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Staying close to home

Staying close to home

Monday, December 14, 2015

Rita Canning

Rita Canning loves to play golf and racquetball, but constant pain in her back prevented the northwest suburban grandmother from great drives and serving aces. She was watching her favorite sports from the sidelines.

When the pain became unbearable, Canning visited her doctor who diagnosed several back problems: sciatica, a herniated disc and spinal stenosis – a narrowing of spaces in the spine which causes pressure on the spinal cord and nerves. Canning was told she would ultimately need back surgery.

“I had a lot of issues going on with my back,” Canning says. “My nerves were all messed up and I was in excruciating pain.”

While Canning knew she inevitably would need an operation on her back, she wanted to do her homework in selecting the doctor and hospital where she would undergo surgery. She was looking for care close to home, but realized significant back surgery might require a trip downtown.

It was during one of these fact-finding trips downtown that Canning learned about Shaun O’Leary, M.D., Ph.D., a neurosurgeon with the NCH Medical Group who specializes in the diagnosis and treatment of complex spine and peripheral nerve problems.

Learn more about neurology care at NCH

“I really didn't want to go downtown for surgery,” Canning says. “A round trip downtown takes a full day on the train, and then you have to consider going down for pre-op and post-op visits. I was excited after hearing the recommendation for Dr. O’Leary.”

When Canning met with Dr. O’Leary she learned about NCH’s new computer-assisted spinal navigation system, the Stryker BodyTom, which enables neurosurgeons to use 3-D imaging for greater surgical precision.

“Rita has always been a very active person, but she had degenerative spine conditions,” Dr. O’Leary says. “Our goal was to keep her active and moving.” Dr. O’Leary recommended a minimally invasive lumbar spinal decompression to remove pressure from the nerves in Canning’s back.

The surgery begins with a CT scan of the spine to determine the location and extent of the problem. The scans are loaded into a computer that creates a virtual 3-D model of the patient's spine. During surgery, an infrared camera communicates with the sensors mounted on the patient and instruments, and the tracking software continuously calculates and displays the location of the surgical instruments relative to the patient's anatomy.

“The new imaging capabilities allow us to be more specific and make smaller incisions during surgery,” Dr. O’Leary says. “It is a more focused surgery that leads to a quicker recovery.”

Canning is the first patient in the area to undergo lumbar spinal decompression using 3-D imaging with just a 24-hour hospital stay. “I woke up and felt like a million bucks,” Canning says. “NCH made the experience of surgery so easy. I went home the next day and didn’t have any discomfort.”

The use of the 3-D technology is becoming popular at NCH, Dr. O’Leary says. “This type of technology is right here in our community,” he says. “NCH is where you want to come for care.”

Canning was happy to stay close to home for her surgery and follow-up visits. The new technology made the decision to go to NCH easy. “Both of my parents were patients at NCH, and I often took my kids there for treatment when they were younger,” she says. “I have a long-term relationship with NCH.”

With no pain in her back, Canning is looking forward to getting back to sports.

Shaun Oleary

Expert Care – Shaun O’Leary, M.D., Ph.D.

Neurological surgeon with NCH Medical Group
Medical school: Seton Hall University and Georgetown University
Residency: Henry Ford Hospital, Detroit
Board-certified: Neurological surgery


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3D mammography a new option at NCH

Women now have new options in breast imagery at NCH. NCH is the only healthcare provider in the Chicago area to offer low-dose 3D mammography and automated breast ultrasounds (ABUS).

Digital breast tomosynthesis (tomo), also known as 3D mammography, is a screening and diagnostic breast imaging tool that helps improve the early detection of breast cancer. During the 3D part of the exam, an X-ray arm sweeps over the breast, taking multiple images in seconds.

“The benefits to the patient are robust,” says Allan Malmed, M.D., chairman of radiology at NCH. “3D mammography is more accurate and allows us to make a final determination without bringing in the patient for another visit. We are able to find more cancer and see more things that had previously been obscured with overlying tissue.”

The 3D mammography can bump up breast cancer detection rates by more than 40 percent, according to research in the Journal of the American Medical Association. Research also found there was a 15 percent drop in the number of women who had to return for more tests because of a suspicious mammogram finding.

“3D mammography is the new standard of care,” Dr. Malmed says. “Every day we are seeing things with 3D breast imagery that we would not have in the past. That helps alleviate anxiety for the patients.”

Learn about 3D mammography at NCH