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my health | my life INSIDE THIS ISSUE: Colonoscopies Today 7 Q&A: Allergies 10 Events Pullout Calendar 12 Pearls of Wisdom 14 HYSTERECTOMY? KNOW YOUR OPTIONS.

HYSTERECTOMY? KNOW YOUR OPTIONS.€¦ · HYSTERECTOMY? KNOW YOUR OPTIONS. aution: this may be habit- ... other words, make healthy ... but as Mark Twain said,

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my health | my life

SPRING 2013

INSIDE THIS ISSUE:Colonoscopies Today 7Q&A: Allergies 10Events Pullout Calendar 12Pearls of Wisdom 14

HYSTERECTOMY?KNOW YOUR OPTIONS.

aution: this may be habit- forming.

Eating right, getting enough sleep, exer-cising regularly, scheduling your yearly check-up and annual screenings…they’re

all important to our health. But who has time to think about it all?

�e secret is to make healthy living part of your daily routine. In other words, make healthy living a habit.

�e �rst step is to decide you’re going to change — and then stick to it. Some re-searchers say it takes 60 days to change a habit. So why wait? At MoBap, we have lots of programs to help you get started

— and stay motivated this Spring. Check out our events calendar on page 12 or visit us at www.MissouriBaptist.org/ClassesEvents for more information on our upcoming physician lectures and health screenings.

Once you’ve made healthy habits part of your daily routine, you’re on your way to a richer and more ful�lling life. It won’t always be easy, but as Mark Twain said, “Why not go out on a limb? �at’s where the fruit is.”

Are you ready to take a bite out of life? We’re with you.

Here’s to a Happy Spring!

COVER PHOTO

Our cover photo features Christine Ladd, MD, board-certi�ed OB/GYN physician on sta� at Missouri Baptist Medical Center. See our story on page 4 for her expertise on options to solve excessive vaginal bleeding or spotting.

Welcome to M.My Health / My Life.

my health | my life

5-STAR RATED FOR TREATMENT OF HEART ATTACK.9 YEARS RUNNING (2005-2013)

2

Jo Anne MeivesRN, MSNCommunity Education

C

INSIDE THIS ISSUE

Welcome to M ........................... 2

TAKING CARE OF YOU

Options for Abnormal Bleeding ... 4

Colonoscopies Today .................. 7

Q&A: Allergies ......................... 10

Ricotta Ravioli ......................... 11

EVENTS

Community Events Pullout Calendar ...................... 12

Pearls of Wisdom Event ............ 14

Classes & Screenings ............... 16

OTHER SERVICES

Mammography Van and OB Classes ....................... 22Colonoscopies Today

Hysterectomy? Know Your Options.

APRIL | MAY | JUNE4

714Pearls of Wisdom

www.missouribaptist.org 3

Today’s Better Options.Ending Abnormal Vaginal Bleeding Without a Hysterectomy.

never had regular menstrual cycles until after my third child,” said Ann B., 41, a wife, mother of three

daughters and a school teacher.

Ann had monthly periods ‘on schedule,’ but experienced heavy bleeding.

Although her third was born in 2006, Ann said, “I just let it go. But it got worse and worse. Sometimes, I almost couldn’t get to the bathroom fast enough.”

As a teacher, this was beyond inconve-nient; she couldn’t just walk out in the middle of class.

“I also had pre-menstrual symptoms (PMS), such as nausea and severe cramp-ing. I knew this couldn’t be normal.”

Ann consulted her OB/GYN, Christine Ladd, MD, who is on sta� at Missouri Baptist Medical Center.

“I’ve seen Dr. Ladd since I �rst moved to Missouri 19 years ago. I trust her completely. She helped me through infertility issues and delivered my girls,” said Ann.

SPOTTING IS NOT NORMAL.

Another patient of Dr. Ladd, Jean M., 51, said, “A few years ago, I was

bleeding a lot and for long periods of time. I had an IUD, which worked for about two and one-half years.”

But then, she began spotting again – and worrying.

“It would continue for about 10 days with three days o�. It was never very heavy and I was never in pain. But it was an annoyance and I felt it also a�ected my energy level.”

FINDING A SOLUTION.

“In this day and age, we try conservative management �rst before proceeding to hysterectomies,” said Dr. Ladd.

A hysterectomy is an operation to re-move a woman’s uterus. If needed, now it can be performed using minimally invasive laparoscopic surgery techniques. �ese o�er many advantages over a tradi-tional hysterectomy, which is performed by cutting through the stomach muscles.

Jean and Ann tried other ways to control their abnormal bleeding, ultimately de-ciding on uterine ablations. Jean, whose bleeding was attributed to benign uter-ine �broids, used the IUD successfully for awhile; Ann, who believes her issues stem from her history of polycystic ovar-

“I

4

ABNORMAL BLEEDING

www.missouribaptist.org

ian syndrome, had a D&C (dilation and curettage), essentially a uterine wall scraping or cleaning, which can stop excessive bleeding.

“But it didn’t have the hoped for results,” said Ann. “I also tried the birth control pill to control the bleeding, but it had other side e�ects, so it wasn’t an option.”

Many women try, at the recommenda-tion of their physicians, something as simple as taking scheduled Ibuprofen, or hormones such as progesterone, IUDs, or the birth control pill.

ABLATIONS MAY HELP.

“Not everyone can take birth control or wants an IUD, so ablation is another option to control abnormal bleeding,” said Dr. Ladd. “If a patient has endo-metriosis and keeps forming cysts, they often experience pain, bleeding and the inability to function well, even the in-ability to go to work.”

“Ablation is good if a woman is �nished having children, but experiences heavy bleeding that keeps her from normal activities.”

With ablation, a woman may still su�er PMS, but bleeding is much reduced. An ablation is generally a minimally-inva-sive outpatient procedure. �e patient usually recovers in a day with perhaps just light cramping.

�ere are three types of ablation – all performed through the vagina with lo-calized rather than general anesthesia. Two methods use heated saline solutions and the third uses electrical energy to remove the uterine lining.

“All are outpatient, generally well-covered by insurance and take about 30 minutes for the actual procedure,” said Dr. Ladd.

Jean, who is pleased with her results, said, “�e recovery was quick. �e next day I was feeling well and not in any pain.”

5

www.missouribaptist.org

Ann, who also is glad she had the abla-tion, noted that her mother and aunt had similar women’s issues. She has concerns for what her daughters may face, but she’s optimistic, too. “In my mother’s and aunt’s days, they did not have ways to �x problems like we have today.”

HYSTERECTOMIES MINIMALLY INVASIVE TODAY.

If, ultimately, a woman needs a hysterec-tomy, she has many more options. She can �nd a GYN surgeon, who specializes in minimally invasive surgery, performed either laparoscopically or using the daVinci® robot, rather than open inci-sion. Minimally invasive GYN surgery has reduced recovery time (to a couple of weeks versus two months), and has the advantage of smaller incisions and reduced muscle soreness.

“Patients recover amazingly well and fast,” said Dr. Ladd. “�ey are back to work quickly and within two weeks walking and doing light exercise.”

PEACE OF MIND.

Since her ablation, Ann said, “I now have peace of mind. �e bleeding was a constant worry for me.”

In fact, she had the procedure in sum-mer and a couple weeks later went on a family vacation to Florida.

“I was walking extensively through Dis-ney World, Sea World and swimming. Having the procedure has made being a mom and teacher much easier.”

Christine Ladd, MD, is a board-certified obstetrician/gynecolo-gist, on staff at Mis-souri Baptist Medical Center. She received her medical degree from the University of Missouri School of Medicine-Co-lumbia and completed her residency at Southern Illinois University in Spring�eld, Ill.

6

HYSTERECTOMY FACTS.

• 2nd most frequently performed surgical procedure on U.S. women, according to the Centers for Disease Control and Prevention (Cesarean sections are 1st)

• 622,000 hysterectomies performed annually, according to The National Center for Health Statistics

• One in three women has a hysterectomy by age 60

• Studies show that from 10 to 90 percent of hysterectomies are not medically necessary

• Hysterectomies may be medically necessary for:

- invasive cancers

- unmanageable infections or bleeding

- childbirth complications

• If a hysterectomy is needed, today’s surgery can be performed using minimally invasive techniques, offering women a shorter hos-pital stay, faster recovery, less blood loss, quicker return to normal activities, and less scarring and risk of infection.

www.missouribaptist.org

COLONOSCOPY

7

hey say that it takes a lifetime to learn to �y �sh. �anks to a colonoscopy, Alicia Creigh-ton should have a full life to

sharpen her �shing skills.

The 47-year-old veterinarian, wife, mother of two and budding �y �sher-woman credits the colon exam with saving her life. �at’s because the colo-noscopy, her �rst, detected cancer in her colon. �e cancerous tumor and some surrounding tissue were subsequently surgically removed, and Creighton is now completing follow-up chemother-apy treatment to keep the cancer, an adenocarcinoma, at bay.

“It probably saved my life,” Creighton said of the colonoscopy.

Her surgeon, Missouri Baptist colon and rectal specialist Lawrence G. Mendelow, MD, agrees.

“She had Stage 3 cancer,” Dr. Mendelow said. “If she had waited any longer, she would have been Stage 4 and would probably not have survived.”

A FAMILY WARNING.

Because age is a signi�cant factor in cancers of the colon and rectum, many people do not begin periodic colon

screenings until age 50. But Creighton scheduled her �rst after being told her mother and mother’s brother had benign colon polyps removed during their life-times. �at family history put Creighton at greater risk for developing colon cancer.

Creighton, since she had no symptoms, was surprised to learn that a suspicious mass had been detected in her sigmoid colon; a tissue sample was taken during her colonoscopy, and sent to the lab for biopsy. Her surprise turned to shock when she was told last September that she had cancer.

SURGERY AND TREATMENT.

Creighton was referred to Dr. Mendelow for removal of the cancerous tumor and a�ected lymph nodes.

�ree weeks after successful laparoscop-ic-assisted surgery, Creighton began six months of scheduled chemotherapy under the direction of Missouri Baptist oncologist Paul K. Schultz, MD.

“I feel very positive,” Creighton said. “I just feel like I am going to beat it, and I feel that Dr. Mendlow did a great job with the surgery.”

Upon completion of the chemotherapy, scheduled for March 2013, Creighton will

How a Colonoscopy Saved Her Life.Know Your Family History.

T

8

be closely monitored through blood tests, tissue scans, and colonoscopies — a regi-men that Dr. Mendelow calls surveillance.

In the meantime, Creighton said, “I hope to get out and learn how to �y �sh. I think it is something I would enjoy.”

ADVICE FOR THE REST OF US.

Although Creighton and Dr. Mendelow both credit the colonoscopy with detect-ing the cancer when it was still treatable, Creighton said that she should have undergone the routine screening earlier. She noted that she postponed the screen-ing until two years after learning about her family history.

Creighton said, “Even with a family his-tory of polyps, you don’t see an urgency. No one wants to have a colonoscopy, but the procedure itself was quick and painless, and even the prep is overstated.”

ABOUT COLONOSCOPIES.

Despite the important role that colo-noscopies play in colon health, the procedure gets a bad rap, prompting many people to postpone their �rst colo-noscopy, or refuse it altogether.

“People don’t like the prep, and they are embarrassed by the prospect of someone looking up their backside,” Dr. Mende-low said. “But they just need to get over that because the procedure gives them great peace of mind when it’s done.”

During a colonoscopy, which Dr. Men-delow calls the “gold standard” of colon screening techniques, the doctor uses a long, thin, �exible, and lighted tube to

examine the colon and search for pol-yps, which are usually benign but which can become cancerous. If polyps are found, a tool can excise them. During the exam, which is usually performed on an outpatient basis, the patient is sedated and rarely has any recollection of the procedure upon waking.

Patient preparation involves laxatives the day before the procedure to clear the colon for the exam.

“�e prep is the worst part of the exam for the patient,” Dr. Mendelow said.

“But even that can be done with di�erent options to make it more comfortable.”

Dr. Mendelow, who performs 300 to 400 colonoscopies each year, said that everything about the procedure is better than even a few years ago.

“�e prep is better. �e equipment has improved dramatically. �e optics are tremendously improved in terms of magni�cation and their ability to detect even the smallest of lesions, and even the anesthetics are better so people wake quicker and are less groggy,” Dr. Mendelow said.

Lawrence Mendelow, MD, is a board-certi-�ed colon and rectal surgeon on staff at Missouri Baptist Medi-cal Center. He received his medical degree from Duke University in Durham, No. Carolina, and completed his in-ternship and residency at Washington University in St. Louis.

www.missouribaptist.org

COLONOSCOPY

www.missouribaptist.org 9

GUIDELINES FOR COLONOSCOPY SCREENINGS.

Each year, 140,000 people are diagnosed and more than 50,000 die from colorectal cancer. Those rates make it the second most common form of cancer in the U.S. Known as a silent disease because many people do not develop symptoms until the cancer is well advanced, the �ve-year survival rate for people with colorectal cancer discovered early is greater than 90 percent. But only 39 percent of colorectal cancers are found at that early stage, according to Dr. Mendelow.

The average person’s lifetime risk of develop-ing colorectal cancer is about one chance in 20. The risk is increased if there is a family history of polyps or cancer, and is still higher if there is a personal history of breast, uterine or ovarian cancer. Risk also is greater for people with a history of extensive in�ammatory bowel disease, such as ulcerative colitis or Crohn’s Disease.

While individuals with normal risk factors are usually screened by colonoscopy, beginning at age 50, Dr. Mendelow said a colorectal screen-ing program should be established based on personal, family and medical history.

People with symptoms, such as bleeding, change in bowel habits, pain, visible disten-tion, or anemia, regardless of age, should consult with their physician for appropriate diagnostic evaluation.

For a physician referral, call (314) 996-LIFE.

10

What causes seasonal allergies?

Most notably tree pollens, such as oak in spring; grass pollens in early sum-mer; ragweed and weed pollens in fall; and outdoor mold, depending on the humidity, storms and windy conditions; contribute to seasonal allergies.

What are the common causes of indoor allergens? Why do I have allergy symptoms all year?

Pet dander, dust, dust mites, cockroaches, indoor molds from damp basements, high indoor humidity, leaky roofs, or poor insulation contribute to indoor allergies, which can a�ect a person year round.

How are these allergies diagnosed and treated?

An accurate medical history along with a skin test, and in some special circum-stances, a blood test, is used to make a diagnosis. Allergen avoidance, although not practical in all cases, is the best treat-ment. Medications also are available.

Preventive care before onset of seasonal allergies works best for some patients while taking as-needed medications helps others. In some cases, allergy immunotherapy is the only successful treatment.

What are the long-term consequences of untreated allergy symptoms?

Many allergy su�erers also have eye symp-toms, sinus issues, asthma, ear problems, sleep disturbances, fatigue, headaches, or worsening of eczema. Children can be irritable or have di�culty concentrating. Symptoms can a�ect quality of life. If left unaddressed, allergies can lead to sinus surgeries, among other conditions. It’s important to manage allergies so you can participate in and enjoy outdoor activities.

Dr. Subramanian is a board-certi�ed allergist on staff at Missouri Baptist Medical Center. She earned her medical degree in India and completed her medical training and fellowship at Washington Univer-sity School of Medicine.

Ask the Doctor. What Causes Environmental Allergies?Hamsa Subramanian, MD, Allergist

11www.missouribaptist.org

SP

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Bring the sunny �avors of lemon and thyme to your spring-inspired table with this unique “pasta” made from a surprise ingredient!

To make ravioli, in a medium bowl combine ricotta and Parmesan cheeses, lemon zest, thyme and seasoning; stir until combined. Cover baking sheets with plastic wrap; set aside. Place a single wonton wrapper on work surface; cover remaining wrappers with a damp towel to prevent drying. Place about 1 tablespoon ricotta mixture in the center of each wrapper. Dab water on wonton edges; fold diagonally to form triangle, press edges �rmly to seal. Next, bring long ends together; press �rmly to seal. Transfer to baking sheets; repeat with remaining wrappers and �lling. Cover �lled ravioli with damp towel during assembly process to prevent drying.

Bring a large pot of water to a simmer. Add 5-6 ravioli to pot; simmer until tender and ravioli �oat to surface, about 5 minutes. Gently stir half-way through cooking to prevent sticking. Avoid boiling. Remove ravioli with slotted spoon; drain. Lightly coat with cooking spray; keep warm until serving. Repeat with remaining ravioli.

To make drizzle, combine oil and vinegar in a small bowl; whisk until combined.

To serve, plate ravioli and drizzle each serving with oil and vinegar mixture; top with pistachios and ground pepper. Garnish with fresh thyme, if desired. Makes 5 servings.

Per serving: 254 Calories, 39 mg Cholesterol, 13 g Fat, 5 g Saturated Fat, 253 mg Sodium, 24 g Carbohydrate, 1 g Fiber, 13 g Protein.

Lemon Ricotta Ravioli with Balsamic Drizzle and Pistachios.Fresh Springtime Flavors.

1 (15-ounce) container part-skim ricotta cheese3 tablespoons grated Parmesan cheese1 teaspoon grated lemon zest½ teaspoon dried thyme, crushed½ teaspoon salt-free lemon pepper seasoning25 wonton wrappersCooking spray

Drizzle:5 teaspoons extra virgin olive oil4 teaspoons golden balsamic vinegar2 tablespoons pistachios, choppedCoarsely ground black pepperFresh thyme (optional)

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JUNE

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AFTERNOON KEYNOTELUST, ROMANCE, ATTACHMENT: THE DRIVE TO LOVE AND WHO WE CHOOSEDr. Helen Fisher, biological anthropologist

Dr. Helen Fisher is a leading expert on the biology of gender dif-ferences, love and hu-man personality. She is a visiting research as-sociate and member of the Center for Human Evolutionary studies in the Department of Anthropology at Rutgers University. She has been on the national lecture circuit since 1983, discussing the evolu-tion of human sexuality, marriage and divorce, gender di�erences in the brain and behavior, and the future of men, women, sex and family life.

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MORNING KEYNOTEHEART DISEASE IN WOMEN; ARE THERE GENDER DIFFERENCES?Linda Stronach, MD, interventional cardiologist

Dr. Stronach is an invasive cardiolo-gist on sta� at Mis-souri Baptist Medi-cal Center. She earned her medi-cal degree from Brown University. She completed her internship and residency in internal medicine at the University of North Carolina and her fellowship in cardiology at the University of Pittsburgh.

Pearls of Wisdom™ Event.Friday, May 10, 8 a.m.-2 p.m.SHERATON WESTPORT HOTEL LAKESIDE CHALET • 191 WESTPORT PLAZA

(314)

996-LIFE

CALL TO

REGISTER

SIGN UP FOR OUR WOMEN’S SYMPOSIUM – TAKE TIME OUT FOR YOUR HEALTH AND SELF.

SPECIAL HEALTH EVENT

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We invite you to take a break from your daily schedule and reconnect with yourself. Join us for our annual ‘Pearls of Wisdom™’ event where we’ll share important health information just for women. Discover new tips to improve your overall health and well-being. Lunch is provided and attendance prizes are awarded, including an 18-inch pearl necklace from Vincent’s Jewelers, www.vincentsjewelers.com.

Due to the popularity of this event, ‘Pearls of Wisdom’ �lls quickly and space is limited. Registration is on a �rst-come, �rst-served basis, and will begin no earlier than Tuesday, April 9, at 8 a.m. Please call 314-996-LIFE(5433) or 800-392-0936 to register. Groups are encouraged to attend; however, participants must register individually.

AGENDA: 8-8:40 a.m. Registration and enjoy educational exhibits8:40-9 a.m. Welcome 9-9:45 a.m. Morning Keynote: Linda Stronach, MD9:45-10:15 a.m. Break – Enjoy educational exhibits10:15-11 a.m. and 11:15 a.m.-noon Breakout Sessions (select one for each breakout)Noon-2 p.m. Lunch and Afternoon Keynote: Dr. Helen Fisher

SIGN UP FOR OUR WOMEN’S SYMPOSIUM – TAKE TIME OUT FOR YOUR HEALTH AND SELF.

BREAKOUT SESSIONS

Nutrition for Women’s Health — Must-Have Information for Every Woman Aunita Hill, MD, internal medicineDeborah Wienski, MD, medical oncologistMichele Woodley, MD, gastroenterologistSherri Hoyt, RD, registered dietitian

What Every Woman Should Know about Gyn Cancers Al Elbendary, MD, gyn oncologist

Can You Hear Me Now? James Benecke, MD, otologist/neurotologist

Healthy Feet for Life John Krause, MD, orthopedic surgeon

Zumba Fitness Demonstration Irene Lyons, Zumba instructor

LUNCH AND LEARN.

Are Clinical Trials Important?Alan Lyss, MD, principal investigator, Heartland Cancer Research, CCOPClinical trials are key to developing new methods to prevent, detect and treat cancer. Trials help researchers determine whether new treatments are safe and e�ective and work better than present treatments. Join us and learn more about the risk and bene�ts of clinical trials, as well as how patient safety is protected. Friday, April 19, 11:30 a.m.-1 p.m.Longview Farm13525 Clayton Road

Keys to Managing Adult AsthmaHamsa Subramanian, MD, allergistAsthma a�ects approximately 15 million Americans and can occur at any time in your life. Learn more about what causes adult onset asthma, how it is diagnosed and how best to manage it. Tuesday, May 7, 11:30 a.m.-1 p.m.Longview Farm13525 Clayton Road

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(314)996-LIFE

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Keys to Managing Adult Asthma

EVENING PROGRAMS.

Time Critical Diagnosis – It Can Save Your LifeMichael Hatlelid, MD, neurologistStuart Higano, MD, interventional cardiologist�e �rst hour after a heart attack or stroke is the most risky. Remember, the sooner you get treatment, the less dam-age and fewer complications you’ll have. Take a few minutes and join us to learn the warning signs of stroke and heart attack, and why now, more than ever, it is important to call 911.Tuesday, April 16, 6:30-8:30 p.m.�e Hilton St. Louis Frontenac1335 South Lindbergh Blvd.

OASIS PROGRAMS.

Fit for Function: Preventing Age-Related Muscle LossJane Overall, OASIS community health facilitatorNew research proves basic strength training can reverse age-related muscle loss. Learn about these results and what you can do to be more functionally �t. Attendees can participate in a screening to see where they rank in tested national �tness norms. �is program and screen-ing is speci�cally designed for those ages 60 and older.Wednesday, April 17, 1-3 p.m. Wednesday, June 19, 10 a.m.-noonLongview Farm13525 Clayton Road

AARP Drivers Safety CourseMike Callahan, certi�ed AARP instructor�is four-hour training will help you tune up your driving skills, update your knowledge of the rules of the road, learn about normal age-related physical changes and ways to adjust for these changes. Some insurance companies also o�er a discount to participants! Space is limited. Tuesday, May 7, 9 a.m.-1 p.m.Town and Country Municipal Center1011 Municipal Center DriveFee: $12 for AARP Members; $14 for non-AARP members, payable to AARP the day of training.Time Critical Diagnosis

SCREENINGS

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Joint Pain Seminar – Hear from a Golf ProKurt Merkel, MD, orthopedic surgeonFred Funk, professional golferProfessional golfer Fred Funk shares his personal experience with joint replace-ment. Dr. Merkel also will discuss arthritis of the hip and knee, and the latest surgical procedures in joint replacement surgery. Monday, May 20

3:30 p.m. Registration, light refresh-ments, balance and blood pressure screening and a chance to practice your short game on our putting greens

4-6 p.m. Presentation

Doubletree by Hilton16625 Swingley Ridge Road

Missouri Baptist is pleased to provide medical services at the 2013 Senior PGA Championship

May 21-26

at Bellerive Country Club

presented by KitchenAid

Cholesterol & Glucose Screenings at Your Neighborhood Dierbergs.Cardiologists recommend that you monitor your cholesterol and glucose on a regular basis. To make it easy, Missouri Baptist will provide FREE screenings in the pharmacy depart-ment at your neighborhood Dierbergs Markets. This screening is FREE and measures your glucose, total cholesterol and HDL. No fasting is required – appointments are recom-mended.

APRIL.Heritage Place Dierbergs Wednesday, April 17 3-6 p.m.

94 Crossing Dierbergs Wednesday, April 24 1:30-5 p.m.

MAY.Wentzville Dierbergs Wednesday, May 8 10 a.m.-1:30 p.m.

Arnold Commons Dierbergs Wednesday, May 22 1:30-5 p.m.

JUNE.Market Place Dierbergs Wednesday, June 12 10 a.m.-1:30 p.m.

Deer Creek Crossing Dierbergs Wednesday, June 26 1:30-5 p.m.

SCREENINGS

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HEALTH SCREENINGS.

Heart Risk/Lipid Panel ScreeningMeasuring your lipids (or fats) is one of the most powerful tools to help you assess your risk for stroke and heart attack. Our advanced heart risk screening includes a lipid panel screening, which measures your total cholesterol and HDL levels, as well as your LDL (bad cholesterol), triglycerides and blood sugar levels. �is screening also includes a computerized health-risk assessment, a blood pressure reading and a one-on-one consultation with a health care professional. A 10-hour fast and advanced appointments are required.Fee: $25Friday, April 12, 8-11 a.m.Missouri Baptist Outpatient- Sunset Hills3844 South Lindbergh Boulevard

Skin Cancer ScreeningSkin cancer is the most common form of cancer in the U.S. Early awareness and detection can make a di�erence. A dermatologist will perform a FREE skin cancer screening at this event. Appoint-ments recommended. Saturday, May 11, 9 a.m.-2 p.m.Missouri Baptist Cancer Center

Bone Density Screening�is FREE bone density screening can help determine your risk for osteo-porosis. �is screening is available to post-menopausal women, who are not currently being treated for the disease. Appointments recommended. Wednesday, May 29, 4-7 p.m.Longview Farm13525 Clayton Road

South County Health Screening (Cholesterol, Glucose, Blood Pressure & Mammography)Heart disease is the number one killer of both men and women, followed by cancer. Stay on top of your health with regular screenings. To make it easy, Mis-souri Baptist will provide FREE screen-ings, including cholesterol, glucose, blood pressure and bone density.

FREE screening mammograms will be available for women ages 40-64 who are not covered by insurance. Please bring your physician’s name/phone number and a form of photo identi�cation.

To schedule your mammogram ap-pointment, please call 314-996-5170 or 800-870-5731.

To register for our other FREE health screenings, please call 314-996-LIFE (314-996-5433) or 800-392-0936.Saturday, June 1, 10 a.m.-2 p.m.South County Center18 South County Centerway

Cholesterol, glucose, blood pressure and bone density screenings in front of J.C. Penney on main level

Mammography screening in mam-mography van on south parking lot

Stroke ScreeningStroke is the third leading cause of death and is a major cause of adult disability, yet nearly 85% of all strokes are prevent-able. If you are over the age of 50, attend this event and be screened for high blood pressure, cholesterol (total cholesterol and HDL) and carotid bruits. Appoint-ments recommended.Fee: $10Saturday, June 8, 8 a.m.-noonMissouri Baptist Medical Center Auditorium

PROGRAMS OFFERED BY ST. LOUIS CHILDREN’S HOSPITAL AT MISSOURI BAPTIST.

Pre-registration for these classes is required; please call 314-454-KIDS.

Family and Friends® CPR�is video-guided program is for parents, grandparents and teenagers who babysit (ages 10-15 if accompanied by an adult). Instruction and hands-on practice for infant, child and adult CPR, �rst aid for choking and the use of AEDs when appropriate. Course facilitators use the American Heart Association material. Course includes a 65-page student man-ual. Course does not include certi�cation. $25/person. �ursday, April 11Monday, April 22Wednesday, May 8Tuesday, May 286:30-9 p.m.

Babysitting 101�is class is a great introduction to the ba-sics of babysitting. A 28-page workbook is provided. $30/child.Saturday, April 6Saturday, June 89 a.m.-1 p.m.

Infant MassageParents and expectant parents will learn hands-on massage techniques that pro-mote relaxation and help develop a stron-ger bond with their infant (newborns through age 15 months). Parents who are not able to bring their child will be given a doll for hands-on practice. �e class is taught by St. Louis Children’s Hospital certi�ed infant massage instructors. Each family will receive the illustrated guide-book titled Baby’s First Touch: Step-by-Step Instruction for Infant Massage, as well as a bottle of massage oil. $20/family.Saturday, May 410 a.m.-noon

CHILDREN

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Other Community Services and Classes.

VISIT CHILDREN’S “ER” AT MISSOURI BAPTIST MEDICAL CENTER. Faster emergency care for kids. Close to home.

MOBILE MAMMOGRAPHY VAN SERVICES.

Our breast healthcare services come to your neighborhood by way of the van.

Here are a few locations the van is scheduled to visit:

APRIL.

8 Clarkson Clayton Dierbergs Clarkson & Clayton Road

17 St. Louis Community College Big Bend Visitor Parking Lot

MAY.

8 First Community Credit Union 17151 Chester�eld Airport Road (8 a.m.-2 p.m.)

30 Brentwood Dierbergs, 8450 Eager Rd.

JUNE.

4 West Oak Dierbergs, 11481 Olive Blvd.

22 Manchester Dierbergs 421 Lafayetter Center (9 a.m.-2 p.m.)

Please check with your insurance provider to verify your bene�ts and eligibility.

For appointments at the Breast HealthCare Center, call (314) 996-5170 or 800-870-5731.Unless otherwise noted, screenings are available from 9 a.m.-3 p.m.

CHILDBIRTH PREPARATION CLASSES & MORE.

• Preparation for Childbirth (evening, weekend and refresher available)

• Breastfeeding Classes

• Grandparenting Class

• Infant Massage

• Sibling Class

• Mom’s MoBap Morning

• CPR for Families & Friends

• Multiples and More

• OB Tours

• Happiest Baby on the Block

For more information, call (314) 996-LIFE or visit MoBapBaby.org.

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1. STAY ACTIVE.When you move your joints, syno-vial �uid covers the joint allowing the bones to glide over one another. Synovial �uid thickens when a per-son is inactive making it less able to cover the joint during movement, increasing joint friction.

2. MAINTAIN A HEALTHY WEIGHT.Being overweight causes more stress on your knees, hips and back, and increases your risk of developing arthritis. Research shows that for every pound lost, four times less stress is exerted on the knees.

3. EAT A NUTRITIOUS DIET.A well-balanced diet is important for maintaining joint health and strong bones. Healthy diets include 5-6 servings of vegetables and fruit per day and the recommended daily allowance of calcium and vitamin D. In addition, diets high in omega-3 fatty acids may help reduce joint pain.

4. SET GOALS.Setting goals can be a great way to track your progress and keep motivated.

5. EXERCISE WITH A BUDDY. A health partner makes exercise more enjoyable and keeps you accountable.

6. GET STRONG.Strong muscles support your joints and make it easier to move

around. Lean muscles also improve metabolism, burn more calories, and increase endurance and energy.

7. IMPROVE ENDURANCE.Exercises, such as walking, cycling, or swimming, improve aerobic endurance and help reduce joint swelling.

8. STAY FLEXIBLE.Maintaining �exibility can improve your ability to perform daily activities and reduce risk of injury. It is best to stretch after activity when muscles are warm.

9. IMPROVE AGILITY AND BALANCE.Exercises that focus on agility and balance may improve physical func-tion and reduce falls in older adults.

10. WATCH YOUR POSTURE AND BODY MECHANICS.Having good posture reduces stress on your joints. To avoid injury, bend your hips and knees instead of your back when lifting. Also, carry items close to your body to reduce stress on your shoulders and back.

For more information on knee or hip replacement surgery, visit MissouriBap-tist.org/Joint Center. For more informa-tion about physical therapy, please call 314-996-3500 or visit MissouriBaptist.org/Rehab. Before starting any new diet or exercise regimen, consult your physician.

HEALTHY JOINTS

Top 10 Ways. Keep Your Knees and Hips Healthy.

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This information has been sent to you because we believe you may have a need or interest in our services. If you would like to be removed from our mailing list, please call (314) 996-LIFE (314-996-5433) and reference this material.

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call (314) 996-LIFE (314-996-5433) or 800-392-0936.

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