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Harrison County

Health News Fall 2015

Decreased Bone Mass Can Be Life Altering Think Osteoporosis only affects elderly females? The fact is, women and men start losing bone at age 30. That’s why its important to assess the state of your skeleton now with a Dual Energy Absorptiometry (DEXA) scan, which uses low radiation x-rays to measure bone mineral density (it can also measure body fat percentage). “DEXA scanning allows us to identify people at a high risk for fracture so they can start treatment to strengthen their bones before a fracture occurs,” says Jamie Smith, RT(R) (M) Certified Mammographer at Harrison County Hospital. Treatment can include adding strengthening workouts to your exercise program, drug therapy, and/or supplementing your diet with calcium and vitamin D. Who needs to undergo DEXA scanning? Anyone with these osteoporosis risk factors: > Inactivity > Smoking > Family history of fracture > Taking Corticosteroids > Hyperparathyroidism > History of hormone treatment for prostate or breast cancer. Researchers estimate that 1 out of every 5 women over the age of 50 have osteoporosis, and about half of all women will suffer a fracture of the hip, wrist, or vertebrae. Osteoporosis can be a life-altering condition that can cause pain, spinal deformity, and spontaneous bone fractures; however, it can be effectively diagnosed and treated. Harrison County Hospital provides high quality DEXA scanning. Ask your health care provider if DEXA scanning is right for you.

In This Issue 2 Now Seeing New Patients: Norton Heart & ■■■

Vascular Care

3 Healthy Pathways 4 Dr. Brown at After Hours Care 5 HCH Foundation & Calendar of Events

Annual Mammograms at 40 Reduce Mastectomies Clyde Melton, Radiology Manager Having a yearly mammogram greatly reduces the risk of mastectomy following breast cancer in women between the ages of 40 and 50, according to a study presented at the Radiological Society of North America.“ The results of this study support the importance of regular screening in the 40 to 50 age group,” said Nicolas Perry, MBBS, Director of the London Breast Institute at the Princess Grace Hospital. “Women in this age group who had undergone mammography the previous year had a mastectomy rate of less than half of the others.”

The American Cancer Society recommends annual mammography screening for women beginning at age 40. The researchers studied the benefits of screening women between the ages of 40 and 50, the frequency of mammography, and the type of treatment after breast cancer diagnosis. Dr. Perry and colleagues reviewed the clinical data available on patients between the ages of 40 and 50 who had been diagnosed with breast cancer and treated at the London Breast Institute. Between 2003 and 2009, 971 women had been diagnosed with breast cancer. At the time of diagnosis, 393 (40%) of the women were under the age of 50 with 156 of these women completing treatment at the center. Of the treated women, 114 (73%) had no prior mammograms; 42 women had been screened with mammography, of whom 29 had at least 1 mammogram within the previous 2 years. Of those, 16 women had a mammogram 1 year prior. “We reviewed the records of the women needing mastectomies to determine whether or not they had undergone mammography the previous year,” Dr. Perry said. “We were surprised at the degree of benefit obtained from annual screening in this age group.” Harrison County Hospital Mammographers perform over 2,000 mammograms annually, and have a 99% customer service rating. Donna, Jamie, and Carolean look forward to assisting you with your mammography study!

Call the Women’s Center at 812-738-7864 to schedule your appointment.


Now Seeing Patients

Norton Heart & Vascular Center at Harrison County Hospital The Norton Heart & Vascular Center at Harrison County Hospital combines compassionate, quality care with sophisticated technology to help prevent and diagnose heart and vascular disease, develop programs to encourage a healthier lifestyle and provide advanced, comprehensive medical and surgical care.

To schedule an appointment, call 502-891-8306.

Norton Heart & Vascular Center Harrison County Hospital Medical Pavilion, Suite 210 1263 Hospital Drive NW Corydon

Jacob L. Nunamaker IV, M.D. Cardiologist Norton Heart Specialists

Kristy L. Hulen, APRN Nurse Practitioner Norton Heart Specialists

Jacob L. Nunamaker IV, M.D., Mio M. Stikovac, M.D., and Kristy L. Hulen, APRN, offer cardiac consultations, exams, electrocardiograms, echocardiograms, and nuclear stress testing.

Mio M. Stikovac, M.D. Cardiologist Norton Heart Specialists

Skipping a beat

by Jennifer Reynolds

When is it time to have your heart checked? Sixty-two-year-old Mark Bird was at home, sick with a cold, when he noticed his heart started racing immediately after taking an antibiotic. For anyone who has not experienced a sudden change in heart rhythm, this can be quite scary.

“It involves placing a catheter in the vein in the leg up to the heart and cauterizing areas in the left side of the heart, where atrial fibrillation comes from — to prevent the A-fib from coming back,” Dr. Morris said. When faced with the prospect of surgery, Bird was hesitant at first.

“I thought, ‘This is beyond racing. I can’t even distinguish a beat,’” he said.

“It was a little unnerving to think about taking a person who is otherwise feeling fine and push them off a cliff, only to save them before they hit the bottom — that’s how I felt,” he said.

It happened again about five years later, when he was again sick with a cold. That’s when he knew it was time to find out what was causing it. Bird was diagnosed with atrial fibrillation (A-fib), a heart rhythm disorder that affects nearly 5 million people in the U.S. It happens when the top two chambers of the heart start beating erratically, according to Kent E. Morris, M.D., electrophysiologist. It can cause blood flow to stagnate in the heart, which puts the person at risk for stroke. An avid painter who travels the world to capture beautiful scenery on canvas, Bird was active and in good health when he learned he had A-fib, but he knew he had to do something about it. Left untreated, A-fib can lead to blood clots, heart failure and stroke. His cardiologist told him about catheter ablation, a minimally invasive procedure that stops A-fib and improves quality of life for many people.

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Bird tried medication before considering the ablation procedure, but in his case surgery was the best option.“ Most people will try medications first,” Dr. Morris said. “Some people do well on them for a period of time, but if risk factors aren’t treated or the A-fib progresses to the point where medication is no longer effective, then it’s time to consider ablation.” Bird advises others not to put off the procedure. “You owe it to yourself to go through this procedure,” he said. “It can mean the difference between hiding from your life and living your life.”


Healthy Pathways Adult Weight Management without drugs, hormones, or surgery Our Mission: Coaching to better health through nutrition and exercise as a result of lifestyle choices. How? 10 sessions. Participant will be responsible for developing a personal action plan. Group and individual support will be provided to help develop plan and to meet or exceed progress to improving health. What sets us apart? • Self-directed with empowerment for life • Affordable support from multiple experts, including chef, fitness coach, and dietitian in a group setting • Incentives. Community based activities with local emphasis/partners including:

EVENT Come join us at the table for the 6th Annual Demonstration Cooking Class. This class will be conducted by HCH dietitian Cheryl Fisher, Chef Lana Cullison, HCH Wellness Coordinator Patti Mangin, and Purdue Extension educator Annette Lawler. Our emphasis is on healthful meal preparations.

The class will be held November 5, 2015, 5:00 pm – 7:00 pm in the Casada Kitchen at the Purdue Extension Office in Corydon.

YMCA of Harrison County • Scientifically based, but personally delivered to individual needs • Balance of Nutrition, Exercise, and Motivation for Body, Mind, & Spirit Classes will meet once per week and begin November 12th from 6:00 pm – 7:00 pm in the Parvin Baumgart Education Center at Harrison County Hospital.

This is a FREE event to participants thanks to our sponsor The Harrison County Hospital Foundation. We do ask for a donation of non-perishable foods or paper products which will be taken to Harrison County Community Services.

Cost will be $150, which is due before the first class. Call 812-738-7869 to register.

Reservations are limited to 30. Call 812-738-7869 to reserve your place at the table. Deadline to register is October 30th.

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WELCOME Dr. Richard Brown! Dr. Brown is now a full-time provider at After Hours Care and a member of the HCH Physician’s Group!

After Hours Care...

Helping You Bounce Right Back! When you or a loved one require minor medical attention in the evening or over the weekend, Harrison County Hospital’s After Hours Care is ready to help! Our highly skilled physicians and staff are trained to treat minor illnesses and injuries – from insect bites and rashes to sprains and broken bones. And, After Hours Care works as an extension of your own Harrison County Hospital physician’s office, so your physician will have direct access to the care you have received. Just another way that After Hours Care helps you get back in the game...faster!

Located at 1995 Edsel Lane, Corydon (near the Corydon Cinemas)

812-738-1899 Monday – Friday 2:00 pm to 10:00 pm Saturday & Sunday 10:00 am to 6:00 pm

Medical situations commonly treated at After Hours Care include, but are not limited to: • • • • • •

Upset stomach, such as nausea, vomiting and diarrhea Wound care for abrasions & cuts, including stitches Upper respiratory infection such as cold, congestion, sore throat, cough, sinus infection, or bronchitis Ear infection & ear ache Insect bite Urinary tract infection

Safer Sports High school and college athletes developing fatal arrhythmias while playing sports have become an all too familiar topic on news hours. One of the culprits in fatal arrhythmias, developing while involved in strenuous sports activity, is Hypertrophic Cardiomyopathy (HSM). Hypertrophic Cardiomyopathy is a disease of the heart muscle of uncertain origin, marked by an excessive and disorganized growth of myofibrils (rod-like units of the heart muscle). The myofibrils impair filling of the heart and a reduction in the size of the ventricular cavity which can result in ventricular arrhythmias (abnormal heartbeat) and sudden death. Patients can be asymptomatic for years with no outward evidence of the disease. Strenuous exercise, such as that occurring in active sports, can produce ventricular arrhythmias in patients with this condition.

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The “gold” standard for diagnosis of HSM is an electrocardiogram (ECG) followed by an echocardiogram if the ECG is positive. An echocardiogram is an ultrasound of the heart which measures heart output and wall thickness. Many states require mandatory ECG’s and echocardiograms for all high school and college students as part of their pre-acceptance to the school’s sports program. Since HSM has been identified as a genetic disorder, first degree relatives of those people diagnosed need to be evaluated also. In cooperation with the Norton Healthcare Cardio-Pulmonary Department, Harrison County Hospital provides area residents with the latest in cardiac testing. Talk to your physician to find out if this type of study might be right for you.

• • • • • • • • • •

Headache Eye infection Sunburn Gout Tick removal Simple sprain or strain Broken bones (X-ray available) Rash Most minor illnesses and injuries Sports and school physicals


HCH Foundation Contributors – April, May, June 2015 Partners in Health Corporate Benefit Planning Services, Inc. Bennett & Bennett Insurance, Inc. Blue & Company, LLC Cerner Eckart, LLC First Capital Liquors, Inc. First Harrison Bank First Savings Bank General Surgery Associates Harrison REMC Horseshoe Southern Indiana ICON Metal Forming, LLC Indiana Utilities Corporation King’s-Quality Restoration Services Kintner House Inn O’Bannon Publishing Company, Inc. Owen’s Machinery, Inc. Radiology Associates, Inc.

Other Donors Individual Dr. & Mrs. Scott & Karen Cobel John & Cindy Daily Charles & Bonnie Fessel Don & Susan Gossman Larry & Monica Harmon Ed & Rowena Hoehn Tim & Chris Lawson Rick & Neomie Lollar Robert S. Mattingly, DMD Christine Pendleton Ron & Sharon Simpson Bill Thomas – Edward Jones Investments Danny & Doris Utz Matie F. Watts Dr. Thomas Woodcock

Organization Corydon Rotary Club

Brooke Auberry Therese Beal Beef O’Brady’s Alex Bilbrey Jennifer Bill William & Christine Bockting Rose Book Greg Burch Tanya Burgess Israel Byrd Centra Credit Union Collection Associates, LLC Lindsey Davis Davis, Davis, & Layson Bridgett Decker Debra Denbo Ruth Donahue Pamela Eisert Savannah Eschbacher Samantha Evans Tristan Haas Mark & Denise Hoehn Insight Eye Care Associates Interstate Investments

Jeanne Jackson Cyndi Jacobi Vickie Jacobs Donna Jones Lex Ann Kaiser Leslie Kerby Barry Kiesler Connie Knight Lanesville Food Mart Lisa Lieber Brenda Lowe Lucas Oil Products, Inc. Brad Mangels Lisa McLaughlin Brittany Miller Sarah R. Miller Monroe Shine & Company, Inc. Pro4Mance Fire & Water Restoration Services, LLC Rebecca Reed RevOne Companies Nancy Russel Sandy Schilmiller Sabrina Schreck Kelly Schulz James L. Shireman, Inc. Nelson Sloan

Denise Smith Rustie Smith Stites & Harbison, PLLC Ray Stroud John Travis Karl & Judy Walker April Welp Jalyna Whittaker Sarah Wise Women’s Healthcare of Southern Indiana

Memorials LeRoy Beavers Jeff, Sandy, Ryan & Ross Schmidt Walker “Buck” Mauldin III Bennett & Bennett Insurance, Inc. Suellen Phillips Bennett & Bennett Insurance, Inc. Fern & Leo Taylor Carroll Taylor Gaddie

Calendar of Events – October, November, December 2015 FREE HEALTH SCREENINGS

WELLNESS & CLASSES

FOR THE FAMILY

Free Blood Pressure Screening

Diabetes Self-Management Class

Childbirth Education Class

Nov 3 Dec 8

Oct 13 n Capitol Room 2, 9:00 am – 4:00 pm Nov 10 n Capitol Room 2, 9:00 am – 4:00 pm Dec 8 n Capitol Room 2, 9:00 am – 4:00 pm Accredited by the American Association of Diabetic Educators. Physician referral required; call 812-738-8713 for more information.

Nov 2 & 9 n Parvin Baumgart Education Center 6:30 pm – 8:30 pm This class is a two night series. Call 812-738-7830, ext. 2012 to register. Class is FREE if delivering at HCH!

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HCH Lobby, 4:00 pm – 6:00 pm n HCH Lobby, 2:30 pm – 4:30 pm

Free Bone Density Screening Nov 3 Dec 8

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HCH Lobby, 4:00 pm – 6:00 pm HCH Lobby, 2:30 pm – 4:30 pm

Free CommuNity Health Screening Nov 14 n Rehab Services, 8:00 am – 10:00 am This screening requires fasting. Registration is required by calling 812-738-7869.

COMMUNITY EVENTS American Red Cross Blood Drive Oct 5 Dec 7

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Blood Mobile in HCH Parking Lot 1:00 pm – 5:00 pm n Blood Mobile in HCH Parking Lot 1:00 pm – 5:00 pm

Back to the Table Cooking Demonstration Nov 5 n Casada Kitchen at Purdue Extension 5:00 pm – 7:00 pm Register by October 30 See page 3 for details

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Kidney smart Class Oct 13 n Capitol Room 2, 5:30 pm – 7:30 pm Registration is required by calling 1-888-MYKIDNEY.

Healthcare Provider CPR Oct 21 n EMS Training, 8:00 am – 12:00 pm Oct 28 n EMS Training, 6:00 pm – 10:00 pm Nov 18 n EMS Training, 6:00 pm – 10:00 pm Dec 9 n EMS Training, 8:00 am – 12:00 pm Call EMS at 812-738-7871 for registration.

Healthcare provider CPR Renewal Oct 7 n EMS Training, 9:00 am – 12:00 pm Nov 4 n EMS Training, 9:00 am – 12:00 pm Call EMS at 812-738-7871 for registration.

Breast Feeding Class

Nov 16 n Parvin Baumgart Education Center 6:30 pm – 8:30 pm Call 812-738-7830, ext. 2012 to register. Class is FREE if delivering at HCH!

Siblings Class Dec 8 n Capitol Room 2, 5:00 pm – 6:00 pm Registration is required by calling 812-738-8708. A free class especially for the big brothers and big sisters of newborns prior to baby’s arrival at HCH!


1141 Hospital Drive NW Corydon, IN 47112

PRSRT STD US POSTAGE PAID LOUISVILLE KY PERMIT #879

812-738-4251

facebook.com/harrisoncountyhospital

Where Care

Comes First

Dining with Diabetes

Spinach and Artichoke Dip A diabetes friendly dip. INGREDIENTS 2 c. (8 oz.) shredded part-skim mozzarella cheese, divided ½ c. fat-free sour cream ¼ c. grated fresh Parmesan cheese, divided ¼ tsp. black pepper 3 garlic cloves, crushed 1 (14 oz.) can artichoke hearts, drained & chopped 8 oz. block 1/3 less fat cream cheese, softened 8 oz. block fat-free cream cheese, softened 10 oz. package frozen chopped spinach, thawed, drained & squeezed dry Combine 1½ c. mozzarella, sour cream, 2 T. Parmesan, pepper, and next 5 ingredients in large bowl and stir until blended. Spray a 3 ½ quart crock pot with vegetable spray. Spoon mixture into crock pot*; sprinkle with reserved cheeses. Turn on HIGH for 1 hour. Then switch to low or warm setting. Serve with whole grain cracker or multigrain/tortilla chips. *Note: You can also bake in sprayed baking dish at 350 degrees for 20-25 minutes until bubbly and browned. Recipe courtesy of the Purdue Extension Dining with Diabetes Program, an HCH community partner.

Enjoy!


HCH Fall Newsletter 2015