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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. GENERAL SURGERY: • Amputation • Appendectomy • Artery biopsy • Axillary dissection • Biopsy • Bowel resection surgery • Breast biopsy • Breast mass excisions • Circumcision • Closure of stoma • Colonoscopy • Colostomy • EGD (scope to look into the stomach) • Excision of lumps and bumps, ganglions, cysts • Exploratory abdominal surgery • Feeding tubes • Fine needle aspiration thyroid biopsy • Fistulectomy • Foreign body removal • Gallbladder surgery • Hemorrhoid treatment/surgery • Hernia surgery – Hiatal, Incisional, Inguinal, Umbilical, Ventral) • Hydrocelectomy • Incision and Drainage (lesions, Peritonsilar abscess) • Insertion Port-a Cath • Laceration repair • Low anterior resection • Lymph node biopsy and excision • Mass excision • Mastectomy • Muscle biopsy • Paracentesis • Parotidectomy • Sentinal Node mapping biopsy • Sigmoidoscopy • Skin graft • Spleenectomy • Thoracentesis • Thyroidectomy • Vasectomy • Wound vac application PAIN INTERVENTION • Blood patch • Cervical facet epidural steroid injection • Epidural steroid injections • Medial branch nerve block – back and neck injection • Sacro iliac joint injection • Radio frequency ablation for back and neck injections • Femoral nerve branch block OPHTHALMOLOGY • Cataracts • Excision eyelid lesion ORTHOPEDICS • Hand surgery – joint arthroplasty/open reduction internal fixation of metacarpal • Bicep tendon repair • Carpal tunnel repairs • Ulnar nerve transposition in arm • Tendon and nerve repair finger/thumb • Patella surgery • Tennis elbow debridement • Arthroscopies – elbow, knee and shoulder • Excision of ganglions and cyst • Wrist surgery • Achilles tendon repair • Dupuytren’s contracture • Deque OTOLARYNGOLOY (ENT) • Deep Cervical Lymph node biopsy • Sinus balloon dilatation • Septoplasty (Sinus surgery) • Thyroidectomy • Myringotomy (ear tubes) • Tonsillectomy and Adenoidectomy • Laryngoscopy • Nasal endoscopy • Uvulectomy • Rhinoplasty • Tracheostomy • Frenulectomy • Excision facial lesion • Fine needle aspiration thyroid biopsy • Ear lobe repair PODIATRY • Amputation of digit • Arthroplasty • Bunionectomy • Ganglion, cyst excision • Excision exostosis • Foreign body removal • Hardware removal • Hammer toe repair

Dr. Amanda Hart provides specialty clinic services at Memorial Hospital on Thursdays. Her primary practice is the Associated Foot Surgeons of Southwestern Illinois. She treats a large vaeity 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 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 physical therapists develop comprehensive plans of care that may include: • Exercises to restore motion, strength, and a greater degree of independence • Joint and soft tissue mobilization • Pain management • Orthotic/prosthetic training • Education & information specific to the injury or illness 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.

Memorial has an on-call, on-staff, licensed social worker with ComWell, who assists with some support groups and is available to patients when needed. Memorial's social worker is there to improve the quality of life and wellbeing of our patients and their families. Our social worker acts as advocate to help patients and their families, gain access to resources while confronting their personal issues, such as mental illness, addiction, abuse, etc.

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.

Dr. Justin D. Floyd, D.O. has been a member of the Memorial Hospital Specialty Clinic Staff since 2013. His primary practice is Cancer Care Specialist of Illinois, located in Swansea. He specializes in Medical Oncology, Internal Medicine, and Hospice and Palliative Medicine. He provides specialty care on Thursdays at Memorial in the Chemotherapy/Infusion Department. Memorial Hospital's Chemotherapy & Infusion Center provides 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 Our staff and administration strive to provide a tranquil and accommodating environment, where one can relax while receiving treatment. To learn more about our specialists call Memorial Hospital Specialty Clinic at (618) 826-4581 ext. 1366

Should you be screened for Lung Cancer? What is a CT Lung Screening? A low-dose CT scan of the chest for lung cancer is similar to a mammography screening for breast cancer. Both can detect cancer in its early stages and save lives. It is estimated that lung cancer deaths can be reduced by 20%, or up to 22,000 lives can be saved by this screening each year. Who should be screened? People with a history of cigarette smoking have a high risk of lung cancer. In fact, tobacco use accounts for almost 90% of all lung cancers. The more cigarettes you smoke per day and the earlier you started smoking, the greater your risk of lung cancer. Not everyone should be screened for lung cancer. Government guidelines, updated in 2022, recommend a lung cancer screening if you meet the following criteria: ■ You are between 50 and 77 years old. ■ Have a smoking history of at least “20 pack-years” Examples: • Smoked a pack of cigarettes a day for 20 years • Smoked 2 packs a day for 10 years • Calculate your “Pack Years” smoking history. ■ You are a current Smoker, or have quit within the last 15 years. Next Steps if you meet the criteria above: ■ You will need to talk with your doctor to decide if screening is right for you. ■ A doctor’s order is required to be scheduled for screening. What can I expect? The exam takes only a few minutes and we strive to have you in and out in less than an hour. Insurance companies may provide coverage to patients that meet the eligibility. Check with your provider. We’ll call you with your results in 24-48 hours. Do I need a physician referral? For Medicare and some private insurance plans, you need to have a “shared decision making” visit with your physician to be referred for a lung CT screening exam. How much will the screening cost? Insurance companies may provide coverage to patients that meet the eligibility in Category 1. Check with your provider. You may be required to pay a deductible or co-insurance amount, which will be payable at the time of your test. How quickly will I receive results? We will call you with your results the next business day. To set up an appointment for a lung cancer screening test, call 855-399-LUNG (5864) and speak to our Nurse Navigator to set up a lung screening CT exam.

Primary indications for punch biopsies include suspicious skin growths and lesions. These include melanoma, carcinomas and various bullous or inflammatory skin conditions. Small pieces of skin from any part of the body are removed using a tube-shaped tool. It is rotated through the skin to the subcutaneous fat. The specimens obtained are sent for microscopic and histopathological examination, or bacterial and/ or viral cultures. While punch biopsies are capable of showing the full thickness of lesions, they are limited in terms of how much width they are able to display with respect to the specimen obtained. This limitation is crucial in the staging and prognosis of malignant lesions. Talk to your physician about it. To schedule an evaluation with a Memorial Hospital Provider contact one of our Rural Health Clinic Locations.

Endoscopy is a procedure that lets your doctor look inside your body. It uses an instrument called an endoscope, or scope for short. Scopes have a tiny camera attached to a long, thin tube. The doctor moves it through a body passageway or opening to see inside an organ. Sometimes scopes are used for surgery, such as for removing polyps from the colon. There are many different kinds of endoscopy. Here are the names of some of them and where they look. • Arthroscopy: joints • Bronchoscopy: lungs • Colonoscopy and sigmoidoscopy: large intestine • Cystoscopy and ureteroscopy: urinary system • Laparoscopy: abdomen or pelvis • Upper gastrointestinal endoscopy: esophagus and stomach

Memorial Hospital is proud to be able to offer the latest in technology to our community by offering DEXA (Dual energy x-ray absorptiometry) bone densitometry testing. DEXA scans can measure the density of your bones. The density of your bones is directly related to bone strength. Doctors can predict the potential for fractures and osteoporosis through the DEXA scan results. As we age, the threat of bone fractures and osteoporosis become more of a reality. A simple and painless exam can now detect these conditions early and in some cases prevent them from getting worse. “DEXA is the preferred method for diagnosing osteoporosis. This test looks at bone mineral density at important sites of osteoporotic fractures with high accuracy and moderate cost and involves minimal radiation exposure.” Guidelines from multiple organizations including the American College of Obstetrics and Gynecology, the U.S. Preventive Services Task Force, and the National Osteoporosis Foundation, recommend beginning DEXA screening for osteoporosis at age 65 in women and age 70 in men with no risk factors. Post - menopausal women younger than 65 should only be screened with DEXA if they have significant risk factors or osteoporosis and/or bone fractures. A bone density test (DEXA) is a simple and painless non-invasive procedure. The scan will last approximately 15 minutes. You may be asked to change into a hospital gown if you have any metal on your clothing. You will lay on a comfortable padded exam table. During your exam, a camera will travel above your body to take the readings. It is important that you lie completely still until the images are complete. You can breathe normally during the scan. A Radiologist will report the findings to your doctor within 24-48 hours. Dexa scans are done on a scheduled basis. Talk to your doctor today about scheduling your bone density. Don’t take chances with your health! Prevent bone loss and have your bone density checked by a trained professional.

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.

A stress test can be used to test for heart disease. Stress tests are tests performed to determine the amount of stress that your heart can manage before developing either an abnormal rhythm or evidence of ischemia (not enough blood flow to the heart muscle). The most commonly performed stress test is the exercise stress test. What Is an Exercise Stress Test? The exercise stress test -- also called a stress test, exercise electrocardiogram, treadmill test, graded exercise test, or stress ECG—is used to provide information about how the heart responds to exertion. It usually involves walking on a treadmill or pedaling a stationary bike at increasing levels of difficulty, while your electrocardiogram, heart rate, and blood pressure are monitored. Why Do I Need a Stress Test? • Determine if there is adequate blood flow to your heart during increasing levels of activity • Evaluate the effectiveness of your heart medications to control angina and ischemia • Determine the likelihood of having coronary heart disease and the need for further evaluation • Check the effectiveness of procedures done to improve blood flow within the heart vessels in people with coronary heart disease Identify abnormal heart rhythms Help you develop a safe exercise program