Marshall Medical: For Your Health Fall 2012

Committed to the Health & Well-being of El Dorado County

FALL 2012

OH BABY,

LOOK AT US NOW

New Birth Center and Emergency Department OPENING SOON!

 Marshall’s South Wing in Depth  Your Story: Amazing Knee Surgery Recovery  Open Enrollment Time? Reasons to Choose Access to Marshall Services FYH_FALL2012_Z2b.indd 1

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Did You Know?

ABOUT MARSHALL MEDICAL CENTER Marshall Medical Center is an independent, nonprofit community healthcare provider located in the heart of the Sierra Foothills between Sacramento and South Lake Tahoe. Marshall Medical Center includes Marshall Hospital, a fully accredited acute care facility with 105 beds located in Placerville; several outpatient facilities in Cameron Park,

We’re growing…to care for

YOU!

The hospital isn’t the only place Marshall is expanding. Recently, Marshall Sierra Primary Medicine moved to a new location on Golden Center Drive. The new building is adjacent to Marshall Pediatrics NEW LOCATION! Marshall Sierra Primary Medicine and shares a common driveway.

All of the providers at Marshall Sierra Primary Medicine are accepting new patients.

4341 Golden Center Drive, Building B Placerville, CA 95667 530-621-3600 www.marshallmedical.org/familymedicine

Marshall Specialty Care in Cameron Park

El Dorado Hills, Placerville and Georgetown; and many community health and education programs. Marshall has over 200 board-certified physicians and a team of over 1,200 employees providing quality healthcare services to more than 150,000 residents of El Dorado County.

For Your HEALTH is published as a community service by MARSHALL MEDICAL CENTER 1100 Marshall Way Placerville, CA 95667 telephone 530-622-1441 or 916-933-0913; www.marshallmedical.org

Marshall Specialty Care 3501 Palmer Drive, Suite 201 Cameron Park, Ca 95682 Physicians and Representatives of Marshall celebrated the expansion of services in Cameron Park with an open house for Marshall Specialty Care. Patients can now receive care in Cardiology, Rheumatology, General Surgery and Hearing/ Audiology all in one suite.

Cardiology: 530-626-9488 General Surgery: 530-622-1397 Hearing Center: 530-672-1112 Rheumatology: 530-672-7040

There are now a wider range of medical specialties available in Cameron Park. Marshall Specialty Care, located in the Outpatient Surgery building on Palmer Drive, now provides appointments for Cardiology, General Surgery, Rheumatology, and Hearing/Audiology.

It is intended to provide information about health in general as well as healthcare services and resources available in El Dorado County. Information in For Your Health comes from a wide range of medical experts. If you have any concerns or questions about specific content that may affect your health, please contact your healthcare provider.

If you have questions, concerns or suggestions for future topics, contact the editor, Carrie Poggio,

For more detailed information about construction and progress at Marshall, visit www.marshallmedical.org or follow us on Facebook.com/marshallmedicalcenter, twitter.com/MarshallMedical or Google+ Marshall Medical Center.

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at (530) 626-2816 or via email at cpoggio@marshallmedical.org.

FOR YOUR HEALTH / www.marshallmedical.org

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Open Enrollment

Top Reasons to Choose Marshall Medical Center

It’s fall – the time of year for you to think about your healthcare options.

Now’s your chance to select a health plan that enables you to see a healthcare provider affiliated with Marshall. Here’s why:

1

We come highly recommended – Our physicians and hospital have been voted “Best” in class by several local publications. The community has long recognized the caring and personalized service they receive at Marshall. Our focus on service and quality also ranks us highly among various healthcare rating organizations.

2

Board Certified Physicians – Our affiliated physicians are all board certified, demonstrating exceptional expertise in their medical specialty. High-caliber primary and specialty medicine is our commitment to the community.

3

When you need care, we’re right in your neighborhood – You don’t need to travel far for medical appointments, lab work, imaging services, physical and speech therapy and more. Marshall has convenient locations and hours to serve you.

4

Emergency care at a higher level – Marshall’s Level III Trauma Center at our Placerville campus means specially trained staff, advanced medical technology, immediate availability of surgeons and anesthesiologists are available 24-hours a day.

5

Marshall loves moms!

– Moms-to-be can expect personalized prenatal care by board certified physicians focused on a healthy pregnancy and safe delivery for mom and child. Our all-new birth center features private suites and whirlpool tubs with the most modern amenities for families.

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Advanced medical technology – Marshall boasts modern technology you’d be surprised to find at an independent community hospital, including all-digital imaging, 64-slice CT, MRI, digital mammography with CAD and PET/ CT. This means Marshall’s patients have access to the kind of diagnostic equipment you’d find in larger cities. In addition, we have installed Electronic Medical Records for faster, more accurate medical record archiving with your safety in mind.

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Cancer care, close to home – The last thing cancer patients need is a long journey to get treatment.

Marshall’s Accredited Cancer program is located in Cameron Park. Services include Board Certified Oncologists and Hematologists, radiation oncology treatment, advanced diagnostic technology, surgical services, Cancer Registry and a Cancer Resource Center with information on education, social services and support groups.

HOW TO CHOOSE MARSHALL MEDICAL CENTER 1. Visit marshallmedical.org and choose “Find a Doctor” to choose a doctor by name, location or specialty.

2. Call the doctor’s office to confirm he or she is accepting new patients, if they belong to the health plan you’ve chosen, and to make your first appointment.

If you have any questions, please call 530-626-2787. Customer Service hours are Monday – Friday, 8 a.m. to 4:30 p.m.

www.marshallmedical.org / FOR YOUR HEALTH

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Making Changes

should be exposed to as much as possible to assure success in life, to be sure their children don’t “fall behind.” The thought is, if children don’t get the most out of their time by being involved

by Brett Christiansen, MD, Marshall Pediatrics in as many activities as possible Sure, I’m a pediatrician, but I’m also a husband and dad. My wife and I in order to be “well rounded,” work. Our kids go to school. We have three kids and no less than three they might not get into the best scheduled activities going throughout the year. My school or university son plays baseball three times a week. My daughter Children need and then may tumbles twice a week and my oldest daughter, in time to be kids not get the best season, skis three days a week with a team. In the job. However, winter, we are skiing on the weekends, too. In the and just play, research shows that summer, school is out but then there is vacation Bible no matter how these increased school, football camp, youth camp, babysitting and scheduling many activities demands on some summer travels. Of course, now that school is back in swing, we have homework as well. Our family is in children can lead they pursue. overdrive, but from my experience with my patients, it to anxiety, stress doesn’t even compare to some. and sometimes depression. Every The topic of “overscheduling” children in activities has received a lot child is different, and they have of attention in recent years. On one hand, some people feel children different capacities for extra-

Child’s Play is Serious Business: Why balancing free time and a busy schedule is important

“

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FOR YOUR HEALTH / www.marshallmedical.org

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Making Changes They practice adult roles, learn to work together, share, and resolve conflicts. With play, children can discover their own areas of interest and pursue their own passions.

Children with overscheduled lifestyles are at risk of missing out on free play—this basic, allimportant aspect of childhood and child development. Maybe the question isn’t how much is too much scheduled activity time, but rather “is my child getting time to just play?” As we get back into the school routine and look ahead to the busy holiday season, let’s keep this question in mind – and also keep in mind the importance of balance for you, too. Most children will best develop the characteristics of successful adults if they are surrounded in unconditional love and allowed time for free play.

Children of all ages needed adequate time to be kids, initiate self-directed play and enjoy unscheduled time.

curricular activities. But children need time to be kids and just play, no matter how many activities they pursue.

In fact, free play is an important counterbalance to scheduled activities. According to the American Academy of Pediatrics, play “contributes to the cognitive, physical, social, and emotional well-being of children and youth.”

In 1989, the United Nations recognized the importance of play and declared it a right of all children. Free play, that which is of the child’s choice,

child led—and initiated and ended on the child’s terms, is an essential component of healthy development. Play is not necessarily unsupervised and should not be without borders but it should be, within reasonable limits, controlled by the child. It may be alone or with another and should often involve adults.

What’s so important about free play? Through free play, children gain competence and confidence in relationships, compassion for others and the abilities to rebound from adversity and conquer fears.

Brett Christiansen, MD is a board certified pediatric physician at Marshall Pediatrics in Placerville and is accepting new patients.

Marshall Pediatrics 4341 Golden Center Drive, Bldg. A Placerville, CA 95667 530-626-1144

www.marshallmedical.org / FOR YOUR HEALTH

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An aerial view of the hospital campus shows the huge new South Wing, ready soon to house a brand new Birth Center and Emergency Department. It will connect to the main hospital via enclosed bridge.

Marshall’s

South Wing Set to Open Soon Addition Showcases Comfort, Caring Service & the Latest in Technology It’s been years and years in the planning, financing, excavating, building and inspecting, but very soon, Marshall Hospital’s new patient care wing (known as the South Wing) will be open to the public.

It’s hard to overstate the difference the new wing will make to patients, visitors and staff. Starting with a new Birth Center and Emergency Department, the South Wing will combine the best in spacious comfort with the latest in technology to further evolve 6

what patients experience.

The generous size of the new departments alone lends a sense of ease and relaxation compared to the comparatively tight quarters the existing Emergency Department and Birth Center have operated in.

This opening is only the first phase of plans for the hospital expansion. For now, only the first floor and part of the second floor will be occupied. Future expansion will include a new café in the daylight basement, new ICU/CCU and more hospital beds.

Key Facts About the

South Wing • At full build-out, the South Wing will bring the number of hospital beds to 160.

• Marshall Hospital will be a third larger.

• More parking will be available.

• Later stages will include a new kitchen and cafeteria, a 12-bed intensive care unit and a 36-bed telemetry unit.

Marshall will need another $30 million to finish the building.

• Marshall will add a new observation unit for patients who may not need full hospital admission.

• Marshall is bigger than Sutter Davis, Sutter Auburn Faith and Mercy Folsom.

FOR YOUR HEALTH / www.marshallmedical.org

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Cover Story

Marshall Birth Center Highlights Oh, the space. That’s the first thing you’ll notice in the new Birth Center.

All the rooms are private and feature a multitude of comforting amenities.

• Oversized, private suites designed for moms and support person to stay overnight • Whirlpool baths in spacious bathrooms • Large windows let in abundant natural light • Wi-fi access and TV/DVD players • Privacy alcove just outside rooms allows for family and phone conversations • Dedicated operating room for C-section needs located within the unit • Expanded nursery and waiting room area According to Deena Purdy RN, Birth Center Director, the long wait in opening the new unit just makes it that much more sweet.

“We know moms want the comfort and space to go along with the excellent, compassionate care we’re known for, so we’re very proud to offer this wonderful new Birth Center to the public,” she says. The new Birth Center builds on the highly regarded patient care experience Marshall’s maternity services are known for—in addition to outstanding baby friendly practices such as high breast feeding success rates.

This view of a labor and delivery room undergoing final work only hints at the scale of the rooms. The rooms also include a large bathroom with whirlpool tub and private seating alcove for family just outside the main room.

Marshall will offer ongoing tours of the new Birth Center to expectant parents, beginning in September. Call 530-626-2638 for more information.

www.marshallmedical.org / FOR YOUR HEALTH

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Cover Story

Technology Shines in New Emergency Department “The new emergency department and trauma center really showcase a number of upgrades, beyond just the added space,” says Emergency Department Medical Director Marc Walter, MD. “We expect that patients will appreciate the extra space, many private rooms and added convenience of dedicated diagnostic equipment right in the unit.”

A FEW HIGHLIGHTS: • Many private rooms, equipped with the latest technology and comforts • Doubled triage room capacity for faster care • Dedicated diagnostic imaging equipment in unit, ready when needed -- this includes the latest in CT Scanner and ultrasound machines • A large and welcoming waiting room and lobby, furnished with comfort in mind • Four trauma/rescusitation rooms for life threatening injuries and illnesses • Isolation and decontamination rooms for hazardous material situations • Electronic tracking boards and dedicated medication carts to aid efficiency of care • Fast Track process for urgent care/minor injury needs within the department 8

Roger Gallant, MD, eagerly awaits the opening of the new Emergency Department. The extra space and technology enhancements will help with ongoing improvements to patient care.

A dedicated CT Scanner will add to the technology enhancements in the new Emergency Department.

No matter the age, patients at Marshall Emergency Department will continue receiving compassionate care when the new department opens.

FOR YOUR HEALTH / www.marshallmedical.org

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Cover Story A dedicated ultrasound machine is one of the technology upgrades patients can expect in the new Emergency Department.

To celebrate the grand opening of the South Wing, Marshall is hosting a Community Open House from 10 a.m. to 2 p.m. on Saturday, September 15. Visit marshallmedical.org for details.

Grant Gwinup, MD, along with all other emergency physicians and nursing staff, will enjoy doubled trauma care capacity and resuscitation rooms.

G r A n d o P e n i n G C e l e b r At i o n f o r o u r n e W S o u t h W i n G

Community Open House & Teddy Bear Clinic Saturday, Sept. 15

Bring your favorite teddy bear or doll for a check-up in our new Emergency Department •

Free admission

10 a.m. – 2 p.m.

1100 Marshall Way Placerville

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Live entertainment

by Music Matt

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Carnival Games

(15 minutes from Apple Hill)

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Bounce Houses

•

Take a Photo with a Fire Truck and Ambulance

•

Free refreshments

•

Tours of the New Hospital Wing

1100 Marshall Way | Placerville, CA | 95667 marshallmedical.org www.marshallmedical.org / FOR YOUR HEALTH

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Your Stories Ryan Jantzen says the third time was the charm for his knee surgery, crediting Antony Boody (left) with aiding an incredible recovery.

Dr. Boody says the credit belongs to Ryan.

Bicycling Enthusiast Amazed

by Quick Knee Surgery Recovery Third Time’s a Charm for El Dorado Hills Investment advisor When 45-year-old investment advisor Ryan Jantzen was contemplating yet another knee surgery for a two decade-old skiing injury, he only needed to look over his shoulder to find the right doctor. His Team Revolutions cycling team mate, Antony Boody, happens to have “MD” following his name, and is an orthopedic surgeon for Marshall Orthopedics (locations in Placerville and El Dorado Hills).

Yet even with the trust and friendship the two had developed over four years on the same road cycling team, Ryan wasn’t exactly thrilled with the prospect of another surgery. He explains, “the first two surgeries were difficult. I had very long and painful recoveries and wasn’t looking forward to another, but I figured I’d get Dr. Boody’s opinion on what he could do.”

Ryan’s knee has been an issue since the original skiing injury to his right knee cap area when he was 19. “It hasn’t been right since,” he says. The pain prompted a repeat surgery four years ago, and the recovery took weeks.

Worse, his beloved exercise of road cycling was painful and difficult. “Biking is my thing, so having a hard time doing it really got to me,” Ryan recalls.

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Enter Dr. Boody, to whom Ryan turned following a Father’s Day 2011 mishap that re-injured his knee and tore a chunk of cartilage off under the knee cap. “I was running up our stairs with my son, and something went really wrong.

I felt the tear. Within minutes, my knee looked like a grapefruit,” Ryan remembers.

In consulting with Dr. Boody, Ryan appreciated the conservative approach initially planned. “Dr. Boody first offered to drain my knee and try a cortisone injection, which helped the pain and swelling immensely, then it was all about trying to find time for the surgery that I knew was needed.” Married and a father of two young children, Ryan knew finding a time to ‘take it easy’ would prove difficult, but that

FOR YOUR HEALTH / www.marshallmedical.org

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time came early this year, and based on past experience, Ryan was prepared for the worst.

My knee is better now than in the last 25 years, and I thank Dr. Boody for that.

Dr. Boody says Ryan’s knee injury included “a finger tip sized piece of bone floating around under his knee cap, in addition to the cartilage and arthritis issues.” Dr. Boody performed the arthroscopic surgery and did “micro fracture” - a procedure that can help form scar tissue and help reduce arthritic changes. “His situation did require an additional incision I didn’t plan on, and then I just recommended taking it easy and starting back on activity slowly,” Dr. Boody recalls.

While Ryan was prepared for the

worst, he was treated to what can only be described as an amazingly quick recovery. “Within three days, I tried spinning backwards on my bike, and had no pain at all. That first week, I logged 110 ten miles on my bike. I was thrilled.” Now, several months later, Ryan averages rides of 45 miles, with 2,000 foot elevation changes. “My knee is better now than in the last 25 years, and I thank Dr. Boody for that.”

did appropriate activity and stays healthy – and that’s a big part of it right there.”

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As for his cycling team mate and surgeon, Dr. Boody shuns the credit for the quick recovery. “Ryan did recover incredibly quickly, but I consider that more a testament to him than what I did – he

Antony Boody, MD, is an orthopedic surgeon with Marshall Orthopedics, offering locations in Placerville and El Dorado Hills.

www.marshallmedical.org / FOR YOUR HEALTH

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Your Stories

Stroke Victim:

Knowing Risk & Symptoms Led to Rapid, Successful Treatment

emergency physician Alexis Lieser, MD, whom he recalls “moved with a great sense of urgency when it came to treating me.” Dr. Lieser explains the rush: “When it comes to stroke, time equals brain.

Prompt test results and appropriate treatment are critical in securing better outcomes,” she explains.

A key component in treating many strokes, a clot busting drug known as tPA (tissue plasminogen activator) can only be given to treat ischemic strokes, and only then if the treatment begins within three hours of symptoms onset.

“Mr. Schoonover was having an ischemic stroke - where a blood clot prevents blood flow to an area in the brain, and because he got here quickly, our stroke treatment

Wayne Schoonover knew something was wrong one morning last spring.

As he sat in his home office doing his typical work as a stock trader, he noticed that the mouse pointer on his computer screen wasn’t moving, even though he thought he was moving the mouse.

Confused, he looked down only to find that his hand wasn’t even on the mouse - and that the mouse was laying on its side. “At that point I realized my hearing seemed weird, and when I tried to speak, my speech sounded garbled,” Wayne recalls.

The possibility that he was having a stroke wasn’t lost on Wayne: he suffers from atrial fibrillation, a fairly common cardiac rhythm disorder that carries with it increased stroke risk. Both his primary physician, Marc Holthouse, MD and his cardiologist, Marshall Cardiology’s Scott Vasconcellos, MD, had previously warned him of the risk, and of stroke warning signs.

Considering this possibility and being alone at home, Wayne was able to pick up the phone and dial 911 immediately. “From the way I must have sounded, the 911 operator got the sense I might be having a stroke, and she dispatched the ambulance right away,” Wayne remembers.

Within half an hour, Wayne was at Marshall Hospital and under the care of 12

THINK

FA S T for Stroke Detection F for FACE................

Ask the person to smile.

Does one side of the face droop?

A for ARMS...............

Ask the person to raise both arms.

Does one arm drift downward?

S for SPEECH..........

Ask the person to repeat a simple sentence. Are the words slurred?

Can he or she repeat the sentence correctly?

T for TIME.................

If the person shows any of these symptoms, time is important because brain cells are dying. Call 911 or get to a hospital FAST.

FOR YOUR HEALTH / www.marshallmedical.org

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MARSHALLS’ NEW ED: WHEN EVERY SECOND COUNTS When Marshall opens its new Emergency Department, patients will reap additional benefits from a dedicated CT scanner within the unit. For patients like Wayne and others, for whom rapid diagnostic imaging can make a significant difference in outcomes, the improvement just adds to the excellent care provided at Marshall.

Marshall Working Toward Stroke Center Designation Emergency physician Alexis Lieser, MD, chats with her former patient Wayne Schoonover, about his recent stroke and extremely successful recovery.

protocols were able to begin during that critical early timeframe. That made the difference,” Dr. Lieser explains.

Wayne remembers, “Once that tPA was given, the improvement and relief of my symptoms was incredible. Within an hour, my speech was coming back. Within several hours, the numbness and hearing was going away too.”

Everything about stroke treatment at Marshall is geared toward the rapid implementation of the spectrum of care, from the initial call from emergency medical personnel, to electronic medication dispensing carts dedicated within

the Emergency Department, to the accelerated testing by the laboratory and diagnostic imaging.

For Wayne, the sense of urgency and effective treatment across the board is what allowed him to leave Marshall three days later, and quickly return to work. A few weeks after his illness, Wayne reports no adverse effects. He is now on additional medication to prevent another stroke in the future.

“I just thank everyone involved, because if it wasn’t for the work of everyone who cared for me, I wouldn’t have a future to consider, and that’s very humbling,” Wayne concludes.

Marshall’s stroke protocols are in place and working everyday; however, designation as a primary stroke center will formalize and recognize Marshall’s careful attention to treatment of stroke patients. As a Primary Stroke Center, Marshall will participate in stroke prevention education for the community, adhere to time-sensitive treatment of strokes in the Emergency Department, and will provide the latest in follow-up care for stroke patients. A physicianled committee was formed to oversee quality and to ensure that stroke team members, who are comprised of medical specialists, nurses and support staff, respond appropriately to stroke situations.

NEW HEALTHCARE PROVIDERS Paramjit Panesar, MD Marshall Family Medicine 3581 Palmer Drive, Suite 602 Cameron Park, CA 95682 530-672-7000

Daming Zhu, MD Marshall Cardiology 1004 Fowler Way, Suite 4 Placerville, CA 95667 530-626-9488

Shane Torgerson, MD Emergency Physicians Medical Group Marshall Hospital 1100 Marshall Way Placerville, CA 95667

www.marshallmedical.org / FOR YOUR HEALTH

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Foundation News

Giving In Tough Times Can Provide More for Your Heirs and Cut Taxes Americans today are anxious about their money. Their stock values are falling and their 401(k) plans are so low that it’s hard to open the quarterly statements. It may be the wrong time to think about charitable giving—or is it?

A WINNING STRATEGY Would you be interested if there were a strategy to combine your depressed asset values with a charitable gift that: • Provides money to your favorite charity each year for a certain number of years • After the period of years, gives what’s left to your family • Shelters the potential growth in the assets from additional taxes?

This technique, called a family charitable lead trust, helps affluent families remove wealth from their estates and give it to heirs in future years. Although what’s left in the trust is a taxable gift to the kids, this strategy allows you to pass assets to your heirs with no-to-low gift taxes.

HOW IT WORKS The lead trust is ideal if you’re charitably inclined and willing to forgo access to part of your wealth now, but you don’t want to deprive your heirs of that wealth later on.

With this strategy, you give assets to a trust, and the trust makes payments to one or more of your favorite charities for a number of years, which you choose. The longer the length of time, the better the gift tax savings for you.

FOR MORE INFORMATION Please contact Karen Good, CFRM, executive director at 530642-9984 or kgood@marshallmedical.org for more information on our Marshall Legacy program, charitable lead trusts or other economically sensible ways to incorporate philanthropy into your estate plans. As always, contact your estate planning attorney and tax professionals for legal and tax advice before employing a charitable strategy.

29th Bob West Drive for Marshall Focuses on Cancer During a beautiful day in June, 120 golfers paid tribute to the inspiring life of former Marshall Medical Center Board President Michael Ward, JD, who lost his battle to cancer in 2011. A special recognition of Mike’s life was shared with their family who were all present at the tournament as Marshall Foundation related plans for a new Cancer Center in Cameron Park.

The event proudly sponsored by UNION BANK raised over $40,000 due to the resounding support of longtime community sponsors and golfers, including Platinum sponsors Carter Kelly, Inc., El Dorado Disposal Services, and Western Sign Company.

Sixty-four Nurses HONORED

Lisa Seivert, RN, Amanda Seivert, CAN and Adrienne Ludden, RN.

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During the Annual Honor-A-Nurse celebration at Marshall Medical Center, 64 Nurses/Nurse Groups were honored at the benefit for the Mathewson-Bonser Nursing Scholarships that are awarded each year to assist nursing students at Marshall.

Previous recipients related their experiences and how the scholarship program supported by UNION BANK helped them to continue their education and upgrade their skills.

FOR YOUR HEALTH / www.marshallmedical.org

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Back to School Tips

Take 5!

Easy tips for packing a HEALTHIER school lunch

1.

2.

3.

4.

5.

SAFETY TIP: Use an insulated lunch bag with ice pack to keep perishable food cold.

Choose whole grain breads, wraps or pitas for sandwiches.

Say no to sugary drinks.

Provide low or non-fat milk, water or 100% juice with no added sugar.

Use low-fat dairy, such as cheese or yogurt for a healthy snack.

Opt for lean proteins in sandwiches like turkey, chicken or tuna mixed with light mayo and mustard. Pack sandwiches with veggies too.

Chuck the greasy chips.

Offer finger friendly and healthy fruits and veggies like baby carrots, snap peas, cherry tomatoes, cherries, grapes, raisins and nuts instead. (Kids need at least five servings of fruits and veggies a day).

Adapted from recommendations on www.letsmove.gov.

www.marshallmedical.org / FOR YOUR HEALTH

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Programs & Classes

Marshall Health & Wellness Programs & Classes Marshall’s programs can help you get healthy and stay healthy. Offering services for all ages and stages of life, we hope to see you at one or more of the classes below. Our Community Health Education Classes include Smoking Cessation and Childbirth related classes, in addition to a babysitting class. Call 530-626-2990 for more information and to register. We also offer diabetes and Nutrition Education through our Physician Clinic Services. Call 530-672-7021 for more information.

COMMUNITY HEALTH EDUCATION CLASS SCHEDULE HEALTHY PREGNANCY

Designed for women who are thinking about becoming pregnant or have recently become pregnant, the class focuses on nutrition and exercise, fetal development, prenatal tests, hazards to avoid and preventing preterm labor.

Wednesday, October 17 Tuesday, June 12 7-9 p.m. (funded by generous grant from Marshall Foundation for Community Health) CHILDBIRTH EDUCATION

6-week series

This class provides information on labor, delivery and postpartum issues.

Tuesdays, Oct 2 - Nov 6 7-9 p.m.

CHILDBIRTH EDUCATION

1-Day Intensive A custom designed childbirth class for those who do not have the time for the traditional 6-week class format.

Saturday, September 8 Saturday, November 3 9:00 a.m. - 3:30 p.m.

Fee: $60 THE BREASTFEEDING EXPERIENCE

This class will help you understand breastfeeding, learn techniques and positions, and will give you the confidence to handle common breastfeeding challenges.

Wednesday, September 12 Wednesday, November 7 7-9 p.m.

Fee: $25 BABY BASICS

This class reviews basic newborn care for the first few weeks of life. Topics include newborn characteristics, physical and emotional needs of the baby, as well as health and safety skills.

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Wednesday, October 10 7-9 p.m.

Fee: $25 SUPER SITTERS

This fun, interactive class teaches boys and girls, ages 11 to 15, how to become competent and responsible baby-sitters.

Saturday, October 6 9 a.m.-3 p.m.

Fee: $50 SMOKING CESSATION 7-WEEK SERIES

Pre-registration required and space is limited.

Call 530-626-2990 for more information.

Fee: $75

HEALTHY LIVING DIABETES EDUCATION CLASSES Live your best life with diabetes!

Our classes can help you gain the knowledge and tools to remain motivated with your healthy lifestyle in the days and years ahead.

INDIVIDUAL DIABETES EDUCATION

Appointments with our Registered Nurse, Certified Diabetes Educators (CDEs), are strongly encouraged especially if: • You are newly diagnosed • Beginning a new medication • Need extra support to gain control.

Learn about the latest tools and techniques for self-management of your diabetes.

INDIVIDUAL NUTRITION EDUCATION

Our Registered Dietitians (RDs) are available for appointments to discuss: • Diabetes meal planning • Weight management/Cholesterol control • Medical Nutrition Therapy for most medical conditions

Healthy Living Class #1: Diabetes Essentials

• What diabetes is • Controlling blood glucose levels • Using your meter effectively Wednesday, September 26, 6-8 p.m. Placerville Thursday, November 1, 1-3 p.m. Placerville Tuesday, December 4, 9:30-11:30 a.m. Cameron Park Healthy Living Class #2: Carbohydrates, Food & You

• Carbohydrates and diet • Meal planning • Managing your weight Wednesday, September 19, 9:30-11:30 a.m. Placerville Tuesday, September 23, 9:30-11:30 a.m. Placerville Thursday, November 15, 9:30-11:30 a.m. Cameron Park Thursday, December 13, 1:00-3:00 p.m. Placerville Healthy Living Class #3: Gaining Better Control

• Making sense of your blood glucose numbers • Medication options • Tips on eating out Wednesday, October 3, 6-8 p.m. Placerville Healthy Living Class #4: Your Plan for Success

• Reducing your risk—long term complications • Exercise—make it work for you • Staying motivated • Diabetes and emotions Tuesday, Sept. 11, 1-3 p.m. Cameron Park Tuesday, October 23, 1-3 p.m. Placerville

CLASS LOCATIONS: 681 MAIN ST., STE. 206/207, PLACERVILLE 3581 PALMER DR., BLDG. 600 CAMERON PARK FOR MORE INFORMATION CALL: (530) 672-7021

FOR YOUR HEALTH / www.marshallmedical.org

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