Health Magazine | Summer 2019

Health Magazine Summer 2019 banner image - girl smiling

Up Front: Welcome to CHH2

CHH2 - Center for Health & Healing Building 2 photo from opening

CHH Building 2 aims for convenience for patients and visitors by offering a covered patient drop-off area, a centralized check-in that serves as a one-stop location for all activities, an on-site café and a skybridge that connects the new building to Center for Health & Healing Building 1.

We also prioritized comfort in the design of CHH Building 2, such as adding private rooms before and after surgery for outpatient and overnight day surgery patients to provide more privacy and space for family members to visit.

On the ninth floor, the Knight Cancer Institute Women’s Clinic provides spa-like amenities for mammography and ultrasound diagnostics.

The 10th floor has a cancer patient resource center to obtain additional information about a diagnosis, try on wigs or learn about support classes like meditation and yoga.

We’re also offering alternative treatments for preoperative anxiety and postoperative pain and nausea management with aromatherapy.

Whether patients are with us a few hours or a few days, we aim to make every encounter exceptional.

Discoveries

Getty images illustration of a gene - News hub story on preventing and treating alcoholism

New target in treating alcoholism

connection made by OHSU scientists to a single gene receptor may provide the key to both prevent and treat chronic alcoholism and mood disorders.

The biological process of cell fragmentation (shown here) plays an important role in identifying genetic abnormalities within an embryo. (OHSU/Shawn Chavez, Ph.D.)

Mosaic embryos the 'dark horse' of IVF

New research at OHSU into mosaic embryos suggests that these embryos can adapt and have positive IVF results.

Research assistant Karina Taylor isolates lymphocytes from blood, Jan. 11, 2019 at the OHSU Vaccine and Gene Therapy Institute.

A fresh take on the fight against malaria

OHSU scientists are researching a new vaccine to reduce the malaria-causing parasites released from the liver (where they reproduce) into the blood. 

Health Spotlight

Activity is better for low back pain than rest

Photograph of older people doing gentle exercise for low back pain

OHSU adopted new guidelines in 2018 to reflect the latest research and data that show people with acute low back pain recover better with activity and a variety of treatment options other than pills. And when pills are helpful, providers should start patients with over-the-counter pain relief or muscle relaxants before considering opiates.

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Children at play: How to identify, treat and prevent common injuries for your young athlete

Bumps, bruises and falls are all part of being an active kid.

A young girl and boy holding hands and smiling in the center of a large lobby area

Whether your kid loves bounding across the field or practicing playground acrobatics, doctors agree that the keys to preventing injuries are conditioning, protection and awareness.

Monkeying around

Out of all the hazards found on a playground, “the most common injury we see is a fall from the monkey bars,” says Matthew Halsey, M.D., pediatric orthopaedic surgeon at OHSU Doernbecher Children’s Hospital. This type of uncontrolled fall (especially onto a hard surface) often results in a bone fracture, requiring a wrist brace or arm cast for four to six weeks. To prevent falls, Halsey encourages children to be mindful while climbing and not to push or tug their friends.

Watch your head

Another common injury associated with falls — and biking, skateboarding and contact sports—is a concussion, where a blow to the head temporarily compromises normal brain function. Helmets, safety gear and spatial awareness are essential to preventing this type of head injury. But they aren’t always effective, so it’s key that parents learn how to recognize a concussion. Lissa Baird, M.D., pediatric neurosurgeon at OHSU Doernbecher, says that if your child gets a head bump, check to see if he or she is behaving normally. “Ask about symptoms such as headache, blurry vision, nausea or dizziness. If concerns arise, contact your pediatrician or go to the emergency room for a medical evaluation.”

Weak in the knees

Group sports like soccer and basketball help build teamwork skills, but they also increase the risk for ACL tears, an irreparable injury to the anterior cruciate ligament, which sits inside the knee joint.

“Other ligaments outside the knee joint frequently heal on their own,” Halsey says. “But no amount of waiting around or bracing the knee will allow ligaments inside the knee joint to repair themselves.”

Treatment also requires up to 12 months of rehabilitation. Preventive conditioning is key to avoiding ACL tears. As a youth soccer coach himself, Halsey recommends pregame warmups like the FIFA 11, a series of exercises designed to reduce knee injuries in young athletes.

BY MAYA SEAMAN
This article originally appeared in the 2019 Kids Health Annual, a supplement to the March 2019 Portland Monthly magazine.

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Go to www.ohsu.edu/pfa to learn more.

Q&A: Your Questions, Expert Answers

Omar Nazir, M.D., OHSU Orthopaedics and Rehabilitation

A: If discomfort in your hands or wrists is getting in the way of daily activities or hobbies, there are many treatments that can help. Common causes of hand and wrist issues include arthritis, inflammation of the tendons and nerve compression, all of which can cause pain and dysfunction. Simple solutions such as braces, oral and topical medications or injections are often effective. If needed, there are surgical solutions that can help, most requiring no hospital stay or general anesthesia. The hand is a marvel of tightly packed, small structures that must work together. A hand specialist can help diagnose the underlying problem and find treatments that work.

Omar Nazir, M.D.
OHSU Orthopaedics and Rehabilitation
503-494-8645

A: We do not recommend a ketogenic diet for healthy children. Though currently popular among adults attempting to lose weight, the keto diet began as a medical therapy for people with seizures. The diet puts the body in starvation mode, which can reduce seizures. We closely monitor children using this diet for seizure control. The keto diet typically incorporates heavy cream, butter and vegetable oil to provide necessary fat, while eliminating sweets and carbohydrate-rich foods like breads and pastas. Fad dieters sometimes also give up fruits, beans and even most vegetables. As a diet, it is not nutritionally complete. Without supplements, there can be a lack of key vitamins and minerals. There can also be side effects, like constipation and kidney stones. If you’re tempted to try out this diet for yourself, be sure to fix your children a nutritious meal of their own.

Pamela Haskell, R.D., C.S.P., L.D.
OHSU Doernbecher Children’s Hospital
503-346-0640

BASIA M. RAJSKA, M.D., Tuality Obstetrics & Gynecology

A: Talk to your OB-GYN group about their philosophy and consider what you want from your delivery experience. The first priority is always safety. Though most babies won’t need NICU services, having one available is a strong benefit. Next, the gold standard is current certification as a Baby Friendly hospital, a worldwide initiative that supports bonding for mothers and babies by creating an environment that gives new moms a strong foundation for breastfeeding. Examples include rooming-in for baby and immediate skin-to-skin contact. At Tuality, we even coordinate skin-to-skin contact for C-section moms in the surgical suite. You’ll want to know the hospital’s policies for anesthesia, visitors and postpartum recovery. What I love about Tuality is that we treat patients like family. I also love that we do a lot of education for new families on what is normal behavior for babies, so they feel confident before going home.

Basia M. Rajska, M.D.
Tuality Obstetrics & Gynecology
364 S.E. 8th Ave., Suite 205
Hillsboro, OR 97123
503-681-4541

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