Winona Health - Healthy Connections Fall 2007

Fall 2007

Regular mammograms are key to detecting breast cancer

~ Rushford Clinic re-opens in new Rushford site ~ Come see our new Sarnia Square ~ Battling depression ~ Healthy Kids Club kicks off

Welcome to Healthy Connections Healthy Connections is published by Winona Health to provide you with information about health, wellness and the many healthcare resources available to you, close to home. Sending you Healthy Connections is just one example of how we’re working to fulfill our mission of improving the health and well-being of our family, friends and neighbors. We welcome your questions, suggestions or comments about Winona Health and this publication. Please visit winonahealth.org and click on Contact Us or call Winona Health Marketing/Public Relations at 507.474.3328. If you no longer wish to receive Healthy Connections, please call 507.474.3328 or send an e-mail, noting your address as it appears on the back of the publication, to [email protected].

In this issue... 2 Welcome to Healthy Connections 3 Rushford Clinic opens temporary site in Rushford 4 The battle against depression is worth fighting 6 Join the Healthy Kids Club! 8 The importance of regular mammograms 10 Now open: Sarnia Square 12 Foundation & Auxiliary news 14 Winona Health news & notes 16 Upcoming classes & events On the cover: Melissa Gulan shares her story about early detection and surgical treatment of breast cancer at Winona Health’s Community Memorial Hospital. Twin Cities Breast Cancer 3-Day photo on cover is copyright 2007 Breast Cancer 3-Day. www.the3day.org

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Healthy Connections ~ Fall 2007

The real value of community

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have often thought the life of our community is reflected in Winona Health, and I saw this demonstrated recently by our flood experience. The initial response to the floods, the immediate aftermath, and the ongoing recovery and rehabilitation of neighborhoods has required the engagement of all aspects of our community. For me, it has been a visible demonstration of the true meaning of community. Individuals, businesses, government agencies, churches, social service agencies, and more have responded to our communities’ flood Rachelle H. Schultz needs. They are significant, and no one person President/CEO or organization can meet them alone. That’s the real value of community—our interdependence and reliance on each other strengthens the whole. We are in the midst of an experience that tests the fabric of community; it is up to each of us to be aware of our unique roles and play our parts to benefit all. As a community member, Winona Health’s role is to meet the medical needs of our family, friends and neighbors throughout our service area—which includes nearly all areas impacted by the flood. Initiating our disaster plan at the height of the flooding … providing tetanus shot clinics … relocating Rushford Clinic to the TRW building in Rushford … deploying staff and medical supplies throughout the region—all are part of our community role. It is our honor to serve this region, and the physicians, staff, volunteers and board members have been there every step of the way. And we will be there for the long road ahead. The intrinsic value of community built not only Winona, but our country. It is a tested and successful model that will hold true in the days, months and years to come. And Winona Health is a proud member of this community.

Rachelle H. Schultz President/CEO

Rushford Clinic opens in new Rushford site

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s one of the many businesses devastated by flooding, Rushford Clinic has re-opened at a temporary location in Rushford’s TRW West Building. “We’re in Rushford to stay,” noted Christina Friederichs, Winona Health’s director of Physician Clinics. “We’re reviewing options for a permanent clinic and looking forward to serving this community for years to come.” For several days after the flood, Winona Health offered a shuttle to transfer patients and supplies between Rushford and Winona. “All the while, our goal was to quickly return healthcare to the Rushford community,” Friederichs said. “As a Rushford resident, I’m pleased that our local primary care clinic is back in town and our staff is caring for residents right here at home.” Thanks to Winona Health’s community-wide electronic medical records, Rushford Clinic patient records will be available at the new site. To contact Winona Health’s Rushford Clinic, call 507.864.7726

Carmen Scudiero, MD

Joy Stevens, PA-C

Linda Runstrom, NP

“We look forward to continuing to provide healthcare services in Rushford.”

~ Christina Friederichs Director of Physician Clinics

Winona Health responds by providing timely care

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fter more than 10 inches of rain fell in parts of Winona and Houston counties on August 18 and 19, Winona Health joined in the efforts to provide relief to victims of the flood.

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Why we are here... My mother was admitted to your hospital where she was diagnosed with pneumonia. She’s 82 years old and a flood victim from Rushford. I would like to warmly thank her attending doctors and nurses. Each day when I have talked with her by phone (I’m a foreign service officer living in Sarajevo), she has repeatedly told me how kind everyone has been and that she has been getting hugs. As a result, she has been an extremely cheerful and satisfied patient. And she has also enjoyed the hospital food. Since I live out of the country and could not be there with her, the care and attention that she received really meant a lot to me. My deepest compliments to her attending doctors and nurses. Thank you so much. — Jane N.

“We called in extra staff early Sunday morning, and everyone worked diligently to address the needs of our friends and neighbors throughout the region,” said Rachelle Schultz, Winona Health President/CEO.

By the numbers In the 10 days following the flooding, 90 patients sought treatment for flood-related issues in Winona Health’s Emergency Department. ~ 82 patients were treated and released ~ 6 patients were admitted to the hospital ~ 1 patient went directly to surgery and was admitted to the hospital ~ 1 patient was treated and transferred to a tertiary care center ~ 3,660 people turned to Winona Health for free tetanus shots. (The tetanus shot clinic remained open through September 7; in all, nearly 4,500 free immunizations were given.) ~ More than $5,000 in supplies were provided to area shelters to help with relief efforts ~ 99 calls were answered on the flood hotline ~ A donation of $50,000 from the Winona Health Foundation was made to the United Way of the Greater Winona Area’s Disaster Relief Fund. Healthy Connections ~ Fall 2007

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The battle against depression is worth fighting “If I had known I could feel this good, I would have come to you sooner.”

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hat’s the type of statement the psychiatrists and counselors at Winona Health Psychiatric & Counseling Services (WHPCS) hear from patients being treated for depression. “[Depression] doesn’t mean you can’t live a full life and make a contribution,” said Cullen Schwemer, MD, a WHPCS psychiatrist. “It’s not a sign of weakness, and it shouldn’t be a source of shame. It’s real, and treatment can make a big difference.” Added Mark Bronson, LICSW, “Like many other medical conditions, depression is a treatable disease, and there are many ways in which we can help.” Treatment for depression varies by the individual and the type of depression experienced. Here are some common types. ~ Situational depression is triggered by a specific event or series of events such as the recent flooding. With this type of depression, “People need to pace themselves. They’ll be dealing with the aftermath of this situation for a long time,” Bronson said. “People also need to recognize the signs that they need help and realize that it’s okay to ask for it. Therapy to help someone through situational depression will not be long-term.”

Kathryn Amundson, PhD

~ Clinical depression refers to a chemical imbalance that can be treated with medication. Genetics may play a role in this type of depression. Counselors take a holistic approach to treating it. In addition to resolving issues through therapy, clients may be encouraged to begin journaling, walking, eating different foods and building a support system. After assessing the impact of this type of therapy, counselors and clients consider whether medication may be necessary or helpful. ~ Seasonal Affective Disorder (SAD) is a depression with a seasonal component. “When the days shorten and become cooler, some people notice a difference in their ability to concentrate and process information,” said Kathryn Amundson, PhD, WHPCS psychotherapist. “Additionally, they begin to crave carbohydrates and gain weight … desire more sleep … may become more irritable and lethargic.” Amundson noted that SAD can be treated successfully with a variety of interventions including medication, light therapy, and psychotherapy. While there is no quick fix for depression, an effective counselor can help get you on the path to good mental health. (See the box on pg. 5 for typical symptoms of depression.)

Kevin Quinn, MD

Cullen Schwemer, MD

For more information about Winona Health Psychiatric & Counseling Services or to make an appointment with any of these providers, call: 507.454.2606 or visit winonahealth.org.

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Healthy Connections ~ Fall 2007

Recognizing depression in your child

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f you think your child has symptoms of depression, talk with your child and your child’s doctor. Many parents dismiss their child’s concerns, thinking they’ll go away, or avoid acting on their concerns because they fear they’re responsible for their child’s depression. But it’s important to get past those concerns and get your child the help needed to feel better.

Let your child know that you’re there whenever he or she needs you and wherever you may be. Say this over and over again — your child may need to hear it a lot because he or she feels unworthy of love and attention. Remember, kids who are depressed see the world through “dark lenses” because their experiences are colored by their depression. They might act like they don’t want help or might not even know what they are really experiencing. It’s important to let your child know that you understand what he or she might be going through and that you’re going to seek an expert opinion to find a way to make life easier. (c)2007 The Nemours Foundation/KidsHealth. Used under license by Winona Health.

Visit KidsHealth for more information on depression, feelings & emotions • Why am I so sad? • Dealing with feelings • Talking about your feelings • Dealing with anger

for teens: • Your mind • 5 ways to fight depression • Going to a therapist

In general, mental health can be measured by our responses to various situations. “If our emotions and responses to specific situations are appropriate and understandable, we consider that to be a ‘normal’ response,” said Mark Bronson, LICSW. “When our responses don’t seem to match the situation or if we feel a lack of emotion or a complete lack of ability to feel happiness, it may be an indication of depression.” Common symptoms of depression include any of the following: ~ A persistent feeling of sadness ~ Loss of pleasure in usually enjoyable activities ~ Feeling of hopelessness, helplessness and worthlessness ~ Changes in sleep patterns and appetite ~ Loss of energy ~ Restlessness ~ Thoughts of death or suicide

for kids:

• Homesickness

Signs of depression

for parents: • Understanding depression • Childhood stress • About teen suicide • Positive parenting

• Can I get over depression without taking medication? Find more health information at winonahealth.org/kidshealth

Oftentimes a person close to a depressed person is the first to notice symptoms. If someone important to you exhibits symptoms of depression, be gently honest with them. You may say, “I have some concerns. Let’s talk about them.” Or “Let’s talk to someone, maybe your family physician, and see what he or she recommends. It doesn’t hurt to get things checked out.”

Recommended resources For anyone who wishes to read more about seasonal depression, Winter Blues: Everything You Need to Know to Beat Seasonal Affective Disorder (SAD) (N. Rosenthal, revised, 2006) is an excellent resource. Kevin Quinn, MD, a child and adolescent psychiatrist with WHPCS, recommends a good starting point for parents who may have concerns about their children is the aacap.org, then click on facts for families. Healthy Connections ~ Fall 2007

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Want to be a healthy kid? “H

Join the club!

ealthy habits—from making good food choices to being physically active—can begin at an early age,” noted Jennifer Olson, Winona Health’s community relations coordinator. “To help children learn about the benefits of a healthy lifestyle—and to make it fun while learning—we’re launching a Healthy Kids Club.”

~ Outreach events and activities—from cooking classes to field trips to farms—will reinforce healthy food choices and the importance of physical activity for children. “All community events and activities that support Healthy Kids Club goals will be listed on special website pages,” Olson said. So children and parents should check winonahealth.org/HKC frequently.

The Club is a partnership launched by Winona Health and supported by many other community health, recreational, social service and business groups. “By focusing on children ages 6 to 11 and collaborating with other organizations who work with area youth, we believe we can have a positive impact on the greatest number of children,” Olson explained.

~ Each participant also will receive a free Healthy Kids Club Wellness Journal, thanks to funding provided by the Winona Health Foundation. HKC members will use their journals to log health information at the beginning of the program, including their personal wellness goals. During the program, they can log daily activities and food choices, then determine their progress toward their goals when the program is completed in June.

A three-part program The Healthy Kids Club (HKC), which is offered to area youth at no charge, is a three-part program: ~ The club’s activities will be anchored by three special educational events that will include informational booths and resources, along with fun activities and prizes. The opening event is scheduled for Saturday, October 13, at the Winona Middle School. A mid-year check-in and end-of-year celebration also are planned.

“All of us involved in creating the Healthy Kids Club are committed to engaging area youth in fun, educational activities to encourage healthy living—today and for life,” Olson emphasized. To learn more about the Healthy Kids Club, visit winonahealth.org/HKC. To join the club, attend the October 13 kick-off event or contact Jennifer Olson at 507.457.4161 or [email protected].

Community partners in the Healthy Kids Club include: Winona Health

Winona Area Public Schools

Winona Health Foundation

Winona Clinic

Family Medicine of Winona

Winona County Parks and Recreation

Habitat for Humanity

Winona Daily News

Minnesota Marine Art Museum

Winona Family YMCA

Project FINE

Winona Post

Rushford-Peterson Schools

Winona Public Library

United Way of the Greater Winona Area

Winona Radio

Winona Area Ambulance Service

Winona Volunteer Services

For more information about the Healthy Kids Club, visit winonahealth.org/HKC. 6

Healthy Connections ~ Fall 2007

Page 6/7 Sarnia Square

Calling all 6 to 11 year olds! Become a member of the Healthy Kids Club by joining us at our kick-off event.

Saturday, October 13 9 a.m.–noon Winona Middle School

Children must be accompanied by an adult. Participants are welcomed to:

~ Visit fun informational booths ~ Take part in healthy activities ~ Have a chance to win prizes ~ Pick up a Healthy Kids Club Wellness Journal—FREE to those who register! If you can’t make it to the event on October 13 and want to join the Healthy Kids Club, please contact Jennifer Olson at 507.457.4161 or [email protected].

Healthy Connections ~ Fall 2007

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Personal stories reveal importance From the Cover

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elissa Gulan is diligent about scheduling her annual physical and mammogram. “You do it because you’re supposed to,” she said. “Getting a mammogram isn’t that bad. It’s just routine maintenance. And you really never expect that something will be wrong.” In the majority of cases, nothing is. “I had my mammogram right before vacation,” recalls Gulan. “When I returned, I had a voice mail at home asking me to call Winona Health’s Women’s Imaging Department.” She called and learned she needed to have a follow-up check. The follow-up confirmed that there was an area of concern, and Radiologist James Erwin, MD, performed a needle biopsy the same day.

Fast results decrease worry time “When we have someone come in for another look, we also schedule time to perform the necessary test for cancer,” said Dr. Erwin. Often another look alleviates that concern and an additional procedure isn’t even necessary. “We want to decrease the amount of time for worry,” he added. Dr. Erwin emphasized that coming in for a recheck doesn’t mean you have cancer. But it is a situation that, understandably, causes women anxiety. Gulan’s biopsy results were back in two days. “Dr. Erwin called me at home that evening and gave me the news that I had

Team Effort—Clockwise from bottom left: Matt Broghammer, MD,

Kara Nelsestuen, mammographer, Melissa Gulan, Colleen Schneider, RN and James Erwin, MD. Radiologists, surgeons and nurses work together to ensure patients receive the best possible care. ductal carcinoma, and he scheduled an appointment for me with Dr. Broghammer the next day.” (Dr. Matt Broghammer is a general surgeon at Winona Clinic.) Gulan said, “Between Dr. Erwin and Dr. Broghammer, I felt very reassured. One of the first things Dr. Broghammer

Walking for a cure “When you have breast cancer, it’s amazing how people rally around you,” said Melissa Gulan. “There are constant reminders of how much people care.” Last year, Gulan’s friend Becky McGann walked in the Twin Cities Breast Cancer 3-Day, a 60-mile walk to raise money for cancer research, and dedicated her walk to Gulan. “When I asked Becky if she was walking again this year, she said ‘Yes. And you’re walking with me,’” remembers Gulan. This year’s Twin Cities walk was August 24-26, and together they raised more than $7,000 for breast cancer research.

Left—Melissa Gulan and Becky McGann pause for a photo during their 2007 Breast Cancer 3-Day walk. 8

Healthy Connections ~ Fall 2007

of regular mammograms advised me to do was to get a notebook and start writing down questions. He said that if I wanted to look for information online, I should stick with the American Cancer Society website. He also walked me through what was going to happen, so I felt very prepared when I came in for surgery. ”

Collaboration for outstanding care

Personal care “The nurses were wonderful—very attentive—and I loved the warm blankets. Dr. Broghammer came in to talk with me, and I felt very well cared for. The nurses were great about keeping Jeff [Gulan’s husband] informed as I went through surgery.” During her one-night hospital stay following surgery, Gulan said that the nurses taught Jeff to care for the surgery site. She remembers, “There was very little pain after the surgery, and we felt well prepared to go home.”

Mammograms are key Gulan knows firsthand that having a regular mammogram was key to discovering her cancer early. “The mammogram showed that it was there before my doctor was able to detect it in a manual exam,” said Gulan. “Even when she knew right where to feel for it, she said it was undetectable by feel—mammography was the key to early detection.” To schedule a mammogram, call Winona Health’s Women’s Imaging Center at 507.457.4320. To learn more about surgical services at Winona Health, visit winonahealth.org/surgery.

Free Community Health Talk

Breast Cancer Detection

Wednesday, October 10 • 6–7 p.m. B.A. Miller Auditorium • Community Memorial Hospital

Laurel Littrell, MD, will talk about what to expect when getting a mammogram, show what mammographic images look like and discuss steps to take when possible breast abnormalities are discovered. Please register (no charge) by contacting Kris Walters at 507.474.3328, or register online at winonahealth.org/health_talks.

Laurel Littrell, MD

Kathy Shustrom pictured on her 61st birthday with grandsons, (from left) Jackson, 4, Ryan, 2, and Keagan, 1.

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arly detection in Winona Health’s Women’s Imaging Center meant that Kathy Shustrom’s cancer was detected in its earliest stage. “Your Women’s Imaging staff is excellent. They have a way about them that puts you at ease, and Dr. [James] Erwin is wonderful,” said Shustrom. She was diagnosed with ductal carcinoma in situ (precancerous lesion) and had breast surgery here at Winona Health. “When I had my lumpectomy, the surgery staff was absolutely wonderful. I could tell they really cared,” said Shustrom. “And Dr. [Matt] Broghammer was very thorough in preparing me for what was ahead.” After her lumpectomy, Dr. Broghammer recommended radiation. Lab tests then indicated that there were additional questionable cells around the area from which the lump was removed, so Dr. Broghammer surgically removed more tissue before Shustrom began radiation. “Everything was set up right in Winona for me to have radiation in La Crosse. Everything went seamlessly,” recalls Shustrom. “I asked the doctor down there what stage my cancer was in and he said that it’s stage zero—and that’s the best it can be—because they found it so early in Winona.” Shustrom encourages all women to schedule regular mammograms. She advises, “When you get your reminder notice from Winona Health, schedule the appointment.” For more information about Winona Health’s Women’s Imaging Department, Surgical Services or healthcare providers in Winona, visit winonahealth.org. Healthy Connections ~ Fall 2007

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Sarnia Square opening brings enhanced healthcare services Urgent Care Clinic extends hours

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inona Health’s Urgent Care Clinic opens October 13 in Sarnia Square with expanded hours, making it easier for people to see a healthcare provider on short notice when they have a healthcare issue that calls for immediate but not emergency care. “Ever since we opened our weekend Urgent Care Clinic two years ago, we’ve had frequent requests for urgent care services during the week,” said Rachelle Schultz, Winona Health president/CEO. “We’re pleased to now offer Urgent Care services on a daily basis.” Terry Donnal, MD, serves as medical director for the Urgent Care Clinic which will be staffed with other physicians, physician assistants and nurse practitioners. For more information about Winona Health’s Urgent Care Clinic, see pg. 11, and visit winonahealth.org or call 507.474.7830.

Expanded space allows for enhanced Rehab services In addition to the Urgent Care Clinic, Winona Health’s Rehabilitation Services also moved to Sarnia Square. Physical Therapy, Occupational Therapy, Speech Therapy and Therapeutic Massage are now located at Sarnia Square, with Cardiac Rehabilitation remaining on the hospital campus. Physical therapists work with people of all ages on a broad range of issues, including improving strength or balance, alleviating pain, and increasing mobility. “This new facility was designed to improve access for our patients and to provide

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We’re excited about enhancing the

services we provide to all of

additional space for services,” said Corrie Searles, Winona Health director of Rehabilitation Services. The new facility also includes improved services for Occupational Therapy. “Occupational therapy includes the type of rehabilitation that helps people maintain—or regain—their independence. With our new kitchen area, therapists are better able to assess an individual’s ability to safely function in everyday life situations,” said Searles. Other plans for the new Rehab space include expanding the Sports Medicine program. “We have plans to add new equipment that will allow us to help athletes assess their strength throughout their range of motion in order to pinpoint any areas of weakness in various joints,” said Searles. “We’re excited about enhancing the services we provide to all of our rehabilitation patients—including area athletes.”

Other services at Sarnia Square ~ Winona Health Allergy & Asthma Clinic. Terry Donnal, MD, provides allergy and asthma evaluation and treatment, skin testing, immunotherapy, allergy shots and medication instruction and management. For more information or to schedule an appointment, call 507.474.7830.

including area athletes.

~ Periodontal Specialists. Winona Health also is leasing space in the remodeled building to Periodontal Specialists, an independent business. Dr. Anthony Michelich has been providing periodontal services in the Winona community for more than 20 years.

Corrie Searles Director of Rehabilitation Services

For more information about services at Winona Health, visit winonahealth.org.

our rehabilitation patients,

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Terry Donnal, MD will serve as the new medical director for the Urgent Care Clinic. Dr. Donnal also is a provider at the Winona Health Allergy & Asthma Clinic that will have a new home at Sarnia Square.

Healthy Connections ~ Fall 2007

Urgent Care: Quick service, no appointment necessary

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inona Health’s expanded Urgent Care hours make it more convenient and efficient for patients to receive care. Urgent Care is for health issues that can be checked out and treated quickly so you’ll feel better faster. Patients who receive care at Winona Health’s Urgent Care Clinic will have access to Laboratory and Radiology services with digital imaging capabilities. Because of Winona Health’s secure, community-wide Electronic Medical Record (EMR), all tests, diagnoses and treatments made during a visit are recorded in your EMR, which is accessible to your primary care provider.

The Urgent Care Clinic opens October 13 Sarnia Square • 420 E. Sarnia St. • Winona

Monday–Thursday: 8 a.m.–8 p.m. Friday–Sunday: 8 a.m.–5 p.m. For more information, call 507.474.7830 or visit winonahealth.org.

The Urgent Care Clinic participates with all local health insurance plans and accepts specified co-pays. Staff also will handle filing insurance claims.

care can be quickly transferred,” said Christina Friederichs, Winona Health’s director of Physician Clinics.

Winona Health’s Urgent Care Clinic will see patients with minor injuries or conditions they typically would present to their primary care provider. “We’ll continue to work closely with Community Memorial Hospital’s ED staff, so that any person presenting in Urgent Care who may require emergency

Urgent Care is ideal for earaches, sore throats, sinus infections, bladder infections, bites, rashes and minor injuries. If a health situation is potentially life threatening, the Emergency Department at Community Memorial Hospital is always open. For immediate medical assistance, call 911.

Hip resurfacing provides alternative to hip replacement

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hose who suffer from hip pain and decreased mobility have options when it comes to finding relief. Hip resurfacing is sometimes an option for younger, more active patients—typically patients under age 55. However, those older than 55 may be candidates if they are physically active and pass a simple bone mass exam. Whereas traditional hip replacement involves removing the top of the femur (where the thighbone connects to the pelvis), hip resurfacing is a less invasive procedure that preserves more natural bone and involves reshaping the femur head. “An advantage to hip resurfacing over traditional hip replacement is that more of the natural

bone is preserved, resulting in a longer-lasting joint that has a range of motion much like a normal hip,” explained Tim Gabrielsen, MD, an orthopaedic surgeon with Winona Health Sports & Orthopaedic Specialists. “Patients are able to return to their active lifestyle.” Dr. Gabrielsen notes that traditional hip replacement is more effective for individuals with certain conditions and for older individuals who want to increase their ability to move more comfortably. If hip pain is keeping you from the activities you enjoy, talk with your primary care physician, call Winona Health Sports & Orthopaedic Specialists at 507.474.6600 or visit winonahealth.org. Healthy Connections ~ Fall 2007

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Foundation & Auxiliary News

(From left) Bill Gould, United Way board president, and Beth Moe, United Way executive director, accept a donation from the Winona Health Foundation board president, Ken Mogren, and Winona Health Foundation executive director, Nancy Brown. The funds will be combined with contributions from other area organizations to provide disaster relief.

Winona Health Foundation contributes to United Way fund for disaster relief T he Winona Health Foundation contributed $50,000 to the United Way of Greater Winona’s newly created Disaster Relief Fund, earmarked to provide long-term relief to those affected by disasters such as the recent flood.

“Contributions to the Disaster Relief Fund will be used toward needs that are not met by other sources such as insurance companies and government agencies,” said Beth Moe, United Way of Greater Winona executive director.

“Clearly there is a demonstrated community need,” said Rachelle Schultz, Winona Health president/CEO. “These funds come from our two grant programs, and we believe that they will benefit even more area residents if we combine them with funds donated by other businesses and individuals.”

“We’re working with other communities who have been through this type of disaster and determining how to most effectively serve people in our area,” Moe continued.

The Winona Health Foundation’s Board of Directors voted unanimously to designate the remaining 2007 Community Engagement and Quality and Excellence grant dollars to the United Way’s Disaster Relief Fund. Summarizing the Foundation board’s decision, President Ken Mogren said, “I think this is an excellent use of this year’s remaining grant funds. It is certainly in sync with Winona Health’s mission to improve the health and well-being of its family, friends and neighbors.” 12

Healthy Connections ~ Fall 2007

In addition to this $50,000 Foundation donation, Winona Health has provided resources to area residents impacted by the flood. Some of these efforts include almost 4,500 free tetanus and other vaccines to those involved in the clean-up efforts, medical and personal supplies and staffing emergency shelters throughout the region. For more information about the Winona Health Foundation, visit winonahealth.org or call Nancy Brown, Winona Health Foundation executive director, at 507.457.4342.

Babies and expectant mothers Upcoming Auxiliary events benefit from $97,000 grant

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racking a baby’s heartbeat and monitoring an expectant mother’s contractions during labor and delivery will become more efficient at Winona Health’s Community Memorial Hospital (CMH). The Winona Health Foundation received a $97,363 Children’s Miracle Network grant to purchase fetal monitoring equipment that links five labor and delivery rooms to a single monitoring system in the hospital’s Family Birth Center. “We’re very appreciative of the Children’s Miracle Network grant,” said Robin Hoeg, director of Inpatient Services at Winona Health. “This central fetal monitoring system will enhance the care we provide to expectant parents and their babies.”

As with the Family Birth Center’s current monitoring systems, the new system records a baby’s heartbeat during pregnancy and labor to watch for indications of stress. The new system also includes an electronic labor and delivery documentation system, allowing nurses to spend more time on direct patient care and less on charting data. It also allows physicians to monitor information from their office or home computers. Winona Health’s Family Birth Center, which welcomes about 400 babies into the world each year, will implement the enhanced fetal monitoring system within the year. The Children’s Miracle Network is a non-profit organization dedicated to saving and improving the lives of children by raising funds for children and their families.

Auxiliary donates pagers for patients’ families

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hanks to the fundraising efforts of the Winona Health Auxiliary, pagers are now being used in the outpatient surgery area. This means families waiting for updates about a family member undergoing surgery will now be able to walk around the facility, browse at the Glady D. Miller Gift Shop, enjoy a cup of coffee at Café Med, or have lunch in the Lakeside Cafe without worrying that they’ll miss an update. “We hope this provides additional peace of mind and increased comfort to our patients and their families,” said Kris Cichon, director of Surgical Services. Proceeds from current Auxiliary fundraisers are marked for patient lift systems to increase the comfort and safety of patients, residents and staff. In addition, some of the funds raised by the Auxiliary are given in scholarships to students pursuing a career in healthcare.

~ Glady D. Miller Gift Shop Holiday Happiness

Wednesday, November 7 through Saturday, November 10 Community Memorial Hospital B.A. Miller Auditorium Volunteers transform the third floor into a winter wonderland. Shop the unique selection of holiday gifts, decorations, jewelry, baked goods and gourmet foods sure to get you in the mood for the holiday season.

~ Fantasy of Trees

Friday & Saturday, November 16-17 Watkins Manor Great Hall Stroll through the Great Hall filled with beautifully decorated trees and wreaths, which are available for purchase by sealed bid. Trees are decorated and donated by individuals and organizations.

~ Fabulous Fifties Follies

March 6-8 Winona State Performing Arts Center The Winona Health Auxiliary will be presenting a Fabulous Fifties Follies in 2008. Get your dancing shoes on, start warming up that singing voice and get ready to have some fun and raise money for a good cause. Everyone is encouraged to participate whether on-stage, backstage or in the audience. For information about the Winona Health Auxiliary or Auxiliary events, call Autumn Herber, Winona Health volunteer coordinator, at 507.457.4394.

The 45th annual Birthday Ball, held September 8, 2007, raised more than $25,000 for a patient lift system and healthcare scholarships. Of that total, $6,440 was raised through raffle ticket sales, with those proceeds designated for Winona Health’s flood relief efforts. Healthy Connections ~ Fall 2007

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Community comments Thank you so much for your wonderful care, not only for me, but also for my husband during my surgery. You did everything you could to inform me of what was happening and keep me comfortable. You ladies are great! Kathy Skrastins Winona

Roger Metz Manor proved to be the ideal location for my father, not just for the layout and homey atmosphere, but because of the loving caregivers employed there. When I call the Manor or visit, I am always reassured that my father is in the best place possible. Julie C. Hudson, Ohio

Thank you for your care during my inpatient stay. It’s good to be treated by one familiar with the psyche as well as with pharmacology. I’m feeling about 200% better. Department of Behavioral Medicine patient

You have a very compassionate staff, very helpful and respectful. Their goal is the same as mine—to help me get better. Excellent people. Christina A. Lince Winona

The care has been outstanding. All the people in this department have given me kind attention—keep up the good work! Physical Therapy patient

Winona Health redesigns webpage, enhances tools

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inona Health launched its redesigned website in August. The redesigned site features easier navigation and more interactive tools, allowing site visitors to find health-related information and details about local healthcare providers and services. To explore the redesigned site, visit winonahealth.org. “Our goal is to maintain an up-to-date source for information about healthcare services available locally,” noted Loretta Bronson, Winona Health’s chief communication officer. “In addition, our website is a reliable source of healthrelated information and a convenient place for the community to find details about Winona Health news and events.” Website visitors will find information about healthcare 14

Healthy Connections ~ Fall 2007

providers and services, career and volunteer opportunities, and other news and information about Winona Health. In addition, parents and children will find useful and interesting health information, educational games and healthy recipes through Winona Health’s KidsHealth resource. People who receive services from Winona healthcare providers may access information from Winona’s Health Online (WHOL), available through the Winona Health website.

WHOL registered users who have activated their secured personal account may view portions of their electronic medical record or conduct an e-Health visit—an appointment with a healthcare provider for a non-urgent medical issue.

Staff in the news

Satya Srinivas Gorty, MD, joined the medical staff at Community Memorial Hospital. Dr. Gorty, an anesthesiologist, completed his residency at the Medical College of Wisconsin in Milwaukee. He received his medical education at Northeastern Ohio Universities College of Medicine, Rootstown, OH, and Ross University School of Medicine, Dominica, West Indies. He earned his Bachelor of Science from the University of Akron in Ohio. Jerry A. Smith, PhD, DO, FACOS, joined the medical staff in September. Dr. Smith is a board-certified general surgeon with expertise in laparoscopic and thoracic surgery. He is board certified by the American Board of Osteopathic Surgery, a Fellow of the American College of Osteopathic Surgeons and a member of the Society of American Gastrointestinal Endoscopic Surgeons. He and his family moved to Winona from the Kirksville, Missouri area. Carl J. Szczesniak, MD, joined the medical staff at Community Memorial Hospital. Dr. Szczesniak is an AP/CP board-certified pathologist. He is a graduate of Wake Forest University School of Medicine in Winston-Salem, North Carolina, and completed his combined AP/CP Residency at Pitt County Memorial Hospital/University Health Systems in Greenville, North Carolina. Dr. Szczesniak most recently served as a pathologist in Brunswick, Georgia. He also has served on the Board of Directors of the American Society for Clinical Pathology. Mike Allen, Winona Health CFO, gave a presentation at the Minnesota e-Health Summit 2007: Connecting Minnesota held in Brooklyn Park on June 28. Allen’s presentation, Connecting a Community, was part of a special Health Information Exchange: Community Collaborative breakout session.

John Rislove has joined Winona Health as director of Behavioral Health Services. Rislove has more than 23 years experience in behavioral health services in the Winona and La Crosse area, including a broad range of counseling, clinical supervision and management. He also has extensive experience in providing mental health services to adults, children and teens and is skilled at one-to-one, group and couples therapy. Rislove will oversee and develop programs in the areas of inpatient and outpatient mental health services.

Cardiac Rehab receives national AACVPR certification

Cardiac Rehabilitation Staff—(from left): Alicia Lalim, RCEP;

Lynn Sprain, MS; Jessica Drier, CR Specialist; Doug Haberman, RCEP; Lindsey Rupkalvis, student intern; and Heidi Ramsey, RCEP. Winona Health’s Cardiac Rehabilitation Department has been certified by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR). The AACVPR Certification is a national program with strict standards for promoting health for those patients with cardiovascular or pulmonary disease and preventing disease for patients in the community who are at risk. Certification came after an extensive policy and procedure review and approval of the program criteria by the AACVPR National Certification Committee. Healthy Connections ~ Fall 2007

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EVENTS, CLASSES & SUPPORT GROUPS 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. Alzheimer’s Support Group Second Wednesday of every month, 6-7 p.m. Community Memorial Hospital Parkview Conference Room Questions: 507.457.4560 Community Health Talk Breast Cancer Detection October 10, 6-7 p.m. Community Memorial Hospital B.A. Miller Auditorium Presentation by Dr. Laurel Littrell To register: 507.457.4161 Grief Support Group For information about the next Grief Support Group call: 507.453.3745 Healthcare CPR Recertification October 18, 23, 7:30-10:30 a.m. November 1, 5-8 p.m. November 15, 30, 7:30-10:30 a.m. December 5, 20, 7:30-10:30 a.m. Community Memorial Hospital B.A. Miller Auditorium Registration Required: 507.457.4491

Healthcare Directives Informational session: November 19, 9:30-10:30 a.m. Working session: November 26, 9:30-10:30 a.m. Community Memorial Hospital Parkview Conference Room Questions: 507.474.3328 Healthy Kids Club October 13, 9 a.m.-Noon Kick-off Event! (see page 7) Winona Middle School Questions: 507.457.4161 winonahealth.org/HKC MOM Support Group (Mother’s Own Milk) Wednesdays, 1:30-3 p.m. Women’s Health Library, 3rd floor, Outpatient Clinic Winona Health campus 859 Mankato Avenue Questions: 507.453.3700 Prostate Cancer Support Group First Monday of the month, 7-8 p.m. Community Memorial Hospital Parkview Conference Room Questions: 507.457.4491 Sarnia Square Open House October 9, 5-7 p.m. Sarnia Square, 420 E Sarnia Questions: 507.457.4161

Community Health Talk Support for Persons with Dementia and their Caregivers November 27, 5-6 p.m. Watkins Great Hall 175 E Wabasha Street Questions: 507.457.4560

Winona Health Auxiliary Events Glady D. Miller Gift Shop Holiday Happiness November 7-10 B.A. Miller Auditorium The 3rd floor of Community Memorial Hospital becomes a holiday shopping wonderland featuring gifts, holiday decorations, jewelry, baked goods and more. Fantasy of Trees November 16-17, Friday: 3-7 p.m. & Saturday: 10 a.m.-4 p.m. Watkins Manor, 175 E Wabasha St. Fabulous Fifties Follies March 6-8, 2008 Winona State Performing Arts Center Get your dancing shoes on, start warming up that singing voice and get ready to have some fun and raise money for a good cause. For more information about Auxiliary events call 507.474.3328

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