A Full Circle Approach to Healthy Living Fight Diabetes with Exercise, Weight Management

MAGAZINE Vol 1 – 2017

Discover Minimally Invasive Surgery for Women

Upcoming Winter Health and Wellness Programs

295 Varnum Avenue, Lowell, MA 01854 I 978-937-6000 TTY: 978-937-6889 I www.circle-health.org Dear Friends, As you brace for another winter, there is no better time to step back and consider a fresh start on your health and wellness routines. In these pages, we hope to get you off and running on a healthy lifestyle for 2017. Many of the programs we offer to the community are guided by the Greater Lowell Community Health Needs Assessment, which is conducted every three years by researchers and students from UMass Lowell on behalf of Lowell General Hospital and the Greater Lowell Health Alliance. The most recent report was completed in the fall of 2016, and it will serve as our roadmap to addressing the most pressing health needs in our community. The 2016 report identified several issues that can be helped by adopting a healthy lifestyle. Diabetes and diabetes related health concerns remain one of the top health issues in this region. Conditions such as high blood pressure, obesity, asthma and respiratory disease were also highlighted. In the following pages, you will learn more about how Circle Health helps individuals make positive lifestyle changes small and large. For people dealing with severe obesity, our Center for Weight Management and Bariatric Surgery is giving patients a new lease on life through a comprehensive approach to weight loss that includes options for bariatric surgery. For those coping with diabetes, the Lowell Community Health Center offers a new Diabetes Group Visit program so none of these patients has to go it alone. And for those just looking to take the first step, our Center for Community Health and Wellness coordinates dozens of classes for community members of all ages. In the new year, we are also excited to strengthen our clinical services to our patients with two exciting grand openings. Circle Health Billerica will offer urgent care, primary care, and a patient service center at Treble Cove Plaza, giving the people of Billerica a new, convenient option for non-emergency care. At Lowell General Hospital’s main campus, we will be opening the new Gil and Marilyn Campbell Intensive Care Unit, which will add 11 beds to our existing 12-bed ICU, expanding our ability to treat the most critical patients in our community. At Circle Health, we are excited to see what 2017 brings. As we continue to grow, so does our ability to provide you with Complete connected care. Cheers to a new year. In good health,

Norm Deschene Chief Executive Officer of Circle Health

Circle Health has a New Wellforce Partner – Hallmark Health

Wellforce, the innovative health system With the addition of Hallmark Health, the comprised of Circle Health and Tufts Wellforce system is nearly 3,000 affiliated Medical Center, has a new partner. physicians strong, offers more than 1,000 inpatient beds for those in need and Hallmark Health, the parent company of employs 12,000 staff members. Melrose-Wakefield Hospital and Lawrence Memorial Hospital of Medford, officially “Wellforce physicians and hospitals joined Wellforce on January 1, 2017. and other synergies for its member provide high quality, affordable, organizations. Wellforce organizations community-focused care across Eastern Wellforce was founded in October of have collaborated to bring expert Massachusetts,” said Norm Deschene, 2014 with the joining of Circle Health Tufts Medical Center pediatricians, CEO of Wellforce. “Through this broader and Tufts Medical Center. In just two neonatologists, surgeons, ICU specialists affiliation, we’ll share best practices, years, Wellforce has achieved more than and others out of Boston and into the new ideas and strategies for better, more $5 million in savings on supplies, services communities of the Merrimack Valley. efficient health care.”

02 For more information, visit www.circle-health.org Welcoming New Providers to Circle Health

At Circle Health, we’re dedicated to meeting the growing needs of our communities. That means expanding our network of physicians who are committed to keeping you healthy, providing expert care and treating you with the attention you deserve. With more physicians, we can accept new patients and maintain the Complete connected careSM that is the promise of Circle Health. All of the following physicians are accepting new patients.

David Earle, MD Eliza Jones, MD Vishnu Kannabiran, MD Specialist Primary Care Physician Specialist General Surgery, Board Certified Pediatrics, Board Certified Otolaryngology Lowell Surgical Associates Pediatrics West Massachusetts ENT Associates Lowell Westford Chelmsford 978-452-5050 978-577-0457 978-256-5557

Francis Magro, MD Maosong Qi, MD, PhD Luis Suarez, MD Specialist Specialist Specialist Infectious Disease Rheumatology, Board Certified Vascular Surgery Lowell Infectious Disease Associates New England Neurological Associates Greater Lowell Vascular Surgery Lowell Lowell Lowell 978-934-9220 978-687-2321 978-942-2610

Need a physician?

For information on more than 700 physicians in over 30 specialties, call an advisor 24/7 at 1-877-LGH-WELL (1-800-544-9355) or visit www.lowellgeneral.org/findaphysician.

To learn more about our new primary care physicians, visit circle-health.org/newPCPs. To learn more about our new specialists, visit circle-health.org/newspecialists. A Full Circle Approach to Healthy Living

There is no better prescription for good health than incorporating healthy habits into your everyday lifestyle. But none of us are perfect, and for many of us, the challenge of maintaining a healthy body and mind requires support. At Circle Health, our promise to provide Complete connected care means we are here to support your journey to improved health and wellness every step of the way. EDUCATION DIAGNOSTICS For some, creating a healthy lifestyle will mean small changes that can make a big difference. For those individuals, our Get Your Body Movin’ classes (page 14) are a great way to start. For others, particularly those coping with conditions like diabetes or obesity, Circle Health offers services and

DISEASE programs like the Center for Weight Management and Bariatric Surgery, diabetes management MANAGEMENT centers at both Lowell General Hospital and the Lowell Community Health Center, and educational TREATMENT and support programs through our Center for Community Health and Wellness. There is a healthy option for almost everyone who is willing to take that first step. Let us walk with

RECOVERY you on your journey to good health.

Support Group Provides Hope, Connections for Diabetes Patients

On the first Tuesday of every month, a Led by an experienced team of doctors, group of patients meets in a third-floor nurses, diabetes educators, a dietitian and conference room. They all have one thing other clinicians, the monthly meetings in common: a diabetes diagnosis. cover a range of issues, including how diabetes affects the body, how to Actually, they have a lot in common, communicate with your doctor, managing including worry about possible symptoms, controlling blood sugar levels, complications from the disease, frustration Now, through Lowell Community Health eating well, using relaxation techniques over managing their blood sugar levels, Center’s innovative Diabetes Group Visit including meditation and gentle exercise, and the need to develop good exercise and program, health center patients with and understanding the medications used eating habits. diabetes don’t have to go it alone. to treat diabetes. There are two kinds of diabetes: Type 1, or “It can be lonely dealing with a chronic Hemoglobin A1C levels, which measure insulin-dependent diabetes, occurs when illness like diabetes,” said Migdalia average blood sugar levels, are checked an individual no longer produces insulin, a Fontanez, the Community Health every three months, or more often if hormone that regulates blood sugar levels Center’s Medical Assistant who oversees necessary. Although the meetings are and converts carbohydrates to energy. enrollment, working with Stephanie offered in English, Fontanez, a certified With Type 2 diabetes, individuals become Mourtzinos, RN, to run the monthly medical interpreter, is available to assist resistant to the insulin they produce. meetings. “So much of the meeting is Spanish-speaking patients. peer-to-peer support. People leave feeling Left unchecked, this chronic illness can hopeful, instead of frustrated.” Diabetes Group Visits are available to all Health cause a range of complications including Center patients diagnosed with diabetes or circulatory problems, blindness, hypertension Almost 12.6% of all Lowell Community insulin resistance. The group meets from and kidney failure. Managing the disease Health Center patients have diabetes 9:00 to 11:00am on the first Tuesday can seem relentless, requiring daily attention (2015), and, among adults ages 18 to of every month. For information, contact to diet, exercise and medications. 75, that number climbs to 12.3%. The Migdalia Fontanez, 978-322-8869. majority have Type 2 diabetes.

04 For more information, visit www.circle-health.org Fitness Partnership Pays Off for Lowell City Councilor with Diabetes

week with his wife April, and fitting other For Rourke, being able to manage his workouts in during a break in his workday. diabetes and get his workouts in, all close And it’s paying off. to home, makes a huge difference in his life. “A half hour of high intensity training sets my blood sugar for the whole day “We live right down the street from and night,” Rourke says. “One of these Lowell General,” Rourke says. “Our kids workouts can last up to 48 hours.” were born there. I have my primary care and specialists there. I’m a perfect Circle Health has a growing partnership example – you can get it all in one spot.” with SLS Fitness and its owner, renowned trainer Sherri Sarrouf, to bring more To learn more about Lowell General Hospital’s health and wellness programs to members health and wellness programs and partnerships, of the community. These programs are visit www.lowellgeneral.org/health-and-wellness. offered to many different populations, from kids and pregnant women to patients with Parkinson’s disease. “Everyone needs a place to go move, not just the everyday person who wants to get fit,” Sherri Sarrouf says. “We teach people Free Diabetes Classes that no matter what, if you have a health for the Community challenge, we’ll help you.” For Rourke, who has Type 1 diabetes, The Psychology of Eating which is hereditary and not curable, blood Thursday, February 23, 6:00-7:30pm, FREE This program will offer insight into the psychological sugar spikes or drops can lead to serious factors that influence food choices, and help Diabetes has been part of Danny Rourke’s health complications, even death. More empower you to start the process of change using life since he was 12 years old. than 80 percent of diabetes patients have the H.A.L.T. method. Type 2, which is often curable with healthy It was at that age that the onset of the Understanding Insulin lifestyle changes. Monday, March 13, 6:00-7:30pm, FREE chronic illness began to make him sick, Learn the Who, What, When, Where and Why and ultimately sent him into a coma. He Rourke manages his diabetes with the of insulin use. Every step of the process – from spent five weeks in the hospital, after help of Dr. Hayward Zwerling, an manufacture of the insulin(s) to the injection site and which he was prescribed a lifetime of endocrinologist based in North Chelmsford. more – will be discussed. glucose level checks and insulin shots. But Recently Rourke was fitted with a glucose The Difference Between Try and Triumph is he never let his chronic illness slow him monitor that checks his insulin levels Just a Little Umph! down. Thursday, April 6, 6:00-7:30pm, FREE every 30 seconds. His physician says Embark upon your personal journey to a new, Nearly 30 years later, Rourke is a Rourke’s lifestyle will serve him well in improved and healthier you with acknowledgment probation officer in Lowell, the Vice maintaining his levels. and understanding of chronic health conditions, Chairman of the Lowell City Council and including diabetes, heart disease, and more. “Exercise and diet have to be the a coach in several sports. Today, he says Understanding Neuropathy and cornerstone of any diabetes management his diabetes is managed better than it ever Foot Care program,” Zwerling says. “Those who has been since adding another step to his Tuesday, April 18, 6:00-7:30pm or exercise regularly and eat properly are management regimen – regular exercise. Tuesday, May 2, 10:00-11:30am, FREE likely to require less medications and Learn the importance of proper foot care for At SLS Fitness in Lowell, he does four suffer less complications.” those with diabetes as well as the impact of half-hour fitness classes each week. He neuropathy on your feet. fits it into his life by working out twice a

Circle Health’s For Your Health | www.circle-health.org 05 Heart Disease: What You Should Know

Miret Ibrahim, MD, FACC, is a non-invasive general cardiologist at Lowell General Hospital and Medical Director of Lowell General Hospital’s Anticoagulation Management Service. She is board certified in internal medicine, general cardiology, nuclear cardiology and echocardiography. Here she discusses heart disease and how to reduce your risk.

What is heart disease? plaque in the inner walls of the arteries or stomach. A wide variety of cardiovascular that feed the heart and brain. • Shortness of breath, which may occur conditions fall under the umbrella of heart with or without chest discomfort. disease – some conditions are related to • HDL Cholesterol: HDL cholesterol • Other signs may include breaking the heart’s physical structure, while others is known as good cholesterol because out in a cold sweat, nausea or are related to the heart’s functioning and high levels of HDL seem to protect lightheadedness. rhythm. The most common condition against heart attack. people are aware of is coronary artery • Triglycerides: Triglyceride is a form of What are some other things we can do to disease (CAD), which is the buildup of fat made in the body. prevent heart disease? plaque in the arteries that supply blood to • Maintain a healthy weight and commit Your total cholesterol numbers should be the heart. to 30 minutes of daily exercise. less than 200 and your total triglycerides What are some other types of heart less than 150. • Eat a healthy diet that is low in salt; conditions? low in total fat, saturated fat, and What are the warning signs of heart attack? Other cardiac illnesses include congestive cholesterol; and rich in fresh fruits Some heart attacks are sudden and intense, heart failure, arrhythmia, cardiomyopathy, and vegetables. but most heart attacks start slowly, with or abnormalities with the heart muscle. • Don’t smoke. If you smoke, quit as mild pain or discomfort. These are some Also, there can be damage or a defect in soon as possible. Smoking is the No. 1 signs that should not be ignored – call 911 one of the four heart valves that control preventable cause of heart disease immediately. blood flow, called valvular heart disease. related death worldwide. Other conditions involve abnormalities • Chest discomfort. For more information on heart disease, in the heart’s electrical rhythm, which • Discomfort in other areas of the upper screenings, programs, and treatments visit can cause an irregular heartbeat, body – both arms, the back, neck, jaw www.lowellgeneral.org/heart. or arrhythmias. What are the common risk factors associated with heart disease? Lowell General Hospital Achieves National Three key risk factors are high blood pressure, high LDL cholesterol, and Accreditations in Cardiovascular Services smoking. Several other medical conditions Cardiac Rehabilitation and lifestyle choices can also put people at a higher risk for heart disease, including The Cardiac Rehabilitation Program has been awarded a family history of heart disease, diabetes, certification from the American Association of Cardiovascular obesity, poor diet, and stress. and Pulmonary Rehabilitation (AACVPR) for its commitment to improving the quality of life of patients by enhancing What role does blood pressure and standards of care. Cardiovascular and pulmonary rehabilitation cholesterol play in heart disease? programs are designed to help people recover faster and It’s so important to know your numbers. improve their quality of life through exercise, education, Your blood pressure should be less than counseling and support for patients and their families. 120/80. Also, make sure you have your cholesterol checked at your annual physical. Echocardiography Lowell General Hospital has been granted its third consecutive Cholesterol is broken into three areas: three-year term of accreditation by the Intersocietal • LDL Cholesterol: When too much Accreditation Commission (IAC) in Adult Transthoracic LDL (bad) cholesterol circulates in the Echocardiography. Echocardiography is used to assess different blood, it can slowly build up to form areas of the heart and can detect heart disease or signs of 06 serious cardiovascular conditions. After Weight Loss Surgery, Nashua Man has New Lease on Life

Scott Rossi believes had he never walked next day, he was taken off his diabetes and challenge like a Spartan Race. And he into the Center for Weight Management blood pressure medications. With food no hopes to be back in the stands at Fenway and Bariatric Surgery at Lowell General longer a fixation, he found a new passion – this summer. Hospital, his life would not only be very walking and working out. Meanwhile, his relationship with the different – he might not be here at all. Meanwhile, the surgery helped him eat Center for Weight Management continues Rossi, 49, of Nashua, N.H., was overweight smaller portions, and he started to make with regular strength classes and support most of his life. As his weight grew, he tried better food choices. Cooking has become groups, where he can share his experience programs like Weight Watchers® and had another new hobby. And the weight with those considering a similar path. some success, only to see that progress slip started melting away. When extolling the virtues of bariatric away and result in even more weight gain. Today, he weighs 230 pounds and takes surgery, he speaks in no uncertain terms. As time went on, he stopped doing many regular walks with his terrier, Nugget. “The surgery saved my life,” he says. of the things he loved. He used to go to This year, he ran his first 5K. One of his For additional life-changing transformations or to Red Sox games, but found he couldn’t fit in new goals is to attempt an obstacle course learn more, visit www.lowellgeneral.org/weightloss the seats. He stopped taking vacations.

“I was tired all the time, and all the basic The Center for Weight Management and Bariatric Surgery parts of everyday life were a chore,” he says. FREE Weight Loss Surgery Informational Sessions Health complications followed. He Learn about laparoscopic gastric bypass and laparoscopic adjustable gastric banding, sleeve gastrectomy, developed high blood pressure, high pre- and post-surgery care, the benefits of surgical weight loss, how to work with your health insurance cholesterol and Type 2 diabetes. But even company and more. with his health declining, he initially put North Chelmsford office: 20 Research Place off having the surgery that would change February 7, 6:00-7:00pm; March 17, 1:00-2:00pm; April 4, 6:00-7:00pm his life. North Andover office: 203 Turnpike Street February 22, 1:00-2:00pm*; March 9, 6:00-7:00pm; April 19, 1:00-2:00pm* In 2015, Rossi was 415 pounds, and says he *Spanish session ran out of excuses; in April of that year, he To register for a FREE informational session visit www.lowellgeneral.org/weightloss or underwent gastric bypass surgery. By the call 1-877-LGH-WELL

Circle Health’s For Your Health | www.circle-health.org 07 Help is Available for New Moms Facing Baby Blues, Depression

There are very few – if during pregnancy as well. Some of the psychosis, when a woman may become a any – more joyous feelings a new mother might experience threat to injure herself or someone else. moments in one’s are anger, irritableness, or a lack of interest How is it treated? life than the birth of in taking care of your baby or yourself. Counseling can be helpful, and sometimes a child. But as most You may also experience a loss of appetite, medication may be necessary. Self-care parents know, the days, different sleeping patterns, feeling sad or is also important – having help with the weeks and months after that can be some crying all the time, or common feelings of baby and taking time for yourself with of the most challenging times, as well. A guilt or hopelessness. exercise, relaxation or finding something new mother’s mental health is important that makes you happy. Medication may to herself, her new child and her family. What causes post-partum depression? There is no one specific cause or one also be part of the treatment, and that is Studies have shown as many as 4 in 5 thing linked to it. A lot of it has to do with something women should talk to their women will experience some sort of mood feeling overwhelmed after delivery, as well provider about. swings in the first few weeks after giving as changes in your hormone levels. And If you think you may be coping with birth. If these moods are light and fade then there are different stressors in your post-partum depression, what should away, it’s probably just the “baby blues.” life – a new family member and everyone you do? About 1 in 8 will experience post-partum finding a new role in the family. We always The first thing to do is reach out for help. depression, which may impact the lives of tell patients – there is nothing they did to Talk to a family member or your doctor. you and your family. cause themselves to have this. You’re not alone, and there are plenty of Kristin D’Orsi, DO, an OB/GYN with ways to help you. And it’s important to Why is it important to get diagnosed? WomanHealth in North Chelmsford and note, it might not always be a new mother. If it goes untreated, it can last months to Westford, discusses the signs, risks and New dads or partners can also experience even years. It can affect a mother’s ability treatments of post-partum depression. problems with post-partum depression. to connect with her baby, and could lead What are the signs of post-partum to long-term problems with the baby’s Kristin D’Orsi, DO, is an OB/GYN with Lowell depression? eating, sleeping and behavior. It can General Hospital WomanHealth in North Post-partum depression usually occurs in create a lot of stress to the family. There is Chelmsford and Westford. To make an appointment call 978-256-1858. the first year after delivery, but can occur also a very rare form called post-partum Moms Connected: A Mother/Woman Facilitated Group

Join our free weekly support group for moms, which meets every Friday from 11:30am-12:30pm in the Hanchett Auditorium at Lowell General Hospital’s Main Campus. Each week you will: • Connect and share stories on balancing motherhood with other responsibilities • Grow your network of local mothers This group is a partnership between South Bay Community Services, a community-based behavioral health care organization, and MotherWoman, an organization that supports and empowers mothers to create personal and social change. The support group is intended for moms-to-be and moms who are parenting during the first year of childhood. Registration is not required and babies are welcome! For questions, please contact Kelly Petravicz at 978-452-1736. NOTE: This group will not be held when Lowell Public Schools are cancelled due to snow. Call 978-788-7224 for more information. For Women Facing Gynecological Surgery, Excellence is Easy to Find

Along with the hospital’s recognition, team of physicians, nurses and surgical Nonnie-Marie Estella, MD, William Galvin technicians gives patients access to III, MD, and Minerva Domingo, MD, are the highest level of care they will find designated Surgeons of Excellence by the anywhere in Massachusetts. COEMIG program. “We have physicians invested in the most For many hospitals, these minimally current, advanced techniques, and a invasive techniques might be seen as trained nursing staff that has worked in cutting edge. At Lowell General Hospital, this field for years,” she says. “Patients don’t Estella and Galvin have been practicing need to go to Boston to find the best care.” these techniques for 16 years, performing To learn more about the COEMIG program or the thousands of these surgeries over that time. da Vinci Si Robotic Surgical System, visit “Not everyone is doing minimally invasive www.lowellgeneral.org/gynsurgery procedures,” says Estella. “We are an institution here in the community with surgeons that have achieved excellence.” Today, Lowell General Hospital’s surgeons use the da Vinci® Si Robotic Surgical System, putting a surgeon’s hands at the controls of a state-of-the-art robotic platform. The da Vinci System enables surgeons to perform even the most Gynecologic surgeries, particularly complex and delicate procedures hysterectomies, are some of the most through very small incisions with common procedures faced by women today. unmatched precision. What Does it Mean to Be But not all surgeons and hospitals are the Lowell General Hospital was one of the A Center of Excellence? same. Women have choices about how they first hospitals in all of New England to want their surgery done, and who they The Center of Excellence in Minimally perform a single-site robotic hysterectomy want to perform it. in 2013. Invasive Gynecology (COEMIG) program In Greater Lowell, the good news for recognizes surgeons and facilities that The da Vinci robot can also be used patients coping with conditions like uterine demonstrate an unparalleled commitment to remove masses and perform other fibroids, excessive menstruation, pelvic procedures that once required an “open and ability to consistently deliver safe, pain or cancerous masses is that their local procedure,” which calls for a large incision effective, evidence-based care. The hospital is a national Center of Excellence that causes more trauma to the body. program is structured to help minimally for Minimally Invasive Gynecology, also known as a COEMIG hospital. “Now I’m able to remove a large mass with invasive gynecologic surgery providers a tool smaller than a No. 2 pencil,” Estella continuously improve care quality and The COEMIG designation, issued by the says. “We know the less intrusion you do patient safety. It is awarded by the AAGL, AAGL and Surgical Review Corporation, to the body, the better the patient heals. was first awarded to Lowell General the leading association promoting There will be less bleeding, less pain, faster Hospital three years ago and is up for minimally invasive gynecologic surgery recovery, less chance of infection and less renewal in 2017. Lowell General Hospital among surgeons worldwide. use of narcotic pain medication.” is one of just four hospitals in the state to hold this prestigious designation, and the Estella says the combination of technology only hospital in the Merrimack Valley. and Lowell General Hospital’s experienced

Circle Health’s For Your Health | www.circle-health.org 09 Donors Celebrated as Intensive Care Unit Expansion Nears Completion

Early in 2017, Lowell General Hospital will the unit’s Varnum Avenue sitting area was officially open the doors to a new Intensive dedicated in a separate ceremony. Care Unit (ICU) on the main campus that Cullen spent 21 days in Lowell General’s will expand the hospital’s ability to care for ICU and credits the nurses and physicians its most critical patients. there for saving his life. The $10 million project was made possible At a reception and ribbon cutting to honor by widespread community support, his pledge to the project, Cullen gave an but two major pledges deserved special emotional speech about his experience recognition at a pair of celebrations while surrounded by his family, some of in December. whom weren’t yet born when he was so ill. The new unit will be called the Gil and The new ICU is located in the hospital’s Marilyn Campbell Intensive Care Unit Hanchett Building, which housed its in honor of their generous commitment former Emergency Department. to the project. Gil Campbell, the founder of Gilbert G. Campbell Real Estate, has The new unit will utilize state-of-the-art been a longtime supporter of healthcare technology in 11 private rooms, bringing in Lowell, serving as a trustee of St. John’s the total number of ICU beds on the main Hospital and later Saints Medical Center. campus to 23. His son, Gary, who helps run his company, Top, Marilyn and Gil Campbell; Bottom, William P. Cullen and family. is currently vice chairman of Lowell The unit is the hospital’s first major General’s Board of Trustees. “You won’t know the names of the people capital project since the Legacy Project who are cared for in this unit, but you are which built the Dahod Building and At a reception and ribbon cutting for changing their lives,” White said. transformed the main campus in 2012. the new unit in December, CEO Norm Deschene and President Jody White One of those cared for in the older unit 16 thanked the Campbells for their ongoing years ago was William Cullen, for whom support of healthcare in Lowell. Sunday, May 21, 2017 Tsongas Center at UMass Lowell

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RAIN OR SHINE! | www.teamwalk.org | 978-937-6434 | Lowell General Hospital’s Family Programs

Getting Ready for Your Baby ABCs of Babies for New Parents Birthplace Tours Prenatal Yoga Tuesday, May 2, 7:00pm-9:00pm, FREE Monthly tours, Times vary, FREE Sundays, March 5-April 9 or April 30-June 11*, Get started as a parent with everything you need to Your guide will answer questions as you visit The 1:00-2:15pm, $60 know about infant care, feeding, development and Birthplace, including our labor and delivery area, mother This series is designated to help pregnant women achieving good sleep. and infant area, nursery and special care nursery. strengthen and stretch with a focus on connecting to their changing bodies, their growing babies and a Basic Child Passenger Safety Boot Camp for New Dads® community of moms. *No class on May 28 Monday, February 27, 6:30pm-8:00pm, $15 Saturday, February 25 or April 29, New and expectant parents will learn the Child 9:00am-12:00pm, $25 Quit Smoking for Your Baby Webinar Passenger Safety Laws in Massachusetts, basic child This nationally-recognized workshop is taught by To view, visit www.lowellgeneral.org/health, FREE safety in car seats, the types of child car seats and fathers and is for men only. Rookie dads (men Learn the facts about the dangers of smoking while how to properly install them. expecting their first baby) are oriented to the joys and pregnant, second hand smoke, the importance of challenges of fatherhood with the help of a coach having everyone in the family quit and strategies Basics for Babies and veteran dads with their newborns. for quitting. Tuesday, April 25, 6:30pm-8:30pm, FREE New and expectant parents and grandparents will Breastfeeding Class Tdap Vaccine Drop-In Clinic learn about feeding, sleep and behavioral issues as Monthly classes, Times vary, FREE Saturday, March 4, 10:00am-11:00am, FREE well as immunizations. Learn the art of breastfeeding. Discover the benefits This drop-in clinic is open to expecting mothers, for mom and baby, valuable tips and more. spouses or significant others, grandparents, Big Brother & Sister Sibling Class babysitters, aunts and uncles as well as friends of Saturday, February 18 or Thursday, April 6, Prenatal Wellness Package the family who are in close contact with infants. 11:00am-12:00pm, $15 per family $149.99/6-week session, 3 days per week Children ages 3-6 will explore their feelings Develop and strengthen your body for the changes it Tiny Fingers, Tiny Toes: Everything concerning the arrival of a new baby. They will read will experience during pregnancy through yoga and New Parents Need to Know a story, do an art project and tour the Birthplace. strength training. Presented in partnership with SLS Saturday, April 1, 9:00am-4:00pm, FREE Fitness in Lowell. Expectant parents will learn about infant care basics, at-home safety, pediatrician visits and more.

We’re Here for You Childbirth Classes Lowell General Hospital • Six-Week Prepared Childbirth Lowell General Hospital offers a variety of classes to Support Groups help you prepare for the birth of your child. Space is Lowell General offers a variety of support • Weekend Prepared Childbirth limited and registration is required. Birthplace tours groups – from diabetes, smoking cessation included. ® and sleep disorders, to cancer, heart disease, • Hypno-Birthing Call 1-877-LGH-WELL or visit lowellgeneral.org/health stroke and more! • Teen Prepared Childbirth for full descriptions, dates, times and cost. For a full list of our support groups, visit Insurance reimbursement and financial assistance www.lowellgeneral.org/supportgroups • Online Prepared Childbirth may be available. available in English and Spanish

12 For a full description or to register for these and other programs, classes and support groups, please visit www.lowellgeneral.org/health or call 1-877-LGH-WELL (1-877-544-9355) Parenting Programs: For Parents of Children of All Ages Family and Friends CPR Second Monday of the month, 6:30-8:30pm, $20 Parents Wanted! Learn CPR skills for infants, children and adults. Looking for Parents to Host Table Talk Events This program is designed for parents, family members and those who want to learn lifesaving The Substance Abuse Prevention Collaborative in Greater Lowell is looking for parents of tweens and skills. Presented in partnership with Trinity EMS. teens to host a “Table Talk” event. All events are led by a professional facilitator. Invite fellow parents to your home to discuss underage drinking and drug use in your community. The Happiest Baby on the Block® Monday, February 6, 6:00pm-7:30pm, Attendees at events will: $15 per family* • Learn new information about underage drinking and other drugs Learn an extraordinary approach to calming your baby, tips on how to help babies sleep longer and • Share challenges and hear ideas for prevention ways to soothe even the fussiest infant in minutes. *Fee includes program DVD and more. • Get practical tips to use at home and to share with others

Infant Massage Contact Ray Peachey, 978-399-2528, for more information or Tuesday, February 7 or April 4, 12:30-1:30pm, $15 to set up an event in your community. Infant massage is a centuries-old tradition that offers benefits such as bonding, better sleep, improved colic, relaxation and better digestion. New Moms Support Group Teddy Bear Clinic Itsy-Bitsy Movin’ and Groovin’ Tuesdays, 10:00am-12:00pm, FREE Saturday, April 22, 12:00-3:00pm, FREE Fridays, 10:00-11:15am, FREE This drop-in support group for new mothers and Lowell General Hospital and the Pheasant Lane Mall Explore new and different ways for parents and their babies is led by Registered Nurses/Lactation are teaming up to offer a FREE Teddy Bear Clinic! babies to utilize music and movement to benefit Consultants of Lowell General. It provides a place to Kids, bring your favorite stuffed animal or doll to the development and attachment. Infant sign language have your questions answered and meet other new Pheasant Lane Mall for a checkup, to learn tips to will be introduced and used in the songs each week. mothers. It is open to all mothers and their babies stay healthy, participate in fun activities and learn regardless of feeding preference. valuable health information for the whole family. Moms Connected Support Group Fridays, 11:30am-12:30pm, FREE SIDS Workshop: A Certification Understanding Teen Depression This drop-in group is open to moms-to-be and parenting Course for Childcare Providers Tuesday, March 7 or March 14, 6:00-8:00pm, FREE moms during the first year of childhood. Moms can Monday, March 13, 6:00-7:30pm, FREE Learn about the signs and causes of depression in connect and share stories on balancing motherhood This workshop will define Sudden Infant Death teens, different treatment options, and how you and grow their network of local mothers. Presented in Syndrome, discuss risk factors and identify safe can help. Parents, caregivers and youth workers are partnership with South Bay Early Childhood. sleeping positions and environments. encouraged to attend.

Tweens and Teens Programs

Babysitting Basics Plus CPR Personal Safety and Self Defense Saturday, February 11, March 11 or April 8, for Teens 9:00am-1:00pm, $60 Saturday, April 1, 8:45am-1:00pm, FREE Boys and girls ages 10 and older will learn Teens will learn about safety awareness, risk babysitting skills, CPR and receive a CPR reduction and how to react to an attack with Anytime Kit to practice at home. basic self-defense skills. This workshop includes a safety lecture followed by an array of personal Comprehensive Weight safety techniques and self-defense skills. Management Program for Teens Join this fun and interactive wellness Youth Six-Week Wellness program that supports teens in becoming Package balanced, active and mindful young people. $99.99/6-week session, 3 days per week In a group setting, 11-18 year-olds learn how Children ages 7 and up can increase physical a balanced lifestyle can lead to improved activity by trying a combination of surfing, boxing health, weight and self-confidence over a and boot camp classes in this wellness package. 10-week period. Two assessment visits Classes are held three days per week. Presented are included. in partnership with SLS Fitness in Lowell.

Get Your Body Movin’ Gentle/Moderate Yoga Tai Chi – YangTaoSM Long Form Zumba® Tuesdays, April 4-May 16; or (Part One) Thursdays, February 23-April 20, 5:30-6:30pm, $50 Wednesdays, March 1-April 19, 5:00-6:00pm, $85 Thursdays, March 16-May 4, 6:00-7:00pm, $70 Interval training sessions are combined with fast and Learn to create breath awareness, enhance balance, YangTao Tai Chi is a unique blend of two popular Tai slow rhythms and resistance training to sculpt your increase flexibility and bring about inner peace. Chi forms to enhance the healing qualities of this body while burning fat. People of all ages can enjoy Classes include basic breathing practices, as well as moving meditation. It can help you reduce stress, Zumba’s infectious music, easy-to-follow dance a variety of standing, sitting and lying postures. improve balance (physical, mental, spiritual), regain moves and body-beautifying benefits. *No class on *No class on February 28 or March 22. lost range-of-motion, slow the aging process and March 2, March 23 or April 13. enhance quality of life. INSANITY® Mondays, March 6-April 10, 6:00-7:00pm, $50 INSANITY is a cardio-based, total-body conditioning workout with cardio moves, as well as core and Your Heart Health abdominal training. Cardiovascular Risk Screening PiYo™ First Thursday of every month, 30-minute Mondays, February 20-April 3, 5:30-6:30pm, $50 appointments are available 7:30-11:30am, $25 PiYo is designed to build strength and gain flexibility Make an appointment for a full cardiovascular risk with intense choreography that’s fun, challenging screening, which includes blood pressure, body and will make you sweat. *No class on March 20. mass index, body fat analysis, cholesterol and blood sugar. Screenings will be performed by a Parkinson’s Disease Fitness Classes Registered Nurse. Contact SLS Fitness for program information Classes focus on mobility, strength circuit training Dinner with Our Docs – Women Heart & Soles Mall and boxing for people with Parkinson’s Disease who and Heart Disease Walking Program want to improve their mobility and strength in a Tuesday, March 28, 6:00-8:00pm, $15 Daily, 8:00-11:00am, FREE supportive environment. Presented in partnership Dr. Miret Ibrahim, board-certified cardiologist The Heart & Soles Mall Walking program with SLS Fitness in Lowell. practicing at Merrimack Valley Cardiology, will provides a climate-controlled atmosphere for discuss the facts and fiction when it comes to walking. Free blood pressure screenings are SM Tai Chi – YangTao Short Form heart disease in women. Dinner will be provided. offered on the third Wednesday of every month. Tuesdays, April 4-May 23, 6:15-7:15pm; or Presented in partnership with Simon Pheasant Thursdays, April 6-May 25, 7:00-8:00pm, $70 Get Heart Smart Health Fair Lane Mall. YangTao Tai Chi Short Form is a series of Saturday, March 4, 11:00am-2:00pm, FREE 13 movements done in a circular pattern in Heart disease is the number one cause of death Heartsaver® First Aid CPR AED five directions. By synchronizing slow flowing in the United States. Join us at the Pheasant Lane First Saturday of every month, movements, deep rhythmic breathing and a calm Mall to learn about blood pressure, cholesterol, 9:00am-5:00pm, $100 meditative state-of-mind, this tai chi style can help heart disease, stroke and other heart attack risk Become certified in Basic CPR for infants, reduce stress, improve balance, expand range of factors. Heart health screenings will be provided children and adults, as well as AED and First motion, and enhance quality of life. at no cost, including body mass index, body fat Aid. Presented in partnership with Trinity percentage, blood pressure, glucose and EMS. Fee includes workbook, face mask and hip-to-waist ratio. Register at the health fair for a certification card. full screening and have the $25 fee waived.

14 For a full description or to register for these and other programs, classes and support groups, please visit www.lowellgeneral.org/health or call 1-877-LGH-WELL (1-877-544-9355) Wellness and You Big Dreams, Big Intentions See Yourself to Success Workshop Get a Taste for Nutrition Thursday, May 11, 5:30-8:00pm, $15 Thursdays, March 30-May 4, 6:00-8:00pm, $25 This program teaches you a fun way to create a Get proven, step-by-step goal setting fundamentals to Effortless Weight Loss Tips visual representation of your dreams and goals, as see any goal through, in any area of your life. Discover Wednesday, March 29, 5:30-6:30pm, FREE well as how to stay accountable. simple, effective steps to create an action plan that If you have tried cutting carbs, counting calories will leave you happier, more self-confident and fulfilled. and weighing your food without the results you Calming Yourself for Medical wanted, then you may need a new plan. Learn Procedures Self Defense for Women simple strategies to add to your eating habits Wednesday, April 5, 6:30-8:00pm, FREE March 27, 29 and 31 or May 15, 17 and 19, without ever considering a “diet” again. Prepare physically, mentally and emotionally for 5:30-9:30pm, FREE medical procedures by using mind-body techniques This three-day course utilizes RAD (Rape Aggression Gluten Free Shopping 101 that reduce fear and anxiety. Learn to relax and use Defense) approach to provide self-defense education Wednesday, April 19, 5:00-6:00pm, FREE slow breathing to gain confidence and self-control. that focuses on awareness and risk reduction. Education is key when considering if a gluten free diet is right for you. Learn about and sample gluten COPD Education Seminar Small Steps That Make Big Changes free items, discover shopping tips and find ways to Wednesday, April 26, 6:00-8:00pm, FREE Tuesday, February 14, 6:00-7:30pm; or eat well to avoid nutrient deficiencies. Join Dr. Irwin Buchwald and Lowell General’s Wednesday, May 31, 6:00-7:30pm, FREE Respiratory Department to learn about the disease Learn the difference between fat loss and weight loss, Grocery Store Survival Skills for process, medication administration as well as how how to focus on fat loss, how to train smarter and Diabetics to control symptoms and exacerbations of COPD. how to cut through all the media hype and confusion. Tuesday, April 11, 5:30-6:30pm, FREE Learn the basics of food shopping and meal Fitness Over 40 Stress Management with Self Hypnosis planning for better blood sugar control, including Wednesday, March 1, 6:00-7:30pm, FREE Tuesday, March 14 (one day), 5:30-7:30pm; or portion sizes and nutrient pairings. As we age, the body changes and most exercise Wednesday, March 15 and 22 (two day), High Energy Snacking prescriptions are geared to the younger population. 6:30-8:00pm, FREE Hear about the unique health challenges facing Learn how to cope with stress by exploring Tuesday, February 21, 10:00-11:00am; or adults over 40 and how to lose body fat, balance techniques of relaxation, breathing, reflection, Thursday, February 23, 1:00-2:00pm, FREE hormones and maintain a focus on overall health. meditation and visualizing. What we snack on is just as important as how we Presented in partnership with SLS Fitness in Lowell. snack. Discover the best picks, and learn how to keep your energy and hunger stable. Freedom From Smoking® For Diabetes Programs See Page 5 Nutritious Frozen Food Finds Thursdays, March 2-April 20, 6:00-7:00pm, $30* Wednesday, March 8, 5:00-6:00pm; or This American Lung Association program will give Thursday, March 9, 11:00am-12:00pm, FREE attendees the tools needed to end dependency on smoking and improve their health and wellness. Frozen foods offer affordable, convenient, *Full reimbursement upon completion. portion-controlled food choices and meal options, Gift Shop but some picks are healthier than others. Learn the ® benefits of frozen foods and ways to best utilize Introduction to Zentangle frozen products every day. Tuesday, February 28, 6:00-8:00pm; Now Online Friday, March 10, 12:30-1:30pm; or ® Presented in partnership with Stop & Shop in Thursday, May 11, 6:00-8:00pm, $30 Chelmsford. Zentangle is an easy-to-learn, relaxing method of creating images from repetitive patterns while A Healthy Nervous System Leads reducing stress and increasing focus and creativity. to a Healthy Life Tuesday, May 9, 5:30-6:30pm, FREE Joint Replacement Education Do you feel stressed, exhausted, or overwhelmed? Weekly, Mondays, 11:00am-12:00pm; or Do you feel like there aren’t enough hours in the day Monthly, Mondays, 4:00-5:00pm, FREE to get everything done? Learn how proper care for Are you having your hip or knee replaced? Learn Can’t visit our gift shop your spine and nervous system can help you take what to do before surgery, what will happen on charge of your health and get your life back! the day of your surgery, what will happen during in person? recovery and tools for case management and Anger Management Series discharge planning. Call us at Wednesdays, April 12-May 17, 6:30-8:00pm, $75 978-937-6373 (Main Campus) Learn to utilize the principles of deep relaxation, Managing Chronic Disease slow breathing, constructive affirmations and guided Wednesdays, March 8-April 19, 1:00-3:30pm, FREE or 978-934-8499 (Saints Campus) imagery to bring understanding and better control Learn strategies to set and meet personal goals or place an order online at to anger issues. This workshop is useful whether related to persistent health conditions. Identify you have anger issues or live or work with people simple techniques to improve your quality of life, www.lowellgeneral.org/giftshop needing assistance to manage their anger. enhance communication with your doctor, handle stress and much more! * No class on March 22.

For a full description or to register for these and other programs, classes and support groups, please visit www.lowellgeneral.org/health or call 1-877-LGH-WELL (1-877-544-9355) 15 Lowell General Hospital 295 Varnum Avenue Nonprofit Org U.S. Postage Lowell, MA 01854-2193 PAID www.circle-health.org North Reading, MA TEL 978-937-6000 Permit #362 TTY 978-937-6889

For Your Health is published by the Marketing and Public Relations Department at Lowell General Hospital. The information is intended to educate people about subjects pertinent to their health, not as a substitute for consultation with a personal physician.

Circle Health Billerica Opening in February

The newest member of the Circle Health family is opening in North Billerica at 199 Boston Road in the Treble Cove Plaza. Services include: • Convenient urgent care services, seven days a week • Lowell General Hospital Patient Service Center • Primary Care Physician Practice

To learn more, visit www.circle-health.org/urgentcare