THC 2159094 Winter 2018 Health Magazine - Tuality Healthcare

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imaging with 1-2mm accuracy, and allows surgeons to see where they are ... Jeremy Ciporen and Fred Williams, are taking
Innovations M O B I L E H E A LT H C A R E

Mobile intraoperative CT scanner results in safer, minimally invasive procedures L O C A L B R A I N A N D S P I N E C A R E P AT I E N T S can now benefit from

safer, less invasive procedures thanks to the addition of Oregon’s only mobile intraoperative CT scanner for brain and spine, Airo®, to Tuality Healthcare’s neurosurgery practice. This portable scanner provides instant imaging with 1-2mm accuracy, and allows surgeons to see where they are working in real-time, unlike MRI images which are expensive, not readily available in operating rooms, and often result in a longer time on the operating table for patients. With this tool, Tuality’s neurosurgeons, Drs. Jeremy Ciporen and Fred Williams, are taking advantage of one of the latest technological advancements in medicine, and can now treat brain tumors, spinal injuries, and peripheral nerve conditions with high precision.

VIRTUAL PRE VIEW

Cancer patients receive 3-D preview of radiation treatment By 2020, the number of patients receiving radiation therapy as part of their initial treatment is expected to increase by 22 percent, according to the American Cancer Society. With this in mind, the Tuality/OHSU Cancer Center is now offering a simulation tool to give patients a “virtual preview” of their planned treatment. Virtual Environment Radiotherapy Training, VERT™, allows patients and their families to see, hear, and virtually experience what treatment will be like through 3-D images and simulations. Not only does this virtual simulation help patients gain a better understanding of the treatment they’re about to undergo, it also helps to alleviate their anxiety. This 20-minute experience is currently offered to all Tuality/OHSU Cancer Center prostate cancer patients at no additional cost, and will be expanded to other forms of cancer in the future.

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Palliative Radiation Oncology clinic model bridges gaps in follow-up care When cancer can’t be cured, it can still be treated to help patients live longer or provide relief of their symptoms. Timur Mitin, M.D., Ph.D, Medical Director of the Tuality/OHSU Cancer Center, is an expert in the Palliative Radiation Oncology, or PRADO, clinic model, which helps bridge common gaps in the follow-up care of patients with incurable forms of cancer. With regular clinic, home, and telephone visits, patients who experience new or evolving symptoms receive prompt evaluation, and if deemed appropriate, palliative radiotherapy before the window of opportunity for a meaningful intervention is closed. This model aims to achieve a better quality of life and improved pain control for cancer patients, while avoiding or limiting the use of narcotic medications. Dr. Mitin’s study on PRADO was published in the International Journal of Radiation Oncology • Biology • Physics.

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Fit Tips CONCUSSION

Keeping your head in the game The news lately has been rife with stories about sports-related head injuries, but do you know what to look for? By definition, a concussion can be caused by a bump, blow or jolt to the head, or by a hit to the body that causes the head and brain to move rapidly back and forth. This trauma causes a surge of metabolic changes within the brain, resulting in a shift in how the brain functions. A concussion doesn’t always mean getting knocked out — in fact, people lose consciousness in fewer than 10% of concussions. If an athlete is suspected of having a concussion, they need a physician’s clearance before they’re able to return to play. If the athlete does experience a loss of consciousness, increasing confusion or irritability, trouble maintaining balance, repeated vomiting or new or worsening symptoms, they should be taken to the Emergency Room for further evaluation or monitoring.

DID YOU KNOW? An individual suspected of a concussion may show the following signs or symptoms: dizziness, confusion, fogginess, behavior changes, memory loss, headache, nausea/vomiting, visual changes and/ or sensitivity to light or sound.

Tuality Healthcare is proud to help keep sports-related injuries in our local students at bay by providing certified athletic trainers and sports medicine services to Hillsboro, Century, Liberty, Glencoe, and Forest Grove High Schools. For more information about our Sports Medicine Program or to receive a parent handout about concussion management, call 503-681-4238 or email us at [email protected].

DANIEL FRIEDMAN, M.D.

Q& A

Tuality Healthcare Neurology Clinic 503-681-1350 WWW.TUALITY.ORG

Q: Frequent headaches – when is it time to see my doctor? A: Headaches are a common problem, but how do you know when a headache is just a “headache” and not something more serious? Your doctor knows to look for “Red Flags” which are signs that a headache may be a symptom of a more serious condition. Red f lags include: “thunderclap” or sudden severe headaches, positional headaches, headaches brought on with physical activity, new onset of headaches if you are over 50, a change in the pattern of your headaches, a constant headache that won’t go away or headaches associated with fevers. Most headaches, even those with Red Flags, are not a sign of something more serious, but if you have these symptoms it is time to visit your doctor.

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Fit Tips YO U R B O DY

Chronic Coughing Is it just a cold or is it time to see a pulmonologist?

HERNAN AVELLA, M.D., Tuality Pulmonary Clinic 503-681-4139 WWW.TUALITY.ORG

Cough is a reflex that may be associated with different medical conditions, not only those related to the

DID YOU KNOW?

lungs. It is described as acute when it lasts for less than three weeks, subacute when present for three to eight weeks and chronic once it persists for more than eight weeks. In a person with previously healthy lungs, the most common reasons for acute cough are viral or bacterial infections. The choice to refer a patient to a pulmonologist needs to be a shared decision made between the patient and their primary

The most important tool in identifying the underlying cause of a cough is a detailed medical history. Although bloodwork, X-rays, CT scans of the chest and pulmonary function tests may be useful in the assessment, many times they are unnecessary once a detailed history is obtained.

care provider, as many of the reasons for chronic cough can be effectively treated in the primary care setting. If pulmonary consultation is necessary due to persistence or worsening of symptoms, we will be happy to provide a detailed comprehensive evaluation at Tuality Pulmonary Clinic.

THOMAS KOWALIK, M.D.

Q& A

Tuality Orthopedic, Sports, Spine & Rehabilitation Center 503-844-8219

Q: How do I distinguish between joint pain that can be healed with physical therapy vs. joint pain in need of surgical intervention? A: When considering physical therapy vs. surgery, we take into account many things including the desires of the patient and whether physical therapy or surgery is appropriate for the problem. For example, joint pain caused by arthritis many times is treated with physical therapy first. If it does not improve the pain, other options including surgery may be considered. A lso, many times we use both surgery and physical therapy to treat joint pain. After total knee replacement, physical therapy is crucial to help in the recovery and improvement of pain. It is always recommended to consult with your doctor regarding what may be the best choice for you when considering these options.

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Calendar Health & Wellness Classes Tuality Health Education Center 334 S.E. 8th Ave., Hillsboro, OR 97123 To register, please visit www.tuality.org or call 503-681-1700.

9 a.m. - 11:15 a.m.

Diabetes Self-Management Education Program Develop a personal plan of care and gain the knowledge to manage your diabetes.

Feb. 12

Feb. 11

6 p.m. - 7:30 p.m.

Weight Management Support Group Led by a dietitian, this group provides weight management education.

Breastfeeding and Infant Care Basics

Feb. 17 Mar. 17

Learn about labor and delivery, coping with contractions, medical procedures, comfort measures, pain management and medication.

Mar. 13

6 p.m. - 9 p.m.

Infant Care Basics Focusing on the first 12 weeks of life, this class covers diapering, bathing and swaddling.

6 p.m. - 9 p.m.

Breastfeeding Basics

CPR & First Aid 5 p.m. - 10 p.m.

Heartsaver CPR & Heartsaver First Aid Combo Teaches adult/child/infant CPR procedures, AED and how to properly treat a choking victim.

Feb. 27

9 a.m. - 4 p.m.

Childbirth Saturday Workshop

Mar. 27

Feb. 15

3 p.m. - 7 p.m.

Learn the basics of caring for your newborn.

Diabetes & Nutrition Feb. 5-8

Childbirth & Parenting

5 p.m. - 9 p.m.

Find out the three most important things to know when breastfeeding.

Mar. 28

6:30 p.m. - 8:30 p.m.

Childbirth Preparation eClass, Q&A and Family Birth Unit Tour Upon completion, you and a partner are invited to attend the Q&A session with a tour of the Family Birth Unit.

Medic First Aid This course trains participants in adult CPR, AED, choking management and first aid.

Mar. 7

5 p.m. - 8 p.m.

Mondays

10 a.m. - 12 p.m.

Tuality Baby Club Meet other new parents and discuss the joys and challenges of parenthood.

Heartsaver CPR Provides a two-year certification in CPR.

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