fa l l 2 0 1 4

InspIre{ caring for women & their families }

amery Hospital & ClinicHudson Hospital & Cliniclakeview Hospital

Stillwater Medical GroupWestfields Hospital & Clinic

it’s a

thingGUY

50,000 MILETune-UpHEaLtH carE for tHE MEn In your LIfEIt is a good idea to have an occasional “check under the hood.”

HIttInG cancErout of tHE ParK

InspIre{ Fall 2014 }

(715) 268-8000 | amerymedicalcenter.org

(651) 439-1234 | (800) 877-1588lakeviewhealth.org

(715) 531-6000 | (800) 993-2325hudsonhospital.org

(651) 439-5330 | (800) 423-7212lakeviewhealth.org

(715) 243-2600 | westfieldshospital.com

It’s a Guy ThingKevin Slaikeu describes his struggles with bladder trouble and living a better lifestyle after treatment.

Lisa rambo - 10 Go-To snacksBusy mom of four and contestant from season 14 of The Biggest Loser shares her favorite go-to snacks.

Am I normal?Our experts share the “hows and whys” of several common body oddities.

6

12

14

2 . BE CANDID

4 . 50,000 MILE TUNE-UP

5 . HITTING CANCER OUT OF THE PARK

8 . GET A BETTER NIGHT’S SLEEP

10 . CARING FOR KIDS

11. OH! My ACHy jOINTS!

~ Lisa Rambo The Biggest Loser Contestant Season 14

INSPIRE is a publication of Amery Hospital & Clinic, Hudson Hospital & Clinic, Lakeview Hospital, Stillwater Medical Group, and Westfields Hospital & Clinic. The intent is to keep you informed and current about services and programs we provide. All are part of a non-profit health care organization committed to enhancing community health.

The information in this newsletter is not intended to diagnose illness, prescribe treatment or replace the recommendations of your health care provider. If you have concerns or questions about your health, please contact your health care provider.

©INSPIRE is published by HealthPartners

InspIre ~ 1

Noteworthy news and information from the world of

health care and beyond.

CO V E RS H OT~ Kevin Husband, father and grandfather who lives in Afton, MN. Read about his urology experience at Lakeview Hospital and Stillwater Medical Group on page 6.

– W E l l N E S S –

More than 1oo different viruses cause the common cold, and americans average three colds per year. Reduce your chances by

getting enough sleep and exercise, eating right and washing your hands frequently.

join us at the Lift Bridge Brewery for appetizers and a chance to talk with our specialists about men’s health issues.

November 3, 20145:00pm–7:30pm

lift Bridge Brewery1900 Tower Drive | Stillwater, MN 55082

For more info: lakeviewhealth.org/hops

Meet providers • Doctor is in booth • Games • Prize drawingsBlood Pressure Checks • Blood Sugar • Movember – Clean Shave

Compare that to 3,300 on your computer keyboard and only 50 on your toilet seat, and you might want to consider cleaning your phone a little more often.

There are 25,000 germs per square inch on the average mobile phone!

1 in 6 Americans experience food poisoning each year. Ick!

As you start planning your holiday meals, visit foodsafety.gov to brush up on food safety tips.

Hudson Hospital & Clinic | Lakeview HospitalStillwater Medical Group | Westfields Hospital & Clinic

for health

2014

2 ~

Dare to bare your legs

Build healthy bones and joints before it's too late

Our experts share their most valuable advice for your health.

If you are experiencing varicose veins, you know those dark, bulging veins

running down your legs are not only unsightly, but also painful, causing swelling and fatigue – all of which can worsen over time. You don’t have to be stuck with varicose veins forever. We treat varicose veins using a state-of-the-art technique that’s fast and virtually painless. You’ll be back to your regular activities within a few days. If you have symptomatic veins that are interfering with your quality of life, the procedure is generally covered by insurance. Plus, we offer free screenings so you can easily find out if you’re a candidate. I really encourage anyone who’s dealing with varicose veins to seek treatment – you’ll be glad you did. Visit lakeviewhealth.org/vein to make your appointment.

Eric SatErbak, MDSurgEryStillwatEr MEDical group- thE vEin clinic

As we age, we need to learn to keep our bones and joints healthy. Starting at age 35, a woman will lose up to 50 percent of her bone

mass during her lifetime; half of all women over the age of 50 will sustain a “fragility fracture” due to osteoporosis. In the U.S., we perform almost 900,000 hip and knee replacements each year; most of them due to osteoarthritis or “wear and tear” of the cartilage. To keep your bones and joints healthy, make sure to get adequate amounts of calcium and vitamin D, avoid tobacco and limit alcohol consumption. Keep your body weight down with a combination of diet and exercise. Everyday activities such as walking and stair climbing add the force of up to six times your body weight to your knee area, even losing a few pounds can dramatically decrease knee pain. Regular weight-bearing exercises such as walking, jogging, hiking and dancing are important to keep your bones healthy. Have an open conversation with your primary care doctor to determine if you may need special tests, medications or surgery consultation to keep your bones and joints free of pain and injury.

Nicholas G. Weiss, MDst. croix orthopaeDicsWestfielDs hospital & cliNiclakevieW hospital

InspIre ~ 3

Feeling out of sync lately? Are you down in the dumps in the winter months and happier by the spring or summer time?

You may be affected by SAD or Seasonal Affective Disorder. SAD is characterized as the onset of depression during the winter months when there is less natural sunlight.

You don’t have to continue on this journey alone. Tell your doctor about the signs and symptoms you are having and have a conversation around the treatment options available. Treatment options include light therapy, antidepressant medication and psychotherapy.

~ Herb Holman, mDfamily meDicine / stillwater meDical grouP

< allreciPes Dinner sPinnerGet dinner on the table with less fuss and more fun! Dinner Spinner gives you instant access to Allrecipes’ amazing collection of member-shared recipes, photos, ratings and reviews.

< myHPFind the nearest hospital or clinic, schedule and manage appointments, access your Member ID card, refill prescriptions, view lab results and more.

< geocacHing Supercharge your geocaching adventures with the official, full-featured Geocaching App. There are millions of geocaches waiting to be found, scattered throughout more than 185 countries around the world – there are probably even some near you right now.

< maP my fitnessEnables you to use the built-in GPS of your mobile device to track all of your fitness activities. Record your workout details, including duration, distance, pace, speed, elevation, calories burned, and route traveled on an interactive map.

< App SmArt >Apps that improve your life

weathering the

WINTERblahs...

Signs & Symptoms of SAD• Feelingsofhopelessnessorpessimism• Persistentfeelingsofsadness,anxietyoremptiness• Irritability• Restlessness• Lossofinterestinactivitiesorhobbies• Decreasedenergy• Insomnia• Difficultyconcentratingormakingdecisions• Overeatingorlossofappetite• Thoughtsofsuicide

To leArN More AND ScheDule AN AppoiNTMeNT wiTh A priMArY DocTor, viSiT oNe oF our locATioNS.

AMERy HOSPITAL & CLINIC(715) 268-8000 / amerymeDicalcenter.org

HUDSON HOSPITAL & CLINIC(715) 531-6000 / HuDsonHosPital.org

STILLWATER MEDICAL GROUP(651) 439-1234 / lakeviewHealtH.org

WESTFIELDS HOSPITAL & CLINIC(715) 243-3400 / westfielDsHosPital.com

4 ~

Screening guidelines for men

cHolesterol screening

every 3 to 5 years, starting at age 35 (earlier with a family history).

Prostate cancer screening

Test if new or worsening symptoms (hesitancy, burning, increased frequency, poor urinary stream, erectile dysfunction) or a strong family history.

colonoscoPy

Age 50 and every 10 years.

self-genital examination

Monthly. Don’t ignore painless lesions; testicular cancer can be painless.

~ Dieter Heinz, mDfamily meDicine

stillwater meDical grouP

Is it a Heart Attack?

“Any symptom should be taken seriously,” says stephen smalley, mD, a cardiologist at Hudson Hospital & clinic “early recognition and treatment saves lives and limits the injury to the heart.”

Men Pressure or squeezing in the chest and arms which worsens with activity and goes away with rest.

More likely to break out in a cold sweat, and report pain in left arm.

WOMenPressure, squeezing, fullness or pain in the center of the chest which lasts more than a few minutes or goes away and comes back.

Pain or discomfort in one or both arms, the back, neck, jaw or stomach.

Cold sweat, nausea or lightheadedness, shortness of breath.

if you have any of these signs, call 9-1-1 and get to a hospital right away!

Stroke prevention: Know your numbers

Your vision blurs, your words slur and you have sudden numbness in your arms and legs – you may be having a stroke. During a stroke, blood supply is interrupted, depriving your brain of oxygen and food. within minutes brain cells begin to die. while this scary situation can’t be stopped, it can be prevented.

Think fast when looking for the signs of a stroke:

• face: Smile. Does one side of the face droop?

• arms: raise both arms. Does one arm drift downward?

• sPeecH: repeat a simple phrase. is speech slurred or strange?

• time: if you observe any of these symptoms, call 9-1-1 immediately.

~ rita ricHarDson, mDneurology

westfielDs HosPital & clinicstillwater meDical grouP

To prevent a stroke: • Keepcholesterollow• Controlbloodpressure• Controlbloodsugar• Don’tsmoke• Takeababyaspirindaily (if directed by your doctor)

Your car came with an owner’s manual — but you didn’t. It is still a good idea to have an occasional “check under the hood” to keep your motor running and your engine clean.

HERE aRE a fEW RECoMMENdatioNS:

InspIre ~ 5

For More iNForMATioN AbouT MeN’S heAlTh iSSueS viSiT uS AT ANY oF our locATioNS:

AMERy HOSPITAL & CLINIC STILLWATER MEDICAL GROUP(715) 268-8000 / amerymeDicalcenter.org (651) 439-1234 / lakeviewHealtH.org

CANCER CENTER OF WESTERN WISCONSIN WESTFIELDS HOSPITAL & CLINIC(715) 243-2800 / cc-ww.org (715) 243-3400 / westfielDsHosPital.com

HUDSON HOSPITAL & CLINIC(715) 531-6000 / HuDsonHosPital.org

hile working overnight as a security guard, eric powell began to notice that

his nightly routes around the building soon became direct routes to the bathroom.

As his bowel habits continued to change and his visits to the bathroom increased, eric knew something wasn’t right. it wasn’t until he made a stop into the health Fair at the Minnesota State Fair that he learned the urgency to visit the doctor.

“i love the State Fair,” stated eric. “The first thing i did before even eating was visit the health Fair exhibit! After getting my blood sugar and blood pressure tested, a nurse recommended i see a doctor right away. it was a bit alarming.”

After visiting with his primary care doctor, David olson, mD of westfields Hospital & clinic, eric was referred to anthony Hecht, mD, a gastroenterologist at westfields Hospital & clinic.

After running through blood tests, stool samples and a colonoscopy, eric was diagnosed with stage 3 colorectal cancer.

“colorectal cancer is cancer that starts in either the colon or the rectum,” said Dr. hecht. “colon cancer and cancer of the rectum can begin as a small polyp, detectable through regular cancer screening, such as colonoscopies.“

“i was shocked,” eric said. “i was 34, and colorectal cancer is not something you typically have at that age.”

eric took his battle with colorectal cancer head on. After completing seven months of treatment, he was given the news that he is cancer free.

To prevent his cancer from returning, eric made a lifestyle change by increasing his level of exercise and started running. eric started by walkingandlightlyrunninginseveral5K’sthesummer after his diagnosis. Six years later, eric completed his very first marathon.

Eric Powell throws out the first pitch at a Twins game in support of colorectal cancer.

photos by Wayne Kryduba/Minnesota Twins

W

In both men and women, colorectal cancer is the third most commonly diagnosed cancer and the third leading

cause of cancer death.

~ American Cancer Society

Since being diagnosed with colorectal cancer, birthdays have become that much more important to eric.

“i celebrate and recognize every year as a milestone,” said eric. “i now get a colonoscopy every couple of years, and i am a huge advocate of the ‘Get Your rear in Gear’ program.”

Colorectal Care Teams• Colonandrectalsurgeons• Gastroenterologists• Generalsurgeons• Oncologists• Pathologists• Radiationoncologists• Radiologists

Hitting Cancer

Out of the Park

6 ~

After nine years of pain, discomfort and embarrassment Kevin decided it was time to make a change.

After consulting with his primary care provider, he was referred to stillwater medical group urologist David Henly, mD. Kevin completed a bladder test and quickly learned that his prostate was almost closed, which was the cause of his bladder trouble.

“I was lucky to have only a closure and not something critically wrong with my prostate,” Kevin said.

After being presented with treatment options, Kevin elected to have the green light vaporization therapy for enlarged prostates. Men typically have this treatment performed when they have difficulty emptying their bladder.

Dr. Henly broke down the procedure in simple terms and was extremely confident with the prognosis and outcomes, which made the whole process more comforting for Kevin.

“It was a life-changing procedure,” Kevin said. “I could go to the bathroom normally again without embarrassment.”

hen you use your garden hose, you slowly turn the nozzle to allow

the water to begin flowing. As you continue to turn the nozzle, the

pressure builds up and the stream flows stronger. While using the hose,

all of a sudden the water stops flowing; you quickly look for a kink in the hose and release it. As soon as you release the kink, you are back in action and water flows freely.

This garden hose analogy was how Kevin Slaikeu of Afton, Minnesota, described his bladder trouble.

“Having bladder trouble was not only painful and discomforting, but it was embarrassing,” stated Kevin. “It impacted my ability to go to a baseball game or fishing with the guys.”

Kevin was only 45 years old when he first noticed issues with his bladder.

“No one should have to live like that,” said Kevin. “Going to the bathroom is such a part of your daily routine; it should be an easy process, not something you fear.”

W

it’s a guy thing

prostate health: for the men in your life

InspIre ~ 7

blue light

c y to s c o p yBlue Light Cystoscopy is a new, state-of-the-art imaging procedure available at Stillwater Medical Group that helps urologists detect and diagnose bladder tumors easier than ever before. It helps make the tumor more visible to the physician and enhances complete removal while decreasing the rate of a tumor reoccurring.

How does it work? The urologist will inject a colorless contrast solution into the bladder that accumulates in cancer cells. The color will then turn bright pink or red when shown under a blue light.

The best candidates for Blue Light Cystoscopy are patients who are suspected or known to have bladder tumors.

In the images below, the bladder tumor is essentially invisible under white light (left). The tumor can clearly be seen under blue light (right).

~ THOMAS STORMONT, MD uROlOgy

STillwATeR MeDicAl gROupweSTfielDS HOSpiTAl & cliNic

TO LEARN MORE ABOUT TREATMENT OF PROSTATE CONDITIONS, PLEASE TALK WITH yOUR HEALTH CARE PROVIDER OR CONTACT:

AMERy HOSPITAL & CLINIC - (715) 268-8000 | amerymeDicalcenter.org

HUDSON HOSPITAL & CLINIC - (715) 531-6700 | HuDsonHosPital.org

STILLWATER MEDICAL GROUP - (651) 439-1234 | lakeviewHealtH.org

WESTFIELDS HOSPITAL & CLINIC - (715) 243-2900 | westfielDsHosPital.com

Kevin Slaikeu, of Afton, MN - with his sons and grandsons.

When asked if he was nervous to have the procedure, Kevin replied, “I think any man would be nervous to have a procedure involving his manhood. However, I kept thinking what my wife went through with childbirth and this procedure was nothing!”

Since his procedure, Kevin says he can work, play with the grandchildren and enjoy fishing trips with the guys, pain free.

kevin’s advice “have the conversation with your son. have a discussion about preventative health with your kids. i wish my dad was still here so i could ask him if he ever had to deal with the issues i am having. Don’t prolong any abnormality. Your body has methods of telling you something is not right. life is too short to continue living in pain and discomfort.”

8 ~

1 2 3Establish a consistent time for going to bed and getting up in the morning. Do your best to stick with it, even on weekends and during vacations.

Avoid activities, other than sleep and sexual relations, while in bed. Excessive time awake in bed seems to disrupt sleep.

Create a relaxing bedtime routine. Try taking a warm shower or bath, listening to soothing music, or drinking a cup of decaffeinated tea.

Is your partner’s

snoringkeeping you up at night?Does it sound like a train is rolling into the station while your partner sleeps? Does your pillow quiver from the noise of your partner’s snoring? Well, it’s time to do something.

Snoring occurs when the flow of air from the mouth or nose makes the tissues in the airway vibrate. This can be due to a blockage (obstruction) or narrowing in the nose, mouth or throat.

Snoring is more common in men than in women, and many times it is just simple snoring. However, if your partner stops breathing, chokes or gasps during sleep, there may be something more going on. It’s called sleep apnea, and it can be serious. If you think that might be the case, contact your doctor to discuss the possibility of scheduling a sleep study.

Quick fixes for snoring:n Lose weight (if needed).

n Sleep on your side, not your back.

n Avoid using alcohol or sedatives before bed.

n Quit smoking!

n Raise the head of your bed four inches by putting bricks under the legs of the bed. (Extra pillows will not work.)

~ cHarlene mcevoy, mDPulmonary anD sleeP meDicine

HuDson HosPital & clinic

everyone will have an occasional bad night of sleep, tossing and turning and waking up. while the effects of one such night aren’t serious, you may want to change things upif it becomes routine.

Fall Back asleep quicklyAfter 10-20 minutes, go into another room and read or do a quiet activity,

Avoid falling asleep on the couch or another location of your home.

if you have difficulty turning off your thoughts in the middle of the night, try writing down all of your worries or what you need to accomplish the next day.

~ melissa king biggs, mD lung anD sleeP HealtH / westfielDs HosPital & clinic

visit our websites and

Take a Sleep Quiz!AMERy HOSPITAL & CLINIC

amerymeDicalcenter.org

HUDSON HOSPITAL & CLINIC HuDsonHosPital.org

STILLWATER MEDICAL GROUP lakeviewHealtH.org

WESTFIELDS HOSPITAL & CLINICwestfielDsHosPital.com

Fall backto sleep in

10 minutes or less

3 TIPS TO A BETTER NIGHT’S SLEEP

~ linDsay freDricksen, cnP Pulmonology / lakeview sleeP center

~ sHaban nazarian, mD enDocrinology / stillwater meDical grouP

InspIre ~ 9

~ micHael bourne, DPm cHristina knutson, DPm foot & ankle surgery stillwater meDical grouP

A person with diabetes is more vulnerable to foot problems because

diabetes can cause damage to nerves and reduce blood flow to the feet. Healthy feet are a good reason to keep your glucose, cholesterol and blood pressure under control.

Clean Your Feet Daily

Check Your Feet Each Day

Protect Your Feet

EaRly SyMptoMS of diaBEtES:

• Frequenturination

• Feelingverythirstyorhungry,eventhough you are eating

• Blurryvision

• Cutsorbruisesthatareslowtoheal

• Tingling,painornumbnessinhands or feet

RiSk faCtoRS:

• Being45yearsofageorolder

• Beingoverweight

• Havingaparentorsiblingwithdiabetes

• BeingAfrican-American,Hispanic/ Latino, American-Indian, Asian-American or Pacific-Islander

• Havingdiabeteswhilepregnantorgiving birth to a baby weighing 9 lbs. or more

Early diagnosis of prediabetes or type 2 diabetes can prevent serious problems later, including loss of eyesight or kidney damage. If you have some of the above risk factors, talk with your doctor about getting a blood test. you can also get a referral to meet one on one with a dietitian.

diabetes

~ sHaban nazarian, mD enDocrinology / stillwater meDical grouP

TipS For eArlY DeTecTioN

If you take care of your feet every day, you can lower your chances of losing a toe, foot, or leg due to diabetes complications.

~ lynnelle gabriel, DPm PoDiatry

amery HosPital & clinicwestfielDs HosPital & clinic

To learn more about treatment of diabetes, please talk with your health care provider or contact:

AMERy HOSPITAL & CLINIC / (715) 268-8000 | HUDSON HOSPITAL & CLINIC / (715) 531-6700 STILLWATER MEDICAL GROUP / (651) 439-1234 | WESTFIELDS HOSPITAL & CLINIC / (715) 243-3400

• Washwithwarmwaterand mild soap.

• Dryyourfeetandtoes.

• Trimnailsafterbathingwhen they are soft—cut nails straight across.

• Uselotiontopreventcracking.(Do not put lotion between toes and avoid lotions that are alcohol based.)

• Examinethetopsandbottoms of your feet.

• Checkfordry,crackedskin;blisters or sores; ingrown nails; swelling; change of sensation; color changes; change in temp.

• Checktheinsideofyourshoesforforeign objects or rough areas.

• Nevergobarefoot.

• Breakinnewshoesslowlytoprevent blisters .

• Alwayswearcottonsocksandshoes made of natural materials.

• Contactyourprovidertotreatproblem areas. Avoid self-treat-ment of any problem areas.

• Screeningforfootcomplicationsshould be a routine part of your medical visits.

The CDC estimates that 29.1 million people have diabetes. Of those, 8.1 million are undiagnosed. A person with prediabetes has a blood sugar level that is higher than normal, but not high enough for a diagnosis.

5

4

2

3

6

1

10 ~

Squats: keep heels on the floor, knees should be over middle toes, head and eyes remain looking forward.

Chair Dips: bend elbows, return to start position.

Standing heel raises: raise up onto toes, lower slowly.

Lunges: step forward, keep front knee over your front ankle (don’t allow to go beyond your toes), step back to start position.

~ brian lease, Pt sPorts meDicine

westfielDs HosPital & clinic

Children have a greater surface area-to-body mass ratio, which means they lose body heat faster than adults. Since cold environments can present a challenge to safe activity, here are a few simple steps to help keep your young athletes healthy:

taking care of your ACTIvE KIDS

TO LEARN MORE ABOUT SPORTS MEDICINE SERVICES AT AMERy HOSPITAL & CLINIC, STILLWATER MEDICAL GROUP, AND WESTFIELDS HOSPITAL & CLINIC PLEASE TALK WITH yOUR HEALTH CARE PROVIDER OR VISIT OUR WEBSITES

amerymeDicalcenter.org | lakeviewHealtH.org | westfielDsHosPital.com

~ Paul scHaefer, mD sPorts meDicine / stillwater meDical grouP

Make sure children have adequate layers of clothing.

Don’t let cold temps be an excuse for staying inside. With a little prep, children can be outside playing and participating in sports!

Children need vitamin D to absorb

calcium for healthy bones. Dairy

is a great source.

Teach kids to cover their coughs with their upper arms and to wash their hands frequently.

Have children do sport-specific warm-ups, such as easy skating in the hockey

rink.

Keep exposed areas covered, like faces, fingers, and toes, to help prevent frostbite.

move Y o u r

body

InspIre ~ 11

A concussion is an injury to the brain caused by a force being transmitted to the head. This can occur in a direct blow to the head, collision, fall, whiplash injury or violent blow to the body. A concussion causes immediate and usually temporary impairment of brain function, which cannot be seen on an x-ray or scan of the head. Every head injury should be taken seriously and each dealt with appropriately.

CONCUSSION MANAGEMENT: What you need to know about brain injuries

Don’t put it off any longer.

KathyMilesofHudsonwasgladsheproceeded with her total knee replacement. “it was such a positive experience,” says Kathy.“IhadnofearbecauseIknewhowmuch better i would feel in the long run.”

Miles had arthritis in her right knee, to the point of it rubbing bone on bone. After going through injections and other treatments, she met with robert knowlan, mD of st. croix orthopaedics. her knee replacement occurred in May 2014 at Hudson Hospital & clinic. “Dr. Knowlanwaswonderful,”saysKathy.“Heeven autographed my knee!”

Physical therapy is key to recovery.

while she was walking the same day she had surgery, she says you get what you put into it. “listen to what the doctors and physicaltherapiststellyou,”saysKathy.“Dothe physical therapy exercises before your surgery, and be prepared.”

her physical therapist had her write down the things she couldn’t do, which helped motivate her through the recovery process. WhatwasKathymostlookingforwardtogetting back to? “vacuuming! My husband did all of the housework, but i wanted to help. i was excited to be able to go for walks with my grandkids.”

Kathyplanstohaveherleftkneesurgerysometime next year and is working on strengthening her quad muscles ahead of time. “it’s a process, but you will get your knee back.”

OH! OH!

jOints!jOints!

~ geHrig williamson, mDfamily Practice/sPorts meDicineamery HosPital & clinic

Do your knees or hips ache? Has your insurance deductible been met? Have you been thinking about having a knee or hip replaced?

my acHymy acHy

Symptoms • Dizziness • Headache • Blurredvision • Dilatedpupils • Poorbalance • Difficultyspeaking • Confusion

Treatment• Rest(physicalandmental)

• Avoidanyphysicalactivity,useofacomputer,reading,textmessaging,watchingTVandvideogaming

• Donotoperateamotorvehicle

Kathy Miles with her surgeon, Robert Knowlan, MD.

TO LEARN MORE ABOUT ORTHOPEDIC SERVICES AT ANy OF OUR LOCATIONS, PLEASE TALK WITH yOUR HEALTH CARE PROVIDER OR VISIT OUR WEBSITES.

amerymeDicalcenter.org

HuDsonHosPital.org

lakeviewHealtH.org

westfielDsHosPital.com

12 ~

exclaimed Lisa. “I typically make this on a night when I plan on being a little later at the gym or running around with the kids. I love that dinner is just about done when I walk in the door. My husband and kids have even declared this a new favorite – a win-win in my book!”

Lisa loves this dish because you can put it in the slow cooker in the morning in less than five minutes — so healthy and so easy! >>>

Lisa Rambo of Houlton, Wisconsin, was a contestant on season 14 of The Biggest Loser. She continues to share her journey of health with her family and with the world through her blog (losingitwithlisa.com). As a working mom with four kids, she knows how busy life gets. yet even when time is limited, she has still found a way to eat healthy.

Lisa’s “go-to dinner” is Slow-Cooked Southwest Chicken and Beans. “We make it weekly at the Rambo house,”

TOP 10go-to

SNACKS

W R I T T E N B Y L I S A R A M B O

LISA RAMBO of Houlton, Wisconsin, was a contestant on season 14 of The Biggest Loser. She continues to share her journey of health with her family and with the world through her blog (losingitwithlisa.com).

10987654321

TOP 10go-to

SNACKSIt’s not easy to find a variety of healthy snacks to keep your energy up between meals. Lisa Rambo shares some of her favorite mid-day bites.

InspIre ~ 13

: 1 oz. turkey jerkey and a pear

: 1 cup low-fat cottage cheese with chopped tomatoes, garlic and basil

: a hard boiled egg and cucumber & tomato salad

: Slice of toasted whole grain bread with 1 tbsp of almond butter

: Cranberry juice, strawberries and non fat yogurt smoothie

: 1 cup plain Greek yogurt and 1 cup of fresh berries

: 1/4 cup dried plums and 1/8 cup chopped walnuts

: 3 tablespoons of hummus with carrots and celery sticks or red pepper

: 2 light rye crackers with a slice of low fat cheese

: 1 small green apple and 15 almonds (yes, count your almonds)

Remember, eating well helps your family PowerUp! When you get home

from grocery shopping, bag up your snacks right away. This will make it

easy to grab and go! It also keeps you from just grabbing a couple and not

counting, and it holds you accountable to portion size.

• toP 10 •

gO-TO SNACKSgO-TO SNACKS

10987654321

PowerUp4Kids.org

14 ~

tHe fiX: The best thing you can do for earwax is leave it alone – it will usually clear up naturally in the shower. “we don’t recommend using cotton swabs or other tools inside your ear,” says terrence tuominen, mD, an ear nose and throat specialist at westfields Hospital & clinic and amery Hospital & clinic. “placing things into your ear can damage your eardrum.”

WHen to seek Help: conditions like swimmer’s ear, eczema, diabetes or a small ear canal can also cause excess earwax to be problematic. if you notice pain, pressure or hearing loss, a doctor can irrigate your ear to determine if those problems are caused by earwax or other ear issues.

tHe fiX: Many women endure it by wearing a pad at all times, carrying extra underwear or just avoiding activities that could cause leakage. pelvic floor exercise (also called kegels) can be helpful for some women. See if you can stop the flow of urine on the toilet. once you’ve identified the right muscles, practice contracting and relaxing those muscles several times a day (not while emptying your bladder).

WHen to seek Help: “our ob/GYN doctors partner with urologists to help patients who deal with incontinence,” says laura Dean, mD, obstetrician/gynecologist with stillwater medical group. “You should definitely seek help if your incontinence is interfering with your lifestyle.” Several surgical and non-surgical treatments are available, and physical therapy can also be helpful for some individuals.

ear wax is produced by skin glands in the ear canal and functions to protect the eardrum from dirt and infection, as well as minimize potential trauma that could be caused by sound. like sweat glands and hair follicles, the amount of earwax produced varies from person to person – and whether you have a little or a lot, it’s perfectly natural.

A leAkY BlAdder if you’ve ever experienced a little bit of bladder leakage when you’ve coughed, sneezed or jumped, you’re notalone.Knownasstress incontinence, this activity-related bladder leakage is common among women and is caused by several factors, including aging, childbirth, hormonal changes as we age and genetics.

eXcess eArWAX The issue:

our boDies are amazing – but they also do some pretty strange things. our experts break down the “hows and whys” of several common oddities.

The issue:

InspIre ~ 15

WHen to seek Help: excessive blushing can be a sign of a disease called carcinoid syndrome, especially if accompanied by wheezing, diarrhea or hives.

tHe fiX: if you think you may have oral allergy syndrome, try avoiding the foods that can cross-react with your specific allergy.

bircH: kiwi, apples, pears, peaches, cherries, carrots, hazelnuts and almonds

grass: peaches, celery, tomatoes, melons and oranges

latex: bananas, avocado, kiwi and papaya

ragweeD: bananas, honeydew, cantaloupe, watermelons and tomatoes

WHen to seek Help: “Most cases of oral allergy syndrome are mild. however, “some oral allergy syndrome cases can be life-threatening, so we recommend a skin test for allergies,” says Jennifer koziol wozniak, mD, an allergist at Hudson Hospital & clinic. “we can then develop a care plan to help avoid any potential serious reactions.”

tHe fiX: certain activities – overeating, drinking carbonated beverages, swallowing air, sudden temperature changes or excessive alcohol ingestion – may bring on the hiccups. Some reports suggest that sudden excitement, laughing or emotional stress can also bring on hiccups. “There really aren’t any scientifically proven methods to get rid of hiccups,” says anna cox, mD, internal Medicine doctor at stillwater medical group. “but, you might have fun trying some of these home remedies.” if nothing else, you may momentarily forget your hiccups!

• Holding your breath• Gargling ice water• Swallowing granulated sugar, hard bread or peanut butter• Biting on a lemon• Being frightened (“BOO!”)• Smelling noxious odors• Sneezing• Pinching your upper arm

WHen to seek Help: Most bouts of hiccups are nothing to worry about. however, hiccups that last more than 48 hours should be evaluated by your doctor, as these persistent hiccups can sometimes be indicative of an underlying medical problem.

Many people with seasonal allergies are also affected by oral allergy syndrome, which can cause an itchy or prickling feeling in your mouth after eating certain foods. essentially, the same immune reaction that occurs when we breathe in pollen can happen when we eat foods that mimic that pollen.

A freQuentlYflusHed fAce

blushing occurs when capillaries, the smallest blood vessels in your face and neck, become wider or dilate. This dilation occurs involuntarily through the action of the sympathetic nervous system which is triggered during stress, or embarrassment. “Some people have capillaries that dilate more readily in moments of high emotion,” says william manzel, Do, family medicine doctor at stillwater medical group. “while we’re not sure why some individuals blush more often, it may be genetic.”

tHe fiX: while most people must simply learn to deal with blushing – or even embrace it – cognitive behavioral therapy can be tried to help those whose frequent blushing is affecting their lives.

Hic-Hic-Hiccups hiccups are an unintentional muscle spasm that occurs intermittently in our breathing muscles. This abrupt muscle contraction causes a sharp intake of breath that leads to the characteristic ‘hic’ sound. The issue: An itcHY moutH

The issue:

The issue:

TO LEARN MORE ABOUT TREATMENT OF ANy OF THESE CONDITIONS, PLEASE TALK WITH yOUR HEALTH CARE PROVIDER OR CONTACT:

AMERy HOSPITAL & CLINIC - (715) 268-8000 / amerymeDicalcenter.org

HUDSON HOSPITAL & CLINIC - (715) 268-8000 / HuDsonHosPital.org

STILLWATER MEDICAL GROUP - (651) 439-1234 / lakeviewHealtH.org

WESTFIELDS HOSPITAL & CLINIC - (715) 243-3400 / westfielDsHosPital.com

16 ~

HappENiNGWHat’S

NEW CLINICIANS

CLINIC LoCAtIoNS

Amery HospitAl & CliniCKevin Klein, MDFamily PracticeJudson B. Pollock, MD NephrologyTanya L. Repka, MDOncologyMichael J. Schneider, MD General Surgery Hudson HospitAl & CliniCKurt C. Demel, MDOncologyRanda El Husseini, MDNephrologyMonica C. Stiles, MD Endocrinology

stillwAter mediCAl GroupAnna Cox, MDInternal MedicinePaul Dambowy, MD GastroenterologyPriya Kumar, MBBSOncologyMollie Malaney, MDPediatrics

westfields HospitAl & CliniCJohannes Brechtken, MDCardiologyGlenn Nickele, MDCardiologyMichael J. Schneider, MDGeneral SurgeryMonica C. Stiles, MDEndocrinology Joseph Johnson, MDIntervention Pain Management

Amery º - (715) 268-8000

cleAr lAke - (715) 263-3100

luck - (715) 472-2177

hudson º - (715) 531-6700

mAhtomedi - (651) 439-1234

new richmond º * - (715) 243-3400

stillwAter º * - (651) 439-1234

somerset - (651) 439-1234

turtle lAke - (715) 986-4101

* walk-in appts availableº pharmacy location

PRODUCT SPOTLIGHTS

Green Toys Inc. makes a line of classic children’s toys constructed from recycled plastic and other environmentally friendly materials.

Find Green Toys and many great gift ideas in the Lakeview Hospital gift shop.

Robeez makes shoes for newborns to two-year-olds that promote healthy foot development while being fashionable and fun to wear.

Find Robeez and other fun gifts in the Hudson Hospital gift shop.

Tickled Pink scarves, hats, and jewelry are affordable fashion and offer the perfect finishing touches to any wardrobe.

Find Tickled Pink and other gift ideas in the Westfields Hospital & Clinic gift shop.

HEALTHy WEIGHT FOR LIFELearn strategies to prioritize and execute meal planning. Use tools during the program and after to achieve your healthy eating goals. This 6-week series is offered at Stillwater Medical Group Main Campus.

CLASS INFO & REGISTRATION

Diabetes & Nutrition (651) 430-8715register@lakeview.org

TAKE CONTROL: HOW TO SIDESTEP DIABETESTake charge, make smart choices and stay healthy by learning what you can do to delay or prevent diabetes. Class held at Westfields Hospital & Clinic.

CLASS INFO & REGISTRATION

Diabetes & Nutrition (715) 243-3467

DIABETES SUPPORT GROUPSDiabetes support group at Hudson Hospital & Clinic | (800) 429-0383

Diabetic support & informationThird Wednesday of the month at 6:30 p.m. at the Deerfield Commons, New Richmond | (715) 243-2866

Diabetes support groupFirst Tuesday of the month, 6 p.m. at Stillwater Medical Group Main Campus | (651) 430-8715

InspIre ~ 17

registration requireD

Hudson Hospital & clinichudsonhospital.org

(800) 429-0383

lakeview Hospitallakeviewhealth.org

(651) 430-4697

westfields Hospital & clinic(800) 429-0383

All classes are FREE unless otherwise noted

advance Directives for wi residentsWed, Sept. 17 | 6-7pm | Lakeview Hospital

Tips on how to initiate an end-of-life care conversation with your loved ones and how to pick a surrogate decision maker.

balance, strength and fall PreventionWeds, Oct. 1 | 6:30-7:30pm | Lakeview Hospital

Learn what you can do to reduce the risk of falls. Physical Therapist Lori Mildon will share exercises for balance and strength, as well as a safety checklist to complete.

causes of shoulder Pain & treatmentThurs, Oct. 2 | 6:30-7:30pm | Lakeview Hospital

Dr. jason Dieterle, St. Croix Orthopaedics, will discuss the most common causes of pain in the shoulder region and share both nonsurgical and surgical treatment options.

winter blues bustersMon, Oct. 6 | 6:30-7:30pm | Lakeview Hospital

Dr. Herb Holman, Stillwater Medical Group, will share the symptoms of SAD, its causes and what you can do about it – whether it’s you or someone you know.

seasonal allergies Tues, Oct. 7 | 6:30-7:30pm | Hudson Hospital & Clinic

join Dr. jennifer Koziol Wozniak to learn about the symptoms, causes and treatments for colds versus seasonal allergies.

kidney stones–10 things to knowWeds, Oct. 8 | 6:30-7:30pm | Lakeview Hospital Thurs, Oct. 9 | 6:30-7:30pm | Westfields Hospital & Clinic

Urologist Dr. Thomas Stormont will give you a rundown of what you should know about symptoms, causes, and conditions that increase your risk of getting a kidney stone, as well as prevention and treatments.

finding your way through cancerThursdays, Oct. 9-30 | 7:00-8:15pm | Lakeview Hospital

4-week series for individuals and their families who are dealing with a cancer diagnosis.

CLASSES

tai chi for arthritis Tuesdays, Oct. 14, 6-7pm | 10/14 – 12/2Stillwater Medical Group, Specialty Clinic Lobby$40/8-week session

Reduce pain and increase balance and flexibility with the Arthritis Foundation Tai Chi Program, led by certified instructor Greg LaDouceur, PT. Gentle Sun-style Tai Chi routines are suitable for every fitness level.

knee Pain and arthritisTues, Oct. 14 | 6:30-7:30pm | Lakeview Hospital

Learn about the common causes of knee pain, along with nonsurgical and surgical approaches for the painful knee. Dr. William Schneider, St. Croix Orthopaedics.

aarP smart DriverMon, Oct. 20 | 1-5pm | Hudson Hospital & Clinic$15 for AARP members, $20 non-members

For senior drivers 55+ with reviews and updates on the new road systems, new rules of the road and a comprehensive review of our physical person as we age. Possible discount for car insurance; check with your agent.

sports medicine for Performing artistsTues, Oct. 21 | 6:30-7:30pm | Mahtomedi H.S.

Dr. Paul Schaefer, Sports Medicine, will discuss breakthroughs in treatments and prevention, which can bring healing and relief for students and professional performers.

anterior Hip replacement Tues, Oct. 21 | 6:30-7:30pm | Lakeview Hospital

join Dr. Michael Meisterling, St. Croix Orthopaedics, to learn about common hip ailments, along with treatments and surgical options for pain relief.

freedom from smokingTuesdays, Oct. 21 – Dec. 2 & Thurs, Nov. 137:00-8:30pm | Lakeview Hospital | $65/series

Quit smoking for life! In this seven-week series you will learn how to overcome your tobacco addiction so you can start enjoying the benefits of better health. Features a small-group setting in a fun, interactive environment. Includes workbook and CD.

should Dad be Driving? is it safe for mom to be Home alone?Thurs, Oct. 23 | 6:30-7:30pm | Lakeview Hospital

Lakeview Hospital occupational therapist, Leah Vizenor, will discuss professional tools that assess a person’s skills, memory, driving knowledge, sensory and motor function.

common causes of Hand and wrist PainMon, Oct. 27 | 6:30-7:30pm | Lakeview Hospital

join Dr. Nicholas Meyer, St. Croix Orthopaedics, to learn about the many causes of hand and wrist pain. Learn about the latest treatments that increase functionality and ease symptoms.

knee replacement surgery Mon, Nov. 3 | 6:30-7:30pm | Hudson Hospital & Clinic

Dr. Robert Knowlan, St. Croix Orthopaedics, will discuss knee replacement surgery, along with the latest innovations in surgery.

look good…feel betterMon, Nov. 3 | 7-9pm | Westfields Hospital & ClinicRegistration: (715) 243-2800Mon, Nov. 10 | 10am-12pm | Lakeview Hospital Registration: (800) 227-2345

Beauty techniques for female cancer patients in active treatment. Collaboration between the American Cancer Society; the Cosmetic, Toiletry and Fragrance Association Foundation; and the National Cosmetology Association.

Celiac Disease or Gluten-Sensitive? Tues, Nov. 4 | 6:30-7:30pm | Lakeview Hospital

Registered Dietitian Heidi Gunderson will provide tips to avoid hidden gluten and substitutions for your favorite recipes for holiday celebrations.

Healthy eating for the HolidaysWed, Nov. 5 | 6:30-7:30pm | Hudson Hospital & ClinicTues, Nov. 11 | 6:30-7:30pm | Lakeview HospitalMon, Nov. 17 | 6:30-7:30pm | Westfields Hospital & Clinic

A registered dietitian will share tips on healthy food choices and ways to be mindful of your options, while still enjoying parties and potlucks.

understanding your thyroidMon, Nov. 10 | 6:30-7:30pm | Lakeview Hospital

Stillwater Medical Group endocrinologist Dr. Shaban Nazarian will discuss how the thyroid works and break down the myths and truths.

are you getting your zzzz’s?Mon, Nov. 10 | 6pm-7:30pm | Hudson Hospital & Clinic

Learn about common sleep disorders and take a tour of the comfortable Sleep Health Center.

knee conditions and treatmentsWed, Nov. 12 | 6:30-7:30pm | Westfields Hospital & Clinic

Find out what may be causing your knee pain or mobility issues with Dr. Nicholas Weiss, St. Croix Orthopaedics. He will also discuss advancements in nonsurgical and surgical treatment options.

advance care Planning for mn residentsThurs, Nov. 13 | 1:00-2:00 pm | Lakeview Hospital

Tips on how to initiate an end-of-life care conversation with your loved ones and how to pick a surrogate decision maker.

Does your man Have a Prostate issue?Tues, Nov. 18 | 6:30-7:30pm | Hudson Hospital & Clinic

Hudson Hospital Urologist Dr. David Henly will discuss the most common prostate problems and symptoms, along with tests and innovative treatments.

we’rehere

feel goodin your neighborhood.

We’ve always been there foryou. Now, more than ever, we’re here for you.

We offer expanded services, including Primary Care, Women’s Services, Surgical Services and our Specialty Clinics in local communities. All are fully integrated with the HealthPartners healthcare system, which offers 41 medical specialties, 5 pharmacies and 10 clinic locations.

Schedule an appointment today, and see how convenient exceptional healthcare can be.

amerymedicalcenter.org | hudsonhospital.org lakeviewhealth.org | westfieldshospital.com

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permit no 1704twin cities, mn

Stillwater Health System927 Churchill StreetStillwater, MN 55082

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