Taking the Reins Taking the Reins

Transcription

HEALTHWISE
2014 n ISSUE 1
T H E M A G A Z I N E O F M E T H O D I S T H O S P I TA L S
Taking
the Reins
Dr. Michael Davenport named Methodist Hospitals
President and Interim Chief Executive Officer
In this issue:
• New technology improves treatment of coronary artery disease
• Effective steps to reduce your risk of stroke
• Methodist unveils The Region’s first gastric pacemaker
…and much, much more.
L E A D I N G T H E W AY T O B E T T E R H E A LT H .
2
METHODIST HOSPITALS
The Doctor Takes
Dr. Michael Davenport Brings a Physician’s
to New Role as Methodist Hospitals President
“I have drawn
strength and
inspiration from
the support I have
received from our
physicians and
staff, as well as
our community.”
When Michael Davenport, MD, was named
Methodist Hospitals’ president and interim
chief executive officer in November, Methodist
became one of just a few indiana hospitals
led by a physician.
No stranger to executive roles at Methodist,
Dr. Davenport previously served as the
hospitals’ Chief Medical Officer and Vice
President of Medical affairs.
as a physician, Dr. Davenport’s “patient first”
background is in complete harmony with the
hospitals’ mission. He sees financial stability
and success as a natural byproduct of providing
quality care.
“You don’t focus on making money,”
Dr. Davenport said, “you make money by
making sure your care and services are the best
they can be.”
according to Dr. Davenport, it’s the
people within the organization that make
it successful. as a result, fostering
relationships within the organization is
among his top priorities.
“two thousand people work here and we
need to make sure they have what they need
to be successful and know that we care about
them,” he said.
His background as a physician gives
Dr. Davenport a unique understanding of
a physician’s needs, and he hopes to nurture
a special relationship with physicians across
Northwest indiana.
“The success of a healthcare organization
is largely dependent on the doctors,” Dr.
Davenport said. “Doctors care about the
organization and want to be actively
engaged. i intend to make sure they
continue to have a voice.”
Closely allied with his emphasis on
relationships, is a focus on operational
soundness.
“We must be good stewards of the money we
make and invest wisely,” Dr. Davenport said.
“You have to make sure you can live up to your
mission, which is to take care of folks.”
Dr.DavenportwithsusanRichardson,GuestservicesDirector.
TO FIND A PHYSICIAN, CALL 1-888-909-DOCS (3627) OR VISIT METHODISTHOSPITALS.ORG
Leading the Way to Better Health.
3
Charge
Methodist Hospitals
Foundation 2014
Mardi Gras Extravaganza
Perspective
and Interim CEO
Mardi Gras Queen Judy
Rathjen and King Kelly
Bello will preside over
the Methodist Hospitals
Foundation 2014
extravaganza that will
have all the pageantry
and fun associated with
the annual celebration
– with a twist.
Dr. Davenport believes Methodist’s position as
one of the few independent hospitals in the area
contributes to the special relationship it has with
the community.
“We’ve been around a long, long time,” he said.
“From the Board of Directors on down, our
commitment is to Gary, Merrillville and the
surrounding communities. We are steadfast in our
commitment to provide quality care to everybody
in need regardless of their ability to pay, race or
economic group.”
in reflecting on the changes that have taken
place at the hospital over the past several years,
Dr. Davenport acknowledged Methodist Hospitals
has come a long way. The hospitals’ financials as
well as its relationships with employees and the
community are greatly improved.
“The transformation has been nothing short of
remarkable but there’s no time to rest on our laurels,”
he said.
in 2014, Dr. Davenport’s goal is to continue building
on this foundation, maintaining the trust the hospital
has earned from all sectors.
Dr.DavenportgreetsMichellespencer,frontdeskreceptionist.
Off to a good start, the doctor’s reception from
business, religious and community leaders has
been overwhelmingly positive and supportive.
He attributes this to a general love of Methodist
Hospitals and a common desire for its success.
“i have drawn strength and inspiration from the
support i have received from our physicians and staff,
as well as our community,” Dr. Davenport said.
Dr. Davenport earned his Bachelor of arts degree
from Yale University with a pre-med concentration
and received his Doctor of Medicine from the
University of illinois Medical school. He and his
wife, loretta, have three grown children.
On the cover, Dr. Michael Davenport meets Northlake Campus
Surgical Nurse Robin Kohn, RN.
Noted bead artist Stephan
Wanger is joining the
foundation’s fund-raising
efforts for the six-weeks of
Mardi Gras with interactive
classes for schoolchildren
by day and a bevy of
Krewe parties by night.
Also featured for the first time in the region will be dozens of
Wanger’s famous bead mosaics, including his Guinness World
Record piece, which is on display at the Marshall J. Gardner
Center for the Arts in Miller. His other galleries will be located
in the former library in Crown Point and the Porter County
Museum.
Foundation Executive Director Rob Hanrahan said the artist,
who creates pieces from thousands of discarded Mardi
Gras beads in every shape and hue, is participating in the
foundation’s fund-raising effort with an exhibit entitled Bead
Town Northwest Indiana.
“Stephan is an extremely personable, extremely talented
artist who is eager to be working with us in Northwest
Indiana,” Hanrahan said. “This is very much a fund-raising
opportunity to assist us in raising money for underfunded
healthcare initiatives as well as a dynamic, community art
projects created to encompass all of our region.”
Throughout the 40 days of Mardi Gras, the three galleries
will be open to the public. At the same time, Wanger will be
working with students and volunteers to create two mosaics
depicting land- and streetscapes of Northwest Indiana.
For more information or to make a donation, please
visit the foundation website at foundation.
methodisthospitals.org. Like us on Facebook at
Facebook.com/MethodistHospitalsFoundation.
Visit the Bead Town Gallery near you:
Crown Point
Former Crown Point Library
214 S. Court St.
Gary/Miller
Marshall J. Gardner Center
540 S. Lake St.
Dr.RichardLongley(left)withDr.Davenport,Dr.MichaelLinton
andDr.Kekeuzokweinthehospital’sphysicianlounge.
Valparaiso
Porter County Museum
153 S. Franklin St.
Gallery Hours:
Monday thru Thursday:
10:30 am - 6:00 pm
Friday & Saturday:
10:30 am - 8:30 pm
Sunday: 12 noon - 6:00 pm
Gallery Hours:
Wednesday thru Saturday:
9:00 am to 5:00 pm
METHODIST HOSPITALS
4
Treating Adult Spinal Deformity
Relief is within your reach
Dr. Elian M. Shepherd
“Paying careful
attention to
your bone
health before
problems arise
can increase the
likelihood that
you will truly
enjoy your
later years.”
You’ve probably noticed the “bent-over”
posture of many elderly people. The most
likely cause of this is a condition called
adult spinal deformity, which mostly affects
older people.
Treatment Options
Preventive Measures
Many people simply accept having adult spinal
deformity as a fact of life. With people living
longer, we see more of this condition. But we
have the technology to address it.
The medical term for this condition is sagittal
spine imbalance. it is most often caused by
degenerative changes brought about by such
things as osteoporosis and the normal wear
and tear that affects the spine as we grow older.
Conservative therapy is the best place to
start when treating someone suffering from
adult spinal deformity. Therapy incorporates
pain medication, anti-inflammatory
medication, and physical therapy in the
form of lifestyle exercises.
You do not need to resign yourself to
developing adult spinal deformity in your
later years. a healthy lifestyle that incorporates
regular exercise can help prevent this and
other issues.
Not to be confused with hunchback, adult
spinal deformity causes the back to curve
forward. Those affected by this condition are
unable to stand straight and find themselves
facing the ground.
in an effort to compensate, affected individuals
may hyperextend their hips backward or
bend their knees. at this point, many people
decide to use a walker because this condition
negatively affects their balance.
Normally, well-balanced posture causes no
back pain. However, when we use
our back muscles to keep a
straight gaze and walk straight,
the muscles are forced to
work overtime, causing
back pain.
The level of pain brought about by this
condition differs from person to person.
While the majority of patients benefit from
conservative therapy, a surgical option is
available for those who simply can’t tolerate
the pain. However, not everyone is a candidate
for the surgery.
The surgical procedure takes between three
and five hours, and extensive post-surgery
physical therapy is required. studies show that
following corrective surgery and therapy, a
patient’s quality of life improves considerably.
it is important to pay attention to the quality
of your bones. Both women and men can
develop osteoporosis. so, women over 60 and
men past 70 should have bone density scans
performed. Because osteoporosis is preventable
and can be improved with treatment,
Methodist Hospitals now offers an
osteoporosis program.
We also know to take calcium supplements.
instead of taking them blindly, consult a
dietician who can decide how much you
need to take based on your diet.
Maintaining healthy Vitamin D levels is
critical. Unfortunately, many people have
a Vitamin D deficiency. even if you take
medication for osteoporosis, make sure to
have your Vitamin D and calcium levels
checked as well.
Paying careful attention to your bone
health before problems arise can increase
the likelihood that you will truly enjoy
your later years.
Elian M. Shepherd, MD, FACS, is the Medical
Director of the Methodist Hospitals Spine Care Center.
5
Just for Kids:
Unique orthopedic pediatric specialty available at Methodist!
Children’s orthopedics deals with all aspects
of children’s orthopedic or bone problems
from birth until maturity. There are many
advantages to bringing a child to a doctor with
this unique specialty.
Dr. Donald Kucharzyk
“Children have
special needs and
demands, with
growth plates
and growth
centers located
throughout
their bodies.”
i always tell parents, children can’t be treated
like little adults. Children have special needs
and demands, with growth plates and growth
centers located throughout their bodies.
Unless these areas are treated properly, children
can develop complications later in life.
Beyond meeting their developmental needs,
we treat children in a warm, non-threatening
environment. i wear golf shirts or sweaters and
come down to floor level to talk to my young
patients. even our cast saws are chosen for
being the most quiet available.
The third cause of intoeing, femoral
anteversion (pigeon toed), happens when
there is a turning inwards in the hip area.
intervention is very rare in these cases and in
fact, many runners have this condition because
the intoeing of the hips makes your muscles
work more efficiently!
Sports Injuries and Kids
Because kids are starting sports at younger
ages, the competition is getting more intense at
earlier ages.
We are seeing more serious injuries among
11- and 12-year-olds, such as torn anterior
cruciate ligaments (aCl) in the knee. aCl
reconstruction in children must be done
using a sparing procedure that saves the
growth plate.
When a young pitcher develops a shoulder
problem, it may seem like a rotator cuff injury.
But in a child, it’s a condition that affects the
growth plate of the shoulders.
With fellowship training in children’s
orthopedics, i am specifically qualified to
evaluate and treat musculoskeletal problems
in growing children. i am pleased to team
with Methodist Hospitals to offer this unique
specialty to its young patients.
Donald Kucharzyk, DO, has been practicing in
Northwest Indiana for 25 years and is one of two area
physicians who are fellowship trained in children’s
orthopedics. He was a clinical assistant professor for
four years at University of Chicago Children’s Hospital.
Common Children’s
Orthopedic Issues
a children’s orthopedist may be asked to see a
child born with developmental dysplasia of the
hip, which is a dislocation of the hip. infants
can also have hip clicks, where the hips are
unstable and actually make a clicking sound.
This is quite normal and must be discerned
from hip dysplasia.
also in the nursery, we see club
foot, which needs immediate,
aggressive attention. treatment
using a series of castings in the
nursery can potentially avoid the
need for surgery.
intoeing, where the feet are
pointing inward, can be caused by
three things. in infancy, the cause is in
the feet themselves, which is treatable
at that stage.
The next common reason behind
intoeing is the turning in of the legs
below the knees. Up to 90 percent of
these cases, known as tibial torsion, will
walk themselves out. The rest of these
cases require bracing, which usually
happens by age four. sometimes surgery is
required once the child is older.
METHODIST HOSPITALS
6
Methodist is first and only Northwest Indiana hospital to offer
Gastric Pacemaker
When conservative solutions for gastroparesis
fail, Methodist Hospitals now offers an
effective surgical option: Medtronic enterra
Therapy. essentially a gastric pacemaker,
Medtronic enterra Therapy is a relatively new
device that provides electrical stimulation for
the stomach.
Dr. Harsh L. Dalal
Outside of indianapolis, Methodist Hospitals
is the only hospital in the state of indiana to
implant this device.
“In their
dedication to
helping patients, What is Gastroparesis?
Methodist is Gastroparesis is a debilitating stomach disorder.
Normally when we eat, the stomach contracts
always willing and pushes the food into the small intestine.
to try new But in people with this condition, the stomach
technologies and does not empty as it should, often causing
go that extreme nausea and vomiting.
extra mile.” The majority of gastroparesis cases i see occur
in patients who have uncontrolled diabetes.
Due to obesity and other factors, diabetes is on
the rise and we expect a corresponding increase
in the incidence of this disorder.
Conservative Therapies
The initial approach to treating gastroparesis is
conservative therapy. First, we advise patients
to eat six small meals a day so there is less
food in the stomach at one time. in some
cases, this proves to effective enough to avoid
further intervention.
if dietary changes are inadequate, the
medication Reglan may be prescribed.
However, in about 30 percent of cases, patients
develop neurological side effects such as
involuntary movements and facial spasms, and
Reglan must be discontinued. erythromycin
may be used to help stimulate contractions in
the stomach. This is only a short-term solution,
because erythromycin is an antibiotic.
A Long-Term Solution
Once conservative therapies are ruled out,
we can consider surgically implanting the
gastric pacemaker. a round of routine tests are
performed before an appointment is scheduled
with surgeon Dr. amead atassi. Dr. atassi and
i both play active roles in the surgery.
During the procedure, electrodes are implanted
into the muscle layer of the stomach. The
pacemaker then delivers electrical stimulation,
as necessary, to help the stomach to contract
and move food into the small intestine.
Patients remain hospitalized for two days
immediately after the procedure and are
subsequently followed closely. The only
post-surgical discomfort results from a small
incision, and patients should feel well
enough to resume normal activities within
a week or less.
it can take up to a month after the procedure
for patients to obtain full relief. so far, the
results of the gastric pacemaker procedures
performed at Methodist Hospitals have been
very encouraging. each of our patients have
experienced relief from nausea and vomiting
within a very short time.
Medtronic enterra Therapy is a relatively new
technology, which is why i elected to perform
the procedure at Methodist Hospitals. in their
dedication to helping patients, Methodist is
always willing to try new technologies and go
that extra mile.
We are already receiving patient inquiries
about enterra Therapy, which we expect
to increase as word spreads about its
availability in Northwest indiana. The
procedure and pacemaker are covered by
most insurance plans.
Harsh L. Dalal, MD, is a gastroenterologist
affiliated with Methodist Hospitals.
Prevention & Early Detection of Colon Cancer
FREE SEMINAR
Presented by Dr. Harsh L. Dalal
Join Dr. Dalal for this free seminar to learn how
to reduce your risk for colon cancer, its warning
signs and symptoms and the latest treatments
and technologies.
Thursday, March 13, 5:30 pm
Community Invited.
FREE REFRESHMENTS.
Space is Limited! Reserve your seat today.
Lake County Public Library
Merrillville Branch
1919 W 81st Ave, Lower Level, Room B
Call 1-888-909-DOCS (3627) or visit MethodistHospitals.org
7
Most strokes can be prevented
Start Reducing Your Risk Now
although stroke can happen to anyone,
certain risk factors can increase the chance of
stroke. in fact, studies show that working with
a healthcare professional to reduce risk can
prevent most strokes.
Dr. Kevin Waldron
according to neurosurgeon Kevin Waldron,
MD, stroke prevention begins with
establishing a good relationship with a
physician and following up regularly.
“Find a doctor you trust,” Dr. Waldron said.
“everyone needs a doctor with whom they can
be open and honest.”
Dr. Mayumi Oka
topping the list of things you can do to
prevent stroke is blood pressure control. a
close second is controlling your exposure
to tobacco smoke. Dr. Waldron explained
that nicotine causes the body’s blood vessels
to constrict and shunt blood flow to the
heart and brain, where the vessels are also
constricted. This can lead to a stroke, heart
attack or brain hemorrhage.
High blood sugar is another treatable factor.
Your family physician can suggest a proper diet
and augment it with medication if required.
Those with diabetes should follow up with
their doctor every three to six months.
elevated lDl or “bad” cholesterol can
contribute to stroke. However, proper diet
combined with exercise can help reduce
it. if high lDl is an inherited condition,
medications can reduce this risk factor.
although exercising for 20 to 30 minutes five
days a week is generally recommended, there
is mounting evidence that smaller amounts
of exercise throughout the day can also be
beneficial. Dr. Waldron cautioned against
starting any exercise regimen before being
evaluated by your physician.
Finally, maintain a healthy weight and choose
a diet high in fiber and low in saturated
fats, cholesterol and processed simple
carbohydrates.
“sometimes it’s easy to know what to do but
difficult to follow through. it helps to have
a support person or group that can reinforce
these life decisions,” said Dr. Waldron.
While prevention is always preferable,
Methodist Hospitals provides state-of-the-art
stroke treatments in the event of stroke.
Using 3-D imaging via Ct angiogram and
physiologic imaging with Ct perfusion we
are able to obtain a clear picture of what’s
happening in the brain’s vessels.
intravenous tPa can be administered up to
four and a half hours following the initial onset
of a stroke. Methodist’s expanded capabilities
include an intra-arterial technique that removes
the clot directly from brain vessels.
at Methodist, the Penumbra system and the
tReVO stent retriever, which can be used
up to eight hours beyond the onset of stroke
symptoms, provides the capability to remove
clots from large vessels of the brain.
“The decision to use any procedure beyond the
standard iV tPa and time limit is dictated by
the individual circumstances of each patient,”
explained interventional neuroradiologist,
Mayumi Oka, M.D.
in spite of its preventability, more than 795
thousand americans suffer strokes every year.
Fortunately, Methodist Hospitals has the
most advanced technologies as well as strict
stroke protocols to offer the most up-to-date
treatment options.
Kevin Waldron, MD, is a Methodist Physician Group
neurosurgeon. Mayumi Oka, MD, is a Methodist
Hospitals interventional neuroradiologist.
FREE SEMINARS:
Stroke 911:
Warning Signs of Stroke
Presented by Sanjeev Maniar, MD
Learn about the many warning signs of
stroke and symptoms at this free seminar.
Advanced Technology
for Stroke Treatment
Presented by Kevin Waldron, MD
Learn about new technology advancements
available for the treatment of stroke.
Community Invited.
FREE REFRESHMENTS.
Wednesday, May 14
4:30 pm: Stroke Screenings
5:30 pm: Seminar
Methodist Hospitals
Southlake Campus, Pavilion B
200 East 89th Drive, Merrillville
Tuesday, May 20
4:30 pm: Stroke Screenings
5:30 pm: Seminar
Methodist Hospitals
METHODIST HOSPITALS
8
New Technology Delivers Clearer Images
to Better Treat Coronary Artery Disease
in the summer of 2013, Methodist Hospitals
acquired the breakthrough infraredx catheter
technology to benefit our patients with
coronary artery disease.
Dr. Andre K. Artis
“When a patient
presents with
chest pain,
Infraredx
technology helps
us to determine
whether the
patient will
benefit from
further therapy.”
The technology gives us unprecedented
ability to look inside coronary arteries and
assess the blood vessel composition. This
newfound clarity changes the way we treat our
most vulnerable patients and assists us with
angioplasty and stent procedures.
Methodist Hospitals is among just a few area
hospitals to obtain the infraredx catheter,
which is relatively new to Northwest indiana
and the Chicago area.
Improved Diagnostic Ability
Thanks to this technology, cardiologists can
accurately identify what we call “vulnerable
plaque,” which is responsible for the majority
of heart attacks. looking at a blood vessel
through this catheter, we can clearly see the fat
on the blood vessel wall. We can assess how
much fat there is, where it’s deposited, and
the length of the blood vessel carrying the fat
deposit.
This new ability to identify the plaque type and
its vulnerability alerts us to patients who are
most at risk to suffer a heart attack. in turn,
we can be more aggressive in treating the risk
factors and following up with these patients.
Risk factors include elevated cholesterol,
diabetes, high blood pressure, obesity,
smoking, poor diet and lack of exercise.
When a patient presents with chest pain,
infraredx technology helps us to determine
whether the patient will benefit from
further therapy. We can also better choose
the most effective treatment, such as
angioplasty or stent.
Improved Procedures
infraredx technology helps us to identify the
healthiest tissue in the blood vessel for stent
placement. We can more easily determine
the best length and placement of the stent to
cover vulnerable areas. The improved visibility
this technology provides is also of value in
performing angioplasty procedures.
Opening Our Eyes to Better Ways
Our heightened awareness has prompted us
to question the old methods and seek better
or additional ways to perform interventions
as well as try to prevent heart attacks. We
are better able to answer pertinent questions
regarding the severity of the stenosis and the
likelihood of a rupture, in some cases either
avoiding surgery or identifying a greater
severity than previously thought.
Research Trials
inspired by this technology, new research
efforts are being made to answer the question
of how best to treat those patients who are
identified as most vulnerable.
One such research trial is being led by James
e. Muller, M.D. The inventor of the infraredx
catheter, Dr. Muller is the Founder, Chief
Medical Officer and Chairman of infraredx,
inc. Methodist is among a small group of
hospitals throughout the country participating
in this trial.
Cardiovascular medicine is dynamic and this
technology has shown us a new way of looking
at established concepts in the treatment of
heart disease. as far as we’ve come, we still have
a lot further to go.
Andre K. Artis, MD, FACC, a Methodist Physician
Group cardiologist, is the Codirector of the Heart and
Vascular Institute at Methodist Hospitals.
9
New heart disease, stroke guidelines provide
Individualized “Roadmap”
Connie Adams
Review the new
American Heart
Association and
American College
of Cardiology
guidelines online at
MethodistHospitals.org.
The american Heart association and the
american College of Cardiology have
developed new guidelines for the prevention
of heart attack and stroke.
Connie adams, Cardiovascular Clinical Nurse
specialist. “There is information available to
help people decrease their risk of having a
heart attack or stroke.”
in the past, much of the focus was on
secondary prevention, or steps to take
following a heart attack or stroke. The new
guidelines shift the focus to wellness and
prevention.
Medication.
in this patient-centered approach, the patient
functions as part of the team, partnering
with their healthcare provider to find the best
approach. Here are some key elements of the
new guidelines:
Know your risk.
The new risk calculator also provides a
clearer profile of who should be considered
for cholesterol-reducing medicine, such as
a statin. The old guidelines gave specific
cholesterol numbers for everyone to target.
“Numbers are just part of the picture now,”
adams said. “We’re looking at overall risk and
who’s going to benefit the most from these
medications. The patient will be involved in
the decision of what’s right for them.”
The new guidelines include a risk calculator to
assess a person’s 10-year risk of having a heart
attack or stroke. it also gives an indication
of lifetime risk, which is something everyone
should know.
Weight management.
Lifestyle management.
Understanding and managing your lifestyle
choices are key contributors to reducing the
risk of heart attack or stroke.
adams reminds everyone that heart disease
is still the number one killer of americans,
stroke is number four, and the risk factors for
both are very similar.
“lifestyle is the foundation of all we do,” said
“in Guideline-Directed Medical Therapy, or
Because obesity is reaching epidemic levels
in the U.s., and is a significant risk factor for
heart disease and stroke, the new guidelines
stress weight management.
FREE SEMINARS
Reduce Your Risk of Heart
Attack and Stroke
Learn about the new American Heart
Association and American College of
Cardiology guidelines that promote
wellness and heart attack and stroke
prevention at these free seminars
Enter to
a Heart and WIN
V
Screening Paascular
ckage
Ove
r $500 Value
Wednesday, February 19, 5:30 pm
Presented by Andre Artis, MD
Methodist Hospitals - Northlake Campus
600 Grant Street, Gary
GDMt, we’re taking all the best evidence
that’s currently available to optimize care
for our patients,” adams said.
Connie Adams, MS, RN, CCNS, CCRN is the
Cardiovascular Clinical Nurse Specialist at the
Methodist Hospitals Heart and Vascular Institute.
FREE Cardiovascular
Disease SCREENINGS
Includes cardiovascular risk assessment,
blood pressure, cholesterol test, body mass
index and advanced screenings if indicated.
Wednesday, February 5, 2pm - 4pm
Methodist Hospitals Midlake Campus
2269 W. 25th Ave., Gary
Thursday, February 13, 5:30pm - 8 pm
Methodist Hospitals Breast Care Center
Southlake Campus - Pavillion A
101 E. 87th Ave, 2nd Floor, Merrillville
Sunday, February 23, 1pm - 4pm
Valparaiso Family YMCA
1201 Cumberland Crossing Dr., Valparaiso
Friday, February 28, 12pm-2pm
Gary YWCA
150 W. 15th St., Gary
Understanding & Preventing
Hypertension
Uncontrolled high blood pressure increases the risk
of serious health problems, including heart attack
and stroke. Learn about the symptoms, causes and
treatment options of hypertension at this free seminar.
Wednesday, February 26, 4:30 pm
Presented by Adolphus Anekwe, MD
Methodist Hospitals - Midlake Campus
2269 W. 25th Ave., Gary
Monday, March 3, 5:30 pm
Presented by Harish Shah, MD
Methodist Hospitals - Southlake Campus, Pavilion B
200 E. 89th Ave., Merrillville
Thursday, March 6, 5:30 pm
Presented by Mihas Kodenchery, MD
Methodist Hospitals - Cardiac Rehabilitation Center
753 E. 81st. Pl., Merrillville
Space is Limited!
Reserve your seat today.
Call 1-888-909-DOCS (3627)
or visit MethodistHospitals.org
METHODIST HOSPITALS
10
METHODIST HOSPITALS
Northwest Indiana
Breast Care Center
Diabetes Center
Gamma Knife Center
Manage your diabetes. Don’t let diabetes manage you.
We have created a peaceful, private environment in which
Northwest Indiana women receive the Region’s most
personalized, high-quality breast health evaluations. We
thought of everything - including comfortable patient
gowns and a nourishment area serving coffee, tea and
snacks. It is within this nurturing setting that our dedicated
staff is focused on your care.
If you have recently been told you have diabetes, or have
been living with diabetes, but want to learn more about how
to manage your condition, the Diabetes Center at Methodist
Hospitals offers a comprehensive Diabetes Self-Management
Education program that puts you in charge of your health.
Our Diabetes Center provides the information people affected
by diabetes need to manage life with this condition, which
affects over 18 million people in America.
The Gamma Knife is not a “knife” at all. It’s a non-invasive
procedure that targets lesions of the brain with up to 201
beams of highly focused cobalt radiation. These beams
are delivered with pinpoint accuracy while preserving the
surrounding tissue.
Methodist Hospitals has taken breast cancer screening
and diagnosis to a whole new level with Northwest
Indiana’s first 3D mammography system. More advanced
than digital mammography, this new technology improves
the sensitivity and accuracy of mammograms, making
it easier for radiologists to detect abnormalities, while
reducing the chance for false positive results and
recall appointments.
When you need the highest level of care, you’ll find that
our overriding goal – and passion – is to deliver the best
possible treatment and outcome for you.
The Diabetes Self-Management Education program is
designed to help patients manage their diabetes by focusing
on seven key self-care behaviors, including healthy eating,
being active, monitoring, taking medications, problem solving,
reducing risks and healthy coping.
If you want to learn how to manage diabetes, ask
your physician for a referral to Methodist Hospitals’
Diabetes Center.
For more information about the Diabetes Center,
call 219-738-5802, or visit MethodistHospitals.org.
Because the procedure is non-invasive, the Gamma Knife
is often the best option for patients for whom traditional
brain surgery is not an option. The procedure is bloodless
and there is little discomfort for the patient. The Gamma
Knife procedure is performed on an out-patient basis, and
offers patients quicker recovery times.
It is an effective treatment for Metastatic Tumors,
Arteriovenous/Vascular Malformations, Meningiomas,
Acoustic Neuromas, Pituitary and Pineal Tumors, Glial and
Astrocytoma Tumors and Trigeminal Neuralgia (facial pain).
Potential candidates for Gamma Knife radiosurgery
or those seeking a second opinion should call
Methodist Hospitals’ Gamma Knife Center at
219-757-7521.
For more information about the Breast Care Center,
GERD Center
Spine Care Center
Lung Care Center
Methodist Hospitals specialists are skilled in distinguishing
gastroesophageal reflux disease (GERD) from other
disorders that may cause similar symptoms, and employ
advanced treatments for meaningful relief.
Stop the pain and start living again. Methodist’s Spine Care
Center gives patients mobility and freedom from pain, so
they can return to healthier, active lives.
Methodist Hospitals’ Lung Care Center is a
multidisciplinary resource for consultation, second opinion,
diagnosis and ongoing treatment for patients with lung
disease.
Our GERD Center employs the latest, most reliable
technologies and techniques to accurately diagnose
GERD, including EGD, or Upper Endoscopy, Esophageal
Manometry, and Bravo pH Monitoring.
GERD treatment and management includes lifestyle
changes, medications and in some cases, medical
procedures. While medications may relieve GERD
symptoms, they do not correct the reflux completely.
For patients seeking more permanent solutions, the
GERD Center offers Transoral Incisionless Fundoplication
(TIF), an innovative, minimally invasive procedure, and
Laparoscopic Nissen Fundoplication, the standard surgical
treatment for GERD.
For more information about the GERD Center,
A cornerstone of the Spine Care Center is Priority Consult,
a pioneering patient management system that improves
the patient experience. The Priority Consult process utilizes
digital technology to organize and review the patient’s
medical history, clinical status and any completed tests
and imaging in the early stage of evaluation. This allows
the spine care team to determine the most appropriate
course of treatment and direct patients to the most
appropriate care, from non-surgical to surgical treatments
– all without the patient coming into the Center.
Many patients require no surgical intervention. Priority
Consult enables patients to avoid the time and expense of
unnecessary surgeon appointments, and get meaningful
relief much more rapidly.
For more information about the Spine Care Center,
It brings together the experience and expertise of skilled
physicians, including pulmonologists, radiologists,
thoracic surgeons, medical and radiation oncologists and
pathologists, who work with each patient’s primary care
physician to diagnose, plan and execute the appropriate
treatment based on National Comprehensive Cancer
Network (NCCN) guidelines. Our Lung Care Nurse
Navigator, a specialist in pulmonary care, guides patients
through the treatment process.
In addition to Low-Dose CT Lung Screening for those at
high risk of developing lung cancer or other lung diseases,
the Lung Care Center is equipped with two of the most
advanced lung cancer diagnostic technologies, including
Northwest Indiana’s first Electromagnetic Navigation
Bronchoscopy (ENB) and Northwest Indiana’s most
advanced Endobronchial Ultrasound (EBUS) technology.
For more information about the Lung Care Center,
11
WELCOME
Getting healthy
& staying healthy
just got easier!
Our new 2013 medical staff
Customized health information
delivered via email
OluremiAdesida,MD
Pediatrics
EduardoBraun,MD
Oncology
AmjadAli,MD
Infectious Disease
Aarchita
Buddhadev,MD
Anesthesia
MohammadFarhat,MD MarkFesenmyer,MD
Oncology
DeepalKadiyala,MD
Nephrology
Gastroenterology
TylerKirk,MD
Opthalmology
OtitoAnaka,MD
OB/GYN
suyinChi,MD
Infectious Disease
HenryAndoh,MD
Infectious Disease
WonChung,MD
Infectious Disease
BenjaminAquino,MD
Anesthesia
ArifDalvi,MD
Neurology
NeeruBose,MD
Oncology
JasmeetDhaliwal,MD
Ophthalmology
Have you ever searched the internet to find health
information? How do you know what to believe?
Methodist Hospitals gives you access to all the
right answers with a free service called My Health
e-News. It’s a personalized health information
resource that offers valuable information about
countless health services and topics.
My Health e-News information is reviewed by
medical experts and delivered to your email
address, confidentially.
CharlesHolmes,MD
Anesthesia
MihasKodenchery,MD
Cardiology
WilliamJackson,MD
Hospitalist
shwetaKurian,MD
Oncology
KarenJordan,MD
Dermatology
FaiqaMohyuddin,MD
Pediatrics
RahulJulka,MD
Gastroenterology
RakeshParikh,MD
Family Medicine
Your free My Health e-News
subscription gives you:
My Health Newsletter,™ containing the latest
health news on topics of your choice delivered
monthly.
My Health Reminders™ to keep you on track
with key health screenings and exams, based on
nationally recommended guidelines tailored to
your age and gender.
Tutorial Videos featuring interactive educational
sessions about medical procedures and health
management for patients and their caregivers.
PinakiPatel,MD
Pediatrics
NestorQuezada,MD
Infectious Disease
RicardoQuezada,MD
Infectious Disease
AnilRamesh,MD
Nephrology
ManojRao,MD
Urology
MelvinRichardson,MD
Family Medicine
My Health Assessments,™ comprehensive
health and wellness tools providing expert
recommendations based on easy-to-use
interactive questionnaires.
My Baby Expectations,™ with information on
what to expect during pregnancy, delivery and your
baby’s first year. You’ll receive emails on pregnancy,
breastfeeding, baby’s development before and after
birth, plus downloadable podcasts and lullabies.
EdgardoRodriguez,
DPM
Podiatry
KevinWaldron,MD
Neurosurgery
WilliamRoman,DPM
Podiatry
MarkWashington,MD
Hospitalist
ReubanRutland,MD
General Surgery
AnnWilliams,MD
Opthalmology
Bilalsafadi,MD
Pulmonology
DouglasWilliams,MD
Opthalmology
Vineetshah,DO
Orthopedic Surgery
CarlWynter,MD
Cardiology
swathisinganamala,
MD
Nephrology
NeilYbanez,MD
Of course, there’s no substitute for your own doctor.
In between visits, you now have access to a wealth
of custom tailored, medically accurate information.
It’s all part of Methodist Hospitals’ commitment to
your good health!
Sign-up today at
MethodistHospitals.org!
Nephrology
12
Florence’s Triumph:
METHODIST HOSPITALS
One woman’s journey to renewal
Just over a year ago, Florence struble stood five feet five
inches tall and weighed 267 pounds. she hated what
she saw in the mirror, hated how people looked at her,
and she knew her own health was at risk.
“The program offers all kinds of support,” Florence
said. “You can always reach out to your group and
the staff. i couldn’t imagine a better place to have
this surgery.”
Florence’s obesity was at least partially responsible for a
host of issues, including diabetes, sleep apnea, asthma
and high blood pressure. Her doctor told her that she
would keep going downhill unless she got her weight
under control. as Florence put it, “i was not ready to
be six feet under at 61 years old.”
Now, just ten months later, Florence has lost 100
pounds. she’s at her target weight of 168 pounds, and
has energy to burn. Her daily intake of pills
for medical problems has gone from 15
to one.
losing weight would take a tremendous commitment
to making some serious, permanent lifestyle changes.
Was she prepared to do what it takes?
Ready for a change, Florence consulted with Dr. James
siatras at Methodist’s Northwest indiana Center for
Bariatric surgery. she felt an immediate rapport with
Dr. siatras and liked the Center’s compassionate,
realistic approach.
“They really tell it like it is,” Florence said. “i had
to change my way of life, and it would be a lot of
hard work.”
Florence decided to have weight loss surgery. The
prospect was a little scary. But she knew it would be
worth it to reach her goal of improving her health and
becoming active again.
she was accepted into the program and began a diet
and exercise regimen. eating small meals, six times a
day and exercising five days a week took some getting
used to. But before long, she began to see results.
Following her new routine, Florence saw the
beginnings of a new body shape. exercising gradually
became easier, and she stopped running out of breath
so quickly. Her energy level began to rise, and her
blood pressure went down. By then, her only question
was, “Why didn’t i do this sooner?”
after months of preparation and steady weight loss, the
day of surgery finally arrived.
“When you get to this point, you are on the verge of
a new life,” she said. “it was exciting – having the new
me, my new life!”
The surgery went well but Florence understood that the
real challenge was to maintain her new lifestyle forever.
she continues to follow the program, adhering to the
diet, exercising, attending meetings, and following up
at the Center for Bariatric surgery.
“take what you’re doing seriously and fight like you’ve
never fought before. even if you fall back a pace or two,
get back into it. You can do it!”
she vows never to go back to where
she was.
“For anyone considering weight loss
surgery, it’s important to understand
this is not a quick fix but a lifetime
commitment,” Florence said.
100 POUNDS
LIGHTER &
A New
Life!
Follow Florence’s
inspiring journey.
Check out her
insightful and
instructive yearlong
diary online at
MethodistHospitals.org
Weight Loss Surgery
FREE SEMINAR
Presented by Dr. James Siatras
Attend a free informational seminar about the latest
weight loss and surgery options. The session is open
to all interested persons and their families or friends.
Community Invited.
February 20
February 27
March 6
All Seminars 6:00 pm - 8:00 pm
Northwest Indiana Center for Bariatric
Surgery at Methodist Hospitals
Southlake Campus, Pavilion A
101 East 87th Ave., Ste. 430, Merrillville
March 13
March 20
PORTER COUNTY - 13
Methodist Hospitals Event Calendar
Healthy
Night Out
with the Girls
An educational series offering breast risk assessments, bone density
screenings, breast health information and outreach program information.
Methodist Hospitals Southlake Campus, Pavilion A
Northwest Indiana Breast Care Center • 101 East 87th Ave, Second Floor, Merrillville
All Healthy Night Out with the Girls Events: 5:30 to 7:30 pm
FEBRUARY 13
MAY 8
Free seminar featuring up to date information on the new guidelines
for the prevention of heart attack and stroke.
Presented by Dr. Andre Artis, Cardiologist and
Constance Adams, MS, RN, CCNS, CCRN, Chest Pain Coordinator
Free Stroke Risk Assessments & Bone Health Screenings
MARCH 13
Free Cooking Demonstration
Presented by Leela Chigurupati, RD, CSO,
Board Certified Oncology Nutritionist
Heart Month: Comprehensive Screenings
for Cardiovascular Disease
Important Menopause Information
Free seminar about adverse effects of Menopause and natural remedies.
Presented by Dr. C. Nchekwube, Family Medicine
Stroke & Bone
Health Awareness Month
JUNE 12
Fast, Easier Healthy Meals
for a Healthier You
A free day of pampering for Women
Cancer survivors and patients.
Space is Limited!
Reserve your seat today.
SATURDAY, APRIL 26
Spring Spa Day
Featuring a cooking demonstration, vendor booths, health information and more.
Methodist Hospitals Southlake Campus, Pavilion B
Oncology Institute • 200 East 89th Ave, Merrillville
FREE
Call 1-888-909-DOCS (3627)
Space limited at our seminars! Reserve your seat today.
Methodist Hospitals Seminars
Call 1-888-909-docs (3627)
Say Good-bye to Acid Reflux
Pain & Discomfort
Stroke 911 –
Warning Signs of Stroke
Advanced Technology
for Stroke Treatment
You don’t have to live with chronic heartburn
or acid reflux pain and discomfort. Learn about
the latest effective treatments to relieve upper
digestive disorders at this free seminar presented
by Methodist Hospitals physicians.
February 12, 5:30 pm
April 30, 5:30 pm
June 11, 5:30 pm
Methodist Hospitals
August 13, 4:30 pm
Methodist Hospitals Midlake Campus
2269 West 25th Ave, Gary
Learn about the many warning signs of stroke
and symptoms at this free seminar.
May 14
4:30 pm - 5:30 pm: Stroke Screenings
5:30 pm: Seminar
Methodist Hospitals
May 20
5:30 pm: Seminar
Methodist Hospitals
METHODIST HOSPITALS
14 - PORTER COUNTY
Event Calendar
Methodist Hospitals and the Valparaiso Family YMCA:
Partners in Wellness
ALL SCREENINGS AND
SEMINARS FREE
to the public and YMCA members
All events held at the
VALPARAISO FAMILY YMCA
1201 Cumberland Crossing Dr., • Valparaiso
Space limited at our seminars! Reserve your seat today.
Call 1-888-909-docs (3627) or visit MethodistHospitals.org
seminars:
Mind Body Medicine
Living Well with Arthritis
Learn how to cope with stress overload, manage
medical symptoms and improve recovery and
resilience. Register for this free overview of Dr.
Nadezda Djurovic’s eight-week Mind-Body health
program.
Presented by Nadezda Djurovic, MD
Learn about the latest treatments for arthritis and joint
pain, including joint replacement.
Presented by Vineet Shah, DO
March 26, 5:30 pm
GERD/Acid Reflux
Learn about the latest, effective treatments to relieve
upper digestive disorders at this free seminar.
Presented by Peter Mavrelis, MD
Low Dose CT Lung Cancer
Screening Saves Lives
Learn how this advanced screening, now offered for
just $99, is enabling Methodist Hospitals to find lung
cancer at earlier, more treatable stages.
Presented by Hakam Safadi, MD
March 5, 5:30 pm
Reduce Your Risk of Heart
Attack and Stroke
Learn about the new American Heart Association
and American College of Cardiology guidelines
that promote wellness and heart attack and stroke
prevention at this free seminar.
Presented by Kais Yehyawi, MD
March 10, 5:30 pm
Osteoporosis and Bone Health
Learn about overall bone health and the prevention and
treatment of osteoporosis.
Presented by Kristy Darnell,
RN, MSN, FNP-BC, CNRN
April 16, 12 noon
July 16, 5:30 pm
New Advances in Movement
Disorder Treatments
Bone Health Back
and Neck Pain
Learn about overall bone health and the prevention
and treatment of osteoporosis. Identify your back
and neck pain and learn about the most effective
treatments available.
Presented by Kristy Darnell,
RN, MSN, FNP-BC, CNRN
July 16, 5:30 pm
Trigeminal Neuralgia
Treatment Options
Learn about the causes and treatment of chronic
facial pain.
July 30, 5:30 pm
Learn about new treatment advances for
Parkinson’s and other movement disorders.
Presented by Arif Dalvi, MD
April 23, 5:30 pm
June 11, 5:30 pm
Maintaining Vascular
Health and Preventing Stroke
Learn about the latest advancements in
maintianing vascular health and stroke prevention.
Presented by Sherry Mosier, RN, BSN, CNRN,
Stroke Coordinator
May 21, 5:30 pm
Our doctor is where
the action is…
Dr. Jerry Kuna Family Medicine
Welcoming New Patients at the
1201 Cumberland Crossing Dr. • Valparaiso • 219-464-1006
PORTER COUNTY - 15
Watch for Children’s
Respiratory Problems
in Wintertime
screenings
YMCA events
Free Colon Cancer
Risk Assessment
Ringing in Spring 5K, 10K
Run & Prediction Walk
Colon cancer is among the most treatable cancers when
diagnosed early. Learn more at these FREE screenings.
March 13, 2:00 pm - 5:00 pm
Registration required. To register, call 219-464-1006
The Valparaiso Family YMCA Ringing in Spring 5k Run,
10k Run and Prediction Walk is the largest spring race
in Northwest Indiana. 2014 marks the 20th anniversary
of the Ringing in Spring Race which attracts over
1,800 participants annually. The race has become an
annual tradition for runners and walkers throughout the
Northwest Indiana area. A great family event!
Race is on Saturday April 5th, 9 am. More information
and online registration: www.ringinginspring.org.
Free Bone Density Screenings
Free screenings along with education and information
about bone health and the prevention and treatment of
osteoporosis. Screening is performed on the heel of the
foot; participants must be able to remove their shoes.
April 16, 8:00 am – 11:00 am
July 16, 12 noon – 4:00 pm
Free Skin Cancer Screenings
Screenings can detect most skin cancers, including
melanoma, which accounts for approximately 75% of
skin cancer deaths. Early detection of skin cancer
greatly increases the odds of successful treatment.
Presented by Karen Jordan, MD
May 2, 8:00 am - 12:30 pm
May 17, 8:00 am - 12:30 pm
Registration required. To register, call 219-464-1006
InSWIMniac
24 hour Swim Event
Find out how many laps you or your team can swim
around a custom course in the Y lap pool during the
second annual InSWIMniac event.
The event will be held from noon on March 15th to noon
March 16th. Contact Chuck Gutzwiller for more details
at [email protected].
Healthy Kids Day
April 26th, 11:30 am - 2:00 pm
Help us build strong kids who are inspired to learn, play
and stay healthy! Families will discover many exciting
ways to keep their mind and body strong all summer
long. Wear gym shoes and don’t forget your bathing suit.
No registration is necessary.
LIVESTRONG at the YMCA
Would you or someone you know benefit from an
exercise program specially designed for adult cancer
survivors? LIVESTRONG at the YMCA is a twelve week,
small group exercise program. The program focuses on
improving cardiovascular endurance, muscle strength,
flexibility, balance, energy and confidence.
Please contact Lee Baker [email protected]
to learn more about this FREE program.
Dr. Mary Ella Kenefake
Children are among the
most susceptible to suffer
respiratory problems during
the winter months. Two
common conditions are
Respiratory Synitcal Virus
(RSV) and Reactive Airway
Disease or Asthma.
RSV, which causes an
infection in the lower airways, is most active
between November and April. The virus affects
people of all ages, but is especially severe in infants.
Symptoms include significant nasal congestion,
coughing and difficulty breathing. Typically, infants
with RSV will have a fever and difficulty eating
due to their nasal congestion. This age group
occasionally may be admitted to the hospital
for care.
While there is no specific treatment, the best
therapy is supportive with saline drops in the nose
and bulb suctioning to help reduce congestion.
The virus will generally run its course in five to
seven days.
Reactive Airway Disease (RAD) and asthma are
considered similar conditions. When young children
have asthma-like wheezing, especially with viral
illnesses, we usually classify it as Reactive
Airway Disease. Once children approach preschool
age, RAD may declare itself as asthma if it
continues to occur.
Most respond well to occasional albuterol inhalers
as treatment for RAD and asthma. More severe
cases of asthma require the use of a controller
inhaler, which is a daily medication.
Asthma is especially serious in winter months
when viruses like RSV are common because these
conditions can worsen asthma. It’s especially
important for children with asthma to regularly take
their medications, wash their hands frequently, get
a flu shot and avoid cigarette smoke exposure.
If you notice your child is struggling to breathe or
using their belly or chest muscles to breathe,
it is important to seek medical help immediately.
Mary Ella Kenefake, MD, is a Methodist Hospitals
emergency medicine physician.
NON-PROFIT ORG.
U.S. POSTAGE
PAID
GARY , IN
PERMIT NO. 487
TIME SENSITIVE MATERIAL
600 Grant Street, Gary, IN 46402
ECRWSS
POSTAL CUSTOMER
Family Health
Day
IN PARTNERSHIP WITH
SUNDAY,
FEB. 23, 2014
1:00 pm - 4:00 pm
1201 Cumberland Crossing Dr.
Call 219-462-4185
for more info
RAFFLES,
PRIZES &
MUCH, MUCH
MORE!
FREE Health Screenings
FREE Exercise Classes &
Demonstrations
FREE Healthy Cooking
Demonstrations
FREE CHOLESTEROL AND
GLUCOSE SCREENINGS
MEET STALEY
DA BEAR
the official Chicago
Bears mascot
& his pals
Rusty and Rascal
the Gary Southshore
Railcats mascots!
16 - PORTER COUNTY
7:30 a.m. - 9:30 a.m.
Registration Required
Call 1-888-909-3627
Community Invited
LAKE COUNTY - 13
Healthy
Night Out
with the Girls
FEBRUARY 13
Heart Month: Comprehensive Screenings for Cardiovascular Disease
Free seminar featuring up to date information on the new guidelines for the prevention of heart
attack and stroke.
MARCH 13
SATURDAY, APRIL 26
Spring Spa Day
Space is Limited!
Reserve your
seat today.
Call 1-888-909-DOCS (3627)
3D SCREENING
MAMMOGRAMS
for Women who meet
poverty guidelines
CALL 219-981-5440
MAY 8
Stroke & Bone Health Awareness Month
JUNE 12
Fast, Easier Healthy Meals for a Healthier You
Presented by Leela Chigurupati, RD, CSO, Board Certified Oncology Nutritionist
to learn if you qualify for a
FREE Screening Mammogram,
and to schedule an appointment.
CALL TODAY!
Funded in part by Bears Care,
the Chicago Bears Foundation
FREE Methodist Hospitals Clinics:
Genetics Clinic
Lymphedema Clinic
Identify your potential genetic health risks in order to
make informed decisions about your genetic health.
The clinic also helps identify your genetic results, and
provides support throughout the process.
Patients with lymphedema and/or other edemas can
learn proper skin care, diet & exercises, massage and
other compression techniques
Southlake Campus, Pavilion B, Oncology Institute,
By Appointment. Call 219-757-7212.
Southlake Campus, Pavilion D, 303 E. 89th Ave., Merrillville
FREE Outpatient Congestive
Heart Failure Clinic
The goal of this clinic is to assist heart failure patients in
learning how to monitor and control their symptoms, improve
their quality of life and prevent hospital stays.
Cardiac Rehab, 753 E. 81st Place, Merrillville
METHODIST HOSPITALS
14 - LAKE COUNTY
Community Event Calendar
screenings & seminars:
To register call 1-888-909-DOCS (3627)
Free Scoliosis Screenings
Health Matters Seminars
Southlake Campus, Pavilion B,
Neuroscience Institute, 200 E. 89th Ave., Merrillville
By Appointment. For information call 219-738-4926.
Presented by Methodist Hospitals
Pain & Discomfort
You don’t have to live with chronic heartburn or acid reflux
pain and discomfort. Learn about the latest effective
treatments to relieve upper digestive disorders at this free
seminar presented by Methodist Hospitals physicians.
Southlake Campus, Pavilion B, 200 East 89th Drive, Merrillville
• February 12, 5:30 pm
• April 30, 5:30 pm
• June 11, 5:30 pm
Midlake Campus, 2269 West 25th Ave, Gary
• August 13, 4:30 pm
Maintain Your Brain Health:
What is Cerebral Vascular Disease?
Cerebral Vascular Disease refers to a group of conditions
that affect the circulation of blood to the brain, causing
limited or no blood flow to affected areas of the brain.
Healthy Lifestyle
and Smart Moves
An information and support session about healthy eating,
activity, stress management, & coping during and after
cancer treatment.
Oncology Institute Resource Library
200 East 89th Ave, Merrillville, IN 46410
• June 3, 10:00 am
• March 4, 10:00 am
• June 17, 3:00 pm
• March 18, 3:00 pm
• July 1, 10:00 am
• April 1, 10:00 am
• July 15, 3:00 pm
• April 15, 3:00 pm
• August 5, 10:00 am
• May 6, 10:00 am
• May 20, 3:00 pm
Alzheimer’s Seminars
Presented by Louise Thompson
Community Outreach Specialist Alzheimer’s Association
Know the 10 Signs of Alzheimer’s
An introductory program that provides attendees with
an understanding of the difference between age-related
memory loss and Alzheimer’s and what to do if they or
someone they know has signs of the disease.
• March 5, 4:30 pm
The Basics: Memory Loss, Dementia,
and Alzheimer’s Disease
The Basics builds on the information given during Know
the 10 Signs. Risk factors for Alzheimer’s disease, the
diagnostic process, and the changes that the brain goes
through, as Alzheimer’s progresses are just some of the
topics covered in the program.
• April 23, 5:30 pm
• May 6, 4:30 pm
YWCA of Northwest Indiana, 150 W. 15th Ave., Gary
All Health Matters seminars begin at 12:15 pm
• February 28
• May 23
• August 22
• March 28
• June 27
• April 25
• July 25
Free Weight Loss Surgery
Seminar
An informational seminar about weight loss and surgery
options. The session is open to all interested persons
and their families or friends.
Northwest Indiana Center for Bariatric Surgery
at Methodist Hospitals, Southlake Campus, Pavilion A
6:00 pm - 8:00 pm
• February 20
• March 6
• March 20
• February 27
• March 13
Stroke and Heart Disease
Screenings
Screenings include a risk assessment questionnaire,
carotid bruit, and blood pressure.
Midlake Campus, 2269 25th Ave., Gary
12 noon - 2:00 pm
• June 4
200 East 89th Ave., Merrillville
4:00 pm - 6:00 pm
• March 5
• August 6
• April 2
• September 3
Bone Density
Screenings
Southlake Campus, Pavilion B, 200 E. 89th Ave., Merrillville
• March 12, 9:00 am
• August 6, 12 noon
• May 7, 9:00 am
• April 2, 12 noon
• September 3, 12 noon
• June 4, 9:00 am
Bone Health / Back
and Neck Pain Seminars
treatment of osteoporosis. Identify your back and neck
pain and learn about the most effective treatments
available.
4:00 pm
• April 30
• June 26
• September 24
Stroke Education
Seminars
Stroke 911 – Warning Signs of Stroke
Learn about the many warning signs of stroke and
symptoms at this free seminar.
Southlake Campus, Pavilion B, 200 East 89th Drive,
Merrillville
• May 14
5:30 pm: Seminar
Advanced Technology for Stroke
Treatment
Merrillville
• May 20
5:30 pm: Seminar
Movement Disorders
Seminars
Disorder Treatments
Learn about new treatment advances for Parkinson’s
and other movement disorders.
• June 18, 4:30 pm
Comprehensive Approach to
Treating Movement Disorders
Learn about Methodist Hospitals comprehensive
Movement Disorders Center.
Merrillville
Epilepsy Treatment
Update
Epilepsy is not a one size fits all disease. Learn about
new treatment advancements that allow you to feel
more confident about managing seizures.
Merrillville
• July 9, 5:30 pm
Treatment Options
Learn about the causes and treatment
of chronic facial pain.
Merrillville
• July 15, 5:30 pm
LAKE COUNTY - 15
support groups & classes:
Diabetes Support
and Education Groups
Multiple Sclerosis
Support Group
A wide variety of topics related to diabetes are discussed.
For persons with diabetes and their family members.
A support group for friends and family of people
with multiple sclerosis.
• Free. Classes meet the 4th Tuesday of every month.
Methodist Hospitals Northlake Campus,
600 Grant St., Gary; 10:00 am to 11:00 am
Southlake Campus Pavilion D,
303 East 89th Ave, Merrillville; 5:00 pm - 6:00 pm
To register call 219-738-5802
Methodist Hospitals Southlake Campus
Pavilion B, 1st Floor Conference Room
11:30 am - 1:00 pm
• February 21
• May 16
• July 18
• March 21
• June 20
• August 15
• April 18
Midlake Campus, 2269 25th Ave, Gary • 12 noon - 2:00 pm
• February 18
• May 20
• July 15
• March 18
• June 17
• August 19
• April 15
For more information call 219-738-4926.
No registration required.
Diabetes Self-Management
Education Classes
Comprehensive diabetes education involving all aspects
of treatments as well as prevention of chronic complications.
• First Three Wednesdays of the Month,
from 1:00 pm to 4:00 pm or 5:00 pm to 8:00 pm
To register call 219-738-5802.
Must have physician referral.
Cancer Support Group
A support group for patients during and after cancer
treatment.
Methodist Hospitals Southlake Campus, Pavilion B, Oncology
Institute Resource Library, 200 East 89th Ave, Merrillville
• June 3, 10:00 am
• March 4, 10:00 am
• June 17, 3:00 pm
• March 18, 3:00 pm
• July 1, 10:00 am
• April 1, 10:00 am
• July 15, 3:00 pm
• April 15, 3:00 pm
• May 6, 10:00 am
• May 20, 3:00 pm
To register call 1-888-909-DOCS (3627).
Prepared Childbirth Classes
A five-week course to help pregnant mothers
and their partners learn about labor, delivery and the
immediate post partum period. Recommendation for
attendance is 7 – 8 month of pregnancy.
6:30 pm to 9:00 pm
• February 11
• April 22
• July 1
• March 18
• May 27
•August 5
Living After Loss
A support group for adults grieving the death of a loved one.
Northlake Campus, South Pavilion Auditorium, 600 Grant St., Gary
4:00 pm - 5:30 pm Every Wednesday
Southlake Campus, Lower Level, Classroom 2
8701 Broadway, Merrillville
6:00 pm - 7:30 pm, Every Monday
Parkinson’s Disease
Support Group
in Wintertime
A group for friends and family with Parkinson’s disease.
Southlake Campus,
Pavilion B Conference Room
12 noon - 1:30 pm
• February 18
• May 20
• July 15
• March 18
• June 17
• August 19
• April 15
Stroke Support Group
A support group for stroke survivors, their friends
and family.
Southlake Campus
6:00 pm - 8:00 pm
• February 20
• May 22
• July 24
• March 20
• June 19
• August 28
• April 24
Look Good, Feel Better
Information and cosmetic advice for women battling
cancer. Hands on makeup and skin care application.
Cosmetics are provided free of charge.
200 East 89th Ave, Merrillville
4:00 pm - 6:00 pm
• March 4
• June 10
To register, call 1-800-227-2345.
• September 16
We’re Holding a Jacket for You.
Disease or Asthma.
Symptoms include significant nasal congestion,
coughing and difficulty breathing. Typically, infants
with RSV will have a fever and difficulty eating
for care.
While there is no specific treatment, the best
The virus will generally run its course in five to
seven days.
continues to occur.
We can never have too many helping hands and smiling faces. Volunteering is a wonderful way to
make a difference in the life of someone else. Methodist Hospitals’ Volunteer Services offer unique
opportunities for anyone 15 years or older to share their time, talents and interests to support our
mission. As a volunteer, you’ll be providing vital support and assisting with many of the services that
contribute to the care and comfort of our patients.
a flu shot and avoid cigarette smoke exposure.
For more information on volunteer opportunities, call Northlake Campus,
Gary: 219-886-4969 or Southlake Campus, Merrillville: 219-738-5622
Become a Methodist Hospitals Volunteer
NON-PROFIT ORG.
U.S. POSTAGE
PAID
GARY , IN
PERMIT NO. 487
TIME SENSITIVE MATERIAL
ECRWSS
POSTAL CUSTOMER
Moving forward. Making a difference
More and more Northwest Indiana families are turning to Methodist Physician Group
doctors every day, where compassionate, experienced doctors deliver quality,
personal care, at convenient locations near you.
The right doctors make all the difference.
CROWN POINT
•
GARY
•
GRIFFITH
•
HEBRON
FAMILY MEDICINE
Candice Anderson, MD
6111 Harrison St., Ste. 331, Merrillville
Angelique Brown, MD
8777 Broadway, Ste. C, Merrillville
Jerry Kuna, MD
11496 Broadway, Crown Point
Winifred Oniah, MD
2269 West 25th Ave., Gary
Frank Quint, MD
704 State Rd. 2, Hebron
Adolphus A. Anekwe, MD
3195 Broadway, Gary
6101 Miller Ave., Gary
Nadezda Djurovic, MD
99 E. 86th Ave., Ste. D, Merrillville
Tonya Harvey, NP
3195 Broadway, Gary
Anemaria Lutas, MD
10200 Wicker Ave., Ste. 1, St. John
Shashikant Rane, MD
10 N. Michigan Ave., Hobart
219-980-2801
219-738-3854
Debra Equihua, CNM
Michael Linton, MD
Arnita Reed, MD
•
HOBART
•
MERRILLVILLE
Venkatrama Garlapati, MD
219-944-4187
219-996-2641
219-884-9180
600 Grant St., 4th Fl., Gary
219-884-9180
Henrique Scott, MD
219-884-9180
NEUROSURGERY
219-884-9180
9250 Columbia Ave., Ste. C, Munster
219-884-9180
ORTHOPEDIC SURGERY
Mihas Kodenchery, MD
Arif Dalvi, MD
219-769-3233
Sanjeev Maniar, MD
219-887-0900
219-938-0700
219-365-6728
219-942-1131
801 West Glen Park Ave., Griffith
Kevin Waldron, MD
99 E. 86th Ave., Ste. C, Merrillville
219-738-4926
219-836-0039
219-738-4926
219-836-0039
Nancy White, NP
Reuben Rutland, MD
Alfred Bonjean, MD
NEUROLOGY
219-887-0900
219-938-0700
ST. JOHN • VALPARAISO
Dolores Phillips, NP
219-944-4187
•
Paul Nyongani, MD
Mary Hutchison, np
MUNSTER
219-884-9180
Laura Rodriguez, NP
•
GENERAL SURGERY
Andre Artis, MD
219-663-1150
219-464-1006
219-738-4926
PODIATRY
Mark Jones, DPM
219-944-4187
9105 A Indianapolis Blvd., Ste. 102, Highland
10200 Wicker Ave., St. John
219-738-3854
219-923-9090
219-365-6728
219-944-4187
George Tsoutsouris, DPM
219-923-9090
219-944-4187
BARIATRIC SURGERY
219-944-4187
OBSTETRICS & GYNECOLOGY
Otito Anaka, MD
HIGHLAND
CARDIOLOGY
INTERNAL MEDICINE
Bernadette Aghaji, MD
•
James Siatras, DO
219-738-5617
Allen Schmelzel, PA
200 East 89th Ave., Ste. 3-C, Merrillville
Vineet Shah, DO
Judson Wood, MD
219-980-1348
219-769-6221
219-769-6221
219-924-3379
219-738-4926
219-836-0039
219-769-4835
219-769-4835
219-757-7566
219-769-4835
219-769-4835
219-769-4835
219-757-7566
219-757-7566
PLASTIC AND RECONSTRUCTIVE SURGERY
Susan Schneider, MD
219-757-7566
SPINE SURGERY
Kristy Darnell, NP
Elian Shepherd, MD
219-738-2255
219-738-4930
219-738-2255
Find a physician near you at m e t h o d i s t p h y s i c i a n g r o u p . o r g
16 - LAKE COUNTY
GARY - 13
Healthy
Night Out
with the Girls
FEBRUARY 13
Heart Month: Comprehensive Screenings for Cardiovascular Disease
Free seminar featuring up to date information on the new guidelines for the prevention of heart
attack and stroke.
MARCH 13
SATURDAY, APRIL 26
Spring Spa Day
Space is Limited!
Reserve your
seat today.
Call 1-888-909-DOCS (3627)
3D SCREENING
MAMMOGRAMS
for Women who meet
poverty guidelines
CALL 219-981-5440
MAY 8
Stroke & Bone Health Awareness Month
JUNE 12
Fast, Easier Healthy Meals for a Healthier You
Presented by Leela Chigurupati, RD, CSO, Board Certified Oncology Nutritionist
to learn if you qualify for a
FREE Screening Mammogram,
and to schedule an appointment.
CALL TODAY!
Funded in part by Bears Care,
the Chicago Bears Foundation
FREE Methodist Hospitals Clinics:
Genetics Clinic
Lymphedema Clinic
Identify your potential genetic health risks in order to
make informed decisions about your genetic health.
The clinic also helps identify your genetic results, and
provides support throughout the process.
Patients with lymphedema and/or other edemas can
learn proper skin care, diet & exercises, massage and
other compression techniques
Southlake Campus, Pavilion B, Oncology Institute,
FREE Outpatient Congestive
Heart Failure Clinic
The goal of this clinic is to assist heart failure patients in
learning how to monitor and control their symptoms, improve
their quality of life and prevent hospital stays.
Cardiac Rehab, 753 E. 81st Place, Merrillville
METHODIST HOSPITALS
14 - GARY
Community Event Calendar
screenings & seminars:
To register call 1-888-909-DOCS (3627)
Free Scoliosis Screenings
Health Matters Seminars
Neuroscience Institute, 200 E. 89th Ave., Merrillville
By Appointment. For information call 219-738-4926.
Presented by Methodist Hospitals
Pain & Discomfort
You don’t have to live with chronic heartburn or acid reflux
pain and discomfort. Learn about the latest effective
treatments to relieve upper digestive disorders at this free
seminar presented by Methodist Hospitals physicians.
• April 30, 5:30 pm
• June 11, 5:30 pm
Maintain Your Brain Health:
What is Cerebral Vascular Disease?
Cerebral Vascular Disease refers to a group of conditions
that affect the circulation of blood to the brain, causing
limited or no blood flow to affected areas of the brain.
Healthy Lifestyle
and Smart Moves
An information and support session about healthy eating,
activity, stress management, & coping during and after
cancer treatment.
• June 3, 10:00 am
• March 4, 10:00 am
• June 17, 3:00 pm
• March 18, 3:00 pm
• July 1, 10:00 am
• April 1, 10:00 am
• July 15, 3:00 pm
• April 15, 3:00 pm
• May 6, 10:00 am
• May 20, 3:00 pm
Alzheimer’s Seminars
Presented by Louise Thompson
Community Outreach Specialist Alzheimer’s Association
Know the 10 Signs of Alzheimer’s
An introductory program that provides attendees with
an understanding of the difference between age-related
memory loss and Alzheimer’s and what to do if they or
someone they know has signs of the disease.
• March 5, 4:30 pm
The Basics: Memory Loss, Dementia,
and Alzheimer’s Disease
The Basics builds on the information given during Know
the 10 Signs. Risk factors for Alzheimer’s disease, the
diagnostic process, and the changes that the brain goes
through, as Alzheimer’s progresses are just some of the
topics covered in the program.
• April 23, 5:30 pm
• May 6, 4:30 pm
YWCA of Northwest Indiana, 150 W. 15th Ave., Gary
All Health Matters seminars begin at 12:15 pm
• February 28
• May 23
• August 22
• March 28
• June 27
• April 25
• July 25
Free Weight Loss Surgery
Seminar
An informational seminar about weight loss and surgery
options. The session is open to all interested persons
and their families or friends.
Northwest Indiana Center for Bariatric Surgery
at Methodist Hospitals, Southlake Campus, Pavilion A
6:00 pm - 8:00 pm
• February 20
• March 6
• March 20
• February 27
• March 13
Stroke and Heart Disease
Screenings
Screenings include a risk assessment questionnaire,
carotid bruit, and blood pressure.
12 noon - 2:00 pm
• June 4
4:00 pm - 6:00 pm
• March 5
• August 6
• April 2
• September 3
Bone Density
Screenings
• March 12, 9:00 am
• August 6, 12 noon
• May 7, 9:00 am
• April 2, 12 noon
• September 3, 12 noon
• June 4, 9:00 am
Bone Health / Back
and Neck Pain Seminars
treatment of osteoporosis. Identify your back and neck
pain and learn about the most effective treatments
available.
4:00 pm
• April 30
• June 26
• September 24
Stroke Education
Seminars
Stroke 911 – Warning Signs of Stroke
Learn about the many warning signs of stroke and
symptoms at this free seminar.
Merrillville
• May 14
5:30 pm: Seminar
Advanced Technology for Stroke
Treatment
Merrillville
• May 20
5:30 pm: Seminar
Movement Disorders
Seminars
Disorder Treatments
Learn about new treatment advances for Parkinson’s
and other movement disorders.
• June 18, 4:30 pm
Comprehensive Approach to
Treating Movement Disorders
Learn about Methodist Hospitals comprehensive
Movement Disorders Center.
Merrillville
Epilepsy Treatment
Update
Epilepsy is not a one size fits all disease. Learn about
new treatment advancements that allow you to feel
more confident about managing seizures.
Merrillville
• July 9, 5:30 pm
Treatment Options
Learn about the causes and treatment
of chronic facial pain.
Merrillville
• July 15, 5:30 pm
GARY - 15
support groups & classes:
Diabetes Support
and Education Groups
Multiple Sclerosis
Support Group
A wide variety of topics related to diabetes are discussed.
For persons with diabetes and their family members.
A support group for friends and family of people
with multiple sclerosis.
• Free. Classes meet the 4th Tuesday of every month.
Methodist Hospitals Northlake Campus,
600 Grant St., Gary; 10:00 am to 11:00 am
Southlake Campus Pavilion D,
303 East 89th Ave, Merrillville; 5:00 pm - 6:00 pm
To register call 219-738-5802
Methodist Hospitals Southlake Campus
11:30 am - 1:00 pm
• February 21
• May 16
• July 18
• March 21
• June 20
• August 15
• April 18
Midlake Campus, 2269 25th Ave, Gary • 12 noon - 2:00 pm
• February 18
• May 20
• July 15
• March 18
• June 17
• August 19
• April 15
Diabetes Self-Management
Education Classes
Comprehensive diabetes education involving all aspects
of treatments as well as prevention of chronic complications.
• First Three Wednesdays of the Month,
from 1:00 pm to 4:00 pm or 5:00 pm to 8:00 pm
To register call 219-738-5802.
Must have physician referral.
Cancer Support Group
A support group for patients during and after cancer
treatment.
Methodist Hospitals Southlake Campus, Pavilion B, Oncology
Institute Resource Library, 200 East 89th Ave, Merrillville
• June 3, 10:00 am
• March 4, 10:00 am
• June 17, 3:00 pm
• March 18, 3:00 pm
• July 1, 10:00 am
• April 1, 10:00 am
• July 15, 3:00 pm
• April 15, 3:00 pm
• May 6, 10:00 am
• May 20, 3:00 pm
Prepared Childbirth Classes
A five-week course to help pregnant mothers
and their partners learn about labor, delivery and the
immediate post partum period. Recommendation for
attendance is 7 – 8 month of pregnancy.
6:30 pm to 9:00 pm
• February 11
• April 22
• July 1
• March 18
• May 27
•August 5
Living After Loss
A support group for adults grieving the death of a loved one.
Northlake Campus, South Pavilion Auditorium, 600 Grant St., Gary
4:00 pm - 5:30 pm Every Wednesday
Southlake Campus, Lower Level, Classroom 2
6:00 pm - 7:30 pm, Every Monday
Parkinson’s Disease
Support Group
in Wintertime
A group for friends and family with Parkinson’s disease.
Southlake Campus,
Pavilion B Conference Room
12 noon - 1:30 pm
• February 18
• May 20
• July 15
• March 18
• June 17
• August 19
• April 15
Stroke Support Group
A support group for stroke survivors, their friends
and family.
Southlake Campus
6:00 pm - 8:00 pm
• February 20
• May 22
• July 24
• March 20
• June 19
• August 28
• April 24
Look Good, Feel Better
Information and cosmetic advice for women battling
cancer. Hands on makeup and skin care application.
Cosmetics are provided free of charge.
200 East 89th Ave, Merrillville
4:00 pm - 6:00 pm
• March 4
• June 10
To register, call 1-800-227-2345.
• September 16
We’re Holding a Jacket for You.
Disease or Asthma.
Symptoms include significant nasal congestion,
coughing and difficulty breathing. Typically, infants
with RSV will have a fever and difficulty eating
for care.
While there is no specific treatment, the best
The virus will generally run its course in five to
seven days.
continues to occur.
We can never have too many helping hands and smiling faces. Volunteering is a wonderful way to
make a difference in the life of someone else. Methodist Hospitals’ Volunteer Services offer unique
opportunities for anyone 15 years or older to share their time, talents and interests to support our
mission. As a volunteer, you’ll be providing vital support and assisting with many of the services that
contribute to the care and comfort of our patients.
a flu shot and avoid cigarette smoke exposure.
For more information on volunteer opportunities, call Northlake Campus,
Gary: 219-886-4969 or Southlake Campus, Merrillville: 219-738-5622
Become a Methodist Hospitals Volunteer
NON-PROFIT ORG.
U.S. POSTAGE
PAID
GARY , IN
PERMIT NO. 487
Moving forward. Making a difference
More and more Northwest Indiana families are turning to Methodist Physician Group
doctors every day, where compassionate, experienced doctors deliver quality,
personal care, at convenient locations near you.
The right doctors make all the difference.
CROWN POINT
•
GARY
•
GRIFFITH
•
HEBRON
FAMILY MEDICINE
Candice Anderson, MD
Angelique Brown, MD
Jerry Kuna, MD
11496 Broadway, Crown Point
Winifred Oniah, MD
Frank Quint, MD
704 State Rd. 2, Hebron
Adolphus A. Anekwe, MD
3195 Broadway, Gary
Nadezda Djurovic, MD
99 E. 86th Ave., Ste. D, Merrillville
Tonya Harvey, NP
3195 Broadway, Gary
Anemaria Lutas, MD
10200 Wicker Ave., Ste. 1, St. John
Shashikant Rane, MD
10 N. Michigan Ave., Hobart
219-980-2801
219-738-3854
Debra Equihua, CNM
Michael Linton, MD
Arnita Reed, MD
•
HOBART
•
MERRILLVILLE
Venkatrama Garlapati, MD
219-944-4187
219-996-2641
219-884-9180
219-884-9180
Henrique Scott, MD
219-884-9180
NEUROSURGERY
219-884-9180
219-884-9180
ORTHOPEDIC SURGERY
Mihas Kodenchery, MD
Arif Dalvi, MD
219-769-3233
Sanjeev Maniar, MD
219-887-0900
219-938-0700
219-365-6728
219-942-1131
801 West Glen Park Ave., Griffith
Kevin Waldron, MD
219-738-4926
219-836-0039
219-738-4926
219-836-0039
Nancy White, NP
Reuben Rutland, MD
Alfred Bonjean, MD
NEUROLOGY
219-887-0900
219-938-0700
ST. JOHN • VALPARAISO
Dolores Phillips, NP
219-944-4187
•
Paul Nyongani, MD
Mary Hutchison, np
MUNSTER
219-884-9180
Laura Rodriguez, NP
•
GENERAL SURGERY
Andre Artis, MD
219-663-1150
219-464-1006
219-738-4926
PODIATRY
Mark Jones, DPM
219-944-4187
10200 Wicker Ave., St. John
219-738-3854
219-923-9090
219-365-6728
219-944-4187
George Tsoutsouris, DPM
219-923-9090
219-944-4187
BARIATRIC SURGERY
219-944-4187
OBSTETRICS & GYNECOLOGY
Otito Anaka, MD
HIGHLAND
CARDIOLOGY
INTERNAL MEDICINE
Bernadette Aghaji, MD
•
James Siatras, DO
219-738-5617
Allen Schmelzel, PA
Vineet Shah, DO
Judson Wood, MD
219-980-1348
219-769-6221
219-769-6221
219-924-3379
219-738-4926
219-836-0039
219-769-4835
219-769-4835
219-757-7566
219-769-4835
219-769-4835
219-769-4835
219-757-7566
219-757-7566
PLASTIC AND RECONSTRUCTIVE SURGERY
Susan Schneider, MD
219-757-7566
SPINE SURGERY
Kristy Darnell, NP
Elian Shepherd, MD
219-738-2255
219-738-4930
219-738-2255
Find a physician near you at m e t h o d i s t p h y s i c i a n g r o u p . o r g
16 - GARY

Taking the Reins Taking the Reins

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