Volume 9

Number 3

September December

2011

From the preSiDeNt Grant Wicklund, President and CEO, Exempla Lutheran Medical Center

EmErgEncy DEpartmEnt at ExEmpla luthEran to DElivEr SpEcializED SEnior carE

Hello, again! I hope your summer has been healthy, fun and productive! Exempla Lutheran Medical Center plays a leadership role in working to improve the health of the community we serveand this involves much more than the important task of caring for the sick. We feel strongly that this community health responsibility begins with our associates: the women and men who make Exempla Lutheran a great place. To that end, we became a tobacco-free campus on July 4, 2008 and began offering help with smoking cessation. Weve also made terrific progress toward health and wellness through our own Biggest Loser competition. Our Leaves of Hope walk/run to benefit the Cancer Center,
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nce again demonstrating our ongoing dedication to community health and well-being, Exempla Lutheran Medical Center (ELMC) has planned and developed a specialized Senior Emergency Department to serve our communitys growing senior population. The facility will open on October 1, 2011 and will target those over 65 years of age. The eight-bed Senior Emergency Join us for a special ELMC event: Department will The Wonder Years feature an intake and on Sunday, Oct. 2 from assessment process 9 10:30 a.m.: geared toward older n See an inspirational multiadults unique media presentation showcasing requirements. Routine senior athletes. screening will occur in the following senior n Learn strategies to improve care areas: memory. n Depression n Find out about ELMCs new identify and treat Senior Emergency Department. depression symptoms.
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inside
What is Palliative Care at Home and How Can It Help? 2 Exempla Lutheran Physicians: Growing in Number by Leaps and Bounds 3 The Long Road: Hope and Help for Recovering Substance Abusers 4 Bridges Skilled Acupuncturists Provide Healing Services 7 Bridges Integrative Health and Wellness Classes 8-10 Exempla Lutheran Medical Center Classes and Programs 11-19 ELMC a Gynecological Surgery Five Star Award Recipient 20

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What iS palliativE carE at homE anD hoW can it hElp?

patients primary physician, who cannot always be present in the patients home, and improves collaboration with other medical services. Our patients and their families frequently express their appreciation for our caring team: Thank you so much for having made a big difference in our lives. Your compassion made it easier for us at our most difficult time. There are people who assist you and people who really make a difference in your life. Palliative Care at Home made a difference in our lives. I just wanted to thank you for everything you did for her (the patient). You were truly her advocate, and there is something wonderful to be said for that! A Palliative Care at Home social worker, Kelly Bondurant, echoes these sentiments: I believe Palliative Care at Home really made a difference with a younger female cancer patient whose family was in turmoil. Our at Home team was able to meet with the patient and each family member individually to help identify their biggest concerns and goals. We were also able to help the patients oncologist talk openly with the patient and her family about her prognosis. The entire process affirmed the value of our role at these critical times. Palliative care. Appropriate at any age and at any stage in a serious illness. For more information on what palliative care could mean for you, a family member or friend, please call 303-403-7281 or visit us at www.exempla.org/hospice.

alliative care is specialized medical care for people with serious illnesses. This type of care focuses on providing relief from the symptoms, pain and stress of serious illnesswhatever the diagnosis. The goal is to improve quality of life for both the patient and the family. A team of doctors, nurses and other specialists works with a patients other physicians to provide an extra layer of support. Palliative care is appropriate at any age and at any stage in a serious illness and can be provided with curative treatment. Exempla Lutheran Hospice at Collier Hospice Center offers a Palliative Care at Home alternative for our patients. In this model, during an initial visit, a nurse practitioner learns about you or a loved ones goals while experiencing a life-limiting illness and develops a treatment plan to manage symptoms in the comfort of home, keeping patients vital, safe and healthy. A social worker specializing in palliative care at home helps patients locate resources that can facilitate helpful community connections, such as transportation options. Our team serves as the eyes and ears for the

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ExEmpla luthEran phySicianS: groWing in numbEr by lEapS anD bounDS

xempla Lutheran continues to expand its expertise in a variety of specialties, welcoming 62 new physicians to our medical staff since January 2011.

Exempla Lutheran Cardiovascular Services Exempla Lutherans cardiovascular team including its physicians is enhancing the center of excellence for cardiovascular services in our community. Physicians offering the latest advancements in cardiovascular care: n John Breckinridge, MD n Martin Fejka, MD n Kelly Kim, MD n Jody Kleinman, MD n Timothy Leavitt, MD n Douglas Martel, MD n Jerry Miklin, MD n Tatiana Tsvetkova, MD n Scott Valent, MD n William Gurdin, MD Chiropractic Services at Bridges Integrative Health Services Dr. Don Aspegren joined our staff of allied health professionals located at Bridges Integrative Health & Wellness. Dr. Aspegrens patients include those with sports injuries, workers compensation issues and general aches and pains.

Orthopedic Specialists Join Practices on the Exempla Lutheran Campus n David Bierbrauer, MD, specializing in hand and microvascular surgery n William Ciccone, MD, specializing in arthroscopy and sports medicine n John Lankenau, MD, specializing in spine surgery n Jeremy Kinder, MD, specializing in total joint replacement n Dustin Kruse, DPM, a podiatrist New Physicians at Exempla Lutheran Neuroscience Program Our Neuroscience Program, in the top 10 percent of programs nationwide in rapid evaluation and treatment of stroke symptoms, added four new physicians to offer the latest advancements in neurological care: n Don Frei, MD n Kirsten Nielsen, MD n Jeff Wagner, MD n Mark Watts, MD These physicians support the following neuroscience specialties: n Primary Stroke Center n Neuro Surgery n Aneurysm Surgery n Brain Stereotactic Radiosurgery n Epilepsy Monitoring and Surgery n Neurovascular Surgery

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thE long roaD: hopE anD hElp for rEcovEring SubStancE abuSErS
ince 1988, West Pines Behavioral Health on the Exempla Lutheran Medical Center campus has pursued its mission to promote the mental health of our patients and enhance the quality of life in our community. A former West Pines patient, Teigon Shirley, is happy to testify to his enhanced quality of life after participating in residential treatment at West Pines, followed by an eight-week outpatient program and ongoing after care. Teigon, a substance abuser, found that residential treatment was not the hardest part; moving on to what he calls the What now? phase was more challenging. Teigon knew his life and friends were built around a substance abuse lifestyle; he knew he had to form a new support group on the path to wellness, and West Pines helped him do just that. West Pines holistic approach to treatment at The Recovery Center includes fitness and sports programming provided by Phoenix Multisport, a not-for-profit organization whose mission is to foster a supportive, physically active community for individuals who are recovering from alcohol and substance abuse. Said Brad Sjostrom, Manager of the Recovery Center: By integrating Phoenix Multisport into our treatment plan while patients are here on our campus, patients not only benefit from the immediate gains of exercise and activity, but they create relationships with members of the Phoenix community that can help them successfully transition into a healthy, substance-free life after they complete our program. A rock climber from the age of 14, Teigon was excited about the opportunity to refresh his skills on the two-story climbing wall in
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the West Pines gym with the help of Phoenix Multisport facilitators. Once he left residential treatment at West Pines, he began actively pursuing a variety of outdoor adventures in addition to climbing, such as hiking, cycling and more. It gave me something to do, Teigon says simply, filling an important gap as he forged new friendships and support systems.
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I looked around one day, wistfully recalling my friends from the old days, but caught myself quickly. Today, I am surrounded by friends, thanks to West Pines and Phoenix Multisport. Perhaps best of all, after volunteering for Phoenix Multisport for some time, Teigon is now on their payroll as a full-time employee, helping others achieve lasting recovery. For more information about the treatment options available at West Pines, please call 303-4674080 or visit westpinesrecovery.org.

West Pines at a Glance

West Pines offers comprehensive psychiatric and chemical dependency services on the Exempla Lutheran campus in two separate buildings. A variety of outpatient services are also available: n Acute inpatient psychiatric care. n Medically supervised detoxification. n Residential treatment for chemical dependency. n Chemical dependency intensive outpatient services. n Behavioral health intensive outpatient services. n Partial hospitalization. n Medication management and crisis stabilization clinic
From the President (continued from page 1)

too, inspired many of us to get in better shape for this great cause. Additionally, were introducing stress reduction tools to help our associates cope with health cares pressures and on September 1, 2011, we will begin phasing out sugar-sweetened beverages (SSBs) campus-wide. An SSB is any beverage that contains added caloric sweeteners, such as soda, sports drinks, energy drinks, fruit punches and sweetened coffee and tea. Keeping extra weight off is tough enough. Were committed to not making that battle more difficult with readily available SSBs. I recently learned that a whopping 16 teaspoons of sugar go into one 20-ounce can of soda! Sugary drinks contribute greatly to obesity in Colorado and across the United States. One of every two adults in Colorado is overweight or obese. Even one pop per day can lead to a 10-pound weight gain annually. Between 1995 and 2008, adult obesity nearly doubled in our state, and were getting sicker as a result: rates of heart disease and diabetes are skyrocketing.

SSB calories now represent 21 percent of Americans total daily calorie intake! Unsweetened coffee, tea, good, old-fashioned low-fat milk, water and some new low-calorie beverages that actually dont contain highfructose corn syrup but instead offer natural juices are great SSB alternatives. Our cafeteria now offers fruit-infused water and a variety of healthy beverage alternatives. We recognize this could be a difficult adjustment for somejust as the campus-wide elimination of smoking was in 2008. We ask that those making an adjustment consider that this decision is based on a desire to contribute to the health and well-being of all of our associates, our patients and the community. Please join me in celebrating another positive step Exempla Lutheran is taking toward improved health and wellness! Thank you for your support.
Warm Regards,

September December

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Senior Emergency Department (continued from page 1)

Fall risk implement measures to reduce fall risk in high-risk patients. n Nutrition evaluate nutritional enhancements that may benefit the patient. n Pharmacology evaluate the patients medication profile. n Cognitive deficits identify and treat any cognitive changes. Case management hours will be extended for our Senior Emergency Department patients, ensuring careful management of additional at-home needs and facilitating connections with community resources available to seniors. An enhanced senior care environment will include improved lighting, softer flooring and more comfortable accommodations for family members who may also be seniors. Nurses and physicians assigned to the Senior Emergency Department are currently undergoing intensive training to prepare to more fully address seniors unique health needs. In fact, senior care has been a
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continuing Exempla Lutheran focus. In addition to the new Senior Emergency Department, we are moving rapidly toward NICHE designation (Nurses Improving Care for Healthsystem Elders). NICHE is a Hartford Institute at the New York University College of Nursing program. It is the only national geriatric nursing program that addresses hospitalized older adults needs. Exempla Lutherans goal is to achieve NICHE status by the end of 2011. A special symposium in honor of the Senior Emergency Department opening, The Wonder Years, will be held on Sunday, October 2, at the Wheat Ridge Recreation Center from 9 11:30 a.m. Pulitzer Prize winning photographer and author, Rick Rickman, will share inspiring stories and photos of senior athletes who never slow down. Also, information on how to work mental muscles to maximize memory will be presented, and visitors will learn all about Exempla Lutherans special Senior Emergency Department. To register, please call Jan Dionne at 303-425-2073.

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briDgES SkillED acupuncturiStS proviDE hEaling SErvicES

ridges Integrative Health & Wellness at Exempla Lutheran Medical Center provides highly-trained acupuncturists who can bring relief for a variety of physical conditions. Acupuncture is the insertion of very fine (thread-like) needles into the skin at specific points on the body to affect vital energy flow (Qi) and restore health. These points have been mapped by the Chinese over a period of two thousand years. Acupuncture Offers Relief for Laundry List of Ailments The World Health Organization, the health branch of the United Nations, lists more than 40 conditions for which acupuncture may be used. These conditions include: n Digestive: abdominal pain, hyperacidity, indigestion, GERD, constipation, diarrhea, IBS, ulcerative colitis, Crohns disease, nutritional mal-absorption, hemorrhoids. n Emotional: anxiety, depression, insomnia, nervousness, neurosis. n Eye, Ear, Nose and Throat: acute and chronic sinusitis, otitis media/ear infections, flu and cold treatment and prevention in adults and children, cataracts, gingivitis, poor vision, tinnitus, dental pain. n Gynecological: infertility, menopausal symptoms, premenstrual syndrome. n ens Issues: benign prostatic M hypertrophy, erectile dysfunction. n iscellaneous: addiction control, M athletic performance, blood pressure regulation, chronic fatigue, immune system tonification, stress reduction.

n usculoskeletal: M

arthritis, back pain, muscle cramping, muscle pain/weakness, neck pain, sciatica. n eurological: headaches, migraines, N neurogenic bladder dysfunction, Parkinsons disease, post-operative pain, stroke. n espiratory: asthma, bronchitis, R common cold, sinusitis, smoking cessation, tonsillitis. The National Institute of Health also found acupuncture useful alone or combined with conventional therapies to treat nausea caused by surgical anesthesia and cancer chemotherapy, addiction, headaches, menstrual cramps, tennis elbow, fibromyalgia, myofascial pain, osteoarthritis, low back pain, carpal tunnel syndrome, asthma and to assist in stroke rehabilitation. Some of the conditions mentioned above may require longer term treatment to gradually resolve, involving a personal commitment to health and long term quality of life. Acupunctures emphasis is on restoring health and balance and not just masking symptoms. When selecting an acupuncturist, patients should ask about the practitioners training and licensure. Bridges acupuncturists have completed over 1,800 hours (three years) of training and are nationally certified and licensed in the State of Colorado. Each Bridges acupuncturist has over five years of experience in a medical center setting. Some worry about the cleanliness of acupuncturists needles. Bridges
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Bridges Integrative Health and Wellness offers a variety of therapeutic services to enrich your mind, body and spirit integrating 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).

Bridges Comprehensive Services include: n herapeutic Massage T n re and Post-Natal Massage P 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.

Zumba! Are you ready to party yourself into shape? Zumba Fitness 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: Lutheran Medical Center, 2nd Floor Learning Center. Cost: five-class punch card $40, Drop-In $10 (If you plan to drop in, please call 303-425-2262 to check on exact location for that day.) Wednesday evening, 5:30 6:30 p.m. (Sept. 7 Dec. 14)

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Grace Grief Yoga Grace Grief Yoga offers a safe place to move through your grief, without judgment or expectation, and reconnect your mind, body and spirit. Grief resides in our body. If we attend to the grief, sadness and sorrow within our physical body, we can move through our pain instead of around it. Yoga is one way to experience this transformation within the grief journey, enabling the union of mind, body and spirit. This class series is for anyone grieving. Whether your loss occurred recently or years ago, your heart may still be grieving. This class series is an opportunity to connect with your body in a safe and non-judgmental space. There is no need to share your story or explain where you are in your grief journey. No previous yoga experience necessary. Please bring your own yoga mat. Location: Collier Hospice Chapel, located at the 32nd Avenue entrance. Follow the signs to building #20. Cost: $90 for the six-week series Thursday evening, 7:15 8:45 p.m. (Nov. 3 Dec. 15, no class Thanksgiving Day) 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 Occupational Medicine and Physical Therapy at Kipling and I-70, 9830 I-70, Frontage Rd South. Cost: $60 for six weeks Tuesday evening, 5:30 6:45 p.m. (Sept. 13 Oct. 18)

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 to learn 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, located at the 32nd avenue entrance. Follow the signs to building #20. Cost: $80 for eight weeks. Tuesday morning, 9:30 10:30 a.m. (Sept. 20 Nov. 8) Meditation 1: Introduction to Meditation NEW! 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 that you can find the one(s) that best fits your needs. Each week we will have a short discussion followed by two or more meditation periods. If you have always wanted to try meditating or have attempted it on your own without much success, meditating with others may be what you need to get your practice going. Minimum of eight. Location: ELMC, 2nd Floor across from Administration, Conference Room F. Cost: $75 Monday evening, 5:30 7 p.m. (Sept. 19 Oct. 17)

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Stress Less for Caregivers: Keep It Together Without Falling Apart This one-session class is specially designed for health care providers and professionals who experience secondary stress and all caregivers, both professional and personal. The focus of this class will be on techniques and ways to relieve stress. This is a one-session class. Instructor: Carol Emrick, RN, NP. Location: Bridges House. Cost: $20 per session Monday evening, 5:156:15 p.m. (August 1, Sept. 12, Oct. 3, Nov. 7, Dec. 5) 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 December 2011, $12 drop-in fee Thursday evening, 5:30 7 p.m. (Sept. 1 Dec. 8) Prenatal Yoga Nurture yourself and your growing baby through gentle breathing Hatha yoga. Learn basic breathing techniques and poses that are especially beneficial during pregnancy. Guided relaxation and visualization exercises encourage an open-minded, positive approach to pregnancy and birth. Please bring your own yoga mat. Location: ELMC, Womens North Pavilion, 2nd Floor, Aspen Room. Cost: Punch cards are now available, pay $60 for six-week session, good through December 2011, $15 drop-in fee Thursday evening, 5:30 7 p.m. (Aug. 25 Dec. 29)

Yoga for Meeting the Challenges of Cancer NEW! This class is specifically designed to enhance the well-being of cancer patients, whether in active treatment or not. All current patients and cancer survivors are welcome! Please bring your own yoga mat. Location: ELMC, 2nd Floor Learning Center, Room 3. Cost: $85 for six weeks, $17 drop-in fee. Please call 303-425-2262 if you plan to drop in. Thursday evening, 5:30 7 p.m. (Sept. 22 Oct. 27) 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 youd like to experience change. Class participants will have the chance to purchase a $20 CD which will guide them through practice daily after they have learned the skills. Please wear comfortable clothes and bring a yoga mat. Instructor: Diane Sieg, an emergency nurse turned professional speaker, author, coach and yoga instructor. Location: ELMC, 2nd Floor Learning Center Room 1. Cost: $35 Wednesday evening, 7 9 p.m. (Oct. 12)

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Skilled Acupuncturists (continued from page 7)

acupuncturists use sterilized, individually packaged, disposable needles. Needles are disposed of immediately after removal and are not reused. This eliminates the possibility of transmitting disease by a contaminated needle. Bridges also offers Japanese style Shonishin treatment, which does not use needles, but is performed by rubbing and tapping the surface of the skin. Other services at Bridges Integrative Health & Wellness at Exempla Lutheran include the following: n herapeutic Massage T n hiropractic C n utrition Consultation N n xercise Physiologist Consultation E n ypnotherapy H n ntegrative Nurse Consultation I n ealing Touch H Appointments are available MondaySaturday, and appointment times are flexible. In addition to seeing clients in our ambulatory setting, we also see patients in the hospital. In keeping with Exemplas commitment to the community, fees are reasonable. Cash, check and credit cards are accepted payment methods at time of service. Bridges is conveniently located at the southeast corner of the 38th Avenue entrance of the Exempla Lutheran campus. Follow the signs to Entrance #1; we are Building #1. For more information, please call (303) 425-2262 or visit us at www.exempla.org/bridges.

pulmonary rEhab 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 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. Call 303-4674122 for more information. Pulmonary Fibrosis Support Meets at the Exempla Lutheran Rehabilitation Center, 9830 I-70 Frontage Road South. For more details, call 303-467-4122. Free Last Tuesday, 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, 10-11:30 a.m.

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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.

You, Heart Disease and Breast Cancer Sometimes after you have been diagnosed with Breast Cancer, it is easy to forget how important it is to take care of the whole self and not just focus on your breast cancer. In fact, heart disease is the number one killer of women in the United States as well as a leading cause of disability among women. Tatiana Tsvetkova, MD, FACC, from Rocky Mountain Cardiovascular Associates, will speak about heart disease after breast cancer and how to thrive with a heart healthy lifestyle! Monday, 6 7:30 p.m. (Sept. 26) A Unique Perspective of the Breast Cancer Journey Health care professionals may not always fully comprehend what patients endure when diagnosed with breast cancer. After being diagnosed themselves, health care professionals gain a better perspective of and empathy for those on the other side of the stethoscope. Join us to learn about one physicians personal experience with breast cancer and how it has provided a unique perspective of the journey through breast cancer and survivorship. Monday, 6 7:30 p.m. (Oct. 24)

Step up to the Plate and Be a Winner! A new dietary plan, replacing the old dietary pyramid, was released in June by the US Department of Health. The biggest nutrition challenge today is closing the gap between awareness and action. Although more research needs to be done on diet and breast cancer, findings suggest that a healthy diet (particularly one low in fat and high in vegetables and fiber), along with physical activity and maintaining a healthy weight can help reduce the risk of breast cancer or recurrence. Come listen to Cherie Chao, registered ELMC dietitian, discuss healthy nutrition after breast cancer. Monday, 6 7:30 p.m. (Nov. 28) Holiday Party Come join us for some holiday fun. Bring your favorite dish to share. We will furnish drinks and the paper ware. We will be combining both the New StaRS and Ongoing StaRS for this party. If you would like to help make some families holiday brighter this year, please bring a gift card to share with a family we will adopt for the holidays. Wednesday, 6 7:30 p.m. (Dec. 7)

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for more detAiled informAtion, go to www.exemplA.org/communitycAlendAr

cancEr SErvicES Lutherans 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. (Oct. through May) 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 class confirmation. 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 Call AnswerLine at 303-689-4595 for schedule Lymphedema Class Provides education and support for women with lymphedema and their families. Free Last Tuesday, monthly, 6 7:30 p.m.

Free Mens Health Screening Saturday, Sept 24th 8:30 11:30 a.m. Prostate exam for men 40-75 years with no previous diagnosis; testicular exam for men 15-35 years. Other screenings and mens health information will also be offered. Appointments are required through Answerline 303-689-4595.

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colliEr hoSpicE cEntEr 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 (October) Writing Through Your Grief Group Journaling and poem-making 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: $40 for four-week session Tentative schedule for next session (September) Grief Support Groups For details, call 303-425-8000. No registration is required. Every 1st and 3rd Thursday, 1011:30 a.m. Every 2nd and 4th Wednesday, 6:308 p.m.

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for more detAiled informAtion, go to www.exemplA.org/hospice

Grief Education for Bereaved Spouses and Partners Call 303-425-8000 for application and details. Registration is required. Cost: $50. Tentative schedule for next session (September) Dragonfly Program This is a seven-week grief support group for children ages 6-12 and their parent/guardian. Call for details and registration, 303-425-8000. Tentative schedule for next session (Start in September) 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 (Sept. 10, 11 and 17) 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 Exempla Lutheran (7530 West 38th Avenue). For details, call 303-425-8000. Parking is located on the south side of the church. Wednesday, 7 p.m. (Sept. 7) Wednesday, 7 p.m. (Nov. 30)

Coping with Grief through the Holidays Registration is required by calling AnswerLine, 303-689-4595 Tentative date (Dec. 7) Holiday Remembrance Time A gathering for folks from both Wednesday and Thursday drop-in grief groups, as well as other grieving individuals, to remember and honor their loved ones with a small art project (easily done by all), group sharing and light refreshments. Registration is required by calling AnswerLine, 303-689-4595. Location: Collier Center Education Room. Cost: Donations gratefully accepted Tuesday, 6 7:30 p.m. (Dec. 20)

carDiac rEhab SErvicES These classes are for our Phase II Cardiac Rehab participants and are open to all community members, even those who are not Lutheran patients. The classes help you modify your lifestyle to prevent another heart event. Family members or friends are welcome to attend with you. Topics include Exercise Principles, Nutrition, Chest Discomfort and Meds, Stress Management, Heart Anatomy and Risk Factors and a Heart Recovery Support Group. All classes are held in the Exempla Lutheran 3rd floor Heart Center/Cardiac Rehab. Cost: $10.00 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. (Sept. 7 Dec. 28)

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WomEn anD family SErvicES Our family education courses are designed to provide the knowledge and 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. Childbirth Preparation Weekly One evening per week for four weeks. All sessions run from 6:30 9 p.m. Cost: $65 Monday sessions (Oct. 3 to 24; Nov. 7 to 28) Wednesday sessions (Sept. 7 to 28; Dec. 7 to 28) Childbirth Preparation Weekend Complete the Childbirth Preparation Class in one weekend. Cost: $65 Saturday and Sunday, noon 6 p.m. (Sept. 17 18; Oct. 15 16; Nov. 19 20; Dec. 17 18) Childbirth Preparation Express 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. (Oct. 1; Nov. 5; Dec. 3) Sunday, noon 6 p.m. (Sept. 11) Childbirth Preparation Private Please call Women and Family Services at 303-425-2229 to schedule a private class. Cost: $45 per hour (minimum two hours)

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Labor Skills Learn how to use positioning, relaxation, breathing and distraction techniques. Cost: $30 Tuesday evening, 6:30 9 p.m. (Sept. 13; Nov. 8) Prenatal Yoga Nurture yourself and your growing baby through gentle breathing Hatha yoga. Learn basic breathing techniques and poses that are especially beneficial during pregnancy. Guided relaxation and visualization exercises encourage an open-minded, positive approach to pregnancy and birth. Location: ELMC, Womens North Pavilion, 2nd Floor, Aspen Room. Cost: Punch cards are now available, pay $60 for six-week session, good through December 2011, $15 drop-in fee. Call 303-425-2262 to register. Thursday evening, 5:30 7 p.m. (Aug. 25 Dec. 29) Babies, Baths and Booties This one-session baby-care class will help you prepare for the first weeks at home with your baby! Cost: $35 Tuesday, 6 9 p.m. (Sept. 20; Nov. 15) Saturday, 9 a.m. noon (Sept. 24; Oct. 22; Dec. 10) Boot Camp for New Dads This is a one-session workshop led by men, for men. For this class only, call 303-866-8280 to sign up. Cost: $30 Saturday, 9 a.m. noon (Oct. 15; Nov. 12; Dec. 17)

Choosing Cloth Diapers Come learn about why to choose cloth diapers health, cost and environment. Cost: $20 Thursday, 6:30 8 p.m. (Nov. 3) Growing Your Green Family This class offers parents simple healthful solutions to creating a healthy, nontoxic and environmentally-friendly home without disruption to schedules or budgets. Cost: $20 Thursday, 6:30 8 p.m. (Dec. 1) Homemade Baby Food Thinking Outside the Jar 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. Cost: $20 Thursday, 6:30 8 p.m. (Oct. 6) 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 (Sept. 10; Oct. 8; Nov. 12; Dec. 10) 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 Wednesday, 6:30 8 p.m. (Nov. 2) 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) Sunday, 10 11:30 a.m. (Oct. 2; Dec. 4)

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Breastfeeding This two-hour class is designed for expectant mothers who plan to breastfeed. Cost: $35 Tuesday, 6:30 8:30 p.m. (Sept. 6; Oct. 11; Nov. 1; Nov. 29; Dec. 13) Saturday, 1 3 p.m. (Sept. 24; Oct. 22; Nov. 12) Pump Talk This free session not only reviews how to choose the right breast pump, but also provides information and a demonstration of the latest breastfeeding accessories. Thursday, 6 p.m. (Sept. 22; Nov. 17) 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 303-4252229 for information. Cost: $5.00 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. Mom and Baby Yoga Bring your baby and come join other moms and babies as we stretch, relax and rejuvenate! Cost: $40 for four-week session Tuesday, 10:30 11:30 a.m. (Oct. 4 25; Dec. 6 27)

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. Families Anonymous ELMC Learning Center, Monday, 7:30 8:30 p.m.

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Answerline 303-689-4595 for registrAtion n www.exemplA.org/communitycAlendAr

The Human Motion Institute offers free community education programs designed to keep you healthy, active and informed. Call AnswerLine at 303-689-4595 for more information or to register.

Knee Pain Related to Osteoarthritis The Human Motion Institute offers a comprehensive approach to prevention, assessment and treatment of knee pain related to osteoarthritis. This free seminar teaches: n ow osteoarthritis affects the knee H n ymptoms of osteoarthritis S n rotection from further wear and tear P n reatment options T Location: ELMC, Womens North Pavilion, 2nd Floor, Willow Conference Room Wednesday, 5:30 6:30 p.m. (Sept. 7, Oct. 5, Nov. 2, Dec. 7)

nEuroSciEncES Brain Aneurysm and Stroke Support Group 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. Location: ELMC, Medical Office Building #7, Suite 150, 3455 Lutheran Parkway Thursday, 6 8 p.m. (Sept. 22, Nov. 10)

SlEEp cEntEr at luthEran Sleep Apnea Support Group A.W.A.K.E. Featured speakers on various sleep-related topics. Bring your CPAP machine for a pressure check. For more information, call 303-425-8574. Diabetes with Obstructive Sleep Apnea Location: ELMC, 2nd Floor, Conference Rooms D&E Thursday, 7 8:30 p.m. (Oct. 6) How to Beat the Winter Blues Speaker: Phi Bender-Stone from West Pines. Location: ELMC, 2nd Floor Conference Rooms, D&E Thursday, 7 8:30 p.m. (Dec. 1)

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Exempla Lutheran Medical Center a Gynecological Surgery Five Star Award Recipient
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.

HealthGrades, the leading independent health care ratings company, recently announced that Exempla Lutheran Medical Center is a recipient of the Gynecological Surgery Five Star Award. This is the first year that HealthGrades recognized top hospitals outstanding gynecological teams. HealthGrades new Gynecological Surgery Five Star Award examines quality metrics for many common gynecological procedures to determine which hospitals have the best outcomes. HealthGrades uses all-payer data available in 19 states. Approximately 600,000 hysterectomies are performed annually, and the procedure is the second most common major surgical procedure among reproductive-aged women. A HealthGrades designation ensures that a woman who is considering a major reproductive surgery can identify which hospitals provide the best outcomes. Obstetrics and Gynecology is HealthGrades. coms third most searched for physician specialty. Said Ann Evans, Chief Nursing Officer, Exempla Lutheran Medical Center, of the honor: We at Exempla Lutheran have always known that women who elect to undergo reproductive surgery here receive an exceptional quality of care and experience great outcomes. I am so pleased that those searching for a gynecological surgery provider can now quickly identify Lutheran as the provider of choice. Please call 303-425-2229 for more information.

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