KCH WELCOMES NEW ENDOCRINOLOGIST

NURSES STRIVE FOR EXCELLENCE

Summer 2015

lifenew lease on

double knee replacement gives

Mount Vernon resident

2015 BOARD OF TRUSTEES

Joan Jones PRESIDENT

Ian Watson VICE PRESIDENT

Joe Street SECRETARY

Thomas R. Fosnaught TREASURER

Jeffrey L. Boucher Charles R. Brenneman

Juan De Pascuale Inge Krajenski

Thom McKinley, MDPatrick McLarnan

Amy D. Murnen, MD Kim M. Rose

Ann Schnormeier Michael Sullivan, MD

Gordon E. Yance

CHIEF EXECUTIVE OFFICER

Bruce D. White

CHIEF OPERATING OFFICER

Bruce Behner

CHIEF FINANCIAL OFFICER Mike Ambrosiani

CHIEF NURSING OFFICER James Middleton, RN, MSN, MBA

CHIEF MEDICAL OFFICER Jeffrey C. Northup, DO

Summer is finally in full swing and it’s time to

take advantage of being outdoors as much as possible. While the

sun provides a much needed boost of Vitamin D, we still need to

remember to protect our skin against its harmful rays by wearing

sunscreen. Burns from the sun, as well as those inflicted from the

mishandling of fireworks, are some of the chief reasons for ER

visits during the month of July. Remember to use fireworks

responsibly and supervise kids at all times when they are around

sparklers, bottle rockets and firecrackers. In addition to burns, they can cause

serious eyes injuries.

Did you know that diabetes is the sixth leading cause of death in Knox County? We

want to help our readers understand the differences between Type I and Type II

diabetes and how they can learn to successfully manage their disease. Dr. Jaime

Goodman, an endocrinologist with a special interest in diabetes, has recently joined

the medical staff at KCH. To learn more about how to lessen your risk of diabetes and

its serious complications, see page 3.

Mount Vernon resident Lucy Waltman recently celebrated her 80th birthday with a

two-day party that included many family and friends. After receiving a double knee

replacement at KCH she’s back to being able to keep up with her 14 grandchildren

and six great grandchildren. Hear more about Lucy’s journey back to mobility and

freedom from pain on page 5.

Since the mid-1980s KCH has quietly taken part in a sports physicals program for local

middle and high school athletes. Through the donation of their time, our doctors,

nurses and support staff allow Mount Vernon High School’s athletic department to offer

physicals to its students. It’s just another way we choose to give back to the community

we serve. Our article on page 6 can give you more insight.

Have a happy and safe summer!

Bruce D. White, CEO

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Bruce D. White, CEO

A publication of the Community Relations Department at Knox Community Hospital.

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Jaime Goodman, MD, knew from a young age that she wanted to be a doctor. After seeing multiple family members diagnosed with diabetes she chose to pursue endocrinology, a subspecialty of internal medicine that deals with diseases related to hormonal disorders — diabetes being chief among them.

“Diabetes is the one disease where we expect people to learn how to take care of themselves,” said Dr. Goodman. “Education is very critical in this disease. People have to be aware what their blood sugar is, how their medications work, how exercise plays a role, etc.”

“Diabetes is the sixth leading cause of death in Knox County,” said Jennifer Parker, a nurse and certified diabetes educator. “Getting diabetes under control and educating patients about how to care for themselves is a priority at KCH.”

The three most common types of diabetes are Type I (insulin dependent), Type II (insulin resistant) and gestational (onset related to pregnancy).

“Nothing can prevent Type I diabetes,” said Dr. Goodman.

According to the American Diabetes Association, Type I diabetes (formerly known as juvenile diabetes) only accounts

for about five percent of the diabetic population and is more common in children and young adults. People with Type I diabetes do not produce insulin, a hormone needed to convert sugar, starches and other foods into energy.

“Type II diabetes is the far more common, highly genetic form of diabetes and tends to occur later in life,” said Dr. Goodman. “Type II diabetics are still able to produce insulin, but they have a resistance to it. It is the result of many systems within the body malfunctioning.”

The hospital’s accredited diabetes education program is run by Parker and dietitian Rosemary Farren, as well as a pharmacist, an exercise physiologist and a dietitian. The monthly classes cover things like diet, exercise, medications, complications and goal setting.

“We help them have more information on diabetes so they can have less risk of the bad complications that can accompany diabetes,” said Parker. “While some of the most serious complications can include blindness and an increased risk of heart attacks, strokes and amputations to lower extremities, these are largely preventable when diabetes is well managed.”

A complete list of diabetes education classes is available at: www.knoxcommhosp.org/care/diabetes-education/diabetes-education-events

Dr. Goodman is excited about joining the staff at KCH and caring for the people of Mount Vernon.

“No matter where you live it’s important to have access to good medical care,” she said. “People want to stay close to home.”

Dr. Goodman’s office is located at 307 Vernedale Drive. Her office number is 740.399.3890.

Dr. Jaime Goodman specializes in diabetes care

Knox welcomes new endocrinologist to medical staff

Jaime Goodman, MD

new lease on life

“Although it wasn’t terribly painful, I anticipated it becoming more painful if I didn’t do something about it.”

At 80 years old Lucy Waltman could easily put people half her age to shame. A mother of five boys, grandmother to 14 and great-grandmother to six, Waltman leads a very full life and with two new knees to boot.

About six years ago Waltman noticed she was having trouble doing all the things she wanted due to issues with her knees.

“I could still do things, but I was moving at a much slower place,” she said. “If I walked, you could hear my knees pop. Although it wasn’t terribly painful, I anticipated it becoming more painful if I didn’t do something about it.”

Waltman pursued physical therapy to see if she could fix her knee problems in the least invasive manner. When it became clear it wasn’t a long-term solution, she sought the advice of orthopedic surgeon, Gregory Cush, MD.

“I went in thinking I needed to have my left knee done because that was the one that was causing me the most grief,” she said. “Dr. Cush took X-rays of both my knees and informed me that my right knee was worse off than my left.”

Although Dr. Cush wanted to do one knee at a time to reduce the risk of complications, Waltman was adamant she wanted to do both simultaneously.

“My philosophy was there was a job to be done and I wanted to get it done and over with. Why go through two separate surgeries if I don’t have to?”

After discussing the pros and cons with Dr. Cush, Waltman’s double knee replacement was performed on a Monday and by Friday she was moved to an inpatient rehabilitation facility for a full three weeks of intensive rehab.

Once steady enough to go home, she continued her outpatient rehab three days a week at KCH’s Center for Rehabilitation and Wellness where they had her on a stationary bike, walking up and down steps,

and doing exercises to improve her balance and strengthen her legs.

Waltman found ways to modify some of her favorite activities — like gardening – to accommodate her new knees.

“I found a low bench I could sit on so I could get closer to the ground without having to kneel,” she said.

After moving to Mount Vernon from Virginia in 1998 after her husband retired from the military, Waltman started volunteering at KCH as a way to meet people.

– Lucy Waltman

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new lease on life

double knee replacement gives

Mount Vernon resident

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don’t let joint pain keep you from doing what you love KCH offers a variety of orthopedic surgical procedures to correct injuries or disorders of the skeletal system and associated muscles, joints and ligaments. Board certified orthopedic surgeons Drs. Kenneth Doolittle II, Gregory Cush and Jarrett Helming offer the following procedures at KCH:

• Joint replacement surgery and revision• Arthroscopic surgery of the knee,

ankle and shoulder• Hand surgery• Carpal tunnel surgery• Fracture treatment• Rotator cuff repair

GREGORY J. CUSH, MD, FAAOS JARRETT HELMING, DOKnox Medical Pavilion 1451 Yauger Road, Suite 2B Mount Vernon, OH 43050 Phone: 740.393.9898

KENNETH H. DOOLITTLE, II, MD, FAAOS1451 Yauger Road, Suite A Mount Vernon, OH 43050 Phone: 740.393.2226

“I didn’t know anybody in town,” she said.

Waltman has served as the past president of the hospital auxiliary and is the current manager of the gift shop. She’s especially proud of the fact that people come from all over the area during the Christmas season to shop for unique items that she stocks in the shop.

“I like working in the gift shop because I get to meet all kinds of people — from volunteers and visitors to patients and families,” she said.

Waltman finds it especially rewarding when the nurses who cared for her during her inpatient stay still remember her name.

“They know who I am,” she said. “They always call me by name and ask me how I’m doing. They took great care of me.”

Retired herself from a government job in logistics, Waltman has led a more than full life both before and after her surgery.

“I recommend it to all my friends who have been told they need the surgery,” she said. “It’s the way to go.”

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power smoothiesHere are three smoothie recipes to keep you fueled and help recovery after your workouts. They are great on their own. If you are looking for an added protein boost, add your favorite protein powder.

raspberry chia seed smoothie1-2 cups milk (or almond, soy, coconut milk), depending on desired consistency

1 frozen banana

1 cup raspberries (frozen or fresh)

1-2 tablespoon chia seeds

1-2 scoops vanilla protein powder (optional)

Put all ingredients in blender and blend until smooth.

chocolate covered peanut banana smoothie1-2 cups milk (or almond, soy, coconut milk), depending on desired consistency

1 frozen banana

1-2 tablespoons peanut butter

¼-½ teaspoon unsweetened cocoa powder (if not using protein powder)

1 teaspoon honey

Cinnamon (optional)

1-2 scoops chocolate protein powder

Put all ingredients in blender and blend until smooth.

green smoothie 1-2 cups milk (or water, coconut water), depending on desired consistency

1-2 handfuls of greens (spinach, kale, swiss chard)

1 frozen banana

1 cup pineapple

½ cup mango

Add liquid and greens to blender and blend until smooth. Add remaining ingredients and blend until smooth.

Each spring for the last 30 years, Knox Community Hospital has offered sports physicals for middle and high school athletes who attend Mount Vernon schools.

“All volunteers — doctors, physician’s assistants, nurse practitioners and support staff — donate their time to participate in this program,” said Luann Hess, who coordinates the program.

With no appointments necessary, Knox’s medical staff conducts anywhere between 100 to 200 physicals annually.

“Students start to line up around 5:30 p.m. and are seen on a first-come, first-served basis,” Hess explained. “Clerical work and patient vitals are completed before students receive their physicals in order to make everything as efficient as possible.”

The one-night only program is traditionally held from 6-8 p.m. on the last Thursday before Memorial Day. The Mount Vernon athletic department charges a nominal $10 fee per student.

“Mount Vernon High School kindly gives each of our volunteers two free passes to any high school sport of their choice as a way of saying thanks,” said Hess. “This program is a nice community benefit because it’s convenient and inexpensive for families.”

G I V I N G B A C Khospital offers sports physicals to Mount Vernon students

Knox Community Hospital is proud to employ over 275 nurses who are an integral part of the patient care team. From bedside nurses to those working on quality initiatives, our nurses are innovators of change. Their ultimate goal is always safe patient care. Chief Nursing Officer James Middleton shares some insights about the state of nursing care at KCH.

QTell me about some of the quality initiatives your nursing staff is working on?

AWe use evidence-based practices (utilize practices that are proven to work through research); chart audits to identify opportunities for improvement; lean initiatives (identify non-value adding barriers and remove them from daily work flows); and national and state benchmarks. Some of the nursing quality indicators currently being addressed include:

n Reduction in the use of restraints

n Reduction in falls

n Reduction in Central Line Blood Stream Infections associated with central venous catheter usage

n Reduction in Catheter Associated Urinary Tract Infections

n Reduction in Hospital Acquired Pressure Ulcers

QWhat is KCH doing to strive for nursing excellence?

AWe are using several different tools to shape and guide nursing excellence. The revitalization of the Career Ladder with an emphasis on working projects and activities aims to develop future leaders while rewarding them for the extras given to the patients and organization.

nursing Q&A

nurses strive for excellence through quality initiatives and continuing education

QWhat kinds of continuing education/nursing professional development is offered to staff?

AThe hospital has increased its tuition reimbursement as well as negotiated tuition reductions at several universities. Nursing leaders are encouraging all staff nurses to become nationally certified in their area of specialty. We also work to keep the nursing staff apprised of clinical changes, political changes, and legal changes that affect the profession.

QWhat’s the difference between an RN, BSN, MSN and APN?

AThere are several entry points into the profession of nursing all based on the amount of education that an individual receives including: Baccalaureate, Associate and Diploma. Registered Nurse (RN) is a title given after an individual completes a training program and sits for and successfully passes the National Council Licensure Examination.

A Master’s prepared nurse is someone who is already an RN with a baccalaureate degree and is continuing his/her education in nursing. Master’s degrees in nursing can focus on: Administration, Education, Clinical Practice (CNS, NP), Informatics and Anesthesia.

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James Middleton, RN, MSN, MBA, CNO

calendar of events

KnoxCommHosp.org

1330 Coshocton Rd. Mt. Vernon, Ohio 43050

NON PROFITU.S. POSTAGE

PAIDAKRON, OH

PERMIT NO. 286

Breast Cancer Support Group First Monday each month, 7 p.m. Knox Medical Pavilion Please call Becky Dangelo, MSN, RN, CNOR, CH-BH, patient navigator, 740.393.5579

Young Survivors Breast Cancer Support Group 3rd Monday each month, 7 p.m. Knox Medical Pavilion Please call Becky Dangelo, MSN, RN, CNOR, CH-BH, patient navigator, 740.393.5579

Cancer Support Group 2nd Thursday each month, 6:30 p.m. Knox Medical Pavilion Please call cancer navigator, 740.393.5558.

Men’s Cancer Support Group 3rd Tuesday each month, 6:30 p.m. Knox Medical Pavilion Organized by men, for men. Please call cancer navigator, 740.393.5558.

Free Monthly Screenings 1st Wednesday of the month, 8-10 a.m., Urgent Care Classroom Screenings are available for blood pressure, glucose and cholesterol. 12-hour fasting is recommended for best results.

Look good…Feel Better Please call 740.393.5579 for information.

Diabetes Education EventsTake Your Diabetic Diet Out to Dinner Thursday, July 16; 5-6:30 pm Parkside Restaurant 108 Mount Vernon Ave., Mount Vernon This is a casual meal with a registered dietitian and the certified diabetic educator with the intention of responding to nutrition questions. Open to the public, participants are responsible for their own meal purchase. Registration is requested, call 740.393.9970.

Kroger Grocery Store Tour Tuesday, August 4; 1:30-2:30 pm Come take a tour of the grocery store and learn what food products are healthy for people with diabetes. Please pre-register at 740.393.9970 and meet at Starbucks inside Kroger.

Living with Diabetes Tuesdays, September 15, 22 & 29 4:30-7:30 pm KCH Childbirth Education Room All aspects of diabetes self-management are covered during this three session class. Class requires registration and a physician’s order and is covered by most insurance plans/Medicare. Call 740.393.9970 to register or for questions.

For more information or any questions, please call Jenny Parker, RN at 740.393.9970 or Rosemary Farren, RD, LD, Diabetes Coordinator at 740.393.9797.

Please visit our website at KnoxCommHosp.org for additional details about our programs and services.