on a Short Leash
Living with Diabetes 2
New Robot at Northwest Hospital 4
Gamma Knife Treats 3000th Patient 4
Ready for Anything - Emergency Preparedness 7
Graham Kerr Talks About Healthy Eating 8
Keeping Diabetes on a Short Leash
i n 2001, Beverly casey, a former welder
and aerospace worker, was in the midst
of a busy, happy retirement when things
went sideways. During a vacation with her
husband in Maine, she fell from the ladder
of the couple’s camper, twisting her foot,
breaking her fibula and severely distorting
an orthopedic surgeon at the local hospital
restored the foot using screws and a metal
plate. When she tried to thank him following
the surgery, the doctor told casey, a diabetic, Beverly Casey walking her dogs with
that she was not yet out of the woods. her her daughter Cheryl Cummings on
diabetes, he said, could significantly impact the Burke-Gilman Trail.
her body’s ability to fight infection and heal.
the path through those woods would home in new york to bring her to seattle gery was compounded by the sudden loss of
eventually lead casey across the country to and northwest hospital. her husband, but even while grieving, casey
the award-winning diabetes and wound care tackled therapy with determination. “i had
programs at northwest hospital & Medi- one of the first people casey saw was to learn how to walk all over again,” she says.
cal center – and to the care of her daughter orthopedic surgeon, Dr. robert clawson, “then i bought a car and drove myself and
cheryl cummings, the hospital’s clinical who consulted with the northwest hospital my crutches back to seattle.”
coordinator of diabetes services. Wound care center about casey’s care. phy-
sicians there removed the worst of the screws soon after, endocrinologist Dr. robert
casey, one of the 21 million people in the in casey’s foot, and she began rehabilitation. Kanter began working with casey to better
U.s. who suffer from diabetes, was diagnosed incorporate diabetes care and maintenance
with the disease when she had a heart attack “the Wound care center is a great resource into her lifestyle. she began to attend diabe-
at age 56. she says the diagnosis wasn’t a for cases like this,” clawson says. “it’s the tes education classes at northwest hospital,
surprise, since her brother, father and grand- appropriate setting for treating wounds that ranging from understanding diabetes and
mother also had diabetes. “i started working are slow in healing, such as those in diabetic modern monitoring technology to stress
on controlling it, but i wasn’t very success- patients.” management.
ful,” she says. casey was put on insulin to
control her blood sugars just about the time “i had every confidence that the Wound “in the 11 years she’d had diabetes, Beverly
the accident in Maine happened and she was care center could handle Mom’s case,” had not had much diabetes education, and
confined to a wheelchair to recover. cummings says. “they treated her for seven she hadn’t seen a dietician for more than
weeks, and for the first time, nobody men- five years,” Dr. Kanter recalls. “she had high
as her surgeon had predicted, it was not an tioned that she might lose her foot. it had blood pressure, high cholesterol, decreased
easy recovery. an infection resulted in an- been said so often.” sensation in her feet due to the diabetes and
other hospital stay and more surgery. casey’s she was significantly overweight. We had a
blood sugars were unstable and she was Doctors also recommended a bone graft lot of catching up to do.”
told she might lose her foot. then, her body to repair casey’s fibula, which was still too
started rejecting the hardware the doctor in short after several months of healing. casey “Dr. Kanter is a marvel!” casey exclaims. “he
Maine had installed. at that point, cum- had the procedure in Wisconsin, where her got my blood sugar down, and got me into a
mings stepped in, traveling to her mother’s other daughter, Kelly, lived. the difficult sur- weight management class. i think it’s really
important to keep up the relationship with
your endocrinologist, to get back to good
“The Wound Care Center is a great resource for cases health.”
like this. It’s the appropriate setting for treating wounds
casey benefited from both inpatient and
that are slow in healing, such as those in diabetic outpatient diabetes care at northwest hos-
patients.” - Dr. Robert Clawson pital and was also able to take advantage of a
continued on page 2
WWW.nWhospital.org for a free physician referral call (206) 633-4636 or (800) 633-4636
Cover Story Continued . . .
new generation of diabetes medications. as works full-time and enjoys shopping and Former Galloping Gourmet,
a result, she’s now using almost 75 percent renovating the home she shares with her son
less insulin than she did when she first came robert.
Graham Kerr - November 27th
@ Third Place Commons in Lake Forest Park
to the hospital.
“she was supposed to get a single-level Join this internationally famous
“We have so many resources to help people condo near me, and be safe,” cummings television chef and author for the
with diabetes adapt to the disease,” says laughs, “but that’s who she is – energetic, Northwest Hospital Diabetes Education
cummings. “We have a direct link to an vibrant and ready to go back to work.” Forum at 7:00 p.m. Kerr will sign copies
endocrinologist for consultations; a clinical of his latest book, “Day-by-Day Gourmet
nurse specialist dedicated to the program; for more information on diabetes education Cookbook,” and talk about improving
diabetes classes, forums and support groups; classes, call (206) 368-1564 or visit the Dia- your health by making reasonable diet
and protocols for managing high blood betes education section of the northwest choices. Between 6-7:00 p.m., Northwest
sugars.” hospital Web site at www.nwhospital.org/ Hospital nurses will offer blood sugar
classes. for information about the north- and blood pressure screenings. Call
anyone can tell casey is feeling better. she west hospital Wound care center, call (206) (206) 368-1564 for more information.
now lives independently with her two pugs, 368-1244. to find a doctor for diabetes care,
roxanne and Buster, on an eight-acre farm call the northwest hospital physician refer-
near Kingston on the Kitsap peninsula. she ral line at (206) 633-4636. November is American
Each week in November focuses on a
different face of diabetes: the first week
is all about caregivers; the second on
promoting healthy lifestyles in the work-
place; the third week on rising numbers
of diabetes cases around the world; the
Sugar’s Favorite Disguises fourth week will be about at-risk popula-
If you are diabetic, or even pre-diabetic, favorite soft drink, for example, might tions; and the fifth week will be all about
the tricky part of managing sugar in the find it hard to believe how much sugar is children and Type 1 diabetes. Nearly 21
diet is that it’s not always identified as lurking in a serving. million children and adults in the U.S.
“sugar” or “sucrose” on the lists of ingre- are living with diabetes, and another 54
dients found on processed foods. Rather, Here’s a list of the sugar content in just a million are at risk.
it can show up as: few popular processed foods:
• Glucose ½ c sugar-coated cereal = 9 tsps added
• Dextrose sugar
• Fructose 1 slice iced layer cake = 9 tsps added
• Lactose The Med-Info newsletter is published
• Maltose bi-monthly as a community service
2 small cookies = 4 tsps added sugar by the Marketing Public Relations
These are other forms of sugar and may 12 oz regular soda pop =12 tsps added Department.
raise blood sugar levels. It’s important to sugar
read food content and nutrition labels To contact us about the newsletter,
1 c fruit-flavored yogurt = 7 tsps added e-mail email@example.com or call
carefully, to identify sugars in disguise.
sugar (206) 368-1645.
Not all foods labeled “sugar-free,” “sug-
The good news is, you don’t have to Managing Editor: Pam Sowers
arless” or “no sugar added” are free of
stop eating these foods. Instead, look
all forms of sugar. In fact, manufacturers Design: Erin Dekker
for products with non-caloric sugar
may use these labels while still adding Cover Photography: Nichole DeMent
substitutes, such as Equal, Sweet n’ Low
fructose, corn syrup or concentrated
or Splenda, that don’t raise blood sugar
fruit syrups to their recipes, as long as Main Campus:
there is only a half a gram per serving. 1550 N 115th Street
(Adapted from “Living Well with Diabetes:
Many processed foods contain sugar, Outpatient Medical Center:
Education for Self-Management,” by Patricia
but it can be difficult to determine how 10330 Meridian Ave N
Clement RD, CD, CDE Pauline Sheehan
much sugar a food item contains just
RN, CDE, for Northwest Hospital’s Diabetes Phone: (206) 364-0500 or
from the taste alone: consumers who
Education classes) (800) NWH-HOSP (694-4677)
are accustomed to the sweetness of their
Visit www.nwhospital.org for
information and directions.
da Vinci Enhances the Art of Surgery at Northwest Hospital
a state-of-the-art alternative to conven- • Less risk of infection
tional laparoscopic and traditional open • Less blood loss and fewer
surgery methods. It uses 3-D, high-defini- transfusions
tion vision and four “robotic hands” as • Faster recovery
extensions of the surgeon’s own eyes and • Quicker return to normal activities
hands to go where human hands typi-
cally cannot. Northwest Hospital has invested in the
da Vinci “S” Surgical System, the most
Guided by the surgeon, who sits at a advanced da Vinci system to-date, which
separate viewing console, the da Vinci incorporates many capabilities that
This November, the surgeons and operat- robot translates the natural movements earlier versions did not. Newly installed
ing room staff at Northwest Hospital of the surgeon’s hands, wrists and fingers in an operating room, da Vinci was used
received a helping hand – four of them, into micro-movements of the robot, in to perform its very first procedures in
actually. order to create and maneuver within early November. Over the next year, the
smaller incisions and to perform delicate hospital expects to expand the use of da
As part of its efforts to offer world-class and complex procedures with greater Vinci to enhance gynecologic, cardiac,
surgical services and the latest advance- precision and dexterity. urologic and a number of other surgical
ments in medical technology, Northwest areas.
Hospital is now home to the da Vinci da Vinci also offers patients a variety of
Robotic Surgical System. benefits, including: For more information about the da Vinci
Surgical System, visit www.davincisurgery.
Used for a wide variety of minimally inva- • Shorter hospital stays com. For more on da Vinci services at
sive surgical procedures, da Vinci offers • Less pain and scarring Northwest Hospital, call (206)368-1811.
Northwest Hospital Gamma Knife Center Treats 3000th Patient
In addition to the arrival of the da Vinci of post-operative complications, such as
Surgical System, November marked an infection and hemorrhage, are elimi- Sally
important and exciting milestone for nated. Most patients recover quickly and Jacobs
Northwest Hospital. On November 6, the are able to resume their normal activities and her
Northwest Hospital Gamma Knife Center within 24 hours. daughter
performed its 3000th procedure, more shortly
than any other program in the Pacific Sally Jacobs, the center’s 3000th patient, after
Northwest. had been diagnosed with a meningioma Jacobs’
during a CT scan several years ago to Gamma
The first to introduce Gamma Knife discover why a sinus infection would not Knife
Radiosurgery to the region in 1993, the subside. Meningioma, the most common treatment.
Northwest Hospital Gamma Knife Center type of benign brain tumor, forms from
is also the area’s largest and busiest, the meninges, or the membrane cover- with the goal of halting the tumor’s
treating patients from throughout Wash- ing the brain. growth and, in ideal cases, causing it to
ington State and across the country. shrink.
When Jacobs’ tumor began to grow, her
The Gamma Knife is a non-invasive, doctor referred her to neurosurgeon Dr. “I’m doing great and feeling pretty
state-of-the-art technology that uses James Raisis at the Northwest Hospital normal,” Jacobs said a day following the
focused beams of high-dose cobalt radia- Gamma Knife Center. Raisis is part of the surgery. “The Gamma Knife treatment
tion to deliver precise treatment to a center’s multi-disciplinary team of medi- was so interesting because of all the dif-
specified target while protecting sur- cal professionals, whose combined ex- ferent steps they took, even before the
rounding normal tissue. It is used to treat pertise in brain anatomy, neurosurgery, actual procedure. I’m so thankful that I
functional diseases of the brain, such as radiation oncology, and radiation physics had such competent people taking care
essential tremor, Parkinson’s and trigemi- provides patients with comprehensive, of me.”
nal neuralgia, as well as brain tumors and world-class care.
a number of vascular conditions. For more information about Northwest
During Jacobs’ surgery, Raisis focused Hospital Gamma Knife Center, call
Most patients require only a single out- the Gamma Knife’s beams on the tumor. (206) 368-1626 or (800) 695-0654, or
patient treatment. Since the procedure The treatment will gradually kill the visit www.nwhospital.org.
is non-invasive, or “bloodless,” the risks tumor cells over months and even years,
WWW.nWhospital.org for a free physician referral call (206) 633-4636 or (800) 633-4636
November - December 007
To find more class and events, visit www.nwhospital.org.
CANCER LIFELINE CLASSES SUPPORT and aerobic movement with great infant CPR and to relieve an obstructed
GROUPS music! Appropriate during or after airway. This class does not provide a
cancer treatment and for anyone with CPR certification card.
Cancer Lifeline at Northwest Hospital (or at risk for) lymphedema. Please Cost: $40 per couple
classes and groups are free and open to register. Fine to start any time during
the public. Call (800) 255-5505 or the series. Mondays, November 12
(206) 297-2500 for more information - December 17, 12-1 p.m. Professional Breast-Feeding Basics
or to register. You can also register Building, Ste #3. This class is designed to educate
online at www.cancerlifeline.org. parents on proper feeding techniques
and positioning. Cost: $40 per couple
Brain Cancer Support Group CHILDBIRTH EDUCATION
Drop in any time - no registration Foundations for Fatherhood
necessary. Second Tuesdays of the Childbirth, parenting and new baby A class for expectant dads. Taught by an
month, 6-7:30 p.m. Professional classes are offered in conjunction experienced father, this popular class
Building, Ste #3. with Gracewinds Perinatal Services. addresses topics and issues associated
All classes are held on the Northwest with fathering. Cost: $30
Hospital campus. Please call
Breast Cancer Support Group Gracewinds Perinatal Services Comprehensive Education Package;
Drop in any time - no registration at (206) 781-9871 or visit www. Purchase all six classes and save $70.
necessary. First and third Wednesdays gracewindsperinatal.com/nwclasses Package Cost: $245 per couple
of the month, 4:30-6 p.m. Professional for scheduling and registration
Building, Ste #3. No meeting Nov 21st. information.
continued on page 6
Colorectal Cancer Support Group Childbirth Prep Series
Drop in any time - no registration A four- and seven-week course that is
necessary. First Wednesdays of the designed to give expectant parents the
month, 7-8:30 p.m. Professional tools and information needed during
Building, Ste #3. childbirth. This course is also available
in a condensed weekend format.
Cost: Four Week, $115 per couple
Lung Cancer Support Group Seven Week, $200 per couple
Drop in any time - no registration Weekend, $125 per couple
necessary. Second and fourth Thursdays
of the month, 7-8:30 p.m. Professional
Building, Ste #3. New Family Skills
This important class addresses the
specific changes that affect new parents.
Gentle Yoga Costs: $40 per couple
Combines easy stretches, postures,
guided meditation and breathing
exercises. Please register. Fine to start Newborn Care Class
any time during the series. Wednesdays, This course is an excellent primer for
November 7 - December 13, 6:30-8 p.m. first time parents, grandparents and
McMurray Building, Cardiac Fitness baby-sitters. Costs: $40 per couple
Center. No class Nov 24th.
Lebed Method, Infant Safety/CPR
Lymphedema Exercise A class designed to give new parents,
This gentle and fun exercise program grandparents and baby-sitters the skills
combines easy stretches, strengthening to help prevent accidents, to perform
November - December 007 (Continued)
To find more class and events, visit www.nwhospital.org.
EMERGENCY SERVICES EDUCATION Grief Support Group
A six-week support group for those
CPR Training coping with the death of a loved one.
Learn life-saving skills from Medic In this safe and non-judgemental
II personnel. Offered on the third environment participants will focus
Tuesday of each month, 7-10 p.m. on the normal aspects of grieving
Registration required. Call (206) and grief-work tasks, consider ways of
368-1564 for more information. Cost: providing self-care and develop coping
Donations are greatly appreciated. strategies for getting through difficult
Checks should be made out to Medic II times.
Next group series: Tuesdays, January
8 - February 12, 6-8:30 p.m. Pre-
registration is required. Please call
PRENATAL SERVICES (206) 368-1891.
Baby Your Back
Back pain is a frequent complaint
of pregnant women and has many WELLNESS CLASSES
causes. Baby Your Back is a two-hour
class for expectant mothers taught Living Well with Diabetes
by a licensed physical therapist. It is This program has been formally
offered the second Thursday of each recognized for excellence by the
month at Northwest Physical Therapy American Diabetes Association.
Services, located in Northwest Hospital Participants will gain information and
Medical Center’s Outpatient Medical skills to manage diabetes in this four-
Center. Cost: $10. Call (206) 368-6032 session series offered monthly. Note:
to register. Healthcare provider referral Physician referral is required for class. NOVEMBER 007
required. Day and evening classes available.
For more information contact your S M T W T F S
physician, or call (206) 368-1564 to
receive a brochure.
SUPPORT GROUPS 7 8 9 10
Diabetes Support Group Weight Loss Surgery Education 11 1 1 1 1 1 17
Join the diabetes instruction team to Is Weight Loss Surgery Right For You?
18 19 0 1
learn about and discuss topics such Join us for a free informational seminar
as: meal planning, blood glucose to learn more about: weight loss surgery 7 8 9 0
monitoring devices, weight loss, options and risks; patient selection
treatment for high and low blood criteria; nutritional requirements; and DECEMBER 007
sugars, medication management, insurance coverage. Question and
dietary supplements, diabetes myth answer segment to follow each talk. All S M T W T F S
busters, monitoring for complications sessions are free and are held on the 1
and what’s new in diabetes research Northwest Hospital campus. Call (206)
and technology. 368-1350 to reserve your space today. 7 8
November 28 and December 6 19,
9 10 11 1 1 1 1
Second Tuesday of each month, 6:30-8:30 p.m.
1-2:30 p.m. and third Thursday of 1 17 18 19 0 1
each month, 7-8:30 p.m. To register
visit www.nwhospital.org and click on 7 8 9
“Classes, Events Support Groups” or 0 1
call (206) 368-1564.
WWW.nWhospital.org for a free physician referral call (206) 633-4636 or (800) 633-4636
Quality of Care PuT CoLD WEATHER EmERGENCiES oN iCE
Even our mild Pacific Northwest climate has been known to let loose with snow
and icy temperatures for days on end. The best way to cope with weather emer-
gencies is to plan ahead by preparing both your home and your car for extreme
Ready for • Stock up on food items that can be prepared even if the electricity fails.
Anything • Use fireplaces, wood stoves or other combustion heaters only if they are
properly vented to the outside. Never use charcoal or gas grills indoors – the
carbon monoxide fumes can be deadly.
Suppose for a minute that you had to • Keep flashlights with fresh batteries handy to use during power outages.
get ready for an important event without Use candles only when necessary and do not leave them unattended.
knowing what that event might be. If
you had to prepare for an earthquake, • Grab an extra flashlight for the car, and make sure you have warm clothing
a flood, a fire and a wind storm, as well stored in the trunk, along with snow chains and a first aid kit. Even though
you may have a cell phone, keep some change for a pay phone in the car,
as a wide variety of man-made threats, too. You may find yourself in an area with poor cell phone coverage.
where would you start?
For more information on planning for extreme weather conditions, visit the
That’s the question at the heart of Emergency Preparedness and Response section on the Centers for Disease Con-
emergency preparedness at Northwest trol Web site at www.emergency.cdc.gov.
Hospital. The answer is what emergency
planners like Peter Rigby call all-hazards
planning. “Many people in the Seattle
area depend on the medical center for to ensure patients’ health and safety as emergencies, thanks to the organiza-
routine healthcare, but they also look to they are moved to other locations. All- tion’s continuing involvement in region-
the hospital for reassurance and emer- hazards preparation and training uses al, statewide and national drills.
gency care in the event of a community- established sectors of the organization
wide disaster,” says Rigby, who wears sev- to respond appropriately to the needs “We often activate the emergency system
eral hats at Northwest Hospital: director presented by each kind of emergency. during minor incidents, so we can be
of therapies, safety officer and leader of better versed in it,” Ward says. “When
the hospital’s emergency management So, who makes the decisions to deploy our usual operations show signs of be-
committee. various departments and resources to ing overwhelmed by the demands of
respond to an event? an event, such as a power outage, snow
“If an incident were to occur, we can de- storm or other emergency in the com-
ploy our personnel, supplies and other Rigby says, “We’ve adopted an incident munity, we activate the plan.”
resources in whatever manner the disas- command structure for decision- mak-
ter would require,” Rigby says. “We’re ing. In the event that the standard busi- According to Rigby, every member of the
able to do this because we prepare for ness structure is not able to respond to a community, not just the hospital staff,
these events using what’s called an all- particular situation, we are prepared to plays a role in the event of a regional
hazards approach.” work under an alternate decision-mak- emergency.
ing structure to effectively and efficiently
Since many emergencies may bring large allocate resources and personnel.” Rigby recommends that everyone de-
numbers of people to Northwest Hospi- velop a home emergency plan and then
tal, the emergency management com- Gayle Ward, vice president of clini- practice that plan. He also emphasizes
mittee makes sure that the security staff cal services and chief nursing officer that in the event of any emergency, lis-
is prepared with training and adequate at Northwest Hospital, points out that tening to directions and information on
supplies, to deal with a surge of people. administrators and directors of various TV or on the radio is extremely impor-
Some hazards, such as earthquakes or departments within the hospital have tant. “For example, some emergencies
windstorms, may incapacitate electri- been trained as incident commanders. may require you to stay where you are,
cal and water systems, so the hospital’s rather than move around the commu-
engineering division must also be “Any one of us can lead the organiza- nity or evacuate. Paying close attention
prepared to provide utilities to support tion if an incident were to occur,” Ward to messages in the media will clear up
healthcare operations. And some events, says. “That, and our integration into the any confusion about what to do next,”
such as chemical exposures or biological larger community and regional emer- he says.
hazards like anthrax, may require mass gency management leadership, makes
decontamination. Northwest Hospital unique. We’ve put For more information on personal
a lot of time and energy into that, quite and community emergency prepared-
Some threats may even require evacu- successfully.” ness, visit 3 Days 3 Ways at www.govlink.
ation of patients, so the hospital staff org/3days3ways.
must be prepared to use several differ- Ward adds that the community can be
ent kinds of equipment and techniques confident in Northwest Hospital during
noVeMBer/DeceMBer 2007 7
In the Community
Playing Favorites with Graham Kerr
Imagine eating all the foods you really you can’t have rules. It has to be about developed
like and never having to eat the ones you individual choices.” into a real
don’t. Although that may be stating it a threat in
little too simply, that’s the idea behind Kerr started over from scratch by asking the United
Graham Kerr’s approach to healthy eat- Treena which foods she loved and which States,” Kerr says. “The ‘H Factor’ is the
ing. she didn’t want to eat. He didn’t remove only thing that separates the two words.
any of the foods Treena loved from the ‘H Factor’ foods are high in volume and
Known for years as the Galloping Gour- list. Instead, he worked with his wife to high in repetition in our diet. In other
met, Kerr wants to help people, particu- discover what a reasonable and moderate words, we eat too much of them and we
larly those with diabetes, enjoy what they serving of those foods would be for her. eat them too often.”
eat while avoiding the negative health
effects associated with over-indulgence. “Since she loves bacon and likes to have Kerr points out that once people analyze
four pieces, the reasonable and moder- their diets, they can then make reason-
It all goes back to his beloved wife, ate choice for her was two pieces,” Kerr able, moderate changes that cut down on
Treena. When she was diagnosed with explains. “She loves tomatoes and I love calories, fat grams and even cost.
diabetes, Graham, the primary cook in to broil them, so now that goes on the
the house, set a number of rules for what plate in place of two strips of bacon. We To learn more about Graham Kerr’s ap-
Treena could eat. During the memorable have less of what harms her and more of proach to a satisfying, healthy diet, join
argument that followed, Treena threw what will do her good. him at the Northwest Hospital Diabetes
away almost everything in the kitchen Education Forum at 7 p.m., Tuesday,
cupboards. “She was shouting, ‘There “Now our diet is all her preferences,” November 27, at Third Place Commons
is nothing left in the world to eat with Kerr emphasizes. “This is not hardship in Lake Forest Park. He’ll sign his new
you!’” Kerr recalls. – this is actually an enhancement that book, “Day-by-Day Gourmet Cookbook”
makes life better.” after his presentation. Blood sugar and
“I made rules, Treena rebelled, we blood pressure screenings will be avail-
compromised and then eight years later, “I see the sublime need to have food able from 6 - 7 p.m. For more informa-
she had a stroke. So now I tell people, as a treat, while I also see that food has tion, call (206) 368-1564.
Northwest Hospital Medical Center has been awarded the 2007 HealthGrades Distinguished
Hospital Award for Patient Safety and the Award for Excellence in Stroke Care.
10 N 11th Street PAID
Seattle, WA 981 Permit No. 1549