FALL / WINTER 2008 Child Life experts reduce fear for children and families Memorial Hospital Winner www.qualityoflife.org FdHDFA0839.indd 01 8/26/08 4:50:33 PM FALL / WINTER 2008 Now Playing… Child Life experts reduce fear for children and families CONTENTS 3-5 News Briefs Scrambled Egg Burritos Diet Dos Bean Palooza Celebrating a New Partnership Mini-Medical School Address Confidentiality Program The RedZone MMG Welcomes New Doctors Expo for Women A New Resource 6 6 Now Playing… Responding to Risk Child Life experts reduce fear for children and families One woman’s passion for early detection 7 Know the Warning Signs Vicki Achor’s sister did, and saved her life 8-9 Responding to Risk One woman’s passion for early detection 8-9 10 A View of the Future New corneal transplant procedure transforms lives Celebrating New Life 1a-8a Donors A Thanksgiving Day miracle Memorial Health Foundation recognizes its generous benefactors 11 Celebrating New Life A Thanksgiving Day miracle 12-13 Memorial’s Health & Lifestyle Center Making strides for a lifetime of health 14 A Nurse’s Instincts 11 15 Memorial Home Care’s 25th Anniversary 16-17 Pediatric Hospitalists Pediatric Hospitalists A new standard of care for children A new standard of care for children 18 Your Best Defense What you must know about colon cancer 19 Classes & Services 16-17 On the cover: Certified Child Life Specialist Becky Emmert, teaches patients what to expect from their upcoming surgery or procedure. PULSE is a biannual publication of Memorial Health System. Memorial Health System is a community-owned health care system providing services for people and families throughout Michiana. Philip A. Newbold, President & CEO; Cheryl Wibbens, M.D., Medical Director; Maggie Scroope, Print Publications Coordinator; Dayna Bammerlin, Designer; Kelley Taghon, Designer. Memorial Health System, 615 N. Michigan St., South Bend, IN 46601. 574-647-6800, www.qualityoflife.org. Copyright © 2008 by McMurry. All rights reserved. Information in this publication is not intended for the purpose of diagnosing or prescribing. Consult your physician before undertaking any form of medical treatment and/or advice contained in this publication. If you are receiving multiple copies, need to change your mailing address or do not wish to receive this publication, please send your mailing label(s) and the updated information to McMurry, 1010 E. Missouri Ave., Phoenix, AZ 85014. 888-626-8779. Memorial Health System • 574-647-6800 FdHDFA0839.indd 02 Printed on recycled paper 8/26/08 4:50:52 PM Scrambled Egg Burritos Whether for a tasty breakfast to kick off your day Ingredients a 10-inch nonstick skillet over medium- or a satisfying meal for after work, these burritos 4 9-inch whole-wheat flour tortillas low heat. Add chiles and cook, stirring, deliver protein, complex carbohydrates and loads of 4 large eggs for 1 minute. Add eggs and cook, stirring vitamins and minerals. They’re sure to win fans for ∞⁄◊ teaspoon salt, or to taste slowly with a wooden spoon or heat- their taste—and for the simplicity and little time Freshly ground pepper to taste proof rubber spatula, until soft, fluffy required to make them. 1 teaspoon extra-virgin olive oil curds form, 1∞⁄∏ to 2∞⁄∏ minutes. 14-ounce can chopped green chiles To serve, divide eggs evenly among ∞⁄∏ cup grated Cheddar or the tortillas. Sprinkle each with about Pepper Jack cheese 2 tablespoons cheese and roll up. Serve 2 cups salsa with salsa and sour cream. ∞⁄¬ cup reduced-fat sour cream Nutritional Information Directions Makes 4 servings; per serving: 328 calories, Preheat oven to 350°F. Wrap tortillas in 5 g fat, 35 g carbohydrate, 18 g protein. foil and heat in the oven for 5 to in a medium bowl with a fork. Heat oil in Diet Dos Often, it’s preparation (or lack of it) that causes us to make poor food choices. Here are ideas for next time a poor food choice stares you in the face. ! WHEN YOU WANT THIS REACH FOR THIS SAVE GAIN low-fat flavored yogurt nonfat plain yogurt with applesauce or blueberries 20 grams of simple sugars and resulting sugar crash consistent blood sugar levels; vitamins and minerals from real fruit a can of tomato soup homemade soup from cooked tomatoes (2/3 c) and onion (1 sliced), skim milk (1/2 c), garlic (1 clove), whole-wheat flour (1 tsp), butter (1 tsp), basil and oregano to taste—all pureed 500 mg or more sodium found in most processed soups, artificial flavorings and preservatives vitamins, minerals and antioxidants in natural food a bagel sandwich with cream cheese and turkey a turkey sandwich on whole wheat bread with low-fat mayo topped with tomatoes, cucumber slices and sprouts 100 calories and 10 grams of fat betacarotene and vitamins C and E from the vegetables; consistent blood sugar from whole grains TAKE CHARGE OF YOUR HEALTH! Memorial’s Health Discovery Center offers free blood pressure, body fat, BMI, weight and height screenings. Other services are also available for a small fee. Call 574-647-6800. Source/Photo: The American Diabetes Association Cookbook from the Countryman Press/W.W. Norton & Company Inc. Bean Palooza Did you know that many types of legumes (such as black, pinto and kidney beans and lentils) have more antioxidants than other foods, even some fruits? Packed with complex carbohydrates, protein, fiber, antioxidants, vitamins, phytochemicals (that help prevent cancer) and minerals, beans offer a serious nutritional boost. Here are three ways to eat more of them: 1 2 3 Include them in salads and soups. Enjoy a beans and rice (preferably wild or brown rice) night every week. Make healthy yet delicious burritos with whole grain tortillas, beans, rice, avocado, spinach, bell peppers and salsa. FALL / WINTER 2008 › www.qualityoflife.org 10 minutes. Blend eggs, salt and pepper 03 FdHDFA0839.indd 03 8/26/08 4:51:24 PM Celebrating a New Partnership PULSE › Memorial Health System › 574-647-6800 Memorial has joined the network of more than 60 hospitals in Indiana who rely on Indiana Blood Center for blood and blood components. The relationship ensures Memorial will meet its patients’ need for some 800 units of blood and blood components each month as well as provide access to 24-hour physician counsel with transfusion specialists, advanced blood compatibility testing, Indiana’s bone marrow registry and technical education for lab and medical staff. Mini-Medical School For the 14th year, Memorial’s Department of Medical Education offered a series of lectures on the hottest topics in medicine. Physicians and university and medical school professors presented on issues such as the athletic steroid scandal, food allergies, the Human Papillomavirus and premenstrual syndrome. This series, presented by Memorial Hospital and the Indiana University School of Medicine-South Bend, is free of charge and open to the public. Address Confidentiality Program In 2007 alone, 75 deaths were attributed to domestic violence in Indiana. The Office of the Indiana Attorney General, along with the support of local social service organizations including Memorial Hospital of South Bend, assists Christina Oleksak, R.N., prepares medications in the victims of violence, stalking RedZone on 11 South. and sexual assault through a new Address Confidentiality Program. The program works in this manner: Participants are assigned confidential addresses. Mail received at these addresses is sent to the Attorney General’s office for processing. The mail is then forwarded to the victims’ actual homes. Eligible persons must have a protective order in place, be a victim of domestic violence and fear for their safety. In spring 2008, Memorial Hospital held a press conference announcing the expansion of this program. Also in attendance: Steve Carter, Attorney General; Linda Baechle, executive director of the YWCA of St. Joseph County; Peter Morgan, executive director of the Family Justice Center of St. Joseph County; and Mike Dvorak, St. Joseph County Prosecutor’s Office. “While we hope there aren’t many people in Indiana who need this program, we are concerned that there are many who could benefit from this service,” says Attorney General Steve Carter. The RedZone Safety. Efficiency. Innovation. These are principles Memorial lives by. It’s also an important part of the Memorial culture to strive to make Memorial even more safe and efficient—to make this an even better place to work. Developed as a WOW! Project, the team on 11 South imagined a better way to ensure the safe and timely delivery of medications. The RedZone (a room with all of the supplies to prepare medications) allows for uninterrupted medication preparation, helping to reduce costly errors. No one is allowed to disturb or interfere with anyone in the RedZone. “The RedZone has increased efficiency, reduced the number of medication errors, improved patient safety, decreased noise in the hallways and increased staff satisfaction,” says Jennifer Pierce, director of 11 South. 04 FdHDFA0839.indd 04 8/26/08 4:51:50 PM NEWS BRIEFS Memorial Medical Group Welcomes New Doctors If you’re looking for a family doctor, or would like a complete list of Memorial Medical Group physicians, please visit www.qualityoflife.org and click on “Find a Physician.” We would be glad to help you and your family meet your health care needs. Melissa Asgaonkar, M.D. Kate Dutkiewicz, M.D. Jason Grove, DPM Pediatric Hospitalist Memorial Hospital Pediatric Hospitalist Memorial Hospital Podiatry Main Street Medical Group & LaPorte Medical Group Carol Luzzi, M.D. Raman Mitra, M.D., Ph.D. Rodolfo San Juan Jr., M.D. Behavioral & Developmental Pediatrics Electrophysiology Advanced Cardiovascular Institute Family Medicine LaPorte Medical Group Memorial Medical Group is an affiliate of Memorial Health System. Hildi Santo Tomás, popular designer on TLC’s “Trading Spaces,” shared her unique approach to interior design and a woman’s wellbeing at the 2008 Expo for Women. The Expo attracted hundreds of local women and families to the Century Center for great health information from Memorial’s Health Pavilion, which included free breast exams, and information from the Memorial Regional Breast Care Center, Weight Loss & Bariatric Surgery Center, Sleep Disorders Center, Regional Childbirth Center, the Health Discovery Center and more. This year’s Expo coincided with the 2008 Spirit of Women Awards. Awards celebrating outstanding contributions to our community were received by Sandra Brown, M.D., (Health Care Award), Robin Clark (Community Award) and Alexandra Holderman (Youth Award). Hildi Santo Tomás joins Roxanne Hamilton of Memorial Home Care in displaying DNA artwork at the 2008 Expo for Women. A New Resource For 24-hour access to sign language interpretation while at Memorial Hospital, physicians and nonhearing patients can now request Language Line® Video Interpreting Service. Similar to an IV pole, this system consists of a TV monitor on a 4’ pole that can be wheeled to any department. An off-site sign interpreter can see the caregiver and patient, as well as hear what our physicians, nurses and staff are saying and sign back their instructions to the patient. This system provides instant access to certified American Sign Language interpreters, anytime, anywhere inside the hospital. This system complements Memorial’s Spanish and French interpreters and translators and the telephonic interpretation of 121 different languages that is also available 24 hours a day. To learn more, call 574-647-6796. FALL / WINTER 2008 › www.qualityoflife.org Expo for Women 05 FdHDFA0839.indd 05 8/26/08 4:52:05 PM Child Life experts reduce fear for children and families A visit to the hospital can be scary for anyone. For children, even a “routine” hospitalization can feel stressful. Child Life Specialists work with children, their families and the health care team to: • Ease a child’s fear with therapeutic play • Encourage support for children undergoing tests, surgeries and other procedures • Advocate for family-centered care • Coordinate special events and entertainment • Meet the needs of siblings affected by a child’s hospitalization • Support families experiencing grief • Provide education for parents and members of the child’s health care team Source: Child Life Council FdHDFA0839.indd 06 Certified Child Life Specialists (CCLS) use their special skills to help ease the anxiety of children and their families experiencing health care or other life-altering events, such as surgery or the illness or death of a loved one. Memorial Children’s Hospital’s Child Life program is the only one of its kind in Northwest Indiana. “We help children adjust to being in the hospital by providing emotional and developmental support to both them and their families,” says Tracy Byler, CCLS, Child Life program coordinator. Child Life Specialists also recognize and celebrate the important role of play in the life of a child. Through therapeutic play, children learn what may happen to them and master their medical experiences. Understanding that a child’s wellbeing depends on the support of their family, Child Life Specialists provide information, support and guidance to parents, siblings, and other family members. They also play a vital role in educating caregivers, administrators, and the general public about the needs of children under stress. “One of our main goals is to promote normalcy to help kids feel control over their situation,” says Alison Credi, Certified Child Life Specialist. Just two years since its inception, the Child Life program at Memorial has grown considerably. In fact, the team welcomed their fourth specialist, Tina Tropp. The team has helped provide exceptional health care experiences to children (from infants to 18 years of age) and their families by providing specialized services to patients in general pediatrics, pediatric intensive care, radiology, the emergency department, pediatric hematology/oncology and the Newborn Intensive Care Unit. “We work closely with children and their families to reduce anxiety and increase understanding of their hospitalization through teaching and medical play activities,” says Becky Emmert, Certified Child Life Specialist. “Child Life is an important part of any child’s stay here at Memorial.” Memorial’s Child Life program appreciates the generosity of the community to help provide arts and crafts material, games, books, toys and much more. If you would like to help, please call 574-647-6334. 8/26/08 4:52:30 PM (from left) Nancy Moore, R.N.; Gerard Duprat, M.D.; Kathleen Swanson, R.T. Know the Warning Signs Vicki Vicki Achor’s sister did, and saved her life Knowing the warning signs of stroke—and acting quickly—saves lives! to be fully aware of stroke symptoms and protocols, and you need to have an interventional radiology team capable of showing up quickly, 24 hours a day. This whole system worked very well in this case.” Her sister Vicki Achor, who had been visiting for a few weeks, wasn’t feeling well that day and had gone to bed early. “I kept hearing something,” recalls Coleman. “I followed the noise to her bedroom door and opened it. It was Vicki making a low sound, her head was turned to the side and she was staring behind the bed.” Achor’s first step in this system was to Memorial’s Leighton Emergency Trauma Center. “My staff and I quickly assessed the problem and then attempted to ascertain if there was an intervention that would improve the outcome for this patient,” says Emergency Physician William Farrell, M.D. “Her outcome speaks volumes for the team effort of all who were involved.” “I grabbed her hands and looked into her eyes, and I just knew she had had a stroke,” adds Coleman. She and her son immediately called an ambulance. “Her sister absolutely helped save her life,” says Gerard Duprat, M.D., interventional radiologist and Memorial Hospital medical staff president. “She recognized the symptoms, called 911 and got her here—fast.” After assessment and treatment in the ER, she received a CT scan and was transferred to Interventional Radiology. When Achor arrived she could not speak and her right side was paralyzed. A clot had formed in her carotid artery, which then broke into several pieces that traveled to her brain, affecting her ability to move and speak. “The whole system worked together terrifically to help produce this outcome,” says Dr. Duprat. “The family needs to know the warning signs and call an ambulance immediately, the ER physicians need Dr. Duprat and his team performed intracranial thrombolysis, a relatively new procedure for stroke patients, which delivers medication (tPA) directly to the blood clot. The more common procedure of delivering FdHDFA0839.indd 07 medicine intravenously was not recommended in this case because Achor had recently undergone surgery on her carotid artery, which placed her at high risk for bleeding. Within 24 hours of the procedure she had recovered completely and was able to walk unassisted. Without this treatment it is unclear how much function she would have regained. “This patient recovered completely and dramatically, due in part to the system we have in place here at Memorial, and the quick thinking of the patient’s sister,” says Becky Castro, R.N., stroke clinical nurse specialist. “The doctors kept telling me that if it wasn’t for my family’s response, we may not have had the outcome that we did,” says Coleman. “We were blessed to have all the right people doing all the right things at all the right times.” FALL / WINTER 2008 › www.qualityoflife.org For a self-professed “8 p.m. person,” Nancy Coleman was up well past her bedtime on March 30. “For some reason, I was up really late that night, which is odd for me, but it’s a good thing I was,” says Coleman. The Warning Signs of Stroke • Sudden numbness, tingling, or weakness, usually on one side of the body • Sudden difficulty talking such as slurred speech, garbled speech or sudden onset of confusion • Sudden change in vision • Sudden loss of balance, lack of coordination, falling down, dizziness, nausea or vomiting • Sudden severe headache (most people say this is the worst headache of their life) 07 8/26/08 4:52:56 PM Responding to RISK PULSE › Memorial Health System › 574-647-6800 One woman’s passion for early detection Like many men, Cheryl Guidi’s husband never went out of his way to see his doctor or schedule physicals. But with gentle nudging from his wife, it finally happened. His next physical was scheduled and was just a week away—when he passed away from a sudden heart attack. WhatsMyRisk.org is a simple, convenient way to access the resources of Memorial’s experts, all in the comfort of your own home. By selecting from any of the six choices, you can learn whether you may be at risk for heart disease, stroke, obesity, sleep disorders, lung disease or diabetes. More than most, Guidi, a central intake coordinator at Memorial Home Care, understands the importance of knowing what’s going on inside. Answer all the questions as truthfully as possible, press “Submit” and nurses from the Health Discovery Center take it from there. Participants are then scheduled for a free check up with a nurse educator, who will take a brief health history, perform some basic tests and offer recommendations on next steps. “Some people just don’t want to know what’s happening inside their bodies,” says Guidi. “But I always tell people that it’s so much better to know. Sometimes they can find things that can be fixed!” With a family history of diabetes, heart disease and stroke, Guidi is known as a “regular” at the free health screenings offered by Memorial’s Health Discovery Center and was excited to learn about Memorial’s newest early detection campaign called WhatsMyRisk.org. “I think a lot of people may be scared that they’ll be pressured into something, or that they’re committing to expensive tests,” says Guidi. “But that’s definitely not the case. It’s basically the nurse telling you ‘here is what I see, and here is what you can do about it.’ It’s then up to you to take this information and make it work for you.” “It’s also been a great tool for my physician,” says Guidi. “He took my results and said we need to watch this or that, let’s try to change this and in three months we’re going to follow up on that. He’s really using these tools. In fact, he wishes more of his patients could come to him with this kind of information.” In her husband’s memory, Guidi has committed to educate people about WhatsMyRisk.org. From friends and coworkers to the hundreds of people at Memorial health fairs across the region, she instructs anyone who will listen. Guidi makes sure she takes advantage of all the advanced medical care available today, but in the end, she and Memorial Health System share the same philosophy: that early detection and prevention is always the best medicine. “I wish more people would take advantage of this wonderful free service,” says Guidi. “Knowing your risk can definitely save your life.” Find out what’s going on inside your body. Visit WhatsMyRisk.org or call The Health Professionals at 574-647-6800 for Healthy Answers from Nurses Who Know. 08 FdHDFA0839.indd 08 8/26/08 4:56:51 PM WHAT’S YOUR RISK? Find out with FREE health screenings and classes at Memorial’s Health Discovery Center For more than a decade, nurses at Memorial’s Health Discovery Center have offered free blood pressure, weight, BMI and cholesterol screenings. Free weight management consultation, diabetes and other health information sessions are also available with a nurse educator by appointment. Heel scans for osteoporosis, blood glucose levels and other screenings are also offered for a small fee. Learn what’s really going on inside by signing up for a FREE health assessment at Memorial’s Health Discovery Center. This fall, sessions will include knee, hand, neck, foot, back and skin cancer screenings. For dates and times, or to register, call 574-647-6880. Build your passion for early detection: visit WhatsMyRisk.org or call The Health Professionals at 574-647-6800 for Healthy Answers from Nurses Who Know. Nurse educators offer free preventive health screenings at the Health Discovery Center as part of a comprehensive plan to make this the healthiest community it can be. HEART DISEASE • DIABETES • STROKE 1 2 3 Visit WhatsMyRisk.org 4 5 A nurse will perform a brief health history and further tests • OBESITY • LUNG DISEASE • SLEEP DISORDERS If you’re found to be at risk, a Memorial representative can contact you to set up an appointment with a nurse educator if you choose Based on your results, you will be referred to your family physician or a specialist. If you do not have a physician, a nurse can provide a referral FALL / WINTER WINTER 2008 2008 08 › www.qualityoflife.org www.q .qua qua ualiity tyof o liffee.o orgg Take the online risk assessment and submit your answers 09 FdHDFA0839.indd 09 8/26/08 4:57:01 PM Bruce H. Schwartz, M.D., examines a patient at Bluth, Gerber & Schwartz Eye Care. A VIEW OF THE FUTURE New corneal transplant procedure transforms lives When you think of transplants, kidneys, livers, waiting lists, heartwrenching decisions and stories of generosity all come to mind. Transplants are a source of life and hope to many, and a source of comfort, peace and giving to others. It’s the ultimate gift. PULSE › Memorial Health System › 574-647-6800 Many don’t know that of all transplant surgeries performed today, corneal transplants are by far the most common, and the most successful. In fact, ophthalmologists perform more than 40,000 corneal transplants each year in the United States. “Corneal transplants are different from other types of transplants because basically everyone can be a donor,” says Bruce H. Schwartz, M.D., of Bluth Gerber & Schwartz Eye Care. “For corneas, you don’t need to be a match, that’s why it’s so commonplace.” For those who qualify, a corneal transplant can be a great option. Also known as a penetrating keratoplasty (PK), a corneal transplant involves the removal of the central portion (called a button) of the diseased cornea and suturing a donor corneal button in its place. “We basically punch out an 8 mm circle in the center of the cornea and fill that hole with a donated cornea and sew it in place,” says Dr. Schwartz. “This is a more recently developed procedure that involves only replacing the innermost layers of the cornea rather than the whole thing,” says Dr. Schwartz. Previously, to replace the valuable endothelial layer the whole central cornea was replaced. With innovative techniques, physicians are now able to replace just the innermost layer. Vision recovery for a standard transplant can take 12 to 18 months. Though very successful, there are many drawbacks of PK. Because of the stitches, astigmatism can limit vision, with about 30 percent of patients requiring hard contact lenses to achieve optimal vision. The eye is also weakened and vulnerable to the slightest trauma. With its benefits and drawbacks, PK has been the standard of care for the past 50 years. “The benefit is that the eye is much stronger and stitches come out in as soon as six weeks, because the surgery is done through a cataractsized wound,” says Dr. Schwartz. “Vision recovery is much faster and the eyes are left stronger and less vulnerable to trauma. I’ve had patients who were seeing well two to three weeks postsurgery.” A NEW OPTION “Nowadays it’s the procedure of choice,” says Dr. Schwartz. “For ideal candidates the results are really amazing.” THE WINDOW TO THE EYE The cornea is the clear front of the eye that covers the pupil and the colored iris. Light is focused while passing through the cornea, which allows us to see. Like any other body part, it can become damaged due to infection, injury, scarring or genetics. Keratoplasty (DSEK), which has quickly become the procedure of choice among corneal surgeons today. For patients with damage to the innermost layer of the cornea (endothelium)—the most common indication for transplant surgery— there is a new procedure called Descemet’s Stripping Endothelial Want to learn more about this great new option? Call Bluth, Gerber & Schwartz Eye Care at 574-233-2114. 010 FdHDFA0839.indd 010 8/26/08 4:57:18 PM Celebrating A Thanksgiving a sg g Day ay miracle ac e Shay Eiler perhaps had more to be thankful for Thanksgiving Day 2007 than most. Pregnant with triplets, Eiler was spending the day making baby blankets with her family when she missed a step on the stairs. “I wasn’t paying attention, and I fell down the basement steps,” says Eiler. McKenna, Kaden and Zavier arrived by Caesarian section 10 weeks early. Ever calm and collected, she stood up, dusted herself off and discovered she wasn’t hurt. Nonetheless, she called her doctor, Julie Platt, M.D., with Memorial Maternal Fetal Medicine, who told her it would be best to get checked out. Eiler didn’t leave their side, staying at Memorial’s Ronald McDonald Family Room. When it wasn’t available, nurses set Eiler up in a patient room so she didn’t have to leave her little ones. Eiler packed herself up and drove from LaPorte to the Memorial Regional Childbirth Center in South Bend. Dr. Platt decided it was best to deliver the babies because two of them were not behaving normally and she was concerned that the placentas had been disturbed. “Ms. Eiler had done a beautiful job of carrying the babies until Thanksgiving Day. It was unfortunate that a set of stairs precipitated her early delivery,” says Dr. Platt. “It all went very well,” says Eiler. But because they were early, the triplets remained at Memorial in the Newborn Intensive Care Unit for two months. “I was there all day everyday,” she says, adding that hospital staff and the nurses, many of whom she still keeps in contact with, supported her. “I just didn’t want to leave.” And because of the support of the staff, Eiler says, “It could’ve been stressful, but it wasn’t.” Eiler says she discovered the same thing three years before with the birth of her oldest son Ethan. After Ethan was born, he faced several health issues, leaving the Eiler family in search for the best health care for him. After a bad experience at a hospital closer to where the Eilers live, they were referred to Navarre Pediatric Group in Granger. Eiler says most of her friends and family thought she shouldn’t drive from LaPorte to Granger for pediatric services, but Eiler had another take on it. “They’re always available,” she says. “They’re always helpful. I can call any time, and they never act like you’re bothering them.” And because of her experience with Ethan, she knew the Memorial Regional Childbirth Center was where she wanted to have her triplets. The Center handles all types of deliveries, from high-risk to natural births to water births with certified midwives. “We knew right away we wanted to come back to Memorial,” Eiler says. Memorial offers many outstanding resources, services, and special touches to celebrate your delivery. To learn more, call 574-647-6800. FALL / WINTER 2008 › www.qualityoflife.org New Life Left to right: Kaden (2 lbs., 13 oz.), Zavier (3 lbs., 4 oz.) and McKenna (3 lbs., 4 oz.). This is the first picture of the triplets at home and all together. 011 FdHDFA0839.indd 011 8/26/08 4:57:26 PM Memorial’s Health & Lifestyle Center Making strides for a lifetime of health What makes a healthy community? Memorial Hospital & Health System has strived to answer that question for many years. A thriving economy. Safe neighborhoods. Affordable housing. Arts and culture. Diversity. Engaged citizens. A healthy community means all of this, and more. PULSE › Memorial Health System › 574-647-6800 Of course when most of us think about health, we think physical health. At Memorial, that means accessible and attainable physical health that lasts a lifetime. Health is the Memorial Health & Lifestyle Center’s number one priority for Memorial Team Members and the greater community. For years, Memorial has led the way in the development of innovative, communitybased programs that promote a healthier way of life in South Bend and beyond. WALKING THE WALK “As far as fitness programs go, walking has a very high rate of success,” says Alan Loyd, director of Memorial’s Health & Lifestyle Center. “You’re more likely to stick to a walking program than anything else.” That’s why Memorial partnered with the American Heart Association’s START! Moving campaign. With indoor and outdoor Healthy Mile walking paths in and around Memorial’s campus, START! gives people the motivation and resources to get moving every day. Murals line beautiful, well-lit stairwells, and mile markers guide walkers through a labyrinth of hallways. “This really is an organization-wide effort to make fitness a priority,” says Loyd. Memorial Team Member Cindy Wolavka lost more than 40 lbs. in the six months since Cindy Wolavka lost more than 40 lbs. in the the program’s first six months of the START! Program. inception. “I’m currently walking four miles before I start work, three days per week,” says Wolavka. “I love the newfound energy I feel and am so glad I added exercise to my healthy journey.” TAKING IT TO THE STREETS The H&LC team also visits corporate staff meetings across the region, presenting “Six Exercises We All Can Do.” This unique 15-minute demonstration gives workers a quick look at simple exercises that can help keep them on track with their fitness goals, at home, at work or on the road. 012 FdHDFA0839.indd 012 8/26/08 4:57:42 PM “The response to this program has been tremendous,” says Loyd. “It’s a great way for organizations to show their employees they’re really committed to their total wellbeing.” Catering to our mature population, H&LC fitness experts now staff the health center at Holy Cross Village’s André House, one of Indiana’s premier continuing care retirement communities. “Our specialists help with personal training and massage therapy, and can answer questions,” says H&LC Fitness Manager Elizabeth McKinley. “We also offer group exercise classes like yoga, lowimpact aerobics, stretching and flexibility classes for all levels.” An H&LC Young Professionals discount offers those ages 21-39 easy access to a world class fitness center that’s convenient before or after work, or for a power lunch. Those who bike to work downtown can also sign up for a locker-roomonly membership to wash up in the morning. “This is a new way we try to make it easier for those who choose to bike to work as part of a healthy lifestyle,” says Loyd. As the region’s only medically based fitness center, the H&LC also partners with Memorial Outpatient Therapy Services to assist those recovering from an injury or illness. All this is in addition to the worldclass facility, personal training, warm-water therapy and lap pools, FixLinxx, Cybex weight equipment, indoor walking/jogging track, free weights, basketball/volleyball and racquetball courts, whirlpool, steam room and free covered parking. Working out at Memorial’s Health & Lifestyle Center is part of a healthy way of life for Eddie Miller Jr. “We wear many hats,” says Loyd. “We try to make fitness fun and accessible to as many people as possible.” 25 YEARS OF FUN AND FITNESS A record-breaking number of runners, walkers and volunteers took part in Memorial’s Sunburst festivities this year in whatever way they could—from handing out water to marathoning, and everything in between. Memorial encourages its Team Members to take part in this popular community fitness event any way they can. As its major sponsor, Memorial provides volunteers and financial and marketing support—not to mention the 400-member-strong corporate team this year. Memorial also provides the walkers and runners with a worldclass medical team. “Our medical team for Sunburst is just phenomenal,” says Alan Loyd, director of Memorial’s Health & Lifestyle Center. “If you’re a runner, you can rest assured that Memorial has done everything it can to make Sunburst one of the safest races in the nation.” FdHDFA0839.indd 013 Running the Numbers Year 1984 2008 Total # of Participants 1,263 7,316 2008 Race Marathon Half Marathon 10K 5K Fitness Walk Family Walk # of Participants 536 (winning time 2:30:31) 1,089 921 3,037 1,345 388 8/26/08 4:57:55 PM A Nurse’s Instincts It was Friday, Jan. 2, and Memorial Home Care Nurse Stacey Seitz, R.N., had the day off. She was going to spend the day with her family having fun. But since getting up that morning, she couldn’t stop thinking about one of her patients, a 4-month-old born with a congenital abnormality of his heart. The baby had been born prematurely by a little more than a month. After having open heart surgery, he remained in an out-oftown hospital until after Christmas. Such a little guy to have so many problems. PULSE › Memorial Health System › 574-647-6800 The surgery went well, but the baby developed a blood clot in his right leg and had to be watched closely for complications. In order to keep his blood from clotting, he was put on a blood thinner. The medication had to be given by injection. The baby’s mom had been taught how to give the injections during his stay at the hospital. It can be hard for parents to put a needle into their tiny baby, but she had done well. He also had a feeding tube because he couldn’t feed well on his own. His mom was coping well with all the care her baby needed and was supported by family and friends. But Stacey kept remembering the vial of blood thinner she had seen the day before at the baby’s home. His mom was independent with giving the medication, but something kept nagging at Stacey. The baby had been sent home from the hospital with a pre-filled syringe that read “administer 0.3 ml = 6mg.” His mom used that pre-filled syringe but then she was to use the vial that had been sent for the other injections. Memorial Home Care Nurse Stacey Seitz, R.N., visits hundreds of Although the vials patients each year, helping them lead the best quality of life in the comfort of their own home. came from the family’s home to try and stop an out-of-town them from giving any more of the home infusion pharmacy, Stacey wrong dose. decided to call the Director of the Memorial Home Care Pharmacy, Tyrone Armstead, RPh, and talk to him about her concerns. She described the vial she had seen, and Tyrone confirmed her suspicions and fears. The dose was correct but the vial of blood thinner was the wrong concentration. It was a concentration intended for an adult—1,000 times stronger than what a baby was supposed to get! If the baby’s mom used that vial to fill the syringe and give that dose every 12 hours, he would have been overdosed on blood thinner and could have bled internally. Stacey’s heart was in her throat. She tried to call the family to tell them not to give any more injections from that vial but her calls wouldn’t go through. Stacey couldn’t just sit and wait for the phone to work, so she drove more than 20 miles to When Stacey arrived at their home, she found that the baby had not yet been given the morning dose of blood thinner, but he had received two injections the day before. Stacey did a full assessment of the baby and found him to be in no distress, but she knew she had to get him checked by a physician. Stacey called the family’s out-oftown physician and he instructed her to go to their local pediatrician who could check him. They loaded the baby into the car to go to the doctor’s office immediately. The doctor confirmed that all was well, but only because of a nurse who had good instincts and the sense to follow up on them, even on her day off. This is one example of why we are so proud of the nurses at Memorial Home Care. 014 FdHDFA0839.indd 014 9/4/08 11:06:41 AM We’ve come a long way, baby! Memorial Home Care now enjoys 50,000 square feet of retail and office space (left), compared with its more humble beginnings in a house on Madison Street (right). MEMORIAL HOME CARE’S TH 25 ANNIVERSARY Memorial Home Care (MHC) is proud to have a rich heritage. Since its inception in 1983, MHC has been providing a steadily increasing array of health care products and clinical services in the home and community setting. They started with a small group of “road warriors” doing nursing visits and relief staffing in 1983. When Pam Conti started working for Memorial Home Care in 1986, they had already moved from a small office in a medical complex into a building of their own in downtown South Bend. “My first office was a desk in the hallway! It was a very tight fit, and I had to hunch down in order to fit my legs under the desk,” Pam says. Celebrating their 25th anniversary this November, Memorial Home Care now employs more than 450 people in the fields of nursing, therapy, home health aides, homemakers, medical equipment and supplies, oxygen therapy, home infusion, retail pharmacy, compounding pharmacy, extended home medical staffing and medical staffing. Pam, her coworkers, and potential employees need not worry about a comfortable work environment nowadays. Last year, Memorial Home Care moved to its new 50,000-squarefoot location at 3355 Douglas Rd. in South Bend. The new facility acts as the foundation building as well as serving their satellite operations in LaPorte, Plymouth, Knox and the Memorial Family & Mar Main pharmacies in South Bend. My first office was a desk in the hallway! It was a very tight fit, and I had to hunch down in order to fit my legs under the desk. – Pam Conti FdHDFA0839.indd 015 Speaking about this growth over the years, Memorial Home Care Vice President Greg Conrad says “Our team is dedicated to helping members of the communities we serve achieve the best possible quality of life. Our success begins with our commitment to retaining and developing experts in care giving; it is achieved every day as we demonstrate our values by providing that care with respect, integrity, compassion and excellence.” Their customers certainly appreciate this dedication, since Memorial Home Care now serves more than 10,000 members of our community each month. 8/26/08 4:58:24 PM Pediatric Intensivist and Medical Director of Memorial’s Pediatric Hospitalist Program Bunmi Okanlami, M.D., cares for 1-year-old Joel Hernandez-Martinez. Pediatric Hospitalists A new standard of care for children PULSE › Memorial Health System › 574-647-6800 All the inpatients of Kate Dutkiewicz, M.D., have her undivided attention. Dr. Dutkiewicz works exclusively with patients admitted to Memorial Children’s Hospital through the hospital’s budding pediatric hospitalist program. Pediatric hospitalists are medical doctors with four years of medical school and at least three years of pediatric residency training and work exclusively with pediatric inpatients. “This raises the level of care for children in the hospital,” says Dr. Dutkiewicz. Hospitalists are in the hospital full-time instead of having to split their time between their outpatient practices and patients in the hospital, says George Maher, D.O., medical director of Memorial Children’s Hospital. Dr. Maher says the Children’s Hospital will eventually be staffed by hospitalists 24 hours a day, seven days a week, 365 days a year. The pediatric hospitalist program is currently staffed by four pediatricians: Dr. Maher, Dr. Dutkiewicz, Melissa Asgaonkar, M.D., and Betsy Rossow, M.D. The concept of pediatric hospitalist programs is new in the last 10 years, says Bunmi Okanlami, M.D., medical director of Memorial’s Pediatric Intensive Care Unit and the pediatric hospitalist program. These programs have become more standard for adult patients, and Dr. Dutkiewicz says pediatric hospitalist programs are becoming a trend. Before coming to South Bend, she practiced in Atlanta where there are three children’s hospitals, all of which employed pediatric hospitalists. “We have found an improvement in efficiency of patient care because attending physicians are readily available in-house to make decisions about care,” says Dr. Okanlami. Hospitalist programs in general were developed by HMOs because the programs were thought to be less expensive by helping patients leave hospitals sooner, says Dr. Maher. Indeed, the average length of stay is now lower, though not by much, he adds. But they did discover other benefits that have caused hospitalist programs to grow across the nation. “The hospital is becoming more adept at caring for higher acuity patients [patients who are very sick],” says Dr. Maher. 016 FdHDFA0839.indd 016 8/26/08 4:58:45 PM This helps the care given by hospitalists become standardized for each child, adds Dr. Dutkiewicz. Dr. Maher agrees. “We can get a better handle on the best approaches to certain conditions, which leads to best practices,” he says. “We’re standardizing care management according to best practices.” What this all boils down to for pediatric patients and for primary physicians is quality of life, says Dr. Okanlami. Questions get answered more quickly while pediatric patients are in the hospital and length of stay in the hospital has been shortened, she adds. On top of that, patients, who’ve been promised they can leave the hospital by a certain time, are able to leave on time because they don’t have to wait for their physician to get to the hospital to discharge them. “Patients also are given results to laboratory and radiology tests more quickly because the results don’t have to be sent to their primary care physician,” explains Dr. Dutkiewicz. “Pediatric hospitalists also have more direct access to other specialists, consultants and medical libraries in the hospital.” “And perhaps most important of all, pediatric hospitalists can drop everything to check on a child,” says Dr. Maher. “It’s much more difficult for a patient’s primary care physician to do that because they’re usually taking care of outpatients at their offices.” “It’s about availability,” he says. “Hospitalists are here so they can see changes in patients and evaluate them. And they are well-versed in treating acutely ill children. And that’s not available anywhere else in the area.” He says Memorial Children’s Hospital is the only one in between Indianapolis and Chicago to offer a pediatric hospitalist program. While the benefits for children are clear, the program also helps their pediatricians. Dr. Maher says the pediatric hospitalist program is optional for primary care physicians, and Dr. Okanlami adds that many pediatricians find it preferable to take care of their own patients when they are admitted into the hospital. Memorial Children’s Hospital Medical Director George Maher, D.O., with his patient Katelyn Treesh. But for those who do take advantage of the hospitalist program, they can rest easier knowing their patients are being attended to regularly. Dr. Okanlami says, “Primary care physicians can run their own offices more efficiently because they don’t have to visit patients in the hospital.” “Further,” says Dr. Maher, “hospitalists have taken over the primary responsibility of training resident doctors, offering better supervision of those residents since hospitalists are available in the hospital day after day. It’s much more structured because they always have an attending physician at their fingertips,” says Dr. Maher. With the primary responsibility of training residents, primary care physicians can be relieved of the duty and spend more time with their own patients. “While not all physicians are taking advantage of the pediatric hospitalist program now,” says Dr. Okanlami, “I anticipate that more and more will see the advantages and that its use will increase over time.” She admits that the pediatric hospitalist program is not a moneymaking venture for Memorial Children’s Hospital. Hospitals rarely break even when it comes to pediatric hospitalist programs. “But the benefits of the pediatric hospitalist program are not measured in dollars and cents,” she says. “It’s measured in the quality of care. It’s a sacrifice of love.” FALL / WINTER 2008 › www.qualityoflife.org “Only really sick kids are admitted to the hospital anymore,” says Dr. Maher, which makes hospitalists more adept at working with acute patients because they’re helping them all day, every day. 017 FdHDFA0839.indd 017 8/26/08 4:58:57 PM Your BEST Defense What you must know about colon cancer The Inside Tract The American Cancer Society this year issued new colon cancer screening guidelines, adding two less-intrusive methods as options. One is CT colonography, which T PULSE › Memorial Health System › 574-647-6800 urning 50 brings rites of passage: You can join AARP, and it’s time to start screening for colon cancer. The second could save your life. “This is one of the few cancers where the test we have can prevent the disease,” says Pankaj A. Patel, M.D., a gastroenterologist at Michiana Gastroenterology, Inc. If the condition is caught early, nearly all patients survive five years and beyond. Just four in 10 cases are caught at that stage, making colon cancer the second leading cause of cancer deaths in the U.S. Startlingly, only about half of Americans 50 or older have been tested. We asked Dr. Patel to share his expertise on colon cancer screening. Here’s a summary: Q For people with average risk, what’s the best defense? Screening beginning at age 50. The College of Gastroenterology recommends a colonoscopy every 10 years. The ACS recommends any of seven exams, ranging from a fecal occult blood test to a colonoscopy. Both groups agree that a test is better than no test. The more invasive tests, such as the colonoscopy, offer better chances for finding growths (or polyps) before they become cancerous. Q How can a colonoscopy help? It allows inspection of the entire colon and on-the-spot removal of growths long uses special X-rays to examine the colon. No sedation or scope is used, but you still have to take laxatives, and air is used to widen the colon. The second is a stool DNA test, which looks for altered cells in a stool sample. Both tests would require a colonoscopy if results are positive. For details on ACS screening guidelines, go to cancer.org. before they become cancerous. Removal of precancerous polyps reduces colon cancer risk by 80 percent. Q What’s involved in a colonoscopy? You take laxatives in preparation, then for the procedure you are sedated. The doctor (often a gastroenterologist) inserts a tube attached to a video camera to inspect the colon. Q Why do some people avoid it? Because it’s invasive, people believe it will be painful. But sedation prevents most discomfort. Q Does it require time off work? Yes, patients probably will need to take off a day from work and get a ride home. Q Is it risky? Risks are small. If a growth is removed, bleeding may occur or the colon may be nicked. You want someone who’s experienced. Ask about the doctor’s perforation rate; it should be less than one in 500 exams. Colonoscopies require years of training to perform, and are best done by a fellow-trained gastroenterologist. ■ EARLY START Talk to your family doctor about colonoscopy at your next visit. For ! more information about colon cancer or screenings, or for a referral to a gastroenterologist, call The Health Professionals at 574-647-6800. 018 FdHDFA0839.indd 018 8/26/08 4:59:14 PM CLASSES & SERVICES Memorial offers educational events, classes and screenings as part of our ongoing mission to build a healthier community. Many programs are free and some have a nominal fee. For more information, call the number provided or contact The Health Professionals at 574-647-6800 or 800-999-8890. For additional information you can also visit www.qualityoflife.org. Classes Diabetes Education Classes A free nutrition and lifestyle management class for people with diabetes. Open to anyone with diabetes, their families and significant others. Call 574-647-7700. Lung Center For Asthma: Free one-on-one education for those with asthma. Call 574-647-7318 from 7:30 a.m. to 4 p.m. For COPD and other lung problems: Call 574-251-0041, Tuesday, Wednesday, Thursday. All other times, please leave a message and a Lung Center representative will get back to you. Ortho Classes Total hip, knee and shoulder replacement classes available at no charge. Call 574-647-3359 Monday through Friday for availability. Life Steps A comprehensive weight management program that stresses the importance of diet, physical activity and behavioral modification techniques for weight loss and maintenance. Classes meet weekly for 14 weeks. $175. Call 574-647-6880. Group Fitness Classes From yoga and Pilates to spinning and zumba, group fitness classes are offered Monday through Saturday at the Health & Lifestyle Center. Call Patty Thornton at 574-647-2663. View the current schedule at http://qualityoflife.org/ hlc/ExerciseSchedule.pdf. Support Groups Arthritis Partnership ! Meets on the second Thursday of the month at 2 p.m. at the Memorial Leighton Center. Call Carol Langley at 574-234-1191. Diabetes Support Group Meets on the first and third Tuesday of the month at 10 a.m. at the Memorial Leighton Center. First Tuesday includes an educational program; third Tuesday includes a support group. Participants are welcome to bring a friend or family member. Call Nan Monhaut at 574-647-7168. FdHDFA0839.indd 019 Gynecological Cancer Support Group Meets on the second Wednesday of the month at 5 p.m. at Memorial Hospital. Please call Margaret Umprovitch-Brown at 574-647-3140 for exact location and directions. Mother Matters Support Group Focuses on postpartum depression and parenting responsibilities. Meets on the second and fourth Monday of the month from 7 to 8:30 p.m. in the Family Education Center. Call 574-647-7800. MS Support Group Meets on the first Tuesday of the month from 6:30 to 8 p.m. at Main Street Medical Group. Call Gretchen Cave at 574-675-9917. Ostomy Support Group Contact Sue Stelton at 574-647-3156 for details. Parkinson’s Disease Support Group Meets on the first Wednesday of the month at 1 p.m. at the Memorial Leighton Center. Call Jim Banner at 574-291-4217. 2nd Wind Group (COPD) A support group for individuals with lung disease. Meets Tuesdays from 1:30 to 3 p.m. at the South Bend Christian Reformed Church at 1855 N. Hickory Road. Call Jan Cosby at 574-647-7178. Women In Touch Cancer Support Meets on the first Tuesday of the month at 5:30 p.m. at the Memorial Leighton Center. Call Kathy Johnson at 574-647-6944 or Margaret McKinney-Arnold at 574-647-6943. For New Families Advanced registration is required for all classes unless noted otherwise. Call 574-647-6801. All classes are held in the Family Education Center on the third floor of Memorial Hospital. Child/Infant CPR This one-evening class meets the American Red Cross guidelines in child/infant CPR and safety. The class meets the first Monday of every month from 6:30 to 9:30 p.m. at HealthWorks! Kids’ Museum. Registration and payment is due two weeks prior to class. Prices are $30/person or $45/couple. Call 574-647-2680 for registration or any questions. Clases Para Un Embarazo Saludable (Classes for a Healthy Pregnancy) En Español. Las mujeres embarazadas tendrán oportunidad de recibir información acerca del proceso del embarazo y parto. Llame a Mary Kay Gonzales, R.N., 574-245-6835. Complete Childbirth Prep Families can choose between a series of five classes, or a one-day class on a Saturday called Lunch & Learn. Topics include the normal course of labor and birth, common medical interventions and relaxation techniques. A tour of Memorial’s Regional Childbirth Center is included. When you sign up for Complete Childbirth Prep, you will also be able to attend our After Baby Comes and Breastfeeding Basics classes FREE. Cost is $75 for either the five-session series or Lunch & Learn. Pre-registration is required. Breastfeeding Basics This class will teach you how to make nursing as easy as possible. You’ll learn helpful tips to make the nursing experience more rewarding and give you the confidence to handle early challenges. This class is offered once a month and alternates between “For Moms Only” and “Dads Too.” Cost is $15 or FREE with Complete Childbirth Prep. Pre-registration is required. After Baby Comes (ABC) Have you ever wished your new baby would come with an owner’s manual? After Baby Comes will help you focus on those first couple of weeks after you give birth. Learn proven techniques to hold, soothe and care for baby. Find out what physical and emotional changes mom can expect after delivery. Cost is $15 or FREE with Complete Childbirth Prep. Pre-registration is required. Refresher If you have taken previous childbirth preparation classes, the one-evening Refresher Course helps you and your partner “catch up” on changes and new options since your last birth. A tour of Memorial’s Regional Childbirth Center is included. Cost is $20, and pre-registration is required. Sibling Prep This one-time class helps kids ages 3 to 7 safely participate in baby care. Topics include holding, safety, and other important issues involved when a new baby joins the family. The class will also take a mini tour of Memorial’s Regional Childbirth Center. Cost is $10 per child, and pre-registration is required. VBAC/Cesarean If you are planning a Cesarean birth or a vaginal birth after a previous Cesarean (VBAC), we offer a oneevening class just for you. The first hour of class focuses on VBAC topics such as physical and emotional strategies to help you with the birth. A tour of the labor, delivery and surgical suites is next, followed by information about Cesarean delivery. Cost is $20, and pre-registration is required. Tours Free tours are available twice each month. Call The Health Professionals or visit www.qualityoflife.org/services/ childbirth for tour days and times, or for an up-to-date schedule of classes. To register, or for more information, call The Health Professionals at 574-647-6800 or 800-999-8890. Memorial’s Health Discovery Center (HDC) offers free neck, hand, back, knee, foot and skin cancer screenings throughout the year. Call 574-647-6880 for a schedule. The HDC also offers FREE education on all health concerns as well as classes on menopause, arthritis, osteoporosis and bio-identical hormones, among others. Blood pressure, weight, height, body fat and body mass index are also available for FREE. Bone density heel scans are also offered for a small fee. LifeSteps weight management, arthritis and diabetes classes also take place at the HDC. Call 574-6476880. Open Monday through Friday, 8 a.m. to 4:30 p.m. 8/26/08 4:59:22 PM Memorial Salutes Women with Spirit Congratulations to Memorial Hospital’s 2008 Spirit of Women award winners for their outstanding community contributions, which have positively impacted the lives of others. Sandra Brown, M.D. Health Care Award Winner Dr. Brown, a specialist in obstetrics and gynecology, has devoted her life to keeping women healthy. She is a great role model—balancing the art and science of medicine every day. Dr. Brown’s courage and strength has been an inspiration for women throughout Michiana. Robin Clark Community Award Winner Robin created, organized and chaired the Kiwanis for Kids Triathlon in LaPorte. The event has grown larger each year and has gained a wonderful reputation both for the challenge it presents for young people and for the positive and motivating spirit that surrounds the event. Robin’s efforts to make her community a better place make her “inspirational in many ways ... and especially to women in the community.” Alexandra Holderman Youth Award Winner When she was five years old, Alexandra “Ali” Holderman noticed a teenage mother carrying a baby. Ali couldn’t understand why the baby didn’t have a coat and shoes on because it was so cold outside. What Ali started as a simple project has evolved over the past 10 years into a major effort she calls “Baby Bundles.” To date, Ali has raised more than $40,000 and has delivered thousands of baby bundles to local organizations. Non-Profit Org. U.S. Postage PAID Memorial Health System 615 N. Michigan Street South Bend, Indiana 46601 FdHDFA0839.indd 020 8/26/08 4:59:34 PM Memorial Salutes Women with Spirit Congratulations to Memorial Hospital’s 2008 Spirit of Women award winners for their outstanding community contributions, which have positively impacted the lives of others. Sandra Brown, M.D. Health Care Award Winner Dr. Brown, a specialist in obstetrics and gynecology, has devoted her life to keeping women healthy. She is a great role model—balancing the art and science of medicine every day. Dr. Brown’s courage and strength has been an inspiration for women throughout Michiana. Robin Clark Community Award Winner Robin created, organized and chaired the Kiwanis for Kids Triathlon in LaPorte. The event has grown larger each year and has gained a wonderful reputation both for the challenge it presents for young people and for the positive and motivating spirit that surrounds the event. Robin’s efforts to make her community a better place make her “inspirational in many ways ... and especially to women in the community.” Alexandra Holderman Youth Award Winner When she was five years old, Alexandra “Ali” Holderman noticed a teenage mother carrying a baby. Ali couldn’t understand why the baby didn’t have a coat and shoes on because it was so cold outside. What Ali started as a simple project has evolved over the past 10 years into a major effort she calls “Baby Bundles.” To date, Ali has raised more than $40,000 and has delivered thousands of baby bundles to local organizations. Non-Profit Org. U.S. Postage PAID South Bend, IN Permit No. 72 615 N. Michigan Street South Bend, Indiana 46601 FdHDFA0839.indd 22 8/26/08 4:59:51 PM
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