Journeys | Spring 2015

SPRING 2015

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

On the road again

JOURNEYS SPRING 2015

01 FROM OUR PRESIDENT 02 BRYAN HEART

Heart procedure has car buff savoring new adventures 06 ORTHOPEDICS

After knee replacement surgery, he’s a road warrior again 09

10

BRYAN FOUNDATION Join us for our Big Event!

Dr. Cody supports future with planned gift THE BRYAN EXPERIENCE Surgery provides new slice of life

13 NEW AT BRYAN

Erasing migraines: SphenoCath proves highly successful for treating

severe headaches and facial pain 16 MEDICAL STAFF SPOTLIGHT

Ask the doctor: What can I do about my allergies?

Video tributes retell Champions’ stories During our annual Tribute to Trauma Champions, presented by Union Bank and Trust, we recognized trauma survivors Nicholas Boruch of Osceola and Taylor Graham of Lincoln and hundreds of professionals throughout the statewide trauma system who were involved in saving their and others’ lives. This year’s event was April 22 at the Embassy Suites. n

18 MEDICAL STAFF UPDATE

New faces at Bryan 20

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NEW AT BRYAN Patient portal provides quick access to results — and peace of mind BRYAN LIFEPOINTE Triathletes enjoy indoor competition

VIDEO

Go to bryanhealth.com/ 2015-trauma-champions to hear their inspirational stories.

23 NEW AT BRYAN

New meals enhance our patients’ experience 24 CRETE AREA MEDICAL CENTER

After traumatic event, Stutzmans appreciate medical family 26 VOLUNTEERS & CUSTOMER CARE

Family of volunteers gives thanks by giving back 28

BRYAN COLLEGE OF HEALTH SCIENCES What a difference a year makes Students spread cheer to young patients Alumni Weekend nears

31 ACHIEVEMENTS 32 BRYAN STERLING CONNECTION

Nicholas Boruch

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 greatness. This free publication is mailed quarterly to our employees, physicians, volunteers and the communities we serve.

ON THE COVER Dave Hart is enjoying life after undergoing a cryoablation procedure at Bryan.

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 the Bryan Foundation at 402-481-8605, or write to us at:

Bryan Foundation 1600 S. 48th St. Lincoln, NE 68506

Taylor Graham

Kimberly Russel President & CEO, Bryan Health John Woodrich President & COO, Bryan Medical Center Gary “Gus” Hustad, MD Chief of Staff, Bryan Medical Staff Bob Ravenscroft Vice President of Advancement & CDO Edgar Bumanis Director of Public Relations Paul Hadley Editor

FROM OUR PRESIDENT

“ Synergy is what happens when one plus one equals 10 or a hundred or even a thousand!

It’s the profound result when two or more respectful human beings determine to go beyond their preconceived ideas to meet a great challenge.”

L

Educator Stephen Covey, author of The Seven Habits of Highly Effective People

incoln is a magnet for great talent. This is especially true in our health care community. Gifted, highly trained physicians are choosing to live and practice in Lincoln. In turn, the best and brightest nurses want to work at Bryan with these specialists. These physicians, and our clinicians, achieve advanced certifications and additional degrees. They, in turn, then attract more professionals who want to work where life-long learning matters.

The resulting synergy is providing this region access to expertise otherwise found only at the country’s most prominent medical facilities.

As Lincoln’s largest private employer, Bryan has always made a point to hire staff with a relentless desire to improve. I’m proud that in the last year, we’ve attracted even more top talent because of new incentives, such as our Professional Development Program, enhanced education benefits and new advanced degree programs at the Bryan College of Health Sciences.

Speaking of synergy, our community is creating positive momentum by reinvesting in our caregivers. Today, more donors are choosing to support Bryan Health because they want to be part of something truly awesome — enhancing today’s care and educating and nurturing tomorrow’s care. We thank our donors for investing in an even better future.

Greatness attracts greatness. The result is profound and this community is stronger for it. From the most trusted and familiar, to new models for delivery and access to care, we’re here to meet your family’s health care needs.

Bryan Health. Forward. Together.

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

Here are just a few of the 108 RNs Bryan Health recognized at a March 17 breakfast in honor of Certified Nurses Day. Bryan Journeys 1

BRYAN HEART

Thanks to Bryan’s team, Dave Hart is enjoying drives in his classic Porsche instead of fretting about irregular heartbeats.

2 Spring 2015

BRYAN HEART

Heart procedure has car buff

Savoring new adventures

D

ave Hart felt so good he jumped in his vintage Porsche, grabbed some teriyaki beef jerky, cued classic ‘60s and ‘70s tunes on the car’s stereo and headed to Estes Park, Colorado, to celebrate his new found independence. Only three weeks after having balloon cryoablation at Bryan Medical Center, he and his restored 1969 Porsche 912 made the 1,000-mile road trip from rural Doniphan to the 12,000-foot elevation of Rocky Mountain National Park’s Trail Ridge Road — the longest, highest road in the continental United States.

That solo trip was exhilarating — and came with the added benefit of convincing Dave that the condition that had been holding him back, atrial fibrillation, was now history.

Choosing the right path “Having balloon cryoablation to treat my atrial fibrillation was a great decision,” Dave says. “I immediately felt better after the procedure and still feel great.”

According to the American Heart Association, atrial fibrillation (also called AFib or AF) is a quivering or irregular heartbeat that can lead to blood clots, stroke, heart failure and other heartrelated complications. Symptoms can include heart palpitations, shortness of breath, weakness and fatigue. One of several types of heart rhythm problems, atrial fibrillation is one of the most difficult to treat.

Dave describes atrial fibrillation as “an odd feeling.”

“It’s not like I was in pain,” he says. “But the irregular heartbeat was exhausting and also a constant reminder that something was not right. It affected not only my energy, but also my emotions and my psyche.”

Last May, Dave was feeling fine as he acted as general contractor for an addition on his home while still managing his business that installs hardwood floors for houses and basketball courts. One afternoon, after his pulse became erratic and his blood pressure spiked, Dave ended up in the emergency room at Mary Lanning Healthcare in Hastings; he left with a

Pradipta Chaudhuri, MD

recommendation from his primary care physician, Justin Wenburg, MD: See a cardiologist soon.

Dave made an appointment with Bryan Heart Mary Lanning Cardiology’s Pradipta Chaudhuri, MD, who practices in Hastings and offices in the Medical Services Building adjacent to Mary Lanning Healthcare.

“I was familiar with Dr. Chaudhuri,” Dave says. “By coincidence, I had laid a new cherry floor in his home.”

Road map to better health Following Dr. Chaudhuri’s diagnosis of atrial fibrillation, Dave underwent further testing with Bryan Heart cardiologists Matthew Johnson, MD, and Joseph Kummer, MD. After learning this condition would likely become more of a problem as he aged and would require staying on medication, Dave decided to investigate having an ablation procedure.

“I did not like the way I felt on the medication,” Dave

Dave was so excited about his improved health, he set off on an epic solo drive from rural Nebraska to travel the highest road in the continental U.S.

Bryan Journeys 3

BRYAN HEART

Dave’s heartbeat gets a tune-up

Electrocardiologist Andrew Merliss, MD, (left) chats with Dave Hart.

remembers. “My heart was beating regularly, but it pounded even when I was at rest and made me feel uncomfortable.

“Dr. Kummer referred me to Bryan Heart electrocardiologist Andrew Merliss, MD, who explained the procedure he felt would best handle my situation. Both my wife, Dee, and I immediately felt comfortable with Dr. Merliss and confident in his recommendation of a relatively new procedure, balloon cryoablation.”

Dr. Merliss, the first cardiologist in Nebraska to perform balloon

4 Spring 2015

cryoablation after the U.S. Food and Drug Administration approved it in late 2010, is pleased with its success rate for treating atrial fibrillation.

He describes balloon cryoablation as a minimally invasive procedure in which a thin, flexible catheter (tube), on whose tip is a deflated balloon, is threaded through the blood vessels to the left atrium of the heart. Using ultrasound and 3-D imaging, the catheter is guided to the pulmonary vein.

Once the catheter is in the mouth of

the pulmonary vein, the balloon is inflated with liquid nitrogen that freezes and scars the tissue so it may no longer spread the irregular electrical currents that cause atrial fibrillation.

Technological advances Dave was fortunate that Bryan Heart’s program is so sophisticated that few patients need to leave this area for appropriate procedures.

“We’re at technology’s forefront and have equipment and resources that rival

BRYAN HEART Illustration courtesy of Medtronic.

those of anywhere else in the country,” says Dr. Merliss. “Bryan’s support of cardiologists and the electrophysiology program allows us to offer the most advanced procedures right here.”

He explains that cryoablation has been around for some time as an energy source for freezing and has been used with radiofrequency ablation procedures where the tip is cold instead of hot. What makes balloon cryoablation special is its ability to treat the pulmonary vein in a circumferential manner without gaps in coverage. (Imagine touching and correcting all areas in a circle at one time rather than having to treat hundreds of individual problem spots, a drawback of other ablation methods.)

Advanced technology in the procedure room allows the team to determine immediately if the ablation has terminated the electrical activity.

For Dave, enjoying work, his family and more time on the open road are on the horizon.

During cryoablation, a catheter is guided to the pulmonary vein, and liquid nitrogen is introduced into the balloon to freeze tissue and prevent atrial fibrillation.

And in Dave’s case, it had.

“Dr. Merliss remarked, ‘I think we hit a home run!’ as he greeted us when we returned for Dave’s follow-up appointment,” Dee remembers. “In

addition to solving Dave’s problem, Dr. Merliss was so encouraging and patient with us throughout the process.”

Dave adds, “Everyone we encountered was very professional but also struck a good balance of being personal at the same time. Although I believed I had made the right decision, during the dark drive to the hospital the morning of my procedure, I was scared.

“Once I was there, the Bryan team helped to put me at ease.”

Life’s back in gear Dave, who values the time he spends with his wife, grown children and young grandchildren (and also enjoys a spin now and then in his restored sports car) was initially hesitant to believe his heart would continue to beat in perfect rhythm.

Seven months later, he is a true believer and is once again enjoying life while “operating on all cylinders.” n To learn how you can support the work of Bryan Heart, please call the Bryan Foundation at 402-481-8605.

Bryan Journeys 5

ORTHOPEDICS

After knee replacement surgery

He’s a road warrior again A knee replacement put Troy Stonacek back in the saddle of a busy lifestyle.

Cardinals was cut short, Troy remained active and stayed in excellent shape by regularly working out with weights and cardio training.

Still, his knee continued to cause him problems.

Troy had steroid injections periodically and took nonsteroidal anti-inflammatory drugs to control the pain until about 10 years ago, when he made an appointment with Lincoln Orthopædic Center surgeon Douglas Tewes, MD, who started him on HYALGAN injections. The injections, to lubricate the joint, helped control the pain and offered temporary relief, but ultimately they were not a cure for his condition.

Downhill slide, big decision

A

s he hurried through the Denver Airport to catch a flight back to Lincoln, Troy Stonacek realized that something was missing: pain. For the first time in years, his knee did not hurt.

Twelve weeks after having a total knee replacement at Bryan Medical Center, Troy, a pharmaceutical representative, was on his first road trip since returning to work the previous week. After years of dealing with a painful and less than stable right knee, he’d made the decision to have the surgery last November — and now asks himself why he waited so long.

Dreams of gridiron glory gone It was time. The knee had been a problem since he injured the medial collateral ligament (MCL) playing football at Pierce High School in northeastern Nebraska.

It had ruined his dream of walking on as a Husker, but after surgery that repaired his MCL, he went on to play nose guard at Kearney State College — and was named a National Association of Intercollegiate Athletics (NAIA) All-American in 1985.

Though a professional football career with the St. Louis

6 Spring 2015

His right knee gradually worsened until it was difficult to travel, work in the yard or participate in recreational activities.

“There was pain in the knee whether I was riding or walking,” Troy recalls. “Even when I would go for a ride on my Harley, it hurt to pull my knee back, and I would have to stop and get up and walk around as my knee became so stiff.”

As limitations and pain increased, he talked with Dr. Tewes about surgical options.

Total knee replacement involves the removal of damaged cartilage and bone, and reshaping the bony surfaces to fit an artificial (prosthetic) joint made of metal alloys, highgrade plastics and polymers. After cementing the prosthetic components into place and before closing the incision, the surgeon bends and rotates the knee to ensure it functions properly. The vast majority of patients experience dramatic pain relief and improved knee function after the surgery.

“Troy’s knee represents what happens to athletes and others who leave knee injuries,” Dr. Tewes explains. “When cartilage is damaged at a young age, it frequently continues to break down as we age and leads to arthritis. Knee replacement is an opportunity to improve the function of the knee again, hopefully lasting 20-30 years.”

Last November, Troy underwent a total knee replacement at Bryan Medical Center’s Joint Academy, an all-inclusive

One of Troy’s passions is hitting the road on his full-dress Harley-Davidson motorcycle.

Bryan Journeys 7

ORTHOPEDICS Portrait courtesy of Hally Sartori of Studio H Photography.

program that focuses on an individualized approach to total joint replacement.

“There was no doubt where I would go for the surgery as we have a strong connection with Bryan,” Troy says.

Strong Bryan ties His wife, Shari, is a registered nurse who worked at Bryan Medical Center for 17 years and stays in touch with her former colleagues. Five of their seven children ( Jasmin, Jaidin, Jedmin, Jaclin and Joycin) were born at Bryan ( Justin and Joslin were born in Kearney before the family moved to Lincoln), and Joslin received her nursing degree from Bryan College of Health Sciences in December.

Troy had been a patient at Bryan Medical Center 17 years ago but hadn’t been up on the floors for several years.

“I was really impressed. The staff was first class, and the rooms were attractive and comfortable. I will definitely go back

Troy and Shari Stonacek (center) and their seven children embrace active lifestyles.

to Bryan when I have my other knee replaced in a few years,” he says.

After the surgery, Troy was all in as he approached his rehabilitation. As a former football player and used to discomfort when healing from various injuries associated with sports, he took to heart the recommended therapy as he pushed to get his knee back in shape.

“When I took the Joint Academy’s pre-surgery education class, instructor Joan Zeleski Martin, Orthopedic surgeon Douglas Tewes, MD, assures Troy that a RN, emphasized new right knee will give him years of pain-free mobility. the importance of

8 Spring 2015

going into the surgery in good shape and working hard — and smart — to rehabilitate the knee after the surgery,” he says. “It paid off because my knee feels great.

“I trusted Dr. Tewes to perform the surgery and he certainly met my expectations. The new knee actually feels more solid than my other knee.”

Now, for the first time since college, Troy feels free to use his knee as it was meant to be — for playing golf, working in the yard, keeping up with his active family — and taking his Harley out on the open road, cranking up the music and riding for miles and miles and miles. n For questions about the Bryan Joint Academy, call 402-481-3636, or go to bryanhealth.org/JointAcademy.

To learn how you can support Bryan Health, please contact the Bryan Foundation at 402-481-8605.

BRYAN FOUNDATION

Join us for our Big Event!

In 1926, William Jennings Bryan and R.E. Moore recognized a need, and their sparks of generosity became the catalyst for two hospitals and two schools of nursing.

Their vision fostered a commitment to leading-edge health care with an ever present focus on patients.

Their impact spans generations.

Today, it cradles the one-pound baby in the neonatal intensive care unit and holds a patient’s hand before her biopsy. It embraces the heart attack survivor on his one-year anniversary and equips extraordinary physicians with advanced technology. It maintains an unrivaled commitment to behavioral health, educates future caregivers and does much more.

They chose action which resulted in unimaginable impact. Today, we also have a choice — to join them — spurring innovation and exemplary bedside care and meeting the health needs of the region for generations to come.

I invite you to join us as we celebrate this legacy during Bryan Health’s Big Event on May 30.

This special event will connect you with Bryan’s past, present and future in an evening filled with fun, discovery, entertainment and a Big Announcement.

For information or to purchase tickets, visit bryanhealth.cvent. com/2015bigevent, or contact the Bryan Foundation at 402-481-3139.

— Bob Ravenscroft, Vice President of Advancement and Chief Development Officer

William Jennings Bryan Society profile

Dr. Cody supports future with planned gift “I was born in Lincoln and lived here until I was 5,” says Carolyn Sue Cody, MD. “My Dad was in the Navy, stationed at the air base that is now the Nebraska National Guard. We were transferred to Massachusetts, then Minnesota and finally back to Nebraska. I went to North High School in Omaha, then to Macalester College in St. Paul, Minnesota, and I worked for 10 years before going to medical school.

“That was an important time: My experience in the working world helped me develop an understanding of how medical treatment has to fit a patient’s personal and family life,” she says.

While studying white blood cell function and working on a PhD in cell biology, she concluded that a career in the laboratory wasn’t for her.

“I found out I like working with people more than with test tubes,” Dr. Cody notes. “So, I went to medical school at the Milton S. Hershey Medical Center of Penn State. I moved from Philadelphia to Hershey, Pennsylvania — and yes, it does smell like chocolate!

“I had no idea that surgery would interest me, but from the first operation I attended, I knew that surgery was it! I completed a general surgery residency at the University of Minnesota and started my practice in Minneapolis,” she says. “From the beginning, I have been interested in breast cancer and breast surgery. I went into practice in 1994, a time when women were realizing that they had choices for treatment of breast cancer. Not all surgeons were open to those new choices, and many women preferred to talk to another woman about their surgery.

After moving back to Lincoln in 2001 to be closer to my aging parents, I continued my interest in providing women with information, an ear for

listening and help as they go through breast cancer treatment.”

Dr. Cody performs many kinds of general surgeries — “I remove gallbladders, fix hernias and take out appendices” — although breast surgery is a focus of her practice. For almost eight years, she was Bryan’s vice president for medical affairs.

“In that position, I developed quality and efficiency programs for Bryan and worked with the medical staff,” she notes. “The challenge enriched me as I learned a great deal about what it takes to run a large medical center and how to deal with the varied interests and personalities of a medical staff. I was a surgeon part-time until happily returning to full-time surgery for Bryan Physician Network last summer. ”When I’m not at the hospital or in my office, I’m reading humorous mysteries, doing needlepoint and cross-stitch or taking an art class. With four cats, I plan to become a Crazy Cat Lady in the future!” she jokes.

Dr. Cody says, “I chose Bryan Medical Center as my preferred practice location. It was clear to me that Bryan is unusual as a private, specialistoriented hospital in an unexpected location.

I’ve worked at Geisinger Medical Center in Pennsylvania and at the Mayo Clinic; all three share a desire to bring extraordinary care to patients in a hometown environment.

“I made a planned gift to the Bryan Foundation to help ensure that Bryan continues to move forward as an independent, local organization true to its mission of care, collaboration and compassion.” n

To find out how your gift can support Bryan Health, please call 402-481-8605.

Bryan Journeys 9

THE BRYAN EXPERIENCE

Surgery provides new slice of life

F

or much of her life, Jane Schillie had one simple wish — to bite into a slice of pizza.

But the Kansas State University faculty member and library curator was prevented from doing this for one reason: Her jaws did not align properly. Only her back teeth came together; her front teeth did not touch. The plainEnglish term for this condition is an open bite. The scientific name is apertognathia or anterior open bite.

Jane says the condition first came to the fore when she got braces at age 13. “They didn’t know a lot about it then. My orthodontist at the time tried to use a headgear to pull my teeth together.

But because of the open bite I had a lot of difficulty eating, chewing and swallowing. I couldn’t bite into anything properly. My whole goal was to be able to bite into a piece of pizza,” she says with a laugh.

Surgery success She finally got her wish last year, after Kevin Rieck, DDS, MD, FACS, of Nebraska Oral and Facial Surgery performed a successful — and complicated — operation, called orthognathic surgery, at Bryan Medical Center.

Dr. Rieck came to Lincoln in 2013 after a 13-year career teaching and practicing at the Mayo Clinic in Rochester, Minnesota. David Rallis, DDS, MD, convinced Dr. Rieck to join his practice in Lincoln. In fact, the two had met at Mayo, where Dr. Rieck was one of Dr. Rallis’ mentors.

“I’ve always had great respect for Dr. Rieck,” Dr. Rallis says. “I knew his surgical skills and knowledge would be an asset not only to our practice but to the Lincoln health care community.”

Dr. Rieck was an early adopter of a technology called Virtual Surgical Planning, which he has been using for about five years.

He has lectured on VSP for orthognathic surgery nationally and internationally on many occasions, and was invited to speak on this very topic this fall at the International Congress of Oral and Maxillofacial Surgery in Melbourne, Australia.

“We do a CT exam of the face and jaws, and develop a surgical plan using specialized 3-D computerized protocols,” he explains.

“Utilizing this technology, we can plan out the entire surgery virtually and then have patient-specific splints fabricated to be used in the surgery to help reposition the jaws to the desired position.”

Jane required 19 months of orthodontic work beforehand, to ensure that her teeth were aligned where they should be over the

10 Spring 2015

X-rays show bone screws and plates needed to improve Jane Schillie’s bite. stable bony base. Finally, she underwent surgery in 2014.

Several bone cuts “Jane’s upper jaw required bone cuts to divide it into halves so that the width deficiency could be corrected,” Dr. Rieck says. “These segments of the upper jaw were wired into the prefabricated surgical splint. Then the upper jaw was repositioned and secured once again with multiple titanium bone plates and screws. The surgical splint wired to her teeth was left in place for six weeks for added stability.

Historically, patients’ jaws had to be wired together for six to eight weeks after this procedure. Modern fixation techniques allow us to avoid this, and patients can open and close their jaws immediately after the procedure.”

This was not Jane’s first experience with the procedure, but she believes this surgery has been more successful. She had the surgery at Mayo while in her 20s, but experienced some gradual relapse due to changes in her lower jaw and teeth.

Jane says, “Over the years I started having so much difficulty again — eating, chewing food, talking— that I felt like I was going to choke when I ate. So, there was a lot of discomfort and anxiety about eating.”

THE BRYAN EXPERIENCE

Dr. Kevin Rieck and Jane are all smiles following successful orthognathic surgery at Bryan.

The 3-D image on the monitor in the background indicates placement of fixation hardware as predicted in Virtural Surgical Planning.

Bryan Journeys 11

THE BRYAN EXPERIENCE

Orthognathic surgery returns patient’s bite When Jane, now in her 50s, realized she would need to have a second surgery, she went back to Mayo, and that is where she met Dr. Rieck. She and her parents — her father is a retired physician — were impressed with him, not only with his knowledge, but with his demeanor.

Follows surgeon to Lincoln “We walked out of the appointment and said ‘That is the most professional doctor we have ever met.’ He was that impressive. I could not have done better than Dr. Rieck,” Jane says.

She wasn’t thrilled about going through the surgery again, but she wanted the situation corrected.

“When I learned Dr. Rieck had come to Lincoln, there was no question that I would follow him there,” she says.

In fact, patients from around the country continue to seek him out for specialized care. Oral and maxillofacial surgeons are experts in mouth, face and jaw surgery.

In addition to cases like Jane’s, Dr. Rieck and his colleagues evaluate, diagnose and treat a variety of conditions. These range from removing wisdom teeth to placing dental implants for single missing teeth or for complex rehabilitation. Frequently they must augment the jaws to improve the bony foundation for implant placement.

Other special procedures include pathology in the face and jaws, ranging from oral or skin lesions to large cysts or tumors. They also deal with surgical aspects associated with the TMJ, facial trauma and facial cosmetic surgical procedures. Dr. Rieck’s interests include complex implant reconstruction of the jaws, orthognathic surgery and facial cosmetic surgery.

Jane liked that Dr. Rieck spent a lot of time with her, answering all of her questions. She also appreciated the working relationship he had with her orthodontist in Kansas, Curtis Hayden, DDS. The two doctors worked in tandem to create a plan for Jane’s pre- and postsurgery care. She notes that upon seeing the results, Dr. Hayden stared at her for a very long time and remarked that he’d seen a lot of people who had this surgery and he’d never seen results like hers.

Jane also was very happy with her experience at Bryan Medical Center and the staff here.

“Bryan was a wonderful experience,” she says. “The postoperative instructions were very thorough, and all of the hospital staff were lovely. I stayed in the Women’s and Children’s Tower, and it was gorgeous.”

12 Spring 2015

Virtual Surgical Planning allows physicians to prepare for complicated procedures, such as Jane’s orthognathic surgery. The photos in the top row are of Jane’s jaw before surgery; the images at the bottom depict how the procedure restructured her bite.

She also appreciates how the staff kept her family informed every step of the way during the approximately five-hour operation.

Dramatic changes Today, her life has changed dramatically.

“For one thing, I can bite through a piece of pizza,” she says with a grin. “I actually texted Dr. Rieck a photo of the first slice of pizza I had after the surgery and said, ‘Check out this bite!’

“But seriously, Dr. Rieck is my hero. He’s modest, but without a doubt, he changed my life. I have confidence. I can eat without fear.”

Wish fulfilled. 

VIDEO

To see a video interview with Dr. Kevin Rieck and patient Jane Schillie about oral surgery and Virtual Surgical Planning, go to bryanhealth.org/oral-surgery.

To learn how you can support Bryan Health, please contact the Bryan Foundation at 402-481-8605.

NEW AT BRYAN

Erasing migraines SphenoCath proves highly successful for treating severe headaches and facial pain Since December 2014, nearly 100 Lincoln area residents have experienced relief from chronic pain and a greatly improved quality of life following their treatment at Bryan Health with SphenoCath — a simple, minimally invasive, painblocking procedure recently approved for migraine, cluster headache and trigeminal neuralgia. In the following article, interventional radiologists Kyle Pfeifer, MD, and Michael Budler, MD, describe this pain-relieving treatment, and three Bryan patients share how SphenoCath improved their lives.

“We’re seeing excellent results from SphenoCath,” says Dr. Budler. “It’s FDA-approved for treating children and adults, including pregnant women, and more than 90 percent of our patients experience substantial reduction or complete relief of pain during the treatment or within a few hours afterward.”

P

aul Beck, a patient of Dr. Budler’s, shares his story. “I’d had decades of constant headache pain due to a head injury I received as a victim of a foiled robbery attempt 25 years ago. My daily headaches were moderate in intensity, but easily became the worst pain I could imagine when I had migraines in addition,” says Paul. “Over the years I tried every new headache drug available — some of which reduced the pain but never could alleviate it.”

The Seward resident continues, “On the morning Dr. Budler performed the SphenoCath treatment, I was nervous, but he and his staff were very caring and explained everything, so it became easy to relax. And as we got halfway done with the treatment, I could feel it already working — my headache was going away!

“When Dr. Budler completed the procedure a few minutes

SphenoCath relieved Paul Beck of constant headaches he’s suffered from for more than 25 years. Now he’s able to more fully appreciate his role as director of the Seward Kiwanis Kitones men’s chorus.

Bryan Journeys 13

NEW AT BRYAN

SphenoCath frees patients from pain later, I was free of headache pain for the first time in 25 years.”

Paul smiles as he adds, “At that point, everybody in the room got very emotional and cried — it was just an unbelievable experience. SphenoCath is so quick and simple, and was completely effective for me. It’s been more than a month now, and I’ve had no headache pain at all. It’s changed my life much for the better.”

Dr. Budler explains how SphenoCath relieves migraine and cluster headache pain. “SphenoCath works by altering nerve impulses passing through the sphenopalatine (SP) ganglion, a collection of nerves at the back of the nasal cavity,” he says.

“During the procedure, the doctor applies an anesthetic spray to numb the lining of the nose, then uses a thin flexible plastic tube with a soft tip to apply local anesthetic medication to the tissue overlying the SP ganglion. The medication is absorbed though the tissue into the ganglion, where it blocks painful nerve impulses and ‘resets’ the action of the nerves, promoting Freedom from headaches allows Sara Swanson to enjoy everyday family activities, such as teaching her son, Fenway, how to read.

long-term relief of migraine and cluster headache pain. Because nerves involved in trigeminal neuralgia (a severe type of facial pain) are located very near the SP ganglion, SphenoCath treatment can reduce or eliminate trigeminal neuralgia pain as well.”

“The duration of pain relief following SphenoCath varies,” adds Dr. Pfeifer. “We’re seeing many patients with one to three months of pain relief after their first procedure. The average patient requires three to four treatments a year for continued pain relief, although patients with frequent headache or trigeminal neuralgia pain sometimes require more treatments.”

S Interventional radiologists Michael Budler, MD, (left) and Kyle Pfeifer, MD, are changing patients’ lives with the SphenoCath procedure.

14 Spring 2015

ara Swanson of Lincoln experienced months of relief from chronic migraines after undergoing SphenoCath.

“I had two to three migraines a week for many years despite taking preventive medications,” she says. “I went to work when I had migraines, but was often out of commission at home. I couldn’t play with my 3-year-old son, and cooking was impossible because food odors made my headaches worse.”

Since her SphenoCath treatment, Sara has for the first time since her teenage years lived a life free of migraine pain. “My

NEW AT BRYAN son, Fenway, has his Mommy back,” she says, “and I have so much more time now for my family.”

F

loyd Colón of Lincoln experienced similar positive results after receiving SphenoCath treatment for excruciating facial pain caused by trigeminal neuralgia.

“I had intense facial pain before Dr. Budler began the procedure, but when he completed it 10 minutes later, the pain in my face was entirely gone,” says Floyd. “It’s been more than a month now, and I’ve had no pain at all.”

Floyd, a former semi-pro baseball player, is back to coaching a 14-and-under boys team, and he sleeps much better because he’s no longer awakened by pain during the night. “For anyone dealing with trigeminal neuralgia,” he adds, “I would say, really consider SphenoCath — it was a life changer for me.”

“SphenoCath has considerably fewer and less severe side effects than many oral medications used to treat and prevent migraines,” notes Dr. Pfeifer. “Its potential side effects include temporary dizziness, mild nausea and rebound headache, and the local anesthetic we use during the procedure temporarily

leaves a bitter taste in the mouth.” Dr. Budler adds, “This treatment is a striking improvement over similar procedures of the past, in which long needles or cotton-tipped swabs were used to apply local anesthetic to the SP ganglion. These older treatments were uncomfortable for patients, and often required sedation. In contrast, SphenoCath takes just 5-10 minutes and is performed without needles, narcotics or sedation. So, it’s not only highly effective for treating headache and facial pain, it’s convenient, comfortable and much safer for patients.” n Michael Budler, MD, Kyle Pfeifer, MD, and colleagues Jeffrey Himmelberg, MD, and John Allen, MD, of Advanced Radiology provide SphenoCath in Lincoln, Omaha, York, Grand Island and Kearney. For more information, contact the radiology department at Bryan Medical Center by calling 402-481-3095.

To schedule a consultation, call 402-481-5121.

To see a video about SphenoCath, go to bryanhealth.org/migraine-treatment.

VIDEO To learn how your gift can support Bryan Health, contact the Bryan Foundation at 402-481-8605.

Coach Floyd Colón is back in the swing of the baseball season after SphenoCath relieved his facial pain.

Bryan Journeys 15

MEDICAL STAFF SPOTLIGHT

Ask the doctor: What can I do about my allergies?

From treating food allergies and asthma to helping patients with immunodeficiencies, each day is a new challenge for Petra Razdan, MD, of Allergy, Asthma & Immunology Associates. Treating patients at the clinic and at Bryan Medical Center, Dr. Razdan is passionate about helping others and making a positive impact on their quality of life.

Q: What compelled you to pursue a career in medicine?

I’ve always wanted to do humanitarian work. I love science, which made medicine the perfect match for me.

Q: Where did you attend medical school?

I attended Semmelweis University of Medicine, which is in the European Union. I completed my residency in internal medicine at St. Vincent’s Medical Center in Bridgeport, Connecticut.

Q: Why did you choose this particular specialty?

Allergy and immunology is unique as I have the opportunity to take care of both children and adults. I also get the pleasure of improving my patient’s quality of life as allergies can be very difficult to live with. The complexity of asthma and immunodeficiencies is also very compelling to me since I can help change the course of disease through early intervention.

Q: What do you do as an allergist?

My scope of practice ranges from taking care of simple hay fever to tackling complicated asthma, food allergies and hives of different etiologies, to helping patients with immunodeficiencies. We utilize skin testing, blood testing and regular objective breathing tests depending on which conditions we’re working to diagnose and treat. Identifying triggers is important as each allergy and asthma patient is unique in their presentation and response to medication.

Q: What conditions do you diagnose and treat?

We diagnose and treat everything ranging from allergic rhinitis (hay

16 Spring 2015

fever), asthma, eczema, chronic sinusitis, food allergies, stinging insect allergies and drug allergies, to hives, angioedema, eosinophilic esophagitis (an inflammatory condition of the esophagus that can affect swallowing) and immunodeficiency.

Q: Do you see patients specifically for seasonal allergies?

Yes. Some people this time of year feel like they get a “bad cold” that lasts several weeks. Most times this is not really a cold, but a presentation of seasonal allergies with nasal congestion, drainage, itchy eyes, sneezing, etc. During the spring months, many patients also have an increase in their asthma symptoms, which need to be treated promptly.

Q: What triggers allergies?

A: First of all, your family history is important — if your parents have significant allergies, you’re more likely to develop allergies. However, your environment also dictates which allergens you may be exposed to, such as ragweed in Nebraska. The theory of hygiene hypothesis suggests that we as humans have become too clean and do not let our immune system get exposed to enough dirt, illness, etc. Therefore, the immune system switches to cells that promote allergies.

Q: How do you help patients better manage their allergies?

First we need to find out what allergies you possess. This determines whether we need to prescribe year-round medication or if we can pursue temporary treatment during the worst pollen seasons. The next step is identifying your worst symptoms.

For more severe symptoms or when medications have been ineffective, we recommend allergy shots. This is the only treatment modality that can alter the underlying disease. In children, allergy shots have been shown to reduce the risk of developing new allergies and, in some cases, may also reduce the risk of developing asthma.

Q: Can you manage your allergies with over-the-counter meds?

It all depends what symptoms you are trying to control. For example, if your

Petra Razdan, MD, is an allergy and immunology specialist with Allergy, Asthma & Immunology Associates, 402-464-5969.

MEDICAL STAFF SPOTLIGHT

eyes are mildly itchy, then an

over-the-counter anti histamine may be enough

for you. However, if you

suffer from severe

postnasal drip and

congestion, then an

antihistamine is not going

to get rid of those

symptoms. We can help

make that determination

for you.

Q: To manage allergies,

many people suggest

using special pillows, keeping the windows

shut or showering before bedtime. Are these good words of advice?

Again, it depends on that to which you are allergic. If you have bad seasonal allergies, then yes, it’s a good idea to keep your window shut at night to prevent pollens from entering your bedroom. If you are highly allergic to grasses and you have been out mowing, then showering before bedtime will be beneficial to you. If you are allergic to house dust mites, then certain precautions regarding your mattress and pillow are appropriate. Children with house dust mite allergies should also refrain from having stuffed animals in their bed.

Q: How does management of food allergies differ from how we treat seasonal allergies?

Patient history and habits are very important in establishing a food allergy. I spend about 90 percent of the time finding out exactly what food was consumed, how much of it was consumed, when the symptoms developed and what they were. Did they end up in the emergency room? What medications were given? How long did it take for the symptoms to subside? After gathering this information, I perform objective testing to confirm the food allergy. This is usually done via skin testing, and in certain situations I will order blood tests.

The natural history of food allergies depends on the foods to which you are allergic.

Q: Are some food allergies more common than others?

The top eight allergens for food allergies are tree nuts, cow’s milk, egg, peanut, shellfish, wheat, fish and soy.

Q: Can you cure food allergies?

While children may outgrow specific food allergies, there is no cure for food allergies at this time. About 80 percent of children will outgrow milk and egg allergies, while only 20 percent of children will outgrow peanut allergies, and a mere 9-10 percent of children will outgrow tree nut allergies. Currently, the only therapeutic option is strict avoidance of that food. I hope that the future might bring other treatment options for our patients.

Q: Your job involves many details to ensure high quality patient care. How do you continue to sharpen and expand your knowledge as a physician?

I try to read as much as I can, and I am constantly taking in new data pertaining to my area of practice. As physicians, we never stop learning. I feel this is the beauty with having a career in medicine.

Q: Do you have any hobbies or additional pursuits you enjoy in your spare time?

I enjoy spending time with my family. They are my No. 1 priority. My husband and I have three very busy children, and their support is invaluable to me as a mom and a physician. n

Bryan Journeys 17

MEDICAL STAFF UPDATE

New faces at

Bryan

Welcome these colleagues to the Bryan medical community Andrew Glenn, DDS, MD, oral and maxillofacial surgery, is in solo practice, 402-421-3401.

Dr. Glenn attended the University of Nebraska-Lincoln and completed his Doctor of Dental Surgery at the University of Nebraska College of Dentistry in 1999. He earned his Doctor of Medicine at the University of Missouri, Kansas City, in 2003.

He was a resident in oral and maxillofacial surgery and general surgery at the Truman Medical Center in Kansas City, Missouri. Dr. Glenn has been in solo practice since 2005.

Kurt Heimbrecht, MD, family medicine, has joined Stevens Creek Family Medicine, 402-327-7500.

Dr. Heimbrecht completed his undergraduate degree at Binghamton University in Binghamton, New York, in 1992. He started his doctor of medicine training at St. George’s University School

18 Spring 2015

of Medicine in Grenada, West Indies, and then transferred to the State University of New York Health Science Center. He graduated from the State University of New York Upstate Medical University College of Medicine in Syracuse, New York, in 1997. He completed his residency through the Carilion Clinic Family Medicine Residency Program in Roanoke, Virginia.

Since 2000, he has been a private practice physician, a laboratory director and a department chairperson.

Jonathan Henning, MD, urology, has joined Urology, PC, 402-489-8888.

Dr. Henning received his undergraduate degree from the University of Nebraska-Lincoln.

He graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2008. He was a resident at the University of Iowa Department of Urology and at the University of Nebraska Medical Center.

Michael Israel, MD, family medicine, has joined People’s Health Center, 402-476-1455.

Dr. Israel finished his bachelor’s degree at the University of Missouri in Kansas City. He earned his medical degree

at the University of Missouri-Kansas City School of Medicine in 2011 and completed the family medicine residency at the Lincoln Medical Education Partnership in 2014.

Michele Krieger, MD, obstetrics and gynecology, is associated with Platte Valley Medical Group in Kearney, 308-865-2263.

Dr. Krieger earned a Bachelor of Arts from Creighton University in Omaha.

She completed her medical degree at the University of Nebraska Medical Center College of Medicine, Omaha, in 1992. Her residency took her to the University of Illinois in Peoria. Dr. Krieger practiced at Contemporary Obstetrics & Gynecology in Kearney for 12 years before joining Platte Valley Medical Group in 2008.

Christine Lawless, MD, FACC, FACSM, cardiology and sports medicine, is a consultant at Bryan Heart, 402-483-3333. Dr. Lawless received her Bachelor of Science from Northern Illinois University in DeKalb. She graduated from the Loyola University Stritch School of Medicine in Maywood, Illinois, in 1977.

Her internal medicine residency was at Loyola University Foster McGaw Hospital in Maywood, where she also was a fellow in cardiology for two years. She is Board

MEDICAL STAFF UPDATE certified and a fellow in cardiology and sports medicine.

Dr. Lawless has held numerous positions, including academic cardiologist at Loyola University and at the Ohio State University, Columbus. She founded the American College of Cardiology Council on Sports and Exercise Cardiology and was a co-chair of that council from 20112014.

She is president of Sports Cardiology Consultants in Chicago and director of Athletic Heart Research at Bryan Heart.

She is the author of numerous articles on sports and exercise cardiology, heart failure and cardiac devices.

Chao Li, MD, maternal/fetal medicine, has joined Nebraska Maternal Fetal Medicine Specialists, 402-219-8005.

Dr. Li received his medical degree from China Medical University in 1997.

He completed a general surgery residency at The First Affiliated Hospital of China Medical University. He had post-doctorate research fellowship training at the Oklahoma Medical Research Foundation and Oklahoma University Health Sciences Center in Oklahoma City.

He received residency training in obstetrics and gynecology at the University of Toledo College of Medicine in Toledo, Ohio, and he completed a maternal fetal medicine fellowship at the University of Iowa Carver College of Medicine in Iowa City.

Dr. Li has published numerous articles in peer reviewed journals.

Scott McHam, DO, medical oncologist, has joined Southeast Nebraska Cancer Center, 402-420-7000.

Dr. McHam attended Oklahoma Baptist University in Shawnee, Oklahoma, for his undergraduate degree.

He graduated from the Oklahoma State University College of Osteopathic Medicine, Tulsa, in 1997.

Dr. McHam completed an internal medicine internship and residency at the Cleveland Clinic Foundation of Cleveland, Ohio, where he also completed a fellowship in hematology/oncology. He is Board certified in hematology and medical oncology.

Before moving to Lincoln, Dr. McHam worked in private practice at the Tulsa Cancer Institute of Tulsa.

Asha Schweitzer, DO, family medicine, has joined Teledigm Physician Services, 402-481-8566.

Dr. Schweitzer received her Bachelor of Science from the University of Nebraska-Lincoln.

She earned a doctor of osteopathic medicine degree in 2009 from the Lake Erie College of Osteopathic Medicine, Bradenton, Florida. She completed her residency at the Lincoln Family Medicine Program in 2012.

Since then, she has been a family practice physician and hospitalist at Mary Lanning Healthcare in Hastings. n

Dr. Trapp assumes new role at Bryan Pulmonologist John Trapp, MD, is the new Bryan Medical Center Vice President of Medical Affairs.

“It is with great excitement that I begin this management position at Bryan,” says Dr. Trapp.

“Health care is changing.

Successful change requires education, communication, collaboration and respect for each other to create a partnership where excellence and safety are the expectation.

All patient care staff play an important role in this change. I hope to foster an environment of safety, excellence, cooperation and efficiency.”

Dr. Trapp is associated with Nebraska Pulmonary Specialties and has a long history of leadership within the Lincoln medical community. He plans to spend about 40 percent of his time practicing as a pulmonary specialist and 60 percent as vice president of medical affairs.

He has served in a number of leadership positions with the Lancaster County Medical Society.

Dr. Trapp was named to Bryan’s Medical Staff Executive Committee in 2009, and he is a former chief of staff. n

Bryan Journeys 19

NEW AT BRYAN

Patient portal provides quick access to results — and peace of mind

R

ita Gregg hadn’t initially planned to sign up for Bryan’s online patient portal. The portal, called myHealth24-7, seemed like an unnecessary extra step while she was signing in for her mammogram.

“When I went in for my mammogram,” she explains, “the assistant at the desk offered me the patient portal brochure. At my age I’m not as computer literate as the younger crowd, so I wasn’t sure I’d be able to do it.”

Rita, a sleep technician in the Bryan sleep medicine department, discovered that signing up was indeed easy, and accessing her patient portal account provided her with quick test results and peace of mind.

“I don’t remember the exact day of my mammogram, but I do remember that it was coming up on a weekend, and that meant I would have to wait awhile for my results,” she says. “As a breast cancer survivor I didn’t want to wait any longer than necessary.

I logged on to myHealth24-7 and got my results before the weekend. It was great because then my family and I didn’t have the wait over a weekend and stress out about it.”

Test results, anytime What is myHealth24-7? Simply put, it is a convenient, easy way for patients to access personal health records and test results, any time of the day or night. It’s a secure, online resource that can be accessed on a computer anytime, anyplace. You can read and print your information from this patient portal, too. To sign up, you just need to be 19 or older and provide a photo ID and email address.

If you’re a patient of Bryan or participating physician offices,

20 Spring 2015

you can sign up and start enjoying easier confidential access to your health information at the click of a button. Currently, participating offices include Bryan Heart, Bryan Women’s Care Physicians, Family Medicine of Lincoln, Southeast Lincoln Family Medicine and Holmes Lake Family Medicine, with more offices planning to participate in the future.

In addition to viewing test results and health information, patients in physician offices can send their care provider a secure message and request appointments and prescription refills.

Everything in one place Another benefit of myHealth24-7 is that all your health information from Bryan Medical Center and participating physician office visits is available in one patient portal account versus setting up multiple accounts.

Rita and her family wholeheartedly recommend signing up for myHealth24-7.

“My mother died of breast cancer at age 57, so long waits for results are very stressful,” she says. “My results were very good — I had a great weekend, I celebrated with my family — and if it hadn’t been good news, we would have had the weekend to bond and decide our next steps. I feel like the portal gave us that weekend. I will certainly use the portal again to view my yearly exam results and results from other tests I need,” Rita says. n More questions? To learn about myHealth24-7 and to see a list of frequently asked questions and their answers, please visit bryanhealth.org/my-health-24-7.

NEW AT BRYAN

Rita Gregg accessed her test results through the myHealth24-7 patient portal that’s offered by Bryan Health Connect. Rita says signing up was easy, and she really appreciated how convenient it was to get her results online.

Bryan Journeys 21

BRYAN LIFEPOINTE

Triathletes enjoy indoor competition

W

inter blahs? Not these folks!

On Feb. 21, a sold-out crowd of dedicated souls challenged themselves at the 2015 Bryan Health Indoor Triathlon. Almost 130 athletes of all skill levels competed in the third annual event.

How did your friends do?

1st Place All-male Team: Spooky Tooth: Rob Livermore, Adam Sauter and Cody Williams 1st Place All-female Team: Triple Threat: Carly Schlueter, Kylie Segar and Sarah Kaldahl 1st Place Coed Team: Fire Breathing Rubber Duckies: Laura Thies, Brent Davis and John Larsen Individual Female: 1st: Adeline Hohman 2nd: Leslie Van Winkle 3rd: Emilie Powell Individual Male: 1st: Dr. Wade Fornander 2nd: Philip Hohman 3rd: Ken Logan

Triathlon champ Wade Fornander, MD, and his daughters, Aubrey and Adeline (swimming at left and cycling in the foreground in the photo at right) found the event on the Bryan LifePointe Campus a fun way to celebrate Adeline’s ninth birthday!

The cycling stage at the Bryan LifePointe Campus drew varied reactions from Joan Texel (left), Leslie Van Winkle and Rob Livermore. The popular Triathlon sold out in record time this year.

22 Spring 2015

Chad Thies (left) helps Fire Breathing Rubber Duckies teammates Laura Thies and Brent Davis cheer on John Larsen on their way to the coed team title.

NEW AT BRYAN

New meals enhance our patients’ experience

Pork medallions served with new potatoes and fresh roasted vegetables is one of the new entreés served at Bryan Medical Center.

Bryan Medical Center always puts patients’ care first. Having enjoyable meals while in the hospital is one of the experiences we’ve given a makeover — with new menus, a new way of serving and enhanced presentation. Breaking bread is a foundation of fellowship and well being, and we want our patients to feel the embrace of carefully prepared meals. Food has a place in healing — put simply, good food makes us feel better! This fall, we’ll open a newly remodeled cafeteria on the Bryan East Campus to provide a comfortable, pleasing dining experience for patients, their families and our staff members. Bon appetite!

Bryan Journeys 23

CRETE AREA MEDICAL CENTER

After traumatic event, Stutzmans appreciate medical family

T

hat Saturday, barely a year ago, was supposed to be carefree: two brothers and their mom spending a sleepover weekend at Grandma Mary’s house near Milford, with nothing more pressing than deciding which movie to watch.

Spring was already in the air on March 29, 2014, and the boys were ready to run around the farm. The family often stayed there when McKensie Stutzman was on call as a certified surgical technologist at Crete Area Medical Center (CAMC), so she could quickly make the drive to work.

But the emergency that brought McKensie to CAMC that night was anything but routine. She found herself on the outside of the operating room doors, after her twoyear-old son, Zander, was mauled by a dog.

Like family “I do surgery all the time, but the waiting when it’s your family member is a lot different,” McKensie says.

She couldn’t have placed Zander in more familiar hands. One of the doctors in the operating room had delivered him.

The certified registered nurse anesthetist had placed the epidural before his birth.

McKensie’s off-call partner took McKensie’s spot in the operating room, telling her, “We’re going to take care of your son.”

The team she knew like family took exceptional care of hers.

The Stutzmans have replayed the “whys” a thousand times. “We’ve considered every situation. Was the dog spooked by something?

We’ll never know the reason,” says McKensie.

The moments before the attack weren’t unusual. McKensie, Zander, older brother Reice, and grandmother, Mary, pulled up

24 Spring 2015

Zander and his mother, McKensie Stutzman, pose with Troy Miller, DO, (left) and Gustavo Machado, MD, at Crete Area Medical Center.

beside the familiar farmhouse of McKensie’s in-laws after a trip to Milford.

Mary took groceries into the house. Reice darted inside to play on an iPad. Zander looked up at his mom and asked,: “I walk?” She answered, “It’s a nice day. You can walk.” It was only 10 yards to the house.

McKensie turned to retrieve more groceries from the vehicle. She heard a loud growl and spun back to see her in-laws’ Australian Shepherd biting Zander’s head.

Her son and the dog had played in the same yard the day before; now there was unmistakable danger. McKensie ran toward the dog, screaming, “No!” Adrenaline kicked in, with McKensie going into rescue mode, scooping up Zander and considering options. The farm was too far from town to wait for an ambulance.

What happened next “Mary, you need to get Reice, and we need to go now!” McKensie yells. She tries to keep her family calm as they rush to CAMC. “Mary, you are doing a great job. You need to get us to the hospital,” she tells her white-knuckled driver.

Blood covers Zander, McKensie and her favorite green weekend sweatshirt; there is too much blood to assess Zander’s injuries or to know where to apply pressure.

She phones Troy Miller, DO, to tell him Zander’s been attacked by a dog, then calls 911.

McKensie’s retold Zander’s story enough times that she seldom gets teary anymore, but her voice quavers at this spot in the narrative.

“In emergency, they tell me it’s going to be OK. I don’t have to be the rescuer now and I feel like I can be his mom,” she remembers.

Zander is more responsive now and screaming, an encouraging sound to everyone. A tall man rushes in, pausing to give a quick kiss to Zander, the boy he delivered on a Leap Year Day. “Mac, we’re going to be OK,” Dr. Miller tells McKensie.

He and McKensie often work side-byside. As a certified surgical technologist and outpatient team leader, she assists with surgeries and coordinates the 15 specialty doctors, surgeons and physician assistants who practice at CAMC. Traumatic injuries McKensie finds a picture on her phone that still is difficult to view.

It shows a gaping wound on a tiny head — an 8-centimeter laceration that would require four layers of sutures. The dog’s teeth punctured the opposite side of Zander’s head, and bite wounds mar his face

CRETE AREA MEDICAL CENTER near one eye and the bridge of his nose.

She calls her husband, Spencer (who’s out of town), to break the news. She waits for CT scan results and the arrival of plastic surgeon Gustavo Machado, MD, of Lincoln’s Prairie Plastic, Reconstructive & Aesthetic Center.

The downtime leaves time to worry: Is Zander’s brain swelling? How hard did his neck snap? Will he lose eyesight? Most

importantly, will he be Zander — that blend of strong, sweet and silly who looks so much like his father that some call him a miniSpencer; a toddler who loves the Kansas City Royals and all things Lightning McQueen, who uses the living room for wrestling and takes his haircuts standing up.

Surgery lasts three hours. McKensie paces familiar halls, her emotions suspended. They

Zander is best buddies with Gunner Gustavo, who’s helping the threeyear-old overcome his fear of dogs.

finally settle when, in the recovery room, McKensie whispers to Zander and hears him respond with, “Mommy.”

Gradual healing At first, the family focuses on Zander’s physical recovery. After a night in the hospital and the wait for bruising and swelling to subside, it’s apparent that the bites missed his eye and did not cause further harm.

It’s good news for all.

“It is a very special relationship that smalltown doctors have with their patients. When a co-worker places ultimate trust in you, it is the highest compliment,” Dr. Miller says.

Zander had multiple plastic surgery followups. A year later his only telling scars are a faint white line in his thick brown hair and two small marks in his right eyebrow.

Emotional scars are slower to heal. Dr. Miller referred the family to a pediatric psychologist to deal with the equivalent of post-traumatic stress disorder (PTSD). The sound of a dog’s bark would send Zander flying into his parents’ arms. He suffered nightmares and would wake, screaming.

They slowly reintroduced dogs into his life — first pictures, then stuffed animals and then encounter therapy with a friend’s dog.

In December, after much thought and research, McKensie and Spencer decided to bring a pet into their home. They chose a miniature Spanish Water Dog, the color of butterscotch candy, and named him Gunner Gustavo. There’s nothing scary about this puppy, who looks and acts like a teddy bear.

Zander’s recovery isn’t over, but time is healing his wounds. McKensie says the only blessing from that terrible day was that it happened near Crete.

“I knew when I saw my work family’s faces through the emergency room doors, we were going to be cared for as you care for your own.

I believe in and trust each of these angels who dedicated themselves to saving Zander’s life.

I will forever have a place in my heart for the whole team.” n

Bryan Journeys 25

Larry, Michael and Sharon Genthe enjoy their volunteer roles on the Bryan West Campus.

26 Spring 2015

VOLUNTEERS & CUSTOMER CARE

Family of volunteers gives thanks by giving back

G

iving is important to the Genthe family.

Larry served in Vietnam, belongs to the American Legion and is a Mason. Sharon raised her sons, cared for a sister with cancer and helped their son, Michael, as well as Larry, each recover from strokes. Michael talks to other stroke patients now that he’s recovered, to encourage them in their rehabilitation.

If that weren’t enough, all three of them carve out time to volunteer on the Bryan West Campus. “I’ve always wanted to volunteer,” says Sharon. “I want to give back, and I want to be there for others.”

Being comforting listeners On Wednesday afternoons, you’ll find Sharon at the medical center entrance and Larry at the West Medical Plaza entrance. Larry and Sharon have similar jobs. They greet people who come in the door, and they direct or escort people to various places they need to go, such as the specialty clinic or the lab. Sharon takes plants or mail up to patient rooms.

Larry noted that many people may be afraid when they come to the hospital. They may be going to see someone who is very ill.

“A lot of them are coming for outpatient surgery,” he says.

“I say, ‘This is the place to be.’” When they leave, Larry still has something to say. “I try to say encouraging words, like, ‘Have a nice day!’ when they leave.”

“We appreciate that person who will listen to you” from our experience with Michael, says Larry. That’s why he and Sharon try so hard to be comforting listeners to people coming in the door.

While his parents are busy at the entrances, Michael is busy in the volunteer office.

“I wish everyone a good morning,” says Michael. He lost some mobility in his left hand from his stroke, but that doesn’t stop him from contributing in every way he can. He stuffs envelopes for mailings, puts on stamps, takes labels off books

and performs many other tasks.

“It’s nice seeing all the people,” says Michael. “It’s something helpful to do.”

Michael wants to “talk to stroke patients to tell them about my experiences.” He has been invited to talk with three people so far. “I just tried telling them, ‘You just have to want to do the rehab,’” Michael says. He had physical therapy, occupational therapy and speech therapy while he learned to walk and speak again after his stroke.

“Michael is an inspiration,” Sharon says. “They asked him to talk about his experiences. He enjoyed it.”

Enjoying service to visitors Larry and Sharon enjoy the people they meet. One memorable experience was when Larry was asked to help a difficult patient. The patient needed to go to the gift shop and to the ATM. In talking with him, Larry discovered they were both Vietnam vets. They formed a bond.

“He was as nice as he could be,” Larry says.

Sharon recalls a gentleman who came in for some tests. He was very worried because he owned his own business and was having difficulty breathing when climbing the scaffolding.

“I tried to reassure him that he was at the right place to find out what was wrong,” Sharon notes. “When he came back after his tests, he thanked me.”

That meant a lot to her.

“Volunteering is exceptionally rewarding,” adds Larry.

“It gives you a chance to give back to people,” Sharon agrees.

Michael concludes by noting, “So many people have been wonderful to me in the past that it’s great to try to help others.” n To find out about volunteer opportunities at Bryan Medical Center, call 402-481-3032, or visit bryanhealth.org/volunteer.

Bryan Journeys 27

BRYAN COLLEGE OF HEALTH SCIENCES

WHAT A DIFFERENCE A YEAR MAKES Equipped with education, skills and clinical experience — and the desire to make a difference — these Bryan College of Health Sciences graduates are thriving in their new careers.

Amy Hensley Bachelor of Science in Nursing, May 2014 As a recent nursing graduate, Amy Hensley is putting her skills to work as an overnight acute staff RN at Crete Area Medical Center.

“Making a difference in the lives of others is definitely the best thing about my job,” Amy says. “I work with many kinds of patients, from infants to elderly.

As a result, my nights are never the same.”

She enjoys working with health professionals who are dedicated to positive patient outcomes. Amy adds, “I get to practice a wide variety of skills.

Plus, my team is very experienced, knowledgeable, supportive and a lot of fun!”

While it’s been less than a year since graduation, Amy is ready to conquer her next challenge. She recently applied for the master’s degree program at Bryan.

Amy hopes an advanced degree will put

28 Spring 2015

In the months since graduating, this quartet of Bryan College of Health Sciences alumni is putting degrees and ambition to good use. her on a trajectory to become a faculty member at a nursing college, preferably Bryan College of Health Sciences!

Joelle Chavez Bachelor of Health Science, with a specialization in cardiac sonography, December 2014 With her undergraduate studies behind and a new career unfolding, Joelle Chavez is confident in her role as a cardiac sonographer in Lincoln. Trained in adult echocardiograms and transesophageal echocardiograms, Joelle thoroughly enjoys the diversity of her position and the important part she plays in the overall health of the patient.

“Heart disease is the leading cause of death in the United States. Through what I do as a cardiac sonographer, I have the opportunity to work with a team that addresses this challenge head on,” she says.

One of the reasons Joelle chose Bryan College of Health Sciences was the high number of students who find jobs after they graduate. Joelle is a living example of this success. With an eye on the future, she hopes to continue to hone her skills

and eventually become cross-trained as a vascular sonographer.

Katie Sladky Master of Science in Nursing, December 2014 Having completed a Bachelor of Science in Nursing at Bryan in 2009, Katie knew the newly created master’s degree program at Bryan College of Health Sciences would be a logical next step. “I looked into a few other programs, but nothing seemed to fit just right,” she says. “When I called about the master’s program, the faculty remembered me and answered all my questions.

Stepping foot on campus that first semester truly felt like ‘coming home.’”

Recognizing the value of the student experience makes Katie a powerful mentor as a nursing instructor at Northeast Community College in Norfolk. She splits time between teaching pharmacology in the classroom setting and performing clinical instruction with nursing students in the acute care hospital setting. She also works as a PRN nurse at Antelope Memorial Hospital in Neligh.

“Working in the hospital setting helps me maintain my clinical competency and

BRYAN COLLEGE OF HEALTH SCIENCES allows me to continue living my original dream of becoming a nurse,” Katie adds.

Jamie Rooks Master of Science in Nurse Anesthesia, May 2014 The intensive care unit at Bryan Health was the start of Jamie Rooks’ journey to becoming a certified registered nurse anesthetist. Working as a nurse in the Bryan ICU inspired her to pursue a Master of Science in Nurse Anesthesia. After graduating from Bryan College of Health Sciences in 2014, Jamie joined the medical team at Phelps Memorial Health Center in Holdrege.

She says, “I love working at this busy, critical access hospital. We provide anesthesia for ortho, ENT, general, obstetrics/gynecology and ER cases.”

Holdrege also happens to be Jamie’s hometown. She notes that it is very rewarding to serve people in the community where she grew up among family and friends.

“I love being able to take care of patients at such a vulnerable time in their lives. For many people, surgery can be a scary experience. I‘m there to help them through it, calm their fears, relieve the pain and stress, and make them as comfortable as possible. Knowing I can help is an awesome feeling,” she says.

To learn how your gift can support Bryan College of Health Sciences, please call the Bryan Foundation at 402-481-8605. n

SGA Secretary Lacie Ferguson (left), Treasurer Jake McCain and President Emilea Harrahill joined other students in creating valentines for young patients at Bryan Medical Center.

Students spread cheer to young patients The Bryan College of Health Sciences Student Government Association (SGA) is on a mission to serve the community while fostering relationships.

“We’re a bridge between the faculty and students at Bryan,” says SGA President Emilea Harrahill. “We lead student events, and our organization hosts a kickoff at the beginning of the school year and an an-

nual sand volleyball tournament, as well as monthly meetings.

“This year we decided to organize Halloween, Christmas and Valentine parties for patients in the children’s and adolescent psychiatry unit. The kids love it and ask if we’re going to be there for every holiday! It’s a great opportunity to be a positive influence for these children.” n

Bryan Journeys 29

COLLEGE ALUMNI NEWS

Events for you June 5-6

Alumni Weekend nears

T

he Bryan College of Health Sciences Alumni Association proudly hosts reunion events June 5 and 6. Graduates of Bryan School of Nursing, Lincoln General Hospital School of Nursing and Bryan College of Health Sciences will be back in Lincoln for the annual Alumni Weekend.

Fifty-year reunions of the 1965 graduating classes from Bryan School of Nursing and Lincoln General Hospital School of Nursing are among the special events.

Here’s a list of Alumni Weekend activities.

Remember: Reservations and prepayment are required.

Friday, June 5 Presidential Teas n

Bryan School of Nursing Class of 1965, 10 a.m., in Classroom 200, Bryan College of Health Sciences, 5035 Everett St. n Lincoln General Hospital School of Nursing Class of 1965, 3 p.m. in the Museum on the Bryan West Campus at 2300 S. 16th St. n Tour the former Teeters Nursing Dormitory, which will be open from 4-5 p.m. at 1640 Lake St. on the Bryan West Campus. n Reception from 5-7 p.m. in the Conference Center on the Bryan West Campus, 2300 S. 16th St.

Saturday, June 6 Bryan College of Health Sciences, 5035 Everett St. n

10:30 a.m. — Annual Business Meeting in Classroom 200.

11 a.m. — Registration. n Noon — Alumni Day Luncheon and Program in Classroom 204. n

To make reservations or learn more about these events, please contact Brenda Neemann by calling 402-481-8692, or email her at brenda.neemann@bryanhealth.org.

30 Spring 2015

Share memories and catch up with friends, like these members of the 50-year classes from Lincoln General Hospital School of Nursing (above) and Bryan School of Nursing (below) did in 2014.

ACHIEVEMENTS

Nursing students earn accolades

instruction for LPS. She also served as chair of the Bryan Medical Center Board and president of the Lincoln Children’s Museum and Lincoln Action Program. She was a board member of Junior Achievement, Food Bank and Lincoln Symphony.

The new middle school at 84th and Yankee Hill Road will open in the fall of 2017. n

Marilyn Moore, EdD

Pam Drda, RN, BSN

School’s name is salute to Moore’s career

Drda to speak at national conference

Lincoln Public Schools (LPS) broke ground April 24 at the site of the new Marilyn Moore Middle School in southeast Lincoln.

“In the educational world, it’s every teacher’s dream to some day start his or her own school, and it’s every retired teacher’s dream to have a building named after them,” says Marilyn Moore, EdD. “It was my privilege to help launch the Zoo School high school program while I was in the LPS administration, and I was totally stunned when I found out about the new school’s name. It’s a huge honor.”

Dr. Moore is president of Bryan College of Health Sciences.

Her career in education includes a decade as a teacher at Goodrich Middle School, five years as an administrator in human resources for Lincoln Public Schools and 25 years as associate superintendent for

Pam Drda, RN, BSN, is among the featured presenters at the Association of Occupational Health Professionals (AOHP) national conference in San Francisco. Her presentation, “Covering All the Bases: Dealing with Blood and Body Fluid Exposures,” discusses identifying and managing exposures in a hospital setting. She has specialized in this area of employee health for 13 years. n

McKenzie Jones, RN

Jones earns 1st lieutenant rank McKenzie Jones, RN, was promoted to 1st lieutenant in the U.S. Army Reserves.

Jones is a nurse in Bryan’s adult psychiatric unit and a graduate of Bryan College of Health Sciences.

Shortly after returning from a deployment to Fort Bliss, Texas, this winter, she received her officer’s commission and lieutenant’s bars during a ceremony on the Bryan West Campus. n

Five nursing students from Bryan College of Health Sciences were elected officers of the Nebraska State Student Nurses’ Association during the organization’s annual NSSNA convention in Fremont.

The officers are: First Vice President Lacie Ferguson, Nominations Chair Jessica Roth, Legislative Chair Brittany Siepelmeyer, Breakthrough to Nursing Chair Sara Wadas, and Image of Nursing Chair Rayna Jurrens.

The Bryan chapter won the Community Health Award for its Holmes Elementary School Handwashing Project and the Most Unique Community Health Award for its Home Instead Christmas Tree Gift Tags Project.

Seventeen Bryan College of Health Sciences students also attended the annual convention of the National Student Nurses’ Association in Phoenix. n

Nebraska State Nurses’ Association officers from Bryan College of Health Sciences are Jessica Roth (left), Brittany Siepelmeyer, Sara Wadas, Rayna Jurrens and Lacie Ferguson.

Bryan Journeys 31

BRYAN STERLING CONNECTION

Your connection to fun and friends Travel with Sterling Connection

Kimball Pipe Organ played exclusively for our group in the Bob Markworth residence.

Visit bryanhealth.org/travel to download brochures, or call 402-481-3355 or 800-742-7844.

New Theater Restaurant, Overland Park, Kansas Wednesday, Nov. 4 The New Theater Restaurant has been rated the No. 1 dinner theater in the country and it’s right here in the heartland. The play has not been announced yet, but you are guaranteed an outstanding afternoon of theater with a famous television personality and a lunch that can only be called “gourmet.”

Extended vacations Smoky Mountains: Music, Majesty and Praise Tour The Oasis Bluegrass Band will perform at Monday-Wednesday, Oct. 19-28 the Sterling Connection Ice Cream Social.

Travel to the heart of the colorful Smoky Mountains. oin other Sterling Connection This trip features members Sunday, June 28, for our popular attractions, annual Ice Cream Social. Register now for an afternoon of socializing, such as Loretta Lynn’s Ranch, The Grand Ole enjoying ice cream and listening Opry, Dollywood, Great Smoky Mountain to the wonderful music of the Oasis National Park, Biltmore House and Bluegrass Band.

Gardens, and much more. Book by May This year’s event is 1:30-4:30 p.m.

15 and save $50 per person. in the Bryan Medical Plaza Conference Center on the Bryan East Campus. Come and go as your schedule allows.

One-day tours Remember The Big Change Challenge Glenn Miller Festival, Clarinda, Iowa to support the neonatal intensive care Friday, June 12 unit (NICU)? We’re almost to our goal of Join Glenn Miller fans from around the collecting one million coins! Funds will world as they converge on Clarinda, Iowa, help purchase specialized equipment for the yearly celebration of the music for Bryan Health’s NICU and pediatrics and memory of this famous band leader. programs and will support Holmes It will be a day filled with new and familiar Elementary School. music from music groups from around the Containers for your donations of coins world along with a tour of his birthplace will be in the Bryan Medical Plaza lobby. and much more. Register before May 12.

To register for the Ice Cream Social, go to bryanhealth.org/calendar, or call Pipe Organs to Elephants, Omaha 402-481-8355.

Thursday, Sept. 24 Sterling Connection membership Join us to rediscover the Henry is free! Join online at bryanhealth.org/ Doorly Zoo with its new exhibits, visit a sterlingconnection, or call 402-481-3355. manufacturing plant run by sight-impaired employees, and experience the mighty

J

32 Spring 2015

Sterling Connection

Estate Planning in Today’s Environment Monday, May 4, from 6:30-8 p.m.

Bryan East Campus, in the Plaza Conference Center, 1500 S. 48th St. Attorneys Jennifer Tricker and Kimberly Olivera from Schwartzkopf Schroff and Tricker present this free program. Call 402-481-8886, or go online to bryanhealth.org/calendar to register.

Membership has perks Show your Sterling Connection membership card to receive discounts in these areas of Bryan: • 10 Percent in Bryan Nutrition and Dining Services.

• 20 percent in the Gift & Floral and Mom & Baby Shop.

• 33 percent at Bryan LifePointe and on your LifePointe enrollment fee.

COMMUNITY CALENDAR

Bryan Health Kids’ Club presents:

Home Run for Health with the Lincoln Saltdogs Saturday, June 20 4-6 p.m. Home Run for Health Pre-Game Tailgate 6:05 p.m. Baseball game featuring the

Lincoln Saltdogs vs. Joplin Blasters Immediately following the game: Hula Hoop Contest!

Haymarket Park is at 403 Line Drive Circle.

Bryan Health’s 19th annual health and safety event hits the road with an evening of fun, fitness, food and festivities with the Lincoln Saltdogs.

Join us for a pre-game tailgate for a meet and greet with Lincoln Saltdogs players, kids fitness zone, bounce houses and more than 30 exhibitors with interactive health and safety activities. Before the g.me, one lucky child will be invited to throw the first pitch.

The evening includes between-inning activities and ends with Lincoln’s largest Hula Hoop contest on the field. The pre-game tailgate and general admission tickets for the baseball game are free of charge to the public. Tickets can be upgraded to a picnic package or reserved seating for an additional fee. Please go to bryanhealth.org/home-run-health for ticket information.

You’re So Vein Symptoms, Diagnosis and Treatment for Vein Disease Tuesday, May 5, 6:30-8 p.m.

Do you have swelling in your lower legs and ankles, restless legs, spider veins or varicose veins?

It’s estimated that at least 80 million Americans suffer from some form of venous (vein) disease. If untreated, this can lead to health problems. Join Timothy Gardner, MD, of Bryan Heart to learn about your veins, what happens when they don’t work properly and treatment options.

Cost:

Where:

Register:

Free, but you need to pre-register.

Bryan East Campus, Plaza Conference Center, 1500 S. 48th St. Go online to bryanhealth.org/calendar, or call 402-481-8886.

Bryan Journeys 33

Bryan Health’s 2015

BIG EVENT A Future You Envision

Saturday, May 30, 2015 7 to 10 p.m.

Nebraska Innovation Campus, 2021 Transformation Drive Join us for a night filled with fun, discovery, entertainment and a Big Announcement.

Take part in the hands on experiences of our Innovation Zone — including simulators and interactive displays.

Guests will enjoy Nebraska culinary fare paired with local craft beers, while listening to the live music of national recording artist Staci Frenes ... Bryan’s Miracle Baby commercials singer.

The evening will bring you together with Bryan’s past, present and future.

• Proceeds benefit the patients and families of Bryan Health.

• Tickets are $90 per person.

• Partnership opportunities are available.

• To purchase tickets or for more information, visit bryanhealth.cvent.com/2015bigevent or contact the Bryan Foundation at 402-481-3139.

1600 S. 48th St., Lincoln, NE 68506

Address service requested

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