. Also, it is important to exercise abdominal muscles to help strengthen and support the back. Utilizing proper body mechanics is most important! Often people will bend at the waist, thinking it is more comfortable. But posture needs to be monitored while lifting and stretching. It is very important to maintain the natural curves in the spine to help avoid a back injury.
- What are some tips for people who sit for long periods during the course of the day?
Choose an ergonomic chair that supports the length and width of your back. Make sure it has adjustable armrests and an adjustable seat height. Adjust your work angle and height. Your work surface area should be at elbow level. When you are working on the computer, the top of your screen should be at eye level. Sit straight and close to your work. Your back should be supported by the back seat of the chair. Your knees should have 1 to 2 inches of clearance beyond the edge of your chair. Your feet should rest comfortably on the floor or a footrest.
Most important: Get up regularly and stretch! Also, shift your sitting position at least every 30 minutes.
- Why do so many people have back pain today?
It is the way our work and our lifestyles have evolved. People have grown more sedentary in an automated world. We are doing more and more sitting. This adds to extra weight and makes our backs more vulnerable to injury. Starting to experience back pain is a warning of something wrong.
― For more information about your family’s health, please visit westvalleymedctr.com.
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Don’t underestimate importance of warmth
Most people know staying warm during winter is important. But do you know why? Also, are you doing all you can to ensure your warmth?
The importance of warmth
 When your body temperature drops, your metabolism slows down, said family medicine specialist Mylynda Massart, MD, of Saint Alphonsus Medical Group – Caldwell.
“You’re lacking energy,” she said. Then you tend to try to stay in one place to try to stay warm, and this lack of activity further slows your metabolism down. Your body ― including your heart and lungs ― has to work harder to maintain your body temperature, Dr. Massart said.
“That’s going to put more stress and strain on you,” she said. Elderly people in particular require higher temperatures to maintain an ideal body temperature.
Obstacles to warmth
Money is tight in many households. Perhaps even more than usual, people either can’t afford or don’t think they can afford to turn their electricity up. Many people turn to space heaters, which are very dangerous, Dr. Massart said ― a significant fire hazard.
“They make carbon monoxide, which is a silent killer,” she said. If you need to use a space heater, the presence of carbon monoxide detectors in your home is really important. Luckily, they’re relatively inexpensive and easy to find.
A central impediment to the warmth of children is their widespread unwillingness to wear a coat ― along with a lack of comprehension for why coats, winter caps and gloves are important. It’s one of those classic, inherent child/parent arguments, Massart said. Regardless, parents need to stay strong and firm in their insistence on warm clothing during the winter months.
Myth to keep in mind
Lots of people have uttered this sentence: “Put your coat on, or you’re going to catch a cold.” It’s simply not true, though.
“We get sick from viruses and bacteria, not cold temperatures,” Massart said. However, when a person’s metabolism slows down, the body is less likely to cope with viruses and bacteria. So, being cold can suppress the ability to fight off infection, she said.
― For more information about your family’s health, please visit westvalleymedctr.com.
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Know your acid reflux options
By West Valley Medical Center
(Story originally published in Idaho Press-Tribune)
Many of the tens of millions of Americans who suffer from daily heartburn or acid reflux can effectively treat their symptoms with pills. In some cases, an anatomical solution is recommended to end your suffering once and for all.
Reflux occurs when what is in your stomach backs up into the esophagus and/or mouth. For those with acid reflux disease, the valve that prevents stomach acid from flowing back up no longer functions correctly. They experience uncomfortable symptoms from their reflux, such as heartburn, vomiting or pain with swallowing. Some sufferers develop more serious complications, including:
- Stricture
- Barrett’s esophagus
- Esophageal cancer
- Lung and throat problems
“If you can alleviate your reflux symptoms with pills, that’s great. Keep doing what you’re doing,” said Ryan Hardy, MD, of Advanced Surgery of Idaho in Caldwell. He and Ronald Cornwell, MD, also of ASI, perform acid reflux surgeries at West Valley Medical Center. “But what if your symptoms persist despite medications, or if you experience nonacid symptoms such as asthma, chronic cough or laryngitis? What if you don’t want to take pills for the rest of your life? In these cases, surgery might be the best option — a long-term solution.”
West Valley Medical Center uses highly effective screening technology to help pinpoint the safest, most prudent treatment for each individual.
You have options
Mild acid reflux symptoms often call for simple dietary and lifestyle changes or use of nonprescription medications such as antacids and H2 blockers such as ranitidine, cimetidine. Even some with moderate to severe symptoms can be treated with stronger, prescription medications such as proton pump inhibitors (PPIs). Antacids neutralize the acid in your stomach, while H2 blockers and PPIs actually decrease the amount of acid your stomach produces.
But are you taking double doses of PPIs? What about nighttime symptoms that prevent sleep, even when on medication? For some acid reflux sufferers, no type or amount of medication brings relief. That’s when surgery often makes the most sense —an anatomical solution to an anatomical problem.
- Laparoscopic Nissen Fundoplication involves wrapping the upper part of the stomach around the lower end of the esophagus —creating a new anti-reflux valve.
- Much like the Lap Nissen procedure, Transoral Incisionless Fundoplication reconstructs a valve and tightens the lower esophageal sphincter. But TIF is an incisionless procedure during which a scope is introduced through the mouth and into the esophagus.
“We don’t want anyone to undergo unneeded surgery,” Dr. Hardy said. “But when you can no longer manage the effects of your acid reflux, we’re here to help solve the problem.
To schedule a consultation with an acid reflux surgeon, call 455-3981. **********
Q&A: Water and Food for Infants
Parents are faced with a variety of child-related health care questions on a regular basis. Recently J’Cinda Bitters, MD, of West Valley Medical Group helped us tackle a couple queries from our readers:
How much water should parents give infants and children? Why?
“Infants do not need any water at all until four months of age, and at that time they can have up to 4 ounces (four ounces at four months).
“Breast milk or formula should be the main liquid that infants up to age 12 months consume, but water supplementation on demand is generally safe after 12 months. Otherwise, water needs are based on the child’s weight, but in general, giving the child what he or she needs to quench thirst is adequate.”
How can parents determine at what age kids should start eating solid food, and how can they determine what types of solid foods to start their kids on? Once they’ve started their kids on solid food, what should the progression from softer solid foods to harder solid foods look like?
“Parents can start solids at four to six months of age. If there is a family history of food allergy, waiting until six months is better. First food is usually rice cereal and should be prepared rather thin: 2 ounces of liquid to 1 tablespoon of rice cereal. Then parents can begin introducing Stage 1 fruit and vegetable baby foods (one food type at a time) for several days at a time, so that if there is a food reaction, it is easily elucidated. As babies begin tolerating larger bites with less and less thrusting the food out of their mouth, they are ready for Stage 2 textures. Once they begin teething, they can try harder foods like teething biscuits.”
J’Cinda Bitters, MD, is a family physician at West Valley Medical Group – Caldwell. **********
Don’t take ability to breathe for granted
It’s easy to take for granted the ability to breathe — that is, until complications arise.
Recently, National Respiratory Care Week shed some light on this important topic. But our overall health depends on taking responsibility for health issues such as this one all year long.
Respiratory distress is caused by an improper gas exchange of oxygen and carbon dioxide — the latter which we inhale and the former which we exhale. Difficulty breathing can stem from a variety of factors, including airborne infections, allergens and chemicals.
Winter presents a unique respiratory situation, said Thomas Foster, directory of Respiratory Therapy and Sleep Lab at West Valley Medical Center. These colder months can be especially tough for people with Chronic Obstructive Pulmonary Disease (COPD), plus this time of year marks the first wave of influenza and seasonal upper respiratory tract infections.
When respiratory complications come about, further issues can follow in the years to come. “Lack of oxygen can cause problems later with brain, heart and then lungs,” Foster said.
It’s important to recognize and address respiratory problems in timely fashion. “Any time you have trouble breathing, you should see a family practice doctor or go to an urgent care clinic,” Foster said. “When severely short of breath, go to the ER.”
Of course, it’s better to never experience the symptoms in the first place. Prevention of respiratory ailments includes staying away from smoking. Foster said the percentage of Idahoans who smoke actually is increasing.
Exercise also is important. “Go out for a walk, ride a bike, do something to exercise your cardiovascular system,” Foster said.
West Valley Medical Center’s local doctors provide articles every other week on health care that are sure to be of interest and great advice. To read previous articles, see the Health News on our website, or for more information about your family's health, please visit westvalleymedctr.com.
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Maximize your workouts - and your health
It’s no secret that exercise is a significant part of staying healthy. But once you take that proactive step toward your own well-being, are you maximizing the potential of your workouts?
There are several key tips to consider before, during and after activity.
First off, make sure to integrate both aerobic and anaerobic exercise into your lifestyle. Examples of aerobic work – steady exercise for at least 12 minutes – include walking, running, biking and swimming. Anaerobic exercise is strength training, or short bursts of exercise such as weight lifting and sprinting.
Before the workout
Those looking to construct or personalize their own exercise program should consult a doctor first. When preparing to exercise, proper hydration is key. Drinking 16 ounces of fluid two hours before starting is a good idea. Loose-fitting, breathable clothing and exercise-appropriate shoes are important, too.
During the workout
For a fairly standard 20- to 40-minute period activity, try for 5 to 10 minutes of warm-ups such as calisthenics or stretching. If you can say more than three to five words at a time during exertion, you probably need to increase the intensity a bit. Stay hydrated throughout the workout; those who sweat heavily should drink 2 to 3 ounces every 15 minutes. You should be keenly aware of the signs of overexertion: shortness of breath, irregular heartbeat, fatigue, light-headedness, chest pain, etc.
After the workout
Once finished, you should “cool down” for about 5 minutes with much slower activity and stretching. And if you feel hungry, enjoy a healthy snack – preferably combining carbohydrates and protein.
The Centers for Disease Control and Prevention recommends 2 ½ hours of moderately intense aerobic activity every week, along with muscle-strengthening activities on two or more days. With a little effort on a consistent basis, you can play a role in decreasing your blood pressure, cholesterol, body fat and stress while increasing muscle tone and metabolism and strengthening your heart and circulatory system. From planning an exercise program that’s right for you to properly cooling down and refueling your body, you can make a difference in your health and well-being by staying active.
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Get flu vaccine sooner, not later
You don’t have to be part of the 5 to 20 percent of U.S. residents each year who contract the flu. You also shouldn’t have to worry about whether your local hospital is doing everything possible to prevent this virus on campus. Flu is the No. 1 vaccine-preventable cause of death annually. Each year about 200,000 people in the U.S. alone are hospitalized with the flu. About 36,000 of these people die.
“Imagine the lives saved, money saved and work absences avoided if we all were vaccinated,” said Michaela Schulte, MD, an infectious disease expert at West Valley Medical Group in Caldwell.
That’s why West Valley Medical Center encourages everyone 6 months of age and older to get a flu shot – every year. It’s also why WVMC adheres to the American Hospital Association’s recommendation to require all staff to receive a flu vaccination or wear a mask in the presence of patients during flu season.
To maximize your protection, ideally you should be vaccinated before the onset of local flu activity. Even so, you can receive the shot at any time during the flu season. You might not have heard that certain groups of people have an increased risk of serious flu-related complications. According to the Centers for Disease Control and Prevention, these include people:
- Pregnant
- Younger than 5, and especially younger than 2
- 50 years of age and older
- With certain chronic medical conditions
- Who live in nursing homes and other long-term care facilities
Also, it is imperative that anyone who lives with or works with those at higher risk is vaccinated. Dr. Schulte said a common myth is that people can get the flu, or at least get sick, from the vaccination.
“This is absolutely not the case,” she says. “The injectable vaccine does not contain any live virus.” Any symptoms of illness after being vaccinated most likely are coincidental.
Other preventative measures
Beyond vaccination, measures to help reduce the likelihood of getting the flu include:
- Be consistent and thorough with hand hygiene.
- If you have to cough or sneeze, do so into the sleeve.
- Avoid close contact with anyone who might have the flu.
Hospital visitors and guests
WVMC stridently works to foster a flu-free environment. That’s why the hospital:
- Provides cough and sneeze stations and hand sanitizers.
- Watches for flu-like symptoms from patients and guests
- Offers alternate ways to communicate with patients
For more information about the flu, visit cdc.gov.
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Remain watchful en route to/from school
Children are back in the classroom now, which presents different types of accidents to guard against – especially on the way to and from school. Idaho Emergency Physicians offers these suggestions:
When crossing the street:
- Start at a corner and look in all four directions.
- Stick out your arm to signal your intention to cross.
- Wait until all the cars have stopped. Walk, don’t run, across the street.
Never walk alone; there is safety in numbers.
- Never approach a stranger who is offering or requesting assistance.
- Be prepared to run and scream for help if you feel threatened.
Bike riders:
- ALWAYS wear a helmet, even on short rides.
- Ride in the bike lane or as far to the right as possible, single file.
- Walk your bike across busy streets.
- Obey all traffic signs and signals.
- Use hand signals to indicate your intention to turn or stop.
- Don’t ride at night.
― Idaho Emergency Physicians is the emergency provider at West Valley Medical Center Emergency Department in Caldwell.
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ATVs Require Caution – Despite Slow Speeds
By Chris Tobe, MD
Idaho Emergency Physicians
All-Terrain Vehicles can be a blast, especially when the weather is good and the trails are in prime condition. Before heading to the backcountry, make sure you know the best ways to stay safe on an ATV.
ATVs are becoming more and more popular for work and recreation. With that influx of activity, we are seeing an increase in serious injuries and deaths. As an ER physician, I frequently treat ATV-related injuries ranging from head injuries and spinal cord injuries to broken bones.
While these vehicles travel slowly compared to cars and trucks, the potential for tragic accidents is very real. Safety guidelines such as these are vitally important:
- Always wear a helmet and other protective gear, such as over-the-ankle boots, goggles, gloves and sturdy pants.
- Use extreme caution when going up or down hill to avoid rolling over.
- Never carry a passenger. Most ATVs are designed to carry just one person and to allow the rider to shift his or her weight freely in all directions for maximum control.
- Never ride under the influence of alcohol or other drugs.
- Ride only on designated trails and at a safe speed. Because of how they’re engineered, ATVs are difficult to control on paved roads.
- Take an approved ATV training course.
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Benefits of breastfeeding extend beyond baby
By Jen Newman, CRNP, MSN, Women’s Health Nurse Practitioner
Your new bundle of joy is on the way, or maybe he/she just arrived. You've heard about the benefits of breastfeeding, but is it really the best way to feed your little one? Absolutely!
While breastfeeding is a personal choice and may not be best for every infant, the benefits of breast milk are many. Breastfeeding positively impacts baby, mom and society as a whole. Early milk, also known as colostrum or liquid gold, is rich in nutrients and antibodies that protect baby from debilitating illness and infection. As baby grows, your milk’s composition changes to meet baby's changing nutritional needs. Breast milk is easy to digest, which means a baby with less stomach upset, and … it's free!
Mom benefits, too. Breastfeeding requires quiet, skin-to-skin bonding time, which promotes oxytocin production. Oxytocin is a powerful calming hormone, which is very beneficial during the postpartum stage. Goodbye baby weight! Breastfeeding helps mom's body return to its pre-pregnancy state. Half of the calories needed to manufacture breast milk are pulled from maternal fat stores. This means you're burning 500-1500 calories/day, which is equivalent to a 30-minute high intensity run.
Society also wins when moms breastfeed. Work absenteeism is reduced when newborns are healthy, and because breast milk can be stored in the freezer for six months, career moms are allowed return-to-work flexibility. Global pollution is decreased due to less processing, producing and distributing of formula.
Breastfeeding also has the potential to reduce health care spending. It is estimated that if the majority of newborns were to receive liquid gold, health care costs could be reduced by $33 million per month.
The overall benefits of breastfeeding are incalculable, and there are many local resources, support groups and trained lactation staff to assist your journey. Ask your health care provider for more information.
Give it a try; your body, your baby and your community will thank you.
― Jen Newman, CRNP, MSN, is a women’s health nurse practitioner at OB/GYN Associates, which has locations in Caldwell, Meridian and Eagle.
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Yearly mammograms serve valuable purpose
By Janet Drake
West Valley Medical Center
With the Caldwell Night Rodeo’s Power of Pink Night coming soon, breast cancer is once again in the spotlight. We have read the statistics, and we know that screening mammograms save lives, but how many of us have followed through and had our mammogram done? How many do it every year?
I hear the same few excuses over and over again when I ask people about their mammograms: “I don’t have a family history of breast cancer,” “It hurts” and “I had one done and it was normal, so I didn’t think I needed another one”.
Family history is a real risk factor and should be looked at closely. However, according to the American Cancer Society, 90 percent of the people diagnosed in 2009 had no family history of breast cancer. The bottom line is this: If you are a woman, you are at risk of getting breast cancer, and as you get older, that risk increases.
Do mammograms hurt? I wish I could tell everyone that they don’t hurt, but I can’t. It varies from person to person. Some tell me it doesn’t hurt at all, but for others I know it can be uncomfortable. At West Valley Women’s Imaging Center, we take the discomfort of a mammogram seriously. There’s a spa-like atmosphere to calm patients’ nerves. We also use a mammo pad that cushions the surface of the mammography machine, along with a smart paddle that better conforms to the contours of the breast and helps eliminates excess compression at the chest wall.
Getting your mammogram done is important, but equally important is getting your mammogram done every year. The visual appearance of breast tissue can change from year to year, and it is important to have a record of that change to look back on. When radiologists read mammograms, not only do they look at the images that were just taken, but they compare those images to prior years. A change in the visual appearance can be the first clue that something is going on, and that we need to look at that area closer.
It is critical to understand that breast cancer is very treatable when found at an early stage. Mammograms are the way that we find early cancer. They save lives, and that life could be yours, so this year don’t just think about scheduling your mammogram, but pick up the phone and actually make the appointment.
Free mammograms for those in need
Local women may qualify for a free mammogram screening at West Valley Medical Center through the Power of Pink program, for which funds will be raised at the Caldwell Night Rodeo’s Power of Pink Night on Aug. 18.
Funds are available for women between the ages of 40 and 65 to receive screening mammograms and for women of any age with breast symptoms to receive diagnostic mammograms.
Women 40 to 65 years old are encouraged to seek free screenings if they:
- Have no insurance.
- Have insurance with a deductible of $2,000 or more.
- Meet income criteria.
To apply for aid, visit the Tough Enough for Pink page at www.caldwellnightrodeo.com, where you’ll find an enrollment form; visit www.westvalley.com; or call West Valley Medical Center at 208-455-3905.
● Janet Drake, BSRT, RT (R), is the mammography coordinator at West Valley Women’s Imaging Center in Caldwell. The center can be reached at 455-3905. More information is available at westvalleymedctr.com
Enjoy heat safely
Once again, the heat is on.After an uncharacteristically cool, wet spring, Treasure Valley residents are starting to experience the warm temperatures to which we’ve all grown accustomed in this area.
The hot weather is a blast for many outdoors activities, but it also carries some dangers to be on the lookout for. In fact, heat emergencies have been the most frequent cause of environmentally related death in U.S. in the past decade.
Know the risks
It’s helpful to know some of the risk factors for heat-related illnesses. For example, those at the highest risk level include elderly;children younger than 4;alcoholics; and those with limited mobility, chronic illness or who takemedications. Other risk factors include prior history, obesity, vigorous exercise, dehydration, scleroderma andhyperthyroidism.
Problems and treatment
Heat edema - Mild swelling of thefeet, ankles and hands.
Prevention/Recovery: In response, you can move to a cooler spot and elevate the extremities.
Prickly heat (“heat rash”) - Rash over tightly clothed areas of the body.
Prevention/Recovery: Preventative measures include wearing clean, light and loose-fitting clothing. If you’re already contracted it, try some chlorhexidine cream or lotion.
Heat exhaustion - Symptoms can include nausea, vomiting, headache, fatigue and weakness and dizziness
Prevention/Recovery: Heat exhaustion can lead heat stroke, so prompt treatment is imperative. Stop exercising immediately and be moved to a cooler area. Remove excess clothing and drink salt-containing liquids such as sports drinks. If do not respond to these actions, emergency room care is advised.
Heat stroke - When the temperature is above 104 degrees, heat stroke has set in. This can be marked by irritability, confusion, bizarre behavior, combativeness, hallucinations, seizures and even coma.
Prevention/Recovery: Professional emergency treatment is imperative.
The information for this article was compiled from Hansel Ashby, MD, FACEP, of Idaho Emergency Physicians and UpToDate.com
Get familiarized with weight-loss options
West Valley program offers Lap-Band procedure
For 60 million Americans, maintaining a healthy weight is a personal struggle. What’s more, sorting through the countless diets, programs and products available is confusing and can make difficult to identify long-term solutions.
In response to this issue, West Valley Medical Center’s Surgical Weight-Loss Management Program provides help researching the facts; identifying which option is right for each individual; and, if appropriate, locating a local expert who can help one reach his or her personal goals.
Your health, affected
Being overweight or obese negatively impacts people’s health and significantly increases the risk of chronic conditions including type 2 diabetes, sleep apnea, certain kinds of cancer, and cardiovascular diseases such as high blood pressure and stroke.
The social effects of being overweight can be just as debilitating. Society often judges morbidly obese people as lazy, unpleasant or distasteful. Some people suspect they are passed up for a new position or a promotion simply because they are overweight and viewed as unproductive or irresponsible.
Different people, different plans
No two people have the exact lifestyle and weight-loss variables. That’s why physicians recommend a multifaceted, personalized program. Multiple studies have consistently shown that people who take this approach lose more weight overall and keep it off.
WVMC’sSurgical Weight-Loss Management Program comprises state-of-the-art medical expertise from specially trained physicians, nutrition experts, exercise specialists, psychologists and support groups who guide, support and motivate participants to success.
The program focuses on identifying the best solution for each person. For some that’s simply proper nutrition and increased exercise. For others, surgical weight-loss options make sense.
When surgical treatment is recommended, one option ¯ a procedure available at WVMC ¯ is laparoscopic banding. The “Lap-Band®” is placed around the top part of the stomach and tightened so its capacity is significantly reduced. This procedure can be reversed, and the band is adjustable to improve weight loss and minimize side effects.
Taking action
·Call West Valley Medical Center’s Weight Management Center specialists to begin a personalized program.
·Register to attend a free support group.
·Call 455-3842 to learn more or schedule a consultation.
·To learn more about of the Lap-Band® procedure from a local surgeon, visit http://www.youtube.com/user/WestValleyMedCtr
For more information about your family's health, please visit westvalleymedctr.com.
Faster recovery with minimally invasive spine surgeries
Faster, more robust recovery is one of the many benefits you may reap from minimally invasive spine surgery in Caldwell.
One of the most innovative trends in spine surgery is minimally invasive spine surgery (MIS), which involves treatment of the spine through small incisions, as well as the use of an endoscope that offers minimal disruption of the surrounding muscle tissue.
Experienced surgeons Dr. Richard Manos and Samuel Jorgenson of the Spine Institute of Idaho have performed hundreds of minimally invasive spine surgeries – and they now offer this service at West Valley Medical Center.
Benefits for patients
Most patients expect to return to a normal work or recreation lifestyle after any type of surgery, and MIS patients are no exception. The benefits of MIS include:
• Muscles and soft tissues are spared
• Risk of postoperative infection is decreased
• Some procedures can be performed as outpatient surgery
• Blood loss is reduced
• Patients experience less postoperative pain
• Reduced need for postoperative pain medication
• Time hospitalized is reduced
• Small incisions; cosmetically more appealing
• Recovery is faster
• Patients return to regular activities sooner
Conditions treated
MIS procedures and techniques are safe and effective for treating many different spinal disorders. Here are just some of the spinal problems routinely treated using MIS:
• Cervical and lumbar herniated discs
• Degenerative scoliosis
• Cervical and lumbar spinal stenosis
• Spindylolisthesis
Frequently asked questions
What causes a herniated disc?
Every patient’s situation is different, but in general, disc herniation is a combination of an acute, specific injury to the lining of the disc with leaking of the inner contents of the disc. The herniation is most often related to a lifting, bending or twisting injury to the disc.
When is spine surgery usually necessary?
Surgery is recommended for spinal problems only after all appropriate conservative measures have been applied. If symptoms are not controlled effectively with medications, physical therapy and injections, then surgery can be considered, depending on the situation.
What are bone spurs and what is their cause?
Bone spurs occur as the body tries to decrease the pressure by expanding the surface area and are caused by joint degeneration in the aging process. Bone spurs are a marker for degenerative arthritis; so, if there is back pain, the cause could be from the arthritis.
Removing bone spurs does not relieve back pain, because they are not the cause. The only time spurs need to be removed is if they push on a nerve and cause leg pain.
For more information about your family's health, please visit westvalleymedctr.com.
Watch your feet this spring/summer
As the valley warms up this spring, bringing with it an influx of outdoors activity, please use caution to help prevent footwear-related injuries.This time of year, many people end up in the West Valley Medical Center Emergency Department after either walking barefoot or wearing the wrong type of shoes outside.By far the most common foot injuries seen in the ER are puncture wounds to the foot, said Brandon Wilding, MD ¯ and many of these cases could have been prevented with appropriate footwear.
“Recently a patient sustained a puncture from a regular wooden pencil through the sole of his tennis shoe and completely through his foot,” Dr. Wilding said. “While punctures can occur through the sole of a shoe, they are far less common than bare-footed punctures.”
Crush injuries and burns are common as well. “The most bizarre foot injury that I have seen personally was from a young man who ran bare foot on the sand dunes in the summer time, Dr. Wilding said. “ It took many steps before the patient realized that the sand was very hot, and by the time that he turned and returned to a shaded area, he sustained second-degree burns on the soles of both feet.”
Parents should pay attention in particular to their children’s footwear when riding bikes or scooters, Dr. Wilding said, noting the potential for traumatic toe amputations or significant abrasions. Young people need to wear shoes and a helmet when riding - always.
Athletic activities present some danger as well. For example, "Turf Toe" or a sprain of the metatarsophalangeal joint is much more likely when barefoot, Dr. Wilding said. And properly fitting footwear can reduce the chance of stress fractures or tendonitis injuries.
“Make sure your shoes fit properly and that they are still in good repair,” he said. “Protect your feet and enjoy the summer."
For more information about your family’s health, please visit westvalleymedctr.com.
Brandon Wilding, MD, FACEP, of Idaho Emergency Physicians is the West Valley Medical Center Emergency Department medical director and VP finance/treasurer IEP’s executive committee.
Why should I be concerned about HPV?
By Jen Newman, CRNP, MSN, Women’s Health Nurse Practitioner
Most of us are always looking for ways to improve our health and stay healthy. One easy way to do such is through vaccinations. A number of vaccines, including Adacel, Gardasil and Influenz, can be helpful.
Gardasil is a three-series vaccine that helps protect against the HPV virus (Human Papillomavirus). HPV is a common, sexually transmitted virus often causing diseases of the genital tract. The vaccine is encouraged for both young women and men between the ages of 9 and 26. It is best given prior to any sexual intimacy involving genital contact; however, you may also benefit if you have a prior diagnosis of HPV.
Many insurance companies are happy to cover all or a portion of the associated cost. There also are assistance programs available for those who qualify. Your specific health history should be discussed further with your healthcare provider to determine if this is right for you.
The Center for Disease Control and Prevention (CDC) estimates that more than 20 million people in the U.S. have HPV. There are several HPV types - more than 100, to be exact! Gardasil helps protect against four of the most virulent: types 6, 11, 16 and 18. These strains were selected as they are known to cause approximately 70 percent of cervical cancers and 90 percent of genital warts. It is important to remember that Gardasil helps prevent these diseases, but it does not treat them.
As with any vaccine, it is important to discuss your complete health history with your provider prior to administration. There are possible side effects with Gardasil. Although generally well-tolerated, the most common side effects involve injection site concerns including pain, redness and/or swelling. In some cases nausea and dizziness have occurred. You will be encouraged to remain in the clinic setting for 15 minutes following your injection to ensure that you are feeling well.
It’s also important to remember that Gardasil is not a substitute for routine gynecologic exams and cervical cancer screening. It can, however, offer protection against cervical cancer as well as precancerous lesions of the cervix, vagina and vulva.
I would be happy to answer any further questions you might have concerning HPV and/or Gardasil. You can reach me by calling the Caldwell office at 454-2035.
Jen Newman, CRNP, MSN, is a women’s health nurse practitioner at OB/GYN Associates, which has locations in Caldwell, Meridian and Eagle.
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How is radiation dose measured?
By Gem State Radiology
Patients often want to know the radiation “dose” they will receive during an examination.
The determination of a radiation dose is very complex because it is more than just measured radiation exposure. It is actually the amount of radiation absorbed by the patient.
This is calculated by using many factors such as patient body size, and formulas that are constantly changing as science and professional organizations examine past exposures and their effects. That is why any dose that is provided to a patient will be an estimate.
To measure radiation dose, the unit of measurement is millisievert, or mSv (additional radiation dose measurement units include rad, rem, Roentgen, Sievert and Gray). We are all exposed to radiation from natural sources all the time. The average person in the U.S. receives an effective dose of about 3 mSv per year from naturally occurring materials.
In simple terms, we can compare the radiation exposure from one chest X-ray as equivalent to the amount of radiation exposure one gets from our natural surroundings in 10 days.
What does this mean to me?
The decision to have an X-ray or imaging exam is a medical one, based on the benefit from the exam and the potential risk from radiation.
If you have had frequent X-ray exams and change healthcare providers, it is a good idea to keep a record of your imaging history. This can help your new provider make informed decisions regarding any additional imaging exams that you may need. It also is important to tell your doctor if you are pregnant.
- Gem State Radiology provides specialty-appropriate, fellowship-trained, Board-certified imaging services at West Valley Medical Center, Intermountain Medical Imaging, Saint Alphonsus Regional Medical Center and Saint Alphonsus Medical Center Nampa, as well as others . Visit www.gemstaterad.com for more information.
- West Valley Medical Center is a Joint Commission Accredited Healthcare Organization. Our Diagnostic Imaging Department is committed to continually improving our high-quality health care.
Press Release
West Valley welcomes another
Board-certified urologist to Caldwell
Dr. Eric Uhlman new at Caldwell Urology
CALDWELL, Idaho – West Valley Medical Center welcomes urologist Eric J. Uhlman, MD, who recently joined the physician team at Caldwell Urology, to the local community.
Dr. Uhlman, who is Board-certified in urology, brings 15 years of experience from York Towne Urology in York, Penn.
After earning his bachelor’s degree at Franklin & Marshall College, Dr. Uhlman received his medical degree at Temple University School of Medicine. Afterward he also completed his residency at Temple.
Dr. Uhlman is a member of the American Urological Association and the Society of Laparoendoscopic Surgeons.
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West Valley Medical Center, Caldwell’s community hospital, is one of the leading hospital facilities and employers in Idaho. This 150-bed, nationally accredited facility is dedicated to providing high-quality, cost-effective healthcare to Treasure Valley residents. For more information about West Valley Medical Center, please see www.westvalleymedctr.com.
Every other week West Valley Medical Center’s local doctors will be providing articles on health care that are sure to be of interest and great advice.
Watch out for dehydration during winter months
If you have children, watch out for dehydration and related health problems during the winter — often a result of gastrointestinal (GI) infections.
“Dehydration in winter remains an important issue (relative to warmer months) because we live in a dry climate and spend much time indoors with forced air heat, which is drying,” said Steven Koga, MD, of West Valley Medical Group — Caldwell. “It remains just as important to stay well hydrated in winter as it does in summer.”
GI infections — passed person to person or via food and drink — often cause diarrhea, vomiting and fever. According to the Centers for Disease Control, dehydration is the biggest threat from diarrhea in children.
Signs of dehydration may include:
• Thirst
• Sunken eyes
• Tiredness or dizziness in an older child
• Dry or sticky mouth and tongue
• Restlessness
• Few or no tears when crying
• Lethargy
• Irritability
• Less frequent urination: a dry diaper for 6 to8 hours in infants or lack of urine for 12 hours in an older child
There are some simple steps to help avoid GI infections.
“Wash your hands, wash your hands, wash your hands — and be careful about what (and where) you eat,” said Dr. Koga, who practices internal medicine.
Treating dehydration
• The best fluid to give children with diarrhea is an oral rehydration solution such as Ceralyte, Pedialyte or Oralyte. The CDC recommends parents keep two bottles or packages of these solutions on hand.
• Sports drinks do not replace lost fluid correctly and should not be used.
• Children who are breastfeeding, taking formula or eating solids should continue to follow their usual diet.
You should call a doctor if your child has these symptoms along with
diarrhea:
• Temperature higher than 101.5 degrees, measured orally
• Blood in stools
• Prolonged vomiting that prevents keeping liquids down
• Signs of dehydration
— For more information about your family’s health, please visit www.westvalleymedctr.com
Investigate various acid reflux treatment options
Tens of millions of Americans suffer from daily heartburn or other symptoms of acid reflux such as regurgitation, chronic cough, hoarseness and dental erosions.
Luckily, there is a wide range of treatment options – including an exciting new incisionless procedure that directly addresses the root of the problem.
How reflux works
Gastroesophageal reflux, also known as acid reflux, occurs when the stomach contents reflux or back up into the esophagus and/or mouth.
A circular ring of muscle called the lower esophageal sphincter (LES) is located where the esophagus joins the stomach. After swallowing, this natural anti-reflux valve relaxes to allow food to enter the stomach, then contracts to prevent the back-up of food and acid.
When the valve is weak or becomes relaxed, liquids flow into the stomach and back into the esophagus. This happens occasionally in all individuals. Most episodes are brief and do not cause bothersome symptoms or complications.
But people with gastroesophageal reflux disease have experienced deterioration of their natural anti-reflux valve. They can suffer from symptoms including heartburn, vomiting or pain with swallowing. The reflux of stomach acid can affect vocal cords or even be inhaled into the lungs (called aspiration). Patients with severe reflux disease may also experience even more serious complications, including:
·Ulcers
·Esophageal cancer
·Lung and throat problems
·Stricture
·Barrett’s esophagus
Treating reflux
Lifestyle changes can help stave off reflux problems, including:
·Diet
·Weight loss
·No late night eating
·Bed position
·Sleeping in a chair
Another initial treatment for mild acid reflux is nonprescription medications, including antacids or histamine antagonists.
But there’s also those people with severe symptoms of acid reflux, complications of reflux disease, or mild acid reflux symptoms that have not responded to lifestyle modifications and medications. These people usually require treatment with prescription medications or surgery.
Surgical options at West Valley
When simple dietary and lifestyle changes, nonprescription medications and even stronger, prescription medications can’t effectively control acid reflux, surgical treatment is available at West Valley Medical Center:
·Laparoscopic Nissen Fundoplication is the most common procedure. It involves
wrapping the upper part of the stomach around the lower end of the esophagus.
·Transoral Incisionless Fundopliation re-creates an anti-reflux valve and tightens the LES. Performed with the patient under general anesthesia, a device is introduced through the mouth and into the esophagus. West Valley Medical Center is the first facility in the Treasure Valley where patients can undergo this completely incisionless procedure.
“Gastroesophageal reflux disease is an anatomical problem that needs an anatomical solution,” said Dr. Ryan Hurdy, the well-trained surgeon who performs these procedures at West Valley Medical Center. “Reflux medication such as PPIs (Prilosec, Nexium, Protonix, etc.) can help relieve patients' heartburn symptoms but don't solve the underlying anatomical problems or prevent further disease progression. Even on PPIs, many patients are still unable to eat the foods they want or have to sleep sitting up to reduce nighttime reflux.”
— For more information about acid reflux or treatment at West Valley Medical Center, please visit westvalleymedctr.com.
— Thanks to UpToDate Inc. for providing information for this article.
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