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NEWS “It’s great to be alive - and to help others!” Thank You A big thank you to Steve Ramey, Chief Financial Officer at CRMC for the program he presented at our meeting last month. Next Meeting Our next meeting will be November 16, 2017 at 6:00 p.m. in education rooms 2, 3 & 4. Our speaker will be Scott Williams, Chief Operating Officer at CRMC. Remember to bring your baked items for the Bake Sale. Thought For The Day You’ll never do a whole lot unless you’re brave enough to try. Being in the CVICU waiting room at Cookeville Regional Medical Center is a great way to start your day. One example I recently had was my visiting partner and I started the day at 8:00 am. We visited several stent pa- tients before they went home. Next we visited several family members of patients who were having surgery that morning, which is a joy to do. We had gotten all visits made and the paperwork done when I noticed an elderly gentleman and his two adult daughters come into the room. I could tell the gentleman was having a rough day. As they made their way to sit down, I started to talk to them. I could see tears forming in the gentleman’s eyes and I focused my conversation to him. I am a na- tive Cookevillian and so was he. We talked about how our town has grown, relatives, etc. As it turned out, the gentleman knew my Dad and had done business with him years ago. As I talked to him I learned his wife of 60 years was having serious heart surgery that morn- ing. We discussed heart issues for a while and he seemed in such a better mood when I left. THAT IS NOT ALL. As I was walk- ing to my car, I heard someone call my name. As I turned to see who it was, I recognized it to be one of the adult daughters. She said, “I just have to tell you ‘thank you’ for talking to and helping my Dad. He was on the verge of crying and you stepped in and helped more than you will ever know.” Folks, that made my day. All of our accredited visitors have lots of sto- ries like this they could tell. If you would like to join our team of accredited visitors, please contact Richard Miller at 931-261-2170 or myself. We will be having a training session November 13 from 10:30 a.m. to noon in the Algood & Baxter rooms, which is required to be an accredited visitor. Our motto, “It’s great to be alive and help others. Visit our website www.mendedhearts127.org From The President Reaching Out.... Mended Hearts reaches out to people from many surrounding counties. Cookeville Regional Medical Center is truly Regional. Reminder OCTOBER YEAR TO DATE 46 Surgeries 353 49 Stents 448 13 Defibs - ICD 61 12 Pacemaker - PPM 113 20 Ablation 137 1 EP Study 12 1 TVAR 12 135 Hrs Worked 1266 30 Heart Surgery Visits 234 31 Stents Visit 272 6 PPM Visits 62 6 ICD Visits 27 8 Ablation Visits 38 19 Family Visits without Patient 192 1 TVAR Visits 10 101 Total Visits 824 Submitted by Blanche Smithers Place heart healthy recipes and articles in the box provided. We encourage everyone to submit articles including the source and your name. CHARTERED MARCH 1997 - CHAPTER 127 AWARD WINNING NEWSLETTER Heart NOVEMBER 2017 MENDED HEARTS CHAPTER 127 • COOKEVILLE, TENNESSEE VOL. 15 NO. 11 Deadline Mended Hearts meets the ird ursday of each month! November 16, 2017 Bake Sale • November 17, 2017 6:00 a.m. - 2:00 p.m. - Algood/Baxter Room

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Page 1: Heart NEWSLETTER NEWS “It’s great to be alive - and to ...crmchealth.org/sites/default/files/Mended Hearts_15.pdf · Spotlight On Melahn Finley Submitted by: Glee Miller “It’s

NEWS“It’s great to be alive - and to help others!”

Thank YouA big thank you to Steve Ramey, Chief Financial Officer at CRMC for the program he presented at our meeting last month.

Next MeetingOur next meeting will be November 16, 2017 at 6:00 p.m. in education rooms 2, 3 & 4. Our speaker will be Scott Williams, Chief Operating Officer at CRMC. Remember to bring your baked items for the Bake Sale.

Thought For The DayYou’ll never do a whole lot unless you’re brave enough to try.

Being in the CVICU waiting room at Cookeville Regional Medical Center is a great way to start your day. One example I recently had was my visiting partner and I started the day at 8:00 am. We visited several stent pa-tients before they went home. Next we visited several family members of patients who were having surgery that morning, which is a joy to do. We had gotten all visits made and the paperwork done when I noticed an elderly gentleman and his two adult daughters come into the room. I could tell the gentleman was having a rough day. As they made their way to sit down, I started to talk to them. I could see tears forming in the gentleman’s eyes and I focused my conversation to him. I am a na-tive Cookevillian and so was he. We talked about how our town has grown, relatives, etc. As it turned out, the gentleman knew my Dad and had done business with him years ago. As I talked to him I learned his wife of 60 years was having serious heart surgery that morn-ing. We discussed heart issues for a while and he seemed in such a better mood when

I left. THAT IS NOT ALL. As I was walk-ing to my car, I heard someone call my name. As I turned to see who it was, I recognized it to be one of the adult daughters. She said, “I just have to tell you ‘thank you’ for talking to and helping my Dad. He was on the verge of crying and you stepped in and helped more than you will ever know.” Folks, that made my day.

All of our accredited visitors have lots of sto-ries like this they could tell. If you would like to join our team of accredited visitors, please contact Richard Miller at 931-261-2170 or myself. We will be having a training session November 13 from 10:30 a.m. to noon in the Algood & Baxter rooms, which is required to be an accredited visitor.

Our motto, “It’s great to be alive and help others.

Visit our websitewww.mendedhearts127.org

From The President

Reaching Out....Mended Hearts reaches out

to people from manysurrounding counties.

CookevilleRegional

Medical Centeris truly

Regional.

Reminder

OCTOBER YEAR TO DATE46 Surgeries 35349 Stents 44813 Defibs - ICD 6112 Pacemaker - PPM 11320 Ablation 1371 EP Study 121 TVAR 12135 Hrs Worked 1266

30 Heart Surgery Visits 23431 Stents Visit 2726 PPM Visits 626 ICD Visits 278 Ablation Visits 3819 Family Visits without Patient 1921 TVAR Visits 10101 Total Visits 824

Submitted by Blanche Smithers

Place heart healthy recipes and articles in the box provided. We encourage everyone to submit

articles including the source and your name.

CHARTERED MARCH 1997 - CHAPTER 127

AWARDWINNINGNEWSLETTERHeartNOVEMBER 2017 MENDED HEARTS CHAPTER 127 • COOKEVILLE, TENNESSEE VOL. 15 NO. 11

Deadline

Mended Hearts meets the Third Thursday of each month!

November 16, 2017

Bake Sale • November 17, 20176:00 a.m. - 2:00 p.m. - Algood/Baxter Room

Page 2: Heart NEWSLETTER NEWS “It’s great to be alive - and to ...crmchealth.org/sites/default/files/Mended Hearts_15.pdf · Spotlight On Melahn Finley Submitted by: Glee Miller “It’s

Easy Cinnamon Apple Cranberry Sauce

Tip of the Month1. Use a squeeze-ketchup bottle top with your vacuum to get into crevasses, clean your keyboard or other small

places. Just hold or tape the top to the vacuum hose.2. To save on heating and cooling costs, set your ceiling fan direction to counterclockwise for summer and for

winter, clockwise. It also makes the room feel cooler in summer and warmer in winter.

Ingredients:5 cups fresh cranberries, washed and drained3/4 cup apple cider2 cups small-diced apples (about two medium apples)

1 1/2 cups tightly packed brown sugar1/2 teaspoon allspice1/2 teaspoon cinnamon

Tip of theMonth

From Our Kitchen to Yours

Jamestown MinutesSubmitted by Sharon Parris

Jamestown Mended Hearts met October 24th at Jamestown Regional Medical Center with 17 present. Finger foods were served. An interesting program on Alzheimer’s was present-ed by Lisa Cravens. Questions and answers followed. Next meeting will be November 28th at JRMC. Jamestown Mend-ed Hearts meets the 4th Tuesday of each month. For more information, call Sharon Parris at 931-863-5919.

Instructions:Combine all ingredients in a large pot (choose an extra big one to prevent yourself from being a splatter-victim).

Bring to a boil and reduce heat to medium.

Stir frequently and simmer for 15 minutes or until apples and cranberries are soft and sauce is thickened.

Cool before serving.

October HighlightsOur speaker for October was Steve Ramey, CFO at CRMC. He gave a very informative talk and updated us on what is going on at Cookeville Regional Medical Center. We had nominations for Mended Heart of the Year and will be voting at our November meeting. Our semi-annual Bake Sale will take place in November. After the meeting we set up tables for the Silent Auction.

Remember, we will be voting on Mended Heart of the Year at this month’s meeting. You can still make nominations at this meeting. You must give the reasons you are nominating this person. The nominees from last month are Joe Carter, Ray Savage and Richard Miller. The winner will be announced at our Christmas party.

Mended Heart of the YearBake SaleFriday November 17, 2017, will be our semi-annual Bake Sale, so ladies and gentlemen be thinking about what you can make and bring to the sale. The sale will be the Friday follow-ing our regular Thursday meeting in November. As always we will accept baked goods at our Thursday night meeting for the bake sale. The bake sale will be held in Algood and Baxter Rooms, next to the cafeteria from 7:00 am until 2:00 pm. If you have any questions about the sale or what you might bring you can call Dot Tomberlin at 526-7535.

FRIDAY, NOV. 17, 20176:00 AM - 2:00 PM

ALGOOD / BAXTER ROOMBenefit for Mended Hearts

CAKESGerman Chocolate, Coconut,

Chocolate, Pound, Fresh Apple

VARIETY OF CAKES ANDMANY MORE ITEMS!

WILL TAKE ORDERS!CALL DOT (931) 526-7535

PIESPecan, Chocolate,

Coconut, and more!

FRIED APPLE PIESASSORTED COOKIES & CANDIES

Mended Hearts Chapter 127“It’s great to be alive - and to help others!”

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Spotlight On Melahn FinleySubmitted by: Glee Miller

“It’s great to be alive - and to help others!”

Spotlight is designed to feature various Mended Heart’s members and hospital staff. Watch Out! You could be next!

G Tell us what your position is here at the hospital and how long you have worked here:

M “I’ve been at CRMC for 29 years and I’m so grateful to have spent my career here. I’ve worked in HR, patient relations/cus-tomer service, and of course, marketing/PR. I’m the director of marketing and have been responsible for that aspect and more for over 27 years.”

G Are you married and if so for how long and how did you meet your husband?

M “I’ve been married to Jim Finley for 27 years. We met in Cookeville, ironically while I was attending school at UT-Knoxville.”

G Do you have a favorite flower and why?M “I love daisies - they remind me of my granny Daisy.”

G What is your favorite season of the year and why?M “Summer because of wonderful days on Dale Hollow Lake -

especially at Willow Grove and Lilly Dale.”

G What are your favorite TV shows?M “Outlander, Scandal, This Is Us, Homeland - there are so

many!”

G If you could go anywhere in the world where would it be and why?

M “I would go back to Scotland. It is so beautiful there and the people are friendly. I could listen to their accent all day. I’ve heard Croatia is beautiful too and would like to go there.”

G What, if any, hobbies do you have?M “Reading, going to the lake, spending time with family and

friends, traveling.”

G Do you shop online or go to stores - why?

M “Shopping online for sure! I am NOT a shopper - it takes too long and I get impatient.”

G If you won the publishers clearing house game what’s the first thing you would do?

M “Pay off my house and travel, travel, travel with my family! I would also do something to help children in need.”

G Have you ever gone hunting or fishing and did you enjoy it?M “I grew up on the lake so fishing was an every weekend occur-

rence. I don’t think I would like hunting. I’m too tenderheart-ed.”

G Do you have any children or grandchildren?M “I have two children - Zac and Rebecca and one stepson, Joey. I

have three grandchildren and two great-grandchildren..”

G What keeps you up nights?M “The state of our world these days is concerning and I worry

what kind of shape it will be in when my grandchildren are grown.”

G How do you think volunteers help at the hospital?M “Volunteers are an integral part of our hospital team. They

provide the “icing on the cake’ so to speak. They are special and bring a unique perspective. They are here because they want to be - not because they have to earn a paycheck so they bring a different level of commitment to their work.”

G Tell us something that makes you laugh:M “My four Yorkies - they are so entertaining to watch!”

The best way to thaw a turkey is in a refrigerator, according to USDA recommendations. Allow 24 hours for each four to five pounds, in a refrigerator cooled to 40 degrees or below.

Be sure to let the turkey thaw in a container so juices will not drip onto other foods.

If you must thaw a turkey in cold water, be sure it is in a leak-proof bag. The turkey should be submerged in cold water. Allow 30 min-utes per pound. Change the water frequently. USDA recommends every 30 minutes. Cook immediately when thawed.

Cook turkey to 165 degrees in thickest part of the breast, inner thigh, and inner wing.

Wash hands with soap and water for at least 20 seconds before touch-ing any food.

Do not store stuffing inside a turkey. Refrigerate it separately.

Don’t wash the turkey. According to the USDA, loosely attached bac-teria can contaminate the kitchen when you wash meat or poultry. Studies have found bacteria cling to sinks, sponges and towels. Bac-teria is effectively killed in the oven. The best idea is to take the turkey out of the package and put it straight into the pan.

Simple Food Safety Tips For ThanksgivingPagesMag1117

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Stuffing -- By Any Other Name -- Still Rocks ThanksgivingPagesMag1117

In the north, it’s called stuffing. In the south, it’s called dressing. In the east, sometimes it’s called filling.

The word you use means less than the recipe you make and no other dish in the Thanksgiving meal has more family al-legiance than stuffing. The main ingredients are mostly the same: Some kind of bread, onions, celery, broth and spices. But, families often pass down their stuffing recipes for generations.

In San Francisco, you might find a sourdough bread base. In Alabama, cornbread. In Louisiana, don’t ignore the Andouille sausage. On the east coast, it’s oysters that rock the dish. And mostly, we find a mix of all those ingredients everywhere.

Thanksgiving SleepyPagesMag1117

It’s about the gobbler, but not the one you might think.

It has become a truism: You get sleepy at Thanksgiving because of all that tryptophan in turkey.

But is it true? Yes and no, but mostly no. It is true that the amino acid tryptophan works as a precursor to oth-er sleep-inducing chemicals. Turkey has lots of it. But cheese and nuts have more. Even Tofu-turkey has more, according to Wired.com.

In 1972 a psychiatrist named John Fernstrom looked into the tryptophan connection and found that trypto-phan alone does not make you sleepy. Instead, he found that it’s really a carb-heavy meal of mashed potatoes, pie, dressing, and bread. Those carbs create loads of sugar and force amino acids to go to work breaking it all down. With amino acids busy fighting sugars, the brain starts converting tryptophan into serotonin and suddenly you feel you just can’t watch another third and 10 on the game. Snores ensue.

It’s not just the chemistry of the meal, however. The para-sympathetic nervous system also has a role to play. This little brain gadget does things in the background so you don’t think about them; like breathing. When you eat too much, you have to digest a lot. The parasympathetic nervous system kicks in to give the body energy to digest and takes away energy elsewhere. You feel tired and it’s because you ate a really big carb-loaded meal. Too late to do anything about it.

Just kick off your shoes and don’t blame the turkey.

Good Blood Pressure Equals Good Brain FunctionPagesMag1117

Controlling blood pressure is one of the most straightfor-ward ways of preventing one form of cognitive decline.

According to Duke Medicine Health News, high blood pressure can lead to tiny strokes in the brain, a condition called vascular dementia.

These little strokes take a toll on memory, reasoning, judgment and a general decline in thought processes.

Controlling blood pressure also reduces the risk of major cardiovascular problems. So, it seems, what is good for the heart is good for the brain.

No Coffee PagesMag1117

Don’t drink coffee before a fasting blood glucose test. Caffeine is quickly absorbed into the bloodstream and your glucose levels could change in response to even black coffee. The best, most accurate results come from complete fasting, according to Duke Medicine Health News.

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It is just possible that the fat-free move-ment made us fat. And unhealthy. Recent research shows that not all fat is bad and the movement to go fat-free threw out good fats along with bad ones.

When all fat is removed from a product, something has to take its place and that is usually carbohydrates in the form of sugars. And, along the way, good fats are eliminated.

In fact, not all nutritional fat, which has zero carbohydrates, is bad.

According to the Harvard Medical School Health letter, healthy fats are an essential part of how the human body functions as they provide energy, build cell membranes, sheath nerves, and aid in blood clotting and muscle move-ment.

The most harmful fats are trans fats, which have been increasingly phased out of food products. These fats are created through a human-made process that keeps the fat solid at room temperature and allows it to be used in food such as solid margarines and fast food french fries. Trans fat has been found to increase harmful LDL cholesterol while reducing beneficial HDL cholesterol. It has also been linked to inflammation, increasing the risk of heart disease and strokes as well as insulin resistance, increasing the risk of type 2 diabetes.

Saturated fat, the type found in red meat and whole milk, is not necessarily bad for you but it can drive up total choles-terol and create more harmful LDL cho-lesterol. According to Harvard, a meta-analysis of 21 studies found there was not enough evidence to conclude that “saturated fat increases the risk of heart disease, but that replacing saturated fat

with polyunsaturated fat may indeed reduce risk of heart disease.” In addi-tion, two other major studies found that replacing saturated fat with highly pro-cessed carbohydrates actually increased the risk of heart disease, according to Harvard.

The healthiest fats are monounsaturated and polyunsaturated fats. These fats are liquid at room temperature and can be found in such foods as olives, peanuts, avocados, nuts, and vegetable oils like corn and sunflower. Monounsaturated fats gained fame when it was discovered that the so-called “Mediterranean diet” in countries like Greece produced low levels of heart disease even when people were eating large quantities of fat.

Polyunsaturated fats are called essen-tial fats because the body needs them, but can’t make them. These fats have to come from food.

A new method for calculating cholesterol greatly improves the accuracy of convenient, non-fasting lipid tests, based on a study published in the American Heart Association journal Circulation.

Conducted at Johns Hopkins University, this study tested the accuracy of two methods used to calculate low-density lipo-protein (LDL) or “bad” cholesterol. The first calculation called the Friedewald method has been used since the 1970s and uses a ratio of triglycerides and “very low” cholesterol to calculate LDL. The second method was recently developed, and it uses a ratio of triglycerides and a different type of cholesterol to calculate LDL.

While the Friedewald method has been the gold standard for calculating non-fasting cholesterol for years, it’s not always ac-curate, especially in patients with a low LDL. Evidence sug-gests that the new method is more accurate, leading labs like Quest Diagnostics to adopt the new method when calculating non-fasting cholesterol.

To put both methods to the test, researchers analyzed choles-terol levels of more than 1.5 million patients in the Very Large Database of Lipids study. Roughly two-thirds of patients fasted for 10–12 hours before their blood test, while one-third were non-fasting.

After analysis, researchers found that the new method was sig-nificantly more accurate than the Friedewald method in calcu-lating LDL cholesterol. The new method was also far more ac-curate in patients with low LDL and high triglycerides, where the Friedewald method falls short.

Findings are encouraging, as cholesterol tests are critical for screening and monitoring cholesterol levels. Fasting tests have always posed challenges to both patients and providers, as they require hours of fasting and tend to monopolize morning of-fice appointments. Experts hope that the use of more accurate, non-fasting tests will help ensure that patients get the tests they need to monitor and manage their cholesterol levels.

Nothing Wrong With Most Fat, Experts SayPagesMag1117

A New, Improved Method for Cholesterol TestsA recent change in calculating non-fasting cholesterol improves accuracyCardioSmart

Page 6: Heart NEWSLETTER NEWS “It’s great to be alive - and to ...crmchealth.org/sites/default/files/Mended Hearts_15.pdf · Spotlight On Melahn Finley Submitted by: Glee Miller “It’s

Mended Hearts does not give medical advice. As always, consult your physician before making any changes in

medication, food supplements, diets or lifestyle.

If you would like to receive the Mended Hearts newsletterby email please send your email address to:

Angie Boles at [email protected].

MENDED HEARTS CHAPTER 127 COOKEVILLEOfficersPresident Blanche Smithers 931-526-4497Vice President Laura Jackson 931-858-2196Treasurer Carolyn Smith 931-537-3659Secretary Marsha Godsey 931-252-1406

Accredited Visitors1. Bob Freeman Every other Monday 931-537-98112. Joe Carter Every other Monday 931-260-48163. Blanche Smithers Every other Monday 931-526-4497 4. Glee Miller Every other Tuesday 931-261-21705. Richard Miller Every other Tuesday 931-261-21706. Charles Jackson Every other Tuesday 931-858-21967. Laura Jackson Every other Tuesday 931-858-21968. Dennis Guzlas Every other Wednesday 931-858-01009. Karen Guzlas Every other Wednesday 931-858-010010. Debbie Greene Every other Wednesday 931-372-051311. Jim Greene Every other Wednesday 931-372-0513 12. Mona Neal Every other Thursday 931-526-939813. Louise Davies Every other Thursday 931-252-008114. Tom Tomberlin Every other Thursday 931-526-753515. Dot Tomberlin Every other Thursday 931-526-753516. Jim Hughes Every other Friday 931-528-126717. Barbara Hughes Every other Friday 931-528-126718. Carl Wingfield Every other Saturday 931-268-334819. Lorna Wingfield Every other Saturday 931-268-3348 ACCREDITED SUBSTITUTES20. Ray Savage Substitute 931-761-433621. Billy McElhaney Substitute 931-651-128822. Marsha Godsey Substitute 931-252-1406

NEWS LETTER COMMITTEESherry Shockley, Editor email: [email protected] 931-537-3182Angie Boles Publisher / Designer 931-528-2541Charles Jackson Photographer 931-858-2196

CHAPLAINRay Savage 931-761-4336

ACCREDITED VISITORS CHAIRMANRichard Miller - Chairman 931-261-2170Glee Miller - Co-Chairman 931-261-2170

FUND RAISER CHAIRMENDot Tomberlin Bake Sale 931-526-7535Richard Miller Silent Auction 931-261-2170

AED PROGRAMCharles Jackson - Chairman 931-858-2196

TAXES AND ADDRESS LABEL COMMITTEEWendell & Amelia Kendrick 931-526-6650

JAMESTOWN SATELLITESharon Parris 931-397-5960

CARDIAC REHABDebbie Baker 931-783-2786

SUNSHINE CHAIRMANCarolyn Shanks 931-858-3021

MARKYOURCALENDAR

Calendar of Events

November 9 Mended Hearts Board of DirectorsNovember 11 Veterans Day & Great American Smoke OutNovember 16 Mended Hearts Meeting 6:00pmNovember 17 MH Bake Sale, Algood & Baxter RoomsNovember 23 Thanksgiving

November Word Search Puzzle

ANNUAL

AUTUMN

CELEBRATION

CORN

CRANBERRY

FAMILY

FEAST

FESTIVAL

FOOD

FOOTBALL

FRIENDS

GATHERING

GRAVY

HARVEST

HOLIDAY

LONG WEEKEND

MASHED POTATOES

MEAL

NOVEMBER

PARADE

PILGRIMS

PLYMOUTH

PUMPKIN PIE

RELATIVES

REUNION

SQUASH

STUFFING

SWEET POTATO

THURSDAY

TRADITION

TRAVEL

TURKEY

YAMS

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Skip Barlett, (center) UCEMC Cares Board Member awards a grant check to Mended Hearts members Glee Miller (left) and Richard Miller (right).

Mended HeartsSilent AuctionWe want to thank all of the Cookeville Regional Medical Cen-ter employees for making our Silent Auction a huge success.

Steve Ramey, CFO Cookeville Regional Medical Center

October Mended Hearts Meeting

A Scary Mended Hearts Member

Page 8: Heart NEWSLETTER NEWS “It’s great to be alive - and to ...crmchealth.org/sites/default/files/Mended Hearts_15.pdf · Spotlight On Melahn Finley Submitted by: Glee Miller “It’s

MH2050E 2014

National Office Phone: 888-HEART99 www.mendedhearts.org

MEMBER ENROLLMENT

Member Information (please print or type) Date

Name (Mr/Mrs/Ms) Chapter Member-At-Large

Address (line 1) Phone ( )

Address (line 2) Alt Phone ( )

City/State/Zip Retired: Yes No

Email address Occupation

Family member (must reside at same address; please name): Preferred Contact: Phone Email Mail(Mr/Mrs/Ms) Family Member Email May Mended Hearts staff or volunteers contact you regarding local chapter opportunities? Yes No

Medical Info/Demographics (Optional for Mended Hearts reporting purposes in aggregate only)

Name of Heart Patient Name of Caregiver Date of Surgery/Procedure Phone Type of Surgery/Procedure Alt Phone

Many chapter newsletters include surgery/procedure anniversaries of members. Please indicate here if you are agreeable to having your name published in this way. 

Yes No

Add my email to monthly national email updates?  Add my email to monthly national email updates? 

Yes No Yes No Patient signature Family member signature Optional info: Date of birth Please check below: Optional info: Date of birth Please check below: Race: Caucasian; Black; Asian; Am. Indian; Other Race: Caucasian; Black; Asian; Am. Indian; Other Gender: Male; Female Gender: Male; Female

National Membership Dues: Includes subscription to Heartbeat magazine and one insignia pin for an individual or two pins for a family membership (must reside in same household). Select type of membership and include chapter dues (unless you wish to become a member-at-large). National dues are tax deductible less $10.00; Chapter and Lifetime dues are 100% tax deductible.

United States national member-at-large dues Chapter dues (please customize) Individual $20.00 Individual $ Family $30.00 Family $ Life – Individual Dues $150.00 Life – Individual Dues (if applicable) $ Life – Family Dues $210.00 Life – Family Dues (if applicable) $

Dues Summary: National dues $ I am joining as a non-heart patient: Physician RN

Chapter dues $ Health Admin Other Interested Party Other

TOTAL $ I would like to make a tax-deductible contribution of $

Please send payment with enrollment form to MHI chapter Treasurer. For member-at-large, send to:The Mended Hearts, Inc.National Office, 8150 N. Central Expressway, M2248 Dallas, TX 75206

Angioplasty Heart attack Diabetes Check here if also Heart Patient Atrial Septal Defect Pacemaker Valve-Surgery Procedure- specify: Aneurysm Transplant Valve Transcath CABG (Bypass) AFib arrhythmia ICD (Defibrillator) Stent Other arrhythmia Other

Donation to national $

Donation to chapter $ To chapter # Chapter Name: City, State______

Carolyn Smith588 Old Qualls RoadCookeville, TN 38506