Building on 65 years of caring for inpatient behavioral health patients in Urbana, the new units offer inpatient treatment for individuals who need immediate help or are in a state of crisis. Spanning multiple floors in the hospital, the renovation and service expansion includes specialized treatment programs for young adult patients ages 18-26 and senior patients ages 55 and older. A detoxification program will soon be available for patients who need a safe environment to withdraw from substances. 

OSF Sacred Heart – Urbana, the area’s only adult inpatient behavioral health hospital, will offer 65 beds dedicated to mental health treatment. 

Updates to the behavioral health expansion at OSF Sacred Heart – Urbana include: 

• 40 private inpatient behavioral health beds
• 25 inpatient beds for medical detoxification or other conditions, opening late 2026
• State-of-the-art facilities for treatment with natural light and soothing colors
• Private rooms with multiple safety components, designed for behavioral health needs
• Specialized training for physicians, nurses, techs and other caregivers
• Treatment focused on young adults and senior populations, allowing for peer support and group therapy
• Outpatient behavioral health services available locally through OSF Medical Group to ensure continuity of care in Urbana  

“A year ago, we announced plans for the future of this hospital. The vision was expanded access to behavioral health services for all Illinois residents. After years of operating at capacity with one of the few remaining inpatient behavioral health units in the area, and with a statewide shortage of behavioral health beds, it was vital for our community to expand services,” said JT Barnhart, president of OSF Sacred Heart – Urbana. 

“Following a year of transition, renovations and staff training, we are very proud to open our doors to more patients. These spaces are designed with our patients’ specialized needs in mind, providing resources unique to the area and will be a lifeline for people who need comprehensive care. We thank our Mission Partners and US HealthVest, a nationally known leader in behavioral health care that will oversee the new units, for their work on this endeavor," Barnhart said.

If you or a loved one are interested in learning about behavioral health care options, call OSF Sacred Heart Medical Center – Urbana at (217) 337-2000 or come to the hospital’s Emergency Department, which remains open 24/7. 

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Videos

Back to school season means youngsters spending time in locker rooms and college students doing the same in dormitory bathrooms. Despite everyone’s best efforts, the floors in those spaces have a reputation of not being the cleanest. Quickly doing your business while barefoot may seem like no problem. But lingering on the floor may be a virus that causes painful plantar warts.

“Plantar warts are one of the most common skin lesions we’ll see in our office,” says Marc Leonard, DPM, an OSF HealthCare podiatrist.

What are plantar warts?

Dr. Leonard says plantar warts (also called plantar verruca) are caused by a virus that gets into the bottom of your foot. The warts can spread easily.

“It looks like a callus. You see little growths. Sometimes they even satellite out, and we’ll get other little growths around that original lesion,” Dr. Leonard explains.

So, Dr. Leonard’s advice is to treat the issue early. If you see a wart, make an appointment with a podiatrist. Treatment is generally two steps. First, a provider will shave off the excess skin. Then, they will apply acid to the feet.

“It’s an acid that almost blows up that outer layer of tissue. Then we decompress it,” Dr. Leonard says. “Even with that, it still takes several treatments.”

Dr. Leonard says your feet will be sore for a couple weeks after treatment. So, you’ll want to stay off your feet if possible.

Left untreated, Dr. Leonard says plantar warts can cover the entire bottom of both feet and even your hands if you touch the warts. Walking will be painful, and so will treatment.

Prevention

If wart-covered feet and multiple acid treatments don’t sound like fun, there are easy prevention steps.

For dirty places like bathrooms and locker rooms, wear a slip on-type shoe like a shower shoe or flip flop. When you’re done, dry the shoes off or let them dry in front of a fan so they’re ready for the next use. Then, put on your sturdy, everyday shoes. In other words, don’t see this as an excuse to wear flip flops all day. Dr. Leonard and other podiatrists will tell you that your feet need more support.

Also, clean your feet, socks and shoes regularly. Don’t walk around in dirty or wet socks and shoes. If you sweat a lot, have extra pairs of socks to change into. And use a disinfectant wipe to clean your nail clippers.

Learn more

Learn more about keeping your feet healthy on the OSF HealthCare website.

Interview clips

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You’re coming to the hospital to give birth.

You’ve had a hip replacement and now will have a hospital stay to complete rehabilitation.

There are a lot of things swirling through your mind, notably thoughts like “Am I going to be OK?”

Questions like “Where is my toothbrush?” are probably on the backburner. That’s why it’s a good idea to make a “hospital essential items” checklist now.

Kurt Bloomstrand, MD, sees these scenarios plenty while providing care in the emergency department at OSF HealthCare. He says a hospital will provide basic toiletries, blankets, food and clothing like a gown and socks. But some people prefer their own toiletries, clothes and snacks.

Other things to do and bring:

·       Write down your health information: health insurance, medications, medical history, name of your primary care provider, allergies and legal documents like power of attorney and a do not resuscitate order. Have an identification like a driver's license, too.

“Some people in the emergency department are not able to tell us their health information given what they’re presenting for. So, it’s so valuable to have basic health information written down,” Dr. Bloomstrand says. He adds that knowing your health information allows providers to care for you properly. You can also bring legal forms to your provider anytime to be added to your medical record.

·       Bring other items essential to your well-being: eyeglasses, contacts, hearing aids, dentures and a continuous positive airway pressure machine (CPAP) for sleeping. Bring cases and batteries for these items, too.

·       When choosing clothes, opt for loose-fitting and short-sleeved garments.

“If you have an IV, a short-sleeved shirt is much better to access it than a long-sleeved shirt,” Dr. Bloomstrand says. “You can bring a robe to cover up.”

 

·       For moms giving birth, bring your birth plan in written form. Pack a few pairs of clothes for you and your baby.

“Babies notoriously spit up on their clothes,” Dr. Bloomstrand says with a smirk.

The hospital can provide diapers, wipes and a breast pump. But, you can bring your own if you prefer a certain type.

“Not only can you use your breast pump, the people at the hospital can teach you how to use it,” Dr. Bloomstrand says.

What babies don’t need at the hospital: rattles, books and toys. Save those memories for home.

·       Don’t overdo it with personal items and food. This can cause your room to get cluttered and create a trip hazard. Have someone who can take unneeded items home.

·       Don’t bring valuable items. Dr. Bloomstrand says a phone is OK to keep in touch with loved ones. But other electronics and jewelry should stay home. Hospitals have security, but like any other place, there is a chance for theft.

Interview clips

Author's note: this is part one of a two part story on weight room safety. Click here for part two.


August means high school and college athletes will be back in the weight room full time, building strength so they can excel on the field.

But for Brittany Delaney, an OSF HealthCare athletic trainer who works with high school athletes, keeping people safe in gyms and weight rooms is on her mind year-round.

“I see a lot of back and neck pain” from weight room injuries, she says. “I see muscle strains – hamstrings, quads, lats, pectorals. These kids don’t necessarily know the proper weight to start at.”

Tips to know

• Have good posture and body mechanics. Delaney says to have a wide base when lifting heavy weights, and lift with your legs and core, not your back. Bend your knees while keeping them straight, and bring your rear end down, she says.
  
  “Avoid twisting motions at the torso,” Delaney adds. “Try to overexaggerate movements. When you’re doing a rotational exercise, move your feet, not just the torso.”
   
• Keep the weight close to your body.
   
• There’s no glory in trying to impress the room with a heavy lift, then injuring yourself. Instead, Delaney says to start with a light weight (talk to your coach or trainer on the exact number) and more repetitions, rather than a heavy weight and less repetitions.
  
  “That way, we can work on mastering their form first. Make sure they’re doing it properly to avoid injuries,” Delaney says.
  
  Delaney tells her athletes to try three sets of 10 repetitions. If you don’t feel pain or fatigue, you can try increasing the weight. For the upper body, go up by two and a half to five pounds. For the lower body, increase by five to 10 pounds.
   
• Do you need a spotter for every lift? Delaney recommends having a buddy watch you if you’re lifting a heavy weight or you’re in a position to drop the weight on yourself, such as a bench press.
  
  “That would be a major injury if you’re bench pressing and drop a weight on your chest,” Delaney warns.
   
• Know how to use the equipment before strapping in.

The bottom line: Communication is key

“Communicate with your teammates and coaches,” Delaney implores. “It’s always OK to not know how to do an exercise and ask for help. In no situation should you be made fun of or be nervous about asking for help. Not doing so is when you’re going to get hurt.”

Learn more

Read more about how to keep your body in top shape on the OSF HealthCare website.

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This is part one of a two part story on hygiene myths. Click here for part two.

From health care providers to websites to advice passed down through generations, there are a lot of ways to get health care information, especially tips for minor ailments you can treat at home.

Awad Alyami, MD, a pediatrician at OSF HealthCare, breaks down some common myths.

• Myth: There’s a one-size-fits-all pill for common illnesses.

Fact: It depends on whether it’s a viral infection (like influenza, the common cold or coronavirus) or a bacterial infection (like pneumonia, strep throat or food-borne illnesses like salmonella).

“For the most part, with bacterial infections you need to see a health care provider. You’re probably going to need an antibiotic,” Dr. Alyami says. “Most viral infections just run their course, and you focus on the symptoms. If you have a fever, you take fever medication. If you have pain, you take pain medication. If kids are six years or older and have a cough, they can use over-the-counter cough medication.”

Dr. Alyami points out that you can take those medications to help with bacterial infection symptoms, too. But you need an antibiotic, too, to get better.

• Myth: Feed a cold and starve a fever.

Fact: You should modify your diet when sick to avoid trigger foods, like spicy or greasy foods. But reducing the amount you eat and drink won’t make you better sooner. In fact, Dr. Alyami says hydration is critical.

“When kids have infections and a fever, one of the most common reasons they end up in the hospital is dehydration,” Dr. Alyami says. “When kids are sick, they lose fluids from their body and need hydration.”

So, drink plenty of water and eat nutritious foods as your body can tolerate.

• Myth: I can go back to work or school as soon as I start to feel better.

Fact: Dr. Alyami says you should be fever-free (body temperature less than 100.4 degrees) for 24 hours with improving symptoms.

When you go back out, practice good habits like thorough handwashing and avoiding coughing or sneezing into the open air.

• Myth: If I don’t look or feel dirty, I don’t need to shower or bathe.

Fact: Dr. Alyami says there’s no “catch all” advice for how often to wash off. Some people will shower or bathe daily. Others will do so every other day or less frequently. Dr. Alyami advises you to shower or bathe when you feel you need to or after you’ve been in a dirty or sweaty environment, like after playing sports or a hike in the woods. People with skin conditions should also clean themselves with care.

“For people with eczema or atopic dermatitis, I recommend daily showers,” Dr. Alyami says. “But they need to be quick because the more exposure to water we have, the more we dehydrate the skin. So, showers should not exceed 15 minutes, and you should apply moisturizer right away afterward.”

Interview clips

For the thousands of people who have asthma (a chronic lung disease that impacts your airways), the thought of vigorous exercise may be daunting. They may think, “What if I’m working out alone and find myself short of breath or worse?”

Enter Brittany Delaney, an athletic trainer at OSF HealthCare who works with young athletes on a variety of conditions, including asthma. She says workout warriors and their parents need not be afraid. You can work up a sweat with asthma if you know your body and prepare for possible problems.

“Actually, we like that [people with asthma] exercise a lot because it will help maintain a healthy weight. It also strengthens the lung muscles,” Delaney says.

“It's very important for athletes to know how to manage their symptoms when they’re in sports. That way, we can reduce the likelihood of an asthma attack,” she adds.

Signs to watch for include shortness of breath, hyperventilation (where you breathe fast and deep), dizziness, a rapid pulse, skin changes (such as turning blue) and chest pain or tightness. If those happen, Delaney says to use an inhaler, rest and, if it’s a young person, call their parents. If things don’t get better quickly, call 9-1-1.

Have a plan

Delaney says short bursts of exercise are better for people with asthma. Think of sprinting to first base in a baseball practice rather than jogging a few miles on a cross country course.

Know and avoid your triggers. If it’s a pollen-heavy day, exercise inside. Chlorine can also make asthma worse, Delaney says. So if you’re a person with asthma who swims, be vigilant about symptoms and the amount of time you spend in the pool.

“Cold weather can be a trigger,” Delaney adds. “If you’re running outside and it’s cold, put a scarf over your face to avoid cold air getting deep [into your lungs and irritating them]. Experts also say breathing through the nose rather than the mouth can decrease symptoms.”

Also a must: keep up with medication as directed by your health care provider. For most people with asthma, the first line of defense is that inhaler.

“I see a lot of athletes who carry their inhaler, but are they following directions? Are they only taking their medication when they’re starting to feel symptoms? A lot of people with asthma actually have inflammation daily. They should be taking medication daily," Delaney says.

If you’re working out or competing with others, Delaney suggests giving your inhaler to a designated person, such as a coach or trainer. That way, if you show symptoms, you don’t lose valuable time digging through your bag to find the inhaler.

Lastly, a proper warm up and cool down are key for any athlete to have a successful workout.

“I prefer starting with some light cardio to warm up the muscles. Then, do a dynamic stretch as opposed to a static stretch where you hold the pose for 30 seconds,” Delaney explains. “Dynamic is more active. Your heart rate is getting up. Your lungs are expanding. You’re getting more air in.”

Jumping jacks and lunges are examples of dynamic stretches.

Then, cool down with a light jog and some static stretches.

“Those muscles can’t go from hot to cold in a minute. You need to slow the progression down,” Delaney says.

Learn more

Read more about how to keep your body in top shape on the OSF HealthCare website.

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Vitamin D basics

Maddy Draper, APRN, a health care provider at OSF OnCall, says vitamin D is a nutrient our body needs to produce calcium. Calcium helps create strong teeth and bones. So logically, not having enough vitamin D leads to brittle bones (a risk for greater injury after a fall), plus muscle aches and pains. Others with a vitamin D deficiency may not show symptoms. Either way, a provider may order a blood test to confirm the issue and then may advise you to take a supplement. This is usually in pill form and can be prescribed or bought over the counter by itself or as part of a multivitamin.

“Or the provider may just talk about vitamin D-rich foods first before starting a supplement,” Draper says. “High fat fishes, egg yolks, some cheeses and mushrooms.”

Draper adds that pregnant women, babies (especially babies who are breastfed), the elderly and people with darker skin often lack vitamin D.

On the flip side, Draper says it’s rare, but a person can get too much vitamin D. Symptoms include nausea, vomiting and heart palpitations (feeling like your heartbeat is fast, pounding or otherwise irregular). You may also suffer kidney damage.

Summer sun

Here’s advice to commit to memory: Draper says research shows 10 to 15 minutes of sun exposure three times a day can get you a healthy amount of vitamin D.

“You want to protect your skin while doing that,” Draper adds. “Sunscreen and protective clothing like a hat and sunglasses. There’s not any research showing that sunscreen or clothes will prevent you from getting the vitamin D you need.”

Experts say your sunscreen should have a sun protection factor (SPF) of 30 or higher, and you should reapply every two hours. Clothing should be lightweight and light colored (Dark colors absorb more sunlight, leading to quicker heat illness.) Stay hydrated, and watch for redness and blisters from sunburns and suspicious moles that may be skin cancer. See a provider right away if you have issues from getting too much sun.

Another thing to note: Experts say a specialized lamp can help with seasonal affective disorder, a mental health condition often seen in the winter due to decreased daylight. The same logic does not apply for vitamin D. You need natural, not artificial light to get the vitamin D you need.

The bottom line

Draper says most people don’t have to worry about getting too much or too little vitamin D.

“The average person will get it through the sun,” Draper says. “If you live in a cold and dark environment, you’re at higher risk for vitamin D deficiency. People farther away from the equator are higher risk.”

If you have symptoms of too much or too little vitamin D or just have a concern, talk to your primary care provider.

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Author's note: This is part one of a four part story on infant nutrition misconceptions. Read part two here, part three here and part four here.
 

Bringing a new baby home raises the focus on their and mom’s well-being. Toward the top of the list: what and how the child is being fed.

Whether you choose to breastfeed or use formula, misconceptions about infant nutrition are everywhere. Xandra Anderson, an international board-certified lactation consultant at OSF HealthCare, cuts through the noise.

• My baby needs water in addition to milk or formula.
  
  It’s a common thought, Anderson says. One, adults need water, so people assume infants do, too. And two, formula can involve mixing in water, so mothers think they need to do the same with breast milk.
  
  “Really, breast milk is about 80% water,” Anderson says. “It’s there. It’s complete nutrition. You’re not missing anything.”
  
  Anderson adds it’s actually dangerous to give water to babies under six months. They can overhydrate, leading to possible kidney damage. After six months, Anderson says to talk to a health care provider about introducing water. She says one to two ounces of water per day to help wash down solid food is common.
   
• Breastfeeding will make my breasts sag.
  
  Anderson says breast changes begin during pregnancy and are not solely a result of breastfeeding. Some women will notice their breasts are larger once they are full of milk, but there are more factors at play.
  
  “[During pregnancy], your hormones are changing a lot. Your ligaments are stretching. We’re getting ready for a baby,” Anderson explains. “Then you have your baby, and your milk starts to come in. Regardless of whether you breastfeed or formula feed, you’ll see some breast changes. It was those hormonal changes in pregnancy.

“[Breast changes] can also be related to your lifestyle,” she adds. “Smoking affects your skin health, and you can see that affect the breasts. It can be related to age or a family history [of health issues such as lupus and other autoimmune diseases].”

Anderson also says research has found breastfeeding can actually promote breast health. For example, it can reduce your breast cancer risk.

• I have small breasts, so I won’t have enough breast milk to keep my child nourished.
  
  Anderson retorts with an affirmation we’ve heard since childhood: It’s what’s on the inside that counts.
  
  “Size of the breast is not a factor in being able to breastfeed. What is a factor is the amount of milk glands in your body. We all have those milk glands. Size just relates to fatty tissue,” Anderson says.
  
  The only time size may come into play, Anderson says, is if a woman gets a breast reduction where milk glands are removed. In that case, talk to a health care provider about your options.

Learn more

Read more about how to have a successful pregnancy and following years on the OSF HealthCare website.

Interview clips

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High school athletes across the country are already feeling the heat as teams begin practices for several sports, including football, cross country and soccer.

While student athletes and coaches are anxious to get the season under way, experts say it’s important to stay safe, especially when it comes to practicing during the grueling August temperatures.

“The summer heat is very dangerous for so many different reasons, and it is important to know and identify those risk factors associated with heat related illnesses, particularly the athletes, their coaches and the staff who work with them,” says Faheem Ahmad, MD, a family practice physician with OSF HealthCare, who completed a fellowship in sports medicine.

According to the National Center for Catastrophic Sport Injury Research, heat stroke is the third-most common cause of sudden death among high school athletes behind cardiac arrest and traumatic brain injuries. Already this year, a 16-year-old student athlete from Memphis, Tennessee, collapsed during football practice and died from organ failure caused by severe heat stroke. 

Dr. Ahmad says athletes can experience anything from feeling tired from heat exhaustion to symptoms of heat stroke, which can include fainting, loss of consciousness and a body temperature above 103.  

“Other signs include having headaches, feeling nausea, pains in the body, muscle cramps and then dry mouth is also one of the signs because dehydration and heat illness go hand in hand,” he says.

It’s also important to stay properly hydrated. Working out for more than an hour? Frequent water breaks are necessary and so are sports drinks. “I usually recommend sports drinks, because they do have the electrolytes required for you to replenish, because you lose sodium and other electrolytes when you sweat,” he says. He added that it’s important to hydrate four hours before a game or practice and continuing throughout the event.

But it’s not just the heat student athletes have to contend with over the next month. Injuries such as ankle sprains, pulled muscles and broken bones are another potential hazard as teams prepare for the upcoming season. In the U.S., more than 3.5 million injuries occur each year among the 30 million children and teens who participate in some form of organized sports.

“There is an increased incidence of ACL ruptures and ankle injuries, whether it be the ATFL (anterior talo-fibular ligament), which is one of the ligaments in the ankle. They tend to be injured more and require more intervention from medical personnel during the summer,” says Dr. Ahmad.

Regardless of the sport or activity, Dr. Ahmad says it’s important to have an emergency plan in place that everyone involved is familiar with. Emergency situations can happen at any time during practices and games. Knowing what to do and how to respond quickly, he says, are critical in giving athletes the best possible care in emergency situations.

“As an athlete, coach or trainer, you have to know the risk factors associated with all these conditions,” he says. “If you know that the UV index is going to be high, if you know the temperature in the dry air is going to be high, if you know that you are going to have a very humid day, try to avoid peak times for that day, because the peak of those temperature and risk factors will cause damage.”

Dr. Ahmad says the bottom line is this: don’t over train, know your limits and pay attention to any early symptoms of a potential health issue, whether it’s a headache, weakness, tingling or numbness. If you have any concerns, talk to your coaches and trainers as soon as possible.

The American Red Cross offers the following tips:

• Learn CPR, how to use an AED and how to treat heat cramps, heat exhaustion and heat stroke.
• Schedule practices early in the day or later in the evening and not during the hottest times of the day.
• Lower the intensity of practices until the athletes get used to the heat.
• Make sure players drink plenty of water to avoid muscle cramping or heat-related illness. Fluids should be consumed frequently during strenuous activity and within a half hour of training.
• Include warm-ups before strenuous exercise to help prevent injury.
• Plan frequent and longer breaks. Ideally, pause practice every 20 minutes for athletes to drink fluids and rest in the shade if possible.
• Reduce the amount of heavy equipment athletes wear in the extremely hot weather. Encourage lightweight, light-colored cotton T-shirts and shorts.
• Use the buddy system to encourage athletes to drink water and watch for signs of illness in their teammates.

Interview Clips 

Summer is a time for being outdoors, grilling your favorite foods for various social gatherings. While your guests will be lining up for mouth-watering burgers and brats, medical experts say it’s important to play it safe before igniting that first flame.

The first thing is to make sure your gas grill is ready. If the grill is not primed correctly, it could lead up to a build up of gas that can explode. “Some people try to light them with matches or gasoline or try to do some crazy things,” says Stathis Poulakidas, MD, burn center medical director at OSF HealthCare Saint Anthony Medical Center in Rockford. “We want people to be safe and use common sense.” 

The bigger concern is when people use lighter fluid with charcoal. Some people like to pour too much lighter fluid for a good burn which can quickly create flash burns and cause significant burns.

According to the National Fire Protection Association (NFPA), nearly 20,000 people are treated every year in emergency departments due to injuries involving grills. More than 10,500 home fires are started by grills each year. July is the peak month for grill fires, followed by June, May and August.

Dr. Poulakidas treats many different injuries throughout the summer – from burns to eyelashes and eyebrows – to significant burns that require skin grafting. The Burn Center sees injuries from grilling, fireworks and burning leaves.

One practical tip is to become familiar with your grill – especially if it’s new. Not knowing how to use the grill is one of the biggest hazards, according to Dr. Poulakidas. For example, improper installation of gas tanks can cause them to explode. 

Also, keep the grill outdoors and away from potential hazards.

“Garages are a very dangerous place,” says Dr. Poulakidas. “You think ‘I'm going to get out of the rain, or I'll be able to grill year-round’ and it's going to be warm and safe. But you have turpentine, gasoline, all different types of gas products in the garage that you might use for your lawn mowers or weed eaters.”

If you get lighter fluid on your skin, move away from the grill, and wash your hands and arms to ensure that when you do light the flame it doesn't catch fire to your arms as well.

And get a fire extinguisher if you don’t already have one. “I really believe everybody should probably have a fire extinguisher in their home without question,” says Dr. Poulakidas. “Having a fire extinguisher close to a grill site is probably the best piece of advice that I can offer.” 

Remember those burgers and brats? They are loaded with fats, oils and grease that tend to cause any flame to intensify. “You should have good control and setup and instead of having them directly on the fire, maybe put them a level up if you have a two-tiered grill to minimize that grease falling on the pit and actually flaming up significantly,” says Dr. Poulakidas.

Dr. Poulakidas is looking forward to grilling this summer, too. He says the best way for everyone to enjoy the summer with family and friends is to play it smart around the grill and avoid being one of the thousands of people who end up in the hospital.

Grilling Safety tips

·         Propane and charcoal grills should only be used outdoors

·         The grills should be placed away from the home and never in the garage

·         Keep children and pets at least three feet away from the grill area

·         Avoid using wire brushes to clean the grill. Use nylon scrapers or wool brushes instead

·         Keep the grill clean by removing grease or fat build-up from the grills and trays below

·         Never leave the grill unattended

·         Always make sure the gas grill lid is open before lighting it

·         Avoid drugs and alcohol while grilling

Interview Clips

B-roll

As advances in medicine continue to improve patient outcomes, more patients arrive at health care facilities with implanted devices, such as pacemakers, neurostimulators, infusion pumps and other technologies. At the same time, many instruments commonly used in surgical and procedural settings can generate electromagnetic fields that may interfere with these implants, creating potential safety risks.

DeviceWise addresses this challenge by providing clinicians with immediate access to device-specific guidance. Through a simple web-based application, users can select the type and model of an implanted device and quickly receive recommendations for patient management, along with facility-specific instructions, manufacturer contact information and other relevant resources.

The Ministrywide rollout reflects the commitment OSF HealthCare has to leveraging innovation to improve patient safety and support frontline caregivers with practical tools that fit seamlessly into clinical workflows.

"DeviceWise grew from a simple but important question: How can we make critical information easier for caregivers to access when they need it most?" said Becky Buchen, senior vice president, OSF Innovation and Transformation. "The answer came from the ingenuity of OSF Mission Partners who understood the challenge firsthand. Through the support of OSF Innovation Studio, those ideas were transformed into a scalable solution that can help clinicians make informed decisions and enhance safety for patients with implanted devices."

The technology behind DeviceWise originated from innovation developed by surgery nurses Jill Teubel, MSN, BSN, RN, and Mary Marvin, APRN, MSN, RN, and was supported through OSF Innovation Studio's ecosystem for advancing new ideas and startup ventures. OpenSurg Inc., the parent company, has licensed the intellectual property owned by OSF HealthCare to commercialize the technology.

OpenSurg CEO Jim Weldy says of reaching the milestone, "Getting this contract signed is a great capstone to this entire effort. It's a meaningful juncture to reflect on all it has taken to get to this point: initial concept from frontline OSF nurses, prototype build through OSF Innovation, proof of value in reducing cancellations and costs, rolling it out across all OSF hospitals, company launch, intellectual property licensing, commercial productization of the concept, and now getting through the rigorous contracting process."

The announcement also follows a significant intellectual property milestone. The United States Patent and Trademark Office recently granted a patent for CaseChat™, an innovation related to surgical and procedural workflows. OSF HealthCare owns the patent for the original product, DeviceTable, and underlying intellectual property. OpenSurg holds an exclusive license to further develop and commercialize the technology.

CaseChat represents a future product opportunity and remains under development.

"Every improvement that helps our teams identify risks and access information more efficiently has the potential to make a meaningful difference for patients," says Sherri Greenwood, DNP, MHA, RN, NEA-BC, vice president of Surgical & Procedural Services for OSF HealthCare. "Deploying DeviceWise across OSF HealthCare strengthens our ability to support caregivers with timely, reliable information and reinforces our commitment to delivering safe, high-quality care throughout every stage of the patient experience. Greenwood adds, “Having this information at our fingertips prevents potential delays in our patients’ care.”

Weldy says, “OpenSurg is working on ways to bring more of those efficiencies to other hospitals and ambulatory surgery centers around the country, so patients everywhere can benefit!"

OpenSurg is also a participant in the current gBETA Distillery Labs accelerator cohort, a program supported by OSF HealthCare that helps emerging companies accelerate growth and bring innovative solutions to market.

The deployment of DeviceWise across OSF HealthCare hospitals will begin this summer with implementation occurring throughout the Ministry.

Illinois averages 10 days with temperatures at or above 90 degrees each year, according to the Illinois State Climatologist. 

In typical summer fashion, temperatures are reaching the 90-degree mark this week.

This summer weather puts many people at risk for heat exhaustion and heat stroke. Not only outdoor workers, but kids, older adults and those without working A/C in their buildings could be affected.

Brian Curtis, MD, vice president chief medical officer of OSF Medical Group, says preparation and awareness are keys to staying safe in the summer heat.

“You’ll go from heat exhaustion before you get to heat stroke,” Dr. Curtis says. “Heat exhaustion is where people are cool, clammy, sweating profusely, and they may have some nausea or vomiting. They usually have some severe muscle cramping with it.”

If heat exhaustion is not recognized and treated quickly, Dr. Curtis says heat stroke can then happen.

“With heat stroke, they’ll have dry skin, a temperature of 102-103 degrees, they’ll be confused or passed out,” Dr. Curtis says. “That’s a medical emergency, a 911 call. Whereas with heat exhaustion, you need to get them out of the heat, get them into a cool environment, and get them some liquids.”

Dr. Curtis says hospitals see heat stroke patients every summer, especially during longer stretches of hot and humid weather. He says higher humidity causes our bodies to not be able to cool as easily.

But these dangers don’t just affect outside workers or athletes playing sports in the summer. Dr. Curtis says the main excessive heat victims are middle-aged people, but kids and older adults are more susceptible.

“Because they don’t heat and cool themselves as easily, they’re more prone to get it, and we tend to be more vigilant with them,” Dr. Curtis says.

Heat exhaustion or heat stroke aren’t solely seen outside, either.

“If you get into the mid or upper 90s, we have some people around here who still don’t have air conditioning. You can get heat exhaustion and heat stroke within a building,” Dr. Curtis says. “When people don’t have air conditioning, that’s when you really see a lot of the elderly develop heat exhaustion within their own homes.”

Prevention of heat exhaustion and heat stroke

- Drink plenty of liquids (water, fruit juice, sports drinks)

- Avoid dehydrating liquids like alcohol and caffeinated beverages

- Take frequent breaks

- Get out of the sun and into the shade

- Use sunscreen and avoid getting sunburnt

- Use the buddy system: Keep an eye on each other

Dr. Curtis adds the effects of heat stroke can be long-lasting, or even lead to death.

“People die of it every year, or they have debilitating conditions afterwards,” Dr. Curtis says. “Once you’ve had heat stroke, you tend to be more susceptible to the heat as you go forward. Your body does not regulate as well and so you can be more prone to develop it in the future.”

For More Information

When it comes to extreme temperatures, play it safe. Know the warning signs of heat stroke and take the proper steps to prevent it.

Symptoms of Heat Exhaustion

• Profuse sweating
• Water depletion (causes extreme thirst)
• Weakness
• Dizziness
• Salt depletion (causes muscle cramps)
• Nausea
• Vomiting
• Fainting
• Headache

Symptoms of Heat Stroke

• Body temperature greater than 104° F (main sign)
• No sweating in hot weather
• Neurological problems such as confusion, unconsciousness, and seizures
• Rapid breathing
• Increased heart rate

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For most adults, spring and summer thunderstorms bring the annoyance of driving in a downpour.

But others dread this time of year for migraines triggered by the environment.

What are migraines?

Aminat Ogun, MD, a family medicine physician at OSF HealthCare, describes migraines as episodic disorders that cause severe, throbbing headaches, usually on one side of the brain.

The list of triggers is, unfortunately, long.

“Emotional stress can trigger migraines. Moving, changing jobs, other stressful life situations,” Dr. Ogun says. “A change in sleeping habits can trigger a migraine. Skipping a meal. Your diet: wine, aged cheese, coffee withdrawal and foods high in nitrates.”

Other common triggers include hormones, bright lights, loud sounds and changes in altitude. A propensity for frequent headaches can also run in the family, Dr. Ogun says.

You can prepare

Dr. Ogun says not much is known about weather-induced migraines. But most medical professionals agree there is some evidence for migraines caused by changes in barometric pressure.

How can you prepare?

“Up and move,” Dr. Ogun says, tongue firmly planted in cheek.

More realistically, watch the weather forecast. If there’s a chance for a lot of dust or smoke in the air (think areas like California or Arizona), plan to limit time outside.

Stock up on medication after talking with your health care provider. Dr. Ogun says over-the-counter medicine like ibuprofen will help with pain and can even be taken ahead of when you know a migraine is coming.

“They could have a headache diary where they write down what causes their headaches, where the pain is located, how long does it last, symptoms and what treatment helps,” Dr. Ogun adds.

If your migraines are more frequent, feel different, or come with other symptoms like confusion, neck rigidity, weakness in the arms or legs, fever or chills, see a doctor right away. Some of those symptoms may be signs of a heart attack or stroke.

Any head trauma, like a sports injury or a car crash, should also be checked on by a doctor.

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The statistic is no surprise, says Kren Harmon, a licensed clinical social worker at OSF HealthCare: 80% of older adults suffer from at least one chronic health condition like diabetes or high blood pressure.

And since we know the body functions as a whole, it’s also no shock that physical problems for older adults can turn into mental health concerns. Depression over lost independence, purpose or financial stability. Loneliness due to isolation. A fear of death.

Harmon encourages everyone, young or old, to see a mental health professional. But seeing seniors over the years, she’s heard plenty of misconceptions worth debunking.

• “You’re just a shrink.”
  
  Harmon sees this apprehension often. She explains that mental health professionals are not only qualified, but they can link you with resources outside of the office.
  
  “Practical matters such as housing and transportation,” Harmon says. “I hear ‘My doctor told me I can’t drive anymore. How do I get to appointments?’ We network closely with our care management team to handle those social work kind of details.”
   
• “I don’t want to be a burden on my kids.”

On the contrary, Harmon says it’s useful and important to involve the family in coming up with a care plan. She recalls bringing an adult daughter into a counseling session and getting a much different picture of things than what the older adult was letting on.

• “Back in my day, we didn’t talk about this. We handled it on our own.”

Harmon says: “We start with a basic education. What is mental health? How do I know if I’m struggling? What’s the difference between a therapist, psychologist and a psychiatrist?”

Harmon also finds it less challenging when the person’s primary care provider makes a recommendation to get mental health care. She says the older adult has often seen the provider for a while, has built up trust and is more likely to take their advice.

• “I don’t want to take pills.”
  
  “There are just a lot of stereotypes about that,” Harmon says. “It’s going to make me feel like a zombie. I don’t want to be sedated. That’s not what we’re talking about with the newer SSRI [selective serotonin reuptake inhibitor] medications. It’s not going to sedate you. It’s just going to help you be a better version of yourself. Have a little more hope and energy. It’s not going to radically change how you think and feel.

“They’re apprehensive because they’re thinking of medications from yesteryear,” she adds. “They even bring up shock therapy. That is not the first mode of treatment.”

Harmon also tells older adults: I might make a recommendation on medicine down the road, but that’s not why you’re here. You’re here to talk about your emotions.

• “Feeling these emotions makes me feel flawed, weak or not normal.”
  
  Harmon retorts: “Depression can just be a chemical imbalance in the brain. It doesn’t mean you’re not a good follower of your faith. It doesn’t mean you don’t have good values or morals. This is not your fault.”

Read more about mental health resources on the OSF HealthCare website.

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“I’ll clean the house later.”

“I’ll fill up the car with gas tomorrow morning.”

“Thinking about putting together a will stresses me out. I’ll deal with it later.”

At one time or another, we’ve all put something off. It may be large or small. It may be put off for five minutes or a year. Whatever the case, procrastination is a part of life. But what’s important is understanding why we procrastinate and how not to let it get out of hand to the point it affects our mental health.

The basics

Ari Lakritz, PsyD, a clinical psychologist at OSF HealthCare, defines procrastination as wanting to do an important task but pushing it off or finding something else to do.

“Despite my best efforts, I just can’t help myself,” Dr. Lakritz says, putting himself in the mind of a procrastinator.

Just like stress activates parts of the brain that control fear and anger, procrastination comes with a sense of relief in the brain, Dr. Lakritz explains.

“All those aversive stimuli in the brain settle and go back to their baseline. Then it’s smooth sailing until at least the next time the issue comes up,” Dr. Lakritz says.

Procrastination is often equated with being able to prioritize and work well under pressure. Don’t confuse the two, Dr. Lakritz warns.

“Procrastination is accompanied by a sense of shame,” he says. “A sense of ‘I know deep down what I’m doing is not the most productive way of working. It’s not the most responsible way of working’.”

For example, take a college student who can type an A+ essay right before the midnight deadline. A provider like Dr. Lakritz may not call them a procrastinator because working at the deadline is part of their plan. They know they are going to finish the task. There’s no opposing force.

The why and the consequences

So why do we put things off?

Dr. Lakritz says for many, it’s about how our brain interprets scenarios. If you pass a coworker in the hallway and they don’t greet you, you may think the person is mad at you. In reality though, the coworker was just lost in their own thought. But your brain doesn’t interpret that.

The same concept applies for procrastinators. And for people with attention deficit disorder, anxiety and depression, it may be worse.

“They’re not so good at understanding or feeling the consequences of what’s going to happen when they come to that big meeting or big test unprepared,” Dr. Lakritz says.

Ironically, those people may be on the other end of the pendulum – too optimistic or confident about what they can accomplish. They lack an understanding of time. They think they can bake a cake in five minutes, for example, when we know it takes longer, no matter your recipe or skill level.

The consequences of procrastination vary by person, but it comes down to missed opportunities and not living up to your potential. For a teenager, putting off homework might lead to missing the work altogether. That means poor grades and fewer chances at the higher education they want. For adults, procrastination may mean missed opportunities to advance up the corporate ladder. And it keeps spiraling from there.

Treatment

Dr. Lakritz says a mental health provider shouldn’t judge how a person organizes tasks or, in general, lives their life. But he says there are some evidence-backed ways to tackle severe procrastination.

•  Find the amount of time you can work without distraction. If it’s 15 minutes, break your project up into small, manageable chunks of around 15 minutes.

“Take a nice little break to revitalize yourself between those small chunks, then get right back at it,” Dr. Lakritz suggests. “You might spend more time overall on this task, but you’ll be working much more consistently.

           “With procrastination, slow and steady wins the race.”

• Rewards like food or music can work, but Dr. Lakritz suggests pairing them with productive work, not after. A work buddy can help here.

“Come up with a contract or rule. You’re only allowed to eat that ice cream or candy bar when you’re working actively,” Dr. Lakritz says. “You’ll begin to associate working with something physically pleasurable. We would expect that to have pretty good effects on your level of motivation going forward.”

Learn more

Learn more about behavioral and mental health resources on the OSF HealthCare website. Just do it today and not tomorrow.

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While living in Greene County, Illinois, in the 1980s and 1990s, Lea Anne Varble took a gut punch each time she heard about a suicide in her community. Eight to 10 in total in 15 years, she says.

“It just took me aback,” she says.

What the tragedies had in common: the person faced mental health challenges common to a rural setting.

Varble, a clinical psychotherapist at OSF HealthCare, knew she had to do something about it. So not only did she devote higher education time to studying the problem, but she’s also now getting the word out about the resources available.

The issues

Varble says stress and isolation are often experienced by people living in a rural setting, such as a farmer. There’s also a desire to be self-sufficient – a trope associated with farmers and other rural residents for decades.

“People living rurally often are independent. So, when stress comes, they want to handle it on their own,” Varble says.

Varble also knows the issues – stress, anxiety and even depression – of planting and harvest season.

“Hours and hours,” in the field, she says. “You’re expected to keep working even if you don’t feel well. Even if the stress is getting to you. You have to get up and do it again. Or at least that’s what your father before you did and his father before him.”

The work ethic can be admirable, but it can lead to medical issues if left unchecked.

And, the heads of some rural households are caring for two generations: their kids and their parents. School, chronic illnesses and advanced care planning are just more things to add to the to-do list. Varble adds that older adults in a rural setting are more likely to see themselves as a burden and choose to end their life.

Treatment

Varble says getting better starts simply with noticing the problem and talking about it with a trusted adult, like a friend, family member, faith leader or a medical professional.

The good news is that mental health professionals have made strides in this area, such as telemedicine and mobile health services. And society is more willing to talk about mental health. Farming magazines have articles on mental health, for example.

Other ways to help that Varble has picked up over the years:

• Get to know your neighbors and local organizations, like churches and businesses. Then, lean on them for help when the stress gets to be too much.
   
• Look into resources offered by state or federal agencies. In Illinois, where Varble works, the Family Farm Resource Initiative operates a 24/7 hotline and email.
  
  “Individuals can receive support from trained professionals who understand the unique challenges faced by those in the agricultural sector,” the initiative website states. “The helpline offers specialized assistance, including mental health resources and agriculture-related support, ensuring that farm families have access to the help they need.”
   
• Health care professionals should encourage people with rural backgrounds to become therapists.

               “It’s someone from their community who understands what’s going on,” Varble says.

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Stay safe on the farm

With age comes physical limitations. But it’s important to stay active, says John Rinker, MD, an internal medicine physician who specializes in geriatrics at OSF HealthCare. When you keep moving, it helps reduce the risk of things like diabetes, high blood pressure, heart disease, obesity, cancer and neurocognitive diseases like Alzheimer's.

In other words, Dr. Rinker says, it’s not fun to live long if you’re not well. Your lifespan versus your health span, as he puts it.

“It really, really pays to maintain exercise and be in good physical shape as you age. It reaps huge dividends on how long you live,” Dr. Rinker stresses.

Guidelines

Each person should have a tailored plan as advised by a health care provider. But regardless of your age, the American Heart Association (AHA) generally recommends 150 minutes of moderate physical activity or 70 minutes of vigorous physical activity each week, spread out over several days. A brisk walk would qualify as moderate intensity (also called zone two training), while running, swimming or riding a bike would be vigorous. Vigorous exercise is associated with a term called VO2 max, referring to maximum use of oxygen. In layman’s terms, you’re breathing hard and conditioning the heart.

“Most of that type of [vigorous] training is at a higher interval. You’re going to get breathing really hard for three to five minutes while you sustain a pace that’s rather difficult. Then you’re going to rest and let that heart rate come back down. Then go back to the hard exercise,” Dr. Rinker explains. “That back and forth with the heart rate really helps to train how well your heart can pump blood to muscles. That’s a really good marker of how well conditioned you are.”

The AHA also recommends two days of strength training per week. That could be lifting weights, using resistance bands or calisthenics, where you use your body weight for resistance rather than equipment.

“I really like the strength training piece,” Dr. Rinker says.

“It doesn’t take a lot as you age to tension a muscle enough to maintain muscle mass. We really find that people who are able to maintain muscle more muscle mass as they age are going to do much better with those health span and lifespan issues,” he adds. “So, the goal isn’t to make everyone a huge bodybuilder. The goal is to decrease the rate of decline as we age.”

On the days you do strength training, aim for 30 minutes per day. Dr. Rinker says if you really want to lean into this area of fitness, consider getting a personal trainer.

Limitations

It’s important to work around your ability and not push through pain, Dr. Rinker says. If aging has brought back or leg pain, skip the treadmill and try swimming or a weightlifting session while seated.

“You want to make sure you’re not going to injure something further. That will create a bigger setback or other deficit that are not going to help you in the long run,” Dr. Rinker says.

The bottom line

From VO2 max to zone two to calisthenics, there are a lot of terms to keep straight. If you don’t want to overthink it, just remember to keep moving. Push yourself with some vigorous workouts if you can, but commit to some form of exercise regularly.

“Most of your day-to-day exercise [as an older adult] should be just basic activity,” Dr. Rinker says. “Think of a brisk walk. Walking at a pace for about 30 minutes where you could still hold a conversation with somebody, but it would be difficult to sing a song.

“If I can just get someone to walk every day, I think they’re going to be in good shape,” he adds.

Learn more

Read more about moving your body safely and aging well on the OSF HealthCare website.

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Anger. Sadness. Anxiety. Fear.

The Inside Out movies may be onto something.

They’re examples of “big emotions,” says Rachel Yuhas, LCPC, a psychotherapist at OSF HealthCare. Yuhas says it’s OK to feel these emotions, but you should know how to react to them. When you’re angry, for example, swinging your fists at others is a bad idea.

“A big thing is taking accountability first,” Yuhas says of managing these emotions. “Often when you have a big emotion, it can impact people around you.”

Yuhas also preaches techniques to ground yourself like deep breathing, taking time out from stressful situations, meditation, journaling and practicing mindfulness.

“With children, having them interact in a group might be really effective because they can learn from their peers. They can learn how to have those relationships. They even learn how other kids might be having these emotions,” Yuhas says. “I might also incorporate play therapy with kids because it’s more their style. They might receive that better.”

For adults, Yuhas often uses dialectical behavior therapy (DBT). She says it’s a type of therapy where the person learns skills to use in the outside world.

“We talk about mindfulness skills; meditation and interpersonal effectiveness, which is how to communicate with people in an effective way when you’re experiencing big emotions,” Yuhas explains. “We talk about stress. Say you’re at a nine on the stress scale and you need to come down to a seven. There are also emotional regulation skills we talk about.”

Details to know about some of these tactics:

• Mindfulness: As the name suggests, try to keep your mind full. Use your senses to notice things that you wouldn’t otherwise, such as a painting on the wall or the scent of a food truck.
  
  “We want to come back to the here and now instead of ruminating on the emotional turmoil we’re experiencing,” Yuhas says.
   
• Communication: Yuhas will coach people through tough conversations. For example: You’re mad at your partner. Instead of throwing an object against the wall, think about how you’re really feeling and what triggered the anger. Find a way to communicate that without a “catastrophic reaction,” Yuhas says.
   
• Distress tolerance: Yuhas says it starts when knowing that you’re highly stressed – in the “red zone” or toward the top of the one to 10 stress scale. Step away from the situation and find an outlet that helps you calm down, like going for a run.
  
  “Run off some of the steam,” she says.

Read more about mental health resources on the OSF HealthCare website.

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If you grew up without suffering from seasonal allergies, consider yourself one of the lucky ones.

But if you’ve reached your 40s or 50s and are now feeling miserable during the spring and fall months, welcome to the club. Adult-onset allergies are a real thing. And it happens to a lot of people.

Nearly 1 in 3 adults in the U.S. have seasonal allergies, eczema, or food allergies, according to recent data released by the Centers for Disease Control and Prevention (CDC). Nearly 75% of those are older than 45. Many of those people developed allergies in adulthood or were not diagnosed until they were adults.

Experts are unclear why or how allergies develop in adulthood. Some theories include moving from one geographic region to another, having a reduced immune system or owning a pet for the first time in your life. There is a belief, however, that having one severe allergic reaction or symptoms during childhood can increase your chances of developing allergies as an adult.

Many people who develop allergy symptoms early in life will outgrow their allergies by their 20s or 30s. But, really, it’s possible to develop an allergy to something – whether it’s an animal or pollen – at any point in life.

“People will have them as kids and sometimes grow out of it,” says Breanne Gendron, a nurse practitioner with OSF HealthCare. “Then the alternative happens, where something starts bothering you as you age. That’s when we teach you about all the different medications you can use to control your symptoms.”

Gendron says most people are bothered by things that bloom and that includes trees and grass in the spring. Ragweed pollen or other weed pollen are problematic in the fall. Spores from molds and fungi are typically around in warm-weather months. And don’t forget about house dust mite allergens, which tend to be present throughout the year.

Most allergy symptoms, while annoying, are mild. Examples are sneezing, itchy eyes and runny nose. In her practice, Gendron notices more adults suffering from sinus infections with their allergy issues, more so than her younger patients.

“The dilemma about having untreated allergies is that you can get extra congestion in your sinuses, which could lead to a sinus infection,” Gendron says. “When you get pressure in your face, and you generally feel a little rundown, then we want to treat you for that.”

Gendron recommends treating allergies with a combination of oral antihistamines, eye drops and steroid nasal sprays. Allergy shots may be in order as well. But first, talk to your doctor to see if you are a candidate for a skin test to determine your specific allergies. “Once the medication gets your symptoms to calm down, you can generally keep it in check with less medication,” she says.

There are other things you can do to help minimize your symptoms. Gendron recommends things like eliminating carpet in your bedroom and washing your sheets regularly to eliminate dust. Consider taking a shower before bedtime, especially after being outside, and keep the windows closed at night to prevent pollen from entering the home.

This spring, protect yourself from those triggers that you know will make you uncomfortable.

“If you are bothered by something in the environment and you know that it bothers you, such as mowing the grass or raking leaves, do yourself a favor by wearing a mask to prevent yourself from breathing in more allergens,” she adds. “And take your allergy pills before you do those things, to make sure that you're going to have less of a reaction.”

For more information, visit OSF HealthCare.

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When Gordon Ramsay raises his voice, it’s usually about an undercooked dish.

But in 2024, the celebrity chef was calling for help after a scary bicycle accident.

“It really shook me,” says the avid cyclist in a June 15, 2024, Instagram post. “Honestly, I’m lucky to be here.”

Ramsay says he didn’t suffer any major injuries, but he’s bruised and on the mend. And he’s again joining health care professionals in stressing the importance of wearing a helmet and biking within your means.

“I don’t care how short the journey is,” Ramsay says.

Biking accidents in the emergency department

Kurt Bloomstrand, MD, an emergency medicine physician who sees patients at OSF HealthCare, has treated people who have fallen off a moving object. It could be a bicycle, scooter or motorcycle. Sometimes it’s a child who’s learning their way. Or it could be an adult who didn’t hit the brakes in time.

“A lot of times what happens is they fall off the bike, put their arm out to protect themselves and injure their arm,” Dr. Bloomstrand says.

“But most importantly, we also see head injuries. We know that people who get in a bike accident have better outcomes if they’re wearing a helmet. People that are not have a higher risk of head injuries and traumatic brain injuries,” he adds.

Those head injuries are not something to take lightly, Dr. Bloomstrand says. Traumatic brain injuries can result in lifelong complications or death.

“When we see people in the emergency department who have suffered from a bicycle accident, we’re going to do a rapid trauma assessment,” Dr. Bloomstrand explains. “We’re going to pay special attention to the head. We’re going to make sure there are no signs of skull fracture or neurological abnormality. Depending on the severity of the injury, we may do a CAT scan [also called a CT scan] to make sure there’s no internal injury like bleeding on the brain. Those internal injuries are life-threatening emergencies that need to be addressed quickly.”

Advice

Check these off your list the next time you get on a bicycle or something similar:

• People of all ages should wear a helmet while biking. Young kids who are learning to ride should also wear knee elbow pads.
   
• Long shirts and pants and closed toe shoes (not sandals) are better than bare skin if you fall and skid on pavement (commonly called “road rash”).
   
• Be alert when riding. Don’t ride while tired or under the influence of alcohol or drugs. If you’re listening to music, consider having one ear free so you can hear your surroundings.
   
• Don’t ride above your means. Choose a speed and terrain that fits your skills.
   
• Keep your bike in good condition and configured to match your height. Your feet should touch the ground when seated. This should be true for all ages. A child should not “grow into” a bike. 
  
  At night, a headlight, reflectors, flag and a horn help you to be seen and heard. Bright-colored clothing also helps your visibility at night.
   
• Look closely before crossing an intersection, and obey all traffic laws. This typically includes riding on the right side of the road. Use universal hand signals: left arm straight for a left turn, left arm bent up for a right turn and left arm bent down for a stop. Make eye contact with the driver of a vehicle before passing in front of them.
   
• One person should ride a bike at a time, and keep both hands on the handlebars. Put items like books in a backpack or basket. Don’t try to carry items and ride.
   
• If you or someone you’re with suffers a bike injury, call 9-1-1 immediately.

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Humans are on their feet most of their life. So why wouldn’t you want a proper pair of shoes?

Specifically, look for footwear that’s wide enough to prevent two common toe issues: bunions and hammer toe.

Marc Leonard, DPM, an OSF HealthCare podiatrist, sees these ailments frequently but stresses they are treatable without surgery when caught early.

Bunion

A bunion is when bones move out of place to form a bump on the toe joint, drawing the toe inward. Bunions are mostly seen on big toe, but they can happen on the pinky toe, too. This is called a bunionette or tailor’s bunion. Dr. Leonard says bunions are often caused by joint hypermobility, and they can also be genetic.

If pain from a bunion is not impacting your daily life, getting wider shoes or using a splint may do the trick. When the discomfort becomes intolerable, a doctor will discuss surgery.

“We make a cut in that bone, bring it over back into alignment and put some screws in,” Dr. Leonard explains. “Then we protect the area during post-operative course.”

The surgery is outpatient, and you typically can walk out of the doctor’s office. But beyond daily household activities, you should be off your feet for a month.

“We find the more people rest and elevate the foot, the better they feel. There’s less swelling and less potential for complications,” Dr. Leonard says.

Six to eight weeks after surgery, the person can resume exercise.

Hammer toe

Hammer toe is when a toe (usually one other than the big toe) contracts up, resembling a hammer.

“They make very prominent knuckles that can rub in the shoe and get red, irritated and sore,” Dr. Leonard describes.

Like bunions, splints and wider shoes are a short-term treatment, and outpatient surgery is possible for more severe cases.

“We remove some of the bone which allows the toe to reduce the contracture. Then, typically, we stabilize it in that new position with a wire for four weeks,” Dr. Leonard says. “Then that wire comes out. The toe should be more stable, straighter and hopefully not rub and cause the same pain it did prior to surgery.”

Recovery time is like bunion surgery but may be a little quicker.

 Finding footwear

The common link between bunions and hammer toe? A big step toward prevention is picking the right footwear.

“Cheapest is not best,” is an understatement, Dr. Leonard says.

“Things I recommend avoiding: flip flops, lighter weight canvas shoes or shoes that just don’t give you a lot of support,” Dr. Leonard adds. “Instead, I recommend a good, sturdy walking shoe. If you have to do a sandal or flip flop, get something that’s well-made with good arch support.”

Avoid wearing high heels all the time, Dr. Leonard also advises. You can also try an orthotic device, or a shoe insert to give you more support. Over the counter orthotics are just fine, Dr. Leonard says, but a podiatrist might recommend taking a mold of your foot to make a custom insert.

Learn more

Learn more about foot care on the OSF HealthCare website.

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Warm weather means more outdoor activities involving alcohol.

The dangers

How quickly can binge drinking turn problematic?

“Very easily,” says Andrew Zasada, MD, an internal medicine physician who sees patients at OSF HealthCare.

Dr. Zasada says for women, binge drinking is defined as five or more drinks on one occasion, like a night out on the town that lasts three to four hours. For men, it’s 15 drinks. That takes into account the differences in how men’s and women’s bodies metabolize alcohol.

Dr. Zasada says the internal issues linked with excessive alcohol use can be devastating.

“It can cause brain dysfunction. It can cause liver disease and stomach ulcers,” Dr. Zasada says. “It’s just not a good thing. It can cause a wide variety of problems.”

Not to mention the outward symptoms like: acne, redness on your nose and palms and dry, wrinkled skin that makes you look older. And drinking during pregnancy can lead to a host of problems for the child, like facial abnormalities and developmental deficits.

“A lifetime of misery” for the little one, as Dr. Zasada puts it.

Safety, recovery

Just like there’s no magic way to prevent or cure a hangover, there’s no magic number of drinks to have on a night out that will make you immune to alcohol problems. But for spring and summer revelers, Dr. Zasada has this advice: take it slow.

“If you’re an average size gentleman, probably a beer an hour is just about the max you can drink,” he says.

Dr. Zasada says are there many ways to help people who are drinking in excess. In the short term, such as during a party, call 911 if the person needs immediate medical attention. If they just need a break, take the person away from the clatter to rest. Take their car keys, and give them some water. A painkiller like Tylenol in appropriate doses can help with that hangover headache the next day.

Long term, a patient’s primary care provider can link them with resources to curb drinking, such as Alcoholics Anonymous or treatment centers. The National Institute on Alcohol Abuse and Alcoholism also has resources. And within OSF HealthCare’s footprint, Illinois and Michigan have phone numbers to call for behavioral health issues.

“If the person is trying to deny that they drink at all; if they are drinking alone when there is nobody else around; if they're trying to hide or cover up their drinking, those are all fairly serious warning signs that this person needs help,” Dr. Zasada says.

Dr. Zasada says it’s never too late to kick the habit of excessive drinking, but sooner is better.

“It's easier to mitigate any problems that have already occurred earlier, rather than wait for the problem to get very, very serious, very bad, and then quit,” he says. “Yeah, you'll get better. But you won't go back to what you were.”

That “getting better” looks like a lot of things.

“You might lose weight. You might lower your blood pressure. It may increase heart health,” Dr. Zasada says. “You'll think clearer. You'll sleep better.”

Interview Clips

Post has been through it before. In high school, she was diagnosed with kidney failure after a routine physical showed significant lost kidney function due to a complication from a birth defect. Post’s dad was her living donor then. She was 13 and thrived for almost two decades.

Fast forward and another routine exam given over her lunch hour revealed Post, now 50 years old, needed to go on dialysis again. She was devastated. At the time, her daughter Sophia was only 5 years old.

After trying to work, Post was exhausted and had to go on disability. She depleted her savings while waiting months until her first disability check. What helped her through nearly five years of dialysis? Post says it was her daughter Sophia, who is now 16, and her church family at College Park Church in Normal.

“They helped me with my daughter, helped me financially every once in a while, if I needed help, just prayed with me, yeah.”

Finding hope through community and faith

Many days filled with fear, anxiety and worry and nights spent hooked up to an at-home dialysis machine convinced April to follow through on a suggestion from friend Terri Thede. Thede had been part of a six-person living donation chain in 2017 and suggested her friend make a video to share on social media. For Thede, a powerful video on social media convinced her to become a living donor for a total stranger.

Thede forwarded a video Post made to friend Kelly Stogner, who at the time was an executive assistant at Heartland Community College in Normal. The video touched her.

“I could see myself in her and I could see her as a mom, making the best of a situation that she had no control over and just wanting to live the best life she could for herself and her daughter, and I thought if I could help, why wouldn’t I?”

Then Stogner learned her then-boss, college president Keith Cornille had been a living donor for a colleague in Wisconsin and two others at the college also donated their kidneys. All were doing great, so Stogner decided to go through testing to see if she could be a match.

Stogner told a few close friends and family and asked for their prayers as she moved through the testing, including blood work, scans and a psychological evaluation. Wasn’t she worried about what might happen in the future while living with only one kidney?

“I don’t do a lot of ‘what ifs’ like some people say, ‘What if you need it later? What if somebody in your family needs it later?’ I trust that God will take care of that when the time comes. And it might not ever happen, so I can make a difference now with somebody who needs it. So why wouldn’t I?” 

A Match Made in Heaven

When Stogner learned she was a match for Post in October 2019, she and Thede decided the best way to share the good news – after a Sunday church service. Stogner says it made sense to do a big reveal. 

Her church had been with her along the journey, and some people had tested and weren’t approved to be a donor. So it was very much an answer to the prayer for the entire congregation. So for them to experience that as well I think was exciting for them.” 

Living donors incur no cost from the testing, surgery or follow-up appointments because it’s covered by the recipient’s insurance. Stogner did have to pay for iron infusions when she learned she was anemic.

The transplant team was really the dream team she says. Everyone made her feel like a V.I.P.

“I was treated, I feel, like a princess in the hospital. Everyone was very kind and came to check on me to make sure everything was going very well. I had a great experience.”

As for the surgery, Stogner called it, “one of the easiest things I’ve ever done.”

“I was hiking within two weeks. I had flown on a vacation two weeks after and hiked in Arizona. It didn’t stop me from doing what I wanted to do and what I normally would do.” 

Six months after her surgery at OSF HealthCare Saint Francis Medical Center in Peoria, Illinois, Post joined Stogner for a hike and never felt better. In fact, she recalls almost immediately feeling like a new person after receiving her donated kidney.

“I had so much energy and I was so hungry. When I was on dialysis, I had no appetite. I could hardly eat anything. [After surgery] I was so hungry and so energized. It was awesome.” 

Life after kidney transplant: A fresh start

During those nearly five years waiting for a kidney, Post decided it was time to make the most of the life she had. Despite some limitations, she rallied to return to Illinois State University for a degree in Health IT. After a brief pause for her transplant and recovery in December 2019, Post’s professors let her complete projects later and graduated near the top in her class.

Post says she immediately felt relief from the kind of brain fog that plagued her during dialysis.

“Because I had a clear head, I made the Dean’s List. (laughs) And, I had never done that because now I could actually think and I actually had energy to do it.” 

A full recovery took a couple of months. During that time, Post found her new normal and slowly allowed herself to feel hopeful about the future. Since her transplant, Post walks regularly, bought a house and now works as a case manager for troubled teens in Bloomington, Illinois. She feels blessed.

“I mean, I don’t know what I would do if I passed away with my daughter. I know people can be on dialysis for a long time, but they do not have a quality of life. They don’t,” Post said dabbing tears. 

More than 100,000 men, women and children in the United States are waiting for lifesaving organ transplants. Each day, between 13 to 17 people die because the organ they need is not donated in time.

Learn more about organ and tissue donation and sign up as a donor at www.organdonor.gov.

Learn how you might become a living donor by calling the living donation line at OSF Saint Francis at (309) 624-5433.

Organ donation fast facts

• In Illinois, approximately 4,000 to 5,000 people are currently waiting for a life-saving organ transplant. The majority of these patients need a kidney, and about 300 Illinoisans die each year while waiting.
• In Michigan, more than 3,000 residents are currently waiting for transplants.
• Urgency: Every eight minutes, another person is added nationally to the list.
• Lives saved: One organ donor can save up to eight lives.
• Impact: A single donor can save and heal more than 75 lives through tissue donation.
• Deaths: 13 people die each day waiting for a transplant.
• The transplant program at OSF Saint Francis Medical Center in Peoria is considered the largest in downstate Illinois.
• The kidney transplant program at OSF Saint Francis Medical Center has performed more than 1,600 transplants since the program started in 1985.
• The pancreas program started in 2002 and has performed 69 pancreas transplants to date.
• The heart transplant program was reestablished in the fall of 2019 and offers both heart transplants and ventricular assist device (VAD) implants that help pump blood from the lower chambers of your heart to the      rest of your body.
• To date, the program has performed 38 heart transplants and 60 VAD implants.
• How to register: In Illinois, register via the Illinois Secretary of State website, LifeGoesOn.com, or at DMV offices. In Michigan, registration is confidential, available to anyone regardless of age or health and adds a heart sticker to your ID.

Video Clips-Live kidney donor Kelly Stogner

Video Clips-Kidney recipient April Post

Follow enough dermatologists on social media, and you’re bound to come across a viral video of a person with a ton of dead skin on their foot. The provider usually narrates while they chip away – literally – at the problem.

Thankfully, that’s not the norm, says Marc Leonard, DPM, an OSF HealthCare podiatrist. But you should still know the right way and the wrong way to remove foot calluses.

Calluses can occur when you wear shoes that don’t fit well, when you don’t wear socks with shoes, when you have foot bones out of normal position or if you do a lot of physical activity. Severe cases may also be genetic. Dr. Leonard says calluses often occur toward the front and back of your foot, but they can occur elsewhere if there’s a structural issue like a bunion or hammer toe.

Dr. Leonard says some exfoliation of your skin is natural, but you should look into treating calluses if the pain impacts your quality of life. He adds that people with diabetes need to pay close attention to calluses.

“If that callus builds up enough, puts pressure underneath the skin and breaks the skin down, it can cause ulcerations that can lead to infection or amputation,” Dr. Leonard says.

There are at-home remedies for calluses, but Dr. Leonard says to try them carefully and after speaking to a health care provider. A provider may tell you to run a nail file or pumice stone over the callus, sometimes after you get out of the shower when the skin is soft. Never use a device that’s not approved to treat calluses, like a razor. And be gentle and don’t dig too deep into the skin. Otherwise, bleeding can result. A provider may also tell you to wear shoes with more toe room, use shoe inserts or change the way you exercise.

For more severe cases, a provider may do the work for you.

“Here at the office, we’d trim the callus down,” Dr. Leonard says. “We’d try to get the person a way to manage it on their own once we get past the large, painful area. They can then manage it better using that pumice stone on a regular basis.”

Read more about how to keep your feet healthy on the OSF HealthCare website.

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The American Heart Association and 10 other leading health organizations say it’s time to start checking cholesterol sooner and treating it more aggressively. New, lower low density lipoprotein LDL cholesterol targets are aimed at preventing heart attacks and strokes before symptoms ever appear.

Jason Trager, DO, a cardiologist with OSF HealthCare, says people at risk of heart disease should start trying to lower their cholesterol as early as age 30 and continue into old age. They should also be getting their cholesterol levels lower than many doctors had previously recommended.

Some large clinical studies found that about 72% of high‑risk patients fail to reach guideline‑recommended LDL cholesterol levels, and many are either undertreated or not on medication at all. Recent guideline updates have significantly lowered cholesterol targets, especially for people with heart disease or multiple risk factors.

New LDL cholesterol goals based on risk level

Under the new recommendations, people who have already experienced a heart attack or have symptomatic coronary artery disease should aim for LDL levels below 55. People with underlying but less severe coronary disease or diabetes are encouraged to keep LDL below 70, while the general population should aim for levels under 100.

Dr. Trager says clinical studies show the benefits of lowering cholesterol levels for everyone.

“Lower is better as far as your bad cholesterol level, and it means that a lot of patients who were not taking cholesterol medicines should now be on cholesterol medicines. But the cost-benefit analysis is definitely there. Fortunately, with these new medications, people are living longer.”

Taking a pill every day to lower LDL cholesterol can reduce a person’s risk of heart attack or stroke by 20 to 30%, according to Dr. Trager, and by even more in people with multiple risk factors. He says the benefits are really significant.

New medications improve outcomes and reduce side effects

Advances in cholesterol‑lowering drugs, including combination therapies and injectable medications, have made cholesterol goals more achievable.

“In the past, we were not able to get to these targets without very high doses of medications. So now with some of these newer medications, we can get that. We can get these goals, and that really helps reduce future risk of heart attack and strokes, especially for somebody who already had an event.”

Newer options can also minimize side effects – an issue that often leads people to stop treatment.

High LDL is frequently described as a “silent risk” because people can live for decades without symptoms while damage accumulates inside their arteries. Dr. Trager says this delayed impact makes it harder to convince people to stay on medications. But he tries to help people understand by using an analogy.

“You’re going to replace that tire on your car or you’re going to wait until the big blow out … well, most people would rather replace the tire instead of getting into that big accident,” he explains. “It’s the same analogy. Where your heart is concerned, being proactive and being your own advocate can really reduce future heart attack and risk.”

Other testing to know your risk

Dr. Trager also points to coronary calcium scoring, a specialized CT scan that measures plaque buildup in the heart’s arteries, as a valuable screening tool. While not always covered by insurance, Dr. Trager says the scan can help doctors identify people who would benefit from more aggressive treatment before symptoms appear.

Dr. Trager also recommends that adults have their lipoprotein(a), or Lp(a), measured at least once in their lifetime. High levels of this cholesterol-related particle, largely determined by genetics, are linked to a higher risk of heart attack and stroke.

Dr. Trager stresses the importance of diet and exercise. But for many high‑risk patients, he points out lifestyle changes alone are no longer enough to meet today’s lower cholesterol targets.

“Somebody’s not going to be able to reach those goals with diet and exercise unfortunately,” Dr. Trager shares. “You can go on a straight vegan-type diet and cut out the red meat. You can get the cholesterol level down, but you’re not going to reach those exact goals.”

Dr. Trager encourages people to talk with their medical providers if they struggle with cholesterol medications, rather than stopping treatment entirely. With multiple drug options now available, he says most people can find a regimen that works. He suggests that commitment to taking cholesterol-lowering medication can make the difference between preventing a heart attack and reacting to one.

As new evidence continues to shape clinical practice, Dr. Trager believes the message is clear: knowing your numbers, staying engaged in your care and treating cholesterol early can save lives.

Dr. Trager practices in Bloomington, Illinois but you can talk to your primary care provider to learn more. Don't have one? Here are options. 

Dr. Jason Trager

Is your toe sore to the touch? Is the skin around the nail puffy or red? An ingrown toenail may be to blame.

Marc Leonard, DPM, an OSF HealthCare podiatrist, says it’s an issue he sees frequently, but it’s one that’s easily preventable.

Dr. Leonard says an ingrown toenail is when the nail grows into the skin on the nail’s side. Some people get ingrown toenails due to a family history of the problem. They may just have wide toenails, in other words.

For others, it’s a product of how you take care of your feet.

“Bicyclists wear very tight shoes. They clip onto the bike. The shoes are very unforgiving.” Dr. Leonard says as an example. “The person is getting extra pressure on the side of the toes. It can definitely contribute to ingrown nails.”

Dance shoes sometimes have the same effect, he says.

Another culprit: clipping your toenails too low toward the side of the toe. Instead, trim straight across using clippers with a straight, not curved, blade.

Avoiding these risk factors is crucial for people with diabetes, Dr. Leonard warns. While that group is not more prone to ingrown toenails, an occurrence may mean serious complications.

“If their blood sugar is not under control, the infections from ingrown nails can get severe quickly,” Dr. Leonard says. “Sometimes there can also be circulation problems with diabetics.”

Dr. Leonard says some ingrown toenails will resolve on their own. But if a person has to come to a podiatrist’s office, it usually means the site is infected.

“We might trim out the side of the nail. That’s the easiest way to treat it,” Dr. Leonard says. “In other situations, we have to numb the toe and take out the side of the nail.”

If the toe is really inflamed and irritated, he says, a doctor will remove a larger portion of the nail, plus some excess skin and tissue. The person may also be sent home with antibiotic medication to keep the infection down.

For people with frequent ingrown toenails, there’s a permanent solution.

“We’ll actually kill the side of the nail,” Dr. Leonard says. “We’ll put a chemical in the base of the toe to kill the root. That eliminates growth of the nail on the side.”

That’s an outpatient procedure done at a podiatrist’s office. And in the days and months ahead, you would trim the nail normally, Dr. Leonard says. The nail would just be narrower.

Regardless of what happens to your toe, recovery from ingrown nail treatment involves rest and soaking the toe in warm water. You should be back to normal activities “fairly quickly,” Dr. Leonard says.

One more burning question to answer: how often should I trim my toenails?

“For most people, probably once a month or once every couple weeks,” Dr. Leonard suggests. But if you have a history of ingrown toenails or other toe issues, talk to your primary care provider or podiatrist about proper toe care.

Learn more about foot and toe care on the OSF HealthCare website.

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Every year, more than 500 million golf rounds are played on courses across the country. And while anxious golfers are racing to local courses for a quick round, that first swing of the season can come with a risk if your body isn’t ready.

“I think about the low back, especially the population that plays golf tends to be a little bit older sometimes,” says Michael Hahndorf, a physical therapist with OSF HealthCare. The lower back, the shoulders. You think about the arms and wrists are important, but you don't want to forget about your foundation as well – your legs, your ankles, your knees, your hips, all that is important too. It goes back to just stretching and being more prepared for what's coming when you do play.”

Hahndorf recommends starting a stretching routine. Before starting any round, give yourself at least 10-15 minutes to properly stretch your back, hamstrings, abdominals, arms and shoulders to stay flexible. And make sure to get plenty of practice swings in before you head over to the first tee. Start with the smaller irons and work your way up to the driver and not just on the first hole with the first swing.

Walking nine or 18 holes can be challenging, especially if you’ve been mostly sedentary for the past several months. Even carrying a golf bag can cause back and shoulder pain.

Start walking to warm up

“Start to walk nice and easy. Get your body used to kind of physical activity again, taking some swings at home without even going to the driving range,” Hahndorf says. “It could be something as simple as going to the driving range and hitting a small bucket versus large, and then kind of working your way into nine holes for a little bit, and then slowly transitioning to those 18 holes. Because it's going to be a big change of pace from nine to 18 over the course of time.”

For the most part, golf is a relatively safe sport, but injuries can happen, especially because of not using proper form or technique. The keys of a good swing include good posture, a stable lower back, and a slow relaxed swing. An early-season injury, especially during cooler temperatures, can really set back a golfer for a few days to weeks.

“When it comes to a good golf swing, you think about having good posture and having a flat back,” Hahndorf says. “Have your hips tucked underneath you, have your knees bent a little and those arms straight down. Posture plays a role importantly there, because it's going to allow for that rotation.”

And remember to spend some time stretching again following when the round is over. “It's important to stretch before to warm up but also afterwards, so you can kind of get ahead of some of that soreness. Because it can be tough for the first couple rounds,” says Hahndorf. “Just maintain just a gentle stretching routine for five to 10 minutes a day to keep that low back, hip, shoulder mobility kind of where it was when you ended.” 

A little soreness is expected early in the golf season. But any pain that lingers or gets worse might call for physical therapy. Touch base with your medical provider with any nagging concerns.

“Just take care of your body. If something hurts, pay attention,” Hahndorf says. “You know how things are supposed to feel. So, if it feels off make sure you're reaching out if you need to.”

For more information on physical therapy, visit the OSF HealthCare website.

Video Interview Clips 

B-Roll 

“It’s really going to help with flexibility, endurance and balance,” Spires says. “There’s a lot of up and down, being on your knees and bending over. If you’re somebody who struggles in those areas, this is going to be a good spot to start.”

Think of it as doing a lot of squats in an hour as you plant seeds and pull weeds. Your flexibility can also be challenged (for the good) if you need to get to an “odd spot” to reach that plant. All this adds up to a decreased risk for things like heart disease and high blood pressure.

The mental benefits of gardening match the physical benefits. It’s motivation to get up in the morning. You’re soaking up the sun, interacting with others and have a sense of accomplishment.

Like any other exercise, there are safety tips to keep in mind when gardening.

• Beat the heat by wearing sunscreen, drinking plenty of water, dressing appropriately (lightweight, light-colored and loose-fitting clothing) and taking breaks.
   
• Know how to use your tools and have a plan if you’re injured. Have a first aid kit and phone nearby. Try to garden with a friend. Or if not, let someone know your plans.
   
• Exercise through gardening can be fun, but don’t push through pain, overexert yourself or stay in one position for too long.

“Know your limits. What works for you and what doesn’t,” Spires says. “You can use the rate of perceived exertion [a scale that allows you to measure how much effort an activity takes]. A one level may not be too hard, or you may be totally maxed out at a 10. Try to stay in that four to six range. For example, this is an appropriate weight for me to carry.”

Bend at your knees, not your back. Use your legs to support yourself as you move up and down. And don’t twist your body into unnatural positions. Remember, you won’t reap a full crop in one day. Take your time and enjoy things.

Read more about how to keep your body in top shape on the OSF HealthCare website. OSF also has recipes that can make use of your harvested fruits and vegetables.

Photos

Interview clips

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After years of chronic pain stripped away his active lifestyle, 36-year-old Tyler Stratman of Clinton, Illinois, says he has finally reclaimed his life thanks to a specialized spine procedure now available in Central Illinois.

Stratman, who once ran several miles a day while living in Chicago, says his life changed dramatically when persistent back pain began about two and a half years ago. What started as discomfort escalated into debilitating immobility.

Active lifestyle disrupted by chronic back pain

The pain prompted Stratman to completely stop his habit of running four to five miles a day.

“Even walking down the street to get Starbucks, my whole entire body would just kind of charley horse. I would have to stop in between blocks and kind of do hamstring stretches and things like that. And you know I was only 33 years old. And so, it was a huge, huge part of my life taken away.”

An MRI eventually revealed a severe herniated disc in his lower spine. At its peak, Stratman describes unbearable pain and sleepless nights.

 “I don’t think I slept for probably four to five days,” Stratman explains. “I would have to go out in the middle of the night. We have a treadmill and I would have to go out at like three or four in the morning to walk just to relieve something – just so I wouldn’t feel pain.” 

Minimally invasive spine surgery offers new option in Central Illinois

After exhausting non-surgical options including physical therapy, steroid injections and chiropractic care, Stratman was referred to neurosurgeon Sohail Syed, MD, who specializes in minimally invasive endoscopic spine surgery.

Spine surgeons at OSF HealthCare Illinois Neurological Institute (OSF INI) Spine Institute perform approximately 1,000 spine surgeries each year, more than any other hospital system in the area and is the second largest program in Illinois. OSF HealthCare began using new minimally invasive spine surgery technology in June 2024, expanding treatment options for patients with certain spinal conditions. Since then, fellowship-trained spine surgeon Dr. Syed has performed 50 non-invasive spine surgeries using this advanced approach.

The endoscopic approach uses a small camera and specialized instruments inserted through a narrow pathway, avoiding the need for large incisions or significant tissue disruption.

Dr. Syed notes that in traditional spine surgery, surgeons often must remove bone and move a nerve aside to reach the problem area – steps the endoscopic technique can often minimize or avoid.

Endoscopic spine surgery reduces damage and recovery time

“Rather than going through all that, you can sneak underneath the nerve. And the endoscopic camera has an angle on it so it lets you look around the corner and work in the natural hole that exists in the spine without removing any bone or tissue and go right to the disc, remove the disc that’s pushing on the nerve or the bone spur and be in and out just using a one to two centimeter incision.” 

Dr. Syed emphasizes that surgery is typically a last resort after conservative treatments fail but says Stratman was an ideal candidate due to both his condition and mindset.

“He was a great candidate for endoscopic spine surgery because of the type of disc herniation he had, the location, his age and his attitude,” Dr. Syed emphasizes, “He was really willing to do the work required after to get the best benefit from the surgery.” 

For the surgery he underwent at OSF HealthCare St. Joseph Medical Center in Bloomington, Illinois, Stratman ultimately chose the less invasive option that allowed surgeons to access his spine through a natural pathway while he remained partially awake. Though initially daunting, he says the decision became clear after years of suffering.

It offered him hope and following a two-and-a-half-hour procedure, the results were almost immediate.

Finding immediate relief

“It was an instant relief. The kind of like nugget charley horse I just felt like I had in my back for those years – it was just gone. I didn’t feel it anymore,” he explains. 

Stratman was also relieved he didn’t have to travel to St. Louis or Chicago for the innovative surgical approach. He was back home the same day – seven hours after his surgery.

Dr. Syed notes that while some people experience immediate improvement, recovery timelines can vary depending on the severity and duration of nerve compression.

Surgery removes whatever’s causing an injury, but Dr. Syed reminds people the procedure doesn’t repair injury.

The body has to heal on its own, and that can take time. For some older patients, Dr. Syed cautions it could mean a few months before they feel significantly better.

“While the nerve is being hurt, so is the muscle, so is the skin and for all of that to recover, it can take time – especially for older patients. So, if you wake up feeling great, that’s awesome. But if you don’t, give it at least three months.” 

Now several months post-surgery, Stratman says he feels stronger and more mobile than ever.

“I’m better than I’ve ever been. I feel stronger than I ever have. My mobility is better than it ever has been. I feel more flexible and [I’m] sleeping fantastic.” 

Stratman is not ready to start running again. Instead, he has adapted his routine with other forms of exercise, such as strength training and fast walking. He remains focused on long-term health.

For others facing similar decisions, both Stratman and Dr. Syed stress the importance of persistence, trust and informed care.

And for Dr. Syed, the ultimate goal is simple: meaningful improvement in patients’ lives.  You can learn more here about non-invasive spine surgery available through OSF HealthCare.

Tyle Stratman who underwent non-invasive spine surgery

Dr. Sohail Syed, neurosurgeon specializing in spine surgery

B-roll-Non-invasive spine surgery-follow-up exam

Effective Sunday, March 29, Yoder will transition to president of OSF HealthCare Holy Family Medical Center in Monmouth, OSF HealthCare Saint Luke Medical Center in Kewanee and OSF HealthCare St. Mary Medical Center in Galesburg.

Yoder has been serving as interim president of OSF St. Mary Medical Center and OSF Holy Family Medical Center for the last few months. Before this move, he was serving as the president of OSF HealthCare Saint Anthony’s Health Center in Alton starting in 2025. 

Lisa Schepers, DNP, will continue to serve as interim president for OSF Saint Anthony's as the search for president continues. Jackie Kernan, RN, MSN has been serving as president of OSF Saint Luke Medical Center for many years. With this change, Kernan will focus exclusively as president of OSF Saint Katharine Medical Center in Dixon.

Yoder will direct all internal operations while focusing on high quality and cost-effective care for those OSF serves. Under his leadership, OSF Saint Anthony's achieved a CMS Star Rating improvement from 2 to 3 stars, multiple Leapfrog Safety Grade A ratings and secured its first-ever MAGNET accreditation with distinction.

Yoder earned a Bachelor of Science in Nursing from Southern Illinois University and a Master of Health Administration from Webster University in St. Louis. He continued his educational career, earning a Master of Healthcare Operational Excellence from Washington University in St. Louis.

We all get thirsty from time to time. But it’s not just that feeling that can mean you’re dehydrated – when your body doesn’t have enough fluids. There are lesser known signs you should know to avoid a possibly life-threatening situation, says Awad Alyami, MD, an OSF HealthCare pediatrician.

“You get less perfusion to tissues and organs,” when you’re dehydrated, Dr. Alyami says. “That can cause organ damage.

“Perfusion refers to fluid, nutrients and energy your organs need to function,” he adds.

Unfamiliar signs

Take note of these things to keep an eye on for possible dehydration, especially if you are at high risk. For example, if you work an outdoor job in warm weather or if you look after someone who can’t fully care for themselves.

• You’ve suffered burns. This means there is less skin tissue doing its job of keeping you healthy.
   
• Peeing isn’t normal, such as expelling less urine.

“When you’re hydrated, your urine should look yellow, pale yellow or sometimes almost transparent like water,” Dr. Alyami explains. “When you become dehydrated, your urine will become less in volume, and the color will be darker. It goes into an orange color. It can have a smell, also.”

• Crying without tears
   
• Skin changes, such as eyes appearing sunken in
   
• Fast heart rate
   
• Deep, heavy breaths

“When you’re dehydrated, your blood can be more acidic. You’ll try to get rid of some of that acid in your breaths,” Dr. Alyami says.

• Bad breath
   
• Headaches
   
• Muscle cramps
   
• Food cravings
   
• Sudden weight loss. Dr. Alyami says one kilogram (or around 2.2 pounds) of weight loss means one liter of fluid loss. So if someone has lost two to four pounds quickly and unintentionally (for example, not because of a diet and exercise program), it’s cause for concern.

What to do

Dr. Alyami says while dehydration can be serious, recovering doesn’t have to be. Rest and drink fluids. Water or Pedialyte are go-tos.

“If the dehydration is because of decreased oral intake, the person might just need pain medicine so it’s less painful to swallow while eating and drinking. If they are losing fluids from vomiting, we can give them medicine to stop vomiting,” Dr. Alyami says.

If those steps don’t work, Dr. Alyami says the person would likely get intravenous (IV) fluids in a hospital emergency department.

“You’re probably going to be there for at least a couple hours. [Health care providers] want to make sure you can take fluids and keep them down before you go home,” Dr. Alyami says. “Sometimes the dehydration is severe enough that we need to replace those fluids over one to two days.”

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Since then, more than 77,000 patients have walked through those doors – each one facing a diagnosis that changed everything.

As the OSF Cancer Institute enters its third year of providing hope and healing for patients with cancer, the time has come to expand the capability to perform this critically important work. The Ministry has received approval for a certificate of need (CON) with the state of Illinois for construction plans for the fourth floor of the facility. The target for completion is spring 2027.

This new area will occupy over 29,000 square feet and will allow OSF to further expand its integrated cancer care network to include robust medical oncology, surgical oncology, and research components. The fourth floor will also allow expansion of OSF’s theranostics (diagnostics and therapeutics) program, private rooms for infusion create space for more clinical trials to take place at OSF Cancer Institute.

As part of the expansion, Robert McWilliams, MD, an internationally recognized clinician, trialist, and leader in gastrointestinal oncology and skin cancers has joined OSF HealthCare as the Deputy Director of the OSF Cancer Institute.

Dr. McWilliams was on faculty at Mayo Clinic for 20 years, serving in numerous leadership roles. He brings that expertise to OSF where he continues clinical trial and outcomes research in addition to transforming the cancer clinical practice.

Dr. McWilliams played a key role in redesigning the medical oncology care model at Mayo Clinic and will lead the expansion of the medical oncology program at OSF. He has authored more than 180 publications, and has served numerous roles across the globe, including serving on the Pancreas Cancer Task Force and the GI Cancers Steering Committee of the National Cancer Institute.

Dr. McWilliams joins the team operating under the leadership of James McGee, MD, president of the OSF HealthCare Cancer Institute that includes Jun Zhang, MD, PhD, who joined OSF last fall as vice president, Oncology Research.

Dr. Zhang is a nationally recognized leader in the research and treatment of lung cancer and has extensive expertise in bench-to-bedside translation and the development of investigator-initiated clinical trials. His work continues to shape emerging ideas at the interface of tumor immunology, microbiome science and precision medicine.

Dr. Robert McWilliams Video Interview Clips

Dr. Jun Zhang Video Interview Clips

Dr. James McGee Video Interview Clips

OSF HealthCare Cancer Institute B-Roll

SpendRule today announced the launch of its contract intelligence platform to help health systems prevent overpayments on purchased services. By validating invoices directly against contract terms before payment, SpendRule brings transparency, clarity and control over a $323 billion spend category. 

SpendRule enters the market with significant momentum, already deployed across several health systems, including OSF HealthCare, Kettering Health, MemorialCare, and MUSC Health. OSF HealthCare is among top organizations utilizing SpendRule to move from reactive auditing to proactive prevention, enforcing purchased services contract obligations before payment, improving visibility into services spend, and resolving issues faster.

Purchased services represent nearly half of non-labor spend for health systems, yet the vast majority of that spend remains unmanaged, resulting in more than $32B in preventable overpayments annually, according to industry estimates. Contracts are complex, rarely reviewed, and the majority of invoices are approved without validation. The result is widespread overpayments, limited visibility into vendor performance, and cost management that is reactive rather than controlled. 

SpendRule addresses this gap by turning purchased services contracts into enforceable logic operating directly within existing accounts payable workflows. “Most purchased services contracts sit in a filing cabinet – literal or digital – disconnected from the payments they're supposed to govern," said Joseph Akintolayo, CTO and co-founder of SpendRule. "We change that by turning those agreements into code - encoding the actual terms, conditions, and obligations into real-time payment controls. This enables true 4-way matching – Purchase Order, Receipt, Invoice, and Contract Terms – automatically validating invoices against their contract before payment. Discrepancies are flagged with evidence and resolved upstream, without disrupting existing ERP or AP systems.”

“Supply chain teams have always struggled with a lack of resources dedicated to purchased services - despite their spend levels often exceeding medical/surgical supplies, and with far greater complexity,” said Chris Heckler, CEO and co-founder of SpendRule. “In my 20+ years in this space, I’ve seen firsthand that simply identifying savings opportunities is the tip of the iceberg. The real challenge is ensuring those savings actually hit the bottom line. By embedding AI-powered contract enforcement directly into the payment process, SpendRule gives health systems an automated, proactive way to eliminate overpayments and meaningfully reduce costs.” 

SpendRule is backed by leading investors including Abundant Venture Partners, MemorialCare Innovation Fund, and Zeal Capital Partners, and has already gained traction with numerous health systems as a result of strategic commercial acceleration work with member systems partnered in the Abundant Alliance.

Health systems looking to gain control over their purchased services spend can learn more by visiting https://spendrule.com.

• Lordosis: This refers to the normal, c-shaped curvature of the lower back.
   
• Kyphosis: This is the normal curvature of the upper back.
  
  In each case, the term itself doesn’t indicate a deformity. But the curvature can become abnormal, prompting a spine physician to take a look and possibly recommend lifestyle changes.

Bonafide spine disorders include:

• Scoliosis: This curvature of the spine brings back pain “from muscles having to compensate to hold the spine and body in the right position,” Dr. Syed says. Sometimes, nerves get pinched, leading to chest, abdomen or leg pain. Severe cases could bring paralysis. Or, a lung could get pinched, leading to impaired breathing. This is called thoracic insufficiency syndrome.
  
  Genetics, nutrition, muscle imbalance and lifestyle can all contribute to getting scoliosis. Your spine can also naturally worsen with age.
  
  “The discs start to thin. The spine starts to tilt. That puts more strain on the joints. They tend to overgrow, twist and change in size. That creates a domino effect. You get this spine that’s really twisted,” Dr. Syed explains.
  
  Dr. Syed adds that most scoliosis cases can be addressed without surgery. The person can change their lifestyle, notably getting on an exercise plan that strengthens the muscles that support the spine. In severe cases, a surgeon would put screws, rods or plates into your spine or make cuts in the bones.
  
  “It pulls the spine into the correct space, frees up the nerves from the pressure on them and gets the spine to heal in that position,” Dr. Syed says.

• Ankylosing spondylitis (AS): Dr. Syed says this is an inflammatory condition in various joints due to the body’s immune system not working properly.
  
  “Normally, your spine is made up of a bunch of repeating segments. They move relative to each other. That’s how you bend and twist,” Dr. Syed says. “In AS, the joints start to become solid bone because of inflammation. That leads to very stiff, brittle painful bones. People are predisposed to fractures with minor falls. Those people we typically see, unfortunately, in trauma settings. They have brittle, stiff spine that doesn’t have any bend or give. They have a fall, and the spine breaks.”
  
  Dr. Syed says a rheumatologist could put an AS patient on an immune-modifying medicine to prevent inflammation.

Prevention

Keeping a healthy spine comes down to “fundamental good behavior,” Dr. Syed says.

• Avoid activities that could injure the spine. That could be everyday things like heavy lifting or career choices like a contact sport.
   
• Maintain a healthy weight through a healthy diet and active lifestyle.
  
  “You don’t want to be too skinny or too big,” Dr. Syed suggests. “That puts either too much strain [when you’re overweight] or not enough muscle to support the spine [when you’re underweight].
  
  “It’s like Goldilocks,” Dr. Syed adds, referring to the “not too hot, not too cold” fairytale. “You want to work out but not too intensely that you’re crossing over into injury.”
  
  Walks or light jogs could be the things for you, he says.
   
• Avoid smoking.

Learn more

The OSF HealthCare website has information on orthopedic health. The OSF Illinois Neurological Institute also provides comprehensive care.

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Over the next three years, OSF HealthCare will update 139 ultrasound units, creating a more consistent, efficient and scalable system of imaging technology across the Ministry’s hospitals and clinics. The phased deployment is designed to minimize disruption to patient care while ensuring facilities have access to reliable, advanced equipment.

Uniform configurations for probes, software and accessories will also help streamline workflows and ensure consistent imaging quality across sites.

OSF Mission Partners (employees) will receive initial training that combines classroom instruction with hands-on learning. Advanced onsite education will continue yearly to ensure clinicians can fully leverage evolving ultrasound technology.

This initiative reflects a broader commitment to investing in technology that improves access to care, supports clinicians and strengthens patient outcomes across the communities OSF serves.

While Dry January is coming to a close, the topic of drinking alcohol is still making headlines.

Heavy drinking habits among adults that started during the COVID-19 pandemic haven’t slowed down, according to a study.

The study, published in the Annals of Internal Medicine, found that alcohol use among adults ages 18 and older increased by 4% from 2018 to 2020, with heavy alcohol use increasing by a whopping 20%. Researchers say the increase continued in 2022.

The pandemic caused plenty of stress for people – working from home, remote learning for children and just plain boredom. Experts say alcohol can start as a habit and then become an addiction. It’s also a way to cope with problems and issues that are impacting our daily lives. 

“COVID was a very stressful time for a lot of people,” says Jessy Mathew, MD, a primary care physician for OSF HealthCare. “There was a lot of social isolation, and a lot of emotional turmoil. People lost their friends; they lost family members. There were no outdoor activities, and alcohol became a relief from all these problems.”

The study defined heavy drinking as five drinks a day or 15 drinks a week for men and four drinks a day or eight drinks a week for women. The increase was seen in all age groups, genders, races and regions in the U.S. except for Asian Americans and Native Americans. Adults in their 40s had the biggest increase in consumption.

“It depends on the type of alcohol and your rate of metabolism, which might be different for each person,” says Dr. Mathew. “It also depends on how much you're drinking at the time. Are you binge drinking? Are you mixing it with other drinks? Are you mixing it with other substances or other drugs? There's a variety of reasons.”

There are many risks with heavy drinking. Among the potential health problems include heart disease and cancer, as well as anxiety, depression, the risk of accidents, and social, family, legal and behavioral issues. “Alcohol affects everything, basically, from head to toe, every single organ can be affected by alcohol,” says Dr. Mathew.

The earlier people start drinking, the greater the risk of developing health issues later in life. And women are more prone to get sicker from alcohol, according to Dr. Mathew. “There's a study that says that if you have one extra drink a day, it puts you at a risk of five to nine times more likely of getting breast cancer,” she says. “It also increases your risk of infertility, menstrual problems, osteoporosis or weakening of your bones, which leads to fractures.” 

Dr. Mathew offers several ways to reduce alcohol consumption, including:

·         Avoiding triggers such as people, places or activities that lead to heavy drinking

·         Create ways to deal with stress such as exercise, walking and reading

·         Limit the amount of alcohol you have in your home

·         Find hobbies that don’t involve alcohol

·         Seek support from friends and family or co-workers

Dr. Mathew adds that if you start feeling guilty about drinking, find yourself becoming easily agitated, or drinking at odd times of the day, it might be time to seek professional help. For more information on behavioral health services, visit the OSF HealthCare website. 

 

Interview Clips 

When talking about the good and bad of pregnancy, you might have heard terms like postpartum depression or, more casually, baby blues.

It’s critical new mothers get help in this area, says Tiffany Waters, a birthing center charge nurse at OSF HealthCare. She says up to 80% of moms experience the so-called baby blues. But when talking about maternal mental health, experts prefer the umbrella term: perinatal mood, anxiety and depression (PMAD). Perinatal refers to the time between conception and one year after delivery.

PMAD basics

Waters says for two to three weeks after delivery, most women experience hormone changes, a lack of sleep and general stress related to the “new normal.” Having a traumatic birth, like an emergency caesarean section, can compound mental health impacts. Waters says around one-third of women fall into this category.

All these factors can lead to a variety of longer-lasting PMAD symptoms, including brain fog, weeping, sleep changes, anxiety, depression, obsessive or compulsive behavior and even suicidal thoughts.

“There’s no one single cause that leads to a person experiencing these issues. It’s a combination of psychological, societal and biological factors,” Waters says. “There’s nothing a mom has done to get or deserve this experience. The best we can do is help her work through it.”

Screening and treatment

Waters says health care providers should screen a woman for depression and other mental health issues during and after pregnancy.

“There are commonly used tools,” Waters says. “The woman answers 10 questions. It gives us a rating on how their emotional and mental well-being is.”

She’s referring to the Edinburgh Postnatal Depression Scale (EPDS). Each question is scored 0 to 3, with 3 being the response that most signals a possible mental health issue. That’s 30 total points, and a final tally of 10 or higher would warrant further evaluation.

Waters also says research is ongoing into whether certain biological markers in a woman are a sign of mental health issues to come.

“It can be difficult to admit or even recognize that a person is having depression or anxiety symptoms,” Waters says. “There are lots of reasons for that. There’s societal pressure to be a great mom. Moms might feel like if they admit how they’re feeling, their children might be taken away.”

Waters says journaling or talking to a trusted adult can help a mom document the issues she’s facing, opening the door for her to get help.

If a mom is diagnosed with PMAD, a provider will talk with her about resources like support groups, counseling, spiritual care and medication. Daily things like improved diet and exercise and exploring new hobbies can also help. And Waters says mothers should not be afraid to prioritize themselves. It’s OK to ask for a break from daily housework, for example.

Why it’s important

Waters says untreated PMAD can have consequences for the whole family and the people around the family. Substance abuse and domestic violence can increase. But if treated, it means a better life for everyone.

“It will improve the whole family dynamic,” Waters says. “It will lessen stress for everybody and lead to a happier unit.”

Learn more

Read more about pregnancy and birth and behavioral and mental health on the OSF HealthCare website. If you are in crisis, the Suicide and Crisis Lifeline is 9-8-8.

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As the stigma around mental health continues to improve, people are more likely to seek treatment. A woman who has just learned she’s pregnant may wonder: should I stop taking medicines like Zoloft or Prozac? Will they hurt my baby?

Sarah Shoemaker, a certified nurse midwife at OSF HealthCare, says first of all, you’re not alone. She says around one in five women experience a mental health concern during pregnancy, and many of those women are taking medication for things like anxiety, depression and bipolar disorder. Shoemaker says most of the time, you can and should stay on your medication. But it’s a conversation you should have with your health care team.

Shoemaker implores women to talk about medication with their provider early Ideally, it’s before they conceive. Shoemaker says don’t change or stop your medicine routine until you have that talk. You may have your child’s best interest in mind, but a change could compromise your or your child’s health.

“There are some women who take years to find the perfect combination of medications that keep them stable and healthy. We don’t want to mess with that. Very rarely do we have to completely disrupt somebody’s medication regimen,” Shoemaker says. “Nothing in our field is black and white. There’s no such thing as bad medication or strictly dangerous medication. We weigh the pros and cons and decide what’s best for each patient.

“If you look online, you’re going to find all kinds of information. You’re going to find conflicting sources, old studies and poorly written studies,” Shoemaker adds, referencing the temptation to rely solely on your own research.

Shoemaker says a provider may order one or more ultrasounds before making a decision on medication. If a provider advises that a change is needed, you could go on a supplement. For example, Shoemaker says a medicine like valproic acid (a seizure medicine sometimes used for bipolar disorder) may increase the risk of neural tube defects (NTDs) in your unborn child. Spina bifida, or the abnormal development of the spinal cord, is a common NTD. In this case, a provider may advise adding a folic acid supplement at a high dose. Shoemaker adds that for medications like valproic acid, drugmakers and doctors are vocal up front: don’t start taking it if you’re trying to get pregnant. That way, you don’t have to possibly make a change mid-pregnancy.

If you’re on a medication that’s new to the market, that’s also a definite “must talk about” with your provider. That’s because we don’t know a lot about how new medications impact pregnancy. Shoemaker points out that scientists typically don’t do intense studies on pregnant women so they don’t disrupt the pregnancy. Rather, the research is done after birth.

“We discuss what the woman is on, how we can counteract the risk and what the actual risk is for her specific situation. Then we can make a shared decision about what is best for her and her family,” Shoemaker says. She adds that the woman’s entire care team – their primary care provider, their mental health provider and their OB/GYN or midwife – should be working together.

Shoemaker admits all this can be a tough task. But there are tried-and-true ways to get to the root of a pregnant woman’s mental health concern. Providers also build extra time into appointments to talk about mental health. Shoemaker says she often uses humor to break the tension. She can also use personal experiences to relate to the mom-to-be. And she’s also not afraid to ask a lot of questions: are you sure there’s nothing else we can talk about? How are you doing emotionally?

“If you continue to ask in new and different ways, women eventually open up. They say ‘yeah, this is really bothering me. I wondered if it was normal. I was afraid to talk about it,’” Shoemaker says. “Once you make it clear that the provider is a safe person to talk to and mental health is really important, women will open up.

“More women need to talk about how difficult it can be to be pregnant, to be a mother and to be going through this huge life transition,” Shoemaker adds.

Learn more about how you can a successful pregnancy and birth on the OSF HealthCare website.

Interview clips

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Can’t stop coughing? It’s a common question happening with all of the upper respiratory illness going around including colds, flu and RSV.

Maybe two weeks ago you had a virus, you treated the symptoms with antibiotics, you’re feeling much better, but the cough is just lingering. Juanbosco Ayala, MD, is a pulmonologist in the Intensive Care Unit (ICU) at OSF Little Company of Mary Medical Center in Evergreen Park, Illinois. He provides medical care to patients on a daily basis, especially people who have breathing disorders and lung disease, and explains potential reasons why coughs linger.

“A lot of times it’s due to the local inflammation that persists. There’s not much to do for it, we typically recommend antihistamines, and sometimes you’ll have to cycle those,” Dr. Ayala says. “It’s usually something that subsides with time. But if it doesn’t, then obviously that may need to be looked at.”

Antihistamines can include Claritin-D, Benadryl, Allegra and more. These can be found over the counter and do not require a prescription.

For many, colder temperatures bring on an uptick in mucus in your throat. For this, Dr. Ayala says another over the counter option, Mucinex, may be a good choice for you.

Dr. Ayala recommends keeping a close eye on your symptoms. As more people are getting colds and viruses this time of year, it’s important to not let local hospitals get overrun if you can treat your symptoms at home.

“As long as you don’t have some of the red flags, like a persistent fever, high-grade fever that lasts more than one to three days. Something that won’t go away, despite using temporary measures like Tylenol or Motrin. If this persists more than two or three days, this might be something that needs to be looked at,” Dr. Ayala says.

Should you go to the doctor?

COVID-19, RSV, strep and the flu are very contagious, but usually can be treated at home. If you have symptoms such as cough or sore throat, but they are mild and you do not have a high risk health condition, you can take a COVID-19 test at home and treat your symptoms with over-the-counter medications. 

Go to the doctor if you…

Have symptoms that haven’t gotten better after 10 days, have difficulty breathing, or have a preexisting condition like diabetes, asthma, or COPD. If you have white spots on the back of your throat, this is a clear sign of an infection and will need medical intervention prescribed by a licensed medical provider.

How to stay healthy

Wash your hands, cover your cough and stay home if you’re sick.

Now that the New Year has come and gone, many resolutions have done the same. But Dr. Birhanu says it’s more important to make behavioral modifications than setting a date to lose weight.

“Behavioral modification is very important for people to lose weight. People can lose weight, then they gain it back. But if you have a reason why you want to lose weight and you are happy with the result, you are more likely to maintain your behavior,” Dr. Birhanu says.

For Lori Boaz, a patient in the wellness and weight management program at OSF Saint Anthony Medical Center in Rockford, her reasons were to keep up with her grandkids better and get both her knees replaced.

“I hope to get my new knees within the next year,” Boaz says.

Meeting with the weight management team at any OSF location isn’t just putting together a diet to go on, Dr. Birhanu says the team will work with you to put together a healthy lifestyle plan. He adds that setting expectations is key.

“I don’t want them to expect too much or too little. After they lose weight, I always ask them what other things in their lives improved because of the weight loss,” Dr. Birhanu says.

Boaz is roughly halfway to her weight loss goal and is getting closer to being able to get those knee replacements she’s been wanting.

“We set goals. The main goal was to lose 100 pounds,” Boaz says. “I didn’t want to diet. Because I’ve lost weight before, and I gained it back. I wanted to eat healthy and be healthy, so every choice I made I had that in mind.”

Dr. Birhanu says losing weight and gaining weight is a common occurrence, because your metabolism goes down each time you lose weight. But he says there are ways to combat this.

“Exercise improves your metabolism, so we advise them how to exercise,” Dr. Birhanu says. “If a person never exercised in the past and now, you’re asking them to exercise, there are injury possibilities, so we work with our physical therapy team to evaluate them.”

Boaz says even when she meets her goal, she wants to continue meeting with her weight management team at OSF.

“We’ll just set another goal! Because I’ll still have weight to lose,” Boaz says. “I think I’ll just do this for the rest of my life!”

OSF HealthCare offers weight management programs all across the Ministry. Dr. Birhanu’s team is located at OSF HealthCare Little Company of Mary Medical Center in Evergreen Park.

As we usher in a new year, it’s that time when we pledge to exercise more, save money, find a new hobby, or, in many cases, shed a few pounds.

Planning to save more money is once again a priority for many people making resolutions for 2026. But other top goals heading into the new year are commitments to eat healthier, exercise more and lose weight.

Nicole O’Neill is a dietitian with OSF HealthCare. Her job is to help clients navigate the choppy waters of starting diets, especially this time of year.

“Resolutions are big picture things,” O’Neill says. “So, if you have a resolution to lose X amount of weight, go ahead and make it. But then break it down into smart goals, little steps along the way so that you can achieve something and feel like you did something. So, you can celebrate a success. If you just say I want to lose a bunch of weight, it's not good enough. You have to say how much weight and how you're going to do it.”

Resolutions aren’t for everyone. O’Neill says it depends on the person's personality and what other factors are involved, such as stress, hormones, pain or lack of sleep. If you need a hard start and stop to see results, a New Year's resolution might just do the trick. For other people, however, resolutions are a potential recipe for failure.

The SMART goals O’Neill referenced are specific, measurable, and attainable, realistic and time bound. For example, rather than say you’re going to cut out all fast food, why not set a goal for eating at home more, she adds.

“So, if you say I want to lose 100 pounds, well sure we got the 100 pounds part but how are you going to do it? How long is it going to take you, what are all the pieces? Do you need to lose 100 pounds? Well, some people do, and some people don't,” O’Neill says. “If you weighed 120 pounds at 18 years old, and you tell me today, I want to be 100 pounds that's not realistic. Even 120 pounds might not be realistic. So, setting up a SMART goal is better than a resolution.”

There is no magic wand or secret formula for losing weight. O’Neill says it’s a combination of factors that are going to lead you down the path that is right for you on your weight loss journey.

“If you're not drinking enough water, add more water. If you're not sleeping, let's talk about that. If you're super stressed out, see a therapist. If you don't eat any fruits and vegetables, add one. Start with little baby steps and maybe that is the hidden nugget. Do one little thing and see how you do with it and let it snowball into the next thing and into the next thing instead of trying to tackle it all at once.”

If you’re still struggling to find success, O’Neill recommends having a conversation with your provider who can recommend other options such as medication management or counseling.

After all, what do you have to lose? 

 

Interview Clips 

B-Roll

When watching a basketball game on television, you may hear coaches and announcers say the star player is missing time with a hernia.

A sports hernia is different than a hernia suffered in everyday life, says Raman Kumar, MD, a colorectal surgeon and general surgeon at OSF HealthCare. But each should be taken seriously.

Hernia

Dr. Kumar says a hernia is when an internal organ or piece of fat goes through a hole in the abdominal wall. The most common type – around 80%  – is an inguinal hernia, when a part of the intestine pushes through the abdominal wall in the lower belly (also called the groin). Anyone can get a hernia, even newborns. But Dr. Kumar says they are seen more in older men. Symptoms include a bulge or swelling in the abdominal area and pain when moving.

“A lot of chronic heavy lifting,” can cause hernias, Dr. Kumar says. “Other things weaken the abdominal wall such as diabetes and smoking. Being obese causes a lot of weight hanging down on the abdominal wall. If you’ve had surgery in the past, that’s also a risk factor.”

So be mindful when lifting objects, Dr. Kumar advises. Lift with your knees, not your back, and don’t try to lift heavy items. Get a cart or a partner to help. Eat healthy and exercise to avoid obesity and diabetes. Avoid alcohol and cigarettes.

Dr. Kumar says an exterior wrap known as a hernia belt or abdominal binder can be a short-term solution. But surgery is often the endgame.

“If you have a hole or defect, it needs to be closed,” Dr. Kumar says. “The reason we fix hernias is because we don’t want a loop of intestine or bowel to get into the hernia, twist off and die.”

That would make a person very sick and possibly threaten their life, Dr. Kumar says.

Sports hernia

Dr. Kumar says a sports hernia is a muscle tear in the groin area. They’re seen in athletes due to all the twisting, turning and bending that comes with competition.

“Stretch before you do any type of activity. Work and develop your core muscles, including your abdominal and hip muscles.” Dr. Kumar says. “If the muscles are strong, they are less likely to tear.”

Athletes who complain of groin pain should immediately leave the competition and get checked out by a trainer or doctor. Resting and icing the groin will help, but a combination of medication, physical therapy or surgery will likely be needed to fully heal.

Be proactive

If you have symptoms of a hernia or sports hernia, see a health care provider right away.

“Nine times out of 10, we can determine you have a hernia just based on a physical exam,” Dr. Kumar says.

But for more complicated cases, your doctor may order an ultrasound or CT scan. Then, the provider will develop a treatment plan.

Interview clips

Previous coverage

Hernias: More common than you think

John Bednar, MD, hasn’t been on a snowmobile in years, but he’s seen firsthand what can happen to drivers and passengers if they don’t take proper precautions on the snowmobile trails.

Every year, 14,000 injuries and nearly 200 deaths are the result of snowmobiling accidents, according to the National Institutes of Health (NIH). The main causes are excess speed, alcohol, driver inexperience and poor judgment.

Snowmobile accidents range from ankle sprains to serious injuries such as brain, back and neck injuries, says Dr. Bednar, an emergency room physician with OSF HealthCare. He compares these accidents to the trauma seen in motorcycle mishaps.

“Snowmobile crashes can be absolutely horrendous, life threatening and such a tragedy if you have an unexpected accident, like we see every year,” he adds. “Deaths, severe spinal injuries, pelvic fractures, multiple broken bones that can be devastating, devastating injuries and totally unexpected when you're out there to have fun.”

The biggest danger, without question, is consuming alcohol or drugs while using a snowmobile.

“I've seen very few snowmobile accidents that did not have some sort of intoxication involved or other preventive kind of reckless behavior,” says Dr. Bednar. “Intoxication, number one, by far, seems to be most involved in the crashes I've seen over the decades.”

Dr. Bednar says if it’s not alcohol related, the other common factor in snowmobile accidents is not being familiar with the surroundings. That’s especially the case for snowmobilers who travel away from home to ride in other parts of the Midwest.

“Know your trail and stay on your trail,” Dr. Bednar says. “If it's a well-known, well-marked trail, then you're much less likely to hit a stump, hit a rock, get off course, hit the tree, because that's when we see the crashes. When they don't know their trail, they use excessive speed, or they get off course, that's when they hit the tree or the rock, and those things don't like moving, and our heads don't like sudden stops.”

Whether you’re driving your snowmobile day or night, it’s imperative to watch your speed – especially if you’re inexperienced or driving at night when visibility is limited.

Always wear proper protective gear when riding a snowmobile. That includes a helmet, goggles, gloves, wrist guards, shoulder pads, chest protectors, knee protection and supportive footwear. Your equipment can keep you safe but also serves as protection from frostbite and hypothermia.

“Most snowmobilers have great gear, including their helmets,” says Dr. Bednar. “But if you are going to go on ice, if you think it is safe ice, please consider wearing a life vest underneath your gear. We’ve seen multiple tragedies on thin ice.”

The Michigan Department of Natural Resources offers the following tips:

• Dress for the weather.
• Check the weather forecast and road conditions.
• Carry appropriate equipment for your activity, such as a flashlight, rope, ice picks or ice claws.
• Have spare equipment available in case something breaks.
• Stay hydrated and fueled – bring water and snacks.
• Bring a buddy.
• Tell others where you will be, how long you plan to be gone and schedule check-in times.
• Carry a two-way communication device that receives service in remote areas.
• Take an honest assessment of your health – if you’re not feeling well, don’t go out.

Whether you’re a weekend warrior or a sled head, these tips will ensure a safer trail ride this season.

Interview Clips 

As grief becomes a more visible topic in podcasts and national media, mental health experts say those conversations are helping people feel less isolated and more confident in how they mourn.

Amy Brooke, MA, LCPC, a psychotherapist for OSF HealthCare says CNN’s Anderson Cooper's podcast, "All There Is," creates a public space for discussing loss, which normalizes grief and helps people feel less alone by sharing real experiences and emphasizing that joy can coexist with grief. Brooke also believes it promotes healing through connection and shared stories rather than suppression.

“I think it’s a great thing that they were talking about it, because a lot of times people who are grieving feel very alone and isolated and they’re afraid of doing it wrong, and so what the podcast does is it helps people see how things are similar and even how people grieve differently.”  And, she says the podcast makes it clear, that’s ok – that there’s no, one, right way to grieve, even though the ways people grieve are often judged.

Brooke emphasizes every person’s grief is unique because every person’s relationship with the person who was lost is unique. That’s why you can have siblings in the same family grieve very differently.

Talking about loved ones, no matter how much time has passed, can be an important part of healing and remembrance, Brooke emphasizes.

“A lot of times, when people are grieving, they sometimes feel like they’re bothering people if they talk about it, because ‘Oh, my mom died a year ago. I shouldn’t still be talking about her,’ but what the podcast does, it says, ‘No, it’s okay to talk about it if it’s 20 years ago.” 

Some people don’t know how to be around someone who has lost someone close to them. Brooke advises just being open to allowing them to share memories. Grief is an expression of love, she stresses, and allowing people to share memories and talk about their loved one is important to helping them honor that loving relationship.

Talk about lost loved ones

“What it does is it makes it about transforming the loss rather than removing the person. We don’t want to remove the person from our lives. We’re grieving them because they were so important to us. Why would we want to get rid of them?” 

Grief is not linear but it’s also not cyclical. She calls it similar to “darts being thrown at your soul” and sometimes it pops up in the oddest places. Brooke advises being aware of that because you can better recognize grief when it surfaces at strange times such as during a movie, passing by a store, or even hearing a turn of phrase from a grandchild.

Support groups, she adds, provide a unique type of connection that friends and family sometimes cannot, especially for people who fear burdening those closest to them.

“It is very different than talking to your friends, because a lot of times with our friends, we’re afraid we’re burdening them, where, with a support group, you have time set aside to actually talk about that person, and even if you’re not talking about it, you’re listening to somebody else, and you’re giving that support to them, which can feel really good if you feel like you’ve just been taking.” 

For people who aren’t typically joiners, she recommends exploring online grief groups. There are often some specific to the type of death someone suffered such as from cancer or violence.

Grief often becomes more intense during the holidays, when traditions and memories can magnify a sense of loss. Brooke encourages people to release expectations and redefine what the season looks like for them.

Her advice for reframing the holidays includes allowing yourself to recognize how it’s going to be different and then deciding what would be comforting to you. It doesn’t have to be comforting to everyone else; she stresses coming up with that kind of new tradition or activity will help you feel better.

There's no timeline on grief

Also, Brooke says be gentle and lower your own expectations of yourself and the holiday.

“The energy we put into trying to make it the same is kind of harmful, because we’re using all of our energy to really try to do something that’s impossible.” 

Despite growing awareness, Brooke observes that society still places unrealistic limits on grief, especially in workplaces, which can leave people feeling pressured to move on before they are ready.

“We put a time limit on grief, and for example, if someone’s mother dies, we say you actually have three days off to deal with that grief, and three days is not enough time to deal with a loss.”

Brooke also thinks society doesn’t recognize the importance of the loss of other, significant people in our lives including friends, extended family, and neighbors and that our culture pressures us to compartmentalize grief and move on. Those cultural pressures, Brooke says, can lead to delayed or unprocessed grief that can later show up in physical ailments such as fatigue, sleep/appetite changes, anxiety, depression, isolation and intense sadness/anger.

In some cases, alcohol and substance abuse can arise as people work to suppress grief and avoid thinking about their loss. However, as public conversations about loss continue, experts such as Brooke hope they will lead to more understanding and more grace for people grieving in ways that are deeply personal and impossible to place on a timeline.

Video Clips of Amy Brooke

B-roll-Grief at the holidays

But inside these new and exciting things also lie dangerous pieces parents and caregivers need to keep an eye on. Things such as batteries and magnets, both small and shiny, are potentially life-threatening objects.

Guidance for gift-giving

"In buying gifts for your kids, I'd look for toys that don't have parts that come apart. If they have a battery component, make sure it's screwed in," says Tinsley Anderson, MD, a pediatric surgeon with OSF HealthCare Children’s Hospital of Illinois. "That way you're not changing the battery, and, in a year from now, your kid probably won't want the toy anyway." 

The small, round batteries that come in kids’ toys are particularly problematic, Dr. Anderson says. She adds they can easily get stuck in the esophagus and cause a burn injury. When a kid swallows a battery like this, surgery is needed.

"Your mucus and moisture in your body completes the battery's circuit, so the battery is activated, causing an alkaline burn," Dr. Anderson says. “It causes a coagulative necrosis, which is when your tissue starts to dissolve. It can create holes, and when it heals, it can create narrowing that causes lifelong problems.”

Warning signs to look for

• Drooling
• Unable to swallow
• Unable to eat 
• Belly pain 
• If an item is missing and you think your child might have eaten it

"Things that are particularly concerning are if they're drooling, they can't swallow or eat. There can be items lodged in the airways that can be a surgical emergency. If they're having trouble swallowing, there can be things stuck in their esophagus that aren't getting past," Dr. Anderson says. 

Another potentially life-threatening danger in toys is magnets. They're shiny and can come in all sorts of colors, but Dr. Anderson says they can stick to each other once inside the abdomen and create holes from one side to the other. This can lead to surgery where a child can lose part of their intestine. 

When considering what to buy for a younger child, pay attention to the warning labels, which should indicate what ages are appropriate to play with the toy. A 2018 study by The Toy Association showed many parents ignore age labels on toys and for those who do read them, about 97% ignore them. The study points out crucial age labels are important for child safety and are based on a child’s developmental abilities.

If a child is choking, do the Heimlich maneuver to try and dislodge the item. Dr. Anderson still recommends taking your child to the emergency department afterward in case a piece of the item is still located in the body. Never just sweep your finger around in the child's mouth, as this can get the item stuck even more.

Water beads: Another concern

Over the last few years, Dr. Anderson says her colleagues across the country have come in contact with a newer toy that’s causing quite the commotion: water beads. They’re colorful, tiny and expand when exposed to water. If a water bead expands once it’s inside someone’s body, it can cause bowel obstruction, which leads to needing surgery as well.

If a child swallows a lithium or button battery, it’s best to call the nearest emergency department and let them know you’re taking your child there for a life-threatening emergency. All OSF HealthCare emergency departments offer X-ray services that will tell the medical team exactly what the item is and where it’s located. “A coin is much different than a button battery,” Dr. Anderson points out.

Read this patient story about how a child required life-saving surgery after swallowing a button battery.

Video Interview Clips

Traveling through an airport is stressful for many families, but for breastfeeding mothers, it can be especially overwhelming. A new law aims to change that by improving how the Transportation Security Administration (TSA) handles breast milk, pumping supplies and formula at security checkpoints.

The bipartisan-supported BABES (Bottles and Breastfeeding Equipment Screening) Enhancement Act recently signed into law was co-sponsored by Illinois U.S. Senator Tammy Duckworth.

Becky Miller, RN, CLC, lactation counselor for OSF HealthCare, says legislation has long been needed to help parents move through security more quickly while ensuring breast milk and related supplies are handled safely.

“We can make sure of the safe handling of breast milk and their pumping supplies are happening. We can make sure they can get through safely, quickly and parents don’t have to worry about the stress of traveling and can get to where they want to go to safely.”

Miller says legislative hearings on the legislation featured stories from breastfeeding moms.

“They’ve had to be pulled aside from other people. They put test strips down in their milk and wonder, ‘Has my milk just been contaminated?’ Is it still safe?’ Even formula-fed babies – they do that to the water to make sure there’s nothing in it.” She adds, “So, these things and getting better policies for safe handling is the best part of this legislation.”

Law adds accountability

The legislation also requires TSA to regularly update its screening guidance for breast milk and infant nutrition items, develop that guidance in consultation with maternal health experts, and apply the rules to both TSA officers and private security contractors. It also calls for a federal audit to review compliance and report findings to Congress, creating oversight and accountability if procedures aren’t followed.

Miller points out the new law reflects how attitudes toward breastfeeding have changed in recent years, as it has become more widely accepted and supported in public spaces and with the growth of online communities to support breastfeeding moms. She observes the law helps ensure federal policy finally aligns with society’s values by protecting breastfeeding families in real-world situations such as airport travel.

Avoiding stressful travel is also so important, Miller shares, for postpartum moms who often have mental health struggles.

“They probably have a crying baby in their arm, a 2-year-old maybe next to them who’s not holding still – those are awful experiences for a mom who probably doesn’t ever want to travel again. So hopefully this new legislation will help parents and families be able to go make memories as a family and not have to worry about those stresses that they had before.”

The new law comes at a critical time, with packed terminals and heightened anxiety for new parents this holiday travel season. But Miller suggests that while the legislation is designed to protect and support breastfeeding mothers, there might still be some growing pains as it rolls out nationwide.

“With this being a new legislation, we do worry that not all airports have probably had all of their TSA members gone through education. There still may be some little difficulties or little hiccups here or there but I do hope every family that is traveling this holiday season is able to have a successful and happy trip.”

Here is more information about breastfeeding support available at OSF HealthCare.

Video with Becky Miller

B-roll-Breastfeeding moms at airports

November, December and January bring bountiful holiday meals.

While it’s tempting to chow down, experts are cautioning about how overindulgence can make you feel mentally and physically crummy in the moment, plus open the door to long-term unhealthy eating habits.

Have the right mindset

Andrew Zasada, MD, provides emergency department care at OSF HealthCare. He says avoiding stuffing yourself starts before you sit down for the meal.

“If you come to the meal hungry, you tend to try to make up for not having breakfast. You load your plate up, which is going to cause you to overeat,” Dr. Zasada says. “Instead, have a light snack an hour or two before you sit down to the meal.

“Put the food in one room and sit down in another room to eat. That necessitates you going there rather than having food available for another fill.”

The meal itself

Enjoy holiday meals, Dr. Zasada says. It’s not a race.

Grab a smaller plate, and take smaller portions of each item. Pretend you’re filling the plate up for a child. You wouldn’t take five rolls and two big slabs of meat for a youngster, so don’t do it for your adult self.

Other tips: Chew slowly. Between bites, put your utensil down, take a drink of water and talk to someone. This allows your stomach to fill up and tell your brain that you’re full.

When you finish eating, leave the table, and go to another room. Staying next to the food increases the temptation to keep nibbling.

If you can’t help it

Dr. Zasada says despite our best efforts, sometimes you overeat during holiday meals. Maybe you don’t want to offend your aunt by not having a slice of her famous pie.

If that happens, Dr. Zasada says there are two pitfalls to avoid: Drinking alcohol and lying down right after the meal.

“That opens up the sphincters of your stomach, slows down digestion and increases the chance for heartburn,” Dr. Zasada says.

Try tea or coffee after a meal instead of alcohol. But if you must indulge in a spirit, Dr. Zasada says to wait at least 90 minutes so your stomach can partially empty.

Instead of lying down for that post-meal nap, sit upright, talk to people or play a game. If the weather is nice, go for a walk.

A word on more serious eating issues

Holiday meals may be difficult for people who suffer from eating disorders, such as binge eating (eating a lot in one sitting and feeling you can’t stop), anorexia nervosa (an unwarranted fear of being overweight which leads to things like starvation) or bulimia nervosa (taking unhealthy steps to avoid weight gain like purging your food).

Dr. Zasada says, in the moment, you should have someone you trust who can help you through the holiday meal and check in with you later. Long term, he says these are serious issues that should be talked about with a health care provider.

“Repeated bulimia will damage your teeth. It’s corrosive. You lose electrolytes when you vomit,” Dr. Zasada says. “You become sick. If you do this repeatedly, you will lose weight in an unhealthy way. You will possibly dehydrate. You will start losing muscle mass.

“It’s just not a good thing.”

Bottom line: Don’t get discouraged

Dr. Zasada says one day of extra eating may make you feel bad, but it isn’t going to derail your overall health.

“One day won’t make you fat,” he says.

Get back into your healthy eating habits the next day while enjoying those leftovers in moderation. If you feel you are struggling to maintain a healthy weight or body image, talk to your primary care provider. They may refer you to a specialist like a dietitian or mental health provider. From there, plans could include a diet and exercise regimen, medication or, in rare cases, weight loss surgery.

Interview clips

Sunburns and skin cancer don’t have an exclusive partnership with hot months at the beach. Ultraviolet (UV) rays are still present, even when the temperatures cool down.

November is National Healthy Skin Month, a time to raise awareness about skin health and promoting healthy skin care habits.  

Karen Boyd, an oncology nurse navigator with OSF HealthCare, says sunscreen is an important part of skin safety 365 days a year.

“There are SPF {sun protection factor} sunscreens, we recommend 30 or above that you need to apply to your face, your neck and your ears if they are exposed,” Boyd says. “Don’t forget about your lips; lip balm is so important.”

You’ve probably been told that the sun reflects off the sand or water and can increase your chances of sunburn when you’re at the lake or beach. Boyd says it’s the same idea with snow.

“Even if there’s snow on the ground, you have that glare. Your eyes can feel the effect from the sun,” Boyd says.

And that’s why Boyd recommends UV protective sunglasses.

“UV rays damage eye surface tissue, the cornea, the lens, and can even affect you later, as far as cataracts, acute macular degeneration and even cancers of the eye,” Boyd says while quoting an American Association of Retired Persons (AARP) excerpt. “We don’t think about cancers of the eye often.”

Photokeratitis, also known as an “eye sunburn,” can be very painful. Boyd says an important way to keep your skin healthy, in general, is by hydrating.

“Oral hydration is the key, and water is always the best thing. So, hydrate yourself in the summer and in the winter. It will help protect your body and your skin,” Boyd says.

After a cold and windy day of shoveling snow outside, you may head inside for a mug of hot cocoa and notice your face is extra red. People usually chalk this up to wind burn or just the cold; Boyd says this isn’t always the case.

“How do we know for a fact that that’s not the UV rays?” Boyd asks. “It may be from the reflection off the snow, and it could be sunburn as well.”

The ABCDEs of melanoma skin cancer are important things to keep in mind when it comes to your skin health.

·         A: Asymmetry. “Is it unevenly shaped or notched. Does it look different?” she asks.

·         B: Border irregularity. “The edges of the mole; has it changed? Is it not clearly defined? Is it not a perfect circle?” she asks.

·         C: Color. “Was it a light brown pigmentation but now it’s turning darker? If it looks crusty and it peels off, that’s another key point,” she says.

·         D: Diameter. “Has it changed in size or grown?” Boyd asks.

·         E: Evolution. “Has it evolved or changed? Does it look different?” Boyd asks.

Boyd says, if you’re concerned, you know your body. Mention it to your doctor and they can refer you to a dermatologist.

Video Interview Clips

It’s the dead of winter, and you need to run to the mailbox or let your dog out. It’s just a minute, you think. A sweater and sandals will be fine.

Not so fast, says Maddy Draper, APRN, a health care provider at OSF OnCall who sees cold weather injuries often. She says exposure to frigid temperatures can have serious consequences.

Types of cold weather injuries

• Frostnip: Draper says this is a mild form of frostbite where exposure to cold temperatures turns the skin pink or red. Your skin may feel burning or numb.

“The numbness typically goes away with rewarming,” Draper says.

• Frostbite: This is a more severe case of cold exposure. Your skin may be numb and appear yellow, white, gray or black. It may feel waxy and have blisters.
   
• Hypothermia: This is when the body’s temperature drops below 95 degrees.

“There are different stages,” Draper explains. “The first is our natural response of shivering. It gets more severe. The person may get confused and have lethargy, memory loss and slurred speech. It can lead to a coma and death.”

Inside, too?

Yes, there’s a risk for these injuries inside, too, Draper says. Notably, there have been cases of infants getting hypothermia.

“The room may be too cold, and they’re not dressed appropriately,” Draper says. “If they’re in a bassinet or crib with just a onesie and it’s cold, that can lead to hypothermia.”

Signs of infant hypothermia are bright red skin and decreased energy. Sleep experts use a thermal overall grade scale (TOG) to suggest how much clothing a baby should wear to sleep depending on the temperature of the room.

Treatment

Draper says she usually sees cases of frostbite and hypothermia sent to the emergency department. Providers will rewarm you with warm water or blankets and may provide warm liquids to drink, warmed oxygen through a mask and nasal tube or heated fluids through an intravenous line (IV) or other methods. Medication can also help with pain and blood flow.

“The hospital has more imaging resources to see the impact of the tissue damage,” compared to urgent care, Draper says.

For frostnip, you can take steps to warm up at home.

“It’s not as fast as possible. It’s not as hot as possible. It’s just that gradual warming,” Draper says. “Get off your cool or wet clothes immediately. You don’t want to stick your hands or feet into hot, steaming water. Just warm water.”

That’s because hot water can burn your skin. And if your skin is numb, you may not feel the burn before the damage is done. If water is not available, you can place your hands in your armpits. And handle the sensitive skin gently. Don’t rub or massage it. If your feet are affected, get off your feet.

Prevention

Draper says older adults, people who work or do activities outside (like hunters or hikers), unhoused people and people with medical conditions (like peripheral artery disease, diabetes and Raynaud’s disease) are at a higher risk of cold weather injuries. Getting stranded in a vehicle without proper protection is also common in the winter. Drinking alcohol or using drugs may lead to you losing consciousness outside. And smoking impacts blood circulation, putting you at a higher risk, Draper says.

Some ways to beat the cold:

• Dress in layers. You can always take a layer off, but you can’t put one on if you leave it at home. Make a hat, scarf, gloves and winter boots part of your wardrobe. Make sure the clothes aren’t too tight to allow for blood circulation. And look for water-resistant garments when buying clothes.
   
• Have winter weather supplies, like blankets, flares, a first aid kit and food, in your vehicle.
   
• Be well fed and hydrated. Body fat, though unhealthy in excess, helps us stay warm. For drinks, avoid alcohol and caffeinated beverages.
   
• During outdoor activities, take breaks and go with a buddy. Keep a close eye on kids who may not realize how cold they are. Come inside to change from wet to dry clothes. Let others know your plans and when you’ll be back. If you’re not back in time, that’s a sign you may have fallen victim to the cold, and help should be sent.

Interview clips

Related stories

OSF HealthCare library: frostbite
OSF HealthCare library: hypothermia
Preparing for winter's toughest punch
Be smart when clearing old man winter's snow
Cold plunging: do the benefits outweigh the risks?
Proper safety is key to enjoying winter with your children
Why you should be drinking more water this winter
Running in the cold

An OSF HealthCare gastroenterologist says recent research strongly supports the case that the brain and the digestive system are closely connected through one key communication pathway: the vagus nerve.

The vagus nerve, the longest in the nervous system, acts as a biological “superhighway,” carrying messages between the brain, stomach, intestines and other vital organs. Researchers say this pathway is crucial for regulating digestion, inflammation and even mood.

Omar Khokhar, MD, a gastroenterologist at OSF HealthCare, says at first, researchers thought the brain impacted gut health. But now, they know a person’s gut bacteria – known as the gut microbiome – can influence mental health as well. So, it’s a two-way connection, and when the vagus nerve is functioning well, it helps keep digestion steady, reduces inflammation and supports a stable stress response.

How do you know when the gut microbiome becomes imbalanced? Dr. Khokhar says it can show with bloating, pain or irregular bowel habits.

“The best way to sort of self-assess if you have a good, healthy gut microbiome is how many bowel movements you’re having. Are they robust, big bowel movements? This is what we’re looking for,” Dr. Khokhar explains. (He holds up an example of at least a six-inch-long plush toy as an example) “That’s what we want from everybody. Also, the gas you pass. Everyone knows the difference between the gas that actually feels good – like decompressive – versus the gas that is not satisfying.”

Reduce stress before eating

Chronic stress, poor sleep or traumatic experiences can reduce vagal tone – the nerve’s ability to send calming signals – which might worsen gut conditions like irritable bowel syndrome. Dr. Khokhar says the vagus nerve can be distracted to respond to the brain too often in states of chronic stress or anxiety, ignoring the role it needs to play in digestion.

“There’s no question there’s a correlation between mental health and optimal efficiency or efficacy of your GI tract. Whether that’s motility, hormone secretion or digestion, it all ties in together,” he stresses. “That’s why it’s really important to address that.”

Holidays can be exciting but also a stressful time. So, Dr. Khokhar believes some deep breathing, especially before and after a big holiday meal, can help to reset the vagus nerve and improve how it works.

“Kind of like you restart your phone or computer. It’s a very similar concept. Let’s clean it out. Let’s do some deep breathing for five or 10 minutes. It’s all it takes. Then the vagus nerve says, ‘OK, I’m more relaxed here. I can then do my job, which is to secrete hormones, to squeeze and to help with the GI tract.’”

Early evidence suggests deep breathing, meditation, regular exercise and even humming or singing might stimulate the nerve and help restore balance. What kind of breathing exercises does he recommend? Dr. Khokhar says the diaphragm should be engaged by using a 4-4-4 technique.

“Four seconds in, four seconds hold and four seconds out. Navy SEALs have mastered this when it comes to sleep and other regulation. I think they have a 4-6-7 where you inhale four seconds, hold for six seconds and then exhale for seven seconds. Personally, I have a hard time exhaling because you have to time your exhale. You can’t just blow out that.” (needs to occur slowly).

Scientists caution that much of the research is still emerging, but they agree the vagus nerve is a promising target for future treatments. For now, Dr. Khokhar says deep breathing, staying hydrated and getting into the habit of walking or moving after a meal are all good approaches to help improve digestion.

Dr. Omar Khokhar

B-roll-Deep breathing for healthy digestion