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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 />

2-5<br />

6-7<br />

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14-15<br />

16-18<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

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