Issue 22Special Edition

June 2019

YOUR SOURCE FOR MMC & HAMH/WE NEWS

magazine

Have fun and be safe on the water, in the sun, and in your own backyard.

HealthWiseHealthWise

Meet the Sta�:Terri Kramolis, NWCC

Page 5 - 7

Wellness Wise:Safe Boating Tips

7

News UpdatesPages 8 -10

SummerSafety

Summertime Safety TipsSO YOU CAN HAVE FUN WITHOUT FRETTING

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Summertime is meant for fun and the enjoyment of outdoor activities, relaxing sunshine, and socialization. Unfortunately, the sunny days of summer can be accompanied by serious dangers such as food poisoning, drowning, allergy attacks, heat-related illnesses, sunburns and the stress of traveling. Here are some tips to keep you and your family safe and healthy this summer.

FoodExperts say food poisoning peaks in the summer months for two main reasons; bacteria grows the fastest in warm, humid weather, and people generally don’t pay attention to food handling when eating outside.

To prevent food related illness this summer, make sure to follow these simple tips: • Keep your hands clean.• Wash cooking equipment, dishes, and utensils between

uses. • Clean the grill’s surface after each use and wash cutting

boards after cutting raw meat. • Rinse fruits and vegetables – meat and poultry aren’t the

only foods that harbor bacteria.• Store all perishables in a cooler with ice on top, not just

underneath. Bring one cooler for drinks and one forfood.

• Never eat anything that has been left out of a refrigeratoror cooler for more than two hours.

• Use a meat thermometer as the time needed tocook foods thoroughly on a grill may be di�erent thanyour stove at home.

• Bring non-perishable snacks that won’t spoil, if you’re planning to be outside for a while. • Symptoms of food poisoning usually develop 8 to 48

hours after eating the contaminated food. If they persist or grow severe, contact your doctor.• When in doubt, throw it out! If you think something was contaminated while being prepared, was improperly cooked or has sat out too long, throw it away.

SwimmingSwimming is a great recreational sport that can be enjoyed by people of all ages. It is important to know how to be safe while you’re in the water.

Review these important swimming safety tips before you head to the pool or lake:• Never leave your child alone in or near the water.• Always supervise children closely. Do not read, play cards,

talk on the phone, or engage in any other distractingactivity while watching children in or around water.

• Never leave a young child unattended near water and donot trust a child’s life to another child; teach children toalways ask permission to go near water.

• Always swim with a buddy and in supervised area,preferably one with a lifeguard on duty.

• Do not use air-filled or foam toys, such as water wings,noodles, or inner tubes, in place of life jackets.

• Have young children or inexperienced swimmers wearUS Coast Guard-approved life jackets around water, butdo not rely on life jackets alone.

• Do not dive into lake water. Jumping from cli�s or bridgesis dangerous due to shallow water, submerged rocks,trees or other hazards.

• Install a fence with self-latching gates at least four feethigh around all sides of any backyard pool.

• Keep rescue equipment (a shepherd’s hook and a lifepreserver) and a telephone near the pool or swimmingarea.

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• Late spring and early summer are times that grass allergies peak. Wear a mask when mowing the lawn or around freshly cut grass. Also, take a shower, wash your hair and change your clothes to remove any pollen that may have collected on your body. You should also dry clothing inside, rather than on an outside line.• Stay indoors between 5 a.m. and 10 a.m., when outdoor pollen counts are usually the highest.• Avoid going between intense outdoor heat and indoor air conditioning. ¤is can trigger an asthma attack and other allergy symptoms.• Pack allergy medicines in your purse or carry-on bag when traveling and bring extra just in case. It’s better to be over-prepared than miserable and missing out on all the fun!

HeatTo make sure your day at the beach is just a day at the beach and not a trip to the emergency room, you need to be aware of heat-related illnesses.

Prolonged or intense exposure in hot temperatures can cause heat-related illnesses such as:• Heat Exhaustion - occurs when the body loses large amounts of water and salt.• Heat Cramps - can strike when the body loses excessive amounts of fluids and salt, and is accompanied by the loss of other essential nutrients such as potassium and magnesium.• Heat Stroke - occurs when the body su�ers from long, intense exposure to heat and loses the ability to cool itself down.

By reducing exposure to high temperatures and taking other precautions, most heat-related illnesses can be avoided. Prevention is your best defense in protecting your health when temperatures are high. Remember to keep cool and use common sense.

• Learn cardiopulmonary resuscitation (CPR). Because of the time it might take for emergency services to arrive, your CPR skills can make a di�erence in saving someone's life.

Remember, teaching your children how to swim does not automatically make them safe in the water or mean they do not need supervision.

SunSummer time fun involves pool parties, cookouts and just hanging out. ¤ere are countless opportunities to enjoy time in the sun. But it’s important to protect your skin from the damaging e�ects of the sun. Learn to build safe sun habits into your family’s daily routine.

Lead by example—children will respond better when they see you protecting your skin. For example, use the American Cancer Society’s Slip! Slop! Slap!® safe sun basics to begin teaching your kids healthy sun habits:

Slip! On a shirt. Slop! On sunscreen.Slap! On a hat. Wrap! On sunglasses.

Just a few serious sunburns can increase your risk of skin cancer later in life, so stay safe in the sun by protecting your skin.

Allergies

Most people think spring and fall are “allergy seasons,” but allergies can be triggered all year round. During the summer, warm weather and high humidity can put a strain on seasonal allergy and asthma su�erers. It’s a peak time for certain types of pollen, smog and mold.

Here are some survival tips to help you manage your allergies during the summer months:

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ashlandmmc.com 1615 Maple Lane Ashland, WI 54806 x 715-685-5500 4

Submitted by:Kelsey Latimer, RDN, CLS, MMC

Cook your whole meal in a packet on the grill with this easy recipe that is loaded with vegetables. ¤e Mexican-inspired seasoning makes the chicken and veggies taste great served with warm tortillas and your favorite taco toppings for a healthy dinner.

DIRECTIONS:1. Preheat grill to medium-high. Cut six 12-inch lengths of heavy-duty foil. Coat each piece with cooking spray.2. Combine chicken, sweet potatoes, peppers, onion, garlic, salt, chili powder, cumin and oregano in large bowl; stir to coat thoroughly. Evenly divide the chicken mixture among the foil sheets (place on the side coated with cooking spray). Gather together the long ends of each foil piece, then fold up its open ends to form a packet.3. Cook until the vegetables are tender and lightly charred, turning halfway through, about 20 minutes total. Serve right away (be careful of steam when opening the packets), with lime wedges.

Prevention tips to follow:• Drink plenty of fluids, regardless of your activity level. Don’t wait until you feel thirsty and don’t drink liquids that contain ca�eine, alcohol or large amounts of sugar - these actually cause you to lose more body fluids.• Wear appropriate clothing, such as lightweight, light- colored, loose-fitting clothing, a wide-brimmed hat and sunglasses.• Schedule outdoor activities carefully. Plan your activities during morning or evening hours rather than during the sun’s peak times. Also, try to find as much shade as you can and rest often.• Pace yourself. If you’re not accustomed to being in heat, don’t push your body to stay out in it all day.

Following these safety tips will help keep you healthy so you can make the most of your summer fun. We at Memorial Medical Center, Hayward Area Memorial Hospital and Water’s Edge wish you a happy, healthy and fun summer season.

Recipe CornerCHICKEN & SWEET POTATO GRILL PACKETS

NUTRITION INFORMATION:Serving size: 1⅓ cupsPer serving: 241 calories; 3 g fat(1 g sat); 7 g fiber; 34 g carbohydrates; 20 g protein; 82 mcg folate; 55 mg cholesterol; 11 g sugars; 0 g added sugars;Nutrition Bonus: Vitamin A (396% daily value), Vitamin C (277% dv), Folate (20% dv)

INGREDIENTS:1 pound boneless, skinless chicken breast (about 2 large),

cut into 1-inch cubes5 cups peeled and cubed sweet potatoes

(about 2 medium)5 cups diced red bell peppers

(about 2 small)1 large red onion, sliced1 clove garlic, minced1 teaspoon salt1 teaspoon chili powder½ teaspoon ground cumin½ teaspoon dried oregano1 small lime, cut into 6 wedges

cut into 1-inch cubescut into 1-inch cubescut into 1-inch cubescut into 1-inch cubes5 cups peeled and cubed sweet potatoes 5 cups peeled and cubed sweet potatoes 5 cups peeled and cubed sweet potatoes 5 cups peeled and cubed sweet potatoes

(about 2 medium)(about 2 medium)5 cups peeled and cubed sweet potatoes

haywardmemorialhospital.com 11040 N State Rd 77 Hayward, WI 54843 x 715-934-4321 5

Recipe CornerCHICKEN & SWEET POTATO GRILL PACKETS

With Terri Kramolis,Director of the NorthwestWisconsin Cancer Center ofMemorial Medical Center incollaboration with Essentia Health

Skin Cancer Prevention

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“Skin cancer is the most common form of cancer in the United States, with 1 in 5 Americans developing it in their lifetime.

Fortunately, when diagnosed and treated early, skin cancer can almost always be cured. Minimiz-

ing exposure to harmful UV rays is key in skin cancer prevention.”

What is skin cancer?¤e skin is the largest organ in the body. ¤e skin covers

internal organs, and protects them from injury, serves as

a barrier to germs such as bacteria, prevents the loss of

too much water and other fluids, and helps control body

temperature. Skin is made up of three layers; the epidermis,

dermis, and subcutis (sub-q-tis).

Cells called melanocytes (mel-an-o-sites) are found in the

outer layer of the skin; the epidermis. ¤ese skin cells make

the protective brown pigment called melanin. Melanin is

what makes the skin tan or brown. ¤is helps protect the

deeper layers of the skin from the harmful e�ects of the

sun.

Skin cancers are named for the type of cells that become

cancer. Cancers that develop from melanocytes, the

pigment-making cell of the skin, are called melanomas.

Skin cancers that are not melanoma are sometimes called

non-melanoma skin cancers because they tend to act very

di�erently from melanomas. ¤e two most common kinds

of non-melanoma skin cancers are; basal cell carcinoma

and squamous cell carcinoma.

How common is skin cancer? Skin cancer, including melanoma, basal and squamous cell

skin cancers are the most common of all types of cancer.

It accounts for at least half of all cancers. Most of these

are basal cell skin cancers. In contrast, there are just over

76,300 cases of melanoma diagnosed each year.

What are the causes of skin cancer?Most skin cancers are caused by ultraviolet (UV) radiation

exposure to the area of skin that develops the cancer. Most

of this radiation comes from sunlight but it can also come

from man-made sources such as tanning booths/lamps.

¤e UV radiation changes the genetic material (DNA) in

our cells. Sometimes this damage a�ects certain genes

that control how and when cells grow and divide. If these

genes do not function properly, the e�ected cells may form

a cancer. Usually a body can repair the DNA damage. But,

if there is too much in some situations it can lead to the

start of a cancer.

Usually it’s not clear exactly when UV exposure causes

DNA damage that might eventually lead to cancer. Some

of this exposure may have occurred within the few years

of the development of the cancer, some may be caused by

exposures that happened many years earlier. Children and

young adults often receive a lot of intense sun exposure

that may not result in a cancer until many years or decades

later. Repeated and unprotected sun exposure over many

years increases the person’s risk of skin cancer.

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Skin Cancer Prevention continued

What are the risk factors of Skin Cancer?A risk factor is anything that e�ects your chance of getting a

disease such as cancer. Having a risk factor, or even several

risk factors, does not mean that you will get the disease.

And some people who get the disease may not have any

known risk factors.

Two main risk factors that

may increase your chance of

getting both melanoma and

non-melanoma skin cancers

are; UV light exposure –

this is the main risk factor

for developing most skin

cancers, and fair skin,

freckles, and light

hair – the risk of skin

cancer is much higher

for light-skinned

people than for those

with darker skin.

Other risk factors

include moles – most

moles will never

cause any problems,

but a person who

has many moles

is more likely to

develop melanoma.

¤e other risk factor

is having family

history of melanoma

– melanoma risk

is greater if one or

more of your first-

degree relatives has

been diagnosed with

melanoma.

What can be done to prevent and beat skin cancer?¤e most important way to lower your risk of skin cancer is

to protect yourself from exposure to UV radiation. Practice

sun safety when you are outdoors. Stay in the shade

especially during the hottest part of the day (10 am to

4pm). If you must be outdoors, protect your skin. Keep in

mind that sunlight (and UV rays) can come through clouds,

can reflect o� water, sand, concrete, and snow, and can

reach below water’s surface.

“Slip! Slop! Slap! … and Wrap” is a catch phrase that

reminds people of the four key methods they can use to

protect themselves from UV radiation. Slip on a shirt, slop

on sunscreen, slap on a hat, and wrap on sunglasses to

protect the eyes and sensitive skin around them from UV

light.

Long-sleeved shirts, long pants, or long skirts are the

most protective cover-ups from the sun. Some companies

now make clothing that is light-weight, comfortable and

protects against UV exposure even when wet. Look for a

label listing the UV protection factor (UPF) value.

Use a broad-spectrum sunscreen and lip balm that’s at

least SPF 30 or more on areas of skin exposed to the sun,

especially when the sunlight is the strongest. Put it on

about 20 to 30 minutes before you go outside. Protection is

greatest when sunscreen is used thickly on all sun-exposed

skin. Most sunscreens wash o� when you sweat or swim

and must be reapplied for maximum e�ectiveness.

Some people use sunscreens in order to stay out longer

without getting sunburned. Sunscreen should not be used

to gain extra time in the sun, as you will still end up with

damage to your skin.

Wear a hat with at least a two- to three-inch brim all

around. ¤is is ideal because it protects areas often

exposed to the sun such as the neck, ears, eyes, forehead,

nose and scalp. A baseball cap can protect the front and

the top of the head but not the back of the neck or the ears

where skin cancers commonly develop.

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Skin Cancer Prevention continuedWrap-around sunglasses with at least 99% UV absorption

provide the best protection for the eyes and the skin area

around the eyes. Look for glasses labeled as blocking UVA

and UVB light. Labels that say “UV absorption up to 400

nm” or “Meets ANSI UV Requirements” mean the glasses

block at least 99% of UV says. If there is no label, don’t

assume the sunglasses provide any protection.

Early detection of skin cancer – what to look for?Skin cancer can often be found early – when it’s small,

has not spread, and is easier to treat. Any suspicious spots

or moles should be seen by your primary doctor or a

dermatologist. Don’t hesitate to ask your doctor to look at

areas that may be hard for you to see.

Check your own skin on a regular basis. Learn the

patterns for moles, blemishes, freckles, and other marks

so you notice any changes. Examine all areas, including

your palms and soles, scalp, ears, nails, and your back.

For instructions on how to do a skin self-exam, see the

American Cancer Society’s skin self-exam guide at www.

cancer.org/skinselfexam. Friends and family members can

also help you with these exams, especially in hard to see

areas such as your lower back, scalp, or the back of your

thighs.

Skin cancers can look like a variety of marks on the skin.

Some key warning signs to look out for are new growths,

spots, bumps, or moles that have slowly gotten larger (over

a few months or 1 to 2 years), spots or moles that change

in shape, feel, or color, and sores that don’t heal within 3

months. ¤ese should be checked by a doctor experienced

in recognizing skin cancers.

To get more information on skin cancer visit ¤e American

Cancer Society webpage at www.cancer.org/skin or call

1-800-227-2345 and speak to a cancer center information

specialist.

WellnessWiseSafe Boating Tipstear off card checklist

Captain Jarrid Houston, from Houston’s Guide Service out of South Range, WI reminds us that we can all stay safe and have fun on the water by following a few simple rules:

Always have a U.S. Coast Guard (USCG) approved life jacket for each person onboard.

Check the weather and water conditions before you leave home and again when you arrive to the landing. Changes in the weather can make open water more hazardous.

Stay out of the water if you hear thunder or see lightning.

Tell someone where you‘re going, who is with you, and when you will return.

Check your boat lights to ensure they are working before you launch.

Carry required equipment: fire extinguisher, distress signals, rope, and communication radio device.

Know boating signals such as port/starboard, under power, right away, flag IDs, channel markers.

Have a designated “spotter” to help look out for other boats as well as people in the water. Dress for the water temperature, rather than the air temperature.

Don’t forget food, water, first aid kits, dry clothes, and sunscreen.

Have a designated “watcher” who keeps an eye on all swimmers the whole time they’re in the water.

When swimming in open water, be careful of steep drop-o�s, di´cult to judge distances, and dangerous currents.

Visit dnr.wi.gov/topic/boatsafteytips.html for more information on boat safety.

haywardmemorialhospital.com 11040 N State Rd 77 Hayward, WI 54843 x 715-934-4321 8ashlandmmc.com 1615 Maple Lane Ashland, WI 54806 x 715-685-5500

News Updates

haywardmemorialhospital.com 11040 N State Rd 77 Hayward, WI 54843 x 715-934-4321

DR. PAUL TONKIN JOINS HAYWARD AREA MEMORIAL HOSPITAL

Hayward Area Memorial Hospital is expanding its specialty services to include Urology, which will be led by Paul Tonkin, MD. Dr. Tonkin received his Bachelor’s Degree in Biology from Carleton College in Northfield, Minnesota and earned his medical degree from the University of Minnesota Medical School in

Minneapolis, Minnesota. Dr. Tonkin completed his surgical training in general surgery and urologic surgery at the Medical College of Wisconsin in Milwaukee, Wisconsin, graduating in 2011. Dr. Tonkin is board-certified by the American Board of Urology and holds medical licenses in Wisconsin and Minnesota.

Dr. Tonkin’s medical and surgical practice encompasses the full spectrum of urologic care. His specific areas of clinical interest include kidney stones, enlarged prostate, urinary incontinence, bladder and prostate cancer, vasectomy, and minimally invasive surgery including laser procedures, microscopic surgery and robotic surgery.

“Dr. Tonkin’s vision for Urology Services of HAMH is to provide exceptional urology care, and to partner with patients in order to best meet each individual’s needs,” said Luke Beirl, Hayward Area Memorial Hospital & Water’s Edge Chief Executive O´cer. “He is highly skilled within his specialty, and looks forward to working with primary care providers to focus on the health and wellbeing of patients throughout their lives.”

“¤ere is a clear need for urology services in our region. Often times, patients may have to drive considerable distances to receive immediate access to care. It is our obligation to o�er our community timely access to medical specialties,” said Beirl. “Providing safe and high quality specialty services, close to home, is an area that we will continue to pursue.”

In his free time, Dr. Tonkin enjoys trout and salmon fishing, mountain biking, canoeing, camping, playing hockey and vacationing with his family. He is an avid volunteer and community member. He has served on a leadership board at his children’s elementary school, helped start a large school garden that harvests food served in the school’s cafeteria, served as a Girl Scout “Cookie Mom,” Special Olympics coach and youth mentor.

Dr. Tonkin will begin seeing patients at HAMH in August. He takes a team approach while providing patient care and works with nurse practitioners specializing in urology to improve patient education and to expand availability of services and appointment options for patients. You can schedule your appointment now by calling 715-934-4850.

SAVE THE DATE FOR THE 31ST ANNUAL

Wednesday, August 21, 20199 AM - 2 PMBay Area Civic Center &Bretting Community Center, Ashland

SCREENINGS • SEMINARSHEALTH EXPO • AND MORE

Free Lunch from 11 AM - 1 PM

Proudly sponsored by: Ringenberg Financial Group, Heartland Communications, North Shore Health Care, and Memorial Medical Center.

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News Updates

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EXTRAORDINARY NURSES RECOGNIZED WITH DAISY AWARD

During National Nurses Week, Registered Nurse, Karri LaBarre, was presented with a DAISY Award for Extraordinary nurses at HAMH/WE. At MMC, the award was presented to Registered Nurse, Christine See.

¤is award is part of the DAISY Foundation’s program that honors nurses for the compassionate care they provide to their patients and families every day. ¤e DAISY Award for Extraordinary Nurses has been adopted by over 3,000 healthcare facilities around the world to celebrate nurses for their extraordinary care and compassion.

Karri was nominated for the award by the sister of a patient, who stayed in the Hayward hospital for several days. In the nomination letter Karri

was praised for being “attentive to every detail of the patient’s health and comfort – treating the whole person. Her actions are performed in a professional assured way that eases the patient’s tensions.”

Christine is a nurse at the Behavioral Health Services of MMC inpatient unit and was nominated by a patient who she cared for there. In the nomination letter Christine was recognized for helping a patient laugh and smile. “She

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always listened to me when I needed to talk…she gave me peace”.

MMC Behavioral Health Inpatient Nurse Manager, Aimee Granger, says, “Christine demonstrates excellence in mental health nursing. She is a remarkable role model who displays empathy and compassion for all patients. Christine recognizes that overall health starts with mental health and I’m grateful for the opportunity to highlight the invaluable work that she does.”

“¤e DAISY program is a meaningful way to recognize our nurses and has become an important part of our culture. I am constantly in awe of the work that our nurses do and the lives that they touch,” says Hayward DAISY Committee Chair, Trina Sjostrom. “¤e DAISY Award provides us with an opportunity to pause with the winner and his/her peers and recognize how ‘simple’ nursing actions like caring, listening and acknowledging make a huge impression on our patients and families."

¤e not-for-profit DAISY Foundation is based in Glen Ellen, CA, and was established by family members in memory of J. Patrick Barnes. Patrick died at the age of 33 in late 1999 from complications of Idiopathic ¤rombocytopenic Purpura (ITP), a little known but not uncommon auto-immune disease. ¤e care Patrick and his family received from nurses while he was ill inspired this unique means of thanking nurses for making a profound di�erence in the lives of their patients and their families.

HAMH/WE and MMC present two DAISY awards to extraordinary nurses each year. If you would like to nominate a special nurse please visit our websites to print a nomination form.

Karri LaBarre, RN at HAMH/WE

Christine See, RN at MMC

haywardmemorialhospital.com 11040 N State Rd 77 Hayward, WI 54843 x 715-934-4321 ashlandmmc.com 1615 Maple Lane Ashland, WI 54806 x 715-685-5500

News Updates

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PERINATAL/INFANT/CHILD LOSS SUPPORT GROUP INITIATED AT MMCIn an e�ort to raise awareness and provide some comfort to anyone experiencing the loss of a child, sta� members from the Family Birthplace and the MMC Chaplain have teamed up to develop the Compassionate HEARTS Program at MMC.

¤e program not only o�erssupport to victims of loss, but alsoprovides education and advice to sta� at MMC who are touched by an event as a healthcare professional caring for patients and their families. As part of their continuing education, nurses and providers are given specific tools to cope with the grief and hardships they might encounter due to perinatal, infant or child loss. ¤is extra training is a great example of our mission: To Improve the health and wellness for people of our south shore region of Lake Superior.

Some facts about infant and child loss that perpetuated the development of the Compassionate HEARTS support group:• 15-20% of all clinically recognized pregnancies will end in miscarriage (March of Dimes)

• In 2013, approximately 24,000 stillbirths were reported in the United States (CDC)

• In 2016, there were 3,607 sudden unexpected infant deaths (SUID) in the United States (CDC)

• In 2018, the Ashland area had approximately 1-2 losses per month

¤e Compassionate HEARTS support group meets on the 2nd Tuesday of every month at MMC from 6 - 7 PM. ¤ese meetings o�er coordinated and comprehensive support to families who have experienced loss. ¤ey are open to the community. ¤e group is planning a Community Memorial and Burial Service on Wednesday, October 2, 2019 at Mt. Hope Cemetery in Ashland from 2 - 2:30 PM. For more information call Jenny: 715-685-5335.

Compassionate HEARTSHelping Empty Arms Recover �rough Sharing

Giving Back

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¤e sta� of HAMH/WE and MMC are always willing to take the extra step and

help out wherever we are needed. Below are just a few of the ways we have done

just that. If you know of any events or causes where we can lend a healthy helping hand,

please let us know by calling our Marketing Department at 715-685-5186.

haywardmemorialhospital.com 11040 N State Rd 77 Hayward, WI 54843 x 715-934-4321 ashlandmmc.com 1615 Maple Lane Ashland, WI 54806 x 715-685-5500

Twitter: @ashlandmmc find us on facebook!

WE TAKE PRIDE INSUPPORTING OUR COMMUNITIES

Habitat for Humanity - Hayward

Compassionate HEARTSAwareness Walk - Ashland

Community Suppers - Hayward

Just for Women - Ashland Kids' Day - Hayward

Second Grade Tours - Ashland

Denim Day - Sexual Assault AwarenessHayward

Bad River Youth Health Fair - Ashland

Non-Pro�t Org

US Postage

PAID

LM MAIL

*** ECR WSS ***Postal Customer

1615 Maple LaneAshland, WI 54806