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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.

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.

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

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’s team of ultrasound technologists, respiratory therapists, certified registered nurses, and cardiologists work together to provide stress echocardiography testing for patients. Stress Echocardiography or stress echo, is a test that uses ultrasound imaging to show how well your heart muscle is working to pump blood to your body. This test is most often used to detect a decrease in blood flow to the heart due to narrowing in the coronary arteries. A doctor orders this test if the patient has chest pain that is believed to be related to coronary artery disease or a myocardial infarction or heart attack. The stress echo can also be used to tell how well treatments such as bypass grafting, angioplasty, and anti-anginal or antiarrhythmic medications are working. During the stress echo, the doctor is able to observe your heart at a resting state and peak rate to compare blood flood to the heart. The healthcare team begins the test by applying electrodes to the chest of the patient to measure the heart’s electrical activity and regularity of heartbeats. The patient’s blood pressure is also manually monitored throughout the test. During the resting state, the patient will be placed on their side while the ultrasound technologist takes images of the heart muscle. Once the resting images are taken, the patient will then be asked to walk on a treadmill to help increase their heart rate. Depending on the patient’s physical condition, the care team may increase the intensity of the exercise. If a patient is unable to physically exert themselves to reach their target heart rate, medications will be used to help simulate exercise to the heart. Once the peak rate has been reached, the patent is then asked to lay on their side once more to take more images of the heart to determine if their heart muscles are getting enough blood and oxygen during exercise. As the person cools down and their heart rate returns to normal, they are continually monitored.

Electrosurgery is used to coagulate the tissue to prevent bleeding and destroy any foreign cells that may still exist. Electrosurgery for dermatology procedures is the ideal method for removal of hemangiomas (bright red birthmarks) and pyogenic granulomas (skin growths that are small, round, and usually bloody red in color) due to their vascular nature and tendency to bleed. 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 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. 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

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

Physicians typically refer patients to the Sleep Lab when they display signs & symptoms of possible sleep disorder. Signs and Symptoms of sleep disorders may include; morning headaches, daytime fatigue, daytime sleepiness, snoring, waking up gasping for air, irritability, anxiety, depression, loss of concentration, falling asleep while driving, increased work place accidents, high blood pressure. Other circumstances in our daily lives may cause these signs and systems. Once your physician reviews your signs and symptoms along with a physical exam, he/she may determine a sleep study is right for you. During the sleep study the Sleep Technician will monitor brain waves, eye movements, muscle activity, multiple breathing variables, heart rate/rhythm, position, limb movements, and blood oxygen levels during sleep, using specialized recording equipment. Sleep Problems and Disorders have been linked to a multitude of short and long-term health problems. Studies have shown that some patients with chronic sleep disorders may be at higher risk for Blood pressure and Heart Disease. If you feel that you or someone you know may be suffering from a sleep disorder, there is help. Contact your Family Physician to discuss your symptoms or click on Ask The Expert. Memorial Hospital has been providing Sleep Diagnostic testing since 1998. Memorials Registered Polysmnographist (Sleep Technician) is a member of the American Academy of Sleep Medicine. Memorial Hospital is also a Community Sleep Awareness Partner of the National Sleep Foundation. Memorial Hospital Offers the Home Noxturnal Sleep Study This new service is available to qualifying patients for simplification, increased efficiency in the comfort of their own home. This portable monitor is very easy to use with a full set up and instruction by a sleep specialist from Memorial Hospital. Contact your provider to find out if you are a candidate. To learn more about our sleep center or services we provide, please call 618-826-4581 Sleep Lab ext. 1106 | Cardiopulmonary ext.1283 HOURS: Cardiopulmonary Mondays-Friday 6:00 a.m. to 6:30 p.m. Weekends and Holidays 6:00 a.m. to 2:30 p.m. Sleep Lab Tech Hours: Sundays-Tuesdays 6:30 p.m. to 6:00 a.m. Scoring Tech Hours: Tuesdays-Thursdays 9:00 a.m. to 5:00 p.m. Director’s Sleep Lab Hours: Tuesdays-Thursdays 8:00 a.m. to 4:30 p.m. On call coverage 24 hours a day, 7 days a week: Call our toll free number 833-687-6502

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.