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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.

Memorial Hospital is a critical access hospital and offers 24/7 emergency care. Upon arrival a triage nurse will get some basic information regarding your visit and will direct you to the appropriate location. You will be asked for information regarding why you came to the emergency department that day, obtain a brief medical history, ask about your medications and will obtain your vital signs. Patients with the most severe levels of illness are seen first. The nurses and doctors will be working to see you as quickly as possible. Tests and treatments will be ordered based on your current illness and symptoms. The emergency department medical staff may need to consult with specialty physicians as part of your care. Once a diagnosis is made, the emergency department medical staff will determine if you are able to be discharged or need to be admitted. If you are being discharged, your treatment will be completed and you will be given specific information about what to do after your visit. This may include following up with your primary care doctor or other medical staff.

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.

Dr. Amanda Hart provides specialty clinic services at Memorial Hospital weekly. Her primary practice is the Associated Foot Surgeons of Southwestern Illinois. She treats a large variety of both podiatric surgical and non-surgical conditions of the foot and ankle such as: • Achilles tendon injuries • Arthritic conditions • Foot and ankle injuries (including fractures and sprains) • Fungal skin and toenails • Ingrown toenails • Wounds • Neuromas • Bunions • Hammertoes • Heel spurs/planter fasciitis • Warts • Sports medicine • Orthotic care • Diabetic foot care To learn more about surgical procedures performed for feet and ankles visit www.mhchester.com/surgical-procedures or call Memorial Hospital Specialty Clinic at (618) 826-4581 ext. 1366

We’re dedicated to healing wounds, preventing lower limb loss and optimizing outcomes for our patients. If you or a loved one has a wound that is of concern or is not healing properly, we encourage you to visit the wound center for an evaluation. A wound that is not healing properly may be complicated by underlying conditions such as diabetes, circulation problems or previous radiation treatment. Sometimes, the simplest of wounds can turn into a significant problem because the body’s normal healing process is affected. Other types of hard-to-heal wounds result from pressure, trauma or infection. Non-healing wounds can have serious health consequences and may adversely affect your quality of life. Types of Wounds Treated As a comprehensive wound healing center, we specialize in the treatment of all types of non-healing and difficult-to-heal wounds including: • Diabetic foot ulcers • Venous ulcers • Pressure ulcers • Non-healing, surgical wounds • Arterial/ischemic ulcers • Traumatic wounds • Infected wounds • Crush injuries • Compromised flaps or grafts Wound Care Specialist: Dr. Margret DeGuzman Contact Us Please contact Memorial Hospital at 618-826-4583 to learn more about how we can help you or a loved one.

Memorial has a very active same day surgery department, with a well qualified staff, regularly doing surgeries in the areas of orthopedics, urology, ENT, podiatry, cataracts and general surgery. Our surgical department includes two large surgical suites and a procedure room. Colonoscopy is a complete examination of the large intestine (colon). A flexible lighted tube fitted with a tiny camera is inserted through the anus. The inside of the rectum and colon can be viewed for polyps, cancer, or diseases such as ulcerative colitis or Crohn's disease. Tissue and polyps can be removed during the procedure. Reasons for a Colonoscopy A screening colonoscopy is done to check for cancer and inflammatory diseases like ulcerative colitis. Most colorectal cancers (CRC) start as non-cancerous polyps (tiny, fast growing cells that may become cancer). Removing polyps or finding cancer at an early stage can increase your chances for a full recovery. Your doctor may recommend screening for colon and rectal cancer starting at age 45. If you have risk factors it may be done before 45 years. During the colonoscopy, polyps can be removed with tine instruments such as snares or forceps. In the U.S. CRC is the second leading cause of cancer death for both men and women. The lifetime risk of CRC is 1 in 23 (4.3% for men and 1 in 25 (4%) for women. The risk of developing CRC is increased if you have a first-degree relative (parent, sibling or child) who has had the disease; or if they were younger than 50 when they were diagnosed. A diagnostic colonoscopy is done to find the cause of anemia, a change in bowel habits, or abdonminal pain. A therapeutic colonoscopy can treat a known problem inside the colon such as bleeding or narrowing. A surveillance colonoscopy is a follow-up for patients with history of colon polyps, cancer or inflammatory bowel disease. A colonoscopy is the most accurate way to find and remove small polyps. Removing polyps at an early stage can decrease your risk of death from colon and rectal cancer. American Cancer Society Guidelines: 45 years old for average risk; 40 for increased risk. Learn more: https://www.facs.org/media/erddq5zv/colonoscopy.pdf

DIABETES MANAGEMENT Individual sessions available. There are many ways to improve diabetes control. ​Diabetes changes, we start where you are now.​ Potential Topics: • What is Diabetes? • Eating Basics • Monitoring Medications • Healthy Coping • Reducing Risks • Problem Solving • Being Active • Sick Days • Goal Setting • and more... Insurance Coverage Medicare covers 3 hours of medical nutrition therapy, which includes diabetes management, within a 12-month period. Two hours of follow-up training are covered yearly. Private insurance varies.

Dr. Tong Zhu specializes in pain medicine, physical medicine and rehabilitation and holds outpatient clinics at Memorial Hospital's Specialty Clinic on Tuesdays. CONDITIONS EVALUATES: • Neck and Back Pain - Degenerative disc disease - Herniated disc - Facet joint syndrome - Radiculopathy /Sciatica - Spinal stenosis - Failed back syndrome • Nerve-Related Pain: - Complex regional pain syndrome - Peripheral neuropathy - Postherpetic neuralgia • Joint And Muscle Pain: - Joint pain: Arthritis in major joints such as the hip, knee and shoulder - Vertebral compression fractures - Sacroiliac (SI) joint pain - Pelvic pain - Myofascial pain • In Office Injections: - Trigger point injection - Knee/shoulder injection - Bursa injection To learn more about surgical procedures performed for pain management visit www.mhchester.com/surgical-procedures or call Memorial Hospital Specialty Clinic at (618) 826-4581 ext. 1366