FALL 2015
JOURNEYS “Destiny is not a matter of chance, it is a matter of choice …” – William Jennings Bryan
Baby love at Bryan Family Birthplace
NICU Campaign enters 2nd phase
JOURNEYS FALL 2015
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01 FROM OUR PRESIDENT 02 PATIENT EXPERIENCE Stories from the Bryan Family Birthplace 06 BRYAN LIFEPOINTE Gestational Diabetes Program reduces risks for mothers and babies 08 11
CRETE AREA MEDICAL CENTER Births at CAMC are family traditions BRYAN FOUNDATION Family’s scholarship gift honors nurses and baby daughter
12 TELEMEDICINE The doctor will see you now ... even if you’re miles away 16 MEDICAL STAFF SPOTLIGHT Ask the doctor: Where is help available for younger mental health patients? 18 MEDICAL STAFF UPDATE 21 22
PATIENT EXPERIENCE Fulmers celebrate survival, new life BRYAN HEART Co-workers’ quick actions save Kyle during heart attack
25 NEW AT BRYAN Athletic trainers are valuable teammates 26 IN SUPPORT OF OUR COMMUNITY Having fun at Run to Overcome 28 BRYAN COLLEGE OF HEALTH SCIENCES 31 BRYAN VOLUNTEERS & CUSTOMER CARE 32 BRYAN STERLING CONNECTION 33 COMMUNITY CALENDAR
hanks to your gifts, we’re ready to begin construction of our Neonatal Intensive Care Unit rooftop healing garden. The garden will be located above Bryan Medical Plaza on Bryan East Campus, with access from the Women’s and Children’s Tower’s third floor NICU. To see the plans, turn to the back cover photo, which shows the Loxtercamp triplets, Bryan NICU graduates, holding a rendering. The garden is just the first phase of the Bryan Foundation’s commitment to this healing environment. Phase two is the establishment of a $2 million endowment dedicated to the NICU’s highly specialized training and equipment needs. Read Channing Baacke’s You can help make a story on Page 4. difference. To speak with someone about a gift toward the NICU’s patient care endowment dedicated to caring for Bryan’s tiniest patients or other b2020 opportunities where you can choose your impact on the future health of our community, please contact the Bryan Foundation at 402-481-8605, or go to bryanhealth.org/b2020. n
T H A N K Y O U, B RYA N F O U N D AT I O N E V E N T PA R T N E R S The Kim Foundation Union Bank & Trust Aon Bison, Inc. Bryan Heartland Psychiatry Capitol City Electric Cassling
Crib Notes Davis Design Edwards Lifesciences Hologic, Inc. Inpatient Physician Associates KLKN-TV Latsch’s
Linet Americas Madonna Rehabilitation Hospital Mapes Industries, Inc. Nelnet, Inc. Pen-Link, LTD Premier Connections Round the Bend Steakhouse
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.
“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 our employees, physicians, volunteers and the communities we serve.
OPPORTUNITIES TO SUPPORT
ON THE COVER
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.
Cheney Beisner was born at Bryan a year ago. See his story on Page 3.
You also can learn how you can help and make a gift online at bryanhealth.org/bryan-foundation.
Runza National Sampson Construction Shanahan Mechanical & Electrical, Inc. Southeast Nebraska Cancer Center Tabitha Health Care Services Xenex Disinfection Services, LLC
Kimberly Russel President & CEO, Bryan Health John Woodrich President & COO, Bryan Medical Center Gary “Gus” Hustad, MD Chief of Staff, Bryan Medical Staff Bob Ravenscroft Vice President of Advancement & CDO Edgar Bumanis Director of Public Relations Paul Hadley Editor
FROM OUR PRESIDENT
“There are two lasting bequests we can give our children. One is roots. The other is wings.”
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t the Bryan Family Birthplace, we get to witness the beginnings of such bequests. From the miracle of hearing a baby’s heartbeat for the first time to the exhilarating moment of that child’s first breath, each year our staff has the incredible honor of helping bring more than 3,000 babies into this world. Our co-workers are inspired by gifted physicians who expertly balance the elements of the birth experience — bridging a state-of-the-art environment with the personal wishes each mom brings with her on delivery day. More parents are choosing to share this day with us, and the Bryan team takes this vote of confidence very seriously — we have, ever since 1926, when we established our roots — and we will strive to earn the same trust from coming generations. The Bryan Family Birthplace also serves an important need for families needing health care in rural Nebraska. Resident physicians from the Lincoln Medical Education Partnership (LMEP) all receive experience in obstetrics at the Bryan Family Birthplace. This is an important educational foundation for physicians who will practice in rural communities after graduation. Many nurses from rural Nebraska hospitals also visit the Bryan Family Birthplace to broaden their OB nursing skills
— Hodding Carter Jr. and learn from experts at Bryan. Crete Area Medical Center’s story on Page 8 showcases the importance of experienced obstetric care in rural communities. The Bryan experience includes relationships we form with moms and dads who choose the Bryan Family Birthplace, and it’s a part of our intense focus on earning a reputation for highquality, leading-edge care. That’s significant today and will remain a critical element in our plans for next year, when we celebrate our 90th anniversary, and as we move toward being the system of health our community needs in the year 2020 and beyond. From the proven and most trusted, to new partnerships for delivery and access to care, we’re here to meet your family’s health care needs. Bryan Health. Forward. Together.
Kimberly A. Russel President and Chief Executive Officer, Bryan Health
Safety first At Bryan Health, we take very seriously our commitment to improving the health and safety of every family member in the community we serve. For example, Events and Marketing Specialist Becky Loewe of Bryan Advancement (right) also is a Certified Child Passenger Safety Technician with the Safe Kids Coalition. Once a year, Bryan Health partners with the Coalition to host a car seat check-up event that is free to the community. The event teaches parents and other child care providers how to correctly install and use car seats.
Bryan Journeys 1
PAT I E N T E X P E R I E N C E
Amy Beisner’s 2014 delivery of baby Cheney was uncomplicated, but it was touch-and-go whether his pilot father, Nick, could fly back in time for the birth.
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PAT I E N T E X P E R I E N C E
Stories from the Bryan Family Birthplace
3 happy beginnings
Each birth in the Bryan Family Birthplace is a unique experience, and arrivals of Cheney, Channing and twins Ashtyn and Autumn have brought joy to the Beisner, Draper and Baacke families. Although all four are healthy and happy today, their journeys have been very different — from Cheney’s uncomplicated birth to Ashtyn, Autumn and Channing’s stays in Bryan’s neonatal intensive care unit (NICU). Nine-in-ten families who experience the birth of a new baby are blessed with uncomplicated deliveries. For the others, like the Drapers and Baackes, Bryan’s highly specialized team of professionals and state-of-the-art technology make the difference in their babies’ survival and ability to thrive.
BEISNERS ENTHUSIASTIC ABOUT BIRTHPLACE
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my and Nick Beisner both grew up in Grand Island and returned to Nebraska from Oklahoma to be near their families when they decided to start their own. After having a healthy pregnancy, Amy’s due date was still three weeks off when Nick, a corporate pilot, flew to Dallas on his last planned trip before his child’s birth. Even seemingly normal births can include the unexpected, as
Cheney decided to enter the world while his dad was in Texas. Amy’s water broke while she was out shopping, so she called the nurse at the Bryan Family Birthplace, who told her to come right in. By the time she and her mother-in-law, Donna, arrived, Amy was already six centimeters dilated and her husband was still four hours away on a return flight. Although an epidural wasn’t in her birth plan and she wasn’t having pain, her obstetrician, Todd Martin, MD, of Bryan Women’s Care Physicians suggested an epidural to slow down the contractions so Nick could be there for the birth of their son. “Everyone was so accommodating — they wanted to help us be together for Cheney’s birth,” Amy says. “One of the nurses whose shift was ending stayed later just to be there when Cheney was born, because she had been with us throughout the day.” “After he was born, Cheney was with us all the time, and my husband was so comfortable there. The concern for my family’s comfort — including the room, the snack area and the overall kindness of everyone, was such an important part of the overall experience.” “I am so glad we chose Bryan. We were new in town and everyone told me how awesome Bryan and the birthing center
was. We went on the tour and were impressed not only with all the rooms and amenities, but also were comforted with the availability of the high level neonatal intensive care unit (NICU) should we need it. Overall, the Family Birthplace was even better in person than how people had described it.”
IDEAL NICU EXPERIENCE FOR DRAPER TWINS
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nn Draper’s pregnancy about two years ago was considered high risk. She was expecting twins, and everything was going according to plan. But while attending a birthday party, her water broke — and she was only 27 weeks along. Stephen Swanson, MD, of the Women’s Clinic of Lincoln, admitted Ann to the labor and delivery area, to be monitored for a few days to delay the delivery. As she was preparing to go home, her placenta abrupted — separated from the uterine wall — so James Maly, MD, of Women’s Clinic of Lincoln performed an emergency C-section on Nov. 14, twelve weeks before they were due. The tiny little girls, Ashtyn and Autumn, were in the Bryan NICU for 58 days. Though there for a long two months, they were “textbook” babies, progressing according to schedule without
unexpected problems or setbacks. “We were so fortunate to have had an ideal NICU experience,” Ann remarks. Being a critical care RN herself, Ann was impressed with how receptive the nurses were to her. “We had fantastic nurses,” she says. “I asked a ton of questions and also advocated things that mattered to me such as using my fresh pumped rather than frozen breast milk which was protocol at the time.” Neonatologists Mark Brisso, MD, and Albert Owusu-Ansah, MD, of Heartland Neonatology Associates cared for the twins in the NICU. But since they progressed so well, the Drapers’ primary contacts were the nurses and therapists in the NICU. “We formed really strong relationships with the nurses because we spent so much time with them every day, for two months, learning how to take care of premature twins.” Ann says. “I’m still in contact with some of them on Facebook and bring the girls by the hospital during check ups.” With then-two-year-old daughter Cameron (Cami) at home, Ann and Tyson juggled spending time with her and being with the babies. “Tyson was really involved; he would go up every night after work. I would do the day shift with them and he would go to the NICU in the evening,” Ann
Bryan Journeys 3
PAT I E N T E X P E R I E N C E “We received special permission to bring Cami to Bryan, to see her baby sisters for the first time on Christmas Day,” Ann says. “We were able to take our first family picture a month and a half after the twins were born. Santa even came up and held Ashtyn and Autumn.” Upon discharge, Bryan Infant Apnea Center director Akhtar Niazi, MD, of Complete Children’s Health sent the twins home on apnea monitors, which they no longer needed after three months. Ashtyn and Autumn also have been seen in the NICU Developmental Clinic, where specialists use standardized cognitive, language and motor assessments to ensure they are meeting their milestones. As the Drapers watch their girls playing in the park two years later, they feel very fortunate.
“We didn’t even know if we would make it this far when we were sitting in labor and delivery talking about delivering 28-week twins,” Ann remarks. “We were supplied with all the right tools and resources to have a successful pathway out of the NICU. We are forever grateful to nurse manager Laurie Ketterl and her team.”
GRATEFUL BAACKE FAMILY LOOKS AHEAD
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hanning Baacke is a spitfire — she loves to swim and is grateful for Shrek, Dora and Fiona, and her special blanket she named JoJo. Born weighing only 1 pound, 8 ounces, this tiny baby relied on a village of sophisticated expertise and technology coupled with unending support from the community to survive and grow.
Tyson and Ann Draper have three daughters: Cami (left) and twins Autumn (held by Tyson) and Ashtyn (held by Ann). recalls. “The nurses were great and were flexible in working with our schedules. We were able to Facetime to stay connected as a family.” Ann talks about important milestones NICU parents experience that other new parents may take for granted. “We weren’t allowed to hold the babies until 3-to-4 days after they were born. Instead, we were in the room with them with the
4 Fall 2015
lights off with blankets over the warmers. We couldn’t touch them or talk to them as it needed to be quiet to simulate in utero,” Ann says. A special day, Ann’s birthday during the first week of December, marked the first time she was allowed to hold both of her girls at the same time. Since the twins were born in mid-November, they spent Thanksgiving and Christmas in the hospital.
Speech language pathologist Julie McDaniel supervises a follow-up assessment with Autumn (left) and Ashtyn and their mother, Ann, in the NICU Developmental Clinic.
PAT I E N T E X P E R I E N C E
It’s a happy reunion of caregivers and the Baacke family at Bryan, when nurse manager Laurie Ketterl (standing at left), Alison Dunlap, RN, and neonatologist Albert Owusu-Ansah, MD, meet with NICU graduate Channing Baacke (on her father’s lap at right), sister Berklee, and parents Angie and Sam. Arriving 3 ½ months early, at just under 25 weeks, micro preemie Channing developed in the NICU for 105 days before going home to a very sheltered first year of life. Micro preemies, babies born weighing less than 1 pound, 12 ounces or before 26 weeks gestation, face long stays in the NICU and very serious health problems; but, like Channing, they eventually can show no long-term effects of prematurity. “Channing is healthy and developing according to schedule,” her mother Angie says. “She is absolutely perfect.” However, the family’s journey hasn’t been easy.
After struggling with infertility for seven years, Angie and Sam had just gotten a photo taken with their dogs, and were starting the adoption process when Angie became pregnant with their first child, Berklee. And on Berklee’s first birthday, Angie learned she was pregnant with Channing. Being an older mother, Angie was seen by Bryan’s maternalfetal specialist when she was at 20 weeks and was shocked to find she would be delivering the baby within a few weeks. Deanna Hutchins, MD, performed a cervical cerclage to prevent miscarriage and admitted Angie to the Bryan Family Birthplace where Sarah Cada, MD, monitored her for
a month, with each day’s passing allowing Channing a greater chance of survival. When Nicolle Mahoney, MD, (who’s associated with Dr. Hutchins and Dr. Cada at Gynecology and Fertility PC), delivered Channing, the baby’s eyes were still fused shut, and Channing didn’t even cry. Dr. Owusu-Ansah then evaluated and took over management of Channing’s care. “He is such a brilliant and caring doctor,” Angie says. “He even attended Channing’s Celebration of Baptism.” She says, “Having a micro preemie is not a race, it is a marathon — and it goes way
beyond the NICU.” For three months, Angie and Sam juggled being at the hospital, at work and taking care of Berklee. “During the time in the NICU I had an outpouring of faith, hope and love,” Angie says. “We received so many blessings, I just can’t even express our gratitude.” Christ Lutheran Church provided a month of free daycare, meals were delivered, thousands of people were praying for them, and Angie’s Region V Services coworkers donated two months of their personal time so she could still receive a paycheck while being in the NICU with Channing. After almost four months, Berklee, holding her doll named Channing, met her little sister the day Angie and Sam brought their infant home from the NICU. Berklee was her sister’s constant companion during Channing’s first year, as the new baby’s only trips outside of home were for doctor appointments. Now experiencing a healthy three-year-old who’s enjoying preschool and friends, the Baackes reflect on Channing’s wonderful outcome, and they’re grateful for the experience they had at Bryan. “I always knew it was a great hospital,” Angie says, “but I was still amazed by the NICU — the wonderful doctors and nurses, along with the facilities, the privacy, the security — it just all came together like it was designed to do.” n To find out how your gift can support Bryan Health, please call 402-481-8605.
Bryan Journeys 5
BRYAN LIFEPOINTE
Protecting pregnancies
Gestational Diabetes Program reduces Lisa and Chris Jones pose with their children, baby Kyla and big brother Peyton.
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omen without previous diabetes who develop high blood sugar levels while pregnant are said to have “gestational diabetes mellitus” (GDM). This complication can cause problems, such as excessive weight gain in the unborn baby, which can lead to a difficult birth, higher risk for C-section, and birth-related trauma to the mother and baby. “These risks are very concerning. An important thing to
6 Fall 2015
know is that GDM can happen even to women who have had healthy prior pregnancies, which is why we screen every pregnant woman for GDM, though only about 6 percent develop it,” says obstetrics and gynecology specialist Corwin Friesen, MD, of Bryan Women‘s Care Physicians. “When GDM does happen,” he explains, “health of the mother is extremely important for a good pregnancy outcome. Treatment involves a healthy diet, appropriate exercise and
BRYAN LIFEPOINTE
risks for mothers and babies medications when necessary.” “If the mother’s blood sugar levels are successfully managed, risks to mother and baby are greatly reduced, and a successful pregnancy can be expected,” adds Benjamin Byers, DO, of the Center for Maternal and Fetal Care. Bryan LifePointe’s Gestational Diabetes Management Program focuses on safeguarding mothers and babies
Benjamin Byers, DO, and Corwin Friesen, MD, appreciate how patients benefit from the Bryan Gestational Diabetes Management Program. To learn more about the program, go to bryanhealth.org/gestational-diabetes.
precisely by reducing those risks. Dr. Friesen says, “Bryan’s program matters tremendously in the care of our patients with GDM. A key advantage the program offers is in-depth education about diet and appropriate daily exercise, plus helping patients become comfortable with monitoring their blood sugar levels at home.” Molly Petrik, certified diabetes educator at LifePointe, points out, “We work with mothers to see that they are comfortable with their GDM care plans and to include as many of their preferred foods in meal planning as possible. Also, a diagnosis of GDM can be frightening for patients and families, so we really work to inform them and put them at ease.” Fathers, partners and other family members are always welcome to attend mothers’ appointments, Molly adds. Lisa Jones shares her experience with GDM before she gave birth to her healthy newborn daughter Kyla, as well as during her earlier pregnancy with Peyton, her 3 ½-year-old son. Lisa, who was cared for by Dr. Friesen, is a registered nurse with Bryan’s Wound Care Team. “I met with diabetes educators at LifePointe to talk about exercise, dietary control of my blood sugar — mostly by increasing protein intake and limiting carbohydrates — and measuring my blood sugar levels,” she recalls. “I didn’t have to increase my exercise a lot — I just maintained my normal routine, which included walking twoto-three miles each weekend with my mom.” Lisa followed her diet so well that she stayed at a healthy weight all during her pregnancy, although she did require medication to keep her blood sugar levels within the safe range. “As a patient, you can do your best to stay healthy during pregnancy but might still get GDM. It’s not that you are doing anything wrong, and it’s important to not feel guilty — it’s absolutely fine to be on medications for GDM if that’s what’s needed to maintain safe blood sugar levels,” Lisa adds. “The most important thing is to keep the mother’s blood sugar normal to help the baby and mom stay healthy and safe throughout the pregnancy and delivery.” n To find out how your gift can support Bryan Health, please call 402-481-8605.
Bryan Journeys 7
CRETE AREA MEDICAL CENTER
Births at CAMC are family traditions
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oris Koll stood on the terrace outside the former Crete Hospital facility in 1957, her dad and older sister at her side. She looked up and waved to her mother, who held Doris’ newborn brother up to the glass. Doris was 4 and young children weren’t allowed to visit. By 1988, when Doris delivered her twins in the same hospital, her husband, Kenneth, brought their older children into the hospital room to meet siblings No. 4 and 5. That same year, Deanna Sand chose steak a few days after delivering her son, Justin, in the Crete Hospital. At that time, the hospital offered shrimp or steak dinners during the mother’s stay. “The nurses watched over Justin so my husband and I could have a nice evening conversation and one last meal uninterrupted,” she remembers. Today, babies often room with their moms, and hospital stays are too short to offer a heavy meal to a new mother. For all that has changed over the decades, the reasons parents of about 100 babies choose to deliver at Crete Area Medical Center each year are all about what doesn’t vary: CAMC offers a personal, individual setting and a comfort level Jeffrey and Sandra Koll show off their twins, Franklin and Charles, who were born in 2015 at the Crete hospital.
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where expectant mothers will commonly see their doctor from prenatal visits to delivery to family health care for years to come; where laboring mothers often feel like they have a nurse assigned just to them; where the staff in the delivery room may share a tear of happiness with the newest of new parents because joy never gets old. Those same parents often visit the nurses’ station when they return for other medical visits, to show them their baby or the child that was a baby yesterday. “They want us to see them and that makes us happy,” says Anita Lampila, a nurse who’s now in her 43rd year with the community hospital. “That’s a great part of a small town hospital.” Crete is big enough to offer wonderful facilities and skilled doctors, while offering a few rural health care perks, she adds. Like flexibility. Troy Miller, DO, of Crete Area Medical Center, gave expectant mother Sandra Koll a window of dates to induce labor when she was measuring too large with her twins at 38 weeks of pregnancy. She picked a Saturday — 1.24.15 —because both 2 plus 4 and 1 plus 5 add up to six, the same way the twins would make them a family of six. “It’s an accountant thing,” explains Sandra, an accounting assistant at Doane College. Meet the Kolls and two other families, the Sands and the Wohls, who have chosen Crete hospital facilities for three generations.
Strength in numbers for the Kolls The Kolls are high-volume in baby terms. Doris’ husband, Kenneth, born in 1953, was one of seven siblings delivered in Crete. He and Doris made their life on a farm by Swanton, and brought their own five children into the world in the Crete Hospital delivery room. Their twins came during Czech Days, drawing a special announcement at the Wilber celebration. The hospital bills that the couple paid were much different than those of today. Her son Jeffrey’s bills totaled about $1,300 in 1983; the twins’ bills in 1988 came to about $4,000. Today, the average bill runs around $9,700 for a normal delivery and about $12,500 for a routine Cesarean delivery, according to the Kaiser Family Foundation. (Costs vary depending upon insurance and location.) Jeffrey and Sandra Koll of rural Wilber delivered their twins in Crete both for convenience and to repeat the good experiences of their older children: Matilda, who came out fast for a 9 pound, 7 ounce baby, and 8 pound, 5.5 ounce Henry, who took 12 hours
CRETE AREA MEDICAL CENTER
Three generations: Jaxson, Justin and Rich Sand all were delivered in Crete.
after the second ultrasound. They felt comfortable having twins in Crete, particularly on the day of delivery, when a nurse with extensive neonatal intensive care unit (NICU) experience was assigned to them throughout their 12 hours of labor. “That makes you feel pretty special.” The nurse anesthetist also stayed for much of the labor, which eventually filled two operating rooms and included two doctors and several nurses. In the end, the main health concerns presented were a cord wrapped around one baby’s neck (which thankfully did not cause problems) and the second baby swallowing fluid, which doctors suctioned. The twins arrived nine minutes apart, Franklin weighing in at 6 pounds,11 ounces; Charles at 7 pounds, 11 ounces, the numbers completing a matching pattern of birth weights and the hour born, making their accountant mother even more content.
Sands celebrate generations born in Crete
to meet the world. The couple liked Dr. Miller’s nature, and the consistency of having their family doctor take care of their baby from pregnancy on — or as it turned out — babies. That’s something Sandra ribs him about. “I’m pretty much all natural; I don’t want extra ultrasounds, or C-sections or anything,” she points out. Sandra’s a twin and Jeffrey’s family has twins, so when she felt bigger than her first two pregnancies, she had her suspicions. Dr. Miller wasn’t so sure, she says, but, when he checked the heartbeat at 18 weeks, quickly wheeled an ultrasound machine over and then scheduled her for another ultrasound, it wasn’t difficult to figure out what was going on. “So, are you going to say it?” Sandra asked him
The day before Rich Sand was born in March of 1959, his parents called county roads officials to mention that his mother, Irma Sand, was extremely pregnant and the miles separating their farm from the Crete Hospital were packed with snow. The county opened the road, making snow piles about 12 feet high on either side. Irma delivered her youngest, Rich, who weighed in at just over 9 pounds and evened the family to three girls and three boys. In 1988, Rich was back in the delivery room with wife, Deanna, for the birth of their son, Justin. Deanna can still hear the sound of the wind that gusty Palm Sunday. “I was waking up from the anesthetic and you could hear the windows blow in and out,” she says. Deanna, an LPN and Bryan Health employee since 1979, also remembers the skill of the staff. “They were top notch,” says Deanna, “The cord was wrapped around Justin’s neck, and they figured that out just by watching the monitor, his heart rate and so forth.” She delivered a healthy 7 pounds, 10 ounce Justin by Cesarean delivery. The next six days in the hospital were restful and educational. “It was very much a one-to-one atmosphere, which I really appreciated.” She delivered each of her four children at the old hospital and worked for a time at CAMC. Jump forward to 2013. Justin is in a delivery room at CAMC, where wife, Tiffany, is delivering their firstborn, Jaxson, by C-section. The Dorchester couple had picked Crete’s hospital to be close to home and to stay with their doctor, Jason Hesser, MD, of Crete Area Medical Center. Tiffany had extreme morning sickness much of the first seven months of the pregnancy. Each appointment and question was taken care of in Crete. “Dr. Hesser informs you on everything. If you just listen to him for a few minutes, you’ll have a good picture of what’s happening,” Justin
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CRETE AREA MEDICAL CENTER says. They saw Dr. Hesser when they arrived in the delivery room just before midnight on Oct. 22, the next morning before he left for the Wilber Medical Clinic, and when he returned that afternoon. “The experience at Crete was awesome. The individualized care they are able to give is great,” Tiffany adds. After 17 hours of labor without normal progress, Jaxson arrived via C-section Oct. 23, weighing 6 pounds, 6 ounces. When his oxygen levels caused some concern, he was transferred to Bryan Medical Center for further evaluation. Having Jaxson as the third generation born in Crete didn’t really register until it came up in family conversation. “We thought it would be cool. I don’t have family traditions like this,” says Tiffany, who was born in Miami.
Wohls appreciate caring staff Josh and Rachael Wohl arrived at CAMC on a Tuesday evening, expecting to have their baby by early morning, but daughter, Kira, made her entrance Aug. 28, 2013, at 5:34 p.m. “By that time, I didn’t even know what day it was,” Kira Wohl shares a giggle with her father, Josh, and grandfather, Dale, as they Rachael recalls. But one thing stands out vividly: display photos of the three generations as infants. “I remember when she was put on my chest, I started crying and the nurses said ‘Stop crying. a thank-you note and a dinner invitation from a special family who That makes us cry.’ And they were already crying. It meant a lot to delivered their baby in Crete. They developed a friendship and still have them in the moment and care like that.” Labor took long enough remain in contact. that it ended with the same nurses who were working on Tuesday Anita lists a few of the things parents appreciate, including an when labor began. “I loved my experience there,” she says. OB nurse scheduled on every shift possible, seeing the same familiar It was a happy, emotional end to a pregnancy that included nurses and doctors in the clinic setting as the delivery setting; preeclampsia and bed rest. The days in the hospital with baby Kira their efforts to accommodate the traditions of diverse cultures; and were relaxing, peppered with visits from family, as well as friends and the partnerships with the NICU unit on the Bryan East Campus. neighbors who work at CAMC. Additionally, nurses working in Acute Care and the Emergency Kira, 7 pounds, 10.5 ounces, made Generation 3 born in Crete. Department are certified in the Neonatal Resuscitation Program. Josh was Generation 2, born Sept. 20, 1989 (three weeks late, 9 Much has changed since she began helping with babies, but some pounds, not budging, delivered by C-section, summarizes his mother, things stay true through the years. Including the first descriptions that Dawn Williams). His father, Dale Wohl, is Generation 1. follow the first glimpses of newborns, like Kira and Jaxson: “ … She was perfect. Just perfect.” Making memories, developing relationships “ … Tons of brown hair.” Anita Lampila is one of the nurses who has taken care of “ … He was golden.” generations of families. Parents sometimes come up to her when they “ … Cuter than a button.” n see her downtown to thank her or tell her they will be back in Labor and Delivery in a few months. One of her nursing co-workers received
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BRYAN FOUNDATION
Family’s scholarship gift honors nurses and baby daughter
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f there is one thing Nicole Wainwright has always wanted, couple’s situation touched them both deeply. it is to have a child. Getting pregnant has been difficult; “I wouldn’t recommend any other hospital — maybe in the she’s had miscarriages, and ultimately she and her husband whole country — for childbirth,” Brandon says. “It doesn’t seem Brandon decided to do fertility treatments. So when the like a job with these women. It’s a passion, and you can tell they Lincoln couple learned they were pregnant with twins, it was really care about their patients and these children. When we were a happy time. going through all of this they were all in the nurses’ station crying For a while, things went great, but early in the pregnancy, at along with us,” Brandon says. eight or nine weeks, one of the twins passed away. The remaining “The level of caring we received here was amazing. Everyone twin, a girl named Kennedy, seemed to be developing fine, but was genuinely invested in our situation. The interactions we had about 35 weeks in, something went horribly wrong. Nicole felt with all the nurses were top notch.” something odd and learned that the umbilical cord was prolapsed That’s why the couple and their family have created a nursing and cutting off oxygen to the little one. scholarship. They want to memorialize their daughter and At the direction of their obstetrician, Stephen Swanson, MD, of help students who want to work in neonatal care pay for their Women’s Clinic of Lincoln, they were taken by ambulance to Bryan education. The idea came from Nicole’s grandmother, Karen Ibach. Medical Center, where Kennedy was born prematurely in March “My grandma’s birthday was in June,” Nicole says. “She 2015. She lived for four days. decided for her birthday she wanted us to set up a scholarship in During those days, the couple says, the nurses, doctors and Kennedy’s name so that something positive could come from it.” other care providers worked tirelessly and with care and passion Her grandma made the major donation but told everyone else to save Kennedy and to that for her birthday, she care for their family. wanted contributions toward “Both of the doctors Kennedy’s scholarship. (neonatologists Albert The couple still hopes to Owusu-Ansah, MD, and have a baby, and they say Mark Brisso, MD) were Dr. Swanson is right there really great,” Brandon with them. “Dr. Swanson and recalls. “They were really his nurses and staff have involved. They never kept been so supportive, too,” us waiting and wondering, Nicole says. “She deserves so much and were 100 percent to be a mother and have that honest with us — not connection,” Brandon adds, brash, but just honest. with tears in his eyes. “We It was like ‘We’re in this will not give up on this.” n together.’” The nurses, too, went To learn how you can above and beyond, both support the work of Bryan Nicole and Brandon say. Brandon and Nicole Wainwright (seated at center) and her parents, Sheila Health, please contact the Jody Waldo, RN, and and Gary Ibach (standing at left), and grandma Karen Ibach (standing at Bryan Foundation by calling Stephanie Johnson, RN, 402-481-8605. spent a lot of time caring right) created a scholarship in honor of nurses, like Jody Waldo (far left) for the Wainwrights. The and Stephanie Johnson (far right), and the staff at Bryan Health.
Bryan Journeys 11
TELEMEDICINE
Telemedicine and eVisit enhance Nebraskans’ access to care
The doctor will see you now… even if you’re miles away
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ccess to medical services has been a major issue in rural communities throughout the United States for many years. Bryan Telemedicine and the innovative online Bryan Health eVisit program have helped solve this problem in Nebraska. Addressing rural physician shortage “The goal of Bryan Telemedicine is to help provide relief to the physician shortage in Nebraska’s rural areas,” says Brian Bossard, MD, president of Bryan Telemedicine. “We work to support doctors in smaller communities who are staffing hospital emergency departments at night while providing care at their office practices during the day. This both promotes doctors’ work-life balance, and enhances recruitment of physicians to hospitals in our rural areas.” Bryan Telemedicine provides emergency, trauma, hospitalist and mental health telemedicine consultations to help on-site clinicians identify the best course of care and to assess whether patients can be cared for locally or should be transferred to another hospital. Telemedicine is now a widely accepted way of providing many types of medical services and is approved and reimbursed by nearly all medical insurance providers.
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How telemedicine works Dr. Bossard describes telemedicine this way: “Let’s take trauma telemedicine, for example. When an injured patient arrives at a rural hospital, he or she is assessed carefully by an on-site emergency physician, physician assistant or nurse practitioner. That clinician then uses the secure Bryan Telemedicine system to send the patient’s information to the trauma telemedicine physician at Bryan.”
“With current telemedicine technology,” he continues, “we can listen remotely to a patient’s heart and lungs, and perform a full physical examination in collaboration with the care provider working on-site.” Working together, the trauma telemedicine physician and the on-site clinician identify and provide treatment immediately needed by the patient, and determine whether he or she should be admitted to the community hospital or
Bryan Telemedicine director Andrew Whitney (left) and Jim Harvey, telemedicine coordinator, use the online system to talk with Shane Fleming, chief operating officer of Bryan Telemedicine, while he’s in the northeastern Nebraska community of Neligh.
TELEMEDICINE perhaps transferred to a larger hospital. For patients requiring hands-on physician evaluation, an on-call doctor is always available within the community. Having a Bryan Telemedicine physician as the first-line consultant, however, reduces the number of after-hours calls community physicians receive and the time they must spend in the hospital at night. Telemedicine therefore provides the double bonus of helping doctors in small communities remain in their careers longer, while allowing patients to stay where they are close to their homes and families. Hometown advantage Staying close to home was something Christine and Ray Morrison of Neligh greatly appreciated when their 10-yearold daughter Brookelyn suffered a severe hip dislocation due to a fall. “Our daughter was in excruciating pain every time we touched her hip or moved her,” says Christine. The Morrisons first made the threehour trip to see an orthopedist in Omaha, but two days later Brookelyn had to see a doctor again because her pain remained severe. “We decided to use Telemedicine at the hospital in Neligh to talk with Dr. Asha Schweitzer at Bryan,” she says. “Using Bryan Telemedicine let my daughter get her care sooner, and it saved hours of travel and waiting time that would have left her even more stressed, frustrated and tired.” Dr. Schweitzer adds, “Keeping Brookelyn near home let the Morrisions stay close to friends, family and their hometown physician. I was also able to consult by phone with her orthopedist in Omaha to talk about care decisions and keep them informed.”
Introducing Bryan Health eVisit Convenient, trusted care, online 24/7 You have a minor illness — a cold, an infection or other condition — and you don’t have a doctor, or the office isn’t open. What do you do? Now you have another care option for common, minor illnesses. It’s Bryan Health eVisit. With Bryan Health eVisit you can receive a diagnosis and treatment recommendations, even a prescription if needed, all from the convenience of your home — or anywhere you have access to a computer, tablet or smartphone. Best of all, Bryan Health eVisit is available 24 hours a day, 7 days a week and it’s only $35 per visit. How does it work? Bryan Health eVisit is available to anyone in Nebraska, offering convenient, trusted care. Here’s how it works: • • • •
Go to bryanhealthevisit.com on your computer, tablet or smartphone. Answer a few questions about your symptoms and health history. Receive a diagnosis and treatment plan from a board certified Nebraska doctor within an hour. If a prescription is needed, it’s sent electronically to the pharmacy of your choice.
Conditions that can be diagnosed and treated through Bryan Health eVisit are limited to common, minor illnesses, such as sore throat, cold, flu, fever, yeast infections, urinary tract infections, sinus infections, and pink eye. Those who don’t meet the criteria for an online diagnosis and treatment receive information on where to get the care they need with a doctor or other treatment facility. A list of doctors and treatment facilities is provided, allowing families to schedule an appointment or receive care at an urgent care facility. If an online diagnosis is not provided, there is no charge for the eVisit. VIDEO
Learn more Visit bryanhealth.org/evisit to learn more and see a video about this convenient, new service now available to you. n
Bryan Journeys 13
TELEMEDICINE
Emergency tech Christa Whitney demonstrates how a rural Emergency Department might confer with a telemedicine specialist, such as Brandon Essink, MD, in another community. She performs ear checks, uses a stethoscope so the physician can hear heart beats and respiration, and can send images of an EKG or close-up views of areas of concern. At right, the patient talks directly with Dr. Essink in real time. Expanding telemedicine services In addition to providing services to Antelope Memorial Hospital in Neligh, Bryan Telemedicine is collaborating with the Heartland Health Alliance (a consortium of 48 Midwest hospitals) to expand to 13 more hospitals over the next two years. And services available in Neligh are increasing. “Several more specialty physicians in Lincoln will soon provide telemedicine services to the Neligh community through Antelope Memorial Hospital,” says Andrew Whitney, director of Bryan Telemedicine. “Telepharmacy is another area of great demand because there’s a shortage of pharmacists in rural communities, so I expect we’ll see
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more of that type of care. The role of telepharmacists is to remotely oversee medication delivery in smaller hospitals when a pharmacist isn’t available on-site.” “Our mission at Bryan Telemedicine,” adds Dr. Bossard, “is to promote access to medical care throughout Nebraska. We’ll go anywhere our services are needed to support local doctors and increase patients’ access to excellent care.” Bryan Health eVisit: Online care for minor health problems “In addition to the Bryan Telemedicine Acute Care Program, we also are very pleased to offer Bryan Health eVisit (see Page 13). This easy-to-use online system provides care by Bryan Telemedicine’s board-certified Nebraska doctors for
minor health conditions, like sinus infections, cough, cold and flu, for an affordable fee of $35 per visit,” says Dr. Bossard. “If a patient has a more complicated condition or can’t be treated by telemedicine, we direct them to the next, appropriate level of care — such as a local care provider, Bryan Urgent Care or an emergency department.” He concludes, “Bryan Health eVisit is a cautious approach to treating patients virtually, while providing affordable medical care 24 hours a day for any patient in Nebraska who has Internet access.“ n To find out how your gift can support Bryan Health, please call 402-481-8605, or go to bryanhealth.org/b2020.
TELEMEDICINE
MEET THE TELEMEDICINE TEAM Telemedicine physicians Brian Bossard, MD Jaime Dodge, MD Anthony Dresbach, MD Nicole Ericksen, MD Brandon Essink, MD Scott Heasty, MD Mark Howerter, MD John Mazour, MD Cynthia Reed, MD Michael Sayers, MD Asha Schweitzer, DO Tim Sullivan, MD Trauma surgeons from Nebraska Trauma & Acute Care Surgery Reginald Burton, MD Stanley Okosun, MD Julie Walcutt, MD Mental health professionals Megan Dunnigan, LCSW Steph Hickey, LICSW Luke Schultz, LICSW Becky Stevens, LICSW
Telemedicine
A new lifeline for mental health patients
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ryan has long been a leader in mental health care in Nebraska and throughout the Midwest. “We were one of the first community hospitals in the United States to offer inpatient psychiatric care for adults,” explains Dave Miers, PhD, program manager for Bryan Mental Health Services. “That was in 1939, an era when most mentally ill patients who needed hospitalization were placed in state mental hospitals.” Dr. Miers notes, “We’ve recently added mental health telemedicine to our roster of services — these include inpatient and outpatient care, partial hospitalization, and community mental health wellness programs. Our inspiration in creating Mental Health Telemedicine was that many of Nebraska’s smaller communities have no specialty mental health care providers, so patients living in those areas must often travel quite a distance to receive psychiatric care at Bryan or other facilities. “The goal of our mental health emergency telemedicine program is to
collaborate with patients’ hometown physicians to help patients stay in their own communities whenever possible,” he says. To do that, a licensed mental health clinician interviews the patient through the secure Bryan Telemedicine system, then his or her assessment and treatment recommendation is sent to the patient’s hometown physician, who decides the plan of treatment. The physician works with the patient to connect them to the needed treatment resources.” Mental health emergency telemedicine services are provided for patients of all ages by clinicians at Bryan’s Mental Health Emergency Department. In addition, outpatient mental health counseling is offered for adults via telemedicine through the Bryan Counseling Center. Hospitals interested in developing these services can contact Bryan Health. n To learn about the services of Bryan’s Mental Health Telemedicine program, contact Linda Kimminau at 402-481-5588.
Bryan provides around-the-clock mental health emergency care “As part of Bryan’s dedication to bringing the best in mental health care to Lincoln and our region,” says Mental Health Services program manager Dave Miers, PhD, “twentytwo years ago, we created an Emergency Department specifically for patients experiencing mental health emergencies. “Our Mental Health Emergency Department program expanded over time, so now we provide services to more than 550 patients every month. We are located on the Bryan West Campus and available 24 hours a day for patients of all ages — from young
children through seniors.” This is one of the few services of its kind, and Dr. Miers notes that in many areas of the country, patients with mental health emergencies must go to general emergency departments, where they may wait for extended periods of time before being seen. “At Bryan, patients with mental health emergencies meet with a psychiatric registered nurse or social worker, who completes an assessment and confers with the Emergency Services physician on duty and the on-call psychiatrist,” he explains. “The
psychiatrist determines the level of service based on the patient’s medical necessity for treatment, then works through the registered nurse or social worker with the patient and family to connect the patient with services. “While in the Mental Health Emergency Department, patients may also see a mental health peer specialist, who offers emotional support and information about the emergency room process.” n To learn more about Bryan’s full range of mental health services, go to bryanhealth.org/mental-health.
Bryan Journeys 15
MEDICAL STAFF SPOTLIGHT
Ask the doctor: Where is help available for younger mental health patients?
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very day is a new adventure for Dr. Amy Barker. As a child and adolescent psychiatric hospitalist with Bryan Heartland Psychiatry, Dr. Barker helps children and youth manage conditions such as depression, bipolar disorder, Attention Deficit Hyperactivity Disorder (ADHD), schizophrenia and other mental illness. She is certified by the American Board of Psychiatry and Neurology. Q: What interested you in this particular field of medicine? I always thought I would pursue family medicine. However, when I was a medical student at the University of Nebraska Medical Center, I had an amazing psychiatry rotation. That experience changed my mind and got me interested in psychiatry. I went on to complete my general psychiatry residency and child and adolescent psychiatry fellowship at the combined UNMC/Creighton program. Q: What is your role in treating patients at Bryan Health? I’m a child and adolescent psychiatric hospitalist. As a hospitalist, I see other doctors’ patients in the hospital setting. Patients come into my care by first being evaluated in the emergency department. I see patients who have psychiatric emergencies that require hospitalization. My patients require around-the-clock nursing and cannot be safely treated outside of a secure hospital unit. Q: What do you do as a psychiatrist? As with all medical disorders, there are some that are specific
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Dr. Amy Barker is associated with Bryan Heartland Psychiatry.
MEDICAL STAFF SPOTLIGHT to certain ages and developmental levels. Bipolar disorder and schizophrenia typically emerge after the late teen years or early adulthood. ADHD is usually first diagnosed in early childhood. Depression and anxiety are associated with all ages, even though the primary warning signs for depression differ between children, youth and adults. Q: What conditions do you diagnose or treat? My focus is in treating children and adolescents specifically. As a result, I see many kids who have transient issues, including teens who experience a loss, or have a very difficult family or school stressor. Sometimes it’s all of the above. These individuals may be emotionally fragile or predisposed to depression or anxiety, and then become overwhelmed by a stressor, experiencing intense feelings of suicide. I also see young children who have aggression and other behavioral problems. Q: Are you also a psychologist? No. Many people confuse psychiatry with psychology. Psychiatrists are medical doctors who specialize in diagnosing and treating mental illness. Psychologists have a doctorate of philosophy and do not have medical training or an MD. Q: How has the treatment of mental illness evolved over the years? In the remote past, all severely mentally ill patients were housed and treated, sometimes for years, in mental health institutions. When anti-psychotics were introduced in the 1960s, severe psychotic mental illness was successfully treated for the first time. The medical community gained confidence, and the mentally ill were taken out of institutions and given medications to manage their conditions in their home environment. Although we still have a long way to go, we’ve seen medications play a significant role in the management and treatment of mental illness. Unfortunately, in some cases, insurance limits what time and resources a patient can receive. This limits our ability to incorporate additional therapies and treatments that may help the patient achieve a better state of health. Q: Are there other child and adolescent psychiatrists in Lincoln? In addition to myself, there are only a couple of Board-certified child and adolescent psychiatrists
in the city. However, there are many excellent psychiatric nurse practitioners and physician assistants in Lincoln. Q: During your career in psychiatry, what trends have you noticed? We have seen increases in the diagnosis of bipolar disorder and autism. But I’m quick to question the certainty of these trends, as numbers can be misleading. As a psychiatrist, I believe all health care practitioners need to look at all of the information about a patient to ensure they’re achieving an accurate diagnosis, rather than selecting symptoms to fit a particular condition. Q: What do you like most about your job? I love how holistic psychiatry can be! I am incredibly fortunate to work with a group of expert therapists, social workers, nurses and nursing techs who are absolutely vital to the team approach that we provide. The greatest success is never seeing a kid on the unit again because they don’t need us anymore! We have some wonderful stories of very sick kids with psychotic disorders, severe bipolar disorder or eating disorders who have done amazingly well. As a team, we can deliver excellent care. Q: What is the best part about practicing medicine in Nebraska? I grew up by the ocean in Southern California. While it sounds heavenly, I kindly explain to Nebraskans that I will never move back to California! In cities like Lincoln and Omaha, you can enjoy a lot of the best of what big cities offer without some of the more negative aspects, such as road congestion! I also love the changing of the seasons. I’m even OK with winter, keeping a pair of cross-country skis on hand in case we get enough snow to take them out. Q: What keeps you busy when you’re not at the hospital? I’m a big motorcycle enthusiast. I have a Ducati Hypermotard. It’s a dual purpose bike — half dirt bike, half road bike. The first Wednesday of every month from May to October, you can find me at the European Motorcycle Night in the Haymarket. I also like to cheer on the Huskers. I grew up in California, but my mom is from Kearney — as a result, I was raised to be a Husker fan! If you have questions about youth mental health services, call 402-481-5991. Consult your physician regarding referrals.
Bryan Journeys 17
MEDICAL STAFF UPDATE
New faces at
Bryan
Welcome these 13 colleagues to the Bryan medical community
Benjamin Bixenmann, MD, neurosurgery, has joined the Nebraska Neurosurgery Group, 402-904-4729. Dr. Bixenmann received a bachelor’s degree at Hillsdale College, Hillsdale, Michigan, and graduated in 2009 from the University of Nebraska Medical Center College of Medicine, Omaha, and completed a neuroscience residency at the University of Cincinnati, Ohio. He has co-authored several medical research papers. Sarah Castillo, MD, family medicine, has joined Peoples Health Center, 402-476-1455. Dr. Castillo attended Chadron State College, Chadron, and earned a Bachelor of Arts in Biology from Union College, Lincoln. Before enrolling in medical school, she was a home health aid in Chadron and a certified nurses aide in Hay Springs, Nebraska. Dr. Castillo graduated from the Loma Linda School of Medicine, Loma Linda, California, in 2012 and completed the Lincoln Family Medicine Residency Program through the Lincoln Medical Education Partnership. She is certified by the American Board of Family Medicine. Tana Gegen, MD, hospitalist, is associated with Inpatient Physician Associates, 402-481-8566. She earned a Bachelor of Arts in Biology at Saint Louis University, St. Louis, Missouri, and in 2012 graduated from the Saint Louis University School of Medicine. Dr. Gegen then completed an internal medicine residency at Maine Medical Center, Portland. During her residency, she was the principal investigator of a quality improvement study regarding homeless inpatients and barriers to discharge.
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MEDICAL STAFF UPDATE
Abhilash Kolli, MD, hospitalist, is associated with Inpatient Physician Associates, 402-481-8566. Before moving to Lincoln, Dr. Kolli was associated with Inpatient Physician Associates Columbus. He graduated from Guntur Medical College of Guntur, Andhra Pradesh, India in 2004 and completed a residency in internal medicine at Bronx-Lebanon Hospital Center, which is associated with Albert Einstein College of Medicine, Bronx, New York. Nathan Larson, DPM, podiatry, has joined the Lincoln Foot Clinic, 402-466-6677. Dr. Larson earned a Bachelor of Science at Portland State University, Portland, Oregon, and graduated in 2012 from the Midwestern University School of Podiatric Medicine, Glendale, Arizona. He completed his clinical and surgical residency education at Covenant Medical Center of Waterloo, Iowa. Dr. Larson has made presentations at several conferences and is the co-author of a medical journal case report. This Eagle Scout also was a Special Olympics volunteer and served a mission in Las Vegas for the Church of Jesus Christ of Latter-day Saints. He lives in Lincoln with his wife and their three children. Nathan McIntire, MD, anesthesiology, has joined Associated Anesthesiologists, 402-489-4186. This Omaha native earned a Bachelor of Science at the University of NebraskaLincoln. Dr. McIntire graduated in 2010 from the University of Nebraska Medical Center College of Medicine, Omaha. He
also completed an internship, residency and anesthesiology fellowship at the University of Nebraska Medical Center. Robert Percell, MD, FACC, electrophysiology, is associated with Bryan Heart, 402-483-3333. Dr. Percell was born in Columbia, South Carolina, and received a Bachelor of Science in Biology from Morehouse College, Atlanta. He graduated from the Johns Hopkins School of Medicine, Baltimore, in 1996. He fulfilled internal medicine internship and residency requirements at Duke University Medical Center, Durham, North Carolina. Dr. Percell completed the University of South Florida College of Medicine cardiology fellowship program at Tampa General Hospital, Tampa, Florida, and an electrophysiology fellowship at Boston Medical Center. Christopher Rife, MD, gastroenterology, has joined Gastroenterology Specialties, 402-465-4545. Dr. Rife grew up in Lincoln and received a Bachelor of Arts in Biology from Drake University, Des Moines, Iowa. In 2008, he graduated from the University of Nebraska Medical Center College of Medicine, Omaha. He completed an internal medicine residency and research fellowship at the Medical University of South Carolina, Charleston. He served as a part-time hospitalist at Charleston area hospitals and in 2015 finished a fellowship in gastroenterology and hepatology at the Medical University of South Carolina. Dr. Rife has contributed to several medical journal articles and is certified by the American Board of Internal Medicine.
Bryan Journeys 19
MEDICAL STAFF UPDATE Edmundo Rivera, MD, general surgery, is associated with Lincoln Surgical Group, 402-483-7825. Dr. Rivera is from Anaheim, California, and received a Bachelor of Science in Business Administration from the University of Southern California, Los Angeles. He graduated in 2008 from the Creighton University School of Medicine, Omaha, where he also completed a general surgery residency. Dr. Rivera completed a University of Washington burn fellowship at the Harborview Medical Center, Seattle, and a University of Illinois trauma/surgical critical care fellowship at Advocate Illinois Masonic Medical Center, Chicago. He is a Fellow of the American Burn Association. Julie Steinhauser, MD, family medicine, is associated with Richard J. Thompson, MD, 402-474-7445. Dr. Steinhauser grew up in Lincoln, attended the University of NebraskaLincoln and earned a Bachelor of Science in Biopsychology from Nebraska Wesleyan University, Lincoln. She graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2012 and completed the Lincoln Family Medicine Residency Program through the Lincoln Medical Education Partnership. John Steuter, MD, invasive cardiology, is associated with Bryan Heart, 402-483-3333. Dr. Steuter received a Bachelor of Science in Biology from the University of Nebraska-Lincoln. He graduated in 2008 from the University of Nebraska Medical Center College of Medicine, Omaha, where he completed an internal medicine residency and a cardiology fellowship. Dr. Steuter is Board certified in internal medicine and cardiovascular medicine. He has special interests in cardiac MRI, advanced heart failure, LVAD therapies and cardio-oncology. He has coauthored several articles for medical journals.
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Jenna Van Pelt, MD, obstetrics & gynecology, is associated with the Women’s Clinic of Lincoln, 402-434-3370. Dr. Van Pelt earned a Bachelor of Science in Biology at Creighton University, Omaha, and graduated in 2011 from the University of Nebraska Medical Center School of Medicine, Omaha. She completed the Ohio State University/Mt. Carmel Health Obstetrics & Gynecology residency program. Dr. Van Pelt’s interests include high-risk obstetrics, minimally invasive gynecologic surgery and in-office procedures. Jason Weber, MD, orthopedic surgery, has joined the Lincoln Orthopaedic Center, 402-436-2000. Dr. Weber received a Bachelor of Science in Biological Sciences from the University of Nebraska-Lincoln and in 2009 graduated from the University of Nebraska Medical Center College of Medicine, Omaha. He completed the orthopaedic surgery residency program at Georgetown University Hospital and a foot and ankle fellowship at the Orthopaedic Foot and Ankle Center of Washington, D.C. Dr. Weber participated in two research projects, and his articles have appeared in several medical journals.
Looking for a doctor? Visit bryanhealth.org/find-a-doctor. Our new website makes finding a doctor easy. Look for specialists in family medicine, obstetrics & gynecology, heart care, digestive issues, orthopedics and much more. See doctor videos and request appointments online. Best of all, you can view information and request appointments 24/7.
PAT I E N T E X P E R I E N C E
Fulmers celebrate survival, new life
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decorations. Summer and Micah or Micah and also familiarized themselves with Summer Fulmer, the the experience awaiting them at last seven years have the Bryan Family Birthplace. been a lesson in faith, “We’d had a number of determination and friends deliver their babies at second chances. From a traumatic Bryan Health,” Summer explains. accident to the birth of a new “We were looking forward to it.” son, the team at Bryan Health Summer was induced at has played a special part in the 38 weeks due to gestational journey of the Fulmer family. diabetes. Her induction began at On May 3, 2008, Micah’s life 5 a.m., but a challenge with her changed forever. While helping blood pressure led to the need friends tow a vehicle out of a for an emergency C-section. ditch, Micah was struck by a car. “Even though it was a quick The force caused him to hit the turn of events, the staff at Bryan windshield and then the roof, Health stayed calm. They walked sending him nearly 100 feet us through the entire procedure,” through the air. says Summer. “Very quickly after At the Bryan Trauma Center, Summer and Micah Fulmer snuggle baby Morgan James. we got to the operating room, physicians discovered Micah our son was born.” had several life-threatening As a proud mother of a healthy baby boy, Morgan James, injuries, including an epidural and subdural hematoma. He was Summer is quick to tell others of her fantastic experience at Bryan. also suffering from a torn carotid artery and multiple skull fractures. “I was able to relax and enjoy my time at the Bryan Family After coding several times in the ICU, Micah finally woke two weeks Birthplace. The nurses were there to help. They really do go above later. He endured 25 head surgeries and another 22 surgeries on and beyond to take care of you and your baby,” she says. his legs and shoulder during his several-month stay at Bryan. While Micah required more than 12 months of extensive Micah admits that it’s somewhat surreal to be both a new dad inpatient and outpatient therapy, he soon discovered he had a and a trauma survivor. second chance at life. “It’s almost like I’ve had two lives,” he says. “I remember my About three years after the accident, Micah met and began life very well until May 3, 2008. And now I’m on the other side — dating a woman named Summer, who soon became his fiancé. married with a family.” He asked her to marry him in the middle of a Saint Patrick’s Day In addition to becoming a father, Micah also completed the parade. Micah looked forward to fulfilling his dreams of becoming 2015 Lincoln half marathon. The race happened to fall on the a husband and father. seventh anniversary of his accident. He finished the race in just After their wedding in February 2014, the couple looked to over four hours, motivated by the cheers of his wife, family and fertility treatment to start a family. After two rounds of artificial friends. insemination, the Fulmers discovered they were expecting a baby. “I hope I can be a role model for my son,” says Micah. “To Summer was due in June 2015. show him that with the right help, you can overcome significant “It was so special,” says Summer. “After everything Micah had challenges and achieve your dreams.” been through, and considering our fertility challenges, it was a The Fulmers frequently pop into the Bryan Trauma Center to miracle that we were able to bring a new life into this world.” chat with the team and reminisce about Micah’s experience and Summer was referred by her fertility specialist to Donald journey back to health. Gibbens, MD, of Bryan Women’s Care Physicians at 14 weeks. The And their visits now involve showing off their newest joy — preparation for the baby involved a series of prenatal check-ups, as baby Morgan James. n well as many hours of shopping for baby gear, clothes and nursery Bryan Journeys 21
BRYAN HEART
Co-workers’ quick actions save Kyle during heart attack According to the American Heart Association, 200,000 to 400,000 individuals suffer an out-ofhospital cardiac arrest each year in the United States. As Bryan Heart patient Kyle Rice can attest, bystanders can play a significant role in their survival rate.
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hile getting ready to begin his shift as an assembly fabricator in the Rail Car Division of Kawasaki Motors Manufacturing Corp., Kyle Rice had a heart attack. That was Feb. 21, 2015. “We were starting our 6 a.m. shift,” he recalls. “We were only five minutes into our morning stretches, and I went down.” Kyle had been experiencing chest pains prior to that morning and was in the process of seeing his primary doctor and following up with other providers. However, his cardiac event happened before his scheduled tests. Kyle’s supervisor, Jeff Brester, was quick to react to Kyle’s heart attack. “He fell face down, five feet in front of me,” says Jeff. “I have had CPR training all of my years at work, but until that day had never had to put it into practice.” After checking Kyle for a pulse, Jeff and other co-workers started CPR while another person called the internal safety line to alert the Kawasaki Emergency Medical Response Team. “We have a specific protocol for emergencies, and as a result, our EMTs arrived quickly while we waited for the ambulance,” says Jeff. “They utilized an AED device (a defibrillator) to shock his heart, and then continued CPR for approximately 19 minutes until emergency personnel arrived.” The Lincoln Fire & Rescue ambulance took Kyle from the plant in the northwest part of the city to Bryan Medical Center, where the medical team found one of Kyle’s arteries was 100 percent occluded. Cardiologist Ryan Whitney, MD, of Bryan Heart placed a stent in the artery to keep it open — then put Kyle in a medically induced coma for 3-4 days to cool his body and prevent additional organ damage.
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“I don’t remember much from those first few days, but I’m thankful for the quick actions of my co-workers and the Bryan Heart doctors,” says Kyle. “Without them, I wouldn’t be here today.” Kyle has regular appointments scheduled with Dr. Whitney, as well as his primary care physician. He recently returned to work after a 13-week recovery period. “I’m definitely staying on top of my health,” says Kyle. “I have some permanent damage from the heart attack, but am slowly regaining my strength and recently celebrated my 54th birthday.” In April 2015, Kyle’s co-workers — Jeff Brester, Jason Rethwisch, Steve Addleman, Todd Sehnert, Mike Meyer and Del Stauffer — received the Life Saver Award from the Nebraska Safety Council. This award recognized the group saving the life of their co-worker. The company also was commended for having an emergency action plan in place and having the right equipment and people with the right training at the scene. The six co-workers also earned a HERO Award from the American Heart Association, and EMTs Del, Todd and Steve received a Code Save Award from the Nebraska Department of Health and Human Services Recognition Program. “I wish I could do something to show how thankful I am,” says Kyle. “I had jobs in the past where the outcome probably wouldn’t have been the same because the people around me didn’t know CPR.” As a bystander, Jeff said he did what anyone could, and should do. “In a situation like that, the training comes back to you as you put your knowledge into practice,” he says. “We should never have to watch someone die in front of us because we didn’t know what to do to help.” n Bryan offers CPR for Family and Friends, and Heartsaver AED. To enroll in these courses, call 402-481-5646. To learn how you can support the work of Bryan Heart through the b2020 campaign, please call 402-481-8605, or go to bryanhealth.org/b2020.
BRYAN HEART
When it comes to emergency responses, Kyle Rice is thankful his co-workers at Kawasaki are behind him. Fellow employees Del Stauffer (left), Todd Sehnert, Steve Addleman, Jason Rethwisch, Jeff Brester (Kyle’s supervisor) and Mike Meyer (holding the AED) jumped into action when Kyle suffered a heart attack at work.
Bryan Journeys 23
NEW AT BRYAN
Brandon and Maddy Schrader are thankful athletic trainer Rachel Hall (right) was at the softball tournament where Maddy was injured. Learn more about this program at bryanhealth.org/ athletic-trainingyouth-program.
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NEW AT BRYAN
Athletic trainers are valuable teammates
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ifteen-year-old Madison “Maddy” Schrader was at a softball tournament in Lincoln early this summer when she took a hard hit while fielding a ball in the outfield. At first, the Omaha youth seemed mildly shaken up, but generally OK. Her dad, the team’s assistant coach Brandon Schrader tells the story this way: “I think it was the third inning; there was a runner on third, one out, and a fly ball went to right field. Maddy caught the ball, but she hit the ground pretty hard. She popped back up, threw the ball into home plate and then played through the rest of the inning. I asked if she was OK, and she said yes, so I went back to the field.” Recognizing unusual symptoms Later in the dugout, there were signs that the notoriously goofy Maddy was more shaken up than anyone could readily see. She couldn’t find her batting helmet, when in reality she was wearing it. “It was already on my head and I didn’t know it,” Maddy says. And there were other signs that something wasn’t right. Maddy went up to bat and fouled off a ball but didn’t comprehend it. When coaches talked to her, they discovered it was because her vision was impaired. As she walked back to the dugout and took off her helmet, some of the adults noticed she was crying. Brandon recalls, “I asked her why she was crying and she said she didn’t know. She wasn’t wobbly or anything like that, but I could see that she was ‘off.’ Her eyes were kind of glazed over.” It was at this point that Brandon sent his daughter to see the athletic trainers stationed at the game as part of the Bryan sports medicine/athletic training outreach program, a collaborative effort between Bryan Medical Center and Lincoln Orthopaedic Center (LOC).
This story is underwritten by The Kim Foundation.
The program was established in 2011 and has grown from two certified athletic trainers serving three schools to a team serving schools in Lincoln, David City, Wahoo, Crete, York, Waverly and Seward. The program is headed by Bryan rehabilitation services manager Ed Meelhuysen and LOC sports medicine director Corey Courtney. “We provide professional athletic training coverage in communities throughout eastern Nebraska, through partnerships with local high schools, youth sports organizations and local community hospitals,” Ed says. During the summer, the athletic trainers are able to provide sports medicine coverage at numerous community sporting events, such as the one Maddy participated in. “Our athletic trainers partner with their local schools and communities to provide hometown care,” Corey says. “This program not only focuses on the proper diagnosis and treatment of sports injuries for our young athletes but also on proper education, identification and treatment of concussions and other mild head injuries. As sports have become so much more prevalent and injury awareness has grown, we are really proud to offer this service to our region’s youth.” When Maddy went to the ground, hitting her chest and head, it was a good thing the athletic trainers were on hand, as things went downhill from there. Emergency action plan Athletic trainer Rachel Hall, ATC, picks up the story: “Maddy came to the aid tent where we evaluated her. We could tell right away that something was wrong. She was very lethargic, had trouble staying awake and demonstrated other neurologic symptoms. It was determined that she needed immediate transport to the hospital. Certified trainer Terry Adair activated what we call our emergency action plan.” Rachel says, “We
kept Maddy comfortable and stable until the ambulance arrived.” Maddy was taken to the Bryan Trauma Center, where she was in a coma for 36 hours. Eventually, she was transferred to Children’s Hospital in Omaha and continues her therapy there. “I was surprised by her injuries, because she’s even played with broken bones and usually rebounds pretty quickly after getting hurt. I’m usually the one who freaks out,” Brandon says with a laugh. “This time things weren’t clicking, so it was a different thing. It was very difficult for us, waiting in the hospital to find out what was going on.” Made all the difference The family credits having the athletic trainers on hand for taking quick action and knowing exactly what to do for Maddy. “It made a difference to have the trainers there. The team on Maddy’s case was amazing,” Brandon says. “What it boils down to is that we don’t always have this level of care at every tournament. If Rachel and Terry hadn’t been here, the outcome could have been very different. So I think this program made a world of difference — I’m not happy it happened, but I am happy that the athletic trainers were there.” Says Rachel, “We hope that this story will help families involved in youth sporting events to understand that concussions and other injuries can be more serious than they realize — especially if they are not reported and the child continues to play, running the risk of secondary impact syndrome. We want parents to know that these things can happen anytime. It’s not just a ‘boy’ thing or ‘football’ thing. Serious injuries can happen in any sport.” n To learn how your gift can support Bryan Health, please call 402-481-8605.
Bryan Journeys 25
IN SUPPORT OF OUR COMMUNITY
Having fun at Run to Overcome
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ore than 1,000 completed 5K or 10K courses Sept. 19 at the Bryan Health Run to Overcome. The Kim Foundation, Pen-Link, Bryan Heartland Psychiatry and Mapes Industries were partners for this year’s event. Noah Galloway (right), military veteran and Dancing With the Stars contestant, made special appearances the day before at Southpointe Pavilions and Bryan Medical Center. Jason Pearson (below) and Allison Nielsen were first in the 5K, and Michael Daugherty and Kayte Partch were first in the 10K.
26 Fall 2015
VIDEO
Participants followed a course through the neighborhood surrounding the Bryan Pine Lake Campus. To see a video, go to bryanhealth.org/runto-overcome.
NEW AT BRYAN
E.D. project adds features, doubles size
When the Emergency Department construction project on the Bryan East Campus is completed this fall, it will feature more than twice as much space and the latest equipment to ensure improved patient flow and the best possible tools for our emergency team. This nursing station, seen from the point of view of the physician charting area, opened this summer and is used for minor emergencies during high census periods.
Crews are installing an elevator and enclosed walkway from the expanded surface parking lot to the new E.D. entrance.
Here’s an artist’s rendering of what the new emergency entrance will look like.
Seven new exam rooms will give the E.D. a total of 23. The floor plan promotes patient convenience and privacy.
Bryan Journeys 27
BRYAN COLLEGE OF HEALTH SCIENCES
Internships prep students for real world
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goals, so internships help students f a career in medicine, gain a hands-on perspective of physical therapy, pharmaacademics, research and clinical cology or other health applications.” area is your dream, According to Nicholas, “You’re the Bryan College of Health more than a number at Bryan — Sciences Biomedical Sciences the professors take time to really program is for you. get to know you. For instance, Dr. “Students in this major Crabtree brought this internship are intelligent, motivated and to my attention. Being involved in have high aspirations,” notes specialized research in the area I Kay Crabtree, PhD. “They want to go into definitely made a understand that admissions huge impact on my decision to enroll into professional programs at Bryan. There just isn’t anything such as medical schools and physician assistant programs Students Laurel Ahlman, Nicholas Schuller and Nicole Weedman say like it at competing colleges.” Laurel adds, “I’ve been blessed are extremely competitive. But the Biomedical Science program is helping them realize their dreams. and humbled to know the lengths maintaining high academic Bryan will go to help me fulfill my performances and scoring bioanalytical research and development dream of becoming a doctor. They gave me well on entrance exams are only part of what employee at Celerion here in Lincoln. access to all the tools I will need to succeed.” makes them strong candidates — internships What started as an internship to work on Nicole completed a 10-week internship at and research experiences are essential to publishing research related to work done the University of Nebraska Medical Center. helping them achieve their goals.” over the summer has turned into long-term “My plan is to go into obstetrics and Dr. Crabtree says exposure to clinical care employment.” gynecology and specialize in maternaland research gives students earning the BioNicholas says, “This program is for fetal medicine, which deals with high-risk medical Sciences degree a competitive edge. students who crave learning and have an pregnancies,” she says. “My mentor and “They see knowledge gained in the intense passion to discover the science behind I were researching to see if there is a classroom applied in real world settings, and the human body. It’s a rigorous program, but genetic predisposition for cancer patients the experience helps confirm their interest the preparation is invaluable to patient care. to develop cardiomyopathy after receiving in long-term goals,” she continues. “Faculty “I’m very interested in the dynamics of chemotherapy.” are involved with them every step of the cardiothoracic surgery. My internship was at She points out, “Bryan is great if you way, encouraging and supporting outside the University of Nebraska Medical Center are looking for a small school with a caring internships, as well as facilitating experiences in Omaha, where I took classes and was able culture. I can tell that my professors want here at Bryan Medical Center.” to shadow an oncologist and scrub in on me to succeed and will go the extra mile to Current students enthusiastically support a surgery. We covered topics ranging from help. I did miss out on most of my summer that assessment. periodontitis and the effects on the heart and break while doing the internship, but I had Laurel Ahlman, Nicholas Schuller and immune system to epigenetic principles and an amazing experience that will stay with me Nicole Weedman completed internships analyzing genetic codes. throughout my career!” n this summer, and all three hope to someday “The experience affected me personally become physicians. For more information about the Biomedical as I will be able to provide better care to my “I want to work in the field of neurofuture patients because of principles I learned Sciences program, call 402-481-3801, or go science, as a surgeon, researcher or both,” to bryanhealthcollege.edu. during my internship.” says Laurel. “The possibility of doing an To learn how you can support Bryan College He adds, “Medicine is all about practice internship was one of the reasons I chose of Health Sciences, call 402-481-8605. and having the motivation to accomplish your Bryan. I’m completing an internship as a
28 Fall 2015
BRYAN COLLEGE OF HEALTH SCIENCES
New doctorate emphasizes nursing education Beginning this spring, Bryan College of Health Sciences offers a program of studies leading to an Education Doctorate (EdD) with an emphasis in Nursing Education. This is one of only eight such programs in the United States, and Bryan’s is the first of its kind in the Midwest. It is a 54-credit curriculum that can be completed in four years and is designed for working professionals who hold the Master of Science in Nursing (MSN). The format includes face-to-face, classroom and online interaction, with nearly 75 percent of the coursework being completed online. “We are pleased to be able to support the increasing need for nursing educators, who in turn will help meet the critical need for more nurses throughout our country,” says Bryan College of Health Sciences President Marilyn Moore, EdD. “As many nursing faculty members approach retirement and accreditation standards require an increasing number of doctoral prepared educators, this program will meet the need for highly educated faculty members in colleges throughout the Midwest.” To learn more about the Education Doctorate with an emphasis in Nursing Education, contact Dean of Graduate Nursing Marcia Kube, EdD, at 402-481-8845, or email marcia.kube@bryanhealth.edu. n
Welcome five faculty members Amanda Fox, RN, BSN, MSN, is from Bassett. She received an Associate Degree in Nursing from Southeast Community College in 2006, then earned bachelor’s and master’s degrees from Nebraska Wesleyan University, Lincoln. Her career includes two years of medical/oncology experience and seven years of mother/baby/ women’s health nursing. Fox served as an adjunct nursing instructor at Union College, Lincoln. In her spare time, she enjoys spending time with her husband and two children. Professor of Graduate Nursing Katherine Girard, EdD, RN, MSN, CNE, RNFA, completed the Licensed Practical Nurse program and Associate in Nursing degree at Kirtland Community College, Roscommon, Michigan, before earning her doctorate at Eastern Michigan University, Ypsilanti. Dr. Girard has 19 years of nursing experience, with the last 14 in education. Her career includes operating room nursing, higher education and educational leadership. She is a certified nurse educator and a registered nurse first assist. Dr. Girard received the March of Dimes Excellence Award and was a finalist for the Omaha Magazine Excellence in Nursing Award. Assistant Prof. Mark Jones, PhD, is from Hammond, Indiana. He earned a bachelor’s degree at Purdue University- Calumet and a PhD in Human Anatomy at Indiana University School of Medicine, Indianapolis. Dr. Jones taught biology as an assistant professor at LeTourneau
University, Longview, Texas. He and his wife have two daughters — the younger is a nursing student at Bryan and the older daughter earned a bachelor’s in secondary education at the University of Nebraska-Lincoln. His hobbies include archery and the outdoors. Irakli Loladze, PhD, is a native of Tbilisi, Georgia, who came to the United States in 1994 to enroll in graduate school at Arizona State University, Tempe, where he earned a master’s and doctorate. He’s lived in Lincoln since 2004. Dr. Loladze carried out research and taught at ASU, as well as at the University of NebraskaLincoln, the Ohio State University, the Catholic University of Daegu, South Korea, and the University of Maryland University College, Adelphi. He’s a mathematical biologist who enjoys applying math to determine how nature works, and he’s collaborating with the EPA on “The Impacts of Climate Change on Human Health in the United States: A Scientific Assessment.” Dr. Loladze and his wife have two sons. Katie Sladky, RN, MSN, of Columbus earned BSN (2009) and MSN (2014) degrees at Bryan College of Health Sciences. As a nurse, she practiced at Antelope Memorial Hospital and AMH Family Practice in Neligh, where she gained experience in medical/surgical, emergency, obstetrics and other areas of nursing. At Northeast Community College in Norfolk, Sladky taught pharmacology to Practical Nursing students and did clinical rotations with Associate Degree in Nursing students in the local hospital’s acute care setting. She and her husband have three small children. Sladky says in her spare time she enjoys exercising and reading. Bryan Journeys 29
ACHIEVEMENTS
Leadership awards salute Campbell, Moore, Plowman Bryan College of Health Sciences President Marilyn Moore, EdD, and Board members Donde Plowman, PhD, and Kathy Campbell were among 10 winners of the first-ever Inspire — Celebrating Women’s Leadership Awards. Dr. Moore was honored for Excellence in Education. State Sen. Kathy Campbell, a member of the Bryan Medical Center Board of Trustees, was saluted for Excellence in Government Service. Dr. Plowman, dean of the University of NebraskaLincoln College of Business, was named Woman of the Year for her support of mentoring programs for women and her efforts to raise funds for a new College of Business Administration building. She’s on the Bryan Health Board. The awards, sponsored in part by the Lincoln Journal Star, were presented in September. Recipients were honored for being role models in the community and excelling in their professional lives. n
30 Fall 2015
Bill Tompkins enjoys a hot dog during the annual CAMC Golf Scramble.
Nurse navigator Ruth Van Gerpen is Bryan’s Caring Kind Award honoree for 2015.
Jameison Cooper accepts the Leadership Award from Susan Cochrane of the ANFP.
Tompkins and Van Gerpen are our Caring Kind Award winners for 2015
Association recognizes NDS teamwork
Maintenance worker Bill Tompkins of Crete Area Medical Center and oncology clinical nurse specialist and nurse navigator Ruth Van Gerpen of Bryan Health are Nebraska Hospital Association Caring Kind Award recipients. Tompkins has worked in the plant operations department at CAMC for almost 15 years. His nominator notes, “He’s always willing to go out of his way to help. He always is pleasant to work with, and no matter what is needed, he completes it with a smile.” Van Gerpen’s nominator says, “She goes above and beyond to make sure
During the annual conference of the Association of Nutrition and Foodservice Professionals (ANFP) in Orlando, the organization presented a Partnership in Leadership Award to Bryan’s Nutrition and Dining Services team. This award was in the Excellence in Dining category. According to NDS supervisor Jameison Cooper, the award recognizes a collaborative effort among co-workers at both Bryan Medical Center campuses to offer new products, improve efficiency and emphasize service spirit. In 2014, NDS experienced a cumulative retail sales growth of 18 percent over the previous year’s total. n
our oncology patients get everything they need, from medications to education to arranging things to aide in their care and recovery. “She works harder than anyone I know and answers our questions in the middle of the night if we are stumped with a chemo problem or oncologic emergency. Ruth is one heck of a nurse and a huge asset to Bryan Health.” Van Gerpen has worked at Bryan for 39 years. During its annual fall convention, the Nebraska Hospital Association recognizes an outstanding employee of every hospital in the state. n
BRYAN VOLUNTEERS & CUSTOMER CARE
Coverlets cheer tiny Husker fans
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ildred Petersen has a degree in home economics from the University of Nebraska-Lincoln, a passion for giving back, and a deep devotion to Nebraska football. These ingredients make her the perfect person to bring a little Husker spirit to newborns in the Bryan Family Birthplace. “Many years ago, one of the OB nurses thought it would be fun to create Husker coverlets,” Mildred explains. “They wanted to cover each of the newborn babies with these specially designed coverlets on Husker game days.” As a football season ticket holder, Mildred was excited for the opportunity to put her sewing skills to good use. With the hospital covering the cost of the fabric, Mildred works diligently to sew approximately 400 Husker coverlets each year. Other volunteers also help make coverlets in different designs for the holidays throughout the year. “It takes me about an hour to make a coverlet,” she says. “But I do them in batches, so they go quickly. I can complete them at home, regardless of what the weather is like outside.” Mildred has been volunteering at Bryan Health for more than 20 years, having moved to Lincoln from South Dakota in the early 1990s. In addition to the coverlets, Mildred works one day a week at the Bryan Medical Center information desk. She greets patients and their families, helping to locate room numbers and other valuable information. In her spare time, Mildred likes to travel, cross-stitch and play bridge. She
Every year, Mildred Petersen sews hundreds of Husker-themed coverlets for newborns at Bryan Health.
has contributed her time to the Bryan Volunteers and Customer Care Board of Directors on two different occasions, as well as the advisory board of her senior living community. She also enjoys spending time with her
daughters when they come to town, going to — you guessed it — Husker football games! n To learn about volunteer opportunities, call 402-481-3032, or visit bryanhealth.org/volunteer.
Bryan Journeys 31
BRYAN STERLING CONNECTION
Your connection to fun, friends and information
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n the coming months, you will have many opportunities to connect with other Bryan Sterling Connection members. Not a member? Join today — it’s free! Call us at 402-481-3355, or join online by logging on to bryanhealth.org/sterlingconnection.
Sterling Connection Holiday Social Open House Sunday, Dec. 13, 2015, 1-4 p.m. Get in the holiday spirit with fellow Sterling Connection members. For Holiday Social reservations, call 402-481-8355.
Adventures await in 2016! Trip brochures will be available Dec. 1, 2015, for 2016 adventures. To download brochures, visit bryanhealth.org/travel, or call 402-481-3355 or 800-742-7844, and ask for Bryan Sterling Connection.
Bryan Sterling Connection is here to assist you! The team includes program assistant Lori Lee (left), program manager Kathy Wolf and program assistant Pam Bly — seen here with motivational speaker Noah Galloway during his visit to Lincoln to help promote the annual Bryan Health Run to Overcome.
Multiple-day tours Grand Canyon by Rail — April 25-30 Imagine the thrill of spending quality time in the Grand Canyon. Amtrak to Williams, Arizona, in your own private sleeping room and enjoy meals in the diner, just like the old days. Take the scenic Grand Canyon Railway to the rim of the Grand Canyon and overnight in the National Park. On the last day, take an excursion to the bottom of the canyon. Canadian Rockies — July 17-27 The Canadian Rockies are spectacular. Spending time in the mountain community of Banff, seeing gorgeous Lake Louise and rafting down the Bow River are just a few things you’ll experience on this trip. Mississippi River Cruise & Cranberry Country — Sept. 27-30 This vacation combines the harvest of
32 Fall 2015
the little red cranberry with the folklore and majesty of the mighty Mississippi River. Learn all about how cranberries are grown and harvested, plus enjoy a relaxing excursion down the Mississippi River.
One-day trips Savor the Flavor of Europe, Including Four Ethnic Communities in Western Iowa — May 17 We’ll uncover some hidden gems for you to enjoy in communities that represent Sweden, France, Denmark and Germany. Learn about interesting culture and history, and sample delicious ethnic foods. Farms to Marbles — June 14 This tour of York includes Wessel’s Living History Farm, Clayton Museum of Ancient History, Lee’s Legendary Marble Museum,
and a wonderful lunch at Chances R. Northeast Nebraska Adventure — Aug. 2 Visit DeSoto Wildlife Refuge and discover the artifacts from the sinking of the Steamboat Bertrand. Enjoy lunch at Ponca State Park. The Answer My Friend is Blowing in the Wind: Exploring Windmills, Wind Turbines and Energy Generation — Sept. 15 This unique and interesting tour explores the generation of energy. Enjoy lunch at the Lied Lodge, time to shop at the wool outlet in Nebraska City and pick up fresh apples at Kimmel Orchard. Nebraska Winery Tour — Oct. 8 Visit three wineries and enjoy a delightful lunch cruise on the Missouri River.
COMMUNITY CALENDAR Bryan Community Health Education and Sterling Connection present
Shine a Light on Lung Cancer Tuesday, Nov. 3, 6:30-8 p.m.
Bryan Health, in partnership with Bryan Heart Cardiothoracic Surgery, Lincoln Pulmonary & Critical Care Associates, Nebraska Hematology & Oncology, Nebraska Pulmonary Specialties, Southeast Nebraska Cancer Center and Radiation Oncology Consultants, invites you to join us for the Shine a Light on Lung Cancer Vigil. It’s the largest internationally coordinated awareness event for lung cancer. The vigil provides hope, support and compassion for all affected by this disease. This event empowers millions to join this historic movement as we unite in one call to action: to triple survivorship by the end of this decade. Hear pulmonologist Kevin Reichmuth, MD, and medical oncologist Eric Avery, MD, describe why this event is important, and listen to a survivor’s story. Cost: Free, and no registration is required. Where: Bryan East Campus, Plaza Conference Center, 1500 S. 48th. For more information, go to bryanhealth.org/calendar, or call 402-481-5400.
Diabetes Prevention Program Classes begin Thursday, Jan. 7
The National Diabetes Prevention Program, taught by Bryan Diabetes Center educators, can help you prevent or delay type 2 diabetes. You’ll learn ways to improve food choices and increase
physical activity, with a goal of losing 5-7 percent of your body weight. You’ll feel better, be healthier, and best of all, reduce your risk of developing type 2 diabetes by up to 58 percent! Work with a diabetes prevention coach and other participants to learn skills for making lasting lifestyle changes. This program lasts one year, with 16 core sessions during the first six months, then monthly post-core sessions for the remainder of the year. To learn more, call Bryan LifePointe at 402-481-6300.
2016 Bryan Indoor Triathlon Saturday, Feb. 27
First wave begins at 7:30 a.m., and a new wave begins every 35 minutes. The total triathlon event will be 75 minutes, including: n 10-minute swim in the lap pool. n 10-minute transition. n 30 minutes on a spin bike. n 5-minute transition. n 20 minutes on a treadmill. Placing is determined by number of laps swum, watts generated while cycling 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: Individual is $25, or $75 for a team. Where: Bryan LifePointe Campus, 7501 S. 27th. To learn more, go to bryanhealth.org/triathlon, or call 402-481-8855.
Special Holiday Packages The Gift of “Ahhh...” from The Spa at Bryan LifePointe
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!
Get Fit Gifts from Bryan LifePointe Fitness
Learn more at bryanhealth.org/holidayspecials Bryan Journeys 33
1600 S. 48th St., Lincoln, NE 68506
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NICU Rooftop Healing Garden Coming Spring 2016 Coming Soon
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