S P R I N G 2 0 1 7

INSPIRE{ caring for women & their families }

Amery Hospital & ClinicHudson Hospital & ClinicLakeview Hospital

YOUR GROWING

FAMILY CHANGING DYNAMICS

PUBERTY AND THE

TALK KEEP THE

CONVERSATION GOING

almost twins...A STORY OF FAMILY, LOVE & LAUGHTER

HealthPartners Stillwater Medical GroupWestfields Hospital & Clinic

INSPIRE ~ 1

INSPIRE{ Spring 2017 }

Amery | Clear Lake | Luck | Turtle Lake 715-268-8000 | 800-424-5273 (KARE) amerymedicalcenter.org

Mahtomedi | Somerset | Stillwater651-439-1234 | 800-877-1588lakeviewhealth.org

Hudson715-531-6000 | 800-993-2325hudsonhospital.org

Stillwater651-439-5330 | 800-423-7212lakeviewhealth.org

New Richmond715-243-2600 | westfieldshospital.com

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 personal physician. If you have concerns or questions about your health, please contact your personal physician.

©INSPIRE is published by HealthPartners

GROWING FAMILYWhether it’s your firstborn or your second, adding another child to the mix can affect families’ schedules, sleep patterns, finances and couples’ intimacy.

SLEEP APNEAPeople with untreated sleep apnea stop breathing repeatedly during their sleep – sometimes hundreds of times.

OMG! WHAT’S HAPPENING...Body changes may be an uncomfortable time for your kids — and you — but it’s important to keep the conversations going.

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ALMOST TWINS

WHERE TO GO WHEN YOU NEED CARE

HEADS UP ON CONCUSSIONS

SPORTS PHYSICALS

POWERUP! SUMMER FUN

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Noteworthy news and information from the world of

health care and beyond.

W E L L N E S S

PUBERTY IN GIRLS IS TYPICALLY BETWEEN

AGES 8 AND 12

PUBERTY IN BOYS IS TYPICALLY BETWEEN

AGES 9 AND 14

Hormones may trigger mood changes and acne so encourage good habits such

as regular face washing, a healthy diet and plenty of water consumption.

SCHEDULES AFTER BABY

Talk through the return-to-work transition. Will one parent need to leave earlier to get home for baby? Who will do daycare drop off and pick up? If you already have children, how will a new

sibling affect their schedules?

Spring Garden Checklist

Ready your toolsWhether you’re new to gardening this season or just

want a quick refresher, here are some basic tools you’ll want to have ready.

Soil Fork Perfect for prepping new beds

Trowel Ideal for digging & weeding

Pruners Everyday kitchen scissors won’t make the cut

Garden Bucket Make sure it’s sturdy

Clean up your gardenRemove leaves, twigs and other debris that may have collected over the colder season. Trim back any dead stems from perennials.

Nurture your soilSpread a layer of compost over your soil and apply fertilizer, making sure to avoid crowns of the plants. Mix the compost and fertilizer into the top few inches of soil.

Reward your handsOnce your garden is ready for planting, it’s time

to reward your hands for the hard work. Clean your nails with a soft brush, and moisturize with lotion.

See you in the garden...

2 ~ INSPIRE ~ 3

Growing family changing dynamics

Finances, housework and intimacy typically aren’t high on the list of talking points related to welcoming a new baby. And, although a new addition is an exciting time for families, the family dynamics change. Whether it’s your firstborn or your second, adding another child to the mix can affect families’ schedules, sleep patterns, finances and couples’ intimacy. Laura Dean, MD, an OB-GYN with Stillwater Medical Group, says the best way to get ready for the changes is to plan. “Couples should talk about every aspect of their lives, including work and household chores, and how they’ll adjust.”

FINANCESAdding a baby to the family will likely increase family expenses. For first-time parents, Dr. Dean says determine what essentials you’ll need to purchase such as a crib, car seat, stroller and clothes. “If both parents work outside the home, factor in daycare costs and budget for increased health insurance premiums and copays for doctor visits.”

SCHEDULESFor working parents, Dr. Dean advises couples to talk through the return-to-work transition. Will one parent need to leave earlier to get home for baby? Who will do daycare drop off and pick up? If you have children, how will a new sibling affect their schedules? For example, will the baby’s naptime interfere with your older child’s soccer practice? “Prioritize family time over too many scheduled activities,” says Dean. “With our three children, my husband and I had a one sport and one music activity per kid rule, which worked for us.”

SIBLINGSWhen introducing children to a new sibling, Dr. Dean says involve the older children in the process. “Let them pick out a new toy for the baby or have them come to a prenatal visit to hear baby’s heartbeat.” Moms and Dads can take older children to the park, to a movie or even to the grocery store just to have bonding time with the older child.

HOUSEHOLD CHORESIn the first few weeks after baby arrives, Dr. Dean urges parents to focus on connecting with the baby and bonding with your family. “Eat and sleep; don’t worry about the thank you notes or keeping the house clean.” She says try to limit your errands, particularly if you’ve had a cesarean section and can’t drive for two weeks. “Ask family and friends for help. In most cases, they want to help; they just need reassurance from the new parents that they’re not intruding.”

SLEEPINGDr. Dean says before the new baby arrives, parents should agree on their routine for during-the-night awakenings and other responsibilities. Who will get up with the baby or will the parents take turns? Whatever families decide, Dr. Dean says it’s important to make sleep a priority. “Sometimes tag teaming is best because if everyone is sleep deprived, that’s hard.”

INTIMACYLet’s be honest; intimacy is complicated by kids. There’s less time, less energy and less opportunity for spontaneity. Cindy Land, RN, the pelvic health program coordinator at Stillwater Medical Group, recommends that couples be intentional and communicative with one another about connecting with each other.

“Schedule date nights. Hire a babysitter or swap babysitting with friends and plan time for just the two of you, when interruptions are unlikely or you’re not too tired.”

VISIT HEALTHPARTNERSLOCALCARE.ORG

INSPIRE ~ 5 4 ~

It was a recipe for love, laughter – and an awesome story to tell the kids – when sisters-in-laws Amy and Holly Heinbuch went into labor within a half-hour of one another.

As the two women went through the early stages of labor in their private birth suites at Hudson Hospital & Clinic, with spouses – and brothers – Karl and Andy at their sides, each had no idea she was just across the hallway from the other.

The contractions for Holly’s baby—her third—started right on schedule on her due date. Amy, meanwhile, pregnant with her first, wasn’t due for another two weeks when she started feeling the first signs of labor.

... It was such fun having close relatives and friends in the hospital,” It was great being right across the hall and just stopping in and saying

hi and asking how everything was going.”

|” Holly

Brothers Andy and Karl kept tight-lipped about their arrivals at the hospital, not wishing to jump the gun with any birth announcements. As they supported their wives through labor, occasionally leaving the rooms to visit the restroom or to speak to a nurse, they narrowly kept missing one another in the hallways. Finally, two to three hours later, the brothers bumped into one another in the restroom.

“When they ran into each other, Holly’s husband, Andy, asked, ‘What are you doing here?’ and Karl said, ‘I think we’re having a baby!’” recalled Amy.Once the cat was out of the bag, a sense of friendly competition sprang up between the couples; whose baby would arrive first? The sense of anticipation grew as the afternoon turned to evening.

It was a little after 8 p.m. when Jonathan Susa, DO, Amy’s OB-GYN, returned to the birthing room – again. She greeted him with her repeated question about whether he had delivered a baby yet.

Although patient confidentiality prevented him from confirming anything, Dr. Susa was unable to prevent a big smile spreading over his face, recalled Amy. “I knew then that Holly had had her baby, and so I said to mine, ‘Come on, you need to get here now!’”

Her coaxing worked; Amy and Karl’s son Colin Heinbuch arrived at 8:26 p.m., just 21 minutes after Holly and Andy’s daughter Sadie Heinbuch arrived, at 8:05 p.m.

The next two days of recuperation were a truly social occasion as the two brothers and wives welcomed family members and friends who wished to visit and celebrate with both couples.

“It was such fun having close relatives and friends in the hospital,” said Holly. “It was great being right across the hall and just stopping in and saying hi and asking how everything was going.”

Amy agreed. “The nurses were absolutely wonderful, too. My nurse’s shift finished at 7 p.m., but she stuck with us until Colin was born.”

Several months on from their births, cousins Colin and Sadie are already becoming close friends. Their parents know they will get plenty of chances to share their birth story as they grow up; the pair will attend the same schools later in life and – sharing the same last name and same birthday – will likely have a lot of people convinced they’re twins.

One thing’s certain; the events of that day will form the focus of a debate that’s likely to come up at family gatherings for years to come. “We already joke about who was the birthday stealer,” laughed Holly. “Colin was two weeks early, but then Sadie came along right on time and just beat him to it by arriving first.”

Learn more about your birth options. VISIT HEALTHPARTNERSLOCALCARE.ORG

almost twins...

6 ~ INSPIRE ~ 7

DO YOU KNOW

Do you and your mate take turns tossing pillows at one another during the night in an effort to stop each other’s snoring? You both could have sleep apnea. Sleep apnea is a serious sleep disorder that occurs when a person’s breathing is interrupted during sleep. People with untreated sleep apnea stop breathing repeatedly during their sleep, sometimes hundreds of times, which means the brain — and the rest of the body – may not get enough oxygen. Sleep apnea is linked to diabetes, cardiovascular disease, blood pressure issues, weight gain and memory issues.

TAKE OUR ONLINE SLEEP QUIZ AT HEALTHPARTNERSLOCALCARE.ORG, where you will also find more information on our Sleep Apnea education session and Sleep Center Tour.

It’s estimated that more than 18 million Americans have sleep apnea and as many as 80 percent of those people may be undiagnosed. “It’s growing like an epidemic,” says Mustafa Ucer, MD, medical director of the Lakeview Sleep Health Center. And while its symptoms can range from annoying to potentially dangerous, the impact of untreated sleep apnea on your overall health can be serious and even deadly.

Molly Fox, RT, a respiratory therapist at the Westfields Hospital & Clinic Sleep Center, says lifestyle changes such as losing weight, eating healthier, exercising more, quitting smoking or drinking less, may lessen the symptoms of sleep apnea. “Often people find they have the energy to make those changes only after getting a good night’s sleep for the first time in years.”

Sleep apnea symptoms include:

• Loud snoring• Daytime tiredness• Frequent napping• Frequent awakenings• Morning headaches• Frequent nighttime urination• Restless sleeping

Oftentimes, says Fox, it’s the partner who notices the signs of sleep apnea first. “It’s easy for people to be in denial or not want to do anything about it, but the benefits of getting treatment could be life-changing.”

TREATMENTS A diagnosis of sleep apnea starts with a visit to the doctor. He or she can refer you to a sleep specialist for a sleep study. After the sleep study, you’ll receive a treatment plan that commonly involves one or more of the following:

• Continuous positive airway pressure (CPAP): Most common for moderate to severe sleep apnea. The CPAP machine gently blows air into your mouth during sleep to help keep your airway open.

• Mouthpiece: Best for mild sleep apnea. Custom-fit and can help adjust your lower jaw and tongue to keep your airway open while you sleep.

• Laser surgery: Surgery widens the breathing passages. Depending on the severity of your sleep apnea, surgery may not eliminate symptoms entirely.

Patients report that when they use CPAP each night, they feel more alert during the day, have improved mood and better memory, says Dr. Ucer. “CPAP therapy can prevent and even reverse serious health problems linked to sleep apnea such as heart disease.”

WHEN YOU NEED GO TOAVERAGE

COSTAVERAGE

TIME SPENT

Health advice from a nurse for: • Where to go for care• At-home remedies

Treatment and prescriptions for minor medical issues such as:• Bladder infections• Pink eye• Upper respiratory infections

A regular checkup or special care during the day for things such as:• Diabetes management• Vaccines

Care for urgent problems when your doctor’s office is closed, such as:• Cuts that need stitches• Headaches

Help in an emergency for conditions such as:• Chest pain or shortness of breath• A head injury

CareLineSM service Call 24/7 or 612-339-3663 or800-551-0859

virtuwell®(a 24/7 online clinic)orConvenience clinics(found in retail and grocery stores)

Primary care clinics

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Emergency room

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HudsonNew Richmond

AmeryClear Lake LuckHudson Mahtomedi New Richmond SomersetStillwaterTurtle Lake

AmeryHudson Somerset Stillwater

AmeryHudsonNew Richmond Stillwater

LOCATION SLEEP APNEAa quiet epidemic

where to go?

8 ~ INSPIRE ~ 9

PUBERTY IN GIRLS Typically, between 8 and 12:

• Breasts start to develop and girls may need a bra – be sensitive to her privacy

• Menstruation begins, which is a turning point for girls. Talk openly about what to expect with periods; feelings and ask what other kids are saying about the subject

• Hair will start to grow under the arms, on her legs and in the pubic area

• Changes in the shape of her hips, waist, bottom and thighs may become noticeable

PUBERTY IN BOYS Typically, between 9 and 14:

• Genital growth occurs

• Shoulders begin to broaden

• The larynx enlarges causing the voice to crack

• Facial hair appears

• First ejaculations occur through masturbation or spontaneously during sleep

What’s happening to my body?OMG:

“Um, Mom, there’s hair growing on my legs and under my armpits…help!” This may be a cry that parents hear from their kids starting at age 8. Although it may seem young, this is when kids can begin experiencing the physical and emotional changes associated with puberty. Remember, this may be an uncomfortable time for your kids — and you — but it’s important to keep the conversations going.

VISIT HEALTHPARTNERSLOCALCARE.ORG/PEDIATRICS to learn more about growth and development.

“THE TALK” Acknowledge to your children that having conversations about puberty may be embarrassing and difficult but that it’s normal and a part of growing up, says Bijan Shayegan, MD, pediatrician at Stillwater Medical Group and Westfields Hospital & Clinic.

Dr. Shayegan says, “It’s important to keep having the conversation – in bits and pieces over time – to ensure your child has a good body image. He also says kids may think they know more than they really do because of what they’ve seen heard. “It’s important that your child feels comfortable coming to you and talking about their body changes so you can give them the right information. Puberty lasts for several years – and everyone goes through it at his or her own pace.” Hormones guide the process with gradual physical changes and may cause emotional changes. Hormones may trigger mood changes and acne so encourage good habits such as regular face washing, a healthy diet and plenty of water consumption. Talk to them about how they feel about their complexion and reassure them that you’re there to help.

COMMON CHANGES IN BOTH BOYS AND GIRLS As your son or daughter goes through these changes, they may also have questions about sex. “Be prepared to talk about sex,” says Dr. Shayegan. “Your pediatrician can help you with appropriate resources.”

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Heads up about concussionsEVALUATIONTo determine if a patient has a concussion, it’s important to first get information about the injury. Patients then complete a concussion survey to assess their symptoms and then undergo physical and neurologic tests. “We use all of this information to determine the seriousness of the injury and what care a patient needs,” says Paul Schaefer, MD, a Stillwater Medical Group sports medicine physician.

TREATMENTDr. Schaefer says anyone who experiences a head injury – whether it occurred during sports or another event – should undergo a concussion or other head injury evaluation. “The testing, monitoring and treatment for concussions are far different than decades ago,” says Dr. Schaefer. “More research has been done on concussions and the effects, and care plans are more comprehensive.” Dr. Harrold says most people who experience a concussion work

with a physical therapist, which can be an important part of recovery.

“Approximately 10 percent of patients require medication to help healing.”

PREVENTIONDr. Schaefer says helmets are an important piece of safety

equipment to minimize the risk of a catastrophic head injury; however,

this equipment hasn’t proven to reduce the occurrence of concussions. “Strengthening the

neck muscles may help,” says Dr. Schaefer. “The theory is that stronger neck muscles minimize whiplash-type movements of the head at the time of impact. Football players should learn proper

tackling technique. Hockey players can learn to skate with their heads up to be alert

to possible impacts from those skating around them.”

Making sure that athletes are ready to tackle, sprint and volley are part of general sports physicals. But, according to Amery

Hospital & Clinic pediatrician, Laura Smith, DO, general sports exams often go beyond height and weight checks, and a review of athletes’

musculoskeletal system. Dr. Smith says during these visits, medical providers often discuss diet, exercise and lifestyle topics with patients.

“In the teen years, a lot of kids aren’t seeing a doctor regularly,” says Dr. Smith, “so sports physical appointments are a good time to check in. At these appointments, I make sure patients are current with immunizations and talk with them about age-appropriate topics such as puberty, sexual health, and risky behaviors including alcohol, tobacco and drug use. I also use time to

screen teens for depression, anxiety and other mental-health issues.”

DON’T STAY HOME, MOM! It’s common for teens to oppose their parents coming to the doctor with them, notes Dr. Smith, however, there are benefits to Mom or Dad tagging along. “Parents typically have family history information and will need to sign – if the patient is under age 18 – for immunizations or tests.”

QUESTIONS TO ASK Often, students receive a questionnaire to complete before the appointment, says Dr. Smith, which can help provide a patient’s medical history. Patients can also bring their own questions to appointments.

PLANNING AHEAD If your son or daughter’s regular, well-child exam is due and you know they’ll be participating in sports, schedule the sports physical at the same time, advises Dr. Smith. She also recommends June and July appointments — or even earlier – so students don’t miss school and when there’s more availability. “August and September are busy months for physicals so I encourage making appointments early.”

Add sports physicals to your playbook

Did Friday night’s, fourth quarter tackle leave your child feeling dizzy, light-headed and nauseated? These symptoms may indicate a concussion. A concussion is a type of traumatic brain injury caused by a bump, blow, or jolt to the head or by a hit to the body that causes the head and brain to move rapidly back and forth. Concussions are usually not life threatening but the effects can be serious.

Steve Harrold, MD, a family medicine doctor with an interest in sports medicine at Westfields Hospital & Clinic, and a credentialed ImPACT® consultant, says symptoms of a concussion can include: • Dizziness• Headaches• Balance issues• Light-headedness• Nausea• Trouble focusing• Vision issues• Neck pain• Heightened emotions

• Light and noise sensitivity

VISIT HEALTHPARTNERSLOCALCARE.ORG/SPORTS for more information on concussions.

Anyone who experiences one or more concussion symptoms should see a medical provider.

GOOD TO KNOW Sports physical exams are valid for three years in Minnesota and

two years in Wisconsin.

Awareness outside of the sports arena is equally important, points out Stephanie Fall, a licensed athletic trainer with the Westfields concussion program. “Be an attentive driver,” she says. “Motor vehicle accidents are culprits for highly involved concussion injuries. Even low speed rear endings cause concussions. Also, be aware of ice during the winter months; a split second of loss of balance on the ice has potential to cause a concussion.”

RISK AREASSports, car accidents, home activities and work injuries are the most common causes of concussions. In some cases – like a fall on ice or a motor vehicle accident –a concussion may not even involve a direct hit to the head.

VISIT HEALTHPARTNERSLOCALCARE.ORG/PEDIATRICS for more information on sports physicals.

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NEW CLINICIANS

AMERY HOSPITAL & CLINICJessica Greupner, MDNicole TePoel, MDEmergency Department

David Henly, MDUrology

HUDSON HOSPITAL & CLINICMary McLaurin, MDCardiology

Sue McIntyre, NPOncology/Hematology

Japs Ann Lee, MD(starting July 2017) Internal Medicine

Leo Passov, MDPsychiatry

STILLWATER MEDICAL GROUPJohn Fedje-Johnston, MDFamily Medicine

Japs Ann Lee, MD* Internal Medicine (Stillwater and Hudson)

Jennifer Willette, MD*OB/GYN (Stillwater and Amery) Lauren Pasche, CNMOB/GYN

Cassidy Sanders, PA-CPulmonology/Sleep

CLINIC LOCATIONS

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 appointments availableº Pharmacy location

MAKE GOOD HAPPEN

Passport to SUMMER FUN!Before your kids get a chance to say “I’m bored” this summer, get your PowerUp Parks Passport. This passport can help you and your kids discover the amazing, family-friendly parks and trails, right here in the St. Croix River Valley. With the passport come fun games and tips for making the most of your trips. In addition, you can pick up a prize for completing all six activities. Download your Passport at powerup4kids.org/passport.

For many families, the summer months are more laid back and less structured, which could lead to some healthy habits falling by the wayside. PowerUp has several tasty and healthy recipes to keep the family on their health track.

Artichoke Spinach Yogurt DipINGREDIENTS

1 14-ounce can quartered artichoke hearts, drained

1 10-ounce frozen spinach, thawed and drained (or about 1 cup cooked fresh spinach)

1 cup Greek yogurt, plain

1 cup mozzarella cheese

½ cup Parmesan cheese

2 cloves fresh garlic

INSTRUCTIONS

1. Preheat oven to 350°F.

2. Wash your hands with soap and water, then gather all your kitchen gear and ingredients and put them on a clean counter.

3. Chop artichoke hearts into bite-sized pieces.

4. Mix all ingredients together and season with a pinch of salt (optional).

5. Pour mixture into a small casserole (or 1-quart oven safe dish).

6. Bake for 20-22 minutes, or until heated through, and the cheese on top is melted.

7. Serve with whole-grain crackers or tortilla chips. Makes 4-6 servings.

recipein the Parks Passportin the Parks Passport

WeWe

St. Croix Valley

in thein the

St. Croix Valley

powerup4kids.org/recipes

Lisa Howe, PA-C Neurology

Anna Smith, PA-C Urgent Care

Ann Bergren, NP* Family Medicine

Dorothy Connell, SMW, LICSW Behavioral Health *Due to join this summer

WESTFIELDS HOSPITAL & CLINICMary McLaurin, MD Cardiology

Andrew B. Johnson, APNP, CNP Psychiatry

Do you need a prescription?Fill your prescription in any HealthPartnershospital or clinic pharmacy.

Pharmacy Locations Hudson Hospital & Clinic Stillwater Medical Group Lakeview Hospital Westfields Hospital & Clinic

Pharmacy Services• Free mailing or delivery

of your prescriptions

• Quick Refill – available online and the myHP app

• Medicare DME accreditation

In your own backyard. At the park. On the field.

Wherever you roam – we’re always ready to keep you healthy – with convenient locations, a 24/7 nurse line and online care.

Visit healthpartnerslocalcare.org to find care today.

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