March april healthscope by Baptist Health Floyd

March/April 2014

A bi-monthly update on leading-edge care from

NON-PROFIT U.S. POSTAGE

PAID UNITED MAIL

1850 State Street New Albany, IN 47150

HealthScope is published by Floyd Memorial Hospital and Health Services. 1850 State Street New Albany, Indiana 47150 If you no longer wish to receive marketing/communications materials from Floyd Memorial Hospital and Health Services, please call 1-800-476-8723. Cindy Ferree Editor, Writer Angie Rose Director of Marketing & Customer Relations, Writer Angie Glotzbach Writer Stacey Rudy Contributor HOW TO HELP HealthScope is designed to support our Healthier Community Initiative by providing up-to-date health tips and wellness information to benefit our community’s health. Through this publication, the Floyd Memorial Foundation hopes to encourage healthier active lifestyles for the residents of Southern Indiana. As a non-profit organization, Floyd Memorial relies on your support of our Foundation to provide health screenings, educational programs and hospital improvements. To learn how to help, visit FloydFoundation.org or call (812) 949-5519. CAREER OPPORTUNITIES Visit “Careers” at FloydMemorial.com to find out more about exciting career opportunities available at Southern Indiana’s premier regional healthcare provider. VOLUNTEER OPPORTUNITIES Visit FloydMemorial.com/Volunteer or call (812) 948-6734 for information about our rewarding volunteer programs.

Sports Medicine Program Gets Athletes Back in the Game

Is it Asthma or Vocal Cord Dysfunction? Scope it Out: March is Colon Cancer Awareness Month Options Abound for Rheumatoid Arthritis Relief Know Your Risk With an $89 Lung Cancer CT Screening

Floyd Memorial Medical Group Opens a Second Office in Corydon

Reggie Lyell, MD

Family medicine physician, Reggie Lyell, MD, and family nurse practitioner, Gena Lyell, NP-C, are now seeing patients at their new office, Floyd Memorial Medical Group – Corydon Family Care, located in suite 130 at 313 Federal Drive in Northfield Plaza in Corydon. For any questions regarding this transition, please contact the office at (812) 734-3952.

Floyd Memorial Welcomes Dr. Stewart

Floyd Memorial Hospital and Health Services is pleased to announce that Louisville Surgical Associates’ board certified general surgeon, Robert Stewart, MD, is now working in collaboration with Floyd Memorial Medical Group – Surgery, where he is practicing full time. Dr. Stewart’s areas of expertise include all aspects of general surgery; including laparoscopic procedures, gastrointestinal, endoscopy, breast surgery and wound care. Dr. Stewart is a graduate of the University of Louisville School of Medicine and completed his residency training at Good Samaritan Hospital in Robert Stewart, MD Cincinnati. Dr. Stewart will practice in conjunction with board certified general surgeons, Douglas Berg, MD, and Lanny Gore, MD, at Floyd Memorial Medical Group – Surgery, located in New Albany at 2125 State Street, Suite 3. For more information or to schedule an appointment with Drs. Stewart, Berg or Gore, call (812) 949-5575. *Louisville Surgical Associates is a member of Jewish Physician Group, a part of KentuckyOne Health

Floyd Memorial Urgent Care Welcomes Dr. Eversole Floyd Memorial Urgent Care Center Highlander Point welcomed board certified emergency medicine physician, James Eversole, MD, on December 15, 2013. Dr. Eversole James Eversole, MD graduated from the University of Louisville School of Medicine in 1988 and completed his residency in emergency medicine from Wright State University in 1995. Dr. Eversole is now practicing full time at the Urgent Care Center at Highlander Point in Floyds Knobs.

Gena Lyell, NP-C

Thanks to Our Volunteers Floyd Memorial would like to thank our volunteers for their selfless dedication and hard work. Volunteers greet our patients and visitors at the information desk, sell items in the Gift Shop, act as patient and family advocates, assist staff and perform various duties in departments throughout the organization. National Volunteer Week is April 6-12 and we are celebrating with a volunteer appreciation banquet on April 9 at the Calumet Club. For information on becoming a volunteer, call (812) 948-6734 or visit FloydMemorial.com/Volunteers.

River Cities Cardiology Relocates to the Quadrangle The physicians and staff of River Cities Cardiology are excited to announce that their practice has relocated to 41 Quartermaster Court in Jeffersonville. The new space, which is located in the historic Quadrangle center off 10th Street, houses separate offices for River Cities Cardiology, the Cardiovascular Center (diagnostics) and Cardiac Rehab with the goal of giving patients an overall better experience and ease of access. The practice hours will remain the same, and as always, the physicians will continue to practice at Floyd Memorial, Clark Memorial and Scott Memorial Hospitals. If you have any questions, please do not hesitate to call the River Cities Cardiology office at (812) 282-1617, Cardiac Rehab at (812) 284-6000 or the Cardiovascular Center at (812) 542-4900.

2014 Medical Staff Officers Named

C.M. Hocker, Jr., MD 2014 Floyd Memorial Chief of Staff

Phillip Johnson, MD 2014 Floyd Memorial Vice-Chief of Staff

John Conner, MD

2014 Floyd Memorial Secretary/Treasurer

C.M. Hocker, Jr., MD, will act as Floyd Memorial’s 2014 Chief of Staff, with Phillip Johnson, MD, serving as Vice-Chief of Staff and John Conner, MD, serving as Secretary/Treasurer. Dr. Hocker is a board certified family medicine physician with Floyd Memorial Medical Group – State Street in New Albany, Dr. Johnson is a board certified family medicine physician with Floyd Memorial Medical Group – Physician Associates of Floyds Knobs and Dr. Conner is a board certified orthopedic surgeon in New Albany.

C.A.R.E. for you

Nutrition

Guardian Angels Congratulations to Floyd Memorial’s recent Guardian Angel recipients: The Guardian Angel program offers patients and visitors a way to say

thank you to a special associate, physician or volunteer who has made a positive difference in their hospital experience by making a donation in their honor to the Floyd Memorial Foundation. For more information, call (812) 949-5803. Missy Denny, RN Ambulatory Services Rachel Burrows, RN Janet Folden, RN Melanie Kaiser, RN Sara Moore Julie Willoughby, RN Birthing Center Cardiac Cath Lab and OPCV Team Nicole Harget, RN CVCU Department Brandi Steier Coffee Shop Kelly Owens Environmental Services

Melissa Baker, NP-C FMMG – New Albany Ruth Heideman Foundation Betty Jett Medical Care Management Carla Layne, ARNP, CNM OB/GYN Associates of Southern Indiana Aniefiok Uyoe, MD FMMG – Orthopedics Carol Naegele, RN Outpatient Cardiovascular

Cafeteria Helping Guests Make Healthy Choices

Floyd Memorial Food and Nutrition Services is excited Visit our NetNutrition® Kiosk to announce another for all the information you positive improvement need to make an informed to our dining experience. decision on what to eat. Cafeteria patrons now have access to nutrition facts about our daily menu items to help them make better healthy eating decisions. Persons with food allergies and sensitivities will especially appreciate the system’s ability to scan offerings for gluten, dairy, soy and more. In addition, the CARE for You program will help patrons put together healthy meal selections. All food items on the menu that make up a

balanced, healthy, low-calorie meal will have a CARE for You symbol located next to them. Multiple Access Options A touch-screen kiosk located in the dining area is wired with “Net Nutrition,” a software solution that allows patrons to build and analyze meals right down to the last calorie. In addition, patrons can access Net Nutrition by visiting FloydMemorial.com and going to the General Info tab, then selecting CARE for You Nutrition. We are proud to be a driving force in helping our guests to make the healthiest choices possible. Scan this QR Code for all the information you need to make an informed decision on your choices at the Floyd Memorial Cafeteria.

Bearno’s Wins Heart Healthy Dining Out People’s Choice Award! The 3rd annual Heart Healthy Dining Out event was held on February 25, with our largest turnout yet. Over 200 people enjoyed a presentation from interventional cardiologist, Surender Sandella, MD, followed by visits to a variety of heart health information booths, and samples of great heart healthy food from our local restaurant community. Attendees voted on their favorite offerings, and the winner was Bearno’s with their vegetarian lasagna and salad. Bearno’s has locations in Floyds Knobs, New Albany, Jeffersonville and Louisville. Tan Thai, of Charlestown Road in New Albany, came in second place with their chicken with green beans and steamed rice. Bread and

Breakfast, a new eatery in downtown New Albany, rounded it out with third place for their vegetarian egg white omelet, vegetarian panini and sugar free breakfast crème tart. Other participating restaurants included Aladdin’s Café, another new addition to downtown New Albany, Culver’s of Corydon and soon to be in Jeffersonville, Floyd Memorial Food and Nutrition Services, Louis Le Francais of downtown New Albany, and Sweet Frog Premium Frozen Yogurt of Clarksville. Thank you to all of our generous restaurant and information booth participants who made it a great night for our community to learn how to keep their hearts healthy!

On the cover...Floyd Memorial Sports Medicine Program physicians include, from left to right, Stan Schooler, MD, Aniefiok Uyoe, MD, Kris Abeln, MD, and John Conner, MD. Not pictured: Edward Bell, MD.

Nina Hitner Outpatient Rehab Sherry Morris Outpatient Surgery Pat Messenger Patient Registration Kirstin Yeager, RN Surgical Inpatient Unit Susie Hardesty Sitter Michelle Duckworth, RN Emergency Department

Looking for a Physician? Call Floyd Memorial’s Physician Referral Line at 1-800-4-SOURCE (1-800-476-8723) or visit us online at FloydMemorial.com. We can help you find the doctor who’s just right for your specific needs. New Physicians Charles Kemper, MD Allergy and Immunology 1316 Duncan Avenue Jeffersonville, IN 47130 (812) 282-3772 Emily Pittman, MD Pediatrics Kids First Pediatric Specialists 2201 Concord Ave., Suite #100 Corydon, IN 47112 (812) 738-1200 James Rizzo, MD Pathology Floyd Pathology Associates 1850 State Street New Albany, IN 47150 (812) 948-7408 Robert Stewart, MD General Surgery Louisville Surgical Associates 2125 State Street, Suite 3 New Albany, IN 47150 (812) 949-5575 Mari E. Wargo-Dorsey, DPM Podiatry Indiana Foot and Ankle Specialists 1239 Woodland Drive, #101 Elizabethtown, KY 42701 (270) 737-3338 Samuel R. Watkins, Jr., MD Urology First Urology 101 Hospital Boulevard Jeffersonville, IN 47130 (812) 282-3899 3

Sports Medicine Program Gets Athletes Back in the Game With spring sports starting up, it’s important to know where to turn if you or your loved one is injured in a game. The Sports Medicine Program at Floyd Memorial consists of a comprehensive lineup of specialists who team up to treat athletes of all ages and abilities. Middle and high school athletes, college athletes and recreational athletes at any level are evaluated and treated. Common sports injuries include: • Foot and ankle fractures and sprains • Muscle strains • Muscle/tendon overuse injuries • Stress fractures • Rotator cuff and shoulder injury • Labrum tears in the shoulder • Elbow injury • Achilles and elbow tendonitis • Hand and wrist injury • Hamstring and groin strains • Head injury and concussion • ACL and meniscus tears in the knee • Runner’s knee • IT band syndrome in the knee • Osgood-Schlatter disease in the knee • Sever’s disease of the heel • Shin splints • Neck and low back pain Starting Lineup Floyd Memorial’s team consists of sports medicine physicians with special training in the treatment of common sports injuries, orthopedic surgeons and physical therapists. Each has years of experience and specialized training to help get athletes back in the game and stay healthy. Board certified, fellowship trained sports medicine physician and orthopedic surgeon, Kris Abeln, MD, who works with many local high school athletic teams and the University “If surgery for an injury is required, Floyd Memorial offers outpatient arthroscopic techniques that help reduce recovery time, decrease scarring and cause less trauma to the connective tissue.” dward Bell, MD E Board Certified Orthopedic Surgeon

extremity injury, if you can quickly bear weight on it with minimal pain and it responds to ice, elevation and anti-inflammatories, you may be able to wait on treatment. If it doesn’t respond to those things, you should see a primary care or sports medicine physician. Upper extremity issues should be seen immediately if there is a deformity, loss of motion or grinding sounds. All of these can be indications of a more severe injury,” said Dr. Abeln.

Before beginning any sports activity, gradually strengthen and build muscles to help avoid injuries.

of Louisville and Indiana University Southeast, explained, “As sports medicine specialists, our goal is to first help prevent injury, then protect and treat the injuries to get the athlete back in the game as quickly and safely as possible. Orthopedics is a rapidly developing field and being up-to-date on the latest techniques and technologies is important to help athletes with common or more complicated injury issues.” “The specialists on our Sports Medicine Program team work with many local middle and high schools and colleges. Most of our outpatient physical therapists are former athletes themselves. Our experience and training make Floyd Memorial’s program competitive with all other programs in the region,” he said. Knowing when to seek treatment is important. If your child is a school athlete, follow the advice of your school’s athletic trainer. If you don’t have one, there are some guidelines you can follow. “With a lower

Prevention is Key Board certified orthopedic surgeon, Edward Bell, MD, added, “Many sports injuries occur due to improper warm-up or because the level of intensity was increased too quickly. You should always take time to warm-up before exercise and should slowly build muscle and strength when starting a new program or sport.” Certified pediatric and adult sports medicine physician, Stan Schooler, MD, works with athletic trainers at New Albany High School and Floyd Central High School football, among others. He explained, “I see a lot of kids from every sport with overuse injuries as well as growth center injuries in the hips, knees, heels and elbows. Growth centers are places between bones that have not fully developed and muscle tone is not built up enough to support the joints. Proper time to rest and the appropriate exercise with resistance bands starting with the core muscles of the hip have a cascading effect and also help strengthen the knees and ankles.” “Concussion is also a common injury seen by general practitioners. Indiana state law has standards that must be strictly adhered to in order to allow safe return to play after a concussion. Players need seven days of rest and should show no symptoms of headache or dizziness with aerobic exercise to avoid second impact syndrome, which can cause serious damage, even death. Psychological testing can

“Most sports injuries don’t require surgery. If you catch problems early, they are easier to treat and prevent further damage and injury.”

“Not all sports injuries happen to world class athletes or to people on a team sport, we see all different age groups with varying levels of severity.”

John Conner, MD Board Certified Orthopedic Surgeon

Aniefiok Uyoe, MD Board Certified and Fellowship Trained Orthopedic Surgeon Floyd Memorial Medical Group – Orthopedics

also help determine if a player is ready, along with imaging studies for some athletes. A player can also have Impact™ testing to evaluate the concussion and if they score above a certain norm, they can return to play.” “It’s a delicate issue with parents who want their child to be the best on their team, and I have to convince them to let their child rest and heal from an injury. Many student athletes are involved in multiple leagues and sports at the same time and are wearing out their bodies. The kids are trying to impress the coaches, playing through pain, and coaches can be aggressive. So I may tell coaches or parents that a child needs to modify the activity level and take some time to rest. Childrens’ bodies are resilient and heal pretty quickly,” he said. Fractures and Injuries Requiring Surgery Board certified orthopedic surgeon, John Conner, MD, explained, “Most sports injuries don’t require surgery. If you catch problems early, they are easier to treat and prevent further damage and injury.” Board certified, fellowship trained orthopedic surgeon, Aniefiok Uyoe, MD, added, “With bone fractures, we are consistently improving the overall treatment. There are different types of immobilization tools, water-resistant casting and moldable splints. Sometimes surgery for a fracture is required. Bone grafts can also help promote healing in these cases.” “If surgery for an injury is required, Floyd Memorial offers outpatient arthroscopic techniques that help reduce recovery time, decrease scarring and cause less trauma to the connective tissue,” explained Dr. Bell. Common injuries requiring arthroscopic surgery include rotator cuff injury; meniscus tears in the knee; damage to the anterior cruciate ligament of the knee (ACL); inflamed lining in the knee, shoulder, elbow, wrist or ankle; carpal tunnel release; torn ligaments and removal of loose bone or cartilage in the knee, shoulder, elbow, ankle or wrist.

Free Sports Injury Screenings Every Wednesday, 3 – 4 pm on a walk-in basis

All Floyd Memorial Physical Therapy locations. Open to middle and high school athletes. Receive an evaluation and treatment recommendations for your sports-related injury.

Free Physical Therapy Screenings

By appointment

All Floyd Memorial Physical Therapy locations. Open to everyone. Receive an evaluation and treatment recommendations for your orthopedic issue, injury or neurological disorder. Call (812) 948-7416 for more information.

Physical Therapy Former Bellarmine University pitcher and doctor of physical therapy at Floyd Memorial Physical Therapy Highlander Point, Nate Nevin, PT, DPT, explained, “We see all kinds of sports injuries, but overuse injuries in the knees and shoulders are the most common, and are preventable. Our physical therapists are specially trained in sports medicine. With an injury, exercise may help you get back in the game more quickly. It can also be helpful to prevent an injury in the first place. But it must be the right exercise with correct technique. If done incorrectly, it can do more harm than good. We can teach athletes the proper way to rehab their injury. If you have any doubts about correct techniques, sometimes it only takes one visit to show you how to do it right.” Former fullback at Western Kentucky University and current football coach at North Harrison High School, Gary Fessel, PTA, Floyd Memorial Physical Therapy – Corydon, explained a common sideline injury question. “Typically, if an acute, short-term injury has swelling, you should ice it for 10 minutes at a time, several times throughout the day, and take anti-inflammatories to decrease blood flow which, in turn, helps decrease swelling. Generally, if you follow the rules of RICE (rest, ice, compression and elevation) and it doesn’t help, you may need to seek treatment. All four Floyd Memorial Physical Therapy locations in New Albany, Floyds Knobs and Corydon offer free sports injury screenings every Wednesday from 3 to 4 pm to determine where your plan of care should go, or we can try a couple of exercises to lead you in the right direction.” For more information on Floyd Memorial’s Sports Medicine Program, call (812) 944-2663 or visit FloydMemorial.com/Sports.

“As sports medicine specialists, our goal is to first help prevent injury, then protect and treat the injuries to get the athlete back in the game as quickly and safely as possible.” Kris Abeln, MD Board Certified and Fellowship Trained Sports Medicine Physician and Orthopedic Surgeon Floyd Memorial Medical Group – Orthopedics

Tips to avoid injury: • Gradually increase exercise and training time and intensity. • Warm up before exercise. • Don’t work out on an empty stomach – eat about two hours before exercise. • Drink plenty of fluids before, during and after exercise. • Have a recovery meal after exercise. • Listen to your body. If you experience pain, weakness or light-headedness, don’t push through it. • Stretch with appropriate techniques that promote good body mechanics. • Take advantage of massage. It helps improve circulation, good muscular health and general wellbeing. • Use ice baths to help reduce muscle soreness. • Take time to rest and recover, and get enough sleep to boost immunity. • Dress properly. Use appropriate safety equipment for your sport including proper footwear and clothing.

With sports medicine you have “ to try to be flexible to let athletes play, but they have to be able to return safely. It’s a delicate issue with parents because they want their child to be successful in sports, but we have to let the child rest to heal from an injury.” Stan Schooler, MD Board of Certified Adult & Pediatric Sports Medicine, Emergency and Urgent Care Medicine Physician Active Athletes Sports Medicine Floyd Emergency Medicine Associates 5

Is it Asthma or Vocal Cord Dysfunction? Spring time brings new growth, warmer temperatures and higher pollen counts. As if it isn’t hard enough for some people to breathe during this transition, for many suffering from asthma or another commonly misdiagnosed condition, known as vocal cord dysfunction (VCD), getting to the root of the problem can be tricky. What is VCD? If asthma medications don’t seem to ease symptoms of coughing, wheezing, throat tightness and hoarseness, you may be suffering from VCD or both asthma and VCD. Though they share similar triggers and symptoms, each has very different treatments. Normally, vocal cords are open during breathing and close during swallowing. When you talk, they vibrate to create sound and speech. VCD occurs when the vocal cords do not open correctly and close during breathing. It usually involves sudden episodes of breathing difficulty verses a chronic feeling of shortness of breath. Triggers for both asthma and VCD include acid reflux (GERD), upper respiratory infections, allergies and post-nasal drip. Some athletes are prone to VCD attacks brought on after beginning exercise, but symptoms can also be induced with strong odors or fumes, smoking, significant stress or performance anxiety. There is also a high incidence in females and those with type-A personalities. Symptoms include: • Wheezing with frog or goose-like sounds • Chronic cough or clearing of the throat • Shortness of breath • Upper chest or throat tightness • Intermittent hoarseness According to research, an estimated five percent of athletes have VCD, which can severely impact performance. Your physician may suspect VCD if: • When symptoms flare up, it is harder to breathe in than to breathe out “It’s amazing to watch the relief and confidence come back when the problem is pinpointed and therapy is effective. I love when a mom calls to tell me how well their child did at a game after learning easy techniques to stop the episodes.” Susan Mathews, MS, CCC-SLP Speech Language Pathologist Floyd Memorial Hospital 6

• Asthma medications, such as Albuterol or inhalants, don’t ease the symptoms • Breathing tests such as a pulmonary function test for asthma are normal and oxygen levels are not affected • Symptoms are not due to a respiratory infection, an obstruction in your airway or other health problem • Symptoms typically flare up less than five minutes after beginning exercise Floyd Memorial has a state-of-the-art video stroboscope, which records images of the vocal cords at rest and during vibration or speaking to detect any issues. The video stroboscope images, along with the help of expertly trained speech language pathologist, Susan Mathews, MS, CCC-SLP, can quickly and accurately pinpoint the problem while symptoms are occurring. She explains, “We take images before the VCD episode then when symptoms are occurring. The stroboscope is portable, and symptoms can be induced chemically or by exercising on a treadmill. During a VCD attack, we can literally watch the vocal cords closing while the patient is trying to breathe.” Speech Therapy Can Help Adult and pediatric sports medicine physician, Stan Schooler, MD, explains, “The emotional effects of VCD can exacerbate the condition. Added stress and anxiety from the inability to breathe can make the condition worse. So, learning to control breathing is essential. That’s where the help of a speech therapist comes in.” Speech therapy treatment involves learning relaxation of the larynx with simple exercises to take tension off the neck and put it somewhere

Options Abound for Rheumatoid Arthritis Relief

“Helping an athlete get off four or five medications is gratifying. Floyd Memorial has the technology and an expertly trained speech therapist to test and treat VCD quickly and accurately. I encourage coaches, parents and athletes to seek treatment if you notice symptoms of VCD.” Stan Schooler, MD Board Certified Adult and Pediatric Sports Medicine, Emergency and Urgent Care Medicine Physician Active Athletes Sports Medicine Floyd Emergency Medicine Associates

Normal opening of the vocal cords during breathing.

With VCD, the vocal cords close during breathing.

else, such as the lips. Also, deep breathing exercises using the diaphragm and abdominal muscles are used to help control breathing. Susan explains, “VCD is not in the patient’s head, but a medical condition that can easily be treated. We’ve helped everyone from tuba players, to dancers, to football players get control of VCD and thrive. Many patients are able to reduce or eliminate some or all of their medications as well.” If you suspect that you or your loved one is experiencing vocal cord dysfunction, speak with your primary care physician or a sports medicine physician about testing for the condition.

Vocal cord dysfunction (VCD) is often mistaken for exercise-induced asthma (EIA). The differences in symptoms can help differentiate the two conditions. VCD

EIA

Tightness

in throat

middle or lower chest

Wheezing or high-pitched sound

frog or duck-like sounds when breathing in or out

wheezing is most common

Recurrence

symptoms can recur immediately and more severely when exercise resumes

symptoms tend to be less severe when exercise resumes (after bronchodilator use)

Recovery time

may take less than 10 minutes

usually takes up to an hour without medication or immediately with an inhaler

Medications

Inhaler has no effect

Inhaler stops symptoms quickly

Oxygen levels

Oxygen levels normal during episode

Abnormal oxygen levels during episode

Approximately 1.5 million Americans have rheumatoid arthritis (RA), affecting about three times as many women as men. RA is a chronic inflammatory systemic disease that affects the entire body, especially the small joints in your hands and feet. It occurs when your immune system attacks healthy tissue including the lining of the joints, which causes painful swelling that very quickly can result in bone erosion and deformity of the joint. Severity of the disease differs from person to person and symptoms may include pain, stiffness, general fatigue, weakness, swelling and loss of function in the joints, including the hips, knees and shoulders. Those suffering from RA can also develop secondary Sjogren’s syndrome – dryness of the eyes and mouth. Commonly, RA causes vision problems and the inflammation associated with it can cause pulmonary fibrosis and coronary artery disease. Treatment Mohsen Ehsan, MD, a rheumatologist with over 30 years of experience, explained, “Don’t ignore the pain and swelling of the joints. If stiffness lasts more than 15 to 20 minutes, you should seek treatment from your primary care physician. If treated quickly, and monitored

regularly, we are able to stop the destruction of the joints. Rheumatoid arthritis, or any pain in the joints, should be taken very seriously. The more you know about the disease and understand it, the better you will handle it.” There is no cure for rheumatoid arthritis, but treatments have come a long way in the past several years. Dr. Ehsan continued, “The most important treatment of RA begins with diseasemodifying medication, or remission medication, which should be started as soon as possible. Treatment first begins with the use of the drug Metotrexate, which reduces inflammation and slows the progression of the disease. If that isn’t effective, biologic medications can be added.” Biologic drugs are genetically engineered proteins derived from human genes that target specific components of the immune system. “In most cases, drug combination therapy is most effective in stopping the progression of the disease without adding significant risk of side effects.” Your rheumatologist will monitor your disease level and inflammation with regular exams, blood tests and X-rays.

“Don’t ignore the pain and swelling of the joints. If stiffness lasts more than 15 to 20 minutes, you should seek treatment from your primary care physician. If treated quickly, and monitored regularly, we are able to stop the destruction of the joints that rheumatoid arthritis causes.” Mohsen Ehsan, MD Board Certified Rheumatologist

Relief Through Aquatic Therapy Physical therapy, especially aquatic therapy in conjunction with disease modifying medication, can be very effective in treating RA. Floyd Memorial Physical Therapy Charlestown Road in New Albany is equipped with an aquatic therapy pool. Floyd Memorial doctor of physical therapy, Jim Snyder, PT, DPT, explains, “The therapeutic qualities of the warm water, kept between 94 and 96 degrees, help ease the pain and allow for a greater range of movement. The buoyancy of the water keeps pressure off the joints and allows patients more freedom of movement with greater joint protection.” “Many RA patients have joint and soft tissue restrictions, so we do stretching and range of motion exercises initially, then progress to light strengthening as tolerated. We constantly monitor pain levels, making sure not to over-exercise or push too hard. Many RA patients also have balance issues, so we work on those in the pool, a much safer environment than on land. Generally our RA patients have a sense of relief, feel much better and find great benefit from their aquatic therapy sessions,” he said. “Generally our RA patients have a sense of relief, and find greater benefit from their aquatic therapy sessions than traditional land-based therapy.”

Floyd Memorial Physical Therapy – Charlestown Road is equipped with an aquatic therapy pool that can offer significant relief to RA patients.

Jim Snyder, PT, DPT Doctor of Physical Therapy Floyd Memorial Physical Therapy – Charlestown Road

Tips for Protecting Your Joints Use proper body mechanics: • While sitting: Have good back and foot support with forearms and upper legs level with the floor. • While typing: Use wrist or forearm support if you use a keyboard for long periods of time and your chair doesn’t have arms. • While standing: Avoid stooping over while working standing up. Adjust the height of your work surface if necessary. • To pick up items on the floor: Sit in a chair and bend over or stoop by bending your knees and hips. • Carry heavy objects close to your chest, supporting the weight on your forearms.

•M aintain good posture. Poor posture causes uneven weight distribution and may strain your ligaments and muscles. •M ove each joint through its full pain-free range of motion at least once a day. Joint flexibility varies from day to day. Keep movements slow and gentle. •C hoose the strongest joint available for the job. Save your smaller, weaker joints for the specific jobs that only they can accomplish. • S pare your fingers as much work as possible. In particular, try to avoid prolonged pinching or gripping.

•K eep moving. When writing or doing handwork, release your grip every 10 to 15 minutes, or when your hand feels fatigued. On long car trips, take stretch breaks every hour or two. • L earn to understand your joint pain. Understand the difference between the general discomfort of arthritis and the pain from overusing a joint. Arthritis pain that lasts more than an hour after an activity means that activity was too stressful. •B alance work and rest. Work at a steady, moderate pace. Rest before you become fatigued or sore, and alternate light and moderate activities throughout the day. 7

Know Your Risk with Lung Cancer CT Screening “Yearly lung cancer CT screening is recommended for smokers who have what we call a 30-pack-year smoking history. That means if you’ve smoked one pack a day for 30 years, two packs a day for 15 years or three packs a day for 10 years, you should be getting yearly screenings in order to catch any potential cancerous abnormalities as early as possible.” Ajay Kandra, MD Board Certified Oncologist/Hematologist Floyd Memorial Cancer Center of Indiana

Know Your Risk for Just $89 The Floyd Memorial Cancer Center of Indiana offers lung cancer CT screenings for just $89 for patients interested in knowing their risk of developing the disease. The test utilizes computed tomography (CT) scanning technology, and is safe, quick and painless. Call patient navigator, Mindi Burch, at (812) 981-6208 to make an appointment today. • No physician order required • Same-day review of your results with our patient navigator • Special rate of just $89 self-pay (screenings are not currently covered by Medicare, Medicaid or other insurance plans) • If suspicious results are found, a physician consultation will be scheduled and our patient navigator will work with you to ensure timely follow-up with the appropriate specialists, according to your individual results “Lung cancer screening is done with low-dose CT scanning technology that uses about the same amount of radiation as a mammogram. It’s a very safe, well proven test.” Mindi Burch, RT, (R), (CT), (M), CNMT Patient Navigator Floyd Memorial Cancer Center of Indiana 8

Lung cancer takes more lives than any other form of cancer, and in the Kentuckiana area, the impact is particularly high. The most important way to prevent lung cancer is to quit smoking. But if you are a current or past smoker, you should know the facts about lung cancer screening-it could save your life. How Lung CT Screening Works “Computed tomography (CT) lung screening has been proven to reduce lung cancer mortality by 20 percent,” said oncologist/hematologist, Ajay Kandra, MD. “I can’t over state how enormously effective that is. Screenings for other cancers such as mammography for breast cancer and colonoscopy for colon cancer have become commonplace and well accepted as a necessary part of aging. Lung cancer screening for smokers is on its way to joining those ranks.” Who’s a Candidate? Criteria for CT lung screening is determined by the length of time and quantity of smoking that a person has been exposed to. “If you’ve smoked for ‘30-pack-years,’ which means one pack a day for 30 years, two packs a day for 15 years or three packs a day for 10 years, you are a candidate for lung cancer screening,” explained Dr. Kandra. “This screening is so proven, that we’ve made it as accessible as possible for people to participate in. A physician referral is not required, and the price of just $89 is extremely reasonable. Screening may soon be covered by your insurance, so stay tuned. If abnormal results are found, your insurance will likely provide coverage for further care.” Why is Screening So Important? “Lung cancer is one of those cancers that typically doesn’t produce symptoms until it’s in the advanced stages,” explained Dr. Kandra. “While treatment options for stages three and four are available, survival rates are far better when the cancer is caught in stage one or two. For example, the National Cancer Institute estimates that five-year survival rates for stage four lung cancer are one percent, compared to 49 percent for stage 1a, the earliest stage at which it can be found.” He continued, “Screening can catch abnormalities such as cancerous nodules before they grow large enough to cause symptoms. It can also give you an idea of how often you should be screened in the future, so that we can track the growth of any nodules. If a non-cancerous nodule is documented at a certain size at your first

Lung Cancer Risk Factors that Qualify for CT Screening • 30-pack-year history of smoking • History of smoking, and age 50 to 74 • Exposure to asbestos, and history of smoking • First degree family history of lung cancer, and age 50 or older screening, we know to look for any growth at subsequent screenings, which would indicate potentially cancerous activity.” Patient Navigator Steers the Path At the Floyd Memorial Cancer Center of Indiana, we’ve developed a lung cancer program that includes a patient navigator who acts as the patient’s chief point of contact from the very beginning. Mindi Burch, RT, (R), (CT), (M), CNMT, is just that person. “I have over 29 years of radiology experience, so I’m very familiar with lung cancer patients, and the fear and confusion that can come with this diagnosis. My role as a patient navigator is to be that person who’s ‘always on first’ for each of my patients. From scheduling the screening, to delivering results and communicating with all of the specialists involved in the treatment process, my number one goal is make it as easy, smooth and successful as possible for each and every patient.” “I can schedule follow up appointments and help make connections to resources such as financial assistance, help with quitting smoking, counseling or help with transportation,” she added. “And most importantly, I ensure that every physician and caregiver involved in my patients’ care is always on the same page regarding their treatment plan. Communication is extremely important when you’re in the cancer treatment process, and I’m here to make sure that always happens the right way.” Ready to Quit? The Indiana Tobacco Quit Line offers free and confidential one-on-one coaching for smokers 24 hours a day, 7 days a week. A trained quit coach will work with you to provide solutions tailored to your needs. Free counseling is even available for your family and friends to help them learn how to support you along the way. Visit www.in.gov/quitline or call 1-800-QUIT-NOW to start taking control today.

Prevent Colon Cancer with Regular Screening and a Healthy Lifestyle “The best surgery is always the least surgery. If you discover polyps during a colonoscopy screening before they’ve turned into cancer, you can prevent the need for surgery and chemotherapy treatment altogether.” Douglas Berg, MD Board Certified General Surgeon Floyd Memorial Medical Group – Surgery Scope it Out: Prevent Colon Cancer with Diet and Exercise Tuesday, April 22, 6-7:30 pm This free seminar will focus on how you can follow simple strategies to prevent colon cancer. General surgeon, Douglas Berg, MD, will present on the importance of regular colonoscopy screening and treatment options available. Registered dietitian, Whitney Dunagan, RD, will discuss how a healthy diet can prevent the incidence of colon cancer, and give helpful tips and tricks. Floyd Memorial executive chef, Debbie Richter, will demonstrate how to prepare an easy, vegetable-filled, fiber-rich meal that will be available for all to sample. Other healthy food options will be available for sampling, and healthy lifestyle booths with great giveaways such as a free one month pass to the YMCA, free Pilates/yoga classes, free pedometers, colon cancer screening kits and more will be available. Call 1-800-4-SOURCE or visit FloydMemorial.com/Events to register.

Fruity Chicken Salad “This is a great example of how to turn a well-loved dish into a healthier, tastier treat,” said dietitian, Salisa Lewis, MS, RD. Makes 4 servings. Prep time: 15 minutes or less 2 cups (8 oz) cooked, chopped chicken breast 2 scallions, thinly sliced 1 apple, chopped 1 celery stalk, finely chopped 1/4 cup dried sweetened cranberries 2-3 Tablespoons reduced-fat mayonnaise (for sweeter salad, use vanilla lowfat yogurt) 2 Tablespoons chopped fresh basil or parsley or 1 Tablespoon chopped fresh tarragon (optional) 1/4 cup slivered toasted almonds salt and freshly ground pepper Combine chicken, scallions, apple, celery, cranberries and two tablespoons of mayonnaise. Add herbs, salt, pepper and more mayonnaise as desired. Stir gently. Add toasted almonds before serving. To toast nuts, bake at 350 degrees for about 5 minutes or cook in a dry skillet until golden brown and aromatic. Cool before using.

March is colon cancer awareness month, so we gathered three experts; gastroenterologist, Matthew McCollough, MD, general surgeon, Douglas Berg, MD, and dietitian, Salisa Lewis, MS, RD, to give us their best advice on how to prevent this all too common disease. You should be getting regular colonoscopies if you are aged 50 or older. “If you have no family history of colon cancer, you should schedule a colonoscopy screening every 10 years starting at age 50. African Americans are at higher risk, and should begin screening at age 45. However, if you have a family history, you should have screenings every five years beginning at age 40, or 10 years prior to your closest relative’s age at the onset of cancer, if that is less than 40. For example, if your father got colon cancer at 45, you should be screened every five years beginning at age 35. But if polyps are found during your colonoscopy, the frequency at which they should be repeated will be increased, according to your physician’s recommendation,” explained Dr. McCollough. Symptoms or not, get screened. “One of the biggest misconceptions is that you don’t need a colonoscopy if you aren’t experiencing symptoms,” said Dr. Berg. “That couldn’t be further from the truth. The entire focus of preventive treatments like colonoscopy is that they combat the problem early on, before it gets out of control. Colon cancer doesn’t produce symptoms until the later stages of the disease, when it’s more difficult and complicated to treat. Polyps, which are the growths in the colon that cause cancer and can be easily removed during a colonoscopy, don’t bleed, cause pain or cause changes in bowel habits. The only way to know if you have them is to be screened.” Colon polyps are very common. At least 25 percent of men and 15 percent of women have them. “Of course we can’t predict whose polyps will turn into cancer and whose won’t, but the goal of colonoscopy screening is to eliminate them completely before they have the chance to become cancerous in the first place.” added Dr. Berg. “It’s also important to ask the doctor performing your screening what their adenoma detection rate, or the percentage of patients they find with polyps, is. You want someone who is experienced at locating polyps and has a high rate,” said Dr. McCollough. “Finding polyps in 25 percent of men and 15 percent

Colon cancer is the third most “ common cancer in American men and women. While genetics is the chief factor, diet and lifestyle also play a significant role, making it one of the most preventable types of cancer, as well.” Matthew McCollough, MD Board Certified Gastroenterologist Gastroenterology of Southern Indiana of women is considered the minimum that is acceptable. The higher your doctor’s detection rate, the more skilled they tend to be at performing the procedure, and the less likely they are to miss something that could turn into cancer down the road.” If you have health insurance, your policy probably covers a colonoscopy. Healthcare reform has made colonoscopy a fully covered preventive service for most people with insurance, meaning the individual’s out of pocket cost is usually very little. Check with your provider to confirm your exact coverage, but whatever you do, don’t let fear of high expenses keep you from being screened. What goes in must come out. “If you put unhealthy food into your body, you’re going to get unhealthy results on the other side,” explained Salisa. “Colon cancer can be just one of those. Eating a balanced, healthy diet that’s rich in natural whole plant foods is one of the most important things you can do to lower your risk of colon cancer and stay healthy longer.” Make fruits and vegetables your ally. “Inflammation of the colon is a side effect of an unhealthy diet, and a significant risk factor for cancer,” said Dr. McCollough. “But brightly colored fruits and vegetables are rich in the antioxidants that clean up cancer-causing free radicals and reduce inflammation,” added Salisa. “They also happen to be high in fiber, which is what keeps the colon moving along regularly, and in turn keeps inflammation at bay.”

Free Colon Cancer Screening Kits Floyd Memorial Cancer Center of Indiana Front Desk Thanks to a generous grant from the Floyd Memorial Foundation, free occult blood colon cancer screening kits are available year round at the Cancer Center of Indiana.

Source: What to Eat During Cancer Treatment, American Cancer Society, 2009 9

MARCH/APRIL 2014 Calendar of Events

To register, call 1-800-4-SOURCE (1-800-476-8723), or visit FloydMemorial.com/Events, unless another number is listed. All events are free and meet in Floyd Memorial’s Paris Health Education Center unless otherwise stated.

SCREENINGS Stroke & Aneurysm Vascular Screenings Every Tuesday & Thursday by appointment at Floyd Memorial Hospital and Monday-Friday at Diagnostic Imaging – Corydon Stroke & Aneurysm Vascular Screenings are offered by the Floyd Memorial Heart & Vascular Center and Diagnostic Imaging – Corydon. They include non-invasive screening for Abdominal Aortic Aneurysm, Peripheral Artery Disease and Carotid Artery Disease. The cost is $49 for all three. To make an appointment at the hospital, call 1-800-4-SOURCE, or call (812) 734-3920 to make an appointment at the Corydon location. Free Blood Pressure Screenings 1:30 - 3 pm every other Friday in the main lobby March 28, April 11, 25, May 9 and 23. Free Take 2 for Heart and Stroke Screenings Thursday, April 3, May 1 and June 5 by appointment One-on-one screening with a registered nurse, full lipid cholesterol panel, blood pressure, blood sugar, blood sugar A1C and body mass index. Registration required. Free Joint Pain Screening Saturday, April 26, 7 - 11 am by appointment Floyd Memorial Wound Healing Center Free joint pain screening of knees, hips and shoulders featuring X-rays and consultation with an orthopedic surgeon. Registration required.

Free Skin Cancer Screenings Thursday, May 15, 9 - 10 am New Albany YMCA Thursday, May 22, 2 - 4 pm Floyd Memorial Cancer Center of Indiana Free skin cancer screenings by local dermatologists. Registration required. $89 Lung Cancer Screenings CT lung screening is a safe, quick test that is capable of detecting lung cancer at an early stage, when treatment can be most successful. If you are a current or past smoker age 50 to 74, have a 30-pack-year smoking history, a first degree family history of lung cancer and are age 50 or older, or have been exposed to asbestos and been a smoker, this screening could save your life. Referral not required. Cost is only $89 (due at time of screening), which includes a same-day review of your results with our patient navigator. To register, call (812) 981-6208. Free Colon Cancer Screening Kits Floyd Memorial Cancer Center of Indiana Free occult blood colon cancer screening kits are available for pickup at the Cancer Center of Indiana front desk.

Free Osteoporosis Screenings The pDXA screening is a scan of the bone density of the heel. The screenings take place in the Women’s Imaging Center and are offered by appointment only. To register, call (812) 949-5570. Free Sports Injury Screenings Every Wednesday, 3 - 4 pm All Floyd Memorial Physical Therapy Locations Free sports injury screenings by licensed physical therapists are available for middle and high school athletes on a walk-in basis. Visit FloydMemorial.com/Rehabilitation/Locations to find the location nearest you. Free Physical Therapy Screenings Weekdays by appointment All Floyd Memorial Physical Therapy Locations A licensed physical therapist will answer questions about your orthopedic issue, injury or neurological disorder, and give recommendations for treatment and/or follow up care. If necessary, we will recommend that you see a physician or specialist, or schedule a full visit for a more comprehensive physical therapy diagnosis and recommended treatment. Call (812) 948-7416 to schedule an appointment at a location near you.

HEALTH EDUCATION Indiana Blood Center Blood Drive Monday, March 17 and June 16, 12 - 5 pm Donate blood and give the gift of life. Free Bone & Joint Pain Seminar Tuesday, April 1, 6 - 7 pm Learn about advanced treatments that may offer dramatic relief of your knee or hip pain. An orthopedic surgeon and nurse will discuss medications, exercise and joint replacement surgery. Registration required. Kidney Disease Treatment Options Classes Thursday, April 10, May 8 and June 12, 10 am - noon Learn about the types of treatment for kidney disease including hemodialysis (home and in-center), peritoneal dialysis for home and kidney transplantation. Call (502) 895-1338 to register. Derby Dash Family Fitness Night Thursday, April 10, 6:30 - 7:30 pm Families - start off the spring season with a goal to be more physically active! Join trainer Natalie Allen, as she presents the need for family fitness and gives exercise and time management tips for the whole family. Parents and kids will be able to participate together in a fitness class as part of this seminar. Sponsored by the Floyd County Physical Activity Coalition. Registration required.

Free Pink Ribbon Pilates Classes Wednesdays, 4:30 & 5:30 pm Floyd Memorial Physical Therapy – Charlestown Road All breast cancer patients and survivors are invited to take advantage of these free one-hour pilates classes geared toward breast cancer recovery and ongoing wellness. Call (812) 945-3440 to reserve your spot, or visit FloydMemorial.com/Exercise for more information. Stroke Clinic Southern Indiana Rehab Hospital offers a free stroke clinic for anyone who has experienced a stroke. The survivor is screened by a variety of professionals including therapists, case managers, nurses and physicians who can review their ongoing recovery and make recommendations as needed. Contact: (812) 941-6120 or (812) 941-6154. Free Living Will & Advance Directives Seminar Monday, April 14, 6 - 7 pm Let your decision be known, while you’re able. Speakers will present on living wills, durable powers of attorney, advanced directives and ethical decision making at the end of life. Featuring Attorney J. Scott Waters IV, Family Medicine Physician William Croft, MD, and Floyd Memorial Hospital Chaplain Jennifer Jarvis, MDiv, BCC.

OFFERED BY

Prenatal Class Thursday, April 10 – May 15, 7 - 9 pm (6-week series) Thursday, July 10 – August 14, 7 - 9 pm (6-week series) For the expectant mom and dad or other support person. This free class is a six-week session and should be taken at the beginning or middle of pregnancy. Taught by several of our highly skilled obstetrical nurses. Registration required. Sibling Class Saturday, April 19, 10:30 am - 12:30 pm This free class is for soon-to-be new brothers and sisters, ages 3 to 11, and their parents. Children will be shown how to diaper and hold a baby (doll), and tour the Birthing Center where they get to listen to the baby’s heartbeat. Registration required.

Tuesday, April 22, 6 - 7:30 pm

This free seminar will focus on how you can follow simple strategies to prevent colon cancer. General surgeon, Douglas Berg, MD, will present on the importance of regular screening and treatment options available. Registered dietitian, Whitney Dunagan, RD, will discuss how a healthy diet can prevent the incidence of colon cancer, and give helpful tips and tricks. Floyd Memorial executive chef, Debbie Richter, will demonstrate how to prepare an easy, vegetable-filled, fiber-rich meal that will be available for all to sample. Other healthy food options will be available for sampling, and healthy lifestyle booths with great giveaways such as a free one month pass to the YMCA, free Pilates/yoga classes, free pedometers and colon cancer screening kits and more will be available. Registration required.

Prepared Childbirth Class Saturday, May 10 and 17, 8:30 am - 12:30 pm (2-part series) Monday, June 2 – June 23, 6:30 - 8:30 pm (4-week series) Cost - $30 per couple. These classes discuss the physical preparation and education needed for a successful delivery. They also involve relaxation techniques using a variety of methods, as well as tips for pregnancy fitness including physical therapy. Take during the middle of pregnancy. Registration required. Breastfeeding Class Thursday, May 22, 6:30 - 9 pm This free class will help you and your newborn have a successful breastfeeding experience. Discussion will include helpful hints and practical guidelines, as well as common misconceptions and barriers. Registration required.

Babysavers Class Thursday, May 29, 6:30 - 9 pm This class is taught by certified CPR instructors and designed to teach new parents infant CPR. Cost is $10 per couple for materials. Registration required.

Baby Fair

Saturday, June 28 10 am - Noon

SUPPORT GROUPS Alzheimer’s Support Group Third Thursday of each month, 2 - 3:30 pm and 6 - 7:30 pm Contact: Sadie Powell, (812) 948-1311 Balancing Life with Diabetes Support Group Tuesday, March 18, 10 - 11 am Topic: Neuropathy Tuesday, April 15, 10 - 11 am Topic: Fitness Activity Tuesday, May 20, 10 - 11 am Topic: Cooking demo with Dietitians Meets at Joslin Diabetes Center Affiliate, 2019 State Street, New Albany To register, call 1-800-4-SOURCE. Bariatric Support Group First Monday of each month, 6 pm Floyd Memorial Weight Management Center Contact: (812) 949-7151

Scope it Out: How Exercise & Diet Can Prevent Colon Cancer

FLOYD MEMORIAL BIRTHING CENTER

La Leche League of Southern Indiana Third Monday of each month, 6:30 - 8 pm Breastfeeding support and information Contact: Lisa, (812) 987-3635 or www.lllsouthernindiana.com Mended Hearts Support Group Fourth Monday of each month, 6 pm Mended Hearts is a national and communitybased non-profit organization that has been offering the gift of hope to heart disease patients, their families and caregivers. Our support groups help people understand that there can be a rich, rewarding life after a heart disease diagnosis or cardiac event. Contact: Jackie Lattis, (502) 819-2085 for meeting location Parkinson’s Support Group First Tuesday of each month, 6:30 pm Contact: Donna Mattox, (812) 256-5424

Brain Injury Support Group Third Thursday of each month, 7 pm Meets at Southern Indiana Rehab Hospital Contact: Beverly Setree, (502) 819-2542

Stroke Support Group Second Tuesday of each month, 1 pm Meets at Southern Indiana Rehab Hospital Contact: Tori Vinson, OTR, (812) 941-6154

Breast Cancer Support Group Second Thursday of every other month, 7 pm Contact: Pat Kasse, (812) 948-1215

Together for Breast Cancer Survival Men’s Caregiver Support Group First Thursday of each month, 6:30 pm Floyd Memorial Cancer Center of Indiana Second Monday of each month, 6 pm Gilda’s Club of Louisville Contact: Doug Drake, (502) 649-6911 or www.cosurvivors.org

Cancer Patient/Caregiver Support Group First & third Thursday of each month, 6:45 - 8 pm Floyd Memorial Cancer Center of Indiana Contact: Helen, (812) 945-4000 ext. 6231 Gluten Free Support Group Fourth Tuesday of each month, 6:30 pm Contact: Jennie Olmstead, (812) 945-4500 OFFERED BY

FLOYD MEMORIAL WEIGHT MANAGEMENT CENTER

HMR Orientation If you want to lose anywhere from 10 to 200 pounds, HMR can help. Free informational sessions are available on Mondays and Thursdays. Call (812) 949-7151 to schedule. The program offers several diet options including a medically supervised plan, a moderate diet option and an at-home program.

Surgical Weight Loss Seminar Wednesday, March 19, April 16 and May 21, 6 - 7 pm Interested in bariatric surgery? You have options. Learn about gastric banding and gastric sleeve surgery and the support services offered by the Floyd Memorial Weight Management Center at this free informational seminar presented by our board certified surgeons. Registration required.

If you’re wondering what you will need to do before the baby arrives, then let Floyd Memorial help. Our main lobby will be filled with baby specialty stores and services, obstetricians and midwives who deliver at Floyd Memorial, pediatricians and much more.

OFFERED BY

JOSLIN DIABETES CENTER The Floyd Memorial Joslin Diabetes Center Affiliate offers on-going education classes so patients can keep their condition in check. Call (812) 949-5700 to register or for more information.

Balance and Control Program designed for individuals looking to get their diabetes under control, new to diabetes or new to insulin. Covered by most insurance plans. Diabetes Refresher Course Program helps patients set goals for healthy management of their diabetes. Highlights include: what’s new in diabetes, understanding the numbers, counting carbohydrates, latest treatment options, evaluating old goals and setting new ones. Covered by most insurance plans. Pre-Diabetes Class If you have pre-diabetes, or are overweight and 45 or older, you are at high risk of developing type-2 diabetes. This class is designed to help determine what changes are needed, and set goals for living healthier. Cost: $25 self-pay.