Winona Health - Healthy Connections Fall 2006

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Fall 2006

Healthy fuel for back to school Orthopaedic surgeon putting the spring back in the community’s step Eye Care Center opening soon

Welcome to Healthy Connections From the President/CEO

W

Healthy Connections is published quarterly by Winona Health to provide you with information about health, wellness and the many resources available to you, close to home. Sending you Healthy Connections is another example of how we’re striving to fulfill our mission: Winona Health is devoted to improving the health and well-being of our family, friends and neighbors.

e are fortunate in Winona. Our community is strong, thriving and diverse in a number of ways. And while there are many strong businesses and industries represented in Winona, the healthcare sector has its role to fulfill. We at Winona Health recognize the critical responsibility of providing high quality, effective healthcare in our community, and we are honored to do our part.

We welcome your questions, suggestions or comments about Winona Health and this publication. Please contact:

Healthcare has an impact on all of our lives, whether we are dealing with personal health Rachelle H. Schultz issues, concerned about healthcare costs, expecting high quality care and service, or hoping our health will hold up so we don’t need healthcare services. At Winona Health we are committed to a revolutionary transformation of community healthcare, and we are excited about what this means for patients, residents and the community. Our challenge is to meet your changing needs and to exceed your expectations.

Loretta Bronson Chief Communication Officer 507.457.4116 Michelle Foerster Graphics/Web Content Specialist 507.457.4136 Jennifer Olson Community Relations Specialist 507.457.4161 Karen Sibenaller Marketing Communication Coordinator 507.457.4157 Also contributing to this issue: Adeola Fadumiye Public Relations/Marketing Intern

In this issue... 2 4 5 6 8 10 12

From the President/CEO Eye Care Center opening Orthopaedic solutions The right fuel for school Award-winning heart attack care Notes & news Calendar

On the cover: Winona resident Elizabeth Waters is pictured with orthopaedic surgeon Timothy Gabrielsen, MD, who performed her knee replacement surgery in July.



Healthy Connections ~ Fall 2006

You will read in this issue how the focus of physicians and staff has resulted in nationally recognized outcomes and how key procedures can change someone’s life. This happens every day at Winona Health. I am so impressed with the quality and caliber of physicians in our community. We have a number of outstanding new physicians on our medical staff and recruitment efforts continue to attract others. We also have said good-bye to some physicians as they make their own life changes, and we wish them the best. The community’s physicians, and our staff, too, work together with a single focus—caring for you and your family. It is our pleasure to serve you and we thank you for giving us the opportunity to do so.

Rachelle H. Schultz President/CEO

Eye Care Center opening soon O Surgeries performed by phthalmologist Laurel Quinn, MD, will open the Winona Health Eye Care Center in October.

“My husband and I chose to come to Winona for the opportunity to fill a real need—to provide important services to this community,” said Dr. Quinn. “I believe my career goals fit well with the mission of Winona Health: to provide great comprehensive primary care.

ophthalmologist with an interest in pediatrics, Dr. Quinn underwent specialized training in child development during medical school and has done extensive clinical research with children during her ophthalmology training.

Laurel Quinn, MD

“I chose to go into medicine so I could use my scientific curiosity and communication skills to help people,” explained Dr. Quinn. “I chose ophthalmology as a speciality because vision is so important to people every day. It is so rewarding to be able to make things better for people in a way they can SEE, using optics and surgery.” She added, “Another factor that attracted me to ophthalmology is that I’ll be able to see patients of all ages.” A general

To preserve and protect your vision, Dr. Quinn advises:

Dr. Quinn include:

Cataract extraction with intraocular lens implantation Laser treatment of diabetic retinopathy and other retinal vascular disease and glaucoma Filtering surgery for glaucoma

Eye alignment surgery for Dr. Quinn received her strabismus medical degree from the University of Minnesota Eyelid repair procedures Medical School in Minneapolis and completed her residency at the Casey Eye Institute at Oregon Health & Science University in Portland, Oregon. She is a member of the American Academy of Ophthalmology and the American Society of Cataract and Refractive Surgery. New to Winona but native Minnesotans, Dr. Quinn and her husband, Jason, have two young daughters, Grace and Faith. “My husband and I are also looking forward to living closer to those of our relatives who are still in the state.” This new Winona Health Physician Clinic will be located on the third floor of the new medical office building on Winona Health’s campus. If you would like to make an appointment with Dr. Quinn, please call 507.474.7830.

1. Take care of your general health to minimize the threat to vision posed by out-of-control systemic diseases such as diabetes, hypertension and tobacco dependence. 2. Use appropriate protective eyewear for sporting and work-related tasks known to be high risk for eye injuries such as paintball, hockey, and metal or woodworking. 3. Your health history and current health may affect the health of your eyes. Regular exams will often help detect problems before specific symptoms develop. Early detection and treatment of possible eye problems is the key to protecting your vision. If you have a family history of eye disease or are experiencing any eye problems, talk to your doctor.

Healthy Connections ~ Fall 2006



From the Cover

Orthopaedic surgery may put the spring back in your step I t’s been a long journey, but these days Elizabeth Waters is finding that the path is more comfortable to walk.

“I’ve had knee problems for about five years, and I was tired of limping around,” explained Waters. “When Traci [Morken, CNP at Winona Clinic*] told me that an orthopaedic surgeon was coming to Winona, I said, ‘I want to be the first patient!’ ”

‘‘

Mrs. Waters wanted to remain

active, and she was feeling very restricted by her



knee pain. Tim Gabrielsen, MD Orthopaedic Surgeon

Healthy Connections ~ Fall 2006

Tim Gabrielsen, MD, joined Winona Health on May 31 and performed Waters’ total knee replacement at Community Memorial Hospital on June 13. The knee is the largest joint in the body; because of the work it performs on a daily basis, it is one of the more common joints to develop problems. One of these problems is degenerative joint disease, also commonly referred to as osteoarthritis. This disease is the gradual deterioration of the joint surface cartilage caused by time and use. “Early signs of joint disease or osteoarthritis include joint stiffness and, eventually, pain during motion of the affected joint,” explained Dr. Gabrielsen. “The pain may increase during extended activity—especially weight-bearing activity on the knees—and decrease with rest. Diagnosis is based on medical history, physical exam and use of digital imaging or x-ray.” * Winona Clinic is an independent physician’s clinic.

“Mrs. Waters wanted to remain active, and she was feeling very restricted by her knee pain,” said Dr. Gabrielsen. Waters was a good candidate for surgery because, “she’s at a healthy weight and she had exhausted non-operative measures. She’s also in good general health.” Elizabeth Waters walks on her Individuals are possible new knee with Dr. Gabrielsen. candidates for joint replacement when they have advanced arthritic changes in the knee along with pain that significantly limits their physical ability—both for daily living and for activities they enjoy. “If an individual has knee

pain that significantly impacts their quality of life and their ability to remain independent, replacement may be a good option for them,” said Dr. Gabrielsen. Waters, a fit 78-year-old, is pleased with the results of her total knee replacement. “I absolutely recommend that others look into this type of surgery,” said Waters. “I was very satisfied with the surgical team. Dr. Gabrielsen is very warm, caring and concerned. He was straightforward and realistic about what to expect—no beating around the bush!” Less than six weeks after her surgery, Waters said, “I feel great, and I’m about ready to take a walk around the lake! I think Dr. Gabrielsen is satisfied with my progress, too.” For more information about orthopaedic procedures available in Winona, contact your primary care physician or call Winona Health Sports & Orthopaedic Specialists at 507.474.6600.

Take steps to save your knees What can be done to decrease the risk of developing joint problems?

“Maintain a healthy body weight and maintain strength in general, but especially in the muscles supporting the affected joints,” advises Diane Montgomery, a physical therapist with Winona Health Rehabilitation Services. “These measures don’t guarantee that you won’t develop degenerative joint disease, but they will reduce the risk.”

What should you do when you begin experiencing pain in your knees? “Talk to your doctor about getting an evaluation,” said Montgomery. “He or she may refer you to physical therapy for specific exercises to help correct muscle imbalances and increase specific muscle strength—or recommend alternative methods to ease discomfort.” Montgomery also noted, “Generally, it is recommended that you continue exercising within your body’s tolerance so you don’t aggravate the condition that is causing pain.”

If you’ve been diagnosed with degenerative joint disease/ osteoarthritis, you can help minimize the effects by participating in low-impact activities to promote strength and range of motion. When other measures are no longer effective, joint replacement may be the answer. After joint replacement, Montgomery stresses the Diane Montgomery importance of following your Physical Therapist doctor’s orders regarding restricted activity and encourages patients to follow through with rehabilitation recommendations to maximize strength and improve range of motion. For more information about rehabilitation services, call 507.457.4329 or visit winonahealth.org.

Healthy Connections ~ Fall 2006



The right fuel for school A nother school year rolls in, and for parents, mornings are busy getting ready for work and getting children ready for school. Fortunately, making sure children have the right fuel for a productive day doesn’t have to take a lot of time.

According to Rose Gurley, RD, a Winona Health diabetes educator and outpatient dietician, “Breakfast is important because it gives us fuel to start the day. It nourishes the brain and body and provides energy for us to think and perform physical activities.”

Rose Gurley, RD

Diabetes Educator & Dietician 

Breakfast is also essential in helping children do well in school. Gurley noted that eating breakfast has proven to help improve concentration, problem-solving skills, mental performance and mood. “School can be tough enough,” said Gurley. “And when kids skip breakfast, there is the extra stress of

Healthy Connections ~ Fall 2006

working harder to concentrate on reading or solving a math problem.” Quick options for breakfast include a bowl of cereal with milk, dry whole grain cereal with yogurt or milk, and fruit with toast. If your kids aren’t hungry for breakfast, send them to school with a healthy mid-morning snack. Portable items include whole grain crackers, a hardboiled egg, granola breakfast bar or even a peanut butter sandwich. Gurley also emphasized the importance of breakfast in controlling obesity. “Eating breakfast is important for weight control. If children skip breakfast, they may be more likely to overeat and snack on high-fat, sugary foods that lead to excess weight gain and later obesity. “If parents want their children to develop healthy eating habits, one of the most important things for parents to do is to be good role models,” said Gurley. “And eating a healthy breakfast will help parents have a good day, too!” With the fast pace of everyday life, it can be difficult to be proactively involved in helping children eat healthfully—but the effort will be worth the result: a child who has the right fuel for a productive day.

Tips for packing a healthy lunch • Keep it simple, but healthy • Ask your kids for ideas and let them help pack • E ase the morning rush by packing lunches the night before  se leftovers such as • U pasta, cooked chicken, or a sandwich with lean luncheon meat or peanut butter and jelly • Include fruit, vegetables and milk • Remember plastic utensils and condiments when necessary • Include a small freezer pack to guarantee dairy and meat don’t spoil • Use the food pyramid as a guide (for more info visit mypyramid.gov)

Tiny Pizzas Prep time: about 15 minutes

Serves: 1

Serving size: 2 tiny pizzas

Ingredients: 1 standard bagel, cut in half tomato sauce shredded mozzarella cheese toppings like diced green pepper, chopped onion or chopped tomato seasonings like oregano, basil and pepper

Utensils: oven (you’ll need help from your adult assistant.) baking sheet knife

Nutritional analysis*

Directions: 1. Set the oven to low heat. 2. Spread tomato sauce on each bagel half, then cheese. 3. Add your favorite toppings, then sprinkle seasonings lightly. 4. Bake in the oven on low heat for about 5 - 8 minutes. You’ll know when they’re done when the cheese is bubbly. 5. Let cool for a minute, then enjoy your tiny pizzas!

(per serving)

210 calories 9 g protein 4 g fat 34 g carbohydrate 2 g fiber 11 mg cholesterol 633 mg sodium 144 mg calcium 1.9 mg iron * Note: Nutritional analysis may vary depending on ingredient brands used.

Awesome Applesauce Prep time: 10 minutes

Serves: 2

Ingredients 2 small red apples 2 tbsp. lemon juice 2 tsp. sugar 2 pinches of cinnamon

Utensils knife (you’ll need help from your adult assistant.) blender or food processor measuring spoons serving bowls

Directions: 1. Peel the apples and cut them into small pieces. Throw out the core. 2. Put the apple pieces and lemon juice into the blender or food processor. Blend until the mixture is very smooth. 3. Pour the mixture into two small bowls and stir in the sugar and cinnamon. 4. Enjoy your awesome applesauce!

Serving size: 1 bowl (half the recipe) Nutritional analysis*

(per serving)

84 calories 0 g protein 0 g fat 22 g carbohydrate 2 g fiber 0 mg cholesterol 3 mg sodium 14 mg calcium 0.3 mg iron * Note: Nutritional analysis may vary depending on ingredient brands used.

Find more recipes at winonahealth.org/kidshealth

Healthy Connections ~ Fall 2006



Award-winning heart attack care Community Memorial Hospital received a 2006 Premier Award for Quality for its care of acute myocardial infarction (AMI/heart attack) patients.

“I wanted to stay close to home. The closer to home the better!”

“Receiving the Premier Award for Quality reflects the fact that our staff and the community’s physicians are committed to offering the highest quality patient care every day,” said Rachelle Schultz, Winona Health CEO.

Grace spent four days under the care of the nursing team in Winona Health’s Intensive Care Unit and Winona Clinic’s Dennis Nolan, MD. “I had very good care in the hospital. I was very happy with my nurses—even though I don’t like to be waited on,” said Grace. “And I really like Dr. Nolan,” she added. “He’s kind of a smart guy. He had me figured out. I remember the day I was leaving the hospital, Dr. Nolan said, ‘Now don’t go out and mow your lawn when you get home!’ ”

Grace Glomski of Fountain City was one of the community members who benefited from Community Memorial Hospital’s award-winning care when she had a heart attack in September 2005.

Grace’s story After mowing her yard on a warm September afternoon, Grace, 92, began having a strange sensation between her stomach and her chest. “I thought it might be heartburn,” said Grace. “I had never had heartburn, but I had never had this pain either until a few days earlier—and then it went away.

Road to recovery

A year later, Grace said, “I’m doing just fine. My only problem is my hip and I have to take pain medicine for that sometimes. But I’m 92 years old, and I can live with that.”

The team reunites. Clockwise from top left: Marc Dummit, MD; “This time, though, it wasn’t Dennis Nolan, MD; Peggy Krage-Koenig, RN; Grace Glomski, going away; it was spreading. AMI patient. Grace’s daughter, Joy I started wondering if Schmidtknecht, added, something was wrong with “She’s still very independent, and she’s about the greatmy heart.” Grace said she called her daughter-in-law to ask est mom anyone could ever have. She has a great sense of if she should take an aspirin. Fortunately, her daughter-inhumor.” law and son immediately got her to the hospital. “Being able to provide expert care for people when they In the Emergency Department at Community Memorial need us the most makes this job very rewarding,” said Peggy Hospital (CMH), Grace said she remembers thinking, Krage-Koenig, RN, the nurse who helped care for Grace in the Emergency Department.



Healthy Connections ~ Fall 2006

Commitment to excellence Grace is one of many patients who have come to CMH for heart attack treatment. “Consistently doing the right thing for patients put us in the position to win the Premier award,” said Charles Shepard, MD, Winona Health medical director. Written pathways and protocols assure the most up-to-date care for patients with myocardial infarction, unstable angina and heart failure.

In accepting the award, Dr. Shepard emphasized the contributions of Andrew Edin, MD, “a guiding influence for the medical staff ”; Mary Volkart, RN, “a leader in nursing care”; Marc Dummit, MD, Emergency Department medical director; and Brett Whyte, MD, medical director for the Winona Area Ambulance Service. “These people, along with their staffs, are strong links in the chain of care.”

Community Memorial Hospital has been on the leading edge of care for heart patients for a long time, noted Dr. Shepard. “We participated in the first TIMI [thrombolysis in myocardial infarction] trial which showed the benefit of opening clotted arteries of heart patients,” he said. He added, “We continue to collaborate with our tertiary care partners in Rochester and La Crosse. We’ve developed an organized and consistent approach involving initial diagnosis and care in Winona, followed by transfer for emergency coronary angiography and angioplasty when needed.” Community Memorial Hospital physicians and staff accepted the Premier Award for Quality for treatment of acute myocardial infarction (AMI/heart attack) patients at a special presentation on July 27. The award recognizes not only consistent high quality care, but also efficient use of resources.

Physicians and staff at Community Memorial Hospital accepted the Premier Quality Award at a presentation in the Douglas Boyer Surgery Lounge at Winona Health on July 27. Pictured left to right: Gary Evans, Winona Health board chair; Rachelle Schultz, president/CEO; Charles Shepard, MD, Winona Health medical director; Marc Dummit, MD, Emergency Department medical director; Roger Jones, senior director, Premier, Inc.; Andrew Edin, MD; and Mary Volkart, RN.

National and regional awards and recognition

CMH earned the Premier Award for high quality, cost effective treatment of Acute Myocardial Infarction (AMI) based on clinical process measures, clinical quality outcome measures and resource utilization. The award is based on data submitted to Premier, Inc. for reporting and benchmarking purposes.

Winona Health was awarded the Minnesota Quality Award— Advancement Level in recognition of “progress in building and deploying systematic approaches” in leadership, strategic planning, customer service and market focus.

Winona Health’s Community Memorial Hospital is ranked one of the Most Wired—Small & Rural Hospitals for the fifth consecutive year. Winona Health won the award for “using information technology to improve quality, satisfaction and patient care. “

Healthy Connections ~ Fall 2006



Community comments On February 1st, my wife and I were blessed with the birth of our first child, Christian. He was delivered by C-section at Winona Health by Dr. Birdsall and your wonderful staff. The delivery went flawlessly and as new fathers go, I was overwhelmed with all that was going on. Once we made it to the [Family Birth Center] and our little bundle was with us, the shock of “what do we do now?” was gently alleviated by the nurturing and guiding expertise of “Tweety” [Amparo Oevering] and Wendy [Jandt]. These compassionate professionals not only cared for us, but helped teach us some of the basics. We are truly grateful to everyone and look forward to having our next family member at Winona Health!

Denise & Eric Mueller Fountain City P.S. We thought the “special dinner” was a nice touch and the food was excellent!

Bruce McFarlin of Buffalo City arrived in the Emergency Department (ED) at Community Memorial Hospital with chest pain on July 21. Michelle Johanson, RN, began monitoring his heart rhythm and immediately called for an air ambulance. Carlos Morales, MD, directed members of the team in administering life-saving treatment, and within 80 minutes of arriving in the Winona Health ED, McFarlin was receiving balloon angioplasty in La Crosse. The next day, McFarlin attended the wedding of his niece Kelsey and her new husband Adam.

10

Healthy Connections ~ Fall 2006

At first I was walking to the ER and noticed the [Urgent Care] sign in front. I was extremely happy to see this service now available: less expensive, less waiting and use of ER time that could be spent on emergency care. I was having a reaction to a bee sting and felt I couldn’t wait until Monday. I was in and out in much less time. Thank you!

Kathy Kilmartin Minnesota City

Recognition from the State of Minnesota

On behalf of the Governor’s cabinet, I would like to thank you and your staff for hosting the Health Cabinet at your facility. Winona Health is the benchmark for Health Information Technology (HIT) in Minnesota. I commend you and your organization for the outstanding work.

As we see more facilities moving [toward To read the full text of the letter, implementation of HIT], please visit winonahealth.org there is a roadblock that many have not been able to accomplish: interconnectivity. Winona Health has done this and Minnesota’s care facilities need to look to you as the leader. Winona Health’s accomplishments show the State of Minnesota that we can have an interoperable HIT system. We look forward to working with you as you lead the way to the 21st Century health care system. Carl R. Luderman, Commissioner Minnesota Department of Employee Relations and Chair, Governor Pawlenty’s Health Cabinet

Staff in the news Carlos Morales, MD, Emergency Department physician (left), received board certification in Emergency Medicine. Dr. Morales is also board certified in Internal Medicine. He is a member of the American Medical Association, American College of Emergency Physicians, American Association of Physician Specialists, Minnesota Medical Association and the Mayo Alumni Association. Debra Norton, RN, Karen Resch, RN, and Deb Kahoun, RN, successfully completed a rigorous exam to receive Critical Care Certification from the American Nurses Credentialing Center. The exam tests nurses’ knowledge in handling multiple challenges related to complex clinical situations in the Intensive Care Unit (ICU). Christina Friederichs, Winona Health’s Director of Physician Clinics (right), passed The American Academy of Medical Management’s exam to become a Certified Administrator in Physician Practice Management. This achievement reflects Friederichs’ extensive work experience, education and professional development.

Services Allergy & Asthma Clinic Alzheimer’s Care Assisted Living Facilities Child/Adolescent Psychiatry Counseling Dialysis Emergency Care Family Birth Center Home Health Care Hospice Care Laboratory Long-term Care Medical Services Nutrition & Diabetes Education Occupational Health Orthopaedic Surgery Parkview Pharmacy

Alicia Lalim, Heidi Ramsey and Doug Haberman, cardiopulmonary rehabilitation specialists, passed the Registered Clinical Exercise Physiologist (RCEP) exam administered by the American College of Sports Medicine.

Psychiatry - Inpatient/Outpatient Radiology Rehabilitation Services Respiratory Care

Chris Schubert, MD, Emergency Department physician (left), is a member of Team USA in the 2006 Short Course Triathlon World Championship in Lausanne, Switzerland. The September event includes a one-mile swim, 24-mile bike ride and a 6.2-mile run. To qualify, athletes had to finish in the top 25 at the 2006 Age Group National competition.

Rushford Clinic Sleep Lab Sports Medicine Surgery - Inpatient/Outpatient Urgent Care (weekends) NEW Ophthalmology

Looking for a healthcare provider in Winona? Wondering if there’s a specialist close to home? Medical Staff Directories are now available in the hospital’s front lobby. Pick up this free resource the next time you’re at Winona Health! The information contained in the directory is also available on our website.

E-Health Visits (through Winona’s Health Online) For more information: 507.454.3650 winonahealth.org Healthy Connections ~ Fall 2006

11

EVENTS, CLASSES & SUPPORT GROUPS Alzheimer’s Support Group Second Wednesday of every month, 6-7 pm CMH, Parkview Conference Room 507.457.4560 Breastfeeding Class October 5, or December 7, 6:30-8:30 pm CMH, Lake Winona Manor Classroom $10 per participant/couple. 507.457.4491 Breastfeeding Support Group MOM (Mother’s Own Milk) Every Wednesday, 1:30-3 pm Women’s Health Library at Winona Clinic No registration required. 507.453.3700 Childbirth Education Class Six-week course, 6:30-8:30 pm September 5 - October 10 October 2 – November 6 November 7 – December 12 CMH, B.A. Miller Auditorium Registration required: 507.457.4491 Childbirth Experience Weekend Class Friday, September 15, 6-8 p.m. & Saturday, September 16, 8 a.m.-3 p.m. or Friday, December 8, 6-8 p.m. & Saturday, December 9, 8 a.m.-3 p.m. CMH, B.A. Miller Auditorium Registration required: 507.457.4491 Depression Screening Thursday, October 5, 2006 Free. 507.454.2606 For a complete calendar of events and more information about our services and programs, please visit our website: winonahealth.org. We welcome your questions and comments.

855 Mankato Ave. Winona, MN 55987

Diabetes Prevention Class Class meets four consecutive Mondays, 6:30-7:30 pm October 2, 9, 16 and 23 $60 individual or couple Registration required: 507.457.4149 Grief Support Group Second Wednesday of every month, 3:30-5 pm Watkins Manor Parlor, 175 E. Wabasha St. Registration required: 507.457.4468 Healthcare CPR Certification (First timer) Two-night course, November 29 & 30, 5-9 pm CMH, B.A. Miller Auditorium $40. Registration required: 507.457.4491 Healthcare CPR Recertification 4-hour course offered: September 21, 7:30-11:30 am October 3, 7:30-11:30 am October 19, 7:30-11:30 am November 2, 5-9 pm November 16, 7:30-11:30 am December 21, 7:30-11:30 am Community Memorial Hospital B.A. Miller Auditorium $30. Registration required: 507.457.4491 Health Care Directives Workshop These sessions are for individuals who are seeking assistance in completing personal directives. Informational sessions: September 18, 6:30-7:30 pm November 20, 9:30-10:30 am Working sessions: September 25, 6:30-7:30 pm November 27, 9:30-10:30 am CMH, Parkview Conference Room. 507.457.4316

Prostate Cancer Support Group First Monday of every month, 7-9 pm CMH, Parkview Conference Room 507.457.4491 Smoking Cessation Class 4-week class, begins October 5, 6-7 pm CMH, Parkview Conference Room $30. Registration encouraged: 507.457.4491 Watkins Manor Annual Garden Party Sunday, September 10, 1-3 pm Watkins Manor, 175 E. Wabasha St. 507.494.7496 Winona Area Diabetes Expo Saturday, November 4, 8:30 am-12.30 pm, Winona State University, Kryzsko Commons. 507.457.4149 CMH=Community Memorial Hospital

Winona Health Auxiliary Events Birthday Ball Saturday, September 9, Signatures Event Center Holiday Happiness November 8-11, B.A. Miller Auditorium The 3rd floor of CMH becomes a holiday shopping wonderland featuring gifts, holiday decorations, jewelry, baked goods and more. Auxiliary Fantasy of Trees November 17-18, Friday: 3 pm-7 pm & Saturday: 10 am-4 pm Watkins Manor, 175 E. Wabasha St. For more information about Auxiliary events call 507.457.4394.

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