The Floyd Memorial Heart and Vascular Center is here for patients like James. Here with the full spectrum of services that keep hearts well — from noninvasive diagnostic testing to the most advanced treatment options and surgeries available. And, thanks to Southern Indiana’s only open heart surgery program — and a 24/7 cardiac intervention response team — there’s no need to go far for the advanced care your heart needs. Because Health Happens Here.

Right Here.

Health Happens Here.SM

To fi nd a cardiologist, schedule vascular screenings or for a free heart and stroke screening call 1-800-4-SOURCE, or visit:

FloydMemorial.com/Heart

James discovered the key to a healthy heart.

The Heart and Vascular Center off ers:

• The only comprehensive cardiac surgery program in Southern Indiana

• 24/7 cardiac catheterization labs

• Cardiac rehab facilities in New Albany and Jeff ersonville

• FREE Heart and Stroke Screenings

• Comprehensive Vascular Screenings for just $49

WINTER 2015

Heart Rhythm Disorders and Fighting Stroke

1850 State Street New Albany, IN 47150

NON-PROFITU.S. POSTAGE

PAIDUNITED MAIL

HOW TO HELP

HealthScope is designed to support our Healthier Community Initiative by providing up-to-date health tips and wellness information to benefit our community’s health. Through this publication, the Floyd Memorial Foundation hopes to encourage healthier active lifestyles for the residents of Southern Indiana. As a non-profit organization, Floyd Memorial relies on your support of our Foundation to provide health screenings, educational programs and hospital improvements. To learn how to help, visit FloydFoundation.org or call (812) 949-5519.

CAREER OPPORTUNITIES

Visit “Careers” at FloydMemorial.com to find out more about exciting career opportunities available at Southern Indiana’s premier regional healthcare provider.

VOLUNTEER OPPORTUNITIES

Visit FloydMemorial.com/Volunteer or call (812) 948-6734 for information about our rewarding volunteer programs.

Angie Glotzbach Editor, Writer

Angie Rose Director of Marketing & Customer Relations, Writer

Haley White Writer

Stacey Rudy Contributor

If you no longer wish to receive marketing/communications materials from Floyd Memorial Hospital and Health Services, please call 1-800-476-8723.

32

GuaRdIaN aNGEls Congratulations to Floyd Memorial’s recent Guardian angel recipients:The Guardian Angel program offers patients and visitors a way to say thank you to a special associate, physician or volunteer who has made a positive difference in their hospital experience by making a donation in their honor to the Floyd Memorial Foundation. For more information, call (812) 949-5803.

Meagan Coke, MS, CCC-SLPSpeech Therapy

Amanda Sayers, RNPCU

Looking for a Physician? Call Floyd Memorial’s Physician Referral Line at 1-800-4-SOURCE (1-800-476-8723) or visit us online at FloydMemorial.com.

lindsay P. Foust, dPMPodiatryIndiana Foot and Ankle Specialists2818 Grant Line Road New Albany, IN 47150(812) 725-7542

amy Ingram, MdOtolaryngologyAdvanced ENT and Allergy4004 Dupont Circle, #220Louisville, KY 40207(502) 893-0159

Meredith Irwin, MdPediatrics Nassim & Associates 2305 Green Valley RoadNew Albany, IN 47150(812) 949-0405

John s. Oldham, Jr., MdBariatric SurgeryBaptist Surgery Associates 3900 Kresge Way #2Louisville, KY 40207(502) 894-9488

Floyd Memorial Home Healthcare Receives Top National Rating for Fourth Year

Floyd Memorial Home Healthcare has been recognized on the 2014 HomeCare Elite™ Top 500 list of home care agencies in the United

States. This is the fourth year in a row to make the Top 500 listing.

This quality measure and recognition demonstrates our diligence to reduce hospital re-admissions and ability to provide friendly, quality care to patients in their homes.

Floyd Memorial Home Healthcare provides services in six Southern Indiana counties including Floyd, Clark, Harrison, Crawford, Washington and Scott Counties. They also offer online referral forms for caregivers and physicians. Call (812) 948-7447 or go to FloydMemorial.com/Home-Health for more information.

FMMG – surgery Welcomes Eric Wieman, Md

Floyd Memorial is pleased to announce that fellowship trained and board certified general surgeon Eric Wieman, MD, has joined Floyd Memorial Medical Group – Surgery. Dr. Wieman is a Louisville

native who attended medical school at the University College Cork in Cork, Ireland, and then completed his general surgery residency at the University of Missouri-Kansas City School of Medicine and his surgical fellowship in endoscopy/therapeutic ERCP and pancreaticobiliary surgery from the University of Louisville School of Medicine. In addition to all aspects of general surgery, Dr. Wieman has special interest in pancreaticobiliary surgery (for disorders of the pancreas, gall bladder and bile ducts), minimally invasive surgery and surgical endoscopy. For more information about Dr. Wieman, or to schedule an appointment or consultation, please contact (812) 949-5575.

The Floyd Memorial Weight Management Center Forms Partnership with Baptist Health

The Floyd Memorial Weight Management Center is proud to announce a new collaborative agreement with Baptist Health to bring patients a more robust offering of weight management and

bariatric services. This new partnership called the Floyd Memorial Weight Management and Bariatric Center, brings us the expert skills of Baptist Surgical Associates’ bariatric surgeon John S. Oldham, Jr., MD, FACS, FASMBS, to the program. Dr. Oldham is a board certified general surgeon who performs a variety of minimally-invasive weight loss procedures. Dr. Oldham and Floyd Memorial Medical Group’s bariatric and general surgeon Lanny Gore, MD, will work collaboratively to meet the needs of the Weight Management and Bariatric Center’s patients. For more information, call (812) 949-7151.

Floyd Memorial News and announcements

Floyd Memorial Installs a New system aimed at Preventing Medical Identity TheftFloyd Memorial is proud to announce its partnership with CrossChx, a leader in healthcare intelligence solutions that was founded with the support of the state of Ohio. The CrossChx system offers patients advanced medical identity theft protection and efficient patient registration, while improving health outcomes and reducing the risk of medical errors.

CrossChx uses biometric technology to scan a patient’s right index finger. By scanning the patient’s fine points of the right index finger, CrossChx is able to give each patient a unique code that links them to their medical benefits so no one else can use them.

While CrossChx is focused on protecting a patient’s medical identity, it also works to address a variety of other medical issues including eliminating duplicate medical records. By using the CrossChx system each patient will be identified and linked to his or her corresponding medical records and benefits; ensuring the right person receives the right care.

FMMG – Cardiology Welcomes lakshmana Pendyala, Md

Floyd Memorial Medical Group is pleased to welcome board certified cardiologist and interventional cardiologist Lakshmana Pendyala, MD (Dr. Penn). Dr. Penn graduated from Guntur Medical College

in India then moved to the U.S., where he completed his residency in internal medicine and fellowship in cardiovascular diseases at the University of Louisville. Dr. Penn also did two years of interventional and endovascular training at Georgetown University in Washington, D.C. Dr. Penn and his family have lived in Louisville for the past 10 years. Dr. Penn has expertise in:• Cardiac catheterization• Percutaneous coronary intervention• Percutaneous endovascular intervention• Exercise stress testing• Cardiac echocardiography• Nuclear cardiology• Preventive cardiology

Dr. Penn is seeing patients at Floyd Memorial Medical Group locations in Jeffersonville and New Albany. Go to FloydMemorialMedicalGroup.com or call (812) 282-1617 for more information.

INSIDE 4 Atrial Fibrillation and Atrial Flutter Heart

Rhythm Disorders 5 Floyd Memorial Fights Stroke 6 Colon Cancer and the Importance of

Knowing Your Family History 7 Anterior Approach Total Hip

Replacement Leads to Speedy Recovery 8 Pediatric Sleep Study 9 Clark County Resident Finds Success

with Weight Loss Surgery10 Winter Calendar

New Physicians

Women’s Health Program Being a woman has its benefits and challenges. Some experience very personal conditions that need specialized care and treatment. Floyd Memorial Rehabilitation Services now offers a Women’s Health Program at Floyd Memorial Physical Therapy - Clarksville located at 1615 Blackiston View Drive. The program is designed to help female athletes, expectant mothers and post-menopausal women. Physical therapist Diana Richmer, PT, CLT, leads the program and specializes in one-on-one physical therapy for a variety of conditions, including:• Pelvic pain is one of the most common conditions Diana treats. Many women

experiencing painful periods or intercourse don’t realize that physical therapy can be an answer to their problems. These therapies also can help rebuild strength to the pelvic and abdominal muscles that are weakened after gynecological surgery.

• Urinary incontinence, or the loss of bladder control, is a common, embarrassing condition for many men and women. Occasional leaking of urine when you cough or sneeze, as well as having a quick, strong urge to urinate which causes you to not make it to a restroom can be treated with physical therapy. Behavioral approaches, biofeedback, joint and soft tissue techniques, and exercise are used to help these patients.

• Breast cancer rehabilitation following lumpectomy, mastectomy or reconstruction surgery is very important. The use of therapeutic exercise and manual therapy helps restore the patient’s range of motion and strength by massaging and remodeling the tissue so that it can tolerate the stress and forces that the body may encounter on a daily basis. Physical therapy also helps restore functional endurance following chemotherapy and radiation treatment.

• Pregnancy and postpartum pain affect many women. From back and hip pain to sciatic nerve pain, Diana is able to help target the pain and provide exercises and therapy to ease the pain that comes with motherhood. She is also able to help with abdominal muscle separation that occurs after many women give birth.

• Osteoporosis evaluation to assess posture, strength, range of motion and potential falls is crucial for older women. Posture awareness and body mechanics training as well as strengthening and conditioning to promote maintenance of bone density can be helpful in easing the symptoms of the condition.

Women now have another resource available to treat their personal conditions by a caring and skilled team. For more information, call Floyd Memorial Physical Therapy – Clarksville at (812) 288-8817.

On the cover...Back Row L to R: Srini Manchi, MD, M. Saleem Seyal, MD, Naveen Devabhaktuni, MD, Lakshmana Pendyala, MD, Surender Sandella, MD, Kevin Hollis, MD, Samuel B. Pollock, Jr., MD, Syed Raza, MDFront Row L to R: D. Mark Bickers, MD, Christopher Hofelich, DO, Bapineedu Gondi, MD

HEaRT aNd VasCulaR

54

Floyd Memorial Fights stroke

According to the American Heart Association, atrial fibrillation, also known as A Fib, is the most common type of irregular heartbeat, affecting nearly 2.7 million Americans. Your chance of developing A Fib increases with age, though anyone can experience it. In A Fib, the upper chambers of the heart beat irregularly which causes the heart to not pump blood effectively. A normal heart rhythm is between 60 and 100 beats per minute. An irregular rate can be 100 to 175 beats per minute or higher. A Fib can cause blood clots, stroke, heart failure and other heart-related conditions.

About 15 percent of patients have no symptoms before they are diagnosed. Many feel like something is not quite right or have a slight quiver in the chest. When symptoms occur, they could include:• Irregular pulse• Racing or pounding heart• Feeling that the heart is fluttering• Chest pain• Dizziness• Shortness of breath• Weakness and fatigue• Anxiety• Fainting

The most common triggers of A Fib include:• Underlying lung diseases like

COPD/emphysema• High blood pressure• Coronary artery disease and

heart attacks• Heart failure• Heart valve problems• Thyroid disorders or serious infections

Atrial flutter is another arrhythmia where an abnormal electrical conduction circuit develops in the upper right

chamber (atrium), causing a very rapid heart rate of 250 to 300 beats per minute. This type of rhythm is called tachycardia, and because it originates in the atria, is called supraventricular (above the ventricles) tachycardia (SVT). When the heart beats that quickly, it does not pump blood effectively. The heart, brain and other organs may not get enough blood, which can cause them to fail. Congestive heart failure, heart attack and stroke can all be a result of atrial flutter. A Fib and atrial flutter often alternate back and forth.

atrial Fibrillation and atrial Flutter Heart Rhythm disorders

Warning signs of a strokeIdentifying stroke symptoms can be easily remembered with the acronym FAST:

Ask the person to smile. Does one side of the face droop?

Ask the person to raise their arms. Does one arm drift downward?

Ask the person to repeat a simple phrase. Is their speech slurred or strange?

If you observe any of these signs, call 9 -1-1 immediately. Time lost is brain lost.

S Speech

T Time

A Arms

F Face

Stroke symptoms include

Imagine suddenly not being able to speak or remember the names of your family members, or to lose feeling in your foot and arm. The importance of someone around you being able to recognize these as symptoms of a stroke is critical and could save your life.

A stroke, often called a brain attack, occurs when blood flow to an area of the brain is blocked by a clot. The oxygen and nutrient deprived brain cells die. Permanent brain damage or death can result from a stroke if it is not treated early. According to the National Stroke Association, stroke is the fourth leading cause of death and a leading cause of serious, long-term adult disability in the U.S. Stroke can happen to anyone at any time, regardless of race, sex or age. It is estimated that a stroke will occur every 40 seconds. There are two types of stroke:

Ischemic stroke: The most common type of stroke that occurs when a blood clot obstructs the flow of blood to the brain. It can also occur when too much plaque clogs the blood vessels of the brain, similar to a heart attack. A transient ischemic attack (TIA) is a mini-stroke which is temporarily caused by a clot. A TIA occurs quickly and only lasts a short time. It usually causes no permanent brain injury. Nearly one out of every three people who experience a TIA will go on to have a stroke within a year. Managing stroke risks is especially important for those patients.

Hemorrhagic stroke: A stroke that happens when a blood vessel in the brain ruptures, resulting in blood flowing into the brain tissue which causes damage to the brain cells. The causes of hemorrhagic stroke are high blood pressure and aneurysms (weakness in the blood vessel wall).

The effects of stroke vary from person to person. Because one side of the brain affects the opposite side of the body, if a stroke occurs on the right brain, the left side of the body is affected. A right brain stroke can cause paralysis on the left side of the body; vision problems; quick, inquisitive behavioral style and memory loss. If the stroke occurs on the left brain, the right side of the body is affected causing paralysis on the right side; speech and language problems; slow, cautious behavior; and memory loss. A stroke in the brain stem can affect both sides of

the body, often leaving the patient unable to speak or move below the neck.

Prevention is key, as 80 percent of all strokes are preventable. Managing risk factors including high blood pressure, smoking, heart rhythm disorders and inactivity are important.

Help is not far away. The Floyd Memorial Stroke Center has a highly trained stroke team consisting of physicians, nurses, therapists and staff. For more information, visit FloydMemorial.com/Stroke.

Sinus node

Normalelectricalpathways

Abnormalelectricalpathways

Atrioventricularnode

Normal heart

• Sudden severe headache with no known cause

• Sudden trouble seeing in one or both eyes

• Sudden confusion, trouble speaking or understanding

• Sudden numbness or weakness of the face, arm or leg - especially on one side of the body

• Sudden trouble walking, dizziness, loss of balance or coordination

If any of these symptoms occur, call 9-1-1 immediately and note the time when the symptoms first appeared. An FDA approved clot-buster medication called Activase® can be used for treatment to reduce long-term disability for a common stroke if it is within three hours of the start of the symptoms. This medication is also known as tissue plasminogen activator (tPA). The enzyme tPA is found naturally in the body and converts, or activates, plasminogen into another enzyme to dissolve a blood clot. It may also be used in an IV to speed up the dissolving of a clot.

Can You Spot a Stroke?Floyd Memorial’s Paris Health Education Center

Ajmal Bangash, MD, will present on how to recognize signs and symptoms and reduce your risk of stroke. Learn the latest treatments and advancements. Receive a free blood pressure screening and take home great giveaways. Registration is required by calling 1-800-4-SOURCE or online at FloydMemorial.com/Events.

MONDAY JAN 19

6 - 7 pm

The best way to detect either condition is with an electrocardiogram (EKG) when symptoms are occurring. If A Fib or atrial flutter is suspected, you may be asked to wear a holter monitor to record your heart’s activity for 24 hours or longer. Internal cardiac devices (ICDs) may also be used to detect the irregular rhythm. If arrhythmia is shown, you may need other testing such as an echocardiogram, or ultrasound of the heart, to show if there is valve damage or signs of heart failure; a stress test to show how well your heart is performing and whether you have blockages; or an electrophysiology (EP) study to determine the exact location and origin of the problem.

Both conditions can be treated by restarting the heart with IV medication or electrical shock (cardioversion or defibrillation). If medication fails, the conditions might be eliminated with radiofrequency ablation during an EP study.

If you experience any symptoms of A Fib or atrial flutter, your primary care physician or cardiologist can make a referral to an electrophysiologist (EP) who specializes in heart rhythm disorders. If you are experiencing arrhythmias, it is important to be seen by an EP sooner than later. Treating A Fib with ablation early gives better results and an improved quality of life, and it is less successful after it has been present for many years.

For Southern Indiana patients with rhythm disorders, treatment options just got more convenient. Floyd Memorial is now the only Southern Indiana hospital with a catheterization lab equipped for EP studies and procedures. Call (812) 949-7088 for more information.

Sinus node

Normalelectricalpathways

Abnormalelectricalpathways

Atrioventricularnode

atrial flutter

Heart Healthy Eating Floyd Memorial’s Paris Health Education Center

Attend a presentation by interventional cardiologist Surender Sandella, MD, on heart health and eating healthy. Enjoy a cooking demonstration and tasting. Register by calling 1-800-4-SOURCE or online at FloydMemorial.com/Events.

TUESDAY FEB 24

6 - 8 pm

7

anterior approach Total Hip Replacement leads to speedy Recovery

aniefiok uyoe, MdBoard Certified, Fellowship Trained Orthopedic SurgeonFloyd Memorial Orthopedic Group

Richard Steele was no stranger to joint replacement surgery. Nearly three and a half years ago, Richard had hip replacement surgery on his left hip. At that time, he knew his right hip would eventually need to be replaced but he wanted to put it off as long as possible. “I just kept putting it off until it hurt so bad,” said Richard.

Richard’s bad hip was not only causing leg pain, but also lower back pain. In addition, he was now walking with a limp. “I went to see a back specialist to discover nothing was wrong with my back,” Richard stated. “He told me my back pain was actually a result of my bad hip. That’s when I decided to go see Dr. Uyoe.”

Floyd Memorial Medical Group orthopedic surgeon Aniefiok Uyoe, MD, was not his original surgeon, but he had treated Richard’s wife. “He did such a good job with her that I decided to see him this time,” Richard said.

During Richard’s initial visit with Dr. Uyoe, he injected cortisone into the right hip. “I did this to confirm that the pain Richard was experiencing was, in fact, from the hip and not the back,” said Dr. Uyoe.

As suspected, the cortisone injection relieved Richard’s pain temporarily and gave them confirmation that it was time to replace Richard’s right hip.

Dr. Uyoe performed an anterior approach total hip replacement surgery on Richard. As a result, “Richard did very well,” said Dr. Uyoe. An anterior approach has many benefits to the patient since less cutting of the muscle is involved. In addition, Floyd Memorial is the only Southern Indiana facility to use the Hanna® table for anterior approach hip replacement surgeries. This table allows for hyperextension and external rotation of the hip and leg during the hip replacement surgery, which results in smaller incisions, less muscle damage and quicker recovery.

“The anterior approach cuts recovery time for most individuals, and the need for assistive devices is typically eliminated by the second week,” stated Dr. Uyoe. “With traditional hip replacement surgery, patients still typically need assistive devices for four to six weeks.”

Before leaving the hospital, Floyd Memorial physical therapists taught

Richard exercises to help his hip heal, which he did daily. In addition, he used ice packs and ibuprofen as needed. “I was able to manage the soreness without the need for (prescription) pain medicine,” said Richard.

Get Back to Normal in Record TimeRichard’s surgery took place on

September 29, 2014 and he was able to go home the next day. “It was so easy, like baking a cake,” described Richard. “I had a sore spot the size of the palm of my hand, but that was it.” Richard did so well, in fact, that immediately after being discharged from the hospital, he walked into Dr. Uyoe’s office without any assistance to schedule his follow up appointment.

Richard, a very active man, returned to normal daily activities almost immediately, even putting up siding on his garage within three weeks of his surgery. “It was sore, but I could do everything I wanted,” said Richard. “Every day it got better.”

“Patient motivation is a big part of recovery,” Dr. Uyoe stated. “And Richard is very motivated.”

Colon Cancer and the Importance of Knowing Your Family History

Metastatic colon cancer is cancer that has spread from the colon to other parts of the body. The disease is incurable, but the goal is to control the growth of the cancer and relieve symptoms and complications caused by it.

David saw Floyd Memorial Cancer Center of Indiana’s board certified oncologist and hematologist Yasoda Devabhaktuni, MD, at her Scottsburg office. She explained, “It is really sad to see someone so young with an incurable disease. We are treating him with chemotherapy to control his disease. Throughout the treatments he did well with relatively mild side effects. He enjoyed various periods of chemo ‘holidays’ when his disease went into remission. David had the cancerous part of his colon surgically removed after his first course of chemotherapy.”

David added, “The staff and doctors at the Floyd Memorial Cancer Center of Indiana in New Albany and the Scottsburg offices work as a team and are providing excellent care for me. I am able to enjoy my life during treatments. And I wouldn’t trade Dr. Dev for any other.”

“I’m so happy to be alive. I have four kids and three grandchildren. Both of my parents lost their battle with cancer and several other blood relatives had colon cancer. My kids are taking precautions by having colonoscopies early.”

Floyd Memorial now offers an Open Access Colonoscopy Screening program which makes scheduling your screening easier. Patients age 50 and older, without significant illnesses, can schedule a colonoscopy screening, usually without a pre-procedure visit with their primary care physician. For more information and to submit an Open Access Questionnaire, visit FloydMemorial.com/Colon, or call (812) 949-5570 to schedule your appointment.

Retired construction foreman David Goodin had just turned 50 when he found out he had stage IV metastatic colon cancer. The news came after having a colonoscopy sparked by symptoms of bleeding and constipation. His body scan revealed the cancer had already spread to his liver and lungs.

Risks You Cannot Control• Age: A majority of colon and rectal

cancers occur in patients over the age of 50. It can occur in younger people, but is typically less frequent.

• Race: African-Americans are at greater risk.

• Personal history of polyps or colorectal cancer: A personal history of colon polyps or colon cancer, rectal cancer, ovarian cancer, endometrial cancer or breast cancer may put you at an increased risk.

• Inflammatory bowel disorders: Having ulcerative colitis or Crohn’s Disease can increase your risk.

• Genetics: Inherited genetic conditions put individuals at a higher risk.

• Family history: If you or a family member has a history of colorectal cancer or colon polyps, you should be screened 10 years prior to the survivors age of diagnosis. (For example, if your loved one was diagnosed at age 52, family member screening needs to begin at age 42.) If your family has a known genetic syndrome, screening may be recommended earlier.

Risks You Can Control• Lifestyle: Low physical activity,

obesity, diabetes, smoking and heavy alcohol use are all linked to a higher incidence of colorectal cancer.

• Diet: A diet high in red meats (beef, pork, lamb), processed meats and fats may all be linked to colorectal cancer.

Yasoda devabhaktuni, MdBoard Certified Medical Oncologist/ HematologistFloyd Memorial Cancer Center of Indiana

CaNCER CENTER ORTHOPEdICs

6

Scope it Out: Prevent Colon Cancer with Diet and Exercise

Floyd Memorial’s Paris Health Education Center This free seminar will focus on how you can follow simple strategies to prevent colon cancer. General surgeon Douglas Berg, MD, will present on the importance of regular screening and treatment options available. Registered dietitian Whitney Dunagan, RD, will discuss how a healthy diet can prevent the incidence of colon cancer, and chef Debbie Richter will give a healthy food options demonstration and sampling. Healthy lifestyle booths with great giveaways including colon cancer screening kits and more will be available. Call 1-800-4-SOURCE or visit FloydMemorial.com/Events to register.

TUESDAY MAR

106 - 7:30 pm

Free Joint Pain Seminar Floyd Memorial’s Paris Health Education Center

Learn about advanced treatments that may offer dramatic relief of your knee or hip pain. Dr. Aniefiok Uyoe will discuss medications, exercise and joint replacement surgery. Registration is required by calling 1-800-4-SOURCE or online at FloydMemorial.com/Events.

THURSDAY FEB 26

6 - 7 pm

8

Clark County Resident Finds success with Weight loss surgery At his biggest size, 36-year-old Chris Keith found himself at 420 pounds, and his 11 year battle with diabetes was attacking his body with a vengeance. It was in December of 2013 when he saw his endocrinologist and heard the shocking news that he was losing kidney function due to the large amount of insulin and other diabetic medications he was taking. “The doctor said, you need to do something fast,” recalls Chris.

That visit was a pivotal moment for Chris and he turned to Amy Brown, RD, CES, CDE, certified diabetes educator and Joan Weston, RN, BSN, both with Floyd Memorial Weight Management Center, for advice. “Both suggested the sleeve gastrectomy surgery,” explained Chris.

Sleeve gastrectomy is a minimally invasive laparoscopic surgical procedure that permanently reduces the stomach by approximately 80 percent. It limits the total amount of food that can be eaten at one time, so patients feel full sooner and stay full longer. As less food is eaten, the body stops storing excess calories and starts using its fat supply for energy, resulting in weight loss.

During the procedure, the surgeon creates five small incisions in the abdomen for the laparoscope camera and instruments, and then a portion of stomach is removed with a special stapling device. The remaining stomach is long and narrow, like a sleeve, and is about the size of a banana. The excised portion of the stomach is then removed through a small Band-Aid sized incision in the abdomen.

“Sleeve gastrectomy is the fastest growing bariatric operation and, in many ways, it’s a better weight loss option,” said Floyd Memorial Medical Group bariatric and general surgeon Lanny Gore, MD. He added, “With sleeve gastrectomy, there is no guess work, such as with filling a band to promote weight loss, and there is substantially less risk of nutritional deficiencies that you might find with gastric bypass surgery.”

“I was scared because it was surgery. I had thought a lot about surgical options, but the sleeve procedure made me a little nervous, primarily because it was permanent,” said Chris. Right around

this same time, Chris ran into a friend he hadn’t seen in two years. “Kenny had lost 190 pounds after having the sleeve procedure,” said Chris. “He told me exactly what I could expect from the surgery and it helped to ease my nerves.”

Chris and his wife, Angie, had prayed a lot about the surgery and for some type of sign from God. They believed Kenny was just the sign they were looking for. Chris called Amy with the Floyd Memorial Weight Management Center and she started the ball rolling by setting up his first appointment with Dr. Gore. Chris had his surgery on December 26, 2013.

Chris described the surgery as making it easier for him to lose weight. When

he would diet before the surgery, he always felt hungry. But the surgery has helped to curb his appetite. Dr. Gore explained, “The ghrelin hormone that is released from the stomach is decreased when the stomach size is reduced, resulting in patients feeling full sooner.”

“I’m glad it worked out and glad I had the surgery,” said Chris. “I would now tell anyone it was worth it all,” he added.

“I can’t say enough good things about everyone, especially Dr. Gore. He is so easy to talk to. I feel like I could tell him anything, and he explained everything well,” said Chris. He added, “I am thankful for Amy, Joan, Dr. Gore and all others involved in my hospital stay and their roles in saving my life. They gave me a second chance that I wouldn’t have received without them.”

Chris has reached his goal of weighing 275 pounds, and is setting new ones. He has gone from a size 54 pant to a 38, and from a 6X shirt to a 2XL or XL. He has also successfully reduced his medications to only one, and he continues to go to the gym three to four days a week during his lunch break. He tries to run three to four days a week in the morning.

Chris added, “Losing this weight has helped me feel more like getting out. I didn’t have the energy or want to before. Now when Zander says, ‘let’s go play ball,’ I feel like it.”

“It is rewarding to see a patient lose 60 to 80 pounds in less than a year, come off most of his medications, recover from health problems and become more active,” said Dr. Gore.

WEIGHT MaNaGEMENT

lanny Gore, MdBariatric and Board Certified General SurgeonFloyd Memorial Weight Management and Bariatric Center

John s. Oldham, MdBoard Certified Bariatric SurgeonFloyd Memorial Weight Management and Bariatric Center

9

Does your child snore or show other signs of sleep problems such as, labored or interrupted breathing, hyperactivity, excessive sleepiness during the day or behavioral problems? All of these are possible signs of sleep apnea in children.

Over 2 million children today have some type of sleep disorder, so it is important for parents to be aware of the signs and know the next steps for getting help for their son or daughter. If a parent is concerned with their child’s sleep behaviors, the first step would be reporting the symptoms to their family pediatrician. In most cases, a sleep study would be suggested to evaluate the child for underlying sleep apnea.

Recently, Cyndi Ruddock, of Sellersburg, brought her 3-year-old son, Blake, to see Floyd Memorial’s Sleep Disorders Center’s board certified sleep specialist Azmi Draw, MD, FCCP. Cynthia was concerned that Blake appeared to struggle with breathing at night, became more hyper during the day, restless at night and showed a decreased appetite. Dr. Draw’s initial exam noted that Blake had large tonsils and adenoids. He suggested a sleep study to give them more definite answers.

Cyndi felt confident going through with Blake’s sleep study as her daughter had gone through the same process three years earlier with Dr. Draw. Cyndi explained, “My husband and I were very pleased with Dr. Draw. The staff at the Sleep Center was very patient with Blake and his fears of all the wires. They waited until he fell asleep to hook up the wires he did not like.”

The sleep study verified that Blake had obstructive sleep apnea (OSA), a common type of sleep apnea in children. OSA is caused by an obstruction of the airway, such as enlarged tonsils and adenoids. Dr. Draw recommended tonsillectomy and adenoidectomy surgery, which is highly effective in treating sleep apnea. Cyndi and her husband added, “You’re fearful anytime your child has to undergo anesthesia, but we feel it will be well worth it to improve his sleep and relieve Blake’s other symptoms.”

When asked how it feels to see a child doing better, Dr. Draw said, “With children in particular, a sleep disorder affects their behavior, learning ability and social interaction. It’s rewarding to hear a positive comment from a parent who has seen improvement in these critical areas

of development. For example, many parents tell me, ‘My child is receiving less complaints in school,’ that is good for me to hear.”

The Floyd Memorial Sleep Disorders Center is nationally accredited by the American Academy of Sleep Medicine as a certified laboratory for sleep-related breathing disorders. Azmi Draw, MD, FCCP, specializes in pediatric sleep medicine. The in-lab pediatric sleep studies are performed by friendly and skilled technicians, with one-on-one monitoring for kids under the age of 10. A parent is allowed to stay with the child through the overnight sleep study and can bring a pillow, blanket, stuffed animal or favorite toy for comfort. The sleep study will closely monitor and provide data on the child’s brain waves, muscle activity, airflow, heart rhythm and carbon dioxide level.

Proper diagnosis and treatment of sleep disorders can mean restful nights for your child and restful days for your family. If your child is experiencing any of the signs mentioned, please call the Floyd Memorial Sleep Disorders Center at (812) 949-5550.

slEEP dIsORdERs

Important sleep Tips• Most children need 10-12

hours of sleep per night.

• The most common cause of sleep problems in children is chronic sleep deprivation.

• Initiate and maintain a proper bedtime routine and avoid using electronics and bright lights to help your child fall asleep. Pediatric sleep study

Cyndi and Blake Ruddock

Free Surgical Weight Loss Seminar

Floyd Memorial’s Paris Health Education Center Learn more at a free seminar on the sleeve, gastric banding and gastric bypass bariatric surgery options presented by Drs. Gore and Oldham. Call 1-800-4-SOURCE or visit FloydMemorial.com/Events to register for our bi-monthly seminars.

WEDNESDAY JAN 21

6 - 7 pm

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Stroke & Aneurysm Vascular Screenings By appointment at Floyd Memorial Hospital in New albany, Floyd Memorial Cardiovascular Center – Jeffersonville and Floyd Memorial diagnostic Imaging – Corydon. Non-invasive screening for Abdominal Aortic Aneurysm, Peripheral Artery Disease and Carotid Artery Disease. Cost is $49 for all three. To make an appointment at the hospital or in Jeffersonville, call 1-800-4-SOURCE, or call (812) 734-3920 for Corydon appointments.Free Screenings at the Floyd County YMCATuesday, January 20, 4:30 - 6:30 pmTuesday, February 3, 9 - 11 amScreenings include: blood pressure, height, weight and body composition. Also receive free health education resources and giveaways. Free Heart and Stroke Screenings Thursday, February 5, March 5 and May 7, by appointment Full lipid cholesterol panel, blood pressure, blood sugar, A1C and body mass index. Registration required.

Free Health Fair Friday, February 28, 10 am - 3:30 pm st. Mark’s united Church of Christ 222 E. spring street, New albanyVarious health screenings with information and education, dental checkups and more. Free Joint Pain Screening saturday, april 18, 7 - 11 am By appointment at the Floyd Memorial Wound Healing Center Screening of knees, hips and shoulders featuring X-rays and consultation with an orthopedic surgeon. Registration required.Free Osteoporosis Screenings The pDXA screening is a scan of the bone density of the heel. By appointment. To register, call (812) 949-5570. $89 Lung Cancer Screenings If you are a current or past smoker age 50 to 74, have a 30-pack-year smoking history, a first degree family history of lung cancer and are age 50 or older, or have been exposed to asbestos and been a smoker, this screening could save your life. Referral not required. Cost is only $89 (due at time of screening), which includes a same-day review of your results. To register, call (812) 981-6208.

Free Body Mass Index Screenings By appointment at the Floyd Memorial Weight Management and Bariatric CenterFree screenings of weight and body fat percentage. Call (812) 949-7151 for an appointment.Free Sports Injury Screenings Every Wednesday, 3 - 4 pm all Floyd Memorial Physical Therapy locations Sports injury screenings for middle and high school athletes on a walk-in basis. Visit FloydMemorial.com/Rehabilitation for locations near you. Free Physical Therapy Screenings Weekdays by appointment all Floyd Memorial Physical Therapy locations Treatment recommendations and/or follow up care. Call (812) 948-7416 to schedule an appointment.

Free Prenatal ClassesThursday, January 8 – February 5 7 - 9 pm (5-week series)Thursday, april 9 – May 7 7 - 9 pm (5-week series)Take at the beginning or middle of pregnancy. Physical and emotional changes, stages of fetal development, nutrition, anesthesia choices, basic infant care, postpartum and baby’s first year. Registration required.Prepared Childbirth Class Wednesday, January 14 – February 4 6:30 – 8:30 pm, (4-week series)saturday, February 21 and 28 8:30 am - 12:30 pm (2-part series)Monday, april 6 – 27 6:30 – 8:30 pm (4-week series)Cost - $30 per couple. Learn the physical preparation and education needed for a successful delivery, including relaxation techniques, as well as tips for pregnancy fitness including physical therapy. Take during the middle of pregnancy. Registration required. Free Breastfeeding Class Thursday, February 12, 6:30 - 9 pm Helpful hints for a successful breastfeeding experience, practical guidelines, common misconceptions and barriers. Registration required.

Babysavers Class Thursday, February 19, 6:30 - 9 pm Teaches new parents infant CPR. Cost is $10 per couple. Registration required. Free Sibling Class saturday, January 31 and april 25 10:30 am - 12:30 pm For soon-to-be new brothers and sisters, ages 3 to 8, and their parents. Children will be shown how to hold and diaper a baby, and tour the Birthing Center. Registration required.

Alzheimer’s Support Group Third Thursday of each month 2 - 3:30 pm and 6 - 7:30 pmMoving Forward – Amputee Support GroupThird Monday of each month 6:30 - 8 pmMeets at Southern Indiana Rehab Hospital Conference RoomBariatric Support Group First Monday of each month, 6 pmBrain Injury Support Group Third Thursday of each month, 7 pmSouthern Indiana Rehab HospitalBreast Cancer Support Group second Thursday of every other month, 7 pmCancer Patient/Caregiver Support GroupFirst & third Thursday of each month 6:45 - 8 pmFloyd Memorial Cancer Center of IndianaGluten Free Support Group Fourth Tuesday of each month 6:30 pm

La Leche League of Southern Indiana Third Monday of each month 6:30 - 8 pmLaryngectomy Support Group Third Wednesday of each month 3 - 4 pmMended Hearts Support Group Fourth Monday of each month, 6 pmCall (502) 819-2085 for meeting location.Parkinson’s Support Group First Tuesday of each month, 6:30 pm Stroke Support Group second Tuesday of each month, 1 pmSouthern Indiana Rehab HospitalTogether for Breast Cancer Survival Men’s Caregiver Support Group First Thursday of each month, 6:30 pmFloyd Memorial Cancer Center of Indianasecond Monday of each month, 6 pmGilda’s Club of Louisville

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Kidney Disease Treatment Options Classes Tuesday, January 13, February 10, March 10 and april 14, 10 am - noon Call (502) 895-1338 to register. Can You Spot a Stroke?Monday, January 19, 6 - 7 pm Learn how to recognize signs and symptoms and reduce your risk of stroke. Discover the latest treatments and advancements. Receive a free blood pressure screening and take home great giveaways. Registration required.

Free Shoulder Pain Seminar Thursday, January 29, 6 - 7 pm Learn about treatments that may offer relief of your shoulder pain. Registration required. Heart Healthy EatingTuesday, February 24, 6 - 8 pmAttend a presentation on heart health and eating healthy. Enjoy a cooking demonstration and tasting. Registration required.Scope it Out: How Exercise & Diet Can Prevent Colon CancerTuesday, March 10, 6 - 7:30 pmLearn the importance of regular screening, prevention and treatments, receive healthy diet information, and a demonstration and sampling of a vegetable-filled, fiber-rich meal. Registration required.Free Joint Pain Seminar Thursday, February 26, 6 - 7 pm Learn about treatments that may offer relief of your knee or hip pain. Registration required.

Indiana Blood Center Blood DriveTuesday, March 3, 12 - 5 pmRegister to donate at Donorpoint.org.Diabetes Updatesaturday, March 7, 8 am - noonFree annual seminar hosted by the Joslin Diabetes Center. Physicians and specialists will present on several diabetes-related topics. Enjoy a complimentary light breakfast, door prizes and giveaways. Registration is required and begins at 7:30 am.Cooper Clayton Smoking Cessation ClassesFor a full list of available smoking cessation classes, visit www.WellnessCSI.com/Tobacco.Stroke Clinic Southern Indiana Rehab Hospital offers a free stroke clinic for stroke survivors. Therapists, case managers, nurses and physicians will review their ongoing recovery and make recommendations. Contact: (812) 941-6120 or (812) 941-6154.

Health Education

screenings

Birthing Centersupport GroupsCall 1-800-4-sOuRCE (1-800-476-8723), or visit FloydMemorial.com/Events,

unless another number is listed.

All events are free and meet in Floyd

Memorial’s Paris Health Education Center unless

otherwise stated.

WINTER 2015

To register

Health Insurance EnrollmentHealth insurance enrollment, through the Marketplace Exchange Program, continues until February 15, 2015. To help answer any questions you may have, Floyd Memorial will have navigators available at different sites throughout our communities. You do not have to be a patient of Floyd Memorial Hospital or Floyd Memorial Medical Group to receive assistance. Registration is required and is limited.Wednesday January 14, 3 - 6 pmNorthfield Plaza 313 Federal Drive NW, Corydon

Wednesday January 21, 3 - 6 pmFloyd Memorial Medical Group - Salem 1101 N. Jim Day Road, Suite 107A, Salem

{ }The Floyd Memorial Joslin Diabetes Center Affiliate offers ongoing education classes so patients can keep their condition in check. Call (812) 949-5700 to register.

Balance and Control For individuals looking to get their diabetes under control, new to diabetes or new to insulin. Covered by most insurance plans.

Diabetes Refresher Course Helps patients set goals for ongoing healthy management of their diabetes. Covered by most insurance plans.

Joslin diabetes Center

HMR Orientation Floyd Memorial Weight Management and Bariatric Center Lose 10 to 200 pounds with HMR. Free informational sessions on Mondays and Thursdays. Call (812) 949-7151 to schedule.

Surgical Weight Loss Seminar Bi-monthly beginning Wednesday, January 21, 6 - 7 pm Floyd Memorial’s Paris Health Education Center Learn about gastric banding, gastric sleeve and gastric bypass surgery and the support services offered by the Floyd Memorial Weight Management and Bariatric Center. Registration required.

SPECIAL WINTER NOTICE: If Floyd County schools are closed due to bad weather, all classes and support groups will be canceled. If bad weather occurs late in the day, call 1-800-4-sOuRCE (1-800-476-8723) or (812) 944-7701 to find out if the class will be held.

Weight Management and Bariatric Center