Winona Health - Healthy Connections Spring 2009

Spring 2009

Cancer—from diagnosis through surgery and chemo— teamwork counts

• Winona Health Celebrates Women • Help your children find balance in this fast-paced world • Healthy Kids Club Step into Summer

Committed to you—always 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/Communications at 507.457.4157. If you no longer wish to receive Healthy Connections, please call 507.457.4157 or send an e-mail, noting your address as it appears on the back of the publication, to [email protected].

In this issue... 2 3 4 5 6 7 8 10 11 12 15 16

Committed to you—always Winona Health Celebrates Women Step into Summer with Healthy Kids Club Need oral surgery? “Not to worry” says nine-year-old Maddie Help your children find balance in this fast-paced world Q & A with Joan M. Krueger, MD From the cover: When the diagnosis is cancer, teamwork counts A team of experts devoted to surgical care and safety Foundation & Auxiliary News Winona Health News & Notes Winona Health directory Upcoming classes & events

On the cover: Diane Filzen-Larson depended on her Winona Health team to provide care through her breast cancer diagnosis and treatment. 2

Healthy Connections • Spring 2009

Spring is a hope-filled season, with the daylight hours growing longer … the first flowers peeking up in our gardens … and students planning ahead to graduations and new beginnings. But, this spring, many families and businesses are traveling through uncertain times. As our economy has slowed, families and businesses are cutting expenditures and saving their dollars for their most critical needs. As this community’s healthcare system, it is important to let you know that Winona Health remains committed to your care. We have seen many changes Rachelle H. Schultz President/CEO in health insurance status and plans for patients who seek healthcare services, and I suspect that we will continue to experience more changes over the next few years. How we are able to deliver services to you may undergo some changes. Whether it is through e-visits or via phone or telemedicine using new technologies, healthcare of the future offers many potential options. These options can greatly benefit our community and each individual—and we have prepared for years to be in a position to offer these opportunities. Like other organizations and businesses, Winona Health is dealing with our current economy by becoming a more efficient enterprise. But our focus remains on providing customer value. Winona Health exists to improve the health and wellbeing of each of you—our family, friends and neighbors. Throughout the process of healthcare reform that is underway, we remain focused on that mission. We have systems in place to care for you now, when the economy is down, and we’ll continue to care for you in the years ahead. As we all experience the downturn in the economy and make the decisions necessary to weather the times, the longer-term reform and recovery measures hold promise and hope. It will take time, energy and commitment, and at Winona Health we intend to do our part to bring the promise of the future to those in our community every day—one day at a time.

Rachelle H. Schultz President/CEO

Winona Health Celebrates Women

‘‘



Thanks for planning such a

great and important event! —2008 event attendee

T

he third annual Winona Health Celebrates Women is an event for women of all ages, so register early and bring your mother, sister, daughter or friends to the Winona Health campus on Saturday, April 25, from 8 a.m. to 1 p.m. Enjoy a positive message by Lisa Warsinske, reminding us to keep our “happy file” full during trying times while refreshing our attitudes. Registration is required and includes a delicious breakfast, keynote presentation by Lisa Warsinske, your choice of informational breakout sessions, optional health screenings, informational booths and a chance to win door prizes. Breakout sessions highlight topics for women such as easy ways to maintain a healthy lifestyle, diabetes prevention, child development, keeping a balanced life and surgical services, such as the VNUS® Closure® procedure to eliminate varicose veins.

Saturday, April 25

Winona Health campus • Winona Clinic entrance • 859 Mankato Ave. • Winona

8 a.m.

Registration and breakfast

8:30 a.m.

Welcome by Rachelle Schultz,



Winona Health president/CEO

8:40 a.m.

Keeping the Focus on What’s Truly Important by Lisa Warsinske,

9:45 a.m.

Breakout sessions

10:30 a.m.

Refreshment break

10:45 a.m.

Breakout sessions

11:30–1 p.m.

Informational booths and free health screenings

Noon

Door prize drawing

humorist, speaker and actress

If you’d like to receive more details about this event via e-mail, please send your name and e-mail address to [email protected].

Register early and save! Cost is $15 per person or $20 after April 17 and at the door if space allows. Donations to the Women’s Resource Center are encouraged to support women in our community who are victims of domestic violence. Donations requested include personal care items and diapers. Items must be new.

Three easy ways to register: winonahealth.org/women • return registration form below • or call 507.457.4161

Registration:

Winona Health Celebrates Women

Please register early, as space is limited. Register by Friday, April 17, for the early bird discount price of $15 per person. Cost after April 17 will be $20. If you have any questions, please contact Community Relations at 507.457.4161 or [email protected]. Name(s)_____________________________________________

Payment Method: 1. Check enclosed made payable to Winona Health 2. Please charge my:  Visa  MasterCard  Discover  American Express Card Number_________________________________________ Exp. date (month/year)____________________________________

Address_____________________________________________ City___________________________ State____ Zip_________ Phone number________________________________________ e-mail_ _____________________________________________

Please complete and mail this form with your payment to: Winona Health Community Relations 855 Mankato Avenue Winona, MN 55987  Please check box if you have special dietary requirements Healthy Connections • Spring 2009

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Step into Summer with Healthy Kids Club

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inona Health’s Healthy Kids Club invites children ages 6-11 and their families to Step into Summer on May 30. This is a casual and non-competitive walk with some fun along the way. Walkers will start at the bike path near Lake Winona Manor, walk to the Jaycee Pavilion for a healthy snack, and walk back to the Winona Health campus. Total distance is almost two miles. “Step into Summer is Healthy Kids Club’s third special event of the school year, and we’re excited to again be offering this activity for children and their families,” Jennifer Olson, Winona Health community relations manager, said. “This event encourages physical activity while helping kids understand the importance of developing healthy habits such as walking and other exercise.” For children who register and finish the walk, the event will end with inflatables (the Ironman is back!). Project Get Outdoors and the Upper Mississippi River National Wildlife & Fish Refuge/U.S. Fish & Wildlife Service also will provide activities for kids, including a scavenger hunt with digital photography and building a bird house.

Help children explore the outdoors The Upper Mississippi River National Wildlife & Fish Refuge/U.S. Fish & Wildlife Service generously donated 15 Let’s Go Outside backpacks to Healthy Kids Club. Families are invited to check out activity backpacks for up to two weeks at no charge. Two backpacks may be checked out per family by calling 507.457.4161. 4

Healthy Connections • Spring 2009

Registration is required for this free event, and children must be accompanied by an adult. To register, please visit winonahealth.org/HKC or call 507.457.4161. Strollers and wheelchairs are welcome, but please leave your bikes, skateboards, rollerblades and pets at home. Listen to Winona Radio for event cancellation in case of threatening weather.

Help keep families in our community healthy As part of HKC’s Step into Summer, we encourage you to donate canned fruits, peanut butter and juices for Winona Volunteer Services Food Shelf.

Step into Summer Saturday, May 30, 2009

• Registration is required—it’s free! • Walk begins at 9 a.m. sharp. • Celebration activities after the walk, until noon, for walk participants. • Children must be accompanied by an adult. To register, please call 507.457.4161 or visit winonahealth.org/HKC. Begin at the bike path by the Winona Health campus, walk to the Jaycee Pavilion and back. Total walking distance is almost two miles. Please park in the northwest parking lot between the hospital and Lake Winona Manor.

Need oral surgery? “Not to worry” says nine-year-old Maddie

“I

’m not a big fan of getting teeth pulled,” confessed Maddie Walters, age 9, of Wabasha. “I was kind of scared because it was my first surgery, but then I found out I’d be asleep, and I wasn’t so scared.” Maddie’s oral surgeon, Gary Hayes, DDS, at Winona Health, understands. “Obviously nobody likes having oral surgery—whether you’re nine or 99—so we offer different levels of sedation up to and including general anesthesia. The level of sedation is based on your health, anxiety level and the procedure being done. We personalize the plan for each individual.” According to Dr. Hayes, older people with more complicated cases usually can use an IV sedation that is adjusted according to the patient’s anxiety level. He said that more adults are requesting oral sedation. “While these options require the patient to have a driver with them, it makes the procedure much more tolerable,” Dr. Hayes added. In Maddie’s case, general anesthesia made the most sense. She had seven teeth removed to help prepare for orthodontia. “Having teeth extracted is fairly typical pre-orthodontia work,” said Dr. Hayes. “The logic is to remove teeth at an easy and safe time and then allow Mother Nature to move the remaining teeth into the empty space. Since Mother Nature is doing what comes naturally, with a little timely guidance from us, there is less orthodontia time, less risk of root resorption and fewer visits to the orthodontist.” Maddie’s mom, Monica, said, “Dr. Hayes asked Maddie if she had any questions and she had many! She was very curious, and he was very thorough in explaining to her what was going to happen. He and the nurses took such good care of Maddie. We had stopped at the gift shop to get a stuffed animal on the way in and the nurses gave her and her animal special attention. They were so gentle and caring; they made her feel very special.”

Special care for all—Maddie Walters, age 9, holds her River Otter, named “Otta.” Otta, Dr. Hayes and the nurses in the Oral Surgery Department helped Maddie through having seven teeth pulled to help prepare for orthodontia.

Asked if she had any advice for other people who might need to have oral surgery and were feeling a little nervous about it, Maddie said, “I’d tell them not to worry because surgeons are pretty nice people. And they won’t feel a thing because they’ll be asleep. The other thing I’d tell them is that they can bring their favorite stuffed animal and keep it in their lap the whole time. Dr. Hayes is a great surgeon—and he’s pretty funny, too!” Dr. Hayes also provides dental implants and mini titanium implants to secure loose dentures. When your dentures fit securely, you’ll enjoy meals more, speak more clearly and you’ll laugh and smile with confidence. For more information about oral surgery, call 507.457.7700.

Healthy Connections • Spring 2009

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Help your children find balance in today’s fast-paced world W

ith television, video games, the Internet, toys that sing and flash, complex playgrounds and the world at their fingertips, children are surrounded by constant stimulation. Often it can be too much. Overstimulation can cause stress in your child’s life, so it is important to provide a balance for them. Winona Health pediatrician Craig H. Anderson, MD, advises parents to help their children find balance in their lives by promoting calm, creative activities. “Activities that promote listening, focusing on direction and learning by watching are great ways to help a child learn to focus and practice patience,” Dr. Anderson said. Dr. Anderson recognizes that children who learn how to entertain themselves—instead of always expecting to be entertained—develop self-confidence and independence. “Letting children just play and use their imagination is best,” Dr. Anderson said. Even a simple activity like drawing is a great way to foster creativity and focus in your child’s life. “Give your child a blank sheet of paper and watch their creativity blossom. Drawing and building promote creative thinking and independent working.” 6

Healthy Connections • Spring 2009

Reading, according to Dr. Anderson, is also one of the best activities for children. Reading aloud at a young age promotes further exploration into reading and learning as they grow. “Children who develop a love for reading significantly increase their potential for academic and life-long success,” he noted. “Plus it promotes quiet, relaxed time which helps balance out their busy lives and opens up a world of imagination.” Dr. Anderson encourages families to enjoy calm activities together. “Spend time together as a family; enjoy the outdoors; walk; ride bikes and promote an overall healthy lifestyle,” Dr. Anderson said. “I also encourage parents to get their children involved in extra-curricular activities they will enjoy into adulthood. Golf, tennis, biking and skiing are good examples of lifetime sports.” For achieving balance in your child’s life, Dr. Anderson’s advice is simple: “Limit television and video games and get children outdoors. Encourage reading, writing and drawing. Let kids be the creative beings that they are.”

Q & A with Joan M. Krueger, MD:

Managing cold symptoms all year long

E

ven though spring is upon us, your child still can catch a cold. Cold viruses stay around year-long, so it is important to understand the best way to care for your child through the sniffles and coughing spells. Winona Health pediatrician Joan M. Krueger, MD, answers commonly asked questions about caring for a child with a cold.

Q: What is the best care to provide for children when they are suffering from cold symptoms? A: When children catch a cold, their symptoms can last up to a few weeks. It is important during this time that they get plenty of rest and support from their parents. Their fluid intake should be increased either with water, if the child is eating well, or Pedialyte, to make sure they are still receiving proper electrolytes if their appetite subsides. Avoid sugary juices and sodas, as those can actually make diarrheal symptoms worse. To help relieve congestion, a humidifier can be placed in their bedroom at night or use a bulb syringe to help clear the nostrils of an infant. Using nasal saline drops prior to suctioning can help break up the congestion and make suctioning easier. Gargling with salt water can provide some relief of sore throats in older children; “grandma’s” chicken noodle soup always seems to help. For relief of nighttime cough, try giving your child a spoonful of honey (ONLY if he or she is over the age of one).

Q: What medications are safe to give children when they have cold symptoms? A: If your child is under the age of four, I do not recommend giving them any kind of cold medications. I still recommend using caution with cold medicines if your child is four or older, as there is no solid proof that the medications actually work, even in adults. If you are going to use medication, I recommend using singleingredient medication. If multiple medications are used, check to make sure their active ingredients are different. Always follow proper dosing instructions and please call your care provider if you have any questions.

Q: When should children be seen by a doctor? A: If your child has had cold symptoms for more than a week and then suddenly spikes a fever (100.4 degrees or higher), call the doctor, as this could indicate a secondary infection—like an ear infection. Any time your child is wheezing, has shortness of breath or any difficulty breathing you should see your doctor. During flu season, if your child experiences a high fever of 102 degrees or higher, is achy and/or has a sore throat, bring them to a doctor within the first 48 hours of symptoms. If not used within that 48-hour timeframe, antiviral drugs will not be effective in treating flu symptoms.

Q: What is the best way to prevent cold symptoms? A: Handwashing, handwashing, handwashing! Soap and water are the best defense against viruses. I do not recommend using antibacterial soaps, as they offer no extra protection and are bad for the water supply. To contact the Pediatric/Adolescent Medicine department at Winona Health, call 507.457.7607. For information on children’s health, visit winonahealth.org/children.

Influenza vaccine recommended Getting a yearly influenza vaccine is recommended for ALL children age six months to 18 years. The intranasal vaccine is typically available in August; a good time to protect children coming in for back-toschool physicals. Not only does this vaccine protect children for longer—and without a needle—but it actually provides better protection than the traditional shot. It also has been shown that when a higher percentage of children in a community are vaccinated, it decreases influenza-related complications among the elderly. —Joan M. Krueger, MD Healthy Connections • Spring 2009

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From the Cover

When the diagnosis is cancer, teamwork counts From discovery through surgery and chemotherapy, it’s nice to stay close to home

“I

t’s a scary diagnosis, but it’s a do-able diagnosis,” said Diane Filzen-Larson, 49, of Winona. “I felt like there was a cohesive and caring team involved in my care, and it was wonderful that everything could be taken care of right here at Winona Health.” Diane learned she had breast cancer last April. “I found a lump, and at first I dismissed it. Then I decided I better have it checked out.” After a mammogram at Community Memorial Hospital, Diane had an ultrasound that indicated a needle biopsy was necessary. “It was so helpful to get all that taken care of during the same appointment,” recalls Diane. “And the results of the needle biopsy were back the next day, so I didn’t feel like there was any waiting.”

working as a team—(L–R) Matthew Broghammer, DO; Diane Filzen-Larson; Richard C. Ferris, MD; and Angie Seberg, RN, worked together to ensure Diane received the best comprehensive care right here at Winona Health.

Although the results of the needle biopsy came back negative, the radiologist “was concerned enough to say we need to pursue this further,” said Diane. Because of the size of the lump, they decided to surgically remove a portion for further testing. A few days after that surgery, Diane had a follow-up appointment with surgeon Matthew Broghammer, DO. “I was in Dr. Broghammer’s office to get the results and learned that it was cancer. He arranged for me to see Dr. [Richard] Ferris that same afternoon,” she said. “They moved quickly, and I was very reassured when they laid out the treatment plan so I understood what was going to happen. They knew what the plan should be and they quickly put it in motion.” 8

Healthy Connections • Spring 2009

Dr. Broghammer explained, “Using a team approach allows us to give patients a more complete preview of their diagnosis and the treatment options. This is particularly important in breast cancer because there are different surgical options, including mastectomy or lumpectomy, and a multitude of medical therapies.” Diane started chemotherapy treatment at Winona Clinic on April 14 and had four rounds of chemotherapy before surgery. “In Diane’s case, we discussed and recommended neoadjuvant therapy—chemotherapy before surgery—in attempt to shrink the tumor and provide better surgical margins,” said Dr. Ferris, an Internal Medicine physician with board certification in oncology.

‘‘

It’s reassuring to know that I can

get cancer treatment right here in Winona with wonderful personalized care. I felt like I was in good hands. —Diane Filzen-Larson

Diane had surgery in June to remove the tumor and 12 lymph nodes for testing. Fortunately, the lymph nodes showed that the cancer had not spread. “The surgery nurses and anesthetist were wonderful and Dr. Broghammer came in to check on me before the surgery. I felt like there was a whole team involved in my care.”

Added Diane, “The nurses were very thorough in doing my prechecks to make sure I could handle the chemo. The chemo treatment room is very comfortable and private, and everyone made sure I was comfortable. I could watch TV, listen to my iPod or read a book—or even sleep.” Diane noted that she never realized she’d be able to stay right here in town for her entire treatment. “It was so nice to be able to do everything right here in Winona. “A cancer diagnosis is difficult for everyone, but I think the care I received made it so much easier,” she said. “It’s reassuring to know that I can get cancer treatment right here in Winona with wonderful personalized care. I felt like I was in very good hands.”

Because the cancer had not spread, no radiation was required. After recovering from the surgery for six weeks, Diane completed her treatment with four more rounds of chemotherapy. “Although all detectable cancer had been removed, because of the statistical risk of relapse, Diane underwent an additional four chemotherapy treatments after recovering from surgery,” noted Dr. Ferris. “Largescale clinical trials have shown significant benefit from adjuvant (post-surgical) treatment in reducing the risk of the cancer returning.”

healing with family—Diane and husband, Marty, on a family vacation in Wisconsin Dells two weeks after Diane’s breast cancer surgery. She and Marty have two children.

Personal care for your personal concerns Today, women no longer have to live with common physical issues that may come with age—or just with being a woman. Healthcare providers at the Winona Center for Women’s Health listen to your concerns and offer options that are much simpler than you might think—including in-office procedures that require little or no recovery time. Said one patient, “I had a very simple procedure done; very little recovery time was required; and it’s such a relief. I wish I had talked to my doctor about my symptoms sooner.”

So whether you’re concerned about issues related to your cycle, bladder control or birth control, women’s health experts are right here with the latest solutions. Learn more by visiting winonahealth.org/women or call 507.457.7701.

Winona Health Celebrates Women Saturday, April 25

Winona Clinic • 8 a.m.–1 p.m. see page 3 for more info.

winonahealth.org/women Healthy Connections • Spring 2009

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A team of experts devoted to surgical care and safety

S

urgeons are key in determining whether a surgical procedure is necessary and explaining the benefits and potential risks involved, but they don’t operate alone.

The Surgical Assistant serves as the surgeon’s extra hands, following instructions and anticipating the surgeon’s needs.

“Any surgical procedure is a complex process requiring a large support team. The staff-to-patient ratio is higher during surgery than at any other time throughout a healthcare experience,” said Sara Gabrick, Winona Health’s vice president of patient care. “Minimally, there are five staff on the surgical team—in addition to the surgeon. That number may be higher depending on the procedure.”

The Scrub Nurse is a specially trained nurse who ensures that instruments and supplies are ready for the procedure, anticipates what will be needed and hands instruments to the surgeon and assistant at the appropriate times.

Surgeons are assisted by a skilled team—each one dedicated to their special role in your care. These professionals are part of a typical surgical team: The Anesthesiologist and Nurse Anesthetist review your medical information and discuss your options for anesthesia care. During the procedure, they make you as comfortable as possible, while also monitoring your vital signs and watching for reactions to the medications given. Following surgery, they continue to monitor you to ensure your comfort and safety.

The Circulating RN serves as an advocate for you throughout the surgical procedure and is responsible for patient safety in the operating room. This RN ensures that equipment used has been tested and is functioning properly prior to the start of the procedure. He or she is responsible for documentation —for everything from fluid loss or output to the number of instruments used for the procedure. In addition, a more behind-the-scenes team is responsible for sterilizing equipment, cleaning and disinfecting surgical areas and managing the surgery schedule. All members of a surgical team work to ensure your safety and comfort. For information about surgical services at Winona Health, visit winonahealth.org/surgery.

Winona Health surgeons here for you Anesthesiology • Satya S. Gorty, MD • Ruth L. Moes, MD General Surgery • Matthew J. Broghammer, DO • J. David Rowekamp, MD • Hans Zinnecker, MD Ophthalmology • Laurel Quinn, MD

Oral/Maxillofacial Surgery • Gary W. Hayes, DDS Orthopaedic Surgery • Tim Gabrielsen, MD • Richard Romeyn, MD Obstetrics/ Gynecology • Scott B. Birdsall, MD • Troy J. Shelton, MD

winonahealth.org/surgery Surgery physicians pictured: (clockwise from front left) Matthew Broghammer, DO; Gary Hayes, DDS; Laurel Quinn, MD; Hans Zinnecker, MD; J. David Rowekamp, MD; Troy Shelton, MD; Richard Romeyn, MD; Tim Gabrielsen, MD; Satya Gorty, MD Scott Birdsall, MD; not pictured: Ruth Moes, MD

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Healthy Connections • Spring 2009

Foundation & Auxiliary News

Auxiliary provides strong support for Winona Health

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ast year, Winona Health Auxiliary volunteers provided 36,245 hours of service to Winona Health. Using the current U.S. average hourly value for volunteer time, that amounts to a gift equivalent to $707,139.95 in service time to Winona Health. In addition, Auxiliary gifts in 2008 totaled $113,463 including $90,700 to be used to replace dialysis machines and for pediatric physical therapy equipment; $20,000 for healthcare scholarships; and $2,763 to benefit Winona Health’s Watkins Manor, Lake Winona Manor and Adith Miller and Roger Metz Manors.

For a list of upcoming Auxiliary events, please see back cover.

Auxiliary officers for 2009—standing (l-r) Pat Nolan, vice-president; Kim Schwab, treasurer and WH board representative; Candi Kohner, assistant treasurer; Ruth Dalleska, secretary. Sitting (l-r) Edna Loughlin, outgoing president; Grace Welle, president; Grace Pendleton, president-elect.

Gift to Foundation enhances Healthy Living Center

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hanks in part to the generosity of one of the many clients it serves, the Winona Health Cardiac Rehabilitation Department’s Healthy Living Center recently received a makeover.

improvements said, “Coming here has helped me a lot. I feel better, and I also enjoy the staff and the people I’ve met over the years. I just wanted to help where I could.” This kind donor also has made contributions through the Coming here has helped me Foundation to benefit Physical Therapy Services located at a lot...I just wanted to help Sarnia Square.

‘‘

“Cardiac Rehab has been in its current Parkview Office Building location for about 14 years,” said Lynn Sprain MS/RCEP. “We see where I could. nearly 150 patients every week, and —Anonymous donor The Cardiac Rehabilitation each of them uses our services two Department’s Healthy Living or three times a week—they all will Center, which includes treadmills, appreciate the fresh paint and carpeting along with a few stationary bikes, arm bikes, Nu-Steps and strength new furnishings.” building equipment, is available to all community members with physician permission. Punch cards are Wishing to remain anonymous, one of the people who $38 for eight visits and $56 for 12 visits. For more donated to the Winona Health Foundation for these information, call 507.457.4419. Has someone at Winona Health touched your life? Honor them as a Guardian Angel. Visit winonahealth.org/foundation for more information. Healthy Connections • Spring 2009

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Winona Health News & Notes Bob Giese, PA, joined the medical team at the Winona Health Urgent Care Clinic. He has a special interest in emergency and acute care situations and he is committed to providing compassionate care for people of all ages. Giese earned his Master of Science in Physician Assistant Studies from the University of Iowa in Iowa City. Sue Haug, RD, LD, a registered and licensed dietitian provides nutrition education to patients including those who are managing diabetes. Haug’s experience includes being a consulting dietitian, dietary director and clinical dietitian in a variety of settings, including long-term care and acute care settings and in college food service. Elie Richa, MD, joined the medical team at Winona Health and serves as a part-time hospitalist. He completed his Internal Medicine residency at Staten Island (NY) University Hospital and a Fellowship in the Division of Transfusion Medicine, Department of Laboratory Medicine and Pathology, at Mayo Clinic. Laurie Stenseth, MSW/LICSW, a mental health therapist with expertise in individual, family and group counseling, has joined the staff at Winona Health Psychiatric & Counseling Services. Her experience includes completing mental health assessments, Employee Assistance Programs, emergency mental health services and facilitating individual therapy. 12

Healthy Connections • Spring 2009

Hans Zinnecker, MD, a board certified general surgeon, joined the Winona Health medical team. Dr. Zinnecker previously served as chief of surgery at Genesis Medical Center in DeWitt, Iowa. He also served as medical director for the Center for Breast Health in Davenport, Iowa, and earned his medical degree at the University of Nebraska School of Medicine in Omaha. If you would like to make an appointment with a healthcare provider, view the directory on page 15 for phone numbers and clinic hours. For more information, visit winonahealth.org—click on Find a Provider.

Rachelle Schultz, Winona Health president and CEO, was recently named to the Minnesota Hospital Association (MHA) board of directors. Schultz is a member of the American College of Healthcare Executives and also serves on the Institute for Clinical Systems Improvement (ICSI) board. Schultz has been president/CEO of Winona Health since 2002. Autumn Herber, Winona Health Volunteer Services coordinator, passed the American Hospital Association’s Certified Administrator of Volunteer Services examination. She is the second individual in Minnesota to earn this credential. In addition, Herber received the Heart of Minnesota Award from the Health Care Auxiliary of Minnesota in October.

Residents give high ratings to Winona Health assisted living communities A survey of residents and family members in Winona Health assisted living communities showed that 100 percent of respondents would recommend Adith Miller Manor, Roger Metz Manor and Watkins Manor to others. The survey was conducted by an independent, third-party research company. Surveys were mailed to residents and/or family members, and results were benchmarked against about 950 other residences nationwide. Comments received from residents include: “Meals are great,” “It is like home to me,” I love it here,” and “Everyone is warm and friendly.” The report also shared that 100 percent of residents surveyed rate Adith Miller Manor, Roger Metz Manor and Watkins Manor as “excellent” or “good” in areas such as overall satisfaction, safety, competency of staff and care and concern of staff. For a personal tour or for more information about Winona Health Assisted Living residences, call 507.494.7496.

Rushford Clinic renovations underway The renovation of Rushford Clinic’s new location at 109 West Jessie Street in Rushford is underway. Onsite construction began in February and it’s anticipated that the majority of the renovation will wrap up in late spring for early summer occupancy. Schwab, LLC is the general contractor for the project. Since the 2007 flood, Rushford Clinic staff has been providing services in a temporary location at 901 Home Street in Rushford. Clinic hours are 8 a.m. to 5 p.m. Monday through Friday. To make an appointment at Rushford Clinic, call 507.864.7726.

Serving the community and its children Winona Health’s mission is to improve the health and well-being of our community. We demonstrate our commitment to the community through providing health screenings at community events, staff hours for home delivered meals, community education classes, charity care, educational opportunities for students and through programs such as Healthy Kids Club. Since launching Healthy Kids Club in fall 2007, Winona Health has served 2,462 children and family members.

Drivers’ Screening program available The Winona Health Foundation awarded a grant to the Lake Winona Manor Rehabilitation Department for a drivers’ screening program to perform a comprehensive evaluation of driver safety. All community members have access to this valuable tool. The computer-based driving simulator consists of a steering wheel, brake/gas pedal system and a software program that records reaction time. Another component is the Useful Field of View software which assesses visual processing speed, visual attention and visual memory. Most insurance companies will cover this screening with a physician referral. If interested in a driving skills assessment, talk with your primary care provider.

Evaluating drivers’ safety—A Winona Health Foundation grant helped provide access to a drivers’ screening program for community members. Healthy Connections • Spring 2009

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Winona Health News & Notes Grant received for palliative care initiative The Winona community was one of only ten rural Minnesota communities selected to participate in Stratis Health’s Minnesota Rural Palliative Care Initiative. Thirty-five communities applied to participate in the initiative, indicating a strong interest and need to develop palliative care services to support rural communities. “Palliative care is an approach to managing chronic disease and other serious and advanced illness that centers on relieving suffering and improving quality of life for patients and their families,” Mary Miller-Hyland, Winona Senior Services administrator, said. “It differs from hospice in that it is appropriate at any point in a serious illness and can be provided at the same time as curative treatment.” Community Memorial Hospital, Winona Area Hospice, Winona Area Home Care and Lake Winona Manor will work together to develop and implement an action plan for developing a palliative care program in our community. This initiative was made possible by funds provided by UCare, an independent, non-profit health plan providing healthcare and administrative services to more than 140,000 members.

Welcome to the new winonahealth.org View our new website—open 24 hours a day! The Winona Health website is new and improved. Visitors will find information in an updated and easier-to-navigate environment. Visit the online nursery; sign up for a free e-newsletter for new parents; use our convenient messaging tools to send greetings to patients or comments to staff; read about services and healthcare providers; find information about the Winona Health Foundation and Volunteer Services; learn about clinical departments; shop at our online gift shop; sign up for Winona’s Health Online; and explore Healthy Kids Club. Looking for something and you don’t find it? Let us know: [email protected].

Notes from the community— I had oral surgery under general anesthesia. I want to thank Dr. Hayes and his superlative crew for their professionalism. I had no qualms in entrusting myself to their care. I came away with a very positive outlook for a successful surgical outcome. Thank you! —Oral Surgery patient

Thank you to a very kind and competent staff!

Thank you! I was in and out and I couldn’t believe they ever did anything—these are all good points! —Colonoscopy patient

I couldn’t have asked for more. Thank you for great care. —Surgery patient

I was scared and everybody was so nice. Thanks to all!

—Mammography patient

—Surgery patient

Kara [Nelsestuen] is really wonderful. She’s gentle and always asks if you’re doing okay. Thanks for having great people like her on your staff.

All of you were my lifesavers. I received wonderful care at your hands. God will bless you for doing his work. Thank you.

—Women’s Imaging patient

—Community Memorial Hospital patient

14

Healthy Connections • Spring 2009

PO Box 5600 • 855 Mankato Ave. • Winona, MN • main number: 507.454.3650 • toll free: 800.944.3960

Departments and Services Allergy & Asthma

474.7830

Occupational Therapy

457.4329

Auxiliary

474.3328

Ophthalmology/Optometry

474.4760

Behavioral Medicine (inpatient)

457.4362

Oral/Maxillofacial Surgery

457.7700

Business Office/Billing Information

457.4369

Cardiopulmonary Rehabilitation

457.4419

Orthopaedic Surgery/ Sports Medicine

474.6600

Community Memorial Hospital

454.3650

Pastoral Care

457.4382

Community Relations

457.4161

Counseling Services

454.2606

Pediatric/Adolescent Medicine

457.7607

Dermatology



457.7670

Physical Therapy

457.4329

Dialysis

457.4391

Psychiatric & Counseling Services

454.2606

Radiology/ Imaging Services

457.4320

Emergency (in emergency call 911)

Bone Densitometry, CT, Digital X-ray, Echocardiography, MRI, Nuclear Medicine, Ultrasound & Women’s Imaging/Mammography

Eye Care

474.4760

Family Birth Center

457.4345

Rehabilitation Services

457.4329

Family Practice

457.7648

Respiratory Care

457.4326

Gift Shop

457.4450

Sleep Lab

453.3789

Health Information Management

457.4476

Speech–Language Pathology

457.4329

Healthy Kids Club

457.4161

Sports Medicine

474.6600

Internal Medicine

457.7622

Surgery/General

457.7670

Human Resources

457.4490

Telecare

457.4466

Laboratory (outpatient)

457.4323

Urgent Care

474.7830

Massage Therapy

457.4329

Volunteer Services

474.3328

Medical Records

457.4476

Winona Health Foundation

474.3328

Nutrition & Diabetes Education

457.4329

Winona’s Health Online Helpline

Obstetrics/Gynecology

457.7701

Women’s Health

Community Memorial Hospital • 454.3650 855 Mankato Ave. • Winona, MN Parkview Pharmacy • 454.4925 825 Mankato Ave. • Winona, MN Winona Senior Services Adith Miller & Roger Metz Manors • 454.0179 885/875 Mankato Ave. • Winona, MN Home Care & Hospice • 457.4468 175 E. Wabasha St. • Winona, MN Lake Winona Manor • 457.4366 865 Mankato Ave. • Winona, MN Watkins Manor • 494.7400 175 E. Wabasha St. • Winona, MN Winona Area Hospice • 457.4468 175 E. Wabasha St. • Winona, MN

Clinics Allergy & Asthma Clinic • 474.7830 420 E. Sarnia • Winona, MN Mon: 8 a.m.–noon; Wed: 1:30–5 p.m.

888.287.1024 457.7701

Rushford Clinic • 864.7726 901 Home St. • Rushford, MN Mon.–Fri: 8 a.m.–5 p.m.

Eye Care Center • 474.4760 859 Mankato Ave. • Winona, MN Mon.–Fri: 8 a.m.– 5 p.m.

Sports & Orthopaedic Specialists • 474.6600 859 Mankato Ave. • Winona, MN Mon.–Fri: 8 a.m.–5 p.m.

Lewiston Clinic • 523.2127 100 Harrison St. • Lewiston, MN Mon.–Thurs: 8 a.m.–5 p.m. Fri: 8:30 a.m.–1 p.m.

Urgent Care Clinic • 474.7830 420 E. Sarnia • Winona, MN Mon.–Thurs: 8 a.m.–8 p.m. Fri.–Sun: 8 a.m.–5 p.m.

Occupational Health • 474.3212 420 E. Sarnia • Winona, MN Mon.–Fri: 8 a.m.–5 p.m.

Winona Clinic • 454.3680 859 Mankato Ave. • Winona, MN Mon.–Fri: 8 a.m.–5 p.m.

Psychiatric & Counseling Services • 454.2606 825 Mankato Ave. • Winona, MN Mon.–Fri: 8 a.m.–5 p.m.

Learn more at

winonahealth.org Healthy Connections • Spring 2009

15

PO Box 5600 • 855 Mankato Ave. • Winona, MN 55987 • winonahealth.org

Nonprofit Org U.S. Postage PAID Winona, MN Permit No. 72

Events, classes & support Groups For a complete calendar of events by date and for more information about our services and programs, please visit our website: winonahealth.org. We welcome your questions and comments. Alzheimer’s and Related Dementia Support and Education 2nd Wednesday of the month, 6–7 p.m. CMH, Parkview Conference Room No registration required: 507.457.4560 Breastfeeding Class May 26, 6:30–8:30 p.m. CMH, 3rd Floor B.A. Miller Auditorium Cost is $10 Childbirth Education Classes Six week program options: Wednesdays, April 8–May 13 Thursdays, May 7–June 11 Wednesdays, June 3–July 8 6:30-8:30 p.m. Weekend (two day) program options: Friday, April 17, 6–8 p.m. Saturday, April 18, 8 a.m.–3 p.m. Friday, June 26, 6–8 p.m. Saturday, June 27, 8 a.m.–3 p.m. CMH, 3rd Floor, B.A. Miller Auditorium Registration required: 507.457.4338

Community Health Talks Watch local media for details on upcoming programs. These programs are free to the community, but registration is encouraged to help us plan. Visit winonahealth.org/health_talks or call 507.457.4374 for more information.

Crohn’s & Colitis Support Group Last Tuesday of every month 6:30–7:30 p.m. CMH, Parkview Conference Room Diabetes Prevention Class Four-session class Tuesdays: May 5, 12, 19, 20 6:30-7:30 p.m. Winona Clinic Conference Room $40 for individual, $60 for couples Registration required: 507.457.7700 Healthcare CPR Certification May 19, 4–9 p.m. CMH, 3rd Floor B.A. Miller Auditorium Registration required: 507.457.4491 Cost is $40 Healthcare CPR Recertification April 7, 5–8 p.m. April 16, 7:30–10:30 a.m. April 20, 5–8 p.m. May 5, 5–8 p.m. May 21, 7:30–10:30 a.m. June 2, 5–8 p.m. June 18, 7:30–10:30 a.m. June 30, 7:30–10:30 a.m. July 7, 5–9 p.m. CMH, B.A. Miller Auditorium Registration required: 507.457.4491 Cost is $30 Healthcare Directives Informational sessions: May 18, 6:30–7:30 p.m. Working sessions: June 1, 6:30–7:30 p.m. CMH, Parkview Conference Room Call: 507.474.3328

Healthy Kids Club (see p. 4) Step into Summer Saturday, May 30, 9 a.m.–Noon Registration required: 507.457.4161 or visit winonahealth.org/HKC Little Ones Remembered Outreach Group 3rd Tuesday of every month 6:30–8 p.m. Watkins Great Hall, 175 E. Wabasha St. Call for more information: 507.474.3042 MOM Support Group (Mother’s Own Milk) Wednesdays, 1:30–3:30 p.m. Women’s Health Library 3rd floor Winona Clinic Call for more information: 507.453.3700 Winona Health Celebrates Women (see p. 3) Saturday, April 25, 8 a.m.–1 p.m. Winona Clinic, 859 Mankato Ave. Registration required: 507.457.4161 or visit winonahealth.org/women

Winona Health Foundation & Auxiliary Events Auxiliary Garage Sale Friday, May 1 and Saturday, May 2 Tandeski Center Warehouse Donations accepted Victorian Tea May 9, Reservations at 12 & 2 p.m. Watkins Great Hall, 175 E. Wabasha St. For more information about Foundation and Auxiliary events, call 507.474.3328.

CMH = Community Memorial Hospital • 855 Mankato Ave. • Winona, MN