Health Magazine | Spring 2021
In this issue
A network of care: OHSU Health
You probably know that OHSU is good at the big things. What you might not know is that with OHSU Health, we’re good at the little things too, and everything in between.
From flu shots to physicals, screenings to surgery, OHSU Health is a full spectrum of care everyone can count on.
And we’re not just on Marquam Hill. Together with our partners at Hillsboro Medical Center (formerly Tuality Healthcare) and Adventist Health Portland, we’re in communities throughout the Portland metro area, right where you need us.
OHSU Health is a system of physicians, nurses, researchers, clinics and hospitals all working together toward a better way to wellness. The OHSU Health system includes more than 3,000 providers in dozens of care locations around the Portland metro area, including OHSU Doernbecher Children’s Hospital and three adult hospitals with more than 1,000 beds and 200 outreach programs.
OHSU Health is the only system in Oregon that connects the breakthroughs of an academic health center with the convenience of community care — a way to bring what happens in labs and classrooms to Oregonians where they live and work.
At OHSU Health, we never settle for how things have been done before. Instead, we are constantly seeking new and creative ways to serve the citizens of our state. OHSU Health is committed to easy access to care and high patient satisfaction.
To learn more, visit ohsu.edu/ohsuhealth.
New OHSU Doernbecher NICU in Hillsboro
At OHSU Health Hillsboro Medical Center (formerly Tuality Healthcare), we support low- and high-risk pregnancies for labor and delivery. Our certified nurse midwives work together with our OB-GYN providers on birth plans that fit each mother’s needs.
Though most babies won’t need a neonatal intensive care unit (NICU), Hillsboro Medical Center has a Level 2 NICU to support babies who need extra help at birth. This NICU can support babies born at 32 weeks or later.
A family-friendly unit, OHSU Doernbecher pediatric specialists provide 24/7 care. The expert staff can help babies who have jaundice, minor breathing problems and feeding issues. This new NICU provides Washington County residents and beyond a much-needed resource to keep families closer together and closer to home when having a baby.
Take a peek inside our brand-new NICU at tuality.org/nicu.
Brain cells hit pause to check for damage
A small injury to brain cells can cause a chain reaction that stops activity for a while across parts of the nervous system, according to research performed at OHSU.
Discovery may revolutionize MS treatment
New research suggests that drugs using sobetirome could also help keep myelin damage from occurring.
Does crossing time zones reduce your effectiveness?
Researchers used the NBA “bubble” to compare the performance of teams during travel with the performance of those same teams in 2020.
When is my turn?
Though companies are working to get vaccine shots ready as quickly as possible, there are a lot of people to vaccinate! OHSU is working closely with the State of Oregon to get vaccinations to as many people as possible.
Visit ohsu.edu/covidvaccines to learn details about locations, transportation, safety and more.
Vaccines are free and by appointment only. To get an appointment, schedule at ohsu.edu/covidvaccines or call 833-647-8222 (weekdays 8 a.m. – 5 p.m.).
Research shows that the shot prevents the most common type of COVID-19 infection. However, even after you’re vaccinated, it’s important to continue to follow safety measures like:
- Physical distancing
- Wearing a mask
- Washing your hands often
Protect yourself and others by getting vaccinated for COVID-19
A vaccine will help prevent you from getting COVID-19. If you do get COVID-19, a vaccine will make you less likely to become seriously ill. If you don’t get sick, you are less likely to spread the virus to others.
This is called “herd immunity,” where the healthier people protect the more vulnerable (infants, seniors, cancer patients, pregnant mothers and many others) by stopping the fast spread of disease. Once enough people are vaccinated, COVID-19 won’t be able to spread as widely, ending the pandemic. These vaccines are safe and cannot cause disease.
COVID-19 updates right to your inbox
Visit ohsu.edu/coronavirus to sign up for email updates on COVID-19 from OHSU Health.
Sweet dreams or restless nights?
Good sleep is essential for overall health
Q. During the pandemic our routines have gotten shaken up. How much sleep does my child need?
A. If there is a silver lining to the pandemic, it may be that our youth have more opportunity for sleep. However, we know adults are experiencing disrupted sleep with rising levels of anxiety and depression, likely related to pandemic stress, uncertainty and reduced physical activity and socializing. Children have the same stressors at this time, but quality sleep can help protect their physical and mental health.
Depending on age, your child’s recommended amount of sleep is:
- 9.5 hours for teens
- 10–12 hours for children 5–12
- 11–13 hours for toddlers
For better sleep, set sleep and wake times and stick to them. Keep the bed only for sleeping, not for schoolwork or gaming. Take 30 minutes to wind down and turn devices off. If your child has ongoing issues with sleep, contact your provider. By prioritizing sleep in children, we can help them grow and develop during this difficult time.
New OHSU Doernbecher Children’s Specialty Clinic in Happy Valley
Dr. Super and other OHSU Doernbecher specialists are now seeing patients in a new specialty clinic in Happy Valley.
At this location, our providers can help children with issues related to their sleep, breathing, digestion, skin, heart, hormones, bones, kidneys and more.
For convenient specialty care for residents in the eastern Portland metro area, the new clinic location is 10151 S.E. Sunnyside Road, Suite 110, Clackamas, OR 97015.
Q. I swear my husband stops breathing sometimes when he’s snoring, but he doesn’t believe me. Should I be concerned?
Yes, what you are describing is a common disorder known as obstructive sleep apnea, or OSA.
When muscles in the back of the throat relax during sleep, they can block the airflow and stop a person’s breathing for brief periods. If left untreated, OSA can lead to short- and long-term health consequences. Side effects including daytime sleepiness, irritability, worsening high blood pressure, diabetes and stroke. Untreated sleep apnea can also make it harder to lose weight.
Snoring is a warning sign that the airway is narrowing, leading to a higher risk for OSA. Getting a sleep study for your husband will settle the debate! His primary care provider can give him a referral for a sleep study. This test can be done at home or in a sleep lab, depending on a patient’s risk factors. After the test, a sleep specialist will explain the results and recommend treatment options.
What happens at a sleep lab?
Just because you are asleep doesn’t mean your brain isn’t busy!
Tracking your body’s activity during sleep can help our providers diagnose and treat sleep-related issues, such as sleep apnea and restless legs syndrome.
For an overnight study, patients get comfortable in rooms provided for sleeping. There are several types of monitors that technicians may use to track breathing, brain activity and more. Most patients find they can relax and sleep during the test. In the morning, we send you on your way. A sleep specialist will contact you with the results.
Westside and Eastside Sleep Labs
OHSU Health Sleep Test Lab
3000 N.W. Stucki Place, Suite 280
Hillsboro, OR 97124-7327
Adventist Health Sleep Disorders Clinic
10201 S.E. Main St., Suite 29
Portland, OR 97216
For your good health
Lifestyle and prevention are some of the best medicine
Q. For a healthy pregnancy, what should I add to my diet and how much should I exercise?
A. The most important thing to add is prenatal vitamins.
For diet, you will only need about 300 more calories a day (or double that for twins). That’s about the same number of calories in three apples or bananas. Increasing your intake of fruit, vegetables and whole grains is good for you and baby. Maintaining a healthy weight helps your body adjust during pregnancy, delivery and recovery.
Exercising 150 minutes a week can help you toward this goal. During pregnancy, you should avoid contact sports or activities with a risk of falling. Usually, you can continue activities you were doing before pregnancy. Check with your provider about any modifications you might need, like switching to a stationary bike rather than a bicycle. Prenatal yoga is great for building core and back strength to help as your baby bump shifts your center of balance and to prepare muscles for delivery.
Q. Why would I need colorectal cancer screening before I’m 50?
A. Most colorectal cancers occur in people over 50 years old, but the National Cancer Institute reports that colorectal cancers in younger adults have increased by 51% since 1994. The trend is so significant that new American Cancer Society guidelines recommend a screening colonoscopy at age 45 for everyone at average risk. People with family history or syndromes may be screened earlier.
Research suggests that younger people account for 11% of colon cancers and 18% of rectal cancers. With this trend, we anticipate those numbers may be three to four times higher by 2030.
At OHSU, we have expertise in managing colorectal cancers, including newer methods such as hepatic artery infusion, immunotherapy and organ preservation surgery. Additionally, we anticipate becoming a Commission on Cancer nationally accredited program for rectal cancer in 2021. Though the pandemic has disrupted many activities, you should stay up to date on screenings. Colonoscopy remains the gold standard for prevention of colorectal cancer.
Home test for colorectal cancer
The best tool for preventing colon cancer is colonoscopy. But the most important thing is to check for colon cancer by some method after age 45.
There are some easy-to-use tests that check for blood in the stool. These tests can be done every year from the privacy of your home. Your primary care provider can give you a kit to collect a sample for the lab. These tests are good for catching cancer once it has started, not preventing it.
Colorectal cancer is the no. 2 killer of both men and women in the U.S.
Q. If I’ve been under a lot of stress during the pandemic, could it give me heart problems?
A. More and more research shows a direct connection between stress and cardiovascular disease.
The forms of stress can vary from daily stressors over a long time to a sudden life event, such as a death or illness in the family. Stress can affect blood pressure, cholesterol levels and even cause a heart attack.
As providers, we are beginning to pay greater attention to the mind-body connection for maintaining heart health. The pandemic is a perfect storm for losing track of healthy eating and exercise goals as well as increased loneliness, depression and worry.
To keep your heart healthy, be physically active at least two and half hours a week, stay in touch with friends, keep up your health screenings, follow a healthy diet and try relaxing with mindfulness or meditation. Focusing on your well-being will help you cope with stress.
Remember, 80% of all heart disease is preventable with lifestyle choices and heart health care.
Orthopedic options to keep you moving
OHSU Health Adult Bone and Joint Care
With four clinic locations, OHSU Health board-certified orthopedic experts are in communities all around the Portland metro area. We are right where you need us in Beaverton, Hillsboro, Southeast Portland and South Waterfront. New patients can get seen as soon as possible in the easiest location with no referral needed. Our experts treat every kind of bone and joint condition.
Q. When am I ready for a joint replacement?
A. There is no one-size-fits-all answer. Total joint replacement can improve function and decrease pain. So, when you start having more bad days than good with your hip or knee, it’s time to consider joint replacement.
If your sore joint is disturbing your sleeping or impacting your daily life or your job, get an evaluation. Before surgery, we want to get you as healthy as possible and help your joint. This could include weight loss, quitting smoking, physical therapy and anti-inflammatory medicines or injections.
If these strategies aren’t effective, we may recommend a hip or knee replacement. With improved implants, age is not as much of a factor as it once was. About 80% of people who’ve had knee replacement are doing well with that knee up to 25 years later. These surgeries have a track record of safety and pain relief, helping people stay active for overall better health.
Q. Am I going to be in a lot of pain if I have a joint replaced?
A. Everyone has a different response to pain and not every treatment works as well for each person. That’s why we attack pain in different ways after a joint replacement.
We start before surgery by working on joint motion and improving overall health. During surgery, we prefer to use sedation medicine and numbing shots, so you sleep during the procedure without general anesthesia.
Afterward, our team will get you up and moving because this leads to better results and a quicker recovery.
We have a variety of pain medications we can use, though we limit the use of narcotics due to side effects. For knee replacement, we may use a type of pump that provides numbing medicine to the area for a few days after surgery. These types of pain management efforts are based on the latest information about how people recover from joint replacement.
Thomas D. Kowalik, M.D.
OHSU Health Hillsboro Medical Center (formerly Tuality Healthcare) Orthopedic and Rehabilitation Clinic
Q. I’m a runner with Achilles tendonitis. How can I get back to running?
A. If you have pain at the back of the calf muscle to the heel bone, you’ll need to rest and then gradually return to exercising.
Most Achilles tendon injuries are related to overuse, and most can be treated without surgery. Athletic or daily activities like running, jumping or even walking on hard or uneven surfaces can irritate the Achilles tendon.
The first steps to healing are anti-inflammatory medicine, stretching and rest. Scaling back activities will give the tissue time to heal until it’s no longer painful to the touch. As a runner, make sure you have well-fitted footwear. If the area stays sore, you may need a heel lift or other insert if you have a high arch or flat feet, or wear a special boot temporarily.
Orthopedics for children
OHSU Doernbecher Children’s Hospital has pediatric orthopedic specialists providing the most advanced and complete care for all bone, muscle and joint disorders, such as sports injuries, cerebral palsy and more. To make an appointment, call 503-346-0640.
Taking control of diabetes
Q. Does having diabetes put me at higher risk for COVID-19?
A. People with diabetes aren’t more likely to catch COVID-19 than anyone else, but they are more likely to get sicker from the virus than others.
Research shows that people with diabetes are three times more likely to die from a COVID-19 infection. If you have diabetes type 1 or type 2, get vaccinated for COVID-19.
In the meantime, follow safety measures for wearing masks, avoiding crowds, social distancing and only making trips that are necessary. Now more than ever, it is important to manage your diabetes.
To make it easier for you, the Diabetes and Endocrine Clinic visits our primary care offices so you can get an appointment close to home. Also, you can visit with our dietitian, who can provide one-on-one counseling about how to follow a diabetic diet on a budget.
Q. As someone with diabetes, I worry about losing a foot to amputation. How can I prevent that?
A. Our ultimate goal at the Limb Preservation Clinic is to promote ulcer-free living, because little problems in diabetic feet can become big problems that lead to amputation.
Make it a daily routine to check your feet. Use a mirror to see the bottoms if you need to, or get someone to help. Watch for redness, swelling, new pain or fluid from a wound. These are warning signs to get help. Skin on the feet gets hot before becoming an ulcer, so changes in skin temperature are another warning sign. New tech tools like smart bathmats can check the temperature of your feet.
Next, be sure you have well-fitted shoes, because footwear injuries are among the leading causes of amputation.
Then, see your provider at least once a year for a foot screening to determine your risk level and to develop a plan for managing your diabetes and foot health.
Your checklist for managing diabetes
- Track blood sugar levels on schedule
- Take medication on schedule
- Balance food and nutrition
- Reduce stress
- Increase physical activity
- Prevent diabetes complications
- Stay on track
Health Equity Symposia
This online series amplifies efforts to improve health equity in our state. Join OHSU employees and students as we collectively learn about positive change underway in our neighborhoods.
Events are livestreamed on YouTube and recordings are available on this page.
- Trust, Science and Relationships: A COVID-19 Model for Community Health
- What Is Health Equity and Why Is it Important to OHSU?
- Anti-racism and Health Equity Futures: (Re)Imagining the Next Generation
- A Voice for Health Equity: Using Advocacy and Building Evidence to Create Change
- Health Literacy and Systemic Racism: Redressing Oppression Through Clear Health Communication
- Interprofessional Care Access Network (I-CAN) in Rockwood: A Partnership for Health Equity
Marquam Talks are virtual lectures showcasing the research and clinical advances of OHSU faculty on timely topics.
Questions or suggestions?
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