International surgeons to learn from Franciscan St. Francis Health ortho experts

MOORESVILLE, Ind. – An international panel of orthopedic surgeons is coming to Franciscan St. Francis Health-Mooresville to observe and discuss advancements made in knee replacement surgery and therapies.

They will be learning the latest techniques in knee replacement surgery from physicians who are members of Franciscan Physician Network Joint Replacement Surgeons, the practice group affiliated with the Center for Hip & Knee Surgery at the Mooresville campus.

Four international candidates selected for the John N. Insall Travelling Fellowship, sponsored by The Knee Society, will visit the hospital Oct. 22-24. They are

Duncan Jacks, MD., Royal Jubilee Hospital, Victoria, British Columbia, Canada; Mislav Jelic, MD, Clinical Hospital Center Zagreb, University of Zagreb, Zagreb, Croatia; Jianhao Lin, MD, Peking University People’s Hospital, Beijing, China; and Fabio Orozco, MD, Rothman Institute, Thomas Jefferson University Hospital, Philadelphia.

“Members of this prestigious group were selected for their surgical skills and research, and we are honored to host them at our center to learn about the work we perform,” said Michael Berend, MD, an orthopedic surgeon with the center, a Knee Society member and an Insall Fellow himself in 2004. “To be one of only 10 centers in the world to host the fellowship is a great honor for us. We hope to share with them many of the latest surgical techniques we have developed at the center.”

Other Knee Society members at the Mooresville center are Drs. John B. Meding, Philip M. Faris and E. Michael Keating. The center’s Robert Malinzak, MD, was chosen as an Insall fellow last year.

The Mooresville center is recognized in the United States and the world as a premier center for joint replacement surgery.

For more information about the Center for Hip & Knee Surgery, visit centerforhipandkneesurgery.org. 

Hospice House will be only comprehensive inpatient facility on Indy’s south side

 Fundraising milestone enables groundbreaking at Franciscan St. Francis Health-Indianapolis

INDIANAPOLIS – End-of-life care is an emotional and deeply personal odyssey for patients and their families, who often find themselves strapped to find the desired resources needed to comfortably complete life’s journey. They will soon have a new place to turn to for the support they need.

A long-awaited milestone was reached at the 46^TH annual Chrysanthemum Ball (Sept. 28) hosted by Franciscan St. Francis Health, when it announced a significant funding goal had been achieved so that it might move forward with its Hospice House project.

“For the last two years we have aggressively ramped up our campaign to build a free-standing hospice facility, complementing the exceptional home hospice and palliative care services that we have provided for more than two decades to 4,000 families in south-central Indiana,” said Robert J. Brody, president and chief executive officer for Franciscan St. Francis. “Tonight, I am pleased to share with you that thanks to the matching dollars from Franciscan Alliance we now have sufficient funds to break ground on Hospice House in spring 2014.”

Brody also praised hospital employees and physicians for their contributions, which amounted to nearly $3 million given the match, provided by the Mishawaka, Ind.-based Franciscan Alliance.

“As one of our core values states, ‘The gift of life is so valued that each person is cared for with such joy, respect, dignity, fairness and compassion so that he or she is aware of being loved’,” said Sister Jane Marie Klein, OSF, chairperson of Franciscan Alliance Board of Trustees, who was present for the announcement. “Whether nursing a patient back to health or caring for them through the dying process – our system carries on Christ’s healing and teaching ministries.”

Franciscan values and its mission certainly have fueled the Hospice House project.

“Continuing Christ’s ministry in our Franciscan tradition is the overarching purpose of the Franciscan Alliance Foundation,” said Sister Aline Shultz, OSF, vice president of development, marketing and public relations for Franciscan Alliance. “Achieving this fundraising goal is a testament to our commitment to finish the campaign in its entirety and to serve patients and families in a way consistent with our values.”

Total gifts, pledges and matching funds are propelling the campaign to its estimated $12 million total cost. Campaign leaders added that much work remains on raising the final $3 million to cover all the costs of construction and to establish a small endowment to sustain Hospice House well into the future.

“This is a night to celebrate because without you there would be no Hospice House,” said Steven J. Beck, who chairs Franciscan Alliance Foundation St. Francis Health. “But with your support, hundreds of families for whom hospice care in the home is not an option, will now receive compassionate end-of-life care in a peaceful, comfortable residential setting.”

CHAPEL

COMMON AREA FOR FAMILIES

PATIENT ROOM

PRAYER GARDEN

Surgeon explains orthopedic, joint replacement therapies Oct. 24

PLAINFIELD, Ind. – You can overcome hip and knee pain and get back to leading an active and rewarding life — and Franciscan St. Francis Health wants to show you how.

Franciscan St. Francis Health will present an arthritis and hip and knee replacement seminar at 6:30 p.m., Thursday, Oct. 24, at The Palms (formerly Primo West), 2353 E. Perry Road, Plainfield. Light refreshments will be served, beginning at 6 p.m.

Philip Faris, M.D., will explain the latest procedures in joint replacement and arthritis treatments. He is a board-certified orthopedic surgeon specializing in adult reconstructive surgery and joint replacement.

Faris is a surgeon with Franciscan Physician Network Joint Replacement Surgeons, the practice group affiliated with the Center for Hip & Knee Surgery at St. Francis Health–Mooresville, recognized in the United States and the world as a premier center for joint replacement surgery..

To register for this seminar, call Franciscan St. Francis toll-free at 1-877-888-1777.

More information about the Center for Hip & Knee Surgery is at CenterForHipAndKneeSurgery.org.

Senior Promise health fair offers variety of services, resources at Oct. 4 event

An estimated 600 people attend each annual Fall Health Festival, the
 largest event of its kind geared for seniors.

INDIANAPOLIS – Senior Promise is hosting its 20^th annual Fall Health Festival, Friday, Oct. 4, at The Atrium Banquet Hall, 3143 E. Thompson Road.

The annual event, which is from 9 a.m. to noon, is free and geared for those 50 and older; people with diabetes and their caregivers; and those seeking community resources for seniors and people with disabilities. There’s adequate parking at the wheelchair-accessible facility.

The festival offers the opportunity to not only learn about up to date changes in the medical field, undergo health screenings and learn of new area resources, but it also offers the occasion to stay connected and in touch. 

“This popular yearly event is one of the highlights of the Senior Promise program benefits.  Each year it attracts about 600 participants who are interested in bettering their health,” said Jeanelle Regal, Senior Promise director.

The festival offers information on a variety of medical topics and health screenings, including cholesterol, blood pressure, oral cancer, balance assessment, vision, diabetes foot, and lung/air capacity.

The Visiting Nurse Service at St. Francis will be on hand to offer flu and pneumonia shots which are covered to those receiving Medicare Part B or having Anthem Blue Cross and Blue Shield health insurance. The flu vaccine is $30 and pneumonia vaccine is $70 for non-Medicare enrollees and non-Part B Medicare beneficiaries.

This year’s health fair will include a blood drive and visit from emergency medical technicians from Indianapolis Emergency Medical Services, who will talk with guests about personal safety and assist in filling out free emergency medical information forms. 

New to this year’s fair will be a blood drive. The Indiana Blood Center’s mobile unit will be onsite for blood donations. If you have questions about your eligibility to donate, call Indiana Blood Center at 317-916-5150 or email eligibility@indianablood.org.

 

Launched in 1987, Senior Promise is a program based at Franciscan St. Francis Health-Indianapolis, provides its 22,000-plus members a variety of meaningful services and benefits for people age 50 and older throughout the year.

For more information about Senior Promise, call 317-528-6660.

A-fib, dizzy spells, heart healthy classes on the menu for public

INDIANAPOLIS – It’s back to school in October and Franciscan St. Francis Heart Center has a full slate of free classes for the public.

Cardiologist John Moore III, MD, will lead a course on treatment options for atrial fibrillation. It begins at 6:30 p.m., Tuesday, Oct. 8 at the Heart Center (8111 S. Emerson Ave.). A-fib, as it is commonly called, is a condition where the heart beats irregularly at a high rate. If severe, it can lead to a heart attack, stroke or death

And what about people with dizzy spells? Harry Genovely, MD, will discuss syncope, a condition causing temporary loss of consciousness and posture, which usually is related to a temporary insufficient blood flow to the brain. Determining the cause can be a challenge, and one of the possible sources is a disorder in the heart. This class takes place on Thursday, October 24 at 6:30 p.m. at the Heart Center.

A third course also will tackle heart failure and its signs and symptoms, medication and nutrition. Genovely will lead the discussion and talk about what needs to be done to say healthy in the home for someone diagnosed with heart failure and how to manage it. This class is ideal not only for patients but their families. The class is 4:30 p.m., Monday, Oct. 14 at the Heart Center.

Call 317-782-4422 to register for any of these classes.

The Heart Center also offers a variety of health and wellness courses, including:

Cooking for 2

Tuesday, Oct. 29 at 6:30 p.m.  at Franciscan St. Francis Health – Mooresville (1201 Hadley Road)

As we get older, our health becomes more of a priority.  After the kids leave home, it can be challenging to scale back our cooking, so dining out seems like an easy option.  In this class, learn how it really is cheaper and healthier to cook at home for two. 

Fitness Tips

Tuesday, Oct. 1 at 6:30 p.m. at Franciscan St. Francis Health – Mooresville

Wednesday, Oct. 9 at 6:30 p.m. at the Heart Center

Being fit is more than being thin.  Research shows that no matter what you weigh, increasing your fitness helps your heart.  Discover that exercise can be healthy and fun.  Learn how to set up a schedule for yourself.

Healthy Dining Out Tips

Wednesday, Oct. 16, 6:30 p.m. at St. Francis – Mooresville

Americans eat nearly half their meals away from home.  How can you control what you eat when you don’t cook for yourself?  Learn how to make wise menu selections and eat smart while dining out.

Healthy Meals on a Budget

Wednesday, Oct. 23, 6:30 p.m. at the Heart Center

As food prices climb and budgets get tight, smart purchases at the supermarket are important.  In this class, you will learn ways to stretch your food budget while still getting the nutrients you need.

  

Quick meals at home

Wednesday, Oct. 2, 6:30 p.m.  at the Heart Center

Some days, we just don’t have the time – or the desire – to spend a lot of time in the kitchen.  But that doesn’t mean we need to sacrifice eating well at home.  Learn how to fix quick and easy nutritious meals you and your family can enjoy.

Reduce Stress

Wednesday, Oct. 30, 6:30 p.m. at the Heart Center

Negative stress causes changes in lifestyle and behavior, which may lead to unhealthy choices.  Learn to identify the causes of stress in your life and techniques to decrease your stress which can improve your health.

Savvy Shopping

Tuesday, Oct.  22, 6:30 p.m. at Camby Meijer

With all the new and changing products on the shelves, grocery shopping can be overwhelming.  Learn where to find the healthy foods and how to avoid packaging tricks commonly used to market foods.  Discover how food labels make you a smarter shopper.

Nurses commended for stellar patient, family care

WALLS

INDIANAPOLIS, Ind. – For Cherie Walls and Bonnie Hicks, nursing is far more than a career. It’s living the Franciscan St. Francis Health mission, providing joyful service, compassionate care and having a respect for life for patients.

The pair of registered nurses was saluted as July’s recipients of the DAISY award, presented by Franciscan St. Francis.

Walls, who works at the hospital’s Mooresville campus in the Emergency Department, was nominated by two different people.

“She stayed with us and held my mother’s hand and prayed with us for over five hours,” said the patient’s son.

Hicks works on the post-surgical unit at Indianapolis. Nominated by a patient, Hicks was commended for her compassion and faith. “She is a light in a dark world and a child of God displaying great wisdom, compassion and grace. This was a divine appointment and I’m so very glad she was my nurse.”

WALLS

The DAISY Award was established by the DAISY Foundation in memory of J. Patrick Barnes who died at 33 of an autoimmune disease. His family was so impressed by the clinical skills, caring and compassion of the nurses who cared for him that they created this national award to say “thank you” to nurses everywhere. For more information, go to www.daisyfoundation.org.

And a child shall lead them: Walk, events honor memories of lost infants

BEECH GROVE, Ind. – Franciscan St. Francis Health will host its 28th annual Walk to Remember Saturday, Oct. 12.

Hundreds of families from around central Indiana who have lost children through miscarriage, stillbirth or newborn death will come together to remember their babies in a service of music, poetry, reading of the infants' names, balloon and dove release .

The walk begins at 11 a.m. at Holy Name Catholic Church, 89 N. 17th St., and treks to nearby Sarah T. Bolton Park. The program lasts about 90 minutes, and participants are encouraged to bring blankets, folding chairs and a picnic lunch.

Franciscan St. Francis representatives also will be on hand to discuss ways to cope with losing a child and to explain the hospital’s Memories to Hold support group for grieving families.

For more information about Walk to Remember, call 317-528-5199 or visit franciscanstfrancis.org/women to register.

Danish film crew gets taste of how Franciscan St. Francis Health addresses obesity

Documentary explains how hospital and Weight Loss Center adapt to challenges

INDIANAPOLIS – Franciscan St. Francis Health’s Weight Loss Center (WLC) and its services will be the focus of a Danish Broadcasting Corporation (DR) documentary later this fall.

Terri Hohlt (l) demonstrates to Christine Feldthaus how a
specialized scale is used to treat wheelchair-bound patients.

A four-member film crew visited Franciscan St. Francis Health-Indianapolis Sept. 10 to get an up-front look at how its bariatric program helps obese patients achieve their weight loss goals and how to make healthier lifestyle choices. The documentary team also wanted to see how the hospital has adapted in accommodating obese patients.

DR’s interest in obesity in the United States and how the medical industry is adapting to that trend was spawned by a USA Today story which originally appeared in the Indianapolis Star late last year. The article featured  WLC program director Terri Hohlt and Paul Minnis, the hospital’s MRI imaging team leader.

Obesity is officially defined as having body fat above 32 percent of women and 25 percent for men; 30 percent and 25 percent for girls and boys, respectively. Nearly 80 million American adults and 12.5 million are obese, according to the Institute of Medicine, the health component of the National Academies.

In contrast, Denmark’s overall obesity rate is markedly lower at 11.5 percent, but is said to be steadily on the rise.

“No doubt, obesity has become a serious medical issue in our nation and particularly here in Indiana,” Hohlt told Christine Feldthaus, a well-known television personality in Denmark and a DR interviewer. “Our hospital recognized this early on and responded.”

Among the changes at Franciscan St. Francis has been the installation of wider doorways, reinforced commodes, patient beds and seating in waiting rooms and larger wheelchairs. Most of those changes have been subtle and blend in with the surroundings.

On the clinical side, the Indianapolis hospital uses vein viewers for better vascular access and a wide bore MRI scanner which can accommodate patients as heavy as 600 pounds.

More than a decade ago, advances made in weight loss surgery gained in popularity as the obesity trend escalated. Franciscan St. Francis responded by establishing a bariatric surgery and medically supervised weight loss program. It was among the first in the Indiana to be certified as a Center of Excellence from the American Society for Metabolic & Bariatric Surgery.

“A third of the cases I treat are bariatric procedures,” Jonathan Mandelbaum, MD, Franciscan Physician Network Indy Southside Surgical and surgical director of the bariatric program, explained when the news team visited with him in a vacant operating room suite. “Laparoscopic technology has kept pace and aids us greatly in treating our heaviest patients.”

Mandelbaum and his colleagues offer patients options such as gastric sleeve, gastric bypass, and Lap-Band surgeries, which are recommended for patients with a BMI of 40 or higher, or patients with a BMI of 35 and higher and who have other conditions such as diabetes or sleep apnea.

During their visit, the DR team also toured the Imaging Department and met with the post-surgical nursing staff, where some of the rooms have been fashioned to accommodate obese patients. They also met with a registered dietitian, who explained how she educates patients on eating habits and choices during weight loss and following surgical procedures.

The film documentary is expected nationally in Denmark and adjacent nations in November 2013.

To learn more about the programs and services at Franciscan St. Francis Health Weight Loss Center, visit its website at www.franciscanalliance.org/hospitals/indianapolis/services/weightloss/Pages/default.aspx.

Hohlt explains how the medical weight loss program works for new patients.

Feldthaus and DR producer Sine Ivic (l) discuss how to shoot footage
showing the challenges of using a large wheelchair.

Dr. Jon Mandelbaum demonstrates how special
 laparoscopic tools are used for bariatric surgery.

A third of Mandelbaum's cases are bariatric surgery patients.

A registered dietitian's wall at the Weight Loss Center gives patients food
for thought about their food selections. Audrey Peters, RD, told the Danish
film crew about how she counsels patients and helps with outreach activities.

THAT'S A WRAP: Terri Hohlt pauses for a snapshot with the Danish Broadcasting Corp. crew as their visit comes to an end. From right, Sine Ivic (field producer), Theis (videographer), Christine Feldthaus (host) and Dorothe Pedersen (production assistant).

Surgeon explains orthopedic, joint replacement therapies Sept. 12

BEDFORD, Ind. – You can overcome hip and knee pain and get back to leading an active and rewarding life — and Franciscan St. Francis Health wants to show you how.

Franciscan St. Francis Health will present an arthritis and hip and knee replacement seminar at 6:30 p.m., Thursday, Oct. 10, at Quality Inn & Suites (formerly Comfort Inn), 911 Constitution Ave. Light refreshments will be served, beginning at 6 p.m.

John Meding, MD, will explain the latest procedures in joint replacement and arthritis treatments. He is a board-certified orthopedic surgeon specializing in adult reconstructive surgery and joint replacement.

Meding is a surgeon with Franciscan Physician Network Joint Replacement Surgeons, the practice group affiliated with the Center for Hip & Knee Surgery at St. Francis Health–Mooresville, recognized in the United States and the world as a premier center for joint replacement surgery.

To register for this seminar, call Franciscan St. Francis toll-free at 1-877-888-1777.

More information about the Center for Hip & Knee Surgery is at CenterForHipAndKneeSurgery.org.

Franciscan St. Francis Health to offer free child safety seat inspections

INDIANAPOLIS – Franciscan St. Francis Health is encouraging parents and caregivers to have children’s safety seats inspected based on recommendations issued by the National Highway Traffic Safety Administration (NHTSA).

That’s why the hospital is offering free inspections with certified technicians on hand to advise on the proper use of seats for youngsters. The first event is 11 a.m. to 2 p.m., Tuesday, Sept. 17 in the parking lot of Franciscan St. Francis Weight Loss Center (5230-A E. Stop 11 Road).

The event coincides with National Child Passenger Safety Week. If unable to visit the inspection sites, adults can arrange for free inspections by calling 317-528-5774.

“We want to help adults do their best to protect children,” said Sharilyn Wagner, RN, with Franciscan St. Francis’ car seat safety program. “It’s said that three-in-four child seats are not placed correctly. In the end, when it comes to the safety of your child, there is no room for mistakes.”

The hospital is partnering on the project with the Automotive Safety Program at the Indiana University School of Medicine (1-800-KID-N-CAR).

In motor vehicle crashes, car seats reduce the risk of fatal injury by 71 percent for children younger than 1 and by 54 percent for children 1 to 4 in passenger cars, according to data collected by NHTSA. In 2009 alone, 754 children, 12 or younger, were killed in motor vehicle traffic crashes while riding in passenger cars or light trucks.

And among those who were fatally injured, where restraint use was known, 42 percent were unrestrained. Many of these tragedies could have been prevented if the children were in the right restraint for their age and size.

The updated recommendations emphasize how important it is to keep children in each restraint type for as long as possible before moving them to the next type. For maximum child passenger safety, parents and caregivers should visit their local inspection station to ensure their children’s car seats are used properly. A list of child safety seat inspection stations can be found at www.preventinjury.org or by calling 1-800-KID-N-CAR.

Here’s what the NHTSA recommends:

Birth – 12 months: Your child under age 1 should always ride in a rear-facing car seat. There are different types of rear-facing car seats: infant-only seats can only be used rear-facing. Convertible and 3-in-1 car seats typically have higher height and weight limits for the rear-facing position, allowing you to keep your child rear-facing for a longer period of time.

1 – 3 years: Your child should remain in a rear-facing car seat until he or she reaches the top height or weight limit allowed by your car seat’s manufacturer. Once your child outgrows the rear-facing car seat, your child is ready to travel in a forward-facing car seat with a harness.

4 – 7 years: Keep your child in a forward-facing car seat with a harness until he or she reaches the top height or weight limit allowed by your car seat’s manufacturer. Once your child outgrows the forward-facing car seat with a harness, it’s time to travel in a booster seat, but still in the back seat.

8 – 12 years: Keep your child in a booster seat until he or she is big enough to fit in a seat belt properly. For a seat belt to fit properly the lap belt must lie snugly across the upper thighs, not the stomach. The shoulder belt should lie snugly across the shoulder and chest and not cross the neck or face.

Wagner further recommends that:

• Select a car seat based on your child’s age and size, and choose a seat that fits in your vehicle and use it every time.
• Always refer to your specific car seat manufacturer’s instructions; read the vehicle owner’s manual on how to install the car seat using the seat belt or LATCH system; and check height and weight limits.
• To maximize safety, keep your child in the car seat for as long as possible, as long as the child fits within the manufacturer’s height and weight requirements.
• Keep your child in the back seat at least through age 12.

For more information on Child Passenger Safety Week or to find your local car seat event, visit www.childseat.in.gov.

To learn more about the Child Passenger Safety Clinic at Franciscan St. Francis Health, go to http://www.franciscanalliance.org/hospitals/mooresville/services/women/pregnancy/Pages/car-seat-safety.aspx

Free heart healthy classes offered by Franciscan St. Francis Health experts in September

INDIANAPOLIS – Leg pain can be a result of poor blood flow to the legs through the arteries, or it can be from poor blood flow back to the heart, causing enlarged or varicose veins. 

Interventional cardiologist William Berg, MD, who specializes in peripheral vascular disease for Franciscan Physician Network Indiana Heart Physicians, will discuss the blood flow to and from the legs, signs and symptoms of arterial or venous disease and treatment options available.

Berg is the medical director at Franciscan St. Francis Health Heart Center and will lead discussion at “Ask the Doc,” 6:30 p.m., Thursday, Sept. 26 at Highpoint Orchard, 3321 Old US Highway 421 Greensburg.

Call 317-782-4422 to register for the above or below classes.

Franciscan St. Francis Health also will offer a variety of classes throughout September, including:

Healthy Eating

Tuesday, Sept. 3, 6:30 p.m. at the Franciscan St. Francis Health Heart Center, 8111 S. Emerson Ave.

Tuesday, Sept. 17, 6:30 p.m.  at Franciscan St. Francis Health-Mooresville, 1201 Hadley Road

Healthy eating leads to a healthy life!  Find out how much a “serving” is and how to manage a healthy weight.  Discover how fats, carbohydrates and protein affect our body.  Do you know how much salt, fiber and sugar are in the foods you buy?  This class offers the foundation for a healthy future.

Heart Failure nutrition:  Why is salt so important?

Monday, Sept. 9, 4:30 p.m. at the Heart Center

Living with a heart failure diagnosis can be overwhelming, but the staff of Franciscan St. Francis Heart Center is here to help.  In this class, our dietitian will talk about healthy food options that are low in sodium.  This class will provide you and your caregivers with valuable information about heart failure and how the right diet will help to manage your condition and symptoms.  Bring your family to this class.

Savvy Shopping

Monday, Sept. 9, 6:30 p.m. at Southport Meijer, 5325 E. Southport Road, Indianapolis

With all the new and changing products on the shelves, grocery shopping can be overwhelming.  Learn where to find the healthy foods and how to avoid packaging tricks commonly used to market foods.  Discover how food labels make you a smarter shopper.

Reduce Stress

Tuesday, Sept. 10, 6:30 p.m. at the Heart Center

Negative stress causes changes in lifestyle and behavior, which may lead to unhealthy choices.  Learn to identify the causes of stress in your life and techniques to decrease your stress which can improve your health.

Healthy Dining Out Tips

Wednesday, Sept. 18, 6:30 p.m. at the Heart Center

Americans eat nearly half their meals away from home.  How can you control what you eat when you don’t cook for yourself?  Learn how to make wise menu selections and eat smart while dining out.

Meatless Cooking Tips

Thursday, Sept. 19, 6:30 p.m. at the Heart Center

Meatless meals may help you live longer. Adding more meatless meals to your diet is easy with new products now on the market.  This class will help you with menu planning and recipes so you can incorporate more meatless meals into your daily life.

Cooking for 2

Tuesday, Sept. 24 at 6:30 p.m.

Franciscan St. Francis Heart Center, 8111 S. Emerson Ave. Indianapolis

As we get older, our health becomes more of a priority.  After the kids leave home, it can be challenging to scale back our cooking, so dining out seems like an easy option.  In this class, learn how it really is cheaper and healthier to cook at home for two. 

Healthy Meals on a Budget

Wednesday, Sept. 25, 6:30 p.m. at Franciscan St. Francis-Mooresville

As food prices climb and budgets get tight, smart purchases at the supermarket are important.  In this class, you will learn ways to stretch your food budget while still getting the nutrients you need.