Mayfield The Standard Spring 2018 · 2018-05-16 · The Mayfield Standard A seasonal publication for friends of Mayfield Brain & Spine Spring 2018 By the time Jo Anne first saw Arthur

The MayfieldStandard

A seasonal publication for friends of Mayfield Brain & Spine

Spring 2018

By the time Jo Anne first saw Arthur Arand, MD, a neurosurgeon with Mayfield Brain & Spine, she was using a walker and her life had come to a virtual standstill. She was still able to work, but she could no longer drive. Her husband would drive her to work, and a friend would drive her home. She could not stand for any length of time, which meant she could no longer cook – one of her favorite activities. “Every move I made hurt,” Jo Anne recalls. “It pretty much immobilized me. The only place I went to was work.”

Today, thanks to Dr. Arand’s expert care, Jo Anne is back doing everything she loves. After undergoing outpatient surgery at the Mayfield Spine Surgery Center at the end of November 2017, she was soon back on her feet, walking, driving, and rolling out Christmas cookie dough with her grandchildren. On May 5 she walked the Flying Pig 5K.

Jo Anne injured her back several months earlier while helping a friend move some belongings. Jumping down from a large box truck, taking care not to hurt her surgically repaired knee and shoulders, she landed on the pavement with an awkward jolt. “I thought, ‘That didn’t feel so good,’” Jo Anne says. “But as with most things, I thought I would give it some time and it would get better.” Continued on page 5 >

By George Mandybur, MD, Mayfield Neurosurgeon

If you or a loved one has Parkinson’s disease, you probably know that Parkinson’s is a condition that doesn’t stand still. What is true about your Parkinson’s today may not be true tomorrow. Symptoms change with this progressive neurological disease. As a result, treatments change as well. Here are 6 things to know about surgery as a treatment option for Parkinson’s.

1. Deep brain stimulation (DBS) surgery is the primary surgical treatment for Parkinson’s. During surgery, we implant electrodes that deliver electrical signals to an area of the brain that is responsible for movement. The electrodes are connected to a stimulator device that resembles a pacemaker. Continued on page 2 >

Jo Anne’s story: Ruptured lumbar disc

6 things to know about surgery for Parkinson’s disease

Jo Anne / Photo by Joe Simon

George Mandybur, MD

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Mayfield Brain & Spine celebrated its new West Chester and Green Township offices with open house and ribbon-cutting celebrations with staff, patients, and the community. More than 70 guests attended the West Chester event, including representatives from The West Chester - Liberty Chamber Alliance and the West Chester Board of Trustees. More than 100 attended the Green Township opening, including members of the township’s administration.

Presented in Columbus: Expertise in spinal deformity

Mayfield’s Robert Bohinski, MD, PhD, spoke about the management of complex spinal deformity at the Ohio State Neurosurgical Society’s annual meeting in Columbus on March 10. Dr. Bohinski shared more than 100 slides detailing remarkable cases in which he corrected severe spinal deformities, allowing patients to stand

up straight or hold their head up for the first time in years. Dr. Bohinski is one of several Mayfield physicians who treat patients with complex spinal deformity conditions.

At the West Chester open house, from left: Lee Wong, President, West Chester Township Board of Trustees; Bill Powell, Ambassador, West Chester - Liberty Chamber Alliance; Arthur Arand, MD, Mayfield Chairman; and Joe Hinson, President & CEO, West Chester - Liberty Chamber Alliance.

Mayfield welcomes the community with West Chester, Green Township open houses

Parkinson’s disease Continued from page 1 > 2. DBS does not cure Parkinson’s disease, nor can it improve the declines in memory and thinking that come with Parkinson’s. But DBS surgery can help improve symptoms, such as tremor, slowness of movement, stiffness, and difficulty walking. It can significantly improve an individual’s quality of life.

3. DBS can be done while you are awake or asleep. Even if you are awake, you will feel no pain during the procedure.

4. DBS works best for people who benefit from dopamine-replacement medication but are getting less and less benefit from their medication. These individuals seesaw between “on” and “off” periods and typically suffer involuntary movements called dyskinesias, which develop after prolonged use of levodopa.

5. DBS is covered by Medicare and private insurance plans. The expense is considered worthwhile because patients may be able to continue working, reduce their medications, remain independent, and above all, enjoy a higher quality of life.

6. The best time to undergo DBS surgery varies for each individual. We don’t want you to have the procedure too early in the course of your disease, when your medications are still working well. And we don’t want you to have it too late, when the benefits might be minimal. We want to follow the “Goldilocks theory” and choose the time that is “just right.” Your doctor can help you determine when that is.

FEETFIRST

• Less than 10 feet deep or unknown depth• Poor visibility• Above-ground pool

• 10-12 feet deep• Clear visibility

10 - 12 feet

SAFEDIVE

Robert Bohinski, MD, PhD

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Mazor X™ for minimally invasive fusion now at Bethesda NorthDale Horne, MD, PhD, a neurosurgeon with Mayfield Brain & Spine and a member of the TriHealth Neuroscience Institute, is employing the next step in minimally invasive lumbar spine fusion at Bethesda North Hospital. Dr. Horne is using Mazor X™ robotic technology, which integrates planning, guidance, and imaging technologies to enhance surgical precision during spinal surgery.

Spinal fusion is most often used to help relieve pain caused by degenerative conditions, including degenerative disc disease, scoliosis, and herniated discs.

In 2007 Dr. Horne became only the second neurosurgeon in the nation to use the original Mazor Robotics SpineAssist Guidance System in a clinical setting. He performed more than 350 procedures with that technology at Bethesda North, a TriHealth hospital. Mayfield physicians also use the Mazor X technology at St. Elizabeth Healthcare in Northern Kentucky.

Facing surgery? Now is the perfect time to end all tobacco useIf you use tobacco and are preparing for spine surgery, the most important action you can take is to quit smoking. Mayfield clinicians urge you to stop all tobacco use: cigarettes, e-cigarettes, cigars, pipes, chewing tobacco, and smokeless tobacco (snuff or dip).

“We have scientific evidence that nicotine prevents bone growth and decreases successful fusion,” says William Tobler, MD, a neurosurgeon with Mayfield Brain & Spine. “In fact, fusion fails in 40 percent of smokers compared with 8 percent of non-smokers. Smoking also decreases blood circulation, which causes wounds to heal more slowly and increases the risk of infection.”

Dr. Tobler knows that quitting smoking may be one of the hardest things you have ever tried to do. “Getting support from family and friends may be helpful,” he says. “In addition, we are more than happy to talk to you about nicotine replacements, pills without nicotine (Wellbutrin®, Chantix®), and tobacco counseling programs.”

Mayfield clinicians want their patients to have the best surgical outcomes possible. Quitting all tobacco use before surgery maximizes the chances that you – and your surgeon – will be successful.

FEETFIRST

• Less than 10 feet deep or unknown depth• Poor visibility• Above-ground pool

• 10-12 feet deep• Clear visibility

10 - 12 feet

SAFEDIVE

Summer is coming. Dive in smart.One unsafe dive can damage the spinal cord, causing permanent paralysis or even death. Most of these tragic injuries occur in water less than 3 feet deep. Most victims are boys and young men.

If someone is injured after diving into shallow water, call 9-1-1.

Remember•Diveonlyintowaterthatis10to12feetdeep.•Alwaysenterthewaterfeetfirsttodeterminedepth.•Neverdiveintoanabove-groundswimmingpool.•Waterlevelsinlakesandriverscanchangeovertime.•Waterlevelscanbeimpactedbyunseendebrisonthebottom.

William Tobler, MD

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The morning of Halloween, Glenn came home after working the third shift and found Jenny sound asleep and sprawled out, half in bed, half out. Because she had fallen many times, Glenn wasn’t overly worried. He lifted her back into bed, then lay down for a short nap. Later, when Jenny was still unresponsive, he called 911.

Emergency responders transported Jenny “with lights and sirens” to Mercy Anderson Hospital, where she was diagnosed with a subdural hematoma, a large collection of blood between the tissues that surround the brain.

Most subdural hematomas are caused by a head injury (a fall or accident) that tears blood vessels near the surface of the brain. In Jenny’s case, the hematoma likely was caused by mild repetitive falls. A helicopter air-lifted Jenny to The Jewish Hospital, a tertiary neurosurgical care center. Jenny was then whisked into the operating room, where Dr. Tempel performed a hemicraniectomy. He removed a large portion of one side of Jenny’s skull, relieving pressure and giving her brain room to swell.

Dr. Tempel told Glenn they had given Jenny a fighting chance. All they could do now was wait and see whether she regained consciousness. Days went by, and Glenn stewed. Jenny had always been firm about heroic measures. She always said, “Promise me, Glenn, no feeding tubes.”

Six days after her surgery, Jenny opened her eyes. She moved her head “yes” and “no” to questions. She moved her limbs. “It was all of a sudden like the Christmas tree lights

coming on,” Glenn says. “She started showing that she was alive in there after all.”

After weeks at a rehabilitation center, Jenny returned to Jewish Hospital so that Dr. Tempel could replace the portion of skull that had been removed. Her brain, once terribly swollen, had settled into its normal contour.

“In Neurosurgery, the stakes are substantial,” Dr. Tempel says. “The highs can be really high, and the lows can be really low. Saving a life will always remain a special feeling for those who are fortunate enough to experience it. When she returned to the hospital to have her bone flap replaced, I took a video of her smiling and thanking all of the people at Jewish who gave her a shot. A lot of happy tears were shed in the ICU and in the operating room that day.”

Jenny has this advice for other families that might follow in her footsteps: “Hold on to the last possible moment that you can, because miracles do happen. And ours happened through Dr. Tempel and the staff at Jewish Hospital.”

Many feared it was too late; her neurosurgical team disagreedWhen the helicopter landed at The Jewish Hospital – Mercy Health, Virginia was one step away from brain death. “When it comes to neurosurgical emergencies, when every second counts, this is as dramatic as it gets,” says Zachary Tempel, MD, a neurosurgeon for Mayfield Brain & Spine. “Many thought it was too late and questioned whether we should even take her to surgery. Our nurse practitioner, Andrea Stoll, and I disagreed.”

When Virginia – who goes by Jenny – takes her next flight, it will be to Disneyworld with her husband, Glenn, for their 10th anniversary. They could not be more grateful.

Before her crisis, Jenny was having balance problems, memory slips, and periods of confusion. Glenn thought she might be getting Alzheimer’s. Jenny thought she was just getting old. “It took me a long time to get to the point where I was at death’s door,” she says.

Jenny / Photo by Joe Simon

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New kiosks smooth registration, promote interaction between patients and Mayfield staffMayfield Brain & Spine wishes to thank our patients and their families for embracing our new patient registration process! Our new touch-screen kiosks were designed to enhance your experience by reducing paperwork and eliminating the need for you to provide information more than once. “Our new process asks for big changes in the way we interact with patients,” says Michael Galvin, Vice President of Integrated Services. “We hope our patients are noticing that our associates are spending more time connecting with them and less time on paperwork and data entry.”

Jo Anne’s story Continued from page 1 > But her back didn’t get better, not even with conservative care. On the day of her appointment with Dr. Arand, Jo Anne recalls, “It was so hard to get out of bed, I could hardly stand. I kept thinking, I don’t want my grandchildren to remember me being like this.”

A week after Thanksgiving, still using a walker, she hobbled into the Mayfield Spine Surgery Center. In the operating room, Dr. Arand performed a decompressive laminectomy at the L 4-5 vertebrae, the most common site of a disc rupture in the lumbar (lower) spine. He removed the offending disc material while creating breathing room for the nerves. When Jo Anne left the Spine Surgery Center, she was able to walk out holding onto her husband.

By Christmas, Jo Anne was driving again. She celebrated her 43rd anniversary with her husband, Bill, with a night out. And she was back in the kitchen, making homemade spaghetti sauce and chili. “What a relief that is,” she says. “You take so many things for granted. I so appreciate Dr. Arand and everything he did for me.”

New on YouTube:carotid artery diseaseLincoln Jiménez, MD, a Mayfield neurosurgeon, explains the symptoms and causes of carotid artery disease, also known as carotid stenosis, and its treatments. To view this educational video, and many others, please visit YouTube.com/MayfieldClinic. Lincoln Jiménez, MD

Bill and Jo Anne / Photo by Joe Simon

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Mayfield sponsors a ‘Healthy Brain’ eventMayfield Brain & Spine was a proud sponsor of “Brain Matters, a Healthy Brain Event,” which drew more than 375 people to the TriHealth Fitness & Health Pavilion on March 10. Hosted by TriHealth, the event featured talks by clinicians, including Mayfield neurosurgeon Andy Ringer, MD, and demonstrations about ways in which nutrition and fitness can enhance brain health. Pictured above: TriHealth’s Yolonda Kelsor, left, and LaShaunda Jones.

Mayfield Foundation awards grants in hydrocephalus, DIPG, and strokePilot grants in medicine, also known as “seed grants,” are modest amounts of money that give a scientific idea a chance to take root. Researchers use the funds to test new ideas and gather data. If the data supports their idea, they can use that data to apply for a much bigger grant from the federal government or a major non-profit institution.

The Mayfield Education & Research Foundation has a proud history of awarding pilot grants to deserving researchers. This winter, for the first time, the foundation expanded its impact beyond the Greater Cincinnati-Northern Kentucky region by awarding $158,800 in grants to researchers at universities and medical centers throughout the Midwest. The grants were announced in January by William Tobler, MD, Mayfield Foundation Chair.

• PrincipalInvestigatorBonnieBlazer-Yost,PhD,andherteam at the School of Science at IUPUI and Indiana University School of Medicine received $59,318 to develop an effective pharmaceutical treatment for hydrocephalus.

• PrincipalInvestigatorRobertLober,MD,PhD,andhisteam at the Wright State University Boonshoft School of Medicine and Dayton Children’s Hospital received $48,500 to study the role of genes in new treatments for the deadly pediatric brain tumor DIPG (diffuse intrinsic pontine glioma).

• PrincipalInvestigatorShahidNimjee,MD,PhD,and his team at The Ohio State University Wexner Medical Center, pictured below, received $51,000 for cardiovascular research for pre-clinical stroke therapies.

Dr.AndyRingeris Health Care Hero winnerAndrew “Andy” Ringer, MD, Mayfield neurosurgeon and Chief of Neurosciences for TriHealth, was named the 2018 Health Care Heroes winner in the Innovator Category February 15 at the Hyatt Regency. Dr. Ringer, pictured above, was honored at the Cincinnati Business Courier’s annual event for his research and innovations in endovascular neurosurgery. He was the first in the world to use the Magellan robot to diagnose and treat vascular diseases inside the brain.

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Mayfield in the communityThe Art & Science & HealingMore than 240 attendees enjoyed an enchanting and educational evening at The Transept April 14 in Over-the-Rhine during the Mayfield Education & Research Foundation’s fourth annual Art & Science of Healing, the “hippest science fair in town.” The fundraising gala featured dinner by the bite, artwork for silent auction, live event painting by Gail Morrison and Richard Luschek, II, and research and technology exhibits. Liz Bonis, Weekend Anchor and Health Reporter for Local 12 WKRC, served as emcee. Net proceeds exceeded $60,000. Presenting sponsors were the Carol Ann and Ralph V. Haile, Jr. / US Bank Foundation, The Christ Hospital, Mercy Health, TriHealth, and Mayfield Brain & Spine.

At left, scenes from the Art & Science of Healing: 1) Artist Gail

Morrison with Emcee Liz Bonis of Local 12; 2) spine implants

from DePuy Synthes; 3) From left, Rick and Nancy Fehr, Jane

and Mark Burke; 4) Mayfield Foundation grantee Robert

Lober, MD, PhD, of Wright State University, and Julie Lober;

5) JoAnn Arand and Art Arand, MD, of Mayfield Brain & Spine.

Giving back• MayfieldsponsoredtwoeventsinMayforParkinson

Support & Wellness, the largest independent Parkinson organization in the Tri-State: the annual educational Spring Forum and the 10th annual Steady Strides 5K race. Mayfield’s George Mandybur, MD, was a guest speaker at the symposium.

•TenMayfieldassociatesparticipatedintheAmericanHeartAssociation / American Stroke Association Heart Mini Marathon events March 18 in and around downtown Cincinnati. The Mayfield team raised $1,000 for the Heart Association.

• TheMayfieldEducation&ResearchFoundationenteredateam of 36 in the Flying Pig marathon festival.

• MayfieldsponsoredtheTri-StateBrainAneurysmSupportGroup’s 13th annual symposium, which attracted more than 50 attendees.

• MayfieldsponsoredtheWCETActionAuctionandraised$5,300 for the 2018 ArtsWave campaign.

• TheMayfieldGreenTeamorganizedmultipleEarthWeekactivities, including a lecture about minimizing food waste by Jenny Lohmann, program specialist for the Hamilton County Recycling & Solid Waste District. Mayfield associates also raised funds for Rainforest Trust, a global land conservancy, and Woven Oak Initiatives, a Norwood, Ohio, nonprofit.

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The MayfieldStandard

A seasonal publication for friends of Mayfield Brain & Spine

3825 Edwards Road · Suite 300Cincinnati, Ohio 45209

Presorted standardUs Postage Paid

CinCinnati ohPermit 9714

To receive your Mayfield Standard by e-mail, please contact Jillian at [email protected]. To review current and past issues of the Standard, please visit mayfieldclinic.com/PR_newsletter.htm.

Produced by the Communications Department, Mayfield Brain & Spine. Cindy Starr, MSJ, Editor. © 2018 Mayfield Clinic.

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Mayfield’s mission to provide the best neurosurgical care includes educating medical professionals, patients, caregivers, and the general public. In keeping with this mission, Mayfield is now offering enhanced preparation for all patients who are scheduled for cervical or lumbar fusion. In addition to receiving our new 50-page book, Caring for Your Spine Before and After Surgery, patients are encouraged to attend our new spine class prior to their surgery. The class is led by Lisa Cleveland, PT, Director of Physical Therapy.

Upcoming spine care classes: August 7 & November 8Location: Second-floor conference room 3825 Edwards Road, Cincinnati, Ohio 45209

Lisa Cleveland, PT

For general questions or appointments, call 513-221-1100.

New spine care class for lumbar and cervical surgery patients