Symptoms and Triggers of Irritable Bowel Syndrome

Research suggests that individually tailored treatments, such as regular exercise, can be helpful for many people with IBS.

By: Dr. Luke Fortney, Family Medicine at Meriter McKee

Is irritable bowel syndrome (IBS) real? Yes! Irritable bowel syndrome (also called spastic colon and sometimes referred to as abdominal migraine) is a complex disorder that affects as many as 20 percent of people at different times of their lives. Although there is no single cause for IBS, it is characterized by abnormal gut contractions and digestion, unbalanced gut bacteria, low-grade chronic inflammation, gut hypersensitivity and disruption of the gut-brain communication.

Common symptoms include chronic abdominal discomfort and altered bowel habits including constipation, diarrhea, bloating, fatigue, and abdominal pain. If you experience any of these symptoms several times each month, you may have IBS. Individuals with IBS report a variety of triggers for their symptoms, but the following are the most common.

  1. Certain foods and beverages: Some sufferers find it helpful to keep a food diary to track how their diet affects their condition. Foods and beverages affect each person differently, but foods that are most likely to cause problems include raw fruit and vegetables, wheat (gluten), sweeteners (real and artificial), caffeine, alcohol, soda, foods high in fat, highly processed foods, fast food, and most dairy.
  2. Medicines or supplements: It’s important to review your drug and supplement regimen with your doctor. Never stop taking a medication without talking to your doctor first. Also keep in mind that many supplements are upsetting to the gut.
  3. Stress in any form: Because IBS is a functional bowel disorder, it can be triggered and worsened by stress and anxiety.

Research suggests that individually tailored treatments such as improved nutrition, regular exercise, stress reduction, health psychology coping skills, and appropriate medications and supplements can be helpful for many people with IBS.

Altering gut flora (bacteria levels) also seems to be helpful. A recent analysis of multiple research studies reported that most probiotic strains appear to improve gas and bloating compared with placebo. Two additional studies concluded that probiotics, in general, improve overall IBS symptoms for most patients.

If you are experiencing any of the symptoms generally associated with IBS several times each month, call us! Meriter-UnityPoint Health’s dedicated IBS Program can apply proven techniques to help you successfully manage IBS.

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Core Conditioning: It’s Not Just About the Abs

A strong core increases balance and stability making it easier to do daily activities such as bending down to tie your shoes.

By: Lori Parmenter, Clinical Exercise Physiologist with Women’s HeartCare

Many people compare “core” with their abdominal muscles. However, it is much more than your abs. Traditional stomach crunches or sit-ups target just a few muscles. The core is made up of the many muscles that run up and down the spine — in the front, back, and sides — that help you bend, stand, twist, lift, move and more. Strong core muscles make it easier to do everything from swinging a golf club to getting a glass from the top shelf or bending down to tie your shoes. Weak core muscles leave you susceptible to poor posture, lower back pain and muscle injuries. Weak or inflexible core muscles can impair how well your arms and legs function-and can sap power from many of the moves you make. So, properly building up your core cranks up the power.

A strong core increases balance and stability. It can help prevent falls and injuries during sports and other activities. A strong, flexible core helps with everything including:

  • Everyday activities—Bending to pick up a package, turning to look behind you or standing in line at a store are just a few of the many everyday actions that depend on your core and you might not think about it until it is too difficult or painful.
  • On-the-job tasks—Jobs that involve lifting, twisting and standing all depend on core muscles. Even sitting at your desk for hours depend on your core. Phone calls, typing and computer use can make your back muscles stiff and sore, especially if you’re not strong enough to practice good posture and aren’t taking sufficient breaks.

To be safe and effective, core muscle strengthening exercises require proper alignment and progression from one type of exercise to another—adjusted to your body and fitness level. Also, consult a clinician before starting any fitness program if you haven’t been physically active, have back problems or some other medical condition.

Exercises for Strengthening Your Core
You can start by learning how to “squeeze in,” gently but firmly tighten the abdominal muscles, squeezing the navel in toward the small of the back. The tailbone should be slightly tucked. Practice holding this position for 10 seconds at a time while breathing normally. Once you get the hang of this, you can start doing some core exercises.

A bridge is a classic core exercise. Lie on your back with your knees bent. Keep your back in a neutral position, not arched and not pressed into the floor. Tighten your abdominal muscles. Raise your hips off the floor until your hips are aligned with your knees and shoulders. Hold the position as long as you can without breaking your form.

Exercises that strengthen abdominal and other core muscles should be part of an overall fitness plan that includes regular moderate-intensity aerobic exercise, such as brisk walking, 30 minutes per day, most days of the week. It is recommended to get 20-30 minutes of strength training two to three times a week, and that is a good time to fit in a few exercises designed to work the core. Having a strong core will not only make you look better by changing your posture, it will help you move better and keep you protected during many of life’s daily activities.

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Meriter – UnityPoint Health Named Top Employer in Madison

Meriter – UnityPoint Health is proud to announce that it has been named the top place to work in Madison by In Business magazine.

Meriter received the magazine’s top score for offering our employees a robust benefits package, continuing education opportunities and community support.

“People who work in health care generally are highly motivated to be of service to others,” said Interim President and Chief Medical Officer Dr. Geoff Priest in an interview with the magazine. “And I would say that seems to be true across my whole career, from when I went into health care through today.”

In addition to an interview with Dr. Priest, employees at the Meriter Monona clinic are featured on the cover of the December issue of In Business. Our partners at Turville Bay MRI & Radiation Oncology Center are also featured as a top employer in the issue.

You can read the full article here. Not a Meriter employee? Browse available openings on our career page.

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Thank You to our Heart Walkers!

Thank you to all who participated in the American Heart Association® Heart Walk® on October 18. It was inspiring to see so many Meriter blue shirts despite the frigid temperatures. The totals have come in, and Meriter’s Heart & Vascular team raised just over $4,000, leading Meriter’s contribution total to reach more than $9,000!

It was a great event this year, and we are looking forward to an even bigger presence next year as we continue to support the AHA’s mission of education and advocacy. Thank you to all of our super heroes at Meriter!

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8 Accidents to Avoid This Holiday Season

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How to Avoid Common Prescription Drug Mistakes

Be sure to use two identifiers when picking up your prescriptions to avoid any mistakes.

By: Nick Gnadt, Ambulatory Pharmacy Manager

Medicines have the power to heal and cure, but sometimes mistakes and errors can happen. When not used properly, they can be ineffective or even harmful. Here are some tips for making sure your medications are just what the doctor ordered.

Choose Quality over Convenience
No pharmacy wants to make you wait for your prescriptions, but safely filling your prescription is more than just counting pills. A good pharmacist will not just check the prescriptions you are filling but will also review all of your prescription records to look for interactions, check for other medications that may need filling, and even look for medications that could either be stopped or started to ensure you are only taking medications that make sense for you.

Some pharmacies make guarantees about how quickly they will fill your prescriptions and may sometimes skip these steps to ensure they meet that guarantee. A report from the Institute for Safe Medication Practices found that many pharmacists working in pharmacies with time guarantees reported that pressure to meet these guarantees led to dispensing errors. Make sure you choose a pharmacy that commits to doing the right thing rather than just doing the fastest thing.

Use Two Identifiers When Picking Up Your Prescriptions
While every person is a unique individual, your name may not be. Make sure that your pharmacy checks not just your name but also a second identifier like your address or date of birth. This simple step can ensure that you are getting YOUR medications and not someone else’s.

Participate in Show and Tell
Every time you pick up your medications, have your pharmacist show you the pills and tell you their names and what they are for. Seeing the pills before you leave the pharmacy gives you a chance to identify any that look different. Many generic medications come in different shapes and sizes so changes may not be a problem, but looking at them before you leave the pharmacy lets the pharmacist double check the stock bottle if there is any question about it being the right medicine.

Use Trustworthy Sources on the Internet
The Internet has given us access to information that we never had before, but not all of it is completely accurate. When looking up information on medicines, make sure you have a trustworthy site. For instance, MedlinePlus is a good site that is maintained by the National Institutes of Health. It has information on medicines, natural products, and even education on diseases. ConsumerMedSafety.org is another good site with more tips on how to avoid medication errors.

Keep Drug Information in Context
When looking up medication information on your own, remember that your pharmacist, doctors and other members of your health care team are available if you have questions or concerns. Most medicines have long lists of possible side effects that make the drugs sound scary. With extensive education in biology, physiology and chemistry, your pharmacist can help give you the background information to put the warnings in context. Oftentimes, the side effects are very rare and you can take steps to help reduce the risk of experiencing them.

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10 Healthy Thanksgiving Meal Alternatives

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Six Ways to Manage Stress Around the Holidays

The holidays are usually a time when everyone is focused on gift giving for families and friends; however, it is also a great time to consider giving to others.

By: Dr. Gretchen Diem, Health Psychology

Although holidays are supposed to be a joyful time, they can also feel overwhelming and stressful. There is often a dizzying array of demands – parties, shopping, baking, cleaning, family get-togethers, to name just a few and not enough time to do it all. For some, the holidays are especially hard as they are reminded that they are alone or of loved ones who are gone.

Here are some ideas that may ring true for you this year as you try to embrace all that the season has to offer.

  1. Have realistic expectations. No holiday celebration is ever perfect and it doesn’t have to be just like last year. As life changes and families grow, traditions and rituals often shift as well. Choose a few to hold onto, and be open to creating new ones.
  2. Keep things in perspective. Try to view inevitable mishaps as opportunities to find humor, and demonstrate flexibility and resilience. Burning the cookies, arriving late to a party, or coming down with a winter cold will not ruin the holidays. Instead it might just create a notable family memory.
  3. Honor your feelings. Just as it is a season of celebrating the many gifts in our lives, the holidays also can be a time that calls to mind what pains us. Remember that many people struggle with some loneliness or loss. Giving yourself and others some grace can make it easier to be present in the moment and to not be overwhelmed with the full spectrum of emotions that life has to offer.
  4. Give to those in need. The holidays are usually a time when everyone is focused on gift giving for families and friends; however, it is also a great time to consider giving to others. Helping those less fortunate is a wonderful way to teach children about the value of helping others and has the added benefit of making the “giver” feel good too.
  5. Do less. As hard as it is, give yourself permission to say no to requests that are going to add to your level of stress. You cannot be present for yourself or others if you feel resentful or over-burdened. Ask yourself, is this really necessary? Will this bring me or my family more joy or will it just add more pressure. Prioritize activities that are most meaningful.
  6. Focus on what really matters. The barrage of holiday advertising can make us overlook the true meaning of the season. The holidays are a time to reconnect with people we care about, give thanks, and celebrate. Take time to reflect on all the people, experiences, and things we have in our lives for which to be grateful. This can really shift our perspectives in a positive way.

Take time to stop, breath, reflect and enjoy – here’s to a wonderful holiday season and a Happy and Healthy New Year!

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How Can You Become Tobacco-Free?

The Great American Smokeout is an opportunity to commit to a tobacco-free life, and enjoy the rewards of accomplishing something you may not have thought possible.

By: Dr. Luke Fortney, Family Medicine

When someone mentions the Great American Smokeout on November 20, do you feel inspired, annoyed, anxious, guilty or something else? If truth be told, many people who smoke have mixed emotions about smoking and quitting. The whole point of the Great American Smokeout isn’t to set unrealistic expectations. Quite the opposite! Here at Meriter – UnityPoint Health, we encourage you to look at this day as the starting point toward optimal wellbeing for the long-run.

According to WIPHL (Wisconsin Initiative to Promote Healthy Lifestyles), 40% of all deaths in Wisconsin every year are directly attributed to tobacco and alcohol. That’s a big number and a lot of unfortunate and unnecessary loss. However, it’s never too late to turn things around. This November, we encourage you to use the Great American Smokeout as a day to start thinking about, preparing for, and making plans for tobacco cessation at a time that is best for your schedule and your life.

The Great American Smokeout is just the starting point for you to become tobacco-free. Rather than quit cold-turkey on November 20th, we encourage you to begin preparing for a tobacco-free life. There are many ways to do this, and many tools to support you. Perhaps the Wisconsin Tobacco Quit Line or using OTC nicotine replacement will help you stay on track. You may even be drawn to our flagship Mindfulness Training for Smokers (MTS) class, which is a once-a-week, 7-weeks-long, group program combining medications and training in mindfulness to help manage cravings, withdrawl symptoms, smoking triggers, and stress. Whatever approach you choose, we will be here for you every step of the way, which also includes our monthly smoking cessation check-in group.

How does mindfulness help us break free from addiction? First of all, mindfulness is a psychology technique and practice that means paying attention in a particular way, on purpose, in the present moment, and without judgment. It provides us with a whole new skill set for dealing with triggers, urges, strong emotions, and stressors – whatever leads us to smoke. At the same time, it helps retrain certain dopamine mediated neuro-pathways so that cravings aren’t nearly as intense as they may have been during previous quit attempts. Learning to practice mindfulness in meaningful, everyday, and practical ways teaches us to pay attention to our experience so that we are able to thoughtfully respond to circumstances rather than automatically react. This awareness provides a pause or break in old habitual patterns, creating a chance to decide not to reach for that cigarette or chew.

If you’re having a hard time deciding where to start, we can help! This isn’t about trying the same old approach over and over again. The Great American Smokeout can serve as an opportunity for you to 1) begin thinking about, 2) prepare for and 3) empower yourself to finally be free of tobacco. We encourage you to take this opportunity to commit to a tobacco-free life, and most importantly enjoy the rewards of accomplishing something you may not have thought possible.

Give us a call at 608-417-7848 (QUIT). Together, we’ll help you come up with a plan for your success. What’s your starting point?

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10 Common Medical Conditions in Veterans

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Healthy Comfort Food Recipes

By: Michelle Miller, Manager of Greenbush Garden Bistro

Fall and winter are all about comfort foods for most of us, so I have included some healthy alternatives to our everyday idea of what comfort food is. Now, these recipes will require slightly more prep time, but the benefits are worth it! The first one I will share with you is a twist on lasagna and pasta dishes.

I love using zucchini as a noodle base, and I love my Vegetti (the tool used to make thin spaghetti noodles). Here is one of my favorite recipes for zucchini lasagna; of course you can add/remove veggies as you wish.

Zucchini Veggie Lasagna
2 large zucchini
1 tablespoon salt
1 pound ground beef or turkey
1 1/2 teaspoons ground black pepper
1 small green bell pepper, diced
1 tablespoon fresh garlic
1 onion, diced
1 cup tomato paste
1 (16 ounce) can tomato sauce
1/4 cup red wine
2 tablespoons chopped fresh basil
1 tablespoon chopped fresh oregano
Hot water as needed
1 egg
1 (15 ounce) container low-fat ricotta cheese
2 tablespoons chopped fresh parsley
1 (16 ounce) package frozen chopped spinach, thawed and drained
1 pound fresh mushrooms, sliced
8 ounces shredded mozzarella cheese
8 ounces grated Parmesan cheese

Directions

  1. Preheat oven to 325 degrees F (165 degrees C). Grease a deep 9×13 inch baking pan.
  2. Slice zucchini lengthwise into very thin slices. Sprinkle slices lightly with salt; set aside to drain in a colander. This prevents the dish from getting too much liquid.
  3. To prepare the meat sauce, cook and stir ground beef and black pepper in a large skillet over medium high heat for 5 minutes. Add in green pepper, garlic and onion; cook and stir until meat is no longer pink. Stir in tomato paste, tomato sauce, wine, basil, and oregano, adding a small amount of hot water if sauce is too thick. Bring to a boil; reduce heat and simmer sauce for about 20 minutes, stirring frequently.
  4. Meanwhile, stir egg, ricotta and parsley together in a bowl until well combined.
  5. To assemble lasagna, spread 1/2 of the meat sauce into the bottom of prepared pan. Then layer 1/2 the zucchini slices, 1/2 the ricotta mixture, all of the spinach, followed by all of the mushrooms, then 1/2 the mozzarella cheese. Repeat by layering the remaining meat sauce, zucchini slices, ricotta mixture, and mozzarella. Spread Parmesan cheese evenly over the top; cover with foil.
  6. Bake for 45 minutes. Remove foil; raise oven temperature to 350 degrees F (175 degrees C) and bake an additional 15 minutes. Let stand for 5 minutes before serving.

Another favorite of mine is a basic zucchini noodle topped with marinara sauce, Alfredo sauce or any other sauce you would like to incorporate. This can be topped with meat or strictly veggies. This recipe is very flexible! It can be served warm or cold. My favorite is sautéed lightly and then topped with a sauce of your choice. I would add feta cheese and chicken with this pesto zucchini recipe! Yum!

Simple Pesto Zucchini Noodles
Yield: 2 large bowls

2 large zucchini
Drizzle olive oil
1 carrot, shredded
Handful of your favorite mushrooms, sliced
2 tablespoons  Basil Pesto (recipe below)
A pinch of sea salt
A pinch of freshly ground black pepper

Directions
Using a spiralizer, vegetable peeler or vegetti, cut zucchini into angel hair-like pasta and place in a bowl. Drizzle with a very small amount of olive oil, add carrot and mushrooms, and toss with Basil Pesto (homemade recipe is included). Season with sea salt and black pepper and serve.

Basil Pesto Recipe
1/2 cups pine nuts
1/2 cup fresh basil
1 clove garlic
1/4 tsp. sea salt, or to taste
1 teaspoon olive oil

Directions
In a food processor, combine pine nuts, basil, garlic, and sea salt. While mixing, drizzle olive oil into the food processor. Add more oil as needed to blend into a creamy paste. Season with additional sea salt as needed.

I love zucchini noodles for the sheer fact that it feels like comfort food and tastes like it too, but you reap the benefits of veggies in the cold and almost snowy weather when most of us slow down on our consumption. Once you make the noodles you can do a variety of different dishes with them. The dishes included are my personal favorites! Happy Cooking!

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Meriter-UnityPoint Health Wins 2014 eHealthcare Leadership Awards

Meriter-UnityPoint Health is proud to announce that is has again been honored with three national eHealthcare Leadership Awards, presented by eHealthcare Strategy & Trends.

Meriter received the 2014 Silver eHealthcare Leadership Award for Best Doctor Directory, the 2014 Silver eHealthcare Leadership Award for Best Intranet and Meriter Foundation was awarded the Distinction award for Best Overall Internet Site.

Meriter’s physician directory conveniently allows patients the option to meet a Meriter physician online by viewing a physician’s photo, video and medical philosophy. Patients also have the option of conveniently requesting an appointment online with a Meriter physician.

Meriter’s intranet site was judge based on the organization’s use of internal networking to enhance employee productivity and satisfaction as well as reducing administrative costs.

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Eating to Improve Overall Health and Diabetes Control

Having a plan and writing a grocery list can save you time, stress and a lot of extra trips to the store.

By: Gena Van Kirk, Registered Dietitian/Diabetes Educator

When it comes to healthy eating, nourishing the body is the main concern. Our bodies require a certain quantity of nutrients to work at their best. This is largely about getting a well-balanced diet. We need to make sure we are bringing in enough energy, vitamins and minerals to meet our needs, but not so much that we exceed our needs. If we can accomplish this, we can also improve our diabetes outcomes. By eating healthy and maintaining a healthy weight, it is possible to slow down or reverse the progression of pre-diabetes to diabetes and to decrease complications related to diabetes.

What does eating healthy look like?

We can start by looking at our plates to see which foods we are choosing and what portion sizes we are consuming. The most recent guidelines suggest that we envision our plate as being divided up into four sections or quarters. One quarter of the plate should include a lean meat or protein food, and usually this food portion should be the size of a deck of playing cards. The second section of the plate should contain a starchy food or whole grain product such as a potato, noodles, rice or other bread product and take up the space equal to a computer mouse. The other half of the plate should consist of one cup of vegetables as well as a piece of fruit about the size of a tennis ball. In addition to this, you should incorporate 1 cup of low fat milk or yogurt. Remember, if you are adding any fats such as oil, butter or margarine to your plate, limit it to 1-2 teaspoons per meal. Eating in this fashion can assist in weight management and help to stabilize blood glucose (sugar) levels. It can also assist in heart disease prevention, which is of significance as people with diabetes have two times the risk of heart disease. Elevated blood sugar, blood pressure and cholesterol levels increase the risk of heart disease, so it is helpful to monitor your sugar, sodium and fat intake in the diet.

Making Healthier Choices

When choosing your meat or protein for the meal, be mindful of fats. If you can remove any visible fat from the meat before cooking it, do so. Also, if you are able to use a cooking method such as baking, broiling or boiling, you can decrease the amount of added fat to the product. Watch out for processed meats such as bologna or sausage and pickled meats such as herring because these meat choices tend to be higher in salt. Healthier meat choices include white meat chicken or turkey without the skin, round or loin cuts of beef or pork and fish.

When choosing your starch or grain for the meal, try to include dried beans (such as pinto, navy, garbanzo and kidney) and “whole” grains at least half of the time in order to incorporate fiber into the diet. Some whole grain choices would include low sugar whole grain cereals, whole wheat bread, brown rice, instant oatmeal, popcorn (be mindful of the added butter and salt), whole grain crackers and whole grain chips.

With your fruits and vegetables, the most important things to remember are to include a good variety of colors in the diet (in order to incorporate a larger number of vitamins and minerals in the diet) and to eat the whole fruit more often than choosing fruit juice. This will help to improve your fiber intake in the diet. Also, if you can choose fresh or frozen vegetables rather than canned vegetables, you will be decreasing the sodium content in your diet. Foods from the milk and yogurt group should be fat free (skim) or low fat (1%) for heart health. When you need to add a small amount of fat to your meal, lean towards heart healthy oils such as olive oil and canola oil, choose tub margarines rather than stick margarine, and limit butter and cream.

How do we make sure healthy food choices get to our plate?

I would contend that a good plan and regular shopping trips are the most important parts of the process. Set aside some time to plan your meals each week. You might want to start with just a few days. It may seem like a lot of work at first, but having a plan and writing a grocery list can save you time, stress and a lot of extra trips to the store. A good tip is to shop on the edge or perimeter of the grocery store. This area typically contains your breads, fruits, vegetables, dairy, and meats. Stick to your grocery list when venturing down the aisles of the grocery store as many of these foods tend to be low in nutrition. Try to avoid shopping when you are hungry as you might be tempted by a less healthy food.

There may be other times when it is difficult to make healthy food choices. A few examples would be snacking and dining out. Why not make it easy to find healthy snack foods in your kitchen? For example, when you get home from work or school, put some fresh carrots, grapes or pretzels out on the counter instead of a bag of chips. It can be helpful to prepare these items ahead of time, maybe on the weekend or on a day off. When dining out, ask if meats can be grilled rather than fried and request sauces and dressings on the side. Remember to choose fruit, salad or other vegetables as side items, rather than French fries. Order a salad or soup to start and then share an entrée. Save money, and lots of calories, by skipping or sharing a dessert.

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Help Feed the Hungry This Thanksgiving

For many years, the Goodman Community Center has provided groceries to families across Dane County so that they can also make a traditional Thanksgiving meal. This year, they hope to feed over 2,500 families.

You can easily make a big difference this year through supporting the Goodman Community Center by “liking” Meriter-UnityPoint Health on Facebook! For every “like,” we will make a $5 donation to the Goodman Community Center, and we will donate up to $2,500 before Thanksgiving. We hope you will help this year!

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Attend Family Night Out – Dance Party


With the cold of winter upon us, enjoy a FREE night filled with ways to stay active indoors. Just because we are spending more time inside doesn’t mean you can’t find fun activities to keep you healthy. Join us for:
• Dancing
• Games
• Face painting
• Balloon artist
• Snacks and infused water
• Register to win prizes
• Learn more about Madison Moms Blog

Location: Meriter DeForest-Windsor
                  4200 Savannah Drive, DeForest
                  (near the intersection of Hwys. 19 & 51)

Date: Tuesday, November 25 from 5:30-7:30pm

This event is open to the community and the drawings are free, without any obligation.

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Manage the Holidays Mindfully

 

Learning mindfulness skills can help you focus on what's important this holiday season.

Are you feeling daunted by the thought of the upcoming holidays? If so, you’re not alone. This season, choose to give yourself the gift of respite while developing skills that can take you from frantic and overwhelmed to mindful and stress-free.

Our 4-class Manage the Holidays Mindfully  program encourages you to stay in the moment amidst the hustle and bustle of gift shopping, decorating and family get-togethers. In a relaxing atmosphere, you will learn how to use mindfulness as a tool to change the way you cope with holiday demands. The great thing is that no previous mindfulness experience is needed!

Each class will focus on a different holiday-related topic:

  • Managing Expectations
  • Time Management
  • Relationship Issues
  • Holiday Eating


Dates:
Weekly on Tuesdays, Nov. 11, Nov. 18, Dec. 2 and Dec. 9 (No class will be held Nov. 25)
Time: 6:30 p.m. – 8:00 p.m.
Location: Meriter McKee Clinic
Cost:
$125

Come join us and be surprised how much more peace and joy you truly can have this holiday season. To register, please visit meriter.com/holidays.

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Meriter-UnityPoint Health Offers Additional Colon Cancer Screenings

At Meriter-UnityPoint Health, your health is our priority. We know that colon cancer is one of the most preventable, yet least prevented, cancers in the U.S. today. Unfortunately, only 1 in 3 people over the age of 50 are getting their recommended screenings. In order to increase these numbers and ultimately save more lives, Meriter is proud to now offer additional colon cancer screenings, including Cologuard: a new noninvasive option. If you are over the age of 50, please talk with your doctor about what screening option is best for you.

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Healthy Halloween Treats

Patty Larabell, RDN

Halloween is a fun time for kids and families, but it often includes too many sugary treats. There are easy ways to turn a Halloween snack into a fun and healthy treat.

Frankenstein Cups

  • Fill a clear cup with one layer of green grapes
  • Cut a marshmallow in half and push the sticky side into the side of the cup. These will be the eyes
  • Fill the rest of the cup with green grapes
  • Draw a mouth and two eyes on the outside of the cup, making sure the eyes line up with the marshmallows

Witches Brooms

  • Cut a low-fat cheese stick in half and cut long slices into it to look like broom bristles
  • Push a small pretzel stick into the end of the cheese stick

Clementine Pumpkins

  • Peal a clementine
  • Chop a celery into small pieces
  • Stick the celery pieces into the top of the clementine for stems

Jack-o-Oranges

  • Take  black marker and have your kids draw Jack-o-lantern faces on the peals
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Six Things You Didn’t Know About Hospital Pharmacists

The hospital pharmacist is a great person to inform you about your medications. They know what medications you are taking, why they have been prescribed, and what side effects you might experience.

By: Hanna Knurr, Pharmacy Practice Resident

Did you ever wonder how your nurse knows that he or she is giving you the right medications at the right times and at the right dose? Hospital pharmacists handle all things medication related!

What does a hospital pharmacist do? Many people think that a pharmacist is the person that you visit at the drugstore. That person, an outpatient pharmacist, manages the medications that you take at home. At Meriter-Unity Point Health, hospital pharmacists are an important part of the health care team.

Here are some of the things that hospital pharmacists do:

  1. Pharmacists are medication experts: All pharmacists have college degrees. In pharmacy school, students spend 4 years learning to be experts in medication management. Student pharmacists also spend their last year gaining valuable work experience in different settings, ranging from outpatient pharmacies to hospitals and clinics. After graduation, many pharmacists spend an extra year or two in residency programs, learning advanced skills.
  2. Medication monitoring: In many hospitals, including Meriter-Unity Point Health, pharmacists work on the inpatient floors, and in the inpatient pharmacy. The unit-based pharmacist works closely with doctors, nurses and patients. On many floors, the patient care team conducts daily “rounds”. During rounds, the pharmacist makes recommendations and answers questions about medications for the rounding team. For many medications, the hospital pharmacist helps to choose the correct dose.
  3. Patient Education: The hospital pharmacist is a great person to inform you about your medications. They know what medications you are taking, why they have been prescribed, and what side effects you might experience. The pharmacist can teach you how to safely and effectively take your medications at home. If you have questions about your medications, just ask your nurse if you can speak with the pharmacist.
  4. Making sure that you are getting the right medication for you: Medications are complicated. At Meriter-Unity Point Health, our pharmacists review each patient’s current medications every day. When a doctor prescribes a new medication, your hospital pharmacist will check your medical chart and review your other medications to make sure that the new medication is the best choice for you. For some drugs, doses may change a lot from person to person. For those drugs, your hospital pharmacist can order lab tests to determine if these doses are high enough to be effective, but not too high that you are at risk of side effects. If a pharmacist finds that a medication is not effective or is causing side effects, he or she will contact your doctor to discuss a better option for you.
  5. Helping to keep you safe: Every medication that you receive in the hospital is labeled with your name and double checked by a pharmacist. From the pharmacy medications are sent to your floor, where your nurse can access them and then give them to you. For an extra layer of safety, Meriter-Unity Point Health uses a barcode scanning system to make sure that the medication your nurse gives to you is the one your doctor prescribed. Hospital pharmacists are constantly looking for ways to improve medication safety.
  6. Making sure that you have access to medications at home. Often, a doctor starts a patient on a new medication that will need to be continued when that patient goes home. When money is an issue, the hospital pharmacist can look at insurance information to find out if the drug prescribed is covered. If insurance coverage is an issue, the pharmacist may be able to recommend a less expensive alternative. For patients who might not have any insurance, the hospital pharmacists at Meriter are aware of programs to help patients get the medications that they need. We want you to have access to the medications that you need.At Meriter, we also work closely with our outpatient pharmacy to make sure that you can get your home medications before you leave the hospital. The outpatient pharmacist can even come visit you in your room, bring you your medications, educate about how to take them and what to expect.

At Meriter Unity-Point Health, our hospital pharmacists work hard 24 hours a day, every day, to make sure that our patients are getting the most benefit from their medications. There’s always a hospital pharmacist nearby– feel free to ask us about your medications or what we can do for you.

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16 Tips to Keep Your Kids Safe on Halloween

Try to use face paint instead of a mask for the costumes because masks can limit your eyesight when Trick-or-Treating.

By: Dr. Kristin Millin, Pediatrics at Meriter West Washington

Halloween is one of my favorite holidays. At my house, we are currently in negotiations with my 9-year-old about whether a Zombie costume is appropriate to wear this year when we are out Trick-or-Treating. As a pediatrician, I am always thinking about safety on any outing with the kids, and here are some ways to help keep all of our children safe this Halloween.

Costumes:

  1. Try to plan for a costume that is bright or reflective. If that isn’t an option, glow sticks that you can make into a necklace or bracelet are $1 a packet at the Dollar Store or Target and work great to find your little goblins at night.
  2. Don’t let costumes hang below a child’s ankle height. This will help prevent falls while walking the neighborhood.
  3. Try to use face paint instead of a mask for the costumes. Masks can limit your eyesight when Trick-or-Treating.

Decorations:

  1. Make sure to pick up anything that a child could trip on when coming to your home. Clear away any lawn decorations that might block a safe entry and exit to your front door.
  2. Restrain pets so they don’t jump at any princesses at your door.
  3. Replace outdoor lights that have burned out bulbs.
  4. Avoid using candles for your pumpkins and instead use battery operated LED candles.
  5. Have small children draw a face on pumpkins instead of having them carve pumpkins.

Trick-or-Treat Time:

  1. A parent or responsible adult should always walk with children while they are trick-or-treating.
  2. Use flashlights or headlamps to light the trail around the neighborhood.
  3. If older children are going alone, plan for designated meeting times at local neighborhood haunts.
  4. Do not go up to a house that does not have a porch light on when trick-or-treating.
  5. Only cross the street at designated intersections.
  6. Carry a cell phone in case of emergency.
  7. Always sort the treats with your children and consider donating your child’s Halloween candy to a local organization that is accepting candy donations. Meriter West Washington Clinic will be accepting candy donations between 9:30-11:30 a.m. on Saturday, Nov. 1 at the 3rd Annual Candy Trade-In Party. The candy will be donated to U.S. troops overseas through Operation Gratitude.
  8. Drive slowly in any neighborhoods during trick-or-treat times as well as exit and enter driveways carefully.
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Sign up for our Running Clinic

If you are experiencing pain or injury that is limiting your running or just have questions about your running form sign up now for an appointment at the Meriter–UnityPoint Health Sports Medicine Running clinic.  You will meet one on one with one of our sports medicine therapists who will screen your flexibility, strength and running mechanics and help you establish a program to improve any limitations.  In addition, we will have access to our video analysis system to help identify problem areas within your running mechanics.

Date and Times: October 29, 2014 at 5:30, 6:00, 6:30 or 7:00 PM
Location:  Middleton Therapy Clinic
Cost:    $35
Attire:   Wear running clothes and have running shoes with you
Register:  meriter.com/classes

         Space is limited so sign up today.

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Halloween Candy Trade-In Party!

We want your candy … but it’s for a good cause!

Save the date to bring in your extra candy to our 3rd Annual Halloween Candy Trade-In Party on Saturday, November 1, 2014 from 9:30 to 11:30 a.m. at the West Washington clinic.

Candy will be donated to U.S. Troops overseas through Operation Gratitude. Kids will recieve one prize entry ticket for each pound of candy they bring in.

So far, prizes include:
- 20″ kid’s bike – donated by Pacific Cycle
- 4 tickets to The Christmas Carol at Overture Center – donated by Children’s Theatre of Madison
- Free passes – donated by Pump It Up
- Gift card – donated by CVS
- Family bowling passes – donated by Entercom Communications
- And many, many more great prizes to come …

Already planning to be downtown for the Farmer’s Market or Kids’ in the Rotunda? You’ll be right near our party! Stop in! Free parking is provided to our guests in the ramp under our clinic.

We hope to see you there!

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Why You Should Schedule a Screening Mammogram

Diagnosing a breast cancer early with a screening mammogram helps with treatment options, surgery and an eventual cure.

By: Dr. Susan Toth, General Surgery

You have a spot on your mammogram. You have breast cancer.

No two sentences can strike more fear in a woman than those above. Sometimes that fear prevents a woman from actually getting a mammogram in the first place. Yet we know that diagnosing a breast cancer early with a screening mammogram helps with treatment options, surgery and an eventual cure.

Breast cancer is treatable and curable most of the time, especially when it is small and found early. Sometimes the mammogram will find a cancer so early that it is not even physically noticeable to the woman or her doctor. Most breast cancers will occur after age 50 (postmenopausal) and are not genetically associated. The recommendation is to start mammograms at age 40 and repeat every two years until age 50. Then you should obtain yearly mammograms after that. If there is a strong family history of breast cancer, then it is recommended to start yearly mammograms at age 35.

Some women are afraid of the radiation from a mammogram – but rest assured that a mammogram is now digital and even with extra imaging it has minimal radiation risk.

So, I encourage you to get your mammogram as recommended. An abnormal mammogram, or even a palpable lump, will lead to a biopsy, but most biopsies (>85%) are benign! Whew.

The Breast Team at Meriter-UnityPoint Health includes screening mammography at Meriter Monona, diagnostic mammogram and possible biopsy as needed at 1 S. Park UW Breast Center radiologists, Meriter Medical Group Surgical Consult as necessary and reconstruction consultation with Reconstructive Plastic Surgery at Meriter Monona. We work closely with the UW Oncologists making the process seamless.

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Learn the Truth About Ebola

ebola infographic

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What to Know About Breast Reconstructive Options

It is important for patients with breast cancer to know that there are reconstructive options available.

By: Dr. Jeffrey Larson, Plastic Surgery

As a plastic surgeon, I have the privilege of treating women who suffer from breast cancer, a potentially life-threatening disease that is becoming all too common. After the general surgeon completes the cancer removal operation, I am tasked with the job of restoring patients with an appearance that is natural. I believe that my best result is the one that patients barely notice because there is such a small difference between their body before and after cancer.

The most important thing to me as a reconstructive surgeon is for patients with breast cancer to know that there are reconstructive options. Even in a country like the United States, less than 50 percent of women are counseled regarding their reconstructive options before undergoing surgery.

Reconstructive options begin for women that are undergoing a “lumpectomy” procedure or a procedure where the cancer is completely removed but the remainder of the breast is left intact. Occasionally, these operations may result in a deformity that can be corrected or improved with reconstructive surgery. Also, many patients are surprised to learn that in cases where the cancer is only on one side, the opposite breast (without cancer) can be reduced or reconstructed in an effort to restore symmetry between the two sides.

For patients who are undergoing a mastectomy for their cancer treatment, the reconstructive options are broad, and even patients who have decided against reconstruction may benefit. As described above, if a patient has their breast removed on one side, a breast reduction on the opposite, non-cancer, side may help patients fit into clothes better and feel less unbalanced after their mastectomy operation.

Patients that pursue reconstruction have options that fall into three categories: using the patient’s own tissue, using breast implants or a combination of both. When patients decide to use their own tissue, it typically comes from the abdomen. The skin, fat and muscle from the abdomen can be used to reconstruct one or both breasts in a procedure called a TRAM flap operation. In recent years, a procedure that spares the muscle and just uses skin and fat, called a DIEP flap operation, has gained in popularity, and it is one we are proud to offer at Meriter Hospital. For patients who pursue reconstruction with breast implants, this reconstruction typically begins by placing an inflatable implant at the time of the mastectomy. Over a period of several weeks after surgery, this implant is inflated in the plastic surgery office, restoring the dimensions of the original breast pocket and creating a space for a permanent implant that is placed in the second stage of reconstruction. Finally, in some patients who cannot have reconstruction using their abdominal tissue, a procedure that combines both the patient’s own tissue and the use of an implant is available where an implant is placed and is covered using skin, fat and muscle from the patient’s back.

It is important to emphasize that there is no reconstructive option that is “better” or “worse.” Every patient is different, and the plastic surgeon helps patients pursue an option that is best suited for her body and the desires she has for her own reconstruction. Similarly, while there are many reconstructive options available, it is also important to recognize that not every option is available for every patient. The patient’s weight, breast size, whether or not they have had radiation therapy and even previous surgical history may have an impact on the type of reconstruction that is best for her. Finally, if a patient has been treated for breast cancer in the past but did not pursue or was not offered reconstruction at the time and has now become interested, she still has options available to pursue after a “delay” in reconstructive treatment. It is as simple as setting up an appointment with a plastic surgeon to discuss these options.

One of the first plastic surgeons in history described our specialty as one that “restores and makes whole.” This goal holds true today, especially in my practice as I have the privilege of treating women who suffer from breast cancer.

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