Surgery on the stomach and/or intestines to help a person, with extreme obesity, lose weight. It promotes weight loss by increasing the feeling of fullness and satisfaction after small meals through restriction of the stomach size and/or reducing the absorption of calories by changing the digestive system’s anatomy.
Bariatric surgery is the clinical term for several different procedures. The procedures use one or both of two approaches to help patients lose weight and improve or resolve co-morbid conditions.
- Bariatric Surgery
Cancer Clinical Trials
Clinical trials, or research studies, are an important aspect of Cancer Treatment. Clinical trials help move the basic scientific research from the laboratory to treatments for people. By evaluating the results of these trials, we can find better ways to prevent, detect, and treat cancer. But very few adults with cancer (about 3%) actually participate in clinical trials. We need to test the best cancer prevention, detection, and treatment ideas in the shortest time possible, and this can only happen with participation.
Cancer Surgery (Oncological Surgery) has a pivotal role in cancer treatment, as well as continuing research. It is the only modality with the potential to cure most solid cancers by physically removing malignancies and surrounding tissue from the body. It is a local treatment, meaning that it only treats the part of your body with the cancer and is not used for leukemia or other cancers than have mestastised. Sometimes surgery will be the only treatment needed. But most often, it is combined with other testaments such as radiation therapy.
- Cardiac Echo
- Cardiac Ultrasound
Cardiopulmonary Resuscitation (CPR)
CPR stands for cardiopulmonary resuscitation. It is an emergency lifesaving procedure that is done when someone's breathing or heartbeat has stopped. This may happen after an electric shock, heart attack, or drowning.
CPR combines rescue breathing and chest compressions.
- Rescue breathing provides oxygen to the person's lungs.
- Chest compressions keep oxygen-rich blood flowing until the heartbeat and breathing can be restored.
Permanent brain damage or death can occur within minutes if blood flow stops. Therefore, it is very important that blood flow and breathing be continued until trained medical help arrives.
CPR techniques vary slightly depending on the age or size of the patient. The newest techniques emphasize compression over rescue breathing and airway, reversing long-standing practice.
What Is Carotid Endarterectomy?
Carotid endarterectomy (ka-ROT-id END-ar-ter-EK-to-me), or CEA, is a type of surgery that is used to prevent strokes in people who have carotid artery disease.
Carotid artery disease occurs if plaque (plak) builds up in the two large arteries on each side of your neck (the carotid arteries). The carotid arteries supply your brain with oxygen-rich blood.
Plaque is made up of fat, cholesterol, calcium, and other substances found in the blood. Over time, plaque hardens and narrows the carotid arteries. This limits or blocks the flow of oxygen-rich blood to your brain, which can lead to a stroke.
- CAT Scan
Chemotherapy is the use of medicines or drugs to treat cancer. The thought of having chemotherapy frightens many people. But our experienced oncologists and staff can help you know how it works and what to expect. This can often help calm your fears and give you a better sense of control over your cancer treatment.
- Computed Axial Tomography
Computed Tomography (CT)
In many ways CT scanning works very much like other x-ray examinations. Very small, controlled amounts of x-ray radiation are passed through the body while different tissues absorb the radiation at different rates. With plain radiology, an image of the inside of the body is captured when special film is exposed to the absorbed x-rays. With CT, the film is replaced by an array of detectors that measure the x-ray profile.
You might think of it as looking into a loaf of bread by cutting the bread into thin slices. When the image slices are reassembled by computer the result is a very detailed, multidimensional view of the body's interior.
The Most Advanced CT System in Southeastern Idaho
Featuring the most advanced multislice CT technologies available, the Aquilion 64 is built on Toshiba's unique 64-row Quantum detector, volumetric imaging capabilities and advanced software applications. The Aquilion is the world's only true volumetric 64 CT system with 64 detector channels, 3-D cone beam algorithms and volume reconstruction.
At the heart of the Aquilion 64 is its superior multi-detector design, that produces high-speed, high-resolution imaging with the best low contrast resolution at the lowest dose. The Quantum detector enables the Aquilion CT scanner to acquire 64 simultaneous slices of 0.5 mm with each 400-millisecond gantry revolution. The result is precise isotropic imaging of any region of the body during a breath-hold under ten seconds.
- Cancer Clinical Trials
da Vinci Surgical Robot
da Vinci® Surgical Services
If you or a loved one has been diagnosed with a condition that may require surgery, you owe it to yourself to learn about all of your options, including the most effective, least invasive surgical treatments available. The da Vinci Surgical System is changing the experience of surgery.
Imagine major surgery performed through the smallest of incisions, the benefits of a definitive treatment and the potential for significantly less pain, a shorter hospital stay, less transfusion rates, faster return to normal daily activities and the potential for better clinical outcomes in some instances.
Portneuf Medical Center is one of only two facilities in southeastern Idaho to provide access to first-class minimally invasive da Vinci surgical procedures. PMC remains enterprising, open and eager to accept new and innovative advancements to be able to test, diagnose and treat patients with the most advanced technology available.
The da Vinci Surgical System is designed to provide surgeons with enhanced capabilities, including high-definition 3D vision and a magnified view. Your doctor sits at a console and controls the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body. Though it is often called a "robot," da Vinci cannot act on its own: Instead, the surgery is performed entirely by your doctor.
The breakthrough surgical system is called the da Vinci in part because Leonardo da Vinci invented the first robot. He also used unparalleled anatomical accuracy and three-dimensional details to bring his masterpieces to life. Similarly, the da Vinci surgical system provides physicians with such enhanced detail and precision that the system can simulate an open surgical environment while allowing surgery through tiny incisions.
A doctor demonstrates the delicate surgical work that can be performed with the da Vinci surgical system by peeling a grape.
Together, da Vinci technology allows your doctor to perform complex procedures through just a few tiny openings. As a result, you may be able to get back to life faster without the usual recovery following major surgery. The da Vinci System has been used successfully worldwide in hundreds of thousands of procedures to date.
- da Vinci Surgical Robot
Diagnostic Radiology (X-Ray)
The X-ray has been called one of the most significant advances in all of medical history. It is used in many different ways in medical diagnosis. An x-ray image is produced when a small amount of radiation passes through the body and strikes a sheet of sensitive film placed on the other side of the body. The ability of x-rays to penetrate tissues and bones varies according to the tissue's composition and mass. Bone, which contains calcium, does not let much radiation through and results in white images on the x-ray film. Images of the injury can show even very fine hairline fractures or chips, while images produced after treatment ensure that a fracture has been properly aligned and stabilized for healing. Bone x-rays are an essential tool in orthopedic surgery, such as spinal repair, joint replacements, or fracture reductions.
We employ advanced X-ray digital imaging systems that produce high-quality images that can be produced on film, CDs or sent electronically to a patient's physician.
- Diagnostic Radiology (X-Ray)
Electroconvulsive Therapy (ECT) is a treatment option for patients suffering from severe depression who have been unsuccessful with other forms of treatment, such as antidepressant medication and psychotherapy. Bipolar and Schizophrenia are other illnesses that can be effectively treated by ECT.
Health Benefits of Bariatric Surgery
It’s obvious to many people who have lived with morbid obesity for years that the disease has a severe negative impact on quality of life. Because of morbid obesity, you may choose not to participate in certain activities. You may feel that you have limited career choices.
What you may not know is that morbid obesity has been found to affect the quality of your health and the length of your life.4
Morbid obesity has been linked to several serious and life-threatening diseases. These co-morbid conditions include type 2 diabetes, heart disease and high blood pressure, acid reflux/GERD, and cancer. Most of these conditions do not develop for years. So many people living with morbid obesity may have one or more of these health issues without even realizing it.
Bariatric surgery may offer you a whole new outlook on health…
One study found that gastric bypass surgery reduced the total number of co-morbid conditions of participating patients by 96%.5
Many surgeons recommended bariatric surgery as a treatment option for type 2 diabetes.12 In some cases, resolution of type 2 diabetes occurred within days of the surgery.4
A meta-analysis stated that several studies found that bariatric surgery patients felt better, spent more time doing recreational and physical activities, benefited from enhanced productivity and economic opportunities, and had more self-confidence than they did prior to surgery.4
Hyperbaric Oxygen Therapy
Hyperbaric Oxygen Therapy (HBOT) is a medical treatment in which the patient is entirely enclosed in a pressure chamber breathing 100% oxygen at greater than one atmosphere.
Some common conditions treated with HBOT include:
- Severe foot ulcers in patients with diabetes
- Wounds related to infection of the bone (Osteomyelitis)
- Skin grafts or flaps that are not healing
- Delayed radiation therapy injury (example: osteoradionecrosis, radiation cystitis, proctitis etc.)
- Gas gangrene caused by infection
- Crush injuries
- Carbon monoxide intoxication
- Selected wounds with arterial insufficiency
At Portneuf Wound Care & Hyperbaric Center patient privacy and individualized wound care is at the forefront of everything we do, which is one of the reasons why we utilize Monoplace (Single) Hyperbaric Oxygen Chambers— Advantages include:
- Patients are cared for individually thus maintaining patient privacy.
- Single chambers ensure there is no spread of disease or infection from other patients.
- Patients are treated at a protocol specific to that particular patient.
- No awkward or restraining facemasks or hoods.
- Each single chamber is equipped with individual flat screen televisions, so patients can take a nap or watch his or her favorite TV station/movie.
- Chambers are made of clear acrylic material so patient can see out, minimizing confinement anxiety.
- Flexible treatment start times.
A hysterectomy is an operation to remove a woman's uterus. A woman may have a hysterectomy for different reasons, including:
- Uterine fibroids that cause pain, bleeding, or other problems
- Uterine prolapse, which is a sliding of the uterus from its normal position into the vaginal canal
- Cancer of the uterus, cervix, or ovaries
- Abnormal vaginal bleeding
- Chronic pelvic pain
- Adenomyosis, or a thickening of the uterus
- Health Benefits of Bariatric Surgery
One reason that cancer cells thrive is because they are able to hide from your immune system. Immunotherapy is a type of biological therapy, using substances derived from living organisms, that can "mark" cancer cells so it is easier for the immune system to find and destroy them.
Magnetic Resonance Imaging (MRI)
MRI utilizes computers and magnetic fields, rather than radiation, to provide safe and non-invasive images of the human anatomy. Idaho Medical Imaging uses the Siemens MAGNETOM Espree 1.5T, the next generation of advanced MRI.
More Head Room. More Leg Room. More Comfort.
The Espree's extra-large opening means it can comfortably accommodate a variety of patients, including the anxious, large-sized, or anyone who just likes more space. And the Espree is the only machine where most of the exams can be done without your head having to enter the MRI. In addition to pen comfort, the Espree also offers high-quality imaging for your doctor. Now you can both rest peacefully.
Faster, More Precise Results
Siemens has combined, for the first time, a very wide 70 cm bore, a very short 125 cm magnet, and the powerful performance of 1.5T to create something very revolutionary: Open Bore MRI. And Magnetom Espree has the power of TIM (Total Imaging Matrix).
Our Magnetom Espree provides up to 4-times higher signal-to-noise for superior image quality and greater diagnostic confidence. It's a level of image quality not seen before in Open MRI. The Espree offers, for the first time, CT-like comfort with true 1.5T high-field power. So it's head-out and feet first for most exams.
A New Ally in the Fight Against Breast Cancer
Breast cancer will affect an average of one in eight women sometime in their lifetime. It is the second most common cause of cancer related deaths in women. Numerous studies prove that early detection is a vital component in the successful treatment of breast cancer.
Mammograms play a central part in the early detection of breast cancer because they can detect changes in the breast that may be early signs of cancer, but are too small or subtle to be felt. The use of mammography has greatly enhanced the ability to detect breast cancers at earlier stages. Now a new technology called full field digital mammography shows great promise in the fight against breast cancer.
Early Detection is the Key
Although there has been a decline in the rate of deaths from breast cancer in recent years, it is still the second leading cause of cancer death in women, exceeded only by lung cancer. Studies have shown that, when detected early, the chance for successful treatment of breast cancer is nearly 100%.
Methods for early detection of breast cancer include clinical examinations by a healthcare professional and mammography. In most cases, mammography can identify an abnormal breast mass as much as two years before it can be detected by touch.
Some physicians also recommend a monthly breast self-examination for all women beginning at the age of 20, following proper training by a qualified healthcare professional.
What is a Mammogram?
A mammogram is an x-ray examination of the breasts, used to detect and diagnose breast diseases. Screening mammography is used as a preventive measure for women who have no symptoms of breast disease. A screening mammogram usually involves two views of each breast.
Diagnostic mammography involves additional views of the breast, and is used when an abnormality is found during screening, or in women who have breast complaints, such as a breast mass, nipple discharge, breast pain, or skin irritation.
Mammography is a very safe procedure that uses low doses of radiation to produce high-quality x-rays.
What is Full Field Digital Mammography?
Digital mammography uses computers and specially designed digital detectors to produce an image that can be displayed on a high-resolution computer monitor, and transmitted and stored just like computer files.
From a patient’s point of view, having a digital mammogram is very much like having a conventional screen-film mammogram. Both film-based and digital mammography use compression and x-rays to create clear images of the inside of the breast. During all mammography exams, the technologist positions the patient to image the breast from different angles and compresses the breast with a paddle to obtain optimal image quality.
Unlike film-based mammography, digital mammograms produce images that appear on the technologist’s monitor in a matter of seconds. There is no waiting for film to develop, which can mean a shorter time spent in the breast imaging suite.
The Benefits of Digital Mammography
With digital mammography, the radiologist reviews electronic images of the breast, using special high-resolution monitors. The physician can adjust the brightness, change contrast, and zoom in for close ups of specific areas of interest. Being able to manipulate images is one of the main benefits of digital technology.
Another convenience of digital mammography over film-based systems is it can greatly reduce the need for retakes due to over or under exposure. This potentially saves additional time and reduces your exposure to x-rays.
Because they are electronic, digital mammography images can be transmitted quickly across a network. Digital images can also be easily stored, copied without any loss of information, and transmitted and received in a more streamlined manner, eliminating dependence on only one set of “original” films.
Who Should Have Mammograms?
The American Cancer Society recommends that all women have a baseline screening mammogram between the age of 35 and 40 and that beginning at the age of 40, women have an annual screening mammogram.
In addition to annual screening for women 40 and older, women with certain risk factors should discuss an appropriate screening program with their physician.
Some Known Risk Factors For Breast Cancer
- Family or personal history of breast cancer
- Early menstrual onset/late onset menopause
- Use of oral contraceptives
- Use of hormone replacement therapy
- Alcohol use (2 or more drinks/day)
How is Mammography Performed?
You will need to undress above the waist for this procedure. You will be given a wrap to wear during the mammogram.
You and a breast imaging technologist will be the only ones present during the mammogram. The technologist will position each breast, one at a time, on the mammography equipment. The breast will then be compressed, and the x-ray will be taken.
If you are having a screen-film mammogram, the technologist will take all of the x-rays needed for the examination. She will then develop the films before you leave, to make sure each film shows the right view and exposure.
If you are having a digital mammogram, each x-ray will appear on the technologist's computer screen, and she will be able to make sure each image shows the right view before positioning you for the next x-ray.
The entire procedure should take about 20 minutes.
Are Mammograms Painful?
Breast compression may cause some discomfort for a brief time during each x-ray, but it should not be painful.
Breast compression helps obtain better x-rays by:
- Flattening the breast so that the maximum amount of tissue can be examined.
- Allowing a lower x-ray dose to be used, since the x-ray beams pass through a thinner amount of tissue.
- Holding the breast in place to prevent blurring caused by motion.
- If you have sensitive breasts, schedule your mammogram at a time of the month when your breasts will be less tender. In general, the week after a period is when breasts are less tender.
How Should I Prepare for a Mammogram?
If you have had mammograms in different facilities, call those facilities in advance and arrange to have your previous mammograms, reports and any other treatment reports forwarded.
Do not wear deodorant, powder or cream under your arms it may interfere with the quality of your mammogram.
If you have sensitive breasts, schedule your mammogram at a time of the month when your breasts will be less tender. In general, the week after a period is when breasts are less tender.
How Will I Get My Results?
Your mammogram will be read by a radiologist. The radiologist will send a report to your physician and your physician will notify you of the results.
Be sure to ask your physician when you will receive the results of your mammogram. If you do not hear from your physician, don't assume your mammogram was normal. Confirm this by calling your physician's office.
- Medical Oncology
- Magnetic Resonance Imaging (MRI)
Nuclear medicine is a branch of radiology that uses radioactive materials to diagnose or treat various diseases. These radioactive materials (tracers) may also be called radiopharmaceuticals, and they accumulate (collect) in specific organs in the body.
Radiopharmaceuticals are able to yield valuable information about the particular organ being studied. Whether outside the body or inside the body, tracers emit radioactive signals, called gamma rays, which can be collected and counted by a special device, called a gamma camera.
Cardiac nuclear medicine tests are indicated for individuals with unexplained chest pain or chest pain brought on by exercise (called angina) to permit the early detection of heart disease.
The most common cardiac nuclear medicine procedure, called myocardial perfusion scanning, enables the visualization of blood-flow patterns to the heart walls. The test is important for evaluating the presence and extent of suspected or known coronary artery disease (blockages) as well as the results of previous injury to the heart from a heart attack, called a myocardial infarction. It also can be done to evaluate the results of bypass surgery or other percutaneous revascularization procedures designed to restore the blood supply to the heart.
Heart-wall movement and overall heart function can be evaluated with cardiac gating, a technique that synchronizes the images of the heart with different parts of the cardiac cycle (contracting or relaxing) as determined by an electrocardiogram (ECG), which records the electrical currents that activate the heart muscle and cause it to pump.
- Nuclear Medicine
Clinically, the term "Personalized Medicine" refers to individually targeting methods involving genetic testing and analyzing of the patient's molecular biomarkers.
Clinical molecular diagnostics and biomarker discoveries in oncology are advancing rapidly as we begin to understand the complex mechanisms that transform a normal cell into a cancerous one. These discoveries have fueled the development of innovative drug targeting and new treatment strategies.
While Portneuf Cancer Center provides world class integrated patient care, personalized genetic diagnostics are only available in certain oncology-specific research facilities within the United States. If you'd like to learn more about personalized medicine and genetic testing, please contact the staff at The Portneuf Cancer Center for additional resources.
Positron Emission Tomography (PET)
PET is a powerful diagnostic tool that, in many cases, renders answers that other imaging tests may not provide. This non-invasive procedure helps physicians with their diagnosis and treatment of some types of cancer, heart disease, and diseases associated with the brain. Biochemical changes are detected by a PET scan after a compound that contains radioactive molecules, bound to a sugar-like substance, is injected into the body. These molecules provide the tracers that allow the measurement of metabolic activity within the body. A computer records this information, and converts it into pictures for diagnostic purposes.
PET scans are effective for a wide variety of applications. But when the results of PET scans are "fused" together with CT scans, the combined image provides complete information on cancer location and metabolism. PET detects metabolic signals in the body while CT provides a detailed picture of the internal anatomy, revealing the location, size, and shape of cellular activity.
- Personalized Medicine
- Radiation Oncology
At high doses, radiation has proven to shrink tumors and treat pain and other problems caused by the tumor by damaging the cancer cell's DNA. Radiation therapy (radiotherapy) refers to this treatment method. Radiation therapy can either damage DNA directly or create charged particles called free radicals within the cells that can in turn damage the DNA. Cancer cells whose DNA is damaged beyond repair stop dividing and die. When the damaged cells die, they are broken down and eliminated by the body’s natural processes. Radiotherapy is often given before, during, or after oncological surgery as a more complete regimen.
- Robotic Surgery
Stereotactic radiosurgery (SRS)
Stereotactic radiosurgery (SRS) is a form of radiation therapy that focuses high-power energy on a small area of the body.
Despite its name, radiosurgery is a treatment, not a surgical procedure. Incisions (cuts) are not made on your body.
- Stereotactic radiosurgery (SRS)
Tenex Health TX
Tenex is a minimally invasive procedure. The advanced technology was developed in collaboration with the world renowned Mayo Clinic and combines sophisticated ultrasound imaging to identify damaged tissue. Once the treatment area is located with ultrasound, a small MicroTip is inserted into a tiny incision, approximately 5mm.The MicroTip delivers ultrasonic energy that accurately and specifically removes the damaged tissue without disturbing the surrounding healthy tendon tissue.
- Tenex Health TX
Our ultrasound system’s powerful imaging capabilities support a variety of common exams, including vascular, abdominal, gynecological and pelvic. It also provides advanced diagnostic imaging capabilities, including the popular 4D "baby face" ultrasound. A flat panel wall-mounted monitor will allow patients to see their ultrasound exam in real-time. This new 4-D imaging technology allows patients to view the unborn child in 3-dimensional, clear, life-like images of the baby. The video image of the baby appears in real-time (the fourth dimension), showing a true image of the baby as it moves and develops in the womb.
For obstetrics patients to experience the excitement of the 4D "baby face", a complete diagnostic ultrasound exam is required. The "baby face" image is best when viewed between 26 and 30 weeks. PMC will provide a CD containing the ultrasound pictures, which the patient can then take home to view and print or take to any store with photo printing capabilities.
Images are available to physicians via PACS.