2024 Fall Lakes Area Health & Wellness

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LAKES AREA | FALL 2024

Health WELLNESS &

+ The concussion discussion

+ Male and female specific cancers

+ Finding clarity in the chaos and joy in the journey

Navigatingacancerdiagnosis canbechallenging.

Wearecommittedtomaking patientcareapositiveexperience, supportedbytherightstaff andtechnology.

CUYUNAMED.ORG

Publisher PETE MOHS

Advertising Director SUSIE ALTERS

Editor DELYNN HOWARD

Graphic Designer CHRIS JOHNSON

Multimedia Account Manager DAN DETERMAN

You can find Lakes Area Health & Wellness magazine in over 100 Discover Rack locations in the area or read it online at: www.BrainerdDispatch.com (Magazine Rack Tab)

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Published by the PineandLakes Echo

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copyright© 2024

Just like the first issue, this magazine will provide helpful articles, tips and information to get your health moving in the right direction.

Turn to Page 20 to read the first article in a series about cancer and how specific cancers affect men and women by Sheila Helmberger. Sue Smith-Grier interviewed Loree Besser regarding her concussion journey on Page 5. And Jodie Norquist has an article about two Brainerd women who have found their passion in empowering women who are creating safe, nurturing spaces that allow their clients to grow, heal and thrive on Page 32.

Within these pages you’ll also discover tips to help your body from top to bottom — 10 healthy habits for your brain and ways to keep your feet healthy — along with information on when is the right time to look for assisted living, how the Relationship Safety Alliance offers support in our community and so much more.

A big thank you to our advertisers who continue to support us through the newspapers and all of our special publications.

We couldn’t do this without

The concussion discussion

There are many important discussions we have in life. When the kids are little, we have the discussion about sharing toys with others and as they get older, we talk about treating others kindly. We cringe when it comes to talking about the birds and the bees and sometimes get teary eyed when we have the leaving home discussion. But, when there is a bump on the head, unless there is obvious damage, we seldom talk about concussion, the ramifications and the healing process.

Loree Besser has a message and plea for all of us to become more aware of what it means to sustain such an injury and she offers hope for those on the long road to recovery. Loree spent years working in the

health care field and finally retired just a few years ago. She was looking forward to an exciting life of leisure with the freedom to travel and enjoy all that retirement has to offer. No longer tied down to a job, Loree was able to become one of the many Minnesota snowbirds spending the cold winter months in warmer climes. For her, that meant Arizona. Warm weather, lots of sun and beautiful scenery. But one April afternoon all that came crashing to a halt.

ONE LIFE CHANGING MOMENT IN TIME

April 18, 2023, around 4 p.m., Loree’s life changed completely when her car was struck by an allegedly negligent driver. Loree’s car hit the median and

rolled over. Miraculously she survived the accident. However, she sustained several injuries including some triggered by the car’s safety features.

The airbags deployed causing pain to her left shoulder and arm and temporary loss of hearing in her ear. She was taken to the hospital and given a CT scan without contrast; it only showed a blunt head injury. Unfortunately, no one mentioned to Loree anything about concussion or traumatic brain injury. In fact, studies show people with simple concussions are not likely to get a positive finding on a CT scan. Despite the fact Loree experienced all the symptoms of concussion, she did not receive a diagnosis until she returned home to Minnesota.

“It’s like a grief process you go through where you’ve lost so much. [...] Thanks to friends and family and faith I’ve been able to get back to 75%. It’s been quite a journey.”
— LOREE BESSER

GETTING TO THE TRUTH OF THE MATTER

Loree’s situation left her feeling like a fish out of water. Once vibrant and active with a strong sense of humor, Loree now dealt with fatigue, anxiety and depression along with a host of other physical symptoms related to concussion. These included problems with eyesight, headaches, loss of balance, dizziness, sensitivity to light and noises, confusion, memory problems, brain fog and just not feeling herself.

A trip to the St. Cloud Eye Clinic and meeting Dr. Bonacci was the first step in getting diagnosed and on the road to recovery. He explained how her brain had been injured in the car accident; basically it had been slammed up and down against her skull causing the malfunctions she was experiencing. The diagnosis led to concussion therapy and the journey to recovery.

RECOVERY: A LONG AND WINDING ROAD

The road to recovery has been long and continues for Loree. She has now learned to accept her new normal. “It’s like a grief process you go through where you’ve lost so much. But I can honestly say I’ve accepted where my new normal is because it was a divine intervention that I even survived that car crash. Thanks to friends and family and faith I’ve been able to get back to 75%. It’s been quite a journey. I started out moving as a tortoise then I had to slide back to moving as a snail.”

Loree’s journey has been slow and progressive. At Big Stone Therapy she endured two hours of physical therapy twice a week for nearly six months with daily exercises at home to ensure progress. This was no easy feat. She mustered courage and perseverance with every step and continues to do so every day.

THE WOUNDED BRAIN

One of the big problems many people overlook with concussion is it takes longer for the brain to heal than it seems. Many athletes who have experienced concussion will get back into their regular routine before their brain has healed completely.

“My therapy team from Big Stone Therapy. An amazing group of individuals who helped me immensely throughout my recovery/rehab process,” said Loree Besser.
“You have to be an advocate for yourself. Learn to ask better questions of your doctors.”

Signs of fatigue, headaches and other symptoms often get ignored. Concussion patients can get frustrated and lose sight of the fact that recovery can take a long time. In Loree’s case, she’s been advised it may take as long as two years to recover.

Concussion is considered traumatic brain injury. Because of the symptoms experienced, some individuals may feel ashamed or guilty they cannot do the things they used to do before the injury. Time and perseverance can make all the difference in the world. Your brain will give you signals when it needs rest and care. Too often in our busy lives we ignore the signals our bodies and brains send and consequently we end up paying the price.

A wounded brain needs care and attention just as much as diabetes or heart problems. Recovery does not happen overnight. And just like other health conditions, exercise in the right amounts and healthy foods will make a big difference.

EAT THE RAINBOW FOR BRAIN HEALTH

Brain health is enhanced by maintaining a healthy diet. Eating foods that reduce inflammation helps with the healing process. These are usually brightly colored fruits and vegetables. Lean meats, fish and poultry are also good for brain health. Loree’s diet includes only grass-fed beef, plenty of fruits and vegetables, vitamins D and E, magnesium and Omega-3 found in cold water fish such

as salmon and mackerel. She says many brain health diets can be found online and of course talk with your doctor for guidance as well.

REDEFINING LIFE WITH GRATITUDE

Loree has come a long way since that April afternoon in 2023. Whenever she can, she shares her story with others. Her mission is to inform people about concussion, especially senior citizens. She identifies this group as one that does not always receive the attention they need for head trauma and this is the group at the biggest risk of falling.

“I’m so grateful for the professionals at Big Stone Therapy. You don’t push through something like this. There’s a science to it.” She gives credit to doctors and therapists who continue to help her along this journey, and she adds, “You have to be an advocate for yourself. Learn to ask better questions of your doctors.”

— LOREE BESSER

Concussion and your high school athlete

Did you know that high school athletes are at a higher risk for concussion? In fact, more youth sustain these traumatic brain injuries than professional athletes. Fortunately, the Brainerd Lakes Area coaches and athletic trainers are well aware of the risk, and they do their best to ensure that every athlete is given immediate attention when necessary.

Every concussion, even a minor one, takes its toll on brain health. Full recovery takes time and patience, especially if the injury is moderate or major. Young athletes are prone to get back in the game too early as they don’t want to miss out on the play. It is important to stress following the doctor’s orders to give the brain sufficient time to heal.

Concussion protocols may be appropriate depending on the severity of the injury. Your primary physician may also recommend concussion therapy. There are several clinics offering concussion treatment; among them are Centra Care in Baxter, Essentia Health in Brainerd and Big Stone Therapy in Baxter.

We’refightingforadifferentfuture.Forfamiliesfacingthe diseasetoday.Formoretime.Fortreatments.

We’recloserthanevertostoppingAlzheimer’s.Buttogetthere, weneedyou.Thefundsyoucontributeprovideno-costsupport programsforfamiliesimpactedbydementiaandAlzheimer’sandfund researcheffortsaroundtheglobe.

Brainerd surgeon’s care extends to whole family

Grace Marcum heard her bones break.

“Krrk,” she recalled, mimicking a snapping sound.

The Pequot Lakes youth sustained injuries during gymnastics practice while attempting an aerial, or a no-hands cartwheel.

The move calls for a leg lift powerful enough to drive the body off the ground to complete a timed rotation in the air. Grace landed on her forearm, which absorbed the full impact of her weight and the force of her effort.

The result: a dangling wrist and a fractured bone that nearly poked through her skin.

Heather Marcum said she felt “frantic.” Her then-7-year-old daughter screamed from the pain during the nearly 30-minute drive from Pequot Lakes to Essentia Health-St. Joseph's Medical Center in Brainerd.

“I probably woke up the whole hospital,” Grace said of their arrival.

Medical staff cared for Grace with pain medicine and her arm was wrapped.

Afterward, the mother and daughter returned home, a decision Marcum said she nearly regretted, adding, “But then, we wouldn’t have met Dr. Metz.”

‘TOUGH’

Grace broke one bone completely in half and fractured another in her arm on Monday, Nov. 21, 2022. The Marcums met Essentia orthopedic surgeon Dr. Christopher Metz on a Tuesday, and Metz conducted surgery on Grace’s arm Wednesday.

Adding a cast is considered surgery in this case because the patient receives anesthesia, and the surgeon needs to reline the bone under an X-ray machine.

It was amazing to see how the bones reconnected after the bad breaks, said Marcum.

Metz recalled the surgery, which took place on his birthday. “You were tough, you know that?” he directed at Grace.

Metz’s care extended to the whole family.

“It’s difficult to be patient and watch your child go through it,” Marcum said, “but working with Metz made it easier.

“He was very knowledgeable and thorough. He made you feel comfortable, and he helped soothe anxiety.

“You feel like your questions are answered,” Marcum continued.

Grace wore a cast for six weeks and during a follow-up appointment, Marcum raised concern over a bump that developed on her daughter’s arm.

Metz stepped out of the room to retrieve a book, which he used as a guide to explain to the family the bump would resolve itself in time.

And, it did, Marcum said.

Grace, now 9, remembered feeling shy with Metz at first. After a few visits, she saw her surgeon’s kindness, helpfulness and humor.

“Once my brother came, and Dr. Metz said, ‘Who’s getting coal for Christmas?’” Grace said.

It took Grace some time to use her healed arm like she had in the past. Today, though, the injured extremity is just like new, and it feels like it did before her accident.

“That's exactly what we want to hear,” said Metz.

While Grace is back to practicing gymnastics regularly, she hasn’t tried another aerial.

But, just like her arm’s healing process, it’s only a matter of time.

for an Healthy feet active life

Our feet are so very important, each containing 26 bones, 33 joints and over 100 muscles, tendons and ligaments. They are the foundation of almost everything you do.

SWITCH FROM SANDALS TO SHOES SAFELY

As you transition out of summer sandals and bare feet and into shoes and socks for the fall, keep in mind this small change can cause big foot problems.

INGROWN TOENAILS

Wearing enclosed or improperly fitting shoes can lead to ingrown toenails. Trim your toenails straight across and wear shoes that are not tight in the toe box.

IRRITATED BUNIONS, BONE SPURS AND HAMMERTOES

Constant rubbing on your feet from shoes can irritate any existing hammertoes, bunions or bone spurs. Wear socks and properly fitting shoes and maybe even consider having your shoe stretched in the areas of irritation to provide some relief.

NEUROMA FLARE-UPS

Tight-fitting, close-toed shoes can trigger neuromas or nerve pain. Make sure your shoes have enough room for your toes, so they aren’t squeezed or irritated.

TOENAIL FUNGUS

Fungus thrives in dark, moist, and warm environments, like your shoes. To prevent fungal growth, disinfect your shoes and wear different pairs to allow them to air out. Also remove any leftover nail polish from your toes. Nail polish seals the nail and traps moisture, which can create a breeding ground for fungus. If you run into any of these issues when making the switch to fall shoes, you should contact a foot and ankle surgeon for proper examination and treatment.

TIPS FOR SELECTING SHOES

Shoes aren’t just for style. They provide crucial support for your feet throughout the day and can cause serious problems if you aren’t careful.

When was the last time you actually measured your feet? People’s shoe sizes can change as they get older or as they gain or lose weight. Make sure you know your current shoe size to make shoe shopping that much easier.

A good rule of thumb when trying on shoes is to make sure there’s about an inch between your longest toe (usually your big toe or the one next to it) and the end of the shoe. Keep high heels on the shorter side, and try your best to get shoes that mimic the shape of your feet.

FALL FOOT CARE TIPS

As the weather transitions and the air gets colder, we must adapt our routines to optimize our foot health. We often overlook our feet, but taking good care of them is critical, especially during the fall when our skin tends to dry out faster than usual. To maintain healthy and happy feet, read this article for tips and tricks to adapt your foot care routine for the season.

KEEP YOUR FEET CLEAN AND DRY

Regularly washing and drying (between toes also) your feet with warm (not hot) water and a mild (not harsh) cleanser is one of the most essential steps for optimal foot health during the fall season.

Moisture occurs when socks and shoes are not breathable enough and can cause fungal infections such as athlete’s foot. Keep your feet dry and clean and change your socks regularly, especially if you’ve been in the rain.

MOISTURIZE DRY SKIN

The colder fall months can cause our skin to dry out, leaving our feet prone to cracks and patches. To avoid this, it’s crucial to moisturize your feet frequently. Try using a rich, moisturizing foot cream to keep them soft and hydrated. Apply the cream after

bath time or before bed to allow the skin to absorb the moisturizer fully. Lotion the entire foot, Avoiding the skin between the toes.

TRIM TOENAILS PROPERLY AND FREQUENTLY

Proper toenail care is essential for maintaining healthy feet during the fall. We recommend trimming your toenails straight across and then filing the edges to remove rough spots. Avoid cutting your nails too short or in a curve, as this can lead to ingrown toenails or infections. To keep them dry and clean, towel them off after a shower or bath before putting on socks or shoes.

INCORPORATE GENTLE FOOT MASSAGES

Indulging in a gentle foot massage is nothing short of a blissful experience that helps you unwind and offers many benefits for your overall well-being. Massaging your feet promotes relaxation, soothes tired muscles and even improves blood circulation throughout your entire body.

To embark on this rejuvenating journey, begin by focusing on the

tips of your toes, gently applying pressure, and gradually working your way up towards your ankles. Using either your fingertips or thumbs, employ circular motions to release tension and restore vitality to your feet. Doing so will stimulate the various pressure points in your foot, helping relieve discomfort and soreness.

SELECT PROPER FOOTWEAR

Wearing the right shoes that fit well can help prevent common foot problems during the fall season. It’s best to wear shoes that provide good support and are comfortable for your feet. Avoid wearing tight or narrow shoes, leading to blisters and calluses.

Your feet are vital for movement and mobility, so taking good care of them during fall is essential. By adhering to these self-care practices, we can maintain healthy and happy feet no matter the temperature.

Articles credited to FootHealthFacts. org, the Official Consumer Website of the American College of Foot and Ankle Surgeons.

A new lease on life

BY SUE READY

Janine Zitzow has discovered a team where they care for their patients like family — Hanger Clinic in Brainerd. They work together to offer the latest orthotic and prosthetic technology with specialized training. Janine’s more than 10-year association with the clinic has been what she termed a “game changer” offering her a new lease on life and empowering potential she didn’t realize could be possible.

Hanger Clinic is a national business with more than 900 locations, one being in Brainerd. Their clinicians go to outreach locations including Bemidji, Crosby, Aitkin, Long Prairie and Wadena. Hanger Clinic has been serving the area since 1998. They are committed to bringing you the latest innovative orthotic and prosthetic technologies, specialty training and superior care.

Over the years with Janine’s association with the clinic, she has developed a solid and trusting relationship with the staff for their evaluations and consultations and with Rachel Barness, a certified prosthetist-orthotist with over a decade of experience. One of the most rewarding things about Rachel’s job is, “Seeing the light in the patients’ eyes when they realize their goals are possible or when their pain drops while using a device that we fit. The field of orthotics and prosthetics can be a game changer and we get a front row seat,” she said.

In December 2013 Janine had a fall that caused back issues. She was doctoring herself January through July 2014, and as the nerve issue developed, so did a drop foot. In January 2015 she had surgery for two level fusions. By the time the surgery came, her doctor told her the vertebrae was shifting and was pinching the nerve for her left leg. They said if they wait much longer for surgery, she may ultimately be confined to a wheelchair.

For a year after surgery, Janine spent time trying to get her leg to function better. At one point she went to Courage Kenny Foundation and Big Stone Therapy for rehab to work through the chronic pain. But when the issues weren’t resolved, her doctor suggested Hanger Clinic for bracing. Janine was grateful for the referral as her association with the staff and clinician Rachel proved to be the needed shift in recuperation. They became a team working together to develop the best possible orthotic outcome. Janine found the clinic innovative and willing to explore new options. She noted, “They invested a lot of time to help me. I feel validated working with the Hanger team with my battles and struggles. They were willing to listen. My appointments sometimes lasted 2-3 hours long with consultations and videos.”

Janine first started with an ankle-footorthosis, or AFO, which is a brace worn

on the lower leg that improves overall alignment, walking safety and efficiency for people with certain weaknesses/ instabilities at the ankle and foot. This brace was meant to correct her gait, but it did not work as effectively as hoped. When the C-Brace became available, Janine found it to be a life altering event. And she has had the distinction of being the first person in the Brainerd area to try it and be fit with it. The C-Brace is a microprocessor KAFO (MPKAFO) that employs a system of sensors to understand the user’s movements and intentions, allowing the user to lock and unlock their knee while also controlling the ankle. This eliminates the “robotic feel” that comes with traditional KAFOs, which often inhibit motion by locking the knee. These sensors continuously monitor motions and adjust the hydraulic resistances at the knee joint in real time. This provides unparalleled support and freedom during various activities, such as walking, climbing stairs, or even standing. Its ability to adapt to different terrains and walking speeds sets the MPKAFO apart, showing in studies to significantly reduce falls with its “stumble recovery” ability. Whether navigating through rocky trails or strolling on flat surfaces, the brace’s intuitive system adjusts accordingly to offer the optimum level of stability. It runs on a lithium battery that needs to be recharged every day and there is an app for your phone that controls a variety of functions and adjustments. It took Janine’s leg six months to adjust to this brace, however the C-Brace provides immediate benefits and opens doors to a more active, comfortable, and fulfilling life for individuals facing mobility challenges.

Janine has been given a new lease on life. “Now I can feel comfortable in a variety of settings without anxiety build-up. I am more comfortable with my mobility for shopping, walking my dogs and going to concerts. My strides are longer without having to use a walker or a cane.”

Janine has now felt comfortable enough to return to the work force a few days a week.

“Getting this C-Brace has been a life changing event for me mentally, physically, emotionally and spiritually. I could not have done it without the support of the Hanger Clinic and clinician Rachel Barness,” she said.

Empowering Human Potential

Comprehensive care and service with all forms of custom artificial limbs and braces.

Specialized Skills:

- Microprocessor Controlled Prosthetics

- Pediatric Prosthetics and Orthotics

- WalkAide® - Technology for Foot Drop

- Cranial Remolding Orthoses

- Spinal Orthoses

- Functional Foot Orthotics

To schedule an

The future of surgery is here

AITKIN HOSPITAL UNVEILS STATE-OF-THE-ART SURGERY ADDITION

Riverwood Healthcare Center is ushering in a new era of surgical excellence with the opening of a cutting-edge surgery wing at its Aitkin hospital, set to welcome patients in August. This innovative facility features six integrated operating rooms designed to support the latest in robotic-assisted technology, ensuring the hospital is well-prepared for future growth and advancements in surgical care.

ADVANCED TECHNOLOGY FOR ENHANCED PATIENT CARE

The new operating rooms, equipped with robotic-assisted systems like da Vinci and VELYS are larger and meticulously redesigned to incorporate these and other innovations. These enhancements aim to significantly improve patient recovery and overall care quality.

The surgery addition includes outpatient clinic space to support growing needs for general surgery, urology and ear, nose and throat care. Patients will continue to be seen

for many other specialty services in existing clinic space.

Surgical services are further supported by two additional procedure rooms, three endoscopy suites, 25 pre-op and recovery rooms, a post-anesthesia care unit, and a sterile processing area, all within a 70,000-square-foot expansion designed by DSGW Architects and constructed by Kraus-Anderson.

KEEPING PATIENTS CLOSER TO HOME WITH HYBRID OPERATING ROOM

A standout feature of the new surgery suite is the advanced imaging suite or hybrid operating room. This unique facility combines a fully equipped surgical operating room with stateof-the-art x-ray imaging technology mounted on a robotic gantry system, offering comprehensive imaging coverage of the entire patient.

Dr. Evan Kelly, one of Riverwood Healthcare Center’s four general

surgeons, highlights the benefits of this high-tech operating room. “This advanced hybrid room will significantly enhance our surgical capabilities, allowing patients to receive complex, minimally invasive procedures close to home, rather than traveling to larger medical centers,” says Dr. Kelly, who has completed fellowships in ERCP/EUS and pancreaticobiliary surgery, as well as advanced gastrointestinal minimally invasive surgery.

“The integration of a traditional operating room with advanced X-ray imaging technology enables highly skilled physicians across various specialties to perform intricate, image-guided surgeries on all body systems,” Dr. Kelly explains. “The fully digital integration allows specialists to visualize and process images and data from multiple instruments, monitors, cameras, ultrasound, and x-ray systems simultaneously on a single, customizable high-definition monitor.”

Learn more about Riverwood surgeons and services at riverwoodhealthcare.org.

Relationship Safety Alliance

to the lakes area provides support

Being a victim of domestic violence is an incredibly complex and devastating experience, encompassing a wide range of emotions and psychological impacts. Some of the common feelings and experiences victims may endure include fear and anxiety, isolation, shame and guilt, confusion and uncertainty, low self-esteem, physical and emotional pain and ambivalence. It can become so overwhelming it’s almost impossible to make a decision. Many victims operate in survival mode, focusing on immediate safety and coping mechanisms rather than long-term plans. This can lead to a reluctance to seek help due to a fear of repercussions, disbelief or retaliation. Despite these challenges, many victims show incredible courage and strength in seeking help and rebuilding their lives.

Understanding these feelings is crucial for providing appropriate support and interventions for victims of domestic violence. Compassion, patience and a non-judgmental approach are essential in helping them navigate their journey toward safety and recovery. This is where the Relationship Safety Alliance (RSA), formerly known as the Mid Minnesota Women’s Center (MMWC), can assist anyone who is a victim of domestic violence.

RSA employs a comprehensive system to deliver services through the Louise Seliski Shelter, the Alex & Brandon Child Safety Center, and through Support Groups, Outreach and Community Education. Our geographically assigned area covers Region 5+, which is comprised of Cass, Crow Wing, Morrison, Todd, Wadena and Aitkin Counties. Although this is our assigned region, we accept anyone who comes to us for assistance.

A LEGACY OF SUPPORT AND ADVOCACY

The roots of RSA trace back to the tireless efforts of Louise Seliski, the founding mother of MMWC. While pursuing her master’s degree in social

work at the University of Minnesota-Duluth, Louise took on a six-month project to establish a battered women’s shelter in Crow Wing County. In 1978, her vision became a reality when she secured a grant from the Minnesota Department of Corrections, leading to the opening of the fifth battered women’s shelter in Minnesota.

MMWC was groundbreaking, becoming the first shelter in the US to allow pets. Louise recognized pets are integral to a survivor’s support system and often become secondary victims. Her advocacy extended to this unique aspect of care, earning recognition from the ASPCA. Louise’s legacy of dedication continues as she remains actively engaged with RSA staff, fostering an enduring commitment to education and community engagement about domestic violence.

COMPREHENSIVE SERVICES FOR HOLISTIC WELLNESS

RSA’s holistic approach to supporting domestic violence survivors includes:

1. Emergency Shelter: Providing a safe, secure environment for individuals and families escaping abuse.

2. Couns eling and Support Groups: Offering emotional support through individual counseling and group sessions.

3. Legal Advocacy: Assisting survivors with navigating the legal system is our Criminal Justice Intervention Advocate. Those services include obtaining protection orders and understanding their rights.

4. Children’s Programs: Addressing the unique needs of children who witness domestic violence with counseling and therapeutic activities.

5. Education and Outreach: Conducting community education and outreach programs to raise awareness about domestic violence and promote healthy relationships.

THE CREATION OF THE ALEX & BRANDON CHILD SAFETY CENTER

Angie Plantenberg and her sons Alex, age 5, and Brandon, age 4, had previously received services at MMWC. Angie requested supervised visits for the boys, but a Stearns County judge rejected that request. Alex and Brandon were murdered by their father in July of 1996 during an unsupervised visit.

Louise, Angie, and other supporters raised about $450,000 to build the Alex & Brandon Child Safety Center. The Alex & Brandon Child Safety Center opened in 2000 and provides a safe, secure, neutral, family-oriented space for supervised parenting time and safe exchanges of children between parents and/or caregivers. The center aims to prevent further tragedies by providing the necessary oversight and support during these critical interactions. The Alex & Brandon Child Safety Center stands as a lasting tribute to Alex and Brandon Frank, turning the pain of their loss into a mission of protection and support for other children and families. Their story continues to inspire efforts to prevent domestic violence and ensure that no other children have to suffer a similar fate.

Voted One of the

SERVICES AND IMPACT

1. Supervis ed Visitation: The center provides supervised visitation services, allowing non-custodial parents to visit their children in a controlled, safe environment. This supervision ensures the visits are positive experiences for the children, free from conflict or danger.

2. Safe Exchange: The center also offers safe exchange services, where children can be safely transferred between parents without direct contact between the parents, reducing the potential for conflict or violence.

3. Couns eling and Support: To support the emotional well-being of children and families, the center provides counseling services and connects families with additional resources and support networks.

4. Community Education: The Alex & Brandon Child Safety Center also plays a crucial role in educating the community about domestic violence, advocating for better protection measures for children, and promoting policies that support family safety.

ALEX FRANK
BRANDON FRANK

EVOLVING TO MEET COMMUNITY NEEDS

In 2021, MMWC re-branded as the Relationship Safety Alliance to reflect the evolving demographics and needs of its clients. Our mission is to save lives by supporting the journey to well-being and empowerment of all people exposed to relationship abuse.

We have staff members who are always available to come to your events, business meetings, church gatherings etc. to further educate the community on domestic violence and our services.

PROMOTING HEALTH AND WELLNESS

The health and wellness of survivors are paramount to RSA’s mission. Collaborating with local healthcare providers ensures access to medical care, mental health support, and resources for long-term stability and independence. Empowering survivors through job training, educational opportunities, and housing support is central to RSA’s approach.

COMMUNITY COLLABORATION

Addressing domestic violence requires a community-wide effort. RSA collaborates with local law enforcement,

healthcare providers, schools, and other organizations to create a coordinated response. This network of support enhances the safety and well-being of survivors, fostering a healthier community for all.

CONCLUSION

The Relationship Safety Alliance in Brainerd is a vital resource for individuals and families affected by domestic violence. Through comprehensive services and a commitment to empowerment, RSA helps survivors heal and rebuild their lives. The organization’s dedication to advocacy, education, and community collaboration makes it a cornerstone in the fight against domestic violence, promoting health and wellness across the region and beyond.

The tragic deaths of Alex and Brandon Frank serve as a powerful reminder of the dangers of domestic violence and the critical importance of supervised visitation and safe exchange programs. The Alex & Brandon Child Safety Center in Brainerd, Minnesota, embodies a community’s commitment to protecting its most vulnerable members and ensuring such a tragedy never happens again. Through its services and advocacy, the center honors the memory of Alex and Brandon Frank by fostering a safer, healthier environment for children and families in crisis.

RSA’s upcoming events

October is Domestic Violence Awareness Month. RSA will be honoring those lives that were lost in 2023 to domestic violence on Tuesday, Oct. 8 at 6:30 p.m. at the Lyman P. White Park in Brainerd.

November is the start of our holiday programs that include Adopt A Family, RSA’s Giving Trees and Santa at the Shelter.

RSA will also have several fundraisers: Sept. 23 – Pizza Ranch - 5-8 p.m. Oct. 3 – Applebee’s 11 a.m.-close Oct. 15 – Prairie Bay Happy Hour for a Cause – 4:30-7 p.m.

Nov. 20 – Jack Pine Brewery – Pints for a Purpose – 5-8 p.m.

CONTACT INFORMATION: Relationship Safety Center –218-828-1216

Email – info@relationshipsafety.org Visit us on Facebook and LinkedIn

The expansion of healthcare

At Northern Pines Mental Health Center, we are growing. Our focus is on the needs of the people we serve, and that need is expanding. We’ve all felt the world change in the past few years. It’s not life as usual. We now better understand the foundation of mental wellness is rooted in a holistic approach for the person seeking care.

Our agency responded with “The Expansion of Healthcare.”

In May 2023 we opened a groundbreaking new service in Brainerd — our first Mental Health Urgent Care Clinic at 823 Maple Street. The reaction was overwhelmingly positive. The aim is to help those in immediate need of mental healthcare in an environment that promotes calm with connection to ongoing services. It also reduces strain on the systems that collaboratively provide that assistance. Historically, mental health crisis services have not been covered by insurance, however,

through education with individual payers their support has been transformational to the industry. Through our care coordination team, we can help navigate insurance funding. You may be pleasantly surprised at how affordable this service can be. Lastly, it came as a welcomed surprise when our mental health urgent care clinic was recognized at a national mental health conference for its innovation further affirming our

“expansion of healthcare” vision.

First, know we are here. Next, please come visit our Urgent Care Clinic, we are happy to show you what we are doing today.

Our new vision also includes wellness programming for kids and adults at Bay Lake Retreat Center. The setting is relaxed, yet full of purpose! One of our current projects is centered around respite care for children and families. In this beautiful nature setting, we are reimagining standard programming to enhance lives and restore hope. The effect is that people leave with newfound resilience. Visit npmh.org/baylake-retreat-center to find out all we are doing at Bay Lake Retreat Center.

We want you to be strong and free! Recovery IS possible. You can have a healthier mind, body, and spirit. Please visit us at npmh.org for more information.

First in a series:

Male and female specific cancers

The word cancer can stop you in your tracks.

Advancements in research have given oncologists more options than ever for treatment, but a diagnosis still means making tough decisions and trusting your physicians.

Men and women both have their own gender specific types to be aware of. While testicular and prostate cancer affect only men, those assigned female at birth could face vulvar, vaginal, cervical, uterine and ovarian cancer.

Dr. Wade Swenson is an oncologist and hematologist at Lakewood Health System in Staples. He practices full-spectrum medical oncology and hematology, including breast, colon, lung and prostate cancers.

Dr. Alisha Lindberg is an obstetrician and gynecologist and serves patients at both Cuyuna Regional Medical Center (Crosby and Baxter locations) and Riverwood Healthcare in Aitkin. She is passionate about comprehensive women’s healthcare (from adolescent years through menopause) and empowering women with the knowledge they need to take charge of their health.

Both physicians help patients navigate through the discovery and treatment of a cancer diagnosis.

PROSTATE AND TESTICULAR CANCER

The prostate is a male organ found where the reproductive system and urinary systems meet.

Cancer in the prostate is one of the most common cancers found in men. Typically, patients are in their late 60s or early 70s. “But there are exceptions,” says Dr. Swenson. Commonly, it will affect about 10-20% of men in their lifetime.

“We tend to not use chemo for prostate cancer. Typically, if we have an early cancer, we will look at surgery, radiation, or sometimes we will use hormone therapy.”
— DR. WADE SWENSON

In the initial stages of prostate cancer there are often no symptoms at all. “Still, the majority of the time these cases are caught early,” he says. “Difficulty urinating is the primary presentation we see, but that is also a normal part of the aging process.” Sometimes an abnormal physical exam or imaging will raise a red flag. The Prostate-Specific Antigen test, or PSA reading, is used as part of the screening process for the diagnosis

of prostate cancer. A high reading is a signal there is cancer. Imaging is used to determine if the cancer has spread beyond the prostate.

Then, a patient will begin a treatment plan. “We tend to not use chemo for prostate cancer,” says Dr. Swenson, “Typically, if we have an early cancer, we will look at surgery, radiation, or sometimes we will use hormone therapy.”

Depending on the patient and the stage, prostate cancer can be a serious life-threatening condition, or it can be a nuisance diagnosis. If it is not lifethreatening, and determined to be slow growing, it is possible to use observation as a treatment, where a doctor will do periodic testing to watch for progression.

A bump or growth on the testicles is the first sign of possible testicular cancer for a man. While prostate cancer is common, Dr. Swenson says testicular cancer is rare.

It is a disease found more often in younger men, from teenagers to men in their 20s. There are less than 200,000 testicular cases per year in the United States.

“It is a very treatable and typically very manageable cancer,” says Dr. Swenson. Still, there can be a tendency, because of the unknown and uncertainty, to put off having a lump checked by a physician.

The first step for diagnosis will be an ultrasound. Once confirmed, surgery is possible as a treatment, followed by chemotherapy.

OVARIAN AND UTERINE CANCER

Symptoms of ovarian cancer are extremely subtle, and can include bloating, pelvic pain and early satiety. Patients often attribute these symptoms to stress or diet, which can lead to a delay in diagnosis.

“We do not have a good screening test for ovarian cancer,” says Dr. Lindberg, “The symptoms patients experience are often nonspecific. An ovarian mass is usually an incidental finding, noticed during a pelvic ultrasound or other imaging, which means it is discovered in the later stages.” Seventy-five percent of ovarian cancers are already in stage three and four at the time of diagnosis and the survival rate after diagnosis is only 44 percent at five years.

Increasing age is the largest risk factor for developing ovarian cancer. Although

younger women can also have ovarian tumors, the median age at time of diagnosis is 63. Other risk factors include family history of ovarian cancer, early age at onset of menstrual periods, late menopause and white race. If someone in your family carries the BRCA1 or BRCA2 mutations, this could increase your risk and you may qualify for genetic testing to look for these mutations. The use of birth control pills is thought to reduce the risk by 30-60% depending on the duration of use. Having both fallopian tubes removed can also decrease the risk of ovarian cancer.

“The news on uterine cancer is a little better than ovarian cancer, more than 70% of cases are Stage 1 at the time of diagnosis, and the five year survival rate is 90%.”
— DR. ALISHA LINDBERG

Once suspected, additional imaging is used to determine if it has spread and affected any other areas. “We typically do not biopsy an ovarian mass itself because of the potential risk of spreading it throughout the pelvis. Occasionally a biopsy of an enlarged lymph node, abdominal fluid or other tissue is used to make the diagnosis.” Elevated tumor markers in the blood (like CA-125) can also aid in diagnosis.

Surgery and chemotherapy are the mainstay of treatment — which one comes first is dependent on the extent of disease. If the patient is young, the gynecology oncologist could consider a fertility sparing procedure. In older women the uterus, cervix, both fallopian tubes and both ovaries are removed during surgery.

“The news on uterine cancer is a little better than ovarian cancer, more than 70% of cases are Stage 1 at the time of diagnosis,” says Dr. Lindberg, “and the five year survival rate is 90%.” It is typically discovered earlier because of the presence of more notable symptoms. Heavy vaginal bleeding, bleeding between periods or bleeding after menopause can be a sign and help to catch the disease early. The median age for those diagnosed is 63. “Postmenopausal bleeding is the most common sign. It should always be evaluated by a physician,” says Dr. Lindberg, “no matter how light.”

Surgery will often be done to remove the uterus, cervix, both fallopian tubes and both ovaries and to determine the stage of disease. Once stage is determined, additional therapy may be warranted such as chemotherapy or radiation.

Of all the female cancers, Dr. Lindberg stresses cervical cancer is the most preventable with proper screening. “Pap smear screening is so important,” she says. “And should start at age 21.” The frequency of screening depends on your results over time. An abnormal result may require more frequent screening. She also urges patients to consider the HPV vaccine which offers the most protection against cervical cancer.

Finding a good fit

Starting therapy can be a big step. There are lots of reasons it can be challenging. Acquire is here to walk with you on this journey without judgment.

We offer a wide range of therapist personalities, modalities and theories. A key part of the therapy journey is meeting with a provider you can trust. You deserve to feel safe and comfortable when sharing difficult things.

At Acquire, we are fundamentally humanistic/client centered, systemic, holistic and trauma informed. Many therapists provide animal assisted therapy.

There are some core theories used. Cognitive Behavioral Therapy focuses on automatic negative thoughts, and how by changing our beliefs about ourselves and situations, we can influence our outcomes in a positive way. Dialectical Behavioral Therapy teaches people how to be more

mindful, cope with stress, regulate emotions, and distress tolerance.

Solution-Focused utilizes individual strengths, believes clients hold the solutions, and the therapist co-constructs new meanings and identities. Narrative Therapy has clients “rewrite” their negative or problematic stories into positive and empowering narratives.

Internal family systems is a type of therapy that believes we are all made up of several parts or sub-personalities. Polyvagal Theory emphasizes the role the autonomic nervous system (especially the vagus nerve) plays in regulating our health and behavior. Somatic Therapy is a therapeutic approach that places importance on what we experience in the mind and the body as well as the connection between the two.

Play therapy allows children to express and process development and tasks and emotions by imitating, learning, and exploring through therapeutic

play. Therapists learn from children’s observations and interests as they encounter their world and relationships. We see kids aged 0-plus.

Some modalities require additional certification or training. We offer the following at Acquire: Emotionally Focused Couples/Family Therapy focuses on attachment habits, reducing unhealthy attachment styles/patterns, and improving secure attachment goals. EMDR uses bilateral stimulation, typically eye movement, to help desensitize traumatic incidents and events. Alpha Stim is a cranial electrotherapy stimulation device to treat anxiety, depression, and insomnia. Integrated Assessment combines a diagnostic assessment with a chemical dependency assessment and gives recommendations for level of care for substance use.

Everyone’s reason and timing for starting therapy is different. We are always open and willing to answer any questions you have. We are here for you, from the first contact, until you’ve met your goals.

Learn more about the clinic on Facebook or at acquirementalhealth.com.

Compression sock benefits

Compression socks are specialized socks that provide varying degrees of pressure to the legs and ankles. They decrease swelling of the feet and legs by helping to push excess fluid back to the heart.

There are many benefits to wearing compression socks. The obvious benefits are increasing circulation in the legs, decreasing swelling of the legs and ankles, preventing blood clots in the legs, preventing venous ulcers and decreasing varicose vein pain. Lesser known benefits for compression socks include increasing exercise tolerance, decreasing muscle fatigue and soreness from rigorous muscle use. There has been research to show wearing compression socks while sitting for long periods of time can improve mental performance as they reduce leg fatigue and pain. Improved sleep has also been attributed to wearing compression socks. Pain free legs are happy legs.

Compression socks come in different compression strengths and sizes. The compression part of the sock measurement ranges from 8 to 40

MmHg. Light to moderate compression ranges from 8 to 20 MmHg and strong compression ranges from 30 to 40 MmHg. This is the measurement of pressure a 1 millimeter high column of mercury could generate. Compression socks are made with the highest amount of compression at the ankle and tapering as the sock moves up the leg.

The compression socks that work the best for exercise endurance or jobs that require prolonged sitting or standing would fall into the 8 to 20 MmHg (millimeters of mercury) strength.

Compression socks required for venous stasis or ulcers of the lower legs may require 30 to 40 MmHg compression and would be best prescribed by a medical provider.

Compression socks must have specific measurements done to provide a safe and accurate fit. It is best to go to a medical company in order to have a trained fitter get the correct measurements.

There is a specific way to put on compression socks. They should be put on upon rising before leg swelling has occurred.

While they can be difficult to put on, there are compression sock applicator aids available at your medical supply company to help with this process.

Compression socks should be hand washed and air dried to prolong their elasticity.

Pricing for compression socks depends on their strength and manufacturer. A medical provider’s prescription is required for insurance coverage. Check with your insurance provider for reimbursement.

Gentle Dentistry - Quality Care

BY SUE READY

Cosmetic & Family Dentistry is a third generation family-owned dental office helping patients smile for over 70 years. They provide a wide range of services including comprehensive care, bleaching, implants, cosmetic work and dental wellness visits. The office is located in Baxter, Minnesota.

Dr. Christopher Dens, the owner, grew up in the Brainerd lakes area. He graduated from the University of Minnesota School of Dentistry in 2014. He is a member of the Minnesota Dental Association and the American Dental Association.

Dr. Dens fully embraces all the activities lake life has to offer, enjoying fishing, hunting, water-skiing and hiking. He is civic-minded and supports local community organizations such as Brainerd Ski Loons and Jaycees with his membership.

Dr. Dens noted, “The goal of Cosmetic & Family Dentistry is to help people keep their teeth healthy while doing it the simplest, least invasive, least expensive way possible. We are there to meet people where they are, whether they have a healthy mouth or this is their first time going to the dentist in a while. We will work with people to understand their oral health and be their guide to navigate through the dental world toward better health. At the end of the day, it is the patient’s mouth and the patient’s decision. We will just help patients get the best information and review the pros, cons, risks and benefits to help them make the best decision for themselves.

Prevention is cheaper, easier, healthier and better, and we focus on moving forward for patients.”

In 2015, Dr. Dens helped implement the Minnesota School Sealant Program, a statewide community outreach program. This program provides free and reduced-cost dental services in schools. Last year they served students in over 145 schools throughout Minnesota. A licensed dental professional offers cleanings, sealants, and fluoride varnishes to students. Twenty-five percent of the patients see this as their first experience with a dentist. Preventing

decay makes your child less likely to experience toothaches and dental pain. Dr. Dens and his team go above and beyond to serve all patients needing help. They have donated over $500,000 worth of dental services to children in need. If you are looking for a dentist that supports their community and kids throughout the state, then come and visit them at Cosmetic & Family Dentistry.

Cosmetic & Family Dentistry offers all-inclusive general services, routine exams, dental fillings, emergency dental, dental hygiene, dentures and veneers, and teeth whitening and pediatric dentistry. The office employs state-of-the-art technology to give you better dental health. By using digital X-rays, patients get less radiation than traditional cardboard X-rays. The latest computer charting records, including digital imagery and a free smile consultation, are available for patients. The office uses excellent safety protocol during their patients’ visits. The staff keeps updated with current research, technology and non-invasive methods. Many of the kids they see that have cavities no longer even need to get numb for the process as the office is pioneering less invasive ways to treat decay to help make it easier for kids than ever before to be more comfortable during their visit.

Cosmetic & Family Dentistry is able to work with all types of dental insurance. They take care of all the paperwork processing and will help utilize your insurance to minimize your out of pocket costs. New patient forms are conveniently online if you want to fill out your paperwork ahead of time. No dental insurance ? No problem! They offer their own in office dental benefits plan that saves you money and has less restrictions than most dental insurance policies. And it is affordable at less than $1/day for the entire year of coverage.

Dr. Dens fully recognizes how fortunate he is to have the best and most amazing staff of 28, which includes Sam Duberowski, DDS; Bill Heitzman, ADT; and Darlene Zemke, ADT. Dr. Dens said, “The whole staff is friendly and caring, and they are the backbone of my office and make all the magic happen.”

Patients are always treated like family with compassion, care and respect. The goal of Cosmetic & Family Dentistry is to stop decay before it happens with good dental hygiene. Personalized care with a comfortable and welcoming environment are their top priorities.

If you would like to start enjoying your dental visits, you can join their dental family by calling 218454-7000, or sending an email to cosmeticdentistrydds@gmail.com.

Quick access to oncology care at Lakewood a priority

At Lakewood Health System, we know access to timely cancer care is crucial, particularly in rural areas like those here in Minnesota. In rural communities, patients often face challenges such as long travel distances, limited healthcare facilities, and even fewer specialists. These barriers can lead to delays in diagnosis and treatment, significantly impacting patient outcomes. Quick access to cancer care is essential for early detection and effective treatment, improving survival rates and quality of life for patients.

Lakewood is addressing this critical need by providing comprehensive cancer care close to home in Staples, Minnesota. Led by oncologist Dr. Wade Swenson, Lakewood now has five full time oncology providers, recently adding Dr. Emily McGovern, and a sixth, Dr. Aquino Williams, set to join the practice in the fall of 2025. Coupled with the recent groundbreaking of Lakewood’s new cancer center scheduled for completion in the summer of 2025, we are doing

everything we can to eliminate barriers to care by providing quick access to patients throughout the area.

It is widely acknowledged that patients with cancer living in rural areas face limited access to oncology care and providers, often traveling long distances and experiencing obstacles in clinic trial participation — all of which affect quality of care and health outcomes.

According to the National Cancer Institute, in the United States only 3% of medical oncologists practice in rural communities, and more than 70% of counties in the U.S. have no medical oncologists at all.

Lakewood is keenly focused on bringing timely, best in class oncology care to our area to ensure rural patients do not have to endure lengthy and stressful travel to urban centers for treatment.

Lakewood’s cancer care includes stateof-the-art diagnostic tools, personalized treatment plans, and a full team of experienced providers and support staff dedicated to patient-centered care.

Lakewood’s community-based cancer care in Staples is an asset to our entire region and plays a vital role in supporting the health and well-being of rural Minnesotans. This service demonstrates the importance of accessible health care in rural settings, showing that proximity to medical care can significantly influence treatment outcomes and patient satisfaction.

Pictured left to right: Emily McGovern, MD (begins Sept. ‘24), Jessica Nybakken, AOCNP; Aquino Williams, MD (begins summer ‘25); Alyssa Manning, FNP; Wade Swenson, MD and Mariah Nieman, FNP.

When to start looking for When to start looking for assisted living assisted living

Deciding when it’s time to start your search for an assisted living community is often challenging and resistant for not only the individual, but loved ones involved. However, by starting as soon as signs are apparent, it can make a huge difference in that individual’s longevity of life and overall well-being.

I have worked with countless individuals who took breaks from their jobs to be caretakers for their loved ones. Although in the moment it is an option, it often can make things more challenging – mentally, emotionally and physically – for the caretaker and the individual. Most often, when a family finally decides on assisted living, it is too late, meaning the individual has declined more and may be in a community for a shorter term.

Here are some signs to look for when beginning the search.

• Difficulty with daily activities such as: personal care like bathing, poor hygiene, dressing and grooming, mobility issues like frequent falls, and household management – like challenges with cleaning, laundry, clutter or unpaid bills and late payments.

• Health and safety concerns such as: forgetting to take medications or incorrect doses, weight loss due to forgetting to eat or having an empty fridge, and chronic health issues worsening.

• Cognitive and emotional changes such as: frequent forgetfulness and disorientation, isolation by

withdrawing from social activities and loved ones and mood changes like irritability, anxiety or depression. Increased need for supervision such as: getting lost or wandering away from home, safety risks like leaving the stove on and doors unlocked, and frequent emergencies.

If you are starting to notice these signs, consider having a conversation with your loved one about their needs and safety right away. Visiting assisted living communities can provide insights into services and support available they will benefit from. By involving your loved one in this process, it will be a positive step towards enhanced independence, safety and social engagement.

There are many stigmas on assisted living that deter individuals from making that step forward with it. Many people believe that when moving into an assisted living community you lose your independence, but actually many residents enjoy a vibrant, active lifestyle with support of daily activities and customized services.

Another popular stigma is that assisted living is just like living

- Franklin Arts Center - Westport Shopping Center

in a nursing home, but assisted living actually offers a balance of independence and care with amenities like fitness classes, social events, dining services and more. You also are given options on a variety of apartments to make it your new home instead of sharing a room in more of a hospital like setting.

Times have changed and assisted living is very different from past

nursing home perceptions.

I know how overwhelming it can be for loved ones to move their family member into a community, but once they do, it is the best possible life that a loved one and their family could ask for. With safety, comfort and independence, residents can enjoy their life again with peace of mind and hope for a better future.

Facing cancer together

COMPREHENSIVE CANCER CARE AND SUPPORT AT CRMC

It's nearly impossible not to know someone personally impacted by cancer. Fifty-four percent of Americans say they or someone in their immediate family has been diagnosed with cancer at some point. It's a staggering statistic, and while cancer deaths are falling, cases are rising. The American Cancer Society reports over 2 million cases in 2023 alone.

Cuyuna Regional Medical Center (CRMC) is a premier cancer destination boasting cutting-edge oncology treatment. As an accredited cancer center through the Commission on Cancer, CRMC follows a multidisciplinary approach to treatment involving surgeons, medical and radiation oncologists, diagnostic radiologists, pathologists, and other specialists. The collaboration ensures that patients receive the best possible care.

“We have a nursing staff with an incredibly high level of training," says Atlantis Russ, MD, PhD. The oncologisthematologist treats cancer and blood disorders using medication, including chemotherapy, immunotherapy, and targeted therapy. She received a PhD in genetics and completed five years of research in cancer genetics. "From state-of-the-art diagnostics to innovative therapies, we are committed to achieving the best outcomes possible for patients. We hope they will truly experience a sanctuary of support and compassion where their well-being and comfort are paramount.” While many medical facilities have infusion bays, CRMC offers private infusion rooms for patient treatment.

"Patients are not just a medical number here; I can promise them that," says Ashley Yager, CNP, a member of the oncology staff. Yager provides care and consulting services for those with hematologic disease and who have been diagnosed with cancer, as well as provides education to patients and their families. "Healthcare is a tough business right now, and the oncology department feels that every day, facing barriers from insurance companies and pharmaceuticals, but that has only fueled our staff to be patient advocates and provide expert care regardless of financial

circumstance, demographic or location. Care doesn’t have to be compromised for those who live in rural areas. The statistics show that’s often the case in rural communities, but we are raising that standard.” The oncology department has a financial navigator and an oral chemotherapy nurse on staff who work in tandem to find reduced or free medications through grants. "With rising healthcare costs, they are truly the example of what healthcare needs to aim for in a service-based system."

In addition to financial support, patients have access to multiple support services. Genetic counselors offer telehealth appointments to help individuals and families understand their cancer risks. Patients are also provided with spiritual care, social services and palliative care to make treatments more tolerable. They are also invited to attend a monthly cancer support group.

“We want patients to discover a supportive environment where hope

thrives, and they feel as though they are family. Our patient promise is to prioritize their cancer journey with a profound focus on enhancing quality of life and achieving life goals,” says Dr. Russ.

The medical team at CRMC knows receiving cancer care can cause financial strain. In hopes of easing burdens and enhancing patients' health and well-being, CRMC offers support to cancer patients undergoing chemotherapy or radiation through Courage Cabinet. The fund provides financial assistance for non-medical needs, including travel to treatment, accommodations, meals and groceries. It can also cover medical bills, drugs and non-covered medical equipment and supplies if a patient's insurance does not cover these costs.

Facing a cancer diagnosis can be an overwhelming and isolating experience, but it's crucial to remember you don't have to face it alone. Let CRMC be your comprehensive support system to ensure you don't have to navigate a cancer diagnosis alone.

Embracing your true beauty at Wing Wellness

At Wing Wellness, the ethos is simple: “You deserve to feel amazing.” This motto drives Sheila Wing, a dedicated nurse practitioner, and her team of four skilled professionals. They aim to provide personalized care and ensure clients receive the best treatments tailored to their needs and budget.

Housed in the former 1887 Woodrow School, Wing Wellness has been lovingly converted by Sheila Wing and her family into a serene medical spa. It blends historic charm with modern wellness practices. The services at Wing Wellness are as diverse as the clients they serve. From medical weight loss programs to IV therapy, clients are guided through their wellness journey with expert advice and support. The medical spa offers a range of aesthetic treatments, including Botox, fillers, and medicalgrade skincare lines, ensuring that clients of all ages — from teenagers to adults — can find solutions to their unique skin concerns.

Wing Wellness has a state-of-the-art infrared sauna and offers color therapy. Some clients enjoy the warmth of the sauna, while others prefer the benefits of light therapy without heat. This therapy helps in weight loss, speeds up healing, and decreases inflammation, making it popular among athletes and wellness enthusiasts. They also offer a weight management program and deep tissue massage.

Beyond medical and aesthetic services, Wing Wellness also offers yoga and Pilates classes, cosmetic tattooing, including brows and lashes, skin resurfacing and rejuvenation, and spa parties. These services are designed to make clients look and feel their best. But Wing Wellness is more than just a spa — it’s a place where lives are changed. From a teenager gaining confidence to wearing a strapless dress after laser hair removal to a young girl who found relief from bullying due to eyebrow treatments, Wing and her staff have an unwavering commitment to nurturing their clients.

Wing Wellness has partnered with Catalyst at Nature Link. The partnership provides spa services, including massages, facials, dermaplaning, chemical peels, and microneedling, for guests staying at the resort on Clark Lake in Nisswa.

Wing Wellness is a sanctuary where everyone is encouraged to embrace their true beauty — inside and out. If it’s time to embark on a personal wellness journey, visit wingwellness.com, email at info@wingwellness.com, or call 218-839-9463 to discover how Wing Wellness can support your efforts.

Wing Wellness Medical Spa was founded by Sheila Wing, Certified Family and Emergency Nurse Practitioner, with the pure passion and vision of helping people. We offer high quality services in a comfortable, safe environment.

Wing Wellness Medical Spa is here to help you look and feel your best so you can reach your true potential. We are located 6 miles outside Brainerd in a quiet, rural community.

in the journey Finding clarity in the chaos and joy

TWO BRAINERD LAKES AREA WOMEN FIND THEIR PASSION IN EMPOWERING OTHERS

Everyone is born with unique talents and gifts, which are meant not just for our fulfillment. Anna Struss calls them “giftings.”

“We’re all created with giftings, and those gifts aren’t meant for us to keep; they’re meant for us to share,” Struss explains.

Struss and Miranda Aulie are both deeply passionate about helping others. Through their respective businesses, these two Brainerd lakes area women are creating safe, nurturing spaces that allow their clients to grow, heal and thrive.

ANNA STRUSS: WELLNESS AND MINDSET COACH

Struss, a certified wellness and mindset coach, owns Tangled Anchor, LLC. Her personal wellness journey began after a successful but unfulfilling stint in construction and design sales. She was good at what she did and loved design, but she wanted to do something different that involved helping people more meaningfully. Her “a-ha” moment came in 2016, pushing her to pursue a health coach certification through the Health Coach Institute. In 2021, she fully committed to her coaching business, Tangled Anchor, leaving her sales job to follow her calling.

“We all have things in our childhood that happened where we put walls up, and our view of the world changes in those moments”
— ANNA STRUSS

Tragically, that same year, she lost her brother, T.J., to mental illness. He was 31. During this state of profound loss and grief, she tried other work for a while. In November 2023, she felt in a better place emotionally, and her brother’s death created a new desire to connect and inspire others to live lives filled with purpose and passion.

Struss’ approach is holistic, emphasizing the importance of selfawareness and mindset in achieving overall wellness. She works with many women, guiding them to recognize and utilize their unique strengths. “Women often feel like they’re not enough,” she explains. She helps them reframe their thoughts, embrace who they are and share their gifts with the world.

Tangled Anchor offers various services, including individual coaching, business coaching, group workshops, online sessions, and speaking engagements. Tangled Anchor is a metaphor for life, suggesting that while life can sometimes be messy, where we focus our attention, coupled with how we choose to respond, makes all the difference.

Struss’ signature program, EntreWomen, is a dynamic women’s group where “crazy cool ideas flourish.” The group meets monthly and highlights a different woman-owned business each month. She also hosts quarterly workshops that focus on selfimprovement and business growth. Themes such as “Sprout,” “Refuel,” “Elevate,” and “Jumpstart” guide participants through personal and professional development milestones.

Struss is faith-based; if her client is Christian, she uses language supporting that belief. If they are not, that’s OK, too. She’s learned much about herself as she went through her health coaching certification. For example, during a lab session with a partner, she discovered a personal blind spot that, once revealed, powerfully shifted her being.

She shared she used to enjoy performing and was on stage a lot in her childhood, including getting the lead role in a junior high school musical. But after that experience, she stopped auditioning for parts. This was

the result of some girls, including her best friend at the time, being jealous and no longer wanting to be her friend. It was a painful moment.

“We all have things in our childhood that happened where we put walls up, and our view of the world changes in those moments. We’re not consciously aware of it all the time,” she explains. Struss started not wanting to be on stage and audition for things. She remembers wanting to audition but still wouldn’t and couldn’t understand her own choice to restrain. “My lab partner exposed the lie that I couldn’t see for myself, the power of a coach, from something that happened over 20 years ago. I knew why they were mean; however, I didn’t realize what I was doing to protect myself as a result. In a moment, it became clear, my brain was saying, ‘If I am successful, you won’t like me, and I don’t want that, so I won’t audition,’” Struss explains. Part of her current passion for coaching is to empower women to shine.

Struss works with many business owners and their employees, helping to ultimately provide a better customer experience by coaching the employer's business goals and empowering each staff member to be seen, heard and valued.

“When I’m working with a client, it’s like time stops, and I love it,” Struss says.

Visit www.tangledanchor.life to learn more.

MIRANDA AULIE: THERAPIST AND ADVOCATE FOR WOMEN’S MENTAL HEALTH

Miranda Aulie, a licensed therapist, founded Wishing Well Therapy Services in January 2024. She focuses on women’s mental health and building community. She works with women of all ages, helping them navigate life’s transitions and challenges. Her

approach is proactive and holistic. She often explores the intricate connections between mental health and hormonal changes, particularly during perimenopause.

“Knowledge is power. By understanding and advocating for our health, we can navigate life’s challenges with strength and grace.”
— MIRANDA AULIE

Aulie’s passion for women’s mental health stems from her personal and professional background. As a stayat-home mom, she often volunteered at the women’s shelter. She enjoyed volunteering and she wondered how she could make a career of it. This led her to an interest in social work and she soon began to focus on women’s mental health. After working five years as a therapist, along with her volunteer work at the women’s shelter and through her personal relationships with women throughout her life, she noticed

a significant gap in services for women, particularly around perimenopausal symptoms and their impact on mental health. This realization led her to create a space where women could find support, understanding and practical strategies for managing mental health.

Wishing Well Therapy Services offers individual therapy, couples counseling and bi-monthly women’s groups. These groups, Women’s Wellness Wednesdays, are offered from 6-7:30 p.m. the first and third Wednesday of each month and cover a wide range of topics, from inner child work to the neuroscience of trauma. They provide a supportive community where women can share their experiences and learn from each other. Aulie also emphasizes the importance of advocacy in her practice, encouraging her clients to seek the support they need and deserve.

Aulie started her women’s group in March 2024 and it’s become a welcomed addition for her clients who are already in weekly or bi-monthly therapy. It allows them to connect with other women and learn more about topics they may grapple with. She explains that perimenopause can be a vulnerable time for many women. She also has clients who are dealing with having children on the cusp of adulthood and this can be a challenging time for a parent. She supports her clients as they work to improve relationships, process trauma, break unhealthy generational patterns and find love and acceptance toward themselves and others in their lives.

“Knowledge is power,” Aulie adds. “By understanding and advocating for our health, we can navigate life’s challenges with strength and grace.”

Visit www.wishingwelltherapyservices. org to learn more.

A Shared Vision for Empowerment

Struss and Aulie wish to empower women through holistic wellness and mental health support. Both women have a clear message in a world that often pushes us to focus on our shortcomings: embrace your gifts, nurture your well-being, and remember you are enough.

Discover nearby world-class cardiac care

While there are many advantages to living in lake country, it also means being removed from the convenience of specialized health care that can be found in a large city. You might not know that celebrated specialists and award-winning physicians are practicing in your communities, too, especially when it comes to your cardiovascular health.

Those being treated for heart disease and other cardiovascular conditions can see members of the Allina Health Minneapolis Heart Institute right here in the Brainerd lakes area. The convenience of expert heart care is just a short journey away, with no more half-day trips to the Twin Cities.

Award-winning and well-respected cardiologists live in the region and see patients in Baxter, Crosby, Aitkin and Staples. Additional specialty trained cardiologists based out of Abbott

Northwestern Hospital travel to Baxter and Crosby.

Advanced imaging of the heart and blood vessels can be done locally, offering a comprehensive picture of the heart to aid in determining a treatment plan.

Telemedicine services are also available. These services make it possible for medical professionals and specialists from the system in the Twin Cities to see patients virtually, allowing them to address concerns and provide a complete care plan agreeable to the patient.

While some conditions may require surgical procedures that can only be performed at facilities in the metro, follow-up care can be done closer to home. This means you can use your time to focus on making a full recovery instead of spending it in traffic.

The internationally recognized specialists at the Allina Health Minneapolis Heart Institute include physicians specializing in structural heart disease, heart failure, vascular disease, pulmonary hypertension and other cardiac conditions such as atrial fibrillation and coronary artery disease.

Allina Health Minneapolis Heart Institute is fully committed to offering the finest in patient-focused care. Their local clinics’ full staff of professionals will treat you with the same expertise you can expect at a larger facility. The only difference is how long it takes to drive home.

healthy habits for your brain 10

RECOMMENDATIONS FROM THE ALZHEIMER’S ASSOCIATION

It is never too late for any one of us to commit to healthy habits and that includes those related to our brain health. According to the Alzheimer’s Association, research shows healthy behaviors may reduce the risk of cognitive decline and help reduce the risk of dementia.

A recent poll reported retired Americans fear developing dementia more than any other condition.

While some brain changes are inevitable as we age, there is a growing body of research to suggest that adopting healthy behaviors, including healthy eating, exercising regularly, not smoking and staying cognitively engaged may help our brain health at any age.

Based on mounting scientific evidence, the Alzheimer’s Association offers these 10 healthy habits for your brain. Follow as many of these 10 tips as possible to achieve maximum benefits for the brain and body.

1 Challenge your mind. Be curious. Put your brain to work and do something new for you. Learn a new skill. Try something artistic. Challenging your mind may have short- and long-term benefits for your brain.

2 Stay in school. Education reduces your risk of cognitive decline and dementia. Encourage youths to stay in school and pursue the highest level of training possible. Continue your own education by taking a class at a local library, college or online.

3 Get moving. Engage in regular exercise. This includes activities that raise your heart rate and increase blood flow to the brain and body. Find ways to build more movement into your day — walking, dancing, gardening — whatever works for you!

4 Protect your head. Help prevent an injury to your head. Wear a helmet for activities like Biking and wear a seatbelt. Do what you can to prevent falls, especially for older adults.

5 Be smoke-free. Quitting smoking can lower the risk of cognitive decline back to levels similar to those who have not smoked. It’s never too late to stop.

6 Control your blood pressure. Medications can help lower high blood pressure. And healthy habits like eating right and physical activity can help too. Work with a health care provider to control your blood pressure.

7 Manage diabetes. Type 2 diabetes can be prevented or controlled by healthier eating, increasing physical activity, and medication, if necessary.

8 Eat right. Eating healthier foods can help reduce your risk of cognitive decline. This includes more vegetables and leaner meats/proteins, along with foods that are less processed and lower in fat. Choose healthier meals and snacks you enjoy and are available to you. Make eating right a habit!

9 Maintain a healthy weight. Talk to your health care provider about the weight

healthy for you. Other healthy habits on this list — eating right, physical activity and sleep — can help with maintaining a healthy weight.

10 Sleep well. Good quality sleep is important for brain health. Stay off screens before bed and make your sleep space as comfortable as possible. Do all you can to minimize disruptions. If you have any sleep-related problems, such as sleep apnea, talk to your health care provider.

The Alzheimer’s Association is the leading health organization in Alzheimer's care, support and research. Its mission is to eliminate Alzheimer’s disease through the advancement of research, to provide and enhance care and support for all affected, and to reduce the risk of dementia through the promotion of brain health. Its vision is a world without Alzheimer’s. Free care and support programs are available including care consultations, support groups, a 24/7 Helpline at 800-272-3900 and extensive resources at alz.org/mnnd.

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