Purpose: Nearly 90 million Americans seek healthcare because of dizziness and balance problems known as vestibular disorders, and the incidence of vestibular disorders increases with age, resulting in other related injuries from falling. Join us for this Clinical Grand Rounds program as these experts discuss this significant disease and treatment options.

The learner will:• Review Vestibular Assessment.

• Discuss functional gait and movement analysis.

• Describe how to categorize symptoms of balance and dizziness.

• Explain how a Vestibular Disorder relates to vision.

• Discuss treatment options for patients with Vestibular Disorders.

*Nursing CEUs: 1.2 contact hours of nursing continuing education credit will be awarded for attending the entire program. Mercy Medical Center, Cedar Rapids, Iowa, is IBN Provider #57. Pre-registration is not required.

Other healthcare professionals: This offering may be eligible for 1.2 contact hours of continuing education credit. Consult your governing rules to determine if appropriate subject matter criteria will apply to credit hours.

ACCREDITATIONThis activity has been planned and implemented in accordance with the Essential Areas and Policies of the Iowa Medical Society (IMS) through the joint providership of The Cedar Rapids Medical Education Foundation, Mercy Medical Center and St. Luke’s Hospital. The Cedar Rapids Medical Education Foundation is accredited by the IMS to provide continuing medical education for physicians. The Cedar Rapids Medical Education Foundation designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with their participation in the activity.

Dr. Fitzgerald and Nichole Plagge have disclosed that they have no interest in commercial support.

Clinical Grand RoundsDEALING WITH DIZZY: AN OVERVIEW OF VESTIBULAR DISORDERSThursday, April 30 | Noon to 1 p.m. | Hallagan Education Center Faculty: DeAnn Fitzgerald, OD, Dr. D.M. Fitzgerald & Associates, Cedar Rapids Nichole Plagge, PT, Clinical Manager Therapies, Mercy Medical Center

319-752v16

IMS 2015: Lead. Succeed. Thrive.

When: May 02, 2015 | Time: 8:00 a.m.

Location: DoubleTree by Hilton Hotel at the Cedar Rapids Convention Complex

The IMS Annual Conference, IMS 2015: Lead. Succeed. Thrive., will be held May 2-3, 2015, at the DoubleTree by

Hilton Hotel at the Cedar Rapids Convention Complex. There are many differences between the 2015 IMS Annual

Conference and the IMS Annual Meetings that preceded it. The most obvious of these differences is the absence of the

House of Delegates. For 164 years, the House of Delegates was the main focus of the IMS Annual Meeting. Education

dominates the 2015 IMS Annual Conference. Please note that IMS is no longer hosting a meeting of the membership

but offering an educational conference designed to provide members an opportunity to increase their knowledge and

understanding of issues relevant to evolving the practice of medicine plus events to build/renew relationships with

their peers. Register now to attend IMS 2015: Lead. Succeed. Thrive.

Location and Lodging:

IMS 2015: Lead. Succeed. Thrive., will take place at the DoubleTree by Hilton Hotel at the Cedar Rapids Convention Complex, in

Cedar Rapids. IMS has secured a room block at the hotel for a rate of $104 plus taxes per night. This room block will expire on March

28, 2015. Contact the hotel directly at (319) 731-4444 and mention you will be attending this conference to receive the discounted

room rate.

Schedule at a glance:

Friday, May 1, 2015

5:30 p.m. ER/LA Opioid REMS: Achieving Safe Use While Improving Patients

Saturday, May 2, 2015

7:00 a.m. Poster Displays

8:30 a.m. Welcome/State of the Society Address

Jeff Maire, DO, IMS President

8:45 a.m. Lead Keynote Session: Physicians Engage Thyself

Steve Berkowitz, MD

SMB Health Consulting, Austin, TX

9:45 a.m. Break with exhibitors

10:15 a.m. General Session: Public Policy and the Practice of Medicine

IMS Center for Physician Advocacy (CPA) staff and panel for Iowa State

Legislators

11:15 a.m. General Session: Interactive Training: Lobbying 101

12:15 p.m. Luncheon

Succeed Keynote Session: The Value of Sports, Sportsmanship and Pursuing Victory

with Honor

Chuck Long, former University of Iowa and NFL quarterback, NCAA coach,

commentator, and CEO/Executive Director of Iowa Sports Foundation

1:45 p.m. Break with exhibitors

2:00 p.m. Concurrent Breakout Sessions:

Leadership Track – Succeeding and Thriving in Practice

Communications Track – Improving Healthcare Communication with a

Relationship-Centered Approach

Young Physicians Track – Medical Practices in America: Past, Present and

Future

2:45 p.m. Break with exhibitors

3:15 p.m. Concurrent Breakout Sessions:

Leadership Track – Succeeding and Thriving in Practice (continues)

Communications Track – Improving Healthcare Communication with a

Relationship-Centered Approach (continues)

Young Physicians Track – Managing Disruptive Technologies

4:00 p.m. Education sessions adjourn

IMPAC Reception (IMPAC members only – join today)

Student and Resident Lounge (open to all attendees)

6:00 p.m. President’s Reception

7:00 p.m. Dinner Gala

IMS Awards Presentation

Installation of K. John Hartman, MD, as IMS President

Entertainment - TBD

Sunday, May 3, 2015

8:00 a.m. Concurrent Breakout Sessions:

Mandatory Education Track – Treating Patients with Chronic Pain

Communications Track – Promoting Accountability and Learning After Medical

Injury: The CRP Revolution

Young Physicians Track – Liability Insurance 101

8:45 a.m. Break

9:00 a.m. Concurrent Breakout Sessions:

Mandatory Education Track – Treating Patients with Chronic Pain (continues)

Communications Track – Patient and Team Communication – Education to Reduce

Patient Injuries and Malpractice Claims

Young Physicians Track – From Resident to Practicing Physician

9:45 a.m. Break

10:15 a.m. Concurrent Breakout Sessions:

Mandatory Education Track – Resources for Physicians Treating Patients with

Chronic Pain

Communications Track – Patients as Experts, Patients as Partners

Young Physicians Track – From Resident to Practicing Physician (continues)

11:00 a.m. Thrive Keynote Session – Addressing Burnout: What Every Physician Needs to Know

from One Who’s Been There

Diane Shannon, MD, Boston, MA

Noon Conference Adjourns

Mercy Pulmonology Clinic offers state-of-the-art Interventional Pulmonology services that include both diagnostic and therapeutic procedures. What is Interventional Pulmonology? Interventional pulmonology is a relatively new field to help diagnose and treat benign and malignant pulmonary diseases, including the trachea, airways, lungs and pleura. It uses a variety of bronchoscopes and does not require open surgery, incisions or hospital stays. Why Mercy Pulmonology Clinic? Mercy Medical Center has the newest technologies and instruments, providing the perfect environment for me to maximize my skills as Cedar Rapids’ only board-certified Interventional Pulmonologist. At Mercy, I can offer patients the highest level of care with procedures that are not available anywhere else, other than a few large academic centers around the country. For more information on any of our interventional pulmonary services, please contact me directly at eacelis@mercycare.org, or call our office at (319) 221-8788. I would be more than happy to provide you with additional information about these treatment options and to discuss the appropriate patients who may benefit. Sincerely,

Eduardo Celis, MD Interventional Pulmonology Pulmonary and Critical Care Mercy Pulmonology Clinic <see enclosure>

Pulmonary Rehabilitation and Fit for Life

Mercy’s Lung Center provides a full spectrum of care that includes pulmonary rehabilitation. The outpatient program offers monitored exercise and education to patients that have limited their activity due to a respiratory illnesses and/or shortness of breath to regain their endurance.

This program consists of classes held three times a week at Mercy’s Lung Center. Each two-hour class includes one hour of education and one hour of exercise. The exercise is supervised by Mercy’s Outpatient Pulmonary Rehab Team, made up of a respiratory therapist, physical therapists, and pulmonary rehab registered nurses.

Mercy’s Fit for Life program extends this rehabilitation into ongoing supervised exercise that is monitored by our expert staff. Fit for Life is offered at Mercy’s Lung Center, as well as Mercy’s Health Plaza - 5264 Council St NE, Cedar Rapids.

Scheduling: (319) 861-7778Patient Navigator: (319) 389-5165

Pulmonary Rehabilitation: (319) 398-6651

Mercy’s Lung Center 701 10th Street SE | Ground level

Cedar Rapids, IA 52403

Patients may park in the 8th Street parking ramp or the Lundy Pavilion entrance and

enter from the ground level.

www.mercycare.org

Mercy’s LUNG CENTER

561-

1571

3/1

5

Pulmonary Rehabilitation and Fit for Life

Mercy’s Lung Center provides a full spectrum of care that includes pulmonary rehabilitation. The outpatient program offers monitored exercise and education to patients that have limited their activity due to a respiratory illnesses and/or shortness of breath to regain their endurance.

This program consists of classes held three times a week at Mercy’s Lung Center. Each two-hour class includes one hour of education and one hour of exercise. The exercise is supervised by Mercy’s Outpatient Pulmonary Rehab Team, made up of a respiratory therapist, physical therapists, and pulmonary rehab registered nurses.

Mercy’s Fit for Life program extends this rehabilitation into ongoing supervised exercise that is monitored by our expert staff. Fit for Life is offered at Mercy’s Lung Center, as well as Mercy’s Health Plaza - 5264 Council St NE, Cedar Rapids.

Scheduling: (319) 861-7778Patient Navigator: (319) 389-5165

Pulmonary Rehabilitation: (319) 398-6651

Mercy’s Lung Center 701 10th Street SE | Ground level

Cedar Rapids, IA 52403

Patients may park in the 8th Street parking ramp or the Lundy Pavilion entrance and

enter from the ground level.

www.mercycare.org

Mercy’s LUNG CENTER

561-

1571

3/1

5

Coordinated CareWe respect the importance of your time. When breathing is difficult, time is of the essence. The Lung Center offers patients the option of scheduling multiple services and tests in one day versus being spread out over several days or weeks. It’s an added convenience that leads to faster answers and treatment.

Patient NavigatorYour guide and resource throughout the day. Mercy’s Lung Center offers a patient navigator to help escort the patient throughout the day and assist as a clinical resource in answering any questions that may arise. Our patient navigator can be reached at (319) 389-5165.

Conditions we treat include: Asthma

Chronic Obstructive Pulmonary Disease (COPD)

Respiratory Syncytial Virus (RSV)

Sleep Apnea

Lung Cancer

Neuro-Muscular Disorders

Pneumonia

Types of services we offer include:Bronchoscopy procedures – a minimally invasive technique that utilizes a small camera device to help reach, diagnose and treat lesions in the airways or the lungs. This is an outpatient procedure done under conscious sedation or general anesthesia for patient comfort.

Bronchial Thermoplasty: A minimally invasive, outpatient procedure for patients with severe persistent asthma that is not under control with regular medications. This technique reduces excess of smooth muscle in the airways, achieving better asthma control.

Pulmonary Stenting: Used in some benign diseases and to complement the treatment of cancer that affects the airways and lungs. The stents are mesh tubes made of metal and/or silicone that hold open the airway that otherwise will collapse.

Endobronchial Ultrasound Bronchoscopy (EBUS): Special bronchoscope with an ultrasound device on its tip to help the pulmonologist locate structures next to the airways (lymph nodes, tumors) or deep in the lungs, leading to a more precise and safe biopsy.

Electromagnetic Navigational Bronchoscopy (superDimension® ENB): Advanced technology that creates a 3-D road map of the lungs based on the patient’s CT, allowing the pulmonologist to locate and reach almost any size of lesion and difficult areas in the lungs.

Lung Cancer ScreeningA simple, safe screening and education for long-term, heavy smokers aged 55 or older.

Pulmonary Function Tests A painless way to measure how well your lungs are working. Results of the tests may explain shortness of breath, various types of lung problems, and whether breathing problems are a risk during general anesthesia.

Pulmonary Exercise Stress Test Helps differentiate between pulmonary and cardiac symptoms.

Smoking Cessation Led by a Mayo-Certified Smoking Cessation Specialist, this four-week course provides a comprehensive and individualized quit plan that includes educational sessions, support and experts that help guide patients to quit and stay quit.

Mercy’s Lung Center

Mercy’s Lung Center offers a coordinated system of care that provides comprehensive services to diagnose, treat and help patients live successfully with respiratory conditions.

Coordinated CareWe respect the importance of your time. When breathing is difficult, time is of the essence. The Lung Center offers patients the option of scheduling multiple services and tests in one day versus being spread out over several days or weeks. It’s an added convenience that leads to faster answers and treatment.

Patient NavigatorYour guide and resource throughout the day. Mercy’s Lung Center offers a patient navigator to help escort the patient throughout the day and assist as a clinical resource in answering any questions that may arise. Our patient navigator can be reached at (319) 389-5165.

Conditions we treat include: Asthma

Chronic Obstructive Pulmonary Disease (COPD)

Respiratory Syncytial Virus (RSV)

Sleep Apnea

Lung Cancer

Neuro-Muscular Disorders

Pneumonia

Types of services we offer include:Bronchoscopy procedures – a minimally invasive technique that utilizes a small camera device to help reach, diagnose and treat lesions in the airways or the lungs. This is an outpatient procedure done under conscious sedation or general anesthesia for patient comfort.

Bronchial Thermoplasty: A minimally invasive, outpatient procedure for patients with severe persistent asthma that is not under control with regular medications. This technique reduces excess of smooth muscle in the airways, achieving better asthma control.

Pulmonary Stenting: Used in some benign diseases and to complement the treatment of cancer that affects the airways and lungs. The stents are mesh tubes made of metal and/or silicone that hold open the airway that otherwise will collapse.

Endobronchial Ultrasound Bronchoscopy (EBUS): Special bronchoscope with an ultrasound device on its tip to help the pulmonologist locate structures next to the airways (lymph nodes, tumors) or deep in the lungs, leading to a more precise and safe biopsy.

Electromagnetic Navigational Bronchoscopy (superDimension® ENB): Advanced technology that creates a 3-D road map of the lungs based on the patient’s CT, allowing the pulmonologist to locate and reach almost any size of lesion and difficult areas in the lungs.

Lung Cancer ScreeningA simple, safe screening and education for long-term, heavy smokers aged 55 or older.

Pulmonary Function Tests A painless way to measure how well your lungs are working. Results of the tests may explain shortness of breath, various types of lung problems, and whether breathing problems are a risk during general anesthesia.

Pulmonary Exercise Stress Test Helps differentiate between pulmonary and cardiac symptoms.

Smoking Cessation Led by a Mayo-Certified Smoking Cessation Specialist, this four-week course provides a comprehensive and individualized quit plan that includes educational sessions, support and experts that help guide patients to quit and stay quit.

Mercy’s Lung Center

Mercy’s Lung Center offers a coordinated system of care that provides comprehensive services to diagnose, treat and help patients live successfully with respiratory conditions.

Make Time for Teaching:

Effective and Efficient Teaching in the Clinical Setting

Faculty Development Workshop

Wednesday, May 20th

Dinner begins at 5:30PM; Workshop from 6:00-7:30PM

Mercy Medical Center, Hallagan Education Center

701 10th Street SE, Cedar Rapids

Sponsored By:

The Office of Statewide Clinical Education Programs, Roy J. and Lucille A. Carver College of Medicine, University of Iowa

Find time to teach without sacrificing efficient and timely patient care.

Join us for this 90-minute workshop and learn to identify the factors that

interfere with efficient clinical teaching and explore evidence-based strategies to

teach effectively.

Presented by Marcy Rosenbaum, Ph.D. Office of Consultation and Research in Medical Education

CME Credit available

For Questions or to RSVP,

Contact Bonnie Corwin:

319.335.8617 or bonnie-corwin@uiowa.edu

MARK YOUR CALENDARS!

Drug Shortage DEPARTMENT OF PHARMACY 

Drug: Pantoprazole (Protonix)

From: Jennifer Goings, Pharmacy Manager

Date: March 26, 2015

Status: Critical

Product(s) Affected: Pantoprazole (Protonix) 40 mg vial  Reason for Shortage: Increased demand  

Estimated Resupply Date: Summer 2015   

Management:  We currently have a less than 3 day’s supply of Protonix IV.   Protonix IV will be restricted to those patients with acute upper GI bleed. Available alternatives for stress ulcer prophylaxis include oral pantoprazole, oral and

IV famotidine, and oral lansoprazole solu-tabs. Famotidine renal dosing guidelines: CrCl <50 mL/minute: Manufacturer recommendation: Administer 50% of dose or increase the dosing interval to every 36-48 hours (to limit potential CNS adverse effects).

Free Mammograms & Pap Tests

Call 319-892-6019

May 4-6, 2015

Appointments are required, and will be accepted beginning April 1, 2015.

Available on a first come, first served basis.

*Income guidelines apply.

Women age 40-64 with no medical insurance qualify for a

free mammogram and pap test. *

Services provided by:

Mercy Women’s Center RCI Imaging Center

UnityPoint Health — St. Luke’s Breast and Bone Health

UnityPoint Health — St. Luke’s Family Health Center

His Hands Free Medical Clinic