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Sept/Oct 2012

A bi-monthly update on leading-edge care from

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1850 State Street New Albany, IN 47150

HealthScope is published by Floyd Memorial Hospital and Health Services Marketing & Public Relations Department 1850 State Street New Albany, Indiana 47150 (812) 948-6728 or 1-800-476-8723 Cindy Ferree Editor Angie Rose Director of Marketing & Public Relations, Contributor Angie Glotzbach Contributor Stacey Rudy Contributor CUSTOMER SERVICE Floyd Memorial customer service inquires can be made to our Customer Service Hotline at (812) 981-6510.

FEWER

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.

TREATMENTS*

Our new technology is making cancer treatments dramatically faster.

CAREER OPPORTUNITIES

Now we can fight cancer in places we couldn’t

side effects. With our new radiation technology,

Visit “Careers” at floydmemorial.com to find out more about exciting career opportunities available at Southern Indiana’s premier regional healthcare provider.

reach before, dramatically reduce the number

we can attack cancer more effectively than

of treatments needed, better protect healthy

ever, so you can get advanced cancer care right

areas of the body and reduce uncomfortable

here at home and get back to living sooner.

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SOUTHERN INDIANA CANCER

2012-13

812-945-4000 • floydmemorial.com/cancer *May not apply to all treatment plans. Ask your doctor if this treatment is right for you.

Breakthroughs in Lung Cancer Treatment Colorectal Cancer Patient Benefits from Early Detection and Minimally Invasive Surgery

Knee and Hip Replacement Patients Lose the Pain; Get Back to Life

General Surgeons Specialize in Minimally Invasive Techniques with Exceptional Results


Top Docs Recognized Nationally & Regionally

Vasti Broadstone, MD

Rodney Chou, MD

Michael Doyle, MD

Eugene Fletcher, MD

B. Oliapurum Jose, MD

ROCK THE

Mark Slaughter, MD

William Spanos, Jr., MD

Thomas Wolff, MD

Congratulations to the following Floyd Memorial physicians who were recently recognized as top doctors in their field!

U.S. News & World Report Top Doctors: Top one percent in the Nation Vasti Broadstone, MD, Joslin Diabetes Center Affiliate at Floyd Memorial – Endocrinology Eugene Fletcher, MD – Pulmonology B. Oliapurum Jose, MD Floyd Memorial Cancer Center of Indiana Radiation Oncology Mark Slaughter, MD University Cardiothoracic Surgical Associates Thoracic & Cardiac Surgery

U.S. News & World Report Top Doctors: Top 10 percent in the Region Rodney Chou, MD Floyd Memorial Spine Center & Wound Healing Center – Physiatry

Floyd Memorial Medical Group – Surgery Welcomes General Surgeon, Douglas Berg, MD General Surgeon, Douglas Berg, MD, has joined Floyd Douglas Berg, Memorial Medical Group – MD Surgery. Dr. Berg graduated from the University of Toledo College of Medicine located in Ohio and then went on to complete his general surgery residency in 2012 at Good Samaritan Hospital in Cincinnati. Dr. Berg is board-eligible and has expertise in all aspects of general surgery, including laparoscopic procedures, hernia repairs, surgeries for various types of cancer and more. For more information about Dr. Berg, or to schedule a consultation, contact (812) 949-5575. On the cover.... from L to R: Floyd Memorial General Surgeons Julie Hutchinson, MD, FACS; Ashley Lankford, MD, FACS; Carolyn Day, MD, FACS and Douglas Berg, MD.

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Michael Doyle, MD Floyd Memorial Spine Center – Neurosurgery William Spanos, Jr., MD Floyd Memorial Cancer Center of Indiana Radiation Oncology

Louisville Magazine ‘Top Docs’ List Vasti Broadstone, MD Joslin Diabetes Center Affiliate at Floyd Memorial – Endocrinology & Metabolism B. Oliapurum Jose, MD Floyd Memorial Cancer Center of Indiana Radiation Oncology Eugene Fletcher, MD – Sleep Medicine Mark Slaughter, MD University Cardiothoracic Surgical Associates Thoracic Surgery Thomas Wolff, MD Kleinert Kutz Surgery Center in Affiliation with Floyd Memorial Hospital – Hand Surgery

Floyd Memorial Spine Center Welcomes Neurosurgeon, Steven Kuric, MD Floyd Memorial is pleased to announce board certified Neurosurgeon, Steven Kuric MD, Steven Kuric, in association with Michael MD Doyle, MD, has joined the Floyd Memorial Spine Center. Dr. Kuric received his medical degree from Indiana University School of Medicine and completed residency at Wayne State University in Detroit. Prior to his transition to the Spine Center, Dr. Kuric was a partner at Tri State Neurosurgical Inc., in Evansville for more than 20 years. Dr. Kuric specializes in minimally invasive spine surgery, spinal instrumentation with fusion, spinal stenosis, herniated/ruptured discs, peripheral nerve surgery and intracranial surgery including brain surgery. Contact the Floyd Memorial Spine Center at 812-949-5933 or 1-877-487-5933 for more information.

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. Administration Mark Shugarman, President & CEO Ambulatory Services Tonya Albers, RN CTU Kathy Linz, RN

MIPS Jeremy Paden, RN Andrea Pate, RN Melissa Denny, RN Danielle Griffin, RN Lisa Gabhart, RN Christa McAfee, RN

CVCU Melissa Riley, RN

Patient Registration Olivia Cullison, Emergency Registration Supervisor

Emergency Center Elaine Vermillion, RN Laboratory Alan Elliott, Director Debbie Drury, Patient Service Tech Joni Heishman, Phlebotomy Tech Medical Staff Dr. Lyle Beard, Hospitalist Dr. Jonathan Grief, Family Medicine

Patient Support Services Becky Nunn, Document Coordinator Volunteer Services Jim Buescher, Volunteer

For the 2nd Year in a Row, Floyd Memorial is the Only Southern Indiana Hospital to be Recognized by U.S. News and World Report as a Best Regional Hospital!

We need your vote! Floyd Memorial is participating in a national “Pink Glove Dance” video competition in honor of national October 12 - 26 breast cancer awareness month in October. The winner is awarded $10,000 to donate to their favorite breast cancer charity, and we need your votes to make it happen! Visit pinkglovedance.com between October 12 and 26, view our video and vote for Floyd Memorial’s pink glove dance.

Vote for Floyd Memorial! www.pinkglovedance.com Correction

Editor’s note: In the July/August 2012 issue of HealthScope, the education, training and office status of Daniel Eichenberger, MD, Floyd Memorial’s new Chief Medical Officer, was incorrectly reported. See below for a correction. Daniel Eichenberger, MD, attended Indiana University Southeast for his undergraduate education, completed medical school and a dual residency in Internal Medicine and Pediatrics Daniel Eichenberger, at the University of Louisville, and is currently pursuing a MD Masters of Business Administration (MBA) in Healthcare Management at Indiana Wesleyan University, which he is due to complete in February 2013. In addition to his role as Floyd Memorial CMO, he also continues to practice full-time in his private practice, Physicians Associates of Floyds Knobs.

Floyd Memorial has once again been ranked as a “Best Regional Hospital” for the Louisville Metro Area in U.S. News & World Report’s 2012-13 Best Hospitals rankings. Floyd Memorial is the only Southern Indiana hospital to make the list. The hospital is recognized in four specialty areas, including Cancer, Cardiology and Heart Surgery, Gastroenterology and Pulmonology. Floyd Memorial is also ranked among the top hospitals in the state of Indiana. The 23rd annual U.S. News rankings showcase 732 Best Regional Hospitals, from nearly 4,800 hospitals nationwide. U.S. News and World Report honors facilities that score high in patient safety, demonstrating commitment to reducing accidents and medical mistakes.

Horseshoe Foundation Donates $20,000 to Floyd Memorial Cancer Center of Indiana

The Horseshoe Foundation of Floyd County recently donated $20,000 to fund massage therapy for cancer patients and caregivers who are Floyd County residents currently receiving treatment at Floyd Memorial. Floyd Memorial has received grants from the Horseshoe Foundation since 2006. We thank them for their generosity, without which, this important program could not be offered to our patients and caregivers.

Floyd Memorial Awarded Three Crusade for Children Grants Floyd Memorial has been awarded three WHAS Crusade for Children grants, totaling $24,418. The grants will provide funding to purchase items and services aimed at ensuring that the hospital is able to meet the unique medical and psychological needs of children being treated at the facility. • $3,632 was awarded to the Emergency Department for the purchase of a variety of pediatric trauma equipment. • $12,420 was awarded for the purchase of training equipment for nurses, physicians and paramedics. • $8,366 was awarded to the Surgical Department to purchase a bed for special needs children and a pediatric intubation system. Thanks to donors like the Crusade for Children, Floyd Memorial Hospital is able to offer exceptional care to the children and families of Southern Indiana.

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 Douglas Berg, MD General Surgery Floyd Memorial Medical Group - Surgery 2125 State Street, Suite 3 New Albany, IN 47150 (812) 949-5575 Rashid Faiyaz, MD Hospital Medicine Floyd Hospitalist Program 250 East Liberty, Suite 801 Louisville, KY 40202 (502) 587-9596 David Fendley, MD Nephrology Kidney Care Consultants 716 West Broadway Louisville, KY 40202 (502) 595-7744 Christopher Hofelich, DO Interventional Cardiology River Cities Cardiology 1713 East Tenth Street Jeffersonville, IN 47130 (812) 282-1617 Sara Houston, MD Pediatrics Pediatric Associates of Southern Indiana 1425 State Street, Suite 100 New Albany, IN 47150 (812) 945-2229 Yamuna Kasaraneni, MD Urgent Care Floyd Memorial Urgent Care Charlestown Road 5130 Charlestown Road, Suite 2 New Albany, IN 47150 (812) 949-1577 Steven Kuric, MD Neurosurgery Floyd Memorial Spine Center 1850 State Street New Albany, IN 47150 (812) 949-5933 William Nunery, MD Oculofacial Plastic & Orbital Surgery Eye Specialists of Louisville 301 East Mohammad Ali Blvd. Louisville, KY 40202 (502) 852-7443

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“Hernia repair is something I have a real passion for because it’s a common condition that has a huge effect on a person’s quality of life. Being meticulous and doing it exactly right the first time is always my goal. Recurrent hernias happen all too often, and I don’t want my patients to experience that if it can be avoided.” Douglas Berg, MD Board Eligible General Surgeon Floyd Memorial Medical Group - Surgery For an appointment with Dr. Berg, call the Floyd Memorial Medical Group-Surgery office at (812) 949-5575, or visit floydmemorial.com/fmmg.

“Laparoscopic low anterior colon resection is a procedure that I’ve seen a lot of success with. It’s not commonly performed because it can be challenging to reach the lower part of the colon laparoscopically, but I’ve done it many times and feel very confident with the results. Anytime surgery can be done laparoscopically the patient benefits by experiencing much less pain, lower infection risk and faster recovery.” Julie Hutchinson, MD, FACS Board Certified General Surgeon Floyd Memorial Medical Group - Surgery Free Colorectal Cancer Screening Kits Through December 31, 2012 Free occult blood colorectal cancer screening kits are available for pickup at the Floyd Memorial Cancer Center of Indiana front desk through December 31, 2012. Laparoscopic low anterior colon resection involves removing the cancerous colorectal tissue and joining the healthy lengths of colon back together, preserving normal bowel functioning.

AFTER

BEFORE Colon

Tumor

Rectum Anus

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Colon

Rectum Anus

Floyd Memorial Welcomes General Surgeon Douglas Berg, MD Floyd Memorial Medical Group - Surgery recently welcomed its newest general surgeon, Douglas Berg, MD. Dr. Berg joins the practice of board certified general surgeons Julie Hutchinson, MD, Ashley Lankford, MD and Carolyn Day, MD. Read on for more information on his background, interests and specialties. And please join us at Floyd Memorial in extending him a warm welcome to the Southern Indiana community! From engineer to surgeon Dr. Berg received his Bachelor of Science degree in Mechanical Engineering from Purdue University in 2003, but quickly decided that medicine was his true calling. He explained, “I chose to pursue engineering because I really enjoyed designing things and seeing the finished product of what I created. Engineering is a profession that allows you to use your mind and your hands to create new

things, which really appealed to me. But once I was introduced to the concept of surgery, I realized that surgery and engineering had a lot in common. I am a true perfectionist at heart. I would say most engineers are as well. But so are surgeons. So once I realized that I could apply everything I loved about engineering toward helping people, I knew a career in surgery was for me.” Dedicated to helping others Dr. Berg completed medical school in 2007 at the University of Toledo College of Medicine and general surgery residency training in July 2012 at Good Samaritan Hospital in Cincinnati. During his time in medical school, he also realized his passion for community service, both locally and across the globe. “My father is an internal medicine physician, so even though I didn’t realize medicine was my path until later in life, I grew

Early Detection and Minimally Invasive Approach Lead to a Full Recovery from Colorectal Cancer When Eula Collins first noticed blood in her stool, she had seen enough colorectal cancer patients during her time as a volunteer and patient advocate at Floyd Memorial to know that she needed to follow up with her doctor about it right away. “I wasn’t having any symptoms, don’t have a family history and was only 53 years old at the time, so I wasn’t considered high risk,” explained Eula. “But I knew bloody stools were an early sign of cancer, so I made an appointment right away. My doctor thought one of my medications might have been causing it, so I stopped that medication and watched for any changes, but when the blood continued to appear, I went for a colonoscopy screening. That’s when they told me it was cancer and I needed to see a general surgeon to discuss my surgery options.” Easing fears “I come from a huge family of women, and we are all extremely supportive of each other,” Eula continued. “I have six sisters, three daughters and five granddaughters, and Dr. Hutchinson had the pleasure of meeting all six of my sisters and one of my daughters at my first appointment! I can’t think of many surgeons who would happily answer questions from eight women at a first consultation, but Dr. Hutchinson didn’t miss a beat. She was so encouraging and positive about my prognosis; it really put us all at ease. And she was knowledgeable and sympathetic at the same

time. It think that’s a rare combination and I’m so grateful to have found it in her.” Early diagnosis Board certified general surgeon, Julie Hutchinson, MD, explained Eula’s condition and the surgery it required, “Eula had a stage one cancerous tumor located in her rectum, in the lower area of the colon. She was very fortunate to catch it while it was still confined to the area where the tumor was located, and hadn’t spread to other tissues. The rectum has a larger blood supply than the rest of the colon, so rectal cancers tend to spread faster than cancers located in other areas of the colon.” Achieving an uncommon minimally invasive approach “I decided to perform a laparoscopic low anterior colon resection to remove the cancerous tissue and join the healthy lengths of colon back together,” said Dr. Hutchinson. “Because of the anatomy of the rectum and the access challenges it presents, many surgeons elect to perform this procedure in an open manner with a large incision, but I’m very comfortable with the laparoscopic approach. Laparoscopic procedures are minimally invasive, so I only had to make one small four-inch incision in her lower abdomen; followed by several band-aid sized incisions for the instruments. This meant lower infection risk, less pain and a faster recovery. Eula did very well with it and we were able to remove

up with the idea of dedicating your talents to helping others ingrained in my every fiber. So once I decided to become a surgeon, I knew I wanted to use what I was learning to help the less fortunate,” he said. While in medical school, he volunteered providing medical care to disadvantaged patients who couldn’t afford treatments, and also volunteered his time with hospice patients receiving end-of-life care. In addition, he volunteered with Operation Crossroads Africa in Kenya, where he provided hospital and surgical care, as well as AIDS education to teenagers and children, and organized mobile clinics to provide immunizations and basic medical care to outlying villages. Interests and specialties “The term ‘general surgeon’ can be a bit misleading,” explained Dr. Berg. “We are trained to perform many types of procedures, from gallbladder and appendix removal, to colon resections, cancer procedures and gastrointestinal surgeries, to abdominal trauma all the cancerous tissue with no need for any further treatment.” “I was in the hospital for a week recovering, and I was so impressed with my entire stay. I had volunteered at Floyd Memorial for two years, so I knew the care would be excellent, but I was still blown away by how wonderful everyone was. With all the women in my family, I had huge groups of visitors every day, but the staff was really accommodating about it. And I couldn’t have gotten through it without Dr. Hutchinson. She visited me every single night and was so positive that it really rubbed off on me,” Eula added.

and hernia repair. And within this we usually have special interests in certain types of procedures. For me, that’s hernia repair.” Hernia repair: an uncommon approach to a common problem Hernia is a very common condition that can present itself in many different ways. A hernia occurs when a weakness in the abdominal muscle wall allows internal structures to pop through the muscle and create a bulge beneath the skin. The types of hernias are based on where they occur: • Hiatal hernia occurs in the upper part of the stomach. In this hernia, part of the upper stomach pushes into the chest. • Incisional hernia can occur through a scar if you have had abdominal surgery in the past. • Inguinal hernia appears as a bulge in the groin. This type is more common in men than women. The bulge may go all the way down into the scrotum. • Umbilical hernia appears as a bulge around was no way I was missing it, so she made it her mission to get me back in shape so I could go. Being there for my granddaughter healthy and cancer-free made me feel like I was starting a new chapter of my life too.”

the belly button. It occurs when the muscle around the navel doesn’t close completely during infancy. • Femoral hernia appears as a bulge in the upper thigh, just below the groin. This type is more common in women than men. Although a hernia may only cause mild discomfort, it may get bigger and strangulate. This means that the tissue is stuck inside the hole and its blood supply has been cut off. If this occurs, or if discomfort becomes severe, reparative surgery is required. “I have a particular interest in hernia repair because it is a highly skilled, meticulous procedure, that when done well, can give a lifetime of relief, but if not, can cause painful recurrences throughout a patient’s life,” explained Dr. Berg. “It’s not to say that good hernia repairs never recur, because sometimes recurrences are unpreventable. But I enjoy the opportunity to put my perfectionism to work at giving my patients an excellent chance of being hernia-free for the long haul.” “I want to encourage everyone to pay attention to their bodies. Colorectal cancer is serious, and early diagnosis is so important. So throw your embarrassment out the window and check your stool for blood on a regular basis. It might just save your life. It did mine.” Eula Collins, Colorectal Cancer Survivor

A new beginning cancer-free “I’m so happy that I had a surgeon who was willing to go the extra mile and give me a minimally invasive option that allowed me to recover more quickly,” said Eula. “My surgery was at the end of March, and one of my granddaughters was graduating in May from high school in Chicago. I told Dr. Hutchinson from day one that there

Know the Risk Factors & Symptoms of Colorectal Cancer You have a higher risk for colorectal cancer if you: • Are older than 60 years-of-age • Are a smoker and/or heavy drinker • Are African American • Have colorectal polyps or a history of bloody stools • Eat a diet high in red or processed meats • Have inflammatory bowel disease (Crohn’s disease or ulcerative colitis) • Eat a diet low in fiber and high in fat • Have a family history of • Lead a sedentary lifestyle colorectal cancer

Pictured L to R are Eula Collins with her children and grandchildren: Eliza Addison, D.L. Collins, Eula Collins, Rolanda Collins, Elivia Addison and Jamar Thornton (back row).

Many cases of colorectal cancer have no symptoms. The following symptoms, however, may indicate colorectal cancer and should be evaluated by a physician immediately: • Abdominal pain and tenderness in the lower abdomen • Blood in the stool • Diarrhea, constipation or other unexplained change in bowel habits • Narrow stools • Weight loss with no known reason 5


Recent Breakthroughs Offer Hope for Lung Cancer “The trend in lung cancer treatment today is in pinpointing the exact genes involved so that highly individualized treatments can be used. This allows us to use chemotherapy agents that can specifically target the abnormal cells and save the healthy cells.” Naveed Chowhan, MD Board Certified Medical Oncologist Floyd Memorial Cancer Center of Indiana

“The latest tool in our arsenal for treating lung cancer is Stereotactic Body Radiotherapy, or SBRT for short. It is so high powered and precise that it can reduce treatments by 90 percent in patients who qualify. It can also reach inoperable areas of the lung and be used in patients with poor pulmonary function who aren’t surgical candidates. It’s an amazing tool that we’re proud to be acquiring at the Floyd Memorial Cancer Center of Indiana.” Neal Dunlap, MD Board Certified Radiation Oncologist Floyd Memorial Cancer Center of Indiana

“Recent developments in minimally invasive thoracic surgery have transformed the way we operate on lung cancers. With procedures such as Video-Assisted Thoracic Surgery (VATS), we can now remove the cancer and surrounding lymph nodes with smaller incisions, fewer complications, less pain and faster healing time.” Michael Bousamra II, MD Board Certified Cardiothoracic Surgeon University Cardiothoracic Surgical Associates Associate Professor of Surgery, U of L School of Medicine 6

Lung cancer is the second most common form of cancer in the United States and ranks as the number one cause of cancer deaths, but there is still much cause for hope, thanks to several recent developments in the field. Physicians Naveed Chowhan, MD, board certified medical oncologist; Neal Dunlap, MD, board certified radiation oncologist and Michael Bousamra, II, MD, board certified cardiothoracic surgeon; share their insights on how the treatment of lung cancer has evolved. Screening offers hope for increased survival One of the biggest reasons that lung cancer is the leading cause of cancer deaths in the United States is the fact that it typically does not produce alarming signs or symptoms until it has reached an advanced stage and spread to other bodily tissues. Because of this, there has been a significant push towards early screening for at-risk populations. Dr. Bousamra explained, “A recent multi-center study published in the New England Journal of Medicine showed there is a 20 percent reduction in mortality from lung cancer with screening of at-risk patients who underwent an annual chest CT scan. Patients age 50-74 with a significant smoking history and those with a family history of lung cancer and lesser smoking history were included in this finding.” Dr. Dunlap added, “The reason survival improved in patients who were screened annually is that the screening was able to catch their lung cancer in stage one or two before the disease had spread to other organs of the body. It is a myth that lung cancer is incurable. If caught early, survival rates range from 40 to 60 percent at five years. Our goal with lung cancer screening is to accomplish what we

Cancer

call ‘stage migration,’ meaning that we hope to use this technology to begin finding and treating lung cancer much earlier.” Minimally invasive lung surgery on the rise The standard surgical treatment for lung cancer, known as a lobectomy, involves removing the affected lobe of the lung along with its surrounding lymph nodes, in order to prevent further spread of the disease. While it once required a large incision on one side of the chest and separation of the ribs in order to gain access to the lungs, it can now be performed minimally invasively with a procedure known as Video-Assisted Thoracic Surgery (VATS). Dr. Bousamra elaborated on how VATS works. “VATS allows me to access the diseased portion of the lung using only three to four small incisions. Pain is reduced significantly and hospital recovery time is decreased usually to only three to four days compared to six to seven days with the traditional open procedure. In addition, VATS patients can tolerate post-surgery chemotherapy better, since they are in less pain and therefore breathing and getting around more easily.” Individualized chemotherapy targets cancer at the genetic level “In the past, although there are many types of lung cancer, they were all categorized as either small cell or non-small cell and treated accordingly. Now, thanks to recent research findings, we know that within the non-small cell category, there are many different genetic differences that, once identified, can be targeted and treated much more effectively,” explained Dr. Chowhan.

Lymph nodes

Lobe removed

Lobectomy removes the entire draining path for cancerous tumor cells. The right lung has three lobes, while the left lung has two lobes. A lobectomy removes the entire cancerous lobe by dividing the airway, arterial blood supply and vein associated with that lobe. Local lymph nodes are also removed to reduce the chance of recurrence.

Open Thoracic Surgery requires a large incision on one side of the chest, that is then opened with retractors to spread the ribs and allow access to the lung.

Video-Assisted Thoracic Surgery (VATS) allows access to the lung via three to four small incisions into which a videoscope camera and small, flexible instruments are inserted.

“Targeted chemotherapy agents that specifically attack only the cells with the identified genetic abnormality allow us to spare the healthy cells and keep side effects to a minimum while also delivering more effective treatment. We’ve found that these identified cells respond extremely well to targeted treatment, which is very promising.” Dr. Chowhan added, “Although still in its infancy with many abnormalities left to identify, our hope is that through research, individualized treatment will eventually become the standard of care for all lung cancer patients.” More accurate, targeted radiation therapy Stereotactic Body Radiotherapy (SBRT) is an advanced radiation therapy treatment that is especially useful for patients with poor pulmonary function who are unable to undergo surgery, and for small stage one tumors located in inoperable areas of the lung, where surgical removal is not possible. By using special positioning technology and implanted markers in the body, it is able to deliver a much higher dose of radiation than traditional radiation therapy, while sparing healthy tissue and shortening treatment time frames. Dr. Dunlap explained what this ultimately means for patients. “The numbers speak for themselves with SBRT. Local control rates, which means keeping the tumor from reoccurring, are 90 to 95 percent at three years with survival at 60 to 70 percent in the same time frame. Compare that to 50 percent local control rates and 30 percent survival with traditional therapy.” “SBRT is also a great option because it is so high-powered and precise that it drastically reduces treatment frequency and side effects, making it more accessible and easier on patients. For example, on SBRT, lung cancer treatments

can be completed in three to five sessions, compared to 35 with the traditional technology. That’s the difference between going for treatment every day for seven weeks or every day for one week. It’s truly amazing.”

Clinical Trials Offer Progress & Hope The Floyd Memorial Cancer Center of Indiana is dedicated to offering its patients access to the latest clinical trials. In fact, a certified oncology research nurse oversees all the trials and meets regularly with patients who are participating. Currently, the center is participating in the following lung cancer research studies. For more information contact Denette Grider, RN, at (812) 945-4000.

Non-Small Cell Lung Cancer • 1st line stage III non-small cell lung cancer (concurrent chemotherapy and radiation) (adenocarcinoma only) • 1st line IIIB or IV non-small cell lung cancer • 1st line recurrent, stage IIIB or stage IV non-small cell lung cancer (squamous cell only) • 2nd or 3rd line IIIB/IV or recurrent non-small cell lung cancer • 1st line extensive stage small cell lung cancer Free Smoking Cessation Class Wednesday, September 19, 4 – 6 pm Paris Health Education Center C.M. Hocker, Jr., MD, along with Janna Hocker, will discuss smoking cessation and other addictions, the benefits of AA, Al-Anon, Alateen and abolishing the myth of “having to hit bottom.” Call 1-800-4-SOURCE or visit floydmemorial.com to register.

Lung Cancer Signs & Symptoms

Lung Cancer Screening Saves Lives

Early lung cancer typically does not cause signs or symptoms, which is why most cases are diagnosed in stages three and four, when options are more limited. If you experience any of these conditions, consult with your primary care physician immediately. • Coughing up blood • A new cough that doesn’t go away • Changes in a chronic or “smoker’s cough” • Shortness of breath • Wheezing • Chest pain • Hoarseness • Unexplained weight loss • Bone pain • Headache

Floyd Memorial is now offering lung cancer screenings for patients interested in knowing their risk of developing the disease. The test utilizes computed tomography (CT) scanning technology, and is quick and painless. • Appointments are available Monday-Friday, 7 am to 5 pm • No physician order required • Same-day review of your results • Special rate of just $150 self-pay • CT lung cancer screenings help to detect lung cancer nodules at the earliest detectable stage, many times before symptoms present themselves. This has been shown to reduce lung cancer deaths by as much as 20 percent in high-risk populations.

Quit Smoking Now! Dr. Chowhan explained why quitting smoking is so important for people with or without lung cancer. “Smoking can be attributed to 80 to 90 percent of lung cancer cases, so quitting immediately is the best thing a smoker can do for their health. However, many people believe that they can stop smoking at any time and immediately offset their risk for developing lung cancer down the road, which is a myth. While risk does drop immediately after quitting, studies have shown that it takes the lungs 10 or more years to fully recover to non-smoker levels, and the longer the person smoked, the longer it takes to achieve full recovery. So the sooner you quit, the better off you’ll be.” He continued, “And for smokers already diagnosed with lung cancer, continuing to smoke after diagnosis has been proven to make the cancerous cells multiply and spread much faster than in non-smokers. So it’s always advisable to quit immediately after diagnosis in order to improve your chances for a better outcome.”

Quitline Offers Free Assistance The Indiana Tobacco Quitline is a free phone-based counseling service that helps Indiana smokers quit. Services are available seven days-a-week in more than 170 languages. A trained quit coach will work with you and provide solutions tailored to your needs. Call today at 1-800-QUIT-NOW (800-784-8669).

Lung Nodule

Lung Mass

Lung Cancer CT scanning is capable of detecting a lung mass or nodule in its earliest stages.

Interested in Scheduling a Lung Cancer Screening? Call (812) 949-5570 to make an appointment today. 7


An All-Inclusive Package… Accustomed to always helping others, 55 year-old Marengo resident, Helen Montgomery, spends her days driving patients to doctor’s appointments for Older Americans transportation company. She started to notice discomfort in her right knee that progressively got worse, eventually making it difficult to get her passengers in and out of the van. Helen explained, “I couldn’t put any pressure at all on my right leg because my knee hurt so badly. After all of the terrible stories I’d heard from people who had knee replacements in the past, I was worried about having it done. But I’d heard great things about Dr. Bell.” Board certified orthopedic surgeon, Edward Bell, MD, noted, “Helen had osteoarthritis in both knees, but her right knee was at a point where the pain had kept her from being able to work effectively.” What is Osteoarthritis? Osteoarthritis of the knee is the deterioration of cartilage in the joints. It can cause pain and tenderness, loss of flexibility, stiffness and swelling. Simple activities like walking, standing up from a chair and going up and down stairs may become difficult. Even at rest, moderate to severe pain may linger. In later stages, knees may become moderately deformed, or bowed. Early stages can be treated with anti-inflammatory medications including aspirin and ibuprofen, if directed by a physician, and physical therapy. Pain management is effective to a certain point, but there is no cure and symptoms typically

worsen over time. There are many factors that may increase your risk of developing osteoarthritis of the knee, including heredity, weight, age and injury. The condition is two to three times more prevalent in women than in men. Making a decision “Helen’s pain tolerance was at a point that she didn’t want to continue with conservative treatments. The cartilage in her knee was completely worn down. Together, we decided it was time for a knee replacement,” stated Dr. Bell. Total knee replacement surgery involves replacing the end of the thigh bone, or femur, and the end of the tibia, then inserting a plastic component which acts as the cushion, or shock absorber. Recovery can take three to six months and physical therapy is a major factor in successful recovery of motion in the knee. “Helen’s surgery went smoothly and she was able to leave the hospital after three days,” explained Dr. Bell. Helen added, “Everything I’d heard about Dr. Bell was true. He is an excellent surgeon and he’s been so good to me. Everyone at Floyd Memorial treated me with great kindness and care. They made it easy for me.” Team approach Orthopedic and Spine Nurse Navigator, Laura Crump, RN, BSN, leads patients through the entire process from pre-to-post surgery, making sure the pain is managed, and then sets up rehab before they leave the hospital. She also follows up with patients at home to make sure they are doing well and to see if they have

any special needs. Dr. Bell added, “Our nurse navigator does an extraordinary job and brings a great enthusiasm to the Floyd Memorial Joint Replacement Center. Patients love her and she truly makes their experience a positive one.” Helen explained, “Laura was so sweet. She called me twice a week for the first few weeks after I left the hospital to make sure I was taken care of.” At home, Helen was visited by physical therapist, Darryl Abella, PT, from Floyd Memorial Home Healthcare. His job was to continue Helen’s physical therapy in her home and to get her back to an independent life. Once she was able to attend outpatient rehab, she saw Chad Eurton, DPT, CSCS, at Floyd Memorial Physical Therapy in Corydon. “Chad had me riding a bike in no time and did a wonderful job. It was great to be able to go to rehab close to home,” she said. You don’t have to do it alone Dr. Bell explains, “Some people may think they can do everything on their own, but the team approach really helps patients recover effectively and in a timely manner. Each one of our team members has an integral role in the healing process. I’m glad to see that Helen is able to return to her normal lifestyle. That’s what makes my job rewarding.” BEFORE

AFTER

Knee replacement surgery involves replacing the end of the thigh bone, or femur, and the end of the tibia, then inserting a plastic component which acts as the cushion, or shock absorber.

Back in the Saddle…. 65 year-old retired nurse, Nila Hubert, has ridden horses most of her life, raising her American paint horse, Katchina, since she was a foal. Nila explains, “I’ve had Katchina for 21 years, and my knee and hip pain had reached a point that I thought I’d never get to ride her again.” In fact, the pain in Nila’s hip and knee forced her into a wheelchair. She knew it was past time to get help. Word of mouth Nila heard about Floyd Memorial’s board certified and fellowship trained orthopedic surgeon, Aniefiok Uyoe, MD, as well as the anterior approach to hip replacement from her colleagues and decided to seek his help. “He was so nice and explained everything slowly and in a way that was easy to understand. My sister, who does not have a medical background, left the consultation with me feeling confident that even she knew what to expect from this less invasive procedure,” said Nila. Dr. Uyoe explained, “Nila’s hip was in bad shape. She had bone-on-bone arthritis, but I knew that she’d be able to get back to her active lifestyle fairly quickly after performing the anterior approach hip replacement. She was an ideal patient for this procedure. She’s extremely active professionally and in her free time. With the use of the latest technology and surgical tools like the hana® surgical table, designed specifically for anterior approach surgery, the entire hip replacement procedure can be done from the front of the body, taking advantage of our natural anatomy. The natural

“A smooth continuum of care is important for a successful recovery. Surgery is only part of the process. Helen’s care began at Floyd Memorial’s Joint Replacement Center and she was taken through her recovery by the Floyd Memorial family of home healthcare and outpatient rehab services with an excellent outcome.” Edward Bell, MD Board Certified Orthopedic Surgeon Floyd Memorial Joint Replacement Center

“I couldn’t be happier with my new knee. I’m so glad I overcame my fears and had it replaced.” – Helen Montgomery 8

Knee Replacement Patient

“I enjoy going through the journey with our patients. I want to assist in their recovery by supporting and encouraging them. Helen loves her work and her furry companions, so they were both good motivation for her to work hard and have a successful recovery.” Laura Crump, RN, BSN Orthopedic/Spine Nurse Navigator Floyd Memorial Joint Replacement Center

BEFORE

Having total joint replacement is not a decision to come to lightly. Here is a guide to help you decide if the time is right to consider the procedure.

AFTER

Signs it’s Time to Consider Joint Replacement Surgery • Pain in your hip, knee or groin keeps you awake, or awakens you at night • Pain that limits daily, normal activities such as walking, getting out of a chair, climbing stairs, etc. • Engaging in physical activity that you enjoy becomes too painful to continue • You have tried conservative treatments for a reasonable amount of time, but continue to have persistent hip or knee pain

“With the technology of the hana® surgical table, a well-trained nurse navigator and collaborative team effort, the Floyd Memorial Joint Replacement Center is competitive with the top hospitals in the country.” Aniefiok Uyoe, MD Board Certified, Fellowship Trained Orthopedic Surgeon Floyd Memorial Orthopedic Group Floyd Memorial Joint Replacement Center hip joint is actually closer to the front of the body than the back. What this means is that less tissue needs to be dissected in order to get down to the hip joint. The surgeon is able to go in between the muscles, instead of cutting through them. Research shows that because of this less invasive technique, recovery is quicker.” VIP treatment Nila continued, “I was treated like royalty at Floyd Memorial from the minute I entered the building. I left the hospital after three days and underwent outpatient rehab for two weeks. After that I had very few restrictions. I am now in an exercise class and getting reacquainted with Katchina after not being able to ride for so long. I’m so happy that I can enjoy the outdoors again.” Dr. Uyoe added, “I’ve never had anyone ask if they could ride a horse again after their hip replacement. Usually it’s golf, bowling, swimming…but Nila should be able to get back in the saddle with no problems after In a total hip replacement the top of the femur is replaced with a metal ball and stem. A plastic liner with an outer metal sheet is inserted into the pelvis socket. Once in place, the artificial ball and socket function in the same manner as your natural hip.

re-strengthening her legs and when she feels she’s ready.” Knowledge is power “It’s exciting to see patients get immediate results. That’s one of the reasons I went into orthopedics, to improve the well-being of patients almost instantly. Many people still have a fear of the unknown, or are getting outdated information from people who had a joint replacement many years ago. Attending a seminar or screening is really important for patients interested in improving their quality of life. It is an opportunity to learn the truth about hip replacement surgery in a nonthreatening environment without having to pay consultation fees. The information helps put myths to rest and gives patients peace of mind knowing that joint replacement has come a long way in the last few years with improved techniques, implants and pain control, and they can get back to their favorite activities and live without pain.”

Free Bone and Joint Pain Seminars

Thursday, October 4, 6 - 7 pm

Floyd Memorial’s Paris Health Education Center

Tuesday, November 27, 6 - 7 pm

Floyd Memorial Medical Group – Salem 1101 Jim Day Road, Suite 107A, Salem, IN Learn about advanced treatments that may offer dramatic relief of your knee or hip pain. An orthopedic surgeon and nurse will discuss medications, exercise and joint replacement surgery. Registration is required by calling 1-800-4-SOURCE (1-800-476-8723) or online at www.floydmemorial.com/events.

“My pain is gone. I’m confident that I’ll be joining my husband on horse rides again soon!” – Nila Hubert Hip Replacement Patient

Signs You Should Continue with Conservative Treatments • Your hip or knee pain does not limit your ability to engage in normal activities in your daily routine. • You are only limited to high-impact activities like running or skiing • Your pain and symptoms are improving with conservative treatments • You have not tried more conservative treatments 9


SEPTEMBER/OCTOBER 2012 Calendar of Events

To register, call 1-800-4-SOURCE (1-800-476-8723), or visit www.floydmemorial.com, unless another number is listed.

*

• A ll events are free and meet in Floyd Memorial’s Paris Health Education Center unless otherwise stated. Screenings Sponsored by:

Stroke & Aneurysm Vascular Screenings Every Tuesday & Thursday by appointment Stroke & Aneurysm Vascular Screenings are offered by the Floyd Memorial Heart & Vascular Center every Tuesday & Thursday by appointment. They include non-invasive screening for Abdominal Aortic Aneurysm, Peripheral Artery Disease and Carotid Artery Disease. The cost is $49 for all three. To make an appointment, call 1-800-4-SOURCE. Free Take 2 for Heart and Stroke Screenings Thursday, October 4 and November 1 by appt. One-on-one screening with a cardiac nurse, full lipid cholesterol panel, blood pressure, blood sugar, blood sugar A1C and body mass index. Because it will take at least six months for the results of lifestyle changes to show up in future screenings, participants who receive abnormal results must wait at least six months before scheduling another screening. Those with normal results should only be screened on an annual basis. Registration required. Free Osteoporosis Screenings pDXA screening is a scan of the bone density of the heel. Screenings take place in the Women’s Imaging Center and are offered 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. Free Joint Pain Screening Saturday, September 15, 7 am - Noon Floyd Memorial Wound Healing Center Floyd Memorial will be hosting a free joint pain screening of knees and hips featuring X-rays and consultation with an orthopedic surgeon. You’ll also get an opportunity to meet the team of experts who will work with you every step of the way before and after surgery. Space is limited and appointments are required. Health Screenings at the New Albany YMCA Tuesday, September 18, 5 - 7 pm Blood pressure and blood sugar screenings as well as height, weight and body composition measurements will be offered. Free Blood Pressure Screenings 1:30 - 3 pm every other Friday, main lobby September 28, October 12, 26 and November 9 10

HEALTH EDUCATION

Breast & Colon Cancer Screenings at the New Albany YMCA Tuesday, October 23, 9 - 11 am Breast cancer risk assessments as well as colon cancer screening kits will be offered. Diabetes Fair and Foot Screenings Saturday, November 10, 8 - 10:30 am Participants will receive a free blood sugar and hemoglobin A1C screening as well as a comprehensive foot screening and educational resources. Registration required. Diabetes Screenings at the New Albany YMCA Monday, November 12, 5 - 7 pm Free blood sugar and hemoglobin A1C screenings in honor of Diabetes Awareness month. Free Colon Cancer Screening Kits Through December 31, 2012 Floyd Memorial Cancer Center of Indiana Free occult blood colon cancer screening kits available at the Cancer Center of Indiana front desk through December 31, 2012.

OFFERED BY

FLOYD MEMORIAL Cancer Center of Indiana Look Good…Feel Better Monday, September 24, October 22, November 26 and December 17, 6 pm Floyd Memorial Cancer Center of Indiana This American Cancer Society class provides volunteer cosmetologists who teach make-up techniques and ways to disguise hair loss to women who are battling cancer. Registration deadline Sept. 20, Oct. 18, Nov. 22 and Dec. 13. To register, call (502) 560-6035. Pamper Me Pink! Saturday, September 29, 8 - 10 am Dillard’s Greentree Mall Join the Floyd Memorial Cancer Center of Indiana and Dillard’s Greentree Mall as we roll out the pink carpet for breast cancer patients and survivors! This FREE event will feature luxurious facials, makeovers, mini 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, a $5 gift card to use towards purchases that day, and the chance to 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.

“We Love Our Kids” Saturday, September 15, 12 - 3 pm Slate Run Elementary School Activities for kids and their families to promote healthy minds, healthy bodies and personal safety. Sponsored by Floyd Memorial Healthier Community Initiative and United Methodist Churches. Addictions Class Wednesday, September 19, 4 - 6 pm Paris Health Education Center C.M. Hocker, Jr., MD, along with Janna Hocker will discuss smoking cessation and other addictions, the benefits of AA, Al-Anon, Alateen and abolishing the myth of “having to hit bottom.” Registration required. Kidney Disease Treatment Options Classes Wednesday, September 19, October 17, November 21 and December 19, 10 am - Noon Learn about the types of treatment for kidney disease including hemodialysis (home and in-center), peritoneal dialysis for home, and kidney transplantation. Call (502) 452-2047 ext. 13 for more information. Caregiver Fair Saturday, September 29, 1 - 3 pm Floyd Memorial Cancer Center of Indiana This special fair will highlight educational tips and a wealth of resources for those caring for a loved one in their home. A comedian will address caregiver stress. Physical Therapy, Social Services, Floyd Memorial Home Healthcare and many other health providers will be on site to offer education, resources and giveaways for caregivers. Registration required. Free Bone & Joint Pain Seminar Thursday, October 4 and December 6, 6 - 7 pm Paris Health Education Center Tuesday, November 27, 6 - 7 pm Floyd Memorial Medical Group – Salem 1101 Jim Day Road, Suite 107A, Salem, Indiana Learn about advanced treatments that may offer dramatic relief of your knee or hip pain. An orthopedic surgeon and nurse will discuss medications, exercise and joint replacement surgery. Registration required. American Red Cross Blood Drive Friday, November 2, 12 - 5 pm Donate blood and give the gift of life. Stroke Clinic Southern Indiana Rehab Hospital offers a free stroke clinic for anyone who has experienced a stroke. The survivor is screened by a variety of professionals including 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. Drive-Thru Medication Toss Held the 2nd Thursday of each month, 2 - 3 pm Floyd Memorial’s Green Valley Road Entrance Expired medications, unused medications including bulk or loose tablets and capsules will be accepted. Please do not bring needles.

SUPPORT GROUPs All support groups meet in Floyd Memorial’s Paris Health Education Center unless otherwise stated.

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

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

Amputees in Motion Support Group Fourth Wednesday of each month, 7 pm Contact: Brittany Bley, (502) 724-4490 Meets at Southern Indiana Rehab Hospital

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

Balancing Life with Diabetes Support Group Meets at Floyd Memorial Joslin Diabetes Center Affiliate, 2019 State Street, New Albany Tuesday, September 18, 10 - 11 am Topic: Finding Solutions through Problem Solving Tuesday, October 16, 10 - 11 am Topic: Positive Attitude: Can vs. Can’t Tuesday, November 20, 10 - 11 am Topic: Dealing with the Holidays Tuesday, December 18, 10 - 11 am Topic: Exercise During the Winter To register, call 1-800-4-SOURCE.

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

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

Multiple Sclerosis Support Group Fourth Monday of each month, 6 pm Contact: Michael Quinn at (502) 797-5878 Parkinson’s Support Group First Tuesday of each month, 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 Strickler, CTRS (812) 941-6153 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 www.cosurvivors.org

OFFERED BY Joslin Diabetes Center 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 for 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. To register, call (812) 949-5700. 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. To register, call (812) 949-5700.

Rock the Vote!

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. To register, call (812) 949-5700. Free Guided Grocery Shopping Tour Thursday, October 11, 8 - 10 am Jay-C Store in Corydon Patients with diabetes have a lot of complicated decisions to make at the grocery store. Let a certified diabetes educator take you on a free, guided tour to help make sense of it all and ensure you’re making the best choices for your health. Registration required.

Vote for Floyd Memorial! www.pinkglovedance.com

All Birthing Center classes are held in the Floyd Memorial Paris Health Education Center.

Sibling Class Saturday, September 15 and November 17, 10:30 am - Noon 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. Prenatal Class Thursday, September 20 to October 25, 7 - 9 pm 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. Prepared Childbirth Class Saturday, October 6 and 13, 8:30 am - 12:30 pm (2-part series) Monday, November 5 to December 10, 6:30 - 8:30 pm (6-week series) Cost - $30 per couple or $20 for refresher. These classes discuss the physical preparation and education needed for a successful delivery. The classes 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. Breastfeeding Class Thursday, November 1, 6:30 - 9 pm This free class will help you and your newborn have a successful breastfeeding experience. Discussion will include helpful hints and practical guidelines, as well as common misconceptions and barriers. Registration required. Babysavers Class Thursday, November 8, 6:30 - 9 pm This class is taught by certified CPR instructors and designed to teach new parents infant CPR. Cost is $10 per couple for materials. Registration required. La Leche League of Southern Indiana Third Monday of each month, 6:30 - 8 pm Breastfeeding support and information Contact: Lisa at (812) 941-1960

OFFERED BY

Cesarean Section Class C-section classes are scheduled on an individual basis by appointment. Goals of the class are to learn options available to you with a cesarean birth, to reduce fears and anxieties by obtaining knowledge about the procedure and to take an active role in creating a satisfying birth experience. The cost is $15. Registration required.

HMR Informational Seminars If you want to lose anywhere from 10 to 200 pounds, HMR can help. Free informational seminars on Mondays and Wednesdays. Call (812) 949-7151 for times. The program offers several diet options including a medically supervised plan, a moderate diet option and an at-home program. Held at the Floyd Memorial Weight Management Center, 2019 State Street in New Albany.

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

October 12 - 26

We need your vote! Floyd Memorial is participating in a national “Pink Glove Dance” video competition. The winner is awarded $10,000 to donate to their favorite breast cancer charity, and we need your votes to make it happen! Visit www.pinkglovedance.com between October 12 and 26, view our video and vote for Floyd Memorial’s pink glove dance.

Floyd memorial Birthing center

OFFERED BY

Weight Management Center

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September/October 2012 HealthScope