“Summa saved me from a life-or-death

cardiac situation.”

S U M M A C A R D I O V A S C U L A R I N S T I T U T e

t h r i v efor every season of your life

A Publication of Summa Health System Fall 2009

FITNESS RefinedTerri Baisden makes lifestyle changes with the help of the

Summa Wellness Institute – page 14

Time for a heart to heart

– page 6

Staying safe and warm – page 16

Seasonal affective disorder – page 17

1 thrive fall 2009

3 Raising money for women’s health The Summa Foundation’s 9th Annual Sapphire Ball supports The Women’s Health Center.

6 Time for a heart to heart Since earliest recorded history, poets, writers and artists depict the heart as the vessel that carries our loves, our hopes, our sorrows, our passions. What is it about the heart that encapsulates, in one image, life itself?

14 Fitness refined Terri Baisden enjoys her daily workout at the Summa Wellness Institute in Hudson.

15 Daybreak: One patient’s story of living with heart failure Neil Cabe looks to the future.

16 Staying safe and warm Tips for a healthy and safe winter season.

Welcome toThrive

C O N T E N T S

1463

thrive fall 2009 2

In a sense, internists are detectives.These doctors of internal medicine

piece together bits of information to detect patients’ problems – no matter how unusual or complex. Because they often are called on to solve diagnostic puzzles in which different illnesses play a part, internists are sometimes known as “doctor’s doctors.”

The focus of an internist is different from the family practitioner, who provides care for patients of all ages. An internist focuses on comprehensive adult healthcare and specializes in the diagnosis, prevention, and treatment of a broad range of adult illnesses. From common colds to diabetes, internists are specially trained to diagnose and treat short-term and long-term diseases.

“We teach patients how to take care of themselves and we teach other physicians/medical students how to do the same,” said Summa Physician Internist, Michael Rich, M.D.

After graduating from medical school, an internist completes one year of internship, followed by two years of residency in internal medicine. Internal medicine is also the basis for many other specialties, such as cardiology, endocrinology, gastroenterology, hematology, and nephrology. That is why these branches are often referred to as subspecialties and the doctors who practice them as subspecialists (i.e. cardiologist).

In order to become a subspecialist, an internist must complete at least two years of additional training,

which is referred to as a fellowship, in his or her chosen subspecialty before becoming eligible for subspecialty board certification.

Internists take time to develop long-term relationships with their patients. This extensive understanding of each patient’s unique history and life outside of a medical concern enables internists to design a complete care plan, including lifestyle changes for a longer and healthier life.

“A good internist combines book knowledge with his or her knowledge of the patient,” said Dr. Rich. “For me, I found immense joy in the academic nature of my profession as well as my relationships with my patients.” n

E x P l o R I N g T H E R o l E o F A N I N T E R N I S T I N y o u R H E A l T H C A R E

Sherlock Holmes,

Summa Physicians Internal Medicine For more information or to schedule an appointment with one of the Summa Physicians internists listed below, call (800) 237-8662, ext. 234.

Donald B. Albainy, M.D.•Kyle R. Allen, D.o.•Elizabeth E. Baum, M.D.•Troy W. Bishop, M.D.•Thomas R. Breen, M.D.•Irene H. Chenowith, M.D.•M. Jeannette Cho, M.D.•Matthew S. Chung, M.D.•leo D. Clavecilla, M.D.•Maryjo l. Cleveland, M.D.•

lisa V. Dannemiller, M.D.•Charina P. gayomali, M.D.•Meredith D. girard, M.D.•linda P. Ha, D.o.•Michael F. Hill, M.D.•Amy A. Hite, M.D.•gina V. Horne, D.o.•Nancy A. Istenes, D.o.•Valerie A. Johnson, M.D.•garimah A. Jones, M.D.•Ronald R. Jones, M.D.•Stuart J. Kanter, D.o.•Natalie A. Kayani, M.D.•Teresa J. Koenig, M.D.•george D. laikos, M.D.•Magaly A. lopez-Csorba, D.o.•Michael J. Maggio, M.D.•

Neal R. Manning, M.D.•Estanislao A. Matos, M.D.•Catherine S. Maxwell, M.D.•Mark R. McRoberts, M.D.•Swarnalatha Meyyazhagan, M.D.•Dale P. Murphy, M.D.•Michael W. Rich, M.D.•lisa M. Roshetsky, M.D.•Frederick A. Specht, M.D.•Daniel l. Steidl, M.D.•Diana l. Stewart, M.D.•Christopher P. Sullivan, M.D.•David B. Sweet, M.D.•Stephanie N. Tan, M.D.•Jose A. Ventosa, M.D.•Rex D. Wilford, D.o.•William J. Zafirau, M.D.•

M.D.

Raising money for women’s health

SummatodayThe Women’s Health Center

at Summa Akron City Hospital is a valuable resource for women in the community. The Center provides low- and high-risk obstetrical services, medical and surgical management of complex gynecologic conditions, routine gynecologic exams, pregnancy services and referrals to other specialty women’s health services. With more than 80 patient visits each day, the Women’s Health Center is a vital component of Summa’s commitment to providing essential healthcare services where the need is most critical.

on Saturday, September 12, the Summa Foundation hosted its 9th

annual Sapphire Ball and raised more than $300,000 to benefit the Women’s Health Center. The chair of this year’s Sapphire Ball was Julia Rea Bianchi. Bianchi is a member of the Summa Foundation board of directors and has extensive experience serving as a volunteer for numerous charities in Miami, Florida and Akron. Savannah Brinson was the honorary chair and attended the event along with Cleveland Cavaliers star, leBron James.

More than 600 medical, civic and community members attended the Sapphire Ball, which was held at the John S. Knight Center in Akron. The black-tie event included cocktails, dinner, dancing, a “treasure chest” raffle and entertainment by the Special Request orchestra. n

LeBron James, Susan Strauss, patron chair of the 2009 Sapphire Ball Savannah Brinson, Tom Strauss, President and CEO, Summa Health System

3 thrive fall 2009

Julia Rea Bianchi, 2009 Sapphire Ball Chair.

thrive fall 2009 4

Summa and the Akron Area YMCA partner to build University Park YMCA

Summa to build new inpatient rehabilitation hospital

Summa Health System and the Akron Area yMCA are partnering to build the university Park yMCA on the Summa Akron City Hospital campus.

The 60,000 square-foot facility, expected to open in 2011, brings the yMCA’s youth and community programming to the 50-block university Park neighborhood in Akron. Additionally, the university Park yMCA will feature

racquetball and basketball courts, indoor pools, a cardiovascular and strength training center, indoor running track and other amenities.

As part of the partnership, Summa Health System’s Rehabilitation Services will provide physical, occupational and speech therapies at the facility. Summa’s patients and employees will have easy access to

the university Park yMCA through a covered walkway that will connect the facility to the new parking garage and Summa Akron City Hospital. n

Summa Health System entered into a joint venture with Vibra Healthcare to build and operate a free-standing acute rehabilitation hospital on the Summa Akron City Hospital campus.

The new, 60-bed hospital is scheduled to open in 2011 and will feature private patient rooms and easy access to patient and visitor parking. Rehabiltiation services will be available for patients including

those who are recovering from strokes, spinal cord injuries and orthopaedic surgeries.

“The new rehabilitation hospital will ensure our patients receive exceptional care.” said Tom Strauss, president and CEo of Summa Health System. “The hospital will complement Summa’s renowned seniors, cardiac, cancer and orthopaedics programs and offer a continuum of care for

patients transitioning from recent hospital treatments through their recovery.”

Vibra Healthcare is a national leader in developing and operating acute rehabilitation and long-term acute care hospitals. The new facility will be Vibra’s first acute rehabilitation hospital in the state of ohio. n

SummaCare offers affordable Medicare Advantage plans SummaCare offers Medicare

Advantage (HMoPoS) plans that include only medical or medical and prescription drug coverage (Part D) all in one. With SummaCare Secure HMoPoS plans, members use a Primary Care Physician (PCP) to coordinate all of their care – but also enjoy the freedom to choose other

hospitals or providers who accept Medicare from outside of their plan’s network (HMoPoS plan members may pay more if they select out of network providers).

For more information about SummaCare Secure, call (330) 996-8440 or toll free at (888) 464-8440 (TTy 800-750-0750)

between 8 a.m. and 8 p.m., Monday through Friday. you may also visit www.medicare.summacare.com to compare plan options and learn more. n

5 thrive fall 2009

HOW DID that HAPPEN?“They” say most accidents occur

at or near our homes. Ironic, isn’t it? Considering home is where we spend most of our time, it seems obvious accidents would happen in and around our house, while we do things outside or when we’re driving around town.

Common sense tells us preventing accidents is the best way to avoid injuries. let’s look at the three most common forms of what researchers call “unintentional injuries”: falls, car crashes and overexertion. What can we do to make our environments safer so we don’t become a statistic?

In Our Homes:Remove and/or secure scatter •and throw rugs.open blinds and/or curtains •and turn on the lights, particularly on dark, gray days.Move electrical, phone and •computer cords out of the way. Ensure stairways are clear •of shoes, toys, clutter, mail, clothing, sports equipment, etc.use night lights in every room.•Install anti-slip strips and grab •bars in showers and bathrooms.Install handrails on both sides •of each stairway.

In Our Cars:If you’re the driver, insist all •passengers wear seatbelts.If you’re a passenger, insist the •driver wear a seatbelt.Install child seats correctly.•Avoid talking on cell phones •while driving. If you must talk and drive, consider a hand-free device.Avoid texting and driving at •the same time. Winter driving – keep an •emergency kit in your car – be sure it includes a flashlight with working batteries, a blanket and snow brush.Winterize your car – change •the oil, have the fluids and batteries checked and get snow tires if necessary. Keep the volume on your •radio, CD player, MP3 player, etc., at a reasonable volume so you’re not distracted while

you’re trying to turn on the heater, wipers, lights, etc. Ensure the lights on the back •of your car function properly. Take the “high road” – •some people get nervous and frustrated driving in bad weather. Take a breath, be patient, let it go.

Here, There and Everywhere:Shoveling snow? Check with •your doctor to ensure you are healthy enough to do that job. If you are, “shovel in shifts”…take breaks, try not to overload the shovel, don’t let your back do all the work. Same concept with the snowblower – if you find yourself getting tired pushing the blower – take a break.If you’re lifting or storing •boxes, use a ladder and have someone “spot” you to ensure the ladder is steady.Enjoy fall and winter outdoor •sports? Do it right - warm up, first. Skiers, snowmobilers, first-time •ice-skaters, snowboarders, hockey enthusiasts – wear helmets and all other recommended safety equipment.

Taking a few moments now to ensure you and those you care for remain safe can save you a trip to the emergency room or a trauma center later. And that’s time you can spend doing things you enjoy – like planning next year’s summer vacation.

Unintentional Falls*

AgE 45-54 817,043AgE 55-64 633,428AgE 65+1,840,117

Unintentional Motor Vehicle Crashes*

AgE 45-54 338,731AgE 55-64 196,080AgE 65+175,219

Unintentional Overexertion*

AgE 45-54 468,164AgE 55-64 214,793

AgE 65+178,808* Source: Centers for Disease Control.

thrive fall 2009 6

Since earliest recorded history, poets, writers and artists depict the heart as the vessel that carries our loves, our hopes, our sorrows, our passions. They write of hearts that are broken, mended, soaring and longing. What is it about the heart that encapsulates, in one image, life itself?

The heart’s function is to keep blood flowing through our bodies so other organs and systems stay healthy. like our lungs, the heart never rests, so it’s really no surprise it dominates – figuratively and literally – how we think, how we feel and how we live.

yet this amazing muscle that beats approximately 70 times a minute, every minute of every hour of every day, sometimes malfunctions. This can occur

because of genetics (first generation family members who have heart conditions), lifestyle choices (for example, smoking or chewing tobacco) or other chronic diseases such as diabetes.

Heart disease includes many different conditions that affect the heart. Some can be well managed by changing our diets, adding or modifying exercise routines and taking medications. others require intervention by cardiologists

and cardiovascular surgeons.* Recognizing symptoms and ensuring we get medical attention quickly minimizes further damage to our hearts and helps us recover faster and return to our personal lives sooner.

let’s take a look at three common heart conditions, their symptoms and what cardiologists may recommend for testing, diagnosing and healing our hearts.

TIME FOR A heart TO heart

SUMMA CARDIOVASCUlAR INSTITUTE

*A cardiologist is a doctor who studies the heart and diagnoses and treats heart disease through procedures such as catherizations or angiograms. A cardiovascular surgeon incises to treat heart disease.

7 thrive fall 2009

What is it? A condition in which plaque (clots) builds in the arteries. This affects how much – and how well – blood flows through the heart and body.

Am I at risk? Individuals may be at risk if they:Are 50 years old or older•Have a history of heart disease •or vascular diseaseHave had a stroke•

What might I feel? (Symptoms) There may not be any symptoms that indicate PVD/PAD; however, if clots form in arteries in the legs, there might be soreness in the legs, feet or thighs.

What might the doctor order? (Testing)* See next section for more information on what these tests entail

Vascular screenings•

What will help? (Treatment Options) Medication•

Have high levels of cholesterol•Have high blood pressure•Are diabetic•Are (or were) a smoker•

Angioplasty or stents•

For severe cases, surgery •might be required

Magnetic Resonance Angiogram •(MRA)

MITRAl VAlVE PROlAPSEWhat is it? A condition in which the mitral valve between the left upper chamber (left atrium)

and left lower chamber (left ventricle) of the heart does not function properly.

Am I at risk? Mitral prolapse is sometimes genetic. There is no one particular “type” of individual who is more or less affected by this condition.

What might I feel? (Symptoms) Symptoms typically include shortness of breath and/or fatigue.

What might the doctor order? (Testing)* See next section for more information on what this test entails

Electrocardiogram (ECg)•

What will help? (Treatment Options) Medication •

What is it? A condition when blood flow through the arteries is reduced. When this occurs, the heart muscle may not receive enough oxygen. This often is accompanied by chest pain (also called angina).

Am I at risk? Individuals at risk typically:Are diabetic•Have high blood pressure•Are current or former smokers•

What might I feel? (Symptoms) The first sign of coronary artery disease may be an episode of angina or even a heart attack. Angina symptoms include: feelings of pressure, tightness or pain in the chest, arm, back, neck or jaw; heartburn, nausea, vomiting, excessive sweating, fatigue, shortness of breath.

What might the doctor order? (Testing)* See next section for more information on what these tests entail

Electrocardiogram•Echocardiogram•

What will help? (Treatment Options) Catheterization•Angioplasty or stents•

Are overweight and/or inactive•Have a history of heart disease in •their families

Stress test•

Coronary Artery Bypass graft •Surgery (CABg)

CORONARY ARTERY DISEASETHE BIg THREE

PERIPHERAl VASCUlAR DISEASE (PVD) also known as Peripheral Arterial Disease (PAD)

thrive fall 2009 8

What happens during tests/procedures and/or surgeries?

Catheterization:• This procedure is performed in a hospital. you will be given a sedative to help you relax. The goal is to get clear photos of your heart and arteries. During the procedure, a catheter is guided to your heart, then into your arteries. The catheter provides a way for a special dye to flow through your arteries so your doctor can see how your heart functions. The images are displayed on an screen. Images will be taken from different angles so a complete picture of your heart can be seen.

Coronary Angioplasty and •Stents: During an angioplasty,

a catheter is used to insert a special type of balloon in the artery which is inflated and deflated several times in order to open the artery. often, a stent (also known as a mesh tube) is inserted in the artery to hold that artery open. The stent is a permanent implant. (Some stents actually release medication to help reduce scar tissue from forming.) The purpose of a stent is to prevent additional blocks from developing in the same place.

Coronary Artery Bypass •Graft Surgery (CABG): When tests indicate there is a blockage in your heart that is too large to be displaced by a catheterization, bypass

surgery may be required. A bypass creates a new route that literally passes the blockage. A healthy vein or artery is used for the bypass so blood flow to the heart is restored.

Echocardiogram:• This test uses ultrasound to evaluate the condition of your heart. It is a non-invasive test. A hand-held device is placed on your chest and a technician or nurse moves the device over your heart so images and sounds can be produced. your doctor reads the results of the test to determine if there is any damage to – or disease in – your heart. you might be able to hear and see your heart on the monitor while the test is in progress.

Summa Cardiovascular Institute ProfileThe Summa Cardiovascular Institute (SCI) provides care for the area’s highest-risk patients and offers the most current services and medical technologies designed to provide comprehensive heart and vascular diagnosis and treatments, including: invasive/interventional cardiology, noninvasive cardiology, cardiopulmonary rehabilitation, heart rhythm study/electrophysiology, cardiothoracic surgery, peripheral vascular surgery and noninvasive vascular procedures and screenings.

The expertise and quality of the SCI is recognized nationally and includes the following:

Solucient/Thomson Healthcare Top 100 Cardiovascular Hospitals•

Premier Awards for Acute Myocardial Infarction and Heart Failure •

Recognition from The leapfrog group•

Recipient of The American Heart Association’s “get With The guidelines” Silver Award•

Recipient of The Medicare Payment Advisory Commission selection for quality and outcomes•

Along with a history of providing effective cardiovascular services, the Summa Cardiovascular Institute is focused on patient-centered and compassionate care. The unit’s nursing staff consistently ranks above the 90th percentile in response time, attention to special needs, the provision of patient information and friendliness. SCI is nationally recognized as a provider of progressive compassionate healthcare.

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Electrocardiogram (ECG):• This test is most often performed in your doctor’s office during your physical examination. It records the electrical activity of your heart. During an ECg, small pads called electrodes are placed on your chest, arms and legs. (Think of them as little “sticky pads”.) Wires connect the pads to a machine, which records your heart’s electrical signals. An ECg records heart signals for a few minutes and shows the doctor if your heartbeat is regular or irregular. If irregular heartbeats are recorded, your doctor may recommend further testing.

Magnetic Resonance •Angiogram (MRA): A small amount of dye is inserted in your vein after which you will be asked to lie on the MRI “table”. Images of your heart will be taken. (Many people refer to this procedure as “lying

down on a skinny bed and sliding though a big donut”.) Imaging is painless and the test doesn’t take long to administer.

Mitral Prolapse Surgery:• There are two basic types of valve prolapse surgery: valve repair and valve replacement. Both are minimally invasive.

Stress Test:• This test is designed to record your heart’s electrical patterns. Again “sticky pads” and wires are attached to your arms, legs and chest. They are connected to a computer that measures the electrical patterns of your heart. A resting ECg (also known as an EKg) is performed while you are sitting or lying down. A stress ECg is performed while you ride a stationary bicycle or walk on a treadmill. This test shows how your heart responds to “stress” or exercise.

Vascular Screening:• Vascular screening consists of three tests.

The first is for Peripheral •Arterial Disease. A blood pressure cuff is placed around your leg and an ultrasound device measures your blood circulation.

The second test checks •for Abdominal Aortic Aneurysms (blood clots in the stomach area). The ultrasound test is performed on your abdomen.

The third test examines your •carotid arteries. This, too, is an ultrasound test that looks for narrowing or blockage in the arteries located in your neck.

None of the PVD tests •is invasive and the entire procedure takes approximately 30 minutes to perform.

thrive fall 2009 10

As cardiovascular specialists at the Summa Cardiovascular Institute, we want to help you do everything possible to keep you healthy and well. Because symptoms of heart disease are often confused with digestive disorders, muscle strain or fatigue, it’s easy to dismiss or overlook them. Alternately, symptoms can occur without warning and result in a heart attack or heart failure. So, what can you do to keep your heart healthy and strong?

Keeping your Heart Healthy Schedule an annual physical – consider it a personal tune-up. Both you and your doctor will come to understand what is “normal” for you. Any abnormalities can be detected early so they can be treated with non-invasive or minimally invasive procedures.

Engage in some physical activity – whatever is best for you with guidance from your doctor. Park in the farthest spot in the parking

lot at work or the store. When possible, take the stairs instead of the elevators. Walk the halls of your place of employment once

or twice a day.

Eat healthy foods – keep your weight at a level that is normal for you and migrate your meals to low cholesterol, low sodium choices.

Stop smoking – in addition to being the leading cause of lung cancer, smoking is also the leading causes of heart disease.

11 thrive fall 2009

High Blood Pressure is defined as systolic pressure of 140 mm Hg or higher or diastolic pressure of 90mm Hg or higher. If your doctor tells you your blood pres-sure is 110 over 80, this could be interpreted as good news for you! If she tells you it’s 150 over 100, you’ll likely be given medication to lower your blood pressure. The estimated direct and indirect cost of controlling high blood pressure for Americans in 2009 is estimated to be $73.4 billion.

By the numbers:

AgE 75+

MEN 64.1WOMEN 76.4

AgE 65-74

MEN 64.7WOMEN 69.6

AgE 55-64

MEN 53.7WOMEN 55.8

AgE 45-54

MEN 36.2WOMEN 35.9

AgE 35-44

MEN 23.2WOMEN 16.5

AgE 20-34

MEN 13.4WOMEN 6.2

Prevalence of high blood pressure in adults age 20 and older by age and sex

Obesity is defined as a body mass index (BMI) of 30.0 and higher. your doc-tor can measure your BMI during an office visit.

Percentage of population considered obese

1960-1962

MEN 10.7WOMEN 15.7

1971-1974

MEN 12.2WOMEN 16.8

1976-1980

MEN 12.8WOMEN 17.1

1988-1994

MEN 20.6WOMEN 26.0

2001-2004

MEN 30.2WOMEN 34.0

thrive fall 2009 12

Summa Health System’s goal is to keep you healthy and well.Summa Health System offers hundreds of services via thousands of professionals in multiple locations throughout a five county region so you can easily and quickly avail yourself of the best healthcare in our communities. Need resources? Call us or visit our Web sites.

Smoking: Direct medical costs and lost productivity costs associated with smoking are estimated at $193 billion per year.* *Data from the Centers for Disease Control and Prevention.

Based on the latest figures available from The American Heart Association – 2006 data based on census of 2000.

Prevalence of current smoking for adults age 18 and older by race/ethnicity and sex

Percentage of population

CAUCASIAN

MEN 24.3WOMEN 19.7

AFRICAN-AMERICAN

MEN 27.6WOMEN 19.2

HISPANIC

MEN 20.1WOMEN 10.1

ASIAN

MEN 16.8WOMEN 4.6

NATIVE AMERICAN

MEN 35.6WOMEN 29.0

Do you need a primary care physician?

Are you new to the area? Did your physician retire? If you are looking for a primary physician with offices located near you, please call Summa Health System’s Physician Referral line at (800) 23-SuMMA (800-237-8662) or visit our Web site: www.summahealth.org.

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From our heart to yours, we wish you good health!

Are you concerned you may have a heart condition?

Summa Health System’s cardiologists may be able to help you. Call the Summa Cardiovascular Institute to find a physician or schedule an appointment (800) 23-SuMMA (800-237-8662). For more information, visit our Web site: www.summahealth.org.

Would you like to speak with a registered dietitian?

Healthy eating has become a science. What was once considered “good for you” may now be detrimental. And our bodies need different nutrients as we grow and age. Consider meeting with a Summa Health System nutritionist. She/he will work with you to design a program that fits your lifestyle. From weight control, weight loss, eating disorders, managing food allergies and/or creating meals to support chronic conditions, a meeting with a nutritionist can be one of the best gifts you give yourself. outpatients contact: Nancy Dame, MS, RD, lD, for general disease conditions at Summa Western

Reserve Hospital, (330) 971-7055; leAnn DiBiase, MS, RD, lD, for eating disorders or weight loss conditions at the Summa Wellness Institute, (330) 655-8005; Summa St. Thomas Hospital Diabetes Center for diabetes management, (330) 379-5680; Summa Wadsworth- Rittman, Summa Barberton Hospital outpatient Diabetes Education and Self-Management Program, (330) 615-3911.

You want a healthy lifestyle…but what does that really mean?

Summa Health System’s Wellness Institute offers you a team of professionals who will design programs to help you meet your fitness goals. Rehabilitation services and exercise classes are available as well. The Wellness Institute offers amenities such as therapeutic massages and acupuncture, too. Stop by and visit – we think you’ll like what you see. (5625 Hudson Drive, Hudson, ohio 44236) or

make an appointment to speak with one of the professionals. Call (330) 342-4400 or visit our Web site: www.summawellness.org.

Do you have trouble sleeping?

Do you feel tired all day, every day, regardless of how much sleep you think you’re getting? If you wake up exhausted every morning, you may have a sleep disorder such as sleep apnea or excessive snoring. Most are treatable. Make an appointment with a Summa Health System sleep medicine specialist or to find a sleep medicine center closest to you, call (800) 23-SuMMA.

Do you take a number of different medications each day?

If so, you may want to consider Summa’s outpatient Pharmacy Consult (RxC) program. This new program is designed to help you better understand how your medications interact, manage any possible side effects and reduce out-of-pocket costs. you or your physician can schedule an appointment with an RxC pharmacist. Are you concerned about the expense? A visit will cost the same as your regular copay or office visit. Call (330) 375-4100.

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Terri Baisden knew the time had come to make some significant changes in her lifestyle. The accounts payable supervisor at Jo-Ann Fabric and Craft Stores was ready to lose weight and gain some much-needed stamina.

Enter the Summa Wellness Institute in Hudson. Baisden joined in January, 2009 after discovering it through a Hudson Chamber of Commerce wellness initiative called “Move it to lose it.”

“I was thrilled to know this beautiful facility was right across from my workplace,” said Baisden. “I come here every morning and begin my day with a full workout.”

What sets the Summa Wellness Institute apart from its competition is this: medically based fitness in an adult-only environment. Each incoming member fills out a detailed questionnaire which is followed by an assessment with a staff member. From there, a specialized workout is created by a Summa Wellness Institute fitness expert and designed specific to the member’s needs.

“our trained staff all hold degrees in either exercise physiology or a related field. They develop medically sound programs and monitor the member’s progress to help ensure their success,” said lisa Kellogg, general manager, Summa Wellness Institute. “The focus is maintaining wellness and assisting individuals develop a healthy lifestyle.”

Amenities at the Summa Wellness Institute are abundant. Members have access to a 25-meter lap pool, a full gym, a walk/jog track and the eucalyptus room. locker rooms are spotless; the exercise equipment is new and easy to operate and the adults-only environment is comfortable and friendly. Members also take part in a variety of classes such as yoga, Pilates, group cycling, Zumba and water classes.

It doesn’t stop there. Kellogg and her staff know that the key to weight loss is more than just exercise; there is a nutrition component that is equally important. A full-time dietitian is available to work with members to educate and help implement

behavioral changes. Additionally, a variety of classes are offered to the community including “Balancing a Healthy lifestyle,” “Myths of Midlife Weight gain,” and “lower your Cholesterol Naturally.”

“We developed this facility and the programming with our members’ needs in mind,” said Kellogg.

Baisden took part in a 12-week weight loss program through the Summa Wellness Institute and lost 45 pounds to date. She also no longer becomes short of breath when climbing the stairs. She is now far more open to new experiences, from attending Pilates classes to trying new food. As a result, she has learned more about herself.

“There is something very special about the time I spend at Summa Wellness Institute,” said Baisden. “This is about what I can do for me.”

The Summa Wellness Institute is located at 5625 Hudson Drive. For more information, please call lisa Kellogg at (330) 342-4400 or visit the Web site: www.summawellness.org. n

Terri Baisden enjoys her daily workout at the Summa Wellness Institute in Hudson.

FITNESSrefined

15 thrive spring 2008

Neil Cabe, Ph.D., rose early, pulled the curtains back from his hotel room window and watched the sun rise over the ocean. He thought he was watching his last sunrise at Cape Hatteras.

“I was at peace,” Cabe said. “I didn’t think I was going to make it home.”

In 2003, Cabe was diagnosed with cardiac heart failure and received his first pacemaker, an electric implant designed to fix the tempo of his weakening and irregular heart. He was expected to live only a few more years. The motorcycle trip to the Carolina coast was something he felt he needed to do. It was the first place he ever saw the ocean.

Cabe did make it home to Ravenna but was hospitalized upon his return. Thanks to the care he received at Summa affiliate Robinson Memorial Hospital, along with lifestyle changes and positive thinking, the retired clinical counselor, pastor and English teacher tripled his life expectancy.

“There’s hope,” Cabe said. “you just have to do what they tell

you to do. People need to know that if they stay active, take their medication and remain positive, they can have a good outcome.”

Congestive heart failure is an incurable condition where the heart is weakened following injury or disease. The heart expands to increase blood capacity, and this can cause the heart’s walls to beat out of synch. Cabe eventually developed an irregular rhythm, leading to more weakness.

“It’s a vicious cycle,” said Cabe’s cardiologist Philip H. Keyser, M.D., director of the Pacemaker Clinic at Robinson Memorial Hospital. “As the heart dilates, there’s more dyssynchrony and this leads to further dilation and heart failure. The therapy Neil receives involves resynchronization of the heart with an advanced pacemaker and regulation of his medications in the Heart Failure Clinic.”

Together, the Pacemaker Clinic and the Heart Failure Clinic, directed by cardiologist David N. Rubin, M.D., helped Cabe’s heart beat stronger, more synchronous beats.

“He’s gone from being on the transplant list to being only modestly impaired with his day-to-day activities,” Dr. Keyser said. “The combination of electrical programming in the Pacemaker Clinic and medication regulation in the Heart Failure Clinic is compensating for the weakening of his heart.”

Cabe’s own efforts have also contributed to his improvement. He lost 50 pounds, cut red meat from his diet, eats more vegetables and exercises, and is in good spirits.

“I want someone else to realize that it is a good day,” Cabe said. “love those who are close to you. And if it’s forgiveness you need, go get it. If you need to forgive others, go do it. Do everything you’ve always wanted to do.”

The Heart Failure Clinic and the Pacemaker Clinic are programs of Robinson Memorial Hospital and Northeast ohio Cardiovascular Specialists. To learn more, visit www.robinsonmemorial.org or call (330) 297-8217. n

Daybreak: One patient’s story of living with heart failureNeil Cabe, Ph.D., has tripled his life expectancy after treatment at Robinson Memorial Hospital.

thrive spring 2008 16

We all have a different attitude about the winter months. Some see the shorter days as a time for quiet contemplation. others dread the cold and snow, viewing the elements as a hindrance to mobility.

Whatever your viewpoint, winter does include some inherent safety risks, whether you prefer to spend the bulk of your time inside or outside. For the older adult, those risks are even greater. A simple slip and fall could be devastating, as could a bout of the flu.

“Snow shoveling, in particular, is extremely dangerous for the older adult,” said Stuart J. Kanter, D.o.,

Summa Health System. “It is a strenuous activity that increases the risk of a heart attack or serious muscle injury as well as chances for falling.”

The following recommendations may help you enjoy a healthier and safer winter:

get a flu shot.• The flu season is already underway and lasts through March. A flu shot offers protection against this illness which can be fatal in older adults.Maintain a proper diet and •drink plenty of water. This sounds simple, but a change of seasons can put people off their regular schedule and habits.

Keep your skin hydrated.• Skin is the largest of the body’s organs and it gets thirsty as well, particularly during the colder months.Select appropriate footwear. •Shoes or boots with non-skid soles will help you tread icy sidewalks and streets. Step slowly and cautiously.

“It’s also important to remain mentally active since social interaction often decreases during the winter months,” said Dr. Kanter. “Playing cards or word games keep the brain stimulated and help to pass the time.” n

Staying safe and warm

Caring for the generations New Horizons has a national reputation for understanding, addressing and providing exceptional medical care for the older adult population.Programs and services designed for adults at different stages of their lives include:

Social activities •Mind and body exercises•Massage therapy •Healthy, wholesome meals and snacks•

Adults who require medical attention will benefit from onsite services including:•Nursingassistance•Administrationofmedications•Personalcare•Healthmonitoring

New Horizons is open Monday through Friday from 6:30 a.m. to 6:30 p.m. guests may attend one day a week or five days a week; one to 12 hours a day.The facility is located at:

Summa Western Reserve Hospital 1900 23rd St.

Cuyahoga Falls, oH 44223For more information about New Horizons’ programs and services, call (330) 971-7142.

17 thrive spring 2008

It was September when Beth began her junior year of high school. Just after Thanksgiving break, Beth began having difficulty concentrating in class, keeping up with her work, and seemed more interested in sleeping than anything else. Her grades began to drop and instead of socializing with friends, she chose to stay home most nights.

At first, Beth’s parents thought she was choosing to slack off and although they were upset with her, they simply figured it was a “phase” – especially when spring came and she returned to her old self again. However, when the same thing happened the following November, they decided to take her to a doctor, who diagnosed her with a type of depression called seasonal affective disorder (SAD).

Wintertime SAD can be difficult to diagnose since many of the symptoms are similar to those of depression. Symptoms can include, but are not limited to:

sadness•anxiety•irritability•inability to concentrate•change in appetite•craving food high in •carbohydratesweight gain•decreased energy/fatigue•

tendency to oversleep and•avoidance of social situations•

As is the case with other forms of depression, the symptoms of SAD can be mild, severe, or anywhere in between. It’s the seasonal pattern of SAD – the fact symptoms occur only for a few months each winter – that distinguishes SAD from other forms of depression. Patients with SAD report their depression worsens or reappears whenever the weather is overcast at any time of year, or if their indoor lighting is decreased.

“Although no one is sure why, it is interesting SAD symptoms include oversleeping and overeating while other types of depression tend to result in loss of appetite and difficult sleeping,” said Summa St. Thomas Hospital Interim Vice Chair and Chief Psychologist David Brinkman-Sull, Ph.D.

Since the symptoms of SAD appear triggered by lack of exposure to light, they to tend to go away on their own when available light increases. Treatment often involves increased exposure to light during winter months. This can include long walks outside or arranging your home or office so you are exposed to a window during the day. For severe symptoms, light therapy involving exposure to very bright light has

proven an effective treatment option and is often paired with psychotherapy sessions, and in some cases medication is prescribed.

“About 85 percent of patients with wintertime SAD are helped by light therapy,” said Brinkman-Sull. “using a therapist as a sort of behavioral coach can be important to help a patient develop and maintain healthy sleeping, eating, exercise, and social routines that help reduce the symptoms of depression.”

Some studies show SAD is diagnosed more often in women, but men may have more severe symptoms. ultimately, individual biology, brain chemistry, family history, environment, and life experiences may also make certain individuals more prone to SAD and other forms of depression.

Doctors and mental health professionals are able to make a diagnosis of SAD after a careful evaluation. A medical checkup is also important to ensure that symptoms aren’t due to a different medical condition. Tiredness, fatigue, and low energy could be a sign of hypothyroidism, hypoglycemia or mononucleosis.

For more information, call Summa Health System Psychiatric Assessment and Referral Services at (330) 379-9841 n

Seasonal affective disorderM o R E T H A N J u S T A C A S E o F T H E “ W I N T E R B l u E S ? ”

thrive fall 2009 18

Caregiver Support GroupAre you helping care for an aging, ill or disabled adult family member or friend on a regular basis? Bring your lunch and join Summa Health System’s Senior Health Services caregiver support group where you can share your own experiences and learn from others. Beverages provided. For more information, call (330) 379-5905.

Summa Akron City Hospital Campus 95 Arch Street, Health Education Center Suite 175, Akron, OH Every 2nd Wednesday of the month Noon to 1 p.m.

Phase IV Cardiac Rehabilitation ExerciseThis is a supervised exercise program targeted to those individuals and supporting members (spouse, family, friend) who have suffered a cardiac event and have completed a Phase II program. This program is hosted at the Cuyahoga Falls Natatorium Rehabilitation and Wellness Center. A signed release by your physician is required. Cost is $175 for 3 months or $425 for a year. A couple’s discount is available. To learn more or to join, please call (330) 926-0384.

Summa’s Falling Waters Spa Massage TherapyA professional massage can relieve tension, depression, insomnia and stress. Summa offers massage therapy at its convenient locations on the Summa Akron City Hospital campus in the Health Education Center, 95 Arch Street, Suite 175 and inside the Summa Wellness Institute, Hudson. gift cards are available from the cashier’s windows at Summa Akron City Hospital and Summa St. Thomas Hospital, and the Health Education Center. A massage can be purchased or scheduled by Falling Waters Spa at (330) 655-8008.

Fit and Fabulous! ($45 for 8 weeks)Exercise in any form can help reduce the risk of disease and keep your heart healthy. The program includes strength training, aerobic conditioning and stretching with the use of free weights, resistance bands, balls and steps to promote good posture and a healthy heart. Summa’s instructors will help participants of all ages and ability levels to develop strength and fitness.

Summa Akron City Hospital Campus 95 Arch Street, Health Education Center Suite 175, Akron, OH Monday, January 11, 4:30 or 6 p.m. Monday, March 8, 4:30 or 6 p.m.

Yoga ($50 for 8 weeks)learn how to connect the mind with the body to relax and get fit through a sequence of yoga poses and deep breathing. The instructor guides the class through rhythmic movements that improve strength and flexibility while clearing the mind and preparing the body for deep relaxation.

Summa Akron City Hospital Campus 95 Arch Street, Health Education Center Suite 175, Akron, OH Monday, January 11, 7 p.m. Monday, March 8, 7 p.m.

Tai Chi: Meditation in Motion (6 weeks)Tai Chi is a soft-style martial art for people of all ages and fitness levels. It helps improve balance, coordination, concentration and flexibility. learning to move and breathe slowly through a series of specific, fluid movements will improve physical fitness and strengthen the mind. The essential fitness components of strength training, aerobic conditioning and stretching are incorporated in the art and promote good posture and good health.

Summa Akron City Hospital Campus 41 Arch Street, School of Nursing gym, Akron, OH Tuesday, December 15, 5:30 p.m. Tuesday, January 26, 5:30 p.m. Tuesday, March 9, 5:30 p.m. Cost: $50

Summa Health Center at green 3838 Massillon Road Tuesday, December 15, 7:30 p.m. Tuesday, January 26, 7:30 p.m. Tuesday, March 9, 7:30 p.m. Cost: $50

Summa Wellness Institute at Western Reserve 5625 Hudson Drive Hudson, OH Wednesday, December 16, 6 p.m. Wednesday, January 27, 6 p.m. Wednesday, March 10, 6 p.m. Cost: $25 for members, $60 for non-members

Personalized Exercise Assessment & Knowledge (PEAK) ProgramPEAK is an individualized exercise program that consists of a complete physical fitness assessment, a personalized exercise program, and instruction on proper exercise techniques. located at the Natatorium Rehabilitation and Wellness Center, this tailored program is designed and monitored by an exercise physiologist. Three follow up assessments throughout the year will assess your progress and ultimately get you to your goal! Call (330) 926-0384 for more information and to schedule your assessment today!

Surviving Holiday Buffetslearn to enjoy the holiday buffet in a healthy manner. lee Ann DiBiase, R.D., explains how to choose foods that will satisfy to help avoid overeating. Develop your own plan for surviving the holiday food season.

Summa Wellness Institute at Western Reserve 5625 Hudson Drive Hudson, OH Saturday, December 5, 10:45 am

For additional class dates and event information, please visit our event/program calendar at www.summahealth.org.

CHECK ouT THESE uPCoMINg SuMMA PRogRAMS!Unless otherwise specified, call the Summa Wellness Institute, (330) 342-4400 to register.

Commit to beingfit

w w w . s u m m a h e a l t h . o r g / h e a r t

Tony Solaro survived a severely blocked coronary artery thanks to quick

coordination between Summa hospitals. “I was having a nuclear stress test

at Summa Wadsworth-Rittman Hospital. Within just a few seconds,

I collapsed on the treadmill.” He was rushed to the ER for x-rays and

blood tests, then transferred to Summa Akron City Hospital’s cath lab.

He went home the next day with a new cardiac stent.

“It all happened seamlessly,” said Tony. “It was truly a wonderful outcome

from what I consider to be a genuine life-or-death situation.”

learn more about Summa’s comprehensive, coordinated

cardiovascular services at www.summahealth.org/heart.

“Summa saved me from a life-or-death

cardiac situation.”

S U M M A C A R D I O V A S C U L A R I N S T I T U T e

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