Fall/Winter 2012
IOWA RIVER LANDING
It’s your choice 3IRL clinic lineup 4
Healthat Iowa
YOUR FREE GUIDE TO HEALTHY LIVING AND EXPERT MEDICAL CARE
...Best of Both Worlds
Weight management 5Choosing baby’s doctor 6
Just for women 7Heart of a champ 8
When less is more 9Why immunize? 10
Welcome to University of Iowa Health Care—Iowa River Landing, a convenient new patient care facility located at 105 E. 9th St., Coralville (Exit 242 off Interstate 80). Here you’ll find the best of both worlds: the chance to receive top-notch primary and specialty care while still having access to the clinics and highly specialized services at UI Hospitals and Clinics. While Iowa River Landing’s new facilities are impressive, it’s the commitment to high-quality, patient-focused health care that’s most important, says Rami Boutros, MD, executive medical director of UI Health Care—Iowa River Landing. “We used UI Health Care’s ‘Service Excellence’ model as our guide,” he says. “This means we are committed to providing each and every patient with the best possible health care delivered in a friendly, satisfying way.”
ULTIMATE CONVENIENCEUI Health Care—Iowa River Landing offers patients free parking and the promise of a superb health care experience, Boutros says. Everything—everything—has been carefully considered from the patient’s perspective (including a coffee shop). “If you need wellness counseling, we can do that,” he says. “If you need a routine exam or health screening, we can do that, too. We also have a range of specialty clinics for both adults and children. And if you’ve got a problem that requires care from a different specialist, our doctors will make the appropriate referral.”
2 uihealthcare.org/healthatiowa • Fall/Winter 2012
INTRODUCING IOWA RIVER LANDING … NEW MEDICAL BUILDING IN CORALVILLE OFFERS CONVENIENT, HIGH-QUALITY PATIENT CARE
‘This is our pledge to every patient: You will
receive the best possible care in a friendly,
compassionate, efficient way.’
– Rami Boutros, MD
All of the services mentioned in this issue are available at University of Iowa Health Care—Iowa River Landing, either directly at the new facilities in Coralville or indirectly through referrals to UI Hospitals and Clinics.
Pediatrician Lori Christensen, MD, cares for patients at IRL.
More than 20% of the building materials are made from recycled content.
Fall/Winter 2012 • uihealthcare.org/healthatiowa 3
IT’S YOUR CHOICEOnly two clinics at University of Iowa Hospitals and Clinics in Iowa City—General Internal Medicine and General Pediatrics—have moved entirely to Iowa River Landing in Coralville. All other clinics serve patients at both locations.
CENTRALIZED SCHEDULINGUI Health Care’s centralized patient scheduling service assures that all appointments are fully coordinated. When calling for a clinic appointment, a patient is able to choose between UI Health Care—Iowa River Landing or UI Hospitals and Clinics main campus.
For an appointment or more information, call 319-467-2000 or 855-467-3700 (toll-free), or visit uihealthcare.org/IRL.
Outdoor play area offers lots of fun!
4 uihealthcare.org/healthatiowa • Fall/Winter 2012
CLINIC LINEUP• GeneralInternalMedicine
• GeneralPediatrics
• Cardiology(heartandvascular)
• Dermatology(skin,hair,andnails)
• DiabetesCenter
• Gastroenterology(digestivesystem)
• Ophthalmology(eyeandvision)
• Otolaryngology-Adult(ear,nose,andthroat)
• Otolaryngology-Pediatric(ear,nose,andthroat)
• Surgeryclinic(breast,colorectal,general,and vascular)
• Urology-Adult(urinarysystem)
• Urology-Pediatric(urinarysystem)
• UIWomen’sHealth
• UIWomen’sWellness
Other services• Anticoagulationcase management
• Audiology
• Blood(phlebotomy)service
• CardiacRehabilitation (CHAMPS)
• HearingAidCenter
• Laboratory
• Opticalshop
• PharmacotherapyClinic
• Pharmacy
• Radiology
Amenities• Freeparking
• Coffeeshop
• Retailarea
• Arearestaurants, shops, museums
Rami Boutros, MD, says all the services at UI Health Care—Iowa River Landing share a common theme:
‘They are popular and they
have logical referral patterns
to each other.’
Rachel Maassen, MD, is among the women’s health specialists at Iowa River Landing.
Pharmacist Shane Sedenka reviews a prescription at the Iowa River Landing pharmacy.
SOME PEOPLE LOSE WEIGHT ON THEIR OWN. Others prefer a structured program. No matter what your preference, the best place to begin a discussion about weight loss is with your physician, says Todd Burstain, MD, an internal medicine specialist who focuses on weight management and obesity topics at UI Health Care—Iowa River Landing. “Weight loss can definitely affect your physical well-being,” he says. “So your doctor is in a good position to counsel you on how to begin your weight-
loss journey.” While weight gain usually comes down to calories consumed versus calories burned, he notes, other medical-related factors can sometimes result in extra weight—yet another reason to ask your doctor first. Also, in making an appointment, let the receptionist know you’ll need a little extra time to talk about weight management. “It’s best to give the doctor a heads-up and then come prepared,” Burstain says.
ForDr.Burstain’stipsformanagingweightand a discussion of weight management issues, visit uihealthcare.org/healthatiowa.
Weight Loss:HOW TO GET STARTED‘Write your questions down, and don’t be afraid
to ask. Every physician at Iowa River Landing
will be happy to help you get started on the
right path.’ – Todd Burstain, MD
• What should my weight goal be? • Do I have a health condition related to my weight? • Am I at risk of developing other conditions? • Do any of my prescription drugs contribute to weight gain? • Is weight loss medication right for me?
Suggested questions for your doctor
Todd Burstain, MD
5Fall/Winter 2012 • uihealthcare.org/healthatiowa
LEARN more
The arrival of a newborn is one of life’s most exciting and rewarding events. Of course, just about everything surrounding baby’s arrival takes time and effort, including your choice of a doctor. To help you make an informed decision, here are a few tips from Jerold Woodhead, MD, a pediatrician at University of Iowa Health Care—Iowa River Landing.
• Don’t delay. If possible, choose a baby doctor well in advance of your due date. Everything will go more smoothly, and you’ll feel more comfortable with your choice.
• Know your options. Learn about the various types of pediatric care providers (pediatricians, family medicine specialists, etc.). Forahelpfullist,visituichildrens.org/primarycare.
• Be systematic. Compile a list of potential doctors and go from there. Ask your friends, relatives, neighbors, and co-workers with kids—people you trust. If you’re compiling a list of doctors for your baby, ask your obstetrician or midwife for recommendations.
• Ask the right questions.Forahandylist,visituichildrens.org/primarycare.
• Narrow your list to a few potential doctors you’d like to meet in person. Then schedule get-acquainted sessions and make your choice.
• Consider the value of a team approach. Everyone at UI Health Care— Iowa River Landing takes a team approach to health care. This team includes doctors, nurses, therapists, technologists, support staff, and others. Most importantly, it includes you and your family. Your participation in the health care team can help ensure that your child gets the best possible care!
HOW TO CHOOSE A DOCTOR FOR
YOUR CHILD
For more on choosing a doctor for your child, visit uihealthcare.org/healthatiowa.
It isn’t always convenient
for parents or children
to see the doctor during
regular work hours. That’s
why UI Health Care—Iowa
River Landing offers after-
hours appointments on
evenings and weekends.
After hours
6 uihealthcare.org/healthatiowa • Fall/Winter 2012
JUST FOR WOMEN
Baby StepsFor40weeks,women’sbodieschangeastheunbornbaby develops and grows. Moms-to-be are all interested in knowing what is happening. Now, UI Women’s Health can help pregnant women understand their week-by-week changes through a free e-newsletter called Baby Steps.
Baby Steps e-newsletter delivers weekly pregnancy progress reports. Each e-mail is filled with prenatal milestones for pregnant women and their developing babies, as well as helpful resources available through UI Hospitals and Clinics.
INTRODUCING
At week 11, a baby is about one inch long.
At week 22, a baby is 7.5 to 8 inches long and weighs 12 to 13 ounces.
7Fall/Winter 2012 • uihealthcare.org/healthatiowa
for this free e-newsletter online at uihealthcare.org/babysteps
WOMEN SEEKING A “MEDICAL HOME BASE” for all their health care needs should find just what they’re looking for at UI Health Care—Iowa River Landing. “Iowa River Landing is a great place for women and their families,” says Catherine Bradley, MD, director of UI Health Care’s urogynecology services. “It’s convenient and the clinical care options are comprehensive, from routine care to specialized treatment for complex conditions.” These services include:
• General obstetrics (staffed by obstetricians and family medicine physicians)• General gynecology (preventive care and regular screenings)• Urogynecology and pelvic reconstructive surgery• Midwifery services (certified nurse midwives)• Women’s Wellness Clinic (diagnosis and treatment of mood and anxiety issues related to childbirth)
Educate yourself!No matter what your age, race, or gender, University of Iowa Health Care offers free seminars and educational programstokeepyouinformedofthelatesthealthcareinsightsandbreakthroughs.Foralist,visit uihealthcare.org/communityeducation and read our new newsletter at uihealthcare.org/UniquelyYouFall2012
Sign Up
BRAD SMITH WAS UP LATE WATCHING A MOVIE one night in summer 2011 when intense pain gripped both elbows. It seemed like muscle soreness from a workout. Playing it safe, however, he went to University of Iowa Hospitals and Clinics for evaluation, where it was determined his pain was due to a heart attack. Since then, the 44-year-old Smith has made heart health a top priority. He takes medications and is enrolled in a University of Iowa Health Care program called CHAMPS (Cardiovascular Health, Assessment, Management, and Prevention Service). CHAMPS works with patients who have heart disease or have had heart procedures as well as adults looking to maximize their heart health. Smith began cardiac rehabilitation the day after returning home from the hospital. His participation in CHAMPS includes a custom fitness program followed by classes on disease management, nutrition, exercise safety, and stress management. He also participates in a text-messaging program with daily nutritional facts, stress-reduction tips, and reminders about taking time to exercise. “The hospital saved my life, and the CHAMPS team has been integral to my recovery and continued good health,” Smith says.
Formoreonthisstory,visituihealthcare.org/healthatiowa.
8
Heart patient
fights back like a champ
uihealthcare.org/healthatiowa • Fall/Winter 2012
In addition to UI Hospitals and Clinics, CHAMPS is now at Iowa River Landing in Coralville. Services include:
• Outpatient cardiac rehabilitation, a 36-session program for patients who have recently had a heart attack, heart bypass, heart valve surgery, stent placement, or other cardiovascular procedure.
• Maintenance programs for patients who have completed the outpatient cardiac rehab program. Participants exercise at CHAMPS independently and may choose to take their blood pressure readings before and after exercise. They may also have their exercise workloads and duration recorded for their doctors.
To learn more about CHAMPS, call 319-356-4652 or visit uihealthcare.org/champs.
CHAMPSat Iowa River Landing
‘ They educate and motivate, and that’s what I needed.’ – Brad Smith
9
‘This is a huge convenience for
patients because there is no need for radiation
therapy in the weeks following surgery.’
– Wenqing Sun, MD, PhD
ONEOFTHEADVANTAGESof having a single medical home for all one’s health care needs is the likelihood of receiving better care. Just ask Beverly Mueller, 79, whose routine wellness visit with her University of Iowa Health Care physician in March 2012 revealed the presence of pre-cancerous cells in her right breast. Rewind to 1995 when Mueller had a lump in her left breast. Doctors at a different hospital recommended breast removal, an option she rejected after visiting UI Hospitals and Clinics, where doctors offered a more acceptable course: a lumpectomy and radiation therapy. All went well until this spring when the pre-cancerous cells were discovered in her other breast. This time, Mueller went straight to UI Hospitals and Clinics where a new and even better option—Intra-operative Radiation Therapy (IORT)—was now available. IORT involves a single session in the operating suite. During the procedure, surgeons remove small tumors and/or pre-cancerous cells. Radiation oncologists then deliver a single high dose of radiation therapy to the tumor site. That’s it; there is typically no need for any post-surgical radiation therapy. UI doctors are the first in Iowa to offer this innovative treatment.
To learn more about IORT, visit uihealthcare.org/iort.
IORT REDUCES RADIATION THERAPY TO ONE SESSION DURING SURGERY
Breast cancer screeningsRegular mammogram screenings using a new FDA-approved 3D tomosynthesis mammography machine are now available to patients who receive their care at UI Health Care—Iowa River Landing. When
appropriate, Iowa River Landing patients will be referred into specialty care services (including Intra-operative Radiation Therapy) at UI Hospitals and Clinics. To schedule a mammogram, call UI Women’s Health at 319-384-8442 or 800-777-8442, or visit uihealthcare.org/gynecology.
Fall/Winter 2012 • uihealthcare.org/healthatiowa
Less is more
Now that she’s fully recovered, Beverly Mueller has more time to spend with her pet Maltese, Tippie.
The United States has one of the safest and most effective immunization programs in the world. Yet our immunization rates, while good, could be even better.
Why is this important? Because immunizations protect infants and children during their most
vulnerable stages in life and help shield them from potentially life-threatening diseases. Indeed, ensuring that protective immunizations are up-to-
date is one of the greatest gifts that parents can give to their children.
In Iowa, children who attend child care centers or are enrolled in school must show their immunization records to attend any facilities licensed by the state. The following vaccinations are generally required:
•Hep A protects against hepatitis A•Hep B prevents hepatitis B •DTaP protects against diphtheria, tetanus (lockjaw), and pertussis (whooping cough) •Flu protects against influenza (yearly)•Hib protects against Haemophilus influenzae type b• IPV prevents polio •MMR for measles, mumps, rubella (German measles) •Pneumococcal protects against pneumococcus•Varicella prevents chickenpox
If your child is moderately to severely ill, wait until normal health returns before seeking the required vaccinations.
If your child is under the care of a UI Health Care physician, your child will receive vaccinations on a maintenance schedule that maximizes protection and ensures safe administration. This vaccine timetable has been studied and determined to be the best
10
PEDIATRICIAN RAMI
BOUTROS, MD, DISCUSSES THE
IMPORTANCE OF CHILDHOOD
IMMUNIZATIONS
for the care your child receives, so steering away from it, or altering it, is discouraged.
If you need certificates of immunization or provisional certificates of immunization, your primary care provider will be glad to provide them upon request. Additionally, if your care is received through UI Health Care, your child’s immunization records will be available via MyChart®. MyChart® is a secure web-based service that gives you access to your family’s personal health information anytime, anywhere. If there are medical or religious reasons your child cannot be immunized, your physician can provide you with a certificate of immunization exemption.
It is a good idea to keep a copy of your child’s vaccination records as proof of immunization. These records would avoid the need for re-vaccination if the original records were ever lost or destroyed.
Adverse reactions to immunizations are rare, and the risks of complications are far less than the risks to children and the community from not being immunized. In fact, the more people in a community who are immunized against potentially life-threatening diseases, the less likely an outbreak will occur. Public health specialists call this concept “herd immunity.”
Thanks to immunizations, diseases such as polio, mumps, and diphtheria are unusual. But being immunized against potentially dangerous childhood diseases should still be a top priority.
Be sure to visit your health care provider to receive additional information about childhood and adult immunizations. The Iowa Department of Public Health is another useful resource. And for more information, visit uihealthcare.org/healthatiowa.
Ask the ExpertWHY DOES IT BENEFIT YOUR CHILD TO BE IMMUNIZED?
uihealthcare.org/healthatiowa • Fall/Winter 2012
ENJOY THESE RECIPES FROM CHEF HILBERT STOELK AND THE FOOD AND NUTRITION SERVICES STAFF AT UI HOSPITALS AND CLINICS
11
Good Health Recipes
Green apple slaw
Ingredients¼ Cup low-fat mayonnaise 2 tsp apple cider vinegar 6 Granny Smith apples (match stick cut)2 tsp agave nectar (natural sweetener)
DirectionsIn a medium bowl, mix agave nectar and apple cider vinegar to spreadable consistency. Add mayo and stir. Add apples and toss with other components.
Yields 10–12 servings
WATCH CHEF HIB MAKE ALL OUR RECIPES ON VIDEO AND GET THE NUTRITIONAL INFORMATION AT
uihealthcare.org/healthatiowa
Zucchini fritters
Ingredients1 lb. zucchini, trimmed, coarsely grated2 Cups chopped green onions4 eggs, beaten to blend½ Cup all-purpose flour1 Tbs chopped fresh dill 1 Tbs chopped fresh parsley½ tsp salt½ tsp ground pepper1 tsp olive oil
DirectionsPlace zucchini in colander. Sprinkle zucchini with 1/4 tsp salt and let stand 30 minutes to drain. Squeeze zucchini between hands to remove liquid, and then squeeze dry in several layers of paper towels.
Combine zucchini, chopped green onions, eggs, flour, chopped dill, parsley, 1/4 tsp salt, and pepper in medium bowl. Mix well.
Cover bottom of large nonstick skillet with spray of olive oil. Heat skillet over medium-high heat. Working in batches, drop zucchini mixture into skillet by heaping tablespoonful. Brown until fritters are golden and cooked through, about 3 minutes per side. Transfer each batch of fritters to baking sheet in oven to keep warm. Serve fritters hot.
Yields six appetizer servings
Grilled stone fruit with frozen vanilla yogurt, honey, and toasted almonds
Ingredients5-6 apricots halved and pitted4-6 plums or peaches halved and pitted Cup toasted almondsCanola oil spray1 Tbs honey 2 Cups non-fat frozen yogurt
DirectionsSpritz the exposed flesh of fruit with canola oil.
Place fruit flesh side down on very hot grill until grill marks form (2-3 minutes). Remove fruit and reserve.
To serve: place three halves of grilled stone fruit on plate together in middle of plate. Put one small scoop of frozen yogurt on fruit, sprinkle with almonds, then drizzle honey over all and on the plate.
Yields 4–6 servings
Fall/Winter 2012 • uihealthcare.org/healthatiowa
HEALTH AT IOWAHealth at Iowa is your source for medical news and keeping healthy. Health at Iowa is available on a complimentary basis to anyone who is interested in the topics we cover. For additional stories and more in-depth information, visit uihealthcare.org/healthatiowa.
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ABOUT UI HEALTH CAREUniversity of Iowa Health Care is Iowa’s only comprehensive academic medical center.
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World class eye care UI Health Care’s vision and eye care programs are known internationally. Now, patients and families can access this eye care at UI Health Care–Iowa River Landing. To schedule an ophthalmology appointment or for more information, call 319-467-2000.
UI Health Care–Iowa River Landing also includes an optical dispensary for ordering and fitting prescription and designer eyewear. Experienced, certified opticians provide personal service as well as complimentary cleanings and adjustments. No appointments necessary;walk-inswelcome.Formoreinformation, call UI Optical at IRL at 319-467-2125.
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