HEALTH OCTOBER 2016
YOUR
Mehlville resident back to exploring after spine surgery PAGE 6
St. Anthony’s neurosurgeons are skilled and caring David Sindelar, CEO
AROUND ST. ANTHONY’S
4 Alive in nature
Hand-painted murals add cheer to behavioral health units.
COVER STORY
6 Back to normal
Mehlville resident enjoying life again after spine surgery.
FEATURE STORIES
8
8 Pressure relieved
Loretta Wick is back to her active self after successful brain tumor surgery.
10 New adventures
Back surgery has pilot on the mend after surviving a rough landing.
HEALTHY HABITS
12 Warm and rich
Fall soups soothe and delight.
MOVE IT!
10
14 Taking a stand
On your feet for long periods? Here are some tips for staying comfortable.
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In this issue of Your Health Today, you’ll find profiles of three of your neighbors whose lives changed in an instant. Two suffered broken backs due to accidents; the third was diagnosed with a brain tumor. All are recovered and back to their normal day-to-day activities, thanks in part to the skilled surgeons with St. Anthony’s Neurosurgery Specialists. Doctors Fangxiang Chen, M.D., Bassam Hadi, M.D. and Paul Young, M.D., have served the region for a total of 32 years. They are board certified by the American Board of Neurological Surgery and fellowship trained. They specialize in surgeries to treat spinal and brain tumors, trauma, fractures, complex hydrocephalus, epilepsy, chiari malformation and other conditions. Their talents extend to complex brain tumors, microsurgery of the cervical and lumbar spine and minimally invasive procedures such as neuroendoscopy. In the pages that follow, I hope you’ll read the inspiring stories of just a few of their recent neuro patients: David Couch, Alvin Camden and Loretta Wick. All made speedy recoveries with the help of dedicated clinical staff at St. Anthony’s Medical Center, known for its century-plus tradition of care. David also spent time in the inpatient Acute Rehab unit, a nationally accredited therapy center where patients rebuild their strength and get back to their normal lives. Loretta noted that, had her brain tumor not been diagnosed, eventually she would have faced severe complications. Today, she is tumor free. “They were very caring,” Loretta said. “I really recommend St. Anthony’s.” Whatever your medical need, we hope you’ll consider St. Anthony’s for your care. You can learn more about St. Anthony’s Neurosurgery Specialists and our many other areas of expertise by calling 314-ANTHONY (268-4669). Yours in good health,
Articles with this icon have more information on our website. stanthonysmedcenter.com/connect Click on Your Health Today
2 | YOUR HEALTH TODAY | OCTOBER 2016
David Sindelar Chief Executive Officer Chairman of the Board St. Anthony’s Medical Center
in good health
Does the fivesecond rule hold? It’s the urban food legend that won’t go away – the one that says it’s okay to eat food dropped on the floor, provided said food is picked up within five seconds. Food scientists in the lab at Clemson University studied this question and published their results in an article in the Journal of Applied Microbiology. They infused squares of tile, carpet or wood with the Salmonella bacteria and, five minutes later, placed either bologna or bread on those surfaces for five, 30 or 60 seconds. They measured the amount of bacteria that transferred to the food and repeated the same protocol after the bacteria had remained on the floor surfaces for two, four, eight and 24 hours.
Higher levels of vitamin D help prevent cancer In recent years, doctors have touted the benefits of vitamin D. Now those benefits extend to cancer risk. In a recent study, researchers at the University of California-San Diego analyzed two studies and found that women with blood levels of vitamin D of 40 ng/ml or higher had a 67 percent lower risk of developing invasive cancers of all types – including skin cancer – than women whose vitamin D level was 20 ng/ml or lower. The researchers, who published their results in the journal PLOS One, did not recommend an optimal level of vitamin D to take, or the best way to obtain it – by supplements, dietary changes or exposure to sunlight. Check with your doctor today about his or her recommendations for vitamin D intake.
Need a doctor?
Call 314-ANTHONY
(268-4669)
Green tea may help arthritis sufferers Sufferers of rheumatoid arthritis may find some relief by drinking green tea, according to a recent study. Researchers at Washington State University observed that a compound found in green tea, epigallocatechin-3-gallate or EGCG, reduced ankle swelling in test mice. Hamid Bashir, M.D., rheumatologist with St. Anthony’s Rheumatology Specialists, concurs with those findings. “I agree that a diet high in anti-inflammatory/antioxidant content can be beneficial for patients with arthritis,” Dr. Bashir said. “This includes green tea, turmeric and fruits such as fresh berries. As always, it is highly recommended for any arthritis patient to add an exercise routine, minimum of one hour a week, for muscle and joint strengthening.” To make an appointment with Dr. Bashir, call 314-ANTHONY (268-4669).
The researchers found that the amount of bacteria that transferred to the food didn’t depend much on the amount of time the food was in contact with the contaminated surfaces. What mattered was the amount of bacteria on the floor surfaces, which tended to decrease as time elapsed. They also found differences with surface texture. Carpet infused with Salmonella transferred less than one percent of the bacteria to the food. On tile or wood surfaces, 48 to 70 percent of bacteria transferred. While minuscule amounts of virulent bacteria strains such as E-coli can make one extremely ill, odds are that most people can eat dropped food without fear of illness, the scientists concluded. They also caution that bacteria can be carried by hands, utensils and raw foods. | 3
around st. anthony’s
Alive in nature: Artist creates special murals for Hyland inpatient units The pale walls of the four inpatient units at St. Anthony’s Hyland Behavioral Health have transformed to ocean scenes, lush and vibrant parks, space vistas and abstract designs. St. Louis-based muralist Dianne Renee has created murals on all four inpatient units with extensions that may be found in each adolescent patient room. The project seeks to banish the institutional look of the unit and to capture the calming and healing effects of art in nature. “Patients and staff love them, especially the interactive chalkboard mural that allows patients to color in the lines,” noted Amy Alexander, Executive Director of Behavioral Health and Home Health at Hyland Behavioral Health. “I chose to connect the murals to represent an overall theme: we are all connected and have purpose,” Dianne said. “Our behavior affects our world, even if we as individuals feel insignificant and unimportant. For many, the comprehension of their important connection to the world serves as therapy, helping them make more enlightened choices.” 4 | YOUR HEALTH TODAY | OCTOBER 2016
Hospice walkway forges timeless legacy The entire hospice team at St. Anthony’s are angels. I feel indebted to them for the constant compassion and care they gave my mom and our entire family in our darkest hours. – DAUGHTER OF A PATIENT After needed repair work, the stone walkway at St. Anthony’s at de Greeff Hospice House has been restored to its original, handsome state. It was dedicated at the annual Hospice Candlelight Walk Oct. 6. The walkway is surrounded by blooms of colorful flowers in adjoining gardens. Many visitors to the hospice house are comforted by the serenity of the gardens and the inspirational messages found on the engraved brick pavers, which represent joyful memories and honor loved ones. Visitors are invited to purchase a piece of the walkway and inscribe a paver with their own personal message. Each memorial walkway gift creates a permanent legacy for a loved one and helps St. Anthony’s Hospice continue to provide the many unique programs and services to patients and families.
ation at
For more information, call St. Anthony’s Charitable Found (314) 525-7330 or visit www.sacf-giving.org.
Endoscopy department completes renovations
S
t. Anthony’s Endoscopy department has always been a busy one, serving some 8,000 patients a year. Now, with a streamlined layout and numerous improvements, it’s more efficient for its doctors, nurses and techs and more attractive for its patients and their family members. The renovations cap a planning process that began with department managers and senior leaders in December 2014, said Alissa Boehner, B.S.N., R.N., Endoscopy Nurse Manager. Endoscopy is located on the ground floor near the employee and Cancer Center entrances. “We developed what we thought would be the most efficient for the privacy of our patients and for the needs of our physicians,” Alissa said. “Our goal was to build the GI lab self-contained, because this is a sensitive procedure for our patients.” In addition to a new waiting area, the Endoscopy suite boasts 12 new private prep rooms, two new bariatric rooms, 12 recovery bays, a new nurses’ station and new cosmetic finishes, and five brand-new procedure rooms that were built to the specifications of physicians and nursing staff. Each area flows into the other with easy navigation.
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BA
to no
Mehlville resident after spin
A
The doctors said, “You’ve got a broken back, and we need to operate.” ALVIN CAMDEN
6 | YOUR HEALTH TODAY | OCTOBER 2016
lvin Camden was suffering excruciating pain when he entered St. Anthony’s Emergency Department last spring. He had every right to be miserable: tests showed he sustained five fractured vertebrae from a car accident three days earlier. “The doctors said, ‘You’ve got a broken back, and we need to operate,’” he recalled. “If I had jerked the wrong way, I would have been paralyzed – it was that serious.” The fracture was sufficiently unstable that Alvin could have been paralyzed, agreed neurosurgeon Fangxiang Chen, M.D., who performed the emergency surgery. The delay in treatment – and the pain – resulted from the injuries being missed at another hospital, where doctors had found nothing wrong. He was told to go home and rest. Alvin came to St. Anthony’s Emergency Department at noon on a Saturday, and Dr. Chen operated at 7 a.m. on Sunday morning. “It’s really outstanding that Dr. Chen was able to do that: I think he understood the importance of the situation,” said Alvin, 77. Alvin is doing well, and his prognosis is very good, said Dr. Chen. “This type of fracture, a T1011 fracture with three-column involvement, is not uncommon,” Dr. Chen said. “The fracture
ACK
Top-notch surgeons, prestigious fellowships
ormal
t back to exploring ne surgery Bassam Hadi, M.D. caused instability to the spine, and the procedure involved taking a posterior approach to stabilize it by placing rods and screws into the spine.” Alvin returned to his Oakville home three days after the surgery. Two days after arriving home, he ended all his pain medications to avoid any chance of addiction. “I didn’t want to take any chances, and I didn’t need it,” he said. “There are positions you can put your body in a lot of the time that will help to relieve that pain.” He’s now three months postsurgery and relies on a back brace at times. “They tell me it’s going to take at least three months for this back to completely heal,” he said. “I can’t drop down fast to pick things up off the floor. I have a little pain, but it’s bearable.” Formerly in the restaurant business, and now a semi-retired rehab consultant, Alvin said he’s glad he gave St. Anthony’s a chance. “I wish every business was run as smoothly as St. Anthony’s seems to be running right now,” he said. “I credit top management.” Alvin looks forward to exploring the United States with his wife, Angela, and fishing. He loves to fish for trout at Montauk, Bennett Spring and Meramec State Parks in Missouri. “He’s my bionic man,” Angela said.
Complex and Minimally Invasive Spine, University of Alabama at Birmingham Learn more about Dr. Hadi at: www.stanthonysmedcenter.com/Doctors/H/Hadi-Bassam
Fangxiang Chen, M.D. Complex and Minimally Invasive Spine, University of Iowa Cranial Vascular and Skull Base Surgery, Barrow Neurological Institute, Phoenix, Arizona Learn more about Dr. Chen, and how he was inspired by his mother to go into medicine: www.stanthonysmedcenter.com/ Doctors/C/Chen-Fangxiang
Paul H. Young, M.D. Neuro Microvascular Surgery, University of Zurich, Switzerland Learn more about Dr. Young at: www.stanthonysmedcenter.com/ Doctors/Y/Young-Paul
For an appointment with one of these physicians,
Call 314-ANTHONY
(268-4669) | 7
Loretta bakes a fresh batch of dog treats for her miniature pinscher, Penny, pictured below with Loretta’s mother, Joyce.
Arnold resident back to normal life after brain tumor surgery
8 | YOUR HEALTH TODAY | OCTOBER 2016
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or much of the last decade Loretta Wick suffered from headaches, and every time she bent down she felt a pounding in her head. “I just thought it was something I had to live with,” said Loretta, 43. Worsening headaches led Loretta to visit an urgent care center in September 2015, where she was diagnosed with vertigo. A couple of days later, the problems surfaced again as Loretta was getting ready for her job at White Castle, where she serves as crew manager. This time, she asked her daughter to drive her to the hospital. “I just felt off-balance, like something wasn’t right,” said Loretta, of Arnold. “A little lightheaded, and I couldn’t stand on my own.” She came to St. Anthony’s Emergency Department and was shocked by the results of the tests performed. They revealed Loretta had a brain tumor known as a posterior fossa tentorial-based tumor with obstructive hydrocephalus. The tumor was compressing the circulation pathway of the spinal fluid, which caused a buildup of fluid in the brain, said Loretta’s doctor, neurosurgeon Fangxiang Chen, M.D., of St. Anthony’s Neurosurgery Specialists. Had it not been diagnosed and removed, it could have led to irreversible results such as a coma, which would have meant long-term nursing care and eventual death, Dr. Chen said.
St. Anthony’s Neurosurgery Specialists: An emergency bedside ventriculostomy was performed to drain the fluid, followed by surgery with Dr. Chen: a sub-occipital craniotomy with tumor resection. “He saved my life,” she said. Loretta’s tumor was not a common type, Dr. Chen said. “It was in a difficult location known as the tentorium, extending above and below the tentorium with large blood vessels involved,” he said. “The surgery required dedicated skills and patience, taking about six hours.” Dr. Chen tried to spare the bulk of her hair by shaving only the small area around the surgery site, behind her left ear, she said. And doctor and patient shared a lighthearted moment when Loretta, immediately after surgery, asked for the eyeglasses she always wears. “He joked that I must be doing okay, because I asked for my glasses,” she chuckled. “Dr. Chen’s bedside manner was wonderful, and he took the time with me: he was compassionate. He was really caring, always asking how I was doing.” Loretta was in the Intensive Care Unit for a few days after her surgery, then was moved to the Surgical Stepdown Unit. She remained in the hospital for about a week and a half. “I didn’t really want to leave,” she said. “In the past, St. Anthony’s kind of had a bad rap, and I was a little leery of going back there,” she added. “But it was close and I needed to go, and I’m really glad I did. They were very caring. I really recommend St. Anthony’s.” Back home, she rested and slept in an upright position in her recliner for a few weeks because it was more comfortable that way. In February 2016 she returned to work part-time and was back to her normal work schedule by March. She’s also back to enjoying life, shopping, baking and just hanging out with her mom, Joyce Gotch. “My mom has been really great with my recovery; she’s been my little saint since all of this began,” Loretta said. “I did have a sixmonth, follow-up MRI, and everything came out great.” For now, she is cured, Dr. Chen said. He continues to follow up with Loretta annually, because the tumor can grow back. The last follow-up, however, shows no evidence of recurrence.
Skilled care
with compassion Excellence in patient care is the benchmark of St. Anthony’s Neurosurgery Specialists, who have served the region for 32 years. Doctors Young, Chen, and Hadi are board certified and fellowship trained, and they specialize in all types of neurosurgical disorders, such as: Minimally invasive spine surgery Complex reconstructive spine surgery Minimally invasive skull base surgery Cerebrovascular surgery Microsurgery of the cervical and lumbar spine Trauma surgery Spinal tumors Brain tumors Complex brain tumors Neuroendoscopy Epilepsy surgery Complex hydrocephalus Chiari malformation
For more information, call 314-ANTHONY (268-4669).
THERE’SMORE MOREON ONTHE THEWEB: WEB: THERE’S Learn more about St. Anthony’s neurosurgery at Learn more about our Family Birth Center services at stanthonysmedcenter.com stanthonysmedcenter.com/Medical-Services/Maternity | 9
Pilot off to NEW after back surger
F David Couch, right, joins his Roosevelt High School classmate and longtime friend, John Spenner, at Spenner’s hangar at Sackman Field in Columbia, Ill. John purchased David’s ultralight aircraft, shown in the background, after the forced landing and is restoring the plane. “Both Dave and the plane are in recovery now,” John quipped.
or 20 years, David Couch has flown all types of airplanes, both long and short treks, in all kinds of conditions. In April, he lost engine power in the ultralight aircraft he was flying and was forced to land on a 30-foot-high levee in the countryside southeast of Columbia, Ill. “Unfortunately, the land where I had to land wasn’t the best,” noted David, 78, of Mehlville. “And I had to land fast because I was downwind.” He emerged from the plane and crawled up the embankment with severe back pain – David later would learn he had suffered a broken back – and called a friend. The friend drove him to the emergency room at St. Anthony’s Medical Center, where he was diagnosed with an unstable L1 burst fracture. Two days later he underwent a fusion procedure with laminectomy and bone marrow aspirate with neurosurgeon Bassam Hadi, M.D., of St. Anthony’s Neurosurgery Specialists. Dr. Hadi explained, “A burst fracture literally means exactly that – that the vertebral body is fractured outward into the spinal canal, in a kind of radial distribution. “In many instances, you have to decompress the nerves, take that pressure and bone off the nerves, and then you have to stabilize – the spine cannot stabilize itself,” he added. “So you place screws and rods to give it stability, and you remove pressure on the nerve by either pushing those bone pieces back away from the canal or moving them. It’s a very common procedure for us, and it is complicated. But we do this quite often and we do it very well.” David was up and walking soon after the three-hour surgery. He spent four days in the hospital and another two weeks regaining his strength in St. Anthony’s Acute Rehabilitation Unit. “I was very pleased with my stay at St. Anthony’s,” he said. The surgery brings with it some loss of motion, Dr. Hadi pointed out, but David is doing well.
10 | YOUR HEALTH TODAY | OCTOBER 2016
ADVENTURES
ry
EXCELLENCE IN CARE:
Acute
Rehabilitation Unit
“We try to get our patients up walking immediately, as much as possible,” Dr. Hadi said. “Obviously, you’re hurting from the pain and the trauma. But we expect them to be mobile. We expect them to work with rehab. And we expect them to do well. They are limited in that they lose some range of motion because it’s a fusion. Obviously, they have scar tissue, some loss of muscle in the back, but overall, it is a stable, good surgery. It’s not a new spine. “I expect him to have a normal, healthy life,” he said. David said he’s pretty well healed from the surgery, although he does have a degenerative disc at the bottom of his vertebrae that’s unrelated to the surgery. “I think I’m doing pretty good,” he said. “Dr. Hadi is an excellent doctor.” David, who is retired from an administrative position at Laclede Gas, chuckles that he might look into another hobby these days, like racing cars. He’s no stranger to adventure, this 1956 graduate of Roosevelt High School and its Rough Riders. He’s also a U.S. Navy veteran who served as a weatherman on an aircraft carrier. He and his wife, Pat, keep busy with 12 grandchildren and eight great-grandchildren between them. “I can do anything I want to do,” he said with a smile.
St. Anthony’s dedicated 49-bed Acute Rehabilitation Unit is nationally accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF). CARF evaluates programs for multidisciplinary, comprehensive rehabilitative care and excellent outcomes. Since 2005, the Acute Rehabilitation Unit has been awarded “exemplary status” by CARF for its innovative rehabilitation services. This inpatient unit has board-certified rehabilitation specialists and is designed to assist patients who have recovered from the acute phase of an illness or injury but still need 24-hour physician management and nursing care in addition to rehabilitation services. Patients who may benefit from acute rehabilitation services include those with a spinal cord injury, complex fracture, stroke or other neurological impairments, multi-injury accident, amputation and head injury.
Learn more about our Acute Rehab Unit at
stanthonysmedcenter.com.
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arm and rich:
healthyhabits
Fall soups soothe and delight Among so many fall favorites we look forward to, homemade soups offer fabulous flavor and a much-deserved moment of relaxation. One of the greatest qualities of homemade soup is the fact that anyone can create a delicious masterpiece, no matter how confident in the kitchen. “Whether you follow a recipe or choose to venture out on your own, a few basic steps will ensure you select the most nutritious options,” said Sarah Godbold, a registered, licensed dietitian at St. Anthony’s. “You’ll be in great shape to host a family dinner or simply unwind in silence.” Keep “healthy” in the soup, Sarah advises. High sodium levels in base stocks or fat contents in creams can leave one feeling tired and sluggish. Choose low-sodium stocks and load up on protein, vitamins, and minerals by adding meat, beans and vegetables perfect for boosting daily energy and strong immune systems. And a recipe isn’t necessary. With a few key components, you can create a unique, nutrient-filled soup, which is perfect for using those leftover veggies or meats in the fridge:
• Start with sautéing Throw a few minced garlic cloves into a heated pot with 2 tablespoons olive oil to kick things off. Aside from its incredible taste, garlic has been shown to reduce cholesterol, lower blood pressure and boost immune systems. Add any chopped celery, carrots, or onion here for a little sauté, too.
• Pick proteins Meats such as chicken, beef, or fish support a healthy metabolism and provide all nine essential amino acids. Try quinoa, black beans, or tofu for great vegetarian sources of protein. Add your protein(s) of choice to the pot with your sautéed garlic and cook through until done.
• Decide on a base and add color with vegetables Next, add 5 to 8 cups of lower-sodium varieties of chicken, beef, or vegetable stocks. Also great, try a tomato puree. Numerous vegetables are worthy of joining the pot that offer an eye-catching pop of color and an array of vitamins and minerals to reduce risk of chronic diseases and maintain overall health. Try spinach, kale, carrots, celery, onion, corn, potatoes (sweet potatoes!), green beans, stewed tomatoes, cubed squash, sliced zucchini and cauliflower.
12 | YOUR HEALTH TODAY | OCTOBER 2016
THERE’S MORE ON THE WEB: Find more healthy, delicious recipes at stanthonysmedcenter.com and click on “Connect With Us.”
KALE
Chicken Noodle Soup
INGREDIENTS 8 ounces whole wheat pasta, any shape 2 cloves garlic 2 chicken breasts 1 1/2 teaspoons salt 1/2 teaspoon freshly ground black pepper 2 tablespoons olive oil 2 medium carrots, sliced into thin rounds 2 celery stalks, sliced thin 1 medium onion, chopped 3-4 quarts low-sodium chicken broth One large bunch kale, ribs removed and leaves chopped
PREPARATION Cook pasta, following directions on the package. Allow the pasta to drain off to the side. Heat a large stockpot; add the olive oil and garlic for a sautĂŠ. Cover both chicken breasts with the salt and pepper; add to the pot. Throw in the carrots, celery, and onion. Allow to cook for 5-6 minutes, stirring occasionally, until the vegetables begin to soften. When chicken is done, remove both chicken breasts and cut into smaller pieces. Add chicken back to pot, followed by the cooked pasta and chopped kale. Keep the heat at low for 2-3 additional minutes, until kale is softened. Serve and enjoy! NUTRITION INFORMATION PER SERVING Calories: 323; Total Fat: 9g (Mono Fat 3.4g, Poly Fat 0.9g, Sat Fat 1.8g); Protein: 20g; Carb: 43g; Fiber: 8.9g; Cholesterol: 25mg; Sodium: 673mg Excellent source of Vitamin A and Vitamin C Good source of fiber, iron, protein, calcium
Recipe from Sarah Godbold, RD, LDN, CPT
Serves 6 | 13
move it!
Take a STAND on standing
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hether they staff the checkout of a local store, teach class or work an assembly line, people who spend most of their time on their feet are at an increased risk for health problems. In addition to soreness and fatigue, these include varicose veins, heart and circulation problems, back pain, swelling in the feet and legs and joint damage. “Standing is hard on the body,” said Suzanne Dickneite, Occupational Therapist, Certified Hand Therapist and Certified Ergonomic Specialist at St. Anthony’s Sports and Physical Therapy. “Good posture is essential, and you should keep moving whenever possible.”
Suzanne offers these tips to those in standing occupations: • Wear comfortable, roomy shoes with wellcushioned insteps and soles. • Continually alter your position. Use a foot rest bar or a low step stool to help alter your posture by raising one foot and then the other. • Whenever possible, alternate sitting and standing by using a tall task stool. • Use an anti-fatigue mat when possible, to help increase blood flow and reduce fatigue. • Compression hose can help with varicose veins by decreasing edema and the sensation of heaviness.
STANDING UP FOR YOU: The federal Occupational Safety and Health Administration has detailed information on standing safety:
https://www.osha.gov
14 | YOUR HEALTH TODAY | OCTOBER 2016
Suzanne also recommends these easy exercises while standing to help increase blood flow and decrease pain: • Lift your toes and then your heels while holding on to a counter for support. This works the muscles in your lower legs and improves circulation. • While holding on to the counter for support, lift one leg and make circles clockwise and counter-clockwise. Repeat with the other leg. • Alternate punching your arms in the air. Open and close your hands while your arm is overhead. • Use a 16- or 32-ounce water bottle as a hand weight and work on biceps and triceps curls. • Lift your chest and hold in your abdominals for a count of five. This is a great way to work your abs without doing sit-ups. • Place both hands on your low back and slowly arch your back into extension. Hold five seconds and release. Repeat 3 times. • Walk in place or march in place.
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(268-4669).
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MISSION St. Anthony’s, a Catholic medical center, has the duty and the privilege to provide the best care to every patient, every day.
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