Journeys | Summer 2019

JOURNEYS

“Destiny is not a matter of chance, it is a matter of choice.” — William Jennings Bryan

SUMMER 2019

A brighter tomorrow for Tami

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MDs Care Like Crazy

JOURNEYS

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SUMMER 2019

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FROM OUR PRESIDENT

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SUCCESS STORY Tami conquers her opioid addiction

hysicians are eligible for a new form of recognition.

Each month at the Medical Executive Committee meeting, the Bryan Medical Staff presents an award to a doctor who goes above and beyond to “Care Like Crazy.”

Help us honor them! Share a story about a deserving doctor by emailing a nomination to chiefofstaff@bryanhealth.org.

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PAIN MANAGEMENT & OPIOID STEWARDSHIP Responding to the opioid crisis Pain control planning ensures safe, effective care Football star and recovering addict Leaf speaks Oct. 3 Managing pain without drugs: Counseling can help 10

WHEN THE OPIOID EPIDEMIC HITS HOME Pharmacist shares her family’s story

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MEDICAL STAFF SPOTLIGHT Ask the doctor: Can an interventional radiologist help reduce my pain?

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MEDICAL STAFF UPDATE New faces at Bryan

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BRYAN HEART Cardiologist Cookman and vascular surgeon Ongstad join medical staff

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PATIENT EXPERIENCE Purpose drives Tom’s life ... and the program that assisted him

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OUR SUPPORT OF YOU Bryan Health community benefits report

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VOLUNTEERS & CUSTOMER CARE

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YOUR SUPPORT OF US

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2018 ANNUAL REPORT ON GIVING

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BRYAN ALUMNI NEWS Her award-winning career began here Sweethearts shared love of nursing

Amy Pinkall, MD, chair of the Department of Women’s & Children’s Health, presented a Care Like Crazy Award to Donald Gibbens, MD, of Bryan Women’s Care Physicians.

T H A N K YO U, B RYA N F O U N D AT I O N 2 0 1 9 E V E N T PA R T N E R S Sampson Construction Union Bank & Trust Air Methods Capitol City Electric Cornhusker Bank

Davis Design DuTeau Chevrolet-Subaru Eakes Office Solutions HomeServices of Nebraska Inpatient Physician Associates

Liberty Lawn & Landscape, Inc. Lincoln Marriott Cornhusker Hotel LincOne Federal Credit Union Lockton Companies Mapes Industries, Inc.

ALL ABOUT JOURNEYS

STAY IN TOUCH

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

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

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

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

Journeys tells our story of how Bryan chooses to achieve. This free publication is mailed three times a year to the communities we serve.

ON THE COVER Tami Johannsen and Dr. Kelly Zach enjoy the vibrant flowers at Campbell’s Nursery. See Page 2 to read how she’s appreciating life’s colors and tastes after overcoming an addiction to pain meds.

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OPPORTUNITIES TO SUPPORT Your contributions help us care for those who come to Bryan at every stage of life. To find out how you can participate, call 402-481-8605, or write to us at: Bryan Foundation 1600 S. 48th St., Lincoln, NE 68506 You can learn how to help and make a gift online at bryanhealth.org/bryan-foundation.

Midwest Medical Transport NRC Health Runza VTI Security Xenex

Kimberly Russel President & CEO, Bryan Health John Woodrich President & COO, Bryan Medical Center Darla Eisenhauer, MD Chief of Staff, Bryan Medical Staff Bob Ravenscroft Vice President of Advancement & CDO Edgar Bumanis Director of Public Relations Kevin Rummel, MD Medical Editor Paul Hadley Editor

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FROM OUR PRESIDENT

“We rely on the insight, expertise and good will that partners, like Bryan, contribute to our work.” — Clayton Naff, Lincoln Literacy Executive Director

T

he photo below speaks to a bright future — for these two students and for our community.

These Bryan Environmental Services employees, Hewa Lelane and Shatha Al Tameemi, shown with their Bryan College of Health Sciences instructors, are among the first to benefit from a new Certified Nursing Assistant prep class offered by our partners at Lincoln Literacy. Receiving this language and medical terminology instruction enabled them to enroll in the College’s Basic Nursing Assistant Training Course and pass the Certified Nursing Assistant exam. Course work, labs, tutoring and exams at the college were made possible by a generous grant from the Community Health Endowment of Lincoln.

Now Hewa and Shatha are eligible to apply to be part of our patient care services team at Bryan Medical Center.

This is inspiring for people across our community, but especially for those who came here as refugees or immigrants.

Such collaboration among the College, the teachers and tutors at Lincoln Literacy and our Bryan Medical Center departments exemplifies our commitment to be an employer of choice — an employer who cares, supports and embraces life-long learning.

This edition of Journeys includes our annual report on giving.

Adjunct faculty members Mary Trauernicht (left) and Jay White congratulate Shatha Al Tameemi and Hewa Lelane on completing

You’ll read about gifts from your friends and neighbors that have helped Bryan further its mission. You also will meet, on page 25, our current board members. These trustees share their time and expertise to guide our efforts.

Our commitment to support and collaborate with those who work so hard to make our community safe, vital and welcoming remains steadfast. During the 2018 fiscal year, we served 11,497 charity care patients in Lincoln, Crete and Central City. Our total, quantifiable community benefit of more than $99.5 million includes the cost of this charity care and attests to our unwavering promise, as your Nebraska governed, nonprofit health care system, to always be there for all who turn to us, including those who cannot afford to pay.

We look forward to keeping your family healthy for generations to come. Bryan Health. Forward. Together.

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

the Basic Nursing Assistant Training Course through Bryan College of Health Sciences.

Bryan Journeys 1

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SUCCESS STORY

Tami conquers her opioid addiction

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ami Johannsen, 58, of Lincoln, looks rested and younger than her age — and decidedly different than she did just months ago. “When I first met Tami,” says pain management specialist Kelly Zach, MD, of Innovative Pain and Spine Specialists, “she was anxious, lethargic and in constant pain.” She also was addicted to fentanyl, an opioid pain medicine she had taken for years to try to keep her chronic pain under control.

“Now that her pain and addiction have been treated, she looks like a different person,” says Dr. Zach.

Tami laughs. “He’s right!” she says. “I moved around like I was half asleep and literally felt like a zombie. And though I was taking lots of fentanyl, I was still in quite a lot of pain. My body hurt all over, and nobody could touch me — I couldn’t even hug my kids because it was just too painful. I was so miserable every day for years that eventually I just wanted to die. That’s what addiction became for me.”

Where trouble begins How does opioid addiction develop?

“Most cases occur when opioid pain medication is prescribed for a short-term need, but is continued too long,” Dr. Zach explains. “Opioids often are prescribed to manage pain for a week or so after surgery or an injury, and patients experiencing significant pain after that time should be seen again by their doctor. Patients receiving opioid pain medication for longer than necessary risk overusing it and becoming physically addicted.

“Opioid medications can produce both pain relief and positive feelings of well-being and pleasure. With ongoing use of these drugs, the body adjusts so that higher and higher doses are needed to give the same level of these effects — this is called tolerance. The body’s adaptation can continue to a point where the patient will experience withdrawal symptoms if the opioid is stopped. The patient continues to need higher doses to address their pain and may ultimately develop opioid use disorder, which is also known as addiction.”

Opioids, including fentanyl, were part of Tami’s treatment during the previous decade because of serious, long-term pain in her back and legs. She had been treated for years by her

primary physician, who referred her to Dr. Zach for re-evaluation because of her continuing pain and her concerns about addiction.

“When I went to see Dr. Zach, I was desperate to continue fentanyl because I thought it was the only thing that would manage my pain,” she says.

“But Dr. Zach gave me some very good news. He said, ‘Continuing fentanyl would be one option, but there are alternatives. We can wean you from fentanyl and still control your pain.’ The moment he said that was the first time in a long time I felt a sense of hope. I was at that point ready to quit fentanyl because I was so tired of feeling horrible and not living my life.”

Tami began a new pain control plan that included injections into her back to relieve pain in her legs. She was also started on medication-assisted therapy (referred to as “MAT”) for addiction management to reduce her desire for opioids. Several medication options are available.

“In Tami’s case we chose buprenorphine/naloxone, which replaces the effects of fentanyl in a way that relieves pain and prevents craving and withdrawal symptoms, but has fewer side effects,” Dr. Zach explains.

“Within an hour of starting this medication, my pain began to slowly decrease,” Tami says. “My legs still hurt, but things were improving.”

In addition to effective pain control and medication-assisted therapy, ongoing emotional support is a very important part of successful recovery from addiction. Tami received this emotional support from her family, and from Stacy Waldron, PhD, a licensed clinical psychologist at the Bryan Counseling Center.

Hope restored, support assured “I was in such despair about my struggle with addiction that I was suicidal. Dr. Waldron has been instrumental in helping me maintain a sense of hope throughout my treatment,” says Tami.

“I also got important support as an inpatient at the Bryan Independence Center, where I went to be under the care of doctors and nurses while I was going through withdrawal from the fentanyl. I could have done this at home, but I wanted to go to the Independence Center because it helped to know the

This story is brought to you by Sampson Construction.

2 Summer 2019

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Tami Johannsen takes a break from a sewing project to hug her puppy, Cece. Tami says she sees the world in living color again, after therapy helped wean her from addictive pain meds.

She enjoys food and has renewed her interests in quilting, painting and refurbishing antique furniture – and riding her motorcycle!

Bryan Journeys 3

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SUCCESS STORY medical team was there if I needed them.”

Two months after starting addiction treatment and her new pain management plan, Tami is resilient, funny, energetic and joyful. Her daughter Danielle says, “Mom looked lifeless when she was overusing the fentanyl. Now I see so many changes — color has come back into her skin, and the light is back in her eyes.”

on their daily lives.”

He points out, “Seeing the changes in peoples’ lives when they stop abusing opioids is tremendous, and there is no age limit to successful medical treatment for addiction.”

Tami says, “I want people to know that anyone can get off opioids if they get the right medical treatment, and they don’t need to be afraid of pain during the opioid withdrawal process.

When you work with experienced doctors, they will control your pain and keep you safe.

“I feel so much healthier since getting off fentanyl. I literally feel 25 years younger. Being free of addiction is the best gift you can give yourself, and my kids are so proud of me.” n

Nothing to fear

Tami adds, “It was actually like life turned on again for me after I got off fentanyl. I had seen the world in grey and black all the time, like I was looking through gauze, and now I’m literally seeing the world in color again. And before, Dr. Zach and Tami agree that, without fentanyl, her zest for I barely ate because I couldn’t life has returned. “Being free of addiction is the best gift you taste my food, but now food tastes can give yourself,” she says.

For more information about glorious. I also have energy to do available treatment programs, see your doctor, or contact the things, like quilting, painting and my longtime love of refinishing Bryan Independence Center at 402-481-5268 or the staff at the furniture.”

Bryan Counseling Center at 402-481-5991. To see a Dr. Zach says, “Patients overusing opioids can experience video about Tami’s story, go to bryanhealth.org. many types of changes in their physical and mental states. They To learn how you can support the work of Bryan may feel like their senses are altered, or that their emotional VIDEO Health, please call 402-481-8605. responses are dulled. This can definitely have a negative impact

Database helps monitor drug prescriptions In early 2017, our state started a prescription drug monitoring program that helps keep Nebraskans safe from opioid overdose.

Nebraska’s Prescription Drug Monitoring Program (PDMP) is part of a nationwide effort to provide computerized databases listing drug

prescriptions that are filled.

The database helps doctors and pharmacists identify whether patients are prescribed high doses or amounts of opioids, are getting prescriptions for opioids from multiple providers or are taking other medications that increase their risk for overdose.

Nebraska law requires reporting of not just opioids but all prescriptions that are filled, including those from mail order pharmacies. All states have a PDMP in place, but some report only prescriptions for opioids and other controlled substances. n

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PA I N M A N A G E M E N T & O P I O I D S T E WA R D S H I P

Responding to the opioid crisis

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to reduce opioid-related problems that we those with cancer, who have severe pain see in our patients and in our community, at the end of their lives. Nonopioid pain and to identify factors contributing to opioid medications and pain-relieving treatments like injections and physical therapy also may misuse, addiction and overdose.

“We talked with our physicians about be appropriate in many patients, depending how to approach the problem and quickly on the cause of their pain.” realized that we needed a He points out, medical director who was “Opioids have, however, a pain specialist. We were been prescribed for many very lucky to recruit Dr. patients at too high a Zach to lead the program. dose and for too long a He joined us in the time. Because of this, our summer of 2018 and work society faces a very serious got under way.” problem — increasing Becomes major problem Over the next two opioid addiction in our Pain, by definition, is physical or months, Dr. Zach and Dr. communities and a related emotional suffering caused by illness or Weskamp developed the increase in deaths from injury. program structure with opioid overdose.

“The management of pain is therefore Bryan Vice President and “The Pain Management complex, requiring appropriate medical Chief Nursing Officer and Opioid Stewardship assessment and involvement of an entire Lisa Vail, DNP, who is Program really represents a health care team,” says program medical “The results will the program’s executive culture change in how we director Kelly Zach, MD, of Innovative Pain definitely be worth sponsor. They recruited manage acute and chronic and Spine Specialists. “In the chronic pain the effort.” a 27-member steering pain. We state, pain is itself — Celia Weskamp, PharmD team of physicians, approach each a disease, requiring pharmacists, nurses and patient with treatment in which others who are working to optimize effective a personalized care program opioid pain relievers pain management and safe use of opioids to manage their pain using a play just a small part, if at Bryan and in the community. (A complete multifaceted approach, rather any at all. list of steering team members is on Page 6.) than relying solely on opioids.”

“Opioids, also “The first thing we did was draft our known as hydrocodone, ideas for the program as a three-year, Building a team oxycodone and by 112-point action plan, which the Bryan Program facilitator Celia other names, are administration strongly supported,” says Dr. Weskamp, PharmD, says, “We appropriate to treat Weskamp. Each member met individually are fortunate our executive acute pain — that is, with Dr. Zach and Dr. Weskamp to discuss team recognized this need and moderate to severe ideas and to ensure that the plan would took a proactive approach to pain during the first addressing it. Kim Russel, Bryan meet the needs of patients and providers. week or so after “This program really The team began meeting monthly last Health’s president and CEO, surgery or serious represents a culture September, and progress has been rapid. began by asking Bill Johnson, injury. change.”

So far, that steering team has developed MD, chair of our Clinical “Opioids also are — Kelly Zach, MD patient and caregiver education for patients Integration and Collaboration appropriate to treat being sent home from the hospital with Committee, to discuss ways pain in patients, like ddiction to opioids and opioid overdose are an ongoing national health crisis, with 47,600 opioidrelated drug overdose deaths reported in the United States in 2017.

In answer to this, in 2018, Bryan Health and Lincoln physicians created the Bryan Health Pain Management and Opioid Stewardship Program, a powerful collaboration promoting effective pain management for patients and opioid safety for the community.

This story is brought to you by Union Bank & Trust.

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PA I N M A N A G E M E N T & O P I O I D S T E WA R D S H I P

Meet the Bryan Health Pain Management and Opioid Stewardship Program Steering Team Pain specialist Kelly Zach, MD, Innovative Pain & Spine Specialists – Medical Director Vice President and Chief Nursing Officer Lisa Vail, RN, DNP, NEA-BC – Executive Sponsor Pharmacy coordinator Celia Weskamp, PharmD – Program Facilitator Nursing director Wendy Muir, MSN, RN, CCRN-K – Subteam Leader Clinical nurse specialist Ruth Van Gerpen, MS, RN-BC, APRN-CNS, AOCNS – Subteam Leader Director of quality and patient safety Angela Herbert, MSN, RN – Subteam Leader Bryan Independence Center director Jerome Barry, LMHP, LADC Marketing & media relations manager Deb Boehle Orthopedic surgeon Matthew Byington, MD, Prairie Orthopaedic & Plastic Surgery Adult and pediatric hospitalist Alissa Clough, MD, Inpatient Physician Associates Mental health director Shannon Engler, MSN, RN Hospitalist Lynette Exum, MD, Inpatient Physician Associates Chief Nursing Officer April Gaines, MSN, RN, Crete Area Medical Center Pharmacy manager Tiffany Goeller, PharmD Intensivist Bill Johnson, MD, Nebraska Pulmonary Specialties Pharmacy manager Allyn Komorowski, PharmD Anesthesiologist Jeff Krivohlavek, MD, Associated Anesthesiologists Mental health manager Dave Miers, PhD, LIPC Emergency medicine medical director Ed Mlinek, MD, Nebraska Emergency Medicine Physical therapy manager Cindy Nehe, MS, CCC-SLP Pharmacy manager Scott Persson, PharmD Clinical pharmacist Mikayla Rageth, PharmD Family physician David Rutz, MD, East Lincoln Family Health Professionals Trauma nurse practitioner Megan Simpson, MSN, APRN Order set program lead Amy Vertin, MD, Crete Area Medical Center Licensed clinical psychologist Stacy Waldron, PhD Anesthesiologist Jesse Weir, MD, Associated Anesthesiologists

opioid medications for acute pain. The information emphasizes how to safely take, and dispose of, opioid medications, and it stresses the importance of not sharing opioids. This promotes effective pain management while reducing risk for overdose and illegal use of opioids in the community.

The team also continues work on updating the overall approach to pain management for patients in the hospital, aiming to provide the safest and most effective care possible based on the most current research about pain care. Improvements have been made in how patients’ pain is measured, and new tools are helping clinicians more effectively discuss pain with patients.

The steering committee is developing guidance on using nonopioid pain medications, along with improvements for use of opioids and non-drug therapies for pain. Additional work and education in these areas will continue to improve pain management and assure optimal use of opioids.

Future work by the program will include expanding these efforts to the community, other health care facilities, providers and colleges of health science.

“The opioid crisis has led to a reappraisal of pain management.”

Continuing commitment Dr. Vail emphasizes Bryan’s ongoing commitment to the Pain Management — Lisa Vail, RN, DNP, NEA-BC and Opioid Stewardship Program.

“We at Bryan understand that for every one of our patients, we have a professional, moral and ethical responsibility to do everything we can to prevent unplanned treatment outcomes. The opioid crisis currently affecting so many Americans has led to a nationwide reappraisal of pain management and how opioids are prescribed,” she says.

“Bryan supports the program because we take seriously our responsibility to provide our patients with the highest level of care and to send them safely home as they continue their recovery.”

She stresses the importance of collaboration with other Bryan services.

“The Bryan Independence Center and Bryan Counseling Center serve patients who have substance abuse and other pain management needs, and the Inpatient Acute Pain Service helps care for patients who have challenging pain conditions,” says Dr. Vail. “And our telemedicine, pharmacy, nursing, rehabilitation and interventional radiology services all are important parts of the multidisciplinary pain management services we offer at Bryan.”

“We have a lot of work to do,” Dr. Weskamp adds. “The program represents significant change in how we all think about pain management, both health care professionals and patients. But the end result — safer and more effective care for our patients — will definitely be worth it.” n

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PA I N M A N A G E M E N T & O P I O I D S T E WA R D S H I P

Pain control planning ensures safe, effective care Mild to moderate pain often happens during healing, and with activity after injury or surgery. Well-controlled pain is key to patients being able to do the activities needed for recovery.

Patients differ in how they experience pain and the best way to control it. “We evaluate our patients for the location and intensity of their pain, how it feels — such as burning, sharp, dull or cramping — and what makes it better or worse. The

intensity is measured by how their pain affects activities like sleep, walking and visiting with family,” says clinical nurse specialist Ruth Van Gerpen, MS, RN-BC, APRN-CNS, AOCNS. Understanding how pain affects a person’s ability to do needed activities is important in the development of the pain management plan.

Together, the patient and nurse create a “Pain Control Plan,” which

lists expected daily activities and other treatments to prevent and manage pain.

“Depending on pain cause and type, treatments can include medication, plus non-medication treatments like warm or cold packs, repositioning or relaxation techniques, such as breathing exercises or listening to music, as the patient prefers,” Ruth explains. “It’s a plan that is tailored for each patient and provides safe and effective pain control.”

Working Together for Safe Pain Control • • •

•

There are many ways to control any pain you experience.

Mild to moderate discomfort (pain) is normal as you heal and become more active.

Well-controlled pain means you are able to do the activities you need to do to recover, without experiencing severe pain. It does not mean you will be pain-free.

We will work closely with you to safely keep your pain at a tolerable level.

MILD No Pain

MODERATE

PAIN Management & OPIOID Stewardship PROGRAM

SEVERE

Tolerable

Tolerable

Tolerable

Intolerable

Intolerable

Intolerable

Able to perform all activities permitted

Able to perform some permitted activities; pain prevents full engagement in rehab activities

Becomes intolerable, interferes with physically demanding activities (e.g., therapy)

Interferes with most activities requiring physical exertion; can read, watch TV, talk (passive activities)

Interferes with all active and most passive activities; cannot use phone, watch TV or read

Unable to do anything, even speak due to pain

Football star and recovering addict Leaf speaks Oct. 3 Form 2073d (05/19) Non-EMR

Football was Ryan Leaf’s life, but when the quarterback wasn’t able to handle the pressures of the NFL, his career ended. He struggled with his mental health and began to abuse opioids prescribed for an earlier football injury.

Leaf spiraled out of control and went to prison for breaking into homes to feed his addiction to pain meds. But he used that time in prison for spiritual growth and humility.

Today his mission is to inspire others to begin their road to recovery and to demonstrate that a better life is possible.

Bryan Health and The Kim Foundation present Lying to Myself: The Ryan Leaf Story on Thursday, October 3.

Leaf’s free presentation is 6:30-8 p.m. at Saint Mark’s United Methodist Church, 8550 Pioneers Blvd. To register, go to bryanhealth.org/calendar or call 402-481-8886. n

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Managing pain without drugs

Counseling can help

“I

began having severe daily headaches in 2013,” says Gena Jones, 49, of Lincoln. “At first my doctors thought the headaches were migraines, but tests done in 2014 showed they were caused by a tiny, ongoing leak of cerebrospinal fluid, which surrounds the brain.

“My pain was extreme whenever I sat up, and I needed help with all activities.

Thankfully, my mom and my family helped out a lot because I was in severe pain so much of the time,” she explains.

“About three years ago, I went to see pain specialist Kelly Zach, MD. He did a procedure called a ‘blood patch,’ in which a small amount of my blood was used to make a clot. The clot was then used to stop the leak of cerebrospinal fluid from around my brain.

“After the blood patch, my headache pain was about half of what it had been, although Dr. Zach said I may eventually

Gena Jones (right) worked with Dr. Stacy Waldron to identify ways to cope with pain. need another blood patch procedure to maintain the relief — and he’s performed several of these for me in recent years.”

Gena adds, “Dr. Zach referred me to

Mental health peer specialists introduce wellness plans for pain management Mental health peer specialists are part of Bryan’s efforts to manage pain.

Counseling and program development manager David Miers, PhD, says Certified Mental Health Peer Specialists are available to inpatients throughout the medical center.

“When a treating provider identifies a patient who could benefit from a peer specialist’s assistance,” he explains, “the specialist introduces a toolkit to help patients develop their own wellness plan. This self-directed plan of care focuses on non-drug tools patients can use to help manage their pain while reducing the need or amount of medications.

“Peer specialists help patients realize they’re not alone in this process, and the plans allow patients to find tools that work for them to manage their pain without medications.”

licensed clinical psychologist Stacy Waldron, PhD, at the Bryan Counseling Center to learn ways to cope with my remaining pain.

“She taught me how to deal better with daily stresses, and how resting, taking breaks and doing relaxation exercises reduces pain. I also learned how to improve my sleep and eat better so I could have more energy.

“Within a year of starting my work with Dr. Waldron, I was managing the pain quite a bit better, and in 2017, I went back to college to finish my degree.

I graduated from Southeast Community College in March and now work full time as a certified medical assistant and limited radiologic technician.”

Gena points out, “I still have pain, but it’s much less because of the treatment Dr. Zach provided and the pain management work I did with Dr. Waldron.” n

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PA I N M A N A G E M E N T & O P I O I D S T E WA R D S H I P

Naloxone: A drug that can reverse overdose

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ome people are at higher risk of opioid overdose than others. A number of factors increase the chance of accidental overdose, including higher opioid doses, long-term use and certain other medications. Opioid addiction and use of illegal opioids such as heroin also are risk factors, as well as not taking prescription opioids as instructed. Opioid overdose most often is

accidental, and causes death by slowing or stopping breathing.

Naloxone, also known as Narcan, is a drug that can quickly reverse this effect.

Law enforcement officers and medical first responders now often carry naloxone with them.

It is easy to administer, either by nasal spray or auto-injector.

Importantly, a new law in Nebraska allows any concerned person to obtain

naloxone from any pharmacy without a prescription.

This allows family, friends and neighbors to keep this drug on hand and potentially save the life of a person who is experiencing an opioid overdose. n

To learn how you can support the work of Bryan Health, please call 402-481-8605.

Questions about opioids? Here’s what some of the experts say ...

PRESCRIPTION OPIOIDS: WHAT YOU NEED TO KNOW PRESCRIPTION OPIOIDS: WHAT TO KNOWpain and are often Prescription opioids canYOU be used toNEED help relieve moderate-to-severe

prescribed following a surgery or injury, or for certain health conditions. These medications can be an important part of treatment but also come with serious risks. It is important to work with your health care provider make sure you are getting the safest, most effective care.

Prescription opioidstocan be used to help relieve moderate-to-severe pain and are often prescribed following a surgery or injury, or for certain health conditions. These medications can an important part of treatment but also come with serious risks. It is important to work with WHATbe ARE THE RISKS AND SIDE EFFECTS OF OPIOID USE? your health care provider to make sure you are getting the safest, most effective care.

Prescription opioids carry serious risks of addiction and WHAT ARE THE RISKS AND SIDE OF OPIOID USE? overdose, especially with prolonged use. AnEFFECTS opioid overdose, often marked by slowed breathing, can cause sudden death. The As many as use of Prescription prescription opioids haveserious a number of side effects asand opioidscan carry risks of addiction 1 in 4 well, even when taken as directed: overdose, especially with prolonged use. An opioid overdose, PEOPLE* often marked by slowed breathing, can cause sudden death. The • Nausea, vomiting, and dry mouth • Tolerance—meaning you might need As many as prescription receiving use of prescription opioids can have a number of side effects as to take more of a medication for the opioids long term • Sleepiness and dizziness 1 in 4 even when taken as directed: samewell, pain relief in a primary care • Confusion PEOPLE* setting struggles with • Physical dependence—meaning you • •

Tolerance—meaning might need • have•symptoms of withdrawal you when to take more of a medication for the • a medication is stopped same pain relief Increased sensitivity to pain • Physical dependence—meaning you • Constipation have symptoms of withdrawal when a medication is stopped •

Depression • Nausea, vomiting, and dry mouth

Low •levels of testosterone that can Sleepiness and dizziness result lower sex drive, energy, and strength • in Confusion Itching sweating • and Depression

Increased sensitivity to pain

• ARE Constipation RISKS GREATER WITH: •

History of drug misuse, substance use disorder, or overdose

•

Mental health conditions (such as depression or anxiety) • History of drug misuse, substance use Sleep apnea disorder, or overdose Older• ageMental (65 years or older) health conditions (such as depression

• • •

RISKS ARE GREATER WITH:

Pregnancy or anxiety) •

Sleep apnea

•

Older age (65 years or older)

•

Pregnancy

•

Low levels of testosterone that can result in lower sex drive, energy, and strength

•

Itching and sweating

addiction.receiving prescription opioids * Findings from onelong study term in a primary care setting struggles with addiction. * Findings from one study

Avoid alcohol while taking prescription opioids.

Also, unless specifically advised by your health care provider, medications to avoid include: • •

Benzodiazepines Xanax or Valium)opioids.

Avoid alcohol (such while as taking prescription Muscle (such as Soma or Flexeril) Also,relaxants unless specifically advised by your health care provider, medications include: Hypnotics (such as Ambientooravoid Lunesta)

•

Other opioids (such as Xanax or Valium) • prescription Benzodiazepines

•

•

When your pain is under control, stop taking your pain medication.

It is very important to dispose of your medications properly.

You can find pharmacies throughout Nebraska that will dispose of your medications at www.nebraskameds.org.

Muscle relaxants (such as Soma or Flexeril)

• Hypnotics (such as Ambien or Lunesta) LEARN MORE | www.cdc.gov/drugoverdose/prescribing/guideline.html • Other prescription opioids

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May 9, 2016

LEARN MORE | www.cdc.gov/drugoverdose/prescribing/guideline.html CS000000 CS264107C

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May 9, 2016

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WHEN THE OPIOID EPIDEMIC HITS HOME

Pharmacist shares her family’s story

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Tragedy impacts career decision Dr. Rounds says, “Two months later, my dad called to say that Lindsey was dead. Blood tests showed high levels of Vicodin, the opioid prescribed to her, along with fentanyl, a very strong opioid she was not prescribed. She had no history of recreational drug use — all we knew was that she had been in pain, that she was prescribed opioids for some period of time, and that she became addicted. We never learned the source of the fentanyl.

“The tragic death of my cousin is what led me to become a pharmacist,” says Dr. Rounds, who received her pharmacy training at the University of Wyoming in Laramie.

“As Lindsey became more dependent on opioids she went to several hospital emergency departments to get prescriptions, but always to just one pharmacy to fill them. I Changes came quickly know that alertness by the In 2009, Lindsey pharmacists working there graduated from Denver might have saved her life,” University with a degree in she continues.

Ten-year-old Lindsey Smith (center) was like a big sister to her cousins business and planned on Jessica (at right) at age 6 and sister Elizabeth, 3. “Family functions like “What surprises me going to law school. this one in 1996 were a great time to hang out,” Jessica remembers. most about my cousin’s “When I came home story is that she seemed from Kansas Wesleyan like the same person I’d University for Thanksgiving holiday break that year, she was always known, right up until the end of her life. taking an opioid medication her doctor prescribed for pain he “We never had the slightest idea that she was abusing thought was from kidney stones. opioids.” n “At Christmas, she still was having pain — and still using For more information about available treatment programs, the opioid medication. A family member who was in health ask your doctor, or contact the Bryan Independence Center at care told Lindsey she should go back to her doctor for more 402-481-5268 or the Bryan Counseling Center staff at testing, but no one was alarmed. None of us suspected that 402-481-5991.

Lindsey could be in danger of overdose — it just seemed like To learn how you can support the work of Bryan Health, something that could never happen to her, or to us.” please call the Bryan Foundation at 402-481-8605.

any of us have been personally affected by the opioid epidemic, and some have family members who have struggled with or lost their lives to opioid abuse. Bryan pharmacist Jessica Rounds, PharmD, shared her family’s story of the loss of her cousin, Lindsey Smith.

“Lindsey,” says Dr. Rounds, “who was much closer to me than a cousin, died in 2010 of an accidental opioid overdose.”

Here is how the story unfolded.

“Lindsey and I grew up together in Highlands Ranch, Colorado, near our grandparents and other family. She was four years older than me, but she felt like another sister. Lindsey was a cheerleader with a big laugh, and always so much fun to be around,” Dr. Rounds remembers.

This story is brought to you by Davis Design.

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The photo Jessica holds is of Lindsey in San Diego in 2009, just weeks before her death from an overdose. The tragedy inspired Jessica to become a pharmacist.

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MEDICAL STAFF SPOTLIGHT

Ask the doctor: Can an interventional radiologist help reduce my pain?

Q: What do interventional radiologists do?

An interventional radiologist is a physician who performs minimally invasive procedures through small nicks in the skin, while using image guidance such as real-time X-ray, ultrasound or CT. Most procedures are outpatient and can be performed with just a local anesthetic with sometimes additional moderate sedation.

Q: Can you help reduce my pain?

We perform many procedures to reduce or alleviate pain in the most minimally invasive way. Most procedures are outpatient with short recovery times, offer immediate pain relief and reduce the need for opioid pain medications.

country to use the Tenex TX1 needle to remove painful degenerative tissue from tendons in the elbow, Achilles, knee, shoulder, hip and plantar fascia under ultrasound guidance.

This is performed through a nick in the skin, on an outpatient basis, typically taking only about 30 minutes.

The ultrasonic needle breaks up and removes the damaged tissue in the tendon without hurting normal tissue. It’s 85-95 percent effective, and patients recover faster from this minimally invasive procedure.

I’ve had the privilege of training physicians from around the country at Bryan — the only official Tenex Center of Excellence in Nebraska.

Q: Many people suffer from different types of back pain. Please tell us how you address the pain of lumbar spinal stenosis.

Spinal stenosis is the result of “wear and tear” and aging on the spine from everyday activities.

Lumbar spinal stenosis is the

Q: How does this differ from what we traditionally think of as a radiologist?

Interventional radiologists have all the training of a diagnostic radiologist, but also have additional training to perform minimally invasive procedures with image guidance. Interventional radiologists see patients in their clinics and round on patients in the hospital.

Another way to think of an interventional radiologist is as a combination of a radiologist and a surgeon.

Q: What special training/education does an interventional radiologist need?

Being an interventional radiologist requires a lot of education, to include: four years of college, four years of medical school, five years of radiology residency with the first year as the transitional residency year, and a final year of an interventional radiology fellowship.

Q: Please describe some of the exciting new procedures that interventional radiologists perform.

My partners and I were the first interventional radiologists in the 12 Summer 2019

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MEDICAL STAFF SPOTLIGHT actual narrowing of the main spinal canal through which the spinal cord and nerves travel, which can “pinch” the nerves in the lower back.

Symptoms include pain, numbness and/or cramping in the legs when walking or standing. Sometimes the symptoms can be relieved by the patient leaning forward when they sit or walk, such as leaning over a shopping cart to decrease the pain. The Vertiflex Superion implant is used to treat this pain.

This procedure is a good option because it is minimally invasive, and there is no removal of tissue or bone.

Q: What is Sphenocath?

Sphenocatheter is a 15-minute outpatient procedure with no needle involved. It helps patients suffering from migraine headaches, cluster headaches and trigeminal neuralgia, or facial pain. Essentially, this involves a simple injection of lidocaine delivered via a special angletipped catheter through both nostrils under fluoroscopic guidance. The lidocaine “resets” the large nerves in the headache pathway, resulting in pain relief for a national average of three to four months.

When the next migraine is experienced, the patient just returns to get a maintenance treatment. We have had some patients go for a year without a single migraine. It is effective on approximately 80 percent of patients. This is a safe procedure that can be used on teenagers and pregnant women.

Q: How do you treat spinal fractures caused by osteoporosis?

Osteoporosis affects more than 50 million people in the United States. As we age, our bones become thinner, increasing the risk of spinal compression fractures. These fractures can result from a fall, lifting something, or sometimes from no event at all. If you have severe back pain that gets worse when you move, this could be caused by a compression fracture.

Minimally invasive treatments such as kyphoplasty and SpineJack vertebral augmentation stabilize the fracture and decrease pain.

These procedures insert bone cement into the proper areas of the spine to ease your pain. These procedures take less than an hour, and most patients have immediate pain relief and go home the same day.

How is SpineJack performed? Using real-time X-ray, two needles are placed in the fractured vertebral body through two small nicks in the back, then balloons or miniature scissor jacks are used to “jack up” the bone followed by injecting bone cement into the vertebral body.

The interventional radiologists of Advanced Dr. Michael Budler can be contacted at Advanced Radiology by calling 402-481-3095.

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Radiology are Nebraska’s most experienced at performing these. I was one of the first 10 physicians in the United States and first in Nebraska to be trained on SpineJack.

Q: How can interventional radiology help with my pain?

A good physical exam with the addition of proper imaging of the spine when needed helps determine the cause of back pain. Initial diagnostic and treatment options may include: • Fluoroscopy, which uses X-rays to obtain real-time moving images of the body or • CT-guided steroid facet joint injections. Facet joints are part of the spine’s bony framework; the injection uses local anesthetic.

If steroid injections relieve this pain only temporarily, a rhizotomy procedure may provide long-term relief. This involves placing special needles that heat up the sensory nerves, effectively burning a small segment of the nerve so that pain impulses can’t be sent. Pain relief lasts until the segment is healed, which usually takes one-two years.

This procedure also can be performed for sacroiliac joints.

Q: What excites you about being an interventional radiologist?

I enjoy the great variety of procedures that we perform. We support most of the other specialties in medicine. With minimally invasive procedures in the forefront of medicine, our specialty is always adding new procedures. I like the fact that we often see immediate results — these procedures can make a profound impact in the care of our patients. n If you would like to learn more about minimally invasive therapies to relieve pain, call Bryan Interventional Radiology at 402-481-3095.

To schedule a consultation, call the Bryan Scheduling Center at 402-481-5121.

Michael Budler, MD, is an interventional radiologist at Advanced Radiology.

This Lincoln native graduated from the University of Nebraska Medical Center College of Medicine, Omaha, then went to Gundersen Clinic in La Crosse, Wisconsin, for a transitional residency year; the University of Kansas, Wichita, for a diagnostic radiology residency; and the University of Oklahoma Health Sciences Center, Oklahoma City, for a vascular and interventional radiology fellowship.

He is one of four fellowship-trained interventional radiologists at Advanced Radiology. The others are John Allen, MD, Jeff Himmelberg, MD, and Kyle Pfeifer, MD. Dr. Budler is married with four children. He enjoys sports and travel with his family, as well as hiking, fly fishing and time on the slopes, skiing and snowboarding.

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MEDICAL STAFF UPDATE

New faces at

Bryan

Welcome these colleagues to the Bryan medical community

Heidi Barker, DO, pediatrics, has joined Pediatrics PC, 402-489-0800.

Before joining Pediatrics PC, Dr. Barker provided pediatric care with Sacred Heart Medical Group in northwest Florida.

She earned her medical degree in 2006 from the Des Moines University College of Osteopathic Medicine and went on to serve as a naval flight surgeon. She provided preventative and clinical care to service members as they prepared for deployment to Iraq.

Dr. Barker is certified by the American Board of Pediatrics. She enjoys running and has participated in the Marine Corps Marathon and the Detroit Free Press Marathon.

Brent Barta, DO, anesthesiology, has joined Associated Anesthesiologists, 402-489-4186.

Dr. Barta graduated from the University of Nebraska-Lincoln in 2006 with a bachelor’s in biochemistry. He earned his paramedic certificate and went on to work as a paramedic for two years. In 2011, he earned his medical degree from the Kansas City University of Medicine and Biosciences, Kansas City, Missouri.

He completed his residency in anesthesiology at the University of Kansas

Medical Center, Kansas City, and a fellowship in cardiothoracic anesthesiology at the Cleveland Clinic, Ohio.

Previously, he was an assistant professor of anesthesiology at the University of Kansas Medical Center.

Dr. Barta has presented at several regional and national conferences in his field. He enjoys biking, camping and spending time with his family.

Jennifer Beals, MD, internal medicine/hospitalist, has joined Inpatient Physician Associates, 402-481-8566.

Dr. Beals earned her medical degree in 2008 from the University of North Dakota School of Medicine and Health Sciences, Grand Forks, and completed her internal medicine residency in 2011 at the University of Nebraska Medical Center College of Medicine, Omaha.

She worked as an assistant professor of internal medicine and as a hospitalist at UNMC. In 2013, she moved to Lawton, Oklahoma, where she worked as a clinician at Comanche County Memorial Hospital and Lawton Indian Hospital.

Dr. Beals is a member of the American College of Physicians and is certified through the American Board of Internal Medicine. She and her husband enjoy spending time with their four children.

Amine Bellil, DMD, oral and maxillofacial surgery, is associated with Aspen Dental, 402-465-9023.

During his undergraduate years, Dr. Bellil studied business at the College of Charleston, South Carolina.

In 2010, he earned his doctor of medicine in dentistry degree from the Medical University of South Carolina College of Dental Medicine, Charleston.

He completed both his residency and a fellowship in oral and maxillofacial surgery at Montefiore Medical Center in Bronx, New York.

Dr. Bellil is a member of the American Association of Oral and Maxillofacial Surgeons.

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MEDICAL STAFF UPDATE Michael Clare, MD, orthopedic surgery, is associated with Nebraska Orthopaedic and Sports Medicine, 402-488-3322.

Previously, Dr. Clare was at the Florida Orthopaedic Institute in Tampa, and served as director of the Orthopaedic Foot and Ankle Fellowship program.

Dr. Clare earned his medical degree in 1996 from the University of Nebraska Medical Center College of Medicine in Omaha. He completed a residency in orthopedic surgery at UNMC and a fellowship in orthopedic foot and ankle surgery at the Florida Orthopaedic Institute.

Dr. Clare is certified by the American Board of Orthopaedic Surgery and is wellpublished in his field. He has been included on the list of Best Doctors in America consecutively since 2011.

Brock Cookman, DO, cardiology, has joined Bryan Heart, 402-483-3333.

Dr. Cookman grew up in Iowa and earned his medical degree from Des Moines University Osteopathic Medical Center in 2009. He completed his residency in internal medicine at Iowa Methodist Medical Center in Des Moines.

He completed a cardiology fellowship at the University of Nebraska Medical Center, Omaha, and an interventional cardiology fellowship at Aurora St. Luke’s Medical Center, Milwaukee.

Dr. Cookman is certified by the American Board of Internal Medicine in cardiovascular disease and interventional cardiology.

Sarah Ongstad, MD, vascular surgery, has joined Bryan Heart Vascular Surgery, 402-481-8500.

Dr. Ongstad earned her medical degree in 2010 from the University of Wisconsin School of Medicine and Public Health, Madison. She completed her residency in general surgery at the Iowa Methodist Medical Center, Des Moines, and a fellowship in vascular and endovascular surgery at the Eastern Virginia Medical School, Norfolk.

Dr. Ongstad has presented at national conferences in her field and is certified by the American Board of Surgery. She is a member of the Society

for Vascular Surgery and the American College of Surgeons.

Outside of work, she enjoys running and travel, and she has served as a volunteer physician at Mbingo Baptist Hospital in Cameroon.

Jamey Wright, MD, radiology, has joined Lincoln Radiology Group, 402-420-3500.

Dr. Wright is a graduate of the University of Illinois College of Medicine, Peoria. He completed his diagnostic radiology residency at the University of Missouri School of Medicine in Columbia.

Dr. Wright received fellowship training in magnetic resonance imaging at the University of Maryland School of Medicine in Baltimore.

Before joining Lincoln Radiology Group, he operated a nationwide teleradiology group that supported many hospitals in Nebraska and the Midwest.

Dr. Wright is certified by the American Board of Radiology.

His areas of special expertise and interest include body, musculoskeletal and neuroimaging with MRI, as well as emergency radiology. n

Welcome, advanced practice providers These advanced practice providers are working at Bryan Medical Center: Jenna Beideck, APRN-NP, Bryan Heart Amy Berggren, APRN-NP, Bryan Heart Cardiovascular Surgery Echo Kopplin, PA-C, APRN-NP, Primary Care Partners Pioneers Boulevard Mary Scherling, APRN-NP, Bryan Heartland Psychiatry, which is part of the Bryan Physician Network Carmen Shore-Anderson, APRN-NP, Inpatient Physician Associates Kaila Steinkuhler, PA-C, Nebraska Orthopaedic & Sports Medicine Tara Wenta, APRN-NP, Bryan Bariatric Advantage

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BRYAN HEART

Cardiologist Cookman and vascular su The Bryan Medical Staff welcomes Brock Cookman, DO, and Sarah Ongstad, MD, of Bryan Heart.

I

nterventional cardiologist Brock Cookman, DO, has joined Bryan Heart.

Dr. Cookman, who was born and raised in north central Iowa, studied chemical engineering as an undergraduate at Iowa State University in Ames before earning a master’s in anatomy and a medical degree in osteopathic medicine at Des Moines University in Iowa in 2009.

He completed the University of Iowa-Des Moines Internal Medicine Residency Program in Des Moines, followed by a cardiology fellowship at the University of Nebraska Medical Center in Omaha. Dr. Cookman then completed an interventional cardiology fellowship at Aurora St. Luke’s Medical Center in Milwaukee, Wisconsin, where he trained in general interventional cardiology, structural cardiology and treatment of peripheral vascular diseases.

Dr. Cookman says growing up in the Midwest with strong family and community relationships has kept him and his wife, Heather, a cardiac care nurse, rooted here.

“We really enjoyed Omaha during my fellowship training, and when the opportunity arose at Bryan Heart we were delighted, Dr. Brock Cookman and his wife, Heather, enjoy a Memorial Day afternoon outside with their children, Ayden and Elaina. Daughter Cynthia wasn’t available for the photo, as she as Lincoln is similar in many ways to my was taking Iowa State University coursework in Italy. hometown of Mason City, Iowa,” he says.

“Working with patients on a day-to-day basis is why I got into medicine. Helping them interventions like open heart surgery. Structural cardiology when they are at their most ill is why I chose interventional now focuses on treatment of aortic valve disease, but new cardiology. I really enjoy personalizing care for each patient, interventions will focus on treatment of other heart valves. tailoring therapies and building lifelong relationships with patients We’ll also see continued refinement of mechanical devices like and families — that is the center of my practice as I see it.” ventricular assist devices (VADs) that support heart function.

Regarding new treatments on the horizon, he notes, “In “Bryan’s continuing commitment to innovation to patient upcoming years, interventional cardiology will keep introducing care promotes excellent patient outcomes and makes it very less-invasive procedures to minimize patients’ need for rewarding to work at Bryan Heart,” he adds.

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BRYAN HEART

r surgeon Ongstad join medical staff Dr. Cookman and his wife have three children. Ayden, age 2, and Elaina, 4, currently enjoy time at home with their mother, while their oldest daughter, Cynthia, is studying in Italy during her junior year at Iowa State University. Dr. Cookman and his family enjoy outdoor sports, including running, biking, swimming and boating, and look forward to summer vacations at Table Rock Lake in southern Missouri.

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ascular surgeon Sarah Ongstad, MD, grew up in Cavalier, North Dakota, a small town on the border of Minnesota and Canada. “Cavalier is a rural farming community where people make their own fun,” she

says. “My father, an ‘old-school’ general practitioner, still tells me that I’m not a ‘real doctor’ because I’m a ‘specialist’,” Dr. Ongstad says with a smile.

Dr. Ongstad attended the University of North Dakota in Grand Forks for her bachelor’s degree in Biology, followed by medical school at the University of Wisconsin in Madison. She then completed her residency in general surgery at Iowa Methodist Medical Center in Des Moines, followed by a fellowship in vascular surgery at the Eastern Virginia Medical School in Norfolk.

“I was specifically drawn to vascular surgery because I really enjoy working with patients who have complex medical issues.

I also enjoy the challenge and intensity of the surgeries we perform,” she says.

“I’m pleased to be at Bryan Heart because of the people I get to work with, and because so much of rural Nebraska receives its care in Lincoln, it’s like I’m taking care of my hometown every day. I’ve been fortunate enough to live, work and travel all over the United States but will likely always choose the Midwest to call ‘home.’ The work ethic and kindness of the people here just can’t be found anywhere else.”

Outside of work, Dr. Ongstad enjoys running and hiking, and she has served as a volunteer physician at Mbingo Baptist Hospital in Cameroon. n To learn how you can support the work of Bryan Heart, contact the Bryan Foundation at 402-481-8605.

To watch introductory videos about these new physicians, go to bryanhealth.org/DrCookman and VIDEO bryanhealth.org/DrOngstad.

Vascular surgeon Sarah Ongstad, MD, and her brother, Drew, celebrate a milestone during a hike in Mount Rainier National Park, Washington.

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

Purpose drives Tom’s life

... and the program that assisted him

T

om Frye has worked with at-risk youth for 35 years.

It all started when a police officer called him to say a boy in the hospital on four different kinds of drugs was asking for him.

“I played my guitar in the park and kids jokingly called me Father Frye,” Tom says. “I ended up staying in the hospital with that boy for five hours.”

Tom had found his calling.

Within a year, he was working at a youth detention facility. He began writing stories based on what he heard there and ran his work by the kids he worked with.

“My books came back in tatters, so I knew I was on to something,” he says.

“Pretty soon, a publisher picked up my first book about a 13-yearold addict who gets mixed up in the murder of a state patrol narc. That was Scratchin’ on the Eight Ball, based on a real, local crime.”

Since then, Tom has written 14 more books and spent decades speaking to thousands of kids in Nebraska about drug abuse. He worked at schools as a mentor and ran his own truancy program to take

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PAT I E N T E X P E R I E N C E state wards to school each day. The state even hired him as a consultant.

“All the parties — the parents, police, probation officers and counselors — had never sat down together to talk about their kids and get on the same page,” Tom says. “I got them in the same room, and it was a success until the funds ran out.”

When Tom’s health insurance company left the state last year, he found himself without a steady job or access to affordable health care.

“I knew I needed blood pressure medication, but I just couldn’t afford to go to the doctor to get it without insurance,” Tom says.

After a year without it, he woke up suddenly at four in the morning with a burning sensation in his face and mouth.

The pain moved down into his chest,

so he headed to the emergency department.

“It was an aortic dissection, one of the biggest emergencies we handle,” says Robert Oakes, MD, the thoracic surgeon at Bryan Heart who Dr. Robert Oakes, treated Tom. “Half of Bryan Heart the patients die before they ever make it to the hospital.”

Once he recovered from the surgical graft to fix the tear, Tom faced another potentially life-altering obstacle — how to pay the $85,000 in medical bills he received. Roxanna Wollen, an old family friend who works at Bryan, connected Tom with Bryan’s Financial Assistance program. Tom submitted a few documents

proving his financial, insurance and employment status that demonstrated he qualified for the program.

“About two months after my surgery I received a letter stating I had a zero balance from both the initial ER I went to and Bryan,” Tom says. “I’m so grateful that the hospitals did that.”

The experience has helped Tom dedicate himself more to his writing and his health.

“I’m not going without my meds anymore,” Tom says. “I tell folks if the doc says you need them, you need them. This all happened in the middle of me writing a book series, and I’m pushing to get the rest of them done.

“God kept me around for a reason, and I plan on doing what I need to do to keep a purpose-driven life.” n

Financial counselors can help As part of our commitment to quality care, Bryan Health budgets more than $13 million per year for patients who need financial assistance. In Fiscal Year 2018, we provided charity care to 11,497 patients. Primary qualifiers are household income and family size, but we take into account employment status, living expenses and other assets.

Applicants include patients both with and without insurance at a range of income levels and demographics.

“We’ve never turned someone away who met the qualifications for financial assistance based on

budget,” says Tim Meier, the senior director of revenue cycle at Bryan Health.

“We see this as an integral part of our mission to take care of patients who cannot afford services.” n Having trouble paying your bill?

You may be eligible for financial assistance if you have limited or no insurance and can demonstrate financial need.

Learn more by contacting our financial assistants at 402-481-5791 (or toll free at 877-577-9277) or find details at bryanhealth.org/financialassistance.

Tim Meier and Roxanna Wollen

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BRYAN HEART

We remember Dr. Carveth, pioneer surgeon

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ardiovascular surgeon Stephen Carveth, MD, died March 6 at age 87.

In 1964, Dr. Carveth was serving with the U.S. Army Medical Corps in Wurzburg, Germany, when he received a call from Bryan President Gene Edwards, asking him to come to Lincoln to establish a cardiac program. At the time, cardiac patients in Nebraska had to travel out of state for surgery.

Dr. Carveth agreed, and along with Herb Reese, MD, and Walt Weaver, MD, the

Dr. Stephen Carveth loved working on his acreage.

team pioneered cardiac care not only in Nebraska, but in the nation.

They established the first intensive care unit in the state and built Bryan’s first cardiac catheterization lab. In 1966, they performed the first open heart surgery in Lincoln. They went on to develop Bryan’s Advanced Cardiac Life Support program, which the American Heart Association adopted as its national training program.

Dr. Carveth initiated a life support unit to provide emergency care at Memorial Stadium in Lincoln — the first program of its kind. He served as chairman for the American Heart Association’s Emergency Cardiac Care Committee, and the AHA recognized his contributions in the field of CPR and emergency cardiac care with an award at its 1992 national conference.

Dr. Carveth, a Lincoln native, earned his medical degree at the University of Nebraska Medical Center College of Medicine, Omaha, and completed his residency at the Mayo Clinic in 1962.

His love for medical innovation was one of the factors influencing his giving to the Bryan Foundation; his generous support leaves a legacy that will impact Bryan Medical Center and cardiac care for generations. In recognition of his achievements and these gifts, a cardiac consultation room, Cardiac Intensive Care Unit and cardiovascular operating room have been named for him.

He also was active in his community, serving as an elder at his church and volunteering with Lincoln Public Schools and the Lighthouse Board of Directors. He was on the national board of trustees of the Fellowship of Christian Athletes, too.

While they were in their 60s, Dr. Carveth and his wife climbed Mount Kilimanjaro, and he was a member of the Copper Mountain Ski Patrol.

Dr. Carveth is survived by his wife, Beth, three children and two stepchildren, 10 grandchildren and seven greatgrandchildren. n

He was one of Nebraska’s pioneers in heart surgery.

In 2016, the retired physician posed with the next generation of cardiothoracic surgeons at the 50th anniversary celebration of Lincoln’s first open heart surgery.

20 Summer 2019

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OUR SUPPORT OF YOU

Bryan Health community benefits report

Community receives almost $100 million Nearly 11,500 patients received charity care at Bryan entities last year.

Other Community Programs & Subsidized Services 9.9 %

Cost reported for the year ended Dec. 31, 2018

Health Professionals Education 2.5 % Cash & In-kind Contributions 0.8 %

Cost of Charity Care 13.9 %

Unreimbursed Cost of Medicare 47.7 %

Unreimbursed Cost of Medicaid & Other Public Programs 25.2 %

$13,846,192

Cost of charity care Bryan entities provided charity care to 11,497 patients in Fiscal Year 2018. Charity care is free or discounted health services provided to patients who cannot afford to pay and who meet all the criteria for financial assistance. Charity care does not include bad debt.

$25,054,389

Unreimbursed cost of Medicaid and other public programs Represents the shortfall between the actual cost of providing care and payments received from the government.

$47,507,288

Unreimbursed cost of Medicare Represents the shortfall between the actual unpaid cost of providing care and payments received from the government.

$42,496,036

Health professionals education Cost of providing accredited training and education programs for physicians, nurses and other health professionals through residency education and continuing medical education, plus financial support of the cost of the Bryan College of Health Sciences.

$49,838,438

Other community programs and subsidized services Activities and programs carried out to improve community health and wellness, and health care services that are subsidized because they meet an identified need in the community.

$49,787,549

Cash and in-kind contributions Cash and in-kind donations to other nonprofit organizations for charitable purposes.

$99,529,892

Total cost of community benefits provided and the unpaid cost of Medicare in FY 2018

Having trouble paying your bill? You may be eligible for financial assistance if you have limited or no insurance and can demonstrate financial need. Complete a Bryan Health financial assistance application and submit with required financial documents. Learn more and get an application at bryanhealth.org/financial-assistance or call our financial counselors at 402-481-5791 (toll free 877-577-9277).

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OUR SUPPORT OF YOU

As an institution and individually, we help the community in ways large and small — here are just four projects of note from the past year.

Lincoln Police Department officer Conan Schafer (left) and Adam Schaecher of Lincoln Fire and Rescue demonstrate an automated external defibrillator. Thanks to Bryan Health and other community partners, 46 more patrol cars have AEDs. This life-saving equipment helps improve survival rates following sudden cardiac arrests.

Co-workers from Management Accounting & Finance collected winter coats to share with students from Park Middle School.

Dale and Kim Johnson (right) thanked 23 donors who supplied blood to the Nebraska Community Blood Bank. Their contributions were critical to Dale’s survival after he was injured in a motorcycle crash. HRIS specialist Brandi Leyden, human resources, (left) and Bryan Physician Network coding specialist Bev Harris, patient financial services, were among the donors.

Vice President David Reese and volunteers Theresa Hohmeier and Gerry Tompkin urge employees to contribute to the “heart pillow” project at Bryan. Patients squeeze the pillows to ease their pain while recovering from open heart surgery. Reese’s family, in honor of their parents, Dr. Herb and Virginia Reese, donates toward materials for Bryan Volunteers & Customer Care to make into pillows.

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O U R PA R T N E R S

Bryan partnered with these organizations by financially supporting them in 2018 Aiding Angels American Foundation for Suicide Prevention American Heart Association Antelope County Healthcare Foundation Autism Family Network Beatrice Community Hospital Foundation Better Business Bureau Foundation Boone County Health Center Foundation Boy Scouts of America Boys & Girls Club of Lincoln/Lancaster County Brain Injury Alliance of Nebraska Bridges to Hope Burwell High School CASA for Lancaster County CEDARS CenterPointe Child Advocacy Center Child Guidance Center Clarinda Regional Health Center Clinic with a Heart Community Action Partnership Community Crops Community Hospital Health Foundation Community Memorial Hospital Foundation Concordia Lutheran Church Crete Area Health Care Foundation Crohn’s and Colitis Foundation Dorchester Community Foundation Fund Down Syndrome Association for Families (DSAF) of Nebraska

For decades, runners in the annual Lincoln Marathon have appreciated Bryan’s refreshment station near the Bryan West Campus. Bryan employees help at the race and at many other events — last year, 293 co-workers volunteered 30,783 total hours.

El Centro de las Americas Faith Coalition of Lancaster County Food Bank of Lincoln Foster Care Closet Heartland Cancer Foundation Hickman Area Economic Development Association Interchurch Ministries of Nebraska Jefferson Community Health & Life Johnson County Hospital Foundation Junior Achievement Juvenile Diabetes Research Foundation ( JDRF) Kim Foundation Lighthouse Lincoln Arts Council Lincoln Association of Health Underwriters (LAHU)

Lincoln Children’s Museum Lincoln Children’s Zoo Lincoln County School District 001 Lincoln East High School Lincoln Literacy Lincoln Medical Education Partnership Lincoln Police Department Lincoln Public Schools Lincoln Rotary Club 14 Lincoln West Optimist Club Lutheran Family Services Madonna Rehabilitation Hospital Make A Wish Malcolm PTO Malcolm Youth Sports Association Malone Community Center March of Dimes Matt Talbot Kitchen & Outreach

Merrick Medical Center Foundation Mourning Hope Grief Center Nebraska Academy of Family Physicians Nebraska Cancer Coalition Nebraska Cancer Research Center Nebraska Nurses Association No Footprint Too Small North Star High School Partnership for Healthy Lincoln People’s City Mission Pleasant Dale Volunteer Fire Boosters Project Pink’d Region V Systems Remembering Our Children Rotary Clubs of Lincoln – South Salvation Army Saunders Medical Center Foundation SCIP at Lincoln Medical Education Partnership Seniors Foundation Saint Monica’s Behavioral Health Services for Women Tabitha Take Flight Farms Totes of Hope United Way of Lincoln & Lancaster County Village of Garland Voices of Hope Waverly Public School Wear Yellow Nebraska Wilber-Clatonia Schools YMCA Yazidi Cultural Center York General Auxiliary

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SUPPORTING OUR COMMUNITY

Bryan among city’s top taxpayers

B

ryan Health is recognized as Lincoln’s largest private employer and a nonprofit organization, but many people may not realize we also are among the community’s largest property taxpayers.

That’s right!

According to Bryan Health Chief Financial Officer Russ Gronewold and Bryan Medical Center President John Woodrich, we paid just over $1 million last year, when taxes related to all of the Bryan properties in Lincoln are combined.

“According to figures from the County Assessor’s Office, Bryan is ninth among all property taxpayers in Lincoln,” Woodrich points out. “We’re certainly proud to be a responsible neighbor.”

Bryan pays taxes on property that is not specifically used for hospital purposes.

These include all or parts of these facilities: n Bryan Pine Lake Campus. n Bryan LifePointe Campus. n 5055 Building, Edwards Building and Faulkner Building on Bryan East Campus. n Towers A and B and the Professional Office Building on Bryan West Campus. n Fallbrook.

Gronewold adds, “Sometimes there’s a misconception that a nonprofit organization such as Bryan is exempt from all taxes, but as you can see, we are a key contributor to the local tax rolls.” n

Some of the properties on which Bryan pays taxes include (clockwise) Bryan Pine Lake Campus, Faulkner Building, 5055 Building and Tower A and Tower B on Bryan West Campus.

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BRYAN TRUSTEES

Meet our 2019 Trustees and Board Members Bryan Health Trustees Bill Cintani Nick Cusick Michael Dunlap Steve Erwin Richard Evnen Tony Goins Meg Lauerman William Lester, Chair Donde Plowman, PhD Kimberly Russel H. Russell Semm, MD Aina Silenieks, MD Renee Sjulin Beth Ann Smith Mark Walz John Woodrich

Bryan Enterprises Board Members Pat Ganyo Russ Gronewold Bob Ravenscroft Kimberly Russel, Chair Kristian Rutford John Woodrich

Bryan Medical Center Trustees Pablo Cervantes Janet Chung Nick Cusick, Chair John Decker Jr. Darla Eisenhauer, MD Brenda Franklin, RN Ken Gross, MD Shannon Harner Jack Huck David Keck, PhD Willam Lester Edward Mlinek Jr., MD Angie Muhleisen Patty Pansing Brooks Beau Reid Kimberly Russel Lisa Vail, DNP, RN, NEA-BC John Woodrich Scott Young

Bryan Physician Network Trustees Andrew Bohart, MD John Dittman Amanda Fitzgerald, MD Russ Gronewold Gary Milius, MD Eric Mooss Albert Owusu-Ansah, MD, Chair Ben Pankonin

Bryan Foundation Trustees Brian Bossard, MD Loel Brooks Bill Cintani Carolyn Cody, MD Greg Dynek Joseph Kam Chiu, MD Ben Kiser Reginald Kuhn Janet Labenz Andrew Loudon Scott McHam, MD Jaine Merliss, PhD Katie Miller Albert Owusu-Ansah, MD Trey Pittenger Bob Ravenscroft Kimberly Russel Aina Silenieks, MD Beth Ann Smith, Chair Kathy Stewart Layne Sup Jennifer Tricker Cori Vokoun Charles Wilson, MD

Bryan College of Health Sciences Trustees

Bill Nunez, PhD Roger Reamer Kimberly Russel Julie Skrabal, EdD, RN Lisa Vail, DNP, RN, NEA-BC Sue Wilkinson, CPA, FLMI John Woodrich

Crete Area Medical Center Trustees Tad Eickman, Chair Russell Ebke, MD Tom Kozisek Rebekah Mussman Mike Pavelka Bob Ravenscroft David Reese Linda Stones, RN

Merrick Medical Center Trustees Paul Clark Ken Foster Shannon Hannapel Raymond Huggett, Chair Nathan Krug, MD John Woodrich

Laurie Bellows, PhD Samantha Dirkschneider Larry Dlugosh, PhD Brenda Franklin, RN Beth Lau, MD Rich Lloyd, PhD Angie Muhleisen, Chair

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VOLUNTEERS & CUSTOMER CARE

Healing Arts Program enhances quality of life, reaffirms human spirit

T

he Healing Arts Program has been bringing unique, exciting artwork into the Bryan community since 2014.

With a mission to promote healing, to enhance the quality of life and reaffirm the human spirit through the arts, the initiative has grown and blossomed over the last five years to have a lasting impact on the lives of patients, families, staff and visitors.

The program is coordinated through the Volunteers and Customer Care department, and is run by The Bryan Art Committee — a talented group of volunteers with a passion for art. Current members are Anne Pagel, June Pederson and Valery Wachter.

“Bryan belongs to our community, and it’s wonderful to have this committee featuring artists in our galleries and selecting art to share with all who enter our doors,” says Ellen Beans, director of Volunteers and Customer Care at Bryan Health.

The committee is tasked with a handful of ongoing responsibilities, including accepting donated art, maintaining the current art inventory at Bryan and selecting art for public spaces on Bryan campuses.

“The members serving on this committee were selected due to their wealth of knowledge and experience in the arts,” says Ellen. “It’s a privilege to have their leadership in growing the Healing Arts Program.”

Bringing art to life in the community The impact of this initiative can be seen throughout the halls, rooms, public spaces and outdoor environments at Bryan Health. Anyone who steps onto a Bryan campus is ultimately a participant in the overall experience of the Healing Arts.

Notable projects include the Bryan Art Gallery, which features area artists’ work on monthly rotation, the installation of the Heart Sculpture at Bryan East Campus, commissioning local artists to create little libraries and hosting the traveling exhibit of the Serving Hands Public Art Project.

In addition, there have been a number of hosted exhibits, art receptions and key relationships, including:

n Partnership with Lincoln Public Schools in providing art for construction fences and patient room ceiling tiles. n Partnership with Lincoln Arts Council for ceramic projects at Holmes Elementary and Saratoga Elementary Schools. n Sponsoring the Art Van DeLux for rehabilitation patients and LifeSpring participants.

The Healing Arts Program commissions or purchases art for a number of public and patient areas on Bryan campuses or clinic locations. Some of these are the Bryan East Campus Cafeteria, Plaza Radiology, Neonatal Intensive Care Unit,

Photographer Martin Dahlke prepares his display in the Bryan Art Gallery at Bryan East Campus. Each month features an area artist’s creations — and part of sales supports the Healing Arts Program.

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VOLUNTEERS & CUSTOMER CARE Customer Care department supports and enhances the Healing Arts Program by providing other types of art for Bryan Medical Center. This includes a number of musical initiatives such as: n Baby grand player pianos at Bryan East and Bryan West Campuses. n Volunteer pianists. n Volunteer harpist. n Partnership with Lincoln Symphony Orchestra to provide performances in patient rooms and main lobby areas. n Partnerships with local schools, churches and individuals to provide music in main lobby areas

Lincoln Symphony Orchestra pianist Janka Manning accompanies violinist Lisa Nielsen at Bryan West Campus. Musicians from LSO perform in patient rooms and in the main lobby areas.

Outpatient Surgery, surgery waiting area, Bryan West Campus Chapel and Bryan Pine Lake Campus Medical Office Building.

The committee also assists in selecting art for employee offices and coordinates the employee art gallery, the plaza walkway window gallery and pictures for patients.

Incorporating musical art Beyond the Bryan Art Committee, the Volunteers and

While the last five years have been successful in creating synergy between art in the community and the overall experience at Bryan Health, the committee continues to think of new and exciting ways to grow the program.

“Our plan is to be on the lookout for opportunities to bring healing art to all who are served, and to those serving at Bryan,” Ellen explains. “It’s important to enhance our environment with all types of art for our families, visitors, staff, physicians, volunteers and guests.”

One of the opportunities on that list is to establish a Healing Arts Sanctuary for Bryan East and West Campuses.

“The sanctuary would provide a place for all,” says Ellen.

“We want it to be a place that will provide a sense of peace, comfort and most of all, hope.” n If you’re interested in learning more about the Healing Arts Program or getting involved as an artist, please contact the Bryan Volunteers and Customer Care department at 402-481-3032 or email volunteers@bryanhealth.org.

The Employee Gallery features wonderful photography, such as these submitted by Bryan co-workers Josef Kren, Lois Baldwin and Joni Rikli.

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YOUR SUPPORT OF US

Support is a two-way street

C

ollaboration. This powerful action is prominent in the mission and vision statements of Bryan Health. Collaboration also is the central theme for our 2018 Community Benefit Report and our Annual Report on Giving.

Through your gracious support, collaborations are working. Gifts of both

time and treasure from the community to Bryan surpassed $8.9 million in 2018.

Collaboration also is evident in our investment into our communities.

Bryan’s quantifiable community benefit — more than $99.5 million in 2018 — is extraordinarily impactful.

As a Nebraska-owned and governed nonprofit, Bryan Health is acutely aware

Bold type indicates amounts which exceeded totals from the previous year.

and attentive to the region’s health needs and therefore many elect to give back through philanthropic support.

In 2019 and beyond, in order to move forward, we must continue to work together.

Thank you for your support — we are honored to care for your families and communities.

Bryan employee giving in FY 2018

Our supporters

Number of employee donors ...................................... $1,1 62,259 Dollars committed ........................................................... $1,630,000

Total number of donors ........................................................... $1,1 13,130 Total number of gifts ................................................................ $1,1 10,468 Average per donor ...................................................................... $ 2,455

How gifts were designated by donors

Investing in a healthy future Total private support generated during Fiscal Year 2018 to benefit Bryan Health: Gifts and pledges from individuals, corporations and foundations ............................................. $6,797,272 Planned gifts ................................................................................ ,$ 850,001 Subtotal .................................................................................... $7,647,273 In-kind gifts .................................................................................. $ 36,291 Volunteer support* .................................................................... $1,224,844 Subtotal .................................................................................... $1,261,135 Total charitable support for Bryan Health in FY 2018 ............................................................................... $8,908,408 merrick medical center $1,398,544

clinical & support $4,437,556

other $235,834

Bryan Medical Center clinical and support departments ...................................... $..4,437,556 Bryan College of Health Sciences .............................. 1,$1,299,853 Bryan College of Health Sciences scholarships .......... $1,260,752 Crete Area Medical Center ......................................... 6,$.4,251,025 Merrick Medical Center .................................................. $1,398,544 Other $.4,235,834

Planned gifts to be received at a future date Number of confirmed estate gifts in FY 2018 to benefit Bryan Health .......................................... 77 Cumulative confirmed estate gifts ................................................ 74 Historical average estate gift to the Bryan Foundation ............................................ $4,109,498 Average amount of confirmed planned gifts received in FY 2018, with a disclosed amount, and to be received at a future date** ........................................ $,121,429

bryan college of health sciences $99,853 scholarships $1,260,752

crete area medical center $251,025

* 748 volunteers served throughout Bryan Health and contributed 51,990 hours of service in FY 2018, valued at $1,224,844. The Institute of Philanthropy quantifies the value of each hour of service at $23.56. ** Confirmed gifts without a disclosed amount are not factored in the amount listed.

How donors designated their gifts in FY 2018

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2018 ANNUAL REPORT ON GIVING

William Jennings Bryan Society The William Jennings Bryan Society recognizes people who have invested in the future of Bryan through a planned gift.

Carl J. Ander Diane & Steve Andersen Anonymous (2) Marilyn M. Baker Marjorie J. Bartels Ellen & Patrick Beans Lyle F. Bigley Mary H. Brown Dr. Robert Buchman Frances Buell Jeff & Amy Burg Dick & Kathy Campbell Joseph & Margaret Carlson Dr. Chris & Debra Caudill Dr. Carolyn Cody Ken (DC) & Shirley Dermann

Dr. Alan Domina Dean & Debbie Fisher Barbara A. Godden Gerald & Nancy Gondringer Dr. Charles & Carolyn Gregorius Jim & Margaret Griesen Ron Groepper Richard Hansen Dr. Nancy Harms & Gerhart Wehrbein Susan Hart Dorothy & Francis Haskins Johni Hays Catherine & Gregory Hershberger Lloyd Hinkley Donna Hinkley Phylis Hollamon Berg Craig Howlett Susan Kaltenberger Diane & Larry Kathol Dr. Alexander Kingsley Art & Earlene Knox

Nelis Lago Kim Leighton Tom Lesoing Rich & Monica Lloyd Jim & Georgianne Mastera DeEtta & Terry Mayrose Lynette & Bruce McKeag Dr. Bruce Miller Marilyn & David Moore Rev. Dr. Clarke Mundhenke Rosanne Marie Neukirch Erin Pemberton Harold & Marilyn Pfeiffer Verla & Tom Plummer Ruth & Raleigh Radenslaben Bob & Karen Ravenscroft Shirley & Alan Retzlaff Dr. Vonn & Debra Roberts Cheryl Rourke Sharri Rowley Kimberly A. Russel

Diane Snapp Jim & Suanne Stange Debra Steinmiller & Don Chotro Mark Stephens Kathryn Stewart David & Linda Sundberg Reno Tobler Dr. Lisa & Mark Vail Marilyn & Warren Viehl Virginia & Burnell Von Seggern Patricia & Clinton Webb Herm (DC) & Helen Wiebers David Wilcox Dr. Charles & Linda Wilson Kathy & Roger Wolf

Acklie Charitable Foundation Duane (DC) & Phyllis Acklie Anonymous

Bryan Medical Center Crete Area Health Care Foundation Phyllis Hollamon Berg

Reno Tobler

Cecil Albert Estate Anonymous Dr. Jay Bastani and Family Bryan Volunteers and Customer Care Aaron Buckstaff (DC) Community Health Endowment of Lincoln

Dinsdale Bros. Inc. E. J. Faulkner Estate Duane F. & Dee M. Fjellin Estate Dr. Charles & Carolyn Gregorius Robert E. & Mary J. Moore (DC) Harold & Marilyn Pfeiffer Lee & Betty Schroeder (DC)

Mary G. & Duane T. Swanson (DC) John L. & Sophy H. Teeters (DC) Ross & Judy Wilcox

Patrick E. & Ellen A. Beans Dr. Robert Buchman Dr. Chris & Deb Caudill Jim Cuddeford (DC) Davis Design Git-R-Done Foundation The Hawks Foundation Tim and Sondra Hepburn Albert & Lois Hoesch Estate

Christine Janda (DC) The Kim Foundation Lincoln Community Foundation Lincoln Hospital Association Merrick Medical Center Auxillary Elizabeth M. Miller Estate Dr. Vonn & Debra Roberts Rogers Foundation Kimberly A. Russel & Dirk Brom, MD

Sampson Construction Jim & Suanne Stange Debra Steinmiller & Don Chotro Donald R. & Mary L. Swanson (DC) Union Bank & Trust Company

(DC) indicates deceased.

Founders Lifetime cumulative gifts of $1,000,000 or more

(DC) indicates deceased.

Leaders Lifetime cumulative gifts of $500,000-999,999

(DC) indicates deceased.

Builders Lifetime cumulative gifts of $250,000-499,999

(DC) indicates deceased.

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2018 ANNUAL REPORT ON GIVING

Progressives Lifetime cumulative gifts of $100,000-249,999 Mark Adams & Beth Van Hoesen Trust Ameritas Anonymous Associated Anesthesiologists, PC Marilyn Baker Bryan Heart Bryan Medical Center West Auxiliary Bryan Woman’s Board

Jeff & Amy Burg Dr. Stephen (DC) & Beth Carveth Catholic Health Initiatives Dr. Carolyn Cody Richard & Jacquie (DC) Chapin DKJL Family Foundation EducationQuest Foundation, Inc. Electronic Contracting Company Dean & Debbie Fisher Jan Garvin & Jim Spalding Frederick & Hallie Houtz Estate

Dorothy & Francis Haskins HealthLincoln, Inc. Kim Leighton Lincoln Radiology Group, PC Medtronic Merrick Foundation Charles & Esther Miller Estate Marilyn & David Moore Desta Osborne Ruth & Raleigh Radenslaben Vance & Barbara Rogers (DC)

Sharri Rowley Richard Saduikis (DC) John & Laura Slife (DC) Diane Snapp Ken Snider US Bank Dr. Lisa & Mark Vail Odeth Wall (DC) Helen Weber

Wayne E. Carnicle Estate Carver Trust Fund City of Lincoln Cornerstone Bank Eleanor Dixon Estate J.E. Dunn Construction Company Alice G. Eberhard Estate Emergency Medical Svcs., Inc. Richard Evnen & Kimberly Heier Dale Fadschild Estate Marie Fletcher Helene Fuld Trust Russ & Jane Gronewold Dr. Lewis Harris (DC) Lloyd & Donna Hinkley Craig Howlett

Independence Center Alumni Association Kinder Porter Scott Family Foundation Dr. Sushil & Jane Lacy Beth & Steve Lau Jim Leslie (DC) Lincoln Industries Daniel & Ruth McPherson (DC) MDS Pharma Services Angie & Dan Muhleisen Stuart Nichols (DC) James & Virginia Nissen Pathology Medical Services, P.C. Bob & Karen Ravenscroft Father Fred L. & Susan C. Raybourn Shirley & Alan Retzlaff

Mildred Rowley (DC) Sandhills Publishing Jerry (DC) & Barbara Solomon The James Stuart III Family Foundation Fern D. Swanson (DC) Swing Against Cancer Ellen Weissinger William (DC) & Mae Whitmer Doug & Lori Wilson John & Jeannie Woodrich Woods Charitable Fund

Commercial Investment Properties Edward & Doris Cooley (DC) Joseph Cooper Estate Cornhusker Bank Lois Dargeloh (DC) Dialysis Center of Lincoln Donlan Foundation DuTeau Chevrolet-Subaru Eells Trust Wendy & Douglas Elder EPreward Inc. Everett & Elaine Evnen (DC) Farmers Mutual of Nebraska Ken & Deb Foster Esther Fox Don Freeman Carol & Ardell Friesen Connie Ganz Genentech, Inc. Barbara A. Godden Jim & Margaret Griesen

Guidepoint Global Sharon & Eric Hadenfeldt Nancy Hakel-Smith & David Smith Richard Hansen Dr. Nancy Harms & Mr. Gerhart Wehrbein Susan Hart Sandy & Larry Harvey Viola Hronis (DC) Christine Huber Karen Ibach Adam & Sandy Karavas Everett & Mary Jane Knoche (DC) Rick & Kazuko Kunz Wilma Kuster (DC) Thomas R. Larsen Dr. Glen & Elba (DC) Lau Charles (DC) & Hermine Leffler Bill & Judy Lewis Dr. Tim & Brenda Lieske Paul & Kay Maize

Arthur & Gladys Marquardt (DC) James & Georgianne Mastera Florence Mauroules DeEtta & Terry Mayrose Lynette & Bruce McKeag Robert & Cynthia Milligan John & Jenny Morden NAI FMA Realty Nebraska Emergency Medicine PC Nebraska Hospital Association Nebraska Trauma & Acute Care Surgery Erin Pemberton Pfizer Inc. Quest Diagnostics Dr. John & Kay Reed The Robert Wood Johnson Foundation Runza National Benno Sand & Marlys Gapstur Sand Ruth Schwartz (DC) Vern & Phyllis Shires Jeri Shute

(DC) indicates deceased.

Defenders Lifetime cumulative gifts of $50,000-99,999 Allied Tour & Travel Robert Allington Estate Alpha Phi Anonymous Jean Ames Trust Agnes Asmussen Estate Assurity Life Insurance Company Raymond J. Becker (DC) Lyle F. Bigley Bryan Medical Center Administration Bryan School of Nurse Anesthesia Dr. Reginald Burton & Dr. Jamie Snyder Dick & Kathy Campbell

(DC) indicates deceased.

Champions Lifetime cumulative gifts of $25,000-49,999 Abel Foundation Craig & Devon Ames Carl & Jane (DC) Ander Anonymous Archer Credit Union Marjorie J. Bartels Anita & Charles Bernholz Timothy Binder (DC) Robert & Gloria Brockley Bob (DC) & Ann Brown Bryan Medical Staff Bryan School of Nursing Alumni Association Osvalds (DC) & Daila Bumanis Campbell’s Nursery & Garden Center George & Elaine (DC) Carr Citizens Bank & Trust Co. Joe & Cyndi Clarke

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2018 ANNUAL REPORT ON GIVING Donna Stone (DC) David & Linda Sundberg Swanson Russell Beverly & Robert Taylor Shirley Travis

UNICO Group, Inc. Union Pacific Foundation Marilyn & Warren Viehl W. K. Kellogg Foundation Ron & Valery Wachter

Robert Wade Trust Beverly & William Wakely (DC) Patricia & Clinton Webb Wells Fargo Dr. James & Mimi Wickless

Dr. Charles & Linda Wilson Windstream Kathy & Roger Wolf

Epic System Corporation Patty & Roger Evans T.A. Filipi Estate Neil (DC) & Gail Finsand First State Bank FirsTier Bank Ted & Marlene (DC) Forke Harriet Fort (DC) Ruth Foster Estate Dr. Deepak Gangahar Dr. Benjamin Gelber General Mills Foundation Generals’ Club Margaret & Douglas Gibson Ron & Chris Harris Ron & Chris Harris Charitable Foundation Ruth Hartley (DC) Leonard Hartwig (DC) Dr. Bob & Helen Hayes Jean & Larry Hennings Angela & John Herbert Cathy & Greg Hershberger Jim & Marjorie Hewitt Frank & Liz Hilsabeck Dr. Jon Hinrichs & Donna Woods Hoegemeyer Family Foundation Milton & Betty Hofstad George & Alice Holmstedt (DC) Andrew & Ellan Hove Kathleen Howlett Jack & Lynelle Huck IMSCORP Inpatient Physician Associates Gerald Jindra Don B. Johnson (DC) Mabel H. Johnston Estate Susan Kaltenberger Harold & Charlotte (DC) Kelley Kensington Quilters Laurie & Bernie Ketterl Kidwell, Inc. KLKN-TV Art & Earlene Knox Marcia & Dean Kube Rick & Anita Leggott Lincoln Association of Health Underwriters Lincoln General Hospital Foundation Lincoln Insurance Group Lincoln Telephone & Telegraph

Lincoln Voiture 103 Dale & Maureen Lobb Marv & June Lyman Drs. Christopher & Erin Masada Campbell McConnell Suzanne McMasters Dr. Clyde & Susan Meckel Wynn & Sheila Mehlhaff Dr. Andrew & Jaine Merliss Charlie & Sherry (DC) Meyer Cheryl & Marty Miller Dr. Keith & Katie Miller Gates & Daisy Minnick Eric & Becky Mooss Ken & Pat Morrison (DC) Wendy & Ray Muir Rev. Dr. Clarke & Sharon Mundhenke Tressie Murdock Estate National Park Service Nebraska Community Blood Bank Nebraska Heart Institute Robert & Mary Nefsky Lucille Nefsky Estate Nelnet, Inc. Novartis Consumer Health, Inc. Olney Foundation, Inc. Sarah & Casey Olson David & Ruth Patrick (DC) Margaret Pavelka Estate Scott & Holly Persson Jim & Denise Peterson Elvin L. Platt Estate Verla & Tom Plummer Premier Connections Marian Price Professional Choice Recovery, Inc. Purdue Lecture Program Group Debbie Redetzke Mrs. E.B. Reed (DC) Dr. Chuck & Catherine Reese David & Laura Reese Dr. Herb & Ginny Reese (DC) Region V Services Susan & Paul Rego Bob & Becky Reisdorff Karen & Dennis Rock Rural Health Partners, Inc. Saint Elizabeth Regional Medical Center Administration Steven D. Salisbury Trust Schneider (USA) Inc.

Florence & Paul Schorr (DC) The Joe W. & Ruth K. Seacrest Foundation Dr. Aina Silenieks & Tyler Sutton Julie & Bruce Smith SmithKline Beecham Southeast Nebraska Cancer Center Robin & Randy Spangler State of Nebraska Dr. Tim & Carol Stivrins Jill Stoefen-Fisher Virginia Stryker (DC) Stuart Foundation Sutter Place Interiors Swanson Biggs Adams Family Foundation Takeda Pharmaceuticals North America Thoratec TierOne Bank Mary Jo & Dalton Tietjen Dr. John & Stacy Trapp Janet & Dale Tubbs Nancy & Jim Van Kirk Dennis & Pat Vermaas VHA Mark & Rita Walz Dr. Art & JoAnn Weaver Lisa Weaver Dr. Walt (DC) & Joann Weaver Weller Foundation DeeAnn & Bob Wenger Dr. Vernon & Janet Westberg Dr. Ryan T. Whitney Darrell Widman Herm (DC) & Helen Wiebers Dr. Eric & Kathleen Williams Doug & Carol Willoughby Lynn & Robyn Wilson Patricia & Max Wing Shirley & Carl Wohlfarth Dr. Larry Wood Woods Bros Realty, Inc. Wyeth Ayerst Laboratories Verla & Gordon Youngquist

(DC) indicates deceased.

Friends Lifetime cumulative gifts of $10,000-24,999 Dorothy & Edwin “Bud” (DC) Abbott Action For Students American Heart Association Ameritas Financial Services Anonymous Phyllis Anton B & R Stores, Inc. Ken & Sidonia Babcock Viola Babcock Trust Bailey Lauerman Sam (DC) & Joyce Baird Oliver Baker Memorial Trust Dr. John Baldwin Jerome & Chelsa Barry Nadyne Bauer Bob & JoAnne Bettenhausen Bettenhausen Family Foundation Esther Beynon (DC) Gary & Connie Binder Ray & Betty Bloomquist Deb & Ed Boehle Dr. Samuel & Patricia Boon Jennie Borchert Marshall Borchert Debra Border Roger & Mary Breitbarth Brester Construction, Inc. Bryan Women’s Care Physicians Dr. Brian & Amy Buhlke Edgar Bumanis Burlington Northern Santa Fe Foundation Ruth Jones Cadwallader (DC) Jack & Mary Carey (DC) Alda Carlson (DC) Joseph & Margaret Carlson Jack Carnie Bill & Marilyn Cintani Cline Williams Wright Johnson & Oldfather Cooper Foundation Nick & Ann Cusick David & Karen Dickinson Traci & Tyler Dieckman Roger & Gayle-ann Douglas William (DC) & Betty Dresser Mike & Terri Dunlap Dr. David & Elaine Dyke

(DC) indicates deceased.

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2018 ANNUAL REPORT ON GIVING

Honor roll of donors This list recognizes gifts of $250 or greater which were made during Fiscal Year 2018. An asterisk (*) denotes a Bryan Health employee.

Acklie Charitable Foundation Karen* Adamsheck Dr. Jennifer & Bradley Ahlers Air Methods Warren* Akset Allergan Alpha Phi Darlene Althouse Doug & Deb Althouse Margie* Amato Ameritas Dawn* & Scott Andersen Deanne* Anderson Kelsi* & Dirk Anderson Kimberly* & Bill Anderson Mickey* Anderson Morgan* Anderson Dorthy* & Rob Applegate Archer Credit Union Stacy* Arkfeld Armstrong Family Judy* Arnold Associated Anesthesiologists, PC B & R Stores, Inc. Ken & Sidonia Babcock Audrey* & Marcus Bach Sally* & Travis Bach Renae* & Kevin Bailey Bob* & Mary Baker Marilyn M. Baker Dr. Mathue* Baker & Dr. Colleen Baker Shelley* Baldassano Lois* Baldwin Christopher* Balwanz Marty* Bankson Jerome* & Chelsa* Barry Melissa* & Tanner Bartels Christie* Bartelt Dr. Abhijeet* Basoor & Dr. Mina Todorov Dr. Jay Bastani and Family Ann* & Shayne Bauer Dawn* & Kevin Baxa Ellen* & Patrick Beans Julie* & Kevin Beasley Jacalyn* & Louis P. Beau Tandy* & Benjamin Becher Shannon* Beck Jane* Bedient Kama* & Chris Bedient Dr. Terry & Susan Bejot

Linda Bell Marsha* Belz Melinda* & Brad Bentjen Casen* Beran Holly* Beran Stacey* Bergantzel Melanie* & Galen Bernadt Carolyn* Bernasek Anita & Charles Bernholz Bryce* & Kimberly Betke Bison, Inc. Darcy* & Jerod Blayney Debra* & Ed Boehle Sandy* Bollling Scott* Boltz Tracy* & Sam Boman Leslie* & Anthony Bonelli Marilyn & Robert Boomer Dr. Samuel & Patricia Boon Bruce Borchers Marshall B. Borchert Deb* Border Mary* Bornman Lina* & Brett Bostwick Janelle* & Ryan Bray Dr. Donald Breit Bristol-Myers Squibb Betty* & Ron Brittenham Christine* Brooks Michael* Brown Ann Brown William Brown Kathy* Brune Bryan College of Health Sciences Student Government Bryan Volunteers & Customer Care Bryan Woman’s Board Dr. Brian* & Amy Buhlke Edgar* Bumanis Jennie* Burianek Connie J. Bussinger Lisa* & Ian Butler Patricia* & Curtis Butler Sharon* Butt Judson & Karen Byleen Alan* & Judy Cable Jaimi* & Todd Calfee Pamela* Calkins Andrew & Rachel Carlson Joseph & Margaret Carlson Colleen* & Gregory Carpenter George* Carr Dr. Stephen (DC) & Beth Carveth Dr. Jason Cassidy Barbara* Chadek Frances Chaffee

Sin* Chong Cintani Family Foundation Citizens Bank & Trust Co. Colleen* Claassen Paul* & Sarah Clark Joe & Cyndi Clarke Bobbi* & Sam Clinch Cloverleaf Suites Dr. Carolyn* Cody Larry & Connie Coffey Kris* Cole Dr. Paul & Irvene Collicott Community Health Endowment of Lincoln Connected Forever Valerie* Consbruck DeeAnn* & Scott Cooper Cornerstone Bank Megan* Corney Brooke* & Chad Cose Jean* & Rick Cotton Rebecca Coulter Kay* Crabtree Crete Area Health Care Foundation Dorothy L. Crewdson Brian* Cross Sunny* Csuhta Dr. Chris & Shannon Cuciti James Cuddeford Estate Julie* & Kelly Cummings Cindy* & Mark Dahl Stacy* & Dustin Dam Elizabeth* Dankers Deborah K. Davidson, DO Michael & Teri Davis Davis Design Jim & Lana Daws Arlyn* & Jalene De Peel Dr. Kjersti & Scott Deckert Kristi* & Dale Deffenbaugh Ryan D. DeHaan, MD Theresa* & Aaron* Delahoyde Sandy* Delp Harold Dexter Stacy* Dexter David Dickinson & Karen McCluskey Holly* Didier Arthur & Ursula Dieckmann Traci* & Tyler Dieckmann Lureta J. Dierberger Vicki Dierking Kim* Dierks Andrea* Dinkelman Dinsdale Bros. Inc. Alice Dittman Julie* Dixon

Mike* Dixon Linda Dockery Sharon Doll Heidi* & Jamie Dostal Brenda* Downey Kim* & Craig Drapal Melisa* Draper Sara* & Dave Draus Pam* & Steve Drda Michael J. Duggan, MD Dianne* Dunkle Alison* Dunlap DuTeau Chevrolet-Subaru Dr. David & Elaine Dyke Eakes Office Solutions Dr. Kent & Jan Eakins Lu Ann* Ebke EducationQuest Foundation, Inc. Pamela Edwards Eells Trust Alice Eggers Laureen* & Roger Ehmen Ronda* Eitzmann Wendy & Doug Elder Dr. Richard & Gloria Elliott Christa* Engel Loretta* & Mike Engel Shannon* Engler Epic Systems Corporation Michael* Epp EPreward, Inc. Dr. Nicole & Bruce Ericksen Summer* Erickson Michaela* Erixson Kari* Eskens Jim* & Dana Evans Patty* & Roger Evans Sheryl & Dennis Evans Karen* & Bob Everitt Everett & Elaine Evnen (DC) Dr. Lynette Exum Sara Eyster Tammy* & Todd Fandrich Linda* & Rick Faris Farmers Mutual of Nebraska Carolyn* & David Fiala Firespring First State Bank Christina* Floodman Ken* & Debra Foster Jackie* & Troy Foster Esther R. Fox Leigh Anne* Frame Janelle* & James Francis Michelle* Frederick Paul N. Fredstrom

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2018 ANNUAL REPORT ON GIVING Kimberly* French Fresh Thyme Carol* & Ardell Friesen Dr. Jonathan Fullner Lawrence Garcia Dr. Timothy* & Patti Gardner Jan* Garvin & Jim Spalding Amber* Gazga Tena* & Brian Gebers Adam* & Whitney Gibson Margaret & Douglas Gibson Shirley Gibson Git-R-Done Foundation Roger* & Lucinda Glen Michelle* Glenn Glenn W. Mooberry Trust Fund Tiffany* Goeller Jennie Gossett Beverly Gottsch Melissa* Gragg Shauna* Graham Rachel* Greene Dr. Charles & Carolyn Gregorius Jim & Margaret Griesen David* Griffiths Russ* & Jane Gronewold Dr. Kenneth & Joanne Gross Wanda* & David Grothen Kathy* & Dr. Jeff Grubbe Guidepoint Global Emily* Gulley Ronald W. Hachiya, MD Sharon* & Eric Hadenfeldt Paul* & Rachelle Hadley Sharon* & Brian Hagelgantz Nancy* & David Hakel-Smith Kimberly* Haller Cynthia & Gary Hamik Rebecca & James Hansbrough Mary* Hansen Dr. Sara* Hargreaves Sharon* & Daniel Harms Kent* Harner Shannon & Philip Harner Pat Harpster Mary* & Bruce Hart Susie Hart Kari* Hartley Lacey* Harvey Linda* Haun Susan* & Luther Heckman Libby* Hedglin Sally* & Rodger Hempel Sara* & John Hennessy Jodi* Henning Jean & Larry Hennings Danielle* & Collin Henricksen Tim & Sondra Hepburn Angela* & John Herbert Catherine & Gregory Hershberger Joe Hesselgesser Jim & Marjorie Hewitt

Betsi* Hinkle Lloyd & Donna Hinkley Dan & Nancy Hinnah Dr. Jon Hinrichs & Donna Woods Hoegemeyer Family Foundation Milton O. Hofstad Joan* Hogancamp Marchelle* Hohnholt Phylis Hollamon Berg Jessica* Holland Patricia* & Jim Holloway HomeServices of Nebraska Mary Ellen* Hook Mary* Hoppe HoriSun Hospice, Inc. Virgil* & Susan Horne Andrew & Ellan Hove Kathleen Howlett Christine & Curtis Huber Jack & Lynelle Huck Lisa* Huettner Colleen* Hughes Nancy* & Mike Hula Valerie* & Adam Hunt Dr. Jerry & Tita Hynes Miyuki* Inamura Dawn* & Travis* Isaacs Chris* Jambor Kim* & Steven Janssen Tricia* & James Jara Kendra* & Brian Jefferson Linda* & William Jeffery Kenneth Jensby Karin* Jensen Kaye* & Judson Jesske Gerald Jindra Diane* & Craig Johnson Linda* & Scott Johnson Lori* Johnson Dr. Matthew* & Kacey Johnson Jeannette Johnson Dr. Joel & Kelli Johnson Valarie* Johnston Edna* & Larry Jones Lisa* & Chris Jones Emerson & Joan Jones Donna* & David Jorgensen Sue* Kaltenberger Ann* Kamino Robin* Kappler Adam & Sandy Karavas Lindsey Kastl Chris* Kastrinos Katheryn* Kathe Kats Korner Bookshop Linda* Kattes David Keck & Jeannine Falter Patrick A. Keelan, MD Kristina* Kehm Ruth Ann* Kellner & Michael Royse Laurie* & Bernie Ketterl Colette* & Gregory Kiefer-Barton

Amy* Kimminau Linda* Kimminau Frank* & Sharon* Kimmons Mary* & Christian Kingery Sarah* & Sammy Kirchoff Genna* Kiser Lynne* & Steve Klein Tracy* Kleinschmit Louis Klinzman Mary* Knabe Carrie* Knievel Linda* Knudsen Sherry* & Bruce Koenigsman Tammy* & Dick Kohler Jean* Kolar Allyn* Komorowski Dixie* Kornfeld Cheryl* & Rico Kotrous Katie* Kranau Jennifer* Kreifels Kerri* Kreifels Dr. Jeffrey & Connemara Krivohlavek Lauren* & Larry Kroeker Dr. Nathan* & Christi Krug Sam & Lauren Krug Michelle* & Michael Krumland Marcia* Kube David & Anita Kucera Debbra* Kuklish Julie* Kula Dr. Joseph* & Lyn Kummer Rick & Kazuko Kunz Karen* Kurbis Deborah* Kurtz Dr. Michael* & Amber Kutayli Janet & Richard Labenz Steffan R. Lacey, MD Barbara* Lacher Julie* Lacy Ron* & Martha Lane Daniel* Lantis Julia* & Duane Lantz Dian* Larrew Thomas R. Larsen April* Lau Beth & Steve Lau Meg & Jim Lauerman Seth* Lauterbach Jackie* Lawrence Dr. Sean & Holly* Leach Ronald* & Marti Lee Stacy* & Steven Lee Sandra* Leeling Charles (DC) & Hermine Leffler Amelia* Lemke Louis* Lemon Craig B. Leslie Darrell R. Lester, MD William & Cindy Lester Ellie* & Mark Lewis Liberty Lawn & Landscape, Inc. Brenda* & Dr. Tim Lieske

Lincoln Association of Health Underwriters Lincoln Community Foundation, Inc. Lincoln Electric System Lincoln Lancaster County Mental Health Foundation Inc. Lincoln Marriott Cornhusker Hotel Lincoln Orthopaedic Center Lincoln Radiology Group, P.C. Lincoln Voiture 103 LincOne Federal Credit Union Scott* Linke Loren D. Lippincott Rich* & Monica Lloyd Dale* & Maureen* Lobb Lockton Companies Denise* Logan Donna Long Burdette Lukert Steffani* & Michael Maas Jon MacDowell Robin Macknight Kimberly* & David Macoubrie Elizabeth* Magana Dorinda* Magnus Chris* & Todd Magnuson Jennifer* & Kent Mahler Dr. Steven* & Rebecca Mahnke Kay & Paul Maize Mary* Malmkar Candolin* Malousek Chase* & Kami Manstedt Peggy* & Larry Maresh Dr. Zachary & Kate Martens Jaime* Martinez Nicholas* Martinez Christopher T. Masada, MD Kimberly* & Brian Maschmann Dr. Janet Matthes Mary* Mattox DeEtta* & Terry Mayrose Angela* & Kyle McCown Julie* McDaniel Sandra* McGinnis Dr. Nathan & Heidi McIntire Bruce & Lynn McKeag Brandon* & Lacey McLaughlin Jennifer* & Jason McLaughlin Alysha* & Brody McLean Darci* & Kyle McMurray Ed McPherren MaryBeth* & Dave McWilliams Dr. Clyde* & Susan Meckel Tim* & Chris Meier Candace* Melcher Drs. Jaine & Andrew* Merliss Merrick Foundation Merrick Medical Center Auxillary Jolyn* & Dustin Merry Gary Metcalf Kristina* & Jerry Meyer Dani* Michaelis

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2018 ANNUAL REPORT ON GIVING Karen Mickelson Midwest Bank Dr. Dave* & Lanae Miers Charlie* Miller Dr. Keith* & Katie Miller Tova* Miller Cynthia & Robert Milligan Lois & Lewis Million Gates & Daisy Minnick Margaret & Larry Mitchell Peggy* & Kim Moeller Kurt* Moes Denise* & John Moeschen Shirley* Mohr-Burt Drs. Neill & Libby Mollard Vicky* Monday Marilyn* & David Moore Eric* & Rebecca Mooss John & Jenny Morden Suelynne* Morrissey Julie* & Maurice Morton Heather* & Shawn Mosley Brenda* & Justin Mueller Angie & Dan Muhleisen Wendy* & Ray Muir Patrick* Mulligan Don Mullison Chad* & Kerri* Muma Kimberley K. Mundil Cari* & Vern Musgrove Mike* & Carol Myers NAI FMA Realty Wendie* Nash Nebraska Hospital Association Lisa* Neddenriep Brenda* & Mark Neemann Robert & Mary Nefsky Cynthia* & Michael Nehe Dr. James & Patricia Neid Heather* Neilan Jennifer* Neilan Nelnet, Inc. Jason* Nider Rachel Niemeier Pam* Nienaber Jackie* & Brent Nisley Karen* & Douglas Nissen Scott M. Noel, MD Vicki & Steven Norton NRC Health Dr. Robert* & Fayette Oakes Bridgett* & Eric Ojeda Dr. Stanley* & Melinda* Okosun Oliver Baker Memorial Trust Rhonda* Olmsted Lois* Olson Sarah* & Kasey Olson Tom & Cynthia Olson Lil* & Michael O’Neill Drs. Chad & Teri Ott Bill* & Rita Overton Deanna* Overton

Sheri* & Mark Paneitz Emily* & Brandon Park Robert* & Margaret Pass Kristine* & Donald Patak Pathology Medical Services P.C. David* Patterson Slava* Paul Susan* & Carter Pendergrass Dr. Robert* & Michelle Percell Jayme* Perdew Scott* & Holly* Persson Jim & Denise Peter Nancy* Pew John* Pfrimmer Marilyn Philippi Marcia* Phillips Kari* Pierson Sue* Pilker Erica* Pirog Trey & Shari Pittenger Kristy* & Tim Plander Vicki* Podwinski Rose* & Tony Porto Dr. Manmohan* Pothuloori Premier Connections Jennifer* & Dale Preston Professional Choice Recovery, Inc. Dr. Juris Purins Heidi* Rademacher Jill* Rahn Scott* Rahn Raising Canes Cara* Ramaekers Stephanie L. Randall, MD Judy Curtiss Rasmussen Michelle* & Michael Rathe Bob* & Karen Ravenscroft Ron H. Rawlings, MD Father Fred L. & Susan C. Raybourn Debbie* Redetzke Dr. John & Kay Reed Jennifer* Reedy Charles M. Reese, MD Region V Services Robert L. Reier Amy* & Scott Reiner Travis* Reinke Bob & Becky Reisdorff Mona* Reynolds Jan* & William Rice Melissa* Rice-Griffin Nancy Richards Mikaela* Ridder Caleb* Robinson Janet & Robert Rogers Beth* & Adrian Roth Stephanie* Rubenthaler Staci* & Matt Rudolph Dorothy* Ruhl Debra* Ruhrdanz Dot* Rung Runza National

Kimberly* Russel & Dirk Brom, MD Tamara* Russman Sampson Construction Benno Sand & Marlys Gapstur Sand Joann* & Luke Sanders Rachael* Saniuk Mary* Santos Christina* Saum Denise* Schademann Thomas* Schadl Keith & Sharon Schafer Marita* Schafers Ward Sandy* & Michael Schleppenbach Clarissa* & Brent Schluckebier Dennis* Schmidt Robb* & Tina Schnitzler Dr. J. Elizabeth Schoemaker Jessica* Schoen Judith Schram Kelli* Schreiner Sarah* & Charles Schroeder Tricia* & Mike Schuller Andrea* Schultz Janelle* & Tim Schulz Robin* & Todd Schumacher Susan* & Mark Schumacher Amy* Schwarz Mark* & Carolyn Schwede Duchess* Scott Jane & John Scott Aimee* Scudder Zakary* Sedlak Heather* & Justin Seeba Sara* Seemann Shelley* Seiler-Prasek & Rick Prasek Select Specialty Hospital Brittany* Shaba Nicole* Shaffer-Bailey Shared Services Erin* Sharpe Don* & Pam Sheets Nathan* Shelbourn Dr. Ryan* & Emily Shelstad Vern & Phyllis Shires Dr. Aina Silenieks & Tyler Sutton Karen* Simms Katy* Simpson Dr. Zach* & Rachel Singsank Angela* Sitzman Dr. Craig* & Traci Sitzman Renee & Carl Sjulin Jan Skala Megan* Skradis David & Annie Slattery Nancy* & Joe Sloan Kate* & Duane Smid Julie* & Bruce Smith Kimberly* Smith Russell* Smith Sally* & Roger Smith Margie Smith Tom & Lisa Smith

Ken Snider Mary Jean Sohl Lavone* Solomon Robin* & Randy Spangler Brian* Speich Dr. Doug & Arah Spurgeon Michelle* Squier Debra* & Daniel Stanek Jim & Suanne Stange Wade & Heidi Stange Crystal* & Benjamin Stech Nancy* & Alan Steckelberg Laura* Steele Christie & Joseph Steele Valerie* Steinke Dr. John* & Pamela Steuter Stacy* & Shane Stewart Kathy & Keith Stewart Janet* Stiefel Opal Stivrins Dr. Tim & Carol Stivrins Shawn* Stoner Linda* & Martin Stones Sharon L. Stovall Bonnie* Struthers Stryker Sustainability Solutions Susan Stuart Don & Janet Stucky Steven* & Tammi Sufficool Jenny* & Brett Sundberg Scott* & Emma Sunders Shannon* Sveeggen Stacy* & Daniel Sveen Swanson Biggs Adams Family Foundation Jaime* & TJ Swendener Heather* Talbott Kimberly* & Jamie Tallman Kristie* Tang Amy* & Chad Termaat Dr. Todd* & Lisa Tessendorf Pam* Thoeming Kandi* & Jeffrey Thomas CharLene Thome Katherine* & Andrew Thompson Dr. Richard* & Jennifer Thompson Suzanne* & Patrick* Thompson Dr. John S. Thompson Mary Jo* & Dalton Tietjen Noel A. Timmons, MD Brian D. Toalson, MD Robert* & Cinthia Tobey Tyler* & Sarah Toline Totes of Hope Dr. John* & Stacy Trapp Tiffany Trauernicht Drs. Chad* & Carolyn Travers Rebekah* & Conrad Trevino Jenny Tricker & John Linscott Mary* Tuckerman Jerry* & Joyce Turman Union Bank & Trust Company

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2018 ANNUAL REPORT ON GIVING Union Pacific Foundation United LUV Project United Way Jodi* Urban Dr. Craig & Joyce Urbauer Oxana* & Alex Ustimchuk Dr. Lisa* & Mark Vail Ruth* & Richard Van Gerpen Dennis* & Patricia VerMaas Stephanie* & Stan Vodehnal Rosalyn Vogler Rachel* Vonderfecht VTI Security Ron & Valery Wachter Barbara* & Lance Wagner Jordan* & Jordan Wagner Paula* Wagner Jennifer & Joshua Wallin Dr. Donald & Judy Waltemath

Ladonna* Walters Mark & Rita Walz Jessica* & Jay Warren Judy Washington DeAnn* & Nathan Watermeier Dr. Arthur L. Weaver & JoAnn I. Weaver Jeff* & Rosalie Weber Megan* Weber Scott* & Carie Weber Carol Webster Del Weed Robert* & Kelli Weichel Drs. Jesse & Gina Weir Betty* & Ned Wemhoff Tara* Westerbuhr Roberta* & Ty* Westover Michele* & Thomas Wheeler Maggie White-McLean

Mae Whitmer Dr. Ryan* T. Whitney Darrell Widman Christine* Wiedel Kathryn* Wilcox Wallace Wild Deb & Luke Wilke Vicky* Wilkinson Natalie* Willer & Andrew Pearson Jane* Williams Lisa* Williams Dr. Eric Williams Lester Williams & Phyllis Maurer Joy* & Linda* Williamson Doug & Lois Wilson Patricia & Max Wing Dr. Douglas Winjum Cari Wise Jerome* Wohleb

Kathy* & Roger Wolf Pamela Wolfe Jody* Wollenburg John* & Jeannie Woodrich Woods Bros Realty Lacy* & Patrick Wright Dr. Jamey Wright Yvonne Wright Marcy* Wyrens Xenex Disinfection Services LLC Debi* Yancer Kinzang* Yangden Rose* & James Yankech Judith A. Zabel Tara Zeorian Josi & Russ Zito Candy* Zywiec

Donald Althouse Sheila Block Mary Carey Alda Carlson Louise & Stewart Catlett Ellie Chambers Mackenzie Ciecior Doris Damkroger Steve Dierberger Eugene Edwards Everett Evnen Oliver Fargo Ron Frame Janet Fredstrom

James Garvin Henry Hartig Donna Houchin Barbara Houtz Luke Johnson Doug Kaltenberger Walter & Leanna Kattes Marilyn Klinzman Marvin Kyes Mary Kathryn Luebs Lloyd & Eleanor MacDowell Linda McPherren Sherry Meyer Marilyn Morden

Doris Quaife Leo Sauermann Gilbert Savery Kay Schellpeper Betty Sink Roger Skala Diane Solee Doris Vail Lloyd Vogler Vernon Wiemer William Wild Bill Wrightsman Debra Zajicek

Jerome Barry Roger Belohlavy Marsha Belz Leslie Bonelli Bob Brosmann Austin Byleen Shannon Engler

Angela Herbert Dawn Isaacs Adelyn Madsen Kay Maize Corbin Morris Wendy Muir Ruth Olenski

Julie Smith Linda Stones Janet Tubbs Marcy Wyrens

Memorials This list recognizes gifts made in memory of the following people in 2018.

In Honor This list recognizes gifts made in honor of the following people in 2018.

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BEYOND EXPECTATIONS

Gifts salute exceptional service Our patients and their families made gifts in honor of these physicians and employees, who went beyond expectations to provide exceptional service in 2018.

Jenny Abler Rebecca Ackermann Mary Ann Agpawa Malik Ahmic Spencer Ahrens Shayna Allen Lupe Alvarado Marcial Megan Andersen Erica Anderson Felicity Antwi Kelsey Arner Jamie Arnt Skylar Asher Katherine Barnard Christie Bartelt Charlotte Baugher Tandy Becher Courtney Beckman Kalie Beckmann Rachel Beckmann Jane Bedient Emily Beiermann Synthia Blueitt Trisha Bluford Ann Bonjoc John Bonta Stacey Bostwick Trevor Bresson Stephanie Bretos Dorothy Brokering Lisa Brumm Kathy Brune Kelcy Byrd Linda Cahoon Claudia Cervantes Elizabeth Chesebro Shannon Chrisp Kari Chvatal Angela Clark Jared Clough Kerry Codden Deborah Coffey Chrissie Ann Coleman Dakotah Comes Ethan Cook Molly Cummings Jennifer Cunningham Katie Cutshall Jeannine Davis Danielle Defreece Leandra Dickinson

Heidi Downs Ivan Duero Alilie Duero Lisa Egle Lori Engel Kaitlyn Ernst James Euteneuer Stephanie Everett Lynette Exum Trey Fago Emily Fech Lacie Ferguson Jennifer Ferris Andrea Fiala Jenny Findeis Jessica Flagle Kelly Flesner Morgan Floyd Judy Frandsen Heidi Frazier Michelle Frederick Lindsey Frederick Susan Gardner Ausra Garrett Robyn Gasseling Morgan Gasseling Jill Geschke Shawna Giesenhagen Ramona Gingerich Jennifer Gleisberg Zach Goering Michelle Gramajo Nancy Grant Ashley Gray Rebecca Greenrod Christopher Grimmond Cristi Grusing Alec Handy Briley Hannaford Elia Harris Jan Harris Ricque Harth Katie Hartman Lacey Harvey Lauren Hawkins Haley Hefner Tami Helmick Christi Hendrickson Sara Hennessy Deanna Herman Carmen Hesser Jennifer Hestermann Kelsey Hoelting Carey Hofmeister McKenzie Hoke Jed Hollenbeck Keri Holstein Robert Hosler

Duane Hugo Jessica Hult Christina Hunt Tiffany Huss Lina Ivanchuk Autumn Jay Taylor Johnson Teresa Johnson Ashley Jones Miranda Jurgensen Roger Kaisand Barbara Kastens Samantha Kaup Guchera Kholmatov Christal King Marie King Mary Kingery Haley Kontor Sheena Kopf Nick Krejci Adelyn Kroeker Kelly Kuenning Emily Kurtenbach Deborah Kurtz Alicia Lake Kathy Lammermann Jamie Laswell Sunnie Lefgren Megan Leininger Amelia Lemke Jennie Linares Chelsea Lintz Tracy Loveless Deborah Lynch Daphne Lane Maaliao Stephanie Mack John Maier Amber Malzac-Wieseman Pam Marco Jaliesa Maret Julie Marple Jessica Martinez Amber Mason Brooke Mason Cassidy Mason Jessica Mattison Lineva Matzke Alexa Maybee Sushmit Mazumdar Melissa McCullough Krystal McVey Stacie Meder Holly Meredith Kayla Merritt Mary Metz April Miller Tova Miller Angela Moench

Jocelyn Moran Taylor Mowinkel Michelle Moy Sydney Mueller Geraldine Myers Wendie Nash Antonino Nastasi Breanna Nedved Karen Nissen Alicia O’Keefe Farida O’Neill Katherine Ortega Navarro Ashley Padgett Amy Parker Dawn Parris Abby Pauley Amy Pelc Samantha Penas Ana Perez Marcya Phillips Nichole Pinney Debra Placek Stephanie Plowman Crystal Price Kevin Progreba Erin Pulec Lynn Quintana Carrie Reed Kristin Reeder Emily Reese Lisa Reichert Cayla Reid Kayla Rewinkle Kendra Riley Stephanie Ritter Sylvia Roberts Melissa Rohe Beth Roth Stephanie Rubenthaler Tammy Ruoff Dustin Rupe Barry Rutt Brandey Ryan Chelsea Saathoff Austin Safranek Darla Sammons Alyssha Schafers Wade Scherling Julie Schmoll David Schnase Avery Schneider Amber Schuler Jane Schuller Janelle Schulz Ryleigh Sejkora Heather Selko Katie Sellon Stephanie Semerad

Abigail Sheets Desiree Showers Ana Simic Matt Simpson Destiny Smith Marva Smith Darcy Snethen Rebecca Spade Hannah Spates Stefanie Staab Sarah Stauffer Audra Stevens Weston Stokey Kate Stoklasa Sarah Sukovaty Amy Sullivan Hanna Theobald Jamie Thomsen Tessa Tielbar Mary Jo Tietjen Dorinda Trauernicht Joyce Turman Mikayla Tyerman Jon Urwiler Ruth Van Gerpen Benjamin Van Horn Marie Van Parijs Tyler Van Winkle Emily Vantine Leslie Varner Sheila Vrtiska Barbara Wagner Sue Walter Megan Weber Jackie Weise Tara Weishahn Emily Wesely Holly Whetstine Tabitha Wiese Lynda Wiles Mary Williams Mykah Wilson Leanne Wilson Brittany Wozny Michelle Wright Mariah Yunker Taylor Zacharias Carol Zalewski Shanna Ziebarth Raychal Zupan Buffy Zwingman You can recognize outstanding care with a Beyond Expectations gift. To learn more, contact the Bryan Foundation staff at 402-481-8605

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BRYAN COLLEGE OF HEALTH SCIENCES

Bryan’s 98 newest alumni, including these BSN recipients, graduated May 3 at Saint Paul United Methodist Church.

Congratulations, new Bryan graduates!

Dr. Larry Dlugosh delivered the commencement address before one of the largest crowds in the history of Bryan College of Health Sciences.

1

2

Adult cardiac/vascular sonography majors received bachelor’s degrees.

3

Other grads included the first four students (Photo 1) to earn Doctorates of Education, as well as those who received bachelor’s in Biomedical Sciences (2) and Doctorates in Nurse Anesthesia Practice (3).

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BRYAN ALUMNI NEWS

Her award-winning career began here

S

andy Petersen, PhD, compares her career to a patchwork quilt, and this Nebraska native recently added another impressive block.

In 2015, she was invited to the White House, where the president recognized her outstanding work in mentoring graduate students in science, technology, engineering and mathematics (STEM) programs.

This year marks the 50th anniversary of Dr. Petersen’s 1969 graduation from Bryan Memorial Hospital School of Nursing, and this spring she delivered the keynote address to students at the Annual Science Symposium for the Bryan College of Health Sciences.

“I tell my students they should all have three careers in their lives, but don’t let their parents know that I said that,” she jokes.

Dr. Petersen is a neuroendocrinologist at the University of Massachusetts at Amherst, but her path began in Bancroft, a rural town in northeast Nebraska. She was always interested in science, and she remembers one of her first experiments involved feeding her baby sister’s expensive vitamins to struggling chicks on the family farm.

“My mother figured it out eventually because the vitamins were disappearing pretty quickly,” she recalls.

During high school, her mother lobbied the principal to allow her to take more science and math instead of the required home economics courses. The principal agreed, and in her senior year, Dr. Petersen was offered a full-tuition scholarship to the University of Nebraska-Lincoln.

She decided instead to pursue a nursing degree and enrolled at Bryan’s nursing school. She says her time at Bryan helped shape her desire to serve students later in her career.

“The way we were taught instilled in us a genuine caring for others,” she says.

Neuroendocrinologist Sandy Petersen — a 1969 Bryan nursing graduate — meets President Barack Obama in 2015, when he honored her for mentoring minority students in science, technology, engineering and mathematics (STEM) programs.

“That’s what I saw in the group that I worked with here — they had real compassion and a genuine concern.”

After earning her nursing diploma, Dr. Petersen worked as a post-surgical nurse in Midwest City, Oklahoma. Within a few years, she began to consider a career as a physician and enrolled at Rutgers University. She earned an undergraduate biology degree and in order to save up money to pay for medical school, she worked as a nurse in intensive care, coronary care and the emergency room in Camden, New Jersey.

She says working with the trauma cases began to take a mental toll. She realized she had begun to depersonalize her work

with patients, and she knew she needed to make a change. She decided to move to Oregon, where she earned her master’s and doctorate in neuroendocrinology from Oregon State University, Corvallis. Then she completed a fellowship in reproductive neuroendocrinology at the University of Maryland School of Medicine in Baltimore.

Dr. Petersen started her career in academia as an assistant professor at the University of Missouri School of Medicine, Columbia. She then moved to the University of Massachusetts at Amherst, where she has served as professor, associate graduate dean and director of a mentorship program for graduate minority students.

This story is brought to you by Inpatient Physician Associates.

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Dr. Petersen’s research focuses on three topics: understanding the molecular and cellular mechanisms underlying the brain’s signal for ovulation; identifying what causes the male and female brain to develop differently, specifically in the region that causes ovulation; and determining how dioxins and other environmental contaminants can interfere with this region of the brain and its hormone release patterns.

Dr. Petersen’s work in both research and mentoring has been continuously funded through grants from the National Institutes of Health.

In her time as director of the diversity program, enrollment and completion among minority students at her university increased threefold for STEM graduate programs, and the retention rate of minority students increased from 49 percent to 80 percent, surpassing the retention rate of non-minority students. Personally, Dr. Petersen has mentored 45 students, and 20 of those have earned doctorates.

When she received the Presidential Award for Excellence in Science, Mathematics and Engineering Mentoring, President Barack Obama congratulated her and 13 others for their work in preparing the next generation of scientists and mathematicians.

Dr. Petersen says one of the most meaningful aspects of her career has been seeing her students succeed, especially the ones who were considering leaving school.

“They’re doing really important things and changing a lot of lives now,” she says.

“Having those students come back and say, ‘I’m glad you were there’ — that’s really the most rewarding.” n

Sandy Petersen, PhD, delivered the keynote address this spring at the Annual Science Symposium at the Bryan College of Health Sciences.

To learn about degrees offered at Bryan College of Health Sciences or to watch a related video, go to bryanhealthcollege.edu/ VIDEO academic-programs.

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BRYAN ALUMNI NEWS

Newlyweds Mike and Ann Smith pose for a local newspaper story in 1969.

Sweethearts shared love for nursing

F

or Mike and Ann Smith, Bryan Memorial Hospital School of Nursing did more than provide them with an education for their career — it cemented their relationship for life.

Mike grew up in Scottsbluff. After graduating from high school, he studied business at the University of Wyoming at Laramie.

“I was trying to figure out what education path I should follow and became interested in anesthesia,” Mike says. “After learning that the requirement for starting in that career was to become a doctor or a nurse, I decided to apply to Bryan’s nursing school.”

When he was accepted to Bryan School of Nursing in 1966, he was one of three male students in a class of 66.

Cupid catches bus driver During his second year, Mike was asked if he would drive the bus for the school’s volleyball team when it competed against other local colleges.

And that’s where the magic happened.

“As a bus driver, you drive the players to and from the games.

However, when they’re actually playing, you just sit in the bleachers and watch,” says Mike, smiling. “I remember watching Ann Jameson play and thinking, that’s the girl I’m going to marry!”

The two dated and eventually got engaged toward the end of Mike’s nursing education.

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BRYAN ALUMNI NEWS surgical positions at the Brooke Army Medical Center.

The next assignment was head nurse of the emergency room in the Army hospital located at the National Desert Warfare Training Center at Fort Irwin, California, and then finally as an evening and night nursing supervisor for three years at the Army hospital in Nurnberg, Germany.

Following Army retirement in 1991, they moved back to San Antonio. Mike worked as an occupational health nurse for the Motorola Corporation. In 2000, he accepted an Army Civil Service position, as the supervisory clinic nurse in the Allergy/Immunization Clinic at Brooke Army Medical Center. In 2004, he chose to move to Ansbach, Germany, to work in an Army Clinic for three years.

When they returned to San Antonio in 2007, Mike resumed his position in the Allergy/Immunization Clinic until his retirement in 2015.

Nursing skills in the Army In 1991, Ann worked in the Same Day While Mike was at Nebraska Wesleyan, Surgery Unit for five years and then accepted a U.S. Army recruiter approached him about a position as RN Case Manager and Discharge joining the Army Nurse Corps.

Planner at Brooke Army Medical Center, where “He said if I joined, I could wait a year she worked until retiring in 2016. and not go on active duty until early 1971.

Mike and Ann moved a total of 21 times Plus, I could choose my first duty station,” throughout the course of Mike’s career.

Mike explains. “So, I joined and selected “Moving that many times sounds like a Alumni Mike (1969) Ann Smith (1970) of San Madigan Army Medical Center at Fort Lewis, lot, but it was incredibly rewarding. We were Antonio are celebrating their golden wedding Washington.” always serving in a nursing capacity, whether anniversary — and Mike’s 50 years in nursing.

For a year, Mike worked on a psychiatric in a leadership position or even working as a ward, caring for patients returning home from Vietnam. Then, he became Red Cross volunteer,” says Ann. the night nursing supervisor for various medical-surgical and intensive care units. Ann initially worked as an orthopedic OR nurse until they had Celebrating 50 years their first child, after which she transitioned into the role of full-time mom.

This year marks the 50th anniversary of Mike and Ann’s marriage, From there, the Smiths moved to Fort Sam Houston, Texas. For the as well as the 50th reunion for the Bryan Memorial Hospital School of next three years, Mike was an instructor for the program training Army Nursing Class of 1969. medics. Ann worked part-time in a civilian allergy doctor’s office.

The Smiths love for nursing has carried down to their children, with “Because Mike was in the Army, I would simply find a part-time three of their four children having careers in health care. Their oldest son position wherever we went,” says Ann. “My training as a nurse made it is the CEO/President of a large hospital, another is a nurse anesthetist, possible to have flexible career options regardless of our location.” the youngest is an internal medicine physician, and their daughter is in administration at a college.

Expanding family, traveling the world When it comes to inspiring the next generation of nursing students, The Smiths had three more children, one of whom was adopted from they also have some sensible advice.

Vietnam. Their life continued to take them around the world.

“Take advantage of all aspects of your education. Try to become a “I completed my master’s in Nursing Education in Georgia,” Mike leader within your class,” says Mike. “It’s important to volunteer, as well. says, “Then we were given orders to go to Korea, where I served as head The more you can experience having extra duties or a wide range of nurse at an Army clinic for a year.” experiences, the easier it will be to spread your wings and try new things After Korea, Mike worked in Denver as the head nurse in the emergency in your nursing career.” room at Fitzsimmons Army Medical Center. Three years later, the couple moved Mike and Ann live in San Antonio and enjoy traveling and spending to San Antonio, where he served as head nurse in the ER and other medicaltime with their children and grandchildren. n They wanted to get married before graduating. But in 1969, there were a few extra steps: guidelines stipulated only one spouse could be enrolled in the nursing school at a time.

“I finished in late July of 1969 and graduation was scheduled for early August. So, we had to ask Miss Phyllis Bovee (Director of Nursing and future vice president) if we could get married between my finishing school and graduating,” says Mike. “Ironically, not only did I have to ask Ann’s parents to marry her, I had to ask the Director of Nursing, too!”

The couple married in early August of 1969, went on their honeymoon, and then came back to Lincoln for Mike’s graduation.

Ann completed her final year of nursing school and graduated in 1970. While she finished at Bryan, Mike earned a bachelor’s in Sociology at Nebraska Wesleyan University.

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ACHIEVEMENTS

National award recognizes Bryan workplace Bryan Health received a Survey Solutions Workplace of the Year Award, based on our Employee Engagement Survey feedback. This honor recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement.

Bryan was one of 45 organizations to be honored this year — it’s the fifth time Bryan has earned a national Workplace of the Year Award.

“An engaged workforce is essential to the delivery of highquality, patient-centered care, says Joe Cabral, chief human resources officer and president of Workforce Solutions, Press Ganey.

“We are proud to partner with these leaders and celebrate their achievements.”

Press Ganey Associates pioneered the health care performance improvement movement more than 30 years ago. It acquired Survey Solutions in 2019. n

Rebekah Mussman is serving on an AHA Regional Policy Board.

Jennifer Preston received a Patriot Award from Randy Amundson (left) and Bruce Wood of the ESGR and nominator Amber Conroy.

AHA Board tabs Mussman

Department of Defense salutes Bryan, Preston and Conroy

Rebekah Mussman, MD, president and CEO of Crete Area Medical Center, was elected to serve as an at-large alternate delegate to Regional Policy Board 6 of the American Hospital Association.

The regional board meets to discuss policy issues and alternatives, and the AHA Board uses its recommendations in policy deliberations. n

Bryan Health received the Above and Beyond Award from Nebraska’s ESGR (Employer Support of the Guard and Reserve) and the U.S. Department of Defense.

The award recognizes employers that provide nonmandated benefits to co-workers who are in the National Guard and Reserve. Honorees also must have managers recognized with Patriot Awards.

Jennifer Preston, director of Cardiac & Vascular Services, is the latest Bryan leader to receive a Patriot Award.

“ESGR created this honor to publicly recognize individuals who provide outstanding support and cooperation to their employees, who like the citizen warriors before them have

Sleep Medicine program approved The American Academy of Sleep Medicine reaccredited the Bryan Center for Sleep Medicine for another five years.

The AASM accredits all types of sleep testing, such as in-center polysomnography to

diagnose sleep disorders, sleep latency testing, maintenance of wakefulness testing to measure alertness during the day and home sleep apnea testing to see if breathing is interrupted during sleep. n

answered their nation’s call to serve,” notes Nebraska’s ESGR Employer Outreach Director Bruce Wood.

Jennifer was nominated by administrative assistant Amber Conroy, wife of Technical Sergeant Matthew Conroy, who’s a reservist at Whiteman Air Force Base, Sedalia, Missouri.

Amber was nominated for the 2019 Armed Forces Military Spouse of the Year Award. She’s the Key Spouse Mentor for Sgt. Conroy’s squadron and a Reserve Mentor for the Military Advocacy Network.

She attended the awards ceremony in Virginia in early May. During that whirlwind trip, she was invited to the White House and networked with members of Congress. n

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ACHIEVEMENTS

Briana Genetti received this year’s President’s Award.

Dr. Mark Jones received the Outstanding Faculty Award.

Angela McCown received the Educational Technology Award.

Dr. Sushil Lacy garnered national recognition.

Bryan College of Health Sciences salutes Genetti, Jones and McCown

Urologists honor Dr. Lacy

Bryan College of Health Sciences recognized Briana Genetti, Mark Jones, PhD, and Angela McCown, MSN, RN, during the annual faculty and staff awards presentations.

Admissions Assistant Briana Genetti received the President’s Award.

“Briana is welcoming, genuine and makes guests feel welcome and comfortable,” her nomination reads. “She has genuine pride in the college, and it is very evident in her interactions.

“She is organized, efficient and due to her experience, the entire admissions process is a well-oiled machine.

“She truly is ‘one team, one purpose’ ... and her willingness to help and her commitment to

Sushil Lacy, MD, an early member of Urology PC in Lincoln and member of the Bryan Medical Staff, received a Presidential Citation from The American Urology Association.

The organization notes Dr. Lacy earned this recognition “for tireless care of urologic patients, exemplary service to the AUA, mentorship of young urologists and for training and educating generations of urologists in trauma and reconstruction.”

Dr. Lacy is a former president of the AUA and a clinical professor at the University of Nebraska Medical Center, Omaha. n

the college is unequaled.”

Assistant Professor in Biomedical Sciences Mark Jones, PhD, received the 2019 Outstanding Faculty Award.

His peers note that, as faculty sponsor for Caring with Christ, that organization has developed several community outreach programs. He also worked with colleagues to develop a mentoring program for Yazidi high school students, which provided an opening for working with underserved refugee populations.

“He demonstrates excellence in teaching,” the nomination continues, “and he and a colleague evaluated student learning using mind mapping, a tool utilizing Mindmap software in promoting collaborative

learning and critical thinking.

Results of their study were presented to the Nebraska Academy of Sciences.”

Assistant Professor Angela McCown, MSN, RN, is this year’s Educational Technology Award recipient.

According to her nominator, “Angela openly shares new, innovative teaching strategies with her colleagues and strives to create an active learning environment for her students.

“While utilizing different approaches, Angela is able to provide a variety of learning experiences. The utilization of technology in her course increases student engagement and promotes a sense of community within the classroom.” n

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PUBLIC NOTICE

Discrimination is against the law

B

ryan Medical Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Bryan Medical Center does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

If you have questions about the law, please contact our Patient Experience Officer. You can either call at 402-481-0139, write to Bryan Medical Center, Attn: Patient Experience Officer, 1600 South 48th Street, Lincoln, NE 68506 or email patientexperience@bryanhealth.org.

Bryan Medical Center Provides free aids and services to people with disabilities to communicate effectively with us, such as: • Qualified sign language interpreters • Written information in large print, audio, accessible electronic formats or other formats Provides free language services to people whose primary language is not English, such as: • Qualified interpreters • Information written in other languages If you need these interpreter services, contact our Administrative Managers 24/7: 800-742-7844. You may also email a request for interpreter services: communicationassist@bryanhealth.org If you believe Bryan Medical Center has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Patient Family Relations Representative 1600 S. 48th Street, Lincoln, NE 68506 Phone 402-481-5761 - TTY 800-833-7352 - Fax 402-481-8306 patientexperience@bryanhealth.org You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Patient Family Relations Representative is available to help you. Please see the contact information above.

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/ portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019 -TTY 800-537-7697 Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-800-742-7844; TTY: 1-800-833-7352.

ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-742-7844; TTY: 1-800-833-7352.

CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-800-742-7844; TTY: 1-800-833-7352. 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-800-742-7844; (TTY: 1-800-833-7352）。 ‫م لحوظة‬: ‫ اذك ر ت تحدث ك نت إذا‬،‫ل ك ت تواف ر ال ل غوي ة ال م ساعدة خدمات ف إن ال ل غة‬ ‫ب ال مجان‬. ‫ ب رق م ات صل‬Fa1-800-742-7844 (‫وال ب كم ال صم هات ف رق م‬: 1-800-833-7352).

1-800-742-7844 (TTY: 1-800-833-7352).

ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-800-742-7844; (ATS: 1-800-833-7352).

XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-800-742-7844; (TTY 1-800-833-7352).

ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-800-742-7844; TTY: 1-800-833-7352. 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-800-742-7844; (TTY: 1-800-833-7352) 번으로 전화해 주십시오. ध्यान दिनह ु ोस ्: तपार्इंले नेपाली बोल्नह ु ु न्छ भने तपार्इंको ननम्तत भाषा सहायता सेवाहरू ननिःशल् ु ोस ् 1-800-742-7844; ु क रूपमा उपलब्ध छ । फोन गनह

(दिदिवार्इ: 1-800-833-7352) ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-800-742-7844 (телетайп: 1-800-833-7352). ໂປດຊາບ: ຖ້າວ່າທ່ານເວົ້າພາສາລາວ,ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-800-742-7844 (TTY: 1-800-833-7352). ‫ئ اگ اداری‬: ‫ قە سە ک وردی زمان ی ب ە ئەگە ر‬،‫ي ارمەت ی خزمەت گوزاريەک ان ی دەکەي ت‬ ،‫ زمان‬،‫بەردە س تە ت ۆ ب ۆ بەخ ۆڕاي ی‬. ‫ ب ە پەي وەن دی‬1- 800-742-7844 (TTY (1-800-833-7352 ‫ب کە‬. ‫ت وجە‬: ‫ می گ ف ت گو ف ار سی زب ان ب ە اگ ر‬،‫راي گان ب صورت زب ان ی ت سه یالت ک ن ید‬ ‫ب ا شد می ف راهم شما ب رای‬. ‫ ب ا‬1-800-742-7844 (TTY: 1-800-833-7352) ‫ت ماس‬ ‫ب گ یري د‬. 注意事項：日本語を話される場合、無料の言語支援をご利用いただけます 1-800-742-7844; (TTY: 1-800-833-7352) まで、お電話にてご連絡ください

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COMMUNITY CALENDAR

Radiant, Revitalized You

COLON CANCER: Preventable, Treatable, Beatable

Spa & MedSpa Summer Event

Saturday, July 20 9 a.m.-3 p.m.

David Newton, MD, Gastroenterology Specialties

Stop in and treat yourself!

• Get a free skin consultation with Rubab Husain, MD, or Carrie Kleinschmidt, PA-C

Listen Now

• Learn about our new therapeutic massage technique, Symphony of the Cells

bryanhealth.org/podcasts

• Schedule a HydraFacial appointment and add on a targeted booster for half price Please call in advance to schedule your event day appointment • Purchase a summer skin product bundle and receive a free cleanser

Take advantage of these discounted services!

Purchase In-Store or Online July 20-26 • Massage & Body Treatments • Manicures & Pedicures • Botox • Liquid Face Lift • Microneedling • truSculpt • Laser Treatments • Dermaplane

For event details: Go online to bryanlifepointe.com/radiant-you Bryan LifePointe Campus 7501 S. 27th St. • 402-481-6321

• Enjoy 20% off all retail products

The Spa Bryan LifePointe

Welcome to Medicare Thursday, August 29 6:30-8:30 p.m.

This class explains the basics of Medicare and is geared toward those who are, or will be, new to Medicare and/or their families and caregivers.

Alicia Jones, program director of the Senior Health Insurance Information Program (SHIIP), explains the ins and outs of Medicare, including online resources and extra help for those with limited income and resources.

Cost:

These programs are free, but you need to preregister.

Where: Bryan East Campus, Plaza Conference Center, 1500 S. 48th St.

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

T

Bryan Trauma Center 2019

rauma

Tribute to

Champions Presented by

Sampson Construction Union Bank and Trust

September 12, 2019 • 6 p.m.

Register online at: bryanhealth.org/trauma-champions $35 per person

Join us to honor the trauma system professionals who saved Jim Earnhart.

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Nonprofit Org. U.S. Postage PAID Permit No. 267 Lincoln, NE 1600 S. 48th St., Lincoln, NE 68506

Address service requested

Bryan Urgent Care

8 a.m.-8 p.m.

EVERY DAY No appointment needed.

Here when you need us.

Walk in for care, or choose your time online and we’ll hold your spot.

7501 S. 27th St. • BryanUrgentCare.com

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