Providence Health Magazine: Fall 2010

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FALL 2010

A GUIDE TO HEALTHY LIVING AND QUALITY CARE PROVIDENCEHEALTHONLINE.ORG

FastER Emergency Care

Providence Medical Centers offer expert, fast-tracked emergency department care

A CLOSER LOOK

Imaging technologies lead to better diagnoses

THE BEST CARE FOR STROKE

Providence hospitals receive designations as Primary Stroke Centers

BREAST CANCER AWARENESS MONTH A perfect time to schedule your mammogram

Providence Holy Cross Medical Center Mission Hills

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Providence Saint Joseph Medical Center Burbank

Providence Tarzana Medical Center Tarzana

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Thoughts from Your Chief Executives

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Advanced ER Care

IN THIS ISSUE

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An Inside Look Learn how imaging technology is making a difference in the way diseases are diagnosed.

A P R F T V O S

Whether it’s a head injury, a heart attack or a deep cut, emergencies by their very nature take us by surprise. And sometimes it’s hard to know exactly what to do. That’s why Providence Health & Services is here to help. We want you to understand different kinds of emergencies, including strokes, heart attacks and other injuries, so that you can make sure you get rapid care for yourself or a loved one. This issue’s cover story on page 8 provides information about what to do in an emergency.

You also will learn about what to expect at a Providence emergency department, including how we are changing care through advanced response and expertise in many conditions (such as stroke and heart attack), and about our fast-track programs for those with less severe medical needs. You’ll also get tips on what to bring with you if you go to the emergency department.

Providence is committed to leading-edge services and technology and this shows in the imaging services at our three medical centers and at our outpatient facilities, including the new Providence Holy Cross Health Center in Porter Ranch. This edition of Providence Health includes an article about the technology we’ve invested in to ensure quality diagnostics and treatment, the keys to a healthy recovery.

Lastly, we’d like to draw your attention to our newly redesigned website, providence.org/california, filled with news about Providence in the Valley, physician locator directories, health tips for your family and many other features.

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8 FastER Care

Providence Tarzana, Holy Cross and Saint Joseph Medical Centers provide expert care in emergencies and offer a fast-track for certain conditions and situations.

IN EVERY ISSUE

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E Dale Surowitz Chief Executive Providence Tarzana

Barry Wolfman Chief Executive Providence Saint Joseph

Larry Bowe Chief Executive Providence Holy Cross

3 Community Connections

14 Calendar of Maternity Programs 17 Calendar of Classes, Events and Lectures

PROVIDENCE HEALTH Produced by Marketing & Communications at Providence Health & Services’ Valley Service Area Providence Health Editor-inChief: Nancy Franklin Providence Health Managing Editors: Patricia Aidem Jennifer Fagnani Connie Matthews Natasha Shows Contributor: Tiffany DeVall

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Senior Content Editor: Kari Redfield Art Director: Maggie Conners Production Technology Specialist: Sonia Washington Imaging Specialist: Dane Nordine Production Manager: Nicole Dean

Providence Health is published four times annually by McMurry, 1010 E. Missouri Ave., Phoenix, AZ 85014. Volume 2, Number 4 © 2010 McMurry.

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following—give us a new address, let us know that you are receiving more than one copy, or tell us you prefer not to receive Providence Health—please call 1-888-626-8779.

The material in Providence Health is not intended for diagnosing or prescribing.

Consult your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines.

For permission to reprint any portion of this magazine, or to do one of the Printed on recycled paper.

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Community Connections OUR MISSION AS PEOPLE OF PROVIDENCE, WE REVEAL GOD’S LOVE FOR ALL, ESPECIALLY THE POOR AND VULNERABLE, THROUGH OUR COMPASSIONATE SERVICE.

Bringing Clinical Trials to the Community Distinguished cancer specialist and researcher heads up new program

CORE VALUES

Compassion Caring for each person as part of our family.

Justice Working for a fair and equitable society.

Respect Affirming the God-given dignity and worth of each person.

Excellence Continually improving all that we do.

Stewardship Wisely caring for and sharing human, environmental and financial resources held in trust.

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The Roy and Patricia Disney Family Cancer Center not only delivers comprehensive cancer care, but it also now offers area residents the opportunity to participate in clinical trials that can give them access to the latest treatments not available in other settings.

To oversee this initiative, Peter J. Rosen, M.D., has been appointed medical director of clinical research for the Disney Family Cancer Center at Providence Saint Joseph Medical Center.

Dr. Rosen brings extensive experience to Providence including his most recent role as medical director of the highly regarded Tower Cancer Research Foundation in Beverly Hills and previous affiliations with research programs at the UCLA Jonsson Comprehensive Cancer Center and the USC Norris Comprehensive Cancer Center.

Dr. Rosen is creating a regional clinical trial program that encompasses the Providence family of medical centers in the San Fernando Valley.

“Patients often have to go outside their own community to participate in trials, but they would much rather remain with doctors they know,” he says. “Our program will be centralized at the Disney Family Cancer Center and exported to the specialists in the communities we serve.”

For example, a patient being treated by an oncologist at Providence Holy Cross Medical Center or a hematologist at Providence Tarzana Medical Center could participate in trials at the center.

Dr. Rosen is coordinating a portfolio of trials SIGN UP FOR A TRIAL that will be available to the community. Patients interested in learning more are encouraged to To find out what clinical trials are in the speak with their doctor. area, visit providencehealthonline.org.

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Community Connections

Care and Comfort from Providence TrinityCare

Introducing Providence Care Network

The end of life is never easy.

But Providence TrinityCare Hospice is here to help, reflecting Providence Health & Services’ Valley Service Area’s commitment to providing care for everyone, in every circumstance.

Program will integrate care and coverage for greater accessibility

Providence Health & Services, California wants to make health care more accessible to everyone. That’s why it’s creating the Providence Care Network. This network of physicians is located in the Valley service areas and physicians will utilize Providence managed care contracts. Managed care patients in this area will be able to access their care through this new network of physicians.

“There are many people in the San Fernando Valley who are going out of the area for their services and physician For more information about because of contracting networks,” says Marvin Kanter, M.D., the Providence chief physician integration officer for Providence Medical Care Network, call Management Services. “We believe that with our networks, 818-748-0100. people will be able to receive the majority of their care locally from high-quality physicians in the Providence Care Network.”

The community will be notified of the availability of open enrollment as the Providence Care Network is developed and introduced across the area. In the meantime, for more information call 818-748-0100 and ask for Customer Service.

Give Us a Call

GUIDE TO YOUR KIDS’ HEALTH New online tools at providencehealthonline.org You want the best for your child, from good nutrition to effective discipline to a breadth of opportunities. At our website, you’ll find: • Free calculators, quizzes and an online health library. Fevers, fire prevention and head lice are just a few of the topics you can quiz yourself on and learn more about.

• Handy tools can tell you how tall your youngster may be as an adult and whether he or she is at a healthy weight.

• Resources about childhood illnesses.

Knowing what to do when your child

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gets sick can make getting through the illness a little less stressful for both of you.

• Emotional and intellectual growth information. This is just as important in child development as physical growth.

• Life stage development. Whether your child is a newborn, toddler or teen, find answers to your questions about each particular stage.

“Most terminally ill patients want to die at home, and we help them accomplish that,” says Isaac Vielma, M.D., associate regional medical director of Providence TrinityCare Hospice. “We also support their families, so they feel empowered to care for their loved one.”

The oldest and largest not-for-profit hospice program in the Greater Los Angeles area, Providence TrinityCare Hospice also includes a program specifically for children, TrinityKids Care.

“Our goal is to help these very sick children live well and die gently,” says Glen Komatsu, M.D., medical director of Providence TrinityKids Care and chief medical officer for Providence TrinityCare Hospice.

Providence TrinityCare Hospice’s services include: • Symptom management and comfort care • Certified home health aides • On-call nurse, social worker and chaplain • Physician consultation • Counseling and grief support • Assistance obtaining medicine, supplies, equipment and other services For more information or to request a consultation, call 1-800-829-8660 or visit www2.providence.org/ TrinityCare. providencehealthonline.org

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Community Connections

Have You Scheduled Your Mammogram?

October is National Breast Cancer Awareness Month, a great reminder to women to schedule their annual mammograms.

The Providence Saint Joseph Breast Health Center offers a complete range of breast health screening services, including full-field digital mammography, stereotactic breast biopsy, diagnostic breast ultrasound and ultrasound-guided core biopsies.

“Our state-of-the-art breast center includes a fellowship-trained female radiologist who many women feel more comfortable with,” explains Judy Fauria, (RT)(M)(CT), director of Imaging Services. “We have a high rate of accurate diagnoses, and a high breast-conservation rate.”

In fact, breast cancer treatment at the Roy and Patricia Disney Family Cancer Center at Providence Saint Joseph Medical Center may offer breast preservation rates of close to 85 percent.

This is significantly higher than the national average.

The Disney Family Cancer Center also offers partial breast irradiation therapy, a potential treatment option for women with breast cancer who need radiation therapy after a lumpectomy.

“Findings are still preliminary, but it appears that partial breast irradiation offers results similar to whole breast irradiation in select patients with earlystage breast cancer,” says Raul Mena, M.D., the center’s medical director. “And the treatment time is only one week compared to six or seven weeks for whole-breast radiation, which is much more convenient for women.”

The earlier breast cancer is diagnosed, the more successfully it can be treated— making regular mammograms vitally important.

From Oct. 1 to Dec. 31, all of the Providence Health Centers are offering screening mammograms at the reduced price of $100. To schedule, call 1-888-HEALING and mention the breast cancer awareness promotion.

Visit providencehealthonline.org to learn more about risk factors.

SCREENING DISCOUNTS From Oct. 1 to Dec. 31, all of the Providence Health Centers are offering screening mammograms at the reduced price of $100.

Providence High School Celebrates the New School Year As the 2010-11 school year begins, Providence High School looks ahead to another year full of great achievements from its students, while celebrating highlights from the previous school year. Members of the class of 2010 were accepted to Yale, Stanford, NYU, USC, UC Berkeley and UCLA, as well as other universities in California and across the nation.

In addition, Providence’s new drama program experienced huge success and great acclaim with sold-out performances of Our Town last spring, students in the Media Focus Program were honored with awards at the Harvard Westlake Film Festival, and the award-winning choirs performed to a sold-out crowd at The Colony Theater for the first time.

Experience firsthand all that Providence High School has to offer during “Providence in Action” on Saturday, Oct. 16, and take a tour of the campus during the annual Open House on Sunday, Nov. 14, from noon to 2:30 p.m.

For more information, please call Judy Umeck, director of admissions, at 818-846-8141, ext. 501, or visit providencehigh.org.

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A Look Inside Take a peek at the advanced imaging technologies available at Providence medical centers

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ometimes, a physician needs to look inside your body to know exactly what’s going on. There was a day when exploratory surgery was the only option, but the evolution of technology over the last century has turned that concept inside out.

Today, a variety of imaging techniques are available to help physicians uncover information needed to deliver an accurate diagnosis. The spectrum of advanced imaging technology is available from the Providence family of Providence Saint Joseph Medical Center, Providence Tarzana Medical Center and Providence Holy Cross Medical Center, and at satellite locations such as the new Providence Holy Cross Health Center at Porter Ranch.

Every imaging center location provides convenient preauthorization and preregistration. Imaging tests are performed in a caring, patient-focused environment that meets the most stringent guidelines.

“We use all the latest technology and techniques

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to minimize radiation exposure while still maintaining good image quality for an accurate diagnosis,” says Gisho Tatsutani, B.S., CRT, director of Imaging Services at Providence Holy Cross. There are also some imaging technologies that don’t involve radiation such as ultrasound and MRI. Nearly everyone will undergo an imaging test at one point, so it’s helpful to understand the basics of some of the more common screenings, not to mention innovative technologies, available at Providence.

Mammography All of Providence Health & Services’ Valley Service Area locations offer digital mammography, which provides better image quality than traditional mammography.

“With mammography, there are sometimes very subtle calcifications,” Tatsutani explains, “and this software aids radiologists in detecting those nuances.”

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Saving Money Might Save Your Life Early detection is your best defense against breast cancer. Because Providence cares about every woman’s health, we’re offering discounted mammograms Oct. 1 to Dec. 31. Call 1-888-HEALING.

Calcium scoring, which also uses a 64-slice CT scanner, can reassess a patient’s plaque levels and help predict cardiac risk—with no dye and minimal radiation.

Magnetic Resonance Imaging (MRI)

PET/CT Scan

MRI is a radiation-free imaging technique that uses a large magnet to send and receive pulse signals from cells in the body. Those signals are transmitted to a computer to generate an image. Different tissue types send out different signals, which makes MRI a good technique for looking at soft tissue, says Jason Sinner, M.D., a radiologist at Providence Saint Joseph.

MRI is being used more frequently on breast tissue.

“Mammography will always be the gold standard,” Dr. Sinner explains. “But if a woman has very dense breasts or a strong family history or even a cancer diagnosis, we’ll use breast MRI to make sure we’re seeing even the smallest details.”

PET/CT combines a technology known as positron emission tomography imaging with CT scanning to perform a full-body scan. PET imaging involves the injection of a small amount of a radioactive contrast agent into the body to identify abnormal cells. Often used to diagnose cancer, PET/CT is also used to check brain function and help diagnose certain cardiac conditions.

In addition to diagnosing cancer, PET/CT is also used for monitoring patients who are undergoing treatments to check for any recurrence—making it an essential tool for any cancer center.

This technology is available at the Roy and Patricia Disney Family Cancer Center at Providence Saint Joseph and at the Providence Holy Cross Health Center-Santa Clarita Cancer Center.

64-Slice CT Scan Computed tomography (CT) uses X-ray beams much like an MRI uses a magnet. This technology is good for bony structures and certain types of blood.

Most Providence locations offer 64-slice CT scans, which can cover more area in a shorter time than older technology. This not only reduces the amount of radiation exposure but also allows radiologists to see body structures in real time. “We can capture a clear image of the heart while it’s beating,” Dr. Sinner says.

Coronary CT Angiography (CCTA) This advanced cardiac imaging technology was introduced at Providence Tarzana in August and gives physicians a noninvasive test for looking at the arteries that supply blood to the heart.

CCTA uses a 64-slice CT scanner to capture images of those arteries, with the help of dye injected through an IV that “lights up” the arteries. In some instances, CCTA can be used instead of angiography, which involves inserting a catheter into the heart to capture images.

“It’s especially good for people at intermediate risk of heart problems who have symptoms of chest pain or shortness of breath,” says John Tsakonas, M.D., director of noninvasive cardiology and assistant director of CT angiography at Providence Tarzana. “And it gives us anatomic data as opposed to a stress test, which sometimes gives us data only about how the heart is functioning.”

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PREPARING FOR YOUR TEST To make your imaging test go as smoothly as possible, here are a few things you can do.

1. Talk to your doctor. Make sure you understand if you have to refrain from drinking or eating before your test.

Make sure your doctor knows all the medications you’re taking and any allergies or medical conditions.

2. Wear loose-fitting, comfortable clothing. For some tests, you may be able to wear your own clothes if they’re loose and free of metal fasteners. For others, you’ll need to change into a gown.

3. Leave metal objects at home. For many tests, you’ll be asked to remove glasses, dentures and even hearing aids.

To make things easier, leave jewelry and hairpins at home.

4. Be open about pregnancy. Your doctor and the technologist doing your test need to know if there’s any possibility that you’re pregnant.

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ClosER FastER BettER

Emergenc S

evere abdominal pain. A fall down the stairs that makes walking painful. A high fever.

Chest pain or a sudden excruciating headache.

These things always seem to happen whenever the doctor’s office is closed.

Any of these scenarios could lead to medical emergencies. If you’re worried your illness or injury is severe, don’t take a chance.

The best rule of thumb is that if you’re not sure if it’s an emergency, it should be treated as one. And if it ends up being less serious, Providence Emergency Departments can handle your health care needs with our fast-track programs.

“If you’re having shortness of breath, severe chest or abdominal pain, changes in vision or mental status, difficulty speaking, severe pain or uncontrolled bleeding, we want to see you right away,” says Holly Nagatoshi, R.N., MSN, manager, Emergency Services at Providence Tarzana Medical Center.

There are other signs you need immediate attention. Some, like loss of consciousness, are easy to identify. But there are others that aren’t so obvious, which is why, when in doubt, it’s best to leave it up to the experts.

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Some situations require emergency medical care while others can wait for a doctor’s appointment. At Providence, we believe that if you aren’t sure, come to the emergency department

ncy Care “Emergencies are so personal,” says Jason Fisher, M.D., medical director of the Emergency Department at Providence Holy Cross Medical Center. “We’d like to have people err on the side of caution.

Ultimately, that’s what we’re here for.”

This doesn’t mean you should rush to the hospital for every little bruise or bump, though. For example, a skinned knee you can clean thoroughly and that stops bleeding within 10 minutes or so isn’t an emergency.

“We’d treat a cut like that the same way here and put a bandage on it,” says Kevin Traber, R.N., BHA, director of Emergency and Cardiovascular Services at Providence Saint Joseph Medical Center.

“It isn’t necessary to come to the hospital with a minor injury you can treat at home. When in doubt, though, we’re always here.”

The Ins and Outs of Emergency Departments When you come into the emergency department, the experts there are trained to quickly assess your needs and determine how urgent your injury is. Someone with chest pain is going to be treated before someone with a possible broken finger, which means less serious cases may have to wait if the emergency department is busy.

However, all three Providence Medical Centers recently began offering a “fast-track” program to help increase emergency access for patients. This “rapid assessment and discharge” is staffed by emergency department specialists, allowing for prompt assessment and treatment of patients with less severe medical needs.

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While these patients have often faced longer waits in the past, the goal of fast-track is to see that they receive the care they need in approximately one hour or less. Patients who need only one medical intervention will qualify for fast-track treatment. The program also aims to reduce wait times in the main emergency department.

Read on to learn more about common situations that require a visit to the emergency department and what to expect when you go.

Stroke

Especially for Kids All three Providence Medical Centers in the Valley have been designated by Los Angeles County as Emergency Departments Approved for Pediatrics. This means the emergency department staffs have special emergency equipment and additional training above and beyond what most emergency departments have to care for your child. An injured or seriously ill child should be taken to the nearest medical center, and if hospitalization is necessary, Providence provides a dedicated pediatric transport ambulance especially designed for children.

The ambulance, which transports infants and children to Providence Tarzana, includes a kid-sized stretcher, accommodations for isolettes (incubators), seats for a doctor and a parent, and even child-appropriate DVDs to play on the trip.

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If you or someone you’re with exhibit any signs of a stroke, there’s no time to hesitate. You need to call 911 and get straight to the medical center.

Signs of a stroke include confusion, difficulty speaking or understanding, numbness or weakness—especially on one side of the body and in the face, arm or leg—loss of balance or coordination, and a severe headache with no explanation.

“There’s emergency treatment for certain kinds of strokes, which is a clot-busting medication, but it has to be administered within three hours of the onset of symptoms,” Dr. Fisher says.

Patients who miss that window, or who don’t respond to the clot-busting drug, can be transferred quickly to Providence Saint Joseph Medical Center for treatment with a procedure to remove the clot that’s stopping blood flow to the brain.

Providence Saint Joseph, Providence Holy Cross and Providence Tarzana Medical Centers each are certified Primary Stroke Centers, which means they have an expert stroke team in the hospital at all times. Paramedics know to bypass other hospitals to get to a stroke center.

Chest Pain or Heart Attack Symptoms This is another time when the emergency department is the only place to be. It’s best to call 911 because “you don’t have a defibrillator in your glove box,” Dr. Fisher says. Emergency responders are trained to help you on the way to the hospital.

Signs to be aware of include crushing chest pain that may or may not travel down your arm, shortness of breath, discomfort in your arms, neck, back or jaw, severe heartburn, nausea or breaking out in a cold sweat.

“I’m finding that women get a lot more palpitations than men, and they’re getting pain in the right arm or right side of the jaw instead of the left,” says Missy Blackstock, R.N., BSN, Emergency Department director at Providence Holy Cross.

Waiting too long to seek medical treatment for a heart attack can be life-threatening. Every minute that a heart attack continues causes more damage to the heart muscle, which makes treatment and recovery more difficult and lengthy.

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“If you’re having shortness of breath, severe chest or abdominal pain, changes in vision or mental status, difficulty speaking, severe pain or uncontrolled bleeding, we want to see you right away,” says Holly Nagatoshi, R.N., MSN, manager, Emergency Services at Providence Tarzana Medical Center.

And like our stroke expertise, all three Providence Medical Centers in the Valley are certified STEMI Centers, which means they are staffed and equipped to handle even the most severe heart attacks. Just like with stroke care, ambulances know to pass other hospitals to reach STEMI centers because a dedicated team is available 24/7 to quickly assess the patient and perform a catheterization procedure to open the clogged artery, if needed, within 90 minutes.

Injuries An injury can be small, like a minor cut caused by a kitchen mishap, or major, such as a construction accident involving a severe laceration or a head injury.

Any cut that’s deep or very dirty should be checked out in the emergency department, Traber says, adding, “You need to have it irrigated so it doesn’t get infected.”

Head injuries require immediate attention, as do cuts that don’t stop bleeding after 10 to 15 minutes.

“If it’s a serious laceration and you wait more than six hours to have it treated, it can have a negative impact on the healing process,” Dr. Fisher says.

Sprains, Strains and Broken Bones Without an X-ray, it’s difficult to tell the difference between, say, a sprained ankle and a broken one. Both will involve a lot of swelling and pain—and a sprain can be more painful than a break, Blackstock says. Some people think, “If you can walk on it, it’s not broken,” but that’s not always true.

If a limb is clearly deformed or bone is protruding from the skin, that’s an emergency. You should also get to the emergency department if you can’t move the extremity or if there’s a deep wound involved.

According to Dr. Fisher, some fractures can cause nerve damage, which is a medical emergency. Signs include numbness, tingling and weakness in the injured area. Also check if the injured extremity feels colder than the other one, or if the fingers or toes look pale compared to the others, which could be a sign of a vascular injury (affecting the blood flow), and requires immediate medical attention.

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Colds, Flu and Fever

Don’t Take Chances If you have symptoms of a heart attack or stroke, or if you feel unsure about your ability to drive yourself in the event of an illness or injury, call 911. The emergency responders know how to transport you quickly and safely. And during the ride, they are in touch with the emergency department staff to ensure treatment begins as soon as possible.

Sometimes even cold symptoms can be a sign of an emergency — if, for example, they are accompanied by shortness of breath, which could escalate into pneumonia or make a chronic condition like asthma or heart failure worse. Shortness of breath can apply to the flu, too.

Get prompt medical attention if a child— especially one younger than 3 years old—or an adult over age 65 has had vomiting or diarrhea for more than 12 hours.

“Kids and older adults can both get dehydrated very easily,” Traber says.

An adult who has a fever of more than 103 degrees for more than a day, or a child with a fever above 101 degrees, should be seen by a doctor.

“If you make the decision to come to the emergency department, avoid bringing your healthy children,” Blackstock says. “People in the waiting room are there because they’re sick and can spread germs.”

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Senior Health

Beat a Stroke, Beat the Clock Quick, qualified care is right where you need it Effective stroke treatment requires the expertise of specialized professionals working together in a very tight time frame. And that’s exactly what’s available across all Providence locations in the Valley Service Area.

Providence Saint Joseph, Providence Holy Cross and Providence Tarzana Medical Centers all have earned high marks from HealthGrades, one of the nation’s leading health care ratings organizations. In addition, all three have been approved as Primary Stroke Centers by the Joint Commission on Accreditation of Healthcare Organizations.

“This puts us in a class of institutions that really are allencompassing in terms of stroke care,” says G. Scott Brewster, M.D., medical director of the Emergency Department and the stroke program at Providence Tarzana.

Earlier this year, Providence Saint Joseph Medical Center’s stroke program also earned the Gold Plus Performance Award, the top honor by the American Heart Association and the American Stroke Association for specialized stroke diagnosis and treatment.

The award recognizes Providence Saint Joseph’s commitment to, and success in, implementing a higher standard of stroke care, according to evidence-based guidelines.

Assisting Recovery The team at Providence provides a continuum of care, looking after the specific needs of stroke patients during their recoveries.

This includes comprehensive rehabilitation services.

Rose Vricella, an 86-year-old resident of Reseda, turned to Providence Holy Cross for outpatient rehabilitation after initial treatment and rehab at another hospital.

“I went in to Holy Cross with a wheelchair and now I don’t use one anymore—I can walk with a walker,” Vricella says. “I’m able to cook and travel and get around pretty well. I got the best therapy you could have.”

Acting Fast To minimize stroke damage, time is critical. When patients are brought into a Providence emergency department, rapid assessment protocols are instituted by our specially trained stroke teams. Some patients can be treated with tPA, known as the “clot-busting drug,” which can open the blocked blood vessel that’s causing the stroke in hopes of minimizing stroke-related damage.

This treatment, which must be administered within three hours, is not appropriate for every patient. Others can be treated by dissolving or removing blood clots. These treatments can be administered up to eight hours after the onset of symptoms.

AssesS your risk To take a free stroke risk assessment or to learn about upcoming screenings, visit providencehealthonline.org.

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No Time to waste If someone is having a stroke, literally every second counts. “Time is brain, and the closer to the onset of symptoms treatment is administered, the better,” says Peter-Brian Andersson, M.D., Ph.D., a neurologist at Providence Tarzana Medical Center.

It’s essential to recognize the warning signs of a stroke, which come on suddenly with no other explanation: ■ Weakness or numbness, particularly on one side of the body ■ Slurred speech ■ Confusion ■ Difficulty finding the right words ■ Double vision ■ Severe headache

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Foundation Focus

Big Plans to Help Tiny Patients Campaign supports expansion of Pediatric Intensive Care Unit

Every parent dreads the thought of a child being hospitalized.

But even worse would be a lack of specialized care—or no place for a sick child to go.

Health care for Los Angeles County’s youngest residents is in jeopardy, as the number of inpatient children’s beds has declined dramatically over the last 10 years. And with a projected population growth of 35 percent by 2030, it’s estimated that the current number of hospital beds in the San Fernando Valley will be far below a level of safety.

A New PICU Plan To ensure children in the community can continue to receive the care they need, Providence Tarzana Medical Center is creating a new physical setting for its Pediatric Intensive Care Unit (PICU).

The PICU will be relocated to the sixth floor, where the balance of the hospital’s pediatric services are housed.

The Providence Tarzana Foundation is raising funds to support this $8 million relocation project, which will allow the PICU to grow to eight beds and qualify for California Children’s Services (CCS) certification.

“This pediatric expansion will dramatically improve the wellbeing and health of so many children and their families in the local community,” says Patty Williams, executive director for the Providence Tarzana Foundation. “When a child is critically ill, it impacts the entire family—and if the treating hospital is miles away from family and home, it adds undue stress.”

A Specialized Staff Providence Tarzana isn’t just close to home for area residents.

The medical center is also extremely well-qualified to address the needs of young patients and their families.

First, there’s a team of pediatric specialists that focuses on the care of young patients’ physical and emotional needs.

The pediatric physicians on staff also represent a vast array of medical and surgical disciplines—including allergy, rheumatology, anesthesiology and urology—and many specialize in caring for hospitalized children. Unlike any other hospital in the San Fernando Valley, Providence Tarzana has three board-certified pediatric intensivists at the PICU’s service 24 hours a day, seven days a week.

“Many wonderful recoveries occur in our small Pediatric Intensive Care Unit,” says Cesar Chavarria, M.D., medical director of the PICU. “We have such a wonderful team here, and having a new home adjacent to our pediatric department will be exponentially beneficial.”

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Give a Little Donations are needed to help Providence Tarzana complete its PICU expansion. Call 818-757-4384 or visit www2.providence.org/tarzana, click “Giving” and then “Donate Today.” Donations can also be sent to: Providence Tarzana Medical Center Foundation, 18321 Clark St., Tarzana, CA, 91356.

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Calendar of Maternity Programs

Childbirth and Parent Education at Providence Medical Ce Along with the excitement of finding out you’re pregnant comes a million questions. The maternity and women’s programs at Providence Holy Cross, Providence Saint Joseph and Providence Tarzana Medical Centers offer you answers with a full schedule of classes that help prepare you for pregnancy, birth and parenting.

1. PREPARE FOR BABY Maternity Tour We’ll open our maternity unit to you for a free walking tour.

PROVIDENCE HOLY CROSS MEDICAL CENTER

Meets: Second Tuesday of the month; 7-8:30 p.m.

Location: 15031 Rinaldi St., Mission Hills Reservations: 818-847-4143 PROVIDENCE SAINT JOSEPH MEDICAL CENTER

Meets: Oct. 6, 13, 27; Nov. 3, 10, 17; Dec. 1, 8, 15; 7-8:30 p.m.

Location: 501 S. Buena Vista St., Burbank Reservations: 818-847-4143

PROVIDENCE TARZANA MEDICAL CENTER

PROVIDENCE TARZANA MEDICAL CENTER

Meets: Second and fourth Thursday of each month; 7-9 p.m.

Location: Women’s Pavilion, 18321 Clark St., Tarzana Reservations: 1-888-432-5464

Meets: Second and fourth Thursday of each month; 3:30-5 p.m.

Location: Women’s Pavilion, 18321 Clark St., Tarzana Reservations: 1-888-432-5464

Big Kids & Babies Sibling Maternity Tour

Childbirth Preparation Lamaze Classes

This class, for children ages 2½ to 12 years old (3 to 10 at Providence Saint Joseph and Providence Holy Cross), prepares siblings to visit the new baby in the hospital. It also teaches safe ways to play with the new sibling.

PROVIDENCE HOLY CROSS MEDICAL CENTER

PROVIDENCE HOLY CROSS MEDICAL CENTER

Meets: Nov. 9; 5:30-6:30 p.m.

Location: 15031 Rinaldi St., Mission Hills Reservations: 818-847-4143 PROVIDENCE SAINT JOSEPH MEDICAL CENTER

Meets: Oct. 13; Nov. 10; Dec. 8; 5:30-6:30 p.m.

Location: 501 S. Buena Vista St., Burbank Reservations: 818-847-4143

Wednesdays: Sept. 22-Oct. 20; 7-9:30 p.m.

Saturdays: Oct. 23-Nov. 13; 10 a.m.-1 p.m.

Location: 15031 Rinaldi St., Mission Hills Fee: $95 per couple Reservations: 818-847-4143 PROVIDENCE SAINT JOSEPH MEDICAL CENTER

Tuesdays: Nov. 2-30; 7-9:30 p.m.

Thursdays: Oct. 7-Nov. 4; 7-9:30 p.m.

Saturdays: Nov. 13-Dec. 11 (skipping Nov. 27); 1-4 p.m.

Location: 501 S. Buena Vista St., Burbank Fee: $95 per couple Reservations: 818-847-4143 PROVIDENCE TARZANA MEDICAL CENTER

Mondays: Oct. 18-Nov. 8; Nov. 15Dec. 6; Dec. 13-Jan. 10; 6:30-9 p.m.

Tuesdays: Oct. 5-26; Nov. 2-23; Nov. 30-Dec. 21; 6:30-9 p.m.

Wednesdays: Oct. 13-Nov. 3; Nov. 10Dec. 8; Dec. 15-Jan. 12; 6:30-9 p.m.

Location: Women’s Pavilion, 18321 Clark St., Tarzana Fee: $125 per couple; plus, choose one date from the “Anesthesia and Cesarean Section” class.

Reservations: 1-888-432-5464

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cal Centers Childbirth Intensive Lamaze Preparation This one-day class covers the topics presented in our regular childbirth series in a fast-paced format.

Participants should bring their lunch.

PROVIDENCE SAINT JOSEPH MEDICAL CENTER

Meets: Oct. 10; Nov. 21; Dec. 5; 9 a.m.-5 p.m.

Location: 501 S. Buena Vista St., Burbank Fee: $95 per couple Reservations: 818-847-4143 PROVIDENCE HOLY CROSS MEDICAL CENTER

Sundays: Oct. 17; Nov. 14; Dec. 12; 9 a.m.-5 p.m.

Location: Westfield Valencia Town Center Mall Community Room, 24201 W. Valencia Blvd., Valencia Fee: $95 per couple Reservations: 818-847-4143 PROVIDENCE TARZANA MEDICAL CENTER

All classes are FREE unless otherwise indicated. For more information, please call us at 1-888-HEALING

Parents Expecting Multiples PROVIDENCE TARZANA MEDICAL CENTER

Meets: Call 888-432-5464 for dates and times Location: North Conference Center, 18321 Clark St., Tarzana Fee: $25 per couple

Anesthesia and Cesarean Section PROVIDENCE TARZANA MEDICAL CENTER

A one-day class about cesarean section, the recovery process, and the types of anesthesia used for both labor as well as surgery.

Meets: First and third Thursdays of the month; 7-9:30 p.m.

Location: Women’s Pavilion, 18321 Clark St., Tarzana Fee: $25 per couple Reservations: 1-888-432-5464

Two Saturdays: (Childbirth Express): Oct. 9 and 16; 9 a.m.-1 p.m.

Location: Women’s Pavilion, 18321 Clark St., Tarzana Fee: $125 per couple; plus choose one date from "Anesthesia and Cesarean Section."

Reservations: 1-888-432-5464

Breastfeeding

Refresher Childbirth

PROVIDENCE SAINT JOSEPH MEDICAL CENTER

PROVIDENCE TARZANA MEDICAL CENTER

Meets: Call 1-888-432-5464 for dates and times Location: Women’s Pavilion, 18321 Clark St., Tarzana Fee: $75 per couple

PROVIDENCE HOLY CROSS MEDICAL CENTER

Meets: Oct. 19; Dec. 7; 7-9:30 p.m Location: 15031 Rinaldi St., Mission Hills Fee: $35 per couple Reservations: 818-847-4143

Meets: Oct. 5; Nov. 18; Dec. 16; 7-9:30 p.m.

Location: 501 S. Buena Vista St., Burbank Fee: $35 per couple Reservations: 818-847-4143 PROVIDENCE TARZANA MEDICAL CENTER

Meets: Oct. 11, 26; Nov. 8, 23; Dec. 7, 20; 6:30-9:30 p.m.

Location: North Conference Center,

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18321 Clark St., Tarzana Fee: $25 per couple Reservations: 888-432-5464

The Amazing Newborn PROVIDENCE TARZANA MEDICAL CENTER

Learn about normal infant growth and development from a pediatrician.

Meets: Nov. 10; 7-9 p.m.

Location: North Conference Center, 18321 Clark St., Tarzana Fee: $25 per couple Reservations: 1-888-432-5464

Preparing for Your Newborn, Three-Part Series Teaches proper bathing, diapering and feeding techniques, communicating love, building self-esteem and time management.

PROVIDENCE SAINT JOSEPH MEDICAL CENTER

Meets: Oct. 11, 18 and Nov. 1; Nov. 8, 15 and 22; Dec. 6, 13 and 20; 7-9:30 p.m.

One-day intensive class: Sept. 26; 9 a.m.-5 p.m.

Location: 501 S. Buena Vista St., Burbank Fee: $60 per couple Reservations: 818-847-4143 fall 2010 Providence Health | 15

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2. AFTER BABY IS BORN Baby Care PROVIDENCE TARZANA MEDICAL CENTER

In this one day class, learn about what to expect with a newborn; feeding; coping with a crying baby; when to call the doctor and more.

Meets: Oct. 6, 20; Nov. 3, 17; Dec. 8, 22; 6:30-9:30 p.m.

Location: Women’s Pavilion, 18321 Clark St., Tarzana Fee: $25 per couple; prepayment required Reservations: 1-888-432-5464

Transition to Parenthood PROVIDENCE TARZANA MEDICAL CENTER

What to expect with your new baby the first year and if you’re at risk for postpartum depression.

Meets: Nov. 22; 6:30-9 p.m.

Location: North Conference Center, 18321 Clark St., Tarzana Fee: $25 per couple Reservations: 1-888-432-5464

Infant Safety and CPR PROVIDENCE HOLY CROSS MEDICAL CENTER

Meets: Oct. 4; Dec. 6; 7-9:30 p.m.

Location: 15031 Rinaldi St., Mission Hills Fee: $45 per person Reservations: 818-847-4143

Go to providencehealth online.org for more information, or for a printable version of this calendar to post on your refrigerator.

Infant/Child Safety and CPR PROVIDENCE TARZANA MEDICAL CENTER

Meets: Nov. 29; 6:30-10 p.m.

Location: North Conference Center, 18321 Clark St., Tarzana Fee: $45 per person Reservations: 1-888-432-5464

Baby Sign Language for Hearing Babies PROVIDENCE TARZANA MEDICAL CENTER

Learn simple hand gestures to show your infants. Includes a class for expectant parents, as well as a continuing program for children up to 24 months of age.

Meets: Oct. 25; Dec. 13; 6:30-8:30 p.m.

Location: North Conference Center, 18321 Clark St., Tarzana Fee: $25 per couple Reservations: 1-888-432-5464

Sign, Say and Play Continuing Program

PROVIDENCE SAINT JOSEPH MEDICAL CENTER

PROVIDENCE TARZANA MEDICAL CENTER

Meets: Oct. 12, 28; Nov. 9, 30; Dec. 9, 21; 7-9:30 p.m.

Location: 501 S. Buena Vista St., Burbank Fee: $45 per person Reservations: 818-847-4143

A six-week baby sign language program for parents and babies.

Meets: Call 888-432-5464 for dates and times Location: Women’s Pavilion, 18321 Clark St., Tarzana Fee: $100 per family

PROVIDENCE TARZANA MEDICAL CENTER

Meets: Oct. 4, 21; Nov. 1, 18; Dec. 6, 28; 6:30-9:30 p.m.

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3. SUPPORT GROUPS Breastfeeding Support Group PROVIDENCE HOLY CROSS MEDICAL CENTER

Meets: Mondays; 1-2:30 p.m.

Location: 19950 Rinaldi St., Porter Ranch Meets: Fridays; 10 a.m.-noon Location: Westfield Valencia Town Center Mall in the Community Room, 24201 W. Valencia Blvd., Valencia Fee: $10 per class PROVIDENCE SAINT JOSEPH MEDICAL CENTER

Meets: Wednesdays; 10 a.m.-noon Location: Providence Saint Joseph Medical Center, BabyWise Classroom, 501 S. Buena Vista St., Burbank Fee: $10 per class PROVIDENCE TARZANA MEDICAL CENTER

Meets: Every Friday morning; 10-11 a.m.

Location: Women’s Pavilion, 18321 Clark St., Tarzana Fee: FREE Reservations: 818-609-2280

MommyWise Support Groups PROVIDENCE SAINT JOSEPH MEDICAL CENTER

Tuesdays: 9:15-11:15 a.m. (birth to 3 months); 11:15 a.m.-1:30 p.m. (birth to 1 year) Location: BabyWise Classroom, 501 S. Buena Vista St., Burbank

Sharing to Heal Early Loss PROVIDENCE TARZANA MEDICAL CENTER

This free six-week support group is for families dealing with miscarriage, medical termination of pregnancy, stillborn loss and newborn loss.

Meets: Call 818-609-2280 for dates and times Location: Providence Tarzana Medical Center, 18321 Clark St., Tarzana

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Community Calendar

October-December Classes, Events and Lectures Preparing for Total Joint Replacement Meets: Second Thursday of each month, 4:30-5:30 p.m.

Location: Providence Holy Cross Outpatient Rehabilitation Center, 15031 Rinaldi St., Mission Hills Info: 818-496-4395

Stroke Support Group

SUPPORT GROUPS Diabetes Support Groups For people with diabetes and their family members.

Meets: Fourth Wednesday of each month, 7 p.m.

Location: Providence Tarzana, 18344 Clark St. Suite 210, Tarzana Info: 818-345-8955 Meets: Call for information Location: Providence Saint Joseph Acute Rehabilitation Unit (5 North), 501 S. Buena Vista St., Burbank Info: 818-847-3277

Valley Pumpers Support Group Meets: Fourth Thursday of each month, 7:30-8:30 p.m.

Location: Providence Tarzana, 18321 Clark St., NCR Room 3 (trailer behind ER), Tarzana Info: Harvey Cohen, 818-907-7092

Lymphedema Support Group Meets: Third Thursday of each month, 4-5 p.m.

Location: Providence Holy Cross Conference Rooms A & B in North Building, 15031 Rinaldi St., Mission Hills Info: 818-496-1643

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Meets: Third Thursday of each month, 3-4 p.m.

Location: Providence Saint Joseph, 501 S. Buena Vista St., Burbank Info: 818-847-3799 Meets: Last Wednesday of each month, 4-5:30 p.m.

Location: Providence Holy Cross Conference Rooms in North Building, 15031 Rinaldi St., Mission Hills Info: 818-496-4425

Cancer Support Group Meets: Second and fourth Thursday of each month, 3:30-5 p.m.

Location: Providence Holy Cross Cancer Center, Conference Room, 15031 Rinaldi St., Mission Hills Info: 818-496-1389

Heart Disease Support Group Meets: Monthly; call for dates/times Location: Providence Saint Joseph Cardiac Rehab and Fitness Center, 3413 W. Pacific Ave., Suite 202, Burbank Info: 818-953-4494

FITNESS The Roy and Patricia Disney Family Cancer Center offers numerous fitness classes that are open to the public, including: • Yoga • Acupressure • Reiki • Meditation • Massage

• Qi Gong • Acupuncture Location: Roy and Patricia Disney Family Cancer Center, 181 S. Buena Vista St., Burbank Info: 818-748-4701

Exercise Safely with Guidance and Support Take part in a medically supervised exercise program through the Providence Saint Joseph Cardiac Rehab and Fitness Center. Classes are ideal for healthy individuals or those with medical conditions. (A physician release form will be required for those with medical conditions.)

Meets: Mondays-Fridays, classes run from 6 a.m. to noon; Mondays, Wednesdays, Fridays, 4-7 p.m.

Location: 3413 W. Pacific Ave., Suite 202, Burbank Fee: May be partially reimbursed by insurance Info: 818-953-4494

Cardiac Rehab Take part in a medically supervised exercise program through Providence Tarzana Medical Center.

Meets: Call for info Location: 18321 Clark St., Tarzana Fee: May be partially reimbursed by insurance Info: 818-708-4070

Arthritis Foundation Exercise Program A land-based program that provides gentle movements and activities to help increase joint mobility, muscle strength and stamina.

Meets: Tuesdays, 8:45-9:45 a.m.

Location: Providence Tarzana, 18321 Clark St., Tarzana Fee: $4 per class Info: Eileen, 818-883-0849

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Fitness Classes as Part of the Beyond 50 Program Providence also offers a variety of fitness and wellness classes for seniors, including: • Kundalini stretch yoga • Toning • Qi Gong • Tai Chi Fee: Classes are at nominal cost Meets: Call for information Location: Providence Occupational Health Center, 3413 Pacific Ave., Room 104, Burbank Info: 818-847-4550

Wellness Classes And Screenings Outpatient Nutritional Counseling Physician referral required.

Meets: Appointments available Monday-Friday, 8 a.m.-4:30 p.m.

Location: Providence Saint Joseph Medical Center, Burbank Info: 818-847-3550

Pre-Operation Total Joint Replacement Education Meets: Second and fourth Thursday of each month, 5-6 p.m.

Location: Providence Occupational Health Center, Conference Room A, 3413 Pacific Ave., Burbank Info: 818-953-4430

Nutrition Roundtable Meets: Mondays, 12:30-1:30 p.m.

Location: Providence Saint Joseph Cardiac Rehab and Fitness Center, 3413 W. Pacific Ave., Suite 202, Burbank Info: 818-953-4494

Fitness Roundtable Meets: Weekly Location: Providence Saint Joseph Cardiac Rehab and Fitness Center, 3413 W. Pacific Ave., Suite 202, Burbank Info: 818-953-4494 for dates and times

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Cardiovascular Roundtable Meets: Weekly Location: Providence Saint Joseph Cardiac Rehab and Fitness Center, 3413 W. Pacific Ave., Suite 202, Burbank Info: 818-953-4494 for dates and times

Low-Cost Vascular Screenings The Vascular Laboratory at Providence Saint Joseph Medical Center offers low-cost screenings by appointment.

Tests are performed by registered vascular technologists: carotid artery ultrasound, abdominal aortic ultrasound and ankle-brachial index to diagnose peripheral arterial disease (PAD).

Meets: By appointment Location: Providence Saint Joseph Medical Center, 501 S. Buena Vista St., Burbank Info: 818-847-3550

Diabetes Classes Non-Healing Wound Support Do you or does someone you know have a non-healing wound? Free assessment.

Info: Providence Tarzana Wound Center, 818-757-8839

Diabetes Self-Management Classes A two-part class.

Meets: Call for dates and times Location: Providence Saint Joseph Medical Center, Lockheed B & C, 501 S. Buena Vista St., Burbank Info: 818-847-3277

Individual Sessions with a Diabetes Specialist Location: Providence Saint Joseph Medical Center, 501 S. Buena Vista St., Burbank Info: 818-847-3277

Diabetes 101 & Self-Care Two-part series taught by certified diabetes educators. A physician referral is required.

Meets: Wednesdays, 3:30-5 p.m.

Location: Providence Holy Cross Medical Center, 4th Floor Conference Room, 15031 Rinaldi St., Mission Hills Info: 818-496-4310 for specific class dates

Healthy Living with Diabetes A four-part series in which participants receive important information and training in the skills needed for living with diabetes.

Meets: Tuesdays; daytime and evening classes are available; class attendance must begin with session 1 Location: Diabetes Care Center, 18344 Clark St., Suite 210, Tarzana Fee: Most insurance companies will pay for this program with physician referral Info: Preregistration is mandatory; call 818-345-8955

Diabetes Nutrition Class A basic knowledge of diabetes care is necessary as this class covers more in-depth nutrition information. A physician referral is required.

Meets: Fridays, 9 a.m.-noon Location: Diabetes Care Center, 18344 Clark St., Suite 210, Tarzana Info: 818-345-8955

Basic Diabetes Education Class Three-hour class that covers the basics of good diabetes care. A physician referral is required for this program.

Meets: Wednesdays, 9:30 a.m.-12:30 p.m.

Location: Diabetes Care Center, 18344 Clark St., Suite 210, Tarzana Fee: Most insurance companies will pay for this program with physician referral Info: 818-345-8955

Diabetes and Pregnancy Meets: Thursdays, 9:30 a.m.-12:30 p.m.; Spanish language classes are available by appointment Location: Diabetes Care Center, 18344 Clark St., Suite 210, Tarzana Fee: Most insurance companies will pay for this program with physician referral Info: Preregistration is mandatory; call 818-345-8955

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Carbohydrate Counting This session is for people who wish to improve overall blood sugar control through insulin adjustment based upon carbohydrate intake.

Meets: Available by appointment only Location: Providence Tarzana Medical Center Auditorium, 18321 Clark St., Tarzana Info: 818-345-8955

OCTOBER LECTURES All lectures for Burbank Mall Walkers and Valencia Mall Walkers are in the food court. Lectures for Sherman Oaks are in the food court, Mezzanine level. Lectures for Topanga are in the Dining Terrace.

Medicare Portion of the New Health Care Reform Bill Meets: Oct. 13, 9-10 a.m.

Location: Burbank Mall, 201 E. Magnolia Blvd., Burbank Speaker: Representative from the Center for Health Care Rights

Hand Arthritis Meets: Oct. 14, 9-10 a.m.

Location: Westfield Sherman Oaks, 14006 Riverside Dr., Sherman Oaks Speaker: Val Hunter, CHT

Cholesterol Meets: Oct. 20, 9-10 a.m.

Location: Westfield Topanga, 6600 Topanga Canyon Blvd., Canoga Park Speaker: Loree Searcy, R.D., Patient Educator

Rheumatology-ArthritisOsteoporosis Meets: Oct. 27, 6:30 p.m.

Location: Porter Ranch Quality Care Community Room,19950 Rinaldi St., Ste. 100, Porter Ranch Speaker: Wagdy Kades, M.D., board-certified rheumatologist Info: RSVP to Health Resource Center at 1-888-HEALING

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NOVEMBER LECTURES Healthy Pregnancy, Healthy Baby Meets: Nov. 3, 6:30 p.m.

Location: Porter Ranch Quality Care Community Room,19950 Rinaldi St., Ste. 100, Porter Ranch Speaker: Farid Yasharpour, M.D., board-certified obstetriciangynecologist Info: RSVP to Health Resource Center at 1-888-HEALING

ABCs of Living with Diabetes Meets: Nov. 5, 9:30 a.m.

Location: Porter Ranch Quality Care Community Room,19950 Rinaldi St., Ste. 100, Porter Ranch Speaker: Ashley Brendzel, M.S., R.D. Info: RSVP to Health Resource Center at 1-888-HEALING

Healthy Eating and Cooking Meets: Nov. 10, 9-10 a.m.

Location: Burbank Mall, 201 E. Magnolia Blvd., Burbank

Adolescent Gynecology: What Young Women Need to Know Meets: Nov. 10, 6:30 p.m.

Location: Porter Ranch Quality Care Community Room,19950 Rinaldi St., Ste. 100, Porter Ranch Speaker: Sharmeela Advani, M.D., board-certified obstetriciangynecologist Info: RSVP to Health Resource Center at 1-888-HEALING

Medicare Portion of the New Health Care Reform Bill Meets: Nov. 11, 9-10 a.m.

Location: Westfield Sherman Oaks, 14006 Riverside Dr., Sherman Oaks Speaker: Representative from the Center for Health Care Rights

Memory Meets: Nov. 12, 9-10 a.m.

Location: Westfield Valencia Town Center, 24201 W. Valencia Blvd., Valencia Speaker: Ginger Jacobs, patient educator

How to Stay Healthy Through Nutrition Meets: Nov. 12, 9:30 a.m.

Location: Porter Ranch Quality Care Community Room,19950 Rinaldi St., Ste. 100, Porter Ranch Speaker: Edna Banayat, R.D., Patient Clinical Nutrition Services Info: RSVP to Health Resource Center at 1-888-HEALING

Know Your Kidneys Meets: Nov. 17, 9-10 a.m.

Location: Westfield Topanga, 6600 Topanga Canyon Blvd., Canoga Park Speaker: Joyce Ellis, patient educator

DECEMBER EVENTS Beyond 50 Holiday Celebrations Meets: Dec. 7, 11:30 a.m.-3 p.m.

Location: Castaway Restaurant, 1250 Harvard Road, Burbank Meets: Dec. 8, 9-10 a.m.

Location: Burbank Mall, 201 E. Magnolia Blvd., Burbank Meets: Dec. 9, 9-10 a.m.

Location: Westfield Sherman Oaks, 14006 Riverside Dr., Sherman Oaks Meets: Dec. 10, 9-10 a.m.

Location: Westfield Valencia Town Center, 24201 W. Valencia Blvd., Valencia Meets: Dec. 15, 9-10 a.m.

Location: Westfield Topanga, 6600 Topanga Canyon Blvd., Canoga Park

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Providence Saint Joseph Medical Center 501 S. Buena Vista St. Burbank, CA 91505-4809

Non Profit Org. U.S. POSTAGE

PAID Providence Health

Low Cost Mammography Screening* October is Breast Cancer Awareness Month From October 1 through December 31, 2010, Providence Health & Services is offering low-cost digital screening mammograms for $100.

Providence Holy Cross Medical Center 15031 Rinaldi St. Mission Hills, CA 91346

Simply call 1-888-HEALING (432-5464) to schedule your appointment at one of our four locations.

Evening and weekend appointments available.

Early detection, including mammography, is your best defense against breast cancer since breast cancer is most curable when it’s caught in the early stages. The American Cancer Society recommends annual screening mammograms for all women age 40 and over.

Providence Medical Centers are ranked among the Nation’s Best in quality and are accredited by leading national accreditation organizations.

*Screening Mammogram Only

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Providence Holy Cross Health Center Porter Ranch 19950 Rinaldi St. Porter Ranch, CA 91326 Providence Saint Joseph Breast Health Center 201 S. Buena Vista St., Suite 200 Burbank, CA 91505 Providence Tarzana Women’s Center 18344 Clark St., Suite 110 Tarzana, CA 91356

1-888-HEALING www.providence.org/california

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