JOURNEYS
“Destiny is not a matter of chance, it is a matter of choice.” — William Jennings Bryan
FALL 2019
Lifting up trailblazing lung cancer diagnoses
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Former students visit retired nursing director
JOURNEYS
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emember reading about Mike (Class of 1969) and Ann (Class of 1970) Smith in the previous edition of Journeys? They met and became engaged while students at Bryan School of Nursing — but in those days only one spouse could be enrolled at a time. They needed approval from Director of Nursing Phyllis Bovee for Mike to graduate with the rest of his class after their wedding. The Smiths are now retired in San Antonio. They made a special trip to Lincoln in June to celebrate Mike’s 50-year class reunion, then traveled to Cozad to visit Miss Bovee and Mike’s classmate, Elizabeth Hinze of Santa Clarita, California, who weren’t at the reunion.
FALL 2019
@ 1@ FROM OUR PRESIDENT @ 2@ OUR CEO RETIRES @ Kim bids fond farewell @ 5@ BRYAN FOUNDATION@ @ We surpass b2020 goal! @ 8@ WHAT’S NEW AT BRYAN@ Technology@helps@Jim@and@his@doctor@fight@lung@cancer 11@ BRYAN CHILD DEVELOPMENT CENTER Lifelong friendships began in day care @ 14@ MEDICAL STAFF UPDATE @ New faces at Bryan 18@ MEDICAL STAFF SPOTLIGHT Ask the Doctor: How can a maternal-fetal specialist help @ @ with my high-risk pregnancy? 20@ PATIENT EXPERIENCE @ Teamwork leads to special delivery for Heather and baby Caden 23@ BRYAN HEART @ Fishing fan nets better heart health 26@ WHAT’S NEW AT BRYAN @ Transforming the patient experience 28@TRAUMA @ Survivor doesn’t let changes hold him back 30@ INPATIENT REHABILITATION SERVICES @ Celebrating 25 years of progress 32@ BRYAN COLLEGE OF HEALTH SCIENCES
Ann Smith (left), Mike Smith and Elizabeth Hinze (right) gathered in Cozad to visit Phyllis Bovee, former director of nursing and Bryan vice president.
34@ACHIEVEMENTS
T H A N K YO U, B RYA N F O U N D AT I O N 2 0 1 9 E V E N T PA R T N E R S Sampson Construction Union Bank & Trust Air Methods Capitol City Electric Cornhusker Bank
Davis Design DuTeau Chevrolet-Subaru Eakes Office Solutions HomeServices of Nebraska Inpatient Physician Associates
Liberty Lawn & Landscape, Inc. Lincoln Marriott Cornhusker Hotel LincOne Federal Credit Union Lockton Companies Mapes Industries, Inc.
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 three times a year to the communities we serve.
ON THE COVER Dr. Ryan Martin is using new tools in the fight against lung cancer. See Page 8 for his story.
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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.
Midwest Medical Transport NRC Health Runza VTI Security
Kimberly Russel President & CEO, Bryan Health John Woodrich President & COO, Bryan Medical Center Darla Eisenhauer, 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
“I am grateful for what I am and have. My thanksgiving is perpetual.” Ð – Henry David Thoreau
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t’s the season of gratitude and thanksgiving. Of course, all of@us@in@the@health@care@field@are@constantly@reminded,@by@ the very nature of the work that we do, to be grateful for every healthy moment.
And as I grow closer to concluding my tenure as Bryan Health President@and@CEO@in@January@2020,@I@am@filled@with@gratitude@ for@the@people@of@Bryan@Health.@Our@staff,@volunteers,@advanced@ practice providers and physicians come together every day — 24/7/365 — to provide the best possible care to every individual entering our many doors. It has been the honor of a lifetime to both serve and represent this team of men and women. All of us at Bryan Health recognize the awesome responsibility entrusted to us for our region’s health and well-being. And so I am very pleased that Russ Gronewold will be my successor as President and CEO of Bryan Health and John Woodrich will become the President and CEO of Bryan Medical Center/ Executive@Vice@President@of@Bryan@Health,@effective@upon@my@
Bryan’s leadership will change this January, when Russ Gronewold (left) succeeds Kimberly Russel as President and Chief Executive Officer of
retirement on Jan. 3, 2020. I am proud to have recruited both Russ and John to the Bryan team 10 years ago; I have had the pleasure of working closely with both of them for the past decade. I@could@not@be@more@confident@in@the@future@of@Bryan@Health.@ The Bryan Health Board of Trustees, with my full support, has ensured that the Bryan legacy of service and mission will continue far into the future. As for me, I will continue to live in Lincoln, be a major supporter of the Bryan Foundation and the biggest cheerleader ever for “all things Bryan.” With gratitude,
Kimberly A. Russel President@and@Chief@Executive@Officer,@Bryan@Health
Bryan Health, and John Woodrich becomes President and CEO of Bryan Medical Center and Executive Vice President of Bryan Health. Bryan Journeys 1
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OUR CEO RETIRES
Kim bids fond farewell Kimberly Russel will retire as president and chief executive officer of Bryan Health in January — but she will continue to cheer our efforts from the sidelines. Bryan Vice President Bob Ravenscroft interviewed Kim about the upcoming transition. The following exchanges are excerpts from that interview.
Advancement Vice President Bob Ravenscroft interviews outgoing Bryan Health President Kim Russel.
Q: Please tell us about your background. I grew up in a suburb of Cleveland, Ohio, the@third@of@five@children@in@a@traditional@ family. My father has died, but we celebrated my mother’s 95th birthday this summer. Q: What was your first job? My@first@paid@job@was@at@the@local@Dairy@ Queen, and it wasn’t very long before I found myself a supervisor. I started there before I could drive a car and worked there throughout my high school years. Q: Anything there that you have applied during your career? Other than making the curl shape with the soft serve ice cream? Before I started working at DQ, I was a teenage volunteer at a local community hospital. I found I absolutely loved that world! I learned pretty quickly that I didn’t have the talent for bedside caregiving, but I became very interested in the leadership side. So I put the management skills I was gaining at DQ together with my love for hospitals — and that’s how I found what has been my calling.
jobs in the two local hospitals; I worked as an EKG technician and in a clerical role in the respiratory therapy department. I also was an administrative assistant in the diploma school of nursing there. So I really got a lot of hands-on, front-line experience, which I have drawn upon throughout my career. It reinforced how much I love working with others who are devoted to patient care and that I had found my career goals.
Q: You went to Purdue University as a management major. Did you already know you wanted to work in health care? Yes, and I was fortunate to have part-time
Q: You earned a master’s at Washington University in St. Louis, then you were an administrative fellow. What did you learn from that experience?
I was an administrative fellow at Iowa Methodist Medical Center (now known as UnityPoint) in Des Moines. It was a wonderful experience, just like I believe we provide for our administrative fellows at Bryan Health. You’re a member of the senior team for a year and take on various projects — basically you’re a sponge, just soaking up all of that knowledge. I was very fortunate to be asked to stay on, and I remained at Methodist for seven years — when I left, I was a senior vice president. Q: Your career path led to the University of Kansas Hospital in Kansas City, then to Ames, Iowa. The@former@chief@operating@officer@at@Iowa@
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OUR CEO RETIRES Methodist became CEO at the University of Kansas Hospital and asked if I would join him at KU and become the chief operating@officer@there.@After@a@little@ thought, I put the “for sale” sign in front of my house, packed my bags and moved. During@my@five@years@there@I@learned@a@ tremendous amount about academic medical centers and what it takes to become a physician. My@first@opportunity@to@be@a@CEO@was@ at Mary Greeley Medical Center in Ames. I was there for almost 13 years and hadn’t contemplated ever leaving — and then Bryan contacted me. There were lots of exciting things underway at Bryan Health, and I hope everyone recognizes, as I did, what an amazing organization, health system and community this is. The changes in medical technology since the late 1970s and what we’re able to do for patients now is mind boggling. You have to keep your eyes open to the future because health care and medicine are constantly changing — and thank goodness! We wouldn’t be where we are if we didn’t have that evolving technology. Q: Many say you’re the face of Bryan Health. Is that a burden? Part of our responsibility as leaders of a large, regional organization is to also be involved in the community and the state. But beyond that, it’s a role I’ve always really enjoyed. I love representing Bryan as its spokesperson,@as@I@believe@nonprofit@ organizations@make@such@a@difference.@ I’m also so impressed by the volunteer time that the people of Bryan give to organizations that they feel passionately about. It’s just wonderful to see Bryan people out there volunteering for community events or in the schools or their churches. For example, we help support Clinic with a Heart. It’s another example of Bryan people impacting this community.
Q: You officially joined the Bryan team in March of 2008. Since that time, the Bryan Independence Center has a new home; we’ve continued our unrivaled commitment to mental health; we built a new emergency department. The East Campus renovation is going on; the Epic electronic health record system has been installed at every Bryan Health facility from Lincoln to Crete and Central City; the 5055 building opened. We’ve grown to over 5,000 employees; there’s been explosive growth in the physician network; and our market share has risen dramatically. What do you think has been the key to this remarkable success? Everybody at Bryan should take pride in those accomplishments — and there are many more that we could add — but it comes down to the people who have come together to make all of this happen. And certainly we’re fortunate to be headquartered in a growing community. Q: You often talk about the amount of charity care Bryan provides and the lives touched by this. We all should be proud of the charity care we provide year after year. In Fiscal Year 2018, 11,500 individuals received charity care or pro bono medical services at Bryan. Were it not for Bryan Health, what would have been the outcome for them? Where would they have gone? What would they have done? It’s part of why we’re here — Bryan is welcoming to all who need us. Q: What is the role of our board members? We have outstanding boards at Bryan. These business and community leaders volunteer their time and have only the best interests of this community and this state at heart. They’re wonderful advocates@and@have@been@real@difference@ makers over the years in the overall strength and success of Bryan Health.
Q: We’re just caretakers here? We are servant leaders, working as a team to provide the very best care for every single individual walking through our doors. But we’re also charged with the responsibility for both today and tomorrow — decisions we’re making are really going to impact future patients. Building projects are probably the most visible example of that. Our guests are temporarily inconvenienced by construction, but we’re all aiming to improve our services and facilities for patients of the future. Q: Surely, not everything could have been cherries and roses? When notifying the board I was going to retire, I said, “I have loved (almost!) every day of this job.” Of course every position has its challenges, and not every day is the best day ever. That’s where teamwork comes in, supporting each other. And that’s the nature of health care — it’s extremely@difficult@work,@but@so@needed@ and so rewarding. Q: What will be the biggest challenges of the next decade? With reduced support from Medicare, Medicaid and insurance companies, we’re going to be challenged to provide the level of excellence that meets our mission. It will take creativity, but I could not be more@confident@that@the@people@of@Bryan@ will@figure@out@how@to@thrive. Q: Why retire now? For many years, I have had in my mind that I would retire when I reached age 60. However, I looked at what is the best timing so that none of our work, or our goals, or our plans, or our projects would be interrupted. In other words, what was the best timing for Bryan Health? We have an extremely strong senior team and extremely strong boards, so all of those things were saying this is the ideal time to change CEOs without interrupting any of the wonderful work Bryan Journeys 3
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OUR CEO RETIRES that’s happening. The Bryan Health Board of Trustees saw it the same way and decided on an internal succession plan — Russ Gronewold will become the Bryan Health CEO, and John Woodrich will become the Bryan Medical Center CEO and executive vice president of Bryan Health when I retire. Everything seemed all lined up to happen — and, oh yes, I’ve already turned 60 — but my motivation to retire at this time was entirely what was best for Bryan Health. Q: Was there a personal side to this? Like many of us, my husband (Dr. Dirk Brom) and I are in the sandwich generation, with aging parents and children who already are young adults — and what’s very exciting is that we have a darling 2-year-old granddaughter, and we’re going to have a grandson by the end of the year. We’re enjoying every moment of being grandparents! People might be surprised to know I change diapers and crawl around on the floor@with@a@2-year-old! Q: What do you enjoy away from work? It may sound boring, but I really enjoy just walking around Holmes Lake and riding my bike on the bike trails. I love to read and I look forward to having more time for it. I also enjoy the theater and events at the Lied and all the wonderful things available in a college town like Lincoln. Q: So you and Dirk are staying in town? Absolutely! We were on a walk around Holmes Lake when we’d been here for only about six weeks, and we looked at each other and asked ourselves why would we ever want to leave? The quality of life is second to none — why would we want to get our health care anyplace except at Bryan?
° ð Kim says she will p miss her daily ° interactions with 0 the people 0 at Bryan.
I plan to continue to be a part of this community.
continuing to learn about the progress of the many projects that are underway.
Q: Any professional organizations? I serve on the Omaha branch board of the Kansas City Federal Reserve Bank, and I’m going to be chairing that board starting in January. I’m looking forward to that. I also serve on the board of the Foundation for Education Services. I also will stay involved in the health care administration profession, doing a little speaking on a national level, a little bit of consulting with friends and colleagues across the country. Before I came to Bryan Health, I enjoyed writing for professional journals, so I might get back into that again.
Q: What are you going to miss the most? The people, without a doubt — everyone, from@our@staff@to@our@physicians@and@our@ board members, and I love visiting with patients. I get a kick even just walking down the hall and seeing people, and I will desperately miss that every single day. Thank you to the 5,000-plus people who have made Bryan what it is. I am incredibly grateful for their support. From day one, I have felt welcomed even though I was an outsider. People were friendly and willing to give the new kid a chance, and I am just so proud of every single person here at Bryan, and you all have@my@complete@vote@of@confidence.@ I know that Bryan Health will continue to get even stronger. n
Q: Will we still see you around Bryan? I am a major supporter of the Bryan Foundation and will certainly be cheering on everybody at Bryan just as best as I can. I will so look forward to getting my Journeys magazine in the mail and
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BRYAN FOUNDATION
Community reaches fundraising target
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errick Medical Center achieved another@milestone@in@its@efforts@ to raise $5 million to help build a new medical center in Central City. An anonymous donor agreed to contribute $450,000 if the community could also raise that much by Sept. 30. “That challenge really sparked our community to act,” Merrick Medical Center Foundation Chair Sam Krug says. “It gave us incredible momentum almost instantly. We’re really grateful.”
More than $543,000 in gifts and pledges poured in before the deadline. Including the matching funds, the challenge raised about $993,000 for the building fund. Merrick Medical Center CEO Paul Clark notes, “This truly was a communitywide effort.@ “City leaders, business owners, charitable foundations and our community have all shown tremendous faith in our vision of a new medical center.” n
1 2 Gifts to the Bryan Foundation (402-481-8605) make a difference in many areas, from patient care to health-related education. In Photo 1, Avery Anderson tests the new child-sized car for Susan Stuart and radiology director Sharon Harms. The Stuart family donated the battery-powered vehicle, which can be driven by a passenger or by remote control. It’s a fun way to transport pediatric patients from the Emergency Department to radiology on Bryan East Campus. The first Gregorius Lecture (Photo 2) drew physicians and staff members Oct. 24 for “Great Leaders, Great Teams and Why People Follow.” Tim Hodges’ StrengthFinder assessments helped participants learn to focus on areas of greatest potential. This program was funded by a gift from Dr. Charles and Carolyn Gregorius.
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On the 25th anniversary of Dr. Ralph Paul’s death, his family added to the anesthesiologist’s legacy by contributing to the Bryan College of Health Sciences scholarship established in his name. Photo 3 shows him with the Bryan Cutups softball team he coached in 1972.
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BRYAN FOUNDATION
We surpass b2020 goal!
Future Bryan Health CEO Russ Gronewold addresses the audience during our celebration. He pointed out ways in which the Choose Your Impact campaign helps Bryan patients today and tomorrow.
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our years ago, we publicly launched b2020 Choose Your Impact — and your response exceeded all expectations! Our goal was to raise $40 million. @ Generous donors contributed $47,434,566 — surpassing our goal a full year early! We invited contributors to celebrate with us Nov. 1 at Nebraska Innovation Campus. Here are snapshots from that event.
VIDEO
See the video shared at this event and learn more at bryanhealth.org/b2020. Lloyd and Donna Hinkley.
Matilda Frimpong and Dr. Albert Owusu-Ansah.
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BRYAN FOUNDATION
Bruce Petersen, Art Knox, Robert Scott, Jim Mastera and Adam Karavas.
Outgoing Bryan Health CEO Kim Russel. Bryan Foundation Chair Beth Smith.
Bryan Medical Center President John Woodrich with Dr. Steven Lau and Dr. Brian Bossard.
Past Bryan Medical Center President Craig Ames, Dr. Charles Wilson and Nancy Van Kirk.
Kim with Kevin Karas.
Jane and Dr. Sushil Lacy. Bryan Journeys 7
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WHAT ’S NEW AT BRYAN
Technology helps Jim and his doctor fight lung cancer
Even in retirement, Jim enjoys gardening on a large scale on his property in Humboldt.
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im@Jones,@75,@of@Humboldt@first@met@with@pulmonologist@ Ryan Martin, MD, of Lincoln Pulmonary Specialties after his family nurse practitioner saw something worrisome on Jim’s chest X-ray. Dr. Martin found that Jim had a 1.5-inch-long tumor in his lung. An important question remained — did this tumor contain cancer or was it a less dangerous benign tumor? Dr. Martin planned a biopsy, a procedure that would remove a very@small@amount@of@tissue@from@Jim’s@tumor@for@testing,@to@find@ out. Lung cancer is the most common cause of cancer-related death worldwide, and nearly 100 million people in the United States are at risk for it due to current and former smoking
or other factors. When patients like Jim, who was a smoker, have@symptoms@such@as@abnormal@X-ray@findings@that@suggest@ they might have lung cancer, they need answers as quickly as possible. The sooner they have a diagnosis, the better are the patient’s chances for successful treatment. Early detection means everything In such cases, pulmonologists perform biopsies to collect cells for diagnostic testing. Biopsies can’t provide answers, though, if they don’t @ collect enough tumor cells for complete testing. Such @ “incomplete sampling” can delay lung cancer diagnosis and potentially life-saving therapy.
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WHAT ’S NEW AT BRYAN In Jim’s case, getting enough cells during his biopsy was difficult@because@the@tumor@lay@right@alongside@his@aorta,@the@very@ large vessel carrying blood from the heart into the rest of the body. So, Dr. Martin needed to biopsy the lung tumor without nicking or otherwise injuring the aorta, which might have caused very serious bleeding around Jim’s heart and lungs. SPiN is the answer To successfully perform Jim’s high-risk biopsy, Dr. Martin used Veran’s SPiN Access Catheter System, a game-changing lung biopsy tool recently purchased by Bryan Health. The SPiN Access Catheter is the latest version of an existing instrument that allows surgeons a three-dimensional view of hard-to-reach tumors during biopsies. Dr. Martin says this tool worked perfectly in Jim’s case. “Using the new SPiN Catheter’s precise guidance system I made six tiny biopsies on the side of the tumor farthest away from the aorta, taking just a few cells at each site,” he explains. In this way, he performed Jim’s lung tumor biopsy without injuring the nearby aorta. Dr.@Martin@says@the@SPiN@system@is@a@significant@advance.@ “With it,” he points out, “doctors can take samples from
Dr. Martin reviews images from Jim’s earlier biopsy. The new SPiN System at Bryan helps guide pulmonologists during minimally invasive biopsies of suspected lung cancers.
VIDEO
Dr. Martin, who earned a master’s in exercise physiology before med school, maintains an interest in outdoor activities.
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See how this new technology works at bryanhealth.org/lungcancer.
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WHAT ’S NEW AT BRYAN
Jim: ‘The procedure was as smooth as anyone could hope for’ All in the family Dr. Martin is the third of three generations in his family to practice medicine — his grandfather Benjamin Martin,@MD,@father@Jeff@ Martin, MD, and uncle Michael Martin, MD, are family physicians, and his uncle Steve Martin, MD, and aunt Ameeta Martin, MD, are cardiologists. “So, when my wife Olena and I lived in @ Lincoln as students at the University of Nebraska, we decided to come back after medical school to raise our family here,” he says. Now, with daughter Nyah, 9, and sons Charlie, 13, and Gabriel, 16, the Martins enjoy travel and hiking and are huge fans of Husker football and basketball. “For all these reasons,” he says, “Nebraska, Lincoln and Bryan feel like home.” Dr. Martin received all his medical training in Nebraska, completing his medical degree, internal medicine residency and pulmonary and critical care Happy ending for Jim medical fellowships at the Jim also is pleased with University of Nebraska the procedure. “My experience When he’s not working in his garden, Jim enjoys relaxing on Medical Center in Omaha. was excellent. I was asleep the the front porch with a beverage and a good western novel. He practices at Nebraska whole time and had no pain or Pulmonary Specialties and bad@side@effects@at@all@afterward@ serves as the Pulmonary Division chair for Bryan Medical @ — it was as smooth as anyone could hope for,” he says. Center. n “Also, the nurses who took care of me at Bryan were great; they explained everything before and after the biopsy, and I was To learn how you can support the work of Bryan Health, able to go home the same day.” please contact the Bryan Foundation at 402-481-8605. difficult-to-reach@or@very@small@ tumors we couldn’t have biopsied@five@or@10@years@ago.@ This@lets@us@find@lung@cancer@ earlier when it’s present, and start patients’ treatment sooner. “I use the new SPiN Catheter at Bryan for most of my patients now. That’s because it helps me target the tumor precisely and take cell samples from many tumor areas for a very high likelihood that we‘ll get all the cells we need during the biopsy.“ Dr. Martin and his colleagues working with Bryan pioneered the SPiN Access Catheter System in Nebraska — patients would otherwise need to go to Kansas City, Denver or Des Moines for the procedure. He says, “We get such consistently good biopsy samples with the SPiN Catheter at Bryan that the company manufacturing it asked for details of our technique because our results are comparable to those at large university medical centers like Johns Hopkins Bayview Medical Center in Baltimore.”
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BRYAN CHILD DEVELOPMENT CENTER
Four families have maintained friendships begun while their children were in day care together almost 20 years ago. Today’s co-workers and their now-grown sons are Denise and Luke Logan (left), Hunter and Lori Johnson (back row), Chase Searcy and Jody Cosimano, and Michael and Nathan Gunther with their mother, MaryKay.
Lifelong friendships began in day care
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or@working@parents,@finding@ quality childcare is a top priority. And if you’re lucky, you’ll@find@a@place@that@not@only@ helps you care for your child, but leads to lifelong friendships, as well. “Hunter started at the Bryan Child Development Center in 1999, when he was probably 8 or 9 weeks old,” says his mother,
pulmonary diagnostics respiratory therapist Lori Johnson. “During his time there, he became part of a tight-knit group of friends.” Fast forward to today. After nearly 20 years, those friendships are stronger than ever for Hunter (20), Chase Searcy (21), Luke Logan (20), and brothers Michael (21) and Nathan Gunther (19). “It’s crazy to think about how these
boys started together as infants! Despite the@different@interests,@schools@and@hobbies@ that have developed over the years, they still remain the best of friends,” says Lori. “As a bonus, their parents have formed a good friendship that wouldn’t have been possible without the day care connection.” While a 20-plus year friendship may be a bit unusual, the positive experience with
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BRYAN CHILD DEVELOPMENT CENTER the Bryan Child Development Center is a consistent theme heard among Bryan employees. “With locations on both Bryan East Campus and Bryan West Campus, on-site childcare@is@a@popular@benefit@ for working parents,” says Bryan Health@benefits@director@Paula@ Fankhauser. “Employees love the opportunity to be close to their children, knowing they’re safe and well taken care of.” Because the center is designed@to@flex@around@the@ needs of workers in a health care environment, employees sign contracts for a particular number of@hours@needed.@This@flexibility@ especially accommodates workers with night or evening shifts who may need blocks of hours rather than an entire week of care.
during breaks,” she says “I’d walk@in@to@find@his@teacher,@Joyce@ Donlan, holding all of the babies in her arms, rocking and singing to them.” Jody and the other parents reminisce about the variety of activities their children participated in at the day care, from riding in buggies and wagons@at@first@to@later@walking@ hand-in-hand through the hospital, to enjoying Halloween parades and Easter egg hunts. “The teachers always kept them busy, doing fun things and stimulating their curiosity,” she remembers. Curriculum and planning are important parts of the Many Bryan Child Development Center co-workers are long-term employees. Managers Dot Rung and Sharon Kimmons and child childcare experience at the Child development specialists Dixie Cobb, Kristi Slama, Carrie Rockenbach Development Center. Teachers and Heather Gettner all were involved in the care of the five friends. put together daily action plans to ensure a quality experience. Benefits of on-site care Activities, depending on age, “I loved having my son on campus near me,” says Lori. “It range from songs, stories and reading time to outdoor activities and was comforting to know that he was in a high-quality, caring arts and crafts, with a curriculum designed to prepare children for environment and that I was welcome to come see him any time. kindergarten. I never had to worry about my son while at work, so I could focus Manager Sharon Kimmons, who is among several long-time my energy on caring for patients.” staff@members@who@remember@the@five@friends@at@the@day@care,@says@ Jody Cosimano, RN, echoes those words. “I remember when some students have such a fantastic learning experience as children Chase was 3 months old and I would go visit him at the day care they come back as young adults to work here.
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Buddies for life: Michael, Nathan, Hunter and Luke take a trip to the Lincoln Children’s Zoo. Halloween remains a big event at Bryan! Hunter and Luke (center photo) enjoyed the 2002 parade. Chase, Nathan and Michael made Cub Scout memories.
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BRYAN CHILD DEVELOPMENT CENTER Friendships extend beyond day care Since@Bryan@offers@before@and@after@school@care@as@well@as@ summer care through age 12, the boys continued seeing each other@even@after@they@started@kindergarten@at@different@schools. As the years passed, their friendships moved beyond the day care to embrace birthday parties, summer bowling and trick- ortreating.@As@teens@attending@different@middle@schools@and@high@ schools, they extended the friendships through video games, social media and going on excursions together. “The whole group went on a camping trip to Colorado once,” says Luke’s mother, radiology manager Denise Logan, “The boys said they wouldn’t have survived without Luke’s scouting skills!” Eagle@Scout@Luke@taught@the@others@how@to@make@a@fire,@pitch@ a tent, and stay warm and dry. Over the years, they’ve continued sharing what they know of cooking, auto repair and other interests. Recalling experiences MaryKay Gunther, mother of Michael and Nathan, utilized Bryan Child Development Center for both boys.
“It was a big help with two boys so close in age — it was very convenient and allowed me to continue working while they were little,” she says. Other parents echo that sentiment, some going so far as to say that available on-site childcare meant their careers didn’t have to be put on hold. The day care experience is one that many parents are quick to celebrate. “The teachers are fabulous,” Denise says. “It makes a very large organization more personable and gives you a sense of family. The health care environment can be stressful — knowing that your child is well taken care of eases that stress.” Bryan’s@Child@Development@Center@has@long@offered@one@of@ Lincoln’s largest employer operated day cares to its employees. Today 252 families have 402 children enrolled full- or part-time. Daily capacity is 224 during the school year and 254 in summer. What’s the secret to its success? The length of time that many of its teachers and managers have been employed is a tell-tale sign of high-quality work atmosphere. “You@can’t@find@a@better@day@care@for@your@child@that@will@prepare@ them for elementary school,” Jody says. “When you consider how long the teachers have been part of the program — some have been here for decades — you know that people trust them and the care they provide.” Due to the program’s popularity, Bryan employees considering this@benefit@are@encouraged@to@call@soon. “If you’re already a Bryan employee or considering applying for a position at Bryan and looking for childcare options, you should talk@to@the@staff@about@openings,”@says@Paula. What’s next? The boys have grown and matured, and they’re embracing skills,@passions@and@talents@that@will@define@their@tomorrows.@ n@ Hunter is excited about the restaurant industry, currently working@at@DISH@Restaurant@while@finishing@college.@He@hopes@ to@someday@own@a@fine@dining@establishment.@ n@ Brothers Michael and Nathan are attending Southeast @ Community College with a focus in economics and business. n@ Chase is a senior at the University of Wisconsin at Whitewater, @ where he’s competed on the men’s swim and dive team for four@years.@He@will@graduate@in@2020@with@a@bachelor’s@in@finance. n@ Luke is working toward an automotive mechanic degree at @ Southeast Community College. He loves the mountains and @ hopes to open his own garage in Colorado! Whatever their futures hold, it seems the friendships that started at Bryan will remain strong forever. n
Luke, Hunter, Michael, Chase and Nathan forged a lifelong friendship on the day care playground decades ago.
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To learn more about the Bryan Child Development Center, call 402-481-8623. Bryan Journeys 13
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MEDICAL STAFF UPDATE
New faces at
Bryan
Welcome these colleagues to the Bryan medical community
Rachel Anderson Heise, DO, obstetrics, joined Women’s Healthcare Center of Williamsburg, 402-421-8581. Dr. Heise graduated from Midwestern University, Downers Grove, Illinois. She completed a residency in obstetrics at OhioHealth Doctors Hospital, Columbus, Ohio, in 2019. Tara Baum, MD, obstetrics and gynecology @ joined The Physician Network Women’s Health, 402-488-0040. She graduated from Saba University School of Medicine, Gardner, Massachusetts, in 2006 and completed a residency at Riverside Regional Medical Center, Newport News, Virginia. Dr. Baum is Board certified in obstetrics and gynecology. Kathleen Borcyk, MD, pediatrics, has joined Pediatrics PC, 402-489-6803. Dr. Borcyk graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2016 and completed a pediatric residency at the University of Nebraska Medical Center in 2019.
Thomas Brush, MD, urology, @ is associated with Urology PC, 402-489-8888. Dr. Brush graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2014. He completed a residency in urology at Creighton University Medical Center, Omaha. Brian Gallagher, MD, internal medicine/ hospitalist, is associated with Inpatient Physician Associates, 402-481-8566. Dr. Gallagher graduated from Rush Medical College, Chicago, in 2015 and completed a residency in internal medicine at St. Joseph Mercy Hospital, Ann Arbor, Michigan. David Hult, MD, family medicine, has joined Southwest Family Health, 402-420-1300. Dr. Hult graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 1983. He completed an internship and residency in family medicine at UnityPoint Health St. Luke’s Hospital in Cedar Rapids, Iowa. Dr. Hold is certified by the American Board of Medical Specialties. Kathryn Klayum, DO, obstetrics and gynecology, is associated with The Physician Network Women’s Health, @ 402-488-0040. Dr. Klayum earned her osteopathic medical degree from Nova Southeastern University, Fort Lauderdale, Florida, in 2015 and completed a residency at Henry Ford Hospital, Detroit, Michigan, before moving to Lincoln.
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MEDICAL STAFF UPDATE Bradley Kuhn, MD, surgery, is associated with Bryan Trauma, part of the Bryan Physician Network, 402-481-4167. Dr. Kuhn is an Ohio native, specializing in surgical critical care and trauma. He graduated from Wright State University, Dayton, Ohio, in 2013. Dr. Kuhn completed a general surgery residency at Spartanburg Regional Medical Center, Spartanburg, South Carolina, and a trauma and critical care fellowship at the University of Utah Hospital and Clinics, Salt Lake City. Logan McGuffey, MD, urology, has joined Urology PC, 402-489-8888. Dr. McGuffey graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2014. He completed a residency at the University of Missouri Columbia School of Medicine in 2019. Dr. McGuffey holds memberships in American Urological Association, Nebraska Urological Association, Nebraska Medical Association, American Association of Clinical Urologists, South Central Section of the American Urological Association and Lancaster County Medical Society. Alicia Muhleisen, MD, obstetrics and gynecology, joined Lincoln OB/GYN, 402-483-0527. Dr. Muhleisen graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2015. She completed her residency at Banner University Medical Center, Phoenix, Arizona, where she obtained special certification in da Vinci Robotic surgery. Dr. Muhleisen was born and raised in Lincoln. Her practice will include both normal and high-risk obstetrics, as well as gynecologic surgery.
Betsy Murray, MD, anesthesiology, joined Associated Anesthesiologists, 402-489-4186. Dr. Murray graduated from Emory University School of Medicine, Atlanta, in 2011. She completed an internship at William Beaumont Army Medical Center, El Paso, and a residency at San Antonio Military Medical Center, San Antonio. Dr. Murray is a native of Syracuse, Nebraska, and served in the U.S. Army from 2011-2019, attaining the rank of major. She is married with two daughters and two sons.@Her interests include cooking, biking, attending Nebraska sporting events and spending time with her family.@ David Pietrini, MD, diagnostic radiology, is associated with Advanced Radiology of Grand Island, 308-675-3211. Dr. Pietrini graduated from the University of Minnesota Medical School, Minneapolis, in 2012. He completed an internship at Rush University Medical Center, Chicago, followed by a residency at Creighton University Medical Center, Omaha. In 2018 he completed a fellowship at the University of Washington School of Medicine, Seattle, Washington. Dr. Pietrini has published in the official journal of the European Society of Sports Traumatology Knee Surgery and Arthroscopy (ESSKA) and the American Journal of Sports Medicine. Joseph Plambeck, MD, anesthesiology, joined Associated Anesthesiologists, 402-489-4186. Dr. Plambeck earned a medical degree at the University of Nebraska Medical Center College of Medicine, Omaha, in 2015. He completed a residency in anesthesiology at the University of Nebraska Medical Center. Dr. Plambeck is a native of Lincoln.@His interests include athletics, traveling, Husker sports, outdoor activities and time with family and friends.
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MEDICAL STAFF UPDATE Steven Shannon, MD, orthopedic surgery, is associated with Bryan Trauma, part of the Bryan Physician Network, @ 402-481-4167. Dr. Shannon graduated from the University of Nevada School of Medicine, Reno, Nevada in 2013. Dr. Shannon completed an orthopedic residency at the Mayo Clinic, Rochester, Minnesota. He completed a fellowship in orthopedic trauma at the Shock Trauma Center, University of Maryland, Baltimore. Dr. Shannon, a Nevada native, has written more than 20 peer reviewed research publications. Caroline So, DO, anesthesiology, joined Associated Anesthesiologists, 402-489-4186. Dr. So graduated from Des Moines University College of Osteopathic Medicine, Des Moines, Iowa, in 2015. She completed an internship at the University of Nebraska Medical Center, Omaha, and a residency at the Allegheny General Hospital/Medical College of Pennsylvania, Pittsburgh. Dr. So is a native of Lincoln. She is married, and her interests include cooking, hiking, kayaking, sporting events, volunteering with her church and spending time with family and friends. Eric So, DPM, podiatry, joined Capital Foot and Ankle, 402-483-4485. Dr. So is a fellowship trained foot and ankle surgeon. He graduated from Des Moines UniversityCollege of Podiatric Medicine & Surgery, Des Moines, Iowa, in 2015. He completed his residency at Grant Medical Center in Columbus, Ohio, and a fellowship at The CORE Institute in Phoenix. Dr. So was awarded the Ohio Health Resident Research Grant for his work on Lisfranc injuries. During his fellowship he specialized in sports injuries, trauma and reconstruction. He is a member of the American College of Foot and Ankle Surgeons.
Brad Webb, DO, orthopedic surgery, is associated with Lincoln Orthopaedic Center, 402-436-2000. Dr. Webb graduated from Kirksville College of Osteopathic Medicine, Kirksville, Missouri, in 2013. He completed a residency at Grandview Medical Center, Dayton, Ohio, and a fellowship at Beaumont Hospital Royal Oak in Royal Oak, Michigan. Dr. Webb was born in Beatrice, Nebraska. He worked as a physician assistant prior to medical school and helped to develop the first telemedicine clinic within the University of Nebraska Medical Center and the Veterans Administration. Dr. Webb has a special interest in all conditions of the spine extending from the cervical, thoracic and lumbo-sacral spine. He enjoys spending time with his wife and their four children. His interests include hiking and hunting with his family, downhill skiing, golfing and time at the lake. Benjamin Woodhead, DO, orthopedic surgery, is associated with Lincoln Orthopaedic Center, 402-436-2000. Dr. Woodhead graduated from the University of Nebraska Medical Center College of Medicine, Omaha, with a master’s degree in Physician Assistant Studies and worked as a physician assistant prior to medical school. He graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2008, and A.T. Still University College at Kirksville, Missouri, in 2013. Dr. Woodhead completed his residency at St. Luke’s Des Peres Hospital, St. Louis, Missouri. During a fellowship at the University of Washington School of Medicine, Seattle, Washington, he was mentored by world-renowned surgeon Dr. Fredrick Matsen III. While in Seattle, Dr. Woodhead also worked with team physicians for the University of Washington Huskies and was involved in the care of Husky athletes. Dr. Woodhead grew up in North Platte. He has a special interest in shoulder, elbow and sports surgery. He and his wife have three daughters, and he enjoys spending time with his family, working out, golfing and watching sports. n
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MEDICAL STAFF UPDATE
This summer eight Lincoln Family Medicine Program residents began their training program, which includes frequent clinical rotations at Bryan. They are Sean Erickson, MD, University of Nebraska Medical Center College of Medicine; Madeleine Wilson, MD, University
of Nebraska Medical Center College of Medicine; Rick Poppe, MD, University of Nebraska Medical Center College of Medicine; Brett Copley, DO, Kansas City University of Medicine and Biosciences College of Osteopathic Medicine; Kinsey Cornick, DO, Des Moines University College of Osteopathic
Medicine; Zach Mahler, MD, University of Nebraska Medical Center College of Medicine; Caty Ward, MD, University of Nebraska Medical Center College of Medicine; and Sean Flor, MD, University of Nebraska Medical Center College of Medicine.
Welcome, advanced practice providers These advanced practice providers are working at Bryan: Deann Barnard, CNM, Good Life Birth Place Kayla Campbell, APRN-NP, Inpatient Physician Associates Sarah Christ, CRNA, Associated Anesthesiologists Alex DeVries, APRN-NP, Bryan Trauma, Bryan Physician Network Erin Dragoo, PA-C, Lincoln Surgical Group Stephanie Ferguson, CRNA, Associated Anesthesiologists Amy Golding, CRNA, Associated Anesthesiologists Ethan Griffith, PA-C, Nebraska Orthopaedic and Sports Medicine Molly Hannasch, PA-C, Doctors of Women Bridget Heser, CRNA, Associated Anesthesiologists Clarissia Hoeft, APRN, Inpatient Physician Associates Kristen Huebsch, PA-C, General Surgery Associates David Hutcheson, CRNA, Associated Anesthesiologists Dana Jackson, PA-C, Bryan Trauma, Bryan Physician Network Emily Keim, APRN-NP, Bryan Heart Angela Krafka, APRN- NP, Inpatient Physician Associates Alex Kuta, PA-C, Bryan Trauma, Bryan Physician Network
Jennifer May, CRNA, Associated Anesthesiologists Brittne Morris, APRN-NP, Bryan Neurology, Bryan Physician Network Lauren Nitz, PA-C, Bryan Heart Vascular Surgery Haley Nunes, APRN-NP, Bryan Heart Shane Pearson, CRNA, Associated Anesthesiologists Shaun Ring, PA-C, Prairie Orthopaedic & Plastic Surgery Arianna Shay, PA-C, Bryan Heartland Psychology, Bryan Physician Network Molly Skomer, APRN-NP, Rheumatology and Osteoporosis Services Stacy Sveen, APRN-NP, Bryan Heart Brittany Wacker, APRN-NP, Heartland Neonatology Associates Allison White, APRN-NP, Bryan Women’s Care Physicians, Bryan Physician Network Sarah White, PA-C, Ear Nose & Throat Specialties Kirstie Zimmerman, PA-C, Bryan Trauma, Bryan Physician Network Erin Zimmerman, PA-C, Inpatient Physician Associates
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MEDICAL STAFF SPOTLIGHT
Ask the doctor: How can a maternal-fetal specialist help with my high-risk pregnancy? Benjamin Byers, DO, FACOG, of the Center @ for Maternal & Fetal Care, part of the Bryan @ Physician Network, answers your questions. Q: What is a maternal-fetal medicine specialist? This physician completes medical school, as well as a 4-year residency in obstetrics/gynecology and a 3-year maternal-fetal medicine fellowship, which is dedicated only to high-risk pregnancy care. Maternal-fetal medicine specialists are referred to as@ MFMs or perinatologists. MFM physicians typically work with your primary obstetrician to co-manage a high-risk pregnancy. I would estimate that 90 percent of my patients fall @ into this category. This typically means seeing a patient at routine @ intervals during her pregnancy, and usually an obstetrical ultrasound is performed. Thus, I am part of the patient’s health care team. Some patients, based on the primary obstetrician’s decision, are only seen by an MFM physician during their entire pregnancy, including the delivery. Procedures that I perform include cesarean delivery, @ vaginal delivery, cervical cerclage, high-risk OB ultrasound, fetal echocardiogram, amniocentesis, and dilation and curettage. Q: What brought you to a career in this field? I have always found pregnancy care and obstetrics fascinating, from the physiology of the developing baby and placenta, to the excitement of the delivery, and all stages in between. My wife,
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MEDICAL STAFF SPOTLIGHT Debra, manages her type 1 diabetes with an insulin pump; an MFM cared for her during her pregnancy, and the expertise that this doctor provided made a big impression on me. Obstetrics@is@a@unique@field@that@encompasses@primary@care,@ continuity, surgery and sometimes emergency situations. I wanted to be able to take care of all women, regardless of the complexity of their pregnancy, and that’s why I chose to become a maternalfetal medicine physician. Q: How did you prepare for this career? What do the FACOG initials behind your name mean? I grew up in rural eastern Iowa and attended Central College in Pella. I was granted early acceptance into Des Moines University for medical school. Part of this early acceptance program was that I was to become@a@rural@family@practice@physician@in@Iowa.@I@was@fine@with@this@ plan until I did my obstetrics/gynecology clinical rotation — from that point on, I knew that OB/GYN (and then subsequently MFM) was the career for me. I did an OB/GYN residency at Brooke Army Medical Center in San Antonio and completed an MFM fellowship at the University of Texas Medical Branch in Galveston. FACOG means Fellow of the American College of Obstetricians @and@Gynecologists.@This@signifies@the@doctor@is@Board@certified@ and has gone through the application process.
@
Q: Do you have a family of your own? Where were you raised? Are other family members in health care careers? Debra and I were married in 2000, and we have three children: an 11th grader, a 9th grader and a 7th grader. They all attend Lincoln Christian School. My dad was a teacher — he was my teacher in 7th grade! — and my mom was a teacher’s associate. I was raised in Monticello, Iowa (near Cedar Rapids), population 3,500. My brother is a veterinarian, and my sister is 0an@assistant@at@an@optometrist’s@office. Before moving to Lincoln in 2014, 0I@was@an@officer@and@physician@in@the@ @ U.S. Army for 13 years. I achieved the rank of lieutenant colonel and was deployed to Iraq as a battalion surgeon in 2011. Q: What do you find most rewarding about your career? I enjoy helping manage high-risk pregnancies, which can involve maternal conditions such as diabetes, hypertension and lupus; fetal conditions such as birth de-
fects and genetic problems; and pregnancy issues such as cervical insufficiency,@preeclampsia@and@preterm@labor. Q: Can you share a really rewarding experience with us from your practice? Cervical@insufficiency@means@the@cervix@prematurely@dilates,@which@ typically means losing the pregnancy at a very early gestational age. If this is caught early in the process, then a stitch in the cervix (called a cerclage) can save the pregnancy. It is very rewarding to be able to save a pregnancy so that the mom can take home a healthy baby. Q: How valuable is a prenatal diagnosis? Prenatal diagnosis means diagnosing birth defects or genetic problems prior to delivery. A pre-delivery diagnosis, in most cases, leads to a better outcome for the baby, especially in the situation of a congenital cardiac problem. Of course, the majority of the time, I provide positive news for the patients (meaning that there is no problem with their baby), which is also rewarding. Some maternal diseases such as type 1 diabetes can carry a high risk for birth defects. Q: Do I need a referral from my primary care physician to see a maternal-fetal doctor? Yes, in most cases, a referral from the primary obstetrician is required. Some patients, if they were seen by me or another MFM in a prior pregnancy, can enter care directly without a referral. Q: What is the role of my primary care doctor? The primary obstetrician is responsible for routine OB care. I take care of the high-risk problems. Q: Where can I find out more about maternal-fetal medicine? The Society for Maternal Fetal Medicine website — www.smfm.org — has more information. Q: What impresses you about being in Bryan’s network? I really enjoy working for Bryan Physician Network because the administrators actually care about my well-being as a person. They know me on a personal level and are very approachable. Q: What is the most important thing you’d like people to know? Even though I was raised in Iowa, I’m a Cornhuskers fan! n To learn more about maternal-fetal medicine and high-risk pregnancies, contact the Center for Maternal & Fetal Care at Bryan East Campus at 402-483-8485, or ask your primary care physician. See a video about Dr. Benjamin Byers at bryanhealth.org/DrByers. VIDEO
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PAT I E N T E X P E R I E N C E
Teamwork leads to special delivery for Heather and baby Caden
E
very birth is special, but the moment Heather Robbins Cholestasis can be dangerous for the baby, and it can lead to prefirst@held@her@son@Caden@was@truly@amazing. term birth and even stillbirth. Six@years@ago,@Heather@suffered@a@spinal@cord@injury@ “The combination of everything together was nerveduring a car crash, which left her paralyzed from her wracking@and@scary@for@me,@especially@as@a@first-time@mom,@but@Dr.@ upper@chest@down.@When@she@first@learned@she@was@pregnant,@she@ Kenney told me something that really stuck with me,” Heather was concerned that her condition might cause complications for recalls.@“He@said,@‘You’ve@been@through@a@lot@more@difficult@ herself and her baby. Her sister encouraged Heather to see Sean things in your life, like the accident, and you’re going to make it Kenney, MD, a maternalthrough this, too.’ That helped get me fetal medicine specialist at through the rest of my pregnancy.” the Center for Maternal & Heather also was concerned Fetal Care. about the challenges her wheelchair “Dr. Kenney was might present in caring for her baby. familiar with spinal cord Dr. Kenney connected her with a injuries and had worked former patient who was also in a with people in wheelchairs wheelchair, and she gave Heather before. That really helped practical tips and advice. calm my fears,” Heather says. Research behind the scenes Dr. Sean Leach While most patients Dr. Kenney coordinated with holds a smaller than usual needle and catheter, with spinal cord injuries Patient Care Services Vice President like the system he used for do well with pregnancy, Lisa Vail, RN, DNP, NEA-BC, and the providing analgesics during Dr. Kenney says they may Intensive Care Unit so that equipment Heather Robbins’ labor and delivery. face potential challenges. and@staff@would@be@available@in@case@ “They have an increased risk of complications because they can’t feel their contractions, so we have to watch for pre-term labor,” he says. “They also have an increased risk of blood clots, since they aren’t able to be up moving as much, as well as other complications.” Relying on her team Heather@relied@on@a@team@of@doctors,@nurses@and@staff@to@ help her through her pregnancy. Early on, she was hospitalized for hyperemesis, a severe form of morning sickness. While she was in the hospital, she developed a blood clot that traveled to her lung, so she was put on blood thinners. Heather also suffered@from@severe@itching@caused@by@cholestasis,@a@condition@ where pregnancy hormones cause bile to build up in the liver.
Heather needed an arterial line to monitor her blood pressure while she was in labor. Although Heather didn’t end up needing it, their planning proved useful. “I had another patient a few weeks later that we used it on, so that pre-work was a real lifesaver,” says Dr. Kenney. To prepare for her delivery, Heather worked with anesthesiologist Sean Leach, MD, of Associated Anesthesiologists. Although Heather wouldn’t feel the pain of labor, her team was@concerned@that@it@might@trigger@autonomic@hyperreflexia,@a@ condition where the nervous system can’t properly regulate pain signals because the spinal cord injury prevents those signals from reaching the brain. “This lack of regulation can lead to a hypertensive crisis, where blood pressure can go very high,” explains Dr. Leach. “It
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PAT I E N T E X P E R I E N C E
Thanks to a special team of physicians and staff at Bryan, Heather successfully delivered her son Caden.
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PAT I E N T E X P E R I E N C E puts mothers at risk for intracerebral hemorrhages, strokes, hypertensive encephalopathies, retinal hemorrhaging and even death.” Dr.@Leach@had@to@find@an@anesthetic@technique@that@would@prevent@ these signals from being sent, but a traditional epidural wasn’t a reliable option. Previous surgeries to stabilize Heather’s spinal column left her with scarring in her epidural space. This scarring would make placing a traditional@epidural@extremely@difficult,@and@it@might@prevent@the@anesthesia@ from spreading adequately. Dr. Leach decided to use a continuous spinal catheter, a method he had learned during his residency at Banner-University Medical Center Tucson (formerly the University of Arizona Medical Center). During this procedure, a spinal catheter is placed in a similar manner as for an@epidural,@with@a@few@significant@ differences.@It@is@placed@in@the@ cerebral@spinal@fluid,@rather@than@ the epidural space, and ideally, it requires a smaller diameter needle and catheter to continuously deliver a local anesthetic. “I felt very fortunate to be able to use this technique for Heather, because it was perfectly suited for her@specific@needs,”@he@says.
“We reviewed our options and chose to use a traditional but smaller than usual size catheter in a nontraditional fashion to deliver a continuous spinal anesthetic,” he says. Julie applauds Dr. Kenney, Dr. Leach and every member involved with Heather’s care. Without their careful planning and collaboration, Julie says Heather likely would have had to go out of state for her delivery. At 37 weeks, Dr. Kenney induced Heather. On March 4, she welcomed Caden into the world. “I cried,” Heather recalls. “I was amazed that I had been able to push him out. My mom was like, ‘How did you do that?’ I didn’t know that I could. It was an amazing feeling, and after being sick my whole pregnancy, it@made@everything@finally@worth@ it. I felt so much love for him and being a mom. You can’t even describe it unless you’ve been through it.” Caden was 4 pounds, 13 ounces at birth, and he spent a week in the neonatal intensive care unit. He was treated for jaundice and sleep apnea. Despite those early minor More challenges ahead setbacks, Heather says Caden is The next challenge facing healthy and growing. the team was obtaining “Now you’d never know that equipment for the spinal he was born at four pounds,” she catheter. Julie Smith, director jokes. “He’s chunked up a little of perioperative services and bit.” Dr. Sean Leach, Julie Smith, RN, and Dr. Sean Kenney anesthesia, and perfusionist After coming home from helped Heather overcome issues so that her pregnancy Vic Grdina (now retired) the hospital, Heather and and delivery were uneventful. worked with the purchasing Caden have enjoyed settling department. Generally, Bryan into a routine. Heather says he orders items in bulk, but buying sleeps well, and he’s hitting fun a single catheter — which also was a rare model — was going to milestones, like rolling over and babbling. “He is such a blessing to me,” she says. “Even though I be@difficult@and@potentially@costly.@ had a rough pregnancy, I’m glad my baby is OK. Dr. Kenney got “I’ve worked at Bryan for 30 years, and I’ve never had him here safely, and my whole medical team was great. I’m so to order this catheter. That’s how rare it is,” Julie says. “Our thankful for them.” n purchasing department did a great job negotiating pricing and working through the challenges to get this for Heather.” To learn how you can support the work of Bryan Health, Dr. Leach notes that the special catheter and others in a please call 402-481-8605. range of sizes were ordered.
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BRYAN HEART
Curt and Jody Kiner are back in their boat after Curt’s blood flow was restored at Bryan.
Fishing fan nets better heart health
C
urt Kiner, 76, of Lincoln is an outdoorsman @— and plans to stay that way despite some long-term heart challenges. “One@of@my@great@loves@in@life@is@fishing,”@ he@says,@“and@being@away@from@catfishing@ tournaments for a summer because of my heart problems is not in my plans.” Curt’s wife Jody shares, “Curt began seeing doctors at Bryan Heart 10 to 12 years ago, so we’ve been going to them
for a long time. In 2008, we learned Curt had a 40 percent blockage in an artery in his heart, but we and the doctors decided the best decision then was to watch and wait, because his symptoms were not that severe. So we returned yearly for his heart checkups. “In January 2019, Curt began having much worse fatigue and shortness of breath and just felt dead tired. At that point we went to his longtime cardiologist
— Joseph Kummer, MD, — to see if this was heart-related.” Additional tests showed Curt’s artery had by then become completely blocked, leading to his worsening symptoms. Fortunately, interventional cardiologist Brock Cookman, DO, had recently joined Bryan Heart and brought a new set of skills. Dr. Cookman earned his medical degree at Des Moines University. He finished@an@internal@medicine@residency@at@
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BRYAN HEART
Curt appreciates team approach
Dr. Brock Cookman (left) and Dr. Joseph Kummer (right) follow up with Curt Kiner after his procedure.
the University of Iowa in Des Moines and a three-year cardiology fellowship at the University of Nebraska Medical Center in Omaha, then received advanced training in interventional cardiology (including complex coronary revascularization procedures) at Aurora St. Luke’s Medical Center in Milwaukee, Wisconsin. Dr. Cookman describes Curt’s condition this way: “We found Curt had what is called ‘chronic total occlusion’ or CTO, a complete blockage of an important vessel in his heart. Patients with CTO may not have chest pain, but usually do have serious fatigue and shortness of breath. Curt’s cardiologist Dr. Kummer collaborated with cardiologist Keith Miller, MD, and me to decide upon the best approach to his care.” Dr. Kummer adds, “CTO is a very challenging condition, but we were able to really improve Curt’s symptoms because Dr. Cookman’s advanced training in cardiology included particular emphasis
on@the@difficult@process@of@opening@heart@ vessels that are 100 percent blocked.” Curt says, “Dr. Cookman showed Jody and me a pretty dramatic picture of the blocked artery in my heart and made it clear I needed to get it treated very soon. He said he could improve my symptoms by reopening the artery and explained how he would do that.” In a complicated procedure, Dr. Cookman used specialized wires and a twistable, wire-reinforced catheter to break through the blockage in Curt’s artery, then placed two tiny tubes called stents inside the vessel to keep it open, restoring@100@percent@blood@flow.@ “In this way we improved blood supply to Curt’s heart muscle,” says Dr. Cookman, “reducing his tiredness and possibly lowering his risk for abnormal heart rhythms and other problems down the road.” As with many patients at Bryan Heart, Curt’s@care@was@an@in-depth@team@effort.
“Collaboration is one of our great strengths at Bryan Heart,” Dr. Cookman says. “Patients with heart concerns can see any of the Bryan Heart physicians and know that we work together as cardiologists, cardiothoracic and vascular surgeons, and heart rhythm specialists to create the best results for our patients.” In addition to Dr. Cookman, heart revascularization procedures also are performed by cardiologists Dale Hansen, MD, Matt Johnson, MD, Clyde Meckel, MD, and Zach Singsank, DO, based on the complexity of the patient’s needs. “Our collaborative approach is especially important as patients get older because their care may become more complex,” Dr. Cookman notes. “My husband’s quality of life improved tremendously after Dr. Cookman did his heart procedure,” Jody says. “Curt can now do many more things, such as walking a mile on the treadmill and climbing stairs, that he couldn’t do before because of fatigue.” “I think the procedure Dr. Cookman performed gave me 10 more years of active life,” Curt adds. “I’m thankful to be here to be with my children and my @ wife — we’ve been married nearly 60 years — and I’m back to participating in fishing@tournaments@with@my@friends.@It’s@ thanks to Dr. Kummer and Dr. Cookman that I’m here. “I’m so happy I’m alive — and it’s all because of Bryan Heart.” n To learn how you can support the work of Bryan Heart, contact the Bryan Foundation at 402-481-8605.
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Curt and Jody are all smiles as they face a bright future, thanks to the care provided at Bryan.
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WHAT ’S NEW AT BRYAN
Transforming the patient experience
T
he 3-year renovation of Bryan East Campus includes 14 new operating rooms. Here’s how the exterior will look in 2020.
The stairwell from the 1st Floor lobby is taking shape.
This is how the front entrance looked in October 2019, as exterior walls neared completion on the new addition.
A welder (above) creates custom pipe for the mechanical penthouse on top of the surgery center (shown at right).
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WHAT ’S NEW AT BRYAN
84th Street location will be home for doctor clinic, second Urgent Care
Tiles and ceiling mounts are going up in the new surgery suites.
Doctors and staff from Southeast Lincoln Family Medicine and Internal Medicine, and Bryan Urgent Care broke ground for a new facility in east Lincoln.
Retired doctors tour part of the project.
To take a visual tour, go to bryanhealth.org/ transforming-surgery.
B
ryan Health unveiled plans @ in October for a new physician clinic and urgent care center to be built at 84th Street and @ Pioneers Boulevard. The new building will be home to Southeast Lincoln Family Medicine and Internal Medicine, which is part of the Bryan Physician Network and currently located on South 86th
Street. The facility has room for 12 physicians; the practice has five @ physicians now. This new building also will be home to a second location for Bryan Urgent Care. Its other site will remain on the Bryan LifePointe Campus at 7501 S. 27th St. The building is scheduled to open late next summer. n
Here’s what the building will look like when it opens next summer.
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TRAUMA
Survivor doesn’t let changes hold him back
J
im Earnhart, a welder from Plymouth, doesn’t remember much from the day of his accident. On August 13, 2018, he and his crew were installing a grain bin system on a farm near Davenport, Nebraska. As they maneuvered a 20-foot section of pipe through the top of the tower, Jim stepped inside the cross-brace frame to help guide the pipe into place. Just then, a clamp holding the 1,100-pound pipe came loose, and it dropped on top of him. “It basically shot down the front side of my body, bounced off my foot, and then pinned me against the back of the tower,” Jim explains. Emergency responders from Davenport arrived, and EMTs LaVerne Dahl and James Manes applied a tourniquet to the first life-threat they could reach, which was Jim’s arm. “I saw him sitting there, and I didn’t even know if he was alive at that point,” says James. “He was pale white, and this big pipe was laying on him. I remember thinking to myself, ‘I don’t see how this is going to end in a good way.’” The crew loosened the cross-brace behind Jim to slide him out, and James and LaVerne applied a tourniquet to his leg as well. He was rushed to Thayer County Health Services, where he was met by an air ambulance and taken to Bryan Trauma Center. “When he arrived, his left lower leg and left lower arm were hanging by the skin,” says Stanley Okosun, MD, Bryan Trauma Center medical director. Jim’s wife, Amy, didn’t know how serious his injuries were when she arrived at the hospital. While she was waiting with Jim’s boss and a chaplain, orthopedic surgeon David Samani, MD, came to discuss Jim’s condition.
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TRAUMA “He looked at me and said, ‘I may need your permission to amputate,’” Amy recalls. “That’s when it hit me like a ton of bricks.” She@spent@that@first@night@praying@and@ asking@questions,@and@the@staff@explained@ what they were doing to help Jim. “I didn’t feel alone, and I didn’t feel hopeless,” Amy says. “They cared about him getting better. As time went on and more doctors and nurses came in, it became a pattern with everybody. Everybody wanted to be there, and they wanted to see him get better.” Because of the severity of his injuries, Jim’s left arm and left leg had to be amputated. Knowing that Jim would face the challenges of recovery with two amputated extremities, his team worked hard to save his right foot, which had been crushed. “He had over 30 fractures present in his foot. With this type of injury, the rate of limb loss on that extremity is probably greater than 85 percent,” says orthopedic
surgeon Keith Hughes, MD. “The goal was to save that functionality so he could walk again. It’s really, really hard to walk with one amputation. It’s nearly impossible with it on both sides.” It was a process. Because of the injuries, Jim lost the skin on the top of his right foot, along with his tendons and a metatarsal bone. To stimulate new tissue growth@to@fill@the@area,@Jim@received@a@ combination of vacuum-assisted wound closure therapy and hyperbaric oxygen therapy. In order for Jim to be able to walk, his right foot had to heal enough so that he could begin putting weight on it. “Throughout this time, my whole nursing team — every one of them — was awesome,” says Jim. “If I needed something or had a question, they’d take care of it.” Finally, in January, Jim was able to practice walking with a prosthetic leg. “I was ecstatic,” he says. “My goal has always been to be up and walking around.” At@first,@Jim@could@only@stand@for@a@few@
minutes at a time, but he’s made progress since then. “Now if we go do our grocery shopping, I can make the whole trip through the store,” he says. Since the accident, Jim and Amy are now focusing more on making memories with their three children. They’re planning family vacations to Utah and Colorado, and they appreciate the time they’ve been given. “Jim wouldn’t be where he is today without everyone who cared for him — the nurses, the doctors, the EMTs — and everybody in between,” says Amy. “If we didn’t have the people in place that he had, that God put in our path to save him that day, he wouldn’t be here.” n To see Jim’s inspiring story on video, go to bryanhealth.org/trauma-champions. To learn how you can support the work of Bryan Health, please call 402-481-8605. VIDEO
During the Sept. 12 Tribute to Trauma Champions, Jim Earnhart’s family (front row) poses with those who helped care for him.
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I N PAT I E N T R E H A B I L I TAT I O N S E R V I C E S
Celebrating 25 years of progress
B
ryan’s acute inpatient rehabilitation unit is celebrating its 25th anniversary. Since it began, the unit has helped nearly 10,000 patients through the recovery process. In 1994, Lincoln General Hospital contracted @ RehabCare to open a 10-bed unit on what is now Bryan West Campus. The rehab unit grew, expanding to 30 beds in 2008. When the contract with the outside management company expired in 2011, Bryan created rehabilitation services, with Linda Stones, RN, as director. Christie Bartelt, RN, who started as an orthopedic nurse 30 years ago, became the unit manager. She’s worked on the unit since it opened@and@says@it’s@evolved@significantly. “When I started, speech therapists used cold therapy for stroke patients who had lost their ability to swallow,” she says. Without the ability to swallow, Christie notes patients are at higher risk for pneumonia, and they lose the ability to eat and drink normally. In the In July of 2017, Doug Rehbein broke his foot, and when he began feeling short of breath two weeks later, his doctor ordered a scan. “I ended up passing out in the parking lot, just as I was going in for the scan,” he says. Doug learned he had massive clots on his lungs, and he had suffered a stroke. He was 39. After 41 days of rehab with physical therapist Dorothy Brokering and occupational therapist Carrie Reed, he regained movement on his left side. “I give them all the credit in the world. I really wanted to be able to walk out of Bryan — that was my ultimate goal,” Doug says. “When I left, I could walk with a cane. That was huge.” He’s working hard now to keep up with 5- and 9-year-old daughters.
Betsy Perez, a nurse educator from Lincoln, says when she suffered a stroke earlier this year, her first symptoms weren’t obvious. “It was just a vague, weird feeling. It was like my hand and my arm did its own thing,” she recalls. Her mother and daughter took her to the hospital, and she learned that she had suffered several occipital strokes. It affected her vision, balance, memory and thought process. Betsy says speech therapist Dan Kasparek played a big role in her recovery. In August, she accomplished her goal of going back to work full time. “Bryan is amazing,” she says. “Without everyone there, I don’t know if I could have survived this.”
early days, therapists would place a laryngeal dental mirror in a cup of ice water, and then touch it to the back of the patient’s pharynx to try to stimulate muscle movement. Therapists might still use forms of thermal tactile stimulation, but they have other options available. “Now they can give an electronic stimulation directly to the muscle to get it to act and do what it’s supposed to do,” she says. “For a lot of patients at risk of pneumonia, that can be life or death.” Tracy Loveless, PT, therapy manager for acute inpatient therapy, says the rehab unit has several devices that rely on electrical stimulation to help patients. Prior to these devices, therapists could try to time sending pulses manually to a muscle group, but coordinating it@with@a@task,@like@walking,@was@difficult.@Now@devices@have@built-in@ sensors to stimulate the right muscle groups at the appropriate time. The LiteGait, a harness system that supports the patient’s body weight, has also improved recovery times. “Instead of us walking along an 80-foot hallway, they can go 20 minutes at a time and get a lot more steps in,” Tracy says. “It allows Bryan Memorial Hospital and Lincoln General Hospital merge to become BryanLGH Medical Center
First annual RehabCare alumni reunion
OUR HISTORY OF
GETTING PEOPLE
BACK HOME Bryan Acute Inpatient Rehabilitation allows patients to continue their care where it started. Take a look at a few moments from the last 25 years.
1994
1995
RehabCare offers inpatient acute rehab at Lincoln General
1996
1997
First CARF accreditation
2003
Moves to new space on the third floor at Bryan West Campus
2005
Moves to Bryan East Campus during remodel at Bryan West Campus, increased to a 20-bed unit
2007
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I N PAT I E N T R E H A B I L I TAT I O N S E R V I C E S them to get the repetition they need, and they can initiate more movement on their own.” All of these advances mean better recoveries for patients, who can go home sooner. Earlier, it wasn’t unusual for patients to stay several months following a stroke; today’s patients average only 14 days. Christie@says@recovery@also@is@dramatically@different@for@heart@ patients since the newest versions of left ventricular assist devices (LVADs) were introduced in 2006. “The earlier pumps were large enough you could actually see their outline through the chest wall and hear it when you walked in the room,” Christie says. Today’s LVADs are smaller and more sophisticated. Throughout all this change, the rehab unit remains dedicated to helping patients achieve the best recoveries possible. Since 1996, the program has maintained its accreditation with the international Commission on Accreditation for Rehabilitation Facilities. For the last 20 years, the unit has hosted an annual reunion and invites former patients to reconnect with their team. Christie says, “It’s very@encouraging@to@the@staff@because@they@get@to@hear@how@patients@ have resumed their lives and gotten back into the things that were important to them.” n
Natalie Kurtenbach was going to work on the morning of July 20, 2015, when a vehicle going 100 mph rammed her car. The impact knocked her out of her vehicle, and she landed 212 feet away. After several weeks in the Intensive Care Unit, she began therapy with Bryan’s rehab unit. At first, Natalie could barely lift her head. After three weeks, therapists Stacy Thoene, Tracy Loveless and Samantha Penas helped her achieve recovery goals, such as being able to shower. That fall, she returned to nursing school to complete her senior year. Now she’s a trauma nurse at Bryan. “I always 100 percent recommend Bryan for rehab,” she says. “I couldn’t have come out with a better outcome, and I’m grateful for where I’m at today.” Bryan Health became sole manager of the rehabilitation unit and the name changed to Bryan Acute Inpatient Rehabilitation
007
2010
Increased to a 30-bed unit
2016
2017
Folded origami paper cranes to represent the 36,000 Nebraskans with disabilities due to brain injuries.
Solar eclipse watch party
2019
Celebrating 25 years providing rehabilitation to members of our community
In December 2017, Dick Kluver was scheduled to have surgery in Iowa to repair a brain aneurysm. He had already had one stroke and gone through rehab, but the attempt to repair the aneurysm resulted in multiple strokes, including damage to his brain stem. “My hand was paralyzed, I had double vision, I had trouble swallowing and speaking, and I lost use of my left leg and left arm,” he recalls. Dick spent a month in Bryan’s inpatient rehab and was able to get back to one of his favorite hobbies — singing. “The program was really good, and the staff made you feel like family,” he says. Now Dick works out three times a week to improve his strength and balance, and he attends Bryan’s stroke support group. He and his wife are excited to celebrate their 50th anniversary this year.
In 2018, Walt Ducker was desperate when he went to Lincoln Pulmonary & Critical Care and asked if they took walk-in patients. Walt had already been to several doctors in Lincoln, but none of them could determine why he was short of breath. As he spoke with the receptionist, Sean Barry, MD, happened to overhear him and immediately brought him back to an exam room. Dr. Barry determined that Walt had suffered a heart attack and admitted him to Bryan Heart. “I credit him with saving my life,” Walt says. “I think I had one foot in the ground, and they pulled me out of it.” After Walt had surgery to implant a left ventricular assist device in April, he went to Bryan’s rehab unit. At first he could hardly walk up one step, but after three weeks with Dorothy Brokering and Carrie Reed in rehab, he could climb a flight of stairs. Now he’s back on his acreage south of Lincoln, where he enjoys helping his neighbor with projects. “They do an excellent job of getting you going again, and I really enjoyed being there,” Walt says. “I appreciate what they did for me.”
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BRYAN COLLEGE OF HEALTH SCIENCES
Donors meet Bryan students
The annual Donor Recognition Luncheon allows Bryan students to meet those who fund their scholarships, such as Helen Weber (in photo at left) with student Brittany Robinson and Doug and Lois Wilson with student Caitlin Edzards.
Carl Ander poses with student Jace Schliep. Bridgette Ebben and Dennis Butler of Lincoln Association of Health Underwriters are with Lauren Sherman.
Student Kaylee Voss is with Jack Caselden and Burdette Lukert, and student McKenna Volquardsen (center) poses with Elaine and Dr. David Dyke. 32 Fall 2019@
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BRYAN ALUMNI NEWS
Classmates reunite for Alumni Days Graduates of Bryan College of Health Sciences programs from throughout the years gathered during Alumni Days June 7-8 to reconnect with former classmates and learn what’s happening at the college today. The alumni also visited historic areas related to their school years. The Classes of 1969 from Lincoln General Hospital School of Nursing (left) and Bryan Memorial Hospital School of Nursing (below) were honored during the festivities.
The Alumni Association recognized Susan (McConnell) VonBergen (Bryan Class of ‘92) with a Clinical Excellence Award, Marlene (Friesen) Engel (LGH Class of ‘59) with the Volunteerism Award and Patricia (Staehr) Meierhenry (LGH Class of ‘59) with a Clinical Excellence Award. Bryan Journeys 33
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ACHIEVEMENTS
Dr. Stanley Okosun is ACS State Chair.
Eric Mooss is among Lincoln YPG honorees.
Brenda Mueller, Jerome Barry, Pam Anderson, Kimberley Mundil and Jackie Beau show off the Blue Distinction certificate.
Dr. Okosun leads committee
YPG recognizes Mooss
Bryan Independence Center achieves Blue Distinction status
Trauma surgeon Stanley Okosun, MD, FACS, is the new American College of Surgeons (ACS) Committee on Trauma State Chair. His election was confirmed@in@October@during@the@ national Committee on Trauma meeting in San Francisco. Earlier this fall Dr. Okosun was elected Trauma Advisory Board chair for Nebraska. He has been a trauma surgeon with Bryan Trauma since 2009 and is the director of trauma at Bryan Medical Center. Dr. Okosun also serves as medical director for Region 2 of Nebraska’s Statewide Trauma System. n
The Lincoln Young Professionals Group (YPG) recognized Eric Mooss, FACHE, CMPE, with a 4 Under 40 Award this fall. Mooss is president of the Bryan Physician Network and vice president of operations for Bryan Medical Center. Lincoln YPG serves as a hub to engage young professionals. In his acknowledgement of the award, Mooss notes he loves Lincoln for the diversity of its economy, its excellent public school system and for its welcoming, friendly, humble, hardworking and generous people. Before@joining@Bryan’s@staff@ five@years@ago,@Mooss@served@ in leadership roles in major health systems in Colorado and Omaha. n
Bryan Independence Center@is@among@the@first@ to be designated as a Blue Distinction Center for Substance Use Treatment and Recovery by Blue Cross and Blue Shield. “I am extremely proud of this@great@staff@of@dedicated@ caregivers,” says Jerome Barry, director of the Independence Center, Bryan LifePointe and pastoral care. “They exemplify ‘One Team, One Purpose’ as they work together to meet the needs of each and every client we serve.” This@is@the@first@year@Blue@ Cross and Blue Shield awarded Blue Distinction status in this area. Bryan Independence Center is one of three programs in
Nebraska to receive the threeyear@certification,@and@there@ are only 107 Blue Distinction Centers for Substance Use Treatment and Recovery across the United States. To be considered, applicants must meet quality and value criteria, business criteria and local Blue Plan criteria. Being designated as a Blue Distinction Center acknowledges providers’ expertise and their commitment to improving quality and affordability. In recent years, Bryan Medical Center also received Blue Distinction Center designation for quality in spine surgery, knee and hip replacement surgeries, cardiac care and maternity care. n
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ACHIEVEMENTS
Ali Hooker of Merrick Medical Center.
Rose Kleineweber of Crete Area Medical Center.
Kevin Sponsel of Bryan Medical Center.
Jeff Nienhueser earned Junior Achievement recognition.
Bryan Health’s Hooker, Kleineweber and Sponsel receive NHA Caring Kind Awards for 2019
JA salutes Nienhueser
They’re the Caring Kind! The Nebraska Hospital Association (NHA) recognized Alexis “Ali” Hooker, Rose Kleineweber and Kevin Sponsel, RPh, with Caring Kind Awards at this year’s NHA Conference in LaVista. Certified@Medical@Assistant@ Ali was recently promoted to patient access manager for Central City Medical Clinic, Fullerton Medical Clinic and Merrick Medical Center. Her nomination says, “Ali exemplifies@caring,@compassion,@ teamwork and service excellence so@effortlessly!@She@is@very@ genuine in her interactions and goes the extra mile to brighten the day of patients and coworkers. “She is an amazing role
Marketing specialist Jeff Nienhueser of Bryan Advancement was one of eight individuals inducted this summer into Junior Achievement of Lincoln’s Gold Apple Society. This recognition indicates Jeff@has@impacted@at@least@500@ students and taught at least 20 JA classrooms since 2011. He’s been involved with Lincoln Junior Achievement for more@than@five@years@and@also@ was a member of the JA Young Professionals Board. JA helps students see the connection between education and future careers. Community volunteers are provided training and materials to present in the classroom, while sharing their own real-life experiences. n
model for all of our Core Values and is a true asset to Merrick Medical Center.” Rose is a receptionist at Crete Area Medical Center. Her nomination notes, “Rose is the friendly voice on the phone directing people to the annex, clinic appointments or to specialty providers. She is always willing to help with projects she can do from her desk even if it is not her area. Her ‘can do’ attitude is appreciated.” Kevin is a pharmacy specialist at Bryan Medical Center. “He lives Bryan Health’s Core Values every day,” according to his nomination. “One example of this is his willingness to take calls at home for unusual microbiology results
and then to spend time making sure that the patient receives the correct antibiotics and appropriate care. “His One Team, One Purpose mentality ensures the protection of other patients by his ability to institute isolation precautions as soon@as@a@microbe@is@identified. “Kevin also Cares Like Crazy. For instance, he was on his way home after work and noticed a non-English speaking family in the parking lot. He brought them inside to the help desk to@find@the@location@of@their@ appointment, waited with them and then happily accompanied them to the Specialty Clinic. “He was very cheerful and enjoyed the opportunity to do extra work, even after work!” n
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PUBLIC NOTICE
Discrimination is against the law
B
ryan Medical Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Bryan Medical Center does not exclude people or treat them@differently@because@of@race,@color,@national@origin,@age,@disability,@or@sex.
If you have questions about the law, please contact our Patient Experience Officer.@You@can@either@call@at@402-481-0139,@write@to@Bryan@Medical@Center,@ Attn:@Patient@Experience@Officer,@1600@South@48th@Street,@Lincoln,@NE@68506@or@ email patientexperience@bryanhealth.org. Bryan Medical Center Provides free aids and services to people with disabilities to communicate effectively@with@us,@such@as: • Qualified@sign@language@interpreters •@ Written information in large print, audio, accessible electronic formats @ or other formats Provides free language services to people whose primary language is not English, such as: • Qualified@interpreters •@ Information written in other languages If you need these interpreter services, contact our Administrative Managers 24/7: 800-742-7844. You may also email a request for interpreter services: communicationassist@bryanhealth.org If you believe Bryan Medical Center has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability,@or@sex,@you@can@file@a@grievance@with: Patient Family Relations Representative 1600 S. 48th Street, Lincoln, NE 68506 Phone 402-481-5761 - TTY 800-833-7352 - Fax 402-481-8306 patientexperience@bryanhealth.org You@can@file@a@grievance@in@person@or@by@mail,@fax,@or@email.@If@you@need@help@ filing@a@grievance,@the@Patient@Family@Relations@Representative@is@available@to@ help you. Please see the contact information above. You@can@also@file@a@civil@rights@complaint@with@the@U.S.@Department@of@Health@ and@Human@Services,@Office@for@Civil@Rights,@electronically@through@the@Office@ for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/ portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019 - TTY 800-537-7697 Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.
ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-800-742-7844; TTY: 1-800-833-7352. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-742-7844; TTY: 1-800-833-7352. CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-800-742-7844; TTY: 1-800-833-7352. 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-800-742-7844; (TTY: 1-800-833-7352）。 م لحوظة: اذك ر ت تحدث ك نت إذا،ل ك ت تواف ر ال ل غوي ة ال م ساعدة خدمات ف إن ال ل غة ب ال مجان. ب رق م ات صلFa1-800-742-7844 (وال ب كم ال صم هات ف رق م: 1-800-833-7352).
1-800-742-7844 (TTY: 1-800-833-7352). ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-800-742-7844; (ATS: 1-800-833-7352). XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-800-742-7844; (TTY 1-800-833-7352). ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-800-742-7844; TTY: 1-800-833-7352. 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-800-742-7844; (TTY: 1-800-833-7352) 번으로 전화해 주십시오. ध्यान दिनह ु ोस ्: तपार्इंले नेपाली बोल्नह ु ु न्छ भने तपार्इंको ननम्तत भाषा सहायता सेवाहरू ननिःशल् ु ोस ् 1-800-742-7844; ु क रूपमा उपलब्ध छ । फोन गनह
(दिदिवार्इ: 1-800-833-7352) ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-800-742-7844 (телетайп: 1-800-833-7352). ໂປດຊາບ: ຖ້າວ່າທ່ານເວົ້າພາສາລາວ,ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-800-742-7844 (TTY: 1-800-833-7352). ئ اگ اداری: قە سە ک وردی زمان ی ب ە ئەگە ر،ي ارمەت ی خزمەت گوزاريەک ان ی دەکەي ت ، زمان،بەردە س تە ت ۆ ب ۆ بەخ ۆڕاي ی. ب ە پەي وەن دی1- 800-742-7844 (TTY (1-800-833-7352 ب کە. ت وجە: می گ ف ت گو ف ار سی زب ان ب ە اگ ر،راي گان ب صورت زب ان ی ت سه یالت ک ن ید ب ا شد می ف راهم شما ب رای. ب ا1-800-742-7844 (TTY: 1-800-833-7352) ت ماس ب گ یري د. 注意事項：日本語を話される場合、無料の言語支援をご利用いただけます 1-800-742-7844; (TTY: 1-800-833-7352) まで、お電話にてご連絡ください
36 Fall 2019
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COMMUNITY CALENDAR
VERTIGO: WHAT IS IT AND HOW DO YOU TREAT IT?
2020 Bryan Health
With Laura Corbridge, Bryan physical therapist
Do you feel like you’re spinning or the world around you is spinning? Feel dizzy or off balance? It may be vertigo, and there are effective treatments.
Learn more at: bryanhealth.org/podcasts
Indoor Triathlon
Saturday, January 25 First wave begins at 6:30 a.m.
The total triathlon event will be 75 minutes: • 10-minute swim in lap pool • 20-minute run on treadmill • 30-minute bike on spin bike
• 5-minute transition • 10-minute transition
Cost: $25 individual, $75 team Where: Bryan LifePointe Campus, 7501 S. 27th St.
Register at: bryanhealth.org/triathlon
LifePointe Spa & Fitness Holiday Specials SPA SPECIALS Eminence Pedicure
The Emerald Facial
Enjoy a relaxing pedicure which includes Eminence Stone Crop revitalizing body scrub, restorative body wrap, body oil and contouring cream. Complete with leg and foot massage, hot towel wrap and your choice of polish. $50
Repair summer sun damage and promote the ultimate glow in your skin. $110
Eminence Manicure Enjoy a relaxing manicure which includes Eminence Stone Crop revitalizing body scrub, restorative body wrap and body oil. Complete with hand and arm massage, hot towel wrap and your choice of polish. $50
Facial Cupping Diminish the appearance of fine lines and wrinkles by increasing circulation, toning and lifting the skin while reducing puffiness and relieving tired eyes. $50
Back Facial Enjoy hot stones, a relaxing massage, customized cleansing, exfoliating and moisturizing to meet your needs. Includes a free hot oil scalp massage. $95
The Ruby Facial This anti-aging facial promotes collagen induction and infuses the skin with hyaluronic acid for maximum hydration. $110
The Spa Bryan LifePointe
FITNESS SPECIALS
The Sapphire Facial
Whole Body Cryotherapy
Detoxify and protect your skin from future damage while collagen production helps plump and firm the skin for a more radiant appearance. Suitable for all skin types except sensitive skin. $110
Decrease muscle soreness and inflammation, improve performance and accelerate metabolism with Cryotherapy! Five treatments for $150
60-Minute Massage
12 Days of Fitness
Package of 3 for $175
12 day passes to Bryan LifePointe for you to enjoy fitness classes, cardio and strength equipment, warm water and lap pools, dry saunas, whirlpools and more. Use your passes at any time – they won’t expire! Some restrictions apply. $72
90-Minute Massage Package of 3 for $240 Choose a customized Swedish or Deep Tissue massage to promote relaxation and stress relief, improve circulation and promote a feeling of overall health and well-being.
Vitalize Facial Peel This peel will smooth the appearance of fine lines, wrinkles and roughness leaving vibrant and radiant looking skin with minimal downtime. Also, it’s a great painless way to remove “peach fuzz.” Purchase 3 peels for $450, and receive a free Dermaplane.
90-Day Accelerated Fitness Program This personalized program gives you the motivation and accountability you need to change your life and reach your health and fitness goals! Includes personal training and consultations with a registered dietitian. Some restrictions apply. Fitness membership is not included with program. $190
Purchase In-Store or Online November 1-December 31 7501 S. 27th St. • 402-481-6321 bryanlifepointe.com/holiday-specials
Bryan Journeys 37
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Nonprofit Org. U.S. Postage PAID Permit No. 267 Lincoln, NE 1600 S. 48th St., Lincoln, NE 68506
Address service requested
Riders love this service, more drivers welcome Volunteer driver Bill Synhorst provides plenty of smiles per mile in the Customer Care Car. He transports guests to and from their parked vehicles on Bryan West Campus. Our visitors appreciate this service — and @ volunteers, like Bill, need your help! To learn how you can become a volunteer driver, please contact Bryan Volunteers & Customer Care at 402-481-3032.
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