The Many Faces of Nursing - Memorial Hospital of South Bend

Memorial Hospital & Health System
Fall 2003
The Many Faces
of Nursing
From Operating Room to
Board Room: Finding Your
Nursing Niche

Fall 2003
Memorial Hospital & Health System
Connie McCahill
2
4-5
6
6
contents
Cover Story: The Many Faces of Nursing
From operating room to board room: Finding your
nursing niche Cover: Lindsey Pinda, R.N.
WOW! Wizard School
One part magic, one part Memorial
Complementing Your Care
Complementary medicine becoming more common
Heart-Strengthening Structures
Drug-coated stent prevents new artery blockage
The
Greg Bingaman
Tina Mullins
Many
Faces
of Nursing
7
I Got Rhythm
Hormones may be source of sleep problems
8
8
9
10-11
12
13
14
15
16-18
18
19
Recipe
Apple-Nut Muffins
I Need a What?
A colonoscopy could save your life
Cleansing Foods
Why cleansing the inside of your body is important
You, Only Better
Plastic surgery — cosmetic and reconstructive
How Bad Is It?
Med-Point vs. Emergency Room
MMG Welcomes New Physicians
Get Your Motor Running
Driving home the message of good health
Safe Keeping
DuPont teams up with Memorial for healthcare safety
News Briefs
A Tribute to “Doc” Foley
Datebook
2 ❚ Memorial Health System ❚ 574•284•6800
A
nd while a nursing shortage is
affecting hospitals throughout the
country, Memorial Hospital is among
the fortunate few to have a vacancy
rate that’s less than half the national
average. Pulse magazine set out to
discover what makes our nurses tick,
and what opportunities are available to
those who might want to learn more
about the profession.
“The majority of nurses chose nursing
because it allows them to care for
Friends of Nursing
Would you like to give back to the nurses who have cared for you and your family
at Memorial? Through Friends of Nursing, a program supported by Memorial Health
Foundation, you can invest in our nurses’ continued professional education and
training, ensuring that they can achieve their personal vision of competence and caring.
For more information, contact Memorial Health Foundation at (574) 284-6613, or write:
Memorial Health Foundation, 615 N. Michigan St., South Bend, IN 46601.
Nursing employment opportunities
Memorial Hospital of South Bend is currently seeking registered nurses for full- and
part-time positions. Contact Cathy Nafe, Nurse Recruiter, at (574) 284-7447, or
by e-mail at cnafe@memorialsb.org. You can also visit www.qualityoflife.org
to learn more about Memorial Hospital & Health System and available employment
opportunities.

Diane Parmelee
Jenny Pierce
The caring, the knowledge, the
expertise. For the men and
women who’ve chosen nursing
as a career, blending technical
skills and compassion for
patients is more than a job,
it defines who they are.
Patrisse Prince, patient care assistant, plans to be among the next
generation of nurses. When she’s not taking care of patients, she’s
taking pre-nursing classes at Indiana University South Bend.
people when they are at their most
vulnerable,” explained Connie McCahill,
R.N., vice president and chief nurse
executive. “Plus, the opportunities in
nursing are so varied — home care,
schools, congregational nursing and, my
personal favorite, acute care! Even within
the hospital there are so many choices
based on age, acuity and the type of
patient one wants to work with.”
The range of choices in the field is
one aspect that drew Greg Bingaman,
R.N., of the Intensive/Critical Care
Unit, into nursing. He began his career
at Memorial Hospital as a patient
care extender, then took advantage
of Memorial’s scholarship program to
go to nursing school. He was able to
attend school and work at the same
time, and then had a job waiting for
him when he finished.
“You can go anywhere you want to
go,” Greg said. “As an R.N., you can
make it a lifelong career or use it as a
stepping stone.”
Tina Mullins’ career as a registered
nurse has taken her in several directions
since her graduation from the
Memorial School of Nursing in 1977.
Currently the Patient Care Director
for Resource Services, Tina started out
as a critical care nurse. Her interest
in helping orthopedic, spine and braininjured
patients led her to spend 18 years
on the Physical Rehabilitation Unit, a
unit she helped to design and open.
“I have never changed my mind
about what I wanted to be,” Tina said,
citing her strong faith and her love
of working with people. “I’ve always
felt like nursing was a profession where
you had the opportunity to work with
the mind, body and spirit. I don’t know
of any other profession where you can
work with an individual through birth,
life and death.”
Over her 24-year career as an
educator, Diane Parmelee, R.N., has
helped more than 2,400 new nurses
discover what role they’d like to have
in patients’ lives. Diane, now the
Director of Nursing Education, is at
the forefront of Memorial Hospital’s
World Class Service initiative as
well as the hospital-wide switch to an
electronic medical record system.
Though she admits the demands for
training nurses on the new computer
systems are difficult, the payoff will
be significant.
“The computerized record will be
wonderful for efficiency and effectiveness,”
she said.
The challenges of nurses are many,
but Jenny Pierce, R.N., Director for
the 11 South Medical Unit, offers her
perspective on keeping things on an
even keel:
“To me, nursing is a way of life.
It requires patience, caring and a
dash of tolerance,” she said, adding
“when a nurse finds balance between
being a nurse and having a
family, the rewards are sweet and
life is good.” MH
www.qualityoflife.org ❚ 3

One part magic, one part Memorial
Many businesses suffer from “creeping toxic sameness,”
making it impossible for consumers to tell them apart
from their competitors. At Memorial, staff members are
learning to conjure new ways of doing day-to-day business
to create unique, WOW! Memorial experiences that will
benefit our patients, families, physicians and employees.
The Wizard Masters from left: President and
CEO Phil Newbold; and Vice Presidents
Diane Stover (Marketing); Ken Anderson,
D.O. (Quality); Reg Wagle (Memorial Health
Foundation); and Mike O’Neil (Memorial
Home Care).
Whether it’s redesigning a simple
form or creating entirely
new business ventures, Memorial’s
WOW! Wizard School is teaching
staffers to develop their own innovative
solutions to problems.
Deborah Drendall, of the Memorial
Office of Organizational Effectiveness,
is one of the facilitators, or “gurus,”
for the WOW! Wizard School. She
leads groups through the one-day
WOW! training process and methodology,
to help “turn everyday
operations and projects into something
really spectacular.”
Drendall said
the reactions by
those who’ve been
through training
are positive—the
interaction, support
and time
devoted to thinking
about specific
Becky Starzynski
projects are beneficial. “WOW! Wizard
School reinforces change, flexibility,
creativity and the opportunity to contribute
to the organization in ways you
may not normally contribute,” said
Becky Starzynski, Memorial’s director
of risk management. “Ideas from everyone
are what keep your business on the
cutting edge and ahead of the pack.”
4 ❚ Memorial Health System ❚ 574•284•6800

Innovation at Work
Everyone at Memorial is encouraged
to develop WOW! projects, and to
register ideas in an online database
designed to help move the project along
from concept to final product. It also
allows others to find out what innovative
projects are being developed, and gives
everyone a chance to help each other
with comments and encouragement.
“Sometimes the newest, most innovative
ideas come from where you’d least
expect them to,” observed Memorial
President and CEO Philip Newbold.
“History is full of examples of people
who have come up with world-altering
ideas that had nothing to do with their
own line of work. We’re hoping to tap
into everyone’s potential at Memorial, so
no good idea gets left untried.”
Memorial’s relationships with some
of the most innovative organizations
in business today have helped fan the
flames of innovation. Among them is
the Tom Peters Group, whose namesake
is among the best-known and respected
business gurus in the country, and
IDEO, a unique design firm that specializes
in turning ordinary products
into extraordinary ones.
Deborah Drendall
“We are benefiting greatly from our
experiences with these incredibly innovative
companies,” Newbold said. In
fact, Memorial is one of the only places
in the country where top innovative
companies from different disciplines
have come together at the same time.
And that fact itself has led to one very
innovative idea: The Innovation Café.
Businesses from across the country
who want to learn how to get innovation
into their corporate culture can
visit Memorial’s Innovation Café, a oneday
session set in a unique learning
environment, where they can hear from
leaders in innovation and sample reallife
examples of innovation at work.
“People from any industry can learn
from our experiences here. This is truly
a concept that speaks to how you’re
going to approach your work every day,
and how to get new ideas to bubble to
the top,” Newbold said. MH
Mary Niemier Thomas, R.N.,
unit director of Memorial’s
Cardiac Intermediate Care
Center, stands at the “fly-by”
section of a futuristic nurses’
work station. Designed in
partnership with IDEO and
Steelcase Inc., the prototype
incorporates ideas born
during “deep dive” brainstorming
sessions that were
part of the pre-construction
phase of the new Memorial
Heart and Vascular Hospital.
The fabric screen allows for
some privacy for “headsdown”
work, while the “flyby”
section is perfect for
quick work between visits
to patients’ rooms.
www.qualityoflife.org ❚ 5

Complementing Your Care
The use of complementary medicine
is not considered as uncommon in patient
care as it used to be. In fact, when practiced
in combination with conventional
medicine, it can provide yet another source
of healing, both spiritually and emotionally.
Meditation, music therapy and prayer
can be used to help relieve symptoms like
pain following surgery. Other forms of
complementary care include
massage, aromatherapy and
chiropractic manipulation.
Following a special diet
to treat cancer rather than
undergoing surgery, radiation
or chemotherapy, however,
is an example of using alternative
medicine because
it replaces scientifically based
Western protocols.
The National Center
for Complementary and
Trinette Reed/Getty Images
Alternative Medicine (NCCAM), the federal
government’s lead agency for scientific
research on complementary and alternative
medicine, offers several suggestions
when considering whether complementary
or alternative medicine is right for you.
◆ Be an informed consumer. Research
the safety and effectiveness of the
treatment you’re considering.
◆ Discuss your thoughts with your
healthcare provider before making any
decisions about treatment or care.
◆ If you use a complementary or alternative
therapy provided by a practitioner,
choose the practitioner with care.
◆ If you have more than one healthcare
provider, let them all know about the
additional therapies you’re using.
For more information about complementary
medicine and how it might
benefit you or a loved one, visit the
NCCAM at nccam.nih.gov.
PULSE, a publication of Memorial
Health System; Memorial Health
System is a community-owned
healthcare system providing services
for people and families throughout
Michiana; Philip A. Newbold,
President & CEO; Ruth Linster,
Manager Media & Community
Relations; Kris Hosbein, Creative
Director; Laura Fredericks, Print
Communications Coordinator; Jim
Labuzienski, Art Director. Memorial
Health System, 615 N. Michigan
St., South Bend, IN 46601,
(574) 284-6800,
http://www.qualityoflife.org
Copyright © 2003 by McMurry
Publishing, Inc. All rights reserved.
Information in this publication is
not intended for the purpose of diagnosing
or prescribing. Consult your
physician before undertaking any
form of medical treatment and/or
advice contained in this publication.
If you are receiving multiple copies,
need to change your mailing address
or do not wish to receive this publication,
please send your mailing
label(s) and the updated information
to McMurry,
1010 E. Missouri
Ave., Phoenix, AZ
85014, 888-626-8779.
Heart-Strengthening Structures
Many people who suffer a heart attack are treated with angioplasty, a non-invasive procedure
that restores blood flow to the blocked artery. According to the American Heart
Association, more than 1 million Americans underwent angioplasty in 2000. However, up
to one-third of these patients (1 in 5 if the patient received a stent to help keep the artery
open) found their arteries clogged again within six months, this time due to scar tissue.
A solution? Drug-coated stents. The U.S. Food and Drug Administration recently
approved coated stents, which keep arteries
open once the plaque blockage is pushed back
by slowly releasing a cell-inhibiting drug into
the artery wall. The drug prevents cells from
migrating to and reproducing around the stent,
thus preventing a new blockage. For those who
suffer from coronary artery disease, drug-coated
stents provide yet another weapon and source
of hope in the fight against heart disease.
Memorial Hospital offers the latest in
cardiac surgical technology, including
drug-coated stents. For more information,
talk with your cardiologist.
Jeremy Woodhouse/Getty Images
6 ❚ Memorial Health System ❚ 574•284•6800

Ken Easley
I Got
Rhythm
Sleep problems?
Hormones may be keeping you awake.
You’ve heard about hormones that rage, but what about
hormones with rhythm? Hormone rhythms, the patterns
in which hormones are secreted within the body,
play a huge role in everyday life.
Sleep Secrets
The hormone cortisol, which peaks
when we awaken, helps us cope with the
stresses of the day, said Scott Rivkees,
M.D., associate professor at Yale
University School of Medicine.
Then there’s the headline-grabbing hormone melatonin,
which the body secretes at night to help us fall
asleep. “Some people believe that sleep problems among
the elderly are caused by lower melatonin production at
night,” said Rivkees, who researches circadian hormone
rhythms, or those that fluctuate over a 24-hour cycle.
While the verdict is still out on a possible melatonin/
sleep connection in the elderly, one thing is for certain:
The circadian rhythm plays a significant role in setting
body functions, including hormone production and
sleep. Night-shift workers or travelers may have trouble
sleeping because their old rhythm of hormone release
does not correspond to their new day and night.
While it is possible to reset your body’s clock by changing
environmental cues, such as altering your sleep-wake
patterns and mealtimes, sometimes sleep problems develop
as the result of serious hormone imbalances.
Seeking Balance
According to Rivkees, people with hyperthyroidism, or an
overactive thyroid, and Cushing’s disease, an overproduction
of cortisol, report sleep problems. Declining estrogen production
also may produce sleep problems in women
as they age, though the link has not been proven.
Before you blame hormones for your sleep problems,
know that it can go either way. “Hormones
can influence sleep. Sleep cycles also can influence
hormone production,” Rivkees said.
Regardless, if sleep problems persist, call your physician
for help. He or she can help you get back into the right rhythm.
On the Horizon
Promising new areas of
research exist in the field of
hormone rhythms. Watch for
news on these fronts:
◆ Endocrine research is focusing
on the effects of hormones
such as melatonin on
resetting the “pacemakers”
that control internal
hormone rhythms.
◆ A clinical trial is under way in
which the lighting conditions
that influence hormone
rhythms are being changed
in intensive care units for
newborns and adults to see if
this reduces illness and/or
length of stay.
◆ In another clinical trial,
women are receiving
gonadotropin-releasing
hormone, a brain hormone,
to induce fertility.
Source: The Endocrine Society,
endo-society.org
If you suffer sleepless
nights and fatigued days,
a hormone imbalance
may be the culprit.
Talk with your physician
to find solutions, or call
The Memorial Sleep
Disorders Center at
(574) 284-1850
to schedule a
sleep consultation.
www.qualityoflife.org ❚ 7

Apple-Nut Muffins
Apples, ideal for pies, strudels
and applesauce, are a great way
to add a tasty source of fiber to
your diet.
Recipe from EatRight
Heart Smart. Reprinted
courtesy of Oxmoor
House, Inc., and
The University of
Alabama at Birmingham
1 cup all-purpose flour
1 cup whole-wheat flour
1 1 ⁄2 teaspoons baking powder
1
⁄2 teaspoon baking soda
1
⁄4 teaspoon salt
1 teaspoon ground cinnamon
Food for Thought
Before planning your next meal
or filling your grocery cart, consider
including the following fiber-filled
foods in your diet. Your heart and
colon will thank you.
Grams of Dietary Fiber
per 3 1 ⁄2-ounce Serving
1
⁄3 cup firmly packed brown sugar
2
⁄3 cup unsweetened apple juice
1
⁄4 cup unsweetened applesauce
1
⁄4 cup vegetable oil
1 teaspoon butter and nut flavoring
2 egg whites, lightly beaten
2 cups peeled, chopped apple
2 tablespoons chopped walnuts
Vegetable cooking spray
Combine the first six ingredients in a
bowl and stir well; make a well in center
of mixture. Combine brown sugar and
next five ingredients in a separate bowl.
Add to dry ingredients, stirring just until
dry ingredients are moistened. Fold in
apple and walnuts.
Spoon batter evenly into muffin pans
coated with cooking spray. Bake at 400°F
for 20 to 22 minutes or until lightly
browned. Remove from pans immediately.
Yield: 1 1 ⁄2 dozen
Serving size: 1 muffin
Per serving: Calories, 116 (30% from
fat); Fat, 4 g (Saturated, trace; Monounsaturated,
2 g; Polyunsaturated, 1 g);
Protein, 2 g; Carbohydrate, 19 g; Fiber,
2 g; Cholesterol, 0 mg; Sodium, 117 mg
Broccoli (boiled)—
2.3 g
I Need a What?
Jim Dandy
Red kidney beans
(canned)—6.2 g
Whole-wheat
bread—5.8 g
Source: High Fiber Cookbook
(Lorenz Books, 1997)
Carrots
(raw)—2.4 g
Apricots
(dried)—6.3 g
Raspberries—
2.5 g
Almonds—
7.4 g
Are you 50 or getting close? While
you might cringe at the word colonoscopy,
did you know this procedure could save
your life?
The American Cancer Society (ACS)
estimates that there will be approximately
105,500 new cases of colon cancer and
42,000 new cases of rectal cancer this
year in the United States. So what can you
do to safeguard yourself? Be prepared.
The ACS recommends that, beginning
at age 50, both men and women should
have a colonoscopy every 10 years. Those
at higher risk, such as people with
inflammatory bowel disease or a family
history of colon cancer, should be
screened more often and starting at
an earlier age.
A colonoscopy is a procedure that
allows your doctor to see inside the
entire colon. If a polyp is found, the
doctor may remove it. If anything else
looks abnormal, a biopsy might be
done. A biopsy involves the removal
of a small piece of tissue through the
colonoscope. The tissue is then sent to
the lab to see if cancer cells are present.
This test is sometimes uncomfortable,
so medicine can be given to make you
feel relaxed and sleepy. Don’t delay—
schedule your appointment today. You’ll
be glad you did.
To learn about colon cancer prevention,
detection and treatment, visit the
Health Discovery Center, 100 Navarre
Place, Suite 6670, South Bend.
8 ❚ Memorial Health System ❚ 574•284•6800

Cleansing
Foods
Cleansing the inside of your body is
as important as the outside
You could consume only water and fruit juice for a
weekend. Or, you could head to the sauna and try
to steam the impurities out of you. But these “detox” methods
are fads that lack real long-term benefits. You can, however,
make permanent changes to your diet to help guard against
cancer, heart disease and other chronic conditions.
said John A. Sutherland, M.D., a non-invasive cardiologist
and authority on vitamins and supplements at the
Arizona Heart Institute.
Antioxidants—Anti-Disease?
“One of our strongest defenses is to eat foods containing
natural antioxidants,” Sutherland said. “Antioxidant
vitamins—E, C and beta carotene, a form of vitamin A—
are found in many foods.”
The American Heart Association warns the data on
antioxidants and heart disease is incomplete, and the
National Cancer Institute reports that clinical trials about
antioxidants and cancer prevention are inconsistent as
well. But while the jury is out on the disease-prevention
value of antioxidants, Sutherland said there’s no doubt
“antioxidants are important elements in nutrition.”
Fiber Facts
Fiber may be a wonder food, and according
to the American Dietetic Association, we
should be eating more of it. Found in whole
grains, fruits, vegetables, beans, nuts and seeds,
fiber may reduce the incidence of colon cancer,
digestive disorders, diabetes and heart disease.
Foods that contain fiber often also
contain antioxidants, which neutralize
free radicals, the unstable
molecules that lead to oxidative
stress and cell damage.
“There’s an increasing body of
evidence that oxidative stress is linked
to cardiovascular disease, cancer, diabetes,
neurological disorders, cataracts and arthritis,”
Ken Easley
Antioxidant Roundup
Antioxidant Benefits and Sources
◆ Vitamin C—May lower blood pressure and
cholesterol and has been shown to prevent
stroke and heart attacks.
Green/red peppers, potatoes, spinach, collard
greens, citrus fruits
◆ Vitamin E—May have a beneficial effect on
aging, infertility, heart disease and cancer.
Vegetable oils, whole grains, wheat germ, nuts
and seeds
◆ Beta carotene (carotenoid)—Has been shown
to reduce the risk of prostate cancer.
Sweet potatoes, cantaloupe, carrots, squash,
apricots, pumpkin, mangoes, collard greens,
kale, spinach
◆ Lutein (carotenoid)—May decrease the risk
of developing macular degeneration and
other eye diseases.
Collard greens, kale, spinach, Brussels sprouts
◆ Lycopene (carotenoid)—Protects against
cancers of the mouth, pharynx, esophagus,
stomach, colon and prostate.
Tomatoes, watermelon, guava, papaya,
apricots
Sources: National Cancer Institute, American
Dietetic Association, American Heart Association
A fruit- and vegetable-filled
diet is essential to good
health. Find tips for healthy
eating and living by visiting
◆ diabetes.org
◆ americanheart.org
◆ cancer.org
◆ www.eatright.org.
www.qualityoflife.org ❚ 9

You,
Only Better
Plastic surgery covers the cosmetic and
reconstructive needs of many
Did You Know?
You don’t have to be driven by
vanity to appreciate all that
the field of plastic surgery has to
offer. From cosmetic to reconstructive
surgery, the options for
people who live with everything
from minor imperfections to
major deformities are vast.
Believe it or not, many of
the people who undergo plastic
surgery are not looking for the perfect
body. According to the American Society
of Plastic Surgeons (ASPS), “Very often,
patients are seeking alteration of physical
Top Cosmetic Surgical Procedures of 2002
Surgical
Non-Surgical
Nose reshaping.........................354,327 Botox .......................................................1,123,510
(top male procedure)
(top female procedure)
Liposuction.................................282,876 Chemical peel..........................................920,340
(top male procedure)
Breast augmentation..............236,888
(top female procedure)
Microdermabrasion.................................900,912
Eyelid surgery............................230,672 Laser hair removal..................................587,540
Facelift..........................................117,831 Sclerotherapy (spider veins) .................511,827
Top Reconstructive Surgical Procedures of 2002
Tumor removal...4,439,463 Scar revision.....241,045 Breast reduction...101,526
Laceration repair...397,960 Hand surgery...209,594
Source: American Society of Plastic Surgeons, plasticsurgery.org
attributes that may not impair physical
functioning, but limit quality of life by
promoting a negative self-image and
psychological stress.”
Many people want the way they feel
on the inside to be reflected in their
appearance. For this reason, more than
1 million American men and women
elect to have cosmetic procedures performed
by American Board of Plastic
Surgery-certified surgeons each year.
For J. Gerald Minniti, M.D., of the
Beverly Hills Surgical Institute, 95 percent
of the work he does is cosmetic in nature.
“More than ever, people who aren’t necessarily
rich and famous are looking toward
plastic surgery to look better,” Minniti
said. “It’s part of a bigger picture, but it
does correspond to self-esteem improvement
for many.”
More Than Meets the Eye
People know a lot about cosmetic
surgery, or at least they think they do.
But surgery is not something to be taken
lightly, and patients must understand
the risks and benefits of any surgery
before it is performed.
Many of today’s most popular cosmetic
procedures were born out of the need for
reconstructive procedures. Liposuction, or
the removal of excess fat from certain areas
of the body to shape and mold those areas,
was first used to remove tumors.
According to the ASPS, the difference
between cosmetic and reconstructive
10 ❚ Memorial Health System ❚ 574•284•6800

Ken Easley
surgery is often the difference between
insurance coverage and paying out of
pocket. Reconstructive surgery attempts
to recreate the form and function of a
normal body part after illness or injury,
such as options for reconstruction of
the breast for cancer patients after mastectomy.
These procedures are typically
covered by insurance. Cosmetic surgery
reshapes normal structures of the body
to improve appearance or self-esteem.
Procedures that are strictly cosmetic often
are not covered by insurance.
Don’t Skimp on Surgery
Some plastic surgeons will advertise
that they perform “less invasive” procedures
that have quicker recovery time.
“But that doesn’t mean that they are better,”
Minniti explained. “These procedures are
perfect examples of what board-certified
plastic surgeons do not perform. They’re
just a quick way for
non-board-certified
surgeons to
get money.”
According
to Minniti
and his colleagues,
the
scientific trend
is toward careful
analysis of past surgical
procedures and those being
performed currently to see
what holds up as effective
and realistic for patients
over time.
“Better surgery means
that it’s more realistic
and more durable.
It can sometimes
take six
to 10 hours for
a technically advanced
facial surgery because
it is more complex,”
Minniti said. “This
entails a certain amount
of risk, recovery and
pain you can’t avoid if you want to obtain
an effective result.”
If you’re considering plastic surgery,
it’s important to learn about the procedure
you have in mind and take time to think
about it before deciding to go ahead.
Remember, the “new you” comes from
the inside as well. The goal of cosmetic
and reconstructive surgery is to improve
and enhance what you already have.
Know Your
Surgeon
D
According to J.
Gerald Minniti, M.D.,
of the Beverly Hills
Surgical Institute, anyone
with a medical degree can
call himself a cosmetic surgeon.
This places patients seeking
“quick fixes” and cheap procedures
at great risk. Minniti
advises patients considering
plastic surgery to take these
steps first:
◆ Be sure the surgeon is board
certified by the American
Board of Plastic Surgery. This
means he or she has had
extensive training in general
and plastic surgery.
◆ Meet with the surgeon and
discuss the procedure. Learn
the risks and benefits of the
surgery so you can make
an informed decision. Ask
how many times the surgeon
has performed this specific
procedure, and ask to see
before-and-after photos of
several past patients.
◆ Request a patient reference
to ease your mind. Reputable
physicians won’t hesitate to
share their successes.
To locate a boardcertified
surgeon near
you, call The Health
Professionals at
(574) 284-6800.
www.qualityoflife.org ❚ 11

How BadIs It?
Determining the best level of care:
Med-Point vs. Emergency Room
You don’t always need an Indy pit crew to check your oil.
And while people are a lot more complex machines than any
car, we don’t always need a visit to the emergency room when
a visit to the doctor would do.
That’s why there’s Med-Point.
Actually, there are four of them.
Each is staffed by a physician who
cares for people with medical problems
that can’t wait for an appointment
with their regular doctor, or
who either don’t have a family physician
of their own or need care after
normal working hours or weekends.
It’s not always easy deciding which
of life’s “little emergencies” is actually a
big one in disguise. Gary Sunada, M.D.,
medical director
for Memorial’s
four Med-Point
locations, offers
the following
advice to help
you determine
whether Med-
Point or the
emergency room Gary Sunada, M.D.
is the right choice.
Q: What kinds of situations
can Med-Points care for?
A: Med-Points provide care to people
with non-life-threatening conditions.
They are particularly useful for out-oftown
patients or those who are unable
to see their own physician for minor
medical problems, such as sore throat,
fever, sinusitis, ear infection, a sprain,
urinary tract infection and poison ivy or
other type of rash.
We can treat cuts and stitch minor
lacerations, and we can perform other
minor procedures, like abscess drainage
and ear wax removal. The repair of
major lacerations, drainage of large
abscesses or removal of significant skin
lesions may need to be done at the
emergency room or even by a surgeon.
Med-Point Locations and Hours
Med-Point at
Main Street Medical Group
6913 N. Main St., Granger
(574) 472-1550
7 a.m. to 10 p.m. daily
Q: What other types of
non-emergency services
can a Med-Point provide?
A: Commercial driver’s license (truck
driver) physicals, sports physicals and
employment-related physicals are
conducted at Med-Point in conjunction
with the Memorial Center for
Occupational Health. But health
maintenance physicals and well-child
physicals are not. These should be
performed by that patient’s own physician.
Asthmatics who have acute
symptoms may receive breathing
treatments at Med-Point. But if they
are not responding adequately, they
are referred to the E.R.
Med-Point at
Schwartz-Wiekamp Medical Group
4630 Vistula Road, Mishawaka
(574) 254-7200
9 a.m. to 9 p.m. daily
Med-Point at
Ireland Road Medical Group
1815 E. Ireland Road, South Bend
(574) 472-1750
9 a.m. to 9 p.m. daily
Med-Point at
LaPorte Medical Group
900 I St., LaPorte
(219) 324-1950
8 a.m. to 7 p.m. Monday-Friday
11 a.m. to 7 p.m. Saturday and Sunday
12 ❚ Memorial Health System ❚ 574•284•6800

MMG
New
Welcomes
Physicians
Memorial Medical Group welcomed five new physicians to
three practice locations this summer.
Christopher Hall, M.S., M.D., and Chris Jensen, M.D.,
have opened their respective practices at Plaza Family
Medicine, 707 N. Michigan St., Suite 400, South Bend,
(574) 239-4525.
Q: In what cases should someone
call 911 or be taken to the
nearest emergency room?
A: Conditions such as chest pain,
severe abdominal pain, severe difficulty
breathing, suspected stroke, seizure and
trauma with exposed bone are better
evaluated in the emergency room. If
someone comes to a Med-Point with
these kinds of symptoms, they will likely
be referred immediately to the E.R.,
since those types of problems usually
require more extensive examination or
treatment.
Other high-risk situations include
abdominal pain or bleeding during
pregnancy, leg pain or shortness of
breath in a patient with a history of leg
clots or pulmonary embolism, individuals
with a history of severe allergic
reactions to insect stings or bites who
have just sustained another sting or
bite, and fever in children younger than
6 months of age. MH
Christopher Hall,
M.S., M.D.
Chris Jensen, M.D.
Mary Pat
McManmon, M.D.
A South Bend native, Hall received his medical degree
from Indiana University School of Medicine. He is board
eligible in the practice of family medicine.
Jensen received his medical degree from the University
of Iowa College of Medicine and is board certified in
family practice.
Both physicians completed their residencies with the
Memorial Family Practice Residency Program.
In addition to Hall and Jensen, two physicians also have
joined the team at Main Street Medical Group, 6913 N.
Main St. in Granger, (574) 472-1500.
Mary Pat McManmon, M.D., received her medical degree
from the St. Louis (Mo.) University School of Medicine
and performed her residency in family practice at the
University of Wyoming in Casper. She is board certified
in family practice, and she takes special interest in the
care of obstetrics patients.
Anne Hollingsworth, D.O., is board certified in internal
medicine. She received her medical degree from Michigan
State University College of Osteopathic Medicine and
completed her residency in internal medicine at Oakland
General Hospital in Madison Heights, Mich.
Steven DeLee, D.O., opened his practice in late July at
Schwartz-Wiekamp Medical Group, 4630 Vistula Road,
Mishawaka, (574) 254-7200. DeLee received his medical
degree from Kirksville (Mo.) College of Osteopathic
Medicine and performed his residency in family practice
at Genesys Regional Medical Center in Grand Blanc, Mich.
He also is board certified in family practice. MH
Steven DeLee, D.O.
www.qualityoflife.org ❚ 13

Get
YourMotor
Running:
Healthy Messages with an Attitude
HealthWorks! Kids’ Museum has
a new vehicle for driving home
the message of good health:
An H-1 Hummer
like no other.
Complete with a model brain and matching bike
helmet, sunglasses, a mouth, a nose (to keep the sunglasses
from sliding down, of course!) and other way cool
things, it’s just the thing to make learning fun for kids and
adolescents. Intestines 20 feet long pull out of one of the
Hummer doors. Hydraulics make the Hummer dance.
And with the help of a fog machine and a powerful sound
system, the Hummer can even smoke and cough, showing
that cigarettes don’t help anyone keep what’s under their
hood working smoothly.
The special Hummer hit the streets to help HealthWorks!
deliver its message to adolescents, reinforcing what they
might have learned at the museum when they were elementary
school kids. HealthWorks! innovators recognized that
older children like health education “with an attitude,” and
that how lessons are presented is as important as their
content. In short, the Hummer is all about coolness. After all,
isn’t it cool to be healthy?
In the couple of months before school ended in June,
1,200 kids had seen the Hummer at their schools in conjunction
with one of several health programs exploring the body,
dental health and helmet safety, as well as drug, alcohol and
tobacco prevention. In addition, the Hummer has cruised to
community events ranging from Black Expo to Summer
in the City.
Jewel Abram Copenhaver, who serves as HealthWorks!’
Star of Scheduling & Sanity (aka operations manager), said
that taking the Hummer to a school or community event “is
like bringing a piece of the museum to people.” For schools,
this means that kids can still have part of the HealthWorks!
experience without the expense and planning of a field trip.
And if kids have already been to HealthWorks!, all the better.
Copenhaver points out that these children come to the
Hummer revved up with a baseline of health knowledge that
other kids might not have yet.
But whether introducing a health topic or reinforcing a
past message, the community has given the HealthWorks!
Hummer a green light for the future. “The response has
been excellent,” said Copenhaver. “It’s fun for kids and
parents alike.”
The HealthWorks! Hummer recently made stops in August
at Coveleski Stadium for Midwest Breast Fest, and at the
Enshrinement Family Festival at the College Football Hall of
Fame. You can catch the Hummer at its HealthWorks! home
every Saturday at 2 p.m. for a safety program, where kids can
get a free bike helmet. You might even be lucky enough to
catch the Hummer tooling around town. MH
14 ❚ Memorial Health System ❚ 574•284•6800

SafeKeeping
DuPont teams up with Memorial to pioneer enhancements in healthcare safety
For all that’s demanded of today’s
hospitals, healthcare has a pretty
strong safety record here in the U.S.
But is there room for improvement?
DuPont, a world leader in safety, and
Memorial Hospital of South Bend have
formed a unique partnership to explore
ways to make a good thing better.
In June, safety experts from DuPont
Safety Resources began working with
staff and physicians at Memorial to identify
opportunities for enhancing safety
using principles developed at DuPont
over the past 200 years.
“Memorial is the first hospital to use
the DuPont methodology to examine
the ‘culture of safety’ within our
organization,” explained Ken Anderson,
D.O., Memorial’s vice president in
charge of quality.
Efforts are being focused on Memorial’s
safety infrastructure and how the environment
of safety relates to patients and
employees alike. Once the initial phase
is complete, detailed programs based on
DuPont’s tried-and-true safety initiatives
will be used to make improvements.
The partnership is important to
both Memorial and DuPont, according
to Anderson. “For Memorial’s part, we
look forward to learning from one of
the world’s leading safety experts. And
while DuPont has an extensive history
in safety, this marks the first time the
company has partnered with a hospital
to develop hospital-specific safety programs,”
he said.
“Safety has always been our core
commitment, and we see exciting
applications of what we’ve learned for
other industries,” said Deborah Grubbe,
DuPont corporate director for safety
and health and manager of the project.
“Healthcare is a key industry where
we can help our partners to save lives
by applying our safety knowledge,”
she continued. “We were looking for a
hospital that was fully committed to
quality and open to new solutions.
Memorial has a reputation for being
very progressive, and the team at
Memorial was by far the most enthusiastically
committed and best prepared
to help us apply our safety management
system to hospital operations.”
“We are proud to have been selected
and to be working with a team of
experts from one of the most safetyconscious
organizations in the world,”
said Memorial President and CEO Phil
Newbold. “We anticipate this relationship
will offer improvements for our
staff and patients, and will ultimately
help to improve hospital safety for all
hospitals as we share what our two
organizations learn.”
Among the important areas being
examined is the development of safer
ways to deliver medications to our
patients, Anderson said.
As the partnership progresses, it’s
possible that the lessons learned here
will develop into safety programs that
could improve the safety of hospitals
around the world. In the meantime,
Memorial hopes to incorporate DuPont’s
safety principles into everyday work
life, improving the quality of care right
here at home. MH
www.qualityoflife.org ❚ 15

News
News Briefs
Briefs
New York, Paris…South Bend!
Della Donne and Spirit of Women at Memorial will
host the second annual “Night of Fashion” beginning at
5 p.m. Tuesday, Nov. 11, at O’Laughlin Auditorium at
Saint Mary’s College. The event will include a cocktail
hour, a vendor fair and a high-energy, European-style
fashion show. Tickets are $48 per person; proceeds will
benefit Memorial’s Spirit of Women and its focus on
breast cancer awareness.
This year’s Spirit of Women Award winners will also
be presented at the show, as well as the winner of a
complete makeover package. For more information, call
Spirit of Women at (574) 284-7800.
COH Expands to LaPorte
The Memorial Center for
Occupational Health expanded
its presence to LaPorte this spring.
The new Memorial Center for
Occupational Health at LaPorte
Medical Group brings the services
offered by the South Bend-based
center to a more convenient location
for LaPorte County businesses.
The Center for Occupational Health
provides care for on-the-job injuries,
physical therapy, drug testing, physicals
and other services important to
improving employee health. For more
information, call (219) 324-1960.
Dr. Forrest Retires
Norman Forrest, M.D., medical director
of Community Health Alliance (CHA)
and developer of the Memorial Quality
Foundation, retired this summer after a
42-year affiliation with Memorial.
Forrest came to Memorial as a resident
in 1961. During his tenure, he also
served as president of the medical staff.
Forrest’s service as medical director for
CHA began in 1995, where he
formulated policies and procedures
for credentialing physicians and was
responsible for setting standards, as
well as monitoring utilization review
and case management.
But perhaps he is best known for the
care he gave his patients in private
practice. He once commented that he
had the pleasure of delivering more
than 5,000 babies in his career!
16 ❚ Memorial Health System ❚ 574•284•6800

Memorial Community Health Enhancement Programs Receive Grants
Healthy Diabetics: Diabeticos Saludables received a grant to
provide lancets and test strips in conjunction with educational
programming for a one-year pilot project for uninsured/
underinsured Spanish-speaking individuals. The St. Joseph
County Minority Health Coalition granted the funding for
supplies for the program, and Abbott Laboratories provided
the glucose meters for participants.
Another recent grant allowed Memorial’s Community Health
Enhancement Department to employ African American and
Latino students from Washington High School in South Bend
for the summer. They worked with health and environmental
professionals to evaluate 200 homes on the city’s west side
for environmental and safety hazards.
The $20,080 grant was given by the Coalition of Minority
Organizations and Leaders. In-kind contributions were
received from Memorial’s community partners, including the
St. Joseph County Minority Health Coalition, South Bend
Community School Corporation, Greentree Environmental
Inc., South Bend Fire Department and the South Bend
Medical Foundation.
The Memorial Community Health Enhancement Department
also received a $5,000 grant from the St. Joseph County
Prevent Child Abuse Council to develop and implement a
Shaken Baby Syndrome community education program to
emphasize the importance of never shaking a baby.
Washington High students and Kathleen Kraner, Lead Initiative
Coordinator (far right) checked for hazards in west side homes.
The Shaken Baby Syndrome education program is twofold,
consisting of a free in-service to community members and
local social service agencies, as well as a public awareness
campaign. The in-service will be offered in Spanish and
English, and attendees will receive coupons from Beds &
Britches Etc. (B.A.B.E.) as well as other incentives. Shaken
Baby Syndrome posters and pamphlets will be distributed
to more than 25 area agencies, daycare centers and churches
in St. Joseph County.
If your organization would like to display Shaken Baby
Syndrome posters and/or pamphlets, or if you would like to
schedule a presentation, please call Beth Choinacky, health
access coordinator, at (574) 472-1364.
Wheel In to Home Care
Memorial Home Care will host its annual Wheelchair Tune
Up Day from 9 a.m. to 1 p.m. Saturday, Sept. 13. The event
takes place just outside Memorial Home Care at 17390
Dugdale Drive in South Bend.
People who depend on wheelchairs to get around, along with
their families, are invited to join the fun. Everyone can enjoy
the food and festivities while their wheelchairs are inspected,
cleaned and tuned up by Memorial Home Care’s mobility
experts. For more information, call (574) 273-CARE.
www.qualityoflife.org ❚ 17

News
News Briefs
Briefs
Pre-surgical Visit Reduces Children’s Anxiety
Surgery can be frightening for anyone, but especially children. The Memorial
Health Discovery Center offers a special program for children to help ease
their fears about their operation.
“Any child facing surgery, along with their parents, can meet with a Health
Discovery Center nurse for age-appropriate information at no charge,” said
Deb Gartee, RNC, WHNP, director of referral resources/women’s health at
Memorial. The visit includes a tour of Memorial’s Outpatient Surgery Center,
where kids can even try on a hospital gown, mask and hat. “The tour takes the
mystery out of this strange and different environment,” Gartee said.
For more information or to schedule a free pre-operative appointment for
your child, call the Memorial Health Discovery Center at (574) 284-6880.
We Knew Him as “Doc” Foley
Memorial Health Foundation has
established a special gift fund for
those who wish to make a gift in
Dr. Foley’s name. Please contact
Reg Wagle at (574) 284-6620 or
Sue Pusztai at (574) 284-3645 for
more information.
One of the brightest stars in the
Memorial family passed away
earlier this year. Hansel Foley, M.D.,
known affectionately by many as
simply “Doc” Foley, passed away at
his home in early February.
Foley’s caring spirit and unending
commitment to his patients has served
as an example for many, and earned
him the respect and admiration of
colleagues and co-workers throughout
his long career at Memorial. He always
considered Memorial “his” hospital, and
loved that he could live his calling by
spending most days and nights caring
for and guiding his patients.
Foley came to South Bend in 1957.
He served as an intern at Memorial
before joining the medical staff a year
later. He held several leadership
positions with Memorial throughout
the years, including president and chief
of the Family Practice Department.
He was also associate director of
Memorial’s continuing medical education
program for 35 years.
While we have mourned for our
loss, we are also grateful that Dr. Foley
was a part of the Memorial family for
so many years. His memory will live
on through our commitment to our
patients, present and future.
18 ❚ Memorial Health System ❚ 574•284•6800

Datebook
Datebook
Memorial offers educational events, classes and screenings as part of our ongoing mission to build a
healthier community. Many programs are free and some have a nominal fee. For more information,
call the number provided or contact The Health Professionals at Memorial, at (574) 284-6800 or
(800) 999-8890. You can also go online to www.qualityoflife.org for additional information.
Classes
Diabetes Education Classes
Nutrition and lifestyle management skills for people
with diabetes mellitus. Open to anyone with
diabetes, their families and significant others.
Lung Center
Provides free one-on-one education for those
suffering from asthma, COPD and other pulmonary
problems. Classes available 7:30 a.m.-6 p.m.
Call 251-0041 Mon.-Fri. for an appointment.
Ortho Classes
Total hip, knee and shoulder replacement classes
available at no charge. Call 284-7398 Mon.-Fri.
for availability.
Call it Quits
A six-month telephone-based counseling program
staffed by trained nurses to help you stop tobacco
use. Educational materials are sent to you, follow-up
calls are scheduled and phone access for nurse
counseling is available 24hours/7 days per week.
Life Steps
A comprehensive weight management program that
stresses the importance of diet, physical activity and
behavioral modification techniques for weight loss
and maintenance. Classes meet weekly for 16 weeks.
Setting Your Course Through
Menopause
This program helps women make informed, proactive
decisions in choosing menopause management
options and assists them in developing a personalized
midlife wellness plan. We’ll discuss heart
health, bone health, breast care and sexuality, as
well as current updates on hormone replacement.
Spirit of Women
Ongoing programs are available on a variety
of women’s health issues. Call 284-7800 for
more information.
Support Groups
AARP
Meets on the 1st Monday of each month at 1:30 p.m.
at Leighton Center. Call Leon Caenepeel, 287-3036.
Alzheimer’s Support Group
Meets on the 1st Tuesday of the month at 10 a.m.
and the 3rd Tuesday at 7 p.m. at Leighton Center.
Call Sadie Mager at 233-4444, or call 232-4121.
Arthritis Partnership
Meets the 2nd Thursday of the month at 2 p.m. at
Leighton Center. Call Mary Beth Ryan at 251-1424.
Diabetes Support Group
Open to people ages 50 and older with diabetes.
Meets the 3rd Tuesday of each month, 10 a.m.,
at Leighton Center. Participants are welcome to
bring a friend or family member. Call Nan Monhaut
at 284-7168.
Forget Me Nots
For parents, their families and people who have
experienced the loss of a child or pregnancy. Meets
2nd Monday of each month at Leighton Center at
5:30 p.m. Call Barbara Wilson at 284-6990.
Leukemia & Lymphoma Support Group
Meets the 2nd Wednesday of each month at 5 p.m.
at Leighton Center. Call Beth Kellogg at 284-3140.
Mother Matters Support Group
Focuses on postpartum depression and parenting
responsibilities. Meets twice a month in the Family
Education Center. Call 284-7396.
Ostomy Support Group
Contact Sue Stelton at 284-3156 for details.
Parkinson’s Disease Support Group
Meets on the 1st Wednesday of the month at
1:15 p.m. at Leighton Center. Call Jim Banner
at 291-4217.
2nd Wind Group (COPD)
A support group for individuals with lung disease.
Meets Tuesdays, 1:30 to 3 p.m. at Leighton Center.
Call Jan Cosby at 284-7178.
Women In Touch Cancer Support
Meets on the first Tuesday of each month at
5:30 p.m. at Leighton Center. Call Kathy Johnson
at 284-7280.
For New Families
Advanced registration is required for all classes
unless noted otherwise. Call the Spirit of Women
at (574) 284-7800. All classes are held in the
Family Education Center on the 3rd Floor of
Memorial Hospital.
Child/Infant CPR
One-evening class meets American Heart
Association guidelines in child/infant CPR and
safety. First Wednesday of each month, 6 to 8 p.m.
Class materials must be obtained in advance.
$10/person.
Childbirth Preparation
Series prepares couples for the childbirth
experience. $60/couple. Class size limited. Meets
for 6 weeks.
Clases Para Un Embarazo Saludable
(Classes for a Healthy Pregnancy)
En Español. Las mujeres embarazadas tendrán
oportunidad de recibir información acerca del
proceso del embarazo y parto. Llame a Mercedes
Moran, R.N., 284-7454.
Lunch & Learn Prenatal Class
One-day intensive version of Childbirth Preparation
Course. Meets 9 a.m. to 5 p.m. on Saturdays once or
twice each month. $60/couple. Class size is limited.
Childbirth Refresher Course
A one-evening review for those who have previously
taken a Childbirth Preparation Course. $20/couple.
Class size is limited.
Sibling Orientation Class
Children between ages of 3 and 7 learn about newborns
and how to participate in baby care. $5/child.
Class size is limited.
Tours
Free tours of the Center for Mother and Child Care at
Memorial Hospital are available throughout the year.
Cesarean Birth Preparation Class/VBAC
A one-time class for families expecting a Cesarean
delivery or wanting a vaginal birth after a Cesarean.
Includes a tour. $20.
Just for Dads
A one-time educational format to prepare dads for
parenting and life with their new baby. Dads only! $15.
Pre-natal Breastfeeding Class
Information on breastfeeding taught by certified
lactation consultants. Offered monthly. $10/couple.
In the Beginning
Early pregnancy class covering nutrition, exercise,
testing, comfort and birth options. $20 (with $5
rebate toward series or Lunch & Learn).
Coffee, Tea, Mommy & Me
Informal, open, ongoing weekly group for moms and
babies ages newborn to 18 months. Every Thursday,
10:30 a.m.-12:30 p.m. No registration needed.
www.qualityoflife.org ❚ 19

Trying to be healthy?
Start with a Pulse.
More than a sports drink.
Not just a flavored water.
Pulse contains nutrients that
supplement your active lifestyle.
And unlike other drinks, there’s
a Pulse designed just for you...
formulas made especially for men,
for women, even for your heart.
Pulse is available at the Memorial
Health & Lifestyle Center and at
retail stores across Michiana.
615 North Michigan Street
South Bend, IN 46601
Non-Profit Org.
U.S. Postage
PAID
Permit No. 72
South Bend, IN

Trying to be healthy?
Start with a Pulse.
More than a sports drink.
Not just a flavored water.
Pulse contains nutrients that
supplement your active lifestyle.
And unlike other drinks, there’s
a Pulse designed just for you...
formulas made especially for men,
for women, even for your heart.
Pulse is available at the Memorial
Health & Lifestyle Center and at
retail stores across Michiana.
615 North Michigan Street
South Bend, IN 46601
Non-Profit Org.
U.S. Postage
PAID
Permit No. 77
Random Lake, WI