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health watchDECEMBER 2014 | DUBUQUE, IOWA | MERCYDUBUQUE.COM

DIETITIAN APPROVED:

Mercy unveils frozen meals

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TAKING WEIGHT OFF TOGETHER

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Pictured: Steve and Meredith Hirsch,

Asbury, Iowa, at the Dubuque Food Co-op

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President/CEO: Russell M. Knight

Marketing Staff: Holly Brimeyer, Matthew J. Daughenbaugh, Jennifer Faley, Keri Gockel and Natalie Reittinger

General information: 563-589-8000

Mercy’s 135th year of service to Dubuque and the surrounding region has proven to be an exceptional one. From the hospital’s humble beginnings in a small building at the base of West Third Street in 1879, we’ve grown to become a large and complex enterprise, with a critical access hospital in Dyersville, outpatient clinics in Bellevue and Cascade, a network of primary care offices operated jointly with Medical Associates Clinic throughout the tri-state area, and a chain of retail pharmacies with several locations in Dubuque and nearby communities.

As the year 2014 draws to a close, we have much to celebrate and be thankful for. One of the highlights occurred this spring, when we were re-designated as a Magnet hospital for the third time since 2004, joining a small number of nationally-recognized institutions that have achieved such recognition. More recently, we were notified that the Women’s Choice Award organization has named Mercy one of “America’s Best Hospitals for Obstetrics.” This award is fitting, because we have spent the past several years upgrading our Birth Center facilities to ensure that the comfort, aesthetics, and amenities of the unit match the already-high levels of quality and safety.

Other major projects either completed or underway include the renovation of our CT suite and the addition of a 64-slice scanner, the expansion and modernization of our operating rooms, and the replacement of our main bank of elevators. In the year ahead, we will be developing a new visitor entrance and lobby and expanding laboratory space on the Mercy campus.

These significant investments are made possible by our continued strong operating performance, the generosity

of our many donors, and our healthy financial condition. We saw significant growth in activity during the year, which—coupled with improved productivity and lower average costs per case—yielded a substantial increase in net income, 100 percent of which is returned to the community in the form of new equipment, facilities, and services.

Three examples in 2014 were the introduction of endobronchial ultrasound to aid the diagnosis of lung cancer, the acquisition of a visual patient monitoring system to prevent falls among patients who are at high risk, and the creation of a patient information portal called “MyMercy.”

One of the more important developments in 2014 was the initiation of something called a “clinically integrated network” that brings together Mercy and eight physician groups from across the community who will work collaboratively to improve the quality of care and reduce its cost. This large-scale cooperative venture, the first of its kind in our area, has great potential to produce positive changes in the delivery of coordinated health care for our region. As we enter 2015, we look forward to being part of this transformational undertaking.

To close on a more reflective note, all of us at Mercy were saddened during the year by the loss of three wonderful former or current members of our medical staff: psychiatrist Dr. Tom Piekenbrock, ophthalmologist Dr. Ed Scott, and emergency physician Dr. Doug Butzier. Each made countless valuable contributions to the growth of Mercy and to the health of the community; each will be deeply missed in the years ahead.

A LETTER FROM THE PRESIDENT

Russell M. Knight, President and CEO

welcome

Health Watch is published six times per year by Mercy Medical Center – Dubuque. Information contained in Health Watch is intended for general information and should not be construed as medical advice or instruction. For diagnosis and treatment of specific conditions, consult your physician.

©2014 Mercy Medical Center – Dubuque

quick tips

SNOWSHOEING It’s considered the fastest growing winter sport in the world, and for good reason. Snowshoeing can burn up to 600 calories an hour, is a relatively inexpensive and low-injury sport, and is appropriate for a range of ages and skill levels.

WINTER HIBERNATION

NEED AN INDOOR OPTION? Not everyone can participate in winter sports, but you can still get your blood pumping this winter while indoors. A pedal exerciser is an inexpensive option for improving circulation and increasing muscle strength. You can enjoy bicycle-type exercise from your chair, or place the unit on a table to exercise your arms. Pick one up at the Mercy Home Care Store, inside the visitor lobby, for just $49.

CROSS-COUNTRY SKIING This total-body workout is a perfect sport for building endurance and burning mega calories—up to 600 calories an hour. It’s also a low-impact sport that’s easy on your joints. The many parks and nature preserves in the tri-state area offer plenty of trails for both cross-country skiing and snowshoeing.

DOWNHILL SKIING OR SNOWBOARDING For those who crave a faster pace, a day on the slopes can offer exhilaration and a great workout for your legs and core. These power sports can also improve your balance and agility. Give it a try at one of our two ski resorts in the area.

ICE SKATING Whether playing against friends in a game of hockey or gliding across the ice with grace, skating is a great way to build lower-body muscles. It can also improve balance, flexibility, quickness, and agility.

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Don’t spend your winter on the couch. Get up, get moving, and enjoy what winter has to offer.

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TEAMING UPin focus

to lose weight

MERCY WEIGHT LOSS PROGRAMIf you have been struggling to lose weight and are looking for a new approach to long-term weight loss, register for this innovative and comprehensive 12-week weight loss program. Learn the foundation of basic nutrition and how to create simple, flavorful dishes to reach and maintain your new healthy lifestyle.

Wednesdays, January 21 – April 8

Noon – 1 p.m. or 5:15 – 6:15 p.m.

Mercy, 250 Mercy Drive, Dubuque

Fee: $249. Registration required at mercydubuque.com/events or at 563-589-9600.

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Steve and Meredith shop for healthy options at the Dubuque Food Co-op.

Steve and Meredith shop for healthy options at the Dubuque Food Co-op.

goal, because we know that it takes more than just counting calories to be successful,” Holly explained. “We address topics such as meal planning, dining out, and emotional eating.”

The program also includes cooking demonstrations by Mercy’s chef, Chad Schissel.

Steve and Meredith have made several of Chef Chad’s recipes at home, and have also enjoyed modifying their favorite meals. For example, Steve likes to make homemade chicken pot pie, so he has learned to make a reduced-calorie pie crust.

“We don’t deny ourselves, but we’re more aware of what we’re eating and stopping when we’re full,” said Meredith. “It’s about changing your perspective.”

Since finishing the 12-week program, Steve has lost around 25 pounds and Meredith around 10. They both want to lose more and are confident about reaching their goals.

“We’re dedicated to it,” Steve confirmed. “Now we know what to do and how to do it."

Steve Hirsch went through a period after retirement when he wasn’t getting much activity. “I put on weight and needed to get rid of it,” he said.

Steve’s wife, Meredith, was eager to support him and also wanted to lose a few pounds. Together, they decided to join the Mercy Weight Loss Program.

“We were looking for a lifestyle change, not a diet,” Meredith said. The 12-week program provides the tools necessary to manage weight long term.

“The program works because it is based on science and providing the best information about weight management in a straight-forward manner,” said Mercy dietitian Holly Paulsen, RD, LD. “We end up dispelling a lot of dieting myths.”

Because the overwhelming majority of research indicates that weight management is primarily about calories, the program begins by measuring each participant’s unique calorie needs. This provides each person with an individual calorie goal designed for their weight-loss success.

“Once that calorie goal is established, the program is devoted to teaching participants how to achieve that

Gary Dura participated in the Mercy Weight Loss Program in January 2013. Since then, he lost more than 90 pounds and has maintained his weight within a 5-pound range for nearly a year.

While in the program, Gary learned what his body needs and how to be fulfilled with lower-calorie foods. “I began to understand the ‘why’ behind foods—what they contain and what to look for. The program was educational and provides a

basis for healthy meals.”

And he doesn’t feel deprived. “I enjoy buffets, desserts and larger meals–occasionally,” he said. “Once or twice a month doesn’t stop the weight loss process, it only momentarily slows it. When you start again the next day you’ll rekindle your enthusiasm and get back on track.”

Gary is also exercising and experiencing great health benefits, including more energy and better

health numbers, which had previously been borderline.

Gary knows that weight loss shouldn’t be a quick fix. “You have to commit fully to the process and trust that it’s going to work. Be sure to have a support system to help guide you. For me, this included Holly Paulsen from the program, my primary care provider, the Dubuque Community Y and especially my family. My wife, Mary, did so much to help and inspire me.”

Keeping the Weight Off

We were looking for a lifestyle change, not a diet.”— Meredith Hirsch

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hot topics

Q: I saw something on the news about new treatment for Parkinson's disease. Can you tell me more about that?

Q&A

MERCY GIFT SHOP

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Speak Loud, Move Big: Treatment for Parkinson’s Mercy physical therapist Anne Kruse and speech therapist Jeanne Ulrichs will discuss the new therapy and its proven success.

Friday, December 19, 1–2 p.m. Mercy, sixth floor auditorium 250 Mercy Drive, Dubuque

No fee. Registration required at 563-589-9600 or at mercydubuque.com/events.

LSVT BIG and LOUD programs at Mercy can empower those living with Parkinson’s disease or other neurological conditions to move more independently and to speak with greater

volume to be better understood. We’re seeing dramatic improvements.

The focus of LSVT BIG physical therapy is amplitude of movement, or moving in a big way. Participants are showing improvements in speed and size of stepping, less use of a cane or walker, better balance, increased confidence and improved ability to dual task (like walking and talking).

LSVT LOUD speech therapy focuses on amplitude of voice, or speaking in a loud manner with good vocal quality. Participants in LSVT LOUD have improved vocal loudness, speech and ability to communicate effectively.

Both programs consist of one-hour sessions, four days a week for four weeks. The programs are especially effective soon after the disease is diagnosed, but gains can be made at any stage of the disease process.

— Anne Kruse, DPT, Cert MDT, certified LSVT BIG clinician, Mercy – Dubuque

Shop gifts and home decor at the Mercy Gift Shop. All proceeds support programs and services for children in Mercy's care. As always, there is no sales tax.

Monday, Thursday, and Friday: 10 a.m. - 5 p.m. Tuesday and Wednesday: 10 a.m. - 7:30 p.m. Saturday: 10 a.m. - 3 p.m.

OVEN BAKED GOODNESSWith the recent addition of a combitherm oven, the kitchen at Mercy–Dyersville can now offer traditional fried foods without frying, which reduces fat and calories to provide healthier options for patients, visitors, and colleagues. The oven uses steam and dry air to preserve more of the food’s natural flavors, nutrients, and vitamins during the cooking process.

Purchase of the oven was made possible by a $10,000 grant from the Dubuque Racing Association.

PROVIDING AN EXTRA LAYER OF SUPPORT

Dealing with the symptoms of a serious illness can be difficult, but palliative care at Mercy provides an extra layer of support for patients and families. Palliative care is about relieving the symptoms, pain, and stress of a serious illness to improve quality of life for both the patient and the family.

“Our goal is to provide you with an open discussion about treatment choices and symptom management,” says Sue Houselog, Mercy’s palliative care coordinator. “We also provide emotional support for you and your family.”

Sue explains the difference between hospice and palliative care: “Hospice focuses on the person’s final months of life whereas palliative care is available at any time during a chronic illness.”

She is offering a free class to explain more about palliative care and the benefits it offers.

PALLIATIVE CARE: SPECIALIZED CARE FOR SERIOUS ILLNESSLearn more at mercydubuque.com/events or call 563.589.9600.

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INSTRUCTIONS1 - Preheat oven to 425°. 2 - In a small bowl, combine 1 tablespoon mustard, salt and pepper.

Rub mustard mixture all over pork. In a large oven-proof skillet, heat oil over medium-high heat until hot. Add pork and brown on all sides, 3 to 5 minutes. Transfer skillet to oven and roast pork until a meat thermometer registers 145°, about 40 minutes. Remove pork from skillet and let rest for 5 minutes.

3 - Place the skillet over medium-high heat. Add vinegar and boil, scraping up any browned bits, about 30 seconds. Whisk in maple syrup and the remaining 2 tablespoons mustard; bring to a boil, reduce heat to a simmer and cook until the sauce is thickened, about 5 minutes. Add rosemary or sage and stir to combine.

4 - Slice the pork. Serve the pork topped with sauce.

PORK TENDERLOINMAKES 8 SERVINGS • SERVING SIZE: 4 ounces of pork + 1 tablespoon sauce

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INGREDIENTS3 tablespoons Dijon mustard teaspoon salt teaspoon black pepper2 pounds pork tenderloin,

trimmed2 teaspoons olive oil cup cider vinegar2 tablespoons maple syrup2 teaspoons fresh rosemary

or sage, chopped

½⅛

Mercy is making your meal planning a lot easier. Healthy Variety frozen meals are developed by Mercy dietitians and hand-crafted in the Mercy – Dubuque kitchen. The meals are heart healthy, low in sodium, diabetic friendly—and delicious. They offer an easy meal solution for anyone with congestive

heart failure, diabetes, or heart disease; those following a weight reduction plan; or anyone who simply wants a convenient and healthy option.

Healthy Variety meals are different from what you’ll find at a grocery store. Most frozen meals at the grocery store are loaded with salt—even the meals that are marketed as healthy.

“We carefully tailored the sodium, carbohydrate and saturated fat content to ensure the meal is appropriate for a variety of dietary needs and is balanced for good nutrition,” explains Mercy dietitian Keri Schwenker, RD, LD. “Our meals stand alone in being dietitian developed and approved.”

Healthy Variety meals are just $4 –$5 and are available for purchase in the Mercy–Dubuque cafeteria.

For more information, visit mercydubuque.com/meals.

Healthy Variety was made possible by a $10,000 grant from the Dubuque Racing Association, which helped fund the equipment to create the meals.

HEART HEALTHY

DIABETES FRIENDLY

GLUTEN FREE

INTRODUCING: HEALTHY VARIETY

healthy variety

salmonwith vegetable bruschetta,

9 grain orzo, dilled carrots

hearthealthy

CALORIES SODIUM SATURATEDFAT

CARBS

TM

290 450mg 2g 27g

diabetesfriendlylow

sodium

NET WT. 295g KEEP FROZEN; MUST BE COOKED THOROUGHLY

M E R C Y D I E T I T I A N A P P R O V E D

For a list of our upcoming classes and events, visitmercydubuque.com/events

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PORK TENDERLOIN

This easy and healthy pork tenderloin is perfect for a winter night. A mustard rub and savory sweet sauce make this tenderloin juicy and delicious. The nutrition profile is outstanding!”

— Kristie Jacobsen, RD, LD

FLIP FOR

RECIPE

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RECIPE

NUTRITIONAL INFORMATION: 161 calories, 4g fat, 1g saturated fat, 62mg cholesterol, 382mg sodium, 3g carbohydrates, 0g fiber, 25g protein

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WHAT DO YOU HAVE TO LOSE?MERCY JUST FOR YOU WEIGHT LOSS PROGRAMMetabolism is an important factor in your ability to lose weight. Our registered/licensed dietitian team will measure your metabolism using the MedGem calorimeter and create an individualized, nutritional weight-loss plan—Just for You—that promotes healthy and lasting weight loss. Each participant will receive a detailed, customized report that provides the information you need to lose weight and keep it off.

Learn more at mercydubuque.com/weightloss