MHKC Winter 2018

A Women’s Guide to Living Well from Shawnee Mission Health

Page 8

Winter 2018

9100 W. 74th Street Shawnee Mission, KS 66204

Nonprofit Org. U.S. Postage PAID Shawnee Mission Medical Center

Workout Apps Page 2 MD Anderson Page 4 Infant Development Page 6 Women & Healthy Weight Page 10 Wellness & Parenting Classes Page 11

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Exercise & Fitness

If you’ve got the motivation, we’ve got the apps.

There are days when all of us need some kind of nudge to meet our fitness goals, no matter how motivated we may be. Fortunately, there’s an app that can push us in the right direction for virtually every type of workout.

From strength training and yoga to running and stretching, there are hundreds of apps that provide step-by-step instructions and inspiration for little or no cost.

Here are just a few of them:

Johnson & Johnson® Official 7-Minute Workout App

Fitness Buddy With a library of workouts categorized by body part, this app has enough options for beginners to intermediates to break a sweat and then some, on the way to perfecting your form.

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This free app offers an intensity level that’s right for people of all ability levels. All you need is a chair and seven minutes – or about 11 minutes if you add a warm-up and cool down.

Shawnee Mission Health | Winter 2018

MyFitnessPal

Keelo Ever wished you had your very own personal trainer? Well, this high-intensity workout app delivers all the goods you need to get in shape.

It even gives you a virtual coach who responds to questions and gives feedback on your workouts.

Because you are what you eat, this mobile app and website offers a wealth of tools for tracking what and how much you eat 24/7, and how many calories you burn through activity no matter where you are.

9100 W. 74th Street Shawnee Mission, KS 66204 913-676-2000 ShawneeMission.org PRESIDENT & CEO Ken Bacon E D I TO R Mallory Laur EXECUTIVE D I R E C TO R OF MARKETING A N D S T R AT E G I C D E V E LO P M E N T Doug Spear C R E AT I V E & PRODUCTION The CollaborationKC The material in MyHealthKC is not intended for diagnosing or prescribing. Consult your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines.

For permission to reprint any portion of this magazine, to give us a new address, to let us know if you are receiving more than one copy, or if you would prefer not to receive MyHealthKC, call 913-676-2062. Information in MyHealthKC comes from a wide range of medical experts. Models m ay b e u s ed i n phot os a nd illustrations. All contents © 2018 Shawnee Mission Health, except where otherwise noted.

Winter 2018 A NOTICE FOR CPR CLASSES: The American Heart Association (AHA) strongly promotes knowledge and proficiency in all AHA courses and has developed instructional materials for this purpose. Use of these materials in an educational course does not represent course sponsorship by the AHA. Any fees charged for such a course, except for a portion of fees needed for AHA course materials, do not represent income to the AHA.

Nutrition Spotlight

Great Eggspectations It seems like opinions about eggs change every week. First, they’re good for you. Then, they’re bad for you. Now, they’re somewhere in between.

How can something so small and fragile create such a big controversy?

Well, a lot of it has to do with cholesterol.

While it’s true that just one egg yolk has 200 mg of cholesterol, eggs also contain additional nutrients that may actually help lower the risk for heart disease. In fact, egg yolks are one of the most nutrient-dense, antioxidant-rich and vitamin-laden foods on the planet!

“Egg yolks contain vital minerals important for heart health such as calcium, iron, phosphorus, zinc and copper as well as fat-soluble vitamins A, D, and E,” said Heath Wilt, DO, Cardiovascular Disease, Shawnee Mission Health. “They also contain generous amounts of vitamin B6 and B12, vital for nerve health.”

In addition, the moderate amount of fat in an egg, about 5 grams, is mostly (good) monounsaturated and polyunsaturated fat – not (bad) saturated fat.

In fact, eggs from chickens fed with a diet high in omega-3 fish oils may even have a higher ratio of "healthier" fats. Eggs are also an excellent source of protein with approximately 6 grams per serving, and their protein is highly bioavailable, meaning it is very efficiently absorbed by the body.

This means if you’re one of those people eating only egg whites — or avoiding eggs entirely — you’re missing out on many of these key nutrients.

“Even though cholesterol may impact heart health negatively, small amounts are still required by the body for healthy nerve cells, skin and organ function,” said Wilt.

Of course, for an optimum hearthealthy breakfast, it’s hard to beat a bowl of steel-cut oats with nuts and berries.

But while eggs may not be the optimal breakfast choice, they can still fit into an overall healthy meal pattern, as part of a balanced, heart-healthy diet.

From Heath Wilt, DO, Cardiovascular Disease, Shawnee Mission Health

Winter 2018 | MyHealthKC.com

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A Higher Standard of Cancer Care for Kansas City The Shawnee Mission Cancer Center is proud to be a certified member of MD Anderson Cancer Network®, a program of MD Anderson Cancer Center – the top ranked cancer center in the country. As the only network affiliate in Kansas and in the greater Kansas City metropolitan area, we are raising the standard with patient-focused cancer care that follows MD Anderson’s renowned treatment guidelines and multidisciplinary approach.

The Shawnee Mission Cancer Center opened in 2014 and was designed to care for the whole person. We provide personalized care and compassion, with all the services patients need, at one location. Now as a network member, Shawnee Mission Cancer Center – and our patients – benefit from MD Anderson’s long history of expertise, multidisciplinary care and research and contribute to its mission to end cancer.

To learn more, visit AHigherStandard.com. k

NOW@SMH Shawnee Mission Health is ready to Go Red for Women Once again, Shawnee Mission Health is proud to be the Presenting Medical Sponsor for Go Red for Women in Kansas City, the movement to end heart disease and stroke in women. Serving as the 2018 Go Red for Women medical co-chairs are Lauren Bessey, DO, who specializes in family medicine, Lauren Bessey, Heath Wilt, DO, and Cardiologist DO, Family Cardiology Heath Wilt, DO. Medicine k

We Love You & Your Heart!

February is American Heart Month. Did you know that heart disease is the leading cause of death for both men and women? To raise awareness, Shawnee Mission Health has partnered with local restaurants to bring you hearthealthy dishes in the month of February.

For each dish you enjoy, these restaurants will donate 10 percent to the Shawnee Mission Heart & Vascular Center to support various programs. k

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Shawnee Mission Health | Winter 2018

2018 Participating Restaurants: kk

Grand Street Cafe

kk

Story.

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The Jacobson

kk

Tavern

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La Bodega

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Ya Ya's

For more information about participating restaurants and entrees offered, visit ShawneeMission.org/HeartMonth. Share your favorites using #SMHHeartMonth.

The solution to your recovery could be PT Solutions Physical Therapy The best therapy services don't come from technology or facilities alone. They come from an experienced team, focused on one person at a time – you.

Shawnee Mission Health’s state-of-the-art outpatient rehabilitation clinics, powered

by PT Solutions Physical Therapy, feature a wide variety of therapy options for all ages and diagnoses. No matter what your age or activity level, our goal is to help each individual return to normal daily activities as soon as possible.

Our specially-trained therapists follow significant and ongoing scientific evidence to guide their approach to physical therapy intervention and prevention of injuries – all geared to keep you well long after your therapy treatments.

PT Solutions Physical Therapy is offered in seven different locations across the Kansas City metro area, including Merriam, Shawnee, Olathe, Westport, Lee’s Summit, Lenexa, and Overland Park. Call 913-676-2444 to schedule your Physical Therapy appointment today. k

Upcoming Living in Vitality Events To learn more about the Living in Vitality women’s health program, including its annual health conference, visit ShawneeMission.org/liv.

LIV Whole Thursday, Feb. 1, 5:30-8 p.m.

Sunlight Day Spa, Metcalf and 435 $20 Join Shawnee Mission Health and Living in Vitality (LIV) for this exclusive event. At LIV Whole, you will have the opportunity to hear two breakout sessions from the 2017 and 20th anniversary LIV wellness conference, participate in health screenings and demonstrations, enjoy a delicious buffet, raffles, discounts for spa services, a gift bag and more! Register online at ShawneeMission.org/classes.

Women’s Training Team Tuesdays, April 3-May 8, 6-7:30 p.m.

New Location! Shawnee Mission Health - Overland Park 165th Street & 69 Highway $30 Ready to get in shape, but need a little push? Join the Living in Vitality Women's Training Team with your friends and find weekly motivation to reach your health and fitness goals. Our women-only environment offers the support you need to improve any running/ walking technique. This six-week exercise and conditioning program led by Kansas City Express is designed for women and girls ages 12 and older, and welcomes participants of all sizes and abilities.

Learn more and register online at WomensTrainingTeam.com.

Winter 2018 | MyHealthKC.com

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They’re never too young to start

LEARNING LANGUAGE

& LITERACY

Language and literacy activities are designed to lay the foundation for your child’s speech skills and social engagement. You’ll be surprised how many things you can do to establish preliteracy learning that will enhance your child’s future ability to communicate.

COGNITIVE

DEVELOPMENT Newborns can only see objects within about 8-15 inches of them. It takes about eight months for your baby to develop the visual range to recognize people and objects across the room. These activities are designed to help your baby develop visual skills like focusing, tracking objects, and eventually recognizing and anticipating visual cues.

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Shawnee Mission Health | Winter 2018

B

abies grow and change at an astonishing pace, and every month brings new and exciting developments.

From sitting to crawling, walking to talking, smiling to laughing, your baby's development is a thing of beauty and a source of pride. During their first year, babies start to develop skills they will use for the rest of their lives.

Of course, babies don’t all develop at the same rate.

There is a wide range of what is considered “normal.”

Your baby may be ahead in some areas and slightly behind in others.

But generally speaking, there are four domains of early childhood development — Language & Literacy, Cognitive Development, Sense of Self & Relationships, and Motor Skills.

SENSE OF SELF

& RELATIONSHIPS Babies can learn to express their feelings, wants and needs if their growing self-conscious is nurtured. Even though much of their learning at this age is subconscious, these activities can help your baby realize that cause and effect are tied to communication – and how behaviors can cause others to react to them.

MOTOR SKILLS

It’s vitally important for babies to learn how to use and control their bodies.

These activities include both gross motor skills (control of arms, legs, torso) and fine motor skills (fingers, hand/eye coordination). These skills are the foundation for your baby’s future ability to do things like catch a ball, tie shoes, hold a pencil, and zip a zipper.

Guided play is a wonderful way to create opportunities for interactive, meaningful learning.

As a parent, you can offer vital support, encouragement, structure and interventions to enable your child to move through each stage as easily and successfully as possible, based on his or her unique set of traits and interests. Here are just a few examples:

EARLY READING & VOCABULARY (Birth – 6 months) Domains: Language & Literacy and Cognitive Development It may feel silly to speak to your baby in sentences and name objects before they can even hold their head up, but the amount of words babies hear daily can affect their later academic success. Read to your baby, talk to them, name things— allow them to hear lots of words. This will introduce them to vocabulary as well as the ability to recognize differences in sounds and inflection. As early as six months, introduce your baby to books. Look for board books with simple images that name things. Pre-literacy learning involves understanding what to do with a book (hold it, turn its pages, look at pictures and words).

From Amy Milroy, M.S. Ed., Director, Lee Ann Britain Infant Development Center

MIRROR PLAY (3 – 6 months) Domains: Language & Literacy, Cognitive Development and Sense of Self & Relationships

PRACTICE TRANSITIONING INTO POSITIONS (5 – 8 months) Domain: Motor Skills

Set your baby in front of a mirror and watch as they engage with themselves. Since babies are naturally drawn to human faces at this stage, your baby will be extra interested in what they see in the mirror. Point to their nose, lips, tummy, etc. and name each feature. Eventually, your baby should be able to point to their own nose when you say, “Where’s your nose?” Looking in a mirror will help your baby learn how to focus, track objects, and explore facial expressions.

Provide opportunities for your baby to learn how to move in and out of different positions.

Instead of attending to them only by picking them up and putting them down, connect with your baby by sitting them up, placing them on their tummy, and encouraging them to move and play in a variety of positions.

We’ve created an Infant Development Activity Guide to help parents of Kansas City’s littlest learners influence their ability to learn, love, and grow—and have fun while doing it. Download your free copy of this guide today and have fun helping your baby explore the world through play. https://myhealthkc.com/infant.

Babies do develop at different rates and every baby is unique!

However, if you have concerns or questions about your baby’s development, make a list and discuss with your pediatrician.

Winter 2018 | MyHealthKC.com

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THE REWARDS FOR

et’s start with some good news: Many known causes of cancers are avoidable and related to lifestyle. In fact, reducing your risk for cancer may be easier than you think. Sometimes it requires little more than a few lifestyle changes to make all the difference in the world. Sure, people can still get cancer even though they do all the “right” things, but research shows nearly half of all cancers are linked to avoidable factors that we can control.

“Of course, diet, exercise, and avoiding tobacco products are your first line of defense,” said Tracy Miles, DO, Hematology and Medical Oncology, Shawnee Mission Health. “But there are many small, surprising ways you can weave even more disease prevention into your everyday life.”

As Kansas City’s only affiliate of MD Anderson Cancer Network®, a program supported by MD Anderson Cancer Center, Shawnee Mission Health is raising the standard of cancer care, providing therapies, technology and clinical expertise aligned with MD Anderson evidence-based treatment guidelines. For more information about Shawnee Mission Cancer Center, visit AHigherStandard.com

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Shawnee Mission Health | Winter 2018

HERE ARE SOME OF THE BASICS: KEEP A HEALTHY WEIGHT Being overweight or obese is related to as many as one in five cancer-related deaths. (You’re overweight if your body mass index is between 25 and 29.9; you’re obese if it’s 30 or more.) Weight in the belly is most closely connected with an increased risk of colorectal cancer and cancers of the pancreas, uterus and breast in postmenopausal women. Other cancers associated with obesity include: kkEsophageal kkGallbladder kkRectal kkLiver kkKidney kkOvarian kkThyroid kkProstate Physical activity counts, too. In addition to helping you control your weight, physical activity on its own might lower the risk of breast cancer and colon cancer.

WATER DOWN YOUR RISK Drinking plenty of water and other liquids may reduce the risk of bladder cancer by diluting the concentration of cancer-causing agents in urine and helping to flush them through the bladder faster. The American Cancer Society suggests drinking at least 8 cups of liquids a day.

CAN LAST A LIFETIME

PAY ATTENTION TO PAIN If you’re experiencing a bloated belly, pelvic pain, and an urgent need to urinate, see your doctor. These symptoms may signal ovarian cancer, particularly if they’re severe and frequent. When caught early, before cancer has spread outside the ovary, the relative 5-year survival rate for ovarian cancer is an amazing 90 to 95 percent.

WOMEN SHOULD ASK ABOUT BREAST DENSITY Women whose mammograms have revealed breast density readings of 75 percent or more have a breast cancer risk 4 to 5 times higher than that of women with low density scores, according to recent research.

BURN OFF YOUR RISK Moderate exercise such as brisk walking two hours a week cuts risk of breast cancer 18 percent. Regular workouts may lower your risks by helping you burn fat, which otherwise produces its own estrogen, a known contributor to breast cancer.

GET REGULAR MEDICAL CARE Regular self-exams and screenings for various types of cancer – such as cancer of the skin, colon, cervix and breast – can increase your chances of discovering cancer early, when treatment is most likely to be successful. Ask your doctor about the best cancer screening schedule for you.

SEPARATE THE MYTHS FROM THE FACTS Of course, there are many things we can do to help decrease the risk of cancer.

“But it’s also important to know there are lot of myths out there about things that may increase the risk of cancer,” said Miles. “For the most part, that’s all they are – myths.”

For example, many people believe the chemicals used in deodorants/anti-perspirants can increase the risk of breast cancer. But studies have shown no evidence of this.

Along those same lines, some women believe wearing a bra can increase the risk of breast cancer. Again though, there are no studies that support this theory.

And what about the myth that cell phones can cause cancer? Studies show no link between cell phone use and the risk of breast cancer – or other types of cancer.

And, finally, because breast cancer is slightly more likely to occur in the left breast than the right, there’s a theory that being left-handed increases the risk of breast cancer.

However, studies have shown that this idea is completely unfounded, and should be dismissed out of hand.

From Tracy Miles, DO, Hematology and Medical Oncology, Shawnee Mission Health

Winter 2018 | MyHealthKC.com

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Ask the Doctor

Amanda Healy, MD,

Obstetrics & Gynecology, on women & healthy weight.

What is the correlation

or more days a week according to

modifiable risk factor for your

between a woman’s weight

the American Heart Association.

heart health, meaning you have

and her height?

If you get short of breath with

control over it.

The ratio of a person’s weight

minimal exertion, like when

Just remember, if we

to height is a simple calculation

climbing a flight of stairs, this

initiate a conversation

called their body mass index, or

may be an indicator of poor

with you about your

BMI. It is a tool used to assess

health and should be discussed

weight, it is because

whether or not someone is at

with your physician.

we are concerned it is

a healthy weight. Women with

affecting your health

very high BMIs have even

How often should you

in a negative way. If

greater risk of cardiovascular

weigh yourself?

we didn’t discuss it,

disease and are more likely to

Most experts recommend

we wouldn’t be doing

die at a younger age.

weighing once weekly, on the

our job.

Of course, the BMI is not

same scale, at the same time of

perfect. It is just a tool that helps

day, wearing the same amount

What are signs of an

us measure one component of

of clothing. It is important to

unhealthy relationship

overall health.

remember that monthly hormone

with your weight?

changes can cause water

Obsessive behavior

Besides her weight, what

retention, and can account for a

regarding your weight or

are other indicators of

few pounds of “water weight” or

your diet is probably the most

health for women?

bloating the week before and the

common sign of an unhealthy

It may sound odd, but where

first few days of your cycle.

relationship with weight.

you store fat is important. For

Examples would include

example, a waist circumference

Do you think women

poring over nutritional facts,

of greater than 35 inches is

avoid going to the doctor

restrictive or secretive eating,

correlated with increased risk of

because they’re worried

and weighing yourself

heart disease. Other measurable

the doctor will criticize

multiple times a day.

indicators of health are blood

their weight?

The focus should be

pressure, blood sugar, and lipid

Yes, but they shouldn’t!

on overall health, and

profiles (or cholesterol levels).

maintaining consistent

In reproductive age women,

If so, what is your advice

habits of healthy eating

abnormal periods, including

for women?

and exercise.

missed or infrequent periods, can

Cardiovascular disease is the

be an indicator of obesity-related

number one killer of women

disease and should be evaluated

and being overweight is a major

by their physician.

risk factor for disease. The good

Adults should get 30 minutes of

news is your weight (unlike

moderately intense exercise five

your age or family history) is a

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Shawnee Mission Health | Winter 2018

To find a doctor, visit ShawneeMission.org or call the Women’s Health Navigator Program, 24/7, at 913-632-6363.

Wellness & Parenting

YOGA FOR LIFE – MIXED LEVEL This is an all-levels Hatha yoga class. Some yoga experience recommended. This class will work with basic yoga modifications through intermediate variations of poses. Feel better than you have in years.

Tuesdays, Feb. 6-27 Tuesdays, March 6-27 Tuesdays, April 3-10 ($32) Tuesdays, May 1-29 All Classes: 5:30-6:45 p.m.

Cost: $64

Health & Wellness MOM AND BABY FITNESS Get fit, have fun, bond with your baby and meet other moms.

Whether in a carrier or a mat, baby is involved and entertained, while mom restores or refines her postnatal fitness level. Babies are welcome from 6 weeks - and beyond!

Mondays, Feb. 5-19 ($48) Mondays, Mar. 5-26 ($64) Mondays, Apr. 2-30 ($80) Mondays, May 7-21 ($48) All Classes: 10-11 a.m.

PRENATAL FITNESS CLASS Stay healthy during pregnancy and maintain a strong physical state for some of the most challenging nine months of your life.

By increasing muscular balance and cardiovascular endurance, a well-trained pregnant woman

goes into labor with an advantage that will help her endure the physical demands of delivery.

Mondays, Feb. 5-19 ($48) Mondays, Mar. 5-26 ($64) Mondays, Apr. 2-30 ($80) Mondays, May 7-21 ($48) All Classes: 6:45-7:45 p.m.

TAI CHI AND QIGONG FOR HEALTH AND WELLNESS Tai Chi is an exercise that aims to strengthen, stretch, balance and integrate the body. It is often called "moving meditation" because it engages both the mind and body to assist in managing stress. You’ll practice QiGong exercises and learn the eight Tai Chi movements.

Sundays, Feb. 25-April 8 Mondays, Feb. 26-April 2 Sundays, April 15-May 20 Mondays, April 16-May 21 Sunday Classes: 1-2 p.m.

Monday Classes: 5:30-6:30 p.m.

Cost: $66

YOGA GENTLE/ RESTORATIVE Gentle yoga is appropriate for seniors or students who simply prefer to move at a slower pace.

You’ll explore range of motion in a variety of restorative postures, using props to modify postures and explore gentle opening of the body. This class includes breathing exercise and meditation.

Tuesdays, Feb. 6-27 Tuesdays, March 6-27 Tuesdays, April 3-10 ($32) Tuesdays, May 1-29 All Classes: 1:30-2:30 p.m. OR 7-8 p.m.

Cost: $64

CPR Life Saving For dates and to register, visit ShawneeMission.org/classes.

BABYSITTING: A SERIOUS BUSINESS This course teaches infant and child care, first aid, general safety, accident prevention and child development for babysitters ages 11 and older.

2 Sessions – Feb. 4 (1-5 p.m.) and 11 (1-4:30 p.m.) Cost: $48 2 Sessions – Mar. 20 (1-5 p.m.) and 27 (1-4:30 p.m.) Cost: $48

FAMILY AND FRIENDS CPR The AHA’s Family & Friends® CPR Course is a video-based, classroom course intended for anyone who wants to learn CPR and AED. This course is for people who do not need a course completion card for a job or other requirements. Ideal for community groups, parents, grandparents, caregivers, schools and students, and others interested in learning how to save a life.

Cost: $30 FAMILY AND FRIENDS CPR WITH BASIC FIRST AID The AHA’s Family & Friends® CPR Course is a video-based, classroom course intended for anyone who wants to learn CPR and prefers to learn in an instructor-led or facilitated group environment. Basic first aid will teach students how to handle some of the common emergencies people encounter in the home.

This course is for people who do not need a course completion card for a job or other requirements. Ideal for community groups, parents, grandparents, caregivers, schools and students, and others interested in learning how to save a life.

Cost: $40 HEARTSAVER® PEDIATRIC FIRST AID WITH CPR & AED The Heartsaver® Pediatric First Aid CPR AED Course teaches anyone how to respond to illnesses and injuries in a child or infant in the first few minutes until professional help arrives. The course covers child/infant CPR, child/infant AED, child/infant choking, and pediatric first aid. It is designed to meet the regulatory requirements for child care workers in all 50 U.S. states.

An AHA course completion card will be issued upon successful completion of performance of skills.

Cost: $65 Winter 2018 | MyHealthKC.com

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Parent Education For dates and to register, visit

BECOMING A LOVE AND LOGIC PARENT Guide your children to become responsible for their lives while putting the joy back into parenting with “Love & Logic” principles, developed by the Cline/Fay Institute. Help set limits calmly without losing your temper.

Cost: $65

ShawneeMission.org/classes.

BABIES DON’T BARK This class offers positive, practical and fun solutions for new and expectant parents and anyone else who wants to learn how wonderful life with babies and dogs can be!

Cost: $35

BIRTH CENTER TOUR Are you looking for the right hospital for you and for your baby to enter the world in? If so, come join us on a free tour of the Shawnee Mission Birth Center. If you are enrolled in a five-week or all-day childbirth preparation course, the tour is included in the class content. For dates or to register, call ASK-A-NURSE at 913-676-7777.

Cost: Free BREASTFEEDING: ONLINE This self-paced course is a mix of self-study, reading and video clips with use of an access code and book. Access to a certified breastfeeding educator is available through email and phone as you work through the class.

Cost: $50

BABY SIGNING TIME WITH MUSIC Learn how to incorporate American Sign Language into daily life using fun songs, stories and rhymes to enhance communication with your child. Designed for little ones ages zero to 5 years. For a sibling discount, please call ASK-A-NURSE to register.

Cost: $60

Support Groups Breast Cancer Connection Meets the second Tuesday of each month from 6-7:30 p.m. For more information, contact Jodi Carlson, 913-676-2498.

Breastfeeding Support Group Meets every Tuesday from 10-11:30 a.m. at Shawnee Mission Health – Prairie Star.

Living Well With Diabetes Meets the first Thursday of each month from 11 a.m.-noon. For monthly topics and to register, visit ShawneeMission. org/livingwellwithdiabetes.

Pregnancy & Infant Loss Support Group Meets the first and third Thursday of each month from 7-8:30 p.m. Call 913-632-4223 for more information.

Postpartum Emotional Support Group Meets Thursdays from 5:30-6:30 p.m.

Call 913-632-4223 or visit ShawneeMission.org/postpartumsupport for more information.

Pregnancy After a Loss Support Group Meets the second and fourth Thursday of each month from 7-8:30 p.m. Call 913-632-4223 for more information.

Sensory Processing Disorder (SPD) Parent Connect Group Contact Meggin Finkeldei at sensationalhope@yahoo.com for meeting times and locations.

All support groups are free of charge unless otherwise noted.

Call the ASK-A-NURSE Resource Center at 913-676-7777 or visit ShawneeMission.org/Classes for support group locations.

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Shawnee Mission Health | Winter 2018

BREASTFEEDING: GETTING OFF TO A GOOD START This beginner breastfeeding class covers the first feedings through the first three weeks at home. Topics include benefits, what you need before baby is here, positioning, latching and breast care. Partners are encouraged to attend.

Cost: $20 BREASTFEEDING: RETURNING TO WORK AND PUMPING This class covers from the time babies are about three weeks old on and answers questions such as how to bottle feed a breastfed baby, what type of pump works best for you, pump care and breast milk storage. Partners are encouraged to attend.

Cost: $20 CHILDBIRTH – ONE DAY Perfect for those unable to attend the five-week series. A certified childbirth instructor will provide information on the stages of labor, comfort measures and positions, what to expect at the hospital, and medications, Shawnee Mission Birth Center tour and much more.

Please register for your free Newborn Care class.

Cost: $75 CHILDBIRTH – FIVE WEEK Our five-week comprehensive childbirth class series covers stages of labor, comfort measures and birthing positions, what to expect at the hospital, medications and much more. Partners will have an opportunity to experience pregnancy by wearing the Empathy Belly. Includes Newborn Care class and a tour of the Shawnee Mission Birth Center.

Cost: $65

CHILDBIRTH PREPARATION ONLINE This method of preparing for childbirth might be a good fit if you prefer to learn at your own pace, have been placed on bed rest, or if your work/travel schedules prevent you from committing to a traditional class.

Access to a certified childbirth instructor is available through email and phone.

Cost: $80 CHILDBIRTH: NATURAL STRATEGIES Our one-time class is a perfect addition to Childbirth one-day or five-week classes. A certified instructor provides an opportunity for you to create your birth vision by clarifying values, writing a birth plan and practicing additional relaxation and comfort measures. Participants need to complete a childbirth preparation class prior to attendance.

Cost: $30 CHILDBIRTH REFRESHER AND VBAC A refresher class for parents to focus on this pregnancy while reflecting on the last. A certified childbirth instructor will review stages of labor, what to expect at the hospital, positions and comfort measures, medications and more.

Also includes topics specific to anyone interested in having a VBAC (Vaginal Birth After Cesarean) with your upcoming birth.

Cost: $30 GRANDPARENTS CLASS First-time and experienced grandparents will learn how to support their son or daughter and spouse’s new role as parents, plus current safety issues.

Cost: $25

For more information, including location information, or to register for any of these classes, visit ShawneeMission.org/classes. For free classes, please call the ASK-A-NURSE Resource Center at 913-676-7777, Option 2, to register.

KIDS AND K9S You made it through the pregnancy and infancy but now the family dog is having to deal with a child who is mobile! This class will give you the tools to institute rules, routines and management practices that will keep both the children and the family dog happy, healthy and safe.

Cost: $35

SIBLING: 3-5 and 6-8 Children ages 3 to 5 and 6 to 8 will learn how to get ready for their newborn sibling. They will learn what to expect with a new baby in the house, experience a simulated womb, tour the Birth Center to see where Mom and their new brother or sister will be and wrap a special gift for them.

Cost: $15

NEWBORN CARE Learn what to expect at the hospital, the importance of newborn tests and procedures, baby basics such as bathing, diapering, cord care, safe sleep, calming techniques, Happiest Baby on the Block and much more.

Included in the Childbirth five-week class, and complimentary with the one-day childbirth class.

Cost: $30

THERAPEUTIC TOUCH AND PLAY Taught by a pediatric physical therapist, you will learn how to therapeutically play with your baby in a manner that promotes healthy bonding and brain development.

Feb. 9, March 9, April 13, May 11 All Classes: 10-11 a.m.

Cost: $37

NEWBORN CARE ONLINE This self-paced course is a mix of self-study, reading and video clips via access to an interactive online class website. Access to a certified childbirth educator is available through email and phone as you work through the class.

Cost: $40

Massage Therapy Services Relax and rejuvenate with a 30-, 60- or 90-minute massage at Life Dynamics. Choose from a variety of massage techniques, including: k Swedish k Trigger Point k Sports k Deep Tissue k Prenatal k Cranial Sacral k Chair (10 or 20 minutes) k Stone (90 minutes). k NEW! Chair massage at the Prairie Star location on Tuesdays 11 am – 2 pm Call the Life Dynamics Health and Wellness Center at 913-676-2040, Option 2, for more information or to schedule an appointment. Gift certificates are also available.

Specialty Classes ADHD RESILIENCY While you may not be able to change the fact that you have adult ADHD, it is possible to understand how to support yourself when you feel overwhelmed by the daily challenges of ADHD, more easily cope with the clutter in your home and office, and learn how to create new systems and routines to support yourself throughout your day. Join Nikki Crawford, PhD, for this informational session.

Jan. 29, 6-7:30 p.m.

Cost: Free BASICS OF ESSENTIAL OILS The daily use of essential oils can have a healing effect mentally, physically and emotionally.

Learn about the origins of their plant components and how they can help you relax or sleep, improve your skin or digestion.

Feb. 8, 5:30-7 p.m.

Mar. 10, 5:30-7 p.m. (O.P. Campus) Cost: Free

SIERRA CLUB BEGINNING BACKPACK CLASS SERIES This workshop series will enable you to make choices about lightweight gear procurement without sacrificing safety and comfort. You will learn options and alternatives on how to outfit yourself for a weekend or weeklong backpack trip.

Four sessions starting Feb. 24 Cost: $50 ESSENTIAL OILS PART 2: MAKE AND TAKE Learn the steps to blend your own oils for everyday uses. You will be provided all the materials necessary to make three different essential oil items.

March 1, 5:30-7 p.m.

Cost: $25 LOOK GOOD FEEL BETTER The Look Good Feel BetterÂŽ program is open to all women with cancer who are undergoing radiation, chemotherapy or other forms of treatment. This handson group workshop includes a detailed description and demonstration of a 12-step skin care and makeup program, options relating to hair loss, nail care and helpful suggestions on clothing.

Mar. 12, 5:30-7:30 p.m.

May 14, 5:30-7:30 p.m.

Cost: Free STOP DIABETES BEFORE IT STARTS Did you know 1 in 3 Americans have pre-diabetes and 15-30 percent will develop Type 2 Diabetes within 5 years? Learn what pre-diabetes means and how to prevent it from turning into diabetes. Visit ShawneeMission.org/stopdiabetes or call the Diabetes Education Center at 913-676-2548.

March 26, 6-8 p.m.

Cost: $10 MINDFUL BREATHING Slowing down and being present is one of the most beneficial things you can do for your body.

Learn several stress-reduction breathing exercises to calm you down during the day.

March 28, 4:30-6 p.m.

Cost: Free

MANAGING CHRONIC PAIN NATURALLY More than 100 million Americans suffer with chronic pain. At the same time, we are experiencing a major opioid abuse epidemic.

What's a doctor or a person with pain to do? While prescription pain medication can be one avenue of help for chronic pain issues, there are many non-pharmacologic approaches that have research evidence that they work well - nutrition, acupuncture, chiropractic, yoga, tai chi, herbal therapies, mind body practices, cognitive therapy, improved sleep all can be of significant benefit to those suffering with a chronic pain problem. Join us for a discussion of many approaches to help reduce the suffering of chronic pain.

Apr. 17, 4:30-6 p.m.

Cost: Free

Stop Smoking SMOKING CESSATION Learn to live smoke-free with the help of a former smoker and a support group in this fiveweek, nine-session program.

Attendance in all sessions will enhance your success.

Jan. 22-Feb. 19 March 12-May 7, 6:30-8 p.m.

Cost: $116

Winter 2018 | MyHealthKC.com

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The Facts Considering a health savings account (HSA) or a flexible spending arrangement (FSA)? That’s a good idea. Either account could save you money and make budgeting for medical costs a lot easier.

But knowing which one to select and how to get the most out of it will take some education.

On one hand, they’re very similar: both accounts let you make tax-free contributions to save for medical costs. But with several key differences between HSAs and FSAs, it literally pays to get this decision right.

OR

ELIGIBILITY REQUIREMENTS

HSA FSA

Eligibility requirements include having a high-deductible health plan (HDHP)

No eligibility requirements

CONNECTION TO EMPLOYER

HSA

ROLLOVER

HSA

Unused balances roll over into the next year.

Your HSA can follow you as you change employment.

FSA

In most cases, you’ll lose your FSA with a job change.

One exception: if you’re eligible for FSA continuation through COBRA.

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Shawnee Mission Health | Winter 2018

HSA FSA

2018 contributions capped at $3,450 for individuals or $6,900 for families

2018 contributions capped at $2,650

CHANGING CONTRIBUTION $

FSA HSA FSA

With some exceptions, FSAs are “use it or lose it,” and you forfeit any unused balance.

EFFECT ON TAXES

HSA FSA

Contributions are taxdeductible, but can also be taken out of your pay pretax.

Growth and distributions are tax-free.

CONTRIBUTION LIMIT

Contributions are pretax, and distributions are untaxed.

You can change how much you contribute to the account at any point during the year.

Contribution amounts can be adjusted only at open enrollment or with a change in employment or family status.

WHICH SHOULD YOU CHOOSE? Generally speaking, both accounts have benefits that can make managing your out-of-pocket medical expenses easier throughout the year. But most people opt for an HSA if they qualify, since the limits are higher and contributions can be carried over from year to year. If you don’t qualify, then you should still consider signing up for the FSA. Remember, you should never be afraid to ask your HR representative whenever you have questions.

3a

Missouri

BARRY RD.

Liberty

Kansas

75TH ST.

2 75TH ST.

1 Shawnee Mission [ Holistic Care 9100 W. 74th Street Merriam, KS 66204 913-632-9860

3a Shawnee Mission [ Cardiovascular Associates Leavenworth 3601 S. 4th Street, Suite 4 Leavenworth, KS 66048 913-632-9940

2 Shawnee Mission [ Pulmonary Consultants 8901 W. 74th Street, Suite 390 Merriam, KS 66204 913-632-9770 3 Shawnee Mission [ Primary Care — Shawnee Mission Medical Building 9119 W. 74th Street, Suite 150 Merriam, KS 66204 913-789-1980 3 Shawnee Mission [ Neurosurgery 9119 W. 74th Street, Suite 260 Merriam, KS 66204 913-632-9480

4 Shawnee Mission [ Primary Care — Prairie View Medical Building 7301 E. Frontage Road Merriam, KS 66204 913-789-1940 5 Shawnee Mission [ Surgery Center 9301 W. 74th Street, Suite 300 Merriam, KS 66204 913-632-9300 5 Shawnee Mission [ General Surgery Consultants 9301 W. 74th Street, Suite 110 Merriam, KS 66204 913-632-9200 5 Shawnee Mission [ Cancer Center 9301 W. 74th Street, Suite 100 Merriam, KS 66204 913-632-9100 5 Shawnee Mission [ Cancer Center — Gynecologic Oncology 9301 W. 74th Street, Suite 130 Merriam, KS 66204 913-632-9130

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3 Shawnee Mission [ Cardiovascular Associates Merriam 9119 W. 74th Street, Suite 350 Merriam, KS 66204 913-632-9400

2 Shawnee Mission [ Neurology Consultants 8901 W. 74th Street, Suite 269 Merriam, KS 66204 913-632-9810

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119TH ST.

1 Shawnee Mission [ Medical Center 9100 W. 74th Street Merriam, KS 66204 913-676-2000 k Emergency Department

2 Shawnee Mission [ Endocrinology & Diabetes 8901 W. 74th Street, Suite 269 Merriam, KS 66204 913-676-7585

SHAWNEE

METCALF AVE.

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QUIVIRA RD.

ANTIOCH RD.

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Bonner Springs

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ANTIOCH RD.

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6 PT Solutions of Shawnee [ 13 Shawnee Mission [ Mission Medical Center Health — Prairie Star Building A Life Dynamics Health & Wellness Building 23351 Prairie Star Parkway 9120 W. 75th Street Lenexa, KS 66227 Merriam, KS 66204 913-676-8500 k Hand Specialty Center 913-676-2444 k PT Solutions k Center for Pain Medicine 7 Center for Pain Medicine [ 7315 Frontage Road, Suite 140 Merriam, KS 66204 Building B 913-676-2370 23401 Prairie Star Parkway Lenexa, KS 66227 8 CorporateCare Lenexa [ 913-676-8500 k Bariatric Surgery 9040 Quivira Road k Emergency Department Lenexa, KS 66215 k Surgery Center 913-492-9675 k Imaging Center k Wound Care Center 8 Centra Care Shawnee [ Mission Urgent Care 14 CorporateCare 9040 Quivira Road [ Lee’s Summit Lenexa, KS 66215 913-789-4099 805 NE Rice Road Lee’s Summit, MO 64086 9 Shawnee Mission [ 816-554-1518 Primary Care — Lenexa 15 PT Solutions 8700 Bourgade, Suite 2 [ of Lee’s Summit Lenexa, KS 66219 913-676-8400 913 NE Woods Chapel Road Lee’s Summit, MO 64064 10 CorporateCare [ 913-632-4795 North Kansas City 16 PT Solutions 2025 Swift [ of Westport North Kansas City, MO 64116 816-221-0058 546 Westport Road Kansas City, MO 64111 11 Shawnee Mission [ 913-632-4790 Primary Care — 17 Centra Care Shawnee Shawnee Crossings [ Mission Urgent Care 6815 Hilltop Road, Suite 100 Shawnee, KS 66226 9099 W. 135th Street 913-632-9600 Overland Park, KS 66221 913-549-4242 12 Shawnee Mission [ 18 Centra Care Shawnee Primary Care — De Soto [ Mission Urgent Care 8960 Commerce Dr., Suite 4E De Soto, KS 66018 14744 W. 119th Street 913-789-3961 Olathe, KS 66062 913-839-1759 13 Shawnee Mission [ Primary Care — Prairie Star 23351 Prairie Star Parkway Suite A245 Lenexa, KS 66227 913-676-8630

19 PT Solutions of Olathe [ 18581 West 151st Street Olathe, KS 66062 913-632-4780 20 Shawnee [ Mission Health — Overland Park 7820 W. 165th Street Overland Park, KS 66223 913-373-1100 k Emergency Department k Imaging Center

Medical Office Building 7840 W. 165th Street Overland Park, KS 66223 k Primary Care k PT Solutions k Women's Imaging Center 20 Shawnee Mission [ Primary Care — Internal Medicine & Pediatrics 7840 W. 165th St, Suite 210 Overland Park, KS 66223 913-373-2230 21 Shawnee Mission [ Primary Care — Prairie Village 7501 Mission Road, Suite 103 Prairie Village, KS 66208 913-632-9880 22 Centra Care Shawnee [ Mission Urgent Care 11245 Shawnee Mission Pkwy Shawnee, KS 66203 913-268-4455 23 PT Solutions of Shawnee [ 15315 W 67th Street Shawnee, KS 66217 913-632-4785 24 Shawnee Mission Primary [ Care — Deer Creek 6240 W. 135th Street, Suite 150 Overland Park, KS 66223 913-632-9500

There’s new hope in the fight against cancer.

Shawnee Mission Cancer Center is now the region’s only certified member of MD Anderson Cancer Network®, a program of MD Anderson Cancer Center.

For more than 50 years, Shawnee Mission Health has earned a reputation for high quality standards and compassionate, patient-focused care.

Now, we’re bringing MD Anderson’s pioneering, evidence-based guidelines and best practices to cancer patients all across the Kansas City region.

To get a second opinion or to find out more, visit AHigherStandard.com.