Shannon Medical Center | Health Beat | Fall 2018

Fall 2018 7 Carrot-raisin bread Makes 1 loaf. INGREDIENTS 1½ cups sifted all-purpose flour ½ cup sugar 1 teaspoon baking powder ¼ teaspoon baking soda ½ teaspoon salt 1½ teaspoons ground cinnamon ¼ teaspoon ground allspice 1 egg, beaten ½ cup water 2 tablespoons vegetable oil ½ teaspoon vanilla 1½ cups finely shredded carrots ¼ cup chopped pecans ¼ cup golden raisins DIRECTIONS ●  ● Preheat oven to 350 degrees. Lightly oil a 9-by-5-by-3-inch loaf pan. ●  ● In large mixing bowl, stir to- gether dry ingredients. Make a well in center of dry mixture. ●  ● In separate bowl, mix to- gether remaining ingredients. Add this mixture all at once to dry ingredients. ●  ● Stir just enough to moisten and evenly distribute carrots. Turn into prepared pan. ●  ● Bake for 50 minutes or until toothpick inserted in center comes out clean. ●  ● Cool 5 minutes in pan. Re- move from pan, and complete cooling on a wire rack before slicing. NUTRITION INFORMATION Serving size: One ½-inch slice. Amount per serving: 99 calories, 3g total fat (less than 1g saturated fat), 12mg cholesterol, 97mg sodium. Source: National Institutes of Health Navigat ional Bronchoscopy New technology keeps patients in San Angelo All locations feature: • Physicians on sta • Lab and X-ray services • Online wait times • Walk-in service • Call Ahead Care for waits over 45 minutes Urgent Care North 2626 N. Bryant Blvd. 325-481-2271 Daily: 7 am - 7 pm Urgent Care South 3502 Knickerbocker Rd. 325-481-2222 Monday - Friday: 7 am - 7 pm Saturday - Sunday: 7 am - 10 pm Urgent Care West 4251 Sunset Dr. 325-481-2226 Daily: 7 am - 7 pm Urgent Care Jackson 2237 S. Jackson St. 325-481-2036 Monday - Friday: 8 am - 5 pm Need a Doctor? We’re just around the corner. Visit our website to check wait times: www.ShannonHealth.com Can navigational bronchoscopy help you? For more information, please call Shannon Pulmonology at 325-481-2158 . Bronchoscopy is an evaluation of the paths and airways of the lungs. It can be used to identify nodules or infections, cancers, and other abnormali- ties detected on patient imaging scans. Technology in this field has advanced greatly over the years, and new techniques that are now available at Shannon allow patients to stay close to home. “Electromagnetic navigational bronchoscopy is one of the new techniques we offer here,” says Kenneth Perret, MD, Shannon Pulmonolo- gist. “This method of bronchoscopy combines the electromagnetic navigation with real-time 3D images from the patient’s CT scan. When patients have an abnormality on their chest x-ray or CT scan, they are sent to me for further test- ing. We will perform a biopsy and retrieve tissue from the suspicious area. From the biopsy, we can determine if the tissue is cancerous, an inflamma- tory lesion or an infection and will decide what needs to be done next.” The navigation uses GPS technology, with a locatable guide on the end of the bronchoscope and markers on the patient’s chest and back that tell the guide where it is in the chest. With the use of the Bronchoscope and virtual airway, Dr. Perret knows exactly where he is at within the patient’s lungs. Through this technique, Dr. Perret is able to pinpoint areas of concern deep within the lungs and has the capability to biopsy extremely small spots. “This allows us to reach specific areas out in the peripheral area of the lung,” he says. “Previously, we used a catheter to access the up- per and lower parts of the lung. We never knew the exact location, but that has changed with this technology. We know exactly where we are in the lung. I know which airway to take to lead me di- rectly to the lesion. It’s very precise.” MANY ADVANTAGES Another benefit of the electromagnetic naviga- tional bronchoscopy is it can be combined with another bronchoscope called an endobronchial ultrasound.This scope is equipped with a balloon- like ultrasound machine on the end. It allows Dr. Perret to access and biopsy lymph nodes within the middle, or hilar, region of the lungs. “The real advantage of this is we can biopsy lesions in the outer areas of the lungs and the lymph nodes in the center of the chest during the same procedure,” he says. “If they are cancerous, we can stage the disease and determine where the patient needs to go, whether that is to surgery, oncology or radiation oncology, after this one procedure.” Previously, patients would have to undergo a needle biopsy in the outer area of the lung, which also meant an increased risk of a collapsed lung. After the needle biopsy, the lymph nodes would be biopsied with a separate procedure, which re- quired an incision in the upper chest. Patients who are not candidates for surgery can still benefit from this procedure.Through the navigational system, a biopsy is performed and markers can be placed around the lesion simul- taneously.The markers allow a radiation oncolo- gist to view the lesions and apply radiation to the exact area, even if they cannot see the lesion itself, avoiding radiation exposure to other areas of the lung. “This procedure allows us to do everything in one sitting, and the proper course of action for each patient is determined quickly,” Dr. Perret says. “Additionally, this method does not require any incisions or surgery. Most impor- tantly, patients no longer have to travel out of town for this procedure.They are often home within the same day, and the risk of complications is minimal.”