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Stormont-Vail HealthCare

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FAMILY HEALTH Get To Know Your Glands . . . . . . . . . . . . . . . 4 Learning About Endocrinology and Diabetes . . . . . . . . . . . . . . . . . . . . . . . . . . 5 LIFESTYLES Classes Get Parents and Children Talking . . . . 6 Changes Happening at HealthWise 55 . . . . 10 MEDICAL NEWS Health Insurance Marketplace: What It All Means . . . . . . . . . . . . . . . . . . . . . . 3 Coventry Total Care Medicare Advantage Plan . . . . . . . . . . . . . . . . . . . . . . . . 8 CALENDAR Calendar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Support Groups . . . . . . . . . . . . . . . . . . . . . . 12 Family Education . . . . . . . . . . . . . . . . . . . . . 12 Parenting  Programs . . . . . . . . . . . . . . . . . . . 13 HealthWise 55 . . . . . . . . . . . . . . . . . . . . . . . 14

Healthy Winter 2013-2014

TIMES

Maternal Fetal Medicine Gives Specialized Obstetric Care In 2010, nearly one in 10 babies in Kansas were born premature (less than 37 weeks gestation), according to the March of Dimes. Fortunately, this rate has declined four percent since 2000. The saying, “It takes a village to raise a child” is sometimes true before the baby is born. The Stormont-Vail Maternal Fetal Medicine (MFM) team takes great pride in the specialized obstetric care they provide the mothers of northeast Kansas. The program started in 1988 with Dean Huffman, M.D., as the first perinatologist working at Stormont-Vail. John Evans, M.D., joined the practice in 1992 and continues to see high-risk obstetrical patients, in addition

to serving as the medical director of the program. On Nov. 1, Sherri Jackson, M.D., joined the practice with Dr. Evans. Dr. Evans leads an experienced team of two genetic counselors (the only genetic counselors in (Continued on page 2)

Welcome Dr. Sherri Jackson, M.D. Dr. Jackson received her medical degree in 2004 from the University of Missouri–Kansas City (UMKC). Her postgraduate training includes an obstetrics and gynecology residency also at UMKC in 2008, and a maternal fetal medicine fellowship at Cedars-Sinai Medical Center in Los Angeles, in 2011. During her fellowship training, Dr. Jackson also received her master’s degree in Public Health at the University of California, Los Angeles. Prior to accepting her position at Stormont-Vail, Dr. Jackson was a maternal fetal medicine specialist for the Obstetrix Medical Group of Kansas and Missouri, P.A. in Kansas City, Mo.

MEDICAL NEWS Topeka), two level II sonographers, two RNs, one LPN, a certified nursemidwife and social worker. In addition, Stormont-Vail has also partnered with six obstetricians from Lincoln Center OBGYN, P.A. in Topeka to assist in the care of highrisk inpatients. In 2012, the Maternal Fetal Medicine clinic saw more than 3,200 new clinic patients and inpatients. “Maternal Fetal Medicine provides an increased level of diagnosis and care for pregnancies. Patients are referred from their providers when there might be questions about ultrasound findings, maternal health conditions, question/concerns regarding earlier pregnancy losses and increasing questions about medications and effects on pregnancies.” When a patient is identified as “high-risk,” her physician will refer her to a perinatologist for further testing and evaluation. Dr. Evans and his team work closely with the patient’s physician to evaluate and make recommendations about the patient’s care plan. The Stormont-Vail Neonatal Intensive Care department also works closely with Maternal Fetal Medicine to ensure appropriate care for the infant after birth. Some of the conditions treated by this specialized team are: pregnancy-induced hypertension (high blood pressure), pre-term labor, pre-eclampsia, premature ruptured membranes, multiple gestations (i.e., twins, triplets). Ultrasound and amniocentesis may be used in gathering information to assist in providing the most complete care possible. A maternal fetal program such as the one at Stormont-Vail reaps many benefits for families of northeast Kansas. Sometimes women may need to be admitted to the hospital in the Birthplace for continuous monitoring or their care can be co-managed with the Maternal Fetal Medicine team and their personal physician while they stay in their own community. This approach helps alleviate the stress of travel to larger cities such as Kansas City. Drs. Evans and Jackson are the only perinatologists that have physician privileges at Stormont-Vail. This benefit ensures that if a

John F. Evans, M.D. Dr. Evans received his medical degree from the University of Missouri in 1970. His postgraduate training includes a family practice residency at Wesley Medical Center in Wichita. He completed his obstetrics and gynecology residency at the University of Kansas Medical School in Wichita in 1979. His fellowship in Maternal Fetal Medicine was completed at Washington University in St. Louis, Mo. Dr. Evans was director of Maternal Fetal Medicine at HCA Wesley Medical Center, Wichita, prior to accepting his position at Stormont-Vail HealthCare in 1992.

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woman comes to the clinic for a follow-up appointment and needs emergent care for herself or the fetus, admission and highly specialized care are easily accessible. Dr. Evans also noted, “We are striving to bring the most advanced, current, effective, best practices recommendations to our patients while maintaining the art of caring.” Patients may not refer themselves to Drs. Evans and Jackson. If they feel they need this specialized care, they should talk to their physician. – Jennifer Tinajero

Definitions Perinatologist – A subspecialty of obstetrics concerned with the care of the fetus and complicated, high-risk pregnancies. Pre-eclampsia – A serious condition developing in late pregnancy that is characterized by a sudden rise in blood pressure, excessive weight gain, generalized edema, proteinuria, severe headache, and visual disturbances and that may result in eclampsia if untreated. Antepartum – Relating to the period before childbirth. Amniocentesis – The surgical insertion of a hollow needle through the abdominal wall and into the uterus of a pregnant female to obtain amniotic fluid especially to examine the fetal chromosomes for an abnormality and for the determination of sex.

Join Us: Welcome Baby Jubilee Stormont-Vail is now offering open houses to showcase what the Birthplace and the Neonatal IntensiveCare (NIC) departments have to offer women and their families during the labor and delivery process. Refreshments, tours, door prizes and information on Birthplace services and classes will be provided. Physicians and other staff will be on hand to answer your questions about pregnancy and infant care. Vendors and other community resource representatives will be present. Pregnant and soon-to-be pregnant couples are welcome to drop by anytime during the open house. Enter for a chance to win $250 gift card to Babies R Us or Medela Breast Pump. Visit stormontvail.org for details. To attend the Jubilee, please click “I’m Attending” on the Stormont-Vail HealthCare Facebook event page or e-mail us at marketing@stormontvail.org

Welcome Baby Jubilees in 2014: Please come to the Pozez Education Center – 1505 S.W. 8th Ave. (Stormont-Vail’s main campus). Please park in the parking garage. • Sunday, Feb. 23, 2 to 4 p.m. • Wednesday, June 12, 6 to 8 p.m. • Tuesday, Oct. 21, 6 to 8 p.m.

MEDICAL NEWS

Health Insurance Marketplace:

What it All Means Millions of Americans-individuals, families, and small businesses this fall were provided the opportunity to find health insurance that fit their budgets and met their needs, with less hassle, at the new Health Insurance Marketplace. Starting Oct.1, the Marketplace gave uninsured Americans, or those who buy their own coverage, a whole new way to shop for coverage. If you already have a health plan that meets minimum coverage requirements, for example through your employer, or through Medicaid/KanCare, Medicare, Children’s Health Insurance Program (CHIP), Tricare, or the veterans health care programs, you comply with the law’s individual mandate that requires most people to carry insurance. The best source for the latest and most accurate information about the Health Insurance Marketplace is the website, HealthCare.gov, or for Spanish speaking consumers, CuidadoDeSalud.gov. Live web chat available in English and Spanish. Consumers can also call the toll-free call center at 1-800318-2596 to speak with a trained customer service representative 24 hours a day, seven days a week. Representatives are available in English and Spanish, and there is a language line to assist callers in over 150 additional languages. Another source for information is the Kansas Insurance Department’s website ksinsure.org. The Marketplace simplifies your search for health coverage by gathering the options available in your area in one place. You can compare plans based on price, benefits, and other features important to you before you make a choice. Plans are presented in four categories – bronze, silver, gold, and platinum – to make comparing them easier. Insurance plans in the Marketplace are offered by private

companies. All health plans offered on the Marketplace must cover a comprehensive set of benefits, including physician visits, preventive care, hospital stays, and prescriptions. No plan can turn you away or charge you more because you have an illness or medical condition. They must cover treatments for these conditions. Plans can’t charge women more than men for the same plan. Many preventive services are covered at no cost to you. Coverage starts as soon as Jan. 1, 2014. To access the benefits of the Health Insurance Marketplace and to find out if you qualify for lower costs on monthly premiums or out-of-pocket costs, you must complete an online or paper application. Make sure you have current income information (such as pay stubs or W-2 forms) and Social Security numbers for you and members of your household. If any members of your household have health insurance, you will need the policy numbers of those plans. Consumers who apply online will need to use their email address on the application. If you don’t have an email address, you can get a free email account from yahoo.com or gmail. com. Public libraries around the country are helping consumers locate information about the Affordable Care Act and the Health Insurance Marketplace. Librarians can help consumers access the Internet from public computers, and use computers and printers. Consumers who need help completing the application and navigating the Health Insurance Marketplace can contact local trained assisters for appointments or walk-in service. Visit LocalHelp.HealthCare.gov to find help in your area. You can search by city and state or zip code to see a list of local organizations

with contact information, office hours, and types of help offered, such as non-English language support, Medicaid or CHIP, and Small Business Health Options Program (SHOP). These organizations will be able to assist you in finding the kind of help that works for you. In Shawnee County, the Shawnee County Health Agency, Valeo Behavioral Health and Jayhawk Area Agency on Aging have trained navigators to assist local consumers in applying and enrolling in the Health Insurance Marketplace. Information is also available at the Topeka and Shawnee County Public Library. Pick up handouts about the Health Insurance Marketplace, use the public computers to apply and enroll, or attend a “Navigating the Marketplace” session in the Computer Training Center to get help from trained assisters. Learn more about program details and local resources at tscpl.org/health-information. Featuring health, medical and wellness information that is written for the everyday person, the Health Information Neighborhood at the library works to complement your doctor’s orders with a dose of information. Understand a diagnosis, learn about options for treatment, and find resources for support of diseases and conditions. The library brings together books, DVDs, pamphlets, reliable online resources and staff to help you find the information you need. – Lissa Staley, Health Information Librarian, Topeka and Shawnee County Public Library

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FAMILY HEALTH

GET TO KNOW YOUR

GLANDS

The human body is made up of several glands and organs that may work independent and dependent of each other, but they all have one thing in common. They fall into one of two main categories: Exocrine glands are duct glands and they secrete outside of the body. Examples include tear ducts, sweat glands, saliva glands and mammary glands, (which produce breast milk.) Endocrine glands are ductless glands. Endocrine glands release their secretions, called hormones, into the blood stream to be carried to other locations. Examples of endocrine glands are: • Pituitary Gland. The pituitary gland is sometimes referred to as the master gland, because its various hormones regulate all other endocrine glands. The pituitary gland is the size of a small cherry and is located in the brain near the top of the brain stem. It can be divided into two glands, an anterior gland (the front part) and a posterior gland (back part). Each of these glands produces and releases a group of hormones for various functions. The anterior pituitary gland releases hormones used to regulate growth, ovarian and testicular function, thyroid gland and manage our metabolism by controlling the adrenal glands. The posterior lobe of the pituitary gland secretes two hormones, the antidiuretic hormone (ADH) and the oxytocic hormone. ADH controls the reabsorption of water from the kidneys into the blood stream. If this hormone is deficient, the blood stream does not reabsorb water from the kidneys and urine is formed in excess amounts. The result of this deficiency is the disease called diabetes. The oxytocic hormone (oxytocin) causes the contractions, which lead to childbirth. • Hypothalamus. The hypothalamus is located in the brain and acts as a regulator for the entire body. The hypothalamus serves to keep the body at an even level, in terms to temperature, oxygen levels and blood sugar levels. This function is referred to as homeostasis. • Adrenal Glands. The adrenal glands are located above the kidneys. These glands regulate minerals, including salt and potassium. Additionally, this gland releases reproductive hormones and antiinflammatory hormones. • Sex Glands. Males and females have different reproductive glands. For the male, these glands release testosterone and assist in the production of sperm. For the female, these glands release estrogen and progesterone and assist in the production of ova. • Thymus. The thymus is located in the neck and is responsible for assisting the immune system. The thymus releases substances that help you fight off illnesses. When you have a bad cold and your neck glands are swollen, that is your immune system in action.

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Thyroid Gland. The thyroid is located in the throat, just above the voice box. It is shaped like a butterfly or the letter H. This gland regulates weight and produces calcitonin, which controls the levels of calcium in the body. The thyroid gland uses iodine and the amino acid tyrosine to produce the hormones thyroxin and triiodothyronine. Both of these hormones function to regulate cellular metabolism. Metabolism refers to all of the processes that make energy available to cells. As such, these hormones regulate the conversion of glycogen (stored glucose) to glucose. Graves’ disease is a genetic immune system disorder that results in hyperthyroidism. While a number of disorders may result in hyperthyroidism, Graves’ disease is the most common cause. Four smaller glands are located behind the thyroid, called the parathyriod glands. These glands work in conjunction with the thyroid to control hormone levels and calcium. The Pancreas and Other Glands. Other glands including the spleen, liver, pancreas, as do the gastric and intestinal mucous membranes are usually included in the list of endocrine glands and also sometimes the lymph and hemolymph nodes that make up the lymphatic system. – Linda Ruiz

FAMILY HEALTH

Learning About Endocrinology and Diabetes

Hypo vs. Hyper Thyroidism: The deficiency of thyroxin results in a reduction of metabolism. This condition is called hypothyroidism. If hypothyroidism occurs during infancy or childhood the result is called cretinism. Cretinism is characterized by stunted physical growth and mental retardation. If hypothyroidism occurs in an adult, it results in such symptoms as: reduced body temperature, a decrease in blood pressure and heart rate, dryness of the hair and skin, loss of energy, weight gain and depression. Hypothyroidism is treated medically by administering thyroxin. The opposite condition, hyperthyroidism, results from an over-production of thyroxin. The symptoms of hyperthyroidism include: rapid heart rate, increase in blood pressure, increase in metabolism (resulting in weight loss), oily skin, an increase in body temperature, excess sweating, and nervousness. Hyperthyroidism is treated by removing the thyroid gland, with radioactive iodine or by the use of antithyroid drugs. A goiter is an enlarged thyroid gland, which results in swelling in the neck. A goiter can result from either hyper or hypothyroidism, but it is more common in hypothyroidism. A goiter is generally caused by a lack of iodine. The thyroid-stimulating hormone of the pituitary gland causes the thyroid gland to work. But without iodine, no thyroxin is produced. The pituitary gland responds to this by making the thyroid gland work harder and harder making the thyroid gland bigger. We get most of our iodine from seafood and from vegetables grown in soil, which contains iodine. Iodine is often supplemented in the diet by including it in salt (iodized salt).

Diabetes The pancreas, which lies between the kidneys, has cells known as the islets of Langerhans that are scattered throughout the pancreas. The islets of Langerhans have two types of cells:

alpha cells, which produce a hormone called glucagon, and the beta cells, which produce a hormone called insulin. Insulin is the hormone that escorts glucose across the cell membrane. Without insulin, glucose cannot enter the cell and, therefore, cannot be used to produce energy. Glucagon functions to cause the liver to convert more glycogen to glucose, thereby raising the blood sugar level. If the islets of Langerhans stop or lessen their production of insulin, the result is diabetes mellitus. The symptoms of diabetes include: loss of weight, excessive thirst, increases in urination, itching in the skin, and fatigue. Because glucose cannot enter cells, the blood sugar level is high. This high blood sugar level causes sugar to be excreted in urine. High volumes of water are needed to remove the sugar from the kidneys. Since water is used for this purpose, thirst occurs to replace this lost water. Since glucose is not available for cells to produce energy, protein is used instead. This produces weight-loss, as the protein is no longer available to form protoplasm. When cells attempt to use fat to produce energy, the fat is incompletely burned and forms ketone bodies. Ketone bodies are highly toxic and damage many parts of the body. They may also be at least partially responsible for diabetic coma (unconsciousness). There are many causes for diabetes. Two common types are Diabetes Mellitus Type 1 and Diabetes Mellitus Type 2. In Type 1, because of genetics, it is suspected that when a patient contracts a specific virus, the thymus gland makes a white blood cell to eat the virus. However, this particular white blood cell thinks that beta cells do not belong to the body and eats them, too. The result is no insulin producing cells at all. Such diabetics require an injection of insulin before each meal. In Type 2 there are some beta cells that still produce insulin. However, because of factors,

such as being overweight, for example, there is not enough insulin to serve these large fat cells. Type 2 Diabetes may be controlled by diet, by drug treatments or insulin injections. Insulin must be injected as digestion destroys insulin. The opposite of diabetes is hypoglycemia. Hypoglycemia occurs when the pancreas produces too much insulin. Since insulin escorts glucose across the cell membrane, there is much sugar inside of cells and a low blood sugar level. This low blood sugar is read by the hypothalamus, which causes a perception of hunger. Therefore, hypoglycemics appear to be hungry almost all of the time. For this reason, hypoglycemics often eat excessively and gain weight. Hypoglycemics often feel faint, weak and develop the “shakes.” Most hypoglycemia can be controlled by diet - eating six small protein meals each day.

Specialists to Manage Thyroidism and Diabetes The Cotton-O’Neil Diabetes and Endocrinology Center provides the community with six endocrinologists and two pediatric endocrinologists. Together they offer outpatient services for children and adults diagnosed with diabetes or endocrine disorders. Our continued commitment to health care goes beyond treating illness, and includes wellness programs, support groups, exercise and educational programs. The Diabetes Learning Center (DLC) is part of the Cotton-O’Neil Diabetes and Endocrinology Center. The DLC continues to function independently by providing diabetes education, wellness programs, support groups and educational programs for patients of all physicians in Topeka and throughout northeast Kansas. For more information about the DLC and what they offer diabetes patients, call (785) 368-0416. – Linda Ruiz

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MEDICAL LIFESTYLES NEWS

Boy to Man. Girl to Woman. Birds and Bees:

Classes Get Parents and Children Talking

The time in a child’s life between ages 9 and 13 is filled with many physical and emotional changes. These changes can be challenging and sometimes embarrassing for kids and adults. Stormont-Vail HealthCare offers two classes to help parents talk to their pre-teen about these

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changes: From Girl to Woman and From Boy to Man. Both classes focus on the physiological changes of puberty, the development tasks of early adolescence and ways to improve communication between child and parent. From Girl to Woman is designed for parents with girls between the ages of 8 and 12, and From Boy to Man is best suited for parents with boys ages 9 to 13. If a parent is unavailable, another adult that is important in the child’s life (aunt, uncle, grandma, grandpa, etc.) is encouraged to attend. Mothers can attend From Boy to Man and fathers can attend From Girl to Woman, though an adult of the same sex is encouraged. Small groups such as Girl Scouts, Boy Scouts and church groups are also welcome to attend at a group rate. “Even though teachers talk to students about this subject in school, we wanted parents to be a part of the discussion and hear what their kids were being told about physical and emotional changes,” said Libby Rosen, RN, Ph.D., associate professor for Pediatrics, Baker University School of Nursing. Rosen helped create both From Girl to Woman and From Boy to Man. She has taught both classes off and on since they were started 28 years ago. She explained that the biggest challenge most parents face is communication. “They want to know how to do the talking and how to connect with their child. These classes are a great way to ‘break the ice’ and start the conversation,” said Rosen. “We also let the

LIFESTYLES

child know that it’s okay to have questions and it’s okay to be a little nervous. They need to know that the adults that brought them to class are open to talking with them.” The goal and greatest benefit of both classes is to normalize the process of change by making it an approachable topic. By simply attending either class, parents communicate to their child that they are open to talking with them about this important time in their lives.

Class Format Both From Girl to Woman and From Boy to Man are taught by Stormont-Vail HealthCare nurses and Baker University School of Nursing students. Adults and children start out together in one big group to discuss puberty and both physical and emotional changes. The group then watches a video and plays some informational games. After that, the children break out into a separate group with the nursing students where they do more activities and are able to ask questions. The parents watch another video and learn great communication tips and are given additional resources.

The Birds and the Bees

Upcoming Classes All classes are held in the Pozez Education Center 1505 S.W. 8th Ave, Topeka, Kan. To register, call (785) 354-5225 or go to stormontvail.org From Girl to Woman 9 to noon • $25 parent/child couple (group rates available) Jan. 11 and Feb. 1 From Boy to Man 9 to 11:30 a.m. • $25 parent/child couple (group rates available) Feb. 1 The Birds and the Bees For Parents Only 1:30 – 3:30 p.m. • $20 Feb. 1

The Birds and the Bees class was started in 2013 because parents were finding that after attending From Boy to Man or From Girl to Woman, their children had the desire to talk about it and parents weren’t sure how to approach this challenging topic. Designed for parents only, this class empowers parents to talk with their children about sex education by providing the necessary tools. Instructors provide handouts and facilitate scenarios and group discussion. Parents are also given websites and role-playing activities to make them feel comfortable talking about the topic. Questions addressed in the class include: How do I approach the topic of sex with my child? When is the right time to have “the talk”? and What if my child is shy? The ideas suggested in the class will help lessen parents’ fears and make them feel more comfortable addressing the topic of sex with their children. – Yvonne Etzel

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MEDICAL NEWS

Stormont-Vail and Coventry Health What is Medicare? Medicare is the federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD). The different parts of Medicare help cover specific services: Medicare Part A (Hospital Insurance) Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care. Medicare Part B (Medical Insurance)  Part B covers certain doctors’ services, outpatient care, medical supplies, and preventive services. Medicare Part C (Medicare Advantage Plans) A Medicare Advantage Plan is a type of Medicare health plan offered by a private company that contracts with Medicare to provide you with all your Part A and Part B benefits. Medicare Advantage Plans include Health Maintenance Organizations, Preferred Provider Organizations, Private Fee-for-Service Plans, Special Needs Plans, and Medicare Medical Savings Account Plans. If you’re enrolled in a Medicare Advantage Plan, Medicare services are covered through the plan and aren’t paid for under Original Medicare. Most Medicare Advantage Plans offer prescription drug coverage. Medicare Part D (prescription drug coverage) Part D adds prescription drug coverage to Original Medicare, some Medicare Cost Plans, some Medicare Private-Fee-forService Plans, and Medicare Medical Savings Account Plans. These plans are offered by insurance companies and other private companies approved by Medicare. Medicare Advantage Plans may also offer prescription drug coverage that follows the same rules as Medicare Prescription Drug Plans.

Coventry Tota Medicare Adv Stormont-Vail HealthCare and Coventry Health Care, Inc., have collaborated to develop Coventry Total Care, a Medicare Advantage Plan designed to improve the health and wellness of Medicare patients in Shawnee County. Both Stormont-Vail and Coventry are dedicated to developing a proactive approach to health care with a focus on wellness and prevention within an integrated care model.

Medicare Advantage Plans, sometimes called Part

C, are offered by private companies and approved by Medicare. Private companies contract with Medicare to provide Part A (hospital insurance) and Part B (medical insurance) benefits. Medicare Advantage participants get their coverage from the Medicare Advantage Plan and not Original Medicare. Most Medicare Advantage plans also include prescription drug coverage (Part D). You are not allowed to have a Medicare Prescription Drug Plan and be in a Medicare Advantage Plan with prescription drug coverage.

Medicare Advantage Plans must follow Medicare’s rules.

However, each Medicare Advantage Plan can determine charges for out-of-pocket costs and have different rules about how patients can get services. They establish a network of providers and facilities that belong to the plan

Source: Medicare.gov

Resources:

HealthWise 55 Insurance Clinic – For ques Supplemental, Long Term Care Insurance or contact HealthWise 55 at 785-354-6787 to sc

Century Health Solutions – To schedule an Care, Medicare Advantage Plan, contact Cen

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MEDICAL NEWS

Care Offer

al Care vantage Plan for non-emergent care. Use of out-of-network providers or facilities might result in a higher out of pocket cost to the patient. Because each plan’s rules may be different, patients should closely examine plans to ensure desired doctors and facilities are included.

There are only certain times when you can enroll in a

Medicare Advantage Plan. These times include when you first become eligible for Medicare and during the open enrollment period each year between Oct. 15 and Dec. 7.

To find out more about the pros and cons of Coventry

Total Care and how the plan might fit with your individual needs, contact Century Health Solutions at (785) 233-1816 or 1-800-227-0089.

stions and assistance with Medicare, r the Medicare Prescription Drug Program, chedule an appointment.

n appointment to discuss the Coventry Total ntury Health Solutions at (785) 233-1816.

– Nancy Burkhardt

12 things to know about Medicare Advantage Plans 1. You’re still in the Medicare Program. 2. You still have Medicare rights and protections.   3. You still get complete Part A and Part B coverage through the plan. 4. You can only join a plan at certain times during the year. In most cases, you’re enrolled in a plan for a year. 5. You can join a Medicare Advantage Plan even if you have a pre-existing condition, except for End-Stage Renal Disease (ESRD). 6. You can check with the plan before you get a service to find out if it’s covered and what your costs may be. 7. You must follow plan rules, like getting a referral to see a specialist to avoid higher costs if your plan requires it. The specialist you’re referred to must also be in the plan’s network. Check with the plan. 8. If you go to a doctor, other health care provider, facility, or supplier that doesn’t belong to the plan, your services may not be covered, or your costs could be higher. In most cases, this applies to Medicare Advantage HMOs and PPOs. 9. If you join a clinical research study, some costs may be covered by your plan. Call your plan for more information. 10. Medicare Advantage Plans can’t charge more than Original Medicare for certain services like chemotherapy, dialysis, and skilled nursing facility care. 11. Medicare Advantage Plans have an annual cap on how much you pay for Part A and Part B services during the year. This annual maximum out-of-pocket amount can be different between Medicare Advantage Plans. You should consider this when you choose a plan. 12. If the plan decides to stop participating in Medicare, you’ll have to join another Medicare health plan or return to Original Medicare. Source: Medicare.gov

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MEDICAL LIFESTYLES NEWS

Changes Happening at

HealthWise 55 Stormont-Vail’s HealthWise 55 program has been providing clinics, health education and prevention resources for those aged 55 years and older for more than 23 years. With the rapid growth of an aging population and upcoming health care reform changes, Stormont-Vail HealthCare has made some changes to the program, including expanding the clinic services it offers to their HealthWise 55 members. The HealthWise 55 Clinic is now being managed by Amy Kincade, administrative director, Continuum of Care. She shared that she recognizes the need for clinical services for patients more than ever and plans to increase clinical services to make them more available to patients. “In the future, we would like to serve ‘all’ patients,” said Kincade. “Our goal is to expand beyond HealthWise 55 to HealthWise for all ages.”

Change of Hours The HealthWise 55 Clinic, located at 2252 S.W. 10th Street, is now open Monday through Thursday from 8 a.m. to 4:30 p.m. Additional staff has been added to better serve those that take advantage of the clinic services. Several clinic dates and times have also been expanded to better serve our members (next page). Right: Paul Morse and Virginia Covert, HealthWise 55 members

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LIFESTYLES Clinical Services Call (785) 354-6787 to make an appointment for any of the clinics below. • Medication Clinic – Every Wednesday, 12:30 – 4:30 p.m. • Nutrition Clinic – Third Wednesday of the month, 10:30 a.m. – noon • Zostavax (Shingles) Clinic – Every Tuesday and Thursday, 8 a.m. – noon • Senior Health Insurance Counseling for Kansas (SHICK) – By appointment only • Blood Pressure Clinics – Every Tuesday at the HealthWise 55 office and at six different locations throughout the community. Turn to page 15 for dates and times. (no appointment necessary)

Educational Programs In addition to the expanded clinics, HealthWise 55 will continue to offer excellent health education programs to its members. Glennis Martin and Norma Harper enjoy a HealthWise 55 event. (Photo by Jeremy Villines) Connie Wood, RN, has served as the HealthWise 55 supervisor since it was created and continues to coordinate these programs. “More than ever, the future of medicine The HealthWise 55 television program “For Family Caregivers,” is focused on prevention, as it should be,” said Wood. “Wellness highlights information for people who are providing caregiving programming is an essential piece in prevention, because it educates service to loved ones and a 20-minute exercise segment. The members on why and how to take care of themselves. It allows members program airs the second and fourth Friday of every month. to be involved and take responsibility for their own health.” • Exercise Programs • AARP Driving Safety Programs Members can participate in exercise classes offered twice a week The driving class was the very first class HealthWise 55 offered. at the Pozez Education Center or take advantage of special Tim Edwards, retired Kansas Highway Patrol officer, has taught program incentives with the YMCA and Great Life, including the the AARP Defensive Driving Class 10 times each year for the YWCA. The Kansas Rehabilitation Hospital also offers aquatic past 23 years. Tim is now retiring and teaching retired Shawnee exercises and Tai Chi classes. County Sheriff Dick Barta to take his place beginning in 2014. • Senior Suppers and Outreach Programs HealthWise 55 membership is free. Call Health Connections at At senior suppers, members hear presentations from health care (785) 354-5225 to have an application mailed to you, or pick up a professionals while socializing and enjoying a nutritious meal. membership application at the following locations: We will continue to reach out into the community by offering • HealthWise 55 Clinic - 2252 S.W. 10th Ave., Topeka Coffee Gatherings and Lunch Bunches that meet in retirement • Stormont-Vail brochure kiosk at the Play Area in West Ridge Mall communities. • Television Programs For more information on any HealthWise 55 program, check out the HealthWise 55 also produces an exercise program on television calendar on pages 14 and 15, or visit stormontvail.org entitled “HealthWise After 55,” which airs the first and third Fridays of the month. The first half of the program features – Yvonne Etzel a health topic of interest to seniors, followed by a 20-minute workout routine. Anyone can participate regardless of his or her fitness level.

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Calendar DECEMBER 2013, JANUARY AND FEBRUARY 2014 SUPPORT & EDUCATION GROUPS Depression and Bi-Polar Support Alliance Sponsored in part by Behavioral Health Services at Stormont-Vail West, meets at 6:30 p.m. on the first and third Wednesdays of the month at Valeo, 330 S.W. Oakley and at 1:30 p.m. on the second and fourth Mondays of the month at the Topeka Public Library, 1515 S.W. 10th Ave. Alzheimer’s Support Groups The Alzheimer’s Association has three caregiver support groups available as well as other support services. Call Alzheimer’s Association at (785) 271-1844 for days and times. Topeka Celiac Support Group The Topeka Celiac Support Group provides information, support and knowledge of how to eat safely to avoid gluten from grain-based proteins in wheat, rye, barley and possibly oats. Meeting is 10:30 a.m. to 12:30 p.m. Saturday, Feb. 1, at Pozez Education Center. For more information, contact Sharon Larson, president, (785) 379-0479. MOMS: Moms of Multiples Support Support group for parents expecting or parenting multiples. Monthly meetings on the fourth Thursday of each month from 7 to 9 p.m. at Pozez Education Center. For more information, call (785) 267-2955. Grief and Loss Support Groups Midland Care offers weekly grief and loss support groups available to the public. For more information, call Tim Keogh at (785) 232-2044. Pregnancy and Infant Loss Group First and third Thursdays of the month from 6 to 8 p.m. Pozez Education Center. For information, call (785) 354-5225. The Pregnancy and Infant Loss Group, which has regular meetings to share information and experiences, also has a blog for members, which offers communication, resources and support. If you are interested in learning more about the blog, please e-mall lrosen@stormontvail.org Topeka “HEALS” Support Group A confidential peer support group that is also known as Survivors of Suicide, “HEALS” stands for “Healing After Loss by Suicide.” It is for those who have lost a loved one by suicide. First and third Tuesdays of the month in Pozez Education Center at 7 p.m. For more information, call (785) 220-1368.

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Art Therapy Class for Patients and Families of the Stormont-Vail Cancer Center Express yourself through art. No art skills needed. Class meets 9:30 to 10:50 a.m. Wednesdays at the cancer center. For more information, call 1-800-354-0091. Tai Chi for Patients and Families of the Stormont-Vail Cancer Center Tai Chi Easy offers physical and mental benefits no matter what your age or physical limitations. Held at the StormontVail Cancer Center. For more information, call 1-800-354-0091.

“On the Road to Better Managing Your Diabetes” Class This 90-minute refresher class is designed for those who have had diabetes education in the past and would like an update. The next class meets from 1 to 2:30 p.m., Wednesday, Jan. 8, or Wednesday, March 5, in the Diabetes Learning Center classroom, lower level of the Cotton-O’Neil Endocrinology Center, 3520 S.W. Sixth Ave. Call (785) 368-0416 to reserve a seat. Your insurance will be billed for the cost of attendance.

Look Good Feel Better Educational Program Program is offered at the Cotton-O’Neil Cancer Center on a regular basis. For more information, call 1-800-354-0091 or the American Cancer Society at (785) 273-4422.

Living with Diabetes Adult Support Group Meets from 10 to 11 a.m. each Tuesday, except holidays, at the Cotton-O’Neil Diabetes and Endocrinology Center, lower level, 3520 S.W. 6th Ave. A Diabetes Learning Center staff educator facilitates each meeting. There is no fee to attend and no need to pre-register. Call (785) 368-0416 with questions.

Stroke Support Group at KRH A stroke support group is now meeting the first Friday of each month at the Kansas Rehabilitation Hospital. Meetings are 4 to 5 p.m. in the West Dining Hall, first floor. The support group is for patients and families of those who have suffered a stroke. For more information or to RSVP, call Mark Loretto at (785) 235-6600, Ext. 571.

The Latest in Insulin Pumps and Glucose Sensors A class designed for current pump users and those considering an insulin pump for the first time. It provides an overview of pump therapy and CGM (Continuous Glucose Monitoring) as well as current options available. Following the 60-minute class, all major insulin pump and CGM device manufacturers are available to offer a ‘hands on’ look at the products. Class presenter is Julie Johnson, BS, RN, CDE, CPT. The next class will be 10 to 11 a.m., Monday, Dec. 9, in the Diabetes Learning Center, located on the lower level of the Cotton-O’Neil Diabetes and Endocrinology Center, 3520 S.W. Sixth Ave. Insurance will be billed for the cost of attending. For reservations, call the Diabetes Learning Center at (785) 368-0416. Cancer Support Group Meets Mondays at 11 a.m. in the library of the Stormont-Vail Cancer Center, 1414 S.W. 8th Ave. For more information, call 1-800-354-0091. Cancer Center Pet Therapy Program Meets Wednesdays at 10 a.m. in the library of the StormontVail Cancer Center, 1414 S.W. 8th Ave. For more information, call 1-800-354-0091. Head and Neck Cancer Support Group Affiliated with SPOHNC (Support for People with Head and Neck Cancer). Meets the second Wednesday of the month, 3:30 to 4:30 p.m. in the Stormont-Vail Cancer Center library, 1414 S.W. 8th Ave.

Leukemia, Lymphoma and Myeloma Support Group Meets the fourth Tuesday of the month. For information, call the Leukemia and Lymphoma Society at 316-266-4050 or 1-800-779-2417.

Post Polio Support Group Meets quarterly at the Kansas Rehabilitation Hospital. For more information, call (785) 232-8524.

FAMILY EDUCATION PROGRAMS To register for Family Education classes, call Health Connections at (785) 354-5225. And Baby Makes Four or More (for children 5 and older) 6:30 to 8 p.m. • Dec. 11, Jan 15 and Feb. 12 • Pozez Education Center $10 per family • Lori Hamilton, occupational therapist This class for potential siblings and their parents includes a tour of The Birthplace, a video presentation and a discussion of what to expect after the baby comes. The special roles of big brother and big sister are explored. Parents are able to address how they can help their older child adjust to the new baby. And Baby Makes Four or More (for children ages 2 to 4) 6:30 to 8 p.m. • Dec. 4, Jan 8 and Feb. 5 • Pozez Education Center • $10 per family • Lori Hamilton, occupational therapist This sibling preparation class includes a tour of The Birthplace and provides structured activities to help young children verbalize their

CALENDAR concerns and expectations about when “the new baby come.” This class is for young children who will soon be big brothers and big sisters and their parents.

parenthood and grandparenthood will also be covered in this class. Mothers are welcome to bring their support person, family or a friend who provides support during their pregnancy and beyond.

From Girl to Woman Saturdays, Jan. 11 and Feb. 1 • 9 a.m. to noon • Pozez Education Center • $25 mother/daughter couple • Course pre-registration required. • Instructor: Libby Rosen RN, Ph.D., Associate Professor for Pediatrics, Baker University School of Nursing The time in a girl’s life between ages 8 and 12 is one of dramatic physical and emotional changes. This program for girls and their mothers, will address menstruation and other physical changes of puberty, the emotional upheaval of adolescence, and communication techniques for mothers and daughters.

Childbirth Preparation I: For New Parents Please visit us online at www.stormontvail.org for class dates and times • Pozez Education Center • Weekday evening and weekend classes available • $60 (payable at the first class) Learn breathing and relaxation skills plus information is provided on other pain control measures. Included is information on late pregnancy, labor and birth, early parenting experience and a tour of The Birthplace. Classes are taught by experienced instructors and are tailored to the adult learner with plenty of opportunity for individuals and couples to explore their own personal needs. Dress comfortably and bring two pillows.

From Boy to Man Saturdays, Feb. 1 • 9 to 11:30 a.m. • Pozez Education Center $25/family • Course pre-registration required. When we think of puberty and its changes, we usually think of girls and the transition they make, but boys experience puberty, too. While usually starting later than girls, the time in a boy’s life between the ages of 10 and 13 is filled with many physical and emotional changes. These changes are exciting, but often puzzling, sometimes embarrassing, and usually challenging to a young adolescent. Join us for a discussion that will focus on the physiological changes of puberty, the developmental tasks of early adolescence and ways to improve communication between boys and their parents. This class features time for boys and parents together but also time for separate facilitated discussion.

eLearning Online Childbirth Education Program eLearning Online Childbirth Education Program is an alternative for those parents who cannot attend conventional prenatal classes due to bed rest, scheduling conflicts or time constraints. It is an interactive web-based program that includes animated illustrations, videos and voice-overs. It can be viewed on a PC or Mac. High speed internet is advised, but dial-up will work; it will take longer to download. Upon registration, we will send you a code to access the class. Once you log in with the code issued, you have six weeks to complete the information at your own pace. The fee also includes a tour of the Birthplace. Visit us at www.stormontvail.org to register.

The Birds and the Bees Saturday, Feb. 1 • 1:30 to 3:30 p.m. • Pozez Education Center Cost $20 • Course pre-registration required • Instructors: Baker University School of Nursing Graduates - Melissa Mitchell, Courtney Barger, Racheal Martin and Hayley Scheetz with course coordinator Libby Rosen, RN, Ph.D. This class is designed for parents only. It is to empower parents to talk with their child about sex education by providing the tools necessary to approach the topic. We will address questions such as “How do I approach the topic of sex with my child?,” “When is the right time to have ‘the talk’?,” “What if my child is shy?,” and “I am embarrassed, what can I do?” The class will provide handouts and facilitate scenarios and group discussion on this challenging topic for parents. The ideas suggested in the class should help lessen your fears and make you feel more comfortable addressing the topic of sex with your child.

PARENTING PROGRAMS To register for Parenting classes, call Health Connections at (785) 354-5225. Welcome Baby Sundays, Jan. 26 • 2 to 5 p.m. • Pozez Education Center $15 per family This three-hour class will consist of updated information for the whole family. Such topics include; an overview of pregnancy with strategies to deal with common discomforts, intro to labor and birth, what to expect, choices and options during labor and delivery. In addition, baby care, including car seat information, a gift bag and community resources will be provided. Finally, adjustment to

Childbirth Preparation I: For Parents Having Cesarean Sections Please visit us online at www.stormontvail.org for class dates and times • $30 (payable at the first class) Whether this is your first cesarean section or you are having a repeat cesarean section, your delivery is an event we would like to help you prepare for. You will find out what to expect from admission to dismissal. We will watch films, show slides, have open discussion, practice breathing and relaxation techniques, and tour The Birthplace. Childbirth Preparation I: For Teens or Young Adults Please visit us online at www.stormontvail.org for class dates and times • Free • (certain restrictions apply) Classes are designed for teens, young adults and their support people. Included are discussions about pregnancy, labor and parenting, as well as explore ways to cope and deal with labor. Information to assist new parents to care for and enrich their baby’s early years is provided. A tour of The Birthplace is included. The class series lasts five weeks. Dress comfortably. Birthing with Confidence Please visit us online at www.stormontvail.org for class dates and times • Pozez Education Center • Weekday evening and weekend classes available • $60 (payable at the first class) This class is designed for woman and their support person who would like an in depth exploration of alternative ways to deal with the pain of labor besides epidurals and IV pain medications. The instructors, who have many years of experience with laboring women will help the participants to be aware of their strengths and abilities to cope with the process of labor and the strategies that are effective for pain control. There will be opportunities to examine potential barriers to reaching individual goals and methods to overcome those barriers in order to achieve their unique goals. This class series is interactive and

uses videos, games and more to prepare you and help you understand that birth is a normal, natural, and healthy process. Breastfeeding Basics First Monday of each month (except for holidays) • 6:30 to 8:30 p.m. • Nov. 4, Dec. 2, Jan. 6 • Pozez Education Center • $10 This informal introduction to breastfeeding provides pregnant women and their families an opportunity to learn all they need to know about breastfeeding before their babies are born. Classes are designed to help families prepare for their breastfeeding experience by providing information on how breastfeeding works, how to get started, problems that may arise and how to incorporate breastfeeding and working. Pumping for Your Baby First and third Tuesdays • 1 p.m. • Breastfeeding Clinic, Stormont-Vail Regional Health Center • Free Pumping for your baby: Designed for women planning to work outside of the home or for those who are breastfeeding but want the flexibility to be away from their baby. This class is designed for mothers who have delivered. Mothers who are at least 2-3 weeks postpartum would benefit most from this class. We will provide information and options for expressing milk from the breast. We’ll address breast pumps and how to choose one, pumping techniques, milk storage and maintaining adequate milk production. For the mom working outside of the home, we also will explore issues of time management, negotiating with employers and relationships with co-workers. We’ll also discuss the very important role childcare providers play in breastfeeding success and methods of feeding breastmilk to infants. Babies welcome, pre-registration not required. Join Us: Welcome Baby Jubilee Stormont-Vail invites pregnant and soon-to-be pregnant couples to open houses that showcase the services and amenities that the Birthplace and the Neonatal IntensiveCare (NIC) provide women and their families during the labor and delivery process. Refreshments, tours, door prizes and information on Birthplace services and classes are provided. Physicians and other staff will be on hand to answer your questions about pregnancy and infant care. Vendors and other community resource representatives will be present. Pregnant and soon-to-be pregnant couples are welcome to drop by anytime during the open house. Enter for a chance to win $250 gift card to Babies R Us or Medela Breast Pump. Visit stormontvail.org for details. To attend the Jubilee, please click “I’m Attending” on the Stormont-Vail HealthCare Facebook event page or e-mail us at marketing@stormontvail.org.

Mark Your Calendar for the Welcome Baby Jubilee: Please join us from 2 to 4 p.m. Sunday, Feb. 23, 2014, at Pozez Education Center – 1505 S.W. 8th Ave. (StormontVail’s main campus). Please park in the parking garage. 13

CALENDAR

HealthWise 55 Programs

for December 2013, January and February 2014 HealthWise 55 is an organization sponsored by Stormont-Vail HealthCare for those 55 years of age and older who want to stay current on health information and health resources. Membership is free. For information about joining HealthWise 55, a packet of exercise information and reservations for Senior Suppers, Lunch Bunch and coffees, call Health Connections at Stormont-Vail at (785) 354-5225. For clinic information and appointments, call (785) 354-6787. Annual Holiday Brunch Pozez Education Center • Tuesday, December 10 • 7:30 to 8:30 a.m., 8:30 to 9:30 a.m., 9:30 to 10:30 a.m., 10:30 to 11:30 a.m. • $5 Reservations: (785) 354-5225. Parking - There is an alternative to parking in the Stormont-Vail parking garage. Aldersgate Village and Brewster Place offer transportation from the parking lot of Grace Episcopal Cathedral (west side of parking area) to Pozez Education Center and back again. The bus will be at the parking area at 8:10 for the 8:30 a.m. brunch and 9:10 for the 9:30 a.m. brunch. Let Health Connections know you will need a ride when you make a reservation for Senior Suppers. No Senior Suppers in January or February. Senior Suppers will resume in March. You are invited to attend any of the programs planned during the day. Call Health Connections for Reservations. Dizzy/Vertigo: Could it be Your Medications? Dessert and Coffee • Drury Place • Wednesday, Jan. 8 • 2 to 3 p.m. • Katie Burenheide, Pharm D, Stormont-Vail HealthCare • Free Reservations: (785) 354-5225.

Winter 2013-2014 Vol. 11, No. 1 Healthy Times is a local, community newsletter providing information on health care concerns, issues and interests for you and those you love. Published quarterly by Stormont-Vail HealthCare, 1500 S.W. 10th Ave., Topeka, KS 66604-1353, www.stormontvail.org

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Are You Getting Your Zzzzz? Lunch Bunch • Presbyterian Manor • Thursday, Jan. 9 • 11:30 a.m. to 12:30 p.m. • Jenny Kwong, MS, RPT, RPSGI, RST, Stormont-Vail Sleep Center • $5 per person • Reservations: (785) 354-5225. Dizzy/Vertigo: Could it be Your Medications? Dessert and Coffee • Lexington Park Independent Living • Monday, Jan. 20 2 to 3 p.m. • Katie Burenheide, Pharm D, Stormont-Vail HealthCare • Free • Reservations: (785) 354-5225.

Signs and Symptoms of Peripheral Arterial Disease Dessert and Coffee • Thornton Place Wednesday, Feb. 5 • 3 to 4 p.m. • Nancy Kathrens, RN and Sally Fankhauser, RN, Cotton-O’Neil Heart Center • Reservations: (785) 354-5225. Recognizing a Heart Attack and Seeking Treatment Koffee Klatch • Aldersgate • Thursday, Feb. 6 9:30 to 10:30 a.m. • Barbara Columbus, RN and Amber Judd RN, Cotton-O’Neil Heart Center Free • Reservations: (785) 354-5225.

Are You Getting Your Zzzzz? Lunch Bunch • Brewster Place Main Building Tuesday, Jan. 21 • 11:30 a.m. to 12:30 p.m. Jenny Kwong, MS, RPT, RPSGI, RST, StormontVail Sleep Center • $5 per person Reservations: (785) 354-5225.

Tips and Treatment for Keeping Your Balance Dessert and Coffee • Drury Place • Wednesday, Feb. 12 • 2 to 3 p.m. • Pat Pfannenstiel, P.T., Stormont-Vail Rehabilitation Services • Free Reservations: (785) 354-5225.

Dizzy/Vertigo: Could it be Your Medications? Dessert and Coffee • Atria Hearthstone Wednesday, Jan. 22 • 2 to 3 p.m. • Katie Burenheide, Pharm D, Stormont-Vail HealthCare • Free • Reservations: (785) 354-5225.

What is Atrial Fibrillation? Lunch Bunch • Presbyterian Manor • Thursday, Feb. 13 • 11:30 a.m. to 12:30 p.m. • Carol Bragdon, APRN, Cotton-O’Neil Heart Center $5 per person • Reservations: (785) 354-5225.

Medicare Covered Home Health Care Koffee Klatch • First Apartments • Monday, Jan. 27 • 9:30 to 10:30 a.m. • Ed Schulte, PhD, executive director, Caregivers Home Health Care • Free • Reservations: (785) 354-5225. Dizzy/Vertigo: Could it be Your Medications? Dessert and Coffee • McCrites • Tuesday, Jan. 28 • 2 to 3 p.m. • Katie Burenheide, Pharm D, Stormont-Vail HealthCare • Free Reservations: (785) 354-5225.

Tips and Treatment for Keeping Your Balance Dessert and Coffee • Lexington Park Independent Living • Monday, Feb. 17 • 2 to 3 p.m. • Pat Pfannenstiel, P.T., Stormont-Vail Rehabilitation Services • Free • Reservations: (785) 354-5225. Signs and Symptoms of Peripheral Arterial Disease Lunch Bunch • Brewster Place Main Building Tuesday, Feb. 18 • 11:30 a.m. to 12:30 p.m. Nancy Kathrens, RN and Sally Fankhauser, RN, Cotton-O’Neil Heart Center • $5 per person Reservations: (785) 354-5225. Design: jones huyett Partners

Editor: Anita Miller Fry Advisers/Contributors: Melissa Moore, R.D., L.D. Jennifer Tinajero Nancy Burkhardt Tami Motley Carol L. Wheeler, RN, BSN, FACHE

Yvonne Etzel Linda Ruiz Connie Wood, RN Lenora Kinzie, MLS

To receive your free subscription to Healthy Times, call (785) 354-5225.

CALENDAR

Recognizing a Heart Attack and Seeking Treatment Koffee Klatch • First Apartments • Monday, Feb. 24 • 9:30 to 10:30 a.m. • Barbara Columbus RN, Cotton-O’Neil Heart Center Free • Reservations: (785) 354-5225. What is Atrial Fibrillation? Dessert and Coffee • McCrites Independent Living • Tuesday, Feb. 25 • 2 to 3 p.m. Carol Bragdon, APRN, Cotton-O’Neil Heart Center • Free • Reservations: (785) 354-5225. Tips and Treatment for Keeping Your Balance Dessert and Coffee • Atria Hearthstone Wednesday, Feb. 26 • 2 - 3 p.m. Pat Pfannenstiel, P.T., Stormont-Vail Rehabilitation Services • $5 per person Reservations: (785) 354-5225.

HEALTHWISE 55 CLINICS The Health Wise 55 Resource Center hours are 8 a.m. - 4:30 p.m., Monday through Thursday. The office is located at 2252 S.W. 10th Ave #B, Topeka, KS. For appointments and information on clinical services, please call (785) 354-6787. Blood Pressure Clinics • Free • No appointment necessary • Call (785) 354-6787 for more information. Walk-ins are welcome at the following locations: • Every Tuesday • 10 a.m. to noon HealthWise 55 Resource Center, 2252 S.W. 10th Ave. #B • First Thursday • 9 to 10:30 a.m. West Ridge Mall (lower level, Main East Entrance), 1801 S.W. Wanamaker Rd. • Second Thursday • 9:30 to 11:00 a.m. Southwest YMCA, 3635 S.W. Chelsea • Third Thursday • 8:30 to 9:30 a.m. Oakland Community Center, 801 N.E. Poplar • Third Thursday • 9 to 10 a.m. Rose Hill Place, 37th and Gage • Fourth Thursday • 9 to 10:30 a.m. Kuehne Branch (North) YMCA, 1936 N. Tyler St.

SHICK (Senior Health Insurance Counseling for Kansans) For questions and assistance with Medicare, Supplemental, Long Term Care Insurance or the Medicare Prescription Drug Program HealthWise 55 Resource Center • Free • Call (785) 354-6787 for times and appointment. Medication Clinics • (NEW DATES) Every Wednesday • Bring questions to our trained pharmacy staff regarding your medications (prescriptions or over-the-counter) 12:30 to 4:30 p.m. • HealthWise 55 Resource Center • Free • Call (785) 354-6787 for an appointment. Nutrition Clinics • (NEW DATES) Wednesdays, Dec. 18, Jan. 15 and Feb. 19 Discuss your nutrition questions with our trained dietitian staff • 10:30 a.m. to noon HealthWise 55 Resource Center • Free • Call (785) 354-6787 for an appointment. Zostavax Clinics • (NEW DATES) Every Tuesday and Thursday • Ask your primary care doctor if you are a candidate for the shingles vaccine. (Prescription required.) • 8 a.m. to noon • HealthWise 55 Resource Center • Call (785) 354-6787 for an appointment. Information and Referral • Assistance to help connect you with resources in the community FREE • HeathWise 55 Resource Center • Call (785) 354-6787 for assistance.

AARP DRIVING PROGRAMS AARP Driver Safety Programs • Thursday and Friday, Dec. 5 and 6 • $12 per person for AARP members, $14 per person for nonmembers. New prices starting in January. $15 per person for AARP members, $20 for non-members • Monday and Tuesday, Feb. 3 and 4 • 10 a.m. to 3 p.m. • Pozez Education Center • Must bring your AARP membership card at time of registration. Bring your HealthWise 55 membership card for a discount in the Food Connection if you plan to eat lunch at Stormont-Vail • Registration: (785) 354-5225.

HEALTHWISE 55 EXERCISE Exercise Programs Available to HealthWise 55 Members Call Health Connections at (785) 354-5225 to have a packet of information mailed to you regarding these exercise programs. • HealthWise 55 exercise group meets in the Pozez Education Center every Tuesday and Thursday, 9:30 to 10:45 a.m. Included in the schedule: chair aerobics, strength training, balance and flexibility. Cost is $25 for 20 times. • YMCA Exercise Programs with special rates for HealthWise 55 members. • Great Life Golf and Fitness with special rates for HealthWise 55 members. The YWCA and many other locations are managed by Great Life. A list of locations is included in the packet. • Kansas Rehabilitation Hospital offers aquatic exercises classes, Wavemakers and Tai Chi • Healthy Steps: A walking program sponsored by Stormont-Vail HealthCare and West Ridge Mall.

HEALTHWISE 55 LINE-UP ON TV The following HealthWise 55 television programs are available on WIBW-TV, Channel 13. HealthWise After 55 “HealthWise After 55” airs from 9 to 9:30 a.m., the first and third Fridays of each month. It offers interviews on health topics of interest to seniors, as well as the 20-minute exercise segment. Sponsors are AAA Travel and Insurance and Aldersgate Village. for Family Caregivers “for Family Caregivers” airs the second and fourth Fridays of each month, from 9 to 9:30 a.m. The show highlights information for people who are providing caregiving services to loved ones and a 20-minute exercise segment for caregivers and their loved one. Sponsors are Brewster Place, Caregivers Home Health Care and Jayhawk Patient Supply. The Exercise Programs are sponsored by Topeka Ear, Nose and Throat.

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NONPROFIT ORG. U.S. POSTAGE PAID TOPEKA, KS PERMIT NO. 85

1500 S.W. 10th Ave. • Topeka, KS 66604 stormontvail.org

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MEDICAL NEWS

Expanding to Meet the Needs of Our Community Three additional cardiologists, each with an area of expertise, have joined the Cotton-O’Neil Heart Center. It is our pleasure to introduce these new cardiologists to the community. Chen Hoe Chow, M.D., received his medical degree at Dalhousie University, Faculty of Medicine, Halifax, Nova Scotia, Canada, in 2005. He completed a residency in internal medicine at Cleveland Clinic, Cleveland, Ohio, in 2008. He completed a fellowship in heart failure in 2009 and a fellowship in cardiac imaging in 2010, followed by a fellowship in general cardiology at University Hospitals Case Medical Center, Cleveland, Ohio, in 2013. He has clinical interests in heart failure and echocardiography, which is painless testing using sound waves to create moving pictures of the heart.

Seshu Rao, M.D., received a Bachelor of Medicine and Bachelor of Surgery degrees from Adichunchanagiri Institute of Medical Sciences, Rajiv Gandhi, University of Health Sciences, Bangalore, India, in 2004. He received a Master’s of Science degree in Experimental Pathology from New York Medical College, Westchester Medical Center, Valhalla, N.Y., in 2006. He completed a residency program in internal medicine at the University of Missouri Kansas City, Kansas City, Mo., in 2009. Dr. Rao then completed a fellowship in cardiology at Saint Luke’s Mid America Heart Institute/University of Missouri, Kansas City, Mo., in 2012. He completed a fellowship in interventional cardiology at Saint Luke’s Mid America Heart Institute, Kansas City, Mo., in 2013. He has clinical interests in interventional cardiology. Interventional cardiologists perform minimally invasive

procedures such as angioplasty to relieve heart attack pain from clogged arteries. Alap P. Shah, M.D., received his medical degree from the University of Missouri – Kansas City, in 2004. He completed an internship at the University of Texas – Southwestern Medical Center, Dallas, in 2006. He completed an internal medicine residency at the University of Colorado Health Science Center, in Denver, Colo., in 2007. Dr. Shah went on to complete a fellowship in cardiovascular disease followed by a fellowship in clinical cardiac electrophysiology in 2011. He has clinical interests in the science of interpreting, diagnosing and treating the electrical activities of the heart, which is known as electrophysiology. He will also bring new techniques to northeast Kansas for the treatment of atrial fibrillation.


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