Committed to the Health & Well-being of El Dorado County

Teddy Bear Clinic, Tours and Open House Festivities Mark Construction Completion

Celebrating the South Wing

WINTER 2012

Marshall Celebrates Completion of South Wing Robot-Assisted Surgery Comes to Marshall Marshall Wound Care Center is a Healing Place

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In September, Marshall Medical Center celebrated the completion and upcoming opening of the South Wing, housing a new Emergency Department and Birth Center. A large tent was built in front of the new wing and housed various events over the three-day celebration.

Highlights included events shown here, including an employee luncheon, donor and physician receptions. A ribbon cutting ceremony was well-attended by all three area chambers of commerce, punctuated with remarks from local dignitaries, such as Placerville Mayor Mark Acuna. The grand finale was a Community Open House, featuring a very popular Teddy Bear Clinic for children, as well as entertainment, carnival games and face painting. Tours of the South Wing were given throughout the events.

Building the 88,000 square-foot South Wing was a true community effort. More than $1million in donations came from employees, the Marshall Auxiliary, physicians and members of the community. A new donor wall adorns the main lobby, filled with names of those who contributed to the fundraising campaign.

“Our hospital expansion and investment in technology mark a new era in patient care for our community. We have finally elevated the level of our facility to match the high standard of care we provide every day,” said Marshall CEO James Whipple.

Celebrating the South WingDid You Know?

Timing of Opening Dependent on Final State InspectionsEl Dorado County Fire and EMS personnel were on hand to help celebrate the new wing and Emergency Department.

A giant inflatable slide was a huge hit in the carnival atmosphere on September 14 - Community Day.

Placerville Mayor Mark Acuna remarked about the central role of Marshall Hospital in Placer-ville’s overall success.

The ribbon is officially cut for Marshall’s new South Wing. Shown l-r, Marshall CEO James Whipple; OB/GYN Department Head Robert Carter, MD; Emergency Department Director Marc Walter, MD, and Marshall Board President Gael Barsotti.

Placerville Police Chief and Marshall Founda-tion Board President George Nielsen con-gratulates Marshall CEO James Whipple at the South Wing Ribbon Cutting.

Steve Linde, FNP, examines a young patient at the Marshall Teddy Bear Clinic for kids, part of the Community Day festivities.

At the time of this publication being finalized, the opening of the South Wing was pending final inspections by the state. Visit www.marshallmedical.org for the latest updates.

AbOuT MArSHAll MEDICAl CEnTEr

Marshall Medical Center

is an independent,

nonprofit community

healthcare provider located in

the heart of the Sierra Foothills

between Sacramento and

South lake Tahoe. Marshall

Medical Center includes

Marshall Hospital, a fully

accredited acute care facility

with 105 beds located in

Placerville; several outpatient

facilities in Cameron Park,

El Dorado Hills, Placerville

and Georgetown; and many

community health and

education programs. Marshall

has over 200 board-certified

physicians and a team of over

1,200 employees providing

quality healthcare services to

more than 150,000 residents

of El Dorado County.

For Your HEALTHis published as a community

service by

MArSHAll MEDICAl CEnTEr

1100 Marshall Way

Placerville, CA 95667

telephone 530-622-1441

or 916-933-0913;

www.marshallmedical.org

It is intended to provide

information about health in general

as well as healthcare services and

resources available in El Dorado

County. Information in For Your

Health comes from a wide range

of medical experts. If you have

any concerns or questions about

specific content that may affect

your health, please contact your

healthcare provider.

If you have questions, concerns

or suggestions for future topics,

contact the editor, Carrie Poggio,

at (530) 626-2816 or via email at

cpoggio@marshallmedical.org.

For more detailed information about construction and progress at Marshall, visit www.marshallmedical.org or follow us on Facebook.com/marshallmedicalcenter, twitter.com/MarshallMedical or Google+ Marshall Medical Center.

www.marshallmedical.org / FOR YOuR HEALTH 3

Marshall Introduces urology ServiceMarshall Medical Center is pleased to expand its specialty care offerings with urology services. urologists treat conditions including infertility, prostate and urinary cancers, urinary infections and other problems, voiding disorders and incontinence, as well as vasectomies. Office appointments are available via physician referral in Cameron Park at Marshall Specialty Care office, 3501 Palmer Drive, Suite 201, Cameron Park. Call 530-626-9488 for more information.

NEW HEALTHCARE PROViDERS

Cory Meeder, DOEmergency Physicians Medical GroupMarshall Hospital1100 Marshall WayPlacerville, CA 95667

Michelle Throp, MSMarshall Hearing Center4300 Golden Center Drive, Suite DPlacerville, CA 95667530-344-2010

Anita Heart, MDMarshall Family Medicine1095 Marshall WayPlacerville, CA 95667530-626-2920

Samuel Ceridon, MDMarshall Family Medicine1095 Marshall WayPlacerville, CA 95667530-626-2920

Marshall Now Offers Urology Services

Robot-Assisted Minimally Invasive Surgery Comes to MarshallInvestment Means More Options for Local Patients

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Raising the Bar

Marshall Medical Center recently purchased the Da Vinci Surgical System, a robot-assisted method of surgery that reduces blood loss, recovery time and pain. It falls within the category of minimally-invasive surgery.

Robot-assisted surgery is especially useful in urological, gynecological and general surgery procedures, in some cases taking the place of laparoscopic procedures. The FDA-approved system has been in use for about 10 years, but until recently, it has generally been available only at large, multi-hospital systems. Many international clinical trials over the years have proven the system safe and beneficial for many surgeries.

Michele Cherry, DO, and Robert Carter, MD, physicians with Marshall OB/GYN, are two of the first providers to start using the Da Vinci for surgeries in their specialty. It will be available to all OB/GYN providers, but Dr. Cherry and Dr. Carter are in the current process of certification. “When I saw this demonstrated at a conference last year, I was really excited at the prospect of Marshall obtaining a unit,” Dr. Cherry says. “The precision of the instruments and the benefits to our patients will be remarkable.”

Dr. Carter echoes, “The visualization through the control console and the precise

The Da Vinci surgical system is made by intuitive Surgical, inc., located in Palo Alto.

OB/GYN physician Robert Carter, MD, shows how the surgeon console controls the robotic instruments.

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movements of the instruments are truly impressive. I think this will eventually help many people who would benefit from surgery but who might shy away due to the pain and recovery time involved.”

The Da Vinci surgical system requires intense and lengthy training for surgeons, and involves hours of practice using a simulator. In Da Vinci surgery, the surgeon sits at a console that controls the robot, which is positioned above the patient. Real time, magnified 3D views of the surgical area enhance the views surgeons can see. The robot itself is equipped with incredibly precise instruments that can rotate better than a human hand and wrist.

Dr. Cherry explains, “This system enhances our skills through improved dexterity, increased range of motion, better visualization and access and the precision is incredible. The smaller incisions alone make this a very attractive option.” She says patients may experience less pain and blood loss, and enjoy faster recovery and return to normal activities. “I can’t wait to offer this to our patients.”

If you’re facing surgery, talk to your physician about the availability and appropriateness of Da Vinci surgery for your condition.

The completion of the South Wing spurred advancements in technology at

Marshall, which, from the day it was founded, has consistently invested in

the latest technology available.

A $2 million cardiac monitoring system will be in place hospital-wide,

allowing healthcare providers to view patient heart rates from anywhere.

An electronic tracking board in the new Emergency Department will show

real-time patient status.

A 64-slice CT scanner, dedicated for Emergency Department use, will

speed diagnostic imaging needs for many emergent situations, including

trauma cases. It also provides redundancy for the hospital, so that if one

CT scanner is having technical issues, the other can be used, instead

of patients having to be transported to the Diagnostic Imaging Center in

Cameron Park.

In the Emergency Department, physicians and nurses will communicate

via lapel radios when in different areas of the unit, for faster patient care

and communication.

In the second Floor birth Center, a dedicated operating room provides

for c-section needs without having to move laboring moms to the surgery

area of the main hospital. Whirlpool tubs, iPod docking stations and many

comforts complete the luxurious surroundings.

Marshall Invests inMedical Technology

This photo helps show the generous size and comfortable furnishings in our new Birth Center labor and delivery rooms.

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Raising the Bar

A major goal of the program is to prevent wounds from getting so severe, that limb amputation is required. “We are here to save limbs, which ultimately may save a life,” says Sharon.

Wound care involves many providers coming together to treat the root cause, as well as the wound itself and the patients’ overall health. Depending on the nature of the wound, treatments can range from advanced dressing techniques as well as bioengineered tissue, negative pressure therapy, debridement (removal of dead tissue) and surgery, just to name a few.

The Medical Director of Marshall’s Wound Care Center is robin locke, MD, an experienced general surgeon. It’s additionally staffed by specially trained wound care nurses and Dr. Harprit bajwa, a podiatrist, with more physicians coming on board as the service expands. They work in close concert with primary and specialty physicians, as well as other resources such as Marshall Home Care, to plan out the most effective and convenient treatment plan possible. All services are done via physician referral.

The Wound Care center is only seven months old, but already changing lives. Patients get advanced, effective care close to home, as well as care that is encouraging, uplifting and positive from the staff.

In T heir Own WordsMarshall Wound Care Center patients and family share their experiencesKathy Elliot“I’m so grateful for this service. It’s so needed in our community. The staff here is amazing, so caring and supportive to me. They truly can make you forget you’re hurting. I’m healing very well now.”

Tom Kowaleski, about his 97-year-old mother’s care“My mother had a hip injury and over time, with her favoring that leg, a deep pressure ulcer erupted that went down to the bone. We live in Shingle Springs and were traveling down to roseville to another center, but she wasn’t getting better. We learned about Marshall’s new Wound Care service and started coming here, and what a difference. I’m very pleased with the care and the healing progress. The wound is nearly gone now, and it was down to the bone.”

Vergie Drury“I fell in the tub and had a severe wound and hematoma on my shin. It was so painful and became infected. There was so much tissue damage, I needed a bio engineered skin graft from Dr. Harprit bajwa [podiatrist and Wound Care team member], which I’m healing from now. It’s going to take a little more time, but it’s so much better than it was, and they see me every few days to make sure I’m progressing.”

“60%of lower extremity amputations occur

in patients with diabetes”

Marshall’s New Wound Care Center is Saving Limbs and Improving Lives

until this past May, El Dorado County residents needing outpatient wound care services had to travel to roseville or Sacramento or further to get help. Marshall Medical Center, in its long tradition of expanding services close to home, saw that need and invested in a new outpatient Wound Care Center at the hospital campus in Placerville.

Chronic wounds – or those that don’t heal – can have any number of causes, from infection, pressure ulcers (bed sores), cellulitis, surgery, cancer treatment-related tissue damage and many other chronic conditions, most notably, diabetes.

“The need is great,” says Wound Care Center specialist Sharon Goldsmith, rn. “We have a high percentage of elderly patients in our community, including many diabetic patients. These individuals have a greater risk in general for developing non-healing wounds, so our goal is to intervene early with advanced wound healing practices. “

“because of the poor circulation and neuropathy that many diabetics have, we see a great number of foot ulcers in these patients,” adds Iris Marshall, Certified Wound Specialist. “We work hard to educate patients on issues of prevention, to hopefully avoid future foot ulcers.”

The Healing Place

On the walls of the new Emergency Room at Marshall Hospital are the big, bold words The Arnold and Frances Jones Endowment

Emergency Department and Trauma Center. The simple story behind the largest donor to the $4 million dollar Campaign for Emergency Services and Community Health conveys our mantra: Hope.Healing.Here.

Arnold was a simple man of Dutch descent: no frills but tons of common sense. If you saw him on the street, you would never pick him out as a person with much money. But in his heart, he had a passion for healthcare. You would often see him in a red flannel shirt or a cotton one made by his loving wife Frances. A heavy equipment operator by trade, Arnold owned his own business and worked hard.

A former El Dorado Rose, Frances owned Frances’ Clothes Closet in Camino. Most of the smartly dressed ladies in Apple Hill purchased their wardrobe at the small but popular shop across from the Jones property on Pony Express Trail. Renowned for her classes in pine needle basketry, Frances later died of respiratory failure.

The Joneses believed in helping their community. Arnold’s passion for the community good and for healthcare – spurred by his own mother’s profession as a nurse – brought him to consider leaving a large gift to Marshall Hospital as a lasting tribute to his only true love, Frances.

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Foundation News

For more information about how you can leave your own legacy, contact Executive Director Karen Good at Marshall Foundation 530-642-9984 or email kgood@marshallmedical.org. no gift is too small to help provide a better life for future generations.

Often Arnold would fix tuna sandwiches for representatives of Marshall who came to visit him and his little dog as he told many stories of their life in Apple Hill. He believed in investing in gold and silver and after his death, coins valued at over $400,000 were found in the walls of his very unassuming home. He asked only that his estate, valued at $1.2 million, be used for the community good. Marshall hopes to one day build a health clinic on the Jones property site . As a result of the Jones legacy gift, the healthcare community will benefit for years to come.

Local FamilyLeaves a Legacy

Shown with Placerville Police Chief and Foundation Board President George Nielsen,

are scholarship recipients shown l-r: Alea Marie Benavides, Lory Amey, Kristy Berger

and Mary Melton.

Scholarship Recipients Congratulations to the recent Mathewson-bonser Scholarship winners: raquel Alfaro, north 1; lory Amey, TCC; Jessika balderston, Er; Alea Marie benavides, lab; Kristy berger, Er; leanne boyd, TCC; Teresa Hinz, north 1 & 2; Mary Melton, Surgery; Janet Powers-Gray, north 1; Heather Sebren, north 2; Amanda Seivert, north 2; and lisa Seivert, TCC.

During the past 21 years, $153,189 in scholarships have been awarded to 121 recipients, thus fulfilling the dream of Dr. Quentin bonser and Dr. John Mathewson to help continue the education of our outstanding nurses and to upgrade their skills.

CoMMuNItY HealtH eDuCatIoN ClaSS SCHeDuleHEALTHY PREGNANCY Designed for women who are thinking about becoming pregnant or have recently become pregnant, the class focuses on nutrition and exercise, fetal development, prenatal tests, hazards to avoid and preventing preterm labor.Tuesday, February 6 7-9 p.m.(funded by generous grant from Marshall Foundation for Community Health)

CHiLDBiRTH EDuCATiON 6-week seriesThis class provides information on labor, delivery and postpartum issues.Tuesdays, Jan. 3 - Feb. 7 7-9 p.m.

CHiLDBiRTH EDuCATiON 1-Day IntensiveA custom designed childbirth class for those who do not have the time for the traditional 6-week class format.Saturday, February 9 9:00 a.m. - 3:30 p.m.Fee: $60

THE BREASTFEEDiNG ExPERiENCE This class will help you understand breastfeeding, learn techniques and positions, and will give you the confidence to handle common breastfeeding challenges.Wednesday, January 9 6-8 p.m.Fee: $25

BABY BASiCS This class reviews basic newborn care for the first few weeks of life. Topics include newborn characteristics, physical and emotional needs of the baby, as well as health and safety skills.Tuesday, February 5 7-9 p.m.Fee: $25

HEALTH CAREER ExPLORATiON DAY EVENT Come spend a day with our medical professionals and gain insight into the exciting medical fields. Call 530-626-2990 for more details.Friday, January 11 8 a.m.-4:30 p.m.Fee: $50

SMOKiNG CESSATiON 7-WEEK SERiES Pre-registration required and space is limited. Call 530-626-2990 for more information.

Fee: $75

HealtHY lIVING DIaBeteS eDuCatIoN ClaSSeSLive your best life with diabetes! Our classes can help you gain the knowledge and tools to remain motivated with your healthy lifestyle in the days and years ahead.

iNDiViDuAL DiABETES EDuCATiON

Appointments with our Registered Nurse, CertifiedDiabetes Educators (CDEs), are strongly encouraged especially if:• You are newly diagnosed• Beginning a new medication• Need extra support to gain control.Learn about the latest tools and techniques for self-management of your diabetes.

iNDiViDuAL NuTRiTiON EDuCATiON

Our Registered Dietitians (RDs) are available for appointments to discuss:• Diabetes meal planning• Weight management/Cholesterol control• Medical Nutrition Therapy for most medical conditionsHealthy Living Class #1: Diabetes Essentials • What diabetes is • Controlling blood glucose levels

• Using your meter effectively Tuesday, January 8, 1-2 p.m. Cameron ParkHealthy Living Class #2: Carbohydrates, Food & You • Carbohydrates and diet • Meal planning • Managing your weightThursday, December 13, 1-3 p.m. PlacervilleWednesday, February 20, 6-8 p.m. PlacervilleThursday, March 7, 9:30-11:30 a.m. PlacervilleHealthy Living Class #3: Gaining Better Control • Making sense of your blood glucose numbers • Medication options • Tips on eating outWednesday, February 6, 1-3 p.m. PlacervilleTuesday, April 2, 6-8 p.m. Cameron Park Healthy Living Class #4: Your Plan for Success • Reducing your risk—long term complications • Exercise—make it work for you • Staying motivated • Diabetes and emotionsThursday, March 14, 1-3 p.m. PlacervilleTuesday, April 9, 1-3 p.m. Cameron Park

CLASS LOCATiONS:681 MAiN ST., STE. 206/207, PLACERViLLE

3581 PALMER DR., BLDG. 600 CAMERON PARK

FOR MORE iNFORMATiON CALL: (530) 672-7021

Marshall Health & Wellness Programs & ClassesMarshall’s programs can help you get healthy and stay healthy. Offering services for all ages and stages of life, we hope to see you at one or more of the classes below. Our Community Health Education Classes include Smoking Cessation and Childbirth related classes, in addition to a babysitting class. Call 530-626-2990 for more information and to register. We also offer diabetes and nutrition Education through our Physician Clinic Services. Call 530-672-7021 for more information.

Programs & Classes

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