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1 GETHealthy January March 2015 Between Health & Life: Norton It s heart! all about the The head-heart connection What your heart rate is telling you Breastfeeding and your heart Vascular health

2 CONTENTS January March 2015 Would you like to be featured in an upcoming issue? We are always looking for great stories about Norton Healthcare patients and caregivers. If you have a story to share or would like to be in a photo in an upcoming issue, we d love to hear from you. us at or connect with us on Facebook or Twitter. Exercise away the winter blues...1 The mental health heart health link...2 Health Style Monitor your heart rate to boost exercise...4 Featured Physician Steven J. Raible, M.D...6 New physicians with Norton Medical Group..7 Women s Wellness New mom s experience with life-threatening heart condition...8 Childbearing Years Breastfeeding is good for the heart...10 Kids Safety Keeping kids safe around medications...12 Health insurance marketplace Senior Health Don t ignore your vascular health...14 Piecing together the epilepsy puzzle...15 Philanthropy New helmets for high school football players...16 Classes and events calendar...18 Winter turns some people into sluggish creatures who just want to hibernate until spring. Short days marked by bone-chilling wind, ice and snow blur into long nights that only feel colder. It s no wonder so many people fall into a frozen funk. A proven way to shake off the winter doldrums? Exercise! Working out releases feel-good brain chemicals, called endorphins, that lift your mood and reduce anxiety. Exercise also keeps your cardiovascular system strong, strengthens the heart muscle, lowers blood pressure and LDL bad cholesterol, and boosts HDL good cholesterol. Thirty minutes or more of exercise three to five days a week can significantly improve your outlook, according to the American Heart Association. And you don t have to go to a gym, hire a coach or buy any equipment. Here are some easy ways to get started: * * Exercise away the WINTER BLUES Walk it off. Bundle in layers and take a brisk walk. Better yet, wake up early for a climate-controlled jaunt through the mall. Who knows you may meet a walking buddy! Get dance fever. So you think you can dance? Why not! Crank up the music and let loose. You can stretch, warm up and cool down with slow * * * favorites, and work in some cardio with faster steps in between. Who cares if you re not ready for prime time just enjoy yourself. Roll and stroll. Some skating rinks have special times set aside for just that pushing a stroller while you re on skates. It s just as much fun for the kids as it is for the parents! Bring it home. Take a class when the time suits you. Exercise videos are free at the public library. If you have cable TV, check for fitness channels; many are available on demand. Get creative. Use items you already have in your home to do some strength training. Try holding soup cans while you do a biceps curl or using a kitchen chair to complete some squats. Exercise alone won t fight off extreme cases of the winter blues, which could be classified as seasonal affective disorder (SAD). Talk to your doctor if these symptoms have you feeling frozen: anger, sadness, helplessness or hopelessness; loss of interest in your regular activities; and changes in appetite, weight, energy or sleep habits. George and Beth Blandford of Louisville use their home as a gym to chase away winter blahs. Dean Lavenson photo Mickey H. Gramig 1

3 The link between MENTAL & HEART } HEALTH Connie Kubala started practicing yoga about two years ago at a friend s encouragement. Hoping to alleviate the normal aches and pains that come with age, the 72-year-old says she s hooked and enjoys benefits beyond the physical, including stress relief for the mind and spirit. What she may not realize is she s also taking care of her heart. We know stress, anxiety and depression take a toll on heart health. They also can be a roadblock to recovery after a heart attack or other serious heart event. A life-threatening experience like a heart attack can bring about shock and anxiety, and can make you relive the event or want to avoid activities or places associated with the event, said Theresa Byrd, R.N., a women s heart health nurse educator. It can affect your sleep, relationships, job, how you follow your doctors orders and your outlook on the future. According to research in the Journal of the American Heart Association, depression is three times more common in people who have experienced a heart attack than in others. And heart disease patients who have anxiety are twice as likely to die from any cause than those without anxiety. Those with both anxiety and depression have three times the risk of dying. When someone is anxious, their body reacts in ways that put an extra strain on the heart, Theresa Byrd Is it a panic attack or a heart attack? If you ve experienced a heart attack, you re likely to worry about having another one. This can cause feelings of panic. Add to that the fact that panic attacks and heart attacks can share identical symptoms, and it s difficult to tell the difference. Both types of attacks cause sudden and severe chest pain, shortness of breath and dizziness. Whether you think it s panic or your heart, if you are having chest pain always go to the emergency room. A cardiologist will know how to distinguish panic attack symptoms from heart attack symptoms. said. The heart rate increases and blood pressure goes up. These can be especially damaging to people with heart disease. How do you overcome this vicious cycle of mental health hurting heart health hurting mental health? By being open with your doctor. Your cardiologist or primary care physician can direct you to a mental health expert, support services, or medical or integrative therapies that can help. Treatment may be as simple as talking with others who understand at a support group or trying a medication to alleviate symptoms, Theresa Byrd said. Integrative modalities such as meditation, deepbreathing exercises, journaling, tai chi or yoga also may be the answer, like what Connie experienced. Yoga has definitely reduced my stress, Kubala said. It s the most restful and wonderful time for me. Everybody s got stress and heartaches in their life, and we have to learn to deal with them in whatever way works for us. For me, it s my faith and yoga is an important part too. Though yoga has helped Kubala improve her overall health, she credits the sense of community and support she gets from her yoga classes as playing an important role. It s important to search for what s right for you and find your own niche that gives you the support you need, Kubala said. Making a Cardiac Comeback Samuel F. Sears Jr., Ph.D., will talk about emotional health after a heart diagnosis. Sears is a nationally recognized expert in psychological care and quality of life for people with heart conditions. To register for this free event, call (502) FEB. 13 Noon Spalding University Egan Leadership Center 901 S. Fourth St. Louisville, Kentucky About our clinician Theresa Byrd, R.N., sees patients at Norton Women s Heart & Vascular Center, Norton Medical Plaza 2 St. Matthews, Suite 103, 3991 Dutchmans Lane, Louisville, KY 40207; (502) Connie Kubala with her yoga instructor, Bev Hurt Nick Bonura photos Jennifer Reynolds 2 3

4 4 HealthStyle Monitor Getting the most out of each workout is critical to achieving results from your exercise routine. Although you may end your workout out of breath, how do you know if you re making the most of your exercise time? Your heart rate is the best indicator of your intensity level during your workout. Whether you are new to exercise or a seasoned athlete, monitoring your heart rate can help you achieve greater results and improved conditioning. Stay on beat High-tech and no-cost ways to keep pulse your heart rate to boost your workout About our physician Robin Curry, M.D., sees patients at Norton Orthopaedic Specialists Brownsboro, Norton Medical Plaza II Brownsboro, Suite 205, 9880 Angies Way, Louisville, KY 40241; (502) You don t have to make a huge investment in a heart rate monitor. Heart rate monitoring gadgets are available for everyone s budget and fitness level. You also can manually check your pulse throughout your Knowing your target heart rate will help you determine if you are undertraining, which could keep you from losing weight and limit any gains in endurance and strength, or overtraining, which can lead to injury. workout. Your target heart rate zone ensures you are burning enough calories but not going overboard and risking injury, said Robin Curry, M.D., sports medicine physician. Start by measuring your resting heart rate, or the number of times your heart beats per minute, in the morning when you first wake up. To find your target heart rate, count your pulse for 10 seconds while exercising and multiply by 6. This rate varies for each person. Your maximum heart rate is 220 minus your age. Dr. Curry says it is recommended to exercise at 70 to 85 percent of your maximum heart rate if you are in good physical shape. If you are new to exercising, aim for a target heart rate that is 40 to 50 percent of your maximum heart rate. While anyone could benefit from monitoring their heart rate, Dr. Curry identifies two main groups who should make it an everyday practice: those with heart conditions who need to stay within a safe heart rate, and serious athletes who are eager to optimize their fitness. Check your pulse Take your pulse on the inside of your wrist, below the thumb. Use the tips of your first two fingers (not your thumb) to press lightly over the blood vessels in your wrist. Count your pulse for 10 seconds and multiply the number of pulses by 6 to find your beats per minute. Be sure to keep track of how your heart rate fluctuates based on your Overall, it is a great tool to help people work out at the right intensity, Dr. Curry said. It can provide feedback on improvement and encourage motivation. Heart rate monitors provide instant feedback regarding your workout intensity, Dr. Curry said. This feedback can allow you to adjust what you are doing in order to achieve a more optimal workout and monitor your progress. intensity level and type of workout activities. If you don t want to take your pulse, the treadmills and elliptical machines at most gyms have onboard monitors that can measure your heart rate as you exercise. There also are a variety of heart rate monitors you can purchase and wear during exercise. The most popular is a chest strap that transmits data to Tracy Keller It s marathon training time! a wristwatch-style receiver. This type of device monitors your heart rate As the official medical and training provider for the 2015 Kentucky Derby Festival Marathon/miniMarathon, Norton Sports Health is offering a free training program for all levels of walkers and runners that includes a comprehensive training manual, a weekly running group and more. Come to the training program kickoff on Thursday, Jan. 15, 2015, at 6 p.m. at Bellarmine University, Knights Hall, 2001 Newburg Road, Louisville, Kentucky. Learn more at NortonHealthcare.com/ KDFTraining. continuously, giving you a complete picture of your heart rate during exercise. Other wearable monitors include wristbands that monitor your radial pulse or use a finger sensor to activate the monitor. There are even smartphone apps that use the phone s camera lens as a finger sensor to monitor heart rate and store results for comparison later. 5

5 FeaturedPhysician New physicians with Norton Medical Group Dean Lavenson photo Steven J. Raible, M.D. SERVING PATIENTS WITH HEART Steven J. Raible, M.D., recently joined Norton Heart Specialists after many years in the field of cardiology. The Buckeye and past Army flight surgeon has a passion for patient care when it comes to matters of the heart. Take a closer look at Dr. Raible. What sparked your interest in medicine? I loved science in high school and was a chemistry major at the University of Cincinnati, but I didn t want a career that found me sequestered in a lab. I wanted to apply scientific knowledge, interact with people and have an occupation that involved service to others, education and an opportunity for continued growth. What is a fun fact most patients don t know about you? I was in the Army from 1976 to I took Army flight surgeon s training so I had to fly four hours a month in helicopters. I could fly the Huey helicopter in the co-pilot s seat if an instructor pilot was in the pilot s seat. What life event had the greatest impact on you as a cardiologist? I had stopped for coffee in the cafeteria one morning at Fort Meade, Maryland s hospital after coming in at 5 a.m. to see a patient when I heard a Code Blue called in the ER. I rushed down to see a middle-aged reservist who collapsed in the field and was getting CPR. We worked hard, but he wasn t responding. That was back when we would occasionally give intracardiac epinephrine on a long needle. He responded after that. This patient survived and visited my wife and me yearly while we were in D.C. He continued to communicate with us well into our time in Louisville. Explain your role with the American Heart Association (AHA) and why you feel it is a worthwhile organization. I became the Kentuckiana board president this past July. The AHA is committed to funding research in cardiovascular disease, which has led to the array of treatments we have today and the progress we will have in the future. AHA is also committed to improving health and promoting healthy life habits and practices, which will further advance the quality and duration of our lives. What makes you most excited about joining Norton Healthcare? Norton Healthcare is a comprehensive health care system that values teamwork and has an excellent and progressive cardiovascular program with a vision for the future. Steven J. Raible, M.D. Medical degree: The Ohio State University, Columbus Residency: Walter Reed Army Medical Center, Bethesda, Maryland Fellowship: Walter Reed Army Medical Center, Bethesda, Maryland Board certification: Internal medicine and cardiovascular diseases Office location: Norton Heart Specialists, The Springs Medical Center, Suite 200, 6420 Dutchmans Parkway, Louisville, KY 40207; (502) Tia M. Alton, M.D. Pediatrician Kosair Children s Hospital Medical Associates Shelbyville 213 Midland Blvd. Shelbyville, Kentucky (502) Jennifer R. Case, M.D. OB/GYN Associates in Obstetrics & Gynecology, a Part of Norton Women s Care Norton Medical Plaza 3 St. Matthews Suite Dutchmans Lane (502) Erika C. Cravanas, M.D. Pediatrician Kosair Children s Hospital Medical Associates Okolona 5211 Commerce Crossings Drive (502) Robin G. Curry, M.D. Orthopaedics Norton Orthopaedic Specialists Brownsboro Norton Medical Plaza II Brownsboro Suite Angies Way (502) Katherine O. Dotson, M.D. Internal Medicine Norton Community Medical Associates Barret 825 Barret Ave. (502) William F. Dotson II, M.D. Gabriel U. Martz, M.D. Neurologists Norton Neurology Services Norton Medical Plaza I Brownsboro Suite Norton Healthcare Blvd. (502) Geeta A. Ganesh, M.D. Neurologist Norton Neurology Services Norton Medical Plaza 2 St. Matthews Suite Dutchmans Lane (502) Jeffrey L. Gum, M.D. Orthopaedic Spine Surgeon Norton Leatherman Spine Center Norton Medical Plaza II Brownsboro Suite Angies Way (502) Laura K. Hawley, M.D. Family Medicine Norton Community Medical Associates Highlands 2470 Bardstown Road, Suite A (502) Taunya M. Jasper, M.D. Pediatrician Kosair Children s Hospital Medical Associates Frankfort 4 Physicians Park Frankfort, Kentucky (502) Jing H. Bryant, M.D. Family Medicine Norton Community Medical Associates Hurstbourne 213 N. Hurstbourne Parkway (502) Nathaniel T. Liu, M.D. Vascular Surgeon Norton Vascular Surgery Norton Medical Plaza East Audubon Suite 220 (502) Alexandra C. Maki, M.D. General Surgeon Norton Surgical Specialists Louisville General Surgery Norton Medical Plaza East Audubon Suite Audubon Plaza Drive (502) James E. Moyer, M.D. Sarah R. Steward, M.D. Pediatric Orthopaedics Children s Orthopaedics of Louisville Norton Medical Plaza 1 St. Matthews Suite 6E 3999 Dutchmans Lane (502) Steven J. Raible, M.D. Cardiologist Kevin M. Thomas, M.D. Cardiac Electrophysiologist Norton Heart Specialists The Springs Medical Center, Suite Dutchmans Parkway (502) Jenna N. Sanders, M.D. Pediatrician Kosair Children s Hospital Medical Associates Clarksville 2051 Clevidence Blvd., Suite B Clarksville, Indiana (812) Dale G. Senior, M.D. Interventional Cardiologist Norton Heart Specialists 213 Midland Blvd. Shelbyville, Kentucky (502) For more information on these physicians and more, visit MyNortonDoctor.com. 6 7

6 Women swellness Heart to heart A NEW MOM GIVES BACK AFTER LIFE-THREATENING HEART CONDITION Most new moms would describe childbirth and the first weeks of a new baby s life as a whirlwind. That was the case for Jessica Sorrels, but not in a good way. After a long and difficult birth with her first son, Jack, she nearly lost her life. Sorrels became pregnant in August 2009 at age 27. She experienced a fairly normal pregnancy, but at 37 weeks her water broke. Her very long labor wasn t progressing, so her obstetrician decided Sorrels needed a cesarean section. That s when things took a turn. Her heart rate skyrocketed and she had to be put under general anesthesia for the procedure. During recovery she developed a fever and spent the next week in the hospital for treatment of what was thought to be an infection. On her first night home from the hospital, still not feeling well and learning to care for her baby at home, she began feeling really sick. I don t remember much of that first night at home, just sleeping a lot, Sorrels said. I hadn t lost any weight since the birth and I didn t look well. But who is going to tell a new mom she doesn t look good? Her son s pediatrician told her. Just two days home from the hospital, Sorrels took Jack to his 1-week well check, and the pediatrician noticed she was short of breath, wasn t able to put sentences together very clearly and generally did not look well. The pediatrician had Sorrels call her obstetrician from the office, who sent her directly to the emergency room. Jessica and Taylor Sorrels with their sons, Court and Jack She told me to go straight there, to not even bring the baby home, Sorrels said. After many hours and many tests, Sorrels was diagnosed with postpartum pre-eclampsia. Preeclampsia is a condition that occurs in 3 to 5 percent of pregnant women in the U.S., but it usually resolves after the baby is born. When it happens after birth, it requires prompt treatment because it can lead to seizures and death. In pre-eclampsia, the blood vessels and organs do not work like they should, said Janet Smith, M.D., a cardiologist who specializes in women s heart issues. The kidneys do not clear extra fluid well and the heart becomes stiff and does not relax well, resulting in further worsening of fluid retention. As a result, the lungs and other tissues fill up with fluid. The patient becomes short of breath, weak and swollen. Sorrels was given medications to help relieve her body of the fluid it normally should have been flushing out after birth. I lost more than 33 pounds in 18 hours, she said. After fluid around her lungs and heart cleared, she was nearly back to normal and doctors determined she would fully recover. Since then, Sorrels and her husband have welcomed their second child, Court, after a normal pregnancy and c-section delivery under the guidance of an obstetrician who specializes in high-risk pregnancies. Her experiences as a young mom with a heart condition have prompted Sorrels to become a spokesperson for the American Heart Association. Today she shares her story with other women so they know the importance of taking care of their heart. Dean Lavenson photo Because of what I ve been through, I m three times more likely to have a heart attack and two times more likely to have a stroke, she said. I want others to know the heart is a muscle and needs to be taken care of like any other muscle through a healthy lifestyle. Sorrels also wants to spread the message that women should listen to their bodies. As a new mom, you don t know what to expect you don t know what s normal and not normal, she said. I was quite swollen at the end of the pregnancy, but I was a busy attorney and chalked it up to that. And after the delivery, I was seeing spots. The cardiologist said that s never right. If you see spots, get medical attention. A woman who has had pre-eclampsia has an increased risk of further episodes of pre-eclampsia as well as atherosclerotic heart disease in the future, Dr. Smith said. She should take it as a wake-up call to make lifestyle changes that can offset her increased risk. This includes not smoking; eating a low-fat, sensible diet; and getting plenty of exercise. It is the perfect time for a young woman to not only make healthy choices for herself, but teach her child to make healthy choices as well, Dr. Smith said. Jennifer Reynolds About our physician Janet Smith, M.D., sees patients at Norton Women s Heart & Vascular Center, Norton Medical Plaza 2 St. Matthews, Suite 103, 3991 Dutchmans Lane, Louisville, KY 40207; (502) Have you been diagnosed with pre-eclampsia, pregnancy-induced hypertension or gestational diabetes within the past 10 years? If so, it s more important than ever to start taking care of your heart today. The first 25 women to call the Norton Women s Heart & Vascular Center to schedule a heart risk assessment will receive the screening for free! Take care of your heart and call (502) for an appointment today. 8 9

7 ChildbearingYears Breastfeeding: It s good for the heart The heart-healthy benefits for women who breastfeed Breastfeeding is good for mom and baby. Most of us already know this. However, the more research that comes out, the more we re learning just how beneficial it is not only for baby s health, but mom s health too. Breast milk is unique to each mother and contains specific nutrients her baby needs. No other food can adequately replace it, not even formula, which is made from cow s milk. Breast milk is a living, everadapting fluid. Here s a quick rundown of the health benefits for baby. Children who were breastfed: Are more resistant to disease and infection early in life Are less likely to get diseases like juvenile diabetes, multiple sclerosis, heart disease and cancer before age 15 Have fewer ear infections, a major reason infants take antibiotics Have a 75 percent lower risk of sudden infant death syndrome (SIDS) Are significantly less likely to become obese Mothers who breastfeed lose pregnancy weight more easily and have a lower risk for breast and ovarian cancer. They also are less likely to develop osteoporosis. And now studies are showing that women who breastfeed have a lower risk for heart disease, high blood pressure, high cholesterol, stroke and diabetes. That s good news you can take to heart! Data suggests breastfeeding cuts a woman s risk for heart disease well after her child has grown up, said Elizabeth M. Doyle, M.D., director of lactation services for Norton Healthcare. And the more children she breastfeeds, the lower the risk drops. If a woman breastfeeds for more than six months during her lifetime, she is less likely to have a heart attack or stroke than a woman who has never breastfed. These benefits are showing in women who are reaching the age of menopause, when risk for heart disease typically increases. In fact, heart disease is the No. 1 killer of women. According to a University of Pittsburgh study, a woman who breastfed for more than 12 months in her lifetime is nearly 10 percent less likely to develop heart disease. Any amount of breastfeeding is good for a woman s heart, but more is definitely better, Dr. Doyle said. The reduced risk may be linked to a smaller waistline, as breastfeeding burns an extra 200 to 500 calories per day. It s also believed that breastfeeding can help reset the body s hormones after pregnancy, which may contribute to a healthier weight and account for the reduced risk. We know that women with a waist circumference over 31 inches have an increased risk for heart disease. At 34.5 inches, it s considered a high risk, Dr. Doyle said. In one study, postmenopausal women who had never breastfed had higher rates of obesity than the women who had breastfed. While we have been encouraging women to breastfeed for the health of their baby, it s a great thing to be able to tell women it has substantial health benefits for themselves as well, Dr. Doyle said. Joyce Retz Norton Women s Care offers two free breastfeeding classes: Breastfeeding Essentials and Breastfeeding: Beyond the Basics. For class locations and schedule, call (502) BREASTFEEDING BENEFITS Reduces mom s risk for heart attack Reduces mom s risk for breast and ovarian cancer Mom has lower chance of developing high blood pressure Helps mom return to prebaby weight Helps mom heal faster after delivery Releases hormones that help mom relax ADDITIONAL BENEFITS FOR MOM Body s energy used to produce breast milk Stronger bond between mom and baby Amount saved annually to feed baby About our physician Elizabeth M. Doyle, M.D., sees patients at Norton Community Medical Associates Shepherdsville, 115 Huston Drive, Suite 1, Shepherdsville, KY 40165; (502) % $2,000 -$4,

8 Kids Safety Prescription for safety Keeping kids safe around medications It s that time of year flu, colds and other illnesses seem to abound. If your child gets sick, never try to medicate him or her yourself. Always talk to your child s doctor or a pharmacist before giving prescription medication or medicines not intended for children. Follow these precautions to keep your child safe. Even if you re sure of your child s symptoms, never give a child leftover prescription medicines. Leftover and expired medicines should be discarded. Never give your child medicine that has been prescribed to someone else, whether it s a child or an adult. Even if two people have the same illness, they may need different drugs with different doses and directions. Do not tell a child that a medicine is candy to entice him or her to take it. This tactic can backfire, and a child can accidentally overdose by later looking for more candy to eat. Instead, explain that medicine can make him or her feel better but should only be taken with a parent s permission. Also, avoid taking medication yourself in front of a child, as children like to mimic adult behavior. If your child spits out or vomits medication, don t give another dose call your doctor for instructions. Children cannot have aspirin. Using aspirin during an illness caused by a virus, such as flu or chickenpox, can cause a potentially life-threatening disease. Because some over-the-counter medicines contain aspirin, always read labels and check with your doctor before using them. Be aware that some aspirin-containing medications use words other than aspirin (such as salicylate or acetylsalicylate), so avoid those too. Safe storage Your bathroom s medicine cabinet is not the best place to store drugs. The humidity and moisture from the tub or shower can cause medicine to not work as well. Medicine cabinets can also be reached by older children. Instead, store medicines in their original containers in a dry, locked location that kids can t reach. Child-resistant caps can be difficult even for adults to open, but make sure they are always recapped and relocked securely. Even when properly used, these caps may slow a child down, but even toddlers can get them open. Medicines with child-resistant caps should still be stored out of reach of children. If there s a medication emergency If you suspect your child has taken a medicine he or she shouldn t have or has taken too much, don t wait for symptoms to develop before getting help. If the child is unresponsive, not breathing or convulsing, call 911. Otherwise, when you first suspect or witness a potential overdose, call the Kentucky Regional Poison Control Center right away at (800) Joyce Retz Health insurance marketplace 2.0 What you need to know for 2015 In 2015, most Americans must have health insurance. Last year many states, including Kentucky, and the federal government rolled out an insurance marketplace for those who do not get health insurance through their employer. The marketplace is available to compare health plans and purchase a plan, determine if you qualify for help with paying for insurance and assist you in applying for Medicaid or the Children s Health Insurance Program. If you enrolled in a health plan through Kynect or Healthcare.gov in 2014, you have to re-enroll for This is a good time to decide if you are happy with the plan you chose in 2014 or would like to switch to a different plan. You have until Feb. 15, 2015, to re-enroll. When you enroll or re-enroll, here s what you should consider: Choose a plan that includes doctors and medical facilities that are convenient for you to get to. If you have a doctor you like, ensure he or she is covered in the plan you choose. Choose a plan that covers the benefits you and your family need. For example, if your child needs allergy shots or you use a chiropractor, make sure allergy shots and chiropractic visits are covered. Not all insurance plans are offered in every county; find out what s available in your community. Don t wait until the last minute to enroll. Leave enough time to really compare options. Kentucky residents can review options and enroll at Kynect.Ky.gov; Indiana residents can do so at Healthcare.gov. Choosing a plan Each of my family member s doctors is covered. The hospital of my choice is covered. The benefits my family needs are included. For 2015, several health insurance plans include Norton Healthcare, which means Kosair Children s Hospital is covered as well. If you have children, it s important to choose a plan that covers Kosair Children s Hospital, the area s only children s hospital, and its sister facilities. In Kentucky these include Anthem HMO and PPO, CareSource, Humana Norton + Just for Kids HMOx, Kentucky Health Co-op and WellCare. In Indiana these incude Anthem, Managed Health Services and Southeastern Indiana Health Organization. If you need assistance in ensuring the plan you choose includes Norton Healthcare and Kosair Children s Hospital doctors and facilities, visit NortonHealthcare.com/ HealthInsurance

9 SeniorHealth Nick Bonura photo A vascular technologist performs a vascular screening on Michael Shugart of Louisville. Want to learn more about your vascular health? Norton Heart Care offers three types of simple and painless vascular screenings carotid artery scan, abdominal aortic scan and ankle brachial index. They are $30 each or $75 for all three. Call (502) to schedule a screening. Don t ignore your VASCULAR HEALTH When you learn sudden death is often the first symptom of heart disease, the nation s No. 1 killer, being proactive about your cardiovascular health takes on a new priority. When you get to this age, you see some people beginning to drop around you unexpectedly, and you think, That could be me, said 52-year-old Michael Shugart, who doesn t want to become a statistic. One-half of men and two-thirds of women who die suddenly from heart disease had no previous symptoms, according to the American Heart Association. Shugart, who says he is about 25 pounds overweight, knew he had high blood pressure and high cholesterol all modifiable risk factors for heart disease. He decided to get a vascular screening because he didn t know a lot about his family s medical history. Since heart disease can run in families, it s helpful to know whether parents, siblings or other relatives have a history of heart attack, aneurysm or stroke, said Casey Yossa, M.D., vascular surgeon. Unlike cardiologists and cardiac surgeons, who focus mainly on the arteries within the heart, vascular surgeons deal with the vessels that carry oxygen-rich blood throughout the body. Vascular screenings can detect issues that affect blood circulation. According to Dr. Yossa, the two main types of artery damage seen by vascular specialists are plaque buildup, which creates blockages, and aneurysms, which are artery bulges that can lead to catastrophic ruptures. Treatments range from lifestyle changes, such as smoking cessation, weight loss, exercise and diabetes management, to starting a prescription drug regimen, Dr. Yossa said. In more severe cases, surgical correction could be necessary. Alert your physician if you have unexplained leg pain, varicose veins or a family history of cardiovascular disease. Other signals that could prompt testing and intervention include an abnormal pulse, abnormal results from vascular lab tests and slow-healing wounds on the legs. Shugart s screening showed some plaque buildup in the carotid arteries, which will be treated through medication, exercise and dietary improvements. It was not a rude awakening, but it was still eye-opening, Shugart said. Piecing together the puzzle NEW CLINIC ESTABLISHED FOR DIAGNOSING SEIZURES Approximately 90,000 people in Kentucky and Southern Indiana are living with epilepsy, a disorder characterized by recurring seizures. With more than 20 different types of seizures, some caused by epilepsy and some not, diagnosing epilepsy and finding the right treatment is like putting together pieces of a complex puzzle. According to Gabriel U. Martz, M.D., medical director of epilepsy services for Norton Healthcare, epilepsy is more common than Parkinson s disease or multiple sclerosis. In response to the need for specialized epilepsy treatment for so many people in our community, Dr. Martz and his team have established a First Seizure Clinic on the Norton Brownsboro Hospital campus. We re improving access to epilepsy care by beginning a new referral pathway called a First Seizure Clinic to ensure that patients with their first seizure or seizure-like event can be seen and diagnosed within about a week, Dr. Martz said. Patients may be admitted to Norton Brownsboro s epilepsy monitoring unit, which is a member of the National Association of Epilepsy Centers. Diagnosing the type of seizure or epilepsy syndrome can be difficult. Continuous monitoring using video electroencephalography (EEG) over a period of time is a crucial first step in making an accurate diagnosis. Dr. Martz has specialized training in clinical epilepsy, EEG and epilepsy research. He works with William F. Dotson II, M.D., Jason M. Meckler, M.D., and Rebekah J. Woods, D.O., who, along with Dr. Martz, have advanced training in clinical neurophysiology, a field that studies bioelectricity in the brain. The epilepsy team offers the latest treatment options, which range from medication management to special diets to surgical therapies such as brain surgery and vagus nerve stimulation. Dr. Martz said he is enthusiastic about the future of epilepsy care at Norton Healthcare. Our goal is to build on our standing as a quality provider of epilepsy care and to become a regional leader for diagnosis and treatment of this neurological disorder, he said. For more information on the First Seizure Clinic, call (502) Dean Lavenson photo Mickey H. Gramig Ron Cooper Ryan Stettenbenz, EMU technician, (left) and Gabriel U. Martz, M.D., tend to a patient in the epilepsy monitoring unit at Norton Brownsboro Hospital. About our physician Casey L. Yossa, M.D., sees patients at Norton Vascular Surgery, Norton Medical Plaza East Audubon, Suite 220, 3 Audubon Plaza Drive, Louisville, KY 40217; (502) About our physician Gabriel U. Martz, M.D., sees patients at Norton Neurology Services, Norton Medical Plaza I Brownsboro, Suite 305, 4950 Norton Healthcare Blvd., Louisville, KY 40241; (502)

10 Game on! Giving back to the community s youth through safer game play High school football is a major tradition in our community. Thousands are drawn to those Friday night lights all over the Louisville area every weekend in the fall. As a partner with Jefferson County Public Schools (JCPS) and with a long-standing mission of being an advocate for the health and safety of children, Norton Healthcare recently announced it would fund the purchase of new, safer football helmets for JCPS high school football players as well as expand concussion education and testing. The Norton Sports Health program continually looks for ways to be on the forefront of health and safety for athletes, so when leaders learned that some of JCPS s football helmets fell short of what s considered adequately safe, the decision to purchase helmets and step up concussion testing and education was simple. We work closely with JCPS and so we wanted to find a way to make this situation better, said Steven T. Hester, M.D., MBA, chief medical officer for Norton Healthcare. We understand it s not always financially feasible for a public school to be able to make a major purchase like this, so we are pleased that we are able to do so and help improve the safety of our community s student athletes. JCPS high school football helmets were rated using the Virginia Tech Helmet Ratings system, a five-star scoring system with 5 being the best and 0 being the worst. Approximately 26 percent of the helmets ranked 2 stars or less. Two stars represent adequate protection, 1 star is marginal and 0 stars are not recommended. Norton Healthcare will be replacing the unsafe helmets with 4-star helmets, which are considered very good. While a player can sustain a concussion wearing any type of helmet, the quality of the helmet can greatly reduce that risk, said Tad D. Seifert, M.D., neurologist and director of the sports concussion program for Norton Healthcare. The difference between a 1- or 2-star helmet and a higher-rated helmet is dramatic. It can cut head acceleration in half because it s better able to absorb shock. Head acceleration is a major cause of brain injury in football. It occurs when a blow causes the skull to move forward and strike the brain, which was stationary. The new helmets will last 10 years and will be reconditioned after each season. In addition, Norton Healthcare will provide ImPACT testing for all football players in JCPS middle and high schools and any other JCPS high school students who play high-impact sports. ImPACT, which stands for Immediate Postconcussion Assessment and Cognitive Testing, is a computerized evaluation system that is similar to playing a video game. When ImPACT is given prior to an injury, we have a baseline analysis of the player s brain function, Dr. Seifert said. If the player sustains an injury in which a concussion is suspected, the ImPACT test is given again and helps us assess the severity of the injury and create a plan for safe return to play. According to the Centers for Disease Control and Prevention, high school athletes take longer to heal from a concussion compared with college and pro athletes; they also experience greater severity of symptoms. And sending a player back on the field before healing is complete can be detrimental, if not deadly. A second hit to a concussed head can be a lifechanging blow, affecting speech, memory and motor skills. It s similar to suffering a devastating stroke, Dr. Seifert said. Coach Ty Scroggins and football players from Central High School try out helmets. Part of ensuring players get appropriate care if they become injured includes properly educating coaches, athletic trainers and parents about concussions. Expanded concussion education will include userfriendly symptom charts, posters and quick-reference pocket cards at all JCPS middle and high schools. Jennifer Reynolds About our physician Tad D. Seifert, M.D., sees patients at the Headache & Concussion Center, Norton Medical Plaza 2 St. Matthews, Suite 310, 3991 Dutchmans Lane, Louisville, KY 40207; (502) Support a healthy community Because Norton Healthcare is not-for-profit, it relies on the generosity of the community to support health and wellness programs. The Norton Healthcare Foundation is the philanthropic arm of Norton Healthcare and raises funds to ensure Norton Healthcare hospitals stay up-to-date on the latest advances and technology as well as funds important health and wellness services for patients. If you d like to help make a difference in the health of our community, visit NortonHealthcareFoundation.com. Nick Bonura photo 16 17

11 Class&EventCalendar January - March 2015 Featured class Parent Talk: Organizing the Multitasking Family Learn how to spend quality time as a family even if life has other plans. Jan to 8:30 p.m. Expectant parents Prenatal and childbirth classes Classes are held at Norton Hospital and Norton Women s and Kosair Children s Hospital. Call (502) or visit NortonBaby.com for class schedules. Gestational diabetes classes Expectant mothers with gestational diabetes learn about caring for self and baby. Call (502) for class schedule. Breastfeeding classes Learn the benefits of breastfeeding, techniques and practical advice. Call (502) for class schedule. For Dads Only Learn hands-on skills like bathing, diapering and calming babies as well as tips on how to support mom. Jan. 20 7:30 to 9 p.m. Prenatal Yoga Deep-breathing techniques, relaxation, stretching and strengthening help moms-to-be prepare for childbirth. (Five-week series: $45) Mondays, March 2 to 30 7 to 8 p.m. Parenting Family and Friends CPR This American Heart Association class teaches CPR and relief of choking skills. Not a certification class. $10 per person. Jan. 14 Feb. 11 March 11 6 to 8:30 p.m. Girl Talk: I Me Building Self-Esteem Learn about factors that affect self-esteem, how to recognize low self-esteem and how to build healthy self-esteem. March 5 6 to 7:30 p.m. Living well Weight loss information sessions Hear about comprehensive surgical and medical options from weight loss specialists. Visit NortonWeightManagement.com for schedule. Norton Health & Wellness Center Yoga Nidra A deeply relaxing process that rejuvenates the body, mind and spirit. Includes breathing exercises, gentle movement and guided relaxation. Bring two pillows, two blankets and a yoga mat. $10 per class. Jan. 11 Feb. 8 March 8 3 to 4 p.m. Norton Health & Wellness Center Cooper/Clayton Method to Stop Smoking A free 13-week program to assist anyone interested in kicking the smoking habit. Tuesdays, Jan. 13 to April 7 6 to 7 p.m. Norton Medical Plaza I Brownsboro Suite 301 Wednesdays, Jan. 14 to April 8 5:30 to 6:30 p.m. Norton Medical Plaza 2 St. Matthews Joan Riehm Community Room (third floor) Mind, Body, Spirit Series Holistic Eating Learn how to eat for health, energy and vitality. Jan to 7:30 p.m. Heart Math Learn how to use your heart to calm your mind, body and emotions; reduce stress; and enhance wellbeing, peace of mind and intuitive abilities. (Circle of Hearts partner class) Feb to 7:30 p.m. Herbal Supplements Learn about taking supplements for general health or specific conditions. March 19 6 to 7:30 p.m. Tai Chi for Health This ancient Chinese practice helps with stress management; reduces anxiety and depression; lowers blood pressure; improves balance, flexibility and muscle strength; and increases mental focus and concentration. (Six-week series: $75) Mondays, Feb. 2 to March 9 6:30 to 7:30 p.m. Norton Health & Wellness Center Facing Incontinence: Issues Below the Belt A pelvic health expert will discuss everything you wanted to know about your bladder but were afraid to ask! Learn about different types of incontinence and pelvic disorders, and available treatment options. Feb to 7 p.m. Specialty classes/ events Type 2 diabetes management classes For those who are newly diagnosed or could use a refresher course. Available at all Norton Healthcare hospitals. Call (502) to register. Diabetes exercise program Call (502) for cost and schedule. Norton Medical Plaza East Audubon Lower Level 1, Suite L12 Safe Sitter One-day class for ages 11 to 14 that combines babysitting business skills with lessons on safety, first aid and preventing choking in young children. Cost: $40 Jan. 2 9 a.m. to 4 p.m. Better Breathers Club For people living with lung or respiratory disease Jan. 8 Feb. 12 March 12 12:15 to 1:15 p.m. Norton Audubon Hospital Conference Rooms 1 and 2 (L1) (502) Norton Sports Health Marathon/miniMarathon Training Program Kickoff Meet physicians, nutritionists, physical therapists and trainers to hear about training safely. Jan p.m. Bellarmine University Knights Hall 2001 Newburg Road Heart care See the Heart Month section on next page for special events! Women s Heart Support Group Recipe sharing Bring your favorite heart-healthy recipe to share. Jan. 7 noon to 1 p.m. Spring out of the blues Share tips for dealing with anxiety and depression. March 4 noon to 1 p.m. Vascular screenings A registered vascular technologist can perform a carotid artery scan, abdominal aortic scan and ankle brachial index to check for vascular disease. $30 each or $75 for all three. Call for an appointment. 18 Call (502) to register for all classes and events unless otherwise noted. 19

12 Class&EventCalendar January - March 2015 Cancer care Arts, Crafts & Cancer Create earrings and a memory wire bracelet with other cancer patients, survivors and caregivers. Supplies are provided. Jan. 22 5:30 to 7:30 p.m. Norton Medical Plaza 2 St. Matthews Joan Riehm Community Room (third floor) Yoga Nidra: Peaceful Meditation For cancer patients and caregivers. Learn to release muscle, emotional and mental tensions through this ancient meditation technique for stress relief and relaxation. Feb. 5 March 5 6 to 8 p.m. Norton Health & Wellness Center Bike to Beat Cancer Kickoff and Training Ride Air up your tires and start training for the 2015 Bike to Beat Cancer on Sept. 19. After a short ceremony, riders will receive training tips in the rider clinic, followed by a fully supported training ride. Attendees will be the first to receive the official 2015 Bike to Beat Cancer T-shirt. March 14 9 a.m. Cherokee Park (Hogan s Fountain) 745 Cochran Hill Road Louisville Cancer support groups Prostate Cancer Support Group Jan. 12 Feb. 9 March 9 6 to 7 p.m. Medical Towers South, Suite 164 (502) Breast Cancer Support Group Jan. 20 Feb. 17 March 17 6 to 7:30 p.m. Norton Medical Plaza 2 St. Matthews, Suite 111 (502) Colon Cancer Networking Group Jan. 28 Feb. 25 March 25 Dinner: 6 p.m.; meeting: 6:30 p.m. Gilda s Club 633 Baxter Ave. Registration is required; call (502) Young Survivors Day Out For breast cancer survivors diagnosed at age 45 or younger. Call (502) for upcoming events. Get a full events calendar! Call (502) 629-HOPE or visit NortonCancerInstitute.com and click on Calendar of Hope. Neurological care Neuro support groups Separate groups for women, men, moms, friends and family meet monthly. For details, call (502) Yoga for Parkinson s Disease Gentle chair yoga class for patients and caregivers to help maintain flexibility, improve balance and reduce stress. Thursdays 9 to 10 a.m. Norton Health & Wellness Center Stroke Support Group Jan. 6 Feb. 3 March 3 3 to 4:30 p.m. Norton Audubon Hospital Conference Room 1 (L1) Food For Thought Wonderful Wednesday Luncheons Gain insight, motivation and guidance to meet and overcome obstacles in everyday life. Jan. 14 Feb. 11 March 11 11:30 a.m. to 1 p.m. Brain Games Café An engaging environment for those with memory loss or cognitive issues to laugh and learn. Jan. 21 Feb to 3 p.m. March 18 1 to 3 p.m. Norton Medical Plaza 2 St. Matthews Joan Riehm Community room (third floor) Music and Wellness Support Group No vocal or musical training required Jan. 27 Feb. 24 March 24 1 to 2:15 p.m. Norton Medical Plaza 2 St. Matthews Joan Riehm Community room (third floor) MS101 For individuals diagnosed with multiple sclerosis within the past two years. March 3 1 to 5 p.m. Norton Medical Plaza 2 St. Matthews Joan Riehm Community room (third floor) Headache School: What Is a Migraine? Learn the signs and symptoms of migraine headaches. March 12 6 to 7:30 p.m. Health screenings Mammograms and Pap smears are available aboard the Norton Cancer Institute Mobile Prevention Center. Call (502) for appointment and eligibility. Blood pressure, BMI and blood glucose screenings also available. Kroger Jan a.m. to 4 p.m Dixie Highway Feb a.m. to 4 p.m Buechel Bypass March a.m. to 4 p.m W. Broadway Jefferson Mall 4801 Outer Loop Jan. 28 Feb. 25 March a.m. to 4 p.m. Call (502) to register for all classes and events unless otherwise noted. Celebrate your heart during Heart Month! February is set aside as a time to give your heart a little TLC. Take time out this month to evaluate your heart health, learn your heart disease risks and make changes for a heart-healthy lifestyle. Join us for one or all of these Heart Month events. National Wear Red Day heart screenings Free blood pressure and blood glucose screenings, ask-the-nurse consultations and tips for healthy living Feb a.m. to 2 p.m. Macy s at Oxmoor Center 7900 Shelbyville Road, Louisville Making a Cardiac Comeback: Emotional Health and Heart Disease People living with heart conditions may not realize the toll it takes on mental and emotional health. Samuel F. Sears Jr., Ph.D., a nationally recognized expert in psychological care and quality of life for people with heart conditions, will give a special presentation about the link between the head and the heart. Sears is professor of health psychology at East Carolina University in Greenville, South Carolina. Lunch will be served at this free event. To register, call (502) Feb. 13 Noon Spalding University Egan Leadership Center 901 S. Fourth St., Louisville Circle of Hearts: Heart Math Learn how to use your heart to calm your mind, body and emotions; reduce stress; and enhance well-being, peace of mind and intuitive abilities. (Mind, Body, Spirit partner class) Feb to 7:30 p.m. Women s heart disease risk assessments Body mass index measurement, blood pressure reading, waist measurement, screenings for HDL and LDL cholesterol, triglycerides, HbA1c and blood glucose levels. $50. Fasting required. Call for an appointment. Norton Women s Heart & Vascular Center Call (502) to register for all classes and events unless otherwise noted. 20

13 Norton Healthcare s mission is to provide health care in a manner that responds to the needs of our community. Part of fulfilling that mission is Get Healthy, a community wellness initiative made up of magazine and NortonGetHealthy.com. These free resources offer easy-to-understand information on interesting health topics to help you live a fulfilling life through wellness for body, mind and soul. GETHealthy Between Health & Life: Norton Norton Healthcare Inc. P.O. Box Louisville, KY NONPROFIT ORG U.S. POSTAGE PAID LEBANON JCT., KY PERMIT NO. 677 Norton Healthcare Stephen A. Williams, chief executive officer Russell F. Cox, president January - March 2015 is published by Norton Healthcare Marketing and Communications P.O. Box Louisville, KY Contact us at (502) , or at Medical adviser - Steven T. Hester, M.D. Executive editors - Dana Allen, Thomas Johnson Managing editor - Jennifer Reynolds Calendar editor - Betty Hart Creative director - David Miller Designer - Mary Lou Fitzer Copy editor - Luisa Satterly Norton Audubon Hospital Norton Brownsboro Hospital Norton Hospital Norton Women s and Kosair Children s Hospital Kosair Children s Hospital Kosair Children s Medical Center Brownsboro Norton Immediate Care Centers NortonHealthcare.com Facebook.com/NortonHealthcare Twitter.com/Norton_Health Career opportunities Norton Healthcare offers a variety of meaningful career paths and exciting opportunities to work with the best, grow your career and make a difference in people s lives. Visit NortonHealthcare.com/Careers. NEW More choices in how you read! To make it easier for you to get healthy, we re now offering a monthly e-newsletter in addition to our quarterly magazine. If you prefer to receive in your inbox as an e-newsletter, go to NortonHealthcare.com/GetHealthy and click on Subscribe to our e-newsletter. And because we print a limited quantity of magazine that we distribute throughout our community, if you want to ensure you don t miss an issue, sign up for a free subscription at NortonHealthcare.com/GetHealthy.

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