Vicky’s Story Part 3: The Catalyst

Post by Vicky Coerper, a Rex bariatric surgery patient and Rex co-worker. Vicky had bariatric surgery 5 and half years ago, and is writing about her journey through this blog series in order to share her struggles and triumphs on her path to good health.

Vicky in December 2004

One day I was sitting at home watching daytime television when the Rex on Call TV show came on and the topic that day just happened to be Weight Loss options at Rex Healthcare! It was an interview with one of our surgeons who explained Bariatric and Lap band surgeries and how they could help someone looking to lose a lot of weight. That was me. I sat there enthralled and totally thinking they were talking directly to me. I didn’t act on it right away, even though I wanted to because I was unemployed at that juncture of my life, but I tucked the thought away in the back of my mind.

Several months after beginning my career here at Rex, I thought again about the interview with the surgeon when I saw an advertisement regarding an information session being held in the hospital, and invited my husband to come and join me.

Vicky and her husband Steve

The meeting was incredibly informative and they answered the questions we had-  thus began my weight loss surgery journey. My husband was so excited about the possibilities as well, excited that I could actually be healthy. Just thinking of all the diseases and complications I could face from carrying around so much excess weight was scary.

I was already being treated for high blood pressure and was on medication for that. I suffered from acid reflux and would often wake up with my throat burning and not able to breathe. In addition I had sleep apnea and had to wear that “Darth Vader” like contraption to keep my throat open so I could breathe. I had terrible pains in my knees and in my lower back, and my feet often hurt from carrying too much weight. That is just the short list of some of the issues I faced daily from being over 300 lbs.

I loved the meeting because everything you had to do was laid out and explained from day 1. I understood the need to see a variety of doctors during the pre-surgery phase, the need to gather information from my family doctor justifying why I needed the surgery, documenting what I had done in the past to try to lose the weight.

4 of Vicky and Steve’s 5 granddaughters

I actually could envision increasing my odds of getting to spend more time with my family, and in particular, with my granddaughters. This picture of 4 of our 5 granddaughters is the major catalyst for clinching my decision to have the surgery. I wanted to be around to watch them mature as they blossomed into beautiful young women!

That thought, the TV show and the initial orientation meeting were the catalysts I needed to get me moving toward my goal.

I actually think I let out a sigh when I left the meetings because I finally felt like I was making the right decision toward a healthier lifestyle.

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My First Sprint Triathlon: Part Three


Post by Theresa, a member of Rex Wellness Center of Garner. Theresa completed her first half-marathon about six months ago! Her next goal is to compete in Garner’s Inaugural Sprint Triathlon on July 14th, with the guidance of Rodney Jenkins, our “Garner Ironman”. Theresa is blogging about her experiences as a first-time triathlete-in-training to hopefully inspire others to try it! When she has time off from work and isn’t at Rex Wellness Center, Theresa likes to go to the beach and hang out with friends.

As of this post, I am about five weeks into the training program. Over the past five weeks, I’ve gotten to know my trainer Rodney better. Before this program I really didn’t know Rodney as much as I just knew of him. Rodney always responds if I have a question or concern and if I don’t see him for several days he will email or call and check up on me. I have also gotten to know his wife Angie and they are both great to work with!

Theresa on the indoor track at Rex Wellness of Garner

As expected, the intensity level has started to pick up a bit. The swims, bike rides, and runs are all getting longer. I am still working on my swimming technique but I know with more practice it will continue to improve. I feel like I am more relaxed and confident in the water than I have ever been. The more I get in the pool, the more I want to get back in and swim again another day. Rodney showed me how to push off and change lanes as well as other things to expect in the pool on the day of the event. Angie has helped me with things like what to wear on race day.

I’m about as new to cycling as I am to swimming so I’ve really got my work cut out for me, but I’m up for the challenge! There are a lot of avid cyclists at the wellness center and I have sought advice from many of them. I have been on a bike rides with some of my fellow members, Ron and Shannon. Shannon even rode his bike in the rain with me one Sunday! We have done a lot of hill work and I have been on some trailways for my shorter rides during the week. I believe Shannon was hand-picked by Rodney to wear me out on those hills and he does a good job!

I’ve had the opportunity to go on a few early morning runs with Rodney and Angie from their home since they live fairly close to me. I’ve never really been accustomed to running with other people (especially of their caliber) so the thought of it made me a little nervous at first. They made me feel comfortable and ran at my pace. I have a feeling if I were to run with them many more times my pace might just improve a little bit, and that would be a good thing!

This weekend Angie and I are running a 5K in Fuquay Varina. I’ve only done one 5k and it was over a year ago so it will be fun to do another in preparation for the triathlon. Hopefully in the next month I will be Tri ready!

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Vicky’s Story Part 2: Fears and Phobias

Post by Vicky Coerper, a Rex bariatric surgery patient and Rex co-worker. Vicky had bariatric surgery 5 and half years ago, and is writing about her journey through this blog series in order to share her struggles and triumphs on her path to good health.

Living life as a very large person can be quite daunting. I was afraid of many things, including how I was being perceived by my friends, family, and even people I didn’t know.

So many questions ran through my head: could I get a job in a healthcare setting, and would I even make it through the interview process when I was so big? Were my granddaughters and other family members embarrassed to be with me? Was my husband, Steve, embarrassed to go out to dinner with me? Would I be able to get that seat belt fastened around me on a plane? Could I use the handicapped stall, without getting in the way of a handicapped person?

When I took the first step and interviewed with one of the surgeons associated with Rex Healthcare’s Bariatric Center, I had new worries and phobias: should I tell my family what I am considering? Are they going to try to talk me out of it? Will I even be a candidate for the surgery? I had tried so many programs and plans before that would supposedly help me to lose the weight, but none had worked.

Vicky, pre-weight loss surgery

My biggest concern was if everything would work out- after all, it is a major surgery. What would happen if something went wrong? I knew I was going to become primary caregiver for my mom because of her Parkinson’s and Dementia. The absolute scariest thought was hearing my mom’s voice over and over again telling me about a friend she knew who had this surgery and that it did not go well. I did not tell her my intentions until about 3 months after I had the Bariatric Bypass procedure!

If I did take a chance and go through with it, what if this was just another solution that did not work for me? How long would it take me to lose the weight? How would I still dress appropriately for work while losing a lot of weight- another expense to consider. Wow, I’m making myself tired just remembering all of the concerns, phobias, and thoughts I had to work out in my mind!

Despite all of  my many worries, I decided to get the surgery. I had to push those fears aside and look at the root of the matter- my health and my future- and knew this was what I had to do. Having made the decision, the next daunting task was accomplishing all of the pre-surgery steps! But that’s for another discussion. Thank goodness I had the support of my wonderful husband reassuring me along the way.

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Simple Summer Skin Care

Playing in the summer sun can be fun, but it can also take its toll on your skin. Don’t let hot-weather skin hazards drive you indoors. Arm yourself with simple skin care remedies to get you back in the summertime swing.

Bug off
There’s no escaping it. Whether you live in the city or the country, if you spend time outside during the summer, you’re bound to be bitten by some type of insect. Luckily, most insect bites and stings heal by themselves, and you won’t need to visit a doctor.

If a bee stings you, remove the stinger by swiping at it with a hard-edged object such as a credit card or a fingernail. After cleaning the area, apply ice to reduce any swelling. Use hydrocortisone cream, calamine lotion, a local anesthetic containing benzocaine or a baking soda paste to soothe the sting. Try an antihistamine to relieve itching, redness and swelling. (Do not give antihistamines to children under age 2 without consulting your doctor.)

Caution: If you’re allergic to bee stings, seek medical help immediately. For pesky mosquito bites, apply calamine lotion or hydrocortisone cream to reduce itching and redness. For most people, mosquito bites are annoying but harmless.

Too hot to handle
By now, you should know the harmful effects of the sun. While baking your body on the beach may feel good, overexposure to the sun is also the leading cause of skin cancer. Of course, the best treatment is prevention.

Wear a wide-brimmed hat, sunglasses and protective clothing and use a sunscreen with an SPF of 15 or higher. Reapply sunscreen often throughout the day.

Cool, wet compresses; baths; and soothing lotions with aloe vera provide some relief for minor burns. Topical steroids, such as hydrocortisone cream, can help reduce pain and swelling.

A severe sunburn accompanied by fever, chills, upset stomach and confusion means you should see a doctor right away.

Prickly situation
Heat rashes are common when the weather is hot and humid. You might find tiny, red pimples in the crook of your arm, under your chin, behind your knees or on your chest or back.

To relieve discomfort, dry your skin thoroughly after you bathe. Sprinkle yourself with a body powder made from cornstarch. Apply calamine lotion or hydrocortisone cream to relieve itching. Call your doctor if the rash doesn’t go away within a few days or if you develop an infection.

A raw deal
Hives are another itch irritant caused by the sun. These raised red welts can form on any part of your body. Whatever you do, don’t scratch! This will only make them worse—and can lead to scarring. An antihistamine can help. Avoid harsh soap and vigorous towel drying. The good news is that most hives only last about 24 hours.

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My First Sprint Triathlon: Part Two (Rodney’s Perspective)

Post by Rodney Jenkins, a Group Exercise Instructor at the Rex Wellness Center of Garner. He is also a business teacher, a soccer coach and an athletic trainer with the Wake County Public School system. Rodney, our “Garner Ironman,” is helping first-time triathlete-in-training, Theresa, achieve her goal of completing our July 14th Sprint Triathlon. Follow Rodney and Theresa’s journey through their blog posts over the next few months.

Training a Newbie Triathlete

One Sunday morning back in January, I was watching Dr. Sanja Gupta’s Fit Nation series on CNN. The focus of that day’s show was the formation of their triathlon training team. As a triathlete, the story immediately caught my attention. CNN follows the training of six lucky people as they take on the challenge of their lives and train for their first triathlon. They come from different backgrounds and all are new to the sport. They are given bikes, wet suits, gym memberships, personal training and nutrition coaching.

After looking at this story, I immediately thought about our inaugural Rex Garner triathlon. Why couldn’t we do the same thing that CNN was doing? As a Rex Garner Group Exercise Instructor, I have been fortunate to meet, observe and workout with a great number of dedicated athletes. We have runners, cyclists and swimmers who are dedicated to their training. We also have professional trainers and registered dietitians. It quickly became clear to me that we- Rex athletes and co-workers- could in fact take on the task of training someone that had a desire to become a triathlete.

Theresa (right) and Rodney’s wife Angie, both Garner Wellness members, go for a run as part of Theresa’s triathlon training.

I first found a good training program for first time triathletes. I then had to find a way to virtually share our training program with everyone involved, so I created a Google training calendar. Last but not least, I had to recruit Rex volunteer athletes to support and train our prospective triathlete. That was the easy part, because everyone that I spoke with expressed support and excitement about having an opportunity to help someone else meet their personal fitness goals. Now it was time to select someone to train!

Our lucky candidate turned out to be Theresa. When Theresa and I met, we discussed the training program at length and how she would partner with Rex members who would serve as her support team. She was very receptive to the idea and I knew we could make this program work.

So here we are on week 4, and Theresa has embraced the challenge. I know that with her determination, and help from our training and support team, Theresa will be a triathlete. Stay tuned for future blog posts from Theresa and me as we work toward her first triathlon at Rex Wellness Center of Garner on July 14!

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Vicky’s Story Part 1: Ruses and Excuses for My Bad Habits

Post by Vicky Coerper, a Rex bariatric surgery patient and Rex co-worker. Vicky had bariatric surgery 5 and half years ago, and is writing about her journey through this blog series in order to share her struggles and triumphs on her path to good health.

Life before my bariatric surgery was so difficult, challenging and fake. First of all, have you ever pretended to be happy? It’s a mental game I played when hitting the scales at over 300 lbs. At that size, it’s hard to feel like you fit in to society’s norms, so you say things like “fat people are jovial people”, or “I’m overweight because I’m big-boned”, or “I’m like this because of my mom and great grandma… it’s in my genes; I can’t help it!” But underneath it was all a ruse meant to divert attention away from people seeing the real me, and a ruse to prevent me from accepting responsibility for my poor eating habits.

Vicky before her weight loss, June 2009

I grew up in Wisconsin where our family lifestyle was always centered around what’s cooking in the kitchen. We loved to visit my mom because we knew we’d have the best food, and there was always something good in her kitchen. We knew we’d find “Sock-it-to-me” cakes, Danish pastries, Sweet Potato pies, and an assortment of ice creams in the freezer. Many people from church would follow us home on Sunday because they knew my mom was always going to have some terrific and tasty food cooking, and who didn’t want to be a part of that? It was the culture.

For me, that’s when the weight gain started. From there it seemed like life was always centered around food and eating, because there were great memories associated with eating and entertaining. When life got hectic with the family and then with teenagers, we felt like we needed quick and easy meals because everyone was always on the run.

The weight gain was slow and manageable at first, but things really took a downturn while I was working on my online Masters Degree. I’d work 8-10 hours a day, come home and sit at my computer for another 4-6 hours while my daughters kept the house running, made meals and brought me a plate convincing me that I had to take time to eat! I’d have lots of unhealthy snacks while studying, nicknaming the snacks “brain food.”

I felt like I had this shelf on by backside from all the weight in my hips. I was self conscious getting on a plane; would I still be able to fasten the seat belt?  I always made sure I went to the bathroom before boarding the plane. Trying to get 300+ lbs in those tiny toilet areas was difficult and uncomfortable. I was even embarrassed walking down the aisles because I often bumped into people who were seated in the aisle seats.

Once I hit the point where I didn’t even want to know exactly how much I actually weighed (knowing I was well over 300 lbs), I made a decision that something needed to be done to get a handle on this weight issue because I was so embarrassed.

I’m sure my husband was embarrassed as well, although he’s such a sweetheart that he never voiced what he may have been thinking, but was extremely supportive when I suggested that we attend an information session at Rex for Bariatric Surgery. I’m sure he was thinking maybe I’ll finally get my wife back- I’d gained 170 lbs since we met. I needed to make a plan and work on my plan. I had to find me again and real happiness and stop pretending that life was all good!

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My First Sprint Triathlon: Part 1


Post by Theresa, a member of Rex Wellness Center of Garner. Theresa completed her first half-marathon about six months ago! Her next goal is to compete in Garner’s Inaugural Sprint Triathlon on July 14th, with the guidance of Rodney Jenkins, our “Garner Ironman”. Theresa is blogging about her experiences as a first-time triathlete-in-training to hopefully inspire others to try it! When she has time off from work and isn’t at Rex Wellness Center, Theresa likes to go to the beach and hang out with friends.

“Garner’s Ironman” Rodney Jenkins, Theresa’s trainer for the Rex Wellness Sprint Triathlon in Garner on July 14.

When I was asked to train with Rodney and blog about my experiences in training for my first triathlon, I have to admit I was a bit nervous. One of my fellow members, Lisa, encouraged me to do it, even though I had just recently learned proper swim technique (thanks to another fellow member, Jim).

Although I could swim, I wasn’t exactly what I would call proficient at it yet! Nervousness subsided and excitement took over. After all, who wouldn’t want to train under the guidance of an Ironman?

I met with Rodney last week and we went over the training calendar and he answered all the questions I had. He was confident that if I stick to the calendar I will be okay. Though I was intimidated at first, I look forward to working with Rodney and the others he’s recruited to help me along the way.

Week one of training went off without a hitch. The weather was cooler this week which made it nice to be outside, though that will soon change. That Sunday morning wind in a wide open neighborhood made for a little tougher bike ride! I’m looking forward to week two. I know there will be challenges along the way, be it weather, work, personal, or whatever — but I can’t worry about those things. That’s just life. I’m going to give it my all!!

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Get the Most out of your Produce with Smart Food Storage

Post by Aaron Hoag, Dietetic Intern at Rex Wellness Centers. Aaron is currently working toward becoming a Registered Dietitian in Summer 2013.

Tis’ the season for farmer’s markets, community picnics, sunshine, and plentiful seasonal produce! Let’s look at a few rules and guidelines for maintaining the shelf life and quality of your seasonal bounty:

Breads, Cereals, Flour and Rice:
Breads should be stored in the original package at room temperature and used within 5 to 7 days. When bread is stored in the refrigerator it will have a longer shelf-life due to delayed mold growth. Expect a 2 – 3 month shelf-life of bread stored in the freezer. Cream style bakery goods can be refrigerated when they contain eggs, cream cheese, whipped cream and/or custards, but no longer than 3 days.

Cereals may be stored at room temperature in tightly closed containers to keep out moisture and insects. Whole wheat flour may be stored in the refrigerator or freezer to slow the rancidity of the natural oils.

Store raw white rice in tightly closed containers at room temperature and use within one year. Brown and wild rice stored at room temperature will have a shorter shelf-life (6 months) due to the oil becoming rancid. Rice shelf-life may be extended by refrigeration. Cooked rice may be stored in the refrigerator for 6 to 7 days or in the freezer for up to 6 months.

Fresh Vegetables:
Removing air (oxygen) from the package, storing the vegetables at 40°F (in the fridge), and maintaining optimum humidity (95 to 100%) may extend shelf-life of fresh vegetables. Most fresh vegetables may be stored up to 5 days in the refrigerator. Always wrap or cover fresh leafy vegetables in moisture proof bags to retain product moisture and prevent wilting. Root vegetables (potatoes, sweet potatoes, on- ions, etc.) and squashes, eggplant, and rutabagas should be stored in a cool, well-ventilated place be- tween 50°F and 60°F.

Remember- tomatoes continue to ripen after harvesting and should be stored at room temperature. Remove the tops of carrots, radishes, and beets prior to refrigerator storage to reduce loss of moisture and extend shelf-life. Corn and peas should be stored in a ventilated container. Lettuce should be rinsed under cold running water, drained, packaged in plastic bags, and refrigerated. Proper storage of fresh vegetables will help maintain their quality and nutritive value.

Fresh Fruit:
In general, store fresh fruit in the refrigerator or in a cold area to extend their shelf-life. Reduce the loss of moisture from fresh fruit by using covered containers. Always store fresh fruit in a separate storage area in the refrigerator because fresh fruits may contaminate or absorb odors from other foods. Prior to consumption, rinse fresh fruits and vegetables under cold running water to remove any possible pesticide residues, soil, and/or bacteria. Peeling, followed by washing of fresh fruits and vegetables, is another effective method to removing residues.

Ripe eating apples should be stored separately from other foods in the refrigerator and eaten within one month. Apples stored at room temperature will soften rapidly within a few days. Remember to remove apples that are bruised or decayed prior to storage in the refrigerator. *Do not wash apples prior to storage.*

Green pears and apricots should be ripened at room temperature and then stored in the refrigerator. Expect up to a 5-day refrigerated shelf-life for these fruits. Unripened peaches may be ripened at room temperature and eaten after 2 days. Store ripe peaches in the refrigerator but consume at room temperature. Grapes and plums should be stored in the refrigerator and eaten fresh within 5 days of purchase. Store unwashed grapes separately from other foods in the refrigerator and wash prior to consumption.

Ripe strawberries can be stored in the refrigerator separately from other foods for approximately 3 days. Citrus fruits, such as lemons, limes, and ripened oranges, can be stored in the refrigerator for up to 2 weeks. Grapefruit may be stored at a slightly higher temperatures, up to 50°F.

Melons, such as the honeydew melon, cantaloupe, and watermelon, may be ripened at room temperature for 2, 3, and 7 days, respectively. Store ripened melons in the refrigerator. Avocados and bananas should be ripened at room temperature for 3 to 5 days. Never store unripe bananas in the refrigerator, since cold temperatures will cause the bananas to rapidly darken.

Use these helpful tips to maximize the shelf life and freshness of your spring/summertime bounty! Be sure to check out the NC specific seasonal Fruit and Vegetable Availability chart for reference as well.

 

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AAA: Abdominal Aortic Aneurysm and How It’s Treated

Post featuring Jason K. Kim, M.D. Dr. Kim is a vascular surgeon and a member of Rex Vascular Surgical Specialists. He is double Board Certified by the American Board of Vascular Surgery and American Board of General Surgery. 

The aorta is the largest artery in the body. It carries blood from the heart to all the vital organs in the body and to the legs and feet. An abdominal aortic aneurysm (AAA) can occur when the wall of the aorta weakens and it begins to bulge. If undetected, this bulging aorta can grow larger, silently and without symptoms, and eventually rupture. The risk of rupture is related to the size of the AAA, and rupture of the AAA can lead to severe internal bleeding and death.

If detected early, AAA can be permanently cured. It is estimated that more than a million people are living with undiagnosed AAA, and over 95 percent of these can be successfully treated if detected prior to rupture. AAA causes very few symptoms, but some patients may feel a pulsing sensation in their abdomen, or severe unexplained pain in their abdomen or back. Nearly two-thirds of patients who suffered a ruptured AAA never knew they had the aneurysm until it ruptured.

Risk factors for AAA include age over 60-years old, history of smoking, family history of AAA, high blood pressure, and COPD or chronic lung disease. A painless and risk-free ultrasound based screening can diagnose AAA and determine the need for treatment. Men who have smoked at least 100 cigarettes, and men and women with a family history of AAA should undergo a screening ultrasound.

Once diagnosed, treatment options include medical management, minimally invasive endovascular stent graft repair, and open surgical repair of the aneurysm. The safest and most appropriate treatment of the AAA will depend on the size, location, and other anatomical factors that will be determined by your vascular surgeon. The vascular surgeons of Rex Vascular Surgical Specialists at Rex Healthcare have undergone specialized training and have full access to the most advanced endografts and tools available to successfully treat AAA.

Call 919-784-2300 to schedule your screening AAA ultrasound with Rex Vascular Surgical Specialists.

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Nurse’s Week: What Will a Year Bring?

Elizabeth Rochin, MSN, RN, is the clinical manager of 7 East at Rex Hospital. Her “Nurse’s Week” blog posts bring you a series of reflections on being a nurse at Rex.

Another Nurse’s Week has come to a close, but perhaps what we don’t realize is that every week is Nurse’s Week. Every week, we provide outstanding care to our patients and remind ourselves of the pact we have with our patients, families and communities. That pact assures our readiness to restore our patients to their optimal level of health and well-being.

So, what will another year bring us as nurses at Rex? What accomplishments and contributions do you see yourself making to continuously improve nursing care? Perhaps your path may be found in one or more of the areas below:

  • Becoming involved in Magnet Re-designation within your unit or department
  • Becoming certified in your specialty
  • Participation in the Clinical Ladder
  • Returning to school to advance your education or career
  • Coming up with strategies to reduce the risk of falls
  • You fill in the blank!

So, what will we be able to say about this coming year for our Rex Nursing Team? What do we want to be known for?

I can tell you what we are known for: we are known for delivering outstanding nursing care. We are known for ensuring the safety and comfort of our patients. We are known for our keen ability to swiftly change our plan of care based upon a subtle change. We are known for our resilience to constant change. We are known for creating light out of darkness. We are known for nursing excellence.

Let’s make this year the best year yet for Rex Nursing. Your contributions will be critical as we continue through the maze of health care reform, make a move from Cerner to Epic, ready ourselves for our next Joint Commission survey visit and finalize documentation and readiness for Magnet re-designation  just to name a few!  As you can see, we have a great deal ahead of us in the next year. We continue to grow as nurses, both as individuals and as a profession. We are ready for the challenges ahead of us. Our patients deserve our ability to successfully meet these challenges.

I can’t wait to read about our accomplishments and contributions to nursing next year! We will have so many stories to share…what will yours be?

We are grateful to you. Thank you for everything you do for your patients, for your teams, and for Rex Healthcare.

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