2013
Lorain County Medical Society
ICA
IET
MED
Y
COUNTY
L
OC
LORAIN
S
Gale Hazen, M.D.
LCMS President
Join us at the 1st Annual Health Fair, Sat., Sept. 14, at EMH Fitness Center, Avon
2 | SEPTEMBER 5, 2013
www.MorningJournal.com
Lorain County Medical
Society Board Members
2013-2014
Dr. Gale Hazen
PRESIDENT
Dr. Wuu-Shung Chuang
PRESIDENT-ELECT
Dr. Mario Sertich
IMMEDIATE PAST PRESIDENT
SECRETARY/TREASURER
Dr. Sastry Panchagnula
CENSORS
Dr. Alexander Boye-Doe
Dr. Marc Guay
Dr. Corie Kovach
Dr. Norberto Marfori
Dr. Dvora Nelson
Dr. Victor Trzeciak
OSMA DELEGATES
Dr. Ken Carbone
Dr. Wuu-Shung Chuang
Dr. Sastry Panchagnula
Dr. Chris Warren
OSMA ALTERNATE DELEGATES
Dr. Charles Butrey
Dr. Lynn Chrismer
Dr. Ed Martinez
Dr. Renato Querubin
DIRECTOR OF MEDICAL EDUCATION Dr. John Schaeffer
Dr. Don Sheldon
Letter to the Community
T
The physician members of the LCMS are devoted to our patients and
remain an integral part of this community. Our professionalism and societal
contract includes respect for patients’
autonomy, individualism, and privacy.
We respond to and are concerned for
our patients’ needs. We embody humanistic values of altruism, empathy,
compassion, honesty, and integrity. We
focus on the scientific basis of medical
knowledge accountability to peers. We
are committed to professional development and competence. We expect you
to hold us to these high standards of
professionalism.
This is an announcement! The
Not apparent are many of the other acfirst
annual Lorain County Medical Sotivities promoted by the LCMS. We have a
ciety Health Fair is Saturday,
scholarship program for all students in the
September 14, 2013, 10 am to 4 pm.
GALE HAZEN, M.D.
medical profession such as pharmacy, physiThis year’s event is at the EMH Avon
cal and occupational therapy, optometry,
LCMS President
Fitness Center. Physicians and healthnursing, and doctoral programs. Our memcare providers, and pharmacists will be
bers actively volunteer to provide health care
through the free clinics. Many of our physicians are serv- available to answer questions and also deliver short talks
on a variety of subjects. Free health screenings are availing on foundation boards that raise funds to pay for
necessary equipment to provide better care. Several of our able. The Lorain County Sheriff ’s Department for
community events have physician involvement such as be- fingerprinting children and photo IDs, WOBL Radio, Boys
and Girls Club for face painting, LifeShare Blood Services,
ing the team doctor. We provide a speaker’s bureau that
display ambulance, and health vendors are all participating.
can provide healthcare educational programs and cover
This is an exciting event focusing on improving the wellbemedical topics for churches, clubs, and other interested
ing of our community.
groups. A call to our office can give you information
about our members, and refer you to an expert physician
Next year’s event will be at the Mercy Health Fitness
dedicated to provide your care.
Center.
he Lorain County Medical Society (LCMS) is a group of
physicians whose primary purpose is to improve the quality
and the experience of health
care at a reasonable cost to society. Our Society of knowledgeable and
experienced physicians have the unique
ability to provide a forum that will bring
together the best professionalism, ethics,
and practice achievements culled from the
various Health Care Delivery Systems operating in the Lorain County area. This
provides a unique opportunity for you, the
patient, to receive the best health care possible right here in Lorain County.
DIRECTOR OF POLITICAL AFFAIRS Dr. Charles Butrey
EMERITUS
Dr. Paula Farner
HONORARY
Dr. Roy Thomas (Past OSMA President)
EXECUTIVE DIRECTOR
SECRETARY
Eileen Novello
Angela Howard
All articles in this supplement were provided by the
Lorain County Medical Society. Information in these
articles, although thoroughly checked for accuracy,
should not be used as a substitute for regular care.
Consult your physician for medical advice.
The Mission of the Lorain County Medical Society
The purpose of the Lorain County Medical Society is to serve its members by:
† Acting as a strong physician advocate within the boundaries of professional integrity, while recognizing
and representing the diversity within the medical community;
† Recognizing the health care needs of the community and acting as a patient advocate in response to
those needs;
† Providing services that meet the professional needs and interests of the physician community;
† Promoting the positions of the profession and the Society to the public;
† Taking a leadership role in informing the community about health issues;
† Preserving the professionalism in medicine;
† Promoting American ideals of the patient-physician relationship; and,
† Upholding the Principles of Medical Ethics of the American Medical Association.
SEPTEMBER 5, 2013 | 3
www.MorningJournal.com Invitation to the Community
,
y
a
d
r
u
t
Sa
,
h
t
4
1
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e
Septemb 30pm
:
4
m
10a
EMH Health & Fitness Center
1997 Healthway Dr., Avon
* Please read related articles in this magazine *
THE LORAIN COUNTY MEDICAL SOCIETY WANTS YOU TO INVITE YOUR SPOUSE, FRIENDS, AND
NEIGHBORS TO JOIN US FOR A FUN DAY OF GOLF, DINNER AND FRIENDSHIP!
At Oberlin Golf Club
200 Pyle Road Oberlin, OH 44074
Phone: 440-774-1891
LORAIN COUNTY
MEDICAL SOCIETY
On Monday, September 16th, 2013
Shotgun Start at 1:00
(Box Lunch available at Noon)
Prizes
$10,000.00 Cash prize offered by Stein Hospice for hole in one (designated hole)
1 year lease by Nick Abraham Nissan (designated hole)
Reservations due September 11th, Call 440-934-6825 or lcmed@centurytel.net
4 | SEPTEMBER 5, 2013
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Local Physicians Committed to Lorain County
T
he physicians of The Lorain
County Medical Society are very
committed to giving back to the
community.
They appreciate the fact that
their patients believe and have
faith in them and choose to receive their
healthcare locally.
EILEEN NOVELLO
Executive Director,
Lorain County Medical Society
fer scholarships to those wishing to get into
the medical field. Today, scholarships are
still offered by The Medical Society, but on a
much grander scale. LCMS offers scholarships to residents of Lorain County seeking
financial assistance, not only for those pursuing nursing, but in most health related
fields. Please read the article on LCMS Scholarships on page 12.
The Lorain County LifeShare Community
Our society has a FoundaBlood Services actually was developed by
tion that donates money
The Lorain County Medical Society. The so- every fall to organizations
ciety was also instrumental in the formation in Lorain County such as
of The Lorain County Free Clinic. Today,
the Lorain County Second
many of our physicians donate their time by Harvest Food Bank, Lucy
seeing patients at the clinic or in their office. Idol, etc.
The wives of the physicians are responsible We have handout educafor developing the Practical Nurse Program tional materials which are
at the former Saint Joseph’s Hospital. From available to schools, organizadeveloping this program they held fundrais- tions and individuals. Materials
ers, including style shows and evening
include laminated cards with numoutings such as dinner theaters and plays,
bers to call regarding Domestic Violence,
and sold tickets to the public to raise funds. Teen Crisis Cards, Immunization Record
The money that was raised was used to of- Cards and more.
The Area’s Premier Dental Office
experience the highest quality in dental care
Family Dentistry • Cosmetic Dentistry
Same-Day Crowns • Digital X-Rays
Cavity Scanner • Veneers • Dentures
Tooth Whitening • Botox® Cosmetic
Our doctors welcome the opportunity to
speak to your organization. We are pleased
to provide you with our Physician Directory
(yearly publication is in March).
Every year we host a golf outing and have
held fundraisers such as the physicians performing on stage in “Out of the White
Coat.” These fundraisers allow us
to hold educational health programs (free of charge) to the
community. Such an event
is being held on Saturday,
September 14, 2013, at
the EMH Fitness Center
in Avon. Please read related story and the
schedule for the day on
pages 8 and 9.
I am proud to say that all
of the transactions, vendors,
meetings, and programs of the society are done in Lorain County.
The physicians of Lorain County appreciate
and thank you for your continued support.
A
“New Generation”
in
Women’s Healthcare
ACCEPTING NEW PATIENTS
Tracy Farrow
M.D., F.A.C.O.G.
Dr. Julie Corbin
690 Cooper Foster Park Rd
Lorain, Ohio 44053
www.juliecorbindds.com
(440) 282-2023
Corie Kovach
M.D., F.A.C.O.G.
Introducing evening hours and Botox coming in the Fall!
Welcoming New Patients
5054 Waterford Place Dr.
Sheffield Village, OH 44035
Phone: (440) 934-8344
Fax: (440) 934-8345
SEPTEMBER 5, 2013 | 5
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Dementia
Prevention of Dementia
lesterol, low fat, and high Omega
What advice do you give
3 fatty acid diets is associated with
patients to help prevent
prevention of dementia. But again
dementia?
these are observational studies
Generally Vitamin supplements
be important in the cause of debased mostly of food intake diaDr. Lynn Chrismer, M.D.
are not recommended with the exmentia, there is conflicting
ries which are subject to bias and ception of Vitamin B12 and
Cleveland Clinic Foundation
evidence that anti-oxidants such as
error.
Are Vitamin D supplements
Vitamin D when there are docuVitamin C, Vitamin E, beta-carohelpful?
mented low blood levels. A diet
What else can be done to devery day there is a tene, and falconoid are effective in
Low Vitamin D levels are associcrease the chance of dementia?
that is low in cholesterol, low in
new cure reported the preventions of dementia. It
ated with cognitive impairment
fats, and high in Omega 3 fatty acon TV, radio, in
seems that supplements have little but again Vitamin D supplements
High blood pressure and high
print or the intereffect but that foods high in anti- to increase Vitamin D supplecholesterol levels have been asso- ids such as the Mediterranean diet
seems to helpful for prevention of
net. What has
oxidants may be helpful. Vitamin
ciated with and increase risk of
actually been prov- E supplements have also been as- ments have not been shown to
dementia. It is less clear that low- dementia and cardiovascular disimprove cognition.
ease.
en to prevent dementia?
sociated with an increase in all
ering blood pressure and
cholesterol levels prevent dementia Physical exercise, mental activity,
Is it true alcohol prevents
NOTHING. There are a num- cause mortality in a number of
studies.
dementia?
or alter the course of dementia.
and social interactions all seem to
ber of interventions that have
The evidence is conflicting, but
Certain classes of blood pressure be helpful and sensible.
been studied as preventions of demedications may be more benefimentia, but these are either
Are Vitamin B6, B12 and folic there is some evidence that light
I will discuss these and other
to moderate alcohol consumption cial than others.
acid supplements helpful?
observational studies that are
topics during my presentation(s) at
may be protective, but heavy alcoflawed by observer bias or there
the Lorain County Medical Society
What can I do to prevent
Vitamin B12 deficiency is associ- hol use can be a cause of
are conflicting studies.
Health Fair which will be held
dementia?
ated with cognitive impairment,
dementia.
September 14, 2013 for 10 a.m.
There is evidence that physical
Do anti-oxidants help prevent but it is less clear that replacing
until 4:30 p.m. at the EMH fitness
exercise,
mental
activity
and
social
Vitamin
B12
is
helpful
to
improve
Are dietary modifications
dementia?
interaction may help preserve cog- center. This event is free to the
helpful?
cognition. High homocysteine levAlthough there is evidence that
public.
nitive function.
There is evidence that low choels have been associated with
oxidative stress in the brain may
cognitive impairment and folic acid supplements have been shown
to reduce homocysteine levels but
it has not been shown to improve
cognition.
E
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6 | SEPTEMBER 5, 2013
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Ophthalmology
Why I Hate Laziness in Children
By Daniel J. Pierre, M.D.
Pediatric and Adult Ophthalmology
W
hile its true that I don’t
like my patients flunking
school because they
don’t do their homework, this article is
directed toward a particular kind of laziness that doesn’t stem from
a child’s lack of motivation: Amblyopia (that
is, Lazy Eye).
Of all the different diseases that any given
doctor sees and treats on a regular basis, he
or she probably has a least favorite—one
that drives them crazy for one reason or another. Perhaps it is hated because it is
chronic, is something that requires intense
treatment, is difficult to detect, or is something that cannot be fixed at all! As a
pediatric ophthalmologist, several usual sus-
the eye to the brain, leading to very poor vision in the affected eye). The child may be 3
or 4 years old before an obvious problem
with the vision in one eye is noticed, but
pects
that Juevenile
come to my
mind. ForArthritis
example, I even if a problem is noted at a very young
have seen
Rheumatoid
age and they are brought to the doctor earlicause a sneaky, non-painful, but intense iner, there is no treatment that can fix the
flammation over time that leads to damage
nerve at any age. Doctors (who became docin the eye so severe that it requires several
tors in order to fix things) hate it when they
surgeries to correct! Because there are no
obvious symptoms that would alert the child cannot fix things.
There is yet another disease that comes to
or parents to suspect a problem, the patient
isn’t even taken to the doctor and diagnosed my mind that combines both the types of
frustration: 1) the frustration of late diagnountil most of the damage is done. In many
sis of damage that could have been
such cases this could have been able to be
prevented, and 2) the frustration of being
prevented with early treatment and careful
monitoring. This leaves the doctor, parents, unable to fix the eyes vision loss. As I hinted
and child all saying, “If only we had known at above, it is Lazy Eye (or Amblyopia as I
call it)—but only when it is discovered too
sooner!” Doctors hate preventable disease
that was not prevented. Thankfully, this con- late.
dition is rare, and with the right treatment
Why is it called Lazy Eye? Well, because
the patient can have great vision in the long the vision loss caused by Lazy Eye is not
term, though many medications and surger- due to problems with the structure or funcies later...
tion of the parts of the eye, just its
Another example of a hated disease is Op- relationship with the brain. Contrary to poptic Nerve Hypoplasia (that is, an inborn
ular belief, when I say “Lazy Eye” I am not
misdevelopment of the nerve leading from
referring to an eye misalignment (that’s Stra-
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Sheffield Village, Ohio 44035
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Loca
Theophilus Arthur-Mensah, M.D.
Board Certified Psychiatrist
bismus), nor am I referring to a droopy
eyelid (that’s Ptosis with a silent “P”), nor
am I referring to an imbalance between the
near-sightedness/far-sightedness of each eye
(that’s Anisometropia), nor am I referring to
cataracts (that’s right, kids can have them,
too). These conditions can lead to the development of Lazy Eye by interfering with the
brain’s developing relationship with the affected eye. However, they are not the cause
of permanent vision loss, and with they can
be fixed at any time during life—it is never
“too late” to fix a misalignment, a droopy
eyelid, a refractive imbalance, or a cataract. It
is the resulting poor development of the
brain/eye relationship that is responsible for
poor vision in the long term.
This is how it works: during the first 8 years
(or so) of life, the brain is still developing and
making connections, neuron to neuron. This
includes the nerves that connect each eye to
the brain. A fully developed brain/eye relationship will yield an eye that has 20/20 or
better visual potential when all refractive error is corrected (that is to say, when the
See LAZY EYE, Page 7
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Felicia Fior-Nossek, APRN-BC
Clinical Nurse Specialist
Sandra Lavelle, LISW-S, SAP
Mental Health Specialist
Lorain Home Care
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SEPTEMBER 5, 2013 | 7
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Ophthalmology
dramatically; the younger brain can rehabilitate its relationship with the “lazy” eye. In
contrast, around age 8, the brain has become
From Page 6
more or less set in its ways. Therefore the
brain/eye relationship gets much harder (if
possible at all) to improve, and the patient is
proper glasses are worn, the eye can see well). stuck with vision at that level for the rest of
their life. For those children who are
In contrast, a lazy eye, even if it gets a perfectly focused 20/20 image (glasses or none, brought to the doctor and treated well before this age, they have a much better chance
depending on the eye) it will not be able to
communicate such a high quality image to the of slowly improving the brain/eye relationship and getting good vision for their entire
brain, and the image from that eye will be
adult life. For those brought to the doctor
somewhat less than 20/20... Perhaps as bad
and diagnosed with Lazy Eye after this age,
as 20/50 (that’s bad enough to flunk a drivthey are much less likely to respond to treater’s test) or even worse--unable even to see
ment and may have to live with unfixable,
the big “E” of 20/400!
Now, the earlier in life Lazy Eye is discov- permanent vision loss that could have been
prevented. If only…!
ered, the easier it is to treat. Think of the
All this to say that there is a limited “windeveloping brain as wet plaster or cement—
dow of opportunity” during which Lazy Eye
the newer it is, the easier to shape the way
you want it. As time passes, it begins to set, is more effectively treated. What I really hate
to see is that window slammed shut—or aland it is more difficult to change its shape.
most shut—by the time I see a child for the
Eventually, it becomes completely set and
first time and discover Lazy Eye. You may
will not change shape no matter what you
do. In the same way, a young child with am- wonder how poor vision in a child could go
unnoticed until so late? Well, a child who
blyopia will respond to treatment very
LAZY EYE
Caring for you...
sees well out of only one eye will function
for many activities like those who see well
out of both eyes, so the parent may not notice. Also, the child will not likely complain
that they see poorly out one eye if they have
never known anything different, unless they
are a particularly observant kid!
This is why routine vision screening tests
(like the vision check at school or most pediatricians’ or family practitioners’ offices) are
so important. While they are not perfect,
they are designed to identify early the children that could have a problem with the
eyes that requires treatment (which ends up
being about 1 out of 25 children with seemingly normal vision). These kids should be
sent to an eye doctor who is experienced in
working with kids for a comprehensive eye
exam. The eye doctor can more thoroughly
test the vision and alignment of the eyes,
and should look carefully at all structures of
the eye—at its surface, as well as inside the
eye. The doctor should use eyedrops (every
child’s favorite thing!) during the exam in order get the most accurate possible
measurements of the refractive error, in case
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for over 30 years
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Alexander H. Boye-Doe,
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Daniel J. Pierre MD, Pediatric and Adult Ophthalmology, 36505 Detroit Rd., Avon, 440-934-5816.
health.morningjournal.com
5040 Oberlin Ave., Lorain, Ohio 44053
❊
glasses are needed. Through vision screenings and full eye exams, early identification
of the cause of Lazy Eye will allow for
more effective treatment and better longterm vision, and avoid the frustrating
scenario mentioned above! No parent wants
missing their child’s poor vision to weigh of
their conscience. No child wants a poorly
seeing eye for the rest of their life.
So when is it time to take your child to
have a comprehensive eye exam?
• If they fail a vision screening for any reason at any age…
• If the child has known risk factors for
eye disease…
• If there is a family history of eye disease
in kids…
• If there is any suspicion for a vision
problem at all…
…it is worth a look. Who knows? It may
be one more way you can prevent laziness in
your children!
The Morning Journal
8 | SEPTEMBER 5, 2013
www.MorningJournal.com
Invitation To The Community
The Lorain County Medical Society invites you to the 1st Annual Health Fair on
Saturday, September 14th, 10 a.m. - 4:30 p.m., EMH Fitness Center, 1997 Healthway Drive, Avon
The physicians of the Lorain County Medical Society feel very strongly on
giving back to the community. On Saturday, September 14, 2013, they along
with several healthcare specialists in Lorain County will do just that.
A special thank you to the EMH Fitness Center for allowing us to take over
their facility for the day. We also would like to recognize the following sponsors
for not only their financial support, but for the time which they are donating.
The sponsors are: The Boye-Doe Women’s Health Center, Inc., Center Ridge
Health Campus, Cleveland Clinic Lorain Institute, Dermatology Partners Inc.,
EMH Elyria Medical Center, Life Care Center of Elyria, MERCY, Nelson Vein
& Surgical Services, NeuroSpine Care, Inc., North Ohio Heart / Ohio Medical
Group, Sprenger Health Care Systems, Stein Hospice, and Stryker.
As you view the schedule of the days activities you will notice how many citizens are also donating their time to help make this an educational, yet fun,
event. A special thanks to the young people that are getting involved.
In 2014, the Health Fair will be held at the newly-built MERCY Health &
Recreation Center in Amherst.
We look forward to seeing you on September 14th!
SCHEDULE OF EVENTS FOR LCMS 2013 HEALTH FAIR
Presentations will be held in two rooms at the EMH Fitness Center.
ROOM 1
ROOM 2
10-10:30 a.m. Regina Hill, M.D.
Take Control: Bladder Control Issues
10-10:30 a.m. Amanda Meszaros, DPM, FACFAS
Fallen Arches and Flat Feet
10:40-11:10 a.m. Swati Thakur, M.D.
What Is a Hospitalist?
10:40-11:10 a.m. Roy Thomas, M.D.
What You Need To Know About Cataract Surgery
11:20-11:50 a.m. John Schaeffer, M.D.
Heart Disease: What Do You Need To Know? Who Do You Trust?
11:20-11:50 a.m. Saadia Hussain, M.D.
What is Diabetes?
12:00- 12:30 p.m. Vincent Poblete, M.D.
23 Hour Short Stay Mastectomy – Reconstruction Service Line
12:00- 12:30 p.m. Corie Kovach, M.D.
Osteoporosis: Prevention and Treatment
12:40- 1:10 p.m. Martin DuFour, M.D.
Childhood Illness
12:40- 1:10 p.m. Nicholas Jarmoszuk, M.D.
Who Needs A Colonoscopy?
1:20 -1:50 p.m. Lynn Chrismer, M.D.
What Works To Prevent Alzheimer’s Disease
1:20 -1:50 p.m. Norberto Marfori, M.D.
What’s New In Cosmetic Surgery: Knife or Needle?
2:00-2:30 p.m. Richard Hetsko, AuD. FAAA
Healthy Hearing
2:00-2:30 p.m. Renee Smith, F.N.P.C.
What Is A Nurse Practitioner?
2:40-3:10 p.m. Gale Hazen, M.D.
Neck and Back Pain
2:40-3:10 p.m. Dvora Nelson, M.D.
Varicose Veins: A Sign of Unhealthy Legs
3:20-3:50 p.m. Robert Chris Warren, M.D.
BRCA & Breast Disease
3:20-3:50 p.m. Andrea Fisher, O.D.
Children and Vision Related Issues
4:00-4:20 p.m. Erin Astley, D.D.S.
How Your Dental Health Contributes to Your Overall Wellness
4:00-4:20 p.m. Victor Trzeciak, M.D.
Forever Young
3 MEDICAL SOCIETY TAB
SEPTEMBER 5, 2013 | 9
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ADDITIONAL LOCATIONS: TALKS AND SCREENINGS
The Zimmer Mobile Learning Center (MLC) will be located in front of the EMH Fitness Center. The Zimmer Bus is a traveling education vehicle
that provides training to orthopedic surgeons, nurses, and other health care professionals across the country. The MLC also offers open house events
at hospitals and community events to educate the general public on a wide range of orthopedic topics and treatment options.
The following physicians will be presenting the following topics:
10-11:00 a.m. Robert Zanotti, M.D. – Treating Shoulder Arthritis
11-12:00 p.m. John Krebs, M.D. – Minimally Invasive Hip Surgery
Noon-1:00 p.m. Daniel Zanotti, M.D. – Shoulder Injuries in the Young and Young at Heart
HEALTH SCREENINGS
Throughout the day there will be health screenings taking place in the building.
Bill Bursley, Director of Respiratory Spirometry
Pulmonary Function Screening (10-4:00 p.m.)
Also on site throughout the day will be:
EMH
Blood Glucose (10 a.m.-noon)
Drugmart
A Home Healthcare DME Specialist & a Pharmacist will be on site.
Blood Pressures & Blood Glucose screenings available.
EMH
Blood Pressure Screening (10-4:00 p.m.)
LifeShare
Please consider being a blood donor.
EMH
Smoking Cessation: Evaluation & Education (10-4:00 p.m.)
WOBL Radio Station will do Live Broadcast and have a Wheel of
Fortune.
Richard Hetsko, AuD. FAAA
Hearing Screenings
For The Kids:
Corie Kovach, M.D.
Bone Density (10-4:00 p.m.)
Boy Scout Troop 333 of Lorain County
Boys & Girls Club of Lorain County (Face Painting)
MERCY
Bone Density (10–4:00 p.m.)
Lorain County Sheriff’s Department (Child Fingerprinting/photo I.D.)
MERCY
Therapy Screening (10–4:00 p.m.)
Safety vehicles for the children to see up close:
Helicopter (LifeFlight) 10-4:00 p.m.
Ambulance (LifeCare Ambulance, Inc.) 10-4:00 p.m.
Fire Truck (Avon Fire Department) 11-1:00 p.m.
Amanda Meszaros, DPM,FACFAS
Foot Screening
Mr. Tony (The Balloon Man)
Dvora Nelson, M.D.
Vein Screening (10-4:00 p.m.)
Food:
Pegg Vanek, D.D.S. (Staff)
Oral Cancer Screening (10-4:00 p.m.)
Lorenzo’s Pizza – Will be selling pizza!
Heinen’s – Will have two Health Consultants and offer healthy treats
10 | SEPTEMBER 5, 2013
www.MorningJournal.com
Women’s Health
HPV Vaccine encouraged
Be free of hot flashes
gina and vulva.
There are two HPV vacuman papillocines available to prevent
mavirus
disease caused by these high
(HPV) is a
risk strains and thus prevent
family of very
cervical cancer: Gardisil and
common viCervarix.
ruses that are
Gardisil was licensed by the
transmitted amongst people.
FDA in 2006 and is recomThere are over 100 types of
mended for routine
HPV. The vast majority of
vaccination of females ages
people have come into contact
9-26 yo prior to their sexual
with some strain of HPV, yet
Corie
Kovach,
M.D.
debute as well as males 11 to
do not know or do not have any
21 yo. It is nearly 100% efsymptoms thereof. The virufective against HPV viral
lence of the viral type and the patient’s
types
6,
11,
16,
and 18 after completion of
immune system typically determine the viral
the three dose series as recommended at 0,
disease course and severity.
2months, and 6months.
As you may know, these viruses can cause
Cervarix was approved by the FDA in
warts on the skin or abnormal changes in
the cells of the female cervix (cervical dys- 2009 for use in females ages 10-25 against
HPV types 16 and 18. Either of these vacplasia or even cancer). HPV types 16 and
18 are responsible for over 70% of cervical cines can typically be obtained through your
cancers as well as many of those of the va- gynecologist or pediatrician.
bance can be blocked by
stellate ganglion block. This
simple nerve block in the
“Non-hormonal treatment
right side of the neck interof menopausal symptoms”
rupts the sympathetic
Sudden feelings of warmth
nervous system connected to
most intense in the face, neck
the hypothalamus, which then
and chest commonly with
resets our body’s temperature
profuse sweating are bothercontrol mechanism.
some menopausal symptoms
Stellate ganglion is located
in women. Hot flashes at
on C6 and C7 transverse pronight can interrupt sleep. This
cesses and through new
is also a challenge in breast
CHARLES CHOI, M.D. image-guided technique it is
cancer survivors when estrogen
blocked easily. SGB is also
therapy is contraindicated.
used to treat reflex sympathetic dystrophy
What causes these symptoms in menoor complex regional pain syndrome, shinpausal women and breast cancer patients? It gles and Post Traumatic Stress Disorder.
is not low estrogen but estrogen withdrawal To learn more about this procedure or
which affects body’s thermostat-the hypomake an appointment, contact my office at
thalamus.
440-930-6015.
Multiple studies have supported the claim
Charles Choi, MD, NeuroSpinecare, Inc., 5319
that these symptoms of vasomotor disturHoag Drive, Suite 100, Sheffield Village, Ohio.
H
By Corie Kovach, M.D.
Endometrial Ablation
By Tracy Farrow, M.D., F.A.C.O.G.
Erie Shore Women’s Health
M
any women are affected by dysfunctional
uterine bleeding
(DUB) or abnormally
heavy and/or irregular
menstrual bleeding
which is disruptive to their quality of life
and activities of daily living. Frequently, the
severity of the bleeding can cause secondary
anemia or exacerbation of other medical issues. If left untreated, anemia can require
emergency transfusion or surgery.
Typically, a female patient is best served
expressing any concerns about abnormally
heavy, frequent, or erratic menstrual cycles
to her physician who can initiate the proper
evaluation. Frequently, there are several options for a patient to choose from to help
control their symptoms. Desire for future
childbearing, need for contraception, underlying medical conditions, age and proximity
to menopause are factors that may all influence these decisions.
Ablation of the endometrium is a minor
surgical procedure that effectively treats
DUB by destroying a thin layer of the lining of the uterus and reduces or stops the
menstrual flow. Endometrial ablation is a
short outpatient procedure and requires
very minimal recovery time. There are several methods that are commonly used to
perform the procedure including: thermal
balloon, radiofrequency, freezing or cryo,
microwave, heated fluid, and electrosurgical
such as rollerball or resectoscope. Most patients can return to work a day or two after
the procedure.
Endometrial ablation should not be considered if a patient wants to become pregnant
in the future, is past menopause, has uterine
cancer or pathology, has active infection, or
certain disorders of the uterus or medical
conditions. Although pregnancy after ablation may not be likely, it can happen and can
carry increased risks or complications.
Therefore, contraception or sterilization are
necessary until after menopause. Any medical or surgical interventions should be
carefully reviewed and discussed with your
gynecologist before proceeding.
By Charles Choi, M.D.
The Quality of Your Medical Imaging is Critical
Drs. Russell, Berkebile and Associates
Medical Imaging Lorain County since 1946
Providing Specialty Services in:
General Diagnostic Radiology, Mammography,
Musculoskeletal Imaging, Nuclear Medicine, Ultrasound,
Pediatric Radiology, And Interventional Radiology
In Affiliation With:
Mercy Regional Medical Center
Including: Mercy Imaging Centers and Mercy Allen Hospital
EMH Regional Healthcare System
Including: EMH Imaging Centers at Avon
and Amherst Hospital
Fisher Titus Medical Center
Local Physicians and Institutions specializing in Diagnostic Radiology,
Providing service to all members of the Community,
24 hours a day, 365 days a year.
Joseph E. Assaad, M.D.
Karen E. Basile, M.D.
Chad R. Cohen, M.D.
Ruppert David, M.D.
Fredrich H. Dengel, M.D.
Jeffrey Ekstein, M.D.
James Frank, M.D.
Joseph Joson, D.O
Francis M. Kearney, M.D.
S. Michael Kulasingham, M.D.
Edward P. Martinez, M.D.
Cathy H. Miller, M.D
Matthew Sfiligoj, M.D.
David P. Stout, M.D.
Mark Tushan, M.D.
Timothy J. Woisnet, M.D.
SEPTEMBER 5, 2013 | 11
www.MorningJournal.com When it comes to selecting a hospital…
…know before you go.
Not all hospitals are created equal. Some are large, and some are small, but what really counts is the quality of
care you’ll receive as a patient. EMH Elyria Medical Center was recently named one of Healthgrades America’s
100 Best Hospitals for the 2nd consecutive year.*
What makes us one of the best? It’s simple – our patient outcomes. In fact, Healthgrades concluded that if every
hospital in the nation performed at the level of the America’s 100 Best Award™ recipients, 165,636 lives could
have been saved.
So, our message to you is…do your homework. Know before you go. Because the hospital you select for your
loved one or yourself may just be one of the most important decisions of your life.
EMH Elyria Medical Center
630 East River Street I Elyria, OH 44035
440.329.7500
* Recipient 2012 and 2013; for more information about Healthgrades, including
their report methodology, please log on to www.healthgrades.com.
12 | SEPTEMBER 5, 2013
www.MorningJournal.com
Lorain County Medical Scholarship Foundation
T
he Lorain County Medical
Scholarship Foundation was developed in 1963 for the purpose
of establishing a fund to assist
Lorain County students who
were preparing for a career in
the health or medical allied fields. The concept of a Scholarship Foundation grew out
of the Lorain County Society’s deep interest
in the general health and well being of the
residents of Lorain County. The members
of the Medical Society wanted to ensure a
sufficient number of properly trained and
qualified persons to adequately serve the
needs of the County.
is made available annually for grants to Lorain County residents who are enrolled in
medical school or other fields related to
health care services.
HISTORY OF ESTABLISHED
SCHOLARSHIPS
The Scholarship Foundation has been the
beneficiary of many gifts made in memory
of beloved family members or well respected colleagues of the medical community.
The Scholarship Foundation includes eleven
separate funds plus the General Fund, all of
which are earmarked for scholarship grants
to Lorain County residents. The eleven accounts are: LCMS/Amherst Medical Staff,
THE BEGINNING
Dr. Robert Berkebile, Dr. Raymondo de la
The initial fund for the Medical FoundaPena, Dr. George Dakters, Dr. Pedro Estion, $27,273.13 originated from a surplus of curo, Dr. George Hoke, Samuel and Louise
funds that had been donated by the public
Meyers, Eleanor Novello, Anne Shilling, Dr.
to help defray the cost of providing all the
Elsie Snell, and Cherie Ulmer.
residents of Lorain County with Sabin Oral
When Amherst Hospital closed its doors
Vaccine. Because there was no way to equi- the medical staff made a decision to take
tably return the surplus to the donors, the
their funds and to establish a scholarship
Medical Society requested Court authorizaand contacted the medical society to do so.
tion to commit the surplus funds to the
Mrs. Robert Berkebile and family estabScholarship Foundation. These funds are
held in perpetuity and the income generated lished the Dr. Robert Berkebile Fund in
RENATO D. QUERUBIN, M.D.
honor of her deceased husband. Dr. Berkebile had been a member of the Lorain
County Medical Society from 1948 until his
passing. He and Dr. Delbert Russell were
the founders of Russell, Berkebile and Associates. RBA continues to serve the
community.
Dr. Raymondo de la Pena, a vibrant and
involved physician in Lorain County passed
away in the fall of 2012. His family suggested to friends and patients to make
contributions in his honor to create a scholarship in his memory.
Dr. George Dakters, a Neurosurgeon enjoyed painting as a hobby and way of
relaxation. He never thought of selling his
paintings but when he learned that he had
an eye disorder he decided to sell his work
with the funds being used to create a scholarship so that Lorain County residents could
receive financial aid for medical school. In
the spring of 2003 he held an art show at
the Stocker Center Gallery at Lorain County
Community College. The sale of his paintings went to the Dr. George Dakters
scholarship fund. Dr. Dakters currently resides in Elyria and Florida.
The Dr. Pedro Escuro Fund was established by Dr. Rubin and Mario Escuro in
honor of Dr. Rubin Escuro’s deceased father.
Dr. George Hoke, a Neurosurgeon in Lorain County from 1955 till his retirement in
1991 passed away in the summer of 2012.
Family and patients gave donations to establish a scholarship fund to honor him.
The Meyer Fund was a gift from a local
couple in appreciation for the fine medical
service they had received through the years
from physicians in the county.
The Eleanor Novello Nursing Fund was
established upon Mrs. Novello’s passing.
This fund is for students pursuing a nursing
profession. Mrs. Novello had been a graduate of St. Vincent Charity School of
Registered Nurses and a Lorain County resident for more than sixty years. She served
on the Scholarship Foundation Board for
many years along with the Board at St. Joseph Hospital for students pursuing degrees
in Practical Nursing.
Dr. and Mrs. R.L. Shilling established the
See SCHOLARSHIP, Page 13
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4520 OBERLIN AVE.
LORAIN, OHIO 44053
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SERVICES INCLUDE
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RECONSTRUCTION (NOSE JOB)
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SEPTEMBER 5, 2013 | 13
www.MorningJournal.com
Scholarship Foundation
fund started in an effort to
obtain information about the
person or persons responsiFrom Page 12
ble for Cherie’s death. After
several years with the mystery
still unsolved, the reward
Anne Shilling Fund in
funds were turned over to the
memory of their daughter,
Medical Foundation in her
Anne.
The Snell Fund was estab- memory.
lished on the death of a
Over the years, the scholarwell-known physician, Dr.
ships have been made to
Elsie Snell. This fund was
students in many different
the beneficiary of substantial fields of study such as medigifts from one of Dr. Snell’s cine, nursing, pharmacy,
patients.
physical therapy, osteopathic
medicine, medical records,
The Ulmer Fund was
and medical technicians of
named for a young woman
who died in a tragic automo- various specialties. While it
is easy to determine the
bile mishap. At the time of
her death, Cheri Ulmer was a monetary value of scholarship grants, one cannot
pharmacy student at Ohio
University. Her death, caused calculate the value of these
grants in terms of making it
by a heavy stone which was
possible for young citizens
thrown from an overpass,
of the county to obtain the
raised the ire of many persons in the county. A reward education and training they
SCHOLARSHIP
need to work in the health
care area. It has long been
the belief of local physicians
that the scholarship grants
are one way to bolster the
educational and professional
skills that the county needs
to maintain the level of
medical services which are
available to county residents.
Although statistics have not
been maintained on the
number of scholarships
grantees who return to work
in Lorain County, it is hoped
that their ties to the county
and its medical community
will foster a desire to live and
work in this area.
HOW DO I ESTABLISH A
SCHOLARSHIP?
Gifts to the Medical Scholarship Foundation may be
made by check, or securities,
such as stocks, bonds, may
be donated in-kind. The
The Opiate Epidemic
cines are written in the U.S.A., while we are
only 5% of the world’s population. As the
Lorain County Coroner
number of prescriptions increased, there
was a direct causative effect with increasing
rug overdoses have become
numbers of drug overdoses and deaths. Unthe leading cause of accifortunately, we have realized to late that
dental deaths in the United
these drugs are not “safe” and that they are
States. It is estimated that
addicting.
over 100 people die every
As the deaths started mounting we recogday of a drug overdose. Alnized the problem and the government and
though the national news has covered the
a variety of agencies have taken steps to
“war on illegal drugs” and has shown the
fascination with celebrity drug use, they have stem the tide. Unfortunately, that genie is
done little to address the epidemic of opiate not going back in the bottle easily. The addicted population faced with limited
abuse by the general public.
resources for rehabilitation and recovery has
The use of narcotic pain pills in the outpaturned to street drugs when unable to get letient setting became popular in the 1980’s
gal prescriptions. These illegal drugs include
– 1990’s. Their makers promoted them as
safe and non-addicting. The number of pre- the narcotic pills and heroin. This year heroin (which is cheap and readily available) has
scription for these drugs grew at a
passed narcotic prescription pills as the leadtremendous rate into the 2000’s. Their use
became Main Street. Drugs that at one time ing cause of death.
In Lorain County, the number of overdose
were used for serious, in –hospital condideaths tripled from 2011-2012. These deaths
tions or end-of-life situations, were now
being used for minor or chronic pain condi- know no socio-economic class, and in fact,
are more in the suburban/middle class
tions. It is estimated that greater than 90%
of the prescriptions for narcotic pain medi-
2013-2014 SCHOLARSHIP RECIPIENTS
Alexander V. Boiwka
Alison M. Dzwonczyk
Jessica L. Hume
Courtney M. McVey
Kristen Ann V. Mendoza
Erin E. Ohlinger
James E. Ohlinger III
Andrea M. Rini
Bryan A. Stevens
Kimberly J. Tamargo
Medicine
Medicine
Radiographic Technology
Medicine
Medicine
Medicine
Medicine
Physician Assistant
Medicine
Medicine
Foundation is designed to
accept all types of gifts including real estate, insurance
policies and other types of
assets. Gifts and contributions to the Medical
Foundation are tax deductible. The general public
can obtain more information
about the Medical Scholarship Foundation and the
application for scholarship
Case Western Reserve University School of Medicine
University of Cincinnati College of Medicine
Lorain County Community College
University of Virginia School of Medicine
Ohio State University College of Medicine
Northeast Ohio Medical University
West Virginia University of Medicine
Marquette University
University of Toledo
Northeast Ohio Medical University
grants by calling the Medical
Society office at (440) 9346825 or at our website at
lcmedicalsociety.com. Applications are available
January of each year, and
must be completed and returned by May 1st of that
year. Criteria for being
awarded a Scholarship are
based on being a Lorain
County resident, grade point
average and financial need.
The Board of Trustees of
the Medical Scholarship
Foundation thanks the Medical Alliance, the Lorain
County Medical Society, the
Medical Community and the
general public for the gifts
and donations which they
made in the past. The gifts
will continue to serve the
community for many years!
After Breast Surgery
By Stephen B. Evans, M.D., PhD
D
See OPIATE, Page 15
Shapers/Partials
also available
1320 Cooper Foster Park Road
Lorain, Ohio
1-800-964-3359
(440)282-1145
www.thefittingroom-ohio.com
14 | SEPTEMBER 5, 2013
www.MorningJournal.com
The Kidney
End stage kidney disease
By George M. Bescak, DO
Internal Medicine/Hypertension/Kidney Disease
Dialysis Services
B
y definition when kidney
function goes below 10-15%
of their normal capacity they
can not effectively perform
the duties of removing waste
and excessive fluid from the
normal daily intake of food and fluids. Having normal kidney function contributes to the
overall quality of life one has while alive.
There are 5 different stages prior to a person
being classified as having kidney failure or
end stage renal disease requiring dialysis support or a kidney transplant.
In review of kidney disease one of the
many symptoms may be a reduction in urine
output, although this is quite variable. Inability to excrete waste products in addition to
build up of fluids in the body can make an
individual feel ill leading to a condition called
D source so that calcium
can be absorbed from the
gut. The kidneys are instrumental in producing
uremia. With excessive fluid
an active form of Vitamin
retention hypertension beD so that this can be accomes a very common
complished by the body.
problem associated with kidWithout this people develney failure. In addition to this
op bone abnormalities and
many types of chemicals becardiovascular changes
come an issue for the patient
that impact on their morincluding but not limited to
tality survival.
potassium elevation. ExcesThe simple symptoms
sive potassium can be retained
that may arise as the result
as a result of the kidney not
of kidney failure are nauallowing excretion of this
chemical and may then develop GEORGE M. BESCAK, D.O. sea, vomiting, weight loss,
sleep problems, change in
an abnormal heart rhythm
which can lead to cardiac arrest. In addition urine output, and diffuse itching of the skin,
swelling of the ankles and feet, shortness of
to the problems with chemical balance the
breath and progressive difficulty with controlpatients can have difficulty with changes in
ling blood pressure.
hormones that the kidney is responsible for
producing. A chemical called erythropoietin
As the kidneys continue to fail the primary
tells your body to make red blood cells which
care physician can become aware of this
then carries oxygen to all parts of the body.
through blood and urine testing. Once the
If this count is low anemia develops and
weakness and fatigue become apparent to the kidney function drops below 30% referral to
a kidney specialist should be considered.
patient. The patient also requires a Vitamin
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From that point on communications between
the patient and physicians will help maintain
good health until a time comes when dialysis
support needs to be instituted. This usually
is at a level of GFR (approximate % of kidney function) below 10 or 15%. The patient
will need education to determine which
means to support his kidney failure, whether
that is through Hemodialysis at a dialysis unit
or peritoneal dialysis which can be performed
at home. Finally each patient depending on
their age and medical condition can be assessed for a cadaver kidney transplant
(transfer of a kidney from a person who has
died immediately). Or, from a living related
donor that has compatibility of his tissue
with the recipient having kidney failure. Prior
to making any decisions regarding dialysis or
transplantation all other reversible causes of
kidney disease need to be excluded by your
physician. Once this has occurred and there
is no signs of reversibility, in order to maintain a good quality of life dialysis need to be
instituted before symptoms become extremely severe. Contact your primary care doctor
regarding what your degree of kidney function is and act accordingly.
SEPTEMBER 5, 2013 | 15
www.MorningJournal.com
Spine Care
Bone cement injection into the spine Straight up: Let’s talk spines
Submitted by NeuroSpinecare Inc.
O
The procedure is performed in the operating room. Anesthesia is
administered to avoid any pain during
the operation. X-rays are used to accurately place the needle directly into the
fractured spine bone or vertebral body.
At the end of the needle inside the bone
I can inflate a surgical balloon before
placing the cement. This can be an advantage as the pressure of the balloon
may push the crushed bone back into a
more normal position. The balloon is
then deflated and removed through the
needle. Bone cement with the consistency of putty or wet glue is then
pushed through the needle to fill up the
bony vertebral body. The healing is
about 20 minutes for the cement to
harden. Recovery is the discomfort
from having a needle pushed through
the skin much like a shot in the arm.
Patients remove the Bandage the next
day and resume all activities, diet, medications, and enjoy life. This is similar to
having a filling placed in the cavity hole
of a tooth.
Our Neurosurgeons, Dr. Hazen and
Dr. Sertich, at NeuroSpinecare successfully perform more of these procedures
than anywhere else in this area. With
our team of seven physicians we offer
complete Neurologic Surgery, Spine Care
and Pain Management. Our services include expert evaluations, diagnosis, all
treatment options both nonsurgical and
surgical, Physical Therapy, traction, orthotic bracing, spine decompression, and
others for complete care. Call Dr. Gale
Hazen, 440-930-6015.
ver the last decade more
people are in need of a
spine bone cement injection. This is minor
surgical procedure performed with a needle to
repair a fractured bone in the spine.
This operation takes only 15 to 30 minutes, and often will give tremendous
improvement for a person’s life.
As we all go through life we are subjected to the aging process, and may suffer
from a variety of diseases. A very common illness is osteoporosis. Many bones
in the body, including the spine, progressively lose bone mass and calcium. The
bones become weak and are easily fractured even without any injury. They can
just plain happen. These spine fractures
are very painful. Patients will often have
difficulty breathing, are unable to stand
up, roll over in bed, dress themselves, or
get to the bathroom. The pain is centered in the back, usually in the center
but can go to one side. Gently thumping
on the back over the fracture worsens the
pain. If the patient lies quietly, the pain
is tolerable. Any movement greatly worsens the pain.
Fractures from an injury or from osteoporosis can heal. If the pain does
not improve with healing, or if the patient is bedridden with severe pain, then
surgery is indicated. The success is very
high at better than 80%, or 4 out of 5,
patients have great relief and often no
residual pain. The risks are minimal as
Dr. Gale Hazen, 5319 Hoag Dr, Ste 100, Sheffield
the procedure is performed with a neeVillage, Ohio 44035, 440-930-6015.
dle, no incisions or cutting.
HEIKE DAIGLE & EILEEN NOVELLO
Call us for your
real estate needs
Residential and
Commercial.
440-213-5525
419-602-0098
Y
ou may have
stem from issues in their spines.
heard the sayThere are several treatment oping that
tions that Dr. Berkowitz explores
someone is
before recommending surgery, in“spineless” if
cluding physical therapy,
they are being
chiropractic, medications, exerdescribed as weak or cowardly.
cise, steroid injections, and even
Or, they may also be said to
acupuncture. However, when surhave “no backbone.” While it’s
gery is the best option, Dr.
certainly not nice to say these
Berkowitz is trained in the latest,
things, the sayings probably
most advanced procedures to help
came about because our spines
alleviate his patients’ pain.
are such integral parts of our
In addition to neck and back disbodies. When they’re not workDr. BERKOWITZ
orders, Dr. Berkowitz also treats
ing properly, humans simply
patients for general orthopedic iscannot function.
sues. He has extensive training and experience
That’s why we need physicians who have the in orthopedic conditions from head to toe, inadvanced training needed to treat issues of the cluding fracture care and ailments of the hip,
spine, neck and back. Dr. Robert Berkowitz is knee, ankle, foot, hand or shoulder. He exa board certified orthopedic surgeon at The
plained, “It is one stop care. In a single visit I
Center for Orthopedics. He specializes in
can provide care for all of your orthopedic
spine surgery and has advanced specialty train- needs.”
ing in neck and back surgery. Patients come
To make an appointment with Dr. Berkowto Dr. Berkowitz for many different condiitz, please call The Center for Orthopedics in
tions resulting in back or neck pain. Many
Sheffield Village at 440-329-2800.
have symptoms in their arms and legs, which
A group of community leaders has started the Project
Dawn of Lorain County. Its
From page 13
focus has been on education
and prevention of overdose
America setting. These are
deaths. With the leadership of
mothers, fathers, sisters,
Senator Gayle Manning of
brothers, relatives, friends,
neighbors, and co-workers of Ohio, a law was passed
(SB#57) establishing a pilot
all of us in Lorain County. It
is important that the commu- project in Lorain County to
get naloxone (a potential lifenity becomes educated and
active in addressing this prob- saving medication) into the
lem. Working together we can hands of first responders.
tackle the issues of preventing This law allows police officers
and recovery to cure this epi- (often the first responders to
demic.
a possible drug overdose) to
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Diabetes, Neuropathy & other
circulatory problems.
give naloxone (an antidote to
narcotic medication) to a life
threatening overdose victim.
The Project Dawn of Lorain County is soliciting
donations to support the endeavor. If you would like to
donate, checks can be sent to:
The Project Dawn of Lorain
County, c/o The ADAS
Board of Lorain County,
4950 Oberlin Avenue,
Lorain, OH 44053.
Opiates: Short term pain
relief – lifetime of addiction.
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(440) 282-5701
16 | SEPTEMBER 5, 2013 www.MorningJournal.com
STAY WELL
We want you to stay well — and well connected to your health. From your
first appointment at a Mercy physician practice, you’ll see the difference in
personal attention, convenience and quality care.
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to the community
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appointments to test results for you and your physician
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To schedule an appointment with a Mercy doctor,
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