Caring for our Youngest Patients - Memorial Hospital of South Bend

Memorial Hospital & Health System
Spring 2004
Caring for our
Youngest Patients
The Region’s Most Comprehensive
Care for Children

Spring 2004
Memorial Hospital & Health System
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contents
Cover Story: Caring for our Youngest Patients
The Region’s Most Comprehensive Care for Children
Do You Have What It Takes
Memorial serves as training ground for several nursing
programs in the region
Feet First
Don’t neglect your feet in exchange for style
Prevent Medication Mayhem
Medicine-mixing can be counterproductive…even deadly
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8
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10-11
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12-13
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14
15-18
Nutrition Know-How
Are you as health savvy as you think you are
Recipe
Strawberry Smoothie
Say Good-Bye to Brittle Bones
Preventing osteoporosis
Breathe Easy
What to do when allergens invade your home
Memorial Lighthouse Medical Imaging Center
Making Healthcare “A Day at the Beach”
“Ringing” in the New Year
Phone prefixes changing to 647 (MHS)
It’s Not What You’ll Lose…But What You’ll Gain
Memorial’s new weight-loss program
2003 Spirit of Women Award Winners
Three exceptional women honored with award
Women & Heart Disease
What every woman should know
News Briefs
19 Datebook
Even before little Ian Jantzen was born, his parents,
Eric and Gail, knew exactly where to be when he
made his debut—at the Memorial Regional
Childbirth Center. With a high-risk pregnancy on
their hands, these Goshen residents turned to
Memorial for the intensive care their baby needed.
There’s no stronger
bond than the one
between parent and
child. When your child’s
happy, you’re happy.
When she’s sad, you
hurt for her. When she’s
sick, a kiss on the cheek
can be some of the best
medicine in the world.
Cover: Leukemia survivor Paige Robison
with her mother, Tammy.
2 Memorial Health System 574•647•6800
2 Memorial Health System 574•647•6800

Caring
for our
Youngest
Patients
The Region’s Most Comprehensive Care for Children
As grown-ups, we know it can take
more than a kiss. Sometimes a
child needs specialized care to make
her better…even save her life.
From newborns to teenagers,
Memorial is the region’s recognized
leader in caring for young patients,
serving families throughout an eightcounty
area and beyond. Children
are served in any number of ways
by a coordinated system of services
provided by Memorial’s regional
referral centers for childbirth,
pediatrics, children’s services, cancer
and rehabilitation, as well as
Memorial Home Care and other
important support programs.
Lifesaving Care
From the Start
After being born with his umbilical
cord around his neck, John Sky
Snyder spent his first few weeks in
Memorial’s Neonatal Intensive Care
Unit. For his family, it was a like a
replay from 18 years earlier when his
older brother, Glenn, spent four
months in NICU. Both brothers are
doing well now.
“Dr. (Robert) White was there
for both my kids,” says Diana
Mendelssohn Snyder, John and
Glenn’s mom. “I just wish that all
parents could have the experience
we have had with our children
here. Memorial has been a real
source of grace for our family.”
Not Just “Little Adults”
From critical care to neurology, orthopedics,
rehabilitation and everything
in between, all the specialties you
find throughout the rest of the hospital
you can find in some part on
the sixth-floor Memorial Regional
Pediatric Center.
“It’s a hospital unto itself, as far as the
multidisciplinary services we provide
here,” says Jeni Wincek, Director of
Pediatrics and the Pediatric Intensive
Care Unit (PICU).
More than 100 staff members are
involved in the care of children in the
pediatrics unit. Nurses, physicians,
respiratory therapists, social workers,
nutritionists, pediatric transport
specialists and rehabilitation experts
all play a hand in the care of our
pediatric patients.
Though a typical stay in the pediatric
unit will usually last about three
days, some patients require more
time. Just ask Kris Kroft. She and her
husband spent many weeks at
Memorial after their two sons were
involved in a car accident. Her 12-
year-old son, Nathan, was transported
to Memorial’s Emergency Room from
Knox, Indiana. He was then transferred
www.qualityoflife.org 3

Nathan Kroft and his mom, Kris.
to the Pediatric Intensive Care Unit,
where a team of nurses, physicians
and respiratory therapists
attended to his physical
wounds. He
was later transferred
to the
pediatrics unit.
In the meantime, a pediatric social
worker and chaplain helped Nathan’s
family through the fear and worry
of having one son recovering in the
pediatrics unit while another remained
in intensive care.
“We don’t have a single complaint,”
says Kris. “From the moment we
walked in the door everyone was
so nice, so accommodating. From
Pastoral Services to the Trauma
Department and everything in
between, the staff was just fantastic.”
Intensive Care for Those
Who Need It Most
“The only typical thing about an
intensive care unit is that no one day
is like the next,” explains Bunmi
Okanlami, M.D., Medical Director of
the Pediatric Intensive Care Unit and
the Pediatric Emergency Transport
Service. She and Darley Emenim,
M.D., both pediatric intensivists,
cover the 10-bed unit that cares for
patients ranging in age from 1 day
to 18 years needing the most intensive,
round-the-clock care.
With nearly two-thirds of patients
coming from surrounding communities
like Plymouth, Goshen, Elkhart
and Michigan City, Memorial’s PICU
stands as the region’s resource for
comprehensive care. Nearby hospitals
not only call on our medical
staff for advice, they
transfer their most
critically ill patients
here when they
need a higher level of
care. Many times, a specialized
team from the
Regional Pediatric Center will travel
to one of 17 referring hospitals to
stabilize the young patient before transporting
him or her to Memorial via a
special Memorial Pediatric Emergency
Transport Service ambulance.
“We offer care that’s usually found
in a major teaching hospital, but
we’re doing so in a community hospital
setting,” adds Okanlami. Her staff
understands that helping families stay
close to home is an important part of
the healing process. “When a child is
sick, the whole family is sick. Being
close to home allows parents to keep
their jobs and remain closer to other
children in the family. We’re offering
the best care we can possibly give to
children—as close to home as possible.”
Pediatric
Hematology/Oncology
Though she may not have yet
mastered long division and cursive
writing, 9-year-old Paige Robison
is mature beyond her years.
“That’s the thing with children who
come through this unit. They have
to grow up really fast,” says Tammy
Robison, Paige’s mom. After Paige
was diagnosed with leukemia, she and
Tammy visited the hospital three
times a week for more than a year.
“She used to love to come to treatments
so she could play,” says Tammy,
who now serves as the program’s Parent
Advocate. Not the kind of response
you’d expect from a 9-year-old undergoing
chemotherapy, but it says a lot
for the staff who cared for her.
The North Central Indiana Pediatric
Hematology/Oncology Program, the
first-of-its-kind affiliation with Riley
Children’s Hospital in Indianapolis,
helps reduce the number of trips
families have to make to Indianapolis
while their child is being treated for
cancer. Services include sickle cell
therapy, blood transfusions, teaching
4 Memorial Health System 574•647•6800

and school outreach, chemotherapy,
bereavement services and monthly
clinics with Riley Children’s
Hospital specialists.
Full-service Care—
from Hospital to Home
Kelly Johnson didn’t see any
symptoms in her new baby until
she was about 6 months old.
When her daughter started
to fail to meet milestones,
Kelly brought Morgan to
Memorial’s Pediatric Center,
where she was diagnosed
with a rare form of muscular
dystrophy called spinal muscular
atrophy (SMA).
Now a spunky 8-year-old with waistlength
hair that she refuses to let
mom cut, Morgan loves to spend her
time reading and watching her favorite
Nickelodeon and Disney movies.
Morgan is able to spend her time
at home, but requires 18 hours of
skilled nursing care a day through
Memorial Home Care.
“They have been such a big part
of our lives every day for
the past seven years,” says
Kelly. “Without them I
would not be able to keep
my job. Our lives would
be completely different.”
While Kelly is at work
and her husband works
two jobs and studies for his
master’s degree, nurses keep an eye
on Morgan’s ventilator, feeding tube
and the other medical devices provided
by Memorial Home Care.
“I have peace of mind and don’t have
to worry when I’m at work,” adds
Kelly. “I know that while I’m away,
she’s being well cared for.” MHS
Do You Have
What It Takes
Pediatric acute care and
intensive care nursing require
a special talent.
“It takes a certain dedication
and commitment to become
a pediatric acute care or
intensive care nurse,” says Jeni
Wincek, Director of Pediatrics
and the Pediatric Intensive
Care Unit. “The matrix of what
you need to know as a pediatric
nurse is enormous. With
the vast variety of conditions
and age groups, you never lack
for an opportunity to learn on
a pediatric unit. Working with
families when they are most
stressed and fearful takes a lot
of patience and compassion.”
Bunmi Okanlami, M.D., Medical
Director of the Pediatric
Intensive Care Unit, couldn’t
agree more about the importance
of pediatric nursing.
“Some of our most undervalued
resources are our Pediatric
Intensive Care nurses. Not only
because of their expertise, but
because they dare to take on
that kind of role.”
Memorial’s nurses are up to
the task. That’s probably why
Memorial serves as the training
ground for seven nursing programs
throughout the region.
Adds Wincek: “Our nurses are
committed to growing great
pediatric nurses for the future!”
Clockwise from front: Morgan, her father Rahman, brother Payton and her mom Kelly.
www.qualityoflife.org 5

Steve Witham
Feet First
For fabulous feet, doctors recommend ditching those
stylish stilettos. According to the American Academy of
Orthopaedic Surgeons, ill-fitting shoes are the prime culprit
for foot problems, including bunions, corns, calluses and
hammertoes. Some natural conditions, such as flat arches,
contribute to foot woes as well, but maintaining general
foot health curbs most ailments.
◆ Measure your feet before buying new shoes. Your feet
continue to grow as you age.
◆ Measure up. There should be a ½-inch space from the
tip of your longest toe to the end of your shoe.
◆ Keep ’em clean. To avoid toenail fungus, wash your
feet regularly and dry them thoroughly. Also, wear shoes
when walking in public areas.
◆ Sound advice. Ask your primary physician or
podiatrist if you need an orthotic, or shoe insert,
as a shock absorber.
◆ Be practical. No heels higher than 2¼ inches.
◆ Keep toenails clean and clipped. Don’t pick! This
can lead to ingrown toenails.
◆ Go soak. A footbath will soften calluses. Remove dead
skin with a pumice stone—never with a razor blade.
◆ Treat yourself to regular foot massages. They increase
circulation, which can help diabetes patients who suffer
from poor circulation and foot pain.
For additional dos and don’ts for diabetics, join
Memorial’s Diabetes Education Class or our support
group. Call (574) 647-6800 for dates and times.
Getty Images
Prevent Medication Mayhem
Forget your houseguests—does your doctor
know what’s in your medicine cabinet
If you’re like most Americans, you take
some type of medication at least once a week,
but one in six patients on prescription
drugs also takes nonprescription or over-thecounter
(OTC) supplements, the Journal
of the American Medical Association reports.
Health experts say mixing medications
is not only common, but also potentially
dangerous. Studies conducted in the last
year have shown that multiple meds can
render one another ineffective and cause
side effects, even death.
Fortunately, protecting yourself can be
as easy as making a list. Jot down your
medications, including vitamins, supplements,
OTC medicines and prescription drugs,
and show the list to your doctors and
pharmacists. Don’t forget to include the
dosages and times you take medications.
Caregivers are encouraged to keep
lists for those for whom they’re caring.
And consider filling prescriptions at
one pharmacy to make it easier for
pharmacists to recognize and prevent
drug interactions.
If taking notes is too much hassle, toss
your bottles in a bag and bring them
with you to medical appointments so your
doctors can have a look for themselves.
Get organized. For tips on using
medications wisely and safely, visit
aarp.org/wiseuse.
PULSE is 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; 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 © 2004 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 pub lication, please send your mailing
label(s) and the updated information to McMurry, 1010 E. Missouri
Ave., Phoenix, AZ 85014, (888) 626-8779.
6 ❚ Memorial Health System ❚ 574•647•6800

Nutrition
Know-How
Consider yourself a good-health guru
Find out if you’re as savvy as you think with this quiz.
Ken Easley
1
How many servings of fruits and vegetables
per day are recommended to help
prevent cancer and other diseases
a) 1 to 4
b) 5 to 9
c) 10 or more
d) It doesn’t matter
2
Many vegetarians and/or vegans are
deficient in these nutrients, which are
found in abundance in animal products.
a) Vitamin B12 and protein
b) Calcium and vitamin D
c) Iron and zinc
d) Essential fatty acids
e) All of the above
3
Which of the following meat-cooking
methods has been shown to increase the
risk for stomach and colorectal cancer
a) Grilling
b) Broiling
c) Pan-frying
d) Oven-baking
e) a, b and c
4
Which of the following changes can be
made to your meal plan to help you shed
extra pounds in a healthy way
a) Substitute fat-free dairy products for
their full-fat counterparts
b) Eat smaller portions
c) Cut back on foods high in fat and
calories and low in nutrients
d) Use water or bouillon instead of
oil to cook your foods
e) All of the above
5
How often, if ever, is it OK
to drink beer, wine and
other alcoholic beverages
a) Never
b) Once a week
c) No more than one drink
per day for women, two a
day for men
d) No more than two to three
drinks per day
e) As much as you like, as
long as you exercise
6
Which of the following
have been linked to heart
disease and lung, colon, rectum, breast,
uterus and prostate cancer
a) Sugar and aspartame
b) Red meat
c) Carbohydrates
d) Fat
e) Caffeine
Source: American Dietetic Association Complete Food
and Nutrition Guide, Second Edition (John Wiley & Sons,
Inc., 2002)
Your mom was right: You are what you eat. Fill your plate with fruits
and vegetables to promote and experience better health. To learn more about
healthy eating or to schedule a cholesterol or blood sugar screening, call the
Health Discovery Center at (574) 647-6880.
1. B. For optimum health, the
National Cancer Institute recommends
that most Americans should strive to
eat more than five servings of fruits and
vegetables every day.
2. E. Believe it or not, egg, dairy
and meat products supply all of these
nutrients to our bodies. If you’re a vegan
or a vegetarian, make sure to supplement
your diet with the nutrients you might
not get from your food.
3. A. Grilling meats causes heterocyclic
amines (HCAs) to form. When fat
from meat drips onto fire, smoke and
flames deposit polycyclic aromatic hydrocarbons
(PAHs). Both HCAs and PAHs
are considered potential carcinogens, or
cancer-causing agents. Try to use alternate,
lower-heat cooking methods, such
as boiling, baking, braising, microwaving,
stewing and poaching, whenever possible.
4. E. Maintaining a healthy weight
is one of the best things you can do to
lower your risk of many diseases, including
heart disease, diabetes and cancer.
All of these suggestions can help in your
efforts to trim down to a healthier size.
5. C. Consuming more than this
amount is linked to an increased risk for
several health problems, including high
blood pressure, stroke and a variety of
cancers. On the other hand, moderate
drinking has been shown to have some
health benefits. Research suggests that
red and white wine, beer and distilled
spirits may help increase your HDL
(good) cholesterol and prevent LDL (bad)
cholesterol from forming. Wine is particularly
beneficial because it contains
resveratrol, a flavonoid found in the skin
of grapes that may increase the body’s
clot- dissolving ability and could help
prevent a heart attack or stroke.
6. D. When it comes to hurting your
health, nothing does it better than fat,
found in abundance in popular American
favorites such as French fries and Chinese
takeout. A diet that’s low in saturated fat
can help keep your heart—and the rest
of your body—disease-free.
www.qualityoflife.org ❚ 7

Jim Dandy
Dem Bones
You probably know that calcium
and vitamin D intake and
weight-bearing exercise promote
healthy bones, but did you know
the body has 206 bones Here
are just a few:
◆ Located behind the
eardrum, the
smallest
bone in
your body
is the stirrup,
which is only
0.1 to 0.13 inches
long and aids in the
process of hearing.
◆ Next time you slap
someone a high five,
you’ll really be giving
them 27, including
all the bones in
the hand, fingers
and wrist.
◆ The spine is made up of 33
bones that protect your spinal
cord and allow you to twist and
bend. By the way, they hold your
body upright, too.
◆ Each foot has 26 bones—and
make no bones about it, they
have a big job. Feet cushion
up to 1 million pounds of
pressure during one hour of
strenuous exercise.
Sources: American Academy of
Orthopaedic Surgeons, The Nemours
Foundation
Strawberry
Smoothie
Calcium can be found in a variety
of foods, from dairy products (milk,
cheese and yogurt) to almonds, black
beans, green leafy vegetables (broccoli,
kale and collard greens) and
calcium-fortified products (orange
juice and bread). Try this quick-andeasy
recipe to add a bit more calcium
to your diet.
3 ounces (about ½ large) banana
3 ounces (about 3 large) strawberries
½ cup fat-free plain yogurt
1 teaspoon vanilla extract
1½ teaspoons sugar
1 teaspoon non-fat dry milk powder
3 large ice cubes
Instructions: Place all ingredients into
blender and blend well.
Servings: 1
Say Good-Bye to Brittle Bones
According to the National Osteoporosis
Foundation, an estimated 10 million
Americans have osteoporosis, a disease
characterized by low bone mass and
structural deterioration of bone tissue.
If you or a loved one fits this bill,
know your treatment options. While
there is no cure, several FDA-approved
drugs can slow bone loss or even help
rebuild bone.
◆ Alendronate and risedronate, both
bisphosphonates, slow the breakdown of
bone and increase bone density.
◆ Calcitonin is a naturally occurring
hormone that reduces the risk of spinal
fractures and may lessen the pain of
existing fractures. It is most useful for
women who are five years past menopause.
Preparation time: 5 minutes
Nutrition information per serving:
Calories, 219; Fat, 1 g (Saturated fat,
0 g); Cholesterol, 2 mg; Sodium, 104 mg;
Carbohydrates, 44 g; Protein, 9 g
Recipe from Heartfelt Cuisine. Reprinted with
permission of 21st Century Publishing, A Division of
Cardiodoc, LLC. For other non-fat, low-fat, low-sugar,
low-sodium recipes, purchase this book online at
heartfeltcuisine.com or call (800) 274-8810.
◆ Estrogen. While estrogen replacement
therapy (ERT) and hormone replacement
therapy (HRT) have been prescribed for
menopausal women to slow the rate of
bone loss, both therapies do have risks.
Discuss with your doctor whether either
is right for you.
◆ Raloxifene is a selective estrogen receptor
modulator (SERM) that prevents bone loss
and spine fractures; however, it can increase
the risk of blood clots in some people.
Sources: National Institute on Aging,
National Osteoporosis Foundation
To schedule an osteoporosis screening,
call the Health Discovery Center at
(574) 647-6880. For a physician referral,
call The Health Professionals at
(547) 647-6800.
8 ❚ Memorial Health System ❚ 574•647•6800

Breathe
What to do when allergens
invade your home
Easy
Spring marks the beginning of allergy season. But avoiding the outdoors may not keep
you allergy-free. The triggers may already be in your home. According to the U.S.
Environmental Protection Agency, the air we breathe indoors can be two to five times more
polluted than the air outside. For the estimated 35 million Americans living with allergies,
poor indoor air quality can be a source of great concern—not to mention irritated eyes,
runny noses and sinus headaches.
Fortunately, there are steps you can take to protect your family’s air supply. Here are
some tips for each room in your house.
Finding a Filter
Choose the best air filter for
your home to reduce dust and
other allergy triggers:
◆ Panel filters are standard in
most homes but do little to
remove air contaminants.
◆ Pleated filters are more efficient
than the latter since they provide
more surface area.
◆ High-efficiency particulate air
filters are extremely effective in
removing even the smallest air particles;
however, HEPA filters are not
designed to fit most home units.
Whatever you choose, remember
to change your air filter every
two to three months.
Source: American Lung Association
Bathroom
Protect your bathroom against mold. Always
turn on the fan while showering or bathing.
Don’t pile damp towels. And clean
fixtures with a bleach-based solution.
Living Room
As a popular gathering area, your living
room should be as allergen-free as possible.
Don’t allow pets to sit on the
furniture, and clean upholstered furniture
often. Limit knickknacks
and other
dust-collecting
clutter.
Pets
For those
who love but
are allergic
to man’s best
friends—or
other furry
creatures—start
by keeping
pets off beds
and out of
carpeted areas,
which collect
pets’ dander.
Properly
bathing and
grooming your
pet also
Windows
Window treatments are often overlooked during
regular cleanings. Replace curtains with
smooth, roll-up shades or easy-to-dust plastic
or wood blinds.
Bedroom
Encase pillows and mattresses in allergenimpermeable
covers. Avoid feather pillows and
down comforters. Wash bedding weekly in
water that’s at least 130 degrees Fahrenheit.
Floors
Carpet is a breeding ground for allergens. If possible,
replace carpet with wood, tile or linoleum
flooring. Otherwise, vacuum frequently with a
HEPA air-filtered vacuum.
Kitchen
Many people,
without knowing
it, are allergic
to household
pests such as
cockroaches and
mice. Be sure to
keep food covered,
don’t let dishes pile
up, and keep the
floor clean and dry.
If you use a pesticide
service, leave
the room while it’s
being treated.
Ken Easley
Stop the sniffles and sneezing. If these tips do not bring relief, talk with your physician or
ask for a referral to an allergist by calling (574) 647-6800.
www.qualityoflife.org ❚ 9

Memorial
Lighthouse
Medical Imaging Center
Making Healthcare “A Day at the Beach”
Picture this: Sunny skies surround you, the sounds
of seagulls fill the air, the blue slate siding of a cozy
beach cottage welcomes you in, and everywhere you look
a friendly person is there to help you on your way. You
can almost feel the warm sand between your toes…
Can you guess where you are Are you on that summer
vacation you’ve always dreamed about Well…not exactly.
These peaceful surroundings are actually the backdrop
for a state-of-the-art medical care facility equipped with
a full array of services—from CT, ultrasound and mammography
to cardiac scoring and diagnostic imaging—at
the Memorial Lighthouse Medical Imaging Center in
Granger, Indiana!
A Day at the Beach
White paneled windows overlook the Memorial Home
Care store, where patients and families can buy the
important medical equipment they’ll need at home in
one convenient stop. Down the hall, a beach-front
awning welcomes patients into Memorial Outpatient
Therapy Services, where physical rehabilitation patients
can receive the quality care and attention they deserve,
a little closer to home.
“The patients love it,” says Practice Manager Lori Flanagan.
“So many people have told me they love the sights
and sounds, and patients appreciate the relaxed and
calming atmosphere.”
10 Memorial Health System 574•647•6800

Phone Numbers
Changing to 647
And they say too
much of anything is
a bad thing…
We know it takes more than just a great
building to give patients the care they
demand and deserve. The Memorial
Lighthouse Medical Imaging Center’s
trained experts provide quality care with
a compassionate touch, using all the
latest equipment technology has to offer.
With full-body DEXA scans, family
practice physicians and a Med-Point
Immediate Care Center available right
next door at Main Street Medical Group, this joint venture between Radiology,
Inc., and Memorial gives patients easy access to the quality healthcare services
they need in the most relaxing environment this side of Cape Cod.
You can take a virtual tour of Memorial Lighthouse Medical Imaging Center at
www.qualityoflife.org/lighthouse. Or come visit us in person at 6901 N. Main St.,
Granger. For scheduling information, call (574) 647-2900. MHS
Not when it comes to meeting
the needs of our patients and
staff! As Memorial continues
to expand to meet the growing
needs of the community,
so do the number of offices
and staff members throughout
Memorial Health System.
In fact, Memorial has grown
so much we’re quickly running
out of phone numbers! To
meet this challenge, Memorial
has purchased all 10,000
numbers beginning with 647.
That’s enough numbers to
keep an ever-growing number
of phones ringing for years
to come.
All Memorial numbers beginning
with 284, 234, 239 and
472 will officially begin with
647 by April 15. The old numbers
will continue to work in
the meantime.
It’s no coincidence, by the
way, that the 6, 4 and 7 on
your touch pad spell out
“MHS” for Memorial Health
System. Pretty cool, huh
Staff members Briana Egan (left) and Shay Wenzel enjoy a relaxing
beach cottage mural drown by local artist Charles J. O’Neil.
www.qualityoflife.org 11

It’s Not
What You’ll Lose…
But What
It’s not just a catchy phrase.
It lies at the heart of the
mission of Memorial’s new
weight-loss and bariatric
surgery program, which was
uniquely designed to help those
suffering from severe obesity to
regain control of their lives.
An estimated 40 percent of the U.S. population will be
considered morbidly obese by the year 2010. Couple
that with Memorial’s mission to become the healthiest
community in the nation by 2010, and you have “no better
time than now” to begin this comprehensive program
right here in our community, says Deb Gartee, RNC, N.P.
“Local patients are leaving our community to have the
surgery done,” adds Gartee, who was chosen to serve
as the program’s director. “Clearly a need exists right
here and now.”
The surgical procedure, which involves closing off part
of the stomach to form a small pouch about the size
of an egg, limits the amount of food a person can eat and
decreases appetite. A part of the small intestine is also
bypassed to reduce nutrient absorption.
Demand for the surgery soared more than 40 percent last
year alone, due in part to high-profile patients like NBC’s
Al Roker and singer Carnie Wilson a year earlier. Both
succeeded in bringing bariatric surgery into the national
spotlight. What’s more, their very public struggle with
a life-stealing condition helped focus attention on an
obesity epidemic nationwide.
As popular as it has become, the risks of these types of
operations cannot be understated. Though mortality rates
remain a low 1 percent, serious complications and side
effects can occur with any invasive procedure.
Calculate Your BMI
Divide your weight in pounds by the
square of your height in inches, then
multiply by 703. In other words:
BMI =
weight in pounds
(height in inches) x (height in inches)
x 703
12 Memorial Health System 574•647•6800
12 Memorial Health System 574•647•6800
Your Results
Underweight: =

You’ll Gain
“While we believe this type of surgery can be a solution
for some, the surgery may not necessarily be the best
solution for everyone,” says Diane Maas, Vice President of
Managed Care and Sales.
Medical Director Michael Tachman, M.D., will oversee
the program’s unique medically supervised weight-loss
program that focuses on diet, exercise and lifestyle adjustments.
It offers patients who may not meet the strict
criteria for surgery different options for meeting weightloss
goals.
“The scope of this program is more than just the surgery—
it’s weight management,” says Maas, who was selected to
oversee the program’s long-range planning.
“Patients will have all the pieces of the puzzle,” adds
Surgical Director Greg Credi, M.D., “a personalized team
approach with all the ‘bells and whistles’ of a major tertiary
care center, with all the comforts of a community
hospital setting.”
Credi estimates that nearly 100 surgeries will be performed
in the program’s first year. They hope that for
every person who needs the surgery, several others will be
helped by the program’s aggressive and comprehensive
non-surgical Weight-Management programs. For more
information, call (574) 647-6400. MHS
Obesity is linked to the following
diseases and conditions: type II
diabetes, hypertension, cardiovascular
disease, sleep apnea, high
blood pressure, stroke, depression,
social and sexual problems, and
some forms of cancer.*
*According to obesityhelp.com
Who Is Bariatric Surgery For
Those 100 lbs. or more overweight.
Those with a BMI greater than
40, or 35 or greater along with
co-morbidity factors such as the
diseases and conditions previously
mentioned.
Those whose previous attempts
at weight loss have failed.
2003
Award
Winners
Three exceptional women were
honored with Memorial Hospital’s
2003 Spirit of Women Award.
Each was nominated for making a
difference in the lives of women in
our community and for making a
positive impact on the world around
them. All three honorees are now
entered into the national Spirit
of Women Awards, which will be
announced May 21 in Orlando, Fla.
Youth
Katie Newbold, a student at the
University of Pennsylvania, was
honored in the Youth category.
Katie is a writer and speaker, as
well as an accomplished scientist.
As salutatorian of her class at John
Adams High School in South Bend,
she served as editor-in-chief of the
Katie Newbold
school paper while participating in
several national organizations, including Amnesty
International and the Environmental Action Coalition.
Healthcare
Judy Giden, breastfeeding coordinator
for the St. Joseph County WIC
Office, was honored for her work in
healthcare. Judy educates, motivates
and makes a difference in the lives
of underserved women in the
community. She provides families
with information on breastfeeding,
Judy Giden
nutrition and birthing options,
and has served on numerous local, state and national
committees that promote infant health through
breastfeeding. She is a true advocate for women’s health.
Community
Marzy Bauer, Associate Director of
Madison Center, was recognized for
her work in the community. Marzy
has dedicated her life to creating a
viable, strong, healthy and caring
community. She works to eradicate
the myths and barriers faced by
people with mental illnesses. She
Marzy Bauer
has also served on the boards of
many non-profit organizations such as Goodwill, the
Jewish Federation of St. Joseph Valley and Healthy
Communities Initiative.
www.qualityoflife.org 13

Women
&Heart Disease
The American Heart Association’s
Red Dress pin symbolizes that heart
disease can happen at any age.
What Can I Do
Stop smoking
Maintain a healthy weight
Lower your cholesterol
Reduce stress
Control your blood pressure
Have regular checkups
Facts & Stats*
•The death rate due to heart
disease for African-American
women is 26% higher than for
Caucasian women.
•Women with diabetes are four
times more likely than men to
develop heart disease.
•A woman experiences a heart
attack 10 to 20 years later than
a man, but her first heart attack
is more likely to be fatal.
•Only 27% of women ages 35-44
have had their physicians discuss
heart disease prevention with them.
*According to the American Heart Association
What every woman should know
Can you name the number-one killer of
American women each year
It’s not as easy as you may think.
Surprisingly, it’s heart disease that
ranks at the top of the list, taking
the lives of more than 1,400 women
a day. That’s why Memorial has
teamed up with the American
Heart Association to promote
its Heart to Heart program, raising
women’s awareness of the
risk factors and warning signs
of heart disease.
“The important thing to know is that
men, more commonly than women,
present with what might be considered
‘typical’ symptoms,” says Ronald
Nelson, M.D., Medical Director of
Cardiovascular Services at Memorial
Hospital. Though the effects of heart
disease in men have been well documented,
some facts about women
are just now beginning to surface.
Women need to watch for more
atypical symptoms such as pain
in the back or neck, extreme and
unusual fatigue, strong stomach
discomfort and shortness of breath.
“The good news is that we
can exert some control over
the risk factors that may lead
to heart disease,” adds Nelson.
“Women should carefully
monitor their diet and
maintain a healthy weight. It’s also
important to find out if you have
type II diabetes and to be more cognizant
of this disease if you are a
woman over 55 with a family history
of the disease.”
To schedule your heart disease
screening through the Heart to
Heart program and to learn more
about your risk factors, call Spirit
of Women at (574) 647-7800. MHS
14 Memorial Health System 574•647•6800

News
News Briefs
Briefs
“Apple A Day Health Clinic” Keeping the Doctor Away
From common childhood illnesses such as ear infections and chicken pox to much
more serious and chronic conditions, nurse practitioner Sherri Biever, MSN, FNP,
sees it all at the Apple A Day Health Clinic at Harrison Primary Center on
the city’s west side. This Memorial Medical Group endeavor opened its doors last
fall to Harrison students, their families and the surrounding community.
As South Bend’s first school-based healthcare facility, the clinic serves a population
that may not otherwise have access to healthcare, notes Mike Gordon,
Executive Director of Memorial Medical Group.
Sherri Biever, MSN, FNP
“Access really is the key here,” he explains. “Our hope is that, by linking basic
medical services to a school like Harrison, children and their families can receive
the appropriate level of medical care they need.”
In most instances, appropriate care means preventive medicine students might not otherwise receive, says Elaine
Karaszewski, clinic director. Other times, she continues, it may be discovering a medical condition that had gone
undiagnosed for lack of access to care.
The clinic is supported by Memorial’s tithing program and various grants. If you would like to donate to the
Apple A Day Health Clinic, please contact the Memorial Health Foundation at (574) 647-7482.
Local Hero Back From Afghanistan
LaPorte Medical Group physician Rishi Sud, M.D.,
received a warm welcome home last fall after serving six
months with an Army medical team in Afghanistan. As
a Captain in the Army Reserve, National Army Medical
Department Augmentation Detachment, Specialized
Training Assistance Program, Dr. Sud provided care for
American soldiers as well as local citizens and those the
Army called “persons under confinement.”
Conditions were trying, with temperatures reaching up
to 120ºF. Dr. Sud treated patients with a variety of
medical conditions, including many with tropical diseases.
He found the toughest part was treating local children,
especially those injured by land mines.
He had been married less than
a year and a half before his
deployment, but was able to
communicate with his wife via
e-mail and the occasional 10-
minute phone call. Dr. Sud was
very appreciative of his colleagues
back at home who
pitched in to treat patients in
his absence. Co-workers welcomed
him back with an open
Rishi Sud, M.D.
house at LaPorte Medical Group, where patients, colleagues
and friends stopped by to thank him for his hard
work and dedication to his country.
www.qualityoflife.org 15

News
News Briefs
Briefs
HealthWorks! Unveils Vincent’s TreeHouse
Woodward preschool students were guests of honor at HealthWorks! Kids’
Museum for the opening of Vincent’s TreeHouse.
As the only HealthWorks! exhibit designed specifically for preschool
children, Vincent’s TreeHouse creates a safe place for younger kids to
experiment and investigate the world around them.
Vincent’s TreeHouse is named in memory of Vincent DeStefano, an inquisitive
young boy who died in March 2001 at the age of four and a half.
Vincent, who loved to climb trees and explore the world around him, had
also been a student at Woodward.
The exhibit was made possible through the generosity of hundreds of
donors who came forward to make donations in Vincent’s name. At the
opening, Vincent’s mom Michele DeStefano noted that “the fun and learning
that happens here is something he would have loved.”
Memorial Celebrates the Auxilian of the Year!
Memorial Auxiliary member Jan Stinchcomb was
named “Auxilian of the Year” for the Northern Area
Auxiliaries at the Indiana Hospital & Health
Auxiliaries Association convention in Indianapolis.
Jan earned this award by faithfully volunteering her
time and her talents to Memorial and other community
organizations for more than 30 years. She has served
as family hostess in the surgery waiting room, chaired
the Auxiliary garage sales and served two terms on the
Memorial Hospital Auxiliary Board.
She and her husband, William, have also teamed up
to present “No Butts About It,” a smoking prevention
program, at elementary schools throughout the area.
Congratulations Jan, on this well-deserved recognition!
16 Memorial Health System 574•647•6800

Learning the Trade
Several local high school groups had the best seats in
the house during the initial stages of construction of
Memorial’s new Heart and Vascular Center. “The Living
Classroom” was developed for high school students interested
in pursuing careers in construction and engineering.
Before the floors and walls were erected, groups could
be found peering from the top of the nearby Bartlett
Parking Garage, getting an eagle-eye view of the site
as instructors explained the inner workings of the new
building and its foundation.
Lakeshore High School student Joseph Lhotka listens as
Construction Manager Dan White explains the finer points of
building foundations.
“The Living Classroom” was designed to give students a
first-hand glimpse of the enormity of a $40 million heart
hospital construction project. Before heading out to the
site, students learned about the building’s blueprints, its
innovative design and why it will be an important addition
to the community. Students were also exposed to the
numerous college and non-college prep positions available
on a construction project, and given guidance on how to
work toward their goals.
Memorial Goes Smoke-Free
As part of an effort to become the healthiest community in the
nation by 2010, Memorial launched the “Smoke Free Initiative”
declaring all Memorial Hospital and Health System properties
officially smoke-free earlier this year. The “Smoke-Free Initiative”
is a collaborative effort between the Fresh Air Partners of
Memorial Hospital, Saint Joseph Regional Medical Center and the
Healthy Communities Initiative to promote smoke-free facilities
throughout the community. Though smoking has not been
permitted inside Memorial facilities for more than 13 years, new
expanded policies now prohibit smoking on all Memorial grounds,
including areas around the hospital and at all satellite locations.
www.qualityoflife.org 17

News
News Briefs
Briefs
Hugh Downs Headlines 2003 Leighton Lecture
Seniors in our community heard from one of their staunchest advocates when
journalist (and fellow senior) Hugh Downs visited South Bend for the 2003
Leighton Lecture.
Downs spoke on the future of healthcare in America, highlighting the need
for preventative and palliative care for older patients, and the importance of
optimizing health in the aging population.
He applauded Memorial’s efforts, adding: “I think Memorial Hospital and
Health System started on this path over a decade ago…enhancing wellness,
emphasizing prevention. I’ve been impressed with what I’ve learned about
what you’ve been doing here at Memorial.”
JCAHO Survey a Success!
Preliminary results of the 2003 Memorial
Hospital and Health System Joint Commission
on Accreditation of Healthcare Organizations
(JCAHO) survey are in, and they’re good!
Memorial scored 94 out of a possible 100
points, tying our highest score to date.
Surveyors commented on the care, compassion and professionalism
of Memorial’s staff and the motivation of
the medical staff to become engaged in hospital operations
for the benefit of patients.
“This was truly a great survey,” says Dan Neufelder,
Executive Vice President and Chief Operating Officer.
“Everyone throughout Memorial should feel very proud.”
Memorial Viewed as Top Area Hospital
Local consumers have named Memorial Hospital as South Bend’s preferred
hospital for overall quality and image for the second year in a row, according
to the results of a poll conducted by National Research Corporation (NRC).
The study surveyed nearly 140,000 households representing 400,000
consumers nationally. Memorial was chosen as one of only 174 finalists out
of the 3,000 hospitals named in the study.
“Consumers continue to play an increasing role in their selection of hospitals and in the care they receive,” says NRC
President and CEO Michael Hays. “As more information is made available to consumers, we expect to see this trend
increase. With the industry’s focus on quality and consumerism, we are pleased to recognize the facilities named as leaders
by those they serve. The winners deserve recognition for the emphasis they have placed on providing quality care.”
18 Memorial Health System 574•647•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 (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 mellitus. Open to anyone with
diabetes, their families and significant others.
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 251-0041,
Monday through Friday, for an appointment.
Ortho Classes
Total hip, knee and shoulder replacement classes
available at no charge. Call 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.
Lifesteps
A comprehensive weight management program that
stresses the importance of diet, physical activity and
behavior 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 647-7800 for
more information.
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 287-3036.
Alzheimer’s Support Group
Meets on the first Tuesday of the month at 10 a.m.
and the third Tuesday at 7 p.m. at the Leighton
Center for Senior Health. Call Sadie Mager at
233-4444, or call 232-4121.
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 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 647-7168.
Forget Me Nots
For parents, their families and people who have
experienced the loss of a child or pregnancy. Meets
on the second Monday of the month at 5:30 p.m. at
the Leighton Center for Senior Health. Call Barbara
Wilson at 647-6990.
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 647-3140.
Mother Matters Support Group
Focuses on postpartum depression and parenting
responsibilities. Meets twice a month in the Family
Education Center. Call 647-7396.
Ostomy Support Group
Contact Sue Stelton at 647-3156 for details.
Parkinson’s Disease Support Group
Meets on the first Wednesday of the month at
1:15 p.m. at the Leighton Center for Senior Health.
Call Jim Banner at 291-4217.
Second 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 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 647-7280.
For New Families
Advance registration is required for all classes
unless noted otherwise. Call the Spirit of Women
at (574) 647-7800. All classes are held in the
Family Education Center on the third floor of
Memorial Hospital.
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 8 p.m. Class materials must be obtained
in advance. $10/person.
Preparing for Childbirth
Prepares couples for the childbirth experience.
$60/couple. Class size is limited. Meets for
six 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., 647-7799.
Lunch & Learn Prenatal Class
One-day intensive version of Preparing for
Childbirth. Meets from 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 the 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 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.
Just for Dads
A one-time educational program to prepare dads
for parenting and life with their new baby. Dads
only! $15.
Prenatal Breastfeeding Class
Information on breastfeeding taught by certified
lactation consultants. Offered monthly. $10/couple.
Coffee, Tea, Mommy & Me
Informal, open, ongoing weekly group for moms
and babies ages newborn to 18 months. Meets
every Thursday from 10:30 a.m. to 12:30 p.m.
No registration needed.
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.
Hip New Grandparents
New grandbaby on the way Get up-to-date information
on how to be an “in” grandparent! $15 per
person/$20 a pair.
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.
www.qualityoflife.org 19

Don’t worry, don’t wonder, don’t wait…
Prevention
and earlyDetection
are the best medicine
We know many people put off going to the doctor
until they are sick. At Memorial Health Discovery
Center we have another option - Health Check.
This new service gives you the opportunity to
check on the status of your health anytime,
even when you are feeling fine. Health Check
screenings help you manage your healthcare
and provide an important tool for prevention
and early detection.
Health Check offers peace of mind…
• A Place to Start – Normal test results are
important because they establish a baseline for
future comparison and give you an overview of
your current health.
• Family History – Screenings can help monitor
risks based on your family history.
• Prevention – Screenings may give you information
that can help you develop lifestyle changes.
• Early Detection – Screenings can help you
identify changes in your health even before
symptoms occur.
Make your own appointment, get your own results…
You can order your own screening tests and receive
your results immediately. A registered nurse will
meet with you to discuss your health profile and
provide referrals for providers or services if necessary.
Health Check offers high quality and affordable
health screenings at one convenient location.
Screenings available
Test
Blood Sugar
Heel Scans
Cholesterol
Blood Pressure
Body Mass Index
Fecal Occult Blood
Condition
Diabetes
Osteoporosis
Heart Disease
Hypertension
Obesity
Colon Cancer
For more information or to make an appointment, call the Health Discovery Center at 574/647-6880.
100 Navarre Place, Suite 6670 • South Bend, Indiana
Free Parking in the Navarre Garage • www.qualityoflife.org
615 North Michigan Street
South Bend, IN 46601
Non-Profit Org.
U.S. Postage
PAID
Permit No. 72
South Bend, IN

Don’t worry, don’t wonder, don’t wait…
Prevention
and earlyDetection
are the best medicine
We know many people put off going to the doctor
until they are sick. At Memorial Health Discovery
Center we have another option - Health Check.
This new service gives you the opportunity to
check on the status of your health anytime,
even when you are feeling fine. Health Check
screenings help you manage your healthcare
and provide an important tool for prevention
and early detection.
Health Check offers peace of mind…
• A Place to Start – Normal test results are
important because they establish a baseline for
future comparison and give you an overview of
your current health.
• Family History – Screenings can help monitor
risks based on your family history.
• Prevention – Screenings may give you information
that can help you develop lifestyle changes.
• Early Detection – Screenings can help you
identify changes in your health even before
symptoms occur.
Make your own appointment, get your own results…
You can order your own screening tests and receive
your results immediately. A registered nurse will
meet with you to discuss your health profile and
provide referrals for providers or services if necessary.
Health Check offers high quality and affordable
health screenings at one convenient location.
Screenings available
Test
Blood Sugar
Heel Scans
Cholesterol
Blood Pressure
Body Mass Index
Fecal Occult Blood
Condition
Diabetes
Osteoporosis
Heart Disease
Hypertension
Obesity
Colon Cancer
For more information or to make an appointment, call the Health Discovery Center at 574/647-6880.
100 Navarre Place, Suite 6670 • South Bend, Indiana
Free Parking in the Navarre Garage • www.qualityoflife.org
615 North Michigan Street
South Bend, IN 46601
Non-Profit Org.
U.S. Postage
PAID
Permit No. 77
Random Lake, WI