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The

Winter/Spring 2005

LIFE EXPECTANCY

THE TASTY TRUTH

About Alternative Sweeteners

FOR YOUR ACHING JOINTS

Life Just Got Easier

CAROTID STENTING

Prevents Strokes

20 years

According to a recent study, that's about the difference in life expectancy between those who work to prevent heart disease--the leading cause of death among Illinois residents--and those who don't.

That's how quickly you can call and talk to someone at your local Provena Health hospital to learn more about preventing heart disease. It's also about the time it takes to log on to www.provenahealth.com and find out about the advanced cardiac treatments and technologies available right here at home. From state-of-the-art diagnosis and treatment options to rehabilitation and follow-up care, we can help keep your heart beating steady and strong for years to come.

>>>

Find out if you're at risk for heart disease by taking the $40 Heart Test, which includes a 12-lead EKG, total cholesterol, glucose, C-reactive protein, blood pressure and pulse, body composition, and peripheral arterial disease screening. For an appointment, call (815) 725-9438.

333 North Madison Street, Joliet, IL www.provenasaintjoe.org

(815) 725-7133

LET'S

Revolutionizing the ICU

Provena Health is taking another giant step forward for critical care medicine by networking all 118 intensive care unit (ICU) beds at its six Illinois hospitals into an eICU center. There, critical care nurses and doctors will monitor patients around the clock as an additional layer of safety for critically ill patients.

TALK

"T

he eICU center will dramatically improve the quality of care for critically ill patients while reducing death rates and complications," says Margaret Gavigan, system vice president and chief clinical officer for Provena Health. "With this enhanced technology, doctors can see when a patient's condition changes as well as monitor his or her symptoms."

How It Works

The eICU system uses cameras, sound systems, and clinical monitors to connect each ICU bed to the centrally located eICU center. (Cameras in patient rooms are only used when needed and are not on continuously to protect patient privacy.) This equipment is supplemented by sophisticated software that enables remote monitoring and communication. If a patient's monitor detects a significant, negative change in his or her condition, it triggers an alert at the eICU center. A critical care doctor at the center then views the patient, talks with the nurses, reviews patient data on the monitors, and gives direction. The eICU physicians won't replace the patients' attending physicians, but rather act as a layer of safety when the attending physician is not present. "Family members will have even greater peace of mind knowing their loved one is constantly under a physician's watch," says Mary Lanier-Hosey, RN, patient care manager of Intensive Care at Provena Saint Joseph Medical Center in Joliet, Ill.. "These proven technologies will help us take quality care and safety to the next level for our sickest patients."

Emergency Neurosurgery Coverage Returns

A message from Provena Saint Joseph Medical Center President and CEO Jeffrey Brickman

hen I first arrived in this community in July 2004, I was extremely troubled by the reality that patients in need of critical neurosurgical care were forced to go elsewhere for treatment. Provena Saint Joseph Medical Center's mission calls us to do better. Through a partnership with the University of Illinois at Chicago, we have brought lifesaving neurosurgery coverage and comprehensive neuroscience services back to the people of Will and Grundy counties, in spite of the medical malpractice crisis. This means accident victims with head injuries and patients suffering stroke or other brain illnesses no longer have to be transferred to distant facilities during such a critical time when every minute matters. Our community deserves leading-edge neurosurgical care, and we're proud to provide it once again.

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In the cardiac catheterization lab at Provena Saint Joseph Medical Center in Joliet, Cardiologist Govind Ramadurai, MD, is using carotid artery stenting to open blocked arteries in the neck.

Carotid Stenting

Helps Prevent

C

ardiologists at Provena Saint Joseph Medical Center are now using stents to open blocked arteries in the neck, a procedure that is considered a major first in the prevention of stroke. Recently approved by the Food and Drug Administration, carotid artery stenting clears blockages in the main artery that leads to the brain, allowing patients to avoid major surgery. Traditionally used to treat blockages in arteries leading to the heart, stents are tiny, mesh cylinders made of metal that are inserted into an artery through a catheter and placed at the site of the blockage to help keep it open. "For the past several years, stents have been instrumental in the nonsurgical treatment of coronary artery disease to prevent heart attack," says Chris Kolyvas, MD, medical director of Cardiac Catheterization at Provena Saint Joseph Medical Center and member of Heartland Cardiovascular Center. "Now we've refined the technique for patients with blockages in the carotid arteries in the neck, which can cause fatal or disabling strokes."

"Now we've refined the technique (coronary

disabling strokes.

stenting) for patients with blockages in the carotid arteries in the neck, which can cause fatal or

Chris Kolyvas, MD, medical director of Cardiac Catheterization at Provena Saint Joseph Medical Center

STROKE

"

How It Works

Carotid artery stenting is performed in the cardiac catheterization lab at Provena Saint Joseph Medical Center. The cardiologist first opens the blocked neck artery by performing balloon angioplasty through a catheter that has been inserted in the groin. The stent is threaded up to the neck artery through another catheter and permanently placed at the site of the blockage to keep the carotid artery open. To ensure safety, the cardiologist inserts a tiny filter into the artery that catches and removes any plaque that may become loose during the procedure. Previously, the only treatment option for clearing blockages in the neck was a surgical procedure called carotid endarterectomy. When compared to surgery, carotid artery stenting is a much less invasive option that may

be appropriate for patients who have experienced symptoms of a stroke or have a carotid artery that is at least 80 percent blocked.

An Advanced Option

Statistics from the American Heart Association show that approximately 2.5 million Americans have carotid artery disease, or buildup of plaque in one or both of the carotid arteries in the neck. Stroke is the third leading cause of death in the United States, just behind heart disease and cancer. Performing more than 4,000 annual procedures in the cath lab, Provena Saint Joseph Medical Center's cardiologists have always been the first in the region to offer state-ofthe-art vascular interventions for the community.

"Because some patients simply are not candidates for surgical

have an alternative treatment to consider.

treatment due to their high risk, it is very significant that we now

Govind Ramadurai, MD, cardiologist who performed the first carotid stenting procedure at Provena Saint Joseph Medical Center

"

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Joint Replacement Surgery

Minimally Invasive Technique

Takes the Stage

Are You a Candidate?

Dr. Rezin says most patients are candidates for minimally invasive joint replacement surgery, but just how small the incision will be depends on the size of the bone, the amount of deformity to the joint, and the size of the prosthetic joint. "The goal of joint replacement surgery is to provide patients with a pain-free hip or knee that allows relatively normal activities and lasts a long time," says Dr. Rezin. For the name of an orthopedic surgeon on staff at Provena Saint Joseph Medical Center who is trained in minimally invasive joint replacement surgery, call Provena Health Connection at (815) 725-9438.

W

ith hundreds of thousands of Americans getting new hips or knees each year, the buzz is all about "minimally invasive" joint replacement surgery, a technique that results in a more cosmetically appealing scar, less blood loss, less pain, and faster recovery. Keith Rezin, MD, an orthopedic surgeon at Provena Saint Joseph Medical Center, believes patients should be excited about minimally invasive joint replacement surgery because the benefits are very real.

Smaller Is Better

"With traditional hip replacement surgery, patients experience an eightto 10-inch incision on the side of the hip, followed by a five- to seven-day hospital stay and a 12-week recovery period," says Dr. Rezin. "With minimally invasive surgery, we can perform the procedure through a three- to four-inch incision, followed by three to four days in the hospital and a four- to six-week recovery." Most patients are actually able to bear full weight on the operated side within 24 hours following minimally invasive surgery, although crutches or other walking aids are encouraged for the first two weeks. Dr. Rezin says approximately 10 percent of patients needing hip replacement surgery are candidates for an X-ray guided technique that requires two incisions even smaller in length. The improvements in hip replacement surgery are primarily due to improved anesthesiology, as well as the development of specialized, smaller surgical instruments that allow surgeons to spare tissue by operating between muscles, tendons, and ligaments rather than cutting through them.

The American Academy of Orthopaedic Surgeons concurs that minimally invasive hip replacement is more difficult to perform and should be done only by physicians who are properly trained and experienced, such as those at Provena Saint Joseph Medical Center. Like the hip, minimally invasive knee replacement surgery dramatically reduces the incision size from an eightto 10-inch incision down the center of the knee to a smaller four- to six-inch incision that potentially causes less damage to the tissue surrounding the knee. The key with knee replacement surgery is avoiding damage to the quadraceps tendon.

"The goal of joint replacement

surgery is to provide patients with a pain-free hip or knee that allows relatively normal activities and lasts a long time.

Keith Rezin, MD, orthopedic surgeon

"

Expertise

"There's no question minimally invasive hip replacement is technically more demanding for the surgeon," explains Dr. Rezin. "The real key is a perfectly placed incision and accurate placement of the artificial joint. That's very important for good long-term results."

Keith Rezin, MD, orthopedic surgeon on staff at Provena Saint Joseph Medical Center, holds a prosthetic joint, used in joint replacement surgery, that is improving the quality of life for many.

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Provena Saint Joseph

Ultrasound Assures Quality

Patients can be certain they'll receive quality ultrasound services at Provena Saint Joseph Medical Center in Joliet, one of 53 facilities in Illinois and the only one in Will County accredited by the American College of Radiology. According to Mickey Jester, DO, radiologist at Provena Saint Joseph Medical Center, ultrasound accreditation is significant because it assures patients they will receive the highest-quality ultrasound testing performed by registered diagnostic medical sonographers using state-ofthe-art ultrasound equipment. "There are many facilities that provide ultrasound testing, but having accreditation means the entire ultrasound department--staff, equipment, and doctors--are performing quality work," Dr. Jester says. "This is important, because the better the images, the more accurate the diagnosis."

A prenatal ultrasound provides you with the exciting first images of your little one as well as insight into the baby's gender. But this advanced technology also serves a much greater purpose.

The Right Time

Watching Baby Grow in Utero

Prenatal ultrasounds are usually recommended between the 18th and 20th weeks of pregnancy. By then, the baby should be developed enough so that all of the heart's chambers can be seen and structural development has progressed to show possible problems. "Prenatal ultrasound is used to check many important aspects of the pregnancy," says Mary Fitzgibbon, MD, OB/GYN on the medical staff at Provena Saint Joseph Medical Center in Joliet, Ill. "Among these are the location of the placenta, amniotic fluid levels, and other indicators of the baby's growth and development with special attention to the heart, spine, and brain." If a complication such as spina bifida or a heart defect is found, physicians may be able to take action to care for the condition in utero.

The Right Place

"When performed correctly, ultrasounds are completely safe for mother and child, as sound waves rather than radiation are used to produce images," says Mickey Jester, DO, radiologist at Provena Saint Joseph Medical Center. "However, it's recommended that women have their ultrasounds in a facility that performs quality examinations. Registered sonographers, modern equipment, and physicians who are formally trained and preferably board certified to interpret ultrasounds are vital to a quality study." By choosing an accredited radiology facility, patients may also benefit from developments in prenatal ultrasound technology such as biophysical profiling. This technique is an ultrasound that monitors a baby for 30 minutes, watching the fetus' movements, breathing, and heart rate to evaluate its development. Expecting a baby? Call (815) 725-9438 for a free video tour of Provena Saint Joseph Medical Center's Family Birthing Suites, available on DVD or VHS.

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FAMILY

HEALTH

Be Wound Wise

You fell and scraped your knee. An ironing accident left your elbow burned. Incidents like these happen everyday, and for most people, wounds will heal easily with a little care. But for some, specialized treatment is needed to prevent further problems.

Treatment Options for Wound Care

Individuals who experience pressure ulcers, diabetic wounds, and chronic surgical wounds have found the healing process to be long and difficult, often taking months. At Provena Saint Joseph Medical Center in Joliet, patients are experiencing a quicker recovery time through treatment with the Wound VAC, which removes drainage from the wound and facilitates healing 60 percent faster than standard dressings. The treatment is effective on many types of wounds. In addition to the Wound VAC, Provena Saint Joseph provides additional options for wound care including electrical stimulation, sharp debridement, compression bandaging, ultrasound, ultraviolet light therapy, lymphedema therapy, and whirlpool treatment. Wound treatment requires a physician's referral. For more information, call (815) 725-7133, extension 3120.

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Basic Care for Minor Wounds

Becky Strilko, RN, a wound care nurse at Provena Saint Joseph Medical Center in Joliet, Ill., recommends cleaning a new wound with water and mild soap and then using a bandage to keep the wound clean and free from debris. Strilko also recommends using overthe-counter antibiotic ointments like Neosporin for no more than five to seven days, as prolonged use can disrupt healthy bacteria levels.

· redness around the wound · red lines along veins extending from the wound · increased pain · flu-like symptoms such as a low-grade fever · odor · change in drainage from the wound

Potential Problems

When non-healing or infected wounds are left untreated, complications can arise such as cellulitis (an infection of the tissue) that could potentially lead to loss of the limb or even death. People with diabetes or circulatory problems should seek care for a wound immediately, as such conditions tend to slow and complicate healing. To speak to a skin care nurse at Provena Saint Joseph Medical Center, call (815) 725-7133, ext. 3300.

Need Intervention?

"You should expect to see healing progress in a week to 10 days," says Strilko. "If the wound is not progressing, you should consider seeing your physician or a wound specialist to learn why it isn't getting better." Other signs a wound may require the expert attention of a physician include:

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Provena Saint Joseph Medical Center

health & wellness

F E B R U A R Y | M A R C H | A P R I L | M A Y

programs

who performs an immediate assessment of the injury. For an appointment, call (815) 741-7114.

HEALTHY HEARTS

A Health Makeover that Can Save Your Heart NEW! Heart disease is the No.1 killer of women, but most women don't see it as their biggest health threat. Yet much of heart disease is preventable, so it's time to take charge of your heart health and live a longer, stronger life. Join us for a special evening with Mary Ann Malloy, MD, a nationally recognized expert on heart disease and women. Dr. Malloy hosts "Living Well" on NBC 5 News on the weekends and has a column in the Daily Southtown features section on Tuesdays. To register, call (815) 725-9438.

family members better cope. To register, call (815) 725-9438.

Wednesday, March 23, 2­3 p.m. (Free) Colon Cancer--What You Should Know

Many people are uncomfortable talking about colorectal cancer, the second leading cause of cancer-related deaths in the United States for both men and women. Join Colorectal Surgeon Eric Bass, MD, to learn more about causes, symptoms, and prevention of this deadly yet highly treatable disease. To register, call (815) 725-9438.

Mondays, 5­6 p.m. at the Provena Physical Rehab & Sports Injury Center. (Free)

EMERGENCY LIFESAVING

CPR Heartsaver Plus

This class covers basic skills in rescue breathing, external cardiac compression, use of AEDs, and foreign-body airway management in adult and pediatric victims. To register, call (815) 725-9438.

Tuesday, February 8, 6:30­8:30 p.m. (Free) Heart Healthy Cooking NEW!

Learn how to modify your own recipes to make them more heart healthy. This class will include a demonstration of meal preparation by Registered Dietitian Anne Lietz and will provide an opportunity for participants to sample the creations made during class. To register, call (815) 725-9438.

Wednesday, April 20, 2­3 p.m. (Free)

Thursday, March 24, 5­8 p.m. ($40)

HEART SCREENINGS

Blood Pressure Screenings

All adults should have regular blood pressure screenings. Free screenings are offered every other Friday from 9 to 10 a.m. at Provena Saint Joseph Medical Center. Appointments are not needed. For more information, call (815) 725-9438.

CPR for the Healthcare Provider

This CPR certification class is geared toward professional healthcare providers, including physicians, dentists, nurses, hygienists, and emergency personnel. Covers CPR, automated external defibrillators, and foreign-body airway management in infants, children, and adults. Call (815) 725-9438.

Thursday, February 17, 7­8 p.m. ($25) Advancements in Cardiovascular Surgery

Open-heart surgery has come a long way over the years. Cardiovascular Surgeon David Cziperle, MD, will discuss the latest advancements, which have resulted in better outcomes and faster recovery for patients. To register, call (815) 725-9438.

Friday, February 4 & 18, March 4 & 18, April 1, 15 & 29, May 13 & 27, 9­10 a.m. (Free) The Heart Test

Improve your odds of living longer by taking the Heart Test, which includes a 12-lead EKG, total cholesterol blood test (HDL, LDL, and triglycerides), glucose for diabetes, C-reactive protein (CRP), blood pressure and pulse, body composition, peripheral arterial disease screening, and a personalized risk assessment. To register, call (815) 725-9438.

Thursday, February 10 or April 14, 5­8 p.m. ($60)

MASSAGE THERAPY

Reflexology

Reflexology is massage of the feet and is used to relieve stress and tension, improve blood supply, and restore balance in the body. To schedule an appointment, call (815) 725-9438. ($25 for 30 minutes or $50 for one hour)

Monday, February 21, 6:30­8:30 p.m. (Free)

Sleep Problems and Heart Disease NEW! Sleep disorders can affect more than your sleep--they can affect your heart as well. The connection between sleep apnea and heart disease is evolving very rapidly. Join Philip Leung, MD, a specialist in sleep disorder medicine, to learn how cardiovascular problems such as high blood pressure, heart failure, and stroke relate to sleep apnea. To register, call (815) 725-9438.

Saturday, February 5 or 26, or April 16, or May 14; appointments at 7 a.m., 8 a.m., or 9 a.m. ($40) Heart SmarTest/Heart Scan Plus

The most advanced screening exam available for the detection of heart disease, this test utilizes CT scan technology to measure calcifications in the coronary arteries. Our comprehensive evaluation also includes a 12-lead EKG, total cholesterol screening, glucose test for diabetes, C-reactive protein, blood pressure and pulse, peripheral arterial disease screening, body composition, and personalized risk assessment. Cost is $395. For an appointment, call (815) 725-9438.

Swedish Relaxation Massage

This form of massage is a good choice if you're looking for a quick tension reliever. Emphasis is placed on stimulating blood circulation and is useful for relieving muscle tension and stress. For an appointment, call (815) 725-9438. ($25 for 30 minutes or $50 for one hour)

Thursday, February 24, 6­7 p.m. (Free) Smoking Cessation

Our program is a great start for smokers who have decided to give quitting a try. Individuals meet one-on-one with a healthcare professional who will provide information and education on smoking cessation techniques and help develop a quitting plan in order to successfully maintain a smoke-free lifestyle. To schedule an appointment, call (815) 725-7133, ext. 3147. ($40)

Deep Tissue Massage

This full-body massage involves lying on a table and provides direct pressure to all the muscle layers. It is especially beneficial for those with headaches and back pain and also increases mobility and range of motion. To schedule an appointment, call (815) 725-9438. ($25 for 30 minutes or $50 for one hour)

HEALTH SCREENINGS LIVING WITH DIABETES

Anodyne Therapy for Diabetic Neuropathy NEW!

People with diabetes who have an impaired circulatory system-- a condition called peripheral neuropathy--are at risk for nerve damage in the hands, legs, and feet. Physical Therapist Natalie Hoff will talk about a specialized treatment called Anodyne therapy that helps increase circulation, thereby reducing diabetic ulcers and other complications. To register, call (815) 725-9438.

Colorectal Cancer Screening

In recognition of Colorectal Cancer Awareness Month in March, Provena Saint Joseph Medical Center is offering free fecal occult blood test kits, which are used to detect colorectal cancer and can be easily used in the privacy of your home. The test is especially recommended for men and women age 50 and older as well as individuals with a family history of colorectal cancer. While the fecal occult blood test is not a substitution for colonoscopy, it is a useful tool in the early detection of colorectal cancer. Call (815) 725-9438 by March 31 to request a colorectal cancer screening kit. (Free)

JUST FOR PARENTS

Parenting Institute for Divorced Individuals

This program is designed to help parents understand the stress children often feel when their parents divorce. Parents will also learn skills necessary to help their children through this difficult time. The course is intended for parents only. To register, call (815) 773-7049.

Tuesday, March 8, 7­8 p.m. (Free) Diabetes and Foot Care

For people with diabetes, it's important to take good care of the feet in order to avoid ulcers that can lead to amputation. Podiatrist Anthony Easley will share important information on foot care for people with diabetes. To register, call (815) 725-9438.

Wednesday, February 2, March 2, April 6, or May 4, 5­9 p.m. or Saturday, February 19, March 19, April 16, or May 21, 9 a.m.­1 p.m. ($35)

Anxiety Disorder Screening

Everyone knows what it's like to feel anxious at times. But when persistent and unrealistic worry becomes a part of daily life, a person may be suffering from an underlying anxiety disorder. It's important to get help before it becomes difficult to carry out even ordinary activities. Our free screening includes a video presentation, written screening test, and confidential meeting with a mental health professional. To register, call (815) 725-9438.

WOMEN'S HEALTH

Baby? Maybe!

Thinking about having a baby but have a lot of questions? This class is designed to help you get the information you need as you contemplate parenthood. We'll cover the emotional aspects of pregnancy, nutrition, and exercise. In addition, you'll learn what you can do for yourself before you become pregnant so you will be able to provide the best possible environment for your developing baby when you decide the time is right. To register, call (815) 725-9438.

Tuesday, May 10, 7­8 p.m. (Free)

SENIOR SPIRIT

Alzheimer's Disease for Loved Ones

When it comes to Alzheimer's disease, loved ones are often left with many unanswered questions. Sharon Grainger, program director of the Alzheimer's Association, will discuss what caregivers and family members can expect when it comes to a loved one with Alzheimer's disease and what can be done to help

Wednesday, May 11, 6­8 p.m. (Free) Sports Injury Screenings

Too often, sports injuries become severe because they're left untreated, resulting in an even lengthier recovery. Provena Saint Joseph Medical Center's free sports injury screenings are provided by an orthopedic doctor, physical therapist, or athletic trainer

Thursday, March 3, 7­9 p.m. (Free) Pregnancy Past 35

You're 35 or older and either pregnant or thinking about it. You've heard stories about pregnancy at your age, and you want the real

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scoop. Come and join others who are also looking for answers as we explore the myths and facts of pregnancy past 35. To register, call (815) 725-9438.

improve their overall health and fitness. A physician's order is required for participation. For more information, call (815) 725-7133, ext. 3147.

Tuesdays, February 8 & 15 or March 22 & 29 or May 3 & 10 or Thursdays, April 14 & 21, 7­9:30 p.m. ($20)

Tuesday, February 22, 7­9 p.m. (Free) Natural Family Planning

Explore natural family planning, which can be used to either achieve or avoid pregnancy. For fees or to register, call Mary Therese Egizio at (888) 485-6635.

CHILDBIRTH AND PARENTING COURSES

In addition to the programs listed here, Lamaze and Weekend Lamaze classes are available monthly. Call (815) 725-9438 for dates and times.

Sibling Class

This one-hour program involves your older child or children in the birth of your baby. A discussion of newborn characteristics and abilities and a tour of the Family Birthing Suites and Nursery is intended to help your child adjust to having a new brother or sister. Classes are recommended for children ages 3­8. To register, call (815) 725-9438. Monday, February 7 or May 2 or

Offered the third Monday of each month at 7:30 p.m.

Prenatal/Postnatal Exercise

EXERCISE

Warm Water Arthritis Pool Class

Studies have shown exercise in water is an effective way to relieve pain and increase movement in people with arthritis. Call (815) 741-7114.

Prenatal exercise is designed to help minimize the discomforts of pregnancy, tone the muscles used in labor and delivery, and keep the body limber. Exercises are safe for healthy women throughout their entire pregnancy. A physician's written consent is required. Call (815) 725-9438 to register.

Wednesday, March 9 or April 13, 4­5 p.m. ($5 per family)

SUPPORT GROUPS

Bariatric Support Group

For individuals who have had weight-loss surgery or are contemplating it. Meets the third Monday of the month from

Mondays and Wednesdays, 1­2 p.m. or Tuesdays and Thursdays, 9­10 a.m. or 2­3 p.m. at the Provena Physical Rehab & Sports Injury Center, 2400 Glenwood Ave., Joliet. ($60 for six weeks) Fibromyalgia Pool Class

Here's an excellent opportunity to ease the pain caused by fibromyalgia. This pool class allows individuals with fibromyalgia to comfortably exercise by putting less stress on painful joints. To register, call (815) 741-7114.

Tuesdays and Thursdays, March 1­April 21 or April 26­June 16, 6­7 p.m. ($45) Right from the Start

The early months of pregnancy bring many changes and adjustments in the lives of expectant parents. This class covers the physical and psychological changes and concerns of pregnancy, proper nutrition, environmental risks, exercise, usual medical routines, and the growth and development of the baby at various stages during pregnancy. Call (815) 725-9438 to register.

6:30­8 p.m. Call (815) 725-9438. Breastfeeding Support Group For mom and baby. Meets the third Tuesday of the month, 10­11:30 a.m. Call (815) 725-9438. Breath Takers

For individuals who experience pulmonary disease. Meets the

Monday, February 7 or Wednesday, May 18, 7­9 p.m. (Free) Moms in Motion: Prenatal and Postnatal Aquatic Exercise

Pregnant women who exercise can expect improved circulation, muscle tone, and posture and return to their pre-pregnancy shape quicker. This class takes place in the water. To register, call (815) 741-7114.

Mondays and Thursdays, 6:45­7:45 p.m. at the Provena Physical Rehab & Sports Injury Center, 2400 Glenwood Ave., Joliet. ($90 for nine weeks) Sturdy Senior Strength Program

Regular exercise can reduce the effects of aging. Our circuit training strength program is for individuals age 60 and older and is supervised by a licensed physical therapist. To register, call (815) 730-6771.

third Thursday of the month, 1­3 p.m. Call (815) 725-7133, ext. 3147. Depression and Bipolar Support Alliance

For individuals with depression or manic/depression. Meets the

second and fourth Wednesday of the month, 7­9 p.m. Call (815) 773-7000. M.E.N.D. (Motivation and Encouragement = New Discoveries)

For current and former patients of Physical Medicine and Rehabilitation. Contact Kathy Murphy at (815) 725-7133,

Tuesdays and Thursdays, 5:45­6:45 p.m. at Gold's Gym, 2701 Black Rd., Joliet ($40 for four weeks) The Art of Breastfeeding

A mother needs education, support, and understanding to help her achieve successful breastfeeding. Taught by a breastfeeding specialist, this class covers preparation of the breasts, establishing a good milk supply, and common concerns associated with breastfeeding. To register, call (815) 725-9438.

Tuesdays and Thursdays, 1­2 p.m. at Gold's Gym, 2701 Black Rd., Joliet. ($60 for eight weeks) Healthy Hikers

If you enjoy walking and want to stay in shape, you will love our indoor walking program held at Westfield Shopping Town--Louis Joliet. You'll have freedom to walk in the mall at your own pace before the stores open, so there won't be any interruptions or obstacles. Plus, we'll provide motivational incentives for personal healthy improvements. To join Healthy Hikers, stop by Westfield Shopping Town--Louis Joliet management office, or for information, call Provena Saint Joseph Medical Center at (815) 725-9438.

ext. 3519. Mended Hearts

For cardiac patients and their families. Meets the third Monday

Wednesday, February 16 or May 11 or Tuesday, March 1 or April 5, 7­9:30 p.m. ($10) Young and Pregnant

Intended for pregnant teens or young adults, we can help you have a healthy baby and provide answers to your questions and concerns in a supportive environment. Class covers nutrition, labor and delivery, cesarean birth, Lamaze techniques, baby care, and parenting skills. To register, call (815) 725-9438.

of each month, 7­8:30 p.m. Contact Cardiac Rehabilitation at (815) 725-7133, ext. 3147.

Parkinson's Support Group NEW! For individuals with Parkinson's disease and their family members. Meets the third Wednesday of the month at the Provena Physical Rehab & Sports Injury Center, 2400 Glenwood Ave., Joliet, 6­7:30 p.m. Call (815) 725-9438.

Fitness for Seniors

This exercise class for individuals age 60 and older includes stretching, range of motion, strengthening, and cardiovascular exercises. To register, call (815) 725-7133, ext. 3892.

Tuesdays, February 22­April 5 or April 12­May 24 or May 31­July 12, 6:30­8:30 p.m. (Free) Cesarean Birth

This program is for couples who are anticipating a cesarean birth and have questions about the process. To register, call (815) 725-9438. Wednesday, March 16 or Thursday, May 19,

Perinatal Bereavement Group

For grieving parents who've suffered the loss of a child through miscarriage, stillbirth, neonatal death, or death after birth. Meets

Mondays, Wednesdays, and Fridays, 8­8:45 a.m., 9­9:45 a.m., 10­10:45 a.m., or 11­11:45 a.m. at St. Paul the Apostle Church in Joliet. ($25 for eight weeks) Pulmonary Rehabilitation

Our specialized Pulmonary Rehabilitation program is designed to help people with asthma, chronic bronchitis, emphysema, chronic obstructive pulmonary disease, or other pulmonary conditions achieve and maintain a peak level of fitness through the use of a stationary bicycle, treadmill, and stair-walker. Through supervised exercise twice a week, our team of respiratory therapists, registered nurses, dietitians, and exercise physiologists monitor your heart rate, blood pressure, and oxygen levels. A physician's order is required. For more information, call (815) 725-7133, ext. 3147.

the second Monday of every month, 7 p.m. Call Pastoral Care at (815) 725-7133, ext. 3474. Positive People

For cancer patients and their families.

7­8 p.m. ($10) Prenatal Class

Recommended during the last trimester, this class provides information pertaining to labor and birth including discussion of cesarean birth, medication, and birthing options. Relaxation and breathing techniques are not covered. To register, call (815) 725-9438. Wednesdays, February 2­23

Meets the first and third Thursday of each month, 3­5 p.m. Contact the Sister Theresa Cancer Care Center at (815) 741-7560. Postpartum Depression Support Group

For women who may be experiencing post-partum depression. Meets every Friday, 6:30­7:30 p.m. Call (815) 725-9438.

or April 6­27, 7­9:30 p.m. ($20) Baby Care Basics

Practical tips will help guide you through your baby's first six months, including information on safety, feeding, diapering, bathing, and signs of illness. You'll have a chance to practice a variety of parenting skills. To register, call (815) 725-9438.

Cardiac Rehabilitation

This medically supervised exercise program meets three times per week and is for individuals recovering from heart disease, those at risk for heart disease, or anyone who wants to

Baby Expo!

Whether you're a would-be-parent, expectant parent, new parent, grandparent, or even seasoned parent, our free Baby Expo has something for you! The event includes "mini" educational lectures, display booths, brief massages, and lots of giveaways. To register, call (815) 725-9438. Saturday, March 12, 9 a.m.­12 p.m. (Free)

WINTER/SPRING 2 0 0 5

GoodLife 9

A harrowing trend is taking over America, splitting our nation into two distinct groups-- those who live well into adulthood and others who don't even get to see their grandchildren grow up. Which side are you on?

R

ecent studies show as much as 20 years of a person's life expectancy depends on one key factor--preventing heart disease. While those who ignore the threat of heart attack now are more likely to die in their early 60s, people who acknowledge their risks for heart disease and take steps to reduce them are living well into their 80s. And the gap is widening. "The American lifestyle is becoming more conducive to developing heart disease," says Abdul H. Sankari, MD, FACC, FCCP, board-certified cardiologist and director of the Intensive and Coronary Care Unit at Provena Saint Joseph Medical Center in Joliet, Ill. "We have high-fat diets, live sedentary lives, and are too busy or too tired to take time to exercise. Worst of all, most people don't think they're at risk." Whether you're living with heart disease or are at risk due to family history, you can take steps toward a heart-healthy lifestyle. Along with not smoking--the most preventable cause of disease and premature death in the United States--here are five other ways to stay on the right side of the great divide.

WINTER/SPRIN G 2 0 0 5

1

Learn Your Family History and Take Action

Ridge Farm, Ill., resident Dorothy Peterman never gave heart disease a second thought. Though her mother, father, husband, and other close family members suffered heart disease, Dorothy felt the condition couldn't affect her at the relatively young age of 58. After all, she had recently lost 30 pounds and was feeling better than ever. But a routine physical showed otherwise. If she had taken her family history more seriously, she may have avoided her recent need for a coronary stent (small, wire mesh tube placed in an artery to prevent the deadly buildup of cholesterol and fats).

2

Watch What You Eat

Much of the cholesterol and fats that build up in the arteries and result in heart disease are attributed to your diet. By avoiding foods high in fat or that contain transfats or saturated fats, you can help keep your cholesterol at healthy levels and lose weight. Make fruits and vegetables a major part of your diet and avoid salty foods that can raise your blood pressure and the risk for heart disease.

10 GoodLife

Div ide

3

Get Moving

Exercise is also vital to a healthy weight and reduced risk of heart disease, and it takes only 30 minutes of moderate exercise several times a week. Housework, gardening, walks, and bike rides are all great ways to get your blood pumping at home. When at work, don't rely on the phone or e-mail for getting your point across. Walk down the hall and talk face to face. If you have to use the phone, stand up during those long conference calls.

Th eG

HEART

CARE

rea t

4

Seek Medical Help

Any time you experience symptoms of heart disease--such as chest pain or shortness of breath-- don't wait to seek help. For even greater protection, visit your physician yearly, even when you feel great. "Seeing patients who have heart disease with no symptoms at all isn't very common, but it does happen," says Dr. Sankari. "If you have risk factors for heart disease such as high blood pressure, high cholesterol, diabetes, obesity, or family history, you should have an annual physical exam and undergo an EKG and stress test if indicated by your physician."

A Wake-Up Call

It took a couple of close calls before Alan Akre of Joliet became rather serious about making lifestyle changes to reduce his heart disease risks. Following angioplasty in 1993 and more recently a mild heart attack, which led to having a stent placed in his artery, the 49-year-old rental salesman now exercises regularly and is selective about what he eats. "Just before the heart attack I told my wife I had to get serious about losing weight," says Akre, who admits that fast food meals are a convenience for an on-the-road salesman. "I guess I needed a kick in the rear to really make this sink in." Akre has since made some important diet changes and now exercises regularly through Provena Saint Joseph Medical Center's Cardiopulmonary Rehabilitation Program. He makes a point of staying away from donuts and desserts, and when he stops for fast food, he orders salad with low-fat dressing or a low-fat sandwich. The efforts seem well worth it. Akre is more than half way toward his goal of losing 60 pounds and feels great. "I don't look for excuses to cheat. I know I can't do that anymore," he says. Need help with exercise? Smoking cessation? Dietary counseling? Call Provena Saint Joseph Medical Center at (815) 725-9438. Alan Akre, of Joliet, is committed to making lifestyle changes to reduce his heart disease risks.

Know the Numbers

You may know what numbers to keep an eye on, but do you know what your goal should be? Pack this in your pocket before your next physician visit to know where your health stands.* CHOLESTEROL--HDL: 40mg/dL or higher, LDL: 70mg/dL or lower, Total: 200mg/dL or lower TRIGLYCERIDES--less than 150mg/dL BODY MASS INDEX--18.4 to 24.9 BLOOD PRESSURE--120mm Hg or lower (systolic), less than 80mm Hg (diastolic) "Everyone over the age of 21 should have his or her risk for heart disease evaluated by a physician," says Abdul H. Sankari, MD, FACC, FCCP, board-certified cardiologist on staff at Provena Saint Joseph Medical Center in Joliet, Ill. "Most people don't realize plaque begins to collect in the arteries by age 5 and continues to do so every day throughout life. If you don't make changes, it will eventually catch up to you--and the results could be devastating."

*For healthy individuals not using medications that affect these numbers. Ask your physician what your personal health goals should be.

5

Stay at It

Just like with any resolution, you have to work hard to devote yourself to a healthy life--for the rest of your life. "People at risk for heart disease need to make a total lifestyle change and stay vigilant about monitoring their heart condition, which is often very difficult to do until you or someone you love experiences heart disease," says Dr. Sankari. "Adopting a healthy lifestyle is something you owe your family. If you don't want to make lifestyle changes for your own sake, do it for those you love so your children and your grandchildren will get a chance to know and enjoy you." To find out if you're at risk for heart disease, take the $40 Heart Test at Provena Saint Joseph Medical Center, available on Saturday, February 5 and 26. To register, call (815) 725-9438.

Cherie Mayerik, RN, on staff at Provena United Samaritans Medical Center, works with Ridge Farm, Ill., resident Dorothy Peterman to improve her cardiovascular health.

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GoodLife 11

Diagnostic Imaging Tests:

Imaging Services Gets a New Look!

In the near future, patients at Provena Saint Joseph Medical Center in Joliet can look forward to having diagnostic imaging tests performed in modern surroundings as a major renovation of the entire Imaging Services Department gets underway. The new department will have separate accommodations for inpatients and outpatients as well as all-around enhanced privacy. Along with the renovation, Provena Saint Joseph Medical Center will be adding a third computed tomography (CT) scanner that performs 16-slice studies, digital fluoroscopy, and updated equipment for nuclear medicine. "We already excel in quality and service, and now we're going to have facilities that make our patients feel even better about being here," says Steve Delgado, RT, director of Imaging Services at Provena Saint Joseph Medical Center.

Where You Go Matters

I

n today's world of modern medicine, diagnostic imaging tests like magnetic resonance imaging (MRI), computed tomography (CT), positron emission tomography (PET), and ultrasound produce remarkable images of the body's internal structures, enabling physicians to diagnose many types of disease. The quality and accuracy of these tests is undeniably critical, yet often taken for granted. Not at Provena Saint Joseph Medical Center--just one of two facilities in the southwest Chicago region accredited by the American College of Radiology (ACR)* in MRI, ultrasound, and stereotactic breast biopsy.

Experience Counts

"Being accredited means tests are performed by specially qualified personnel," says Steve Delgado, RT, director of Imaging Services. Each member of Provena Saint Joseph's ultrasound staff, for example, is certified or eligible for certification by the American Registry of Diagnostic Medical Sonographers, which assures patients that any staff performing the ultrasound has completed an accredited education program and passed a written exam. Accredited facilities must also demonstrate their equipment is safe for patients and of the highest caliber. At Provena Saint Joseph Medical Center, imaging equipment is thoroughly examined annually by a qualified medical physicist. Another requirement is having test results interpreted by appropriately trained and credentialed physicians. Provena Saint Joseph Medical Center has 10 radiologists on staff, all who are board certified in radiology. "Although accreditation in these areas is voluntary, we've always believed our patients deserve to know they will receive the highest-quality testing when they come to our facility," says Delgado.

Offering Advanced Imaging

In addition to CT, MRI, PET imaging, ultrasound, mammography, and stereotactic breast biopsy, Provena Saint Joseph Medical Center offers angiography, nuclear medicine testing, bone densitometry, and X-ray. "Everything we do is with our patients in mind," says Delgado. "Patients can be assured they'll receive the most advanced testing from a staff committed to service."

* December 2004. Source: American College of Radiology Web site, www.acr.org.

12 GoodLife

WINTER/SPRING 2 0 0 5

Provena Saint Joseph

Launches WebNursery

W

omen delivering at Provena Saint Joseph Medical Center in Joliet can now announce their baby's arrival to loved ones through the new WebNursery. Friends and family can access the baby's information and photo and even send a message to the new baby and parents through the site. The WebNursery is an optional, free service for women who deliver at Provena Saint Joseph. "Since many of our moms have expressed a desire to announce their new baby's arrival through the Internet, we felt this was an important service to provide our patients," says Jill Weitendorf, patient care manager of the Family Birthing Suites. Security is always a top priority, so babies are identified on the Web site by first name and last initial only. Passwords may be added for families wanting to limit who can access the baby's photo and information. To view the WebNursery, go to www.provenasaintjoe.org, click Family Birthing Suites, and then WebNursery.

Welcome

NEW

Cardiovascular Surgery David Calandra, MD One Ingalls Dr., Harvey (708) 915-6870 Dermatology Todd Davis, MD 2400 Glenwood Ave., Suite 126, Joliet (815) 741-4343 Family Practice Scott Ciechna, MD Anthony Fernandez, MD 7000 Caton Farm Rd., Plainfield (815) 577-2929 Michele Danaher, MD 2121 Oneida St., Joliet (815) 741-2900 Vinayak Dongre, MD 24024 W. Brancaster, Naperville (630) 904-1220 General Surgery Siddiq Hasan, MD 1051 W. Route 6 Suite 300, Morris (815) 942-2492 Internal Medicine Wassim Atassi, MD 330 N. Madison St., Suite 203, Joliet (815) 741-1770

Physicians

Internal Medicine/ Hematology/Oncology Murigeppa Ashwin, MD 2420 Glenwood Ave., Joliet (815) 725-1355 Internal Medicine/ Infectious Disease Atul Gupta, MD 1301 Copperfield Ave., Suite 103, Joliet (815) 726-1818 Internal Medicine/Nephrology Tunji Alausa, MD 330 N. Madison St., Suite 203, Joliet (815) 741-1770 Internal Medicine/Pulmonology/ Critical Care Amar Garapati, MD 829 Campus Dr., Joliet (815) 725-2653 Obstetrics/Gynecology Mary Fitzgibbon, MD 201 N. Hammes Ave., Joliet (815) 725-2699 Thomas Kazmierczak Jr., DO 201 S. Wabena, Minooka (815) 467-0851 Keith Lim, DO 2100 Glenwood Ave., Joliet (815) 725-2121 Orthopedic Surgery/ Sports Medicine David Burt, MD 1051 W. U.S. Route 6, Suite 100, Morris (815) 942-4875 Henry Fuentes, MD 1300 Copperfield Ave, Suite 4040, Joliet (815) 727-3030 Otolaryngology/ Head and Neck Surgery Kenneth Johnston, MD 400 N. Wall St., Suite 312, Kankakee (815) 933-9200 Ankit Patel, MD 2201 Glenwood Ave., Joliet (815) 725-1191

Top Care

for Heart Attacks

If you think you're having a heart attack, Provena Saint Joseph Medical Center is among the best hospitals in the nation for care. That's according to a recent quality report issued by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), which indicates Provena Saint Joseph Medical Center provides better care for heart attack patients than most other JCAHO-accredited hospitals nationwide. The results of the report, which evaluated performance from January through December 2003, reveal that Provena Saint Joseph Medical Center scored in the top 10 percent nationwide in each of seven categories related to care for heart attacks and heart failure. Among these results, Provena Saint Joseph received best possible scores in five categories. "The JCAHO recognition tells patients they are being cared for by physicians and staff who consistently treat cardiac patients and achieve quality outcomes," says Peter Stockmal, MD, medical director of Emergency Services at Provena Saint Joseph Medical Center.

Cynthia Goldman, MD 2450 Glenwood Ave., Joliet (815) 730-3304 Gawtham Gutta, MD 330 N. Madison St., Suite 303, Joliet (815) 553-5000 Adel Mouradi, MD 330 N. Madison St., Suite 203, Joliet (815) 741-1770 Srilakshmi Vemareddy, MD 310 N. Hammes, Suite 102, Joliet (815) 741-4445 Gautham Viswanathan, MD 330 N. Madison St., Suite 203, Joliet (815) 741-1770

For a free heart attack warning signs refrigerator magnet, call (815) 725-9438.

WINTER/SPRING 2 0 05

GoodLife 13

QUICK

TIPS

It's Good for You!

D

id you know a sense of humor can do more than just bring on a smile? It's true! Studies suggest laughter lowers blood pressure, reduces stress, and boosts immune functions. A good laugh also releases endorphins (the body's natural painkillers). Here are a few quick ways to add laughter to your life. Subscribe to a Joke-of-the-Day Web site. Put a photo that makes you laugh in your wallet or on your desk at work. Leave jokes or funny notes in places your friends or family members would least expect (refrigerator, cabinets, etc.).

Go Ahead & Laugh--

A Case for Colonoscopy

Colonoscopy is the gold standard for screening people for colon cancer--a malignant disease that occurs in the colon or rectum. In 2004, the American Cancer Society (ACS) estimated 6,680 new cases of colorectal cancer would be diagnosed among men and women in Illinois, and 2,580 state residents will die of the disease. Beginning at age 50, men and women who are at average risk for developing colorectal cancer should have a colonoscopy every 10 years, according to the ACS. You should begin colorectal cancer screening earlier and/or more often if you have a strong family history of the disease. For a free colorectal cancer screening kit that can be used in your home, call (815) 725-9438 by March 31.

Don't Let Your Life Go Up in Smoke

In Illinois, almost 18 percent of all deaths are caused by smoking. But there's one thing you can do to help ensure you, your spouse, and your children don't fall into that statistic--quit. When you quit smoking, you increase more than just your own life expectancy, as children and spouses exposed to environmental tobacco smoke are at greater risk of lung cancer and heart disease. For help with smoking cessation, call Provena Saint Joseph Medical Center at (815) 725-7133, ext. 3147.

Sports Injuries Top 10 List

1 muscle pull 2 neck pain 3 shoulder injury 4 lower back strain 5 tennis elbow 6 runner's knee 7 shin splints 8 ankle sprain 9 Achilles' tendinitis 1 arch pain 0 Free sports injury screenings are available Mondays from 5 to 6 p.m. at Provena Saint Joseph Medical Center. For an appointment, call (815) 741-7114.

Whether shooting hoops or pedaling through the neighborhood,

you can prevent the number one most common sports injury by warming up. Start with jumping jacks or run or walk in place for three to five minutes. Then slowly and gently stretch, holding each stretch for 30 seconds.

14 GoodLife

WINTER/SPRIN G 2 0 0 5

FORK &

Sweetened to Perfection

No matter if you prefer the flavor of Splenda®, Sweet'N Low®, or NutraSweet®, here's good news about alternative sweeteners.

SPOON

Tapioca Pudding

Makes 6 (½ cup) servings

Ingredients

2¾ cups low-fat milk 3 tablespoons quickcooking tapioca ¼ cup egg substitute ½ cup Splenda® Granular

18

W

hen eaten in large quantities, sugary foods can be harmful to the body and lead to weight gain. But since alternative sweeteners have little or no calorie absorption in the body, they help lower calorie intake without having to sacrifice your favorite foods. "It's okay to use artificial sweeteners, as long as it's in moderation," says Connie Machetta, RD, LDN, manager of Patient Nutrition Services at Provena Saint Joseph Medical Center. As childhood obesity becomes a growing concern, alternative sweeteners also give families the benefit of sweets without the extra calories. In addition, research shows these sweeteners will not raise blood glucose levels, making them safe for everyday use--even for people with diabetes. The Food and Drug Administration also supports the use of Splenda, Sweet'N Low, and NutraSweet as alternative sweeteners.

/ teaspoon salt

1½ teaspoon vanilla extract

Directions In large saucepan, combine milk, tapioca, egg substitute, Splenda, and salt. Stir about 30 seconds, until blended. Let stand five minutes. Heat pudding over medium heat while stirring until pudding comes to full boil. Remove pudding from heat and add vanilla extract. Let cool at room temperature for 20 minutes. Stir once and serve. Nutritional Information

CALORIES:

80 13g

PROTEIN: 6g CARBOHYDRATES: FAT: 1g SATURATED FAT:

0g

0g SODIUM: 130mg

FIBER: Source: www.splenda.com

The Choice Is Yours

The next time you need to satisfy your sweet craving, reach for these sweeteners.

»»»

Splenda® (sucrolose) Sweet'N Low® (saccharin) NutraSweet® or Equal® (aspartame)

Sweetness compared to sugar

Chemical make-up

Found in what foods?

Good for cooking?

600 times sweeter

Chemically combined sugar and chlorine

Non-alcoholic beverages, chewing gum, fruit juices, gelatins Fountain sodas, tabletop sweeteners Tabletop sweeteners, soft drinks, pudding, gelatins, yogurt, breath mints

Yes, can be substituted without modification Yes, but amount must be modified in recipes No, it degrades under heat, but can be used in no-bake recipes

300 times sweeter

Synthetic chemical

200 times sweeter, but will lose sweetness over time

Synthetically derived from two amino acids

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GoodLife 15

"I Love Being a Nurse at

Provena Saint Joseph Medical Center."

Gordene Donley, R.N., 28 years of service

At Provena Saint Joseph Medical Center, leading-edge medicine meets the healing voices and gentle touch of caring health professionals. That's what makes us Joliet's preferred health care provider, and a place where people turn for rewarding and exciting career opportunities. With a team of over 2,400 clinical, professional and support staff, we offer career paths in Nursing, Allied Health, Maternal/Child Care, Emergency Medicine, Mental Health and more. Our collaborative, state-ofthe-art facilities and technology allow health care professionals to maintain outstanding skills and provide the best possible care for their patients. A trusted name in the Chicagoland area, we reward our employees with advancement opportunities, an environment that fosters respect and recognition, competitive salaries and exceptional benefits. For nursing, allied health and other career opportunities, please visit us at www.provenasaintjoe.org, or simply respond to Provena Saint Joseph Medical Center, Human Resources, 333 N. Madison Street, Joliet, Illinois, 60435. Fax: 815-741-7121; Phone 815-741-7669.

FOR

H E A LT H C A R E C A R E E R S , T H E R E ' S J U S T O N E C H O I C E .

333 N. Madison Street · Joliet, Illinois 60435 www.provenasaintjoe.org

Check the number above your name in the mailing panel. Then visit www.provenasaintjoe.org to see if you have the winning number for a complimentary massage. Enjoy one hour of reflexology (massage of the feet), Swedish relaxation massage, or deep tissue massage--a $50 value!

Provena Health, a Catholic health system, builds communities of healing and hope by compassionately responding to human need in the spirit of Jesus Christ.

Good Life is written and produced as a community service by the hospitals of Provena Health, a Catholic, not-for-profit healthcare system. Please direct comments or questions to the Public Relations office at Provena Saint Joseph Medical Center, (815) 741-7664. Jeffrey L. Brickman, President & CEO Lisa Lagger, Director, Public Relations Janet Long, Editor/Writer Allison Bailey, Writer Michelle Schaper, Writer

NONPROFIT ORGANIZATION U. S. POSTAGE 333 North Madison Street Joliet, IL 60435 PROVENA HEALTH

PAID

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