view issue here

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March 2012 DOT Recertification Trinity Health Foundation Dietitians Can Help You Eat Right Cardiac Rehab Community Outreach 2 3 4 5 6 7 8 Give a Boost to Your Workout Colorectal Cancer Awareness Month If you suffer from an itchy, runny nose, watery eyes and never-ending sneezing, you may be one of the more than 50 million Americans affected by allergies. But diagnosing this common condition isn’t always easy; misconceptions surrounding the condition abound, and allergy symptoms are many times confused with a cold. To help you determine whether your symptoms are related to allergies, we will give you some basic information about allergies and provide some treatment information to make them a bit more bearable. What are allergies? “An allergy is an unusual reaction to an otherwise harmless substance, called an allergen,” explained Michael Reder, MD, Allergist/Immunologist at Trinity Health. “Allergens can be inhaled, swallowed or come into contact with the skin; when absorbed by the body, allergens stimulate the production of antibodies. These antibodies cause cells, called mast cells, to release a chemical called histamine; it is the excess of histamine (among other molecules) that causes typical allergic symptoms (antihistamines, which are used to treat allergies, work to block this excess histamine).” Dr. Reder said common allergens include pollen, mold spores, dust mites, animal dander, feathers, insect stings, certain foods and medications. “Pollens are seasonal. Trees pollenate in the spring, grasses in the summer, and weeds in the fall (Harvest Season). These pollens usually can’t be seen without a micro- scope, so most people aren’t aware that their allergic trigger is all around them. Generally, most people worry more about flowering plants because they are more aromatic and visible. However, pollens on these flowers are usually too heavy to actually cause allergies. It’s the non-flowering plants, like grass or ragweed, that cause all the problems,” Dr. Reder explained. “Mold spores, on the other hand, thrive in warm, damp, dimly lit areas, including bathrooms, humidifier pans and air conditioner vents, regardless of the season. That being said, there can be some seasonal influence, like the spring snow melt, or the mold spores thrown into the air by the harvesting machines in the fall.” Dr. Reder also said that dust mites are present year-round, and flourish in fabrics exposed to warmth and moisture, where flakes of human skin are also present. “It is their excrement that causes allergic reactions. The most common exposure site for dust mites is inside your pillows and mattress. This is because your bed allows the dust mites to sit in warm, humid comfort, down inside the fabric, while you incubate them with your body heat and feed them with your shedded skin; on average, a bed contains about two million mites,” he added. Finally, insect stings, some food allergens and particular medicines can also cause severe allergic reactions, resulting in anaphylactic shock. If left untreated, these reactions can leave sufferers unconscious, in a coma or may even cause death. Allergy symptoms According to Dr. Reder allergy symptoms can include, but aren’t limited to: - Runny and/or stuffy nose - Sneezing - Post nasal drip - Itchy mouth and eyes - Red eyes - Bags under the eyes (allergic shiners) - Itchy skin: rashes and hives - Coughing - Wheezing (asthma) “A lot of people with allergies have sensitivities to flower smells, perfumes, bleach, scented candles and much more,” Dr. Reder said. “But you’re not necessarily allergic to say, a rose, if after smelling it, you sneeze. The odor likely just triggered the sensitive nerves in your nose, which subsequently causes you to sneeze.” Treatments According to Dr. Reder, treating allergies involves three essential principles: avoiding the allergen or irritant responsible for causing the reaction, using drug treatments, and finally, when these options do not relieve symptoms, using a specific allergy immunotherapy to halt the progression of an allergic disease. “The avoidance measure in some cases is obvious such as not owning a pet, if you choose not to own one,” Dr. Reder said. “But sometimes it’s hard to avoid these triggers. There are some things you can do, like staying inside and running the air conditioner, or using HEPA air filters that reduce pollen, animal dander and mold spores.” As for dust mites, Dr. Reder added that there are special covers that you can buy at the store to protect your bedding and pillows. In terms of medications, regimens like antihis- tamines or deconges- tants can be used if avoiding the allergen is impossible. Other allergy medications include nasal steroid sprays and prescription eye drops. “Different medications do the trick for different people,” Dr. Reder said. “But, medications don’t permanently fix anything; they only temporarily mask the symptoms.” Finally, immunotherapy, otherwise known as allergy shots, consists of a series of injections that help the body build a tolerance to allergens. “These shots actually contain your specific allergens, originally found by skin testing. By giving gradually increasing doses, these shots force your immune system to learn how to tolerate them; therefore, each shot is tailored to the specific individual and is carefully measured and administered by an allergist,” Dr. Reder explained. “And despite the name, ‘allergy shots’, these tiny needles don’t hurt. The regimen starts once or twice per week, but then eventually advances to only once per month. Most people get allergy shots for only four to five years, but some choose to stay on them longer because of how good they feel.” About Dr. Reder A specialist board certified in Allergy and Immunology Medicine, Dr. Michael Reder is specially trained to evaluate and treat allergic diseases and asthma in adults and children. A graduate of the University of Cincinnati College of Medicine in Ohio, he completed his internal medicine residency at the Medical University of South Carolina in Charleston. He spent a year as a hospitalist at Regional Medical Center, Orangeburg, SC, prior to completing his fellowship training in allergy and clinical immunology at Tulane continued on page 3 Michael Reder, MD Allergies 101

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Page 1: View Issue Here

March 2012

DOTRecertification

Trinity HealthFoundation

DietitiansCan Help

You Eat Right

CardiacRehab

CommunityOutreach

2

3

4

5

6

7

8Give a Boost

to YourWorkout

ColorectalCancer

AwarenessMonth

If you suffer from anitchy, runny nose, wateryeyes and never-endingsneezing, you may beone of the more than 50million Americansaffected by allergies.

But diagnosing this common condition isn’talways easy; misconceptions surrounding the condition abound, andallergy symptoms aremany times confusedwith a cold.

To help you determinewhether your symptomsare related to allergies,we will give you somebasic information aboutallergies and providesome treatment information to makethem a bit more bearable.

What are allergies?

“An allergy is an unusualreaction to an otherwiseharmless substance,called an allergen,”explained MichaelReder, MD,Allergist/Immunologistat Trinity Health.“Allergens can beinhaled, swallowed orcome into contact withthe skin; when absorbedby the body, allergensstimulate the productionof antibodies. These antibodies cause cells,called mast cells, torelease a chemical calledhistamine; it is theexcess of histamine(among other molecules)that causes typical allergic symptoms (antihistamines, whichare used to treat allergies, work to blockthis excess histamine).”

Dr. Reder said commonallergens include pollen,mold spores, dust mites,animal dander, feathers,insect stings, certainfoods and medications.

“Pollens are seasonal.Trees pollenate in thespring, grasses in thesummer, and weeds inthe fall (HarvestSeason). These pollens

usuallycan’t beseenwithout amicro-scope, somost peoplearen’tawarethat theirallergictrigger isall aroundthem.Generally,most peopleworrymoreabout floweringplantsbecause they are morearomatic and visible.However, pollens onthese flowers are usuallytoo heavy to actuallycause allergies. It’s thenon-flowering plants,like grass or ragweed,that cause all the problems,” Dr. Rederexplained. “Mold spores,on the other hand, thrivein warm, damp, dimly litareas, including bathrooms, humidifierpans and air conditionervents, regardless of theseason. That being said,there can be some seasonal influence, likethe spring snow melt, orthe mold spores throwninto the air by the harvesting machines inthe fall.”

Dr. Reder also said thatdust mites are presentyear-round, and flourishin fabrics exposed towarmth and moisture,where flakes of humanskin are also present.

“It is their excrementthat causes allergic reactions. The mostcommon exposure sitefor dust mites is insideyour pillows and mattress. This is becauseyour bed allows the dustmites to sit in warm,humid comfort, downinside the fabric, whileyou incubate them withyour body heat and feedthem with your shedded

skin; on average, a bedcontains about two million mites,” he added.

Finally, insect stings,some food allergens andparticular medicines canalso cause severe allergicreactions, resulting inanaphylactic shock. Ifleft untreated, thesereactions can leave sufferers unconscious, ina coma or may evencause death.

Allergy symptoms

According to Dr. Rederallergy symptoms caninclude, but aren’t limited to:

- Runny and/or stuffynose

- Sneezing

- Post nasal drip

- Itchy mouth and eyes

- Red eyes

- Bags under the eyes(allergic shiners)

- Itchy skin: rashes andhives

- Coughing

- Wheezing (asthma)

“A lot of people withallergies have sensitivities to flowersmells, perfumes, bleach,scented candles andmuch more,” Dr. Redersaid. “But you’re not necessarily allergic tosay, a rose, if after

smelling it, you sneeze.The odor likely just triggered the sensitivenerves in your nose,which subsequentlycauses you to sneeze.”

Treatments

According to Dr. Reder,treating allergies involvesthree essential principles:avoiding the allergen orirritant responsible forcausing the reaction,using drug treatments,and finally, when theseoptions do not relievesymptoms, using a specific allergyimmunotherapy to haltthe progression of anallergic disease.

“The avoidance measurein some cases is obvioussuch as not owning apet, if you choose not toown one,” Dr. Redersaid. “But sometimes it’shard to avoid these triggers. There are somethings you can do, likestaying inside and running the air conditioner, or usingHEPA air filters thatreduce pollen, animaldander and mold spores.”

As for dust mites, Dr.Reder added that thereare special covers thatyou can buy at the storeto protect your beddingand pillows.

In terms ofmedications, regimenslike antihis-tamines ordeconges-tants can beused ifavoiding the allergen isimpossible.Other allergy medications includenasal steroid sprays andprescription eye drops.

“Different medicationsdo the trick for differentpeople,” Dr. Reder said.“But, medications don’tpermanently fix anything; they only temporarily mask thesymptoms.”

Finally, immunotherapy,otherwise known asallergy shots, consists ofa series of injections thathelp the body build atolerance to allergens.

“These shots actuallycontain your specificallergens, originallyfound by skin testing.By giving graduallyincreasing doses, theseshots force your immunesystem to learn how totolerate them; therefore,each shot is tailored tothe specific individualand is carefully measured and administered by an allergist,” Dr. Rederexplained. “And despitethe name, ‘allergy shots’,these tiny needles don’thurt. The regimen startsonce or twice per week,but then eventuallyadvances to only onceper month. Most peopleget allergy shots for onlyfour to five years, butsome choose to stay onthem longer because ofhow good they feel.”

About Dr. Reder

A specialist board certified in Allergy andImmunology Medicine,Dr. Michael Reder isspecially trained to evaluate and treat allergic diseases and

asthma inadults andchildren. Agraduate oftheUniversity ofCincinnatiCollege ofMedicine inOhio, hecompleted hisinternal

medicine residency at the MedicalUniversity of SouthCarolina in Charleston.He spent a year as a hospitalist at RegionalMedical Center,Orangeburg, SC, prior tocompleting his fellowship training inallergy and clinicalimmunology at Tulane

continued on page 3

Michael Reder, MD

Allergies 101

Page 2: View Issue Here

2 • MARCH 2012 TRINITY HEALTH HEALTHTALK

HealthTalkMarketing DepartmentTrinity Hospital – St. Joseph’s407 3rd Street SEMinot, ND 58701Toll free in ND: 1-800-247-1316

Visit our website:www.trinityhealth.org

Join us on facebook:facebook.com/TrinityHealth.ND

Dietitians give you the tools to help you eat right

Eating healthy = healthful lifestyle

While March is NationalNutrition Month, remindingeveryone to return to the basicsof healthy eating, it is also atime to recognize licensed registered dietitians themselves.

Trinity Health boasts sixlicensed registered dietitians.They include: Lexi Rutten,Cory Doucet, Kayla Cole,Alyssa Hobbs, Jenna Kourajian,and Michelle Fundingsland.

“Licensed Registered Dietitiansare qualified food and nutritionexperts who meet academicand professional requirements,including earning a bachelor'sdegree, completing a supervisedpractice program and passing aregistration examination,” saidRutten, who is the ClinicalNutrition Manager. “We alsocomplete many hours of continuing education everyyear to stay current on trendsin nutrition and maintain ourregistration and licensure.”

According to Kayla Cole, RD,LRD, the dietitians’ job is toprimarily educate people inmaking healthier choices.

“We educate people on how toconsume a healthier diet basedon their specific disease states, food allergies and corresponding medical history,”Cole added. “Our goal is alsoto help patients prevent otherdiseases through nutrition education.”

Jenna Kourajian, RD, LRD, saidthe dietitians’ patient loadvaries each day.

“We can see anywhere from sixto 17 people each day, depending not on the hospitalpatient census itself, but ratherdepending more upon the typesof patients the hospital has andwhat their specific needs are,Kourajian explained.

According to Cory Doucet, RD, LRD, registered dietitianssee patients of all ages.

“With a physician’sreferral anybody cansee an outpatientdietitian to improvetheir health, loseweight or learn moreabout their pre-scribed diet,” Doucetadded.

While seeingpatients in both anin-patient and out-patient environment is thedietitians’ primaryfocus at Trinity, theyalso perform variousoutreach activitiesthroughout the region.

“We are very busy outside thehospital as well. We lead theceliac support group, which isnew this year. We also helpcoordinate the diabetes supportgroup and classes put on at theCenter for Diabetes Education.We consult to local groups,such as MVAW and the children’s disability clinic. Andwe see patients in other communities such as Kenmareand Belcourt too,” Ruttenexplained. “Our dietitians write

many articles for the newspaper and other local publications, as well as offeroccasional cooking demonstrations to helpimprove the health of our community. We really try to stay involved as much as we can.”

Rutten also said that they workwith interns from University of

North Dakota to help themfulfill their graduate requirements to become dietitians.

The dietitians at Trinity areavailable to answer any healthquestions people may haveabout their diet or providenutrition tips and healthyrecipes.

For more information aboutTrinity’s licensed registereddietitians and how they mayhelp you, call 857-2809.

Pictured are several of Trinity’s licensed registereddietitians. They include (clockwise): Lexi Rutten,Kayla Cole, Cory Doucet and Jenna Kourajian. Not pictured: Michelle Fundingsland and AlyssaHobbs.

Top 10 reasons whyconsulting with aregistered dietitiancould benefit you1. You have diabetes, cardiovascular

problems or high blood pressure.A registered dietician (RD) servesas an integral part of your healthcare team by helping yousafely change your eating planwithout compromising taste or nutrition.

2. You are thinking of having orhave had gastric bypass surgery.Since your stomach can onlymanage small servings, it’s a challenge to get the right amountof nutrients in your body. An RDwill work with you and yourphysician to develop an eatingplan for your new needs.

3. You have digestive problems. AnRD will work with your physicianto help fine-tune your diet so youare not aggravating your conditionwith fried foods, too much caffeine or carbonation.

4. You’re pregnant or trying to getpregnant. An RD can help makesure you get nutrients like folate,especially during the first threemonths of pregnancy, loweringyour newborn’s risk for neuraltube or spinal cord defects.

5. You need guidance and confidence for breastfeeding yourbaby. A RD can help make sureyou’re getting enough iron, vitamin D, fluoride and B vita-mins for you and your little one.

6. Your teenager has issues withfood and eating healthfully. An RD can assist with eating disorders like anorexia, bulimiaand overweight issues.

7. You need to gain or lose weight.An RD can suggest additionalcalorie sources for healthy weightgain or a restricted-calorie eatingplan plus regular physical activityfor weight loss while still eatingall your favorite foods.

8. You’re caring for an aging parent.An RD can help with food ordrug interaction, proper hydration, special diets for hypertension and changing tastebuds as you age.

9. You want to eat smarter. An RD can help you sort throughmisinformation; learn how to readlabels at the supermarket; discover that healthy cooking isinexpensive, learn how to eat outwithout ruining your eating planand how to resist workplace orsocial food temptations.

10. You want to improve your performance in sports. An RD can help you set goals toachieve results — whetheryou’re running a marathon, skiing or just jogging with your dog.

Trinity Health provides anOutpatient Medical NutritionTherapy Program. Medical NutritionTherapy is provided by a registereddietitian and includes: a review ofwhat you eat, an evaluation of youreating habits and a thorough reviewof your nutrition health and a personalized nutrition treatmentplan. If you are interested in meet-ing with a registered dietitian, dis-cuss with your primary physicianabout getting a referral to theOutpatient MNT program at TrinityHealth. For further information, callTrinity Health’s Nutrition ServicesDepartment at 857-2809.

Source: American Dietetic Association

It’s common knowledge that ahealthful diet is an importantpart of a healthful lifestyle, butmost people have trouble figuring out what to do whenplanning a complete diet overhaul.

During National NutritionMonth, the American DieteticAssociation along with dietitians from Trinity Healthremind everyone that an easyway to focus on eating better isto start with the basics: buildyour nutritional health fromthe ground up.

The following are basic tips tohelp you do that:

- Focus on fruits and veggies:Take a good look at your current diet you’ll probablyrealize you’re not eatingenough fruits or vegetables.Add a serving each day toone meal and increase itevery few weeks. Addingmore of these foods into yourdiet is important whetheryou buy frozen, fresh ororganic.

- Look locally: From farmer’smarkets to community-sup-ported agriculture, you havemany options to find new,fresh foods. This can be agreat way to eat well andsupport surrounding

communities at the sametime.

- Make calories count: Toooften, people think of foodsas good or bad and that onlythose on the ‘good foods’ listare okay to eat. When choosing between options,focus instead on the one withmore of the vitamins andnutrients that you need.Sometimes, foods with fewercalories aren’t always thehealthiest options. To figureout how many calories youneed to achieve a healthy weight, visitwww.mypyramid.gov.

- Test your taste buds: Ahealthy eating plan emphasizes fruits, vegetables,whole grains, low-fat or fat-free dairy and includeslean meats, poultry, fish,beans and nuts. Those are thebasics, but within this

wide range there are alwaysopportunities to try newthings and find newfavorites. Expand your horizons. Try a fish you’venever eaten before or find anew vegetable recipe. By testing yourself, you mightfind new healthy favorites toadd to your regular grocerylist.

- Trick yourself with treats: Ahealthful diet doesn’t meandeprivation. If you have asweet tooth, have fruit andyogurt for dessert. If youwant a snack in the after-noon, have some trail mix ornuts. There is no reason to gohungry just because you’remaking healthful changes.

For more tips on building yourhealthful diet from the groundup during National NutritionMonth and all year long, talkto your primary care provideror visit www.eatright.org andclick on “For the Public.”

Preparing a Nutritious Day – Cooking DemonstrationSee page 8 for more details on this Healthy U Community Event.

Page 3: View Issue Here

HEALTHTALK TRINITY HEALTH 3 • MARCH 2012

Colorectal cancer is cancer of the colon orrectum. It is equallycommon in men andwomen. Excluding skincancers, colorectal cancer is the third most common cancer diagnosed inboth men andwomen in theUnited States.

Fortunately,colorectal cancer is oneof the mostcurable typesof cancer, especially whendetected early.

“Surgical removal ofmalignant tumors in thecolon and rectum is usually the best treatment, although radiation therapy andchemotherapy may alsobe utilized with or without surgery,” saidEdmundo Justino, MD,Gastroenterologist atTrinity Health.

Dr. Justino said that colorectal cancer oftendevelops from a specifictype of polyp – a growthfound within the liningof the colon.

“The bigger and morenumerous these polypsare, the more importantit is to be screened on a

regular basis, because thelikelihood of developingcancer increases,” Dr.Justino added. “If leftthere long enough, these polyps will most certainly turn cancerous.”

Screeningrecommen-dations forcolorectalcancer

Accordingto Dr.Justino,guidelinesdeveloped

by the U.S.Multisociety Task Forceon Colorectal Cancer, aconsortium that includesthe American College ofGastroenterology, theAmerican College ofPhysicians, the AmericanGastroenterologicalAssociation, and theAmerican Society forGastrointestinalEndoscopy, recommendsthat adults at averagerisk begin a regularscreening program byage 50.

“Patients 50 or older,who have no other riskfactors, are considered tobe at average risk. Forthose who are at averagerisk, the consortium generally recommendsscreening by at least an

annual fecal occult bloodtest (FOBT) or a flexiblesigmoidoscopy every fiveyears, or both,” Dr.Justino explained.“Alternatively, it recommends screeningwith a double-contrastbarium enema every fiveyears or colonoscopyevery 10 years.”

On the other hand,Dr. Justino said thatearlier and more frequent screeningmay be needed forpatients at higher-than-average riskof colorectal cancer.

Risk factors for colorectal cancerinclude:

- Inflammatory BowelDiseases such as ulcerative colitis andCrohn's disease

- A prior personal history of colon cancer.Persons who havealready been treatedfor colorectal cancerhave greater odds ofdeveloping it again

- A family history ofcolon cancer.Colorectal cancer issometimes more com-mon in certain families.Thus, family membershave a higher risk ofdeveloping the disease

- Environmental factors

may also play a role inthe development of colorectal cancer

- Diets high in fat andcholesterol have beenlinked to an increasedrisk of colorectal cancer. In contrast,diets high in fiber, vegetables, and

calcium-rich foods mayoffer protection againstcolorectal cancer

Protect Yourself

There are three basickeys to promoting colorectal health: eatingright, exercise, and regular screenings.

For more informationabout colorectal screenings, talk to yourprimary care provider.

About Dr. Justino

A specialist inGastroenterology andHepatology, Dr.Edmundo Justino is ded-icated to improving thehealth and well-being ofpatients with diseasesaffecting the digestivesystem and relatedorgans. His focus

includes abdominal pain,colon cancer screening,Crohn’s disease, ulcerative colitis, nonsurgical treatment ofhemorrhoids, GERD,ulcers, irritable boweland atypical chest pain.Dr Justino received hismedical degree from the

University of TexasMedical Branch inGalveston and performed his InternalMedicine residency andGastroenterology/Hepatology Fellowshipat Johns HopkinsUniversity School ofMedicine, Baltimore. Hehas twice earnedExcellence in ServiceAwards and was recipient of theMaryland Patient ChoiceAward in 2008 and2009. Previously, Dr.Justino practiced GulfCoast Gastroenterologyin Lake Jackson, TX. Heis board certified inInternal Medicine.

Dr. Justino’s office islocated in Health Center – Medical Arts,400 Burdick Expy, inMinot. For appointmentscall 857-7389.

University in New Orleans,LA.

Dr. Reder has practiced allergymedicine in South Carolina forthe past five years, both inCharleston and mostly recent-ly in Greenville. He is board

certified by the AmericanBoard of Allergy andImmunology and theAmerican Board of InternalMedicine.

Dr. Reder’s office is located atTrinity Health Center –

Medical Arts, 400 BurdickExpressway East in Minot. For more information or appointments, call 857-7387.

Allergies continued from page 1

Edmundo Justino, MD

March is National Colorectal Cancer AwarenessMonth

Colorectal cancer is one of the most curable types of cancer

when detected early.

New provider to lead TrinityPain Center

Trinity Health is pleased to welcome Michael J.Templer, MD, a Pain Management specialist whowill serve as Medical Director of the Trinity PainCenter. Dr. Templer is dedicated to providingadvanced care to people with back, neck and spinalpain. A graduate of Saba University School ofMedicine, Netherlands Antilles, he completed hisInternal Medicine internship and Anesthesiology residency at Wayne State University in Michigan.He continued at Wayne State to complete fellowship training in Pain Management. Prior to

joining Trinity Health, Dr. Templer provided comprehensive pain care inassociation with Orthopedic Center of Southern Illinois, a high volumeorthopedic center performing a wide variety of interventional procedures. A member of the International Spine Intervention Society and AmericanSociety of Anesthesiology, he is double board certified in Pain Managementand Anesthesiology.

Pain Management Services at Trinity Health:

Appointments and Consultations:Call 857-5150 or 1-800-862-0005

Office Location:Trinity Pain Center

Trinity Health South Ridge1500 24th Avenue SW • Minot, ND

• Interventional pain management• Injection therapies• Nerve block• Electrical stimulation

• Continuous peripheral nervecatheters

• Palliative care

Plaza 162815 16th St SW • Minot, ND

857-7440

Glasses • Contacts • Frames

Stop in and let our eye care expertsassist you with any questions

about your vision needs.

Great service, with a convenient location to serve you better.

Page 4: View Issue Here

4 • MARCH 2012 TRINITY HEALTH HEALTHTALK

45-YEAR AWARDS

Judith CarlsonHouse Supervisor, TrinityHospital – St. Joseph’s

Roland ElkerSurgical Nursing

40-YEAR AWARDS

Linda AdamOB/GYN

Mary LeingangClinical Excellence &Patient Safety

Ruth RexinePodiatry

35-YEAR AWARDS

Candace AbelsethBreast Imaging Center,Health Center – MedicalArts

Liane AndersonHematology

Nancy BlockCourier Services

Renee BlockDietetic Clerk, TrinityHomes

Barbara BraunNursing Services, TrinityHomes

Leora CarverSame Day Surgery

Lynn EnglishNursing Services, HealthCenter – Medical Arts

Michael EnglishOutreach Lab, HealthCenter – Medical Arts

Holly FegleyHouse Supervisor,Nursing Services

Kathleen Holdeman4th East, Trinity Homes

Elaine JundtHouse Supervisor, TrinityHospital – St. Joseph’s

Mary Keller2nd East, Trinity Homes

Brenda LokkenInfection Control, TrinityHomes

Dorothy LukachDietary Aide, TrinityHomes

Sharon SamulenokLabor/Delivery, TrinityFamily Birth Center

Mary SanderPost-Anesthesia Recovery,Trinity Hospital

Arlene WalhaugBlood Bank, TrinityHospital

Betty WerreBusiness Services, TrinityHospital

30-YEAR AWARDS

Carol Amsden-QvaleLab, TCC-WesternDakota

Valerie BibowNICU, Trinity Hospital

Dianna BlyCDU, Trinity Hospital –St. Joseph’s

Bradley BohanSurgery, Trinity Hospital

Ellen BottNursing, Surgical Unit,Trinity Hospital

Shelli Ehlke2nd West, Trinity Homes

Janice HansonClinical Education,Trinity Homes

Marla HansonKenmare CommunityHospital

Liz JohnsonTrinity Home Health &Hospice

Darlene KatoNursery, Trinity FamilyBirth Center, TrinityHospital

Laureen KleinNICU/Transitional,Trinity Hospital

Varden LangRehabCare, TrinityHospital – St. Joseph’s

Jill LarsonKenmare CommunityClinic

Marlene MelomClinical Excellence &Patient Safety

Jamie MillerTrinity CancerCareCenter

Myrna NelsonHousekeeping, KenmareCommunity Hospital

Michelle RademacherNursing Service Office,Trinity Homes

Carla SchieveNutrition Services, TrinityHospital

Ann SchommerSurgery, Trinity Hospital

Candy SeneyTrinity Homes

Gil SmestadCardiac Cath Lab,Trinity Hospital

Lerae VangsnessPediatrics, HealthCenter – Medical Arts

Donald Weber, JrRespiratory Care, TrinityHospital

Patti WhitsonTrinity Homes

Pamela WurglerTrinity Advanced ImagingCenter

25-YEAR-AWARDS

Connie BehrensDermatology, TrinityHealth South Ridge

Kari BerentsonCRNA, Trinity Hospital

Carolyn BodellPharmacy, TrinityCancerCare Center

Sandra BoscheeDirector of Nursing AcuteCare, Trinity Hospital

Lana BrandtClinical Nursing Director,Trinity Medical Group

Mark BurckhardFacilities Management

Teri DalbySurgical Nursing UnitManager, Trinity Hospital

Diane EvanoffCardiac Cath Lab,Trinity Hospital

Betty EversonOrtho/Neuro, TrinityHospital

Gail FilipekOrthopedics, HealthCenter – West

Joann FlickCase Management,Trinity Hospital

Teresa GathmanMaterials Management

Anna HerrodTrinity Homes

Deanna JohnsonNICU/Transitional,Trinity Hospital

Marcell JohnsonTrinity Homes

Martha JohnsonSame Day Surgery,Trinity Hospital – St.Joseph’s

Bonnie KalliasGI Lab, Trinity Hospital

Kimberly KellerCoding

Tina LeeMedical Records

Jodi LetvinBlood Bank, TrinityHospital

Joyce LuckHousekeeping, TrinityHospital – St. Joseph’s

Susanna NiebuhrClinical Excellence &Patient Safety

Karen NitschRadiology, HealthCenter – Medical Arts

Georgette PrattICU

Joan RustNICU/Transitional,Trinity Hospital

Kerstin SandPharmarcy

Mary Schaefer-SeneyBusiness Office, TrinityHomes

Kathy SomervilleGI Lab, Trinity Hospital

Kendra WilliamsGI Lab, Trinity Hospital

20-YEAR-AWARDS

Tonya AndersonHealth Center – Riverside

Brenda BaierNorthStar Criticair

Bryan BeyerBio-Med

Dione BohlUltrasound

Warren BreySurgery, Trinity Hospital

Jacqueline CulverTrinity Home Health &Hospice

Vanessa DahlOrthopedics, HealthCenter – West

Rhonda DelzerNutrition Services, TrinityHospital

Sara FiskClinical Excellence &Patient Safety

Pamela GeorgeHousekeeping, HealthCenter – Medical Arts

Sandra GilbertsonCardiology

Jenny GlasgowSame Day Surgery,Trinity Hospital – St.Joseph’s

Pamela GullicksonGI Lab, Trinity Hospital

Deborah HaalandOB/GYN, HealthCenter – West

Doris HeidtPain Management, TrinityHealth South Ridge

Michelle HoibyHIM, KenmareCommunity Hospital

Debbie Hornbacher BrandtTrinity School ofRadiology

Kylene HornbergerFiscal Services

Linda IsaksonRadiology

Rita IsaksonDietary Services, TrinityHomes

Kathleen JensenNursing Services, TrinityHospital

Corky JohannesAdministration, TrinityHealth

Christopher KellyRevenue Integrity

Mary KeyesCoding

Susan KnockSurgical Nursing Unit,Trinity Hospital

Jennifer Kragh4 West, Trinity Homes

Karen KuntzTRE-Williston Basin

Lisa LemerDermatology, HealthCenter – Medical Arts

Billie Myre3E, Trinity Homes

Amy NeissNeonatology, HealthCenter – West

Jana NelsonRehabCare

Pamela NessRehabCare

Clara PalmerCPU

Nora RasmussenTrinity Health SouthRidge

Patricia ReddingRadiology

Dawn RubbelkeRadiology

Susan ScottRehab Nursing

Judith SkaarTrinity Home Health &Hospice

Ruth StanleyTCC-Mohall

Shelly SwearsonTrinity Homes

Kelly ThomConvenient Care, HealthCenter – Medical Arts

Christy TranbyHousekeeping, TrinityHospital

Darcy Voeller6E Ortho/Neuro, TrinityHospital

Linda VosbergNursing, Health Center –Medical Arts

Trinity Health appreciates its employees!Congratulations to the following individuals who were recognized for having achieved 20, 25, 30, 35, 40, and 45 years of service toTrinity Health during the 2011 calendar year. These awards demonstrate each employee’s continued commitment to the organizationand to those communities Trinity Health serves across Northwest North Dakota.

Beat the rush and schedule your DOT recertification at Trinity Health’s OccupationalMedicine. Check the expiration date on your DOTMedical card and call 857-7840 to schedule yourappointment today!

Occ Med Tip of the Month.....

Page 5: View Issue Here

HEALTHTALK TRINITY HEALTH 5 • MARCH 2012

Know your poison & take actionAccording to the HomeSafety Council, poisoning is the secondleading cause of unintentional injuryrelated death in thehome.

In fact, the AmericanAssociation of PoisonControl Centers(AAPCC) cites thatmore than 92 percent ofthe 2.3 million poisonexposures reported lastyear occurred in thehome.

The following are poisonprevention tips that youand your family can follow to keep safe.

Be prepared

• Know to call 1-800-222-1222 if someoneingests something poisonous. This number will connectyou to emergency helpin your area. Keep thisnumber handy byevery phone.

• Carbon monoxide(CO) is a deadly gasthat you cannot see orsmell. The gas collectswhen fuels are burned.

• Have a service personcheck heaters, stovesand fireplaces everyyear to see that theywork well.

• Have a carbon monoxide detectornear the bedrooms.This will tell you if thegas level is too high.

• Push the “test” buttonon the detector so

everyone will knowthe sound it makes.

• Know the things inyour home that arepoisons.

• Look at the labels forthe words “Caution”,“Warning”, or “Danger”on the box or bottle.Read the labels andfollow directions whenusing these.

Protect young children

• Take all medicines andmedical supplies out ofpurses, pockets anddrawers.

• Put them in a cabinetwith a child safetylock.

• Have child safety capson all chemicals, medications and cleaning products.

• Lock all dangerousitems and products ina cabinet. Cosmetics(make-up) can be poison too.

• Keep all dangerousproducts in the bottleor package they camein, with the labels on.

• Store all dangerousproducts away fromfood and drinks.

• Keep each familymember’s medicines ina separate place, sothey don’t get mixedup.

In the bathroom

• Keep all chemicals,cosmetics (make-up),

medicines and medicalsupplies and cleaningproducts in the containers they camein with the labels on.

• Have a medicinecabinet you canlock.

In the garage and storage areas

• Chemicals, fuels(such as gasoline),car fluids (such asanti-freeze), pesticides (such asbug killers), andlawn and gardenproducts (such asfertilizer) are poison.

• Close the lid andput all dangerousproducts awayafter using them.

• Store them where children cannotreach them.

• Close and putaway dangerous prod-ucts after using them.

• Clean up spills as soonas they happen.

When using motors

• Carbon monoxide is adeadly gas that youcannot see or smell.The gas collect whenfuels are burned.

• Never run the carinside the garage, evenwith the door open.

• Use portable genera-tors outside only. Donot use it inside yourhome or garage.

• Use a barbeque grilloutside only. Do notuse it in your home orgarage.

Source: Home Safety Council

What was initiallydesigned for trainingpolice departments, different prestige unitsof the U.S. Armed Forcesand world-class athletes,is now available at theMinot Family YMCA.

Trinity’s ExercisePhysiology Departmentis offering PersonalReality Training, a new,exciting body intervaltraining program in asmall group setting.

“If you have heard ofCrossFit TM, this is verysimilar,” explainedRussell Gust, TrinityExercise PhysiologyCoordinator. “The program is inclusive,allowing for conditioningof any level of individuals ranging fromthe average Joe, all theway up to elite athletes.”

Gust said that the program addresses manyaspects of fitness: cardiovascular and respiratory endurance,stamina, flexibility,strength, power, speed,and coordination andbalance.

“Personal RealityTraining can benefit anyone, no matter whatone’s fitness level is,”

Gust explained.“However, we recommend visiting withyour primary careprovider before startingany exercise program.”

According to Gust,Personal Reality Trainingis different from othergroup classes that theirdepartment offers, as it’sgeared more toward conditioning and functional strength.

“A lot of members fromthe Minot Family YMCAhad been asking aboutthis type of intervaltraining in groups, as it’sthe fastest growing fitness program in thecountry right now,” Gustexplained. “The programis more about movementtraining than anything.”

Currently, Gust said thatthe Exercise Physiologyteam is seeing that

Personal Reality Trainingworks best in smallgroups. Since lateJanuary, there has been atremendous response.“The members asked for it, and we providedit, and now they are lining up!”“By having small groups,there is more of anopportunity to work outmore in an excitingatmosphere,” Gust said.“Plus, having the smallgroups allows a moredirected training, andyou can make it asintense as you want tofit to your abilities bylowering the weights youuse, reducing speed,using smaller boxes andso forth.”On the other hand, Gustadded that anybody cando this type of trainingon their own, but whena person does it in agroup, they have moremotivation, structureand access to personalinstruction. “Everyoneknows that you workharder when there areothers there. Thataccountability is vital tosuccess,” he said.Gust said that the methods they incorporate into the

Personal Reality TrainingProgram are endless.

“We use various piecesof equipment and exercises, including kettlebells, medicineballs, rowing machinesand many body weightactivities including pull-ups, push-ups andbody squats. A workoutcan range from 12 minutes, all the way upto 50 minutes.” headded.

Training is appropriatefor all abilities and fitness levels. “I thinkthat is what distinguishesus from other programslike this. We can offersomething for just aboutanyone, and no oneshould be intimated byan exercise program,”Gust added. Cost is $45 a month for unlimited attendance or $10 for a single session. Classes areoffered at 5:30 a.m.,7:30 a.m., noon, and6:30 p.m. on Mondays,Wednesdays, and Fridays.A YMCA membership is required.

Finally, starting onMarch 12, the ExercisePhysiology Team willhave a CrossFitTM Level

I Certified Trainer, whichwill help bring evenmore knowledge andvalidity into the program.

“I’ve never been moreexcited to bring something like this toour community. Myhope is that it willchange the way peopleapproach fitness andshow them that exercisedoes not have to be achore, but somethingthat you can’t wait to doagain tomorrow,” Guststated.

For more informationabout Personal RealityTraining or to sign up, contact Leo at 857-3030.

Answers1. D. You should storethese common products intheir original containers,read labels, use as directedand, for children’s sake,keep them locked up andout of sight.

2. C. Although half of allpoisonings occur inchildren younger than six,believe it or not moreadults are killed by usingcleaning products, autofluids or pesticides thewrong way, taking toomuch medication or takingthe wrong medication.

Source: AmericanAssociation of PoisonControl Centers

Home, Safe HomeYou may be surprised where poisonslurk in your home, or who in yourfamily is finding them. Take thisquick quiz to learn more.

The biggest sourcefor poisonings is:A. MedicinesB. Cleaning suppliesC. CosmeticsD. All of the above

More than 70 percent of all poisoning deaths occur in:A. Children up to age 6B. Children ages 7-19C. Adults ages 20-59D. Adults ages 60 and older

Personal Reality Training: Give your workout a boost

Russ Gust

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6 • MARCH 2012 TRINITY HEALTH HEALTHTALK

Trinity Health’s Speaker’s BureauCall Trinity Health Community Education at 857-5099

to check for available dates and topics.

ALZHEIMER PROGRAMIn memory of Lucille BurkhartHjalmer & Karen Carlson

In memory of Mary MontgomeryBeulah SaundersOrlan & Rosella Tollefson

CANCER CARE CENTERIn memory of Hassin AbdallahJune Abdallah

In memory of Max AdamsH.D. & Susan Stewart

In memory of Donna AmreinWanda BjordahlLarry & Claryce EricksonBoyd & Phyllis HansonBonnie IrwinEleanor PietschGerald M. RamsdellRichard RoenTherese StroklundClair Watne

In memory of Sam BuxcelSharon Rollman

In memory of Lynette Ekstrom Lesmann

Marion Nelson

In memory of Allen FreyMarjorie Forrest

In memory of Linda GroteSteve BeckerBrenda FlatenJanet GregoryJim GroteJane HammerTerry & Joan HokensonLaurie SchumakerTarryll ShomentoShelly StellingUS Bank-Minot

In memory of Esther HaiderWayne & Shelley Semrau

In memory of Jayne HolwegnerAndy & Judith Tossett

In memory of Pauline HowardWanda Bjordahl

In memory of Milton SkarMelba MogrenMarion NelsonBruce Thiel

In memory of Irene ThompsonSherman & Carol Lashman

CANCER CARE COTTAGEIn memory of Alan BrandenbergMarilyn Sauer

In memory of Alan DoerrGail CurleLana FreyKarla MartinLynn MorlockLynn & Judy Stevens

In memory of Allen FreyArdien & Carolyn Tandberg

In memory of Clayton EngaMarjorie Forrest

In memory of Dale GoettleMarilyn Sauer

In memory of Earl SatterthwaiteMichael & Pamela Uran

In memory of Elmer JordanLyle & Mary Lavachek

In memory of Kenny SavekoulKarla MartinMarilyn SauerJohn & Cheryl Wallen

In memory of Margaret RogersPhyllis Richardson

In memory of Marjorie ReedJohn & Karla Martin

In memory of Robert HenryWanda Henry

In memory of Ron AlmquistGreg AndersonLynn & Judy Stevens

In memory of Rosella Sundbakken

Michael & Pamela Uran

In memory of Ruby WrightEloise Phillips

ENHANCEMENT FUNDIn memory of Weston HoveDianne Matzke

GUEST HOUSEIn memory of Earl SatterthwaiteVernon & Maye I. Jones

In memory of Lillian WilliamsSherman & Carol Lashman

In memory of Bryan HarstadHjalmer & Karen Carlson

HEART FUNDIn memory of Bryan HarstadHjalmer & Karen Carlson

In memory of Ron AlmquistLarry & Theresa BrandtHjalmer & Karen Carlson

HOSPICEIn memory of Agnes ManningAleda CarterFrederick & Susan Seaman

In memory of Alan DoerrRay BibowSteve & Phyllis EldevikDaniel & Jeri LangemoLaurence & Opal ThompsonJanette Timmreck

In memory of Arthur KabanukClara NeshemNora Pederson

In memory of Beverly OlesenWillie & Barbara Ressler

In memory of Bill CondonFaith CondonGary EricksonKyle HansonSteve KottsickInez NathanRichard & Diane OlthoffEldon & Marian SeeligJoan Waldoch

In memory of Carl TrondsonClara Neshem

In memory of Chandra Hanson-Behm

Kyle Hanson

In memory of Christopher Tonneson

James & Rhoda Owens

In memory of Delvin KellerDuane & Sharlene TollefsonOrlan & Rosella Tollefson

In memory of Don WilliamsA. Arlene Kasa

In memory of Earl SatterthwaiteLynn AasAgnes BrandtPenny BrandtRobert JensenEvelyn MauTheresa NyreRichard & Diane OlthoffCalmer OverleeGladys PenningtonDonna PetersonBarbara SatterthwaiteJanette Timmreck

In memory of Ed BueauBertha Wald

In memory of Eleanor ViseJane FinnesethShirley HintzIone Simek

In memory of Esther HaiderMargaret Lafontaine

In memory of Esther OlsonJames Bohn

In memory of Fred LienSherlyn West

In memory of Gary BurgettFrank & Delores Luckman

In memory of Helen ChristensenFamily of Helen ChristensenLloyd & Jacqueline FreemanKris & Cathy KnutsonRose Morgan

In memory of Ida JohnsonDeb Schwede

In memory of J. R. MuusHoward Law Firm PCJo Ann Smith

In memory of J. Glen OttoNorma Anfinson

Mindy HaugenGlenna JohnsonSharon Rollman

In memory of Jayne HolwegnerRobert & Kimberly AmickNancy AndersenDaniel & Norma BaranickRandy & Jamie BechtoldFaye ClausenCoughlin ConstructionGrace J. FisherMelissa FlomMike & Deb FogartyMurray & Beth GreerWally & Winifred HanklaDaniel HolwegnerSarah HussTom & Nancy IrmenKipp & Laurie JensonBob & Karen JohnstadNancy KruegerMargaret LafontaineGail MerckReginald & Brenda MorelliRichard & Barbara R. NutterJack & Colette NybakkenClair Watne

In memory Joanne TennysonErnest & Edith Verdine Jelleberg

In memory of John RichardsonLoren & Bernice Redding

In memory of Julia LutonPhoenix International

In memory of Kaye BergoWilliam & Joan BlesenerBruce BolyardGary & Jean BryansKim & Toni CadyOscar & Roxanne CorumJudith DeaverBob & Brenda DemkeEunice FarstadJames & Elaine FischerRaymond & Clarice HaasMike & Nancy HadyConnie HagenWes HaugenJames & Karen JensenBarbara JensonSteve & Cynthia JensonWallace & Jerrilyn JohnsonVern & Patricia JohnsonFred & Etoile KeiserMitch KeiserPeter & Dolores KizimaJoanne MarkleMinot Plumbing and HeatingJames NeumannMelissa NewburyClarence & Blanche OkersonLawrence & Vera PfauEleanor PietschLoren & Bernice ReddingJudy RossKris ThorfinsonSharon TranbyGordon ValgrenKyle Wurgler

In memory of Kendrin DoschDeb Schwede

In memory of Laurel BeckJodie Keller

In memory of Leonard NeumannClara Neshem

In memory of Lillie GullicksonJarvis Jungling

In memory of Lucille BurkhartClara Neshem

In memory of Lucinda Greathouse

Ernest & Edith Verdine Jelleberg

In memory of Margaret TrondsonTony & Faye AsmundsonLisa BergDarrell & Clarice BernsdorfJune BowersoxGene & Patricia BuenJudith DeaverJulie DeaverThelma DeBiltConnie HagenDennis & Gayle HannaLois L. HansonJoleen HauffLaurie LafontaineMargaret LafontainePat LautenschlagerRoy & Alice MartinMariea NelsonClara NeshemDonna PetersonEleanor PietschKent PietschLeonard & Thelma PietschBob & Dorothy RoiseMyron & Carol Rovig

James SandersNeil SchwopeVerna SkaboHaakon & Myrtle ThunshelleLaura Wilson

In memory of Maureen HamanBruce & Nola Grover

In memory of Melvin EhrPaul & Connie AbrahamsonMaynard AndersonLes AnsethGary BrynArvid CarlsonWillard ErdmanBetty FieldDonna HegleMargaret HellebustJerald & Darlene HendershotTodd HillerLuanne HirschkornGuy & Bernice HuffHarley & Evelyn JohnsonMitch & Bonnie KalliasRod KennerJanet LangsethMarlys LokenDeanne LunstadJim & Penny LunstadDion & Brenda MillerMyrna MobergJim & Sherry PrivatskyCarla RobillardEd & Betty SchallWilmar & Mary Ann SchenfischSRT Communications, Inc.Duane & Sharlene TollefsonRolland & Jane TrihubGrace VannettMark & Nancy VibetoLando VixBertha WaldGary & Mavis WilliamsonRosann WoldDenise Zahn

In memory of Myrna RudlandStacy AberleGertrude GunterShirley HendricksonRonald KramreRalph & Karen Kuhnhenn

In memory of Olly GemarJan Gemar

In memory of Oscar PedeEdgar & Lorraine Schmidt

In memory of Paula SchreinerJeremie Larson

In memory of Penny ButtsJ. Patrick & Peggy Schmitt

In memory of Robert JohnsonHjalmer & Karen CarlsonAndrew & Jeanette ThurstonJoni AndersonRobert AndersonBonnie BeeterDiane FjeldCorky JohannesGenevieve JohnsonDarold & Bev KnippelbergMaxine KramerAvis MathisAnn PhippsLa Vonne Whorley

In memory of Robert PaldaReginald & Brenda Morelli

In memory of Rolland RedlinClara Neshem

In memory of Rosella Sundbakken

Caroline BergDouglas & Dawn FreemanRichard HodnefieldWarren & Merlyn IversonPalmer & Sylvia IversonWilliam & Diane PritchardLavonne SchoenbornSt Johns Lutheran ChurchJay & Sharella SteinLee & Clara Jeanne VigstolGary Weydahl

In memory of Roy AbrahamsonClara Neshem

In memory of Sam BuxcelFaye Clausen

In memory of Warren PaulsonArdis Afseth

LEGACY OF EXCELLENCEIn memory of Donald GulsethReginald & Brenda Morelli

In memory of Janet KvammeHjalmer & Karen Carlson

In memory of John GlickErnest & Marilyn Selland

In memory of Kendrin DoschAllan & Toni Kremer

In memory of Lillian SolbergMildred BellColleen BergstromRay BibowJerry & Kerry HansenBoyd & Phyllis HansonMargaret HellebustCorky JohannesLinda KaljotRobert MatzGene & Cathy NealRon & Marilyn NehringDean & Debi NelsonClara NeshemChet & Lila ReichSharon RollmanArt & Alpha SevigEileen SkowronekWesley & Marlene TossettSharon TranbyRodney & Carol Walth

In memory of Lorayne RossWayne & Shelley Semrau

In memory of Ron AlmquistVern & Olive KellyEdwina Wahlund

PASTORAL CAREIn memory of Weston HoveDianne Matzke

TRINITY HOMESIn memory of Bernice MattesonFamily of Bernice Matteson

In memory of Evelyn BonesPatricia McCarthy

In memory of Joseph Van Eeckhout

Ray & Marion Spalla

In memory of Leo NiessCharlotte Atwood

In memory of Lois RismoenCaroln Boell

In memory of Therese LittleJoleen Hauff

TRINI-TOTSIn memory of George MatchaAudrey LarsonClaudette PfauCody & BlakeDavid & Sara Young & DevinEd & Leslie HardieHarold & Catherine MeadenhallJack ZeltingerJerry & Aggie FillerKen & Gail MomerakLarry MatchaLee & Debby HearnLennie & MichelleLeonard & DeLoris BaehmMark & Peggy HilsonPeter AckermanRoger & Lois NogasekScott & LisaSharon BakkenTim & Judy MomerakWes & Donna Luther

SPIRIT OF YEAR-END GIVINGDr. Thomas CarverChad WolskyClara Sue PriceConcorde Staff Source Dr. ChikwenduDr. Jeffrey & Janelle VerheyDr. Jim SchmidtDr. Kenneth & Leann KihleDr. Kevin & Marie FranksDr. Maximo KiokErnie & Marilyn Selland Greg & Sue JohnsonJake & Sandy BoscheeJerome & Borgi BeelerJoanne QualeKaren KrebsbachMarty & Pat PiepoliMary GokeyOxy, Inc.Paul & Paula SimonsonReginald & Brenda MorelliRichard & Marlyn MarschnerRyan ChevroletSharlet JensenSteve LysneTim & Laura Mihalick

In Recognition and Thanks...Trinity Health Foundation is proud to list the names of individuals, organizations, and businesses whose gifts were received fromOctober 1 through December 31, 2011. These contributions illustrate a generous and caring community, striving to bring the highestquality care to those we serve. We want to thank these contributors for their generous support of Trinity Health’s mission, “to excel atmeeting the needs of the whole person through the provision of quality healthcare and health related services.” For more information on honoring the memory of a loved one through philanthropic giving, contact Trinity Health Foundation at 857-5432.

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HEALTHTALK TRINITY HEALTH 7 • MARCH 2012

Making healthy lifestylechoices is important forall people regardless oftheir age or heart history.

Often times after a heartprocedure and/or heartevent when an individual wants orneeds to make significant lifestylechanges, they don’t necessarily know how todo it on their own orwho to talk to for guidance. Trinity’sCardiac RehabilitationProgram is designed tohelp ease heart patients’concerns and worriesand help them transitionagain to an active andhealthy lifestyle.

“The Cardiac Rehab program’s goal is to helpthose who have experienced recent heartattacks, received angioplasty/stents,and/or those who hadbypass or valve surgery,regain their strength andstamina, as well as makethe other changes necessary to live alonger, healthier life,”explained Jeff Redekopp,Cardiopulmonary RehabProgram Coordinator.

Redekopp explainedthat the Cardiac Rehabteam works with eachpatient to help themestablish lifestyle modifications, thatreduce the risk of futureheart events. The teamconsists of nurses, respi-ratory therapists andexercise physiologists.

“While the patient is stillin the hospital, normallya day or two after theheart event/procedure,we start to educate himor her and their familyon activity guidelinesand lifestyle

modifications,”Redekopp said. “We alsohelp to get the patientup and walking as soonas the physician givesclearance, which is helpful in the recoveryprocess.”

Redekopp added thatthe Cardiac Rehab teamwill see a patient fromone time to multipletimes in the hospital,depending on thepatient’s needs and howthey are physicallyrecovering.

Once a patient is discharged from the hospital, Redekopp saidthat Outpatient CardiacRehab program usuallystarts one to three weeksafterward.

“The aerobic exercisecomponent ofOutpatient CardiacRehab consists of using atreadmill, bicycle, stepping machine,and/or arm bicycle. Thepatient will then bemoved to a rowingmachine and varyinglevel of free weightswhen sufficiently healed,”Redekopp explained.

Redekopp added thatthe purpose of thesetherapies is to not onlybuild up the heart’spumping efficiency butalso work on helping therest of the body improvestrength and stamina,which helps to ease theworkload of the heart.However, the exercisecomponent is only onepart of the recovery picture.

According to Redekopp,the Cardiac Rehab teamis starting to see youngerpatients who have experienced heartevents, especially thoseworking in the oil field.

“Many people don’t necessarily think abouttaking care of their bodies at a younger ageand making healthylifestyle decisions earlyon, particularly if theywork at a physicallydemanding job,”Redekopp said. “One hasto look at making these choices as a whole,incorporating good eating habits with theexercise, stopping tobacco use and ensuringmedication prescribedby the physician is beingtaken consistently.”

Redekopp added that allparts of this picture areequally important—thesmartest way to lowerrisk of developing heartdisease, as well asdecreasing the progres-sion of the disease onceyou have it is to usethese tools consistentlyso that they can work inconcert together. Peopleget the best results whenthey follow this method.

“If an individual onlychooses to do one ortwo of these pieces, thentheir risk of developingheart disease or havingadditional heart issues ishigher than if they follow all of themtogether,” Redekoppexplained. “For example,frequently a patientassumes that takingmedication properlyallows him or her to notnecessarily have to eatright, as the medicationis ‘taking care of that’.”

According to Redekopp,trying to make all thesechanges can be veryoverwhelming and frustrating for manypeople, so the CardiacRehab team encouragesthese folks to try tofocus on making one or

possibly two changes ata time.

“This way they can beginto experience success,which helps improvemotivation to make further changes,” heexplained. “For example,if a person is a smoker,has poor eating habitsand doesn’t exercise atall, we may advise themto work on starting theexercise portion firstbecause it may be theeasiest of the changes toimplement right away.Once they have startedand maintained a regularexercise routine, we maystart counseling themabout smoking cessation,followed by dietarychanges a little later.”

Trinity Health’s CardiacRehab program is certified by theAmerican Association ofCardiovascular andPulmonaryRehabilitation, and iscurrently undergoing there-certification process.Achieving this credentialmeans that the department has metstrict standards established by theAACVPR, which coverall areas of programoperation, including documentation and

patient care practices, aswell as emergency procedures. This alsodemonstrates that thedepartment is in compliance with allnational regulatoryguidelines, includingthose established by TheJoint Commission.

According to Redekopp,of the 40 Cardiac Rehabprograms currently inoperation in NorthDakota, less than 13possess this certification.At this time, officialAACVPR recognition isthe “gold standard” forCardiac Rehab programsin the United States. Allcertified programs mustresubmit data and documentation demonstrating completeadherence with eachstandard outlined byAACVPR every threeyears to maintain certification.

A physician referral isrequired to enroll inTrinity's CardiacRehabilitation Program.If you are interested inthis service, or needmore informationregarding how it maybenefit you or someoneyou know, please call857-5787.

Cardiac Rehab helps teach patients healthy lifestylehabits

“Go Red For Women Day”

On February 3, all Trinity Health associates were encouraged to wear red in support of heart health awareness. Heart disease is the No. 1 killer in US women; we hope the “Go Red For Women” campaign works to increase heart health awareness among men and women alike. Departments include: Cardiology, Outpatient Physical Therapy and Podiatry.

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8 • MARCH 2012 TRINITY HEALTH HEALTHTALK

C O M M U N I T Y

C A L E N D A RFor the latest updates, check online at www.trinityhealth.org

March 2012 Mobile Mammography Schedule

6 . . . . . . . . . . .Trinity Community Clinic – New Town, 627-2990

7 & 22 . . . . . . . . .Devils Lake Community Clinic (am), 662-8662Towner County Medical Center – Cando (pm), 968-2522

13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Tioga Clinic, 664-3368

20 . . . . . . . . . . . . . . . . . . . . . . . .Bowbells, 377-2133 or 377-2626Mountrail County Medical Center – Stanley, 628-2505

21 . . . . . . . . . . . . . . . . . . . . . . . . . . .Kenmare Hospital, 385-4296Trinity Community Clinic – Mohall, 756-6841

27 . . . . . . . . . . . . . . . . . . . . . . .Turtle Lake Clinic (am), 448-9225Trinity Community Clinic – Velva, 338-2066

28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Crosby, 965-6349

March/April/May/June 2012Prepared Childbirth Classes

Learn about exercise and breathing techniques, labor/delivery,newborn care, newborn feedings, etc. Enrollment is limited.

March 27-April 17 and May 1-May 22 (Tuesdays)7-9 p.m., Trinity Hospital, 6th floor south classroom.

March 21-April 11 and May 9-May 30 (Wednesdays)7-9 p.m. in the Airmen and Family Readiness Center, MAFB.Please call 723-3950 to register.

March 3, March 24, April 7, April 21 and May 19 (Saturdays)9 a.m.-4 p.m., Trinity Hospital, 6th floor south classroom.

Family Birth Center ToursExpectant mothers are invited to attend a formal grouptour/education/Q&A session at Trinity Hospital’s Family BirthCenter. This opportunity allows every expectant mother to hearand see valuable information in a friendly environment. We willalso provide information including on self-care, infant safety andwhat to expect during your delivery. See www.trinityhealth.orgor call 701-857-5380 for detailed schedule.

Breastfeeding BasicsMarch 14, April 18, May 16 and June 13Offered by Laureen Klein, RN, BSN. Meets from 7-8 p.m.,Trinity Hospital, 6th floor south classroom.

These classes are offered free of charge as part of Trinity’s community benefitmission, but registration is typically required. For more information or to register for classes, call 701-857-5337 or 857-5319 or 1-800-862-0005.

Want to make a difference? Become a volunteer. As a Trinity volunteer you are a vital link in the chain of serviceand caring. Not only will you have a positive impact on ourpatients and/or residents, you will be part of a dedicated team thatis known for delivering the best healthcare available. For moreinformation, call Sheril, Volunteer Coordinator, at 857-5221.

Community Outreach

KMOT Ag ExpoTrinity Health took part in the KMOT AG Expo Show January 25-27 at the North Dakota State FairCenter. Trinity offered cholesterol and blood glucose screenings. Representatives were also on hand to offerfree blood pressure checks and our display featured information about Stroke Awareness.

Central Campus’AddictionSymposiumDr. Jeffrey Sather, medical director ofEmergency/Trauma Centerat Trinity Hospital, andKaren Zimmerman, RN,Director of ClinicalExcellence and PatientSafety at Trinity Health, gavea presentation on SubstanceAbuse and Trauma onFebruary 1, at CentralCampus' AddictionSymposium.

Basics of SleepOn February 9, JuttaSchmidt, Sleep LabCoordinator at TrinityHealth, gave a presentationon “Basics of Sleep” to theFitness and Nutrition Classat Minot High School.

FREE Coaches Concussion Education Tuesday, March 20 • 7:00 pm • Grand International • Minot

All Coaches, any level welcomePresentor: Dr. Dawn Mattern, Trinity Health Sports Medicine

Each attendee will receive a certificate of education completion and a concussion education clipboard; snacks and beverages provided.

Healthy U – Preparing a Nutritious DayCooking Demonstration

Monday, March 266 pm, Skyline Room, Health Center-EastPlanning and preparing quick and nutritious meals can seem

daunting. Join Trinity Health Dietitians as they show you how toprepare nutritious meals for breakfast, lunch, and supper.

Seating is limited; please call 857-5099 for reservations.

*No pre-registration required.