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Tezo Karedan

Tezo Karedan, MD, Joins PCRMC Medical Group

Oncologist and hematologist Tezo Karedan, MD, has recently joined the cancer care team at the Phelps County Regional Medical Center (PCRMC) Delbert Day Cancer Institute (DDCI).

Dr. Karedan earned her medical degree from Odessa State Medical University in Odessa, Ukraine, and completed her residency in internal medicine at the Trivandrum Medical College at the University of Kerala, India.

She also completed residency training in internal medicine at McLaren Regional Medical Center at Michigan State University in Flint, Michigan, and a clinical fellowship in hematology and oncology at the University of Louisville in Louisville, Kentucky.

Dr. Karedan said she knew she wanted to be a physician since childhood.

Her favorite aspect about being a care provider is giving hope to patients. “Physicians have a special bond with their patients,” she said, noting that doctors are mentors and guides to their patients.

As for why she chose PCRMC, Dr. Karedan said she likes that Rolla is just the right-sized community. “I like this place. It’s comfortable,” she said.

Dr. Karedan encourages patients to practice preventative care. “Be aware of yourself,” she said, so that when something is different with your body, you can let your provider know.

Do exercise, but don’t smoke, she recommends. In addition, she urges patients to get screening studies done.

Dr. Karedan has been practicing for three years. After completing her residency, she worked at one of the biggest cancer centers in India, where she was involved in the care of patients with leukemia, lymphoma and multiple myeloma. She also worked in rural, underserved areas of India and was a primary care physician in the suburbs of Trivandrum, India.

To learn more about Dr. Karedan, or to make an appointment, please visit pcrmc.com or call 573-364-9000.

breast cancer

October Is Breast Cancer Awareness Month

October is Breast Cancer Awareness Month, and Phelps County Regional Medical Center (PCRMC) is encouraging women age 40 and older to get their annual breast cancer screenings.

Every Friday in October, the PCRMC Comprehensive Breast Center is offering free 3-D mammograms to women who are at least age 40 and financially qualify. The Phelps Regional Health Care Foundation’s Breast Center Mammography Fund is covering the cost of 50 3-D mammograms.

The Comprehensive Breast Center has been offering 3-D mammograms since June 2016.

The 3-D mammogram takes about 26 projections of the breast, and PCRMC radiologists can view 1-millimeter slices to get a clearer view of dense breast tissue and detect any abnormalities.

Tiffany Henry, Comprehensive Breast Center coordinator, said there is a 30-40 percent higher detection rate with 3-D mammograms than 2-D mammograms. Mammograms take about 15-20 minutes.

Missouri ranks 42nd in the nation for women getting screening mammograms, Henry noted.

Breast cancer occurs when there is a fast growth of cells in the breasts that turn abnormal and usually cause a lump. Not all cases of breast cancer are alike, and there are different ways to treat breast cancer.

Some of the symptoms of breast cancer may include breast lumps, redness or swelling of the breasts, nipple retraction or nipple discharge, dimpling, changes in the skin of the breast and sometimes pain.

Non-invasive breast cancer occurs if the cell growth stays within the breast lobule or duct, said Carol Walter, nurse navigator with the Delbert Day Cancer Institute (DDCI). Once the growth goes outside that area, it becomes invasive.

 The stages of breast cancer depend on the tumor’s size, how many lymph nodes are affected and whether it has spread to other areas, such as the lungs, liver or bones.

“Don’t be afraid,” Walter advised women who may have concerns about getting mammograms. “So many women put it off because they are afraid of what they might find or that it will hurt.”

Henry recommends that women be self-aware about their breasts and what they normally look and feel like so that if an abnormality occurs, they are more likely to notice it and can let their provider know.

Walter said the older women get, the more likely they may get breast cancer.

To learn more about mammograms, breast self-exams and general breast health, call PCRMC’s Comprehensive Breast Center at 573-458-3100.

PCRMC Leapfrog Safety Score Ad2

PCRMC Receives Safety Score of “A” from Leapfrog Group

Phelps County Regional Medical Center (PCRMC) received a hospital safety score of “A” from the Leapfrog Group, a national nonprofit organization founded by leading employers and private healthcare purchasers in the United States. Leapfrogfocuses on measuring and transparently reporting hospital safety performance through the Leapfrog Hospital Survey. The survey is an evidence-based national tool that examines hospital safety, quality and resource utilization.

Leapfrog’s Hospital Survey is a trusted source that hospitals throughout the United States participate in free of charge. The goals of the survey are to publicly report hospital quality and safety information so consumers can make informed decisions about their healthcare choices. The Leapfrog Group uses the survey to inform consumers about a hospital’s record of patient safety, which allows consumers to make proactive choices to protect themselves and their families from errors, injuries, accidents and infections.

The Leapfrog Group calculates a hospital safety score for over 2,500 hospitals throughout the nation based on data gathered and compiled in 30 categories from the Centers for Medicare & Medicaid Services (CMS), the Agency for Healthcare Research & Quality (AHRQ), the Joint Commission and the Centers for Disease Control and Prevention (CDC).

Phelps County Regional Medical Center received the highest possible score with a letter grade of an “A.” Only 31% of the U.S. hospitals received an “A” rating, which accounts for only 798 hospitals in the nation. Of the 60 hospitals surveyed in Missouri, only 14 received a letter grade of “A,” which means PCRMC scored higher than many of Missouri’s larger, bigger city healthcare systems.  PCRMC was successful in the following areas:

  • Communication with nurses
  • Discharge information
  • Zero foreign body retained after surgery/procedure
  • Zero air embolism
  • Falls and trauma
  • Low number of Methicillin-resistant Staphylococcus aureus (MRSA) bacteremia
  • Low number of Clostridium difficile (C.Diff) infections (better than the National Benchmark)
  • Low number of Stage 3 or 4 pressure ulcers (hospital acquired)
  • Zero colon surgical site infections

“Our mission at PCRMC is to provide world-class healthcare. The Leapfrog score shows that our nursing staff, physicians and employees are dedicated to giving our patients and community the highest quality and safest care possible,” says Keri Brookshire-Heavin, SVP/Chief Nursing Officer. “The Leapfrog survey is a great recognition of the hard work PCRMC has done; part of our hospital’s goal is to continually strive for improvement and become our best.”

Patient quality and safety is a constant area of focus at PCRMC. “The Leapfrog grade is an indicator of the work PCRMC does to persistently focus on patient safety and quality,” says CEO Ed Clayton. “We are pleased with the score, but we also recognize that providing high quality care for our patients requires ongoing process improvement. We will continue to do the work necessary to ensure PCRMC remains one of the safest and best hospitals in the nation.”

PCRMC Employee Pharmacy

Take Care of Your Feet

Healthcare and many other professions, such as teaching, food service, retail, construction, cosmetology and factory work often require workers to stand on their feet for numerous hours at a time. What can you do to protect your feet and pamper sore calf muscles after a long day of standing and walking?

PCRMC Podiatrist Christopher Johnson, DPM, recommends the following tips to alleviate minor aches and pains and make sure your feet are getting the attention they deserve:

  • Your feet and muscles become fatigued when you stand all day, and this can cause them to hurt. Make sure you invest in a good, supportive shoe that provides comfort, stability, cushioning, shock absorption and arch support. There are many high-quality athletic shoes on the market, like Asics and New Balance, which are designed to help protect feet and ankles.
  • Stay well hydrated by drinking water throughout the day and take a few minutes to stretch your muscles when you can.
  • Powerstep orthotic shoe insoles are the best over-the-counter orthotic available. Powerstep orthotics provide an extra layer of cushioning, arch and heel support to help alleviate pain caused by many common foot conditions. PCRMC employees can invest in a pair of Powerstep orthotics at the PCRMC Employee Pharmacy. You can also purchase them at Key Sport Shop in Rolla or online at https://www.powersteps.com/.
Dr. Gifford and twins

Establish a Lifetime of Care

You are healthy, happy and all is well. So why do you need a primary care provider (PCP)? Only people who are sick need to establish care with a doctor…right? Not so fast! Everyone should have a PCP, and the best reason to begin care with a PCP is to make sure you stay well and healthy now and in the future.

What is a Primary Care Provider?
A PCP is a healthcare practitioner who is invested in providing patients with a lifetime of care. PCPs work with patients of all ages to provide preventive care; treat common illnesses or conditions; create options for maintaining a healthy lifestyle; and make referrals to medical specialists, if needed.

A PCP is someone who gets to know you: your wellness goals, your habits and your motivators. Essentially, a PCP is a friend–someone you build a relationship with, someone who is there to make sure you are taken care of, and someone who looks out for your overall health and wellbeing.

Partners in Good Health
A PCP works with you to ensure you are getting the best care possible. As your partner in health, your PCP works as your advocate to help you create and maintain healthy habits and reach your wellness goals. A PCP helps you to be proactive and preventive by making sure you are up-to-date on recommended exams and immunizations. And, if you are sick, a PCP is your first line of defense to getting well again.

Since your PCP knows you and your health history, he or she will know when something is out of the ordinary, or when you just do not seem like yourself. From there, your PCP will work with you to make recommendations for lifestyle changes or to prevent future illnesses.

PCRMC has the Right Provider for You!
Give yourself the gift of good health and establish care with a PCP! With over 80 providers and 20 specialties, Phelps County Regional Medical Center has the right provider for you. Please call the PCRMC Contact Center today and set up an appointment at 573-364-9000.