Dr. Oz's New Year's resolution for Portland Free health screenings
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winter 2013 O r e g o n H e a lt h & S c i e n c e U n i v e r s i t y
Dr. Oz’s
New Year’s Free health
resolution screenings
for Portland p. 3 for you p.8 The knowledge of all for the care of one.
ohsuhealth.com/magazine winter 2013 ohsu Health 1
OHSUresearch
Got dry eyes?
Check your medicine cabinet
Ophthalmologists at OHSU’s Casey Eye Institute
3181 S.W. Sam Jackson Park Rd. caution that the use of multiple medications could
Portland, Oregon 97239-3098 cause dry eye disease (DED). An article recently
503 494-8311 published in the Journal of Ophthalmology attributes
ohsuhealth.com/magazine DED partly to using five or more prescription or
over-the-counter drugs, called polypharmacy. The
medications that likely cause or aggravate DED range
editor-in-chief from antipsychotics, antihistamines, antidepressants
Dr. Oz’s New Year’s resolution and antiviral treatments to common over-the-counter
Kathleen Gardiner
for Portland painkillers and multivitamins. Topical medications
medical contributors Last July, as part of OHSU’s commitment to such as eye drops or ointments can also increase the
regular checkups and preventive medicine, OHSU occurrence of DED. If you believe your medications are
Scott Chadderdon, M.D.
and the Dr. Oz show hosted free 15-minute causing dry eyes, talk to your doctor; you may be able
Cardiology
The knowledge of all for the care of one. health screenings: Attendees could learn their to change your medication or switch your dosage so
Neil Gross, M.D. that this side effect only occurs while you are asleep.
blood pressure, glucose and cholesterol levels.
Medical Oncology
At the conclusion of the event, Dr. Oz delivered
OHSU health blogs — written by experts Elizabeth Knapp, PA-C. his diagnosis for Portland: Hypertension. Also
Plastic Surgery known as high blood pressure, 40 percent of
We often say that OHSU is the special place it is because of the people who
Mira Milas, M.D. those who showed up had it — higher than the
work here.
Endocrine Surgery 25 percent expected. Dr. Oz was also surprised to
After all, we have a mix of people that’s quite unlike any other place in Oregon. see that 40 percent of those screened were obese,
Adam Mirarchi, M.D.
Many of you are familiar with members of our health care staff: The people who Orthopaedic Surgery
and another 28 percent qualified as overweight.
greet you when you check in for appointments, our nurses and doctors. But While Portland’s cholesterol and diabetes
Elizabeth Super, M.D. numbers “weren’t terrible,” Dr. Oz cautioned
we also have students just beginning their health careers and world-renowned
Pediatrics
researchers conducting highly-anticipated studies. against high blood pressure, which can cause
heart attacks, strokes, kidney failure and more.
Now there’s a way for you to meet some of our team members without setting
foot on our campuses. We’ve launched three blogs, all of which are written by Did you know?
OHSU experts, including doctors and researchers. They’re sharing health tips and
their takes on the latest news in health and science.
You can make a gift to support
New research promotes repair of brain and
OHSU’s missions of healing,
teaching, discovery and outreach. spine damage
You can find the latest posts from these blogs — focused on all of OHSU, Visit www.ohsufoundation.org Researchers at OHSU have discovered that blocking an enzyme in the brain may help
Doernbecher Children’s Hospital and the OHSU Brain Institute — at fix the damage linked to multiple sclerosis (MS) and other brain diseases. In MS, the
www.ohsu.edu.
myelin, a protective sheath around nerve fibers, is damaged or destroyed; this prevents
nerve cells from communicating with each other. However, recent research shows that
large amounts of an enzyme called hyaluronidase are found in the brains of people
with MS and in mice with an MS-like disease. Although blocking hyaluronidase
OHSU Research . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 would not be a cure for MS, it may lead to new ways to help repair brain and spinal
Table of Contents OHSU Physician Q & A . . . . . . . . . . . . . . . . . . . . . . 4 cord damage caused by it. These findings were published in the Annals of Neurology.
OHSU Calendar . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
2 ohsu Health winter 2013 ohsuhealth.com/magazine ohsuhealth.com/magazine winter 2013 ohsu Health 3
QA &
What’s the link between type 2
diabetes and heart disease?
your questions,
our answers
My 8-year-old has trouble
falling asleep. Can I give him
My sister was just diagnosed
with thyroid cancer. Are there
any new treatments for it?
Treatment will depend on the type
of thyroid cancer. More than 90 percent of all thyroid
What is the difference between
the various types of cosmetic
facial fillers?
It depends on the area you would like
enhanced. If you have hollows under your eyes,
or want fuller lips, we recommend Restylane; it’s
sleep medication or melatonin? cancer is Papillary or Follicular. The other types of hyaluronic acid (HA), a chemical that occurs naturally
People who have type 2 diabetes are thyroid cancer, Medullary and Anaplastic, are much in the body. Restylane is made up of very small
twice as likely to develop heart or vascular disease. Research shows sleep quality and rarer. All thyroid cancers require surgery to remove particles, which is why it’s good for filling areas with
Even people with pre-diabetes or metabolic syndrome quantity is related to improved health: Getting enough part or all of the thyroid and sometimes nearby thinner skin. It typically lasts 6-9 months. The other
have higher risk. Blood vessels of people with diabetes sleep makes children healthier and parents happier. lymph nodes. If you’ve had your thyroid removed, HA-based fillers are Juvederm and Perlane, which are
can become thicker and damaged, making it difficult However, there are no medications approved by the you will need to take daily medication for the rest similar to Restylane, except the particles are larger and
for blood to flow. Some individuals with diabetes are Federal Drug Administration (FDA) to treat insomnia of your life that provides the same hormones your better at filling deeper lines, such as those between
also less likely to feel symptoms of heart disease, such in children. Even over-the-counter medications, such thyroid had made. Some may also need a radioactive your nose and mouth, and mouth and chin. Treatment
as chest pain, because the process that affects blood as Benadryl and melatonin, can have serious side iodine treatment. Finding physicians who are thyroid with Juvederm or Perlane lasts 9-12 months. Another
vessels also affects nerves. Fortunately, research shows effects. An effective treatment for childhood insomnia experts is important. Future thyroid cancer care may filler, Radiesse, is made from calcium hydroxyapatite
early intervention and prevention measures help lower can involve adjusting bedtime behavior: Establish a actually start at the diagnosis: OHSU’s personalized (CaHa), and stimulates your own collagen production.
the risk of heart disease. These measures include a relaxing, predictable bedtime routine for your child; medicine research is helping identify the genetics of It’s usually injected into the cheeks and deeper
comprehensive medical and lifestyle management unplug and remove the television from your child’s each person’s thyroid cancer, so we can tailor new lines of your face to provide plumpness. It typically
program that promotes exercise, weight reduction bedroom and avoid caffeine. It’s also best to stop treatment to the individual. Also, certain families lasts 9-18 months. Risks are rare; they may include
and targeted medical therapy. Since 15 percent of all screen time — iPads, computers, video games, are prone to thyroid and other cancers such as breast lumpiness or bruising at the injection site. You
Americans have type 2 diabetes, and nearly one-third etc. — 30 minutes before bedtime, as the light from and melanoma; if those run in your family, talk can avoid bruising by avoiding ibuprofen, blood
are at risk to develop it, a team approach is needed. these screens can affect your natural sleep cycle. to a thyroid specialist about preventative care. thinners, aspirin or fish oils a week beforehand.
Scott Chadderdon, M.D. Elizabeth Super, M.D. Mira Milas, M.D. Elizabeth Knapp, PA-C
OHSU Heart Disease and OHSU Doernbecher Children’s OHSU Thyroid and Parathyroid OHSU Facial Plastic and
Diabetes Clinic Hospital Center Reconstructive Surgery
About the Expert About the Expert About the Expert About the Expert
Dr. Chadderdon is a cardiologist and co-director of the Dr. Super is a pediatrician at OHSU Doernbecher Children’s Dr. Milas is an endocrine surgeon specializing in thyroid and Elizabeth Knapp is a Physician Assistant working under
OHSU Heart Disease & Diabetes Clinic — a collaboration Hospital. She has a special board-certification in Sleep parathyroid disorders at the OHSU Knight Cancer Institute. the direction of OHSU facial plastic surgeons. She
between the Knight Cardiovascular Institute and the Harold Medicine and is part of the multidisciplinary OHSU sleep She serves as the director of Endocrine Surgery at OHSU performs minimally invasive cosmetic procedures such
Schnitzer Diabetes Health Center — specializing in the disorders clinic. OHSU Doernbecher Children’s Hospital has and is a member of the Thyroid and Parathyroid Center. as neuromodulator treatment of dynamic facial lines and
unique needs of people with type 2 diabetes, metabolic the most pediatric specialists in Oregon and ranks among the The Knight Cancer Institute is the only center in Oregon treatment for volume loss. She also works with licensed
syndrome and pre-diabetes. nation’s best hospitals. designated by the National Cancer Institute. medical estheticians to develop personalized skin care
regimens for patients.
Accepting New Patients: Yes Accepting New Patients: Yes Accepting New Patients: Yes
Insurance: Most major health plans Insurance: Most major health plans Insurance: Most major health plans Accepting New Patients: Yes
appointments: 503 494-1775 Appointments: 503 494-6606 Appointments: 503 494-2544 Insurance: Most major health plans
Web: ohsuheart.com Web: ohsudoernbecher.com Web: ohsuhealth.com/cancer Appointments: 503 494-5678
Location: OHSU Center for Health & Healing, 9th Floor. Location: OHSU Doernbecher Children’s Hospital, 7th Floor Location: OHSU Physicians Pavilion, 3rd Floor Web: www.ohsu.edu/facialplasticsurgery
At the base of the Portland Aerial Tram. 700 S.W. Campus Drive, Portland, OR 97239 3147 S.W. Sam Jackson Park Road, Portland, OR 97239 Location: OHSU Center for Health & Healing, 5th Floor
3303 S.W. Bond Ave., Portland, OR 97239 At the base of the Portland Aerial Tram
3303 S.W. Bond Ave., Portland, OR 97239
4 ohsu Health winter 2013 ohsuhealth.com/magazine ohsuhealth.com/magazine winter 2013 ohsu Health 5
Q&A
How do I know if I’ve torn my
your questions,
our answers
Do you have a question for our
OHSU physicians? Ask us at
ohsuhealth.com/magazine.
What are signs of head and neck
To register, visit ohsuhealth.com/seminar
or call 503 494-1122.
Ask the Health Experts Seminars
OHSUcalendar
cancer, and what causes it? OHSU Center for Health & Healing,
rotator cuff? And will surgery 3rd Floor, 3303 S.W. Bond Avenue, ohsu.edu/health/maps
be necessary? Head and neck cancers used to be February 12 7 p.m. February 27 7 p.m.
mainly limited to older men who smoked and drank
Help, my baby has a flat head! What does Heart care for type 2 diabetes
First, you should know what and where heavily. Recently, however, head and neck cancers this mean? Scott Chadderdon, M.D. and Farahnaz Joarder, M.D.
your rotator cuff is: a group of muscles and tendons associated with the sexually transmitted human Anna Kuang, M.D., F.A.C.S.
Learn about the unique heart care needs for people with
that attach your upper arm to your shoulder blade papillomavirus (HPV) have increased greatly. HPV Learn why some infants or babies have a flat head, and what type 2 diabetes, from the co-directors of the OHSU Heart
and stabilize the shoulder, allowing it to rotate. A infection is common; about 80 percent of the U.S. can be done about it. Also find out more about what OHSU Disease and Diabetes Program.
torn rotator cuff will impair your shoulder; taking population is exposed. However, most forms of Doernbecher is doing to treat facial anomalies such as cleft
lip, cleft palate and prematurely fused skulls.
a shower, getting dressed or lifting and lowering the virus do not cause cancer or are cleared by the
your arm will cause pain. Rotator cuff tears can
be acute — from a fall or sudden injury — or
immune system. If caught early, many head and neck
cancers are very treatable — even curable. Early signs February 13 7 p.m.
March 6 7 p.m.
Scoliosis and the adult spine
free health screening events
degenerative, meaning your shoulder area weakens include a lump in your neck or ear pain. Two vaccines, Change your heart disease genes D. Kojo Hamilton, M.D.
over time. In some cases, surgery might be necessary Cervaris and Gardasil, protect against HPV; they Michael Shapiro, D.O. and Kent Thornburg, Ph.D. Hear how adults face a unique set of challenges when living
Free Heart Month Screenings Free Head and Neck Cancer
if your symptoms have been going on for a long are recommended for girls and boys before puberty, with scoliosis, and learn how medical treatment can help.
time, if you’ve lost function in your shoulder or if but can be given at up to 26 years old. The best way
Scientists have discovered that it’s not bad genes but
generations of poor nutrition that cause heart disease. Learn Brought to you by the OHSU
Screening
the tear is large. But often, rotator cuff tears can be to avoid HPV-related head and neck cancers is to how to change the fate of your family tree. Knight Cardiovascular Institute Brought to you by the OHSU Knight Cancer Institute
March 12 7 p.m.
improved with rest, physical therapy, non-steroidal practice safe sex and avoid smoking. Routine medical Friday, February 15, Friday, April 19, 7 a.m. – 3:30 p.m.
Can your teeth affect your sleep?
anti-inflammatory drugs or cortisone injections. and dental care are important for early detection. February 20 7 p.m. 10 a.m. – 2 p.m. No appointments necessary.
Kevin Kwiecien, D.M.D.
When is surgery right for clogged coronary Friday, February 22,
Sleep can help keep your teeth healthy, and certain mouth Location: OHSU Center for Health & Healing Lobby
arteries? conditions may indicate poor quality of sleep. Learn of 10 a.m. – 2 p.m. 3303 S.W. Bond Ave.
Adam Mirarchi, M.D. Neil Gross, M.D. Howard Song, M.D., Ph.D. recent findings, concerns, and treatments related to sleep No appointments necessary.
OHSU Bone and Joint Care OHSU Knight Cancer Institute quality, sleep apnea and teeth grinding. As part of national Head and Neck Cancer Awareness
Learn about the surgical treatments of atherosclerosis and Location: OHSU Center for Health & Healing Lobby,
when they might be right for you. Week, the OHSU Knight Cancer Institute is offering free
3303 S.W. Bond Ave. head and neck cancer screenings.
As part of American Hearth Month, the OHSU Knight Screening is quick and painless. You’ll receive a
About the Expert About the Expert Cardiovascular Institute is offering free heart health personalized risk assessment for the following:
screenings. You’ll receive testing for the following:
Dr. Mirarchi is an orthopaedic surgeon specializing in the Dr. Gross is a surgeon specializing in the treatment of • Skin cancer (face and scalp), including melanoma
hand and upper extremity. He is part of OHSU’s Hand & Wrist head and neck cancers and minimally invasive surgical
• Lipid panel (HDL and LDL cholesterol, triglycerides)
• Oral (mouth and throat) cancer
Specialty Team — doctors and surgeons who are specially techniques. He is also the co-director of head and neck • Glucose
trained to treat hand and wrist injuries and conditions such as clinical trials at the OHSU Knight Cancer Institute. The OHSU
• Thyroid cancer
• Blood pressure
carpal tunnel, ganglion cysts, fractures and more. As Oregon’s Knight Cancer Institute is involved in more than 400 cancer • Neck cancer
only academic health center, OHSU accesses the latest research clinical trials. • BMI
and technology to advance all types of orthopaedic care. OHSU doctors will also answer your
Screenings are on a first-come basis. Fasting is not
Accepting New Patients: Yes questions and help you identify the
required for this screening; however, fasting can give
Accepting New Patients: Yes Insurance: Most major health plans signs of cancer. You can also opt to
more accurate results. If you choose to fast, avoid all
Insurance: Most major health plans appointments: 503 494-5355 participate in a clinical trial on HPV-
food and caloric liquids 8 hours prior to your screening.
Appointments: 503 494-6400 Web: ohsu.edu/research/rda/so/knight.php associated head and neck cancers
Web: ohsuhealth.com/ortho Location: OHSU Physicians Pavilion, Suite 250 www.ohsuknightheart.com
Location: Orthopaedic & Rehabilitation Clinic at 3147 S.W. Sam Jackson Park Rd., Portland, OR 97239 For more information, call 503 418-9235
Cornell West, 1500 N.W. Bethany Blvd., Beaverton, OR 97006 or visit www.ohsuknightcancer.com/headandneck.
6 ohsu Health winter 2013 ohsuhealth.com/magazine ohsuhealth.com/magazine winter 2013 ohsu Health 7 ohsuhealth.com/magazine winter 2013 ohsu Health 8
Mail code: BTE 355
CC: A-484
3181 S.W. Sam Jackson Park Rd.
Portland, Oregon 97239-3098
Marquam Hill Lectures Imagine the Future Lectures 503 494-8311
ohsuhealth.com/magazine
Since 1981, the Marquam Hill Lectures have brought To mark the 125th anniversary of the OHSU School of
together leading members of the OHSU faculty in a public Medicine, OHSU has invited compelling speakers for
lecture series that features the research that will form the exciting talks about the role of academic medicine in the
basis of tomorrow’s treatments. Lectures are held at the 21st century and beyond. The knowledge of all for the care of one.
OHSU Auditorium.
For more information, please visit ohsu.edu/125/lectures.
To register, please visit, ohsu.edu/mhlectures. OHSU Health is a
February 4, 5 p.m. quarterly publication
of OHSU serving the
February 21, 7:30 p.m.
Confronting the “cost of hope” in greater Portland area.
Information is intended
Vaccination the U.S. health care system to educate and
is not a substitute
nation? — Amanda Bennett, author, executive editor of projects and for consulting with a
healthcare provider.
investigations, Bloomberg News
Separating fact Location: OHSU Auditorium
from fiction
— Mark Slifka, Ph.D. February 19, 5 p.m.
The future of pediatrics research
March 21, 7:30 p.m. and practice
— Alan E. Guttmacher, M.D., director, Eunice Kennedy Shriver
Creating a Google National Institute of Child Health and Human Development
map of cancer? Location: Vey Auditorium
— Joe Gray, Ph.D.
April 1, 5 p.m.
How technology will reshape the THE OHSU BRAIN INSTITUTE PRESENTS
definition of health care
— Eric Dishman, Intel fellow and general manager, Intel
2013 Brain Awareness Lecture Series
Health Strategy & Solutions
Location: OHSU Auditorium
Mysteries of the Mind: What are we learning
about the hidden secrets of the brain?
Mark your calendar for this year’s exciting speakers and lectures. Nationally regarded
Baby talk, with OHSU experts will delve into the mysterious realm of the brain and the mind.
Fertility Consultants February 25, Richard Hodes, M.D., “Creating brain resiliency: What is the secret to healthy aging?”
Considering fertility treatment? Want to learn about what March 4, David Eagleman, Ph.D., “The subconscious mind: What are our deep and secret thoughts?”
options are best for you? At OHSU, we offer a full range of March 25, Kim Burchiel, M.D., “Deep brain stimulation: What can probing deeply into the brain do?”
fertility services. Join us at an open house to learn about
your options, talk to our fertility specialists and get your April 2, Eric Fombonne, M.D., “The latest research in autism: Why is autism like a broken mirror?”
questions answered. May 13, Marcus Raichle, M.D., “Neuroimaging: How do we peer deeply into the brain?”
Center for Health & Healing May 20, Larry Sherman, Ph.D., “Nature vs. nurture: A story of adoption, reunion, neurosciences and
10th floor, fertility clinic lobby shock therapy.”
March 14, 6 - 7:30 p.m. All lectures begin at 7 p.m. at the Newmark Theater, 1111 SW Broadway, Portland.
April 11, 6 - 7:30 p.m. Purchase tickets and learn more by visiting www.ohsubrain.com/bas.
Register at: ohsuhealth.com/babytalk or by calling
503 418-3700. Refreshments provided.
ohsuhealth.com/magazine winter 2013 ohsu Health 9
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