2024 marks a big year for total shoulder surgery. It is now covered by Medicare at outpatient facilities like St. Cloud Surgical Center.
Our center is no stranger to joint replacement surgeries and the role Medicare plays for qualified individuals. We have been performing total joint replacements for decades. While some patients may be better suited for, or even prefer, an inpatient setting, time and time again, we have seen the good that outpatient facilities can bring.
To get the scoop on this new change to total shoulder surgery and what it means for our patients, we sat down with resident shoulder expert, Dr. Matthew Hwang. We discussed candidacy for total shoulder surgery, the perks of it being offered in an outpatient setting, and what one might expect when opting into this type of surgery.
For over 20 years, Dr. Hwang has provided orthopedic services to patients in the St. Cloud Area. While he services all areas including knee, hip, and elbow, he has a special interest in total shoulder and reverse shoulder replacement surgeries. Thanks to a change in Medicare coverage, his practice is about to get a whole lot busier.
Dr. Hwang approaches total shoulder replacement conservatively. Surgery is not always his go to answer. In fact, he believes most conditions can be treated through activity modification, physical therapy, medications (oral, topical, or injectable), and even non-traditional methods. However, for roughly 50,000 people in the United States each year, conservative methods are not enough and total shoulder surgery is the appropriate path forward.
Candidacy for Surgery
For Dr. Hwang specifically, there are a few elements he looks at when determining someone a good candidate for total shoulder surgery:
Patient is in their mid-60s or older
Radiographic evidence of arthritis
Pain that is no longer responding to conservative treatments
In most cases, total shoulder surgery is an elective procedure and it is the patient’s decision to move forward with the operation. If a patient feels they have tried reasonably conservative treatment, yet, their shoulder is not getting to where it needs to be, surgery would be the next step. When a patient comes to this decision, Dr. Hwang recommends they prepare themselves by talking with their surgeon, and anyone in their network who has had similar surgery. Preparation is the key to success!
Speaking of success, the success rate for total shoulder surgery is incredibly high. Dr. Hwang reports that up to 95% of patients will see significant pain improvement after a shoulder replacement, along with improvements in both range of motion and strength. After 2 weeks patients report less pain and by week twelve, there is a clear difference. For many patients, this surgery really does mean the chance at living a better, more healthy life.
Medicare Now Covering Total Shoulder Surgery
Total shoulder replacements have always been covered by Medicare, however, until recently, they could only be done in a hospital setting. However, with total shoulder replacements becoming more prevalent, there was a need for change. It was no longer sufficient to only offer this procedure for qualified candidates at an inpatient setting.
Outpatient total shoulder surgery has a number of benefits and is a preferred method for restoring mobility and alleviating pain for qualified candidates with arthritis in their shoulder by many providers. It’s easy to see why outpatient should be considered a standard practice of care for orthopedic surgeries.
Benefits of Out-Patient Surgery Settings
Cost Effective
Case-By-Case Approach
One-On-One Care Team
Access to Physical Therapy Sooner
Faster Recovery Time While At Home
Perhaps, the largest benefit of having your surgery at the St. Cloud Surgical Center is the people, just ask Dr. Hwang.
“What I enjoy most about working here is the people, they are special. Really unique. No matter the role, everyone helps to make this place run. From the admitting nurses who see the patients to the anesthesiologist who work hard to get the blocks right, they all play a part. All members of our staff are imperative for making a positive patient experience.”
To find out if you qualify for Medicare coverage, contact your provider directly. If you are curious about potential surgery costs under your Medicare plan, you can visit their Procedure Price Lookup site.
Happy Sleep Week St. Cloud Surgical Center fans! Each year, the National Sleep Foundation focuses on the importance of sleep and how it affects your physical and mental health. During Sleep Week, observed nationally the second week of March, many organizations who focus on sleep health will become involved in the cause.
Here at St. Cloud Surgical Center, we are no different. Known for our innovative technology, our center is home to one of the largest Inspire® therapy practices in the country, all thanks to Dr. Hanson and Dr. Dearking. The pair have helped hundreds of sleep apnea patients, and their significant others reclaim their sleep through this mask-free solution. To learn more about Inspire®, check out the blog we published.
If you’re reading this and thinking sleep apnea isn’t a condition you struggle with, but sleep is still hard, we’re here to help with that too! As physicians and wellness experts, we know how important deep, restorative sleep is for our patients, especially once they are in recovery. It’s the key to a happy, healthy, wonderful life. In short, it’s our best slept secret!
5 Quick Facts About Sleep
Healthy sleep starts before you hit the sheets.
What you do BEFORE you enter your bed matters. Creating a simple bedtime routine can send signals to your brain that it is time to wind down for the night. The more you commit to this routine, the easier it will be to fall asleep once you enter your bed.
A simple routine can look like brushing your teeth, washing your face, and reading for 30 minutes. This might be the trick to send you to sleepy land!
Sleep is linked to your mental health.
There is a large connection between sleep and your well-being. Sleep quality and quantity are deeply intertwined with your mental health.
When we sleep, our body goes into a restorative state where it repairs and rejuvenates our cells, processes emotions from the day, and cleanses our brains of toxins. Without good sleep, this restoration of the body doesn’t happen and can cause a downward spiral.
Exposure to light can affect how well we sleep.
We are all familiar with the school of thought that blue light from screens affects our sleep, and we’re here to tell you it is true. But regular light exposure can have a negative effect too. Light plays a crucial role in our circadian rhythm. Our brains are hardwired to stay awake during the day and sleep when it’s dark. We should all be using light as a tool to get better sleep.
A general rule of thumb is to expose yourself to bright light in the morning and afternoon, dimming the lights as you get closer to bedtime. As for screens, put them away at least one hour before bed.
Exercise can help kick start a healthy sleep schedule.
You can add better sleep to the widespread list of health benefits that come from daily exercise. Not only does exercise keep you focused and energized throughout the day, but it also helps to promote deeper, more restorative sleep at night.
If you’re struggling to find ways to stay active, here are some ideas to get you started on a new healthy habit!
Nutrition plays a crucial role in your sleep quality.
Last, but certainly not least, nutrition! Healthy eating habits support your whole well-being, sleep included. If you’re struggling to get to sleep, or even just stay asleep, food could be the culprit.
A well-balanced diet that includes high amounts of fiber, fresh fruits and vegetables, whole grains, and protein can be all the change you need to make to ensure you’re meeting your sleep quota.
The 10-3-2-1-0 Rule
The 10-3-2-1-0 rule is a concept loved by many sleep experts and wellness professionals. Not only is it a foolproof method to follow, it’s designed for everyone. No matter your age, gender, race, etc. you can follow this rule to get the best night’s sleep of your life. There’s no magic spray, no specific pillow or mattress involved, just some good old-fashioned commitment to a better, more well-rested you.
Here’s the breakdown:
10 hours before bedtime – no more caffeine
3 hours before bedtime – no more alcohol or food
2 hours before bedtime – no more work
1 hour before bedtime – no more screen time
0 times you hit the snooze button in the morning
TEN (10): No caffeine ten hours before bedtime.
While nothing beats a warm cup of joe in the morning, coffee and other caffeine intake can be our biggest downfall when it comes to sleeping. Caffeine is a silent killer, taking up to an hour to kick in. This means you may not realize the negative impact caffeine is having on you until it’s too late. If you feel wired or anxious before bed, think about your caffeine consumption for the day, it could be the culprit.
Per the rule, caffeine in all forms, whether it be from tea, coffee, or chocolate shouldn’t be consumed within ten hours of your bedtime.
Loophole: Caffeine affects everyone differently and you know your body best! If you only need to stop caffeine conception seven hours before bed, change the name of the rule to fit your lifestyle.
THREE (3): No alcohol or food three hours before bedtime.
Breaking up with your midnight snack, say it ain’t so!? We hate to break it to you but drinking liquids and eating from the snack drawer too close to bedtime can have a negative effect on your sleep.
High levels of alcohol in the bloodstream at bedtime cause disruptive REM sleep, leading to a rough morning.
Due to the horizontal nature of sleeping, eating too close to bedtime can cause acid reflux, indigestion, or heartburn.
If you need to have a snack before bed, try something that contains high amounts of protein and less processed sugar, like a handful of nuts.
TWO (2): No more work two hours before bedtime.
For some of us, working at home has made it difficult to shut down for the day, but it is so important for your sleep (and mental health) to unplug. Screen time keeps your brain in overdrive making it hard to shut down, while working long hours can lead to prolonged stress. Both of which are detrimental to your sleep quality. Not to mention, you’re losing your beloved work-life balance.
ONE (1): No screens one hour before bedtime.
Put the phone down. I repeat, put the phone down! While, in theory, one of the simplest things on the list, this seems to be the hardest for people to do. Research shows that screens are incredibly detrimental to strong sleep hygiene.
Screens stimulate the brain and keep it alert instead of winding down.
The blue light from screens is said to decrease melatonin (sleep hormone) levels needed for sleep.
Information you see online, in the news, or in the shows you watch can mess with your emotions causing stress, anxiety, or sadness that makes it hard to fall asleep.
If you can do one thing to achieve better quality sleep, this is it!
ZERO (0): No hitting snooze in the morning!
We all do it. Even if we promise ourselves at night that we won’t, morning comes around and we’re hitting snooze. The truth is, hitting snooze can lead to more grogginess in the morning because you’re interrupting your REM sleep. If you feel the need to hit the snooze button repeatedly, you probably aren’t getting enough sleep. Time for an earlier bedtime!
Tip: Move your alarm clock away from your bed, so you have to get up to shut it off. No more snoozing on your clock!
Will you be giving 10-3-2-1-0 a try?
Looking to do some shopping during Sleep Week? Here are the best deals.
Sleep Week is one of the best times to upgrade your bedroom. If you’re in the market for a new mattress, sheets, or even pillows, here’s your sign to make a purchase. If you haven’t been sleeping great lately, now is the time to invest in some new sleepy time necessities.
With Sleep week underway, it’s a great time to reinvest in your sleep. Create a routine, stop the icky habits like scrolling in bed, maybe try out a new mattress, and you’ll be well on your way to a restful and restorative night!
With the new year still upon us, you may find yourself particularly interested in your health. This happens for most people. New year, new you, right? Before that motivation dwindles, take control of your health by setting up all of your medical visits for the year. You might be thinking the whole year, that’s a lot! You’re right, but let’s face it, when the summer sun hits in Minnesota, you won’t be thinking about your next colonoscopy.
Okay, maybe you try never to think about that but you should! Taking care of your health not only impacts you but those around you. Many illnesses in life can be detected early or even prevented through regular screenings. So, if not for you, for your loved ones, make 2024 the year you take back your health.
Let’s start with the easy visits, your annual screenings.
When most people make to-do lists, they check off the easiest things to do first. The same method can be applied here. Your yearly exams should include an overall health check-up with your primary doctor, dental cleanings x 2, and a vision screening. There may be some exceptions to this rule, but generally, every individual from 0 to 100 should consider these visits as part of their annual screening.
It’s true when they say things can change in an instant, especially when it comes to your health. Not only do yearly check-ins act as a baseline if your health starts to take a turn, but they also allow the opportunity to get in tune with your body. Remember to ask the following questions when you’re at your annual screening with your primary care doctor.
1. Do I need additional health screenings?
Routine Screenings:When you go for an annual physical, your doctor will look at health markers such as weight, blood pressure, family history, etc. This will give them the proper baseline to suggest further screenings on things like thyroid, cholesterol, or even a comprehensive metabolic panel.
Preventative Screenings: Recommendations for preventive screenings to do with the heart, breast, or cancer change often but are typically based on a combination of your age and personal risk level. If you are 40 or older, communicating with your doctor about your specific needs for preventive screenings is of the utmost importance.
2. What do my numbers mean?
As we mentioned earlier, you are the expert on your body. However, you may not be an expert in understanding numbers, charts, and medical terminology. Ask the questions even if they seem silly. If something doesn’t make sense, ask your doctor to explain it. There are no stupid questions when it comes to your health.
3. Am I at risk of any medical conditions?
Many factors must be considered when assessing your risk for certain medical conditions. Your doctor will look at your age, lifestyle, ethnicity, family history, and other factors that may affect your risk for certain ailments. It’s important to be forthcoming about your circumstances so your physician can see the total picture.
4. What do I need to work on?
You may come away with homework, and that’s okay! Your yearly physical is meant to find gaps and red flags. Before you leave, make sure you have a game plan with your physician to improve in any areas if needed.
Now, onto the preventative screenings.
Preventative screenings may sound scary, but they are there to do the opposite. Nothing is worse than hearing, “You have [insert any health condition here].” Preventive screenings offer early detection, which can be the key to keeping you healthy. Recommendations for preventative screenings will vary based on individual risk factors, but these are the current guidelines for a healthy adult with no family history of disease.
Skin Exams – Once A Year
With 1 out of 5 Americans developing skin cancer by age 70, skin exams are recommended as part of your yearly routine. During a skin exam, your dermatologist will look at any worrisome moles, lumps, or bumps you may have. If needed, your primary care doctor can refer you to a dermatologist.
Colonoscopy – Once Every 10 Years
Starting at age 45, you should receive a colonoscopy every ten years if you have no other risk factors. While colonoscopies get a bad rap, the procedure can save your life. This year, the American Cancer Society estimates that 152,810 people in the U.S. will be diagnosed with colorectal cancer. Prevention is key. You can have your next colonoscopy at the St. Cloud Surgical Center; no referral is necessary.
Mammograms – Varies By Age
While every woman should be doing personal breast exams weekly when you reach a certain age, modern medicine steps in. There is much debate around this subject; however, per the American Cancer Society guidelines, women 40 and older should stick to the following schedule.
Women aged 40 to 44should have the choice to start annual breast cancer screening with mammograms (x-rays of the breast) if they wish to do so.
Women ages 45 to 54 should get mammograms every year.
Women 55 and oldershould switch to mammograms every two years or can continue yearly screening.
Screening should continue as long as a woman is in good health and is expected to live ten more years or longer.
Cervical Cancer – Varies By Age
For women ages 21 and older, a cervical cancer check should be completed by your primary care doctor or OBGYN on the following schedule.
Age 21 you should receive your first screening and have one yearly for the next three years.
Age 24 – 29 you should receive a screening every three years.
Age 30 – 64 you should receive a screening every five years.
Prostate Exams – Every Three to Five Years
Not to be confused with a colonoscopy, prostate exams are important for men 45 and older. The average age for a prostate exam is 50; however, depending on your family history and other risk factors, some doctors recommend an exam at 45. If your first exam comes back without concern, you can expect to have your second exam in 3 to 5 years.
Diabetes Screenings – Every Three Years
Diabetes Screenings are becoming more common as the U.S. continues to battle obesity. The US Preventive Services Task Force recommends anyone between the ages of 40 to 70 who are overweight or obese start screening for high A1C levels. After your first screening, and if risk factors do not decrease, patients should receive a screening every three years.
You may be asking yourself what routine and preventative screenings have to do with my surgery at the St. Cloud Surgical Center. Patients need to be in good health to be a candidate for many procedures at our center. From pre-op to post-op and beyond, we care about our patients’ success; one risk factor is poor health.
At St. Cloud Surgical Center, we require most of our patients to undergo a preoperative exam. In that exam, we can deny you surgery for any reason. We don’t enjoy this as our goal is to help you feel better. By following the recommendations laid out in this blog, we believe you’ll be in a great place to not only qualify for surgery but also have a better handle on your health as a whole. It’s not too late to make 2024 the year you take back your health!
It’s safe to say that most of us are creatures of habit. We wake up at the same time. Eat the same breakfast. Drive the same way to work. Partake in the same activities. Yet, it’s hard to introduce new habits into our routine. And even though we’ve all heard the magic ‘21 day’ approach, we still fail to implement new, healthy habits into our lifestyle.
Research shows that many of us who try to create healthy habits go about it the wrong way. We shoot for the stars when we only need to shoot for the moon. For example, we’ll decide to exercise more and sign up for a gym membership without a second thought. Suddenly, two months have passed, and you haven’t made it to the gym since. While a go big or go home approach may work for some, many behavioral scientists agree that’s not the right way to go about it.
Our St. Cloud Surgical Center team wants to set you up for success this year with five easy steps to creating healthy habits. Follow these research-backed tips, and you’ll be well on your way to a happier you!
FIRST UP, MAKE A PLAN
When you commit to taking up a new habit, it’s essential to have a clear plan of action before you begin. Start with a long-term goal and keep it S.M.A.R.T:
S = Specific
M = Measurable
A = Achievable
R = Relevant
T = Timely
Habit: Eat More Leafy Greens
Habit Stack: Eat a side salad at dinner three times a week.
Before moving forward, you need to dig deep into your “why.” Why do you want to make this change? What do you want to be different about your life when you succeed? Write down your “why” and keep it close by; when you feel like stopping, pull it out and remember that you can do hard things.
HABIT STACKING
Habit Stacking is exactly what it sounds like: putting two or more habits together. We recommend choosing times of the day when routines are strongest. For most people, this is usually the morning or before bed. We know day-to-day life can get a little crazy, but there are certain times when patterns are created, making them the perfect place for a positive change.
The best way to form a new habit is to tie it in with an existing one.
Habit: Drink More Water
Habit Stack: Drink water on your morning commute instead of coffee.
BABY STEPS
Remember that go big or go home thing we mentioned earlier? That doesn’t have a place here. Many experts agree that significant changes require high motivation levels, which can be hard to sustain. Instead, you should start with a slight change that will eventually lead to something bigger.
Habit: Exercise More
Baby Step: Take a small (5 to 10-minute) walk on your lunch break.
You can transition to something bigger once you have successfully implemented these daily walks for a designated amount of time. Let’s add weights! And yes, we just created another habit stack. Work break = walk.
CONSISTENCY
Consistency is key. To make something a habit, you need to do it every day. We’ve all heard the magic ‘21 day’ fix, but the fact of the matter is, it’s not one size fits all. One study found that it can take up to 254 days, over half a year, to make a habit stick! Don’t give up.
Habit: Wake Up An Hour Earlier
Change: Your usual wake up call is 6:30 AM, set your alarm to 6:15. Once you’ve achieved that, go back another 15 minutes until you’re at the hour mark. But remember, you need to do this EVERY DAY.
CELEBRATE SUCCESS
Perhaps the most important part of habit-making is rewarding yourself. We know habits take time, but in order to not give up, you need to celebrate every win. Find the thing you love and allow yourself to experience it once you’ve hit a milestone on your habit-forming journey. Sometimes, the results of habits are not immediately apparent. Don’t give up!
HEALTHY HABITS FOR 2024
While the last three years have felt a little uneasy, we have a good feeling that 2024 is your year. Change is hard, but living an unhappy life is harder. Choose your hard. If you need help jump-starting your new healthy habit, check out this list below and get to work using the steps above.
Prioritize Sleep
Move More
Read Instead of Scroll
Get Outside
Eat Healthier
Practice Gratitude and Mindfulness
Drink More Water
Limit Alcohol Intake
Quit A Bad Habit
Find A Hobby
As we enter 2024, we are thrilled to be your local provider for same-day surgery. If you find yourself struggling with ailments from knee pain to blurry vision, the team at St. Cloud Surgical Center may be able to help. Remember to ask your doctor about having your next procedure at our center. Here’s to a happy, healthy new year!
