The Heartbeat

Published monthly for the staff and patients of General Leonard Wood Army Community Hospital

Children’s cards brighten holidays for WTU Soldiers
By Carl Norman GLWACH Marketing

December 2007

Santa and Mrs. Claus, of North Pole fame, visit with 6-month-old Von’ai Aaron at General Leonard Wood Army Community Hospital Dec. 12. The Claus’ took gift requests from staff and patients in the lobby, visited patient wards and clinics and passed out holiday candy canes to all. (Photo by Carl Norman)

Ho, Ho, Hello

Schoomaker shares initial thoughts
Lt. Gen. Eric B. Schoomaker took the oath as the 42nd Army Surgeon General Dec. 11 and assumed command of the U.S. Army Medical Command Dec. 13. He was formerly the commanding general of Walter Reed Army Medical Center and the North Atlantic Regional Medical Command. In recent communications Office of The Surgeon General report with MEDCOM staff, Schoomaker shared his principal thoughts and intentions for the command and staff. “While our actions will always speak louder than our words, this is a time when these words direct our actions,” he said. With that he wrote these words: “The USAMEDCOM and the Office of the Surgeon General play a vital role in the Army’s conduct of a protracted Global War on Terrorism; a war which has lasted longer than World War II, but is no less important for preserving our American freedoms. The many professionals who fill the ranks of the command – uniformed and civilian, officer and enlisted, drawn from eight professional corps – are a formidable team dedicated to promoting and maintaining the health of our Warriors, sustaining the families and

Christmas cards are a holiday tradition where people show others that they care and appreciate them during the holidays, and 24 children from the First Baptist Church in Rolla did just that Dec. 7. Battling rain and cold temperatures, the elementary-age children brought Christmas cards to wounded Soldiers currently assigned to General Leonard Wood Army Community Hospital’s Warrior Transition Unit, commonly referred to as WTU. This unit helps wounded warriors, called Warriors in Transition, heal from their wounds or disease and transition back to active duty or into the civilian world. The children presented the cards to about 45 Soldiers in GLWACH’s MEDDAC Classroom. They exchanged hugs, talked a little and everyone left with a smile. The cards weren’t your typical storeSee CARDS on Page 7

restoring ill and injured Soldiers. The critical nature of our contributions has never been more clearly demonstrated in the 232-year history of the U.S. Army than now – from the battlefields in Iraq and Afghanistan, to our casualty evacuation facilities in Europe, our medical centers, community hospitals, health centers and clinics in the Homeland and by the creativity of our bio-scientific See MEDCOM on Page 6

Holidays time to really think safety


The Heartbeat, December 2007


hristmas is a joyous, fun-filled and festive time of year when we gather with family and friends to enjoy all the season has to offer. It’s a chance to reflect on the past year and prepare for the challenges that are sure to come in the next. In 2007, you triumphed over tremendous challenges, too numerous to mention here, to bring topquality health care to our beneficiaries, and you did so with true compassion and courage. We applaud all of you. Your professionalism, talent, dedication and desire are second to none, and we are extremely proud of and honored to be part of

By COL Theresa Sullivan and CSM Antonio Milton GLWACH Commander and Command Sergeant Major, respectively

“During the upcoming holiday season, we hope you’ll take some time to relax and unwind. You’ve worked hard and deserve it.”

such a tremendous organization. We’re sure there will be an equal amount of challenges to come in 2008, both in number and scope. But, we’re equally sure you will meet each one head on and come out the victor as you always do. During the upcoming holiday season, we hope you’ll take some time to relax and unwind. You’ve worked hard and deserve it. We all know that, with work, shopping, parties and everything else, this season can become hectic. By taking a little time for yourself, you’ll keep

COL Theresa Sullivan & CSM Antonio Milton GLWACH Commander and Command Sergeant Major, respectively

things properly focused. But while relaxing physically, please don’t let your guard down for safety. We’ve seen, just in the past few days, that Missouri weather can change quickly, and for the worse. Be extremely cautious on the road, no matter if you’re going to the store down the street or to grandma’s house across the state. Take your time, drive according to road conditions, not according to the clock. Always buckle up and make sure all passengers do the same.

If traveling long distances, plan your trip in advance, allow plenty of time for rest stops and check weather conditions for the route you’re going to travel. It’s always a good idea to keep a few supplies in the trunk, just in case. And although this is a festive time of year, never, ever, drink and drive. If you plan on drinking, give your keys to a non-drinking friend or family member, call a cab or spend the night; do anything but drink and drive. We need all of you back here, safe and sound. Words can never fully convey how much we appreciate each of you and what you do every day. We simply wish the same as Tiny Tim when he said, “And God bless us, every one.” Merry Christmas and best wishes for a happy New Year.

Merry Christmas & Happy New Year The Heartbeat
The Heartbeat is an authorized publication for members of the Department of Defense, and staff and patients of General Leonard Wood Army Community Hospital. Contents of The Heartbeat are not necessarily the official view of, or endorsed by, the U.S. Government or the Department of the Army. The editorial content of this publication is the responsibility of the GLWACH Public Affairs Officer. Everything published in The Heartbeat is done so without regard to individual race, color, religion, sex, national origin, age, marital status, physical handicap, political affiliation, or any other non-merit factor. The deadline for submissions is the 15th of the month prior to publication. Send submissions to Command Team: Commander: Col. Theresa Sullivan Command Sergeant Major: Command Sgt. Maj. Antonio Milton Deputy Commander for Administration: Lt. Col. Thomas Bundt Deputy Commander for Nursing/Hospital Services: Col. Tempsie Jones Deputy Commander for Clinical Services:Lt. Col. John Lowery Editorial staff: Public Affairs Officer/Editor: Carl Norman

From our house to yours...

Blues hit many during holidays
The Heartbeat, December 2007


Take time to reduce stress, enjoy season
By Barbara Welch Behavioral Medicine Division

Ah, the holiday season is almost here. For many, this means friends, family and co-workers getting together, celebrating, relaxing and having fun. But for others, it could mean a case of the “holiday blues.” People get the holiday blues when they feel sad, lonely, depressed or overly anxious around the holiday season. This most commonly happens during the December holidays when everyone else in the world seems to be celebrating. The blues can result from a mismatch between high expectations for the perfect holiday mixed with memories of holidays past, loved ones no longer present and the reality of the current holiday. Symptoms include: Headaches Inability to sleep or sleeping too much Changes in appetite causing weight loss or gain Agitation and anxiety Excessive or inappropriate feelings of guilt Diminished ability to think clearly or concentrate Decreased interest in activities that usually bring pleasure such as food, sex, work, friends, hobbies or entertainment. Many things can trigger the holiday blues. Some common culprits include over-

spending, overdrinking, the pressure of numerous social commitments, pressure to create the perfect holiday experience for friends and family, missing loved ones who are deployed and reminders of those lost. Health officials estimate that 9.5 percent of the American population — or about 20.9 million Americans — suffer from chronic depression. Although the holiday blues are short lived, people recover as they slip back into a normal lifestyle after the holidays, the stressors and how they react to those stressors can be a year-long occurrence. There are many things

(Courtesy photo) People get the holiday blues when they feel sad, lonely, depressed or overly anxious around the holiday season.

people can do to reduce “holiday stress,” and they involve making choices. For example: Choosing to limit commitments to those they’ll actually have time to enjoy can take away rushed or pressured feelings. Sticking to a reasonable budget can take the worry out of spending. Avoiding excessive drinking and eating, and getting enough rest and exercise can help overcome fatigue and provide an energy reserve. If loneliness is part of the “blues,” gently, but firmly, give yourself a push to look at the activities in your local

community. Craft fairs, cookie walks and parades abound; each community especially shines this time of year. Take a drive to see the lights. Visit each community’s special presentations. You might begin by attending your place of worship and even visiting other church Christmas performances which are always geared for the entire community to enjoy. Volunteering to help others is another great way to combat loneliness and the holiday blues. Do something for someone else. Help out in a meal kitchen for the homeless. Contact your local Red Cross for information on how and where you can volunteer. Make a commitment to yourself to not allow the holidays to be stressful. Catch negative thoughts that add pressure, guilt or induce feelings of loss. Create a new way to celebrate. Each season, each year is different and can be enjoyed in its own way. Stress the joy instead! Take the advice from philosopher, author, painter, composer and Nobel laureate Rabindranath Tagore who said, “I slept and dreamt that life was joy. I awoke and saw that life was service. I acted, and behold service was joy.” (EDITOR’s NOTE: Barbara Welch is a licensed clinical social worker credentialed by the Academy of Certified Social Workers. She’s currently serving in GLWACH’s Behavioral Medicine Division.)

New personnel system launches in ‘08
WASHINGTON, Dec. 7, 2007 - The Army will launch a new pay and personnel system next year that promises to streamline personnel processes and integrate the active-duty, National Guard and Army Reserve components. The Army Defense Integrated Human Resources System, part of a Defense Department initiative, will be implemented Oct. 1, 2008, at all Army installations and within all service components, Army Col. Patrick Devine, DIMHRS program director, told online journalists and "bloggers" during a conference call. DIMHRS is a commercial product that will take the pay and personnel data from all three components of the Army and put it in a single database accessible online 24 hours a day. A key feature of DIMHRS is that it integrates the pay and personnel systems, which means that when a personnel action is taken, the system automatically will trigger any associated pay change, Devine said. DIMHRS goes toward solving the problem of multi-com-


The Heartbeat, December 2007

GLWACH lab starts finger stick procedure
Starting March 1, 2008, General Leonard Wood Army Community Hospital’s laboratory will offer a “finger stick” Protime (PT)/INR procedure for coumadin patients treated by a network provider. This is the same procedure offered to patients seen in the GLWACH Coumadin Clinic and will only be offered from 10 a.m. to 2 p.m. on regular duty days. By Capt. Daniel Wiggins GLWACH Laboratory Manager The standard veni-puncture PT/INR blood collection procedure will continue to be available. If the “network” coumadin patient prefers a finger stick instead of a veni-puncture, they must take a lab-provided requisition form to their network provider authorizing the finger stick procedure. This is necessary because the result format is slightly different than the veni-puncture procedure. These forms can be picked up in the lab after Jan. 1, 2008. “Network” patients that have coumadin

ponent units, or those units made up of soldiers from the active duty, National Guard and Army Reserve, Devine said. In the past, these units had to deal with six different personnel systems and three pay systems, he noted, and DIMHRS will consolidate those into one system. A big benefit that DIMHRS will give National Guard and Army Reserve Soldiers is continuity of pay when they are mobilized, Devine said. In the current environment, National Guard Soldiers go through five different sites from mobilization to deployment and have to complete paperwork and be certified at each location, he said. When DIMHRS is launched, all military pay will be handled in the one system, and is coordinated with personnel data, so problems can

be avoided. "In a DIMHRS environment, it's one record per Soldier for military personnel and pay, so all that information is shared and it further expedites his entitlements and getting his compensation," Devine said. A unique aspect of DIMHRS is that it will allow Soldiers to access their records and make certain self-service changes, such as a change of address or requesting a personnel action, Devine said. In this way, every Soldier will be a system user and all supervisors, including Army civilians who supervise Soldiers, will be required to know the system so they can process leave requests, awards and evaluations, he said. To prepare to implement this new system, the Army is launching an ambitious train-

ing program designed to reach all installations, Devine said. The training team starts by briefing senior leadership on the program, he said, then moves to battalion- and brigade-level leadership, and then briefs the human resources personnel who will be using the system the most. The Army also is making distance-learning materials available for DIMHRS, and will be training Soldiers to be instructors on the system, Devine said. The DIMHRS Web site, at, also will have all the training materials available to Soldiers, he said. The Web site also includes other helpful materials, such as a universal translator to help with commercial terms Soldiers may not be familiar with, and work force readiness packages, which describe how each action was done under the old system and how it will be done under DIMHRS. The Air Force also is set to launch DIMHRS in February 2009, and although the Navy has not set a date for implementation, Navy officials have appointed a program director.

monitoring done monthly can pick up the form when they have their January PT/INR test done and return the form during their February collection. All forms must be completed and signed by the network provider before the patient can have the finger stick procedure done. GLWACH patients currently being seen in the Coumadin Clinic will continue to be seen in the Coumadin Clinic for PT/INR testing. For more information, call (573) 596-1509.

The Heartbeat, December 2007

Keeping toys safe key ingredient to safer holiday
By Phyllis Jones Community Health Resource Center


Toys are supposed to be fun and play an important role in a child’s development, but sometimes they pose health risks if not monitored closely. Children, especially those 3 years and under, have a greater chance of choking on toys because they tend to put objects into their mouths. Toy makers give warnings and label toys for different age groups, but the most important thing a parent can do is to supervise their children’s play time. The U.S. Consumer Product Safety Commission monitors and regulates toys. Any toy imported after 1995 must comply with CPSC standards. The U.S. Consumer Product Safety Commission recall hotline is: 1-800-638-2772 which can be called for further information about toy safety. To keep children as safe as possible, here are some tips parents should consider: Supervise your child’s play — keep toys with small parts away from younger children, under 5 years, until they learn not to put them in their mouth. Don’t allow children to play with

an older child’s toy, and keep an eye on older children who might put an object in the younger child’s mouth. Store toys in a container — use a toy chest, plastic container or shelf. Keep toys picked up and off the floor to prevent falls. Teach your child to pick their toys up after playing with them. Don’t store toys in original packaging, dispose of it after opening. Dispose of staples and plastic wrap to avoid potential cuts and suffocation. Examine toys regularly and keep them clean. If they’re damaged, throw them away before an accident occurs. Don’t leave metal toys outside because they can rust. When shopping for toys, here’s a few guidelines to keep in mind: Buy flame resistant or flame retardant if purchasing toys made of fabric. Buy washable stuffed toys. Toys should be painted with leadfree paint. Art supplies should be labeled “nontoxic.” Crayons and paints should say ASTM D-4236 on the package. This means the American Society of Testing and Materials has evaluated them. Above all, a child’s play time should

Children, especially those 3 years and under, have a greater chance of choking on toys because they tend to put objects into their mouths. (Courtesy photo)

be fun, educational and safe. By using these guidelines, many injuries can be prevented. If in doubt about your child’s safety with a particular toy, call the manufacturer. For more information, call the U.S. Consumer Product Safety Commission at: 1-800-638-2772 or the Community Health Resource Center at: (573) 5960491.

Couphing, sneezing etiquette helps fight flu

Getting the flu vaccine is the best way to protect yourself from seasonal flu. An annual shot is especially recommended for people at higher risk. These include adults age 50 and older; children 6-59 months old; people with long-term conditions such as diabetes or heart disease; women who will be pregnant during flu season; people with weakened immune systems (such as from HIV/AIDS); and people who live in nursing homes or longterm care facilities. Flu germs spread mainly through coughs and sneezes. These can spray droplets

By Toni Caldwell GLWACH Infection Control Manager

through the air and into the mouths or noses of people nearby or onto surfaces that people touch before touching their nose, mouth or eyes. It’s essential that everyone practice cough and sneeze etiquette such as: Trying to stay at least 6 feet away from other people when you sneeze or cough. Cover your mouth and nose with a tissue, then throw the tissue away. Use your upper sleeve if you have no tissue (not your hand.) Always wash your hands right away afterwards. For more information, call GLWACH Infection Control at (573) 596-0442.

and industrial enterprises. We cannot, and will not, fail in this complex and unremitting mission. The essence of our professionalism and ethos is embodied in our Warrior medics: well-trained and highly motivated young men and women whose courage, selflessness and stamina have consistently led them to forego personal safety, comfort and material reward to preserve the health, well-being and the very lives of our Soldiers. Compassionate and innovative, our combat medics – the 68W’s – are the inspiration for us all. We will emulate their values, their uncompromising commitment to high standards and their devotion to their craft. We have four near-term challenges upon which the command and staff must focus in the days, weeks and months ahead. They are of equivalent importance. They can each be viewed through one of the four imperatives or “lenses” provided by our Secretary of the Army and Army Chief of Staff – “Sustain, Prepare, Reset, Transform.” Sustain: USAMEDCOM implementation of the Army Family Covenant. The senior Army leadership recognizes the essential role which Army families play in maintaining a viable Army and military force. Our families have endured great sacrifices on behalf of our warriors and the nation. They deserve our best ideas and a renewed effort to restore their energy, to strengthen their resilience and to support their Soldier – husband or wife, father or mother, brother or sister, son or daughter. Army medicine

MEDCOM, from Page 1


The Heartbeat, December 2007
other medical professionals whose support, guidance, mentoring and encouragement you can – and must – provide. Reset: Execution of the Army Medical Action Plan – We are rapidly approaching full operational capability of this comprehensive plan to reset the Army’s entire approach to, and support for, our wounded, ill and injured Soldiers. Driven by unprecedented battlefield survival from wounds as well as aggressive efforts at optimal management of illnesses and injuries for all Soldiers, including mobilized Reservists, Army medicine provided vital AMAP elements. It has been guided by investigations and recommendations at the highest levels of government. We have created the position of the Assistant Surgeon General for Warrior Care and Transition in recognition of our requirements to put energy and dedicated leadership, resources and organizational focus to this effort. Brig. Gen. Mike Tucker will serve in this capacity. All must understand and support this ambitious program and ensure its success. Our Soldiers and families deserve no less than our best. Transform: Deliver the Maximum Value in Health Care and Other Services – We must adapt and transform in multiple domains simultaneously, including full participation in Base realignment and Closure actions and standing up Joint Medical Task Forces. The USAMEDCOM has been a leader in the Military Health System in the adaptability and agility of our deployable health systems and productivity and efficiency within the facilities providing garrison care. It is time to boldly take the next step by delivering the highest value in all we do. We achieve this by providing the highest quality care, aimed at achieving the best outcomes for our patients using evidence-based practices and reducing unwarranted variability in clinical and business practices. These efforts will result in the best possible cost for t his care and the greatest value for our patients, our Army and the nation. In a nutshell, I want you to do what is right for the patient in the long run by practicing according to the best scientific methods possible, demonstrating a keen eye for safety, using proven technology enablers and the electronic health record (AHLTA). Our senior commanders, senior Headquarters OneStaff and I will engage in much hard work during the next 100 days to evaluate the azimuth of our current strategic plan for its currency and relevance in light of the focus areas mentioned previously. Your input will be invaluable. As we enter this next exciting era of our history, an era serving those many call the next “Greatest Generation,” I ask that you live the Army Values. Live with integrity by doing what you say you will do. I am humbled and feel very privileged to lead the Army Medical Department, an extraordinary team with a proven record of service and accomplishment. I am honored to serve with you and to serve you. You are key to our Army remaining.. Army Strong!

plays a critically important role in this new covenant wit the Army family, beginning with our historic successes on the battlefield, the quality of our health care services, access to those services, and the dignity and respect we pay to every beneficiary we encounter. Let us not forget our own families as well. Caring for the caregiver must begin at home – you will get my full support for your efforts to strengthen your own family. Prepare: Army Medical Department Human Capital Management Strategy – Our people – you, your colleagues, and the teams you comprise – are the most important element of this command. Recruiting and retaining the highest quality people, ensuring appropriate and competitive compensation, career development and progression – which requires state-of-the-art training and life-long education, a satisfying and fulfilling workplace and a hassle-free environment in which to provide care to our patients, or support for those who do, are our top priorities. Building and sustaining a comprehensive, life-cycle management approach to the Army medical team – all corps, civilian and uniform – is so important that I have made this the focus of our former acting surgeon general, MG Gale Pollock. She will assume the duties as the Deputy Surgeon General for Force Management and will develop a long-term plan which will become an enduring focus for this command. You play an indispensable role in this effort as you are a subordinate, a colleague, or a supervisor of

The Heartbeat, December 2007
bought variety; the children hand made each one, complete with their personal art masterpiece. The children included a little information about themselves, thanked the Soldiers for their service, let the Soldiers know they were praying for them, and signed each one “your fellow American.” Making the cards is part of a “Children in Action” mission project that teaches children how to minister to other people, said Jan Stevens, First Baptist’s “CIA” director. “We just wanted to do something that would brighten someone’s day or lift their spirits,” Stevens said. And as far as the WTU Soldiers are concerned, that’s what happened. Spc. Trista Corbin, who injured her knee in Iraq, said getting the cards was a nice feeling and seeing the children’s smiling faces was great. “Hearing the words ‘thank you’ and knowing that someone cares about what we do

CARDS, from Page 1


Outdoor event offers WTU fun, healing
WTU Report Behavioral Sciences from Lincoln University, who educated our Soldiers on suicide prevention and how to recognize the warning signs,” Rogers said. Andrew Cempa, Fort Leonard Wood Cooperative Research and Extension Programs Liaison, followed. Rogers said he shared with the Soldiers about pursuing higher education. After Cempa, a Military and Family Life Consultant educated the Soldiers his organization’s purpose and Lynn Morgan and her team from Army Community Services, briefed the Soldiers on the Soldiers Family Assistance Center, a new program designated for the WTU. Ending the day’s activities, recreational

means a lot,” Corbin said. “It’s nice to know that the younger generation is learning about the military and cares about us.” Sgt. Dustin Galante, who injured his back in Iraq and is diagnosed with Post Traumatic Stress Disorder, said getting his card also made him feel much appreciated. “It means the holidays have not been forgotten,” he said. Staff Sgt. Stephen Gray, who was also injured in Iraq, said this was the first card he’d received from a school child in a long time. But Spc. Johnny Tejeda, who injured his back in Iraq, summed up best how much impact these cards, coming from little hands, made on the WTU Soldiers. “I was touched to receive a Christmas card from the children,” he said. “It brought tears to my eyes. I hope those children know the positive impact they made on me and the Soldiers in the WTU. “I wasn’t in a festive mood this Christmas because I’m

Warrior Transition Unit Soldiers visit with children and adult leaders from the First Baptist Church of Rolla, Dec. 7. The children presented hand-made holiday cards to the Soldiers. (Photo by Carl Norman)

at an uncertain part of my life right now. Receiving those cards lifted my holiday spirit and made me realize I shouldn’t let anything bring me down during the holidays.” After the children gave out all of their cards, a visibly appreciative Capt. Czarvitto

Rogers, WTU commander, spoke for the wounded warriors. “With these cards, you children have given the greatest gift a Soldier can receive – a thank you for what we do,” Rogers said. “We thank you from the bottom of our hearts for what you’ve done.”

The Warrior Transition Unit took a different approach toward Rehabilitation Oct. 26 by conducting an outdoor session for the Soldiers at the Yellow Ribbon Room on post. The WTU cadre and Soldiers fellowshipped and each Soldier had their minds set on healing physically, emotionally and mentally. It was a huge success, according to Capt. Czarvitto Rogers, WTU commander. The event was broken into sessions. “We started with Dr. Abdoulaye Bah, director for the Center of Suicide Prevention Research and Studies for Social and

therapist Kevin Amschler introduced the Soldiers to a game called “My Town.” “We were broken into groups and given a card (each group a different one) that allowed each person to share what they wanted to share, then all the groups came together to share with everyone,” Rogers said. “It opened the channel for the Soldiers to express themselves and share their experiences in combat and life in general. It was an awesome moment and the highlight of the entire afternoon.” Rogers said the event was a success and fulfilling. “The Warrior Transition Unit thanks everyone who supported this event,” Rogers said.


The Heartbeat, December 2007

Community Health Resource Center Classes
Infant Care: Young mothers learn how to properly bathe and care for their new baby, to include diapering. Class dates: Jan. 9: 9 – 11 a.m. Jan. 29: 9 – 10 a.m.

Below is he General Leonard Wood Army Community Hospital Community Health Resource Center Class Calendar for January 2008. All classes are conducted in the Community Health Resource Center except for breathing techniques which will be held in the MEDDAC Classroom, and others as noted. Those interested can sign up for classes by calling (573) 5960491. Sign up for tobacco cessation classes by calling 1-866-299-4234. Asthma Awareness: Discuss the causes, signs, symptoms and aggravating factors of asthma. Adults and children, 9 years old and older, who have asthma are encouraged to attend. Class dates: Jan. 11: 9 – 11 a.m. Jan. 25: 9 – 11 a.m. Classes offered are:

Infant CPR: New and expectant parents, baby sitters and other care givers learn how to properly resuscitate a baby if its heart should stop beating. Class dates: Jan. 23: 6 – 8:30 p.m. Legal Issues & Pregnancy: Learn about profiles and related issues military members face when pregnant. Class dates: Jan. 11: 1 – 2 p.m.

Breathing Techniques: Learn techniques to help you breathe more efficiently when in labor. Class dates: Jan. 10: 5:30 – 7:30 p.m. Jan. 17: 5:30 – 7:30 p.m. Jan. 24: 5:30 – 7:30 p.m. Jan. 31: 5:30 – 7:30 p.m.

Breastfeeding: Learn how to properly nourish and care for your child while breastfeeding. Class dates: Jan. 16: 9 – 11 a.m.

Early Pregnancy and Pets in Pregnancy: Learn what to expect in the first six months of your pregnancy as well as how to introduce your pet to your newborn. Class dates: Jan. 7: 2:30 – 4:30 p.m. Glucometer Education and Issue: Patients will be issued a glucometer and given instructions and demonstration on its use. Class dates: Jan. 2: 2:30 - 4 p.m. Jan. 3: 9:30 – 11 a.m. Jan. 4: 1 – 2:30 p.m. Jan. 9: 2:30 – 4 p.m. Jan. 10: 9:30 – 11 a.m. Jan. 16: 2:30 – 4 p.m. Jan. 17: 1 – 2:30 p.m. Jan. 23: 2:30 – 4 p.m. Jan. 24: 9:30 – 11 a.m. Jan. 30: 2:30 – 4 p.m. Jan. 31: 9:30 – 11 a.m.

Jan. 4: 8 a.m. – noon Jan. 17: 8 a.m. – noon

Cholesterol Control: Understand the pitfalls of shopping, cooking and eating for a low-cholesterol diet. Cardiovascular disease risk factors such as poor fitness, smoking and obesity are also discussed. Class dates : Jan. 14: 1 – 2:30 p.m. Jan. 28: 1 – 2:30 p.m.

Diabetes Management: Learn about treatment, complications and how to prevent them, exercise, and self-care for diabetes. The dietician will instruct patients on how to follow a diabetic diet. Class dates :

High Blood Pressure/Hypertension: Discuss the causes, treatment and steps taken to beat high blood pressure. Class dates: Jan. 8: 9 – 10 a.m. Jan. 15: 9 – 10 a.m. Jan. 22: 9 – 10 a.m.

Tobacco cessation: Discuss tobacco use, skills to quit and coping strategies to remain tobacco free. Class dates: Jan. 8: 11:30 a.m. – 1 p.m. Jan. 15: 11:30 a.m. – 1 p.m. Jan. 22: 11:30 a.m. – 1 p.m. Jan. 29: 11:30 a.m. – 1 p.m.

Self-care Intervention Program: Learn how to avoid illness and pursue wellness; learn the importance of healthy habits, hot to treat common illness at home, and how to use medications. Participants will receive a pharmacy card to receive non-prescription medication through the pharmacy. Class dates: Jan. 2: 1 -3 p.m. Jan. 9: 1 – 3 p.m. Jan. 16: 1 – 3 p.m. Jan. 23: 1 – 3 p.m. Jan. 30: 1 – 3 p.m.

Nutritious Weigh: Learn about lowfat eating, weight management techniques, cooking methods and dietary trends. Learn how you can lose pounds safely, the importance of exercise and reading food labels, and weight management theories. Class dates: Jan. 7: 12:30 – 2 p.m.