Plan Your Next

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ESCAPE LOCALLYWhether you’ve lived in your city for years or recently moved there,

chances are you’ve yet to uncover every activity it has to offer. Take time to enjoy the natural beauty, historic hot spots or bustling neighborhoods right outside your front door.

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Wherever You Go...TriStar Health is here! As the region’s most comprehensive healthcare provider with

18 hospitals and 10 ambulatory surgery centers in Tennessee, Kentucky and North Georgia, TriStar

offers accessible, high-quality care just around the corner, no matter where

your travels take you.

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MAKE MEMORIES IN MUSIC CITYIf you’ve called Nashville home for years, you may neglect everything

that makes Music City famous. Located on the Cumberland River and home to many legendary country artists, Nashville venues boast an array of concerts, Southern cuisine and historic landmarks. With specialty shops lining the streets of the eclectic West End Village, high-end fashion boutiques popping up all around the Green Hills area and countless art galleries taking over the city, Nashville offers the culture of a big city on a manageable scale.

Whether you decide to bar-hop downtown, have a picnic at the Parthenon replica in Centennial Park, attend a Titans football game or explore the Nashville Zoo, you’re sure to have a great time.

RELAX IN THE NORTH GEORGIA MOUNTAINS

Scenic, historic and full of quaint art galleries and specialty shops, Georgia’s Blue Ridge Mountains are guaranteed to create the perfect backdrop for any getaway. Whether you’re hoping to set up a campsite or lodge at a bed and breakfast after touring wineries, you can find something for everyone. Simply driving the Blue Ridge Parkway is well worth your time and requires no admission fee.

SEE ROCK CITYVoted one of the 45 places to visit in 2012 by The

New York Times, Chattanooga continues to spark national travel interest. With breathtaking views of Lookout Mountain, the Tennessee River and an architecturally revamped downtown, the city has no shortage of activities to participate in. If you have visited Chattanooga but haven’t seen Rock City, walked through the top-rated aquarium or taken a cruise on the Southern Belle Riverboat, take the time to mark a couple of tourist attractions off your list.

PLACE YOUR BET ON KENTUCKYKnown for bourbon, bluegrass and the Kentucky Derby, this state also hosts

more than 700 festivals each year. Visit the National Corvette Museum in Bowling Green, the Woodford Reserve Distillery in Versailles or pay homage to Abraham Lincoln’s birthplace in Hodgenville. While there are endless activities to keep you busy throughout your stay, don’t forget about one of Kentucky’s most interesting natural resources—caves. Mammoth Cave, the world’s longest cave, is located about 30 minutes outside of Bowling Green and admission is free to children younger than 12.

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Take the time to plan your staycation, just like you would any other vacation. Even if you think you’ve discovered every nook and cranny within a city, research new activities by talking with family and friends. Follow these staycation tips:

• Complete all chores before leaving your home. Even if you choose not to stayat a local hotel or bed and breakfast, don’t do any housework when you return home from your daily escapades. If you’ve been itching to deep clean the bathroom, organize closets or mow the yard, do it prior to your relaxing getaway.

• Consider yourself a tourist. Just because you live close to your destination doesn’t mean you should leave your map and camera at home. Visit unusual areas of the city and eat at restaurants you’ve never heard of, and be sure to take pictures documenting your trip.

• Pack snacks. If you’re trying to be as budget friendly as possible while on staycation, don’t eat out. Ensure extra cash is in your pocket by packing sandwiches, nuts, fruits and other easily packed snacks. Spend your saved money on museums, art galleries or shopping.

• Plan ahead. Investigate your areas of interest and map out your schedule. Not having an agenda could leave you feeling like you’re not on vacation at all. Whether you’ve made reservations at a local hotel or bought tickets for a concert, ensure that your plans are in full swing.

For more staycation ideas close to your home, visit travelsouthusa.com.

Before You Go…

6 checkupwww.cookchildrens.org

BOMBARDED WITH PROVOCATIVE images on television, online and in magazines, your teen

can quickly become consumed with societal pressures to “fit in.”

“Impressionable young women are easily influenced from an early age

to dress more maturely,” said Lena Zettler, director of psychology at Cook Children’s. “It’s normal for a teenager to experiment with clothing, but it’s

your responsibility as a parent to set boundaries.”

Defining Age-appropriate Attire While you don’t want your teen’s

clothing to be classified as outdated and subject them to taunting at school, you also

want to steer clear of subjecting her to negative attention. Encourage your teen to try and find her style, but always have the final say in what she can or cannot wear.

“Most schools implement fairly strict dress codes that your child has to comply with, so it’s the recreational time at the mall, movies or on a date that you should be concerned about,” Zettler said. “Don’t overreact when your daughter waltzes through the house in a mini-skirt or tight dress. Simply explain why she needs to change, and remember to set a positive fashion example at home.”

Visit www.facebook.com/cookchildrenshcs to receive the latest health care information and parental tips by.

TO HELP ENSURE your daughter’s posi-tive transition into womanhood, it’s better to suppress your fear of being “un-cool” in your teen’s eyes and work toward gaining her respect instead.

“Sometimes, moms feel that stepping into a peer-like role will enable them to find out more about their daughters’ lives,” said Lena Zettler, director of psychology at Cook Children’s. “Frequently, however, that approach backfires, because the information they learn isn’t always innocent or pleasant. When you suddenly step out of that friend role and become the mother, it’s very confusing to a teen.”

Finding the BalanceIn general, mothers are the managers

of their children’s emotional and social lives. Because of this, the line between

friends and mother-daughter relationships can get blurry. A good rule of thumb to remember—most teens want to have friends their own age, and their parent should play a supportive role.

It’s imperative to enforce limits and set expectations. If your relationship with your daughter has teetered into “friend” territory, it’s never too late to take back control.

! Look to female friends and relatives who’ve done a good job raising their daughters for advice, and allow them to mentor you.

! Have an honest conversation with your daughter to let her know you’re not comfortable being her “friend” anymore and why.

! Ask what she needs—not wants—from you as a mother.

Whether your teenage daughter is trying to emulate her favorite celebrity or an older cousin, sexually exploitive fashion has become an increasingly alarming trend among teenage girls.

Fashionably Dangerous

As your daughter travels through her teen years, it can sometimes be tempting to act as her friend rather than her mother.

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Follow Cook Children’s on Twitter (@CookChildrens) to receive more parenting advice.

!"#$%&'()*&+"#$,&should befearful of particular situations that could put him or her in danger, you don’t want to cripple your child with uncontrollable fears.

“We may think that our adult fears are nothing like childhood fears, but often the themes remain the same,” said Lena Zettler, MA, LPA, director of Psychology at Cook Children’s. “As parents, we want to avoid passing along irrational fears, but we also want to assertively pass along techniques to combat fears.”

Overcoming Fears TogetherHelping your child conquer his

or her fear of failure, rejection or

uncontrollable circumstances may not be easy, especially if you find yourself struggling with the same fears.

“Fear can control our lives if we allow it,” said Zettler. “If you or your child are consumed by fear, rate it on a scale of one to ten, and then talk through it. Tackle your fears together by creating a fear log, keeping track of your fears and investigating the causes of each.”

If you’ve implemented fear techniques and your child’s fears continue to worsen and disrupt his or her sleep patterns, appetite or relationships, seek professional help.

"%-$."'&/-."%*0+"#$, interaction can involve any number of activities, including playing a board game or video game together, attending or coaching the child’s sports games, or chaperoning a class field trip, party or school dance.

“Spending time together sends the message that you are interested in your child and enjoy his or her company,” said Joy Crabtree, Psy.D., licensed psychologist at Cook Children’s Urgent Care and Pediatric Specialties Center in Southlake. “Creating these positive memories is crucial to your child’s emotional development.”

Crabtree said it’s also important to incorporate quality time into casual,

everyday experiences. Bring your child along to run errands, and let him or her help you with light yard work and other chores around the house. For young boys especially, “goofing off” and appropriate roughhousing help instill a sense of trust in you, which may promote healthy behaviors later in life.

“Boys tend to imitate their fathers’ parenting styles when they grow up and become fathers themselves,” Crabtree said. “For girls, having regular fatherly interaction can help quell inappropriate attention-seeking behavior in their teenage years.”

Passing along some of your character traits to your child is inevitable, but passing along irrational fears can prove harmful to your child’s anxiety levels and self-esteem.

Keeping your child well is about more than scheduling checkups and instilling good health habits. Give your child’s emotional health a leg up with quality father-child bonding time that can help him or her develop trusting relationships and appropriate behaviors.

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for Your Child

Assessing Your

Child’s Fears

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W hen 65-year-old Linda Korsch of Morganville dropped a can of corn on her foot, she never

expected to develop gangrene.

Although the pantry accident was extremely painful, Linda dried her tears, washed the injured area, and resumed her normal life.

“After a few weeks, I noticed my foot wasn’t healing properly and the area was slowly turning black,” Linda says.

“I immediately contacted my podiatrist, who sent me to the Emergency Department [ED] at CentraState Medical Center.”

!"#$%"#$#$&'())%'(*$+%#)$At the ED, Linda was seen by John A. Brandeisky, DPM, FACFAS, board-certified surgeon and podiatrist and medical co-director of the Central Jersey Wound Treatment Center at CentraState. After meeting with Dr. Brandeisky, Linda was admitted to CentraState’s Intensive Care Unit to bring down her blood sugar levels, which were elevated.

There she learned she had diabetes and that immediate surgery was needed to save her foot and leg. Diabetes, which can result in nerve damage in the lower extremities, had caused Linda’s wound to worsen.

“Because of Linda’s undiagnosed diabetes, the trauma to her foot obstructed blood circulation, which resulted in gas gangrene [a potentially deadly form of tissue death],” Dr. Brandeisky says. “During the surgical procedure, we removed a large portion of the middle of her foot, leaving the big toe and pinky toe.”

After removal of the gas gangrene, Linda was stabilized and seen by Tushar Tripathi, MD, vascular surgeon on the medical staff at CentraState. Dr. Tripathi was able to restore much of the circulation needed to heal Linda’s foot wound. After a few days, Linda was discharged, but she continued to receive follow-up care from the wound care team at the Central Jersey Wound Treatment Center at CentraState, accredited by the Undersea and Hyperbaric Medical Society.

Physicians utilized hyperbaric oxygen (HBO) therapy to restore Linda’s foot function. Sessions of HBO therapy used highly concentrated oxygen to kill the bacteria in her foot while simultaneously restoring oxygen to the tissue, which is necessary for healing.

Dr. Brandeisky also performed several surgical procedures to grow new tissue, ultimately saving the foot she now walks on.

“Through the multidisciplinary collaboration of care between myself, Dr. Tripathi, and Ramanasri Kudipudi, MD [infectious disease physician on the medical staff at CentraState], and Diane Yacono and Tara Quigley, wound care nurses, Linda’s foot—and life—were spared,”

Dr. Brandeisky says. “Today Linda’s foot is completely healed and fully functional.”

+",-(*.'#$'%/-'0#%+/-$While remaining cautious of dropping any objects, Linda has moved on with her life. Her foot healed quickly with weekly HBO treatments.

“I can’t say enough great things about the medical staff at CentraState,” Linda says. “They’ve treated me like family every step of the way, and thanks to the exceptional team of surgeons and podiatrists, I’m on the road to recovery.”

To learn more about podiatric medicine and surgery at CentraState, call (866) CENTRA7 (866-236-8727) or visit www.centrastate.com/podiatry. HD

!

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Hyperbaric oxygen therapy overseen by John A. Brandeisky, DPM, FACFAS, at the Central Jersey Wound Treatment Center at CentraState helped keep Linda Korsch on her feet.

8 March/April 2012 Healthy Directions

Nonprofit OrganizationU.S. Postage

PAIDSt.Vincent Hospital and Healthcare, Inc.

! SCHOOL SUPPLIES ARE LINING store shelves, teachers are

organizing lesson plans and you’re trying to prepare your child for his or her first day back to school after a long summer break. Before your child heads to the classroom, ensure he or she remains healthy throughout the school year by following a few simple health tips.! Don’t allow your child to carry a

backpack that is heavier than 15 percent of his or her weight. Consider purchasing a rolling backpack if he or she must carry a heavier load.

! Make sure your child has undergone a routine physical.

! Pack nutritious lunches and snacks. ! Set an appropriate bedtime.! Stay current on vaccines. Speak with your

child’s primary care provider to find out which ones are appropriate for your child.

For more back-to-school preparation tips, visit

kidshealthline.com.

St.Vincent Hospital and Healthcare, Inc. 1600 23rd StreetBedford, IN 47421

St.Vincent Dunn Hospital CEO Debbie BrunerSt.Vincent Health CEO Vincent C. CaponiSystem Marketing Executive Elizabeth CiscoEditor-in-Chief Jennifer NorthernEditor Jon White

St.Vincent Dunn Hospital is a member of St.Vincent Health, the state’s largest faith-based healthcare system with 20 ministries serving 47 counties in Southern and Central Indiana. | The Spirit of Caring® close to home.

As your local health provider, St.Vincent Dunn Hospital places emphasis on providing a superior level of clinical care for families in Lawrence and surrounding counties. In this pursuit, St.Vincent Dunn Hospital has worked tirelessly to advance the ministry’s cardiovascular service line.

In the event of a heart attack, quick access to vital interventional services is essential. Thanks to

the diligent work of St.Vincent Dunn Hospital physicians and associates, the ministry’s door-to-balloon time—the time it takes a patient to enter a facility and receive interventional care—is 48 minutes, more than 30 minutes faster than the national average.

The advances we’ve made while delivering more efficient cardiac care have allowed us to offer local treatment typically only seen at some of the nation’s leading facilities. As our work continues to progress, we hope you will continue to look to St.Vincent Dunn Hospital as a source of sound medical care.

Sincerely,

Debbie BrunerAdministratorSt.Vincent Dunn Hospital

Is Your Child Ready for Class?

!"#$%#&'($)*$+&'#

For general information, call 888.338.CARE (2273). Visit St.Vincent Health on the Internet at stvincent.org. © 2011 by St.Vincent Health. All rights reserved. Information contained herein is not intended as a substitute for professional medical advice. If you have medical concerns, seek the guidance of a healthcare professional. If you do not wish to receive future mail from St.Vincent, please call 317.338.CARE (2273).

4/10/12 3:17 PMDental Drill - Drilling Deep: Dental Research

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Drilling Deep: Dental Research· April 26, 2012

The U.S. Army Dental and Trauma Research Detachment (DTRD)conducts an array of innovative clinical trials in its ongoingcommitment to treating dental trauma suffered during combat.

Located in the Battlefield Health and Trauma Research Institute at Fort Sam Houston’s Brooke

Army Medical Center, the DTRD collaborates with dental researchers from the Navy and Air

Force. Working as one unit, physicians and dentists specializing in plastic surgery,

comprehensive dentistry, dental epidemiology, maxillofacial surgery, and other sub-specialties

have created a world-renowned research hub. With the assistance of highly trained clinicians

and military and civilian scientists, DTRD focuses on the following areas of research:

biofilm-induced dental disease and wound impairment

craniomaxillofacial (CMF) regenerative medicine

mitigation of facial burns and scars

Providing Oral SolutionsAccording to an article published in the Journal of Oral and Maxillofacial Surgery,

approximately 26 percent of troops injured during Operation Iraqi Freedom/Operation

Enduring Freedom suffered CMF trauma.

In an effort to reconstruct areas that have been disfigured in battle, the DTRD collaborated with

researchers from Northwestern University and The University of Texas, Arlington.

Implementing new biomask technology, researchers aim to improve tissue engraftment and

minimize excessive inflammation by applying a mask over the facial burn or scar.

After conducting numerous tests and working diligently with bioengineers at both universities,

DTRD is hopeful that the current biomask clinical trials will continue to prove successful.

Whether injured veterans are plagued with debilitating facial burns or scars, lifelong CMF

injuries can be extremely painful and physiologically debilitating. Although the biomask will

take several years of research to perfect, it’s expected to replace a majority of facial surgeries.

Chew on ThisWhile a majority of CMF injuries can be linked back to modern warfare explosives, dental

diseases are often acquired through improper oral hygiene on the battlefield. Mentally and

physically consumed with dangerous situations on the frontlines, servicemen and women often

have little time to dedicate to oral health. Unable to brush their teeth on a regular basis,

Soldiers frequently develop dental plague, known as biofilm. As biofilm builds upon teeth, it

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can lead to serious dental disease.

Understanding the crisis plaguing numerous Soldiers, the DTRD has developed a chewing gum

that removes plaque, while killing bacteria. A water-soluble peptide component of the gum,

KSL-W (KKVVFWVKFK) releases anti-plaque chemicals. As clinical trials progress and receive

appropriate approval, the release of anti-plaque chewing gum could have a profound impact

not only on military dentistry, but also civilian oral hygiene around the world.

Improving LivesIn the Army, dentistry signifies selfless service to military heroes, as well as a dedication to

life-altering research. The DTRD utilizes state-of-the-art technology while employing the most

influential scientists and researchers throughout the world. It remains a medical haven for

those looking to make an impact in the world of dentistry.

To learn more about innovations in Army dentistry, visitwww.dentaldrillmag.com.

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A ccording to the National Institute on Aging, eating a healthy diet, getting regular exercise

and not smoking are proven ways to help prevent some of the diseases that occur with age.

Whether you’ve exercised and eaten healthy throughout your entire adulthood or you recently started to make small changes, it’s never too late to live a healthier lifestyle.

more cardio, less caloriesWith age, you gain wisdom, self-assurance—

and often extra pounds. If you continually notice gradual weight gain as you age, you aren’t alone. According to the Centers for Disease Control and Prevention, more than 30 percent of Americans age 60 and older are obese. As your muscle mass

decreases and you become less active, your body burns fewer calories.

Running or jogging may be hard on your joints. Try engaging in these low-impact exercises for 30 minutes a day, at least five days a week.

! Flex your muscles. Regularly lifting small weights can help build muscle mass. While it’s important to avoid extreme weight lifting, small, controlled and repetitive movements strengthen muscles.

! Participate in yoga, tai chi or Pilates. Losing flexibility and balance can be detrimental to your health. Improve your core strength to reduce your risk of falling. Find a strengthening class that specifically targets improving balance.

! Swim away arthritis pain. To improve muscle

function or joint stiffness, swim laps or do exercises—such as aerobics—in the pool.

revamp your dietConsuming fruits, vegetables, whole grains and

other nutritious foods not only keeps you looking your best, but also helps maintain your mental health.

With a majority of seniors struggling with obesity, heart disease, stroke or other medical conditions, it’s important to sustain a healthy diet. Replace processed foods with some the following super foods:

! almonds ! broccoli ! garbanzo beans

! salmon ! tomatoes ! watermelon

For more information about Healthy Aging, visit redmondhealtth.com and click on “Your Health” then “Wellness Center” followed by “Aging & Health.”

Maintaining Motivation

Dieting and exercising through- out your golden years don’t have to be boring or uneventful. Keep it exciting by taking a walk through your local farmers market, taking a healthy cooking course or joining an exercise program geared toward seniors.

If you’re looking for guidance through the aging process, gain advice from dietitians, physicians or other medical experts, and easily learn how to implement a healthier lifestyle.

!"#"!$"4 \\ CON N ECT

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