JRMCU: Joint Injections for Pain Management

jrmcu4x4_painInjectionsCOLOR_webJoin Jamestown Regional Medical Center (JRMC) on Wednesday, May 15 at 12:00 p.m. for a free educational forum on joint injections for pain management.  This forum is part of the “JRMC U” education series and will be hosted by JRMC Radiologist, Dr. Reddy.

Steroid injections into major joints like the hip or shoulder can help patients who suffer from acute or chronic joint and back pain. Injections into the spine can reduce inflammation to help reduce pain, tingling, numbness and other symptoms caused by nerve inflammation.

Through joint injections in the JRMC Radiology department, patients do not have to live with pain any longer. A free, light lunch will be provided. Please RSVP to 701-952-4796 as space is limited.

JRMC Holds Volunteer Recognition Banquet

On Tuesday, April 24th we held our Volunteer Recognition Banquet in coordination with National Healthcare Volunteer Week.  JRMC thanks the many men and women who donate over 6,500 hours to JRMC a year. Each one of them that makes the difference in the lives of those we serve.
vol_ofyear
Shirley Flieth who was recognized as the 2012 Volunteer of the Year. Shirley donated over 500 hours to JRMC this past year. Congratulations!

Patient Safety Awareness Week

PSAW2013-graphic-for-webJamestown Regional Medical Center is observing Patient Safety Awareness week this week, March 3rd – 9th, 2013.

Medication safety and health care culture and safety are the focus of Patient Safety Awareness Week. This year’s theme, Patient Safety 7/365, reminds health care professionals and health consumers that providing safe patient care requires constant dedication and effort, 365 days a year. At JRMC we are dedicated to working together with our patients to provide the safest care possible.

Patient Safety Awareness Week is an annual education and awareness campaign for health care safety led by the National Patient Safety Foundation, NPSF.

It is important to focus on patient safety all year round and recognize the work being done to improve health safety worldwide. This requires a constant effort, 365 days a year.

JRMC is proud of the work that each of our staff does to make JRMC a leading health care provider in our community.

New Year, New You: High-fiber choices improve meals

Dietary fiber includes all parts of plant foods that your body is not able to digest or absorb. Following a high-fiber diet has many health benefits that may include:

  • Softening and normalizing bowel movements by increasing stool weight and size.
  • Helping to maintain bowel health by preventing pockets from forming in the colon (diverticular disease).
  • Aiding in weight loss. High-fiber foods generally require more chewing time, which gives your body time to register when you are no longer hungry; therefore you are less likely to overeat.
  • Helping to control blood pressure and lower cholesterol.

Current fiber recommendations for adults are as follows:

  • Men age 18-50 should get 38 grams of fiber daily.
  • Men age 51 and above should get 30 grams of fiber daily.
  • Women age 18-50 should get 25 grams of fiber daily.
  • Women age 51 and above should get 21 grams of fiber daily

Fiber is commonly classified into two categories: soluble and insoluble. Soluble fiber has the ability to dissolve in water to form a gel-like material. Insoluble fiber is the type of fiber that does not dissolve in water.

Foods high in fiber include: fruits, vegetables, whole-grain breads and cereals, legumes, nuts and seeds. Foods labeled “high in fiber” must contain at least five grams of fiber per serving. Cooked vegetables change in texture, but do not lose their fiber content. Eating a diet high in fiber can help with the sense of fullness for a longer period of time, potentially leading to a decreased overall intake of total calories throughout the day.

Increase your fiber intake with these tips:

  • Add a few tablespoons of unprocessed wheat bran to your food.
  • Eat whole grain breads and cereals. Look for choices with 100% whole wheat, rye, oats or bran as the first or second ingredient.
  • Try brown rice, wild rice, barley and whole wheat pasta instead of the white alternatives.
  • When baking, replace half of the white flour with whole wheat flour.
  • Add fresh or frozen vegetables, beans, peas and lentils to soups, sauces, casseroles or salads.
  • Eat fruits and vegetables with peels and skins on since a majority of the fiber is located in the skin.
  • Choose fresh fruits and vegetables instead of juices.
  • Snack on dried fruit, raw vegetables, low-fat popcorn or whole grain crackers.

Be sure to gradually add high-fiber foods to your diet over a period of a few weeks.

Adding too much fiber too quickly may lead to intestinal gas, abdominal bloating and cramping.

Drink plenty of fluids. Set a goal of at least eight cups per day. You may need even more with higher amounts of fiber. Fluid helps your body process fiber without discomfort.

Make the most of every meal by adding more high-fiber foods. Your health, waistline and digestive tract will be thankful you did!

Fats and oils: The bad and the better

By: Joan Enderle, America Heart Association

All fats are not bad. In fact, dietary fats are essential to give your body energy and to support cell growth. They also help protect your organs and help keep your body warm. Fats help your body absorb some nutrients and produce important hormones, too. Your body definitely needs fat – but not as much fat as most people eat.

There are four major dietary gats in the foods we eat: saturated fats, trans fats, monounsaturated fats and polyunsaturated fats. The four types have different chemical structures and physical properties. The bad fats, saturated and trans fats, tend to be more solid at room temperature (like a stick of butter), while the better fats: monounsaturated and polyunsaturated fasts tend to be more liquid (like liquid vegetable oil).

All fats are energy-dense so consuming high levels of fat – regardless of the type – can lead to taking in too many calories. Consuming high levels of saturated or trans fats can also lead to heart disease and stroke. Health experts generally recommend replacing saturated fats and trans fats with monounsaturated fats and polyunsaturated fats – while still limiting the total amount of fat you consume.

Eating foods with a moderate amount of fat is definitely part of a healthy diet. Just remember to balance the amount of calories you eat with the amount of calories you burn. Aim to eat more vegetables, fruits whole-grain/high-fiber foods, fat-free and low-fat dairy products, lean meats, poultry, and fish (at least twice a week). Doing so means that your diet will be low in both saturated fats and trans fats.

Many people wonder how many calories they should consume each day or how many grams of fat is healthy. The American Heart Association recommends that about 25-35 percent of your daily calories come from fats. Less than 7 percent of calories from saturated fat and less than 1 percent from trans-fat is recommended. Most of the fats you eat should be monounsaturated and/or polyunsaturated fats.

Visit the American Heart Association’s “My Fats Translator” at http://www.myfatstranslator.org to get your personalized daily consumption limits for total fat, saturated fat and trans-fat. Just input your age, gender, height, weight and physical activity level.

Here’s a list of cooking oils that contain the best ratio of the “better-for-you” fats.
Canola oil was first introduced in the 1970s for home cooking and is made from seeds of the canola plant. It’s a great oil to have in your pantry because it is very versatile. Works well for sautéing, baking, frying, marinating and salad dressings.

Olive oil is a heart healthy staple of the Mediterranean diet and is made from ripe olives. “Extra virgin” is made from the first pressing of olives. “Light” olive oil is lighter in flavor and color but has the same amount of calories as extra-virgin. With a distinct flavor best uses include: grilling, sautéing, roasting, spreads for bread, base for Italian, Greek and Spanish dishes.

Peanut oil is made from shelled peanuts and is popular in Asian dishes as well as Southern cooking. With a high smoke point, peanut oil is used commonly for stir-frying, roasting, deep-frying or baking.

Sesame oil is made from sesame seeds and is a staple in Chinese, Korean and Indian cooking. With a nutty flavor, the light is used for stir-frying and the dark for dressings/sauces.

Vegetable oil is usually made from a combination of corn, soybeans and/or sunflower seeds and is another great oil to have on hand because it can be used for many different cooking techniques, including sautéing, baking, frying, marinating and salad dressings.

This article is brought to you by the American Heart Association’s Simple Cooking with Heart Program. For more articles and simple, quick and affordable recipes, visit heart.org/simplecooking.

Enderle is the communications and Go Red director in North Dakota for the American Heart Association.

Stay Hydrated, Stay Healthy

New Year New You 2013
Stay Hydrated, Stay healthy
By Joan Enderle, American Heart Association

The human body is made up of about 10 to 12 gallons, so replenishing your body’s water supply is crucial for proper function and health.

Keeping the body hydrated helps the heart more easily pump blood through the blood vessels to the muscles. And, it helps the muscles remove waste so that they can work efficiently. If you are well hydrated, your heart does not have to work as hard and helps your body regulate temperature. Adequate hydration can help you feel more energetic and help your skin look better.

Dehydration can be a serious condition that can lead to problems ranging from swollen feet or a headache to life-threatening illnesses such as heat stroke.

Water is best
For most people, water is the best thing to drink to stay hydrated. There are no calories in water. Additional sources of water also include foods, such as fruits and vegetables which contain a high percentage of water.

Sports drinks with electrolytes may be useful for people doing high intensity, vigorous exercise in very hot weather, though they tend to be high in calories. It may be healthier to drink water while you are exercising, and then when you are done, eat a healthy snack like orange slices, a banana or a small handful of unsalted nuts.

Other beverages such as sugary drinks, soda, coffee drinks and juices contain water but also may have a large number of calories, contributing to weight gain.

Young woman drinking water at workout, outdoorsHow much water do you need?
The amount of water a person needs depends on a number of factors: climatic conditions, clothing worn and exercise intensity and duration. A person who perspires heavily will need to drink more than someone who doesn’t. Certain medical conditions, such as diabetes or heart disease, may also mean you need to drink more to avoid over-taxing the heart or other organs. Some medications can act as diuretics, causing the body to lose more fluid.
Thirst isn’t the best indicator of hydration status. If you get thirsty, you may already be dehydrated. The easiest thing to do is pay attention to the color of your urine. Pale and clear means you’re well hydrated. If it’s dark, drink more fluids.

A safe bet is to drink at least eight cups of water each day to make sure you are properly hydrated. The Dietary Reference Intakes from the Institute of Medicine recommends a total daily beverage intake of 13 cups for men and 9 cups for women.
If you want to know exactly how much fluid you need during exercise, experts recommends weighting yourself before and after exercise, to see how much you’ve lost through perspiration. A rule of thumb is every pound of sweat you lose, that’s a pint of water you’ll need to replenish.
Not sweating during vigorous physical activity can be a red flag that you’re dehydrated to the point of developing heat exhaustion.

Getting enough fluids during the winter is just as important as when temperatures are high. When you’re exposed to extreme temperatures – whether it’s very hot or very cold – your body uses more water to maintain is normal temperature. Also, in the winter you’re exposed to heated air, which evaporates water from your skin.

Pulmonary Rehabilitation Now Offered at JRMC

Jamestown Regional Medical Center (JRMC) is excited to announce their new service, pulmonary rehabilitation. Pulmonary rehabilitation allows patients to make the most of limited lung function.

“Pulmonary rehab aims to reduce symptoms, decrease disability and increase participation in physical and social activities while improving the overall quality of life for patients with chronic respiratory disease,” said Emily Kjelland, JRMC registered clinical exercise physiologist and cardiopulmonary rehab manager.

This new service is designed for adults who are increasingly limited in their everyday activities due to Chronic Obstructive Pulmonary Disease (COPD), Emphysema, Chronic Bronchitis, Sarcoidosis and other lung conditions. Pulmonary rehab can improve a patient’s ability to function and increase their quality of life. Some benefits that pulmonary rehab can provide are: reduce and control breathing difficulties, increase functionality for daily activity, reduce dependence on medical resources and much more.

A signed referral from your doctor is required for participation in the pulmonary rehab program at JRMC. The referral and other information regarding your physical condition links the pulmonary rehab team to the patients physician, allowing them to work together to provide the best possible care. For more information on pulmonary rehab at JRMC call (701) 952-4839.

Mammograms detect cancer earlier

Excerpts from The Jamestown Sun article written by Kari Lucin.

Mammograms do not cure or prevent breast cancer, but they can detect it early – and save lives.

A mammography machine utilizes radiation to take a clear picture of breast tissue. A mammogram will usually take about 15 to 30 minutes.

Typically, a patient places one breast on the machine, where it would then be compressed for 5-6 seconds in order to get a clear picture.

While the compression is uncomfortable, it is also critical, because the tissue in younger women’s breasts is more fibrous – meaning the normal structures within the breast can look like cancer on a mammogram.

“If you’re scared to have it done, just come up and let me talk to you,” said Dawn McCarty, a registered mammographer at JRMC. “Let me show you. It’s not that bad.”

Compressing the tissue means spreading it out more, which makes it easier to see, McCarty explained.

McCarty compared hunting lumps in breast tissue with hunting for a white grain of rice in a bag of white pinto beans – spreading out the bag makes the beans and the rice easier to pick out in a picture.

Usually, a patient will have two images taken at different angles for each breast, so the compression is done twice on each one. A person with implants will have additional images taken of each breast.

Because digital mammography allows images to be sent to a doctor electronically, sometimes results of the mammogram can be given to patients before they even leave the room.

 

Mammogram guidelines

Recent research has led to differing recommendations for mammograms, particularly for women age 40 to 50.

The best idea is to ask your doctor what he or she recommends, and follow that advice.

McCarty recommends women begin with a baseline mammogram between age 35 and 40, and then get mammograms either every year or every other year between age 40 and 50, depending on whether they have a family history of breast cancer. Then they should get mammograms every year from age 50 to 80.

Those are more like the guidelines of the Centers for Disease Control and Prevention, which recommend mammograms every two years from age 50 to 74, unless there’s a family history of breast cancer.

All those organizations base their recommendations on science, but again, the best idea is to consult a doctor.

Women getting a mammogram shouldn’t wear deodorant, because it can show up on the image. They can take over-the-counter pain relievers before the appointment, and they shouldn’t have mammograms during their periods, when breasts may be tender and sensitive. They shouldn’t get mammograms while pregnant or breastfeeding, either.

“Just come up and have it done. It’s not that bad,” McCarty said.

One in eight women will get breast cancer.

Women aren’t, however, the only ones.

About 1 percent of breast cancer cases are in men. McCarty, who has been doing mammography for 13 years, estimated about eight men visit the hospital for a mammogram every year.

“Digital mammography is still the gold standard” for breast cancer screening, McCarty said.

Couple contributes cost to move cornerstone and inscription to JRMC

Dick Hall, retired CEO of Jamestown Hospial, and his wife, Geneal, contributed the cost of moving Jamestown Hospital’s original cornerstone and having it installed at Jamestown Regional Medical Center. “When we heard the cornerstone and inscription were going to be brought to the new facility, we were pleased that its historical value was being recognized,” Dick Hall said. “It’s a unique way of taking a bit of the past to the new location. I thought it would be a very nice way for us to be part of the new facility.”