Freeman Medical Musings Blog

Freeman Medical Musings Blog

Palliative Care

Posted by Gwynn Caruthers, RN, Palliative Care Coordinator, on November 17, 2016

“One of the toughest yet most-rewarding times in palliative care is having a tough conversation with a patient and his or her family,” said Dr. Black. “Regardless of how difficult it is, when everyone comes to the same conclusion, we can focus on relieving a lot of pain and suffering for everyone involved.” ... Continue reading »

Managing Your Medications

Posted by Greg Cobble, RPh, on October 12, 2016

When it comes to using and managing your medications, it is important to play an active role in your own healthcare. Managing your medications can be overwhelming, but it is possible. Practice SAFER, always talk to your doctor and pharmacist, and always play an active role in your own healthcare. ... Continue reading »

Break the code of silence

Posted by Debbie Fitzgerald, EdS, LPC, NCC, Ozark Center Crisis Services Director, Region 5 Suicide Prevention Coordinator, on August 23, 2016

According to the American Association of Suicidology, a suicide attempt is made every 30 seconds in the United States. Although suicidal thoughts can affect anyone regardless of age, gender, religious beliefs and/or background, tragedy can be avoided if ... Continue reading »

Breastfeeding: A Key to Sustainable Development

Posted by Lorie Peterman, on August 16, 2016

World Breastfeeding month is August. This year’s celebration focuses on how our community and our world can support sustainable development through the protection, promotion and support of breastfeeding, which ultimately effects the health of our world and protects our resources ... Continue reading »

Real Men Practice Good Health

Posted by Jeffrey Grills, MD, on June 22, 2016

Because men have a history of not taking care of themselves and not seeking early medical treatment, they die five years earlier than women, on average. Out of the leading causes of death, men lead women in all of them except Alzheimer’s disease, and this is probably because many men don’t live long enough to develop the disease ... Continue reading »

You’re not too __________ to have an eating disorder

Posted by Jennifer Copeland, PsyD, Ozark Center, on May 13, 2016

If I asked you to close your eyes and visualize what someone with an eating disorder looks like, you would probably imagine a white, adolescent female from a middle to upper-class family. You are not too old to have an eating disorder. Research suggests that the fastest-growing portion of our society diagnosed with eating disorders is middle-aged women ... Continue reading »

Vestibular Rehabilitation Therapy

Posted by Chris Peterson, DPT, on May 05, 2016

If you suffer from vestibular disorders – vertigo, dizziness, visual disturbance, imbalance – vestibular rehabilitation therapy (VRT) may help relieve some of your symptoms. The vestibular system includes the parts of the inner ear and brain that process sensory information involved with controlling balance and eye movements ... Continue reading »

Keep Calm and Wear Sunscreen

Posted by Jill Endicott, FNP-C, on May 04, 2016

Remember the good old days when you worshipped the sun with your body soaking in baby oil and iodine? Your golden bronze skin and tan lines were the envy of all your friends ... Continue reading »

Keeping Student Athletes in the Game

Posted by Mylene Ray, Certified Athletic Trainer and Freeman Sports Medicine Outreach Coordinator, on March 29, 2016

Athletic trainers keep athletes safe with preventative measures, and help them return back to their game as safely as possible ... Continue reading »

It’s winter – guard your heart

Posted by Robert Stauffer, MD, Freeman Heart & Vascular Institute, on January 20, 2016

Research shows there is a 50 percent increase in heart attacks in winter, and twice as many heart attacks a day in January compared to July. The reason behind this increase is that cold weather affects the heart in multiple ways ... Continue reading »

Hypertension ... The Silent Killer

Posted by David Zuehlke, MD, Freeman Heart & Vascular Institute, on January 20, 2016

High blood pressure, also called hypertension, affects about 80 million Americans. Known as the silent killer, hypertension wreaks havoc on hearts, kidneys and extremities for many years before symptoms suggest its presence. For this reason, physicians have been aggressive in attempts to get their patients’ blood pressure to safe levels. The problem is in defining blood pressure safe levels ... Continue reading »

Best Year Ever

Posted by Kris Drake RN, CHPD, on January 18, 2016

Resolve to make 2016 your best year ever with tips from Kris Drake, Freeman Health System Wellness Coordinator ... Continue reading »

Prevent the Flu

Posted by Trish Shuler, BSN, RN, Freeman Infection Prevention Officer, on January 07, 2016

Flu vaccination can keep you from getting sick, and, if you do get sick, it can make your illness milder. Getting vaccinated isn’t just about protecting yourself – when you are vaccinated, you are also protecting the people around you ... Continue reading »

Self-care for the Caregiver

Posted by Kris Drake, Freeman Wellness Coordinator, on December 23, 2015

During this season of giving, I often think about those across the country who are providing long-term care to a family member. The Centers for Disease Control and Prevention reports that an estimated 21% of households in the United States are impacted by caregiving responsibilities ... Continue reading »

Holidays and Autism

Posted by Kristy Parker, Clinical Director of Bill & Virginia Leffen Center for Autism, on December 17, 2015

Like many holidays, Christmas can be a challenge for those on the autism spectrum. Holidays often disrupt routines and bring an array of new foods, sounds and smells – all of which can be overwhelming or distressing for individuals with autism ... Continue reading »

Garden Harvest Chili Recipe

Posted by Susan Pittman, RD, LD, CDE, on December 03, 2015

When the weather begins getting cooler, nothing is better than a bowl of delicious, hearty chili to warm you up! This recipe for garden harvest chili is chock-full of fall vegetables – and it’s diabetes-friendly ... Continue reading »

Social Wellness

Posted by Kris Drake, RN, CHPD, on November 20, 2015

I recently received an invitation apply for an award to recognize Freeman WellBalance, our employee wellness program, for its social wellness offerings. I have been promoting wellness for over 10 years and have never been asked specifically about our social wellness initiatives ... Continue reading »

Tips for Breastfeeding Success

Posted by Lorie Peterman, BS, IBCLC, on November 05, 2015

The American Academy of Pediatrics recommends exclusively breastfeeding for about the first six months of a baby's life, and then gradually adding solid foods while continuing breastfeeding until at least the baby's first birthday ... Continue reading »

Health Insurance Marketplace Opens for Enrollment

Posted by Amanda Mitchell, on October 30, 2015

The countdown is on! The health insurance marketplace opens for enrollment on November 1. According to the Affordable Care Act, most Missourians are required to have health insurance or pay a penalty ... Continue reading »

Vicarious Trauma and Secondary Traumatic Stress

Posted by Dr. Kimberly Fielding, on October 15, 2015

Fun in the swimming pool often involves jumping in with legs tucked in tight. It’s a cannonball! As soon as a body lands in the pool, water is pushed out to make room for the plunging object ... Continue reading »

Fall Travel with Diabetes

Posted by Susan Pittman, RD, LD, CDE, on October 08, 2015

Fall is a great time of year to take a trip – the weather is getting cooler and the leaves are beginning to turn beautiful colors. Travelling when you have diabetes can pose some challenges; however with proper planning, your trips will be fun and worry-free ... Continue reading »

Compassion Fatigue

Posted by Dr. Kimberly Fielding, on October 06, 2015

The compassion continuum discussion continues using the pool metaphor. The pool refers to adults in children’s lives, i.e. adults are pools full of sources to share, or provide resources, to children ... Continue reading »

Fall into Fitness

Posted by Kris Drake, RN, CHPD, on September 30, 2015

Many of us tend to wait until the new year to think about getting fit or starting a fitness program. Why not get a jump start this year instead and fall into fitness? ... Continue reading »

Health Screenings

Posted by Shelby Allen, RN, BSN, on September 18, 2015

Regular health screenings, such as blood pressure and cholesterol checks, can help prevent medical issues or detect them early ... Continue reading »

National Suicide Prevention Month

Posted by Deborah Fitzgerald, on September 10, 2015

We all desire to live full, happy lives with good mental health. However, according to the World Health Organization, only 17% of American adults are considered to be in a state of optimal mental health ... Continue reading »

Compassion Satisfaction

Posted by Dr. Kimberly Fielding, on September 03, 2015

When the weather is warm, a pool full of clear blue water is a welcome sight. When you need to cool down, a wading pool just won’t do! The pool metaphor refers to adults in children’s lives, i.e. adults are pools full of sources to share, or provide resources, to children ... Continue reading »

Compassion Continuum

Posted by Dr. Kimberly Fielding, on August 27, 2015

Often, folks enter their professional helping roles with the intention of being the best support to children who need guidance as they develop towards adulthood. However, the challenges can distract from what we expected from the relationships ... Continue reading »

Sitting is the new Smoking

Posted by Kris Drake, RN, CHPD, on August 21, 2015

You may have heard in the news that sitting is the new smoking, as far as an increase in health risks goes. Many of us do a lot of sitting throughout the day – commuting to and from work, sitting at a desk all day and/or sitting on the couch at home ... Continue reading »

Is Baby Weaning, or is it a Nursing Strike?

Posted by Lorie Peterman, IBCLC, BS, on August 06, 2015

There are a few developmental stages at 2 – 4 months and again at 8 – 10 months when new parents might get the perception that their baby doesn’t want to nurse anymore ... Continue reading »

Living to be 100

Posted by Kris Drake, RN, CHPD, on July 30, 2015

What are your thoughts on living to be 100? I would like to live to be 100, as long as I am healthy and independent. Most of us do not wish to have poor health as we age or have to be dependent on our families for daily needs ... Continue reading »

Relaxation Skills: Music

Posted by Dr. Kimberly Fielding, on July 23, 2015

There is something magical about the effects of music. It enhances our creative expression. This factor is important because some children lose their creative refueling due to trauma or challenges ... Continue reading »

Relaxation Skills: Reading

Posted by Dr. Kimberly Fielding, on July 14, 2015

Reading can be a powerful source of relaxation or stress. While the opportunity can create shared smiles, caring touch and emotion, the process is a work-in-progress for some children ... Continue reading »

Lingering Injuries – To Stretch or Not to Stretch?

Posted by Kendra Boswell, on July 09, 2015

Sometimes when we become injured, we still have symptoms months down the road even if we have allowed time for healing. This is a very common issue that can happen when nerves around an injury become irritated ... Continue reading »

Staying Healthy While You Recover from Injury or Illness

Posted by Kris Drake, RN, CHPD, on July 02, 2015

I recently received a reminder that life doesn’t always follow the plans we make. I was recently diagnosed with cervical radiculopathy ... Continue reading »

Relaxation Skills: Water

Posted by Dr. Kimberly Fielding, on June 18, 2015

Drinking water can become not only a game, but a way to get some relaxation time in! ... Continue reading »

Relaxation Skills: Listening for the Train

Posted by Dr. Kimberly Fielding, on June 04, 2015

Relaxation skills are vital for good mental health. For children, it's important that they learn to master these skills at a young age. Not only is practicing these skills important, but the long term benefits help children build resiliency to face challenges ... Continue reading »

Exercise Safely During Summer

Posted by Kris Drake, RN, CHPD, on June 02, 2015

With summer upon us, in order to avoid heat related illness, it is important to follow safety guidelines while exercising in the heat ... Continue reading »

The Behavior Traffic Light: The Yellow Light

Posted by Dr. Kimberly Fielding, on May 21, 2015

In the overall theme of the behavior traffic light, the purpose of the yellow light is to help children understand that many important parts of life need to be thoroughly considered. Adults use yellow light words to send a message of “slow down.” ... Continue reading »

Tips for a Healthy & Sunburn-Free Summer

Posted by Dr. Laura Stewart, on May 19, 2015

As summer approaches and our children are drawn outside into the sunshine once again, protecting our children from sunburn is key. Now more than ever, sun protection matters ... Continue reading »

The Importance of Sleep for Good Health

Posted by Kris Drake, RN, CHPD, on May 07, 2015

As children, many of us longed for the time when we could stay up as late as we liked and no longer had a set bedtime. As adults, there never seems to be enough hours in the day and oftentimes we wish someone would send us to bed. Lack of sleep can result in both short- and long-term health risks ... Continue reading »

The Behavior Traffic Light: Green Light

Posted by Dr. Kimberly Fielding, on April 30, 2015

In the overall theme of the behavior traffic light, the purpose of the green light is to cultivate the perception that we have a choice throughout many important parts of daily living. Adults use green light words to convey freedom of choice ... Continue reading »

The Behavior Traffic Light: Red Light

Posted by Dr. Kimberly Fielding, on April 28, 2015

In the overall theme of the behavior traffic light, the purpose of the red light is to cultivate the perception that red is important due to safety issues. Adults use red light words to send a message of caution. When a person is using the red light in their behavior traffic light, it is as if they are on alert and using fight, flight or freeze defense mechanisms ... Continue reading »

The Behavior Traffic Light: Colors of the Light

Posted by Dr. Kimberly Fielding, on April 23, 2015

The behavior traffic light can be used to gain insight but also to enhance areas that improve mental health. One area of insight has to do with resiliency – if you’re concerned about your child’s resiliency, helping him or her build capacity for meeting challenges can help ... Continue reading »

Breast Milk: "Medicine" for Your Pre-term Baby

Posted by Lorie Peterman, IBCLC, BS, on April 17, 2015

When babies are born prematurely, their mothers’ bodies automatically begin to produce breast milk that is specifically designed for the baby’s stage of development. The breast milk aids the fragile early baby in developing the immune system, stomach, lungs and brain to catch up to their full term counterparts ... Continue reading »

Overcoming Challenges

Posted by Kris Drake, RN, CHPD, on April 09, 2015

“The moment you turn a corner, you see another straight stretch ahead and there comes some further challenge to your ambition.” – Oliver Wendell Holmes, Jr. ... Continue reading »

The Behavior Traffic Light: An Overview

Posted by Dr. Kimberly Fielding, on April 03, 2015

People around the world – drivers and nondrivers alike – can relate to the meaning of the colors red, yellow and green in terms of traffic control. Traffic lights help drivers determine whether to go, slow or stop. This understanding of a traffic light can be applied to good mental health interactions with children so well ... Continue reading »

National Social Workers Month

Posted by Freeman News Team, on March 31, 2015

March is National Social Worker Month. Chances are, a social worker has impacted the life of someone you know – a patient, a friend or a loved one ... Continue reading »

The Behavior Traffic Light: The Foundation

Posted by Dr. Kimberly Fielding, on March 25, 2015

“My body’s my car, and I’m licensed to steer.” - Jamie Lee Curtis, It’s Hard to Be Five: Learning How to Work My Control Panel ... Continue reading »

Breast Cancer Frequently Asked Questions

Posted by Wendy Chrisenbery, on March 20, 2015

Because breast cancer can present in many ways, and every woman's breasts are different, I tell patients to look for anything new or changing in the breast ... Continue reading »

Getting Past the Weight Loss Plateau

Posted by Kris Drake, RN, CHPD, on March 19, 2015

If you are like many of us who have lost weight, you find losing the last 5 to 10 pounds seems to be the most difficult. At the beginning of your diet, the weight seemed to come off fairly easy by watching what you ate and exercising on a regular basis – but now, what worked before doesn't work at all. Well, don't give up! There are ways you can get past the dreaded weight loss plateau. Try these tips! ... Continue reading »

Exercise Works

Posted by Chris Peterson, PT, DPT, OCS, on March 10, 2015

One of the great things about exercise is that it works. Our bodies are designed to improve, with time and effort, to meet the demands placed on them ... Continue reading »

Pumping Breast Milk When Away From Your Baby

Posted by Lorie Peterman, IBCLC, BS, on February 27, 2015

Many mothers worry about having enough breast milk when they return to work and want to get started pumping right away. Don’t worry – feeding your baby as often as he or she wants will help build your milk supply the first few weeks ... Continue reading »

Exercise for a Healthy Heart

Posted by Dr. Robert Stauffer, on February 19, 2015

Exercise has clearly been found to prolong people's lives and to combat disease when disease arises. People who exercise live at a different level as they age into their 40s, 50s and 60s than those who do not ... Continue reading »

Pregnancy Myths

Posted by Dr. Angela Langer, on January 30, 2015

The moment you announce your pregnancy, advice begins to pour in. It can be hard to decide which advice to take to heart ... Continue reading »

SMART Goals

Posted by Kris Drake, RN, CHPD, on January 23, 2015

As we begin a new year, we often reflect on the things we didn’t accomplish last year and set a resolution or goal for the coming year. “The start is what stops most people” is true for many of us. We want to reach our goals and make positive changes in our lives, but often don’t know where to begin ... Continue reading »

Volunteering at Freeman

Posted by Linda McIntosh, on January 14, 2015

Studies have found volunteering leads to improved physical and mental health because it provides a sense of purpose and accomplishment. Volunteering can be a very rewarding experience ... Continue reading »

Varicose Veins: Newest Treatment for an Age-Old Problem

Posted by Dr. Joseph Newman, on January 09, 2015

Varicose veins are the seemingly unsightly, swollen, twisted and bulging veins found on the legs. They are caused by blood pooling up in the vein when a defective or damaged valve no longer pushes blood back up to the heart. Developing these veins may be more than just a cosmetic issue ... Continue reading »

Give Your Finances a Facelift in 2015

Posted by Kris Drake, RN, CHPD, on December 24, 2014

“Money isn't the most important thing in life, but it’s reasonably close to oxygen on the ‘gotta have it’ scale.” – Zig Zigler ... Continue reading »

Health Insurance Marketplace

Posted by Amanda Mitchell, on December 18, 2014

We are officially in the middle of the Health Insurance Marketplace second open enrollment period. The Missouri Health Insurance Marketplace is a website that allows you to compare health insurance plans and purchase a plan that best fits your needs ... Continue reading »

Helping Kids Cope with Stress

Posted by Dr. Kimberly Fielding, on December 11, 2014

Stress: it isn’t just for adults. Stress can be defined as the gap between expectations and resources. In other words, you need to determine what demands are being made and what resources are available to meet those demands. Stress can also be defined as the difference between the “ideal” and the “real.” ... Continue reading »

Your December Health To-Do List

Posted by Freeman News Team, on December 04, 2014

While the supermarket makes it convenient to purchase out-of-season foods, consider trying a new winter fruit or vegetable! ... Continue reading »

The 80/20 Rule

Posted by Kris Drake, RN, CHPD, on November 20, 2014

“The struggle you’re in today is developing the strength you need for tomorrow.” – Robert Tew ... Continue reading »

In It For The Long Run

Posted by Kendra Boswell, on November 14, 2014

Runners who complete their training have every reason to be proud of what they have accomplished, whether they participate in a marathon or not. They set a goal, stuck to a plan and stayed patient with their progress ... Continue reading »

Your November Health To-Do List

Posted by Freeman News Team, on November 07, 2014

Influenza (the flu) is a very contagious disease, easily spread through coughing and sneezing. While anyone can become infected with the flu ... Continue reading »

Strive to Stay Present

Posted by Kris Drake, RN, CHPD, on October 31, 2014

“Happiness, not in another place but this place … not for another hour, but this hour.” – Walt Whitman ... Continue reading »

National Substance Abuse Awareness Month

Posted by James Childers, MS, LPC, on October 15, 2014

It has been said that necessity is the mother of invention and unfortunately this is true in all areas of life, including the field of substance abuse ... Continue reading »

Movement Patterns and Pain

Posted by Chris Peterson, PT, DPT, OCS, on October 10, 2014

We each have maps of our body in our brain to plan and execute movement. Our brain maps allow us to move without thinking of every muscle and joint involved. The pattern of movement is formed by our experience and pain will quickly change both our movement and our map for movement ... Continue reading »

You Are What You Eat

Posted by Kris Drake, RN, CHPD, on September 26, 2014

Nutritious food is the key to good health. If you exercise but don’t fuel your body correctly, you’re not going to get the physical results you desire. No matter what diet you follow, knowing what is in your food and how it is processed is just as important as the food itself. If you eat whole, healthy and fresh foods, your body, skin and soul will radiate health and you will have more energy! ... Continue reading »

Concluding the Five-Gallon Jug Metaphor

Posted by Dr. Kimberly Fielding, on September 19, 2014

Adults help developing minds track time on a clock, through history and into the future. As long as a child feels safe (due to adult guidance), he or she will feel more secure to learn and approach new experiences ... Continue reading »

Exercise during Pregnancy Questions & Answers

Posted by Dr. Angela Langer, on September 05, 2014

Exercising during pregnancy is safe and recommended ... Continue reading »

The Family That Plays Together Stays Together

Posted by Kris Drake, RN, CHPD, on August 22, 2014

We have all heard the saying “the family that plays together stays together.” This really holds true, but living a busy life often means it is necessary to cut something out. You may be tempted to cut down on playtime. Yet, cutting out playtime means cutting out an opportunity for the many health benefits that family togetherness provides ... Continue reading »

Summer Food & Fun

Posted by Susan Pittman, RD, LD, CDE, on August 14, 2014

Summer barbeques and picnics can offer many tempting food choices that are high in calories and sugar. Knowing how to create a well-balanced meal helps keep your blood sugar level as close to normal as possible ... Continue reading »

Pushing the Limits

Posted by Kendra Boswell, on August 08, 2014

Rehabilitating from a surgery or an injury is, in many ways, similar to training for a triathlon. There might be a bit more time commitment with training for a competition, but the end goal is still the same – making the body stronger and healthier, which helps better prepare us for the challenges that life brings ... Continue reading »

The Five-Gallon jug and Emotional Stability

Posted by Dr. Kimberly Fielding, on July 31, 2014

Emotions originate in the brain, which is an organ in the body just like the heart and lungs. This biological component is the most tangible part of the process of emotions ... Continue reading »

Getting on the Road to Wellness

Posted by Kris Drake, RN, CHPD, on July 24, 2014

Sometimes it’s hard to decide where to start. Let’s begin by looking at the concept of well-being ... Continue reading »

The Five-Gallon Jug and Time Management

Posted by Dr. Kimberly Fielding, on July 17, 2014

Understanding and managing time is a human need ... Continue reading »

Chronic Pain

Posted by Chris Peterson, PT, DPT, OCS, on July 11, 2014

Pain can be a sign of poor overall health and may not get better until the person improves his or her overall health ... Continue reading »

Summer Healthy Living Tips for those with Diabetes

Posted by Susan Pittman, RD, LD, CDE, on July 03, 2014

Summertime brings barbeques, parties and trips, but it can also bring unhealthy foods and habits. The good news is that you can enjoy summer fun and stay on track with your healthy living goals. Try these tips! ... Continue reading »

Cooking Flavorful Meals Without Adding Calories

Posted by Kris Drake, RN, CHPD, on June 25, 2014

It may not seem possible to prepare a great tasting meal without adding a lot of extra calories, but healthy meals don’t have to lack flavor ... Continue reading »

You Are What You Eat...Sort Of

Posted by Dr. Dennis Estep, MPH, FACOEM, on June 20, 2014

Many have heard the old adage, “You are what you eat,” and perhaps the response, “Then I want to eat a skinny person!” ... Continue reading »

Word Pictures

Posted by Dr. Kimberly Fielding, on June 12, 2014

My favorite compliment is from a friend who says I’m the “queen of metaphors.” For myself, I think in pictures and then use words to help communicate my thoughts so others can see what I’m thinking — I call them “word pictures.” ... Continue reading »

Running Injuries: What the Internet Can't Tell You

Posted by Kendra Boswell, on June 05, 2014

Sometimes, similar injuries can be caused by very different factors, and seemingly different injuries can be caused by similar circumstances. The internet might be able to tell runners about their injuries, but there is no way of helping them figure out why they were injured in the first place ... Continue reading »

Starting an Exercise Program

Posted by Kris Drake, RN, CHPD, on May 23, 2014

The thought of beginning an exercise program may still seem unreachable in today’s busy world. However, please know that getting back to the gym or beginning an exercise routine doesn't have to be overwhelming. Remember to start slowly – begin with a single step ... Continue reading »

Coping With the Anniversary of a Traumatic Event

Posted by Dr. Kimberly Fielding, on May 19, 2014

For good mental health, it’s important to anticipate reactions to the anniversary of a traumatic event ... Continue reading »

Principles of Wound Healing

Posted by Dr. Joseph Newman, on May 14, 2014

In the United States, approximately 6.5 million people are affected by chronic wounds (wounds that fail to heal) each year. As a wound healing expert I am often asked, “Why do some wounds heal without any trouble and others not heal?” ... Continue reading »

The Importance of Keeping a Health History & What to Include

Posted by Dr. Sarah Moran, on May 08, 2014

Keeping a personal health history is important. Not only can it save you time and money by avoiding unnecessary tests and procedures, it could also save your life ... Continue reading »