Summer 2015 Healthscope

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NON-PROFIT U.S. POSTAGE

SUMMER 2015

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.

1850 State Street New Albany, IN 47150

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.

Detect Lung Cancer Early When you come to the Floyd Memorial Cancer Center of Indiana for an $89 CT lung cancer screening, you can also participate in a ground-breaking breath analysis clinical trial. Research shows that CT lung cancer screenings can detect lung cancer in its earliest and most treatable stages, and increases the chance of survival.

Angie Glotzbach Editor, Writer Angie Rose Director of Brand Management & Customer Relations, Writer Haley White Writer Stacey Rudy Contributor If you no longer wish to receive marketing materials/ communications from Floyd Memorial Hospital and Health Services, please call 1-800-476-8723.

That is why Floyd Memorial is offering an affordable, $89 screening. Directly following your screening, you will have an opportunity to choose to participate in a free, non-invasive, ground-breaking clinical trial to detect lung cancer. The Kentucky Clinical Trials Laboratory, LLC, under the direction of Saeed A. Jortani, Ph.D, DABCC, is leading this study to detect cancer markers just by breathing into a bag and comparing it to your CT lung scan. This could one day lead to early cancer diagnosis right in the doctor’s office. Be a part of this amazing opportunity at the only Southern Indiana hospital offering this unique clinical trial. Call Mindi Burch at (812) 981-6208 to schedule your screening today.

Screenings are available for those who meet any of these criteria: • 30-pack-year history of smoking (one pack per day for 30 years, two per day for 15 years, three per day for 10 years, etc.) • History of smoking and age 55 to 74 • Exposure to asbestos and history of smoking • First degree family history of lung cancer (father, mother, brother or sister) and age 50 or older • Former smoker; 15 years or less smoke free

The breath analysis method is compared against the CT. All breath results are considered investigational. You will not receive results of the breath analysis.

2210 Green Valley Road • New Albany, IN 47150 FloydMemorial.com/Cancer

For only $89 you receive a CT lung screening. Plus, receive a $25 VISA gift card if you agree to participate in the clinical trial.

The Latest Advancements in Heart Surgery and the Treatment of GERD


Floyd Memorial News and Announcements Naveed Chowhan, MD, Returns to Floyd Memorial Cancer Center of Indiana

Floyd Memorial Wound Healing Center Recognized with National Award for Clinical Excellence

The Floyd Memorial Cancer Center of Indiana is pleased to announce that board certified medical oncologist/hematologist and internal medicine physician Naveed M. Chowhan, MD, FACP, MBA, has once again joined the Cancer Center of Indiana as medical director. Dr. Chowhan graduated cum laude from medical school in the Dominican Republic and completed his residency in internal medicine at DC General Hospital’s Georgetown University, and a fellowship in oncology/hematology at State University of New York at Stony Brook. He has also received training in bone marrow transplantation and is certified in medical acupuncture. Dr. Chowhan has served as the principal investigator of oncology and hematology clinical research studies since the early 1990s. He is also a member of several professional organizations, including the American Society of Hematology and the American Society of Clinical Oncology. Dr. Chowhan is currently the president of the Indiana Oncology Society, serves as an executive board member of the Indiana State Department of Health and advisory board member of the School of Public Health and Information Sciences at the University of Louisville. Call (812) 945-4000 for more information.

The Floyd Memorial Wound Healing Center was recently given the Center of Distinction Award by Healogics, Inc., the nation’s largest provider of advanced wound care services. The Center achieved outstanding clinical outcomes for 12 consecutive months, including patient satisfaction higher than 92 percent, a minimum wound healing rate of at least 91 percent within 30 median days to heal and other quality outcomes. There were 506 centers eligible for the Center of Distinction award; only 172 achieved the honor. The Floyd Memorial Wound Healing Center is a member of the Healogics Network of more than 635 centers. For more information, call (812) 949-7964 or visit FloydMemorial.com/Wound.

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 Ahmad Khan, MD

Cardiothoracic Surgery

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

Floyd Memorial Medical Group Welcomes Ella Futter, NP-C

Daniel J. Eichenberger, MD, Appointed Interim CEO

Floyd Memorial Medical Group – Endocrinology is pleased to welcome Ella Futter, NP-C, nurse practitioner certified by the American Academy of Nurse Practitioners. She has over 15 years of nursing experience, including emergency room, endoscopy, orthopedic, urology, OB/GYN, ENT and general surgery procedures. Ella obtained her bachelor’s degree in nursing in 2000 from Indiana University Southeast. She went on to complete a master’s degree in 2014 in primary care nursing from Indiana Wesleyan University. Ella is ACLS, PALS and CPR certified and is an ACLS instructor. She also has professional memberships with the Coalition of Advanced Practice Nurses of Indiana and the American Association of Nurse Practitioners. To make an appointment, call (812) 949-5700.

The Floyd Memorial Hospital and Health Services’ Board of Trustees appointed Daniel J. Eichenberger, MD, MBA, as interim CEO of Floyd Memorial Hospital and Health Services. Dr. Eichenberger is a long-time, local primary care provider in our community. He continues to practice with Floyd Memorial Medical Group – Physician Associates of Floyds Knobs, in a limited capacity, as well as serves as chief medical officer for Floyd Memorial. Dr. Eichenberger provides leadership and support to the executive team, and reports directly to Board of Trustees chairman, Marc J. McCormick and Board member, James Y. McCullough, Jr., MD, a retired surgeon at Floyd Memorial. In addition to being board certified in both adult internal medicine and pediatrics, Dr. Eichenberger earned his master’s degree in business administration in healthcare management in 2013.

Floyd Memorial Birthing Center Awarded 2015 IBCLC Care Award The International Board of Lactation Consultant Examiners (IBLCE) and the International Lactation Consultant Association (ILCA) presented the Floyd Memorial Birthing Center with the 2015 IBCLC CARE AWARD. This award is presented to healthcare organizations who hire currently certified IBCLC lactation consultants.

Patient Safety Findings Show Reduced Harm, Fewer Readmissions at Floyd Memorial The results are in after a three-year campaign to prevent harm and reduce readmissions for hospital patients across the nation, and participating Indiana hospitals, such as Floyd Memorial Hospital and Health Services, are showing significant progress. From 2012-2014, 116 Indiana hospitals partnered with the Indiana Hospital Association (IHA) in the Centers for Medicare and Medicaid Services’ (CMS) Partnership for Patients campaign. Guided by the American Hospital Association and Health Research & Educational Trust’s Hospital Engagement Network, the goal was to make care safer by decreasing hospital-acquired conditions by 40 percent and reducing hospital readmissions by 20 percent. 2

Participating hospitals worked to improve care in 11 core patient safety areas of focus, such as early elective deliveries and pressure ulcers. Staff participated in educational meetings and trainings to increase improvement capacity, and provided data tracking and reporting for each topic to encourage further awareness and monitoring. Floyd Memorial confirmed 187 harms were prevented, resulting in an estimated $1.1 million in healthcare cost savings during the three-year period. A total of 88 unnecessary readmissions were also prevented with a cost savings of more than $775,000. Of the $1.1 million, $378,000 was saved through the prevention of 17 venous thromboembolisms (VTEs), the leading

cause of complications and preventable hospital deaths due to blood clots that may form as a result of limited patient mobility during hospital stays. The three-year period of the Partnership for Patients campaign also produced significant improvement by Floyd Memorial to reduce early elective deliveries, which can put mothers and babies at risk. By prohibiting the scheduling of early elective deliveries (EEDs) before 39 weeks, hospitals in Indiana reduced EEDs by 76 percent, and more than 50 birthing hospitals were recognized by IHA and the March of Dimes. Floyd Memorial reduced its own early elective deliveries by 26 deliveries.

New 3D Mammography Technology at Floyd Memorial’s Women’s Imaging Center Floyd Memorial recently purchased Hologic’s 3D Tomosynthesis Mammography equipment. This advanced technology allows a series of breast images to be taken at several angles to get a better view of dense breast tissue. A regular mammogram can often miss tiny spots, called microcalcifications, and other subtle signs of early cancer. For more information about Floyd Memorial’s Women’s Imaging Center, visit FloydMemorial.com/Diagnostic-Imaging or call (812) 949-7799.

Floyd Memorial Opens New Transitional Care Clinic Floyd Memorial Hospital and Health Services is taking the next step to ensure patients receive timely, post-discharge follow-up care with a new Transitional Care Clinic. This clinic provides services that will enhance the lives of high risk patients, so that they may better manage their healthcare and live longer, more productive lives. The goal of the Transitional Care Clinic is to reduce readmission rates by offering at-risk patients the opportunity to be seen, if their primary care physician is unable to see them within the suggested seven to 14 day time frame. Transitional Care Clinic services include: • Patient or caregiver education • Medication reconciliation • Coordination with outpatient providers • Arrangements for future care (home health, outpatient follow-up) • Symptom monitoring or reinforcement of education during the transition * Most insurances are accepted, however, you should check with your provider to ensure that you follow the appropriate steps for prior approval, if required.

80% by 2018 Colorectal Cancer Initiative Floyd Memorial Hospital and Health Services has partnered with Gastroenterology of Southern Indiana in a National Colorectal Cancer Roundtable initiative to eliminate colorectal cancer as a major public health problem, and work toward the shared goal of reaching 80 percent of adults aged 50 and older screened for colorectal cancer by 2018. Screening can be as simple as an at-home test, or as extensive as a colonoscopy. Colorectal cancer is the second leading cause of cancer death in men and women in the U.S. and is highly preventable if caught in the early stages. One in three adults are not getting tested as recommended. Call (812) 949-5575 or visit FloydMemorial.com/Colon for more information.

CM Hocker, Jr., MD, Awarded Jamey Aebersold Spirit of the Red Ribbon Award Floyd Memorial Medical Group – State Street’s CM Hocker, Jr., MD, was recently awarded a Jamey Aebersold Spirit of the Red Ribbon Award by Our Place Drug and Alcohol Education Services, Inc. The awards acknowledge those who have made a significant contribution toward the education, prevention, intervention and treatment of drug and alcohol abuse in the community year round. This is a devastating problem for many families, and while the tragedies often get acknowledged, the everyday work of those trying to prevent and intervene with this issue is often overlooked. The awards are given in honor of Jamey Aebersold and his continued commitment in this area.

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.

Rita Berry, RN Women’s Center Laura Crump, RN SIPS On the cover...Floyd Memorial General Surgeons Left to right: Lanny Gore, MD, John Clayton, DO, Douglas Berg, MD, and Eric Wieman, MD.

INSIDE 4 T he Latest Advancements in the 6 7 8 10

Treatment of GERD

Advanced Heart Care at the Floyd Memorial Heart and Vascular Center P atient Comfort in Mind with Open Solution MRI B ack to School – Evaluation and Treatment of ADHD

Summer Calendar 3


GENERAL SURGERY

The Latest Advancements in the Treatment of GERD GERD (Gastroesophageal Reflux Disease), more commonly referred to as chronic acid reflux, is a condition that impacts more than 80 million people in the U.S. GERD is a deceptively complex, chronic condition caused by structural changes in the lower esophageal sphincter (LES), which is a ring of muscles that acts as a one-way valve at the base of the esophagus. In patients with GERD, the LES relaxes between swallows and allows acidic stomach contents to wash back up into the esophagus. This can cause heartburn, hoarseness, bitter or sour taste in the back of the throat, pain in the chest and upper abdomen, chronic coughing, burping, wheezing and possible injury to the esophageal lining.

Occasional acid reflux needs minimal treatment, including lifestyle modifications such as: avoid trigger foods like citrus and caffeine, eat smaller meals (especially close to bedtime) and take over-thecounter medication. If you are suffering with chronic acid reflux, it can impact your quality of life, including your diet, physical activity and even your family life. For many years, the only options for patients have been to either take expensive medications or opt for an invasive surgery. Advanced Minimally Invasive Technology Today, there is a minimally invasive procedure called, TIF – Transoral Incisionless Fundoplication. The TIF procedure fills the treatment gap between medical therapy and more invasive surgical options for GERD.

John Clayton, DO, FACOS, is a 25-year surgical veteran who earned his medical degree from the University of Osteopathic Medicine and Health Sciences in Des Moines, Iowa, and completed his residency training at Des Moines General Hospital. As one of the most experienced surgeons in the area for the treatment of GERD, Dr. Clayton is the only surgeon in the Southern Indiana region who performs the TIF procedure. “I attended a national meeting about five years ago. On the last day, there was a surgeon from Michigan who was speaking on the TIF procedure. I decided to listen to his talk and stay after to ask him how I could get more information on TIF. He put me in contact with Endogastric Solutions. That’s what sort of kicked it off for me,” said Dr. Clayton. How it Works Transoral Incisionless Fundoplication uses an endoscopic approach that requires no incisions. While under general anesthesia, the flexible EsophyX device is lowered through the mouth into the stomach. Once inside the stomach, the surgeon manipulates the device to create a tight valve by pulling the esophagus into the upper portion of the stomach and holding it in place using suture-like fasteners. “Reflux is a mechanical problem. It means the valve doesn’t work. All this medicine that patients are taking to treat acid reflux is changing their pH levels.

John Clayton, DO, FACOS

Board Certified General Surgeon Floyd Memorial Medical Group - Surgery

Acid is in the stomach for a reason, so we should keep it there, and instead, treat the cause of the reflux, not just the symptoms,” said Dr. Clayton about the innovative nature of the procedure. Proven Results Following the procedure, 80 percent of patients remain symptom-free after three years. The patient should anticipate swelling in the bottom of their esophagus for a couple of weeks. They are also expected to follow exercise and lifting restrictions – nothing over 20 pounds for four weeks, and to follow a strict diet regimen of “liquids only” for two weeks following the procedure. At three weeks post-surgery, the patient can transition to a soft diet, and at six weeks, should be back to a normal diet. “More than anything, I like to give my patients plenty of information when they come in. I show them the traditional surgery to treat GERD, and then show them how the TIF is different. It’s about education, so the patient feels empowered to take their healthcare into their own hands.” This September marks the fourth year that Dr. Clayton has been performing the TIF procedure. To date, he has done over 110 procedures with eight out of 10 patients still off all their medications. One of Dr. Clayton’s favorite success stories was from his time practicing in Washington, Ind. “We had a greasy spoon famous for its cheeseburgers and chili. I had a patient who came in for a follow-up appointment after having the TIF procedure. She said, ‘Dr. Clayton, I just came from lunch and had a cheeseburger and chili with my husband, and it didn’t bother me a bit. I love you!’ It’s moments like that when a patient can enjoy life without discomfort that make doing this procedure worthwhile.” To schedule an appointment with Dr. Clayton, call (812) 949-5575.

Following the procedure, 80 percent of patients remain symptom-free after three years.

1. T he device is inserted into the esophagus through the mouth and is positioned at the stomach junction. Suction is used to position the esophagus below the diaphragm.

2. A tissue fold is pulled together, wrapped and anchored with fasteners.

3. T he valve is extended, which tightens it at the base of the esophagus. ©2015 AGA Institute. Hunter JG, et al. Gastroenterology. 2015 Feb;148(1):325

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HEART AND VASCULAR

Advanced Heart Care at the Floyd Memorial Heart and Vascular Center In March of 2015, the FDA gave premarket approval for the use of the Abiomed Impella 2.5 heart pump during high risk angioplasty procedures. In April, Floyd Memorial Medical Group – Cardiovascular Associates of Southern Indiana’s board certified interventional cardiologist Surender Sandella, MD, performed Floyd Memorial Heart and Vascular Center’s first angioplasty using the Impella device.

Surender Sandella, MD

The device is used in patients with weakened heart muscle due to severe coronary artery disease, heart failure or heart attack. It is an effective tool for critically ill patients who wouldn’t typically have the option of undergoing high-risk surgery.

his body while I stented two arteries and did an angioplasty to open a third artery that was too small to stent. The surgery was successful.” “I am proud that Floyd Memorial Heart and Vascular Center has state-ofthe-art technology to perform advanced heart procedures. Thanks to the development of devices such as the Impella, we are able to give patients, like Rick, an opportunity to live longer,” said Dr. Sandella.

The Impella is a left ventricular assist device (LVAD) used in catheterization labs as a minimally invasive tool. A catheter is inserted into the femoral artery in the groin area, then fed to the heart. It is placed across the aortic valve into the left ventricle, the main pumping chamber of the heart. The micro-motor is activated and the device spins the blood from the left ventricle into the aorta, supplying blood to the coronary arteries and the rest of the body, while the physician is able to clear blockages in a high-risk patient. The Abiomed Impella is the world’s smallest heart pump device which can do the work of what half the heart can do – not intended to replace the pumping ability, but assist with it for up to six hours.

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First Recipient at Floyd Memorial Rick Short is a 50-year-old Corydon resident who has had his share of medical problems. He experienced his first heart attack at the age of 32, and has had multiple heart procedures over the years, including two heart bypass surgeries, a Coronary Artery Bypass Grafting (CABG) surgery, pacemaker and defibrillator implantation. Rick also suffers from high blood pressure and diabetes, so the combination of health issues has him always keeping a watchful eye. Rick explained, “I spend half my time in the gym, and the other half in and out of doctors’ offices trying to keep up my health.” “I started having shortness of breath and chest pain, so I went to Floyd Memorial Hospital,” he added. “When Dr. Sandella told me I needed to have stents placed to open up my blocked arteries, but could not have it done without the use of the new Impella device, I didn’t hesitate.” Dr. Sandella explained, “Rick’s cardiac enzymes showed he was having a heart attack. He also had severe dysfunction of his left ventricle, the pumping chamber of the heart. This, along with his complex medical history, made him too high risk for another bypass surgery. Three of his arteries were blocked, and he needed them cleared to survive. That’s why I decided to use the new Impella device to assist his heart in pumping blood to

Board Certified Interventional Cardiologist Floyd Memorial Medical Group – Cardiovascular Associates of Southern Indiana

DIAGNOSTIC IMAGING

Patient Comfort in Mind with Open Solution MRI Among its arsenal of tools, Floyd Memorial Diagnostic Imaging has everything from digital mammography to CT and PET scanners to traditional and open solution magnetic resonance imagining (MRI) scanning equipment. What does an MRI do? MRI is a way of obtaining very detailed images of organs and soft tissue throughout the body to demonstrate whether or not there is an injury or some

Pictured to the left: cardiac patient, Rick Short

For more information, call Floyd Memorial Medical Group – Cardiovascular Associates of Southern Indiana at (812) 948-2232.

disease process present. MRI is widely used for imaging the brain, spinal cord, nerves, muscles, ligaments and tendons. A magnetic field, radio waves and a computer are used to get detailed, three-dimensional images, without the use of X-rays and the radiation they emit. It is crucial to remain as still as possible inside the machine’s long tube in order to get a clear image of the patient. Any movement causes the image to blur. What is an open solution MRI? Many patients who have never experienced claustrophobia can find themselves struggling with the condition in a standard, closed MRI unit because of the noise level and extended amount of time the test may take. A manufacturer, Siemens, understood that most patients

Tony Cooke, MS Ed, RT (R)

Director of Radiology Floyd Memorial Diagnostic Imaging Center

with claustrophobia were able to tolerate a computed tomography (CT) scan, so with this in mind, they developed an MRI with a shorter tunnel and wider passageway called an open solution MRI. Tony Cooke, MS Ed, RT (R), director of radiology at Floyd Memorial’s Diagnostic Imaging Center, explained, “I had never been claustrophobic in my life until after I had an MRI scan. I felt like the walls were closing in on me and now understand what many patients go through when having the test.” Floyd Memorial purchased the Siemen’s MAGNETOM® Espree open solution MRI equipment in 2011, and has had great success with patients who do not tolerate confined spaces. Depending on which part of the body needs to be scanned, the technician will position the patient to be as comfortable as possible. With the shorter tube length than the traditional MRI, some, or most of the body, depending on the area being scanned, is outside of the tube. The wider tube also allows for a larger patient to comfortably fit in the scanner. What difference does magnet strength make? Both the traditional and open solution MRI use the same level of magnet strength, so the test takes about the same amount of time for each. In a fully open sided MRI, the magnet used has a lower strength and takes approximately twice the amount of time to get the images needed. The open solution MRI has the best of both worlds; larger, more open space with maximum magnet strength for shorter testing time. For more information, contact the Floyd Memorial Diagnostic Imaging department at (812) 948-7409.

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Back to School

ADHD – Attention deficit hyperactivity disorder (ADHD) is a neurobehavioral disorder that affects 10 percent of young people in the United States at some point between the ages of 4 and 17, according to the Centers for Disease Control and Prevention. ADHD is also one of the most frequently encountered conditions in primary care. Often times, concerns are first raised by teachers or other childcare providers due to the high level of disruptive behavior, inattention or poor academic and social functioning in the classroom setting. “Behavioral problems due to ADHD in a child occur not only at home, but also at school,” stated board certified pediatrician Laleh Rezaei, MD, with Floyd Memorial Medical Group – Pediatrics. “Parents should discuss their child’s academic and behavior issues with their teachers, and then, make an appointment with their child’s primary care provider for an evaluation,” said Dr. Rezaei. During an initial appointment, the child (if appropriate) and the parent are questioned regarding the types of symptoms present as well as their frequency, duration and intensity. It is also important for the primary care provider to know when and where the symptoms first appeared.

Evaluating ADHD For the evaluation, there are three areas of diagnostic criteria: • Symptoms of inattention, such as frequent difficulty organizing tasks and activities • Symptoms of hyperactivity, such as often unable to engage in leisure activities quietly • Symptoms of impulsivity, such as often interrupts or intrudes on others Each area of diagnostic criteria has its own symptoms and clues that occur at every age. The clues are common behaviors for children; the difference is the degree of difficulty the child experiences with these behaviors, as compared to other children at the same age. Common clues for school-aged children include difficulty with: • Sharing • Taking turns

• Letting others talk • Finishing homework or chores • Keeping track of things like homework and books “After a complete history and physical, we use a diagnostic questionnaire with DSM-5 (Diagnostic and Statistical Manual of Mental Disorders V) criteria incorporated to assist us with a diagnosis. If the child has six out of nine symptoms for inattention, hyperactivity or impulsivity, the diagnosis of ADD or ADHD is made,” explained Dr. Rezaei. It is important to keep in mind that it is normal for children to be hyperactive, impulsive and inattentive sometimes. For example, children may act impulsively when they are excited, tired or hungry, and may not want to spend a long time on tasks they do not want to do, such as homework or chores. Dr. Rezaei

Laleh Rezaei, MD

Board Certified Pediatrician Floyd Memorial Medical Group – Pediatrics

Behavioral Management Suggestions from Laleh Rezaei, MD, Floyd Memorial Medical Group – Pediatrics 1. H elp parents create an environment of structure and consistency at home 2. E stablish realistic and observable expectations for the child 3. U se appropriate discipline in an expected and immediate way 4. P romote an environment of parent-child relationships by encouraging daily play time

encourages parents not to be quick to assume their child has ADHD. “These symptoms do not necessarily mean that your child has ADHD. The condition would only be diagnosed if the symptoms are much worse than in other children of the same age and sex, and if they are causing problems for the child in an academic or social setting,” said Dr. Rezaei.

behavioral treatment, with or without medication. With treatment, most children with ADHD can be successful in school and continue with typical development. “It is important to recognize ADHD symptoms and seek help early to ensure a better outcome for both the child and their family,” said Dr. Rezaei.

BACK PACKS

Basic tips to avoid unnecessary stress and strain on a child’s back, neck and shoulders:

1. Always wear both straps over your shoulders! Never use just one strap. 2. Kids should never carry more than 10 percent of their body weight in their backpack. Kids carry way too much in their backpacks, so it’s beneficial to leave books you don’t need at home or in your locker.

Treatment Treatment options can relieve many of the disorder’s symptoms, but there is no cure for ADHD. “Once the diagnosis is made, we evaluate our patients every three months to monitor expected improvement, as well as the potential negative side effects,” said Dr. Rezaei. Various treatment options are available, including parent and classroom-based

3. Be sure the backpack is evenly sitting on your back, not so low that the weight is well below your hips. Adjust the straps accordingly. 4. If there is a waist strap, it is encouraged to use it. This helps distribute the weight onto your hips, taking some of the stress and strain off the shoulders and neck area.

Kay Stevens, PT, MS, MBA

Manager of Rehab Services and the Floyd Memorial Spine Center

SATURDAYS

AUG 22OCT 24 8 - 10 am

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Saturday Morning Sports Injury Clinic Floyd Memorial Urgent Care – Highlander Point Evaluation and treatment of sports injuries by a sports medicine physician. No appointment necessary. Must be signed in by 9 am. Most major insurance plans accepted. 9


SUMMER 2015

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Calendar of Events

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

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.

Free Heart and Stroke Screenings

Thursday, August 6, September 3, October 1 and November 5 by appointment Full lipid cholesterol panel, blood pressure, blood sugar, blood sugar A1C and body mass index. Registration required.

Saturday Morning Sports Injury Clinic

Saturdays, August 22 – October 24 8 - 10 am Floyd Memorial Urgent Care – Highlander Point Evaluation and treatment of sports injuries by a sports medicine physician. No appointment necessary. Must be signed in by 9 am. Most major insurance plans accepted.

Free Joint Pain Screening

Saturday, August 29, 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.

Free Skin Cancer Screenings Tuesday, September 22, 2 - 4 pm Floyd County YMCA Free skin cancer screenings by local, certified dermatologists. Registration required.

Free Stroke Screenings and Prevention

Monday, October 26, 4:30 - 6:30 pm Tuesday, November 17, 9 - 11 am Floyd County YMCA Learn signs and symptoms of stroke, find out your risk and ways to prevent stroke. Registration required.

Free Osteoporosis Screenings The pDXA screening is a scan of the bone density of the heel. By appointment. To schedule, 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 schedule, call (812) 949-7151.

Birthing Center Free Sibling Class

Saturday, July 18 and October 10 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.

Prepared Childbirth Class

Saturdays in August and October. Please call for specific dates. Wednesday, September 9 – 30 6:30 - 8:30 pm (4-week series) Monday, November 9 – 30 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.

Free Breastfeeding Class

Thursday, August 13 and November 12 6:30 - 9 pm Helpful hints for a successful breastfeeding experience, practical guidelines, common misconceptions and barriers. Registration required.

Babysavers Class

Thursday, August 20 and November 19 7 - 9 pm Teaches new parents infant CPR. Cost is $10 per couple. Registration required.

Free Prenatal Classes

Thursday, October 8 – November 5 6 - 7 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.

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 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 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.

Breast Cancer Prevention Seminar

Floyd Memorial Cancer Center of Indiana Thursday, October 22, 6 - 8 pm Our panel of breast cancer experts will discuss the latest advancements in treatment and prevention. Registration required.

! Books are Fun Sale Wednesday, August 19 8 am - 5 pm

Present this coupon for 1o% off your entire purchase. This fundraising event is sponsored by the Floyd Memorial Auxiliary.

Health Education Helping Students with Diabetes: a Free In-service for School Personnel

Wednesday, August 26, 5:30 - 8 pm Seminar for teachers, nurses, health aides and school personnel who have students with diabetes. A boxed meal is provided. Registration required.

Kidney Disease Treatment Options Classes Tuesday, July 14, August 11, September 8 and October 13 10 am - noon Call (502) 895-1338 to register.

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.

Free Joint Pain Seminar

Tuesday, August 4 and Thursday, November 5, 6 - 7 pm Learn about treatments that may offer relief of your knee or hip pain. Registration required.

Conservative and Surgical Back and Neck Pain Treatment Seminar

Tuesday, September 15, 6 - 7 pm Norman Silva, PA, will discuss the latest surgical treatments available to treat spinal disease such as degenerative disc disease, spinal stenosis, bone spurs and more. Physical therapist Chad Eurton, DPT, will also discuss conservative treatments and rehab after surgery. Registration is required.

Family Fitness Day

Summer Tomato Cooking Demonstration

Thursday, August 13, 6 - 7 pm Watch a cooking demonstration to learn how to prepare tasty tomato dishes. A sampling will follow. Seating is limited and registration is required. Brought to you by the Floyd County Nutrition Coalition.

Saturday, September 26, 9 - 11 am Silver Street Park Family 1-mile walk/run, family fitness booths, demonstrations, giveaways and more. For details, visit WellnessCSI.com. Sponsored by the Floyd County Physical Activity Coalition.

Free Shoulder Pain Seminar

Tuesday, October 6, 6 - 7 pm Board certified orthopedic surgeon Kris Abeln, MD, will discuss advanced treatments that may offer dramatic relief of your shoulder pain. 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.

Indiana Blood Center Blood Drive

Tuesday, September 15 and December 8, 12 - 5 pm Register to donate at Donorpoint.org.

Support Groups Alzheimer’s Support Group

Third Thursday of each month, 2 - 3:30 pm and 6 - 7:30 pm Contact: Sadie Powell, (812) 948-1311

Moving Forward – Amputee Support Group

Third Monday of each month, 6:30 - 8 pm Southern Indiana Rehab Hospital Conference Room Contact: Brittany Bley, (502) 724-4990 or Belinda Jacobi, (812) 620-3694

Balancing Life with Diabetes Support Group

Tuesday, July 21, 10 am Topic: Helpful Resources Tuesday, August 18, 10 am Topic: Fitness Activity Tuesday, September 15, 10 am Topic: Dealing with a Chronic Disease Tuesday, October 20, 10 am Topic: Fitness Activity 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 *Will not meet on Labor Day, Monday, September 7 Contact: Floyd Memorial Weight Management Center and Bariatrics, (812) 949-7151

Brain Injury Support Group

Third Thursday of each month, 7 pm Southern Indiana Rehab Hospital Contact: Beverly Setree, (812) 819-2542

Breast Cancer Support Group

Second Thursday of every other month, August 13, October 8, 7 pm Contact: Pat Kassee, (812) 948-1215

Angels of Hope for Kids: Parent/Grandparent with Cancer Support Group

Thursday, October 1, 5 - 6:15 pm, for children ages 6 - 11 Floyd Memorial Cancer Center of Indiana Contact: Evelyn Hunter, (812) 542-4996

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 Wednesdays. Call (812) 949-7151 to schedule.

Surgical Weight Loss Seminar

Wednesday, July 15 and August 19 6 - 7 pm Paris Health Education Center Wednesday, September 16 and October 21, 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.

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

Gluten Free Support Group Fourth Tuesday of each month, 6:30 pm Contact: Jennie Olmstead, (812) 945-4500

La Leche League of Southern Indiana

Third Monday of each month, 6:30 - 8 pm Contact: Lisa, (812) 981-3635 or LLLSouthernIndiana.com

Laryngectomee Support Group

Third Wednesday of each month, 3 - 4 pm Contact: Susan Mathews, (812) 948-6725

Mended Hearts Support Group Fourth Monday of each month, 6 pm Contact: Jackie Lattis, (502) 819-2085 for meeting location

Parkinson’s Support Group

First Tuesday of each month, 6:30 pm Contact: Donna Mattox, (812) 256-5424

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 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.

Balance and Control

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

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.

Diabetes Refresher Course

Helps patients set goals for ongoing healthy management of their diabetes. Covered by most insurance plans. 11


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