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P A R K N I C O L L E T Spring/Summer 2014 CARING FOR YOU Find your optimal health and well-being at the new Park Nicollet Women’s Center yo u r b i r t h , How a birth plan can help keep your delivery on track SUMMER SURVIVAL Tips for keeping your family happy, healthy and safe – WELLNESS – summer cold? Noteworthy news and information from the world of health care and beyond. It could be allergies. 30 % 8 13 >>>> SPR I N G / SUMMER 2014 <<<< Park Nicollet Be Well Magazine® is published by Park Nicollet Marketing and Communications, in partnership with Park Nicollet Patient Education and Park Nicollet Women’s Services leadership. Articles feature a variety of health and wellness experts from across Park Nicollet’s wide range of specialties. 16 of adults experience allergic rhinitis (hay fever). CARING FOR WOMEN Park Nicollet Women’s Center is a brand new facility unlike anything else in the Twin Cities – and it was created just for you with a focus on total health and well-being while paying special attention to comfort and convenience. Visit parknicollet.com/asthmaallergy to learn more about testing and treatment. SUMMER SURVIVAL School’s almost out and the kids will soon be running wild. Our experts offer advice for keeping your whole family happy, healthy and safe during those long, hot summer days. or a refreshing mojito – but it could be a cocktail for disaster. Alcohol can contribute to dehydration and heat exhaustion , so if you do chose to YOUR BIRTH, YOUR WAY If you have a baby on the way, a birth plan is an important part of making sure you have more control over what happens on the big day. Check out our tips for creating the right plan for you. imbide, be sure to sip slowly and drink plenty of water. The information in Park Nicollet Be Well Magazine does not necessarily reflect the opinions of all Park Nicollet clinicians and is not intended to be a substitute for professional medical advice, diagnosis or recommended treatments. You should always seek the advice of your qualified health care professional with any questions or concerns regarding your individual needs. parknicollet.com/bewell • EVERYDAY WELLNESS YOUR BODY: BLADDER BE CANDID GIVING BACK: FOCUSED ON WOMEN'S HEALTH FOOD: BETTER EATING FOR BETTER HEALTH WHAT’S HAPPENING AT PARK NICOLLET facebook.com/parknicollet • pinterest.com/parknicollet Cover photograph by Liz Banfield 3. 4. 6. 7. 12. 18. + On a hot summer day, nothing beats an ice-cold beer Send your questions or comments to: [email protected] or Park Nicollet Health Services, P O Box 650, Minneapolis, MN 55440 or The average Minnesotan consumes only half the daily recommendation of fruits and vegetables. Since summer is a great time for fresh, locally grown produce, visit a farmers market to stock up. ARE YOU USING enough sunscreen? SPF Most people don’t. Dermatologists recommend using at least one ounce – enough to fill a shot glass – and applying every two hours or after swimming. | Park Nicollet Be Well | Spring/Summer 2014 | 3 YO U R B O DY Always gotta go? Certain foods and beverages can cause bladder irritation and make you feel like you have to urinate more frequently. Try to avoid the following, and drink more water to help flush out irritants: alcohol get to KNOW YOUR artificial sweeteners caffeine acidic fruit or juices tomatoes DAIRY PRODUCTS spicy foods Incontinence: a common concern Many women experience urinary incontinence, especially after having children or as they age. Stress incontinence is when a woman laughs, coughs or sneezes, and then leaks. Urge incontinence, or overactive bladder, usually occurs when there is a need to go to the bathroom (urgency), but due to a lack of bladder control, the person can’t make it in time. “There are many effective treatments for urinary incontinence, ranging from pelvic floor physical therapy to medication or surgery,” says David Waggonner, MD, a Park Nicollet urogynecologist. Red alert Blood in your urine could signal anything from irritation to kidney stones to cancer, so if you see it, call your clinic for an evaluation. Health tip “Since dehydration can cause bladder irritation, make sure you drink enough water – your urine should be close to clear. And be sure to urinate on a regular basis,” says Jocelyn Rieder, MD, a Park Nicollet urologist. “Holding urine for a long time can cause the bladder muscle to weaken and can lead to other bladder issues.” Although it’s only about the size of a pear (when empty), it can sometimes feel like your bladder controls your life. Check out our experts’ tips for keeping your bladder healthy and reducing some of those pesky problems. 4 | parknicollet.com/bewell The bladder-sex connection You might not think of sex and your bladder as having anything in common, but bladder issues can cause problems in the bedroom. “For both women and men, bladder leakage can impact their sex lives as people are often embarrassed about this issue and steer away from being intimate,” says Tricia Zubert, NP, a Park Nicollet Sexual Health Clinic nurse practitioner. “For women, if the bladder is poorly supported by the ligaments or pelvic floor muscles, it can cause pain with sexual activity.” Don’t suffer in silence! From urinary incontinence to UTIs and more, Park Nicollet’s experienced Urology, Urogynecology and Sexual Health clinicians can help. Visit parknicollet.com to learn more. | Park Nicollet Be Well | Spring/Summer 2014 | 5 G I V I N G B AC K We asked the community to help us create a "giving tree" by sharing ways we could impact local women in need. Pa r k Ni colle t experts sh are their most valuabl e advice for your best health. As a result, Park Nicollet Foundation, hand in hand with community members and donors, is providing resources to improve the health of all women. Philanthropic gifts to three specially designed funds provide: / Scholarships for women who cannot afford prenatal, childbirth and breastfeeding classes Regain your confidence with pelvic floor physical therapy Pregnancy is a time of dramatic change in the body, and the average woman gains 25 to 35 pounds. Some women embrace their changing size and shape, but for women who show signs of an eating disorder, are excessively focused on body image or are in recovery from an eating disorder, it can be a dangerous, challenging period. Women who don’t eat enough or binge and purge during pregnancy put themselves at risk for dehydration, cardiac irregularities, gestational diabetes, labor complications and more. Babies receive all of their nutrients from their mother, so an eating disorder during pregnancy can lead to low birth weight, preterm birth, respiratory distress and other complications. It’s crucial for any woman who is struggling with eating to seek help from an eating disorders professional during pregnancy. We can help ensure you receive the proper nutrition and mental health counseling. Our compassionate team will be with you every step of the way to ensure the healthiest pregnancy possible. DEANNE NASH, PT PAULA DEAKINS, MD PHYSICAL THERAPY MELROSE CENTER | parknicollet.com/bewell FOCUSED ON WOMEN'S HEALTH How Park Nicollet Foundation is helping to create a healthier community for all women P Illustration by James Gulliver Hancock 6 / Women’s health education on a variety of topics including nutrition, preventive care, body image, menopause, osteoporosis, fibromyalgia and more When eating for two is trouble Many women experience stress urinary incontinence, light bladder leakage that occurs due to sudden increases in abdominal pressure, as with sneezing, coughing or exercise. This type of urinary incontinence is common in women and is often associated with weakened pelvic floor muscles. While surgery may be an option, women often don't realize that physical therapy is also a very effective treatment option – and typically the best first step. A physical therapist trained in evaluation of the pelvic floor will evaluate the strength and coordination of your pelvic floor and abdominal muscles, as well as your posture, hips and pelvis. From there, you will learn how to strengthen those muscles and use them properly so you can manage those leakage situations. Many women see a difference within a few months, but like any muscle in your body, you'll get the best results if you work at it every day. If you experience stress urinary incontinence and have seen your doctor to rule out infection or another issue as the cause, pelvic floor physical therapy can be a great first option to pursue – and for many, it can lead to a life free of those embarrassing little leaks. ark Nicollet Women’s Center is a beautiful, comfortable new facility that offers the range of services and high-quality care that all women deserve. But some women struggle with challenges – low income, lack of transportation, cultural differences and other $ barriers – that can keep them from getting the care they need. While plans for the Women’s Center were taking shape, we asked more than 600 community members to share their ideas for ensuring that all women in our community have access to this revolutionary concept in health care. / Mobile screening mammograms, co-pay assistance and diagnostic services / Grief support for families who suffer fetal loss / Culturally relevant care, multilingual materials and curriculum / Community outreach services “We are thrilled that the generous gifts we’re receiving will bring outstanding health care to all women,” says Christa Getchell, President of Park Nicollet Foundation. “Donations of all sizes are making an impact for thousands of women in our community.” To learn how you can support the Women’s Center funds, visit parknicollet.com/giveforwomen or call 952-993-5023. | Park Nicollet Be Well | Spring/Summer 2014 | 7 � new concept in WOMEN'S HEALTH CARE The new Park Nicollet Women ’s Center offers over 15 medical specialties, plus health and well-being support – all under one very P stylish roof. Convenience Park Nicollet has a long history of caring for women. From specialized areas like Methodist Hospital Family Birth Center and Jane Brattain Breast Center to our expansive primary care and Ob/Gyn practice, Park Nicollet is well known as a top provider of expert, compassionate care for women. Our new concept in women's health care brings more of the services women use into a single location: Park Nicollet Women's Center. Now open in St. Louis Park, Park Nicollet Women's Center is home to a team of medical personnel offering health care designed for women's busy lives. The center offers multiple preventive and specialty care services and is designed around four key areas that make it easier for women to take charge of their health: Comfort Care The Women's Center offers the preventive and specialty care services women use most in one location. Expert care teams provide seamless care across the system and have specific training and experience in women's health. Park Nicollet Women’s Center is designed to be a relaxing, healing environment with integrative services such as acupuncture, aromatherapy and therapeutic massage to enhance wellness and reduce stress; complimentary beverages; and special attention to details such as well-fitting, comfortable gowns and robes. Comprehensive all-inone appointments offer multiple preventive services in one visit, and our health care navigator helps women make appointments and access care across the entire system. Extended hours allow for Saturday morning preventive care appointments, while group visits and classes are offered in the evenings. Community The Women's Center is dedicated to outreach and advocacy for all women in our community. The Women’s Innovation and Transformation Fund provides ongoing support for community outreach services, education, support groups and culturally relevant care. Photography by Liz Banfield 8 | parknicollet.com/bewell | Park Nicollet Be Well | Spring/Summer 2014 | 9 A full spectrum of C A R E When it comes to your health, Park Nicollet Women’s Center offers a full spectrum of women's health services. / Obstetrical Care / Physical Therapy / Midwifery Care / Nutrition / Gynecologic Care / Mammography / All-in-one Appointments / Eating Disorders / Urogynecology / Integrative Health / Gynecologic Oncology / Lab and Ultrasound / Women’s Mental Health / Perinatology / Varicose Vein Screening (located in the adjacent Meadowbrook Building) To schedule an appointment at Park Nicollet Women’s Center, call 952-993-3282 or visit parknicollet.com/womenscenter to learn more. THE CHOWDOWN CHAL L ENGE To get Park Nicollet team members excited about healthier eating, the Better Eating Collaborative organizes a variety of engaging activities. In March, they hosted the Chowdown Challenge, a bracket-style recipe contest that got the entire organization involved in contributing healthy recipes and voting for their favorites. The winning recipe, submitted by Methodist Hospital’s Orthopedics team is a healthier version of a rich, creamy Cajun chicken pasta. “I love how colorful this dish is. It’s a nice, light pasta packed with veggies and flavor," says Nicole Marohl, RN, the recipe’s creator. Join the challenge Do you have a crowd-pleasing healthy recipe to share? Submit your recipe at facebook.com/parknicollet using the hashtag #chowdownchallenge. Cajun Chicken Pasta on the Lighter Side Adapted from skinnytaste.com Submitted by 7W-Orthopedics Methodist Hospital – Serves 5 – • 8 ounces whole grain linguine • 1 pound chicken breasts, cut into strips • 1-2 teaspoons Cajun seasoning • 1/2 teaspoon garlic powder (divided) • 1/2 teaspoon salt (divided) • 1 tablespoon olive oil • 1 medium red bell pepper, thinly sliced • 1 medium yellow bell pepper, thinly sliced • 8 ounces fresh mushrooms, sliced • 1/2 red onion, sliced • 3 garlic cloves, minced • 2 medium tomatoes, diced • 1 cup fat-free, low-sodium chicken broth • 1/3 cup skim milk • 1 tablespoon flour • 3 tablespoons fat-free cream cheese • freshly cracked pepper • 2 scallions, chopped • Olive oil cooking spray Prepare pasta according to package directions. Set aside. In a blender combine milk, flour and cream cheese. Set aside. Season chicken with Cajun seasoning, 1/4 teaspoon garlic powder and 1/4 teaspoon salt. Heat a large non-stick skillet over medium-high heat; spray with cooking spray and sauté chicken 5-6 minutes or until cooked through, working in batches if needed. Set aside. Add olive oil to the skillet and reduce heat to medium; add bell peppers, onions and garlic, and sauté 3-4 minutes. Add mushrooms and tomatoes, and sauté another 3-4 minutes. Season with 1/4 teaspoon salt and 1/4 teaspoon garlic powder, and freshly cracked pepper to taste. Reduce heat to mediumlow; add chicken broth and milk mixture, stirring for about 2 minutes. Return chicken to skillet and cook another 1-2 minutes until hot. Add linguine and toss to coat. Top with chopped scallions. Calories: 403 • Protein: 38g Carbohydrate: 44g • Fat: 8g • Fiber: 7g Specializing in the real you Park Nicollet Women’s Center was built on input from real women with real lives, who told us what matters most when it comes to their health. Meet your new BFF in health care : Park Nicollet women's health care navigator Whether you need that first wellness visit, are experiencing menopause or are somewhere in between, Park Nicollet’s new women’s health care navigator can help make sure you receive the right care for whatever stage of life you’re at. Our navigator works with your schedule by coordinating all-in-one appointments, group visits and more. If you’re dealing with a new diagnosis, the need for surgery or a big life event like pregnancy, 10 | parknicollet.com/bewell our navigator will be with you through the entire process. As an expert in women’s health, she’ll guide you through the sometimes complex health care system, answer questions about your medical condition or be available if you just need to talk. She also can facilitate communication with your doctors and care providers, coordinate services to streamline your visits and connect you with educational and community resources, including support groups and health education classes. We want all women to have access to the best care possible. The women’s health care navigator service is available free of charge to any woman who receives care from Park Nicollet, thanks to generous support from Park Nicollet Foundation. “Health involves so much more than treating disease. It’s looking at the whole person – your life circumstances, your relationships, your support network. Health takes into account how you interpret a diagnosis. You can be healthy, even if you have a chronic disease. And also, what is a small issue for one person may feel very big to another. I’m here to meet each person where they are and help them find their path within the health care system.” – ERIN Park Nicollet Women's Health Care Navigator "As a young adult I didn’t feel completely involved in my health care – I even felt a little intimidated sometimes. That changed when I experienced preterm labor while pregnant with my son. My Park Nicollet care team was great. They really listened to me and empowered me to make choices that were best for my situation. Now I realize how important it is for women to be engaged in their health care, and I see the Women’s Center as a place that encourages that involvement." – AbbiE Park Nicollet Patient Partner “When I was 35, my brother had a major stroke. It changed our family’s lives. I began to think more seriously about my health and my future. I had high blood pressure, and I wanted to have children, so I partnered with my doctor to prepare myself for healthy pregnancies. Today, I still take my health care seriously. I have two boys that I want to see grow up, and I don’t want them to experience what my brother’s son experienced. I also want to model for my kids the importance of taking good care of yourself by living a healthy lifestyle.” – Step h anie Park Nicollet Patient Partner | Park Nicollet Be Well | Spring/Summer 2014 | 11 Van Sloun, along with others from across the organization, has been part of a growing movement to make prevention through healthy eating a priority. And it’s not just patients they’re trying to reach. A survey showed that many of Park Nicollet’s own team members are not eating right and not getting enough physical activity. BETTER HEALTH Park Nicollet team members are joining forces to create a healthier community – starting from within our own organization. At Park Nicollet, we’re dedicated to helping people live their healthiest, happiest lives. And that means not only treating illnesses, but working to prevent them from occurring in the first place. And as our clinicians often see firsthand, some of the most common illnesses are caused by unhealthy lifestyles. “Over the past two decades, dramatic changes in eating habits and the food environment, 12 | parknicollet.com/bewell and a significant decrease in physical activity have led to increases in lifestyle-related disease including obesity, cancer, type 2 diabetes, hypertension, heart disease, stroke and dental disease,” says Nancy Van Sloun, MD, a Park Nicollet Internal Medicine doctor. “These diseases are killing people, they’re reducing quality of life and they’re a financial burden on our nation’s health care system – and they’re preventable.” Now, more than 100 Park Nicollet team members from across the organization – and even some patients – have joined forces to create the Better Eating Collaborative, a group dedicated to inspiring patients, team members and the community to embrace better eating. “We’re working together to optimize the role of nutrition in achieving better health outcomes,” says Gina Houmann, program manager. “This extends from encouraging our own team members to live healthier lifestyles to the information and guidance your clinician provides at your annual well visit, and will soon be brought into the community through conferences and outreach to other local health care providers.” Park Nicollet experts share their tips for keeping your kids safe and healthy – while keeping you sane – through these long, hot summer days. Avoiding the summer slide Illustration by Tuesday Bassen BETTER EATING FOR In response to the survey’s lackluster findings, Methodist Hospital food service took steps to encourage healthier eating for team members, patients and visitors by offering healthier meals in the hospital cafeteria, better options in hospital vending machines and suggestions for nutritious snacks at team member meetings and events. While we all like to kick back and relax on vacation, it’s important for kids to keep a schedule and stay engaged during school breaks. “Summer break can be a challenging time for families, as the rhythm of your usual routine is often interrupted,” says Joshua Zimmerman, MD, chief of Behavioral Health at Park Nicollet. “Kids need structure, but coming up with ways to fill the day may be a difficult task for many families.” Establishing a summer routine can help with that structure. “Even though your kids don’t have to be up early for school, make sure they follow a regular bed time and keep meal times as consistent as possible,” says Amy Mahowald, PT, a Park Nicollet Pediatric Rehabilitation supervisor. try to plan a portion of each day with structured family activities like morning walks or spending afternoons at the park. Consider giving each child a chores list that has to be done by the end of the day to get a special privilege. This can help teach them to budget time during the day to get jobs done. Camps and summer programs are great for giving kids the structured activity they need, but if that’s not an option, Limiting screen time is another key to avoiding the summer slide. “Computers and TV are easy and keep | Park Nicollet Be Well | Spring/Summer 2014 | 13 In addition to creating a structured environment, keep an eye out for any developmental issues that may need a little extra attention during summer break. “Some of the most common reasons we see kids in the summer are related to Critter control: dealing with bites and stings Nothing can ruin a picnic faster than a swarm of angry bees. “It’s not possible to prevent our kids from being stung, but your best bet is to try keeping them out of any area where there might be bees,” says Konnie Harstad, LPN, manager of Park Nicollet Allergy and Asthma. “Do not let them drink from open bottles or cans that have been sitting out.” If they do get stung, immediately move them away from the area with Stand up to the sun We all know sun exposure causes skin cancer, and aside from staying in the shade, sunscreen is our best tool to protect ourselves and our children. But if you think all sunscreen is equal, or wonder whether last year’s tube is still effective, read on for advice from Park Nicollet dermatologist, Larisa Speetzen, MD. Be choosy First, check the label for broad-spectrum protection. This protects against UVA rays, which cause aging, sun spots and wrinkles (and can pass through window glass), and UVB rays, which cause you to burn. Make sure the sun protection factor (SPF) is 30 or greater and the formula is water resistant. 14 | parknicollet.com/bewell struggles with small-motor skills like handwriting or parents having trouble understanding their child when they speak,” Mahowald says. “Large-motor concerns such as frequent tripping and falling or trouble riding a bike should also be mentioned to your child’s doctor. Many of these challenges can be helped with therapy.” take care of their mental health as well. Find other families who also have kids at home and see if you can exchange watching kids a few hours each week, so you can get some free time alone. bees, and try to remove the stinger with tweezers or scrape it out with a credit card. Wash the affected area and apply ice – don’t rub the area as that will spread the pain. Over-the-counter antihistamines can help with itching or swelling, and may prevent further symptoms. Another concern in the upper Midwest is Lyme disease, which is transmitted by the tiny deer tick. Transmission of Lyme disease usually takes more than 48 hours because the bacteria lives in the tick's intestines and takes time to make its way into the tick's saliva. Most cases are mild and medical care is not necessary. However, if your child develops hives or any breathing problems call 911 immediately. The best prevention is wearing clothes to cover the skin, including long pants, high socks and hats. Parents should examine their child's skin after being outdoors. Consider using a sunscreen that contains zinc oxide or titanium dioxide if you have very sensitive skin or when you are using sunscreen on your children. from the sun. Another option is Sun Guard, a laundry aid that adds sun protection to regular clothes in the wash. Cover up Don't like sunscreen? Think about sun-protective clothing. Local company Coolibar makes light-weight, breathable clothes that physically protect you Swimming Personal protection should include helmet, wrist guards, knee pads and elbow pads. It can be hard to enforce on a hot summer day, but the helmet should always be non-negotiable. Before hitting the pool or lake, always review water safety, including the importance of the “buddy system,” knowing the depth of water, and never diving into water with poor visibility or unknown depth. Bikes And finally, although it can sometimes feel like summer is all about the kids, it’s important for parents to The new spray sunscreens seem convenient, but there are some concerns about the safety effects of inhaling the sunscreen, and it's difficult to tell how much is actually applied to the skin. If using a spray, make sure you rub the spray in to ensure an even coating. Skateboarding and in-line skating Review the “rules of the road” with your children to make sure they know what side of the road to ride on, and the importance of obeying traffic signs. Buy a bike that fits your child now, and don't push your child to ride a two-wheeled bike without training wheels until he or she is ready. Start using a bike helmet when they learn to ride so it becomes a habit at an early age. For babies younger than 6 months old, avoid sunscreen and instead use clothing, hats, sunglasses and shade to protect your baby's delicate skin. Fireworks Fireworks are fun, but it’s best to leave them to the pros. Even common fireworks such as sparklers can reach temperatures above 1,000 degrees Fahrenheit, easily causing severe and longlasting burn injuries. Check the expiration date If you’re still hanging onto tubes from seasons past, you might be ok. The FDA requires sunscreen to retain its original strength for three years. Check for an expiration date and if there's no date, use a permanent marker to write the date of purchase. If a sunscreen has a funny smell or texture, throw it out. Lawn mowers Lawn mower injuries are quite common and are the No. 1 reason for amputation in young children. Children should be 12 years old to operate a push mower and 16 years old to operate a riding mower. Park Nicollet pediatrician Nathan Luscri, MD, and Tom Walsh, MD, a Park Nicollet Orthopedics doctor, offer tips for keeping your kids safe through several common summer scenarios. ATVs Illustrations by Tuesday Bassen kids occupied, but studies suggest too much screen time can contribute to problems with attention and behavior,” Zimmerman says. A good rule of thumb is to limit screen time to one hour per day. Children are involved in about 30 percent of all ATV-related deaths and emergency room-treated injuries. Children who are too young to have a driver’s license should not be allowed to operate off-road vehicles. Trampolines Thousands of injuries are caused each year by trampolines, and the American Academy of Pediatrics strongly discourages home use of trampolines. Providing supervision and proper spotting during trampoline use is important. It’s best to allow only one person at a time on the trampoline. Trampolines are not recommended for children younger than 6 years old. Playground equipment Especially with younger children, who are new to the equipment, review rules about not jumping off swings, standing on swings or jumping from high places, as well as sliding safety (one person at a time, no climbing up the slide). | Park Nicollet Be Well | Spring/Summer 2014 | 15 your way your birth , How a birth plan can help you prepare for delivery Whether it’s your first child or your fourth, an important part of preparing for labor and delivery is creating a birth plan. A birth plan helps communicate your preferences to your clinician and hospital care team. At the Family Birth Center at Methodist Hospital, we’re dedicated to delivering an exceptional experience for mom and baby. Visit parknicollet.com/familybirthcenter to learn about our facility remodel. Share your Family Birth Center story: #myfamilybirthcenter Welcoming baby to the world Those first moments as a new parent are filled with emotion – and you won’t be thinking about all the little details once you lay eyes on your baby. Your birth plan can outline your care preferences for your newborn, from who cuts the cord and when, to whether you plan to breast or bottle feed. 16 | parknicollet.com/bewell Photography by Liz Banfield You’ll also want to make decisions in advance about vaccinations and medications for your baby, as well as circumcision if you’re having a boy. Other considerations include who can visit, pacifier use and in-hospital photography. Bring your birth plan to a prenatal visit so your clinician can understand your desires for labor and birth. “When you’re working to create a birth plan, especially if you’re a first-time parent, gather as much information as you can,” says Eric Locher, MD, a Park Nicollet Ob/Gyn doctor. “Think about what's important to you. Attend prenatal classes to learn about your options – ask questions and make sure you understand your choices for labor and delivery.” Getting comfortable Be flexible Finding ways to be as comfortable as possible during labor is a top priority for most expectant parents. Since comfort is such an individual preference, identify what helps you relax, and plan for that. Think about whether you’d like to labor in the tub or shower, what music you want playing and how much light you want in your room. You may want to bring some comforts from home: a cozy robe, a blanket, pillows or other personal possessions that make you feel more at ease. As long as your labor and birth is uncomplicated, there are many aspects of the process that can be adjusted to your preferences. While most of the time labor and birth is normal, it can be unpredictable. It’s important to remember that a birth plan doesn’t guarantee a type of labor and delivery outcome – in the end the health of you and your baby are your care team’s top priority. Pain management is another important consideration. Some women want to be offered pain medicine right away and some don’t even want it to be mentioned during labor, while others prefer to wait and see how they feel at the time. In addition to pain medicine, you’ll want to consider how you feel about other drugs, such as those used to help labor progress. “I like to think of the birth plan as ‘birth wishes’ or ‘birth preferences’ since things may ultimately be different than planned or expected,” says Amy Knox, CNM, a Park Nicollet midwife. “I encourage my patients to bring to labor an understanding of what they hope for and also flexibility. It’s important for women to be kind and nonjudgmental toward themselves throughout the labor process.” | Park Nicollet Be Well | Spring/Summer 2014 | 17 NEW CLINICIANS WHAT’S 20 NEIGHBORHOOD CLINICS HAPPENING CHANHASSEN At Park Nicollet FREE VARICOSE VEIN SCREENING New Century Sessions: Chastity Brown with BBGUN Friday, July 25 | 7:30 p.m. New Century Theatre, Minneapolis As partner and lead sponsor for this original concert series, Park Nicollet is excited to provide a venue for artists to share their inspiration, music and stories. The New Century Theatre offers an up-close and personal experience. It's the perfect place to showcase the songs and stories of big local artists – and demonstrate that music has the ability to comfort, heal, connect, support and inspire. Purchase tickets online at hennepintheatretrust.org/ sessions, in person at the New Century Theatre box office (no fees) or by calling 1-800-982-2782. If you’re bothered by visible, bulging veins in your legs that cause pain, swelling or cramping, Park Nicollet Vascular Surgery may have the answer. Our board-certified surgeons will inspect your legs and recommend a potential course of action, including the latest, minimally invasive surgical procedures. Call 952-993-2651 for details and to schedule your free screening. ° Bloomington 952-993-2400 Brookdale* 952-993-4900 Burnsville* 952-993-8700 Carlson Parkway * 952-993-4500 Champlin* 952-977-0500 Chanhassen* 952-993-4300 Creekside 952-993-7700 Eagan 952-993-4001 Golden Valley 952-993-8300 Lakeville 952-993-8800 Maple Grove * 952-993-1440 Minneapolis 952-993-8000 Plymouth 952-993-8900 Prairie Center 952-993-7400 Prior Lake 952-993-7750 Rogers 952-977-0300 St. Louis Park * 952-993-1000 Shakopee 952-993-7750 Shorewood 952-993-2900 Wayzata 952-993-8250 ° ° ° ° ° ° ° ° ° * Walk-in urgent care offered seven days a week ° Pharmacy location Tania Kelly, MD Pediatrics GOLDEN VALLEY Jennifer Vesely, MD Family Medicine LAKEVILLE Julia Malnati, PA-C Family Medicine Support Parkinson’s care PRODUCT SPOTLIGHT Methodist Hospital Campus Dianne Bonner, PA-C Neurosurgery Kathryn Moore, MD Oncology Kristen Olson, FNP Gastroenterology Lauren Shearen, NP Vascular Surgery Visit parknicollet.com/ foundation/events to learn more. Bariatric surgery information sessions July 22 6:15–7:15 p.m. | Methodist Hospital Learn about the options Park Nicollet Certified Nurse Midwives provide for prenatal care and child birth. For more information, call 952-993-3528. Cholesterol basics July 7 | Minikahda Country Club, Minneapolis parknicollet.com/foundation/events 952-993-5023 Naturals’ Flip Flop Foot Repair stick is a quick fix for rough, dry feet. Plus, it’s paraben free and comes in four summery scents. Available in all our Health & Care stores and at shop.parknicollet.com. HEALTH CARE ON YOUR SCHEDULE We know you’re busy. That’s why more Park Nicollet Clinic locations offer walk-in and same-day appointments, plus evening and Saturday care. Call your clinic and ask about expanded hours. Redeemable at shop. parknicollet.com or at any of Park Nicollet's four Health & Care stores or 11 pharmacies. Groups and classes Meet the midwives St. Louis Park 20% off ONE NON-PRESCRIPTION ITEM Use discount code PARKNIC9 at checkout Mohammad Fareed, MBBS Family Medicine Golf and Bridge Challenge • ENT appointments are available five days a week therapeutic and outreach programs. Plymouth June 12 | Golden Valley Country Club • Physical Therapy now offers baseline concussion testing (pre and post) Cancer Center’s educational, Dates and locations vary Park Nicollet Bariatric Surgery Center provides weight-loss surgery and follow-up care for those struggling with severe obesity. This free session is a complete overview of all bariatric surgery options offered by Park Nicollet. For more information, call 952-993-3454. Silverstein Awards Dinner • Our new CT/MRI imaging center is open Monday through Friday, 8 a.m. to 9 p.m., and Saturday 8 a.m. to 5 p.m. This 5K/10K run, walk, bike or blade raises funds for Frauenshuh Charles Williams, RN, ANP Internal Medicine-Pediatrics John Fenyk, MD Dermatology Susan Holt, MD Dermatology Join Struthers Parkinson’s Center for two exciting fundraising events this summer. Sept. 6 | Thomas Beach, Lake Calhoun, Minneapolis MAPLE GROVE Carmen Jacobson, PA-C EXPANDED SERVICES IN BURNSVILLE | parknicollet.com/bewell EAGAN Melrose Center It’s sandal season! Pure Factory 18 Steven Soneral, DO Family Medicine Marathons of Hope Summer savings! Offer not valid on prior purchases or with any other offers or discounts. Limit one coupon per person. Other restrictions may apply. New moms support group Second and fourth Mondays 12-12:45 p.m. | St. Louis Park Clinic If you’ve been feeling sad, anxious or overwhelmed since the birth of your baby, you’re not alone. Connect with other new moms at this free drop-in support group, facilitated by experienced therapists. For more information, call 952-993-3307. Pre-diabetes class Dates vary Burnsville, Chanhassen and St. Louis Park clinics This two-session class is designed to promote healthy eating and activity habits for those with elevated cholesterol. $40. For more information, call 952-993-3454. Dates vary Burnsville, Eagan and St. Louis Park clinics If you’ve been diagnosed with prediabetes, this class will help you understand lifestyle changes to prevent the development of diabetes and community resources for ongoing management. $20. For more information, call 952-993-3454. Family Birth Center tours Advanced care planning class Tuesdays and Saturdays Expectant parents are invited to tour the Family Birth Center at Methodist Hospital. Free tours are offered twice weekly. For more information, call 952-993-3454. Dates and locations vary These group classes will teach you how to select a health care agent, initiate a family conversation and complete a health care directive. For more information, call 952-993-8250. | Park Nicollet Be Well | Spring/Summer 2014 | 19 NONPROFIT ORG. Park Nicollet Health Services P.O. Box 650 Minneapolis, MN 55440 U.S. POSTAGE PAID Park Nicollet Health Services parknicollet.com/bewell • facebook.com/parknicollet • pinterest.com/parknicollet Managing a family's health is a full-time job, on top of all the other full-time jobs in your life. Park Nicollet Women's Center makes it easier to keep your own health in line, with Saturday appointments, a health care navigator to help coordinate scheduling, and a female-focused approach that puts your well-being at the top of the list. parknicollet.com/womenscenter