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Dr. Matthew Gaeta specializes in Gastroenterology. He provides outpatient clinics every other week along with same day surgery procedures at Memorial Hospital. Dr. Gaeta treats the following conditions: Heartburn Gastroesophageal reflux disease (GERD) Difficulty swallowing Abdominal pain Diarrhea Constipation Elevated liver enzymes Biliary disease Irritable bowel syndrome Inflammatory bowel disease (ulcerative colitis, Crohn’s disease) Procedures: Colonoscopies EGDs (upper endoscopies) ERCPs (endoscopic retrograde cholangiopancreatography) - treats gallstones, strictures, leaks, and cancer. To learn more about our specialists call Memorial Hospital Specialty Clinic at (618) 826-4581 ext. 1366

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.

We recognize that the quicker you can get a patient to care, the quicker you can save a life, a heart muscle or brain function. There's a window of opportunity for trauma victims and having our own helipad, helps save lives. With the emergence of major trauma centers, centralization of services and rapid transfers, patients are getting the specialist care they need, quicker than ever before. Helicopters are essential to the success of these systems. The helipad at Memorial, located directly behind the hospital, provides express access to our emergency department. Helicopter transfer also helps to get those patients needing to get to a higher level of care much quicker and safer, such as a burn unit and other specialty care facilities.

Memorial Hospital's Chester Clinic participates in the Vaccines for Children (VFC) program, The VFC Program offers vaccines at no cost to eligible children through health care providers enrolled in the program. Vaccinating on time means healthier children, families, and communities. Who is eligible for VFC? Children ages 18 years or younger who meet at least one of the following requirements: • American Indian or Alaska Native • Medicaid-eligible • Uninsured • Underinsured What is the cost of VFC? There is no charge for the vaccines given by VFC providers to eligible children. Health care providers may charge other fees related to the visit, such as: • Giving a shot • Office visit • Non-vaccine services, like an eye exam or blood test Where can I get my child vaccinated? Chester Clinic Medical Office Building 1900 State Street Chester, IL 62233 618-826-2388

STARS – Special Needs Tracking & Awareness Response System Emergency Preparedness for Children with Special Needs The purpose of the STARS Program is to create a tracking and awareness system for our ambulance districts, fire districts and community hospitals to both recognize the special needs of patients inside their coverage area and have the training to appropriately care for these patients. Children who especially benefit are those with: • Significant developmental delay • Seizure disorders • Cardiac history • In-clinic mental health evaluation • Cerebral shunts • Tracheostromies • Autism spectrum disorder • Children with a DNR order • Any atypical disease or syndrome The program Memorial Hospital has implemented in coordination with Cardinal Glennon Children’s Hospital, enables better care of special needs children through 21 years of age should an emergency arise. Each child that is entered into STARS has a form detaining his or her medical history, medications, allergies, baseline vital signs, baseline neurological status and common medical emergencies that is kept in each ambulance and Memorial Hospital Emergency Room Department. Please contact us if you feel your child would be a candidate. To enroll your child, contact Kim Ruebke, Emergency Room Director, at Memorial Hospital 618-826-4581. Memorial Hospital provides care givers STARS buttons, stickers and magnets to keep your special identifier number always in view.

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