One in every 400-600 children and adolescents have Type 1 Diabetes. This number increases to 84% for young people with Type 2 diabetes. …


———————–
The Riverview center will feature the full range of services you would
expect in a facility devoted to heart health, including cardiac
rehabilitation see sidebar, emergency cardiac services, diagnostic and
interventional cardiology services, anti-coagulation services, and physical
therapy The center will also offer non-traditional programs including
stress management, heart-healthy eating, mind/body balance, and training in
changing destructive behaviors, managing blood pressure, and taking
responsibility for your own health

The Riverview staff will combine experience in many related fields, state-
of-the-art technology, and compassion to deliver the kind of care youve
come to expect from MetroHealth, Mr Klaussen explains This new facility
will get you in the door, but our staff will keep you coming back

Riverview
Heart Health Center Opens June 1

The MetroHealth Foundation
is proud to announce the June 1 opening of the Riverview Heart
Health Center, the latest addition to
our main facility, MetroHealth One The Riverview center is dedicated to
providing the best possible cardiac and cardiac rehabilitation care -
and
to educating the public about heart health before drastic care is needed

Heart care means more than just treating the heart, MetroHealth CEO
Mitch Klaussen says It also means caring for you We humans are
marvelously complicated and integrated systems At the Riverview Heart
Health Center, well help you build a healthy life that combines physical
activity, diet, and wellness education And, when its needed, well offer
our patients world-class medical intervention

House Calls is the monthly newsletter of MetroHealth, a coalition of 1,200
doctors and health-care professionals representing all specialties in five
locations House Calls contents are The MetroHealth Foundation All
rights reserved MetroHealth: Your life Your health Our help

Cardiac Rehab:
The Crucial Step
The Riverview Cardiac Rehabilitation Program will provide comprehensive
education and supervised exercise for cardiovascular patients Leading the
cardiac rehabs interdisciplinary team will be Dr Jarrod Thompson,
formerly senior cardiologist at Baltimore City General and a distinguished
lecturer in cardiovascular risk factors at Harvard Medical School

Dr Thompson graduated from the University of
California at Berkeley with a
BA in biology He earned his MD at the University of Michigan

He is best known as the host of the acclaimed PBS series Your Heart and How
to Heal It

METRO
HEALTH

HOUSE CALLS
A MONTHLY NEWSLETTER FROM METROHEALTH MAY

In this issue
Riverview Heart Health Center
Cardiac Rehabilitation
Diabetes SEARCH
Children and Diabetes
Crash Course in Cholesterol
Walking Power
House Calls Profile: Dr Slotkin
Speakers Bureau
MetroHealth wins NAPA Award

MetroHealth offers services and answers to all your health needs Our goal
is to make your visit a positive experience Visit us at
wwwmetrohealthcom Or call and speak to one of our helpful staff members
at 1-800-000-0000

FOR MORE INFORMATION

Our speakers offer wide-ranging,
up-to-the-minute information in
the following areas:
ARTHRITIS
Behavioral health

CANCER CARE
GENERAL HEALTH WELLNESS
GERONTOLOGY
HEART health
HOME CARE SERVICES
HOSPICE SERVICES
IMMUNIZATIONS
INJURY PREVENTION / TRAUMA
MENS HEALTH
ORTHOPEDICS
PRESCRIPTION DRUG COVERAGE
SMOKING CESSATION
WOMENS HEALTH

Speakers Bureau

The MetroHealth Speakers Bureau provides experts in their field to
community groups with the aim of educating the larger community on ways to
create and maintain a healthy and happy lifestyle Our speakers are
physicians, nurses, and professional staff from all MetroHealth branches
who are eager to share their expertise

If your organization has specific health-care requests on topics not on
this list, we will make every effort to match your request with a qualified
speaker

To find out more or to arrange for a speaker to appear before your group,
contact Rick Burleson
at the MetroHealth Public Affairs Office Please make
your request at least 8-10 weeks before the
date of your event Speakers available
on a first-come, first-serve basis

MetroHealth Pharmacists
Recognized for Excellence

MetroHealths pharmacy staff has received the Award for Excellence in
Medication Safety The award, given annually by the North American
Pharmacists Association NAPA, recognizes pharmacy professionals who work
with their customers to make the best and safest use of their medicines

NAPA represents more than 60,000 pharmacists across the US and Canada
About half practice in health-care systems Receiving this award means so
much to us here at MetroHealth, says Dr Jack Polansky, MetroHealth
Pharmacy Director

NAPA
AWARD for
EXCELLENCE in
MEDICATION
SAFETY

House Calls Profile 82 Marcus Serilias, MD

Specialty Internal medicine

Medical Education
New York Medical College, 1988

Residency
University of Wisconsin at Madison, 1988

Internship
University of Wisconsin at Madison, 1991

Professional
Activities and Awards
Section Head of General Internal Medicine, Abbott Northwestern Hospital,
Minneapolis

Board Certifications
American Board of Internal Medicine, 1993

Joined MetroHealth 2000

Dr Serilias on his specialty Internal medicine touches every aspect of a
persons life and a patients care, from health maintenance to chronic and
acute illness care

On MetroHealth MetroHealths strength is in our numbers Were a large,
diverse team of professionals with a wealth of resources behind us - but
were still committed to providing personalized service

METRO
HEALTH

Guest Editorial: Crash Course in Cholesterol
Research Nurse, MetroHealth One
By Judy Gould, RN, BSN,

We hear the word cholesterol a lot these days, and its reputation is not
good But cholesterol by itself is not a bad thing Cholesterol is a waxy
substance found in every cell of the body It helps to hold the cells
together and helps the body digest fats Cholesterol is transported around
the body

body via high-density lipoproteins HDL and low-density lipoproteins
LDL Our bodies make all the cholesterol we need; we take in more from
the foods we
eat Our cholesterol levels are determined by many factors,
including family medical history, Body Mass Index, exercise vs inactivity,
and diet

LDL far outnumbers HDL We need LDL, but too much can be harmful High LDL
cholesterol levels in your bloodstream increase your vulnerability to heart
disease

Approximately 175,000 children and adolescents younger than 20 have
diabetes
20 also have elevated levels of cholesterol
Source: National Diabetes Information Clearinghouse NDIC

One in every 400-600 children and adolescents have Type 1 Diabetes
57 of children and adolescents with Type 1 diabetes have a close family
member with diabetes sibling, parent, or grandparent This number
increases to 84 for young people with Type 2 diabetes
Data on Type 2 diabetes is incomplete, but reports from clinics around
the country indicate that this type of disease is increasingly appearing
in children from American Indian, African-American, and Hispanic/Latino
America backgrounds

You can learn more about
the SEARCH study at wwwSEARCHforDIABETESorg

The Juvenile Diabetes
Research Foundation International can be found at
wwwjdrforg

To order a free copy of the CDC
book Take Charge of Your Diabetes, call 1-877-000-0000 or go to
wwwcdcgov/diabetes/
pubs/tcyd/ktrackhtm

Fast Facts on Children and Diabetes in the US

FOR MORE INFORMATION

If you would like to enroll your child in
the SEARCH study, please contact Chad A Kinney, RN, MSN, CNP,
MetroHealths Project Coordinator for the SEARCH study, at MetroHealth One
Participation involves an interview, a physical exam,
and a follow-up exam one year later All results will be provided to you
and your family doctor

Medical knowledge can only advance if people are willing to participate in
these studies, says Kinney We want to beat diabetes, and theres still
so much we dont know about the disease in our children

All of the information given by SEARCH participants will be held in strict
confidence and used for research purposes only

MetroHealth has been chosen as one
of the 17 regional medical centers involved in SEARCH for Diabetes in
Youth, a national study funded by the CDC Center for Disease Control and
Prevention and NIDDK National Institute of Diabetes and
Digestive
and Kidney Diseases

Diabetes is a major health concern affecting about 16 million Americans
The SEARCH study will investigate diabetes
in children, especially the less-common Type 2 diabetes Data from children
who participate in the study will help medical professionals better
understand the complications of diabetes in children It will also help
measure the effectiveness of the treatment these children receive

Diabetes SEARCH Comes to MetroHealth

METRO
HEALTH

FOR MORE INFORMATION

teaches a class based on her book - check with the MetroHealth nearest you
for her next appearance there And dont overlook a membership at your
local fitness center or YMCA

The National Heart, Lung and Blood Institute offers detailed information
about cholesterol Visit them at wwwnhlbinihgov/health/dci/ Select High
Blood Cholesterol under the Browse tab

Diet and exercise are crucial to managing cholesterol Start by limiting
the saturated fat and cholesterol in your diet Common sources of saturated
fat and cholesterol include red meat, whole milk, ice cream, and eggs Eat
these foods less
often, eat smaller amounts, or choose alternatives such
as chicken, low-fat milk, or frozen yogurt

Healthy Cooking with Hannah, a collection of fun, healthy recipes from
MetroHealths head chef, Hannah K Davies, is available at all MetroHealth
facilities at no charge to you Chef Davies also

By Sherri Tang, ATC, Physical Medicine and Rehabilitation, MetroHealth One

Were often asked by our clients, Whats the best exercise I can do? Our
answer is always the same: The best exercise you can do is the one youll
actually do

If you feel you have so little time to exercise that you can only do one
thing, and if youre wondering what that thing should be, try walking
Youre already doing it You can walk almost anywhere, at any time, and you
dont need a lot of high-tech, high-cost gear to get off on the right foot
Except one thing: a pedometer

A pedometer is inexpensive and simple to use You can get pedometers that
tell you how many calories youve burned and how far youve traveled, but
all you really need is the pedometers main function: To count your steps
A pedometer will prove to you that even small steps if you take enough of
them lead to better health

Now stretch those goals
Once
youve hit your first targets, aim higher - gradually Start by adding
200 to 1,000 steps a day to your baseline, depending on your fitness and
energy levels If youre just starting a walking program, and especially if
youve been inactive for a long period, push yourself gently For example,
increase your baseline by 10 percent each week

Youll eventually find yourself looking for opportunities to walk short
distances at home or at work Youll find yourself parking your car at the
far end of the parking lot from your office, or taking a bus to work and
piling up those steps to and from the bus stop At home, youd be
surprised how many steps it takes to do the laundry or the shopping, or to
walk across a mall rather than park closest to the store you want The more
steps you can accumulate
throughout the
day, the better

Lets go shopping
When choosing a pedometer, look for a display monitor you can read under
bright sunlight or at dawn or twilight Make sure its lightweight and that
it fits comfortably on your clothing and wont fall off if you put on some
speed

Choose your goals
Begin your goal-setting by finding a baseline measurement Your pedometers
instructions will explain how to set
the devices brain to measure your
particular stride Once youve set that, wear your pedometer all day for
three days Add each days total together and divide by three Thats your
baseline

Achieving small goals along the way can help motivate you and keep you
walking For example, your first short-term goal might be to double your
baseline steps Your long-term goal might be to walk the 10,000 steps a day
- about 5 miles on level ground - recommended by the Presidents Council on
Physical Fitness and Sports Another long-term goal might be to walk
continuously for 30 minutes about 4,000 steps every day

Step right up Using Pedometers to Boost Your Walking Power

When combined with other substances, LDL forms plaque, which sticks to the
walls of arteries and narrows them If these fatty plaques burst, clots
form to seal them, further restricting blood flow and leaving us vulnerable
to heart attack or stroke

HDL is the Mr Clean of the bloodstream Its main job is to mop up harmful
fats and transport them to the liver for removal from the body HDL also
helps to prevent clots by keeping the platelets in the blood from getting
too sticky Unlike LDL, high levels of HDL in the blood are
beneficial

Source:usd.edu

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