Medical Pages web 2009

Transcription

Sentinel 2009
HEALTH CARE
Fairmont Medical Center family physician Tawnya Kreilkamp, M.D., visits with new mother
Jenny Cummins and her daughter Alexis in The BirthPlace at Fairmont Medical Center.
Sentinel Healthcare Directory – August 2009 – Page 3
For Dulcimer, Family Dentistry
New facility proving popular
By JENN BROOKENS
Sentinel Staff Writer
Fairmont
A
fter outgrowing their former quarters, the
Dulcimer Clinic and
Fairmont Family Dentistry are
enjoying a new shared facility
along Highway 15.
“We obviously have much more
space now,” said Dr. Denise
Schavey of Dulcimer Clinic. “We
were way too cramped before and it
was hard for us to be efficient ...
The nurses station is at least four
times bigger than it was,” Schavey
said. “They were really on top of
each other in the other one.”
“There were some busy days in
June,” added Dr. Steve Parnell.
“The big thing in the first week
was, ‘Where was everything?’ Just
like moving into a new home, we
had to remember where we put
these supplies, and what drawer is
this. We have such fabulous
employees that we allowed them to
organize their areas to what works
best for them.”
The extra space also is having a
big impact at Fairmont Family
Dentistry.
“Right now it feels like we’re
under-utilizing,” said Dr. Jon
Erickson of Fairmont Family
Dentistry. “But we’re building for
the future.”
That includes another partner in
the business. Erickson’s son, Kurt,
is studying dentistry and plans to
join his father once he graduates.
“We think this new building has
been a good inspiration for him,”
said his mother, Donna Erickson, a
registered nurse at Fairmont Family
Dentistry. “We worried about it
being too much pressure at first, but
he did very well on his entry
exams.”
Fairmont Family Dentistry has
always had a home-like feel, with
its former location in a Tudor
house. But thanks to a dental office
designer, the upscale office manages to keep that cozy atmosphere.
“People walk in and their mouths
just drop,” Donna Erickson said.
NEW FACILITY
Continued on Page 4
Above: The dulcimer instrument, above the fireplace, is the centerpiece in the lobby of the new
Dulcimer Clinic in Fairmont.
NEW FACILITY
Continued from Page 3
“Our goal is to make it more comfortable; that this
isn’t a threatening place. We welcome those people
who do feel that way though, because we do have lots
of options for them.”
Since the two offices began operating in their new
building in June, both have seen an increase in patients.
“We were really blown away,” Schavey said. “We
were averaging three new patients a day for the first
few weeks, and then after that we just lost track.”
“Last month we had about 40 new patients,” Donna
Erickson said. “One day, we had 12 new patients who
made appointments.”
Dulcimer has used or has plans for most of its space
already.
“We do plan to have a massage therapist on staff,”
Schavey said. “We also have a chiropractor, Dr. Brooks
Rohman, on staff.”
The rooms include an IV treatment room and full
lab, along with two procedure rooms and 15 exam
rooms, which is up from the seven they had prior to the
move. Instead of room numbers, each room has a
theme, from dance and musical instruments, to
NASCAR, to dinosaurs.
“We are making good use of the space we have,”
Parnell said. “The patients enjoy the themes and they
say, ‘I don’t feel like I’m at a doctor’s office.’”
The sentiment is echoed next door.
“People look at our lobby, and say, ‘Are you sure
this is a dentist’s office?’” Donna Erickson said.
Another upgrade for the businesses is going from
paper files and records to all electronic and digital.
“We really appreciate everyone’s patience as we
made the transition,” Jon Erickson said. “With the
paper records going to electronic and the X-rays going
digital, the software was a big program to learn.”
Both businesses also give plenty of credit to local
businesses and patients.
“It was good to see and work with the people that
we’ve also seen as patients,” Parnell said.
“The success we saw at the open house, I don’t think
just any community could make that happen,” Donna
Erickson said. “When we could build together with the
Dulcimer clinic, it was like a molding together of
dreams. We have a lot of the same philosophies and
goals.”
“That day of the open house, we really felt welcomed, supported and appreciated,” Jon Erickson said.
“It was a very happy day for us.”
Above: The dental exam rooms at Fairmont Family Dentistry were specially designed, featuring
scenic picture windows and televisions for patients.
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Above: The exam rooms at
Dulcimer have themes appealing to children and adults.
Right: The front desk area of
Dulcimer Clinic.
Sentinel Healthcare Directory – August 2009 – Page
Upgrades in Blue Earth, W’bago
UHD set to spend $18 million
By SARAH DAY
Blue Earth
S
ignificant changes at local
medical facilities will begin
to take shape in Blue Earth
and Winnebago this summer.
United Hospital District is working to expand its campus and also
build a new facility for the
Winnebago Adolescent Treatment
Center.
The hospital expansion is estimated to cost $18 million, with the addition of 56,140 square feet of space.
The expansion entails several
goals that will improve service,
explains hospital administrator Jeff
Lang. It will consolidate UHD by
bringing clinics from its Highway
169 location to the hospital campus.
Improvements also include more
cooperative interaction among medical professionals, a one-stop shop
for patients, improving the clinic
facility, managing parking concerns,
creating distinct public and private
areas, and fixing design issues.
“We wanted to correct some of
the concerns we had on the building
design,” Lang said. “Also, we didn’t
want to ruin or degrade what was
working well.”
The clinic already has moved to
the campus, although its location is
temporary. The Mankato Clinic
vacated the former hospital building
connected to the campus more than
a year ago. UHD moved its clinic in
because of an increase in physicians
Home Health and Hospice also
was moved out to Main Street in
Blue Earth. The former hospital portion, however, will be demolished in
the end.
Another change will be the helipad — technically a helistop since
there won’t be refueling. Currently i
is in the parking lot in front of the
hospital. The initial plan was to keep
it in the parking lot. Because of several factors — including a shortage
of parking spaces — the helistop
was moved to the roof.
Bids for the hospital expansion
are expected to be approved this
month and construction should
UHD
Continued on Page 8
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UHD
begin this summer. The project is expected to take two
years.
Groundbreaking for the treatment center in
Winnebago took place recently, and construction will
begin soon. The center will move across the street from
its location on the west side of town. The current facility
is the former Winnebago hospital, and houses a maximum of 15 juveniles. The facility is licensed for 24, but
has a lack of space and typically has 5 to 30 juveniles on
a waiting list.
“We wanted to make sure we’re able to serve more
kids than what we currently are,” Lang said. “We wanted to make sure the building design supports the needs
of the population served and that we’re able to bring that
space up to UHD standards, as well as provide indoor
and outdoor recreation space.”
The center provides primary and extended care to
patients.
“Extended care is for kids who need a little bit more
structure to their environment,” Lang said.
He said some of the children come in from “difficult
living situations,” and it wouldn’t help their recovery to
send them back home.
The new facility will have 18 primary care beds and
six extended care. The goal is to improve extended care
services, and a long-term plan includes cottages for
more extended care programs.
“We’ve had a very challenging time getting the right
design for this building,” Lang said. “We want it to be a
safe environment; we want it to be a homelike environment, but we recognize there will be unique challenges.”
While the treatment center is local, it has served children statewide — from 43 counties and 97 communities.
“We’re recognized as really the facility of choice in
the industry,” Lang said. “It’s a real tribute to the treatment and the care they provide here at this facility and
that is only going to be enhanced through this new facility.”
Naomi Ochsendorf, treatment center program director, is excited for the new facility. The added space will
be a plus for different activities and programs the center
can offer.
“This new facility will have a very positive impact on
the chemical dependency profession,” she said at the
groundbreaking. “We’ll have additional beds so kids in
need won’t have to sit on a waiting list for an extended
period of time. They’ll be able to get the services that
they need in a timely fashion and begin their journey to
recovery. It’s my hope that this new building will continue to instill the hope and confidence in our youth that
recovery is possible.”
Left: This architect’s
drawing shows the proposed building addition
at United Hospital
District in Blue Earth.
The project is expected
to get under way soon.
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Doctor makes return home
By MEG ALEXANDER
Fairmont
F
inally, her hard work has
paid off. Growing up, this
was the time of year when
Tawnya (Ristau) Kreilkamp would
work in the fields on her father’s
farm, riding on the bean buggy,
pulling weeds.
But the Elmore native hasn’t
labored on the family farm for some
time. Since she left for college in
1994, Kreilkamp has been making
her way through medical training.
“I knew since I was in high
school I wanted to do something
that helped people,” she said.
A fascination with biology and
how the human body works led her
to a career in medicine. She joked
that her first training was helping
her father vaccinate pigs.
The 33-year-old recently completed her residency, and this
August, she has become the newest
and youngest member of Fairmont
Medical Center’s team of physicians.
“When you look back at all the
years of school you go through, you
feel about 20 years older than you
are,” she said.
She began her work in family
medicine and obstetrics on Aug. 3.
Her first day on the job her schedule
was booked and she was already
slated to deliver a baby the following week.
“It’s exciting,” she said. “It’s nice
to start off right away.”
So far, the reception from the
community has been warm, the people “fantastic, helpful and friendly.”
A certain sector of the population is
particularly enthusiastic about the
new physician.
“There is a trend toward females
Above: Dr. Tawnya Kreilkamp, family physician at Fairmont
Medical Center, explains how a fetal doppler listens to a developing baby’s heartbeat with patient Shari Walker of Winnebago.
wanting a female provider,”
Kreilkamp said, “so I think a lot of
the community has been wanting a
female to come along and fill that
need.”
Being a local seems to increase
some patients’ comfort level, as
well.
“They know that you understand
what life is like around here,” she
said.
“Life around here” is something
Kreilkamp has missed. Moving
back to the area became a goal
when her son was born four years
ago.
“It was important to come where
family is,” she said, referring to her
parents and two brothers.
Now that her schooling is complete, Kreilkamp is looking forward
to a somewhat reliable schedule that
will be less grueling than her residency. During her free-time, she
loves to watch baseball, describing
herself as a “big Brewers fan,” a
conversion made as a college student in Wisconsin.
Sentinel Healthcare Directory– August 2009 – Page 11
Thyroid cancer on the rise?
By JENN BROOKENS
Fairmont
S
ome medical information a
few years back indicated
that cases of thyroid cancer
were on the rise. But Dr. Phillip
Vuocolo of Fairmont Medical
Center suggests it may be more
cases are being diagnosed.
“It could be we’re just doing a
better job of picking them up than
we used to,” he said. “Because thyroid cancer is a slow-growing cancer, it could be 20 or 30 years the
patient could have it and not
know.”
The thyroid is a butterfly-shaped
gland at the base of the neck,
underneath the Adam’s apple. The
thyroid releases hormones that regulate heart rate, blood pressure,
body temperature and weight.
“When it goes haywire, you
don’t stay well,” Vuocolo said
The trick is the cancer’s non-specific symptoms, which include
hoarseness, difficulty swallowing
and any pain or fullness in the
lymph nodes in the neck.
“A lot of those symptoms can
come just with the common cold,”
THYROID
Continued on Page 12
Jenn Brookens
Above: Dr. Phillip Vuocolo performs a thyroid exam on Kim
Murphy at the Fairmont Medical Center. The physical exam can
help determine any risk of thyroid cancer.
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Technology is eye-opening
By MEG ALEXANDER
Fairmont
D
igital cameras provide
instant gratification and
fewer hassles than film,
convenience enjoyed by photographers of all levels. The same is
true in the medical field.
“What we have here is the ability to digitally process any images
of the retina,” said Paul Cihoski,
ophthalmic technician at Fairmont
Medical Center, as he described
how the eye department uses its
fundus camera.
A dye injected into a patient’s
arm takes just a few moments to
travel to the eye. Bright flashes of
light shine into a dilated pupil,
revealing the inner workings of the
fundus — the back portion of the
retina. The image is then digitally
captured, quickly revealing any
blood that might be leaking from
broken vessels.
The digital imaging system
gives staff in the ophthalmology
and optometry department a tool to
quickly diagnose and treat patients.
“This is a time-saving tool when
treatment is urgently needed,”
Cihoski said.
The digital images also serve an
educational purpose.
Posters in the exam rooms show
different disorders of the eye, but
they usually aren’t as effective as
showing a person a photo of his
actual eye.
“This way, they can see, ‘That’s
my eye, and it’s not supposed to be
that way,’” Cihoski said.
“I have found that people have
responded very positively,” agreed
Dr. Daniel Peterson, ophthalmologist at the medical center. “...
Many people benefit from seeing
and hearing what their condition
is.”
Before purchasing the fundus
camera, time was working against
the eye department.
“We would take black-and-white
film photos,” Cihoski said.
If the film was mailed on a
Monday to Mankato, he explained,
cases of thyroid cancer,” Vuocolo
said.
There are four types of thyroid
cancer, with the most common
being papillary thyroid cancer.
Papillary makes up about 80 percent of the thyroid cancer cases
diagnosed, and is most common in
people ages 30 to 50.
Follicular thyroid cancer also
includes Hurthle cell cancer, and is
mostly diagnosed in people over the
age of 50.
Medullary thyroid cancer may be
associated with inherited genetic
syndromes that include tumors in
other glands.
The most rare, but also the most
aggressive and most difficult to
treat, is the anaplastic thyroid cancer. This type is usually diagnosed
in patients over the age of 60.
Luckily, the treatment for thyroid
cancer has a 97 percent success
rate.
“It’s very treatable if detected
early,” Vuocolo said. “The way the
thyroid functions also plays in how
it is treated. The thyroid processes
iodine levels in the body, so after
surgery, we use radioactive iodine,
and as the thyroid processes the
iodine, it basically helps kill the
cancer.”
Along with newer technology to
help earlier diagnosis, a simple
exam helps.
“There really isn’t a self-exam; I
know I can’t do it on my own neck,
even though I can diagnose it on
others,” Vuocolo said. “It’d be difficult for an untrained person to do.”
Unlike other cancers, thyroid
cancer is not believed to be influenced by other cancer-causing factors, such as smoking or unhealthy
lifestyle.
“Basically it’s all about genetics.
That, and if you were exposed to
radiation,” Vuocolo said.
DIGITAL IMAGES
THYROID
Vuocolo said. “But if you have
them for just a couple of days and
they go away, then it’s probably not
cancer.”
About 37,000 cases of thyroid
cancer are diagnosed in the United
States each year, but it is easy to
treat if detected early.
“First what is done is a physical
exam,” Vuocolo said. “If there is a
lump found, we do an ultrasound,
and we try to determine if the lump
is a tumor or cyst.”
From there, scans are run to
determine if the tumor is functioning or non-functioning.
“Thyroid nodules are very common, and about 99 percent of them
are benign,” Vuocolo said.
Risk factors for thyroid cancer
are more genetic, and if the person
has been exposed to radiation.
“Back in the ’50s, X-rays were
used to treat strep throat, and then
about 30 years later, they saw more
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Above: Paul Cihoski, ophthalmic technician at Fairmont Medical Center, center, is seated at the fundus digital camera while ophthalmologist Dr. Daniel Peterson, right, looks on.
DIGITAL IMAGES
it first had to go through the Twin
Cities, where it would be sorted on
Tuesday before it could arrive at
its destination on Wednesday. Then
the film still needed to be developed, examined and shipped back
to Fairmont.
“It was ridiculous,” Cihoski
said. “It was a week before you
knew anything.”
The digital images offer other
advantages over film. For instance,
a digital image can be sent via email for a specialist to examine,
rather than mailing a hard copy of
the photo. And digital formatting
will be convenient when the medical center switches to electronic
medical records, sometime around
the end of 2010, beginning of
“We’re scanning sections
across the back of the eye,
and the patient can’t tolerate that bright light for that
long.”
— Dr. Daniel Peterson
ophthamologist
2011.
And just like with family photos, the digital fundus camera
instantly reveals which photos turn
out, so the technician knows if he
needs to take more pictures or not.
This is especially important since
patients must sit absolutely still
and not blink — easier said than
done.
The fundus camera isn’t used
for all eye patients visiting
Fairmont Medical Center. When a
doctor notices something suspicious while examining the eye, he
may recommend following up with
a fundus photo shoot.
The fundus camera is able to get
wide shots of the back of the eye,
rather than scanning small portions
at a time as a doctor does in a routine exam.
“We’re scanning sections across
the back of the eye, and the patient
can’t tolerate that bright light for
that long,” Peterson said. “A wide
photo that shows the whole thing
at one time is useful.”
At Center for Specialty Care:
Spine specialists find home
By KYLIE SAARI
Fairmont
M
ake no bones about it,
the Center for Specialty
Care in Fairmont is a
busy place.
From pediatric fractures, to student athletes, to weekend warriors,
to the Medicare set, Dr. Corey
Welchlin juggles a gamut of orthopedic needs in a 150-mile radius.
So, when he found many patients
at his five clinics had specialty
spine care needs, he took it upon
himself to find help.
Dr. Kent Patrick, an orthopedic
spine specialist, has been with the
office for a year and a half, and has
found himself swamped. Welchlin
decided it was time to bring in
another surgeon.
Splitting his time between his
practice of 18 years in Arkansas
and his new position in Fairmont
for nearly two months, Dr. Tony
Raben soon will provide orthopedic
spine care here full time.
Raben and Patrick care for everything from muscle strains and
sprains, to taking out a disc, or disc
replacement surgeries.
“The last couple of weeks it has
really taken off,” Welchlin said. “It
has been really busy for them
both.”
A combination of two things
launched Center for Specialty Care
into spine care.
First, Welchlin said, is the referral cycle. Local chiropractors and
doctors are aware of the clinic’s
additional staff and are comfortable
sending patients there.
“We work closely with chiropractors in the area,” he said. “If
Chip Pearson
Above: Dr. Corey Welchlin is the proprietor of the Center for
Specialty Care in Fairmont.
they have people they just can’t get
better or think it is a disc herniation, they send people to us.”
The second is the center’s philosophy on walk-ins.
“We are very good about getting
people in the same day,” he said.
“Today, we probably had eight to
ten patients call up and say, ‘I can’t
walk,’ ‘My knee hurts,’ ‘I am
swollen,’ or whatever, and we don’t
say come in tomorrow … we try to
accommodate those acute issues
rather than put them off.”
Patrick and Raben work at
Center for Specialty Care’s
Pipestone, Blue Earth and Fairmont
locations.
“For a spine guy to go to anywhere smaller than (those areas) it
isn’t productive,” Welchlin said.
“You need a fairly large patient
base for a spine guy.”
He said the clinic always has
taken care of “level one or two”
spine issues, but now is capable of
handling more complex issues
resulting from chronic pain, to
motor vehicle accidents, to workers
compensation cases, which
Welchlin says make up about 30
percent of his business.
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800 Medical Center Drive, Fairmont, MN 56031
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(507) 235-3939
APARTMENTS
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(507) 893-3171
Temperance Lake Ridge Senior Living
410 Fox Lake Avenue, Sherburn, MN 56171
(507) 764-4977 or (507) 764-2592
Woodland Manor
(507) 235-6606
412 Sixth Street, Armstrong, Iowa 50514
(712) 864-3360
Terry Klemek, M.D.
Steven Sumey, M.D.
Board Certified Family Physicians
Anissa Hoffmann, P.A.-C.
Certified Physician Assistant
Regional Clinic of Fairmont Medical Center-Mayo Health System
CLINICS
(507) 238-4949 or Toll Free 888-974-6636
Corey Welchlin, D.O.
Board Certified Orthopedic Surgeon
Kent Patrick, M.D.
Tony Raben, M.D.
Spine Specialists
Board Certified Orthopedic Surgeons
Richard Erbes, D.P.M.
Podiatry
Hal Martens, D.O.
Rheumatology
Tim Soelter, PA-C
Holly Kotewa, C-FNP
Certified Family Nurse Practitioner
Dulcimer Medical Center
1950 Center Creek Drive, Fairmont, MN 56031
(507) 238-4968
Denise Schavey, M.D.
Steven E. Parnell, M.D.
Carolyn J. Drevlow, C-FNP
Nate Reyelts, PA
Amy Fitzgerald, C-FNP
Brooks Rohman DC
Siri Heille, C-ANP
(507) 238-8500
Toll Free 800-234-6141
Fairmont Medical Center Eye ClinicMayo Health System
(507) 238-4311
Roger Neist, M.D.
Daniel Peterson, M.D.
Board Certified Ophthalmologists
Robert Friese, O.D.
Optometrist
Healthy Living Clinic - Fairmont Medical CenterMayo Health System
(507) 238-5052 or Toll Free 800-234-6141
Coagulation Clinic
Diabetes Education
Dietitian
Smart Clinic
Five Lakes Centre, Fairmont, MN 56031
(507) 238-4844
Timothy Bachenberg, M.D.
Julie Clements, P.A.-C.
Pat Fahey-Bacon, N.P.
Truman Clinic - Mayo Health System
401 North Fourth Avenue East, Truman, MN 56088
(507) 776-2811
Shamsul Hasan, M.D., Internal Medicine
Myrna Peters, C.-F.N.P.
Regional Clinic of Fairmont Medical Center - Mayo Health System
COUNSELING SERVICES
208 West 2nd Street, Fairmont, MN 56031
(507) 235-5651
Eunoia Family Resource Center, P.A.
Ramie Vetter, Psy.D.
1307 Albion Avenue, Suite 101
Fairmont MN 56031
(507) 235-6070
(507) 238-8598 or Toll Free 800-234-6141 ext. 8598
Roger Jacobson, M.D.
Janis Strickler, M.D.
Board Certified Psychiatrists
Mark Anderson, Ph.D.
Julie Borg, Psy.D.
Brian Koranda, M.A.
Annette Bremer, M.S.
Licensed Psychologists
Blue Earth Counseling Office
Town & Country Plaza, 411 S. Grove Street, Suite 3,
Blue Earth, MN 56013
(507) 526-4642
Brian Koranda, M.A.
DENTISTRY
Fairmont Family Dentistry, P.A.
Jon T. Erickson, DDS
1950 Center Creek Drive, Suite 200, Fairmont, MN 56031
(507) 238-2812
DIETETICS
Sherburn Clinic - Mayo Health System
32 North Main, Sherburn, MN 56171
(507) 764-4610
Julie Von Ohlen P.A.-C.
Regional Clinic of Fairmont Medical Center - Mayo Health System
(507) 238-5052 or Toll Free 800-234-6141
Robin Arndorfer, C.D.E., Certified Diabetes Educator
Carol Koskovich, R.D., L.D., Registered Dietitian,
Licensed Dietitian
Anne Sheppard, L.D., Licensed Dietitian
EMERGENCY CARE
GENERAL SURGERY
(507) 238-8100 Information or Toll Free 800-234-6141
Emergency Department
24/7
Lori Krome, M.D.
Daan Ren, M.D.
Linda Youngren, M.D.
Myrna Peters, C.-F.N.P., Certified Family Nurse Practitioner
(507) 238-8877 or Toll Free 800-234-6141
Hyun Kim, M.D.
LeRoy Hodges, M.D.
Philip Vuocolo, M.D.
Board Certified General Surgeons
GYNECOLOGY
ENT
EAR, NOSE AND THROAT
(507) 238-8887 or Toll Free 800-234-6141
William Holmes, M.D.
Board Certified Otolaryngologist (Ear, Nose & Throat)
(507) 238-8527 or Toll Free 800-234-6141
John Coniaris, M.D.
Sam Meals, M.D.
Board Certified Obstetricians/Gynecologists
HEARING AIDS/TESTING
FAMILY MEDICINE
Dulcimer Medical Center
1950 Center Creek Drive, Fairmont, MN 56031
(507) 238-4968
Denise Schavey, M.D.
Steven E. Parnell, M.D.
Carolyn J. Drevlow, C-FNP
Nate Reyelts, PA
Amy Fitzgerald, C-FNP
Brooks Rohman DC
Siri Heille, C-ANP
Fairmont Hearing Aid Service
230 South Grant Street, Fairmont, MN 56031
(507) 235-5323 or Toll Free 800-967-2039
Charles Anderson, B.C. - H.I.S., Licensed Hearing Specialist
(507) 238-8887 or Toll Free 800-234-6141
William Holmes, M.D.
Board Certified Otolaryngologist (Ear, Nose & Throat)
John Tunnell, Au.D.
Toll Free 800-234-6141
Jeffrey Green, M.D.
Anissa Hoffmann, P.A.-C.
Adrianna Jensen, C.-F.N.P. (Sept. 2009)
Terry Klemek, M.D.
Steven Sumey, M.D.
Mark Wolverton, M.D.
(507) 238-8501
DuWayne Hansen, M.D.
Tawnya Kreilkamp, M.D.
Marie Morris, M.D.
Roman Tusinski, M.D.
(507) 238-8516
Perry Berhow, P.A.-C.
Shelley Brennan-Vuocolo, C.-F.N.P.
Bart Eriksen, M.D.
April Mueller-Poolman, C.-F.N.P. (Sept. 2009)
Myrna Peters, C.-F.N.P.
(507) 238-8547
Smart Clinic
(507) 238-4844
HOME HEALTH CARE
Home Care & Hospice
(507) 238-8600 or Toll Free 800-234-6141
HOME MEDICAL SUPPLIES
Home Oxygen Services/CPAP/BIPAP
(507) 238-8100 or Toll Free 800-234-6141
HOSPICE
Home Care & Hospice
(507) 238-8600 or Toll Free 800-234-6141
HOSPITAL
(507) 238-8100 or Toll Free 800-234-6141
HOUSING WITH SERVICES
MEDICAL CENTER
Goldfinch Estates
(507) 235-9405
(507) 238-4949 or Toll Free 888-974-6636
Maplewood Residence
Medical Staff
Corey Welchlin, D.O., Orthopedics & Sports Medicine
Kent Patrick, M.D., Spine Specialist
Tony Raben, M.D., Spine Specialist
Richard Erbes, D.P.M., Podiatry
Hal Martens, D.O., Rheumatology
(507) 235-3443
(507) 764-4977 or (507) 764-2592
Tim Soelter, PA-C, Orthopedics & Sports Medicine
INDEPENDENT LIVING
Goldfinch Estates
Holly Kotewa, C-FNP, Orthopedics & Sports Medicine
(507) 235-9405
Maplewood Residence
(507) 235-3443
(507) 764-4977 or (507) 764-2592
INTERNAL MEDICINE
(507) 238-8527 or Toll Free 800-234-6141
Christopher Anderson, M.D.
Shamsul Hasan, M.D.
Abraham Joseph, M.D.
Durga Komaragiri, M.D.
Board Certified Internists
LABORATORY SERVICES
(507) 238-5105 or (507) 238-5106 or Toll Free 800-234-6141
MAGNETIC RESONANCE IMAGING
(OPEN MRI)
(507) 238-4949 or Toll Free 888-974-6636
MEMORY CARE LIVING
Goldfinch Estates
(507) 235-9405
Lakeview Health Services/Rainbow Care Unit
(507) 235-6606
MENTAL HEALTH
(507) 235-5651
Fairmont MN 56031
(507) 235-6070
(507) 238-8598 or Toll Free 800-234-6141, ext. 8598
Roger Jacobson M.D.
Julie Borg, Psy.D.
Brian Koranda, M.A.
MAGNETIC RESONANCE IMAGING
MONUMENTS
(SHORT BORE OPEN MRI)
Blue Earth Monument Inc.
(507) 238-8100 or Toll Free 800-234-6141
406 South Grove, Blue Earth, MN
(507) 526-2250 or Toll Free 800-353-8318
NEUROLOGY
(507) 238-8547 or Toll Free 800-234-6141
Eve Rogers, M.D.
Board Certified Neurologist
NURSING HOMES
Lutz Wing Nursing Home
(507) 238-8651 or Toll Free 800-234-6141
Lakeview Methodist Health Care Center
(507) 235-6606
(507) 893-3171
(507) 238-4311
Roger Neist, M.D.
Daniel Peterson, M.D.
Board Certified Ophthalmologists
OPTOMETRISTS
Associate Optometry, P.A.
1307 Albion Avenue, Suite 102, Fairmont, MN 56031
(507) 238-4228
111 E. 6th Street, Blue Earth, MN 56013
(507) 526-2020
Paul Seibert, O.D.
James Busche, O.D.
(507) 238-4311
Robert Friese, O.D.
Optometrist
OBSTETRICS
Midwest Vision Centers
Toll Free 800-234-6141
John Coniaris, M.D.
Sam Meals, M.D.
Board Certified Obstetricians/Gynecologists
(507) 238-8527
Tawnya Kreilkamp, M.D.
Marie Morris, M.D.
Roman Tusinski, M.D.
Board Certified Family Physicians
(507) 238-8516
(507) 235-6669
ORAL & MAXILLOFACIAL
SURGEONS
Oral & Maxillofacial Surgery Associates, P.C.
Office Locations:
Fairmont, MN • Worthington, MN • Spencer IA • Spirit Lake IA
(507) 238-4595 or Toll Free 800-637-4919
John B. Synhorst II, D.D.S.
OCCUPATIONAL HEALTH
(507) 238-5129 or Toll Free 800-234-6141
OCCUPATIONAL THERAPY
Rehabilitation Services
(507) 238-8196 or Toll Free 800-234-6141
OPHTHALMOLOGISTS
Associate Optometry, P.A.
1307 Albion Avenue, Suite 102, Fairmont, MN 56031
(507) 238-4228
111. E. 6th Street, Blue Earth, MN 56013
(507) 526-2020
Leonid Skorin, Jr., D.O.
ORTHOPEDICS
(507) 238-8595 or Toll Free 800-234-6141
Stephen Berthelsen, M.D.
Chuck Hounshell, D.P.M.
Board Certified Podiatrist
Perry Berhow, P.A.-C.
ORTHOPEDICS & SPORTS
MEDICINE
(507) 238-4949 or Toll Free 888-974-6636
Corey Welchlin, D.O.
Kent Patrick, M.D.
Tony Raben, M.D.
Spine Specialists
PODIATRY
(507) 238-4949 or Toll Free 888-974-6636
Podiatry
(507) 238-8595 or Toll Free 800-234-6141
Chuck Hounshell, D.P.M.
Board Certified Podiatrist
Podiatry
PSYCHIATRY-PSYCHOLOGY
Tim Soelter, PA-C
(507) 235-5651
Holly Kotewa, C-FNP
PEDIATRICS
Fairmont MN 56031
(507) 235-6070
(507) 238-8547 or Toll Free 800-234-6141
Matei Teodorescu, M.D.
Board Certified Pediatrician
PHYSICIAL MEDICINE &
REHABILITATION
(507) 238-8547 or Toll Free 800-234-6141
Terri Peterson, M.D.
Board Certified Physical Medicine & Rehabilitation
(507) 238-8598 or Toll Free 800-234-6141, ext. 8598
Roger Jacobson, M.D.
Julie Borg, Psy.D.
Brian Koranda, M.A.
RADIOLOGY/IMAGING
PHYSICAL THERAPY
(507) 238-4949 or Toll Free 888-974-6636
Mike Squiers, M.S.P.T.
Jim Hitchcock, P.T., A.T.C.
Betsy Schultz, P.T.A.
Rehabilitation Services
(507) 238-8196 or Toll Free 800-234-6141
Lakeview Health Services
(507) 235-6606
(507) 893-3171
(507) 238-8184 or Toll Free 800-234-6141
REHABILITATION
Physical Therapy
Industrial Rehabilitation
(507) 238-4949 or Toll Free 888-974-6636
Physical & Occupational Therapy
Speech-Language Pathology
(507) 238-8196 or Toll Free 800-234-6141
REHABILITATION
(507) 238-8651 or Toll Free 800-234-6141
SPEECH/LANGUAGE
PATHOLOGY
Speech-Language Pathology
(507) 238-8196 or Toll Free 800-234-6141
RETIREMENT LIVING
(507) 238-8651 or Toll Free 800-234-6141
Goldfinch Estates
(507) 238-9405
SPINE CARE
(507)-238-4949 or Toll Free 888-974-6636
Kent Patrick, M.D.
Tony Raben, M.D.
Spine Specialists
Maplewood Residence
(507) 235-3443
ULTRASOUND
(507) 893-3171
(507) 764-4977 or (507) 764-2592
(507) 238-8100 or Toll Free 800-234-6141
URGENT CARE
(507) 238-8100 or Toll Free 800-234-6141
RHEUMATOLOGY
Industrial Rehabilitation
(507)-238-4949 or Toll Free 888-974-6636
Hal Martens, D.O.
Rheumatology
Smart Clinic
(507) 238-4844
UROLOGY
SKILLED NURSING CARE
(507) 238-8651 or Toll Free 800-234-6141
Lakeview Methodist Health Care Center
(507) 235-6606
(507) 893-3171
SLEEP MEDICINE
(507) 238-8547 or Toll Free 800-234-6141
Eve Rogers, M.D.
Board Certified Neurologist & Sleep Specialist
(507) 235-6036 or Toll Free 800-234-6141
Christopher Gran, M.D.
John Holstine, M.D.
Board Certified Urologists
Chip Pearson
Above: School nurses Beth Switras, left, and Jane Kotewa have cared for area students for many
years.
School nurses oversee much
By KYLIE SAARI
Fairmont
T
he statistics themselves
speak to their efficiency.
The nearly 2,500 students
in Martin County are cared for during school hours by just three
women — school nurses who oversee everything from pandemic
response preparedness, to early
childhood screening, to participating in student support teams.
They do it through dedication
and delegation.
“We couldn’t do what we do
without the ability to share some of
those tasks,” said Fairmont Area
Junior/Senior High School nurse
Jane Kotewa, “and the district has
been very good about allowing it.”
Kotewa has been school nurse at
the high school and Five Lakes elementary for more than 30 years.
Beth Switras has covered Budd
School, the area parochial schools,
ALC, Early Childhood Special
Education, Truman, and GranadaHuntley-East Chain for 16.
Laura Kramer covers Martin
County West.
Together, they take care of much
more than sore throats and asthma
inhalers.
“Children that have pretty significant medical needs are now living
at home with their parents and
attending regular school, whereas
15, 20 years ago they might not
have been able to live at home,”
Kotewa said.
Those students are now attending
school, and some need Individual
Education Plans to ensure they get
the most from their educational
experience; plans school nurses are
involved in preparing and that often
NURSES
NURSES
include training for those with the child most during
school hours.
Switras and Kotewa, who each care for students at
more than one school, are unable to be at each school
for the entire day, so they have trained staff to take care
of student needs that do not require a skilled nurse,
such as evaluating an ill child or administering medication.
In the event there is a situation staff is unable or
unwilling to address, and the nurses are at another site,
emergency personnel are called.
Switras said trained staff at each site make it possible to care for so many students.
A special team comes in and tests all students for
vision and hearing, along with scoliosis testing, a project Switras says would take months if nurses had to do
it themselves.
“We are kind of the middle man here,” said Switras.
“We don’t treat it. If they can’t go back to class, then
they need to go home.
Kotewa and Switras hold bachelor’s degrees in nursing, are certified public health nurses and licensed in
school nursing.
They described themselves as consultants, to schools
and students.
While the nurses are adamant they are not a clinic
— parents need to take their students to the doctor if
they have health concerns — they are available to students who need to talk about a health-related question,
such as pregnancy, and they take note of students who
regularly come into the office with the same complaints.
“If they are coming in with a headache three or four
times per week, there is something else going on,”
Switras said.
Kotewa said Fairmont Area administrators are good
about coming to them with health policy issues, such
as last spring’s H1N1 outbreak.
Schools were advised how to handle the potential
crisis by the state Department of Education and federal
Centers for Disease Control and Prevention, but it was
school nurses who were called on to implement any
changes and distribute information to the school sites.
“That is what our role of school nursing is going to
be primarily (for H1N1) is helping people learn how to
keep themselves as well as possible,” Kotewa said,
adding, “and work with our custodial staff as well as
our entire staff to use good, healthy practices at home
and at school. And then we will assist the community
as plans are developed for immunization.”
She explained that the H1N1 scare was not a surprise to the district, as it has been preparing for the
eventuality of something like it for years.
“We have been planning for six years for a pandemic,” she said. “This is not alarming. A plan is in place.
All the partners are aware of their roles. So we just
have to wait for the feds to let us know. “
When asked if students have changed in the years
they have been nursing, Kotewa hesitated.
“No, not really,” she said. “Initially, I would want to
say yes, but as I think about it, we maybe have more
kids with more social issues. There is less stability
sometimes; we see a lot of young parents. But the children are the same.”
Switras said more and more, school nurses are asked
to do things they weren’t traditionally responsible for.
Through continuing education, they are prepared.
“We really try to look at the big picture in terms of
the whole education process,” Kotewa said. “Are kids
ready to learn with good vision, hearing screening? Are
they fully immunized? We look at food and nutrition;
we work with food services. We both have multiple
roles in the big picture.”
Oral & Maxillofacial
Surgery Associates, P.C.
John B. Synhorst II, D.D.S.
Certified by the American Board of Oral & Maxillofacial Surgeons
SPECIALIZING IN:
• Oral and Maxillofacial Surgery • Dental Implants
• Routine and Complex Tooth Removal
• Head and Neck Tumors and Pathology
• Temporomandibular Disease (TMJ)
• Correction of Jaw Deformities
OFFICE LOCATIONS:
Fairmont, MN • Worthington, MN • Spencer, IA • Spirit Lake, IA
1-800-637-4919 • 507-238-4595
At medical center
Pumps use is widespread
By MEG ALEXANDER
Fairmont
A
t about $5,000 a piece, an
infusion pump is a tool
that can improve data
accuracy and ensure patient safety.
That’s the message Fairmont
Community Hospital Foundation is
promoting as it tries to raise money
to buy 80-some pumps from
Hospira, totaling $400,000.
Infusion pumps are used throughout Fairmont Medical Center, in
every department from the emergency room to the Birth Place to
the clinic.
“When a patient has an IV, and
they’re getting fluids or medications, we put the IV through a
pump to control volume and to
make sure sure the patient is accurately getting the right amount the
doctor prescribed. We can also
keep track of how much (medication) the patient has had,” said
Karla Boettcher, in-patient services
director.
“Back in the olden days,”
Boettcher said, referring to when
she first became a nurse 22 years
ago, “we used to stick a piece of
tape on the side of the (IV) bag.”
The tape would give an approximate measurement of how much
fluid had gone into the patient. If
not enough was used, a nurse
would open the clamp to increase
the flow. If too much was gone
from the bag, the nurse would
tighten the clamp.
“Technology’s come a long
way,” Boettcher said.
The Foundation is raising funds
INFUSION
Above: Fairmont Community Hospital Foundation is raising
funds for infusion pumps, like the PCA — patient-controlled analgesia — pump shown above.
INFUSION
for two types of pumps. One will be
for regular IV use, and the second
is called a PCA pump, which stands
for patient-controlled analgesia.
“There’s a button patients can
push to delivery their own pain
medication,” Boettcher said.
“Upgrading those is very important
from a safety standpoint ... so we’re
assured their dosing is safe.”
The medical center currently has
infusion pumps, but they don’t have
all the bells and whistles of the
newer models.
The new pumps are quieter, for
one thing, which is convenient for
patients trying to rest. The pumps
also offer a low-light setting for
night, so the bright light from the
equipment won’t disturb patients’
sleep when a nurse is making nightly rounds.
The pumps will make life easier
for staff too, improving accuracy.
The equipment automatically
records data and will interface with
patient’s medical records, when
Fairmont Medical Center makes the
switch in 2010 or 2011 to an electronic record system.
“When you’re writing things
down, there’s a 20 percent chance
of making a mistake,” Boettcher
said. “... Right now we have to document that manually or rely on one
nurse to tell the next nurse. This
will be a definite improvement in
communication.”
The combined benefits of the
infusion pumps confirm the 5
Patient Rights, said Foundation
director Darla Nelson-Philipp, quoting Hospira’s sales representative:
“The right patient, the right medica-
Quality Senior Assisted Living
All On One Level
tion, the right dose, the right time
and the right route.”
Each year, staff at the medical
center creates a wish list of items
for which the Foundation could
raise funds.
“Because of the economy, the
medical center and Foundation
board are focused on just this piece
of equipment,” Nelson-Philipp said.
“It affects nearly every patient who
comes in our hospital.
“We can’t really stress how much
more safe it makes our patient care,
and at the end of the day, that’s
what it’s all about.”
If anyone wants to visit with
Nelson-Philipp about making a gift
to purchase a pump, she can be
reached at (507) 238-8177, or contributions can be mailed to
Fairmont Medical Center.
Eunoia Family Resource
Center, P.A.
Dr. Vetter provides a
full range of services
including:
• Psychological Testing
• Individual Therapy
• Couples Therapy
• Family Therapy
Ramie M. Vetter, Psy. D.
Confidentiality is assured with separate entrance
and exit, as well as a private waiting area.
Come home to Ingleside...
We have a caring staff,
warm atmosphere and the help you need.
Family Owned & Operated
Private Rooms Available Now
2811 Roland Avenue, Fairmont, MN 56031
Call now for details & your personal tour
(507) 238-9654 or 1-800-450-1019
www.inglesidemn.com
For your convenience we offer
the following appointment hours:
Monday 6 pm to 10 pm
Tuesday & Thursday 9 am to 10 pm
Friday 9 am to 12 pm
Call (507) 235-6070 for an appointment
Fairmont, MN
Coverage differs on health care
By DAVID BAUDER
Associated Press Writer
New York
F
ox News Channel cut
away from President
Barack Obama’s town hall
meeting on health care reform
Tuesday as he faced a far more
polite crowd than has attended
many meetings hosted by members
of Congress recently. CNN and
MSNBC carried the session in full.
The loud public debates have
been a tonic for cable news networks during normally quiet
August. The audience for Fox’s
Bill O’Reilly last Thursday was a
half-million more than on a typical
evening this year, and he credited
his network’s willingness to listen
to health care reform opponents for
helping bring in viewers.
The cable networks all covered
a much livelier forum held
Tuesday morning by Sen. Arlen
Specter in Lebanon, Pa. One
woman, nearly shaking in anger,
stood directly in front of Specter
and said the reform bill “is about
the systematic dismantling of our
country.”
CNN called it a “town hell.”
The loud protests have dominated coverage and put the White
House on the defensive. Nearly 60
percent of the time on cable and
radio talk shows last week was
spent on health care, much of that
time debating whether the angry
protests were genuine or orchestrated, according to the Project for
Excellence in Journalism.
Obama gave an opening state-
ment at his town hall meeting in
Portsmouth, N.H., then invited
questions. Fox cut away after a
couple of questions, which
appeared to come from supporters
of the president’s plan.
“The president has a town hall
and it looks like it could be a campaign stop,” said Fox anchor Trace
Gallagher.
Fox analyst Tucker Carlson said
there was “no way” that the White
House didn’t screen questions,
despite the administration’s claim
otherwise.
Gallagher and co-anchor Juliet
Huddy interviewed guests and
showed clips from the Specter session while the president was
speaking. They noted that Obama’s
full appearance could be seen on
the network’s Web site.
Senior Living ~~~
At Goldfinch
FOR MANY GOOD REASONS
• Meals • Housekeeping
• Medications • Activities
• Personal Care • Social Outings
Kathy Nowicki
LPN
Dick Mahar
Resident
• New Friends & Neighbors
Colleen Miller
Director of
Heath Services
Don’t stay home alone & be lonely. Companionship & social activities help you feel
great & have a purpose. Come join our Goldfinch family!
Assisted, Independent & Memory Care Apartments.
Call for a tour 507-235-9405
850 Goldfinch, Fairmont, MN
We are a patient-friendly clinic. Seeing you at your convenience is important to us.
That is why the Smart Clinic is open 7 days a week.
The Smart Clinic is a good choice for any health care concern you would take to a family practice
physician or nurse practitioner. We can be your primary care provider or you can schedule
appointments or drop in on those occasions when convenience is important to you.
Monday-Friday 8:30 am-7:30 pm
Saturday 9:00 am-5:00 pm
Sunday Noon-5:00 pm
Dr. Timothy Bachenberg
Julie Clements, N.P., Pat Fahey-Bacon, N.P.
507-238-4844
Five Lakes Centre • Fairmont
We will see you today!
(Last appointment or walk-in will be 1/2 hour before closing)

Medical Pages web 2009

Transcription

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