Medical Insight

Learn the latest information on medical topics that affect you. Brought to you by Essentia Health's medical experts.

Medical Insight airs every Wednesday at 7 pm on KBJR channel 6 in the Duluth, MN area.

Acupuncture

Medical Insight: Acupuncture - Essentia Health Video Transcript

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Title, Medical Insight. The Essentia Health logo appears, consisting of three leaves in a circle. Text, Essentia Health.

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ANNOUNCER: Welcome to Medical Insight, a weekly health care feature brought to you by the experts at Essentia Health. Here's your host, Louie St. George. LOUIE ST. GEORGE: Today on Medical Insight, Essentia Health licensed acupuncturist Jake Swette, discusses how acupuncture aligns with integrative health care. JAKE SWETTE: So acupuncture is a component of traditional East Asian medicine that's a growing part of modern integrative health care that includes not just needling therapy, which acupuncture is, but also traditional herbalism and dietetics, physical manipulation similar to osteopathy, as well as body and breath-based exercises. In general, these needles are quite small.

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An acupuncturist places a fine needle in the underside of a patient's forearm. A massage therapist pulls his thumbs down a calf from the knee to the ankle. Outdoors, a woman purses her lips as she breathes out, bringing her joined palms from above her head to in front of her face.

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They're placed all over the body from head to toe.

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Swette rubs a small white pad on a patient's wrist and elbow. He places a fine needle on the back of the hand near the base of the thumb.

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They cause very little pain in general. They're typically placed at depths that are quite comfortable. We stimulate different nerves throughout the body in different areas that influence physiological activity, circulatory activity, neural activity, lymphatic activity and hormonal activity as well. LOUIE ST. GEORGE: While acupuncture is most commonly associated with pain management, there are a number of conditions that can benefit from the treatment. JAKE SWETTE: We also use acupuncture for women's health issues, like menopausal issues and difficult or painful periods. We use it for cancer support, like treating nausea and malaise. And we also use it for treating anxiety, depression and stress.

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Swette places needles on the back of a patient's hand at the base of the index finger and on the wrist. He displays a needle and sheath on his palm, then traces a line along a patient's forearm.

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One of the biggest confusions patients have when they receive their referral is, they expect just needles to be used, when in fact, we may be doing physical manipulations on the body. We may be talking about lifestyle changes that they need to make in order to help resolve or at least manage their conditions. What we're really trying to do is help people find balance and more ease in their lives.

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Swette removes needles from a sterile pack, then inserts one at the back of a patient's forearm.

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Anybody who's struggling with any sort of health issue, they should give us a call, schedule an appointment, and we can decide if that's something that may be helpful for them.

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LOUIE ST. GEORGE: For Medical Insight, I'm Louie St. George.

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ANNOUNCER: To learn more about this and other health topics, visit essentia health. org/medical insight.

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Title, Medical Insight. The Essentia Health logo appears, consisting of three leaves in a circle. Text, Essentia Health. Essentia Health dot org slash Medical Insight.

Acupuncture is a part of Traditional Chinese Medicine and uses very thin needles inserted in the skin at specific points on the body. Treatments don’t typically hurt and help reduce nausea and vomiting after cancer treatment, relieve pain or discomfort, regulate blood flow and treat chronic conditions like fatigue and menstrual problems.

For more information call 844-663-1068 or learn more about Integrative Medicine.

Advance Care Planning

Medical Insight: Advance Care Planning - Essentia Health

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Text, Medical Insight. The Essentia Health logo appears, consisting of three leaves in a circle.

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Welcome to Medical Insight, a weekly health care feature brought to you by the experts at Essentia Health. Here's your host, Louie St. George.

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SPEAKER: Welcome to Medical Insight, a weekly health care feature brought to you by the experts at Essentia Health. Here's your host, Louie St. George.

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A man in a suit and tie

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LOUIE ST. GEORGE: Who will advocate for you during a time of serious illness or injury? Today on Medical Insight, Essentia Health's Wanda Paulsen and Dr. John Degelau talk about advance care planning. WANDA PAULSEN:

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Wanda Paulsen, Advance Care Planning Program Manager

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Advance care planning is the best way we have found to incorporate an individual's goals, values, and beliefs into the care that we provide. It's a way to think about, talk about, and write down your wishes for future health care, if ever a time happened where you couldn't speak for yourself. A lot of people think that it's for those that are very frail or elderly, or that we expect something could happen to them in the near future. But it's really important for everybody to start having those conversations. LOUIE ST. GEORGE:
It's important to get a signed health care directive on file. Also, be sure to review it regularly in case your wishes change.

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Dr. John Degelau -- Hospitalist Services

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JOHN DEGELAU: In a way, when we look at advance care planning, it's kind of having some insurance about your hopes, wishes, things are important to you being respected. Advance care planning is an important thing that we all have to think about, because all of us in the course of our lives at some point are going to have a serious illness. If you're able to put these things down, that it really helps take the burden off family members that may have to deal with decisions for you in a time of crisis. LOUIE ST. GEORGE:
Essentia offers advance care planning classes online. Learn more at essentia health.org. For Medical Insight, I'm Louie St. George. SPEAKER: To learn more about this and other health topics, visit essentia health.org/medical insight.

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The Essentia Health logo appears, consisting of three leaves in a circle. Text, Essentia Health. Medical Insight

Learn more about advance care planning.

Asthma

Medical Insight: Asthma - Essentia Health

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Text, Medical Insight. The Essentia Health logo appears, consisting of three leaves in a circle.

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Welcome to Medical Insight, a weekly health care feature brought to you by the experts at Essentia Health. Here's your host, Louie St. George.

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A man in a suit and tie.

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LOUIE ST. GEORGE: Today at Medical insight, Dr. Jamie Conniff talks about an increasingly common affliction. Asthma, which is a disease of the lungs that can affect your ability to breathe. DR. JAMIE CONNIFF:

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Dr. Jamie Conniff, Family Medicine

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Classic symptoms that we talk about for asthma are shortness of breath, wheezing, cough.

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A child in a bike helmet next to a lake puts their hand on their chest and breathes hard.

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Those are the things that you look for. Sometimes it's subtle, sometimes it is a child who is getting winded a lot more quickly than their friends. Or it's somebody who wheezes a lot more than their siblings do after getting a viral infection. The mainstay treatment for asthma, from the medication perspective, is inhalers. Those are medicines that are delivered through a device that you hold up to your mouth, and breathe in and inhale into your lungs. LOUIE ST. GEORGE: Diagnosis is important so that it can be treated properly. At Essentia every patient has an asthma action plan. DR. JAMIE CONNIFF: It is one of those kind of scary conditions. Because you can feel fine and still be at risk for having severe exacerbation that could lead to hospitalization, intubation in the intensive care unit, and even death. We live in this beautiful part of the world where we want to be spending time outside. Exercising and enjoying the outdoors. And if we can't do that because we can't breathe when we go outside, then that's a problem. If we're ignoring symptoms of asthma, and then the symptoms are getting in the way of that enjoyment. It's really this cascading effect on our health that goes beyond just the lungs to our overall well-being. Now and decades down the road. LOUIE ST. GEORGE: For Medical Insight, I'm Louie St. George. SPEAKER 1: To learn more about this and other health topics, visit Essentia Health.org/medical insight.

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The Essentia Health logo appears, consisting of three leaves in a circle. Text, Essentia Health. Medical Insight

Learn more about asthma.

Bariatric Surgery

Medical Insight: Bariatric Surgery - Essentia Health

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Text, Medical Insight, The Essentia Health logo appears, consisting of three leaves in a circle. Text, Essentia Health.

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SPEAKER: Welcome to Medical Insight, a weekly health care feature brought to you by the experts at Essentia Health. Here's your host, Louie St. George.

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A man in a suit and tie.

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LOUIE ST. GEORGE: Today on Medical Insight, Dr. Annabelle Butler discusses bariatric surgery, which aims to significantly and sustainably reduce body weight. ANNABELLE BUTLER:

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Dr. Annabelle Butler, Bariatric Surgeon

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Bariatric surgery is really meant to treat the disease of obesity. And the disease of obesity comes along with several other chronic metabolic diseases. And the ones that are most common that we see would be high blood pressure, high cholesterol, diabetes, sleep apnea. A patient with diabetes who comes in for their weight loss surgery will go home and notice that they are using much less insulin, if not completely off of their insulin after surgery. Not every patient that gets bariatric surgery has a medical condition related to their obesity. But the great thing about bariatric surgery is it actually helps prevent them from developing those conditions. Really, bariatric surgery ends up adding years to a patient's life.

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Text, Quality of Life Improved in 95% of patients. Mortality Reduced by 89% in five-year period.

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LOUIE ST. GEORGE: Dr. Butler says bariatric surgery is a proven tool for long-term, meaningful weight loss, though she knows there are misconceptions among her patients and others. ANNABELLE BUTLER: I tell them it's not a willpower issue. And that's part of the stigma of weight. But we have to change the way that we view obesity. And I keep coming back to, obesity is a disease. Patients after weight loss surgery tend to enjoy a new lease on life. They have improved physical function. They are coming off of a lot of chronic long-term medications, and in general have a higher quality of life after surgery. LOUIE ST. GEORGE: Bariatric surgery patients generally return to work within two weeks. For Medical Insight, I'm Louie St. George. SPEAKER: To learn more about this and other health topics, visit essentia health.org/medical insight.

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The Essentia Health logo appears, consisting of three leaves in a circle. Text, Essentia Health. Medical Insight

Learn more about bariatric surgery.

Coronary Calcium Scoring

Medical Insight: Coronary Calcium Scoring – Essentia Health Video Transcript

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Text, Medical Insight. The Essentia Health logo appears, The Essentia Health logo rotates and appears, consisting of three leaves in a circle. Text, Essentia Health. Text, Essentia Health

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NARRATOR: Welcome to Medical Insight, a weekly health care feature brought to you by the experts at Essentia Health. Here's your host, Louie St. George.

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Louie St. George, host

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DR. LOUIE ST. GEORGE: Today on medical Insight, Essentia Health cardiologist Ramin Artang tells us about calcium scoring, a preventive test for people age 45 or older. DR. RAMIN ARTANG: A coronary calcium score is a CT scan of the chest where we primarily focus on amount of calcium that can be seen in the heart. Calcium comes due to the disease process of coronary artery disease. As we age, some of the plaques that are developing in the vessels with time they calcify and that's what we can actually measure with the X-ray that the CT is. DR. LOUIE ST. GEORGE: This 15 minute scan is critical in determining one's risk for serious health events, such as a heart attack over the next 5 to 10 years. DR. RAMIN ARTANG: Let's say a gentleman in his 50s with significant family history of coronary artery disease get this test and get a relative high score. Having calcium in your heart definitely pushes toward the fact that you need to be on medication such as cholesterol lowering medication, because it's proof that coronary artery disease process is going on in the heart. If your cholesterol were a little high but you have absolutely no calcium in your heart, that would allow the doctor to say well there's not much going on here. We can wait. This test is not for people who actually have chest pain symptoms or shortness of breath symptoms. This test is for people with no symptoms whatsoever, but who have a risk factors such as diabetes, such as a longstanding history of smoking, such as high cholesterol or high blood pressure who are afraid there's something bad waiting for them. DR. LOUIE ST. GEORGE: For Medical Insight, I'm Louie St. George. NARRATOR: To learn more about this and other health topics, visit Essentia Health. org/MEDICAL INSIGHT.

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The Essentia Health logo appears, consisting of three leaves in a circle. Text, Essentia Health.

A cardiac calcium scoring test, sometimes called a heart scan, is a fast and simple “CAT” scan of your heart. The test is designed to measure the amount of hard plaque, or calcium that has built up inside your coronary arteries (the vessels that supply blood to your heart muscle). The total amount of measured plaque is your Calcium Score. This test is now being offered at $100 out-of-pocket cost.

For more information read about screening and diagnostic testing.

Cyberknife® Treatment

Medical Insight: Cyberknife® Treatment – Essentia Health Video Transcript

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Logo, Medical Insight. Essentia Health, three leaves in turquoise, blue and lime form a triangle.

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ANNOUNCER: Welcome to Medical Insight, a weekly health care feature brought to you by the experts at Essentia Health. Here's your host, Louie St. George. LOUIE ST. GEORGE: Today on Medical Insight, radiation oncologist Ken Dornfeld explains how technology called the CyberKnife helps Essentia Health more effectively treat certain kinds of cancer.

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Doctor Kenneth Dornfeld, Radiation Oncologist.

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KENNETH DORNFELD: The main use for this machine is to deliver radiation treatments to small targets.

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The machine's scanning arm is viewed from below.

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And its advantages compared to conventional machines is that we're able to focus very crisply and accurately.

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The arm performs a sweeping motion.

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That robotic arm allows us to deliver radiation from multiple-- dozens, really-- of different angles and directions. That way, we can direct small amounts of radiation through tissue in a way that's not harmful or damaging for normal tissue, but focus the radiation at its greatest intensity where the cancer is.

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Computer renderings display the human body and a targeting reticle focused on a small internal section of the spine.

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There is less collateral damage. This tool is able to really, in some ways, bend light, or deliver radiation in a way that curves around normal tissues. LOUIE ST. GEORGE: The CyberKnife is especially adept at treating lung cancer, a disease that Essentia approaches with a comprehensive program. KENNETH DORNFELD: So at Essentia, we've worked very hard to develop ways of decreasing lung cancer mortality. I look at this as a very sophisticated tool that's on the very front lines, or really the last step in our approach to minimizing lung cancer deaths.

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Scan imaging displays highlighted tumor areas.

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Our success rates, either with surgery or with this type of radiation treatment for early-stage lung cancer, is in the range of 70% to 80%. And being able to deliver curative treatment successfully and safely with machines like the CyberKnife can make a large decrease, or a large impact on the success rates for lung cancer treatment. LOUIE ST. GEORGE: For Medical Insight, I'm Louie St. George. ANNOUNCER: To learn more about this and other health topics, visit Essentia Health. org/Medical Insight.

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Logo, Medical Insight. Essentia Health, three leaves in turquoise, blue and lime form a triangle.

If you have a cancerous tumor that can't be safely removed using traditional surgery, rely on Essentia’s radiation oncologists to perform radiosurgery using CyberKnife® technology. The CyberKnife® System delivers radiation exactly where needed - anywhere in the body.

Talk to your primary care doctor if you have questions or learn more about Radiosurgery.

Foot and Ankle

Medical Insight: Foot and Ankle - Essentia Health

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SPEAKER: Welcome to Medical Insight, a weekly health-care feature brought to you by the experts at Essentia Health. Here's your host, Louie St. George. LOUIE ST. GEORGE: Today on Medical Insight, Essentia Health orthopedic surgeon, Jefferson Davis, talks about treating troublesome feet and ankles, which could involve fusing a joint or complete reconstruction. JEFFERSON DAVIS:

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Dr. Jefferson Davis, Orthopedic Surgeon.

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Obviously, we walk every day, and we're on our feet most of the days-- most of us are-- and a lot of these people have disabling pain and they just can't deal with. Our bodies aren't made to last forever. They wear out, tendons wear out, the tendons that hold up our arches wear out, our feet get flat some with time. People have sporting injuries, twist their ankle, rupture their ligaments. Those sometimes need to be reconstructed. I see quite a few people for flatfoot-- progressive flat-- and their arches fall, and they're having increasing pain. I see a lot of people for what they call "Haglund's deformity," or a bump on their heel that's rubbing on their Achilles tendon and causing a lot of pain in their heel. I also see a lot of people for ligament instability of their ankle. LOUIE ST. GEORGE: Dr. Davis says technology has made the procedures he performs much more precise. JEFFERSON DAVIS: They are computer guided, in that we take a CT of the ankle before we do the ankle replacement. We send it away, and they make specialized jigs that just fit onto that person's anatomy, and that enables us to put pins in the exact places, take those jigs off, and put on the regular cutting blocks that we cut the bone with. And it cuts it very precisely. It's better than anything when you have a patient that's happy and has had a good result. There's no replacement for that. So yeah, that's why I do this. LOUIE ST. GEORGE: For Medical Insight, I'm Louie St. George.

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To learn more about this and other health topics, visit essentia health.org/medical insight.

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The Essentia Health logo appears, consisting of three leaves in a circle.

In this Medical Insight, we examine foot and ankle repairs performed by the talented medical professionals at Essentia Health.

Frostbite tPA

Medical Insight: Frostbite tPA - Essentia Health

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Text, Medical Insight. The Essentia Health logo appears, consisting of three leaves in a circle. Text, Essentia Health

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SPEAKER: Welcome to Medical Insight, a weekly health-care feature brought to you by the experts at Essentia Health. Here's your host, Louie St. George. LOUIE ST. GEORGE: Today on Medical Insight, Dr. Mark Scott, a trauma surgeon at Essentia Health, talks about frostbite. MARK SCOTT:

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Outdoors, a woman and man blow into their bare hands.

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If a person is wearing appropriate winter attire with gloves, boots, warm socks, long underwear, scarves, hats, things like that, the onset of frostbite can be greatly slowed, whereas a direct exposure of naked skin to the elements can produce frostbite injuries within minutes. If you or someone you know thinks that you may have experienced a frostbite injury, getting prompt medical attention can mean the difference between recovering from the injury, potentially with minimal long-term effects, versus something as catastrophic as losing fingers, or toes, or an entire hand or foot to amputation. LOUIE ST. GEORGE: At Essentia, one treatment for frostbite as a drug called alteplase, which alleviates blood clots. MARK SCOTT: Using alteplase allows us to break down that clot and restore blood flow.

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In an animation, red cells move through a vessel.

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And it's been shown to be very effective at saving people's fingers, or toes, or even more major injuries, and avoiding the need for amputation. It's sort of paradoxical, but the times where we oftentimes see the most cases are actually at the beginning and end of the winter. When it's minus 30 outside, most people have the good sense to bundle up when they go outside. LOUIE ST. GEORGE: Wind can greatly accelerate the onset of frostbite. For Medical Insight, I'm Louie St. George.

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Text, Medical Insight, Essentia Health. The Essentia Health logo appears, consisting of three leaves in a circle.

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SPEAKER: To learn more about this and other health topics, Visit essentia health.org/medical insight.

This Medical Insight takes us through frostbite, how it can be prevented, and what doctors at Essentia do to treat it.

Hip Arthroscopy

Medical Insight: Hip Arthroscopy - Essentia Health

Medical Insight: Hip Arthroscopy Video Transcript
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Text, Medical Insight, The Essentia Health logo appears, consisting of three leaves in a circle. Text, Essentia Health.

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SPEAKER: Welcome to Medical Insight, a weekly health care feature brought to you by the experts at Essentia Health. Here's your host, Louie St. George.

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A man in a suit and tie

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LOUIE ST. GEORGE: Today on Medical Insight, Essentia Health Orthopedic Surgeon Bill Uffman explains hip arthroscopy, which is meant to treat labral and cartilage injuries in people typically under the age of 40, and without any signs of arthritis. BILL UFFMAN:

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A man in a white lab coat with a stethoscope over his shoulders holds out a clear plastic device. Text, Arthroscopy. Dr. Bill Uffman wears a surgical mask and cap.

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With a hip arthroscopy, we're able to get in the joint, look around, assess the level of damage, fix a labral tear. Sometimes we have to reconstruct the labrum, because it is very damaged and not fixable. They have extra bones sitting in the front of their hip that, when they flex their hip up, kind of bangs against their hip socket. Those people are at a much higher predisposition to develop hip arthritis later on in life. LOUIE ST. GEORGE: And Dr. Uffman says it's not always clear why these injuries occur. They could be the result of a very active lifestyle as youngsters. Regardless, they are painful. BILL UFFMAN: But sometimes it gets to the point where you can't sit. You know, long car

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A woman stands up near a bed, her hand on her hip, and looks out a window.

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rides. You can't put your shoes and socks on, or you can't walk without pain. And that's when people typically come to see me. So by going in and addressing that before it kind of-- you know, that horse leaves the barn-- going in there and trying to prevent any further damage at typically a younger age, we think that it is kind of a hip-sparing procedure. LOUIE ST. GEORGE: Following hip arthroscopy, patients can expect to be back full-bore within six to eight months. For Medical Insight, I'm Louie St. George. SPEAKER: To learn more about this and other health topics, visit essentia health.org/medical insight.

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The Essentia Health logo appears, consisting of three leaves in a circle. Text, Essentia Health. Medical Insight

Learn more about hip care at Essentia.

Lifestyle Medicine

Medical Insight: Lifestyle Medicine – Essentia Health Video Transcript

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NARRATOR: Welcome to Medical Insight, a weekly health care feature brought to you by the experts at Essentia Health. Here's your host Louie St. George. DR LOUIE ST. GEORGE: Today on Medical Insight, Dr. Jason Buffington introduces lifestyle medicine which advocates therapeutic lifestyle changes rather than medication for the treatment of chronic disease.

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Text, Dr. Jason Buffington, family medicine physician

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DR. JASON BUFFINGTON: The American College of Lifestyle Medicine recognizes six main factors that we really focus on for helping people change their behaviors. Changing to a healthier diet. Being active and exercising.

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Chopping vegetables. Jogging

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Decreasing tobacco and moderating alcohol use and any other toxins or drugs in our environment. Helping with sleep, stress reduction, and also healthy relationships. When a patient comes in for a consult with a lifestyle medicine provider, we'll go through those six healthy factors of lifestyle medicine. A lot of times, it's just one or two that we need to focus the most on. Worldwide,

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Dietary handout, The Power Plate. Showing a plate divided into four quadrants, fruits, grains, legumes, vegetables

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diet currently is the number one cause of disease, and that tends to be the one that people need the most help with. All of our appointments or 40 minutes, which is a lot longer than a typical doctor's appointment so we can really tease out the factors and their health goals. DR LOUIE ST. GEORGE: Dr. Buffington says unhealthy lifestyle factors have led to skyrocketing disease rates. Lifestyle medicine is a new approach that helps target the root cause of disease. DR. JASON BUFFINGTON: We know now through many years of science that probably 80% to 90% of the diseases that we're getting as Americans are related to unhealthy lifestyle factors.

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Overweight person exercising on a treadmill

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72% of Americans are overweight or obese.

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Shopping for produce and preparing it

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About 14% of Americans have diabetes.

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Meditation in the lotus position

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Lifestyle medicine hopefully will help people change their unhealthy habits so we can prevent that from skyrocketing further. DR LOUIE ST. GEORGE: Lifestyle medicine has now offered at the Essentia wellness center in Hermantown. For Medical Insight, I'm Louie St. George. NARRATOR: This Medical Insight was brought to you by Essentia Health. To learn more about the services we offer, visit Essentia Health. org.

Lifestyle Medicine can help you treat or reverse your chronic diseases through science-based lifestyle changes - rather than first or only using medications. Our lifestyle physicians are trained in factors such as, nutrition, sleep, stress management, exercise, substance abuse, and healthy relationship building.

Take control of your health. Schedule an appointment today by calling 218-786-3100 or learn more about Lifestyle Medicine.

LINX® Reflux Management System

Medical Insight: LINX® Reflux Management System – Essentia Health Video Transcript

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Text, Medical Insight

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SPEAKER: Welcome to Medical Insight, a weekly health care feature brought to you by the experts at Essentia Health. Here's your host Louie St. George.

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Text, Louie St. George, Host. The Essentia Health logo appears, consisting of three leaves in a circle

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LOUIE ST. GEORGE: Today on Medical Insight, Dr. Ryan Groeschl describes how Essentia Health is treating acid reflux with an innovative device called the LINX Reflux Management System, which strengthens the lower part of the esophagus.

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Text, Dr. Ryan Groeschl, --General Surgeon

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RYAN GROESCHL: The way we were intended to be is that at the end of our esophagus before the stomach starts, there is increased tone in the muscle there. We call that the lower esophageal sphincter. So a normal person has some increased tone right there that can relax to allow food to go through it into your stomach.

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Animation depicts food as it enters the stomach.

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But when you're not swallowing, it's designed to stay tight so that acid from your stomach is not refluxing up into your esophagus. So the LINX device works by adding this ring of magnetic beads around that portion of the esophagus to provide some additional tone.

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The LINX device appears at the entrance to the stomach

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LOUIE ST. GEORGE: Surgery to implement a LINX device is minimally invasive and lasts between 30 and 60 minutes. Recovery is swift as patients typically go home the same day and can immediately return to their normal diets. RYAN GROESCHL: Who is going to pursue some surgery for their GERD, or surgical correction for GERD, is generally patients that have severe symptoms and they're not getting the relief from the assets oppressive medications that they would like.

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Hands link the ends of the LINX device

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After placement of the LINX device, about 85% of patients will completely get off their acid suppressive medications. And as far as symptom control, many patients with GERD have heartburn, or regurgitation, or pulmonary symptoms, but 99% of patients with a LINX have no more regurgitation. So if they had regurgitation before, it's gone. 88% of the patients with heartburn no longer have heartburn after a LINX is placed. So the symptom resolution is excellent. LOUIE ST. GEORGE: For Medical Insight, I'm Louie St. George.

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Text, Essentia Health, Medical Insight

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SPEAKER: To learn more about this and other health topics, visit Essentia Health. org/Medical Insight.

See immediate improvement in your reflux or gastroesophageal reflux disease (GERD) with the LINX® implant - a small, quarter-sized device. It is implanted through a minimally invasive procedure and has a positive impact immediately.

Talk to your primary care doctor if you have questions or schedule an appointment online.

Lyme Disease

Medical Insight: Lyme Disease – Essentia Health Video Transcript

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Text, Medical Insight

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ANNOUNCER: Welcome to Medical Insight, a weekly health care feature brought to you by the experts at Essentia Health. Here's your host, Louis St. George

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Text, Louie St. George, Host. The Essentia Health logo appears, consisting of three leaves in a circle

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LOUIS ST. GEORGE: Today on Medical Insight, Dr. Amanda Noska, an infectious disease specialist at Essentia Health, discusses Lyme disease, a tick borne illness commonly found in this part of the country. DR. AMANDA NOSKA: Throughout Minnesota, it's highly prevalent, but rural areas tend to be more heavily concentrated, by virtue of the fact that Lyme has a transmission cycle that involves white-tailed deer and mice and woods. One of the very difficult things about Lyme disease, is that it can be confused with other things.

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Sitting outside a tent surrounded by fallen leaves, a man rubs his temples.

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Lyme disease can present with headaches. Many people have headaches, and they're not always from Lyme disease, but it can present from headaches. Over half of the people with Lyme disease have profound fatigue. They feel very tired, in other words.

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A man rubs his neck

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Neck stiffness can happen. Loss of appetite, that's very common with Lyme disease. To diagnose Lyme, to actually get to the diagnosis, one thing that is very reliable is finding a bullseye rash on your body. That means you've been exposed to a deer tick within the last seven to 14 days usually. And it's a sign of acute Lyme disease, early localized disease. And that is a telltale sign that you probably have Lyme disease and should get treatment. LOUIS ST. GEORGE: Aside from daily tick checks, Dr. Noska suggests wearing dark-colored clothing, tucking pant legs into socks, and using DEET-containing repellent. DR. AMANDA NOSKA: We have a very high incidence here. So removing ticks, if they're stuck to you, is important, especially before they're what we call engorged or full of blood. You have 36 hours from the time a tick is on you to removal. You're unlikely to get Lyme disease, because it takes a while to get into the body and manifest itself as infection. LOUIS ST. GEORGE: For Medical Insight, I'm Louis St. George.

(DESCRIPTION)
Text, Essentia Health, Medical Insight

(SPEECH)
ANNOUNCER: This Medical Insight was brought to you by Essentia Health. To learn more about the services we offer, visit essentia health. org.

Lyme disease is an infectious disease spread by ticks. The most common sign of infection is an expanding area of redness on the skin that appears at the site of the tick bite about a week after it occurred.

Talk to your primary care doctor if you have questions or schedule an appointment online.

Midwifery at St. Mary's Medical Center (Duluth)

Medical Insight: Midwifery at St. Mary's Medical Center (Duluth) – Essentia Health Video Transcript

(DESCRIPTION)
Title, Medical Insight. The Essentia Health logo appears, consisting of three leaves in a circle.

(SPEECH)
NARRATOR: Welcome to Medical Insight, a weekly health care feature brought to you by the experts at Essentia Health. Here's your host Louie St. George.

(DESCRIPTION)
Text, Louis St. George, Host. Louis wears a gray suit jacket and stands in front of a lamp and flower vase. Essentia Health Logo.

(SPEECH)
LOUIE ST. GEORGE: Today on Medical Insight, certified nurse midwives Zada Dunaiski and Amity Heinbuch tell us about Essentia Health's comprehensive midwife program for low risk pregnancies. ZADA DUNAISKI:

(DESCRIPTION)
Text, Zada Dunaiski, Certified Nurse Midwife. Zada wears a white lab coat and glasses and stands in front of a brown wall. Essentia Health logo.

(SPEECH)
Essentia is now offering a midwifery program, so a patient can see a midwife throughout the pregnancy.

(DESCRIPTION)
Two parents hold and gaze at an infant while a person in a maroon shirt observes.

(SPEECH)
And we have a 24/7 call service where the midwife will meet the patient at the bedside and attend the birth. AMITY HEINBUCH:

(DESCRIPTION)
Text, Amity Heinbuch. Certified Nurse Midwife. Essentia Health logo. Amity wears a white lab coat and glasses.

(SPEECH)
So typically midwives will spend more time one on one with a patient during their labor, giving them suggestions, position changes, different ways to cope with the discomforts of labor.

(DESCRIPTION)
A pregnant patient sits upright on a small platform on the floor with spread legs. Amity rubs the patient's back. Amity stands behind a patient to massage the lower back. Amity stands to speak with a patient seated on a bed.

(SPEECH)
Whether it be getting in the tub, or massage, as well as the midwives can also provide different medication interventions as well to help them with whatever they want in their labor and delivery. LOUIE ST. GEORGE: According to Heinbuch, women who use midwives typically have healthier pregnancies and are better equipped for natural childbirth. ZADA DUNAISKI:

(DESCRIPTION)
Zada and a patient speak next to a computer.

(SPEECH)
The patient would come in and see a nurse practitioner or midwife for the first visit and talk about risk factors for the pregnancy and then decide if you are a midwife candidate, or if you should see a doctor for your pregnancy. Women want continuous bedside support in labor, and a lot of women want an unmedicated birth or a more holistic approach to their pregnancy.

(DESCRIPTION)
Zada presses an ultrasound wand to a pregnant patient's abdomen.

(SPEECH)
The unique part of this program is that you can have a full midwifery experience with the backup of an in-house obstetrician, anesthesiologist, and a NICU team.

(DESCRIPTION)
A patient holds an infant.

(SPEECH)
LOUIE ST. GEORGE: For Medical Insight, I'm Louie St. George. NARRATOR: This Medical Insight was brought to you by Essentia Health. To learn more about the services we offer, visit Essentia health. org.

(DESCRIPTION)
The Essentia Health logo appears, consisting of three leaves in a circle. Text, Medical Insight.

Partner with a Certified nurse-midwife (CNM) at Essentia for a holistic approach to care. Our certified nurse-midwives partner with you to provide primary care, reproductive health care (including family planning and gynecologic exams), pregnancy and birth care, as well as postpartum and newborn care.

To learn more call 844-663-1068 or read more about Midwifery.

Oncology Clinical Trials

Medical Insight: Oncology Clinical Trials - Essentia Health

(DESCRIPTION)
Text, Medical Insight. Essentia Health, logo consisting of three leaves in a circle.

(SPEECH)
SPEAKER 1: Welcome to Medical Insight, a weekly health care feature brought to you by the experts at Essentia Health. Here's your host, Louis St. George.

(DESCRIPTION)
Text, Louie St. George, Host, Essentia Health. Louie wears a suit and tie and has a name badge clipped to his lapel. He stands in an airy room with large windows and plants.

(SPEECH)
LOUIS ST. GEORGE: Today on Medical Insight, Dr. Bret Friday, medical oncologist at Essentia Health, explains the importance of oncology clinical trials.

(DESCRIPTION)
Text, Dr. Bret Friday, Clinical Oncologist. Essentia Health. Dr. Friday wears a dress shirt and tie. He stands in front of book-lined bookshelves.

(SPEECH)
BRET FRIDAY: One of the big reasons that patients are part of clinical trials is to learn how to treat cancer better. And I think there's an altruistic benefit for every cancer patient who's receiving treatment

(DESCRIPTION)
A sign outside an office reads, Oncology Clinic Trials. The room has a cubicle and bookshelf. Medical equipment.

(SPEECH)
they reap the benefits of all the patients who are part of clinical trials in the past.

(DESCRIPTION)
Man wearing a mask, scrubs, and a stethoscope talks to a man with gray hair and a mask. Medicine bottles and a sink are in the background.

(SPEECH)
And we should always strive to get better, and that's what trials are. It's striving to get better. It's learning more about the cancer.

(DESCRIPTION)
The camera moves back to Dr. Friday.

(SPEECH)
And, as an institution, I think Essentia's culture fits with that ideal. And I know that myself and my colleagues and everyone in the Cancer Center really feels that way.

(DESCRIPTION)
Louie speaks.

(SPEECH)
LOUIS ST. GEORGE: Clinical trials through Essentia are safe thanks to multiple levels of independent review, and therefore, patients anonymity. BRET FRIDAY: Our rural

(DESCRIPTION)
Map of mid-northern states in the U.S.

(SPEECH)
geography in northern Minnesota is a different population than is present in Manhattan, New York City.

(DESCRIPTION)
Label on medicine bottle reads, AbbVie North Chicago, Illinois, 60064, USA. Investigator Study, Parenthesis, Venetoclax, ABT dash 199, closed parenthesis.

(SPEECH)
And so if we want results from a cancer trial to really be broadly applicable to all those populations, you have to have patience participate from all of those different areas.

(DESCRIPTION)
The camera moves back to Dr. Friday.

(SPEECH)
As medical director of the research program here, that's what makes my job worthwhile.

(DESCRIPTION)
A sticker on a glass door reads, LR37B Laboratory.

(SPEECH)
Many people believe that being a cancer doctor is a very difficult job. And at times, it really is, but there are also really gratifying things.

(DESCRIPTION)
Dr. Friday.

(SPEECH)
And when we participate in trials and we get results back from those trials that change how we treat cancer and improve cancer treatments, that's what drives me. LOUIS ST. GEORGE: Essentia's

(DESCRIPTION)
Camera moves back to Louie.

(SPEECH)
commitment to research helps deliver the best care possible to patients.

(DESCRIPTION)
Text, Medical Insight, Essentia Health. logo consisting of three leaves in a circle. Essentia Health dot org forward slash Medical Insight.

(SPEECH)
For Medical Insight, I'm Louis St. George. SPEAKER 1: To learn more about this and other health topics, visit essentia health.org/medical insight.

Learn more about clinical trials at Essentia.

Opioid Stewardship

Medical Insight: Opioid Stewardship – Essentia Health Video Transcript

[MUSIC PLAYING]

(DESCRIPTION)
The Essentia Health logo appears, consisting of three leaves in a circle. Title, Medical Insight.

(SPEECH)
ANNOUNCER: Welcome to Medical Insight, a weekly health care feature brought to you by the experts at Essentia Health. Here's your host, Louis St. George.

(DESCRIPTION)
Louis Saint George stands in a hospital hallway wearing a business suit.

(SPEECH)
LOUIS ST. GEORGE: Opioids are used primarily to treat pain, though they also can produce a state of euphoria, sometimes resulting in dependency or addiction. Dr. Joe Bianco, a physician at Essentia Health, has witnessed both the benefits and detriments of opioid use.

(DESCRIPTION)
Dr. Joseph Bianco, Family Practice Physician

(SPEECH)
DR. JOSEPH BIANCO: Opioids are very important in our daily medical practice. They make a big difference on how we treat our patients. The key is using them safely. So if you've been on opioids for a long time and you find that you need to take more and more, but you're paying is getting worse, or it's not getting any better, something to think about is reducing the amount of opioids that you're on. Because sometimes opioids can cause more pain.

(DESCRIPTION)
A pharmacist slides blue tablets into a bottle. A clinician in a white coat reviews a paper titled, Relaxation Techniques with a patient. She shows the patient a black packet with a blue label. Text, Deterra Drug Deactivation System.

(SPEECH)
The patient can always refuse to use them as well, or not wish to have them. And we have other means to take care of pain that we can explore with patients. Addiction is a chronic disease, just like any other disease. And too often we've moralized addiction. And what we're doing right now, is encouraging people to see this as a medical condition just like hypertension or diabetes. LOUIS ST. GEORGE: Essentia Health has been a leader regionally in addressing the opioid epidemic. Within the past five years, we've seen a 50% decrease in patients started on opioids for chronic pain.

(DESCRIPTION)
Kelly Black, Opioid Treatment Program Specialist.

(SPEECH)
KELLY BLACK: Three of the main ways at Essentia is addressing opioids, is by reducing the amount of opioids within the community, treating pain differently. And for our patients who do have opioid use disorder or addiction, we're working on helping them manage their chronic disease. I'm encouraged by the progress that we're seeing in making a healthy difference in our patients' lives. LOUIS ST. GEORGE: For Medical Insight, I'm Louis St. George.

(DESCRIPTION)
The Essentia Health logo appears, consisting of three leaves in a circle.

(SPEECH)
ANNOUNCER: This Medical Insight was brought to you by Essentia Health. To learn more about the services we offer, visit essentia health.org.

[MUSIC PLAYING]

Learn how Essentia Health is combating opioid addiction within Essentia and the community. Essentia Health physician Dr. Joseph Bianco and opioid treatment program specialist Kelly Black, focus their education and practice on opioids in medicine and the importance of using them safely to treat pain.

Talk to your primary care doctor if you have questions or schedule an appointment online.

Orthopedic Trauma Surgery

Medical Insight: Orthopedic Trauma Surgery – Essentia Health Video Transcript

(DESCRIPTION)
Text, Medical Insight. The Essentia Health, which consists of three leaves in a circle. Text, Essentia Health. Here with you.

(SPEECH)
SPEAKER: Welcome to Medical Insight, a weekly health care feature brought to you by the experts at Essentia Health. Here's your host, Louie St. George.

(DESCRIPTION)
Text. Louie St. George, host.

(SPEECH)
LOUIE ST. GEORGE: Today, on Medical Insight, Dr. Paul Kosmatka discusses Essentia Health's orthopedic trauma team, which provides high quality care to patients when they need it most.

(DESCRIPTION)
Text. Dr. Paul Kosmatka, orthopedic trauma surgeon. Dr. Kosmatka wears a white coat.

(SPEECH)
PAUL KOSMATKA: Unlike other orthopedic specialists that sort of focus on one body region, we really take care of everything from the collarbone through the toes, the more common broken bones of collar bones, broken wrists, broken ankles.

(DESCRIPTION)
An X-ray image of an ankle.

(SPEECH)
And those are injuries that often get taken care of by the orthopedic trauma surgeon, simply because we have a very easy access to the operating room to get patients into the operating room when those injuries need surgery. We have a dedicated orthopedic trauma service that functions every day. We have an operating room available to us every day for the emergency and urgent orthopedic conditions. So

(DESCRIPTION)
An X-ray image of pins inserted into a hip.

(SPEECH)
that's why we can get patients in the same day that they're injured into the operating room, even for more minor injuries. But certainly when patients are admitted to the hospital with severe orthopedic injuries, we have a crew ready, a room ready, a team ready to take care of that patient when they need it. LOUIE ST. GEORGE: Essentia boosts the only level one trauma center in northern Minnesota, ensuring that our patients can receive expert care close to home. PAUL KOSMATKA: For patients and particularly their families to have to be transferred out of the area for a severe injury, where they might be in the hospital for a week or two and then need to be in a rehab center for a period of time after that, it's a significant strain on those families to have to travel that far to visit their loved one in the hospital. So providing that service close to home I think is very important. LOUIE ST. GEORGE: For Medical Insight, I'm Louie St. George. SPEAKER: This Medical Insight was brought to you by Essentia Health. To learn more about the services we offer, visit Essentia Health. org.

(DESCRIPTION)
Text, Medical Insight. Essentia Health logo appears.

Essentia Health is the only Level I trauma center in northern Minnesota - meaning trauma patients receive expert care close to home. Dr. Paul Kosmatka talks about Essentia's dedicated orthopedic trauma team, treating injuries from collar bone to the toe.

For more information call 844-663-1068 or read more about Orthopedic Surgery.

Orthopedic Urgent Care

Medical Insight: Orthopedic Urgent Care – Essentia Health Video Transcript

(DESCRIPTION)
Title, Medical Insight. The Essentia Health logo appears, consisting of three leaves in a circle.

(SPEECH)
NARRATOR: Welcome to Medical Insight, a weekly health care feature brought to you by the experts at Essentia Health. Here's your host Louie St. George.

(DESCRIPTION)
Text, Louie St. George, Host. Louie wears a gray suit jacket and stands in front of a brown wall. Essentia Health Logo.

(SPEECH)
DR. LOUIE ST. GEORGE: Today on Medical Insight, Dr. Ann Sudoh tells us about Essentia Health orthopedic urgent care, which provides initial treatment and management for an acute injury. DR. ANN SUDOH:

(DESCRIPTION)
Text, Dr. Ann Sudoh. Orthopedics and Sports Medicine Physician. Essentia Health logo. Dr. Sudoh wears a maroon shirt and stands in front of a machine with a monitor and gray tubes.

(SPEECH)
Orthopedic urgent care is similar to urgent care except with a musculoskeletal focus.

(DESCRIPTION)
Dr. Sudoh raises a patient's arm. Close up of patient's hand on scanner. X-ray of hand bones.

(SPEECH)
So we mostly see acute injuries, sprains, strains, some minor fractures, things like that. We have x-ray on site to say is it broken, is it not broken. After the initial evaluation and after we figure out is this something that's broken, if it's not broken. Is there a sprain? Is there a strain? From there, we can refer the patient on to physical therapy.

(DESCRIPTION)
Dr. Sudoh grasps a patient's wrists as the patient pushes their arms outward. The patient shakes their head from side to side. Dr. Sudoh presses a patient's shoulder. Text on patient's shirt, Saints C C.

(SPEECH)
We can send them to medical orthopedics or the sports medicine. We could send them on to the orthopedic surgeon if needed, or wherever also they need to go for follow up. The nice thing with this ortho urgent care is that it's an extension of our already robust orthopedics department at Essentia Health.

(DESCRIPTION)
Text on building sign, Orthopedic Urgent Care. Essentia Health logo.

(SPEECH)
DR. LOUIE ST. GEORGE: Orthopedic urgent care offers convenient hours designed to match busy lifestyles. No appointment is required. DR. ANN SUDOH: It's another alternative to going to the urgent care or going to the emergency department, or waiting for an appointment, you know, the next day. Certainly we are available to be able to look at some of the musculoskeletal issues pretty quickly.

(DESCRIPTION)
A patient rubs their shoulder while speaking with Dr. Sudoh. A soccer player clutches their ankle while seated on the grass. A teammate extends a hand to help the person stand up.

(SPEECH)
Helps people get an answer. Is this something? Can I play my game in four days, or am I going to be looking at this as the end of my season?

(DESCRIPTION)
A runner in a red jacket on a tree-lined trail suddenly stops. The runner leans forward to place their hands on their knees and grimaces.

(SPEECH)
People get injured more-so, not only between the hours of 9:00 and 5:00, you know, they certainly get injured after that too. So I think it's very helpful if you fall off your bike, if you fall on your skis, if you trip on a curb, if you slip on ice that we have six months out of the year. You know, you can be seen pretty quickly.

(DESCRIPTION)
A person tightens the straps on a gray, boot-like device on a patient's foot and lower leg.

(SPEECH)
DR. LOUIE ST. GEORGE: Orthopedic urgent care is located across from the Miller Hill mall. For Medical Insight, I'm Louie St. George. NARRATOR: This Medical Insight was brought to you by Essentia Health. To learn more about the services we offer, visit Essentia Health. org.

(DESCRIPTION)
The Essentia Health logo appears, consisting of three leaves in a circle. Text, Medical Insight.

At our Orthopedic Urgent Care across from the Miller Hill Mall in Duluth, MN, you don’t need an appointment. Get care for sprains, strains, and broken bones by a specialist in muscle, bone, and joint care. Care is provided by doctors or physician assistants.

To learn more call 218-576-0680 or visit our Orthopedic Urgent Care page.

Sepsis

Medical Insight: Sepsis – Essentia Health Video Transcript

[MUSIC PLAYING]

(DESCRIPTION)
The Essentia Health logo appears, consisting of three leaves in a circle. Text, Medical Insight.

(SPEECH)
SPEAKER: Welcome to Medical Insight, a weekly health care feature brought to you by the experts at Essentia Health. Here's your host Louie St. George. LOUIE ST. GEORGE: Each year about 1. 5 million Americans are impacted by sepsis, which is responsible for 1 out of every 3 hospital deaths. A new program at Essentia Health is aimed at detecting sepsis earlier and responding to it faster.

(DESCRIPTION)
Doctor A. J. Hegg, Critical Care and Emergency Medicine Physician.

(SPEECH)
A. J. HEGG: Sepsis is when you have an overwhelming response to an infection. So if you imagine that if you got an infection on your thumb, your thumb would get red and swollen. And that's a normal response that your immune system has to help fight the infection.

(DESCRIPTION)
Text, Bacteria from an infection entering the bloodstream. An illustration depicts green bacteria floating along side circular red blood cells.

(SPEECH)
When you get sepsis, what is happening is that entire response is happening throughout your whole body, and the immune system is-- it's overreacting to the infection in a way that is now damaging your organs. Probably the most important thing that we can do is identify sepsis early. And what we need to do as soon as we identify it is starting the patient on broad spectrum antibiotics and getting them appropriate IV fluids to help improve their circulation.

(DESCRIPTION)
A female patient is visited in her room by three medical professionals. They speak in good spirits as the monitoring equipment nearby reads her vital signs.

(SPEECH)
LOUIE ST. GEORGE: Early detection can save lives, and confusion is a red flag for somebody already dealing with an infection who then becomes confused. It's imperative they get to a hospital. A. J. HEGG: We've done a really good job nationally of increasing the public's awareness of things like stroke, and heart attacks, and how important early treatment is. We haven't done as good of a job about educating people about sepsis, and your chance of surviving an episode of sepsis or septic shock is directly related to how quickly we can treat you and diagnose you.

(DESCRIPTION)
The three medical professionals, wearing masks, continue to monitor the woman. The sign in their unit reads, Medical I. C. U. , Saint Mary's.

(SPEECH)
LOUIE ST. GEORGE: This effort is helping us achieve our aspirational aim of zero preventable harm. For Medical Insight, I'm Louie St. George.

(SPEECH)
SPEAKER: This Medical Insight was brought to you by Essentia Health. To learn more about the services we offer, visit Essentia Health. org.

[MUSIC PLAYING]

(DESCRIPTION)
The Essentia Health logo appears, consisting of three leaves in a circle. Text, Medical Insight.

Each year, about 1.5 million Americans are impacted by sepsis, which is responsible for 1 out of every 3 hospital deaths. Learn from Dr. AJ Hegg, an Essentia Critical Care & Emergency Medicine Physician, about a new program at Essentia Health that is aimed at detecting sepsis earlier and responding to it faster.

Talk to your primary care doctor if you have questions.

Specialty Pharmacy

Medical Insight: Specialty Pharmacy - Essentia Health

(DESCRIPTION)
Text, Medical Insight. The Essentia Health logo appears, consisting of three leaves in a circle.

(SPEECH)
Welcome to Medical Insight, a weekly health care feature brought to you by the experts at Essentia Health. Here's your host, Louie St. George.

(DESCRIPTION)
Text, Louie St. George, Host.

(SPEECH)
Today on Medical Insight, Kenzie Hohman tells us about the Essentia Health Specialty Pharmacy, which manages medications for complex and chronic conditions.

(DESCRIPTION)
Kenzie Hohman, Specialty Pharmacy Manager.

(SPEECH)
KENZIE HOHMAN: Specialty Pharmacy is an ambulatory pharmacy service like a traditional retail pharmacy. The big difference is in that conditions that we treat and the medications that we're providing.

(DESCRIPTION)
Medications fill bins on shelves. Some are in yellow bags labeled Caution.

(SPEECH)
Specialty medications tend to be more complex in administration, in their regimen, or simply have more difficult side effects to manage.

(DESCRIPTION)
A pharmacist fills a paper bag with a prescription and staples the bag closed. They place the paper bag in a plastic bag and zip the plastic bag closed.

(SPEECH)
Patients that are receiving specialty medications include oncology, hematology, multiple sclerosis, a number of chronic inflammatory diseases, like rheumatoid arthritis, psoriasis, Crohn's disease, as well as other conditions, like growth hormone deficiency. LOUIE ST. GEORGE: The specialty pharmacy team at Essentia includes professionals who assist advocate for patients, saving them millions of dollars over the years.

(DESCRIPTION)
A person wears a headset and holds a vial and instruction sheet. Text on vial, For Training Purposes Only.

(SPEECH)
KENZIE HOHMAN: Many of the specialty medications are very high cost. And so are navigators and liaisons are very integral in helping the patients access these high-cost therapies. I think one of the most fulfilling pieces is helping patients connect them with the resources that allow them to be successful with their medications.

(DESCRIPTION)
A smiling person opens a package. Another person approaches a pharmacy counter. A pharmacist places a bottle on the counter.

(SPEECH)
Patients can get their medications delivered directly to their home, or they can pick it up at any of our 21 pharmacy locations.

(DESCRIPTION)
Bottles and boxes of medication sit on pharmacy shelves. Text on sign, Essentia Health Pharmacy, Curbside Pick-Up, Call 2 1 8 6 0 6 9 3 6 5. Remain in your car. We'll come to you.

(SPEECH)
Our pharmacy locations can provide over-the-counter medications or non-specialty prescriptions as well. And patients can get their meds by curbside delivery at those locations if they choose. LOUIE ST. GEORGE: The Specialty Pharmacy is located in Superior, but serves patients from all over. For Medical Insight, I'm Louie St. George. To learn more about this and other health topics, visit essentia health.org/medical insight

(DESCRIPTION)
Text, Medical Insight. The Essentia Health logo appears, consisting of three leaves in a circle. Text, Essentia Health dot org slash Medical Insight.

Essentia Health's specialty pharmacy helps patients manage medications for complex and chronic conditions.

Read more about Essentia's specialty pharmacy.

SpineX Rehabilitation Program

Medical Insight: SpineX Rehabilitation Program – Essentia Health Video Transcript

(DESCRIPTION)
Title, Medical Insight. The Essentia Health logo appears, consisting of three leaves in a circle.

(SPEECH)
NARRATOR: Welcome to Medical Insight, a weekly health care feature brought to you by the experts at Essentia Health. Here's your host Louie St. George.

(DESCRIPTION)
Text, Louie St. George, Host. Louie wears a gray suit jacket and stands in front of a book shelf. Essentia Health Logo.

(SPEECH)
DR LOUIE ST. GEORGE: Today in Medical Insight, Essentia Health, physical therapist Ron Winans tells us how these SpineX rehabilitation program is helping patients restore neck and back strength. RON WINANS:

(DESCRIPTION)
Text, Ron Winans. Physical Therapist. Essentia Health logo. Winans wears a light pink shirt.

(SPEECH)
We incorporate some strength and conditioning, cardiovascular, stretching, home program and a routine here in the physical therapy department. We're here also to help decrease their fear, returning to their activities recreationally, work, home, yard work.

(DESCRIPTION)
Winans observes as a patient leans forward while her pelvis and legs are supported by a physical therapy machine.

(SPEECH)
Anything they need, we cater their program to themselves. So someone comes in with back and neck pain, it is a head to toe project.

(DESCRIPTION)
The patient repeatedly leans forward to lift a metal object and place it on a shelf.

(SPEECH)
We do initial evaluation. We find out where they're at, not where they should be at for height, weight, age, female or male.

(DESCRIPTION)
Patient sits on the ground and leans forward while grasping blue bands looped around feet. Seated patient leans forward while grasping handles of physical therapy machine.

(SPEECH)
We find out where they're at. If you're a 6'5", 350 pounds, that's who you need to be strong enough for. So we've got to find out where you're at. 80% of sports injuries are training errors, so we have to find out what's their flexibility, range of motion, and then progressed there. DR LOUIE ST. GEORGE: The SpineX program is two days a week for six to eight weeks. Winans says a successful outcome is when patients can increase their activity without fear. RON WINANS: Well we're here to re-educate the back and neck, increase their range of motion flexibility. Once we have that, then we can start building on the strengthening component.

(DESCRIPTION)
Seated patient leans back while pulling on elastic bands looped around feet.

(SPEECH)
So it is again tailored to the individual, and obviously as they build confidence and decrease fear to their return to activities. I want to hear that they can do stuff they haven't been able to do, and that's what we typically see.

(DESCRIPTION)
Text on computer monitor, Lumbar Relative Normative Analysis. Winans points to a graph that displays purple, red, yellow, and orange lines.

(SPEECH)
In the last 11 to 12 years, we've seen close to 2,500 patients with an 80% successful rate. DR LOUIE ST. GEORGE: For Medical Insight, I'm Louie St. George. NARRATOR: This Medical Insight was brought to you by Essentia Health. To learn more about the services we offer, visit Essentia Health. org.

(DESCRIPTION)
The Essentia Health logo appears, consisting of three leaves in a circle. Text, Medical Insight.

Restore spine strength and improve your ability to move with Essentia’s SpineX ™ Rehab Program. This eight-week program is available at locations in Northern Minnesota and Fargo, North Dakota.

Talk to your primary care doctor or read more about Essentia's back and neck pain program.

TAVR Program

Medical Insight: TAVR (transcatheter aortic valve replacement) – Essentia Health Video Transcript

[MUSIC PLAYING]

(DESCRIPTION)
Text, Medical Insight. The Essentia Health logo appears, consisting of three leaves in a circle. Text, Essentia Health

(SPEECH)
ANNOUNCER: Welcome to Medical Insight, a weekly health care feature brought to you by the experts at Essentia Health. Here's your host, Louis St. George. LOUIS ST. GEORGE: Today on Medical Insight, Essentia Health cardiologist Jason Schultz, explains transcatheter aortic valve replacement, which fixes the aortic valve without the need for open heart surgery. DR. JASON SCHULTZ:

(DESCRIPTION)
Dr. Jason Schultz, Cardiologist

(SPEECH)
So the traditional way of fixing heart valves is the surgeons go in and take the old valves out and put new ones in. TAVR stands for transcatheter aortic valve replacement. So essentially just using catheters and oftentimes balloons to replace the aortic valve without the need to open up the chest. We talk a lot about TAVR, because it's probably the most common thing that people perform. But we really see ourselves here at Essentia, as a comprehensive valve program.

(DESCRIPTION)
A simulation of a valve with calcium buildup. A white area in the valve opens.

(SPEECH)
If you're valve is leaky, if your valve is sticky, if you have holes where they shouldn't be, there is a 99. 9% chance that we can treat that here at Essentia for you. We started doing this in 2013, back when TAVR was a relatively new thing. And we performed almost 450 of these procedures now, and have really been delighted at how the program's grown. There's a lot of things that we've seen that we know exactly how to react to now. LOUIS ST. GEORGE: Most patients who need their aortic valve replaced are candidates for TAVR, which is a less taxing alternative to open heart surgery. DR. JASON SCHULTZ: In traditional surgery, someone's going to be in the hospital for five to seven days, and may find that it's difficult to recover for a couple of months.

(DESCRIPTION)
A simulation of the delivery catheter and the transcatheter heart valve. The transcatheter heart valve closes around the delivery catheter.

(SPEECH)
And with transcatheter approaches and TAVR, it's usually one day in the hospital. And within a week, you're kind of back up on your feet. I think that the TAVR program has really served as a springboard for really a comprehensive valve center and structural heart disease program. At Essentia, we've taken a lot of pride in not only performing a lot of these, but doing it with exceptionally high quality.

(SPEECH)
LOUIS ST. GEORGE: For Medical Insight, I'm Louis St. George.

(SPEECH)
ANNOUNCER: To learn more about this and other health topics, visit essentia health.org/medical insight.

[MUSIC PLAYING]

(DESCRIPTION)
The Essentia Health logo appears, consisting of three leaves in a circle. Text, Essentia Health. Medical Insight.

Transcatheter aortic valve replacement (TAVR) is an advanced minimally invasive procedure used to treat severe aortic stenosis. During the procedure, a tiny deflated balloon is placed in artery near your groin. It is then threaded up to your heart on a guide wire through a catheter. Once the balloon reaches your heart it is inflated to widen your narrowed aortic valve. This makes space for a new artificial valve to be placed inside your heart.

For more information call 218-786-3443 or read more about TAVR.

4DCT

Medical Insight: 4DCT – Essentia Health Video Transcript

(DESCRIPTION)
Title, Medical Insight. The Essentia Health logo appears, consisting of three leaves in a circle.

(SPEECH)
NARRATOR: Welcome to Medical Insight, a weekly health care feature brought to you by the experts at Essentia Health. Here's your host Louie St. George.

(DESCRIPTION)
Text, Louie St. George, Host. Louie wears a blue shirt and stands in front of a brick wall and green plant. Essentia Health Logo.

(SPEECH)
LOUIE ST. GEORGE: Today on Medical Insight, Essentia Health radiation oncologist Dr. Jessica Sawyer discusses breath management techniques, specifically 4D CT, or four dimensional CT scans which can track tumors with remarkable precision. DR. JESSICA SAWYER:

(DESCRIPTION)
Text, Dr. Jessica Sawyer, Radiation Oncologist. Essentia Health logo. Dr. Sawyer wears a white blazer and stands in front of a white machine with a black platform.

(SPEECH)
Some cancers are located in places in the body that move. So for instance, cancers that are in the lung. So when you breathe, your lungs move in and out, up and down. And so if there's a cancer within that lung, it's going to move up and down, and side to side and however many ways it moves.

(DESCRIPTION)
A person points to an lung scan image on a monitor. A technician presses a button and watches as a reclining patient slowly enters a machine.

(SPEECH)
Using breath management techniques, what we're trying to do is to ensure that when patients come for treatment we're actually treating the tumor no matter where it is in that cycle of breathing. So not missing.

(DESCRIPTION)
A monitor displays two dots on a moving image of breathing patient.

(SPEECH)
Standard CT is a great tool to use to see where the tumor is at that moment in time.

(DESCRIPTION)
A technician speaks with a reclining patient. As the patient breathes, a line graph appears on a monitor. Text on monitor, transpiration, 1. 7 seconds. Expiration, 1. 6 seconds. Breathing period, 3. 3 seconds. Y axis of graph, Inhale, Gated motion, Exhale, Beam Enable, Beam Hold. X axis of graph, 465, 470, 475, 480 seconds.

(SPEECH)
Radiation treatment, for instance, takes 60 seconds, 2 minutes. And so during that time the beam is on, a patient can't hold their breath that whole time. And so we actually have to have a four dimensional in time component also that helps us understand where that tumor is.

(DESCRIPTION)
Lung scan image on monitor.

(SPEECH)
LOUIE ST. GEORGE: 4D CT helps Dr. Sawyer and her team deliver radiation effectively and efficiently while minimizing risk to the patient. DR. JESSICA SAWYER:

(DESCRIPTION)
Treatment room. Patient reclines on scanner platform.

(SPEECH)
So we can make sure that when we deliver the radiation treatment, the plan itself that we're ensuring that we're treating that cancer no matter where it is in a patient's breathing cycle, that we're not missing it but also keeping our margins small to avoid as much normal lung as possible. So because we have that knowledge, we feel more comfortable using smaller margins. Meaning our target is smaller. And when your target is smaller, you don't have as much collateral damage to the surrounding tissues. LOUIE ST. GEORGE: For Medical Insight, I'm Louie St. George. NARRATOR: This Medical Insight was brought to you by Essentia Health. To learn more about the services we offer, visit Essentia health.org.

(DESCRIPTION)
The Essentia Health logo appears, consisting of three leaves in a circle. Text, Medical Insight.

4DCT is a four-dimensional computed tomography (4DCT) is a type of CT scanning which records multiple images over time. It allows playback of the scan as a video, so that physiological processes can be observed, and internal movement can be tracked.

Read more about computed tomography scans.

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