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Support for Families Experiencing a Loss of a Child or Pregnancy [Podcast]

Posted February 19, 2024 by Shannon Blower, MA Pastoral Counseling, MAR in Religious Leadership | Wendy Rickerd, MSN, APRN-CNP, FNP-BC, C-EFM

Support for Families Experiencing a Loss of a Child or Pregnancy

Listen to this episode of Healthy Vitals Podcast.

Trigger Warning: This episode discusses pregnancy and infant loss, which may be triggering for some listeners.

In this episode, we delve into the often unspoken reality of pregnancy and infant loss. We discuss the importance of communication and combating the stigma surrounding these sensitive topics.

We also explore the importance of offering support to those in your life experiencing this loss and how you can give that support.

Please be advised that this podcast does not replace professional medical or mental health guidance. If you have concerns about your pregnancy or mental well-being, prioritize consulting a qualified healthcare professional.

Join us as we navigate these sensitive issues with respect and a focus on creating supportive communities. Thank you for listening.


Featured Guests:

Wendy Rickerd, MSN, APRN-CNP, FNP-BC, C-EFM
Wendy Rickerd, MSN is an Advanced Practice Provider, Program Coordinator for Inpatient Women’s Health Services. 

Shannon Blower, MA Pastoral Counseling, MAR in Religious Leadership
Pastor Shannon Blower is the Director of Pastoral Care Services and Education at Summa Health System, where he oversees the spiritual care for patients, their families and our providers. He holds MA and MAR degrees in Leadership and Counseling. Shannon is a certified Grief Recovery Specialist with 30 years of experience as a Senior Pastor in the local church. He received his clinical training through the Association of Clinical Pastoral Education at Summa Health System. Pastor Shannon is a member of Summa’s Ethics Committee, Schwartz Rounds, and is a faculty member of Palliative Care Services. His spiritually integrative work supports the healing process in our hospital setting. Shannon is married to his wife Sherie of 41 years, father of 4 adult sons, and father in law to 4 daughters in law, and most importantly Papa to his 13 grandchildren.

Transcription:

Disclaimer: On today's podcast, we'll be discussing the topic of pregnancy and infant loss, which can be a very sensitive and difficult subject for many people. If you're currently pregnant or have experienced a pregnancy or infant loss in the past, please be aware that this podcast may trigger difficult emotions. This podcast is not intended to be a substitute for professional medical or mental health advice. If you have any questions about your pregnancy or mental health, please consult with a qualified healthcare professional.


Scott Webb (Host): It's to wrap my mind around the statistics related to pregnancy and infant loss, but in 2020, almost 20,000 infants died in the U.S. according to the CDC. And according to the March of Dimes, 10-20% of pregnancies end in miscarriage. Needless to say, I'm glad to be joined today by Wendy Rickerd. She's an advanced practice provider, Program Coordinator for Inpatient Women's Health Services at Summa Health. And I'm also joined today by Shannon Blower. He's the Director of Pastoral Care Services and Education and Grief Recovery specialist at Summa Health.

This is Healthy Vitals, a podcast from Summa Health. I'm Scott Webb. So, I want to thank you both for joining me today. We're going to talk about pregnancy and infant loss. It's a serious topic and one that I'm sure listeners will be interested in and want to have your expertise and compassion and all of that. So Wendy, I'll start with you. How common is loss during pregnancy or during childbirth?

 

How common is child loss during pregnancy or childbirth?

 

Wendy Rickerd: According to the CDC, stillbirth, which is a loss after 20 weeks' gestation affects about 1 in 175 births. And as you already mentioned the statistics on miscarriage, miscarriage is the most common type of pregnancy loss. What is not common though is how individuals and families react to or experience loss. It's really different for everyone.


Host: Yeah, I imagine that it is regardless of how the loss occurred or why the loss occurred. And maybe before we get too far into the conversation, Wendy, maybe you can define some of the ways that loss can be experienced just so we have, unfortunately, that whole list to reference during our conversation.

 

Different forms of pregnancy loss

 

Wendy Rickerd: Sure. There's many experiences that people can face with regards to loss, and some of which would be a loss of a child shortly after birth. An example of which would be an extremely prematurely born baby or perhaps a baby with anomalies. Another experience people might face is sudden infant death syndrome, where they've taken their child home and then something happened and child passes or any sort of type of accident that was not anticipated or illness that was not expected. Ectopic pregnancy is another pregnancy loss that affects people and they experience a loss associated with that.


Shannon Blower: Yeah, there's a couple other that are often not considered. We have around infant and birth and life, we have surrogacy. And so, there are these cultural expectations that are infused and a sort of boundaries for everyone, even though their experience is different, the way in which it is culturally expected to be, what's proper and what isn't, is kind of a pressure. And so, I also like to remember that surrogacy, there is certainly a loss for the caring mother, and what she does with it is her own journey. Even in adoption there is the loss of giving a child up. And in both cases, I've never seen one where the child didn't grow older and say, "I want a different birth story," or "I want my birth story to be unique or different," right?

When these sorts of things are going on, infused is the regret of what ifs, and also the child's sense of identity. And then, you have the family who is hosting the child, has made space in their lives, their sense of inferiority or "Did I do enough?" Right? So, there's just so many different ways in which around infant loss that we can experience. And so much of it is continued to be hushed-hushed and quieted away. And so, again, I just want to say thank you for allowing us the opportunity to talk about some of this stuff.


Host: Yeah, as you say, some of this stuff is sort of hidden away and locked away and not discussed, so I'm glad we're doing that today, having just an open and frank conversation, trying to educate folks as best we can. And Wendy, maybe you can talk about some of the training that the staff on maternity units go through in order to help patients.

 

Training for nurses in the maternity units

 

Wendy Rickerd: Part of the training for our nurses includes a course on loss and we utilize the Resolved Through Sharing care model. We support the patient by educating and empowering the nurse to meet the patient where they're at and determine what the loss means for that patient and family. Did the patient have a name for the pregnancy or a name for the baby? This allows the nurse to be able to provide really individualized and respectful care. We encourage allowing patients to share their feelings and what they hoped for, which offers insight to the nurse on how to care for the patient and family. We discuss support materials that can be provided to patients and we review some of the legalese that often accompany loss and help patients through that process.

There are certain physiologic changes that occur after a loss that patients need to be educated on and we review those with the nurses as well. We foster this supportive environment and atmosphere for our nurses. So, they, in turn, can deliver the same to our patients and families who are experiencing a loss. And finally, we also encourage and promote self-care in our nurses.


Host: Yeah, we don't want to forget about the caregivers, of course, right?


Wendy Rickerd: Right. It's so important that they become self-aware of their own attitudes and beliefs surrounding death, because that can certainly affect care that's provided. And we want that to be a positive experience in light of the situation. And so, you know, we always say, in order to care for someone else, you have to really take good care of yourself, too.


Host: Definitely. That was a theme that sort of came up a lot during COVID when we would do these podcasts, was just trying to remember the healthcare heroes out there on the frontlines and making sure that we were doing everything possible to help them take care of themselves so they could take care of others.

We're discussing the macro a little bit, but a little micro, and let's zero in through the lens of Summa. And what are some of the things specifically at Summa that you guys do to help patients?

 

Summa Health's approach to patient support regarding child loss

 

Wendy Rickerd: We really want to make the experience as best as possible given the situation wasn't anything anyone had hoped for. And we try to make the patient and family as comfortable as possible by including them in the decisions surrounding their loss, such as holding their baby, touching their baby, counting fingers and toes, taking pictures. These are all ways that we make memories and help acknowledge that this loss is real.


Shannon Blower: Yeah. I got to say the loss of a child, an infant, pregnancy at Summa, it has both an acute and chronic length. There's a linear component to it. And every time in that pastoral care, I'm called to the bedside during a loss of pregnancy. I've seen the nursing staff, they have all of the accoutrements that try to honor the individual beliefs of the families and whatnot. Often, I'd come to provide some sense of spiritual honoring or honoring a sense of whatever rights or things that the parents feel like would honor the gift of that baby's life to them.

And so, there's that acute part that we do there and there's a sort of trauma bonding that occurs there and that can go one of two ways. When someone experiences that level of suffering and loss, they can practice a kind of avoidance of the place and people where it happened. And so, we are intentional about honoring them in real time, trying to make it something that is sacred. And then, from there, to follow up with any sorts of grief counseling or grief recovery to just let them know in real time and then following that this is not something that just goes away. And so, we offered grief counseling where I've met with young fathers who grieve differently. I've met with single moms who say, "This baby was a shame," it was a shame to her. Like, there's just so many things that are uncovered after the hospital stay that if we can honor, we're building a more healing relationship ongoing rather than a trauma-based one where avoidance is practiced.


Host: Yeah. And I'm sure, Shannon, when we think about the healing, you're trying to be inclusive and trying to heal the whole family, right? I'm wondering, you know, the loss of a child, whether it's in pregnancy or after they're born, it impacts the family greatly. And how do you do that? How do you help the whole family when possible?

 

Supporting grieving families

 

Shannon Blower: So, a significant part of this is listening deeply, asking the questions that just simply draw out. But we have events right around the Global Wave of Light, we'll talk about in a little bit, where family members can talk. So when we do that, we have grandparents share; we have children siblings share; aunts and uncles share, as well as the primary mother or father. And each of them have a different way of interacting. It changes the family dynamics for sure. The energy has changed. One young man in his 20s said that his older brother had died. And for years, he knew something was up around a certain time. It wasn't talked about much. And when it was, he just felt it was a ghost that was always there and wasn't allowed to address it. When he revisited that with his mother and father present, they were able to join in, even 10, 15 years later, they were able to join in and have a shared narrative around the event, rather than a siloed one. So, there is no question that each family presents a little differently. But more often than not, they grieve siloed, they grieve by themselves, and that's a difficult experience for them. And it begins to impact the way they see the world themselves and life in general.


Host: Yeah, I'm sure. So Wendy, let's talk about some of the resources that are available for people as they're trying to cope or process what's happened. Maybe you can share some of the options that are available.

 

Coping resources for pregnancy and infant loss

 

Wendy Rickerd: There are many options out there. We have, in our immediate surrounding areas, a great resource nearby. Akron Children's has a lot of support groups and services. Many are offered regionally too. So if patients are out far away or in a distant community, there probably is a support group there as well.

There's resources at Summa as well. And anyone experiencing a pregnancy or infant loss, if they are finding it difficult to access or even locate a support group, we encourage them to call our unit or call Summa's general line and we can point them in the right direction.


Shannon Blower: Yeah, that's correct. From the pastoral care standpoint, we run grief recovery groups as needed. We do one-on-one grief recovery groups and grief counseling. More often than not, it has to do with a safe place for the griever to share their story in ways that they have been shut off culturally. We have an event here once a year. And it is loosely affiliated with Wave of Light. We don't always do it on the same date because the whole month is actually infant loss and pregnancy loss month. But in the event, we provide opportunities for our staff and others to write their baby's name on the card and have their name read at the ceremony. And we make this available through our system. And I was just so taken. One of our nurses came and said, "May I please fill out one of those cards?" I said, "Yes, of course." She filled it out. She placed her baby's name on it. And the birth date or death date was 1979. And I thought to myself, oh my goodness, the sacredness of that mother's longing still all these years wanting it to be honored. And to imagine that this just goes away is a misshaping of what it means to be human. We can do different things with it, but it's always with us.


Host: Absolutely. I think I have a strong sense of this, Wendy, but maybe you could just take up, address this, why is it so important that we talk about this, right? We're talking about it today, of course. But why is it so important for folks to talk about pregnancy and infant loss?

 

The importance of talking about pregnancy and infant loss

 

Wendy Rickerd: Well, you're exactly right. That's why this opportunity to speak today is so important. You know, there's a stigma related to pregnancy loss and it makes it taboo to talk about. And this really creates a barrier for people to seek help or getting the care that they need. And oftentimes there's no explanation for the reason that the pregnancy was lost, and there's nothing a person did or did not do that caused it. And so, it's really important to talk about and bring more awareness to, because the more we can have honest discussions like we are today, it just opens doors for people to get help when needed. And, you know, it is okay to grieve.


Shannon Blower: Wendy, I agree a hundred percent. And there's this phenomenon of what it means to be human. And it is that we experience events, even in a group, but somehow we internalize meaning around the event uniquely and differently. And so, sometimes or maybe even often, it is the event that is traumatizing, but it is the inner narrative that we tell ourselves about the event that sometimes makes it even worse. And so in conversation, it allows for my inner narrative, which could be accusing or guilty or shaming. It allows it for it to come out and be seen in the open with another person who loves and cares, right? And so, there is a healing even of the inner narrative that's so important around having conversations. It makes explicit what is implicit.

And then in addition, there's just this loveliness that says, "I want to talk about my baby the same way you want to talk about your Uncle George. This baby impacted me and it may have been short lived and abbreviated, but it impacted me. And it was a redirection of our family and it needs to be honored." And that is, I think, one of the beautiful things that can be provided by communication, open lines, just normalizing, of course, you miss your baby.


Host: Of course. Shannon, you mentioned The Wave of Light, the Global Wave of Light earlier. I want to have you tell us a little bit more about that.

 

What is the Global Wave of Light

 

Shannon Blower: Certainly. So, this is an event. It's really phenomenal. Somewhere back in history, you know, the 1980s or something, Congress dedicated that the month of October would honor the infant loss, pregnancy loss. And then, on October 15th, worldwide, it became the day on which, worldwide, at 7:00, those who have experienced loss, or those who want to honor the loss of a loved one, light a candle at 7:00 p.m. as a tribute and testimony that that baby's gone but not forgotten. And so, it is just a lovely way to honor it. But then in association with that, all around the world, there are these virtual events you can participate in, there are community events, there are ways that you can honor this throughout the month by wearing pink and blue. And sometimes even folks who say, "Well, you know, I've not lost a child" will attend and participate in an event as solidarity, as saying, "I stand with you. I see you. I honor this loss too."

And so, it is a phenomenal way of healing. I encourage anyone, if you simply Google Global Way of Light, you will get so much data and information. And it would just be a wonderful help for awareness and an opportunity to connect more meaningfully with the folks you care about.


Wendy Rickerd: Can we just pause for a moment and allow our listeners to envision this wave of light encircling the earth? It's just a beautiful symbolic way to honor those lives, you know, we lost too soon.


Shannon Blower: Agreed, Wendy. Sometimes there's not a candle handy, but to just pause and do it, that's beautiful.


Host: Yeah, it really is. And wondering, Wendy, do you have any advice for people who are listening and maybe haven't personally experienced a loss, but they want to learn more how they can support someone they love or, just get involved, you know, if they feel inclined?

 

How to support loved ones through pregnancy or infant loss

 

Wendy Rickerd: Right. I think reaching out to those people who are experiencing a loss is so important. Death and dying are uncomfortable subjects for many people. And so, they tend to shy away from those people who practice avoidance. And this is the last thing really those people experiencing a loss need.

And also acknowledging that the loss is real. For many, they have hopes and dreams for this pregnancy. And now, those are gone, and that's very real. And just acknowledging that is very helpful for people.


Shannon Blower: Yeah, Wendy, I couldn't agree more. Sometimes whenever we're saying, "How should I help or what should I do," is just to simply remember that, of course, we're not the experts because we're not the one experiencing it. But if we can have loving curiosity and just, you know, "Hey, remember this is the day" and send them a card or, you know, anniversaries or Christmas, Easter, these sorts of things where there was a notable absence from that family to be able to honor that, to pay attention to good questions or platitudes that sometimes don't hit the mark, but actually what you're trying to do is just provide invitation for someone to share about their baby.

The most important thing, of course, is I would say to not try and redirect or to not try and cram them back into a culturally appropriate way of grieving. Because if you think about the way our system operates, typically if someone dies in your world, you get three days off and then you're going back to work. And so, that is a trauma that is twofold then. So, even in the workplace, it's not like, "Hey, man. Show up and just get your job done." It is folks coming alongside and saying, "Hey, let me carry that for you," "Hey, let me help you out this way" or whatever. Honoring the person's wishes, of course, but making yourself available, like Wendy was saying, I think is an important thing.

And the other thing too is, it also provides, if they are willing to talk and share, and it feels like a conversation, the more they talk about it, because they have changed through the years, the more they're able to create new meaning around it. And that's really the human existence, the potential, the purpose is we are meaning-making machines. So when something interrupts our predictable trajectory, our natural move is to say, "What does this mean?" And meaning is arrived at in community. So, it just goes on and on, the benefit. of intimate communications around all things lovely.


Host: Thank you for that, Shan. I want to finish up today, and it's a difficult topic, but a heartwarming conversation, and to know there's reasons to be optimistic, that it's okay to talk about this stuff, to grieve, to experience loss, to discuss it with family members and friends and professionals and so forth. Just wondering, Wendy, are there opportunities for someone in the Akron community if they want to support, if they want to help, if they want to get involved?

 

Opportunities in Akron to support pregnancy or infant loss

 

Wendy Rickerd: Yes. General volunteering is a great way to help. And donations are helpful in purchasing patient support materials, items for comfort care baskets that we use when patients are experiencing a loss on the unit, and for items for memory-making just to help with those little details that often mean so much.


Shannon Blower: Yeah, that's great, Wendy. Sometimes there's the immersive experience that we value and we want that to happen. And sometimes people just feel like, I don't know if I can do that right yet," and they would want to donate. I know that, you know, maternity and Wendy's department has availability for to donate through the foundation through maternity, and then also through pastoral care as well. We have an event once a year where we honor infant pregnancy loss. Sometimes it's on the day of October 15th. Sometimes like last year, it was not, it was a couple of days before. And they could participate in that event. They could donate towards that event. And throughout that week, we pass around candles, the LED candles, and some literature. And they could participate by passing that around throughout the hospital system. So, there's some very specific ways that somebody who wanted to get involved at Summa Health System that they would be able to do it. And we welcome them, because their heart's in the right spot, man. We want to be a friend to them as they're a friend to us.


Host: Yeah, that's well said. That's a perfect way to end. It's nice to meet you both and you both stay well.


Wendy Rickerd: Thank you.


Shannon Blower: Back at you. Appreciate you, man.

 

Learn more about Summa Health

 

Host: And for more information, go to summahealth.org. And if you enjoyed this episode of Healthy Vitals, we'd love it if you'd leave us a review. Your review helps others find our educational content. I'm Scott Webb. Thanks for listening, and we'll talk again next time.

About the Authors

Wendy Rickerd, MSN, APRN-CNP, FNP-BC, C-EFM

Shannon Blower, MA Pastoral Counseling, MAR in Religious Leadership

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Dr. Hite discusses HIV and AIDS, explains how the infection progresses, answers frequently asked questions, and reminds viewers about prevention and treatment options.

New Wave of Weight Loss Drugs Aren’t One Size Fits All [Podcast]

Obesity drugs like Wegovy and Ozempic have ushered in a new age medical weight loss. In this episode, obesity medicine specialist Dr. Kenneth Wells, explains how these medications work, how they should be used and what patients should know when considering this treatment.

Getting Started: FAQs on Breastfeeding Basics

You’ve probably heard the term time and time again: “breast is best.” That’s because it’s true. Scientific research proves the benefits to both newborns and mothers are too numerous to count. That’s why physicians and experts encourage all mothers to breastfeed, if possible.

According to the U.S. Centers for Disease Control and Prevention, breast milk is the best source of nutrition for newborns. It has the right amount of fat, sugar, water…

How Does Radiation Therapy Work? [Podcast]

Dr. Desai answers your questions about radiation therapy and discusses advancements in treatment technology.

What is Breast Density and Why is it Important? [Podcast]

This podcast episode delves into breast density, covering its types, detection methods, significance for screenings, misconceptions, and risk reduction. Learn about dense breast screenings, recent Ohio legislation expanding coverage, and proactive measures for breast health. 

What is Breast Density and Why is it Important? [Podcast]

This podcast episode delves into breast density, covering its types, detection methods, significance for screenings, misconceptions, and risk reduction. Learn about dense breast screenings, recent Ohio legislation expanding coverage, and proactive measures for breast health. 

HIV Prevention with PrEP Medications: Key Facts and Benefits [Podcast]

Join us as we explore PrEP (Pre-Exposure Prophylaxis), a powerful tool in preventing HIV infection. We'll cover its definition and remarkable effectiveness in reducing the risk of HIV transmission.

What Will I Learn at a Rainbow Tour? [Podcast]

In this episode, we explore the Rainbow Tour, a groundbreaking initiative aimed at promoting education and awareness about the proper use of pronouns and understanding SOGI (Sexual Orientation and Gender Identity). Visit summahealth.org/rainbow and fill out the form to get involved.

5 Preventive Health Checks You Can Easily Do at Home

The saying “early detection is the best prevention” exists to remind us of the importance of discovering disease early so treatment can begin promptly. With most diseases, catching them early leads to better outcomes. Depending on your age and gender, that means scheduling annual screenings for diabetes, hypertension and cholesterol, as well as breast, cervical, skin, prostate and colon cancer.
 
But while these tests are vital to your health, you can’t…

Ashley Krul: Wellness in the Workplace [Podcast]

Wellness has become a buzzword we hear a lot about, but maybe we don’t know precisely what it means. It can also mean different things to different people. Today’s guest, Ashley Krul, program coordinator of employee wellness at Summa Health, discusses the many dimensions of wellness and how they impact our lives. She also shares how Summa Health focuses on keeping employees well in the workplace. 

Behavioral Health Services: Where Should I Go for Help?

You’ve probably heard the term “behavioral health,” but what exactly does it mean? Behavioral Health refers to the emotions and behaviors that affect your overall well-being, and encompasses mental health and substance use disorders, along with their stress-related physical symptoms. Behavioral health conditions can include depression, anxiety, schizophrenia, anger management, drinking or drug abuse, traumatic stress and much more.

 

Because many people…

Lung Cancer Screening and the Advancements in Lung Cancer Detection and Treatment [Podcast]

Dr. Aziken, a cardiothoracic surgeon at Summa Health, reviews the importance of lung cancer screenings, who is at risk of developing lung cancer, some of advancements in the treatment of lung cancer and debunks common myths.

What Routine Tests Can I Expect During Pregnancy?

Regular visits and routine testing are a large part of the pregnancy journey to monitor the growth and development of your baby while helping to ensure you and your baby remain healthy throughout your pregnancy.

 

Summa Health breaks down various tests by trimester you can expect to undergo for routine prenatal care. The timings may vary, depending on your risk factors and individual situation, and for high-risk pregnancies, additional tests may be recommended, such as…

How to Care for Aging Parents or Loved Ones [Podcast]

In this episode, Dr. Gabrielle Ruff leads a discussion focusing on advice for caregivers of aging parents/relatives.

Minority Health Month and the Social Determinants of Health [Podcast]

Iriel Hopkins: Summa Health System Director of Community Relations and Diversity, and Marlo Schmidt: Summa Health System Director of Community Benefits, discuss the social determinants of health.

Preparing for Menopause: Understanding the Signs and Symptoms in All Three Stages

Reviewed October 2024

For people with ovaries, having a period is a fact of life, but so too is losing it. Menopause is a normal part of aging and natural transition all females experience. It occurs when the ovaries stop producing eggs and the reproductive hormones decline — marking the end of menstruation and fertility.

For most females, menopause begins between the ages of 40 and 55. However, it can start earlier for individuals who experience premature ovarian failure or…

An Introduction to Mindfulness and its Health Benefits [Podcast]

In this episode, Certified Mindfulness Teacher and Life Coach Shannon Speaks leads a discussion focusing on the practice of mindfulness, and the many health benefits of this practice.

An Introduction to Mindfulness and its Health Benefits [Podcast]

In this episode, Certified Mindfulness Teacher and Life Coach Shannon Speaks leads a discussion focusing on the practice of mindfulness, and the many health benefits of this practice.

Midwives are Growing in Popularity. Here's What You Should Know.

While midwives are growing in popularity in this country, there are still many who aren’t aware of the care they can provide. Many people believe midwives help moms-to-be give birth in private settings, such as in their homes, without medication or medical intervention. While this may be true for some midwives, hospital-based midwives, like the ones at Summa, provide quality care in the hospital while maintaining a “home-like” feel.

In truth, certified nurse…

Treatment Options for a Lumbar Herniated Disc [Podcast]

Pain and symptoms from a spinal lumbar herniated disc can be easily mistaken by patients. Summa Health neurosurgeon Dr. Paul Hartzfeld answers some of the most commonly asked questions about treatment for lumbar herniated disc.

Celebrating Women in Healthcare [Podcast]

In this episode, we are celebrating women physicians. Dr. Cheryl Johnson and Dr. Jacqueline Tulodzieski-Ahlstrom lead an interactive discussion focusing on what brought them to their careers in medicine, and what they love about working at Summa Health.

Treatment Options for Tinnitus or Ringing in Ears [Podcast]

In this episode, Dr. Deanna Nickerson leads a discussion about tinnitus and the treatment options available.

Vasectomy 101 and Summa Health's Vas Madness [Podcast]

Dr. Kevin Spear leads a discussion on what you need to know about vasectomies, including the procedure itself and post-procedure care.

Nutrition During Pregnancy: What You Should and Shouldn't Eat

You’re pregnant, so you can now “eat for two,” as the popular saying goes, right? Not quite. While pregnancy increases your body’s need for extra calories and nutrition, eating double the calories could cause you to gain an excessive amount of weight.

To maintain a healthy pregnancy, you only need about 350 extra calories each day — and maybe slightly more during your third trimester. That’s roughly the number of calories in a half a…

Securing the Safety for Healthcare Employees [Podcast]

Violence is rising in the healthcare setting. According to the American Hospital Association, 44% of nurses reported experiencing physical violence, and 68% reported experiencing verbal abuse nationwide during the COVID-19 pandemic as of June 2022.

Unfortunately, we know this reality to also be true at Summa Health. It is estimated that 3% of patients are considered violent on a daily basis. Violent situations make it more challenging for nurses and other staff to provide quality patient care, especially when they fear for their safety.

We have asked our nurses and frontline staff to share the stories of their experiences with patients being violent or abusive. Their stories deserve to be heard. The policy needs to change.

Joan Riemer: How to Become a Leader [Podcast]

In this episode, we will hear from Joan Riemer, System Director of organizational development and training HR employee development. She will lead an in-depth discussion on what she believes are the skills, practices, and values that make a good leader.

Michelle Bisson: Teamwork & Defining Success - Advice for Women in Healthcare Leadership [Podcast]

In this episode, Michelle Bisson, Senior Vice President of Marketing and Business Development, discusses the importance of having female leaders and shares her core values and practices.

Vaccines for Pregnant Individuals [Podcast]

Director of Obstetrics, Dr. Meghan Mehl discusses vaccinations for pregnant individuals and those planning to become pregnant.

Vaccines for Pregnant Individuals [Podcast]

Director of Obstetrics, Dr. Meghan Mehl discusses vaccinations for pregnant individuals and those planning to become pregnant.

The Importance of Advance Directives in End-of-Life Care [Podcast]

In this episode, Dr. Kyle Yoder and palliative care social worker Ellen Saal-Patterson lead a comprehensive discussion on preparing for end-of-life care.

Mental Health Support When You Need It Most

According to the most recent COVID-19 Practitioner Survey conducted by the American Psychological Association, more psychologists reported an increased demand for mental health services in 2021 compared to 2020, with the most significant treatment increases occurring for those suffering from anxiety, depression and trauma-related disorders.

As your community healthcare partner, Summa Health is deeply committed to offering the highest quality behavioral health services to you…

Grief Counseling: A Personal Experience That Fueled a Passion for Helping Others [Podcast]

Shannon Blower, Chaplain and Director of Pastoral Care Services, shares his personal experience with grief and provides tips and resources for anyone coping with grief.

6 Things To Consider When Choosing The Right Healthcare Provider For Your Pregnancy Journey

It’s the moment you’ve been waiting for: you’re pregnant! With so much to do to get ready for baby — purchase a crib, choose a name, install the car seat — where should you begin?

First things first: Choosing the right provider to partner with you on this magical 40-week journey should be a top priority on your to-do list. Having a strong relationship with your obstetrician (OB) or certified nurse midwife(CNM) is important in promoting a healthy…

Exercises To Try — and Avoid During Pregnancy

When you’re expecting, it’s especially important to keep moving. Exercise is an important part of a healthy pregnancy and offers big benefits for both you and your baby, such as:

  • Boosts energy levels and makes you feel better by releasing endorphins
  • Reduces back pain
  • Eases constipation, bloating and swelling
  • Decreases risk of gestational diabetes, preeclampsia and cesarean birth
  • Prevents excess weight gain, which is helpful in regaining your pre-pregnancy body more…

Coping with Tragic News and Tips for Talking to Children

In recent months, international conflicts, COVID, and violence have impacted our lives. These disturbing events can have profound effects not only on the families and communities where they occur but also on parents and children many miles from the scene.

Tragedies like these often shake our sense of trust and security. They feel personal because these are everyday people doing everyday things. Our kids go to school, we shop at grocery stores, attend concerts and movies, and…

Erectile Dysfunction: Symptoms, Causes, Treatment and More [Podcast]

Elizabeth Boes, D.O. provides an educational overview of erectile dysfunction. Learn about symptoms, causes, treatment, and more.

Juneteenth: What It Is and Why It’s Celebrated [Podcast]

Dr. Yoleetah Ilodi & Iriel Hopkins discuss Juneteenth and its importance. Listen and learn more in this episode of Healthy Vitals.

Multiple Sclerosis: Symptoms, Treatment, and More [Podcast]

Dr. Dmitri Kolychev, a neurologist at Summa Health, discusses the influx of Multiple Sclerosis diagnoses in the United States. Learn about MS symptoms, treatment options, and more in this episode of Healthy Vitals.

What You Need To Know About Post-Traumatic Stress Disorder

Updated April 2025

As humans, we strive to achieve a sense of belonging, acceptance and connection with others. These innate needs and desires often originate from family. Through these interactions, we gain a sense of self-worth, security and community. Families, regardless of blood relation or choice, are bound together by shared meaning and values. These beliefs and perspectives shape the realities that form these connections, but what happens to a family when trauma alters…

Nurses Week: Celebrating Nurses and Their Commitment to Our Community [Podcast]

Tiffany Collins discusses her journey and passion for nursing.

Don't suffer in silence: What you need to know about hearing loss

Do you often find yourself replying, “Say that again,” during a conversation? Do you have difficulty understanding words while in a crowded place? Does it seem as if your loved one is mumbling or talking quieter than usual? These could be signs of hearing loss.

As we age, hearing lossis a common problem. In fact, nearly 25 percent of people ages 65 to 74 and half of those who are 75 and older have disabling hearing loss, according to the National Institutes of…

Getting Help for Long-Term Post-COVID Symptoms [Podcast]

While most people with COVID-19 recover and return to normal health within a few weeks, others have symptoms that linger for months after recovery. Even people who have had mild versions of the virus can experience persistent or late symptoms. These people are often referred to as "long haulers" and the condition has been termed post-COVID syndrome or "long COVID-19."

Maternal Health in the Black Community [Podcast]

Dr. Cheryl Johnson leads a discussion focusing on empowerment in the African American community, especially maternal health.

Maternal Health in the Black Community [Podcast]

Dr. Cheryl Johnson leads a discussion focusing on empowerment in the African American community, especially maternal health.

Testicular Cancer: An Overview from Prevention to Treatment [Podcast]

Dr. Dankoff provides an overview of testicular cancer. Learn about symptoms, prevention, and treatment options.

What Makes a Great Doctor - Personal Insights, Advice, and Why they Chose Medicine [Podcast]

Dr. Shanu Agarwal and resident Kortnie Broschinsky discuss their journey into healthcare.

Feeling the pressure? 8 ways to live a heart-healthy lifestyle

Are you feeling the pressure to live a heart-healthy lifestyle? You’re not alone.

Heart disease is the leading cause of death for men and women in the United States, according to the American Heart Association (AHA). What’s more, nearly half of all adults in this country are living with some type of cardiovascular disease.

The good news is you don’t have to be a statistic. While genetics do play a role in heart disease, there are several risk factors that can…

Occupational Therapy: What Is It, How Does It Help, Who Should See An OT [Podcast]

Craig Wood leads a discussion focusing on occupational therapy, its benefits, and why he got into the field.

Our Commitment to Creating a Healthier Community [Podcast]

Iriel Hopkins and Marlo Schmidt discuss ways in which Summa Health System contributes to a healthier community.

Sudden Infant Death Syndrome – What You Need to Know [Podcast]

Karen Frantz DeSeptis and Ericka Malone lead a discussion on SIDS, and important information you need to know.

Sudden Infant Death Syndrome – What You Need to Know [Podcast]

Karen Frantz DeSeptis and Ericka Malone lead a discussion on SIDS, and important information you need to know.

Get the facts on heart disease in Black women

Updated February 2025

You may have heard heart disease and stroke are the No. 1 killers in women. But did you know that cardiovascular disease, including stroke, disproportionately affects Black women?

It’s true. According to the American Heart Association (AHA), 60 percent of Non-Hispanic Black women aged 20 and older have some form of cardiovascular disease. Black women have almost two times higher risk of stroke than Caucasians and are sadly more likely to…

How "Long COVID-19" is taking a toll on patients' mental health

The stress of the COVID-19 pandemic has taken a toll on everyone, but especially on those who have battled the virus and now have lingering symptoms.

Known as “long COVID-19” or “post-COVID syndrome,” some patients are experiencing COVID-19 symptoms for weeks or even months after recovering from the acute phase of infection — even when the virus is no longer detected in their bodies. Even patients who had mild cases and weren’t hospitalized…

An Overview of Osteoporosis: Prevention to Treatment [Podcast]

Natalie Hiltbrand, an Osteoporosis Specialist at Summa Health, leads a discussion on osteoporosis treatment, as well as prevention.

Exercising your brain: 6 ways to build mental fitness

Updated September 2024

Just as our bodies require care and exercise over the course of our life, so do our brains — especially as we age. Lifting weights strengthens our muscles, while strengthening our mental “muscles” improves our memory, attention, brain speed, people skills, intelligence and navigation.

The key is variety. Similarly when we exercise our body, if doing something becomes too easy, it’s time to make a change to build brainpower. The…

10 Early Signs of Diabetes That Shouldn't Be Ignored

FsoHigh blood sugar can cause gradual, unassuming symptoms that can sneak up on you. Frequent urination and excessive thirst — the telltale signs of type 2 diabetes — are often mild and can easily be attributed to other factors.

In fact, most people don’t even know they have high blood sugar until they’re diagnosed with type 2 diabetes.

Diabetesis a chronic condition that causes glucose (or sugar) levels in the body to rise. The problem is ignoring or writing off the symptoms…

5 questions to consider when creating a birth plan

Whether you’re expecting your first baby or expanding your family, when the day you give birth finally arrives, it’ll be one of the most important in your life. That’s why many expecting parents have a written birth plan ready that outlines their preferences for their big day.

It’s normal to have expectations for how you’d like your birth experience to happen. Discussing your wishes ahead of time with your partner and obstetrician, or midwife…

Addressing Common Pelvic Health Issues [Podcast]

Dr. Megan Cesta and senior physical therapist Amy Senn discuss common pelvic health issues women may experience.

Safe sleep for babies: It's as easy as ABCDE

It’s true babies sleep a lot. In fact, they can spend up to 16 hours a day asleep in the first few weeks of life. That’s why it’s so important to make sure for every snooze — nighttime and naptime — your baby sleeps safely.

Sadly, every week in Ohio, it’s estimated 3 babies die while sleeping due to unsafe sleep practices, according to the Ohio Chapter of the American Academy of Pediatrics. In fact, Ohio has the eighth-highest infant death…

Why is it so important to get your flu shot this year?

Last winter, the community took several precautions to help stop the spread of COVID-19. From masks and social distancing to virtual work and school to cancelled events, an unforeseen positive side effect was a less intense flu season.  

Flu cases documented during last year’s flu season were historically low by a wide margin. Medical professionals haven’t seen anything like it.  

So with many precautions still in place amidst an ongoing pandemic, you may be…

Top Questions to Ask Your Provider When You’re Pregnant [Podcast]

Healthy VitalsDr. Stephen D’Abreau covers important questions and topics that you should be asking your healthcare provider if you are expecting a baby.

Are you coping with stress in a healthy way?

Stress is inevitable and a natural part of our modern lives. Bills come every month, kids’ activities are year-round and work never seems to slow down.

Suffice it to say, stress is something all of us struggle with at times. However, it’s one that all of us cope with differently — some in healthy ways and others in unhealthy ways. Some people may turn to meditation or a friend to release stressful energy, while others may turn to more harmful activities or…

PTSD: Symptoms and Treatment [Podcast]

Healthy VitalsDr. Adam Ripley discusses trauma exposure and options for treatment, not limited to combat trauma.

Morning sickness: What's normal and what's not

One of the most common symptoms of early pregnancy is nausea and vomiting. Although it is common, it can have a significant impact on patients' quality of life, especially when it is severe or prolonged. Nausea and vomiting is an unpleasant reality for many women in their early weeks of pregnancy, but for some it can extend into the second and third trimester as well.

There is a wide variation amongst women who experience pregnancy induced nausea. Some women…

Laughter in Times of Stress [Podcast]

Healthy VitalsListen to this episode of the Healthy Vitals Podcast featuring Megan Dean, Laughter Leader. 

Heavy, painful periods? It could be endometriosis.

Reviewed April 2025

Endometriosis is not PMS, or premenstrual syndrome. It is not pain from your period because endometriosis overlaps with a woman’s cycle, many chalk up the symptoms to just a “bad period.” Severe endometriosis may even lead to pain outside of your period.

Endometriosis is caused by endometrial (uterine) cells located elsewhere in the pelvis, outside the uterus. If you’re suffering from endometriosis, tissue that is similar to the…

African-Americans More at Risk for Heart Disease

February is Black History Month, when we recognize African-Americans and those of color who have played major roles in shaping our present culture. February is also American Heart Health month – a time to raise awareness of heart disease. While these two events are different, they are linked in healthcare. Heart disease remains the number one killer of Americans, and African-Americans are 20 percent more likely to die from heart disease than non-Hispanic whites.

We do not…

Is working from home a pain in the neck — literally?

Many agree one positive that has come out of the COVID-19 pandemic is the work-from-home order to prevent further spread. No more long commutes and fighting traffic, more time spent with family and less interruption from chitchat around the water cooler.
 
In the United States, it’s estimated nearly 50 percent of the working population is now working at home. But as more and more companies embrace remote working for the long haul, one negative has emerged: new or…

Thyroid disease 101: Early diagnosis and treatment are key to preventing serious complications

The thyroid gland has an important job to do in the body. It produces thyroid hormones that help regulate metabolism and the body’s overall temperature. Metabolism is a process that turns food into energy, which is vital to keeping all of our body systems working correctly. This small, but mighty gland impacts just about every area of the body, including heart function, digestive function, muscle control, mood and brain development.
 
The thyroid gland is a small,…

Stress Management: How to Tell the Difference Between Good and Bad Stress

Stress is a natural part of our modern lives. Bills come every month, kids’ activities are year-round and work never seems to slow down. A little bit of stress is inevitable, but oftentimes that’s a good thing.

Stress helps you meet your daily challenges and motivates you to reach your goals, ultimately making you a smarter, happier and healthier person. That’s right. Good stress is vital for a healthy life.

Good vs. Bad Stress

You may think any type of stress is bad, but that…

All About Sleep Apnea [Podcast]

Dr. James Bavis & Dr. Ketan Deoras explain sleep apnea as well as signs, symptoms, and what to expect.

SAD: Overcoming the "winter blues" in a pandemic

Beautiful colors, cooler temperatures and the anticipation of the upcoming festive holidays make fall a season favorite for many.

But for those suffering from seasonal affective disorder (SAD), the shorter days with intermittent sunshine can make for a long and dreary fall and winter season — both physically and mentally.

SAD is a reoccurring type of depression that tends to have a seasonal pattern. For most, symptoms begin in late fall and can linger around until late…

Sports injuries of the knee: ACL and meniscus tears

You’ve seen it on the soccer field or basketball court: a player plants a foot, twists and goes down grabbing a knee. The problem is most likely tearing of the meniscus (cartilage) or ACL (anterior cruciate ligament). Both can be extremely painful and sideline an athlete for months of recovery.

A tear usually requires more intervention than a strain or sprain.

A knee strain is a stretch or partial tear of a tendon or muscle, while a sprain is a stretch or tear of a…

Breast Cancer: The Importance of Knowing Your Risk [Podcast]

Dr. Keristen Brantley & Dr. Victoria Van Fossen discuss Breast Cancer Prevention and Treatment.

Alzheimer’s Awareness: Symptoms, Stages, and Support [Podcast]

Amanda Harvan sheds light on the symptoms, stages and support of Alzheimer's.

Men’s Well-Being: All About Prostate Health [Podcast]

Dr. Kevin Spear discusses men's health and different risk factors and how to ensure optimal well-being.

The Latest Updates on COVID-19 [Podcast]

Dr. Thomas File shares the latest updates on COVID-19.

Can Obesity be Considered a Disease [Podcast]

Dr. Adrian Dan discusses obesity as a metabolic disease.

Breaking the Stigma of Mental Illness [Podcast]

Emily Hionides-Horner discusses 7 ways to overcome mental health stigma.

Breaking the Stigma of Mental Illness [Podcast]

Emily Hionides-Horner discusses 7 ways to overcome mental health stigma.

The Modern Guide to Heart Health [Podcast]

Dr. Peter Bittenbender shares his insight on the modern guide to heart health.

Tips on Maintaining Fitness and Physical Health During the Pandemic [Podcast]

Dr. Cipriani discusses tips on maintaining physician health during the pandemic.

Tips for Managing Anxiety [Podcast]

Dr. Leslie Zaynor discusses tips for managing anxiety.

Tips for Managing Anxiety [Podcast]

Dr. Leslie Zaynor discusses tips for managing anxiety.

7 ways to overcome mental health stigma

When we fall or get injured, it’s only natural to immediately ask for help because it hurts and we want to feel better. However, if someone is struggling with internal pain, has loneliness, depression, anxiety, isolation, or hopelessness, or someone perceives others are judging them due to their mental illness, many people hesitate to ask for help in the same way they would for a physical injury.

Unfortunately, this is the case for many who suffer from a mental illness,…

5 health numbers you should know by heart

As we grow older, wrinkles, fine lines and gray hairs aren’t the only aging factors we need to be concerned about. The real health indicators we should be tracking can’t be found in any mirror — and they affect our heart and other vital organs. 

These are critical heart health numbers that should not be ignored and include blood pressure, resting heart rate, cholesterol, blood sugar and body mass index. Heart disease is the leading cause of death for…

Tips for a healthier happier day

In today’s world, we often forget to do the little things that can often make a big difference in our health and happiness. Typically, it is the simplest things that can do the most to help us feel our best every day and all year long. Here are a few tips to keep in mind for a healthier, happier day:

Make plans to do something you love. Research shows that having something to look forward to makes you happier. So, on a rough day, try to make a plan to do something…

Seven tips to manage stress during challenging times

1. Have an attitude of gratitude.

Making an effort to remember all of the things you’re grateful for is very important. Research has shown that taking time to express gratitude or even acknowledge thankfulness in our own thoughts increases well-being and creates positive feelings. Gratefulness can be the antidote to increased stressors in challenging times.

2. Spend money wisely.

Overspending, panic spending, and comfort spending can add to your stress by creating…

Play to laugh

Laughter is what the doctor ordered when it comes to stress relief.  Science shows laughter may very well be the best medicine when it comes to relieving stress — and that’s no joke. Whether you’re howling at a TV sitcom or giggling at your friend’s joke, the positive effects from laughter on body function — from increased circulation to muscle relaxation — confirm that real, sincere, happy laughter is good for you!

With April being…

Pregnancy and novel Coronavirus: Facts for expectant mothers

As Coronavirus COVID-19 continues to spread, pregnant women worry not only for themselves but for their developing babies. This is a new virus, and doctors are still learning about the risk it poses to women and infants.

 

The Centers for Disease Control and Prevention (CDC) reports that it is too early in this epidemic to know if a pregnant woman can pass the virus to her baby during pregnancy or delivery. However, “No infants born to mothers with COVID-19 have…

7 Health Concerns Women Shouldn't Ignore

From mother to wife, and from businesswoman to caretaker, women wear many hats on a daily basis. So, it’s understandable why many of us put off our own needs; there’s just not enough time in the day. However, when it comes to your health, it should always come first.

Maybe you’re too busy to stop and see a doctor, or you’re hoping a symptom will just go away on its own. But, if you’re not feeling your best, you can’t possibly perform at your…

The Benefits of Breastfeeding for both Mother and Baby

For mothers everywhere, making the decision whether to breastfeed or not is a very personal matter. Both the American Academy of Pediatrics (AAP) and the American College of Obstetricians and Gynecologistsstrongly recommend breastfeeding for 6 months. There are many health benefits to breastfeeding for both mother and baby, which we’ve outlined below to give you the latest research and information. Of course, every family is unique, and the decision is ultimately up to…

Take a Vacation to Boost Your Mental Health

Americans are often overstressed and overworked, and it’s no wonder – not all Americans have the luxury of paid time off, and even those who do generally don’t take all of it. According to research, more than one in 10 Americans say they plan to take a quarter or less of their vacation days in 2019.

There are many studies that suggest taking time off is beneficial to your mental, physical and overall health and that people who take vacations have lower stress…

Alzheimer's Research Showing Promise for Future

Billions of dollars have been spent on researching Alzheimer’s, but it stubbornly continues to affect 1 in 10 Americans over the age of 65. While we are still waiting for a cure, there have been significant advances that have made an impact on the treatment of Alzheimer's and related diseases:

New treatments and positive trials on the horizon
Currently, the medications on the market for Alzheimer’s only relieve symptoms of the disease. None stop the progression.…

TMS - A Hope for Treatment of Major Depression

While the exact cause of depression isn’t known, it is thought to be caused by an imbalance of the brain’s neurotransmitters – the chemical messengers that send signals between brain cells. While there are many effective treatments for depression, the typical approaches like therapy and antidepressants don’t necessarily work for everyone.

For decades, shock therapy, or ECT, has been used to treat major depression that was not treatable with medication and therapy. While there…

When it Comes to Addiction, What is the Best Path to Recovery - Abstinence or Harm Reduction?

Addiction recovery is a deeply personal journey, and different strategies work for different people. The two most common, and very different, recovery philosophies are abstinence and harm reduction. The following is a brief description of each of these approaches.

Abstinence

Abstinence-based recovery dates back centuries, long before addiction was determined to be a medical disease. This recovery philosophy expects an individual to completely stop the use of alcohol and other…

Polycystic Ovary Syndrome - What Is It And How Will It Affect My Body?

Polycystic ovary syndrome is a common health problem that affects women of childbearing age and is caused by an imbalance of reproductive hormones. Women with PCOS may have infrequent or prolonged menstrual periods or excess male hormone (androgen) levels. Because of this imbalance, the ovaries sometimes develop numerous small collections of fluid and can fail to regularly release eggs.

Who is at Risk for PCOS?

It is estimated that between 5% and 10% of women between 15 and 44…

Social Media and Depression: What's the Connection?

Have you ever wondered about the impact of social media on mental health? Social media has drastically changed the ways we communicate and socialize with others. In many ways, social media has had a positive impact; but the experiences can also be extremely negative, cyberbullying for example. Concerns regarding the impact of social media have resulted in a number of studies that look at the connection between social media and depression or anxiety. Not surprisingly, the…

September is Suicide Prevention Awareness Month

September is designated as Suicide Prevention Awareness Month, in conjunction with Worldwide Suicide Prevention Day held on September 10.  Events held on this day focus on raising awareness that suicide IS preventable, providing education and information about suicide, and decreasing the stigma associated with suicide.

 

Despite these (and other) efforts, suicide statistics tell a grim story. Just to cite a few examples, suicide rates have been on the rise since 1999.…

Should you get a wearable sleep tracker?

Deep, consistent, quality sleep can not only make you feel great during the day; it can also improve your health. Sleep can boost your mood, help you maintain a healthy body weight and help your heart and mind function at tip-top levels.

But, for some of us, a solid night's sleep may seem like a dream. Lack of sleep can affect our brain's ability to react properly; so much so, that our body’s overall health can be at risk.

Going Natural: Anti-Aging Tips for Over 40

It is never too late to adjust your skincare routine. Think of it like a new exercise routine: with a little dedication, determination and education you can undo or halt bad habits.

Around the age of 30, the body’s collagen production slows down. Collagen plays a big part in the elasticity our skin has. When that production slows down, we tend to see our skin change with the addition of dark spots, larger pores, fine lines and wrinkles.

PTSD: Not A Life Sentence

June 27th is PTSD Awareness Day (and all of June is PTSD Awareness Month). PTSD, or Post-traumatic Stress Disorder, is a condition that can develop following highly stressful life experiences. Some examples of these traumatic events are military combat, sexual assault, transportation accidents, and natural disasters. Such trauma exposure is quite common. Most people will experience at least one traumatic event in their lifetime.

Seven Myths About Mental Health Debunked

Mental health is as complex as physical health. It can fluctuate up or down, it can be affected by genetics and physical trauma and is something that may require treatment by a medical professional.

In the US, one in five individuals is affected by a mental health condition. To address the stigma associated with mental health, discover seven myths, debunked here.

How Does Anxiety Influence Your Health

Fight or flight— it’s how our body responds in stressful or anxious situations. The body working in tandem with the mind is an incredible thing. As we continue to learn more about how our emotional feelings can manifest in physical ways, the more connected they appear to be.

The Gift of Heart Health

When you think of February, you may think of Valentine's Day, chocolate and flowers. February also marks American Heart Month, a great time to commit to a healthy lifestyle and make small changes that can lead to a lifetime of heart health. Heart disease is the leading cause of death for men and women in the United States. But the good news is it's also one of the most preventable.

Making heart-healthy choices, knowing your family health history and the risk factors for heart…

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