SPRING 2017
INSPIRE
{
caring for women & their families
}
YOUR
GROWING
FAMILY
CHANGING
DYNAMICS
PUBERTY
AND THE
TALK
KEEP THE
CONVERSATION
GOING
almost twins...
A STORY OF FAMILY, LOVE & LAUGHTER
Amery Hospital & Clinic
Hudson Hospital & Clinic
Lakeview Hospital
HealthPartners Stillwater Medical Group
Westfields Hospital & Clinic
Spring Garden Checklist
WELLNESS
Ready your tools
INSPIRE
{ Spring 2017 }
Whether you’re new to gardening this season or just
want a quick refresher, here are some basic tools
you’ll want to have ready.
INSPIRE is a publication of Amery Hospital &
Clinic, Hudson Hospital & Clinic, Lakeview Hospital,
Stillwater Medical Group and Westfields Hospital
& Clinic. The intent is to keep you informed and
current about services and programs we provide.
All are part of a non-profit health care organization
committed to enhancing community health.
Soil Fork
Perfect for prepping new beds
Trowel
2
7
INSPIRE is published by HealthPartners
©
8
Amery | Clear Lake | Luck | Turtle Lake
715-268-8000 | 800-424-5273 (KARE)
amerymedicalcenter.org
Hudson
715-531-6000 | 800-993-2325
hudsonhospital.org
Stillwater
651-439-5330 | 800-423-7212
lakeviewhealth.org
New Richmond
715-243-2600 | westfieldshospital.com
PUBERTY IN GIRLS
IS TYPICALLY BETWEEN
AGES 8 AND 12
Ideal for digging & weeding
The information in this newsletter is not intended
to diagnose illness, prescribe treatment or replace
the recommendations of your personal physician. If
you have concerns or questions about your health,
please contact your personal physician.
Mahtomedi | Somerset | Stillwater
651-439-1234 | 800-877-1588
lakeviewhealth.org
Noteworthy news and
information from the world of
health care and beyond.
GROWING FAMILY
Whether it’s your firstborn or your second, adding
another child to the mix can affect families’ schedules,
sleep patterns, finances and couples’ intimacy.
SLEEP APNEA
People with untreated sleep apnea stop breathing
repeatedly during their sleep – sometimes hundreds
of times.
OMG! WHAT’S HAPPENING...
Body changes may be an uncomfortable time for
your kids — and you — but it’s important to keep the
conversations going.
4
ALMOST TWINS
6
WHERE TO GO WHEN YOU NEED CARE
10
HEADS UP ON CONCUSSIONS
11
SPORTS PHYSICALS
12
POWERUP! SUMMER FUN
Pruners
Everyday kitchen scissors
won’t make the cut
Garden Bucket
Make sure it’s sturdy
Clean up your garden
Remove leaves, twigs and other debris that may
have collected over the colder season. Trim back
any dead stems from perennials.
PUBERTY IN BOYS IS
TYPICALLY BETWEEN
AGES 9 AND 14
Hormones may trigger mood changes
and acne so encourage good habits such
as regular face washing, a healthy diet
and plenty of water consumption.
Nurture your soil
Spread a layer of compost over your soil and
apply fertilizer, making sure to avoid crowns of the plants.
Mix the compost and fertilizer into the top few inches of soil.
Reward your hands
Once your garden is ready for planting, it’s time
to reward your hands for the hard work. Clean your
nails with a soft brush, and moisturize with lotion.
See you in the garden...
SCHEDULES AFTER BABY
Talk through the return-to-work transition.
Will one parent need to leave earlier to get home
for baby? Who will do daycare drop off and pick
up? If you already have children, how will a new
sibling affect their schedules?
INSPIRE ~ 1
Growing family
changing dynamics
Finances, housework and intimacy typically aren’t high on the
list of talking points related to welcoming a new baby. And,
although a new addition is an exciting time for families, the
family dynamics change. Whether it’s your firstborn or your
second, adding another child to the mix can affect families’
schedules, sleep patterns, finances and couples’ intimacy.
Laura Dean, MD, an OB-GYN with Stillwater Medical Group,
says the best way to get ready for the changes is to plan.
“Couples should talk about every aspect of their lives, including
work and household chores, and how they’ll adjust.”
FINANCES
SCHEDULES
SIBLINGS
HOUSEHOLD CHORES
SLEEPING
INTIMACY
Adding a baby to the family will likely
increase family expenses. For first-time
parents, Dr. Dean says determine what
essentials you’ll need to purchase such
as a crib, car seat, stroller and clothes.
“If both parents work outside the home,
factor in daycare costs and budget for
increased health insurance premiums
and copays for doctor visits.”
For working parents, Dr. Dean advises
couples to talk through the return-towork transition. Will one parent need to
leave earlier to get home for baby? Who
will do daycare drop off and pick up?
If you have children, how will a new
sibling affect their schedules? For
example, will the baby’s naptime
interfere with your older child’s soccer
practice? “Prioritize family time over
too many scheduled activities,” says
Dean. “With our three children, my
husband and I had a one sport and one
music activity per kid rule, which worked
for us.”
When introducing children to a new
sibling, Dr. Dean says involve the older
children in the process. “Let them pick
out a new toy for the baby or have them
come to a prenatal visit to hear baby’s
heartbeat.” Moms and Dads can take
older children to the park, to a movie or
even to the grocery store just to have
bonding time with the older child.
In the first few weeks after baby arrives,
Dr. Dean urges parents to focus on
connecting with the baby and bonding
with your family. “Eat and sleep; don’t
worry about the thank you notes or
keeping the house clean.” She says
try to limit your errands, particularly
if you’ve had a cesarean section and
can’t drive for two weeks. “Ask family
and friends for help. In most cases, they
want to help; they just need reassurance
from the new parents that they’re
not intruding.”
Dr. Dean says before the new baby
arrives, parents should agree on their
routine for during-the-night awakenings
and other responsibilities. Who will get
up with the baby or will the parents take
turns? Whatever families decide, Dr.
Dean says it’s important to make sleep a
priority. “Sometimes tag teaming is best
because if everyone is sleep deprived,
that’s hard.”
Let’s be honest; intimacy is complicated
by kids. There’s less time, less energy
and less opportunity for spontaneity.
Cindy Land, RN, the pelvic health
program coordinator at Stillwater
Medical Group, recommends
that couples be intentional and
communicative with one another about
connecting with each other.
“Schedule date nights. Hire a babysitter
or swap babysitting with friends and
plan time for just the two of you, when
interruptions are unlikely or you’re not
too tired.”
VISIT HEALTHPARTNERSLOCALCARE.ORG
2 ~
INSPIRE ~ 3
almost twins...
It was a recipe for love, laughter –
and an awesome story to tell the kids
– when sisters-in-laws Amy and Holly
Heinbuch went into labor within a
half-hour of one another.
As the two women went through the
early stages of labor in their private
birth suites at Hudson Hospital &
Clinic, with spouses – and brothers
– Karl and Andy at their sides, each
had no idea she was just across the
hallway from the other.
The contractions for Holly’s baby—
her third—started right on schedule
on her due date. Amy, meanwhile,
pregnant with her first, wasn’t due for
another two weeks when she started
feeling the first signs of labor.
Brothers Andy and Karl kept tight-lipped about their arrivals at the
hospital, not wishing to jump the gun with any birth announcements. As
they supported their wives through labor, occasionally leaving the rooms
to visit the restroom or to speak to a nurse, they narrowly kept missing
one another in the hallways. Finally, two to three hours later, the brothers
bumped into one another in the restroom.
Her coaxing worked; Amy and Karl’s son Colin Heinbuch arrived at 8:26 p.m.,
just 21 minutes after Holly and Andy’s daughter Sadie Heinbuch arrived, at
8:05 p.m.
“When they ran into each other, Holly’s husband, Andy, asked, ‘What are
you doing here?’ and Karl said, ‘I think we’re having a baby!’” recalled Amy.
Once the cat was out of the bag, a sense of friendly competition sprang
up between the couples; whose baby would arrive first? The sense of
anticipation grew as the afternoon turned to evening.
“It was such fun having close relatives and friends in the hospital,” said Holly.
“It was great being right across the hall and just stopping in and saying hi and
asking how everything was going.”
It was a little after 8 p.m. when Jonathan Susa, DO, Amy’s OB-GYN,
returned to the birthing room – again. She greeted him with her repeated
question about whether he had delivered a baby yet.
Although patient confidentiality prevented him from confirming
anything, Dr. Susa was unable to prevent a big smile spreading over his
face, recalled Amy. “I knew then that Holly had had her baby, and so I said
to mine, ‘Come on, you need to get here now!’”
... It was such fun having close relatives and friends in the hospital,”
It was great being right across the hall and just stopping in and saying
hi and asking how everything was going.”
The next two days of recuperation were a truly social occasion as the two
brothers and wives welcomed family members and friends who wished to visit
and celebrate with both couples.
Amy agreed. “The nurses were absolutely wonderful, too. My nurse’s shift
finished at 7 p.m., but she stuck with us until Colin was born.”
Several months on from their births, cousins Colin and Sadie are already
becoming close friends. Their parents know they will get plenty of chances to
share their birth story as they grow up; the pair will attend the same schools
later in life and – sharing the same last name and same birthday – will likely
have a lot of people convinced they’re twins.
One thing’s certain; the events of that day will form the focus of a debate
that’s likely to come up at family gatherings for years to come. “We already
joke about who was the birthday stealer,” laughed Holly. “Colin was two weeks
early, but then Sadie came along right on time and just beat him to it by
arriving first.”
Learn more about your birth options. VISIT HEALTHPARTNERSLOCALCARE.ORG
|“ Holly
4 ~
INSPIRE ~ 5
where to go?
DO YOU KNOW
WHEN YOU NEED
GO TO
Health advice from a nurse for:
• Where to go for care
• At-home remedies
CareLineSM service
Call 24/7 or 612-339-3663 or
800-551-0859
Treatment and prescriptions for
minor medical issues such as:
• Bladder infections
• Pink eye
• Upper respiratory infections
virtuwell®
(a 24/7 online clinic)
or
Convenience clinics
(found in retail and grocery stores)
Primary care clinics
A regular checkup or special care
during the day for things such as:
• Diabetes management
• Vaccines
Care for urgent problems when your
doctor’s office is closed, such as:
• Cuts that need stitches
• Headaches
Urgent care clinics
Help in an emergency for conditions
such as:
• Chest pain or shortness of breath
• A head injury
Emergency room
LOCATION
AVERAGE
COST
AVERAGE
TIME SPENT
SLEEP APNEA
Free
Online
a quiet epidemic
$
Hudson
New Richmond
Amery
Clear Lake
Luck
Hudson
Mahtomedi
New Richmond
Somerset
Stillwater
Turtle Lake
$$
Amery
Hudson
Somerset
Stillwater
$$$
Amery
Hudson
New Richmond
Stillwater
$$$$
Do you and your mate take turns tossing pillows at one another during the night in an effort to stop each other’s snoring?
You both could have sleep apnea. Sleep apnea is a serious sleep disorder that occurs when a person’s breathing is interrupted
during sleep. People with untreated sleep apnea stop breathing repeatedly during their sleep, sometimes hundreds of
times, which means the brain — and the rest of the body – may not get enough oxygen. Sleep apnea is linked to diabetes,
cardiovascular disease, blood pressure issues, weight gain and memory issues.
It’s estimated that more than 18 million Americans have
sleep apnea and as many as 80 percent of those people
may be undiagnosed. “It’s growing like an epidemic,” says
Mustafa Ucer, MD, medical director of the Lakeview Sleep
Health Center. And while its symptoms can range from
annoying to potentially dangerous, the impact of untreated
sleep apnea on your overall health can be serious and even
deadly.
Molly Fox, RT, a respiratory therapist at the Westfields
Hospital & Clinic Sleep Center, says lifestyle changes such
as losing weight, eating healthier, exercising more, quitting
smoking or drinking less, may lessen the symptoms of sleep
apnea. “Often people find they have the energy to make
those changes only after getting a good night’s sleep for
the first time in years.”
Sleep apnea symptoms include:
•
•
•
•
•
•
•
6 ~
Loud snoring
Daytime tiredness
Frequent napping
Frequent awakenings
Morning headaches
Frequent nighttime urination
Restless sleeping
Oftentimes, says Fox, it’s the partner who notices the signs
of sleep apnea first. “It’s easy for people to be in denial or
not want to do anything about it, but the benefits of getting
treatment could be life-changing.”
TREATMENTS
A diagnosis of sleep apnea starts with a visit to the doctor.
He or she can refer you to a sleep specialist for a sleep
study. After the sleep study, you’ll receive a treatment plan
that commonly involves one or more of the following:
• C
ontinuous positive airway pressure (CPAP): Most
common for moderate to severe sleep apnea. The CPAP
machine gently blows air into your mouth during sleep to
help keep your airway open.
• M
outhpiece: Best for mild sleep apnea. Custom-fit and
can help adjust your lower jaw and tongue to keep your
airway open while you sleep.
• L aser surgery: Surgery widens the breathing passages.
Depending on the severity of your sleep apnea, surgery
may not eliminate symptoms entirely.
Patients report that when they use CPAP each night, they
feel more alert during the day, have improved mood and
better memory, says Dr. Ucer. “CPAP therapy can prevent
and even reverse serious health problems linked to sleep
apnea such as heart disease.”
TAKE OUR ONLINE SLEEP QUIZ AT HEALTHPARTNERSLOCALCARE.ORG,
where you will also find more information on our Sleep Apnea education session and Sleep Center Tour.
INSPIRE ~ 7
OMG:
What’s happening to my body?
“Um, Mom, there’s hair growing on my legs and under my armpits…help!” This may be a cry that
parents hear from their kids starting at age 8. Although it may seem young, this is when kids can
begin experiencing the physical and emotional changes associated with puberty. Remember,
this may be an uncomfortable time for your kids — and you — but it’s important to keep the
conversations going.
“THE TALK”
Acknowledge to your children that having
conversations about puberty may be embarrassing
and difficult but that it’s normal and a part of growing
up, says Bijan Shayegan, MD, pediatrician at Stillwater
Medical Group and Westfields Hospital & Clinic.
Dr. Shayegan says, “It’s important to keep having
the conversation – in bits and pieces over time – to
ensure your child has a good body image. He also says
kids may think they know more than they really do
because of what they’ve seen heard. “It’s important
that your child feels comfortable coming to you and
talking about their body changes so you can give
them the right information. Puberty lasts for several
years – and everyone goes through it at his or her
own pace.” Hormones guide the process with gradual
physical changes and may cause emotional changes.
Hormones may trigger mood changes and acne so
encourage good habits such as regular face washing, a
healthy diet and plenty of water consumption. Talk to
them about how they feel about their complexion and
reassure them that you’re there to help.
COMMON CHANGES IN BOTH BOYS AND GIRLS
As your son or daughter goes through these changes,
they may also have questions about sex. “Be
prepared to talk about sex,” says Dr. Shayegan. “Your
pediatrician can help you with appropriate resources.”
PUBERTY IN GIRLS
Typically, between 8 and 12:
• B
reasts start to develop and girls
may need a bra – be sensitive to
her privacy
• M
enstruation begins, which is
a turning point for girls. Talk
openly about what to expect with
periods; feelings and ask what
other kids are saying about
the subject
• H
air will start to grow under the
arms, on her legs and in the
pubic area
• C
hanges in the shape of her hips,
waist, bottom and thighs may
become noticeable
PUBERTY IN BOYS
Typically, between 9 and 14:
• Genital growth occurs
• Shoulders begin to broaden
• T
he larynx enlarges causing the
voice to crack
• Facial hair appears
• F
irst ejaculations occur through
masturbation or spontaneously
during sleep
VISIT HEALTHPARTNERSLOCALCARE.ORG/PEDIATRICS
to learn more about growth and development.
8 ~
INSPIRE ~ 9
Add sports physicals
to your playbook
Heads up about concussions
Did Friday night’s, fourth quarter tackle
leave your child feeling dizzy, light-headed
and nauseated? These symptoms may
indicate a concussion. A concussion is
a type of traumatic brain injury caused
by a bump, blow, or jolt to the head or
by a hit to the body that causes the
head and brain to move rapidly back
and forth. Concussions are usually not
life threatening but the effects can be
serious.
Steve Harrold, MD, a family medicine
doctor with an interest in sports medicine
at Westfields Hospital & Clinic, and a
credentialed ImPACT® consultant, says
symptoms of a concussion can include:
• Dizziness
• Headaches
• Balance issues
• Light-headedness
EVALUATION
To determine if a patient has a concussion, it’s important to first get
information about the injury. Patients then complete a concussion
survey to assess their symptoms and then undergo physical and
neurologic tests. “We use all of this information to determine the
seriousness of the injury and what care a patient needs,” says Paul
Schaefer, MD, a Stillwater Medical Group sports medicine physician.
TREATMENT
Dr. Schaefer says anyone who experiences a head injury – whether
it occurred during sports or another event – should undergo a
concussion or other head injury evaluation. “The testing, monitoring
and treatment for concussions are far different than decades ago,”
says Dr. Schaefer. “More research has been done on concussions
and the effects, and care plans are more comprehensive.”
Dr. Harrold says most people who experience a concussion work
with a physical therapist, which can
be an important part of recovery.
“Approximately 10 percent of
patients require medication to
help healing.”
• Nausea
• Trouble focusing
• Vision issues
• Neck pain
• Heightened emotions
• Light and noise sensitivity
Anyone who
experiences one
or more concussion
symptoms should
see a medical
provider.
10 ~
PREVENTION
Dr. Schaefer says helmets are
an important piece of safety
equipment to minimize the risk
of a catastrophic head injury; however,
this equipment hasn’t proven to reduce the
occurrence of concussions. “Strengthening the
neck muscles may help,” says Dr. Schaefer. “The
theory is that stronger neck muscles minimize
whiplash-type movements of the head at the time
of impact. Football players should learn proper
tackling technique. Hockey players can learn
to skate with their heads up to be alert
to possible impacts from those
skating around them.”
Awareness outside of the
sports arena is equally
important, points out
Stephanie Fall, a licensed
athletic trainer with the
Westfields concussion
program. “Be an attentive
driver,” she says. “Motor
vehicle accidents are culprits
for highly involved concussion
injuries. Even low speed rear
endings cause concussions.
Also, be aware of ice during the
winter months; a split second of
loss of balance on the ice has
potential to cause a concussion.”
Making sure that athletes are ready to tackle, sprint and volley
are part of general sports physicals. But, according to Amery
Hospital & Clinic pediatrician, Laura Smith, DO, general sports exams
often go beyond height and weight checks, and a review of athletes’
musculoskeletal system. Dr. Smith says during these visits, medical
providers often discuss diet, exercise and lifestyle topics with patients.
“In the teen years, a lot of kids aren’t seeing a doctor regularly,” says Dr.
Smith, “so sports physical appointments are a good time to check in. At these
appointments, I make sure patients are current with immunizations and talk
with them about age-appropriate topics such as puberty, sexual health, and
risky behaviors including alcohol, tobacco and drug use. I also use time to
screen teens for depression, anxiety and other mental-health issues.”
DON’T STAY HOME, MOM!
It’s common for teens to oppose their parents coming to the doctor with them,
notes Dr. Smith, however, there are benefits to Mom or Dad tagging along.
“Parents typically have family history information and will need to sign – if the
patient is under age 18 – for immunizations or tests.”
QUESTIONS TO ASK
RISK AREAS
Sports, car accidents, home
activities and work injuries are
the most common causes of
concussions. In some cases –
like a fall on ice or a motor
vehicle accident –a concussion
may not even involve a direct
hit to the head.
Often, students receive a questionnaire to complete before the appointment,
says Dr. Smith, which can help provide a patient’s medical history. Patients can
also bring their own questions to appointments.
PLANNING AHEAD
If your son or daughter’s regular, well-child exam is due and you know they’ll be
participating in sports, schedule the sports physical at the same time, advises
Dr. Smith. She also recommends June and July appointments — or even earlier
– so students don’t miss school and when there’s more availability. “August
and September are busy months for physicals so I encourage
making appointments early.”
VISIT HEALTHPARTNERSLOCALCARE.ORG/PEDIATRICS
for more information on sports physicals.
VISIT HEALTHPARTNERSLOCALCARE.ORG/SPORTS
for more information on concussions.
GOOD TO KNOW
Sports physical exams are valid
for three years in Minnesota and
two years in Wisconsin.
INSPIRE ~ 11
s Passport
in the Park
recipe
NEW CLINICIANS
AMERY HOSPITAL & CLINIC
Jessica Greupner, MD
Nicole TePoel, MD
Emergency Department
We
in the
David Henly, MD
Urology
y
ix Valle
St. Cro
HUDSON HOSPITAL & CLINIC
Mary McLaurin, MD
Cardiology
Passport to
SUMMER FUN!
Before your kids get a chance to say “I’m bored” this summer,
get your PowerUp Parks Passport. This passport can help you and
your kids discover the amazing, family-friendly parks and trails,
right here in the St. Croix River Valley. With the passport come fun
games and tips for making the most of your trips. In addition, you
can pick up a prize for completing all six activities. Download your
Passport at powerup4kids.org/passport.
Anna Smith, PA-C
Urgent Care
Ann Bergren, NP*
Family Medicine
Dorothy Connell, SMW, LICSW
Behavioral Health
*Due to join this summer
Sue McIntyre, NP
Oncology/Hematology
Artichoke Spinach
Yogurt Dip
STILLWATER MEDICAL GROUP
John Fedje-Johnston, MD
Family Medicine
INGREDIENTS
Japs Ann Lee, MD*
Internal Medicine
(Stillwater and Hudson)
AMERY º * - 715-268-8000
Jennifer Willette, MD*
OB/GYN
(Stillwater and Amery)
HUDSON º - 715-531-6700
Lauren Pasche, CNM
OB/GYN
STILLWATER º * - 651-439-1234
1 14-ounce can quartered artichoke
hearts, drained
1 10-ounce frozen spinach, thawed
and drained (or about 1 cup cooked
fresh spinach)
1 cup Greek yogurt, plain
1 cup mozzarella cheese
½ cup Parmesan cheese
2 cloves fresh garlic
Japs Ann Lee, MD
(starting July 2017)
Internal Medicine
Leo Passov, MD
Psychiatry
Cassidy Sanders, PA-C
Pulmonology/Sleep
INSTRUCTIONS
WESTFIELDS HOSPITAL & CLINIC
Mary McLaurin, MD
Cardiology
Andrew B. Johnson, APNP, CNP
Psychiatry
CLINIC LOCATIONS
CLEAR LAKE - 715-263-3100
LUCK - 715-472-2177
MAHTOMEDI - 651-439-1234
NEW RICHMOND º * - 715-243-3400
SOMERSET - 651-439-1234
TURTLE LAKE - 715-986-4101
* Walk-in appointments available
º Pharmacy location
1. Preheat oven to 350°F.
2.Wash your hands with soap and
water, then gather all your kitchen
gear and ingredients and put them
on a clean counter.
3.Chop artichoke hearts into bitesized pieces.
4.Mix all ingredients together
and season with a pinch of salt
(optional).
6.Bake for 20-22 minutes, or until
heated through, and the cheese on
top is melted.
7.Serve with whole-grain crackers or
tortilla chips. Makes 4-6 servings.
Lisa Howe, PA-C
Neurology
For many families, the summer
months are more laid back and
less structured, which could lead
to some healthy habits falling by
the wayside. PowerUp has several
tasty and healthy recipes to keep
the family on their health track.
5.Pour mixture into a small casserole
(or 1-quart oven safe dish).
12 ~
MAKE GOOD HAPPEN
powerup4kids.org/recipes
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Fill your prescription in any HealthPartners
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Pharmacy Locations
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Wherever you roam – we’re always ready to keep you healthy –
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Visit healthpartnerslocalcare.org to find care today.