St. Lucie Medical Center
772.335.4000
For more than 25 years, St. Lucie Medical Center has continued to grow and provide world-class care to the residents of Port St. Lucie.

Understanding Robotic Surgery Procedures for Gynecological Conditions

Robot-assisted surgical equipment is used for a wide variety of procedures, including cardiac, colorectal, thoracic, urologic, and gynecologic surgeries. Every surgical procedure carries the risk of complications. However, robotic surgery offers unique advantages. Patients who choose robotic surgery for gynecological conditions may have a shorter stay at St. Lucie Medical Center and a shorter overall recovery time.

Myomectomy

Myomectomy is one type of gynecologic procedure that may be performed with robot-assisted equipment. During this surgery, the doctor creates several small incisions. Through these, tiny surgical instruments are inserted with the robotic arms of the surgical platform. The surgeon has full view of the surgical field on 3D imaging technology. Using the wristed instruments, the surgeon can carefully remove uterine fibroids from the patient’s uterine wall. When uterine fibroids are asymptomatic and the patient would like to preserve her reproductive ability, myomectomy is the preferred surgical approach compared to hysterectomy.

Hysterectomy

During a hysterectomy, the patient’s uterus is removed. The surgeon may also need to remove the ovaries and fallopian tubes. Women may undergo a hysterectomy because of uterine fibroids, uterine prolapse, endometriosis, or cancer. A hysterectomy performed with robotic surgery technology may involve the creation of several small incisions or a single small incision made in the belly button. The latter approach is known as single-site surgery and it’s only available to treat non-cancerous gynecologic conditions. In some cases, the uterus may be removed through the vagina. Or, the uterus may be reduced to small pieces that can be removed through the small incisions.

Sacrocolpopexy

A sacrocolpopexy is performed to correct pelvic organ prolapse. Pelvic organ prolapse is a condition in which the pelvic organs, such as the uterus or vagina, shifts out of its typical position due to the weakening of the connective tissues. It is particularly common among women who have given birth. During this procedure, the surgeon implants a vaginal mesh sling to provide extra support to the pelvic organs.

St. Lucie Medical Center is a leading provider of sophisticated surgical services for residents of Treasure Coast. You can contact our Consult-A-Nurse line at (772) 335-4000 to request a referral to a doctor who performs gynecological, orthopedic, or other robotic surgery procedures. At our hospital, the safety of our patients is our top priority.


Answers to Patient Questions About Spinal Stenosis

Pain, numbness, tingling, and weakness that radiates down the legs are all possible indicators of spinal stenosis. This orthopedic condition may also cause some patients to suffer from abnormal bowel or bladder function and difficulty walking. Although spinal stenosis can involve debilitating symptoms, there are effective treatment options available at the Orthopedic & Spine Institute at St. Lucie Medical Center.

What is spinal stenosis?

Your spine houses the spinal canal, which is a small space that holds the spinal cord and nerve roots. If an orthopedic doctor diagnoses you with spinal stenosis, it means that you have an abnormally narrow spinal canal. While this may not seem like a major problem, it can cause painful symptoms if the nerves are compressed. Most patients with spinal stenosis display this atypical narrowing in the lower back.

Why do I have spinal stenosis?

There are many possible causes of spinal stenosis. In some cases, a patient may have been born with a spinal canal that is narrower than usual. Most patients with spinal stenosis have developed age-related conditions such as osteoarthritis and osteophytes. Other possible causes of spinal stenosis include rheumatoid arthritis, spinal tumors, Paget’s disease of the bone, and spinal tumors. Physical trauma to the spine and a previous surgery of the spine are risk factors of spinal stenosis.

What are the conservative treatment options?

Spinal stenosis may be treated without surgery. Patients might consider taking medications, receiving corticosteroid injections, and working with a physical therapist. An orthopedic doctor may also recommend wearing a lumbar brace to help stabilize the spine.

Do I need surgery?

Surgery is generally only recommended for patients with severe cases of spinal stenosis. During a decompression laminectomy, the orthopedic surgeon removes the lamina, which is the rear portion of a vertebra, to create more space within the spinal canal. This is usually followed by a spinal fusion, which fuses two or more vertebrae together for greater stability.

If you do decide to have orthopedic surgery in Treasure Coast, you may be pleased to know that the Orthopedic & Spine Institute at St. Lucie Medical Center features the latest advancements in medical technology and has been lavishly decorated to mimic an upscale hotel. Our orthopedics team is dedicated to helping our patients get back on their feet and live life well. For a referral to an orthopedic specialist, you can call (772) 335-4000.


Francine E. Paschall joins HCA East Florida as Chief Nursing Executive

Ft. Lauderdale, Florida– HCA East Florida announces the appointment of Francine E. Paschall as Chief Nursing Executive (CNE). Paschall will work to establish the overall strategic direction for the practice of nursing and nursing operations across the Division. She will coordinate efforts fostering a culture of service and an unparalleled patient experience demonstrated in quality and patient satisfaction outcomes.

“We are pleased to have Fran join our East Florida Division leadership team,” said Michael G. Joseph, HCA East Florida Division President. “She is a dynamic healthcare leader with more than 26 years of experience.”

Paschall comes to HCA East Florida from an affiliate HCA facility, Riverside Community Hospital in the Greater Los Angeles area, where she served as Senior Vice President, Patient Care Services/Chief Nursing Officer for the past six years.

Prior to her years with Riverside Community Hospital, she served as Interim Vice President, Patient Care Services/Chief Nursing Officer at Los Robles Hospital and Medical Center in Thousand Oaks, California; Vice President, Patient Services and Chief Nursing Officer at King’s Daughters Medical Center in Ashland, Kentucky; Senior Regional Director for Fairview, Lakewood, and Lutheran Hospitals Workforce Development at Cleveland Clinic Health System, Western Region in Cleveland, Ohio and as Vice President, Patient Care Services/Chief Nurse Executive at Lakewood Hospital in Lakewood, Ohio.

Paschall holds a Doctor of Nursing Practice in Executive Leadership from American Sentinel University; a Master of Business Administration from Tiffin University in Tiffin, Ohio; a Master of Science in Nursing, Acute and Critical Care Nursing from Case Western Reserve University in Cleveland, Ohio; an Associate Degree in Nursing from Lorain County Community College in Elyria, Ohio; and a Bachelor of Arts, Sociology Major with emphasis in Comprehensive Social Sciences at Cleveland State University in Cleveland, Ohio.

HCA East Florida is the largest healthcare system in Eastern Florida and an affiliate of Hospital Corporation of America (HCA). HCA East Florida has 14 hospitals, multiple ambulatory surgery centers, physician practices, imaging centers and free standing emergency care facilities, as well as a supply chain center and an integrated regional lab. Together, HCA East Florida employs more than 18,000 employees and has nearly 7,000 physicians on staff. For more information, visit HCAEastFlorida.com.

+Av entur a Hospital and Medical Center + JFK Medical Center + JFK Medical Center North Campus + Kendall Regional Medical Center Lawnwood Regional Medical Center + Mercy Hospital + Northwest Medical Center + Palms West Hospital + Plantation General Hospital + Raulerson Hospital + Sister Emmanuel Hospital + St. Lucie Medical Center + University Hospital & Medical Center Westside Regional Medical Center+


HOSPITAL CORPORATION OF AMERICA NAMED AN ETHISPHERE INSTITUTE WORLD'S MOST ETHICAL COMPANY FOR SEVENTH CONSECUTIVE YEAR

Investor Contact: Media Contact:

Mark Kimbrough Ed Fishbough

(615) 344-2688 (615) 344-2810

HOSPITAL CORPORATION OF AMERICA NAMED AN ETHISPHERE INSTITUTE WORLD’S MOST ETHICAL COMPANY FOR SEVENTH CONSECUTIVE YEAR

Nashville, Tenn., March 7, 2016 – Hospital Corporation of America (NYSE: HCA), a leading healthcare provider with 168 hospitals and 116 freestanding surgery centers in 20 states and the United Kingdom, has been recognized as a 2016 World’s Most Ethical Company® by the Ethisphere Institute, a global leader in defining and advancing the standards of ethical business practices. This is the seventh consecutive year HCA has been honored, underscoring its consistent commitment to ethical business standards and practices.

“Being named one of Ethisphere’s World’s Most Ethical Companies is in part a reflection of our comprehensive Ethics and Compliance Program for our 230,000 employees,” said Alan Yuspeh, HCA’s senior vice president and chief ethics and compliance officer. “It is also recognition of our culture of integrity, our commitment to provide excellent care for our patients and our desire to be a good citizen in the many communities we serve.”

This year marks the tenth anniversary of Ethisphere and the World’s Most Ethical Companies designation which recognizes organizations that have had a material impact on the way business is conducted by fostering a culture of ethics and transparency at every level of the company.

"Companies rely on Ethisphere to continually raise and measure the standards of corporate behavior. Those that demonstrate leadership in areas like citizenship, integrity and transparency create more value for their investors, communities, customers and employees, thus solidifying a sustainable business advantage," explained Ethisphere’s Chief Executive Officer, Timothy Erblich. "Congratulations to everyone at HCA for being recognized as a World's Most Ethical Company."

The World's Most Ethical Company assessment is based upon the Ethisphere Institute’s Ethics Quotient™ (EQ) framework developed over years of research and vetted and refined by the expert advice from Ethisphere’s World’s Most Ethical Company Methodology Advisory Panel. The EQ offers a quantitative way to assess a company’s performance in an objective, consistent and standardized way. The information collected provides a comprehensive sampling of definitive criteria of core competencies, rather than all aspects of corporate governance, risk, sustainability, compliance and ethics.

Scores are generated in five key categories: ethics and compliance program (35%), corporate citizenship and responsibility (20%), culture of ethics (20%), governance (15%) and leadership, innovation and reputation (10%) and provided to all companies who participate in the process.

The full list of the 2016 World's Most Ethical Companies can be found at http://worldsmostethicalcompanies.ethisphere.com/honorees/.

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All references to “Company” and “HCA” as used throughout this release refer to HCA Holdings, Inc. and its affiliates.


DASH

Don’t get discouraged if you have not been able to stick with your New Year’s diet! The DASH eating plan is one of the top healthy eating plans in 2016. DASH stands for Dietary Approaches to Stop Hypertension. It is considered a lifelong approach to help prevent or treat high blood pressure, prevent osteoporosis, cancer, heart disease, stroke, diabetes and may help you shed unwanted pounds. Jennifer Licata, RD/LDN, Chief Clinical Dietitian at St. Lucie Medical Center states, “Diets that eliminate food groups can set you up for failure.” The DASH eating plan emphasizes fruits and vegetables and low-fat dairy products and moderate amounts of whole grains, fish, poultry, and nuts. The DASH eating plan can be found at http://health.gov/dietaryguidelines/dga2005/toolkit/dash/default.htm.


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