Fall 2005 - Memorial Hospital of South Bend

Memorial Hospital & Health System
Fall 2005
New Hope
for Children
in Need
Developmental pediatrics
clinic offers advanced care
for local families

Fall 2005
Memorial Hospital & Health System
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contents
Cover Story: Celebrating Children—
Our Most Precious Resource
Memorial offers pediatric developmental health care,
closer to home
The Road to Baldrige
Memorial strives for the Malcolm Baldrige National
Quality Award
The Spirit of Women
Celebrating the accomplishments of great women
Bringing Quality Care Closer to Home
MedPoint Express: A new model in health care
Walk This Way
Walk toward better health
Start the Day in Your Favor
Make time for breakfast
Donors
Memorial Health Foundation recognizes
our generous benefactors
Take Charge
Advance directives in end-of-life care
Recipe
Apple Brown Betty
Fitting In Fiber
Fitting fiber into your diet is easier than you think
Nothing Fishy About It
The heart-healthy benefits of fish
You and Your Heart
When it comes to your health, make every meal count
Living with Cancer
The early detection and treatment of cancer
News Briefs
Datebook
On the cover: Kristen Hill Hake enjoys some
quiet time reading with her son, Grant.
Memorial offers pediatric
developmental health care,
closer to home
A Comprehensive Approach
Like most new moms,
Kristen Hill Hake didn’t
know what to expect after
the birth of her son, Grant.
Full of hopes and dreams,
she and the rest of the Hill
Hake family began their new
lives together not knowing
exactly what was in store.
2 Memorial Health System • 574-647-6800

William Mize, M.D.,
Developmental Pediatrician
Our Most Precious Resource
Grant’s family began noticing signs
of possible developmental delays
in their son when he was just 18
months old. Worried, Kristen took
her son to his pediatrician, who then
referred him to a developmental
specialist. After a few weeks of tests,
Grant was diagnosed with autism.
He and his family are by no means
alone. Over the past 10 years, the
number of U.S. children diagnosed
with autism spectrum disorders has
exploded. Though the reasons for
this dramatic increase have yet to be
determined, many in the scientific
community believe there to be
both an environmental trigger and
a genetic component to autism.
With an estimated 2,000 people
throughout Michiana affected in
some way by a developmental
disorder, specialized pediatric
developmental health care has
become a top priority.
A unique team came together
to create a new local resource.
With financial assistance from
the Schwartz family, long-time,
valued members of the South Bend
community, Memorial and the
University of Notre Dame teamed
up to recruit and help finance the
ongoing expertise of a local
developmental pediatrician.
They found William Mize, M.D.,
who was serving as assistant professor
of pediatrics at the University of
Illinois campus in Peoria.
Dr. Mize serves in a dual role,
both as Medical Director of Child
Development and Behavior at
Memorial and as a researcher in
the University of Notre Dame’s
Psychology Department, where he
evaluates new treatment methods
for autism and ADHD. As a boardcertified
subspecialist in child
development and behavior, Dr. Mize
is very familiar with the increasing
number of cases of autism and other
developmental concerns.
“With the collaboration of many
people throughout this community,
Memorial has created a unique
and special program for children
with developmental delays,” said
Dr. Mize. The result is a clinic that
offers families treatment options for
a number of developmental delays,
as well as education, support and
referrals to other community services.
Continued on page 4
www.qualityoflife.org
3

Continued from page 3
A Holistic Approach
Dr. Mize and his staff care for the
well-being of each child as a whole,
as opposed to simply treating their
specific developmental needs.
With the aid of a multidisciplinary
staff—from nursing to social work,
nutritional services to physical
therapy—the clinic attends to the
medical, nutritional, emotional
and spiritual dimensions of
children with autism and other
developmental challenges.
Kristen Hill Hake,
with 5-year-old
son Grant and
9-year-old
daughter Delenay
“One thing that sets us apart from
others across the nation are the
nutritionist and chaplain on our staff.
Every child and his or her parents
will have access to experts from
various fields, and each will see a
nutritionist as part of the program.
Each family will also be given the
opportunity to see the chaplain,” said
Dr. Mize. “It’s a service we’re making
available because we’re aware that
developmental problems can affect
families in deeply spiritual ways.”
Collaborative care between Dr. Mize
and his patients’ referring primary
care physicians remains a top priority
as he and his staff engage in comprehensive
follow-up and continuing
communication with patients, families
and other care providers.
“With the collaboration of many people
throughout this community, Memorial
has created a unique and special program
for children with developmental delays.”
—William Mize, M.D.
4
Memorial Health System • 574-647-6800

A Systemwide Approach
As with any successful health care
venture, the developmental pediatric
clinic doesn’t exist in a vacuum.
Developmental services through
Memorial’s Newborn Intensive
Care Unit, as well as the many
long-standing programs offered
through the Memorial Regional
Center for Children’s Services, will
continue to provide family-oriented,
individualized assessment for children
diagnosed with developmental delays.
A Local Approach
“One of the hardest things to do is
to have to travel so far out of the
area,” said Hill Hake. After traveling
to Chicago and Indianapolis to seek
treatment for their son, the family
is glad to have local access to worldclass
care.
Getting children with suspected
developmental delays timely care
is more than simply convenient—it
can make a world of difference. The
sooner children can be evaluated, the
sooner they can receive treatment,
and that can mean better outcomes.
With a six- to eight-month waiting
list in other areas of the state, this
program offers world-class treatment
options, resources and specialized
care close to home.
“As a parent, I’m absolutely thrilled
to have Dr. Mize here,” said Hill
Hake. “Now we, and other local
families affected by autism, have
access to a great developmental
pediatrician, right here in the area.”
Hill Hake’s involvement in autism
awareness reaches further than her
own family. Aside from her role as a
mom, she also works at First Steps,
an Indiana-based program that
provides early-intervention strategies
for families with infants and toddlers
experiencing developmental delays.
She also serves as the President
of the Regional Autism Center at
LOGAN, which links families with
autistic children with educational
and treatment resources.
Those involved with the development
of Memorial’s program anticipated
the need would be great. With
a waiting list 90 people strong a
full two months before the clinic’s
official opening in September, that
expectation has certainly been met.
The Schwartz family’s generous
donation, Notre Dame’s research
expertise and Memorial’s innovative
culture created the perfect
combination for bringing this
dream to fruition.
“Children are our most valuable
resource and our community
recognizes this,” said Dr. Mize.
“We’re taking the steps to ensure
that this generation and those to
come are as healthy as can be.”
For more information about
Memorial’s pediatric developmental
clinic, call 574-647-7300 or
800-444-3637. ■
A communitywide planning effort is under way to establish
the Memorial Children’s Hospital. The initial steps involve
working with members of the medical staff, parents, children’s
health care providers and educators to develop a specific,
detailed plan for services and facilities.
As part of this journey to enhance pediatric care, Memorial
was recently approved for membership in the National
Association of Children’s Hospitals. Memorial becomes one
of 200 members of the nonprofit association of health
systems devoted to the well-being of America’s 70 million
children and their families. Member organizations include the
highly respected children’s hospitals operated by Loma Linda
University, Riley, St. Jude’s, Johns Hopkins, Mayo Clinic and
Shriners’ Hospitals throughout the country.
The current Memorial Regional Pediatric Center cares for
more than 1,000 children each year. Memorial also operates
the state’s second-largest Newborn Intensive Care Unit,
the region’s only Pediatric Intensive Care Unit, the region’s
only pediatric oncology service, and a pediatric emergency
transport service covering 18 referral hospitals.
Expansion plans will likely include new outpatient clinics,
all-private patient rooms and educational programming.
A dedicated Web site, www.childrenshospitaldesign.org,
allows anyone interested to submit ideas on services, facilities
and experience enhancements in pediatric care. Memorial
will be gathering input, and all responses will be considered
in the design and future construction of the hospital. ■
www.qualityoflife.org
5

The Ro
It’s not about the Steuben
crystal or the 22-karat
gold-plated medallion. It’s
not even the fact that it’s
awarded by the President of
the United States. The road
to Baldrige is itself the prize.
The Malcolm Baldrige National Quality Award,
the international benchmark of quality awarded
previously to business and industry, is now being
used to measure health care organizations.
For Memorial, the road to Baldrige began more
than a year ago, when hospital President and CEO
Phil Newbold, COO Dan Neufelder and Vice
President Ken Anderson, D.O., traveled to St. Louis
to visit SSM Health System, the first health care
organization to win the prestigious award.
“What better way to learn how Baldrige worked than
to talk to past award winners and become a Baldrige
examiner myself,” said Dr. Anderson, who currently
is one of only 10 Baldrige examiners in Indiana.
Named for the former Secretary of Commerce and
longtime proponent of quality management, the
Malcolm Baldrige National Quality Award recognizes
6 Memorial Health System • 574-647-6800

usinesses and
organizations
from across the country
that value quality and
performance excellence.
Winning organizations demonstrate
a commitment to their community,
and to developing a culture of
excellence.
And with one of the most
innovative cultures in the nation,
and an incomparable community
tithing program, Memorial is
poised for success.
The Baldrige Award process includes a
review of hospital departments across
the organization that exhibit room
for improvement. Examiners suggest
different ways for these departments
to improve workflow, communication
and patient care. Through this
process, Memorial can dramatically
improve services in a number of
areas, from patient care delivery and
patient account processes to the
way administration interacts with
employees, patients and families, even
the safety and security of employees
and patients on
campus and at off-site
locations. In short, virtually
all processes that can be improved
at Memorial will be addressed using
Baldrige evaluation criteria.
The benefit of the evaluation process
cannot be overstated. Application
for the Baldrige Award is the fastest,
most effective way to help Memorial
improve its work processes to provide
better care and patient experiences.
After the acceptance of Memorial’s
application, a group of key staff
members developed a formal
application covering seven categories
and 19 different performanceoriented
criteria. If examiners like
what they see, Memorial will qualify
for the next stage, which includes
a one-week on-site visit. Examiners
will then submit a report on their
findings. In all, Memorial will
receive the benefit of more than
300 consulting hours, making the
journey alone worthwhile.
“With every step you take, you get
more and more information back
about your organization—and it’s
very detailed, insightful information,”
said Dr. Anderson.
Through his experience consulting
for other organizations, Dr. Anderson
knows exactly what examiners are
looking for.
“Baldrige examiners expect to see a
great organization at work, not just
a good one,” he said. “They look for
patient-focused care within a culture
that expects and demands excellence
for patients.”
Dr. Anderson knows that patients and
their families will feel a strong and
direct impact in those areas touched
by the Baldrige process.
“Through participation in this process,
both employees and patients will be
able to better recognize Memorial as
an organization that is both better
and different from other health care
organizations,” said Dr. Anderson. “It’s
not just about the award. It’s all about
improving your organization along the
journey to better serve patients and
their families.” ■
Core values and concepts of the
Baldrige Foundation:
Visionary leadership
Patient-focused care
Organizational and personal learning
Valuing staff and patients
Agility
Focus on the future
Managing for innovation
Management by fact
Social responsibility and community health
Focus on results and creating value
Systems perspective
www.qualityoflife.org
7

The
Celebrating the Accomplishments of Outstanding Women in Our Community
For anyone who has known
a great woman, a woman who
educates, mentors, nurtures,
stands up for her beliefs, and
takes charge of her health, her
family and her life, the Spirit
of Women cannot be denied.
Memorial celebrates this spirit
through its collaboration
with the national Spirit of
Women health initiative,
which helps women make
positive changes in their lives
by providing access to clinical
and preventive care, as well
as education and wellness
programs.
“Memorial Hospital is honored
to be a part of this wonderful
nationwide women’s health
initiative,” said Philip Newbold,
President & CEO, Memorial
Health System. “Along with
the many women’s services
already in place at Memorial,
Spirit of Women programs are
a tremendous benefit to women
throughout our community.”
With a unique combination of
grass-roots efforts and national
resources, Spirit of Women
is designed not only to help
improve the health of women
of all ages, but to enhance their
lives through fun, friendship and
Spirit of Women luncheon guest speaker Lou Nanni, Vice
President for University Relations, University of Notre Dame;
health care winner Laura Mabry; youth winner Ashley Bridges;
and community winner Cindy Streich.
“Somewhere between
the imagining and the
doing, between magic
and everyday life,
lies the spirit of women.”
personal enrichment. Through their
participation, more than 100 health
care organizations across the country
provide a network of opportunities to
come together and share ideas about
improving women’s lives.
As part of their celebration of
women, the national Spirit of Women
Awards annually recognizes “ordinary
women who do extraordinary things”
by honoring the commitment,
ingenuity, compassion and integrity
of one woman in each of
three categories: youth,
community and health
care provider.
As a school teacher, the 2005
community category winner
Cindy Streich noted that the
award has made a difference
in the lives of her students.
“I think it has made an
impact on my students and
has encouraged them to
start doing good things for
other people,” said Streich.
In fact, this year her students
began a recycling program, planted
flowers around the school grounds
and collected more than 50,000
aluminum can tabs to benefit
children’s services in Indiana. “I
think it’s been valuable for them
to see what happens when we all
get more involved.”
This year’s award ceremony
and luncheon are scheduled to
coincide with a communitywide
Women’s Health Expo scheduled
for October 28 and 29. If you
know a woman you’d like to
nominate, or for more information
about the Spirit of Women, visit
www.spiritofwomen.com. ■
8 Memorial Health System • 574-647-6800

Closer to Home
There’s never room in your schedule
for getting sick. That’s why there’s
MedPoint Express. We bring quality
health care in step with your busy
life by offering convenient medical
services right where you shop.
Welcome to MedPoint Express,
a new way to get well soon without
adding one more errand to your
to-do list.
MedPoint Express recently opened
its first clinic, located at the front
of the Wal-Mart Supercenter in
Mishawaka. The clinic provides
expert care for life’s minor medical
problems. This new model makes
getting quality medical care more
convenient than ever by offering
services in a retail setting.
“With constant demands on
everyone’s time, MedPoint Express
can offer the convenience and
affordability patients are looking
for,” said Charles Parsiola, M.D.,
Medical Director for MedPoint
and MedPoint Express.
Just as the MedPoint model of
care came into its own 20 years
ago with the advent of urgent care,
MedPoint Express is a new model of
providing quality health care to an
increasingly consumer-driven market.
Patients at MedPoint Express
are cared for by a family nurse
practitioner who specializes in
treating a variety of everyday
ailments, from sinus infections to
impetigo. The nurse practitioner can
also check your cholesterol or blood
pressure, and can even administer
immunizations and flu shots.
“We’re responding to consumer
demands by offering cost-effective,
convenient health care for common
conditions,” said Dr. Parsiola.
“Patients are going to go where
it’s most convenient, and where
they find the highest quality. All
of that is available to them at
MedPoint Express.”
Memorial Home Care began this
model with the opening of a new
home care equipment and supply
store located in the front retail area
of the Super Wal-Mart on Portage
Avenue. The 700-square-foot store,
located near the checkout lanes,
offers lift chairs, scooters, walkers,
orthotics, braces and other home
health aids. This new retail model
complements Memorial Home
Care’s four existing stores in South
Bend, Plymouth, LaPorte and Knox.
Memorial Home Care Vice
President Greg Conrad stated,
“We are excited about offering
our products in such a convenient
location for local families. Demand
continues to grow for our products
and services, and we’re always
looking for innovative ways to be
more accessible.” ■
“It’s a paradigm shift. This is the
way health care is going,” said
Dr. Parsiola. “In the end, it’s all
about our patients, and providing
them with the most convenient,
highest-quality care possible.”
www.qualityoflife.org 9

Walk This Way
Forget the gadgets advertised
on late-night TV. The
most powerful exercise equipment
available is … your feet.
One of the very best things
you can do for your body is
something you already know
how to do: walk.
Walking just 30 minutes
a day most days of the
week can help you lose
weight, lower your blood
pressure and decrease your
risk of heart attack, stroke
and diabetes, according to
a recent study published
in the Archives of Internal
Start the Day in
Your Favor
Medicine. As a weightbearing
exercise, walking can
also strengthen your bones,
combating osteoporosis—
especially important for
people who are treating
arthritis or other illnesses
with bone-thinning corticosteroid
medications.
Here’s how to begin a
walking program:
u Find a safe place to walk,
whether it’s your neighborhood,
local mall or
fitness center.
u Start gradually. Slowly
increase your pace and
What did you have for your fi rst meal of the
day Maybe coffee and a doughnut Or did
you skip breakfast altogether If you’re one
of the millions of Americans who don’t make time for this
start-the-day meal, you might be one of the many who
also are overweight or suffer from a lack of energy.
According to researchers at Harvard University, adults
who eat breakfast are nearly 50 percent less likely to be
obese than those who don’t. In addition, study after study
has shown that people who eat breakfast have more
endurance and better concentration throughout the day.
After eight to 12 hours without eating since the previous
night’s dinner, your body and brain need to be replenished.
So what can you do if you don’t have time for a hearty
meal of an egg-white omelet, toast and grapefruit Try
these breakfast-on-the-go ideas:
u whole-grain cereal with a cup of yogurt
u instant oatmeal with low-fat or nonfat milk and dried fruit
u toasted waffl es topped with peanut butter
u a cereal bar and a banana
Masterfi le
distance, adding two or
three minutes to your walk
each week.
u Wear comfortable, wellfitting
shoes with flexible
soles and good heel support.
u Get a pedometer and aim
for 10,000 steps a day,
including while working,
running errands or cleaning.
Every step counts!
Walk around the track
or hop on the treadmill at
Memorial’s Health & Lifestyle
Center. For details, visit
www.qualityoflife.org/hlc
or call (574) 647-2650.
What’s a Serving Size
For information about weight management,
serving sizes and healthy eating
habits, call Memorial’s Health Discovery
Center at (574) 647-6880.
IN CASE
OF
EMERGENCY
Would you know what
to do if your child was
bleeding or had lost
consciousness If the
answer is no, then you
may want to register for
a child/infant CPR class
to help you prepare for
life’s unexpected medical
emergencies. To
learn more about this
and other classes
available at Memorial,
please see page 19 or
call (574) 647-2680.
PULSE is a biannual 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 of Media & Community
Relations; Kris Hosbein, Creative Director;
Maggie Scroope, Print Communications
Coordinator; Jim Labuzienski, Art Director.
Memorial Health System, 615 N. Michigan
St., South Bend, IN 46601, (574) 647-6800,
www.qualityoflife.org. Copyright © 2005 by
McMurry. 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.
!
10
For Memorial a physician Health referral, System call • 574-647-6800
Anytown Hospital Medical Center at (123) 456-7890.

Take
Charge
Advance directives give you
a voice in end-of-life medical care
It’s not easy to think about, but planning ahead for medical
treatment should you become incapacitated due to serious illness,
injury or advanced age can give you more control over
your medical care and ease the burden of decision-making on your
family. Documents called advance directives let you do just that.
“Advance directives are one way to communicate your desires for
medical treatment if you’re incapacitated. Sharing your wishes through
these documents and explaining your intentions will help your family
if they have to make decisions for you,” said Tina Leatherman, MSN,
R.N., Memorial’s Palliative Care Coordinator.
!
Make Your Wishes Known
A durable power of attorney for health care, or proxy, designates
someone you trust to direct your care. A health care declaration, also
known as a living will, indicates the type of care you want or don’t
want if you’re unable to give instructions. Ideally, it’s best to use both
forms. Having a proxy promotes flexible decision-making, while a
living will reassures the proxy that he or she is following your wishes.
Another document known as a do-not-resuscitate (DNR) order
can supplement other directives, indicating that you do not want
cardiopulmonary resuscitation in the event of heart or lung failure.
Plan Ahead
In addition to making all of your health care providers aware of
your wishes, you should ensure that your proxy and family both
know—and more importantly, understand—your wishes, Leatherman
said. “If a family member strongly disagrees with your advance directive,
he or she can basically make that null and void,” she said.
Keep originals of your directives safe but accessible, and provide
copies to your proxy, alternate proxy and all of your physicians and
other health care providers. Discuss with your doctor, lawyer or state
representative those laws applicable in your state. In other words,
get as much information as possible to make an informed decision
that’s best for you. ■
SOMEONE TO LEAN ON
Facing a life-threatening illness or injury can be a source of
uncertainty, fear and stress. For a list of support groups and
services, please see page 19, or call Memorial’s Palliative
Care Coordinator at 574-647-2088.
Where to Start
Making end-of-life decisions before an emergency or
illness occurs will allow you to be directly involved in
your own medical treatment. Consider the following
resources for advance directive forms, as well as organizations
for caregivers of patients who have not made
their wishes known.
u National Hospice and Palliative Care Organization:
Supplies free advance directive forms for residents of
all states. 800-658-8898, nhpco.org
u Aging with Dignity: Offers “Five Wishes,” a $5 document
containing both a living will and a durable
power of attorney for health care. 888-5-WISHES,
agingwithdignity.org
u National Academy of Elder Law Attorneys: Furnishes
a directory of elder-law attorneys. (520) 881-4005,
naela.org
u Family Caregiver Alliance: Assists caregivers with education,
research, services and advocacy. 800-445-8106,
caregiver.org, info@caregiver.org
u Growth House, Inc.: Provides a clearinghouse of
resources for life-threatening illness and end-of-life care.
growthhouse.org
u Agency for Healthcare Research and Quality: Offers
a report for health care providers on end-of-life issues.
ahrq.gov/clinic/epcsums/eolsum.htm
Getty Images
www.anytownhospital.com www.qualityoflife.org
11

Apple Brown Betty
Crust:
∂⁄Ω c. all-purpose flour
∞⁄∏ c. quick-cooking oats
3 Tbsp. brown sugar
3 Tbsp. margarine
Topping:
2 sweet apples, cored and sliced
2 Tbsp. fresh lemon juice
∞⁄Ω c. all-purpose flour
∞⁄¬ c. brown sugar
∞⁄∏ tsp. ground cinnamon
2 Tbsp. margarine
Preheat oven to 350°F. Coat an 8-by-
8-inch baking dish with cooking spray. In a
medium bowl, combine flour, oats and brown
Alamy
sugar. Use fingers to rub in margarine until
mixture resembles coarse meal. Press dough
evenly over bottom of prepared pan. Bake until
lightly browned, approximately 10 minutes.
In another bowl, toss apples with lemon
juice. In a separate small bowl, stir together
flour, brown sugar and cinnamon. Work in
margarine with fingers until mixture resembles
coarse meal. Spoon apples over baked
Apples are a good source of fiber and
come in a variety of colors and flavors.
dough. Scatter flour-sugar mixture evenly
over apples. Bake for about 30 minutes or
until topping is lightly crisped. Cool and slice
into 6 bars. Serve warm.
Servings: 6
Nutrition information per serving: Calories,
232; Fat, 10 g; Saturated fat, 2 g; Cholesterol,
0 mg; Sodium, 83 mg; Carbohydrates, 33 g;
Protein, 3 g
Recipe from Heartfelt Cuisine. Reprinted with permission
of 21st Century Publishing, A Division of Cardiodoc, LLC.
For other nonfat, low-fat, low-sugar, low-sodium recipes,
purchase this book online at heartfeltcuisine.com or call
800-274-8810.
Fitting In Fiber
If there were a miracle food that could
protect you from heart disease, diabetes
and colon cancer, would you eat it Sure you
would. Well, it could be in your pantry at this
very moment.
Fiber is essential to a healthy diet, according
to the American Dietetic Association (ADA).
Found only in plants, fi ber is benefi cial to your
body in several ways. It can help reduce LDL
(“bad”) cholesterol and prevent heart disease.
It can help regulate blood glucose levels and
prevent diabetes. Fiber has also been associated
with a lower risk of colon cancer, and it can even
!
help you maintain a healthy weight.
The average American consumes between
12 and 17 grams of fi ber a day, according to the
ADA, but the recommended amount is between
20 and 35 grams a day. Fitting more fi ber into
your diet may be easier than you think. Consider
including these high-fi ber foods in your next meal:
FOOD
FIBER
∑⁄¬ cup bran fl ake cereal 5.5 grams
Pear (with skin)
4.5 grams
∞⁄∏ cup kidney beans 4.5 grams
Potato (with skin)
4 grams
∑⁄¬ cup oatmeal
3 grams
Apple (with skin)
3 grams
Slice whole-wheat bread 2.5 grams
GET COOKING FOR A HEALTHY HEART
For other heart-healthy foods, recipes, grocery shopping tips and more,
call Memorial’s Health Discovery Center at 574-647-6880 or visit
www.deliciousdecisions.org.
Nothing Fishy
About It
Fish is an excellent source
of omega-3 fatty acids,
ideal for protecting against
heart disease. But you can
have a healthier heart without
being fishy. Try these
omega-3-rich alternatives:
u canola oil
u flaxseed oil
u omega-3-enriched eggs
u soybeans
u tofu
u walnuts
Source: Tufts University
12 Memorial Health System • 574-647-6800

!
You
Heart
and Your
When it comes to your health,
make every meal count
13
The body’s relationship with food
can be one of friendship or one of
conflict—especially when it comes
to our health. “Diet plays a vital role in
the prevention of heart disease,” said
Melisa Spencer, R.D., C.D., a registered
dietitian at Memorial Hospital.
Making the right choices at the dinner
table can help you improve your
cholesterol levels and maintain a healthy
weight—both of which translate to a
healthier heart.
Heart Heroes
“A heart-friendly diet should include
a variety of foods, including whole grains,
plenty of fruits and vegetables, low-fat
dairy products, nuts and legumes, and
lean meats, as well as fatty fish at least
twice a week,” Spencer said. “Oils, especially
those with high levels of monounsaturated
fat, such as olive, canola,
peanut and high-oleic sunflower oil,
also are a smart addition to your diet.”
Studies have shown
that a glass of red wine
with dinner may also
prove beneficial in
reducing heart-disease
risk. Red wine contains
flavonoids, which may
help protect artery walls
from heart disease and stroke, as well as
lower blood pressure. “Dark chocolate,
green tea and red grapes also contain
significant amounts of these beneficial
compounds,” Spencer added.
Nuts are another heart-friendly food,
rich in monounsaturated fat, vitamin E
and fiber. But because of their high
calorie content, Spencer reminds us to
enjoy them in moderation.
The Culprits
“Saturated fat, found in high-fat
dairy and meat products, raises your
LDL [bad] cholesterol and blood
lipids more than other types of fat,”
Spencer said. “Limit these types of foods
in your diet.”
New evidence suggests that trans fat,
found in margarine and many processed
foods (look for the words “hydrogenated”
and “partially hydrogenated” in the ingredients
list), should also be limited. “Trans
fat raises LDL cholesterol while lowering
HDL [good] cholesterol—a dangerous
combination,” Spencer explained. Beginning
in January 2006, in accordance with
the U.S. Food and Drug Administration,
all food-product nutrition labels will be
required to list trans-fat content. This will
make it easier for consumers to limit the
amount of trans fat in their diets. ■
Getty Images
What’s on the Menu
Making heart-smart decisions at restaurants can be tricky. The next time you dine out, steer clear of
unhealthy items and replace them with heart-healthy substitutes.
Instead of:
Cream- and cheese-based soups
White bread with butter
Pasta with cream, cheese or meat sauce
Steak with mashed potatoes and deep-fried onions
Crème brûlée with berries
Flourless chocolate cake
Try:
Broth-based soups, such as minestrone
Whole-wheat bread dipped in olive oil
Pasta with marinara sauce and grilled chicken
Broiled fi sh with steamed vegetables
Fresh seasonal berries with a dollop of nonfat whipped cream
Fresh fruit sorbet
DINING OUT
For free heart-healthy tips
on eating out at a variety of
restaurants, visit the American
Heart Association Web
site, deliciousdecisions.org/
oa/eat_tips_main.html.
www.qualityoflife.org

Living with
Thanks to early detection and
treatment advances, a cancer diagnosis
is no longer what it once was
Cancer
Not long ago, a cancer diagnosis implied an uncertain future
at best. But thanks to advancements in treatment and early
detection, many cancers can now be conquered and, in some
cases, prevented entirely.
SCREENING
SAVERS
For a list of recommended
annual cancer
screenings, visit the American
Cancer Society’s Web site,
cancer.org, and click on
“Cancer Detection Guidelines.”
!
“Cancer is the leading cause of death
up to age 85, but that is declining more
rapidly because of strategies we have for
detecting cancers earlier, as well as the
success we’ve had in treating cancers,” said
Rafat Ansari, M.D., FACP, Director of
Oncology Services at Memorial Hospital.
Catching It Early
According to Dr. Ansari, screening
tests and noninvasive procedures performed
on patients who have no symptoms
are the best means of catching cancers
at an early stage.
Tests available for some forms of cancer
include an FOBT (fecal occult blood test)
for colorectal cancer. “This is a simple,
inexpensive test done at home,” Dr. Ansari
said. Patients place stool samples on a
cardboard sheet and send it back to their
physician for analysis. Colonoscopy is
another means of determining colorectal
cancer. A long tube is inserted into the
rectum and large intestine to look for
polyps. Both tests are recommended for
men and women beginning at age 50,
or earlier if there is a family history of
colon cancer.
Mammograms are the best means
of detecting breast cancer at an early
stage and are recommended annually
for women over 40. “There has been a
35 percent decrease in mortality from
breast cancer [thanks to early detection],”
Dr. Ansari said.
For early detection of prostate cancer,
a digital rectal examination (DRE)
combined with a prostate-specific antigen
(PSA) blood test should be performed
for men after age 50. If the patient is at
a high risk for prostate cancer, including
those men with a family history of
the disease or those who are African
American, testing is recommended as
early as age 40.
Treatment Options
When cancer is detected at an early
stage, treatment has proven to be highly
successful. “Because we have wonderful
advances in treatment, there are 10 million
cancer survivors living with us today,”
Dr. Ansari said. “That’s proof that early
detection is key.”
For breast cancer patients, a lumpectomy—the
removal of the tumor and not
the entire breast—has proven to be very
successful. “Ninety-seven percent of
patients are alive and free of the disease 15
years after the procedure,” Dr. Ansari said.
If a patient learns he or she has colorectal
cancer after undergoing a colonoscopy,
and if the cancer is localized to the polyp
only, nothing further needs to be done,
14
Memorial Health System • 574-647-6800

Risky Business
With just a few tweaks, cancer-promoting
habits can be transformed into a cancerpreventing
lifestyle. Here are a few
pointers from Rafat Ansari, M.D., FACP,
Director of Oncology Services at
Memorial Hospital.
COLON CANCER
High-Risk Habits: Grilled red meats are
high in fat and cholesterol and weaken the
immune system, and studies have shown
a link between red meat and colon cancer.
Risk-Lowering Tweaks: Instead of a
hamburger, try a veggie burger or a grilled
chicken sandwich.
LUNG CANCER
High-Risk Habits: As countless studies
have shown, smoking and exposure to
secondhand smoke are the primary causes
of lung cancer.
Risk-Lowering Tweaks: Smoking cessation
is the single most important step you
can take to decrease your lung cancer risk;
avoid secondhand smoke as well.
Ken Easley
considering the polyp has already been
removed. But if cancerous tissue has spread
to the wall of the colon or elsewhere in
the abdomen, surgery is recommended,
followed by further treatment options
if necessary.
According to the National Cancer
Institute, once prostate cancer has been
diagnosed, tests are performed to determine
whether cancer cells have spread
within the prostate or to other parts of
the body. Depending on the result, different
treatment options are discussed
with the patient.
A procedure being used more frequently
for a variety of different cancers,
including lung, prostate and breast cancers,
is intensity-modulated radiation treatment
(IMRT). “This procedure tailors the dose
of radiation to the individual,” Dr. Ansari
said. “It directs the dosage with greater
precision, minimizing side effects.”
Regardless of the success of a treatment,
Dr. Ansari urges patients to focus on
prevention and early detection. “We’ve
had remarkable advances in treatment,
but keep in mind that it’s more difficult
to overcome an advanced diagnosis,” he
said, reminding us that it’s crucial to be
vigilant about following cancer screening
guidelines and maintaining healthy
lifestyle habits. ■
BREAST CANCER
High-Risk Habits: “Gaining significant
weight after menopause places women at
a much higher risk for developing breast
cancer,” Dr. Ansari said.
Risk-Lowering Tweaks: To keep weight
down, avoid sugary sweets and foods high
in fat and calories yet lacking in nutrition.
Instead, try a bowl of fresh strawberries or
grapes or a handful of baby carrots.
SKIN CANCER
High-Risk Habits: Sunbathing and
tanning booths increase your exposure
to harmful ultraviolet rays.
Risk-Lowering Tweaks: Avoid sun
exposure between 10 a.m. and 4 p.m.
Cover up when outdoors, wearing UVprotective
sunglasses, a wide-brimmed
hat, a long-sleeved shirt and pants, or
at least a sunscreen of SPF 15 or higher.
And stay out of tanning booths.
www.qualityoflife.org
15

News Briefs
One-Stop Patient Transfer Services to Memorial
medical care. Now Memorial has
one-call access to a specially
as well as Memorial’s pediatric ICU
improved the process even more.
trained transfer coordinator, who
ground transport team.
Getting patients where they need
to be—fast—is one of the most
important ways Memorial ensures
the health and well-being of those
needing quick access to expert
A new system called TransferDirect
streamlines the process for
admitting patients from other
hospitals or who are being
flown in from an emergency
scene. TransferDirect provides
facilitates communication between
transferring hospitals, members of
Memorial’s medical staff, nursing
staff and other key personnel. The
transfer coordinator also handles
mobilizing the Memorial helicopter
While you’ll probably never call
TransferDirect yourself, you or
someone you love may someday
benefi t. For more information,
call 574-647-6800.
Spirit of Nursing
The Spirit of Nursing is alive and well at Memorial.
It takes a special kind of person to be a nurse:
that special touch, that special spirit, that special
person who can balance clinical expertise with
compassionate care.
Spirit of Nursing award winners take that spirit to
a whole new level. Each nursing unit chooses one
winner from within its ranks every year—a person who
embodies the spirit of nursing through patient-focused
care, positive attitude, teamwork and loyalty to patients
and the nursing profession. Winners are honored
annually at the Spirit of Nursing awards banquet.
“What really makes the night special is that nurses
share their own stories about a particular event or
patient who influenced how they practice nursing.
These are wonderful and sometimes life-changing
events,” said Connie McCahill, R.N., Vice President of
Nursing. “These great stories remind us all of what
it means to be a nurse.”
Back row, l to r: Daniel Neufelder; Jenny Toth, R.N.; Theresa Taylor, R.N.; Betty Roberts, LPN;
Irma Niere, R.N.; Anna Odynski, R.N.; Renee Moore, R.N.; Teresa Pilawski, R.N.; Philip Newbold
Front row, l to r: Karen Wetmore, R.N.; Melissa Quimby, R.N.; Melissa Swank, R.N.;
Julia DesLauriers, R.N.; Jill Conn, R.N.; Patti Abell, R.N.; Donna Dikens, R.N.
Back row, l to r: Daniel Neufelder; Michelle Bowman, R.N.; Kelly Mailloux, R.N.; Lydia Kellogg, R.N.;
Betty Arndt, R.N.; Laura Gannon, R.N.; Jim Beck, R.N.; Jody Ames, R.N.; Philip Newbold
Front row, l to r: Sheila Mullis, R.N.; Nancy Morris, R.N.; Mark Mayfield, R.N.;
Sandi Martinez, R.N.; Brenda Lyons, R.N.; Chris Locandro, R.N.; Amy Ferguson, R.N.
16 Memorial Health System • 574-647-6800

News Briefs
Lighten Up! Making Fun of Exercise
Clinical Research
2005 Lighten Up! participants
“From the couch to the 5K in
10 weeks.” That’s the goal of
These budding athletes—most
of whom have never run in an
crossing the fi nish line to lifelong
healthy habits.
HealthWorks! Kids’ Museum’s offi cial race before—learned about
For more information about next
Lighten Up! program. This fun strength and conditioning, nutrition
year’s Lighten Up! program, call
and energizing fi tness program and great ways to get moving, like
574-647-2693.
for kids ages 9 to 16 teaches yoga and Jazzercise. At the end
that eating right and exercising
can actually be fun!
of the program, the whole group
successfully ran the Sunburst 5K,
Endometrial Ablation Another Choice in Women’s Health
Heavy periods can be more than
just a nuisance. For the one in fi ve
which, until recently, has been the
only solution for many women.
Following the procedure, most
women experience significantly
women who suffer from them,
lighter periods with less pain. Some
“For premenopausal women
they’re a source of continual stress,
have no periods at all. Recovery is
who are done with child-bearing,
rearranged schedules and even
fast: Three-quarters of Dr. Kirsch’s
ablation is a great alternative
missed work days.
patients are back to performing
to hysterectomies,” said Ilana
their normal activities the next
Endometrial ablation, a procedure Kirsch, M.D., an obstetrician
day, with most of the others back
performed at Memorial, often and gynecologist with Women’s
to their normal activities within
provides the relief many women Reproductive Medicine.
two days.
are looking for. The 10-minute Endometrial ablation is not
procedure is a simple, one-time
and minimally invasive operation
that removes the endometrial
lining of the uterus. It offers an
alternative to a hysterectomy,
recommended for women who
may want to have children in the
future, as the procedure makes
future pregnancies unlikely.
For more information about
endometrial ablation at
Memorial, call The Health
Professionals at 574-647-6800.
Memorial Medical Group recently
opened its new Clinical Research
Department. Under the guidance of
experienced physician investigators
using policies established by the
Food and Drug Administration, the
department recruits adult subjects
for drug trials.
“Pharmaceutical companies call
on us when they need to test new
drugs, or monitor those already on
the market for safety,” said Kimberly
Emmons, R.N., Nurse Manager. “We
can also test for new indications of
medications, when a new use for an
existing medication is discovered, or
to test generic equivalents.”
Memorial Medical Group physicians,
who treat more than 1,000 patients
daily at 12 locations throughout
northern Indiana, now have
access to new compounds and
therapies and can provide increased
opportunities to patients for
cutting-edge treatment. For more
information about clinical research
opportunities, call 574-647-7883
or visit www.qualityoflife.org/
clinicalresearch.
www.qualityoflife.org
17

News Briefs
Go Red for Women
“It can’t happen to me.”
“I’m too young.”
“No one in my family had
heart disease.”
These are just a few of the
misconceptions that can keep
women from leading strong,
healthy and long lives. Though
commonly known as a “men’s
issue,” heart disease is the No. 1
killer of American women. In fact,
two out of fi ve women will die
from heart disease. And what we
don’t know can kill us.
To show its continued support of
women’s heart health, Memorial
co-sponsored the American Heart
Association’s Go Red for Women
event, which raised awareness
about the warning signs of heart
disease in women. The evening
featured silent and live auctions
and a nationally known speaker on
nutrition. To cap off the evening,
local heart disease survivors
modeled red dresses from area
boutiques. Proceeds from the
evening benefi tted local heart
disease prevention and awareness
initiatives through the American
Heart Association.
Local heart disease survivors walked the red carpet
at the Go Red for Women fashion show.
Ischemic Stroke Unit Provides Specialized Care
It can happen to anyone,
assigned to different floors and
anywhere, at any time—and can units throughout the hospital.
cause devastating consequences
A dedicated unit provides more
to patients and their families.
consistent, stroke-specifi c
Stroke kills nearly 163,000 people
care, resulting in higher patient
a year, making it the third-leading
satisfaction and, more importantly,
cause of death, behind heart
better patient outcomes.
disease and cancer. Ischemic
stroke, which occurs when an “Dedicated stroke units have been
artery to the brain becomes found to help shorten a patient’s
blocked, accounts for more than length of stay, decrease mortality
88 percent of all strokes.
rates and, very importantly, improve
patients’ ability to function once
Getting stroke victims the
they leave the hospital,” said Clinical
specialized care they need means
Nurse Specialist Becky Castro.
the difference between life and
death. That’s why Memorial The interdisciplinary team consists
recently opened the Ischemic of Medical Director Michael Englert,
Stroke Unit on the hospital’s M.D., as well as a clinical nurse
seventh floor. This new model for specialist, nursing staff, occupational/
delivering care allows specialists physical/speech therapists, dietitians,
to treat all ischemic stroke
and social service professionals.
patients in one four-bed unit,
instead of having to treat patients
Know these warning signs of stroke
and teach them to others. Every
second counts:
• Sudden numbness or weakness
of the face, arm or leg, especially
on one side of the body
• Sudden confusion, trouble
speaking or understanding
• Sudden trouble seeing in one
or both eyes
• Sudden trouble walking,
dizziness, loss of balance or
coordination
• Sudden, severe headache with
no known cause
If you or someone you know
experiences any of these symptoms,
call 911 immediately. The sooner
treatment begins, the better the
chance of minimizing the damage
caused by stroke.
Information provided by the American Stroke Association
Memorial Medical
Group Welcomes
New Physician
Kevin J. McAward, M.D., has joined
the team at the Sports Medicine
Institute, 111 W. Jefferson Blvd.
He received his medical degree
from University College Cork
in Ireland and completed his
residency in family medicine at
the Memorial Family Medicine
Residency Program. He received
his bachelor’s degree from the
University of Notre Dame and also
served as a resident physician for
the Notre Dame football team. For
an appointment with Dr. McAward,
please call the Sports Medicine
Institute at 574-289-4764.
18 Memorial Health System • 574-647-6800

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 574-647-6800 or 800-999-8890. For additional
information you can also visit us at www.qualityoflife.org.
Classes
Diabetes Education Classes
Nutrition and lifestyle management
skills for people with diabetes.
Open to anyone with diabetes,
their families and signifi cant others.
Call 574-647-7700.
Lung Center
Provides free, one-on-one
education for those with asthma,
COPD and other pulmonary
problems. Classes available
7:30 a.m. to 6 p.m. Call
574-251-0041, Monday through
Friday, for an appointment.
Ortho Classes
Total hip, knee and shoulder
replacement classes available at
no charge. Call 574-647-7398
Monday through Friday for availability.
Call it Quits
A six-month telephone-based
counseling program staffed
by trained nurses to help you
stop smoking. You will receive
educational materials, follow-up
calls and phone access to nurse
counseling 24 hours a day,
seven days a week. $25.
LifeSteps
A comprehensive weight management
program that stresses the
importance of diet, physical activity
and behavioral modifi cation techniques
for weight loss and maintenance.
Classes meet weekly for
16 weeks. $150.
Support Groups
AARP
Meets on the first Monday of the
month at 1:30 p.m. at the Leighton
Center for Senior Health. Call Leon
Caenepeel at 574-287-3036.
Arthritis Partnership
Meets on the second Thursday of
the month at 2 p.m. at the Leighton
Center for Senior Health. Call Mary
Beth Ryan at 574-251-1424.
Diabetes Support Group
Open to people ages 50 and older
with diabetes. Meets on the third
Tuesday of the month at 10 a.m.
at the Leighton Center for Senior
Health. Participants are welcome
to bring a friend or family member.
Call Nan Monhaut at 574-647-7168.
Leukemia & Lymphoma
Support Group
Meets on the second Wednesday of
the month at 5 p.m. at the Leighton
Center for Senior Health. Call Beth
Kellogg at 574-647-3140.
Low Vision Support Group
Meets on the third Thursday of the
month from 11 a.m. to 1 p.m. at the
Leighton Center for Senior Health.
Call Joe King at 574-254-1603.
Lupus Support Group
Meets the second Tuesday of the
month from 7 to 9 p.m. at the
Leighton Center for Senior Health.
Call Sue Petzold at 574-233-2700.
Mother Matters Support Group
Focuses on postpartum depression
and parenting responsibilities. Meets
twice a month in the Family Education
Center. Call 574-647-7396.
MS Support Group
Meets on the first Tuesday of the
month from 6:30 to 8 p.m. at
Main Street Medical Group. Call
Gretchen Cave at 574-675-9917.
Ostomy Support Group
Contact Sue Stelton at
574-647-3156 for details.
Parkinson’s Disease
Support Group
Meets on the first Wednesday
of the month at 1:30 p.m. with an
optional exercise session at 1 p.m.
at the Leighton Center for Senior
Health. Call Jim Banner at
574-291-4217.
2nd Wind Group (COPD)
A support group for individuals
with lung disease. Meets Tuesdays
from 1:30 to 3 p.m. at the Leighton
Center for Senior Health. Call
Jan Cosby at 574-647-7178.
Women In Touch Cancer Support
Meets on the first Tuesday of the
month at 5:30 p.m. at the Leighton
Center for Senior Health. Call Kathy
Johnson at 574-647-7280.
For New Families
Advance registration is required for
all classes unless noted otherwise.
Call 574-647-6801. All classes are
held in the Family Education Center
on the third floor of Memorial
Hospital. Class sizes may be limited.
Child/Infant CPR
This one-evening class meets
American Heart Association
guidelines in child/infant CPR and
safety. Meets the first Wednesday
of the month from 6 to 10 p.m.
at HealthWorks! Kids’ Museum.
Class materials must be obtained
in advance. $10/person. Register
at least two weeks in advance.
Preparing for Childbirth
Prepares couples for the childbirth
experience. $65/couple. Series of
six classes. Tour included.
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.,
574-647-7799.
Lunch & Learn Prenatal Class
One-day intensive version of
Preparing for Childbirth. 9 a.m. to
5 p.m. on Saturdays, offered once
or twice each month. $65/couple.
Tour included.
Childbirth Refresher Course
A one-evening review for those
who have previously taken a
childbirth preparation course.
$20/couple.
Sibling Orientation Class
Children between the ages of 3
and 7 learn about newborns and
how to participate in baby care.
$5/child.
Tours
Free tours of the Memorial Regional
Childbirth Center 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.
Prenatal Breastfeeding Class
Information on breastfeeding taught
by certified lactation consultants.
Offered monthly. $10/couple.
Preparing Young Families
Designed for teens and young
women who would prefer to work
with a smaller group of young
expectant mothers and their
partners or family members
as birth support. $25.
Instructions Not Included
A fun, informational series that
meets four times to cover all the
parenting basics. Classes rotate
so you can start any week. $15.
ABC
A perfect class for mom, dad and
grandparents that focuses on the
basics of holding, soothing and
quieting a crying infant. Topics also
include home safety, and choosing
a pediatrician and childcare for your
baby. $10/couple. Classes offered
once a month.
Celebrating Pregnancy
Workshop
Join other moms-to-be to celebrate
all the joys that pregnancy brings to
expectant mothers. Activities include
art, music and belly casting. Workshops
are held four times a year.
$60.
The Health Discovery Center offers
free blood pressure screenings.
Other screenings are also available
for a small fee. Please call
574-647-6880 for details.
www.qualityoflife.org
19

Is This Your Year to See
What’s Possible
This is Our Year
2,709 lbs. Lost…and Counting
The Weight Loss and Bariatric Surgery Program at
Memorial Hospital of South Bend is a unique service
offering both surgical and nonsurgical options to meet
your specific weight-loss needs.
Surgical Treatment
If you are struggling with morbid obesity, surgery—
combined with behavior modification—can be
a lifesaving option. Our program has a team of
bariatric professionals dedicated to compassionately
treating morbidly obese patients. Physicians. Nurses.
Psychologists. Dietitians. Exercise physiologists.
All working together with you, for you.
A Complete Approach
The fight against obesity isn’t only about losing
weight. It’s about your overall physical, mental and
spiritual health. Through an emphasis on exercise
therapy, nutritional counseling, behavior modification
and peer support, our focus is on the whole person.
Breaking down the barriers that have kept you from
the quality of life you deserve.
2004 Memorial Weight Loss & Bariatric Surgery Center patients
If You’re Ready to Take the First Step,
We Can Help.
If you’re struggling with obesity, you know by now
there’s no quick fix. No magic formula. Staying healthy is
a lifelong journey. Let us help you with your next step.
For more information, call the Memorial Weight Loss &
Bariatric Surgery Center at 574-647-6400.
Non-Profi t Org.
U.S. Postage
PAID
South Bend, IN
Permit No. 72
615 N. Michigan Street
South Bend, Indiana 46601