pelvic pain? - Illinois Valley Community Hospital

Spring 2015
J O U R N A L O F W E L L N E S S & G O O D H E A LT H C A R E
PELVIC PAIN?
See Dr. Khan and team
Deb’s
diabetes
tips
New FNP
at FastCare
Your guide to IVCH walk-in care
This chart can serve as your go-to guide if you’re wondering where to
seek treatment for a sudden medical problem. The list of symptoms
is not all-inclusive—so if you’re not sure where to go, simply call one
of the facilities and ask.
Facility
FastCare
Inside Walmart,
5307 Route 251,
Peru
815-220-FAST
(815-220-3278)
CareToday
Second floor of
the IVCH Center
for Physical
Rehabilitation
and Aquatics
310 Walnut St.
(next to the
Illinois Valley
YMCA), Peru
815-780-3855
IVCH
emergency
department
925 West St., Peru
815-780-3411
Symptoms/problem
✓✓Allergies.
✓✓Athlete’s foot.
✓✓Bladder
infections.
✓✓Blood pressure
checks (free).
✓✓Camp
physicals.
✓✓Cold and flu
symptoms.
✓✓Cold sores.
✓✓Ear infections.
✓✓Impetigo.
✓✓Insect bites.
✓✓Laryngitis.
✓✓Minor burns and
rashes.
✓✓Minor sunburns.
✓✓Mononucleosis.
✓✓Pharyngitis.
✓✓Poison ivy.
✓✓Ringworm.
✓✓Sinus infections.
✓✓Sore throats.
✓✓Sports physicals.
✓✓Sties.
✓✓Swimmer’s ear.
✓✓Upper respiratory
infections.
✓✓Animal bites.
✓✓Coughs, colds
and sore
throats.
✓✓Ear and other
infections.
✓✓Fever or
flu-like
symptoms.
✓✓Mild asthma.
✓✓Minor burns.
✓✓Minor injuries.
✓✓Non-lifethreatening
allergic reactions.
✓✓Rash or other skin
irritations.
✓✓Simple broken
bones.
✓✓Sprains and strains.
✓✓Wounds requiring
stitches.
✓✓Any sudden
or severe pain.
✓✓Changes in
vision.
✓✓Chest pain or
pressure.
✓✓Confusion or
changes in
mental status.
✓✓Coughing
or vomiting
blood.
✓✓Difficulty
breathing,
shortness of
breath.
✓✓Difficulty speaking.
✓✓Severe or
persistent diarrhea
or vomiting.
✓✓Suicidal feelings.
✓✓Uncontrolled
bleeding.
✓✓Upper abdominal
pain or pressure.
Hours
Open every
day except
Christmas
HOURS:
✓✓Weekdays:
8:30 a.m.
to 8:30 p.m.
✓✓Saturdays:
8:30 a.m.
to 5 p.m.
✓✓Sundays:
10 a.m.
to 5 p.m.
✓✓Holidays:
10 a.m. to
2 p.m.
Open daily
except holidays
HOURS:
✓✓Weekdays:
4 to 9 p.m.
Fees
Notes
✓✓$59 flat fee,
which includes
lab tests that can
be performed
on-site when
necessary (urinalysis,
monospot, rapid
strep, tuberculosis
skin test, pregnancy
test).
✓✓Most major
insurances,
Medicare and
Medicaid accepted.
✓✓Cash, check
or credit card
payment required
at time of service
without insurance.
✓✓Does not offer
x-rays.
✓✓Age restrictions
exist for certain
services.
✓✓Based on services
provided.
✓✓Most major
insurances,
Medicare and
Medicaid accepted.
✓✓On-site x-rays.
✓✓Offers a wider
range of lab
tests than
FastCare.
✓✓Based on services
provided.
✓✓Most major
insurances,
Medicare and
Medicaid accepted.
✓✓Seek treatment
for the
symptoms
listed at left
immediately.
✓✓Saturday and
Sunday:
10 a.m. to
4 p.m.
24 hours a day,
7 days a week
Wait times at CareToday and FastCare are typically much shorter than at the
emergency department. And in many cases, the visit will be less expensive.
2 Health Scene • www.ivch.org
inside this issue
5}
Feature stories
Get diabetes support.
Work with a team whose
sole focus is helping you
control diabetes.
On the cover
OB-GYN Mitchell Khan, DO
(right), prepares for surgery with
surgical technologist Melissa
Hubbard and Nathan Bowers,
a certified registered nurse
anesthetist.
NUMBERS
to
Main number
Emergency room
Central scheduling
Class and event
registration
Billing and
insurance
Human resources
8}
Pelvic pain.
Let the OB-GYNs at the
IVCH Women’s Health
Care Center help you find
relief.
KNOW
815-223-3300
815-780-3411
815-780-3199
10}
815-780-3337
Are you a current or
former smoker?
Find out if you need a lung
cancer screening.
815-780-3418
815-780-3421
Keeping informed
SPRING 2015
Information in HEALTH SCENE
comes from a wide range of medical experts. Models may be used
in photos and illustrations. If you
have any concerns or questions
about specific content that may
affect your health, please contact
your health care provider.
Copyright © 2015
Coffey Communications
HSM31078
HEALTH SCENE is published as a community service
for the friends and patrons of:
Illinois Valley Community Hospital
925 West St.
Peru, IL 61354
815-223-3300
www.ivch.org
Pain control in 4 acts. Upstage
chronic pain with direction from the
specialists at IVCH. page 6
Find it now. Patients with colorectal
President, IVCH Board of Directors
Kris Paul
cancer have a high survival rate when
the cancer is found early. page 11
CEO
Tommy Hobbs
Walk easier. Foot and ankle pain
Director, Public Relations
Gene Vogelgesang
Download our app!
Search for IL Valley Community Hospital.
Get all the latest IVCH info
at facebook.com/ivch1.
may mean osteoarthritis. Learn how
it’s treated. page 12
Rehabilitation. Therapists are
ready to help you gain independence.
page 13
Follow us on Twitter at
twitter.com/ivch1.
www.ivch.org • Health Scene 3
IVCH commended for efforts
to reduce elective deliveries
Illinois Valley Community Hospital’s efforts to work with expectant mothers to reduce the number of early elective deliveries
earned the hospital a letter of commendation from the Illinois
Perinatal Quality Collaborative (ILPQC).
“We commend you on your hospital’s achievement of
ILPQC’s statewide goal of an early elective delivery rate of less
than 5 percent,” says the letter received by Angela O’Bryant,
IVCH obstetrics unit nurse manager, from Ann Borders, MD,
ILPQC’s Obstetrics Lead.
An early elective delivery is defined as an induction or
cesarean section performed at less than 39 weeks gestation that
is not medically necessary.
“I’m very proud and honored to be a part of the work that
is being done at IVCH,” O’Bryant says.
health
info
to go
Get breaking
health news,
in-depth topical
info, and health
assessments,
calculators and
quizzes on your
smartphone.
Download the free
Health Information app at
IVCH nursery
“Your hospital’s achievement is a critical step toward
improving birth outcomes and reducing costs associated with
nonmedically indicated early elective inductions and elective
cesarean sections. This letter officially recognizes your hospital
and your perinatal team for this outstanding achievement,”
says Dr. Borders.
MARK YOUR CALENDAR
IVCH CANCER SURVIVORS’
BREAKFAST
8 a.m.
First Congregational
Church, Peru,
Meeting Room
FRIDAY
For cancer survivors
and family members. No charge to
attend. Call 815-780-3337 to make
your reservation.
MAY
29
www.ivch.org
IVCH WOMEN’S HEALTH FAIR
“Your Health,
JUNE
Your Way”
6
SATURDAY
10 a.m. to 1 p.m.
Peru Mall
✓✓Featuring a talk by obstetriciangynecologist Mitchell Khan, DO.
✓✓Cooking demonstrations.
✓✓Learn how to prevent injuries
while exercising, and more!
under “Health Resources.”
News from FastCare
From left: Mari Angel, FastCare receptionist,
with family nurse practitioners Lisa Ilg and
Amy Staker.
4 Health Scene • www.ivch.org
If you drop by the IVCH FastCare
walk-in clinic located inside the
Peru Walmart, you may notice a
new staff member.
Amy Staker, a board-certified
family nurse practitioner, joined the
FastCare team in January. She had
previously worked in Aurora, first in
the emergency department at Rush
Copley Medical Center and later at
a busy family practice clinic.
Staker holds a master’s degree
in nursing from Northern Illinois
University. Her undergraduate
nursing degree is from Lewis
University in Romeoville.
LISA ILG HONORED
FastCare staff member Lisa Ilg is
the recipient of the member of the
year award from the Illinois Society
for Advanced Practice Nurses.
Congratulations!
Want to live well
with diabetes?
LEARNING ABOUT diabetes is a
lifelong project. That’s certainly true for
Deb Redd, who discovered in grade school
that she has type 1 diabetes.
“I was diagnosed in the Dark Ages of diabetes,” she says and laughs. “We certainly
didn’t know then what we know now.”
Redd’s 44 years of personal experience
fuels her passion for helping others with
the disease. And as a registered nurse and
certified diabetes educator at the IVCH
Diabetes Center for Excellence, she shares
self-management skills with others that are
also based on the science of diabetes care.
Expert instruction
Redd leads the center’s nationally accredited diabetes education program, which
helps people with diabetes learn how to
better manage their disease. The training
team includes a dietitian, a pharmacist, a
social worker and others.
“Diabetes is a team sport,” Redd says.
“You want to make sure you’ve got all the
right players on your team to help you
manage it.”
The program includes weekly classes
and several one-on-one sessions. Among
other things, classes help people:
➜➜Set goals.
➜➜Eat right and stay active.
➜➜Take medicine the right way.
➜➜Cope with stress.
During private sessions, people
can discuss their unique concerns
Diabetes patient
Rod Knoblauch and his
wife, Dolly, of Oglesby,
with IVCH dietitian
Brittney Moutray and
certified diabetes
educator Deb Redd,
RN (seated).
Knoblauch credits
the IVCH diabetes
self-management
program with
helping him keep
his glucose level
under control.
about their condition.
“For somebody who is just finding out
they have diabetes, I think these appointments are essential,” Redd says. “You want
to get started on the right foot. Having a
good understanding of how to care for diabetes makes all the difference in the world.
It absolutely reduces the risks of chronic
complications.”
And after decades of personal experience with diabetes, that’s one of the many
things she knows firsthand.
“I tell everybody I’m not the poster child
for perfect diabetes management,” Redd
says. “But the important thing is to just try
and get back to it. It’s OK to fail as long as
you keep trying to improve.”
How to get started
To take part in diabetes education, patients
first need a referral from a doctor. Diabetes
center staff can help coordinate that.
The program is covered by Medicare
and many private insurance plans, Redd
says. And some people may qualify for
financial help through IVCH.
To learn how you can
sign up, call 815-780-3576.
Find the FRE
E
support
you’ve been
looking for
With diabetes, there’s
always something
new to learn. That’s
one of the reasons
IVCH sponsors a free
bimonthly diabetes
support group.
People with
diabetes, their family
members and others
interested in diabetes
are welcome.
“It’s a support
group, but there’s
always a little piece of
education too,” says
Deb Redd, RN, CDE.
The diabetes education team tries to keep
the sessions fresh,
fun and informative.
Sometimes, outside
experts lead talks
about heart, kidney or
nerve issues related to
diabetes. Other times,
the group plays special
versions of Jeopardy
or Wheel of Fortune to
learn about diabetes.
To find out
where and when the
group meets, call
815-780-3576.
Act to
take control
of your chronic pain
AS PLAYERS ONthe stage of life, we sometimes get handed scripts we aren’t expecting. That’s certainly
true when chronic pain takes a leading role in everyday living. However, you have the power to limit the
part pain plays in your life. You can direct the action in four pain-management acts:
1 Gather information
AC T
You probably already know plenty about chronic pain.
You may be aware that chronic pain:
✓✓Is any pain that lasts six months or longer.
✓✓Has many causes and can be hard to treat.
✓✓Interferes with your ability to enjoy life.
But do you know how many types of treatments are
available? Do you know which health care professionals
can help you? The more you know, the closer you come
to bringing down the curtain on pain. Some of the information you need is included in the next acts.
The IVCH Pain Clinic
has moved
The IVCH Pain Clinic has moved to new and
larger quarters on the hospital’s lower level.
Park in the south parking lot and come in
through the ground level entrance on the
east side of the hospital. You don’t have to
go to the first floor to register because there
is now a special Patient Access office on the
lower level for Pain Clinic and Occupational
Health patients.
6 Health Scene • www.ivch.org
2 Meet with your doctor
AC T
This scene takes place in your primary care physician’s
office. He or she will help determine the cause of your
pain. You may undergo imaging tests or electrodiagnostic procedures. You may also be referred to a pain
specialist for further evaluation.
Finding a specific cause for your pain will help determine your treatment. In some cases, no cause will be
found. This may be very frustrating, but it doesn’t take
treatment out of the storyline.
Ronald Kloc, DO
Eugene Becker, MD
The IVCH Pain Clinic can help you feel better. Call 815-780-3817 to make
an appointment with our pain treatment specialists, Ronald Kloc, DO, and
Eugene Becker, MD.
3
AC T Create a plan
A cast of health care professionals will work together to
help you put a strategy into place. Your script for pain
management may draw upon a variety of treatment options. Your plan could include a combination of:
✓✓Medication.
✓✓Biofeedback and electri✓✓Acupuncture.
cal stimulation.
✓✓Physical therapy and
✓✓Relaxation techniques.
rehabilitation.
✓✓Chiropractic care.
Doctors have come to understand that chronic pain
is not just physical. It has psychological aspects as well.
That’s why cognitive behavioral therapy, antidepressants
and general counseling are recommended as supporting
players in a pain-control plan.
4
AC T Follow through
Making progress means committing to your plan and
continually acting on it. That’s not always easy. It means
you need to manage your stress, stay active, and find a
support network among friends and family. But it can
be done. And the rewards are
great—pain may still play
a part in your life, but it
won’t run the show.
Sources: American Chronic
Pain Association; American
Psychological Association;
National Institute of
Neurological Disorders
and Stroke
Multiple prescriptions
make it hard to keep doses straight.
Vision problems
can make it hard to read the label.
Side effects
can lead people to skip doses.
Cost
can make people cut back
on their medicines.
Memory problems
can lead to missing a dose.
Seeing more than
one doctor
can lead to duplications.
www.ivch.org • Health Scene 7
PELVIC FLOOR DISORDERS
You don ’t have to live
Get expert treatment at IVCH
IT’S HARD TOimagine that menopause, radiation, constipation
and some types of childbirth have much in common. But in fact, all
four can weaken the muscles that hold a woman’s pelvic organs in
place. And when that happens, she’s more vulnerable to two common
disorders with uncommon names: cystocele and rectocele.
According to Mitchell Khan, DO, IVCH’s newest OB-GYN, cystocele
and rectocele often happen together. And both can be corrected at the
same time with one surgical procedure: anteroposterior colporrhaphy.
Why do these disorders occur?
According to Dr. Khan, who specializes in gynecologic surgery, when a
woman’s pelvic floor muscles become too weak to properly support her
pelvic organs, one or more of those organs may protrude into the vagina.
A cystocele is when the bladder bulges or drops out of place into
the vagina. A rectocele is when the wall of the rectum pushes into the
vaginal wall.
Signs that you might have a cystocele include:
➜➜A bulge inside your vagina—or a feeling that something is falling out.
➜➜Heaviness or fullness in your pelvic area.
➜➜Difficulty urinating, such as having trouble starting or having to go
often or urgently.
If you have only a small rectocele, you might not have symptoms.
But a larger one can cause:
➜➜A feeling of fullness in the vagina.
➜➜Pain during sex.
➜➜Vaginal bleeding.
You might also strain during a bowel movement or need to press on the
space between your rectum and vagina in order to move your bowels.
Regaining your quality of life
If you’re having these symptoms, Dr. Khan recommends being proactive. These conditions don’t have to keep you from enjoying life.
“The first thing is to tell your doctor and get a diagnosis, because
these disorders are correctable,” he says. “And we as gynecologists
have the training to treat and repair them.”
Both cystocele and rectocele can be repaired with one
minimally invasive outpatient surgery. And that means you
can often go home the same day.
“After anteroposterior colporrhaphy surgery, it takes
about four weeks to completely heal,” Dr. Khan says. “You
can’t lift things for two weeks, but patients tell me
there’s very little pain during recovery.”
Mitchell Khan, DO (left), is part of the
IVCH Women’s Health Care Center medical
practice that also includes Shyrlena
Bogard, MD, and Jeffrey Edwards, MD.
8 Health Scene • www.ivch.org
in pain
Pronunciation
guide
CYSTOCELE
(SIS-tŏ-sēl)
RECTOCELE
(REK-tŏ-sēl)
ANTEROPOSTERIOR
(ant-ĕ-rō-pos-TĒR-ē-ŏr)
COLPORRHAPHY
(kol-POR-ă-fē)
Find relief
from pain
You don’t have to live with
the pain of a pelvic floor disorder. And you don’t have to
travel to find the expert care
you need. Dr. Khan has more
than 10 years of experience
providing specialized gynecologic surgery.
To make an appointment
with him at the Women’s
Health Care Center, call
815-223-2944.
Hysterectomy:
The road to a
quicker recovery
Hormone therapy:
Every year, more than half a million women in the U.S. undergo
hysterectomies. In fact, after
cesarean births, hysterectomy
is the second most common
surgery for women.
“In the past, every woman
who needed a hysterectomy had
what we call an open abdominal
surgery,” says Mitchell Khan, DO,
IVCH’s newest OB-GYN. This
procedure required the surgeon
to make a 5- to 7-inch cut in
the lower belly. The surgery was
followed by one or more days
in the hospital—and four to six
weeks of recovery time.
“Today, many women are
good candidates for laparoscopic hysterectomies,” Dr. Khan
says. In this minimally invasive
operation, a laparoscope and
other tools are inserted through
tiny incisions in the belly. The
laparoscope—a thin tube with a
light and camera on one end—
enables the surgeon to view the
pelvic organs on a screen. The
uterus is removed through the
same tiny incisions.
“Laparoscopic surgery takes
less time. And women lose less
blood and heal much faster,”
Dr. Khan says. “It’s still inpatient
surgery, which means you don’t
go home the same day. But many
women are back to their normal
activities within three or four
weeks.”
At a certain point in every
woman’s life—usually between
ages 45 and 55—her body slowly
produces less of the hormones
estrogen and progesterone. This
progression toward menopause
barely troubles some women. For
many others, it can be challenging.
“Some women do seem to
breeze through menopause,” says
Mitchell Khan, DO, an OB-GYN
with the Women’s Health Care
Center at IVCH. “But many women
experience symptoms that can
really take a toll on their quality
of life.”
Those symptoms may include:
✓✓Hot flashes.
✓✓Night sweats.
✓✓Mood swings.
✓✓Trouble sleeping.
✓✓Vaginal dryness that might lead
to pain during sex.
One way doctors help relieve
these symptoms is by prescribing
hormone replacement therapy
(HRT). For a woman who still has
her uterus, HRT will be a combination of estrogen and progestin.
A woman who has had a hysterectomy may take estrogen alone
(estrogen replacement therapy).
Women are usually advised to
take the lowest dose of HRT for the
shortest time possible, Dr. Khan
says. “Like any other medication,
HRT has risks and benefits. At the
Women’s Health Care Center, we’ll
talk about what those might be for
you. And our specialists can manage
all your menopausal symptoms—
whether it’s with hormones or
without them.”
To make an appointment, call
815-223-2944.
What you need
to know
CALL THE MIDWIFE
Besides three obstetrician-gynecologists, the Women’s Health Care
Center at IVCH also has four certified nurse-midwives on its staff.
You can make an appointment with Elizabeth Birkey, Pam Koehler,
Heather Miller or Angela Reidner by calling 815-223-2944.
CANCER
STATISTICS
LUNG CANCER
CT technologist Dawn Verucchi with the 160-slice computed
tomography scanner used for lung cancer screenings at IVCH.
Are you at risk for lung cancer?
Find out if you should be screened
THE SOONERlung cancer is diagnosed,
the better the chances for survival. Until
recently, however, early detection has
been difficult—which may be one reason
why lung cancer remains the No. 1 cancer killer of both sexes in the U.S.
But there is good news about the
disease: Doctors now have a screening
test that can catch lung cancer early
and has been scientifically shown to
decrease mortality. It’s called low-dose
computed tomography (LDCT).
LDCT produces cross-sectional digital images of the entire chest, including
the lungs. These images enable doctors
to detect very small nodules in the lung.
Who qualifies for testing?
Anyone at high risk for lung cancer
should get annual LDCT lung cancer screening, according to the U.S.
Preventive Services Task Force. You are
at high risk if all three of these things
are true for you:
You have a pack-year smoking history of 30 years or more. The number of packs of cigarettes you smoked
per day multiplied by the number of
years you smoked equals your pack
years. For example: 1.5 packs a day multiplied by 20 years equals 30 pack years.
1
10 Health Scene • www.ivch.org
2
3
1 16
IN
WILL DEVELOP
AND
You smoke now, or you quit within
the last 15 years.
You are between 55 and 80 years
old.
What are the risks and benefits?
The biggest benefit of LDCT is that it
can find lung cancer in its beginning
stages, which helps lower the risk of
dying from the disease.
Other benefits of LDCT include:
➜➜It’s fast, painless and noninvasive.
➜➜It uses much less radiation than a
traditional CT scan of the chest.
The possible risks include:
➜➜False positives, perhaps leading to
additional tests or more invasive ones.
➜➜Insurance and Medicare may not
cover LDCT.
If you think you’re at high risk for
lung cancer, ask your doctor about getting screened with LDCT.
Additional sources: Centers for Disease Control and Prevention;
Radiological Society of North America
1 20
IN
WILL NOT SURVIVE
1 13
IN
WILL DEVELOP
AND
1 15
IN
WILL NOT SURVIVE
Source: American Cancer Society
Lung cancer screening is not for everyone.
A physician’s order is required before an
appointment can be made. Call 815-780-3199
for details.
Colon Cancer Coalition
awards $6,000 grant to IVCH
See us for your
colonoscopy
The best test for the early
detection of colon cancer
is a colonoscopy. IVCH
physicians who perform
colonoscopies include:
✓✓Geetha Dodda, MD,
gastroenterologist, phone
815-223-1666 (Peru) or
815-875-8666 (Princeton)
✓✓Edward Doran, MD,
gastroenterologist, phone
815-875-8666 (Princeton)
✓✓Ram Goel, MD,
gastroenterologist, phone
815-223-6222 (Peru)
✓✓Robert Wojcik, MD,
general surgeon, phone
815-223-6041 (Peru)
FOR THE SECOND YEARin a row, IVCH is the
recipient of a $6,000 grant from the Colon Cancer
Coalition to be used in support of screening,
education and colon cancer awareness. The
funds were raised through the annual Get Your
Rear in Gear event held annually near Ladd.
Grant money will be used for educational
programs organized by the IVCH Community
Outreach Department, including a major public
event in March in the hospital’s room at Peru
Mall. March is National Colorectal Cancer
Awareness Month.
IVCH will also use the funds to purchase
hemoccult colon cancer screening kits and to
pay for their processing costs for Illinois Valley
residents who don’t have insurance.
The Colon Cancer Coalition says the survival
rate for colon cancer is 90 percent when it is
caught in its early, localized stages; however,
statistics show only 40 percent of cases are being
diagnosed within this treatment opportunity
window. The Coalition says its messages will
continue to focus on early screening as the best
method of increasing long-term survivorship.
CANCER
STATISTICS
COLORECTAL CANCER
1 22
IN
WILL DEVELOP
AND
1 54
IN
WILL NOT SURVIVE
1 21
IN
WILL DEVELOP
AND
1 49
IN
Present in the endoscopy lab when Kathy Martin, local Get Your Rear in Gear organizer, gave
IVCH a $6,000 check were, from left, Kathy Lawyer, CNA; Community Outreach Coordinator
Joan Fernandez, RN; Martin; Chris Debosik, RN; and Michele Scott, CNA.
WILL NOT SURVIVE
Source: American Cancer Society
www.ivch.org • Health Scene 11
Walk
easier
Get treatment
for osteoarthritis
YOUR FEET AND ANKLESsupport you every step of the way, every day of your life.
Over time, all that use can wear
away the joint’s cartilage, the connective tissue that protects bones where
they meet. (An injury can also harm
cartilage.) Without that protection, the
bones rub together, which can cause
pain and swelling—a condition called
osteoarthritis.
Sore and stiff
Osteoarthritis of any type is more
common with age, and that’s true
with osteoarthritis of the foot and
ankle. Symptoms of the disease
usually come on gradually and
can include:
➜➜Joint pain, which may get
better with rest.
➜➜Dull, throbbing pain at night.
➜➜Stiffness and swelling in
the joint.
➜➜Trouble walking or bending
the joint.
Osteoarthritis may also cause bone
spurs—bony growths at the joint—
which hurt when pressure is applied.
Back on your feet
Discomfort in your feet and ankles isn’t
just inconvenient. Over time, the pain
from arthritis can make it difficult to
walk.
But treatment—the earlier it’s started
the better—can help reduce pain and
protect joints from further harm.
According to the American Academy
of Orthopaedic Surgeons, treatment
depends on the severity of your pain or
disability.
Some treatment options are:
➜➜Pain relievers, anti-inflammatory
medicine and injectable steroids.
➜➜Shoe inserts (orthotics), such as
pads or arch supports.
➜➜Custom shoes, such as those with a
stiff sole and rocker bottom.
➜➜A brace or cane.
➜➜Physical therapy and exercises.
In some cases, a doctor may recommend losing weight to help reduce
strain on feet and ankle bones.
If nonsurgical treatment isn’t effective, then surgery, including joint
replacement, may be an option.
Additional sources: American Podiatric Medical Association;
Arthritis Foundation
Help for osteoarthritis
For honest advice on what to do about
your osteoarthritis, call Peter Meier, MD,
or Robert Mitchell, DO, the board-certified
orthopedic surgeons at IVCH. They’ll give
you their expert insight on the best way
to treat your knee or hip pain.
If you’re considering having joint
replacement surgery, talk to the doctors about having it done at The Joint
Replacement Center, IVCH’s comprehensive program that brings together
a caring and specially trained team of
nurses, therapists and technicians who
12 Health Scene • www.ivch.org
work with Dr. Meier and Dr. Mitchell to
get you back to your favorite activities as
soon as possible.
Dr. Meier is the only surgeon in the
Illinois Valley who performs anterior hip
replacement surgery, which requires a
smaller incision and generally offers a
faster recovery time than conventional
hip surgery.
You can make an appointment with
Dr. Meier or Dr. Mitchell by calling
their medical practice, Illinois Valley
Orthopedics, at 815-223-2143.
Orthopedic surgeons Peter Meier,
MD, and Robert Mitchell, DO
REHABILITATION
Achieve independence
BY CHRISTINE LAYHEW, DPT
EVERYONE WORKS TOGETHER
at the IVCH Center for Physical
Rehabilitation and Aquatics to help
our patients reclaim their independence and return to their normal
routines. Whether the goal is to
maximize our patients’ mobility,
help them become more independent or assist them in regaining
their ability to communicate, our
team of physical, occupational and
speech therapists is committed to
getting our patients back to living
their normal lives.
Specialized
Parkinson’s therapy
Esther McGinnis benefited from
this team approach when she came
to us after being diagnosed with
Parkinson’s disease. In particular,
she was helped by the LSVT BIG and
LOUD programs, which have been
developed especially for Parkinson’s
patients.
“The program was very encouraging and helped me to lose my
fear of falling, which was a big deal
to me,” says McGinnis. “I felt the
therapists worked well as a team
and they were well-informed about
my condition, which made it easier
to integrate what I learned into my
everyday activities.”
Working with all ages,
many issues
Physical therapy starts with an
evaluation to assess the patient’s
functional limitations and
weaknesses. The patient, his or her
family, and the therapy team will
then develop an individualized plan
of care to address the deficits. The
main focus of physical therapy in
our pediatric population is gross
motor development and in the adult
population, ambulation, balance,
Occupational therapist Jenna Manigold, MS, OTR/L (left) demonstrates a Parkinson’s
exercise for Esther McGinnis.
strengthening and overall functional
mobility.
Occupational therapy focuses on
mastering the activities of daily living while restoring the use of arms
and hands. Working with the patient, the occupational therapist will
determine the patient’s limitations
and then develop a treatment plan.
For some patients, independence is
gained by increasing strength, range
of motion and coordination; for
others, independence may be gained
through specific training with the
use of adaptive equipment or modifications to their living environment
at home.
Speech therapy focuses on an array of areas, including:
➜➜Articulating sounds.
➜➜Expressing language.
➜➜Understanding language.
➜➜Social language skills.
➜➜Swallowing.
Speech and language pathologists
work with populations from birth
through geriatric. Besides dealing
with speech disorders, they also
help patients overcome swallowing
difficulties.
With a multidisciplinary approach to rehabilitation, patients—
whether children or adults—who
have been diagnosed with a stroke,
traumatic brain injury, spinal
cord injury, multiple sclerosis,
Parkinson’s disease or other neurological diagnoses can have an improved recovery rate. Call us at
815-780-3509 to find out how.
www.ivch.org • Health Scene 13
Memorials to the
IVCH Foundation
KEY
Illinois Valley Hospice
Greening Memorial Nursing Scholarship
Heflebower Memorial Nursing Scholarship
Special Procedures
The IVCH Foundation gratefully acknowledges the financial support of the
people of the Illinois Valley. The following memorial contributions were
received between Aug. 1, 2014, and Jan. 31, 2015:
IN MEMORY OF
MAXINE ANDERSON
Linda Harris Kittilson’s Garage
Mr. & Mrs. Demetrio Salazar
Mr. & Mrs. Francis Wright RITA BACIDORE
Mr. & Mrs. Carl Sons
JEAN BLOCK
Mr. & Mrs. Domenic Cadegiani
Lena Ewald
Mr. & Mrs. Jack Feliksiak
June Gardner
Alex Hueneburg
Mr. & Mrs. Larry Laio
Joan Parker
Mr. & Mrs. Dan Postula
Richard Robinson
Cari Towne
SHEILA BROLLEY
Mr. & Mrs. Dan Ferrari
Mr. & Mrs. John Patyk
Mr. & Mrs. Charles Styvaert
DUANE CATHELYN
Mr. & Mrs. Chad Baxley
Mr. & Mrs. Joe Boelens
Mr. & Mrs. Gary Boucher
Mr. & Mrs. Bill Donna
Mr. & Mrs. Charles Frey
Mr. & Mrs. Michael Herrmann
Mr. & Mrs. James Lewis
Mr. & Mrs. Michael Loebach
Gary Merkel and family
Mr. & Mrs. Tony Pavinato
Mr. & Mrs. Larry Ping
Cindy Schlesinger
Mr. & Mrs. Dick Verucchi
Mr. & Mrs. Doug Zborowski
MARILYN CAWLEY
Gerald Affelt
Carol Ashley
Mr. & Mrs. Gary Baker
Mr. & Mrs. Tim Burgess
Mr. & Mrs. Kevin Conerton
Mr. & Mrs. John Cosgrove
Mr. & Mrs. Thomas Davidson
Jane Duncan
John Elmendorf
Mr. & Mrs. Vincent Flannery
Mr. & Mrs. Charles Hyson
Sally Kratz
Lorna Lehr
Mr. & Mrs. James Marusich
Mary McGinnis
Northern IL Commercial Assoc.
of Realtors
Dr. & Mrs. Paul Perona
Mr. & Mrs. Lee Perry
Robert Putman
Mr. & Mrs. Michael Reagan
Mr. & Mrs. Donald Steichen
Mr. & Mrs. Goodwin Toraason
Stephanie Trahd & Chuck
Goodwin
Malcolm Whipple
Mr. & Mrs. James Wilkes
MARION COSTELLO
Mr. & Mrs. Carl Sons
MARIAN DECASTRIS
Mr. & Mrs. Stephen Bieser
Clinton Sondgeroth
VERNON DOWLING
Mr. & Mrs. James Ellis
Mr. & Mrs. A.W. Hopkins
Amy Leaverton
JOAN DRAG
Mr. & Mrs. Johnnie Spanraft
William Vlastnik and family
JAIME ERNST
Mr. & Mrs. Daryl Stuhr
ANTOINETTE ESSL
George Essl
ANGEL FERNANDEZ
Margaret Hachenberger
Diane Marchesi
William Vlastnik and family
MADGE FITZSIMMONS
Julia Schmitt
GEORGIA GUINNEE
Edith Cooley
Thomas Diemer
Mr. & Mrs. Allan Gillespie
Mr. & Mrs. James Stewart Jr.
Mr. & Mrs. Randall Young DELORES HEFLEBOWER
Mr. & Mrs. Don Baker
Your donations at work
CALMING TOUCH:
IVCH massage therapists
Amy Stash (pictured),
Brittany Mellott and
Marlene Moshage are
continuing to offer free
massages to patients
at the Valley Regional
Cancer Center (VRCC),
thanks to an $11,125
IVCH Foundation grant.
The three massage
therapists gave more than
1,500 massages to VRCC
patients last year. Funds
for the grant were donated
by the Cops4Cancer and
Julie Anglavar Walk/Run
fundraisers.
14 Health Scene • www.ivch.org
SAVING HEARTS: Cardiac rehab supervisor Vicki O’Brien
with the department’s new defibrillator, purchased with
a $19,913 grant from the IVCH Foundation.
PAUL KOBBEMANN
Mr. & Mrs. Robert Menne
Mr. & Mrs. Steve Siska
FRANK KOTECKI
Joseph Kotecki
JEAN KOTECKI
Mary Jo Kotecki
Mr. & Mrs. John Patyk
LYNN LENSKI
Mr. & Mrs. Daryl Stuhr
WILLIAM MARTUZZO
William Vlastnik and family
GEORGE MAZE
Nancy Maze
ED MITCHELL
Diane Marchesi
Dr. & Mrs. Robert Wojcik
LAVERNE & MARGARET
MOREL
Betty Nelson
ELSIE PORTER
Mr. & Mrs. Carl Sons
RICHARD PUETZ
Mr. & Mrs. Daryl Stuhr
RITA QUESSE
Mr. & Mrs. Dan Ferrari
VERA ROBERTS
Mr. & Mrs. Robert Grusk
BRYSON DOUGLAS
SCHUHLER
Noreen Drewes
Bernice Jakacki
RAY SEGHI
Mr. & Mrs. Tommy Hobbs
Mr. & Mrs. John Patyk
DR. JEROME SICKLEY
IVCH Medical Staff
Mr. & Mrs. Jim Loveland
Mr. & Mrs. Michael Lynch
Mary Schmitt
Vezzetti Capital Management
LLC
KENNETH SMALL
Mr. & Mrs. Edgar Phillips
Barbara Small
MILDRED STEVENSON
Beatrice Billard
Michael Billard
Mr. & Mrs. James Erlenborn
Mabel Finley
Ken Mackiewicz
David Mazzorana
Dawn Pantenburg
Mr. & Mrs. Glenn Stevenson
Mr. & Mrs. Michael Stratton
Mr. & Mrs. William Uebel
PATRICIA SULLIVAN
Jim Myers
Mark Myers
Deb Rogers
Rhonda Schmitt
Carol Tastad
Annual IVCH
Foundation Ball
THE ANNUALget-together known as the
IVCH Foundation Ball gathered friends
of the hospital from near and far on
January 17 at Celebrations 150 in LaSalle.
Elaine Buckman, the Foundation’s vice
president, who planned the 26 previous
balls, again organized this year’s event.
“We are grateful to Mrs. Buckman
for donating her time and talents to
the Foundation all of these years,” says
Tommy Hobbs, IVCH chief executive officer. “Her efforts have raised hundreds of
thousands of dollars for IVCH that have
helped the hospital immensely.”
LORRAINE UNZICKER
Mr. & Mrs. Robert Ankiewicz
ARTHUR WALZER
Mr. & Mrs. John Carpenter
Family of Arthur Walzer
Barb Feik & Jerry Hardin
Ruth Geuther
Denise Iwanicki
LEONARD WASHKOWIAK
Allen Kuehn
Mr. & Mrs. Nicholas Liesse
Jean Mikus
Andrew Rapp
Mr. & Mrs. Ron Rynke
Sam Watts
PAUL WINKELMANN
Mr. & Mrs. Ralph Anderson
Caryl Behrens
Mr. & Mrs. William Brown
Yvonne Browning
Mr. & Mrs. Vincent Bulthuis
Debra Caresio
Mr. & Mrs. George Casford
Marilyn Day
Richard DeBord
Patti Dominy
Mr. & Mrs. Jon Ellis
Mr. & Mrs. Bruce Erickson
Mr. & Mrs. Thomas Friel
Karen Gretzinger
Mr. & Mrs. Richard Hale
Mr. & Mrs. Lance Hedrick
Gordon Inman
Mr. & Mrs. George Johnson
Mr. & Mrs. Mark Jones
Helen Kenney
Sue King
Catherine Kirby
Mr. & Mrs. Steve Kleckner
Nancy Koehne
Laurie Krystofek
Chris Lamboley
William Livey
Eleanor Lloyd
Mr. & Mrs. Michael Lynch
Mr. & Mrs. Cornelius Maris
Mr. & Mrs. Donald May
Mary McCauley
Michelle Moreno
John Nelson
Mr. & Mrs. Denver Nichols
Mr. & Mrs. Darren Petersen
Linda Pinn
Deborah Puetz
Donna Reed
Laura Safranski
Mr. & Mrs. Robert Sharp
Mr. & Mrs. Bryon Siebert
Mr. & Mrs. John Sienkiewicz
Irene Spaulding
Clare Suarez
Mr. & Mrs. Jim Tarrence
Mr. & Mrs. James Thompsen
Jane Weede
Arlene Windt
NILA WOODS
Jane Birkenbeuel
Mr. & Mrs. Thomas Hurt
Mr. & Mrs. Gregory Kirsteatter
Ruth Otterbach
Mr. & Mrs. Patrick Reeder
Lorrell Woods CHARLES ZEMAN
Penny Zeman
SEEN AT THE BALL
Mary Beth Herron, IVCH human
resources director, and husband Jeff
Anne and Roelif Loveland
www.ivch.org • Health Scene 15
Send a little joy to
an IVCH patient.
Illinois Valley Community Hospital
925 West St.
Peru, IL 61354
Nonprofit Org.
U.S. Postage
PAID
Pewaukee, WI
Permit No. 921
Go to www.ivch.org
to send a cheer card to an IVCH patient.
A Whole Network Here to Help You and We’re Accepting New Patients!
Pictured left: The IVCH FastCare staff (from left): receptionist Mari Angel; Lisa Ilg, FNP; and Amy Staker, FNP
Pictured center: Ear, nose & throat specialist Brandon Musgrave, MD, and audiologist Jennifer Sangston, AuD
Pictured right: Women’s Health Care Center physicians (from left): Mitchell Khan, DO; Shyrlena Bogard, MD; and Jeffrey Edwards, MD
Searching for a health care provider?
Look no further than the IVCH Medical Group, a comprehensive network of
primary care, orthopedic and women’s health care medical professionals
affiliated with Illinois Valley Community Hospital.
LaSalle
LaSalle Medical Clinic
128 Bucklin St., Suite A
Phone: 815-220-7170
Physician: Ricardo Calderon, MD
Hygienic Institute
2970 Chartres St
Phone: 815-223-0196
Physician: Kara Fess, MD
Nurse Practitioners: Maryfran Crist, APN,
Nelle Barnes, APN
Clinical Psychologist:
Ginger Brainard, PhD
Hours:
Monday-Friday
7:30 a.m.-6:00 p.m.
NOW ACCEPTING COMMERCIAL INSURANCE
Oglesby/Utica
Oglesby/Utica Medical Clinics
520 West Walnut St., Oglesby
2937 N. IL Route 178, Utica
Phone: 815-883-3588
Physicians: Kelly DeBoer, MD,
David O’Donnell, DO
Nurse Practitioner:
Anna Freeman, APN
Peru
Adult Medicine Clinic
920 West St., Suite 216
Phone: 815-780-3838
Physician: Elizabeth Ritz, MD
Peru Primary Care Clinic
920 West St, Suite 311
Phone: 815-223-9214
Physicians: Mark Fernandez, MD,
Michelle Vasquez, MD
Pediatric Nurse Practitioner:
Carolyn Sullivan, CPNP-AC
Illinois Valley Orthopedics
920 West St., Suite 211
Phone: 815-223-2143
Orthopedic Surgeons:
Peter Meier, MD,
Robert Mitchell, DO
Physician Assistants:
Catherine Renk, PA,
Debra Pyszka, PA
IVCH Wound and
Hyperbaric Center
1403 6th St. Peru
Phone: 815-780-3834
Learn more at ivch.org.
Where to Go for Great Care
Peru Medical Clinic
710 Peoria St.
Phone: 815-223-3500
Physician: Mario Cote, MD, FACP
Women’s Health Care Center
920 West St., Bldg. B
Phone: 815-223-2944
OB/GYN Physicians:
Shyrlena Bogard, MD,
Jeffrey Edwards, MD,
Mitchell Khan, DO
Certified Nurse Midwives:
Elizabeth Birkey, CNM,
Pam Koehler, CNM,
Heather Miller, CNM,
Angela Reidner, CNM
IVCH ENT, Allergy and
Sleep Medicine Clinic
920 West St., Suite 312
Phone: 815-223-4400
Physicians:
Brandon Musgrave, MD,
Ioannis Karkatzounis, MD,
Jennifer Sangston, Au D
IVCH FastCare
Walk-in clinic for minor ailments,
located inside the Peru Walmart.
Phone: 815-220-FAST (3278)
Hours:
Monday-Friday
8:30 a.m.-8:30 p.m.
Saturday 8:30 a.m.-5:00 p.m.
Sunday 10:00 a.m.-5:00 p.m.
Holidays 10:00 a.m.-2:00 p.m.
Nurse Practitioner: Lisa Ilg, APN
IVCH CareToday
Walk-in clinic for when your doctor is
unavailable, located next to the
Illinois Valley YMCA.
Phone: 815-780-3855
Hours:
Weekdays 4:00-9:00 p.m.
Weekends 10:00 a.m.-4:00 p.m.