Journeys | Fall 2016

JOURNEYS “Destiny is not a matter of chance, it is a matter of choice …” – William Jennings Bryan

Little patients, big story

FALL 2016

JOURNEYS FALL 2016

01 FROM OUR PRESIDENT

See firsthand what’s involved in a colorectal cancer screening

02 PATIENT EXPERIENCE

Nutrition therapy helps young patients solve eating challenges

Hear Dr. Griffin and his patient as the screening takes place

04 NICU DEVELOPMENTAL CLINIC

Baby steps: Bryan’s Developmental Clinic puts children on right path

The colonoscopy — everyone dreads this screening for colorectal cancer. But is there really so much to fear? Find out for yourself as you take a journey through the screening with Bryan patient Ruth Van Gerpen, APRNCNS, and her doctor, gastroenterologist Mark Griffin, MD.

06 NICU HEALING GARDEN

Sunshine, flowers and fresh air 08 50 YEARS OF HEART SURGERY 11 PATIENT EXPERIENCE

After heeding heart attack symptoms,

Polly returns to the dance floor 12 BRYAN HEART

Welcome, Dr. Shelstad

n Hear about

14 PATIENT FAMILY ADVISORY COUNCIL 16 NEW AT BRYAN

Surgery center answers need for outpatient care options

n See the actual

18 BRYAN COLLEGE OF HEALTH SCIENCES

Dr. Lloyd sees bright future for Bryan students 20 BRYAN REHABILITATION SERVICES 22 MEDICAL STAFF SPOTLIGHT 25 MEDICAL STAFF UPDATE

New faces at Bryan 28 CRETE AREA MEDICAL CENTER

Community enjoys togetherness here 29 BRYAN STERLING CONNECTION

the prep.

procedure and how potential polyps can be discovered. n Learn about the increasing impor tance of this screening. n Find out when you should get this exam based on your age or family history.

VIDEO

30 ACHIEVEMENTS

This simple screening could save your life.

Go to: bryanhealth.org/colonoscopy to watch this video.

T H A N K Y O U , B R YA N F O U N D AT I O N 2 0 1 6 E V E N T PA R T N E R S The Kim Foundation Union Bank & Trust Air Methods Bank of America Merrill Lynch Campbell’s Nurseries & Garden Centers Capitol City Electric Davis Design

Farmers Mutual Insurance Company of Nebraska HDR, Inc. Inpatient Physician Associates KLKN-TV Mapes Industries, Inc. Midwest Medical Transport Nelnet, Inc.

Premier Connections Runza National Sampson Construction Select Specialty Hospital Shanahan Mechanical & Electrical Southeast Nebraska Cancer Center Swanson Russell US Bank

ALL ABOUT JOURNEYS

STAY IN TOUCH

Statesman William Jennings Bryan, one of the original benefactors of Bryan Health, said:

We welcome your comments. For more information about Journeys, contact the Advancement team by calling 402-481-8674.

To learn more about Bryan programs and services, visit us online at bryanhealth.org.

Kimberly Russel President & CEO, Bryan Health

“Destiny is not a matter of chance, it is a matter of choice; it is not a thing to be waited for, it is a thing to be achieved.”

Journeys tells our story of how Bryan chooses to achieve. This free publication is mailed quarterly to the communities we serve.

ON THE COVER Darci McMurray, RD, weighs 4-year-old Natalie Perez. See Page 2 to learn about Bryan’s Feeding and Nutrition Program.

OPPORTUNITIES TO SUPPORT Your contributions help us care for those who come to Bryan at every stage of life. To find out how you can participate, call 402-481-8605, or write to us at: Bryan Foundation, 1600 S. 48th St., Lincoln, NE 68506.

You can learn how to help and make a gift online at bryanhealth.org/bryan-foundation.

John Woodrich President & COO, Bryan Medical Center Edward Mlinek Jr., MD Chief of Staff, Bryan Medical Staff Bob Ravenscroft Vice President of Advancement & CDO Edgar Bumanis Director of Public Relations Kevin Rummel, MD Medical Editor Paul Hadley Editor

FROM OUR PRESIDENT

“I am not a teacher, but an awakener.”

– American poet Robert Frost

W

e knew from the beginning that our 90 Acts of Kindness, in celebration of our 90th anniversary, must conclude with something meaningful. And it must be

future-focused.

It was our honor to welcome leaders from Lincoln’s and Crete’s public and parochial schools to the lawn of the Fairview home on Sept. 8. That morning, we awarded scholarships totaling $90,000 to these schools, so that they could awaken in their students the spirit of tomorrow’s health care providers.

The need is here. It’s why we host High School Health Care Discovery Days each year and are committed to our own Bryan College of Health Sciences. Our Bryan graduates continue to pass their nursing board exams (NCLEX) well above national and state averages. Be sure

VIDEO

See a video recap of our 90 Acts of Kindness at bryanhealth.org/bryan90.

to read the feature about new college President Richard Lloyd, PhD. We are delighted to welcome Rich back to Nebraska and know the college’s mission is secure in the hands of this visionary leader.

As our celebration year draws to a close, rest assured Bryan Health will continue to work tirelessly to meet the health care needs of our region in the future. We are 90 years young and look forward to helping you keep your family healthy for generations to come.

Bryan Health. Forward. Together.

Kimberly A. Russel President and Chief Executive Officer, Bryan Health

Bryan Journeys 1

PAT I E N T E X P E R I E N C E

Nutrition therapy helps young patients solve eating challenges

T

hese days, registered dietitian and pediatric nutritionist Darci McMurray describes 4-year-old Natalie Perez as “a ball of fire who always arrives with a smile, eager and ready to learn.”

Natalie’s high level of energy and determination are necessary blessings, given that she’s faced daunting medical challenges since the first days of her life.

Natalie was born with a medical condition that required complex surgery when she was just a few days old. Too weak to nurse or bottle feed during the two months of hospitalization that followed, Natalie received formula through a nasogastric tube placed through her nose. Like many babies who require this type of feeding and intensive medical care during the first

While Ernesto and Natalie Perez play with blocks, Noemi Perez wraps up a consultation session with pediatric nutritionist Darci McMurray, RD.

2 Fall 2016

days of life, she developed oral aversion — an extremely strong dislike of having anything in or near her mouth.

As a result, by two months of age, tiny Natalie refused to eat anything at all.

“When we tried to feed her,” explains her mother, Noemi Perez, “Natalie would just push the bottle nipple out of her mouth and cry. And she wasn’t able to swallow — she’d just cough and gag. My husband, Ernesto, and I were so worried that she might not be able to eat enough to grow normally.”

Darci, who works with the Feeding and Nutrition Program, part of Bryan’s Pediatric Outpatient Services, adds more detail.

“In addition to oral aversion, Natalie had swallowing difficulties and other feeding challenges. So, like many babies

PAT I E N T E X P E R I E N C E

Speech therapist Julie McDaniel (left) and occupational therapist Stacey Anderson offer a new food choice to Naia and her mother, Heather Miller, MD. we work with, our team faced a fairly complex problem in helping her learn to eat,” she says.

As a temporary solution, Natalie’s surgeon placed a small feeding port, known as a gastric button (G-button) — through her abdominal wall to allow formula feedings directly into her stomach. “The gastric button was placed when she was two months old,” Noemi says, “and it was a godsend because it let us bring her home from the hospital and feed her ourselves.”

Still, Natalie would not allow anything in or near her mouth, so she could not eat on her own.

At that point the family was referred to Bryan’s Feeding and Nutrition Program.

Darci describes the program’s multidisciplinary approach.

“Our team, which includes physical, occupational and speech therapists, as well as dietitians, works with children who are at risk for malnutrition and growth delay because of problems such as oral aversion, swallowing difficulties or a food allergy or intolerance that causes gastrointestinal upset. We also work with children with autism or attention deficit disorder, who sometimes have eating difficulties or attention problems during meals. And some, like Natalie, are transitioning to oral feeding after being G-button dependent, so they have little or no experience with food and eating.”

Noemi shares her family’s experience. “We began seeing a nutritionist at another hospital when Natalie was two months old, then switched to Bryan in March of this year.

“At that point, everything changed like night to day — it’s all been progressing so fast.

“Darci and the therapists planned Natalie’s diet and gave us lots of ideas about how to make eating fun for her. For example, some days foods she could choose from would be a single color — say, carrots, oranges and cantaloupe. Then we’d make a game of finding and trying other orange foods. This added variety to what Natalie ate and improved her nutrition without stressing or overwhelming her.

“The therapists also have her listen to music and play quietly to help her relax before eating. And when Natalie doesn’t want to put food in her mouth,” Noemi says, “they find playful ways to get her to touch the food with her tongue or lips. These strategies helped her eat more, and we’ve made good progress in getting over her oral aversion.

“Working with the Feeding and Nutrition Program helped us be confident that Natalie is getting enough nutrition, and that she’ll grow well and be healthy,” she adds. “It also made things much easier for us because we were able to gradually reduce nighttime tube feedings over the past few months as Natalie began eating more by mouth. So things have really improved in leaps and bounds since we’ve started working with Bryan, and we’re so pleased with Natalie’s progress.”

Darci and her teammates also advised Lincoln obstetrician Heather Miller, MD, about the diet of the physician’s 18-monthold daughter, Naia, who was growing slowly and experiencing chronic vomiting.

“We maximized Naia’s caloric intake with an easy-todigest formula and focused on persistence in offering new foods. Children often have to be shown new foods many times, perhaps in different ways and different preparations, before they’ll accept them,” Darci says. Within a couple of months, after ongoing nutritional therapy and treatment for an underlying medical condition, Naia began to gain weight and eat many more types of food.

“We received lots of ideas that improved Naia’s nutritional status,” says Dr. Miller. “Nutrition therapy definitely became an important part of her treatment and drastically improved her outcome.”

“This work is very rewarding for all of us,” adds Darci.

“The right nutrition affects so much in a child’s growth and development, and making what are sometimes simple nutritional changes early on can have profound lifelong positive effects for children.” n To learn how you can support the work of Bryan Health, please call the Bryan Foundation at 402-481-8605.

Bryan Journeys 3

NICU DEVELOPMENTAL CLINIC

Baby steps

Bryan’s Developmental Clinic puts children on right path

M

aggie Bruss speaks very softly as she shares the story of her twin babies Etta and Lane, who were born three months early, at just 25 weeks’ gestation.

“My husband, Dusten, and I were scared and in shock

when the babies were born,” says Maggie. “The delivery happened so fast, and Etta and Lane were very tiny — just 1 pound, 10 ounces each — so they were the size of two little kittens. We felt totally overwhelmed, but the staff at Bryan’s neonatal intensive care unit (NICU) had a calming

Occupational therapist Stacey Anderson (left) and NICU RN Michelle Horst (right) are among the Bryan teammates helping families such as Dusten and Maggie Bruss and their children, twins Lane and Etta, in the Developmental Clinic.

4 Fall 2016

effect on us. All the nurses and neonatologists Mark Brisso, MD, and Albert Owusu-Ansah, MD, were just awesome. We knew we and our babies were in the best possible hands.

“Altogether, we spent four months at the NICU. Etta was more medically complex as she had some bleeding in her brain

and developed pneumonia.

By mid-July, both babies were well enough to go home, and Bryan monitored their progress through the Developmental Clinic. With the help of the clinic’s therapists, we overcame feeding challenges and some developmental issues, and Etta and Lane are now 18

NICU DEVELOPMENTAL CLINIC staff at Bryan — they’ll love your babies like they’re their own, and they’re there 24/7 so you don’t have to feel guilty if you have to be away from the NICU for a while. The ‘NICU club’ is a club no one wants to be a part of, but the friendships, connections and relationships you make there will last a lifetime.”

She adds, “We’re so very thankful to have our babies. The help and care we received from the staff at Bryan’s NICU and the months old and right on track developmentally for their age.”

Neonatal nurse practitioner Chris Wagner, RN, APRN, describes the Developmental Clinic’s approach to identifying and nurturing the progress of babies with developmental delays. “Through the clinic, we follow all babies with certain medical conditions, such as neurological problems, and those otherwise at known risk for developmental delay.

“All babies who are referred to us are evaluated by physical therapists, occupational therapists, speech therapists, physicians, nurses and a nurse practitioner, all of whom also work in the NICU, so they know the babies and families well,” Chris says.

“We monitor the babies’ development in terms of weight and height, but also regarding their ability to play,

move, eat, speak and socialize with others, according to their age. In this way, we can identify any delays the child is experiencing and refer the family to outpatient services they need to help the baby stay on track developmentally.

“Parents sometimes ask why they should go to the Developmental Clinic if it’s uncertain whether their baby has a problem,” Chris continues. “The answer is that if the child does indeed have a developmental delay, we need to find and treat it early — otherwise the delay may not be noticed until five or six years later, when the child starts school. And children experiencing any kind of a developmental delay really benefit from an early start in getting the services they need.”

“Looking back,” says Maggie, “we would say to any parent in our situation: Have faith and trust in the NICU

Developmental Clinic have been absolutely life-changing.” n To learn how you can support the work of Bryan Health, please call the Bryan Foundation at 402-481-8605.

To see a video and learn more about how our Developmental Clinic VIDEO helps little ones, go to bryanhealth.org/nicudevelopmental-clinic.

Welcome, Dr. Sitzman

Craig Sitzman, MD, (seated) has joined Mark Brisso, MD, and Albert Owusu-Ansah, MD, of Heartland Neonatology Associates, part of the Bryan Physician Network. Turn to Page 27 to see Dr. Sitzman’s biography.

Bryan Journeys 5

NICU HEALING GARDEN

Sunshine, flowers and fresh air

T

he Bryan Foundation’s campaign to support the NICU Healing Garden was incredibly successful, thanks to the generosity of our many donors. This campaign raised more than $500,000 over a two-year period, providing a healing, peaceful garden space for the families of our tiniest critically ill patients.

“The neonatal intensive care unit is always quiet, and the lighting is subdued because our babies can become overstimulated by noise and too much light,” explains NICU manager Laurie Ketterl, RN, BSN. “Family members have often shared, however, that this environment after many days and weeks can seem ‘closed in,’ and they miss sunlight, fresh air and being outside.”

The idea for the Healing Garden emerged when Laurie spoke with the father of one of the NICU’s babies. He said it would be nice if a small garden was near the NICU, as his family often wished to visit the hospital gardens to walk and relax, but didn’t want to leave their baby for even a short time.

So the idea for the NICU Healing Garden was born — a private garden for NICU families to unwind, get fresh air and sunshine and, if possible, bring Brian and Angie Zimmer their babies and be together soothe daughter Ashley on the with them. The garden also is day she was able to go home a place for NICU staff to briefly from the NICU. spend private time. Teri Feit, RN, a NICU nurse for over 20 years, adds, “The garden is a comforting place for our staff, as well as for families. As a nurse, it’s a place of refuge where you can take a minute to catch your breath, regroup and sometimes shed a tear before heading back into the hustle and bustle of the NICU.” “We know that calming, natural environments like our NICU Healing Garden can reduce anxiety and distress and promote a sense of calmness,” says Valerie Hunt of the Bryan Foundation.

“We’re deeply grateful that our donors helped create the garden.

Each year, it will touch the lives of thousands of our staff and of family members who face the roller coaster ride that is having a newborn in the NICU.” n

6 Fall 2016

While baby Ashley was a patient, the Healing Garden provided a quiet space for parents Angie and Brian (right).

Gifts to the Bryan Foundation made this area possible. To learn how you can support the work of Bryan Health, contact the Bryan Foundation at 402-481-8605.

To see a video about VIDEO the NICU Healing Garden, go to bryanhealth.org/nicu.

NEW AT BRYAN

Artwork in the “Ow to Wow” rooms comes alive when the black lights are switched on. The menagerie of playful animals and murals of people in funny swim gear helps patients of all ages focus on something other than recent shots or having blood drawn.

From Ow to Wow

I

f the thought of having your blood drawn makes you grow weak, new “Ow to Wow” rooms at Bryan Medical Center — thanks to the Bryan Foundation — should help get your mind off needles and anxiety.

“Getting blood drawn can be a scary experience for many individuals, no matter the age,” says Laboratory Services manager Mike Dixon. “To ease these worries, Bryan recently installed special laboratory rooms that feature black-light artwork that appears with the simple flip of a switch.”

“Ow to Wow” rooms are growing in interest at health care centers throughout the nation. The idea was first presented at the Mayo Clinic in 2014, so Bryan is only the third hospital in the country to offer this technology — and the first in Nebraska.

“We believe we can transform the experience of drawing blood to make it a little brighter and more positive, especially for children,” Mike says.

The room is a normal area where staff members collect various types of specimens. Walls feature special artwork that uses paint that’s reflective in the presence of a black light. At the Bryan West Campus, patients can take in a mama giraffe and her baby along with a full jungle scene. Patients in the lab on the Bryan East Campus are joined by an octopus and porpoise while enjoying a glimpse under the sea.

“In normal lighting, it looks like a typical blood-drawing room,” explains Mike. “But the instant we turn off the normal lights and turn on the black lights, then a beautiful scene appears.

There are all sorts of animals and

creatures to look at. Kids love it, and adults do, too!”

The “Ow to Wow” rooms were funded by generous donations through the Bryan Foundation.

“We’re very thankful for everyone who helped bring this to life,” Mike says.

“Skilled staff members, plus the right environment are essential in easing patient anxiety about blood draws. And that’s incredibly important, as it’s all part of making sure patients have the best care and best experience possible.” n To learn how you can support the work of Bryan Health, please contact the Bryan Foundation by calling 402-481-8605.

VIDEO

To watch a video about the Ow to Wow rooms, go to bryanhealth.org/lab.

Bryan Journeys 7

50 YEARS OF HEART SURGERY

Pioneers of open heart procedures

I

for a list of instruments and n the 1960s, Bryan equipment the group would need.

Memorial Hospital gave “I already had the list in hand, three young physicians as before leaving my residency at the opportunity of a the Mayo Clinic I had made a fairly lifetime — to be on the detailed list of everything needed front lines of building the to start an open heart surgical first cardiac surgical program program, just in case I ever had the in Lincoln. Cardiovascular opportunity to live out my dreams,” surgeons Stephen Carveth, MD, Dr. Carveth recalls. and Herb Reese, MD, along with The three physicians already cardiologist Walt Weaver, MD, were acquainted. Dr. Reese and Dr. led the team that developed a Carveth had graduated together successful and highly respected from the University of Nebraska program that has improved the Medical Center in Omaha, and lives of thousands of patients.

Stephen Carveth, MD, (right) shares memories Dr. Weaver had grown up with Dr. Fifty years ago, on Oct. of the early years of open heart surgery at Carveth in Lincoln.

26, 1966, this cardiac team Bryan. Here he’s performing a procedure Dr. Carveth says, “We all had made history by performing with Bob Buchman, MD. different strengths and different the first open heart surgery in roles. Walt had helped set up a Lincoln. “We were pioneers cardiac catheterization lab during who believed we could make a his residency, so that was his responsibility, and Herb and I had difference,” says Dr. Carveth. And they certainly did. a lot of cardiovascular training. We had an agreement among the three of us that it was going to be a team approach to develop The journey this program and that everyone involved, regardless of role, was Bryan’s journey to cardiac excellence began in 1964 when a critical cog in development of a successful program.” the hospital’s president, Eugene (Gene) Edwards and internist Prior to the first open J.C. Thompson, MD, acted on their vision to build the cardiac heart surgery, the group program. Area patients were burdened with traveling out of state put in place the cardiac for cardiac treatment and surgery, and the pair was confident resuscitation program, the they could put together a high-quality program so patients could cardiac catheterization lab stay in Lincoln. and Nebraska’s first intensive Dr. Thompson paved the way with Bryan leadership and care unit (ICU). In addition, the other hospitals to designate Bryan as the heart hospital, nurses and heart/lung and Gene focused on personnel and equipment. Since the field technicians were trained for was so new, there were very few specialists committed to heart the significant roles they surgery at that time, but Gene had in mind the physicians he would play in the program. wanted for the program.

Starting in 1966, the heart Cardiothoracic surgeons Herb Reese, He asked Dr. Carveth, who was stationed in Wurzburg, team was performing one Germany at the time, if he was ready to start building the MD, (left) and Mike Breiner, MD, open heart surgery a week, program. The surgeon gave a resounding “yes,” so Gene asked pioneered many new operations.

8 Fall 2016

50 YEARS OF HEART SURGERY team at University of Nebraska home football games. This was the first program of its kind in any stadium and through the years has resuscitated many overly excited fans, who could then see more Husker games. n In 1971, Bryan assisted the city of Lincoln to become the sixth in the country to have an emergency medical service (EMS) with 911 in operation. The Bryan Mobile Heart Team was an important part of that service, responding to the scenes of heart attacks and other serious incidents. n In 1975, Bryan’s own Advanced Cardiac Life Support (ACLS) program became the American Heart Association’s approved national training program.

In a 2011 interview, months before his passing, Dr. Reese reflected on his medical career with his son, Bryan Vice President David Reese.

and that progressed quickly to three a week. In 1970, the team performed Nebraska’s first coronary artery bypass graft, and then the number of surgeries snowballed, necessitating the addition of new patient rooms, labs and recovery areas.

Another major milestone occurred in 1986, when Lincoln’s first heart transplant was performed at Bryan. During the next decade, physicians performed more than 100 heart transplants and a dozen lung transplants at the hospital, making the program one of the most distinguished in the country. Through the ensuing years, surgical procedures were refined as technology advanced and less invasive procedures became available.

During these early years, the program also made important contributions to local and national communities.

Dr. Carveth (center) assists Walt Weaver, MD, during a procedure in the first cardiac catheterization lab at Bryan.

n In 1966, Bryan

initiated a life support

Dr. Carveth says, “What we did as a team to create those programs is best stated by the American Heart Association’s award to us in 1992.”

According to the AHA, “This is recognition of your seminal contribution of systems of delivery of pre-hospital and in-hospital emergency cardiac care, and the American Heart Association’s ACLS Training Course.”

After 28 years as a cardiovascular surgeon at Bryan, Dr. Carveth retired in 1992, but he’s continued to monitor the program’s progress. Describing major changes he’s seen since his retirement, he notes that preoperative care is much more sophisticated technologically, so physicians are able to make more accurate diagnoses of cardiac problems and also make better determinations as to whether The late Dr. Weaver was patients should be treated among those who established medically or surgically.

Bryan as a leader in cardiac “And so many surgeries now care. are performed without the patient being put on a heart-lung machine, and aortic valves are being placed through catheters,” he says. “The advancements are just so amazing it’s difficult to put into words.”

Respecting the past “Being one of the first in Nebraska to perform open heart surgery was a big deal, and it is amazing they were able to put it all together as there were few programs to emulate,” says Bryan

Bryan Journeys 9

50 YEARS OF HEART SURGERY

Pioneering spirit still alive at Bryan the opportunity to sit in a room with all three physicians who pioneered Bryan’s cardiac surgery program. In addition to hearing them talk about starting the program, I would say thank you, from all of us, for having the insight and courage to start the program. They took risks that now seem unimaginable, but the result is they have saved many, many lives.”

Today retired heart surgeon Stephen Carveth enjoys operating a tractor on his acreage.

Embracing the future Though it has been 50 years since Bryan’s first open heart surgery, he believes the pioneering spirit still is alive at Bryan and in organizations throughout the world. “A great deal of research is being done, and industry is creating devices and ways to deploy new devices that are significant improvements over what we had even 10 years ago,” he says.

In the next 10 to 20 years, Dr. Thompson expects to see fully implantable mechanical circulatory support devices that can completely take over for the heart’s function. Though coronary artery surgery will continue to be the best procedure for some cases, he predicts advances in valve technology will make open heart surgery for valve replacement a thing of the past.

Heart cardiothoracic surgeon Richard Thompson, MD. “They were really taking a big risk that required the commitment of the team, as well as that of administration, to make it happen.”

Dr. Thompson, who joined Bryan Heart in 2011, has been able to spend time with Dr. Carveth, even inviting him into the operating room to observe one of Dr. Thompson’s recent open heart surgeries.

Richard Thompson, MD, ap“I would love to have had preciates Lincoln’s pioneers.

10 Fall 2016

Maintaining team spirit Bryan’s commitment to innovation and being on the leading edge still rings true.

In the last five years, Bryan has embraced advances in mechanical circulatory support, left ventricular assist

devices (LVAD) and transcatheter aortic valve replacement (TAVR).

“Bryan represents all that is good in medicine. From the staff that works the

Robert Oakes, MD, (left) is part of the new generation of cardiothoracic surgeons.

floors to the administration, everyone has a true commitment to patient care unlike that I have seen in other places,” Dr. Thompson says. “An average heart surgery room includes six to 10 professionals, and though the surgeon may be the quarterback of the team, each person has a role that is critical to the success of the operation, from the anesthesiologist to the perfusionist, to the nurses to the operating room techs.”

The team spirit that guided Bryan’s open heart surgery pioneers is still embraced by the current cardiac surgery team — and that’s something we’re glad hasn’t changed. n To learn how you can support cardiovascular care, please contact the Bryan Foundation by calling 402-481-8605.

VIDEO

To watch a video about Bryan’s history of heart care, go to bryanhealth.org/heart50.

PAT I E N T E X P E R I E N C E

After heeding heart attack symptoms, Polly returns to the dance floor

W

atching 79- year-old Polly Andersen whirl around her home studio with Don, her partner in life and in dance, you’d never guess she’d ever be a candidate for a heart attack.

But she was at risk.

Polly Andersen is glad her physician recognized the symptoms of a possible heart attack for women.

This summer she noticed some unusual symptoms.

“For about two weeks, I was having pain in my jaw and upper throat,” she recalls.

“This was happening when I was walking at a fast pace — to keep in shape for dancing — and I just thought it

was simply heartburn. But then on June 28, I began experiencing nausea, so my family physician, Dr. James Carraher of Primary Care Partners, said I better get to the hospital.”

Cardiologist Ryan Whitney, MD, of Bryan Heart and the medical center team quickly concluded Polly had a blocked left anterior descending artery.

“Dr. Whitney has such a gentle manner. He told me not to be afraid, that they were going to take care of this. So I was taken right into the procedure room and felt relief as soon as they had placed the stent.”

She adds, in her soft Mississippi accent, “All the nurses treated me like family, and I think they did a really good job.”

After completing the first 10 weeks of the cardiac rehabilitation program at the Bryan LifePointe Campus, Polly says getting her strength and stamina back means everything.

“They’ve helped me recuperate quickly.”

She’s half of the Don & Polly duo — they’ve danced together for decades and taught thousands of Southeast Community College social dance students — and was eager to return to normal as

Gliding by a poster from earlier in their career, dance instructors Don and Polly Andersen remain fans of Swing and Latin dances.

soon as possible.

“We’re a team, so my goal was to get back to dancing,” she says. “Don and I are celebrating our 59th wedding anniversary, and we’ve been teaching this class with SCC since the 1960s. We’ve made many, many friends over the years through dance.

“It’s something we love to do, and all four of our children are good dancers, too.” n To learn how you can support cardiovascular care, please contact the Bryan Foundation by calling 402-481-8605.

Bryan Journeys 11

BRYAN HEART

Welcome, Dr. Shelstad

R

yan Shelstad, MD, was a freshman in college when his cousin became one of the first living liver transplant donors, helping to save his son’s life by donating part of his liver. The tremendously positive outcome of this surgery profoundly affected Dr. Shelstad and was instrumental in his decision to pursue medicine, and in

Dr. Ryan Shelstad of Bryan Heart

12 Fall 2016

particular, transplantation.

“I was so amazed at the power of modern medicine that during my general surgical residency at the University of Minnesota in Minneapolis — the same institution where my cousin’s son had received his liver transplant several years earlier — I planned to become a liver transplant surgeon,” Dr. Shelstad says. “But when I was introduced to heart surgery and cardiac transplantation, my interest transitioned into the fascinating world of cardiac surgery.”

Now immersed in that world as a cardiothoracic surgeon, Dr. Shelstad recently joined Bryan Heart’s cardiothoracic surgery group, where he is focusing part of his practice on surgical intervention for heart failure, such as implantation of mechanical assist devices, as well as valve replacements, to help improve the lives of cardiac patients.

When he was accepted into the Honors College at the University of Michigan, Dr. Shelstad was unsure whether to pursue medicine or economics, but by the time he received his undergraduate degree, he knew his heart was in medicine rather than in economics or business. He returned to his hometown for medical school at the University of Nebraska Medical Center College of Medicine in Omaha, served his general surgery residency and a research fellowship as part of his training at the University of Minnesota Medical School in Minneapolis, and he completed a cardiothoracic fellowship at the University of Colorado in Denver.

While completing his training in Colorado, Dr. Shelstad and his wife, Emily, began considering various locations for his practice, including Nebraska where they still have family. Dr. Shelstad had an idea of the type of practice he wanted to join,

and when he heard from a colleague that Bryan Heart was planning to add a partner to its cardiothoracic surgery group, he was intrigued by the organization’s reputation for being innovative and committed to staying on the leading edge of technology. Once they learned more about Bryan Heart and the Lincoln community, the couple knew this would be their new home.

“Several things brought me to Bryan Heart,” Dr. Shelstad says.

“First and foremost, it was the team of cardiologists and surgeons. They work together very well, are very supportive of one another and have excellent outcomes.

In addition, the Lincoln community is known as a great place to raise a family.”

Bryan Heart cardiothoracic surgeons Richard Thompson, MD, and Robert Oakes, MD, are enthusiastic about the addition of Dr. Shelstad to their practice.

“We are impressed with Dr. Shelstad’s background and experience, particularly in mechanical circulatory support and transcatheter aortic valve replacement (TAVR),” Dr. Thompson says. “We look forward to him being a member of the Bryan Heart team for many years to come.”

Returning to Nebraska Dr. Shelstad was born in Wiesbaden, Germany, and he and his parents moved back to Omaha when he was two years old.

Although he and Emily attended different high schools (he, Omaha Central and she, Duchesne), they enjoyed a mutual group of friends. After losing touch in college, a few chance meetings in Omaha while he was in medical school and she was visiting from California rekindled a friendship and led to a long-distance relationship that evolved into the couple marrying.

Emily, a professional graphic and textile

BRYAN HEART designer — who most recently worked as an in-house designer for Target — is immersed in raising the couple’s children. Evelyn, 5, and 3-year-old twins Oliver and Elliot keep their parents busy, although the family still takes time to enjoy cooking, hiking and exploring their new community.

And once they have settled into their Lincoln life, the Shelstads look forward to resuming a shared passion for traveling.

Dr. Shelstad is enthusiastic about Bryan Heart’s commitment to advanced therapies for end-stage heart failure with its left ventricular assist device (LVAD) program, which provides life-saving therapy for

patients awaiting a heart transplant or a long-term treatment for those who are not candidates for heart transplants.

Sharing common ground “As a Nebraskan, I feel like I have a common ground with my patients. We have Nebraska values, and I think that helps with both communication and trust,” he explains.

“Our patients undergoing procedures for cardiothoracic disease are experiencing very big events in their lives, so it is critical that we build strong relationships with them and their families so we can provide the information, guidance and support they

need while making such difficult decisions.”

He says, “Being a cardiothoracic surgeon is extremely rewarding. It sometimes takes long hours away from my family, and it took many years of training to get here, but it is all worth it. I am excited to be working with the excellent Bryan Heart team to improve the lives of people in our community.” n To see Dr. Shelstad’s bio and request an appointment online, go to bryanhealth.org/ drshelstad.

To learn how you can support cardiovascular care, please contact the Bryan Foundation by calling 402-481-8605.

Ryan and Emily Shelstad enjoy family time with daughter Evelyn and twin sons Elliot (left) and Oliver.

Bryan Journeys 13

PAT I E N T FA M I LY A DV I S O RY CO U N C I L

Their feedback helps us all

H

ealth care systems throughout the nation are recognizing the value of patient feedback.

While patient surveys have been the norm for a number of years, the new Patient Family Advisory Council at Bryan Health takes feedback and patient engagement to a higher level.

“We’re constantly working to bring patients and families into the organization in a way that will help improve quality, communication and care delivery,” says Angela Herbert, Quality and Patient Safety director. “With this new program, we’re shortening the feedback loop, with suggestions coming directly from the patient and family perspective each month. It’s a wonderful thing.”

Research required As the person who spearheaded the initiative, Angela had witnessed a number of organizations embracing a patient/ family feedback system. She began working to move the concept from idea to reality.

Diving into the research, Angela and her team examined similar councils out of state and reviewed countless literary articles that discussed the benefits of patient care feedback initiatives. After a few months, they had developed a charter and presented it to the leaders of Bryan Medical Center.

To educate the rest of the departments, physicians, partners and staff, the council members prepared a brochure and shared their vision.

Armed with a list of desired member

14 Fall 2016

characteristics, they began recruiting new members, and so the Patient Family Advisory Council was born.

The inaugural meeting was held in December of 2015.

Insights welcome The Patient Family Advisory Council has seven patient/family members and staff members from a variety of areas, including Volunteers and Customer Care, surgery, Organizational Quality and the Advancement Department. Each nonstaff member is required to have either personal or family-related experience at Bryan Health in the past three years.

Patients or family members who serve on the council are asked to make a two-year commitment.

Council members not employed by the hospital go through the volunteer screening and orientation process, as well.

“We work with potential council members to go through the volunteer process, which includes health screenings and background checks, as well as an interview. The final selection is based on the need at hand,” says supervisor Sarah Carter, Volunteers and Customer Care.

The Patient and Family Advisory Council meets for 90 minutes each month, reviewing information, offering feedback about specific initiatives and learning from informational speakers and representatives within specific departments at Bryan Health.

Council member Deidra Parker says the meeting time goes by very quickly but can be quite powerful for the patient and

family experience at Bryan Medical Center.

“I have a son who is disabled, so we’ve spent many hours at Bryan,” she says. “I’ve also been a patient at Bryan, and I work in the medical profession, so it’s very fulfilling to implement the types of changes that lead to better care and increased patient satisfaction in a variety of areas.”

Deidra says she enjoys offering feedback in a way that creates a better experience for patients.

“We’re not afraid to speak our minds, give ideas and build on one another’s suggestions.”

One such exercise sent Deidra and other council members on a way-finding experiment to assess the signage and directions throughout the hospital. Not only did this identify problem areas, but it demonstrated the power of ground-level patient feedback.

Seeking feedback “Council members observed whether or not they were greeted or offered help, and whether or not our signage is adequate,” says Sarah. “This helps because the hospital can be a big and confusing place to navigate as a patient or family member.”

Additional projects the council has been part of include feedback on “What I Need to Know” (the admission booklet given to each patient at Bryan Health), the patient portal (myHealth24-7), a presurgical patient information letter, and the definition and strategy of personalized care at Bryan Health.

PAT I E N T FA M I LY A DV I S O RY CO U N C I L

Angela and her team have been impressed by the enthusiasm and feedback of all those involved.

“They have done a phenomenal job getting to know one another, as well as the organization,” she says. “It’s rewarding to hear people share stories about why they wanted to join in.

“They believe in Bryan and donate their time to help us get better!”

For patients and families looking to

get involved, Angela says every little thing matters.

Looking to improve “Patient surveys and discharge phone calls are just as important since we bring many of those ideas to the council,” she says. “We’re watching for how we can improve in all areas.”

As the parent of a frequent patient at Bryan, Deidra appreciates the honesty

and the commitment to continual improvement.

“It’s great to see how all the entities of the hospital work together. We get a behind-the-scenes look at how they’re improving every little detail.” n To learn more about the Patient Family Advisory Council, contact Sarah Carter at 402-481-3032.

Patient Family Advisory Council members are (seated from left) Diedra Parker and Cathy and Greg Hershberger, and (standing) Ellen Beans, Sarah Carter, Bob Ravenscroft, Terri Kattes, Kristy Miller, Becky Hansbrough, Quintin Penner, Stephanie Fickenscher, Elaine Thiel and Angela Herbert.

Bryan Journeys 15

NEW AT BRYAN

Surgery center answers need

B

ryan Health is responding to an expected growth in outpatient procedures by building a forwardthinking ambulatory

surgery center.

Crews began groundwork on the $25 million facility in the spring. The building is northeast of the medical center on the Bryan East Campus.

“More and more health care is moving to an outpatient model, with only the more complex surgeries that

require longer lengths of stay being performed in a traditional hospital environment,” says John Woodrich, Bryan Medical Center president and chief operating officer.

“We’re seeing a tremendous increase in preference for outpatient procedures, but space is at a premium. That’s why we’re building this center.”

How does this differ from other surgery centers in Lincoln?

Woodrich points out, “We will be offering a wide variety of specialties, as well as the convenience of being

a stand-alone surgical center that’s attached to the medical center by a skywalk.”

The as-yet-unnamed center is a joint venture between Bryan and more than 60 area physicians. Outpatient procedures in the areas of gynecology, podiatry, plastic surgery, orthopedics, dental and general surgeries will be provided there.

“This will free up surgical suites in the medical center on the Bryan East Campus for the more complex operations that require post-surgical hospitalization,” Woodrich points out.

WHAT’S INSIDE The ambulatory surgery center is going up northeast of the medical center, in an area bounded by A and Everett and 50th to 52nd streets.

When finished in 2018, it will have four stories. n First floor will be the surgery center. n There will be six surgical suites initially; this number can be doubled when needed.

16 Fall 2016

n

This is a joint venture between Bryan and more than 60 physicians. n Physician offices will be on the upper three floors. n The center will offer a wide range of specialties. n There will be a separate parking lot for patients’ convenience, and a skywalk will attach the facility to the medical center.

The new facility will open in 2018.

NEW AT BRYAN

for outpatient care options The new surgery center will occupy the entire first floor — about 17,000 square feet — of the fourstory building. There will be six surgical suites initially, with room to expand.

Floors two through four will house physician offices.

Currently, outpatient surgeries are conducted through the Bryan Medical Plaza, which shares its operating

rooms with the medical center.

When the ambulatory surgery center opens in 2018, operating suites on the Bryan East Campus can be renovated. Woodrich says those suites need to be enlarged to accommodate emerging health care technology. Outpatient surgeries also will continue to be offered on the Bryan West Campus.

Woodrich says Bryan’s ambulatory

surgery center is being planned to serve the needs of a growing Lincoln and surrounding region for the next 20 to 30 years.

Early estimates are that 5,000 surgeries a year will be performed at the new facility — and the building is designed to expand when necessary, doubling the number of surgical suites to meet increased demand. n

Bryan Journeys 17

BRYAN COLLEGE OF HEALTH SCIENCES

College welcomes new president

Dr. Lloyd sees bright future for Bryan students “Hi. Call me Rich.”

On a radiant Wednesday afternoon in the sun-lit front lecture hall of Bryan College of Health Sciences, the school’s new President, Richard Lloyd, PhD, is speaking to students about Bryan Health’s core values. These include one team, one purpose; care like crazy; motivate and appreciate; and enjoy the journey. As a former English professor, his passion for education overflows as he illustrates that inspiration to do great work for others is everywhere around us.

The students are laser-focused as he reads “To be of use” by Marge Piercy. “The people I love the best; jump into work headfirst; without dallying in the shallows; and swim off with sure strokes almost out of sight.” He has asked the students to call him “Rich” and explains that the poem represents the mission of Bryan in many ways stating, “To move things forward, together, in a positive way — that’s the goal.”

The themes of collective advancement and servant leadership are strong throughout conversations with Dr. Lloyd.

Beginning as president on July 1, he has certainly jumped into work headfirst, on a mission to serve and inspire others to serve, too.

Rich and his spouse, Monica, are thrilled to be back in Nebraska.

As a Hastings native, he earned an undergraduate degree in English from Hastings College, a master’s from Emporia State College in Emporia, Kansas, and a doctorate in English from the University of Nebraska-Lincoln.

He brings an impressive background

18 Fall 2016

in higher education administration, having served for more than 20 years on the Hastings College English Department’s faculty. At various times, he also was vice president of Academic Affairs, dean of faculty and vice president for College Initiatives.

In addition to his decades of higher education experience, he has been active in health field boards. Most recently, Dr. Lloyd served the last four years as President of the College of Saint Joseph in Rutland, Vermont. While there, he served on the Rutland Mental Health and Rutland Regional Medical Center boards.

Rich sums up his new position as “an

honor to serve.” In fact, his entire career has been in service to students, and he is excited for this opportunity. It is a feeling of energy that one finds at the college with classes now under way for the 20162017 school year.

He says, “In the fall, there is that moment at which everything begins.

With everyone back on campus, there is an excitement that is energizing. To see students at all levels of degree programs, it once again gives great hope to the world.

“At this college, there is an enthusiasm about possibilities and what lies ahead as students advance and achieve their career aspirations. To be on the delivery side and

Rich Lloyd introduces himself to Student Government Association members Allison Beekman, (left) President Abigail Burenheide and Kyle Steinhauser.

BRYAN COLLEGE OF HEALTH SCIENCES

Rich says he will try to model a philosophy of servant leadership at Bryan.

to be a part of that environment as an educator, a teacher, or an administrator facilitating that great work on behalf of others is a true blessing.”

In his first few months, this new president has submerged himself in Bryan College of Health Sciences. He has been meeting with faculty and staff, as well as community members and supporters of the college to hear their thoughts and perspectives. In these conversations, he has found what he knew to be true — that Bryan College, and the Bryan Health system as a whole, are greatly appreciated and respected in Nebraska.

“I’m pleased that Bryan is in a position of strength. It’s a great place from which to start. The college has had strong leadership and has a great reputation with those whom we serve. There is a strong recognition of the great work of Bryan in our community, and that brings forth

wonderful community support.”

He notes that supporters of the college share with him a common awareness: “Bryan Health is remarkable.

Outcomes for students are stellar. The college and organization is a truly great place.” However, that doesn’t stop Rich from asking the question, “Where can I add value?” Looking at organizations strategically, seeing the clear goal and planning a path to said goal is a focus for him.

Reflecting on his leadership style, he shares his motivation of enriching the lives of others, building better organizations, and ultimately creating a more connected and caring world where individuals feel fulfilled in life by doing good for others, the definition of servant leadership.

“I believe in servant leadership and try to model that philosophy. The goal is to create, foster and sustain an environment of excitement, of inclusiveness, of

excellence, of goodness, and to work very hard to ensure that there is a culture where they flourish and succeed. For me, it’s facilitating and working to establish an environment where people are happy and of which they want to be a part.”

Looking forward, Dr. Lloyd sees a continued bright future for students, faculty, and the community associated with Bryan College of Health Sciences.

He says, “At Bryan College of Health Sciences, we are doing meaningful work for a meaningful purpose and not everyone gets to say that about his or her days.” However, for students at the college, it’s clear that with Rich’s example of servant leadership, the next generation of health care providers will be able to go forth into this world and do meaningful work for a meaningful purpose. n To support Bryan College of Health Sciences, please call 402-481-8605.

To learn more about Bryan College of Health Sciences, visit bryanhealthcollege.edu.

Major gift officer DeEtta Mayrose is one member of the Bryan Foundation team that works closely with the new president.

Bryan Journeys 19

BRYAN REHABILITATION SERVICES

Center helps patients improve balance, manage conditions

O

ne place you’ll typically find Margaret Williams is at the starting line of a road race.

While she’s been running races for most of her life, an ongoing battle with vertigo almost brought her running to a standstill.

“Over the last 30 years, I’ve lived with benign paroxysmal positional vertigo,” says Margaret. “When my vertigo hits, it makes it nearly impossible to walk, focus or move, let alone run.”

Margaret was referred to the Bryan Center for Dizziness and Balance about three years ago, when she started working with physical therapist Polly Kubik.

“We begin with a patient history,” says Polly. “Then, based on the information gathered and the assessment of symptoms, we can utilize a number of tests to form an individualized treatment plan.”

One of those tests involves an innovative technology called the NeuroCom Balance Master. This machine evaluates a person’s three major systems involved in balance (visual, kinesthetic and inner ear) by using a highly sensitive force plate and enclosure system. The Balance Master compiles data to measure the effectiveness of these balance systems and how any problems might be affecting a person’s balance.

In Margaret’s case, the therapy team needed another tool to record and monitor her eye movements to determine the issue going on with her inner ear.

“We have video Frenzel goggles that

20 Fall 2016

Physical therapist Polly Kubik and volunteer Sharon Genthe demonstrate portable equipment used for balance screenings in the community.

BRYAN REHABILITATION SERVICES

do that very thing — monitor and record eye movements,” Polly explains. “The inner ear and nerves that control the eye muscles are connected, so

this test gives us a wealth of information regarding inner ear issues to determine the type of vertigo we’re dealing with.”

Polly and co-worker Laura

Polly uses video Frenzel goggles to monitor Margaret Williams’ eye movements during different conditions and positions.

What the video Frenzel goggle system records will help the therapy team determine what’s impacting Margaret’s inner ear and causing her severe vertigo.

Corbridge are specially trained physical therapists for the Bryan Center for Dizziness and Balance. Having completed Emory University’s certification of vestibular competency, they work with patients to improve their balance, but also work with the public through balance screenings and education to prevent falls.

For those struggling with balance or dizziness, Margaret has some sound advice.

“Don’t just live with it; do something about it,” she says.

“You have to be an

advocate for your health, and that means seeking out the Center for Dizziness and Balance so you can learn how to manage your condition and go on with your life.” n To learn more about services of the Bryan Center for Dizziness and Balance, call VIDEO 402-481-9445, or visit bryanhealth.org/balance.

To learn how you can support Bryan Health, please call 402-481-8605.

Bryan Journeys 21

MEDICAL STAFF SPOTLIGHT

Ask the providers: APP? NP? PA? CNS? What are their roles at Bryan?

P

atients are benefiting from the efforts of advanced practice providers (APPs).

In the following interview, these providers describe their roles in modern health care: Cindy Hammond, DNP, advanced practice registered nurse (APRN) with Gastroenterology Specialties and Lincoln Endoscopy Center; Mike Koebernick, certified physician’s assistant (PA-C) at Lincoln Orthopaedic Center; and Sarah Schroeder, mechanical circulatory support nurse practitioner (NP) and program coordinator at Bryan Heart.

Q: Who fits into the category of APP? Sarah: APP generally means a nurse practitioner (NP), physician’s assistant (PA), or a clinical nurse specialist (CNS). Until the recent name change to advanced practice providers, we were sometimes referred to by the nickname, “mid-level.”

Mike: I’m comfortable with various titles and categories. I think what is most important is that patients know we are well-educated and trained, and we work hard to help patients reach their best outcomes.

Q: How independently do you work? Is a medical doctor involved in overseeing your work, or do you have broader responsibilities?

Sarah: My role is unique from most NP jobs.

As the mechanical circulatory support (MCS)

22 Fall 2016

nurse practitioner and program coordinator for Bryan Heart, I work very closely with two surgeons and two cardiologists who have additional experience in implanting ventricular assist devices (VAD). I have a degree of oversight; however, I look at it being more of a collaboration as I am able to make decisions on my patients, fully knowing that I couldn’t do my job effectively without the great teamwork from the physicians, the other MCS coordinator, and the staff at Bryan. I oversee and manage everything within this program from initial consultation of the patient and educating

patients and their families, as well as hospital staff and the community, implantation of the device, post-operative management and outpatient care of any patient with a VAD. Additionally, I am responsible for the programmatic side of overseeing the management of all equipment, scheduling multidisciplinary meetings and monitoring the financial aspect of an ever-growing program.

Cindy: When I first started with Gastroenterology Specialties 13 years ago, we always were paired with a doctor — now, when we’re in the office, we have full practice authority as advanced practice providers, so we work more independently.

We have gone from two NPs to seven NPs and two PAs.

Mike Koebernick, PA-C

Sarah Schroeder, NP

MEDICAL STAFF SPOTLIGHT One thing in our group I appreciate is that we use a team approach — so, even if a nurse practitioner or PA sees the patient, a physician still is involved in the care, if needed, and there still is communication between the APP and physician about the patients.

Mike: I primarily work under the guidance of Geoffrey McCullen, MD. We specialize in spinal surgery. Having worked with Dr. McCullen for more than 15 years, I have a lot of autonomy, but always with proper oversight and cooperation as a team.

Q: What sort of extra education and training do APPs need?

Sarah: I have ongoing education that I participate in throughout the year to maintain an expert status related to VAD therapy.

A good majority of my years as a nurse (nearing 15 years) have been in some form of cardiac care. I started on the progressive care unit at Bryan and worked there until taking a position as an office nurse for

Cindy Hammond, DNP, APRN

the Lincoln Family Medicine Residency Program in 2007. My family moved to Cheyenne, Wyoming, where I was a staff nurse at a children’s clinic. After I graduated with my Master of Science in Nursing (MSN) with an acute care focus, I passed boards and moved to Rochester, Minnesota, to start my first NP job as an MCS Coordinator at the Mayo Clinic.

We moved our family back to Lincoln in 2011, and I became an inpatient cardiology nurse practitioner at Bryan Heart. I transitioned to the MCS program coordinator position in April 2014 and have been there ever since.

Cindy: I graduated from the University of Nebraska Medical Center in Omaha with my Bachelor of Science in Nursing (BSN) in 1998.

I initially worked in the neonatal intensive care unit (NICU) as a new graduate but moved to western Nebraska to go back to generalized nursing. While in my hometown of Sidney, I earned my MSN-Family Nurse Practitioner.

After graduation, we moved back to Lincoln, and I started with Gastroenterology Specialties in 2003. I then decided to go back for my Doctor of Nursing Practice (DNP) while working full time and graduated in 2013.

Mike: Generally speaking, after undergraduate school, PAs go to a master’s program from an average of 24 to 32 months. We complete 100 hours of continuing education every two years and take a recertification exam every six years.

I grew up in South Sioux City, Nebraska, and completed my undergraduate degree at University of Nebraska-Lincoln in Biology. I completed the accelerated Bachelor of Science in Nursing (BSN) program, followed by a PA degree at St. Louis University. I was a PA at Neurological and Spinal Surgery before my current position at Lincoln Orthopaedic Center.

Q: Please tell us something about yourself: Where did you grow up? What influenced your decision to go into this medical field?

Cindy: I grew up in Sidney. I wanted to go into health care since I was young because of my personal experiences of seeing so many medical doctors due to a tumor in my arm

at birth. When I graduated with my Nurse Practitioner, my husband, Merlin, and I moved back to Lincoln.

I did not initially know where I wanted to work but after working for Gastroenterology Specialties, I quickly learned a lot, and the physicians have been super supportive of my growth. Throughout my career, the physicians have taught me a great deal and I continue to learn daily. Merlin and I have two children — Trenton, 14, and Meghan, 11.

Sarah: I was born and raised in Lincoln. Since the time of being two, I lived one block north of the Bryan East Campus, where I was born.

I remember many summers spending time eating in the cafeteria with friends whose parents worked at Bryan.

It is hard to remember what it looked like way back when. I think every nurse has a story — the one that is pivotal as to why they chose nursing. I’m no different. I was actually PreMedicine with a biology focus in my freshman year at the University of Nebraska-Lincoln. I was hospitalized in the pediatric unit at Bryan for five days from a severe illness. I remember having a student nurse who was passionate about her profession. She went out of her way for me. We visited a lot about how excited she was to start into the nursing profession.

Years later, I would come to know this student nurse very well as she was one of my mentors in my first position, and we’re still friends.

Mike: Being born and raised in northeast Nebraska, I have always gotten to see the best in people. Nebraskans are good, honest and hard-working people who care about themselves, their families and communities, and most importantly others. Part of this caring for others is a highlight of my career.

As a kid, I was always interested in science and was fortunate enough to come from a family that valued a strong educational background, so I’ve always appreciated learning and knowledge-building. The medical field presents unique challenges, and it is a true privilege to help people in their time of need. Our job as PAs is to empower patients

Bryan Journeys 23

MEDICAL STAFF SPOTLIGHT with education and knowledge. In turn, this allows the individuals we help to live better lives.

It’s incredible to spend time with patients and help them arrive at educated decisions that lead to their best outcomes.

Q: How does what you and your colleagues do affect health care in our community? How can what you do help others at Bryan do their jobs better?

Cindy: Transforming the health care system and the practice environment will require a balance of skills and perspectives among physicians, nurses and other health care professionals. With the demand for primary care services already straining capacity in most states, more than 16 million individuals projected to gain health insurance coverage by 2016, and a rapidly aging population, many states are considering options to increase the number and role of APPs. Sarah: People of Lincoln and surrounding communities are fortunate to have such amazing and expert care at Bryan. APPs add to this excellent care and health care knowledge.

We help bridge the potential gap that is often created in health care, due to the everincreasing ages of those in medicine. In my specific profession, we have brought a leading treatment for heart failure to this community, as an option for patients who may be transplant candidates. Before our program was resurrected in 2012, there was only one implanting center in the state. Bryan Heart goes to more than 30 clinic sites across four different states, which allows us to provide this additional health care option.

Mike: We’re part of a team. We’re extensions of physicians that allow doctors to have more time to work with patients and our communities at large. This allows us to build strong, trusted, collaborative efforts in health care.

Like all areas of life, time and resources are limited, and yet the collaborative

24 Fall 2016

relationship within the Bryan community leads to better patient care and satisfaction.

Q: In what circumstances would I or my loved one be cared for or treated by an Advanced Practice Provider? Am I referred to you, as with other specialists?

Cindy: With the growing complexity of health care and diminishing availability of physicians, many patients are seeing nurse practitioners for their primary care needs, as well as specialty care needs. Nurse practitioners help patients manage acute and chronic illnesses. They conduct physical exams and perform diagnostic tests and procedures. Nurse practitioners diagnose and treat patients from childhood to adulthood.

Nurse practitioners are registered nurses who have an advanced training.

Nurse practitioners are allowed under state regulations to provide many of the same services performed by physicians. These services are diagnosing and treating health problems; performing prenatal, well-child, and adult care checkups; diagnosing and managing minor trauma, including suturing and splinting; prescribing medications; and teaching health promotion and disease prevention to patients.

Sarah: APPs can provide care in the hospital setting, clinic setting or community setting.

Sometimes it is direct patient care, sometimes those taking care of patients were taught by the APPs. Again, having such a unique position, patients are referred to us in a variety of ways — their primary cardiologist, primary care provider or even the patient’s themselves have called us directly. I am proud of the MCS program we have at Bryan and the patients that I care for as an APP. Mike: Through my collaborative work with Dr. McMullen, I see new patients and assist in surgery and with post-op care and followup visits. Physician’s assistants spend time with patients, educate them and work to ensure their needs are met and their lives are improved. n

Welcome to Bryan These advanced practice providers began working at Bryan Medical Center in recent months: Jennifer Austin, APRN, Nebraska Hematology-Oncology; Andrew Brown, PA-C, Nebraska Orthopaedic & Sports Medicine; Colleen Carpenter, APRN, Bryan Acute Pain Service; Sarah Dolezal, PA-C, Nebraska Pulmonary Specialties; Jessica Harper, PA-C, Surgical Associates; Austin Henslee, PA-C, Surgical Associates; Cynthia Hollister, LCSW, Bryan Counseling Center; Molly Humlicek, PA-C, Nebraska Trauma & Acute Care Surgery; Larissa Hunsberger, PA-C, Nebraska Pulmonary Specialties; Sarah McCaslin, PA-C, Inpatient Physician Associates; Jennelea Montanez, PA-C, Nebraska Spine & Pain Center; Kimberly Piening, PA-C, General Surgery Associates; Jennifer Price, PA-C, Prairie Orthopaedic & Plastic Surgery; Suzanne Sailer, APRN, Prairie Orthopaedic & Plastic Surgery; Cynthia Sayers, APRN, Bryan Bariatric Advantage; Serena Schweitzer, APRN, Inpatient Physician Associates; Megan Stitt, APRN, Inpatient Physician Associates; Casandra Tucker, PA-C, Nebraska Orthopaedic and Sports Medicine; Lindy Vakoc, APRN, Inpatient Physician Associates.

MEDICAL STAFF UPDATE

New faces at

Bryan

Noah Beadell, MD, neurology, has joined Bryan Neurology, part of the Bryan Physician Network, 402-481-4474.

Dr. Beadell graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2010 and completed residency training in neurology and a fellowship in vascular neurology at the Oregon Health and Sciences University, Portland.

Dr. Beadell collaborated on several published research studies and has presented his findings at national and international medical conferences.

Erik Bowman, MD, gastroenterology, has joined Gastroenterology Specialties, 402-465-4545.

Dr. Bowman graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2009. He completed a residency in internal medicine, as well as fellowship training in gastroenterology, hepatology and advanced endoscopy at the University of Wisconsin, Madison.

Dr. Bowman’s research related to endoscopy has been published in several medical journals. During his medical training, Dr. Bowman performed volunteer work, including at clinics for underserved patients.

Josue Gutierrez, MD, family medicine, is associated with Saline Medical Specialties in Crete, 402-826-3222.

Dr. Gutierrez graduated from the University of Arkansas for Medical Sciences College of Medicine, Little Rock, Arkansas, in 2013 and completed the Lincoln Family Medicine Residency Program.

He has performed extensive medical volunteer work for underserved patients in Arkansas, Mexico and Guatemala, and he volunteers at Clinic with a Heart in Lincoln.

Welcome these colleagues to the Bryan medical community Tina Kearney, MD, family medicine, has joined Lincoln Family Medical Center, 402-483-4591.

Dr. Kearney graduated from the Saint Louis University School of Medicine, St. Louis, Missouri, in 2005, where she then went on to complete a residency in family medicine.

She was an assistant clinical professor in Family and Community Medicine at the Saint Louis University School of Medicine while serving on the Saint Louis University Family Medicine Residency faculty. She also held a joint appointment as clinical instructor with the Uniformed Services University of Health Services.

Sachin Lamichhane, MD, internal medicine/hospitalist, has joined Inpatient Physician Associates, 402-481-8566.

After receiving his medical degree in St. Petersburg, Russia, Dr. Lamichhane worked as a physician in Kathmandu, Nepal, and Lesotho in Africa. He completed an internal medicine residency at St. John’s Episcopal Hospital, Far Rockaway, New York.

Before moving to Lincoln, he was a hospitalist at Ministry St. Clare’s Hospital, Weston, Wisconsin, where he chaired the Infection Prevention and Control Committee.

Kailash Mosalpuria, MD, hematology/oncology, has joined Nebraska Hematology/Oncology, 402-484-4900.

Dr. Mosalpuria graduated from the All India Institute of Medical Sciences, New Delhi, India in 2005, then earned a master’s in public health from the University of Texas School of Public Health, Houston. Dr. Mosalpuria completed an internal medicine residency through Columbia University in New York and fellowship training in hematology/oncology at the University of Nebraska Medical Center, Omaha. He has collaborated on research and presented his findings in national journals and at national conferences. An avid athlete, he enjoys basketball, volleyball, soccer and badminton.

Bryan Journeys 25

MEDICAL STAFF UPDATE Benton (Ben) Nelson, MD, otolaryngology-head and neck surgery, has joined ENT Specialties, 402-488-5600.

Dr. Nelson graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2011 and completed a general surgery internship and a residency in otolaryngology-head and neck surgery at the Indiana University School of Medicine, Indianapolis.

Dr. Nelson’s interests include football, running, soccer, hiking, home brewing and cooking. He is married to Shelley Nelson, MD, of the Lincoln Pediatric Group.

Shelley Nelson, MD, FAAP, pediatrics, has joined the Lincoln Pediatric Group, 402-489-3834.

Dr. Nelson graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2011 and completed pediatric residency training at the Indiana University School of Medicine, Indianapolis.

Dr. Nelson previously served as a newborn hospitalist at St. Vincent Women’s Hospital in Indianapolis and Fishers Hospital, Fishers, Indiana.

Her professional interests include international adoption care, adolescent medicine, and renal and newborn medicine. She is married to Dr. Ben Nelson of ENT Specialties.

Dayana Patera, MD, internal medicine, has joined Nebraska Internal Medicine, 402-441-3400.

Dr. Patera received her medical degree from the Universidad Central de Venezuela, Caracas, Venezuela, in 2005 and completed residency training in internal medicine at Creighton University Medical Center in Omaha in 2012.

While serving as a hospitalist in Lincoln, Dr. Patera was an instructor in the Family Medicine Residency Program through the Lincoln Medical Education Partnership.

She also served as a primary care physician in a rural community in Venezuela and as a volunteer physician in remote rural villages in the Dominican Republic.

Chase Pruitt, DDS, MD, oral/maxillofacial surgery, has joined Nebraska Oral & Facial Surgery, 402-327-9400.

Dr. Pruitt received his medical degree from Mayo School of Graduate Medical Education, Rochester, Minnesota, and his dental degree from the University of Nebraska Medical Center College 26 Fall 2016

of Dentistry, Lincoln. He completed his general surgery internship and special clinical fellowship at the Mayo Clinic; following this, in 2010 he completed a residency in oral and maxillofacial surgery.

Dr. Pruitt has a particular interest in the medical, dental and surgical management of snoring and obstructive sleep apnea. He and his wife, Chrissy, have a son, Max. In his free time, he enjoys playing golf and watching football.

Aaron Robinson, MD, otolaryngology-head and neck surgery, has joined ENT Nebraska, 402-484-5500.

Dr. Robinson graduated from the Saint Louis University School of Medicine, St. Louis, Missouri, in 2011, and completed residency training in otolaryngology-head and neck surgery at the University of California, Davis Medical Center, Sacramento.

Dr. Robinson collaborated in several published research studies on otolaryngologyhead and neck surgery. His areas of particular clinical interest include swallowing dysfunction, pediatric otolaryngology and endocrine surgery. Dr. Robinson is fluent in Japanese, Portuguese and Spanish.

Nabin Sapkota, MD, internal medicine/hospitalist, has joined Inpatient Physician Associates, 402-481-8566.

Dr. Sapkota received his medical degree from Shanghai Second Medical University, Shanghai, China, in 2002 and completed residency training in internal medicine at the John Stroger Jr. Hospital of Cook County, Chicago. He has nine years of experience as an internist and hospitalist in Norfolk and Omaha and is fluent in Mandarin Chinese, Nepali, Hindi and Urdu. Dr. Sapkota and his family enjoy kayaking, hiking, snowshoeing and astronomy.

Ryan Shelstad, MD, cardiothoracic surgery, has joined Bryan Heart Cardiothoracic Surgery, 402-483-3255.

Dr. Shelstad graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2005. He completed a general surgery residency at the University of Minnesota Medical School, Minneapolis, and a cardiothoracic surgery fellowship at the University of Colorado, Aurora.

Dr. Shelstad has collaborated in several

MEDICAL STAFF UPDATE research studies and presented his findings at national meetings on cardiothoracic surgery. He studied economics as an undergraduate student and remains interested in globalization economics and public health, international health care and medical volunteerism.

Other interests include hiking, mountain climbing and the performing arts.

Craig Sitzman, MD, neonatology, has joined Heartland Neonatology Associates, part of the Bryan Physician Network, 402-481-7333.

After graduating from the University of Nebraska with an undergraduate degree in biology, Dr. Sitzman received his medical degree from the University of Nebraska Medical Center College of Medicine, Omaha, in 2010. He completed residency training in general pediatrics and a fellowship in neonatal and perinatal medicine at the University of Missouri, Kansas City.

He has performed research regarding delivery of oxygen to low birth weight newborns during transport and presented his findings at a national pediatric medical conference.

Douglas States, MD, family medicine, has joined Lincoln Family Medical Center, 402-483-4591, and is a new faculty member in the Family Practice Residency Program through the Lincoln Medical Education Partnership.

Dr. States graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 1992 and completed the Clarkson Family Practice Residency in Omaha.

He received his undergraduate degree in mechanical engineering at the University of Nebraska, Lincoln, and is a member of the Tau Beta Pi National Engineering Honor Society.

Dr. States has over 20 years of experience as a family physician in North Platte, where he will also continue to practice.

Diane Topolski, MD, internal medicine/hospitalist, has joined Inpatient Physician Associates, 402-481-8566.

Dr. Topolski graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2013 and completed residency training at the Medical University of South Carolina, Charleston.

Dr. Topolski has conducted research on multiple medical topics, including an observational study on home-based hospice

care for patients with congestive heart failure.

Danny Tylka, DDS, MD, oral and maxillofacial surgery, has joined the practice of Monte Zysset, DDS, 402-423-7171.

Dr. Tylka received his doctorate of dental surgery from the University of Nebraska Medical Center College of Dentistry, Lincoln, in 2010, and his medical degree from the University of Louisville School of Medicine, Louisville, Kentucky in 2013. He completed his certification in oral/maxillofacial surgery at the University of Louisville School of Medicine.

Dr. Tylka participated in dental mission service trips to Haiti in 2009, 2010 and 2013 and has worked with Clinic with a Heart to provide free dental services to underserved patients in Lincoln.

Amy Vertin, MD, family medicine, has joined Bryan Medical Staff as the order set program physician leader, 402-481-8114.

Dr. Vertin graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 1999 and completed the Family Practice Residency Program through the Lincoln Medical Education Partnership. She has worked extensively in rural emergency medicine in Nebraska over the past 12 years, serving as an emergency room physician in Columbus and Crete. Dr. Vertin was actively involved in the electronic medical record conversion and build at Crete in 2014.

She will continue to serve as the emergency room medical director at the Crete Area Medical Center. Her interests include gardening, reading, swimming, travel and family activities.

Kelly Zach, MD, anesthesiology, has joined Innovative Pain and Spine Specialists, 402-413-5010.

Dr. Zach graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2011 and completed residency training in anesthesiology at the Mayo School of Graduate Medical Education, Mayo Clinic College of Medicine, Scottsdale, Arizona. He completed a fellowship in pain management at the Oregon Health Sciences University, Portland.

Dr. Zach has performed research in anesthesiology and pain management and presented his research at several national meetings.

Bryan Journeys 27

CRETE AREA MEDICAL CENTER

Community enjoys togetherness here It’s force of habit.

When we hear that someone just left the hospital or they are going there on this day or that, convention makes us think (or blurt): “What for?

Are you all right?”

It’s logical to connect clinics and hospitals to illness.

But what about wellness?

What about laughter and exercise, coffee and cards?

Groups, such as the local Interfaith Council, find a welcoming meeting place at CAMC.

push each other to exercise whether they feel like it or not.

When Rebekah Mussman began her role as president and CEO of Crete Area Medical Center, she noticed a surprising amount of community members using hospital spaces — a nice surprise.

Community presence adds something extra. “When I walk into the cafeteria to get a cup of water, there are usually people in the meeting space, laughing and having a conversation. It creates a different atmosphere,” she says.

That is a direction CAMC will gladly follow. “We want to be a part of the community — in people’s lives not only when they’re sick but for their overall well-being.”

The pockets of Participants of all ages enjoy working out together at Crete Area community visitors Medical Center. are easy to find.

T

he Crete Area Medical Center (CAMC) is a place for all those things, each day welcoming people who aren’t there because of health concerns in the traditional sense.

The medical center is their gathering spot. They meet around a conference table, call for bids on a bridge hand, or

28 Fall 2016

It’s the walkers on the walking trail and the group of women playing cards in the cafeteria. Mornings in the rehab area, it’s the group of men who show up to exercise together. If there’s a group of retired teachers trading memories and laughing — it must be a Tuesday, their meeting day.

The building’s planners incorporated open spaces, sun-lit places and spots to linger, and it’s one reason its spaces host events ranging from Ministerial Association meetings to the Suicide Survivors Support Group, that meet in the Healing Garden.

“We want people to look to us for health — whatever that means to them.

If that’s getting together with friends to exercise or to join a support group or to grieve, we want to be a part of their lives,” Rebekah says. n

Support groups and educational presentations are a normal part of life at CAMC.

BRYAN STERLING CONNECTION

Helping you be your best!

Your connection to fun, friends and information

Savor a scrumptious lunch buffet and a performance of “Dixie Swim Club,” starring Morgan Fairchild.

Since 1988, Bryan Sterling Connection has been here to help keep folks over 50 healthy and active. Here are benefits available to members:

St. Joe, Missouri, and the Solar Eclipse Monday, Aug. 21 Don’t miss this opportunity to see the solar eclipse. Special events include a lecture from an astronomer, viewing area for tour groups, exhibits and more.

n Community educational programs and

classes. n Journeys magazine. n Special events, including ice cream and holiday socials. n Travel opportunities. n Notary Public service. n Discounts in the Bryan Cafeterias and gift shops. n Discount on the enrollment fee at Bryan LifePointe. n Medicare Drug Plan events. n Discount on comprehensive blood screenings. n Annual flu vaccination clinic.

Not a member? Join today — it’s free!

Call us at 402-481-3355, or join online at bryanhealth.org/sterlingconnection.

I

n the coming months, you will have many opportunities to connect with fellow Bryan Sterling Connection members.

Sterling Connection Holiday Social Sunday, Dec. 11, 2016, 1-4 p.m.

Get in the holiday spirit with fellow Sterling Connection members and the wonderful music of Dorothy Applebee.

More details coming soon.

Your adventure awaits in 2017 We offer a variety of wonderful travel opportunities. These tours sell out quickly,

Every year Bryan Sterling Connection hosts fun gatherings, such as the Holiday Social and annual Ice Cream Social.

so make your reservation early.

Trip brochures with detailed information will be available Dec. 1, 2016.

Visit bryanhealth.org/travel to download your brochures, or call 402-481-3355 or 800-742-7844 and ask for Bryan Sterling Connection.

ONE-DAY TRIPS

Savor the Flavor of Europe Thursday, Sept. 21 Back by popular demand, this tour of several western Iowa communities brings together four European cultures. Learn about Swedish traditions, Danish customs, French immigration history and German ingenuity, and enjoy a scrumptious meal.

MULTI-DAY TRIPS Route 66 Memories Tuesday-Saturday, June 20-24 Travel on original sections of Route 66 to learn how this iconic highway was so important in our nation’s history. See interesting Americana, from Ed Galloway’s Totem Pole Park to the oldest café on the route serving travelers since 1930.

Topeka Tulips Thursday, April 13, 2017 See the beautiful tulips of Topeka, Kansas, on this colorful tour. Step back in time when the Harvey Girls serve a delicious lunch. Tour the Evel Knievel Museum and much more.

Niagara Falls & Toronto Monday-Monday, July 31-Aug. 7 Witness the awesome power of Niagara Falls, enjoy dinner high atop the Skylon Tower looking over the falls, tour cosmopolitan Toronto, stroll quaint Niagara-on-the-Lake, and so much more!

New Theater Restaurant Wednesday, June 7 The New Theatre Restaurant in Overland Park, Kansas, consistently ranks as one of America’s top dinner theaters.

Let Freedom Ring Tuesday-Tuesday, Oct.10-17 Boston, Cape Cod, New York City and Philadelphia — all in one tour!

Bryan Journeys 29

ACHIEVEMENTS

Ultrasound school among nation’s best

Nebraska Wesleyan recognized alumni Steven Krueger, MD, during Homecoming Week.

NWU Alumni Award salutes Dr. Krueger Nebraska Wesleyan University recognized Bryan Heart cardiologist Steven Krueger, MD, with this year’s Alumni Achievement Award.

This Lincoln native earned a Bachelor of Science in biology from NWU in 1974 before graduating from the University of Nebraska Medical Center College of Medicine, Omaha.

Dr. Krueger has practiced in Lincoln since 1988. He initiated the Bryan Heart Improvement Program and has been active in several research projects through the years.

He says, “My professional life has been a rewarding balance of clinical practice, research, teaching and philanthropy.” n

30 Fall 2016

According to College Choice, Bryan College of Health Sciences has one of the best ultrasound technologist schools in America.

“We are honored to be named among the top schools,” says Dean of Health Professions Kay Crabtree, PhD, RN. “Our faculty and staff work extremely hard to educate our students so that they are well prepared to enter the health care industry. This recognition acknowledges that work and serves as a resource for students seeking an education in ultrasound/sonography.”

The program emphasizes strong clinical instruction to give students skills, experience and confidence to succeed.

Graduates earn a Bachelor of Science in Sonography in Diagnostic Medical Sonography or Cardiovascular Sonography. n

Heart failure readmission rate cited Becker’s Hospital Review listed Bryan Medical Center among 45 U.S. hospitals which, together with Bryan Heart, achieved the lowest 30-day readmission rates related to heart failure.

Data were from July 2012 through June 2015. n

Melinda Bentjen (left), Karen Werner, Robbie Dumond and Lesa Hoppe were recognized during an annual leadership conference.

NAC nursing organization honors four from Bryan

T

he Nebraska Action Coalition (NAC) included four Bryan nurses among the 40 Under 40 Emerging Nurse Leader honorees for 2016.

Congratulations to: Bryan College of Health Sciences Assistant Professors Melinda Bentjen, MSN, RNBC, and Lesa Hoppe, MSN, RN, Trauma and Emergency Preparedness manager Robbie Dumond, RN, AEMT, and Karen Werner, MSN, RN, Bryan rehabilitation nursing.

The NAC-Future of

Nursing’s biannual awards were presented in August during the organization’s annual fall leadership conference at Union College, Lincoln.

Honorees were recognized for unique contributions to leadership within the nursing profession through clinical practice, education, administrative leadership, research, policy involvement, mentoring or health care innovation. n

ACHIEVEMENTS

12 among Most Influential According to the Lincoln Journal Star, seven women with ties to Bryan were named to the 30 Most Influential Women in Lincoln, and five men were among the 30 Most Influential Men in Lincoln.

These women have served Bryan in various roles: State Sen. Kathy Campbell, member of the Bryan Medical Center Board, Alice Dittman, first female chair of the former Bryan Memorial Hospital Board, Marilyn Moore, past president of Bryan College of Health Sciences, past chairman of the Bryan College and Bryan Medical Center Boards and vice chair of the Bryan Health System Board, Angie Muhleisen, member of the Bryan Enterprises and Bryan College of Health Sciences Boards, Donde Plowman, member of the Bryan Health Board, Lynn Roper, past member of the former Lincoln General Hospital Board and Kimberly Russel, current Bryan Health president and CEO. Among the Most Influential Men are: Dick Campbell, member of the Bryan Health and Bryan Foundation Boards, Nick Cusick, member of the Bryan Health Board and past member of the Bryan Medical Center Board, Tom Henning, past member of the Bryan Medical Center and Bryan Health Boards, Marc LeBaron, past member of the Bryan Medical Center and Bryan Health Boards and Robert Scott, past member of the Bryan Foundation Board. n

Mandy Steuer

Robin Kappler, MSN

Melissa Buckbee, RN

NHA Caring Kind Awards salute Steuer and Kappler

C

ongratulations to our 2016 Caring Kind honorees Mandy Steuer and Robin Kappler, MSN, RN, and to Melissa Buckbee, RN, who sang the national anthem at the Nebraska Hospital Association’s Annual Conference in October.

Mandy is an executive assistant at Crete Area Medical Center. Before accepting this position three years ago, she was in Health Information Management for 14 years.

According to her nominator, “Mandy lives out the core values of CAMC … making sure we have exactly what we need and doing so with a smile that truly does go the extra mile.”

Robin is an assistant professor at Bryan College of Health Sciences.

One of her nominators notes, “Robin Cares like Crazy for her co-workers. Several summers ago my son was in an accident, and Robin organized for co-workers to deliver meals to my house — which was amazingly helpful at that difficult time. She’s done this for many, whether it’s for a family with a new baby, or an illness or a death, Robin is there to help.”

“Last summer,” another nominator says, “was my first time teaching a summer course, and I was overwhelmed with my husband’s diagnosis of Hodgkin’s lymphoma. (He’s in remission.) Robin was one of many who immediately stepped in to help; she delivered flowers from my co-workers and

scheduled meals three times a week for about six weeks.

“Another example of her caring is how Robin works with students who are struggling.

She gives them tough love when needed, and she celebrates their achievements with them.”

Melissa is a nurse in the Mental Health Emergency Department on the Bryan West Campus.

After watching a video of Melissa singing, judges from three other state hospital associations chose her to sing the national anthem Oct. 14 during the NHA Caring Kind Luncheon in La Vista. n

Bryan Journeys 31

COMMUNITY CALENDAR Bryan Community Health Education and Sterling Connection present

Shine a Light on Lung Cancer Tuesday, Nov. 15, 6:30-8 p.m.

Join us for Shine a Light on Lung Cancer Vigil, the largest internationally coordinated event for lung cancer awareness. This event provides hope, support and compassion for all affected by this disease — from patients to survivors to loved ones — and unites millions of participants in one call to action: to triple survivorship by the end of this decade.

Hear pulmonologist Sean Barry, MD, Lincoln Pulmonary and Critical Care, and oncologist Nathan Green, DO, Southeast Nebraska Cancer Center, describe why this event is important, and listen to two survivors’ stories.

This event is brought to you by Bryan Health in partnership with Bryan Heart, Bryan Heart Cardiothoracic Surgery, Lincoln Pulmonary & Critical Care Associates, Nebraska Hematology &

Oncology, Nebraska Pulmonary Specialties, Southeast Nebraska Cancer Center and Radiation Oncology Consultants.

Cost: Free, although you must pre-register.

Where: Bryan East Campus, Plaza Conference Center,

1500 S. 48th St. To register: Go online to bryanhealth.org/calendar, or call

402-481-8886.

2017 Bryan Indoor Triathlon Saturday, Feb. 25

Placing is determined by number of laps swum, distance cycled and distance run. Not comfortable doing this alone? Find two friends and compete as a team! Teams can be all male, all female or coed.

Cost:

Where:

Individual is $25, or $75 for a team.

Bryan LifePointe Campus, 7501 S. 27th St.

For more information, go to bryanhealth.org/triathlon.

Special Holiday Packages From pampering experiences to fitness to gift cards to use as you choose, our holiday specials package the best of The Spa at Bryan LifePointe and Bryan LifePointe Fitness!

Gift cards for the amount of your choice make great stocking stuffers!

Available November 15, 2016.

Pampering experiences begin at only $40!

The Gift of “Ahhh...”

Exhilarating experiences from full day access to specialty classes!

• Facials/HydraFacials • Massage/Reflexology • Airbrush Tanning • Pedicures • Spa Packages

from The Spa at Bryan LifePointe

Stop by: 7501 S. 27th St. • Call: 402-481-6321 Online: bryanlifepointe.com/holidayspecials Open Daily!

32 Fall 2016

Get Fit Gifts from Bryan LifePointe Fitness

• 12 Days of Fitness day passes • Group classes: Yoga, Zumba®, Cycling, BodyPump™ • Nutrition Consultations • Cryotherapy

PUBLIC NOTICE

Discrimination is against the law

B

ryan Medical Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Bryan Medical Center does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

If you have questions about the law, please contact our Patient Experience Officer. You can either call at 402-481-0139, write to Bryan Medical Center, Attn: Patient Experience Officer, 1600 South 48th Street, Lincoln, NE 68506 or email patientexperience@bryanhealth.org.

Bryan Medical Center Provides free aids and services to people with disabilities to communicate effectively with us, such as: • Qualified sign language interpreters • Written information in large print, audio, accessible electronic formats

or other formats Provides free language services to people whose primary language is not English, such as: • Qualified interpreters • Information written in other languages If you need these interpreter services, contact our Administrative Managers 24/7: 800-742-7844. You may also email a request for interpreter services: communicationassist@bryanhealth.org If you believe Bryan Medical Center has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Patient Family Relations Representative 1600 S. 48th Street, Lincoln, NE 68506 Phone 402-481-5761 - TTY 800-833-7352 - Fax 402-481-8306 patientexperience@bryanhealth.org You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Patient Family Relations Representative is available to help you. Please see the contact information above.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/ portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019 -TTY 800-537-7697 Complaint forms are available at http://www.hhs.gov/ocr/office/file/index. html.

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-800-742-7844; TTY: 1-800-833-7352.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-742-7844; TTY: 1-800-833-7352.

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-800-742-7844; TTY: 1-800-833-7352. 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-800-742-7844; (TTY: 1-800-833-7352）。 ‫م لحوظة‬: ‫ اذك ر ت تحدث ك نت إذا‬،‫ل ك ت تواف ر ال ل غوي ة ال م ساعدة خدمات ف إن ال ل غة‬ ‫ب ال مجان‬. ‫ ب رق م ات صل‬Fa1-800-742-7844 (‫وال ب كم ال صم هات ف رق م‬: 1-800-833-7352).

1-800-742-7844 (TTY: 1-800-833-7352).

ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-800-742-7844; (ATS: 1-800-833-7352).

XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-800-742-7844; (TTY 1-800-833-7352).

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-800-742-7844; TTY: 1-800-833-7352. 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-800-742-7844; (TTY: 1-800-833-7352) 번으로 전화해 주십시오. ध्यान दिनह ु ोस ्: तपार्इंले नेपाली बोल्नह ु ु न्छ भने तपार्इंको ननम्तत भाषा सहायता सेवाहरू ननिःशल् ु ोस ् 1-800-742-7844; ु क रूपमा उपलब्ध छ । फोन गनह

(दिदिवार्इ: 1-800-833-7352) ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-800-742-7844 (телетайп: 1-800-833-7352). ໂປດຊາບ: ຖ້າວ່າທ່ານເວົ້າພາສາລາວ,ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-800-742-7844 (TTY: 1-800-833-7352). ‫ئ اگ اداری‬: ‫ قە سە ک وردی زمان ی ب ە ئەگە ر‬،‫ي ارمەت ی خزمەت گوزاريەک ان ی دەکەي ت‬ ،‫ زمان‬،‫بەردە س تە ت ۆ ب ۆ بەخ ۆڕاي ی‬. ‫ ب ە پەي وەن دی‬1- 800-742-7844 (TTY (1-800-833-7352 ‫ب کە‬. ‫ت وجە‬: ‫ می گ ف ت گو ف ار سی زب ان ب ە اگ ر‬،‫راي گان ب صورت زب ان ی ت سه یالت ک ن ید‬ ‫ب ا شد می ف راهم شما ب رای‬. ‫ ب ا‬1-800-742-7844 (TTY: 1-800-833-7352) ‫ت ماس‬ ‫ب گ یري د‬. 注意事項：日本語を話される場合、無料の言語支援をご利用いただけます 1-800-742-7844; (TTY: 1-800-833-7352) まで、お電話にてご連絡ください

Bryan Journeys 33

Your opinion matters!

In a continuing quest to improve your award-winning Journeys magazine, we’re asking you to complete and return this survey. Your answers will be confidential; combining your responses with other readers’ will help us make changes in how and what we present from Bryan.

You could win a new iPad! Complete the online survey by Thursday, Dec. 15, 2016, to be entered in our drawing for an Apple iPad. You must be at least 18 to enter.

Click www.surveymonkey.com/r/falljourneys to access the online survey.