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The Department of Transportation (DOT) requires commercial motor vehicle operators to have the DOT physical exam to maintain their driver certification. Drivers must provide periodic physical examination reports to maintain compliance and continue working. Memorial Hospital's Rural Clinic providers are certified to perform your DOT physical to ensure that you are in satisfactory health and able to work safely. Don't loose time on the road, schedule your DOT physical today at the Chester Clinic 618-826-2388 or Steeleville Family Practice 618-965-3382. Wat the DOT Physical Covers 1. Vision 2. Hearing 3. Blood Pressure/Pulse Rate 4. Urinalysis 5. Physical Examination Be Prepared for Your Physical • Take all medications as scheduled at all times, since taking your medication irregularly may cause inaccurate readings during the physical exam. • Do not run out of your prescribed medications as you lead up to your physical exam. Suddenly withdrawing from a medication can significantly impact your test. • If you use contact lenses or glasses to see, make sure your prescription is up to date and bring your corrective lenses with you tot he physical. What You Need for the DOT Physical • Bring medical records from your primary care doctor if your primary care doctor is not the one performing your exam. • If you have any health conditions, bring the name and contact information for the doctor who treats you for each condition. Conditions like high blood pressure, diabetes, or sleep apnea typically require additional paperwork, such as sleep test results or stress test results. • Bring a complete medication list. The list should include every medication you take, its strength, its dosage, and the prescribing doctor.

Memorial has a 2-bed intensive care unit, complete with up-to-date monitoring equipment. The ICU is staffed by qualified nursing personnel. Memorials ICU caters to patients with the most serious injuries and illnesses, most of which are life-threatening and need constant, close monitoring and support from specialized equipment and medication in order to maintain normal bodily functions. They are staffed by highly trained doctors and critical care nurses who specialize in caring for the most severely ill patients. Patients may also be transferred to an ICU if they require constant monitoring, or immediately after surgery if the surgery is invasive or the patient is at risk of complications.

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.

Kristyn Riley, Women's Health Physical Therapist at Memorial Hospital's Therapy and Sports Rehab Center specializes in treatment and therapy for many conditions that may be causing pain, discomfort, and disruptions due to pelvic floor weakness or dysfunction. A pelvic floor is made up of the muscles that support the urinary and reproductive tracts. These muscles also control your bladder and bowels. Functions include: support for your abdominal and pelvic organs, controlling your ability to hold or release contents of your bladder and bowels, sexual function, and posture. A women's health physical therapist goes through additional post graduate training to evaluate and treat musculoskeletal conditions specific to women, including: • Pregnancy and post-partum related issues • Pelvic pain • Urinary or fecal incontinence • Pelvic organ prolapse Pelvic floor muscles can become stretched during childbirth, weak with aging, or hypertonic with increased stress. If you experience any of the following, you may benefit from seeing a women's health PT: • Leaking of urine or feces when you cough, sneeze, jump, or perform any other form of exercise • Frequent need to urinate, strong urgency or feeling of incomplete ability to empty your bladder • Any leaking of urine, unrelated to movement or activity. • Pain with intercourse or gynecological exam • Pregnant and experiencing back pain, pubic symphysis pain, hip pain, or round ligament pain • History of childbirth and have diastasis recti (when your belly sticks out because the space between your left and right belly muscles has widened) or problems with a c-section scar • Pelvic pressure or prolapse During your first consultation with Kristyn she will ask a variety of questions regarding your symptoms, family history, and health history. Then she will perform a physical exam of your posture, lower back and SIJ movement, abdominal muscle function, and hip muscle flexibility. An internal assessment of the pelvic floor may be needed to assess the following: • Muscle Tone • Flexibility • Pain • Prolapse • Coordination • Strength, Endurance • Patient's Ability to Voluntarily Contract or Relax A treatment plan typically consist of 1-2 visits per week over a span of 8-12 weeks. Many patients reach their goals within just 4-8 in-person visits. Ask your doctor for a referral to Kristyn Riley, Doctor of Physical Therapy specializing in Women's Health Physical Therapy.

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.

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.

Cardiac strain imaging evaluates the function of the heart muscle using noninvasive ultrasound imaging to identify subtle changes in heart functions. What is Cardiac Strain Ultrasound? Strain imaging is a method in echocardiography (ultrasound) for measuring change in shape and dimension of the myocardium (heart muscle) during the heart cycle. By strain imaging, the simultaneous function of different regions can be displayed and measured. If there is a part that is weakened it shows reduced and altered function. Cardiac strain testing aids clinicians in determining next steps of patient care especially those with: • LVH or Heart Thickening • Heart Failure • Aortic Stenosis (Heart Valve Disease) • Cancer What Causes Heart Disease? High stress levels, excessive alcohol use, not exercising regularly, and eating too much fat, salt or sugar all put extra strain on your heart. Some people have a family history of heart disease, so they may be at higher risk of developing heart problems themselves. Is Heart Disease Serious? The disease can lead to heart swelling and eventual heart failure. Diseases of the heart muscle (cardiomyopathy). Cardiomyopathy often makes the heart rigid or thick. It can make it harder for the heart to pump blood. Symptoms of Heart Disease • Pressure or fullness • Burning or tightness in your chest • Crushing or searing pain that spreads to your back, neck, shoulders, and one or both arms • Pain that lasts more than a few minutes • Pain that gets worse with activity • Pain that goes away and comes back • Pain that varies in intensity Tests for Diagnosing Heart Conditions Talk to your doctor about any cardiac symptoms you may be having. To help identify your condition they may order some tests which could include: • Blood pressure tests • Monitoring Your Pulse • X-rays & Stress Tests • Cardiac Strain Ultrasound Talk to your doctor today about whether or not Cardiac Strain Ultrasound may be right for you.

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.

Echocardiogram, often referred to cardiac echo or simply an echo is a sonogram of the heart. (It is not abbreviated as ECG, which in medicine usually refers to an electrocardiogram.) Echocardiography uses standard two-dimensional, three-dimensional, and Doppler ultrasound to create images of the heart. Echocardiography has become routinely used in the diagnosis, management, and follow-up of patients with any suspected or known heart diseases. It is one of the most widely used diagnostic tests in cardiology. It can provide a wealth of helpful information, including the size and shape of the heart (internal chamber size quantification), pumping capacity, and the location and extent of any tissue damage. An Echocardiogram can also give physicians other estimates of heart function such as a calculation of the cardiac output, ejection fraction, and diastolic function (how well the heart relaxes). Echocardiography can help detect cardiomyopathies, such as hypertrophic cardiomyopathy, dilated cardiomyopathy, and many others. The use of Stress Echocardiography may also help determine whether any chest pain or associated symptoms are related to heart disease. The biggest advantage to echocardiography is that it is noninvasive (doesn't involve breaking the skin or entering body cavities) and has no known risks or side effects. Not only can an echocardiogram create ultrasound images of heart structures, but it can also produce accurate assessment of the blood flowing through the heart, using pulsed or continuous wave Doppler ultrasound. This allows assessment of both normal and abnormal blood flow through the heart.

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.