SPRING 2016
NON-PROFIT U.S. POSTAGE
PAID
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. 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.
1850 State Street New Albany, IN 47150
Immediate care for fevers, sprains and life’s little emergencies. When a cold or the flu has you down or a sprain has you off your game, Floyd Memorial’s Urgent Care Centers offer walk-in convenience and exceptional care every day. We’re open evenings and weekends. With two convenient locations, we’re right where you need us most – especially when your doctor’s office is closed. So when an illness or injury sneaks up on you, there’s no need to wait – because Health Happens Here. Ready when I need it.
Health Happens Here.
SM
NEW EXTENDED 12 HOUR DAYS
FLOYDS KNOBS Highlander Point
NEW ALBANY Charlestown Road
800 Highlander Point 5130 Charlestown Road, Ste 2 Floyds Knobs, 47119 Road)emergencies. Immediate care INfor fevers, sprains (near andCounty life’sLine little 812.923.6336 New Albany, IN 47150 When a cold or the flu has you down or a sprain has you off your game, Floyd Memorial’s 7 days a week: 8 am – 8 pm 812.949.1577 Urgent Care Centers offer walk-in convenience and exceptional care every day. We’re open evenings and weekends. With two convenient locations, where you need 7 days a week:we’re 8 amright – 8 pm us most – especially when your doctor’s office is closed. So when an illness or injury sneaks
Closed Easter, Thanksgiving, Christmas and New Year’s Day
up on you, there’s no need to wait – because Health Happens Here.
Angie Glotzbach Editor, Writer Angie Rose Director of Brand Management & Customer Relations, Writer Stephanie Rogers Writer Stacey Rudy
NEW EXTENDED 12 HOUR DAYS FLOYDS KNOBS Highlander Point 800 Highlander Point Floyds Knobs, IN 47119 812.923.6336 7 days a week: 8 am – 8 pm
NEW ALBANY Charlestown Road 5130 Charlestown Road, Ste 2 (near County Line Road) New Albany, IN 47150 812.949.1577 7 days a week: 8 am – 8 pm
Closed Easter, Thanksgiving, Christmas and New Year’s Day
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To learn more, please visit FloydMemorial.com/Urgent-Care-Centers.
To learn more, please visit FloydMemorial.com/Urgent-Care-Centers.
Trust
A Colleague’s
in Spine Surgery
Floyd Memorial News and Announcements
Floyd Memorial Proudly Announces a Pending Acquisition by Baptist Health
New Proactive Angels Support Group at Floyd Memorial Cancer Center of Indiana
Floyd Memorial Hospital and Health Services’ Board of Trustees, the Floyd County Commissioners and the Floyd County Council have announced the intent to pursue an acquisition of Floyd Memorial Hospital and Health Services by Baptist Health. This is a non-binding agreement for Floyd Memorial to enter into exclusive negotiations and due diligence with Baptist Health. Floyd Memorial is very encouraged by the possibilities this acquisition will provide for the organization and the Southern Indiana residents we serve. As we look to the future, we anticipate expanding our service offerings and investing in improved technologies, which will ensure Floyd Memorial remains the premier hospital in Southern Indiana.
The Floyd Memorial Cancer Center of Indiana has formed a new support group geared toward men and women of all ages and their families. This group will support patients and their families who have genetically tested positive for the mutations that can increase their risk for cancers. Quarterly meetings will focus on walking women and their families through the genetic counseling process, psychological effects of a positive genetic test and what happens after diagnosis. The group’s next meeting is Tuesday, May 17 from 6 - 8 pm at the Cancer Center’s lower level conference room. Dinner will be provided. Registration is required by calling 1-800-4-SOURCE.
On the cover: Frank Castro, MD, Mohammad Majd, MD, and Michael Doyle, MD (with Jeanne Thomas)
INSIDE 4 Ultimate Trust in a Colleague 6 Nerve Stimulating Procedure 7
Gives Patient Her Life Back
Alternative Cancer Therapies Lend Extra Help for Patients
8 The Third Time is the Charm for 9 10 2
Sellersburg Mom
I ntegrative Dry Needling Now Available at Floyd Memorial Physical Therapy
Spring 2016 Calendar
New Extended Hours for Floyd Memorial Urgent Care Centers Floyd Memorial Urgent Care Centers have extended hours at each location. This allows for more patients to be seen each day, making it easier to seek care when you need it, and at a time convenient for the patient. Hours for each center are now 8 am - 8 pm, seven days a week (closed only for most major holidays). These new hours are effective immediately. Urgent care facilities are located at: • 5130 Charlestown Rd., Suite 2 New Albany • 800 Highlander Point Dr., Suite 103 Floyds Knobs This change is geared to better accommodate the needs and schedules of our patients. Visit FloydMemorial.com for more information.
Floyd Memorial Invests in the Altapure Disinfection and Decontamination Cleaning System To take a more proactive approach to cleaning a patient room after a patient under isolation precautions is discharged, Floyd Memorial recently purchased an Altapure high-level disinfection and surface decontamination system. The model HJ-30i™ is an advanced, ultrasonic cleaning system delivering a dense cloud of sub-micron droplets for the high-level disinfection of large spaces such as patient rooms. After a patient room is thoroughly cleaned by environmental services staff, the Altapure system is placed in the room. The system creates a dense, sub-micron aerosol gas-or fog-like cloud that offers three-dimensional (3D) coverage and treatment in large areas, and the various surfaces within these spaces, including any equipment or objects located within the room. The result is complete treatment of all surfaces, including those tiny crevices that now have no other way of being reached during the standard cleaning process. Key benefits of this system include: • Demonstrates both clinically, and in independent laboratory testing, to be safe and provide rapid Total Kill™ and No Growth™ for spores, viruses and vegetative bacteria, such as, but not limited to: Clostridium difficile (C. diff), Acinetobacter baumannii, Pseudomonas aeruginosa, VRE, MRSA, Bacillus atrophaeus, Geobacillus stearothermophilus and the Polio virus. • This deposited microfilm is fully biodegradable and environmentally friendly, and will evaporate leaving no residue. • The deposited microfilm of peroxyacetic acid is diluted with 98.58 percent water, making it safe for materials found in the typical hospital setting, including electronic equipment such as computers, printers, scanners and more. • It is designed to meet all stringent United States regulatory standards for use in industries such as healthcare, pharmaceutical and food production. The HJ-30iTM system is engineered to operate in all FDA and USDA controlled manufacturing and work environments. “As infection preventionists, we take our work very seriously. We are committed to maintaining a safe environment in which to treat our patients,” said Tamara Pursell, RN, Floyd Memorial infection preventionist. “With the Altapure system, we can be one hundred percent confident all bacteria, spores and viruses are being eliminated from a patient room before the next patient is admitted.” Floyd Memorial began using the Altapure system in November of 2015. For more information, contact an infection prevention coordinator at (812) 948-7694 or 949-5719.
Floyd Memorial Foundation Hosts 2nd Annual White Coat Dinner On Saturday, January 30, Floyd Memorial associates, physicians and guests celebrated the hard work and dedication of two outstanding Floyd Memorial clinicians we are privileged to work alongside each day. Although there were several great candidates nominated, two rose to the top as their colleagues cast their vote. The recipient of the Floyd Memorial Foundation Nurse of the Year was Laura Crump, RN, SIPS unit. Ammar Tayara, MD, infectious disease physician, was named Physician of the Year (pictured). Two students, Carlos Kuria and Rachelle Shepherd, were also recognized based on the recommendation of faculty and staff at their respectful schools, Indiana University Southeast and Ivy Tech Community College. Congratulations to the winners and all the nominees!
Telemedicine Coming to Floyd Memorial You may have heard buzz words like telemedicine and telehealth being used to reference the medical care of tomorrow. By providing increased access to specialized care for physicians and patients alike through telemedicine, the future is now at Floyd Memorial Hospital. Why use telemedicine? Telemedicine allows remote access to a specialist via phone or videoconference to address a healthcare issue. This is particularly important when there is a shortage of certain specialty physicians, such as neurologists. Telemedicine is a way to provide rapid access to specialists while continuing to provide high-quality care to the patient. With this new technology, Floyd Memorial physicians will have access to real-time, face-to-face consultations with a specialist 24 hours a day, seven days a week. How will it work? Access will be provided to Floyd Memorial physicians via a robot known as the InTouch Vita, which will connect with Stroke Center director, Ajmal Bangash, MD, along with the highly regarded board certified neurologists from the University of Louisville Physicians group, including Kerri Remmel, MD, and her team. For example, a Floyd Memorial Emergency Department physician will be able to determine if a patient needs specialized stroke care. If so, the robot will be brought into the patient room. A member of the neurology team will appear on the video screen within 15 minutes of being called and can examine the patient via real-time videoconferencing. The neurologist may immediately view CT scans and important data via the system and make informed and rapid treatment decisions that are vital for acute stroke care in order to facilitate the best outcome. What is our timeline? The implementation of this program could begin as soon as April 2016. Floyd Memorial is actively working with the neurology team to bring this service to our stroke patients. However, other patient populations are also being explored who might benefit from this amenity. This enhancement speaks to the importance of providing state-of-the-art services and equipment to offer quality, comprehensive care to Floyd Memorial’s patients right here in Southern Indiana.
GUARDIAN ANGELS Congratulations to Floyd Memorial’s recent Guardian Angel recipients: The Guardian Angel program offers patients, visitors and staff 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.
Katie Wells, Executive Assistant Administration Christy Flynn, RN, Manager Emergency Department Ally Burch, MA Floyd Memorial Medical Group – Orthopedics Dawn Thompson Occupational Health Debby Bauer, Supervisor Patient Registration Sean Coverdell, PT Erin Jenkins, PT Physical Medicine Susie Hardesty Sitter Cheryl Norwood, RN Stan O’Neil Surgery
Save the Date for the 30th Annual Floyd Memorial Foundation Golf Classic
The Floyd Memorial Foundation Golf Classic, the Foundation’s biggest fundraising event of the year, will be held Friday, June 10 at Fuzzy Zoeller’s Covered Bridge Golf Club, with a semi-formal reception and auction for players and donors the evening prior, on June 9. The proceeds from the event directly impact the health of the community through the overall funding of Foundation-sponsored grant programs. To donate or reserve a spot for your team, call the Foundation at (812) 949-5803. 3
SPINE CENTER
Ultimate Trust in a Colleague – Spine Surgery Success
Natasha Bex, RN, BSN, has been a registered nurse for nearly 23 years, just over two at Floyd Memorial, now taking care of delivering mothers in the Floyd Memorial Birthing Center. She started on the Surgical Inpatient Unit at Floyd Memorial, caring for patients following their surgeries. While on that unit, she worked with many surgeons including Floyd Memorial Spine Center orthopedic and spine surgeon Mohammad Majd, MD. She had grown to trust and respect Dr. Majd’s skill. Patient after patient praised his caring bedside manner and ability to surgically treat their back and neck pain effectively. While not at work, Natasha is an active woman who loves to garden, canoe and camp anywhere on a tank of gas. “I was gardening one day, and all of a sudden my left arm went numb, and I was in excruciating pain. I thought it was my back,” she said. After a visit to the Floyd Memorial Emergency Department, a CT scan showed she had two herniated discs that were pinching the spinal cord. “I knew exactly who I wanted to treat my back - Dr. Majd.” He advised starting with conservative treatments, consisting of physical therapy and epidurals. She found little relief from the pain. Natasha couldn’t lie down, bend over to put shoes on or even wash her hair without unbearable pain, and the numbness remained. Dr. Majd explained, “The inability of conservative treatment to help with the pain and arm numbness was an indicator that surgical treatment was her best option.” Natasha is young and active, so he suggested removing the herniated discs and replacing them with an artificial device called the Mobi-C® cervical implant. The surgery is performed through the front of the neck, and the implant is designed to preserve the normal motion of the spine in a multi-level disc herniation, where two or more adjacent discs are compressed. In a traditional anterior cervical discectomy and fusion (ACDF) procedure, the vertebrae are bonded together with a metal plate, which greatly limits motion in the neck, and places the extra load on the adjacent upper and lower discs, causing possible trouble down the road. Dr. Majd was the first in the area to use the Mobi-C®
Mohammad E. Majd, MD Orthopedic/Spine Surgeon Floyd Memorial Spine Center Floyd Memorial Medical Group - Orthopedics
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THURSDAY
MAY 19 6 -7 pm
Free Back Pain Seminar Floyd Memorial’s Paris Health Education Center
Learn physical therapy and surgical options for back pain and sciatica. Registration is required by calling 1-800-4-SOURCE or online at FloydMemorial.com/Events. Seating is limited.
device and has performed the procedure on nearly a hundred patients. A recently released, five-year clinical trial study between the Mobi-C® device and ACDF surgeries showed the Mobi-C® implant surgery proved less invasive, quicker recovery time and significantly fewer subsequent surgeries. “This device is a great technology for neck and arm pain related to disc herniation and degeneration. Good candidates are between the ages of 20 and 65 who have no vertebral instability, facet disease (significant arthritis), osteopenia or osteoporosis,” said Dr. Majd. “Nearly everyone over 35 will have disc degeneration, which predisposes you to a disc herniation. It lies dormant in most people who will show no clinical symptoms, but trauma to the spine can bring out the symptoms and discovery of the condition,” he added. Natasha woke from surgery pain-free. She still needed the help of physical therapy to regain strength in her arm, but is nearly back to her normal self. “I didn’t hesitate to place my trust in Dr. Majd, and he proved me right. He gave me back my life. I’m so thankful we have him here in Southern Indiana,” she said. In her aftercare visits, Natasha saw Dr. Majd’s physician assistant, Norman Silva, PA-C, at Floyd Memorial Medical Group – Orthopedics. “Norman was really kind and wonderful to work with. He was positive I could get my function back and he really motivated me to get through the physical therapy. I told him I plan to attempt to ride horses for the first time very soon.”
The Floyd Memorial Spine Center is home to world class orthopedic spine surgeons, Mohammad Majd, MD, and Frank Castro, MD, along with Southern Indiana’s only spine/neurosurgeon, Michael Doyle, MD. For more information, call (812) 949-5933 or visit FloydMemorial.com/Spine.
Norman Silva, PA-C Physician Assistant Floyd Memorial Spine Center Floyd Memorial Medical Group – Orthopedics
Natasha Bex, RN, BSN
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NEUROLOGY
CANCER CENTER OF INDIANA
Nerve Stimulating Procedure Gives Patient Her Life Back Connie Moser is celebrating the freedom and daily activities others may take for granted, such as taking a walk, cooking and even breathing. According to Connie, the 62-year-old now has the energy of a 40-year old and her life back thanks to a procedure known as Vagal Nerve Stimulator (VNS). Connie was misdiagnosed as a child and deemed a “daydreamer” because the medical community at that time had little understanding of epilepsy or how to treat it. Connie admitted, “I could read a whole chapter of a book and couldn’t recall a word of it.” Eventually she received the diagnosis of epilepsy. Connie learned she was having The Procedure and How it Works VNS is a procedure that can selectively stimulate the vagus’ subset of nerves, ultimately calming the surge of activity associated with epileptic seizures. Pioneered 25 years ago, Dr. Seipel began using this procedure when it was still somewhat experimental. Today it is considered more a standard of care option in treating epilepsy. Normally, brain cells communicate by sending electrical signals in an orderly pattern. However, in people with epilepsy, this pattern can sometimes be disrupted either because of an injury or the person’s genetic make-up.
Connie Moser
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seizures quite regularly. Her seizures even had the potential to turn deadly, possibly causing her to stop breathing (a condition known as Sudden Death Unexplained in Epilepsy). Connie’s seizures began to worsen in number and degree. It all came to a head one day in 1996. “My day started normally. I got ready for work; however, I never made it. I had my worst day of seizures ever, although I don’t remember having them.” When Connie didn’t show up for work, her manager called her at home. She didn’t hear the phone as she lie at the bottom of the steps. Luckily, her husband found her. The seizures continued throughout the day – all day. Dr. Seipel explained the procedure, “Implantation involves using a pacemaker-like device that generates pulses of electricity to stimulate the vagus nerve. The device is about the size of a silver dollar and is surgically placed under the skin in the upper part of the chest.” A connecting wire is then run under the skin from the stimulator to an electrode that is attached to the left vagus nerve, which is accessible through a small incision in the neck. Following implantation, the stimulator is programmed to generate pulses of electricity at regular intervals. The settings on the device are adjustable, and the electrical current is gradually increased as the patient’s tolerance increases. The patient is given a hand-held magnet (Connie wears hers on her wrist) that, when brought near the stimulator, activates a stronger and longer current of electricity to stop a seizure in progress or reduce its severity. When activated, the device first stimulates the vagus nerve. Then, impulses are conducted between the brain and other parts of the brain, head and neck. To date, more than 100,000 patients worldwide have received implants. Connie could not be happier with the results. She is active again, no longer afraid to cook for herself and has energy she had never known before. She has lost over 70 pounds as a result of regaining energy and healthier eating habits. “It has truly given me my life back,” she added, “and I have Dr. Seipel to thank. He helped me gain back my independence.”
After seeing a neurologist, he corrected Connie’s seizure diagnosis, stating she was suffering from complex partial seizures that involve areas of the brain that affect alertness and awareness. After a varied medicinal regime failed to help, Connie sought the advice of her primary care physician, Howard Pope, MD, who referred her to Floyd Memorial Medical Group neurologist, Joseph Seipel, MD. “When I first began to treat Connie, she had very abnormal EEGs, experienced debilitating seizures and fatigue, and any attempt to correct this with various pharmaceuticals had not made a difference. It was time to look at other options,” said Dr. Seipel.
Joseph Seipel, MD Board Certified Neurologist
Floyd Memorial Medical Group – Neuorology
“It’s remarkable to see what a huge difference this procedure makes in a patient like Connie in terms of quality of life,” said Dr. Seipel. “The goal for all of our patients is to experience no seizures at all. While this may not be possible, they can live an otherwise normal way of life. We provide our patients with options.” According to Dr. Seipel, VNS is used in conjunction with other treatments. Patients continue to take their seizure medications; however, in some cases, dosage can be reduced, such as in Connie’s case. And although she may still have a seizure from time-to-time, the frequency has drastically reduced. “If I feel one coming on, I use the magnet from my implant to stop the onset of the seizure. It is such a good feeling to have that much control,” she says. VNS may be a treatment option for patients who are not controlled by anti-seizure or anti-convulsant medications or not good candidates for surgery. VNS can also be a treatment for patients with hard-totreat depression. For more information or to schedule an appointment with Dr. Seipel, call (812) 945-1429.
Alternative Cancer Therapies Lend Extra Help for Patients The Floyd Memorial Cancer Center of Indiana offers not only the skill and knowledge of board certified hematologist/oncologists and radiation oncologists, advanced diagnostic equipment and lifesaving treatment technology, but alternative therapies to accompany its treatment plans including acupuncture, massage therapy and other services. Acupuncture Director of the Cancer Center of Indiana, board certified medical oncologist/hematologist Naveed Chowhan, MD, FACP, MBA, is also a certified medical acupuncturist and has been practicing the alternative therapy since 2005. He explained, “The exact science behind acupuncture is not known. What we do know is that it has as high as a 60 to 80 percent effective rate in treating pain from headaches, muscle spasms, fibromyalgia, carpal tunnel syndrome, those recovering from stroke, even high blood pressure and many other conditions.” There are three areas of focus in acupuncture: the scalp, ear and body. A sterile needle, about three times the Massage Therapy Floyd Memorial’s massage therapy program is offered as an additional resource to help patients and their primary caregiver deal with the discomfort, stress and emotional side effects that often accompany cancer. Research has shown that therapeutic massage can: • Relieve pain • Decrease stress • Alleviate fatigue • Enhance sleep quality • Boost the immune system • Promote faster healing time • Ease pain after surgery • Reduce headache frequency and intensity • Improve muscle tone and flexibility Certified massage therapist Susan Waiz, CMT, has been with Floyd Memorial since 2003. She uses several techniques found to be effective with her cancer patients. “Working with the body’s fascia is a major focus in massage research today. This saran-wrap type of connective tissue surrounds every muscle fiber, bone and organ in the body, forming 12 trains,
thickness of a human hair, is strategically inserted at specific points. It balances the flow of energy, stimulates nerves, connective tissue and muscles in the body. Acupuncture is a 3,000 year old practice that is becoming more accepted in modern medicine every day because of its effectiveness. Many medical schools include acupuncture as part of the curriculum. It is a great alternative because there is no medication involved; thus, no side effects, and patients aren’t saddled with taking a medication for the rest of their lives. “The response of pain relief from acupuncture lasts several months. If a patient says their pain is 80 percent better and does not continue to improve, we stop the treatment and they seem to do well for a long period of time. or sheaths, of support and protection throughout the body. Fascia can become contorted creating discomfort and congestion in the body. Massage can help balance and loosen the fascia for easier movement and better blood and lymphatic circulation,” she explained. Each massage is individualized to fit the patient’s need. No massage session is ever the same. Thanks to a grant from the Horseshoe Foundation of Floyd County and other funding, massage is offered free to Cancer Center patients. Susan Waiz and Debbie Buehring RN, CMT, are available two days a week at the Cancer Center and one day a week in the Medical Inpatient Unit at Floyd Memorial Hospital. Patients can make an appointment following their treatment or provider appointment by calling (812) 981-6246.
Naveed Chowhan, MD, FACP
Board Certified Medical Oncologist/Hematologist Medical Director of the Floyd Memorial Cancer Center of Indiana
I can usually tell within a couple of sessions if the treatment is going to work for a patient. It’s just one of many tools we have at the Cancer Center of Indiana,” said Dr. Chowhan. To make an appointment with Dr. Chowhan, call the Floyd Memorial Cancer Center of Indiana at (812) 945-4000. Other Helpful Services Floyd Memorial also offers a unique Pink Ribbon Pilates program for breast cancer surgery patients to help increase range of motion and decrease pain and swelling. The class is free for Cancer Center patients thanks to a grant from the Floyd Memorial Foundation. Call (812) 945-3440 to schedule a class. Other specialists at the Center include a registered dietitian who is onsite one day per week to see patients who need advice on nutrition and weight maintenance; a social worker to help clear obstacles that are challenging the patients’ care; and financial counselors. For more information, call (812) 945-4000 or visit FloydMemorial.com/Cancer.
Susan Waiz, CMT Certified Massage Therapist
Floyd Memorial Hospital and Health Services
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BIRTHING CENTER
REHABILITATION
The Third Time is the Charm for Sellersburg Mom Floyd Memorial Birthing Center patient, Carmen Monihon, and her husband, Ty, were gearing up for something special - the birth of their first child. A blended family, Carmen had two young boys, Brady and Briar, from a previous relationship. So while the experience of labor and delivery was not a foreign concept to Carmen, Ty was about to be a first timer. The third time was indeed the charm for Carmen. In the case of Carmen’s previous two pregnancies, she delivered naturally. She admits it wasn’t necessarily a conscious choice with Brady, as she had transitioned too far when an epidural was no longer an option. However, once she had a natural delivery with her firstborn, it only made sense to go with the same birthing plan for her second pregnancy. “Even though I didn’t consider myself to be all-natural, I did think it was important to have the same advantages of a drug-free labor,” said Carmen. Still, she felt apprehensive each time, fearing the pain associated with natural labor and the anxiety that comes along with it. “It made me lose focus on what I was doing, on knowing where the baby was and on my pushing efforts,” she said. Prior to the delivery of Carmen’s third son, River, Floyd Memorial purchased a new Porter Nitronox system for its Birthing Center. Certified nurse midwife Carla Layne-Copas, APRN, CNM, first introduced this new analgesic to the team at Floyd Memorial. Once an extensive review was completed, the team moved forward with the decision and implementation of this exciting option. The therapy uses nitrous oxide, which is a colorless gas. A mother in labor simply inhales the gas through a mask to reduce anxiety during delivery. Carla explained, “Nitrous systems have been available in Europe for decades and are known as safe and effective tools for laboring mothers. The technology uses a blend of 50 percent nitrous oxide and
Carla Layne-Copas APRN, CNM
Certified Nurse Midwife OB/GYN Associates of Southern Indiana
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For more information, call the Floyd Memorial Birthing Center at (812) 948-7420 or visit FloydMemorial.com/Baby.
Integrative Dry Needling Now Available at Floyd Memorial Physical Therapy Integrative dry needling, also known as trigger point needling, is a treatment now available by select Floyd Memorial physical therapists to treat pain resulting from a variety of conditions in patients over the age of 16. Doctor of physical therapy at Floyd Memorial’s Physical Therapy location on Charlestown Road, Jim Snyder, PT, DPT, explained, “The physical therapist creates small lesions by gently inserting fine filaments in the skin. The lesions cause an inflammatory reaction in the soft tissue which causes a local and systemic reaction and stimulates the body’s natural healing process. As the body heals, the patient’s pain is reduced.” Dry needling is a treatment for musculoskeletal and neuromuscular conditions, including: • Neck, back and shoulder pain • Arm pain – tennis elbow, carpal tunnel syndrome, golfer’s elbow • Migraine and tension headaches
50 percent oxygen for a mild analgesic, offering pain reduction to those patients looking for an alternative to narcotic use during labor.” Carmen continues to share her birth story with other women and would recommend it to anyone wanting to have a natural experience with the benefit of more relaxation and focus. “This service was, unfortunately, not available with my other two sons. I am so pleased it was offered to me.” Carmen continued, “Carla was the provider on call. I came in already at eight centimeters dilated and she explained to me, very thoroughly, this new option. I hadn’t heard of it, but liked that it was narcotic-free because I wanted to feel present at the birth of my son.” Carmen described how the therapy really took the edge off and, despite still feeling everything, she was calmer, more in control and more focused. She felt mentally and physically aware for the birth of her third son. Unlike her previous two experiences, Carmen felt productive in her efforts, pushing effectively and knowing where the baby was throughout the process of delivery. She attributes this to her lack of anxiety and immense reduction in her fear of the pain.
After bonding with River after his birth, Carmen walked around, showered and felt great. Carla explained to Carmen this was due to the short half-life of the nitrous oxide. “I had to breathe it in to continue receiving its effects. Therefore, there were no lasting effects like what you think of when receiving nitrous at a dentist office,” she said. Carmen cannot thank Carla enough for her wonderful suggestion that truly enhanced her birthing experience. Carmen feels she was able to make an informed decision given the time the provider took explaining everything about the procedure to her – and in her mind, it was the right decision. “The experience of labor is different for all women, and their response to its discomforts is highly individual,” said Emily Banet, MSM, BSN, RN, RNC-OB, CCE, manager of the Floyd Memorial Birthing Center. “Therefore, the physicians, certified nurse midwife, nurses and staff at the Floyd Memorial Birthing Center believe moms should have access to a variety of approaches to promote comfort and reduce anxiety throughout labor.”
• Buttock and leg pain – sciatica, hamstring strains, calf tightness and spasms “After assessing the patient, we can help decide if dry needling, in conjunction with other physical therapy interventions like exercise, electrical stimulation, ultrasound or manual therapy, is warranted to help alleviate pain. Dry needling isn’t a single treatment, but an adjunctive therapy to accompany other forms of physical rehabilitation,” Jim added. With this therapy, there are three areas in which the physical therapist will focus. “We can needle the trigger points, local areas of pain or the peripheral nerve distribution from which those trigger points arise. You can also needle the spinal segments that correspond to that level of involvement. By performing a comprehensive examination, which includes palpation, or touching the symptomatic area, the clinician can find the trigger points and areas that need to be addressed.”
Jim Snyder, PT, DPT Manager
Floyd Memorial Physical Therapy – Charlestown Road
at the site. The monofilaments do not have a cutting edge, so it is unlikely for any significant trauma to the tissue. If it does hit nerve tissue, it can cause a twitch reaction which can also stimulate the healing process,” said Jim. The effectiveness of the treatment varies from person to person, as does the length of treatment time needed, but is typically very helpful in patients with a localized area of pain. Patients who are allergic to certain types of metals like chromium or nickel should not be treated with this therapy. Contraindications and precautions will be fully explained prior to therapy during the exam process. Most insurance plans cover integrative dry needling if prescribed by a physician as part of rehabilitation.
Integrative dry needling therapy is available at the following locations: Floyd Memorial Physical Therapy – Charlestown Jen Kramp, PT, MS 9407 County Road 403 Charlestown, IN 47111 (812) 256-0528 Floyd Memorial Physical Therapy – Clarksville Diana Richmer, PT, CLT, PRPC 1615 Blackiston View Drive, Suite B Clarksville, IN 47129 (812) 288-8817 Floyd Memorial Physical Therapy – Corydon Susan Pierson, PT, MHS 2207 Concord Avenue NW, Suite 100 Corydon, IN 47112 (812) 738-3616 Floyd Memorial Physical Therapy – Charlestown Road Jim Snyder, PT, DPT 3891 Charlestown Road (Behind Kohl’s) New Albany, IN 47150 (812) 945-3440 For more information on how Floyd Memorial can help improve your health through this technique, call one of the locations above, or visit FloydMemorial.com/Rehab.
Dry needling is a treatment for musculoskeletal and neuromuscular conditions.
Is it painful? “There’s not a great deal of pain involved. Sometimes patients report they don’t really feel the needles penetrate the skin at all. There may be some mild achiness and, occasionally, some bruising 9
SPRING 2016
Calendar of Events
All events are free and meet in Floyd Memorial’s Paris Health Education Center unless otherwise stated.
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To register
Call 1-800-4-SOURCE (1-800-476-8723) or visit FloydMemorial.com/Events, unless another number is listed. 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.
Cardiac CT Calcium Scoring Screenings
By appointment Floyd Memorial Hospital A CT scan of the heart to detect calcium deposits found in plaque buildup in the coronary arteries. The level of calcium can signal the presence of arthrosclerosis, a disease of the vessel wall, also called coronary artery disease (CAD). This test is one of the most sensitive approaches to detecting the disease before symptoms occur. The cost is $90. Call (812) 949-5570 to schedule your screening.
Free Osteoporosis Screenings
The pDXA screening is a scan of the bone density of the heel. To schedule an appointment, call (812) 949-5570.
Free Body Mass Index Screenings
Floyd Memorial Weight Management and Bariatrics Center Free screenings of weight and body fat percentage by appointment. To register, call (812) 949-7151.
Free Heart and Stroke Screenings
Thursday, May 5, June 2 and August 4 by appointment Full lipid cholesterol panel, blood pressure, blood sugar, blood sugar A1C and body mass index.
Free Joint Pain Screening
Saturday, April 16, 7:30 - 10:30 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 10, 11 am - 1 pm, Floyd Memorial’s 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. Registration is not required.
Saturday, May 14 and 21 8:30 am - 12:30 pm (2-part series) Saturday, July 30 and August 6 8:30 am - 12:30 pm (2-part 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.
Tuesday, April 19, 2 - 4 pm (Skin Cancer) Monday, May 16, 9 - 11 am and 5 - 7 pm (Stroke Awareness) Monday, August 22, 9 - 11 am and 5 - 7 pm (Back to School, Healthy Eating)
Free Physical Therapy and Sports Injury 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.
$89 Lung Cancer Screenings
If you are a current or former smoker (quit in the last 15 years) 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 same-day review of your results with our lung patient navigator. You will also have the opportunity to participate in our breath analysis clinical trial at the time of your screening and receive a $25 Visa gift card. To schedule a screening, call (812) 981-6208.
Free Prenatal Classes
Thursday, April 14 - May 12 7 - 9 pm, (5-week series) Thursday, August 4 - September 1 7 - 9 pm, (5-week series) Take at the beginning or middle of pregnancy. Physical and emotional changes, stages of fetal development, nutrition, anesthesia choices, basic infant care, postpartum health and baby’s first year. Registration required.
Wednesday, April 20, May 18, June 15 and July 20, 6 - 7 pm Floyd Memorial Cancer Center of Indiana Learn about gastric banding, gastric bypass and sleeve gastrectomy surgery and the support services offered by the Floyd Memorial Weight Management and Bariatrics Center. Registration required.
Alzheimer’s Support Group
Third Thursday of each month 2 - 3:30 pm and 6 - 7:30 pm Contact: Sadie Powell, (812) 948-1311
Moving Forward – Amputee Support Group
Cancer Patient/Caregiver Support Group
First & third Thursday of each month 6:45 - 8 pm Floyd Memorial Cancer Center of Indiana Contact: Evelyn Hunter, (812) 542-4996
Third Monday of each month, 6:30 - 8 pm Southern Indiana Rehab Hospital Conference Room Contact: Brittany Bley, (502) 724-4490 or Belinda Jacobi, (812) 620-3694
Caregiver Support Group
Balancing Life with Diabetes Support Group
Fourth Tuesday of each month, 6:30 pm Contact: Jennie Olmstead, jennieolmstead@gmail.com
Thursday, April 7, 5:45 pm Topic: Patient Story Thursday, May 5, 5:45 pm Topic: Weight Loss Story 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 Contact: Amy Brown, (812) 981-7296
Brain Injury Support Group
Third Thursday of each month, 7 pm Southern Indiana Rehab Hospital Contact: Beverly Setree, (502) 819-2542
Breast Cancer Support Group
Second Thursday of every other month (April, June, August), 7 pm Contact: Rhonda Curd, (812) 786-4145
Second Tuesday of each month, 1:15 pm Southern Indiana Rehab Hospital Contact: Stacy Rose (812) 941-6154
Gluten Free Support Group
La Leche League of Southern Indiana
Third Monday of each month, 6:30 - 8 pm Contact: Lisa, (812) 987-3635 or LLLSouthernIndiana.com
Laryngectomee Support Group
Third Wednesday of each month, 3 - 4 pm Contact: Susan Mathews, (812) 948-6725
Parkinson’s Support Group
First Tuesday of each month, 6:30 pm Contact: Donna Mattox, (812) 256-5424
Stroke Support Group
Second Tuesday of each month, 1 pm Southern Indiana Rehab Hospital Contact: Tori Vinson, OTR (812) 941-6154
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 CoSurvivors.org.
Joslin Diabetes Center
Free Breastfeeding Class
Thursday, May 26 and September 15 7 - 9 pm Teaches new parents infant CPR. Cost is $10 per couple. Registration required.
Surgical Weight Loss Seminar
Support Groups
Tuesday, May 17, 6 - 8 pm Floyd Memorial Cancer Center of Indiana (812) 945-4000
Saturday, May 7 and August 13 10 am - 12 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.
Baby Savers Class
Floyd Memorial Weight Management and Bariatrics Center Lose 10 to 200 pounds with HMR. Free informational sessions on Mondays and Wednesdays. Call (812) 949-7151 to schedule.
Proactive Angels Support Group
Free Sibling Class
Thursday, May 19 and September 8 6:30 - 9 pm Helpful hints for a successful breastfeeding experience, practical guidelines, common misconceptions and barriers. Registration required.
HMR Orientation – Medically Supervised Weight Loss
Free Screenings at the Floyd County YMCA
Birthing Center Prepared Childbirth Class
Weight Management and Bariatrics Center
SATURDAY
JUNE 25 9 am - 12 pm
Baby Fair
Floyd Memorial’s Main Lobby
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.
The Joslin Diabetes Center Affiliate at Floyd Memorial offers ongoing education classes so patients can keep their condition in check. Call (812) 949-5700 to register.
Balance and Control
For individuals looking to get their diabetes under control, new to diabetes or new to insulin. Covered by most insurance plans.
Diabetes Refresher Course
Helps patients set goals for ongoing healthy management of their diabetes. Covered by most insurance plans.
Diabetes Prevention Program
This program helps you learn ways to change your lifestyle and improve your health. Participants meet in a group with a trained lifestyle coach to learn how to make modest lifestyle changes. Groups meet weekly for 16 core sessions and monthly for 6 post-core sessions.
Health Education HIP 2.0 Enrollment Assistance
First Tuesday of each month, 3:30 - 7 pm May 3, June 7 and July 5 Financial representatives from Floyd Memorial will answer questions or help with HIP 2.0 (Healthy Indiana Plan) enrollment. 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 anyone who wants to apply. Registration is required.
Transitions in Life Seminar
Saturday, April 9, 9 - 11 am Speakers from Floyd Memorial’s Palliative Care team will discuss the importance of advanced directives, living wills, durable powers of attorney and ethical decisionmaking at the end of life. Featured presenters include Chaplain Rob Schettler, M.Div, Drew Dowland, MSSW, LSW, Phillip Johnson, MD, and Marla Byrd, APRN. Steve Naville, attorney, will be available for questions and answers. Find resource booths including informational documents, brochures and forms. Space is limited and registration is required.
Kidney Disease Treatment Options Classes
Tuesday, April 12, May 10, June 14 and July 12, 10 am - 12 pm Call (502) 265-8641 to register.
Cooking Demonstrations
Thursday, April 28, Cauliflower Thursday, May 12, Peas Thursday, June 9, Strawberries Thursday, July 14, Peaches All demos are from 6 - 7 pm Watch a cooking demonstration to learn how to prepare themed fruit/vegetables each month. A sampling will follow. Seating is limited and registration is required. Brought to you by the Floyd County Nutrition Coalition.
Cooper Clayton Smoking Cessation Classes
Tuesday, April 26 – July 19, 4:30 pm Ready to quit? Sign up today for free 13-week Cooper Clayton Method for Smoking Cessation classes. Class size is limited. Registration required.
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.
Free Back Pain Seminar
Thursday, May 19, 6 - 7 pm Learn physical therapy and surgical options for back pain and sciatica. Registration required.
Free Shoulder Pain Seminar Thursday, June 2, 6 - 7 pm Learn about treatments that may offer relief of your shoulder pain. Registration required.
Indiana Blood Center Blood Drive
Tuesday, June 21, 11 am - 3:30 pm Register to donate at Donorpoint.org.
Free Joint Pain Seminar
Thursday, July 14, 6 - 7 pm Learn about treatments that may offer relief of your joint pain. Registration required.
Church Leader Visitation Training
Chaplain Rob Schettler is offering Floyd Memorial Hospital visitation training for church leaders. Topics will include: • Floyd Memorial Hospital protocols and procedures • Preparing our hearts before we visit • Approaches in visitation ministry • Do & Don’ts of a hospital visit • Our commission to care For a training day and time, please call (812) 949-5711.
FRIDAY
JUNE 24
11 am - 1:30 pm
Cancer Survivors Reunion Floyd Memorial Cancer Center of Indiana All cancer survivors and their families are invited to join in on a free day of fun at 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. And an old time photo booth will be available to document the day’s fun. Registration is not required.
Prediabetes Class
Designed to help determine what changes are needed to avoid developing type-2 diabetes and set goals for living healthier. Cost is $25.
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