get moving - fisher-titus newsletters/winter 20… · new physicians new year checklist 33333 pages...

HEALTH CONNECTIONS———————————————————————————F I S H E R-T I T U S N E WS AN D E VE N TSE D I T I O N N º. 44 ———— W I N T E R 2017

HEALTH CONNECTIONS EDITION Nº. 44 | 2017

Skip Wilde’s Back 33333 pages 2/3

Is it Time to See an Orthopaedic Specialist?

33333 pages 4/5

3-D MammographyCare Coordination

Services 33333 pages 6/7

General Surgery 33333 pages 8/9

New PhysiciansNew Year Checklist

33333 pages 10/11

Urology 33333 pages 12/13

Women and Heart Disease

Heart Fair Heart Walk

Varicose Vein Myths 33333 pages 14/15

Esophageal CancerIBT: Intensive

Behavioral Therapy for Obesity

33333 pages 16/17

Weight Loss Center 33333 pages 18/19

Fisher-Titus News:Leapfrog

Grade A for SafetyStroke Certification

Center for Hope & HealingHomeCare Elite 33333 pages 20/21

Community Report 33333 pages 22/23

Kaiser Community Pharmacy

33333 page 24

Get moving

explore the range of orthopaedic options

at Fisher-Titus

HEALTH

FISHER-TITUS SPINE CAMP To prepare for his spine surgery, rehabilitation and recovery, Skip attended the Spine Camp orientation and education program at Fisher-Titus. “I learned about my condition and surgery, and they showed me what to expect following my hospital stay,” says Skip, “including the exercises I needed to do to regain my strength.”

In November 2014 at Fisher-Titus Medical Center, Dr. Moore performed an Anterior Lumbar Interbody Fusion on the two lowest vertebrae of Skip’s spine.

“I remember waking up in my room after my surgery and immediately knowing my back was better,” he recalls. “I went home on a Thursday and on Saturday I was walking down the street.”

“Before long I was going full tilt – from simple things like standing in church to doing push-ups the following summer with my 32-pound grandson on my back,” Skip continues. “I went back to biking to the gym for my workout and then biking home. You would never know I had a back problem.”

TWO YEARS LATER: FULL STRENGTHToday, Skip’s back is “100 percent” and his force- of-nature life is fully restored. “I don’t have to think about the things I can or can’t do,” he says.

“That wasn’t the case prior to my surgery.”

Skip’s outstanding experience with Fisher-Titus and Cleveland Clinic Spine Surgery in his own neighborhood has led him to encourage others in his situation to proceed with confidence. “When you have serious back problems and you stop being active, you think, ‘is this the way I’m going to be for the rest of my life?’” Skip observes. “The answer is no.”

As he begins his new career as Huron County Commissioner, Skip is as active as ever. And, he’s more enthusiastic than ever about his hometown hospital and the clinical partnership that made such a tremendous impact on his life. “Great care is right here at Fisher-Titus, and the hospital’s affiliation with Cleveland Clinic Spine Surgery is a win for our entire community,” says Skip. “Together with Dr. Moore, they took care of me and gave me my life back.”

2 | F ISHERTITUS.ORG

North Central Ohio knows Bruce “Skip” Wilde very well. The Norwalk native, age 60, is passionate about his community. For more than three decades Skip has been a successful, “hands on” Domino’s Pizza shop owner and franchisee in Norwalk and Huron. “I think I’ve made a million pizzas,” he says.

Skip is a proud family man with two grown children and five grandchildren. His wife Patty co-owns Anytime Fitness in Norwalk—a place where Skip loves to work the treadmill —right across the street from Fisher-Titus Medical Center. And in November, Skip’s civic commitment deepened when he was elected Huron County Commissioner.

“Patty and I take care of our community,” Skip says, “because our community takes care of us.”

Skip experienced one dramatic example of that community-based care at Fisher-Titus.

In 2013, his back started bothering him. “In my pizza stores, you can be on your feet ten hours a day, and it was getting so that I couldn’t stand,” Skip recalls. “I had a burning sensation that shot down my right leg into my toes.”

His back pain was compromising another priority in his life. “My grandkids wanted to play and I could only join in for a few minutes before I’d have to sit down,” says Skip. “That was no fun.”

Skip was referred to Cleveland Clinic orthopaedic spine surgeon Don Moore, MD, who practices at Fisher-Titus Medical Center. Skip was diagnosed with spondylolisthesis, a spine condition that causes a bone of the vertebrae to slip out of place onto the one below it. That bone was pressing on a nerve, which was the source

of Skip’s inability to stay active.

“Dr. Moore said, ‘we can fix this’ and I said, ‘let’s do it now,’” says Skip. “I was ready, I have things to do!”

Don Moore, MD——————————————Cleveland Clinic Spine Surgeon

SKIP WILDE’S

B A C K

ONE OF THE REGION’S

LEADING CITIZENS

GOT MOVING AGAIN,

THANKS TO FISHER-TITUS

IN AFFILIATION WITH

CLEVELAND CLINIC

SPINE SURGERY …

Cleveland Clinic orthopaedic spine surgeon Don Moore, MD and patient Skip Wilde discuss the benefits of spine surgery during a follow-up consultation.

If chronic back problems are affecting your daily life, learn more about Fisher-Titus Medical Center’s affiliation with Cleveland Clinic Spine Surgery by calling 419-660-0198.

HEALTH CONNECTIONS | EDITION NO. 44 | 3

Spine Surgery

In affiliation with

Skip Wilde got back on his feet and back to work thanks to advanced spine surgery at Fisher-Titus Medical Center in affiliation with Cleveland Clinic Spine Surgery.


We’ve all experienced it: That backache you assume will eventually go away, but in the meantime is really affecting your golf game. That crick in your knee you’ve had forever but is now keeping you up at night. Or your hips hurting in a way they never did before, making it hard for you to take your daily walk.

Is it time to see an Orthopaedic Specialist?

Join us at the Huron County

Chamber of Commerce Home & Business Show

at Norwalk Middle School on Saturday, February 25

and meet members of the Fisher-Titus

Ortho Team.

ARE YOUR SYMPTOMS JUST A NORMAL PART OF AGING? Or did you push yourself too hard in your last workout? Either way, simply waiting it out or hoping for the best isn’t a plan, especially if your symptoms don’t subside within a week. And there definitely are times when you can take action to put the spring back in your step.

More than 126 million adults in America suffer from some type of musculoskeletal problem each year. This results in 18 percent of all health care visits and $83 billion in hospital costs.

Many of these people think there is no solution other than medication, so they suffer silently instead of asking themselves one simple question: Do I need to see an orthopaedic specialist?

The answer begins with the basics. Orthopaedic medicine primarily focuses on the musculoskeletal system, which includes bones, joints, ligaments and tendons as well as muscles and nerves. Orthopaedic physicians are trained to handle anything from sprained ankles to hip replacements and treat infections, sports injuries, broken bones, joint problems including arthritis, congenital conditions and degenerative conditions like osteoporosis.

Consider seeing an Orthopaedic Specialist if:

◊ Pain in your muscles, tendons or joints lasts more than a few days.

◊ Pain in your back, hips, knees or shoulders prevents you from completing routine activities like carrying groceries or emptying the dishwasher.

◊ You have swelling or bruising around a joint.

◊ You have a joint deformity.

◊ There are signs of infection, such as redness, swelling, inflammation or fever.

◊ You experience joint pain that becomes more intense while at rest.

◊ You have a limited range of motion; for example, if you are unable to straighten your back.

A common misconception is that visiting an orthopaedic specialist will land you in the operating room. In fact, surgical treatment is considered only when there are no other corrective options. Doctors typically work to treat patients with other techniques first, including:

The first line of defense in treating pain due to conditions like sciatica, tennis elbow, rotator cuff shoulder injury, plantar fasciitis, carpal tunnel syndrome, back pain, neck pain, tendonitis and arthritis.

At times necessary to treat arthritis, especially its more severe forms.

Delaying treatment can in some cases cause an issue to become more severe. It is possible that pain will resolve without treatment, but taking that chance can be risky … and painful.


Jason Brown, DO—————————————Orthopaedic Surgery

Don Moore, MD—————————————Orthopaedic Spine Surgery

David A. Pocos, DO—————————————Orthopaedic Surgery

Michael T. Powers, DO—————————————Orthopaedic Surgery

Steven B. Shine, DO—————————————Orthopaedic Surgery

WALCHER REHABILITATION CENTER AT FISHER-TITUSIn addition to our team of Orthopaedic Surgeons, the Walcher Rehabilitation Center provides a range of services using the latest technology. The Fisher-Titus Rehabilitation team includes specialists with advanced training in

Physical Therapy, Occupational Therapy and Sports Medicine.

Fisher-Titus also offers Joint and Spine Camp, a comprehensive, interactive program designed to answer patients’ questions, alleviate their concerns and help to prepare them for their upcoming total joint replacement or orthopaedic spine procedure.

For more information about our complete array of orthopaedic services, visit fishertitus.org or call 419-660-2700.

PHYSICAL THERAPY

MEDICATION


MAMMOGRAMS HELP SAVE THOUSANDS OF LIVES EACH YEAR by detecting breast cancer early, when the disease is most treatable. Yet according to the Centers for Disease Control and Prevention, less than 67 percent of women over the age 40 have had a mammogram within the past two years. Locally, according to Huron County Health Assessment statistics, only 52 percent of Huron County women over 40 had a mammogram in the past year.

3-D MAMMOGRAPHY TECHNOLOGY COMES TO FISHER-TITUS IN FEBRUARY

Your breast is three-dimensional. Your mammogram should be, too. Beginning in February, Fisher-Titus

Medical Center will offer advanced 3-D mammogram technology.

“The 3-D mammography exam allows doctors to examine your breast tissue layer by layer,” says Karen Darr, Director of Imaging Services at Fisher-Titus Medical Center. “Instead of viewing all of the complexities of your breast

tissue in a flat image offered by conventional 2-D mammography, 3-D mammography reveals fine details no longer hidden by the tissue above or below.”

WHAT TO EXPECT DURING YOUR EXAMA 3-D mammography exam is very similar to a conventional 2-D mammogram. The technologist positions you, compresses your breast, and takes images from different angles. There is no additional

compression required with the exam, and it only takes a few seconds longer for each view.

The technologist then views the breast images at a computer workstation to ensure quality images have been captured for review.

A radiologist— a physician specializing in the diagnosis and treatment of diseases and injuries using medical imaging techniques — then examines the images and reports the results to your physician or directly to you.

For more information or to schedule your annual mammogram using our new 3-D imaging technology, call Fisher-Titus Imaging Services at 419-660-2619.

Karen Darr ———————————————Director of Imaging Services———————————————

Breast cancer

is the

most common

cancer

in women.


CARE COORDINATION SERVICES WITH FISHER-TITUS MEDICAL CARE Fisher-Titus Care Coordination Services take a patient-centered, team-based approach to helping patients receive the best possible care as they transition from the hospital or acute care setting to their home.

After assessing a patient’s needs and goals with his or her physician, care is coordinated across various settings including doctors’ offices, rehabilitation services and the patient’s home. Services provided by the Care Coordination Nurse include education and assistance with working with pharmacies to manage prescriptions, referring financial assistance programs and ensuring the patient has access to community resources.

THERE ARE TWO TYPES OF CARE COORDINATION SERVICES: TRANSITIONAL AND CHRONIC

With Transitional Care, the patient is seen by a Care Coordination Nurse within two business days of being discharged from the hospital. During the initial phone call, the nurse reviews discharge instructions and medications, assists in referrals to other services as needed and confirms that the patient will be able to attend his or her next appointment.

At the first face-to-face visit, the Care Coordination Nurse establishes goals for the patient and outlines a care plan to maintain quality of life. The nurse will call the patient on a weekly basis or more often as needed during the 30-day post-hospital time period to provide support and assistance.

If a patient has two or more chronic conditions such as Chronic Obstructive Pulmonary Disease (COPD), diabetes, hypertension or high cholesterol, his or her health care provider may refer the patient to Chronic Care Services.

Care Coordination Services offered through Fisher-Titus Medical Care are provided by experienced registered nurses Sharon McGrail and Michele Seidel. Sharon earned her Bachelor of Science in Nursing in 1987 at The Ohio State University and has been caring for patients at Fisher-Titus Medical Center since 1995. Michele earned her Bachelor of Science in Nursing in 1995 at Bowling Green State University and has been caring for patients at Fisher-Titus since 1999.

For more information about Care Coordination Services at Fisher-Titus, ask your primary health care provider or call 419-660-2632.

NEW SERVICES THAT OFFER ONE-ON-ONE PERSONAL ATTENTION FOR MEDICARE PATIENTS.

Sharon McGrail, BSN, RN Michele Seidel, BSN, RN———————————————————————————————Fisher-Titus Medical Care Care Coordination Services———————————————————————————————

SPECIFICALLY: WHAT IS GENERAL SURGERY?At Fisher-Titus Medical Center, we are committed to maximizing the safety and quality of life of each person we serve. Nowhere is our commitment more evident than in our ability to provide the best and safest surgical care for our patients. One focus of our services encompasses general surgical procedures.

GENERAL SURGERY IS ACTUALLY VERY SPECIFIC

“General Surgery” involves procedures performed on a patient’s torso and abdominal regions. They most commonly treat appendicitis; hernia; gallbladder, stomach and intestinal issues; and conditions involving the skin, breast and soft tissue.

At Fisher-Titus Medical Center, we continually update our surgical technologies, which gives our surgeons the most advanced instruments and images to provide the best care in both inpatient and outpatient settings. These technologies include robotic-assisted surgery, which enables complex procedures with incredible precision via very small incisions.

Fisher-Titus Medical Center is the only hospital in the area that offers robotic-assisted surgery for both general and gynecological procedures. This minimally invasive approach allows us to deliver advanced surgical care to our patients with fewer side effects, faster recoveries and shorter hospital stays.


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General Surgery includes: ———————————————1 Esophagus2 Liver3 Gallbladder4 Appendix5 Hernia6 Breast7 Stomach8 Colon9 Intestines

SCOPE OF SURGICAL SERVICESWhether it is a minimally invasive abdominal procedure or more complex surgery like total joint replacement or robotic-assisted hernia repair, the experienced surgical team, advanced technology and nearby modern facilities of Fisher-Titus represent the comfort and convenience you’ll discover firsthand if you should ever need surgery.

Our highly trained, expert team includes 24 surgeons, along with registered nurses, surgical technologists and other support staff who perform well over 7,000 procedures each year at Fisher-Titus.

In addition to General Surgery, Fisher-Titus Medical Center’s scope of surgical procedures includes:

◊ Gynecological ◊ Heart and Vascular | in affiliation with

Cleveland Clinic Heart and Vascular Institute◊ Ophthalmological ◊ Orthopaedic ◊ Otolaryngological | Ear, Nose, Throat◊ Podiatric ◊ Spine Surgery | in affiliation with

Cleveland Clinic Spine Surgery ◊ Urological

MEET OUR GENERAL SURGEONS

For all surgery cases, Fisher-Titus Medical Center’s recently upgraded facilities include:

› Seven state-of-the-art operating rooms, including one room dedicated to urological procedures.

› A surgery seating area with an emphasis on privacy.

› A 16-bay prep and recovery area.

› An Endoscopy Center with four procedure rooms and nine-bed prep/recovery area.

› Ten post-anesthesia care unit (PACU) stations.

To learn more about the range of general surgical capabilities at Fisher-Titus Medical Center, visit fishertitus.org and click “Surgical Services.”


Jayne A. Minier, MD FACS

Farid H. Said, MD FACS

Michael R. Nill, MD FACS

Eric R. Schmidt, MD FACS

ON THE MOVE: PHYSICIAN AND CLINICIAN UPDATESON THE MOVE: PHYSICIAN AND CLINICIAN UPDATES

WELCOME:Vikram Kumar, MD, FACE endocrinology 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 3 33 33 33 33 33 3 3 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 3 33 33 33 33 33 3 33 33 33 33 33 33 33 33 33 33 33 33 33 33 3

Dr. Kumar specializes in the treatment of diabetes, thyroid disorders and other metabolic diseases including osteoporosis and calcium disorders. He is certified to manage insulin pumps and continuous glucose monitors; perform ultrasound-guided fine needle aspiration (FNA); and treat the full range of endocrinology-related conditions in adults.

Jakleen Labbad, MD family medicine 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 3 3 333 3 33 33 33 33 33 33 33 3 33 33 33 33 33 33 33 33 33 33 33 3 33 33 33 33 33 3 33 33 33 33 33 33 33 33 33 33 33 33 33 33 3

Dr. Labbad joins Fisher-Titus Family Medicine in Wakeman, offering full-spectrum family medicine for patients of all ages. She has special interests in Women’s Health, Pediatrics, Bariatric/Obesity Medicine and Hospital Medicine. Dr. Labbad also provides care as a hospitalist at Fisher-Titus Medical Center and sees patients at the Fisher-Titus Weight Loss Center.

Kaleigh Mathias, NP-C family medicine 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 3 33 33 33 333 3 33 3 3 333 33 33 33 33 3 33 33 33 33 33 33 33 33 3 33 33 33 33 33 3 33 33 33 33 33 33 33 33 33 33 33 33 33 33 3

Kaleigh is now seeing patients in her hometown at Willard Health Center. She earned her Bachelor of Science in Nursing at Kent State University in 2012 and a Master of Science in Nursing in 2016 as a part of the Family Nurse Practitioner program at the University of Cincinnati. Kaleigh is also a certified emergency nurse. She joined the staff at Fisher-Titus Medical Center as a registered nurse in 2011.

Linda Roeder, NP-C senior care 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 3 33 33 33 33 33 33 3 33 33 33 33 3 33 33 33 33 33 33 33 33 33 33 3 33 33 33 33 33 3 33 33 33 33 33 33 33 33 33 33 33 33 33 33 3

Linda, a North Central Ohio native, joins Fisher-Titus as Nursing Home Program Lead working with Fisher-Titus Medical Care physicians and their patients who are nursing home residents. Linda’s goal is to facilitate quality, collaborative and efficient care while minimizing unnecessary hospital admissions for residents of skilled or extended care facilities.

Cari Spettel, NP-C primary care 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 3 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 3 33 33 33 33 33 3 33 33 33 33 33 33 33 33 33 33 33 33 33 33 3

Cari has joined the Norwalk Primary Care team as nurse practitioner. She began her nursing career in 1996. From 1996 to 2008, she worked as a registered nurse at Fisher-Titus Medical Center and Firelands Regional Medical Center in Sandusky. In 2008, Cari earned a Master of Science in Nursing and became a certified nurse practitioner. After serving the needs of adolescent and adult patients in multiple nurse practitioner roles, she joined Norwalk Primary Care to expand the practice’s clinical services in North Central Ohio.


278 Benedict Avenue Medical Park 3 · Suite 950 Norwalk419-660-2895

24 Hyde Street Wakeman 440-839-2226Weight Loss Center 278 Benedict Avenue Medical Park 3 · Suite 950Norwalk419-660-2893

Willard Health Center 315 Crestwood Drive Willard419-935-0196

Norwalk Primary Care 280 Benedict Avenue Medical Park 4 · Suite A Norwalk419-668-8110

NEW LOCATION :Heather Robinson, NP-C women’s health 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 3 33 33 33 33 33 3 3 33 33 33 33 33 33 33 33 33 33 33 33 33 33 33 3 33 33 33 33 33 3 33 33 33 33 33 33 33 33 33 33 33 33 33 33 3

In addition to Fisher-Titus Women's Health in Milan, Heather is now accepting appointments at Fisher-Titus Family Medicine in Monroeville. As a nurse practitioner with a focus on Women's Health, her areas of specialization for women include annual examinations, common gynecological issues, colposcopy, intrauterine device placement, prenatal care and family planning.

ALL OF US AT FISHER-TITUS WISH YOU AND YOURS THE HAPPIEST, HEALTHIEST NEW YEAR … … and we want to help you keep your resolutions to be happy and healthy throughout 2017. That’s why we encourage you to start off the year by scheduling regular checkups and preventive screenings with your primary care physician. Use this checklist as your wellness and screening guide to the new year:

WOMEN18+~ Pap test

~ Pelvic exam

WOMEN40+~ Mammogram

MEN50+~ Prostate exam

~ Prostate-Specific Antigen (psa) test

ADULTS20+~ Cholesterol screening every 4–6 years

EVERYONE50+~ Colonoscopy

EVERYONEALL AGES~ Annual flu shot

~ Blood pressure screening

~ Complete physical exam

Be sure to talk with your doctor about specific recommendations as they relate to your age, health and family history. Do it now, while the new year is still new!

If you don’t have a primary care physician, we’ll help you find one at Fisher-Titus. For more information or to schedule an appointment, call 419-660-2900.

136 North Ridge Street · Suite BMonroeville

2108 State Route 113 EastMilan

419-499-2600


WHAT’S THE MATTER

WITH OUR BLADDERS?

FOR MEN AND WOMEN, THERE ARE SIMILARITIES

AND DIFFERENCESWHEN IT COMES TO UROLOGIC PROBLEMS.

Common conditions include urinary tract infections (UTIs) and kidney stones. And although the issue of “having to go” is something men and women may share, the underlying causes can vary for each gender.

But men and women agree: Urologic issues can be life-disrupting and embarrassing, with symptoms that include intense difficulty when urinating, a sudden strong urge to urinate, accidental urination or an overly frequent need to urinate.

Thankfully, there is help through modern urology techniques. Here is an overview of common conditions and effective treatments available at Fisher-Titus Medical Center.



MENBENIGN PROSTATIC HYPERPLASIA (BPH)

BPH is an enlarged prostate gland which may partially block the urethra, resulting in a weak urinary stream or the need to strain while urinating.

TREATMENT OF BPH

Executive Urology Specialists, a Fisher-Titus practice, now offers the UroLift® Implant, which provides rapid and durable relief from the bothersome urinary symptoms associated with BPH. “There is no cutting, heating or removal of prostate tissue,” says urologist Patrick R. Waters, MD of the UroLift technique,

“which means a minimally invasive, straightforward procedure and less down time for the patient.”

Patients may experience improvement in their lower urinary tract symptoms as early as two weeks following the procedure. In clinical studies, sexual function has also been preserved for UroLift patients.

PROSTATE CANCER

Prostate cancer is a slow-developing disease in which malignant cells form in the prostate.

TREATMENTS OF PROSTATE CANCER◊ Ultrasound and biopsy ◊ Brachytherapy ◊ External beam radiation ◊ Hormone therapy ◊ Nerve-sparing radical surgical prostate removal

Since prostate cancer is slow to develop and highly treatable, a prostate exam as a part of your annual physical is an effective way to detect the disease in its earliest stages.

BOTH MEN & WOMENKIDNEY STONES

Your body produces minerals and salts which can clump together and form “stones” inside your kidneys, causing extreme pain when passing through the ureter.

TREATMENTS OF KIDNEY STONES◊ Shock wave therapy to break up stones◊ Ureteroscopic laser lithotripsy ◊ Percutaneous lithoclast and laser therapies

WOMENFEMALE URINARY INCONTINENCE

The most common types of female urinary incontinence are stress incontinence (loss of urine when coughing, laughing, sneezing, lifting or jumping) and urge incontinence (loss of urine soon after feeling the urge to urinate).

TREATMENTS OF INCONTINENCE◊ Diagnostic cystoscopy ◊ Oral medication ◊ Sling implantation ◊ Urodynamics | A bladder function test ◊ InterStim® Therapy | Implantation of a bladder

pacemaker ◊ AUS | Implantation of an artificial urinary sphincter ◊ Tibial nerve stimulation ◊ Botox treatment

Executive Urology Specialists offers the only Botox treatment of its kind in North Central Ohio.

“If your Overactive Bladder (OAB) medication hasn't worked and surgery is not an option you'd like to consider, Botox is a care approach that is effective, safe and long-lasting,” says Dr. Waters. “One Botox injection treatment typically prevents OAB symptoms for about six months, and treatments can occur as often as every three months.”

OUR UROLOGY TEAMThe dedicated team at Executive Urology Specialists provides expertise and treatment of disorders of the urinary tract in men and women. Our urologists work closely with patients to develop individualized plans that can include both medical and surgical solutions.

For more information about Executive Urology Specialists, visit fishertitus.org. To schedule an appointment at one of the three convenient Executive Urology Specialists locations, call 419-627-8771.

Gregory P. Cook, MD————————————— Medical Director, Executive Urology Specialists

Robert Rice, MD————————————— Medical Director, Fisher-Titus Urology Services

Donald Smith, MD————————————— Urologist

Patrick Waters, MD————————————— Urologist


WHAT WOMEN SHOULD KNOW ABOUT

HEART DISEASEIT IS THE NUMBER-ONE KILLER OF WOMEN, CAUSING ONE IN THREE DEATHS EACH YEAR.

“It” is not breast cancer. Or cervical cancer. It … is heart disease. It affects all women differently, and the warning signs for women aren’t the same as for men.

“Often folks are under the impression that cardiovascular disease is only for men, and that is not true,” says Chetan Hampole, MD, Cleveland Clinic cardiologist and a member of the Snyder/White Heart & Vascular team at Fisher-Titus.

A common difference between men and women is in their symptoms. “When patients have angina or crushing chest pain, it can feel like an elephant is sitting on their chest,” Dr. Hampole explains. “With women the pain may feel a bit different – sharp as opposed to dull, and more in the abdomen than the chest.”

According to the American Heart Association, 64 percent of women who die suddenly of coronary heart disease had no previous symptoms. And because they vary greatly between men and women, symptoms are often misunderstood. Women are somewhat more likely to experience shortness of breath; nausea and vomiting; and back or jaw pain. Other symptoms women should be aware of are dizziness, lightheadedness or fainting as well as extreme fatigue.

To learn more about women and heart disease and view a video on the subject from Dr. Hampole, visit fishertitus.org/heart.

To schedule a cardiovascular appointment with Dr. Hampole at the Snyder/White Heart & Vascular Center, call 419-660-6946.

Chetan Hampole, MD ———————————————Cleveland Clinic CardiologistFisher-Titus Cardiovascular Team, Snyder/White Heart & Vascular Center ———————————————

Heart and Vascular Institute

In affiliation with

OCTOBER HEART WALK RAISES THOUSANDSTHE FIRST FISHER-TITUS HEALTHY HEART WALK, held in October, raised $7,500 to support local cardiovascular patients on their journey to heart health and to provide heart health education to the community.

Team Jonah (pictured) was the top fundraising team, contributing $2,967. The Fisher-Titus team was second, at $1,585. Other teams included

Sommers Family Dentistry, Team Melissa (Allton-Cameron), Team Olak and the Cleveland Clinic Team. Many other community members contributed to the event and walked that day.

FISHER-TITUS HEALTHY HEART FAIR

when: Saturday, February 11 7 – 9:45 am

where: Fisher-Titus Snyder/White Heart & Vascular Center

rsvp: Space is limited. Register to attend by calling 419-660-2646

info: For details about tests offered, fees and requirements, visit fishertitus.org/health

DEBUNKING VARICOSE VEIN

MYTHSVaricose veins affect one in four adults and can lead to more serious conditions if left untreated. But there are the facts about varicose veins … and then there are the myths:

MYTH #1 VARICOSE VEINS ARE A SIGN OF AGING.

Varicose veins can worsen with age because of natural wear and tear on the vein valves. But aging poses only a slight increased risk. The fact is, the development of varicose veins is 80 percent hereditary. If one parent has them, you have a 40 percent chance of developing them. If both parents have them, your chances are even greater. You may develop varicose veins as young as your 20s, although you may not notice them until you’re older. It’s best to let your symptoms guide you, not your age.

MYTH #2 VARICOSE VEIN TREATMENT IS MOSTLY COSMETIC.

If untreated, varicose veins can lead to chronic venous insufficiency, venous leg ulcers and weakened vein valves – all serious medical conditions. For this reason, treatment is often indicated and is not considered cosmetic.

MYTH #3 INSURANCE WON’T COVER TREATMENT.

If it can be demonstrated that a patient has varicose vein symptoms, insurance will usually cover the cost of treatment. Most often, treating varicose veins is necessary to eliminate symptoms; avoid further vein damage; and prevent more painful and serious complications of vein disease.

MYTH #4 VARICOSE VEINS AFFECT ONLY WOMEN.

Women are 25 percent more likely to develop varicose veins than men, in part because of hormonal changes during puberty, pregnancy and menopause. However, as many as 15 percent of men between age 40 and 79 have venous disease, which may include varicose veins and venous insufficiency. And, men are less likely to seek treatment.

MYTH #5 WOMEN SHOULD WAIT UNTIL AFTER PREGNANCY FOR TREATMENT.

Pregnancy can contribute to the formation of, or worsen, varicose veins, but supportive care and treatment are available before or after.


Daniel Kassavin, MD ————————————————————Cleveland Clinic Vascular SurgeonFisher-Titus Cardiovascular Team, Snyder/White Heart & Vascular Center

Jayne A. Minier, MD————————————————————General Surgeon

VARICOSE VEINS CAN AFFECT ANYONE AND SHOULD BE EVALUATED BY YOUR DOCTOR.

If you believe you may be at risk, see a specialist at the Fisher-Titus Vein Treatment Center. Call 419-660-2999.

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“Esophageal cancer is a disease in which malignant cells form in the tissue of the esophagus,” says Alfred A. Kafity, DO, a gastroenterologist at Bay Area Digestive Health, located on the campus of Fisher-Titus Medical Center. “Risk factors include smoking and heavy alcohol use, but there can be a ‘domino effect’ related to some of these risk factors that some people may not take seriously.” For example, along with smoking and alcohol use, obesity and poor diet can lead to the common digestive condition called gastroesophageal reflux disease (GERD).

GERD occurs when contents in your stomach flow upward into the esophagus. Untreated, GERD can irritate the esophagus and, over time, cause a more serious condition known as “Barrett esophagus,” in which the cells lining the lower part of the esophagus change or are replaced with abnormal cells.

Those abnormal cells can ultimately become esophageal cancer, and change from serious to deadly.

“Esophageal cancer is often diagnosed at an advanced stage because there may be no early signs or symptoms,” says Bay Area Digestive Health gastroenterologist Maher Salam, MD. “When they do appear, symptoms can include painful or difficulty swallowing, weight loss, indigestion and heartburn.”

There is hope. The specialists at Bay Area Digestive Health are trained and equipped to diagnose, treat and manage esophageal cancer as well as the digestive conditions that can precede that potentially life-threatening disease. Combined, Drs. Kafity and Salam have been providing outstanding, personalized digestive health expertise to North Central Ohio residents for over two decades.

If you believe you may have symptoms that could indicate esophageal cancer or another condition that could lead to it, learn how Bay Area Digestive Health can help you. Schedule an appointment by calling 419-663-8061.


Bay Area Digestive Health

Alfred A. Kafity, DO FACP, FACGMaher Salam, MD FACG————————————————Fellowship-trained GastroenterologistsBay Area Digestive Health

HARD TO SWALLOW:THE FACTS ABOUT ESOPHAGEAL CANCER.BUT AWARENESS OF ITS RISK FACTORS

AND SYMPTOMS CAN SAVE YOUR LIFE.

It’s the tube that connects your throat to your stomach; the first gateway that enables the food you eat to be digested. It’s your esophagus, and it’s the only one you have.


It’s called Intensive Behavioral Therapy for Obesity (IBT). And it’s available at the Fisher-Titus Weight Loss Center.

Intensive Behavioral Therapy for Obesity consists of:

◊ screening for obesity in adults with a body mass index (bmi) of 30 or higher. This step involves a screening visit at the Weight Loss Center, located at 278 Benedict Avenue, Medical Park 3, on the Fisher-Titus Medical Center campus. The consultation is considered a primary care or family physician office visit; your one-time insurance co-pay is charged accordingly.

◊ a nutritional assessment with a dietitian.

◊ behavioral counseling and therapy. Personalized sessions with a physician and dietitian promote sustained weight loss through intensive interventions on diet and exercise, and are coordinated to safely complement any other health care you are receiving at the time.

If you qualify for IBT, the program is free following the medicare co-pay. As a participant, you will experience a six- to 12-month IBT program:

The month-to-month IBT program consists of:

◊ month 1 | Weekly face-to-face visits with a physician and dietitian at the Fisher-Titus Weight Loss Center in Norwalk.

◊ months 2-6 | Biweekly face-to-face visits, alternating between the Weight Loss Center physician and dietitian. An assessment will occur at the end of this period; your goal is to lose a minimum of 6.6 pounds by the end of Month 6.

◊ months 7-12 | If your weight loss goal is reached or exceeded, you will continue with monthly face-to-face visits over this six-month period. These visits are also 100 percent covered by Medicare.

If you do not achieve the six-month goal, a reassessment of your BMI and readiness to lose weight can take place after an additional six months. If you requalify, the Medicare-covered IBT program may begin again.

If you are covered by Medicare Part B, believe you may qualify and feel you are ready to change your life in 2017 in a healthy way, contact the Fisher-Titus Weight Loss Center to learn more about the free Intensive Behavior Therapy for Obesity program. Call 419-660-2893 or visit fishertitus.org/weightloss.

A LIFE-CHANGING WEIGHT LOSS PROGRAM FOR MEDICARE PATIENTS

DID YOU KNOW THERE’S A SAFE APPROACH TO

BATTLING OBESITY FOR QUALIFYING CANDIDATES

WITH MEDICARE PART B INSURANCE COVERAGE?


The Fisher-Titus Weight Loss Program: One Patient’s Success Story.

“It’s a lot of changing your mindset, how you look at your life, your food, how you live and the choices you make.” ————— Barb Myers

Are you ready to change?


BARB MYERS NEEDED TO TAKE ACTION.She was experiencing heartburn. Her blood sugar was elevated. She had developed non-alcoholic fatty liver disease. Her gastroenterologist and cardiologist told her she needed to lose 30 pounds.

With her 40th high school reunion right around the corner, Barb looked in the mirror and faced facts: she’d gained about a pound a year since graduating.

Then she heard about Fisher-Titus Medical Center’s new Weight Loss Center. She attended an informational meeting about the program and was asked if she’d like to give it a try.

“Yes,” Barb replied, “because if I walk out this door, I’m not going to be any different than when I walked in. I came here for a reason. Yes, I want to sign up.”

That was six months and 26 pounds ago.

The new Weight Loss Center taught Barb, who had struggled on Weight Watchers for years, how to succeed.

The Fisher-Titus Medically Managed Weight Loss Program lasts 12 weeks. Participants begin their journey by meeting with a team of medical specialists, including physicians, dietitians, physical therapists and behavioral health practitioners. The program then offers three options for weight loss, each geared to individualized goals.

At the beginning of the program, Barb’s resting metabolic rate was checked to help set her goals. Her plan was to consume 1,200 calories a day

with an emphasis on fruit, vegetables, lean proteins, healthy fats and complex carbohydrates.

“The dietitian talks to you – somebody who’s an actual expert on the whole process,” Barb says.

“That’s helpful, rather than just a group leader saying, ‘If you follow these points you're going to lose weight.’”

Once a week for 12 weeks, Barb attended the program’s meeting. Each one started with a weigh-in, then the group delved into various topics in the weight-loss workbook. She learned how to make small changes that made a big difference. She swapped white bread for wheat bread with 35 calories per slice. She began eating protein with her breakfast. Barb doesn’t like most fruits, so she found that making smoothies was an easy way to get them in each day.

But the Fisher-Titus Weight Loss Program isn’t just about hitting numbers and making good choices. It also provides the emotional support needed to begin the weight loss journey.

When Barb first met with Family Medicine physician and Women’s Health and weight loss specialist Tara Kersey-Barrett, DO, she felt overwhelmed by the challenge ahead of her and the medical issues she faced. “I'm sitting there almost crying,” Barb says.

“There was so much wrong with me. Dr. Kersey-Barrett just looked at me and said, ‘Barb, we can fix it.’”

“I had all kinds of hope at that point,” she adds. “I still do.”

Barb has increased her level of exercise and completed several 5K runs. Now that the program is over, she has signed up to complete the Weight Loss Center’s optional maintenance program. While she’s already dropped a couple of dress sizes, Barb would like to lose a few more pounds and ensure that the weight she has already lost stays lost.

“I’m 58 years old and I had to learn how to eat right,” Barb says. “That's really what it amounted to, and I'm still learning. It’s not something you do overnight.”

ARE YOU INTERESTED IN LOSING WEIGHT THE HEALTHY WAY?

The first step is to attend the free Fisher-Titus Weight Loss Program Informational Seminar, where you will meet members of the Fisher-Titus health care team, learn more about the program and pricing, and discuss the health issues that relate to obesity. For more information visit fishertitus.org or call 419-660-2893.

Barb Myers and Registered Dietitian Megan Turner of Fisher-Titus Medical Center’s Weight Loss Center discuss the benefits of a healthy lifestyle that includes exercise and good nutrition.


FT|NEWS

FISHER-TITUS EARNS “A” GRADE FOR PATIENT SAFETYFisher-Titus Medical Center earned an “A” Hospital Safety Score for fall 2016 from The Leapfrog Group, an acclaimed national patient safety organization. The superior grade means the Medical Center remains

among the safest hospitals in the United States. Fisher-Titus is one of 844 hospitals across

the nation to receive an “A” grade. In Ohio, it is one of just 43 hospitals ranked with an “A” score.

Developed under the guidance of an expert panel, the Leapfrog Hospital Safety Grade uses 30 measures of publicly available hospital safety data to assign A, B, C, D and F grades to more than 2,600 U.S. hospitals twice per year. A hospital’s grade is calculated by top patient safety experts and then peer-reviewed. The process is fully transparent and free to the public.

To see Fisher-Titus Medical Center’s complete grade criteria, and to access consumer-friendly patient tips for staying safe in the hospital, visit hospitalsafetygrade.org or follow The Leapfrog Hospital Safety Grade on Twitter and Facebook.

FISHER-TITUS HONORED AS A PRIMARY STROKE CENTER Fisher-Titus has once again been

awarded Primary Stroke Certification from the nationally recognized Healthcare Facilities Accreditation Program (HFAP). Primary Stroke Certification informs the community at large that Fisher-Titus is equipped and prepared to safely and efficiently stabilize and treat acute stroke patients; provide acute care; and administer blood clot-busting tissue plasminogen activators (tPA) and other therapies.

Fisher-Titus Medical Center has been certified as a Primary Stroke Center through HFAP since November 2011. Prior to that, the hospital had been Stroke Certified through The Joint Commission since 2007.

The Medical Center’s highly skilled stroke team includes physicians, nurses, respiratory therapists, radiology technicians, rehabilitation specialists, clinical research managers, quality specialists and education coordinators. In 2015, Fisher-Titus joined The University of Toledo Stroke Network, a collaborative network of medical facilities connected to a central hub hospital – The University of Toledo Medical Center (UTMC), which offers expertise in all aspects of stroke management.

FISHER-TITUS AND HURON COUNTY DEPARTMENT OF JOB AND FAMILY SERVICES CREATE

THE CENTER FOR HOPE & HEALING Fisher-Titus is now home to the Center for Hope & Healing – Advocacy for Children and Families.

The Center for Hope & Healing is a safe, neutral, child-friendly location where Huron County Child Protective Services investigators and law enforcement can conduct and observe forensic interviews with children who are alleged victims of crimes. The children and family members can receive support, crisis intervention and referrals for behavioral health and medical treatment.

The Center features an examination area with an interview space and remote video surveillance capability. Official investigators are provided space to remotely monitor interactions. A private area is also available for families as they wait for resources to respond.

The Center for Hope & Healing is a collaborative effort between Fisher-Titus Medical Center and Huron County Department of Job and Family Services. The facility is being funded through a grant from the Ohio Attorney General’s Office. Fisher-Titus is now one of six hospital-based Child Advocacy Centers in Ohio.

HOME HEALTH CENTER NAMED A 2016 TOP AGENCY OF HOMECARE ELITEFisher-Titus Medical Center’s Home Health Center has been named a HomeCare Elite Top Agency for 2016 in an annual recognition of the top-performing home health agencies in the United States. This is the fifth year the agency has earned top status. The recognition is based on analysis of measures in quality outcomes; best practice implementation; patient experience; quality improvement and consistency; and financial performance.

To be considered, an agency must be Medicare certified and have data for at least one outcome reviewed in the federal government’s Centers for Medicare & Medicaid (CMS) Home Health Compare.

Out of 9,406 agencies considered, 25 percent were recognized on the 2016 HomeCare Elite winners list. Learn more about the HomeCare Elite Top Agency certification at CMS.gov.

Fisher-Titus Home Health Center provides home care for patients of all ages in Huron and Erie counties and portions of Sandusky, Seneca, Lorain, northern Richland and northern Ashland counties. Its services include skilled nursing; medical social work; home health aide support; and physical, occupational and speech therapies.


AT FISHER-TITUS MEDICAL CENTER …

… our mission is to provide the best possible health care to residents of the greater Huron County area. As a not-for-profit hospital, we strive to be highly efficient in the delivery of services and good stewards of our resources. After we pay our bills, every dollar is invested back into our health care system to expand and enhance existing facilities and services, develop new programs and care for all regardless of their ability to pay.

Providing access to quality health care where our residents live, worship, work and play is the single most important contribution we can make. With the help of our dedicated physicians, employees, volunteers and board members, we strive to make our communities healthier places for all residents.

A DECADE OF GROWTH AND PROGRESS One of the most complex construction projects ever undertaken at Fisher-Titus was completed in April 2015. The $16 million multi-phase Surgery Expansion Project features a new Surgery Seating Area for families, seven state-of-the-art ORs and high-tech support areas. The project concluded with the opening the new Endoscopy Center. In 2015, 785 inpatient surgeries, 3,274 outpatient surgeries and 3,392 endoscopic procedures were performed.

Phase 1 of a $6.9 million renovation project for the Main Laboratory was completed in September 2015 with Phase 2 in January 2016. The renovations tripled the size of the Lab to 6,400 square feet, providing an efficient work space for lab staff.

The November completion of a $6.3 million improvement project for the Medical Center’s main parking area, expanded Patient Pavilion Lobby and cafeteria brought to a close a decade of facility improvements. During that time $225 million was invested in medical equipment, advanced technologies and facility expansions to provide services for patients and the community.

ATTRACTING NEW PHYSICIANSThe 211-member Fisher-Titus Medical Staff—representing 35 medical specialties—is composed of independent practitioners as well as physicians and providers employed by Fisher-Titus Medical Care. In 2015, 34 new members were added to the Medical Staff including specialists in Emergency Medicine, Internal Medicine, Vascular Surgery, Neurology and Hospital Medicine.

The Fisher-Titus Medical Care employed-provider group continued to grow in 2015 providing community members specialists in Family Medicine, Internal Medicine, General Surgery, Behavioral Health, Women’s Health, Pulmonary Medicine, Convenient Care and Hospital Medicine (Hospitalists care for patients while they are in the hospital).

PROVIDING QUALITY CAREThroughout the years Fisher-Titus has been highly successful in meeting the challenges of an increasingly complex health care industry, and has provided exceptional service and quality to its patients. Fisher-Titus is accredited by the Healthcare Facilities Accreditation Program; is a Level 3 Trauma Center, Primary Stroke Center and a fully accredited Chest Pain Center; and has also been accredited by the Commission on Cancer since 1989. In 2015, Fisher-Titus was also named among HealthCare’s Most Wired Hospitals for the fourth consecutive year.

Other 2015 accreditations, awards and recognitions:

◊ American Association of Cardiovascular & Pulmonary Rehabilitation Accreditation

◊ Ohio Department of Health Mammography Quality Standards◊ American College of Radiology Accreditation for MRI◊ American Association of Respiratory Care, Quality Respiratory

Care Award◊ College of Pathologists (CAP) Accreditation – Department of

Pathology & Laboratory Services & Blood Gas Lab◊ Intersocietal Accreditation Commission (IAC) – Echo

Lorna S. Strayer——————————————President, Fisher-Titus Medical Center

REPORT TO THE COMMUNITY

COMMITMENT TO COMMUNITY HEALTHFisher-Titus Medical Center’s community benefits extend outside our walls to families, businesses, schools, churches and neighborhoods through outreach programs and other coordinated care activities that make our communities healthier places to live, work and worship. Our goal is to help all residents equally access the care they need and help them learn to manage their conditions in order to live healthier, safer lives.

Working with Huron County Health Partners to promote individual and population health, we strive to create a safe, healthy and positive culture through education, involvement, collaboration and combined resources. Using the Huron County Health Assessment as our guide, the Board of Directors of Fisher-Titus Medical Center has identified as priorities: supporting initiatives geared to healthy weight; improving access to mental health services; reducing substance abuse through prevention, screening and treatment; improving access to care; and improving the public health infrastructure.

COMMUNITY BENEFIT SUPPORTCOMMUNITY BENEFIT

Community Benefit Financial Programs .......................... $ 2,125,942Includes cost of charity care and uncompensated Medicaid

Community Benefit ActivitiesCommunity Health ImprovementActivities ....................................................................... $ 676,527Health Professions Education ...................................... $ 138,751Subsidized Health Services .......................................... $ 768,453Cash & In-Kind Donations ............................................ $ 274,527Community Building Activities ..................................... $ 38,762

————————————————————————————————————————————————TOTAL COMMUNITY BENEFIT PROGRAMS ...................... $ 4,022,962

OTHER UNCOMPENSATED CARECost of Uncompensated Medicare ........................................ $ 7,278,621Cost of Bad Debt ................................................................... $ 3,549,108

TOTAL UNCOMPENSATED CARE ........................................ $ 10,827,729 ————————————————————————————————————————————————OVERALL SUPPORT FOR OUR COMMUNITY .................... $ 14,850,691

IMPACT ON THE LOCAL ECONOMYAs our area’s largest employer with over 1,000 employees, our staff and family members attend many of the same schools, shop at the same stores and volunteer their time and resources to many of the same organizations you do.

They also contribute to our local economy:

CONTRIBUTING TO OUR LOCAL TAX BASE

IN 2015, OUR 1,135 EMPLOYEES PROVIDED:

Ohio State Income Tax ................................................. $ 1,562,526

Norwalk City Income Tax ............................................ $ 742,364

Norwalk City School Tax .............................................. $ 75,460

Ohio School Tax – Other Districts ............................. $ 198,208 ————————————————————————————————————————————Total State, City and Local School Taxes ................. $ 2,578,558

COMMUNITY PROGRAMS IN ACTION | 55,548 PERSONS SERVEDAutism Spectrum Kids | Breastfeeding Education | Cancer Prevention & Screenings | Childbirth & Sibling Education | Community Blood Screenings | Community CPR | Diabetes Education & Screenings | Couch to 5K | Free Smoke Detectors | Free Drug Screening Kits | GameOn Nutrition & Exercise for Children | Health Ministry | Heart Health Screenings | Helmets for Kids | Link-to-Life Yellow Dot Program | Mammogram Screenings

Fisher-Titus also supports area nonprofit organizations that are committed to community health improvement and development through financial investments, in-kind services and employee volunteerism. Many of our benefit programs are organized to work in collaboration with local groups, schools and government organizations to effectively leverage resources and address identified needs. In addition, the Medical Center supports area schools by awarding special Health Education Grants to school districts that fund innovative programs in science, math, health and health-related education.

COMMITTED TO LOCAL HEALTH CAREIn our ever-changing world of health care, the role of hospitals and health systems continues to evolve. As an independent community hospital, Fisher-Titus stands committed to maintaining and expanding quality health care services and remaining a strong community resource where health care decisions are made locally. The convenience of seeking health care in our community and the quality outcomes offered locally by Fisher-Titus cannot be overstated.

We thank you for choosing Fisher-Titus for your health care needs. With your support, we can continue providing the services you need close to home and working toward healthier communities.

NONPROFITU.S. Postage

PAID Cleveland, OH Permit No. 362272 Benedict Avenue

Norwalk, OH · 44857fishertitus.org


Fisher-Titus Health Connections is a community publication distributed by Fisher-Titus Health. For more information about our services and programs, or to be added to our mailing list, please contact Johnna Young, Editor-In-Chief, Fisher-Titus Medical Center, 272 Benedict Avenue, Norwalk, OH 44857. Call 419-660-2696 or visit fishertitus.org.

MEDICAL CENTER

KAISER COMMUNITY PHARMACY IS NOW A PART OF

FISHER-TITUS HEALTHKaiser-Wells Pharmacy & Home Care,

located across the street from Fisher-Titus Medical Center on Benedict Avenue in Norwalk, is now Kaiser Community Pharmacy & Home Medical Equipment, a part of the Fisher-Titus Health system.

The pharmacists and staff members of Kaiser Community Pharmacy remain familiar faces to customers and patients who have grown to know them over the years. In addition to the full-service pharmacy, the longtime Norwalk business also continues to offer home medical equipment as well as home respiratory and rehabilitation services.

Customers and the community at large will experience enhancements to services and products with a focus on wellness and preventive care. Other changes, including a physical renovation of the existing facility, will roll out in the coming months and years.

Fisher-Titus Medical Center Senior Vice President of Operations Laurie Delgado; Kaiser Community Pharmacy Chief Pharmacist Lisa Reer; Fisher-Titus Vice President-Ambulatory and Facility Services George Elmer in front of the new sign at Kaiser Community Pharmacy.

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