Spring 2015 Healthscope by Baptist Health Floyd

SPRING 2015

NON-PROFIT U.S. POSTAGE

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UNITED MAIL

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.

1850 State Street New Albany, IN 47150

Health Happens Here.

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.

Joyce found the latest surgical weight loss options. Angie Glotzbach Editor, Writer Angie Rose Director of Brand Management and Customer Engagement

Right Here.

Haley White Writer

You don’t have to travel far to ﬁnd advanced weight loss

Stacey Rudy Contributor If you no longer wish to receive marketing/communications materials from Floyd Memorial Hospital and Health Services, please call 1-800-476-8723.

We deliver minimally invasive surgical weight loss options:

surgery options, they’re right here at the Floyd Memorial Weight

• Gastric sleeve

oﬀer laparoscopic gastric sleeve, bypass and band surgeries, all

Management and Bariatrics Center. Our board certiﬁed surgeons

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enabling long-term weight loss. In fact, most patients lose 40–60%

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range of support services that empower your success and you’ll see why people choose Floyd Memorial to help them live better — because Health Happens Here.

FloydMemorial.com/WeightLoss

Lung Screening and Early Cancer Diagnosis Put Steve Tong’s Life into Perspective

Floyd Memorial News and Announcements Floyd Memorial Helps Hoosiers Understand and Enroll in the New HIP 2.0 Plan On Jan. 27, Governor Mike Pence announced the launch of the new Healthy Indiana Plan (HIP 2.0), a major milestone for low-income Hoosiers struggling to obtain healthcare coverage. The news comes after months of negotiations with the federal government to replace traditional Medicaid in Indiana with a more robust plan, known as HIP 2.0. More than 350,000 low-income Hoosiers will now have the chance to access affordable health insurance and take personal ownership of their health with the introduction of HIP 2.0. This program makes it possible for qualifying Hoosiers between the ages of 19-64 to have access to health benefits that were previously out of their reach. The program will offer coverage for those with individual incomes up to $16,297 annually, $21,967 total annual income for couples and $33,307 total annual income for a family of four. Floyd Memorial is dedicated to being there for the community in every step of their healthcare journey – even with the new Healthy Indiana Plan (HIP 2.0). Floyd Memorial is proud to have helped seven people enroll for coverage options on February 13, and 10 more at the St. Mark’s United Church of Christ annual health fair on February 28. The Healthy Indiana Plan empowers eligible participants to make monthly contributions to personal health savings accounts, known as POWER accounts. Those who make regular contributions to these accounts will also be provided dental and vision benefits. HIP participants also have incentives to make healthcare decisions based on cost and quality. Hoosiers interested in HIP 2.0 can go to HIP.IN.gov to learn more and use the calculator to see if they are eligible. They can also link to the online application site at HIP.IN.gov. Applying online is the fastest, most efficient way to get covered under HIP 2.0. Financial representatives are also available at Floyd Memorial to help answer questions or to help people enroll. For more information, call 1-800-4-SOURCE.

Cancer Center of Indiana Receives Horseshoe Foundation Grant The Floyd Memorial Cancer Center of Indiana recently received a generous grant to help fund their therapeutic massage program. The Horseshoe Foundation of Floyd County donated $18,000 to fund massage therapy for cancer patients and their primary caregiver who are Floyd County residents. Patients currently receiving treatment through Floyd Memorial’s cancer services are eligible for the program. Massage therapy is effective in improving blood pressure, respiration and pulse rates. It has also been shown to stimulate the lymphatic system and reduce muscle tension, anxiety, pain, fatigue, depression and nausea in cancer patients. Floyd Memorial has proudly received grants from the Horseshoe Foundation since 2006. Without the generosity of the Horseshoe Foundation, this program could not be offered to our patients and primary caregivers.

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.

Sue Terrell, HRD Analyst Human Resources & Development Laura Mullins, Pharmacy Tech Pharmacy Kay Weissberg, RN Observation Unit Char Sands, Pharmacy Tech Pharmacy Sabine Moore, PT Physical Medicine Brenda Curl, CBX Operator Health Information Management

Floyd Memorial Spine Center Celebrates Five Years The Floyd Memorial Spine Center celebrated its fifth anniversary on April 12, 2015. The Center opened with three physicians – orthopedic/spine surgeon Mohammad Majd, MD; neurosurgeon and spine surgeon Michael J. Doyle, MD; physical medicine and rehabilitation physician Rodney Chou, MD, and nurse practitioner Autumn Allgeier, NP. Since then, orthopedic/spine surgeon Frank Castro, MD, and physical medicine and rehabilitation physician Rinkoo Aggarwal, MD, have joined the Center, as patient volumes have increased nearly 120 percent. Thanks to the team for their dedication and service, and to our patients for your faith in us.

Floyd Memorial Medical Group Welcomes Stephen Kirkman, MD Floyd Memorial Medical Group – New Middletown is pleased to welcome board certified family medicine physician Stephen Kirkman, MD. Dr. Kirkman completed medical school at Indiana University School of Medicine in 1992, and then went on to complete his family medicine residency at Deaconess Hospital in Evansville. Following his residency, Dr. Kirkman worked for St. Anthony Hospital in Crown Point, Ind., and then for St. Vincent Anderson Regional Hospital in Anderson, Ind. Dr. Kirkman serves as a minister for the Bible Holiness Church and continues to be involved in mission trips to southern Africa. For more information, go to FloydMemorialMedicalGroup.com or call (812) 968-3800.

On the cover... Steve Tong, lung cancer survivor.

INSIDE 4 Lung Screening Saves Louisville Man’s Life 6 Men’s Health Screenings 101 7 Minimally Invasive Spine Surgery 8N ew Mom and Baby Thankful to Be Alive 9H yperbaric Oxygen Therapy Helps 10

Jeffersonville Man Keep His Leg

Spring Calendar

Floyd Memorial Medical Group – Pain Management Welcomes Christian Clasby, MD Floyd Memorial Medical Group – Pain Management would like to welcome Christian Clasby, MD. Dr. Clasby is a fellowship trained pain medicine physician. He completed medical school at the University of Louisville School of Medicine in 2009, and then completed his residency in physical medicine and rehabilitation at Louisiana State University School of Medicine. Dr. Clasby treats patients with techniques such as peripheral joint injections, trigger point injections, botox injections, cervical and lumbar radiofrequency ablation and medial branch block, cervical, thoracic, lumbar and caudal epidural injections, sympathetic blocks, kyphoplasty and vertebroplasty. He also has extensive experience in musculoskeletal and neurological diagnosis and treatment. Dr. Clasby is seeing patients at the Floyd Memorial Medical Group – Pain Management location in New Albany. Call (812) 949-5790 for more information.

Floyd Memorial Medical Group – Cardiology Welcomes Satya Garimella, MD Floyd Memorial Medical Group – Cardiology is pleased to welcome board certified cardiologist specializing in electrophysiology, Satya Garimella, MD, FACC. Dr. Garimella graduated from Osmania Medical College in India, and then moved to the United States where he completed his residency in internal medicine at St. Francis Hospital in Evanston, Ill. Dr. Garimella completed his fellowship in cardiology at the University of Louisville and his fellowship in electrophysiology at the Vanderbilt University Medical Center in Nashville. Dr. Garimella also completed additional training in atrial fibrillation ablation techniques at the Mayo Clinic and the Cleveland Clinic, as well as biventricular pacing techniques at Emory Hospital in Minneapolis. To schedule an appointment, call (812) 282-1617.

Floyd Memorial Medical Group Welcomes Bertina Lin, MD

New Partnership with Providence Transitional Care Community

Floyd Memorial Medical Group – Physician Associates of Floyds Knobs welcomes internal medicine and pediatric physician, Bertina Lin, MD. Dr. Lin graduated from the University of Arkansas for Medical Sciences in 2010, and then went on to complete her residency in internal medicine and pediatrics at the University of Louisville in 2014. Dr. Lin is a member of the American Academy of Pediatrics, American College of Physicians and Greater Louisville Medical Society. To make an appointment, call (812) 923-2273.

Floyd Memorial is proud to announce a new long-term care partnership with Providence – A Diversicare Transitional Care Community. Floyd Memorial has assumed the operating license for the center on Charlestown Road in New Albany that was effective February 1. As the new licensee, Floyd Memorial has contracted with Diversicare Healthcare Services, Inc. to continue its current role as manager of the day-to-day operations. This strategic partnership will allow the patient populations served by both organizations, as well as the broader healthcare community, to benefit from a more unified approach to managing their healthcare needs. Benefits such as chronic disease management, reduced avoidable readmissions and the opportunity for investment in additional quality programs are expected. This is the second long-term care facility partnership in Floyd County that Floyd Memorial has entered into. The first was in 2012 with Lincoln Hills Health Center. Just as the partnership with Lincoln Hills, Floyd Memorial will not acquire any of Providence’s fixed assets (land, building and equipment), therefore, there will be no exchange of money for this transaction. Additionally, employees at Providence remain as such and will not become Floyd Memorial associates.

Floyd Memorial Seeks Your Input on the Health Needs of Floyd County Floyd Memorial is embarking on a new community health needs assessment for Floyd County. The goal of this assessment is to identify areas in which Floyd Memorial and our community partners can make a positive impact in the overall health of our community. If you live in Floyd County, we would appreciate your feedback by completing our online survey. All responses will remain confidential and secure. Please visit FloydMemorial.com/survey. Data collected will be used to ensure that we continue to meet your needs and the needs of the community.

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. New Physicians Warren W. Boling, Jr., MD

Tomek J. Godlewski, MD

Jenna Schulten, DMD

University of Louisville Physicians 220 Abraham Flexner Way, 12th Floor Louisville, KY 40202 (502) 407-3299

Southern Indiana Anesthesia Consultants 320 Whittington Parkway, #301 Louisville, KY 40222 (502) 690-8782

KidzSmile Dentistry 3120 Blackiston Mill Road New Albany, IN 47150 (812) 941-0008

Neurosurgery

Anesthesiology

James B. Carrico, Jr., MD

John M. Mandrola, MD

Radiology Associates 1214 Spring Street, #2 Jeffersonville, IN 47130 (812) 283-5950

Baptist Medical Associates – Louisville Cardiology Group 3900 Kresge Way, #60 Louisville, KY 40207 (502) 893-7710

Radiology/Neuroradiology

Electrophysiologist

Pediatric Dentistry

Joseph N. Shaughnessy, MD Radiation Oncology

University Radiotherapy Associates 529 S. Jackson Street, 4th Floor Louisville, KY 40202 (502) 562-4360

CANCER CENTER

Lung Screening Saves Louisville Man’s Life Steve Tong, a 54-year-old Louisville native and longtime smoker, was prompted by his mother to have a lung cancer screening after reading about CT lung screenings in Today’s Woman magazine. She felt it would benefit her son who had been smoking for thirty years. Steve explained, “I trusted Floyd Memorial, and the price of the screening was one of the lowest, so my wife, Sarah, made an appointment for a screening at the Floyd Memorial Cancer Center of Indiana.” FRIDAY

JUNE 19 11 am to 1:30 pm

Cancer Survivors Reunion Cancer Center of Indiana

All cancer survivors and their families are invited to a free day of fun in the Wild West of Floyd Memorial’s Cancer Center of Indiana. The Barbeque Cowboy will be smoking fresh barbeque, brisket and all the fixins’. Adults and kids alike will have fun with our horseshoe toss, bingo, balloon twister and old time photo booth. Registration is not required.

Learn How to Quit Cooper Clayton Smoking Cessation classes are available at the Cancer Center of Indiana. For information, call (812) 981-6208. You may also contact the Indiana Quitline at 1-800-QUITNOW.

Mindi Burch, RT, (R), (CT), (M), CNMT Patient Navigator Floyd Memorial Cancer Center of Indiana

Steve qualified for the screening as a heavy, long-time smoker. A lung CT scan was performed by lung cancer patient navigator Mindi Burch, RT, (R), (CT), (M), CNMT. Steve told Mindi he was leaving the next day for an extended work trip. While he waited, a radiologist read Steve’s report, and it showed masses on both lungs. Knowing Steve was planning to leave town, Mindi scheduled a consultation for Steve with Cancer Center of Indiana’s board certified medical oncologist/hematologist Ajay Kandra, MD, the same day. Dr. Kandra explained, “When you find something on the CT screening, it is important to act quickly. We scheduled a positron emission tomography (PET) scan early the following week. The scan showed the two separate suspicious masses in both lungs, but no other metastatic lesions (Metastatic cancer is a cancer that has spread from the original site of the cancer to other parts of the body.) This meant he was still a candidate for surgery. He had two early stage cancers that could be removed with surgery alone, without requiring chemotherapy or radiation. Steve was very lucky that we caught it so early.” “Lung cancer is the leading cause of cancer-related death among men and women, and it continues to increase in epidemic proportions. Unfortunately, 75 percent of patients with lung cancer are first diagnosed with advanced local or metastatic disease that is not amenable to cure. The average lung cancer five-year survival rate is only 16 percent,” he added.

Ajay Kandra, MD

Board Certified Oncologist/Hematologist Floyd Memorial Cancer Center of Indiana

Clinical Studies Steve also participated in two of Dr. Bousamra’s clinical studies. The first, a beta glucan study. “This component is a polysaccharide that activates white blood cells to fight cancer. Steve took the beta glucan a couple weeks prior to his surgery. We are comparing his white blood cell activity against cancer preand post-surgery,” said Dr. Bousamra. The other study was a breath analysis clinical study, which involves breathing into a bag, then the collected breath is analyzed for cancer markers. If markers

Michael Bousamra, MD

“CT lung cancer screening helps us identify disease at a much earlier stage where it is easier to treat. This was proven by a large clinical trial conducted by the National Cancer Institute in over 53,000 patients.” Steve recalled the day of his diagnosis, “I am extremely active and consider myself in great physical shape, so it was quite a shock to find out I had lung cancer in both lungs. Hearing that you have cancer is a shock to the system. Mindi was kind and caring and supported us through the process. We appreciated her help so much, we immediately went out and bought her flowers.” Surgery Steve was referred to board certified cardiothoracic surgeon Michael Bousamra, MD, for surgery that same week of his PET scan. Dr. Bousamara explained Steve’s surgery, “The larger of the masses was on the right lung, so we removed the upper portion, as well as nearby lymph nodes. The nodes came back negative. About a month later, we removed a smaller portion of the left lung and lymph nodes, which also had negative margins. Both masses were proven to be separate lung cancers. Steve tolerated his surgeries well.” No chemotherapy was needed at this time, and Steve will be followed closely by Dr. Kandra. “Steve is fortunate that this was all caught in the early stages. The CT screening may have saved his life,” Dr. Bousamara added.

Board Certified Cardiothoracic Surgeon University of Louisville Cardiovascular & Thoracic Surgery

are elevated, it raises the red flag as to whether or not someone has cancer. Dr. Bousamra explained, “The hope is that, someday, people can go to the doctor and instead of getting a CT scan, with its radiation exposure, they can just breathe into a bag and determine whether or not they have cancer. Early cancer diagnosis is the goal, and preliminary results show that we can detect 97 percent of lung cancers by breath analysis.” Steve spoke about his experience, “My care at the Cancer Center of Indiana was kind and sincere like I’ve never seen before. Everyone there wants to help you, and that can’t be bought. Needless to say, I stopped smoking with no aids the day I was diagnosed. Receiving the news from my doctor that I had lung cancer changed my entire life and that of my family’s. It gave me a different perspective on life. Each day should be lived to its fullest, and you should take care of your body.”

Lung Cancer Screening A yearly lung cancer CT screening is recommended for smokers who have 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. Call Mindi Burch at (812) 981-6208 to see if you qualify for a lung cancer screening.

Steve Tong with wife, Sarah, no longer take their health for granted.

SPINE CENTER

Men’s Health Screenings 101 Many of us take our health for granted, and men are often stereotyped for doing this. What they may not know is there are certain screenings and immunizations recommended to check for possible medical issues. These screenings assess your risk for medical problems and encourage a healthy lifestyle. Floyd Memorial Medical Group – State Street’s board certified primary care physician CM Hocker, Jr., MD, has provided a list of health screenings and exams recommended for men aged 40 and over.

CM Hocker, Jr., MD

Board Certified Family Medicine Physician Floyd Memorial Medical Group - State Street Physical Exam • Up until age 50, you should have a preventive exam with your primary care provider every two years, and after 50, every year. • Your height, weight and body mass index should be checked at every exam. • Discuss alcohol and tobacco use, depression, anxiety, diet and exercise, sex drive, etc. with your family doctor. Men under 65 should have no more than two alcoholic drinks per day. More than that will increase risk of stroke and heart attack. Men over 65 should limit to one drink per day. It makes addressing other health conditions more difficult if you drink more than what is recommended. Immunizations • A flu vaccine is recommended every year. • You should have a tetanus-diphtheria booster vaccination every 10 years. If you have not received a tetanus-diphtheria and acellular pertussis (Tdap) vaccine as one of your tetanus-diphtheria vaccines, you should have it once. • A shingles vaccination, also called herpes zoster, is recommended once after age 60. • A pneumonia shot is recommended once after age 65. If you are younger with an illness that puts you at risk for pneumonia, check with your doctor about vaccination. Blood Pressure Screening • Have your blood pressure checked at least every two years. If the top number (systolic) is between 120 - 139 or the bottom number (diastolic) is between 80 - 89, you should have it checked every year. If the top number is greater than 140 or the bottom number is greater than 90, schedule an appointment with your provider. • If you have diabetes, heart disease, kidney problems or certain other conditions, you may need to have your blood pressure checked more often. Lung Cancer Screening Tobacco use is the worst thing you can do for your health. • If you are a current or past smoker age 55 – 74, have a 30-pack year smoking history, a first degree family history of lung cancer or have been exposed to asbestos and been a smoker, a lung cancer screening is recommended. Cholesterol and Heart Disease Prevention • Men over age 34 should have cholesterol checked every five years. If you have high cholesterol levels, diabetes, heart disease, kidney problems or certain other conditions, you may need to be checked more often. • After calculating your risk of stroke and heart attack, your doctor may recommend taking an aspirin per day to prevent heart attacks. Prostate Cancer Screening • Most men age 50 or older should discuss screening for prostate cancer with their healthcare provider. • African American men and those with a family history of prostate cancer should discuss screening at age 45.

Colon Cancer Screening • If you are under age 50, you should be screened only if you have a strong family history of colon cancer or polyps, or if you have had inflammatory bowel disease or polyps. • If you are between ages 50-75, you should be screened for colorectal cancer. This may involve a stool FIT test done every year, a flexible sigmoidoscopy every 5 to 10 years, along with a stool guaiac test and a colonoscopy every 10 years. • You may need a colonoscopy more often if you have risk factors for colon cancer, such as ulcerative colitis, a personal or family history of colorectal cancer or a history of large colorectal polyps. Diabetes Screening • If you are over age 45, you should be screened for diabetes every three years. • If you are overweight, ask your provider if you should be screened at a younger age. Dental and Eye Exams • Go to the dentist at least once a year for an exam and cleaning to prevent gum disease, which can lead to many issues including heart disease. • Have an eye exam every one to three years if you have vision problems or risk for glaucoma. Osteoporosis Screening • If you are between 50 - 70 and have risk factors for osteoporosis, you should discuss screening with your provider. • Risk factors can include long-term steroid use, low body weight, smoking, heavy alcohol use or a family history of osteoporosis. Floyd Memorial offers many of these health screenings free of charge. Your annual preventive physical exam is typically covered by your insurance plan. Check with your insurance provider. If you do not have a family physician, call 1-800-4-SOURCE for a recommended provider.

Minimally Invasive Spine Surgery To many people, the thought of spine surgery is a frightening endeavor. Floyd Memorial Spine Center’s orthopedic/ spine surgeon Mohammad E. Majd, MD, hopes to dispel the myths associated with spine surgery, and inform patients about common minimally invasive surgical options. Myth: Once you have back surgery you will continue to have back problems for the rest of your life. Dr Majd: No, with a simple decompression microdiscectomy (the most common minimally invasive spine surgery), about 85 percent of patients do fine and need no further surgical intervention. The percentage is about the same as with knee and hip surgery patients. Myth: Laser spine surgery is more effective than the alternatives. Dr. Majd: Lasers have proven to only be about 30 percent effective, so we do not recommend laser surgery. The Floyd Memorial Pain Management Center uses radiofrequency of the facet joints with laser to help manage pain. Myth: Spine surgery is very painful with a long recovery. Dr. Majd: Minimally invasive spine surgery lowers pain significantly with shorter recovery time than an invasive procedure. If at all possible, we choose this method because there is less trauma to the tissue and less blood loss. Myth: If you have back pain, you’ll usually need surgery. Dr. Majd: No, about 95 percent of patients can be treated without surgery. Conservative treatments such as physical therapy, anti-inflammatory medications, exercise and pain management can ease back pain and are generally used for treatment until they fail to help. If the patient has weakness of their extremities or difficulty controlling their bowel or bladder, surgery is more than likely recommended.

DLIF and TLIF Surgeries Two minimally invasive surgeries, direct lateral interbody fusion (DLIF) and transforaminal lumbar interbody fusion (TLIF), are common treatments for degenerative conditions in the lower back. The goal of these procedures is to help reduce back and/or leg pain and stabilize the spine. DLIF surgery involves a small incision in the side of the body. Using minimally invasive surgical techniques, the spine surgeon creates a narrow passageway to the vertebrae and damaged disc, separates the muscles and tissues without cutting them, removes the damaged disc and fills the disc space with bone grafts and a spacer. Rods and screws may be needed to help stabilize the fused vertebrae. The gentle separation of the muscle, versus cutting the muscle, helps with quicker healing. During the transforaminal lumbar interbody fusion (TLIF) procedure, the surgeon has access to the front and back of your spine. The damaged disc is removed from the front or side of the body, a spacer is inserted and bone graft material implanted. The back of the spine is further stabilized using rods, screws and more bone graft material to form a bridge that connects the two adjoining vertebrae. This bridge is called fusion. Because the surgery is performed without dissecting the muscle, the recovery is easier, and there is less blood loss than with traditional fusion surgery.

THURSDAY

APR 30 6 - 7 pm

Conservative Back Pain Treatment Seminar Floyd Memorial’s Paris Health Education Center

Floyd Memorial Spine Center nurse practitioner Autumn Allgeier, NP, along with physical therapist Tyler Helm, PT, DPT, will discuss conservative treatments that may help with your back pain. Discover the latest advancements in medications, treatments, therapies and exercise to help minimize pain and maximize your function. Register by calling 1-800-4-SOURCE or online at FloydMemorial.com/Events.

Mohammad E. Majd, MD

Orthopedic/Spine Surgeon Floyd Memorial Spine Center Floyd Memorial Medical Group - Orthopedics

Minimally invasive surgery has many benefits, including: • Smaller incision and scar • Decreased blood loss • Shorter hospital stay • Faster return to normal activity For more information on conservative and surgical spine treatments, call the Floyd Memorial Spine Center coordinator at (812) 949-5933.

Minimally invasive surgery through a customized tube allows for a small incision.

1: Post DLIF surgery side view X-ray with fusion hardware in place 2: Front view X-ray of DLIF rods and screws in place 3: Side view X-ray of TLIF rods and screws in place 4: Front view X-ray of TLIF rods and screws in place

BIRTHING CENTER

WOUND CENTER

New Mom and Baby Thankful to Be Alive

New Albany native, Sara Sparks, gave birth to a healthy, 8 lb. 15 oz. baby girl at the Floyd Memorial Birthing Center on March 18, 2014 after a not so typical delivery. Sara’s daughter, Molly, was delivered by board certified OB/GYN, Heather Lewis, MD. Heather Lewis, MD Board Certified OB/GYN Floyd Memorial Birthing Center

From Sara’s initial physical exam and patient history evaluation to the scheduled check-ups, everything appeared to be normal and developmentally on track. Everyone was prepared for a typical labor and delivery. Sara arrived at Floyd Memorial at 6 am on March 18. Around 10:30 am, Dr. Lewis broke her water. Sara said, “This is when things took a turn for the worse. I started losing massive amounts of blood, and knew at that point something was very wrong.” Many complications of pregnancy cannot be predicted and can occur in otherwise healthy women with no history of any problems. In Sara’s case, the condition is known as vasa previa. “Vasa previa is a condition that cannot be identified by a patient’s history or on exam, and most cases are not identified until labor,” said Dr. Lewis, “Once this condition is identified, an emergent cesarean delivery must be performed; if a vaginal delivery was attempted, the baby would bleed to death prior to birth.” In the condition of vasa previa, the blood vessels that are normally protected within the placenta are abnormally located within the fetal membranes. This means that they are not protected by the tissue of the placenta and sometimes can run over the cervix. When a woman’s water breaks, the blood vessel can tear, and the baby could bleed to death from these abnormally located vessels. Conversely, in a normal placenta, the fetal membranes form a sac where the baby will develop, and these membranes attach to the outer edges of the placenta. In cases where vasa previa is not identified prior to labor, the fetal survival rate is only about 44 percent. Dr. Lewis 8

stated, “Vasa previa is a much more rare condition in women who conceive naturally, and in over 10 years of experience with delivering babies, this is the first case I have seen.” Even so, Dr. Lewis knew what she had to do; an emergent C-section was the only thing that could save both mom and baby’s lives. Sara was immediately taken into surgery and put under anesthesia within minutes of Dr. Lewis identifying the complication. Although a C-section was not Sara’s initial choice, she did not think twice when Dr. Lewis told her what needed to be done. “Dr. Lewis was soothing and reassuring, letting me know that she would deliver Molly quickly and safely,” said Sara. “It was then that I knew everything was going to be alright. It’s just a feeling that I can’t explain. Dr. Lewis just made me feel so at ease in that moment.” “Molly was successfully delivered and Sara came through unharmed.” Dr. Lewis explained, “I feel very blessed to be able to do the job that I do. I am so thankful that I had excellent training so that when emergencies happen, it is second nature to do the thing that needs to be done. I really love what I do. All those years of training, and all the studying and sleepless nights are worth it to get to hand a healthy baby to its mom after an unexpected emergency.” Molly has surpassed every milestone with flying colors. Her specialists have named her “Miracle Molly.” Considering the traumatic birth she went through, all are amazed at how physically and mentally healthy Molly is today. Sara continues to express how thankful she is for Dr. Lewis and the staff at the Floyd Memorial Birthing Center. “Dr. Lewis saved both our lives that day. She is one of the most passionate and talented doctors that I have ever met. Dr. Lewis and the staff at Floyd Memorial go above and beyond to care for their patients, and I am truly thankful and forever grateful.” For more information about the Floyd Memorial Birthing Center, visit FloydMemorial.com/Baby.

SATURDAY

JUN 27

Baby Fair

Floyd Memorial’s 9 am-noon Main Lobby Visit over 40 booths with everything baby. Meet obstetricians and our certified nurse midwife who deliver at Floyd Memorial, pediatricians, doulas, lactation consultants and more. Collect valuable information and giveaways from baby specialty services and stores and register for fabulous door prizes. Registration is not required.

Sara and Molly Sparks

Hyperbaric Oxygen Therapy Helps Jeffersonville Man Keep His Leg Every 30 seconds, someone loses a lower limb as a result of diabetes. Diabetes is a long-term condition that causes high blood sugar levels. The most common diabetes symptoms include frequent urination, intense thirst and hunger, weight gain or unusual weight loss, fatigue, cuts and bruises that do not heal and numbness and tingling in the hands and feet. Patients with diabetes are at risk for developing wounds due to several factors, including uncontrolled blood sugars, decreased blood flow and neuropathy, or reduced sensation. Patients with diabetes are at a higher risk for foot complications because the feet are furthest away from the heart, and people do not check their feet as often as they should, so spotting a wound can be more difficult. Charles Hoehn developed a blister on his right foot from an improperly fitting insole. Because of his type 2 diabetes, healing was inhibited, and the blister developed into a deep wound with a bone infection. He had tried treatment at another facility for four months without any signs of improvement. Hoping to save Charles’ leg from amputation, his doctor suggested hyperbaric oxygen therapy (HBOT) at the Floyd Memorial Wound Healing Center. Charles made the phone call and was seen right away by board certified wound care and infectious disease physician Tariq Mehmood, MD. “Mr. Hoehn’s labs were done right away. A multidisciplinary team was assembled, and we formulated a treatment plan within twenty-four hours,” said Dr. Mehmood. Charles began hyperbaric oxygen therapy the next day. The Wound Healing Center puts patient safety first. Bob Thacker, hyperbaric oxygen therapy safety director, assisted Charles with all 40 of his one hour and forty-seven minute sessions. “This type of therapy is not for everyone. It takes a daily commitment from the patient,” said Bob, “The healing process starts immediately, however, the exterior signs don’t start to show until weeks three to four.” Hyperbaric oxygen therapy is a simple, but effective treatment in which the patient breathes 100 percent oxygen inside a pressurized chamber. HBOT heals wounds by changing the environment and how

the body reacts to the wound. Growth factors are released and are a catalyst for cells to divide, micro-blood vessels to grow and collagen to expand in a process called angiogenesis. “It’s not magic. Everyone is born with the gift to heal, but age causes this process to not work as effectively. This therapy changes the environment inside the patient’s body and restores the natural wound healing ability,” said Bob. Charles had never heard of HBOT before, but felt so confident with Dr. Mehmood, Bob and the treatment plan that he did not hesitate to start therapy. The therapy sessions were made at his convenience, and he was impressed with his level of comfort during each session. “It always went by quickly, and it helped that there was a selection of over 400 movies to choose from. John Wayne movies were usually my first choice,” said Charles. After two months of therapy, he was healed and discharged to his primary care physician. “I was really pleased with the quality of care I received at Floyd Memorial, but more than that, I feel like I made a few lifelong friends. I am thankful for Dr. Mehmood, Bob and the entire staff at the Floyd Memorial Wound Healing Center,” said Charles. “I lost half my foot several years ago and could have lost part of my leg, but this therapy and the team at Floyd Memorial saved my leg. The staff was outstanding, and I couldn’t have received better care. Therapy was simple, painless, and it works. I would recommend it to anyone.” The Floyd Memorial Wound Healing Center currently offers three treatment chambers. To find out more information, please visit FloydMemorial.com/Wound or call (812) 949-7964.

Tariq Mehmood, MD Board Certified Wound Care and Infectious Disease Physician Co-Medical Director at Floyd Memorial Wound Healing Center Tips for Patients with Diabetes 1. Examine feet every night before going to bed for cuts, open sores or blisters, bunions, in-grown toenails and hammer toes. If you cannot, ask a loved one to assist you. 2. Keep the wound moist and clean. 3. Wear the proper shoes. Check with your physician to see if you need special inserts, orthotics or therapeutic shoes. 4. H ave a healthy diet and exercise regimen. 5. Do not smoke.

Hyperbaric oxygen therapy (HBOT) chamber Charles Hoehn

SPRING 2015

To register

Call 1-800-4-SOURCE (1-800-476-8723), or visit FloydMemorial.com/Events, unless another number is listed.

Calendar of Events

All events are free and meet in Floyd Memorial’s Paris Health Education Center unless otherwise stated.

Friday, June 19, 11 am – 1:30 pm Cancer Center of Indiana All cancer survivors and their families are invited to join in on a free day of fun in the Wild West of Floyd Memorial’s Cancer Center of Indiana. The Barbeque Cowboy will be smoking fresh barbeque, brisket and all the fixins’. Adults and kids will have fun testing their arm at the horseshoe toss and trying their luck with bingo, while the Balloon Man of Kentucky will make custom balloon creations. An old time photo booth will be available to document the day’s fun. Registration is not required.

Screenings Stroke & Aneurysm Vascular Screenings

By appointment at Floyd Memorial Hospital in New Albany, Floyd Memorial Cardiovascular Center – Jeffersonville and Floyd Memorial Diagnostic Imaging – Corydon. Non-invasive screening for Abdominal Aortic Aneurysm, Peripheral Artery Disease and Carotid Artery Disease. Cost is $49 for all three. To make an appointment at the hospital or in Jeffersonville, call 1-800-4-SOURCE, or call (812) 734-3920 for Corydon appointments.

Free Joint Pain Screening

Saturday, April 11, 7:30 – 10 am By appointment Floyd Memorial Wound Healing Center Screening of knees, hips and shoulders featuring X-rays and consultation with an orthopedic surgeon. Registration required.

Stroke Awareness Day

Tuesday, May 5, 11 am – 1 pm Floyd Memorial Hospital Main Lobby In honor of National Stroke Awareness Month, Floyd Memorial will offer stroke prevention and treatment information booths, free blood pressure screenings and giveaways.

Free Heart and Stroke Screenings

Thursday, May 7, August 6 and September 3 by appointment Full lipid cholesterol panel, blood pressure, blood sugar, blood sugar A1C and body mass index. Registration required.

Free Skin Cancer Screening at the Floyd County YMCA Tuesday, May 19, 2 – 4 pm By appointment Free skin cancer screenings by local, certified dermatologists.

$89 Lung Cancer Screenings

If you are a current or past smoker age 55 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 sameday review of your results. To register, call (812) 981-6208.

Free Osteoporosis Screenings By appointment. The pDXA screening is a scan of the bone density of the heel. To register, call (812) 949-5570.

Free Body Mass Index Screenings

Floyd Memorial Weight Management Center Free screenings of weight and body fat percentage by appointment. To register, call (812) 949-7151.

Free Sports Injury Screenings

Every Wednesday, 3 - 4 pm All Floyd Memorial Physical Therapy Locations Sports injury screenings for middle and high school athletes on a walk-in basis. Visit FloydMemorial.com/Rehabilitation for locations near you.

Free Physical Therapy Screenings

Weekdays by appointment All Floyd Memorial Physical Therapy Locations Treatment recommendations and/or follow up care. Call (812) 948-7416 to schedule an appointment.

Health Education Kidney Disease Treatment Options Classes

Tuesday, April 14, May 12, June 9 and July 14, 10 am - noon Call (502) 895-1338 to register.

Conservative Back Pain Treatment Seminar

Thursday, April 30, 6 – 7 pm Floyd Memorial’s Paris Health Education Center Floyd Memorial Spine Center nurse practitioner Autumn Allgeier, NP, along with physical therapist Tyler Helm, PT, DPT, will discuss conservative treatments that may help with your back pain. Discover the latest advancements in medications, treatments, therapies and exercise to help minimize pain and maximize your function. Registration required.

Free Joint Pain Seminar

Thursday, June 18 and Tuesday, August 4, 6 - 7 pm Learn about treatments that may offer relief of your knee or hip pain. Registration required.

Cooper Clayton Smoking Cessation Classes

Mondays, July 27 – October 26, 5 - 6 pm Tuesdays, September 29 December 22, 4 - 5 pm Ready to quit? Sign up today for free 13- week Cooper Clayton Method for Smoking Cessation classes by calling 1-800-4-SOURCE. Class size is limited.

Stroke Clinic

Southern Indiana Rehab Hospital offers a free stroke clinic for stroke survivors. Therapists, case managers, nurses and physicians will review their ongoing recovery and make recommendations. Contact: (812) 941-6120 or (812) 941-6154.

Active Yoga/Pilates Open House Tuesday, May 5, 4:30 – 6:30 pm Floyd Memorial Physical Therapy Charlestown Road (Behind Kohl’s) Wear your workout clothes and try a free mini-class of Yoga, Mat Pilates and Reformer Pilates, visit informational booths on weight management, mini massage and more. Enjoy a light snack and register for great door prizes. Registration is required.

Spring Fling Cooking Demonstration Thursday, May 14, 6 – 7 pm Watch a cooking demonstration to learn how to prepare spring vegetables and salads. A sampling will follow. (brought to you by the Floyd county nutrition coalition) Seating is limited and registration is required.

Birthing Center

Cancer Survivors Reunion

Free Prenatal Classes

Prepared Childbirth Class

Free Sibling Class

Free Breastfeeding Class

Thursday, April 9 – May 7, 7 - 9 pm (5-week series) Thursday, July 9 – August 6, 7 - 9 pm (5-week series) Take at the beginning or middle of pregnancy. The class covers physical and emotional changes, stages of fetal development, nutrition, anesthesia choices, basic infant care, postpartum and baby’s first year. Registration required. Saturday, April 25 and July 18 10:30 am - 12:30 pm For soon-to-be new brothers and sisters, ages 3 to 8, and their parents. Children will be shown how to hold and diaper a baby, and tour the Birthing Center. Registration required.

Support Groups Alzheimer’s Support Group Third Thursday of each month 2 - 3:30 pm and 6 - 7:30 pm

Moving Forward – Amputee Support Group Third Monday of each month 6:30 - 8 pm Meets at Southern Indiana Rehab Hospital Conference Room

Balancing Life with Diabetes Support Group

Tuesday, April 21, 10 am Topic: Fitness Activity Tuesday, May 19, 10 am Topic: Cooking Demo with Dietitians Tuesday, June 16, 10 am Topic: Fitness Activity Joslin Diabetes Center Affiliate, 2019 State Street, New Albany To register, call 1-800-4-SOURCE.

Cancer Patient/Caregiver Support Group

First & third Thursday of each month 6:45 - 8 pm Floyd Memorial Cancer Center of Indiana

Gluten Free Support Group Fourth Tuesday of each month 6:30 pm

La Leche League of Southern Indiana Third Monday of each month 6:30 - 8 pm

Breast Cancer Support Group

Together for Breast Cancer Survival Men’s Caregiver Support Group

Second Tuesday of each month, 1 pm Southern Indiana Rehab Hospital

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

The Floyd Memorial Joslin Diabetes Center Affiliate offers ongoing education classes so patients can keep their condition in check. Call (812) 949-5700 to register.

Diabetes Refresher Course

Helps patients set goals for ongoing healthy management of their diabetes. Covered by most insurance plans.

Expectant parents and partners are invited to visit over 40 booths with everything baby. Meet obstetricians and our certified nurse midwife who deliver at Floyd Memorial, pediatricians, doulas, lactation consultants and more. Collect valuable information and giveaways from baby specialty services and stores and register for fabulous door prizes. Registration is not required.

First Tuesday of each month, 6:30 pm

Joslin Diabetes Center

For individuals looking to get their diabetes under control, new to diabetes or new to insulin. Covered by most insurance plans.

Baby Fair

Saturday, June 27, 9 am - noon Floyd Memorial’s Main Lobby

Fourth Monday of each month, 6 pm Call (502) 819-2085 for meeting location.

Stroke Support Group

Balance and Control

Thursday, May 21, 7 - 9 pm Teaches new parents infant CPR. Cost is $10 per couple. Registration required.

Mended Hearts Support Group

Brain Injury Support Group

Second Thursday of every other month, 7 pm

Babysavers Class

Third Wednesday of each month 3 - 4 pm

Parkinson’s Support Group

Third Thursday of each month, 7 pm Southern Indiana Rehab Hospital

Thursday, May 14, 6:30 - 9 pm Helpful hints for a successful breastfeeding experience, practical guidelines, common misconceptions and barriers. Registration required.

Laryngectomy Support Group

Bariatric Support Group

First Monday of each month, 6 pm

Saturday, May 9 and 16, 8:30 am - 12:30 pm (two-part series) Wednesday, July 1 – 22, 6:30 - 8:30 pm (4-week series) Cost - $30 per couple. Learn the physical preparation and education needed for a successful delivery, relaxation techniques, and tips for pregnancy fitness including physical therapy. Take during the middle of pregnancy. Registration required.

Pre-Diabetes Class

Designed to help determine what changes are needed to avoid developing type-2 diabetes and set goals for living healthier. Cost is $25.

Weight Management and Bariatrics Center HMR Orientation – Medically Supervised Weight Loss

Floyd Memorial Weight Management and Bariatrics Center Lose 10 to 200 pounds with HMR. Free informational sessions on Mondays and Thursdays. Call (812) 949-7151 to schedule.

Surgical Weight Loss Seminar

Wednesday, April 15, May 20, June 17 and July 15, 6 - 7 pm Floyd Memorial’s Paris Health Education Center Learn about gastric banding, sleeve gastrectomy and gastric bypass surgery and the support services offered by the Floyd Memorial Weight Management and Bariatrics Center. Registration required.

HIP 2.0 Enrollment Assistance

Thursday, April 16, 3:30 - 7 pm, Wednesday, June 10, 7 - 10 am Financial representatives will answer questions or assist with the new HIP 2.0 enrollment process. For those interested in HIP 2.0, the following documentation will be needed:

• Picture ID or valid driver’s license • Social Security card • Birth certificate • Income verification (such as paystubs) for the last 30 days for those who wish to apply Appointments are required. 11