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X-rays provide anatomic images of specific areas. Among the exams performed in the diagnostic area are Upper and Lower GI, IVP, chest X-rays and routine X-rays of the various bones in the body. Memorial has two x-ray suites that allow positioning of patients in a variety of fashions, from reclined to upright, to provide the best images for diagnosis. A portable x-ray machine is also utilized for bed-side imaging in the ER and on the Medical/Surgical wing and ICU. In the OR, a C-arm machine is used for various procedures. C-arms are used primarily for fluoroscopic intraoperative imaging during surgical, orthopedic and emergency care procedures. The devices provide high-resolution X-ray images in real time, thus allowing the physician to monitor progress and immediately make any corrections.

Memorial Hospital’s full service laboratory is CAP Accredited, CLIA Certified and staffed 24 hours a day, 7 days a week. CAP Accreditation and CLIA Certifications means that Memorial's Lab meets required standards from CLIA, FDA and OSHA which indicates that we exceed the standards, and provide exceptional patient care and safety. The lab offers chemistry, hematology, blood bank, microbiology, serology and coagulation processing. The lab also does drug screens and breath alcohol testing. The lab is open for patient services: Monday-Friday 6:00am-6:00pm Saturday-Sunday 6:00am-2:00pm Memorial Hospital's Rural Health Clinics in Chester and Steeleville, also offer lab services during regular business hours, Monday-Friday 8:00am-12:00pm and 1:00pm-5:00pm.

Signs and Symptoms that indicate you may need a stress test include: • Moderate to severe chest pain. • Severe shortness of breath. • Abnormally high or low blood pressure. • An abnormal heart rhythm. • Dizziness. • Fatigue. • Certain changes in your electrocardiogram. Nuclear stress test is an imaging method that uses radioactive material to show how well blood flows into the heart muscle, both at rest and during activity. How the Test is Performed It is done in stages: You will have an intravenous (IV) line started. • A radioactive substance will be injected into one of your veins. • You will lie down and wait for between 15 and 45 minutes. • A special camera will scan your heart and create pictures to show how the substance has traveled through your blood and into your heart. Most people will then walk on a treadmill. • After the treadmill starts moving slowly, you will be asked to walk faster and on an incline. • If you are not able to exercise, you may be given a medicine that will make your heart beat faster and harder, similar to when you exercise. Your blood pressure and heart rhythm will be watched throughout the test. When your heart is working as hard as it can, a radioactive substance is again injected into one of your veins. • You will wait for 15 to 45 minutes. • Again, the special camera will scan your heart and create pictures. Your provider will compare the first and second set of pictures using a computer. This can help detect if you have heart disease or if your heart disease is becoming worse.

Memorial Hospital invites you to participate in our Telehealth Specialty Clinic program. The program will allow your doctor to conduct a virtual visit using a telehealth device. Through this device, your doctor will be able to interact with the patient, seeing and hearing the patients from a remote location using high quality audio/visual equipment. During your virtual visit your doctor will also have access to exam devices and peripherals, such as a digital stethoscope, that allow them to perform remote evaluation with the assistance of clinic staff. Paying for your telehealth appointment varies depending on your insurance status and insurance coverage. Check with your insurance company to find out whether you are covered for a virtual visit. Patient FAQ’s What Is Telehealth? Telehealth is receiving a medical visit through videoconferencing or sometimes just a phone call with the healthcare provider in a different location from the patient. What Does Telehealth Mean? Telehealth — sometimes called telemedicine — lets your health care provider care for you without an in-person visit. Where Do I Go for My Telehealth Visit? Memorial Hospital Specialty Clinic Where Will My Doctor Be Located? Your doctor will be located at their remote location yet still able to interact with you using the help of the nurse or medical assistant. Why Should I Use Telehealth? Telehealth is another option for receiving care from a provider. The benefit of telehealth is increased access to a clinic visit on a day when the provider cannot be physically on site at your location. Is Telehealth Safe? Telehealth is a safe and an effective way to extend the delivery of health care. It may not be appropriate for ALL clinical situations. Your provider can help you determine if telehealth is appropriate for you. Just like an in-person visit, the same quality of care can be achieved using a telehealth visit appropriately. Is My Information Safe? Yes. Telehealth is a safe and secure way of connecting with your health care provider online. Just like in-person care, your telehealth appointments, messages, and information are protected by privacy rules. The telehealth equipment complies with the Health Insurance Portability and Accountability Act (HIPAA), a US law that protects patient information. How Do I Schedule a Follow-Up Virtual Visit? Contact the Specialty Clinic where your specialist holds in-person clinics. For more information, call 618-826-4581 ext. 1366

Memorial Hospital’s Swing Bed program provides a wide range of interdisciplinary rehabilitation services to patients with short term rehabilitation and medical needs. Following a qualified three-night acute-care stay, patients may be referred by physicians, acute care hospitals or other health care professional, for admission to swing bed status. Our swing bed team will meet with the patient to evaluate their condition and level of function. The team will assess the patient’s needs, plan treatment and establish an estimated time frame to meet the team’s goals. Family members are an integral part of the treatment team. They are involved in decision making, made aware of daily progress and are also invited to participate in our tri-weekly interdisciplinary patient care meetings.

The American Academy of Pediatrics (AAP) recommends you take your baby to the doctor for 10 checkups during their first 2 years. Recommended Ages: • 3-5 Days • 1 Month • 2 Months • 4 Months • 6 Months • 9 Months • 12 Months • 15 Months • 18 Months • 24 Months Check-Ups Include: • Physical Exam • Check your baby's growth • Assess your baby's developmental milestones, the behaviors and expected skills at each age. • Recommended Vaccinations Well Baby Check-Up Physical Exams Include: • Weight, length, and head circumference • Heartbeat and breathing • Hips, legs, arms, back and spine • Eyes • Ears and nose • Mouth and throat • Neck and underarm lymph glands • Skin for birthmarks and rashes • Stomach • Additional age specific assessment to check to see if your baby is meeting the developmental milestones for their age group Developmental Milestones: Each baby is different and may achieve milestones at a different pace. Providers track expected behaviors and skills appropriate for your baby's age to check to see if there are any delays or areas of concern. • Observe child's behaviors • Asks you about your baby's age-related accomplishments • Asks about how you and your baby are doing, and about their feeding, sleeping and development. Well Baby Vaccinations: The CDC recommends a dosing schedule to help protect children against diseases. Vaccinations are given at their recommended times upon parent consent. Recommended infant vaccinations include: • Hepatitis B • Rotavirus • Diphtheria (DTaP) • Hib • Pneumococcal Conjugate • Polio • Influenza • COVID-19 Chester Clinic participates in the Vaccines for Children (VFC) program which offers vaccines at no cost to eligible children through health care providers enrolled in the program.

Contraceptive implants are a long-term birth control option for women. A contraceptive implant is a flexible plastic rod about the size of a matchstick that is placed under the skin of the upper arm. It releases a low, steady dose of a progestational hormone. One reason the birth control implant is so effective is that it’s easy to use. Advantages include: • one of the highest levels of effectiveness of all contraceptives • no need to worry about birth control for three years • fertility returns as soon as the implant is removed • appropriate for women who can’t use birth control that contains estrogen Talk to your physician about it. To schedule an evaluation with a Memorial Hospital Provider contact one of our Rural Health Clinic Locations.

Memorial Hospitals Rural Health Clinics in Chester and Steeleville, along with the Memorial Community Pharmacy offer a variety of vaccinations. MEMORIAL COMMUNITY PHARMACY Walk-Ins Welcome Appointments Recommended Adult Vaccines (Age 18+) Monday – Friday 7:00 AM–5:30 PM Available vaccinations: Flu, Pneumococcal (pneumonia), RSV, Shingles, Tdap. RURAL HEALTH CLINICS Appointments Required Child and Adult Vaccines Available vaccinations: Flu, Pneumococcal (pneumonia), Shingles, TDAP, Tetanus, Hepatitis B, Meningococcal, HPV, Polio, Hib, MMR, Varicella (chickenpox) Chester Clinic Mon, Wed, Fri 8:30 AM–4:30 PM Tues & Thurs 7:00am-4:30pm ** Vaccines for Children (VFC) Program available at Chester Clinic only Steeleville Family Practice Monday - Friday 8:30 AM–4:30 PM According to the CDC, "Because of vaccines, some diseases (like polio and diphtheria) are becoming rare in the U.S. Vaccination can prevent certain deadly diseases in infants, children, teens, adults and travelers of all ages." Why Vaccinate? Vaccination throughout childhood are important because it aids in providing immunity prior to a child being exposed to life threatening diseases. Vaccines are tested to ensure that they are safe and effective for children to receive at the recommended ages. Vaccines aren't just for children. Even adults should receive vaccines. It is important that adults keep their vaccinations up to date because immunity can wear off over time. As you age you become a risk for different diseases as well. When to Vaccinate: View the charts below for a list of child vaccinations from newborn to age 18 and adult vaccinations for adults 19 years and older. For additional information on Vaccinations, visit the Center for Disease Control and Preventions website at: www.cdc.gov/vaccines

Our Infusion Center is fully functioning and able to provide the latest and most innovative services available. • Blood Transfusions • IV Therapy and Management • Infusions for most medical issues • Port-A-Cath care and lab draws • Wound Care Our staff and administration strive to provide a tranquil and accommodating environment, where one can relax while receiving treatment. CHEMOTHERAPY Chemotherapy is the treatment of cancer with an antineoplastic drug or with a combination of such drugs into a standardized treatment regimen. Certain chemotherapy agents also have a role in the treatment of other conditions, including ankylosing spondylitis, multiple sclerosis, Crohn's disease, psoriasis, psoriatic arthritis, rheumatoid arthritis, and scleroderma. The most common chemotherapy agents act by killing cells that divide rapidly, one of the main properties of most cancer cells. This means that chemotherapy also harms cells that OUR SUCCESS STORIES We are proud to provide the community with high quality care close to home. Specialized care with Certified staff are here to care for and educate you, so that you have the greatest chances to succeed. “Everyone is very nice and courteous. I have been having these infusions for almost 15 years, at various different cities, and I would rate this center as one of the best.” -Infusion Patient “Everyone in infusion is so kind and caring. They make the experience so much better. Relationships make this journey better.” - The Hoyles "A year and a half ago Chester Hospital became our second home. Our mom had cancer and our journey began. We could not have done it without the help of so many people. Everyone has been so kind and helpful. There are so many people involved, it's hard to list them all. So when you hear the name Gertrude Kammermann, just know you are on that list. Thank you for your kindness, keeping us positive, making us laugh, and always being there for us. We love each of you and love Chester Hospital" - Family of Gertrude Kammermann "The nurses in the Infusion Department are wonderful! Even when they are really busy, they still make you feel special. On 'bad days,' they keep your spirts up! Thank you to Carla, Carrie Jo, Debbie, Michelle, Amy, Janet, and Dr. Justin Floyd." - Lynn Rickenberg BELL OF HOPE - Donated by the Gielow Family

This technology allows your doctor to have the clearest possible look at your internal anatomy. MRI does not use X-rays or radiation. Instead, it uses a powerful magnetic field and radio waves to provide computerized images, which appear as “slices” of the anatomy. From these pictures, the radiologist can determine the differences between healthy and abnormal tissue. The MRI procedure is simple and safe. One of its main benefits is that a lot of information can be obtained through a painless test. Memorial Hospital’s Diagnostic Imaging Department is excited to unveil their newly upgraded MRI Unit, the Vantage Orian Encore. This newly upgraded system improves productivity and clinical confidence in imaging results. The new system is an upgrade to their current unit, and involved replacing the technological elements of the unit, while leaving the large and expensive magnet that makes up the core of the device in place. Patients, technologists, and radiologists alike will notice the advanced improvements. Patients can now receive better imaging, faster, and more comfortably. Imaging will be up to 50% faster, which means less time on the table. The new imaging technology improves the patient’s results and aids their providers in making a better diagnosis. The Advanced intelligent Clear-IQ Engine (AiCE) removes noise from images, which results in increased resolution imaging; achieving sharp, clearer, and distinct images. Clearer images means better diagnosis and improved patient care. Clinicians can have confidence that the images will provide a clear picture of what is going on inside their patients so they can create effective treatment plans. The Diagnostic Imaging department will also be expanding their vascular exam services with contrast and non-contrast MRA (renal, carotid, aorta, and abdomen scans). “The advancements we have been able to implement in our department over the last few years have greatly impacted the quality of care we are able to provide to our community,” says Andria Zweigart, Director of Diagnostic Imaging. “We are fortunate to have skilled technologists and ARRT registered technologists who are always eager to provide the best care possible and take pride in their work. Suppling them with the latest and greatest technology is key in helping them deliver the desired results.” Memorial Hospital is currently scheduling exams with their new unit. Request your next imaging procedure at Memorial in Chester.

Our speech-language pathologist at the Therapy & Sports Rehab Center offers comprehensive evaluation and treatment plans that may include: • Improved functional communication skills and speech sound production • Improved oral feeding and swallowing skills • Improved memory and thinking or establishes compensatory strategies in these areas Memorial Hospital’s Therapy & Sports Rehab Center’s Speech-Language Pathologist, Isabel Hotop, treats children with speech disorders and adults with speech impairments due to injury or illness. Therapy for Children Isabel, is trained to work on many types of learning issues. These include: • Articulation Disorders • Auditory Processing Disorders • Language Disorders • Social Communication Disorders • She also works with kids who have nonverbal learning disabilities. Isabel meets with children individually at the Therapy & Sports Rehab Center in Chester, IL. Call to schedule an appointment: 618-826-4588 Therapy for Adults • Articulation Disorders • Fluency Disorders • Resonance Disorders • Cognitive-Communication Disorders • Parkinson’s Disease • Stroke • Oral Cancer • Swallowing Difficulties • Improve Cognitive Communication • Improve Social Communication • Strengthen Oral Muscles • Individualized plans based on abilities and needs. • Personalized goals.

A technique for studying the electrical currents within the brain. Electrodes are attached to the scalp. Wires attach these electrodes to a machine, which records the electrical impulses. The results are either printed out or displayed on a computer screen. Different patterns of electrical impulses can denote various forms of epilepsy. Abbreviated EEG. It is a readily available test that provides evidence of how the brain functions over time. The EEG is used in the evaluation of brain disorders. Most commonly it is used to show the type and location of the activity in the brain during a seizure. It also is used to evaluate people who are having problems associated with brain function. These problems might include confusion, coma, tumors, long-term difficulties with thinking or memory, or weakening of specific parts of the body (such as weakness associated with a stroke). An EEG is also used to determine brain death. It may be used to prove that someone on life-support equipment has no chance of recovery.