Fall 2010

Caring for superheroes
Healthy starts here.

...and the rest of us.

Dear Family, friends & neig hbors,
T
Healthy Connections is a free quarterly publication from Winona Health to provide information on health, wellness and healthcare services. Comments or questions about this publication or Winona Health may be submitted to winonahealth.org and click on ‘Contact Us’ or call the Winona Health Marketing Communications Department at 507.457.4157.

his issue of Healthy Connections is about caring for you and your superheroes. Who are the superheroes in your life? Here at Winona Health, superheroes are all around us. They are the team in our Emergency Department caring for a heart attack patient, the staff at Lake Winona Manor caring for your family member — and all of our clinical and support staff who make sure your visit is a good one. It takes more than a superhero effort these days to predict the future of healthcare. With all the expected changes in the healthcare reform act, it is a challenge to forecast what will happen over the next six months – let alone the next five to ten years. One thing we know for sure: dwindling reimbursements, advancing technology and more complex patient needs are forcing the transformation of healthcare providers. Winona Health has been preparing for this impending transformation for many years. Our focus on high-quality, evidence-based practices, patient satisfaction and fiscal stewardship has given us a strong foundation. Winona Health has been actively applying Lean management principles to improve our healthcare delivery model. Used effectively in manufacturing companies for decades, Lean thinking begins with identifying and driving out waste so that all work adds value and better serves each customer’s needs. Lean involves staff from all departments focusing on identified areas for improvement. Teams are empowered to redesign processes to improve flow, reduce waste and ultimately provide increased value to our patients and families. As we rigorously apply Lean throughout our organization, it is having a positive impact on safety, quality, productivity, cost and our patients’ satisfaction. Here are just a few examples of improvements made through Lean initiatives: • Urgent Care Clinic: Reduced the wait time for patients to be seen by a healthcare provider by 70% and the overall time spent at the clinic by 50%. • Hospital admission and discharge process: Reduced the duplication of forms and information gathering by 70% and provided more direct nursing time with patients. • CT Scans: Reduced the wait time for scheduled CT scans by 100%. As we implement healthcare reform, we each must take responsibility for stimulating conversation and action. We must take superhero actions to improve our healthcare delivery model while continuing to care for every member of our community. Winona Health is here to assist you in your efforts to improve and/or maintain your health and well-being. Thank you for letting us be a part of your life. Warm regards,

A teAM AppRoAcH.— Radiologists Matt Hayes, MD, and Laurel Littrell, MD, work closely with local physicians and patients. Below: Paul Horner, lead MRI Technologist, demonstrates the MRI.

From the cover

Why an MRI?
Winona Health’s
inona Health physicians have a variety of high-tech options for diagnosing problems. When is an MRI the right option? An MRI (Magnetic Resonance Imaging) exam is a painless, non-invasive procedure that, unlike CT scans and x-rays, uses no radiation. Instead, it uses a powerful magnet, radio waves and a computer to provide visual images of specific areas inside the body. “The MRI provides exceptional detail to help us diagnosis many types of injuries and conditions,” said radiologist Matthew Hayes, MD. “Once we pinpoint the cause, the patient’s physician can determine the best course of treatment.” Radiologist Laurel Littrell, MD, said Winona Health’s Radiology Department is unique. “Dr. Hayes and I have a close relationship with local physicians and our patients. This is a big advantage as we can quickly communicate with the referring

(front, l-r) Aiden, 5; Libby, 7; (back, l-r) Caleb, 5; Scott Birdsall, MD, OB/GYN; Suzanne Cooley, CNM, Midwife; Ava, 18 months; Troy Shelton, MD, OB/GYN; Spencer, 18 months.

state-of-the-art MRI Unit
“If you need an MRI, there is no reason to go anywhere else.

W

• Winona Health radiologists Laurel Littrell, MD, and Matt Hayes, MD, are board-certified and Mayo-trained. • MRI results are read on-site and results are available in three days or less. • Digital images become part of each patient’s Electronic Medical Record (EMR).

We have the technology right here.”
- Laurel Littrell, MD
providers to ensure the MRI exam is tailored to each patient’s situation. This is a real benefit and not always found in larger facilities.” A patient-centered design. Winona Health’s MRI unit has a shorter “barrel” than others, and it’s open at both ends, making it much more comfortable for those who are claustrophobic. It’s also one of the quietest units available. “Our goal is to ease anxiety and keep patients comfortable while providing the highest quality of care,” said Paul Honer, lead MRI Technologist.

Rachelle H. Schultz President/CEO
2 Healthy Connections • Fall 2010

Healthy Connections • Fall 2010

3

Local bone health study leads to a

What you should know:
Osteoporosis is a disease in which an individual’s bones become weak and are more likely to break. One in two women age 50 and older, and nearly one in four men will break a bone because of osteoporosis in their lifetimes. The National Osteoporosis Foundation recommends the following steps for better bone health: • Get your daily recommended amounts of calcium and vitamin D. • Engage in regular weight-bearing and muscle strengthening exercise. • Avoid smoking and excessive alcohol consumption. • Talk to your healthcare provider about bone health and find out if you are at risk for osteoporosis.

Prenatal Care for You and
W
hether you’re pregnant or thinking about starting a family, prenatal appointments are an important part of a healthy family. The prenatal care providers in Winona Health’s Center for Women’s Health agree that outstanding care includes providing emotional support to mothers-to-be throughout their pregnancy. Scott Birdsall, MD, an obstetrician/gynecologist has thirty years of experience in women’s health and developed the Center for Women’s Health at Winona Health. Dr. Birdsall believes prenatal care is important because it helps create good communication between a healthcare provider and a patient. “Listening to my patients and addressing their questions and concerns creates mutual respect which goes hand-in-hand with good prenatal care,” he said. Obstetrician/gynecologist Troy Shelton, MD, agrees. “My prenatal patients go through several changes not just physically, but emotionally. As a husband, father and healthcare provider at Winona Health for six years, I see firsthand that prenatal care is vital to the health of a family and I truly want the best care for them.” “It’s proven that women who receive regular prenatal care have healthier babies,” adds Suzanne Cooley, a Certified Nurse Midwife (CNM). For twenty-two years, Cooley has provided education about alternative birthing options, nutrition and psychological changes to OB patients and says it is important to provide support for prenatal patients and their family as a whole. Dr. Birdsall emphasized that a unique feature of OB care at Winona Health is that ninety percent of the time, the prenatal care provider you see at Winona Health will be the same one to deliver your baby. “This isn’t usually the case in larger healthcare facilities,” said Birdsall.

lifestyle change
K

Y our Future Superhero

elly Hein, age 44, learned she had low bone density when she participated in a research study conducted in the Winona area by Ann C. F. Olson, PhD, a Winona Health certified nurse practitioner and Winona State University associate professor. Dr. Olson’s goal in conducting the research was to learn whether women would take a more proactive approach to maintaining bone health if they found out earlier that they were at risk for osteoporosis. “I was fortunate to be part of the study,” says Hein. “I learned at the age of 42 that I had osteoporosis, rather than waiting another 23 years when current standards allow for testing.” Dr. Olson explains, “In our study of 150 Winona area women aged 35-55, 32% were found to have low bone density, which is a significant risk for postmenopausal osteoporosis and subsequent fracture.”
FIgHtIng osteopoRosIs.—Kelly Hein, works out at the YMCA in Winona. Hein was diagnosed with osteoporosis when she was 42.

Dr. Olson encourages women to be proactive about talking to their healthcare provider about risk factors for osteoporosis. “If women are aware of their risks sooner, they will begin taking steps to maintain their bone health, which, ultimately, will decrease much of the pain and cost associated with osteoporotic fractures,” Dr. Olson said. As a result of the study, Hein said, “I will take steps now to improve my bone strength. I want to continue to lead an active life, and now I have the information I need to help make that happen.”

WInonA HeAltH’s centeR FoR WoMen’s HeAltH pRovIdeRs—Troy Shelton, MD, OB/GYN, Suzanne Cooley, CNM, Midwife, and Scott Birdsall, MD, OB/GYN provide more than care, they provide support for their patients.

The research study was sponsored by the Winona State University Foundation, the University of Arizona College of Nursing, the national Osteoporosis Foundation and Winona Health. Bone density testing was done using state-of-the-art technology in Winona Health’s Diagnostic Imaging Center.

Winona Health’s center for Women’s Health presents the first of a four-session series on women’s health and wellness:

How dense are we? Smart steps to stronger bones.
Thursday, October 28, 2010, 5:30-7 p.m.
Ann Olson, PhD, RN, CPN, FAANP, certified Women’s Health/Family Nurse Practitioner and associate professor, and Heidi Ferris, dietitian will provide information and answer your questions about improving or maintaining bone health.
Ann Olson, PhD, RN, CPN, FAANP, certified Women’s Health/Family Nurse Practitioner at Winona Health and associate professor at WSU Rochester campus.

Winona Health offers classes to help parents-tobe prepare for labor and delivery and parenthood. Childbirth Education Classes help expectant parents learn how to positively cope with the emotional and physical changes that occur during pregnancy and birth. A one-evening Breastfeeding Class provides information and answers to questions about breastfeeding. All About Baby is a free, weekly drop-in group for parents to weigh their baby, get answers to questions and meet other parents. For a schedule of upcoming classes or to register, visit winonahealth.org or call 507.457.4491.

Resources to help you transition into parenthood.

To make an appointment for prenatal care, routine physicals or women’s health issues, contact:

Winona Health’s Center for Women’s Health, 507.457.7701

D id y o u k n ow?

of the time, care 90% same one to the prenatalbaby.provider you see at WinonainHealth will be the facilities. deliver your This isn’t usually the case larger healthcare
Healthy Connections • Fall 2010 5

4

Healthy Connections • Fall 2010

“go-to” resource for a variety of health-related issues. His or her main goal is to help your child stay fit and healthy.

Development concerns include:
 Nutrition, exercise/activity, fitness or weight issues  Behavioral issues  Emotional issues  Challenges or changes within the family such as a new baby or separation or divorce  Learning disabilities and available resources
“Make the most of well-child visits by writing down your questions and bringing them to your appointment,” encourages Schulte. “Parents have an important job. We truly are committed to helping you raise strong and healthy kids so they’ll grow up to be strong and healthy adults.”

Here are a few important reasons to schedule regular checkups:
 Stay current on immunizations  Assess and monitor overall health  Track growth and development  Get answers to your questions and concerns
Your child’s healthcare provider, whether a pediatrician or a family practice expert, also is here to support you as a parent. He or she can offer insight into any areas of concern during your child’s development.

M e et

Kristi Schulte, PA-C
Kristi Schulte, PA-C, received her bachelor’s degree at Winona State University, then attended Midwestern University in Arizona with an emphasis in Physician Assistant Studies. She received her national certification in September 2008 and has been seeing patients at Winona Health Family Medicine since October 2008. Schulte is very excited about joining the Pediatrics Department and focusing on providing care for children.

caring for superheroes...and the rest of us.
When your child needs medical attention, Winona Health Family Practice, Pediatric and Urgent Care professionals provide the care you need at locations listed below.

Family Practice

Even Superheroes need checkups. Here’s why!
WHo ARe tHese sUpeRHeRoes? — (l-r) Spencer, 18 months; Lydia, 4; Kristi Schulte, PA-C; Jackson, 7; Brooke, 5; and Libby, 7.

Your children seem, and most likely are, as healthy as a superhero.

P

So why take them to the doctor?
6 Healthy Connections • Fall 2010

ediatric physician assistant, Kristi Schulte, PA-C, said, “Just as well-baby checkups are important in monitoring the growth and development of newborns, regular checkups, although less frequent, are also important to your child’s overall health.” In addition to treating illnesses and injuries and providing referrals to specialists if their expertise is needed, your pediatrician or family healthcare provider is a valuable

Winona E. Allen Beguin, MD William Davis, MD Jonathan Knight, DO Wayne Kelly, MD Lynette Lamp, MD Rebecca Lossen, MD Mary Michener, MD Nicholas Modjeski, MD Thomas Retzinger, MD Robert Wilfahrt, MD Donna Kamann, CNP Christina Nitti Velasquez, CNP

Lewiston Mary Kramer, CNP Rushford David Lofgren, MD Joy Stevens, PA-C

And life can be unpredictable —

Pediatrics

URGENT CARE Open 7 days a week. No appointment needed.
420 E. Sarnia St. • 507.474.7830

Saune Carlisle, MD Michael Severson, MD Kristi Schulte, PA-C

Monday–Thursday 8 a.m.–8 p.m. Friday–Sunday 8 a.m.–5 p.m.
The Emergency Department is always open at Winona Health, 855 Mankato Ave.

For more information about healthcare providers at Winona Health, visit winonahealth.org and click on Find a Provider.

call to make an appointment.

507.454.3680 • Lewiston: 507.523.2127 • Rushford: 507.864.7726
Healthy Connections • Fall 2010 7

Q&A with
questions about wisdom teeth.

Play it safe to prevent
sports-related eye injuries
In the heat of competition or out of the blue during scrimmage, an eye injury can happen in an instant. School sports that are inherently higher risk for eye injuries are wrestling, racquet sports and hockey. Other sports high on the list are baseball and basketball. Athletes of all ages should be sure to wear appropriate eye protection. “Protective eyewear greatly decreases the chance of injury, but in the event of an eye injury, remain calm,” advises Laurel Quinn, MD, ophthalmologist at Winona Health’s Eye Care Center. “Simply put, if the injury affects or alters vision, you should seek immediate medical attention.” An eye injury that results in vision loss is a terrible thing to take with you for the rest of your life,” says Dr. Quinn. “It’s well worth it to take precautions to protect your child’s vision.”
FIttIng A sUpeRHeRo.— Heather Hauser, optician, helps find the perfect frame.

Suffering the ‘Blues’?

Gary Hayes, MD
Winona Health’s oral surgeon answers your
When do most people have their wisdom teeth removed and what are the benefits?
It’s most common for high school and college students to have their wisdom teeth removed. This is when the roots of the teeth are developing and before the wisdom teeth get to the sensory nerve that goes to the lower lip. As wisdom teeth grow, their roots become longer and complications become more likely. A dentist may do a screening test to see if there is enough room for all four wisdom teeth; if there is not, or if teeth cause problems such as infection or discomfort, they should be removed. Having wisdom teeth removed at an early age decreases the risk of nerve damage, pain and swelling.

—You are not alone.
Winona Health’s Behavioral Health Department offers options

M

Q:

ost people know they will see many different healthcare providers during their lifetime but few think they will need assistance for a mental health problem. The statistics show otherwise. Depression affects approximately one in six adults over a lifetime; one in four women and one in 10 men. “Everyone feels ‘blue’ at certain times during his or her life,” said psychiatrist Cullen Schwemer, MD. “Feelings of sadness or discouragement are perfectly normal, especially during particularly difficult times. But when a person cannot ‘snap out of it’ or get over these feelings, they may be suffering from depression.”

WInonA HeAltH psycHIAtRIc And coUnselIng stAFF— (l-r) Dee Herzing, MS, LPC, LICSW; Cullen Schwemer, MD; Laurie Stenseth, MSW, LICSW; Betsy Rowekamp, RNC; and Diane Petz, MS, LP.

Know the signs. The signs and symptoms of clinical depression are:
• • • • • • Persistent sad, anxious or “empty” mood Changes in sleep patterns Change in appetite and weight Restlessness, irritability Loss of pleasure and interest in once-enjoyable activities Persistent physical symptoms such as chronic pain or digestive disorders • Difficulty with concentration, memory or decision making • Fatigue, loss of energy • Feeling guilty, hopeless or worthless • Thoughts of suicide or death Free Depression Screening Day, October 7
For additional information see page 12.

What should I do if I think my wisdom teeth need to be removed?
Patients do not need a referral from a dentist to have their wisdom teeth removed—so anyone experiencing pain or discomfort can call for a consultation.

Q:

How long does it take to have your wisdom teeth removed and what is the recovery time?
If my patients prefer deep sedation to avoid feeling anything during surgery, the procedure takes approximately two hours. Winona Health is the only location in Southeast Minnesota to provide this option. The level of sedation is based on a patient’s health, anxiety level and the procedure being done — we personalize the plan for each individual. Recovery and limited activity is suggested for two to four days after surgery.

Q:

the latest styles. great savings.
The Winona Health Eye Care Center offers a 20% discount on all children’s glasses, every day! Along with the latest eyewear styles for children and teens, Winona Health’s Eye Care Center carries a selection of sportswear glasses for youth that incorporates special shatter- resistant materials.
For an appointment, contact:

If you experience five or more of these symptoms for two weeks or longer, you should see a doctor or qualified mental health professional.
“Too many people believe that it is a ‘normal’ part of life and that they can treat it themselves. But left untreated, depression causes unnecessary suffering and disruption in one’s life and work,” said Dr. Schwemer. In time of crisis, the Winona Health Inpatient Behavioral Health Unit offers immediate care. John Rislove, director of Behavioral Health, said “Winona Health’s secure, 11-bed inpatient unit offers emergency help for individuals with a variety of issues such as anxiety, depression, suicidal thoughts, schizophrenia, bipolar disorders and other mental illnesses.” “The Winona area community is fortunate to have a continuum of care that includes inpatient care options for individuals needing mental health treatment or counseling,” added Rislove. “If an individual needs inpatient treatment, our staff completes an assessment and develops ongoing care which includes meeting with a psychiatrist, nursing care, group and individual counseling, and social work planning for discharge. For most people, the length of stay in the inpatient unit is just under five days.”

If you have questions about oral surgery, contact:

Winona Health Oral Surgery 507.457.7700
Dr. Gary Hayes, DDS, is a fellow in oral and maxillofacial surgery. In his 32 years of practice, he has performed more than 1,500 surgeries a year, many of which are wisdom teeth cases.

Winona Health Eye Care Center 3rd floor of Winona Clinic 507.474.4760

D id y o u k n ow?
8

Myth: Eating carrots can improve vision. Fact: Although it’s true that carrots are rich in vitamin A, which is essential for sight, so are many other foods. A well-balanced diet can provide the vitamin A needed for good vision.

To learn more or to schedule a confidential appointment, call Winona Health Psychiatric & Counseling Services, located on the Winona Health campus in the Parkview Office Building, 507.454.2606.
Healthy Connections • Fall 2010 9

Healthy Connections • Fall 2010

WInonA HeAltH neWs & notes

Winona Health Emergency Department earns Level IV trauma designation
Winona Health’s Emergency Department recently earned a Level IV trauma designation from the state of Minnesota. The Emergency Department team participated in an intense designation process to become part of Minnesota’s state-wide trauma system. “Earning this designation means that we’ve demonstrated that we’re able to get trauma patients the level of care they need quickly,” said Brett Whyte, MD, Winona Health’s medical chief for Emergency Services and medical director for Winona Area Ambulance Service. “For example, head injuries are immediately transferred to Level I trauma centers and general surgical emergencies are handled here.” The designation process included an outside review of the hospital’s resources and capabilities to care for trauma patients. Winona Health met standards of commitment, clinical and equipment resources and staff training.

After 34 years:
I

Patient and nurse reunite
n late 2009, Winona Health received a letter and photo (below, right) from Troy Rasmussen, Rosemount, MN. When he was only four years old, Troy was a patient at Community Memorial Hospital and fondly remembered his caring nurse. Could we help find her? We did. Over the Christmas holidays, Troy and his nurse Karen Shaw reunited after 34 years. Troy wrote:

Dear Winona Health,
level Iv tRAUMA desIgnAtIon —Winona Health’s Emergency Department recently earned a Level IV trauma designation from the state of Minnesota. Among the many staff involved in this effort were (l-r): Brett Whyte, MD, Beth Poulin, trauma coordinator and manager of Emergency/Urgent Care Services; and Carlos Morales, MD, Emergency Department physician.

Winona Health welcomes two new healthcare providers,
Lee Trombetta MD, a board certified general surgeon, joined the Winona Health medical team. Previously, Dr. Trombetta was a general surgeon at Brooke Army Medical Center in San Antonio, Texas. He’s also served as general surgeon at Womack Army Medical Center in Fort Bragg, North Carolina where he was chief of the Breast Health Clinic. Dr. Trombetta received his Doctor of Medicine degree at Creighton University School of Medicine in Omaha, Nebraska, and completed his general surgery residency and internship at Madigan Army Medical Center in Tacoma, Washington. He is a fellow of the American College of Surgeons and a member of The Society of American Gastrointestinal Endoscopic Surgeons. Ronald G. England, DO, FCAP, a board certified pathologist, has also joined the Winona Health medical team. Pathologists are doctors who analyze blood and tissue, looking for abnormalities in order to determine the cause and development of disease. Dr. England is board certified in Anatomic and Clinical Pathology. He earned his Doctor of Osteopathic Medicine degree at Western University of Health Sciences in Pomona, California, and completed his pathology residency at the University of California Irvine Medical Center. In addition, he completed a pathology internship at Cedars-Sinai Medical Center in Los Angeles, California and a Surgical Pathology Fellowship at Harbor UCLA Medical Center in Los Angeles, California. Dr. England most recently served as a pathologist at Northern Diagnostic Pathology in Redding, California. He is a member of the College of American Pathologists and the American Osteopathic Association.

general surgeon, Lee Trombetta, MD and pathologist, Ronald England, DO.

your hospital more than I’d like to share an experience I had at en I was four years old, wh 34 years ago. In the summer of 1975, nt. I was taken to the ide I was badly burned in a camp fire acc and treated for severe bilized Winona hospital where I was sta hands. burns on my legs, abdomen, arms and ely t greatly shape our future, that definit ieve there are moments in our lives tha saved, but someone who cared for I bel my life being one of those times. Not only was erence that I still remember her after during my stay there made such a diff was a nurse assigned to my care and me and she all these years. Her name was Karen d were truly what gave me the strength to gol recovery. Her smile and her heart of the lonely days away from my family. and endure the painful bandage changes I still remember after all these years. and tell you of my angel Karen, who de I felt I needed to share this story couldn’t have known was that she ma was only doing her duty, but what she a second chance. I’m sure she thought she s lucky enough to be given such a difference to a little boy who wa Sincerely yours,

Troy Alan Rasmussen

Troy is a Deputy Sheriff in Hen

nepin County

Karen Shaw, RN, has been a nurse at Winona Health for 37 years, serving first in the hospital’s Pediatric and Medical units. In 1995, she transitioned to Occupational Health.

“Hearing from Troy was such a surprise. You do your best to care for people every day, and it’s so rewarding to know that you made a difference to someone. Troy’s letter was truly a gift”

- Karen Shaw, RN

Is there someone at Winona Health you wish to honor as your guardian angel?
Winona Health Foundation’s Guardian Angel program honors healthcare providers or staff members who have made a lasting impression. Guardian Angels receive a letter about the donation made in their honor and contributions can be directed to the area of the donor’s choice. If you would like to recognize an individual who made a difference to you, contact the Winona Health Foundation at 507.457.4342.
Healthy Connections • Fall 2010 11

For more information about healthcare providers at Winona Health, visit winonahealth.org and click on Find a Provider.
10 Healthy Connections • Fall 2010

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 for more information about our services and programs, please visit us online: winonahealth.org.
All About Baby Tuesdays, 12-1:30 p.m. Women’s Health Library, 3rd floor, Center for Women’s Health Winona Clinic, 507.494.0812 Alzheimer’s and Related Dementia Support and Education 2nd Wednesday of the month, 6-7 p.m. Parkview Conference Room For more information, 507.494.7496 Breastfeeding Class Tuesday, November 16, 6:30-8:30 p.m. $10 per participant/couple B.A. Miller Auditorium, 3rd floor Registration required: 507.457.4491 Childbirth Education Series Six-week program options: Wednesdays, October 6 – November 10 Mondays, November 1 – December 6 6:30-8:30 p.m. Weekend (two day) program option: Friday, October 22, 6-8 p.m. Saturday, October 23, 8 a.m.-3 p.m. B.A. Miller Auditorium, 3rd floor Registration required: 507.457.4491 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 Free Depression Screening Day Thursday, October 7, 10 a.m.-4 p.m. Parkview Office Building, 825 Mankato Ave. No appointment necessary For more information: 507.454.2606 Healthcare CPR Recertification for Healthcare Providers Monday, October 4, 4-7 p.m. Thursday, October 21, 8-11 a.m. Thursday, November 18, 8-11 a.m. Tuesday, November 30, 4-7 p.m. B.A. Miller Auditorium 3-hour course, Cost for class: $40 Registration required: 507.457.4491 Healthcare Directives Informational sessions: Monday, September 20, 6:30-7:30 p.m. Monday, November 15, 9:30-10:30 a.m. Working sessions: Monday, September 27, 6:30-7:30 p.m. Monday, November 22, 9:30-10:30 a.m. Parkview Conference Room For more information, call 507.474.3328 Prostate Cancer Screening Day Thursday, October 28 7:30-9:30 a.m. and 4:30-6:30 p.m. 2nd floor Winona Clinic, $15. Call for an appointment: 507.457.4481 Walk-ins accepted as time permits. Diabetes Expo Saturday, November 13, 8:30 a.m.-12:30 p.m. 2nd floor Winona Clinic Free! Speakers, exhibits and information for people living with or working to prevent diabetes. Survival Skills Through the Holidays Tips for managing holiday-related challenges, from managing stress to eating well. Tuesdays, November 9 and 16, 6-7 p.m. Two-session program: $20 per person/$30 per couple Winona Clinic Conference Room, 2nd floor To register: 507.457.7600

community Health talk
How dense are we? Smart steps to stronger bones. Thursday, October 28, 5:30-7 p.m. B.A. Miller Auditorium, 3rd floor

Winona Health Foundation and Auxiliary events
WH Auxiliary Birthday Ball Saturday, September 25 Visions Event Center Glady D. Miller Gift Shop Holiday Happiness Wednesday, November 10 - Saturday, November 13, B.A. Miller Auditorium Holiday gifts and decorations, jewelry, baked goods and more! Fantasy of Trees Friday, November 19 - Saturday, November 20, Watkins Manor, 175 E Wabasha St. For more information about Auxiliary and Foundation events, call 507.474.3328.

Winona Health on the Web:
winonahealth.org facebook.com/winonahealth twitter.com/winonahealth youtube.com/winonahealthvideo

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

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