Journeys | Spring 2016

JOURNEYS SPRING 2016

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

Action heroes

JOURNEYS SPRING 2016

01 FROM OUR PRESIDENT 02 BRYAN HEART

Steuters have heart for fitness

256-slice CT: Latest imaging technology benefits patients 07 CELEBRATING PAST AND PRESENT 08

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PATIENT EXPERIENCE Vigilance keeps patients safe and families informed BRYAN COLLEGE OF HEALTH SCIENCES Outgoing president puts others first

13 BRYAN FOUNDATION

Hepburns’ donation a difference maker 14 NEW AT BRYAN

MRI-ultrasound fusion biopsy guides cancer treatment 16 MEDICAL STAFF SPOTLIGHT

Ask the doctor: Is my child ready for summer?

19 MEDICAL STAFF UPDATE 20 BRYAN LIFEPOINTE

Champion gets lift from LifePointe personal training 22 BRYAN BARIATRIC ADVANTAGE 24 CRETE AREA MEDICAL CENTER

Board member praises care after surviving heart attack 28 BRYAN COLLEGE OF HEALTH SCIENCES 30 BRYAN VOLUNTEERS & CUSTOMER CARE

Bryan Health Radio A fast, easy way to learn from health experts while you’re at home or on the go!

Would you like to know more about a health topic or tips to stay well? Check out the new Bryan Health Radio.

Our free 10-minute podcasts offer practical, useful advice and health information from our very own doctors and health experts.

They’re easy to listen to while you’re on the go, at work or at home.

Here’s a sample of some of our current podcasts: • A Healthy Plate and Happy Heart with registered dietitian Lauren Christensen, Bryan LifePointe • Sleep Apnea: Don’t Ignore the Symptoms with sleep technologist Leigh Heithoff, Bryan Sleep Center • Depression Hurts: Don’t Be Afraid to Ask for Help with Dave Miers, PhD, Bryan Mental Health Services • Are You Concerned with Someone’s Alcohol or Drug Use? Find Out How You Can Help with Jerome Barry, LMHP, LADC, Bryan Independence Center • Colon Cancer Is Very Treatable — Get Your Screening Today! with William Lawton, MD, Gastroenterology Specialties • Gestational Diabetes: What Every Pregnant Woman Should Know with Benjamin Byers, DO, Center for Maternal & Fetal Care, part of the Bryan Physician Network Listen to or download a free podcast today!

To choose from our library of topics, go to: bryanhealth.org/bryan-health-radio.

32 BRYAN STERLING CONNECTION 33 ACHIEVEMENTS

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

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

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

ALL ABOUT JOURNEYS

STAY IN TOUCH

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

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

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

Kimberly Russel President & CEO, Bryan Health

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

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

OPPORTUNITIES TO SUPPORT

ON THE COVER

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

Dr. John Steuter and his family promote active lifestyles. See Page 2.

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

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

FROM OUR PRESIDENT

“I always skate where I think the puck is going to be.”

— Wayne Gretzky, professional hockey star

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or those of us entrusted with providing health care in our region, we have three pucks to keep our eyes on: advances in technology, changes in how we deliver care, including our people resources, and the growth of our communities.

Bryan Health has been blessed with visionary leaders and a collaborative long-range planning process. This keen vision has led to major initiatives like advancing our School of Nursing from a diploma program to a College of Health Sciences that now awards bachelor’s, master’s and doctoral degrees. The college, with 2016 enrollment topping 700, supplies our region and country with graduates who consistently exceed national licensure exam results.

The research that led to last year’s launch of Bryan Health eVisit speaks to Bryan’s commitment to embrace technology that enables patients to access care when and where it fits into their busy lives.

Another great example of thoughtful planning is the collabo-

ration between Lincoln city leaders and Bryan administrators that began nearly 30 years ago. At that time, the city urged us to look northeast from Bryan East Campus for the future expansion they knew would be required to keep up with our community’s growth. With the city’s guidance, Bryan spent the next three decades purchasing properties that came up for sale in the blocks between A and Everett streets, from 50th to 52nd. Later this year, we’ll announce plans for this two-block area.

Collaborative planning, looking five, 10 and 20 years into our future, is just one more way we’ll continue to earn our reputation for high quality, leading-edge care and continuing to meet the region’s needs in the years to come.

Forward. Together.

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

The rest of Steve’s story The Winter 2013 edition of Journeys featured Steve Minarick of Morse Bluff, who was adjusting to life as the first patient in Bryan Heart’s Mechanical Circulatory Support (MCS) Program to receive a left ventricular assist device (LVAD).

Steve’s heart originally had been damaged by chemotherapy after a diagnosis of cancer in 2006, and while he remains cancer-free, his heart failure progressed to the point where he needed a heart transplant about two years after the LVAD procedure.

Bryan Heart’s Richard Thompson, MD, Mathue Baker, MD, and MCS Program coordinator Sarah Schroeder, ACNP-BC, were instrumental in Steve’s MCS procedure and follow up at Bryan, as well as helping arrange his transplant at the University of Nebraska Medical Center.

And the rest of the Minarick family? Steve and Sharen’s son Joshua is a Wayne State College student, and daughter Hannah graduated from UNMC — and is a registered nurse in the Cardiac Progressive Care Unit on the Bryan East Campus. n Learn more about the Bryan Heart MCS Program at bryanhealth.org/LVAD.

Steve and Sharen Minarick, flanked by Hannah and Joshua, show off a copy of a previous Journeys that featured Steve’s LVAD story.

Bryan Journeys 1

BRYAN HEART

Action heroes

Steuters have heart for fitness

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n step with his Bryan Heart colleagues, cardiologist John Steuter, MD travels to several Nebraska communities to see patients, his focus being Wahoo, York, Central City and “back home” in Ainsworth.

“Home” in Ainsworth refers to the Nature Conservancy’s Niobrara Valley Preserve, the 56,000acre ranch bordering the Niobrara River, which his father, Al, managed for 22 years. A grassland range ecology major with a PhD in biology, Al conducted research on grassland management using bison, cattle and fire, and preventive measures to ensure future viability.

This upbringing was instrumental in shaping the young Dr. Steuter’s life and career decisions. Following in his father’s footsteps, John sought a double major in ecology and agricultural business but changed his mind halfway through his freshman year; stem cell research was hitting the news and John was intrigued, so he switched to biology with the intent of pursuing a career in medical research.

Though Dr. Steuter joined Bryan Heart in 2015, his connection with Bryan began 15 years ago. Having grown up in the country, he didn’t know much about the hospital culture so decided to work in a hospital to see if he liked the environment while seeking his undergraduate degree from the University of Nebraska-Lincoln. He worked at Bryan Medical Center for almost three years, first as a telemetry heart monitor and later in the lab as a phlebotomist. His

2 Spring 2016

Avid runners John and Pamela Steuter are role models who encourage their children — Lucas (left), Liam, Samuel, Nicolas and Jocelyn — and friends to exercise regularly. experience in the lab further stoked his interest in medicine, an interest that evolved toward patient care rather than research.

And a more personal connection occurred during Dr. Steuter’s time at Bryan Medical Center — he met his future wife, Pamela, a Bryan College of Nursing graduate who was working on the heart floor. Throughout his time in medical school and his internship and fellowship at the University of Nebraska Medical Center in Omaha, Pamela also was involved in cardiology as an RN in the cath lab at UNMC. Now, her career has shifted to that of stay-at-home mom, focusing on raising the couple’s five children: Lucas (10), Nicolas (8), Jocelyn (7), Samuel (4) and Liam (2).

This partnership that began at Bryan Medical Center and continued through Dr. Steuter’s training now includes

BRYAN HEART keeping healthy together through running — half marathons and mid-level races. “We like to run together, and we feel it sets an example for our children about the importance of exercise.”

The couple regularly runs the Lincoln Half Marathon, and this year Dr. Steuter will run the race along with a team of Bryan Heart cardiologists, nurses and technologists who will then be there afterward to help run the aid station.

In addition to modeling healthy behaviors, Dr. Steuter models his mother, Lois, an elementary school teacher, in his desire to educate others, his message being that moderate exercise can significantly improve overall health.

He not only encourages his patients to keep active, but also is proactive in teaching others about preventing and managing heart disease through his blog on the Bryan Heart website and participation in Bryan Heart’s Twitter Chats on heart health and exercise.

“It is my goal to make people healthier. We know it is easier to prevent than to repair — even just a little exercise is better than none,” he says. “Though the American College of Cardiology recommends 150 minutes a week of cardiovascular exercise, any type of cardiovascular exercise is beneficial.”

In addition to his passion for preventive and sports

cardiology, Dr. Steuter also has a strong interest in advanced imaging (cardiac CT and cardiac MRI) and advanced heart failure. “The ability to focus on these areas was a strong catalyst for me to join Bryan Heart,” he notes.

Dr. Steuter also was impressed by the Bryan Health administration’s support of Bryan Heart. “They really care about getting on the front line of technology and what is best for patient care,” he says.

“I am proud to be a part of the Bryan Heart team and feel fortunate to have the dedicated staff and resources to provide the best possible care for patients here in our community.” n Bryan Health has been active in the Lincoln National Guard Marathon for many years. We sponsor a water station near the Bryan West Campus to refresh the runners, and our volunteer care givers help staff medical aid stations.

To learn how your gift can support Bryan Health, please call 402-481-8605, or go to bryanhealth.org/b2020.

VIDEO

Meet Dr. John Steuter in a video by going to bryanhealth.org/DrSteuter.

Bryan Journeys 3

BRYAN HEART

Cardiologists John Steuter, MD, (left) and Clyde Meckel, MD, of Bryan Heart say high-resolution images from the new 256-slice CT scanner are significantly better and expose patients to less radiation because the technology completes a 3-D scan in just one heartbeat.

256-slice CT

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hen general surgeon Ye Ye, MD, entered the emergency room at York General Hospital in January, he wasn’t there to see a patient; rather, he was the patient.

Experiencing chest pain, he felt very

4 Spring 2016

Latest imaging technology benefits patients

fortunate Bryan Heart cardiologist Clyde Meckel, MD, was already on site.

Dr. Ye was treated immediately by emergency physician Joseph Irwin, MD. After an EKG and cardiac enzymes were negative for a heart attack, Dr. Irwin consulted with Dr. Meckel,

BRYAN HEART who was seeing patients in York General’s specialty clinic. Dr. Meckel quickly arranged for Dr. Ye to have a cardiac computed tomography (CT) scan at Bryan Heart in Lincoln to check for blockages in his arteries.

New technology While in the past a cardiac catheterization would have been recommended, Bryan Heart’s new high-resolution CT scanner is now seen as the first step, often ruling out coronary artery

Ye Ye, MD, is back seeing patients in York following a 256-slice CT scan and subsequent heart catheterization on the Bryan East Campus.

disease quickly while offering less discomfort for the patient than the more invasive catheterization.

Bryan Heart had been using the industry standard 64-slice cardiac CT at Bryan Medical Center for several years, but in November, Bryan installed a 256-slice CT, which provides significantly better quality images (slices), capturing a complete 3-D scan of the heart in just one heartbeat. And, it provides greater safety for patients as it cuts radiation exposure by as much as 70 percent.

“I appreciate Dr. Meckel’s prompt counsel and arrangements for my care at Bryan Heart,” Dr. Ye says. “In my situation, it was complicated; the CT showed some calcifications which can imply coronary artery disease, so cardiologist John Steuter, MD, performed my cardiac catheterization.”

Dr. Steuter, who had been practicing in Lincoln for a year before joining Bryan Heart in August, is excited about the technology available at Bryan.

“This is the only place in the state that has the 256-slice CT, a significant improvement over other scanners,” he says.

“I explain to my patients that the sharpness and quality are much greater, similar to the evolution of television from analog, to digital, to high definition and finally to ultra-high definition.”

The final answer A significant percentage of patients get their “final answer” with the 256-slice CT. This was the case with Beatrice resident Diane Trimble, who had been experiencing shortness of breath and chest pain. Concerned she may have coronary artery disease, her physician, Andrew Bohart, MD, of Southeast Lincoln Family Medicine, which is part of the Bryan Physician Network, referred her to Dr. Steuter at Bryan Heart. After a negative stress test, Diane still was having symptoms, so Dr. Steuter recommended the CT. “Though I was a little uneasy before having the CT, I found there was nothing to be afraid of,” she recalls. “The Bryan Heart technician told me what to expect and then talked me through the scan. After the tests came back, Dr. Steuter went through everything and made sure I understood the results, being very patient with me as I have difficulty hearing.”

“After reading her CT, we were able to reassure Diane she did not have any significant coronary artery disease and

Bryan Journeys 5

BRYAN HEART that we didn’t need to further investigate her heart with an invasive procedure,” notes Dr. Steuter.

And, as would be expected, this diagnosis was a welcome message for Diane, who says, “I am so relieved my heart is healthy and glad I didn’t have to have a more uncomfortable procedure to find out.”

Moving forward Dr. Meckel has been instrumental in bringing up-to-date technology, like the new 256-slice CT, to Bryan. He says, “This technology is a big step forward. And, in the near future, an additional component will likely be added that allows even more in-depth analysis of the blockages and the blood flow within the arteries.”

Having the latest technology requires a substantial financial commitment, but the technology eliminates the need for more

expensive invasive procedures and in doing so, provides higher patient satisfaction.

“This is an example of the commitment Bryan Health has to serving patients in our community,” Dr. Meckel adds. “People in Lincoln and surrounding communities are fortunate to have access to such leading-edge medicine — not only the latest technology, but also the expertise in diagnoses and procedures Bryan Health provides.” n To learn how you can support the work of Bryan Heart, please call 402-481-8605, or go to bryanhealth.org/b2020.

To watch a video of Dr. Clyde Meckel discussing this new technology, go to bryanheart.com.

VIDEO

Diane Trimble found “Having a CT was nothing to be afraid of.” A CT image ruled out the need for a more invasive diagnostic procedure.

6 Spring 2016

C E L E B R AT I N G PA S T & P R E S E N T

We’re Celebrating 90 Years!

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his summer we’ll celebrate our 90th anniversary with special events, publications and opportunities to give back to the communities we serve.

We want to celebrate with you!

Mark your calendars: June 10, 4:30 p.m. — Join us for Home Run for Health, the 90th anniversary Bryan Kids’ Club celebration with pregame activities and a Lincoln Saltdogs game at Haymarket Park. The evening concludes with a big fireworks show.

June 26, 1-5 p.m. — Bryan Sterling Connection and Bryan Kids’ Club members, employees, volunteers, physicians and guests are invited to the biggest ice cream social we’ve ever hosted. Enjoy great music, ice cream and fun activities for kids of all ages at the Pinnacle Bank Arena.

Home Run for Health with the Lincoln Saltdogs Friday, June 10 See the back page for all the details!

KFOR ’s Blyth Cathy e on o works ur anni 90th ve cook rsary book .

And, we’re honored that KFOR radio will dedicate its Spring/Summer 2016 Cookbook to our 90th anniversary.

More than 300 recipes were submitted for consideration by members of our Bryan Health family.

Watch for this special edition in late June.

Bryan Journeys 7

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

Vigilance keeps patients safe, families informed

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ince 2013, people from all 50 states and hundreds of countries have logged into Bryan Health’s innovative “Friends and Family” computer portal to see online hourly updates about their loved ones hospitalized at Bryan, making over 20,000 of these virtual patient visits in 2015 alone.

Marilyn Viehl, nursing director for medical and surgical services at Bryan, explains: “The ‘Friends and Family’ portal is part of the Vigilance hourly nurse rounding computer software system, which was born out of a creative collaboration among Bryan Health, the Lincoln Partnership for Economic Development, and some very bright, young local entrepreneurs.

“Working with Bryan nursing staff, those entrepreneurs — University of Nebraska students in design, marketing, business and computer engineering — developed Vigilance to enhance effectiveness of hourly nurse rounding, and

8 Spring 2016

now market the system nationwide.

“The Vigilance system serves two very important purposes: It promotes safety by preventing patient falls, and it keeps friends and family members informed about patients who are hospitalized at Bryan.”

She adds, “Promoting patient safety and preventing

falls are always at the top of our list. Patients can fall for all kinds of reasons — perhaps they are weaker than they think, or experiencing dizziness because of medication side effects — but we know that falls are reduced when patients are checked hourly and their needs are anticipated and met. And because we do that 12

Jane Sype (right) talks at a news conference about how Vigilance, a digital portal for patient updates, helped her family when her husband Ken (left) was hospitalized while daughter Chara (center) was living in South Africa. (Photo by the Lincoln Journal Star.)

“Vigilance helps our nurses provide undivided attention to each patient and focus on our top priorities — patient safety, comfort and healing.”

– Marilyn Viehl, nursing director

times every shift, patients at Bryan are going to be safer.”

Nurse manager Janelle Bray, RN, adds, “Vigilance also prompts nurses to assess and manage patients’ pain every hour, and confirm that bed side rails are up, bed/chair alarms are on as needed, and patients’ call bells are within easy reach — all of which promote patient comfort and safety.

“Also,” she says, “the ‘Friends and Family’ portal lets patients’ loved ones view hourly nursing updates on their smartphones or computers. Sometimes, for example, family members are from out of town, or have to go home to sleep. Using the portal, they can read online updates about the patient anytime, then call for more

PAT I E N T E X P E R I E N C E information if needed. They also can view planned patient activities online so they can schedule visits to the hospital when the patient is actually in the room rather than in therapy or treatment.”

Chara Sype, whose father, Ken Sype, was hospitalized for surgery on the Bryan East Campus in October 2015, shares her experience.

“When Dad was hospitalized, I was in South Africa — nine time zones away. That meant I was awake during what was nighttime in Lincoln, so if I wanted to call my mom for an update, she was often already asleep,” Chara says.

“It was a great relief that, through the ‘Friends and Family’ portal, I could log in at any hour to get a

‘snapshot’ of how Dad was doing. I could see that he’d been getting pain evaluation and treatment, and was taking meals, walking and having visitors. So even though I couldn’t be there, I knew he was healing, and that really put my mind at ease.”

“Importantly,” adds Marilyn, “the system saves considerable nursing time because it reduces documentation of hourly nursing rounds to just five to seven computer clicks, and eliminates duplicate and extra patient calls.

“Vigilance helps our nurses spend uninterrupted time with patients, checking in each hour briefly but thoroughly. In this way, we can provide undivided attention to each patient and

Janelle Bray, RN, demonstrates the Vigilance system.

To see a video about Bryan’s “Friends and VIDEO Family” portal and the Vigilance nurse rounding computer system, please go to bryanhealth.org/visitors.

focus on our top priorities: patient safety, comfort and healing.” n To learn how your gift can support the work of Bryan Health, call 402-481-8605, or go to bryanhealth.org/ b2020.

Not feeling well? Getting care just got more convenient.

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Bryan Journeys 9

BRYAN COLLEGE OF HEALTH SCIENCES

Outgoing president puts others first

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t’s a gorgeous Friday afternoon in the Bryan College of Health Sciences when Marilyn Moore, EdD, sits down to reflect on her last four years as president of the college. The walls of her office are filled with vibrant, energetic and inspirational works of art that speak to the soul. The room is an instant reflection of her love for her community, art, traveling the world and people. She has a shelf of books ranging from children’s picture books to readings on executive leadership.

She opens a favorite to a bookmarked page — Martin Luther King Jr.’s Letter from Birmingham Jail. Reading from near memory, she quotes, “We are caught in an inescapable network of mutuality, tied in a single garment of destiny. Whatever affects one directly, affects all indirectly.”

Marilyn and Dave Moore proudly support Bryan Health and local nonprofit organizations.

10 Spring 2016

RECOGNIZING CONNECTEDNESS It is this deep understanding and appreciation of interconnectedness that has driven Marilyn through her impressive career of helping others and making a constructive impact in this world. She explains, “We as humans, and all of life, are undeniably connected to this world, and with a shared destiny. By recognizing and building these deeper connections, we have stronger organizations.”

This truth is fundamental to the legacy of Marilyn’s time leading the college.

Fittingly, she even writes a biweekly letter

BRYAN COLLEGE OF HEALTH SCIENCES

As president, Marilyn was a fixture at graduation ceremonies. to staff titled “Connections.”

Marilyn joined Bryan College of Health Sciences as president in 2012 with a long record of working for the betterment of the community through Bryan. Previously, she served 10 years each on the Bryan Medical Center Board of Trustees — including four years as its chair — and the Bryan Health Board of Trustees, as well as nine years on the Bryan College of Health Sciences Board of Trustees. In addition to this service, she brought with her tremendous education and administration experience, including 40 years in Lincoln Public Schools as a middle school teacher, a human resources administrator and associate superintendent. In her honor, the new Marilyn Moore Middle School is set to open in 2017.

Bryan College of Health Sciences offers undergraduate degrees in nursing, sonography, and biomedical sciences, and graduate degrees in nurse anesthesia and nursing education and leadership.

Under Marilyn’s guidance, the college has experienced positive growth in enrollment and programs. During her

term, which ends with her retirement on June 30, the college has added two masters programs and two doctoral programs, along with an undergraduate degree in biomedical sciences. There has been a noticeable development of a graduate culture. The college is financially strong and has high enrollment, helping to meet the demand for highly qualified graduates in the health care industry throughout Nebraska and beyond.

Marilyn is quick to give credit for all of these accomplishments in the College to a superb leadership team and faculty, noting that her role is to make sure that people have what they need to do their best work, and that their best work is truly excellent.

PHENOMENAL EXPERIENCE “It’s been a phenomenal experience,” Marilyn says. “I came in at a time where we’ve been able to solidify the good work of the college and move to the next stage.

I’m around the students daily. It’s exciting to see them at the start of what will be a magnificent career for them.”

In working closely with students and faculty, she is impressed with the quality of the students at the college. “Students who have chosen health care for their careers come here with a strong mission.

They want to make the world a better place. It’s an inspiring atmosphere.”

This ability to improve lives drives her.

Marilyn sees a direct correlation between education and health care, and the community. “When you increase access to education and health care, the individual quality of life increases. And when quality of life increases, it improves the quality of life for the community as a whole.”

Bryan College of Health Sciences and its predecessor institutions now have more than 6,000 graduates who are working to improve the lives of others.

Beyond her role as college president, Marilyn and her husband, Dave Moore, PhD, who teaches in the departments of Sociology and Criminal Justice at the University of Nebraska at Omaha, are working together to help improve access to education.

Recently, the couple established

Recognizing 40 years in Lincoln Public Schools and her continuing contributions to education, Lincoln’s newest middle school will be named after Marilyn.

Bryan Journeys 11

BRYAN COLLEGE OF HEALTH SCIENCES

We appreciate the Moores’ willingness to support tomorrow’s care givers a Bryan College of Health Sciences scholarship, an effort that will continue to have lasting positive impacts. This Master of Science in Nursing scholarship will be awarded to students who intend to become educators.

Dave notes, “If you have the means to do something, you have a responsibility to help others, or pay it forward. The goal in this life is not based on what we can do for ourselves but what we can do for others.”

With this in mind, the couple encourages others to consider donating or establishing a scholarship. Marilyn understands the pressures on students, many of whom are women, nontraditional students and single moms. Without financial assistance, some may not be able to afford to finish their education and drop out or have to go to part-time enrollment.

“Scholarships help students beat the odds,” she says.

IMPROVING OTHERS’ LIVES A deep commitment to others is a shared value for the couple. The Moores are well-known throughout Lincoln for their civic engagement with priorities in education, children and the arts. In addition to the Bryan Foundation and their church, Saint Paul United Methodist Church, they are contributors to The Food Bank of Lincoln, the Lied Center for Performing Arts and the Lincoln Symphony. Marilyn continues to be active with the BackPack Program and other education efforts for children, as well.

12 Spring 2016

“We live in an amazing community with so many opportunities to help and support others,” she says.

Marilyn’s commitment to the college will continue. After her retirement as president, she will be teaching a course in leadership. Her passion for education and the connectedness of the world continues.

She says, “With every graduate of the Bryan College of Heath Sciences, we are sending people out into the world fully prepared to improve the quality of life for others. And each one of those graduates will have 40 years of improving the lives of others. Think about that impact for a moment. I love being connected to that effort.” n

As a trustee, Marilyn helped salute longterm employees at recognition dinners.

Dr. Lloyd will lead College

Richard Lloyd, PhD, will succeed Marilyn Moore, EdD, as the next president of Bryan College of Health Sciences.

Dr. Lloyd grew up in Hastings and earned an undergraduate degree in English from Hastings College, a master’s from Emporia State College of Emporia, Kansas, and a doctorate in English from the University of Nebraska-Lincoln.

He was on the Hastings College English Department faculty for more than 20 years and during that period served as Vice President for Academic Affairs, Dean of Faculty and Vice President for College Initiatives.

For the past four years, Dr. Lloyd has been president of the College of Saint Joseph in Rutland, Vermont.

BRYAN FOUNDATION

Hepburns’ donation a difference maker

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or Tim and Sondra Senior development officer Hepburn of Walton, Valerie Hunt says the Hepburns’ “Our family hopes the decision to support donation is an example of a gift that this gift will the Bryan Foundation that can make a tremendous be of help in was driven by personal impact, while providing tax experience. advantages and being a very expanding services “My upbringing was unique, to accommodating process for to a group of people say the least,” says Tim. “As a result, donors. that seemed to be I have insight into a specific field of “We were pleased to accept medicine that many people don’t the Hepburns’ donation,” says under serviced.” have.”

Valerie. “We were able to sell the — Tim Hepburn In the 1960s, Tim’s mother home, and the proceeds will go was a social worker for the Lincoln to support mental health in the Regional Center. community — something that is “There was a big push for deinstitutionalization. They were very important to the Hepburn family.” downsizing mental health hospitals everywhere,” explains Tim. With the Bryan Foundation handling all of the paperwork “The only problem was that people had been in the hospital and closing details, Tim says the transaction was very simple. for 20 or even 30 years, and there was no supportive housing “Our family hopes that this gift will be of help in expanding available.” services to a group of people that seemed to be under serviced Moved by the desire to help, Tim’s family invited six and often forgotten.” mentally ill adults to live with them, while continuing to care for With a daughter in social work and another who used to their immediate family, which had five children under the age of work in the mental health unit on the Bryan West Campus, the 10.

Hepburns’ impact now extends to three generations of family “We became a strangely blended family. These new family members helping individuals with mental health challenges. members influenced my life in a significant way, giving me a When asked about the donation, Tim says it was a matter of different view of the world and what’s important in life.” giving back.

As Tim grew up, he was impacted by mental health issues “I’d recommend this type of donation to anybody who has in yet another way. Soon after becoming an adult, Tim’s oldest strong feelings to a specific cause,” he says. “You don’t have to brother was diagnosed with schizophrenia. This, coupled with write a check to make a difference.” his childhood experiences, gave him a deep desire to impact The Bryan Foundation welcomes all types of gifts of real individuals struggling with mental illness. estate, varying from condominiums to farmland. As with “Unfortunately, many of the things I saw people struggling other appreciated property, a gift of real estate can unlock the with 30 years ago are the issues still plaguing individuals today.” full value of your property and offer you specific economic The Hepburns approached the Bryan Foundation to make a advantages while providing lasting benefits to Bryan Health. contribution — donating a home that had been used to house The Bryan Foundation carefully evaluates each potential gift to mentally ill individuals in the community for the last 40 years. ensure it will enhance Bryan Health’s mission. n “We’ve been involved with mental health both professionally To learn more about giving opportunities, please contact and personally our whole lives. This was a way to pass on that the Bryan Foundation at 402-481-8605. gift,” says Tim. “Plus, all of our children were delivered at Bryan, so we have a fondness for Bryan Health.”

Bryan Journeys 13

NEW AT BRYAN

Darrell Bolles (center) is thankful Jonathan Henning, MD, (left) and Don Henslee, MD, use the latest prostate cancer detection tools.

MRI-ultrasound fusion biopsy guides cancer treatment

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agnetic resonance imaging (MRI) and ultrasound are the imaging tests most often used by doctors to guide biopsies. Recently, those technologies were combined to create MRI-ultrasound fusion guided biopsy, or “fusion biopsy” — a major advancement in detecting prostate cancer.

Although only a small number of U.S.

14 Spring 2016

hospitals and doctors have the necessary equipment and experience to perform fusion biopsy, Bryan Health recently combined forces with urologic surgeon Jonathan Henning, MD, and his partners at Urology, P.C., diagnostic radiologist Eric Williams, MD, of the Lincoln Radiology Group, and radiation oncologist Joseph Kam Chiu, MD, of Southeast Nebraska Cancer Center, to bring this new technology to Lincoln.

As Dr. Henning explains, “We wanted to bring a more sensitive diagnostic tool to Lincoln, especially for men with low-risk prostate cancer, for whom the standard treatment is medical surveillance — a ‘watch and wait’ approach — rather than surgery.”

Dr. Williams adds, “Patients who are good candidates for fusion biopsy are those who have elevated blood prostatespecific antigen (PSA) levels, and have

NEW AT BRYAN undergone standard ultrasound-guided random needle biopsy to screen for prostate cancer. If that standard biopsy is negative, we continue to screen that patient carefully to detect prostate cancer quickly if it develops later.”

One of those patients is Darrell Bolles of Lincoln, who was diagnosed with prostate cancer following a fusion biopsy by urologic surgeon Don Henslee, MD, then successfully underwent prostate surgery performed by urologic surgeon Peter Howe, MD. “The MRI-ultrasound fusion biopsy was the way to go,” says Darrell. “Dr. Henslee was very good at explaining everything as he went along, and the whole procedure took just 30 minutes start to finish. And there was little discomfort, no bleeding, and I didn’t have to go to the surgery suite or be under anesthesia, which was great.”

Fusion biopsy enhances prostate cancer detection by combining detailed, three-dimensional MRI images with realtime ultrasound images of the prostate, allowing very specific targeting of areas of

the prostate that are most likely to contain cancer in each patient’s case.

Dr. Williams explains more about how fusion biopsy is performed. “First, the patient undergoes an MRI scan to create multiple images of the prostate. The radiologist then evaluates the MRI images for areas of concern that might indicate cancer. If any areas of concern are present, the radiologist works with staff members at a company that created specialized software for this purpose to transfer the areas of concern on the MRI images to the software program. The software company then fuses the images and sends them to the urologist.” The urologist uses those images in combination with ultrasound to specifically target the areas of concern during the biopsy procedure.

“Prostate-specific antigen testing, digital prostate exam and standard random needle biopsy are the current gold standard in detecting prostate cancer,” Dr. Henslee says. “The MRI-ultrasound fusion biopsy approach simply improves upon that gold standard. It’s the next step in the genesis of

prostate biopsy.”

“There’s very clear evidence that fusion biopsy can find aggressive prostate cancer in 25-30 percent of patients for whom the severity of disease was underestimated by a previous standard biopsy,” Dr. Henning adds, “We also know that the rate of successfully detecting prostate cancer by standard biopsy is 24 percent, versus 54 percent with fusion biopsy, which means this new technology is more than twice as sensitive in finding prostate cancer.”

“So this new fusion biopsy approach is a finer tool that lets us find and evaluate small, subtle tissue changes that can indicate aggressive forms of prostate cancer in their early stages. That‘s really important because we can start treating those aggressive prostate cancers earlier, so we see better outcomes for our patients,” says Dr. Williams.

Dr. Henning and his colleagues also emphasize the importance of prostate cancer screening in protecting patients’ health.

“The take-home message is that 250,000 men are diagnosed with prostate cancer in the United States every year, and though it’s often low-risk, 30,000 men actually die of this disease each year,” Dr. Henning notes.

He adds, “It’s obvious that burying our heads in the sand by not screening for a disease that affects and kills that many American men is not a great idea. So, talk with your doctor about how and when to screen, and the pros and cons of prostate screening in your particular case.” n To learn how you can support the work of Bryan Health, call 402-481-8605, or go to bryanhealth.org/b2020.

If you need help finding a physician, visit bryanhealth.org/doctors.

Radiologist Eric Williams, MD, appreciates the sensitivity of the new imaging system.

Bryan Journeys 15

MEDICAL STAFF SPOTLIGHT

Ask the doctor: Is my child ready for summer?

Pediatrician Phil Boucher, MD, discusses ways to help your children enjoy a safe — and active — summertime.

Phil Boucher, MD, is a pediatrician at Lincoln Pediatric Group. To contact him, call 402-489-3834.

Dr. Boucher graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2011 and completed a pediatric residency at UNMC and Children’s Hospital and Medical Center in Omaha.

Q: Why did you choose pediatrics for your career?

In medical school, I really enjoyed learning about diseases of childhood — genetic abnormalities, congenital malformations, childhood infections, etc. I found out quickly that the diseases of adults were often a consequence of their lifestyle choices (smoking, drinking, poor diet, sedentary lifestyle) and I didn’t have any interest in fighting that battle each day. The diseases of children are rarely their own fault. They can be very ill but recover quickly. I also found great satisfaction in helping parents to provide the best they can for their children.

Q: As a pediatrician, what does your day to day look like?

Every day is quite variable, which makes it fun and interesting.

I see patients in the hospital, admit sick patients and healthy newborns, before my clinic starts. I spend most of the day in clinic. My patient schedule varies widely — well infants and children, acute sick visits, chronic problems, behavioral and psychiatric issues. Sometimes a really sick child will come in and the whole day may be turned on its head to take care of that child. It varies seasonally, as well. In the winter, we see a lot more sick children. In the summer, we spend a lot of time doing checkups and dealing with injuries (broken bones, putting in stitches, etc.).

16 Spring 2016

MEDICAL STAFF SPOTLIGHT Q: In what ways is pediatrics rewarding for you?

Working with families is such a pleasure. Everyone wants to do the best for his or her child, and we, as pediatricians, are able to help parents accomplish that. Children are, for the most part, healthy, and so when they get sick they improve quickly. We get to spend more time on helping families achieve the best for their child.

Q: What are the biggest issues in pediatrics now?

Like most of medicine, pediatrics has embraced evidencebased medicine. We try to do the best for the most patients using the fewest resources needed. Guidelines for common pediatric ailments — ear infections, respiratory infections, etc.

— are changing. We are doing less and less (fewer antibiotics, breathing treatments, etc.) and getting better outcomes.

Unfortunately, psychologic and psychiatric conditions are on the rise. We are seeing so many more teens (and younger kids) with depression, anxiety and serious behavioral issues.

It’s frustrating for teens, families and providers.

Childhood and adolescence are much more stressful and anxiety provoking than these ages used to be.

Q: What are the most common issues for which you treat children during the summer?

Kids are outside more in the summer. We end up treating a lot more children with broken bones, lacerations needing stitches, sun burns, etc., but I would rather have children needing casts and stitches than just sitting on the couch.

Q: With many families traveling during the summer, do children need specific medications or vaccinations for travel?

Typically not. If traveling outside the United States, it is important to speak with your doctor about any travel vaccinations or medicines that should be taken while abroad.

Q: The Zika virus has been in the news. What do parents need to know?

Lots of news is emerging about the Zika virus. It seems that in children and adults the symptoms are self-limited, like most viral infections. Pregnant mothers are at higher risk for complications for their unborn child and should speak with their doctor about minimizing risks of infection.

Q: When should children use insect repellent during the summer?

Whenever bugs are biting, especially in the early evenings and nighttime.

Q: Are some insect repellents considered safer than others? Does the age of the child matter?

Bug spray containing DEET is the best choice for children as it is safe and offers the most protection. Children over two months of age can use DEET containing bug spray. Other bug repellents (oral medicines, wristbands, backyard bug zappers, etc.) are not effective and can be avoided.

Q: How do parents know if an insect bite needs to be seen by a pediatrician?

Most bug bites are red and itchy but resolve after a few days.

Contact your pediatrician if swelling worsens, the site becomes very tender, or there is drainage.

Q: What do parents need to know about bee stings?

The vast majority of children with a bee sting are just fine.

The main issues are pain and redness at the site. Only honey bees leave a stinger, and it looks like a tiny black dot. Parents can use a fingernail or credit card to scrape it off.

Q: Is hydration a bigger concern during the summer? What can parents do to help a child stay hydrated?

Most children do a good job of recognizing thirst. The best thing a parent can do is have their kids take frequent water breaks and send water bottles with them to activities.

Q: What are symptoms of dehydration in children and when should they be seen by a pediatrician?

Serious dehydration from outside play is rare in children.

Symptoms of serious dehydration include no urine, fast heart rate, flushed appearance without sweating, and abnormal speech or activities. Those children should be seen immediately.

Q: What is important to keep in mind for a child’s safety at lakes or pools?

Vigilance by caregivers is key. Being in the same vicinity isn’t

Bryan Journeys 17

MEDICAL STAFF SPOTLIGHT enough — a young child can drown right in front of a parent if they aren’t watching what the child is doing in the water. A drowning toddler won’t necessarily be thrashing around or making noise to alert the parent that something’s wrong.

Q: What’s your advice for parents to protect their children from sunburns? Why is this essential?

Sunscreen use (the higher SPF, the better) is critical.

Most parents do a fine job of putting sunscreen on once but then never reapply. Sunscreen should be reapplied every few hours with sun exposure.

Sunburns can be very painful and can have long-term effects — skin damage, scarring and increased skin cancer risk.

Q: With the change in routine from school to summer vacation, do you have any recommendations for parents when making this adjustment?

Try and inject some normal routines into the summertime free-for-all. Most kids are used to a very regimented school day and struggle when the docket is wide open for three months. You certainly don’t need to (nor should you) schedule every moment of summer, but small daily and weekly routines help children know what to expect.

Q: During the summer, many parents like to ride bicycles in the nice weather. Is it safe for children to ride bicycles with their parents? If so, what precautions should they take?

Helmets, helmets, helmets. I ask every child who has a head injury from being injured while on something with wheels (skateboard, scooter, bike, hoverboard, etc.) if they were wearing a helmet, and so few were.

Children will wear their helmets only if parents consistently require them to. Make it like putting on a seat belt — every single time!

Q: How safe is it for children to ride motorcycles with their parents? What precautions should parents take?

I can’t say I think it’s very safe for adults to ride motorcycles, so I certainly would not recommend children ride with them, too! The risk of serious injuries is way too high.

Q: For children who play summer sports, what are common injuries that would need to be seen by a pediatrician?

We see lots of acute strains, sprains and broken bones.

18 Spring 2016

Chronic overuse injuries are common, too, especially as kids are playing the same sport nearly year-round.

Q: What are the symptoms of a sprain?

Sprains usually involve the fairly acute onset of pain, swelling and limitation in movement. Ankle sprains are very common, as well as wrist sprains.

Q: Should a parent seek medical attention for a child’s sprain? Why or why not?

The real question often comes down to: Is this a sprain or a break?

It can be hard for parents to know, so if it’s not clear, a visit to the doctor can help sort this out. Typically these children don’t need to be seen in the Emergency Department or urgent care.

Breaks requiring immediate surgery are usually very obvious.

Q: What are the symptoms of a broken bone?

Serious breaks are typically obvious: No one misses a limb that is pointed in the wrong direction or when a bone is sticking out. These children will need to be seen immediately to have the break fixed in the Emergency Department or operating room. Less serious broken bones can be more subtle and don’t need to be identified as quickly. Often wrist pain after a fall or a limping toddler after a fall will have a small break that requires immobilization (casting or splinting). These can usually be addressed the next day at the doctor’s office if the pain can be managed at home.

Q: When does a cut need stitches and what should a parent do?

If a cut is gaping or won’t stop bleeding, it should be evaluated. Check with your pediatrician’s office to see if he or she can handle this and avoid a trip to the ER. We are able to glue some lacerations, but in little children I often prefer to do stitches because repeat injury to the area (common in the under-five crowd!) will often bust open the glue.

Q: Do you have a “best tip” for parents?

The more time and attention you can give your child, the better off he or she will be. Don’t avoid activities because of worries about broken bones, bruises or other summer maladies.

I’d much rather a child experience those than sit on the couch watching TV! n

MEDICAL STAFF UPDATE

New faces at

Dr. Mike Breiner, heart surgeon, died Feb. 9

Bryan

Tovah A. Buikema, DO, maternal fetal medicine, has joined Nebraska Maternal Fetal Medicine Specialists, 402-219-8005.

Dr. Buikema earned a doctorate at the Chicago College of Osteopathy Medicine, Midwestern University, Downers Grove, Illinois, in 2008. She completed a residency in obstetrics and gynecology at St. James Olympia Fields, Chicago, and a fellowship in maternal fetal medicine at St. Joseph Mercy Oakland of Pontiac, Michigan.

Dr. Buikema conducted research projects and contributed to an article in the Journal of Reproductive Medicine.

Brett Studley, MD, hospitalist, is moonlighting with Inpatient Physician Associates, 402-481-8566.

Dr. Studley graduated in 2001 from the University of Nebraska Medical Center College of Medicine, Omaha.

After completing the Lincoln Family Medicine Residency Program through the Lincoln Medical Education Partnership, he was a staff physician at Valley County Hospital and Ord Family

Health Clinic, and served satellite clinics in North Loup and Burwell.

Dr. Studley is an Emergency Department physician and hospitalist at Beatrice Community Hospital, where he was the Emergency Department medical director from 2005-2009.

He has served on the Board of Directors of the Nebraska Chapter of the March of Dimes, was a TeamMates mentor, EMS medical director for Beatrice Fire and Rescue, and hospice medical director at Beatrice Community Hospital.

J. Reggie Thomas, DO, gastroenterology, has joined Gastroenterology Specialties, 402-465-4545.

Dr. Thomas graduated from the Kirksville College of Osteopathic Medicine, Kirksville, Missouri, in 2007. He completed an internal medicine internship and residency, as well as a gastroenterology fellowship, at Banner Good Samaritan Medical Center, Phoenix. He has been in practice in Lincoln since 2013.

Dr. Thomas has presented his medical research at national meetings and has been published in several gastroenterology medical journals. He specializes in diagnosis and treatment of adult digestive disorders, and his expertise extends to all aspects of endoscopy.

Longtime Nebraska surgeon Michael “Mike� Breiner, MD, died Feb. 9 at age 82.

Dr. Breiner was born in Norton County, Kansas, in 1933 and was raised in Bradshaw.

This Korean War veteran married Katherine Krueger in 1958 and began his medical career as a physical therapist.

After graduating from the University of Nebraska-Lincoln and the Creighton University School of Medicine, Omaha, he practiced in Greeley, Colorado. Dr. Breiner studied anesthesiology in Boston and from 1968-1974 was a general practitioner in York. He completed a surgical residency in Lincoln and a cardiothoracic residency in Charlotte, North Carolina.

Dr. Breiner returned to Lincoln as a cardiothoracic surgeon and was involved in many pioneering procedures, such as some of the first heart transplants in Nebraska.

He retired as a surgeon in 1993 but continued to perform postoperative care. He remained active in the community and was a Pius High School booster and part-time farmer.

He is survived by his wife, their three sons and two daughters, 11 grandchildren and three sisters. n

To learn more about physicians on the Bryan Medical Staff, visit bryanhealth.org/doctors.

Bryan Journeys 19

BRYAN LIFEPOINTE

Champion gets lift from LifePointe “A river cuts through a rock, not because of its power but its persistence.” — Jim Watkins

L

Lela McNinch shows off the powerlifting awards she won at the State Games of America.

20 Spring 2016

ela McNinch of Lincoln knows the power of persistence. Like many of us, Lela had a goal of being healthier and stronger.

Two years ago, she had the typical pain in her back, knees, hips and joints that comes with age. At the end of the day, she was tired and sore and needed a change. This grandmother of seven decided to do something about it. She joined Bryan LifePointe and dedicated herself to caring for herself.

Lela had always been naturally strong, and she had been working out at LifePointe for about a year when she decided to take it to the next level. After some soul searching, she set a goal of competing in powerlifting. She had never powerlifted before but knew this was an opportunity to capitalize on her natural ability.

With this new goal, she needed a trainer and began working with Jon Cook — one of eight trainers and wellness coaches dedicated to client excellence at LifePointe. Even though she knew she wanted to compete, she didn’t know all of the lifts she would need to learn for competition. Jon was able to help.

Throughout the year, with her coffee and breakfast on board, Lela trained five days a week, early in the morning.

Working with Jon twice a week, she learned to lift correctly — making slow and steady progress while avoiding injury.

Lela reflects, “I think that women hear ‘lifting’ and think of muscle mass and

BRYAN LIFEPOINTE

personal training bulk, but my experience has been the opposite. In short order, my body began to transform, and I became leaner and fitter.”

Jon noted that it’s more than just the training that leads to improvements — success also requires drive and perseverance. “Lela had a great base of strength from the beginning, but it was her willingness to be challenged that helped her make quick gains.”

In August 2015, Lela competed in the State Games of America hosted in Lincoln.

At the age of 50, she entered events in the Masters Powerlifting competition and in the Open Powerlifting competition, where she competed with athletes of all ages from throughout the United States.

Lela recalls, “It was awesome.”

Having met her goal of competing, Lela accomplished victories beyond her expectations, earning five gold medals and a bronze medal. She even surprised herself and set a national record, the Lifetime Masters Lift Record, for how much weight she lifted in her age group.

Naturally, she was thrilled.

“Winning those medals was extremely rewarding. When I started this journey, I wanted to have the health to live as long as I want to live. I wanted to have energy to play with my grandchildren and enjoy life to its fullest,” Lela says. “Now, I feel like I’m on the right path, and that keeps me going.”

And Lela’s still going. She is working with Jon to prepare for the 2016 State Games.

“Lela is a dream client,” Jon says.

“As a personal trainer, it’s great to help someone reach their goals. She has the willingness to train and she embraces the

Lela and certified athletic trainer Jon Cook are all smiles after a workout at the Bryan LifePointe Campus.

LifePointe philosophy of well-being. We’re working to keep her on track for this year’s State Games where I’m sure she’ll succeed again.”

Whether on the free weights, machines or swimming, Lela feels stronger and healthier. After working out, Lela rewards herself. She usually opts for a soak in the hot tub, but when she’s really sore, she enjoys a 90-minute massage to help her muscles and mind relax. Other rewards are the occasional manicure, pedicure or facial, all offered conveniently onsite at The Spa at Bryan LifePointe.

“For me, the professionals at LifePointe really made a positive difference and helped me achieve gold,” Lela says. “The people who work at

LifePointe are dedicated to everyone who comes here — every single one of us.

They genuinely care about our health and well-being.”

Over the course of two years, Lela says her health has improved significantly.

“I no longer ache. I’ve lost weight, lowered my cholesterol and gained muscle. I’m now leaner and stronger, and most importantly, I have the energy I need for my grandkids. I’m living the healthy life that I’ve always wanted to live.”

Lela is an example of the power of persistence. In fact, she even has her husband working out with her now, too.

“I encourage anyone who wants to feel better and live healthier to make a goal. Then, meet with the LifePointe experts to map out a plan to victory. It worked for me, and I have the gold to show for it.” n Bryan LifePointe in Lincoln is a medically based health, wellness and fitness center affiliated with Bryan Health. The LifePointe team of therapists, fitness experts and health coaches provides expertise through exercise and health programs, rehabilitation and spa services.

LifePointe works with you to meet your needs and goals through fitness, nutrition and weight loss, healing and Spa/MedSpa offerings with a complete focus on your well-being. For more information, call 402-481-6300 or visit bryanlifepointe.com.

VIDEO

To see an inspirational video about Lela McNinch, go to bryanlifepointe.com/ member-stories.

Bryan Journeys 21

BRYAN BARIATRIC ADVANTAGE

Weight loss surgery

Part of Phillip’s winning strategy BEFORE

Paramedic Phillip Oelschlager lost nearly 180 pounds following weight loss surgery.

He continues to improve his health through the Bryan Bariatric Advantage Program.

22 Spring 2016

TODAY Phillip says, “I’m happier ... and have a sense of satisfaction, and I’m absolutely more able to enjoy my life now.”

BRYAN BARIATRIC ADVANTAGE

A

lthough not a quick fix for obesity, weight loss surgery can be a dramatic turning point in the lives of people who are dangerously overweight.

Also known as “bariatric” surgery, weight loss surgery includes several types of procedures to help patients feel satisfied with less food. These surgeries, which include gastric bypass, gastric banding and sleeve gastrectomy, can be appropriate for people who are at least 100 pounds overweight and have a body mass index rating of 35 or more, with or without health problems related to their excess weight.

Before being considered for weight loss surgery, candidates must have worked to lose weight by diet and exercise, and they have to undergo a thorough medical examination.

General and bariatric surgeon Benjamin Hung, MD, of Surgical Associates, performed sleeve gastrectomy surgery on Phillip Oelschlager in 2015.

“I was very overweight,” Phillip says, “and despite many attempts, I’d never reached a healthy weight or maintained a significant weight loss.”

This Crete Area Medical Center paramedic lost nearly 180 pounds during the six months after his surgery, with ongoing support from family, friends and

the Bryan Bariatric Advantage Program.

“As a paramedic, I have an active job and a very active work environment, and that motivated me to lose weight,” Phillip says. “Also, as a health care professional, I knew I was at increased risk for heart disease, diabetes and other medical problems because of the extra weight I was carrying.”

He adds, “It’s important to understand that bariatric surgery is a tool rather than an end in itself.

“To be successful at losing the weight and keeping it off, you have to completely accept that you’ll do a ton of additional work to change lifestyle habits that caused your weight gain in the first place.”

Dr. Hung agrees. “As Phillip says, surgery is only part of the picture. Patients typically lose weight over a one-to-twoyear period after surgery, but have to make significant, lasting changes in their diet and exercise habits to maintain that weight loss over the long term,” he says.

“That’s why, at the Bryan Bariatric Advantage Program, we offer lifelong services to help our patients maintain their weight loss. This includes ongoing support groups, diet and exercise classes, and regular physician examinations over at least a five-year period.

“The reasons people have trouble losing weight are many and varied, so the Bryan Bariatric Advantage team

Bryan’s Bariatric Advantage Program offers lifelong services to our patients to help them maintain their weight loss, say Dr. Benjamin Hung and Pam Wolfe, APRN. To learn more about weight loss options, contact the Bryan Bariatric Advantage program by calling 402-481-5454, or go to bryanhealth.org/bariatrics.

thoroughly evaluates each patient’s medical condition, diet and exercise habits to identify individual causes and help them work through these problems.”

“Fortunately, medical problems such as hormone imbalances are actually quite rare — they happen in only about 2 percent of patients,” says Pam Wolfe, APRN. “High caloric intake and reduced exercise are the most common causes of weight gain, which is very good news, because these factors can be changed.

We know, though, that people require lots and lots of support, information and encouragement to make these changes permanent, so that’s what we provide at Bryan Bariatric Advantage.”

She notes, “Some patients struggle with a little ‘up and down’ in their weight during the first year or so after bariatric surgery, but they should definitely not feel discouraged. This doesn’t signify failure, but rather that they should come back to us for the support they need, and to identify diet and exercise changes that can get them back on track.”

“This has definitely been a process,” says Phillip, “but I’m now well on my way to my target weight, and I feel confident that with the ongoing support of Bryan and my friends and family I can maintain a healthy weight for the rest of my life.

“A great thing is that, in addition to having more energy at work, my life is better in many other ways. Where I was constantly tired and worn down, I’m now more upbeat and optimistic. I also sleep better and feel good when I get up in the morning. And I’m happier, which has paid some real dividends in my friendships and relationships. Overall, I have a sense of satisfaction, and I’m absolutely more able to enjoy my life now.

“I didn’t know how bad I felt until I lost all that weight,” he says. “I feel so much better now.” n

Bryan Journeys 23

CRETE AREA MEDICAL CENTER

Board member praises care after

S

hirley Siedhoff had many people to thank when she woke up in the hospital and learned just how close she came to not waking up at all.

In the hours following her heart attack, her family had gathered to say goodbye, and a priest administered the Sacrament of the Last Rites.

The Emergency Department staff at Crete Area Medical Center (CAMC) kept working with her even when its efforts appeared futile.

Shirley was eager to share her gratitude.

But the first doctor she spoke with told her she could also thank two pieces of equipment they used that day — equipment that ironically, Shirley played a role in purchasing.

Each year, the Crete Area Health Care Foundation’s Care and Share campaign raises funds to buy equipment for CAMC. Shirley is a longtime supporter and current Vice President of the Foundation, and even led the campaign a time or two in the past.

She always thought of it as community service, helping to raise money for one or more pieces of equipment that would help CAMC better serve patients.

On Oct. 1, 2015, she was that patient — and a BiPAP (Bilevel Positive Airway Pressure) machine and a portable X-ray machine purchased by the Foundation helped save her life.

“I swear I wouldn’t be here today if not for the staff and that BiPAP machine,” Shirley says.

The morning of her heart attack

24 Spring 2016

Shirley Siedhoff is thankful the appropriate staff members and equipment were on hand when she had a heart attack.

CRETE AREA MEDICAL CENTER

surviving heart attack began innocuously enough. Shirley felt really good when she woke up to meet friends for their usual 6 a.m. walk at Doane College. The air was cool but nice for October. Shirley, 80, picked up her friend, Wilma Pflasterer, the only one of the group who could make the walk that day.

Just two laps into their six-lap routine around the track, Shirley was in trouble.

TROUBLE BREATHING “I couldn’t breathe all of a sudden.

I felt like my heart was beating outside of my chest it was beating so hard,” she recalls. Whether denial or fuzzy thinking, Shirley didn’t consider her heart might be to blame, despite having two stents put in following an irregular heartbeat in 2008.

She hadn’t worried about her heart since.

Back problems and knee issues stole the spotlight.

“When I couldn’t breathe, I thought it had to be my lungs or something,” she says, laughing at the idea now with the benefit of hindsight.

Shirley insisted she could drive her friend home that morning and then call the doctor on her own, but Wilma eventually convinced Shirley they should drive to the hospital. At the Emergency Department, Shirley dropped down into a wheelchair and felt relief at the sight of familiar nurses’ faces — but she remembers little else that happened during the next several hours.

Family and medical personnel have filled in the details for her. It was a heart attack, one that had dropped her blood oxygen levels to 40 percent (compared to normal levels of 95-100 percent). Staff

used a portable X-ray machine to get a clear, instant picture of her chest, which showed her lungs were filled with fluid.

Shirley did not respond initially to medicine or traditional protocols. Doctors used the BiPAP machine to quickly force air into her lungs to help her breathe.

Doing so saved Shirley from being sedated and intubated, so she could respond as much as possible during doctors’ assessments.

Shirley’s daughters, who live nearby, arrived at the hospital first and were told it would be best to call the rest of the family. Shirley’s priest also was notified.

The family, which consists of five children and 13 grandchildren, packed a small room. “We kept hearing from staff that they weren’t sure they’d had this many people in the room before,” Shirley’s daughter Sandy Vyhnalek remembers. The family prayed and took turns trying to tell Shirley goodbye and that they loved her. But being the mother she is, Sandy says, once Shirley started responding she just kept telling them ‘to take care.’ We all laughed at that.”

STILL UPBEAT That’s one part Shirley also remembers — waking up to the room of tense, worried family faces.

“I knew it was bad when I saw the grandkids. That’s when I realized how serious it was. Then when I saw the priest, I thought: ‘Uh-Oh,’” she says with the humor that her experience did not shake.

She also remembers the ambulance personnel saying: “Stay with me, Shirley.

Stay with me,” on the transport to Lincoln.

She survived that transport, as well as interventional cardiology procedures performed by Keith Miller, MD, at Bryan East Campus, giving her one new stent in her heart and rerouting another. After five days of recovery, she was able to return to her home and begin cardiac rehabilitation at CAMC. MEDICAL MIRACLE “We are big believers in prayer so we thought it was quite the miracle, between the praying and the equipment they used, it all came together,” Sandy says.

Her caregivers agree.

“If she had not gotten to the emergency room and we had not had the necessary equipment, she would not be here with us today,” says Troy Miller, DO, the physician attending to her that day. “Actually, in my opinion, I think it is a medical miracle she is here.”

Shirley feels everything pulled in her favor to beat the odds, even the years of daily walking that strengthened her heart.

Five months beyond her heart attack, Shirley is settling back into her former routine. She continues rehab at the hospital where she served on its Board of Trustees for more than a decade. She’s starting to walk with friends again. She’s volunteering in the CAMC gift shop at least one day a week.

She will resume her duties with the Foundation and its annual campaign, reminding people of its importance and that all the money donated during the campaign stays in Crete.

You never know who might be saved by the equipment it buys. n

Bryan Journeys 25

NEW AT BRYAN

Tasty foods for you

Nutrition and Dining Services director Lily Kwan (above) shows off the relaxing dining area in the new cafeteria — where the staff typically serves about 1,400 meals a day. Lead cook Nick Espinosa (Photo 1) makes a chicken panini sandwich combo, while cook Aleen Ngirangesil prepares a noodle bowl (2 and 6) from produce options that include bean sprouts and lotus root. Cook Alfonso Ibarra (3) pulls a handmade pizza from the oven.

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26 Spring 2016

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1

4

All food preparation is overseen by executive chef Nazim Khan (at right in Photo 4). Guests to the Bryan East Campus can enjoy specialty pizzas and calzones made by Alfonso Ibarra, Kristen Owens and other cooks. Crave fancy desserts? How about a créme brûlée? (5).

G

5 6

elato! Panini!

Fresh salads!

Calzones!

Oh, my!

Such tasty foods might be unusual elsewhere, but fantastic fare is the order of the day in the remodeled cafeteria on the Bryan East Campus.

Guests and co-workers have a new and improved place to eat. It’s about 40 percent bigger than the previous cafeteria, which hadn’t had a major upgrade in more than 20 years.

It’s an inviting space, with

an aquarium, big-screen TVs, soothing decor and lighting, artwork, comfy couches and seating for all sizes of gatherings.

But — appropriately — it’s the food choices that are the biggest stars.

Of course there’s a big breakfast spread and a full range of take-out choices.

For lunch and supper, digital displays invite you to try noodle bowls, or enjoy made-to-order specialties in the deli and rotisserie stations. Many guests head directly to the serving area

near the open fire oven for freshly baked pizza or a calzone.

There’s so much more!

Besides a gelato station, there are fabulous desserts, like créme brûlée.

Stop in during the cafeteria’s expanded hours to enjoy the experience! n To see a video about the new cafeteria, VIDEO please go to bryanhealth.org/visitors.

Bryan Journeys 27

BRYAN COLLEGE OF HEALTH SCIENCES

College welcomes three instructors

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hree assistant professors have joined the Bryan College of Health Sciences faculty.

Holly Chandler is an instructor in the Nurse Anesthesia Program, and Angela McCown and Katie Ullrich are teaching in the Nursing Program.

Holly Chandler

Angela McCown

Katie Ullrich

28 Spring 2016

Holly Chandler, MS, CRNA, received a nursing degree from the College of Saint Mary, Omaha, and in 2004 graduated from the Mount Marty College School of Nurse Anesthesia.

She’s president of the Nebraska Association of Nurse Anesthetists, and for the past 12 years, Holly has worked as a nurse anesthetist for Nebraska Medicine in Omaha.

Holly plans to enroll in the Doctorate in Education Program at Bryan College of Health Sciences next fall.

“Working here has been an amazing experience,” she says. “The employees are all so positive and really seem to love their work and employer.”

As the daughter of an Air Force officer, Holly says she grew up all over the country, but especially loves the mountains of Montana and Glacier National Park.

She says, “Dad has a home there — and I hope to retire there someday, too.”

Holly and husband, Matthew, who’s an Omaha Police sergeant, have two daughters and a son, as well as a 6-month-old granddaughter and a dog named Maggie.

Angela McCown, MSN, RN, is a familiar face at Bryan Medical Center.

She worked for 12 years in medical/surgical nursing at Bryan — as an assistant nurse

manager for six of those years — and worked four years as the nurse manager of ortho trauma, including a year as manager of medical/ surgical/oncology.

Angela received a diploma from Bryan School of Nursing in 1999 and went on to earn a Bachelor of Science in Nursing from Bryan College of Health Sciences in 2009, as well as a Healthcare Management Certificate in 2013 and a Master of Science in Nursing in 2015 from Bryan College of Health Sciences.

She grew up in Fairmont and lives in Lincoln with her husband, Kyle, and their two children.

Katie Ullrich, MSN, RN, earned a Master of Science in Nursing from Bryan College of Health Sciences in December 2015. In 2010, this Redmond, Washington, native graduated from the University of Portland, Oregon, with a double major in Nursing and Spanish.

She then worked for three years in a neurology/neurosurgery progressive care unit at Providence Medical Center, Everett, Washington, before moving to Lincoln two years ago to join the Emergency Department staff at CHI Health St. Elizabeth.

“I will be working as an assistant professor with sophomore-level students in Bryan’s undergraduate nursing program,” Katie notes.

“I love to read and enjoy traveling with my husband, Taylor, in my free time.” n To find out how you can support Bryan College of Health Sciences, call 402-481-8605.

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

BRYAN ALUMNI

Events for you June 3-4

Alumni Weekend nears

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he Bryan College of Health Sciences Alumni Association proudly hosts reunion events Friday and Saturday, June 3 and 4.

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 reunion. Fifty-year reunions of the 1966 graduating classes are among the special events.

Here’s a list of Alumni Weekend activities.

Remember: Reservations and prepayment are required.

Friday, June 3

Presidential Teas n

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Bryan School of Nursing Class of 1966, 10 a.m., Bryan College of Health Sciences, 5035 Everett St. Lincoln General Hospital School of Nursing Class of 1966, 3 p.m., Alumni Museum, Bryan West Campus, 2300 S. 16th St.

Reception for all alumni, 5-7 p.m.

Conference Center on the Bryan West Campus.

Saturday, June 4

Bryan College of Health Sciences, 5035 Everett St. 10:30 a.m. — Annual Business Meeting in Room 200.

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

McMaster wins President’s Award Pam McMaster, registrar of the Bryan College of Health Sciences, received the annual President’s Award in December 2015.

Her nomination notes: “Pam is an extraordinary person who quietly makes things happen.

“She is one of the first people at work in the morning and usually one of the last to leave, and she appears on just about every committee at the college. I’m sure sometimes she must feel pulled in several directions at once, but she always has a smile. Even with her heavy workload, she frequently offers, ‘Just let me know what I can do to help you.’

“Pam takes the role of custodian of students’ records seriously and is very meticulous about accuracy.

“She exemplifies the college values of integrity (she is accountable and ethical), caring (she is compassionate and respectful), equality (she gives equal treatment to all) and learning (she is knowledgeable and open to change).”

Bryan Journeys 29

BRYAN VOLUNTEERS & CUSTOMER CARE

Picture this: Gallery provides space for employees to display creativity

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As the winner of the first-ever employee photography contest, chaplain Dennis Smith displays a collection of his favorite photos.

The Employee Art Gallery is on the lower level of the Bryan West Campus.

30 Spring 2016

hat type of camera should you use if you want to take an award-winning photograph?

If it were up to Bryan Health chaplain Dennis Smith, it’s not the camera that counts.

“When you’re infatuated with the world around you — the shapes, colors and light, it’s more about composition and capturing the moment,” he says.

It’s easy to see that Dennis has an eye for composition. After all, the photo that earned him top honors in the Bryan Health Employee Photography Contest was taken on his iPhone.

“We were just driving home one evening, and near Holmes Lake,” he explains. “I wasn’t out trying to capture a sunset. I just saw the sun setting in the west and felt compelled to stop and take a picture.”

His photo, titled “Tranquility at Holmes” was on display at the Bryan Health Art Gallery on the Bryan East Campus. As the winner of the contest, he was named the Artist of the Month and was invited to display 14 other photos alongside his winning composition.

These photos included images from an Alaskan cruise, a balloonist event and the Nebraska State Fair.

Sarah Carter, Employee Photo Contest coordinator and Volunteers and Customer Care supervisor, was excited for the results of the first contest of its kind at Bryan Health.

BRYAN VOLUNTEERS & CUSTOMER CARE “We wanted to launch a program that would showcase employee talents, promote healing, enhance quality of life and reaffirm the human spirit through visual arts,” she says. “The Bryan Employee Art Program was created for that very reason. We simply started with photography as a focus — hoping to extend this program to other art forms in the future.”

The photography contest opened in July 2015. Employees from all departments were encouraged to submit photos by email or in person. Twenty-five entries were submitted.

Since it was an employee-focused contest, it only made sense to involve

the employees in selecting the winner.

Employees were invited to log onto their employee portal, where they could look at all of the entries and vote for the one they liked best.

“It was a fun way to build camaraderie and enjoyment into this exciting new program,” says Sarah.

As a patient benefit, all photo submissions were added to a selection menu for patient viewing. Patients are encouraged to choose a favorite 5x7 photograph, which is framed to be enjoyed in their hospital room and then presented as a gift to take home from Bryan.

Chaplain Dennis Smith is thankful for

the opportunity to share his love of nature with others through this contest.

“Keep on clicking and capturing the moments while you can!” says Dennis, with a smile. “And thank God for each one of those precious moments.”

All contest photos are on display at the Bryan West Campus Employee Art Gallery and will be available for public viewing through the end of June.

To order prints of the photos on display or learn more about the employee photo contest, contact Bryan Volunteers and Customer Care at 402-481-3032. n To learn how you can help support Bryan Health, please call 402-481-8605.

Scholarships help make college dreams come true Are you a volunteer at Bryan Health who is pursuing higher education? Volunteers and Customer Care has scholarship opportunities!

Volunteers currently pursuing secondary education can apply for the Saralyn Gaston Cunningham Memorial Scholarship, as well as a Volunteers and Customer Care Scholarship.

Kayla Locke recently received a scholarship.

“I’ve been volunteering at Bryan for nearly three years,” she says.

“This scholarship allows me to focus more on my academic work at the University of Nebraska-Lincoln, as well as extracurricular activities and volunteering in the medical field on my path to becoming a physician assistant.”

This junior at UNL has been volunteering since high school. She has enjoyed getting to know the

medical staff and observing treatment of unique injuries and illnesses.

“Being a volunteer at Bryan allows me to give back to my community and gain experience in the medical field.”

Scholarship applications are available in the Volunteers and Customer Care office in October.

Anyone pursuing education at a college, trade university, technical college or college of health sciences is encouraged to apply.

Volunteers also must complete a personal essay and submit references along with a verification of volunteer hours. The Volunteers and Customer Care Board of Directors reviews the applications, and scholarships are awarded during National Volunteer Week in April.

For more information, please call 402-481-3032. n

Kayla Locke received a college scholarship from Bryan Volunteers and Customer Care.

Bryan Journeys 31

BRYAN STERLING CONNECTION

Treats! Trips! Fabulous fun for all!

Celebrate Bryan’s 90th anniversary at our Ice Cream Social!

Please join us for Bryan’s biggest Ice Cream Social ever as we celebrate the 90th anniversary of Bryan Health with this free event. As a member of the Bryan family, Sterling Connection members and their guests are invited to join Bryan employees, volunteers, medical staff and students Sunday, June 26, from 1-5 p.m. at the Pinnacle Bank Arena.

Come and go as your schedule allows.

Bands, bounce houses, photo booth and lots and lots of ice cream will make for a fun afternoon. Parking will be available.

To register for the 90th anniversary celebration, call 402-481-8355.

Your adventure awaits in 2016 Join us for a great time on one of our excursions. We promise wonderful attractions and camaraderie with your fellow Sterling Connection members.

Tours sell out quickly, and reservations are on a first-come, first-served basis.

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

EXTENDED VACATIONS n Canadian Rockies — July 17-27 The Canadian Rockies are spectacular!

Spend time in the mountain community of Banff, see gorgeous Lake Louise and raft down the Bow River. These are just a few things you’ll experience on this trip.

32 Spring 2016

n Mississippi River Cruise and

Cranberry Country — Sept. 27-30 This vacation combines the harvest of the little red cranberry with the folklore and majesty of the mighty Mississippi River. Learn how cranberries are grown and harvested, plus enjoy a relaxing excursion down the Mississippi River.

ONE-DAY TRIPS n Farms to Marbles — June 14 This tour in York, Nebraska, includes Wessel’s Living History Farm, Clayton Museum of Ancient History, Lee’s Legendary Marble Museum, and a wonderful lunch at Chances “R.” n Northeast Nebraska Adventure —

Aug. 2 Visit DeSoto Wildlife Refuge and discover the artifacts from the sinking of the Steamboat Bertrand. Enjoy lunch at Ponca State Park. n The Answer My Friend Is Blowin’ in

the Wind: Exploring Windmills, Wind Turbines and Energy Generation — Sept. 15 This unique and interesting tour explores the generation of energy. Enjoy lunch at the Lied Lodge, time to shop at the wool outlet in Nebraska City and pick up fresh apples at Kimmel Orchard. n Nebraska Winery Passport — Oct. 8

Visit three wineries and enjoy a delightful lunch cruise on the Missouri River.

You’re not a Sterling Connection member? Join today — it’s free!

Go to bryanhealth.org/sterlingconnection for an online application, or call 402-481-3355.

COMMUNITY CALENDAR Bryan Community Health Education and Sterling Connection present these free programs in the Bryan Plaza Conference Center, 1500 S. 48th St., on the Bryan East Campus.

To register, go online to bryanhealth.org/calendar, or call 402-481-8886.

True Stories about the End of Life: A Physician’s Viewpoint on Hospice Care Tuesday, May 24, 6:30-8 p.m.

We all have questions about what happens when a loved one faces an end-of-life situation — the most important being: “How can I best support my loved one at this time?” Join HoriSun Hospice medical director Bob Bleicher, MD, to learn about care options during this difficult time. Topics will include how hospice can provide comfort and ease suffering, dealing with grief, Medicare coverage and living life to the fullest.

Radon: Could Your Home and Family be at Risk?

Wednesday, June 22, 6:30-8 p.m.

Radon is a cancer-causing natural gas that you can’t see, smell or taste, but its presence can pose a danger. Join health industrial hygiene specialist Matt Loehr to learn how radon gas enters your home, effects of exposure, and how to test for and reduce radon levels.

ACHIEVEMENTS

Kimberly Russel is a new director in the Omaha branch of the Federal Reserve Bank.

Nazim Khan won a national award for innovative use of fresh produce at Bryan.

Don Sheets is an officer of the Nebraska Society of Healthcare Engineers.

Federal Reserve Award notes workplace Bank tabs Bryan’s Russel excellence

Khan garners national food service kudos

Organization re-elects Sheets

Bryan Health President and CEO Kimberly Russel is a new member of the Board of Directors of the Federal Reserve Bank of Kansas City.

The Board of Governors of the Federal Reserve System appointed Russel to a threeyear term on the Bank’s Omaha Branch, which represents the state of Nebraska.

Each of the three branches comprising the Federal Reserve Bank of Kansas City has seven directors.

These officers meet monthly to confer on economic and banking developments and to advise the Federal Reserve Bank on operations and policies. n

Executive chef Nazim Khan will receive a United Fresh Produce Excellence in Foodservice Award June 22 in Chicago.

The award honors chefs and their companies for innovative and influential use of fresh produce in the culinary arts.

Khan will be recognized in the Hotels and Healthcare Category.

“It’s such a privilege to be able to serve our patients, their families and our hospital staff,” he says. “Food makes people happy, and we have worked very hard to improve our presentation and provide a menu that is diverse and filled with healthy choices.” n

Don Sheets of Bryan Health has begun his fourth year as treasurer of the Nebraska Society of Healthcare Engineers (NSHE).

Sheets, the director of facilities and construction, is a 14-year Bryan employee.

NSHE is a chapter of the American Society of Healthcare Engineers, and members represent hospitals and their environments of care staff.

NSHE meetings encourage hospitals and vendors to learn from each other in an effort to improve safety, well-being, best business practices and quality of care for populations served by health care facilities. n

Steven Berkow of The Advisory Board hands the award to education director Brooke Cose.

Bryan Health has received The Advisory Board Company’s Workplace of the Year Award for a fourth consecutive year.

The national honor salutes hospitals for outstanding levels of employee engagement.

“Being an employer of choice is something we strive for every day, so to receive this kind of recognition is very exciting,” says Bryan Health Vice President of Human Resources Jan Garvin.

“This confirms we have highly engaged and committed employees delivering outstanding care. It’s a privilege to be associated with an organization and culture that attracts and retains the very best talent.” n

Bryan Journeys 33

Bryan Health Kids’ Club presents: 1600 S. 48th St., Lincoln, NE 68506

Home Run for Health with the Lincoln Saltdogs

Friday, June 10 Haymarket Park Home Run for Health Pregame Activities: 4:30-6:30 p.m.

• More than 30 exhibitors with interactive health and safety activities • Meet and greet with Lincoln Saltdogs players • Bounce houses and play area • One lucky child will be invited to throw the first pitch • Every child will receive a glow necklace

Baseball Game: Lincoln Saltdogs vs. Laredo Lemurs – 6:35 p.m.

Fireworks Show: Following the game

Tickets available at

saltdogs.com/bryanhomerun • General Admission Berm Seat - FREE • Reserved Seat - $6 Both ticket levels include admittance to the Home Run for Health pregame activities.

Address service requested

PRSRT STD U.S. POSTAGE PAID LINCOLN NE PERMIT NO. 1299