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Adrienne Boissy, MD, MA, Chief Experience Officer, shares why she is looking forward to showcasing healthcare organizations that have implemented design thinking in patient experience

Cleveland Clinic News Service - April 15, 2017

CLEVELAND - For many young athletes, spring can either mean the end of one sports season, the beginning of another, or both.

According to Paul Saluan, M.D., a pediatric orthopedic surgeon at Cleveland Clinic, it’s the time of year that doctors tend to see more overuse injuries, many of which are avoidable.

“Those injuries can be avoided just by kind of ramping up slowly and making sure that you have, kind of a good grounding in conditioning; working out ahead of time so that you’re not really running into it too hard, too soon,” said Dr. Saluan.

In addition to being ill-prepared, Dr. Saluan said another type of overuse injury can occur when an athlete does not get enough rest.

Kids who play one sport year round tend to overuse certain body parts and can begin to have issues.

He said playing other sports in the off season, as well as cross-training can help athletes use different muscles which can help them be better in other sports.

But the types of sports parents choose to pair matter too.

Dr. Saluan said it’s important to be aware of the risk of playing too many contact sports, as the risk of concussion can be high for athletes who participate in more than one contact sport such as hockey, football, and wrestling.

Dr. Saluan said that parents and coaches need to be aware and make sure they are giving young athletes appropriate rest throughout the season.

He said that now more than ever, it’s easier to get as much training as an athlete wants in different sports, but warns that sometimes more is too much.

“You’re your child’s advocate in regard to try to minimize injuries as well as the coaches, as well as your own child,” said Dr. Saluan. “You have to have these discussions that they are not a pro athlete; they’re not a collegiate level athlete – yet. So with the fact that they have open growth plates makes it more possible to have injuries that occur, that wouldn’t occur in that population – the older population.”

Dr. Saluan said any amount of pain in a youth athlete needs to be addressed. It’s important to never let an injury, no matter how minor it may seem, go three or more days without seeking medical attention.

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The first and most important step in deciding if cosmetic or plastic surgery is right for you is selecting an experienced cosmetic surgeon. He or she can help you understand the benefits, risks, and limitations of the procedure – ensuring the best possible choice for you.

Cleveland Clinic News Service - April 12, 2017

CLEVELAND - Doctors know that people who suffer from migraine headaches tend to have them more frequently, sometimes even daily, if they’re obese.

Now, a new study suggests that a person’s weight – either weighing too much or not enough – increases the risk of developing migraines in general.

“It turns out that if you are obese, which means your BMI is greater than 30, you have a 27-percent higher risk of having migraine than someone who doesn’t,” said Cleveland Clinic headache specialist Jennifer Kriegler, M.D., who did not participate in the research.

Researchers looked at 12 different studies and pooled data from 288,981 people.

Results show an increased risk of developing migraines for folks who were overweight.

The research also shows people who were underweight had a 13 percent greater risk of having migraines. Being underweight is classified as having a body mass index, or BMI, of 18 ½ or less.

Dr. Kriegler said fat tissue releases hormones and pro-inflammatory substances which can augment someone’s response to pain and impact headaches.

She added that certain migraine risk factors, like family history and gender, can’t be modified. So, she encourages folks to manage modifiable risk factors when possible.

“If you can control a risk factor, and obesity and weight is a modifiable risk factor, you should do that because that will also improve your ability to handle your headache if you start getting them,” said Dr. Kriegler.

Complete results of the study can be found in the journal Neurology.

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Cleveland Clinic News Service - April 12, 2017

April is National Child Abuse Prevention Month.

U.S. Centers for Disease Control and Prevention (CDC) statistics show that more than 700,000 children are referred to child protective agencies as a result of abuse or neglect in the U.S. each year.

According to Purva Grover, M.D., a pediatric emergency physician at Cleveland Clinic Children’s, child abuse is something that unfortunately pediatricians and emergency room physicians are always on the lookout for, but parents need to know the warning signs of physical abuse too, especially when their children are left in the care of others.

“Bruising at very strange places is something to look out for,” said Dr. Grover. “When the child is a toddler you expect shin bruises, but to have a bruise on the chest would be very strange.”

Dr. Grover said child abuse can happen over something as trivial as a child crying, a special needs child that cannot calm themselves, a parent that is stressed out or a caregiver who has too many responsibilities. She said that none of these reasons are excuses to harm a child, but unfortunately she sees injuries resulting from these types of situations.

Many times children will have no visible external injuries, but appear lethargic. Lethargy is common symptom of ‘shaken baby syndrome” in a very young child.

Dr. Grover said it’s never okay to shake a baby for any reason as doing so can result in permanent brain damage or even death of a child.

Another warning sign of abuse is anxiety. For example if a child seems to be excited to see grandma or grandpa, but is very uneasy around another caregiver, that is a red flag to investigate.

Dr. Grover said it’s important for parents to trust their gut feelings.

“At any time as a parent if you leave your child in anybody’s care or at any point if you feel that something, I don’t know what, but something is not quite right, investigate and get help,” said Dr. Grover.

Dr. Grover said it can be difficult for parents to know exactly what to look for, so it’s beneficial to enlist the help of a physician who is specially trained to search for any potential issues.

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Staying Healthy - Cardiomyopathy Clinic

Learn how you can view portions of your medical record, see test results, message your physician, and schedule appointments using Cleveland Clinic’s MyChart.

Dr. Stephen Ellis discusses the results of recent trials at ACC related to Instantaneous Wave-Free Ration (iFR) and how the results impact practice in the cath lab.

Cleveland Clinic News Service - April 8, 2017

A massive thunderstorm, a windy day, or even just one downed power line can leave folks in the dark for hours.

But when scavenging for flashlights and batteries during a power outage, does anyone stop and add up how many hours their food has been sitting in the refrigerator?

According to Lindsay Malone, R.D., of Cleveland Clinic, the amount of time that food has before it goes bad during an outage might be shorter than most people think.

“As long as the time is less than four hours, the food inside your refrigerator should be okay,” said Malone. “For the freezer it’s more like 24 hours.”

Malone said the most important thing people can do to try to salvage food during an outage is to keep the refrigerator door closed as much as possible. Food in the freezer might last a little longer, closer to forty-eight hours, if it’s packed tightly.

She recommends that if you know it’s going to be more than four hours before power is restored, to try moving refrigerated items to the freezer to keep them cooler longer.


Malone said most foods can be checked by smelling them, but that it’s never a good idea to taste a food to see if it’s spoiled.

Items such as milk and raw meat will spoil quicker than most, so it’s especially important to adhere to the four hour rule with these.

Because it’s harmful to eat foods that have developed bacteria, Malone said a good rule of thumb is ‘when in doubt, throw it out.’

“Some people will experience some mild symptoms like nausea, vomiting, but in more severe cases if bacteria has been growing for a while or if you have someone with a sensitive immune system; very young, very old or a compromised immune system; the effects could be more severe,” said Malone.

Malone says the United States Department of Agriculture (USDA) has a food safety section on their website where people can search specific foods to find out more information about when it’s time to throw them out.

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Michael Vogelbaum, MD, PhD, of the Brain Tumor and Neuro-oncology Center, led the development of device that is able to penetrate the blood-brain barrier and infuse cancer therapeutics directly into brain tissue.

With more than 30 years of service at Cleveland Clinic Euclid Hospital, a secure future seemed to be the next chapter for Mary Gliha. Then the unthinkable happened. At 59 years old, her husband passed away unexpectedly. Gliha was devastated — and also fearful of what the future would hold for her. Until we connected her with retirement experts as part of the My Pay + Benefits package for all Cleveland Clinic caregivers. Five years later, Gliha is confident and optimistic about her future.

Cleveland Clinic News Service - April 13, 2017

CLEVELAND - Sunday April 16 is both World Voice Day as well as Easter Sunday.

Cleveland Clinic’s Michael Benninger, M.D., said folks who are planning to attend a service or holiday gathering that includes singing should follow a few simple tips to keep allergies from silencing their song.




If allergies are causing hoarseness, a scratchy throat, or coughing, he said it’s best to concentrate on treating the allergy first.

“You want to treat your fundamental allergies with allergy medication like an intranasal steroid or a non-sedating antihistamine,” said Dr. Benninger. “If you have asthma, it’s going to make your voice much worse, so you want to make sure you adequately control your asthma.”

Dr. Benninger recommends people with allergies identify what they’re allergic to, either with skin or blood testing, and then avoid those allergens whenever possible.

Once allergies and asthma are managed, they can focus on soothing and prepping the voice.

Dr. Benninger suggests staying hydrated by sipping water throughout the day and said adding lemon will stimulate saliva flow to help keep the throat comfortable and moist.

He said herbal non-caffeinated tea can be both hydrating and soothing, but folks with acid reflux need to be careful, because tea can be acidic and flare reflux, which can cause hoarseness.

He added that resting the voice and using it wisely are important.

“Avoid the real abrasive kinds of things, such as yelling, try to minimize any coughing, try to minimize any throat clearing because that further irritates the throat,” said Dr. Benninger.

For people who have a speaking or singing engagement, Dr. Benninger said warming up the voice, without fatiguing it, will provide the best results.

He recommends a couple of minutes of humming through a straw or a “lip trill”, where someone blows air through their lips as if they’re blowing bubbles under water.

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With more than 30 years of service at Cleveland Clinic Euclid Hospital, a secure future seemed to be the next chapter for Mary Gliha. Then the unthinkable happened. At 59 years old, her husband passed away unexpectedly. Gliha was devastated — and also fearful of what the future would hold for her. Until we connected her with retirement experts as part of the My Pay + Benefits package for all Cleveland Clinic caregivers. Five years later, Gliha is confident and optimistic about her future.

Cleveland Clinic News Service - April 11, 2017

CLEVELAND - Spring is here and many of us are already out in the yard cleaning up what Old Man Winter left behind, and it can be a real pain – literally.

Santhosh Thomas, D.O., treats back pain at Cleveland Clinic and said it’s smart to start slow when it comes to springtime yard work.

“Most of us start doing things without realizing that we’ve been resting for some time,” said Dr. Thomas. “Ideally one should rest just for a short time and then work out a little bit, do some proper stretches, use proper body mechanics and use the right tool.”

Dr. Thomas said people often get hurt doing more than their body is able to do.

He said typically, after the ages of 30 to 35 our bodies lose strength – about half of a percent to one percent every year. So, as we age, activities should be modified to avoid injury.

He said being flexible can help the body better tolerate seasonal activities like raking, mulching and gardening. Doing some yoga or stretching is a good idea to help warm up the muscles before heading out into the yard.

If folks happen to overdo it in the yard, they may have some pain later in the day.

Dr. Thomas said ice can help decrease swelling from a new injury, while heat, which increases circulation and loosens the muscles, is recommended for nagging injuries that linger.

He said an over-the-counter anti-inflammatory may also help – unless a doctor recommends against it due to an existing medical condition.

Many aches and pains resulting from spring clean-up can be treated conservatively at home, but certain symptoms warrant medical attention.

“See a doctor if your pain is increasing or if you have neurological deficits which includes numbness, tingling, weakness, difficulty going to the bathroom -those are all concerns,” said Dr. Thomas.

According to Dr. Thomas, it’s important to keep in mind that as we age the body doesn’t recover from injury as well. Injuries tend to last a little longer and seem to be more severe, so be sure to recognize limitations.

Also, whenever possible ask or hire someone else to help or do the work for you.

Michael Betts, age 22 from Granville, Ohio suddenly was afflicted by a mysterious and severe abdominal condition. Weeks at a local hospital provided no answers and he was emergency transported to the Clinic. He endured excruciating pain until our group practice of medicine led to the answer, vasculitis. Once diagnosed, he has prescribed the proper medication and treatments. He is now living his normal active life. His family appreciated every aspect of care he received at Cleveland Clinic.