Health Care As It Should Be July 2014

Upcoming Events

  • For information call the number listed, or visit emc.org/calendar. Most events require early pre-registration, unless otherwise stated.

    Eating Seasonally: Fantastic Foods of the Summer AC
    Great Living Starts Here
    TU, Jul 15, 11 a.m. to noon
    Maureen McCarthy, RD, Registered Dietitian
    760-610-7205; register by Jul 15. Read More

    Communicating Concerns and Feelings LC
    Lunch and Learn with the Expert
    W, Jul 23, noon to 1:30 p.m.
    Alison Mayer Sachs, MSW, OSW-C, Community Outreach and Cancer Support Services, Director.
    760-834-3798; light lunch included; register by Jul 21. Read More

    Secret for Healthy Living After the Age of 40 AC
    TU, Jul 29, 4:30 to 5:30 p.m.
    Ronald Levey, MD, Orthopedic Surgeon, Eisenhower Neuroscience Institute
    760-834-7956 Read More

    Cancer Myths and Realities: Getting the Best Health Care at Any Age LC
    Tu, Aug 12, 11:30 a.m. to 12:30 p.m.
    Alison Mayer Sachs, MSW, OSW-C, Community Outreach and Cancer Support Services, Director
    760-834-3798; light lunch included; register by Aug 11 Read More

    Fact or Fiction? Popular Diet Myths AC
    Great Living Starts Here
    Tu, Aug 19, 11 a.m. to noon
    Barbra Sassower, MPH, RD, CDE, Registered Dietitian
    760-610-7205; register by Aug 18 Read More

    Decoding the Lumpy, Bumpy Breast Throughout a Woman’s Life AC
    Th, Aug 21, 4:30 to 5:30 p.m.
    Andrea Randall Shih, MD, Gynecology and Obstetrics
    760-610-7205 Read More

    PSA Screening and Female Urinary Incontinence AC
    Tu, Aug 26. 4:30 to 5:30 p.m.
    Youssef Tanagho, MD, Urology
    760-610-7205 Read More

    CALENDAR KEY

    Most classes and lectures are free and early registration is recommended. For a full listing of lectures, events, programs and support groups, visit emc.org/calendar. Online registration is available for most events.

    AC Annenberg Center for Health Sciences at Eisenhower
    LC Eisenhower Lucy Curci Cancer Center

    Would you like to have someone from Eisenhower Medical Center speak to your organization on a health-related topic? Please contact Vanessa Shanks at 760-834-7956 for more information.

 

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Anterior Cervical Discectomy Fusion

Translation: Strength and Energy Regained

It was a little more than two years ago that John Fletcher, a transportation security administration (TSA) screener at the Palm Springs International Airport noticed something unusual. 

  “I had this ache in my back,” remembers Fletcher. “I thought I had pulled some muscles. Then one day, I was coming out of the shower and toweling off and I had no strength in my right arm. I couldn’t pull it up.”

  Fletcher made an appointment with his primary care physician to find out what was wrong. His initial course of treatment was pain management therapy which included steroid injections. “I wasn’t really feeling pain,” explains Fletcher. “It was more like weakness in my arm, and I was rapidly losing strength.”

 Frustrated, Fletcher lived with his situation for the better part of a year, adapting as best he could. “I was a dual-certified officer with TSA at the time, so I worked check point and baggage screening,” says Fletcher. “The problem didn’t impair my job, but at times it became difficult to lift baggage.” After months of therapy, an X-ray and magnetic resonance imaging (MRI) — which revealed degenerative disc disease — it was determined that surgery was Fletcher’s best option.

Fletcher was referred to Eisenhower Neurosurgeon Shahin Etebar, MD, Medical Director, Eisenhower Neuroscience Institute. “When I reviewed John’s case, he had significant narrowness of the spinal canal at levels C4-5, C5-6 and C6-7 due to degeneration of the discs and bone spur formation,” says Dr. Etebar. “The combination of the two was causing impingement of the spinal cord and the spinal nerves.” Dr. Etebar chose to perform an anterior cervical discectomy fusion on Fletcher. “This operation is one of the most successful that we do in spine surgery,” explains Dr. Etebar. “The outcomes are usually excellent with full resolution of pain and weakness for the patient. The most common response I get from patients after the surgery is that the procedure wasn’t very painful, they’re feeling much better and they should have done this much sooner."

Confident in Dr. Etebar’s expertise and comfortable with his demeanor, Fletcher went in for surgery in May 2013. Usually, in a procedure like Fletcher’s, the degenerated disc or discs are removed through an incision made in the front of the neck. Then, a cervical fusion is performed by using a block of bone to fill the area where the disc had previously been. During the healing process, the bone graft fuses with the vertebrae to form a new bone mass called a fusion.

Following the four-hour surgery, Fletcher spent two days in the hospital before being released. He also spent one month recouping at home. “John recovered very nicely,” says Dr. Etebar. “His strength came back quickly. I prescribed a home exercise regimen for him using light weights, as well as the use of an electronic magnetic bone stimulator to stimulate bone growth and healing, which is particularly advantageous for patients who have had multi-level surgery.” Fletcher returned to work by the end of July 2013.

Fletcher and his partner Donna were so pleased with the care he received that they wrote a letter to Eisenhower detailing the experience. “I’m very happy that the problem has been corrected. Everyone at Eisenhower Neuroscience Institute, especially the members of my surgical team, was just superb from beginning to end.”