Reasons You Should Choose UPMC Hamot Safe Harbor Behavioral Health of UPMC Hamot FAQs About Prostate Cancer Pediatrics at UPMC Hamot

healthyliving THIS INSERT IS A PAID PUBLICATION OF UPMC HAMOT. Jan. April 2018 IN THIS ISSUE: Reasons You Should Choose UPMC Hamot Safe Harbor Behavioral Health of UPMC Hamot FAQs About Prostate Cancer Pediatrics at UPMC Hamot

IN THIS ISSUE: 2 5 6 8 9 Safe Harbor Behavioral Health of UPMC Hamot FAQs About Prostate Cancer Reasons You Should Choose UPMC Hamot Perinatal and Neonatal Substance Abuse Services Pediatrics at UPMC Hamot 10 Upcoming Classes Safe Harbor Behavioral Health OF UPMC HAMOT 2 Oct. Dec. 2017

More services. More accessibility. More people getting the care they need. As a regional behavioral health services partner, Safe Harbor Behavioral Health of UPMC Hamot provides quality therapy services and medication management through its psychiatric clinic. In 2018, Safe Harbor Behavioral Health will celebrate its 25th anniversary. Since its founding, Safe Harbor has grown to offer a wide range of services including crisis intervention, suicide prevention and education, substance use disorder treatment, and case management. Safe Harbor is always looking to meet the needs of its community and to expand access to services in locations most comfortable for those in need. Now, with help from UPMC Hamot s large network of primary care physicians, many people in need of mental health services may contact their own family doctor for help. The concept of providing mental health services in primary care offices is unique, says Antonio Simora, DO, medical director of Safe Harbor Behavioral Health of UPMC Hamot. By having therapists available in family practice offices, it helps provide quicker access to therapy services in a familiar environment, increasing the chance of continuing with the needed care." Access to therapists is currently available at three primary care locations in Erie and North East, with more offices expected to offer the service in the near future. With a wide range of services available at more than 30 satellite locations, Safe Harbor attributes the growing need to more people having a better understanding of mental illness, its signs and symptoms, and treatment options. We do a great deal of community education, says Vicky Merski, LCSW, director of clinical services at Safe Harbor Behavioral Health of UPMC Hamot. The more awareness we can create, the more we are 3

The more awareness we can create, the more we are able to destigmatize things like behavioral health needs and substance abuse helping people feel it s OK to get help. Vicky Merski, LCSW able to destigmatize things like behavioral health needs and substance abuse helping people feel it s OK to get help. With a team of trainers on staff, Safe Harbor routinely gives presentations in school districts, police departments, and for community groups, including the Erie County Suicide Prevention Taskforce. It s one of the most important things we do, says Ms. Merski. When we can create a conversation, we are in a much better position to let people know they aren t alone, that help is available, and that it works if they give us a chance to work with them. Through expansion of services and accessible locations, Safe Harbor remains steadfast in its mission to give individuals a more active role in their recovery and choices in treatment. When someone is really struggling, the most overpowering feeling is that of feeling alone and without hope, says Mandy Fauble, PhD, LCSW, executive director at Safe Harbor Behavioral Health of UPMC Hamot. When we create a conversation, we are in a much better position to let people know help is there and it works, if they give us a chance to work with them. LOCATIONS Safe Harbor Behavioral Health of UPMC Hamot (main office) 1330 W. 26th St., Erie, PA 16508, 814-459-9300 Safe Harbor Behavioral Health of UPMC Hamot (outpatient west office) 2564 W. 12th St., Erie, PA 16505, 814-459-9300 Safe Harbor Behavioral Health of UPMC Hamot Crisis Center 2560 West 12th St., Erie, PA 16505, 814-456-2014 Crisis services are available 24 hours per day for telephone, walk-in, mobile, and the crisis residential unit by calling 814-456-2014. *Safe Harbor Behavioral Health of UPMC Hamot offers clinics and therapy services at several other locations throughout Erie County. For more information, please call the main office at 814-459-9300. OUR SERVICES UPMC Hamot's partnership with Safe Harbor Behavioral Health strengthened mental health resources available to residents of Erie County. Plus, Safe Harbor's affiliation with Western Psychiatric Institute and Clinic of UPMC provides a direct link to research-based care for a variety of behavioral health conditions. Safe Harbor Behavioral Health of UPMC Hamot offers an array of services for children and adults with mental health needs, including: Individual, couples, family, and group therapy Psychiatric medication management Blended case management Telephone, walk-in, and community-based crisis intervention available 24 hours a day, seven days a week, 365 days a year Crisis residential unit Substance use disorder treatment 4 January April 2018

FREQUENTLY ASKED QUESTIONS Diagnosing and Treating Prostate Cancer On the forefront of screening, diagnosing, treating, and surveilling prostate cancer, UPMC Hamot urologists work closely with the Regional Cancer Center to offer patients a team approach to high-quality, comprehensive care. Michael Miller, DO, is a urologic surgeon at Lakeview Urologic Surgeons who helps patients understand all surgical treatment options related to their prostate cancer diagnosis. Q: Who should be screened for prostate cancer? A: Most experts recommend that each man work with his doctor to decide whether screening is right for him. For those who decide to be screened, experts recommend starting at the age of 55 with repeat screenings every one to two years. Men with risk factors for prostate cancer might want to begin screenings at an earlier age. Men can stop being screened when they turn 70 or if they have less than 10 years of life left due to a secondary, serious illness or health problem. In these cases, the benefits of screening may not exceed the potential harms. Q: What is a PSA test and is it accurate? A: PSA stands for prostate-specific antigen. PSA is a protein made only by the prostate, and PSA levels may go up when a man has prostate cancer. The protein also goes up for reasons that do not involve cancer, such as an infection or trauma to the prostate. Since instituting PSA testing as a screening tool for prostate cancer in 1989, the incidence of prostate cancer has increased, but the death rate has decreased. This is because we are catching prostate cancer earlier, instead of when the cancer is causing other symptoms. Q: Why do doctors offer screenings? A: Doctors offer screenings in the hopes of catching prostate cancer early before it has a chance to grow, spread, or cause symptoms. With many cancers, catching the disease early is an important part of effective treatment. Most prostate cancers are found by prostate biopsy due to an elevated PSA. It is difficult to tell which prostate cancers are deadly and which ones would never cause any problems. Certain tests can suggest which prostate cancers might be more likely to cause problems. But the tests are far from perfect. A discussion with your doctor is recommended. To learn more, contact Lakeview Urologic Surgeons at 814-877-5700. Andrew Figura, MD, is a radiation oncologist at the Regional Cancer Center specializing in the nonsurgical treatment of cancers including gynecologic, breast, head and neck, and prostate. Q: I have prostate cancer. How much time do I have? A: With the help of PSA testing, prostate cancer is now typically detected much earlier. Since it is usually a slow-growing cancer and has many effective treatments, many men with early-stage disease will be cured. And if the cancer is not cured, it can usually be controlled with medication for a significant period of time. Q: For localized prostate cancer, what are the pros and cons of surgery versus radiation for treatment? A: When a patient has surgery to remove prostate cancer, the one-time procedure does carry with it a risk of infection as well as urinary incontinence plus the surgical recovery. While radiation treatment does reduce the risk of urinary incontinence, this nonsurgical treatment option does have a small increased risk of bladder or rectal irritation sometimes leading to bleeding. Additionally, there is a small increase in the chances of a secondary cancer developing in the region exposed to the radiation. Patients should be advised that if radiation treatment is done first, surgery is not typically a follow-up option due to scarring in the radiated area. Q: How will radiation treatment affect my sexual function? A: If a man has good sexual function prior to treatment, they will usually experience slightly worsened function after radiation treatment and may need an erectile disfunction medication. If prior to treatment a man was already experiencing poor sexual function, the same poor level of function can be expected to continue after treatment. To learn more about the Regional Cancer Center, call 814-838-9000 or visit TRCC.org. 5

9 of the many reasons you 1 The only Level II Trauma Center in the region. From trauma and orthopaedic surgeons to emergency physicians and interventional radiologists, the most critical patients with the most traumatic injuries have access to a vast amount of specialty care right when they come through the door, explains Gregory K. Beard, DO, president of the UPMC Hamot medical staff and medical director of the John E. Britton Shock Trauma Center at UPMC Hamot. Trauma centers have been proven to provide better outcomes. And certainly, the sooner you get there, the better your outcome. We are fortunate to have this high level of trauma care available in Erie. 4 6 UPMC Hamot is the only hospital to provide 24-hour, in-house access to: Anesthesiologists Critical care physicians Neurologists Orthopaedic surgeons Trauma surgeons Pediatric physicians Neonatal nurse practitioners UPMC Hamot is the only Magnet recognized hospital for nursing care in northwest Pennsylvania. This is the most prestigious recognition a nursing staff can achieve, and acknowledges their innovative patient care. Plus, UPMC Hamot is one of 22 hospitals in the country to be recognized with a Lantern Award, also recognizing excellence in its Emergency Department nursing staff. Magnet is the gold standard of nursing excellence, says Robin Melvin, Magnet project coordinator at UPMC Hamot. Only about 7 percent of hospitals across the nation receive this designation. So to be in that top performing group is a monumental achievement for UPMC Hamot. It means we are taking the best care of our patients. 5 7 UPMC Hamot s planned patient tower is the largest construction project in the hospital s 135-year history. The $111 million dollar investment will include seven floors dedicated to patient care, including critical care medicine. UPMC Hamot is positioning itself as the local leader in advanced care, says Ronaldo Sevilla, MD, medical director of the medical intensive care unit (MICU) at UPMC Hamot. It just makes sense that as we are delivering more advanced care, some of those patients are going to need advanced monitoring, advanced life support. And we need to have the capacity to deliver the highest quality care available. You need the personnel, but you also need the infrastructure to deliver that care. UPMC Hamot is the only hospital in the area to offer unique and highly specialized procedures such as: Chemoembolization Deep brain stimulation Hepatobiliary (liver) surgery Interventional stroke treatment Kidney transplant Microvascular decompression 6 January April 2018

should choose UPMC Hamot 2 3 UPMC Hamot offers the largest network of physicians from over 20 different specialties. Our focus has been on ensuring that patients do not have to leave the area for care, says Lynn Rupp, vice president of operations at UPMC Hamot. From transplant and trauma services to interventional stroke care, the list of unique specialties available at UPMC Hamot is unparalleled. You will find what you need, right here at UPMC Hamot. No other local health system can give you that peace of mind. Magee-Womens, UPMC Hamot is the only free-standing facility dedicated to women s health in the region. Our goal is to provide women in the region with the most comprehensive care available, says Debbie Burbules, president of Magee-Womens, UPMC Hamot. We furthered that commitment this past year with the addition of the new Magee-Womens Specialty Center, which not only provides women more options for ob-gyn care close to home, but also gives them access to all of the specialists available through UPMC. 8 UPMC Hamot offers advanced surgical technology including intraoperative CT imaging equipment, robotic surgery, and a Brain Lab that features cranial mapping and navigation. In collaboration with the Hamot Health Foundation, we are proud to provide state-of-the-art surgical equipment that not only aids our surgeons during complex surgical cases, but can also improve patient safety, says David Gibbons, president of UPMC Hamot. Equipment like the intraoperative CT scanner actually allows the surgeons access to real-time imaging, which can lead to more precise surgical outcomes. 9 UPMC Hamot is ranked #9 in Pennsylvania by U.S. News & World Report, and is the only hospital in Erie to be recognized by the publication. This put UPMC Hamot in the top 4.4 percent of hospitals in the state. "Being recognized by U.S. News & World Report is a true honor, says David Gibbons, president of UPMC Hamot. And just like each of these eight other points contribute to our overall success, so do each of our employees. It all comes together in the full and comprehensive approach to health care offered at UPMC Hamot.

Perinatal and Neonatal Pregnancy Recovery Center New center aims to help pregnant women with substance use disorder. It s a staggering fact: every 25 minutes a baby is born suffering from opioid withdrawal. And as the number of pregnant women struggling with dependency continues to rise, so does the need to provide comprehensive treatment services devoted to a healthy pregnancy for mom, a safe delivery for her baby, and a recovery plan for their futures. The new Pregnancy Recovery Center at Magee-Womens, UPMC Hamot provides specifically designed inpatient and outpatient programs for pregnant women with substance use disorder. The goal is to link women to all the services they need for recovery under one umbrella. "We are in a crisis right now due to opioid use in this country," says Jessianne Montie, LPC, clinical supervisor of addiction medicine services at Safe Harbor Behavioral Health of UPMC Hamot. "Through this center, we can eliminate some of the barriers preventing these women from getting the treatment they need. By being preventive and proactive, we will hopefully see better long-term outcomes not just for the babies, but also for the moms." OUR SERVICES By having access to many outpatient services in one location, the Pregnancy Recovery Center hopes to remove the barriers many women face in getting treatment and to provide support that will not only enhance their recovery efforts, but also help ensure their success. Women enrolled in the program will be offered: Consultations Obstetrical services and prenatal care Medication-assisted treatment with buprenorphine Counseling in conjunction with Safe Harbor Behavioral Health of UPMC Hamot Mobile case management to help coordinate social service needs Blood and urine screening 8 January April 2018 Additional services are also offered for women postpartum helping to hopefully maintain the success they ve experienced recovering during pregnancy. We realize that we have an epidemic of substance abuse especially to opioids in this country and in this region. This is especially impacting new mothers and their newborn and unborn children. We are committed to providing care for these young mothers to help improve their outcomes, says Bart Matson, DO, medical director of Magee-Womens, UPMC Hamot. Our experiences show that if we can intervene during their pregnancy, we are improving not only the outcomes of their pregnancy and the health of their newborn children, but also their chances for sobriety in the future. EARLY INTERVENTION More than 40 babies are born each year at Magee-Womens, UPMC Hamot suffering from neonatal abstinence syndrome (NAS). Because of exposure to elicit substances in the womb, these babies are more likely to experience growth restriction, preterm delivery, and withdrawal symptoms not to mention an overall increased risk for death. That s why this program is so important, explains Emma Mack, women s outreach coordinator at UPMC Hamot. By the time women arrive for labor and delivery, we ve missed our opportunity. These numbers are further proof that women aren t getting the help they need early enough." And while getting women the help they need earlier is a primary goal, making sure they follow through with their treatment is just as important. The Pregnancy Recovery Center provides mobile case managers who not only go out into the community and meet the women right where they are, but they can also provide support in all aspects of care. Whether it's help getting to an appointment or offering support at a treatment session, the mobile case managers and the team at the Pregnancy Recovery Center are hoping to make a significant impact on a growing epidemic. "Early intervention in conjunction with good solutions will prove successful for so many women," says Mack. "We're not just providing hope... we really are here to help." Pregnancy Recovery Center at Magee-Womens, UPMC Hamot 300 State St., Suite 301B, Erie, PA 16507 814-877-8676

Pediatrics at UPMC Hamot New team of dedicated pediatric hospitalists improves access to care As a parent, few things are scarier than taking your child to the hospital. But at UPMC Hamot, you can rest assured that your child will receive around-theclock, high-quality care with the help of dedicated pediatric hospitalists. What Is a Pediatric Hospitalist? A pediatric hospitalist is a pediatrician who is dedicated solely to the care of children in hospitals. At UPMC Hamot, our team of pediatric hospitalists and trauma-certified nurses works closely with your child s regular physician to ensure proper follow-up or long-term care. Available 24/7, our pediatric hospitalists are always there when they are needed. When you do hospital medicine day in and day out, it certainly improves the quality of care our patients receive, says Kathleen Stark, DO. It s great for the community, it s great for outpatient providers, and it s great for us as we aren t pulled in multiple directions. Our entire day is dedicated to children in the hospital. The team of three pediatric hospitalists at UPMC Hamot care for children with acute illnesses in the following departments of the hospital: Pediatric inpatient unit Emergency department Newborn nursery Neonatal intensive care unit Changing Face of Pediatrics While outpatient providers, including primary care physicians and pediatricians, focus a majority of their practice on keeping routine patients healthy, a more critically ill patient population is emerging. I m always amazed at what we see now, says Dr. Stark. From metabolic disorders and congenital birth defects to seizures and kidney issues, we are seeing more and more children whose cases are much more medically complicated. By using a team approach that includes family physicians, pediatricians, and hospitalists, children with more complex health care needs are receiving higher quality care at UPMC Hamot. Having a team of dedicated pediatric physicians provides our patients with expert, consistent pediatric care, says Dr. Stark. Not only do we treat the children while they are in the hospital, but we also help coordinate their care and ensure proper follow-up. We are able to keep all of the physicians involved in a child s care on the same page. And that continuity of care is a huge benefit to the children we serve and their families. Looking for a pediatrician? With four locations in Erie to choose from, Children s Community Pediatrics (CCP) is dedicated to offering outpatient pediatric care right in your community. CCP s goals are for your child to grow into a healthy adult, which is why our providers strive to provide safe, consistent, and quality pediatric care at every visit. To find a provider or location near you, visit childrenspeds.com. ERIE LOCATIONS: CCP HAMOT 300 State St., Suite 301, Erie, PA 16507 814-877-7907 CCP HAMOT WEST 4022 Zuck Road, Erie, PA 16506, 814-877-5424 CCP ERIE 3580 Peach St., Suite 100, Erie, PA 16508 814-868-9633 9

HEALTHY pregnancy The following classes are held in the Lincoln Education Center at Magee-Womens, UPMC Hamot. Register online at Classes.UPMC.com. Tours of Magee-Womens, UPMC Hamot CLASS registration For more information about services at Magee-Womens, UPMC Hamot, visit UPMCHamot.org. Registering for Prenatal and Parenting Classes Registration is required for all prenatal and parenting programs at least one week in advance to ensure the program will be held. You can register for classes offered at UPMC Hamot by visiting Classes.UPMC.com. Scheduling & Fees Fees are subject to change at any time. For more information, call 814-877-3539. Payments Payment is due at time of registration. All prenatal and parenting class participants will be required to register and pay at least two weeks in advance of the start of any class. Payments can be made online at Classes.UPMC.com. Parking Metered parking lots are located across from Magee-Womens, UPMC Hamot next to HealthSouth and south of Third Street between State and French streets. Reimbursement UPMC Hamot reserves the right to cancel any program due to insufficient enrollment. In the event of such cancellation, all participants will be notified and fees will be refunded in full. If a participant needs to withdraw from any program, a refund will be issued for cancellations received seven or more days in advance of the program. Become familiar with our facility before your baby is born by scheduling a tour. Sunday, Jan. 21, Feb. 4 and 25, March 4 and 25, or April 4 and 22 Monday, Jan. 29, Feb. 12, March 19, or April 16 6:30 to 7:30 p.m. Baby Basics Want to learn the basics of caring for a newborn? This class focuses on feeding, bathing, diapering, comfort techniques, and infant behavior, with an emphasis on health and safety. Monday, Jan. 22, Feb. 19, March 12, or April 23 6 to 8 p.m. Instructors: Shelby Kies, BSN; Caroline Glowacki, BSN, RNC-MNN, CLC; and Melissa Gawlinski, CCE, doula Cost: $20 per person; $30 per couple Childbirth Education This class will provide you with important information and skills to promote a healthier outcome during your pregnancy and the birth of your baby. Expectant parents will learn about the labor and delivery process and have the opportunity to ask questions about childbirth. A tour of Magee-Womens, UPMC Hamot is included. Tuesdays, March 6, 13, and 20 6 to 9 p.m. Instructor: Melissa Gawlinski, CCE, doula Saturday, Feb. 3, March 24, or April 7 9 a.m. to 5 p.m. Instructor: Melissa Gawlinski, CCE, doula Cost: $50 Breastfeeding Basics Learn how to breastfeed and meet our certified lactation consultants who are available for ongoing support. Monday, Feb. 5, March 5, or April 9 6 to 7:30 p.m. Instructors: Molly Mello, RN, IBCLC, and Katie Landfried, BSN, RN, IBCLC Cost: $20 per person; $30 per couple Lamaze Instruction Prepare for childbirth with less medical intervention: learn Lamaze labor and birth practices, including extensive breathing and relaxation techniques, which support your personal wishes for your baby s birth. A tour of Magee-Womens, UPMC Hamot is included. Saturdays, Jan. 13 and Jan. 20, or March 3 and 10 9 a.m. to 3 p.m. Instructor: Kristie Chapman, BSN, RNC, LCCE Cost: $65 COMING SOON: Online elearning classes Gift of Motherhood childbirth education and Breastfeeding: A Great Start. More details will be provided at a later date. 10 January April 2018

HEALTHY mind A Lifetime of Well-Being Speaker Series Safe Harbor Behavioral Health of UPMC Hamot will host the following FREE lectures at the Eastside Family YMCA. Registration is required one week in advance by calling 814-451-2358. My Social Identity: Power, Privilege, and Oppression This is the first of a two-part discussion on diversity. This session will encourage self-reflection of personal identity variables, and relationships to aspects of power, privilege, and oppression within society. Attendees will gain increased knowledge of how these variables may influence their interactions within their communities. Wednesday, Jan. 17 Noon Instructor: Amanda F. Rose, PsyM Diversity Discussion Part II This second discussion on diversity will provide an overview of the importance of diversity awareness within society. There will be a discussion on how attendees can become agents of change and increase social justice in their communities. Wednesday, Feb. 21 Noon Instructor: Amanda F. Rose, PsyM Secrets of Slumber Are there right or wrong ways to sleep? Why is this important? This session empowers you with essential knowledge about sleep and what you can do to increase your chances of getting more effective, restful sleep. Wednesday, March 21 Noon Instructor: Derek Hu, MA The Benefits of Using Mindfulness to Improve Your Mood and Health This presentation will provide an overview of what mindfulness is and how it can be used as a coping skill to reduce stress and better manage your moods. Wednesday, April 18 Noon Instructor: Amanda Rose, PsyM HEALTHY parenting Registration is required for these programs, one week in advance. Register at Classes.UPMC.com unless otherwise noted. Infant and Child CPR Following the American Heart Association guidelines for the Family and Friends program, certified instructors teach infant CPR, child AED use, and relief of choking in an adult, child, or infant. This course is ideal for anyone interested in learning how to save a life but do not need to be certified in CPR. Wednesday, Feb. 7, March 7, or April 11 6 to 8 p.m. Instructors: Ellen Schauerman, BSN, RNC-NIC, and Susan M. Majewski, NREMT Location: Lincoln Education Center Cost: $25 per person; $40 per couple HEALTHY you For registration information, please see below. Better Breathers Club of Erie The Better Breathers Club of Erie provides support, education, and socialization to people with chronic obstructive pulmonary disease (COPD) or other chronic lung diseases as well as their family members and/or caregivers. Registration is not required. This is a smoke-free group. For more information, please call Mary Grotkowski, RRT, or Jenelle Cowger at 814-877-2981. Fridays, Feb. 16, March 16, and April 20 2:30 to 3:30 p.m. Instructor: Mary Grotkowski, RRT Location: Sterling Square, 3330 Peach St., Suite 211 Cost: No charge Free Smoking Cessation Class Register by calling Mary Grotkowski, RRT, at 814-877-2981. Tuesdays, March 27 through May 1 (6 sessions) 6 to 7:30 p.m. Instructor: Mary Grotkowski, RRT Location: Sterling Square, 3330 Peach St., Entrance C (lower level) Cost: No charge; registration is required Nicotine Free Erie Are you trying to quit smoking or using tobacco? Nicotine Free Erie is designed to help men and women support one another to become tobacco or nicotine free. Participants do not need to be nicotine or tobacco free to attend meetings. Registration is not required. For more information, call Mary Grotkowski, RRT, at 814-877-2981. Tuesdays, Feb. 6, March 6, and April 3 6 to 7 p.m. Instructor: Mary Grotkowski, RRT Location: Sterling Square, 3330 Peach St., Entrance C (Room 211) Cost: No charge DIABETES institute These services require a doctor s order and it is recommended that you check coverage with your insurance company. All classes are held at the UPMC Outpatient Center located in the lower level (Entrance C) of Sterling Square, 3330 Peach St. For more information, please call the Diabetes Institute at 814-877-2123. One-on-One Diabetes Instruction Receive counseling with one of our certified diabetes educators in a personal setting. Your Journey to Diabetes Self-Management This program is offered in a four-part series during the day or in the evening, in a group atmosphere. The series is divided into four classes. All classes are taught by certified diabetes educators. Additional Services The Diabetes Institute offers a variety of other classes on topics such as: General nutrition education (one-on-one visits with a registered dietitian) Gestational diabetes Prediabetes Diabetes management refresher classes 11

HEALTHY body All classes are held at the UPMC Hamot Center for Healthy Living located in Suite 211 of Sterling Square, 3330 Peach St. To register, call 814-877-5481. Yoga: All Levels Welcome Daytime and evening sessions are available. Call 814-877-5481 for a class schedule. Strength Training Join us for a workout designed to strengthen muscles, preserve bone, and tone your body. Resistance bands provided or bring your own two- to five-pound dumbbells. Mondays and Wednesdays, Jan. 8 through Feb. 28; (no class Jan. 15); 15 sessions 4:30 to 5:30 p.m., or 5:30 to 6:30 p.m. Instructors: Krissy Harvey and Jenna Nagel, exercise physiologists Cost: $45 Mondays and Wednesdays, March 5 through April 30; 17 sessions 4:30 to 5:30 p.m., or 5:30 to 6:30 p.m. Instructors: Krissy Harvey and Jenna Nagel, exercise physiologists Cost: $51 Senior Fitness This functional fitness class will help seniors to improve strength, balance, and flexibility. Tuesdays and Thursdays, Jan. 9 through Feb. 27; 15 sessions 8:30 to 9:30 a.m. Instructor: Jenna Nagel, senior strength conditioning specialist Cost: $45 Tuesdays and Thursdays, March 1 through April 26; 17 sessions 8:30 to 9:30 a.m. Instructor: Jenna Nagel, senior strength conditioning specialist Cost: $51 Banish Belly Bloat Do you frequently feel bloated after eating? This class will review some of the most frequent culprits so you can reduce that uncomfortable feeling. Wednesday, Jan. 24 6:30 to 7:30 p.m. Instructor: Debbie DeAngelo, RNC, BSN, holistic health coach Cost: $5 Lower Cholesterol Naturally Is your cholesterol creeping up? Whether you are taking medicine or not, there are lifestyle changes you should be making to manage your numbers and protect your heart. Thursday, Feb. 1 6:30 to 7:30 p.m. Instructor: Debbie DeAngelo, RNC, BSN, holistic health coach Cost: $5 Managing A-Fib This class will review the signs and symptoms, diagnosis, medical treatment, and surgical options for managing atrial fibrillation. Tuesday, Feb. 6 6:30 to 7:30 p.m. Instructor: Elizabeth Pitchford, MHS, PA-C Cost: $5 Fatty Liver: What Now? Have you been diagnosed with fatty liver disease? This class will teach you how to manage your illness. Wednesday, March 14 6:30 to 7:30 p.m. Instructor: Chelsie Dell, PA-C Cost: $5 Medical Nutrition Therapy Medical nutrition therapy (MNT) is available for people who need to make lasting changes to their diet and nutrition. Our registered dietitians work with you to achieve your nutrition and health goals. A physician diagnosis is required to bill insurance. We will contact your health insurance company to verify coverage. Some of the most common conditions treated by MNT include: Adults High cholesterol and triglycerides High blood pressure Obesity Chronic kidney disease Gastroparesis Digestive disorders Walk-In EKGs Available Children Overweight or underweight Failing to thrive Specific dietary restrictions Bring your physician s order and health insurance cards to Cardiopulmonary Rehabilitation on the lower level of Sterling Square, 3330 Peach St. Must be 18 years or older. Walk-in hours are: Monday- Thursday, 8 a.m. to 6 p.m., and Friday 8 a.m. to 3 p.m. For more information, call Cardiopulmonary Rehabilitation at 814-877-5608. Cardiopulmonary Rehabilitation Whether you have heart disease, chronic lung disease, or are recovering from a heart procedure or heart attack, this service will improve the quality of your life through monitored exercise, nutrition coaching, and education. It is covered by health insurance. For more information, call Cardiopulmonary Rehabilitation at 814-877-5608. BARIATRIC SURGERY information sessions If you are more than 80 pounds overweight and diet and exercise haven t worked, you may be a candidate for weight loss surgery. Led by one of our board-certified bariatric surgeons, these information sessions cover factors that make a person a surgical candidate. Please call our office at 814-877-6997 to register. Wednesday, Jan. 24 Location: 300 State St., Suite 400A Cost: No charge 12 January April 2018 2018 UPMC