IS THERE A BETTER MAMMOGRAM? - Missouri Baptist … · IS THERE A BETTER MAMMOGRAM? ... synthesis...

my health | my life

SPRING 2014

IS THERE A BETTER MAMMOGRAM?INSIDE THIS ISSUE:A Personal Trainer’s Story. 10Q&A: Probiotics. 14Events Pullout Calendar. 16 Pearls of Wisdom Event. 18

hat’s more contagious than the common cold? Laughter! Who can resist having a good laugh

with friends and family? It brings us c loser to-gether, makes us happy — and just feels good. But did you know that laughter is also good for your health?

It gives you more energy, a stronger immune system and even decreases stress and pain. Laugh-ter relaxes your entire body, triggering the release of endorphins (which makes you feel better) and improving blood flow.

Laughing with others is more beneficial (and fun!) than laughing by yourself. So spend time with people who laugh

easily. And if you think about it, there’s always plenty to laugh about. Life can be pretty funny at times — and having a sense of humor is a sure way to improve your mood.

Above all, remember to smile — that’s where a good laugh always starts. And look for things to laugh about: watch a funny movie or TV show. Tell a good joke or story. Play with a pet or do some-thing silly (karaoke, anyone?).

Milton Berle said laughter is an instant va-cation. So get packing! It’s time to laugh.

Happy Spring!

COVER PHOTO

Our cover photo features Mary Elizabeth Mani, MD, ob/gyn (front); Linda Proctor, MD, radi-ologist (back, left); and Deborah Wienski, MD, medical oncologist (back, right), all on-staff at Missouri Baptist Medical Center. See our story on page 4 about 3D mammography.

Welcome to M.My Health / My Life.

my health | my life

2

Jo Anne MeivesRN, MSNCommunity Education

W

Is There A Better Mammogram?

Yes, there is: 3D!

Learn more at missouribaptist.org/3D

INSIDE THIS ISSUE

Welcome to M ........................... 2

TAKING CARE OF YOU

Is There a Better Mammogram? ..4

A Personal Trainer’s Story ......... 10

Q&A: Probiotics ....................... 14

Did You Know? Water ............... 15

EVENTS

Community Events Calendar ..... 16

Pearls of Wisdom Event ............ 18

Classes & Screenings ............... 20

OTHER SERVICES

Mammography Van and OB Classes ....................... 26

Is There a Better Mammogram?

A Personal Trainer’s Story

APRIL | MAY | JUNE

10

4 18Pearls of Wisdom Event

www.missouribaptist.org 3

Designer: Emily BarklageCover Photographer: Elizabeth White

4 www.missouribaptist.org

fter every annual mammogram Jamie Jones has been called back for further testing. That is, until

this past October.

“Although I’ve gone through it before, I’ve been scared every time,” said Jones, 45, who has ‘dense’ breast tissue.

Oftentimes, when radiologists see un-clear or questionable areas on mam-mogram results, they have the patient come back for additional exams. Call backs can be more common for women with ‘dense’ breasts, where overlapping tissue makes it harder to see early signs of cancer or other breast problems.

Each time Jones returned for additional testing, it caused her a great deal of anxi-ety, as it does for most women who are asked to return. Although her results ultimately turned out fine, being ‘re-called’ took more time, and added cost and stress.

THE SEARCH FOR 3D MAMMOGRAPHY.

This time, Jones specifically sought out a facility that offered digital breast to-

mosynthesis, also known as 3D mam-mography.

Jones learned about 3D after her moth-er’s recent diagnosis of breast cancer, which was detected with 3D at a center in Kansas City, where her mother lives. Jones learned the test offered physicians more detailed images of the breasts, en-abling smaller cancers to be detected.

She looked to find 3D in St. Louis; the place she normally went did not have it. Jones even considered making a special trip to Kansas City, as she was deter-mined to have her mammogram with 3D, especially now that she had a ‘family history’ of breast cancer.

Then, the mother of her daughter’s best friend told her that the Breast Health-Care Center at Missouri Baptist had the technology.

The Breast HealthCare Center started of-fering 3D for screening mammography last September. Since January 2012, they had used the technology with diagnostic mammography to make sure it really offered benefits.

How a Better Mammogram Saved One Woman’s Anxiety and Another Her Life.by Rhonda Veenhuis

A

WHAT IS 3D MAMMOGRAPHY?

3D mammography is a relatively new technology, approved by the FDA in 2011. It takes a series of 15 images in an arc within four seconds. These thin cross-sections allow radiologists to ex-amine breast tissue layer-by-layer.

Clinical trials in the U.S. and Europe have shown that breast cancers often are better seen in 3D because of improved resolution and visualization.

Linda Proctor, MD, a Breast HealthCare Center radiologist said their entire mam-mography physician team agrees. “With 3D images we can look at breast tissue one layer at a time, and find masses that

might otherwise be hidden. While there is no perfect test, this is an important new tool in our arsenal for the fight against breast cancer.”

Missouri Baptist is one of only a few hos-pitals in the state to offer 3D. Women who come for their yearly screening are given the option of adding 3D to their mammogram.

An elated Jones said of her October test, “This was the first time I did not have to be called back.” Her test showed that nothing abnormal was detected.

Another strong reason Jones wanted 3D was that her mother had a regular mammogram and was told she was fine.

3D MAMMOGRAM


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Shortly thereafter, her mother was asked by her breast center if she would be willing to be one of the first in her area to test the 3D technology.

“Since my mother has dense breast tissue, like I do, they told her she’d be a great candidate for the study,” said Jones.

Jones’ mom felt she wanted to help with the study, even though she’d recently had her annual.

Jones said, “God was on her side. If she had not done the study, we’d be singing a different tune.”

A very aggressive, small, early stage can-cer was detected that physicians could only see with the increased visualization of 3D.

A TINY CANCER FOUND.

A retired nurse, Phyllis Jackson has had her annual mammogram every October for many years.

This time, she saw the information about 3D and asked the front desk more about it.

“For $20, why wouldn’t I have that! I go shopping and spend that,” said Jack-son, 76, who said she would have been willing to pay even more for the breast screening if she’d had to.

Jackson now believes it was a spiritual thought guiding her, as well. While she had never previously been called back, this time she received different news.

“I feel very lucky. The 3D may have been the thing that saved my life. What if I hadn’t done it?”

A very small cancer was detected and Jackson since has had a lumpectomy and will undergo a very brief course of treatment, since the cancer was detected so early.

BREAST CANCER FACTS: SCREENING MAMMOGRAPHY SAVES LIVES!

• Breast cancer is the second leading cause of cancer death among women, exceeded only by lung cancer.

• Statistics indicate that one in eight women will develop breast cancer in her lifetime.

• The stage at which breast cancer is de-tected influences a woman’s chance of survival. If detected early, the five-year survival rate is 97 percent.

• Yearly screening mammograms should begin at age 40, as strongly recommended by The American College of Radiology (ACR), Society of Breast Imaging (SBI), American Cancer Society (ACS), The American College of Surgeons (ACoS) and the American Congress of Obstetricians and Gynecologists (ACOG).

www.missouribaptist.org

MORE DETAILS ON THE EXAM.

Missouri Baptist began offering the op-tional 3D (which is added to a regular mammogram) for screening mammog-raphy in mid-September 2013 for the additional fee of only $20, payable at one’s screening.

The small fee helps cover the increased time radiologists must spend reviewing the 3D image. While most insurance

plans and Medicare continue to pay the established rates for mammograms, there currently is no additional reim-bursement for the 3D part.

Dr. Proctor said that the Breast Center’s radiologists had specific training to be-come expert with the new technology.

Jones said, “I had no problem at all pay-ing the $20. I would have been willing to pay more.”


3D MAMMOGRAM


The 3D exam itself is similar to a tradi-tional mammogram and, from the pa-tient’s perspective, takes approximately the same length of time.

Both Jones and Jackson said they did not notice any difference during their screenings with the added 3D.

MORE ABOUT 3D MAMMOGRAPHY.

With 3D, patients benefit in several ways:

1. The 3D technology helps doctors find smaller cancers sooner.

2. 3D is especially important for dense breast tissue, because it allows doc-tors to examine breast tissue one layer at a time, versus a regular mam-mogram where overlapping tissue can make it hard to see signs of early stage cancer.

3. It’s also proven to reduce call-back visits for additional testing when results have been unclear, because with 3D doctors have the ability to better see the fine details.

IT TAKES A TEAM.

Many ob/gyns at Missouri Baptist have been quick to champion the new tech-nology.

Mary Elizabeth Mani, MD, is Jackson’s ob/gyn, “Since 3D digital breast tomo-synthesis is relatively new, I explain to patients its usefulness in routine screen-ings,” she said.

“I particularly encourage women with a family history of breast cancer or dense breast tissue to add the 3D to their mam-mogram screening.”

“When I go for my annual mammo-gram, I plan on adding 3D as well,” said Dr. Mani.

Dr. Proctor said, “I will absolutely get a 3D mammogram when having mine.”

Dr. Mani echoed that her patients’ anxieties are definitely reduced with decreased recalls, and more importantly, can help radiologists detect more subtle cancers.

3D MAMMOGRAM


Missouri Baptist’s oncology physicians also are strong believers in the 3D technology.

Deborah Wienski, MD, a medical on-cologist at Missouri Baptist Medical Center, is all for 3D mammography. She knows that early detection of any cancer enhances the odds for success-ful treatment. In fact, if breast cancer is detected early enough, the five-year survival rate is 97 percent.

She describes the 3D technology as helping radiologists detect early stage or smaller cancers by allowing them “to see the individual trees through the forest.”

Jackson said, “We have a family history of various cancers on my dad’s side. I told my daughter she has to do 3D from now on!”

Jones said her husband is happy, too, about 3D because each year he had to

“hold my hand” through the anxiety of needing further testing. With three young daughters and a family history of breast cancer on both her and her husband’s side of the family, Jones is glad technology is advancing and can only imagine what it will be by the time her daughters need mammogram screenings.

Mary Elizabeth Mani, MD, is a board-certi-fied ob/gyn on staff at Missouri Baptist Medi-cal Center. She received her medical degree and completed her residency in ob/gyn at St. Louis University School of Medicine.

Linda Proctor, MD, is a board-certified radiolo-gist on staff at the Breast HealthCare Center at Missouri Baptist Medi-cal Center. She received her medical degree from the University of Pennsylvania School of Medicine, Philadelphia. She completed her internship in medicine at Pennsylvania Hospital in Philadelphia and her residency in diagnostic radiology at Mallinckrodt Institute of Radiology, St. Louis.

Deborah Wienski, MD, is board-certified in internal medicine and oncology, and is a medi-cal oncologist on staff at Missouri Baptist Can-cer Center. She received her medical degree from Tufts University School of Medicine, Boston, and completed her internship and residency at the University of Rochester in New York.

For a physician referral, call (314) 996-LIFE.

A Personal Trainer’s Story.Back Pain, Losing the Ability to Walk ... and Recovery. by Susan Evans

ichelle Mudd, 41, an Edwardsville, Ill. resident, vividly remembers the night

she lost all feeling in her legs. It was 2 a.m., and Mudd had been helping her daughter back to bed after using the bathroom. When she returned to bed, her legs gave way, rendering her com-pletely immobile on the bedroom floor.

“Up until then, I had had my share of major back pain, but this time, I was totally numb,” recalled Mudd. “My husband was out of town, so I told my son to call 911 for an ambulance. It was really frightening.”

When she got to the hospital, an MRI revealed that Mudd had ruptured a disc in her lower back.

She was concerned, but wasn’t exactly surprised by the diagnosis. After all, she had a long history of back problems. Mudd was a former gymnast turned personal trainer. She maintained a very active lifestyle. An avid long-distance runner, Mudd competed in several marathons. She also taught kick boxing and boot camp classes.

When she was 29, Mudd underwent her first back surgery – a lumbar spinal fusion of L4 and L5 – to immobilize a

painful vertebral segment. The surgery was successful, eliminating Mudd’s back pain so she could return to her active lifestyle. The effects lasted approximately 10 years. During that time, Mudd con-tinued working as a personal trainer and gave birth to her second child.

However, three months before the 2 a.m. episode, Mudd began experienc-ing noticeable setbacks.

“I felt pain in my right leg and struggled to bend over. I also had lost a great deal of flexibility,” recalled Mudd. “The week before I was hospitalized, I suddenly found myself nearly immobilized by the pain.”

WHAT’S A HERNIATED DISC?

These symptoms are often the tell-tale signs of a ruptured disc (also known as a herniated disc). Healthy discs act as shock absorbers for the spine, encourag-ing flexibility. On the other hand, when discs are damaged due to injury, disease or aging, they may rupture. This is actu-ally one of the most common causes of back pain. In fact, according to the National Center for Health Statistics, approximately one of every four back pain patients has a herniated disc.

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SPINE SURGERY


“With a herniated disc, pain occurs when the disc places pressure on the nerve roots or spinal cord, causing numbness in the area of the body served by that nerve,” explained David Robson, MD, a spine surgeon at Missouri Baptist.

“For example, if the ruptured disc occurs in the lower back, it may cause sciatica, leading to leg pain, weakness, numbness or tingling in one leg. It can also be felt in the buttock and down the back of the leg to the ankle or foot.”

WHEN A HERNIATED DISC REQUIRES MEDICAL ATTENTION.

Most herniated discs will heal over time without surgery. Generally, less than 10 percent of cases require surgical interven-tion. However, herniated discs shouldn’t be ignored, especially if the pain worsens.

In severe cases of nerve root compression – known as cauda equina syndrome – a

herniated disc can result in the loss of bladder and/or bowel control, requiring immediate medical attention.

RESORTING TO SPINAL FUSION SURGERY.

In Mudd’s case, her ruptured disc had progressed into cauda equina syndrome. Dr. Robson was concerned with how quickly her condition had deteriorated, so he immediately admitted Mudd to the hospital and scheduled her for spinal fusion surgery.

“I couldn’t believe the extent of the nerve damage that Michelle had sustained,” recalled Dr. Robson.

Dr. Robson asked David Kennedy, MD, a neurosurgeon at Missouri Baptist, to collaborate on Mudd’s surgery. During the two-and-a-half hour surgery, Dr. Robson and Dr. Kennedy successfully removed the herniated disc, fused the spine from L5 to S1, and placed four

11


major screws for greater stability. Mudd then stayed at the hospital for several days before being discharged home with instructions for eight weeks of physical therapy.

THE ROAD TO RECOVERY.

“Immediately after surgery, I still had a little numbness,” said Mudd. “Fortu-nately, within two to three weeks, my left leg was completely fine. My right leg still has some numbness, but I have total mobility and am able to do virtually any activity.”

With her personal training background and active lifestyle, Mudd opted to over-see her own physical therapy. Per Dr. Robson’s instructions, she performed certain exercises every day for more than two months.

Mudd’s recovery went so well, she re-turned to personal training within a

few months. Today, she has regained total feeling in her left leg and almost all feeling in the right one. She even walked into her four-week post-operative ap-pointment without the help of a cane or walker. Plus, she no longer takes any medicine, including Tylenol and ibupro-fen, for her back pain.

“Michelle is a great example of the best possible outcome after spinal fusion surgery,” said Dr. Robson. “She con-tinues to amaze me with her progress. Most patients realize their full recovery potential within six months to one year after surgery.”

Although her injury forced her to give up marathon running, Mudd has since taken up cycling, ballet barre, yoga and Pilates, to help her stay in shape.

“In my opinion, sitting around is the worst possible thing you can do after having back surgery. Being healthy, exer-

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SPINE SURGERY

13

cising and maintaining a healthy weight is key to maximize surgery’s results. Sur-gery is the first step in getting better…the rest is up to you,” she said.

Today, when she reflects on her back in-jury, Mudd is thankful that Dr. Robson was able to repair her herniated disc.

“He’s a wonderful doctor, who was truly concerned about me and my well-being. You need that when you’re scared and about to have surgery. And of course, it was reassuring to be operated on by two expert spine surgeons,” she said.

Dr. Robson advises people not to wait if experiencing nagging back pain that interferes with daily activities.

“There are many non-surgical therapies available to help find relief,” advised Dr. Robson. “Our goal is to help patients navigate their conditions and symptoms

– from the simplest to the most compli-cated – and work together to figure out the best treatment options.”

David Robson, MD, is board-certified in orthopedics and chief of surgery at Missouri Baptist Medical Center. He received his medical degree, and completed his internship and residency at St. Louis University School of Medicine. He completed a fellowship in spine surgery at the Cleveland Hospital.

David Kennedy, MD, is board-certified in neu-rosurgery and on staff at Missouri Baptist Medi-cal Center. He received his medical degree and completed his residency at St. Louis University School of Medicine. He did his internship at Wilford Hall Medical Center, Lackland AFB.

For a physician referral, call (314) 996-LIFE.

Ask the Doctor.Probiotics?Rahul Dhillon, MD, gastroenterologist

What are probiotics?

Probiotics are live bacteria and yeasts that help maintain the natural balance of or-ganisms (microflora) in your intestines. The largest group of probiotic bacteria in the intestine is lactic acid bacteria, of which Lactobacillus acidophilus is also found in yogurt with live cultures and probiotic supplements.

Although we tend to think of bacteria as harmful “germs,” many bacteria, like those found in probiotics, actually help the body function properly.

How are they helpful?

The body does not need the addition of probiotics to be healthy. However, food and supplements that contain probiot-ics assist the job of the “good” bacteria already present in your lower intestine. Probiotics may help by:

• decreasing the number of “bad” bacteria in your gut that can cause infections or inflammation.

• replacing the body’s “good” bacteria that have been lost when taking cer-tain medications, such as antibiotics.

• restoring the body’s “good” versus “bad” bacterial balance, which then helps to keep your body functioning properly.

When are probiotics prescribed?

Probiotics are recommended for a vari-ety of gastrointestinal conditions such as diarrhea, irritable bowel syndrome, and inflammatory bowel disease (e.g., ulcerative colitis and Crohn’s disease). In addition, probiotics are sometimes prescribed for patients with generalized abdominal pain, gas, bloating, excessive flatulence, diarrhea and constipation.

What should I do if I am interested in taking probiotics?

As with any supplement, consult your primary doctor or gastroenterologist be-fore starting a probiotic. There are many different types of probiotics available, and some are better studied and more effective than others.

Rahul S. Dhillon, MD, is board-certified in gastroenterology and internal medicine and on-staff at Missouri Baptist Medical Center. He earned his medical degree from St. Louis University School of Medicine, completed his internship and residency at Washington Univer-sity School of Medicine, and did a gastroenterol-ogy fellowship at University of California-Irvine.

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15www.missouribaptist.org

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Have you been drinking? Enough water, that is!

Water makes up about 60% of our body weight, and our body depends on it to perform. In fact, mild dehy-dration can zap energy, leaving you tired and sluggish – even triggering a headache.

And, because our body uses (and loses!) water daily, it’s important to replace it throughout the day.

Experts recommend nine cups of fluid daily for women; 13 cups for men. A variety of fluids count towards this intake (such as, unsweetened tea and low/fat-free milk) and even water-rich foods (think juicy watermelon or crisp lettuce). But make plain water your beverage of choice!

400 CALORIES PER DAY IN BEVERAGES?

Astonishingly, U.S. adults and children consume an average of 400 calories per day as beverages, according to the USDA. Soda, energy and sports drinks, and alcoholic beverages top the list.

Consider this: Trading those 400 liq-uid calories for water, can mean more than a 40-pound weight loss at the end of one year!

Make water a habit throughout the

day. Empty a tall glass first thing in the morning before reaching for your cup ‘o Joe! After a full nights’ sleep, your body needs hydrating.

Then, tote a refillable water bottle during the day. You’ll be amazed how often you sip and refill. And, drink a glass or two before meals to take the edge off of your appetite.

NEED A FLAVOR BLAST? TRY INFUSED WATER.

Float cucumber and lime slices in a tall pitcher of water or toss in fresh basil and pineapple cubes. Make fruity “sangria” water with slices of orange and lemon, plus a handful of cherries and diced peaches. Store in a clear pitcher in the refrigerator for a spa-like treat!

WHAT ABOUT SPORTS DRINKS?

Packed with sugar and salt, most 32-oz. bottles contain more than 200 calories. Instead of drinking them like water, save for rehydrating after high intensity, 60+ minutes of exercise, or heavy sweating. That’s when your body will benefit most from the carbohydrate and electrolyte boost.

Did You Know?Ways with Water.Sherri Hoyt, RD, LD

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AFTERNOON KEYNOTEHABITS THAT LEAD TO HEALTH AND HAPPINESS.Patricia Sulak, MD, ob/gyn

Dr. Patricia Sulak is a nationally known and respected physi-cian, researcher and educator. She is an Endowed Professor of Texas A&M College of Medicine/Baylor Scott &White Health. She has received numerous teaching and research awards and is included in “Best Doctors of America” and “Texas Super Docs.” While women’s health issues continue to be a major focus, Dr. Sulak now is primarily involved in adult wellness with an emphasis on promotion of scientifi-cally proven healthy lifestyles to prevent disability and disease.

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MORNING KEYNOTESLEEP DISORDERS IN WOMEN.Oscar Schwartz, MD, pulmonologist

Dr. Schwartz is the medical director, Barnes-Jewish Hos-pital West County Sleep and EEG Laboratory and an associate professor at St. Louis Univer-sity School of Medicine. He earned his medical degree from University of Missouri-Kansas City School of Medicine and internship/residency at the Mayo Clinic Graduate School of Medicine. He completed a fel-lowship in pulmonary disease at the University of Missouri-Kansas City School of Medicine. He is board-certified in internal medicine, pul-monary disease and sleep medicine.

Pearls of Wisdom™ Event.Friday, May 9, 8 a.m.-2 p.m.SHERATON WESTPORT HOTEL LAKESIDE CHALET 191 WESTPORT PLAZA

SIGN UP FOR OUR WOMEN’S SYMPOSIUM – TAKE TIME OUT FOR YOUR HEALTH AND SELF.


SPECIAL HEALTH EVENT

You are your best guide when it comes to your health – you know your body better than anyone. These days, however, it’s so easy to let the distractions of everyday life get in the way. We invite you to take a break from your busy schedule and reconnect with yourself. Join us for our annual ‘Pearls of Wisdom’ event where we’ll share important health information just for women. Discover new tips to improve your overall health and well-being. Lunch is provided and attendance prizes awarded, including a pearl necklace from Vincent’s Jewelers, www.vincentsjewelers.com

Due to the popularity of this event, ‘Pearls of Wisdom’ fills quickly and space is limited. Registration is on a first-come, first-served basis, and will begin no earlier than Tuesday, April 8 at 8 a.m. Please call 314-996-LIFE(5433) or 1-800-392-0936 to register. Groups are encouraged to attend, however, participants must register individually.

AGENDA: 8-8:40 a.m. Registration and enjoy educational exhibits

8:40-9 a.m. Welcome

9-9:45 a.m. Morning Keynote: Oscar Schwartz, MD, pulmonologist

9:45-10:15 a.m. Break – Enjoy educational exhibits

10:15-11 a.m. and 11:15 a.m.-noon Breakout Sessions (select one for each breakout)

Noon-2 p.m. Lunch and Afternoon Keynote: Patricia Sulak, MD, ob/gyn

SIGN UP FOR OUR WOMEN’S SYMPOSIUM – TAKE TIME OUT FOR YOUR HEALTH AND SELF.

BREAKOUT SESSIONS

Healthy Weight: Healthy Life Stuart Higano, MD, cardiologistMary Mani, MD, ob/gyn Sherri Hoyt, RD, registered dietitianRebecca D. DeMargel, MS, PT, physical therapistThe Core of the Problem: Core Strengthening for Healthier LivingLizette Alvarez, MD, physical medicine and rehabilitation Ashley Luadees, OT, occupational therapistIs Your Bladder Controlling Your Life?Elizabeth Williams, MD, urologistJenny Schiek, PT, physical therapistIs There a Better Mammogram?Geoffrey Hamill, MD, radiologistPaul Yazdi, MD, surgeonHow to Avoid Meeting an Orthopedic SurgeonRichard Johnston, MD, orthopedic surgeon

(314)

996-LIFE

CALL TO

REGISTER

LUNCH AND LEARN.

Adult Hearing Loss: Know Your Options Alexander Bien, MD, otologistChristina Allen, AuD, CCC-ARachael Mangiore, AuD, CCC-A Do you often ask people to repeat them-selves? Do people complain the TV is too loud? You’re not alone. Nearly one in three people between the ages of 65 and 74 has some hearing loss. It can be frustrating and impact our happiness and quality of life. Join us for lunch and a discussion about hearing loss, its causes and treatment options available. Box lunches provided. Friday, April 11 11 a.m.-noon and 12:30-1:30 p.m.Longview Farm, 13525 Clayton Road

Over-the-Counter Medications Dos and Don’ts Duane Wesche, RPh, registered pharmacistDo you wonder how over-the-counter medications interact with prescription medications? Are you confused about what vitamin supplements to take? The more you know about any medication you take, the better you can be sure you are taking it correctly. Join us for lunch and learn how medications interact with others and how to prevent adverse drug interactions. Box lunches provided.Monday, June 9, 11:30 a.m.-1 p.m. Longview Farm, 13525 Clayton Road

EVENING PROGRAMS.

Learn What You Can Do About Hip and Knee PainRobert Kramer, MD, orthopedic surgeonChristopher Mudd, MD, orthopedic surgeonIs annoying hip or knee pain keeping you from participating in your weekend golf game? Do you find yourself sitting on the sidelines at family activities? If so, join us and learn what you can do to reduce your joint pain, as well as the latest procedures in joint replacement and joint revision surgery.Thursday, May 1, 6:30-8 p.m.South County Holiday Inn6921 S. Lindbergh Blvd.

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Classes & ScreeningsHealth Care Presentations

Adult Hearing Loss: Know Your Options

(314)996-LIFE

CALL TOREGISTER


Managing Back PainDavid Raskas, MD, orthopedic surgeonMatthew Satterly, MD, pain specialistTodd Stewart, MD, neurosurgeonNearly 80% of Americans will expe-rience some type of back pain during their lives. While not always serious, it is uncomfortable and affects the quality of life. Join us and learn more about how you can keep your back healthy, as well as the diagnosis and treatments available, including spinal injections and spinal surgery. Tuesday, May 20, 6:30-8:30 p.m.The Hilton St. Louis Frontenac1335 South Lindbergh Blvd.

OASIS PROGRAMS.

Better Choices, Better Health-Diabetes® OASIS Community Health FacilitatorsLiving with diabetes can present many challenges, such as knowing how and when to eat, living your life so you can avoid complications, and getting the support you want from family and friends. A Better Choices, Better Health®—Diabetes workshop can help you manage these concerns. Developed and tested at Stanford University, a Bet-ter Choices, Better Health®—Diabetes workshop can help you:• Understand how to eat with diabetes

while still making it enjoyable• Monitor and manage your blood sugar• Start or maintain a regular exercise

program

• Communicate better with family, friends, and your medical team

• Design your own self-management program

Anyone 18 years or older with type 2 diabetes can register for a workshop. This workshop is offered as part of research study conducted by Stanford University. The study is funded by the National Council on Aging. Not all participants in the workshop will qualify for the study, but may take the workshop anyway. Light refreshments included. Two sepa-rate classes offered! Kirkwood Community Center111 S. Geyer RoadOrientation: Thursday, April 3, 1-2 p.m., Workshop: Thursdays, April 10-May 15, 1-3:30 p.m.FREE, Sessions: 6

SCREENINGS

Managing Back Pain

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AARP Smart Driver CourseDennison Staub, AARP certified instructorThis four-hour training will help you tune up your driving skills, update your knowledge of the rules of the road, learn about normal age-related physical changes and ways to adjust for these changes and reduce traffic violations, crashes and chances for injuries. Some insurance companies also offer a dis-count to participants! Space is limited. Town and Country Municipal Center1011 Municipal Center DriveTuesday, May 13; 9 a.m.-1 p.m.Fee: $15 for AARP Members; $20 for non-AARP members, payable to AARP the day of training.

Pressure Points: Managing Blood PressureEver-changing guidelines, foods and medications all impact blood pressure. Join us for this fun and interactive course where you will learn blood pressure basics, get a chance to test drive some home mea-surement equipment and get the latest scoop on emerging blood pressure issues.Monday, May 5 and May 12 10 a.m.-noonLongview Farm, 13525 Clayton Rd.FREE; Sessions: 2

Fit for FunctionMuscle weakness, loss of endurance and balance problems are not a natu-ral part of aging. Learn about current research proving basic strength training can reverse age-related muscle loss and how physical activity helps to maintain function and independence. Experience this screening and presentation to learn what it means to be functionally fit and whether or not you pass the test based on national norms. This program and screening is specifically designed for those ages 60 and older. Thursday, May 29, 1-3 p.m.Kirkwood Community Center

Pressure Points: Managing Blood Pressure

SCREENINGS


Yoga Classes at Longview Farm House Yoga classes for the family are now being offered at Longview Farm House, located in Longview Park, 13525 Clayton Road. For more information or to register, please call Town & Country Parks & Recreation at 314-434-2128.

HEALTH SCREENINGS.

Skin Cancer ScreeningSkin cancer is the most common form of cancer in the U.S. Early awareness and detection can make a difference. A dermatologist will perform a FREE skin cancer screening at this event. Appoint-ments recommended. Saturday, May 17, 9 a.m.-3 p.m.Missouri Baptist Cancer Center

South County Health Screening Missouri Baptist will provide FREE Heart Health Screenings, including cholesterol, glucose, blood pressure and bone density. Also, for women who are not covered by insurance, we will provide free screening mammograms. FREE Heart Health Screenings: In front of J.C. Penney on main level. Register by calling 314-996-LIFE (314-996-5433) or 800-392-0936.FREE Screening Mammograms: Located in mammography van on south parking lot. Register by calling 314-996-5170 or 800-870-5731. Appointments are required for mammograms, which are available for women ages 40-64, who are not covered by insurance for screen-ing mammograms. Please bring your physician’s name/phone number and a form of photo identification.Saturday, June 7, 10 a.m.-2 p.m.South County Center 18 South County Centerway

Stroke ScreeningStroke is the third leading cause of death and is a major cause of adult disability, yet nearly 85% of all strokes are prevent-able. If you are over the age of 50, attend this event and be screened for high blood pressure, cholesterol (total cholesterol and HDL) and carotid bruits. Appoint-ments recommended.Fee: $10Saturday, April 26, 8 a.m.-noonMissouri Baptist Medical Center Auditorium

Skin Cancer Screening

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Your Partners in Wellness.Missouri Baptist @ Dierbergs.

COOKING DEMONSTRATIONS/CLASSES.

Meatless MondaysTrish Farano, DTR, Dierbergs staff culinary professionalMichelle Pasia, RD, and Sherri Hoyt, RD, Missouri Baptist Medical Center registered dietitians What do Oprah, Sir Paul McCartney, and Giada DiLaurentis have in com-mon? They – and lots of other celebrities – go “meatless” every Monday. Why not join the crowd? Fee: $30.Three Sisters Enchiladas • Vegetable Strom-boli • Cuban Sweet Potato & Black Bean Chili • Mario Batali’s Pennette with Cau-liflower Ragu • Moo Shu Vegetables • Dark Chocolate Almond Butter CupsDierbergs Clarkson School of CookingMonday, April 7, 6:30-8:30 p.m.

Dierbergs West Oak School of CookingMonday, April 14, 6:30-8:30 p.m.

Perfectly PinkGirl power and great food – what a team! Bring your mother, your sister, your daughter, and your BFF for this refreshing menu of perfectly pink foods that can help you reduce your risk for breast cancer.

Summerberry Lemonade • Watermelon Salsa • Raspberry Spring Greens Salad • Honey-Lime Glazed Salmon • Perfect Potato Salad • Pink-Topped Chocolate Cupcakes

Classes will be held at Dierbergs School of Cooking – 5 locations – during May/June.

Visit Dierbergs.com/school for locations, dates, times or to register.

SCREENINGS


Cholesterol & Glucose Screenings at Your Neighborhood Dierbergs.Cardiologists recommend that you monitor your cholesterol and glucose on a regular basis. To make it easy, Missouri Baptist will provide FREE screenings in the pharmacy department at your neighborhood Dierbergs Markets. This screening is FREE and measures your glucose, total cholesterol and HDL. No fasting is required — appointments are recommended.

APRIL.Dierbergs 94 Crossings 6211 Mid Rivers Mall DriveWednesday, April 9, 1:30-5 p.m.

Dierbergs Arnold Commons Hwys. 141 & I-55 860 Arnold Commons Dr. Wednesday, April 23, 1:30-5 p.m.

MAY.Dierbergs Southroads 12420 Tesson Ferry Rd.Wednesday, May14 10 a.m.-1:30 p.m.

Dierbergs Wildwood Town Center Hwy. 100 & Taylor Rd. 2460 Taylor Rd.Wednesday, May 28, 1:30-5 p.m.

JUNE.Dierbergs Heritage Place 12595 Olive Blvd.Wednesday, June 11 10 a.m.-1:30 p.m.

Dierbergs Fenton Crossings Hwys. 30 & 141 450 Old Smizer Mill Rd. Thursday, June 26, 3-6 p.m.(314)996-LIFE

CALL TOREGISTER


Other Community Services and Classes.

VISIT CHILDREN’S “ER” AT MISSOURI BAPTIST MEDICAL CENTER. Faster emergency care for kids. Close to home.

MOBILE MAMMOGRAPHY VAN SERVICES.

Our breast healthcare services come to your neighborhood by way of the van.Here are a few locations the van is scheduled to visit:

APRIL.

23 St. Louis Community College Meramec Big Bend Visitor Parking Lot

29 St. Louis Community College Florissant 3400 Pershall Rd.

MAY.

7 First Community Credit Union 17151 Chesterfield Airport Rd. (8 a.m.-2 p.m.)

20 Brentwood Dierbergs, 8450 Eager Rd.

JUNE.

5 Dierbergs West Oak, 11481 Olive Blvd.

21 Manchester Dierbergs 421 Lafayette Center (9 a.m.-2 p.m.)

Please check with your insurance provider to verify your benefits and eligibility.In collaboration with the Susan G. Ko-men® St. Louis, Missouri Baptist offers free mammogram screenings and breast health education to women in need in the St. Louis area and several surround-ing communities.

For appointments at the Breast Health-Care Center, call (314) 996-5170 or 800-870-5731.Unless otherwise noted, screenings are available from 9 a.m.-3 p.m.

CHILDBIRTH PREPARATION CLASSES & MORE.

• Preparation for Childbirth (evening, weekend and refresher available)

• Breastfeeding Classes

• Grandparenting & Sibling Class

• Mom’s MoBap Morning

• CPR for Families & Friends

• Multiples and More

• OB Tours

• Happiest Baby on the Block

For a complete listing, visit MoBapBaby.org or call (314) 996-LIFE.


PROGRAMS OFFERED BY ST. LOUIS CHILDREN’S HOSPITAL AT MISSOURI BAPTIST.

Pre-registration for these classes is required; please call 314-454-KIDS.

Family and Friends® CPRThis video-guided program is for parents, grandparents and teenagers who babysit (ages 10-15 if accompanied by an adult). Course instructors use the American Heart Association material and provide instruction and hands-on practice for infant, child and adult CPR, first aid for choking and the use of AEDs when appropriate. Course includes a 65-page student manual. Course does not include certification. $25/person. Thursday, April 3Tuesday, April 29Monday, May 5Wednesday, May 14Monday, June 2Thursday, June 196:30-9 p.m.

Babysitting 101This class is a great introduction to the basics of babysitting. A 28-page workbook is provided. $30/child.Saturday, May 39 a.m.-1 p.m.

Infant MassageParents and expectant parents will learn hands-on massage techniques that pro-mote relaxation and help develop a stron-ger bond with their infant (newborns through age 15 months). Parents who are not able to bring their child will be given a doll for hands-on practice. The class is taught by St. Louis Children’s Hospital certified infant massage instructors. Each family will receive the illustrated guide-book titled Baby’s First Touch: Step-by-Step Instruction for Infant Massage, as well as a bottle of massage oil. $20/family.Saturday, April 5Saturday, June 1410 a.m.-Noon

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This information has been sent to you because we believe you may have a need or interest in our services. If you would like to be removed from our mailing list, please call (314) 996-LIFE (314-996-5433) and reference this material.

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IS THERE A BETTER MAMMOGRAM? - Missouri Baptist … · IS THERE A BETTER MAMMOGRAM? ... synthesis...

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