Wellness Section Newsletter - September 2008 - Vol 12, #4
Wellness Section Meeting
Join us at Scientific Assembly in Chicago!
The ACEP Wellness Section meeting has been scheduled for Tuesday, October 28, 2008, from 4:00 pm - 5:30 pm in Room 263 of the Convention Center (McCormick Place- Lakeside Center.)
The educational portion of Scientific Assembly runs from October 27-30. We hope to see everyone there. www.acep.org/sa
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Election of Officers
The section will be holding elections for Chair-elect, Secretary/Newsletter Editor, and Councillor. If you have an interest in serving in either capacity, please notify Julie Dill firstname.lastname@example.org
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Letter from the Editor
Vicken Totten, MD, FACEP
This is my last newsletter.
Scientific Assembly: Our next big event is Scientific Assembly, to be held in Chicago this October. The Section will be meeting on Tuesday, October 28, 2008 from 4:00 pm – 5:30 pm in room 263 at the McCormick Place – Lakeside Center (Convention Center), Chicago. Last year, the Section inaugurated a Meditation Room. Thanks to all the ACEP staff who made it happen! We look forward to increased success for this year’s Meditation Room. During the past year, the Wellness Section has worked with the AAWEP Section to ensure there would be a place for caretakers to tend to infants’ needs. Thank you to ACEP which has provided us with venues for BOTH a Meditation Room and a Parents with Infants Lounge. The Meditation Room will be open from 6:30 am – 5:30 pm Monday, Tuesday, and Wednesday in room 272 B-C of the Convention Center and will be available for anyone wishing to have a quiet space. Dr. Mitchell Cordover will lead guided meditation from 6:30 am – 7:30 am Monday through Wednesday in room 272 B.
At last year’s meeting, the Section discussed offering an early morning yoga session. Lori Weichenthal, MD, FACEP a certified yoga instructor and emergency physician volunteered to lead these sessions from 7:30 am – 8:30 am Monday -Wednesday in the Meditation Room (272 B-C).
Both Vicken Y. Totten, MD, FACEP and S. Shay Bintliff, MD, FACEP submitted Section Grant proposals. Neither one was funded, but the Board returned comments that will help for resubmission during the next round.
Of course, the Wellness Booth will be open for business. I have included some FAQs about the Booth along with a list of preventive health recommendations. Many of these recommendations can be filled by visiting the Wellness Booth. A new offering this year will be the TSH.
Section Business: ACEP is revising its operational guidelines for Sections. You will be receiving these guidelines via the section e-list. If you will not be attending the 2008 Section Meeting, please email your suggestions to our Chair or to me, your editor, and we will present your suggestions.
Your Own Personal Wellness: Dr. Andrea Green has written "An amazing prescription" for you.
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Letter from the Section Chair
Julia M. Huber, MD, FACEP
Welcome to the final wellness section newsletter before Scientific Assembly! I hope that you all have already signed up for the entire SA, as well as reserved a hotel room: they are rather hard to come by as I write in even early August. The section meeting will be on Tuesday, October 28, 2008, from 4:00 pm – 5:30 pm in room 263 of McCormick Place – Lakeside Center (Convention Center), Chicago. In preparation for the section meeting I am asking each of you for input about where we need to focus this coming year. Additionally, we will be seeking nominations for section chair, newsletter editor and councilor, so if you wish to have your name on the ballot and cannot attend the meeting, please email me so I can initiate a list of candidates. With regard to the actual SA, ACEP has generously provided us with BOTH a meditation room and a parents with infants lounge. At last year's meeting several members expressed interest in organizing an end of the day group walk, and if one or two people could take charge of that BEFORE SA we can add that activity to the list of wellness related fun at SA. You may reach me at email@example.com.
Several members have inquired about changing the name of the "parents with infants" lounge to a "family lounge" so that there is a designated meeting place for family members of all ages, including older individuals who may be accompanying attendees. We will be discussing this issue at the section meeting, and I would appreciate input from members in advance.
One topic I wish to discuss at this year's meeting is that of accessibility to wellness. We're starting to put ourselves out there on an annual basis at SA, effectively modeling some healthier choices for attendees. But, what about the members' needs the rest of the year? The wellness section and wellness committee need to generate a more complete list of wellness resources, as per conversations that our wellness guru and former section chair Dr. Mitch Cordover has had with other ACEP luminaries in recent months. Time to start brainstorming and sharing favorite websites and wellness ideas. In addition to being accessible via internet, I would invite each of you to be available to ACEP as a mentor for any colleague who may wish for some peer support with regard to wellness issues such as litigation stress or other job related stresses. Just in the past few months Marilyn Bromley has managed to direct a member in need to the proper channels with regard to an issue of perceived wrongful termination, and the member, although relieved to finally open some doors that had seemed shut, expressed dismay at the difficulty it took to reach those of us in the wellness section. Let’s keep getting the word out there and get the message of wellness out to our colleagues! If that’s not your cup of tea, I urge each of you to ask your colleagues from time to time, "How ARE you?" and to truly mean it and take the time to listen.
I would like to thank Dr. Vicken Totten for faithfully keeping the newsletter afloat this past year. And last, and certainly not least, many, many thanks to the people at ACEP who have gone absolutely out of their way to support wellness, including Marilyn Bromley, Julie Dill, Susan Morris and countless dedicated staff members who are doing the hard work of setting up our meditation room and parents with infants lounge and helping us get it publicized on location at SA. Best wishes to all of you, and I am looking forward to seeing many of you in Chicago.
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Physician Heal Thyself—How Current Are You With The Major Recommended Screening Tests?
In the United States, preventive medicine is often given low priority, both for our patients as well as ourselves. The following guide to preventive care—the tests, check-ups, and vaccinations you need, and how often you need them---is based on recommendations from the U.S. Preventive Services Task Force and the October, 2007 issue of the UC Berkeley Wellness letter.
- Blood pressure measurement: Recommended for all adults, once every 2 years for those with normal blood pressure, more frequently for those over 60 or with readings over 120/80. You can get your blood pressure checked at the Wellness Booth.
- Cholesterol measurement: Recommended for all adults, once every 5 years, more often if any results are abnormal or there are other risk factors. We can also check your cholesterol!
- Pap test: Recommended for all women, starting within 3 years of becoming sexually active, no later than age 21. Obtain annually until age 30 After 30, if 3 consecutive tests are normal, obtain once every 2 to 3 years, unless person smokes or has multiple sex partners or other risk factors.
- Breast cancer screening: Recommended for all women 50 and over on annual basis. Certain women at high risk should also have annual MRI scans.
- Colorectal cancer screening: Recommended for all adults 50 and over, earlier for those at high risk. Obtain occult blood test annually plus sigmoidoscopy every 5 years, or colonoscopy every 10 years.
- Prostate cancer screening: Recommended for black men and those with family history of prostate cancer starting at age 40. For others, digital rectal exam (DRE) and possibly PSA starting at age 50. Obtain DRE annually, PSA on professional advice.
- Diabetes screening: Recommended for all adults 45 and over, earlier for those at high risk. Obtain fasting blood glucose every 2-3 years. Blood glucose testing is available at the Booth.
- Thyroid screening: Recommended for women 50 and over, those with high cholesterol, family history or other risk factors.
- Bone density screening: Recommended for women 65 and over, younger women at high risk and men at high risk.
- Chlamydia testing: Recommended for sexually active women 24 and younger, and older women at increased risk. Obtain annually.
- Glaucoma screening: Recommended for people at high risk, those over 65, very near-sighted, or diabetic, blacks over 40, and those with family history. Obtain every 3-5 years.
- Abdominal aortic aneurysm: Recommended for men 65 to 75 who ever smoked.
- Dental checkup: Recommended for all adults every 6 months.
- Vitamin D level: This is not a recommendation of the U.S. Preventive Services Task Force, but lots of news in the research literature links low vitamin D levels to increased risk of several types of cancer.
- Influenza: Recommended every fall for those age 50 and over; younger people with certain chronic disorders, such as asthma, lung or heart disease, diabetes, cancer, or HIV infection; women in the second or third trimester of pregnancy; and health-care workers.
- Pneumococcal: Recommended for those 65 and over, younger people with certain chronic disorders (same as for influenza).
- etanus with diphtheria booster: Recommended for everyone, every 10 years for life. If under 65, get the Tdap vaccine, which includes pertussis, one time instead of the standard booster.
- Chickenpox: Recommended for anyone who has never had chickenpox.
- Shingles: Recommended for those 60 and over.
- Rubella: Recommended for women of child-bearing age, except during pregnancy.
- HPV: Recommended for women 26 and younger.
- Hepatitis A: Recommended for travelers to most parts of Latin America, Africa, Asia, or other areas where hepatitis A is common; those with chronic liver disease; anyone who wants to be protected. Note: Those traveling to developing countries need special advice about vaccinations—consult the CDC’s website, www.cdc.gov/travel.
- Hepatitis B: Recommended for all health-care workers.
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Frequently Asked Questions about the ACEP Wellness Booth
What is the ACEP Wellness Booth?
The ACEP Wellness Booth is a member service, established in 1992, and conducted during Scientific Assembly at the exhibit hall. For 2008, the booth # is 1233. The booth provides health-screening services and promotes awareness of the many factors impacting the physical and emotional health of emergency physicians.
Can anyone obtain services at the ACEP Wellness Booth?
No, since the ACEP Wellness Booth is a member service, only ACEP members can obtain services at the booth.
What services are offered at the ACEP Wellness Booth?
For 2008, the following services will be offered:
- Blood pressure check
- Body composition analysis
- Blood chemistry panel (levels of 26 items are checked including total cholesterol/HDL/LDL)
- A choice of Hepatitis B or C antibody, or PSA, or hs-CRP or TSH
- Flu shot
- Maslach burnout survey
- Materials on wellness-related issues
Is there a cost to members for ACEP Wellness Booth services?
Yes, the cost per member is $20.00. This is a great value considering the cost to provide the services averages $100.00 per member.
Where can ACEP members obtain admission tickets for the ACEP Wellness Booth?
Members that ordered a ticket during pre-registration will receive their ticket in their registration packets. On-site, members can purchase a ticket for the ACEP Wellness Booth either at the ACEP Scientific Assembly Registration area, or at the Member Services Booth within the ACEP Resource Center in the exhibit hall. Members need to bring their purchased ticket with them to the ACEP Wellness Booth.
What are the hours of operation of the ACEP Wellness Booth for 2008?
The ACEP Wellness Booth will provide services during regular exhibit hall hours:
Oct 27: 9:30 am-3:30 pm; Oct 28: 9:30 am-3:30 pm; Oct 29: 9:30 am-3:00 pm
Members can participate in the ACEP Wellness Booth anytime during these hours.
Are test results provided to members on-site during Scientific Assembly?
Blood pressure results and body composition analysis results are provided on-site. Results from the blood chemistry and burnout survey are mailed directly to the members within several weeks after Scientific Assembly. Individual results are confidential. Results are mailed by the subcontractors to members, thus ACEP never receives individual member results.
Additional questions may be directed to Rhonda Whitson, ACEP staff (800.798.1822, ext. 3231; firstname.lastname@example.org )
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The Amazing Prescription
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But, get this…our prescription will also improve skin and muscle tone slowing the aging processes. Plus you get the value added benefits of an improved immune system, and an improved sex life all while preventing or managing high blood pressure, high cholesterol and type 2 diabetes. This prescription will help improve your heart and lung function, reduce your risk of cardiovascular disease and reduce your risk of stroke. It has been shown to help to decrease your risk of osteoporosis, colon cancer and breast cancer.
But, wait…before you turn the page…this is really not just another "snake oil salesman pitch." I am telling you…this is for real folks. Search the literature…listen to the testimonials…this really works! The virtues of this prescription are hard to ignore regardless of your age, sex or current physical challenges. Why do you think so many doctors prescribe this for their patients?
And today it can be yours absolutely free. Yes, folks, I am going to actually write you a prescription for a better life. Just write your name on the top. It is good anywhere. Tear off prescription at the bottom of this page and take a dose today.
ACEP Wellness Section
1000 Health Drive
Name: ________________ Address: ______________ Age: _____ Date: today
RX: Regular Exercise
Quantity: For Life
Sig: Make Exercise A Regular Habit
Physician Signature: Andrea Green, MD, FACEP License No. TX
Have a fabulous relaxing day!!!!
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This publication is designed to promote communication among emergency physicians of a basic informational nature only. While ACEP provides the support necessary for these newsletters to be produced, the content is provided by volunteers and is in no way an official ACEP communication. ACEP makes no representations as to the content of this newsletter and does not necessarily endorse the specific content or positions contained therein. ACEP does not purport to provide medical, legal, business, or any other professional guidance in this publication. If expert assistance is needed, the services of a competent professional should be sought. ACEP expressly disclaims all liability in respect to the content, positions, or actions taken or not taken based on any or all the contents of this newsletter.