c o n n e c t i o n s Women : The CEOs of Family Health Issue No. 29/Fall 2014 Prioritize Your Health All in the Family Women and Heart Disease visit: www.emhc.org Five simple tips for a healthier you. Manage the risk of hereditary breast cancer. Learn to spot the hidden symptoms of heart failure. contents fa l l 2 0 1 4 4 8 On the cover Research shows that women often take the lead in making health care decisions for their families . . . from making sure that children receive vaccinations on time to caring for aging parents. Our cover story explores how four local women manage their unique health care situations, while three female Edward-Elmhurst Healthcare leaders share their perspectives on women and healthcare today. From left to right: Gina Sharp President Linden Oaks Hospital Sue Wojtowicz Roselle Debbi Gora Bartlett Alicia Gomez Chicago Tammy Koz Plainfield Mary Lou Mastro President and CEO Elmhurst Memorial Healthcare Pam Davis System CEO Edward-Elmhurst Healthcare 10 In this issue Departments 3 A Message from the CEO Caring for yourself and your loved ones is vital. See how Elmhurst Hospital can help. New This Fall Elmhurst Hospital opens its first walk-in clinics inside two Jewel-Osco stores. Health Connections is published by the Marketing Department of Edward-Elmhurst Healthcare For questions or comments, email us at [email protected] 14 New Medical Staff Get to know the newest members of the Elmhurst Hospital Medical Staff. 16 Classes and Events Free and low-cost screenings, classes and events help you get healthier and stay well. Features 4 Women: The CEOs of Family Health These real-life stories demonstrate how women manage the big picture while handling the tiniest details. 8 Five Ways to Make Your Health a Top Priority Putting your own health on the back burner while you tend to others? Move yourself up on the list. 10 Knowledge Is Power with Breast Cancer Prevention Take a proactive approach to managing your own breast health when the disease shows up in your family. 12 Turning Heart Failure Around Linda Kilian thought that she had a nagging virus — but her condition was diagnosed as heart failure. 13 Four Tips When Caring for Aging Parents Learn four practical ways to ease the burden when you’re in a caregiving role. Elmhurst Memorial Healthcare 155 E. Brush Hill Road Elmhurst, IL 60126 (331) 221-1000 www.emhc.org A M e s sAg e f ro M th e Pr E S I DE nT a n D CEO Let’s face it: when you are a working woman, it can be challenging to find the new This Fall time to see a doctor. I have three children, and trying to see providers at a time that would work with our schedule was always a balancing act. Studies have shown that women typically take charge of their families’ health care. Whether they are working full time outside the home or as full-time moms, their busy schedules make health care and easy access to providers more important than ever. In this issue of Health Connections, you’ll read how four local women facing different life situations manage their families’ care. We understand what women — and men, many of whom also administer their families’ health care — require, and we want to make their jobs easier. For everyday health needs, our Immediate Care Centers are open seven days a week, including weekends and holidays. Our ER wait time is available in real time on billboards, online and on your mobile phone. When illness goes beyond bumps and bruises, Elmhurst Hospital can help you get back on your feet. For example, our outpatient Heart Failure Wellness Clinic elmhurst Hospital opens its first two walk-in clinics in the Westmont and River Forest Jewel-oscos this fall. these clinics are modeled after the successful edward Hospital walk-in clinics. the new clinics will be open 7 days a week and no appointment is necessary — the perfect place to visit for common illnesses, vaccinations, school/ sports physicals and health screenings. helps people with a cardiac-related diagnosis ensure that they have a smoother transition to their normal lives after discharge. As life stressors — such as taking care of aging parents — pile up, it’s important for caregivers to remember to take care of themselves too. Ladies, when you schedule the kids’ annual check-ups, take time to schedule your annual mammograms and other preventive tests and exams. For women with a family medical history who are concerned about their risk of breast cancer, the High-Risk Breast Cancer Screening and Prevention Clinic at the Elmhurst Memorial Center for Cancer Care can be a first step in preventing the disease or catching it in its most treatable stage. Elmhurst Memorial Walk-In Clinics located in Jewel-Osco 4 e. ogden Avenue, Westmont (opened September 3) 7525 W. Lake street, River Forest (opening later this fall) Caring for your loved ones is a natural, vital part of life, and so is caring for yourself. Get some fresh air. Lean on your family and friends. Don’t hesitate to ask for help. And remember, we’re here to support you. Sincerely, Monday through Friday: 8 am–7:30 pm saturday/sunday: 9 am–4:30 pm Most major insurance plans are accepted. For more information, visit: emhc.org/walkin Mary Lou Mastro, R.N., M.S., FACHE President and CEO Elmhurst Memorial Healthcare learn more: www.emhc.org 3 cover story :: women: ceo’s of family health From left to right: Gina Sharp President, Linden Oaks Hospital Pam Davis System CEO, Edward-Elmhurst Healthcare Mary Lou Mastro President and CEO, Elmhurst Memorial Healthcare Women : The CEOs of Family Health videos on emhc.org To hear more about women and healthcare today from our health system CEOs, go to www.emhc.org 4 health connections fall 2014 Women’s to-do lists are often marked in similar ways, whether they’re written by stay-at-home moms or high-powered business executives. Their daily tasks — both household and career-related — pull them in varying directions. Their children need them to stay healthy and happy. Their partners depend on them. But women can handle it. Not only that, they become masters of juggling multiple projects and duties. cover story :: women: ceo’s of family health “A particular attribute of many of the women I’ve worked with is their ability to multitask. They manage their to-do lists and inject some humor into their days, which helps keep stress from getting the better of them,” says Pam Davis, System CEO of Edward-Elmhurst Healthcare. And while men are often involved in their families’ health care, women consistently take the reins of their families’ health needs. Women usually manage their kids’ annual check-ups and vaccinations. They urge their partners to get medical screenings and well visits while squeezing in their own check-ups. “We’re not saying men aren’t involved in their health care decisions — many are. And many take the lead for their households,” Davis says. “But we’re recognizing the unique health care needs of women as well as the responsibilities that women have taken on for most households as the leading health care decision-maker.” Women make approximately 80 percent of health care decisions for their families and are more likely to be the caregivers when a family member falls ill, according to the U.S. Department of Labor. The role may have stuck because women tend to use health care more than men, especially during and after child-bearing — they get used to regular check-ups for themselves and extend that habit to their loved ones. Alicia Gomez A working mother of three from Chicago, Alicia Gomez, 56, has had more experience with health care than she ever imagined she would. Her kids — all of whom were born at Elmhurst Hospital — are adults now. But 20 years ago, Gomez went through one of the most difficult experiences of her life when her daughter, then 7, needed a liver transplant. The event took an emotional toll on her family while the medical costs took a huge chunk of their finances. She and her husband worked full time, staggering their shifts so one parent would always be with their children. “I never stopped doing my job because we had to support her; we had to pay the bills,” Gomez says. “I would come home to cook and clean. Between cooking and cleaning, I slept maybe two or three hours; it was very exhausting.” Throughout, Gomez scheduled medical check-ups for her children, took them to their doctor appointments and penciled in her own physicals. She learned to go with the flow while keeping her family’s health on track. “We know our families’ schedules. We’re the gatekeepers of who is going where and when,” says Gina Sharp, president of Linden Oaks Hospital. “I think people often assume that your life is equally balanced between work and family,” Sharp says. “But it’s not this perfect, even cycle. It is a little bit of a roller coaster. You have to be able to adjust.” Alicia AG E: 56 CH ICAG O, I L Women in Healthcare: By the Numbers 7 % 72 of the managers at Edward-Elmhurst Healthcare are women. Of the system’s 207 female managers, 77 are in senior positions. 100% 19% of U.S. hospital CEOs are women (source: State of Women in Health 2013 by Rock Health. 83% of Edward-Elmhurst Healthcare’s employees are women (6,119 out of 7,334). 31% of doctors on staff at Edward-Elmhurst Healthcare (566 out of 1,808) are female. of the system’s hospital presidents/CEOs are female — Pam Davis, system CEO of Edward-Elmhurst Healthcare; Mary Lou Mastro, president and CEO, Elmhurst Memorial Healthcare; and Gina Sharp, president, Linden Oaks Hospital. “We know our families’ schedules. We’re the gatekeepers of who is going where and when.” Gina SHaRP, PRESiDEnt Of LinDEn OakS HOSPitaL learn more: www.emhc.org 5 Sue & Debbi AG E: 41 ROSE LLE, I L AG E: 47 BARTLETT, I L Debbi Gora and Sue Wojtowicz “Recognizing that you can’t do it all is a step toward lower stress.” Mary Lou Mastro, president and Ceo of eLMhurst Sisters Debbi Gora and Sue Wojtowicz know all about striving for balance. Their lives got more hectic once these mothers of three and four children, respectively, had their babies at Elmhurst Hospital. Now the women also are in charge of caring for their elderly parents whose needs change often. Their mother has had Alzheimer’s disease for almost 10 years, and their father is battling a recent cancer diagnosis. “I do the grocery shopping for my parents once a week, and I get their prescriptions refilled. I take care of any other things they need,” says Wojtowicz, 41, of Roselle. “Then we come home to our own lists. Groceries, laundry, dinner. Check, check, check. I just power through it all.” MeMoriaL heaLthCare Did you know? 6 health connections fall 2014 Women utilize more health care than men, in part because of their need for reproductive services. Females of all ages accounted for 57 percent of all expenses incurred at doctors’ offices in 2011. She tag-teams with Gora, 47, of Bartlett, who takes their parents to doctor appointments, interviews home health providers, researches treatment options and fixes meals for them. “Between all our kids’ schedules and my parents’ needs, literally our jobs have been managing their lives,” Gora says, adding that she leans heavily not only on Wojtowicz but also on her husband, children and friends for help. “I’m run ragged sometimes. I’m exhausted. This is a full-time job.” “Recognizing that you can’t do it all is a step toward lower stress,” says Mary Lou Mastro, president and CEO of Elmhurst Memorial Healthcare. “When you have a full-time job and kids, life is very busy, very stressful,” Mastro says. “I start every day with prayer and meditation. That puts my mind in the right place. I realize that, at the end of the day, I don’t control everything.” Women make approximately 80 percent of health care decisions for their families and are more likely to be the caregivers when a family member falls ill. cover story :: women: ceo’s of family health “Tokeepup,healthcareneedstobe convenient,accessibleandeasyto manage.Edward-ElmhurstHealthcare hasrespondedandcontinually strivestoimplementnewtechnology towardthatend.” Pam DaviS, SyStem CeO, eDwarD-eLmhUrSt heaLthCare Tammy AG E: 36 PLAI N FI E LD, I L Tammy Koz Keeping stress under control is crucial for Tammy Koz, 36, of Plainfield, a working mother of two who has lupus. Doctors have always been an integral part of her life, as she has upwards of 10 check-ups each year. Her oldest daughter, Zoe, who was born a micropreemie, also has multiple doctor visits annually. But for Koz, it’s business as usual. “It’s just like anything else a mom has to balance. As women, we can balance a lot. It’s just another thing you have to put on the calendar,” Koz says. Besides regular doctor visits, Koz says that she makes her health a priority by eating healthy, exercising several times a week and going to bed by 10 p.m. each night. “With lupus, one of the biggest triggers for me is stress and lack of sleep,” Koz says. “It’s really important for me to get seven hours of sleep at night, or I can feel my lupus flaring up. Maintaining my schedule is important.” Between her personal appointments and her kids’ check-ups, Koz says that she couldn’t get it done without the help she receives from her husband and her assistant at work. That, and the weekend and evening appointment hours her Edward Hospital– affiliated physicians offer. Koz says that she appreciates new technology like MyChart, an electronic medical record that allows patients to see their appointment history, schedule appointments and communicate with their doctors’ offices online. And she doesn’t hesitate to take her kids to the Edward Plainfield Emergency Department if necessary. “To keep up, healthcare needs to be convenient, accessible and easy to manage. Edward-Elmhurst Healthcare has responded and continually strives to implement new technology toward that end,” Davis says. “One really wonderful new service we’ve started . . . is the walk-in clinics. It’s a reason- 10.3 million women were single mothers living with children The labor force participation rate — the percent of the population younger than 18 in 2012, up from 3.4 million in 1970. working or looking for work — for all mothers with children under age 18 was 69.9 percent in 2013. able price; it’s easy-in, easy-out; and you can fill your prescription at the same time.” The walk-in clinics and immediate care centers are open daily throughout the area with hours of operation and wait times posted online. You can also check the wait times for emergency departments in Elmhurst, Naperville and Plainfield online or with a text message. And the future looks even brighter, as technology continues to evolve — making health care one less thing for mom to tack on her to-do list. To find a physician for your family visit www.emhc.org/findadoctor Sources U.S. Department of Labor: www.dol.gov/ ebsa/newsroom/fshlth5.html U.S. Census Bureau: www.census.gov/ newsroom/releases/archives/facts_for_ features_special_editions/cb13-ff11.html Bureau of Labor Statistics: www.bls.gov/ news.release/famee.nr0.htm learn more: www.emhc.org 7 Ways to Make Yo W Y ur 1 Find a great primary care physician “Your primary care physician can support you in developing healthy habits and coordinate a schedule of screenings to catch potential problems early, when they’re most easily treated,” says Dorothy Prusek, M.D., a board-certified internist on the Elmhurst Hospital Medical Staff. Vivien, 66, of Elmhurst, has been Dr. Prusek’s patient for years. She schedules an annual check-up without fail each spring. “I’ve always been health conscious. I do whatever I can,” Vivien says. At age 60, she got a shingles vaccination after learning at a wellpatient visit that the virus can affect anyone who has had chicken pox. 8 health connections fall 2014 2 3 Even 30-minute walks at lunchtime can do some good. Elizabeth, 61, of Itasca, knows all about the importance of exercise. She and her husband have seven children, 17 grandchildren, one great-grandchild and a second one on the way. That group requires a pair of active grandparents, and Elizabeth and her husband are up for the challenge. They are both diabetic, so exercise and a healthy diet are integral parts of their daily routines. “I exercise at least three times a week. We have lots of stairs in the house, and I go up and down the stairs a lot,” Elizabeth says. “I try to take 10,000 steps every day, and I wear a pedometer. I get pretty close. Sometimes I even go over.” Nobody’s perfect, but good choices help keep you well. Take it from 98year-old Enes of Bensenville, who starts almost every day with a bowl of oatmeal sprinkled with flaxseed. “I also eat an apple a day,” Enes says. It’s easier to eat healthy when you keep healthy options handy at home. When you’re a working mother, healthy meals can require some advance preparation. “I try to eat as many fresh fruits and vegetables as I can — mainly salads,” says single working mom Jessica, 29, of DeKalb. “I try to make lunches and dinners ahead of time and avoid drinking a lot of pop.” Squeeze in some exercise Make healthy diet choices feature :: five ways to make your health a top priority Health a To T p Priority Women often take on many roles — mom, full-time employee, caregiver, household CEO. They’ve got multitasking down to a science. They can get their work done — whether household chores, corporate presentations or both — run their kids to soccer games and dance lessons, and still somehow find time to eat and sleep. One thing that tends to fall off their radar, however, is self-care. “Staying y g healthy y doesn’t have to take up p all of your y time,” , says y Asma Ayub, y , M.D., a family practice specialist with Elmhurst Memorial Elmhurst Clinic. “Make healthy choices a part of your daily routine to feel better and stronger. stronger.” r” r. 4 Get a good night’s sleep When you’re constantly on the go, it’s easy to crash into a snooze at the end of a busy day. “I stay busy during the day, so it’s not hard for me to get a good night’s sleep,” Jessica says. However, insomnia can be caused by stress and anxiety or a loss of estrogen during menopause. Talk to your doctor if you struggle to get 7 to 9 hours of sleep. 5 Keep yourself mentally healthy If stress is keeping you up at night, taking time for yourself is crucial. “I read. And now that the weather’s nice, I’m outside gardening,” Elizabeth says. “A lot of my mental health comes from being around my family. The grandkids keep us busy.” Regular massages, outings with friends and nights at the movies help keep Vivien’s stress at bay. “I don’t really meditate, but I try to keep my schedule as simple as I can,” she says. Tell us how you make health a top priority. Visit www.facebook.com/ ElmhurstMemorial Looking for a primary care physician? Visit emhc.org/findadoctor or call CareMatch at (331) 221-2273 to find one near you. learn learn more: more: www.emhc.org www.emhc.org 98 feature :: breast health program Knowledge Is Power with Breast Cancer Prevention “ Like mother, like daughter” often means good things if you are talking about cooking skills, sense of humor or math smarts. However, no daughter wants to follow in her mother’s footsteps when it comes to breast cancer. Jennifer Trevino, 39, of Hawthorne Woods, is now taking a proactive approach to breast cancer prevention after her mother Ethel Lores, 70, of Deerfield, underwent surgery for breast cancer three years ago. Trevino, a working mother of two, had her first baseline mammogram at 35 since breast cancer not only affected her mom but also her mom’s four sisters. “I have a 40 percent lifetime risk of developing breast cancer due to my family history. I would rather be safe than sorry,” Trevino explains. Because of her strong family history, Trevino was a candidate for the BRCA gene blood test. A woman’s risk of developing breast and/or ovarian cancer is greatly increased if she inherits a harmful mutation in the BRCA1 or BRCA2 gene. Fortunately, Trevino’s results came back negative, but had they come back positive, Trevino was prepared for any next steps. She continues to see Christine Gresik, M.D., breast surgical oncologist who manages the Elmhurst Memorial High-Risk Breast Clinic, on an annual basis, and she alternates between a mammogram and breast MRI testing to keep a close eye on her situation. ....... From left to right: Jennifer Trevino and Ethel Lores 10 health connections fall 2014 “Our High-Risk Breast Clinic emphasizes that screening for breast cancer is not a one size fits all,” says Dr. Gresik. “Women need to be individually assessed so that a customized imaging and surveillance plan can be designed for each woman based on her individual risk factors.” Dr. Gresik adds that up to one-third of all breast cancers are now thought to be preventable through various risk-reduction strategies, including simple diet and exercise regimens. Trevino says that the knowledge she now has about breast cancer and the preventive steps that can be taken is something that she will instill in her 6-year-old daughter when she is older. “I hope that in 15–20 years there is even more that they can do with medication and technology,” she says. Lores and Trevino both agree that women should see their doctor for annual check-ups, follow the mammography guidelines and be proactive. “You need to control what you can,” says Lores, who maintained a positive attitude throughout her chemotherapy and radiation treatment, and has now become a mentor to her friends with breast cancer. “Breast cancer certainly changes your life. I now live life to the fullest, although the chance of recurrence is always in the back of my mind.” Taking a Closer Look For women who are concerned about their risk of breast cancer, the High-Risk Breast Cancer Screening and Prevention Clinic at the Elmhurst Memorial Center for Cancer Care can help women take the first step in preventing the disease or catching it in its earlier, most treatable stage. A team of cancer specialists and other clinicians work with women to not only identify the risk but also develop a plan of action to reduce the risk. Genetic counselor Christina Lavin, M.S., LCGC, is part of this team and helps women decide if genetic testing or a personalized risk-reduction plan is needed. Who would benefit from a breast cancer risk assessment? If you have any of the following risk factors, talk with your doctor about whether a risk assessment would be right for you: • A personal or family history of breast Christina Lavin, M.S., LCGC cancer diagnosed before age 50 on either your mother’s or father’s side. • A personal or family history of ovarian “I take a thorough family history and talk them through genetic testing once a patient has been identified as a candidate for this program,” says Lavin. Depending on the results from their testing, they may or may not require a more invasive or aggressive approach to treatment. Some of those more aggressive approaches could include more frequent mammograms and/ or additional imaging modalities, such as a breast MRI. “There are also medical therapies for risk reduction, such as Tamoxifen pills or surgical intervention for those at highest risk,” explains Lavin. Lavin, who has been a genetic counselor for 16 years, says that the field of genetic testing is very exciting and rapidly changing. “Genetic testing is becoming much more cost effective and available to the consumer. However, women should still double-check with their insurance company regarding coverage.” “Only 5–10 percent of all cancers are hereditary, but for those who have a family history, knowing what might lie ahead can help put their minds at ease or prepare them to take a more aggressive approach,” says Lavin. “Sometimes people just want to know, so they can help other family members.” cancer at any age. • A family history of male breast cancer at any age. • A history of three or more family members on the same side diagnosed with breast cancer. • Chest wall radiation received before age 30. • Known BRCA1 or BRCA2 mutation(s) in a family member. • Ashkenazi Jewish ancestry, together with a personal or family history of breast or ovarian cancer. For more information or to make an appointment, please contact the High-Risk Breast Cancer Screening and Prevention Clinic at the Elmhurst Memorial Center for Cancer Care at (331) 221-5900, or visit us on the Web at www.emhc.org/BreastHealth. “Womenneedtobeindividually assessedsothatacustomized imagingandsurveillanceplan canbedesignedforeach womanbasedonherindividual riskfactors.” Christine Gresik, M.D. Breast Surgical Oncologist Schedule a Mammogram To schedule a mammogram or to learn more about our screening and diagnostic services, visit www.emhc.org/mammo, or call (331) 221 221-6036. 1-6036. learn more: www.emhc.org 116 department :: turning heart failure around Turning Heart Failure Around Linda Kilian, of Chicago, never knew how important listening to one’s body could be until she ended up in the Elmhurst Hospital Cardiac Care Unit with heart failure in February. Despite the fact that heart problems run in her family, Linda had always been healthy and active. “I have hardly been sick a day in my life. I take vitamins, try homeopathic remedies and have a great immune system,” says Linda, 53. However, little did Linda know that treating her flu/bronchitis symptoms at home last November could land her in the hospital for nearly three weeks. “Over the winter, I just wasn’t getting better. I was having trouble breathing and was starting to feel like I was gaining weight from eating healthy foods to keep my strength up. But, in reality, I was retaining fluid from heart failure.” Linda said that her water retention started out slowly, but it became more rapid as her symptoms progressed. Eventually, Linda got so bad that her brother, who lives in Naperville, brought her to the Elmhurst Hospital Emergency Department. “The doctors were shocked at the amount of fluid that I had around my heart. I ended up with a pacemaker in the process,” says Linda. Linda was treated by a group of doctors, including Ali Valika M.D., a cardiologist with Midwest Heart Specialists. “I was happy to have Dr. Valika on my side because he had also saved my brother’s life when he was a patient at Edward Hospital.” Her diagnosis was heart failure complicated by irregular heart rhythm preceded by flu-like symptoms. “Linda was exceptionally ill at the time of her new diagnosis of weakened heart muscle, or cardiomyopathy, and had significant arrhythmias and low blood pressure complicating her initial care. Through medication adjustments, Linda did remarkably well with eventual improvement in her heart function over time,” explains Dr. Valika. While in the hospital, Linda was visited by Sharon Casey, M.N., R.N., ANP-BC, a heart failure advanced practice nurse who manages Elmhurst’s Heart Failure Wellness Clinic. This outpatient clinic helps patients with cardiac-related diagnoses make the transition back to their normal lives after discharge. In Linda's case, Casey helped control fluid retention by putting her on a low-sodium diet while also helping her manage multiple medications and blood pressure issues. “Coordination of care and refining selfmanagement skills are key for heart patients. We spend a lot of time with patients in the clinic going over medical details,” explains Casey, adding, “Linda maintained a positive attitude and improved dramatically throughout her visits.” “I have lost all of the 40-plus pounds nds of ut my water weight that I gained throughout ordeal. I am back to exercising and can walk one to three miles a day,” says Linda. ymp“As women, we tend to ignore our sympnk that toms because we are so busy or think ddition we can manage them at home. In addition to getting a flu shot every year, I would uld tell any woman out there to check with her doctor when something doesn’t feel right, such as back pain, fatigue, shortness of breath, a cough you can’t kick and fluid retention as these could be signs of something more serious.” Linda will also continue to see Dr. Valika on a regular basis due to her risk of hereditary heart disease. Ali A. Valika, M.D. Cardiology “ Through medication adjustments, Linda did remarkably well with eventual improvement in her heart function over time.” 12 health connections fall 2014 From left to right: ht: Sharon Casey, M.N., R.N., ANP-BC BC and Linda Kilian an Signs of Heart Failure* > Shortness of breath > Persistent coughing or wheezing > Buildup of excess fluid in body tissues > Tiredness or fatigue > Lack of appetite or nausea > Confusion or impaired thinking > Increased heart rate * Source: American Heart Association Get to Know Us Read more patient stories, watch videos and learn more about our services at www.emhc.org/services/ cardiology. feature :: aging parents Four Tips When Caring for Aging Parents Ten T Te n years ago ago, only three percent of men and nine percent of women helped provide basic care for parents. Today, there are 10 million adult children caring for aging parents, according to the MetLife Mature Market Institute. Caring for your aging parents can be the highest calling of your life. However, it can also add significant demands of time and money. In some cases, these personal sacrifices can create bitterness and regret, causing ill will toward the very people that you love and have pledged to help. “How a family cares for aging parents varies based on cultural, religious or other family values and beliefs,” says Valerie Hankamp, LCSW, CCM, manager of case management at Elmhurst Hospital. “However, there are several things that people can do to plan for this responsibility.” 1 :: Don’t wait to communicate. Make sure that you understand what your parents want if you wind up with the legal power and responsibility to make health care decisions for them. “It is important to have these conversations early, before your parents are unable to make their wishes known,” says Hankamp. “The last thing you want is to guess or debate with other family members what your parents would have wanted.” Setting up an advance directive is a good place to start. Documenting your parents’ wishes today means that your family won’t have to make heart-wrenching decisions later. 2 :: Make a caregiving budget. 4 :: Talk to your parents and their doctor(s). Before making a lifestyle decision with financial consequences, such as quitting your job or raiding your retirement fund, put together a comprehensive look at what you are spending on caregiving. Make a companion list of your parents’ resources and how they might be better used to support caregiving activities. Without written permission from your parents, health care privacy laws will prevent their doctor(s) from talking with you regarding any aspect of your parents’ electronic medical records (EMR). If you have this approval, you are in a better position to help facilitate, navigate and support them when they need it. 3 :: Assess if keeping your parents in their home is feasible. While the responsibilities of caring for an aging parent might seem to overshadow the benefits at times, it’s important to remember the rewards of the situation as well. Many people find that caring for aging parents is a growth experience, which creates an opportunity for all concerned to learn more about themselves. For parents, having a child around to spend time with, and provide care, may make a difference in quality of life. Most people want to grow older in their own home, surrounded by possessions and memories. However, if you are in charge of taking care of your parents and they remain at home, you will also be responsible for the upkeep of their home as well as your own. This could cause additional financial and time stressors on the family if a plan is not put in place ce early on. MyEMH Record MyEMH MH Record is an interactive Web portal that empowers you to take a more active role in your and your family’s health care by providing easy, secure access to health information and online communications. To set up your account, go to www.myrecord.emhc.org or call (331) 221-0585. learn more: www.emhc.org 13 New Medical Staff Rameez Alasadi, M.D. Gastroenterology DuPage Medical Group, Ltd 100 Spalding Drive Ste 208 Naperville, IL 60540 Matthew Beal, M.D. Orthopedic/ Spine Surgery Northwestern Medical Faculty Foundation 675 N. St. Clair Street Galter Pavilion Ste 17-100 Chicago, IL 60611 Sonjai Bhatia, M.D. Cardiology DuPage Medical Group, Ltd 133 E. Brush Hill Road Elmhurst, IL 60126 Tibor Boco, M.D. Neurosurgery Neurological Surgery and Spine Surgery, S.C. 1 Westbrook Corporate Center Ste 800 Westchester, IL 60154 14 health connections fall 2014 Elmhurst Hospital welcomes these new medical staff members: Ciarán Bradley, M.D. General Surgery DuPage Medical Group, Ltd 133 E. Brush Hill Road Elmhurst, IL 60126 James Carroll, M.D. Cardiology DuPage Medical Group, Ltd 133 E. Brush Hill Road Elmhurst, IL 60126 Juan Flores, M.D. Pulmonary Medicine DuPage Medical Group, Ltd 133 E. Brush Hill Road Elmhurst, IL 60126 Daniel Frank, M.D. Hematology/Oncology DuPage Medical Group, Ltd 430 Warrenville Road Ste 300 Lisle, IL 60532 Charles Galanis, M.D. Plastic & Reconstructive Surgery University Plastic Surgery, LLC 100 Spalding Drive Ste 206 Naperville, IL 60540 Chris Geannopoulos, M.D. Cardiology DuPage Medical Group, Ltd 133 E. Brush Hill Road Elmhurst, IL 60126 John Giardina, M.D. Cardiology DuPage Medical Group, Ltd 133 E. Brush Hill Road Elmhurst, IL 60126 Jean Goodman, M.D. Maternal Fetal Medicine Loyola Maternal Fetal Medicine 2160 S. First Avenue Maywood, IL 60153 Dennis Karsh, M.D. Cardiology DuPage Medical Group, Ltd 133 E. Brush Hill Road Elmhurst, IL 60126 M. Ammar Katerji, M.D. Pediatric Neurology Katerji Pediatric Neurology and Associates 1220 Iroquois Avenue Ste 140 Naperville, IL 60563 Silpa Katta, M.D. Physical Medicine and Rehabilitation Marianjoy Medical Group 17W682 Butterfield Road Ste 300 Oakbrook Terrace, IL 60181 Nicholas Kujala, M.D. Radiology Elmhurst Radiologists 155 E. Brush Hill Road Elmhurst, IL 60126 department :: new medical staff Leslie Mattson, M.D. Hospitalist DuPage Medical Group, Ltd 155 E. Brush Hill Road Elmhurst, IL 60126 Jill Moran, M.D. Maternal Fetal Medicine DuPage Medical Group, Ltd 100 Spalding Ste 112, MOB 1 Naperville, IL 60540 Patrick O'Leary, M.D. Cardiology DuPage Medical Group, Ltd 133 E. Brush Hill Road Elmhurst, IL 60126 Wayne Paprosky, M.D. Orthopedics Midwest Orthopedics at Rush 25 N. Winfield Road Ste 505 Winfield, IL 60190 Thomas Poepping, M.D. Orthopedics G&T Orthopaedics & Sports Medicine 1200 S. York Road Ste 4190 Elmhurst, IL 60126 William Schueler, M.D. Neurosurgery Elmhurst Memorial Neurosciences Institute Affiliation with Northwestern Medicine® 1200 S. York Road Ste 3160 Elmhurst, IL 60126 Donald Taylor, D.O. Maternal Fetal Medicine DuPage Medical Group, Ltd 100 Spalding Ste 112, MOB 1 Naperville, IL 60540 Welcome Call CareMatch at (331) 221-CARE (2273) to find the right doctor for you. Or visit us online at www.emhc.org for a complete search and find a physician who meets your specific needs. Ramzi Zureikat, M.D. Hospitalist Elmhurst Memorial Elmhurst Clinic 155 E. Brush Hill Road Elmhurst, IL 60126 learn more: www.emhc.org 15 department :: classes and events Classes and Events locations Elmhurst Hospital 155 E. Brush Hill Road, Elmhurst, IL 60126 Elmhurst Memorial Lombard Health Center 130 S. Main Street, Lombard, IL 60148 Elmhurst Memorial Addison Health Center 303 W. Lake Street, Addison, IL 60101 Advances in Spine Care 7 pm, Wednesday, Oct. 29 Elmhurst Hospital Arboretum Conference Center, Oak Room Please join nicholas Mataragas, M.D., orthopedic spine surgeon with the spine center of the DuPage Medical Group and elmhurst Hospital medical director of the spine program, who will speak about diagnosis and treatment options for back pain, reconstructive spine surgery and minimally invasive spinal implant technologies and the use of artificial discs. Dr. Mataragas is one of the first surgeons to bring minimally invasive surgical techniques to the chicagoland area and is one of a few surgeons nationally that routinely performs multilevel minimally invasive anterior lumbar fusions. Refreshments will be provided. Are you a smoker or were you a smok smoker in the past? Have you been exposed to other environmental conditions that can affect lung health? Please come and learn about prevention, risk factors and early diagnosis and evaluation. Treatment approaches and new advances in lung cancer screening, including the low-dose CT Lung Screening (LDCT) for at-risk patients, will be presented by our panel of physician experts, part of the Elmhurst Hospital multidisciplinary thoracic team: Phillip Cozzi, M.D., pulmonary medicine physician with Elmhurst Memorial Elmhurst Clinic Michael DaValle, M.D., cardiovascular surgeon with Cardiac Surgery Associates Andy Su, M.D., radiation oncologist with Fox Valley Radiation Oncology Lucio DiNunno, M.D., hematologist-oncologist with Elmhurst Memorial HematologyOncology Associates Vivek Dave, M.D., diagnostic radiologist with Elmhurst Hospital Radiology Katie Opfer, R.N, M.S., OCN, lung nurse navigator the evening will conclude with music and a light vigil in support of lung health. Take a Break from Your Headache 7 pm, tuesday, Jan. 13 Elmhurst Hospital Arboretum Conference Center, Oak Room the head is the most common site of pain in the body. A headache is continuous pain in the head or neck. if you are suffering from chronic headaches, please join our physicians: Brian couri, M.D., physical medicine and rehabilitation physician with the elmhurst Memorial neurosciences institute in affiliation with northwestern Medicine® and Donald Lussky, M.D., neurologist with RLt neurologic Associates on staff at elmhurst Hospital, who will speak about types of headaches, current treatment options available and when further intervention is required. Refreshments will be provided. 16 health connections fall 2014 Take the free 5-minute online test and learn your risk. BeHealthAware.org Register Today! We make registering for classes and events easy. Please visit us online or call CareMatch to register. Upcoming dates and times are available. ONLINE: Visit www.emhc.org/classes Registration is required for all classes and events. Payment is due at the time of registration. BY PHONE: Call CareMatch at (331) 221-CARE fitness classes Chair Yoga 4 pm, Mondays, Oct. 20–Nov. 24 or Dec. 8–Jan. 26, (No classes Dec. 22 or 29), Elmhurst Memorial Lombard Health Center, Community Room, $45 Yoga develops a sense of well-being by revitalizing the mind, body and spirit. Enjoy the benefits of efficient breathing, improved mental focus and increased flexibility. Pilates 7:15 pm, Wednesdays, Oct. 15– Nov. 19 or December 3–Jan. 21, (No classes Dec. 24 or 31) Elmhurst Memorial Lombard Health Center, Community Room, $40 Pilates is a low-impact exercise that improves overall body strength, stability, balance and posture through a series of exercises that conditions the core muscles in the abdomen. Screenings Tai Chi for Health: Arthritis, Pain, Balance, Breath 10 am, Tuesdays and 11 am, Tuesdays (Advanced), Oct. 21–Nov. 25 or Dec.9–Jan. 27 (No classes Dec. 23 or 30) 6 pm, Thursdays and 7 pm, Thursdays (Advanced), Oct. 30–Dec. 11 (No classes Nov. 27) or Jan. 8–Feb. 12 (No classes Dec. 25 or Jan. 1) Elmhurst Memorial Lombard Health Center, Community Room, $40 Tai Chi is a gentle, low-impact approach to fitness that can ease the pain and stiffness of arthritis. Flowing, gentle movements increase flexibility, muscle strength, joint range of motion, heart and lung capacity, and posture and balance. Screenings are a great way to assess your health risks and identify health problems early, while they are more likely to be prevented or treated successfully. Blood Pressure Screenings 10 am–Noon, fourth Thursday of every month, Elmhurst Hospital, Soukup Herter Library and Resource Center, Free (No classes Nov. 27 or Dec. 25) Know Your Numbers 8–11 am, Friday, Nov. 7, Elmhurst Memorial Addison Health Center, Community Room, $15 A wellness screening that includes a total cholesterol, HDL, LDL, triglycerides and glucose measurement. The screening test is a Cholestech fingerstick. Results are available within 10 minutes and will be discussed with each participant following the screening. A light breakfast will be provided. Fasting 12 hours is required. Elmhurst Hospital has partnered with Wellness House to provide a hospitalbased program to meet the needs of cancer patients and their families. Center For Cancer Care Breast Cancer: Free Education, Exercise and Wellness Class 1–2 pm, second Thursday of the month, Evergreen Room 6:30–7:30 pm, fourth Thursday of the month, Evergreen Room The Elmhurst Hospital lymphedema certified physical therapy team will facilitate informative twice monthly educational and wellness classes for patients diagnosed with breast cancer and their families. Learn about techniques to improve quality of life throughout your treatment regimen. Topics covered will include: what to expect after breast surgery, exercises to improve range of motion after surgery, prevention and signs and symptoms of lymphedema and information on therapy treatment available to assist with quality of life. Please contact Kelly Stein for questions related to this class at (331) 221-6037. Life After Cancer: Your Personal Meaning of Survivorship 3–4:30 pm, Wednesdays, Oct. 22–Nov. 12, Elmhurst Memorial Center for Cancer Care, Conference Room 6–8 pm, Mondays, Oct. 6 and Dec. 1 and 1–3 pm, Mondays, Nov. 3 and Jan. 5, Elmhurst Memorial Center for Cancer Care, Conference Room, Free You have been told that you are a cancer survivor, but what does that mean to you? Treatment is over and everyone around you believes that you are back to normal, but inside you know that your life has changed in profound ways. The program is based on the book Picking Up the Pieces: Moving Forward After Surviving Cancer by Sherri Magee, Ph.D. and Cathy Scalzo, M.S.O.D. This series will guide you as you take a deeper look at physical, emotional, spiritual and relationship changes with the intention of moving forward and healing. Open to post-treatment cancer survivors. Attendance at each session is not required. Questions? Please contact Kelly Stewart, M.S.W., L.S.W. [email protected] or (630) 654-5115. Learn beauty techniques to conceal the appearance-related side effects of radiation and chemotherapy. Art in Nature & Nature in Art Look Good, Feel Better MammaCare® 6–8 pm, Friday, Oct. 10 and Dec. 12 and 1–3 pm, Fridays, Nov. 14 and Jan. 9, Elmhurst Memorial Center for Cancer Care, Conference Center, Free A new way to perform breast self-exam, taught by a certified instructor who will help you detect a lump or potential abnormality earlier than you thought possible. Registration is required for all classes and events. Payment is due at the time of registration. 6–8 pm, Thursdays, Oct. 30–Nov. 20, Elmhurst Hospital Arboretum Conference Center, Birch Room Come and explore nature’s patterns throughout art. We will focus on simplicity, flow and free form. By creating, we will come closer to nature and produce some beautiful art. All skills are welcome. The class is available to cancer survivors and their caregivers. Registration required for the above classes. Register at www. wellnesshouse.org or call (630) 323-5150. onLinE: Visit www.emhc.org/classes by PHonE: Call CareMatch at (331) 221-CARE learn more: www.emhc.org 17 prenatal and postnatal classes Preparing for Childbirth Mommy and Baby Hour It is best to register for this program during your 20th week of pregnancy. Call CareMatch for location, dates and times Call CareMatch for location, dates and times Option 1 this is a series of classes that helps parents-to-be prepare for their baby’s birth by hearing about what to expect during labor and during their hospital stay. topics include the signs of labor, breathing and relaxation techniques, what to expect at the hospital, pain relief, and information about epidurals and cesarean sections. tour is included. Option 2 this is a one-day, condensed version of option 1, designed to meet the needs of busy parents-to-be. Find out what to expect at the hospital, what the most important policies are and what your pain management options will be. tour is included. Option 3 this eLearning class is a self-paced program designed for parents-to-be with busy schedules who would prefer to access the classes from their own computer. You will receive a complete education in a convenient and personalized format. Breastfeeding Adjusting to motherhood is exciting but challenging. An experienced R.n. will guide weekly conversations with expert guests on many different parenting topics. We welcome mothers and their infants to join our weekly group. Bring a blanket for your baby to lie on. Caring for Baby Call CareMatch for location, dates and times the first days at home with a newborn can be a complete mystery to new parents. this class will help you feel more confident about how to feed, comfort and keep your baby safe and healthy. the class will cover newborn appearance, senses and brain development, comfort techniques, feeding, diapering, bathing, umbilical cord care, circumcision care, sleeping, and health and safety. Dogs and Storks Call CareMatch for location, dates and times An international program designed to help expecting families with dogs get ready for life with baby. this two-hour workshop promotes techniques to create a safe and fun environment for the entire family. Learn the basics of dog communication, your dog’s sensitivities, how to introduce baby to dog, management techniques and how to decrease attention-seeking behaviors. Call CareMatch for location, dates and times Let a member of our lactation support team get you and your baby off to a great start. soon-to-be moms and their partners will learn the benefits of breastfeeding, how breastfeeding works, latch-on and positioning, when to feed your baby, breast care and breastfeeding lifestyle. Healthy Pregnancy, Happy Baby Family Birthing Center Tours Call CareMatch for location, dates and times, Free the best way to get an idea of what your delivery day will be like is to take a tour. You and your partner will get to see one of the actual birthing rooms, and the hospital staff will explain the various monitors, equipment and services offered. Call CareMatch for location, dates and times nutrition and exercise can make pregnancy more enjoyable for you and healthy for your baby. A dietitian will explain how to eat healthy, deal with the discomforts of pregnancy and recognize the signs of preterm labor. in addition, participants will tour the Family Birthing center. this class should be taken between your 20th and 26th week of pregnancy. Register Today! We make registering for classes and events easy. Please visit us online or call CareMatch to register. Upcoming dates and times are available. Family Birthing Center Midwifery Tours Call CareMatch for location, dates and times, Free this tour of the Family Birthing center is specific for patients receiving care from the midwifery practice at elmhurst clinic. the tour includes a visit to the birthing suites and a review of alternative birthing options, such as water birth. Tours for Siblings Call CareMatch for location, dates and times, Free A brief tour for soon-to-be big brothers and sisters to see what their moms’ hospital rooms will look like and hear what it will be like to have a new baby in the family. Infant Massage Call CareMatch for location, dates and times, Free Registration is required for all classes and events. Payment is due at the time of registration. ONLINE: Visit www.emhc.org/classes BY PHONE: Call CareMatch at (331) 221-CARE A fun and interactive three-week class. Babies show improved growth and development after massage and also learn a great deal about comfort, security and emotional bonding. You will practice massage techniques under the guidance of a certified massage instructor. Grandparent Baby Care Refresher Call CareMatch for location, dates and times class will cover newborn appearance, brain development, comfort care techniques, feeding, diapering, bathing, umbilical cord care, circumcision care, car seat safety and how to baby proof your home. Friends and Family Infant/Child CPR Monthly, Call CareMatch for location, dates and times Breast Pump Rentals and Outpatient Lactation Visits 18 health connections fall 2014 Contact the Lactation Department at (331) 221-5433 wellness classes Program Kits for Kids Taking Care When Home alone (ages 9–12) Germs Make Me Sick (Preschool, grade school) Bicycle Safety (Preschool, grade school) First aid and Safety (Preschool, grade school) elmhurst Hospital has program kits for your children’s group. You teach the class, we provide the syllabus and materials. call careMatch at (331) 221-CARE to arrange for a program kit. Are Your Kids Struggling with Unhealthy Weight? ProActive Kids Can Help Please contact CareMatch at (331)221-CarE for location and dates elmhurst Hospital has partnered with ProActive Kids to offer programs that teach children and their family ways to improve health through exercise, nutrition lessons and health coaching over an 8-week session. this life-changing health experience is offered FRee to kids ages 8–14 who want to exercise and lose weight as well as learn to eat right and gain self-confidence. to qualify, children need to be in the 85th percentile for BMi. to learn more, visit www.proactivekids.org or call (630) 681-1558. CPR Classes the following classes are offered at the elmhurst Memorial Lombard Health center: cPR for Healthcare Providers, Heartsaver cPR/AeD and Family and Friends cPR. Please contact carematch at (331) 221-CARE for dates and times of programs. Memory Loss 7–8:30 pm, Tuesday, Oct. 7, Elmhurst Hospital arboretum Conference Center, Oak room early memory loss can cause many challenges for individuals and those who support them. Please join elmhurst Hospital in partnership with the Alzheimer’s Association to learn about early signs of memory loss and the diagnosis process. the program will focus on coping strategies and help individuals and their support systems find available resources. Living Responsibly, Dying with Dignity End of Life Discussions 6:30–8:30 pm, Tuesday, nov. 11, Elmhurst Hospital arboretum Conference Center, Elm/Maple rooms elmhurst Hospital invites you to attend a presentation and panel discussion about this important yet difficult topic to discuss. Amaryllis Gil, M.D., oncologist with elmhurst Memorial Hematology/ oncology Associates; Mary Belville, R.n., radiation oncology nurse; Don Dahlheimer, manager of pastoral care; Kathy Rossi, M.s.W., social worker; and Jeromy Guthrie, hospice chaplain, will speak on dying with dignity, advance directives, nutritional needs at end of life as well as managing symptoms and the spiritual needs of the dying. noon, Thursdays, Elmhurst Hospital, Soukup Herter Library and resource Center, Free Bring your lunch, enjoy a complimentary starbucks beverage and listen to elmhurst Hospital physicians and staff present a variety of interesting health topics. Registration for these events is limited to two sessions per person from October through January. october Oct. 2 Osteoporosis in Women Dorothy Prusek, M.D., internal medicine physician on the medical staff of elmhurst Hospital Oct. 16 How Heart Failure affects Women Ali Valika, M.D., cardiologist with Midwest Heart specialists and on the medical staff of elmhurst Hospital november nov. 6 Diabetes awareness Linda Vogt, R.n., certified diabetes educator on staff at elmhurst Hospital nov. 20 need to Stop Smoking?: american Lung association QUITLInE Can Help You Katie opfer, R.n.,M.s.,ocn, lung nurse navigator on staff at elmhurst Hospital december Dec. 4 Dec. 18 Seasonal Depression and How You Can Beat the Slump Ghassan Aldurra, M.D., psychiatrist and program director of elmhurst Hospital Guidance services and on the medical staff of elmhurst Hospital Healthier Holiday Cooking Jim Roth, elmhurst Hospital executive chef and Becky Waller, R.D., L.D.n., dietitian on staff at elmhurst Hospital january Jan. 22 Cervical Cancer awareness Month: Current Guidelines for Cervical/HPV Screening Jennifer Kossoris, M.D., obstetrician and gynecologist with RPW obstetrics/Gynecology and on the medical staff of elmhurst Hospital Refreshments will be provided. Advance Directives 6:30–8:30 pm, Tuesday, nov. 18, Elmhurst Hospital arboretum Conference Center, Elm/Maple rooms A social worker will explain the options for documenting your end of life choices. Documents including the state of illinois Living Will, Health care Power of Attorney and PoLst (DnR) will be discussed. Registration is required for all classes and events. Payment is due at the time of registration. ONLINE: Visit www.emhc.org/classes BY PHONE: Call CareMatch at (331) 221-CARE learn more: www.emhc.org 19 non - profit org . u . s . postage 155 E. Brush Hill Road Elmhurst, Illinois 60126 paid elmhurst memorial healthcare health c o n n e c t i o n Become a fan on Facebook! s Sunday, September 28 at 1 pm Amazing At the Center for Cancer Care on the Elmhurst Hospital campus. 2014 Walk for cancer Elmhurst Memorial Hospital Foundation The Elmhurst Memorial Center for Cancer Care brings medical oncologists, an infusion center, radiation oncology and the CyberKnife Center of Chicago together under one roof. Proceeds will benefit oncology programs and services at the Elmhurst Memorial Center for Cancer Care. Join us for the Amazing Walk as we share hope, build awareness and raise funds for the Center for Cancer Care. Registration fee is $25. Registration at the event is $35. For more information and to register, please visit www.amazingwalk.kintera.org
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