PATIENT-DESIGNED · exam, your doctor may be able to diagnose and prescribe treatment or refer you...

ketteringhealth.org 3

Spring 2017

STEERING CLEARKnowing the signs helped Duane prevent a heart attack

PATIENT-DESIGNEDNew center transforms cancer care

Let us take care of you

healthywomen

Kettering | Grandview | Sycamore | Southview | Greene | Fort Hamilton | Soin | Kettering Behavioral

17KHN0002-0257 HC spring cover_v3.indd 3 3/7/17 1:56 PM

Kettering Cancer CenterPavilion on the campus of Kettering Medical Center Sunday, May 7 • 12-4 p.m.

Wellness DayWomen's

We’re celebrating women and all that you do to keep your families, friends and careers thriving!

• Physician Q&As

• Cooking demos

• Health Fair

• Food Trucks

• Family Fun

• Prizes

Register now at ketteringhealth.org/womensday

Bring your family, friends, and co-workers to this special celebration:

• Walk for Women’s Wellness

• Tours of the New Cancer Center

The Walk for Women’s Wellness benefits the Kettering Medical Center Foundation’s Women’s Wellness Fund, which helps underserved women in the Dayton area receive lifesaving breast cancer screenings and services.

SIGN UP FOR THE WALK FOR WOMEN’S WELLNESS and join the fight against breast cancer!

Benefiting the Women’s Wellness Fund

let’sgo

Registration starts at noon • Walk at 2 p.m.


KETTERING HEALTH CONNECTION FOR BETTER LIVING is published quarterly by Kettering Health Network, 3535 Southern Blvd., Kettering, OH 45429, to improve the health literacy of the community and connect readers to health information and services.

CEO Fred Manchur

Marketing Director Cheryl Kennison

Managing Editor Leigh Hall

Art Direction Kelly Long

Photography Lee Ann Yahle and Kettering Health Network Staff

Writing Kettering Health Network Staff

Information in KETTERING HEALTH CONNECTION FOR BETTER LIVING comes from a wide range of medical experts. Models may be used in photos and illustrations. If you have any concerns or questions about specific content that may affect your health, please contact your healthcare provider.

2017 © Kettering Health Network and Coffey Communications, Inc. All rights reserved.

/KetteringHealthNetwork

@KetteringHealth

/KetteringHealth

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Connect with us

4 Could it be allergies? Get relief

5 We’ve got your back

6 Avoid a trip to the ER: Safer cycling, skating, and skateboarding

9 Know the signs of a heart attack

10 Transforming cancer care

14 Join our health events

16 Healthy Women: Time to care for you

17 Is your life in balance?

18 Give your hardworking shoulders some TLC

20 Breathe easier with a lung cancer screening

21 Kick the habit: A few facts to help you quit smoking

22 How to do a foot check

23 Nosh the healthy way with baked veggie chips


6

23

10

20172017SPRING

16

4 ketteringhealth.org

Ask a docQ I’ve never had a problem with allergies, but I spent last spring with

itchy, watery eyes and constant sneezing. Is it possible to develop allergies as an adult?

A Each year, allergies affect nearly 50 million people in the United States alone. They can affect all age groups, and it is not uncommon to

develop allergies as adults. Most adults develop allergies in their 20s and 30s.

An allergy occurs when your body perceives a substance to be harmful and overreacts to it. In Ohio, pollen from trees, flowers, ragweed, and grass—as well as spores from mold—are often the culprits of seasonal allergies. If you deal with allergies that are more than just an inconvenience, you’re not alone. Dayton was ranked as the most challenging city in the Midwest for allergy-sufferers, according to the Asthma and Allergy Foundation of America’s 2016 Regional Rankings.

While people can experience a wide range of allergy symptoms, the most common symptoms include sneezing, coughing, nasal congestion, itchy or runny nose, watery or itchy eyes, itchy throat,

Q&A

Soumya Nadella, MD, is a Kettering Physician Network family medicine doctor at Sycamore Internal Medicine.

ASK AN EXPERT. Do you have a question you’d like a physician expert to address? Email us at [email protected].

wheezing, itchy skin, and hives. Some people only experience mild allergies, but for others, these symptoms can make life miserable.

Seasonal allergies are fairly easy to identify as they occur around the same time every year. Based on your history and physical exam, your doctor may be able to diagnose and prescribe treatment or refer you to an allergist for further evaluation.

A few simple changes may help you control symptoms:

• Keep your windows closed

• Stay indoors when mold and pollen levels are high

• Install an air filter to clean the air

• Use an air conditioner to keep clean air moving

But if avoiding allergens isn’t possible or doesn’t provide relief, other steps may be needed.

Over-the-counter medication, prescription medication, and allergy shots are available to those with more severe allergies. Talk with your primary care physician if you suspect you have allergies.

BREATHE EASIERCall 1-855-870-9749 to schedule an appointment with a Kettering Physician Network provider.


If you have back or neck pain, you know it can affect everything you do.

Pain can be caused by injury, a result of aging, or can be triggered by simple activities such as lifting or reaching. And because the back is complex, pain can be related to the bones, muscles, tendons, ligaments, or nerves. Pressure on the spinal nerves and spinal cord can also cause weakness in the arms or legs.

Evaluation by a spine specialist is crucial to pinpointing the underlying cause of symptoms.

Back pain is often first treated with nonsurgical methods such as physical therapy, exercise, and medication. Surgery may be offered when a structural reason for the symptoms is identified and function does not improve with nonsurgical treatments.

“I often see patients who are in their 50s and 60s with back pain due to wear and tear of the spine,” says Kettering Physician Network neurosurgeon and minimally invasive spine surgeon Kamal Woods, MD. “Often, they have lost the cushion between their vertebrae or have

pinched nerves due to a bulging disc or bone spurs.”

Tiny incision, big benefits For some of these patients, surgery through a less-than-1-inch incision may be all that it takes to fix the problem once and for all. “Such procedures are less invasive and less disruptive to normal body structures,” he says.

Kamal Woods, MD

“That means faster recovery for patients, and patients can often go home the same day. Ultimately, we aim to get patients back to normal life as quickly as possible.”

Discussing all surgical options—including minimally invasive procedures—with your doctor is an important step in understanding what is right for you. Schedule an appointment with a neurosurgeon or orthopedic spine surgeon, who will assess your condition and discuss personalized treatment options.

Sources: American Academy of Orthopaedic Surgeons; National Institutes of Health

LIVING WITH PAIN?

WE’VE GOT YOUR

BACK TO HEALTHCall the Brain and Spine Center for more information or to make an appointment: 1-844-715-7508.

In a 3-month period, more than

experience at least 1 day of back pain.ONE-FOURTH OF U.S. ADULTS

Back PAIN

With spring in full swing, warmer weather is on the way. That means you’re probably heading outside with your friends and family to spend time bicycling, in-line skating, or skateboarding. But before you head outside, make sure you take a few safety precautions to avoid common problems that could land you in the Emergency Department.

“Each year we see injuries associated with biking, Rollerblading, and skateboarding that include head injuries, collar

bone and wrist fractures, and major scrapes—or ‘road rash’—due to accidents on pavement,” says Nancy Pook, MD, medical director

Nancy Pook, MD

of the Emergency Department at Kettering Medical Center. “Risk of injury increases at accelerated speed, on inclines, and near traffic, so it’s important to know how to stay safe while having fun.”

Before you head out the door, you can take steps to reduce your risk of injury. Follow these tips to stay out of harm’s way and avoid having an emergency:

Wear a properly fitted helmet

Helmets reduce the risk of serious, long-term head and brain injuries in the event of a crash or accident. No matter which activity you enjoy, helmets are a must and should be worn regardless of age. That means always wearing a properly fitted helmet—even if you only plan on riding for a few minutes or a short distance. Helmets for biking, in-line skating, and skateboarding are all made differently, so get the right one for your activity.

Helmets should be age-appropriate, well-maintained, and worn consistently and correctly. Most helmets are designed to withstand minor bumps or scrapes, but once

PROTECT YOURSELF

Biking, boarding & blading

O N W H E E L S ?

Go for a safe, scenic ride. Southwest Ohio has a long network of paved trails. Click on “Bike Trails” at miamivalleytrails.org and start exploring!


I’m THEREEmergency CARE

it’s been through a hard hit or becomes cracked, it’s time for a new one. Look for one approved by the U.S. Consumer Product Safety Commission (CPSC).

Gear up in style and the right size

Make sure equipment fits and is the right size for you or your kids.

• Sit on the seat of your bike and grasp the handlebars. If the balls of both feet aren’t touching the ground, the bike is too big.

• In-line skates should be fitted. They should fit snuggly without reducing circulation or cramping the toes. Blades that don’t fit right can lead to sore feet, blistering, and unstable blading—especially if they’re too big.

• Skateboards come in various widths and lengths, so get a board that’s right for your size and experience level.

Check that everything works

Inspect your equipment before every ride.

• Check your skateboard for loose, cracked, or broken parts; sharp edges; or a slippery surface. All are signs that your board needs a repair.

• Check that tires are properly inflated and that the brakes and gears work on your bicycle. Remember, smaller hands and muscles may not have the strength for hand brakes, so foot brakes are a must-have for young kids. If you ride on the road, your bike should have a headlight and taillight that are visible from 500 feet away. If you don’t have lights, get reflectors that are visible from the front, rear, and sides.

• In-line skates should be checked to ensure the wheels and brakes aren’t worn down and that no debris is blocking the wheels. Wheels should roll smoothly, without catching, and should not have cracks.

Always dress for success

• Wear closed-toe shoes. Proper athletic shoes are important, especially for skateboarding. Never wear flip-flops while riding a bike or skateboarding.

• Wear brightly colored, fluorescent, or reflective clothes that motorists can easily spot if you plan to ride your bike or in-line skate near traffic.

In addition to a helmet, “wrist, elbow, and knee pads are essential

• Uncontrolled bleeding • Head injury or

broken bones• Severe pain

• Severe allergic reactions• Difficulty breathing • Persistent chest pain or

pressure

• Fainting or loss of consciousness

• Sudden slurred speech, visual changes, or weakness

for activities like skateboarding and Rollerblading,” where there is a greater potential for high speeds and loss of balance, says Dr. Pook.

Sources: American Academy of Orthopaedic Surgeons; American Academy of Pediatrics; Centers for Disease Control and Prevention; National Highway Traffic Safety Administration; Safe Kids Worldwide; U.S. Department of Health and Human Services

Is it an emergency?Symptoms that generally indicate an emergency include:

Call 911 if you or someone else needs immediate care.

Join us for these upcoming events:

Pediatric Summer SafetyWith summer right around the corner, learn from our experts on how to make sure you and your children have a safe and fun holiday.

Springboro Health CenterMay 16, 11:30 a.m.–1:00 p.m.

Safety FairA free event with family fun and presentations about emergency prevention.

Sycamore Medical CenterJune 11, 2–4 p.m.

Register for these events at ketteringhealth.org/emergency

Quality care in your area


→


Access lifesaving heart care at one of 10 Kettering Health Network Emergency Centers.

Kettering Grandview

Sycamore Southview

Soin Fort Hamilton

Greene Huber

Franklin Preble

Quality care in your area

For motorcyclist Duane Cartmell, recognizing signs is

vital, and following the rules of the road keeps him

safe. So when Duane started noticing another kind of signal, he knew he needed to pay attention.

He began experiencing fatigue, feeling exhausted after just a few hours of work each day. Then he developed indigestion. “Eventually, I was taking medication three times a day, and nothing helped,” he says. In fact, it kept getting worse.

Duane woke up one day with pain in his left shoulder, and he knew he should be concerned. “We went to the Emergency Department at Kettering Medical Center, but the initial tests showed that everything was fine. My doctor asked me

STEERING CLEAR OF A

Duane Cartmell saw the signs and

got help

HEART ATTACK

signs, you need to see your doctor. I had put it off for a while. If I had put it off one more day, I wouldn’t be here. Now that I’ve had treatment, I feel like I got my life back.”

if I had a family history of heart attack. Sure enough, everyone in my family had had one. My dad died of a heart attack. So they did another test.”

That’s when doctors found a 90 percent blockage in his heart.

“When they told me, I was relieved because the people at Kettering could help me. I go to Kettering because of the compassion of the staff, and I know I’ll get the best treatment,” Duane says. “In the ER, they were caring, and they treated me like I was the only person there. The doctors went the extra step by finding out about all of my family history and running the right tests. That made all the difference to me.”

When Duane began to have chest pain in the hospital—the onset of a heart attack—he was able to get treatment right away. “If I had just ignored the pain or not gone to the hospital, I wouldn’t be here today.”

Duane’s message to others is simple: “When you start to notice

KNOW YOUR RISKA 30-minute heart screening could save your life and prevent a heart attack. Call 1-888-681-5610 to learn more.

I’m THEREHeart CARE

CALL 911 IF YOU’RE HAVING SYMPTOMS OF A HEART ATTACK.

All symptoms can apply to both women and men. You can have one or all.Sources: American Heart Association; National Institutes of Health

BODY: breaking out in a cold sweat; fatigue or weakness

CHEST: pain or discomfort

SHOULDERS OR ARMS: pain or discomfort in one or both

HEART ATTACK!Know the symptoms

STOMACH: pain or discomfort; nausea; vomiting

LUNGS: shortness of breath; coughing


A heart attack happens when blood flow to a

section of heart muscle is abruptly blocked. If blood flow isn’t restored quickly, the affected muscle begins to die.

Acting immediately can prevent or limit damage to the muscle—and save your life. That’s why it’s crucial to get immediate emergency care if you’re having symptoms of a heart attack.

Even if you’re not sure it’s a heart attack, have it checked out. Fast action could save your life.

The most common ones are:

• CHEST PAIN. Most heart attacks involve discomfort in the center of the chest that lasts more than a few minutes or that goes away and comes back. It can feel like uncomfortable pressure, squeezing, fullness, or pain.

• UPPER-BODY DISCOMFORT. Symptoms can include pain or discomfort in one or both arms, the back, neck, jaw, or stomach.

• SHORTNESS OF BREATH with or without chest discomfort.

Other signs of a heart attack include feeling unusually tired for no reason and feeling sick to your stomach and vomiting.

Never wait and wonder Call 911 if you’re having symptoms of a heart attack. Don’t wait in the hope you’ll soon feel better.

Don’t drive yourself to the hospital. Emergency medical services personnel can start lifesaving treatments right away.

Source: American Heart Association

Take heart attack symptoms seriously

BACK: pain or discomfort

NECK OR JAW: pain or discomfort

HEAD: light-headedness or dizziness

Heart CARE


To transform the way cancer care is delivered, Kettering Health Network listened to the experts: ordinary people who have gone through the extraordinary journey of a cancer diagnosis.

A 30-member council, made up of cancer patients, survivors, family members, and physicians, gave Kettering Health Network input on the new Kettering Cancer Center, which opened in December. Designed by patients for patients, the center delivers comprehensive cancer care at every stage of a patient’s journey, from diagnosis through treatment.

OF CANCER CARE

WELCOME TO THE

A cancer team in one place More than 30 collaborating cancer physician specialists work together on-site. Our specialty

outpatient pharmacy is dedicated to cancer medications and ensures that patients leave with the medications they need to combat their disease.

I’m THERECancer CARE


Providing comfort The Grandview Infusion Center is the area’s largest cancer infusion treatment center, with 46 infusion bays, including a combination of private and semiprivate infusion rooms. Massage therapy is available for patients undergoing treatment.

The best technology With the most advanced diagnostic and radiation technology, our oncologists have the capability to provide precise and accurate treatment for a wide range of cancers.

Café of Hope Boulevard Bistro: A Café of Hope features food created specifically for cancer patients, including nutrient-enriched smoothies.

Care with dignity The Renew Boutique and Spa offers a variety of specialty items and services, including bras, breast forms, wigs, headwear, and specialty skin care products.

Located in the Pavilion on Kettering Medical Center’s campus, this full-service facility is intended to provide the most advanced patient-centered care in an environment that focuses on healing the whole person—body, mind, and spirit.

“NOTHING PREPARES YOU TO HEAR THE WORDS, ‘YOU HAVE CANCER.’ BUT KETTERING CANCER

CARE GIVES YOU HOPE.”

—CRISWELL DAVIS, ADVISORY COUNCIL MEMBER

WE LISTENHave questions about cancer care? Call 1-877-952-6778.


For the COMMUNITY

2017APRIL, MAY, JUNE

CANCER CAREMen’s CancerLearn about the signs, symptoms, and treatments of cancers that primarily affect men. Hear from Jorge Arzola, MD, and E. Ronald Hale, MD, about advances in cancer care.

Kettering Medical CenterApril 26, 5:30–7:00 p.m.

HEART HEALTHHeart DiseaseA heart screening could save your life. Learn about the signs and symptoms of heart disease from cardiologist Thomas Ruff, MD.

Soin Medical CenterApril 11, 5:30–7:00 p.m.

Diabetes and Heart HealthLearn how diabetes affects heart health and what you can do to live well with diabetes from our expert physicians Prasanth Lingam, MD, and Baker Machhadieh, MD.

Fort Hamilton HospitalApril 25, 5:30–7:00 p.m.

NEURO CAREHeadachesLearn about causes and treatments for chronic headaches with Megan Mackenzie, DO.

Southview Medical CenterApril 19, 5:30–7:00 p.m.

Stroke CareAct FAST: Knowing the signs and symptoms of stroke is vital to beating a stroke. Presented by neurologist Kenneth Pugar, DO.

Greene Memorial HospitalMay 18, 11:30 a.m.– 1:00 p.m.

Spine PainGet relief from back pain. Learn about treatment options from neurospine expert Kamal Woods, MD.

Kettering Medical CenterMay 24, 5:30–7:00 p.m.

ORTHOPEDIC CAREShoulder and Joint PainDo you experience pain or stiffness in your shoulder? Learn about treatment options from orthopedic specialist Wayne Woodard, MD.

Greene Memorial Hospital April 27, 5:30–7:00 p.m.

Shoulder and Ankle PainDo you experience pain or stiffness in your ankles or shoulders? Learn about treatment options from orthopedic specialists Philip Stickney, DO, and Joseph Scheidler, DO.

Fort HamiltonMay 11, 5:30–7:00 p.m.

Shoulder PainDo you experience pain or stiffness in your shoulder? Learn about treatment options from orthopedic specialist Nathan Melton, DO.

Southview Medical CenterMay 17, 11:30 a.m.– 1:00 p.m.

Joints/Total Knee Replacement Do you have pain or stiffness in your knees and joints? Learn about treatment options from orthopedic specialists Aram Donigian, MD, and David Buck, MD.

Soin Medical CenterJune 1, 5:30–7:00 p.m.

Platelet-Rich Plasma TherapyDo you experience joint pain due to cartilage or tendon damage? Learn about a new treatment option called Platelet-Rich Plasma Therapy (PRP) from orthopedic experts.

Grandview Medical CenterPresented by John Urse, DO June 13, 11:30 a.m.–1:00 p.m.

Englewood Health CenterPresented by Atiba Jackson, MD June 14, 5:30–7:00 p.m.

Knee ReplacementDo you experience pain or stiffness in your knees? Learn about treatment options from our orthopedic specialist, Kenneth Pohl, MD.

Moraine Country ClubJune 21, 5:30–7:00 p.m.

Meet our expert physicians and get your health questions answered. All presentations include a mini health fair and lunch or appetizers.

Register online at ketteringhealth.org/healthcalendar or call PHYSICIAN LECTURES

Meet our expert physicians and get your health questions answered.


YOURCALENDARHEALTH

Join US

Spine PainGet relief from back pain. Learn about treatment options from orthopedic spine expert Philip Stickney, DO.

Fitton Center, HamiltonJune 28, 5:30–7:00 p.m.

SURGERYWound TreatmentsDo you have a wound that has taken longer than four weeks to heal? Learn about treatment options.

Soin Medical CenterPresented by Brian Ondulick, DO, and Louis Pilati, MD April 6, 11:30 a.m.–1:00 p.m.

Greene Memorial HospitalPresented by David Deutsch, MD, and Louis Pilati, MD April 20, 11:30 a.m.–1:00 p.m.

Hernia CareKettering Health Network’s Hernia Center specializes in state-of-the-art treatment of simple and complex hernias. Learn from specialist Christopher Schneider, MD, about hernia treatment options to help you find relief and live your life again.

Kettering Medical CenterApril 12, 5:30–7:00 p.m.

Soin Medical CenterMay 3, 5:30–7:00 p.m.

Medications Learn how to work well with your primary care physician, especially when it comes to

1-844-883-3420.

medication management. Primary care physician Ryan Foster, MD, and pharmacist Don Groff will answer your questions and more.

Englewood Health CenterApril 27, 5:30–7:00 p.m.

Pediatric Summer SafetyWith summer right around the corner, learn from our experts on how to make sure you and your children have a safe and fun holiday.

Springboro Health CenterMay 16, 11:30 a.m.–1:00 p.m.

Senior CareWhether you are caring for a loved one at a senior care or hospice facility, or find yourself in their care, this seminar will help you better interact with the facility’s physician and with your primary care physician.

Greene Memorial HospitalJune 15, 11:30 a.m.–1:00 p.m.

WEIGHT LOSSFree SeminarsFree weight-loss management and surgery seminars are ongoing. For details and dates, visit ketteringhealth.org/weightloss or call (937) 433-5957.

Nonsurgical OptionsFree, monthly seminar about nonsurgical weight management promotes sustainable weight loss with support from professional registered dietitians with the Joslin Diabetes Center. Call for locations and registration. (937) 401-7588.

WOMEN’S HEALTHHysterectomy OptionsDid you know one-third of women will have a hysterectomy by the age of 60? Learn about minimally invasive, single-site

hysterectomy options from women’s health physicians Michael Clark, MD, and Steven Crawford, MD.

Soin Medical CenterMay 4, 11:30 a.m.–1:00 p.m.

Fertility ChallengesKnow your fertility options. Did you know 1 in 8 couples face fertility challenges? Join our fertility specialist Joseph Karnitis, MD, to learn about treatments and help available.

Kettering Medical CenterJune 14, 5:30–7:00 p.m.

Comprehensive Women’s HealthDo you have questions about women’s health? Our panel of physician experts will answer your questions on maternity, breast health, HPV, and more.

Soin Medical CenterJune 20, 5:30–7:00 p.m.

Pelvic HealthHalf of all women are not talking to their doctor about health issues occurring below the waist. Join us to talk about pelvic health issues and get answers to your questions. Learn about lasting solutions to managing incontinence and menopause so that you can get back to being you.

Southview Medical Center June 29, 5:30–7:00 p.m.

14 ketteringhealth.org14 ketteringhealth.org

YOURCALENDARHEALTHFor more information and pre-registration, call 1-844-883-3420 unless otherwise noted.

For the COMMUNITY

Leader Training: Powerful Tools for Caregivers Powerful Tools for Caregivers (PTC) is a national program sustained by extensive collaborations with community-based organizations. PTC is a train-the-trainer model program with a detailed, scripted curriculum. If you would like to offer the six-week class for caregivers in your community, register for a two-day training session. Call for pricing.

Soin Medical Center June 27 and 28, 8 a.m.–5 p.m.

CAREGIVING

Basics of Alzheimer’s DiseaseThe Alzheimer’s Association– Miami Valley Chapter presents this free seminar. Learn about the disease and other types of dementia. Registration required.

Kettering Medical Center April 25, 8–9 a.m.

Powerful Tools for CaregiversPowerful Tools for Caregivers (PTC) is a six-week educational workshop for people who are taking care of a family member or friend. PTC is an evidence-based curriculum designed to support the family caregiver and improve his or her well-being. Free. Call for dates and locations.

DIABETES

Blood Sugar (A1C) ScreeningAn A1C screening shows your average blood sugar numbers for the last three months and can help diagnose diabetes. If you have diabetes, the screening reflects how well you’re managing your blood sugar. $10. Call for an appointment.

Charles Lathrem Senior Center, KetteringMay 2, 11 a.m.–1 p.m.

Diabetes Support Group This free, monthly support group promotes education and provides support for people with diabetes, their families, and friends. For more information, call 1-888-725-1897.

Joslin Diabetes Center at Southview Medical Center April 10, May 8, June 12, July 10, 5:30–6:30 p.m.

EXERCISE & FITNESS

Dartfish Use video motion analysis software to analyze your gait pattern or other sport-specific motions and prevent future injury and improve sports performance.

Kettering Sports Medicine

Fall Risk Assessment More than one-third of adults age 65 and older fall each year. These falls can result in serious injury. This screening determines your fall risk. $5–$8. Registration required.

Southview Medical Center campusApril 21

Performance Positive Performance Positive offers athletes and runners of all skill levels a six-week program to focus on strength, flexibility, agility, injury prevention, and running form. This small group, six-week program includes circuit training, core strengthening, overall strength conditioning, and personalized nutrition analysis. $80. Call 1-855-583-9991.


Sports Acceleration Sports Acceleration is a training program uniquely designed for individual athletes age 10 and older to target specific training needs and goals, including speed, agility, power, and strength. For more information about program schedules, call 1-855-583-9991.



For more information and pre-registration, call 1-844-883-3420 unless otherwise noted.

MORE ONLINEVisit us at ketteringhealth.org to see the full Health Calendar2017APRIL, MAY, JUNE, JULY

Join US

Therapy to Fitness Interested in fitness, proper lifting technique, and age- appropriate exercise? This individualized fitness program provides 60 minutes of one-on-one instruction to work toward your specific goals or on overall fitness, including cardiovascular fitness, flexibility, and strength. $35. For more information, call 1-855-583-9991.


YogaThis class is a gentle, therapeutic approach to yoga, which encourages relaxation to relieve stress and ease pain while also increasing strength, flexibility, and mobility. $40–$45. Call 1-855-472-0134 to register.

Sycamore Medical CenterMay 8–June 29, 6–7 p.m.July 10–Aug. 10, 6–7 p.m.

HEART & STROKE

10-Minute Heart CheckThis free check includes blood pressure, heart rate, oxygen saturation, and body mass index.

Charles Lathrem Senior Center, KetteringJune 6, 11 a.m.–1 p.m.

Healthy Heart Risk-Reduction ClassFree class helps you understand how heart disease occurs and learn lifestyle strategies for optimal heart health. Call 1-855-472-0134 for class dates.

Healthy Heart Screenings Know your cholesterol levels, blood sugar, and personal risk factors for heart disease with a few quick tests. Includes a personal heart-health plan. $25 ($40 with optional EKG). Call 1-855-472-0134.

Advanced Heart ScreenOur most complete evaluation offered in a two-visit program. Testing, results, and education help you understand your risk for heart disease. $399. Call 1-855-472-0134.

Kettering Medical CenterApril 4, 7, 11; May 9, 12, 16;June 2, 6, 13; July 7, 11

Blood PressureScreeningsKnow your numbers! No appointment needed—just walk in! Free.

Charles Lathrem Senior Center, KetteringApril 4, May 2, 11 a.m.–1 p.m.

Miamisburg Senior Center, MiamisburgApril 21, May 19, June 16, July 21, 11:30 a.m.–1:00 p.m.

Town & Country ShoppingCenter, KetteringApril 24, May 22, June 26, July 24, 9–11 a.m.

Healthy Arteries ScreeningLearn your artery age and stroke risk with a noninvasive ultrasound. This screening is for ages 40 or older and for younger participants who have a family history of heart disease, abnormal cholesterol, or diabetes. $60–$139. Call 1-855-472-0134 to make an appointment.

Lace up your walking shoes, and come take a walk with a Kettering Health Network physician. Every month, get all your medical questions answered in a fun and personal setting while getting some exercise! Health Strides is a partnership between Kettering Health Network and St. Leonard CHI Living Communities.

May 7, June 4, July 2, 2 p.m.

For walk locations and registration, visit healthstridesdayton.org

Health Strides Getting healthy one step at a time


NUTRITION

Metabolic EfficiencyDetermine how many calories your body burns and create a personalized plan to balance calories from food intake with calories used during physical activity. $150. Call 1-855-583-9991.


Nutrition ConsultationsExperts offer individual consultations and food coaching for all ages to help you fit healthier foods into a busy lifestyle, recover from illness, optimize athletic performance, or manage a chronic disease. Call 1-855-646-0365.


Care for

W O M E N MAKE APPROXIMATELY

Source: Healthgrades

of family health care choices

80%

85% OF WOMEN SELECT THEIR CHILD’S DOCTOR

84% of children are taken to their appointments by women

Career plans, car pools, and chore charts. Women are the primary coordinators of their lives—as well as their family’s lives—and all of that scheduling, juggling, and day-to-day living goes much more smoothly if you and your crew are healthy.

You are our priority Kettering Health Network is making a commitment to women. We’ve designed the Healthy Women program to educate and empower women in health and well-being.

Healthy Women events are offered throughout the region to connect women to resources to help them and their families live their best lives.

Events provide an opportunity for women to gather, learn, share in their health and wellness journeys, and celebrate one another.

Part of your community With 8 hospitals, physicians offering services at more than 155 locations, and a renowned medical college, the network provides women across the region access to entire teams committed to disease prevention, obstetrics, gynecology, breast health, fertility, pelvic disorders, weight-loss solutions, and more.


WOMEN’S HEALTH

you

At Kettering Health Network, we see you as a whole person—not just the symptoms you are currently experiencing. We value mind, body, and spirit and know that all play a role in achieving your best health.

How balanced is your life? Take this quiz to find out.

{ Mind }I can recognize and process my feelings. (A) Always (B) Often (C) Sometimes (D) Rarely (E) Never

I invest time in reflection and self-improvement.(A) Always (B) Often (C) Sometimes (D) Rarely (E) Never

I can manage stressors in my life and ask for help when I need it. (A) Always (B) Often (C) Sometimes (D) Rarely (E) Never

I love and accept myself for who I am.(A) Always (B) Often (C) Sometimes (D) Rarely (E) Never

{ Body }I make healthy, balanced eating choices.(A) Always (B) Often (C) Sometimes (D) Rarely (E) Never

I get 7 to 9 hours of sleep per night.(A) Always (B) Often (C) Sometimes (D) Rarely (E) Never

I am active (spend either 60 minutes a day engaged in light activity, 30 minutes a day in moderate activity, or 20 to 30 minutes a day in vigorous activity).

(A) Always (B) Often (C) Sometimes (D) Rarely (E) Never

I self-monitor for early signs of illness and address them.(A) Always (B) Often (C) Sometimes (D) Rarely (E) Never

{ Spirit }I am content and peaceful in my life.(A) Always (B) Often (C) Sometimes (D) Rarely (E) Never

I engage in religious or spiritual practices that contribute to my well-being.(A) Always (B) Often (C) Sometimes (D) Rarely (E) Never

I believe my life has purpose and direction.(A) Always (B) Often (C) Sometimes (D) Rarely (E) Never

I experience joy, love, and fulfillment in my life.(A) Always (B) Often (C) Sometimes (D) Rarely (E) Never

TOTAL YOUR RESPONSES:

(A) (B) (C) (D) (E)

Mostly A and B: GREAT BALANCEKeep up the good work! You are making choices that positively impact your health.

Mostly C: OPPORTUNITY FOR MODERATE IMPROVEMENTYou are on the right track. You are taking actions to achieve a healthier you.

Mostly D and E: AREAS TO IMPROVEYou can do it! You have the power to take the necessary steps to living your best life. Make a commitment to focus on these items to better your health.

Whether you’re well-balanced or have areas to improve, Healthy Women events can help you achieve and maintain a healthy lifestyle.

What’s your score?

JOIN US FOR THESE UPCOMING EVENTS:

Women’s Wellness DayThis celebration includes cooking demos, a health fair, family fun, and the Walk for Women’s Wellness. See more on page 2.

Kettering Cancer Center Pavilion, May 7, 1 p.m.

Baby FairA free event featuring all things baby for those who are expecting or planning-to-expect!

Southview Medical Center June 4, 2–4 p.m.

Know Your Fertility OptionsJoin reproductive endocrinologist and OB/GYN Joe Karnitis, MD, for a free seminar providing an overview of common fertility issues and treatment options.

Kettering Medical Center June 14, 5:30–7:00 p.m.

BE THE FIRST TO KNOWJoin Healthy Women to receive priority notification of upcoming events, seminars, and opportunities! Visit us at ketteringhealth.org/womenshealth


Take the quiz!


I’m THEREOrthopedic CARE

Your shoulders help you accomplish countless tasks every day. Whether you’re driving the car, hitting the gym, carrying groceries, or hugging a friend, your shoulders play an important role in daily living.

A ball and socket joint, your shoulder can move up, down, side-to-side, and rotate in a circle. Healthy shoulders allow for a wide range of motion and mobility, but that mobility also makes it vulnerable to injury.

Causes and conditions Repetitive overuse and aging can take a toll on a shoulder. Sometimes the tendons and structures that cushion your shoulder become inflamed or irritated.

If you have a painful injury that limits motion, the joint can become tight over time. This makes normal movement increasingly difficult. When you have stiffness and pain that limits your range of motion, this is called a frozen shoulder.

If you begin to experience any of these symptoms, your doctor can evaluate your condition so that you receive proper care.

When is it time for a joint replacement?

SHOULDER

LT C

SHOULDERS PLAY AN IMPORTANT ROLE IN DAILY LIVING.


Could shoulder replacement surgery be right for you? Does your shoulder pain ever keep you awake at night?

Do you feel like your pain prevents you from participating in routine activities, such as visiting friends or going shopping?

Have you tried other treatments without acceptable relief?

If you answered “Yes” to any of these questions, you may be a candidate for surgery. Talk with your doctor about treatment options that can work for you.

Orthopedic CARE

LEARN MORE ABOUT JOINT REPLACEMENT. SEE OUR ORTHOPEDIC CARE SEMINARS ON PAGE 12.

The shoulder joint is made up of three bones held in place by muscles, tendons, and ligaments.

Treatment options Some shoulder pain can be treated with physical therapy, activity modification, and injections to help decrease pain and regain motion and strength. When these treatments cannot provide the desired result, surgery may be recommended.

ATTEND A FREE SEMINARJoin Wayne Woodard, MD, for a free Health Night Out at Greene Memorial Hospital on April 27. To register, call 1-888-726-2372 or visit ketteringhealth.org/ortho

“Shoulder joint replacement surgery is generally recommended for severe rotator cuff injuries, with or without wear-and-tear arthritis of the shoulder joint,” says Kettering Physician Network orthopedic surgeon Wayne Woodard, MD. “Your doctor will evaluate your condition to see if replacement surgery will be a safe and effective treatment.”

SHOULDERS PLAY AN IMPORTANT ROLE IN DAILY LIVING.


Dashing up the stairs or sprinting to the car can leave many

of us out of breath. And while it can usually be explained away by activity or a minor illness, chronic shortness of breath could be a sign of something more serious: lung cancer.

Because the symptoms can take years to develop, most lung cancer is found at a late stage, when treatment options have limited success. But there is good news: Doctors now have a screening test that can catch lung cancer early. It’s called low-dose computed tomography (LDCT).

LDCT produces cross-sectional images of the entire chest, including the lungs, using special x-ray equipment and sophisticated computers. These images enable doctors to detect very small growths in the lung.

What are the benefits of screenings? The biggest benefit is that it can find lung cancer in its beginning stages, which helps lower the risk of dying from the disease. Early diagnosis also means that doctors can often use minimally invasive surgery to remove the cancer and preserve more lung tissue.

Other benefits of LDCT:• It’s fast, painless, and noninvasive.• It uses much less radiation than a

traditional CT scan of the chest.

If you think you’re at high risk for lung cancer, ask your doctor about getting screened. Your physician may refer you to one of the expert pulmonologists at Kettering Health Network.

AGE 50+ AGE 55 TO 74

» Exposure to radon, asbestos, silica, or other cancer-causing substance

» Personal history of lymphoma or a smoking-related cancer, such as head and neck, bladder, or colon cancer

» Family history of lung cancer

» Chronic obstructive pulmonary disease (COPD) or pulmonary fibrosis

• A

•

• In good health—no signs or symptoms of lung disease

• Smoke now or quit smoking within the past 15 years

• No personal history of lung cancer

Good news: A screening test can catch lung cancer early

Should I get tested? Anyone at high risk for lung cancer should get annual LDCT lung cancer screening, according to the U.S. Preventive Services Task Force. You may qualify if either category below is true for you.

Additional sources: Centers for Disease Control and Prevention; Radiological Society of North America

GET SCREENEDLearn more about lung cancer screenings. Call 1-888-822-4114

A 20 pack-year history and one of the following:20 30 30 pack-year

history

Lung CANCER

How much smoking = 30 pack-years?

1 pack per day for 30 years

½ pack per day for 60 years

2 packs per day for 15 years

How much smoking = 20 pack-years?

1 pack per day for 20 years

½ pack per day for 40 years

2 packs per day for 10 years

re ta heB e ersia


After• The risk of heart

attack decreases.• Lungs are

working better.

2 weeks– 3 months

MAKE THE CALLTo sign up for a smoking cessation class or ask a question, call 1-888-971-6318.

“ If I quit smoking, I’ll gain weight.”

You can put down cigarettes without picking up pounds. Exercise and healthy eating can help. Most people who do gain weight after quitting average less than 10 pounds. Some people, though, don’t gain any extra pounds.

“ I need to smoke to relax and reduce stress.”

Smoking actually contributes to two health problems that are associated with stress: an increased heart rate and high blood pressure. While smoking may temporarily ease your stress, exercise and deep breathing are more effective and much healthier.

“ I’ve smoked so long that it won’t make any difference if I quit now.”

Research has found that your body benefits from quitting, no matter how long you’ve been smoking. Your circulation will improve, and your lungs will become stronger. You’ll also breathe better.

“ Quitting is too hard.”

You can get hooked on nicotine. But cessation programs, support groups, and medications can help you quit smoking. Remember, more than 50 million Americans have overcome their excuses and quit smoking. You can join their ranks.

Public Health of Dayton & Montgomery County is partnering with Kettering Health Network to offer Clinical Best Practice Smoking Cessation, modeled after the Mayo Clinic’s program.

These five-week sessions will take you through the quitting process. Each one-hour class will focus on a topic, ranging from “Thinking about Quitting” to “Staying Quit for Good.”

• Sessions are free.

• Participants will receive one month of nicotine patches.

• Parking is free.

Sources: American Lung Association; National Cancer Institute

Clearing the air on smokingThere are a few facts that are hard to ignore: Smoking remains the leading cause of lung cancer. Lung cancer remains the No. 1 cancer killer of both men and women in the U.S.

But if you smoke, you may have a carton of excuses for why you can’t quit. Sound familiar? While quitting smoking may not be easy, separating the facts from fiction can help you resolve to make a change for your health and the health of those around you.

AFTER

We’re here to help

AfterExcess risk of heart

disease decreases to HALF that of a current smoker.

year1Risk of stroke can fall

to about the same level as a nonsmoker.

BENEFITS OF QUITTING

5years


MANAGE DIABETESNeed help? To learn more about diabetes management classes, visit ketteringhealth.org/joslin

Diabetes

GET HELP NOW: To learn more about advanced wound care, visit ketteringhealth.org/wound

KNOW YOUR NUMBERS? Keep tabs on your blood sugar management with an A1C screening. See the calendar on page 14 for details.

If possible, check once in the morning and once at night before you go to bed to catch changes as soon as they happen.

Here are a few things to look and feel for:

Redness, bruises, or changes of color

Cuts, blisters, or scabs

Swelling or other signs of damage

Bumps or irregular skin textures

Dry, rough, or cracked skin

Brittle, cracked, discolored, or ingrown nails

Be sure to keep a list of your observations. If you find a wound, treat it and cover it with a bandage immediately. Be sure to check it with each foot inspection to make sure it’s healing. If the wound does not heal or you begin to develop an open wound, get medical help immediately.

Sources: American Diabetes Association; Diabetic Living; Joslin Diabetes Center; U.S. Department of Health and Human Services

If you have diabetes, you’ve probably noticed that it affects your health in many ways. But it can be easy to overlook one spot that often escapes close attention: your feet.

Just a small foot sore can lead to a diabetic ulcer and even amputation if not treated properly and in a timely manner. So if you have diabetes, every cut or sore should be taken seriously.

Diabetes can lead to pressure or small blood vessel disease in your feet, causing nerve damage and circulation problems. A loss of feeling—often in the feet or legs—means minor injuries can go unnoticed, allowing infection to set in.

The good news is that most diabetic ulcers and foot sores are preventable.

Protect The first line of defense against infection is keeping your feet clean and well cared for. Wash your feet daily with mild soap in warm—not hot—water. Don’t let your feet dry out and crack. Lotion your feet daily, but not in between your toes.

Inspect Make a habit of checking your feet—including between your toes—every day.

Keeping you on your toes

Eating WELL

Baked

If you’re looking for a delicious alternative to greasy potato chips but don’t want to give up your favorite crunchy snack, give these baked veggie chips a try. Seasoned with your favorite herbs, they’re a colorful way to enjoy veggies. You can stick with traditional potatoes, or try making them with zucchini, carrots, or even tomatoes!

Ingredients 1 large parsnip, peeled, skinny ends discarded, and fat ends

halved lengthwise 2 sweet potatoes, peeled and halved crosswise 1 celery root, peeled and halved crosswise 2 purple or golden beets, peeled and halved ¼ teaspoon kosher salt Seasonings (optional): black pepper, garlic, or onion powder Olive oil cooking spray

Directions1. Set oven to 375 degrees.

2. Thinly slice the vegetables 1/16 -inch thick using a handheld slicer or mandolin.

3. Place the veggie slices on paper towels, sprinkle with salt, and allow towels to absorb moisture—about 15 minutes. Then pat dry.

4. Lightly coat baking sheets with cooking spray.

5. Working in batches, place veggie slices in single layer.

6. Bake until crisp, about 20 minutes, and sprinkle with seasonings as desired.

7. Let cool on baking sheets for 5 minutes, and transfer to a bowl.

8. Repeat until all veggie chips are cooked.

Nutrition information Serving size: ½ cup. 108 calories, 15g carbohydrates.

Source: Recipe provided by the Joslin Diabetes Center. Kettering Health Network is an affiliate of the Joslin Diabetes Center.

veggiechips

Bonus:


Sweet potatoes are a good source of beta-carotene.

Nonprofit Org.U.S. Postage

PAIDMadison, WI

Permit No. 1184Kettering Health Network3535 Southern Blvd.Kettering, OH 45429

™Health Network

Update or remove address by emailing [email protected].

KC.edu/5k

You can’t keep them inside forever...Keep your family safe with tips for bicycling, roller skating, and skateboarding on page 6.

Kettering | Grandview | Sycamore | Southview | Greene | Fort Hamilton | Soin | Huber | Franklin | Preble

Always ReadyWhen accidents happen, find comfort with access to expert emergency care through Kettering Health Network.ketteringhealth.org/emergency

SM

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