JOURNEYS “Destiny is not a matter of chance, it is a matter of choice …” – William Jennings Bryan
FALL 2017
Defeating cancer together
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JOURNEYS FALL 2017
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FROM OUR PRESIDENT
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PATIENT EXPERIENCE Community counts on Lon: He counts on Bryan teamwork
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BRYAN INDEPENDENCE CENTER Horses help WHOA participants explore paths to recovery
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PATIENT EXPERIENCE His life doesn’t stop for traumatic brain injury TRAUMA SURVIVOR Growing hope Tribute to Trauma Champions
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BRYAN HEART She’s a fan of Bryan MEDICAL STAFF SPOTLIGHT Ask the doctor: Can you treat my heart failure?
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MEDICAL STAFF UPDATE New faces at Bryan / Remembering our colleagues
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PATIENT EXPERIENCE Losing weight and winning big: Bryan Bariatric Advantage helps Catherine change her life
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TEETERS MEMORIAL GARDEN
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BRYAN FOUNDATION Gift honors Steinmillers’ care Thanks to you, b2020 campaign nears goal Employee giving achieves new heights Bryan Health welcomes Jesske to development staff
Special guests attend Central City celebration
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CRETE AREA MEDICAL CENTER Partnering to build a healthy community
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VOLUNTEERS & CUSTOMER CARE Art Van deLUX enriches LifeSpring class
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ACHIEVEMENTS
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COMMUNITY CALENDAR
Bryan Health President and Chief Executive Officer Kimberly Russel (left), Gov. Pete Ricketts and Merrick Medical Center Chief Executive Officer Julie Murray attended the communitywide Celebration of Health & Life.
Merrick Medical Center hosted a July 4 Celebration of Health & Life during Lone Tree Days in Central City. Among the special guests was Gov. Pete Ricketts, who proclaimed July 5 to be Health & Life Day. The former Litzenberg Memorial County Hospital joined Bryan Health to officially become Merrick Medical Center July 1. “We are thrilled to have the team in Central City join our 4,500 employees in Nebraska,” Bryan Health President and CEO Kimberly Russel notes. “With a superb medical staff in place, community excitement, talented staff and desire to improve the health of people, Merrick Medical Center is an outstanding addition to our health system.”
T H A N K YO U, B RYA N F O U N D AT I O N 2 0 1 7 E V E N T PA R T N E R S The Kim Foundation Union Bank & Trust
Air Methods HDR, Inc.
Mapes Industries, Inc. Sampson Construction
ALL ABOUT JOURNEYS
STAY IN TOUCH
Statesman William Jennings Bryan, one of the original benefactors of Bryan Health, said:
We welcome your comments. For more information about Journeys, contact the Advancement team by calling 402-481-8674. To learn more about Bryan programs and services, visit us online at bryanhealth.org.
Kimberly Russel President & CEO, Bryan Health
“Destiny is not a matter of chance, it is a matter of choice; it is not a thing to be waited for, it is a thing to be achieved.” Journeys tells our story of how Bryan chooses to achieve. This free publication is mailed quarterly to the communities we serve.
ON THE COVER Oncology nurse navigator Carrie Waltemath and Lon Sorenson are optimistic about his future after successful colon cancer surgery.
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OPPORTUNITIES TO SUPPORT Your contributions help us care for those who come to Bryan at every stage of life. To find out how you can participate, call 402-481-8605, or write to us at: Bryan Foundation 1600 S. 48th St., Lincoln, NE 68506 You can learn how to help and make a gift online at bryanhealth.org/bryan-foundation.
John Woodrich President & COO, Bryan Medical Center Edward Mlinek Jr., MD Chief of Staff, Bryan Medical Staff Bob Ravenscroft Vice President of Advancement & CDO Edgar Bumanis Director of Public Relations Kevin Rummel, MD Medical Editor Paul Hadley Editor
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FROM OUR PRESIDENT
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o much of our work at Bryan Health depends on speed. It may involve a trauma patient who needs to be stabilized or a surgeon who needs immediate biopsy results before the case can continue. Or, as depicted in the photo below, speed could be the goal of the integrated team across our community that has once again been recognized for its efforts to rapidly get patients to Bryan and into our heart catheterization labs for life-saving intervention. Moving fast is one thing, doing so without sacrificing quality and safety is an art — it’s the Bryan way. I would be remiss to not mention one other team that jumps to action in the midst of crisis. That is Nebraska’s Task Force 1, which earlier this fall assisted communities recovering from natural disasters in Texas and Florida. Our own Emergency Services Medical Director Edward Mlinek, MD, and John Bonta, MD, and Daniel
Schiefelbein, MD, are part of this group. All three of these Nebraska Emergency Medicine physicians assisted in Texas, and Dr. Mlinek also helped in Florida. On behalf of my colleagues at Bryan, I salute all the members of this special team and thank them for their service. Our Bryan Health family now tops 4,500 dedicated professionals who exemplify just what can be accomplished through trust. We are looking forward to keeping your family healthy for generations to come. Bryan Health. Forward. Together.
Kimberly A. Russel President and Chief Executive Officer, Bryan Health
Leaders and staff members from Bryan Health, physicians and Lincoln Fire and Rescue celebrated Bryan’s Gold Level Award in the American Heart Association/American Stroke Association’s 2017 Mission: Lifeline program. The award recognizes health care organizations that consistently follow specific AHA guidelines for treating heart attack patients. Bryan Medical Center President John Woodrich says, “Patients are getting better and faster care for severe heart attacks, thanks to new technology, improvement measures and Bryan’s partnerships with first responders throughout our region.”
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PAT I E N T E X P E R I E N C E Thanks to gentle urging from his health care team and oncology nurse navigator Carrie Waltemath, Lon Sorenson is a cancer survivor.
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PAT I E N T E X P E R I E N C E
Community counts on Lon
He counts on Bryan teamwork
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n a recent summer day in Lincoln, 79-year-old Lon Sorenson shared his story about surviving colon cancer. This Lincoln native received colon cancer screening and life-saving surgery last spring and is back to his very active life with his family and church, including his role as volunteer advocate for the Karen refugee community. “A lot of people in Lincoln don’t much know about the Karen people,” says Lon. “They are a minority ethnic group from Southeast Asia that has been persecuted by the government in Myanmar — formerly known as Burma — for over 65 years for political reasons. Many families fled to America, and there are now more than 4,000 Karen refugee families settled in Nebraska.”
for jobs and navigating things like car repairs and home loans.”
Fateful test In 2017, Lon learned he had colon cancer. “I had a colonoscopy back in 1996 that showed a noncancerous polyp. At that time, my doctor told me I was at increased risk and should get another colonoscopy in five years. I kept delaying that second colonoscopy though, because I felt healthy and I have healthy habits. “Finally in the spring of 2017, I saw a colon cancer screening test at my pharmacy and thought ‘It’s time I The Karen community, including many refugees from Myanmar, check this out,’” he joyfully accept Martha and Lon Sorenson as honorary grandparents. remembers. Met refugees at church That test, called Lon and his wife, Martha, a Lincoln artist, are members of a fecal occult blood test (FOBT) is a simple, free test that the First Baptist Church, which is also attended by many families people can perform at home for hidden intestinal bleeding — a from the Karen community. potential early sign of colon cancer. FOBT kits are distributed to “Because the Karen often are Baptist, we met them many local pharmacies by the Lancaster County Crusade Against through church when they first began arriving in Lincoln in Colon Cancer, a project supported by Bryan Health and other 2007. One day, a University of Nebraska-Lincoln student from Lincoln health care providers. Myanmar asked if I could help take Karen families to doctors’ “The test was really easy to do, and then I just dropped it in appointments, and my work with the community developed the mail. A few weeks later I got a letter from the Crusade saying naturally from there,” Lon recalls. “Over time, I helped with all the test was positive for intestinal bleeding — then I knew I sorts of things, from finding English language classes to applying needed a colonoscopy.”
This story is brought to you by Union Bank & Trust.
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Gastroenterologist Clark Antonson, MD, surgeon Stephen Nagengast, MD, and oncology nurse navigator Carrie Waltemath, RN, are key members of the team that helped diagnose and treat Lon Sorenson’s cancer.
At the same time, the Crusade sent Lon’s results to Bryan oncology nurse navigator Carrie Waltemath, RN. She followed up with Lon to help arrange the colonoscopy, and when his colon cancer was diagnosed, the surgery that saved his life. Carrie explains, “The Lancaster County Crusade Against Colon Cancer quickly sends me results of any positive FOBT kit, then my job as oncology nurse navigator is to help solve problems that could stand in the way of patients’ successful treatment. For example, if they need more information, lack transportation or have financial needs keeping them from getting the care they need, we find resources that can help. “In Lon’s case, the first problem was that he had no personal doctor.” Followed up with visit “I felt so healthy that I actually hadn’t seen a doctor in years,” says Lon. “And that was a problem, because it turns out you need a doctor to order a colonoscopy for you.” Fortunately, through his work with the refugee community, he met 17-year-old Bich Chau in 1981, when she and her family
came to Lincoln from Vietnam. Now, 36 years later, as Lincoln family practice physician Bich Chau, MD, she was delighted to have Lon as her patient and quickly ordered the colonoscopy. Carrie explains why a colonoscopy is needed for people with positive FOBT results. “That’s because there are reasons other than colon cancer that people can have intestinal bleeding. They might, for example, be on certain medications or have bowel problems like inflammation, ulcers or hemorrhoids. A colonoscopy lets the doctor look directly at the bowel lining and know for sure whether colon cancer is present,” she says. The colonoscopy performed by gastroenterologist Clark Antonson, MD, of Gastroenterology Specialties confimed that Lon had cancer. Soon afterward Stephen Nagengast, MD, of General Surgery Associates removed all of Lon’s cancer in a single surgery. “Dr. Nagengast told me to expect to take two months to heal,” says Lon, “but about a month after surgery I felt entirely back to normal.” As Dr. Antonson explains, a colonoscopy is not just for
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PAT I E N T E X P E R I E N C E diagnosis after positive FOBT results, it’s also the best early screening tool for colon cancer. “Colonoscopy is absolutely the best way to find colon cancer early, so it’s recommended every 10 years for people aged 50 to 75. We understand, though, that for some people a colonoscopy is expensive or inconvenient — for those people the FOBT kit can be a good first alternative, though that’s a decision to talk over with your doctor to learn what’s right for you. If FOBT results are positive, you need further screening by a colonoscopy, which is a painless 30-minute procedure done in an outpatient setting.” Early detection important Dr. Nagengast points out why early screening and detection of colon cancer are essential. He says, “Colon cancer doesn’t usually have symptoms in its early stages — when it’s most treatable and patients will likely survive it. With early diagnosis and treatment, 95 percent of patients survive colon cancer. “But in its later stages when it spreads to the lymph nodes and elsewhere in the body, colon cancer is harder to treat and
has a much lower survival rate — less than 40 percent.” When describing his diagnosis, treatment and care after the surgery, Lon notes, “Carrie’s role as nurse navigator was essential to my care. I might have put off getting treatment longer, but she called often to check on me, answered my questions and made sure I got connected with the care I needed. So it was very easy to schedule the colonoscopy, the surgery and oncology care afterward with Alan Berg, MD, of Southeast Nebraska Cancer Center. “Throughout everything, I actually don’t remember experiencing any stress.” Now Lon is back to living his life unchanged, including his supportive work for the Karen community. “The Karen families have worked very hard, and I’m so pleased and impressed with their success. I really enjoy my work with them and feel they are family.” n To learn how you can support the work of Bryan Health, contact the Bryan Foundation at 402-481-8605. For information about life-saving colonoscopies, VIDEO watch the video at bryanhealth.org/colonoscopy.
The Karen community in Lincoln relies on Martha and Lon Sorenson (center) for help in navigating life in a new land.
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BRYAN INDEPENDENCE CENTER
Horses help WHOA participants explore paths to recovery
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hen you ask individuals what impacted them the most during their drug and alcohol rehabilitation at Bryan Independence Center, you’ll get a common answer — The WHOA! program at Stable Outlook. “We were approached by Stable Outlook approximately two years ago,” says clinical manager Kimberley Mundil, LIMHP, PLADC, of the Bryan Independence Center. “We knew this would be a great experience.” A unique application of equine therapy, this specific program is designed to help residents reduce anxiety, develop
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a habit of being present and generate a sense of connection, both with the horses and with the group as a whole. “WHOA is an acronym for With Horses, Overcoming Addiction,” says Emily Shultz, director of Stable Outlook. “It’s a 12-step based program where we work with horses, donkeys or ponies to process through recovery issues in a new way.” As you talk with the individuals in the group, the summary of their experience is quite clear — it works.
What residents say “The donkey came up to me, put
her head on my shoulder and literally hugged me for 20 minutes,” says Tommy Hansen, a resident working through drug addiction. “I have ADHD and it was the quietest and calmest I’ve been for a long time.” Heads nod in agreement. “Prior to coming here, many of us were focused on our drug of choice,” Lisa Sallis notes. “This helped me realize there are new activities to explore. You learn to channel your energy differently.” Jane Tipton loved the impact it had on group dynamics. “It’s fun to go with a smaller group,” she adds. “You build tighter bonds. Plus,
WHOA means go as participants follow Opal through a course meant to represent the rewards of sobriety.
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BRYAN INDEPENDENCE CENTER
it’s a safe place to share.” For those who grew up with horses, the experience triggers powerful memories. “I used to raise horses,” says Nondo Moreno. “It was refreshing to be in that environment again.”
Powerful connections Since collaborating with Stable Outlook in 2015, the program has been very well received. “Equine assisted learning is very powerful,” says Emily. “When you connect with a 1,200 pound animal, oxytocin levels go up while heart rate and respiration rate go down. Because of how our brains work, being with horses actually helps humans learn more effectively.” When visiting Stable Outlook, individuals will spend the first few minutes getting introduced to the horses — addressing safety and conducting a brief 12-step meeting. While the program often includes working with horses to move them through paths or obstacles, it can also be as simple as brushing the horses and being around them. “Horses don’t have verbal language. They communicate through body language and energy. Our animals are completely free — no bridles or saddles,” explains Emily. “They follow willingly. People have to build trust, paying special attention to the horses’ nonverbal cues.” Nick Markham, a resident near the Lisa Sallis and Nick Markham gently reintroduce themselves to Opal at the beginning of a session. Bryan Journeys 7
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BRYAN INDEPENDENCE CENTER end of his stay, witnessed this firsthand. “If you’re approachable and friendly, the horses are, too,” he says. “It’s like they mirror what you’re thinking.” The Bryan Independence Center staff members truly believe in the power of the program. “It’s rewarding to watch the group interact with the animals and to see how the animals return their affection,” says Kimberley. “It’s amazing how calm and peaceful the group was after the equine therapy session.” n To learn more about Bryan Independence Center programs, visit bryanhealth.org, or call 402-481-5268. The equine therapy aspect of the Bryan Independence Center’s program was partially funded by the Bryan Foundation and an anonymous gift. To learn how you Stable Outlook director Emily Shultz and Bryan Independence Center clinical manager Kimberley can support the work of Bryan Health, Mundil say the WHOA program helps participants overcome some of the obstacles to recovery. please call 402-481-8605.
Many in the Stable Outlook herd were rescued animals, who have since formed trusting relationships with the Bryan Independence Center participants, such as Punkin with Nondo Moreno, Cheyenne and Charlie with Jane Tipton, and Isabelle the donkey with Tommy Hansen. 8 Fall 2017
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PAT I E N T E X P E R I E N C E
His life doesn’t stop for traumatic brain injury
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a second life because of his quick ukas Sand is the type reaction,” Lukas says. of guy who takes a Lukas was in a coma after his bad experience and surgery, and the intensive care unit makes something staff expected him to wake up after positive come of it. five to seven days. Instead, he woke Lukas was a junior at the up in just four. University of Nebraska-Lincoln “Immediately, we started to see when he suffered a traumatic the drive,” says Sandy Kirchner, brain injury. He used his APRN, who was a nurse in the ICU at experience for a presentation the time. “He was a young kid who last year at the University of wanted to get better.” Nebraska Medical Center College Lukas credits his amazing recovery of Medicine, Omaha, where he to family, friends and faith. earned a master’s in medical “Every day, my mom talked to anatomy. me about God, and how I’ve got to Lukas says using his own believe in him and trust where he’ll story as a case study helped him bring me. Ever since then, that’s been move forward. a driving force in my life,” he says. “I was given a chance to Lukas’ presentation focuses on use my personal experience using midline shift, which shows to inspire others,” he says. “It how far the brain has moved from just helps me feel like I’m going its normal position, to determine down the right path with what I All smiles at commencement, Lukas Sand gives his if a patient would benefit from a was given.” younger sister, Julia, a piggyback ride after earning a craniotomy. On Saturday, Sept. 8, 2012, master’s in medical anatomy. Lukas is currently pursuing a Lukas’ roommates woke to a loud physical therapy doctorate at the crash at 3 a.m. Lukas had fallen University of North Carolina at Chapel Hill. out of his raised bunk bed, which didn’t have guardrails. Lukas says his family felt led to give back to Bryan, and He spent that day on the couch, and when his friends tried his parents formed close friendships with the staff during to wake him that night, he seemed disoriented. By Sunday his hospitalization. morning, his friends were even more concerned. Major gift officer DeEtta Mayrose says the Bryan “I was still on the couch — I hadn’t moved — so they Foundation is grateful for the Sands’ support and agrees tried to stand me up. I was dizzy and fell over, and then I that they have a special bond with Bryan. went and threw up,” Lukas remembers. At that point, they “They’ve definitely become a part of the Bryan family,” took him to the Bryan Emergency Department. she says. n When Lukas arrived, neurosurgeon Daniel Tomes, MD, of the Nebraska Neurosurgery Group ordered an MRI. Lukas’ brain was so swollen that he required a craniotomy To learn how you can support the work of Bryan Health, — a surgery to remove a piece of his skull. contact the Bryan Foundation at 402-481-8605. “My mom refers to Dr. Tomes as the guy who gave me
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or fourth-generation farmer Brock Melton, farming is life. “The kid was born wearing John Deere green,” jokes his sister, Jennifer Bruns. As children, Brock and his cousin would “farm” the entire house, leaving a trail of tractors and toys, and when Brock got a little older, he would plant corn and wheat in random places in the yard for fun. At age 8, he won a 4-H tractor-driving competition by backing an implement into a lane of road cones, and he went on to win year after year, even beating older high school students. After graduation, he attended Southeast Community College in Beatrice and eventually decided to join his dad on the family farm near Oak, Nebraska. But when Brock was injured in a hunting accident on Nov. 20, 2016, the
TRAUMA SURVIVOR 24-year-old’s farm work was put on hold. Brock had spent that Sunday morning hunting with friends near Courtland, Kansas, when he was accidentally shot in the head. His friends called for help, and Brock was rushed to Republic County Hospital in Belleville, Kansas. At the hospital, a CT scan showed a trail of bone fragments and a shotgun slug that had traveled six inches across both hemispheres of his brain. Brock’s dad, John, had been finishing up some work when he got the news. John and his wife, Deb, rushed to the hospital in Kansas with Jennifer and her husband, Zach. When they arrived in Belleville, they learned that the hospital was transferring Brock by air ambulance to the Bryan Trauma Center, and his family followed him to Lincoln in their car. “As soon as we walked in the doors at the emergency department, we were met by a chaplain, and that was pretty scary,”
says Jennifer, who’s a nurse in Superior. “I knew the extent of his injury and what we were facing, but I still thought, ‘Wow, this is serious.’” Trauma medical director and surgeon Stanley Okosun, MD, was on call when Brock arrived at Bryan West Campus. “We really didn’t have a lot of time. It was like throwing the book at him in order to bring down the pressure in his brain, because we knew we needed to do this to save his life,” says Dr. Okosun. The trauma team stabilized Brock, but it became clear that he would need surgery. At 2 a.m., neurosurgeon Daniel Tomes, MD, of the Nebraska Neurosurgery Group removed the bone fragments from Brock’s brain and cut out a portion of his skull, a procedure known as a decompressive craniotomy. This relieved the pressure in Brock’s head by allowing room for his brain to swell.
Growi Brock Melton overcame a traumatic brain injury to return to farming. 10 Fall 2017
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TRAUMA SURVIVOR In the waiting room, staff kept Brock’s family updated on his condition, and Jennifer says the team at Bryan helped them get through that difficult time. “The nurses there — amazing doesn’t even begin to describe them. They took care of Mom and Dad when I couldn’t be there, and I feel like they helped me a lot of the way. It was like they were my sisters. They just filled that gap for my family so well that it’s pretty overwhelming,” she says. Jennifer remembers something Dr. Okosun told her father that first night. “He told Dad, ‘When Brock came in here, he became my son, just like he is your boy, and I will take care of him as he is my boy. And we’re going to get our boy home.’”
Jennifer says her family noticed this attitude throughout their time at Bryan. “They cared about Brock like he truly was their family, like he was their son, he was their brother. Having that mentality is what made everything easier.” Intensive care nurse Jackie Wright seemed to connect with Brock from the beginning. Brock’s blood pressure had been skyrocketing one of his first nights in the intensive care unit, and Jackie remarked that Brock seemed annoyed, even though he wasn’t conscious. Brock was intubated, sedated and stuck in bed, and his sister says he would have been irritated. “Jackie had him pegged from the
minute he got there,” Jennifer recalls with a laugh. “That was so reassuring to us.” After Brock’s surgery, his family celebrated every positive step in his recovery. Things as simple as being able to squeeze someone’s hand and having a gag reflex were announced on Facebook. The day Brock first walked again was a turning point for the Meltons. In February, more than two months after his accident, Brock took his first steps. “It was actually my birthday, so I’ll never forget that,” says Jennifer. “That day was a huge milestone in his recovery. We could all finally take a big, deep breath, and it made it feel like everything was going to be OK.”
wing hope
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TRAUMA SURVIVOR
Deb and John Melton join Brock in inspecting an ear of corn from what looks to be a bumper crop in the field near their home in Oak.
Because both hemispheres of his brain were affected from his injury, Brock faced a lot of challenges, especially in terms of regaining movement. Scott Schroeder, advanced practice nurse practitioner, says Brock’s remarkable recovery is a lesson for all trauma caregivers. “He overcame just a ton,” says Scott. “It’s a testament for people who work in trauma to how amazing the brain can heal. We see conditions that don’t get better — in this case, Brock defied all odds.” Traumatic brain injury patients often face mental and emotional struggles as they deal with what can be a slow, difficult process, and Scott says Brock’s family deserves recognition for their role in his recovery. “They were with him right at the beginning, and they were by his side when
he was going through the frustrations of recovery,” says Scott. “Mom and Dad and sister all played a key role in Brock’s recovery. He had a great family support system. We don’t see that all the time, so it’s refreshing.” Jennifer says her family also is thankful for friends and family who cared for them during this time. “We could feel the support and all the prayers from back home, and that was one of the things that helped us make it through,” she says. “People talk about small communities coming together, and from the minute the accident happened, the support and love from everyone has been phenomenal.” Brock still has some challenges ahead of him. Harvest this season will look a little different, and the family has adapted to make it work. Brock does physical therapy in Superior and continues to make progress. He recently bought a house in Oak, and he’s looking forward to living on his own again. Jennifer says her family is grateful that Brock had access to the team at Bryan. “We’re so lucky to have Bryan,” she says. “A facility like that — you think out in the middle of nowhere that we shouldn’t have this kind of medical care available, but we are so lucky that we do.” For Brock, his recovery was about one thing. “I just wanted to get back to the farm,” he says simply. Jennifer is confident that Brock will make a full recovery, and his injury will be
something that just becomes part of his past. “There will be a day when we won’t even recognize that the accident happened,” she says. “Brock just takes it day by day, and that’s how he’s made it —
Less than a year after his life-threatening injury, Brock is back to running heavy farm equipment, tending his cattle and getting ready to harvest the family’s fall crops.
just keep plugging forward, and working hard, and he’s going to get there.” n To learn how you can support the work of Bryan Health, please contact the Bryan Foundation at 401-481-8605. To watch a video about Brock Melton and his remarkable recovery, go to bryanhealth.org/ VIDEO trauma-champs.
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TRIBUTE TO TRAUMA CHAMPIONS
Rod Fowler and Bryan Trauma Center medical director Stanley Okosun, MD, lead the applause for the 72 trauma champions who cared for Brock Melton.
After the event, presented by Union Bank and Trust, Brock catches up with Dorothy Brokering, PT, and Samantha Penas, SLP.
We saluted local pioneers who developed the Advanced Trauma Life Support course used worldwide. Dr. Kevin Mota and Dr. Mario Mota (representing their father, Dr. Carlos Mota), Dr. Steve Gogela (grandson of Dr. Louis Gogela), Wendy Collicott (daughter of Dr. Paul Collicott), Rick Styner (son of Dr. James Styner), Dr. John Reed, Dr. Glen Lau and Dr. Ron Craig were our special guests.
Hooray for heroes Hundreds attended the annual Tribute to Trauma Champions Sept. 6 at The Cornhusker Marriott. First responders from Republic County Hospital pose with Brock.
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BRYAN HEART
Betty Gordon’s “baseball room” has memorabilia spanning several generations of her family’s athletes. She’s holding a portrait of her son, Lee, and a baseball signed by grandson Alex.
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She’s a fan of Bryan
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early every day of the week, and she’s always ready to talk baseball!” you can find 87-year-old says Joan Martin Pokorny, RN. Betty Gordon working in her For those living on the outside, it yard in her South Lincoln may be difficult to grasp how Betty home or playing bridge with friends. maintains such a sunny outlook on life. But she also loves baseball — a lot. Three of her four children passed away “I’ve spent so much time at the from cancer, and her first husband, ballfield — watching my children play, Elroy Grotelueschen, passed away from then my grandchildren, and now my cancer at age 48. She married again in great grandchildren,” Betty explains. “It’s 1979, this time to Lincoln Southeast one of my favorite pastimes.” High School math teacher and varsity Major League Baseball fans may baseball coach Charlie Gordon, though recognize Betty’s last name. Her he also died in 2008. grandson, former Husker All-American “My oldest son, Lee Grotelueschen, Alex Gordon, is an All-Star outfielder for was actually drafted by the Atlanta the Kansas City Royals. Another grandson Braves right out of high school,” she — Derek Gordon — played in the Royals adds. “But he was diagnosed with a minor league system and now is a brain tumor while on their farm team pitcher for the Lincoln Saltdogs, and their and never got to play in the majors.” brothers Eric and Brett Gordon played Betty shares her story with all who college baseball. will listen. She considers herself lucky Bubble gum trading cards and an autographed “I try to make it to at least a few to have a new heart valve that will Royals games each year,” says Betty. “And MLB ball from grandson Alex Gordon are displayed enable her to keep caring for those proudly in Betty Gordon’s “baseball room.” I almost always go to the Saltdogs home around her, and enjoying the sport games when Derek is pitching.” she loves most. In addition to baseball, she’s also a fan of Bryan Heart. “I can’t go to every game like I used to, but that’s why I have A patient since 2011, Betty’s health had been monitored by my ‘baseball room’,” she points out. cardiologist Steven Krueger, MD, due to atrial fibrillation, high In that room you’ll find team pictures, autographs, blood pressure and increasing levels of fatigue. A few years later, memorabilia and a big screen TV. She says it’s her happy place. her condition had deteriorated, resulting in a need for surgery. In In just talking with her, you can sense an attitude of gratitude. June of 2015, cardiothoracic surgeon “My church and family are very important, Robert Oakes, MD, performed an aortic valve and I make it a daily practice to be thankful replacement, tricuspid valve replacement in all things,” she says. “And that includes Dr. and pulmonary vein isolation with a left atrial Krueger, Dr. Oakes, and the rest of the Bryan appendage resection. Heart team.” n The team at Bryan Heart was impressed by To learn how you can support the work of her speedy recovery. Bryan Health, contact the Bryan Foundation “She kept a positive attitude and worked at 402-481-8605. hard to make sure she could continue on with Steven Krueger, MD Robert Oakes, MD her life. We see her regularly for checkups,
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MEDICAL STAFF SPOTLIGHT
Ask the doctor: Can you treat my heart failure?
Bryan Heart Improvement Program cardiologist, my specialty is heart failure. As an advanced heart failure clinic, BHIP focuses on helping patients navigate diagnosis and treatment options. Q: What is unique about BHIP? It’s very focused on the individual, particularly in complex cases. This program can be very beneficial for the patient because we have access to new medicines and clinical trials. This means that we’re always on the leading edge for treatments.
John Steuter, MD, of Bryan Heart is a cardiology physician who practices in Lincoln. His family moved to Nebraska when he was 4, and he grew up in the Ainsworth-Valentine area of the Sandhills. He has always been proud to be raised in Nebraska and decided to attend the University of Nebraska Medical Center College of Medicine in Omaha, where he completed his medical degree, residency and fellowship. Q: Why cardiology? What do you find rewarding about this field? During my undergraduate days at the University of Nebraska-Lincoln, I worked on Bryan East Campus as a phlebotomist. Bryan has always been known for its heart care, and it sparked my interest in cardiology. I was able to see firsthand the life-saving work cardiologists do and the positive impacts they have on the lives of their patients. I like the challenge of working with patients to assess risks and find solutions in what can be very complex cases. In particular, I have always been drawn to heart failure issues. These can be very intricate cases for patients, and helping people succeed through these lifechanging challenges is rewarding. Q: What are some symptoms of heart failure that my doctor and I should be looking for? Symptoms of heart failure include, but are not limited to, shortness of breath, increasing fatigue, swelling of the legs, chest pain, lightheadedness and chronic cough. If you experience any of these, it is important to let your health care provider know, and they will be able to decide if further evaluation is needed. The good news is there are many treatment options available for successfully treating heart failure. Bryan has a clinic within the cardiology network that makes up the Bryan Heart Improvement Program (BHIP). What is your role? Even within cardiology, there are specialties. As a
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BHIP director John Steuter, MD, of Bryan Heart can be reached at 402-483-3333.
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MEDICAL STAFF SPOTLIGHT Q: Do I need a referral from another doctor? Patients are referred by their general cardiologist or primary care doctor. If you wonder whether this program is right for you, ask your cardiologist or contact us for more information. Q: The BHIP website introduces a specialized heart failure team, composed of you, Dr. Steven Krueger and Dr. Mathue Baker, as well as advanced practice providers Heather Mosley and Colleen Carpenter. What sets this team apart? Successfully treating heart failure requires a team dedicated to this specific condition. This is a must in today’s modern medicine. There are a lot of instructions for life-changing events, and the team helps clarify and navigate. We have nursing assistants, heart failure nurses, heart failure advanced practice providers (APPs) and physicians. I’m the current director of the heart failure clinic, which was started by Dr. Krueger in the 1990s. Our comprehensive background and ability to problemsolve together as specialists set us apart. This is an important dynamic in helping patients receive the best care possible. Q: What is the relationship with the other physicians at Bryan Heart and on the Bryan Medical Staff? The heart failure physicians are part of the larger Bryan Heart team and Bryan Health system. Working with the patient and the medical team is valuable in achieving desired outcomes. At Bryan, this is something we do well, which benefits the patient. Q: What else helps patients navigate their care? As patients work through the program, they may go from inpatient to outpatient status. The change in care setting can bring about questions and the need for extra one-on-one attention. To bridge this, we have inpatient heart failure nurse navigators who help the patient transition to outpatient care. Q: If my primary care doctor refers me to Bryan Heart with symptoms of heart failure, what are the basics of the process? You’re seen first either by the general cardiology team or directly referred to the BHIP clinic. From there, you receive a thorough review of all prior testing and records. Additional testing may be needed to better define the heart failure diagnosis and treatment options.
Q: What’s next? According to the BHIP website, education or lifestyle choices typically are a first course of treatment for most people. What does this involve? For heart failure patients, watching fluid and sodium intake is very important. Healthy diet and exercise are the basic building blocks. Next steps may involve medical therapy to help
control and treat heart failure. This could involve medication or even change in medicine and use of medical technologies for treatment. Q: What new and leading-edge treatments are available? BHIP is involved in numerous heart failure trials looking at new medicines for patients. We want to be able to offer our patients every potential treatment strategy. Q: Are patients monitored through this process? Absolutely. Close monitoring is an important part. We even offer advanced monitoring systems for some patients that allow us to remotely monitor their fluid levels and keep them from getting admitted to the hospital. Again, care is individualized so this might not be the right option for every patient, but it does speak to the advanced treatments we can utilize. Q: Why is specialized diagnosis important? Having the ability to make a specific diagnosis in the cause of a patient’s heart failure is important to get them the most beneficial treatment. At Bryan Heart, we perform advanced imaging including cardiac MRI and CT that help best diagnose the patient. We are supported by our partners in electrophysiology cardiology who deal with the diagnosis and treatment of heart rhythm disorders, as well as our structural heart team. Together we all collaborate to meet the needs of our heart failure patients. Q: Please describe the advanced treatment options mentioned on your website. Who are candidates for these types of procedures? Our very advanced heart failure patients may require mechanical support with a “mechanical heart,” also known as a left ventricular assist device (LVAD), or possibly even a heart transplant. Patients with end-stage heart failure who have exhausted medical therapy and still are not adequately treated are possible candidates for LVAD or transplant. The LVAD is a pump that we use for patients who have reached end-stage heart failure. These are usually seen as last resort options; however, they can be very effective, life-saving options. Q: Will you keep my personal physician in the loop? Absolutely. All of the patient’s health care providers are informed and often involved throughout the process. It is important to make sure we are treating the patient as a whole person. Q: Where can I go for more information? For more information, you can visit our website at bryanheart.com. Our team is proud to offer expert care for heart failure. We want you to know that you can lead a better life, a more active life. Call us at the Bryan Heart specialized heart failure clinic at 402-483-3371 to get the care you need. n
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MEDICAL STAFF UPDATE
New faces at
Bryan
Welcome these colleagues to the Bryan medical community David Blodgett, MD, ophthalmology, has joined Eye Surgical Associates, 402-484-9000. Dr. Blodgett earned his doctorate from Creighton University, Omaha, in 1996. He went on to an internship at Riverside Regional Medical Center in Newport News, Virginia, an ophthalmology residency at the Medical College of Virginia in Richmond, and an oculoplastics fellowship with the St. John Health System in Warren, Michigan. Before joining Eye Surgical Associates, Dr. Blodgett published research in the Nebraska Medical Journal, and practiced at Michigan Neuroopththalmology and Oculoplastics in Warren. Rebecca Bowen, MD, otolaryngology, joins Ear, Nose & Throat Specialties, 402-488-5600. Dr. Bowen earned her doctorate from the University of Nebraska Medical Center College of Medicine, Omaha, in 2007. After graduating, she completed a general surgery internship and an otolaryngology residency at the Louisiana State University Health Sciences Center in Shreveport, where she was chief resident for 20112012. Her papers have been published across several medical journals, including the Journal of the American Medical Association and Ear, Nose & Throat Journal. Before she moved back to Nebraska, Dr. Bowen was an otolaryngologist with the ENT Clinics of San Antonio, Texas.
Matthew Dennis, MD, sleep medicine, joined Children’s Pediatric Pulmonary, Allergy and Sleep Medicine, 402-955-5570. Dr. Dennis graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2012. He completed his general pediatric residency at Blank Children’s Hospital in Des Moines, Iowa. Due to his strong interest in the care of technology-dependent children, Dr. Dennis pursued sleep medicine and pediatric pulmonology fellowships at UNMC. He completed his sleep medicine fellowship this year and will complete his pediatric pulmonary fellowship in 2019. Namita Dhiman, MBBS, psychiatry, has joined Bryan Heartland Psychiatry, part of the Bryan Physician Network, 402-483-8555. Dr. Dhiman graduated from Indira Gandhi Medical College in Shimla, Himachal Pradesh, India in 2006. She then moved to Omaha to complete an adult psychiatry residency at Creighton University/University of Nebraska Medical Center, Omaha. Shortly thereafter, she became chief fellow in the child psychiatry fellowship program at Creighton/UNMC. Before joining the Bryan Medical Staff, Dr. Dhiman served as the medical director of child and adolescent psychiatry at Centra Medical Group in Lynchburg, Virginia, as well as adjunct assistant professor of medicine at the Liberty University College of Osteopathic Medicine, Lynchburg. She is Board certified in adult psychology and neurology and in child and adolescent psychiatry. Jeff Krivohlavek, MD, anesthesiology, has joined Associated Anesthesiologists, 402-489-4186. Dr. Krivohlavek earned his doctorate from the University of Texas Medical School, Houston, in 2013. He then completed a residency and internship at the University of Nebraska Medical Center, Omaha. Associated Anesthesiologists is his first post-residency clinical position. He is boardeligible through the American Board of Anesthesiology.
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MEDICAL STAFF UPDATE Radu Neamu, MD, pulmonology, has joined Nebraska Pulmonary Specialties, 402-483-8600. Dr. Neamu graduated from the Victor Babes University of Medicine and Pharmacy in Timisoara, Romania, in 2001. He completed his internship at County Hospital Valcea in Romania, as well as his first residency in medical genetics at County Hospital Timis. He moved to the United States to begin an internal medicine residency at Yale-New Haven Hospital in Connecticut. Afterward, Dr. Neamu completed a pulmonary-critical care fellowship at Emory University in Atlanta. Dr. Neamu is widely published across a variety of medical journals, and served as a pulmonary-critical care specialist in Kearney before joining Nebraska Pulmonary Specialties. Clinton A. Rathje, DO, general surgery, has joined General Surgery Associates, 402-483-4292. Dr. Rathje graduated from Missouri’s Kansas City University of Medicine and Biosciences in 2012, earning an MBA and a doctorate simultaneously. He then completed a general surgery residency at the University of Kansas in Wichita. He has published research on mortality from farm injuries and served as a phlebotomist and burn technician before starting his medical training in Kansas. Alesha N. Scott, DO, orthopedic surgery, has joined Bryan Trauma, part of the Bryan Physician Network, 402-481-4167. This orthopedic surgeon graduated from Touro University Nevada College of Osteopathic Medicine, Henderson, in 2011. From there, she completed an orthopedic surgery residency with Michigan State University, Pontiac, where she was chief resident, then she completed an orthopedic trauma fellowship at the University of Kentucky, Lexington. Dr. Scott has published research on pelvic fractures and has presented at several national conferences. Before joining Bryan Trauma, she was an orthopedic surgeon at the Detroit Medical Center in Michigan.
Daniel Smith, MD, infectious disease, has joined Consultants in Infectious Disease, 402-489-1110. Dr. Smith earned his doctorate from the University of Nebraska Medical Center College of Medicine, Omaha, in 2011. He completed his residency at the University of Texas Health Science Center’s internal medicine and pediatrics program in Houston. Afterward, he stayed at UTHSC to complete an infectious diseases fellowship. Dr. Smith also served as a research fellow for studies on acute HIV and tuberculosis. Before joining Consultants in Infectious Disease, he earned a diploma in tropical medicine from Baylor College of Medicine, Houston. Dane Todd, MD, orthopedic surgery, joined Nebraska Orthopaedic and Sports Medicine, 402-488-3322. This University of Nebraska-Lincoln Academic All-American and all-conference football player earned the Walter Byers NCAA Postgraduate Scholarship and was a Woodruff Scholar at Emory University School of Medicine, Atlanta. Dr. Todd graduated in 2011 from Emory, where he also completed an orthopedic surgery internship and residency. A specialist in sports medicine, he has published research about ACL injuries and tibial shaft fractures. Before moving to Lincoln, he served as resident physician for Georgia Institute of Technology, Atlanta, football team. Reid P. Turner, MD, ophthalmology, has joined Lincoln Eye and Laser Institute, 402-483-4448. Dr. Turner graduated from the University of Iowa, Carver College of Medicine, Iowa City, in 2012. He went on to serve an ophthalmology residency at the Medical University of South Carolina, Charleston. He has presented at numerous national conferences and earned distinctions for his teaching. Just before joining Lincoln Eye and Laser Institute, Dr. Turner finished a cornea, external eye disease and refractive surgery fellowship at the University of Texas Southwestern Medical Center in Dallas.
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MEDICAL STAFF UPDATE Mark A. Wells, MD, gastroenterology, joins Gastroenterology Specialties, 402-465-4545. Dr. Wells graduated from the University of Arkansas for Medical Sciences, Little Rock, in 2007. He stayed in Little Rock to serve as chief resident in the university’s internal medicine program. From there, he spent a year in Kaitaia, New Zealand, as a rural medicine physician. Upon returning to the United States, Dr. Wells completed a gastroenterology and hematology fellowship at the University of Nebraska Medical Center, Omaha. He was a gastroenterologist for Bozeman Health Deaconess Hospital in Montana before joining Gastroenterology Specialties.
Y. Frank Zhang, MD, nephrology, has joined Lincoln Nephrology and Hypertension, 402-484-5600. Dr. Zhang graduated from Kentucky’s University of Louisville School of Medicine, in 2012. He completed a residency in internal medicine at the University of Iowa Hospital and Clinics, Iowa City, and finished a nephrology fellowship at the Washington University School of Medicine, St. Louis. Dr. Zhang has extensive experience in urea kinetics research and biochemical modeling. n
Quinn Willet, MD, internal medicine, joins Inpatient Physicians Associates, 402-481-8566. Dr. Willet graduated from University of Nebraska Medical Center College of Medicine, Omaha, in 2014. From there, he went on to an internal medicine residency at the University of Kansas, Kansas City. Dr. Willet was an awarded scholar at UNMC and has presented at several regional conferences. Inpatient Physician Associates will be his first clinical position, post-residency. Matthew Williamson, DPM, podiatry, has joined Capital Foot and Ankle, 402-483-4485. Dr. Williamson graduated from the Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science, Chicago, in 2014. He then completed a rear foot and ankle reconstructive surgery residency at Truman Medical Center in Kansas City, Missouri. Dr. Williamson takes a special interest in trauma and sports performance and is currently researching the efficacy of therapeutic footwear for diabetic patients.
Meet the residents This summer, eight physicians began their first year of the three-year Lincoln Family Medicine residency program. The residents are (seated, from left) Laura Ellson, MD, graduate of the University of Medicine and Health Sciences, St. Kitts; Ridhima Bijlani, MD, Windsor University School of Medicine; Beth Sanley, MD, University of Nebraska Medical Center College of Medicine; and Sion Kim, MD, University of Texas Health Science Center in Houston; and (standing) Mark Henderson, DO, Des Moines University College of Osteopathic Medicine; Brendan Brodersen, DO, A.T. Still University of Health Sciences-Kirksville College of Osteopathic Medicine; Ahsan Iftikhar, MD, Windsor University School of Medicine; and Tyler Stephenson, MD, University of Kansas School of Medicine.
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MEDICAL STAFF UPDATE
Welcome, advanced practice providers and independent practitioners Alexandria Arroyo, APRN, Inpatient Physician Associates Lauren Barbee, PA-C, Inpatient Physician Associates Jason Beach, CRNA, Associated Anesthesiologists Anna Cooper, APRN, Nebraska Orthopaedic and Sports Medicine. Emily Dierks, PA-C, Nebraska Orthopaedic and Sports Medicine Kristina Hardy, APRN, Nebraska House Call Physicians Elizabeth “Liz” Hendrickson, PA-C, Nebraska Orthopaedic and Sports Medicine Anthony Heidtbrink, CRNA, Associated Anesthesiologists Megan Heusinkvelt, APRN, Physicians for Women Michelle Hynek-Thomas, APRN, Heartland Neonatology Associates Kellie Johnson, APRN, Bryan Heart Nicholas Kinkead, PA-C, Nebraska Pulmonary Specialties Sandra Kirchner, APRN, Bryan Trauma Blake Meyers, CRNA, Associated Anesthesiologists Jennifer Miller, APRN, Nebraska Pulmonary Specialties Nicole Molczyk, APRN, Inpatient Physician Associates Molly Mullervy, PA-C, Ear, Nose & Throat Specialties Megan Simpson, APRN, Bryan Trauma Sarah Skinner, APRN, Heartland Neonatology Associates April Lynn Smith, APRN, Nebraska House Call Physicians Travis Tonniges, CRNA, Associated Anesthesiologists Ashley Waldrep, PA-C, Nebraska HematologyOncology Jessica Zaruba, PA-C, General Surgery Associates Michaela Ziola PA-C, Surgical Associates, PC
Remembering our colleagues Bryan medical community notes physicians’ passing Dennis Ray “Boz” Bozarth, MD, died August 28 at age 60. Dr. Bozarth was born in Lincoln and graduated from Lincoln Southeast High School and Nebraska Wesleyan University. He earned his medical degree from the University of Nebraska Medical Center College of Medicine, Omaha, and completed an orthopedic residency at West Virginia University. He practiced for more than 25 years in Lincoln as an orthopedic surgeon, most recently with the Lincoln Orthopaedic Center. This long-time pilot also enjoyed watching track and field and rugby, attending the College World Series and cheering for the Huskers and Cubs. Dr. Bozarth is survived by his wife, Carol, their two sons and two grandchildren. Other survivors include his mother, Clara Bozarth, sisters Gayle Petersen and Kristi Lambrecht, brother John Bozarth and many nieces and nephews.
Patricia L. Grossman, MD, died June 11 at age 95. Dr. Grossman maintained a pediatric practice at the Lincoln Clinic. She served in the U.S. Navy and is survived by her brother, Frank Lee, five children, eight grandchildren and 10 great grandchildren. Wesley George Tomhave, MD, died July 8 at age 98. Dr. Tomhave was a native of Fergus Falls, Minnesota, who grew up in Iowa and graduated from the University of Minnesota before serving in the U.S. Navy in the Pacific in World War II. He earned his medical degree from the University of Minnesota School of Medicine and practiced family medicine from 1950-57 in Hibbing, Minnesota. Dr. Tomhave completed an internal medicine residency at the VA Research Hospital in Chicago and served as the head of the Department of Metabolism at Northwestern University. In 1963, he moved to Lincoln, where in the following years, he practiced at the Lincoln Clinic, Wedgewood Internal Medicine Associates and the VA Regional Hospital. He is survived by his wife, Ann, and their five children, 10 grandchildren and five great-grandchildren.
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PAT I E N T E X P E R I E N C E
Losing weight and winning big Bryan Bariatric Advantage helps Catherine change her life
Following her surgery, Catherine Leick enjoys a more active lifestyle — including trips to the park with her young niece and nephew, long walks and jogging — and she’s giving CrossFit training a try, too!
“I
’ve dealt with stress and worry by eating since I was a child, and I’ve struggled with my weight as long as I can remember,” says Catherine Leick, 29, of Norfolk. “As I got older, the weight piled on until, at age 27, I hit 354 pounds.” Catherine lost weight many times by diet and exercise, and even used diet pills, but that weight, and more, always returned. “I knew I could be eligible for weight loss surgery, and thought about it for years,” she explains, “but kept hesitating because I wasn’t sure what the best procedure would be for me, and felt nervous about having surgery. “The tipping point came in 2015, when I hurt my knee and damaged a spinal disc in my lower back. I had severe pain all the Benjamin Hung, MD
time, missed a lot of work, and was even too tired and in pain to see my friends. My doctor said that losing weight would reduce stress on my spine and could let my back heal and prevent further problems. “At that point, I realized my quality of life had become so poor that I had to do something to change my situation. So I contacted Bryan Bariatric Advantage and scheduled a consultation to learn more about my options for weight loss surgery.” At Bryan Bariatric Advantage, specially trained nurses called nurse navigators coordinate patients’ care before surgery and individualize care to their needs afterward. Weight loss surgery, also called “bariatric surgery,” does not offer a quick fix for obesity, but can be a dramatic turning point in the lives of people who are dangerously overweight. These surgeries, which help patients feel satisfied with less food, include the gastric bypass, sleeve gastrectomy and lap band procedures.
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PAT I E N T E X P E R I E N C E performed Catherine’s weight loss surgery, a laparoscopic sleeve gastrectomy procedure, at Bryan in June of 2016. “Afterward, the nurses were great and kept my pain under control,” Catherine says, “and the nurse navigators called or stopped by whenever I had a question.” Dr. Hung, who has practiced in Lincoln since 2001 and has done over 1,200 bariatric surgeries, describes the advantages of weight loss surgery. “Obesity is very serious because it increases risk for cardiovascular disease and type 2 diabetes, and causes joint disease and many other problems. Bariatric surgery is a powerful tool that can help obese patients decrease their risk for these health problems and also improve their quality of life. Because of improved health they can often actually add years to their lives, and do more of what they want to do,” he says. Dr. Hung emphasizes, however, that bariatric surgery is only one part of the picture — it promotes greater weight loss for very overweight patients, but doesn’t work alone. “Patients have to make a lifelong commitment to changing their exercise and diet habits after surgery, or the weight will return. That’s why we provide lifelong support for our patients — to help them maintain these lifestyle changes.” Cindy Sayers, APRN, and Pam Wolfe, APRN, are the program’s bariatric nurse navigators. As Cindy explains, “Bryan’s lifelong patient support services include nutrition counseling with our dietitian, one-on-one counseling with our psychologists, monthly bariatric support groups and exercise consultation as needed.” This aftercare is personalized to every patient’s needs. “And,” she adds, “because weight loss surgery has a better long-term success rate than diet and exercise alone in helping very obese patients reach healthy weights, bariatric surgery is increasingly being covered by insurance companies.” “It’s not uncommon for patients to get sidetracked from their healthy habits after surgery when some kind of life stress happens,” says Ashley Larson, registered dietitian with Catherine appreciates the lifelong patient support patients receive from the Bryan Bryan Bariatric Advantage. “This is why we keep Bariatric Advantage team, such as nurse navigators Cindy Sayers and Pam Wolfe. in touch with our patients, and if they need help These surgeries can be considered for patients who are extremely overweight, with or without obesity-related health problems like sleep apnea, high blood pressure or type 2 diabetes. Potential candidates receive a thorough evaluation to determine if weight loss surgery is appropriate. Bariatric surgeon Benjamin Hung, MD, of Surgical Associates
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PAT I E N T E X P E R I E N C E getting back on track, we offer the support they need to return to their program.” “Over the 14 months since my surgery,” says Catherine, “I’ve worked with the staff and counselors at Bryan Bariatric Advantage to learn how to cope in healthy ways, rather than by eating when I get stressed or worried. Now, I’m happy to say that food no longer controls me.” Catherine has so far lost 168 pounds and is excited to be able to do so much more now. “I actually weigh less than I did at age 11, and can trade clothes with my friends — something I could never do, even as a kid. And I’m much more active — walking and jogging, and I just started CrossFit training. “One thing I love to do,” she says, “is going to the park with my little niece and nephew, though in the past I’ve had to just sit on the
sidelines and watch them play with other people. This summer, when my nephew said ‘Aunt Katie! Come play on the slide with me!’ I could actually do it — in fact, we went down the slide together 17 times that day. “I would suggest to anyone thinking about weight loss surgery that they contact Bryan Bariatric Advantage to learn about the different options and what is the right procedure for them. That was the first step for me — it’s helped me change my life.” n Attend a free information session to learn how you can change your life, too! Learn more at bryanhealth.org/loseweight, or call 402-481-5490. To find out how you can support the work of Bryan Health, contact the Bryan Foundation at 402-481-8605.
New adventures for Christina
F
ormer Bryan co-worker and bariatric surgery patient Christina (Perrier) Smith is enjoying significant changes in her life. She had a gastric sleeve procedure on Dec. 31, 2012, and eventually lost more than 250 pounds. “Before fully committing myself to the Bryan Bariatric Advantage program, I was watching my life go by. But when I started losing all that weight, it was like a new world opened up for me,” she said in a 2014 Journeys story. Since then, Christina married David Smith, moved with him to Belleville, Kansas, and then to Fort Worth — and the couple welcomed baby Keegan to their family on Jan. 19, 2017. The Smiths are back in Lincoln, where Christina works for the University of Nebraska-Lincoln and David’s at Thunderstone Manufacturing. “It’s been a long journey, and I’ve learned a lot,” she says. “Anyone curious about losing weight should understand that this isn’t a quick fix, it’s a lifestyle change. Never give up — and believe in yourself!”
David and Christina Smith with baby Keegan.
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TEETERS MEMORIAL GARDEN
T
here’s a new space on the site of the former Teeters dormitory and later Bryan Independence Center. It’s the Teeters Memorial Garden, named after the late John and Sophy Teeters. Their gifts supported health care and nursing education in our community. The garden’s design incorporates original cornerstones and balcony railings from the dorm and arches reminiscent of its entries.
Lincoln General Hospital School of Nursing alumni gather in the new Teeters Memorial Garden on Bryan West Campus.
Former students and Bryan Independence Center alumni attended a special July 27 blessing of the garden.
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BRYAN FOUNDATION
Gift honors Steinmillers’ care
D
stabilized, Don recalls a touching moment on Chotro and his wife, Debra with her doctor. “He came in the room and Steinmiller, moved away from made a point of thanking me for making Nebraska a long time ago. And it’s these care decisions,” Don recalls. “I was been almost eight years since they really struck by that. This man saved Lucille’s experienced care at Bryan Health. life, and he’s thanking me? He was genuinely But Bryan left such a powerful impression grateful that I could help him act quickly when with them that, all the way from Riverside, important decisions needed to be made. ” California, and after all these years, Don Lucille would need to go on to a rehab and Debra chose to make a generous legacy facility after her long hospital stay. In donation. coordinating her transfer, Debra saw that this For them, it’s a way to honor Debra’s level of compassionate service was by no parents. Though both have passed away, means limited to clinical staff. Kenneth and Lucille Steinmiller had lived “It took a long time for Bryan’s social in Lincoln since 1972, and several different worker and me to find the right placement for medical episodes brought them to Bryan’s my mother,” Debra says. “And all the while the doors. Each visit revealed the compassion and social worker was very gracious, very patient dedication behind the people at Bryan. and clear about the next steps. She wouldn’t “It comes down to the staff,” Don says. Lucille and Kenneth Steinmiller in 2000. settle until I was completely satisfied with “They know what they’re doing and they care where my mother was going.” about what they’re doing. You can feel it.” But a final episode brought the Steinmillers back to Bryan one Don and Debra first experienced that spirit of care in 1988. last time. About a year after her recovery, Lucille slipped while taking Kenneth needed a triple-bypass procedure, which can be harrowing a shower, and had to be rushed to Bryan’s emergency department. for a family to witness. Don was at Bryan to see the whole process. “They were so “I was stunned at how smoothly it went,” Debra said. “The heart efficient!” Don marvels. “The whole operation was so streamlined; surgeon and staff were so competent, and he was so good at talking they got her in immediately. Very few ERs are like that.” us through it. My dad had no complications whatsoever, no followLucille received stitches for a minor head wound. She went on to ups, and he lived for another 20 years. What more can you ask for?” enjoy decent health until she passed away some years later, in 2009. Don agrees. “I’m no stranger to surgery myself. I’ve been under In the eight years since then, memories of Bryan’s extraordinary the knife a number of times,” he says, “but the service at Bryan was care lingered with Don and Debra. They decided they wanted to something special.” support the future of excellence in health care at Bryan. Unfortunately, that would not be the last serious health problem “We want Bryan to use this gift however it will best serve the to arise in the Steinmillers’ lives. hospital,” Don says. “We trust the people at Bryan to make good In 2006, Kenneth lost a battle with cancer. And on that very decisions.” day, while Don was in Lincoln helping prepare for Kenneth’s funeral, And for Debra, the gift comes with a deeply personal Lucille suffered a massive blockage in her intestines. significance. Don will always remember. “It was a scary experience, with tragic “We want this to be a legacy for my parents,” she said. “They timing. Lucille wasn’t even conscious for her husband’s funeral. She were proud to be Nebraskans, proud to live in Lincoln and proud of ended up staying at Bryan for weeks — that’s how serious this was.” Bryan as a Lincoln institution. I hope this gift will help Bryan serve Don had to make a number of urgent care decisions while Lucille people for years to come.” n was unconscious. He felt prepared to do that, only because her physician was so thorough in his communications. To learn how you can support the work of Bryan Health, please “He made sure I understood the situation with absolute clarity,” contact the Bryan Foundation at 402-481-8605. Don says. “There was no uncertainty about what was needed.” When the immediate crisis passed and Lucille’s condition had
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BRYAN FOUNDATION
Thanks to you, b2020 campaign nears goal
$33,736,722 raised to date
Remaining to goal: $6,263,278
Bryan Health welcomes Jesske to development staff
K
aye Jesske has joined Bryan Health as a senior development officer. Jesske comes to Bryan from the University of Nebraska Foundation, where she served as senior director of corporate relations. In her role at the Bryan Foundation, she will focus on major gift fundraising and donor relations for Bryan Medical Center. “Kaye will be a tremendous addition to our outstanding development team, as we secure the remaining $6 million of our $40 million b2020 Choose Your Impact Campaign, as well as for future projects that will enhance health care in our region for decades to come,” says Bob Ravenscroft, Bryan Health vice president of advancement and chief development officer.
Employee giving achieves new heights More than $601,000! That’s the record-setting total contributed by our co-workers to the 2017 Employee Giving Campaign. It’s just the latest example of Bryan employees’ generosity — more than half made a gift this year — and the totals have risen year after year. “What a fantastic confirmation of our organization’s values, when employees show such support of Bryan and our mission,” says Bob Ravenscroft, Bryan Health vice president of advancement and chief development officer. “Employees made gifts of all sizes and designations to programs throughout Bryan and southeast Nebraska through the United Way and Community Health Charities. This testament of caring truly reflects the outstanding compassion Bryan employees have for our community, our neighbors and peers.” While the campaign officially runs from July through September, employees often make gifts to the Bryan Foundation throughout the year. Thank you, Bryan employees! $650,000 $600,000 $550,000 $500,000 $450,000 $400,000 $350,000 $300,000
2012
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2015
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2017
Bryan employees have set new records for giving every year for the past several years.
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CRETE AREA MEDICAL CENTER
Partnering to build a healthy community
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hat does it take to change the health of a community for the better? More than a hospital or clinic. More than individuals wanting to improve their well-being. It takes partners, suggests Rebekah Mussman, president and CEO of Crete Area Medical Center (CAMC). That’s the short answer and the root of a new Healthy Communities initiative that began last spring. “The initiative is the whole idea of building a healthy community and transitioning from sick care to life care,” she says. For example, consider the difference between telling community members to eat right and exercise or having walking trails in place that make exercise accessible and convenient. It’s the gap between providing medical education on childhood obesity or having a recreation center and organized activities to help kids stay active during the winter. Mussman says CAMC can lead the way, but the concept needs community input and partners to flourish, incorporating diverse perspectives to set the vision and determine priorities and action steps. The impetus for the project is both strategic and personal. Strategically, health care is transitioning from the long-standing
Dogs and handlers from Healing Hearts Therapy Dogs Inc. meet visitors at CAMC during the Partners in Health community event.
Photos courtesy of The Crete News
Instructors from CrossFit in Lincoln demonstrate a range of fun and engaging exercises Sept. 7 at Partners in Health at CAMC.
model that pairs revenue with the volume of patients and services to a system that rewards providers for their outcomes, such as keeping people healthy, she explains. The need to build on that concept took on an immediacy following student athletic physicals in 2016. “One of our clinic providers raised a concern in a provider meeting that he was seeing student after student who was obese and said that we needed to take action and do something about it,” Mussman recalls. It led to a kickoff meeting with the Crete Community Breakfast group in March to outline the healthy communities concept and gauge interest. On Sept. 7, CAMC hosted a Partners in Health community event, which drew about 300 people and 30 vendors — ranging from schools and churches to banks and local employers — each showing how they contribute to a healthy community. It will be fun to see where the project goes next, Mussman says. It could be as general as raising awareness of healthy living, or it could be as targeted as a partnership with Crete Public Schools to improve student eating habits, or with the City of Crete to extend the medical center’s walking trail to the high school on Iris Avenue. Mussman says, “That’s the goal: to start this conversation and invite the community to join us and be a partner in the quest to build a healthy community.” n
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VOLUNTEERS & CUSTOMER CARE
Art Van deLUX enriches LifeSpring class
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s part of the healing arts initiative and with support from the Bryan Foundation, Bryan Volunteers and Customer Care is helping enrich the lives of participants in the LifeSpring Cancer Recovery Program. This initiative is bringing the Art Van deLUX community outreach program to the Bryan LifePointe Campus, where LifeSpring meets for education programs and exercise sessions. Lux education coordinator Katelyn Farneth showed a class this summer how to create interesting fused glass. She fired their arrangements in kilns at the Lux Center for the Arts. The hands-on art provides a social and creative aspect to LifeSpring, a Bryan program incorporating mind, body and spirit to help patients put their lives back together after a cancer diagnosis. The next LifeSpring class begins in January — go to bryanlifepointe.com/lifespring, or call 402-481-6306. n Dorene Krausnick (left) and Kendall Krzycki (below) arrange glass to be fused into colorful art pieces.
On graduation, LifeSpring classmates Dell Orender (front), Dorene Krausnick, Julie Flynn, Ginny Burstein, Paula Srb and Janet Martin show off their artwork with program coordinator Kristi Beyer, RCEP. (Kendall Krzycki is not pictured.) For Julie Flynn and Kendall Krzycki, socializing is important to the creative process.
Katelyn Farneth (standing) encourages the class to experiment with patterns and shapes.
Paula Srb and Dell Orender share a laugh during the LifeSpring class.
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ACHIEVEMENTS
Sara Morton, RRT
John Reed, MD
Dawn Brock
Former HFMA President Mary Mirabelli with Carol Friesen
Morton receives NSRC award
NMA honors Dr. Reed
Brock chosen for PCORI panel
Friesen begins HFMA term
Respiratory therapist Sara Morton is the 2017 Nebraska Society for Respiratory Care Therapist of the Year, representing the Lincoln Area. Her nominator notes, “Sara daily goes above and beyond to be a patient advocate and provide excellent care. “During over 30 years of patient bedside experience, she has remained committed to the profession of respiratory care. Her involvement in the care of cardiac patients has been exceptional. “As a leader in mechanical ventilation, advanced therapies and treatments, and a team approach to patient care, Sara is deserving of being the Lincoln Area Therapist of the Year.” n
Surgeon and former Chief of Staff John Reed, MD, received the Distinguished Service to Medicine Award Sept. 8 during the Nebraska Medical Association’s annual meeting. Dr. Reed graduated from the University of Nebraska Medical Center College of Medicine, Omaha, and completed a fellowship at MD Anderson Hospital and Tumor Institute, Houston. He was a lieutenant commander in the U.S. Navy. Dr. Reed has practiced in Lincoln since 1969. He was president of the Lancaster County Medical Society and its foundation and has served on the State Board of Medicine and Surgery, as well as on the boards of numerous community organizations. n
Health System Services director Dawn Brock will serve on a national reviewer panel for the Patient Centered Outcomes Institute (PCORI). PCORI gives patients and consumers information for making decisions reflecting their desired health outcomes. PCORI promotes high-integrity, evidence-based information from research guided by patients, caregivers and the broader health care community. “Essentially, we’re translating research into something physicians can actually use,” Brock says. “I’ll be going to Washington, D.C., in January to serve and bring to the forefront ways that this organization can work to support our rural partners.” n
Bryan Vice President of Health System Services Carol Friesen assumed the role of Chair of the National Board of Directors of the Healthcare Financial Management Association (HFMA) this summer during the organization’s National Institute in Orlando, Florida. “We need to have unwavering commitment and be fearless in our perseverance to do the right thing for the right reason,” she notes on the HFMA website. “Finance professionals and executives must move beyond their comfort levels as resource stewards to contribute to advancing the health of individuals in their communities and our country.” n
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ACHIEVEMENTS
Amy Myers
DeAnne Anderson
Jade Roth, RN
Emily Zimbelman, CNA
Myers recognized Nebraska Hospital Association Caring Kind honorees for leadership include Anderson, Roth and Zimbelman Bryan Physician Network practice manager Amy Myers received this year’s Early Careerist Award from the Nebraska Chapter of the American College of Healthcare Executives. The award recognizes Myers’ outstanding leadership in her organization and community. She is responsible for administration of three physician practices. Myers graduated from Creighton University and earned a master’s in health administration at the University of Missouri. She volunteers at her church and is active in Bryan Young Professionals and Lincoln Young Professionals, served on the Junior League board and is president-elect of the University of Missouri Health Management and Informatics Alumni. n
DeAnne Anderson, Jade Roth and Emily Zimbelman are this year’s Caring Kind Award honorees from Bryan Health. Radiologic technologist DeAnne Anderson works at the Bryan Medical Center in Lincoln. Her nomination says, “DeAnne has a heart of gold. She is caring and kind to every individual she encounters. “She promotes health care and her department in a professional way throughout the community. “DeAnne is an example of living the Bryan Core Values. Even when faced with the personal struggle of illness and death of her husband, she remained positive and
upbeat for her co-workers and patients.” According to her nominator, Jade Roth, RN, has committed herself to the future of Crete Area Medical Center through extensive oncology research, training and compassionate care given to chemotherapy patients. “Her distinct laugh, soft nursing comforts and caring smile have touched the lives of many patients in the Specialty Clinic and Outpatient Nursing Department,” the nomination notes. “Jade holds oncology patients very close to her heart. She walked side-by-side with her brother, who battled a rare type of cancer, and uses those experiences in her everyday work at CAMC. She
assists specialty providers and surgeons; her vast knowledge is a vital asset.” Certified nursing assistant Emily Zimbelman works at Merrick Medical Center in Central City. Her nomination says, “Emily goes above and beyond not only for her patients, but for the entire organization. She works extremely hard to meet the needs of every patient, and she truly takes the time to listen, to ensure they are getting the best care possible. “Her smile lights up every room, and she is always someone you can count on.” She also is in nursing school at Central Community College, Grand Island. n
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PUBLIC NOTICE
Discrimination is against the law
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ryan Medical Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Bryan Medical Center does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
If you have questions about the law, please contact our Patient Experience Officer. You can either call at 402-481-0139, write to Bryan Medical Center, Attn: Patient Experience Officer, 1600 South 48th Street, Lincoln, NE 68506 or email patientexperience@bryanhealth.org. Bryan Medical Center Provides free aids and services to people with disabilities to communicate effectively with us, such as: • Qualified sign language interpreters • Written information in large print, audio, accessible electronic formats or other formats Provides free language services to people whose primary language is not English, such as: • Qualified interpreters • Information written in other languages If you need these interpreter services, contact our Administrative Managers 24/7: 800-742-7844. You may also email a request for interpreter services: communicationassist@bryanhealth.org If you believe Bryan Medical Center has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Patient Family Relations Representative 1600 S. 48th Street, Lincoln, NE 68506 Phone 402-481-5761 - TTY 800-833-7352 - Fax 402-481-8306 patientexperience@bryanhealth.org You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Patient Family Relations Representative is available to help you. Please see the contact information above. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/ portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019 -TTY 800-537-7697 Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-800-742-7844; TTY: 1-800-833-7352. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-742-7844; TTY: 1-800-833-7352. CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-800-742-7844; TTY: 1-800-833-7352. 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-800-742-7844; (TTY: 1-800-833-7352）。 م لحوظة: اذك ر ت تحدث ك نت إذا،ل ك ت تواف ر ال ل غوي ة ال م ساعدة خدمات ف إن ال ل غة ب ال مجان. ب رق م ات صلFa1-800-742-7844 (وال ب كم ال صم هات ف رق م: 1-800-833-7352).
1-800-742-7844 (TTY: 1-800-833-7352). ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-800-742-7844; (ATS: 1-800-833-7352). XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-800-742-7844; (TTY 1-800-833-7352). ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-800-742-7844; TTY: 1-800-833-7352. 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-800-742-7844; (TTY: 1-800-833-7352) 번으로 전화해 주십시오. ध्यान दिनह ु ोस ्: तपार्इंले नेपाली बोल्नह ु ु न्छ भने तपार्इंको ननम्तत भाषा सहायता सेवाहरू ननिःशल् ु ोस ् 1-800-742-7844; ु क रूपमा उपलब्ध छ । फोन गनह
(दिदिवार्इ: 1-800-833-7352) ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-800-742-7844 (телетайп: 1-800-833-7352). ໂປດຊາບ: ຖ້າວ່າທ່ານເວົ້າພາສາລາວ,ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-800-742-7844 (TTY: 1-800-833-7352). ئ اگ اداری: قە سە ک وردی زمان ی ب ە ئەگە ر،ي ارمەت ی خزمەت گوزاريەک ان ی دەکەي ت ، زمان،بەردە س تە ت ۆ ب ۆ بەخ ۆڕاي ی. ب ە پەي وەن دی1- 800-742-7844 (TTY (1-800-833-7352 ب کە. ت وجە: می گ ف ت گو ف ار سی زب ان ب ە اگ ر،راي گان ب صورت زب ان ی ت سه یالت ک ن ید ب ا شد می ف راهم شما ب رای. ب ا1-800-742-7844 (TTY: 1-800-833-7352) ت ماس ب گ یري د. 注意事項：日本語を話される場合、無料の言語支援をご利用いただけます 1-800-742-7844; (TTY: 1-800-833-7352) まで、お電話にてご連絡ください
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COMMUNITY CALENDAR
Shine a Light on Lung Cancer Tuesday, Nov. 7, 6:30-8 p.m. Individuals with lung cancer and their family and friends are invited to an evening of inspiration, hope and support. Join millions of participants around the world in one call to action: to triple survivorship by the end of this decade. Pulmonologist Ryan Martin, MD, Nebraska Pulmonary Specialties, and medical oncologist Eric Avery, MD, Nebraska HematologyOncology, will discuss causes, diagnoses and new treatment options, and survivors and family members will share their stories. This event is brought to you by 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. Cost: Where:
Free, although pre-registration is required. Bryan East Campus, Plaza Conference Center, 1500 S. 48th St. To register: Go to bryanhealth.org/calendar, or call 402-481-8886.
2018 Bryan Health Indoor Triathlon
Saturday, Jan. 27, First wave begins at 6:30 a.m., with a new wave beginning every 25 minutes. Whether you’re new to triathlons or an experienced athlete, this event is a great way to introduce yourself to the sport, or test your endurance and check the progress of your training. If you aren’t comfortable doing this alone, find two friends and compete as a team. Team categories are all male, all female and coed. The total triathlon event will be 75 minutes: n 10-minute swim in lap pool, n 10-minute transition, n 30-minute bike on spin bike, n 5-minute transition, n 20-minute run on treadmill. Cost:
$25 for an individual or $75 for a three-person team. Where: Bryan LifePointe Campus, 7501 S. 27th St. For more information, go to bryanhealth.org/triathlon.
Spa & Fitness Holiday Specials From pampering experiences to fitness to gift cards to use as you choose, our holiday specials offer the best of The Spa at Bryan LifePointe and Bryan LifePointe Fitness! Gift cards for the amount of your choice make great stocking stuffers! Available November 1, 2017. Pampering experiences begin at only $40!
The Gift of “Ahhh...” from The Spa at Bryan LifePointe
Exhilarating experiences from full day access to specialty classes! • Facials/HydraFacials • Massage/Reflexology • Airbrush Tanning • Lash Lift & Brow Tint • Pedicures • Spa Packages • Dermaplane
Get Fit Gifts from Bryan LifePointe Fitness
• Fitness day passes • Group Classes: Yoga, Zumba®, Cycling, BodyPump™ • Nutrition Consultations • Cryotherapy • Personal Training
Stop by: 7501 S. 27th St. • Call: 402-481-6300 Online: bryanlifepointe.com/holidayspecials Open Daily!
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PRSRT STD U.S. POSTAGE PAID LINCOLN NE PERMIT NO. 1299 1600 S. 48th St., Lincoln, NE 68506
Address service requested
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