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Our Rural Health Clinics provide Age Specific Wellness exams, Annual Physicals, Well Woman exams, Well Baby Exams, and School and Sports Physicals. You can schedule your exam with anyone of our Family Healthcare Providers, Nurse Practitioner, or Physician Assistants at our Chester Clinic or Steeleville Family Practice locations. Need to establish care with a new provider? Our providers are accepting new patients. Call today, to schedule your appointment 618-826-2388 or 618-965-3382.

Orthopaedic Surgeon, Dr. Robert Bell and nurse practitioner Robert Deaton, provide Orthopedic Specialty Clinics on Tuesdays and Thursdays. Dr. Bell performs consults for general orthopaedics, specializing in hand surgery and upper extremity conditions. To learn more about our specialists call Memorial Hospital Specialty Clinic at (618) 826-4581 ext. 1366

Memorial has three cardiologists and a nurse practitioner who provide care at the Specialty Clinic. Dr. John Groll specializes in cardiology and subspecializes in diagnostic and interventional cardiology. He has been a member of the Memorial Hospital Specialty Staff since 1998 and is on staff at Missouri Baptist Medical Center. ​Dr. Groll holds outpatient clinics at Memorial Hospital on Wednesdays. Physician referrals are required. Dr. Gangadhar R. Malasana joined the Memorial Hospital Specialty Staff in 2018 and his Nurse Practitioner, Caitlin Edwards joined in 2021. Both are providers at Prairie Cardiovascular located in Carbondale, IL. Dr. Malasana specializes in cardiology and subspecializes in interventional, structural heart disease. Dr. Malasana and Edwards hold outpatient clinics at Memorial Hospital on Mondays. Caitlin Edwards is a member of Dr. Gangadhar Malasana's team with Prairie Cardiovascular. She is a graduate of Indiana State University, Indianapolis, Indiana where she received her Master of Science - Family Nurse Practitioner. She is board certified with the American Academy of Nurse Practitioners and is a member of the American College of Cardiology, American College of Chest Physicians, and American Association of Critical Care Nurses. In addition to providing specialty services at Memorial Hospital, Cailtin's primary practice, Prairie Cardiovascular, is located in Carbondale, Illinois. To learn more about our specialists call Memorial Hospital Specialty Clinic at (618) 826-4581 ext. 1366 Memorial Hospital's Therapy & Sports Rehab Center works with patients who need cardiac rehabilitation. To learn more about the services they provide call 618-826-4588.

Mammography is the process of using low-energy-X-rays (usually around 30 kVp) to examine the human breast and is used as a diagnostic and a screening tool. The goal of mammography is the early detection of breast cancer, typically through detection of characteristic masses and/or microcalcifications. Ultrasound, ductography, positron emission mammography (PEM), and magnetic resonance imaging are adjuncts to mammography. Ultrasound is typically used for further evaluation of masses found on mammography or palpable masses not seen on mammograms. MRI can be useful for further evaluation of questionable findings as well as for screening pre-surgical evaluation in patients with known breast cancer to detect any additional lesions that might change the surgical approach, for instance from breast-conserving lumpectomy to mastectomy. The American Cancer society recommends women get a mammogram every year after the age of 50 and continue annual exams after the age of 75 if you have a life expectancy of 10 years or more. Memorial Hospital is pleased to offer our patients the Genius™ 3D Mammography™ exam. Our Genius™ 3D Mammography™ exam, available on a Selenia® Dimensions® system from Hologic, is revolutionizing how breast cancer is detected by providing a better option for women of all breast densities compared to 2D alone.1-2 Researchers have found that: • The Genius™ 3D Mammography™ exam finds 20-65% more invasive breast cancers compared to 2D alone, an average increase of 41%.3 • Only the Genius™ 3D Mammography™ exam is FDA approved as superior for women with dense breasts compared to 2D alone.1-2 • The Genius™ 3D Mammography™ exam reduces callbacks by up to 40% compared to 2D alone.2,4 More than 8 million Genius™ exams have been performed in the U.S, and women have responded very positively to this procedure. According to a recent survey of women who received a Genius™ 3D Mammography™ exam and had previously had a traditional 2D exam5: • 98% of patients feel more confident and secure in their results from a Genius™ exam • 93% of patients reported feeling less anxious with Genius™ exams than with traditional 2D Mammography • 91% of patients agree the quality of care provided by the facility was better with a Genius™ exam; and •94% of patients are likely to request a Genius™ exam for their next mammogram For additional information about the Genius™ 3D Mammography™ call us at 618-826-4581.

Dr. Vamsi Chilluru specializes in nephrology and internal medicine and provides Specialty Clinic care at Memorial on Fridays. Nephrology is a specialty of adult internal medicine and pediatric medicine that concerns the study of the kidneys, specifically normal kidney function and kidney disease, the preservation of kidney health, and the treatment of kidney disease, from diet and medication to renal replacement therapy. To learn more about our specialists call Memorial Hospital Specialty Clinic at (618) 826-4581 ext. 1366

Memorial Hospital in Chester, Illinois is pleased to announce we have expanded our diagnostic imaging with the recent installation of the new Siemens SOMATOM® Definition AS CT scanner that produces excellent image quality while reducing patient radiation dose. Applying the lowest radiation dose possible is of the utmost importance for patients to be protected from unnecessary radiation. The innovative Dual Energy technology delivers crisp images and helps to aid in metal implant artifact reduction to better view the anatomy. Metal fillings and implants that previously resulted in an undiagnostic image quality are removed with iMAR (Iterative Metal Artifact Reduction). Surgical, prosthetic, dental fillings and pacemakers no longer hide anatomy. Another option, unique to the surrounding southern Illinois area, is the Renal Calculi Characterization software. The technology will change the way kidney stone patients are medically treated. The software determines the characterization of kidney stones by differentiating between uric acid and non-uric acid content for more precise therapeutic decisions. This significantly improves the treatment path for patients. Uric acid stones can be treated with oral medication rather than expensive and invasive surgical extraction or shockwave lithotripsy. Our Siemens SOMATOM® Definition AS CT scanner Offers: Patient-Friendly Design • Updated system design allows for excellent patient positioning and access. • Advanced technology helps allow the technologist to spend less time at the machine and more time with the patient. Advanced Dose Reduction • Applying the lowest radiation dose possible is important for patients to be protected from unnecessary radiation. • Dose reduction is crucial when imaging children, women of childbearing age, and patients who need multiple X-ray or CT examinations. Innovative Technology • Dual Energy technology delivers crisp images and helps aid in metal implant artifact reduction to better view the anatomy. • Renal Calculi software determines kidney stone content for more precise therapeutic decisions

Dr. C. Joseph Hopper sees pediatric through geriatric patients and specializes in adult and pediatric diagnostics, tinnitus evaluations, balance/dizzy evolutions, hearing aid fittings and counseling, and custom hearing protection. Dr. Hopper holds outpatient clinics at Memorial Hospital on Wednesdays. To learn more about our specialists call Memorial Hospital Specialty Clinic at (618) 826-4581 ext. 1366

Specialized Care throughout your life span - helping you return to work, play, and life! Our occupational therapist focuses on improving a patient’s ability to perform the activities of daily living (ADL). Treatment may include: • Specialized hand and upper body therapy to help restore function for improved performance in activities of daily living • Instruction in adaptive techniques, joint protection, work simplification, energy conservation and motor coordination • Customized adaptive equipment Specialized Equipment • Therapy Pool • Biodex Balance System • Mechanical Traction • Therapeutic Ultrasound • Electrical Stimulation • Vital Stim • Bariatric Treadmill • Fluidotherapy • Iontophoresis Progressive Clinical Programming Our outpatient program utilizes the latest techniques and equipment and provides specialized services for individuals with various injuries or disorders. Common Diagnoses include: • Amputation • Arthritis • Back and neck injuries • Brain injury • Developmental delay • Dysphagia • Hand injuries • Joint replacement • Multiple trauma • Neurological disorders, including Parkinson’s • Orthopedic injuries • Pain management • Post-surgical conditions • Spinal dysfunction • Sports-related injuries • Stroke • Urinary incontinence • Vestibular/ balance disorders • Work injuries Accepted Insurance Payment Methods We accept payment from most insurance plans including Medicare. Please call us if you have questions on whether your health insurance is accepted at our facility. Referral Services Patients may contact the outpatient center directly; however, a physician’s prescription is necessary to initiate treatment. Clinical Excellence Our state of the art facility houses professional certified staff of physical, occupational, and speech therapists. They are dedicated to applying innovative clinical pathways that ensure each patient receives the utmost in care, on a personalized level. Aftercare Program After graduating from therapy, patients may opt to continue using the facility through our Aftercare program. This program allows patients to continue their exercises on an independent basis so they can maintain or further their progress.

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.

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

“Excision” means the doctor uses a scalpel to remove something from the skin. Excisions are recommended for problem growths such as small cancers, atypical moles, and enlarging cysts. First, the growth is numbed with injectable anesthesia. The doctor then excises the growth and a narrow rim of normal-appearing tissue. The excised tissue is sent to a dermatopathology lab for final diagnosis which may take 1-2 weeks. Talk to your physician about it. To schedule an evaluation with a Memorial Hospital Provider contact one of our Rural Health Clinic Locations.

Nuclear Medicine is a modality within diagnostic imaging, which looks at the physiology of the body rather than the anatomy. Services of Memorial’s Nuclear Medicine Department include, but are not limited to, cardiac studies, bone studies, gall bladder studies and infection studies. Imaging is performed using very small amounts of radioactive materials – comparable to the radiation with a diagnostic X-ray - administered either orally, via intravenous or under the skin. The radionuclide will travel through the blood stream to the target organ. The organ is then scanned for anatomical structures, function and disease. Nuclear medicine procedures can be used to diagnose hyperthyroidism (Grave's Disease), cardiac stress, orthopedic problems, abnormal function or blockages of gall bladder or liver, as well as for metabolic brain evaluations, and the staging of oncology patients.