Health Connection New clinic opens in
Transcription
Health Connection New clinic opens in
Health Connection brought to you by galesburg cot tage hospital New clinic opens in Monmouth! see page 12 CottageHospital.com • Winter 2013 Page 6 Page 7 Page 8 Page 10 Advanced ACL repair Meet Cottage Hospital’s oncologist We’re a Top Performer Another surgical weight-loss option Are you at risk? Have you been checked for high cholesterol? Make an appointment with your doctor to discuss your risk factors and ways you can lower your risk. Butter and margarine go head to head Long commutes take toll on the heart You see them next to each other in the grocery store, but which one do you choose? And, more importantly, which type of fat is better for your heart? The decision is in: Most margarine choices are a healthier option than butter, according to the Mayo Clinic. Because margarine is made from vegetable oils, it doesn’t contain dietary cholesterol and it’s higher in polyunsaturated and monounsaturated, or “good,” fats, which, when substituted for saturated fats, help reduce low-density lipoprotein (LDL), or “bad” cholesterol. On the other hand, butter contains high levels of saturated fat and cholesterol because it’s made from animal fat. Buyers beware, though: Choose your margarine carefully. Solid margarine— which comes in stick form—isn’t a good choice because it contains trans fat. Instead, choose soft or liquid margarine and check labels for the spread with the lowest calories, the least amount of saturated fat and no trans fat. Do you have a long ride to and from work? Well, here’s another drawback to the aggravation you may feel being trapped in your car: According to a study in the American Journal of Preventive Medicine, which looked at almost 4,300 Texas city workers, the longer you’re behind the wheel during your commute, the worse your heart health. Waistlines expanded, exercise routines disappeared, and with these bad habits came higher blood pressure and excess pounds. Even for those who did exercise, these heart disease risk factors didn’t disappear, which means there’s probably something to the commute itself that’s harming hearts. Researchers hypothesize it could be that long-distance drivers are burning fewer calories overall and stress could be taking a toll. Researchers suggest finding other ways to add activity to your day, so don’t hesitate to bring a pair of walking shoes to work and hit the sidewalks during your lunch break. Could it be a pinched nerve? Pinched nerves, which occur when too much pressure is applied to a nerve by surrounding tissues, such as bones, cartilage or muscles, can be painful and irritating. Understanding if you’re at an increased risk of one day experiencing a pinched nerve is the best way to help prevent it. Here are five risk factors: 1 Posture. Proper posture decreases the pressure to your spine and nerves. 2 Bone spurs. Conditions like osteoarthritis can cause you to develop bone spurs. They can stiffen the spine and narrow the space where your nerves travel. 3 Overuse. Activities that involve extensive use of your hands, wrists and shoulders can increase your risk of a pinched nerve. 4 Obesity. Having excess weight adds more pressure from muscles and body tissue onto your nerves. 5 Pregnancy. Weight gain from pregnancy can swell your nerve passages and pinch your nerves. 2 Winter 2013 images on any of these pages may be from one or more of these sources: © 2013 thinkstock and © 2013 istockphoto.com. Healthbriefs Caring for our Baby Boomers As Baby Boomers grow older, it’s important that Galesburg Cottage Hospital continues to evolve to meet their needs. Carl Strauch, M.D., is proud to offer patients ages 65 and older viable treatment options during their golden years. “We have more technology now to perform tests and can offer more treatments than we’ve Carl strauch, M.D. Geriatric Medicine ever had before,” says Dr. Strauch. “Our geriatric services are geared to our senior patients and designed to provide them with appropriate care for their age.” Dr. Strauch cares for a variety of medical conditions, including memory loss, diabetes, arthritis, osteoporosis and fraility. He has been board certified in geriatric medicine since 1994 and has been working with geriatric patients his entire career. “As our population gets older, it’s important that we have the necessary resources they need to live healthy lives,” says Dr. Strauch. A message from our ceo Dear friends, I would like to introduce you to new physicians who have recently joined our medical staff or who will be doing Earl Tamar Chief Executive Officer so shortly. Sandra Ettema, M.D., board certified in ear, nose and throat (ENT) and head and neck surgery, joined the medical staff at Galesburg Cottage Hospital last August. She offers a broad range of ENT services and has excellent communication skills and a great bedside manner. She has been a wonderful addition to our medical staff and is a real asset to our community. Lorraine Garland, M.D., is an Ob/Gyn doctor who also started here in August 2012. Dr. Garland was an OB nurse here several years ago when she decided to go to medical school to earn her medical degree. She’s excited to be in practice here and is off to a great start. She helps with individual plans of care to meet the health care needs of her patients. Marketa Leisure, M.D., a board-certified pediatrician, will be joining Cottage Pediatric and Adolescent Care Clinic in August. Dr. Leisure received her undergraduate degree in human biology from Stanford University in Palo Alto, Calif. She attended medical school at the University of Chicago and completed her pediatrics residency at the University of Virginia in Charlottesville. She has been in solo practice for the last six years and wants to return to Illinois to be closer to her family. Our seniors are special Cottage Hospital provides the comprehensive care you or your loved ones need as you grow older. To make an appointment with Dr. Strauch, call (309) 342-9189. For senior activities and travel, join Cottage Hospital’s Senior Circle. To learn more, call the Senior Circle advisor at (309) 343-6565. I wish all of you a wonderful 2013 with good health. Sincerely, Earl Tamar Chief Executive Officer Galesburg Cottage Hospital Dr. Strauch is a member of the medical staff at Cottage Hospital. 70gch Winter 2013 • CottageHospital.com 3 Sleep and your brain For optimal health, get your shut-eye Sandra Ettema, M.D., Ph.d., ccc-slp ENT Trouble sleeping? To make an appointment with Dr. Ettema, call Cottage Ear, Nose and Throat at (309) 343-1632. Sleep is a time for you to rest and, hopefully, get refreshed and ready to face the new day. For your brain, sleep is a time for work. “Sleep affects all parts of your life,” says Sandra Ettema, M.D., Ph.D., CCC-SLP, a board-certified otolaryngologist and a member of the medical staff at Galesburg Cottage Hospital. “If your mind and body have enough energy and stamina, then all other aspects of your life benefit as well.” During sleep, your brain is playing an integral part in the maintenance of your nervous system, laying pathways to help you learn and create new memories. Some experts also think that sleep affords our brains the opportunity to rest hardworking neurons before they have a chance to malfunction. In addition, connections between neurons that aren’t frequently used may finally get a chance to exercise during sleep as a way of preventing their deterioration. Visit our sleep lab If you’re concerned you may have a sleep disorder, Galesburg Cottage Hospital Sleep Diagnostic Lab can help. A doctor’s referral is required. For more information or to make an appointment, call (309) 345-4224. 4 Winter 2013 • CottageHospital.com If you get less than the recommended seven to eight hours of sleep each night, you’re interrupting these vital processes and making it more difficult to remember things or concentrate. You may find it more difficult to work, drive or function in general. Hallucinations and mood swings may also develop in more severe cases of sleep deprivation. Some very preliminary research also seems to suggest that poor sleep habits may age your brain and contribute to cognitive health problems such as dementia, but more research is needed. On other, more definitive health fronts, lack of sleep has been linked to heart disease, obesity and diabetes. “If you’re trying to lose weight, give yourself a jump start by getting the recommended amount of sleep consistently,” says Dr. Ettema. Here’s to good sleep Struggling to get that elusive sleep can be frustrating, but a good night’s sleep isn’t just a dream. To keep your brain in tip-top shape: Schedule bedtime. Going to sleep at the same time every night can help program your body into a healthy cycle. Exercise regularly. A good workout— about five to six hours before you go to bed—can help you achieve a deeper sleep. Skip the cigarettes, nicotine and alcohol, all of which can negatively affect your quality of sleep. Relax. Read a book or soak in a nice, warm bath before going to sleep. “Avoid watching TV in bed before sleeping,” says Dr. Ettema. “TV keeps your brain active and may affect your sleep.” Avoid staying in bed if you can’t sleep. Find another low-key activity to do until you feel sleepy. Keep your room cool, but not too cool. Temperatures that make you uncomfortable will keep you from getting sleep. Wake with the sun. It helps reset your body’s internal clock. 70gch HealthWise QUIZ How much do you know about medication management? Take this Quiz to find out. 1 You didn’t see it coming, but few people who have a stroke do. And as you may know by now, surviving a stroke is only half the battle. How do you cope with a life that’s forever changed? First off, know that there are many people facing the same situation as you. Almost 800,000 people have strokes every year. Some may recover with only minor residual effects, while others are left with permanent disabilities. Learning to cope with your individual situation is critical to recovery. Here are some strategies that may help: Recognize the emotions. You’ll likely go through a range of emotions, from sadness about things you may no longer be able to do, to anger about why this happened to you, to frustration with the difficulty of communicating with loved ones. All of these are normal feelings. If you’re experiencing extended periods of sadness, have lost interest in life or have thoughts of suicide, seek help immediately because these are symptoms of depression. If you’re a caregiver of someone with stroke, learn to recognize the signs. Work with the new you. Recuperating will take time and a lot of hard work, and you may not totally get back to where you were before. Set small goals for yourself and celebrate as you reach them. And don’t be afraid to rest. Remain active. You may not be moving the way you used to, but don’t feel embarrassed by having to use a cane or wheelchair. You need to get out, even if only for a short time. If your loved one has had a stroke, encourage him or her to meet up with friends or engage in enjoyable activities, if he or she is up to it. Ask for help. Don’t be afraid to reach out to friends and family to assist with errands or just stop by for a visit. hich tip is not recommended W for storing medication? a. Store it in a cool, dry place. b. Keep it in the original container. c. Keep the cotton plug in the bottle. d. none of the above 3 When talking with your doctor, you should let him or her know you take: a. vitamins b. over-the-counter medicines c. herbal supplements d. all of the above 4 Which of the following drugs can interact with St. John’s wort? a. blood thinners b. antidepressants c. pain medications (narcotics) d. all of the above 5 When ordering medication online, you should only purchase from a website that: a. has an FDA seal of approval b. is accredited by the Verified Internet Pharmacy Practice Sites (VIPPS) program c. is based in Canada d. has testimonials Answers: 1. (d) 2. (c) 3. (d) 4. (d) 5. (b) Coping with stroke 2 ccording to the FDA (U.S. Food A and Drug Administration), splitting pills: a. is safe for all medications b. can affect the way a medication is absorbed c. should never be done unless the pills are approved for splitting and you have your doctor’s OK d. both b and c Winter 2013 5 time following the surgery dramatically. “Early on, surgeons had to open the knee to perform the surgery, but now we have scopes that allow us to perform the surgery with just a few small incisions around the knee,” says Dr. Stachniw. To repair the ACL, a surgeon must make a donor graft by using a piece of tendon from somewhere else, such as a portion of the patellar tendon or hamstring tendon. Get back on your feet Repairing an ACL knee injury with arthroscopic surgery Recovery Following surgery, Dr. Stachniw recommends using crutches for two weeks to let the knee settle. The patient begins physical therapy to strengthen the knee. He or she will be able to engage in competitive activity about four months after surgery, or when the therapists and doctors give their approval. Who qualifies? myron Stachniw, M.D. Orthopedic Surgeon Make an appointment Tearing an ACL can be a painful and lifechanging experience, so getting the proper care is crucial to regaining an active lifestyle. To learn more about arthroscopic surgery or to make an appointment with Dr. Stachniw, call (309) 341-1300. Anyone, from athletes to office workers, can experience an injury to their anterior cruciate ligament (ACL), one of the most commonly injured knee ligaments. As people have become more aware of ACL injuries, new and innovative methods of repairing the injury have developed, most particularly arthroscopic surgery. Myron Stachniw, M.D., a boardcertified orthopedic surgeon and a member of the medical staff at Galesburg Cottage Hospital, performs arthroscopic surgery for ACL repair regularly and understands why repairing the ACL is so important. “Even though the ACL is one of the shortest knee ligaments, it’s a crucial piece,” says Dr. Stachniw. “There are approximately 100 ligaments around the knee. If you compare the ligaments to an orchestra, the ACL would be the conductor.” Surgery Arthroscopic surgery is minimally invasive and has decreased the recovery 6 Winter 2013 • CottageHospital.com Although many people may tear or injure their ACL, arthroscopic surgery isn’t for everyone. “The surgery is usually for a young person who is active or for someone who doesn’t have arthritis in the knee,” says Dr. Stachniw. If you have arthritis, other physical therapy options may be more appropriate, or knee replacement may be a better option. Arthroscopic knee surgery In addition to ACL repair, arthroscopic surgery can be used for other knee procedures, including: reconstructing a torn ACL removing inflamed synovial tissue removing loose fragments of bone or cartilage removing or repairing torn meniscal cartilage trimming torn pieces of articular cartilage 70gch Meet John McClean, M.D. Galesburg Cottage Hospital’s medical oncologist In the Galesburg community, anyone diagnosed with cancer knows John McClean, M.D., the medical oncologist and a member of the medical staff at Galesburg Cottage Hospital. Board certified in internal medicine and medical oncology, Dr. McClean is the only oncologist in the hospital’s combined service area of 70,000 people. He and his staff have seen countless patients over three decades, often building lasting relationships with them. “We get to know about our patients’ families—their kids and grandkids— because they’re here so much,” Dr. McClean says. Cancer is on the rise Cancer diagnosis has risen in the area, which Dr. McClean attributes to several factors. “People are living longer, and it’s become a more chronic disease,” he says. “Our abilities to diagnose are also better, so the numbers keep increasing every year. Unfortunately, we’re seeing many people who got through their first malignancies and then come back years later with second malignancies.” New medicines and leading-edge technology have helped boost survival rates. Clinical trials also help, and many of Dr. McClean’s patients participate. “We have a research arm anticipating new medication trials,” he says. Dr. McClean encounters a variety of malignancies. “The ones we see most often are lung, breast, colon and prostate,” he says. “But we’ve seen a large increase in skin cancer, particularly melanomas, which isn’t good. Blood disorders, such as chronic leukemias, are also on the rise.” With the help of nurse practitioner Gina Riner, A.P.N., Dr. McClean is able to 70gch see patients in a timely manner. “One of the things I’m most proud of is that we don’t delay people’s care,” Dr. McClean says. “If you’re diagnosed with cancer, you need answers and direction as quickly as possible.” John McClean, M.D. Hematologist/Oncologist What you can do To reduce your risk of cancer or increase your odds of survival after diagnosis, Dr. McClean recommends that you do the following: Quit smoking. “We push people to stop the habit as much as we can,” he says. “We have better medicines now, making it easier to quit.” Get screening tests. Be diligent when it’s time for your mammogram, Pap test, colonoscopy or other exams; they can detect cancer early. Make healthy lifestyle choices. Eating healthfully and exercising regularly can help reduce your risk of certain cancers. Dr. McClean refers patients to the Cottage Hospital’s Whole Exercise Program for Cancer Survivors, which offers patients exercise and dietary advice. “The goal is to try to keep people in the best shape possible to minimize recurrence and the development of new malignancies,” he says. A physician referral is required, so talk to your doctor to find out if you would benefit from this program. Dr. McClean headshot (p/u To make an Fall 2012) appointment with Dr. McClean, call (309) 343-2262. Winter 2013 Need help? • CottageHospital.com 7 Just desserts Satisfying a sweet tooth—without the guilt You make it through dinner, keeping your promise to limit the calories and fat. But then comes the course that almost always gets you to cave: dessert. Though it can be a calorie and fat trap, you don’t have to skimp on the meal’s finale. Instead, you need to find a way to satisfy that sweet tooth without guilt. And that’s where nature’s sweetest low-fat, low-calorie offering—fruit!—comes in: Apple of your eye: Slice up some apples and sprinkle with a little bit of cinnamon, then bake. Layer: Alternate layers of nonfat yogurt with fresh fruit in a parfait glass. Get your calcium, too: Keep low-fat or nonfat fruit yogurt on hand for an afternoon pick-me-up. The grill isn’t only for meat: Slice up peaches, bananas and pineapples and give them a little heat, which will bring out their natural sweetness. Try an even quicker sweet fix: Pop open some canned fruit (canned in its own juice or water—no heavy syrup!) and enjoy. Think heavenly: Not all cakes are created equal. Angel food cake is a healthy option that’s made even better with the addition of some fresh fruit or fruit puree on top. Top Performer award Galesburg Cottage is honored for the second year in a row Dan Piper, M.D., chief of staff (left), and Earl Tamar, chief executive officer, accept Cottage Hospital’s Top Performer award. Learn more! For more information about Cottage Hospital’s Top Performer award, visit CottageHospital.com. 8 Winter 2013 • Patients may rave. Doctors may boast. But how can anyone really know that Galesburg Cottage Hospital offers quality health care? The Joint Commission, the leading accreditor of health care organizations in the country, has weighed in, handing out Top Performer awards for the second year. Cottage Hospital was among 620 hospitals nationwide to be recognized and 1 of only 244 hospitals to be honored both years that the awards have been offered. “It’s a very small percentage of hospitals—less than 5 percent—that received the award two years in a row,” CottageHospital.com Make your own icy treat: Freeze grapes and bananas for an ice cream alternative. Choose wisely: If your dessert options are limited to a restaurant menu, look for a fruit salad or sorbet, sherbet or meringues and skip the chocolate lava cake. Get creative: OK, so you really want to make that brownie recipe. You can still cut down on the sugar intake by substituting equal amounts of unsweetened applesauce, or cutting the amount of sugar in half. says Earl Tamar, chief executive officer at Cottage Hospital. “We’re the only Illinois hospital south of Chicago and west of Champaign and Springfield to receive it.” What are the requirements? To qualify, hospitals must meet 95 percent performance thresholds for accountability measures when treating certain types of patients, like those with pneumonia or receiving surgical care. “It means we’re following evidencebased guideline practices to give the best care,” Tamar says. “There’s evidence that if we do these specific things for patients, they should have good outcomes.” He credits the medical staff at Cottage Hospital for this achievement. “This is one of the more meaningful awards, based on objective measures,” he says. “It differentiates among hospitals, and it tells patients that our hospital offers quality health care.” 70gch Be kind to your kidneys Help prevent kidney disease You may not think about them often, but tucked away underneath your rib cage, on each side of your spine, your kidneys labor away, filtering about 200 quarts of blood daily to rid it of waste and excess water to make urine. “The kidneys play a major role in regulating levels of various minerals such as calcium, sodium and potassium in the blood,” says Partha Srinivasan, M.D., a nephrologist and an independent member of the medical staff at Galesburg Cottage Hospital. “They also produce certain hormones that have important functions such as stimulating bone marrow to produce red blood cells and regulating blood volume and blood pressure.” Damage to the kidneys can impair their filtering ability and may lead to what’s called kidney disease or chronic kidney disease and, ultimately, kidney failure. The most common culprits in kidney damage are high blood pressure and diabetes. “People with kidney disease are more apt to develop heart disease,” says Dr. Srinivasan. “It also can cause anemia, high blood pressure, acidosis, cholesterol and fatty acids disorders and bone disease.” Symptoms of kidney disease Unfortunately, early kidney disease doesn’t have any symptoms. When it’s advanced, a person may have to urinate more or less often, feel tired, lose his or her appetite or vomit, experience swollen hands or feet, feel itchy or numb, have difficulty concentrating or feel sleepy, have darkened skin or have muscle cramps. The lack of early warning signs is exactly why prevention is so important. 70gch Keeping kidney disease at bay To help prevent kidney disease, keep these suggestions in mind: • If you have diabetes, monitor your blood glucose level closely and work to keep it within your doctor’s recommended range. • If you have high blood pressure, ask your doctor about home monitoring and go for regular checkups. You may need to take blood pressure medication to keep it below 130/80 mm Hg. • If signs of kidney damage are already present, ask your doctor about taking medication to prevent further damage. Regular testing for the presence of protein in your urine and creatinine in your blood can tell your doctor how well your kidneys are functioning. • Follow a healthy eating plan—a lowfat diet full of fruits and vegetables and whole grains. If you already have kidney disease, you may need to limit your protein intake. • Quit smoking. • Use care when taking painkillers such as ibuprofen, naproxen and high-dose aspirin. Long-term use can cause kidney damage. • Seek medical attention right away if you have symptoms of a bladder infection (for example, cloudy urine, burning when urinating, a constant urge to go to the bathroom or a fever). Left untreated, infections can result in kidney damage. Partha Srinivasan, M.D. Nephrologist For more information If you’re experiencing symptoms of kidney disease, a nephrologist can help. Partha Srinivasan, M.D. Renal Care Associates (309) 343-4114 Winter 2013 • CottageHospital.com 9 Lose weight for life A new procedure is here Mark davis, M.D., FACS General Surgeon Sherwin Parungao, M.D. General Surgeon Did you know? Gastric sleeve surgery, a laparoscopic weight-loss procedure, is now being performed at Galesburg Cottage Hospital. Patients considering bariatric surgery have a new option at Galesburg Cottage Hospital: gastric sleeve surgery. Surgeons began performing gastric sleeve surgery earlier this year. “We like it because it’s a more aggressive procedure than Lap-Band® surgery, but with a lower risk for metabolic abnormalities,” says Mark Davis, M.D., FACS, a board-certified general surgeon and a member of the medical staff at Cottage Hospital. “Except for removing a portion of the stomach, you’re leaving the rest of the body’s absorptive tissues intact, so the digestion process is the same.” The procedure Gastric sleeve surgery is a laparoscopic procedure, which means that doctors make several small incisions in the stomach for tools and a camera, rather than one large incision. During the two-hour procedure, surgeons alter the size and shape of the stomach, removing up to 80 percent of the stomach. “We change the stomach from the shape of a pouch to the shape of a tube,” says Sherwin Parungao, M.D., a boardcertified general surgeon and member of the medical staff at Cottage Hospital. A patient typically goes home after an overnight stay in the hospital and is restricted from heavy lifting. He or she remains on a liquid diet until seeing the doctor at a two-week checkup, when the doctor will make sure everything has healed properly. Who is a candidate? People with a body mass index (BMI) of more than 30 are classified as obese and are candidates for gastric sleeve surgery. (BMI compares a person’s height and weight.) Prospective patients also must pass a careful screening, which includes a psychiatric evaluation to be sure that they will be committed to making the lifestyle changes necessary to attain significant weight loss. Because the stomach becomes much smaller, people who have had this surgery must be committed to eating considerably less than usual, typically 1 cup of food at a time. “People can never look to bariatric surgery alone to change their lives,” Dr. Davis says. “Proper eating, proper exercise and understanding any eating disorders or tendencies toward overeating are important.” Before and after gastric sleeve surgery, patients meet with a bariatric coordinator, a psychiatrist or psychologist, a registered dietitian and a physical therapist to help put plans in place for successful weight loss. Results vary among patients, but many patients lose a considerable amount of weight within the first year. Considering bariatric surgery? For more information about gastric sleeve surgery, contact Bariatric Coordinator Kevin Morrison, R.N., at (309) 345-4504. 10 Winter 2013 • CottageHospital.com 70gch Get moving, mama! You're tired and easily winded these days, and probably the last thing on your mind is exercising. Sure, there are more hurdles to conquer now as your body adapts to pregnancy, but there are many benefits of being a mother-to-be who works out. For starters, it can keep your weight gain in check. It can also help alleviate those aches and pains related to pregnancy and temper constipation and swelling. Exercising also reduces your risk of gestational diabetes, improves your mood and sleep, may shorten labor, increases your energy level and helps you recover more quickly from pregnancy. So what are you waiting for? It’s time to get started! Exercise safely When choosing to exercise while pregnant, it’s important to get the OK from your doctor. Some conditions, such as preterm labor, may make it more difficult for you to exercise safely. Pregnant women should also avoid working out in hot conditions, certain yoga poses (such as those that have you lie flat on the back later in pregnancy), contact sports, high-impact sports and activities that increase your risk of a fall (such as skiing or horseback riding). Your best bets So what can a pregnant woman do? Plenty! Why not try these? Swimming provides a great cardiovascular workout without beating up your joints. It also has the bonus of keeping you cool while you exercise. Walking is a simple—and free—way to keep moving. Cycling can give you a great workout while taking the stress off of your joints, but it can present a fall risk. Consider exercising on a stationary bike instead. Stair-climbing machines can really help you raise your heart rate; just make sure to hold onto side rails! Warning signs Aerobics provides a great workout for the heart. If you’ve never taken an aerobics class or you’re feeling a little more unsteady on your feet these days, take a class specifically geared for pregnant women. Running or jogging can keep you in good form, especially if you’ve previously incorporated this exercise into your routine. If you’re just starting to run or jog, make sure to talk with your doctor. Remember, unlike when you may exercise to lose weight, your workout goal when you’re pregnant is not to shed pounds, but rather to stay active and maintain optimal weight gain during this special time in your life. Make sure you drink plenty of water when you exercise and discontinue your activity if you feel unwell. Call your doctor if you experience: breathing problems chest pain contractions dizziness headache loss of amniotic fluid loss of fetal movement pain or swelling in the legs vaginal bleeding weak muscles Winter 2013 11 Galesburg Cottage Hospital 695 N. Kellogg Street Galesburg, IL 61401 PRSRT STD U.S. POSTAGE PAID Lebanon Junction, KY Permit 19 Health Connection is published as a community service of Galesburg Cottage Hospital. There is no fee to subscribe. The information contained in this publication is not intended as a substitute for professional medical advice. If you have medical concerns, please consult your health care provider. Copyright © 2013 Galesburg Cottage Hospital winter 2013 Printed With Soy Ink CottageHospital.com Monmouth’s new clinic Help close to home when you need it Galesburg Cottage Hospital has opened a new clinic at 1 Amercinn Way, Suite B, in Monmouth. The clinic makes it easier for people in the community to receive care for a variety of health conditions and is staffed by Jeremy Carrier, M.D., a family practice doctor; Debra Katchen, M.D., board certified in family practice and homeopathic medicine, whose practice was previously located in the former Monmouth Clinic on Broaday Street; and Marilou Johnson, A.P.N., M.S.N., a nurse practitioner. Whether you have a sudden illness and can’t get a same-day appointment with your doctor, or you need help with a wound, the clinic’s practitioners can help. The clinic is also available to people who want to have their overall health checked. The practitioners hope to see some patients on a regular basis. “We can offer Pap tests, immunizations and tests for high blood pressure and cholesterol,” Dr. Carrier says. “Primary prevention is sometimes the best guard we have against disease.” 70gch Extended hours, no appointment necessary Since many patients visit clinics because of the convenience, Monmouth’s new clinic has extended hours, including evenings and weekends. “The idea is to give people better access to medical care so they won’t have to miss work, which can be an inconvenience,” Dr. Carrier says. The clinic’s wide range of services and its walk-in format offer Monmouth residents more options to see health care providers. “It gives the Monmouth community another choice,” Johnson says. “There hasn’t been an integrative clinic like this available.” Dr. Carrier and Johnson both grew up in Monmouth and were eager to return to their hometown for this venture. “I’ve always had a special place in my heart for this community,” Dr. Carrier says. “If you’re born and raised in a small community, to come back to it is exciting.” jeremy carrier, M.D. Family Practice Debra katchen, M.D. Family Practice/Homeopathic Medicine Drs. Carrier and Katchen are members of the medical staff at Cottage Hospital. Come visit us! Monmouth clinic hours: Monday–Friday, 9 a.m.–7 p.m. Saturday, 8 a.m.–noon For more information, call (309) 734-0109. Marilou johnson, a.p.n., m.s.n. Nurse Practitioner