FALL / WI NTER 2009

Riding Strong
Memorials Amputee Support
Group encourages patients
over every hurdle
CONTENTS
3 Healthy Eats
Summers Over Sweet Potato and Pear Soup
Maintain Your Mind
4-6 News Briefs
Ask an Expert
Laboratory Opening
Bendix Family Physicians
LaPorte Surgery Center Opens
Online Bill Pay Arrives
Memorial Medical Group Welcomes New Physicians
Welcome to the Cafeteriahhh!
Caring for the Athlete in All of Us
Intensive Air
7 Riding Strong
Inspiring athlete revs up his competitive spirit
8-10 Changing the Face of Surgery
An expansion of truly historic proportions
1a-12a Donors
Memorial Health Foundation recognizes its generous benefactors
11 The Healing Spirit
Emotional and spiritual support when its needed most
12-14 Healing Our Community
Memorial Outpatient Therapy Services
15 Patient Navigation
Gentle guidance through the vastness of cancer care
16 Sleeping Smart
Promoting healthy sleep habits in children
17 Health Beat
Evade the Virus
Sweet Nothings
18 Brain Boosters
5 foods for enhancing your mental power
19 Classes & Services
On the cover:
Chris Dunn at Thunder Valley MX Sports Park
FALL / WI NTER 2009
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, Marketing Specialist; Dayna Bammerlin, Designer; Deborah Good, Designer.
Memorial Health System, 615 N. Michigan St., South Bend, IN 46601. 574-647-6800, www.qualityoflife.org. Copyright 2009 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.
Riding Strong
Inspiring athlete revs up
his competitive spirit
Changing the Face
of Surgery
An expansion of truly
historic proportions
Healing Our
Community
Memorial Outpatient
Therapy Services
Sleeping Smart
Promoting healthy sleep
habits in children
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Maintain Your Mind
Just as important to your brain as the food you eat are the activities you
do. Here are some ways to keep your mind sharp in the years to come,
according to the AARP:
GO DANCING. Learning some new steps can help form new neural
connections and ease your brains stress response.
WALK IT OUT. Just 20 minutes of walking a day can lower blood sugar
and increase blood ow to the brain.
BE A RESOURCE. Volunteer at a library, arboretum or museum, and
youll learn new facts and have opportunities to think on your feet.
REDECORATE. Making changes to your living space can encourage cell
growth in the brain.
COOL DOWN. Anger has been found to inhibit memory. Take a few
moments to take some deep breaths instead of getting hotheaded.
Summers Over
Sweet Potato and
Pear Soup
Find a heartwarming, heart-healthy
entree in this sweet soup. Fat-free,
full of vitamins A and C, and an
excellent source of ber, the dish is
perfect for a rainy day, a sick day or
any kind of day.
1 large sweet potato, peeled and cut into
1-inch chunks
2 medium ripe pears, peeled, cored and
cut into 1-inch chunks
1 small red onion, trimmed and cut into
1-inch chunks
c. evaporated, nonfat milk
tsp. fresh thyme leaves, chopped
or tsp. crushed, dried thyme
tsp. crushed red pepper akes
tsp. salt
8 tsp. pepper
2 c. reduced-sodium chicken broth
c. fat-free yogurt, preferably Greek-style
Fresh thyme sprigs for garnish, optional
1
Preheat oven to 400 degrees.
Place sweet potato, pears and
onion in a nonstick roasting pan.
Spray vegetables and pear with
nonstick cooking spray. Toss. Roast
for 50 minutes or until fork tender.
Remove from oven.
2
Place vegetables and pears in large
pot. Add evaporated milk. Pure
mixture using an immersion blender.
(If desired, pure vegetables with
milk in a free-standing blender, in
batches if necessary.) Pour pure into
large pot. Add thyme, red pepper
akes, salt, pepper and chicken broth
to pot. Simmer soup for 10 minutes,
stirring occasionally.
3
Spoon soup into 4 bowls. Top each
serving with 1 Tbsp. of yogurt.
Garnish with thyme sprigs.
Makes 4 (1-cup) servings. Nutritional
information per serving: 190 calories,
0.5 g total fat, 7 g protein, 45 g carb-
ohydrates, 430 mg sodium, 5.5 g diet-
ary ber
HEALTHY EATS
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Memorials new core laboratory and blood bank ofers physicians, nurses and staf the latest
technologies and efcient turnaround times to ensure the best possible care for patients.
Ask an Expert
A sampling of Memorials experts
participated in four programs on WNIT
Public Televisions Ask an Expert series
of live, call-in programs that connect
viewers to local health, education,
home repair and legal professionals.
The rst program, on sleep disorders,
featured Gary Fromm, M.D., internal
medicine, pulmonary, critical care
and sleep medicine, and Michael
Englert, M.D., neurology.
Mark Lavallee, M.D., and Kevin
McAward, M.D., sports medicine, and
Tom Henry, physical therapy, discussed
sports injuries and injury prevention in
the second installment.
Three cancer specialists came together
in April to answer questions about the
art and science of cancer treatment
and prevention. Panelists included
George Friend, M.D., surgery, Timothy
Grifn, M.D., pediatric hematology/
oncology, and David Hornback, M.D.,
radiation oncology.
Three physicians from Memorial
Advanced Cardiovascular Institute
elded questions about cardiovascular
disease from callers in May. Physicians
included Andrew Fiedler, M.D., M.Div.,
Daniel Meng, M.D., Ph.D., and Raman
Mitra, M.D., Ph.D. p
Laboratory Opening
Memorial celebrated the expanded
space of the core laboratory. Now
located on the rst oor of Memorials
Leighton Heart & Vascular Center,
the new lab includes phlebotomy,
specimen processing, chemistry,
hematology, urinalysis and the
blood bank.
A pneumatic tube system connects
the lab to the Leighton Emergency
Trauma Center, Childbirth Unit and the
second oor, which houses inpatient
and outpatient surgery and all
Intensive Care Units. Another tube
sends specimens directly to the
South Bend Medical Foundation.
This new location allows us easier
access to many of the more critical
care areas in our hospital, says
Laboratory Manager Mary Youngs.
The technology now available, the
facility, Memorials culture of
excellence and customer service, and
our skilled laboratory technicians all
come together to make this a truly
important piece of the puzzle in
providing the best care for our
patients and medical staf. p
Bendix Family Physicians, located at
1010 N. Bendix Drive in South Bend, is
the result of an unprecedented and
ambitious partnership between
Memorial Health System, St. Joseph
Regional Medical Center and the city
of South Bend. As a full-service
medical practice and venue for
community health programming,
Bendix Family Physicians will provide
west side residents with access to
afordable primary health care.
The city of South Bend is pleased to
join as a partner with Memorial Health
System and St. Joseph Regional
Medical Center in meeting a
documented community need for
better, more afordable health care on
the west side, says South Bend Mayor
Stephen J. Luecke.
Collaboration and improving the
quality of life in our community are
action values Memorial Hospital &
Health System whole-heartedly
embrace, says Philip A. Newbold,
Memorial Health Systems president
and CEO. It has been rewarding to
bring this much-needed medical
resource to our community. p
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NEWS BRIEFS
Developed in partnership with local
surgeons, Memorial Medical Group
and Nueterra Healthcare, a
development and management
company based in Leawood, Kan., the
new LaPorte Medical Group
Ambulatory Surgery Center features
two fully equipped operating suites
and an outpatient recovery area.
The 5,000-square-foot facility is
located within the LaPorte Medical
Group building and will ofer a wide
range of outpatient procedures
and support multiple specialties,
including: general and vascular
surgery, orthopedics, gynecology,
gastroenterology, podiatry, urology,
ear, nose and throat surgery, and pain
management.
Heidi Collins, M.D.
Physical Medicine & Rehabilitation
Melissa Bunton, M.D.
Family Medicine
Memorial Medical
Group Welcomes
New Physicians
If youre looking for a family
physician or would like a
complete list of Memorial
Medical Group providers, please
visit www.MemorialMedical
Group.com. We will be glad to
help you and your family with
your health care needs. p
An Affiliate of Memorial Health System
Andrew McAfee, M.D.
Family Medicine
Adam Sergiwa, M.D.
Pediatric Hospitalist
Memorial Hospital of South Bend is
now ofering patients the ability to
pay their bills online. With the new
Online Patient Billing Manager, patients
can pay their bills online and access
other useful resources that help them
answer billing questions.
Patients can e-mail questions to
Memorials customer service
department, and even obtain helpful
information on how to write an appeal
letter to their insurance company,
says Lisa Gensinger, manager of Patient
Accounts at Memorial. Most
The new surgery center provides
new jobs for nurses and other support
staf, and also provides revenues for
the many local vendors and ancillary
services that are needed to maintain a
Surgery Center, says Lars Kneller, M.D.,
medical director of LaPorte Medical
Group.
Michael Gordon, executive director
of Memorial Medical Group, adds,
The LaPorte Medical Group
Ambulatory Surgery Center supports
our mission of Improving the Quality
of Life for our LaPorte Medical
Group patients. It brings state-of-
the-art technology and high-quality
physicians and surgeons together in
a safe and convenient facility. p
LaPorte Surgery Center Opens
importantly, its available 24 hours a
day, so patients can access their
account information at a time thats
convenient for them.
Memorial Medical Group is also
accepting online payments through
the same Web site. Even if you do not
have an account, you can browse the
site www.qualityoife.org/epay and
take advantage of some of the
available features. p
Online Bill Pay Arrives
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Welcome to the
Cafeteriahhh!
More than your typical renovation,
the newest changes to Memorials
cafeteria and Nutritional Services
Department are truly meant to
make a diference in the lives of
those who call Memorial home
whether for a one-day hospital
stay or a 40-year career.
Updated menu and salad bar
items ofer a wider variety of
choices to accommodate nearly
any palate, and a new serving area
designed specically to ease trafc
ow helps move busy people
through their experience faster
and more efciently.
Common Grounds Caf, located
on the hospitals second floor,
now features the most
convenient and innovative food
service system available, called
Freedom Shopping. Only the
second hospital in the nation to
adopt Freedom Shopping, this
24/7 self-serve, self-checkout,
professionally catered service
features a variety of fresh food
items along with snacks,
beverages and gourmet coffee.
Weve created a new experience
for those enjoying our cafeteria,
says Joe Vasta, director of
Nutritional Services at Memorial.
We know that sometimes this
quick break is all people get before
theyre back to caring for a loved
one or taking care of patients.
We want to make this a truly
comforting experience for them,
as a thank you for all they do. And
now with the addition of Freedom
Shopping, we are able to provide
uninterrupted, high-quality food
service 24 hours a day. p
Whether youre a weekend warrior
or an Olympic athlete, you can trust
the physicians and staf of Memorial
Sports Medicine Institute to deliver a
wide range of healing and preventive
health care.
A specialist in sports
medicine, Kevin J.
McAward, M.D., helps
athletes of all ages and
abilities achieve their
peak performance.
Dr. McAward treats a
broad spectrum of
injuries and conditions
relating to physical
activityfrom broken
bones and overuse
injuries to exercise-induced asthma
and concussionsand enables his
patients to return to their active
lifestyles safely and quickly. With
more than eight years of medical
experience in the Michiana region, he
is also able to connect his patients to
the areas many resources, including
physical therapists, athletic trainers
and orthopedic surgeons.
Community outreach is of particular
importance to Dr. McAward and the
Sports Medicine Institute team.
Whether its providing medical
coverage at local high school and
college sporting events or lecturing
on topics such as osteoarthritis,
Dr. McAward and his partner,
Mark Lavallee, M.D., ofer expertise
and peace of mind to healthy and
injured athletes alike. The
team also serves as the
ofcial medical team for
the Sunburst Marathon,
and at other national
and international-level
sporting events.
Sports medicine is an
innovative and rewarding
specialty, says Dr. McAward.
The services we ofer at
Memorial Sports Medicine Institute
really do help the people of our
community remain healthy and active,
spanning across all levels of training
and ability.
To schedule your appointment,
call the Memorial Sports Medicine
Institute at 574-289-4SMI (4764).
Dr. McAward also sees patients
at LaPorte Medical Group. For
an appointment in LaPorte, call
219-324-1600.
www.SportsMedInstitute.org p
Kevin McAward, M.D.
Memorial MedFlight,
Memorials helicopter
ambulance service,
is in the process of
implementing Night
Vision Goggle technology
to better enable pilots
and medical crew to
see during nighttime
transport missions.
MedFlight is the only
Indiana-based air
medical provider north of
Evansville to 100 percent
implement this state-
of-the-art technology.
Pictured: Pilot Ron
Morgan, Omniight Inc.
Caring for the Athlete in All of Us
Intensive Air
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Orthopaedic Trauma Surgeon
Bryan Boyer, M.D., founded
Memorials Amputee Support
Group in 2008.
Intensive Air
Just five months after an accident left him without his left leg
below the knee, Chris Dunn was back on his bike doing what
makes him happiest.
As operator of Thunder Valley MX Sports Park in Jones, Mich.,
Dunn and his family havent let the accident, which happened
just three years ago, keep them from living out their dream of
doing what they love.
Motocross has always been something thats just been a part
of my family, says Dunn. Having that taken away from me
wasnt going to be option.
Since his accident, Dunn has thrived in his chosen field,
placing second in the 2007 Extremity Games, an extreme
amateur sporting event including competitions for individuals
living with limb loss or limb difference.
Dunn will be the first to admit that reaching such heights
didnt come quickly or easily. He credits the work of Memorial
Orthopaedic Trauma Surgeon Bryan Boyer, M.D., and the
whole Level II Trauma Center team with saving his life.
Dr. Boyers the best and hes just a really cool guy, says Dunn.
He and Bob Ingram [director of Trauma Services at Memorial
Hospital] were both really good to me. He also credits The
Art of Design, Dually Depot, AST Racing, Wright & Phillips and
Hartland RV with getting him back to the races.
Those who deal with trauma on a daily basis know that the
process of recovery takes place long after a patient is
discharged and encompasses more than just physical
rehabilitation.
The brainchild of Dr. Boyer, Memorials Amputee Support
Group provides guidance and support for those with
amputations, whether from accidents, congenital
abnormalities or disease, such as diabetes.
These traumatic injuries are devastating to patients and their
families, and can consume them if they dont have the proper
Inspiring athlete
revs up his
competitive spirit
Strong
support and mindset, says Dr. Boyer. Chris, in particular,
has always had a drive to overcome his impairment, which
shows in his never-ending desire to compete and win. He is
truly inspirational, if not heroic, to me and to those who
have the opportunity to meet him.
He adds, I also have to give credit to Matt Strefling, Bob
Ingram, Jenna Meister, American Limb and Alan Loyd from
the Health & Lifestyle Center for making this group happen.
More than 20 people attended the first meeting. While
some sadness could be felt, there also was a good deal of
humor. What was originally scheduled as an hour-and-a-half
meeting lasted more than three hours.
Far and away the best part of the night was Chris Dunn,
says Ingram. At the beginning, everyone went around the
room and told their story. The last guy who spoke was a
younger guy who was kind of shy. He was really upset about
his life. He felt like he couldnt do anything anymore.
It was then that Chris reached into his pocket and pulled
out a sheet of paper and gave it to this guy, says Ingram.
Chris said, Dude, this is what you need! It was information
about the Extremity Games. He told him all about the
different sports he could compete in. The younger guy read
it for a moment, and looked
up and said, You really think
I could do this?
It was like a light going on
for him, says Ingram. It was
an incredible moment that
none of us in that room will
ever forget.
Chris Dunn
Riding
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Changing the Face
of Surgery
Something remarkable has been built in the heart of South Bend. It is one of the greatest
investments our community has ever seen. A monument to the future, a monument to the
families of this community, a monument to healing. Its our commitment to Saving Lives
the new Surgical Suites at Memorial Hospital of South Bend.
As the old saying goes, theres nothing permanent except
change. Those who have been in the eld of medicine long
enough have seen some truly amazing changes in the way
we all do business. Now, with the evolution of knowledge,
and capabilities such as nuclear medicine and robotic
surgery, advances in medical technology have enhanced the
patient experience in ways once thought unimaginable.
Were still ofering the same world-class surgical care our
community has come to expect from Memorial. Its just that
now were able to do so in a more comfortable, inviting
and accessible environment, says Irene Cadarette, R.N.,
director of Major Surgery at Memorial Hospital.
New technology has rewritten the book on the types of
procedures now performed in the operating room. I was
involved with the process when we dedicated the current
operating suites in 1981, says George Friend, M.D., medical
director of the Memorial Regional Breast Care Center. At
that time I compared the procedures being done in the
80s with those that took place when the previous
operating rooms were dedicated in the 1950s.
A high percentage of the procedures in the 80s hadnt
even been envisioned when those rooms were dedicated
originally. And the same thing will be true with the surgical
suites that we dedicated this year, he adds.
This is just another way Memorial is living its mission to
Improve Quality of Life in our community, says Anne
Mizani, R.N., CNOR, quality improvement manager for
Surgical Services. Weve really taken a lot of time, and done
extensive research in the areas of safety and efciency to
make sure we did everything possible to make these surgery
suites the best they can be. No stone was left unturned.
The project also includes renovation of the Outpatient
Surgery Center, new sterile processing and admitting areas,
and a new main lobby and entrance area, which will include
a new Chocolate Caf and Home Care store, and space for
Memorial Regional Cancer Center services, among others.
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9
An Expansion of Truly Historic Proportions
Flexibility
The larger number of
operating suites means
that more types of
surgeries can be
performed on a more
timely basis.
Future Growth
Memorial has left
space for additional
operating rooms that
can be planned and
developed as needed.
Sterile Processing
Higher speed washers
allow for safe,
efficient turnaround
times, allowing
patients and medical
staff more flexibility
in scheduling.
Room Size
Larger operating suites
allow for more flexibility,
more space for
technological advances,
and more comfortable
surroundings for patients
and staff.
Lighting Options
Green lighting is
available in all rooms
that require ambient
lighting without the
screen glare sometimes
associated with
fluorescent lights.
Laminar Flow
(air filtration)
Bacteria, viruses and
dust particles are
extracted before the
air enters the area.
Surgical Booms
With a 350 turning radius,
this technology provides
our medical staff with
everything they need
within easy reach.
SkyVision
Skytrons SkyVision Operating
Room Communications
consoles allow for the reading
of images inside surgical suites
and at the nursing station.
(From left) Pacita Lim, R.N., Maurice
Hurwich, M.D., Anne Mizani, R.N., CNOR
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The new surgical suites will serve
as the surgical home of the Memorial
Leighton Emergency Trauma Center,
the regions only Level II Trauma Center,
providing our most critical patients
with the best possible care, when its
needed most, and will also complement
the world-class care already provided
to our community through Memorials
Outpatient Surgery Center.
We are very proud of the outstanding
care here at Memorial Hospital, states
Anesthesiologist Maurice Hurwich, M.D.
This investment in our infrastructure
will ensure that the regions most
experienced surgical teams will
continue to ofer state-of-the-art care
for generations to come.
This is a very unique time for our
community, says Larry Lies, director
of projects/operations for the surgical
suite replacement project. From a
construction viewpoint, we had a
very professional team who dedicated
themselves to every single detail.
Theyve truly left a lasting monument
to their community through the
completion of this project.
Memorial understands that if youre
going to maintain yourself as a surgical
center for excellence you have to
embrace technology as it comes along.
No matter what advancements have
come and gone over the years, the
essence of world-class medical care and
patient safety has always beenand
always will bethe top priority.
As an organization, Memorial has
always been very responsive to the
things physicians have asked them to
do, says Dr. Friend. Theyve always
wanted to stay at the cutting edge of
change. Memorial has been consistently
committed to doing the right thing to
move patient care forward.
Along with the technology were now
able to provide our patients, one of the
most exciting aspects of this project
has been the eye toward innovation
for our future, says Jayne Mitton, R.N.,
executive director of Surgical and
Trauma Services. The fact that weve
kept a certain amount of space
available for future growth as
technology advances really shows me
that this organization is completely
committed to our community well
into the future. p
Roughly 50,000 cubic yards of earth
were excavated to build the lower
level and foundations
10,800 cubic yards of
concrete were used
2,510,000 pounds of rebar
went into the concrete
The team installed a total of 704
load-bearing piles. That equates to
30,533 lineal feet, or nearly 5.8 miles,
of pile and 3,410 cubic yards of grout
Construction Stats
10 miles of water-carrying pipe,
which equates to roughly 55,000
lineal feet of pipe
More than 751,000 lineal
feet, or over 143 miles, of
electrical-carrying wire
104,000 bricks
84,000 concrete blocks
124 tons of structural steel
304,591 total project man hours
Scott Thomas, M.D., FACS, medical director of Memorials Level II Trauma Services, will work with his team in the new surgical suites.
Spirit
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Along with the values weve
committed to live by as an
organizationintegrity, respect,
safety, compassion, excellence
Memorial strives to do what is right by
all people, every day, every moment.
Nowhere is this commitment more
poignantly expressed than through
the healing work of Spiritual Care.
Theologically and clinically trained
chaplains provide compassionate care
to all Memorial patients, family and
friends, honoring the diverse religious,
spiritual and cultural preferences of
those entrusted to our care. Chaplains
can also work with the clergy of each
patients personal faith community to
help extend the network of support
beyond Memorials walls.
Memorial believes that spirituality
and faith can play an integral role in
the health and well-being of patients,
and that for many, it can serve as an
important part of the healing process,
says board-certied chaplain the Rev.
Barbara Wilson, M.Div., M.A., director
of Spiritual Care at Memorial.
Many of the programs now available
have come to fruition through the
careful consideration and expertise
of the physicians and nurses who care
for patients every day. In 2001, a
critical care nurse wanted to make
sure she got back to one of her
patients who didnt have much time
left, remembers Wilson. She thought
she could make it, so she left to care
for her other patients. By the time she
got back, he had died. Of course she
felt terrible about this, but turned her
grief into something positivea
program called Nobody Dies Alone.
Volunteers are asked to just simply
be there at the end of life for those
whose families are unable to do so.
Though training is involved, the hope
is that these people can simply be a
source of comfort, a hand to hold.
The death of a patient is always
difcult to deal with. For those
experiences that are especially tragic
or unusual, such as the unexpected
death of a child, or team member,
Memorial has instituted the Golden
Rule announcement. When a Golden
Rule announcement is made for any
department, the hope is that people
take a moment and say a prayer or
send positive thoughts for healing,
says Wilson.
Another popular initiative takes
place every May in honor of National
Nurses Week and on the birthday
of legendary healer Florence
Nightingale. Chaplains visit units,
departments and off-campus sites to
bless the hands of those providing
healing care, says Wilson. Its just
one way we honor the work of our
caregivers for all they do for our
patients each and every day. p
Healing
A Blessing of
Hands for Nurses
When we reach our hands out
to provide care, to do our work
as part of the care of others,
we are saying to others, you are
important to us, and you are
cared for by the eforts of many
who value you and your needs.
Holding your hands in front of
you, observe their appearance
and think of all that you do
with your hands each day
that contributes to the care
of our community.
You have chosen to bless
others with your hands in the
work you do. Now we bless
your hands in recognition of
the Holiness of what you do
every day.
The
Emotional and spiritual support
when its needed most
Do unto others as
you would have
others do unto you.
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We do more than just get people
back on track after a surgery,
accident or illness; we serve a much
greater need, says Johan Kuitse,
director of Memorial Regional
Rehabilitation Center. We offer the
broadest spectrum of rehabilitative
care of anyone in the community,
and we do so with the most highly
trained staff available.
Nowhere is that more clearly
displayed than in the work of
Memorial Outpatient Therapy
Services (MOTS), the outpatient
Memorial Outpatient
Therapy Services
Healing
Our Community
Driver Rehabilitation Specialist Susan Henderson instructs Ben Hulin in his specialized vehicle. This
program helps people achieve maximum independence after an injury or illness.
rehabilitation. For a region our size,
were a really good resource with a
very comprehensive list of services to
meet nearly any need, says Margaret
Sak, clinical manager of outpatient
neurological rehabilitation. For
example, we have the only driver
rehabilitation program in the northern
half of the state, with the only high-
tech driver rehab van in Indiana. And
we offer a team approach to brain
injury care with a neuropsychologist
taking the lead role.
It also serves as an important
continuum-of-care service line to the
Memorial Leighton Emergency Trauma
Center, the regions only Level II
Trauma Center.
As the regional referral center, patients
come from across the region to seek
rehabilitative care and augmentative
communication services after stroke,
spinal cord injury, brain injury,
aneurysms, cancers afecting the
central nervous system and other
neuromuscular disorders, such as
multiple sclerosis, ALS and
Parkinsons disease. These
conditions often
arm of Memorials rehabilitation
services. MOTS offers a true
continuum of rehabilitative care
that promotes optimum levels of
physical independence and
functional activity.
NEUROLOGICAL
REHABILITATION
With the next-closest services
sometimes as far away as
Indianapolis or Chicago, MOTS
provides convenient, high-quality
rehabilitative care close to home,
especially in regard to neurological
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require additional services to help
regain balance, strength and
coordination, basic communication
skills, and the ability to live well in
ones home and community.
ORTHOPEDIC
REHABILITATION
With two locations, outpatient
orthopedic rehabilitation patients
can take advantage of the
numerous services available to
those recovering from or working
through an illness, injury or
chronic condition requiring
rehabilitative care.
We have developed a culture
of perpetual education, says
Kevin Baker, DPT, FAAOMPT,
clinical manager of orthopedic
rehabilitation. All of our
therapists make a concerted
effort to maintain current best
practices by integrating the most
recent research findings into our
daily careand we have some
of the most highly trained staff
in the area.
The regionally renowned hand
therapy program offers a level of
clinical expertise thats above and
beyond the offerings of most
rehabilitation practices.
In cooperation with the Health &
Lifestyle Center [H&LC], were also
one of only a few physical therapy
practices offering a warm-water
therapy pool, says Baker. Patients
include post-operative back
patients, and those with arthritis,
fibromyalgia and other chronic
diseases. These particular types of
patients do very well in the pool
when other interventions havent
worked as well. In addition, with
H&LC on site, were able to progress
patients to a higher level of exercise
and independence before they
transition out of therapy.
Treatment is focused on manual
therapy, which has a rapidly growing
body of evidence supporting its
efficacy and exercise. At both
locations, therapists also offer
vestibular rehabilitation to people
with certain types of dizziness.
Physical Therapist Andrew ODonnell works with lumbar fusion
patient Jim Prenkert. This exercise incorporates total body movement
and rotation of the lumbar spine while facilitating muscle action
to stabilize the spine.
LOCATIONS
South Bend
Memorial Outpatient Therapy Services
111 W. Jefferson Blvd., Suite 100
South Bend, IN 46601
574-647-2600

Memorial Childrens Therapy Center
100 Navarre Place, Suite 6650
South Bend, IN 46601
574-647-5007

Granger
At Memorial Lighthouse Medical Imaging Center
6913 N. Main Street
Granger, IN 46530
574-647-2930
SERVICES
Memorial Hospital Campus
Acute care services
Rehabilitation unit
Wound care program
Laryngectomy and voice program
Lymphedema treatment program
EEG/EMG services
Childrens Therapy Center
Of-site Outpatient Services
Neurological rehabilitation
Brain injury program
Driver rehabilitation program
Augmentative communication program
Urinary incontinence and pelvic
oor program
Acupuncture services
Orthopedic rehabilitation
Hand therapy program
Work hardening/
conditioning program
Ergonomic consultation
Vestibular rehabilitation
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PEDIATRIC REHABILITATION
To serve our pediatric population,
Memorials Childrens Therapy Center
(MCTC) helps children learn, walk,
jump and play in a comfortable,
kid-friendly environment.
This center was designed to create
an environment that will interest the
children we serve while helping to
augment the treatment our
therapists can provide, says Kay Azar,
clinical manager of Memorials
Childrens Therapy Center.
Occupational, speech and physical
therapists provide services to
children with a wide range of health
care needsfrom eating difficulties
and developmental delays to
physical disabilities and language
development.
Childrens Therapy staff members
also provide world-class care to
kids throughout the community.
By working with local schools and
other community organizations,
MCTC reaches thousands of
children in a variety of settings to
offer improved independence and
a better quality of life.
Many people may not know this,
but patients really do have a choice
on where they are treated. Of
course, everyone should always
check with their insurance first,
but patients can pretty much go
wherever they choose, says Kuitse.
By coming to Memorial, not only
are patients getting the best
possible care, theyre helping to
support all of the other
programming offered by Memorial
as a community hospital, such as
driver rehabilitation, laryngectomy
care, augmentative communication,
brain injury rehabilitation and our
lymphedema treatment program,
which are so important to our
community. p
I spy ... a bus! Speech and Language Pathologist Ann Webster, M.A., CCC-SLP, uses heavy work to elicit
speech from Memorial Childrens Therapy patient Damarion Williams.
A Quarter Century of Care
www.MemorialMedicalGroup.org
Ireland Road Medical Group
1815 E. Ireland Road
South Bend
574-647-1750
Main Street Medical Group
6913 N. Main Street
Granger
574-647-1550
Schwartz-Wiekamp Medical Group
4630 Vistula Road
Mishawaka
574-647-1900
Memorials Med-Point Urgent Care Centers have provided our community
with walk-in access to board-certified physicians for more than 25 years.
Thank you for letting us serve your familys health care needs.
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(contact us) If you
or a loved one is battling cancer
at Memorial, or if you have a
patient who would benet from
patient navigation services, please
call Memorials Oncology Nurse
Navigator at 574-647-3383,
cell 574-315-1571, or
atinlin@memorialsb.org.
No person with cancer should be
forced to spend more time ghting
their way through the health care
system than ghting their disease,
says Amy Tinlin, R.N., OCN, oncology
nurse navigator and Multidisciplinary
Clinic coordinator.
Whether your cancer center is housed
all under one roof or scattered around
town, navigating your way from
diagnosis to treatment to survivorship
can be a daunting task, even for the
most savvy of health care customers.
Enhancing Memorials mission to
Improve Quality of Life, the Memorial
Regional Cancer Center Patient
Navigation Program ofers patients
one-on-one guidance to help them
solve problems and overcome barriers
as they battle their disease.
The oncology nurse navigator can:
Guide patients through the health
care system
Help fll out insurance forms
Help fnd ways to pay for
health care
Direct patients to services for
further diagnosis and treatment
Direct patients to local resources
and support
Help keep track of and fnd ways
to get patients to and from
appointments
Help answer questions
Gentle guidance through the vastness of cancer care
Patient
Navigation

No person with cancer should be forced to
spend more time fghting their way through the
health care system than fghting their disease.
Too often patients get lost in
the system because of missed
appointments, nancial problems
and other barriers, says Tinlin.
We wanted to ofer each of our
patients one familiar face to get
them through the whole process
from diagnosis all the way through
to survivorship and beyond.
As a 25-year veteran of oncologic care,
Tinlins expertise provides the perfect
complement to the clinical expertise
provided by the physicians, nurses,
physicists and staf of the Memorial
Regional Cancer Center.
Patients love it when you call them,
says Tinlin. Its that personal touch.
Even if you havent been intimately
involved with their care up to that
point, every one likes to know that
theres someone looking out for them
and really taking an interest in how
theyre feeling. It can make a huge
diference in peoples lives.
When someone is diagnosed with
cancer, their mind is overwhelmed
with information, making it difcult to
determine the next step, says Diana
Custer, B.S., R.T.(T), executive director,
Imaging and Oncology Services. By
having an oncology nurse navigator,
we are ensuring that all of our patients
are informed of all the services
available to them. p
Amy Tinlin, R.N., OCN, helps navigate
patients through cancer care.
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Pediatric Specialist Asad Ansari, M.D.,
performs sleeps studies on patients
ages 2 to 18. These studies help Dr.
Ansari determine the best treatment
plans for those dealing with any
number of sleep disorders.
Nearly 25 percent of all children
experience some type of sleep
disorder at some point in their
childhood, says Asad Ansari, M.D.,
pediatric pulmonary and infectious
disease physician with Memorial
Childrens Hospital.
Though often thought of as an adult
problem, sleep disorders can afect
children too. The diference is that
oftentimes children do not have the
awareness or language to express
exactly how theyre feeling. Thats
where parents can help. Parents
should monitor their childrens sleep
habits and talk to their primary care
physician if they think their child
might benet from a sleep study.
Why is it so important? Some
evidence suggests inadequate sleep
may have an impact on a childs
IQ and daytime functioning, says
Dr. Ansari. Sleep disorders in
children also tend to affect the
whole family. When a child doesnt
sleep well at night, everyone in the
family can feel the consequences
during the daytime.
One of the most important things
a pediatric specialist wants to rule
out rst is obstructive sleep apnea,
a disorder when a person stops
breathing repeatedly during the
night, which can cause serious
health problems. The good news is
that when treating children with
obstructive sleep apnea, the usual
course of action is simply taking
out the tonsils and adenoids, says
Dr. Ansari.
One of the things thats signicantly
diferent in children than in adults is
that if I dont sleep well, Im tired the
next day. But if a child doesnt sleep
well they can become more agitated
and wound-up, says Dr. Ansari.
Thats why hyperactivity in children
can be a sign of inadequate sleep. In
fact, up to 5 to 10 percent of children
diagnosed with attention decit
hyperactivity disorder may actually
have sleep problems.
When getting tucked in with a teddy
bear and a kiss on the cheek isnt
enough to help your child get to
sleep and stay asleep at night or
at naptime, they may have some
type of pediatric sleep disorder.
Talk to your pediatrician about any
symptoms you see. Sometimes a
minor adjustment to a childs
routine is all that is needed to see
improvement. Other times, a sleep
study may be needed to help your
child achieve a restful and productive
nights sleep and a happier daytime
for the whole family. p
Sleeping
Smart
Promoting healthy sleep habits in children
Practice Good Sleep Hygiene
Stick to a regular bedtime.
Do not allow stimulating activities, or
food, a few hours before bedtime.
Make sure children get regular exercise
(but not too close to bedtime).
Ensure that their bedroom is only a
place to sleep. Limit all other activities
in their bedroom, other than sleeping.
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Number of people worldwide who partici-
pate in daylight saving time, which ends
Nov. 1 this year. Using the fall back to get
an extra hour of sleep might be good for
your heart, according to a 2008 study in the
New England Journal of Medicine. Research-
ers found that heart attack death rates dip
the day after clocks are reset an hour earlier
in the fall. To boost your health, the National
Sleep Foundation advises Americans to use
the extra hour to catch up on their winks.
1.5
(click) Is your keyboard making you sick? To stomp out virus-
causing germs that may lurk here and elsewhere at work, check out
the U.S. Centers for Disease Control and Preventions guide to ofce
germ warfare. Visit cdc.gov and search for germs at work.
Sweet Nothings
Americans have a serious drink-
ing problem, and its not alcohol
were addicted to. Sugary and
high-calorie drinkssodas, juices,
energy drinks and cofeeshave
become a staple in our diet. In
fact, a recent study in the American
Journal of Clinical Nutrition reveals were
drinking an average of 300 calories daily
of sweetened beverages, which is almost
50 more calories per day than two decades
ago. To put it in perspective, if you cut those
300 liquid calories from your diet, you could
potentially lose about 2.5 pounds per month.
e Getting less than seven hours
of sleep increases your chances
of getting a cold by how much?
A. Two times
B. Three times
C. Ten times
D. Doesnt increase your chances
r Which of the following are
not proven methods for
preventing a cold?
A. Taking large quantities of
vitamin C
B. Over-the-counter zinc lozenges
or zinc lollipops
C. Echinacea, a dietary herbal
supplement
D. All of the above
t How many viruses are known
to cause the symptoms of a
common cold?
A. One
B. Five
C. More than 50
D. More than 200
u How long can rhinoviruses
live on your skin or objects such
as telephones or doorknobs?
A. 10 minutes
B. Three hours
C. Two days
D. A week
Evade the Virus
THINK BEFORE YOU DRINK If you
want to lose a few pounds, dont
just focus on cutting calories in food
think about what you drink. This is just
one of many health tips you receive
when you register for LifeSteps, a
14-week weight management program
that stresses physical activity, diet and
behavior modication for successful
weight loss and maintenance. Call
Memorials Health Discovery Center at
574-647-6880 for more information.
Fall ofcially means changing colors, crisp airand the start of
germ season. As kids are heading back to school, cold viruses called
rhinoviruses are kicking into high gear. Do you know how to conquer
the highly contagious common cold? Take this quiz and nd out:
billion
HEALTH BEAT
A n s w e r s : 1 . B , a c c o r d i n g t o a r e c e n t s t u d y i n A r c h i v e s o f I n t e r n a l M e d i c i n e ;
2 . D , s a y s t h e U . S . C e n t e r s f o r D i s e a s e C o n t r o l a n d P r e v e n t i o n ; 3 . D , t h e C D C
s a y s ; 4 . B , a c c o r d i n g t o t h e C D C .
18
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Brain Boosters
5 foods for enhancing your mental power
HEALTHY EATS
YOURE PROBABLY WELL AWARE OF THE EFFECT foods have on your heart. But did you know
that what you eat can also directly afect your brain?
It is widely agreed that brain functioning is impacted by food choices. Choosing
nutrient-dense foods rich in antioxidants, vitamins and minerals supports our bodys needs
and can improve overall brain and cognitive functioning, says Debbie Raybold, director of
Memorial BrainWorks. Eating a well-balanced diet rich in vegetables, whole grains, folic acid,
green teas and antioxidants is an important part of optimizing brain functioning.
(click) Worried about keeping your mind sharp as you age?
Memorial BrainWorks can help you live a brain-healthy lifestyle at any
stage of life. Visit www.qualityoife.org/brainworks.
Green Tea
A Japanese study of 1,000 individuals over 70 years old
showed that drinking green tea may hold benets for cogni-
tive functioning. Antioxidant-rich green tea has also been
shown to ght certain types of cancer and heart disease,
according to the American Dietetic Association.
Avocado
In addition to being high in monounsaturated, or good, fats,
avocados are rich in folate, potassium and mineralsall known
to be good for your heart and blood pressure and may help
prevent stroke.
Salmon
Omega-3 fatty acids have been found to combat the inam-
mation associated with brain cell death, according to the
AARP. Find them in fatty sh like salmon, mackerel, lake trout,
sardines and blue n tuna. Or, eat non-sh sources like ax-
seed, walnuts, soybeans and pumpkin seeds.
Curry
Protect yourself from harmful free radicals that damage brain
cells with resveratrol, which can be found in curry, red wine
and grape juice.
Whole-Grains
Ever wonder why so many comfort foods are carbohydrate-
heavy? Carbs boost serotonin production in the brain,
which makes you feel good, Raybold says. But rened
grains will cause you to crash. For longer-lasting efects,
choose whole grains. p
CLASSES
Group Fitness Classes
From yoga and Pilates to
spinning and Zumba, group
fitness classes are offered
Monday through Saturday at
Memorials Health & Lifestyle
Center. Call 574-647-2663. View
the class schedule at www.
healthandlifestylecenter.org.
Lifesteps
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 15
weeks. $195. Call 574-647-1801.
Lung Center
For Asthma: Free one-on-one
education. Call 574-647-7318. For
COPD and other lung problems:
call 574-647-7620.
Ortho Classes
Total hip, knee and shoulder
replacement classes available.
Call 574-647-3359 for availability.
SUPPORT GROUPS
2
nd
Wind Group (COPD)
A support group for individuals
with lung disease. Meets
Tuesdays from 1:30 to 3 p.m. Call
Jan Cosby at 574-647-7178.
Amputee Support Group
Meets quarterly (Sept. 30 &
Dec. 30, 2009) from 7 to 8 p.m.
at Memorials Health & Lifestyle
Center, 111 W. Jefferson Blvd.,
South Bend. Call Bob Ingram at
574-647-7421.
Arthritis Partnership
Meets on the second Thursday
of the month at 2 p.m. Call Beth
Harsch, Arthritis Foundation of
Northwest Indiana, 574-251-1424.
Living Gluten Free
Support Group
This support group is for people
with celiac disease or any
condition requiring a gluten-free
diet. Meets at Memorial
Hospitals Innovation Caf,
100 Navarre St., on the second
Monday of the month at 6 p.m.
Contact jbderrow@aol.com.
Mother Matters
Support Group
This FREE 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.
Call 574-647-7800.
Parkinsons Disease
Support Group
Meets on the first Wednesday
of the month at 1 p.m. Call Jim
Banner at 574-291-4217.
Women In Touch (WIT)
Cancer Support
Meets on the first Tuesday every
other month at 5:30 p.m. Call
Kathy Johnson at 574-647-7280 or
the WIT office at 574-647-6944.
Young Survivors
Meets on the third Thursday of
the month from 6:30 to 8 p.m. at
Pavilion II, 707 E. Cedar St., Suite
405 in South Bend. For more
information, contact Kim
Zobrosky at 574-251-0916 or
kimberlyzobrosky@sbcglobal.net,
or visit www.youngsurvivors
backtolife.com.
Survivor Boot Camp
Sponsored by Young Survivors.
Takes place at the Fit Club,
25295 State Road 2 in South Bend.
Free eight-session strength-
training classes for women who
have had cancer and have finished
treatment, with a doctors release.
Call Kim Zobrosky at 574-251-0916.
FOR NEW FAMILIES
Advanced registration is required
for all classes. Call 574-647-6801.
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 p.m. at
HealthWorks! Kids Museum. Prices
are $30/person or $45/couple. Call
574-647-2680 to register.
Memorial ofers educational events, classes and screenings as part of its ongoing mission to build a healthier
community. 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.qualityoife.org.
CLASSES & SERVICES
Want to get the kids out
of the house? Check out
HealthWorks! Kids Museums
camps and classes at
www.HealthWorksKids.org!
Complete Childbirth Prep*
Families can choose between a
series of five classes (on
Thursdays for five weeks, or
Monday/Wednesday for
2 weeks), 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
Memorials Regional Childbirth
Center is included. Cost is $75.
*When you sign up for
Complete Childbirth Prep, you
will also be able to attend our
ABC and Prenatal Breastfeeding
classes FREE.
Prenatal Breastfeeding
This one-evening course helps
prepare families for breastfeeding.
Topics include position, latch,
overcoming common obstacles
and returning to work. Classes
For Moms Only and Dads Too
are offered each month. Cost is
$15 or FREE with Complete
Childbirth Prep.
After Baby Comes (ABC)
After Baby Comes is a perfect
one-evening class for mom, dad
and the grandparents that
focuses on the basics of holding,
soothing and caring for baby in
the first weeks of life. What mom
can expect physically and
emotionally after birth is also
discussed. Cost is $15 or FREE with
Complete Childbirth Prep.
Childbirth Refresher
If you have taken previous
childbirth preparation classes, the
one-evening Refresher Course
helps you and your partner catch
up on new options since your last
birth. A tour of Memorials
Regional Childbirth Center is
included. Cost is $20.
Sibling Orientation
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
Memorials Regional Childbirth
Center. Cost is $10 per child.
Cesarean Birth/VBAC
Preparation
The first half of this one-evening
class helps couples understand the
unique benefits and challenges of a
Vaginal Birth After Cesarean (VBAC).
Then, a tour of the Childbirth Unit,
including the surgical suites, is
followed by preparation for families
planning a cesarean. Plan to come
for the entire evening or just the
portions relevant to your
circumstances. This class is offered
quarterly. Cost is $20.
Free tours of Memorials Regional
Childbirth Center are available.
For an up-to-date schedule of
classes and tour dates, visit www.
qualityoflife.org/services/childbirth
or call The Health Professionals at
574-647-6801.
The Health Discovery Center is
open to the public for FREE health
education Monday through Friday,
including free use of computers
and a medical library. Free health
screenings (skin cancer, foot,
shoulder, knee, hearing, etc.) with
physicians and other health
professionals also take place
throughout the year, appointments
required. Please call 547-647-6880.
615 N. Michigan Street
South Bend, Indiana 46601
Non-Prot Org.
U.S. Postage
PAID
South Bend, IN
Permit No. 72
Something remarkable is being built in the heart of South Bend. It is one of
the greatest investments our city has ever seen. A monument to the future; to the
families of this community; a monument to healing. Were pleased to announce the
new surgical suites at Memorial Hospital of South Bend. While this construction
wont change the city skyline, its an unprecedented investment inside the hospital
that will change lives every day.
Along with the most advanced surgical technologies, these suites will ensure
that landmark surgical care is available for generations to come. And, the steady
hands of the most experienced surgical teams in the region are now extraordinarily
equipped to get you back to health.
IF SURGERY IS IN YOUR FUTURE,
WE HAVE NEWS OF
HISTORIC PROPORTIONS.
We promised to redene the best of health
care in the region...and we did. For your virtual
tour, visit www.qualityoife.org/surgery.