Miniaturized Heart Device Provides Patients with the Most Advanced Pacing Technology Available

INTEGRIS Heart Hospital is one of the first hospitals in Oklahoma to offer the world’s smallest pacemaker for patients with bradycardia. The Micra® Transcatheter Pacing System (TPS) is a new type of heart device, approved for Medicare reimbursement, that provides patients with the most advanced pacing technology at one-tenth the size of a traditional pacemaker.
The first procedure at INTEGRIS Baptist Medical Center was performed by Terrance Khastgir, M.D., a cardiac electrophysiologist with INTEGRIS Heart Hospital, on Aug. 7, 2018.
Bradycardia is a condition characterized by a slow or irregular heart rhythm, usually fewer than 60 beats per minute. At this rate, the heart is unable to pump enough oxygen-rich blood to the body during normal activity or exercise, causing dizziness, fatigue, shortness of breath or fainting spells. Pacemakers are the most common way to treat bradycardia to help restore the heart’s normal rhythm and relieve symptoms by sending electrical impulses to the heart to increase the heart rate.
Comparable in size to a large vitamin, physicians at INTEGRIS Heart Hospital have elected to use Medtronic’s Micra TPS because unlike traditional pacemakers, the device does not require cardiac wires (leads) or a surgical “pocket” under the skin to deliver a pacing therapy. Instead, the device is small enough to be delivered through a catheter and implanted directly into the heart with small tines, providing a safe alternative to conventional pacemakers without the complications associated with leads – all while being cosmetically invisible. The Micra TPS is also designed to automatically adjust pacing therapy based on a patient’s activity levels.
“This device will allow our patients to get the most advanced technology in pacing the heart for slow heart rate,” stated Khastgir.
The Micra TPS also incorporates a retrieval feature to enable retrieval of the device when possible; however, the device is designed to be left in the body. For patients who need more than one heart device, the miniaturized Micra TPS was designed with a unique feature that enables it to be permanently turned off so it can remain in the body and a new device can be implanted without risk of electrical interaction.
The Micra TPS is the first and only transcatheter pacing system to be approved for both 1.5 and 3 Tesla (T) full-body magnetic resonance imaging (MRI) scans and is designed to allow patients to be followed by their physicians and send data remotely via the Medtronic CareLink® Network.
The Micra TPS was approved by the U.S. Food and Drug Administration in April 2016, and has been granted Medicare reimbursement, allowing broad patient access to the novel pacing technology.

by Vickie Jenkins, Staff Writer

Welcome to Healthy Living and Fitness, (Healthy Living OKC) where their vision is to provide state-of-the-art health and wellness services, empowering adults to become avid health consumers responsible for their well-being and fulfillment of their personal goals.
I spoke with Claire Dowers-Nichols, Executive Director. Claire spent her career developing programs to better service older Oklahomans. Most recently, she spent seven years at the University Of Oklahoma Department Of Geriatrics Medicine; she co-founded the Community Relations Director for the Oklahoman Department of Human Services, Aging Services. Claire serves in a variety of leadership and advisory roles for state and national organizations and is devoted to making her community an ideal place for active adults.
“We are the first Healthy Living and Fitness Center in Oklahoma City as far as being a MAPS 3 project. We have been here at this location for about 18 months,” Claire said. “The next location to build one will be in south Oklahoma City. OK. We actually have about 5,275 members now and about 630 of them visit our center every day. The growth in numbers of people has grown so fast. It is amazing! It was an answered need for seniors to have a place like this. We couldn’t be more thrilled!”
I was curious to know why Claire left her job to come work here. She replied with a positive answer. “This is definitely where I want to be. Love it! I have always been interested in the aging process. Now, it seems like aging is such an important part of life. One goal is to make aging sexy! Everyone wants to stay healthy with their diet and exercise. This is just a way of helping things along. Aging is such a wonderful process; it’s a form of self-expression now. Why, we have a member that is 100 years old and she is in better shape than me,” Claire said with a laugh.
The mission at Healthy Fitness and Living is to provide a facility and programming that will improve the physical and emotional wellness of northwest Oklahoma City adults with programs that help adults connect and provide a community through social wellness activities and initiatives, to provide access to professional and recreational physical fitness activities, to provide education and support on current adult related issues, to offer wellness coaching and social programming that will nurture emotional health and to reverse current poor health statistics.
“Let me tell you a little more about Healthy Living and Fitness,” Claire said. “Members are accepted if they are 50 years and older. We offer a variety of classes; the latest and greatest exercise equipment, fitness classes, water aerobics, guitar lessons, ukulele lessons, line dancing, arts and crafts, jewelry making, ballet, belly dancing, Tai Chi, yoga, Zumba, creative writing, drama class…we have just about anything you would want! We also have pool tables, and large rooms that can be rented out for special occasions. There’s even a group that meets each week with someone explaining how to keep up with your grandchildren by learning to use an iPhone. There are 9 different fitness instructors that rotate their schedules. The hours for Healthy Fitness and Living, Inc. are Monday through Thursday 5:30 a.m.-8:00 p.m., Friday, 5:30 a.m.-7:00 p.m. and Saturday 7:30a.m.-4:00 p.m. We are closed on Sundays. Membership cost is $30.00 a month single, $50.00 a month for couples. No annual contract. Payment can be made month to month. Most of our members really like that part,” Claire said.
What is your favorite part of your job? I ask Claire. “I really enjoy the art programs that we have here. When I see the members doing their art work, it is very special. It’s also very therapeutic too. It doesn’t matter if you are with a group of old friends, or a group of new friends, it is good for all; it’s just another way of socializing.”
Claire does a little bit of everything at work. One of her challenges is keeping up with the growing number of members. “It’s a good challenge though, definitely not a problem,” she said with a smile. We try to have at least 4 special events throughout the year.” (Car shows, special events). “Our members come here for several different reasons. Diet and exercise, socializing with others, to lose weight and learn how to eat the right way, to relieve stress, and just to have FUN,” Claire comments.
Who knows…maybe it’s time for ME to take those guitar lessons.

The Great 100 Nurses Foundation has recently chosen their top 100 registered nurses from Oklahoma and OU Medicine dominated with 32 honorees, the most from any Oklahoma health care organization.
The foundation honors thousands of nurses across several states. These exemplary nurses are selected based on their concern for humanity, their contributions to their profession and their mentoring of others. Peers submitted nominations earlier this summer.
“OU Medicine is proud of all of our nurses and congratulates our 32 honorees for this well-deserved recognition,” said Cathy Pierce, Chief Nurse Executive at OU Medicine. “We strive to create a nursing culture where our nurses can learn and thrive while making significant contributions to the field of nursing that improves outcomes for our patients. They truly deserve this honor.”
The 100 chosen nurses across the state will be honored in an invite-only celebration Sept. 10 at the Hard Rock Hotel & Casino in Catoosa, featuring keynote speaker Tracey Moffatt. Out of all of the honorees statewide, OU Medicine has the most award recipients.
ABOUT GREAT 100 NURSES FOUNDATION
The Great 100 Nurses Foundation was founded by PK Scheerle, RN in New Orleans, Louisiana thirty-two years ago. Since its founding, the Great 100 Celebrations have honored thousands of Nurses across Louisiana, North Carolina, Texas, Oklahoma and now Arkansas! These exemplary Nurses are selected based on their concern for humanity, their contributions to the profession of Nursing, and their mentoring of others. It is a great honor in the life of the Nurse to be selected as a Great 100 Honoree and our Foundation helps each RN recognize themselves as Nurse Heroes.
We are very proud of our program. Each year, community, health care, government leaders, family, friends and peers join together to honor these Great 100 Nurses. The funds raised through the celebration are used not only to honor the nurses involved with the celebration, but to also support nursing advocacy, nursing scholarships, and nursing research for the betterment of lives, publication of nursing discoveries and the implementation of those discoveries.

What are you looking forward to this Fall? Integris Canadian Valley Hospital volunteers

I’m looking forward to being alive, being happy, successful and volunteering at this hospital.

Eugene Johnson

What I like about fall is football. We have five sons so we are a sports family.

Nancy McKinney

Being warm and helping people. If I’m warm I want them to be warm so I donate a lot of coats.

Zola Johnson

Not mowing my grass and it not being as hot. But I’m not looking forward to winter.

Nam Huynh

Dear Savvy Senior, A good friend of mine got a bad case of shingles last year and has been urging me to get vaccinated. Should I? Suspicious Susan

Dear Susan,
Yes! If you’re 50 or older, there’s a new shingles vaccine on the market that’s far superior to the older vaccine, so now is a great time to get inoculated. Here’s what you should know.
Shingles, also known as herpes zoster, is a burning, blistering, often excruciating skin rash that affects around 1 million Americans each year. The same virus that causes chickenpox causes shingles. What happens is the chickenpox virus that most people get as kids never leaves the body. It hides in the nerve cells near the spinal cord and, for some people, emerges later in the form of shingles.
In the U.S., almost one out of every three people will develop shingles during their lifetime. While anyone who’s had chickenpox can get shingles, it most commonly occurs in people over age 50, along with people who have weakened immune systems. But you can’t catch shingles from someone else.
Early signs of the disease include pain, itching or tingling before a blistering rash appears several days later, and can last up to four weeks. The rash typically occurs on one side of the body, often as a band of blisters that extends from the middle of your back around to the breastbone. It can also appear above an eye or on the side of the face or neck.
In addition to the rash, about 20 to 25 percent of those who get shingles go on to develop severe nerve pain (postherpetic neuralgia, or PHN) that can last for months or even years. And in rare cases, shingles can also cause strokes, encephalitis, spinal cord damage and vision loss.
New Shingles Vaccine
The Food and Drug Administration recently approved a new vaccine for shingles called Shingrix (see Shingrix.com), which provides much better protection than the older vaccine, Zostavax.
Manufactured by GlaxoSmithKline, Shingrix is 97 percent effective in preventing shingles in people 50 to 69 years old, and 91 percent effective in those 70 and older.
By comparison, Zostavax is 70 percent effective in your 50s; 64 percent effective in your 60s; 41 percent effective in your 70s; and 18 percent effective in your 80s.
Shingrix is also better that Zostavax in preventing nerve pain that continues after a shingles rash has cleared – about 90 percent effective versus 65 percent effective.
Because of this enhanced protection, the Center for Disease Control and Prevention recommends that everyone age 50 and older, receive the Shingrix vaccine, which is given in two doses, two to six months apart.
Even if you’ve already had shingles, you still need these vaccinations because reoccurring cases are possible. The CDC also recommends that anyone previously vaccinated with Zostavax be revaccinated with Shingrix.
You should also know that Shingrix can cause some adverse side effects for some people, including muscle pain, fatigue, headache, fever and upset stomach.
Shingrix – which costs around $280 for both doses – is (or will soon be) covered by insurance including Medicare Part D prescription drug plans, but be aware that the shingles vaccines are not always well covered. So before getting vaccinated, call your plan to find out if it’s covered, and if so, which pharmacies and doctors in your area you should use to insure the best coverage.
Or, if you don’t have health insurance or you’re experiencing medical or financial hardship, you might qualify for GlaxoSmithKline’s Patient Assistance Program, which provides free vaccinations to those who are eligible. For details, go to GSKforyou.com.

Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.

Lewis Perkins, RN, BSN, MSN, DNP is named Chief Nursing Officer for INTEGRIS Baptist Medical Center and it’s affiliated entities.
Lewis is currently the System Vice President of Nursing at Norton Healthcare in Louisville, Kentucky where he has worked since 2011.
Lewis has an incredible career in nursing leadership with significant MAGNET experience, he serves on the APRN Practice Committee for the Kentucky Board of Nursing and brings a wealth of nursing leadership experiences and innovative ideas to the table.
Lewis will begin his duties at INTEGRIS on Oct. 1. He and his wife (also a nurse) have a son in college and a son in high school who will be re-locating to Oklahoma City at the end of the school year.

Announcing the publication of ‘Fear, Religion, Politics; Well I’ll Be Darn’ by Dr. John E. Karlin, former professor of Sociology at Northwestern Oklahoma State University, Oklahoma City University and Phillips University, Enid, OK. Dr. Karlin spent over a year in research and writing this excellent work which is currently listed on amazon.com.
This book is non-fiction and written with three parts.
Part One: Entitled ‘The problem that won’t go away’, examines the relationship between the fear of death and religion. The problem that won’t go away is our own mortality and the consequences of our consciousness of it.
Part Two: Entitled ‘The dream’ examines the goal/objective that Jesus Christ’s life, words and actions indicate that he was trying to achieve during his own lifetime.
Part Three: Entitled ‘A dream gone awry’ examines the relationship between religion and politics today. That relationship has and continues to destroy any chance of that dream coming true.
All three themes are intertwined and explain the political atmosphere today.
For more details call: Dr. John Karlin at 405-598-6590.

Bobby Anderson
Staff Writer

A piece of national history right here in Oklahoma City will soon be repurposed as the 23rd Street Armory is brought to life once again.
The home to Oklahoma’s National Guard for decades, the building will soon be revitalized by new owners COOP Ale Works.
The Oklahoma Office of Management and Enterprise Services (OMES) recently accepted the company’s proposal to acquire and redevelop the armory, which includes restoring the building and creating a unique experience.
“Oklahoma City is our home and we always wanted to return to the core of the city. In planning for a final home for the brewery, we wanted to find a place that is meaningful to our town and state, and gives us an opportunity to create an incredible experience,” said Daniel Mercer, co-founder of COOP Ale Works. “The Armory, with its unique history, structure and space, is the perfect fit and we believe it will become a venue that attracts visitors from across the state, country and world.”
Under COOP’s proposal, the 87,000-plus-square-foot building will be purchased from the state for $600,000 and returned to its former glory with updates to the interior functionality. The exterior will be maintained to honor its unique history with modern refreshes, including updated windows, while the inside will be transformed into a bustling brewery production floor, full-service restaurant, 22-room boutique hotel, multiple event spaces, offices and meeting rooms.
In total, COOP plans to dedicate $20 million to the overall project.
A 60-barrel, state-of-the-art brewhouse on the first floor will be the heart of the operation. Fermentation, conditioning, packaging and other production equipment will occupy the remainder of the 22,000-square-foot drill hall floor. More than 30,000 square feet of perimeter space surrounding the production floor will house brewery storage, offices, barrel aging, cold storage, shipping, receiving and more.
On the second floor, the east wing will become an 8,000-square-foot restaurant and taproom, with indoor and patio seating for more than 160 patrons. The full-service restaurant will serve a diverse collection of food and beverages. On the third floor of the east wing, dedicated event spaces will be available for community and private events.
Sean Mossman is the director of sales and marketing for COOP Aleworks. The need for expansion for COOP started two years ago, just two years after moving into a second venue.
“We began to start looking for places that could house a much bigger operation for us,” Mossman said. “Among the things we really wanted along with space was to create a brewery Oklahoma City could be proud of. To accomplish that we needed to move back into the urban core which is in the process of being revitalized.”
“When we saw the Armory and it became available it was a real no-brainer. It checked every box.”
COOP Ale Works is a craft brewery based in Oklahoma City, dedicated to brewing full-flavored beers. Since 2009, COOP has created a core lineup of six year-round canned beers in addition to four seasonal canned beers.
A 22-room boutique hotel will tie the experience together. Hotel rooms will occupy the second and third floors of the west wing of the building with a refined lobby located on the west side of first floor to welcome guests.
The proposal also includes five acres surrounding the armory building as well as leases for two adjacent properties. The additional properties will provide substantial parking, opportunities for retail and downtown living, and green space.
A new building would have been easier but Mossman said COOP wanted to strengthen ties in OKC.
“We focused early on for something on the Register of Historic Places or just meant something to the community through time,” Mossman said.
The 23rd Street Armory, constructed in 1938, was designed by architect and Oklahoma Army National Guard Major Bryan Nolen and was built as part of the Depression-era Works Progress Administration. At the time of its original construction, it was promoted as the only armory in Oklahoma funded entirely by state funds generated from oil wells located on the Oklahoma State Capitol grounds. The three-story building served as the state’s hub for the Oklahoma National Guard and the storied 45th Infantry Division.
“Our commitment to preserving the building is really important from our perspective as is doing honor to the 45th Infantry,” Mossman said. “We’ve gotten testimony from dozens of people who have went through that building and it means so much to them and they’re excited somebody is doing something with it that’s meaningful and it’s not being knocked down and forgotten.”
Mossman said COOP will invest $20 million into renovations with projected annual economic activity of $26 million to OKC.

“I don’t know what you’ve been told, something new has taken hold. Love the Lord your God like this: Heart and mind and soul and strength.”
The Christian’s marching orders continue:
“I don’t know what you’ve been told, I’ll lead you back to something old. Love the Lord Your God like this: Heart and mind and soul and strength.”
While I’m marching in place, awaiting instructions, God checks my form. He’s both drill sergeant and assayer, the Great Physician. The practice of old-fashioned religion which began with Adam and Abel tests where I’m at and trains me to get where I’m headed, the “way that time has proven true.” (Psalm 139:24, CEV)
God works in multiple specialties—cardiology, neurology, psychiatry, orthopedics—to bring me to full health.
The Holy Spirit probes my heart in ways a heart cath can’t. He looks for blockages, unconfessed sins, in my spirit. He checks my nerve endings to see if my senses are ready to accept and pass on life.
God highlights those blockages. Sometimes He allows pain until I confess my wrong ways. As soon I do, He operates, allowing fresh blood to flow again.
The same as my physical heart, I need to pursue those things that will keep my new heart healthy. That means obedience and f ellowship, but when I sin, I should confess them immediately, so they don’t build up in my system. I should feed myself God’s word and breathe deeply of His spirit.
God the neurosurgeon operates like a gold assayer, looking for the precious metal He put in me. He won’t toss me out because of poor quality. is the quality Instead, He tests me for impurities. What am I thinking? Am I anxious? What do my words reveal? He probes deep into my brain, burning out the cancer cells and filling my mind with centers attune to His Spirit.
Follow up care invites me to to have the mind of Christ. It prescribes the right radio stations: whatever is true, noble, right, pure, loyal, worthy of respect, excellent, worthy of praise (Philippians 4:8, NIRV) More of that and less of lust, greed, and discord will allow our minds to stay healthy.
God the psychiatrist shows me my offensive ways. He works with me one-on-one and convicts me of sin. I see ways I have offended others. I’ve cut myself off from abundant life when bitterness and fear take root.He shows me how He sees me, and makes the transformation possible.
God the orthopedist is the way, the truth the life. I walk in shoes made from the gospel of peace. He strengthens feeble hands and knees: “the lame leap like a deer.” Necessary strength comes from Him.
The Divine Healer is available for appointments at any time. He reminds me to check in. He doesn’t need machinery and doesn’t wait for second opinions. But He won’t change me without my consent.
Open the Bible with me to Psalm 139:23-24 and pray with me: (words from hymn MORECAMBE by George Croly)
Search me, God, and know my heart.
Make me love You as I ought to love.
Test me and know my anxious thoughts.
Take the dimness of my soul away.
See if there is any offensive way in me.
Let me seek You and let me find.
Lead me in the way everlasting.
My heart an altar and Your love, the flame.

One I AM To Find Them All
I’ve lost my ID
I don’t know myself
Wouldn’t recognize me if I saw myself
One I AM in the darkness finds me

I’ve lost my heart
I don’t know what I feel anymore
Too sad to sense the hurricane inside me
One I AM in the maelstrom heals me

I’ve lost my mind
They say I don’t know what I know
Eroding my sense of self and will
One I AM in the matrix reboots me

I’ve lost my soul
Driven by cravings and appetites
Until I can’t see right from wrong
One I AM out of darkness restores me

I lost my way
Stepping out without GPS
On a path leading to nowhere
One I AM met at the crossroads

I received a heart transplant to give and receive love.
New mind to think on things not of this earth.
A computer chip implanted for when I get lost.
One great I AM to foster new life.