Because words of sympathy can be hard to come by, here are some tips for this .... Can I drive you to an appointment? Yo
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INSPIRE {
caring for women & their families
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KNOW YOUR BREASTS BE AWARE. BE EMPOWERED. BE PROACTIVE.
Allergy alert
MOM+BABY MEETING YOUR NEEDS BEFORE, DURING AND AFTER BABY
FOOD ALLERGY VS. FOOD INTOLERANCE
Amery Hospital & Clinic Hudson Hospital & Clinic Lakeview Hospital
Stillwater Medical Group Westfields Hospital & Clinic
INSPIRE { Fall 2016 }
INSPIRE is a publication of Amery Hospital & Clinic, Hudson Hospital & Clinic, Lakeview Hospital, Stillwater Medical Group and Westfields Hospital & Clinic. The intent is to keep you informed and current about services and programs we provide. All are part of a non-profit health care organization committed to enhancing community health.
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The information in this newsletter is not intended to diagnose illness, prescribe treatment or replace the recommendations of your personal physician. If you have concerns or questions about your health, please contact your personal physician.
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INSPIRE is published by HealthPartners
©
10 Amery | Clear Lake | Luck | Turtle Lake 715-268-8000 | 800-424-5273 (KARE) amerymedicalcenter.org
Mahtomedi | Somerset | Stillwater 651-439-1234 | 800-877-1588 lakeviewhealth.org
Hudson 715-531-6000 | 800-993-2325 hudsonhospital.org
Stillwater 651-439-5330 | 800-423-7212 lakeviewhealth.org
New Richmond 715-243-2600 | westfieldshospital.com
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KNOW YOUR BREASTS Becoming familiar with your breasts – the size, shape, color, etc. – is important for your breast health.
ALLERGY ALERT Learn the difference between food allergies and food intolerances.
WOMEN’S HEALTH - NO NEED TO BE SHY Even the most outspoken women may be shy when it comes to talking about certain women’s health conditions - but they’re more common than you might think.
CONFUSED ABOUT HORMONES MAKE IT OK SIMPLE WAYS TO LOWER CHOLESTEROL MOM + BABY PLANNING FOR THE FUTURE EMPATHY IN ACTION
MAKE IT OK Did you know that mental illness affects one in four people? This means that mental illness is as common as silver cars, people with brown eyes and being left-handed.
WELLNESS Noteworthy news and information from the world of health care and beyond.
THE RIGHT FIT Believe it or not, most women are wearing the wrong bra size. Signs of an improperly sized bra include the band riding up; the straps falling down; breasts overflowing the top of the bra cup; and wrinkly and loose fabric. A professional bra fitting is quick and can help ensure you’re wearing the right bra.
EMPATHY IN ACTION: HOW TO WRITE A SYMPATHY CARD ALLERGY ALERT If you have a history of food allergies, studies suggest breastfeeding – at least for the first few months – may lessen the risk and severity of some food allergies in children.
Because words of sympathy can be hard to come by, here are some tips for this simple gesture of support: • Express words of sympathy that reflect your feelings; it can be as simple as saying you’re sorry to hear of the loss. • Offer support - let the person or family know you’re there for them. • Keep your note short and simple - sign it ‘sincerely’ or ‘with love’. • Personalize it however you can. Maybe share a short story or mention something that made the person special to you. INSPIRE ~ 1
Know Your Breasts Women of all ages can experience breast pain, breast lumps, skin and nipple changes, and nipple discharge; these symptoms don’t necessarily mean cancer. In fact, several benign (non-cancerous) conditions cause breast symptoms. Becoming familiar with your breasts – the size, shape, color, etc. – is important for your breast health. Joseph Tashjian, MD, director of Lakeview Hospital Breast Health Center, and breast imaging radiologist with St. Paul Radiology, says, “While we usually can’t prevent breast problems, we can be proactive in identifying them. Women should know how their breasts normally look and feel, and report any breast changes to their health care provider.” Experts agree that all women should be screened at age 50 and every one to two years thereafter. Dr. Tashjian says women between ages 40-49 should talk to their health care provider to discuss when screening should begin and at what intervals. He explains that ages for screenings could differ for women who have a family history of breast cancer or other factors. Dr. Tashjian says breast concerns can be a difficult topic to discuss but says it’s important to have these conversations. “I can assure you that the Lakeview Breast Health Center staff will make you feel comfortable during your visit.”
LEARN MORE AT HEALTHPARTNERSLOCALCARE.ORG/BREAST-HEALTH
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When surgery is the best option In 2015, physicians performed more than 20 million cosmetic and reconstructive surgeries in the U.S., and the most common were breast-related. Lakeview Hospital offers a range of plastic and reconstructive surgery services including breast reduction. “Breast reduction surgery may be your best option if you experience neck and back pain or other difficulties,” Says Dr. Tashjian. Insurance companies often determine that breast reduction surgery is medically necessary and provide coverage for the procedure. Another breast surgery that Lakeview plastic and reconstructive surgeons provide is mastopexy or breast lifts. Dr. Tashjian says that many women have this procedure to correct sagging or drooping breasts, which is common with aging, and after significant weight loss and with pregnancy.”
IS GENETIC TESTING RIGHT FOR YOU? Research shows mutations in two genes (BRCA1 and 2) are linked to breast, ovarian and other cancers. While they account for only 5 to 10 percent of breast cancer cases, women with those mutations have a five times greater risk of developing breast cancer. If you have a strong family history of breast cancer (multiple first-degree relatives such as your mother, sister, grandmother), consider seeing a genetic counselor. At Lakeview Hospital Breast Health Center, and the Cancer Center of Western Wisconsin, our genetic counselors can assess your risk factors and may recommend genetic testing.
Look Good, Feel Better Class The Look Good, Feel Better class teaches beauty techniques to women who have cancer and who are in active treatment.
Mon, Sept 12 or Nov 7 | 7-9 p.m. Westfields Hospital & Clinic FREE | Register: 715-243-2800 Mon, Nov 7 | 10 a.m.-Noon | Lakeview Hospital FREE | Register: 800-227-2345
BREAST HEALTH & SCREENINGS Amery Hospital & Clinic 715-268-0476 Hudson Hospital & Clinic 715-531-6437 Stillwater Medical Group 651-439-1234 Lakeview Hospital Breast Health Center 651-430-4612 Westfields Hospital & Clinic 715-243-2895
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Confused
about hormones The topic of hormone changes and how to address them is a subject that’s riddled with misconceptions. Shaban Nazarian, MD, an endocrinologist at Stillwater Medical Group, says that as women age, experiencing hormonal changes is normal. Hot flashes, cold sweats, trouble sleeping and fatigue are some of the symptoms women experience. To find relief, some women are turning to products – many not Food and Drug Administration (FDA)-approved – to test and treat their hormone levels. Sorting through some of the popular product claims can be confusing.
Community Class:
Truth or Myth? Sifting through nutrition and what’s right for me. Mon, Oct 10 | 6:30-7:30 p.m. FREE | Lakeview Hospital | Register online HEALTHPARTNERSLOCALCARE.ORG OR LEARN MORE: HEALTHPARTNERSLOCALCARE.ORG /ENDOCRINOLOGY
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Natural hormones or compounded (custom-mixed) bioidentical hormones are safer than FDA-approved hormones for treating menopause symptoms. “Natural hormones aren't safer or better than FDAstandardized products,” says Dr. Nazarian. “It’s best to get medications for hormone issues from a doctor or other health care provider who knows you and your health history.”
Salivary hormone testing is a reliable way to measure hormone levels for menopause and other age-related conditions. “Salivary hormone testing is not meaningful because salivary hormone levels vary with every woman depending on time of day, diet, stress and other factors,” says Dr. Nazarian. “It’s best to see a health care provider about the symptoms you are experiencing before beginning or adjusting hormone therapy.”
Adrenal fatigue is a real medical condition caused by chronic stress. Physical or emotional stress prevents your adrenal gland from producing enough hormones. “Adrenal fatigue is a diagnosis popularized through the Internet but it’s not an actual medical diagnosis," says Monica Stiles, MD, an endocrinologist at Hudson Hospital & Clinic and Westfields Hospital & Clinic. She says adrenal insufficiency, however, is a real and rare condition that can be life-threatening. “When your adrenal gland doesn’t make enough hormones, you can have significant weight loss and very low blood pressure. If you’re tired, you could have an adrenal problem. We can test to see if your adrenal gland is producing enough hormones.” Supplements and vitamins claiming to treat adrenal fatigue may not be effective.
Armour Thyroid medication is a good way to help lose weight and gain energy. Armour Thyroid medication is used to treat an underactive thyroid. This medication helps balance metabolism so weight gain and other symptoms lessen. Unless you take large doses of the medication, weight loss is minimal. “Taking excessive amounts of Armour Thyroid to lose weight when you don’t have a thyroid problem can put you at risk for heart problems and bone loss,” cautions Dr. Stiles. Talk to your doctor for diagnosis and treatment of any hormone-related condition.
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Mental illness refers to a range of mental health conditions – disorders that affect your mood, thinking and behavior. Examples of mental illness include depression, anxiety disorders, schizophrenia, eating disorders and addictive behaviors. Did you know that mental illness affects one in four people? This means that mental illness is as common as silver cars, people with brown eyes and being left-handed. People from every walk of life may experience mental illness.
Suicide Prevention Training Increased knowledge and awareness of suicide, and knowing the warning signs could help prevent suicide.
Wed, Sept 14 | 6:30-7:30 p.m. FREE | Amery Hospital & Clinic Conference Room ABC
Make it OK
Learn supportive words and ways to help a friend.
Tue, Oct 4 | 1-2 p.m. FREE | Lakeview Hospital
Stopping the Silence
SURROUNDING MENTAL ILLNESSES
Mental health is just as important as our physical health, which is why HealthPartners – including the St. Croix Valley Hospitals – is involved in an effort to stop the silence and the stigma surrounding mental illness. The “Make It OK” campaign was developed through a partnership with HealthPartners and the National Alliance for Mental Illness (NAMI), and designed to encourage open and caring conversations about mental illness in order to reduce stigma and improve care. TREATMENT Mental illnesses are biological conditions that – like heart disease, diabetes and other conditions – are treatable. Mental illness isn’t related to a person’s character, intelligence or willpower. Current treatment options for mental health disorders are highly effective. In fact, between 70 and 90 percent of people who receive treatment for mental health disorders improve. When we start talking about mental illness—normalizing it—we reduce stigma and barriers to people getting help. If someone says they have a mental illness, ask questions and show concern just as you would if they said they had cancer or another illness. Consider asking: ∙∙ What can I do to help? ∙∙ Are you getting the care that you need? ∙∙ Can I drive you to an appointment? You can also offer to help with yard work, errands or meals. Don’t forget the power of a card or a note with words of encouragement. You can help stop the silence around mental illnesses. Take the pledge to “Make It Ok” at MakeItOk.org. The website has helpful information and resources to better understand and help talk openly about mental health issues. NATIONAL MENTAL ILLNESS AWARENESS WEEK IS OCTOBER 2-8, 2016. Visit healthpartnerslocalcare.org or makeitok.org for more information on classes and discussions.
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A few simple ways cholesterol to
lower
Many people can reduce their cholesterol levels by changing their diet. Kathy Mead, RD, MPH, a clinical dietitian at Lakeview Hospital, says, “What and how much we eat is often a habit. It’s all a matter of making healthy substitutions and forming good eating habits.” Mead says in some cases, eating healthy can lower cholesterol levels by up to 25 percent.
Limit foods high in saturated and trans fats. Saturated fat raises blood cholesterol more than anything else in your diet. Saturated fat is solid at room temperature and is found in greatest amounts in foods from animals. Fatty cuts of meat, poultry with the skin, and whole milk dairy products contain saturated fat. Trans fats tend to raise cholesterol similarly to saturated fat. Trans fat is found mainly in foods made with hydrogenated vegetable oils, such as stick margarine, baked products and doughnuts.
High-fiber foods can help reduce risks of heart disease. Eat more foods with soluble
Use monounsaturated fats when cooking and preparing foods. Olive, canola and peanut oils are all monounsaturated fats and have heart-healthy benefits. Avocados, peanuts and almonds contain monounsaturated fats and should be eaten in moderation.
Eating more fish and nuts can help lower cholesterol. Both fish and nuts contain omega-3 fatty acids that help reduce heart attack risks. Try to eat fish at least twice a week – salmon, mackerel and tuna are
In addition to foods, regular exercise and sleep can help maintain weight and lower cholesterol. Unless your doctor tells you otherwise, try to get at least 30 minutes of moderate-intensity exercise daily. Try dancing, biking or brisk walking; you’ll feel and look better when you’re physically active. Establishing good sleep habits is also essential to good health. Adults need at least eight hours of sleep a night. Finally, if you’re on cholesterollowering medications, remember to take your medications as prescribed.
good choices. For nuts, try walnuts, flaxseed and soybeans.
fiber such as oatmeal, fruits, vegetables, beans and legumes.
VISIT HEALTHPARTNERSLOCALCARE.ORG for more information and to register for our Food For Life Classes.
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Allergy alert 8 ~
FOOD ALLERGY VS. FOOD INTOLERANCE
“Food allergies are different from food intolerances,” says Jennifer Koziol Wozniak, MD, an allergist at Hudson Hospital & Clinic. “A food allergy occurs when the immune system triggers a histamine reaction whenever it encounters the food. Food allergy symptoms can be mild or severe and include an itchy mouth, hives, vomiting, nasal congestion, coughing, and shortness of breath. Food intolerances can occur by multiple mechanisms and can include food-triggered migraines or lactose intolerance (inability to digest milk sugar).” FICTION: Having a food allergy or intolerance means you can never eat that food. FACT: If you have a severe food allergy, the offending food should be avoided; however, with food intolerances, you may be able to eat the food in small amounts or in a modified form,” says Dr. Koziol Wozniak. “Discuss your symptoms with your doctor to see if you should limit foods due to intolerance.” FICTION: Women should avoid peanuts during pregnancy and breastfeeding so the child doesn’t develop a nut allergy. FACT: Some studies show that avoiding allergenic foods during pregnancy might reduce food allergies but more studies are needed to confirm. Most doctors don’t recommend dietary
restrictions in pregnancy. “If you have a history of food allergies, studies suggest breastfeeding – at least for the first few months – may lessen the risk and severity of some food allergies in children,” says David DeGear, MD, a family medicine doctor at Westfields Hospital & Clinic. FICTION: For food intolerances, gradually cut out foods to find out what’s causing the trouble. FACT: “Identifying food intolerance is more complicated,” says Jill Norstrem, RD, a registered dietitian with Amery Hospital & Clinic. “A registered dietitian can help you understand the nutrition you need and teach you about ingredients, label reading and dining-out strategies. Keeping a detailed food and symptom record can also be helpful.”
VISIT HEALTHPARTNERSLOCALCAREORG/ALLERGY to learn more about food allergies and intolerances.
Allergies
Foods that make up 90 percent of food allergies: • Milk • Peanuts • Eggs • Tree nuts
• Soy • Shellfish • Wheat • Fish
Intolerances
These common culprits cause unpleasant gastrointestinal symptoms: • Lactose • Sucrose or maltose • Histamine and tyramine • Salicylate
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Urinary Incontinence Some women think loss of bladder control is an inevitable part of aging or an unfortunate result of childbirth. David Henly, MD, a urologist at Hudson Hospital & Clinic and Stillwater Medical Group, says, “Whether you leak a little or a lot, it can impact your quality of life.” The two main types of incontinence include stress incontinence and urge incontinence. “People with stress incontinence experience leakage when coughing, sneezing, laughing or lifting,” says Dr. Henly. “Those who have urge incontinence have leakage and a strong urge to go to the bathroom.” Fortunately, treatment options are available for both types and aim to improve your symptoms and get you back to an active lifestyle. For stress incontinence, pelvic floor physical therapy, a vaginal device called a pessary, or a midurethral sling, could help prevent leakage. Successful therapies for urge incontinence include lifestyle modifications, pelvic floor physical therapy and bladder medications. “The bottom line,” says Dr. Henly, “is that you don’t need to live with incontinence; there is help.” 10 ~
[ Let’s talk ]
Women’s health...no need to be shy! Abnormal Bleeding Even the most outspoken women may be shy when it comes to talking about women’s health conditions – but they’re more common than you might think.
If you experience irregular or heavy periods, you’re not alone. Hershel Zis Weisberg, MD, an OB/GYN at Amery Hospital & Clinic and Westfields Hospital & Clinic, says, “Abnormal bleeding affects many women and can be frustrating and inconvenient as well as cause fatigue, anemia and other health issues.” Dr. Weisberg says as women age, polyps or fibroids in the cervix or uterus can occur and cause bleeding issues. Treatment for abnormal bleeding, depends on the cause of the bleeding. “For women with heavy periods, ibuprofen can help reduce blood flow. Hormonal birth control or other medications can also provide relief.” Dr. Weisberg says that if medications don’t work, there are various surgeries available. “The surgery type depends on the cause of the bleeding and whether the woman plans to have children. Surgery options include: ∙∙ Dilation and curettage (D & C) –Treats uterine polyps and fibroids ∙∙ E ndometrial ablation – Destroys the lining of the uterus, resulting in lighter periods ∙∙ Myomectomy – Removes fibroids ∙∙ H ysterectomy – Removes the uterus but leaves the ovaries so women can go through menopause naturally If you experience any of these signs or symptoms, consult your primary care provider at any of our locations for the appropriate referral. L E ARN MO RE AT HEA LT HPA RT NERS LOC A LC A RE.ORG/P ELV IC-HEALTH
Community Classes:
Pelvic Health 101: Don’t Freak, Stop the Leak Learn about the pelvic floor, and bladder and bowel health..
Thur, Sept 29 | 6:30-7:30 p.m. | FREE Lakeview Hospital | Register Online
Pelvic Health: Take your pelvic floor to the gym A stronger pelvic floor will reduce your risk of incontinence, improve your sexual health, and boost your core strength and stability.
Thurs, Oct 27 | 6:30-7:30 p.m. | FREE Lakeview Hospital | Register Online
Pelvic-Floor Dysfunction Pelvic-Floor Dysfunction occurs when the walls of the vagina become relaxed. As a result, the vagina can collapse or fall out – a pelvic organ prolapse occurs. Symptoms of pelvic organ prolapse include pressure or heaviness in the pelvic area or vagina. Some women experience a bulge protruding from the vaginal opening, which can lead to discomfort and difficulty with urination or bowel function. The most common cause of pelvic organ prolapse is pregnancy and childbirth. Thomas Stormont, MD, a urologist at Stillwater Medical Group and Westfields Hospital & Clinic, says, “Thankfully, there are several effective surgical and nonsurgical treatments to treat pelvic organ prolapse. “One treatment,” says Stormont, “is a pessary, a vaginal device that supports the relaxed tissues. The other is physical therapy to strengthen pelvic muscles; surgery may also help resolve symptoms.” INSPIRE ~ 11
mom + baby SERVICES OFFERED THROUGHOUT OUR VALLEY LOCATIONS:
• On-site OB/GYN • Personalized birth plans • Midwifery care • High-risk obstetrics • Infertility • Childbirth education • Artificial insemination • Private birthing suites • Water births • Aromatherapy & massage • Pain Management • Breastfeeding services • Hydrotherapy • On-site neonatal services • Lactation support • Milk Depot Program • Level II nursery • Postpartum massages
LOCAL CARE + DELIVERY
... AND BABY MAKES FOUR Kyrsten Larrin and Dan Emmeck – and Dan’s son Ayden, age 7 – recently welcomed Lane Daniel to the family. The new bundle of joy was born at Westfields Hospital & Clinic, which the family says was a great decision. “I felt so at home with the care I received at Westfields before, during and after delivering Lane; never once did I feel like I was in a hospital,” says Kyrsten. “The doctors, nurses and other staff were so kind and caring.” Kyrsten says she loved the consistency of care at Westfields. “Often, the Westfields doctor that you see for your prenatal care also delivers your baby.” However, when Lane decided it was time to enter the world, Kyrsten’s doctor [Robin Reichert, MD, a family medicine physician] was out of town. Zis Weisberg, MD, an OB/GYN was on call and Krysten says she was comfortable with him providing her care. “Fortunately, I knew Dr. Weisberg from one of my ultrasound visits so I trusted him with my delivery.” Kyrsten’s birth plan to deliver naturally also took a detour. “After 31 hours of labor – and for the safety of me and my baby, my doctor and I decided to have a C-section. Dr. Weisberg and the rest of the staff were incredible; I felt like I was in good hands.” Kyrsten says she also had excellent follow-up care. “The staff made sure that my pain from the C-section was manageable and they did everything to ensure I had a quick recovery. I tell all of my friends and family to go to Westfields for their care.”
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MEETING YOUR NEEDS BEFORE, DURING AND AFTER BABY
NEONATAL CARE
PRENATAL EDUCATION
PEDIATRICS
OUR TINIEST PATIENTS
READING, WRITING
WELL EXAMS
—AND BABY CLASSES
We all know the importance of our children seeing a health care provider when they’re ill, but ongoing wellness visits are just as essential for children starting at just 2 weeks old. Health care providers recommend wellness visits to keep your child healthy. “Preventive care is so important to a child’s overall well-being,” says Teri Kohlrusch, CPNP, a pediatric nurse practitioner at Amery Hospital & Clinic.
Tiane Bridgeman of Woodbury, Minnesota, is the busy mom of 10-year-old twin boys, a 7-year-old stepdaughter, and a newborn baby boy, Avery. While pregnant with Avery, because of some potential risks, Tiane’s already busy schedule included regular ultrasounds at Lakeview Hospital; her provider was Melissa Kriscunas, DO, of Stillwater Medical Group. “At 34 weeks pregnant, I was told that I needed a C-section. Due to a prior C-section at another facility, which was not a good experience, I was very nervous to have another cesarean,” recalls Tiane. She says her nervousness quickly faded when she met the care team. “Before the procedure, the delivery team took time to introduce themselves to me, which made me feel so comfortable. I didn’t feel any pain and Avery arrived weighing nearly 4 pounds.” Avery’s birth weight required him to spend time in Lakeview’s Neonatal Intensive Care Unit where he received extra care and observation. “I was so happy Avery didn’t have to transfer to another facility for special care,” says Tiane. “My room was just a few doors from the nursery and I was able to hold and feed him.” Tiane says in addition to her supportive friends, she’s so grateful for the team at Stillwater Medical Group and Lakeview Hospital for giving her a great experience during a difficult time.
Through the Childbirth and Family Education program in the St. Croix Valley, several childbirth and family classes are available for new and expectant moms and dads, siblings and even grandparents! Paige Lewis, BS, ICCE, Childbirth and Family Educator at Hudson Hospital & Clinic, says classes on prenatal education, breastfeeding, infant massage, baby sign language, and the new parents' education and support groups are among the many class offerings. “I encourage parents to join the support group. We meet in a relaxed environment for families to share encouragement, joys and concerns of parenting. We offer facilitated support discussions, parenting and birthing education, and guest speakers.” Paige says all of the classes help families transition into life with baby through support, education and connection to others.
Teri says during these visits, parents and children can get information on nutrition, growth and development as well as behavior, and social and emotional concerns. In addition, she says, well-baby and well-child exams provide the opportunity to establish an ongoing, trusting relationship with your child’s health care provider throughout those important growing years. “These visits help you manage the challenges and the joys that come with being a parent,” says Teri.
Additional class offerings: Baby Building; Big Brother, Big Sister; the American Red Cross Babysitters' Training Course; and a class just for grandparents. Learn more about birthing classes, visit healthpartnerslocalcare.org/ classes.
Learn more or register for prenatal classes at
HEALTHPARTNERSLOCALCARE.ORG/WOMEN INSPIRE ~ 13
PLANNING for the
FUTURE Get help Advance Care Planning Help Line Amery – 715-268-0682 Hudson – 715-531-6190 Lakeview – 651-430-4688 Westfields –715-243-2698
Online resources
HealthPartners supports Honoring Choices Minnesota and Wisconsin – encouraging families and communities to have discussions regarding end-of-life choices. www.honoringchoices.org. healthpartnerslocalcare.org/ homecare-hospice
It’s never too early to plan for your future. Making your health care wishes known – should you be unable to communicate – can ease you and your loved ones minds. A Health Care Directive—also known as an advance directive – is a written statement of a person’s wishes regarding medical treatment and often includes a living will. Having an advanced directive can help ensure that your or your families’ wishes are carried out. A directive describes the medical treatments and life-sustaining measures you would or wouldn’t want if you weren’t able to speak for yourself. Erika Schendel, MSW, a social worker at Hudson Hospital & Clinic, says, “Talking about unexpected events and end-of-life wishes can be an uncomfortable subject but ultimately can make decisions less stressful.” She says it’s important to identify someone – a health care agent or power of attorney for health care – to communicate your requests if you’re unable. Health Care Directives are optional. Adults 18 years or older can create a directive. Schendel suggests you review and update your directive when there are changes to your health or life circumstances. Give copies to your health care agent, doctor, family or those you want to know your wishes. Keep the original document at home and make sure someone knows where to find it.
Community Classes:
Advance Care Planning for Wisconsin Residents
Second Wed of every month | 11 a.m.-Noon | Amery Hospital & Clinic, Conference Room ABC Wed, Nov. 2 | 10-11 a.m. | Hudson Hospital & Clinic REGIST ER O NLINE: HEA LT HPA RT NERS LOC A LC A RE.ORG
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Empathy in Action If you haven’t personally experienced illness or loss, you likely know someone who has. When these situations occur, we often are unsure of what to do or say. Erika Schendel, MSW, a social worker at Hudson Hospital & Clinic, shares advice for supporting those you care about through hard times. Schendel says when it comes to lending a helping hand, many of us leave it to the person in need to ask for help. “We innocently tell people to reach out if they need anything but most people have a hard time doing so.” Instead, Schendel suggests giving the person/people in need options for how you can assist them. Offer to: ∙∙ Collect mail or pick up the newspaper ∙∙ Mow the lawn, rake leaves or shovel ∙∙ Clean the house ∙∙ Stock the fridge or pick up groceries and other necessities ∙∙ Run errands ∙∙ Walk the dog or help with other pet care ∙∙ Help with holiday shopping ∙∙ Babysit or drive children to activities ∙∙ Listen. Many people just want someone to talk with. Schendel says don’t minimize the impact of a handwritten note of encouragement or think it’s too late to extend an offer to help. “Any act of kindness – big or small – is almost always appreciated.”
COMBINING RESOURCES When illness or loss occurs, many people offer to provide a meal to those impacted. While the recipients may appreciate not having to cook, oftentimes they get more food than they can eat. Schendel says, “Try to coordinate meal delivery with larger groups of people versus individually, and use online resources such as SignUpGenius or Lotsa Helping Hands to help coordinate the meals.” She says consider making meals that are freezable so the recipient can eat them as needed and try to use disposable containers so recipients don’t have to worry about washing and returning dishes.
Community Classes:
• Advanced Care Planning • Grief During the Holidays REGISTER ONLINE: HEALTHPARTNERSLOCALCARE.ORG
INSPIRE ~ 15
RECOGNIZING EXCELLENCE
CLINIC LOCATIONS AMERY º * - 715-268-8000 CLEAR LAKE - 715-263-3100 LUCK - 715-472-2177 HUDSON º - 715-531-6700
HealthPartners’ St. Croix Valley hospitals and clinics received several awards in 2016 for demonstrating a commitment toward excellence. The awards reflect our commitment to our patients and families; quality and safety; and the communities we serve through sustainability and protecting the environment.
MAHTOMEDI - 651-439-1234
TOP DOCTORS 2016 (MPLS/ST. PAUL MAGAZINE)
TURTLE LAKE - 715-986-4101
Mpls/St. Paul Magazine named three physicians from Stillwater Medical Group and Lakeview Hospital as 2016 Top Doctors in the Twin Cities. The physicians’ peers nominated them for this honor based on their exceptional patient care. “It’s an honor for our physicians to receive this recognition and reflects the tremendous work happening across the organization to improve health and well-being in partnership with our members, patients and community,” says Ted Wegleitner, President and CEO, Lakeview Health. Congratulations to these physicians for achieving the Top Doctors 2016 recognition.
* Walk-in appointments available º Pharmacy location
∙∙ Kevin Bjork, MD, General Surgery ∙∙ Candy Corey, MD, Oncology ∙∙ L aura Dean, MD, OB/GYN – one of five (of 864 Top Doctors) profiled to offer insight into critical ways medicine is evolving in their fields.
TOP HOSPITAL AWARDS iVantage Health Analytics named Westfields Hospital & Clinic as one of the Top 100 Critical Access Hospitals (CAHs) in the United States. CAHs that make the top 100 list (of 1,300 CAHs) are measured on nearly 70 different performance metrics, including quality, outcomes, patient perspective, affordability, population risk and efficiency.
BECKER’S AWARD Hudson Hospital & Clinic was named in Becker’s Hospital Review “50 Critical Access Hospitals to Know.” Hospitals named to this list are critical access hospitals that demonstrate excellence in caring for their communities, providing quality health care in a rural setting, and rising above to meet the needs of their patients.
SUSTAINABILITY AWARDS HealthPartners won several 2016 Practice Greenhealth Environmental Excellence awards for our commitment to sustainability and environmentally friendly practices. In the St. Croix Valley, our hospitals were recognized for the following: ∙∙ C ircles of Excellence (Top 10), Food: Hudson Hospital & Clinic recognized as a hospital that drives innovation in sustainability performance through local purchasing, composting, eliminating sugar-sweetened beverages, to name a few. ∙∙ G reening the OR Recognition: Hudson Hospital & Clinic, Westfields Hospital & Clinic and Lakeview Hospital were recognized for efforts to reduce the environmental impact of the surgical environment. ∙∙ G reenhealth Emerald Award: Hudson Hospital & Clinic, Westfields Hospital & Clinic and Lakeview Hospital for achieving improvements in mercury elimination, waste reduction, recycling, to name a few. ∙∙ P artner for Change Award: Amery Hospital & Clinic for demonstrating strong sustainability program implementation.
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NEW RICHMOND º * - 715-243-3400 STILLWATER º * - 651-439-1234 SOMERSET - 651-439-1234
NEW CLINICIANS AMERY HOSPITAL & CLINIC Benjamin D. Bogle, DNP Family Medicine Tracey L. Harris, DNP Family Medicine Sabrina Meddaugh, DNP Family Medicine Angela Nevin, DNP Gerontology HUDSON HOSPITAL & CLINIC Kim Northwick, PA Cardiology STILLWATER MEDICAL GROUP Elizabeth M. Alm, MD Occupational Medicine Kiley Black, CNP General Surgery Urology Emily W. Hall, MD Internal Medicine Amanda J. Lamanna, PA-C Urgent Care Tim Lamanna, PA-C Family Medicine Lisa M. Naser, PA-C Urgent Care WESTFIELDS HOSPITAL & CLINIC Olusola “Shola” Adegoke, MD Family Medicine Megan Jourdan, MD Family Medicine Claire Phillippe, DO Family Medicine
MAKE GOOD HAPPEN
CLASSES
REGISTRATION REQUIRED healthpartnerslocalcare.org or call 800-429-0383
All classes are FREE unless otherwise noted. Additional Classes Online.
Is it Perimenopause? How do I manage the symptoms?
Ankle Instability and Sprains
Wed, Oct 12 | 6:30-7:30 p.m. | Westfields Hospital & Clinic
If you’ve had repeated ankle sprains or your ankle generally feels wobbly, then join Jessica Downes, MD, of Twin Cities Orthopedics, to learn about the treatments to regain proper ankle stability.
Many physiological changes occur in women experiencing perimenopause. H. Zis Weisberg, MD, OB/GYN, will talk about perimenopause, menopause and treatments to consider for a healthy transition into menopause.
OCTOBER Hand and Wrist Arthritis Mon, Oct 3 | 6:30-7:30 p.m. | Lakeview Hospital Do your hands or wrists sometimes feel numb, ache or have shooting pains? Do you wonder if it's arthritis? Join Nicholas Meyer, MD, of Twin Cities Orthopedics to learn about the different types of arthritis that affect the hands and wrists, and about treatment options.
SEPTEMBER
Truth or Myth? Sifting through nutrition and what’s right for me
Living Well with Chronic Conditions
Mon, Oct 10 | 6:30-7:30 p.m. | Lakeview Hospital
6 sessions: Thurs, Sept 8, 15, 22, 29 and Oct 6, 13 | 4:30-7 p.m. Amery Hospital & Clinic, Conference Room ABC Register: 877-485-2372
Are you confused by all of the nutrition information that’s in the media? Join registered dietitians Jennifer Sletten, RD and Lexy Wood, RD, to learn about the hot nutrition topics, best eating practices, and the best sources to find diet and lifestyle information.
Are you an adult with one or more ongoing health conditions that prevent you from doing the things you enjoy? Join the Aging and Disability Resource Center of Northwest Wisconsin to learn strategies and skills to regain control of and better manage your ongoing health conditions.
HBO, Not the cable channel! Mon, Sept 12 | 1-2 p.m. Amery Hospital & Clinic, Conference Room ABC Hyperbaric Oxygen Therapy (HBO) is a treatment that’s used in combination with Amery Hospital & Clinic’s standard chronic wound treatment. HBO delivers concentrated oxygen in a way that super charges the body’s ability to heal itself from the inside out. Join Anders Ulland, MD, Medical Director of the Amery Hospital & Clinic Wound Healing Center, for this discussion about the benefits and limitations of HBO.
AARP Smart Driver Tues, Sept 13 | 1-5 p.m. | Hudson Hospital & Clinic $15 for AARP members, $20 non-members | Pay at the door For senior drivers age 55+, this class provides reviews and updates on the new road systems and rules of the road. Possible discount for car insurance; check with your agent.
Sleep Disorders Mon, Sept 19 | 6:30-7:30 p.m. | Lakeview Hospital Do you feel sleepy during the day? Do you have trouble falling asleep or wake up in the middle of the night? If so, you might have a sleep disorder. Join Sleep Specialist Mustafa Ucer, MD, to learn about sleep conditions and how they can impact overall health.
High Blood Pressure: Medications & Self Care Fri, Sept 23 | 1-2 p.m. Amery Hospital & Clinic, Conference Room ABC Join cardiologist Sunny Kaul, MD, and registered dietitian, Katy Ellefson, RD, to get the latest news on blood pressure targets, home monitoring medicine and how diet and lifestyle changes can lower your blood pressure.
Hip Pain: Preservation, Interventions, and Recovery Tues, Oct 11 | 6:30-7:30 p.m. | Lakeview Hospital Do you experience hip pain an it’s slowing you down causing you to miss activities you once enjoyed? Kevin Lindgren, MD, of Twin Cities Orthopedics, will share how to preserve the hip joint, options for when the hip joint becomes too painful, and surgical and nonsurgical treatments.
Common Conditions of the Foot and Ankle Thurs, Oct 13 | 6:30-7:30 p.m. | Lakeview Hospital Troy Vargas, MD, Twin Cities Orthopedics will discuss common foot conditions such as plantar fasciitis, hammer toes, arthritis and much more.
Dealing with Depression: Self-help and Coping Tips Wed, Oct 19 | 6:30-7:30 p.m. | Amery Hospital & Clinic Overcoming depression isn’t quick or easy, but making positive, small steps each day will help. Join us to learn some self-help and coping strategies that will help you begin to feel better.
Medicare Annual Enrollment Period Overview and Updates Wed, Oct 26 | 9-11 a.m. or 1-3 p.m. | Hudson Hospital & Clinic Wed, Oct 26 | 1-3 p.m. | Westfields Hospital & Clinic Join the Benefit Specialists of the Aging and Disability Resource Center of St. Croix County to hear about the 2017 plans and how you can make an informed choice about your future coverage.
Wed, Nov 2 | 6:30–7:30p.m. | Hudson Hospital & Clinic
Menopause Survival Guide Wed, Nov 9 | 6:30-8 p.m. | Lakeview Hospital If you’re experiencing perimenopause or menopausal symptoms, join Michelle Rice, CNP certified menopause practitioner, to learn about natural solutions to manage hot flashes, sleeplessness, headaches and other symptoms. Registered dietitians Susan Crowell, RD and Kathy Mead, RD will discuss nutrition choices that can help reduce symptoms. A cooking demonstration with samples is included.
Diabetic Neuropathy: What’s a Wound to Do? Monday, Nov 14 | 1-2 p.m. Amery Hospital & Clinic, Conference Room ABC Do you have diabetes? Have you ever heard of neuropathy? Neuropathy means nerve damage and is a major complication of diabetes. Neuropathy can lead to loss of feeling in the extremities, which can result in ulcers that are hard to heal. Join Anders Ulland, MD, a surgeon and medical director for the Amery Hospital & Clinic Wound Healing Center, to learn about neuropathy and the steps to prevent non-healing wounds. Dr. Ulland will also discuss what to do if you already have a chronic wound.
Pelvic Health: Sexual Health, Keepin’ it Sassy Thurs, Nov 17 | 6:30-7:30 p.m. | Lakeview Hospital Pregnancy, menopause, aging and other medical conditions can affect sexual health. Join pelvic health specialists Cindy Land, RN; Liz DeJonge, PT; and health and performance coach Marty Larson of Uncommon Age Neura-Stillwater, to discuss sexual health, vaginal dryness, and changes that can occur with menopause or cancer treatments.
SAVE THE DATE! Women's Health & Wellness Expo Thurs, Oct 27 | 5-8 p.m. | R&D Banquet Hall, New Richmond
WEBINARS From your home, office or anywhere with your mobile device, listen to expert advice on improving your health and wellbeing. Each Lunch 'n Learn webinar will include time for questions and answers. Registration required. All webinars are held on the third Wednesday of the month from Noon-12:40 p.m.
NOVEMBER
Shopping healthy on a budget | Wed, Sept 21
Advance Care Planning for Wisconsin Residents
Grief during the holidays | Wed, Nov 16
Wed, Nov. 2 | 10-11 a.m. | Hudson Hospital & Clinic Get the tools you need to assess your goals, values and beliefs about end-of-life care.
Exercises at your desk | Wed, Oct 19 Staying motivated, How to exercise when it’s cold outside | Wed, Dec 21
INSPIRE ~ 17
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