Fall 2005 - Memorial Hospital of South Bend
Fall 2005 - Memorial Hospital of South Bend
Fall 2005 - Memorial Hospital of South Bend
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<strong>Memorial</strong> <strong>Hospital</strong> & Health System<br />
<strong>Fall</strong> <strong>2005</strong><br />
New Hope<br />
for Children<br />
in Need<br />
Developmental pediatrics<br />
clinic <strong>of</strong>fers advanced care<br />
for local families
<strong>Fall</strong> <strong>2005</strong><br />
<strong>Memorial</strong> <strong>Hospital</strong> & Health System<br />
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contents<br />
Cover Story: Celebrating Children—<br />
Our Most Precious Resource<br />
<strong>Memorial</strong> <strong>of</strong>fers pediatric developmental health care,<br />
closer to home<br />
The Road to Baldrige<br />
<strong>Memorial</strong> strives for the Malcolm Baldrige National<br />
Quality Award<br />
The Spirit <strong>of</strong> Women<br />
Celebrating the accomplishments <strong>of</strong> great women<br />
Bringing Quality Care Closer to Home<br />
MedPoint Express: A new model in health care<br />
Walk This Way<br />
Walk toward better health<br />
Start the Day in Your Favor<br />
Make time for breakfast<br />
Donors<br />
<strong>Memorial</strong> Health Foundation recognizes<br />
our generous benefactors<br />
Take Charge<br />
Advance directives in end-<strong>of</strong>-life care<br />
Recipe<br />
Apple Brown Betty<br />
Fitting In Fiber<br />
Fitting fiber into your diet is easier than you think<br />
Nothing Fishy About It<br />
The heart-healthy benefits <strong>of</strong> fish<br />
You and Your Heart<br />
When it comes to your health, make every meal count<br />
Living with Cancer<br />
The early detection and treatment <strong>of</strong> cancer<br />
News Briefs<br />
Datebook<br />
On the cover: Kristen Hill Hake enjoys some<br />
quiet time reading with her son, Grant.<br />
<strong>Memorial</strong> <strong>of</strong>fers pediatric<br />
developmental health care,<br />
closer to home<br />
A Comprehensive Approach<br />
Like most new moms,<br />
Kristen Hill Hake didn’t<br />
know what to expect after<br />
the birth <strong>of</strong> her son, Grant.<br />
Full <strong>of</strong> hopes and dreams,<br />
she and the rest <strong>of</strong> the Hill<br />
Hake family began their new<br />
lives together not knowing<br />
exactly what was in store.<br />
2 <strong>Memorial</strong> Health System • 574-647-6800
William Mize, M.D.,<br />
Developmental Pediatrician<br />
Our Most Precious Resource<br />
Grant’s family began noticing signs<br />
<strong>of</strong> possible developmental delays<br />
in their son when he was just 18<br />
months old. Worried, Kristen took<br />
her son to his pediatrician, who then<br />
referred him to a developmental<br />
specialist. After a few weeks <strong>of</strong> tests,<br />
Grant was diagnosed with autism.<br />
He and his family are by no means<br />
alone. Over the past 10 years, the<br />
number <strong>of</strong> U.S. children diagnosed<br />
with autism spectrum disorders has<br />
exploded. Though the reasons for<br />
this dramatic increase have yet to be<br />
determined, many in the scientific<br />
community believe there to be<br />
both an environmental trigger and<br />
a genetic component to autism.<br />
With an estimated 2,000 people<br />
throughout Michiana affected in<br />
some way by a developmental<br />
disorder, specialized pediatric<br />
developmental health care has<br />
become a top priority.<br />
A unique team came together<br />
to create a new local resource.<br />
With financial assistance from<br />
the Schwartz family, long-time,<br />
valued members <strong>of</strong> the <strong>South</strong> <strong>Bend</strong><br />
community, <strong>Memorial</strong> and the<br />
University <strong>of</strong> Notre Dame teamed<br />
up to recruit and help finance the<br />
ongoing expertise <strong>of</strong> a local<br />
developmental pediatrician.<br />
They found William Mize, M.D.,<br />
who was serving as assistant pr<strong>of</strong>essor<br />
<strong>of</strong> pediatrics at the University <strong>of</strong><br />
Illinois campus in Peoria.<br />
Dr. Mize serves in a dual role,<br />
both as Medical Director <strong>of</strong> Child<br />
Development and Behavior at<br />
<strong>Memorial</strong> and as a researcher in<br />
the University <strong>of</strong> Notre Dame’s<br />
Psychology Department, where he<br />
evaluates new treatment methods<br />
for autism and ADHD. As a boardcertified<br />
subspecialist in child<br />
development and behavior, Dr. Mize<br />
is very familiar with the increasing<br />
number <strong>of</strong> cases <strong>of</strong> autism and other<br />
developmental concerns.<br />
“With the collaboration <strong>of</strong> many<br />
people throughout this community,<br />
<strong>Memorial</strong> has created a unique<br />
and special program for children<br />
with developmental delays,” said<br />
Dr. Mize. The result is a clinic that<br />
<strong>of</strong>fers families treatment options for<br />
a number <strong>of</strong> developmental delays,<br />
as well as education, support and<br />
referrals to other community services.<br />
Continued on page 4<br />
www.quality<strong>of</strong>life.org<br />
3
Continued from page 3<br />
A Holistic Approach<br />
Dr. Mize and his staff care for the<br />
well-being <strong>of</strong> each child as a whole,<br />
as opposed to simply treating their<br />
specific developmental needs.<br />
With the aid <strong>of</strong> a multidisciplinary<br />
staff—from nursing to social work,<br />
nutritional services to physical<br />
therapy—the clinic attends to the<br />
medical, nutritional, emotional<br />
and spiritual dimensions <strong>of</strong><br />
children with autism and other<br />
developmental challenges.<br />
Kristen Hill Hake,<br />
with 5-year-old<br />
son Grant and<br />
9-year-old<br />
daughter Delenay<br />
“One thing that sets us apart from<br />
others across the nation are the<br />
nutritionist and chaplain on our staff.<br />
Every child and his or her parents<br />
will have access to experts from<br />
various fields, and each will see a<br />
nutritionist as part <strong>of</strong> the program.<br />
Each family will also be given the<br />
opportunity to see the chaplain,” said<br />
Dr. Mize. “It’s a service we’re making<br />
available because we’re aware that<br />
developmental problems can affect<br />
families in deeply spiritual ways.”<br />
Collaborative care between Dr. Mize<br />
and his patients’ referring primary<br />
care physicians remains a top priority<br />
as he and his staff engage in comprehensive<br />
follow-up and continuing<br />
communication with patients, families<br />
and other care providers.<br />
“With the collaboration <strong>of</strong> many people<br />
throughout this community, <strong>Memorial</strong><br />
has created a unique and special program<br />
for children with developmental delays.”<br />
—William Mize, M.D.<br />
4<br />
<strong>Memorial</strong> Health System • 574-647-6800
A Systemwide Approach<br />
As with any successful health care<br />
venture, the developmental pediatric<br />
clinic doesn’t exist in a vacuum.<br />
Developmental services through<br />
<strong>Memorial</strong>’s Newborn Intensive<br />
Care Unit, as well as the many<br />
long-standing programs <strong>of</strong>fered<br />
through the <strong>Memorial</strong> Regional<br />
Center for Children’s Services, will<br />
continue to provide family-oriented,<br />
individualized assessment for children<br />
diagnosed with developmental delays.<br />
A Local Approach<br />
“One <strong>of</strong> the hardest things to do is<br />
to have to travel so far out <strong>of</strong> the<br />
area,” said Hill Hake. After traveling<br />
to Chicago and Indianapolis to seek<br />
treatment for their son, the family<br />
is glad to have local access to worldclass<br />
care.<br />
Getting children with suspected<br />
developmental delays timely care<br />
is more than simply convenient—it<br />
can make a world <strong>of</strong> difference. The<br />
sooner children can be evaluated, the<br />
sooner they can receive treatment,<br />
and that can mean better outcomes.<br />
With a six- to eight-month waiting<br />
list in other areas <strong>of</strong> the state, this<br />
program <strong>of</strong>fers world-class treatment<br />
options, resources and specialized<br />
care close to home.<br />
“As a parent, I’m absolutely thrilled<br />
to have Dr. Mize here,” said Hill<br />
Hake. “Now we, and other local<br />
families affected by autism, have<br />
access to a great developmental<br />
pediatrician, right here in the area.”<br />
Hill Hake’s involvement in autism<br />
awareness reaches further than her<br />
own family. Aside from her role as a<br />
mom, she also works at First Steps,<br />
an Indiana-based program that<br />
provides early-intervention strategies<br />
for families with infants and toddlers<br />
experiencing developmental delays.<br />
She also serves as the President<br />
<strong>of</strong> the Regional Autism Center at<br />
LOGAN, which links families with<br />
autistic children with educational<br />
and treatment resources.<br />
Those involved with the development<br />
<strong>of</strong> <strong>Memorial</strong>’s program anticipated<br />
the need would be great. With<br />
a waiting list 90 people strong a<br />
full two months before the clinic’s<br />
<strong>of</strong>ficial opening in September, that<br />
expectation has certainly been met.<br />
The Schwartz family’s generous<br />
donation, Notre Dame’s research<br />
expertise and <strong>Memorial</strong>’s innovative<br />
culture created the perfect<br />
combination for bringing this<br />
dream to fruition.<br />
“Children are our most valuable<br />
resource and our community<br />
recognizes this,” said Dr. Mize.<br />
“We’re taking the steps to ensure<br />
that this generation and those to<br />
come are as healthy as can be.”<br />
For more information about<br />
<strong>Memorial</strong>’s pediatric developmental<br />
clinic, call 574-647-7300 or<br />
800-444-3637. ■<br />
A communitywide planning effort is under way to establish<br />
the <strong>Memorial</strong> Children’s <strong>Hospital</strong>. The initial steps involve<br />
working with members <strong>of</strong> the medical staff, parents, children’s<br />
health care providers and educators to develop a specific,<br />
detailed plan for services and facilities.<br />
As part <strong>of</strong> this journey to enhance pediatric care, <strong>Memorial</strong><br />
was recently approved for membership in the National<br />
Association <strong>of</strong> Children’s <strong>Hospital</strong>s. <strong>Memorial</strong> becomes one<br />
<strong>of</strong> 200 members <strong>of</strong> the nonpr<strong>of</strong>it association <strong>of</strong> health<br />
systems devoted to the well-being <strong>of</strong> America’s 70 million<br />
children and their families. Member organizations include the<br />
highly respected children’s hospitals operated by Loma Linda<br />
University, Riley, St. Jude’s, Johns Hopkins, Mayo Clinic and<br />
Shriners’ <strong>Hospital</strong>s throughout the country.<br />
The current <strong>Memorial</strong> Regional Pediatric Center cares for<br />
more than 1,000 children each year. <strong>Memorial</strong> also operates<br />
the state’s second-largest Newborn Intensive Care Unit,<br />
the region’s only Pediatric Intensive Care Unit, the region’s<br />
only pediatric oncology service, and a pediatric emergency<br />
transport service covering 18 referral hospitals.<br />
Expansion plans will likely include new outpatient clinics,<br />
all-private patient rooms and educational programming.<br />
A dedicated Web site, www.childrenshospitaldesign.org,<br />
allows anyone interested to submit ideas on services, facilities<br />
and experience enhancements in pediatric care. <strong>Memorial</strong><br />
will be gathering input, and all responses will be considered<br />
in the design and future construction <strong>of</strong> the hospital. ■<br />
www.quality<strong>of</strong>life.org<br />
5
The Ro<br />
It’s not about the Steuben<br />
crystal or the 22-karat<br />
gold-plated medallion. It’s<br />
not even the fact that it’s<br />
awarded by the President <strong>of</strong><br />
the United States. The road<br />
to Baldrige is itself the prize.<br />
The Malcolm Baldrige National Quality Award,<br />
the international benchmark <strong>of</strong> quality awarded<br />
previously to business and industry, is now being<br />
used to measure health care organizations.<br />
For <strong>Memorial</strong>, the road to Baldrige began more<br />
than a year ago, when hospital President and CEO<br />
Phil Newbold, COO Dan Neufelder and Vice<br />
President Ken Anderson, D.O., traveled to St. Louis<br />
to visit SSM Health System, the first health care<br />
organization to win the prestigious award.<br />
“What better way to learn how Baldrige worked than<br />
to talk to past award winners and become a Baldrige<br />
examiner myself,” said Dr. Anderson, who currently<br />
is one <strong>of</strong> only 10 Baldrige examiners in Indiana.<br />
Named for the former Secretary <strong>of</strong> Commerce and<br />
longtime proponent <strong>of</strong> quality management, the<br />
Malcolm Baldrige National Quality Award recognizes<br />
6 <strong>Memorial</strong> Health System • 574-647-6800
usinesses and<br />
organizations<br />
from across the country<br />
that value quality and<br />
performance excellence.<br />
Winning organizations demonstrate<br />
a commitment to their community,<br />
and to developing a culture <strong>of</strong><br />
excellence.<br />
And with one <strong>of</strong> the most<br />
innovative cultures in the nation,<br />
and an incomparable community<br />
tithing program, <strong>Memorial</strong> is<br />
poised for success.<br />
The Baldrige Award process includes a<br />
review <strong>of</strong> hospital departments across<br />
the organization that exhibit room<br />
for improvement. Examiners suggest<br />
different ways for these departments<br />
to improve workflow, communication<br />
and patient care. Through this<br />
process, <strong>Memorial</strong> can dramatically<br />
improve services in a number <strong>of</strong><br />
areas, from patient care delivery and<br />
patient account processes to the<br />
way administration interacts with<br />
employees, patients and families, even<br />
the safety and security <strong>of</strong> employees<br />
and patients on<br />
campus and at <strong>of</strong>f-site<br />
locations. In short, virtually<br />
all processes that can be improved<br />
at <strong>Memorial</strong> will be addressed using<br />
Baldrige evaluation criteria.<br />
The benefit <strong>of</strong> the evaluation process<br />
cannot be overstated. Application<br />
for the Baldrige Award is the fastest,<br />
most effective way to help <strong>Memorial</strong><br />
improve its work processes to provide<br />
better care and patient experiences.<br />
After the acceptance <strong>of</strong> <strong>Memorial</strong>’s<br />
application, a group <strong>of</strong> key staff<br />
members developed a formal<br />
application covering seven categories<br />
and 19 different performanceoriented<br />
criteria. If examiners like<br />
what they see, <strong>Memorial</strong> will qualify<br />
for the next stage, which includes<br />
a one-week on-site visit. Examiners<br />
will then submit a report on their<br />
findings. In all, <strong>Memorial</strong> will<br />
receive the benefit <strong>of</strong> more than<br />
300 consulting hours, making the<br />
journey alone worthwhile.<br />
“With every step you take, you get<br />
more and more information back<br />
about your organization—and it’s<br />
very detailed, insightful information,”<br />
said Dr. Anderson.<br />
Through his experience consulting<br />
for other organizations, Dr. Anderson<br />
knows exactly what examiners are<br />
looking for.<br />
“Baldrige examiners expect to see a<br />
great organization at work, not just<br />
a good one,” he said. “They look for<br />
patient-focused care within a culture<br />
that expects and demands excellence<br />
for patients.”<br />
Dr. Anderson knows that patients and<br />
their families will feel a strong and<br />
direct impact in those areas touched<br />
by the Baldrige process.<br />
“Through participation in this process,<br />
both employees and patients will be<br />
able to better recognize <strong>Memorial</strong> as<br />
an organization that is both better<br />
and different from other health care<br />
organizations,” said Dr. Anderson. “It’s<br />
not just about the award. It’s all about<br />
improving your organization along the<br />
journey to better serve patients and<br />
their families.” ■<br />
Core values and concepts <strong>of</strong> the<br />
Baldrige Foundation:<br />
Visionary leadership<br />
Patient-focused care<br />
Organizational and personal learning<br />
Valuing staff and patients<br />
Agility<br />
Focus on the future<br />
Managing for innovation<br />
Management by fact<br />
Social responsibility and community health<br />
Focus on results and creating value<br />
Systems perspective<br />
www.quality<strong>of</strong>life.org<br />
7
The<br />
Celebrating the Accomplishments <strong>of</strong> Outstanding Women in Our Community<br />
For anyone who has known<br />
a great woman, a woman who<br />
educates, mentors, nurtures,<br />
stands up for her beliefs, and<br />
takes charge <strong>of</strong> her health, her<br />
family and her life, the Spirit<br />
<strong>of</strong> Women cannot be denied.<br />
<strong>Memorial</strong> celebrates this spirit<br />
through its collaboration<br />
with the national Spirit <strong>of</strong><br />
Women health initiative,<br />
which helps women make<br />
positive changes in their lives<br />
by providing access to clinical<br />
and preventive care, as well<br />
as education and wellness<br />
programs.<br />
“<strong>Memorial</strong> <strong>Hospital</strong> is honored<br />
to be a part <strong>of</strong> this wonderful<br />
nationwide women’s health<br />
initiative,” said Philip Newbold,<br />
President & CEO, <strong>Memorial</strong><br />
Health System. “Along with<br />
the many women’s services<br />
already in place at <strong>Memorial</strong>,<br />
Spirit <strong>of</strong> Women programs are<br />
a tremendous benefit to women<br />
throughout our community.”<br />
With a unique combination <strong>of</strong><br />
grass-roots efforts and national<br />
resources, Spirit <strong>of</strong> Women<br />
is designed not only to help<br />
improve the health <strong>of</strong> women<br />
<strong>of</strong> all ages, but to enhance their<br />
lives through fun, friendship and<br />
Spirit <strong>of</strong> Women luncheon guest speaker Lou Nanni, Vice<br />
President for University Relations, University <strong>of</strong> Notre Dame;<br />
health care winner Laura Mabry; youth winner Ashley Bridges;<br />
and community winner Cindy Streich.<br />
“Somewhere between<br />
the imagining and the<br />
doing, between magic<br />
and everyday life,<br />
lies the spirit <strong>of</strong> women.”<br />
personal enrichment. Through their<br />
participation, more than 100 health<br />
care organizations across the country<br />
provide a network <strong>of</strong> opportunities to<br />
come together and share ideas about<br />
improving women’s lives.<br />
As part <strong>of</strong> their celebration <strong>of</strong><br />
women, the national Spirit <strong>of</strong> Women<br />
Awards annually recognizes “ordinary<br />
women who do extraordinary things”<br />
by honoring the commitment,<br />
ingenuity, compassion and integrity<br />
<strong>of</strong> one woman in each <strong>of</strong><br />
three categories: youth,<br />
community and health<br />
care provider.<br />
As a school teacher, the <strong>2005</strong><br />
community category winner<br />
Cindy Streich noted that the<br />
award has made a difference<br />
in the lives <strong>of</strong> her students.<br />
“I think it has made an<br />
impact on my students and<br />
has encouraged them to<br />
start doing good things for<br />
other people,” said Streich.<br />
In fact, this year her students<br />
began a recycling program, planted<br />
flowers around the school grounds<br />
and collected more than 50,000<br />
aluminum can tabs to benefit<br />
children’s services in Indiana. “I<br />
think it’s been valuable for them<br />
to see what happens when we all<br />
get more involved.”<br />
This year’s award ceremony<br />
and luncheon are scheduled to<br />
coincide with a communitywide<br />
Women’s Health Expo scheduled<br />
for October 28 and 29. If you<br />
know a woman you’d like to<br />
nominate, or for more information<br />
about the Spirit <strong>of</strong> Women, visit<br />
www.spirit<strong>of</strong>women.com. ■<br />
8 <strong>Memorial</strong> Health System • 574-647-6800
Closer to Home<br />
There’s never room in your schedule<br />
for getting sick. That’s why there’s<br />
MedPoint Express. We bring quality<br />
health care in step with your busy<br />
life by <strong>of</strong>fering convenient medical<br />
services right where you shop.<br />
Welcome to MedPoint Express,<br />
a new way to get well soon without<br />
adding one more errand to your<br />
to-do list.<br />
MedPoint Express recently opened<br />
its first clinic, located at the front<br />
<strong>of</strong> the Wal-Mart Supercenter in<br />
Mishawaka. The clinic provides<br />
expert care for life’s minor medical<br />
problems. This new model makes<br />
getting quality medical care more<br />
convenient than ever by <strong>of</strong>fering<br />
services in a retail setting.<br />
“With constant demands on<br />
everyone’s time, MedPoint Express<br />
can <strong>of</strong>fer the convenience and<br />
affordability patients are looking<br />
for,” said Charles Parsiola, M.D.,<br />
Medical Director for MedPoint<br />
and MedPoint Express.<br />
Just as the MedPoint model <strong>of</strong><br />
care came into its own 20 years<br />
ago with the advent <strong>of</strong> urgent care,<br />
MedPoint Express is a new model <strong>of</strong><br />
providing quality health care to an<br />
increasingly consumer-driven market.<br />
Patients at MedPoint Express<br />
are cared for by a family nurse<br />
practitioner who specializes in<br />
treating a variety <strong>of</strong> everyday<br />
ailments, from sinus infections to<br />
impetigo. The nurse practitioner can<br />
also check your cholesterol or blood<br />
pressure, and can even administer<br />
immunizations and flu shots.<br />
“We’re responding to consumer<br />
demands by <strong>of</strong>fering cost-effective,<br />
convenient health care for common<br />
conditions,” said Dr. Parsiola.<br />
“Patients are going to go where<br />
it’s most convenient, and where<br />
they find the highest quality. All<br />
<strong>of</strong> that is available to them at<br />
MedPoint Express.”<br />
<strong>Memorial</strong> Home Care began this<br />
model with the opening <strong>of</strong> a new<br />
home care equipment and supply<br />
store located in the front retail area<br />
<strong>of</strong> the Super Wal-Mart on Portage<br />
Avenue. The 700-square-foot store,<br />
located near the checkout lanes,<br />
<strong>of</strong>fers lift chairs, scooters, walkers,<br />
orthotics, braces and other home<br />
health aids. This new retail model<br />
complements <strong>Memorial</strong> Home<br />
Care’s four existing stores in <strong>South</strong><br />
<strong>Bend</strong>, Plymouth, LaPorte and Knox.<br />
<strong>Memorial</strong> Home Care Vice<br />
President Greg Conrad stated,<br />
“We are excited about <strong>of</strong>fering<br />
our products in such a convenient<br />
location for local families. Demand<br />
continues to grow for our products<br />
and services, and we’re always<br />
looking for innovative ways to be<br />
more accessible.” ■<br />
“It’s a paradigm shift. This is the<br />
way health care is going,” said<br />
Dr. Parsiola. “In the end, it’s all<br />
about our patients, and providing<br />
them with the most convenient,<br />
highest-quality care possible.”<br />
www.quality<strong>of</strong>life.org 9
Walk This Way<br />
Forget the gadgets advertised<br />
on late-night TV. The<br />
most powerful exercise equipment<br />
available is … your feet.<br />
One <strong>of</strong> the very best things<br />
you can do for your body is<br />
something you already know<br />
how to do: walk.<br />
Walking just 30 minutes<br />
a day most days <strong>of</strong> the<br />
week can help you lose<br />
weight, lower your blood<br />
pressure and decrease your<br />
risk <strong>of</strong> heart attack, stroke<br />
and diabetes, according to<br />
a recent study published<br />
in the Archives <strong>of</strong> Internal<br />
Start the Day in<br />
Your Favor<br />
Medicine. As a weightbearing<br />
exercise, walking can<br />
also strengthen your bones,<br />
combating osteoporosis—<br />
especially important for<br />
people who are treating<br />
arthritis or other illnesses<br />
with bone-thinning corticosteroid<br />
medications.<br />
Here’s how to begin a<br />
walking program:<br />
u Find a safe place to walk,<br />
whether it’s your neighborhood,<br />
local mall or<br />
fitness center.<br />
u Start gradually. Slowly<br />
increase your pace and<br />
What did you have for your fi rst meal <strong>of</strong> the<br />
day Maybe c<strong>of</strong>fee and a doughnut Or did<br />
you skip breakfast altogether If you’re one<br />
<strong>of</strong> the millions <strong>of</strong> Americans who don’t make time for this<br />
start-the-day meal, you might be one <strong>of</strong> the many who<br />
also are overweight or suffer from a lack <strong>of</strong> energy.<br />
According to researchers at Harvard University, adults<br />
who eat breakfast are nearly 50 percent less likely to be<br />
obese than those who don’t. In addition, study after study<br />
has shown that people who eat breakfast have more<br />
endurance and better concentration throughout the day.<br />
After eight to 12 hours without eating since the previous<br />
night’s dinner, your body and brain need to be replenished.<br />
So what can you do if you don’t have time for a hearty<br />
meal <strong>of</strong> an egg-white omelet, toast and grapefruit Try<br />
these breakfast-on-the-go ideas:<br />
u whole-grain cereal with a cup <strong>of</strong> yogurt<br />
u instant oatmeal with low-fat or nonfat milk and dried fruit<br />
u toasted waffl es topped with peanut butter<br />
u a cereal bar and a banana<br />
Masterfi le<br />
distance, adding two or<br />
three minutes to your walk<br />
each week.<br />
u Wear comfortable, wellfitting<br />
shoes with flexible<br />
soles and good heel support.<br />
u Get a pedometer and aim<br />
for 10,000 steps a day,<br />
including while working,<br />
running errands or cleaning.<br />
Every step counts!<br />
Walk around the track<br />
or hop on the treadmill at<br />
<strong>Memorial</strong>’s Health & Lifestyle<br />
Center. For details, visit<br />
www.quality<strong>of</strong>life.org/hlc<br />
or call (574) 647-2650.<br />
What’s a Serving Size<br />
For information about weight management,<br />
serving sizes and healthy eating<br />
habits, call <strong>Memorial</strong>’s Health Discovery<br />
Center at (574) 647-6880.<br />
IN CASE<br />
OF<br />
EMERGENCY<br />
Would you know what<br />
to do if your child was<br />
bleeding or had lost<br />
consciousness If the<br />
answer is no, then you<br />
may want to register for<br />
a child/infant CPR class<br />
to help you prepare for<br />
life’s unexpected medical<br />
emergencies. To<br />
learn more about this<br />
and other classes<br />
available at <strong>Memorial</strong>,<br />
please see page 19 or<br />
call (574) 647-2680.<br />
PULSE is a biannual publication <strong>of</strong> <strong>Memorial</strong><br />
Health System. <strong>Memorial</strong> Health System is a<br />
community-owned healthcare system providing<br />
services for people and families throughout<br />
Michiana. Philip A. Newbold, President & CEO;<br />
Ruth Linster, Manager <strong>of</strong> Media & Community<br />
Relations; Kris Hosbein, Creative Director;<br />
Maggie Scroope, Print Communications<br />
Coordinator; Jim Labuzienski, Art Director.<br />
<strong>Memorial</strong> Health System, 615 N. Michigan<br />
St., <strong>South</strong> <strong>Bend</strong>, IN 46601, (574) 647-6800,<br />
www.quality<strong>of</strong>life.org. Copyright © <strong>2005</strong> by<br />
McMurry. All rights reserved. Information in<br />
this publication is not intended for the purpose<br />
<strong>of</strong> diagnosing or prescribing. Consult your<br />
physician before undertaking any form <strong>of</strong><br />
medical treatment and/or advice contained in<br />
this publication. If you are receiving multiple<br />
copies, need to change your mailing address<br />
or do not wish to receive this publication,<br />
please send your mailing label(s) and the<br />
updated information to<br />
McMurry, 1010 E. Missouri<br />
Ave., Phoenix, AZ 85014,<br />
(888) 626-8779.<br />
!<br />
10<br />
For <strong>Memorial</strong> a physician Health referral, System call • 574-647-6800<br />
Anytown <strong>Hospital</strong> Medical Center at (123) 456-7890.
Take<br />
Charge<br />
Advance directives give you<br />
a voice in end-<strong>of</strong>-life medical care<br />
It’s not easy to think about, but planning ahead for medical<br />
treatment should you become incapacitated due to serious illness,<br />
injury or advanced age can give you more control over<br />
your medical care and ease the burden <strong>of</strong> decision-making on your<br />
family. Documents called advance directives let you do just that.<br />
“Advance directives are one way to communicate your desires for<br />
medical treatment if you’re incapacitated. Sharing your wishes through<br />
these documents and explaining your intentions will help your family<br />
if they have to make decisions for you,” said Tina Leatherman, MSN,<br />
R.N., <strong>Memorial</strong>’s Palliative Care Coordinator.<br />
!<br />
Make Your Wishes Known<br />
A durable power <strong>of</strong> attorney for health care, or proxy, designates<br />
someone you trust to direct your care. A health care declaration, also<br />
known as a living will, indicates the type <strong>of</strong> care you want or don’t<br />
want if you’re unable to give instructions. Ideally, it’s best to use both<br />
forms. Having a proxy promotes flexible decision-making, while a<br />
living will reassures the proxy that he or she is following your wishes.<br />
Another document known as a do-not-resuscitate (DNR) order<br />
can supplement other directives, indicating that you do not want<br />
cardiopulmonary resuscitation in the event <strong>of</strong> heart or lung failure.<br />
Plan Ahead<br />
In addition to making all <strong>of</strong> your health care providers aware <strong>of</strong><br />
your wishes, you should ensure that your proxy and family both<br />
know—and more importantly, understand—your wishes, Leatherman<br />
said. “If a family member strongly disagrees with your advance directive,<br />
he or she can basically make that null and void,” she said.<br />
Keep originals <strong>of</strong> your directives safe but accessible, and provide<br />
copies to your proxy, alternate proxy and all <strong>of</strong> your physicians and<br />
other health care providers. Discuss with your doctor, lawyer or state<br />
representative those laws applicable in your state. In other words,<br />
get as much information as possible to make an informed decision<br />
that’s best for you. ■<br />
SOMEONE TO LEAN ON<br />
Facing a life-threatening illness or injury can be a source <strong>of</strong><br />
uncertainty, fear and stress. For a list <strong>of</strong> support groups and<br />
services, please see page 19, or call <strong>Memorial</strong>’s Palliative<br />
Care Coordinator at 574-647-2088.<br />
Where to Start<br />
Making end-<strong>of</strong>-life decisions before an emergency or<br />
illness occurs will allow you to be directly involved in<br />
your own medical treatment. Consider the following<br />
resources for advance directive forms, as well as organizations<br />
for caregivers <strong>of</strong> patients who have not made<br />
their wishes known.<br />
u National Hospice and Palliative Care Organization:<br />
Supplies free advance directive forms for residents <strong>of</strong><br />
all states. 800-658-8898, nhpco.org<br />
u Aging with Dignity: Offers “Five Wishes,” a $5 document<br />
containing both a living will and a durable<br />
power <strong>of</strong> attorney for health care. 888-5-WISHES,<br />
agingwithdignity.org<br />
u National Academy <strong>of</strong> Elder Law Attorneys: Furnishes<br />
a directory <strong>of</strong> elder-law attorneys. (520) 881-4005,<br />
naela.org<br />
u Family Caregiver Alliance: Assists caregivers with education,<br />
research, services and advocacy. 800-445-8106,<br />
caregiver.org, info@caregiver.org<br />
u Growth House, Inc.: Provides a clearinghouse <strong>of</strong><br />
resources for life-threatening illness and end-<strong>of</strong>-life care.<br />
growthhouse.org<br />
u Agency for Healthcare Research and Quality: Offers<br />
a report for health care providers on end-<strong>of</strong>-life issues.<br />
ahrq.gov/clinic/epcsums/eolsum.htm<br />
Getty Images<br />
www.anytownhospital.com www.quality<strong>of</strong>life.org<br />
11
Apple Brown Betty<br />
Crust:<br />
∂⁄Ω c. all-purpose flour<br />
∞⁄∏ c. quick-cooking oats<br />
3 Tbsp. brown sugar<br />
3 Tbsp. margarine<br />
Topping:<br />
2 sweet apples, cored and sliced<br />
2 Tbsp. fresh lemon juice<br />
∞⁄Ω c. all-purpose flour<br />
∞⁄¬ c. brown sugar<br />
∞⁄∏ tsp. ground cinnamon<br />
2 Tbsp. margarine<br />
Preheat oven to 350°F. Coat an 8-by-<br />
8-inch baking dish with cooking spray. In a<br />
medium bowl, combine flour, oats and brown<br />
Alamy<br />
sugar. Use fingers to rub in margarine until<br />
mixture resembles coarse meal. Press dough<br />
evenly over bottom <strong>of</strong> prepared pan. Bake until<br />
lightly browned, approximately 10 minutes.<br />
In another bowl, toss apples with lemon<br />
juice. In a separate small bowl, stir together<br />
flour, brown sugar and cinnamon. Work in<br />
margarine with fingers until mixture resembles<br />
coarse meal. Spoon apples over baked<br />
Apples are a good source <strong>of</strong> fiber and<br />
come in a variety <strong>of</strong> colors and flavors.<br />
dough. Scatter flour-sugar mixture evenly<br />
over apples. Bake for about 30 minutes or<br />
until topping is lightly crisped. Cool and slice<br />
into 6 bars. Serve warm.<br />
Servings: 6<br />
Nutrition information per serving: Calories,<br />
232; Fat, 10 g; Saturated fat, 2 g; Cholesterol,<br />
0 mg; Sodium, 83 mg; Carbohydrates, 33 g;<br />
Protein, 3 g<br />
Recipe from Heartfelt Cuisine. Reprinted with permission<br />
<strong>of</strong> 21st Century Publishing, A Division <strong>of</strong> Cardiodoc, LLC.<br />
For other nonfat, low-fat, low-sugar, low-sodium recipes,<br />
purchase this book online at heartfeltcuisine.com or call<br />
800-274-8810.<br />
Fitting In Fiber<br />
If there were a miracle food that could<br />
protect you from heart disease, diabetes<br />
and colon cancer, would you eat it Sure you<br />
would. Well, it could be in your pantry at this<br />
very moment.<br />
Fiber is essential to a healthy diet, according<br />
to the American Dietetic Association (ADA).<br />
Found only in plants, fi ber is benefi cial to your<br />
body in several ways. It can help reduce LDL<br />
(“bad”) cholesterol and prevent heart disease.<br />
It can help regulate blood glucose levels and<br />
prevent diabetes. Fiber has also been associated<br />
with a lower risk <strong>of</strong> colon cancer, and it can even<br />
!<br />
help you maintain a healthy weight.<br />
The average American consumes between<br />
12 and 17 grams <strong>of</strong> fi ber a day, according to the<br />
ADA, but the recommended amount is between<br />
20 and 35 grams a day. Fitting more fi ber into<br />
your diet may be easier than you think. Consider<br />
including these high-fi ber foods in your next meal:<br />
FOOD<br />
FIBER<br />
∑⁄¬ cup bran fl ake cereal 5.5 grams<br />
Pear (with skin)<br />
4.5 grams<br />
∞⁄∏ cup kidney beans 4.5 grams<br />
Potato (with skin)<br />
4 grams<br />
∑⁄¬ cup oatmeal<br />
3 grams<br />
Apple (with skin)<br />
3 grams<br />
Slice whole-wheat bread 2.5 grams<br />
GET COOKING FOR A HEALTHY HEART<br />
For other heart-healthy foods, recipes, grocery shopping tips and more,<br />
call <strong>Memorial</strong>’s Health Discovery Center at 574-647-6880 or visit<br />
www.deliciousdecisions.org.<br />
Nothing Fishy<br />
About It<br />
Fish is an excellent source<br />
<strong>of</strong> omega-3 fatty acids,<br />
ideal for protecting against<br />
heart disease. But you can<br />
have a healthier heart without<br />
being fishy. Try these<br />
omega-3-rich alternatives:<br />
u canola oil<br />
u flaxseed oil<br />
u omega-3-enriched eggs<br />
u soybeans<br />
u t<strong>of</strong>u<br />
u walnuts<br />
Source: Tufts University<br />
12 <strong>Memorial</strong> Health System • 574-647-6800
!<br />
You<br />
Heart<br />
and Your<br />
When it comes to your health,<br />
make every meal count<br />
13<br />
The body’s relationship with food<br />
can be one <strong>of</strong> friendship or one <strong>of</strong><br />
conflict—especially when it comes<br />
to our health. “Diet plays a vital role in<br />
the prevention <strong>of</strong> heart disease,” said<br />
Melisa Spencer, R.D., C.D., a registered<br />
dietitian at <strong>Memorial</strong> <strong>Hospital</strong>.<br />
Making the right choices at the dinner<br />
table can help you improve your<br />
cholesterol levels and maintain a healthy<br />
weight—both <strong>of</strong> which translate to a<br />
healthier heart.<br />
Heart Heroes<br />
“A heart-friendly diet should include<br />
a variety <strong>of</strong> foods, including whole grains,<br />
plenty <strong>of</strong> fruits and vegetables, low-fat<br />
dairy products, nuts and legumes, and<br />
lean meats, as well as fatty fish at least<br />
twice a week,” Spencer said. “Oils, especially<br />
those with high levels <strong>of</strong> monounsaturated<br />
fat, such as olive, canola,<br />
peanut and high-oleic sunflower oil,<br />
also are a smart addition to your diet.”<br />
Studies have shown<br />
that a glass <strong>of</strong> red wine<br />
with dinner may also<br />
prove beneficial in<br />
reducing heart-disease<br />
risk. Red wine contains<br />
flavonoids, which may<br />
help protect artery walls<br />
from heart disease and stroke, as well as<br />
lower blood pressure. “Dark chocolate,<br />
green tea and red grapes also contain<br />
significant amounts <strong>of</strong> these beneficial<br />
compounds,” Spencer added.<br />
Nuts are another heart-friendly food,<br />
rich in monounsaturated fat, vitamin E<br />
and fiber. But because <strong>of</strong> their high<br />
calorie content, Spencer reminds us to<br />
enjoy them in moderation.<br />
The Culprits<br />
“Saturated fat, found in high-fat<br />
dairy and meat products, raises your<br />
LDL [bad] cholesterol and blood<br />
lipids more than other types <strong>of</strong> fat,”<br />
Spencer said. “Limit these types <strong>of</strong> foods<br />
in your diet.”<br />
New evidence suggests that trans fat,<br />
found in margarine and many processed<br />
foods (look for the words “hydrogenated”<br />
and “partially hydrogenated” in the ingredients<br />
list), should also be limited. “Trans<br />
fat raises LDL cholesterol while lowering<br />
HDL [good] cholesterol—a dangerous<br />
combination,” Spencer explained. Beginning<br />
in January 2006, in accordance with<br />
the U.S. Food and Drug Administration,<br />
all food-product nutrition labels will be<br />
required to list trans-fat content. This will<br />
make it easier for consumers to limit the<br />
amount <strong>of</strong> trans fat in their diets. ■<br />
Getty Images<br />
What’s on the Menu<br />
Making heart-smart decisions at restaurants can be tricky. The next time you dine out, steer clear <strong>of</strong><br />
unhealthy items and replace them with heart-healthy substitutes.<br />
Instead <strong>of</strong>:<br />
Cream- and cheese-based soups<br />
White bread with butter<br />
Pasta with cream, cheese or meat sauce<br />
Steak with mashed potatoes and deep-fried onions<br />
Crème brûlée with berries<br />
Flourless chocolate cake<br />
Try:<br />
Broth-based soups, such as minestrone<br />
Whole-wheat bread dipped in olive oil<br />
Pasta with marinara sauce and grilled chicken<br />
Broiled fi sh with steamed vegetables<br />
Fresh seasonal berries with a dollop <strong>of</strong> nonfat whipped cream<br />
Fresh fruit sorbet<br />
DINING OUT<br />
For free heart-healthy tips<br />
on eating out at a variety <strong>of</strong><br />
restaurants, visit the American<br />
Heart Association Web<br />
site, deliciousdecisions.org/<br />
oa/eat_tips_main.html.<br />
www.quality<strong>of</strong>life.org
Living with<br />
Thanks to early detection and<br />
treatment advances, a cancer diagnosis<br />
is no longer what it once was<br />
Cancer<br />
Not long ago, a cancer diagnosis implied an uncertain future<br />
at best. But thanks to advancements in treatment and early<br />
detection, many cancers can now be conquered and, in some<br />
cases, prevented entirely.<br />
SCREENING<br />
SAVERS<br />
For a list <strong>of</strong> recommended<br />
annual cancer<br />
screenings, visit the American<br />
Cancer Society’s Web site,<br />
cancer.org, and click on<br />
“Cancer Detection Guidelines.”<br />
!<br />
“Cancer is the leading cause <strong>of</strong> death<br />
up to age 85, but that is declining more<br />
rapidly because <strong>of</strong> strategies we have for<br />
detecting cancers earlier, as well as the<br />
success we’ve had in treating cancers,” said<br />
Rafat Ansari, M.D., FACP, Director <strong>of</strong><br />
Oncology Services at <strong>Memorial</strong> <strong>Hospital</strong>.<br />
Catching It Early<br />
According to Dr. Ansari, screening<br />
tests and noninvasive procedures performed<br />
on patients who have no symptoms<br />
are the best means <strong>of</strong> catching cancers<br />
at an early stage.<br />
Tests available for some forms <strong>of</strong> cancer<br />
include an FOBT (fecal occult blood test)<br />
for colorectal cancer. “This is a simple,<br />
inexpensive test done at home,” Dr. Ansari<br />
said. Patients place stool samples on a<br />
cardboard sheet and send it back to their<br />
physician for analysis. Colonoscopy is<br />
another means <strong>of</strong> determining colorectal<br />
cancer. A long tube is inserted into the<br />
rectum and large intestine to look for<br />
polyps. Both tests are recommended for<br />
men and women beginning at age 50,<br />
or earlier if there is a family history <strong>of</strong><br />
colon cancer.<br />
Mammograms are the best means<br />
<strong>of</strong> detecting breast cancer at an early<br />
stage and are recommended annually<br />
for women over 40. “There has been a<br />
35 percent decrease in mortality from<br />
breast cancer [thanks to early detection],”<br />
Dr. Ansari said.<br />
For early detection <strong>of</strong> prostate cancer,<br />
a digital rectal examination (DRE)<br />
combined with a prostate-specific antigen<br />
(PSA) blood test should be performed<br />
for men after age 50. If the patient is at<br />
a high risk for prostate cancer, including<br />
those men with a family history <strong>of</strong><br />
the disease or those who are African<br />
American, testing is recommended as<br />
early as age 40.<br />
Treatment Options<br />
When cancer is detected at an early<br />
stage, treatment has proven to be highly<br />
successful. “Because we have wonderful<br />
advances in treatment, there are 10 million<br />
cancer survivors living with us today,”<br />
Dr. Ansari said. “That’s pro<strong>of</strong> that early<br />
detection is key.”<br />
For breast cancer patients, a lumpectomy—the<br />
removal <strong>of</strong> the tumor and not<br />
the entire breast—has proven to be very<br />
successful. “Ninety-seven percent <strong>of</strong><br />
patients are alive and free <strong>of</strong> the disease 15<br />
years after the procedure,” Dr. Ansari said.<br />
If a patient learns he or she has colorectal<br />
cancer after undergoing a colonoscopy,<br />
and if the cancer is localized to the polyp<br />
only, nothing further needs to be done,<br />
14<br />
<strong>Memorial</strong> Health System • 574-647-6800
Risky Business<br />
With just a few tweaks, cancer-promoting<br />
habits can be transformed into a cancerpreventing<br />
lifestyle. Here are a few<br />
pointers from Rafat Ansari, M.D., FACP,<br />
Director <strong>of</strong> Oncology Services at<br />
<strong>Memorial</strong> <strong>Hospital</strong>.<br />
COLON CANCER<br />
High-Risk Habits: Grilled red meats are<br />
high in fat and cholesterol and weaken the<br />
immune system, and studies have shown<br />
a link between red meat and colon cancer.<br />
Risk-Lowering Tweaks: Instead <strong>of</strong> a<br />
hamburger, try a veggie burger or a grilled<br />
chicken sandwich.<br />
LUNG CANCER<br />
High-Risk Habits: As countless studies<br />
have shown, smoking and exposure to<br />
secondhand smoke are the primary causes<br />
<strong>of</strong> lung cancer.<br />
Risk-Lowering Tweaks: Smoking cessation<br />
is the single most important step you<br />
can take to decrease your lung cancer risk;<br />
avoid secondhand smoke as well.<br />
Ken Easley<br />
considering the polyp has already been<br />
removed. But if cancerous tissue has spread<br />
to the wall <strong>of</strong> the colon or elsewhere in<br />
the abdomen, surgery is recommended,<br />
followed by further treatment options<br />
if necessary.<br />
According to the National Cancer<br />
Institute, once prostate cancer has been<br />
diagnosed, tests are performed to determine<br />
whether cancer cells have spread<br />
within the prostate or to other parts <strong>of</strong><br />
the body. Depending on the result, different<br />
treatment options are discussed<br />
with the patient.<br />
A procedure being used more frequently<br />
for a variety <strong>of</strong> different cancers,<br />
including lung, prostate and breast cancers,<br />
is intensity-modulated radiation treatment<br />
(IMRT). “This procedure tailors the dose<br />
<strong>of</strong> radiation to the individual,” Dr. Ansari<br />
said. “It directs the dosage with greater<br />
precision, minimizing side effects.”<br />
Regardless <strong>of</strong> the success <strong>of</strong> a treatment,<br />
Dr. Ansari urges patients to focus on<br />
prevention and early detection. “We’ve<br />
had remarkable advances in treatment,<br />
but keep in mind that it’s more difficult<br />
to overcome an advanced diagnosis,” he<br />
said, reminding us that it’s crucial to be<br />
vigilant about following cancer screening<br />
guidelines and maintaining healthy<br />
lifestyle habits. ■<br />
BREAST CANCER<br />
High-Risk Habits: “Gaining significant<br />
weight after menopause places women at<br />
a much higher risk for developing breast<br />
cancer,” Dr. Ansari said.<br />
Risk-Lowering Tweaks: To keep weight<br />
down, avoid sugary sweets and foods high<br />
in fat and calories yet lacking in nutrition.<br />
Instead, try a bowl <strong>of</strong> fresh strawberries or<br />
grapes or a handful <strong>of</strong> baby carrots.<br />
SKIN CANCER<br />
High-Risk Habits: Sunbathing and<br />
tanning booths increase your exposure<br />
to harmful ultraviolet rays.<br />
Risk-Lowering Tweaks: Avoid sun<br />
exposure between 10 a.m. and 4 p.m.<br />
Cover up when outdoors, wearing UVprotective<br />
sunglasses, a wide-brimmed<br />
hat, a long-sleeved shirt and pants, or<br />
at least a sunscreen <strong>of</strong> SPF 15 or higher.<br />
And stay out <strong>of</strong> tanning booths.<br />
www.quality<strong>of</strong>life.org<br />
15
News Briefs<br />
One-Stop Patient Transfer Services to <strong>Memorial</strong><br />
medical care. Now <strong>Memorial</strong> has<br />
one-call access to a specially<br />
as well as <strong>Memorial</strong>’s pediatric ICU<br />
improved the process even more.<br />
trained transfer coordinator, who<br />
ground transport team.<br />
Getting patients where they need<br />
to be—fast—is one <strong>of</strong> the most<br />
important ways <strong>Memorial</strong> ensures<br />
the health and well-being <strong>of</strong> those<br />
needing quick access to expert<br />
A new system called TransferDirect<br />
streamlines the process for<br />
admitting patients from other<br />
hospitals or who are being<br />
flown in from an emergency<br />
scene. TransferDirect provides<br />
facilitates communication between<br />
transferring hospitals, members <strong>of</strong><br />
<strong>Memorial</strong>’s medical staff, nursing<br />
staff and other key personnel. The<br />
transfer coordinator also handles<br />
mobilizing the <strong>Memorial</strong> helicopter<br />
While you’ll probably never call<br />
TransferDirect yourself, you or<br />
someone you love may someday<br />
benefi t. For more information,<br />
call 574-647-6800.<br />
Spirit <strong>of</strong> Nursing<br />
The Spirit <strong>of</strong> Nursing is alive and well at <strong>Memorial</strong>.<br />
It takes a special kind <strong>of</strong> person to be a nurse:<br />
that special touch, that special spirit, that special<br />
person who can balance clinical expertise with<br />
compassionate care.<br />
Spirit <strong>of</strong> Nursing award winners take that spirit to<br />
a whole new level. Each nursing unit chooses one<br />
winner from within its ranks every year—a person who<br />
embodies the spirit <strong>of</strong> nursing through patient-focused<br />
care, positive attitude, teamwork and loyalty to patients<br />
and the nursing pr<strong>of</strong>ession. Winners are honored<br />
annually at the Spirit <strong>of</strong> Nursing awards banquet.<br />
“What really makes the night special is that nurses<br />
share their own stories about a particular event or<br />
patient who influenced how they practice nursing.<br />
These are wonderful and sometimes life-changing<br />
events,” said Connie McCahill, R.N., Vice President <strong>of</strong><br />
Nursing. “These great stories remind us all <strong>of</strong> what<br />
it means to be a nurse.”<br />
Back row, l to r: Daniel Neufelder; Jenny Toth, R.N.; Theresa Taylor, R.N.; Betty Roberts, LPN;<br />
Irma Niere, R.N.; Anna Odynski, R.N.; Renee Moore, R.N.; Teresa Pilawski, R.N.; Philip Newbold<br />
Front row, l to r: Karen Wetmore, R.N.; Melissa Quimby, R.N.; Melissa Swank, R.N.;<br />
Julia DesLauriers, R.N.; Jill Conn, R.N.; Patti Abell, R.N.; Donna Dikens, R.N.<br />
Back row, l to r: Daniel Neufelder; Michelle Bowman, R.N.; Kelly Mailloux, R.N.; Lydia Kellogg, R.N.;<br />
Betty Arndt, R.N.; Laura Gannon, R.N.; Jim Beck, R.N.; Jody Ames, R.N.; Philip Newbold<br />
Front row, l to r: Sheila Mullis, R.N.; Nancy Morris, R.N.; Mark Mayfield, R.N.;<br />
Sandi Martinez, R.N.; Brenda Lyons, R.N.; Chris Locandro, R.N.; Amy Ferguson, R.N.<br />
16 <strong>Memorial</strong> Health System • 574-647-6800
News Briefs<br />
Lighten Up! Making Fun <strong>of</strong> Exercise<br />
Clinical Research<br />
<strong>2005</strong> Lighten Up! participants<br />
“From the couch to the 5K in<br />
10 weeks.” That’s the goal <strong>of</strong><br />
These budding athletes—most<br />
<strong>of</strong> whom have never run in an<br />
crossing the fi nish line to lifelong<br />
healthy habits.<br />
HealthWorks! Kids’ Museum’s <strong>of</strong>fi cial race before—learned about<br />
For more information about next<br />
Lighten Up! program. This fun strength and conditioning, nutrition<br />
year’s Lighten Up! program, call<br />
and energizing fi tness program and great ways to get moving, like<br />
574-647-2693.<br />
for kids ages 9 to 16 teaches yoga and Jazzercise. At the end<br />
that eating right and exercising<br />
can actually be fun!<br />
<strong>of</strong> the program, the whole group<br />
successfully ran the Sunburst 5K,<br />
Endometrial Ablation Another Choice in Women’s Health<br />
Heavy periods can be more than<br />
just a nuisance. For the one in fi ve<br />
which, until recently, has been the<br />
only solution for many women.<br />
Following the procedure, most<br />
women experience significantly<br />
women who suffer from them,<br />
lighter periods with less pain. Some<br />
“For premenopausal women<br />
they’re a source <strong>of</strong> continual stress,<br />
have no periods at all. Recovery is<br />
who are done with child-bearing,<br />
rearranged schedules and even<br />
fast: Three-quarters <strong>of</strong> Dr. Kirsch’s<br />
ablation is a great alternative<br />
missed work days.<br />
patients are back to performing<br />
to hysterectomies,” said Ilana<br />
their normal activities the next<br />
Endometrial ablation, a procedure Kirsch, M.D., an obstetrician<br />
day, with most <strong>of</strong> the others back<br />
performed at <strong>Memorial</strong>, <strong>of</strong>ten and gynecologist with Women’s<br />
to their normal activities within<br />
provides the relief many women Reproductive Medicine.<br />
two days.<br />
are looking for. The 10-minute Endometrial ablation is not<br />
procedure is a simple, one-time<br />
and minimally invasive operation<br />
that removes the endometrial<br />
lining <strong>of</strong> the uterus. It <strong>of</strong>fers an<br />
alternative to a hysterectomy,<br />
recommended for women who<br />
may want to have children in the<br />
future, as the procedure makes<br />
future pregnancies unlikely.<br />
For more information about<br />
endometrial ablation at<br />
<strong>Memorial</strong>, call The Health<br />
Pr<strong>of</strong>essionals at 574-647-6800.<br />
<strong>Memorial</strong> Medical Group recently<br />
opened its new Clinical Research<br />
Department. Under the guidance <strong>of</strong><br />
experienced physician investigators<br />
using policies established by the<br />
Food and Drug Administration, the<br />
department recruits adult subjects<br />
for drug trials.<br />
“Pharmaceutical companies call<br />
on us when they need to test new<br />
drugs, or monitor those already on<br />
the market for safety,” said Kimberly<br />
Emmons, R.N., Nurse Manager. “We<br />
can also test for new indications <strong>of</strong><br />
medications, when a new use for an<br />
existing medication is discovered, or<br />
to test generic equivalents.”<br />
<strong>Memorial</strong> Medical Group physicians,<br />
who treat more than 1,000 patients<br />
daily at 12 locations throughout<br />
northern Indiana, now have<br />
access to new compounds and<br />
therapies and can provide increased<br />
opportunities to patients for<br />
cutting-edge treatment. For more<br />
information about clinical research<br />
opportunities, call 574-647-7883<br />
or visit www.quality<strong>of</strong>life.org/<br />
clinicalresearch.<br />
www.quality<strong>of</strong>life.org<br />
17
News Briefs<br />
Go Red for Women<br />
“It can’t happen to me.”<br />
“I’m too young.”<br />
“No one in my family had<br />
heart disease.”<br />
These are just a few <strong>of</strong> the<br />
misconceptions that can keep<br />
women from leading strong,<br />
healthy and long lives. Though<br />
commonly known as a “men’s<br />
issue,” heart disease is the No. 1<br />
killer <strong>of</strong> American women. In fact,<br />
two out <strong>of</strong> fi ve women will die<br />
from heart disease. And what we<br />
don’t know can kill us.<br />
To show its continued support <strong>of</strong><br />
women’s heart health, <strong>Memorial</strong><br />
co-sponsored the American Heart<br />
Association’s Go Red for Women<br />
event, which raised awareness<br />
about the warning signs <strong>of</strong> heart<br />
disease in women. The evening<br />
featured silent and live auctions<br />
and a nationally known speaker on<br />
nutrition. To cap <strong>of</strong>f the evening,<br />
local heart disease survivors<br />
modeled red dresses from area<br />
boutiques. Proceeds from the<br />
evening benefi tted local heart<br />
disease prevention and awareness<br />
initiatives through the American<br />
Heart Association.<br />
Local heart disease survivors walked the red carpet<br />
at the Go Red for Women fashion show.<br />
Ischemic Stroke Unit Provides Specialized Care<br />
It can happen to anyone,<br />
assigned to different floors and<br />
anywhere, at any time—and can units throughout the hospital.<br />
cause devastating consequences<br />
A dedicated unit provides more<br />
to patients and their families.<br />
consistent, stroke-specifi c<br />
Stroke kills nearly 163,000 people<br />
care, resulting in higher patient<br />
a year, making it the third-leading<br />
satisfaction and, more importantly,<br />
cause <strong>of</strong> death, behind heart<br />
better patient outcomes.<br />
disease and cancer. Ischemic<br />
stroke, which occurs when an “Dedicated stroke units have been<br />
artery to the brain becomes found to help shorten a patient’s<br />
blocked, accounts for more than length <strong>of</strong> stay, decrease mortality<br />
88 percent <strong>of</strong> all strokes.<br />
rates and, very importantly, improve<br />
patients’ ability to function once<br />
Getting stroke victims the<br />
they leave the hospital,” said Clinical<br />
specialized care they need means<br />
Nurse Specialist Becky Castro.<br />
the difference between life and<br />
death. That’s why <strong>Memorial</strong> The interdisciplinary team consists<br />
recently opened the Ischemic <strong>of</strong> Medical Director Michael Englert,<br />
Stroke Unit on the hospital’s M.D., as well as a clinical nurse<br />
seventh floor. This new model for specialist, nursing staff, occupational/<br />
delivering care allows specialists physical/speech therapists, dietitians,<br />
to treat all ischemic stroke<br />
and social service pr<strong>of</strong>essionals.<br />
patients in one four-bed unit,<br />
instead <strong>of</strong> having to treat patients<br />
Know these warning signs <strong>of</strong> stroke<br />
and teach them to others. Every<br />
second counts:<br />
• Sudden numbness or weakness<br />
<strong>of</strong> the face, arm or leg, especially<br />
on one side <strong>of</strong> the body<br />
• Sudden confusion, trouble<br />
speaking or understanding<br />
• Sudden trouble seeing in one<br />
or both eyes<br />
• Sudden trouble walking,<br />
dizziness, loss <strong>of</strong> balance or<br />
coordination<br />
• Sudden, severe headache with<br />
no known cause<br />
If you or someone you know<br />
experiences any <strong>of</strong> these symptoms,<br />
call 911 immediately. The sooner<br />
treatment begins, the better the<br />
chance <strong>of</strong> minimizing the damage<br />
caused by stroke.<br />
Information provided by the American Stroke Association<br />
<strong>Memorial</strong> Medical<br />
Group Welcomes<br />
New Physician<br />
Kevin J. McAward, M.D., has joined<br />
the team at the Sports Medicine<br />
Institute, 111 W. Jefferson Blvd.<br />
He received his medical degree<br />
from University College Cork<br />
in Ireland and completed his<br />
residency in family medicine at<br />
the <strong>Memorial</strong> Family Medicine<br />
Residency Program. He received<br />
his bachelor’s degree from the<br />
University <strong>of</strong> Notre Dame and also<br />
served as a resident physician for<br />
the Notre Dame football team. For<br />
an appointment with Dr. McAward,<br />
please call the Sports Medicine<br />
Institute at 574-289-4764.<br />
18 <strong>Memorial</strong> Health System • 574-647-6800
Datebook<br />
<strong>Memorial</strong> <strong>of</strong>fers educational events, classes and screenings as part <strong>of</strong> our ongoing mission to build a healthier<br />
community. Many programs are free and some have a nominal fee. For more information, call the number<br />
provided or contact The Health Pr<strong>of</strong>essionals at 574-647-6800 or 800-999-8890. For additional<br />
information you can also visit us at www.quality<strong>of</strong>life.org.<br />
Classes<br />
Diabetes Education Classes<br />
Nutrition and lifestyle management<br />
skills for people with diabetes.<br />
Open to anyone with diabetes,<br />
their families and signifi cant others.<br />
Call 574-647-7700.<br />
Lung Center<br />
Provides free, one-on-one<br />
education for those with asthma,<br />
COPD and other pulmonary<br />
problems. Classes available<br />
7:30 a.m. to 6 p.m. Call<br />
574-251-0041, Monday through<br />
Friday, for an appointment.<br />
Ortho Classes<br />
Total hip, knee and shoulder<br />
replacement classes available at<br />
no charge. Call 574-647-7398<br />
Monday through Friday for availability.<br />
Call it Quits<br />
A six-month telephone-based<br />
counseling program staffed<br />
by trained nurses to help you<br />
stop smoking. You will receive<br />
educational materials, follow-up<br />
calls and phone access to nurse<br />
counseling 24 hours a day,<br />
seven days a week. $25.<br />
LifeSteps<br />
A comprehensive weight management<br />
program that stresses the<br />
importance <strong>of</strong> diet, physical activity<br />
and behavioral modifi cation techniques<br />
for weight loss and maintenance.<br />
Classes meet weekly for<br />
16 weeks. $150.<br />
Support Groups<br />
AARP<br />
Meets on the first Monday <strong>of</strong> the<br />
month at 1:30 p.m. at the Leighton<br />
Center for Senior Health. Call Leon<br />
Caenepeel at 574-287-3036.<br />
Arthritis Partnership<br />
Meets on the second Thursday <strong>of</strong><br />
the month at 2 p.m. at the Leighton<br />
Center for Senior Health. Call Mary<br />
Beth Ryan at 574-251-1424.<br />
Diabetes Support Group<br />
Open to people ages 50 and older<br />
with diabetes. Meets on the third<br />
Tuesday <strong>of</strong> the month at 10 a.m.<br />
at the Leighton Center for Senior<br />
Health. Participants are welcome<br />
to bring a friend or family member.<br />
Call Nan Monhaut at 574-647-7168.<br />
Leukemia & Lymphoma<br />
Support Group<br />
Meets on the second Wednesday <strong>of</strong><br />
the month at 5 p.m. at the Leighton<br />
Center for Senior Health. Call Beth<br />
Kellogg at 574-647-3140.<br />
Low Vision Support Group<br />
Meets on the third Thursday <strong>of</strong> the<br />
month from 11 a.m. to 1 p.m. at the<br />
Leighton Center for Senior Health.<br />
Call Joe King at 574-254-1603.<br />
Lupus Support Group<br />
Meets the second Tuesday <strong>of</strong> the<br />
month from 7 to 9 p.m. at the<br />
Leighton Center for Senior Health.<br />
Call Sue Petzold at 574-233-2700.<br />
Mother Matters Support Group<br />
Focuses on postpartum depression<br />
and parenting responsibilities. Meets<br />
twice a month in the Family Education<br />
Center. Call 574-647-7396.<br />
MS Support Group<br />
Meets on the first Tuesday <strong>of</strong> the<br />
month from 6:30 to 8 p.m. at<br />
Main Street Medical Group. Call<br />
Gretchen Cave at 574-675-9917.<br />
Ostomy Support Group<br />
Contact Sue Stelton at<br />
574-647-3156 for details.<br />
Parkinson’s Disease<br />
Support Group<br />
Meets on the first Wednesday<br />
<strong>of</strong> the month at 1:30 p.m. with an<br />
optional exercise session at 1 p.m.<br />
at the Leighton Center for Senior<br />
Health. Call Jim Banner at<br />
574-291-4217.<br />
2nd Wind Group (COPD)<br />
A support group for individuals<br />
with lung disease. Meets Tuesdays<br />
from 1:30 to 3 p.m. at the Leighton<br />
Center for Senior Health. Call<br />
Jan Cosby at 574-647-7178.<br />
Women In Touch Cancer Support<br />
Meets on the first Tuesday <strong>of</strong> the<br />
month at 5:30 p.m. at the Leighton<br />
Center for Senior Health. Call Kathy<br />
Johnson at 574-647-7280.<br />
For New Families<br />
Advance registration is required for<br />
all classes unless noted otherwise.<br />
Call 574-647-6801. All classes are<br />
held in the Family Education Center<br />
on the third floor <strong>of</strong> <strong>Memorial</strong><br />
<strong>Hospital</strong>. Class sizes may be limited.<br />
Child/Infant CPR<br />
This one-evening class meets<br />
American Heart Association<br />
guidelines in child/infant CPR and<br />
safety. Meets the first Wednesday<br />
<strong>of</strong> the month from 6 to 10 p.m.<br />
at HealthWorks! Kids’ Museum.<br />
Class materials must be obtained<br />
in advance. $10/person. Register<br />
at least two weeks in advance.<br />
Preparing for Childbirth<br />
Prepares couples for the childbirth<br />
experience. $65/couple. Series <strong>of</strong><br />
six classes. Tour included.<br />
Clases Para Un Embarazo<br />
Saludable<br />
(Classes for a Healthy Pregnancy)<br />
En español. Las mujeres<br />
embarazadas tendrán oportunidad<br />
de recibir información acerca del<br />
proceso del embarazo y parto.<br />
Llame a Mercedes Moran, R.N.,<br />
574-647-7799.<br />
Lunch & Learn Prenatal Class<br />
One-day intensive version <strong>of</strong><br />
Preparing for Childbirth. 9 a.m. to<br />
5 p.m. on Saturdays, <strong>of</strong>fered once<br />
or twice each month. $65/couple.<br />
Tour included.<br />
Childbirth Refresher Course<br />
A one-evening review for those<br />
who have previously taken a<br />
childbirth preparation course.<br />
$20/couple.<br />
Sibling Orientation Class<br />
Children between the ages <strong>of</strong> 3<br />
and 7 learn about newborns and<br />
how to participate in baby care.<br />
$5/child.<br />
Tours<br />
Free tours <strong>of</strong> the <strong>Memorial</strong> Regional<br />
Childbirth Center are available<br />
throughout the year.<br />
Cesarean Birth Preparation<br />
Class/VBAC<br />
A one-time class for families<br />
expecting a Cesarean delivery<br />
or wanting a vaginal birth after a<br />
Cesarean. Includes a tour. $20.<br />
Prenatal Breastfeeding Class<br />
Information on breastfeeding taught<br />
by certified lactation consultants.<br />
Offered monthly. $10/couple.<br />
Preparing Young Families<br />
Designed for teens and young<br />
women who would prefer to work<br />
with a smaller group <strong>of</strong> young<br />
expectant mothers and their<br />
partners or family members<br />
as birth support. $25.<br />
Instructions Not Included<br />
A fun, informational series that<br />
meets four times to cover all the<br />
parenting basics. Classes rotate<br />
so you can start any week. $15.<br />
ABC<br />
A perfect class for mom, dad and<br />
grandparents that focuses on the<br />
basics <strong>of</strong> holding, soothing and<br />
quieting a crying infant. Topics also<br />
include home safety, and choosing<br />
a pediatrician and childcare for your<br />
baby. $10/couple. Classes <strong>of</strong>fered<br />
once a month.<br />
Celebrating Pregnancy<br />
Workshop<br />
Join other moms-to-be to celebrate<br />
all the joys that pregnancy brings to<br />
expectant mothers. Activities include<br />
art, music and belly casting. Workshops<br />
are held four times a year.<br />
$60.<br />
The Health Discovery Center <strong>of</strong>fers<br />
free blood pressure screenings.<br />
Other screenings are also available<br />
for a small fee. Please call<br />
574-647-6880 for details.<br />
www.quality<strong>of</strong>life.org<br />
19
Is This Your Year to See<br />
What’s Possible<br />
This is Our Year<br />
2,709 lbs. Lost…and Counting<br />
The Weight Loss and Bariatric Surgery Program at<br />
<strong>Memorial</strong> <strong>Hospital</strong> <strong>of</strong> <strong>South</strong> <strong>Bend</strong> is a unique service<br />
<strong>of</strong>fering both surgical and nonsurgical options to meet<br />
your specific weight-loss needs.<br />
Surgical Treatment<br />
If you are struggling with morbid obesity, surgery—<br />
combined with behavior modification—can be<br />
a lifesaving option. Our program has a team <strong>of</strong><br />
bariatric pr<strong>of</strong>essionals dedicated to compassionately<br />
treating morbidly obese patients. Physicians. Nurses.<br />
Psychologists. Dietitians. Exercise physiologists.<br />
All working together with you, for you.<br />
A Complete Approach<br />
The fight against obesity isn’t only about losing<br />
weight. It’s about your overall physical, mental and<br />
spiritual health. Through an emphasis on exercise<br />
therapy, nutritional counseling, behavior modification<br />
and peer support, our focus is on the whole person.<br />
Breaking down the barriers that have kept you from<br />
the quality <strong>of</strong> life you deserve.<br />
2004 <strong>Memorial</strong> Weight Loss & Bariatric Surgery Center patients<br />
If You’re Ready to Take the First Step,<br />
We Can Help.<br />
If you’re struggling with obesity, you know by now<br />
there’s no quick fix. No magic formula. Staying healthy is<br />
a lifelong journey. Let us help you with your next step.<br />
For more information, call the <strong>Memorial</strong> Weight Loss &<br />
Bariatric Surgery Center at 574-647-6400.<br />
Non-Pr<strong>of</strong>i t Org.<br />
U.S. Postage<br />
PAID<br />
<strong>South</strong> <strong>Bend</strong>, IN<br />
Permit No. 72<br />
615 N. Michigan Street<br />
<strong>South</strong> <strong>Bend</strong>, Indiana 46601