Health Beat. New Procedure: Relief for Hip Pain. In this issue: Issue 7. A community healthcare newsletter from Sheridan Memorial Hospital.

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1 Health Beat Summer In this issue: Hip Procedure 2 New Physicians 3 Cancer Center Update 4 Facebook Contest 5 EMR Update 6 Issue A community healthcare newsletter from Sheridan Memorial Hospital New Procedure: Relief for Hip Pain Hip pain can have many causes, but now there s a procedure that might help in certain conditions to cure the pain and also prevent any future effects, such as early arthritis. Dr. Brenton Milner is one of the few orthopaedic surgeons in this region who actively performs hip arthroscopies to correct problems with the hip joint. Pelvis Labrum Milner said one of the primary reasons to do a hip arthroscopy is hip impingement when the junction where the femur s headball and neck is flat and pinches on the edge of the cup, causing pain and ultimately damage to the cartilage. Another reason for hip impingement is if the cup of the hip where it meets the femur is turned, causing the femur to rub against the cup. In both cases, the procedure is done to reshape the femur or the cup so it stops the pinching, and to repair any damaged cartilage. Milner said this is a fairly new diagnosis and procedure. Because this condition is so difficult to see on a standard hip x-ray, it has often been missed, he explained. It requires a special angle x-ray view or even special protocol Magnetic Resonance Imaging (MRI) to identify the labral tears that are present with this condition. The labrum is a ring of cartilage surrounding the edge of a joint surface of a bone. Femoral Head (Ball) Femur Acetabulum (Socket) This is a major cause of hip pain in young adults, and it is a leading cause of early arthritis in the hips, according to Milner. He says goals of the procedure are to alleviate the pain and hopefully prevent arthritis which frequently leads to total hip replacements. It used to be that young people would complain of hip pain, and doctors wouldn t know the cause of it, let alone how to treat it because it is so difficult to diagnose, Milner said. Now, however, he said this condition is becoming more well-known and physicians are starting to look for it when patients complain of hip pain. Continued on page 2...

2 2 The positive change was immediate and has made a big difference in her life. It has now been eight months since my procedure. I have no restrictions to my activities. I m playing golf and tennis again so I m very pleased with the results of my surgery. Milner said that before this diagnosis became more common, the prescription for patients with hip pain was often some therapy coupled with advice to avoid activities that might induce the pain, usually activities they enjoyed doing. With this procedure, people can continue to participate in the sports they like to do without having pain or causing arthritis, said Milner. Mary Smith, hip arthroscopy patient and Dr. Brenton Milner, Orthopaedic Surgeon with a skeleton model depicting bone structure of the human body. Certain physical activities can exacerbate this condition. Yoga and hurdling, for example, can lead to hip problems like these. Other athletes who use their hips extensively can also have hip pain. But Milner said some people are also born with the problem. Regardless of how it happens, the labral tears that occur need to be repaired in order to fix the problem and to allow people to continue with their activities without experiencing pain. Milner is well-prepared. When he was in residency and this was a very new procedure, he performed several hip arthroscopies. He also holds a subspecialty certificate in Sports Medicine and has obtained additional specialized training at a hip arthroscopy course in Vail, Colorado at the Steadman-Hawkins Clinic, a world-renowned orthopaedic sports medicine clinic. Sheridan resident Mary Smith underwent hip arthroscopy in October of 2011 because of a tear in the labrum of her hip lining due to hip impingement and bone spurs on her femur. Smith is familiar with the Sheridan medical community her husband practiced orthopaedic surgery here for 36 years, one daughter is a general surgeon, and another daughter works as a financial analyst for the hospital....i have no restrictions to my activities. I m playing golf and tennis again so I m very pleased with the results of my surgery, Mary Smith, SMH Outpatient Surgery Patient We have an excellent medical community here, Smith explained. Dr. Milner and the hospital were great. I wouldn t have gone anywhere else. Smith went through four weeks of physical therapy following the procedure, and she was also on crutches during that short period of time. Now she is pleased to be able to participate in the activities she enjoys. Milner currently performs this procedure on patients who need it right here at Sheridan Memorial Hospital. People experiencing hip pain, particularly those who are in their twenties or thirties, are encouraged to visit their primary care physician or contact Dr. Milner at Sheridan Orthopaedics ( ). Smith had been suffering from hip pain since early that year.

3 New to Sheridan Health Beat 3 Sheridan Memorial Hospital Welcomes Drs. Garcia, Mazur and Varner Dr. Joseph Garcia and his wife, Renee, moved to Sheridan from Florida this April. He is Board Certified in Internal Medicine and Cardiology. Dr. Garcia joins Dr. Michael Brennan at Big Horn Heart Center. Cheryl Varner, MD Teresa Mazur, MD Joseph Garcia, MD Dr. Garcia has his pilot s license and enjoys the occasional outing. He and his wife feel fortunate to be in Wyoming because their other hobbies include horseback riding, camping and snow skiing. After attending medical school in Puerto Rico, Dr. Garcia completed both an Internship and Residency in Internal Medicine at the Baylor College of Medicine, and a Fellowship in Adult Cardiology at St. Luke s Episcopal Hospital and the Texas Heart Institute. Post Fellowship training included Cardiac Nuclear Medicine at the Texas Heart Institute and Bethesda Naval Hospital for Nuclear Physics. Dr. Teresa Mazur traveled to Sheridan, covering emergency department shifts at Sheridan Memorial Hospital for six months before joining the active medical staff as an Emergency Medicine Physician. She attended medical school at the University of Texas, completed a Transitional Program in Pediatrics, Medicine, Surgery and Radiology at the University of Texas, and completed her Residency in Emergency Medicine at University of Florida in Jacksonville. She is Board Certified in Emergency Medicine. Dr. Mazur has practiced medicine in Florida and in Laramie, WY before coming to Sheridan. A Wyoming native, she returned to her home state to be closer to her friends and family. She is an avid reader and loves spending time with her nieces and nephews. A Board Certified Otolaryngologist (Ear, Nose & Throat doctor), Dr. Varner opened Big Horn Ear, Nose and Throat in February. She and her husband Curt moved to Sheridan from Washington state. They have a three-year-old son named Jack. Dr. Varner is thrilled to be in Sheridan and enjoys outdoor activities such as skiing, hunting, camping and horseback riding. She attended medical school at the University of Arizona and completed an Otolaryngology Residency and a Surgery Internship at the University of Mississippi. Dr. Varner provides general ear, nose and throat services to families and has a particular interest in pediatric patients.

4 4 Update on the New Welch Cancer Center Since breaking ground on the new Welch Cancer Center in June of 2011, construction crews have been hard at work. The project is on schedule and close to budget. The majority of the facility is projected to be completed this summer. The Cancer Center will be ready for a community open house in November. The Sheridan Memorial Hospital Foundation raised around $5.9 million in funds for the new Welch Cancer Center. According to Facilities Manager Rob Forister, the design of the building has been very thoughtful, involving input from patients and staff. The goal was to provide a world class facility while utilizing and remodeling the existing equipment vaults. The combined square footage of new and reused space totals 14,499. The new space includes eight exam rooms, a wellness center, open infusion area with eight infusion chairs and panoramic views, two private infusion rooms and pharmacy mixing rooms. Construction Phase Completion Timeline Phase 1 North addition including the lobby and medical oncology. Complete. Phase 2 Remodel equipment vaults. Complete. Phase 3 Existing building demolition. Complete. Phase 4 South addition including radiation oncology. Planned completion date: September 27 An Open House for the community is planned for November. The new Welch Cancer Center will provide a comfortable space for patients and families to begin the healing process.

5 5 Like Us on Facebook and Win a Kindle Touch, ipod, or other great prizes Through August 1, anyone who becomes a fan of the Sheridan Memorial Hospital Facebook page will be entered into a drawing to win one of the following prizes: ipod Download 200,000+ brand logos in vector format for free Kindle Touch $25 Gift Cards to Hospital Cafeteria $25 Gift Cards to Kozy Korner Gift Shop Keep up on the latest happenings at the hospital by following us on Facebook. Join the conversation! Prehab A Service from Wyoming Rehab Prehab is an effective way of integrating your past, present condition, and future goals into an effective injury prevention program based on your specific needs. At Wyoming Rehab, our therapists can uncover and prevent unforeseen roadblocks to long term fitness and health unlike any conventional program. Emphasis is placed on stablization, equilibrium, and optimization, allowing patients to achieve a higher state of awareness and complete participation in their own well-being. Prehab helps you: Prevent Injuries Improve Athletic Performance Avoid Unneccessary Surgeries Recover from Surgery Faster Let the certified prehab specialists at Wyoming Rehab conduct a personal assessment to learn about your potential weaknesses, teach you to avoid the pitfalls of unfocused training, and stay ahead of the game. The qualified staff can address potential injuries that may occur in any aspect of life, from sports training to daily living activities. It s a very realistic approach that plays an important role in the recovery or prevention process. Talk to your doctor or call for more information. Former prehab patient Michelle Brown uses exercise equipment at Wyoming Rehab while Eric Frey, Outpatient Coordinator assists.

6 6 Sheridan Memorial Hospital Foundation 1401 West 5th Street Sheridan, WY Health Beat is published by Sheridan Memorial Hospital to provide general health information. It is not intended to provide personal medical advice. This should be obtained directly from a physician. Mark Your Calendars: July 26 United Blood Services Blood Drive, Sheridan Memorial Hospital 27 Foundation Golf Tournament, Powder Horn August 1 Facebook Fan Deadline for prize drawings United Blood Services Blood Drive, Best Western Sheridan Center Blood Draws, Sheridan Memorial Hospital September 8 5-Year-Old Birthday Party, Sheridan Memorial Hospital, 10 11am 26 United Blood Services Blood Drive, Sheridan Memorial Hospital October United Blood Services Blood Drive, Best Western Sheridan Center Coming in November: New Welch Cancer Center Open House Go to for more details on events. Electronic Medical Records Implementation Improves Patient Care The hospital s Electronic Medical Records project (EMR) is going smoothly. Benefits of transitioning to an EMR include: improved patient safety, improved communication across all areas of healthcare delivery, increased access for patients and improved overall quality of care. The go live date is scheduled in August. A team of hospital employees and physicians have been working hard to make this happen since last summer. For information about Sheridan Memorial Hospital, our affiliates and services, resources for reliable health information, and much more visit us at Share your comments about this newsletter with us through our Contact Us feature.