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September/October 2013

A bi-monthly update on leading-edge care from

NON-PROFIT U.S. POSTAGE

PAID UNITED MAIL

1850 State Street New Albany, IN 47150

HealthScope is published by Floyd Memorial Hospital and Health Services. 1850 State Street New Albany, Indiana 47150

Young Back Pain Sufferers Find Relief

If you no longer wish to receive marketing/communications materials from Floyd Memorial Hospital and Health Services, please call 1-800-476-8723. Cindy Ferree Editor, Writer Angie Rose Director of Marketing & Public Relations, Writer Angie Glotzbach Writer Stacey Rudy Contributor CUSTOMER SERVICE Floyd Memorial customer service inquires can be made to our Customer Service Hotline at (812) 981-6510. HOW TO HELP HealthScope is designed to support the Healthier Community Initiative by providing up-to-date health tips and wellness information to benefit our community’s health. Through this publication, the Floyd Memorial Foundation hopes to encourage healthier active lifestyles for the residents of Southern Indiana. As a non-profit organization, Floyd Memorial relies on your support of our Foundation to provide health screenings, educational programs and hospital improvements. To learn how to help, visit floydfoundation.org or call (812) 949-5519. CAREER OPPORTUNITIES Visit “Careers” at floydmemorial.com to find out more about exciting career opportunities available at Southern Indiana’s premier regional healthcare provider.

Follow us on Facebook at facebook.com/fmhhs and Twitter at twitter.com/Floyd_Memorial

Without back pain, every day grows better. Connie Pryor’s pain was so bad, she couldn’t do simple things like open the dishwasher or water her favorite flowers. Fortunately, right here in Southern Indiana, we offer care that is as advanced as any in the region, from

812-949-5933

surgical to non-surgical options, with the convenience of everything in one location. Today, Connie’s biggest pain is finding room for all of her flowers. Don’t let back pain steal your life. Call us today for more information.

floydmemorial.com/spine

Third Time’s a Charm for Mom Who Chooses Midwifery

Prostate Cancer Treatment Options

Breast Cancer Program Offers Advanced Care, Close to Home


Renovated Cafeteria Reopens Orthopedic Sports Medicine Physician Kris Abeln, MD, Joins Floyd Memorial Medical Group – Orthopedics Floyd Memorial Medical Group is pleased to announce that board certified orthopedic sports medicine physician, Kris Abeln, MD, has joined Floyd Memorial Medical Group – Orthopedics located at 1919 State Street, Suite 104 in the Professional Arts building in New Albany. Dr. Abeln graduated from the University of Louisville School of Medicine in 2004 and then went on to complete his internship in general surgery in 2005 and residency in orthopedics from the University of Illinois in 2009. After completing residency, Dr. Abeln completed a sports medicine fellowship with the Santa Monica Orthopedic Group. Dr. Abeln is a member of the American Board of Orthopedic Surgery. For more information or to schedule an appointment, call (812) 944-2663.

Floyd Memorial Medical Group – Orthopedics & Spine Center Welcome Frank Castro, MD Floyd Memorial is pleased to announce that board certified orthopedic and spine surgeon, Frank Castro, MD, has joined Floyd Memorial Medical Group – Orthopedics located at 1919 State Street, Suite 104 in the Professional Arts building, and the Floyd Memorial Spine Center. Dr. Castro graduated from Stanford University School of Medicine in 1993 and then went on to complete his internship in general surgery in 1994 and residency in orthopedics from Tulane Medical Center in New Orleans in 1998. After completing residency, Dr. Castro completed an orthopedic spine fellowship at Jewish Hospital in Louisville. Dr. Castro is a member of the American Board of Orthopedic Surgery. For more information, call FMMG – Orthopedics at (812) 944-2663 or the Spine Center at (812) 949-5933. . 2

Family Medicine Physician Nicole Dickinson, MD, Joins Harrison Family Medicine Floyd Memorial Medical Group is pleased to announce that board certified family medicine physician, Nicole Dickinson, MD, has joined Harrison Family Medicine, a division of Floyd Memorial Hospital and Health Services located at 313 Federal Drive NW, Suite 200 in Corydon. Dr. Dickinson graduated from the University of Louisville School of Medicine in 2007 and then went on to complete her residency in family medicine from McLeod Family Medicine Residency program in Florence, S.C. After completing her residency in 2010, she joined Murray Medical Associates in Murray, Ky., where she was also the medical director for Murray-Calloway County Hospital Home Health since January 2013. Dr. Dickinson is a member of the American Medical Association and the American Academy of Family Physicians. She enjoys traveling, cooking, reading and raising and riding Champagne Tennessee Walking Horses. Dr. Dickinson is also a member of the Russellville chapter of the Daughters of the American Revolution. For more information or to schedule an appointment, call (812) 738-4155.

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 www.floydmemorial. com. We can help you find the doctor that’s just right for your specific needs. New Physicians Mansoor Tiwana, MD Nephrology Blue Grass Kidney Consultants 234 East Gray Street, #858-A Louisville, KY 40202 (502) 583-1799 Bethiny Cox, MD Palliative Care Hosparus, Inc. 3532 Ephraim McDowell Drive Louisville, KY 40205 (502) 403-9566 Elkin Galvis, MD Orthopedic/Hand Surgery Kleinert Kutz Associates 225 Abraham Flexner Way, Suite 700 Louisville, Kentucky 40202 (502) 561-4263

Annette Beasley, MD, Joins Floyd Memorial Medical Group Lifelong Southern Indiana resident and board certified family medicine physician, Annette Beasley, MD, has recently joined Floyd Memorial Medical Group. Her office, which was previously know as Main Street Medical Ministry in New Middletown, is now Floyd Memorial Medical Group – New Middletown. Dr. Beasley grew up in Salem and then went on the complete medical school at Indiana University School of Medicine. After completing her family medicine residency at the University of Louisville, Dr. Beasley opened an office in New Albany where she practiced for four years before moving the practice to New Middletown. Floyd Memorial Medical Group – New Middletown is located at 4090 Main Street SE in New Middletown. Dr. Beasley is a member of the American Academy of Family Physicians. She is married to her husband, Dan, and they have two children. For more information or to schedule an appointment, call (812) 968-3800.

Federico Salcedo, MD, Joins Floyd Memorial Medical Group Floyd Memorial Medical Group welcomes board certified internal medicine physician, Federico Salcedo, MD, to its team of physicians. Dr. Salcedo graduated medical school from Pontificia Universidad Catolica Madre Y Maestra in the Dominican Republic in 1991. After moving to the United States, he completed his residency at North General Hospital in New York in 1999. Dr. Salcedo has been in private practice in Sellersburg since 2002. His office is now known as Floyd Memorial Medical Group– Sellersburg. Dr. Salcedo is fluent in both Spanish and English. Floyd Memorial Medical Group – Sellersburg is located at 433 N. Indiana Avenue in Sellersburg. For more information or to schedule an appointment, call (812) 246-8193.

After the much anticipated renovation of the Floyd Memorial Hospital cafeteria, the project is now completed and open. Within the dining area you’ll find a fireplace, new seating groups, designer finishes and serving islands for various food stations, including a “cook n’ show” area. By expanding the dining room, visitors and staff should expect to find additional seating and more space for improved flow to help during peak hours. Another exciting change is the addition of easily available nutrition facts data on our daily menu to help with healthy eating decisions. A touch-screen kiosk located in the dining area is wired with “Net Nutrition,” which allows patrons to build and analyze meals right down to the last calorie. Persons with food allergies and sensitivities will especially appreciate the kiosk’s ability to scan daily menu offerings for gluten, dairy, soy and more.

The Horseshoe Foundation pledges $100,000 to Floyd Memorial Foundation Capital Campaign In May, the Floyd Memorial Foundation was generously awarded $100,000 from the Horseshoe Foundation of Floyd County to be used towards their Food and Nutrition Services renovation capital campaign project. Initially, the fundraising campaign was held internally and garnered $825,000 from Floyd Memorial Hospital and Health Services, the Floyd Memorial Foundation, medical staff, associates and auxiliary. In the spring, the Foundation began reaching out to the community for support in the project.

Rinkoo Aggarwal, MD, Joins Floyd Memorial Spine Center

Massage now offered at the Floyd County YMCA

The Floyd Memorial Spine Center would like to welcome board certified physical medicine and rehabilitation physician, Rinkoo Aggarwal, MD. For more information about Dr. Aggarwal or to schedule an appointment, call (812) 949-5933.

Floyd Memorial Rehabilitation Services’ massage program is expanding by offering massage therapy at the Floyd County YMCA in New Albany. Scheduling a pre or post workout massage might be just the thing to improve your health and make you feel better. The types of massage offered at the YMCA are Swedish, deep tissue, sports and injury. All massage therapy services will continue to be available at Floyd Memorial Outpatient Rehabilitation at 1700 State Street as well. All major credit cards and flexible spending account cards are accepted. Call (812) 948-7416 to schedule or for more information. A $5 discount is currently being offered for all massages scheduled at the YMCA.

Family Medicine Physician Lauren Herrmann, MD, Joins Floyd Memorial Medical Group – New Albany

Horseshoe Foundation and BPW-Links for Life Provide Grants to Cancer Center of Indiana

Floyd Memorial Medical Group is pleased to announce that board certified family medicine physician, Lauren Herrmann, MD, has joined Floyd Memorial Medical Group – New Albany located at 2315 Green Valley Road, Suite 100. Dr. Herrmann graduated from the University of Louisville School of Medicine in 2006 and then went on to complete her residency in family medicine from Hunterdon Family Medicine Residency in Flemington, NJ. After completing her residency in 2009, she began practicing medicine at Keesler Air Force Base Family Health Clinic. Dr. Herrmann was promoted to medical director in 2010 and she held that position until 2013, when she made the decision to join the Floyd Memorial Medical Group. Dr. Herrmann is a member of the American Medical Association and the American Academy of Family Physicians. She is married and has two children. For more information or to schedule an appointment, call (812) 945-2100.

The Cancer Center of Indiana recently received two generous grants from local organizations. $15,000 from the Horseshoe Foundation of Floyd County will fund massage therapy and biofeedback for cancer patients who are Floyd county residents currently receiving treatment through the Cancer Center of Indiana. A $7,040 grant from BPW-Links for Life will fund massage therapy for breast cancer patients and their immediate caregivers receiving treatment at the Center. For more information, call (812) 945-4000.

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. Edward Bell, MD Joint Replacement Center Caitlin Wiedemer, RN Emergency Department Beth Willoughby, Clinical Pharmacist Pharmacy Karen Lopp, Coordinator Spine Center

Megan Grantz, NA Ginnie Thomas, NA Jessica Wise, NA MIPS Phillip Johnson, MD FMMG – Physician Associates of Floyds Knobs

Sarah Luetke, PTA Rehabilitation Services Craig Monteleone, Manager Facilities Management Ramona Snead, Unit Secretary SIPS

On the cover...Cancer Center of Indiana breast cancer program specialists pictured include, left to right, first row: Michelle Palazzo, MD, Yasoda Devabhaktuni, MD, Ajay Kandra, MD, and Kristy Helm, RN, OCN. Back row, Anthony Dragun, MD, Roseline Okeke, MD and Kelly Colomb, MD.

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Breast Cancer Patients Have a Home at the Floyd Memorial Cancer Center of Indiana At the Floyd Memorial Cancer Center of Indiana, we’re striving to become the first and only breast cancer center of excellence in Southern Indiana. Read on to learn more about what this means for our patients. Genetic testing and counseling Genetic testing for breast cancer mutations has been a hot topic in the media lately, and for good reason. As advancements in cancer research move forward, so are preventive treatment options. The knowledge patients can get from genetic testing provides difficult, but potentially lifesaving options. Here are some facts about genetic testing for female breast cancers: • Mutation of two specific genes known as BRCA1 and BRCA2 is a strong predictor of cancer of the breast and ovary. The lifetime risk of breast cancer can be as high as 50 to 85 percent and the chance of developing ovarian cancer is as high as 15 to 40 percent in these women. • If a person is diagnosed with breast cancer under the age of 50, has a history of two separate breast cancers, history of breast and ovarian cancer, or multiple family members with breast or ovarian cancer at an early age, genetic testing is suggested. • If the mutation is found, testing may be offered to the patient’s close relatives. • Not all cancers are caused by a genetic abnormality. Less than 10 percent will have genetic mutation. Free Breast Cancer Risk Assessments Free one-on-one breast cancer risk assessments are available with breast cancer nurse navigator, Kristy Helm, RN, OCN, by appointment. Call (812) 948-4393 to schedule yours today. “Breast cancer risk assessments are a quick, simple way to assess your potential risk of developing breast cancer, and determine if further screening, testing or watchfulness is warranted. It’s just a quick question and answer assessment that can give you a glimpse into whether you should be more vigilant than normal.” Kristy Helm, RN, OCN Breast Cancer Nurse Navigator Floyd Memorial Cancer Center of Indiana 4

Options for women at high risk “When most people think of preventive efforts for high risk breast cancer patients, they usually think of prophylactic mastectomy,” explained board certified oncologist, Roseline Okeke, MD. “While that procedure is merited in many cases, there are also less invasive options available. Recent conclusions from a breast cancer prevention trial known as STAR (the Study of Tamoxifen and Raloxifene) suggest that certain hormonal therapies given to women who are not diagnosed with breast cancer, but determined to be at high risk, can reduce their chances of developing the disease by as much 50 percent. These therapies, combined with lifestyle modifications such as maintaining a healthy weight, reducing alcohol consumption and getting regular exercise, can offer dramatic risk reduction with far fewer potential complications. At the Cancer Center of Indiana, our vision is to offer women every resource available to not only determine their risk, but to manage it as aggressively or conservatively as they like.” Multidisciplinary panel of experts Each and every breast cancer case at the Cancer Center of Indiana is reviewed by our multidisciplinary panel of breast cancer experts before a final treatment plan is determined. “This gives patients access to input from multiple specialists at one time, simplifying the treatment planning process, and providing several options to choose from, each tailored to their unique needs,” added board certified radiation oncologist Anthony Dragun, MD. The panel includes representation from:

Breast cancer survivors, patients and caregivers are encouraged to take advantage of these free offerings and support groups:

“As breast cancer has become more treatable, it’s also become more complicated. The advances we’ve made have come from coordinating multiple treatment modalities, including chemotherapy, surgery, radiation and hormonal therapy. That’s why the multidisciplinary setup of Floyd Memorial’s breast cancer program is so important. It ensures that all of these specialists weigh in on the optimal course of treatment for each and every patient.” Anthony Dragun, MD Board Certified Radiation Oncologist Floyd Memorial Cancer Center of Indiana Assistant Professor & Vice-Chairman of Radiation Therapy University of Louisville School of Medicine/James Graham Brown Cancer Center • Medical oncology • Radiation oncology • General surgery • Plastic and reconstructive surgery • Pathology • Radiology • Oncology nurses • Clinical trial and research representatives • Physical, occupational and speech therapy • Registered dietitians • Palliative care • Social workers • Pastoral Care

Look Good…Feel Better

Monday, September 23, October 28, November 25 and December 23, 1-2 pm Cancer Center of Indiana Volunteer cosmetologists teach make-up techniques and ways to disguise hair loss to women who are battling cancer. Registration deadline is Thursday, September 19, October 24, November 25 and December 19. To register, call (502) 560-6045.

Clinical trials and research Participation in clinical trials and research is something that many breast cancer patients feel personally called to do. As women, they often possess a strong desire to prevent future generations from having to deal with their own struggles. The Cancer Center of Indiana offers a wide variety of clinical trials and research studies so patients can rest assured that not only will they have the most cutting edge care available, they’ll also be contributing to the health of future generations at the same time. Here when you need us “As an oncology nurse for over 35 years and the sister of a breast cancer survivor, I’ve seen too many patients in need of assistance simply fall through the cracks,” said breast cancer nurse navigator, Kristy Helm, RN, OCN. “That’s why I’m so proud that we offer our patients so many different services to help them get through every aspect of cancer. From dietitians to help with nutrition counseling, to physical therapists who help patients overcome the physical effects of cancer, to financial counselors and social workers who help sort out all the complications of cancer that you don’t even realize exist until you’ve dealt with it, we are here for our patients in every possible way. We’ve even recently begun a survivorship program that involves following patients after their cancer treatment concludes, to ensure that they’re staying up to date on their screenings and ongoing treatments, but also to determine whether they need additional assistance such as rehabilitation or emotional support.”

Breast Cancer Support Group Second Thursday of every other month, 7 pm Floyd Memorial Paris Health Education Center

Contact: Pat Kasse, (812) 948-1215

Caregiver Support Group First and third Thursday of each month, 6:45-8 pm Cancer Center of Indiana Contact: Helen (812) 945-4000 ext. 6231

“Many people don’t realize that if they are found to be at high risk for developing breast cancer, there are a variety of treatments available to reduce that risk. We’re working on setting up a high-risk program specifically for these women, so that they can be educated on all their options, and make the most informed decision for their individual situation.” Roseline Okeke, MD  ematologist and Board Certified Medical Oncologist H Floyd Memorial Cancer Center of Indiana

Pamper Me Pink! Saturday, September 28, 8 am - Noon Dillard’s Green Tree Mall Join the Cancer Center of Indiana and Dillard’s Green Tree Mall as we roll out the pink carpet for breast cancer patients and survivors. This FREE event will feature luxurious facials, makeovers, chair massages and custom bra fittings. Attendees will also enjoy a delicious breakfast spread, a chance to win great door prizes, including a Clarisonic body brush valued at $225, a variety of cosmetics baskets, massage and pilates gift certificates and lingerie. They will also receive a $5 gift card and have Dillard’s all to themselves for a morning. The entire store will open early for a personal shopping experience for all attendees. Appointments required. Call Melissa at (812) 285-0161, ext. 5003.

Schedule Your Annual Mammogram at Floyd Memorial and Get a Free Gift! The Diagnostic Breast Center at Floyd Memorial is open extended hours with convenient early morning, evening and Saturday appointments available. Call (812) 949-5570 for an appointment. Mammography is also offered at the Floyd Memorial Diagnostic Imaging-Corydon location at 313 Federal Drive NW. Call (812) 734-3920 for an appointment. Patients receiving mammograms during October will receive a gift in honor of national breast cancer month.

Free Breast Cancer Prevention & Treatment Seminar Tuesday, October 29, 6 - 8 pm Cancer Center of Indiana Join breast cancer specialists including medical oncologists/hematologists, Yasoda Devabhaktuni, MD, Ajay Kandra, MD, and Roseline Okeke, MD, radiation oncologist, Anthony Dragun, MD, and plastic and reconstructive surgeon, Michelle Palazzo, MD, for this free evening presentation of all the latest breast cancer information. Each physician will present on prevention and treatment topics including genetic testing and counseling, lifestyle modification, prevention options for high-risk patients, breast cancer surgery, including prophylactic mastectomy, breast reconstruction and radiation options. Following their presentations, the physicians will participate in an open question and answer session with attendees. A complimentary meal will be served and informative booths with breast cancer information will be available. Meal and booths open at 5:30 pm, seminar begins at 6 pm. Registration is required by calling 1-800-4-SOURCE or visiting floydmemorial.com/events. Space is limited, so register early.

Angels of Hope Cancer Support Group

Lymphedema Support Group

First and third Thursday of each month, 6:45-8 pm Cancer Center of Indiana Contact: Helen (812) 945-4000 ext. 6231

Third Wednesday of each month, 6-7 pm Cancer Center of Indiana This group is for anyone who has upper or lower extremity lymphedema. Contact: Myra Craig (812) 225-1433

Together for Breast Cancer Survival Men’s Caregiver Support Group Fourth Tuesday of each month 6:30 pm Cancer Center of Indiana Contact: Doug Drake (812) 945-4393 or www.cosurvivors.org

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New Minimally Invasive Procedure Gives Car Accident Victim Her Life Back

Timing is Everything Knowing something was wrong with his back, 47 year-old Georgetown father and Amazon Distribution employee, Travis Frakes, had developed an awkward gait, or walk, and for nearly three years, experienced extreme pain in his lower back, numbness and tingling in his fingers, muscle spasms and restless legs at night. He was even unable to lift his right arm above shoulder level. An MRI of his lower back did not reveal the problem, however, Travis was referred to Floyd Memorial Spine Center board certified neurosurgeon and spine surgeon, Steven Kuric, MD, FACS, FAANS. Travis explained, “Dr. Kuric took a lot of time asking me questions, checking my reflexes, watching me walk and examining my lower back MRI. He felt the problem was in my upper back, so he ordered a second MRI. I got my MRI on Monday morning and that afternoon Dr. Kuric wanted to see me in his office.” Dr. Kuric suspected cervical myelopathy because of the classic symptoms of the condition that Travis was exhibiting. Travis’s upper back MRI confirmed the diagnosis and also showed cervical spinal stenosis at multiple levels of the C3 – C7 vertebrae. Spinal stenosis is the narrowing of the spinal column and is typically seen in patients over 50. It causes compression of the spinal cord, or myelopathy, and patients begin to lose functioning over time. Cervical stenosis most commonly occurs because of the development of degenerative conditions, which can be related to age, genetics or normal wear and tear. “Travis’s condition

“We’re happy that Travis now has a chance to improve. He was at risk for significant injury and greater loss of function. If you notice problems with your balance, gait, function in hands or upper extremities, bladder disturbance and pain, it’s time to see a specialist.” Steven Kuric, MD, FACS, FAANS Board Certified Neurosurgeon and Spine Surgeon Floyd Memorial Spine Center was at the point where he was at risk for significant injury, even paralysis, if left untreated for very long,” said Dr. Kuric. Travis noted, “It was a relief to have Dr. Kuric pinpoint the problem and be straightforward with me. It’s scary to hear you’re that close to possibly losing your ability to walk.” Options Dr. Kuric impressed upon Travis the urgency to correct the problem. “There were a few options we looked at, but I felt that a cervical laminoplasty would give him the best chance to avoid more problems down the road,” he said. A cervical laminoplasty is the widening of the spinal canal and stabilizing of the vertebrae. “We go in through the back of the neck, break one side of the vertebrae and cut the other side in order to form a hinge or door. A metal mini-plate is then attached to the vertebrae to hold the door open. This allows

extra space in the canal so that the cord becomes decompressed and stops the progression of damage, allowing for recovery of function over time,” explained Dr. Kuric. After surgery, Travis awakened with no pain in his back and was able to move his arms normally again. He was required to walk with a walker and wear a neck brace for several weeks while his body recovered. Physical therapy and time Travis then began working with Floyd Memorial Outpatient Rehabilitation physical therapist assistant, Sean Coverdell, PTA, to build strength in his neck and correct balance and walking issues. “I know it’s going to take time to get a normal walk back, but Dr. Kuric and I are both hopeful that this will eventually happen,” he added. “I was impressed with Dr. Kuric, the nursing staff, my physical therapist and everyone at the Spine Center.” Travis is now able to start getting back to his life and hanging out at one of his favorite places, downtown New Albany. Cervical Laminoplasty

A cut is made in one side of the vertebra

A greenstick fracture is made on the other side to create a hinge

A door effect is created

“It was a relief to have Dr. Kuric pinpoint the problem and be straightforward with me. It’s scary to hear you’re that close to possibly losing your ability to walk.” 6

– Travis Frakes

A mini-plate is attached to stabilize the vertebra and widen the spinal canal

“It is extremely fulfilling to watch a patient like Charlotte completely transform into a happier, more active person as a result of a new procedure. I’m excited to be able to offer yet another option for patients with chronic back pain.” Mohammad E. Majd, MD Orthopedic and Spine Surgeon Floyd Memorial Spine Center After a car accident left her in excruciating pain, Floyds Knobs mother of two, Charlotte Bryant, tried every method available to help with the pain including physical and aquatic therapy, epidurals, radio frequency medial nerve ablation and pain medications. Two years later, her lower right back, hip, buttock and thigh still had pain, weakness and a cold sensation all the way through her toes. She could not stand straight, walk without her leg giving out, sleep on her side, climb stairs or sit for any period of time without terrible pain and severe muscle spasms. She walked with a limp and could only function while taking several pain medications and muscle relaxants. She had even considered having her sciatic nerve removed. Charlotte was desperate for relief, and found hope when she met Floyd Memorial Spine Center orthopedic and spine surgeon, Mohammad E. Majd, MD. New possibilities Dr. Majd explained, “We performed a sacroiliac joint block which temporarily alleviated Charlotte’s pain. That, along with her symptoms, led me to believe that the problem originated in her sacroiliac joint, which is the connection between the sacrum and ilium bones of the pelvis. When the ligaments weaken or tear, the pelvis becomes unstable. When these ligaments become damaged, they may have excessive motion, which inflames and disrupts the joint and the surrounding nerves. It causes the type of pain Charlotte was experiencing.” Dr. Majd had been trained on and successfully performed three sacroiliac joint fusions prior to Charlotte’s case. He believed it could help Charlotte, and was able to facilitate the insurance coverage of this minimally invasive procedure. “Dr. Majd went through the risks and told me he had only done a few of the procedures. I was willing to try anything to stop the pain, but I knew my family would be leary of me undergoing a new spine surgery, so I didn’t tell them. I took a leap of faith.”

Surgery The procedure involved making a one and a half inch incision in the lower back along the side of the buttock. X-rays provide the ability to precisely place three titanium rods in the joint to stabilize it while providing protection to the surrounding tissues. According to research, up to 25 percent of all low back pain is related to the SI joint, but the diagnosis of SI joint disease is frequently overlooked. Recent studies have found that 75 percent of all post-lumbar surgery patients may have SI joint dysfunction. “When I woke up from surgery the chronic pain was virtually gone. I only felt the surgical incision and muscular pain, which was nothing compared to the pain before the surgery.” Recovery Charlotte continued, “During my outpatient rehabilitation, my physical therapist, Jill Hentrup, PT, at Floyd Memorial Rehab Services was a great cheerleader and made sure I wasn’t pushing myself too hard. I was not allowed to place weight on the joint for a few weeks. Jill gave me detailed exercises to do at home, and explained that I should get back into things slowly and not overdo it, which was hard for me. I was so anxious to be active again.” She added, “My two favorite activities of all time are fishing and tent camping. I didn’t think I’d ever be able to enjoy those things with my family again. Although I had a wonderful support group of family, friends and co-workers, it was hard to let people do things for me. Now I’m self-sufficient. My hips are level again and I can walk without a limp. I feel like myself again. You learn to appreciate the little things after living in constant pain. I thank God every day that

Sacroiliac Joint Fusion Ilium

Sacroiliac (SI) joint Sacrum

Normal SI joint

Fused SI joint

The SI joint is fused with titanium implants to stabilize the joint and protect surrounding tissues

I found Dr. Majd and he gave me my life back. If I hadn’t tried this new surgery, I never would have known. For those people living with chronic back pain who don’t want to live life on pain pills and epidural shots, take the chance. It was well worth it to me.” For more information on sacroiliac joint fusion, call the Floyd Memorial Spine Center at (812) 949-5933. Free Low Back Pain Seminar Tuesday, October 1, 6 – 7 pm Floyd Memorial Cancer Center of Indiana Orthopedic and spine surgeon, Mohammad E. Majd, MD, will discuss the latest technology and techniques in treating low back pain, from physical therapy, to minimally invasive surgeries including artificial disc replacement and sacroiliac joint fusion. Register by calling 1-800-4-SOURCE (1-800-476-8723) or online at floydmemorial.com/events.

“It’s truly amazing to be able to camp and fish again. I thank God every day that I found Dr. Majd and he gave me my life back.” – Charlotte Bryant

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Third Time’s a Charm for Harrison County Mom “I don’t think I could’ve had the wonderful experience I had delivering my third child if it wasn’t for my certified nurse midwife, Carla Layne,” explained registered nurse and Harrison county resident, Dana ZurSchmiede, RN. This was baby number three for Dana and her husband, Matt, but her first labor and delivery under the care of a certified nurse midwife. Brenner Reid was born in May on his father’s birthday. Dana’s first baby girl, now age 7, was a cesarean delivery due to complications with the umbilical cord wrapped around her daughter’s neck. Although Dana wanted a natural birth with her second daughter, she had to have an epidural due to circumstances during her VBAC (vaginal birth after cesarean) delivery. She was finally able to have a natural childbirth with her son, but only with the coaching and support of certified nurse midwife, Carla Layne, ARNP, CNM. Dana’s birth plan Dana explained, “I did a lot of research on midwifery and knew that’s what I wanted for my third delivery. I liked the idea of less intervention and having someone sit with me through the entire process. I was thrilled when Carla joined the Floyd Memorial Birthing Center. Having Carla with me through it all was an amazing experience. I feel like she treated my pregnancy as a normal, natural event, not a condition. She was so supportive and attentive to my every need. She walked with Matt and me while I was in labor, used a warm, rice-filled sock around my neck to help me relax and offered wonderful suggestions, while supporting my decisions. Carla answered my husband’s questions and really made him feel at ease as well.” OB/GYN Heather Lewis, MD, monitored Dana’s labor and delivery and was on standby if needed. But Dana made it through her natural delivery with flying colors. “Carla pulled Brenner right out and placed him on my chest. I didn’t know if I was having a boy or a girl and I found out at that very moment, so I was the first to know. I even cut his umbilical cord. Brenner was wide awake and alert from the very start, and we did kangaroo care, which was an amazing moment that I will never forget. The nurses and staff were so supportive. I couldn’t have had a better experience.” Kangaroo care is strongly encouraged by the healthcare team at the Floyd Memorial Birthing Center for moms to bond with their newborns. The baby is placed skin-to-skin on the mother’s chest immediately after delivery 8

“I find that many of my patients are health professionals who are educated in the options available to them. Dana did the research, knew what to expect and had a wonderful experience. That’s my goal for every new mom.” Carla Layne, ARNP, CNM Certified Nurse Midwife Floyd Memorial Birthing Center and any time after birth to help regulate the baby’s temperature, heart rate and breathing. The connection helps the newborn naturally gravitate toward the mom’s breast and leads to more successful breastfeeding. All Birthing Center nurses are trained in kangaroo care and breastfeeding, and there are dedicated lactation experts on staff to help moms with the knowledge and successful practice of different breastfeeding techniques.

their birthing stories with them for the rest of their lives and I do all I can to make their birth plan exactly how they want whether that includes medication or not.” Labor sitting is common practice for a certified nurse midwife, which is something physicians don’t have the extra time to do. The Floyd Memorial Birthing Center is proud to offer every option available for expectant families. Knowledge is power “I find that many of my patients are health professionals who are educated in the options available to them. Dana did the research, practiced good nutrition, knew what to expect and had a wonderful experience. That’s my goal for every new mom,” said Carla. Certified nurse midwives have the education and special training to provide care to women from adolescence through the post-menopausal years. They specialize in low risk pregnancies and pre- and postpartum care. Carla added, “Studies have shown that women progress faster, feel safer and generally do better with the one-on-one care provided by a certified nurse midwife.” For more information on the options available at the Floyd Memorial Birthing Center, visit floydmemorial.com/baby.

Midwifery options Carla has many tools in her arsenal to help relax expecting moms including aromatherapy, hydrotherapy and alternative ways to help ease tension and make mom as comfortable as possible. But having a certified nurse midwife doesn’t mean you have to choose natural childbirth with no medications. Carla “Carla and the entire explained, “I want each staff were so supportive. new mom to have the I couldn’t have asked best birthing experience for anything better.” possible. Women carry – Dana ZurSchmiede Attend our free New Family Fundamentals: Midwives, Doulas and Dads class on Wednesday September 25, October 30 and November 20 from 6:30 to 7:30 pm in the Paris Health Education Center. Find out more about certified nurse midwife, Carla Layne, ARNP, CNM, the potential role of a doula and dads-to-be will discover fathering basics and their support role. Registration is required by calling 1-800-4-SOURCE or online at floydmemorial. com/events.

Educate Yourself on Prostate Cancer Treatment Options Being diagnosed with prostate cancer can be very confusing. Treatment options abound, and many are controversial because of their potential side effects and discomfort. So it’s important for patients to educate themselves on their options. Watchful surveillance Prostate cancer is a slow-growing cancer that often appears later in life, so many patients who are advanced in age or in poor health choose what’s known as “watchful surveillance.” This involves testing the patient’s Prostate Specific Antigen (PSA) blood levels every four to six months to make sure that levels are staying steady. If levels are consistent, this typically means that the cancer is growing slowly enough to not require immediate treatment. Surgery Surgical removal of the prostate is another option that many men choose because it is a relatively simple procedure with a quick recovery time and little need for follow up treatment, as long as the cancer is contained to the prostate. However, the risk of impotence after surgery should be a serious consideration, and even robotic procedures still present a risk of damage to surrounding nerves that supply the penis. Radiation therapy Radiation to the prostate to eradicate the cancerous cells is an option as well. There are several different ways radiation can be delivered. At the Floyd Memorial Cancer Center of Indiana, patients have access to two of the most cutting edge radiation therapy options available; Intensity Modulated Radiotherapy (IMRT) delivered with the ACCULOC Image Guided Localization System, and Stereotactic Body Radiotherapy (SBRT) delivered with Image Guided Radiotherapy (IGRT). Patients qualify for each therapy based on a variety of factors. Intensity Modulated Radiotherapy & the ACCULOC system “The number one advantage of IMRT delivered with the ACCULOC system is that it gives us precise computerized measurements of the prostate, so that we can deliver the radiation in the most accurate manner possible,” explained board certified radiation oncologist, B.O. Jose, MD, FACR. “The prostate is not a fixed organ. It can shift inside the body on a daily basis due to urine in the bladder or stool in the rectum, making accuracy difficult to achieve over the course

Prostate Cancer Symptoms & Risk Factors When prostate cancer is detected early, the five-year survival rate is nearly 100 percent. Speak with your primary care physician or urologist about when and how often you should be screened, and look out for common symptoms and risk factors, which include: • Increased frequency of urination • Slow or “dribbling” urinary stream • Difficulty urinating • Blood in the urine • Age 50 and above • African American men • High testosterone levels • Family history of prostate cancer

of a multi-week treatment. That’s why the ACCULOC system is such an advantage.” The treatment involves the placement of three tiny gold markers in different locations in the prostate. “The ACCULOC system visualizes the markers prior to each treatment,” explained Dr. Jose, “we can determine the position of the prostate with pinpoint accuracy, and deliver the radiation very precisely. It allows us to treat the cancer with powerful radiation while avoiding nearby healthy tissue and without the need for a rectal probe, which is much more comfortable for the patient.”

Prostate Bladder

Gold Markers The ACCULOC Image Guided Localization System utilizes implanted gold seeds to mark the location of the prostate as it shifts in the body, allowing for precise radiation delivery that targets the prostate as accurately as possible and spares the surrounding healthy tissues.

“By visualizing the markers prior to each treatment, we can determine the position of the prostate with pinpoint accuracy, and deliver the radiation very precisely. It allows us to treat the cancer with powerful external radiation while avoiding nearby healthy tissue, and making the treatment process dramatically more comfortable for the patient.” B. O. Jose, MD, FACR Board Certified Radiation Oncologist Floyd Memorial Cancer Center of Indiana Professor & Vice Chairman of Radiation Therapy University of Louisville School of Medicine James Graham Brown Cancer Center Stereotactic Body Radiotherapy & Image Guided Radiotherapy SBRT is a new offering at the Cancer Center of Indiana, and is one of the most advanced therapies available for fighting cancer. SBRT delivers extremely high powered radiation to a precise target, using a combination of internal markers and a special positioning technology known as Image Guided Radiotherapy (IGRT). IGRT performs cone beam computer tomography (CT) during radiation treatment to ensure that the highpowered beam of radiation delivered during SBRT is shaped to the exact dimensions of the cancerous area, sparing surrounding healthy tissues. By measuring every movement of the body and making constant adjustments, IGRT ensures that the cancer is targeted in the most precise, effective manner possible. “SBRT is a remarkable treatment option because it is so high-powered and precise that it drastically reduces treatment times and side effects, making it more accessible and easier on patients,” added Dr. Jose. “For example, using SBRT, prostate cancer treatment can be reduced from 40 sessions to just five sessions. That’s the difference between going for treatment every day for eight weeks or for only one week, which is especially attractive for men who live far away from a cancer treatment center or who are trying to continue working and do not have time to endure two months of daily treatment.” For more information on prostate cancer treatment options available at the Cancer Center of Indiana, call (812) 945-4000. 9


SEPTEMBER/OCTOBER/NOVEMBER 2013 Calendar of Events To register, call 1-800-4-SOURCE (1-800-476-8723), or visit floydmemorial.com/events, unless another number is listed.

*

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

Stroke & Aneurysm Vascular Screenings Every Tuesday & Thursday by appointment Stroke & Aneurysm Vascular Screenings are offered by the Floyd Memorial Heart & Vascular Center. They include non-invasive screening for Abdominal Aortic Aneurysm, Peripheral Artery Disease and Carotid Artery Disease. The cost is $49 for all three. Free Screenings at the Floyd County YMCA Tuesday, September 17, 4:30 - 6:30 pm Free blood pressure screenings, height and body composition as well as health education. Free Blood Pressure Screenings 1:30 - 3 pm every other Friday in the main lobby September 27, October 11, 25, November 8 & 22. Free Take 2 for Heart and Stroke Screenings Thursday, October 3, November 7 and December 5 by appointment. One-on-one screening with a registered nurse, full lipid cholesterol panel, blood pressure, blood sugar, blood sugar A1C and body mass index. Registration required. Free Health Fair at Graceland Baptist Church Saturday, October 5, 10 am - 2 pm Free screenings, resources and health information.

Free Screenings at the Floyd County YMCA Tuesday, October 8, 9 - 11 am Free colon cancer screening kits, breast cancer risk assessments and Spine Center consultations. Free Screenings at the Floyd County YMCA Monday, November 4, 4:30 - 6:30 pm Ask a nurse station and free blood pressure screenings. Free Colon Cancer Screening Kits Free occult blood colon cancer screening kits are available for pickup at the Floyd Memorial Cancer Center of Indiana front desk. Free Osteoporosis Screenings The pDXA screening is a scan of the bone density of the heel. Screenings take place in the Women’s Imaging Center and are by appointment only. To register, call (812) 949-5570. Lung Cancer Screenings CT scanning of the lungs is a simple, quick radiological test that is capable of detecting lung cancer at a very early stage, when treatment can be most successful. If you are a current or past smoker age 50 or older, or have been exposed to heavy second-hand smoke, this screening could save your life. Physician referral not required. Cost is $150, which includes a results consultation immediately after your scan with a physician radiologist. To register, call (812) 949-5570.

HEALTH EDUCATION Kidney Disease Treatment Options Classes Wednesday, September 18, October 16, November 20 and December 18, 10 am - Noon Learn about the types of treatment for kidney disease including dialysis and kidney transplantation. Call (502) 895-7650 to register. Free Hormone Replacement Therapy Seminar Tuesday, September 17, 6 - 7 pm Floyd Memorial Cancer Center of Indiana Explore the many options in treating common concerns of women today such as menopause, PMS symptoms and hormone imbalances. Learn about bio-identical hormone therapy, traditional hormone therapy and supplements that can give you a much better sense of well being. Presented by Carla Layne, ARNP, CNM, and Precision Compounding’s Laura Pfaffenberger, PharmD, and Denise Orwick, RPh. Registration required. Greenway 5K Family Health and Fitness Day Saturday, September 28, 9 am - Noon New Albany Amphitheater Zumba, obstacle course, bounce house, yoga, ‘Give Me 10’ kick-off, family fun and games! Free Low Back Pain Seminar Tuesday, October 1, 6 - 7 pm Floyd Memorial Cancer Center of Indiana Orthopedic and spine surgeon, Mohammad E. Majd, MD, will discuss the latest technology and techniques in treating low back pain, from physical therapy to minimally invasive surgeries including artificial disc replacement and sacroiliac joint fusion. Registration required. 10

Free Bone & Joint Pain Seminar Tuesday, October 8, 6 - 7 pm Thursday, November 7, 6 - 7 pm Learn about advanced treatments that may relieve knee or hip pain. An orthopedic surgeon and nurse will discuss medications, exercise and joint replacement surgery. Registration required. Safety Fair Tuesday, October 8, 11 am - 1 pm Floyd Memorial Green Valley Road Lobby Get valuable information on keeping you and your home safe. Watch a fire safety demonstration, meet local law enforcement, a CPR instructor and infection prevention coordinator, visit safety equipment vendor booths and take home great giveaways. Indiana Blood Center Blood Drive Tuesday, November 5, 12:30 - 7 pm Sleep Disorders Seminar Tuesday November 6, 7:30 - 8:30 am or 1:30 - 2:30 pm Understand what causes sleep problems and learn techniques to reduce them. Registration required. Addictions Seminar Tuesday, November 6, 3 - 5 pm Join C. M. Hocker, MD, for a presentation on addictions and treatments. Registration required.

OFFERED BY Weight Management Center

HMR Orientation If you want to lose anywhere from 10 to 200 lbs, HMR can help. Free information sessions are on Mondays and Thursdays. Call (812) 949-7151 to schedule. HMR offers several diet options including a medically supervised plan, a moderate diet option and an at-home program. Surgical Weight Loss Seminar Wednesday, September 18, October 16 and November 20, 6 - 7 pm Floyd Memorial Cancer Center of Indiana Interested in bariatric surgery? You have options. Learn about gastric banding and gastric sleeve surgery and the support services offered by the Floyd Memorial Weight Management Center at this free informational seminar presented by our board certified surgeons.

OFFERED BY

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

Balance and Control Program designed for individuals looking to get their diabetes under control, new to diabetes or new to insulin. Covered by most insurance plans. Diabetes Refresher Course Program helps patients set goals for healthy management of their diabetes. Highlights include: what’s new in diabetes, understanding the numbers, counting carbohydrates, latest treatment options, evaluating old goals and setting new ones. Covered by most insurance plans. Pre-Diabetes Class If you have pre-diabetes, or are overweight and 45 or older, you are at high risk of developing type-2 diabetes. Class is designed to help determine what changes are needed, and set goals for living healthier. Class is self-pay and costs $25. Free Foot Screening & Diabetes Health Fair Saturday, November 9, 8 – 10:30 am Paris Health Education Center Free fasting glucose and hemoglobin A1C screening, foot screening and educational booths. Call 1-800-4-SOURCE to register.

Stroke Clinic Southern Indiana Rehab Hospital offers a free stroke clinic for anyone who has experienced a stroke. The survivor is screened by therapists, case managers, nurses and physicians who can review their ongoing recovery and make recommendations as needed. Contact: (812) 941-6120 or (812) 941-6154.

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 Amputees in Motion Support Group Third Thursday of each month, 7 pm Meets at Southern Indiana Rehab Hospital Contact: Brittany Bley, (502) 724-4490 or Bradley (812) 557-5484 Balancing Life with Diabetes Support Group Tuesday, September 17, 10 - 11 am Topic: Staying Active: Working through the Aches and Pains Tuesday, October 15, 10 - 11 am Topic: Warm Soups for Cold Months Tuesday, November 19, 10 - 11 am Topic: Monitoring Blood Sugars Tuesday, December 17, 10 - 11 am Topic: Diet Jeopardy Meets at Joslin Diabetes Center Affiliate, 2019 State Street, New Albany To register, call 1-800-4-SOURCE. Bariatric Support Group First Monday of each month, 6 pm Contact: Floyd Memorial Weight Management Center (812) 949-7151 Brain Injury Support Group Third Thursday of each month, 7 pm Meets at Southern Indiana Rehab Hospital Contact: Beverly Setree, (502) 819-2542 Breast Cancer Support Group Second Thursday of every other month, 7 pm Contact: Pat Kasse, (812) 948-1215 Cancer Patient/Caregiver Support Group First & third Thursday of each month, 6:45 - 8 pm Floyd Memorial Cancer Center of Indiana Contact: Helen, (812) 945-4000 ext. 6231

OFFERED BY FLOYD

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 Breastfeeding support and information Contact: Lisa, (812) 987-3635 Lymphedema Support Group Third Wednesday of each month, 6 - 7 pm Floyd Memorial Cancer Center of Indiana This group is for anyone who has upper or lower extremity lymphedema. Contact: Myra Craig (812) 225-1433. Mended Hearts Support Group Fourth Monday of each month, 6 pm Mended Hearts is a national and communitybased non-profit organization that has been offering the gift of hope to heart disease patients, their families and caregivers. Our support groups help people understand that there can be a rich, rewarding life after heart disease diagnosis. Contact: Jackie Lattis, (502) 819-2085 for meeting location Multiple Sclerosis Support Group Fourth Monday of each month, 6 pm Contact: Michael Quinn, (502) 797-5878 Parkinson’s Support Group Monday, October 7, Tuesday, November 5 and December 3, 6:30 - 7:30 pm Contact: Richard Mattox, (812) 256-5424 Stroke Support Group Second Tuesday of each month, 1 pm Meets at Southern Indiana Rehab Hospital Contact: Deb or Tori, (812) 941-6154 Together for Breast Cancer Survival Men’s Caregiver Support Group Fourth Tuesday of each month, 6:30 pm Floyd Memorial Cancer Center of Indiana Contact: Doug Drake, (812) 945-4393.

MEMORIAL Cancer Center of Indiana

Look Good…Feel Better Monday, September 23, October 28, November 25 and December 23, 1 - 2 pm Floyd Memorial Cancer Center of Indiana Volunteer cosmetologists teach make-up techniques and ways to disguise hair loss to women who are battling cancer. Registration deadline is September 19, October 24, November 21 and December 19. To register, call (502) 560-6045. Pamper Me Pink! Saturday, September 28, 8 am - Noon Dillard’s Green Tree Mall Join the Floyd Memorial Cancer Center of Indiana and Dillard’s Green Tree Mall as we roll out the pink carpet for breast cancer patients and survivors. This FREE event will feature facials, makeovers, chair massages and custom bra fittings. Attendees will enjoy a delicious breakfast spread, a chance to win great door prizes, including a Clarisonic body brush valued at $225, a variety of cosmetics baskets, lingerie, massage and pilates gift cards, a $5 Dillard’s gift card, and the chance to have the store all to themselves for a morning as it opens early for a personal shopping experience for all attendees. Appointments required, call Melissa at (812) 285-0161, ext. 5003.

Breast Cancer Prevention & Treatment Seminar Tuesday, October 29, 6 - 8 pm Floyd Memorial Cancer Center of Indiana Join breast cancer specialists including medical oncologists/hematologists, Yasoda Devabhaktuni, MD, Ajay Kandra, MD, and Roseline Okeke, MD, radiation oncologist, Anthony Dragun, MD, and plastic and reconstructive surgeon, Michelle Palazzo, MD, for this free evening presentation of all the latest breast cancer information. Each physician will present on prevention and treatment topics including genetic testing and counseling, lifestyle modification, prevention options for high-risk patients, breast cancer surgery and reconstruction and radiation options. Following their presentations, the physicians will participate in an open question and answer session with attendees. A complimentary meal will be served and informative booths with breast cancer information will be available. Meal and booths open at 5:30 pm, seminar begins at 6 pm. Registration is required and space is limited, so register early.

Floyd memorial Birthing center

OFFERED BY

New Family Fundamentals: Midwives, Doulas and Dads Wednesday, September 25, October 30, November 20 and December 18, 6:30 - 7:30 pm Meet certified nurse midwife, Carla Layne, ARNP, CNM, and learn how a midwife can help during pregnancy, labor and delivery. A doula will discuss how they provide education and support for both parents. Dads will discover father fundamentals. Registration required. Meet the Midwife Presented by Certified Nurse Midwife, Carla Layne, ARNP, CNM Monday, September 30, 6 - 7:30 pm Mama’s Hip, 1559 Bardstown Rd., Louisville Learn how a certified nurse midwife can help during pregnancy, labor, delivery and antepartum. Explore the benefits and options available to women of all ages. Find out why more women are choosing certified nurse midwives. Dads can also discuss fathering fundamentals. Prenatal Class Thursday, October 3 - November 14, 7 - 9 pm (6-week series) For the expectant mom and dad or other support person. This free class is a six-week session and should be taken at the beginning or middle of pregnancy. Taught by several of our highly skilled obstetrical nurses. Registration required. Fathering Fundamentals for New Dads Saturday, October 12, November 9 and December 14, 9 am - Noon Dad’s role is very important and this class will help prepare him for when the baby arrives. Voice concerns, ask questions and receive “hands on” interaction with babies. Previous participants are invited back to the class with their babies to help put other dads at ease. Cost is $25. Registration is required by emailing Jerry Geller at jpg0705@aol.com. Prepared Childbirth Class Saturday, October 19 and 26, 8:30 am - 12:30 pm (2-part series) Wednesday, October 30 – December 4 6:30 - 8:30 pm, (6-week series) Cost - $30 per couple. These classes discuss the physical preparation and education needed for a successful delivery. They involve relaxation techniques using a variety of methods, as well as tips for pregnancy fitness including physical therapy. Take during the middle of pregnancy. Registration required. Sibling Class Saturday, November 16, 10:30 am - 12:30 pm This free class is for soon-to-be new brothers and sisters, ages 3 to 11, and their parents. Children will be shown how to diaper and hold a baby (doll), and tour the Birthing Center where they get to listen to the baby’s heartbeat. Registration required. Breastfeeding Class Thursday, November 21, 6:30 - 9 pm This free class will help you have a successful breastfeeding experience. Discussion includes helpful hints, practical guidelines, common misconceptions and barriers. Registration required. Babysavers Class Thursday, December 5, 6:30 - 9 pm Infant CPR for new patients. Cost is $10 per couple. Registration required. 11

September-October 2013 HealthScope  
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