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This technology allows your doctor to have the clearest possible look at your internal anatomy. MRI does not use X-rays or radiation. Instead, it uses a powerful magnetic field and radio waves to provide computerized images, which appear as “slices” of the anatomy. From these pictures, the radiologist can determine the differences between healthy and abnormal tissue. The MRI procedure is simple and safe. One of its main benefits is that a lot of information can be obtained through a painless test. Memorial Hospital’s Diagnostic Imaging Department is excited to unveil their newly upgraded MRI Unit, the Vantage Orian Encore. This newly upgraded system improves productivity and clinical confidence in imaging results. The new system is an upgrade to their current unit, and involved replacing the technological elements of the unit, while leaving the large and expensive magnet that makes up the core of the device in place. Patients, technologists, and radiologists alike will notice the advanced improvements. Patients can now receive better imaging, faster, and more comfortably. Imaging will be up to 50% faster, which means less time on the table. The new imaging technology improves the patient’s results and aids their providers in making a better diagnosis. The Advanced intelligent Clear-IQ Engine (AiCE) removes noise from images, which results in increased resolution imaging; achieving sharp, clearer, and distinct images. Clearer images means better diagnosis and improved patient care. Clinicians can have confidence that the images will provide a clear picture of what is going on inside their patients so they can create effective treatment plans. The Diagnostic Imaging department will also be expanding their vascular exam services with contrast and non-contrast MRA (renal, carotid, aorta, and abdomen scans). “The advancements we have been able to implement in our department over the last few years have greatly impacted the quality of care we are able to provide to our community,” says Andria Zweigart, Director of Diagnostic Imaging. “We are fortunate to have skilled technologists and ARRT registered technologists who are always eager to provide the best care possible and take pride in their work. Suppling them with the latest and greatest technology is key in helping them deliver the desired results.” Memorial Hospital is currently scheduling exams with their new unit. Request your next imaging procedure at Memorial in Chester.

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.

HOURS Sunday-Saturday 8am-8pm (Everyday) ​ HOW DOES CONVENIENT CARE WORK? A Triage Nurse will perform an initial assessment. The Triage Nurse and/or Physician shall have final authority in determining whether the patient’s medical condition qualifies them for treatment in Convenient Care. If the patient does not qualify, they will be offered Emergency care. If the patient does qualify, they will be charged for this service at a reduced rate. Any testing (lab tests, X-rays, etc.), supplies used, or medications given are at an additional cost. Additional reviews of X-ray or lab work may be necessary and will be charged separately. If patient becomes worse and needs to be treated in the Emergency Department, charges will be billed at the regular Emergency Department rate. In order to do Convenient Care at a reasonable cost, the patient is always asked for the Convenient Care co-pay the day of treatment. As a Convenient Care patient, your treatment becomes secondary to patients in the Emergency Department. It is critical for the staff to treat those with severe conditions first. WHY CHOOSE CONVENIENT CARE? 1. Emergency Room claims can be denied because the insurance company determines them to be “non-emergent”, which leaves the patient responsible for the bill. 2. Convenient Care is billed at a lower rate to your insurance provider or to you. 3. You can be seen after normal clinical hours for illnesses or injuries that do not require emergency care. 4. You can even be seen on weekends. WHAT CAN I BE SEEN FOR? • Contusions/Bruises • Sprains/Strains of the extremities. • Colds and/or Flu-like symptoms involving the upper respiratory tract. • Fever, with uncertain cause. • Earaches • Sore Throats • Simple lacerations/cuts requiring stitches or staples of 2 or less. • First degree or minor second degree burns. • Low back pain from lifting, or chronic low back pain. • Headaches (patients with previous work-ups) • Abrasions or cuts & scrapes. • Rash with no blood pressure or breathing complications. • Insect stings or spider bites with only a localized reaction. • Urinary Tract Infection without fever or vomiting. • Scratched Eye • Foreign bodies in the eye. • Foreign bodies in the nose/ears. • Sinus Infection • School and/or sports physicals (Payment due prior to exam.) • Employment Physicals

Our Rural Health Clinics provide Family Planning services which include: • Gynecological Exams • Birth Control Counseling • Subdermal Birth Control Implants At our clinics we know one plan doesn't fit all, especially when it comes to family planning and the correct contraception. Plan your family on your terms, contact the Chester Clinic or Steeleville Family Practice to schedule your birth control consultation or Gynecological Exam. Nexplanon insertion also available at both locations.

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.

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.

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

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

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 Hospital’s Swing Bed program provides a wide range of interdisciplinary rehabilitation services to patients with short term rehabilitation and medical needs. Following a qualified three-night acute-care stay, patients may be referred by physicians, acute care hospitals or other health care professional, for admission to swing bed status. Our swing bed team will meet with the patient to evaluate their condition and level of function. The team will assess the patient’s needs, plan treatment and establish an estimated time frame to meet the team’s goals. Family members are an integral part of the treatment team. They are involved in decision making, made aware of daily progress and are also invited to participate in our tri-weekly interdisciplinary patient care meetings.

Specialized Care throughout your life span - helping you return to work, play, and life! Our occupational therapist focuses on improving a patient’s ability to perform the activities of daily living (ADL). Treatment may include: • Specialized hand and upper body therapy to help restore function for improved performance in activities of daily living • Instruction in adaptive techniques, joint protection, work simplification, energy conservation and motor coordination • Customized adaptive equipment 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.

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.