Volume 10

number 1

January april

2012

From the president

Exempla Lutheran: Your 2012 Health and Wellness Partner

Hello, and welcome to 2012! Here we are again on the cusp of new possibilities, endeavors and achievementsthe best thing about each New Year. Grant Wicklund, Since were typically a nation President and of optimists, we are especially CEO, Exempla good at rebooting and Lutheran getting back on track. We Medical Center flock to the gym, try to eat more healthfully, vow to spend more time with our families, etc.all worthy goals. However, despite our good intentions, we sometimes get caught up in day-to-day routines and lose sight of our objectives. My friends, I know how challenging it can be to remain committed to health goals. Thats why its important to know Exempla Lutheran Medical Center can assist. As is obvious from the comprehensive class and workshop listings included in The Journal, we are fully prepared to help keep you on track with your 2012 health and wellness goals. Whether youd like to learn stress reduction techniques at Bridges Integrative Health and Wellness or participate in the many programs, health screenings and workshops available campus-wide, Exempla Lutheran is your 2012 health and wellness partner. Be sure to take advantage of all Exempla Lutheran, your community hospital, has to offer. I know I will. My warmest wishes for a year dedicated to YOUHappy New Year!

Comprehensive CanCer Care

he new Comprehensive Cancer Center at Exempla Lutheran Medical Center began serving the community on October 31, 2011. Exempla Lutheran consolidated several of its cancer services in Medical Office Building II, located at 3550 Lutheran Parkway, Entrance #10, on the Exempla Lutheran campus. Offering increased convenience for our patients, the Comprehensive Cancer Center occupies the first floor in Suite 100B; pharmacy services are located in the basement. The new location has also significantly increased our Infusion Centers capacity from 12 to 30 treatment areas. The Comprehensive Cancer Center includes the following: n Lymphedema services. n Genetic counseling to help individuals and families evaluate their cancer risk. n Clinical research and trials to keep Exempla Lutheran on the leading edge of cancer treatments.
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inside
Your First Choice: Exempla Lutherans Emergency Room 2 Womens Health Advances: the da Vinci Surgical System 5 Exempla Lutheran Senior Emergency Room Opens 6 Bridges Integrative Health and Wellness Classes 8-9 Exempla Lutheran Medical Center Classes and Programs 10-16 Survival 2 Exploring Motherhood 17 What You Should Know About Heart Failure 19 Focus on Fitness! 19

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Your FirsT ChoiCe: exempla luTherans emergenCY room

o one likes to anticipate a trip to the emergency room, but if serious health concerns such as a heart attack or stroke necessitate such a visit, theres no better destination than Exempla Lutheran Medical Centers Emergency Rooma cutting-edge facility that provides some of the finest emergency care in the entire nation.

Heart Attack Care Significantly Exceeds the National Average Exempla Lutheran is an accredited Chest Pain Center where leading-edge treatment is administered far more rapidly than the national average. The Society of Chest Pain Centers (SCPC) has established a researchbased standard of care for heart attack patients. Exempla Lutheran has received this organizations prestigious accreditation and has demonstrated compliance with its high standard of care. The SCPC accreditation process reviews the full range of care, including Emergency Dispatch Services, Emergency Medical Services, Emergency Room and Catheterization Lab, observation

unit, cardiac rehab, the cardiac in-patient units and cardiac rehabilitation. Should you or a loved one experience a heart attack, you can be confident of the exceptional care you will receive in Exempla Lutherans ER. For example: n The Chest Pain Center monitors our responsiveness to every patient who comes through the door and measures the time it takes to stop a heart attack in its tracks! The Chest Pain Center collects data demonstrating that Exempla Lutheran ERs door to balloon time (re-establishing patient blood flow in the plugged heart vessel) averages 67 minutes for all heart attack patients treated. The national goal is 90 minutes. Exempla Lutherans fastest door to balloon time on record is 14 minutes! n Exempla Lutheran has sixteen Exemplabased board certified Cardiologists. For patients requiring advanced cardiac interventions, Exempla Lutheran has four state-of-the-art cath labs.
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Before treatment, blood flow is cut off.

After treatment, blood flow is restored.

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A Gold Seal of Approval for Emergency Stroke Care Demonstrating our Neurosciences program excellence and full compliance with nationally developed stroke care standards, Exempla Lutheran has earned The Joint Commissions Gold Seal of ApprovalTM for certification as a Primary Stroke Center. An independent, not-forprofit organization, The Joint Commission is the This photo shows a mismatch of blood flow to the brain, nations oldest and largest indicating signs of a stroke. standards-setting and accrediting body in health based on the following quality indicators: care. Exempla Lutheran received its initial n After a stroke patient enters Exempla certification in 2007. The Joint Lutherans ER, the average time to Commissions Primary Stroke Center administration of clot busting t-PA is Certification is based on the Brain Attack only 60 minutesplacing our program Coalition and the American Stroke in the top 7 percent of all programs Associations recommendations for primary nationally. stroke centers. n The time from ER admittance to a The Joint Commissions reviewer remarks, neurologists care is less than 15 minutes. included: Exempla Lutherans use of state-of-the n I cant say enough about the quality of art CO-DOC telemedicine provides staff. rapid access to a neurologists expertise. n I am so impressed that the culture here n Six Blue Sky Neurology physicians focuses on the whole person, and not a support Exempla Lutherans Neuropatient as a number. Hospitalist program. For patients n The program here is mature and in requiring advanced neurosurgical great shape. interventions, such as those experiencing Should a stroke necessitate a visit to hemorrhagic strokes, two Exempla-based Exempla Lutherans Emergency Room for Neurosurgeons and four Interventional you or a loved one, you can rest assured an Neuro-Radiologists (INR) provide care. exemplary level of care will be experienced,

January april

2012

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Warning signs oF heart attacks and strokes

In order to receive the best care available, it is essential to increase awareness of early signs and symptoms of heart attacks and strokes. Both conditions outcomes benefit from rapid treatment, so it is often up to the sufferer and/or his or her loved ones, colleagues or friends to quickly identify what is occurring.

heart attack: Warning signs

Take a moment to review early warning signs of a heart attack. If you experience any of these symptoms or observe them in others, call 9-1-1 IMMEDIATELY: n hest discomfort Discomfort in the chest C that lasts more than a few minutes, or comes and goes. It can feel like uncomfortable pressure, numbness, squeezing, fullness or pain. n iscomfort in other areas of the upper D body Includes pain or discomfort in one or both arms, the back, neck, jaw, between shoulders or the stomach. n tomach symptoms An urge to throw S up. n hortness of breath Can occur with or S without chest discomfort. n ther signs Include breaking out in a O cold sweat, nausea or lightheadedness. Especially in women, tiredness can occur, sometimes for days or weeks before a heart attack. Women may also have heartburn, heart flutters, or loss of appetite.

stroke: Warning signs

A handy acronym, called FAST, can assist you if you suspect a stroke may be underway in yourself or another individual. Take a few minutes to review these early warning signs. If you identify any of them in yourself or others, IMMEDIATELY call 9-1-1:

Smile and observe the FACE. Does one side of the face droop? downward?

a Raise both ARMS. Does one arm drift s Speak a simple phrase. Is this difficult
and/or is SPEECH slurred or odd? ANY of these signs, call 9-1-1 IMMEDIATELY.

t TIME is of the essence. If you observe

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Womens healTh advanCes: The da vinCi surgiCal sYsTem

o doubt you have heard of one of the most important, recent surgical innovations: the da Vinci Surgical System. This robust technology allows surgeons to perform minimally invasive gynecological and urogynecological surgeries with unmatched precision, dexterity and control. Exempla Lutherans physician community is rapidly adopting da Vinci training and is proud to have 13 GYN robotic-trained physicians who provide surgical care through this sophisticated system. Robotic surgery, a minimally invasive option for a range of uterine conditions, provides 3D visualization and fine tissue manipulation capabilities, allowing the surgeon to see internal structures more clearly while performing with more accuracy and control. The following are among robotic surgerys many patient benefits: n Shorter hospital stay n Decreased pain n Less risk of infection n Less blood loss n Reduced scarring n Faster recovery n Rapid return to normal daily activities Dr. Gayle Crawford, an Exempla Lutheran OB/GYN, extols the rapid healing and variety of conditions robotics can treat successfully: Our patients are thrilled with their outcomes compared to traditional abdominal surgery. Our hysterectomy patients frequently go home the same day as surgery. Robotics is an effective option for all age groups. We treat women with heavy bleeding, endometriosis, fibroids, hysterectomies, and prolapse. As with any surgery, robotic surgery is patient and procedure specific and may not be appropriate for every individual or surgery. An upcoming FREE interactive education program will help you explore if it is right for you:

are You a CandidaTe?

Presented by Dr. Gayle Crawford Tuesday, January 31, 6 p.m. 8 p.m. Location: Parisi (Lower Level), 4401 Tennyson St., Denver, CO 80212

Dr. Crawford will address the following topics: n The Ideal Patient n Advanced Procedures n Clinical Outcomes n Patient Expectation Space is limited, to register online visit fasterrecovery.eventbrite.com or call Answerline at 303-689-4595

January april

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exempla luTheran senior emergenCY room opens To rave revieWs

n our fall Journal, we introduced our new Exempla Lutheran Senior Emergency Room. This comfortable, welcoming addition to our existing ER has been up and running since Oct. 4, 2011 and averages around 20 patients per day. You will recall the eight-bed Senior ER targets those over 65 years of age and features an intake and assessment process geared toward older adults unique requirements. Through our Senior ER and other hospital initiatives geared toward elders, Exempla Lutheran has proven itself a senior care leader. Our Senior ER team is already getting great feedback on what our patients call a spa-like experience. Said Carol Cooper, who was Exempla Lutherans first Senior ER patient: My room was calm and inviting. Even as the ER got busier, my room remained quiet. I was very well cared for everyone was especially kind, and I felt pampered! Contrary to the typical ER experience, our Senior ER patients frequently comment on how restful their experience was. Rather than the usual curtains for walls, our Senior ER patients enjoy actual wallsalong with non-skid floors and soft, calming lighting. The curtain covering the entrance to each room features tranquil scenes, such as mountain and ocean landscapes.
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Hearing and visual devices are readily available to facilitate staff communication with seniorsanother important feature of Exempla Lutherans Senior ER. These tools help keep our patients comfortable and informed about their treatment plan while decreasing overall noise levels. Finally, an additional benefit of our Senior ER is the care management available 13 hours per day, seven days a week. Our

community of seniors have the opportunity to make guided decisions about their recovery plan rather than struggling to figure out a plan on their own while not feeling their best. The outcome? Peace of mind for seniors and their families regarding the level of care available at Exempla Lutherans Senior ER.

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Comprehensive Cancer Care (continued from page 1)

Hopes Corner Boutique, offering a variety of products and services to improve the lives of cancer patients. n An American Cancer Society-sponsored research library.

Adjacent Physician Services Adjacent to the Comprehensive Cancer Center is Hematology and Oncology at Exempla Lutheran Medical Center. The Center is also located in Medical Office Building II, 3550 Lutheran Parkway, Entrance #10, Suite 100A. This new center combines two former practices, EPN Westview and Wheat Ridge Oncology. Oncologists in this group are Dr. Jennifer Caskey, Dr. Robert Swaney and Dr. Keren Sturtz. Denise Black-Andersen, Director of Cancer Services at Exempla Lutheran, said: We are extremely proud of our new facility and increased service capacity. Our cancer team stands ready to offer the latest in cancer treatment and care in a comfortable, convenient and state-of-the-art environment.

A Stellar Cancer Program The Exempla Lutheran cancer program is accredited by the American College of Surgeons Commission on Cancer, a scientific and educational association of surgeons founded in 1913 to improve quality of care by setting high standards for surgical education and practice. The Exempla Lutheran Breast Care Center is accredited by NAPBC (National Accreditation Program for Breast Centers). NAPBC-accredited centers are voluntarily committed to providing the best possible care to patients with breast diseases. Each breast center must undergo a rigorous evaluation and review. For more information regarding the Comprehensive Cancer Center at Exempla Lutheran, please call 303-425-8264. To reach Hematology and Oncology at Exempla Lutheran, please call 303-403-7333.

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Bridges Integrative Health and Wellness offers a variety of therapeutic services to enrich your mind, body and spiritintegrating rich healing traditions with the latest in preventive care. Bridges is conveniently located at the main entrance of the Exempla Lutheran Medical Center campus, in a blond brick ranch house at the southeast corner of 38th Avenue and Lutheran Parkway, 8098 West 38th Avenue (follow the sign to entrance #1; building #1). For more information or to register, contact Bridges at 303-425-2262. Bridges Comprehensive Services include: n herapeutic Massage T n re and Post-Natal P Massage n cupuncture A n hiropractic Services C n ealing Touch H n ntegrative Nurse I Consultation n utrition Counseling N n olistic Surgical Path H n npatient Services I n lasses and Workshops C To schedule an appointment or to register for a class, contact Bridges at 303-425-2262.
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Zumba! Come join the party! Zumba is the only dance fitness program that blends red hot international music and dance steps to form a fitness party that is downright addictive. Location: ELMC Learning Center 1. Cost: 5 class punch card $40, Dropin $10. Wednesday evenings, 5:30 6:30 p.m. (Jan. 4 April 25) Tai Chi Chih Tai Chi Chih practice is a non-martial art form comprised of 19 slow movements and one pose. Notice improved balance and flexibility, relaxation, reduced stress, increased energy, blood pressure control, and an overall sense of well-being. Location: Wheat Ridge Occ Med and Physical Therapy at Kipling and I-70, 9830 I-70 Frontage Rd South. Cost: $60 for 6 weeks. Tuesday evenings, 5:30 6:45 p.m. (Jan. 24 Feb. 28 or March 20 April 24) Tai Chi for Arthritis NEW! This Tai Chi form has been modified to meet the needs of people affected by arthritis. The movements are slow, easy, and safe. The benefits are increased flexibility, strength and balance. Tai Chi has been shown to help relieve pain and reduce stress. It can be practiced in a seated or standing position. Location: Collier Hospice Community Room, except on 1/24 and 3/27 we will meet in Learning Center 1 at the hospital. Cost: $80 for 8 weeks. Tai Chi for Arthritis Part 1 The beginning class coves warm-up exercises and the basic 11 movements. Tuesday mornings, 9:30 10:30 a.m. (Jan. 10 Feb. 28 ) (8 weeks) Tai Chi for Arthritis Part 2 This class contains the remaining 11 movements, completing the form and bringing it all together. Tuesday mornings, 9:30 10:30 a.m. (March 12 May 1) (8 weeks) Meditation 1: Introduction to Meditation The purpose of meditation is to bring attention to the present moment. Meditation can decrease stress and anxiety, bring clarity and mindfulness, and increase physical well-being. In this class we will try several different kinds of meditation, so you can find the one(s) that best fits your needs. Each week

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we will have a short discussion followed by two or more meditation periods. If you have always wanted to try meditating or have attempted on your own without much success, meditating with others may be what you need to get your practice going. Minimum of 8. Location: ELMC, 2nd Floor across from Administration, Conference Room F. Cost: $75. Monday evenings, 5:30 7 p.m. (Jan. 23 Feb. 20) (5 weeks)

encourage an open-minded, positive approach to pregnancy and birth. Location: ELMC, Learning Center Room 4/5. Cost: Punch cards are now available, pay $60 for six-week session, good through July 2012, $15 drop-in fee. Monday evenings, 6:30 p.m. 7:30 p.m. (Jan. 16 Feb. 20) Thursday evenings, 5:45 6:45 p.m. (Jan. 5 May 31)

Stress Less for Caregivers: Keep It Together Without Falling Apart This one session class is specially designed for all health care providers, caregivers and professionals who experience secondary stress. The focus of this class will be on techniques and ways to relieve stress. Instructor: Carol Emrick, RN, NP. Location: Bridges House. Cost: $20 per session. Monday evenings, 5:15 6:15 p.m. (Jan. 9, Feb. 6, March 5, April 2) Hatha Yoga for Students At All levels Of Practice Hatha Yoga is an excellent non-impact form of exercise that rejuvenates and energizes as well as relaxes the body and the mind. Each class includes a warm-up, breath awareness, classic yoga postures and flows, and deep relaxation. Please wear comfortable clothing and bring your own yoga mat. Drop-ins are welcome. Location: ELMC, 2nd Floor Learning Center Room 1. Cost: Punch cards are now available, pay $60 for six classes, good through July 2012, $12 drop-in fee. Thursday evenings, 5:30 7 p.m. (Jan. 12 April 26) Prenatal Yoga Nurture yourself and your growing baby through prenatal yoga. Learn basic breathing techniques and poses especially beneficial during pregnancy. Guided relaxation and visualization exercises

Exercise the Power of Intention Come learn a life-changing practice which takes only 30 minutes/day. It includes deep breathing, yoga poses, meditation and journaling. These activities are done for a total of 30 minutes each day and are designed to work together to support you in focusing on your personal intention (goal) in an area of your life in which youd like to experience change. Class participants will have the chance to purchase the $20 CD which will guide you through the practice on a daily basis after you have learned the skills. Please wear comfortable clothes and bring a yoga mat and journal. Instructor: Diane Sieg, an emergency nurse turned professional speaker, author, coach and yoga instructor. Diane will be available to sign her new book, 30 Days to Grace. Location: ELMC, 2nd Floor Learning Center, Room 1. Cost: $35 for twohour workshop. Wednesday, Jan. 25, 7 9 p.m. Grace Grief Yoga This workshop is for anyone grieving. Whether your loss occurred earlier this year or years ago, your heart may still be grieving. It includes a 30-minute conversation about grief and yoga and a 90-minute yoga practice and guided meditation. No previous yoga experience necessary. Participants will receive a packet of information regarding yoga and grief. Location: Collier Hospice Community Room. Cost: $35 for two-hour workshop. Saturday, Feb. 11, 10 a.m. noon
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pulmonarY rehabiliTaTion One of the greatest benefits of the support groups created by our Pulmonary Rehab team is the chance to exchange information with people with respiratory conditions who are doing a lot to breathe better and live longer. Call 303-467-4122 for more information. Available classes include: Project M.O.V.E Lung Disease Management and Physical Conditioning Classes This is an outpatient education and exercise program designed to assist pulmonary/ respiratory patients in leading a more active and independent life. Physician referral required. Exempla Lutheran Rehabilitation Center, 9830 I-70 Frontage Road South. Call 303-467-4122.

Mile High Pulmonary Fibrosis Support Group Meets at the Exempla Lutheran Rehabilitation Center, 9830 I-70 Frontage Road South. For more details, call 303-467-4122. Free. Last Tuesday, Feb. through Nov., 2 3:30 p.m. EZ Breathers Support Group Meets at the Exempla Lutheran Rehabilitation Center, 9830 I-70 Frontage Road South. For more details, call 303-467-4122. Free. 3rd Friday, March Nov., 10 11:30 a.m.

exempla WesT pines behavioral healTh

Exempla West Pines offers a complete continuum of care for people struggling with mental illness and/or addiction. Our services include various support groups hosted on our campus which are free and open to the public. Call Exempla West Pines at 303-467-4000 for more details.

AA 3rd Wednesday, 7:30 8:30 p.m., or all Thursdays, 7:30-8:30 p.m., or all Saturdays, 8 9 p.m. LifeRing Wednesday, 7:30 8:30 p.m. Al-Anon Sunday, 3:30 4:30 p.m. Cocaine Anonymous Monday, 7:30 8:30 p.m. Narcotics Anonymous Friday, 7:30 8:30 p.m. Bi-Polar Mental Health Group Tuesday, 6:30 8:30 p.m. Overeaters Anonymous Thursday, noon 1 p.m.

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exempla luTheran hospiCe Exempla Lutheran Hospice at Collier Hospice Center provides an array of end-of-life programs and services created to meet the needs of the terminally ill and those who love them. All of the support groups meet at the Center, located at 3210 Lutheran Parkway. Please check our Hospice website each month for updates on groups. Expressive Arts Grief Group Using the art process to explore feelings of grief. All materials provided. Registration is required. No art experience required. Dates and time TBA. Call AnswerLine 303-689-4595 for information regarding schedule. Cost: $60 for four-week session. Tentative schedule for next session (Feb. 2012) Writing Through Your Grief Group Journaling and poemmaking techniques will be offered to express and process grief with group support. No prior writing experience required. Registration is required. Dates and time TBA. Call AnswerLine 303-689-4595 for information regarding schedule. Cost: $45 for four-week session. Tentative schedule for next session (Jan. 2012) Grief Support Groups For details, call 303-425-8000. No registration is required for the day group. However, please call evening group facilitator, Jaynie Muggli, at 303-403-7187 prior to attending the evening group for the first time. Every 1st and 3rd Thursday, 10 11:30 a.m. Every 2nd and 4th Wednesday, 6:30 8 p.m. Grief Education for Bereaved Spouses and Partners Call for application and details 303-425-8000. Registration is required. Cost: $50. Tentative schedule for next session (Jan. 2012)

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Dragonfly Program This is a seven-week grief support group for children aged 6-12 and their parent/guardian. Call for details and registration, 303-425-8000. Tentative schedule for next session (Feb. 2012) Hospice Orientation For volunteers who wish to serve in the home hospice program or in the Collier Hospice Center. Call for details and an application, 303-425-8000. Tentative schedule for next session (Jan. 2012) Circle of Support This is a support group for caregivers who are caring for a terminally or seriously ill person. Call Collier Hospice Center at 303-425-8000 to register. 1st Tuesday, 5:30 7 p.m.

Memorial Services To honor loved ones who have died in our hospice program within the prior three months. Invitation will be sent. Location: Wheat Ridge United Methodist Church near ELMC (7530 West 38th Avenue). For details, call 303-425-8000. Parking is located on the south side of the church. Tentative schedule for next session (March 2012) Bridges Grace Grief Yoga This workshop is for anyone grieving. Whether your loss occurred earlier this year or years ago, your heart may still be grieving. It includes a 30-minute conversation about grief and yoga and a 90-minute yoga practice and guided meditation. No previous yoga experience necessary. Participants will receive a packet of information regarding yoga and grief. For more information or to register, contact Bridges at 303-425-2262. Location: Collier Hospice Community Room. Cost: $35 for two-hour workshop Saturday,10 a.m. noon (Feb. 11)

diabeTes eduCaTion CenTer We understand diabetes changes lives. With the help of the right people, you can manage your diabetes. With a primary care physician referral, we offer classes to assist you with diabetes care. Call 303-403-7930 for more information, or visit our website at www.exempla.org/diabetes. Wednesday afternoons, 2 5 p.m. Thursday evenings, 5:30 8:30 p.m. Saturdays, 8 a.m. 2:30 p.m.

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CanCer serviCes Lutherans Comprehensive Cancer Center provides numerous support groups and services to individuals and families, whether newly diagnosed or a long-term survivor. Call AnswerLine at 303-689-4595 for more information and to register. Breast Cancer Support Groups, STaRS (Sharing, Touching and Reaching Survivors) Newly Diagnosed Group For women in their first two years of treatment. Free. 3rd Tuesday monthly, 6 7:30 p.m. Ongoing Support Group For women who have survived breast cancer for more than two years. Free. 1st Wednesday, 6 7:30 p.m. General Cancer Support Group Ongoing informal discussion support group for cancer patients and their families. Free. 2nd Thursday monthly, 6 7:30 p.m. Ostomy Support A support group for patients dealing with an ostomy. For more information, call 303-4252510. Free. 1st Thursday, monthly, 9:30 11:30 a.m. Knitting for Life Support group for anyone touched by cancer survivors, family and caregivers. All skill levels welcome. Please bring your own supplies. Call AnswerLine at 303-689-4595 for confirmation of the class. 4th Thursday, odd months only, 6 7:30 p.m.

Look Good Feel Better This program, held in conjunction with the American Cancer Society, will teach women undergoing cancer treatment how to cope with changes in their appearance and includes demonstrations in the use of their complimentary make-up kit, wigs, scarves and accessories. Free with required registration. 9 11:30 a.m. (Jan. 9, Feb. 6, March 5, April 2) Lymphedema Class Provides education and support for women with lymphedema and their families. Free. Last Tuesday, monthly, 6 7 p.m. Skin Cancer Screening Clinic April (Date TBD), 8:30 a.m. to 1 p.m. Pink Hat Tea Party April 14 (Tentative date) January Cervical Health Awareness Month February National Cancer Prevention Month March National Colorectal Cancer Awareness Month April Cancer Control Awareness Month Unleash Your Strength: Programs Designed for Breast Cancer Survivors A series of special monthly presentations dedicated to Breast Cancer Survivorship. Call 303-425-8391 for more information and call AnswerLine at 303-689-4595 to RSVP at least one week in advance of the event.

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Zumba Dance Have you heard of Zumba? Have you wanted to try it just once? Mo Sherlock, Bridges Zumba instructor will be here to do a special session just for you and your fellow survivors. Its an exhilarating, effective, easy to follow, Latininspired, calorie burning dance fitness-party. You can go at your own pace the only requirement is that you move and have fun! For this session be sure to wear comfortable clothes you can move in. We guarantee you will laugh and have fun! Monday, 6:45 7:45 p.m. (Jan. 23) Breast Cancer Treatment Update: Whats New in 2012? Come listen to Robert Swaney, MD, MSPH, Medical Oncologist from Lutheran Hematology and Oncology. Dr. Swaney will discuss the latest info about new treatments in Breast Cancer. Updates from the San Antonio Breast Cancer Symposium will be included. Monday, 6 7:30 p.m. (Feb. 27)

Did you say Intimacy and SEXuality after Breast Cancer? Yes, intimacy can continue after breast cancer. Sexuality can blossom again! This presentation will discuss the physical and emotional changes that can affect intimacy and offer suggestions and encouragement for reestablishing and continuing a satisfying sexual life after a breast cancer diagnosis and treatment. This is for those who are now in a relationship and those who are not. Our presenter, Marne Wine, M.A., LPC, CST, specializes in sex therapy and is certified by the American Association of Sex Educators, Counselors and Therapists. Monday, 6 7:30 p.m. (March 26) Save April 14 as the date of our upcoming Breast Cancer Symposium!

neuro sCienCe Brain Aneurysm and Stroke Support Group (In partnership with The Brain Aneurysm Foundation) An educational topic relating to the recovery process will be presented while informal conversation will provide an opportunity for reassurance and personal exchange between survivors and caregivers. Members of our integrated team of neuro-specialists will be present to answer questions as we offer our ongoing support. Speakers: Roderick Lamond, MD; Mark Watts, MD; and Leon Stor, PA-C. To register, call AnswerLine at 303-689-4595. Seating is limited. Location: ELMC Medical Office Building #7, Suite 150, 3455 Lutheran Parkway Thursday, 6 8 p.m. (Jan. 19, March 22)

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Orthopedic specialists from the Human Motion Institute offer free community education programs designed to keep you healthy, active and informed. The following orthopedic classes are a part of our Menu for Bone Health Bone Appetit.

My Achy-Breaky-Back Health Tips Series All classes are held at ELMC in the 2nd Floor Learning Center, Classroom #4 Low Back and Leg Pain What Is It and How Does It Happen? Wednesday, 2:30 4 p.m. (Jan. 11) Exercise and Alternative Treatment Options For Low Back and Leg Pain Wednesday, 2:30 4 p.m. (Jan. 25) Surgical Options For Low Back and Leg Pain Wednesday, 2:30 4 p.m. (Feb. 8) Adult Scoliosis What Is It and How Does It Happen? Wednesday, 2:30 4 p.m. (Feb. 22) Alternative Treatment Options for Adult Scoliosis Wednesday, 2:30 4 p.m. (March 14) Surgical Options for Adult Scoliosis Wednesday, 2:30 4 p.m. (March 28) Sports Medicine Series Knee Tendonitis in the Active Adult Location: ELMC, 2nd Floor Learning Center, Classroom #5 Wednesday, 2:30 4 p.m. (Feb. 15)

Common Biking Injuries Associated with the Wrist and Hand Location: ELMC, 2nd Floor Learning Center, Classroom #4 Tuesday, 6 7:30 p.m. (March 20) Ailments of the Shoulder Location: ELMC, 2nd Floor Learning Center, Classroom #4 Tuesday, 6 8 p.m. (April 17)

Arthritis Classes All arthritis classes are held at ELMC in the 2nd Floor Learning Center, Classroom #4 Knee Pain Related to Osteoarthritis n How osteoarthritis affects the knee n Symptoms of osteoarthritis n Protection from further wear and tear n Treatment options Wednesday, 2:30 3:30 p.m. (Jan. 4, Feb. 1, March 7, April 4, ) Hip Arthritis Treatment Strategies Tuesday, 2:30 4 p.m. (Feb. 28) Surgical Treatment Options for Hip and Knee Arthritis Wednesday, 2:30 4 p.m. (April 25) To register for classes, call Answerline at 303-689-4595 or call 303-403-3425 for general orthopedic health information.

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Our family education courses are designed to provide the knowledge and Women and FamilY techniques to help you prepare for your babys birth. To register for classes or for any questions, please call 303-425-BABY or email wfss@exempla.org. serviCes

Childbirth Prep Four Weekly Sessions One evening per week for four weeks. All sessions run from 6:30 9 p.m. Cost: $65. Monday sessions (Jan. 23 Feb. 13; March 19 April 9) Wednesday sessions (Jan. 4 Jan. 25; Feb. 22 March 14; April 18 May 9) Childbirth Prep Condensed Weekend Complete the Childbirth Preparation Class in one weekend. Cost: $65. Saturday and Sunday, noon 6 p.m. (Jan. 21 and 22; Feb. 11 and 12; March 17 and 18; April 21 and 22) Childbirth Prep Express (1 Session) This one-session class is designed for busy people who cannot attend a more in-depth childbirth class. Cost: $55. Saturday, 9:30 a.m. 3:30 p.m. (Jan. 7; Feb. 4; March 3; March 31) Childbirth Prep Express (Two Weekly Sessions) This two-session class is designed for busy people who can only attend two three-hour classes. Cost: $55. Saturday, 9:30 a.m. 3:30 p.m. (Jan. 7; Feb. 4; March 3; March 31) Childbirth Preparation Private Please call Women and Family Services at 303-425-2229 to schedule a private class. Cost: $150 for a 2 1/2 hour session. Labor Skills Review Learn how to use positioning, relaxation, breathing and distraction techniques. Cost: $40. Monday evening, 6 9 p.m. (Jan. 9; March 5)
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Babies, Baths and Booties This one-session baby-care class will help you prepare for the first weeks at home with your baby! Cost: $40. Tuesday, 6 9 p.m. (Jan. 24 or Feb. 7) Saturday, 9 a.m. noon or 1 4 p.m. (Jan. 28; March 10; April 28) Boot Camp for New Dads This is a one-session workshop and is led by men for men. For this class only, call 303-866-8280 to sign up. Cost: $35. Saturday, 9 a.m. noon (Jan. 28; Feb. 11; March 24; April 21) Baby Care Naturally Homemade Baby Food and Cloth Diapers A registered dietician will educate families based on the American Academy of Pediatrics Guidelines - on how to buy, store, prepare, and serve healthy foods in a childs diet. Also, come learn about why to choose cloth diapers health, cost, and environment. Cost: $35. Thursday, 6:30 8:30 p.m. (Feb. 16) Pediatric CPR and Safety This class is recommended for anyone living with or caring for infants and children. Cost: $35 per person. Saturday, 8:30 a.m. noon or 1 4:30 p.m. (Jan. 14; Feb. 25; March 24; April 14) Preparing Your Dog for the New Baby A behavioral therapist and dog trainer will discuss techniques for making the transition easier for you and your dog. Cost: $35. Thursday, 6:30 8 p.m. (Jan. 19; April 19)

cALL 303-425-BABy FOR ReGisTRATiOn n www.exeMpLA.ORG/cOMMuniTycALendAR

survival 2 exploring moTherhood

urvival 2- Exploring Motherhood was born out of a need moms expressed after finding support and education in Survival for New Moms for the first six months of their babies lives. Moms like Jessica, pictured below with Jacob, her 6-month old baby, wondered, After all the great times learning, growing and connecting with other new moms in Survival, what can I do next? Heres the answer: your wonderful journey continues in Survival 2 Exploring Motherhood! This new support group allows moms with children 6 months or older to connect, share, reflect and growtogether! Robin Veraldi, RN, guides the group through times of thoughtful reflection based on various readings, meaningful discussion and relaxed conversation. Topics include: n olitude: carving out time for S yourself n ork issues W n ome life adjustments H n hat about romance? W n easuring motherhood; M listening to our hearts n nd much more! A Moms will come away refreshed, while taking home practical lessons and expanding their network of supportive friends! Please note: Survival 2 Exploring Motherhood is for moms only. Each evening the group meets, moms enjoy a special time, just for them. Please make child care arrangements in advance.

Survival 2 Exploring Motherhood: Take time away from your little one and connect monthly with other mothers. Our discussions will help you take better care of yourself while raising your child. Discover how to be the mother you want to be while avoiding competition and pressure from friends and family. For mothers with children 6 months and older. Cost: $10 per class. Second Thursday of every month, 6:30 p.m. 8 p.m.

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Sibling Safari This excursion prepares siblings-to-be for a new baby, and helps them feel comfortable in the hospital setting. Parents remain with their children during this class. Cost: $30 per family (includes visor). Saturday, 10 11:30 a.m. (Feb. 18) Breastfeeding This two-hour class is designed for expectant mothers who plan to breastfeed. Cost: $35. Tuesday or Wednesday, 6:30 8:30 p.m. (Jan. 10 or 31; Feb. 8 or 21; March 13 or 28; April 4 or 17) Pump Talk This session not only reviews how to choose the right breast pump, but also provides information and a demonstration of the latest breastfeeding accessories. Cost: $10 (upon attending, you will receive a $10 gift certificate to be used in the Nursing Nook). Thursday, 6 p.m. 8:30 p.m. (Jan. 26; March 22) Survival for New Moms You and your baby are invited to meet other new moms while learning about infant feeding, sleep patterns, newborn personalities and the many other aspects of being a mom. Call 303-425-2229 for information. Cost: $10 per class. Wednesday or Thursday morning sessions, 10:30 a.m. noon Breastfeeding Support Group The Lactation Center provides a breastfeeding support group. Lactation Consultants are available to answer questions, address concerns and provide before and after feeding weights. Call 303-425-2229 for more information. Wednesday and Thursday mornings, 9:30-10:30 a.m.

CardiaC rehab serviCes These classes are for our Phase II Cardiac Rehab participants and are open to all community members, even if you are not a Lutheran patient. They are designed to help you modify your lifestyle to help prevent another heart event. Family members or friends are welcome to attend with you. Topics include Exercise Principles, Nutrition, Chest Discomfort and Medications, Stress Management, Heart Anatomy and Risk Factors, and a Heart Recovery Support Group. All classes are held in the ELMC 3rd floor Heart Center/Cardiac Rehab. Cost: $10 fee per class for members of the community; no fee for Cardiac Rehab patients and their family members. For information and a schedule, call 303-403-3602. Wednesday, 8:45 9:45 a.m.; 10 11 a.m.; 3:15 4:15 p.m. (ongoing starting Jan. 4) Heart Failure Awareness and Cardiac Rehab Expo This event will be hosted on ELMCs 2nd floor balcony. There will be numerous tables to browse with education and information about available service. Wednesday, 11 2 p.m. (Feb. 15)

Bridges Prenatal Yoga See page 9 for details. Monday evenings, 6:30 p.m. 7:30 p.m. (Jan. 16 Feb. 20) Thursday evenings, 5:45 6:45 p.m. (Jan. 5 May 31)

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heART cOnnecT 303-425-2944 FOR ReGisTRATiOn n www.exeMpLA.ORG/cOMMuniTycALendAR

WhaT You should KnoW abouT hearT Failure: one oF ameriCas silenT epidemiCs
Dont miss our free educational kick-off seminar and classes! Heart failure, a syndrome which occurs when the heart loses its ability to pump enough blood throughout the body, is a common disease that affects nearly 5 million Americans and is the only major cardiovascular disease on the rise. The fact that more people are surviving heart attacks is one of the biggest contributing factors to this rise in incidence. While there is currently no known cure for heart failure, recent scientific advances in treatment offer patients a more normal life expectancy. Join us at our kick-off celebration with a full month of weekly classes! What is Heart Failure Monday, Feb. 13, 2012 11 a.m. noon noon 1 p.m. Healthy Snacks and Vendor Fair 1 p.m. 2 p.m. Treatments for Heart Failure Monday, Feb. 20, 2012 1 p.m. 2 p.m. Heart Failure Nutrition Monday, Feb. 27, 2012 1 p.m. 2 p.m. Living with Heart Failure Monday, March 5, 2012 1 p.m. 2 p.m. Advanced Life Planning Who should attend? If you or a family member have been affected by one of the following you wont want to miss this seminar: high blood pressure, heart attack, coronary artery disease, damage to heart valves, diabetes, or obesity. You are free to attend one or all classes space is limited, so please RSVP. Location: Exempla Lutheran Medical Center 2nd Floor Learning Center To RSVP please call Heart Connect at 303-425-2944.

FoCus on FiTness!

his is an exciting program for anyone experiencing risk of cardiovascular disease, heart failure or peripheral artery disease. A professional staff of nurses, physical therapists and exercise physiologists will monitor and guide you to better health. The program includes blood pressure and heart rate monitoring, weight management, oxygen saturation, supervised exercise and education. Ask your physician for a referral today! Call Cardiac Rehabilitation as ELMC for more details. Meets on Tuesdays and Thursdays and costs only $40/month. Call 303-425-3602 for more information.
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Baby your baby. Baby yourself.

Exempla Healthcare 8300 West 38th Avenue Wheat Ridge, CO 80033 303-425-4500 www.exempla.org
The Journal is published three times per year by Exempla Lutheran Medical Center in partnership with the Exempla Lutheran Medical Center Foundation to share health information for the benefit of the community including patients, volunteers and donors.

See the most amazing five-star place to have a baby, with spa-like birthing suites and hotel-like atmosphere.

Non-Profit Organization U.S. POSTAGE PAID DENVER, CO Permit No. 1079

Be our guest and take a personalized tour of our five-star facility: Jetted tubs Restaurant-quality food Flatscreen TVs

Call 303-425-8154 for more information or visit our website (www.exempla.org/babies) for a virtual tour.

Find us on Facebook at Babies Like Lutheran.