Fall 2009

Pain relief is like a ‘medical miracle’
• Colon cancer: Early detection, happy outcome • From Halloween to Happy New Year: Tips for healthy holidays • Hospitalist and Care Teams: An effective combination

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Focused on our mission
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 507.457.4136 or send an e-mail, noting your address as it appears on the back of the publication, to info@winonahealth.org.

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find the healthcare reform debate to be informative, confusing, daunting and exciting. And the focus on this issue demonstrates the importance of healthcare to every single person. Every individual has a stake in this debate. In some cases we may wear several different – and even conflicting – hats. For example, while most of us are consumers of healthcare services, we also may be employers providing access to healthcare insurance or insurers delivering the insurance product; providers delivering the medical care and service; or the uninsured, underinsured, or a Rachelle H. Schultz Medicare or Medicaid recipient. We all interact with President/CEO the “healthcare system” in multiple ways. The magnitude of the issues and complexity of the overall system can boggle the mind. Experts and politicians talk about dollar amounts in the billions and trillions. I believe that nearly everyone can agree that access to healthcare needs to be improved and the cost of healthcare needs to come down. I can’t recall hearing or reading any dissent around those two issues. However, immediately after acknowledging these two points, we quickly and vehemently fall into a wide range of conflicting positions, and there seems to be examples and stories to make every argument. So while the debate continues, here is something you can be certain of: Winona Health was founded to care for the people of our region. This mission has been constant and true for more than 115 years. How we provide care for our community has certainly undergone significant changes over the decades, including technological developments and innovations; diagnostic testing capabilities; new medications and therapies; evidence-based medicine and more. These changes have accelerated advances in the areas of safety, quality and cost of care – to the benefit of each of us. There is no question that we are all in for a tumultuous time as it relates to healthcare reform. The unpredictable nature of the era we are in may result in advantages and disadvantages – which may not seem immediately clear. But I do believe that one positive you can count on is that the spirit you’ll find in those caring for patients and residents and the spirit of those committed to supporting their care will prevail. A community committed to supporting its local healthcare system by using its services sends a powerful statement about what is important to the community’s economic health and vibrancy. (continued on next page)

In this issue...
2 3 4 6 8 9 10 11 12 13 14 15 16 Focused on our mission Another healthy connection From the cover: Pain relief is like a ‘medical miracle’ Colon cancer: Early detection, quick treatment, happy outcome Watkins Manor a bright spot during winter From Halloween to Happy New Year: Healthy holiday tips Hospitalist and Care Teams: An effective combination When is Urgent Care the right option for you? Foundation Notes Auxiliary Holiday Events Winona Health News & Notes Winona Health Directory Winona Health Events

On the cover: Larry Bartleson of Rushford, center, with Winona Health Pain Management Center physicians, Amarjit Virdi, MD, and Ruth Moes, MD.

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Winona Health has demonstrated that it is a low-cost, high-quality healthcare provider through shared national data. As stewards of our community’s healthcare, we take these two principles – low cost and high quality – very seriously. We see the inequity in the national and state healthcare system, but our focus does not waiver from our core responsibilities: We are focused on doing our best for the community, specifically for each of the patients and residents who entrust us with their care. We continue to re-double our efforts to redesign our processes to improve quality and safety, enhance our patients’ and residents’ satisfaction, increase efficiency and reduce costs. We are tireless in these efforts. It all comes back to our mission – we are here to improve the health and well-being of our community – in new ways, with new programs, new technology, new services and new healthcare providers. We are here. I believe these are historic times. We are experiencing disruptions on so many fronts that it seems we are leapfrogging into new times. Decades from now we will look back and remember this era of change and transformation as a watershed for

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Winona Health was founded to care for the people of our region. This mission has been constant and true for more than 115 years.”

healthcare. My goal is that when we look back at Winona Health’s role and performance, we will recall how this organization stood fast in its commitments, advanced innovative solutions, exceeded patient and resident expectations, and remained viable to the benefit of this community. Winona Health, your community healthcare system, is here for you today…and it will be here to provide care for you and your family for generations to come.

Rachelle H. Schultz President/CEO

Another healthy connection for you
You’re invited to winonahealth.org—available all the time
“Our goal is to make the Winona Health website a valuable resource for health-related information,” said Jesse Emerick, Winona Health e-communications manager. Just a sample of what you’ll find on the Winona Health website: • Flu information • Online nursery and Family Birth Center information • Information about upcoming Community Health Talks and other events • Healthcare provider photos and information • Details about healthcare services offered in Winona, Rushford and Lewiston • Healthy Kids Club upcoming events and resources including recipes and activities • Information about the Winona Health Foundation • Career information and volunteer opportunities • Urgent Care hours and information

Explore winonahealth.org. If you have suggestions or ideas for other information you’d like to find on our website or see in this publication, please use the contact us link on the website, winonahealth.org.

Healthy Connections • Fall 2009

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FROM THE COVER

To people in pain, effective relief is like
‘a medical miracle’
ike others who have experienced severe back pain, Larry Bartleson, 56, of Rushford, knows that when the pain is bad, “It’s difficult to even carry on a conversation.” Bartleson added, “It gets to be so debilitating that it gets to the point that it makes me sick to my stomach.” Bartleson, a veteran, developed back problems when he was in the military. But it was during the Rushford flood of August 2007 that he had a severe bout of back pain. He was helping family, when he felt a twinge in his back while lifting. Shortly after, he was almost unable to move. His wife, Ann, brought him to Winona Health, where staff helped him into the Emergency Department in a wheelchair. “I had a herniated disc. They took great care of me and got the pain under control,” said Bartleson. Ruth Moes, MD, a Winona Health anesthesiologist and pain management specialist, provided treatment. She also referred him to Winona Health Rehabilitation Services for physical therapy. “After that,” he said, “things got back to normal.” For Bartleson, all was fine until August. He remembers, “I felt a twinge in my back again and thought, ‘Uh oh—that’s not going to be good.’ Soon I started having sharp pains—it felt like static-electric shocks.” Bartleson made an appointment with Amarjit Virdi, MD, an anesthesiologist and pain management specialist at Winona Health’s new Pain Management Center. Dr. Virdi joined the Winona Health medical staff in July to open the Pain Management Center with Dr. Moes. “When I went in, the pain was immobilizing,” said Bartleson. “I thought I was going to need surgery, and I was ready for it. But Dr. Virdi evaluated my situation and

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FINDING SOLUTIONS TO PAIN—Amarjit Virdi, MD, treated Larry Bartleson of Rushford in the Winona Health Pain Management Center. After treatment, Bartleson found relief from his back pain

explained another option that was less drastic. I asked when he could do it. He said, ‘Let’s go do it now.’” Dr. Virdi gave Bartleson a cortisone shot/epidural. “They gave me something to numb the area first, and the procedure wasn’t painful,” said Bartleson. He added, “I don’t want to over dramatize it, but to me it was a medical miracle. Within thirty minutes I was feeling better, and I’m feeling great today. I’ll always have to take care of my back and watch what I do. My friends will tell you that I can go golfing every day. My back is aggravated when I lift—not when I twist, so I’m very careful about lifting.”

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“Mr. Bartleson experienced fast relief, and that often happens,” said Dr. Moes, “There are others who improve more slowly, with integration of lifestyle and physical therapy. Our goal is conservative treatment, which includes physical therapy, medication management and injections prior to surgical intervention, although surgery is obviously needed for some.” Asked about side effects from the procedure, Bartleson said, “None. No negatives. No problems. Now that I’ve seen Dr. Virdi, I appreciate being able to do things more comfortably.” To Bartleson, it’s simple: “Life isn’t good with pain. Life is good again when the pain is gone. I was very pleased with the whole experience.”
ENJOYING HIS HOBBY AGAIN—When severe pain hit, Larry Bartleson said, “it was immobilizing.” He noted that it’s fortunate that his pain is triggered by lifting, and not by swinging a club.

Comfort starts here
with new options for pain management
Winona area residents now have increased access to pain management services. Amarjit Virdi, MD, an anesthesiologist and pain management specialist, joined the Winona Health medical staff in July. He and anesthesiologist, Ruth Moes, MD, now provide care at the Winona Health Pain Management Center. “Dr. Virdi’s training at Tufts University brings us additional expertise,” said Dr. Moes. “He has expanded access to pain management services and the types of procedures available in Winona.” Dr. Virdi treats all kinds of pain, including pain related to the spine from neck to lower back. The Pain Management Center team uses fluoroscopy (x-ray) and ultrasound-guided procedures for pain management. Dr. Virdi and Dr. Moes also provide surgical anesthesiology services. “I’m looking forward to building a practice in a community where I can really make a difference,” said Dr. Virdi. “I’ve found that the staff here has a compassionate, personal approach and the focus is on individual care plans.” Dr. Virdi completed a Pain Management fellowship at Baystate Medical Center at Tufts University School of Medicine in PAIN MANAGEMENT PROVIDERS—Amarjit Virdi, MD, Ruth L. Moes, MD.

Springfield, Massachusetts, along with an anesthesiology internship and residency at the Medical College of Wisconsin in Milwaukee. Dr. Moes is board certified in Anesthesiology and Pain Management. She has provided surgical anesthesia services at Winona Health for eight years. Dr. Moes received her medical degree and completed her residency at the University of Rochester in New York. Patients typically are referred to the Pain Management Center by their primary care provider who knows their medical history, but those interested may call the Winona Health Pain Management Center at 507.474.5698. Healthy Connections • Fall 2009 5

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FROM DIAGNOSIS TO FOLLOW UP—Angie Seberg, RN, begins a follow up appointment with Don Larson after his diagnosis and successful treatment for colon cancer. Larson has a message to share: “get checked.”

Early detection and quick treatment provide best chance for beating colon cancer
From discovery through surgery and chemotherapy, it’s nice to stay close to home

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f there is one message Winona resident Don Larson would like to share, it’s “get checked.”

Larson is talking about the importance of scheduling a colonoscopy, a routine test that allows your doctor to examine the inner lining of your large intestine using a thin, flexible tube. This makes it possible to find ulcers, colon polyps, tumors or areas of bleeding or inflammation: If necessary, tissue samples can be collected and abnormal growths can be removed. Larson was having some pain and made an appointment with his physician, Arnold Fenske, MD, in Winona Health’s Internal Medicine Department. Dr. Fenske wanted him to have a colonoscopy. Larson’s friends who had colonoscopies had been encouraging him to “just get it done,” and he realized that now was the time.
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“A colonoscopy is more accurate than other methods to detect polyps and early cancer,” said Richard Ferris, MD, an Internal Medicine physician certified in oncology. “Removing polyps during a colonoscopy plays a major role in preventing colon cancer.” After this colonoscopy at age 65, Larson learned that he had colon cancer and would need surgery. A team including Dr. Ferris and Matthew Broghammer, DO, general surgeon, worked closely with Larson and other medical staff to ensure results were reviewed, treatment options were discussed and the best plan was quickly implemented. “Dr. Broghammer and Dr. Ferris were wonderful,” said Larson. “I had part of my colon, a tumor from my stomach and some lymph nodes removed.”

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After surgery, Larson spent four days in Winona Health’s ICU and three days on the regular medical unit. “They really took care of me and made me so comfortable. They didn’t just put me in bed and walk away: They made me feel cared for all the time,” he explained. “They always asked if I needed anything and if there was anything they could do for me. Some places you may feel like a number, but, here, you’re a person.” After recovering from surgery, Larson underwent twelve chemotherapy treatments in Winona Health’s Chemotherapy/Infusion Department. Larson said he knew he could get a referral to be treated anywhere he wanted, and he wanted to stay in Winona. “If there’s something that can’t be done here, I know I’ll be referred wherever I want. But I’ve always had great care right here, so why would I want to go somewhere else?” Larson has now been cancer free for two years, and he’s enjoying time with his children, grandchildren and friends. “I feel good. I feel like I got a second chance. I think people are reluctant to get a colonoscopy because they’re afraid of what they’ll find out or they think that what they don’t know won’t hurt them. I thought something like this couldn’t happen to me, but it can. It’s a wake-up call. Get it checked,” encourages Larson. “I’m sure glad I did, because here I am.”

Colon cancer symptoms and risk factors
The American Cancer Society recommends that beginning at age 50, men and women at average risk for developing colorectal cancer should talk to their primary healthcare provider about risk factors and screening recommendations. Regular screening exams are important because symptoms of colon cancer may vary from person to person. Screening is the best tool to catch abnormalities before cancer develops.
Symptoms of colon cancer may include: • lower abdominal pain and tenderness • change in bowel habits (diarrhea, constipation or other) • blood in the stool or rectal bleeding • anemia • weakness • loss of appetite or unexplained weight loss

Risk factors that cannot be controlled
• age • personal history of colorectal polyps or colorectal cancer • personal history of inflammatory bowel disease • family history of colorectal cancer • inherited syndromes • racial/ethnic background

Lifestyle-related factors that can be controlled
• diet high in red or processed meats • physical inactivity • obesity • smoking • heavy alcohol use • type two diabetes
Source: American Cancer Society

Over-the-counter pain medication explained
Do you have questions about over-the-counter pain medications ?
What’s the difference between ibuprophen, acetaminophen and aspirin? Which kind of medication works best on which kind of pain? What’s safe for children? Terry Full, RhP, director of Winona Health Parkview Pharmacy, provides answers to these and other frequently asked questions (FAQs) about over-the-counter pain relievers. Terry Full, RhP Director of Winona Health Parkview Pharmacy

To view these FAQs, visit: winonahealth.org/Parkview-Pharmacy.

Parkview Pharmacy is located in the Parkview Office Building on the Winona Health Campus, 825 Mankato Avenue. For more information, call 507.454.4925. Healthy Connections • Fall 2009 7

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Looking for a warm, comfortable place to spend the winter?

Watkins Manor short-term stay provides an option
his time of year, many seniors start thinking about the cold and snowy weather and worrying how difficult it is to get out and about,” said Cheryl Krage, Winona Health assisted living manager. “Watkins Manor short-term stay option provides the solution.” Krage said that some residents opt for short-term stays through winter or any time they may benefit from extra assistance such as after an illness or injury. For example, Bernette Scherbring used Watkins Manor’s short-term stay option to recover from an injury, even receiving physical therapy while in her Watkins Manor apartment. “It was a much better option for me to come to Watkins Manor than to go right home,” said Scherbring. “The best part of staying at Watkins Manor was that I did not have to cook and shop for groceries. The food is excellent.” Short-term stay apartments are furnished, so no heavy moving is required. After recovering and returning home, Scherbring decided to take advantage of the short-term stay option again over the winter. Recently, she decided to make Watkins Manor her home. “The people are all so friendly, both residents and staff,” said Scherbring. “There is always some type of entertainment to attend, and being able to go out shopping with a group is quite nice.” Throughout the year, residents have the option of attending concerts in the park, riverboat cruises, weekly shopping adventures and meals out with friends. Residents also enjoy a craft room, computer and baking rooms, wellness area, greenhouse, movie theater room and a beautiful outdoor courtyard with raised flower beds and seating. “Residents also enjoy walking out and about in the neighborhood,” said Krage. Options for supportive services include three meals per day, weekly housekeeping, healthcare management for medication administration, diabetic care, and assistance with bathing, dressing and grooming. Krage added,
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A WELCOMING ATMOSPHERE—After using Watkins Manor’s short-term stay option on two occasions, Bernette Scherbring decided to make Watkins Manor her home. Among the benefits, she said, “The people are all so friendly.”

Residents choose the level of assistance that they are comfortable with and they can add services.”
– Cheryl Krage, Winona Health assisted living manager

“Residents choose the level of assistance that they are comfortable with and they can add services as needed.” All Watkins Manor’s residents reported that they would recommend Watkins Manor to others, which “reflects that our experienced, compassionate staff provides excellent care and service,” said Krage. “Our staff truly enjoys interacting with our residents and making Watkins Manor a wonderful place to live.” For more information about assisted living options at Watkins Manor, call Cheryl Krage at 507.494.7496.

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From Halloween to Happy New Year:

Healthy eating during the holidays
he holidays pose challenges to many people, especially to those with diabetes or those who want to lose or maintain their weight. “Holidays are a time of ‘extras,’” said Winona Health dietitian, Sue Haug, RD, LD. “Extra demands on your time, with places to go and people to see, extra special foods to prepare and serve, extra indulgence in food and drink, and next thing you know, you’ve gained extra pounds or your blood sugar is out of control.” Sue Haug and Jill O’Donnell, RN, CDE, diabetes nurse educator, help people develop new strategies for managing their diabetes and enjoying holiday celebrations—without gaining extra pounds or jeopardizing their health. They share these helpful tips with Healthy Connections readers: Be realistic about your goals. Set a goal to maintain your weight or minimize weight gain by focusing on weekly goals for exercise and food. Track what you eat. Schedule time to exercise. Walk quickly in a shopping center, work out at a gym, or exercise in your home. “Exercise not only burns calories,” said Haug, “It also builds muscle, strengthens your heart and relieves stress.” Establish holiday traditions that focus on togetherness and reflection, not just on food.

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Get enough sleep. “Sleep also is a good stress reliever,” said O’Donnell. “Lack of sleep may cause poor decisionmaking when it comes to nutrition.” Have a plan to minimize party temptations. In the days before a party, increase physical activity, but don’t skip meals. Before the party, have a small, low-fat, highfiber snack with non-caloric beverage. Wear form-fitting clothes or a belt—the pressure will remind you that you have had enough. Use the smallest plate available to keep portions in check, and fill half the plate with low-calorie, low-fat items. Be choosy. Skip everyday treats and focus on specialty foods you only have during the holidays. Avoid excess alcohol, as it contributes empty calories (100-400 calories per drink). Don’t go back for seconds. Mark the end of your meal by having a piece of sugar-free gum or a breath mint to remove the taste of food from your mouth. “Why wait until the New Year to resolve to improve your health?” said Haug. “We all have the opportunity to follow this plan for healthy and happy holidays—let’s start today.”

Outpatient Nutrition Services Team:
Helping individuals manage diabetes and improve their health
Certified diabetes educator, Jill O’Donnell, RN, CDE, and registered and licensed dietitian, Sue Haug, RD, LD, are the Outpatient Nutrition Services team at Winona Health. They provide nutrition education to patients, including those who are managing diabetes.

Sue Haug Jill O’Donnell RD, LD RN, CDE Four-week group classes for managing or preventing type 2 diabetes are held periodically throughout the year. To learn about upcoming classes, or if you’d like information about Outpatient Nutrition Services at Winona Health, talk with your primary healthcare provider or call 507.457.4521. Healthy Connections • Fall 2009 9

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Hospitalists and care coordination team provide effective, efficient care for hospital patients and families

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inona Health has implemented a “hospitalist” program to provide more immediate physician access for its hospitalized patients. The program began four years ago and continues to evolve. A hospitalist is usually an Internal Medicine specialist who is available to patients, their families and other care providers throughout the day. They oversee patients’ care throughout their hospital stay. Hospitalists also keep patients’ primary physicians informed when patients are admitted, discharged or major decisions need to be made. “Having one or more hospitalists available all day improves the quality, consistency and efficiency of hospital care,” said Charles Shepard, MD. “By being accessible to patients, their families and the staff caring for them all day, the hospitalist gets a more complete picture of that patient’s overall condition and needs.” Dr. Shepard also noted a key advantage to hospitalist programs: “The hospitalist is available to talk with patients and families when the families are there. So when family members can’t be here first thing in the morning,

they’ll have plenty of other opportunities to talk with the doctor throughout the day.” A cohesive approach to individual care The hospitalist plays a key role in the care coordination team which meets every morning to discuss each hospitalized patient’s care plan. Ensuring that every member of the team has a complete understanding of each patient’s needs leads to the most cohesive and effective care plan. Throughout a patient’s stay, the team maintains a communication board where key information, from diagnosis to dietary requirements, is posted. It then is continuously updated and shared with others involved in the patient’s care. According to Robin Hoeg, RN, leader of Inpatient Services, “This care coordination process, with the help of the hospitalist, has decreased our patient’s overall length of stay—which is a huge patient satisfier.” “Depending on each patient’s needs, the care team may include not only the hospitalist and nursing staff, but also a patient educator, physical therapist, pharmacist, dietician and social worker,” explained Deb Mikelson, RN, care coordination team leader. Mikelson also may help coordinate services with Winona Health Home Care, Lake Winona Manor or other area nursing homes. Winona Health’s team of hospitalists includes Internal Medicine physicians who normally see patients in the clinic, but rotate in the hospitalist role on a weekly basis. Recently Winona Health hired its first full-time hospitalist, Abdul Adjei, MD.

A TEAM APPROACH TO PATIENT CARE—A care coordination team meets to discuss each hospitalized patient’s care plan: Daniel Parker, MD; Chris Stoltman, RD; Charles Shepard, MD; Abdul Adjei, MD; Kristi Raadt, PT; Paula Philipps, RN; Deb Mikelson, RN; and Cassie Longueville, LSW. 10 Healthy Connections • Fall 2009

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When is the Urgent Care Clinic

It’s very rewarding to be a

part of the recovery process

the right place for you?
When you or a family member is hurt or not feeling well, Urgent Care provides a quick solution. Amparo “Tweety” Oevering, Winona Health Urgent Care Clinic nurse manager, shares these guidelines for conditions that are appropriate for treatment at the Urgent Care Clinic: • Colds and flu including fevers, coughs, sore throats and earaches • Sprains, strains and simple fractures • Scrapes, cuts and minor burns • Skin conditions including rashes, poison ivy and insect bites • Vomiting and diarrhea • Urinary tract infections • Allergic reactions

and to help people feel better so they can return home.”
– Abdul Adjei, Hospitalist

Dr. Adjei enjoys hospitalist focus
Dr. Adjei enjoys focusing his attention on hospitalized patients and their families. “One of the reasons I enjoy practicing as a hospitalist is I get to help people of all ages who need care for a variety of reasons,” said Dr. Adjei. “It’s very rewarding to be a part of the recovery process and to help people feel better so they can return home.” Dr. Adjei earned his medical degree from Istanbul University, Cerrahpasa Medical Faculty and completed his residency at Harbor Hospital in Baltimore, Maryland, where he served as Chief Resident. Having lived in Baltimore and Chicago, Dr. Adjei and his wife look forward to Winona’s community atmosphere. They have one son who is almost a year old. Outside of work, Dr. Adjei enjoys playing soccer and reading. For more information about healthcare providers and services at Winona Health, see page 15; visit winonahealth.org; or call 507.454.3650.

Emergency Services “Any potentially life-threatening condition, such as severe abdominal pain, chest pain or significant shortness of breath, needs to be evaluated in the Emergency Department,” advised Oevering, “These situations may require equipment, such as monitoring technology and diagnostic testing, not available in an urgent care setting.” Primary Care Chronic illnesses and ongoing ailments are best cared for with the help of your primary healthcare provider. “He or she is best able to assess your condition and determine the best care based on your health history and current health issues,” said Oevering. “Because it’s walk-in, people generally understand that, depending on how many people need care and on the type of care they need, wait times will vary,” noted Oevering. “Our staff works hard to provide thorough care as efficiently as possible.” The Urgent Care Clinic is at 420 E. Sarnia in Winona. Hours are: Monday-Friday 8 a.m. – 8 p.m. Thursday-Sunday 8 a.m. – 5 p.m. For questions regarding Urgent Care, please call 507.474.7830.

Winona Health Internal Medicine physicians who serve as hospitalists:
Abdul Adjei, MD Richard Ferris, MD* Dennis Nolan, MD* Abdul Oseini, MD
* These physicians also see patients at the clinic. For information about Winona Health physicians, visit winonahealth.org and click Find a Provider.

Daniel Parker, MD* Bryan Reed, MD* Charles Shepard, MD*

Healthy Connections • Fall 2009

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FOUNDATION & AUXILIARY NEWS

Memorial giving: leaving a legacy

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hen someone we love dies, we often look for ways to ensure that they continue to be remembered and that their legacy lives on,” said Nancy Brown, Winona Health’s executive director of development. “Memorial giving is a way for friends and family to honor their loved one, while also having a positive impact on the lives of individuals and communities.”

So when Breitenfeldt’s daughter, Gail Gabrick, approached Brown with their wishes, Brown told them about the Phyllis McClenathan Scholarship Endowment Fund, named for another long-time nurse. “Mom loved being a nurse and taking care of people,” said Gabrick. “When Nancy told us about the Scholarship Endowment Fund, we knew that was what mom would want us to support. It doesn’t matter that the fund isn’t in her name. We’re supporting the fund in her honor, and she would be so happy to know she’s helping people achieve their dream of becoming a nurse.” Gabrick added, “It gives me such peace to know that the memorial money will go towards something that will honor mom’s memory. That’s what memorials are really meant to do.” To learn more about memorial giving, visit the Winona Health Foundation online: winonahealth.org/foundation, or call Nancy Brown, Winona Health Foundation executive director of development at 507.457.4342.

When Betty Breitenfeldt, 77, died in March, her children wanted to honor their mother and her long career as a nurse. Breitenfeldt was a nurse in the Twin Cities and later at THE LATE BETTY BREITENFELDT— Winona Health until was honored with a memorial gift. retiring in 1991.

Golf Classic supports Patient Care Fund
Winona Health Foundation’s Ben & Adith Miller Golf Classic raised a record $175,000 for the Ben & Adith Miller Patient Care Fund. More than 220 golfers participated in the fundraising event, held August 10 at Cedar Valley Golf Course. “The Winona community is very fortunate to have a fund like the Ben & Adith Miller Patient Care Fund, and the Winona Health Foundation is very fortunate that Hugh and Vera Miller and RTP Company are committed to building the fund through the Ben & Adith Miller Classic,” said Nancy Brown, Winona Health Foundation executive director of development. The Ben & Adith Miller Patient Care Fund was established by Benjamin A. Miller, a Winona-area businessman and philanthropist, in honor of his wife,
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Adith. Miller’s goal was to establish a fund to help individuals and families in need pay for medical care at Winona Health. Since its inception in 1986, the Patient Care Fund has contributed more than $3.5 million in relief to more than 1,709 individuals and families.

A GREAT DAY—to be on the golf course .

For more information about the Ben & Adith Miller Classic or the Patient Care Fund, contact the Winona Health Foundation, 507.474.3328, Nancy Brown at 507.457.4342 or nbrown@winonahealth.org.

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Enjoy holiday shopping that supports community healthcare
he Winona Health Auxiliary offers several opportunities for community members to purchase holiday gifts and décor, with the proceeds supporting healthcare scholarships and funding equipment and technology for Winona Health.

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Scoreboards
October 21-22, Winona Clinic lobby The sale features a variety of collegiate and professional sports team apparel and accessories for men, woman and youth at 20% - 40% below retail..

Glady D. Miller Gift Shop Holiday Happiness
November 4-7, B.A. Miller Auditorium, 3rd Floor, Winona Health The third floor is transformed into a holiday wonderland. The annual sale is an extension of the Glady D. Miller Gift Shop and features unique gifts, holiday decorations, jewelry, gourmet food mixes and accessories, baked goods and much more. An Arts and Craft Fair featuring local vendors is held in the hospital lobby.

Scoreboards Fundraiser

Fantasy of Trees
November 20-21, Watkins Manor, 175 E Wabasha St. Beautifully decorated tabletop trees are donated by area businesses, organizations or individuals and are available for purchase by sealed bid. Beautiful holiday wreaths and centerpieces created by Auxiliary volunteers also are available for purchase. If you are interested in learning more or donating a tree, contact the Winona Health Volunteer Office at 507.474.3328.

Winona Clinic lobby Wednesday, October 21 8 a.m. – 5 p.m. Thursday, October 22 8 a.m. – 5 p.m.

Glady D. Miller Gift Shop Holiday Happiness
B.A. Miller Auditorium Wednesday, November 4 10 a.m. – 8 p.m. Thursday, November 5 10 a.m. – 6 p.m. Friday, November 6 10 a.m. – 6 p.m. Saturday, November 7 9 a.m. – 1 p.m.

Glady D. Miller Gift Shop
Monday through Friday from 9 a.m. until 4 p.m., Winona Health If you have not yet discovered the Glady D. Miller Gift Shop at Winona Health, you are missing out on a hidden gem for local shopping. Unique merchandise includes crystal, jewelry, stuffed animals, candy, flowers, holiday items, home décor, purses, accessories and much more. Proceeds from the Gift Shop and other fundraising events support local healthcare through scholarships, the Telehealth initiative (using technology for in-home management of chronic illnesses), and providing enhancements to Lake Winona Manor, Adith Miller and Roger Metz Manors.

Fantasy of Trees
Watkins Manor Friday, November 20 3 p.m. – 7 p.m. Saturday, November 21 10 a.m. – 4 p.m. Healthy Connections • Fall 2009 13

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WINONA HEALTH NEWS & NOTES

New healthcare providers
Abdul Adjei, MD, hospitalist, joined the Winona Health medical staff. Learn more about Dr. Adjei and the hospitalist program on pages 10-11.

Matthew Hayes, MD, radiologist, will provide Radiology services along with Laurel Littrell, MD. He received his medical degree at the University of South Dakota in Vermillion and completed his residency in Diagnostic Radiology and fellowship in Musculoskeletal Radiology at Mayo Clinic in Rochester. His special interests include arthritis and sports medicine. Dr. Hayes enjoys spending time with his family and is an avid hunter and fisherman. He also enjoys basketball and other sports. Marla McConkey, PA-C, joined the Winona Health Urgent Care staff. McConkey received her Master’s of Physician Assistant Studies at the College of Pharmacy and Health Sciences at Butler University in Indianapolis. McConkey grew up in Hastings, Minnesota. She enjoys the natural beauty of the area and spends her free time boating, camping and hiking. Amarjit Virdi, MD, anesthesiologist and pain management specialist, joined the Winona Health medical staff. Learn more about Dr. Virdi and the Winona Health Pain Management Center on pages 4-5.

Family Medicine of Winona joins Winona Health
Family Medicine of Winona merged with Winona Health on October 1, 2009. The independent physician practice has been a long-time collaborator with Winona Health and was one of the pioneers in establishing a communitywide electronic medical record system. Family Medicine patients will continue to receive care from their regular physician in their current location at 825 Mankato Avenue on the Winona Health campus. Family Medicine was founded by Thomas A. Retzinger, MD, in 1979. Other Family Medicine providers are: William Davis, MD; Wayne Kelly, MD; Rebecca Lossen, MD; and Kristi Lynn Schulte, PA-C.

Winona Health again named a Most Wired Hospital
For the eighth consecutive year, Winona Health has been named to the nation’s Most Wired—Small and Rural hospital list according to the results of the 2009 study released in Hospital & Health Networks magazine. Winona was among the first communities in the nation to develop an Electronic Medical Record.

Winona Health earns top performer status
Winona Health has been named a top performer in caring for patients with heart failure and pneumonia by the Centers for Medicare & Medicaid Services (CMS) Premier healthcare alliance project. The Top Performer Awards reflect that Winona Health achieved a composite quality score in the top 20 percent of all participating hospitals. In addition, Winona Health achieved an Attainment Award for caring for heart attack patients, indicating that it meets or exceeds the median quality benchmark score.

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Healthy starts here.
To schedule an appointment:
Winona Health
454.3650
855 Mankato Ave. • Winona, MN

Anesthesiology: 457.7670
Ruth L. Moes, MD Amarjit Virdi, MD David Woosencraft, MD

General Surgery: 457.7670
Matthew J. Broghammer, DO J. David Rowekamp, MD Hans Zinnecker, MD

Pain Management: 474.5698
Ruth L. Moes, MD Amarjit Virdi, MD

Clinic Locations
• Family Medicine: 454.5050
825 Mankato Ave. • Winona, MN

Pathology: 457.4361
Carl J. Szczesniak, MD

Dermatology: 457.7670
Frank A. Bures, MD

Internal Medicine: 457.7622
Abdul Adjei, MD (Hospitalist) Andrew E. Edin, MD Arnold W. Fenske, MD Richard C. Ferris, MD John G. Mulrooney, MD Dennis G. Nolan, MD Abdul M. Oseini, MD (Hospitalist) Daniel Parker, MD Bryan Reed, DO Charles A. Shepard, MD Mary Funk, CNP Traci J. Morken, CNP Ann Marie Olsen Wagner, CNP

• Lewiston Clinic: 523.2127
100 Harrison St. • Lewiston, MN

Pediatrics/Adolescent Medicine: 457.7607
Craig H. Anderson, MD Joan M. Krueger, MD

• Rushford Clinic: 864.7726
109 W. Jessie St. • Rushford, MN

Emergency Medicine (if an emergency, call 911)
Terry Donnal, MD Carlos Morales, MD Christopher Schubert, MD Scott Turner, MD Brett Whyte, MD Joel Stevens, PA-C

• Urgent Care Clinic: 474.7830
420 E. Sarnia St. • Winona, MN

Psychiatry/Counseling: 454.2606
Cullen R. Schwemer, MD Laurie Stenseth, MSW, LICSW Lyle Hulsing, MA, LP

• Winona Clinic: 454.3680
859 Mankato Ave. • Winona, MN

Hospital: 454.3650
855 Mankato Ave. • Winona, MN

Family Practice
Family Medicine: 454.5050 William E. Davis, MD Wayne G. Kelly, MD Rebecca Lossen, MD Thomas A. Retzinger, MD Kristi L. Schulte, PA-C Lewiston Clinic: 523.2127 Mary Kramer, RN, CNP Rushford Clinic: 864.7726 David Lofgren, MD Joy Stevens, PA-C Winona Clinic: 457.7648 E. Allen Beguin, MD David A. Christenson, MD Jonathan Knight, DO Lynette Lamp, MD Mary A. Michener, MD Nicholas Modjeski, MD Robert P. Wilfahrt, MD Donna J. Kamann, CNP Christina M. Nitti Velasquez, CNP

Radiology/Imaging: 457.4320
Matthew S. Hayes, MD Laurel Littrell, MD

Parkview Pharmacy: 454.4925
825 Mankato Ave. • Winona, MN

Occupational Health: 474.3212 Ophthalmology/ Optometry: 474.4760
Laurel Quinn, MD Scott M. Pastryk, OD

Urgent Care: 474.7830
Terry Donnal, MD Bob Giese, PA-C Marla McConkey, PA-C Susan Smith, FNP

Winona Senior Services
• Adith Miller & Roger Metz Manors: 454.0179 • Home Care: 457.4468 • Hospice: 457.4468 • Lake Winona Manor: 457.4366 • Watkins Manor: 494.7400

Oral/Maxillofacial Surgery: 457.7700
Gary W. Hayes, DDS

Women’s Health Obstetrics/Gynecology: 457.7701
Scott B. Birdsall, MD Troy J. Shelton, MD M. Suzanne Cooley, CNM Holly J. Fratzke, CNP Ann F. Olson, CNP Tara Suffrins, CNP Please note that all Winona Health phone numbers are in the 507 area code.

Winona Health Foundation: 474.3328
855 Mankato Ave. • Winona, MN
Surgeons pictured above: (clockwise from front left)

Orthopaedic Surgery/ Sports Medicine: 474.6600
Tim Gabrielsen, MD Richard Romeyn, MD Aaron Schilling, PA-C

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; Amarjit Virdi, MD (anesthesiologist); Ruth Moes, MD (anesthesiologist); Scott Birdsall, MD.

To see a complete list of Winona Health services, visit: winonahealth.org/service

Healthy Connections • Fall 2009

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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 and more information about our services and programs, please visit our website: winonahealth.org. Alzheimer’s and Related Dementia Support and Education Wednesday, October 14, 6-7 p.m. Wednesday, November 11, 6-7 p.m. Wednesday, December 9, 6-7 p.m. Parkview Conference Room For more information–Cheryl Krage 507.494.7496 Basic Life Support (BLS/CPR) for Healthcare Providers Wednesday, October 28, 4-9 p.m. B.A. Miller Auditorium 507.457.4491 Breastfeeding Class Tuesday, November 10, 6:30-8:30 p.m. $10 per participant/couple B.A. Miller Auditorium Registration required: 507.494.7384 Childbirth Education Classes Six-week program options: Mondays, November 9 – December 14 B.A. Miller Auditorium, 6:30-8:30 p.m. Registration required: 507.457.4338 Weekend (two day) program options: Friday, October 23, 6-8 p.m. Saturday, October 24, 8 a.m.–3 p.m. Friday, December 4, 6-8 p.m. Saturday, December 5, 8 a.m.–3 p.m. B.A. Miller Auditorium Registration required: 507.457.4338 Diabetes Prevention Class Tuesdays, October 6-27, 6:30-7:30 p.m. Winona Clinic Conference Room $40 per individual or $60 per couple Registration required: 507.457.7700 Fall Frame Show Thursday, October 15, 9 a.m.-6 p.m. Outside prescriptions welcome Winona Clinic, Suite 330 507.474.4760 Healthcare CPR Recertification Thursday, October 15, 7:30-10:30 a.m. Thursday, November 19, 7:30-10:30 a.m. Thursday, December 17, 7:30-10:30 a.m. Tuesday, December 29, 5-8 p.m. B.A. Miller Auditorium Registration required: 507.457.4491 Cost for class: $40 Healthcare Directives Informational sessions: Monday, November 16, 9:30-10:30 a.m. Working sessions: Monday, November 23, 9:30-10:30 a.m. Parkview Conference Room 507.474.3328 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 Look Good, Feel Better Thursday, December 10, 6:30-7:30 p.m. Lake Winona Manor Classroom American Cancer Society, 800.227.2345 MOM Support Group (Mother’s Own Milk) Tuesdays, 2:30-4 p.m. Winona Clinic Women’s Health Library Call for more information: 507.453.3700

Community Health Talks
Exploring Senior Living Options Thursday, October 22, 5:30-6:30 p.m. Watkins Great Hall, 175 E. Wabasha St. Registration requested: 507.457.4161 Today’s Options for Pain Management Ruth Moes, MD, and Amarjit Virdi, MD Wednesday, November 18, 5:30-6:30 p.m. B.A. Miller Auditorium Registration requested: 507.457.4161

Winona Health Foundation & Auxiliary Events
For more information about Auxiliary events, see page 13 or call 507.474.3328

Do you Twitter? Or are you on Facebook?
Follow Winona Health on Twitter at: http://twitter.com/winonahealth to get updates as they happen, news and links to other important items.

Become a fan of Winona Health on Facebook to get news, event information updates and more.

Events are on the Winona Health Campus located at 855 Mankato Ave., Winona, MN except when noted.

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