Spring 2013 - Memorial Hospital of South Bend

SPRING2013your safetyIs Our Promiseunderstanding the award-winningculture of patient safety 3ONTHEINSIDEHypothermia treatment forheart patients 8Tiny movements—bigaccomplishments 12Five symptoms that shouldsend women to the doctor 14Got tendon pain? 16Lifesaving tips 18LEARN MORE at qualityoflife.org

12141516171819202122108Tiny Movements—Big AccomplishmentsTeen is learning how to live again withthe help of therapyListen Up!Five symptoms that should send womendirectly to the doctorYour Safety Is Our PromiseUnderstanding the award-winningculture of patient safetyNews BriefsStrawberry, Spinach and Chicken Salad RecipeThe Big, Lifesaving ChillHypothermia helps heart patientsweather the neurological stormTime Is of the EssenceSkin-to-skin care helps moms andbabies bond fasterBuilding Brighter FuturesOur community’s support ofMemorial Children’s HospitalTips for Dealing with Back Aches and PainsSafe and Fast Approach to Removing Tendon PainThis Jolt Drink May Be More Than You Bargained ForCardiopulmonary Rehab Has New HomeFirst (Aid) Things FirstLongtime ER physician shares lifesaving tipsThe Best Care for the Greatest GenerationEmergency Department care for seniors a top priorityConverging StrengthsArea’s top vascular interventional specialists join MemorialIt’s a New LifeCutting-edge surgical treatment transforms livesClasses and Services348101111PULSE is a biannual publication ofMemorial Hospital of South Bend.Memorial Hospital of South Bend is acommunity-owned hospitalproviding services for people andfamilies throughout Michiana.Kreg GruberPresident, Memorial Hospital of South BendCheryl Wibbens, M.D.Vice President of Medical AffairsDiane Stover HopkinsChief Marketing and Experience OfficerSue NeufferDirector, MarketingLeanne PhillipsDan PrzybylaWritersKelley TaghonGraphic DesignerDayna EmmonsPeter RingenbergContributing PhotographersChris BowmanJennifer Warfel JuszkiewiczContributing Writers615 N. Michigan St.South Bend, IN 46601574-647-6800qualityoflife.orgCopyright © 2013 by McMurry/TMG, LLCAll rights reserved.Information in this publication is notintended for the purpose of diagnosing orprescribing. Consult your physician beforeundertaking any form of medical treatmentand/or advice contained in thispublication. If you wish to be removed fromthe mailing list, please tear off theshipping label and send it to Remove Me,P.O. Box 17910, Phoenix, AZ 85011 or goto acd.mcmurry.com.2 PULSE | Memorial Hospital of South Bend • 574.647.6800

NeWsBRIEFSLongtime Health System PresidentCelebrates 25 Years of LeadershipIn 2012, Phil Newbold, recognizedas one of the most innovativehealth care experts in the country,celebrated 25 years as president andCEO of Memorial Health System.Newbold, one of the longest-tenuredhealth system CEOs in the U.S.,has long been at the forefront ofimplementing emerging trends andbest practices at Memorial. Underhis direction since 1987, Memorial has been named one ofthe top 100 hospitals and among the top 5 percent for patientsafety nationwide. Improving quality in all aspects of the healthcare delivery process has been a cornerstone of Newbold’sleadership, a system-wide effort that has consistently earnedMemorial the Consumer Choice Award by the National ResearchCorporation as the preferred hospital region-wide for overallquality and image. His steadfast focus on quality improvementprinciples has enabled Memorial to be a model national teachingsite for many of today’s innovative practices. Newbold wasnamed CEO of Beacon Health System in 2012.Former OSU Buckeye andHeisman Winner Visits ChildrenEddie George, standout college runningback and former NFL great, brought smilesto lots of children’s faces during his visit toMemorial Children’s Hospital. George washonored in South Bend as part of the 2012enshrinement class of the College FootballHall of Fame.As one of the most entrepreneurial health industry leadersin the country, Newbold is highly regarded for developingand implementing a creative vision for the delivery of healthcare that integrates innovation with quality improvementstrategies and strategic collaborative partnerships to ultimatelycreate health. Forward thinking and results-focused, Newbold haspioneered an Innovation movement at Memorial that has led tounique partnerships and projects, including HealthWorks! Kids’Museum,The Innovation Café and most recently, Pfeil InnovationCenter. Memorial was one of the first hospitals in the country toestablish a Research and Development Policy, sparking nationalattention when featured in The Wall Street Journal.Newbold’s vision is built upon the key principle that healthis created in neighborhoods and homes rather than in thehospital setting. As a result, Memorial formed communitycenteredservice delivery models that address communityhealth issues. It has also developed new infrastructures thatmove away from the traditional acute-care “sickness model”and into a model of wellness, individual accountability and preventivecare. Newbold led Memorial to establish the first tithingpolicy in the country to fund illness prevention programs that,in strategic partnership with local organizations, are aggressivelytackling problems such as infant mortality, teen pregnancyand poverty.X-Factor Participant BringsJoy to PatientsJosh Krajcik, runner-up on the first seasonof X-Factor, visited Memorial Children’sHospital as part of his visit to South Bend.The Ohio native delighted patients with hisacoustic guitar and soulful voice.4 PULSE | Memorial Hospital of South Bend • 574.647.6800

PuLseSpring2013New PeakPerformingPhysiciansMaryAbernathy,M.D., M.S.;Perinatology,Obstetrics andGynecology;MemorialMaternal FetalMedicineEve Dreyfus,M.D.;Child andAdolescentPsychiatry;MemorialEPWORTHCENTERDarleyEmenim, M.D.;PediatricIntensive CareMedicine;MemorialCritical KidsDennisNwachukwu,M.D.;UrgentCare, FamilyMedicine;Med-Point24,Med-Point atIreland RoadMedical GroupAshishPatel, M.D.;Hospitalist;MemorialHospitalWaldemarRosario, M.D.;Pediatrics;NavarrePediatrics atMain StreetMedicalGroupPatrickSouthe, M.D.;UrgentCare, FamilyMedicine;Med-Point24,Med-Point atIreland RoadMedical GroupLooking for a Peak Performing Physician? Visit memorialmedicalgroup.org.Home Care Ranked Among Top 5% ofHome Health Providers in CountryMemorial Home Care was named to the 2012HomeCare Elite, a compilation of the top-performinghome health agencies in the United States. And for thefirst time in its history, Home Care was ranked amongthe top 500 agencies in the nation, placing it in the top5 percent nationally.HomeCare Elite identifies the top 25 percent of agenciesbased on an analysis of more than 10,000 agenciesnationwide. Winners are ranked based on performancemeasures in quality outcomes, quality improvement andfinancial performance. Memorial Home Care has achievedthis recognition four of the last six years, including the lastthree consecutively, and is honored to again be the onlyagency in its primary service area to appear on the list.LEARN MORE about the top-performing Memorial HomeCare and its services by calling 574-273-CARE.Greg Conrad, Memorial Home Care vice president, creditsthe company’s vision of being a model for the delivery ofhealth and wellness as driving the agency’s success. “As alocal home care agency, we have a responsibility to positivelyimpact the lives of our patients in the communities weserve,” he says. “For this reason, we have infused a culture ofoutstanding quality into every step of the patient experience.”Fun and Health HighlightsSpirit Girls’ Night OutThe annual Spirit Girls’ Night Out, sponsored by MemorialHospital of South Bend and held at DoubleTree Hotel, wasan exciting and informative event that drew hundreds ofwomen interested in everything from health screenings tomini-makeovers.Spring 2013 | qualityoflife.org 5

NeWsBRIEFSSunburst Turns 30!The region’s most exciting running event, Sunburst Races, turns 30this year. Whether you’re a beginner or a seasoned veteran, there issomething for you at Sunburst. Events include the 5K Fitness Walk,5K run, 10K run, half-marathon, marathon and Family Walk. TheJune 1 race starts in downtown South Bend and finishes on the fieldof venerable Notre Dame Stadium. And best of all, proceeds from theevent support Memorial Children’s Hospital, Northern Indiana’s onlydesignated children’s hospital that treats children from more than22 referring hospitals. Proceeds from the 2012 event went toward thepurchase of a new pediatric ambulance. To sign up for Sunburst, visitsunburstraces.org/registration.Pilates Chair: Sit Up and Take NoticeThe Pilates Chair is considered the most challenging piece ofPilates equipment for increasing strength while building corestability. Exercises focus on core and leg strength, mobility andfunctional movements such as standing, climbing and lifting.The Health & Lifestyle Center now offers a Pilates Chair six-weekgroup training session along with one-on-one personal training.If you’re a pro at Pilates or want to try it for the first time, itwill provide an outstanding workout. To sign up or for moreinformation, contact Del Stukel at estukel@memorialsb.org.6 PULSE | Memorial Hospital of South Bend • 574.647.6800

PuLseSpring2013Front row from left: ChiefInformation Officer Steve Huffman;Memorial Hospital of South BendPresident Kreg Gruber; ElkhartGeneral Hospital President GregLosasso; Chief Administrative OfficerMichael O’NeilBeacon Health SystemSenior Leadership Team in PlaceBeacon Health System Chief Executive Officer Phil Newboldhad the responsibility to select a senior leadership team to helpintegrate Elkhart General Hospital and Memorial Hospital ofSouth Bend and began to organize Beacon Health System asa brand new regional health care provider. Earlier this year, theexecutive Beacon leadership team was announced.Back row from left: Chief Marketingand Experience Officer Diane StoverHopkins; Chief Human ResourceOfficer Steve Eller; Chief ExecutiveOfficer Phil Newbold; Chief ofStrategy and Planning OfficerDanielle Dyer; Chief Financial OfficerJeff CostelloBeacon Health System’s ValuesAre Patient-CenteredBeacon Health System’s Board of Directors adoptedthe organization’s four core values: trust, respect,integrity and compassion, all of which focus on thepatient being at the center.Beacon Health System Mission: To enhance thephysical, mental, spiritual and emotional well-beingof the communities we serve as the community’sprovider of outstanding quality, superior value andcomprehensive health care services.Beacon Health System Vision: To be recognized asa model for the delivery of health and wellness byachieving the top 10 percent in clinical quality,top 10 percent in patient satisfaction and top tier invalue per patient in the United States.Visit beaconhealthsystem.org to learn aboutmore updates to the region’s largest, not-for-profithealth system.Spring 2013 | qualityoflife.org7

saVINGLIVESThe Big, Lifesaving ChillHypothermia helps heart patients weather the neurological stormMisty Vaughn looks at life a little differently these days,thanks to some everyday heroes and a not-so-everydaymedical procedure that put her heart problem “on ice.”In August 2012, without warning, the then 29-year-oldmother of two went into cardiac arrest while at hersons’ football practice. Fortunately, the coaches sawher collapse and ran to her aid, performing CPR untilparamedics arrived and shocked her heart into a stablerhythm. They then immediately started an IV of chilledsaline, the first in a series of steps that make up what’sknown as the therapeutic hypothermia protocol. It’s acutting-edge procedure that’s proving remarkably successfulat reducing the risk of brain damage commonlysuffered by survivors of cardiac arrest.Once at Memorial Hospital’s Emergency Department,Vaughn was swathed in material that looked like bubble-packand then attached to the Arctic Sun ® , a devicethat circulates cold fluid around the outside of thebody, placing her in a state of controlled hypothermia.How It WorksThe idea behind “the big chill” is to cool a patient’score body temperature to 92 degrees Fahrenheitfor about 24 hours, then slowly rewarm it back tonormal. It may not sound very cold, but it’s enough toslow a patient’s metabolism and help shield the brainfrom the harmful effects of toxic chemicals releasedduring and immediately after cardiac arrest, explainsRamey Seifert, R.N., critical care nurse specialistin Memorial’s Intensive Care Unit.After only five days in the ICU, Vaughn was homeagain with her family, just in time for her kids’ footballseason. She has no memory of the event and still hasoccasional short-term memory lapses, but nothing thatis expected to be permanent.“I have definitely changed as aperson and appreciatethe little stuff.”- Misty VaughnFrom left, sonsTucker and James,Misty Vaughn, andhusband Mike8 PULSE | Memorial Hospital of South Bend • 574.647.6800

Vaughn honored the football coaches, many of whomshe has known since she was a young girl, with anAmerican Heart Association ® Heroes Award in October.She plans to take a CPR course so she can pay forwardthe gift of life that started with her sons’ coachesknowing what to do that day.“If it was going to happen, I’m glad it happened the wayit did, or I wouldn’t be here,” says Vaughn, who turned30 in September. “I have definitely changed as a personand appreciate the little stuff.”The Biggest Advancement Since CPRSince 2006, the survival rate among patients broughtto Memorial after suffering ventricular fibrillation, asVaughn did, is almost 73 percent. Nearly all returnedhome within three to five days of admission with little tono long-term neurological problems. By contrast, a fiveyearstudy published in 2011 by the Centers for DiseaseControl and Prevention placed the overall survival rateat just above 30 percent for patients like Vaughn. “Thisis the biggest advancement in resuscitation medicine indecades, possibly since the advent of CPR more than50 years ago,” Seifert says.Memorial was a leader in implementing the hypothermiaprotocol locally in late 2006. Emergency physicians andEMS medical directors Keith Sherry, M.D., and BruceSpeicher, M.D., and Gary Fromm, M.D., medical directorof Memorial’s ICU, championed the cause, whichrequired the support of both local hospitals to ensurethat the benefits of therapeutic hypothermia areavailable to everyone in this area. Drs. Sherry andSpeicher then reached out to the EMS community inSt. Joseph County, authorizing the procedure forstarting the protocol in the field. Almost alladvanced life support ambulances in St. JosephCounty now have refrigerators on board thatcontain the cold saline needed to begin thecooling process, which is continued onarrival to the Emergency Department.Therapeutic hypothermia is a valuableand powerful tool in promotingneurological recovery in victims ofcardiac arrest who are successfullyresuscitated. However, health carepersonnel and the American HeartAssociation continue to emphasizethe importance of high-quality CPRand early defibrillation to givepatients a chance of resuscitationand an opportunity to benefit fromtherapeutic hypothermia.Tough Call Wasthe Right CallUse of the hypothermia protocol on pregnant womenhas not been widely embraced because of a lack of dataabout how it affects the fetus.But one February night in 2009, Memorial emergencyphysician Rajalakshmy Sundararajan, M.D., inconsultation with other physicians, made the tough callto use the technique on 33-year-old Cindee Goodling, whowas 20 weeks pregnant and had been resuscitated from aprolonged cardiac arrest in a local church. This is particularlysignificant in light of a recent study presented at theAmerican College of Cardiology that indicated changesbrought about by pregnancy can increase a woman’srisk of heart attack during pregnancy. High-quality CPR,provided by community members prior to the arrival ofparamedics, was also an important factor in her successfulresuscitation.Not only did both mother and baby survive, but Goodlingwas back to work within days after leaving Memorial. Fourmonths later, she gave birth to a healthy baby boy, Collin,now 3 years old. During resuscitation, Goodling was alsoshocked several times. In a fitting recognition of this,Collin’s nickname is “Zap.” During EMS Night at CoveleskiStadium in 2011, Goodling and Zap threw out the firstpitch in appreciation of all those who had made theirsurvival possible.Goodling’s story was featured on MSNBC’s websiteand documented in an article in the international journalAnnals of Emergency Medicine, collaboratively authored byAakash Chauhan, M.D.; Harsha Musunuru, B.S.;Michael Donnino, M.D.; Michael T. McCurdy, M.D.;Vinod Chauhan, M.D.; and Mark Walsh, M.D.Simple Steps That Can Save Your LifeTake a free, confidential risk assessment that couldsave your life or greatly improve your quality oflife. Go to whatsmyrisk.org, where you can learnmore about your health and whether you’re at riskfor conditions such as heart disease, joint pain,diabetes, sleep disorders, obesity and stroke. Eachassessment is quick and easy. If you are at risk, call800-647-6800 to speak with one of The HealthProfessionals at Memorial Hospital of South Bend.Spring 2013 | qualityoflife.org9

Jamie Halfast, her newborn son, Kellan, andhusband, Eric.Time Is of the EssenceSkin-to-skin care helps moms and babies bond fasterAre YouPregnant?Call Us!Visit qualityoflife.org/childbirth to learn moreabout skin-to-skinbenefits.First-person account by Leanne PhillipsTen years ago, my daughter Sophiewas born via cesarean section. Likemany women, I was disappointed notto experience a vaginal birth, but mylittle Sophie was not only breech, shewas incomplete breech (one foot down,the other curled up around her head).So my main concern was getting herhere safely, whatever it took.The big moment arrived for Sophieto be born and I couldn’t wait to holdthis beautiful child with the perfectlyround head.To my disappointment, I had to wait90 long minutes before holding thechild I had carried for nine months. Itwas the longest 90 minutes of my life,and I wasn’t appreciating the lessonin patience.Things had improved 2½ years laterin 2005 when my twins arrived atMemorial Hospital and I was able tohold and nurse Luke and Grace inrecovery, and I was thrilled.Beyond ExpectationsFast-forward to 2012. Now, moms whohave C-sections have even more tolook forward to, because MemorialHospital’s Baby-Friendly HospitalInitiative has gone a step furtherwith skin-to-skin care after delivery.One mom in particular recounts herskin-to-skin experience: “I was initiallydisappointed to learn I would havea C-section because I had a verydetailed birth plan for a vaginaldelivery,” says Jamie Halfast of SouthBend. “The words OR and C-sectionwere nowhere to be found on thesepages. I wanted to see my baby assoon as he was delivered, I wantedmy husband to cut the umbilical cord,I wanted pictures, and I wanted tohold him and nurse him right away.And you know what? Because of skinto-skinat Memorial Hospital, I wasable to experience every single one ofthose things.”The doctors lowered the protectivescreen that had been blocking Jamie’sview so she could see baby Kellanimmediately, and her husband wasable to follow him to the warmer andcut his umbilical cord.“As the nurses cleaned him up, theywere describing to me what he lookedlike, and before I knew it, he was onmy chest and nursing,” Halfast says.“It was beyond every expectation I hadand it was beautiful. The Baby-FriendlyHospital Initiative that encouragesskin-to-skin between mother and babyimmediately after delivery allowed meto have the birth experience I had envisioned.I cannot speak highly enoughof these programs and feel blessed Iwas able to deliver my son in a hospitalthat allowed me to have those firstmoments, regardless of the methodin which he entered the world.”Baby to Mom in MinutesThe goal is to have the baby to momwithout any wait, or no more than fiveminutes, because babies regulate theirbody temperatures better with skinto-skincontact, and it promotes themother-baby bond, says Amy Murray,BSN, RNC-OB, patient care managerof Memorial’s Childbirth Unit. Sevenyears ago, Memorial ChildbirthCenter started skin-to-skin care aftervaginal deliveries.“Our goal for 2013 is to promoteskin-to-skin for all moms, regardlessof their mode of delivery,” says PattyDe Stefano, MSN, RNC-OB, directorof the Childbirth Unit. “Our hopeis that as frightening as a C-sectioncan be for some, this little bit ofnormalcy, having your baby on yourchest, will help to alleviate a bit of theanxiety that can go on during a verystressful time.”10 PULSE | Memorial Hospital of South Bend • 574.647.6800

BuildingBrighterFuturesOur community’s support ofMemorial Children’s HospitalExceptional care at Memorial Children’s Hospital, ourregion’s only designated children’s hospital, begins withthe exceptional doctors, nurse practitioners, nurses andchild life specialists who live and work in our community.Each year, the staff of Memorial Children’s Hospital, oneof only four children’s hospitals in Indiana with a pediatrichematology oncology program, cares for close to 300children who either have cancer, are in remission or haveblood disorders, totaling more than 3,000 visits annually.Part of the team providing families the opportunity tostay close to home while receiving cutting-edge medicalcare, Colleen Morrison, M.D., and Tracy Haertling, D.O.,are transforming the lives of our youngest communitymembers through the power of medicine, experienceand compassion.“The relationships created with children and familieson their challenging journeys are incredibly meaningful,and the children’s resilience is empowering to everyonearound them,” Dr. Morrison says. “Philanthropy alsoplays a large role in our ability to care for our patients,”she says. “By funding programs like Child Life anddistraction tools such as Wiis, iPads and craft kits, ourcommunity helps to create a home-away-fromhomefor our patients and a welcoming andchild-friendly environment.”Among the many children treated byDr. Morrison is 14-year-old Sam Grewe.The straight-A student from Middleburywas diagnosed with osteosarcoma inDecember 2011 and comes to MemorialChildren’s Hospital each month for hischemotherapy treatments.Your Gift Makes a DifferenceYou can help Sam Grewe and the many other children whocome to your community-owned hospital for outstanding careby giving of your time and treasure. The children of our regiondeserve the very best pediatric care, right here at home. Visitqualityoflife.org/give to learn more about how you can help.Tracy Haertling,D.O.Colleen Morrison,M.D.shorter, and his ankle now functionslike a knee. He has a prosthetic towear so he can walk and play sports.Grewe has paid his dues and hasspent more time than most at thehospital since his diagnosis—about85 nights at Memorial Children’s Hospital,in fact. He’s more than halfwaythrough 21 intense chemo treatments,each lasting five to 10 days.It takes its toll emotionally, mentallyand physically, but Grewe lives by hisnickname, “SamStrong.”Grewe is a stellar athlete and happiestwhen he can be at school andparticipate in sports. He was pumpedwhen he caught the attention of NotreDame Head Football Coach BrianKelly. Inspired by Sam’s story, Coach Kelly adopted himas part of the football team’s Believe Like a Championprogram. An official “adoption” ceremony was held lastApril, two days before Sam’s surgery, in which the wholeteam wore “Grewe Crew” T-shirts in Sam’s honor, stoodup to speak to him, and gave him an autographed football,his own jersey and helmet.Grewe’s battle isn’t over, but his last scans wereclear, and he is getting a glimpse at an all-star,cancer-free future.Sam GreweGrewe’s cancer affected hisfemur and hollowed out thebone. He underwent aninnovative procedure inIndianapolis called rotationplasty,and now his footis positioned backwardand reattached tohis thigh. The leg isSpring 2013 | qualityoflife.org11

Tiny Movements—AccomplishmentsTeen is learning how to live again with the help of therapy“Your daughter has been in a car accident and is unconscious.”Michael and Tonja Pokuta’s worst fears became reality afterpicking up the phone in August 2011, to learn one of their threechildren had been involved in a life-altering crash five miles fromtheir home. And everything changed for the LaPorte County familyin an instant. Lauren, 17 at the time, was riding in the frontpassenger seat of her friend’s vehicle. Her friend turned onto ahighway and was T-boned on Lauren’s side by another car.First, the UncertaintyMemorial’s MedFlight transported Lauren to Memorial’sLeighton Trauma Center. She suffered a fractured clavicle,pelvis and cheekbone, but the most significant injury was toher brainstem. She spent three months in the hospital, thefirst 2½ weeks in a coma.When she woke from the coma, Lauren was in a vegetative state.Her family, friends and the medical team caring for her wereuncertain what to hope for.“A brainstem injury is complicated and mysterious. They justtold us whatever progress she makes, be grateful and hopeit continues,” Tonja says.“It’s been one hurdle afteranother. But it’s also beenone success story afteranother. Lauren isbreaking all the barriersherself. She is a miracle.”- Michael Pokuta, Lauren’s dadLauren was on a ventilator for 2½ weeks, but even morestaggering, a feeding tube was her only source of nutrition fornine months because she couldn’t swallow. Watching and waitingdefined those initial days in the hospital, as Lauren’s familystood by her bedside hoping and praying. She remained in avegetative state for the remainder of 2011, unable to move inany deliberate manner.Celebrating the Small StepsThen on New Year’s Eve 2011, Lauren made her first real movement,a high-five to a friend. It was a major breakthrough forLauren, and gave the Pokuta family new hope for their daughter.“We all take the smallest things for granted,” Michael says. “Iremember the day she gave the high-five and we all celebrated,because that gave us the boost we needed.”12 PULSE | Memorial Hospital of South Bend • 574.647.6800

Get Your Life Back For more information about Memorial Regional Rehabilitation Center andthe programs at our two locations, call 574-647-2600.It was the beginning of big accomplishments for Lauren,and little by little throughout 2012, the Pokutas saw lifecome back into their daughter. Under the guidance andcare of Heidi Collins, M.D., Lauren underwent rigorousinpatient therapy five days a week at Memorial’s RegionalRehabilitation Center. From the start, Lauren amazedeveryone with her progress. She may not have been completelythe same on the outside, but on the inside Laurenwas still there and ready to work hard to get back to herpre-accident state-of-being.Following her discharge from the hospital, Laurenunderwent physical, occupational and speech therapyat Memorial Outpatient Therapy Services (MOTS).“Our first objective was to get her to sit up on the edgeof the bed,” explains Jennifer Cunningham, physicaltherapist at MOTS.With that goal achieved, Lauren moved on to otherexercises that stimulated her brain and strengthenedher muscles. Because of the hard work of Lauren andher therapists, she was eventually able to feed herselfand brush her teeth. Regaining the ability to talkhas been a challenge. The family uses a letterboard to help clarify what Lauren is trying to say,but her vocabulary continues to grow by the day.Her love for singing never diminished whilerecovering and she was able to singagain as part of the New PrairieHigh School swing choirconcert and the school’smusical production ofFootloose. She even tooktwo classes in thefall 2012 semester,scoring A’s in both.And though she requires a wheelchair to get around,Lauren uses an exercise bike and is standing for shortperiods to strengthen her leg muscles.She continues to amaze family, friends and therapistsalong her path to recovery. “The first day I saw herwhen I had to hold her to keep her sitting upright, towhat she is doing today––it has surprised all of us,”Cunningham says.The Future Is Bright“Lauren has made such progress in one year, we arehopeful it will continue. Sometimes we sit back andcan’t believe just six months ago she couldn’t even talk,”Tonja says. “The doctors tell us the brain has the abilityto mend itself through the age of 24, but there areno guarantees.”Lauren has given everyone so much hope already;there is every reason to be optimistic.“The last 15 months have been the mostchallenging time of our life,” Michael says. “It’sbeen one hurdle after another. But it’s alsobeen one success story after another. Laurenis breaking all the barriers herself. She is amiracle. And her progress would not be possiblewithout the quality of care and supportwe receive at Memorial.”Lauren is readingat her gradelevel, but experiencingshorttermmemoryloss due to theaccident.Lauren Pokuta (center), mother Tonja Pokuta (left), fatherMichael Pokuta and Memorial Outpatient Therapy ServicesPhysical Therapist Jennifer Cunningham (right).Spring 2013 | qualityoflife.org13

ListenUp! 5symptomsthatshould sendwomen directlyto the doctorWhen your husband came down withthe flu, you made him a doctor appointmentright away. When your childfell off the jungle gym at school, youwere the first one in the line at urgentcare. So why do you ignore your ownailments? You don’t need to answerthat. The fact is, women everywhereput their loved ones’ health beforetheirs. And noble as it is, you won’tbe doing your family any favors if anignored symptom turns into somethingserious. See your doctor for yearlycheckups and, in between, listen toyour body for these symptoms, whichshould never be ignored.1FAtIgUEBeing tired is one thing, but ifyou are fatigued, it could be morethan just an overloaded to-do list.“Fatigue could be a sign of an underactivethyroid gland, which is commonin women as we age,” says ModupePopoola, M.D., a family medicine physicianat Med-Point24. Called hypothyroidism,an underactive thyroid can alsolead to weight gain,sensitivity to cold,dry skin and hairand muscle aches.It’s easily treatedwith medication.Fatigue could alsobe a symptom ofModupe Popoola,anemia, depressionM.D.or sleep apnea, allof which should be treated.2UNUSUAL BLEEDINgRectal bleeding could be dueto hemorrhoids or a sign ofcolon cancer, so it’s best toget it checked. And if you are postmenopausaland you experiencevaginal bleeding, see your doctor.“It rarely is endometrial cancer, butit’s easy to diagnose with a biopsy,”Dr. Popoola says. “Another causemight be atrophy. That’s when thewalls of the vagina become thinand cause spotting.”NEEd URgENt CARE?For minor health emergencies, visit Med-Point24, 6913 N. Main St.,granger, the region’s only 24-hour urgent care center. It featureseight exam rooms, three procedure rooms, radiology services anda full-service laboratory in order to test, diagnose and treat a widearray of conditions.3LEg SwELLINgIf you have swelling in one orboth legs that can’t be attributedto injury, get it checked.Swelling in one leg could signal ablood clot. Other symptoms includeskin redness, soreness and warmth inthe affected leg. And if you take birthcontrol or hormone replacement, areobese or have traveled recently, you’reat higher risk. Seeking treatmentquickly is key. Otherwise, you run therisk of the clot breaking off and travelingto the lungs, causing a pulmonaryembolism, which can be deadly.Swelling that occurs in both legsshould also be evaluated. It could be asign of heart, kidney or liver failure.4ChESt DISCOmFOrtEven when women have asymptom as serious as chestpain, we still lean toward explainingit away as indigestion. “But justlike men, women have to worry aboutheart disease,” Dr. Popoola says. “Don’tthink just because you’re a woman,you’re immune from heart disease.”If you have chest discomfort thatlasts more than a few minutes or goes14 PULSE | Memorial Hospital of South Bend • 574.647.6800

away and comes back, seek immediatemedical attention. While mentypically describe heart attack chestpain as “crushing,” women might feela fullness or pressure in the chest.And sometimes they don’t have chestpain at all. Women are more likelythan men to experience more subtlesymptoms of heart attack, includingshortness of breath; nausea or vomiting;discomfort in one or both arms,or the back, neck or jaw; or just feelingas though “something isn’t right.”5SUSPICIOUS LUmP“Don’t ever disregard a lump,”Dr. Popoola says. But there’sno need to panic, either, asmost breast lumps have nothing to dowith cancer. They’re most often causedby fibrocystic changes (associatedwith the menstrual cycle), fibroadenomas(benign tumors) and cysts (fluidfilledsacs that can appear anywhere inthe body).Any lump should be evaluated. Otherreasons to call your doctor includedimpled breast skin, nipple discharge,an inverted nipple or a bruise on thebreast that cannot be explained.7 More YouShouldn’tIgnoreDo you have symptoms thatdidn’t make the list? Here areseven more from Dr. Popoolathat should prompt you to callyour doctor:D Unusual bloatingD Unexplained weight lossD Persistent abdominal orpelvic painD Change in appearance ofa moleD Excessive hair lossD Heart palpitationsD Severe headacheThe bottom line is to listen toyour body. If you feel somethingis wrong, get it checked out.Chances are, it’s nothing. But atleast you’ll have peace of mind.And that’s priceless.Strawberry,Spinach andChicken SaladThis entrée salad, which usesingredients that are low onthe glycemic index, is not onlydelicious but may also helpyou feel full longer.INGREDIENTS1 small boneless, skinless chickenbreast, cooked, cooled, diced(6 oz.; 1¼ c.)1½ c. sliced fresh strawberries4 c. baby spinach¼ c. low-fat buttermilk¼ c. reduced-fat bleu cheesecrumbles1 tsp. white balsamic vinegar1 tsp. olive oil¹/8 tsp. salt¹/8 tsp. pepper2 Tbsp. sliced almondsDIRECTIONS1. Place chicken in very largesalad bowl. Add strawberriesand spinach. Toss gently.2. Combine buttermilk andcheese in small bowl. Usea fork to mash cheese intobuttermilk. Stir in vinegar, oil,salt and pepper. Just beforeserving, pour dressing oversalad. Toss gently but well.Sprinkle with almonds.Makes 2 (3½-cup) entréeservings.Nutritional information perserving: 300 calories, 12.5 g totalfat, 33 g protein, 15 g carbohydrates,77 mg cholesterol, 413mg sodium, 4.5 g dietary fiber.Spring 2013 | qualityoflife.org15

Tips forDealingwithBack Aches and PainsMost of us will experience back pain at some point. Prepare for this almostinevitable fact of life by learning how to safely relieve lower back pain.REST RIGHT: Start by taking pressure and weight off your back. Achievethis by lying on the floor on your back and either placing pillows under yourknees, or bending your hips and knees and resting your feet on a chair.KEEP MOVING: Resting your back for one or two days is fine, but anymore and your back muscles could weaken. Instead, walk around for afew minutes every hour. Stretch your back muscles by lying on your backwith your knees bent and slowly raising your left knee to your chest.Press your lower back against the floor and hold for five seconds. Do10 of these exercises for each leg.FIND COMFORT: Medications that relieve pain and swelling can makestaying active easier. For painful back spasms, use a heating pad forabout 20 minutes. If your pain lasts longer than a few weeks, exploreother treatments.Thomas Keucher, M.D.Walter Langheinrich,M.D.Andrew Losiniecki,M.D.Joseph Schnittker, M.D. Stephen Smith, M.D. Robert Yount, M.D.Get Help for Back PainMemorial’s North Central Neurosurgery provides the most recentstate-of-the-art operative and nonoperative treatments for long-termrelief of back and neck pain. If you want to get back to your dailyactivities, contact North Central Neurosurgery at 574-232-7227or visit memorialmedicalgroup.org/neuro.Safe and FastApproach toRemovingTendon PainMemorial Sports Medicine Institute isusing cutting-edge surgical technologyto help people suffering from tendonpain. The FAST TM Technique(Fasciotomy and Surgical Tenotomy)is minimally invasive surgery thatremoves tendonscar tissue inpeople of all ages.How it works:A local anesthetic1 numbs theaffected area.The person isfully awake theentire time.The doctor uses2 conventionalMark Lavallee, M.D.,CSCS, FACSMultrasound imaging to identify thelocation of the scar tissue.Once the scar tissue is located,3 a small instrument—smallerthan a pencil—is inserted into it. Theinstrument delivers ultrasonic energyspecifically designed to break upand remove damaged tissue safelyand quickly, without disturbing thesurrounding healthy tendon tissue.After the scar tissue is removed,4 the tiny opening is closed usingonly a Band-Aid ® adhesive bandage—no sutures or stitches are needed.The entire procedure takes less than15 minutes.Patients return to normal activitieswithin six weeks. Whether the tendonpain is in your shoulder, knee, elbow,ankle or foot, the FAST Technique is aneffective tool for long-term pain relief.Is the FAST TechniqueRight for You?To learn more about how theFAST Technique can help you,call 574-289-4SMI.16 PULSE | Memorial Hospital of South Bend • 574.647.6800

A This Joltre you lookingfor a seriousenergy boost? Youmay be tempted bythe latest “energydrinks” that promiseto deliver boundlessvitality, enhancedphysical performance or even weightloss. But beware: Whatever theirshort-term benefits may be, thesebeverages have the potential to behazardous to your health, too.Drinks such as Red Bull ® , FullThrottle ® and Monster ® use heavydoses of caffeine to provide thatrush of energy. The U.S. Food andDrug Administration recommendsthat cold beverages contain no morethan 65 milligrams of caffeine per12-ounce serving. Energy drinksusually contain between 100 and140 milligrams. They often use otherstimulant ingredients like ephedrine,guarana or ginseng to add to the kick.“It’s important to remember thatthese are not healthy drinks. TheyMay Be More ThanYou Bargained Formay offer a burst of energy, butultimately, like pop, they are not somethingyou should drink regularly,” saysTravis Casper, M.D., family medicinephysician at Portage Medical Group.Caffeine is a diuretic, and excessamounts can cause seriousdehydration, especiallywhen mixed withalcohol. Caffeine alsoboosts blood pressureand heart rate,potentially causingheart palpitations. Itcan also cause anxiety,stomach problems and, of course,sleeping difficulties.Don’t drink energy beverages whenyou’re exercising because of therisk of severe dehydration. Skip theenergy drinks altogether if you havehigh blood pressure, heart diseaseor mental health problems, or if youare pregnant or nursing.“There are plenty of healthy alternativesto energy drinks, like wateror 100 percent orange juice,” saysDeanna Huss, family nurse practitionerat Portage Medical Group.Need a Health Care Provider?Would you like to know more about the outstanding providers at PortageMedical Group? Call 574-647-4530 or visit memorialmedicalgroup.org.Travis Casper, M.D.Deanna Huss, FNPCardiopulmonary Rehab Has New HomeThe health and well-being of peoplewith breathing- and cardiac-relatedproblems is improved short andlong term when they participate incardiopulmonary rehab, accordingto published research.Memorial Leighton Heart & Vascular’sCardiopulmonary RehabilitationProgram is helping restore the longtermhealth of people with heartM. Shakil Aslam, M.D.and lung problems by uniting cardiac and pulmonaryrehab into a single program under one roof.Physicians and nurses work together to create an individualizedcare plan for every patient involving educationto manage disease, exercise, nutrition and other healthrelatedissues. The spacious facility features a variety ofexercise equipment—free weights, treadmills, stationarybikes, a rowing machine and stretch bands—all designedto improve endurance, strength and overall function.Benefits of Cardiac rehabilitationM. Shakil Aslam, M.D., director of Memorial’s cardiac rehabilitationprogram, shares some benefits of cardiac rehabilitation:D Helps you live longer and lessen your chances for anotherheart attackD Improves symptoms related to your heart or lung conditionD Reduces your chances of hospitalizationLet Us Help YouTo learn more about how this programcan help you, call 574-647-7620 orvisit qualityoflife.org/heartrehab.Spring 2013 | qualityoflife.org17

First (Aid)ThingsA longtime Emergency Department physicianshares lifesaving tips that can turn you into a heroBystanders trained in first aid canmean the difference between lifeand death. Emergency proceduresstarted by trained individualshave saved the lives ofmany victims. And, conversely,many more could have beensaved if immediate care had beenavailable. Becoming a bystanderwho makes a difference is simple:Learn first aid. There are many organizationsthat offer training, most notably the American RedCross (redcross.org). If you sign up for a course, you canuse your hands to save a life instead of wringing them.Meanwhile, Mark Walsh, M.D., FACEP, a longtime EmergencyDepartment physician at Memorial Hospital of South Bend,answers some of the most common first-aid questions.What’s the first thing I should do in anQ: emergency?A: Evaluate scene safety. Your safety is top priority. If youbecome injured, you will double the need for resourcesand delay treatment for the victim. Before approachingan emergency scene, take a moment to check for hazards,such as fire, downed power lines, toxic material andunstable vehicles. If you are unable to approach safely,call 911 and wait for professional help.Q: Is compression-only CPR effective?A: Yes. Experts have recognized that bystanders are oftenreluctant to begin CPR because of concerns about mouthto-mouthresuscitation. After figuring some CPR was betterthan no CPR, experts wrote new guidelines advocatingcompressions only. “Then a funny thing happened; researchdemonstrated good or better success with chest compressionsalone,” Dr. Walsh says. “It seems that with compression-onlyCPR, you still get some air into the lungs, and thecontinual compression without breaks for breaths keepsblood delivering oxygen to the brain.”My child just ingested a poison. Should I makeQ: him vomit?A: No. Induced vomiting was once the accepted treatmentfor poisoning—so much so that every ED and householdkept syrup of ipecac on hand. If you still have a bottle,flush it. “A lot of things children swallow are more dangerouswhen they come back up,” Dr. Walsh says. “A goodexample is gasoline; if we make them vomit it can be aspiratedinto the lungs and then it’s very, very dangerous.”So what should you do? If your child is unconscious orhaving trouble breathing, call 911 immediately. Otherwise,remove the item from your child’s mouth and make yourchild spit out any remaining material. Call Poison Control(800-222-1222) with the container available so you canread the list of chemicals ingested. If you’re instructed togo to the hospital, be sure to take the container with you.My friend is coughing and clutching his throat.Q: Should I perform the Heimlich maneuver?A: No. Coughing is a sign that the airway is only partiallyblocked. Do not interfere, but be ready to step in if thesituation worsens.Should I take an aspirin if I think I’m having aQ: heart attack?A: Yes ... unless there is a medical reason not to, such asan allergy. “Anyone who suspects a heart attack should chewa non-coated adult aspirin as soon as possible,” Dr. Walshsays. “This will start working on the clot that’s causing theheart attack while the patient gets to the hospital.”Mark Walsh, M.D.Here When You Need UsMemorial provides cutting-edgecare with immediate availability ofphysicians, nurses, technologiesand support services 24 hours aday. Call 574-647-6800 for moreinformation.18 PULSE | Memorial Hospital of South Bend • 574.647.6800

The Best Carefor the GreatestGenerationEmergency care for seniorsa top priorityElizabeth “Skipper”Dahl and husbandMorris are enjoyinglife in Niles, Mich.Married 62 years, Elizabeth “Skipper” (Delp) andMorris Dahl are not unlike other retired seniors whoenjoy spending time with their grandchildren andtraveling. The Niles, Mich., couple used to travel thecountry in their motor home, even spending wintersin Florida. But for the last couple of years, except forcamping trips in the summer to Michigan state parks,the Dahls have preferred to stay closer to home.And being close to home has made a big differencein her health. Still active at 87 years old, Elizabeth,who experiences chronic heart problems, needs bloodtransfusions every two months to help with her extremeanemia and a blood disorder. On Oct. 5, 2012, shereceived her 18 th transfusion at Memorial.“I had two units of blood that Friday at MemorialHospital, and then Saturday I woke up and I felt reallyuncomfortable––I had chest pain. One of the items onthe list to look for was chest heaviness, and it didn’treally go away,” Elizabeth recalls. Because she hadundergone a mitral valve repair and had a pacemakerimplanted several years earlier, she decided to go toMemorial’s Emergency Department (ED) to see whatwas causing the symptoms.Keith Sherry, M.D., EMS and MedFlight medical directorat Memorial Hospital, said the ED staff is very thoroughin evaluating patients.Quality Care, Quickly“We compress testing that would normally takeseveral days into a far shorter period of time. Wecan do a work-up in several hours that, as anoutpatient, could take the better part of a week,”Dr. Sherry says. “Plus, we get results back promptlyand can consult directly with the patient’s physician.This gives the emergency physician real data thatallows him or her to determine whether the patientis able to go home or requires admission for furthertesting. And this all occurs in an acute-careenvironment capable of responding immediatelyto any sudden change in the patient’s condition.”While in the ED,Elizabeth underwentan electrocardiogramto checkthe electrical activityof her heart.“I couldn’t getover how nice thenurses were,” shesays. She also hadSpecial Senior SupportOur Emergency Departments offer:D On-site access to mobilitydevices and home care suppliesD Personalized discharge planswith senior-specific guidelinesD Follow-up calls for seniors dischargedto homeD Eldercare-trained social workersD Magnification aids and largeprint materialslab work and a chest X-ray, and the providers determinedshe was safe to go home.Memorial has made a concerted effort to providepatients, especially elderly patients like Elizabeth,with the information they need regarding their health.ED senior support services include follow-up calls,screenings, social services and flexible visitationpolicies, all of which are available as part of the newinitiative at both Memorial Hospital and Elkhart GeneralHospital. “We want to do everything we can to meet theneeds of seniors,” says Memorial Hospital PresidentKreg Gruber. “Because of these improvements, seniors,along with patients of any age, can count on anoutstanding level of ED care at Memorial.”In the meantime, Elizabeth is feeling well again andlooking forward to more camping trips this summer.“You know, those first two years we didn’t go to Floridafor the winter––I didn’t even miss it,” she says. “Wehad more fun watching and feeding all the critters andbirds in our own backyard.”Elderly patients who have a health question can reach a nurse bycalling The Health Professionals line at 574-647-6800. Also, getpreventive health care information and more at seniorERcare.org.Spring 2013 | qualityoflife.org19

Converging strengthsArea’s top vascular interventional specialists join MemorialFour highly trained interventional radiologists joined MemorialHospital in 2012, strengthening an already integrated systemof care for the treatment of vascular disease, cancer and otherconditions. Gerard Duprat, M.D., Thomas Fischbach, M.D.,Michael Hall, M.D., and Kevin Small, M.D., formed MemorialVascular Interventional Institute. They have used a combinationof medical expertise, highly detailed imaging and cutting-edgeminimally invasive surgery at Memorial to provide a high levelof care that offers less pain and scarring, fewer complicationsand faster recoveries. The four have worked for years atMemorial, regularly performing minimally invasive therapiesusing image guidance such as X-ray, ultrasound and CT scans.But now working exclusively at Memorial, the team hasenhanced and expanded its ability to provide an evenhigher level of specialized care.Premier Endovascular ProgramMemorial Vascular Interventional Institute conducts the mostendovascular repairs (minimally invasive surgery involving accessthrough a major blood vessel) of abdominal aortic aneurysmsof any group in the area. This highly successful program beginswith the physician-patient consultation, which allows patientsto ask questions and build a relationship with the specialist. Tohelp ensure each patient’s health continues to improve followingsurgery, the Institute established the area’s most comprehensiveinterventional radiology outpatient clinic. The dedicatedoutpatient clinic inside Memorial allows for consultations,follow-ups and advanced imaging. The strength of the programis buoyed by interventional radiology’s collaboration with otherspecialists, including radiation and medical oncologists, general/vascular surgeons, cardiothoracic surgeons, neurosurgeons,hospitalists and intensivists. Together, they provide coordinatedmultidisciplinary care, which greatly improves patient outcomes.Physicians from left:Gerard Duprat, M.D.;Kevin Small, M.D.;Michael Hall, M.D.;Thomas Fischbach, M.D.Bright Future for Patient CareMemorial leadership’s commitment to expanding lifesavingtechnologies that enable advanced care to be performedby interventional radiologists and other surgical specialistsat Memorial has converged in a dramatic way.This summer, Memorial will unveil two state-of-the-arthybrid operating rooms that will dramatically enhancethe delivery of care in the region. The hybrid surgicalsuites will allow for interventional radiologists and surgeonsto combine procedures for treatment of peripheral vasculardisease or aneurysm on the same day in the same place.No other hospital in the region has hybrid surgicalsuites. The hybrid operating suites will house the neurointerventionalbiplane angiography system that aids inthe diagnosis and treatment of stroke, brain aneurysms,brain and neck tumors and other neurological problems.This device, coupled with the excellent medical care,allows brain-related conditions and diseases to be treatedlocally. Neurocoiling is currently a procedure for treatingbrain aneurysms that requires patients be sent to Chicago,but that will change with the new hybrid suites.Robert Yount, M.D., of Memorial North Central Neurosurgery,says the new hybrid operating rooms will allow Memorialto attain a level of care previously available only in academicmedical centers.“New technology and specialized training will allow neurosurgeons,interventional radiologists and neurologiststo work together to bring the latest treatments and bestresults to patients with stroke, aneurysms and brainbleeds,” says Dr. Yount, a longtime neurosurgeon.Memorial’s Leighton Trauma Center will also be betterequipped to handle some unique traumacases. “The new surgical suites willprovide state-of-the-art technologyto critically injured patients rapidly,”says Scott Thomas, M.D., MemorialTrauma Services medical director.“By providing simultaneousemergency operativeinterventions andinterventional radiologyprocedures, we canhelp stop the bleedingand save lives.”Get Top-Notch Care, Close to Home20 PULSE | Memorial Hospital of South Bend • 574.647.6800

The BestHealth Educationand ScreeningsCreating a healthier communitymeans helping people stay wellby educating them on importanttopics, providing the means toadopt healthier lifestyle choices andremoving barriers to ensure accessto adequate health care.The Memorial Health DiscoveryCenter is open to the public for freehealth education Monday throughFriday, including a nursing staff toanswer your medical questions, freeuse of computers and a medicallibrary. Located at 100 NavarrePlace, Suite 6670, on Memorial’scampus, it offers a variety of classesand screenings that provide thebest medicine: prevention and earlydetection. For more information, callus at 574-647-6880 or visit us onthe Web at qualityoflife.org/hdc.ScreeningsAlpha 1-AntitrypsinBlood pressureBody fat, body mass index,weight and heightFree monthly healthscreenings (foot, shoulder andelbow, knee, hearing, vascular,back, skin); an appointmentis requiredCholesterol, blood sugar, heelscan, carbon monoxide andlung function volume screening(for a small fee)For additional screenings, go toqualityoflife.org/hdc/calendar.Massage Therapy30-, 45- and 60-minute medical/therapeutic massage (deeptissue, trigger point, neuromuscularand myofascial)Free ConsultationsDiabetesHeart diseaseMenopauseOsteoporosisOther health concernsMemorial offers educational events, classes and support groups aspart of its ongoing mission to build a healthier community.CLASSESBrainWorksUnderstanding how your brainworks and how to keep it workingfor you is a central piece of healthand vitality. From newborns to olderadults, BrainWorks offers classesthat help you learn more about howto optimize brain health andpotential. For more information anda listing of events for all ages, call574-647-6628 or visit qualityoflife.org/brainworks.Group Fitness ClassesFrom yoga and Pilates to spinningand Zumba, group fitness classesare offered Monday throughSaturday at Memorial’s Health& Lifestyle Center. 574-647-2654.View the class schedule athealthandlifestylecenter.org.LifestepsA comprehensive weightmanagement program that stressesthe importance of diet, physicalactivity and behavioral modificationtechniques for weight loss andmaintenance. Classes meetweekly for 15 weeks. $195.Call 574-647-1801.Lung CenterFor asthma, COPD and other lungproblems, call 574-647-7620.For pulmonary rehabilitation, call574-647-7620.Ortho ClassesTotal hip, knee and shoulderreplacement classes available.Call 574-647-6869 for availability.SUPPORT GROUPS2nd Wind Group (COPD)A support group for individualswith lung disease. Meets Tuesdaysfrom 1:30 to 3 p.m. at ChristianReformed Church, 1855 N.Hickory. Call Jan Cosby at574-647-7178.Amputee Resource GroupOur group provides the opportunityto connect with others who haveexperienced limb loss. Meetingsare at 7 p.m., March 27, April 24,May 22, June 26, July 24, Aug. 28,Sept. 25 and Oct. 23 in the thirdfloorFamily Education Room atMemorial Hospital. Call 574-647-7421 for more information.CALL US at 574-647-6800(press 1) or 800-999-8890or visit qualityoflife.org/mousecalls.22 PULSE | Memorial Hospital of South Bend • 574.647.6800

“Living Gluten Free”Support GroupMeets on the second Monday ofeach month at 6 p.m. The meetinglocations change according to theactivity. Email Jeannie atjbderrow@aol.com or call Juneat 574-647-3328 for location andmeeting information.Mother MattersFollowing the birth of a baby, awide range of emotions ispossible. Often there are theexpected feelings of excitementand joy. Mothers may also feeloverwhelmed, uncertain,frustrated or anxious. MotherMatters is a phone supportprogram for mothers who wouldlike to discuss any emotionaladjustment they may beexperiencing after birth or evenduring pregnancy. If you wouldlike to speak with a MotherMatters nurse, please call574-647-3243. Online registrationis also available for all childbirthclasses. Visit qualityoflife.org/childbirth/classes.Women In Touch (WIT)Support GroupMeets the third Monday of everymonth from 5:30 to 7 p.m. atColfax Cultural Center, 914 LincolnWay West, South Bend. For moreinformation, call 574-288-2887(ext. 3).Young SurvivorsMeets on the third Thursday of themonth at 5:30 p.m. in the lobby ofPavilion II, 707 E. Cedar St., inSouth Bend. For more information,contact Kim Zobrosky by calling574-251-0916 or atkimberlyzobrosky@sbcglobal.netor youngsurvivorsbacktolife.com.Survivor Fitness ProgramFree fitness classes for all cancersurvivors meets Thursdays from5:15 to 6:15 p.m. at MemorialRegional Cancer Center.Registration is required.For more information, call574-298-9087 or emailyoungsurvivors@sbcglobal.net.Parkinson’s Support GroupMeets the first Monday of eachmonth from 1 to 3 p.m. at AndrePlace in Holy Cross Village on thecampus of Holy Cross College,54515 State Route 933 North.For more information, call DawnHatch at 574-262-1739.FOR NEW FAMILIESAdvanced registration is requiredfor all classes. Call 574-647-6801.Complete Childbirth PrepFamilies can choose between aseries of three classes, or aSaturday class called Lunch &Learn. Topics include the normalcourse of labor and birth,common medical interventions,and relaxation techniques. Cost is$75. For more information, visitqualityoflife.org/childbirth/classes. When you sign up forComplete Childbirth Prep, you willalso be able to attend our ABCand Prenatal Breastfeedingclasses for free.Breastfeeding BasicsThis one-evening course helpsprepare families for breastfeeding.Topics include position, latch,overcoming common obstaclesand returning to work. Couplesclasses and women-only classesare offered each month. Cost is$15 or free with CompleteChildbirth Prep.After Baby Comes (ABC)After Baby Comes is a perfect oneeveningclass for mom, dad andthe grandparents that focuses onthe basics of holding, soothingand caring for baby in the firstweeks of life. Cost is $15 or freewith Complete Childbirth Prep.Super SiblingsThis one-time class helps kidsages 3 to 7 safely participate inbaby care. Topics include holding,safety, and other important issuesinvolved when a new baby joinsthe family. The class will also takea mini-tour of Memorial ChildbirthCenter. Cost is $10 per child.Cesarean Birth/VBAC PreparationIf your doctor has scheduleda cesarean birth, there is a 30-minute tour of the Childbirth Unit,including the surgical suites,followed by preparation forfamilies planning a vaginal birthafter cesarean. This class isoffered upon request. Free.Childproofing Your HomeInformation packets are provided.Call 574-647-3218 to schedule anappointment.Childbirth Center Open HouseWe invite you and your family toone of our very special ChildbirthCenter Open Houses held onceeach month. We’ll provide somerefreshments, a tour of theChildbirth Center, treats forsiblings, hospital information,community information and more!Traditions Photography will take acomplimentary pregnancy portraitto commemorate this special time.Check out qualityoflife.org/childbirth/classes for a full listingof dates and times or call us at574-647-6801.Car Seat ProgramCertified Child Passenger SafetyTechnicians are available byappointment several times permonth throughout the year.Child seat inspection and installationeducation is offered as a free service.To make an appointment, call theHealth Discovery Center at574-647-1804.Breastfeeding Support GroupThis is for new mothers and theirbabies. Meets Monday and Thursdayfrom noon to 1:30 p.m. at MemorialBrainWorks, 534 N. Michigan St. It isfree and no appointment is required.Call 574-647-3475 for moreinformation.Spring 2013 | qualityoflife.org23

Memorial Hospital615 N. Michigan StreetSouth Bend, Indiana 46601615 N. Michigan StreetSouth Bend, Indiana 46601Non-Profit Org.U.S. PostagePAIDMemorialHealth SystemGet in. Get Out. Get Well.24-Hour Urgent Care6913 N. Main St., Granger, IN • 574-647-1550 • MemorialMedpoint.orgWhether it’s 2:30 p.m. or2:30 a.m., we’re here to helpprovide exceptional carefor you and your family forminor medical emergencies.As the region’s only 24-hoururgent care center, we arestaffed 24 hours a day withboard-certified physicianswho treat everything fromthe flu to fractures.Conveniently located on MainStreet in Granger, Med-Point24is your everyday urgentcare clinic.An affiliate of Memorial Hospital of South Bend

Memorial Hospital615 N. Michigan StreetSouth Bend, Indiana 46601615 N. Michigan StreetSouth Bend, Indiana 46601Get in. Get Out. Get Well.24-Hour Urgent Care6913 N. Main St., Granger, IN • 574-647-1550 • MemorialMedpoint.orgWhether it’s 2:30 p.m. or2:30 a.m., we’re here to helpprovide exceptional carefor you and your family forminor medical emergencies.As the region’s only 24-hoururgent care center, we arestaffed 24 hours a day withboard-certified physicianswho treat everything fromthe flu to fractures.Conveniently located on MainStreet in Granger, Med-Point24is your everyday urgentcare clinic.An affiliate of Memorial Hospital of South Bend