Love Your Heart

Proudly sponsored and presented by Reid Hospital & Health Care Services

M e e t R e i d ’s R o b o - D o c s L e a r n h o w t o s a v e a l i f e

L o v e Yo u r H e a r t H e a l t h F a i rD re s s U p f o r Wo m e n ’s H e a l t h

INSIDE

SAVE A LIFE

YOU CAN

February 2013 | The Palladium-Item

5,500 scans in three years.Hundreds of lives saved!

*Heart scans purchased for $29 must be scheduled by March 29, 2013. Heart scans scheduled after that date will be billed at $49.

Have you had your heart scan yet?Time is running out on the $29 price.

Call today for your appointment at Reid or Whitewater Valley Imaging Center.

Special price ends March 29!*

29$ *

Whitewater ValleyImaging

1475 E. SR 44, Connersville(765) 827-8670

Reid Hospital &Health Care Services

1100 Reid Pkwy., Richmond(765) 983-3358

love your heartLove Your Heart Health Fair

Feb. 74:30 - 7:30 p.m.Lingle Hall, Reid Hospital1100 Reid Parkway, Richmond

Free screenings • Free heart healthy snacks • Meet cardiologists • Lots of giveaways • Door prizes • Red Dress Ball tickets • Schedule your heart scan • AED training • Plus experts from Reid’s Pharmacy, Lab, Cardiac Rehab, Wellness Department, Diabetes & Nutrition Education ...and more!

Zulfiqar Mirza, M.D.Cardiologist, Richmond Cardiology Associates

Cardiology table4:30 - 5:30 p.m.

Jithendra Choudary, M.D. Cardiologist, Richmond Cardiology Associates

Cardiology table: 5:30 - 6:30 p.m.

Presentation: Early Heart Attack Care: 7 - 7:20 p.m.

Full details: ReidHospital.org/LYH

2 • February 6, 2013

February 6, 2013 • 3REID HOSPITAL & HEALTH CARE SERVICES

Did you know...?Over 800 square yards of

fabric are used to transformthe Kuhlman Center to an

upscale ballroom!

It happens to our friends or families far too often. A co-worker collapses at her desk. A student falls mid-game. A grandfather suddenly grabs his chest. When it happens, people freeze – with fear,

in shock. But there is something you can do. Immediate treatment is the key to surviving a sudden cardiac arrest, or heart attack. It starts before the paramedics arrive with CPR (the simple 2-step process of cardiopul-monary resuscitation), and with help from this community, an automated external defibrillator, or AED.

That’s what the Reid Foundation’s Red Dress Ball is all about; to raise awareness about heart disease, particularly in women, and to raise funds to continue to supply AED devices to non-profit and institutional locations throughout our region.

You can save a life, even your own, by reading, un-derstanding and practicing some of the things you’ll learn about in this publication, Love Your Heart, and the related website. Let’s have a frank discussion about heart disease, the risks and resources available in this local community.

But in the typical Reid fashion, we’d like to have a little fun while we talk about this serious subject. So join us at the Red Dress Ball, February 23. The food is terrific, the fashions are awesome, and the music is all about fun. Monies raised from the event help

fund the purchase of more AEDs for the community, helping us “be there” when and where the need is immediate.

Then, let us put the power in

your hands; the power to save the lives of your neighbors, co-workers,

customers or even students.

We’ll show you how really sim-

ple CPR can be, plus teach you how

to use an AED device. What seems so dramatic

on the television medical shows has been broken down

into simple, manageable steps that these AED devices walk you

through, calmly and effectively. You’ll find all of this in Reid’s Love Your Heart.

We thank you for reading and taking the time to learn and, even more so, thank you for your support of this important life-saving effort.

HELPING YOU BUILD A BETTER BUSINESS

Did you know...?796 square yards of fabric are used to transform the Kuhlman Center from a livestock barnto an upscale ballroom!

Love Your Heart is a custom publication created in partnership between

Reid Hosptial & Health Care Services and The Palladium-Item Media Group.

View Love Your Heart online at pal-item.com. Also, beginning mid-February, you can go to ReidLoveYourHeart.org for even more interactive tools to maintain heart health.

Reid Foundation DirectorJASON TROUTWINE

Reid Community Relations DirectorLARRY PRICE

Reid Community Relations SpecialistJUDI WILLET

Palladium-Item Media Group Advertising DirectorCATHLEEN CLINE

Palladium-Item Media Group Online Specialist: BENJAMIN MILLER

Star Press Media Group Custom Publication Coordinator

ELIZABETH MEYER

A message from Reid Hospital Foundation

“You can save a life, even your own, by reading,

understanding and practicing some of the

things you’ll learn about in this publication…”

4 • February 6, 2013 REID HOSPITAL & HEALTH CARE SERVICES

Did you know...?The 2013 Red Dress Ball will

incorporate the American Heart Association’s hands-only CPR

campaign, “Stayin’ Alive.”

Heart attacks have early symptoms that can often be recognized and treated before the heart is severely damaged.

Many people ignore the early signs because they don’t realize that even mild symptoms can be the beginnings of a heart attack. Time is critical. When the early signs are recognized and prompt treatment is given, heart damage can often be prevented or reduced.

Seek immediate help for pain/pressure in the chest, arms, jaw or back and short-ness of breath.

Heart attacks may occur:• When you are resting or asleep• After a sudden increase in physical activity• When you are active outside in the cold• After sudden, severe emotional or physi-cal stress, including an illness

What is a heart attack?A heart attack occurs when blood flow

to a part of your heart is blocked for a long enough time that part of the heart muscle is damaged or dies. Your doctor calls this a myocardial infarction.

Most heart attacks are caused by a

blood clot that blocks one of the coronary arteries, causing the heart to be starved of oxygen and heart cells to die. A hard sub-stance called plaque can build up in the walls of your coronary arteries, leading to a heart attack.

A heart attack is a medical emergency. If you have symptoms of a heart attack, call 911 right away. DO NOT try to drive yourself to the hospital. DO NOT DELAY. You are at greatest risk of sudden death in the early hours of a heart attack.

Early signals to considerShortness of breath when exercising

is normal, but difficulty breathing while

performing normal activities should be investigated.

A burning pain in the chest should not be immediately dismissed as food-relat-ed. If you regularly take over-the-counter antacids, you should discuss it with your doctor.

A crushing or squeezing pain or discomfort may occur in the chest, shoulders, neck and jaw during the onset of the heart attack. Seek immediate at-tention for this type of pain even if the symptoms come and go.

Some patients feel anxiety and fear be-fore a heart attack. This can be an early symptom, especially if combined with other early heart attack symptoms.

Other early heart attack symptoms might include pain that travels down arm(s), nausea, fatigue or a feeling of fullness.

People may also have mild symptoms in their chest, such as pressure, burning, aching or tightness. These symptoms may increase to becoming constant and severe.

Women experience heart attacks differently

People may not think of heart disease as a woman’s disease, yet cardiovas-

cular disease is the leading killer of women over age 25. It kills nearly twice as many women in the U.S. as all types of cancer.

Many people don’t recognize the early signs of heart attack in women because women can have a heart attack without ever feeling the classic symptoms of squeezing chest pain or pain shooting down the arm.

A woman may experience early symp-toms that may include nausea, fatigue, indigestion, anxiety, dizziness, shortness of breath or upper back pressure.

How can you know when you are having a heart attack?

A study by the National Institutes of Health (NIH) showed that fewer than 30% of women reported having chest pain or discomfort prior to their heart attacks, and 43% reported have no chest pain dur-ing any phase of the attack.

Women are more likely than men to experience shortness of breath, nausea/vomiting and back or jaw pain. If you have any of these signs and suspect an attack, call 911 or get to a hospital right away.

Could you be having a HEART ATTACK?

Are you at risk?According to the Centers for Disease Control, the following percentages of Americans are at risk of heart disease because of:Inactivity 39%Obesity 34%High Blood Pressure 31%Cigarette Smoking 21%High Cholesterol 16%Diabetes 10%


Early symptoms in womenWomen often experience physical

symptoms that are new to them up to a month or more before having an actual heart attack.

Unfortunately many women ignore these symptoms because they may not include severe chest pain.

Common symptoms of an impending heart attack include unusual fatigue, sleep disturbances and shortness of breath.

Many women have heart attacks and don’t even know it because they did not experience severe chest pain.

Women are more likely than men to have silent myocardial infarctions, which are heart attacks without any acute symptoms at all.

Many women don’t even know they’ve had a heart attack until a later diagnosis.

Angina (pain or discomfort di-rectly related to heart disease) is often described by men as a pressure-like chest pain that may radiate to the jaw or shoulder. Women may experience angina differently - often as a burning sensation in the back, shoulders, arms or jaw.

Women’s symptoms PRIOR to heart attack

• Unusual fatigue• Sleep disturbance• Shortness of breath• Indigestion• AnxietyWomen’s symptoms are not as

predictable as men’s. Women should recognize the wide range of symptoms that can occur prior to heart attack and contact their doctor immediately if they have any concerns.

Women’s symptoms DURING a heart attack

• Shortness of breath• Weakness• Unusual fatigue• Cold sweat• Dizziness• Chest pain or pressure

If you experience these symptoms, don’t wait - call 911 and get help im-mediately.

Complete Cardiac Care close to homeThe Reid Heart & Vascular Center brings full-service cardiac care to the seven-county area of Indiana and Ohio served by Reid Hospital & Health Care Services. Area heart patients have discovered the quality and personal touch that has set Reid apart for more than a century. The center, on the second floor of Reid Outpatient Care Center in Rich-mond, brings cardiology, vascular surgery, diagnostics, heart surgery and rehab together in one central location for your convenience. Our specialists are also available at satellite locations across the region bringing care close to home.

Locally available procedures include open-heart surgery, catheterizations, angioplasty & stents, cardiac ablation, advanced heart failure tests and treatments. Testing services include calcium CT scans (CT cardiac scoring), electrophysiologic (EP) studies, implant-able cardioverter defibrillators (ICDs) and pacemakers, EKGs and stress tests. For more information, call (765) 983-3255.

Reid HospitalFoundation

What’s this all about?Proceeds from the Red Dress Ball help Reid

Foundation provide AEDs to organizations in the communities we serve.

DID YOU KNOW? Sudden cardiac arrest knows no age limits. A victim’s chances of survival are reduced by 7 to 10 percent with every minute that passes without CPR or defibrillation. Average call-to-shock time in a typical community is 9

minutes. Victims that receive a shock within 3 minutes of collapse have a 74% survival rate.



What is an AED?An Automated External Defibrillator (AED) can be

used by ANYONE to help save a life! AEDs donated by Reid talk you through each lifesaving step when

someone has gone into cardiac arrest.

Leigh Wilkins, Reid Hospital & Health Care Services

Heart disease has a strong genetic link, so it isn’t unusual for Reid Hospital physi-cians to treat two or even three members of the same family. Somewhat unusual is for a Reid heart surgeon to operate on two brothers in the same month. That’s exactly what happened in 2011 with Centerville natives Ron and Mike Moore.

Ron, 47, came to Reid in April 2011 for a Heart CT scan, a 15-minute procedure that uses computed tomography scanning

to identify calcium buildup in the heart’s arteries. Although his test results were not a cause for concern, his symptoms — including shortness of breath and chest pain —were. Additional tests indicated significant blockages in his arteries. Reid cardiothoracic surgeon Dr. John Kuhn performed a quadruple bypass on Ron in April 2011.

Three weeks later, Mike Moore, 51, was at Reid Hospital, accompanying his next door neighbor, Dennis Harrington, for a cardiac testing appointment. Afterward, Reid interventional cardiologist Dr. Zul-

fiqar A. Mirza came into the hallway to tell Mike that Dennis needed bypass surgery. When Mike mentioned that he had been experiencing chest pain for six months, Dr. Mirza urged him to undergo testing as soon as possible. A few days later Mike did, and learned that he, too, needed by-pass surgery. Dr. Kuhn operated on Mike and Dennis the following week.

By the time Mike and Dennis were ready for cardiac rehabilitation therapy, Ron had been in the program for three weeks. But his progress was slow. “I didn’t have any energy or an appetite and

I just felt awful,” says Ron. “Dr. Kuhn really listened to my concerns, and felt like the problem was my medication. He made some adjustments and I started to improve right away.”

The men finished their cardiac rehab last summer and report they are feeling better than they have for a long time. “I’m not a big fan of surgery, but Reid’s heart program is awesome,” says Mike. “Prob-ably one of smartest things the hospital ever did was invest in its heart program. They’ve done a real good job of perfecting it. I wouldn’t go anywhere else.”

Family ties: Brothers undergo bypass

surgery in same month

“Probably one of smartest things the hospital ever did was invest in its heart program. They’ve done a real good job of perfecting it. I

wouldn’t go anywhere else.” – MIKE MOORE

Reid was the first hospital in Indiana to install Sensei, in 2009. Since then, Dr. Han and Dr. Vuy H. Li, both of Richmond Cardiology Associates, have performed about 180 procedures with the technology. “Sensei significantly reduces the procedure time for patients and electrophysiology lab staff,” Dr. Han says. He adds that

the short- and long-term success of using Sensei for a-fib ablation appears to be better when compared to traditional surgical techniques.

Cardiac ablation is not for everyone, and it does not always eliminate symptoms of a-fib or other arrhythmia conditions. That said, Debra Lawson does

have one piece of advice for anyone experiencing severe symptoms of a-fib or other arrhythmia-related conditions. “Talk to your doctor to find out if cardiac ablation could help you,” she says. “Dr. Han gave me my life back, he truly did. I will always be grateful to him for that.”

Reid first to offer high-tech surgery for heart rhythm conditions

Ron Moore, Dr. John Kuhn, Mike Moore


Did you know...?Reid Cakes & Catering

prepares 96 linear feet of food, including hors d’oeuvres,

a buffet and desserts.


An episode of atrial fibrillation can be nothing short of terrifying, causing a per-son’s heart to race or skip beats for a few minutes or even several hours. Known as a-fib, the condition also can cause shortness of breath, exhaustion, dizziness, chest pain and even loss of consciousness or a stroke.

In 2010, Richmond resident Debra Lawson became all too familiar with a-fib. “This condition puts your life on hold because you never know when an episode is going to happen or how bad it will be,” says Lawson, who co-owns a title company in Richmond. “Eventually, I was having one almost daily, and some would last two to three hours. I became a frequent visitor to the ER, and there were many days I just couldn’t function. Hon-estly, I thought that one day a-fib would lead to a stroke and I would die. It was a very scary time.”

Lawson sought help from Dr. Robert Fleming, a cardiologist at Reid Cardiolo-gy Associates, who prescribed medication to control Debra’s irregular heart rhythms.

When those were not effective, he and Lawson agreed it was time to pursue a surgical solution.

Lawson made an appointment with Dr. Xinqiang Han, an electrophysiolo-gist (physician who specializes in diag-nosing and treating irregular heartbeats, or arrhythmias).

Dr. Han felt that Lawson was a good candidate for cardiac ablation using the Sensei X

Robotic Catheter System. This minimally invasive surgical procedure involves inserting catheters (long, flexible tubes) into the blood vessels of the arm, leg or neck and guiding them to the upper cham-bers of the heart. Using three-dimensional imaging, the surgeon identifies the precise location of abnormal heart tissue and then destroys it by applying radiofrequency

energy through the catheters. Sensei’s sophisticated capabilities

provide surgeons with a high level of accuracy and control as they use robotic controls. The technology is used to treat many kinds of arrhythmias, including a-fib, atrial flutter, premature ventricular contraction and supraventricular and ventricular tachycardia.

Lawson underwent cardiac ablation in January 2011 and noticed a difference immediately. “My heart was finally at peace inside my body again,” she says. “I was back to my normal activities within a couple of weeks. And I am happy to say that I haven’t had an episode of a-fib in two years.”

DID YOU KNOW? Time is Muscle: 85% of heart damage occurs within the first 2 hours of a heart attack.

Robotic technology helps bring peace to patient with irregular heart beat

Xinqiang Han

Vuy Li



What does an AED do?AEDs automatically analyze the heart rhythm and

determine if a shock is needed.AEDs shock the heart in an attempt to regulate

the heart to a normal rhythm.

Did you know...?Groove Essential plays from a library of over 400 songs ranging from swing, to 50s,

to today’s hits.

2012 is an important anniversary for women. Ten years ago the U.S. Dept of Health and Human Services along with the Ameri-can Heart Association and other health

organizations joined efforts to increase awareness among women, and the health care community, of women’s heart health issues, and launched the Red Dress symbol, National Wear Red Day and The Heart Truth awareness campaign.

A national dialogue was started that contin-ues in earnest today. Since that time women-focused guidelines for diagnosing and treating heart disease have been established, encouraging the best possible care for women. The HEART for Women Act was passed providing preventa-tive care and substantial changes in reporting methods. Heart disease research conducted today includes more women than previously and pharmaceutical research speaks specifically to how medications interact with others a woman might take.

Locally we’ve been taking an even stronger stand against women’s heart disease since 2009 with the Red Dress Ball, established by the Reid Hospital Foundation, while at the same time rais-ing funds to support the purchase of life-saving equipment. AEDs purchased with proceeds have been placed in our schools and other public places, amongst high risk communities such as convalescent homes and youth organizations, and put in the hands of emergency personnel, provid-ing a layer of prevention not typical in a commu-nity this size.

This year, the Red Dress Ball will take place February 23, returning to an all-dolled-up Kuhl-man Center at the Wayne County Fairgrounds.

As with previ-ous years, the center is transformed from one where you might find an auction or a crafts fair, to one of high style befitting the most elegant ballrooms in the state. A dinner buffet and sumptuous desserts will be served again by Reid’s Catering Services, including 97 feet of gourmet delights.

A few surprises are planned for this evening, as dance music is provided to the popular 8-piece Groove Essential. With an extensive songlist of the latest hits in pop as well as jazz standards, R&B and even, dare we say it, Disco, dancers will find it hard to leave the floor.

“The staff does an excellent job of treating you to a fun and glamorous night out, complete with valet service, great food and party favors,” said Lee Elzemeyer of First Merchants Bank.

While red dresses are not required, dancers find themselves in a sea of red amongst all the local fashionistas. Black tie is also optional.

Tickets to the event can be purchased at Reid Hospital, or online at www.reidredressball.org.

Taking a STand againST HearT diSeaSe


Did you know...?Groove Essential plays from a library of over 400 songs ranging from swing, to 50s,

to today’s hits.

Taking a STand againST HearT diSeaSe


Did you know...?We roll out 2,000 square

feet of red carpet in the lobbyof the Kuhlman Center.

If you have health problems involving your heart or blood vessels, finding the right cardiologist is essential.

Cardiologists are specialists who have completed 10 years or more of medical education and training.

They can help find, treat and prevent diseases of the heart and blood vessels. If you need surgery, they can refer you to a cardiac surgeon, who performs procedures such as angioplasty and valve replacement, or to an electrophysiologist, who can surgi-cally correct arrhythmia-related conditions, such as an irregular heartbeat.

The first step is to make a list of poten-tial candidates. Check with your insur-ance company for a list of cardiologists who work with your plan. Ask friends or family members who are satisfied with their cardiologist for their recommenda-tions. Talk to your primary care physician for the name of someone he or she would suggest.

Once you have a list of potential cardi-ologists, you can either call their offices or

use the Internet to find out:• Where they earned their medical

degree and completed their residency and fellowship.

• Whether they are board certified and licensed to practice medicine in Indiana and Ohio.

• Whether they have been subjected to disciplinary actions for any reason.

• If they have admitting privileges at the hospital of your choice.

• If their office location and hours are convenient for you.

Remember that hospital websites, such as www.ReidHospital.org, can be a helpful resource. These sites often feature physi-cian profiles and information about physi-cian practices.

Next, it’s time to make an appointment with your top choice. During the appoint-ment, you can gather more information:

• Were you in the waiting room for a rea-sonable amount of time?

• Did you feel comfortable with the doc-tor while you talked about your condition?

• Was the doctor respectful and a good listener?

• Did the doctor communicate effec-tively with you?

• Did the doctor spend enough time with you?

Be sure to make the most of each ap-pointment with your cardiologist. Plan ahead by writing down a list of your questions, symptoms, medical history and any medications you are currently taking. Bring a note pad to write down important information.

Consider taking a friend or relative with you to listen and help you remem-ber important details.

Take advantage of tomorrow afternoon’s (Feb. 7, 4:30 to 7:30) Love Your Heart Health Fair at Reid Hospital, to meet and speak to Drs. Zulfiqar Mizra, M.D. and Jithendra Choudary, M.D., both of Rich-mond Cardiology Associates. They will be available to answer questions you may have about heart health, preventative care and local resources.

Choosing a cardiologist who is right for you

There are many things you can do to prevent a heart attack, the first being to educate yourself on your risks. The Love Your Heart Health Fair will provide you that opportunity:

• Risk assessment: Take this simple survey while at the fair, to measure your risk for a heart attack. Health Fair staff will then interpret the survey and provide insights and recommendations that could save your life in the future. They’ll help you determine your BMI (body mass index), look at your nutritional and lifestyle habits and measure your typical physical activity to see how they

all affect your heart health. They can even help you with tips to break the smoking habit.

• Blood glucose analysis: Key to any risk assessment is to know your “numbers,” that is, your cholesterol (LDL and HDL), triglycerides and blood pressure. Staff at the fair will help you as-certain and record your numbers, as well as help you understand their significance and how you can change them.

• Heart and vascular screenings: Make an appointment to slide through the Somatom (it looks like a big, electronic donut) for

a quick and easy heart screen. It takes less than 15 minutes and requires nothing more than for you to lay on a bed and relax. The results are provided to you as well as sent to your physician. You may find a need to take preventative action, or you may find peace of mind, either way the benefit is substantial.

• Meet a cardiologist: Do you have specific questions you’d like to ask a cardiologist. The Health Fair will be your chance to speak with two of Reid’s preeminent doctors. They’re available to talk about heart health, preventative measures, rehab and more.

• So much more: Like any fair, there’s also a lot of fun planned. Healthy snacks and drinks, door prize drawings, and an AED demonstration are just a few of the other features of the fair. And, of course, tickets for the Red Dress Ball will be on sale.

The Team with a HeartReid Cardiologists:

Dr. Henry Chong Dr. Jithendra Choudary

Dr. Rubinder DabDr. Feras El-bash

Dr. Robert Fleming Dr. Jeffrey Haist Dr. Xinqiang Han

Dr. Stephen Hornak Dr. Allen Joseph

Dr. Vuy Li Dr. John McGinty Dr. Zulfiqar Mirza

Dr. Nathan Millikan Dr. Eric Schmidt

Reid Cardiothoracic Surgeons:Dr. E. Paul Howanitz, Chief

Dr. John Kuhn

Reid Cardiac Anesthesiologist:Dr. Matt Stearley

Health fair puts it all within reachLOVE YOUR HEART HEALTH FAIR: FEB. 7 FROM 4:30-7:30 P.M., REID HOSIPITAL LINGLE HALL



What is Reid Foundation’s goal?Reid Foundation is committed to placing 250 AEDs

throughout our community and the region Reid serves. Reid has donated AEDs in six counties.

See the map of locations in this publication.

By Pam Tharp, The Palladium-Item

Reid Hospital & Health Care Ser-vices’ newest cardiologist decided on a medical career soon after his first experience with a serious

injury in high school.A football injury put Dr. Nathan Mil-

likan on the path to becoming a physician. Millikan said he injured his hand during a game and needed screws to repair the damage.

“It devastated me,” Millikan said of the injury. “But in three weeks, I was back playing again. The experience started me thinking about a medical career.”

A graduate of Indiana University and the IU School of Medicine, Millikan said he initially thought he’d become a primary care physician because he enjoys people and the continuity of care a primary care a physician can provide. A residency in internal medicine is responsi-ble for his interest in cardiology, Millikan

said. He did a three-year fellowship in cardiology at the University of Cincin-nati’s College of Medicine.

“I do the diagnostic work, non-invasive testing without cutting,” Millikan said.

Millikan has been married for 23 years and has four children, one at Indiana University, two in high school and one in middle school. The family enjoyed its time in Cincinnati during his fellowship, but was happy to return to Indiana, he said.

Millikan joined Reid’s cardiology de-partment on Dec. 1.The quality of Reid’s heart care staff and the hospital’s cardiol-ogy services are the reasons he chose Reid Hospital, Millikan said. Reid’s Heart and Vascular Center serves a seven-county area in Indiana and Ohio.

“I had a lot of choices where I could have gone. I like the small-town hospital feel of Reid. Everybody works together and that’s really unique,” Millikan said.

The hospital’s 14 cardiologists operate

as a team and the facilities are excellent, Millikan said. Reid’s cardiology staff not only diagnose heart problems, they have the ability to care for whatever services a patient needs, including heart bypass surgery. Having such a facility in a rural area saves lives and improves the quality of life for heart patients, Millikan said.

“Every study shows the longer it takes to get an artery open, the poorer the outcome for the patient. Most (hospitals) can’t get you in the door in 60 minutes, but we work hard here to get that done,” Millikan said. “It’s one-stop shopping for heart care. They have quality intervention-ists and surgeons and you can get it all done right here.”

The month of February focuses on heart health, especially for women. While breast cancer gets a lot of attention, heart disease kills more women, Millikan said. A woman’s chances of dying from heart disease are in one in three, compared to a one in 31 risk of dying from breast cancer,

he said.Heart disease strikes more women than

men, and is more deadly than all forms of cancer combined, according to the Ameri-can Heart Association.

The good news is that heart disease is now more preventable than ever. “We can do so much more now for patients,” Millikan said. “If you treat the risk factors you can lower the risk of heart disease by almost 50 percent.”

Introducing Dr. Nathan Millikan

DID YOU KNOW? Exercise makes your heart stronger. Everyone in normal health should engage in at least moderate physical activity for a minimum of 30 minutes on most--if not all--days of the week.

Check with your doctor if your health is in question.



Who benefits?Nearly everyone! We all spend time in schools,

volunteering at local organizations and experiencing the arts. Many of these locations now have an AED available if you or a loved one are ever in a crisis.


Surviving a heart attack or other cardiac event is traumatic for you and your family emotionally, and

physically, for the muscles and systems related to your heart. Whether you’ve had open-heart surgery, angioplasty or stent pro-cedures, your heart muscle requires appropriate exercise to heal and regain strength. Physical activity is essential to successful recovery after treatment for a heart attack. Reid Heart & Vascular Center cardiac rehabilitation combines physical activity, health education, nutri-tion counseling and hands-on support for patients dealing with heart disease. The program helps you establish a safe level of exercise and encourages you to make healthy choices.

There are numerous benefits of cardiac rehabilitation including increased endur-ance and stamina, a stronger heart muscle, weight control and weight reduction, lowered blood pressure and heart rate, and education and training about making healthy lifestyle choices.

Cardiac rehabilitation can be prescribed for patients who have had heart bypass

sur-gery, angio-plasty or stents, heart attack, valve repair or replace-ment, heart transplant, congestive heart failure, high blood pressure, cholesterol issues, and obesity issues. Rehabilitation can also help patients with diabetes and persons who smoke or have issues related to smoking.

Steps to a healthier heartReid Heart & Vascular Center cardiac

rehabilitation consists of three phases under the

supervision of a team of expert nurses. Each step focuses on individual needs for risk factor education, general and nutrition counseling, support and exer-cise. A referral from

a family physician or cardiologist is necessary

for each phase.

Phase 1 begins while you are still in the hospital recov-

ering from a heart attack, car-diac catheterization or angioplasty.

Sessions include counseling about heart disease and its causes, risk factors

and prevention. You might also receive instruction for home exercise.

Phase 1 - Open heart surgeryCardiac rehabilitation is prescribed

after open heart, bypass or valve surgery. The cardiac rehab team helps you build strength, perform light activity and get the most out of breathing exercises and walk-ing in the room or in the hallway. Coun-seling also helps you know what to do at home and how to watch for problem signs.

Progressing to Phase 2 and 3Phase 2 is the first step in outpatient

rehabilitation. You work with a specially trained nurse to establish goals and a customized exercise plan. Exercise begins slowly and progresses as you get stronger. Phase 3, or maintenance, allows you to continue your supervised exercise program.

The length of this phase is determined by your needs and/or physician recom-mendations. You are encouraged to participate two to three times a week.

Insurance coverageMost insurance carriers and Medicare

cover the monitored Phase 2 cardiac rehabilitation, depending on the diagnosis. Confirm with your carrier coverage for diagnoses of bypass surgery, heart attack, angioplasty and stent implantation, con-gestive heart failure, heart valve surgery, heart transplant and cardiomyopathy.

Love Your Heart Health FairLearn more about Cardiac Rehab at the

Love Your Heart Health Fair, tomorrow (Feb. 7) at Reid Hospital’s Lingle Hall from 4:30 to 7:30. Or call Richmond Car-diology Associates at (765) 962-1337 or (800) 456-3176, or Reid Heart & Vascular Center at (765) 983-3255.

DID YOU KNOW? Being overweight strains your heart. Look for a diet that contains a healthy balance of fruits, vegetables, grains, fish, nuts, legumes, poultry, lean meat and low-fat dairy items. Avoid saturated

fats and trans-fatty acids. Aim for a BMI index of 18.5 to 24.9.

“There are numerous benefits of cardiac rehabilitation including

increased endurance and stamina, a stronger heart muscle, weight control

and weight reduction, lowered blood pressure and heart

rate, and education and training about making

healthy lifestyle choices.”

When its time to re-build a healthier heart


Did you know...?In a cardiac arrest, hands-onlyCPR can be administered by pushing hard and fast in the

center of the chest to the beat of the disco song, Stayin’ Alive.”

• Start by placing the heel of your hand on the center of the chest with fingers splayed. Then place your second hand on top of the first, lacing your fingers together.• Next, keeping your arms straight and your shoulders positioned directly over your hands, push down, hard and fast. Compress the chest at least 2 inches and let it rise completely before pressing down again. You want to compress at a rate of approx. 100 beats per minute. • One way to do this is to imagine or sing the song Stayin Alive from the musical Saturday Night Fever. The tempo is quick and the beat steady. It may also help you to maintain your own calm.• Continue compressions without pause until you see obvious signs of life, an AED arrives and is ready for use or until emergency personnel arrive and take over. If the person comes back to consciousness, do not leave them alone until paramedics arrive and you’ve been able to report what you’ve observed. • Tip: Make sure person is on a flat, firm surface. Expose the person’s chest to remove obstacles such as buttons.

Try hands-only CPR as method for ‘stayin’ alive’

According to the American Red Cross, hands-only CPR is a simple procedure of providing chest compressions to an unconscious teen or adult person experiencing sudden cardiac arrest.

When the person has experienced drowning or an event where their breathing is obstructed, hands-only CPR will not be sufficient. Refer to www.redcross.org for additional instructions.

When a person suffers Sudden Cardiac Arrest, the actions you take can mean the difference between life and death. Take these steps:1. If you find person unconscious, check to confirm they are unrespon-sive and not asleep. Shake, yell and/or pinch (never shake a child).2. Call, or ask someone to call 911

3. Ask someone to go for an AED (See map pg. 15 for AEDs located throughout the community. If you are an employee or regular at one of these locations, know in advance where the AED is kept.).4. Ask for additional help if it is avail-able nearby, such as a school nurse.5. Administer CPR until AED or

paramedics arrive. 6. When AED arrives, open unit, turm on power and follow prompts (learn more on page 14).7. If or when person becomes responsive again, stay with them until emergency personnel arrive. Paramedics will treat and transport patient to hospital.

Act quickly to save a life

Illustrations courtesy of The American Heart Association. Visit AHA.org


National Heart Lung and Blood Institutewww. nhlbi.nih.gov

AEDs (Automated External Defibrillator) are user-friendly devices that untrained bystanders can use to save the life of someone having sudden cardiac arrest.

• Turn on the AED’s power. The device will give you step-by-step instructions. You’ll hear voice prompts and see prompts on a screen.

• Expose the person’s chest. If the person’s chest is wet, dry it. AEDs have sticky pads with sensors called electrodes. Apply the pads to the person’s chest as pictured on the AED’s instructions.

• Place one pad on the right center of the per-son’s chest above the nipple. Place the other pad slightly below the other nipple and to the left of the ribcage. Make sure the sticky pads have good connection with the skin. If the connection isn’t good, the machine may repeat the phrase “check electrodes.” If the person has a lot of chest hair, you may have to trim it. (AEDs usually come with a kit that includes scissors and/or a razor.) If the person is wearing a medication patch that’s in the way, remove it and clean the medicine from the skin before applying the sticky pads.

• Remove metal necklaces and underwire bras. The metal may conduct electricity and cause burns. You can cut the center of the bra and pull it away from the skin.

• Check the person for implanted medical devices, such as a pacemaker or implantable car-dioverter defibrillator. The outline of these devices is visible under the skin on the chest or abdomen, and the person may be wearing a medical alert bracelet. Also check for body piercings.

• Move the defibrillator pads at least 1 inch away from implanted devices or piercings so the electric current can flow freely between the pads.

• Check that the wires from the electrodes are connected to the AED. Make sure no one is touch-ing the person, and then press the AED’s “ana-lyze” button. Stay clear while the machine checks the person’s heart rhythm.

• If a shock is needed, the AED will let you know when to deliver it. Stand clear of the person and make sure others are clear before you push the AED’s “shock” button.

• Start or resume CPR until emergency medical help arrives or until the person begins to move. Stay with the person until medical help arrives, and report all of the information you know about what has happened.

Tips • In the case of use on an infant, the AED may

advise you on a different placement of pads.• Experience an SCA scenario of the Save-A-

Life Simulator at www.heartrescuenow.com.


How can I support this fund?First, attend the Red Dress Ball! Register at

ReidRedDressBall.org. It’s a fun way to help save lives. Can’t attend? Make a donation online at

ReidFoundation.org.

Listen & do: Let AED guide you with verbal prompts

DID YOU KNOW? All 50 states have “good Samaritan” laws that encourage use of AEDs by protecting from liability laypersons that use a defibrillator to respond to a medical emergency.


Police & Fire(Many Mobile)

Schools and Community Influence Centers

© 2013 Google

Did you know...?The Red Dress Ball celebrates women’s heart health. A red dress is encouraged, but not

required.

Location City StateCambridge City Police Dept. Cambridge City INCenterville Police Dept. Centerville INHagerstown Police Dept. Hagerstown INLaurel Police Dept. Laurel INLiberty Police Dept. Liberty INMilton Police Dept. Milton INRichmond Police Dept. Richmond INUnion County Sheriff Dept. Liberty INNew Madison Police Dept. New Madison OHWest Alexandria Police Dept. West Alexandria OHAbington Fire Dept. Abington INBoston Community Fire Dept. Boston INCambridge City Fire Dept. Cambridge City INCenterville Fire Dept. Centerville INDublin Fire Dept. Dublin INEconomy Fire Dept. Economy INGasper Fire Dept. Lakengren OHHagerstown Fire Dept. Hagerstown INLiberty Fire Dept. Liberty INMilton Fire Dept. Milton INWebster Fire Dept. Webster INWilliamsburg Fire Dept. Williamsburg INNorthwest EMS Fire Dept. New Paris OHWest Alexandria Fire Dept. West Alexandria OHWestern Wayne Schools Cambridge City INCenterville-Abington Schools Centerville INNortheastern Wayne Schools Fountain City INNettle Creek Schools Hagerstown INUnion County-College Corner Joint Schools Liberty INUnion School Modoc INMonroe Central Schools Parker City INRichmond Community Schools Richmond INSeton Catholic Schools Richmond INCommunity Christian School Richmond INGalileo Charter School Richmond INRandolph Eastern Schools Union City INRandolph Central Schools Winchester INArcanum Butler Schools Arcanum OHFranklin Monroe Schools Pitsburg OHUnion County-College Corner Joint Schools College Corner OHTri Village Schools New Madison OHMississenewa Valley School Union City OHWestern Wayne Senior Center Cambridge City INCenterville Abington Senior Center Centerville INCenterville Public Library Centerville INCope Environmental Centerville INHagerstown Public Library Hagerstown INUnion County 4-H Liberty INUnion County Courthouse Liberty INUnion County Health Dept. Liberty INUnion County Library Liberty INWayne County Government Richmond INCity of Richmond Richmond INBoys & Girls Club Richmond INTownsend Center Richmond INWernle Youth & Family Treatment Center Richmond INHayes Arboretum Richmond INMorrisson-Reeves Public Library Richmond INRichmond Civic Theater Richmond INRichmond Senior Center Richmond INRock Solid Siloam Clinic Richmond INSunrise, Inc. Richmond INAchieva Resources Richmond INCenterstone Mental Health Richmond NThe Junction West College Corner INWilliamsburg Community Center Williamsburg INCamp Yale Winchester INEaton Public Libraries Eaton OHPreble County Agency on Aging Eaton OHLewisburg Village Lewisburg OHHilltop Equestrian Center West Alexandria OHUpward Basketball at First Baptist Richmond IN

Check the map to see if one is located where you work, or at a place you attend regularly. If so, find out where it can be accessed in case you ever need to use it.

Over 250 AEDS available throughout Region

Winchester

Richmond

Cambridge City

Centerville

Liberty

16 • February 6, 2013

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