Right here at Floyd Memorial you’ll find the only comprehensive cancer center in Southern Indiana. You’ll find

radiation oncologists from the James Graham Brown Cancer Center, using modern advanced technologies so

precise they can reduce treatment times by up to 90 percent. And you’ll find advanced treatment options, including

the latest clinical trials and integrative medicine such as massage therapy and biofeedback. All to help you

overcome the challenges of cancer. All right here.

812-945-4000 • floydmemorial.com/cancer

National reputation.Indiana address. 2012-13

CANCERSOUTHERN INDIANA

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1850 State Street New Albany, IN 47150

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Cindy Ferree Editor, Writer

Angie Rose Director of Marketing & Public Relations, Writer

Angie Glotzbach Writer

Stacey Rudy Contributor

CUSTOMER SERVICE

Floyd Memorial customer service inquires can be made to our Customer Service Hotline at (812) 981-6510.

HOW TO HELP

HealthScope is designed to support the 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.

A bi-monthly update on leading-edge care fromJuly/August 2013

Cancer Patient Gets a Second Chance

Brown Recluse Spider Bites: What You Need to Know

Childhood Sleep Disorders

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Floyd Memorial Board of Trustees Welcomes Donn R. Chatham, MDThe Floyd County

Commissioners recently appointed Donn R. Chatham, MD, to serve on Floyd Memorial Hospital and Health Services’ Board of Trustees. Dr. Chatham

began his term on May 28, 2013. He replaces Stuart Eldridge, MD, who has served for over six years and made many significant contributions to Floyd Memorial during his tenure.

“Dr. Eldridge’s medical expertise and insights into the realities of front line patient care have been critical to our informed decision making over the years. He has had an exemplary term, and we would like to thank him for his service. We are also very much looking forward to the unique contributions Dr. Chatham will offer. He will be an integral part of our board and we are honored by his willingness to lend his time and talents to Floyd Memorial,” said Jerrol Z. Miles, chairman of the board of trustees.

Dr. Chatham is a board certified, fellowship trained facial plastic and reconstructive surgeon with Chatham Facial Plastic Surgery and Medical Skin Care in New Albany and Louisville with over 28 years experience. In addition to his practice, Dr. Chatham is also a clinical instructor of otolaryngology at the University of Louisville Medical School, has

served on the board of directors of the Greater Louisville Medical Society, is a past president of the Floyd County Medical Society, a past chairman of the Floyd County Board of Health and was a three term board member and president of the American Academy of Facial Plastic and Reconstructive Surgery in 2008-2009.

Dr. Chatham also donates his services to many worthy organizations locally, nationally and internationally, including the Hope Southern Indiana (formerly Floyd County Interfaith Community Council) Operation Santa program, Women’s Choice Resource Center in New Albany, Necole’s Place in Louisville, Noah’s Ark in Jeffersonville and St. Elizabeth’s Home in New Albany, just to name a few. He was also a founding member of the American Academy of Facial Plastic and Reconstructive Surgery Foundation’s Faces of Honor program, which offers free plastic surgery to military veterans of the wars in Iraq and Afghanistan who have suffered facial injuries. Dr. Chatham’s international charity work includes work with Saving the Children in Ecuador, Mustard Seed International in Indonesia, Face to Face International in Croatia and many more.

Dr. Chatham lives in Floyds Knobs with his wife Janet, son Andrew and daughter Julianna.

FMMG Welcomes Physician Associates of Floyds Knobs

Floyd Memorial Medical Group is proud to welcome their newest primary care physician practice, Floyd Memorial Medical Group – Physician Associates of Floyds Knobs, located at 800 Highlander Point Drive in Floyds Knobs.

FMMG – Physician Associates of Floyds Knobs is a group of board certified or board eligible internal medicine, pediatric and family medicine physicians specializing in the needs of the entire family. The providers are:• Daniel Eichenberger, MD

Internal Medicine/Pediatric Physician• Stuart Eldridge, MD, Pediatrician• Christina Minrath, MD

Internal Medicine/Pediatric Physician• Stephen Karem, MD

Family Medicine Physician• Phillip Johnson, MD

Family Medicine Physician• Kristi Upton, APRN

Services offered include but are not limited to: • Annual check-ups and screenings • Vaccinations • Routine physicals• Illness diagnosis and treatment• Minor procedures• Women’s health• Chronic disease management

Pediatrician Stuart Eldridge, MD and Kristie Upton, advanced registered nurse practitioner are both accepting new patients. If you have any questions or would like to schedule an appointment, call (812) 923-2273.

On the cover...Floyd Memorial Wound Healing Center physicians pictured left to right include: Tariq Mehmood, MD, Syed Ahmed, DPM, Nicholas Ferro, DPM and Rodney Chou, MD. For a full listing of physicians who practice at the Wound Healing Center, see page 5.

Pictured: Diane Murphy, Director of Community Relations for Your Community Bank, presents the Floyd Memorial Foundation Advancement Committee with a check for $50,000. From left to right: Angie Rose, Floyd Memorial Marketing/PR Director, Glen Smith, Floyd Memorial Foundation Board Member, Mark Shugarman, President/CEO of Floyd Memorial, Diane Murphy, Your Community Bank, Kevin Cecil, President of Your Community Bank, Ruth Heideman, Floyd Memorial Foundation Executive Director and Leslie Lewis-Sheets, Floyd Memorial Foundation Board Member.

Cancer Center Awarded Susan G. Komen Foundation Grant

The Floyd Memorial Cancer Center of Indiana is pleased to announce the recent receipt of a $21,150 grant from the Louisville Affiliate of Susan G. Komen for the Cure®. This generous grant will provide funds to continue the operation of the Cancer Center of Indiana’s Breast Cancer Nurse Navigator Program, and provide outreach in the community to underprivileged residents of the New Albany Housing Authority. The goal of the breast cancer nurse navigator program is to lessen the burden on breast cancer patients and their loved ones by providing them with a single contact in charge of coordinating their care and treatment. This program helps to improve patient outcomes by insuring the early detection and treatment of breast cancer and well-coordinated communication between patients, physicians and the rest of the healthcare team.

Cancer Center Opens Corydon LocationThe Floyd Memorial Cancer Center of

Indiana is now offering services at a convenient new location in Corydon. Hematologist and board certified medical oncologist Roseline Okeke, MD, provides oncology and hematology services, including hematology and oncology physicians consults and CT, mammography, X-ray and bone density radiology studies.

The Cancer Center of Indiana also offers services at satellite locations in Jeffersonville, Scottsburg and Salem. For more information call (812) 945-4000. Cancer Center of Indiana satellite

locations and the physicians available at each include:Corydon-Roseline Okeke, MD 313 Federal Drive, Suite 010Jeffersonville-Roseline Okeke, MD 1507 Spring StreetSalem-Ajay Kandra, MD 1101 N. Jim Day Road, Suite 107BScottsburg-Yasoda Devabhaktuni, MD 1430 N. Gardner Street

Your Community Bank Pledges $50,000 to Floyd Memorial Foundation Capital Campaign

On March 27, 2013, the Floyd Memorial Foundation officially kicked off their community fundraising drive for the $3 million Food and Nutrition Services renovation capital campaign project. During the kickoff breakfast, Your Community Bank generously pledged to give $50,000 over a five-year period towards the campaign.Renovation officially began in September 2012, with an anticipated completion of Phase I by this summer. The phases include:Phase I:• Complete renovation of the dining room,

the first in more than 30 years• More seating and open space for visitors

and associates • A more streamlined process and flow for

visitors and associates to receive meals faster

• A more calming environment for visitors and associates

• Improved heating and cooling system• Space for more grab-and-go food items

and healthier eating optionsPhase II:• Room service to patients and families

Floyd Memorial Foundation Provides Grant Support to the Floyd County Family Health Center

The Floyd Memorial Foundation recently donated $25,000 to the Floyd County Family Health Center. The Family Health Center provides comprehensive medical and preventative healthcare services to low-income, uninsured residents who would otherwise be without the appropriate care needed. The monies from the Foundation will support continued operating expenses of the Center.

Foundation Receives Cardinal Health Foundation Grant

The Floyd Memorial Foundation has received a grant of $22,695 from the Cardinal Health Foundation in order to implement a World Health Organization (WHO) project which

aims to reduce adverse events in surgery. The WHO checklist will be utilized to improve the quality outcomes for surgery patients at Floyd Memorial Hospital. This will involve educating all surgical team members as well as providing opportunities for simulation to instill the process in a safe setting without the use of real patients.

Winning Contest PhotoThe winning photo of the Floyd Memorial Birthing Center’s Beautiful Baby Facebook Photo Contest, sponsored by Babies R Us, was submitted by Tara Seng Spears, receiving 1226 votes. Congratulations to Tara and her beautiful daughter, and thanks to all who entered the contest.

New Physicians

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.

Guardian Angels Congratulations to Floyd Memorial’s recent Guardian Angel recipients:

Amy Gooch, RN ICUAshley Humphrey, RN PICC TeamBecky Wolfe Care Café CoordinatorC.M. Hocker, MD FMMG – State StreetKevin White, MD Radiology Associates

Lisa Beckingham, RN Cam Graves, MD Emergency DepartmentSarita Dyer Environmental ServicesNatasha Eversole, RN MIPSDaniel Eichenberger, MD Chief Medical Officer FMMG – Physician Associates of Floyds Knobs

Kavita K. Mehta, MD AnesthesiologySouthern Indiana Anesthesia Consultants100 Mallard Creek Drive, #320Louisville, KY 40207(502) 690-8782

Renate A. Stingl, MD Hospital MedicineFloyd Hospitalist Program250 East Liberty Street, #801Louisville, KY 40202(502) 587-9596

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 www.floydmemorial.com. We can help you find the doctor that’s just right for your specific needs.

Chitra Arumugam, MDNeonatal Medicine U of L Physicians – Division of Neonatal Medicine601 South Floyd Street, #804Louisville, KY 40202(502) 852-8470

Michael P. Flaherty, MDInterventional Cardiology U of L Cardiovascular Medicine1919 State Street, #302New Albany, IN 47150(812) 542-1880

Cameron Luo, MD NeurologyLuo Neurological Institute, PLLC5120 Charlestown Road, Suite 5 New Albany, IN 47150(812) 725-8621

What to do after a spider bite:

• Wash the region with soapy water to remove any bacterial contaminants on the skin

• Apply ice wrapped in a wash cloth to the region on and off to help with local inflammation

• Elevate the extremity above your heart to help with swelling

• Take ibuprofen to help control pain and decrease local inflammation over the bite site

• Try to contain/keep the spider in a jar for identification purposes

• Seek advice from your physician if excessive pain, redness or swelling result, or if there are additional systemic signs such as a fever, chills, nausea or restlessness

Fall is just around the corner, and as you reclaim the sweaters and put warm-weather clothes back in the closets, you could encounter an unexpected nuisance along the way – the brown recluse spider. Often called the fiddle back spider because of the violin shaped marking on its back, the brown recluse spider tends to set up camp in dry, undisturbed areas like piles of clothing, shoes, bedding, woodpiles and under sinks. These arachnids do not seek out human contact, but when it happens, their bite can pack a powerful punch. The brown recluse, along with the black widow, are two of the most common poisonous spiders found in the Kentuckiana area. Frequently asked questions

The experts at the Floyd Memorial Wound Healing Center often see patients with spider and insect bite wounds. Some insect bites can result in a bacterial infection which is usually treated with antibiotics and topical antimicrobial creams. However, some patients have more serious bites. Board certified plastic surgeon, R. Kevin Majzoub, MD, answered some frequently asked questions regarding the treatment of brown recluse spider bites.1. What are the symptoms of a brown recluse

spider bite? Initially, an individual may report little or

no pain. After a few hours, increased swelling over the bite site, redness or blisters may develop. The patient may experience an itchy feeling. Within a day or more, the site may become firm and resemble a bruise. Within five days, the tissue may start to dry up resulting in tissue necrosis (dead cells) and clear or bloody drainage. Severe tissue loss may result in scarring over the surface of the skin or a depression in the soft tissue. 2. What can a bite do to the tissue, is there

ever fear of losing functionality?The brown recluse spider bite is venomous

and may result in tissue loss. The venom causes the destruction of tissue though the disruption of cellular membranes. There is also a release of inflammatory agents, such as cytokines and histamines which may result in

a cascade of immune-related events eventually leading to additional tissue damage. If the bite occurs over a finger or toe, there is the possibility of tissue loss over the involved digit with eventual exposure of a tendon, or in severe cases, loss of blood flow to the digit itself.3. How do you treat these bites in the

Wound Healing Center?We typically see these spider bites many

days to weeks after the initial contact with the spider. Patients presenting with tissue necrosis or loss are treated with dressings designed to remove the necrotic tissue and preserve the underlying healthy tissue. While it is uncommon to encounter significant tissue loss, it is not uncommon to have a spider bite with a bacterial infection, which we treat with antibiotics and local wound care. At the Floyd Memorial Wound Healing Center, we have a number of different high tech dressings that are used, including silver impregnated foam dressings, enzymatic dressings and topical antimicrobial agents. If needed, the wound may be debrided (removal of damaged tissue) in the procedure room while under a local anesthetic. 4. How long does it generally take for

the bite to heal?Bites with tissue loss may take weeks

to heal. Depending on the amount of tissue destruction and an individual’s other underlying conditions (diabetes, vascular disease, tobacco use, etc.) it may take even more time to heal. 5. Are there any long-term effects, damage

or scarring?Occasionally patients require operative

debridement of the bite site with local skin flaps or skin grafting to aid in the healing of the open wound. There is often a scar left behind and possibly loss of sensation over that region of the body.6. What may happen if the bite is not treated?

Bites may become infected with local bacteria over the skin which may result in the development of cellulitis and additional soft tissue loss.

The brown recluse spider is unique because of the violin-shaped marking on its back and it only has 6 eyes (most spiders have 8 eyes).

Brown Recluse

Brown Recluse spider bite

Most common locations of

brown recluse spiders

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A Total TransformationBrown Recluse Spider Bites Expert Wound Healing

Rodney Chou, MD Medical DirectorBoard Certified Physical Medicine and Rehabilitation Physician

Brian Heimer, MD Board Certified Family Medicine Physician

Kelli Hall, MD Hospital Medicine Physician

Abdul Munis, MD Board Certified Hospital Medicine Physician

Syed Ahmed, DPM Podiatrist

Daryl Potter, DPM Board Certified Podiatrist

Tariq Mehmood, MD, FACP Associate Medical DirectorDiplomat American Board of Internal Medicine and Infectious Diseases Certified by American Board of Wound Healing

R. Kevin Majzoub, MD Board Certified Plastic Surgeon

Shad Jawaid, MD Board Certified Hospital Medicine Physician

Babar Zuberi, MD Board Certified Hospital Medicine Physician

Nicholas Ferro, DPM Podiatrist

Kevin White, MD Board Certified Interventional Radiologist

Steven Gray, MD Board Certified Family Medicine Physician

Dean Wickel, MD Board Certified Vascular Surgeon

(not pictured) Ammar Tayara, MD, Board Certified Infectious Disease Specialist

Any wound or sore that doesn’t respond to traditional treatment within 30 days should be given medical attention promptly. At the Floyd Memorial Wound Healing Center, patients receive personalized, state of the art treatments with our compassionate, multidisciplinary team that is ready to treat any wound regardless of the complexity.

Our physicians specialize in:• Infectious disease• Plastic surgery• Vascular surgery• Physical medicine/rehabilitation• Podiatry• Interventional Radiology• Family Medicine

There are many common wounds that often require treatment including:• Diabetic wounds/foot ulcers• Arterial ulcers/lower leg ulcers • Pressure ulcers • Venous stasis ulcers • Trauma wounds/accident injuries • Burns• Spider bites• Compromised skin grafts and flaps • Complex soft tissue wounds • Bone infections (Osteomyelitis)• Osteoradionecrosis • Problem surgical wounds

• Post-operative infections• Soft tissue infections • Skin tears or lacerations• Gangrene • Late effects of radiation therapy

Along with more traditional treatment options, the Center offers adjunctive therapies including bioengineered skin substitutes, wound vacuum systems, debridement, platelet growth technologies, the latest in skin grafting, compression wraps and specialized dressings, along with Hyperbaric Oxygen Therapy (HBOT).Faster healing with hyperbaric oxygen therapy

Sometimes traditional wound care methods don’t provide healing as quickly as we’d like. The Floyd Memorial Wound Healing Center can provide the extra time and tools necessary to address your wound. Among its arsenal of state-of-the-art technology, the Center is equipped with three HBOT chambers. Candidates with wounds that qualify for this type of treatment are able to breathe 100 percent oxygen inside a pressurized chamber, infusing their bodies with the oxygen needed to jump-start the natural wound healing process. Circulation improves, new blood vessels are stimulated and recovery times are shortened. And in numerous cases, limbs have been saved from amputation.

4

Wound Healing Center Physicians

Indications that a wound needs medical attention:• Worsening redness around the edges

• Red streaks

• Increase in pain or swelling

• Unpleasant odor, drainage or lack of response to topical antibiotics

• Any wound that doesn’t respond to traditional treatment within 30 days

Many patients qualify for Hyperbaric Oxygen Therapy. In fact, Medicare, HMOs and other insurance carriers provide reimbursement for 15 different conditions including:

• Diabetic wounds of the lower extremity• Compromised skin grafts and flaps • Delayed radiation injury• Necrotizing soft tissue infections• Osteomyelitis• Crush injury, compartment syndrome and other

acute traumatic reduction of blood flow• Gangrene• Other select problem wounds

“If you feel like you’ve been bitten by a spider, it’s wise to seek medical treatment early to prevent additional complications that may arise from the bite. At the Floyd Memorial

Wound Healing Center, we have trained wound care specialists who treat a variety of complex wounds, including spider bites. The Center offers advanced wound management strategies including hyperbaric oxygen treatment, biologic dressings and surgical care, just to name a few.”

R. Kevin Majzoub, MD Board Certified Plastic SurgeonFloyd Memorial Wound Healing Center

Tips for getting a good night’s sleep:• Turn off TV, electronics, video games, etc.

one hour before bedtime• Use adequate sleep hygiene, go to bed at

the same time every night, and try to wake up at the same time

• Allow plenty of time to get ready for bed, don’t do homework right before bed

• Sleep environment should be dark, quiet and normal room temperature

• Avoid stimulants like caffeine after 3 pm• Eat an adequate diet. Avoid large meals

and high vitamin C components close to bedtime

• Get regular exercise, but it should be at least two hours before bedtime

Bob McCutcheon, a retired minister and bus driver from Leavenworth, is a classic case of second chances. In December 2010, he was sweating excessively, bloated and feeling weak, when he underwent exploratory surgery of his abdomen at a local hospital. The news he received was shocking.

“The surgeon told me that my abdomen was full of cancer and that there was nothing they could do to treat it,” said Bob. “He sent me home and recommended initiating end-of-life care. A few days later, I started getting really sick, and my wife took me to the emergency department at Floyd Memorial

instead of the hospital I’d previously gone to. That decision ultimately saved my life.”

“Bob was in very bad shape when I first met him,” explained Yasoda Devabhaktuni, MD, a board certified medical oncologist/hematologist with the Floyd Memorial Cancer Center of Indiana. “His entire family was around his bed crying because they thought it was the end. The first thing I told them was to calm down, look at things in a positive way and be optimistic, this was treatable and he would live.”

“He had Non-Hodgkin Extra Lymphatic Lymphoma, which means the cancer was free floating in his abdomen instead of confined to his lymph nodes. While rare, it was still very treatable. The most immediate concern, however, was that he was in kidney failure, so the first step was to put him on dialysis for a brief period to stabilize him. Once he was stabilized, we started chemotherapy immediately. He received his first dose in the hospital and completed five additional rounds after being released. In a matter of a few months, he had gone into complete remission. He’s a perfect example of why you should never lose hope.”

“There’s no question Dr. Dev saved my life,” said Bob. “My health made a complete turnaround after she came into the picture. I’m a faithful man, and I know God led the right person to me at the right time. She gave me more time with my wife of 38 years, my two children and grandchildren, and I’m eternally grateful for that.”

“Bob’s specific type of lymphoma was highly treatable with chemotherapy, and I was confident he would respond well, despite what he had previously been told.”

Yasoda Devabhaktuni, MD Board Certified Oncologist/HematologistInterim Medical Director, Floyd Memorial Cancer Center of Indiana

“Something many people don’t realize is that peripheral blood stem cell transplants have almost completely replaced traditional bone marrow transplants. It is no longer the painful process it once

was. Now we simply take blood from the donor, filter out their stem cells and infuse them into the patient so that the donor cells can regenerate new healthy bone marrow.”

Ajay Kandra, MD Board Certified Oncologist/HematologistFloyd Memorial Cancer Center of Indiana

To find out more information or to make an appointment at the Floyd Memorial Sleep Disorders Center locations in New Albany or Corydon, call (812) 949-5550.

Second Chances

Types of Blood Cancer

Bedtime and Childhood Sleep Disorders

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“Children need very specific amounts of sleep, and if they’re not getting enough, it can take a toll on their health, weight, school performance and social skills.”

Azmi Draw, MD, FCCP Sleep Medicine Specialist & Board Certified Pulmonologist, Critical Care and Internal Medicine PhysicianFloyd Memorial Sleep Disorders CenterLung and Sleep Specialists, PLLC

Every parent knows it can be difficult for a toddler or young child to get a good night’s sleep, especially when that child is having nightmares and trouble staying asleep. As young children grow into adolescents it’s not always easy to get them to bed at a decent hour and wake up in time to get ready for school.

Pediatric sleep issues may be partially to blame for some nighttime struggles. Board certified pulmonologist and sleep specialist at the Floyd Memorial Sleep Disorders Center, Azmi Draw, MD, FCCP, has been treating children ages 2 and above for more than 10 years. He explained, “Pediatric sleep disorders are very common and can range from difficulty falling asleep and staying asleep, to movement disorder, bed wetting, sleep walking, sleep talking, nightmares, night terrors, sleep apnea and insomnia. And the scope of the sleep disorder changes with age.” Dr. Draw gives valuable information on pediatric sleep disorders in the article below. Toddlers and young children

The most frequent issues in children between ages 2 and 5 are parasomnias like sleep walking, sleep talking, bedwetting and some sleep apnea. Sleep walking and talking affect approximately 10 to 15 percent of children, and many outgrow them.

Night terrors and nightmares are common and can occur at almost any age. The child appears to awaken frightened, not arousable, confused, sweating, extremely irritated and exhibits fast breathing and heart rate. They are also unable to recall the event. With a nightmare, the child awakens frightened, but is fully awake, with less severe systemic reactions and they can remember the dream. Periodic nightmares and night terrors are normal, but parents should speak with their pediatrician if they become frequent to check for possible nocturnal seizures.

Sleep apnea is common in children, but treatment is different than adults. In children, sleep apnea is mainly attributed to anatomical problems like enlarged adenoids or tonsils or allergies rather than muscular issues. The solution is usually to surgically correct the upper airway, which typically involves adenectomy and tonsillectomy. CPAP machines are not used on a growing child because they can lead to anatomical changes. Many times aggressive treatment of allergies to prevent re-growth of adenoids or nasal obstruction is necessary.

Teeth grinding could be a manifestation of sleep apnea or an underlying disorder. Nocturnal seizures need to be ruled out if teeth grinding is extensive.

Nocturnal seizures can cause abnormal parasomnias. We can rule these out with an in-lab pediatric sleep study. Special equipment is used including an extended electroencephalograph (EEG) to measure brainwaves.

Arousal disorders are also measured in brain waves during a sleep study, which can determine if the problem is a movement or breathing disorder or just spontaneous.

A medical history and list of medications are the first things your pediatrician will look at when you suspect a sleep disorder. Many medications for allergies contain a stimulant and can cause hyper-reaction in children, which can induce significant sleep disorder behaviors. Sleep habits and nighttime routines are also evaluated. In addition, if parents notice excessive drooling, sleeping with an open mouth, a preference to sleep face down, snoring and restlessness at night, these could be signs of sleep apnea.Adolescents and young adults

Sleep requirements at ages 12 to 16 are still high and we start to see more problems with insomnia. A circadian rhythm, or internal biological clock, disorder is a common problem. There is a correlation between bedtime, light exposure and internal hormone regulations such as melatonin and cortisol, and it is all cued according to the person’s circadian clock. When the body senses it is bedtime, the body temperature drops slowly, the melatonin levels go up and the cortisol goes down, signaling sleep. However, if you expose yourself to bright light from TVs or computer screens, or mental activity with video games, you are sending a signal to the brain that it is still daytime. It creates a complex issue that over a period of time can become an acquired cycle and difficult to reverse.

Chronic sleep deprivation is also a common problem in this group. If a child is consistently falling asleep in school, it’s a good idea to have your pediatrician check for sleep disorders. Sometimes a sleep study may be required.

There is also a strong correlation between sleep apnea and obesity in children. Sleep apnea can lead to obesity and obesity can lead to sleep apnea, becoming a vicious circle. It can also lead to psycho-behavioral changes that affect school performance and social activities. Studies have shown that children with a high body mass index and poor social skills tend to have unsatisfactory school performance.For more information about services

offered at the Floyd Memorial Cancer Center of Indiana, call (812) 945-4000 or visit floydmemorial.com/cancer.

Be the Match. Save a Life.Visit marrow.org to find out how you can potentially save a life by joining the National Bone Marrow Donor Registry.

“It’s an amazing thing to be given time that you were told you wouldn’t have. I went from dying to completely well in a matter of months.”

- Bob McCutcheon, with wife Jeanne How much sleep do you really need?

Age Sleep needs (including naps)

Newborns (0-2 months) 12 to 18 hours

Infants (3-11 months) 14 to 15 hours

Toddlers (1-3) years) 12 to 14 hours

Preschoolers (3-5 years) 11 to 13 hours

School-age children (5-10 years) 10 to 11 hours

Teens (10-17 years) 8.5 to 9.5 hours

Adults 7 to 9 hours

Blood cancers affect the blood, bone marrow and lymph nodes. They include leukemia, lymphoma and myeloma. Ajay Kandra, MD, a board certified medical oncologist/hematologist at the Floyd Memorial Cancer Center of Indiana, explained each type, its symptoms and treatment options available. Leukemia

Leukemia is a cancer of the blood. The two main types of leukemia are lymphoid, which involves a proliferation of a type of white blood cells called lymphocytes; and myeloid, which involves proliferation of another type of white blood cells called granulocytes. Leukemia is further classified as acute, which progresses rapidly, or chronic, which progresses slowly. Symptoms: severe fatigue, unexplained bleeding, infection, fever and weight loss. “The earlier the diagnosis, the better the prognosis for certain leukemias,” explained Dr. Kandra. “I recommend that adults request a CBC blood count check at their yearly physical to screen for blood disorders.”Treatment: highly individualized and involves looking at the molecular markers (malfunctioning genes) of the cancer before determining the exact course of action. Common treatments include chemotherapy,

targeted therapies and for certain patients, stem cell transplantation.Lymphoma

Lymphomas are cancers that start in the lymph nodes. The two main types of lymphoma are Hodgkin Lymphoma, which is highly treatable, with cure rates of 80 to 90 percent, and Non-Hodgkin Lymphoma, which can be classified as T-cell or B-cell, with many variations within each classification. Some variants are highly treatable and/or slowly progressive, while others are difficult to treat and progress quickly.

Symptoms: enlarged lymph nodes, fever, weight loss, fatigue, night sweats and multi-organ failure. Treatment: based on the specific subtype of cancer. Chemotherapy, targeted therapies, biological targeted agents and radiation therapy are common options.Myeloma

Myeloma is a cancer of the plasma cells, which are the antibody producing cells found in the bone marrow. Symptoms: multiple bone fractures, anemia, high calcium, kidney failure and infections. “Men aged 66 years or older are at greatest risk, and African Americans are about two to three times as likely to develop myeloma as Caucasians,” added Dr. Kandra.Treatment: chemotherapy, immune system regulating medicines and stem cell transplantation.

Capital Investments

2008 2009 2010 2011 2012

$11.6 million

$7.1million

$10.6million

$8.2 million

$15,000,000

$10,000,000

$5,000,000

0

$10.6million

Floyd Memorial Hospital and Health Services is a public not-for-profit healthcare system, meaning that we re-invest all earnings into healthcare technology, improvements, education and care in our community. Capital Investments include all investments in renovation and technology at Floyd Memorial Hospital and its outlying facilities.

Local Jobs2,243 – Number of associates working for Floyd Memorial

$117,297,400 – Wages and benefits paid to associates

463 – Number of physicians on medical staff

Services Rendered at Floyd Memorial236 – Licensed patient beds15,886 – Inpatient discharges358,308 – Outpatient visits12,621 – Surgical procedures25,076 – Urgent Care visits23,102 – Home Healthcare visits45,616 – Emergency Department visits954 – Births

8 9

240 – Number of adult and junior volunteers serving Floyd Memorial34,000 – Hours of service donated by volunteers in 2012$674,799.34 – Dollar equivalent of volunteer hours donated (equivalent to 16 full time employees)$100,000 – Cafeteria renovation$30,000 – Nursing scholarships$11,771 – New Admin Rx system for Outpatient Surgery Department$5,000 – Sponsorship of Floyd Memorial Foundation Golf Classic$2,625 – 35 internal feeding pumps$1,975 – New wheelchairs for the Emergency Department$1,764 – New touch screen monitor and keyboard for the Gift Shop$1,300 – Prepared childbirth books$1,217.95 – Breast pump for associate lactation room$750 – Training for Ultrasound department staff$692 – Relaxation chair for Surgical Inpatient Unit$125 – Bus tokens for patients without the means for transportation

Floyd Memorial Auxiliary & Volunteer Services Community Giving Statistics

Community Health Improvement Services: $1,152,459Clinical and non-clinical services provided to the community for free or for fees that did not cover costs (health fairs, screenings, support services and subsidized services such as the Floyd Memorial Joslin Diabetes Center Affiliate and various cancer services).

Financial contributions: $43,240Contributions that included cash and in-kind items made to non-profit organizations.

Floyd Memorial Foundation Community Giving Statistics$250,000 – Cafeteria renovation grant$100,000 – Floyd Memorial Healthier Community Initiative$32,500 – Healthcare career scholarships$25,000 – Floyd County Family Health Center donation$22,041 – Associate ASSIST program $15,850 – Massage therapy for cancer patients and caregivers$9,189 – Diabetes education materials and nursing supplies

$5,000 – Choices for Women Resource Center donation$4,500 – Nurses’ Day appreciation gifts$1,000 – Wellness Coalition of Southern Indiana grant$1,000 – St. Marks Health Fair grant (targeting the poor and homeless) $1,000 – St. Elizabeth’s Catholic Charities grant$1,000 – New Albany Track Club grant$1,000 – Riverside Aquatic Club grant

Uncompensated/Charity Care(provided by Floyd Memorial)

2008 2009 2010 2011 2012

$40,000,000

$35,000,000

$30,000,000

$25,000,000

$20,000,000

0

$27.8 million

$33 million

$32.5 million

$36.3 million

$36.9 million

Healthier Community Initiative (HCI)The Healthier Community Initiative and all its activities are wholly funded and made possible by the generous support of the Floyd Memorial Foundation.

$100,000 – Funds donated to HCI by the Floyd Memorial Foundation7,000 – Free health screenings 4,000 – Community members served500 – Take 2 for Heart and Stroke screenings190 – Skin cancer screenings

75 – Peripheral Artery Disease (PAD) screenings37 – Occult blood colon cancer screenings (40 percent abnormal results) 105 – Community outreach events and education classes150 – Units of blood donated through Red Cross blood drives

FLOYD MEMORIAL’S IMPACT ON OUR COMMUNITYEach year, Floyd Memorial Hospital and Health Services invests millions of dollars in the health and wellness of our community. The hospital offers community members the security and peace of mind that a comprehensive healthcare system is easily accessible and always available to care for the needs of all populations, regardless of a person’s ability to pay. Floyd Memorial is a major contributor to the economic growth, development and health of our community, ensuring a secure today and a promising tomorrow.

When Ruby Clark made the last minute decision to have her blood pressure checked as she was ending her shift as a housekeeper at the Floyd County YMCA, she could never have guessed that it would save her life.

On that day in January 2013, Floyd Memorial Healthier Community Initiative clinical educator, Shannon Carroll, RN, was holding a free blood pressure screening in the YMCA lobby. As Ruby explained, “I had been past the screening booth several times that morning as I was cleaning, and hadn’t paid much attention to it. But after my shift was over and I was walking out the door to go home, I decided, what the heck, I’ll give it a go. The screening had ended and Shannon was cleaning up, but she said she’d still check me.”

Shannon continued, “When we first took Ruby’s blood pressure, I thought the machine was malfunctioning because it wouldn’t give a result. So I decided to manually check her pulse. What I found was astounding. I’ve been doing community screenings for a long time, and it was easily the most irregular heartbeat I’d ever assessed. I advised her to see her doctor immediately and to request an EKG of

her heart. I could sense that she wasn’t as concerned about her condition as I felt she should be, so I repeated myself four or five times to make sure that she understood how grave the situation really was.”

“What unfolded next was an absolute whirlwind,” said Ruby. “The screening was on a Wednesday, Thursday I saw my primary care doctor, who did an EKG and ordered several types of stress tests, which I completed on Friday. By Monday I was having triple bypass open heart surgery. My surgeon told me that I was days away from a massive heart attack, and that there’s no question the blood pressure screening saved my life. Now I’m back to work at a wonderful job that I’m so grateful for, and cherishing every day I have with my husband of 49 years, Chippy, and my sons and grandchildren. Shannon could have easily told me that the screening was over that day or that the machine was broken when it couldn’t register my blood pressure, and I wouldn’t have thought anything of it. But Floyd Memorial’s free screening program and her simple act of kindness saved my life.”

When a Simple Screening is a Life Saver

“I take advantage of every free screening I can now. I never had any symptoms or history of heart problems at all, and I was on the verge of a massive heart attack. There’s no question that a simple blood pressure screening saved my life, and I am eternally grateful for it.”

– Ruby Clark, with Shannon Carroll, RN

JULY/AUGUST/SEPTEMBER 2013 Calendar of EventsTo register, call 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.*•

1110

SCREENINGS

OFFERED BY FLOYD MEMORIAL BIRTHING CENTER

New Family Fundamentals: Midwives, Doulas and DadsWednesday, July 31, August 28 & September 25, 6:30 - 7:30 pmParis Health Education CenterMeet certified nurse midwife, Carla Layne, ARNP, CNM, and learn how a midwife can help during pregnancy, labor and delivery. A doula will discuss how they provide education and support for both parents. Dads will discover father fundamentals. This is a free class. Registration required.Fathering Fundamentals for New DadsSaturday, August 10 and September 14, 9 am - NoonFloyd Memorial Paris Health Education CenterExpecting a new baby and have questions or concerns? Dad’s role is very important and this class will help prepare him when the baby arrives. Voice concerns, ask questions and receive “hands on” interaction with babies. Previous participants are invited back to the class with their babies to help put other dads at ease. Cost is $25. Registration is required by calling Jerry Geller at (754) 224-0157 or jpg0705@aol.com.Prepared Childbirth ClassSaturday, July 20 and 27, 8:30 am - 12:30 pm (2-part series)Tuesday, August 27 - October 8, 6:30 - 8:30 pm, (6-week series)Cost - $30 per couple. These classes discuss the physical preparation and education needed for a successful delivery. The classes involve relaxation techniques using a variety of methods, as well as tips for pregnancy fitness including physical therapy. Take during the middle of pregnancy. Registration required.Sibling ClassSaturday, August 3, 10:30 am - 12:30 pmThis free class is for soon-to-be new brothers and sisters, ages 3 to 11, and their parents. Children will be shown how to diaper and hold a baby (doll), and tour the Birthing Center where they get to listen to the baby’s heartbeat. Registration required.Breastfeeding ClassThursday, August 22, 6:30 - 9 pmThis free class will help you and your newborn have a successful breastfeeding experience. Discussion will include helpful hints and practical guidelines, as well as common misconceptions and barriers. Registration required.Babysavers ClassThursday, August 29, 6:30 - 9 pmThis class is taught by certified CPR instructors and designed to teach new parents infant CPR. Cost is $10 per couple for materials. Registration required.Prenatal ClassThursday, October 3 - November 14, 7 - 9 pm (6-week series)For the expectant mom and dad or other support person. This free class is a six-week session and should be taken at the beginning or middle of pregnancy. Taught by several of our highly skilled obstetrical nurses. Registration required.

All Birthing Center classes are held in the Floyd Memorial Paris Health Education Center.

Sponsored by:

Stroke & Aneurysm Vascular ScreeningsEvery Tuesday & Thursday by appointmentStroke & Aneurysm Vascular Screenings are offered by the Floyd Memorial Heart & Vascular Center. They include non-invasive screening for Abdominal Aortic Aneurysm, Peripheral Artery Disease and Carotid Artery Disease. The cost is $49 for all three. To make an appointment, call 1-800-4-SOURCE.Free Take 2 for Heart and Stroke ScreeningsThursday, August 1 and September 5 by appointment. One-on-one screening with a registered nurse, full lipid cholesterol panel, blood pressure, blood sugar, blood sugar A1C and body mass index. Registration required.Free Blood Pressure Screenings1:30 - 3 pm every other Friday in the main lobbyJuly 19, August 2, 16, 30, September 13 and 27Free Screenings at the New Albany YMCAMonday, August 19, 9 - 11 amTuesday, September 17, 4:30 - 6:30 pmFree blood pressure screenings, height and body composition as well as health education.Free Skin Cancer ScreeningThursday, September 12, 2 - 4 pmFloyd Memorial Cancer Center of IndianaFree skin cancer screenings by local, certified dermatologists. Registration required.

Free Joint Pain ScreeningSaturday, September 14, 7:30 - 11 amFloyd Memorial Wound Healing Center Free joint pain screening of knees and hips featuring X-rays and consultation with an orthopedic surgeon. You’ll also get an opportunity to meet our team of experts. Space is limited and appointments are required.Free Health Fair at Greenville Christian ChurchSaturday, September 14, 10 am - 2 pmFree health screenings and education.Free Colon Cancer Screening KitsFloyd Memorial Cancer Center of IndianaFree occult blood colon cancer screening kits are available for pickup at the Cancer Center of Indiana front desk.Free Osteoporosis ScreeningsThe pDXA screening is a scan of the bone density of the heel. The screenings take place in the Women’s Imaging Center and are offered by appointment only. To register, call (812) 949-5570.Lung Cancer ScreeningsCT scanning of the lungs is a simple, quick radiological test that is capable of detecting lung cancer at a very early stage, when treatment can be most successful. If you are a current or past smoker age 50 or older, or have been exposed to heavy second-hand smoke, this screening could save your life. Physician referral not required. Cost is $150, which includes a results consultation immediately after your scan with a physician radiologist. To register, call (812) 949-5570.

OFFERED BY WEIGHT MANAGEMENT CENTER

HMR Orientation If you want to lose anywhere from 10 to 200 pounds, HMR can help. Free informational sessions are available on Mondays and Thursdays. Call (812) 949-7151 to schedule. The program offers several diet options including a medically supervised plan, a moderate diet option and an at-home program.HMR® Summer Boot CampTuesdays, July 16 - August 2011 am - Noon or 6 - 7 pmNew Albany YMCATrim down this summer with a six-week Healthy Solutions Diet class session. Each six-week session is offered at a discounted rate of $100 (plus the cost of food). Morning and evening classes are available. Call (812) 949-7151 for information and to register.

Surgical Weight Loss SeminarWednesday, July 17, August 21 and September 18, 6 - 7 pmFloyd Memorial Cancer Center of IndianaInterested in bariatric surgery? You have options. Learn about gastric banding and gastric sleeve surgery and the support services offered by the Floyd Memorial Weight Management Center at this free informational seminar presented by our board certified surgeons.

Alzheimer’s Support Group Third Thursday of each month, 2 - 3:30 pm and 6 - 7:30 pm Contact: Sadie Powell, (812) 948-1311 Amputees in Motion Support Group Third Thursday of each month, 7 pm Meets at Southern Indiana Rehab Hospital Contact: Brittany Bley, (502) 724-4490 or Bradley (812) 557-5484Balancing Life with Diabetes Support GroupTuesday, July 16, 10 - 11 amTopic: Mindlessly Eating Better Tuesday, August 20, 10 - 11 amTopic: Recipe MakeoversTuesday, September 17, 10 - 11 amTopic: Staying Active: Working through the Aches and PainsMeets at Joslin Diabetes Center Affiliate,2019 State Street, New AlbanyTo register, call 1-800-4-SOURCE.Bariatric Support GroupFirst Monday of each month, 6 pmContact: Floyd Memorial Weight Management Center (812) 949-7151Brain Injury Support Group Third Thursday of each month, 7 pm Meets at Southern Indiana Rehab Hospital Contact: Beverly Setree, (502) 819-2542 Breast Cancer Support Group Second Thursday of every other month, 7 pmContact: Pat Kasse, (812) 948-1215 Cancer Patient/Caregiver Support Group First & third Thursday of each month, 6:45 - 8 pm Floyd Memorial Cancer Center of Indiana Contact: Helen, (812) 945-4000 ext. 6231

Gluten Free Support Group Fourth Tuesday of each month, 6:30 pmContact: Jennie Olmstead, (812) 945-4500 La Leche League of Southern Indiana Third Monday of each month, 6:30 - 8 pm Breastfeeding support and information Contact: Lisa, (812) 987-3635Mended Hearts Support Group Fourth Monday of each month, 6 pm Mended Hearts is a national and community-based non-profit organization that has been offering the gift of hope to heart disease patients, their families and caregivers. Our support groups help people understand that there can be a rich, rewarding life after heart disease diagnosis.Contact: Jackie Lattis, (502) 819-2085 for meeting locationMultiple Sclerosis Support Group Fourth Monday of each month, 6 pm Contact: Michael Quinn, (502) 797-5878 Parkinson’s Support Group Tuesday, August 6, 6:30 - 7:30 pm Wednesday, September 4, 6:30 – 7:30 pmMonday, October 7, 6:30 – 7:30 pmContact: Richard Mattox, (812) 256-5424 Stroke Support Group Second Tuesday of each month, 1 pm Meets at Southern Indiana Rehab Hospital Contact: Deb Strickler, CTRS, or Tori Vinson, (812) 941-6154 Together for Breast Cancer Survival Men’s Caregiver Support Group Fourth Tuesday of each month, 6:30 pm Floyd Memorial Cancer Center of Indiana Contact: Doug Drake, (812) 945-4393 or www.cosurvivors.org

All support groups meet in Floyd Memorial’s Paris Health Education Center unless otherwise stated.

SUPPORT GROUPS

HEALTH EDUCATION

Kidney Disease Treatment Options ClassesWednesday, July 17, August 21 and September 18, 10 am - NoonLearn about the types of treatment for kidney disease including hemodialysis (home and in-center), peritoneal dialysis for home and kidney transplantation. Call (502) 895-7650 to register.Indiana Blood Center Blood DriveMonday, July 29, 11:30 am - 6 pmFloyd Memorial Paris Health Education CenterDonate blood and give the gift of life.Free Bone & Joint Pain SeminarTuesday, August 6, 6 - 7 pmFloyd Memorial Paris Health Education CenterLearn about advanced treatments that may offer dramatic relief of your knee or hip pain. An orthopedic surgeon and nurse will discuss medications, exercise and joint replacement surgery. Registration required.We Love Our Kids Health FairSaturday, September 14, 1 - 4 pmSlate Run Elementary SchoolFun children and family activities, health screenings, health education and community resource information.Free Hormone Replacement Therapy SeminarTuesday, September 17, 6 – 7 pmCancer Center of IndianaExplore the many options in treating common concerns of women today such as menopause, PMS symptoms and hormone imbalances. Learn about bio-identical hormone therapy, traditional hormone therapy and supplements that can give you a much better sense of well being. Presented by Carla Layne, ARNP, CNM, and Precision Compounding’s Laura Pfaffenberger, PharmD, and Denise Orwick, RPh. Registration required.Greenway 5K Family Health and Fitness Day Saturday, September 28, 10 am - NoonNew Albany AmphitheaterZumba, obstacle course, bounce house, yoga, `Give Me 10’ kick-off, family fun and games! Stroke ClinicSouthern Indiana Rehab Hospital offers a free stroke clinic for anyone who has experienced a stroke. The survivor is screened by a variety of professionals including therapists, case managers, nurses and physicians who can review their ongoing recovery and make recommendations as needed. Contact: (812) 941-6120 or (812) 941-6154.

OFFERED BY JOSLIN DIABETES CENTER

The Floyd Memorial Joslin Diabetes Center Affiliate offers on-going education classes so patients can keep their condition in check. Call (812) 949-5700 for information.

Pre-Diabetes Class If you have pre-diabetes, or are overweight and 45 or older, you are at high risk of developing type-2 diabetes. Class is designed to help determine what changes are needed, and set goals for living healthier. Class is self-pay and costs $25. To register, call (812) 949-5700.Free Guided Grocery Shopping TourThursday, August 29, 10 - 11 amSav-A-Lot in Jeffersonville, Allison LanePatients with diabetes have a lot of complicated decisions to make at the grocery store. Let a certified diabetes educator take you on a free, guided tour to help make sense of it all and ensure you’re making the best choices for your health. Registration required.

Balance and Control Program designed for individuals looking to get their diabetes under control, new to diabetes or new to insulin. Covered by most insurance plans. To register, call (812) 949-5700. Diabetes Refresher Course Program helps patients set goals for healthy management of their diabetes. Highlights include: what’s new in diabetes, understanding the numbers, counting carbohydrates, latest treatment options, evaluating old goals and setting new ones. Covered by most insurance plans. To register, call (812) 949-5700.

Free Low Back Pain SeminarTuesday, October 1, 6 - 7 pm Floyd Memorial Cancer Center of Indiana Orthopedic and spine surgeon, Mohammad Majd, MD, will discuss the latest technology and techniques in treating low back pain, from physical therapy to minimally invasive surgeries including artificial disc replacement and sacroiliac joint fusion. Registration required.

OFFERED BY FLOYD MEMORIAL

CANCER CENTER OF INDIANA

Look Good…Feel BetterMonday, July 22, August 26 and September 23, 1 - 2 pmFloyd Memorial Cancer Center of Indiana This American Cancer Society class provides volunteer cosmetologists who teach make-up techniques and ways to disguise hair loss to women who are battling cancer. Registration deadline is Thursday, July 18, August 22 and September 19. To register, call (502) 560-6045.