health report - northwestern lake forest hospital · the grapefruit stars in this farcical diet as...

WINTER ISSUEJANUARY 2008 Health Report

State-of-the-Art Cath Lab Opens

Grayslake Facility to Offer 24-Hour Acute Care

Bedside Bistro Coming to LFH

B

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847 234 5600

physician referral

847 535 6171

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847 535 8000

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www.lfh.org

LAKE FOREST

Lake Forest Hospital

Westmoreland Long-term Care Center

Bays Medical Office Building

McGaw Medical Office Building

700 Medical Office Buildings

Dearhaven Child Care and Learning Center

Health & Fitness Center

GRAYSLAKE

Acute Care Center

Audiology and Speech Pathology

Breast Care Center

Cardiology Testing

Diagnostic Imaging

Laboratory

Physical and Occupational Therapy

GURNEE

Diagnostic Imaging

Home Care Services

Occupational Medicine

LINDENHURST

Health & Fitness Center

Physical Therapy

LIBERTYVILLE

Medical Office Building

VERNON HILLS

Diagnostic Imaging

Physical Therapy

LocationsON THE COvER:

Cardiac and Pulmonary Services Manager Ron Raymundo, RN, BSN, is pictured inside Lake Forest Hospital’s new Cardiac Catheterization Lab.

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Lights…Camera…Cath Lab

Lake Forest Hospital has taken another major step in its drive to

become one of the region’s finest and most comprehensive patient

care medical centers with the November 2007 opening of a cutting-

edge Cardiac Catheterization Lab that facilitates onsite diagnostics

and treatment of a much broader range of cardiac patients.

“In the cardiac business, time is muscle,” said Dr. Brian Shortal, a

diagnostic catheterization specialist and key member of the cardiology

team that oversees the new lab along with Cardiac and Pulmonary

Services Manager Ron Raymundo, RN, BSN. “The Cardiac Cath

Lab enables us to diagnose and treat STEMI (ST segment elevated

myocardial infarction) patients, thus putting Lake Forest Hospital

on a direct route for EMS transfer,” explained Shortal. “We will now

be one of Lake County’s primary EMS destinations and an important

player in the overall treatment of cardiovascular disease.”

The new Cardiac Cath Lab features a state-of-the-art cardiac

angiography suite that provides quick, onsite diagnoses and

treatment for patients suspected of having cardiovascular disease,

as well as those who are suffering acute heart attack. The lab is

also equipped with the latest 3-D software to allow for the diagnosis

and treatment of irregular heart rhythms.

“We can now assess any type of cardiac disease (obstructive coronary

artery disease, valvular heart disease, congenital heart disease and

congestive heart failure) as well as peripheral (non-cardiac) vascular

disease,” explains Dr. Jonathan Gilbert, cardiologist and Cardiac

Cath Lab medical director. “We’ve become a one-stop shop for

cardiovascular testing and therapeutics!”

A veteran team of technicians and cardiology service experts will

manage the day-to-day lab operation, led by Gilbert. Designed to

allow for future expansion, the 5,000-square-foot lab has four

prep and recovery rooms surrounding the cardiac angiography

suite, thus enabling patients to be prepped, have their procedure

and recover without leaving the area.

“Patient care is all about accessibility to medical services,” said

Shortal. “In the past, while we may have been strong at diagnostics,

a patient with chest pain or a positive stress test would typically

require outsourcing to another treatment facility. “That is no longer

the case with the opening of our high-tech Cardiac Cath Lab.”

For Lake Forest Hospital, the state-of-the-art Cardiac Catheterization

Lab is the latest step in a continuing journey to set the standard

for what a community-based hospital can achieve when it commits

to delivering the highest-quality patient care, driven by a medical

team that is second to none.

Introducing Cath Lab

Opening of 5,000-square-foot facility signals new chapter in cardiac care at LFH

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Beginning on March 1, Lake Forest Hospital’s Acute Care Center will offer its services on

a 24-hour, seven-day-a-week basis. Currently, it is open daily from 6:30 a.m. to 11 p.m.

treating more than 26,000 adult and pediatric patients each year for conditions such as

flu symptoms, minor cuts, bruises, sprains, fractures, eye irritations and other non-emer-

gent medical problems. Meanwhile, plans are moving forward to expand the Acute Care

Center to include additional treatment rooms and other improvements.

Lake Forest Hospital also is pursuing freestanding emergency center (FEC) designation for

the Grayslake campus. Legislation introduced by state Sen. Susan Garrett (D-Lake Forest)

allowing for the creation of such centers was enacted last year. Pending certificate-of-

need approval, Lake Forest Hospital will provide much-needed emergency medical services

to north and western areas of the county. FEC status will allow the Grayslake facility to

accept local ambulances for appropriate emergency transports and will significantly reduce

emergency transport times in the region.

“Lake Forest Hospital can operate a freestanding emergency center with minimal expansion

of our existing Acute Care Center,” says vice President of Business Development and

External Affairs Mathew Koschmann. “And, because services are already performed by

board-certified emergency medicine physicians, conversion to an FEC will not require

significant changes in how we provide care to our patients.”

The Outpatient & Acute Care Center is located at 1475 E. Belvidere Road (Route 120 just

west of U.S. 45) in Grayslake.

Grayslake Acute Care Center to Expand and Begin 24-Hour Operation

“Lake Forest Hospital recognizes the significant need of Grayslake-area residents for improved access to services, and our expansion and additional hours of operation is a step toward meeting this community need.”

— MATHEW KOSCHMANN, vICE PRESIDENT OF BUSINESS DEvELOPMENT AND ExTERNAL AFFAIRS

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Lake Forest Hospital patients will be order-

ing their meals from the most extensive,

restaurant-style menu of any hospital in

Lake County as part of Bedside Bistro, Food

Service’s new customer-service initiative set

to launch in the very near future. Patients

will be able to order their meals to be served

whenever they want to eat them between

the hours of 7 a.m. and 7 p.m. And, those

meals will be delivered to the room within

45 minutes via a new tray-delivery system that keeps the food hot

in a more energy-efficient manner.

The idea is to allow patients to order what they want when it’s right

for them to eat based on their individual treatment schedules as

opposed to the more conventional way of having breakfast, lunch

and dinner served at the same time to all patients on a unit, which

means food may be delivered to some rooms while the patient is

away for tests. With Bedside Bistro, hospital staff will keep

patients informed of their daily routine, so they’ll have a better

idea when they’ll be in their room to eat and enjoy their meals.

Orders can be placed in advance for delivery at a specified time. And,

as has always been the case, the foods patients may choose will

be limited by any restrictions placed by their doctor(s) and the

hospital’s dietitians.

Lake Forest Hospital Coordinator of Nutritional Services Edye

Wagner, RD, sees this new system as a great benefit to the patient.

“If patients feel in control of their food and have the choice of

fresher, healthier options, their healing process will be enhanced.

Good nutrition plays a role in the whole immune system and recovery

process,” she says.

Food Services Director Al Moyer puts it this way, “The bottom line of

our new concept is that every patient will be a vIP.”

Bedside Bistro’s new breakfast menu includes design-your-own

omelets, oatmeal brulé and fruited yogurt granola parfait. New

lunch and dinner features include build-your-own sandwiches, filet

mignon, cedar planked salmon, paninis (vegetable and smoked

turkey) and a pasta bar.

This change to more of a restaurant-style operation to serve

patients is being facilitated by an extensive renovation of Lake

Forest Hospital’s kitchen facilities. The made-to-order meals that

are prepared there will be served on new service ware designed to

make their presentation more pleasing to the eye. “Our goal is to

make our food choices and service appeal to the patients to help

them get better faster,” Wagner says.

BEDSIDE BISTRO: BON APPéTIT!

Prominent Lake Forest businessman S. Barry Lipin knows first-

hand the challenges faced by those with hearing impairments and

wanted to do something to help. Following a recent meeting with

Lake Forest Hospital representatives, Lipin made a donation to the

hospital to improve services offered to the hearing-impaired.

Thanks to Lipin’s generosity, the hospital has purchased a portable

verifit system for the audiology department.

This cutting-edge computer technology allows audiologists to

scientifically evaluate hearing aid systems and demonstrate their

sophisticated features to patients, ultimately leading to greater

utility and patient satisfaction. Now better than ever before, Lake Forest

Hospital audiologists can effectively and accurately demonstrate

the advantages and impact of digital-hearing instruments on hearing

impairment, not only to patients, but to their family members,

teachers and friends as well.

This technology is especially useful in working with hearing-impaired

children. Because the devise is portable, it can be used in places

such as schools. “It is the ultimate tool designed to simulate the

‘real-life’ listening experiences of the hearing-impaired user, and

the hearing-aid processing,” says Director of Specialty Clinical

Services Madonna Stoioff. “This generous gift has allowed us to

obtain the best science and technology available to better serve

our hearing-impaired patients,” says Stoioff.

Donor’s Generosity Aids Hearing-Impaired Patients

As we turn the page on yet another holiday season of over-indulgence

and wishful New Year’s resolutions, it is time once again to face

the barrage of bizarre, often Hollywood-driven diets that promise

“the new you” by valentine’s Day. Everything from blood type

specialties and grapefruit miracles to calorie busters and fat burners

take aim at your vulnerable post-New Year’s state of mind.

So what are we to believe? Following is a brief look at several of the

more prominent “fad” diets, as well as some sound advice from

Lake Forest Hospital Coordinator of Nutritional Services Edye Wagner.

Blood Type DietBased on Peter D’Adamo’s bestseller—Eat Right 4 Your Type—the

blood type diet is supposed to drive weight loss, assist with allergy

and infection resistance and achieve overall good health.

It suggests: Blood Type A—avoid red meat, eat plenty of fish and

vegetables, low dairy. Light exercise only. Blood Type B—avoid

chicken and bacon, eat plenty of meat and dairy, some fish, and

plenty of fruits and vegetables. Blood Type AB—combine A & B

diets—good luck with this!

Grapefruit DietThe grapefruit stars in this farcical diet as a weight-loss superhero.

Yes, the grapefruit is a wonderful fruit—a natural carbohydrate

high in fiber and vitamin C. But in terms of miraculous weight loss

properties that warrant its use as the sole foundation of a weight

loss program, let’s get real.

Negative Calorie or Fat Burner DietFirst of all, there is no such thing as food with a negative calorie

value. The presumption with proponents of this diet is that eating

a five-calorie stick of celery, for example, will burn up 95 calories.

This is the epitome of speculation with no science to support it.

Weight loss from this diet comes simply from consuming low

calories. There are no magical properties with certain food groups.

Ask the Experts

Attack of the Wacky Diets

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Having The Big One (or Not)

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The classic story of the heart attack goes something like this: An

overweight, out-of-shape man in his late 60s is shoveling snow and

suddenly feels an intense chest pain. He grasps for his chest and

complains that he feels “an elephant on his chest.” The man is

sweating, pale, short of breath and fears for his life. He tells his wife,

who frantically calls 911, and he is brought to the emergency

department (ED).

Historically, the picture of that pale man with exertional chest pain

dominated our view of a heart attack and became known as “typical”

chest pain symptoms. Gradually, more and more studies came out

that made physicians realize that while the patients with “typical”

chest pain symptoms may have been having a heart attack, so were

others who presented very differently (“atypically”). To make matters

even more complicated, women were found to have even more atypical

symptoms than men when they experienced a heart attack.

Other symptoms that were found to have prognostic value in determining

a heart attack include: chest pain without exertion, chest pressure,

lightheadedness, unusual fatigue, indigestion, arm pain, neck pain

and weakness. The fact that a heart attack can masquerade with so

many different costumes keeps physicians always on alert, and keeps

the general public legitimately worried.

Many patients mistakenly linger at home for hours worrying that they

might be “over-reacting” so they “just wait for the pain to pass”

before deciding to go to the ED. In the world of heart attacks, the

catch phrase to remember is “time is muscle.” Your heart is a muscle

and in a heart attack, a portion of the heart does not receive blood

and, therefore, does not get oxygen. The longer you wait, the longer

the heart is without oxygen, and the more likely it is that a portion of

the heart muscle will die (heart attack).

The good news is that not every person with chest pain and not every

heavy-set, 60-year-old man shoveling snow with a pain in his chest is

having a heart attack. In the United States, there are about 5 million

patient visits to the ED with symptoms that are concerning for a heart

attack. Of these, about 15 percent (750,000) prove to actually have

had a heart attack and another 25 to 30 percent have warning signs

of a possibly preventable future heart attack. The remaining majority

have non-cardiac causes of their symptoms. Ultimately, it is our

responsibility to ourselves to have our pain and symptoms evaluated

immediately and to give ourselves and those we love peace of mind.

While it is impossible to remove the element of fear from a heart

attack, it is always better to err on the side of caution when any such

symptoms arise.

Dr. Sharon Moise is an emergency medicine physician at

Lake Forest Hospital. Please send all questions and comments

to [email protected].

Of course, any diet consisting of large portions of vegetables, such

as fibrous vegetables that are filling and very nutritious, yet low in

calories, will aid in weight loss.

Warrior DietThis is based on the historic daily life of a warrior who would

ostensibly under eat during the day (when physical activity and

danger were always present) and overeat at night (when able to

rest and eat a good daily meal). Yet, questions abound regarding

the long-term effects of such an exercise and nutrition program on

metabolic rates and fat loss. The scientific jury is still out.

“Detox diets, the most recent rage among Hollywood’s finest, are

like a perpetual colonoscopy preparation,” says Wagner. “They are

basically varying degrees of starvation, mostly liquids, paired with

colon cleansing. The risks of such diets are great, ranging from

hypoglycemia to dehydration. We all know that nutrition is vital to

our immune system. Imagine what two weeks of malnutrition will do!”

Wagner stresses that health benefits from weight loss are only

achieved when there is real weight loss, meaning loss of body fat,

not just water. And we have all become aware of the pitfalls of yo-yo

dieting, which can lead to loss of muscle mass, fat gain and a

slowing of the metabolism, making it harder to lose weight the

next time.

“There is little science to back up most of the diets you will hear or

read about,” adds Wagner. “Many work in the short-term because

they force you to think before putting something in your mouth.

But special food combinations, prolonged fasts or other severely

restricted intake diets offer no magic bullet and could do more harm

than good in the long-run. Health benefits and sustained, healthy

weight loss come from lifestyle changes. Hence the unglamorous

advice we hear all the time, eat less and move more.”

Nutritional Services offers counseling on an inpatient and

outpatient basis. For more information, call (847) 535-6176.

Attack of the Wacky Diets

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Get pain and symptoms checked immediately to be sure.

The numbers at first glance seem daunting:

140,000 new cases diagnosed each year.

56,000 deaths annually. The second-leading

cause of cancer death in both men and

women in the U.S.

Yet, colorectal cancer, which almost always

begins as a non-cancerous growth (or polyp)

that develops on the inside lining of the

colon and the rectum, is a highly preventable

disease. And, if detected early, it can be

cured. So why are there still so many deaths

attributed to colorectal cancer?

“Two reasons,” explains John Andrews, MD,

FACS, Lake Forest Hospital chief of staff

and a specialist in general, colorectal and

laparoscopic surgery. “First, only 40 percent

of Americans over the age of 50 are getting

the appropriate testing, either due to a lack

of awareness of the screening recommen-

dations or a personal hesitancy to discuss

the subject with their doctors. Many people

assume that having no symptoms means

they are healthy when, in fact, colorectal

polyps and the early, most treatable stages

of colorectal cancer, most often have no

symptoms at all. And second, often people

wait too long to be evaluated. They may

even have a symptom such as rectal bleeding,

but assume it is due to hemorrhoids. This

delay in evaluation can lead to progression

of undetected disease and compromise of

an otherwise highly likely cure.”

It is generally recommended that men and

women should begin screening for colorectal

cancer at age 50 (45 for African Americans),

and younger if they have risk factors that

make colorectal cancer more likely.

These would include:

• An immediate family member with a history of colorectal cancer or precancerous polyps

• A personal history of uterine or ovarian cancer

• A personal history of inflammatory bowel disease, such as ulcerative colitis or Crohn’s disease

• Hereditary conditions such as familial polyposis and nonpolyposis colon cancer

• A personal history of colorectal cancer or precancerous polyps

Lifestyle factors that may increase the risk

for developing colorectal cancer include:

• Diets high in fat

• Diets low in fruits and vegetables

• Cigarette smoking

• Obesity

• Sedentary lifestyle

There are many test options available to

screen for colorectal cancer, including hemoc-

cult stool testing, flexible sigmoidoscopy,

barium enema and virtual colonoscopy

(or CT colonography). But the gold standard

exam for a comprehensive colorectal cancer

screening remains the colonoscopy.

“Colonoscopy provides a direct view of the

entire colon and rectum and allows for the

detection and removal of polyps,” explains

Dr. Tara Troy, a member of the Associates

in Gastroenterology and Liver Disease group

that practices at Lake Forest Hospital and

together performs approximately 3,500

colonoscopies annually. “It is a simple

procedure for trained endoscopists, usually

taking 20 to 30 minutes under moderate

sedation. The toughest part for a patient is

typically at home the night prior to the exam

when the preparatory cleansing or flushing

of the system is required,” adds Troy.

If colorectal cancer is detected, surgery is

recommended in most cases, sometimes in

conjunction with radiation and chemotherapy.

If detected and treated in the earliest stages,

80 to 90 percent of those patients will

realize a complete cure. The cure rate

drops significantly when diagnosed in the

later stages.

“Most of my surgeries for colorectal cancer

are laparoscopic-assisted colon removal,

which combines the best of laparoscopic

technology with the more traditional open

surgical approach,” explains Andrews.

“The most important message here is that

colorectal cancer is preventable,” adds

Andrews. “We can’t say that about many

cancers, but we can about this one. Yes, there

is evidence that certain dietary and lifestyle

factors may reduce your risk of developing

colorectal cancer. But the best insurance

policy of all is a regular screening, including

a colonoscopy. We could save 40,000 lives

a year in the U.S. if more people took that

to heart!”

“The most important message here is that colorectal cancer is preventable.”

— DR. JOHN ANDREWS

March is Colorectal Cancer Awareness MonthRegular Screenings and Early Detection are Lifesavers!

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Early detection is a key weapon in the battle against colorectal

cancer. In fact, the most effective way to reduce the risk of this

third most common form of cancer in the U.S. is undergoing routine

colorectal screening tests.

With this in mind, Lake Forest Hospital will observe National

Colorectal Cancer Awareness Month by distributing home screening

kits free of charge during the first week of March. The kits will be

distributed March 3-7 by members of the hospital’s GI staff, who

will provide information and answer questions to those interested

in learning more about colorectal cancer. In addition, participants

will be able to register to win raffle prizes. Watch for more

details on the hospital’s Web site, www.lfh.org, as this week

draws nearer.

Men and women 50 years of age and older should get screened for colorectal cancer. Of the many screening options available, Dr. Tara Troy says colonoscopy provides a direct view of the entire colon and allows for the detection and removal of polyps.

Hospital to Distribute Home Screening Kits During March’s Colorectal Cancer Awareness Month

Thanks in large part to its highly competent staff and

extremely sterile environment, Lake Forest Hospital’s facility

infection rate for MRSA (methicillin-resistant staphylococcus

aureus) is among the lowest in the United States – less than

1 percent compared with a national average of about 5 percent.

Yet, Lake Forest Hospital continues to spearhead an aggressive

MRSA screening program in accordance with Centers for

Disease Control guidelines and now mandated by the state

of Illinois.

If you are undergoing major surgery (orthopedic or intra-

abdominal) at Lake Forest Hospital, please check with your

physician about the MRSA screening program. We culture all

high-risk patients for MRSA and all patients admitted to the

Intensive Care Unit have nasal swab screenings for MRSA.

While Lake Forest Hospital’s rate of hospital-acquired MRSA

has not changed over the years, it’s important to note that

the incidence of community-acquired MRSA has increased

substantially. This designation refers to MRSA not associated

with hospital or nursing-home exposures. There have been

multiple instances over the last several years with skin infections

in professional and high-school athletes.

One of the best ways to avoid contracting MRSA is to follow

recommended hand-washing techniques and good personal

hygiene.

Please contact your physician with any specific questions you

may have about MRSA. Or, you can call Lake Forest Hospital’s

vice President of Medical Affairs, Dr. Michael G. Ankin, at

(847) 535-6123.

THINGS YOU SHOULD KNOW ABOUT MRSA SCREENING AT LAKE FOREST HOSPITAL

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Lake Forest Hospital Resale Shop Manager vida Ludington has

heard some unusual requests in her six years of running the shop,

but one recent inquiry left its mark.

“A gentleman came in to donate clothes, which we always appreciate,”

Ludington said. He looked around the store, saw the display of

posters featuring hospital ads and asked if he could buy a particular

poster featuring Dr. Ahmed Farag, vice chairman, department of

radiology, in front of the hospital’s dual-source CT scanner, one of

the few in the Midwest.

“I told him at first that we have a lot of nice men’s shoes, clothes

and sweaters, for example, but he explained that he really wanted to

purchase the poster of the man who saved his life,” Ludington said.

Terry Finley, a federal attorney from Lindenhurst, travels worldwide

frequently during the course of his work. Around winter of 2006,

he noticed that his legs were hurting a bit in the calves, but he was

so busy, he didn’t really think too much about the pain, which he

also attributed to his exercise regimen.

Last January, Finley also experienced some minor chest pain. Both

parents had died of heart attacks, so this condition was particularly

troublesome. His internist, Dr. Jason Garti, recommended the cardio

CT scan to evaluate his heart and coronary arteries. So Finley came

to Lake Forest Hospital for the procedure, still concerned about

his heart.

“I told my boss that I really needed to take a sick day to do this.

I never take sick days. I figured that I’d be back to work the next day.

After the CT scan was complete, Dr. Farag personally reviewed my

exam with me, and given the findings, expedited my admission to

the emergency department. My condition was that serious,”

Finley explained.

“Without a doubt, these doctors saved my life.”

— TERRY FINLEY

Farag told Finley that he had blood clots in his lungs. “A condition

called pulmonary embolism was discovered incidentally on his

cardiac imaging study,” Farag said. “This condition is the result of

blood clots, which in his case traveled from his legs to his lungs,

resulting in the blockage of blood flow in his lungs. If discovered,

patients can be treated with blood thinners; however, this condition

can, in the worst scenario, result in death.”

Finley was surprised to hear this news. “Imagine my chagrin. One

minute I’m practicing law. The next, I’m flat on my back, spending

four days in the hospital,” he said.

“What I have is genetic,” said Finley. “I had no symptoms. Had I

not done the CT scan, both Dr. Garti and Dr. Farag told me I might

have died in my sleep!”

Finley’s medical team, including hematologist Dr. Ira Piel, ordered

blood tests to determine the genetic abnormality in which the body

produces these clots. One of Garti’s colleagues, Dr. Scott Braunlich,

also helped with Finley’s case.

One of 10 children, Finley sent his siblings the blood work analysis

so that they could be tested, as well. A sister, as well as one of

Finley’s nephews, is predisposed to this genetic condition, which

now can be monitored.

Finley said he wants others to know about this condition and the

imaging offered at Lake Forest Hospital. “I couldn’t believe I was

that educated, and I didn’t know about this condition. People who

fly a lot should especially take heed.”

Finley now takes Coumadin, which prevents his blood from clotting.

He also cannot have anything with vitamin K, such as spinach. He

has an exercise routine and has decided to retire and enjoy life,

especially since he almost lost his.

As for the poster in the Resale Shop, the hospital gladly gave Finley

a framed copy of the ad.

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Terry Finley with Dr. Ahmed Farag near the dual-source CT scanner.

Hospital Resale Shop Gets Memorable Request

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TOPS NEW YORK TIMES’ BESTSELLER LIST IN OPENING WEEK!

You: Staying Young—The Owner’s Manual for Extending Your Warranty is the latest in the

hugely successful “You” series by Oprah Winfrey health experts, Dr. Mehmet Oz and

Dr. Michael Roizen. Released Nov. 1, 2007, this new #1 New York Times’ bestseller

follows in the footsteps of earlier series’ bestsellers, You: The Owner’s Manual and You:

On A Diet. But unlike its predecessors, You: Staying Young … features Lake Forest Hospital’s

own Dr. Mark Rudberg as its co-author.

“I wrote and published many academic papers aimed at medically trained audiences while at

the University of Chicago,” said Rudberg, a nationally respected epidemiologist, geriatrician

and former medical school associate professor. “But this was a first for me. Five experts

collaborating via conference call for six hours each week over a six-month period. We

learned from each other throughout. And Mehmet [Dr. Oz] has an amazing talent for

knowing his audience and turning highly technical information into something not only

easy-to-understand but highly engaging and entertaining for the general public. The whole

experience was fantastic!”

As with his earlier literary successes, Dr. Oz launched the book via his highly popular segment

on the Oprah Winfrey Show over two days, Nov. 1 and Nov. 5, Rudberg spearheaded

the show’s audience health screenings, joined by Lake Forest Hospital nursing staff—

Kim Fiester, Jenny Prescia, Jan Halkovich and Lori Patsis—along with Dr. Rachel Greenberg

providing eye exams.

You: Staying Young—The Owner’s Manual for Extending Your Warranty corrects

misconceptions about the “seemingly” inevitable decline of the body and mind as we age.

The science behind “major agers” is explained in lay terms, using the analogy of a city

and how it can control either aging gracefully or deteriorating unnecessarily. With the help

of wonderful illustrations by Gary Hallgren, this series of epiphanies for the reader culminates

in a 14-day plan for staying young that will allow us to live longer with greater vitality.

“It puts the reader in the driver’s seat in terms of controlling, to a large extent, how he or

she ages,” explained Rudberg. “We give too much credit, or blame, to our genes for what

happens to us as we get older. Genetics accounts for only 25 percent of your biological

future. The rest is up to you and how you decide to treat yourself – body, mind, soul, you

name it.”

As for Rudberg’s future as a popular author, now that You: Staying Young … topped the

bestseller charts in its opening week, “I’d like to do it again if the right opportunity pres-

ents itself. I have a couple of book ideas I plan to explore. Working with Dr. Oz, Dr. Roizen

and their team was such a stimulating and enjoyable journey for me. You learn a lot by

teaching. It’s how I stay young.”

Dr. Mark Rudberg Co-Authors Newest “You” Series Book with Oprah’s Health Specialist, Dr. Oz

Rudberg will discuss the book’s contents and sign copies of it during a free community education program at Lake Forest Hospital Jan. 30. See listing on Page 14 for further details.

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Medical Staff News

RObeRt K. eRiCKSOn, MD, Neurosurgery, is certified by the

American Board of Neurological Surgery. He completed residency

requirements at the University of Chicago in 1987. Dr. Erickson

practices in Libertyville and can be reached at (847) 362-1848.

eve FeinbeRg, MD, Reproductive Endocrinology and Infertility, is

certified by the American Board of Obstetrics and Gynecology. She

completed residency requirements at Northwestern University in

2004. Dr. Feinberg practices in Hoffman Estates and can be

reached at (847) 843-1510.

AKAS JAin, MD, Reproductive Endocrinology and Infertility,

completed residency requirements at the University of Cincinnati

in 2004. Dr. Jain practices in Gurnee and can be reached at

(847) 662-1818.

Axel W. JOOb, MD, Thoracic Surgery, is certified by the American

Board of Surgery and by the American Board of Thoracic Surgery.

He completed residency requirements at the University of virginia

in 1986 (surgery) and 1988 (thoracic surgery). Dr. Joob practices

in Park Ridge and can be reached at (847) 635-9006.

libORKA KOS, MD, Pediatric Dermatology, is certified by the

American Board of Dermatology with a subspecialty in pediatric

dermatology. She completed residency requirements at Henry Ford

Hospital in 2005. Dr. Kos practices in Gurnee and can be reached

at (847) 662-4380.

JeRRy x. liu, MD, Hematology/Oncology, is certified by the American

Board of Internal Medicine. He completed residency requirements

at the University of Michigan Hospitals in 2004. Dr. Liu practices

in Libertyville and can be reached at (847) 367-6781.

MAnFReD P. MAn, DO, Family Medicine, is certified by the American

Board of Family Medicine. He completed residency requirements

at Northwestern University/St. Joseph Hospital in 1991. Dr. Man

practices in Grayslake and can be reached at (847) 548-8430.

JOSePH iMPeRAtO, MD, delivered the keynote

address at the Cancer Wellness Center’s annual

meeting Nov. 28 in Highland Park. A highlight

of this meeting is presentation of the annual

Stephen A. Wesiman, MD, Humanitarian

Award for Cancer Care. Dr. Imperato was the

2005 recipient of this memorial award, which

honors outstanding medical accomplishments

and dedication to the total well-being of cancer patients and their

families exemplifying the humanity and life work of Dr. Weisman,

who was a member of Lake Forest Hospital’s medical staff.

SHAROn MOiSe, MD, is the co-author of

an article, A 24-Year Old with Chest Pain,

Hemoptysis and Hypoxia, to be published in

the American Journal of Emergency Medicine.

Written with Dr. Chad Kessler of the Jesse

Brown v.A. Hospital in Chicago, its purpose is

to make emergency physicians more aware of a

rare condition involving abnormal blood flow

through the lungs. This condition can cause chest pain, coughing

up blood and low oxygenation of the blood.

Lake Forest Hospital congratulates those

physicians who have been recognized for

their accomplishments and those who have

furthered their professional knowledge:

Lake Forest Hospital would like to welcome its

newest physicians to the staff:

10

11

Lake Forest Hospital is experiencing a record-breaking year in the receipt of estate gifts.

Through bequests from nine of the hospital’s loyal patients and supporters, to date a total

of nearly $2 million has been contributed to designated areas such as the radiation oncology

department, construction projects, the maternity department and charity care, or to general

support for areas of greatest need at Lake Forest Hospital.

Each gift not only provides a wonderful legacy, but also honors the hospital and offers

thanks for the excellent health care received. Donors are recognized through the hospital’s

donor recognition program.

Most importantly, such contributions significantly strengthen Lake Forest Hospital for the

future. For a not-for-profit institution, philanthropic support is truly appreciated and critical

to providing the highest quality health care to our patients.

If you would like to consider a planned estate gift for Lake Forest Hospital, please contact

Jane C. Griffin, vice president of philanthropy and marketing, at (847) 535-6111 or

[email protected].

AND YOU THOUGHT HOUSE CALLS WERE A THING OF THE PAST!

The fourth annual House Calls event, presented by the Women’s Health Advisory Council

of Lake Forest Hospital, takes place at 6:30 p.m. Saturday, Jan. 26, at the Onwentsia

Club in Lake Forest.

This unique event features many of the region’s finest health-care providers in an informal,

up-close and personal setting that enables small group give-and-take of the latest health

and wellness information available.

The session’s topics and Lake Forest Hospital Medical Staff presenters include:

• you: Staying young—the Owners Manual for extending your Warranty, Dr. Mark Rudberg

• get Pumped: identifying and lowering your Cardiovascular Risk in 2008, Dr. brian Shortal

• State of emergency: When to visit the eR, Dr. Sharon Moise

• the truths and Myths of Cancer, Dr. Joseph imperato

• Children on the Move: Preventing Sports injuries in our Active Children, Dr. Chris Amann

• navigating your Adolescent through Puberty, Dr. Riley Minster

Tickets for this evening full of useful health and wellness information are $100 each.

Please RSvP by Jan. 18. To register, or for more information, call the Lake Forest Hospital

Office of Philanthropy at (847) 535-6111.

GENEROUS DONORS REMEMBER LAKE FOREST HOSPITAL IN RECORD NUMBERS IN 2007

12

Now that the New Year is upon us and the

resolutions to lose weight, exercise and eat

better are fresh, you might also want to add

balance training to your goals.

“Balance training is often overlooked,” explains

Lake Forest Health & Fitness Center Exercise

Specialist & Personal Trainer Bruce Mills.

“Your exercise program should consist of

cardiovascular, strength training and specialty

classes, such as yoga or Pilates, but it also

needs to include balance training, especially

as we age.”

Balance training, he adds, often becomes

important only after an accident has

happened.

“If you do balance training consistently, if

you’re on an uneven sidewalk and you’re

busy talking with friends and not checking

out the pavement, you might stumble, but

you likely will not fall and injure yourself.”

“Billions of dollars are spent in the United

States each year because older people fall

down, and they had no pre-existing conditions,

such as Parkinson’s disease, for instance.

One of the most important things I can tell

you is to practice improving your balance,

and by doing so, you’ll likely avoid hospi-

talization and pain in the future.”

Balance training focuses on the sensors in

the legs. If you focus on these sensors, you

will improve your reaction to imbalance

and will improve your overall balance as a

result. So, what can you do?

The simplest exercise is a one-legged stand.

Hold on to an object about waist high.

Raise one leg and hold on until you can

gradually work toward independence,

releasing your hold. Once you are indepen-

dent, time yourself for 30 seconds or more.

Next, close your eyes and do this exercise,

as there is a visual component to balance.

It’s important to switch feet and to train

the sensors in both legs.

A second exercise involves using either a

foam pad or a Bosu ball. Stand on the item

with both feet initially to get the feel of the

unstable environment. Raise one foot, at

which point the “wobbles” will begin. Try

to rest your lifted foot on top of the heel of

your stationary foot. Hold for 30 seconds

and switch feet. Then close your eyes and

do the exercise.

A third exercise is to use a balance beam,

though you could also find a line in your

floor’s tile or follow along the edge of a rug,

for example. First, walk forward, toe-to-toe.

Next, walk backward, toe-to-toe. Then turn

parallel to the beam and walk side-to-side.

A fourth option is to do step-overs. A step-

over is performed by moving your back foot,

stepping over the forward foot and placing it

back on the beam or line on the floor tile.

Some Mills tips:

• Do balance training at least three times a week.

• Keep up this training or you will lose its benefits in about two weeks.

• it is never too late to start balance training, though it is ideal to start while you’re still young. that way, it is already a part of your exercise routine.

Although you can do these balancing

exercises on your own, joining a fitness

center might help. Adds Mills, “A fitness

center becomes a social activity and is an

encouragement, person-to-person, to help

keep you motivated and exercising.”

For more information about joining

Lake Forest Health & Fitness Center,

call (847) 535-7043.

How’s Your Balance?

Bruce Mills, an exercise specialist and personal trainer at Lake Forest Health & Fitness Center, is certified by the American College of Sports Medicine and by the American Sports Education program. He’s shown balancing on a Bosu ball.

12

13

What is AD/HD? Join Jeffrey O’Koon, PhD, and Sharon Johnson, PhD, for a discussion

about diagnosis and a review of treatment approaches for these

special children.

Date: Monday, Jan. 28

time: 7 to 9 p.m.

location: lake Forest Hospital

Register: (847) 535-6112 or www.flh.org

“Addiction by Prescription… Dangers in the Medicine Cabinet” Teens can abuse prescription and over-the-counter medications.

Our panel of experts including a pharmacist and psychologist will

address these dangers and let you know how to keep your child safe!

Date: tuesday, March 11

time: 7 to 8:30 p.m.


For: Parents of children in grades 6-12

Register: (847) 295-9075 or www.leadweb.org

Childhood Immunization Clinic Please bring your child’s immunization records with you. The cost is

$10 per dose; no one will be turned away due to inability to pay.

Dates: Saturday, Jan. 26, Feb. 23 or March 22

time: 9 to 11 a.m.


info: (847) 377- 8470

Events + Community

FAMily liFe

CliniCAl DiAgnOStiCS & tReAtMentS

Coping Strategies for Intimacy Changes with Cancer Changes in sexuality can disrupt emotional closeness affecting the

quality of partnered relationships. This interactive discussion

focuses on coping with these changes to best protect your

emotional closeness.

Date: tuesday, Feb. 12

time: 7 to 8 p.m.

location : lake Forest Hospital

Register : (847) 535-6112 or www.flh.org

The Beat Goes On Dr. Brian Shortal will discuss cardiovascular disease and how to

modify your risks. He’ll cover signs & symptoms, what needs to be

treated, risk factors and how to lower them.

Date: Wednesday, Feb. 13

time: 7 to 8 p.m.



Healthy Skin for Life Dr. Tina venetos will discuss products that wake up your skin, the

latest on fillers and 3D skin rejuvenation with the Cutera laser.

Receive $50 off Juvederm or Botox for attending.


time: 7 to 8 p.m.



Inside Out: Preventing and Treating Colon Cancer Colon cancer is the third most common cancer in the U.S. Learn

about risk factors and familial syndromes, screening alternatives

and new targeted therapies.

Speakers: Dr. victoria Kut, oncologist, and lFH’s gi staff

Date: Wednesday, March 5

time: 7 to 8 p.m.



Programs with a “Lake Forest Hospital” location will be held in the

hospital’s A. Watson Armour III Patient Services and Health

Education Center. “HFC” means one of the hospital’s affiliated

Health & Fitness Centers. Programs are offered free of charge unless

fees are specified.

14

You: Staying Young—The Owner’s Manual for Extending Your Warranty Join Dr. Mark Rudberg, co-author of this #1 bestseller, as he

discusses the principles of longevity and how to combat aging’s

effects. He’ll also be autographing copies of the book.

Date: Wednesday, Jan. 30



Register: (847) 535-6112 or www.lfh.org

Senior Lunch & Learns A delicious complementary lunch with educational speakers

discussing issues for seniors is offered at Lake Forest Hospital and

its Grayslake Outpatient & Acute Care Center. Lunch starts at

11:30 a.m.

Caryn Reuland, lFH physical therapist, will speak about fall

prevention Jan. 8 in grayslake/Jan. 15 in lake Forest

Jane Paley, lFH director of home health care, will be sharing

important home health care information: Feb. 12 in grayslake/

Feb. 19 in lake Forest

the lFH dietitians will provide information about diabetes,

heart health and senior fiber: March 11 in grayslake/March 18

in lake Forest

Register: (847) 535-8800 (grayslake) or (847) 535-6112

(lake Forest)

Fitness Boot CampBoot camp is a six-week fitness adventure for anyone looking to

add a challenge to his or her workout. The challenging drills,

sprints, strength, balance and core exercises won’t disappoint.

Fee: $100 returning participants, $120 HFC members,

$180 non-members

Dates: begins Monday, Jan. 14

times: Mondays & Wednesdays at 6 a.m. or

tuesdays & thursdays at 1 p.m.

location: lake Forest HFC

Register: (847) 535-7000

Get Ready For Golf SeasonGolf pro Betty Kaufmann, physical therapist Dave Carey and sports

psychologist Dr. Wayne Glad prepare you for golf season. Topics

include grip assessment, injury prevention and mental preparation.

Please bring a 5 Iron!

Date: Monday, Jan. 21

time: 7 to 9 p.m.


Register: (847) 535- 8832

Skin Diving: Learn to Snorkel This course teaches safety and public awareness of the aquatic

environment. Skills covered: mask, surface dives, entries and exits,

vest, use of a weight belt, and rescues. Participants should be

good swimmers.

Fee: $90 HFC members, $120 non-members

Dates: Sundays, Feb. 3 to March 9

time: 3 to 5 p.m.


instructor: Mike Donovan

Register: (847) 535-7000

Get Ready For Ski Season Learn intermediate to advanced exercises that will prepare you for

the ski slopes. Challenge your core strength, balance and muscular

endurance, while conditioning your joints for this year’s ski season.


Dates: Wednesdays, Feb. 20 and Feb. 27

time: 7 p.m.


Register: (847) 535-7000

Get Ready for Race SeasonLet’s run together! At the LF HFC, we will be running in numerous

races as a team in 2008. Train together throughout the winter to

be ready for race season.

info: Jessica Semanson, (847) 535-7037

Fabulous Abs Learn new, exciting and challenging exercises to strengthen your

core muscles. All fitness levels are welcome.


Date: Friday, Feb. 22

time: 10:15 to 11:15 a.m.


Register: (847) 535-7000

55+ HeAltHy Aging

WellneSS & PReventiOn

15

What is Carpal Tunnel Syndrome? Attend an informational lecture on carpal tunnel causes, symptoms

and prevention. Free carpal tunnel screenings will be available for

all who attend.


time: 6 to 7 p.m.


Speakers: Sharon valencia, Ot, and Roberta Kamen, CHt

Register: (847) 535-8832

Training for Tennis: It’s All About The Feet This workshop will address sport-specific conditioning movement

for maximizing tennis performance. Areas of focus: footwork, agility

and speed, balance, coordination, endurance, strength, and flexibility.


Dates: tuesdays and thursdays, March 4 to March 20

time: 12:35 to 1:35 p.m.

instructor: Jill bachochin


Register: (847) 535-7000

Spring Break Workouts Learn efficient total body workouts for those who are short on time

but need to get ready for spring break. This workshop is geared

toward intermediate and advanced fitness levels.


Date: Friday, March 7

time: 10:15 to 11:15 a.m.


instructors: Claire Heymans and Amy Kessler

Register: (847) 535-7000

Save Your vision/Low-vision Awareness Join ophthalmologist Dr. Bradley Ruff as he explains the anatomy

and medical issues/treatments related to low vision. Marcia

Garoufalis-Moore, OT, will provide home safety guidelines/

compensatory techniques for anyone with low vision.

Date: thursday March 13



Registration: (847) 535-8832

or

Date: thursday March 20


location: Outpatient & Acute Care Center, grayslake

Registration: (847) 535-8832

Transform Join this lecture-based nutrition and fitness program tailored to

creating a healthy lifestyle. A registered dietitian or exercise

specialist will lead the six weekly lectures.


Dates: Starts Monday, April 14

time: 6 to 7 p.m.


Register: (847) 535-7000

Plastic Surgery Through Your Decades

Plastic surgeon Dr. Paul Steinwald’s presentation will focus on

appropriate and popular procedures for patients - teens to 60s and

beyond. Aesthetician Paulette vanko also will be present.

Date: Wednesday, March 12

time: 7 to 9 p.m.


Register: (847) 535-6112 or www.lfh.org

National Wear Red for Women DayWearing red on Feb. 1: visit the LF HFC for a day of food, prizes,

raffles and education. Learn ways to keep your heart healthy

through exercise and nutrition.

Date: Friday, Feb. 1

time: 5 a.m. to 10 p.m.


Register: (847) 535-7000

WOMen’S HeAltH

16

Heart Smart ScreeningThis screening for men & women includes full cholesterol panel,

blood sugar, blood pressure, body mass index & waist/hip ratio.

Easy finger-stick with immediate results plus counseling with

nurse practitioner.

Fee: $30 (fasting is required)

Dates: Weekday appointments available

location: lFH Specialty Care Center

Register: (847) 535-8500

Hearing Screening Contact the audiology department to sign up for a free hearing

screening at either the Lake Forest or Grayslake campus. Adults only.

Register: (847) 535-6114

Speech and Language Screening for Children Schedule an appointment to screen your child’s (3 to 6 year olds)

speech and language development or have a telephone consultation

with a speech/language pathologist for children under 3.

Register: (847) 535-6114

HeartSaver CPR Learn infant, child and adult CPR through the American Heart

Association Pediatric and Heartsaver course offered by CPR

Associates Inc.

Fee: $40

Dates: Saturday, Feb. 9 or March 8



Register : (773) 973-6933

Health-Care Provider CPR CPR Associates Inc. offers health-care provider CPR classes for

those individuals who need CPR to fulfill a job requirement in the

healthcare/medical industry.

Fee: $40

Dates: Saturday, Feb, 2 or March 1



Register: (773) 973-6933

HeAltH SCReeningS

CPR ClASSeS

Please call the numbers listed for more information or to register.

Newborn Hotline Help is only a phone call away. Call (847) 535-6161, 24 hours a day,

seven days a week to talk to a registered nurse with any questions or

concerns about your new baby (up to six weeks old).

Lactation Hotline and Breastfeeding Support Group For your breastfeeding questions and concerns or to register for the

Breastfeeding Support Group, call the Lactation Center at Lake Forest

Hospital, (847) 535-6262, to speak to a breastfeeding expert.

The following childbirth courses and related educational programs are

open to the community. Call (847) 535-6182 or send an e-mail to

[email protected] for more information, class schedules, fees or a

complete childbirth course listing.

yoga baby Pre & Postnatal yoga

Childbirth Preparation newborn Care basics

Preparation for breastfeeding infant CPR and Safety

Sibling Preparation Surviving Motherhood

Spring training for Dads infant Massage

Surviving Motherhood Support Group I and II For new (or not-so-new) moms. Two groups are offered based on your

baby’s age, and you can participate regardless of where you delivered.

Transitioning into ParenthoodEvery birth has a unique set of circumstances that will affect the family

during this transition. In this class we will talk about economic

concerns, social support systems, hormonal changes, and the

difference between normal baby blues and postpartum depression.

What’s Next for Me? Changing Times, Changing BodiesPre-adolescent girls (ages 9 to 12) learn about how their bodies will

change as they grow older. This three-hour class, offered in the Hunter

Family Center for Women’s Health, includes the physical, emotional

and social aspects of puberty. Moms will get advice on guiding their

daughters through adolescence and beyond. The $30 fee per mother/

daughter team includes a nutritious breakfast.

Hotlines + Maternity Programs

main telephone

847 234 5600

physician referral

847 535 6171

patient scheduling

847 535 8000

website

www.lfh.org

Yes, please send me the following materials:

Pediatrician Profiles

Waud Family Maternity Services

Diagnostic Imaging

Emergency Parental Consent Form

Medication Reconciliation Card

LFH Services and Physician Directory

Westmoreland Nursing Center

Health & Fitness Centers

Hunter Family Center for Women’s Health

Outpatient & Acute Care Center, Grayslake

Adult volunteer Opportunities at LFH

Student volunteer Opportunities at LFH

Name

Address

City State Zip

Telephone E-mail

Please mail, fax, or e-mail to:

Lake Forest Hospital, Marketing Department 660 N. Westmoreland Road, Lake Forest, IL 60045-9989 Fax: (847) 535-7814 e-mail: [email protected]

The Health Report is published by Lake Forest Hospital’s marketing department. Jane C. Griffin, vice president of philanthropy & marketing; Anne W. O’Connell, marketing director; Barrie Fromme, marketing coordinator; Mary Carmody, marketing project leader.

The information contained in this newsletter is intended to inform and educate about subjects pertinent to health and should not be interpreted as a substitute for consultation with a personal physician.

©2007 Lake Forest Hospital Foundation. All rights reserved.

Printed in U.S.A.

Hotlines + Maternity Programs

660 North Westmoreland Road Lake Forest, Illinois 60045

www.lfh.org

Non-Profit Org. U.S. Postage

PAiD

Lake Forest Hospital

CareCoach Offers Free Preventive Health Services Across Lake County

The CareCoach, Lake Forest Hospital’s mobile health

program, has been serving uninsured and under-insured

persons in Lake County since 1999. It makes regular visits

to about two dozen sites across the county offering free

blood pressure, blood sugar and cholesterol screenings

plus a consultation with a registered nurse.

“Our CareCoach is always looking to serve as many people

as possible in a way that is convenient for the patient,”

says Thomas J. McAfee, Lake Forest Hospital president

and CEO.

Check out www.lfh.org for a complete schedule.

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