PERSPECTIVE Fall 2017
Get Kids to Eat
IGNORE LEG PA P IN NEW OPTION IN BREAST CANCER SURGERY R Two Women Share Their Stories
PALOS HEALTH WELCOMES NEW PHYSICIANS Tarek Ahdab, M.D.
Alfred Guirguis, D.O.
M. Patrick Lowe, M.D.
Board certified and specializing in interventional cardiology, completed his residency at Saint Louis University Hospital and fellowships at John H. Stroger Jr. Hospital of Cook County and Brown University â€“ The Miriam Hospital. He received his medical degree from Damascus University School of Medicine, Syria. Dr. Ahdab is affiliated with Associated Cardiovas-cular Physicians, SC, 12400 South Harlem Avenue, Suite 112, Palos Heights.
Board certified and specializing in gynecologic oncology, completed his residency at Rush University Medical Center, Chicago and fellowship at Magee-Womenâ€™s Hospital of the University of the Pittsburgh Medical Center. Dr. Guirguis is affiliated with the Gynecologic Cancer Institute of Chicago, 6700 West 95th Street, Suite 330, Oak Lawn.
Board certified and specializing in gynecologic oncology, completed his residency at the University of Iowa College of Medicine, Iowa City, IA, and fellowship at the University of Southern California Medical Center, Los Angeles. He received his medical degree from the University of Alabama School of Medicine, Birmingham. Dr. Lowe is affiliated with the Gynecologic Cancer Institute of Chicago, 6700 West 95th Street, Suite 330, Oak Lawn.
Ashraf Anani, M.D. Board certified and specializing in internal medicine, completed his residency at the University of Medicine and Dentistry of New Jersey, Newark. He received his medical degree from Rajendra Medical College, India. Dr. Anani is affiliated with Midwest Primary Care, 2955 West 95th Street, Evergreen Park.
Krystyna Gal, D.O. Board certified and specializing in otolaryngology and facial plastic surgery, completed her residency at the Philadelphia College of Osteopathic Medicine. She received her medical degree from Midwestern UniversityChicago College of Osteopathic Medicine, Downers Grove, IL. Dr. Gal is affiliated with Century Ear, Nose and Throat, Head and Neck Surgery, 16001 South 108th Avenue, Orland Park.
Kevin Joseph, M.D. Specializing in pediatrics, completed his residency at the University of Illinois at Chicago. He received his medical degree from Rosalind Franklin University/The Chicago Medical School. Dr. Joseph is affiliated with George Skarpathiotis, M.D., S.C., 7110 West 127th Street, Suite 130, Palos Heights.
Muaiad Kittaneh, M.D. Board certified and specializing in hematology and oncology, completed his residency at the University of Illinois College of Medicine at Advocate Christ Medical Center in Oak Lawn, IL, and fellowship at the University of Miami, FL. Dr. Kittaneh is affiliated with Loyola University Medical Center and is Assistant Professor of Medicine at Loyola University Chicago Stritch School of Medicine. His office is located at the Loyola Center for Cancer Care & Research at Palos, Palos Health South Campus, 15300 West Avenue, Orland Park.
Maureen McShane, D.P.M. Board certified and specializing in podiatry, completed her residency at Oak Forest Hospital of Cook County. She received her medical degree from William M. Scholl College of Podiatric Medicine at Rosalind Franklin University, North Chicago. Dr. McShane is affiliated with Palos Medical Group, 15300 West Avenue, Orland Park.
Megan Mietelski, M.D. Board certified and specializing in obstetrics and gynecology, completed her residency at the Medical College of Wisconsin Affiliated Hospitals. She received her medical degree from Loyola University Chicago Stritch School of Medicine, Maywood, IL. Dr. Mietelski is affiliated with Palos Medical Group, 15300 West Avenue, Orland Park.
The physicians listed or quoted, while having privileges, are not employees or agents of Palos Health unless they are specifically identified as such.
PALOS HEALTH PERSPECTIVE
Nikki Neubauer, M.D.
Bhavin Shah, M.D.
Nida Yousef, M.D.
Board certified and specializing in gynecologic oncology, completed her residency at Duke University Medical Center, Durham, NC, and fellowship at Northwestern University School of Medicine. She received her medical degree from Case Western Reserve University, Cleveland. Dr. Neubauer is affiliated with the Gynecologic Cancer Institute of Chicago, 6700 West 95th Street, Suite 330, Oak Lawn.
Board certified and specializing in surgical oncology, completed his residency at Seth G.S. Medical College/KEM Hospital, Mumbai, India, and fellowship at the University of Pittsburgh Medical Center. He received his medical degree from K.J. Somaiya Medical College, University of Mumbai, India. Dr. Shahâ€™s office is located at 301 North Madison Street, Suite 302, Joliet.
Board certified in pediatrics and specializing in pediatric cardiology, completed her residency at Hurley Medical Center, Michigan State University and fellowship at Advocate Hope Childrenâ€™s Hospital. She received her medical degree from the University of Jordan Medical School. Dr. Yousef is affiliated with Pediatric Healthy Hearts, 3851 West 95th Street, Evergreen Park.
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Discrimination Is Against the Law Palos Health complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Palos Health does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
Perspective is a publication of Palos Health 12251 South 80th Avenue Palos Heights, IL 60463 708.923.4000 paloshealth.com Terrence Moisan, M.D. President and CEO Heather Mascarello Editor, Perspective Osborn & DeLong Graphic Design
Palos Health focuses on â€Ś I
Creating a better everyday life for our community
Supporting healthy living while calming the anxiety of serious illness
Providing compassionate health care
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PALOS HEALTH PERSPECTIVE
SEEING A HEALT L HY NEW YOU BREAST CANCER SURGERY WITHOUT VISIBLE SCARS Most women, when first diagnosed with breast cancer, focus on becoming cancer free as quickly as possible. Yet surgical procedures to remove cancer can often leave scarring, creating a constant reminder of the event, even after the disease is long gone. Fortunately, many of today’s patients can take advantage of a new procedure that drastically reduces visible scarring. Palos Medical Group breast surgeons Kanesha Bryant, M.D., F.A.C.S., and Jennifer Gambla, M.D., F.A.C.S., are two of only seven doctors in Illinois trained in the Hidden Scar™ technique, and have seen dramatic results among their patients. As breast surgeons, both doctors’ first priority is to provide patients with life-saving treatments that result in optimal physical health. Recent advances in surgical cosmetic techniques now allow Drs. Bryant and Gambla to offer procedures that minimize scarring, facilitating psychological and emotional healing as well.
Kathy Blake’s Story
Kathy and Mike Blake
“Cosmetic outcomes should be more at the forefront of breast cancer surgeries,” says Dr. Gambla. “It’s important for patients to know that they have a choice in Jennifer Kanesha where a scar is loGambla, MD, FACS Bryant, MD, FACS cated. Women need to know it’s ok to think patients who undergo this cosmetically when being treated approach do not have a higher for cancer.” risk of cancer recurrence than The Hidden Scar™ surgery involves making a small incision in an inconspicuous area (such as under the arm or in the crease of the breast), then using special instruments with lighted retractors that allow the surgeon to better see the breast tissue. The customized blade can tunnel further and remove tumors in difficult-toreach locations. Most patients are candidates for Hidden Scar™, which can be used with nipple sparing mastectomies as well as lumpectomies. According to the Journal of the American College of Surgeons (JACS),
those who undergo any other technique.
Busy wife and mom Kathy Blake expected to be right back to work after a routine breast exam in September of 2016. Yet time stopped when the nurse practitioner told her she felt a lump and that Kathy would need a biopsy to determine if it was cancer. “I felt so foolish for not noticing it before,” said Kathy. “I probably attributed it to dense tissue.”
“I was shocked,” remembers Kathy. “I knew my life was going to change drastically.”
The following week Kathy had a 3D mammogram at Palos Hospital, followed by a needle biopsy at the Palos Women’s Center. After a few days, the results were confirmed: the mass in her breast was invasive ductal carcinoma. FALL 2017
“We’ve made a great operation even better by making it cosmetically appealing. Hidden Scar™ is less invasive and much less disfiguring to the breast than traditional breast surgery,” states Dr. Gambla. “It really is the best care there is,” adds Dr. Bryant. “We are thrilled that Palos is the first hospital in our area certified in Hidden Scar™ so that we can offer this option to women in the community.”
Dr. Gambla met with Kathy and her husband, Mike, soon after her diagnosis to discuss surgical options. “I was so happy to meet Dr. Gambla,” remembers Kathy. “She shared a lot of information with me on breast surgery, including a recent lumpectomy she had performed using a new technique where the scar was barely visible. She believed I would be an excellent candidate for this surgery due to the size and location of my tumor.”
PALOS HEALTH PERSPECTIVE
“I had never imagined a surgery for breast cancer treatment that wouldn’t leave a visible scar. All I kept imagining was mastectomy.” “It used to be that a diagnosis of breast cancer meant removing the entire breast with little regard to cosmetic factors,” explained Dr. Gambla. “Even lumpectomies can leave scars on and across the breast, serving as constant reminders to the survivor. I became certified in Hidden Scar™ to give my patients the best possible outcome on all levels: physically, emotionally and even cosmetically.”
Kathy underwent genetic testing due to a family history of cancer, as well as a bilateral MRI for a more in-depth picture of the tumor. Soon after, Kathy and Dr. Gambla decided to move forward with a lumpectomy using the scar-hiding technique. Less than two months after her initial visit, Kathy had her tumor removed, along with three lymph nodes. Today, the Orland Park resident is back to her normal family routine and full-time job as a payroll manager. After completing seven weeks of radiation treatments and taking a daily cancer-prevention drug to reduce her risk for
recurrence, she has little reminder of her breast cancer. She is able to enjoy all previous activities, including family bike rides, long walks through forest preserves, and extended weekend trips to Lake Geneva and Door County. “I am so grateful not to have a constant reminder of my diagnosis each time I look in the mirror,” says Kathy. “While treatments and follow-up visits will continue, I have been blessed to view the bulk of this ordeal in my rearview mirror. The future looks bright, and I’m so happy to be healthy!”
To schedule a mammogram, please fill out our online request form at paloshealth.com or call 708.827.2030.
Rachel Radtke’s Story
because this time the radiologist saw something concerning.” A needle biopsy at the Women’s Center confirmed that Rachel had tubular carcinoma, a type of invasive ductal carcinoma, in one of her breasts. “I always said if I had cancer in my breasts I would get them removed. I never wanted to think about cancer being in my body. I knew I needed a great breast surgeon, and Dr. Bryant was recommended. I immediately scheduled surgery with her for early November.”
Chris and Rachel Radtke
There was one appointment Orland Park resident Rachel Radtke never missed—her yearly mammogram. After first receiving a baseline mammogram at 30 years old, she began going every October after turning 40. In October of 2014, Rachel decided to try the new 3D breast imaging technology (also known as breast tomosynthesis) at the Palos Women’s Center in Tinley Park. “I had read about 3D mammograms and decided to get one since they seem more visually advanced,” explained Rachel. “I’m glad I did,
Although Rachel had researched surgical options, she was nervous when she met with Dr. Bryant. “She explained all my options, but I was focused on getting the cancer out as quickly as possible, so I decided on a bilateral mastectomy. Dr. Bryant asked if I would be interested in a new procedure that would hide scarring and still allow me to keep my nipples. I told her ‘yes, please.’” As a breast surgeon, Dr. Bryant understands the importance of helping women heal not only physically from breast cancer, but also psychologically and
emotionally. “Most patients do not want visible reminders of their cancer or breast surgery,” says Dr. Bryant. “The great thing is that patients who choose this approach do not have a higher risk of cancer recurrence than patients who undergo any other technique.” Rachel was able to go home two days after her mastectomy, and within a few months she returned to Palos for breast implant surgery. “Today my scars are hidden, and by looking at me, you would never know I had cancer or surgery,” says Rachel. “I am so grateful for the radiologist who read my images and the patience of the nurses and staff who answered all my questions. Everyone at Palos was wonderful!” Rachel’s follow-up treatment includes visits to Dr. Bryant for a breast exam every six months. “Each visit I make a big deal about how happy I am to see her,” says Rachel. “But I truly am thrilled that I can continue life as normal, including spending time with my husband, son, family and friends. That means the world to me.”
PALOS HEALTH PERSPECTIVE
Get the Jump on PAD: Don’t Let Peripheral Artery Disease Slow You Down Diagnosing PAD
If you’ve ever had muscle cramps in your legs, you know how painful they can be. Consistent leg cramps during walking or exercising, however, can not only be uncomfortable, they may be a sign that something is not functioning properly with your veins or arteries. Peripheral artery disease (PAD) is a common yet serious condition that occurs when plaque builds up in arteries that carry blood to extremities, organs and the brain, reducing blood flow. The effects of PAD can vary depending on the severity of the condition, but they range from a diminished ability to perform daily activities to losing a limb if left untreated. The good news is that PAD can be managed through a combination of lifestyle changes and medication, and early treatment can reduce the risk of heart attack and stroke.
Eugene Tanquilut, D.O., is an endovascular surgeon who has treated many patients with PAD. He has been instrumental in introducing a program called LEA-UP (Lower Extremity Amputation and Ulcer Prevention) to the area as a way to help patients avoid limb amputation. An integral part of LEA-UP (pronounced “lay up”) is a simple questionnaire doctors can use to determine if a patient may be suffering from PAD. “This simple screening tool has helped with the diagnosis and treatment of PAD at the earlier stages,” says Dr. Tanquilut. “When someone says ‘yes’ to any of the questions, our first step is to examine their feet. Surprisingly, we find a number of health issues this way.” Besides looking at a person’s feet, there are several tests that can be administered by a doctor to diagnose PAD. A physical exam can look at blood flow in the legs by checking the pulse and listening to blood flow using a stethoscope. A simple diagnostic test called an ankle-brachial index (ABI) compares blood pressure in the ankle versus blood pressure in the arm to determine how well blood is flowing to limbs. A Doppler ultrasound and CT angiogram can see actual blood flow and determine which arteries are narrow or blocked. With a traditional angiogram, dye is injected into an artery to find the exact location of a blocked vessel. Each screening tool has advantages and disadvantages, so patients should always first discuss with their doctor.
Symptoms of PAD Many people with PAD experience no symptoms at all. Others experience different degrees of leg pain during physical activity that disappears when the activity stops. Additional symptoms can include leg numbness, weakness or coldness, sores on the legs or feet that do not heal, color changes in the skin of the feet, and poor nail growth. It’s common for individuals to attribute these symptoms to “old age” or “overdoing it” and put off seeking medical attention. However, these signs are not normal and should be addressed by a doctor. People who suffer from diabetes, smokers, hypertensive patients, patients with high cholesterol and dialysis patients are at the greatest risk for PAD. FALL 2017
PALOS HEALTH PERSPECTIVE
Next Steps If a primary care doctor suspects a patient has PAD, he or she may refer them to an endovascular specialist. These surgeons specialize in treating blood vessel conditions, and can best be described as a hybrid made up of an interventional cardiologist, an interventional radiologist and a vascular surgeon. They have the unique capability of performing catheter-based interventions such as angioplasty, stenting or atherectomy, as well as traditional open procedures like bypass. They also perform procedures that require a combination of minimally invasive and traditional modalities like endovascular abdominal aortic aneurysm repairs. Most importantly, their expertise means they are able to provide individualized treatment options specific to each patient.
like amputation,” said Dr. Tanquilut. “Patients are amazed at how much better they feel once they get better blood flow to their limbs, and many go back to enjoying activities they thought they would never experience again.”
“There are several different treatment options for PAD, and an endovascular surgeon will work with a patient to find the best fit,” explains Dr. Tanquilut. “Sometimes all that is needed is modification of certain behaviors, along with regular exercise, to help alleviate symptoms. In more advanced cases, surgery may be the best option.”
Don’t smoke – quit if you do. According to the American Heart Association, tobacco smoke is a major risk factor.
Control sugars if diabetic.
Control blood pressure if hypertensive.
Control cholesterol – eat a diet low in saturated and trans fats. Source: American Heart Association
To see a list of primary care physicians or board-certified endovascular surgeons in your area, visit paloshealth.com.
“Early diagnosis of PAD can improve someone’s quality of life and prevent further complications
Twin Volunteers Going Strong at 90 Palos Health recently celebrated the 90th birthday of twins Emily Weber and Evelyn McGowan, volunteers at the hospital for 34 years and 25 years, respectively. The retired Orland Park residents deliver hospital-prepared meals to homebound residents through the hospital’s home-deliveredmeals program, always using their own cars to transport food, even when the weather is bad or gas prices are high. What keeps them motivated to give back to the community? "We love people and we love doing," explained Emily. "Where you can give, you have to give." When asked what keeps them young and vibrant, neither sister could name anything specific.
Volunteers Emily Weber and Evelyn McGowan prepare to deliver meals to homebound residents.
But Emily did offer one piece of advice, "You’ve got to keep going. When you do good, you feel good." Added Evelyn, “If you want to feel great, volunteer!”
Palos Health has many volunteer opportunities available. To find out more, call 708.923.4041 or visit paloshealth.com.
PALOS HEALTH PERSPECTIVE
PALOS HEALTH SOUTH CAMP Palos Imaging & Diagnostics
Palos Medical OB/GYNE Physician Of
Physician and Dental Offices Palos Health Outpatient Behavioral Services
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Stree d r 3 15
Palos Immediate Care
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Loyola Medicine Center for Cancer Care & Research
Palos Medical Group Specialty Clinic Palos Diabetes & Metabolism Center Pharmacy Palos Medical Group Primary Care Physician Offices
Palos Health South Campus is expanding to offer more advanced health care services to the surrounding community. The $117 million dollar update includes new diagnostic and treatment areas that incorporate the latest in medical technology, including Palos Imaging & Diagnostics, specialty clinics, an ambulatory surgery center and outpatient behavioral services. Parking space is being increased to include a convenient covered option.
PALOS HEALTH PERSPECTIVE
New Main Jun
US – COMING SUMMER 2018 OPENING JUNE 2018: Ambulatory Surgery Center Loyola Medicine Specialty Clinics
Group E ffices
West A v
n Entrance — ne 2018
*Radiation Oncology Center August 2018
Expanded outdoor/covered parking
South Campus is currently home to the Loyola Medicine Center for Cancer Care & Research, a partnership with Palos Health, allowing area patients greater access to Loyola’s renowned specialty care services. *The Radiation Oncology Center, a partnership between Palos Health and Loyola Medicine, will open in August 2018. It features the first radiation therapy system in Illinois, guided in real time by MRI imaging. This technology precisely targets moving tumors while avoiding surrounding tissue. FALL 2017
PALOS HEALTH PERSPECTIVE
G N I K O M QUIT S
W I T H C 2 Q AT PA L O S H O S P I TA L You’ve promised yourself a thousand times you were going to quit. Yet the physical addiction to cigarettes, not to mention the mental and emotional components, can feel impossible to overcome. Fortunately, there is hope if you are willing to take that first step. Get the support and resources you need through Palos Hospital’s Courage to Quit program, offered by the Respiratory Health Association. Courage to Quit (C2Q) is a free seven-week program for adults ready to improve their health and overall well-being by quitting smoking for good. Led by trained health professionals in a welcoming and supportive group setting, you will receive information, support and practice skills to help you reach the program’s smoke-free goals. Free quitting resources are included. “Our C2Q participants are courageous enough to reach out for help with their quitting smoking goals,” says Cecelia Doyle, registered respiratory therapist. “I would describe them as openminded, yet determined. Some have tried to quit before on their own, so when they join us, they are very ready to get the tools they need for success.” “Having worked in healthcare for many years, I see firsthand the benefits to quitting smoking. We know it reverses risks for heart attack and stroke, and lowers risks for cancer. Muscles, bones and immune systems all become stronger on quitting,” explains
Anna Molsen, RRT, manager of respiratory care services at Palos Health. “The health benefits cannot be overstated.”
who are trying to quit along with you, you’ll be surrounded by encouragement and support all along the way.
By joining a Palos C2Q class session, you’ll be taking the first crucial step on your journey to healthy living. With the support of expert health professionals and others enrolled in the class
What people love about being smoke free: “… being in control of me.” “… how, at the end of the week, my $20 allowance is still in my wallet, and I get to spend it on whatever I want.” “… that I guaranteed myself a longer and healthier life.” “… that my kids are proud of my accomplishment.” “… that I’m doing what I said I’d do.” “… how good, confident and hopeful I feel!”
Courage to Quit Fall Classes Morning Session: Begins September 11 or November 6 9 – 10 a.m. Evening Session: Begins September 13 or November 8 6:30 – 7:30 p.m.
Register now! Go to paloshealth.com or call 708.226.2300.
PALOS HEALTH PERSPECTIVE
Loyola Medicine Cancer Care and Specialty Services Coming to Palos Health in the South Suburbs Loyola Medicine and Palos Health are partnering to expand academic specialty services at the South Campus location. The Loyola Center for Cancer Care & Research at Palos South Campus provides access to clinical trials and the latest cancer care to Orland Park and surrounding areas. Beginning in 2018, Palos Health and Loyola Medicine will expand services at the South Campus location, including Radiation Oncology using the ViewRay MRIdian®, the ﬁrst-of-its kind MRIguided linear accelerator system that can simultaneously image and treat cancer patients. One of a few hospitals nationally to use this system, Loyola doctors will be the ﬁrst in Illinois to use MRIdian. For more information, please visit loyolamedicine.org/cancercare
The Loyola Center for Cancer Care & Research at Palos South Campus 15300 West Avenue Orland Park, IL 60462
We also treat the human spirit.® loyolamedicine.org #BodyAndSoul
Connect with Loyola Medicine online
Palos Offers New Treatment for Depression Understanding Major Depressive Disorder Major depressive disorder (MDD), also known as clinical depression, is characterized by persistent sadness, loss of interest and sometimes irritability. Far from being a short bout of melancholy that you can simply “snap out” of, MDD is a serious and sometimes unyielding disorder that stems from myriad causes, including: genetic, hormonal, events (i.e., trauma), and biochemistry. While standard treatments such as antidepressant medication and psychotherapy help many people with depression, they are not effective for everyone. One treatment--Transcranial Magnetic Stimulation (TMS)—has shown promising results for patients with depression. Palos Health recently became the first provider of TMS in the south suburbs of Chicago, offering a non invasive FDA-approved option for qualifying patients.
Transcranial Magnetic Stimulation (TMS) Therapy TMS uses magnetic energy to stimulate areas of the brain thought to be underactive in individuals with depression. A small coil is held directly above the front of the head, which emits pulses of magnetic waves. The waves are believed to give the brain just enough of a “nudge” so that the signals that impact mood can fire properly. The therapy is FDA approved for individuals with major depressive
disorder (MDD) who have had at least one trial of an antidepressant medication and failed to respond. On average, treatment sessions take about 30 minutes, during which the patient will recline in a chair and relax as the magnetic coil delivers the proper dose of magnetic pulses. Patients receive treatment five days a week for approximately seven to eight weeks. “TMS is a noninvasive therapy that allows patients to bring themselves to and from each treatment,” said Kirk Bergmark, Director of Ambulatory and Integrated Behavioral Health at Palos Health. “Most patients find that they can continue their daily routines aside from the time commitment necessary to receive the treatments.” If you are interested in learning more about TMS or speaking with a mental health professional, call Palos Health Outpatient Behavioral Health Services at 708.460.2721.
Symptoms of Major Depressive Disorder:
䡲 Feeling sad or having a depressed mood
䡲 Loss of interest or pleasure in activities once enjoyed
䡲 Changes in appetite — weight loss or gain unrelated to dieting
䡲 Trouble sleeping or sleeping too much
䡲 Loss of energy or increased fatigue
䡲 Increase in purposeless physical activity (e.g., hand-wringing or pacing) or slowed movements and speech (actions observable by others)
䡲 Feeling worthless or guilty
䡲 Difficulty thinking, concentrating or making decisions
䡲 Thoughts of death or suicide A free online screening tool is available at: www.paloshealth.com/ mentalhealthscreening.
If you need immediate help, call our 24-hour crisis hotline at 708.361.TALK. Source: American Psychiatric Association
PALOS HEALTH PERSPECTIVE
BE A ROLE MODEL. It all starts with you! Set a good example by eating healthy and being physically active.
MAKE MEALTIME FAMILY TIME. Eat meals together at the table and avoid distractions like TV and electronic devices.
INTRODUCE NEW AND VARIED FOODS EARLY IN A CHILD’S LIFE. Make foods from all food groups available to your child. They may not choose them the ﬁrst time, but perhaps the second or third.
INVOLVE THEM IN MEAL PREPARATION. This can include grocery shopping, deciding what to eat, cooking, setting the table and cleaning up. Discuss how the food is grown and where it comes from.
PRACTICE PATIENCE. Continue to introduce foods that are initially rejected. New foods take time to get accustomed to.
PLAN AHEAD TO AVOID DERAILING. Prepare meals and snacks the night before to combat a rushed morning to daycare, school or work.
AVOID EXCESSIVE LIQUID CALORIES, ESPECIALLY JUICE. Offer water and reduced-fat milk (or milk-alternative) options.
DO NOT USE FOOD AS A REWARD. Provide positive reinforcement instead of dessert and reward them with the gift of your time and attention.
KEEP THINGS POSITIVE. Steer away from creating unhealthy connotations with foods or making children feel bad about themselves and their refusal of certain foods. Show and express excitement about how good a food tastes.
BE CONSISTENT WITH MEALS AND SNACKS. Follow a schedule that provides breakfast, lunch and dinner with planned snacks if needed, rather than grazing all day long.
ALLOW KIDS TO FOLLOW THEIR NATURAL HUNGER CUES. Try not to force children to eat what you want, as it can lead to bad relationships with food and may cause weight issues in the future.
ENCOURAGE AN ACTIVE LIFESTYLE. Spend time outdoors and limit screen time.
If you are concerned about your child’s nutrition, Palos Health has the resources to help. CONTACT THE PALOS HEALTH DIABETES & METABOLISM CENTER AT 708.226.2626 FOR MORE INFORMATION or to schedule an appointment with a registered dietitian nutritionist.
KEEP OTHER CAREGIVERS IN THE LOOP. If you don’t like what a caregiver is providing, pack up food and send it with your child.
DON’T GIVE UP! Keep buying, preparing, and serving healthy meals – eventually they will eat them. Create a healthy relationship with food for your kids, provide them with the best possible nutrition, make meals about family and never turn mealtime into a battle.
Visit this resource for a wealth of information for parents on establishing healthy eating habits.
PALOS HEALTH PERSPECTIVE
14 WAYS TO ENCOURAGE
Kids to Eat
CLASSES, EVENTS & GROUPS
Shake the Salt: Low Sodium Cooking Class
Grocery Shopping 101
Overcome the challenge of eating low sodium to manage heart failure. Learn simple and effective methods to cook using less salt. Food samples, recipes and menus will be available. Led by registered dietitian nutritionists Gary Linhart and Loretta Wojtan.
Are you getting the most from your food shopping experience? Take a “virtual tour” of a typical grocery store and discover strategies for nutrition and stretching your food dollars. Led by registered dietitian nutritionist Loretta Wojtan.
Spice up your winter celebrations with dishes that not only taste great, they’re good for you too! Learn how to use seasonal produce to create healthier appetizers, side dishes and desserts. Led by registered dietitian nutritionist Loretta Wojtan.
TIME/DATE: 2 - 4 p.m. Wednesday, September 13 LOCATION: Palos Hospital Woodland Cafe, 12251 South 80th Avenue, Palos Heights
TIME/DATE: 6:30 – 7:30 p.m. Wednesday, October 11 LOCATION: Palos Hospital Auditorium, 12251 South 80th Avenue, Palos Heights
TIME/DATE: 6:30 – 7:30 p.m. Wednesday, November 8 LOCATION: Palos Hospital Auditorium, 12251 South 80th Avenue, Palos Heights
need to manage the physical and emotional aspects of this disease. Get information about nutrition and physical activity, instructions on blood glucose monitoring and a customized eating plan. Note: A physician referral is required to join the program.
TIME/DATE: 4:30 to 5:30 p.m., most Thursdays LOCATION: Palos Hospital, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: Free
WELLNESS Healthy Aging Aging is inevitable, but you can grow older with purpose and intention. Learn how positive lifestyle choices can afford a better quality of life for years to come.
INFORMATION: For additional information, including meeting times, call 708.226.2626. LOCATION: Palos Diabetes & Metabolism Center, Palos Health South Campus, 15300 West Avenue, Orland Park
TIME/DATE: 6 to 7 p.m. Tuesday, October 3 LOCATION: Palos Hospital Auditorium, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: Free
Nutrition for Your Heart Eat healthy for your heart’s sake! Understand how to control fat and saturated fat intake, avoid trans fats, cholesterol and sodium, increase fiber and read food labels. Taught by a Palos registered dietitian.
Take Better Care of Your Back Learn how posture, body mechanics and other forms of physical therapy can be used to prevent or manage back pain. This workshop is led by a Palos physical therapist. Registration is required.
INFORMATION: For additional information, including meeting times, call 708.226.2330. LOCATION: Palos Hospital, 12251 South 80th Avenue, Palos Heights
TIME/DATE: 6 to 7 p.m., Wednesday, November 8 (Additional dates available.) LOCATION: Palos Hospital, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: Free
Courage to Quit This seven-week program is designed for adults who are ready to quit smoking. Curriculum created in connection with the Respiratory Health Association.
Diabetes Prevention: Living on the Border
To register for any of these FREE events, go to paloshealth.com/classes or call 708.226.2300.
The lavender ribbon represents awareness for all cancers.
TIME/DATE: 9 to 10 a.m. Mondays, beginning September 11 or November 6 TIME/DATE: 6:30 to 7:30 p.m. Wednesdays, beginning September 13 or November 8 LOCATION: Palos Hospital, 12251 South 80th Avenue, Palos Heights COST: Free REGISTRATION: 708.226.2300
Led by a Palos diabetes educator, this class offers lifestyle modifications to help you eat healthy and lose weight. Learn how losing just five to ten percent of your body weight can make a difference in delaying or preventing diabetes. TIME/DATE: 6 to 7 p.m., Thursday, October 5 LOCATION: Palos Hospital Auditorium, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2626 COST: $24 per participant
Your Diabetes Game Plan Don’t get sidelined by diabetes! Our nationally recognized Diabetes Program gives you the tools you
Cancer patients and their loved ones can learn how to reduce stress and anxiety, regain strength and flexibility, and minimize treatment side effects. Poses can be done on the floor or in a chair (your choice).
Matter of Balance Maintain your independence and reduce your fall risk. Led by physical or occupational therapists at Palos, this program emphasizes practical strategies to manage falls. Gift certificates now available for purchase! TIME/DATE: 10 a.m. to noon Tuesdays, October 3 through November 21 LOCATION: Palos Hospital Woodland Café Conference Room, 12251 South 80th Avenue, Palos Heights TIME/DATE: 10 a.m. to noon Wednesdays, October 4 through November 22 LOCATION: Palos Hospital, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: $80
Pre-diabetes: What Is It and Why Does It Matter? Elevated blood glucose levels can be a precursor to type 2 diabetes. Learn how to delay or even prevent the onset of this disease by making simple lifestyle changes like increased physical activity and improved diet. Presented by Cheryl Boss, nurse practitioner/ certified diabetes educator. LOCATION: Palos Hospital Auditorium, 12251 South 80th Avenue, Palos Heights TIME/DATE: 6:30 to 7:30 p.m. Thursday, November 2 COST: Free REGISTRATION: 708.226.2300
Nutrition and Cancer Many factors affect cancer risk and survival, but following a healthy diet and lifestyle are important proactive steps. Learn how to eat to maintain body weight, cut the risk
PALOS HEALTH PERSPECTIVE
of recurrence, reduce nausea and improve your overall quality of life. LOCATION: Palos Hospital, Woodland Café Conference Room, 12251 South 80th Avenue, Palos Heights TIME/DATE: 6:30 to 7:30 p.m., Wednesday, September 6 REGISTRATION: 708.226.2300 COST: Free
Edema & Lymphedema: Successful Management Strategies What is the difference between edema and lymphedema? How can these conditions be managed to minimize discomfort? Alicia Klabunde, LANA certified lymphedema therapist with Palos Health’s Cancer Rehab and Lymphedema Program, will address these questions and other concerns. TIME/DATE: 6 to 7 p.m., Thursday, October 19 LOCATION: Palos Hospital Woodland Café Conference Room, 12251 South 80th Avenue, Palos Heights COST: Free REGISTRATION: 708.226.2300
Family-Centered Care Programs CARE PROGRAMS
Birth, Babies and Beyond Get the most out of your birthing experience. In a relaxed setting, expectant mothers and their support person learn about labor, birth, medical interventions, physical and emotional changes after birth, infant care and more. TIMES: Classes available in two formats: a four-week session, one evening/week on Wednesdays from 7 to 9 p.m. beginning September 20, October 25 or November 29 ($85/couple), or a weekend express program from 8 a.m. to 4 p.m. on Saturdays, September 9, October 14, November 4 or December 2 ($85/couple, meals provided). Call for available dates. LOCATION: Palos Hospital, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708. 226.2300
This class meets on the fourth week of the Birth, Babies and Beyond class. LOCATION: Palos Hospital, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: $20/couple
Breastfeeding Basics A Palos lactation consultant provides the basics for successfully nursing your baby. This class covers breastfeeding advantages, practical techniques, pumping, storing, returning to work, dad’s role and family support. TIME/DATE: 6:30 to 9 p.m., Wednesday, September 13, Thursday, October 19, Monday, November 13 or Thursday, December 7. Call for more dates. LOCATION: Palos Hospital, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: $15/couple
Infant/Child/Adult CPR Be prepared to act in an emergency. This American Heart Association class is intended for anyone 11 years and older interested in learning cardiopulmonary resuscitation techniques to assist infants, children and adults in distress. Note: This is not a class for CPR certification. TIME/DATE: 6 to 9 p.m. Thursdays, October 12 or 26, November 2 or 16 or December 14 or 21. LOCATION: Palos Hospital, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: $30/person
Birthing Center Tour One of the most important decisions to make when expecting a baby is where to deliver your child. Learn how Palos is different from other hospitals through our single-room maternity care, where labor, delivery, recovery and postpartum all take place in recently remodeled private rooms. TIME/DATE: 6 to 6:45 p.m., select Wednesdays or Thursdays; 11 to 11:45 a.m., select Saturdays. Call for dates. LOCATION: Palos Hospital, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: Free
This three-hour class offers up-todate information on caring for a newborn. Topics include: feeding, diapering, bathing, growth and development, infant stimulation, newborn characteristics and behavior, infant-soothing techniques, signs of illness, immunizations, choosing baby equipment, car seat safety and general safety.
Joy of Grandparenting
TIME/DATE: 6:30 to 9:30 p.m. Wednesday, September 6, or Wednesday, October 11, November 15, or December 20.
TIME/DATE: 7 to 9:30 p.m., Thursday, September 14, or November 9. Call for additional dates.
Are you welcoming a grandchild? Explore the many facets of the grandparent role and learn about family adjustment, as well as ways you can support the new parents. An update on childbirth practices, the latest in baby care and a tour of the Birthing Center are included.
LOCATION: Palos Hospital, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: Free
Nursing Moms Network Get the support you need when it comes to breastfeeding. Meet and share experiences with other mothers and receive ongoing guidance and support from an experienced lactation specialist. TIME/DATE: 11 to 12:30 a.m., most Tuesdays LOCATION: Palos Hospital, 12251 South 80th Aveue, Palos Heights REGISTRATION: 708.226.2300 COST: Free
SUPPORT GROUPS Look Good … Feel Better Look your best during cancer-fighting treatments with training from cosmetic industry professionals. Learn makeup, skin and nail care techniques as well as how to wear wigs, hats and scarves to enhance your appearance. This non-medical program is offered in partnership with the American Cancer Society. TIME/DATE: 3 to 5 p.m., Tuesday, October 24 LOCATION: Palos Hospital, Conference Room C, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: Free
Lymphedema Support Network with others experiencing lymphedema while receiving updates on products, community resources and management strategies. TIME/DATE: 5:30 to 6:30 p.m., Wednesday, November 1. Call for additional dates. LOCATION: Palos Hospital, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: Free
Caregiver Support Group Offered by professionals from Palos Home Health Care, this group provides emotional and practical support for family members and friends caring for a loved one in the last years of life. REGISTRATION: Call for details, 630.257.1111. COST: Free
followed by exercise demonstration. TIME/DATE: 10 to 11 a.m., first Thursday of each month (no group December through February or July) LOCATION: Palos Hospital Auditorium, 12251 South 80th Avenue, Palos Heights (September group meets in ACC1) REGISTRATION: 708.226.2300 COST: Free
Cancer Survivors Discussion Group All cancer survivors are welcome to attend this group focusing on both supportive and educational care. Participants can network with other survivors facing similar struggles. This group is brought to you by The Cancer Support Center. TIME/DATE: 6 to 7:30 p.m., second Wednesday of each month LOCATION: Palos Hospital, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: Free
Fall Prevention Fair Falls are common in older adults and can occur due to many factors. One significant factor is adverse effects of medications. Fortunately, medication use is one of the most modifiable risk factors. Learn more about potential fall risks and learn what you can do to stay independent at our 5th Annual Fall Prevention Fair. FREE EVENT INCLUDES: blood pressure and balance screenings, footwear and assistive device check, medication review by Palos pharmacist, resources to help you or a loved one avoid a fall, remain safe and improve activity level, refreshments, giveaways, raffle prizes
TIME/DATE: 9 a.m. to noon Tuesday, September 12 LOCATION: Palos Hospital Auditorium, 12251 South 80th Avenue, Palos Heights REGISTRATION: 708.226.2300 COST: Free
Fall-Prevention Support Group Open to anyone interested in decreasing their fall risk and increasing their activity level. Group discussion
PALOS HEALTH PERSPECTIVE
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PAID Palos Health
Palos Hospital 12251 South 80th Avenue Palos Heights, IL 60463 708.923.4000
Palos Health South Campus 15300 West Avenue Orland Park, IL 60462 708.460.5550
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New Surgery Hides Scarring
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Leg Pain: Could it be PAD?
I S S U E
See Whatâ€™s Coming to Our Orland Park Campus
SURVIVE AND THRIVE Join us for a special event where we celebrate moving on to the next chapter of life with a focus on well-being, spirituality and support. Our panel discussion offers an opportunity for you to hear positive and inspirational stories from cancer survivors and ask questions. Keynote speaker Tracy DeGraaf combines humor with a motivational message for all. Tracy trained at The Second City in
Chicago and engages audiences through her insights and winning style. Light refreshments will be served. Doors open at 8:30 a.m. 9 to 11:30 a.m., Thursday, October 26 Palos Hospital Auditorium 12251 South 80th Avenue, Palos Heights Cost: Free
Register today at: paloshealth.com/classes-events
Support to Stop Smoking
More classes inside!
The fall 2017 issue of Perspective magazine, published by Palos Health.