Winter Wellness - Saint Joseph Health System

Transcription

Winter 2014
sJMED.com
MICHIANA
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from the physicians of saint joseph regional medical center
Winter Wellness
Your Flu-Free and
Holiday Eating Plans
Focus on
Women’s
Health
Stop Strokes:
Know the Signs
A New Option in
Reproductive
Health
Is Genetic Testing
Right for You?
winter 2014
contents
“We recognize the importance of
information in our fast-paced,
mobile society and feel that access
to information regarding your
healthcare is no exception.”
Preventing the Flu................. 3
Healthcare Technology ....... 4
SJ Connect App ................... 4
Health Insurance Services .... 6
Albert Gutierrez
SPECIAL SECTION:
Focus On Women’s Health
President and CEO
Preventive Screenings.......... 8
Comprehensive
Breast Program.................... 10
NaPro for
Reproductive Health.............. 12
da Vinci for
Gynecological Conditions.... 14
Stroke Risk ............................ 15
Heart Disease........................ 16
Lung Cancer ......................... 18
Leg Pain?
Watch for PAD..................... 20
Car Seat Safety................... 22
Ear Infections in Kids ........ 23
New Physicians................... 24
Holiday Eating..................... 25
Upcoming Events ............... 26
This free quarterly medical update is
prepared by the Marketing Department of
Saint Joseph Regional Medical Center with
the assistance of the medical staff. Please
call 574-335-2540 with any questions
or comments. Inquiries or ideas can be
addressed to [email protected].
Albert L. Gutierrez, President and CEO
Pamela Henderson,
Chief Strategy and Marketing Officer
Medical Advisers: Physicians from SJRMC’s
Integrated Leadership Team
SJRMC Production Team: Jessica Benko, Laura
Snell, Christine Weist and Lindahl Wiegand
The material provided in this magazine is intended
to be used as general information only and should
not replace the advice of your physician. Always
consult your physician for individual care.
YourBabyStop
LEARN MORE
YourBabyStop.com
Your local resource for all things
baby for moms and dads-to-be.
A Message to Our Readers
For the third year running, Saint Joseph
Regional Medical Center (SJRMC) has been
named one of the nation’s “Most Wired”
hospitals and is still the first and only
hospital in Northern Indiana to achieve this
recognition. This designation reinforces our
commitment to providing the best possible
healthcare to the Michiana community.
But we didn’t stop there. We recognize the
importance of information in our fast-paced,
mobile society and feel that access to
information concerning your healthcare is
no exception.
To demonstrate our commitment to
providing our community the information it
needs, in 2013, SJRMC:
• Began publishing Emergency Room wait
times for both our Mishawaka and
Plymouth campuses via a live RSS feed
• Launched My Health Records, our new
online patient portal
• Developed the SJ Connect app
for smartphones
Finally, we are working hard to reach out to
the public, educate patients and consumers,
and provide information that eases confusion
about the Patient Protection and Affordable
Care Act, commonly called the Affordable
Care Act (ACA), and to remind the public
that patient protection is just as important
as affordability. The ACA affects all segments
of our community and is changing the face
of healthcare in America. We will navigate
these new waters together, hand in hand,
never losing sight of our mission.
Albert L. Gutierrez, MBA, FACHE, RT(R)
President and Chief Executive Officer
Saint Joseph Regional Medical Center
We Want to Hear from You
Is there a particular health topic you’d like to read about in a future issue of
Michiana Medical Update? Please email [email protected] with
“story idea” in the subject line.
STAY CONNECTED WITH Saint Joseph Regional Medical Center
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Take Steps to Prevent the Flu
If you’re wondering whether you
should get a flu shot, answer this simple question:
Are you older than 6 months?
The Centers for Disease Control and Prevention
recommends adults and children ages 6 months
and older get an annual flu vaccination.
“The vaccine remains especially important for
people at high risk, those who live with them and
those who care for them,” says Mary Jo Meier, MD.
“Even though some children do not fall into the
high-risk category, they can still get very seriously ill
from the flu. Also, by vaccinating children, we can
help protect some of the more medically fragile
individuals in our community.”
People at high risk for flu complications include
young children; women who are pregnant; people
with chronic health conditions such as asthma,
diabetes, heart disease or lung disease; and adults
ages 65 and older. In particular, those who care for
children younger than 6 months of age should get the
vaccine. “Infants have a high risk for serious flu, but
they’re too young to be vaccinated,” adds Dr. Meier.
A Flu-Free Family
In addition to getting the flu shot, proper hygiene
habits can help your family stay healthy this winter:
• Teach kids to wash their hands thoroughly after
wiping their nose and before eating.
• Help young children sneeze or cough into a tissue,
and then throw it away at once. If no tissue is
available, they should cough into a sleeve.
• Clean kitchen counters and other surfaces, such as
doorknobs and phones, with a disinfectant.
These tips apply for all ages. Remember to wash
your hands often with soap and water, or use an
alcohol-based hand sanitizer. Avoid touching your eyes,
nose or mouth after washing your hands. And when
possible, try to stay away from people who are sick.
If You Get the Flu
Be sure to see your doctor right away. Antiviral drugs
can treat the flu, but they work best within two days
of getting sick. Also:
• Stay home and rest until your fever has been gone
for at least 24 hours.
• Drink lots of fluids.
• Take over-the-counter medications to relieve fever,
aches, pains, congestion and coughing.
“If you have a fever over 102 degrees, persistent
vomiting or very swollen glands in your neck or jaw, call
your doctor,” says Richard Zentz, DO. “You should also call
your doctor if flu symptoms last more than 10 days or
get worse instead of better—a fever, sore throat, headache, chills, cough, body aches, fatigue and diarrhea.”
Mary Jo Meier, MD
Community Pediatric
Physicians
On staff at SJRMC
Richard Zentz, DO
University Park
Family Medicine
On staff at SJRMC
Get your flu shot today—talk with your doctor.
Need a primary care physician or pediatrician?
Call our Physician Referral Line at 866-757-6248
or visit sjmed.com and click on Find a Physician.
Saint Joseph Regional Medical Center I SJMED.COM
3
Setting the Standard for
in Northern Indiana
From the beginning, Saint Joseph Regional Medical Center (SJRMC) has provided the
best possible care by pioneering the use of leading technologies to enhance patient
care, clinical quality and patient safety. This year has been no exception. Learn how
we’re making advances in technology to improve patient outcomes.
My Health Records
Albert L. Gutierrez,
MBA, FACHE, RT(R)
In July, SJRMC introduced My Health Records, an important new way for patients to engage with
and understand their health information 24/7. A service of SJRMC, My Health Records is free to use,
safe and secure, and allows you to:
• Access select inpatient and outpatient results for lab work completed at the hospital
• Access your personal hospital medical record summary
• View, download and send your health information
President and Chief
Executive Officer, SJRMC
My Health Records is currently available to Emergency Room and Obstetrics patients at both the
Plymouth and Mishawaka campuses. Enrollment will be expanded to all units in the near future.
For more information, go to sjmed.com/myhealthrecords.
SJ Connect App: Health Information at Your Fingertips
Managing your health just got easier
with the new SJ Connect mobile app. “We have excellent
health resources here at SJRMC and felt a smartphone
app was a great way to put this information in the hands
of our community,” says Pamela Henderson, SJRMC’s
Chief Strategy and Marketing Officer.
Free for download, SJ Connect is compatible with
iPhone and Android smartphones and allows you to
access the following features.
important for our community members to know the
expected wait time before they reach our ER,” says
Gregor Staniszewski, Director, Emergency Services.
“In some cases, the wait may be 15 minutes, other
times, two hours—depending on the volume we are
seeing. Keep in mind that people experiencing major
medical emergencies will always get top priority.”
ER Wait Times are also available at sjmed.com.
ER Wait Times
“Many of us today need to manage physician information
for both ourselves and our family,” explains Cliff Martin,
MD, Executive Medical Director. “With the SJ Connect
app, you can now store information for your doctors, as
well as for any other family members or friends who
may rely on you for their care, all in one convenient
place—on your smartphone.”
With the SJ Connect app, you have access to the
approximate wait time for the SJRMC Emergency
Room (ER) in Mishawaka and the ER in Plymouth
when you need it. “We felt it to be extremely
Download the app today!
My Doctors
Health Insurance
Search your phone’s app store or
scan this QR code with your
smartphone now:
Apple
4 Michiana Medical Update I Winter 2014
Android
“For many people, the changes happening as a result
of the Affordable Care Act can seem overwhelming or
confusing,” says Sondra Gardetto, Manager, Health
Healthcare Technology
‘Most Wired’ for the Third Year Running
SJRMC has been named one of the nation’s “Most Wired” hospitals,
according to the results of the 2013 HealthCare’s Most Wired Survey
released in the July issue of Hospitals & Health Networks magazine.
Recognized for the third consecutive year, SJRMC is the only
hospital in Northern Indiana to achieve this recognition, and one of
nine in the state of Indiana.
“By leveraging enhancements in information technology, we
continue to provide more efficient, affordable and exceptional care,”
says SJRMC President and CEO Albert Gutierrez. “Our investments in
technologies are designed to optimize and enhance the patient
experience before, during and after care.”
HealthCare’s Most Wired Survey, conducted from January 15 to
March 15, 2013, asked hospitals and health systems nationwide
to answer questions regarding their information technology
initiatives. Respondents completed 659 surveys, representing
1,713 hospitals, or roughly 30 percent of all U.S. hospitals.
Insurance Services. “We are here to be a resource for
the community and this app is here to connect you to
the information you need.” The new Resource Centers
in the main lobby of the Mishawaka hospital and at
the new Marshall County Community Resource
Center offer in-person assistance. (See pages 6 and 7
to learn more.)
Resources
At SJRMC, we offer a wide variety of resources to
support the health and wellness of our community.
“We offer everything from prenatal support to
services for seniors, from help for those with diabetes
to help for people who are trying to stop smoking,”
notes Michelle Peters, Community Benefit Ministry
Officer and Director of Outreach. “Even if you don’t
need access to these resources, you probably know
someone who does. The SJ Connect app can point
you in the right direction.”
The ER wait time is defined as the time between when a patient walks into the ER until
the time he or she sees a medical provider. ER wait times are approximate and for
informational purposes only. During an emergency, always call 911.
5
Committed to Your Access
SJRMC Expands
Health Insurance
Services to Plymouth
Looking for information on
your health insurance options?
Saint Joseph Regional Medical Center’s
(SJRMC’s) Resource Centers can provide
the information you need.
At our two new Resource Centers, now
open at the Mishawaka hospital campus
and at the Marshall County Community
Resource Center in Plymouth, members of
our community can prepare for changes
resulting from healthcare reform and the
Affordable Care Act (ACA). Individuals and
families can learn more about health
insurance options from our trained staff
and enroll for health insurance coverage.
s to Care:
Get Insured Today
As of October 1, 2013, individuals and
families who are not covered under a
health insurance plan have the opportunity
to enroll in coverage and possibly avoid
federal penalties that go into effect
in 2014.
The Health Insurance Marketplace, a key
component of the ACA, is designed to
make buying health coverage easier and
more affordable and includes health
insurance programs from approved
commercial insurance companies, as well
as Medicaid, Hoosier Healthwise and the
Healthy Indiana Plan. In addition, our staff
can assist individuals and families who
wish to sign up for other commercial
health insurance programs not available
through the Marketplace, including
individual health and Medicare plans.
Services at a Glance
At SJRMC, we are committed to being a
resource for our community and ensuring
that everyone has access to affordable,
high-value care. We offer highly trained
staff who are happy to provide counseling
and sound advice on a wide range of
insurance options. There is no fee to
you for our services. Our staff works
one-on-one with consumers in a safe,
unbiased environment, to help find the
best plan—without any sales pressure.
Our services include:
• Information on health insurance options
• Availability of health insurance plans
• Assessment of your health plan options
We also provide application assistance for:
• Children’s Health Insurance Program (CHIP)
• Hoosier Healthwise/Medicaid enrollment
• Healthy Indiana Plan enrollment
• Health insurance and Medicare enrollment
• Insurance qualification assistance
Affordable Care Act and the Health
Insurance Marketplace Basics
Community members are invited to learn more
about the ACA and the Health Insurance
Marketplace during one of our community forum
events. SJRMC is here to help you navigate
through America’s changing healthcare system
so that you choose the right plan for you and
your family. There is no charge to attend;
however, registration is required as seating is
limited. For more information or to register,
please call 855-88-SJMED (855-887-5633).
Civil Rights Heritage Center at the Natatorium,
South Bend: Dec. 11 (6 – 7 pm)
SJRMC Mishawaka Campus, Mishawaka:
Jan. 8 (6 – 7 pm)
Sanctuary at St. Paul’s, South Bend:
Jan. 21 (4:30 – 5:30 pm)
SJRMC Plymouth Campus, Plymouth:
Dec. 4 (5:30 – 6:30 pm), Jan. 15 (5:30 – 6:30 pm)
Marshall County Community Resource Center,
Plymouth:
Dec. 18 (5:30 – 6:30 pm),
Jan. 29 (5:30 – 6:30 pm)
7
Focus on Women’s Health
Mark Your Calendar
for Your Health
Ask your doctor
when you are due
for these must-have
medical screenings.
Women have something better than a fountain of youth
to help them live long and well: preventive screening tests. These tests help identify
diseases and problems early, when they are most treatable. Recently, some new
guidelines for screening tests for women were proposed by both the American
Cancer Society and the U.S. Preventive Services Task Force. While there are some
differences in their recommendations, experts agree that these tests are important
for early detection of disease and should be discussed with your doctor.
“It is important for women to take time to take care of themselves,” says Lisha
Town, MD. “Following the health screening guidelines increases the likelihood of
catching a disease in its early, more treatable stages.”
The opposite page lists important screenings for women, based on the
recommendations of major health organizations and U.S. government agencies,
including the American Cancer Society, American Heart Association, National
Institutes of Health and U.S. Preventive Services Task Force.
Lisha Town, MD
River Park
Family Medicine
On staff at SJRMC
Talk with your primary care physician to find out which
tests and what schedules are best for you. Need a
physician? Call our Physician Referral Line at 866-7576248 or visit sjmed.com and click on Find a Physician.
Recommended Preventive
Health Screenings for Women
SCREENING
Share
this list
with your
doctor.
WHO NEEDS IT
WHEN
Ages 65 and older;
younger women at
higher risk for
fractures
Check with your physician
Clinical Breast Exam
Ages 18 and older
Every three years for
women ages 20 to 39;
yearly from age 401
Mammogram (X-ray)
Ages 40 and older
Every one to two years2
Ages 21 to 65
Once every three years3
Bone Health/Osteoporosis
Bone Density Test
Breast Cancer
Cervical Cancer
Pap Test
Colorectal Cancer (choose one of the following options with your doctor)
Colonoscopy
Ages 50 and older
Every 10 years
Fecal Occult Blood Test (FOBT)
Ages 50 and older
Every one to two years
Flexible Sigmoidoscopy4
Ages 50 and older
Every five years
Ages 45 and older,
and pregnant
women at high risk5
Once at age 45, then
every three years; during
pregnancy, if needed
Ages 18 and older;
sexually active
women
Annually for the first three
years, then every one to
three years based on results
Blood Pressure Test
Ages 21 and older
Every one to two years,
based on results
Cholesterol Test
Ages 20 and older
Every five years
Diabetes
Blood Sugar Test
Gynecological Health
Pelvic Exam
Heart Disease
1
The American Cancer Society (ACS) recommends annual clinical breast exams (CBEs) for
women ages 40 and older. The U.S. Preventive Services Task Force (USPSTF), however, believes
there is not enough evidence to assess the value of CBEs for women ages 40 and older. Women
should talk with their doctors about their personal risk factors and make a decision about whether
they should have a CBE.
2
Currently, the ACS recommends yearly screening for all women ages 40 and older. The
USPSTF recommends screening every two years for women ages 50 to 74. Women should talk
with their doctors about their personal risk factors before making a decision about when to start
getting mammograms or how often they should get them.
3
The USPSTF suggests that most women should get a Pap test once every three years. Women
ages 30 to 65 can choose to instead have a Pap test once every five years along with a human
papillomavirus (HPV) test. Women older than 65 who have had normal screenings and do not have
a high risk for cervical cancer do not need Pap tests. Talk with your doctor about the schedule that
is best for you.
4
Some doctors may recommend FOBT plus sigmoidoscopy.
5
Pregnant women at risk for gestational diabetes include those who are older than age 25, have
had the condition before or have a family history of diabetes.
Healthcare
Reforms Boost
Women’s Care
The Affordable Care Act (ACA)
provides expanded benefits for all
women, better care for older women
and pregnant women, and improved
access to affordable health insurance.
The National Partnership for Women
and Families says the ACA marks the
biggest step forward for women’s
healthcare in a generation.
The ACA requires coverage of
preventive services, such as
mammograms, cervical cancer
screenings and prenatal care.
In addition, the law requires health
plans to cover the following services:
• Well-woman visits—A yearly
checkup is covered for adult women.
• Gestational diabetes screening—
Women are entitled to this
screening when they’re 24 to 28
weeks pregnant, or earlier if they
are at high risk.
• Human papillomavirus (HPV)
testing—This screening is provided
to women ages 30 and older and to
those at high risk for HPV.
• Counseling and screening for
sexually transmitted infections,
including HIV—These services are
available to all sexually active women.
• Breastfeeding supplies, support
and counseling.
• Screening and counseling
for domestic and
interpersonal violence.
Have questions about how
healthcare reform affects you?
Visit our new Resource Centers at
Mishawaka hospital or the
Marshall County Community
Resource Center in Plymouth.
See pages 6 and 7 for details.
9
Knowledge
is Power
New Comprehensive Breast Program
at Saint Joseph Regional Medical Center
provides women with a powerful tool
in the fight against hereditary cancers.
Jose A. Bufill, MD
Michiana Hematology
Oncology, PC
On staff at SJRMC
Robin T. Zon, MD
Michiana Hematology
Oncology, PC
On staff at SJRMC
When it comes to hereditary cancer,
knowledge can go a long way in preventing and
reducing cancer risk.
Saint Joseph Regional Medical Center’s (SJRMC’s)
Center for Women’s Health has launched a new
initiative to provide patients with appropriate
screening and information about hereditary cancer
in an understandable and sensitive manner.
The program combines mammography or other
diagnostic breast assessments with a high-risk
cancer screening tool and the option of genetic
counseling and testing through SJRMC. In addition
to the more than 200 combined years of Center for
Women’s Health staff experience, SJRMC has the
only genetics counselor as part of our full-time staff.
By having the only cancer and risk assessment center
in North central Indiana, SJRMC is able to offer this
added service regularly and in a timely manner.
“Our new custom screening tool helps to identify
patients who are at greater risk for breast or ovarian
cancer based on their medical and family history,
even if the mammogram is determined to be normal,”
explains Robin Zon, MD.
About Genetic Counseling
“Counseling is really the key word here,” says Jose
Bufill, MD. “We take a very technical and complicated
science, and break it down into practical information
for our patients and their families.”
The goals of SJRMC’s new genetic
screening program are to:
• Determine the likelihood of inherited cancers in
a family
• Discuss options for early identification of cancer
and risk reduction strategies
• Provide information about benefits, risks and
limitations of genetic testing
• Coordinate genetic testing and provide accurate
interpretations of results
• Make referrals, if needed, to research studies, other
physician specialists and support services
• Refer back to the primary care physician for care
collaboration and lifelong surveillance
Should You Be Tested?
If you have a significant family or personal history of
early onset cancer, you may want to consider genetic
counseling or testing. Criteria to consider include:
• Multiple relatives on the same side of the family
with the same type or associated cancers
• Cancer that occurs at a young age (under age 50)
• Rare cancers (such as male breast cancer, or lung
cancer in a nonsmoker)
• Known predisposition gene (such as a known
genetic mutation in the family—see sidebar)
• Concern or anxiety about personal or cancer
risk in the family
How It Works
During the testing process, a small sample of blood
is drawn and sent for analysis. Results take approximately two weeks and are discussed at a follow-up
visit with the counselor.
For someone with a substantially increased chance
to develop cancer, follow-up visits could include riskreduction strategies, such as more frequent or varied
screenings, or more aggressive treatment options,
such as medications, hormone therapy or surgery.
In most instances, insurance will cover a portion
of the cost for genetic counseling and testing. You
should call your insurance company beforehand to
determine coverage.
If you are interested in genetic counseling or
testing, ask your physician or call the Genetics &
Risk Assessment Center at 574-231-6477. Need
a physician? Call our Physician Referral Line at
866-757-6248 or visit sjmed.com and click on
Find a Physician.
The Breast & Ovarian Cancer Gene
Women who have inherited mutations in two genes—
BRCA1 and BRCA2—have an increased risk of developing
breast cancer and ovarian cancer, compared with the rest
of the population.
Together, these two genes account for about 20 to 25
percent of hereditary breast cancers and around 15 percent
of ovarian cancers overall, according to the National Cancer
Institute. Due to these statistics, more women are choosing
to be tested for these genes.
“This is not an easy decision to make, but many women
are choosing to be tested,” says Dr. Bufill. “If the test is
positive, we can discuss specific measures we can take to
reduce risk of cancer. If the test is negative, the patient now
has peace of mind. Either way, for women whose families
have hereditary cancer, we have more information to make
better decisions about prevention, early detection and
risk-reduction options.”
11
David
Parker, MD
Saint Joseph
OB/GYN
Specialists &
Midwifery
On staff at
SJRMC
If you or a woman you know
has experienced infertility, recurrent
miscarriage, abnormal bleeding,
premenstrual syndrome, recurrent ovarian
cysts or pelvic pain, you may benefit from
NaProTECHNOLOGY (Natural Procreative
Technology, or NPT). This unique medical
and surgical application of gynecology is
now available at Saint Joseph Regional
Medical Center.
“NaProTECHNOLOGY is a women’s
health science based on 30 years of
scientific research that bridges family
planning with reproductive health
monitoring and maintenance,” says David
Parker, MD. “It is a fertility care approach
that attempts to respect the sexual and
reproductive integrity of the person by
looking for the underlying causes of
disease and restoring the normal
physiologic function of a woman’s
menstrual and fertility cycle.”
The NaPro Difference
Unlike common approaches, NPT works
cooperatively with a woman’s procreative
and gynecologic systems. Using the
patient’s Creighton Model FertilityCare™
System charting (see sidebar), NPT is able
to identify the underlying problems and
NaProTECHNOLOGY:
An Integrated Approach to Women’s Reproductive Health
FertilityCare™:
Natural,
Effective
Planning
Effectiveness of NaProTECHNOLOGY
• Highly effective in treating infertility in an ethically acceptable
way that does not lead to early abortions or frozen embryos
• Multiple pregnancy rates are 10 times lower than with artificial
reproductive technologies
• 95% success rate for treating premenstrual syndrome (PMS)
• 95% success rate for treating postpartum depression (PPD)
• Prematurity rate cut from 12.1% to 7% with the
NaProTechnology Prematurity Prevention Program
• Adhesion score reduced from 33 to 2.5 (virtually adhesion-free)
in performing reconstructive pelvic surgery
then work to correct the conditions. This
process is all done through a method that
does not use contraceptives and sustains
the procreative potential of the patient.
Surgical Techniques
In many cases, the medical applications of
NPT are sufficient for treatment. In other
cases, surgery may be recommended.
The NPT specialized form of gynecologic
surgery reconstructs the uterus, fallopian
tubes and ovaries. An important goal of
surgical NPT is “near-adhesion-free”
surgery. “Adhesion-free” means that it
eliminates postoperative adhesions, which
may affect fertility and cause bowel
obstructions, often necessitating emergency
reoperation. To prevent these complications,
surgical NPT employs meticulous attention
to detail, a systematic approach and the use
of adhesion barriers.
Another technique of surgical NPT
includes the Pelvic Excision And Repair
Surgery (PEARS). PEARS is a form of
plastic reconstructive surgery of the pelvis.
The primary intent is to remove diseased
tissue within the pelvic organs and then to
repair the organs in a way that does not
form pelvic adhesions.
Surgical NPT may also be accomplished
with minimally invasive, robot-assisted
da Vinci surgery—leading to quicker
recoveries and better outcomes. Read more
about da Vinci surgery on the next page.
Learn more about NaProTECHNOLOGY by scheduling an appointment.
Call Saint Joseph OB/GYN Specialists & Midwifery at 574-335-6440.
The Saint Joseph
FertilityCare™ Center at
SJRMC provides the Michiana
community education and
consultation on holistic and
highly effective options for
family planning. Women of all
ages can receive personalized
education on the Creighton
Model FertilityCare™ System
(CrMS). As a woman charts
her cycle, the CrMS telegraphs
abnormalities in her health,
allowing her healthcare
provider to identify and
treat numerous women’s
health issues.
Through the monitoring and
charting of the woman’s
biomarkers, a couple is able to
identify when they are
naturally fertile or infertile and
receive support from the
Center in practicing natural
family planning. Women and
couples using the CrMS can
be confident that it is medically
safe, morally acceptable to
all faiths and highly reliable
and precise.
By combining the CrMS
with medical or surgical
NaProTECHNOLOGY, a woman
has access to cutting-edge
evaluation and treatment.
For more information or
to register for the next
FertilityCare™ introductory
session, please call Suzy
Younger, MS, fertility care
practitioner, at
574-335-6474 or email
[email protected].
Turn to the calendar on
page 27 for upcoming dates.
13
The da Vinci
Surgical System:
Treating Gynecological
Conditions Precisely
and Successfully
If you have been diagnosed with
fibroid tumors, endometriosis, excessive
menstrual bleeding, pelvic prolapse or cancer, your
doctor may recommend surgery when medication and
noninvasive procedures are unsuccessful in relieving
symptoms. In deciding the best treatment option, you
may want to ask your healthcare provider about
minimally invasive da Vinci surgery.
Saint Joseph Regional Medical Center (SJRMC) offers
sophisticated surgical treatment options that give our
patients access to the latest and safest technology, the
best possible outcomes and peace of mind.
“We try to use the least traumatic techniques
possible for fighting disease,” says Michael W.
Method, MD, gynecologic oncologist. “One such
technique is minimally invasive surgery using the
da Vinci System.”
What Is the da Vinci Surgical System?
The da Vinci Surgical System is a robot-assisted
technology that combines the precision of
microinstruments with the superior visualization
of a microscope. To date, the da Vinci System has
been used successfully worldwide in hundreds of
thousands of procedures.
Learn why more women are choosing the da Vinci
System and explore all SJRMC’s Surgical Services
at sjmed.com/da-vinci-surgical-system.
This state-of-the-art technology allows surgeons to
enter and exit the body to remove diseased areas
without cutting into surrounding muscles, nerves and
tissues. Benefits to patients, when compared with
open surgery, include:
• Less pain
• Less blood loss
• Shorter hospital stay
• Fewer complications
• Faster return to normal activities
The Human Element
Though it is often called a “robot,” the da Vinci
System cannot act on its own—surgery is performed
100 percent by the physician. The da Vinci System
consists of a computer console and robotic arms
with flexible wrists that hold a tiny camera and
instruments. During surgery, the surgeon sits at the
computer console viewing a highly magnified
three-dimensional image of the patient’s anatomy
while using hand-and-finger devices to precisely
direct the robotic arms.
While clinical studies support the effectiveness of the
da Vinci Surgical System when used in minimally invasive
surgery for specific indications, individual results may vary.
There are no guarantees of the outcome. All surgeries
involve the risk of major complications. Before you decide
on surgery, discuss treatment options with your doctor.
Michael W.
Method, MD
Michiana Hematology
Oncology, PC
On staff at SJRMC
Women & Stroke:
Know Your Risk and the Symptoms
Did you know that stroke kills twice
as many women as breast cancer each year? While
more women suffer from strokes each year than men,
many women are not aware of their risk for stroke or
their unique risk factors and symptoms.
“Women are particularly vulnerable to both stroke
fatality and disability,” says Devin Zimmerman, MD.
“Much can be gained by understanding the risk
factors and symptoms women face in terms of both
reducing the risk of having and surviving a stroke.”
Take Charge of Your Health
To reduce your risk for stroke, first become educated and
aware of the risk factors. If you recognize any of these
risk factors, speak with your primary care physician
about lifestyle and medication changes that can help
lower your risk.
Immediate Action Increases Survival
Second, familiarize yourself with the symptoms of
stroke. During a stroke, the blood supply is cut off to the
brain. The longer the blood flow is stopped, the greater
the damage. Call 911 immediately if you or a loved
one experiences any of these symptoms. It is also
important to note the time the symptoms first appear
as certain medications, if given early enough, may be
able to reverse the stroke.
Symptoms of Stroke
both Men and Women
Confusion or trouble understanding or speaking
Numbness or weakness of the face, arm or leg,
especially on just one side of the body
Vision problems in one or both eyes
Risk Factors for Stroke
Dizziness, loss of coordination or difficulty walking
both men and Women
Severe headache with no known cause
Family history of stroke
Unique to Women
High blood pressure
Sudden face and limb pain
Smoking
Sudden hiccups
Diabetes
Sudden general weakness
Being overweight and inactive
Sudden chest pain
Unique to Women
Sudden shortness of breath and palpitations
Devin
Zimmerman, MD
Chief Medical
Informatics Officer
Medical Director,
SJRMC Stroke Unit
Talk with your
doctor to learn
what you can do to
reduce your risk of
having a stroke.
Need a primary
care physician?
Call our Physician
Referral Line at
866-757-6248 or
visit sjmed.com
and click on
Find a Physician.
Taking birth control pills
Pregnancy
Using hormone replacement therapy (HRT)
Having a thick waistline and high triglyceride
(blood fat) level
Having migraines
15
When it comes to heart disease,
most women are unaware of how it can
impact them. For too long, heart disease
has been thought of as a man’s disease. But
it strikes women with startling frequency.
Consider these statistics from the American
Heart Association and the Centers for Disease
Control and Prevention: Since 1984, the
number of cardiovascular disease (CVD)
deaths for women has exceeded those for
men each year. CVD is the number one
cause of death in women.
It is currently estimated that
approximately 6.6 million women alive today
in the U.S. have coronary heart disease, the
most common type of CVD, while 2.6 million
have a history of heart attack. 26 percent of
women ages 45 and older who have a heart
attack die within one year, compared with
19 percent of men.
“A major contributor to this discrepancy is
that the classic signs and symptoms of
heart disease are more likely to be present
in men, while women often present with
different and less classic signs and
symptoms of this deadly disease,” says
Michael Savitt, MD, cardiothoracic surgeon.
Fortunately, there’s a positive side.
There are ways to control your risk factors
and protect yourself against heart disease.
Knowing the symptoms of a possible
problem can also help you get treated
before it’s too late.
Women
16 Michiana Medical Update Winter 2014
“Subtler symptoms may lead some women to dismiss
the thought of a heart attack, [but] delaying can lead to
more extensive heart damage.”
—Truc Ly, MD, cardiothoracic surgeon
Truc Ly, MD, FACC
Saint Joseph
Cardiothoracic Surgery
On staff at SJRMC
Michael Savitt,
MD, MSE
Saint Joseph
On staff at SJRMC
Not Your ‘Typical’ Heart Attack
Women don’t always have the telltale
symptoms of severe chest pain or
pressure. Rather, they are more likely to
feel jaw or neck pain. They are also more
likely to experience the following:
• Shortness of breath
• Dizziness
• Light-headedness or fainting
• Upper back pressure
• Extreme fatigue
“These subtler symptoms may lead some
women to dismiss the thought of a heart
attack. They are often ignored for some
period of time,” says Truc Ly, MD,
cardiothoracic surgeon. “If you experience
symptoms of a heart attack, call 911.
Delaying can lead to more extensive
heart damage.”
Know Your Risk Factors
The chance of developing heart disease
depends on some things you can’t control,
such as age. At around age 55, a woman’s
risk for heart disease jumps. Genes matter,
too. Women who have a parent or sibling
with heart disease have a greater risk.
These are risk factors you cannot change.
But other risk factors—such as smoking
cigarettes; having diabetes, high blood
pressure or high blood cholesterol;
being overweight; and not getting
enough physical activity—are things
you can control.
• Be active at least 30 minutes on most,
if not all, days of the week. To lose
weight or maintain weight loss, aim for
60 to 90 minutes.
• Eat a diet low in saturated fat and high
in fruits, veggies, grains, low-fat dairy
and lean sources of protein. Try to eat
fish at least twice a week.
• Balance your activity level with what
you eat to maintain a healthy weight. If
you’re overweight, losing extra pounds
can help lower your risk. If you need
help losing weight, a doctor can help
you build a plan to slim down.
Embrace a Healthy Lifestyle
The more risk factors you have, the more
likely it is that heart disease will develop.
That’s why it’s important to reduce as
many risk factors as you can. For women
who have heart disease, the right lifestyle
changes can help treat the condition.
Follow these guidelines from the
American Heart Association:
• Don’t smoke. Smokers who quit can
cut their heart disease risk in half after
one year.
It’s important to keep your blood
pressure, cholesterol and blood
sugar in check. If you don’t know
where you stand, a doctor can
screen for these risk factors with
simple tests. Need a physician?
Call our Physician Referral Line at
866-757-6248 or visit sjmed.com
and click on Find a Physician.
& Heart Disease
Know the risk factors. If you
experience symptoms, call 911.
17
Early Detection
Key to Reducing the
Impact of Lung Cancer
Truc Ly, MD, FACC
Saint Joseph
On staff at SJRMC
Michael Savitt,
MD, MSE
Saint Joseph
On staff at SJRMC
Did you know that
lung cancer is the
most common cause of cancer
deaths in both men and
women? For women, it means
this rate surpasses death
resulting from breast cancer. In
fact, lung cancer causes more
deaths than breast, colon and
prostate cancers combined.
Lung Screening
Program at SJRMC
Early detection can increase
your chance of cancer survival.
Saint Joseph Regional Medical
Center (SJRMC) now offers a
Lung Screening Program to
reduce the devastating effect
this deadly disease has on our
patients and community. The
Lung Screening Program at
SJRMC consists of having a
low-dose CT scan performed,
followed by a visit to Saint
Joseph Cardiothoracic Surgery
for evaluation, results and
recommendations. A 2011
National Lung Screening Trial,
sponsored by the National
Cancer Institute, found that a
low-dose CT scan was more
effective than an X-ray in the
early diagnosis of lung cancer.
The program is for high-risk
patients who meet these
specific criteria:
• Between ages 55 and 74,
with a history of smoking
one pack of cigarettes a
day for 30 years or two
packs a day for 15 years
• Between ages 50 and 74,
with a history of smoking
one pack of cigarettes a
day for 20 years and one
additional lung cancer
screening risk factor*
* Additional factors are:
exposure to radon, asbestos,
significant secondhand
smoke or cancer-causing
agents; lung scarring from
certain types of pneumonia
or COPD; or having a
first-degree relative who
has had lung cancer.
“If you don’t meet the criteria,
but you have a history of
smoking and experience
other symptoms, such as a
persistent cough, discuss your
risk with your regular doctor,”
says Truc Ly, MD, cardiothoracic surgeon. “If you do not
have a primary care physician,
you can also self-refer to the
screening program.”
Control Your Risk:
Stop Smoking
“Early detection and diagnosis
is critical when it comes to
lung cancer,” says Michael
Savitt, MD, cardiothoracic
surgeon, “but this should in no
way distract from continued
efforts to decrease and
prevent tobacco use, which is a
major factor for lung cancer
and many other diseases.”
Cigarette smoking remains
the leading cause of preventable death in the U.S. People
who smoke are about 20 times
more likely to develop lung
cancer and nearly 90 percent
If you are interested in the Lung Screening Program, please call 574-335-6020. Talk with your doctor about your risk for lung cancer.
Need a primary care physician? Call our Physician Referral Line at 866-757-6248 or visit sjmed.com and click on Find a Physician.
Lung Cancer Fact Sheet
Consider these statistics from the American Cancer
Society, American Lung Association and Centers for
Disease Control and Prevention:
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Each figure = 2,000 cases
Approximately 228,000 new cases of lung cancer will
be diagnosed this year.
Lung cancer accounts
for approximately
14% of newly diagnosed
cancers in the U.S.
Dedicated to a Smoke-Free Michiana
As part of our commitment to the well-being of our community, SJRMC works to reduce the effects of cigarette smoking
by serving as the lead agency for Tobacco Free
St. Joseph County. SJRMC offers:
• Tobacco cessation classes
• Bilingual tobacco education to more than 1,200 individuals
• Tobacco education to teens across the region
For more information on tobacco cessation classes,
contact Jill Sabo at 574-335-3896 or [email protected].
of lung cancer deaths can be
attributed to smoking.
Secondhand smoke is
estimated to be responsible
for an additional 3,000 lung
cancer deaths per year in
nonsmokers in the U.S.
Besides smoking, exposure
to certain substances, including
radon, heavy metals and
asbestos, may increase the
risk of developing lung cancer.
The Family Link
Smoking causes most lung
cancer, but women appear to
be especially vulnerable to
another risk factor—their genes.
Women with a family member
who has been diagnosed with
lung cancer are nearly three
times as likely to develop the
disease. Men’s risk is nearly
doubled by having a close
relative with the disease.
Researchers have not found a
specific gene to blame, but it
seems certain inherited genetic
patterns leave people more
susceptible to lung cancer. Even
nonsmokers face increased risk
if their mother, father or a
sibling developed lung cancer.

The rate of new lung
cancer cases in the past
33 years has dropped for
men (22% decrease), while
it has risen for women
(106% increase).
106%
increase
for women
22%
decrease
for men
In 2009 (most recent year available),
more than 70,000 women died of lung cancer.
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The second leading cause of
cancer death among women,
breast cancer, accounted
for approximately 40,000
deaths that year.
19
Don’t Ignore
Leg Pain:
Reduced Blood Flow
May Be the Cause
Timothy
Noveroske, MD
General & Vascular
Surgery, PC
On staff at SJRMC
Sandra Roland, MD
X-Ray Consultants, Inc.
On staff at SJRMC
Zachary
Leshen, MD
Mary Jane Manuwal, 82, knew that
the pain she felt in her lower legs, especially
behind her knees, was getting worse. “I couldn’t walk
very far before my legs cramped up,” she recalls.
Manuwal, of Plymouth, is a retired nurse with more
than 40 years of experience. You might think that
she would have sought medical attention immediately, but she actually waited “quite a while” before
she got help.
“I remembered that my mother had experienced the
same kind of pain [and hadn’t sought treatment], and
so I let it go,” she says. “And I guess I have a little bit of
stubbornness in me.” Eventually, however, Manuwal
consulted her primary care physician, who suspected
peripheral arterial disease (PAD), a condition where
plaque builds up in the arteries that carry blood to the
head, organs and limbs. Over time, the plaque hardens
and narrows these blood vessels (a condition called
atherosclerosis), limiting blood flow.
Reduced blood flow to the legs can cause pain and
numbness and raises the risk of getting an infection
in the legs and feet. In severe cases, untreated PAD
can lead to gangrene (tissue death), which may
necessitate an amputation.
The first sign of PAD may be a foot or leg wound that
won’t heal, says Timothy Noveroske, MD, a physician at
General & Vascular Surgery, PC, and the Wound
Healing Center at Saint Joseph Regional Medical
Center (SJRMC). “At the Wound Healing Center, we’re
able to identify PAD early and coordinate with a variety
of physicians, including surgeons and interventional
radiologists, to not only treat the wound, but also
address the root cause of why it’s not healing.”
Midwest Cardiology
On staff at SJRMC
A Minimally Invasive Option
Manuwal’s primary care physician referred her to
Sandra Roland, MD, an interventional radiologist at
SJRMC. Dr. Roland specializes in treating PAD by
threading tiny catheters and other instruments
through the blood vessels while using imaging
guidance techniques such as ultrasound and
computed tomography (CT) to pinpoint blockages.
“Interventional radiology procedures are targeted,
minimally invasive treatments that replace some types
of open surgical procedures,” Dr. Roland says. “They
don’t require large incisions, are done on an outpatient
basis and usually involve a short recovery time.”
If you experience possible symptoms of PAD,
talk with your primary care physician. Need a
primary care physician? Call our Physician
Referral Line at 866-757-6248 or visit
sjmed.com and click on Find a Physician.
Treating
PAD
A variety of procedures can
be considered for treatment
of PAD:
Angioplasty: A catheter (thin
tube) with a balloon at the tip
is inserted into a blocked
artery. The balloon is then
inflated, which flattens the
plaque against the artery
wall, widening the passageway and restoring blood flow.
Atherectomy: A variety of
thin cutting devices can be
inserted through a catheter
to shave away the plaque.
The bits of plaque can
then be removed through
the catheter.
What to Watch For
Back on Her Feet
Manuwal underwent an atherectomy with angioplasty
procedure to unblock an artery in her leg at SJRMC’s
Plymouth Campus, just a few miles from her home.
She elected to stay awake during the procedure,
which took about three hours.
“I felt a little pressure when Dr. Roland inserted the
first needle, but no pain,” she says. She left the
hospital the same day. “Over the next week, I began to
notice much less pain when I walked.”
She’s since undergone two more procedures on
both of her legs and her pain has abated enough to
enable her to get out more. Her advice to others
echoes a recommendation she may have given her
own patients years ago: “If you’re having pain or
numbness in your legs or feet, go get help,” she says.
“I’m glad I did, and I should have done it sooner.”
These symptoms can potentially
signal PAD. Talk with your doctor if
you experience:
• Pain, aching, numbness, cramping
or heaviness in the leg muscles
or feet. These symptoms may
appear while walking and go away
after resting.
• Sores or wounds on the toes, feet
or legs that heal slowly or not at all.
• A pale or bluish skin color.
• A lower temperature in one leg
compared with the other leg.
• Poor toenail growth and decreased
leg hair growth.
• Erectile dysfunction, especially in
men who have diabetes.
“We’re able to identify PAD early and coordinate with a variety of
physicians to not only treat the wound, but also address the root
cause of why it’s not healing.”
Stent placement: In some
cases, a small mesh tube
called a stent may be
inserted into the artery to
help keep it open. Some
stents are coated with
medication to help prevent
future blockages.
Bypass surgery: When
plaque has hardened or
the blockages are more
extensive, an open procedure
might be necessary,
according to Dr. Roland.
Patients with PAD are more
likely to have a non-fatal
heart attack or stroke.
“That’s why it is critical to not
only address the symptoms
of PAD, but also other cardiac
risk factors to decrease the
likelihood of this occurring,”
says Zachary Leshen, MD.
—Timothy Noveroske, MD
21
Keep
Your Child Safe
on the Road
Safe Kids Worldwide
estimates that about 73 percent
of car seats are not used or installed
correctly. Don’t be among them. “Using
the wrong car seat for your child—or using
one the wrong way—can put your child in
serious harm,” says Mary Graber, MD.
To keep your child safe, avoid the
following common car seat mistakes.
You wouldn’t think twice about
having a car safety seat for
your infant or toddler.
But are you using it the right way?
Mistake #1: Using a defective car seat.
Don’t buy a used seat—you don’t know its
history. And avoid old car seats, especially
those that are more than 10 years old.
Never use a car seat that has missing parts or cracks, is missing
a label or instructions, has been recalled or was in a crash.
Mary Graber, MD
Community Pediatric
Physicians
On staff at SJRMC
Mistake #2: Using a forward-facing car seat too soon.
Follow these guidelines from the American Academy of
Pediatrics to keep kids safe in the car:
• Children younger than age 2 should face the rear.
• For children older than age 2 who have outgrown the
rear-facing weight or height limit for their car seat (depending
on the seat’s limitations), the car seat can face forward.
• Older children should be in booster seats until they’re at least
4 feet, 9 inches tall (usually ages 8 to 12).
• Until age 13, all children should sit in the backseat.
Mistake #3: Installing the car seat incorrectly.
Make sure it’s tight and never place the car seat in the path of
an airbag.
Mistake #4: Securing the harness straps incorrectly.
They should always be snug and straight. For rear-facing car
seats, use the two lower slots and strap the harness at, or
slightly below, the shoulders. For forward-facing seats, use the
top slot and strap at, or slightly above, the shoulders.
Mistake #5: Positioning the chest clip incorrectly.
Snap the chest clip at armpit level for rear-facing car seats and
at mid-chest or armpit level for forward-facing ones.
SJRMC Car Seat Clinics
Saint Joseph Regional Medical Center (SJRMC) and the Mishawaka Police and Fire
Departments hosted Car Seat Clinics at our Mishawaka campus earlier this year. A team
of nurses certified in car seat safety, police officers and firefighters ensured that car seats
were installed properly, that each child was in the appropriate seat and that the seat was
located in the correct place within the vehicle. SJRMC’s Spanish-speaking interpreters
were also on site.
For upcoming dates and locations of SJRMC Car Seat Clinics, call 574-335-6399.
Another Ear Infection?
Learn what might be putting
your children at risk.
Middle ear infections, or otitis
media, are common in young children. They
often begin when bacteria and viruses that cause
sore throats and colds spread to one or both ears.
Untreated ear infections can have serious
results, including:
• Severe pain
• Fluid that builds up in the ear, which can cause
temporary or permanent hearing loss
• Impaired speech development
• Other infections that can spread to the brain
Why Children?
Although adults can get ear infections, children
ages 3 and younger get them more often. Ear
infections often run in families, so genetics plays
a role. The American Academy of Pediatrics says
children are more likely to have repeated ear
infections if a parent or sibling also had repeated
ear infections. Also at risk are children:
• Who are exposed to secondhand smoke
• Who are in day care
• Who were not breastfed
Warning Signs
An ear infection may cause children to:
• Be unusually cranky or cry constantly
• Rub their ears
• Have a fever ranging from 100 to
104 degrees
• Not sleep well
• Have fluid drain from the ear
“If your child is experiencing any of these
symptoms, it is important to have him or her seen
by a physician,” says Rushabh Shah, MD. “Most
ear infections can be treated with antibiotics and
will alleviate both the pain for the child as well as
the risk for more serious infections.”
Rushabh Shah, MD
Marshall County
Pediatric Physicians
On staff at SJRMC
Talk with your child’s
pediatrician if you
suspect an ear
infection. Need a
pediatrician?
Call our Physician
Referral Line at
866-757-6248 or
visit sjmed.com and
click on Find a
Physician.
23
Our Capacity to Care
Continues to Grow
The Saint Joseph Physician Network continues to build upon its strong
network of primary care physicians. Our mission is to provide the Michiana community
access to the best medical care backed by one of the most advanced hospital systems
in the region. Learn about our new physicians.
Marshall County Pediatric Physicians
1919 Lake Ave., Suite 110
Plymouth, IN 46563
574-948-5290
Rushabh Shah, MD
Pediatrician
Special interests:
Asthma education and
management, childhood
obesity and awareness,
immunization awareness
in the community
Midwest Cardiology
611 E. Douglas Rd., Suite 208
Mishawaka, IN 46545
574-232-5928
Mohamed Homsi, MD
Cardiologist,
Electrophysiologist
Special interests:
Cardiology,
electrophysiology
Zachary Leshen, MD
Interventional
Cardiologist
Special interests:
Catheter-based therapies,
preventive cardiology
Occupational Health Network
270 E. Day Rd., Suite 255
Mishawaka, IN 46545
574-335-8150
Sonia Winslett, MD, MS,
CIA, CGAP
Occupational Health
Special interest:
Health education
Plymouth Family & Internal Medicine
2349 Lake Ave., Suite 100
Plymouth, IN 46563
574-948-5100
Janice Peterson, MD
Family Medicine
Special interests:
Infectious disease,
geriatrics
Plymouth Family & Internal Medicine
Downtown
209 E. Jefferson St.
Plymouth, IN 46563
574-948-5100
Rebecca Bauer, MD
Family Medicine
Special interests:
Obstetrics, women’s
health, pediatrics,
preventive medicine
P HY SI C I A N N E T W O R K
River Park Family Medicine
1122 S. Ironwood Dr.
South Bend, IN 46615
574-335-8399
Lisha Town, MD
Family Medicine
Special interests: General
family medicine, prenatal
care, women’s health
Saint Joseph OB/GYN Specialists
& Midwifery
Mishawaka, IN 46545
574-335-6440
David Parker, MD
Obstetrician/Gynecologist
Special interests: Infertility,
natural birth regulation,
premenstrual syndrome
Need Care After-Hours?
If your primary care physician is
part of the Saint Joseph Physician
Network, Family Medicine Faculty
Physicians, the Family Medicine
Center or School City of
Mishawaka Employee Clinic, you
have access to Priority Care, an
after-hours primary care clinic
staffed by SJRMC network doctors.
No appointment is necessary
and the cost is the same as a
regular physician office visit.
Priority Care
Mishawaka, IN 46545
574-335-6599
Monday through Friday,
5 – 9 pm
Saturday, 9 am – 5 pm
Sunday, Noon – 5 pm
Dedicated to Keeping You Well
Overcome Holiday Overeating
Do the holidays put even your best eating habits to the test?
With a little planning, you can enjoy your favorite foods without tipping the scales.
Here’s how:
• Don’t skip meals in preparation for a holiday feast. Being famished often leads
to overeating. Instead, eat a small, low-fat snack ahead of time.
• Take small portions. Denying yourself will only lead to frustration.
The tip to tricking yourself: Use a smaller plate so that your servings look bigger.
• Choose wisely. Go for lean meats, such as turkey. Load up on fruits and veggies.
Limit butter and high-fat salad dressings and gravies.
• Stick to your exercise routine. Make a new tradition and take walks after big
holiday meals.
Jean Miller, DO
University Park Family
Medicine
On staff at SJRMC
“Remember the importance of the holidays: spending quality time with family and
friends,” says Jean Miller, DO. “Continue your healthy eating habits by limiting your
intake of high-calorie, high-fat foods that are low in nutritional value. By eating
healthy foods such as fruits, veggies, lean proteins and whole grains over the
holidays, you’ll pave the way for nutritious choices through the new year.”
Your primary care physician can help you stay on track with your diet. Need a
primary care physician? Call our Physician Referral Line at 866-757-6248 or
visit sjmed.com and click on Find a Physician.
Fat-Free Vegetable Dip
Whip up this homemade mix for an all-natural, zesty veggie dip.
These ingredients are the right proportions for one batch of dip mix.
For a gift jar, keep adding a round of all five ingredients, in these
amounts, until you have enough to fill the jar.
Directions
1 tbsp. dried parsley
1 tbsp. dried onion flakes
1 tbsp. dried green onions
¼ tsp. red pepper flakes
1 tbsp. sun-dried tomato bits
Blend 4 tbsp. dip
mix with one pint
(16 oz.) fat-free
sour cream.
Nutrition Facts:
A 2-tbsp. serving of
dip contains about
28 calories, 1 g
protein, no fat,
no cholesterol,
5 g carbohydrate,
no fiber and
53 mg sodium.
Quick
Quiz!
1) A 3-ounce portion of roast turkey or
ham is the size of a:
A. CD
B. Deck of cards
C. Paperback book
2) A single serving of stuffing or mashed
potatoes is:
A. ½ cup
B. 1 cup
C. 2 cups
3) A healthy plate ...
A. Is half-filled with vegetables and fruits
B. Contains no starchy foods
C. Is about one-quarter filled with lean
protein, such as meat, fish or poultry
D. A and C
Quiz Answers: 1) B, 2) A—a ½ cup is about
the size of half a tennis ball, 3) D
Ingredients
The typical serving size has
ballooned in the past few
decades. Do you know what
makes a healthy portion on
your holiday plate? Put your
nutrition know-how to the test:
25
Upcoming Events at
Holiday Event Spotlight
Tree of Life Celebration &
Tree Lighting Ceremony
The Auxiliary of Saint Joseph Regional Medical Center
invites you to join us for the annual Tree of Life Celebration
to remember and honor those close to us. For a $10
donation, an angel ornament representing your loved one
will be displayed on a beautiful tree in the main lobby of the
hospital. Each loved one represented will be recognized
during the Tree Lighting Ceremony on Dec. 6. All proceeds
are distributed by the Auxiliary to fund critical health
services and programs in our region.
We
honor life.
Friday, Dec. 6 (2 – 3 pm)
Mishawaka Campus
Main Lobby
Donation Form
Tree of Life
Celebration
Presented by the Auxiliary of
Name: _________________________________________________________________
Address:_______________________________________________________________
City/State/Zip:__________________________________________________________
Phone: ________________________________________________________________
Email: _________________________________________________________________
Amount Enclosed: $_______________________________ ($10 donation per name)
Please complete and cut out this form
by Dec. 2, 2013 to reserve your ornament
by mail or stop by the Gift Shop at
to make your donation. For more
information, please call 574-335-1125.
Please send this form, along with
your $10 donation, to:
The Foundation of
837 E. Cedar St., Ste. 350
South Bend, IN 46617
Please print the name(s) as you would like it to appear:
 In Memory of  In Honor of
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
SJRMC
Diabetes Education
Obstetrics & Fertility Care
Registration is required for
both childbirth and sibling
classes. There is a $40 fee to
attend childbirth classes.
For more information or to
register, call 866-757-6248.
Sibling Classes
These classes are designed
for children ages 3 to 5.
A parent must attend with
each child. Please bring a
stuffed toy to class.
Childbirth Classes –
Mishawaka Campus
Mishawaka Campus
One-Session Monday Class:
(5 – 6 pm)
Jan. 20, Feb. 17, March 10
Two-Session Tuesday Class:
(6 – 8:30 pm)
Please bring pillows.
Jan. 7 & 14, Feb. 4 & 11,
March 4 & 11
Two-Session Thursday Class:
(6 – 8:30 pm)
Please bring pillows.
Jan. 2 & 9, Feb. 6 & 13,
March 6 & 13
One-Session Saturday Class:
(9 am – 2:30 pm)
Bring pillows and lunch.
Cafeteria is also open
for lunch.
Childbirth Classes –
Plymouth Campus
(10 am – 2 pm)
Please bring a lunch.
Snacks will be provided.
Mishawaka OB Unit Tours
Expectant mothers and
couples are invited to take
a free tour of The Family
Birthplace at our Mishawaka
Campus on the third Monday
of the month (6 pm) or
first Saturday of the month
(Noon). For more information,
please call 866-757-6248.
Plymouth Campus
(10 - 11 am)
FertilityCare™ Center
Classes
Introductory sessions provide
education and serve couples
desiring to achieve or avoid
pregnancy and are for
women seeking solutions
to gynecological health
conditions. FertilityCare™
uses the Creighton model,
a highly effective, scientific
system of natural family
planning.
One-Session Class:
(7 – 8:30 pm)
Jan. 2, Jan. 14, Feb. 5,
Feb. 18, March 10, March 26
Registration is required.
register for FertilityCare™
Center Classes, call
574-335-6474.
Taking Charge of
Your Diabetes
Recommended for
individuals newly diagnosed
with diabetes and those
not previously educated
in diabetes care, these
sessions provide skills
for managing diabetes.
Mishawaka Campus
Four-Session Class:
Jan. 7, 14, 21 & 28
(5:30 – 8 pm)
Feb. 11, 12, 13 & 14
(9 – 11:30 am)
March 11, 12, 13 & 14
(1 – 3:30 pm)
Plymouth Campus
Three-Session Class:
Jan. 21, 22 & 23 (4 – 7 pm)
Feb. 18, 19 & 20
(9 am – Noon)
March 18, 19 & 20 (1 – 4 pm)
A physician’s order is
required to attend these
classes. Registration is
required. For more
information or to register,
call 574-247-5400.
Diabetes Support Group
– Mishawaka
Attending these free
meetings is a great way to
complement what you learn
from your healthcare team
to motivate you toward
better daily diabetes
management.
Jan. 15 (5 – 6 pm)
March 19 (5 – 6 pm)
For more information,
please call 574-335-2372.
Registration is not required.
Senior Services
Senior Fit
This exercise program
focuses on increased
energy, reduced joint pain,
lower blood pressure,
increased strength and
better balance. It’s free to
55+ members with written
permission from their
healthcare provider.
O’Brien Center:
Tuesdays & Thursdays
(10:40 – 11:20 am)
Martin Luther King, Jr.
Recreation Center:
Mondays, Wednesdays
& Fridays
(10:30 – 11:15 am)
Sanctuary at St. Paul’s:
Mondays & Wednesdays
(5:45 – 6:30 pm)
Registration is required.
register, call 574-335-3891.
27
South Bend Campus
5215 Holy Cross Pkwy.
Mishawaka, IN 46545
Nonprofit org.
U.S. Postage
PAID
Saint Joseph Regional
Medical Center South
Bend Campus
Stay Connected
Download our
FREE mobile app.
page 4
10517M
… we set the standard
for healthcare
technology in
Northern Indiana.
This
For the
3rd year is why
running… we care.
Saint Joseph Regional Medical Center is still
the first and only hospital system in Northern
Indiana to receive this important designation.
This reflects the unwavering commitment by
our talented and compassionate team of
associates, nurses and physicians to set the
gold standard for healthcare delivery in our
communities.
But technology is only part of the story. We
At Saint
Regional
MedicaltoCenter,
lead
theJoseph
way when
it comes
changes in
we know the strength of an entire community
healthcare
for
a
bigger
reason—it’s
our calling.
depends on the health of every last individual in it.
So learn
our doctors,
and
work tirelessly
To
more,nurses,
visit us
atstaff
sjmed.com.
to offer the highest level of care. Except we don’t
call it work — we consider it a calling.
Scan this code to see people from our
community in our latest TV commercial.
“America’s Most Wired” is awarded by Hospitals &
Health Networks, a publication of the American Hospital
Association, which represents almost 5,000 hospitals,
healthcare systems and networks.
Mishawaka
Plymouth
South Bend
sjmed.com

Winter Wellness - Saint Joseph Health System

Transcription

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