Healthy Times Winter 2014-15

Stormont-Vail HealthCare

Dedicated to your health ... for a lifetime.

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FAMILY HEALTH ACO: Accountability in Care . . . . . . . . . . . . . 4 Managing Labor Pains 101 . . . . . . . . . . . . . . 6 LIFESTYLES Start the New Year with These Healthy Food Tips . . . . . . . . . . . . . . . . . . . . . . 3 Best Way to Avoid the Flu: Get a Flu Shot . . . . . . . . . . . . . . . . . . . . . . . . . . 9 MEDICAL NEWS Patients Benefit from Stormont-Vail-Mayo Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Enhancing the Patient Experience through Volunteering . . . . . . . . . . . . . . . . . . . 10 CALENDAR Calendar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Support Groups . . . . . . . . . . . . . . . . . . . . . . . 12 Family Education . . . . . . . . . . . . . . . . . . . . . . 12 Parenting

Programs . . . . . . . . . . . . . . . . . . . . 13 HealthWise 55 . . . . . . . . . . . . . . . . . . . . . . . . 14

Healthy Winter 2014-2015

TIMES

Don't Let Winter Weather

Stop You Cold It may be cold outside, but don’t let that stop you from exercising. Exercising in cold weather is just as safe as working out in warm weather. You just need to be aware of common cold-weather issues, understand the risks, and know how to prevent or reduce the chance of injuries. Dr. Kellie Bartlow, CAQSM, CottonO’Neil Family Medicine/Sports Medicine, shares that the biggest cold-weather concerns she sees are exacerbation of exercise-induced bronchoconstriction (EIB) and hypothermia.

However, surprisingly she notes, “I have seen hyperthermia (over-heating) in marathon runners even in super cold weather.”

Risk factors for cold-weather problems Cold exposure and exercise are both triggers for

bronchoconstriction and asthma-like symptoms, especially in asthmatics. Ninety percent of people diagnosed with asthma experience EIB, especially during cold weather activities, and EIB occurs in up to 10 percent of the population who are not known to be asthmatics. With EIB, the airways narrow and symptoms such as coughing, wheezing, shortness of breath, fatigue, chest tightness, or poor performance may occur. These symptoms typically start during strenuous exercise and peak 5-10 minutes after exercise and some people may experience symptoms up to 30 minutes after (Continued on page 2)

MEDICAL LIFESTYLES NEWS exercising if not treated.

Many athletes are not aware of the symptoms of EIB and do not realize they are having problems; they think they are just “out of shape.”

If you experience EIB, Dr. Bartlow suggests you choose exercise marked by short bursts of activity, such as football, soccer, wrestling or sprinting, instead of long distance running. She also states, “Regardless of the activity, if you have experienced EIB or think you have, always carry a 'rescue Dr. Kellie Bartlow, CAQSM inhaler' as you exercise.”

Hypothermia or cold injury occurs when the body is unable to generate and preserve heat needed to function. Hypothermia frequently occurs in healthy individuals who are inadequately clothed and exposed to cool temperatures, wind, and water or dampness. Adults older than 60 years, the very lean, the very young and those suffering an illness, undernourishment, or fatigue are at particular risk of hypothermia.

Signs of hypothermia are: cold feet and hands, swollen face, pale skin, shivering, slurred words, sleepiness, confusion and anger. Symptoms of hypothermia that might show up later are: slow movement, lack of coordination, slow heartbeat, shallow breathing and fainting.

Other cold-related problems include frostnip, frostbite, chilblains, trench foot, cold urticaria (an allergic reaction to cold exposure) and frozen corneas, which occur when individuals keep their eyes open in high wind-chill situations without protective goggles. Dr. Bartlow stresses the importance of seeking medical attention immediately if you are worried about hypothermia, frostbite or any of these more serious cold-related problems.

Preventing cold-weather complications Bundle up, but don’t overdress: Too many layers leads to sweating and moist skin loses heat faster than dry skin. Wear three layers, remove them as you warm up, then replace them as you slow down. The layer against the skin should wick moisture away from the skin. Don’t wear cotton as it traps moisture. The second layer should provide the most insulation; fleece or wool are good insulators. The third and outer layer should be made from materials that repel wind and precipitation. Also, try to avoid tight clothing, which can keep your blood from flowing freely and lead to loss of body heat.

Nose, ears, fingers and toes are vulnerable to cold and need to be covered. If possible wear two pairs of socks and shoes or boots that fit properly and keep snow and moisture away from your feet. Don’t forget to wear a hat or headband. A scarf or mask will reduce the amount of

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cold air going into your lungs and humidify the air you are breathing, which helps with EIB. Mittens protect hands better than gloves. Also, consider removing jewelry before exercising in the cold as the metal conducts cold right next to the skin. Apply moisturizers to skin about an hour before heading outdoors, if possible.

Stay hydrated: You can become dehydrated in cold weather as sweat tends to evaporate more quickly in winter weather workouts. Avoid caffeine and alcohol prior to workouts. Alcohol opens the blood vessels, especially in the limbs, causing heat loss from the body’s core and it may encourage poor judgment. Using tobacco products in cold weather also increases heat loss as it reduces blood circulation.

Alter your routine and workout intensity: Have a longer warm-up to better heat your body. Exercise in the afternoon when temperatures are at their peak. When muscles are cool they are weaker, decreasing your power and speed. In the cold temperatures speeds may be reduced.

Check the forecast: If it is very windy, cold or icy, consider exercising indoors at home, a gym or the mall. Be wary of the wind chill.

Stay closer to home: If you decide to go out in extremely cold weather, it is good to have warmth close if problems arise. If a part of your body becomes so cold that it starts to feel numb, head home to rewarm it before continuing your activity.

Mortality rates are higher in winter compared to summer months and occur more often in regions with relatively warm winters that have cold snaps and where people are less active outdoors. Increased deaths during cold weather are due to heart disease, stroke and respiratory diseases instead of hypothermia or frostbite. Cold weather conditions in most cases should not be a limiting factor for successfully exercising in athletic competitions, recreational pursuits, leisure activities and occupational work.

– Lenora Kinzie, MLS *CAQSM - Board Certification, Certification of Added Qualifications in Sports Medicine

Athletes may condition themselves to adjust to the cold weather, but much depends on the severity of the exposures and conditions. It is the position of the American College of Sports Physicians that exercise can be safely performed in cold weather if coaches, athletes, medical personnel, and officials follow a risk management strategy. Ask the following questions: • How cold is it?

• What clothing protection is available?

• Who is at risk for a cold-weather injury?

• What is the health condition of the exerciser?

• What effective strategies do I have available to mitigate the cold stress and injury risk?

• Is there a contingency plan in place to deal with changing conditions?

LIFESTYLES

Start the New Year with These

Healthy Food Tips •

Don’t skip breakfast. It really is the most important meal of the day.

Eating a breakfast with protein and fiber will help stabilize your blood glucose and curb your late morning cravings. Try peanut butter on a whole wheat tortilla with banana or Greek yogurt or oatmeal and fresh fruit. Eating a healthy breakfast will give you more energy and help you make healthier choices during the day and help you feel full so you don’t overeat later.

Chicken, Barley and Leek Stew 1p ound skinless, boneless chicken thighs, trimmed and cut into 1-inch pieces 1 tablespoon olive oil 49 ounces low sodium chicken broth 1 cup regular barley (not quick-cooking) 3 medium leeks, halved lengthwise and sliced 2 medium carrots, thinly sliced 1 1/2 teaspoons dried basil or Italian seasoning, crushed 1/4 teaspoon cracked black pepper

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If you eat out most of the week, try cooking meals on the weekend and then stock your refrigerator and freezer with healthy home cooked meals that you can eat during the week instead of take out foods.

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Watch portion sizes. Use a small salad plate for your meals instead of a large dinner plate.

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Try new foods and flavors. Try Basmati or jasmine rice or kale or lentils. Add cucumbers, mint, lime, lemon or orange slices to water to add flavor without the calories.

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Try having a meatless day once a week.

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Use herbs and spices to flavor vegetables instead of salt and butter.

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Eat more foods with Omega-3. Try salmon, tuna, mackerel, flaxseed, walnuts and spinach.

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Go for healthy snacks, instead of salty fried chips. Try string cheese and nuts like almonds, pistachios and walnuts.

Makes 6 (1 1/2) cup servings

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Increase your intake of fiber and whole grains. Add a tablespoon of chia seeds to your morning oatmeal or cereal. The nutrient rich seeds are high in protein and antioxidants. Try quinoa (keen-wah), prepare it like you would rice or barley. Can be used in salads, with meats or even at breakfast.

Nutrition facts per serving: 253 calories, 6 g fat, 60 mg cholesterol, 300 mg sodium, 28 g carbohydrate, 6 g fiber, 22 g protein

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Roast or grill your meats and vegetables instead of frying.

Experiment with different herbs and seasonings. Try cinnamon, cilantro, turmeric, basil or thyme.

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Exercise. Start by doing 10 minutes at a time and gradually increase your time. Take a walk after lunch or dinner.

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Make goals to help measure your progress. Make your goals specific, measurable, attainable, realistic and timely. Example: I will prepare one new healthy recipe each week for the month of January. Start with this recipe for Chicken, Barley and Leek stew.

– Melissa Moore, RD, LD

Directions 1. In a large skillet cook chicken in hot oil until browned on all sides. In a 4 to 5 quart slow cooker combine chicken, chicken broth, barley, leeks, carrots, dried basil and pepper.

2. Cover and cook on low heat setting for 4 to 5 hours or on high heat setting for 2 to 2 1/2 hours or until barley is tender. If desired sprinkle with fresh basil or parsley before serving.

FAMILY HEALTH

ACO: Accountability in Care There’s a new acronym in town. This one is the Accountable Care Organization or ACO, which is a network of health care providers who share financial and medical responsibility for providing high-quality, coordinated care to patients. At the center of the patient’s care is his or her primary care physician. Stormont-Vail HealthCare and CottonO'Neil Clinic have formed an ACO called Cotton-O'Neil ACO. Below is information that details what an ACO is all about.

What does ACO mean?

An Accountable Care Organization (ACO) is a group of doctors, hospitals and other providers who work together to provide high quality, more coordinated health care to meet the needs and preferences of Medicare beneficiaries. They work together to get you the right care at the right time in the right setting. Becoming an ACO with Medicare under the Medicare Shared Savings Program (MSSP) rewards organizations for achieving quality of care goals in conjunction with controlling expenditures.

How are Stormont-Vail HealthCare and Cotton-O’Neil Clinic involved?

As an organization, Stormont-Vail HealthCare provides a full range of health care services, including: inpatient hospitalization; outpatient surgery, procedures, and testing; and clinic-based ambulatory health care from primary care providers or a wide range of specialists. Our patients benefit from the integrated services that our organization can

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provide. There are opportunities to coordinate care, communicate quickly, and streamline access to health care services all within our health care system. We provide high-quality services and this program gives our organization a chance to demonstrate our capacity for taking care of patients in a holistic, patient-centered way.

Who does this affect?

If you are a Medicare beneficiary and you have not opted for a Medicare Advantage program, and Stormont-Vail HealthCare provides your primary health care, you may be eligible to be a part of the Stormont-Vail Accountable Care Organization. Participation does not limit you to specific doctors or services. There are advantages to having your care provided and coordinated within Stormont-Vail, but

FAMILY HEALTH

participating in the program does not restrict or penalize you for where you seek care.

Here are things that will not change because your doctor is part of an ACO:

When does it start?

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What you pay, your Medicare benefits, or the cost of your coverage should not increase.

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Your right to choose any hospital or doctor that accepts Medicare, at any time, will not change even if that hospital or doctor is not part of an ACO.

Stormont-Vail has submitted application to begin Medicare participation as an ACO Jan. 1, 2015, pending final approval. Additional information will be available in our clinics and on a special website. Eligible Medicare beneficiaries may receive a letter, or you may see information posted, or you may hear information when you visit one of our clinics.

What can I expect if I am a patient in the Medicare ACO? • If you see doctors or have services through the Cotton-O'Neil ACO, you may notice a few things. Over time, you may notice: • Fewer forms asking the same information as we coordinate that information better.

• Doctors or other health care providers know more about what’s going on with your health because they communicate with each other and work as a team.

• Your health care team shares the results of your tests, so you don’t have to have the same medical tests repeated.

How does patient-centered care complement ACO effectiveness?

Patient-centered medical home (PCMH) or patient-centered care is another team-based approach to your health care. Some of the goals for PCMH are to: •

Make it easier to get timely appointments with your health care team.

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Use consistent, professionally proven approaches to treatment, especially for chronic conditions (such as diabetes, heart disease, high blood pressure, COPD, or heart failure).

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Use electronic communications to share health information, coordinate care, track services and referrals and order prescriptions or tests.

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Evaluate how well the health care team is providing all the services needed for patients to be as healthy as possible.

All of those are important aspects of care within an ACO, too, making health care more efficient and effective. In an ACO, StormontVail is accountable for your care, wherever you seek health care services.

We coordinate within our own organization as well as with others to ensure you are getting the right care at the right time in the right setting.

– Lesa Roberts, MPH, RN

• Your doctors and other health care providers are partners with you in making medical care decisions and managing your health.

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FAMILY HEALTH

Managing

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Labor Pains Kristin Perez, CNM, ARPN Everyone has seen a depiction of labor and childbirth on TV, whether it was the seemingly effortless breech delivery of Ross and Rachel’s daughter, Emma on “Friends,” or the beautifully edited “real life” stories of TLC’s “A Baby Story.” The problem with these portrayals is that they don’t show the full story or accurately represent what a woman should expect during labor. They promote a misconception that even though labor is hard work, it’s not painful.

According to Kristin Perez, certified nurse midwife (CNM) and nurse practitioner (APRN) at Stormont-Vail HealthCare, “The expectation of labor is that it will hurt.” Perez says that expectant moms see those TV shows or hear that a friend’s labor was not difficult and the patient believes her labor will be easy, too. When the patient experiences pain she is surprised and feels like she had a bad experience. The truth is, every pregnancy is different.

“Every labor is different, just like every baby is different,” Perez said.

“You manage the pain to get through it better.”

Early labor can be moderately comfortable, progressing into more intense contractions. Because every woman experiences pain differently it is hard to quantify the pain a woman should expect. Labor pain can be a dull ache in the back or stomach, it can resemble menstrual

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Ian Kucera, M.D. cramps and can increase to intense contracting pain. Normal labor pain comes and goes with the contractions. No matter what pain options a woman chooses, she should inform her provider or nurse if she is having constant or severe pain.

For expectant moms, there are three main pain management options to help them through labor: Non-medicated options, Stadol or an epidural. These options are not mutually exclusive. “This is not a onestop shop,” said anesthesiologist Ian Kucera, M.D. He encourages patients to look into all options and choose one or more that work best for them.

Non-medicated Pain Management Options

For the mom who wants to try natural labor there are many pain management techniques. As long as there is no need to monitor the baby, laboring women can walk around, use a birthing ball, relax in a warm bath or shower or partake in a comforting massage.

Perez suggests that expectant moms have a simple “birth plan” or an idea of how they want their labor to progress. Staff can help you with your plan. If a woman absolutely does not want medication, she should let her nurses know ahead of time so they don’t offer it. Additionally, if a patient isn’t sure if she wants medication, Perez emphasizes nothing is

FAMILY HEALTH set in stone. A woman has the option to change her mind, but know that if labor is too far along medications may not be available or they may not have the same effect as they would if they were administered earlier. The providers will consider the safety for the baby and mother as well as the timing before administering any pain medications.

All women are candidates for non-medicated pain options with the exception of women undergoing a Cesarean delivery.

Stadol

According to Dr. Kucera, Stadol is a middle ground pain management option. Stadol is an intravenous narcotic. It does not get rid of the pain, rather it “takes the edge off.”

Stadol can cause sleepiness, nausea and depressed breathing in some patients. Because Stadol is administered through an IV, it enters a patient’s bloodstream and can cross the placenta. It may have minimal effects on the baby. With the administration of any medication, the mother and the baby will be monitored and a mother’s ability to walk around or get out of bed will be limited.

Epidural

An epidural is a regional analgesic administered through a catheter in the small of the mother’s back. Prior to receiving an epidural, the patient will receive an IV with fluids, then a lower-back local anesthetic. With the epidural, she will experience a slight pinch and a burning sensation similar to what you would feel at the dentist’s office, according to Dr. Kucera. Once the catheter has been inserted, a patient can continue to receive medication throughout the labor and delivery.

The goal of an epidural is “primarily to keep you comfortable from the time you start contractions to when it’s time to push,” Dr. Kucera said.

As with all of the other pain management options, an epidural will not completely get rid of pain.

Most women are eligible to receive an epidural. Dr. Kucera also said there isn’t a specific time that an epidural has to be given. At StormontVail HealthCare, a woman can receive an epidural as soon as she meets the following requirements: she is in active labor, she will be staying at the hospital and she wants one. Patients should be proactive about requesting an epidural.

With an epidural, as with Stadol, both mom and baby will be monitored throughout the labor and a mother’s mobility will be limited.

Post-partum Pain

Many expectant moms believe that once the baby is born, the pain will be over. Perez warns against this misconception. Post-partum pain includes uterine involution, the shrinking of the uterus to its normal size, temporary breast and nipple discomfort for breastfeeding moms and healing of any vaginal trauma that may have occurred during delivery.

Most post-partum pain is treated with a combination of oral pain relief options and non-medication pain management.

“The body has healing to do. Pregnancy can be rough and there is a lot of recovery,” said Perez.

No matter what option a woman chooses for her childbirth experience, she should expect some pain. It’s that old saying, “no pain, no gain.” The patient care staff works to help each patient manage her pain so that the end result is mom being able to enjoy her beautiful baby.

“We’re going to do the best we can. We’ll do what we can to make (labor) better,” said Dr. Kucera.

– Niki Maloney

Stormont-Vail HealthCare achieves “High 5 for Mom and Baby” designation Stormont-Vail HealthCare strives to improve the health of the Topeka community. The Birthplace and Breastfeeding Clinic were recently recognized for their work toward this goal. Stormont-Vail HealthCare received the designation of a “High 5 for Mom and Baby,” hospital by the United Methodist Health Ministry Fund.

“Research shows breastfeeding is recognized as the best source of nutrition for most infants and there are five practices that can make a significant impact on both breastfeeding initiation and duration,” said Christy Crawford, RN, Birthplace director.

Patient care staff, providers and lactation consultants worked to achieve the following practices at least 80 percent of the time.

Practices include: • •

Assure immediate and sustained skin-to-skin contact between mother and baby after birth.

Give newborn infants no food or drink other than breast milk, unless medically indicated.

• • •

Practice “rooming in” – allow mothers and infants to remain together 24 hours a day.

Give no pacifiers or artificial nipples to breastfeeding infants.

Provide mothers options for breastfeeding support in the community (such as a telephone number, walk-in clinic information, support groups, etc.) upon discharge.

The High 5 designation was the next step in Stormont-Vail HealthCare’s long history of encouraging breastfeeding. “We have a proud history of 18 years of providing a free, walk-in breastfeeding and follow up clinic, which is cited in the (Center for Disease Control’s) strategies to support breastfeeding mothers and babies,” said Crawford.

Stormont-Vail HealthCare is only the sixth hospital in the state to achieve this designation. “It has been exciting to see what a difference it is making for our mothers and babies. I am really proud of all of the staff’s efforts and commitment in making such a profound and lasting difference in our community,” Crawford said.

– Niki Maloney

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MEDICAL MEDICALNEWS NEWS

Patients Benefit From

&Mayo Connection

Stormont-Vail

As a member of the Mayo Clinic Care Network, Stormont-Vail HealthCare provides our physicians the opportunity to collaborate with Mayo Clinic specialists as well as access to tools and resources gathered and assembled

by Mayo Clinic staff. Since joining the Network last April, Stormont-Vail HealthCare doctors have conducted nearly 100 eConsults.

How are physicians using the Mayo Clinic Care Network resources?

Cotton-O’Neil urologist Kevin Nasseri has obtained Mayo eConsults for three patients and says he has found the Mayo expertise to be a valuable resource.

“In two of the cases, the Mayo consultant simply provided reassurance that the patient and I were on the right track with our treatment plan,” said Dr. Nasseri. “In the third case, a world-renowned, Mayo consultant provided critical insight and advice beyond the level of expertise of any general urologist regarding a very rare disorder which ultimately changed and enhanced the patient’s treatment protocol.

The ability to have prompt and convenient access to this expertise from Mayo consultants undoubtedly improves the ability of Cotton-O’Neil physicians to provide the type of outstanding care our patients demand and deserve.”

Many of the physicians who have used the Network eConsult service have also found that, in most cases, the eConsult simply provides reassurance.

Jo-Ann Harris, M.D., is a pediatric infectious disease specialist who cares for children at Stormont-Vail. Dr. Harris has used the Mayo eConsult and says she intends to use it again for complex cases. “I found it very helpful to have other experts review cases that I have questions about, especially since I am the only pediatric infectious disease specialist here,” said Dr. Harris. “So far I have been reassured that I have not missed anything. I think it’s important for our patients to have that ‘second opinion’ capability here at Stormont-Vail.”

For patients, Stormont-Vail HealthCare’s membership in the Mayo Clinic Care Network has generated some questions, which are answered for your convenience.

Lambert Wu, M.D., FACP, FACC, is championing the efforts for Stormont-Vail's Mayo Clinic Care Network partnership.

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Will I see a Mayo Clinic physician? No. Whenever possible, we want you to receive care close to home. Through use of tools offered through the Mayo Clinic Care Network, Stormont-Vail providers have access to Mayo Clinic specialists and their expertise. This allows patients to receive the combined expertise of their local physician and a Mayo Clinic specialist without having to travel to a Mayo Clinic facility.

Does this mean I will never go to Mayo Clinic? In some cases, patients may still need to travel to a Mayo Clinic facility to receive care that is not available in our region.

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hat does an eConsult cost me? There is no cost to W the patient for an eConsult.

– Nancy Burkhardt

LIFESTYLES

Cotton-O’Neil Clinic Pediatric Cardiologist

Defines Atrial Septal Defects In August, Cotton-O’Neil Heart Center added pediatric cardiologist Dhiraj Singh, M.D., who relocated from New Orleans where he was completing his fellowship in pediatric cardiology. Dr. Singh specializes in caring for pediatric and adult patients with congenital heart disease.

Congenital heart disease is a category of heart disease that focuses on abnormalities in the heart that occur prior to birth.

Defects occur in the heart while the fetus is developing in the uterus.

Congenital heart defects may produce symptoms at birth, during childhood, and in some cases symptoms present as an adult.

There are many heart defects, some are mild and need little or no medical treatment while other types of congenital heart defects can be life threatening as a newborn or over time.

According to Dr. Singh, one of the most common types of congenital heart disease that babies are born with is Atrial Septal Defect (ASD). An ASD is a birth defect of the heart that occurs when the upper wall of the heart fails to properly close in the womb, leaving a hole. An ASD can sometimes be associated with other heart defects. The cause of most atrial septal defects is unknown.

How does an ASD affect the heart?

Normally, the oxygen rich blood in the left heart is pumped to the body, and the oxygen deficient blood in the right heart is pumped to the lungs. In a child with ASD, blood can travel across the hole from the left upper heart chamber (left atrium) to the right upper chamber (right atrium) and out into the lung arteries. The amount of blood crossing is primarily determined by the size of the ASD. If the ASD is large, the extra blood being pumped into the lung arteries makes the heart and lungs work harder and the lung arteries can become gradually damaged. If the hole is small, it may not cause symptoms or problems.

How does ADS affect my child?

Children with an ASD (even with a large hole) often have no symptoms. If the opening is large, the only abnormal finding may be a murmur (noise heard with a stethoscope) or other abnormal heart sounds. Depending on the size of the ASD, there is a risk of progressive damage to blood vessels in the lung. If the defect is large, irreversible damage to vessels in the lung occurs in childhood age; while, for a smaller defect, damage to lung vessels may not occur until adulthood. If unrepaired, most ASDs overtime will result

in extensive/life-threatening damage to the blood vessels in the lung. Therefore, it is important to detect the defect early on so that permanent lung damage can be prevented.

Can ASD be treated or repaired?

About 40 percent of atrial septal defects will close by themselves before the child is 2 years old. “There are no medications to make the ASD get smaller or close any faster than it might do naturally,” said Dr. Singh. If the amount of blood crossing the hole is not significant (small ASD), it doesn’t make the heart and lungs work harder and surgery may not be needed. If the ASD is moderate/large size, it needs closure (even if there are no symptoms) with open-heart surgery, or by cardiac catheterization (using a device).

“Generally, outcome of ASD repair by both these methods is very good and after successful healing, no restrictions are usually needed,” said Singh.

– Tami Motley

About Dhiraj Singh, M.D. Dr. Singh received a Bachelor of Medicine and Bachelor of Surgery degrees from Shyam Shah Medical College and Awadhesh Pratap Singh University, Rewa Madhya Pradesh, India, in 2003. He completed a Master’s Degree in Public Health at West Virginia University School of Public Health, Morgantown, W.V. in 2008. He completed a pediatric internship and residency followed by a fellowship training in pediatric cardiology at Louisiana State University Health Science Center, Department of Pediatrics and Children’s Hospital, New Orleans, in 2011.

Dr. Singh is a member of the American College of Cardiology, the American Academy of Pediatrics, the American Medical Association, the American Association of Public Health, and the American Association of Physicians of Indian Origin.

He is now accepting new patients for his pediatric cardiology practice at the Cotton-O’Neil Heart Center. To schedule an appointment, speak with your primary care physician or call (785) 270-4100 or toll-free (866) 468-0177.

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MEDICAL NEWS

Enhancing the Patient Experience through

Volunteering

Stormont-Vail HealthCare volunteers have served a vital role in the day-to-day operations of the health care organization for many decades. Volunteers provide valuable time and services that assist the professional staff in applying their skills with maximum efficiency and effectiveness. And when they do, anecdotal evidence suggests this is both beneficial for the patient and the volunteer.

Stormont-Vail HealthCare has 500 volunteers who give nearly 50,000 hours of service each year to the organization. Volunteers are utilized in more than 65 areas, adding a personal touch, while, from a practical standpoint, helping to keep care costs down.

Volunteers are valuable and do far more than provide directions to the nearest lobby or deliver flowers to a patient’s room. They act

as an important part of the care-giving team by doing such things as offering a welcoming and supportive presence in the form of a smile or a kind word when a family is in crisis. They hold the hand of a patient coming out of surgery who may be alone. They perform simple acts of kindness and compassion that don’t require professional training, like having a calming presence or just being there when patients need someone to talk to.

Caregiver engagement is an important element to improve the patient experience, research has shown. Volunteers often provide caregiving support.

In 2009, R. B. Hotchkiss and researchers from Georgia Southern University published, “Valuing volunteers: The impact of volunteerism on hospital performance.” Their purpose was to explore “the impact of the use of volunteers and the level of professionalism of volunteer programs on cost effective patient satisfaction in hospitals.”

By analyzing data from 50 Florida hospitals – the majority being not-for-profit hospitals – they arrived at a few key conclusions:

Glenn Shields, Infusion Center volunteer, assists patients from the front door of the hospital to the Infusion Center, and stays with them during treatment to make sure they are comfortable.

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U tilization of volunteers in patient settings will greatly impact the patient experience.

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I ncreasing the number of volunteer service assignments (especially volunteer hours) in patient settings could raise patient satisfaction scores.

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A well-developed volunteer program – formal recruitment methods, screening and interviewing techniques, orientation and training, policies, service guidelines, and risk management plans, etc. – will positively impact the patient experience.

At Stormont-Vail HealthCare, the Volunteer Services Department is responsible for the overall management of volunteers and the implementation of volunteer support throughout Stormont-Vail HealthCare. And they are committed to providing meaningful volunteer opportunities for members of

MEDICAL NEWS

the community. In doing so, they strive to enhance and support the vision of Stormont-Vail HealthCare – to be a top-rated hospital and be nationally recognized for excellence.

To enhance patient satisfaction, Stormont-Vail HealthCare has a Patient Advocate on staff to provide a communication link between patients and hospital staff. Patient Advocates identify concerns and give patients an opportunity to have a voice. Patients or family members can ask questions, share comments and file concerns about any aspect of their hospital experience with the Patient Advocate Monday though Friday from 8 a.m. to 8 p.m. and 11:30 to 8 p.m. on Saturday and Sunday.

A new Lobby Ambassador Program started at Stormont-Vail in the fall in the Main Entrance near the North Tower. The program supports the mission and values of the organization through emphasizing service from the first moment a patient, family member or visitor enters through the front door of our facility. The Lobby Ambassador maintains the wheelchair bay inside the main entrance and provides friendly, personalized escorting and transporting of customers and way finding within

the hospital. The new program also plays a role in enhancing safety by maintaining the overall appearance of the lobby, ensuring wheelchairs are sanitized and in good operating condition, and monitoring the area and sidewalk conditions to help prevent falls. Hours of operation are 7 a.m. – 8 p.m. Monday through Friday. In addition to general orientation, volunteers are trained in the areas of safe transport, customer service and infection control.

“Offering a friendly, helpful first impression to anyone entering the main entrance of the facility will result in an overall better experience for patients and visitors. The program also will allow greater accessibility to services by providing individual escorts and directions so patients and visitors spend less time looking for their destination within the hospital,” said Beverly Rice, director of Volunteer Services.

If you are interested in learning more about any of the Stormont-Vail HealthCare volunteer opportunities available, visit stormontvail.org or contact Volunteer Services at (785) 354-6095 for more information.

– Linda Ruiz

Linda Opat, Patient Advocate volunteer, rounds on floors to assist patients and family members.

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Calendar DECEMBER 2014, JANUARY AND FEBRUARY 2015 SUPPORT & EDUCATION GROUPS Depression and Bi-Polar Support Alliance Sponsored in part by Behavioral Health Services at StormontVail West, meets at 6 p.m. on the first and third Wednesdays of the month at Valeo, 330 S.W. Oakley and at 1:30 p.m. on the second and fourth Mondays of the month at the Topeka Public Library, 1515 S.W. 10th Ave. Alzheimer’s Support Groups The Alzheimer’s Association has three caregiver support groups available as well as other support services. Call Alzheimer’s Association at (785) 271-1844 for days and times.

Topeka Celiac Support Group The Topeka Celiac Support Group provides information, support and knowledge of how to eat safely to avoid gluten from grain-based proteins in wheat, rye, barley and possibly oats. Meeting is 10:30 a.m. to 12:30 p.m.

Saturday, Feb. 7 at Pozez Education Center. For more information, contact Sharon Larson, president, (785) 379-0479.

MOMS: Moms of Multiples Support Support group for parents expecting or parenting multiples. For information about meetings, call Angela at (785) 267-2955.

Grief and Loss Support Groups Midland Care offers weekly grief and loss support groups available to the public. For more information, call Tim Keogh at (785) 232-2044.

Pregnancy and Infant Loss Group First and third Thursdays of the month from 6 to 8 p.m.

Pozez Education Center. For information, call (785) 354-5225.

The Pregnancy and Infant Loss Group, which has regular meetings to share information and experiences, also has a blog for members, which offers communication, resources and support. If you are interested in learning more about the blog, please e-mail lrosen@stormontvail.org Topeka “HEALS” Support Group A confidential peer support group that is also known as Survivors of Suicide, “HEALS” stands for “Healing After Loss by Suicide.” It is for those who have lost a loved one by suicide. First and third Tuesdays of the month in Pozez Education Center at 7 p.m. For more information, call (785) 249-3792.

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Topeka Chapter, The Compassionate Friends Peer-facilitated group offering friendship, hope and support to families who have experienced the death of a child, at any age and from any cause. Fourth Monday of each month from 7 to 8:30 p.m. in the Formation Room of Most Pure Heart of Mary Parish Center, 3601 S.W. 17th. Bi-monthly newsletter and three memorial events a year. For more information, call Susan Chan, (785) 554-4895.

“On the Road to Better Managing Your Diabetes” Class In need of an update or “refresher” on your diabetes knowledge and skills? We have just the class you need.

Upcoming class dates are Wednesday, Dec. 3, and Thursday Feb. 5. Meeting time is 9 to 10:30 a.m. for both dates. Class will be held in the Diabetes Learning Center classroom, lower level of the Cotton-O’Neil Endocrinology Center, 3520 S.W. 6th Ave. Call (785) 368-0416 to reserve a seat. Your insurance will be billed for the cost of attendance.

Living with Diabetes Adult Support Group Meets from 10 to 11 a.m. each Tuesday, except holidays, at the Cotton-O’Neil Diabetes and Endocrinology Center, lower level, 3520 S.W. 6th Ave. A Diabetes Learning Center staff educator facilitates each meeting. There is no fee to attend and no need to pre-register. Call (785) 368-0416 with questions.

The Latest in Insulin Pumps and Glucose Sensors A class designed for current pump users and those considering an insulin pump for the first time. It provides an overview of pump therapy and CGM (Continuous Glucose Monitoring) as well as current options available. Following the 60-minute class, all major insulin pump and CGM device manufacturers are available to offer a ‘hands on’ look at the products. Class presenter is Julie Johnson, BS, RN, CDE, CPT. Upcoming class dates are Monday, Dec. 1 and Jan. 12. Meeting time is 10 to 11 a.m., in the Diabetes Learning Center, located on the lower level of the Cotton-O’Neil Diabetes and Endocrinology Center, 3520 S.W. 6th Ave. Insurance will be billed for the cost of attending. For reservations, call the Diabetes Learning Center at (785) 368-0416.

Cancer Support Group Meets Mondays at 11 a.m. to noon in the library of the Stormont-Vail Cancer Center, 1414 S.W. 8th Ave. For more information, call 1-800-354-0091.

Loved Ones Partnering for Support (Caregivers Group) Meets Tuesdays at 2 p.m. in the library of the Stormont-Vail Cancer Center, 1414 S.W. 8th Ave. For more information, call 1-800-354-0091.

Cancer Center Pet Meet and Greet Wednesdays at 10 to 11 a.m. in the lobby of the StormontVail Cancer Center, 1414 S.W. 8th Ave. For more information, call 1-800-354-0091.

Head and Neck Cancer Support Group Affiliated with SPOHNC (Support for People with Head and Neck Cancer). Meets the second Wednesday of the month, 3:30 to 4:30 p.m. in the Stormont-Vail Cancer Center library, 1414 S.W. 8th Ave. For more information, call 1-800-354-0091.

Prostate Cancer Support Group Meets the first Thursday of the month at St. Francis Comprehensive Cancer Center, second floor conference room, from 7 to 8:30 p.m. Men who have been recently diagnosed with prostate cancer or been cancer-free for years are invited to attend. Family members welcome. The group is lead by a cancer survivor volunteer. For more information, call (785) 230-4422.

Parents Partnering for Support Support group for parents with children with a diagnosis of cancer. Fourth Thursday of the month at 6 p.m. For location and information, call Leigh Ann at (785) 270-4905.

Tai Chi for Patients and Families of the Stormont-Vail Cancer Center Tai Chi Easy offers physical and mental benefits no matter what your age or physical limitations. Tuesdays at the Stormont-Vail Cancer Center (3:30 p.m. hard, and 4:30 p.m. easy). For more information, call 1-800-354-0091.

Look Good Feel Better Educational Program Program is offered at the Cotton-O’Neil Cancer Center on a regular basis. For more information, call 1-800-354-0091 or the American Cancer Society at (785) 273-4462.

Stroke Support Group at KRH A stroke support group is now meeting the first Friday of each month at the Kansas Rehabilitation Hospital. Meetings are 4 to 5 p.m. in the West Dining Hall, first floor. The support group is for patients and families of those who have suffered a stroke. For more information or to RSVP, call Randy Williams at (785) 235-6600, Ext. 553.

FAMILY EDUCATION PROGRAMS To register for Family Education classes, call Health Connections at (785) 354-5225.

And Baby Makes Four or More (for children 5 and older) 6:30 to 8 p.m. • Wednesdays, Dec. 10, Jan. 14, Feb. 11 and March 11 • Pozez Education Center $10 per family • Lori Hamilton, occupational therapist This class for potential siblings and their parents includes a tour of The Birthplace, a video presentation and a discussion of what to expect after the baby comes. The special roles of big brother and big sister are explored. Parents are able to address how they can help their older child adjust to the new baby.

CALENDAR And Baby Makes Four or More (for children ages 2 to 4) 6:30 to 8 p.m. • Wednesdays, Dec. 3, Jan. 7, Feb. 4 and March 4 • Pozez Education Center • $10 per family Lori Hamilton, occupational therapist This sibling preparation class includes a tour of The Birthplace and provides structured activities to help young children verbalize their concerns and expectations about when “the new baby come.” This class is for young children who will soon be big brothers and big sisters and their parents.

From Girl to Woman Saturdays, Jan. 10, Feb. 7 and March 14 • 9 a.m. to noon Pozez Education Center • $25 mother/daughter couple Course pre-registration required.

The time in a girl’s life between ages 8 and 12 is one of dramatic physical and emotional changes. This program for girls and their mothers, will address menstruation and other physical changes of puberty, the emotional upheaval of adolescence, and communication techniques for mothers and daughters.

From Boy to Man Saturday, Feb. 7 and March 14 • 9 to 11:30 a.m.

Pozez Education Center • $25/family • Course pre-registration required.

When we think of puberty and its changes, we usually think of girls and the transition they make, but boys experience puberty, too. While usually starting later than girls, the time in a boy’s life between the ages of 10 and 13 is filled with many physical and emotional changes. These changes are exciting, but often puzzling, sometimes embarrassing, and usually challenging to a young adolescent. Join us for a discussion that will focus on the physiological changes of puberty, the developmental tasks of early adolescence and ways to improve communication between boys and their parents. This class features time for boys and parents together but also time for separate facilitated discussion.

PARENTING PROGRAMS To register for Parenting classes, call Health Connections at (785) 354-5225.

Welcome Baby Sunday, Jan. 25 and March 8 • 2 to 5 p.m. • Pozez Education Center • $15 per family This three-hour class will consist of updated information for the whole family. Such topics include an overview of pregnancy with strategies to deal with common discomforts, intro to labor and birth, what to expect, choices and options during labor and delivery.

In addition, baby care, including car seat information, a gift bag and community resources will be provided. Finally, adjustment to parenthood and grandparenthood will also be covered in this class.

Mothers are welcome to bring their support person, family or a friend who provides support during their pregnancy and beyond.

Childbirth Preparation I: For New Parents Please visit us online at www.stormontvail.org for class dates and times • Pozez Education Center • Weekday evening and weekend classes available • $60 (payable at the first class) Learn breathing and relaxation skills plus information is provided on other pain control measures. Included is information on late

pregnancy, labor and birth, early parenting experience and a tour of The Birthplace. Classes are taught by experienced instructors and are tailored to the adult learner with plenty of opportunity for individuals and couples to explore their own personal needs. Dress comfortably and bring two pillows. eLearning Online Childbirth Education Program eLearning Online Childbirth Education Program is an alternative for those parents who cannot attend conventional prenatal classes due to bed rest, scheduling conflicts or time constraints. It is an interactive web-based program that includes animated illustrations, videos and voice-overs. It can be viewed on a PC or Mac. High speed Internet is advised, but dial-up will work; it will take longer to download.

Upon registration, we will send you a code to access the class. Once you log in with the code issued, you have six weeks to complete the information at your own pace. The fee also includes a tour of the Birthplace. Visit us at www.stormontvail.org to register.

Childbirth Preparation I: For Parents Having Cesarean Sections Please visit us online at www.stormontvail.org for class dates and times • $30 (payable at the first class) Whether this is your first cesarean section or you are having a repeat cesarean section, your delivery is an event we would like to help you prepare for. You will find out what to expect from admission to dismissal. We will watch films, show slides, have open discussion, practice breathing and relaxation techniques, and tour The Birthplace.

Childbirth Preparation I: For Teens or Young Adults Please visit us online at www.stormontvail.org for class dates and times • Free • (certain restrictions apply) Classes are designed for teens, young adults and their support people. Included are discussions about pregnancy, labor and parenting, as well as explore ways to cope and deal with labor.

Information to assist new parents to care for and enrich their baby’s early years is provided. A tour of The Birthplace is included. The class series lasts five weeks. Dress comfortably.

Birthing with Confidence Please visit us online at www.stormontvail.org for class dates and times • Pozez Education Center • Weekday evening and weekend classes available • $60 (payable at the first class) This class is designed for woman and their support person who would like an in depth exploration of alternative ways to deal with the pain of labor besides epidurals and IV pain medications.

The instructors, who have many years of experience with laboring women will help the participants to be aware of their strengths and abilities to cope with the process of labor and the strategies that are effective for pain control. There will be opportunities to examine potential barriers to reaching individual goals and methods to overcome those barriers in order to achieve their unique goals.

This class series is interactive and uses videos, games and more to prepare you and help you understand that birth is a normal, natural, and healthy process.

Breastfeeding Basics First Tuesday of each month (except for holidays) 6:30 to 8:30 p.m. • Tuesdays, Dec. 2, Jan. 6, Feb. 3 and March 3 • Pozez Education Center • $10 This informal introduction to breastfeeding provides pregnant

women and their families an opportunity to learn all they need to know about breastfeeding before their babies are born. Classes are designed to help families prepare for their breastfeeding experience by providing information on how breastfeeding works, how to get started, problems that may arise and how to incorporate breastfeeding and working.

Pumping for your Baby First and third Tuesdays • 1 p.m. • Breastfeeding Clinic, Stormont-Vail Regional Health Center • Free Designed for women planning to work outside of the home or for those who are breastfeeding but want the flexibility to be away from their baby. This class is designed for mothers who have delivered. Mothers who are at least 2-3 weeks postpartum would benefit most from this class. We will provide information and options for expressing milk from the breast. We’ll address breast pumps and how to choose one, pumping techniques, milk storage and maintaining adequate milk production. For the mom working outside of the home, we also will explore issues of time management, negotiating with employers and relationships with co-workers. We’ll also discuss the very important role childcare providers play in breastfeeding success and methods of feeding breast milk to infants. Babies welcome, pre-registration not required.

Join Us: Welcome Baby Jubilee Stormont-Vail invites pregnant and soon-to-be pregnant couples to an open house that showcases the services and amenities that the Birthplace and the Neonatal IntensiveCare (NIC) provide women and their families during the labor and delivery process.

Refreshments, tours, door prizes and information on Birthplace services and classes are provided. Physicians and other staff will be on hand to answer your questions about pregnancy and infant care. Vendors and other community resource representatives will be present.

Pregnant and soon-to-be pregnant couples are welcome to drop by anytime during the open house. Enter for a chance to win $250 gift card to Babies R Us or Medela Breast Pump. Visit stormontvail.org for details. To attend the Jubilee, please click “I’m Attending” on the Stormont-Vail HealthCare Facebook event page or e-mail us at marketing@stormontvail.org.

Mark Your Calendar for Welcome Baby Jubilee: Please join us from 2 to 4 p.m. Sunday, Feb. 22, at Pozez Education Center, 1505 S.W. 8th Ave. (Stormont-Vail’s main campus). Please park in the parking garage.

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CALENDAR

HealthWise 55 Programs

December 2014, January and February 2015 Senior Supper Information Reservations – Call (785) 354-5225. Please provide a name and phone number for each person attending.

To help us have an accurate count, please call for reservations or cancellations by Thursday before each program. We understand this isn’t always possible.

Thank you for your consideration.

Parking – Please park in the Stormont-Vail parking garage and enter through the Main Entrance. Volunteers will be available with mobility assistance, if requested.

We offer an alternative parking solution to those attending Senior Suppers. Aldersgate Village and Brewster Place offer free transportation from the parking lot of Grace Episcopal Cathedral (West side of parking area) to the Main Entrance of Stormont-Vail HealthCare. The bus will be in the parking lot at 4:45 p.m. and leave at 5 p.m. Let Health Connections know you are utilizing this option when you make your Senior Supper reservation.

HealthWise 55 Holiday Brunch Pozez Education Center Tuesday, Dec. 16 • 8 to 9 a.m., 9 to 10 a.m., 10 to 11 a.m. • $5 per person, please pay at the door. Reservations required: (785) 354-5225. Please park in the covered parking garage. Enter through the Main Entrance/North Tower revolving doors. Volunteer Elves will be available for mobility assistance, if needed. Aldersgate Village will provide transportation from the west side of the parking lot of Grace Episcopal Cathedral to the Main Entrance and back again. This service will be available for all seatings. If you plan to use this transportation, please let Health Connections know when you make reservations.

Heart Failure-Pacemakers and Devices Lunch Bunch • Thornton Place • Monday, Jan. 5 11:45 a.m., presentation with lunch to follow at 12:30 p.m.

Speaker: Christine Curtis, APRN • Free • Reservations: (785) 354-5225.

HealthWise 55 Program-New Faces, Same Great Program Lunch Bunch • Presbyterian Manor • Thursday, Jan. 8 11:30 a.m. to 12:30 p.m. • Speaker: Dana Dobbie-Blindt, RNC, CHC • $5 per person • Reservations: (785) 354-5225.

Winter 2014-2015 Vol. 12, No.1 Healthy Times is a local, community newsletter providing information on health care concerns, issues and interests for you and those you love. Published quarterly by Stormont-Vail HealthCare, 1500 S.W. 10th Ave., Topeka, KS 66604-1353, www.stormontvail.org

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Heart Failure-Pacemakers and Devices Dessert and Coffee • Arbor Court • Wednesday, Jan. 14 2 to 3 p.m. • Speaker: Christine Curtis, APRN • Free Reservations: (785) 354-5225.

Heart Failure-Pacemakers and Devices Dessert and Coffee • Lexington Park Independent Living Monday, Jan. 19 • 2 to 3 p.m. • Speaker: Christine Curtis, APRN • Free • Reservations: (785) 354-5225.

HealthWise 55 Program-New Faces, Same Great Program Lunch Bunch • Brewster Place • Tuesday, Jan. 20 11:30 a.m. to 12:30 p.m. • Speaker: Dana Dobbie-Blindt, RNC, CHC • $5 • Reservations: (785) 354-5225.

Heart Failure-Pacemakers and Devices Koffee Klatch • First Apartments • Monday, Jan. 26 9:30 to 10:30 a.m. • Speaker: Christine Curtis, APRN Free • Reservations: (785) 354-5225.

Heart Failure-The Basics Dessert and Coffee • McCrites Independent Living Tuesday, Jan. 27 • 2 to 3 p.m. • Speaker: Christine Curtis, APRN • Free • Reservations: (785) 354-5225.

Heart Failure-Pacemakers and Devices Dessert and Coffee • Atria Hearthstone • Wednesday, Jan. 28 • 2 to 3 p.m. • Speaker: Christine Curtis, APRN Free • Reservations: (785) 354-5225.

HealthWise 55 Program-New Faces, Same Great Program Lunch Bunch • Thornton Place • Monday, Feb. 2 11:45 a.m., presentation with lunch to follow at 12:30 p.m. • Speaker: Dana Dobbie-Blindt, RNC, CHC Free • Reservations: (785) 354-5225.

Heart Failure-Pacemakers and Devices Koffee Klatch • Aldersgate Village • Thursday, Feb. 5 9:30 to 10:30 a.m. • Speaker: Christine Curtis, APRN Free • Reservations: (785) 354-5225.

HealthWise 55 Program-New Faces, Same Great Program Dessert and Coffee • Arbor Court • Wednesday, Feb. 11 2 to 3 p.m. • Speaker: Dana Dobbie-Blindt, RNC, CHC Free • Reservations: (785) 354-5225.

Issues and Solutions for Aging Urology Lunch Bunch • Presbyterian Manor • Thursday, Feb. 12 • 11:30 a.m. to 12:30 p.m. • $5 • Reservations: (785) 354-5225.

HealthWise 55 Program-New Faces, Same Great Program Dessert and Coffee • Lexington Park Independent Living • Monday, Feb. 16 • 2 to 3 p.m. • Speaker: Dana Dobbie-Blindt, RNC, CHC • Free • Reservations: (785) 354-5225.

Issues and Solutions for Aging Urology Lunch Bunch • Brewster Place Main Building • Tuesday, Feb. 17 • 11:30 a.m. to 12:30 p.m. • $5 • Reservations: (785) 354-5225.

HealthWise 55 Program-New Faces, Same Great Program Koffee Klatch • First Apartments • Monday, Feb. 23 9:30 to 10:30 a.m. • Speaker: Dana Dobbie-Blindt, RNC, CHC • Free • Reservations: (785) 354-5225.

Heart Failure-Pacemakers and Devices Dessert and Coffee • McCrites Independent Living Tuesday, Feb. 24 • 2 to 3 p.m. • Speaker: Christine Curtis, APRN • Free • Reservations: (785) 354-5225.

HealthWise 55 Program-New Faces, Same Great Program Dessert and Coffee • Atria Hearthstone • Wednesday, Feb. 25 • 2 to 3 p.m. • Speaker: Dana Dobbie-Blindt, RNC, CHC • Free • Reservations: (785) 354-5225.

Design: jones huyett Partners

Editor: Anita Miller Fry Advisers/Contributors: Melissa Moore, R.D., L.D. Nancy Burkhardt Tami Motley Carol L. Wheeler, RN, BSN, FACHE

Niki Maloney Linda Ruiz Lenora Kinzie, MLS Lesa Roberts, MPH, RN0

To receive your free subscription to Healthy Times, call (785) 354-5225.

CALENDAR

HealthWise 55 Program Update-Clinics, Resources and Programs to Help You Live a Healthy Life Senior Supper • Pozez Education Center • Monday, March 9 • 5:15 to 6:30 p.m. • Speaker: Dana DobbieBlindt, RNC, CHC • $5 • Reservations: (785) 354-5225.

HEALTHWISE 55 CLINICS The Health Wise 55 Resource Center hours are 8 a.m. to 4:30 p.m., Monday through Thursday. The office is located at 2252 S.W. 10th Ave. #B, Topeka, Kan. For appointments and information on clinical services, please call (785) 354-6787.

Blood Pressure Clinics • Free • No appointment necessar Call (785) 354-6787 for more information. Walk-ins are welcome at the following locations: • Every Tuesday • 10 a.m. to noon • HealthWise 55 Resource Center, 2252 S.W. 10th Ave. #B • First Tuesday • 9 to 10:30 a.m. • West Ridge Mall (Food Court, Restroom Entrance), 1801 S.W. Wanamaker Rd. • Second Thursday • 9:30 to 11 a.m. • Southwest YMCA, 3635 S.W. Chelsea • Third Thursday • 8:30 to 9:30 a.m. • Oakland Community Center, 801 N.E. Poplar • Third Thursday • 9 to 10 a.m. • Rose Hill Place, 37th and Gage • Fourth Thursday • 9 to 10:30 a.m. • Kuehne Branch (North) YMCA, 1936 N. Tyler St. SHICK (Senior Health Insurance Counseling for Kansans) Counseling • For questions and assistance with Medicare, Supplemental, Long Term Care Insurance or the Medicare Prescription Drug Program • HealthWise 55 Resource Center • Free • Call (785) 354-6787 for times and appointment.

Medication Clinics • Every Wednesday • Bring questions to our trained pharmacy staff regarding your medications (prescriptions or over-the-counter) • 12:30 to 4:30 p.m. • HealthWise 55 Resource Center • Free Call (785) 354-6787 for an appointment.

Zostavax Clinics • Every Tuesday and Thursday Ask your primary care doctor if you are a candidate for the shingles vaccine. (Prescription Required) • 8 a.m. to noon • HealthWise 55 Resource Center • Call (785) 354-6787 for an appointment.

Information and Referral • Assistance to help connect you with resources in the community • FREE • HeathWise 55 Resource Center • Call (785) 354-5225 for assistance.

Nutrition Clinics • Every Wednesday • Meet with a Registered Dietician to discuss your nutrition needs and questions • 8 a.m. to Noon • HealthWise 55 Resource Center • Call (785) 354-6787 for an appointment.

AARP DRIVING PROGRAM AARP Smart Driver Course • $15 per person for AARP members, $20 per person for non-members. • Tuesday and Wednesday, March 10 and 11 • 10 a.m. to 3 p.m. • Pozez Education Center • (Must bring your AARP membership card at time of class registration. Bring your HealthWise 55 membership card for a discount in the Food Connection if you plan to each lunch at Stormont-Vail.) • Registration: (785) 354-5225.

HEALTHWISE 55 EXERCISE Exercise Programs Available to HealthWise 55 Members • HealthWise 55 exercise group meets in Pozez Education Center every Tuesday and Thursday, 9:30 to 10:45 a.m. Included in the schedule: Chair Aerobics, Strength Training, Balance and Flexibility. Cost is $25 for 20 times. Please enter through Stormont-Vail HealthCare Main Entrance.

• YMCA Exercise Programs with special rates for HealthWise 55 members.

• Great Life Golf and Fitness with special rates for HealthWise 55 members. The YWCA and many other locations are managed by Great Life.

•

ansas Rehabilitation Hospital offers aquatic exercise K classes: Wavemakers and Tai Chi • Healthy Steps: A walking program sponsored by Stormont-Vail HealthCare and West Ridge Mall.

Call Health Connections at (785) 354-5225 to have a packet of detailed information mailed to you regarding these exercise programs.

HEALTHWISE 55 LINE-UP ON TV The following HealthWise 55 television programs are available on WIBW-TV, Channel 13.

HealthWise After 55 “HealthWise After 55" airs from 9 to 9:30 a.m. the first and third Fridays of each month. It offers interviews on health topics of interest to seniors as well as a 20-minute exercise segment. Sponsors are AAA Travel and Insurance and Aldersgate Village. for Family Caregivers “for Family Caregivers” airs the second and fourth Fridays of each month from 9 to 9:30 a.m. The show highlights information for people who are providing caregiving services to loved ones and a 20-minute exercise segment for caregivers and their loved one. Sponsors are Caregivers Home Health Care and Jayhawk Patient Supply.

The Exercise Programs are sponsored by Topeka Ear, Nose and Throat.

New Medical Building Under Construction A new home for Stormont-Vail HealthCare’s orthopedic surgeons, single day surgery; and physical, occupational and speech therapy services is under construction near I-70 and MacVicar in Topeka. Completion of the new facility is expected in late 2015.

The first floor of the 87,657-squarefoot building at 2601 S.W. East Circle Drive North will house Stormont-Vail Single Day

Surgery. The second floor will house physical, occupational and speech therapy services. Orthopedic surgeons and mid-level providers will be located on the third floor of the building as well as two digital X-ray rooms.

The orthopedic surgeons are John Gilbert, M.D.; Peter Lepse, M.D.; Mike McCoy, M.D.; Joseph Mumford, M.D.; Bradley Poole, M.D.; Michael Smith, M.D.; Brett Wallace, M.D.; and Brian Wilson, M.D. Architectural design is provided by HMN Architects, Inc. The general contractor is Murray Company.

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MEDICAL NEWS

B e s t Wa y t o Av o i d th e F lu:

Get a Flu Shot

Flu season is upon us and, by now, you should have received your annual flu vaccine. If you haven’t gotten your vaccine, there is still time to protect yourself. According to the Centers for Disease Control and Prevention (CDC), everyone six months of age and older should be vaccinated annually against influenza or the flu.

The flu vaccine is adjusted every year to keep up with the most prevalent flu viruses. Flu viruses evolve quickly, which means the shot you received last year may not protect you from the flu virus this year. After you receive your shot, it takes up to two weeks to build up immunity against the flu. So, it is best to get your shot when it is first made available to you instead of waiting.

Getting a flu shot is especially important for people who have medical conditions or are at high risk of developing complications from the flu.

Looking to get your flu shot? Contact your physician’s office to schedule a time for you to get your vaccination.

People at high risk of developing flu-related complications include: • Children younger than five, and especially children younger than two years of age • Adults 65 years of age and older • Pregnant women Medical conditions that could be complicated by the flu include: • Asthma • Neurological and neurodevelopmental conditions • Chronic lung diseases • Heart disease • Diabetes • Kidney disorders • Liver disorders • Weakened immune system

– Tami Motley