Lupus Awareness Week - Symptoms, What Causes It, Who Gets It
May 21, 2013
The symptoms associated with Lupus can often times mimic those of other diseases. You should consult with your doctor or a rheumatologist if you have multiple of the following symptoms.
Rash on cheeks and nose
Scaly rash on face, ears, and neck
Sensitivity to the sun or light
Sores in mouth and nose
Arthritis, painful, or swollen joints
Chest pain when deep breathing
Brain problems, such as seizures
Presence of autoantibodies in the blood
Presence of antinuclear antibodies
Swelling in feet, legs, hands, and/or eyes
Abnormal Blood Clotting
Raynaud’s phenomenon (fingers turning white/blue when cold)
Besides drug induced, the cause of lupus is unknown. No gene has been identified as causing lupus, but it does appear to run in families. If a family member is diagnosed with lupus, their immediate family members have a greater chance of also being diagnosed with lupus. There is also an increased risk of developing lupus if a family member has another type of an autoimmune disease.
Who Gets It
While both genders and all different races and ages can get lupus, there are trends. Females are more likely to get lupus than males and most symptoms appear between the ages of 18 and 45. People of African, Asian, Hispanic, Native American, Native Hawiian, and Pacific Island descents have a greater chance of developing lupus (www.lupus.com).
Lupus Awareness Week - What is Lupus and the Types of Lupus
May 20, 2013
Lupus is a non-contagious autoimmune disease that can affect the joints, skin, kidneys, blood, and other parts of the body. An autoimmune disease is when the body’s immune system starts to attack the body’s own healthy tissue, instead of defending the body. Lupus is a chronic disease which means it is long lasting, possibly lifelong. Lupus is also categorized as an inflammatory condition which refers to the act of swelling in the body.
The symptoms associated with Lupus can fluctuate. When symptoms are escalated, it is referred to as a flare. When symptoms are not present or minimal, it is referred to as remission. A person can go into remission for very long periods of time without the disease actually going away. Although the term remission is used with cancer, Lupus and cancer are not similar and not related in any way.
Normally, the term “lupus” is referring to systemic lupus erythematosus or SLE, which is one of the three types of lupus. Systemic lupus is when the disease affects several different body systems. Those systems can include the skin, joints, kidneys, nervous system, lungs, and/or heart. Systemic lupus is the most common type of lupus.
The second type, discoid or cutaneous lupus, is limited to the skin. This results in a chronic skin rash that can cause scaring, but does not affect other organs. It is possible to have both systemic lupus and discoid lupus.
The final type of lupus is drug induced lupus. This is the least common form of lupus and develops as a reaction to drugs taken for a different medical problem, usually blood pressure or hypertension. Normally, the lupus symptoms will go away in the months after stopping the medication.
Osteoporosis Awareness Week - Eating for Bone Health
May 16th, 2013
You are what you eat! The foods you eat affect not only your overall health, but your bone health. Your diet should be rich in Calcium, Vitamin D, and other nutrients.
Calcium Rich Foods
Dairy Products such as Non-Fat Milk, Yogurt, and Cheese
Canned Sardines and Salmon (with bones)
Collard greens, turnip greens, kale, okra, Chinese cabbage, dandelion greens, mustard greens, and broccoli.
Vitamin D Rich Foods
Fatty varieties of fish such as salmon, mackerel, tuna, and sardines
Spinach, beet greens, okra, tomato products, artichokes, plantains, potatoes, sweet potatoes, collard greens, and raisins
Tomato products, raisins, potatoes, spinach, sweet potatoes, papaya, organs, orange juice, bananas, plantains, and prunes
Red peppers, green peppers, oranges, grapefruits, broccoli, strawberries, brussel sprouts, papaya, and pineapple
Dark green leafy vegetables such as kale, collard greens, spinach, mustard greens, turnip greens, and brussel sprouts.
**Food lists from arthritis.org
Osteoporosis Awareness Week - Treatments
May 15, 2013
There are many similarities between the steps taken to prevent osteoporosis and the steps taken to treat it, but there are also medications used for treatment.
Bisphosphonates are the most common treatment for osteoporosis. They slow bone loss, restore bone density, and improve bone strength.
Selective Estrogen Receptor Modulators (SERM’s) are drugs that work like estrogen, but with fewer side effects. They are FDA approved for the prevention and treatment of post menopausal osteoporosis.
The FDA has also approved terparatide, a form of a normal hormone, for treatment of severe osteoporosis and fractures. It stimulates new bone formation, decreases the risk of spinal fractures, and improves density.
The FDA has also approved medications for the treatment or prevention of post menopausal and treatment of corticosteroid-induced osteoporosis. They can reverse bone loss and reduce the risk of fractures by about 50 percent.
Calcitonin is a naturally occurring hormone that decreases bone breakdown and is FDA approved for treatment, but not prevention.
Zoledronic is the newest osteoporosis medication to treat post-menopausal osteoporosis and is given as a yearly infusion into the vein.
Prolia (Denosumab), which stalls RANK, is another treatment option. RANK is the primary signal in the body for bone removal. By stalling RANK, the body’s natural defenses against bone destruction can increase, helping to treat osteoporosis.
Hormone replacement therapy used to be a traditional way to prevent osteoporosis, but recent studies show they increase the risk of breast cancer, strokes, and heart attacks, therefore it is no longer used.
Osteoporosis Awareness Week - Risk Factors and Prevention
May 14, 2013
Factors for Increased Risk of Osteoporosis Include:
- Family History of Osteoporosis
- Being Female
- Early Menopause
- Irregular Menstrual Periods
- Small Body Frames
- Easily Fractured Bones
- Diet is Lacking Calcium
- Having Celiac Disease
- Having More Than 2 Alcoholic Beverages a Day
- History of Anorexia
- Not Regularly Exercising
- Men with Low Levels of Testosterone
People with inflammatory forms of arthritis, such as RA or Lupus are also at an increased risk. Inflammatory arthritis results in the production of substances that cause bone loss in the body. Your risk is also increased if you take corticosteroids, anticonvulsants, or heparin. Corticosteroids are the most common cause of drug related osteoporosis.
If you can relate to one or more of these risk factors, your chance of getting osteoporosis is increased.
The goal of osteoporosis prevention is to build stronger bones and prevent bone loss.
a. Most adults need 1,200 to 1,500 mg of calcium per day.
b. An 8 oz glass of milk has about 300mg of calcium.
a. Getting 400 to 800 IU of Vitamin D daily is recommended.
b. Your body produces Vitamin D when exposed to sunlight for 15 min a day.
c. Other sources include: liver, fish oil, Vitamin D-fortified milk, multivitamins.
a. Smoking reduces the calcium absorption and puts women into early menopause, both increasing the risk of osteoporosis.
Avoid Heavy Alcohol Use
a. Alcohol causes the body to lose bone mass more quickly and increases the chances of falling.
b. You should not have more than two alcoholic beverages a day.
Exercise and Stay Active
a. Exercise helps increase mobility and balance, which reduces the chance of falling. Putting force on the bones through exercise also helps them maintain their mass. It is recommended to do some type of exercise five days a week for 30 minutes.
b. Always check with your doctor before starting an exercise program.
Osteoporosis Awareness Week - What is it and what are the symptoms?
May 13th, 2013
Today we start our Osteoporosis Awareness Week in honor of Osteoporosis Month.
Osteoporosis, not to be confused with osteoarthritis, is a disease that is caused by the weakening of bones. In fact, the word osteoporosis means “bone that is porous or filled with holes”. Osteoporosis is commonly associated with a hump in the upper back and loss of height. While osteoporosis itself is not painful, it increases the possibility of bone fractures, which can be extremely painful.
Bone is a living tissue that is broken down and built up with new stronger bone over and over throughout a lifetime. From birth to age 25, bones grow faster than they break down. This causes a peak in bone mass around 25-30 years old. Around age 40, bone mass begins to decline slowly as it breaks down faster than it is built up. After menopause, women lose bone mass faster because of the drop in estrogen levels. Women can lose up to one third of their bone mass the first 10 years after menopause.
For many, the first sign of osteoporosis is a broken bone, which is why it is considered a silent disease.
Some information collected from www.arthritis.org.
Arthritis Awareness Week - OSMS Rheumatology Department
May 10th, 2013
As our Arthritis Awareness Week comes to an end, we wanted to share the resources that OSMS has for our arthritis patients.
OSMS has a full service rheumatology department, with two rheumatologists, Dr. Davis and Dr. Utrie. Our department includes X-Ray machines, Bone Density scanners, a lab onsite for tests, and infusion therapy.
Look around on our website to learn more about our rheumatology department and physicians. You can make an appointment with our rheumatology department by calling 920.420.8113.
Next week we will be covering osteoporosis.
Arthritis Awareness Week - Common Myths
May 9th, 2013
MYTH: Arthritis is a single condition.
TRUTH: Arthritis is a term that encompasses many different illnesses, not one single condition.
MYTH: Arthritis is more of a nuisance than an illness.
TRUTH: Arthritis is an illness, like diabetes or heart disease. Many types of arthritis require treatment and medications just like any other illness would.
To see more Myths about Arthritis, take a look at the Arthritis Foundation’s page at http://www.arthritis.org/about-us/myths/.
Arthritis Awareness Week - Treatment & Management
May 8th, 2013
After an arthritis diagnosis, the next step is to create a treatment program. The goal for a treatment program is to decrease joint pain, improve mobility, and help with the completion of day to day activities. It is important for patients to work with their rheumatologist to help create the best plan for them.
Arthritis Management includes a variety of different treatments:
Physical Activity, Stretching, and Exercise – It is vital to keep your body moving while managing arthritis symptoms. Being active will help with joint stiffness, muscle strengthening, and the strengthening of other organs that can be affected by arthritis.
Weight Control – Getting to and staying at a recommended weight can significantly help by reducing the stress on your joints.
Assistive Devices – Assistive devices are an option for those patients who are not eligible for surgery, but their arthritis limits their physical activity. Devices can include shoe orthotics, supports, or braces.
Physical Therapy – Physical therapy is working on your movement. This is a good option for those that can’t complete daily activities due to their arthritis. Therapy will mainly focus on improving flexibility, strength, coordination, and balance.
Surgery – When joints are damaged severely due to arthritis, surgery may be an option.
Arthroscopy – This is a minimally invasive type of surgery where the surgeon will look inside the joint to examine the damage. They will also remove loose particles of damaged cartilage and repair other damages. This can reduce pain and improve function.
Arthoplasty – This is better known as a joint replacement. In a joint replacement, all or part of your joint is removed and replaced with synthetic parts.
Medication – While the previous options can help arthritis patients, many patients will use medications to help control pain. Your rheumatologist will help decide what medication is right for you.
Analgesics – Medications that relieve pain.
Non-Narcotic – These would be over the counter medications like acetaminophen. This is a good option to start with as they are low in cost and have very minimal side effects.
Narcotics – These would be pain medications that you would require a prescription to receive. They can provide stronger pain relief, but they can come with side effects such as dizziness and nausea. Also, over time dependencies may develop as your dose increases because your body builds up tolerance.
NSAIDS – Nonsteroidal anti-inflammatory drugs can help reduce joint pain, stiffness, and swelling. Examples would be aspirin and ibuprofen. These too can come with side effects such as stomach pain.
Injectable Steriods – A doctor can inject your joints to relieve pain and swelling. These types of injections can only be done so many times a year as they could lead to infection or cartilage damage.
Topical Pain Relievers – These types of pain relievers come in the form of gels, patches, rubs, or sprays and are applied on the outside of the skin over a painful joint.
Arthritis Awareness Week - Diagnosis
May 7th, 2013
Do you think there is a possibility you could have a type of arthritis? Did the symptoms in yesterday's post sound familiar to you? If yes, it is important to visit your primary care physician or a rheumatologist. Remember, arthritis is not just aches and pains, it is an illness and there are treatments.
Rheumatology is a sub-specialty of internal medicine that deals with problems in joints, soft tissues, and autoimmune disorders.
What is does the diagnosis process consist of?
Diagnosis of arthritc diseases will include a physical exam as well as an assessment of your medical history. The physician will also take test such as X-Rays to take a look at the condition of the inside of your joint and to rule out other causes of pain. The diagnosis process may also include joint aspiration. Joint aspiration is a procedure in which fluid is drained from the joint and examined.
Arthritis Awareness Week - Types & Symptoms
May 6, 2013
May is a big month for our Rheumatology Department as it is Arthritis, Osteoporosis, and Lupus Awareness month! Through the next three weeks we will be sharing information on these three diseases.
This week is dedicated to Arthritis Awareness!
Arthritis can be defined as a joint disorder that involves the inflammation of one or more joints. There are actually OVER 100 TYPES of arthritis, but two of the most common are Osteoarthritis and Rheumatoid Arthritis.
Osteoarthritis Arthritis – Osteoarthritis or OA is defined as when the cartilage within a joint is wore down due to years of use, injuries, and different body processes. Movement can become harder and more painful as the joint contines to break down. In time, it is possible for the two bones in a joint to rub against each other, causing severe pain.
OA can affect all of the major joints such as knees, hips, feet, hands, fingers, wrists, neck, and spinal cord. Often times, OA does not affect both sides of the body equally. For example, your right knee and right hip can be worse than your left knee and left hip.
Rheumatoid Arthritis – Rheumatoid Arthritis or RA differs from OA in that the joint pain caused by severe inflammation or swelling in the joints, is not caused by wear and tear but rather by the body’s immune system. Normally, inflammation occurs in our bodies when something is wrong. However, when a person has RA, their immune system works improperly and attacks the good tissues leading to chronic inflammation.
Common symptoms with RA are flare ups of pain or severe inflammation that can last for multiple weeks. This swelling can eventually start to break down the joints, damaging them permanently. RA can also affect internal organs such as the heart, liver, spleen, and eyes.
Youth Sports Safety Month - Running
April 26, 2013
For our last week of sharing injury prevention information, we chose running. Running injuries are prevalent this time of year as high school sports such as track are going on, but also because people are starting to hit the pavement and train for upcoming running events such as 5Ks, Half and Full Marathons. Take a look at the document below to learn more about running injuries and how to prevent them. The documents we are using can be found at www.stopsportsinjuries.org.
Youth Sports Safety Month - Golf
April 19, 2013
This week we are sharing injury prevention information for Golf, another common spring sport, for Youth Sports Safety Month. Golf is not usually thought of as a high risk sport for injury, but overuse and acute injuries are common. The documents we are using can be found at www.stopsportsinjuries.org.
Youth Sports Safety Month - Soccer
April 12, 2013
As we mentioned last week, to help spread awareness of Youth Sports Safety Month, every Friday we will be sharing information on injury prevention for a popular youth spring sport. This week's sport is soccer where injuries to the lower extremities are most common. Take a look at the document below to learn about soccer injuries and prevention. The documents we are using can be found at www.stopsportsinjuries.org.
Youth Sports Safety Month - Baseball
April 4, 2013
April is Youth Sports Safety Month; a month dedicated to raising awareness of the growing problem of youth sports injuries and promoting safety in youth sports activities. To do our part in spreading awareness, every Friday in April, we will be sharing information on common injuries and prevention in common spring sports. The documents we are using can be found on www.stopsportsinjuries.org .
This week we are sharing information on Baseball Injury Prevention. Youth baseball injuries are on the rise, especially in the elbow and shoulder. Learn more here:
Youth Baseball Injuries
Meet Paul Utrie, MD
April 2, 2013
Dr. Utrie is another hometown physician in the OSMS family, growing up in Green Bay in a medical family. His father was an obstetrician/gynecologist who practiced with the Beaumont Clinic in town for 34 years. Dr. Utrie graduated from Green Bay East High School and went on to the University of Wisconsin Madison for his undergraduate degree. He then graduated from the University of Wisconsin School of Medicine and completed his internal medicine residency at the University of Iowa. This is where he met his professional mentor who inspired him to become a rheumatologist and he completed his rheumatology fellowship at the University of Iowa as well.
Rheumatology is a natural fit for Dr. Utrie as he says he enjoys the problem solving that is required by rheumatologists to resolve what are commonly complex medical issues, as well as the long-term relationships that result from this process. Rheumatology allows him to assist individuals through very significant challenges in their life.
Dr. Utrie remains active in the American College of Rheumatology where he presents, with his former mentor, an educational course at their annual meetings.
When asked why he chose to join OSMS, Dr. Utrie says that the OSMS facility and staff provided him the opportunity to deliver care to patients and make their best interests a priority, which is very important to him. “All of our decisions are made internally rather than by a broad outside medical system. I knew I was joining a group of physicians who had excellent reputations and delivered excellent care as well,” says Utrie of OSMS.
When he is not working, Dr. Utrie and his wife Robin keep busy caring for their four sons who are very active in school, sports, and other activities. Dr. Utrie did play soccer and football through high school, but now says he enjoys being only a fan of the sports, watching the Green Bay Packers and more enjoyable, his sons. He also enjoys taking the family downhill skiing, something he has done since he was 4 years old. “Nothing like trapping your children on a chairlift to engage them in conversation,” said Utrie of their family time.
He is also very active in his church where he spends a significant amount of his time volunteering. One of his favorite activities when he has free time is cooking, for which he gives credit to his mother. She cooked for him and his siblings growing up and it is now passion he shares. He says at home this hobby makes him very popular, or very unpopular, depending on his children’s tastes. When not cooking, he does enjoy going to some of his favorite restaurants in the area, including Cy’s Bistro and Carmella’s Italian Bistro.
Dr. Utrie is a strong advocate for the benefits of exercise and nutrition and as a result exercises on a regular basis and promotes a healthy diet with himself and his family. He thinks both exercise and nutrition are under-utilized “natural therapies” for most medical conditions.
And finally, what are his favorite movies? He says Mary Poppins is his lifetime favorite because of its pure and genuine talent that you don’t find in most movies today. His two favorite comedies are The Princess Bride and Young Frankenstein as they hail back to a time when humor was genuine and clean.
“I come to work each day prepared to provide care on a personal level and in a way that I see best suits my patients, but at the same time being open to their individual needs. Not all of the problems we encounter have simple answers, but my goal is to work in a thorough and ethical manner to find answers and problem solve to the best of my ability.” – Paul Utrie, MD
To make an appointment with Dr. Utrie, please call 920-430-8113.
Meet Steven Schechinger, MD
March 4, 2012
Dr. Schechinger may not have been born and raised in Wisconsin, but he was born and raised in the Midwest in Harlan, Iowa. Dr. Schechinger grew up the oldest of 4 children. His father was a welder in a local factory and his mother stayed home with him and his siblings. While in high school, Dr. Schechinger worked part-time with his father and part-time as an aid at a local hospital. It was there that he first became interested in the healthcare field.
After high school he attended Creighton University in Omaha, Nebraska for both undergraduate and medical school. During medical school Dr. Schechinger spent a summer volunteering at a small village hospital in India. Near the end of his stay he sustained an injury and dislocated his wrist. Upon returning to the states, he saw an orthopedic surgeon and underwent surgical repair of his injury. It was this experience that pointed him toward orthopedic surgery as his specialty of choice.
Dr. Schechinger went on to complete his orthopedic residency at the University of Minnesota in Minneapolis, where he met his wife Jackie, a Green Bay native. He and Jackie would eventually move back to her home town of Green Bay after completing his Sports Medicine Fellowship in Lake Tahoe, California. “We wanted to move back to the Green Bay area to be closer to her family, as well as the fact that we both love the area and the community of Green Bay,” said Schechinger of their move back.
After he and Jackie moved back to Green Bay, he joined OSMS in 2009. He was excited to join the OSMS family and, as he words it, “It gave me the opportunity to work in an independent practice that is well respected in the Green Bay area and is known for having skilled surgeons who focus on excellent care for their patients.” What is his favorite part of the job now? Getting to know patients and their families and working with them to correct their orthopedic injuries and improve their quality of life and overall function.
Dr. Schechinger has a strong interest in caring for athletes and also enjoys running, skiing, and biking himself. Staying true to his Midwest upbringing he is an avid hunter and fisherman. When he is not at work he enjoys spending time with his young family. He and Jackie have two sons, Will who is 2 ½ and Reid who is 15 months old. To quote his 2 year old, “Daddy goes to work to fix kids bones, and dogs eat bones, and kids eat lunch.”
He also enjoys jumping into ice cold water to raise money for local charities – see Polar Plunge article.
“My goal as an orthopedic surgeon is to provide my patients with the most up to date and quality orthopedic care possible. I focus on listening to my patient’s needs, then working together with them and their families to achieve a common goal, improving their function, pain, and quality of life.” – Dr. Steven Schechinger
To make an appointment with Dr. Schechinger, please call 920.430.8113.
What Does 'Full Service' Mean?
February 27, 2013
At OSMS we refer to ourselves as a ‘Full Service’ orthopedic and rheumatology clinic, so what exactly does that mean?
As we briefly mentioned in The Story of OSMS post, when designing our new location, we wanted to be a full service clinic. Therefore, we decided to put a surgery center right in the building. However, the surgery center is only part of the full service offerings. Full service refers to the idea of taking care of your medical needs in one location, under one roof, from the moment you walk in the door with a health concern, to the moment you leave with the concern addressed.
On the orthopedic and sports medicine side, our Lime Kiln location offers the full range of services. You can consult with our physicians, receive X-Rays, get an MRI, and receive the medical services for your diagnosis right here in the building. Everything from injections for arthritis, to casting for broken bones, to outpatient surgery are done in the building with one cohesive team that ensures your experience is the best possible. The only orthopedic service that is not done in the building is inpatient surgery such as joint replacements. These will be done a nearby hospital, but rest assured, the same physician you worked with at OSMS, will be the one doing surgery at the hospital.
Our building also has physical therapy services on the second floor staffed with experienced Bellin therapists. This guarantees that your therapist can easily and efficiently communicate with your physician on your therapy needs. However, if it better suits your needs, you can have therapy at a location closer to home. Our relationship with all of the Bellin therapy locations ensures the communication of your needs.
On the rheumatology side, our Lime Kiln location also offers a full range of services. You can visit your doctor, receive bone density screens, and receive infusion treatments under the same roof. Our rheumatology department has a 10 chair infusion department only steps from where you visit your physician. We also have lab services and lab technicians in house to better serve our rheumatology patients as well as our orthopedic patients.
OSMS knows that medical concerns and medical offices can be stressful and at times scary for many people, which is why we value knowing that our patients are receiving the best care possible from one team from the moment they walk in our doors, to the moment they walk out.
Experience the difference.
Heart Healthy Fish Fry
February 26, 2013
Being that Fish Fry season is upon us, we decided to make our final Heart Healthy Recipe Oven Fried Fish and Chips! This is the final recipe in honor of American Heart Month from the American Heart Association Recipe Book!
Fish and Chipss are traditionally sold wrapped in paper to soak up all the grease - not a good sign. To cut the calories in half and reduce the fat, we coat teh delicate fish in a crispy cornflake crust and then bake it along with sliced potatoes. Serve with: Coleslaw and malt vinegar or lemon wedges.
Canola or olive oil cooking spray
1 1/2 lbs russet potatoes, scrubbed and cut into 1/4-in-thick wedges
4 teaspoons canola oil
1 1/2 teaspoons Cajun or Creole seasoning, divided
2 cups cornflakes
1/4 cup all-purpose flour
1/4 teaspoon salt
2 large egg whites, beaten
1 pound cod (see Cooking Tips) or haddock, cut into 4 portions
Position racks in upper and lower third of oven; preheat to 425°F. Coat a large baking sheet with cooking spray. Set a wire rack on another large baking sheet; coat with cooking spray.
Place potatoes in a colander. Thoroughly rinse with cold water, then pat dry completely with paper towels. Toss the potatoes, oil and 3/4 teaspoon Cajun (or Creole) seasoning in a large bowl. Spread on the baking sheet without the rack. Bake on the lower oven rack, turning every 10 minutes, until tender and golden, 30 to 35 minutes.
Meanwhile, coarsely grind cornflakes in a food processor or blender or crush in a sealable plastic bag. Transfer to a shallow dish. Place flour, the remaining 3/4 teaspoon Cajun (or Creole) seasoning and salt in another shallow dish and egg whites in a third shallow dish. Dredge fish in the flour mixture, dip it in egg white and then coat all sides with the ground cornflakes. Place on the prepared wire rack. Coat both sides of the breaded fish with cooking spray.
Bake the fish on the upper oven rack until opaque in the center and the breading is golden brown and crisp, about 20 minutes.
Chicken & White Bean Soup
February 19, 2013
What is better than a bowl of warm soup on a snowy and cold day? Our third heart healthy recipe in honor of American Heart Month is Chicken & White Bean Soup from the American Heart Association Recipe Book!
2 tsp extra-virgin olive oil
2 leeks, white and light green parts only, cut into 1/4 inch rounds
1 tbsp chopped fresh sage or 1/4 tsp dried
2 14 oz cans reduced-sodium chicken broth
2 cups water
1 15 oz can cannellini beans, rinsed
1 2 lb roasted chicken, skin discarded, meat removed from bones and shredded (4 cups)
Heat oil in a Dutch oven over medium-high heat. Add leeks and cook, stirring often, until soft, about 3 minutes. Stir in sage and continue cooking until aromatic, about 30 seconds. Stir in broth and water, increase heat to high, cover and bring to a boil. Add beans and chicken and cook, uncovered, stirring occasionally, until heated through, about 3 minutes. Serve hot.
Make Ahead: Cover and refrigerate for up to 2 days.
Devil's Food Cupcakes
February 12, 2013
For our second heart healthy recipe in honor of American Heart Month, we are sharing a Valentine's Day appropriate treat, Devil's Food Cupcakes with Almond-Mocha Topping on Raspberry Sauce from the American Heart Association Recipe Book!
1 18.25 ounce box devil's food cake mix
1 2.5 ounce jar baby food pureed prunes
1 cup strong coffee, or 1 cup water plus 2 tsps instant coffee
3 large egg whites
2 Tbsp canola oil
2 12 ounce packages frozen unsweetened raspberries, thawed
1/2 cup sugar
1 1/2 Tbsp cornstarch
1 tsp vanilla extract
2 tsps instant coffee granules
2 tsps water
8 ounces frozen fat-free whipped topping, thawed
2/3 c sliced almonds, dry roasted
Preheat the oven to 325°F, or as directed on the package. Lightly spray two 12-cup muffin pans with cooking spray.
In a large mixing bowl, combine the cupcake ingredients. Follow the package directions for beating the batter and baking and cooling the cupcakes.
Meanwhile, in a medium saucepan, stir together the raspberries, sugar, and cornstarch until the cornstarch is dissolved. Bring to a boil over medium-high heat. Boil for 1 to 1 1/2 minutes, or until thickened, stirring frequently. Remove from the heat. Let cool completely, about 20 minutes. Stir in the vanilla.
In a medium bowl, stir together the coffee granules and water until the coffee is dissolved. Fold in the whipped topping until well blended. Cover and refrigerate until needed.
For each serving, spread 1 tablespoon plus 2 teaspoons raspberry sauce on a dessert plate, top with a cupcake, spoon 1 tablespoon plus 2 teaspoons whipped topping mixture over the cupcake, and sprinkle with about 1 1/2 teaspoons almonds.
The Story of OSMS
February 7, 2013
Let’s start with the history. Over 50 years ago, two orthopedic clinics started in Green Bay, WI. One was Orthopaedic Associates of Green Bay and the other Green Bay Orthopedics. Both practices were comprised of skilled orthopedic surgeons and for decades, the two practices worked in the same city as separate businesses. In 2004, Green Bay Orthopedics added rheumatology to their practice to better service the musculoskeletal system. Many years of tradition, skills, and techniques were passed down through the generations of doctors at each practice.
In time, Green Bay Orthopedics and Orthopedic Associates decided to join together as one, elite practice, serving Northeast Wisconsin and Orthopedic and Sports Medicine Specialists of Green Bay (OSMS) came to be in 2008. They still practiced in separate offices; therefore the next reasonable step was to move into the same location. As they planned for this new building, they decided that OSMS should be a full service orthopedic clinic and have the capability of accommodating MRI, physical therapy, and outpatient surgery. Bellin was approached with the opportunity and the Bellin Orthopedic Surgery Center (BOSC) was born. In May 2010, OSMS and BOSC moved into their new building at 2223 Lime Kiln Rd. OSMS surgeons now had the ability to perform outpatient surgeries in the new building and continued to perform inpatient surgeries at Bellin Hospital and other area hospitals. The new building also allowed for a full service rheumatology clinic including infusion chairs, bone density, and lab services to better serve their patients.
OSMS currently has 12 physicians. This includes 10 orthopedic surgeons: Dr. Marc Anderson, Dr. William Enright, Dr. James Grace, Dr. Jason Klein, Dr. Daniel Linehan, Dr. Patrick McKenzie, Dr. Steve Schechinger, Dr. James Spears, Dr. Thomas Sullivan, and Dr. Michael Tressler. This also includes two rheumatologists, Dr. Mark Davis and Dr. Paul Utrie.
Although all the physicians now work together as one team, they have kept the teachings and traditions of their past a strong part of how they practice medicine today and as a result continue the 50+ year tradition of excellence in medical care. You will always receive the best care possible at OSMS.
Lemon & Dill Chicken
February 5, 2013
In honor of American Heart Month, OSMS is sharing weekly Heart Healthy Recipes from the American Heart Association Recipe Book!
This Week’s Pick: Lemon & Dill Chicken
Description: Fresh lemon and dill create a quick Greek-inspired pan sauce for simple sautéed chicken breasts. Make it a meal: Serve with roasted broccoli and whole-wheat orzo.
4 boneless, skinless chicken breasts (1 – 1 ¼ pounds)
Salt & Freshly Ground Pepper to Taste
3 Tsps Extra Virgin Olive Oil or Canola Oil, divided
¼ Cup Finely Chopped Onion
3 Cloves Garlic, Minced
1 Cup Reduced-Sodium Chicken Broth
2 Tsps Flour
2 Tbsp Chopped Fresh Dill, Divided
1 Tbsp Lemon Juice
Season chicken breasts on both sides with salt and pepper. Heat 1 ½ teaspoons oil in a large heavy skillet over medium-high heat. Add the chicken and sear until well browned on both sides, about 3 minutes per side. Transfer chicken to a plate and tent with foil.
Reduce heat to medium. Add the remaining 1 ½ teaspoons oil to the pan. Add onion and garlic and cook, stirring for 1 minute. Whisk broth, flour, 1 tablespoon dill, and lemon juice in a measuring cup and add to pan. Cook, whisking until slightly thickened, about 3 minutes.
Return the chicken and any accumulated juices to the pan; reduce heat to low and simmer until the chicken is cooked through, about 4 minutes. Transfer the chicken to a warmed platter. Season sauce with salt and pepper and spoon over the chicken. Garnish with the remaining 1 tablespoon chopped fresh dill. Enjoy!
Meet William Enright, MD
February 1, 2013
We want to make sure you know the entire OSMS family, even if they are not your current physician, so every month we will be featuring a different doctor.
The first doctor featured in the Meet Our Doctors column is Dr. William Enright. Dr. Enright was born and raised in Green Bay and graduated from De Pere High School. After graduation, Dr. Enright attended the University of Wisconsin Madison as part of the Medical Scholars program. Here he completed medical school and also his orthopedic surgery residency at the University of Wisconsin Hospital and Clinic.
When asked why he chose to enter the orthopedics field, Dr. Enright’s story includes his colleagues. “When I was growing up I worked the usual jobs: mowing lawns, babysitting. One of the people I worked for was Dr. Marc Anderson. I started asking him questions about what he did. He took the time to explain what an orthopedic surgeon does, and it sounded great. When I was in high school, he invited me to the hospital to see it first-hand. I was able to observe Dr. Anderson and Dr. McKenzie performing joint replacements and shoulder arthroscopy. I loved the operating room.”
After Dr. Enright decided on pursuing his dream of a medical career, he kept in contact with Dr. Anderson who gave him sound advice, “He told me to go into medical school with an open mind in regards to my choice of specialty.” But after Dr. Enright’s year of clinical rotations in medical school, it was clear orthopedics remained his top choice.
As Dr. Enright got close to finishing his training, he began looking for a job. Throughout residency he always used the Green Bay practice as a benchmark by which he evaluated other Midwest orthopedic groups. The timing worked out in his favor and he was able to join the same practice that started his interest in orthopedics. He joined Orthopedic Associates and soon after they joined with Green Bay Orthopedics to form Orthopedic & Sports Medicine Specialists of Green Bay (OSMS). “Now we are a larger group, 10 orthopedic surgeons and 2 rheumatologists, and we still provide our patients with a very personal experience,” says Dr. Enright of OSMS.
“It is satisfying to see the positive influence you can have on an individual's quality of life. Many patients with musculoskeletal problems are in pain, others can no longer play the sports they love because of injury. As orthopedic surgeons we work with the patient to solve those problems. That is extremely satisfying,” finished Dr. Enright.
“We love what we do. Orthopedic surgery and rheumatology are fields that allow us to make an almost immediate difference in our patients' quality of life. When a patient returns to the office after having surgery and reports on their progress, that is success we share.” – Dr. William Enright
To make an appointment with Dr. Enright, please call our office.