Journeys | Winter 2021

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

WINTER 2021

Heartfelt pride in new ORs

JOURNEYS WINTER 2021

1 FROM OUR PRESIDENT 2 TRANSFORMING SURGERY Third phase brings new ORs, expansive PACU 4 LATEST ADVANCES Pioneering spirit: Cancer patient agrees to robotic-assisted surgery in investigational trial of MIRA First robotic-assisted Whipple surgery done here

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PATIENT EXPERIENCE Strong ambitions: A stroke can’t keep Ann from her mission to keep enjoying life and to honor her mother as an Alzheimer’s Association advocate

11 TRAUMA CHAMPION

Timeline to overcoming tragedy 12 BRYAN FOUNDATION

They’re making cancer center a reality 16 MEDICAL STAFF SPOTLIGHT

Ask the doctors: How does the Breast Tumor Board help me?

19 MEDICAL STAFF UPDATE 23 BRYAN HEART

Bryan Heart welcomes Dr. Anchan, Dr. Jain, Dr. Meier and Dr. Pacini 27 BRYAN INDEPENDENCE CENTER

Celebrating 50 years of making a difference 29 CRETE AREA MEDICAL CENTER

This trail can help you improve wellness while circling CAMC

campus renovations 30 ACHIEVEMENTS

Do you know your heart’s real age? Take HeartAware, a free, easy and confidential online heart screening to find out your heart age and risk for heart disease.

If you discover you’re at risk, you can schedule a meeting with a nurse to discuss your health. You’ll learn ways to lower your heart age and improve your heart health.

Start taking steps toward a healthier you. Go to bryanhealth.org/heartaware.

T H A N K YO U, B RYA N F O U N D AT I O N 2 0 2 1 - 2 0 2 2 E V E N T PA R T N E R S Mapes Industries Union Bank & Trust

ASI Signage Innovations Davis Design Duteau Chevrolet Subaru Home Services

Inpatient Physician Associates Lockton Companies MMC Contractors NRC Health

ALL ABOUT JOURNEYS

STAY IN TOUCH

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

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

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

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

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

ON THE COVER Dr. Ryan Shelstad shows off a new cardiovascular operating suite that opened this fall. Bryan is beginning the final phase of its construction project.

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.

Runza National Specialized Engineering Solutions VTI Security

Russ Gronewold President & CEO, Bryan Health John Woodrich President & CEO, Bryan Medical Center, and Executive Vice President, Bryan Health Ken Gross, MD Chief of Staff, Bryan Medical Staff Bob Ravenscroft Vice President of Advancement & CDO Edgar Bumanis Director of Marketing & Communications Kevin Rummel, MD Medical Editor Paul Hadley Editor

FROM OUR PRESIDENT

“If your actions inspire others to dream more, learn more, do more and become more, you are a leader.”

– John Quincy Adams (U.S. President, 1825-1829)

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hree people who epitomized President Adams’ definition of a leader have retired, or soon will be retiring, from their current roles.

We are forever indebted to them for their foresight and often courageous decision-making during their careers. Their many achievements have greatly impacted the growth and health of our city and state.

That’s why the entire Bryan Health family extends sincere thanks and congratulations to Lincoln Chamber of Commerce President Wendy Birdsall, Nebraska Hospital Association President Laura Redoutey and Lincoln Public Schools Superintendent Dr. Steve Joel. We celebrate their years at the helm of their respective organizations and wish them every success as they navigate new pathways.

Now it’s time to welcome Nebraska Hospital

During the pandemic, the community continues to rally around our health care workers. Organizations and companies, such as

Association President Jeremy Nordquist and Lincoln Chamber of Commerce President Jason Ball. May their efforts generate similar levels of success to benefit generations to come.

As we have for more than 90 years, Bryan is committed to continuing collaboration — it’s our honor and distinct privilege to work side by side with such leaders.

Bryan Health. Forward. Together.

Russ Gronewold President and Chief Executive Officer, Bryan Health

Spreewell co-workers who visited Bryan West Campus, bring cheerful signs and gifts to share with staff as they begin and end shifts.

Bryan Journeys 1

TRANSFORMING SURGERY

Third phase brings new ORs, expansive PACU

Ryan Shelstad, MD, of Bryan Heart Cardiothoracic Surgery shows off one of the three new operating suites at Bryan East Campus.

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e’ve completed the third phase of our renovation and expansion on Bryan East Campus — to the delight of patients, providers and staff!

They’re enjoying three new cardiovascular operating suites on the

2nd floor (adding to the 11 new ORs that were completed in an earlier phase) and a much larger post anesthesia care unit (PACU).

The three newest suites are bigger than other operating suites to make room for specialized equipment needed during heart, lung and vascular surgeries.

There are 18 patient recovery bays

including a pair of isolation rooms in the PACU, which offers more floor space than the unit it replaces.

This $47 million, four-phase construction project began in 2019, and its final phase is expected to be finished next summer.

"Early on in the pandemic, we had to decide whether we were going to

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2 Winter 2021

TRANSFORMING SURGERY move forward or delay the project," says Don Sheets, director of facilities and construction at Bryan.

"We felt we could continue by using appropriate safety measures, such as wearing masks and maintaining appropriate distances. We've had great success, proving that keeping this project going was the best decision. It's always

rewarding to see things come together."

The full project includes renovating 115,000 square feet of space and adding 14 operating rooms, two specialty procedure rooms, four private consult rooms and 40 private patient rooms for care before and after surgery.

"We're very excited to hit the home stretch on this project," Sheets notes. "It's

really special to see these spaces come to life after working through the many drafts, designs and drawings.

"These new amenities will really benefit our patients and staff." n To find out how you can support the work of Bryan Health, please call the Bryan Foundation at 402-481-8605.

The new PACU features 18 patient bays and a centralized nursing station on 2nd floor.

Two isolation rooms (in photo below) in the PACU provide spaces for patients who require air flow and temperature to be closely controlled during recovery to protect themselves and others.

Three operating suites are specially designed and outfitted for heart, lung and vascular surgeries.

Bryan Journeys 3

LATEST ADVANCES

Pioneering spirit Cancer patient agrees to robotic-assisted surgery in investigational trial of MIRA

T Allen Voss is back to his woodworking and welding projects after a successful surgery at Bryan. Dr. Michael Jobst performed the world’s first colon resection using the MIRA platform.

4 Winter 2021

his August, Michael Jobst, MD, FACS, of Surgical Associates was the first to perform a colon resection procedure using a two-pound miniaturized robotic device that was developed on the University of Nebraska-Lincoln’s Innovation Campus. Dr. Jobst did the surgery at Bryan Medical Center as part of the Food & Drug Administration’s investigational trial for the Miniaturized In vivo Robotic Assistant Platform, or MIRA for short.

Robotic-assisted surgery options have grown dramatically over the last two decades. Robotic surgeries tend to offer benefits to patients, including shorter hospital stays, reduced pain, smaller incisions and faster recovery times. Because of this, demand for minimally invasive surgeries with robotics continues to grow.

Currently, most robotic surgeries rely on one device, which is expensive and requires a dedicated operating room because of its size. Many smaller hospitals can’t afford this or don’t have room to house the equipment.

“MIRA is a much smaller device that’s a lot easier for the OR team to handle,” says Dr. Jobst. “So, it may be a more feasible option for hospitals and communities.”

Virtual Incision, the company that makes MIRA, was co-founded by University of Nebraska faculty Shane Farritor,

LATEST ADVANCES PhD, MS, and Dmitry Oleynikov, MD, FACS, chief medical officer at Virtual Incision. Using their expertise working with robotics and surgery, the two developed MIRA with abdominal surgery in mind.

Currently, MIRA is intended for use with colon resection surgeries, but they hope to develop other platforms that could be used for other procedures.

since then has used the technology to perform nearly 900 major resection surgeries.

FIRST PATIENTS ON BOARD This spring, as the team was preparing for the investigational trial to begin, Allen Voss was meeting with a doctor from Hastings for a routine colon exam. Allen, who is a retired agribusiness worker from Carleton, learned he had a polyp that was concerning, and his doctor recommended that it be removed with surgery. A week later, the polyp began bleeding, and he was rushed to Lincoln, where he met with William Lawton, MD, of Gastroenterology Specialties.

“Dr. Lawton took care of that problem, and he got me PREPPING FOR HISTORY lined up with Dr. Jobst to have surgery to remove the polyp,” Virtual Incision offers training says Allen. for surgeons who are new to the He learned about MIRA at his first appointment with Dr. platform. For surgeons at hospitals Jobst. who don’t have access yet Allen remarks, to robotics, the company “Dr. Jobst asked a few hopes MIRA could be the questions, and then bridge to get them there. he said he’d been Dr. Jobst remembers practicing with this hearing about the project new robot in the four years ago. lab. He said he was “Kim Russel, the getting along great previous CEO of Bryan with it, so I agreed Health, introduced me to go with it.’” to Dr. Shane Farritor Was Allen at Virtual Incision nervous to be the Corporation on the first patient to try University of Nebraskathis technology?

Lincoln’s Innovation “Not really,” he Campus,” Dr. Jobst recalls. says. Allen says Throughout the that he’s a bit project, the developers of an innovator occasionally asked him for input to help them himself. He’s keep the end user in mind. Recently, Dr. Jobst took used to tinkering on the role of principal investigator, working in with welding and collaboration with Bryan Clinical Research to take woodworking MIRA through the FDA’s investigational device trial. Dr. Jobst is no stranger to robotic-assisted Dr. Jobst is principal medical investigator projects in his shop, and when he surgery — he began using robotics in 2010, and during MIRA’s trial at Bryan.

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

Bryan Journeys 5

LATEST ADVANCES worked for a fertilizer outfit, he helped a company improve the functionality of their high-boy sprayers. So, when Dr. Jobst described the MIRA as a new tool for a surgery he’s done many times, Allen felt comfortable with trying it out.

Dr. Jobst says he was well prepared for the first-ever use of the MIRA system.

“I spent hours in what we call a ‘dry lab’ learning how to control the device,” he explains.

“I started with simple tasks, such as moving pegs around a board, and I then moved on to dissecting chicken breasts and chicken thighs. I spent many hours in the lab doing simulated surgeries before the trial began. It was an extensive process, but the end result was my complete confidence in both myself and MIRA.”

role that patients and their trust play in the process.

“I want to extend a heartfelt thanks to Allen and the other patients who trusted me and gave their consent to participate in this investigational trial,” he says. “To enroll in a study like this one is truly an act of generosity to science and the ultimate display of trust in a surgeon, and I am truly grateful.” n

GREAT RESULTS Allen says he was pleased with his outcome.

“It was perfect. I had very little pain, and even when I went home I had very little pain,” he says.

He was in the hospital for Dr. Michael Jobst visits with Allen Voss, the world’s first patient to benefit from the MIRA surgical a few days, and spent a system from Virtual Incision. little more than a week recovering at home.

“Allen recovered very quickly,” says Dr. Jobst. “When To see robotic surgery in action and learn more from compared to open colon resection patients, his hospital Dr. Jobst about how it works, go to bryanhealth.org/ VIDEO stay was half as long and his post hospital recovery took robotic-surgery. about a third of the total recovery time. When compared to To find out how you can support the work of Bryan conventional, non-robotic laparoscopy, his length of stay and Health, please contact the Bryan Foundation staff at time to full recovery were similar or slightly better.”

402-481-8605.

For medicine to advance, Dr. Jobst recognizes the vital

6 Winter 2021

LATEST ADVANCES

First robotic-assisted Whipple surgery done here On July 2, Brad Olberding, MD, of General Surgery Associates achieved another milestone at Bryan Medical Center when he performed the first robotic-assisted Whipple procedure in Nebraska.

Whipple procedures are complex surgeries to treat pancreatic cancer and other disorders by removing part of the pancreas, stomach, bile ducts, small intestine and gall bladder. A patient’s digestive system often takes six days to several weeks to start working again, but Dr. Olberding’s patient, Tan Vu, crossed this recovery milestone in only two days.

Dr. Olberding says he often sees this with patients who have had robotic surgery.

“It’s just less trauma, less disruption of normal tissues and better visualization,” he says. The system Dr. Olberding uses at Bryan, the da Vinci Xi surgical platform, offers an impressive range of maneuverability and uses multiple cameras to give him a three-dimensional view of the area he’s working on.

Dr. Olberding has been performing robotic surgeries since 2014. He says he did approximately 40 percent of his surgeries with robots early in his career, but now that number is nearly 95 percent.

The surgical team celebrates the successful “There Whipple procedure. Physicians have been using seemed to da Vinci robotic-assisted surgery systems at Bryan Medical Center for nearly two decades. be so many

Tan Vu and Dr. Brad Olberding discuss a new use for the da Vinci system — performing the Whipple procedure.

more benefits to robotic procedures,” he says. “Patients went home sooner, they had less pain and fewer infections and hernias.”

As Dr. Olberding’s experience grew, he moved on to master different surgeries. Because of its complexity, the Whipple procedure (pancreaticoduodenectomy) was last on the list of surgeries he planned to attempt robotically.

Dr. Olberding says Tan’s surgery felt momentous. Once the surgery was complete, the staff hugged and took pictures.

“I could see it in the OR staff how proud they were, as they should be,” Dr. Olberding recalls. He also points out that Bryan’s commitment to offer robotic surgery is somewhat rare.

“Bryan has done a great job of making the robot available 24/7, which is a big undertaking,” he says. “Across the country, it’s not standard that you have access like that.”

As for Dr. Olberding’s patient, Tan, he is doing follow-up treatment for his cancer and is responding to it well. He and his family say they’re grateful for Dr. Olberding’s care.

“My dad was very impressed with him,” says Tan’s son, Minh Tran. “If anybody else is in a similar situation, we recommend they see Dr. Olberding.” n

Bryan Journeys 7

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

Strong ambitions A stroke can’t keep Ann from her mission to keep enjoying life and to honor her mother as an Alzheimer’s Association advocate.

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nn Walters Tillery’s quick actions likely saved her life when she realized she was having a stroke during a Zoom meeting last spring. Ann, a University of Nebraska Foundation employee and an advocate for the Alzheimer’s Association, was sharing her caregiving story with her Congressional representative as part of the Alzheimer’s Impact Movement (AIM) Advocacy Forum when suddenly her speech started to slur, her face began to droop, and her arm went numb. Ann was alone in a conference room during that virtual meeting when she recognized the telltale signs of stroke.

Knowing time is of the essence to limit brain damage from stroke, Ann stood to get help. But she fell to the floor because her entire left side was paralyzed. So she used her cell phone to call 911 for an ambulance and was in the emergency room at Bryan West Campus within 25 minutes of noticing those first symptoms.

What happened? Ann experienced a hemorrhagic stroke, which means a blood vessel burst within her brain and caused spontaneous bleeding. Her long recovery journey began with two days of intensive care, then 13 days in Bryan’s Acute Inpatient Rehabilitation Unit, where she focused on regaining strength and coordination and learning how to stand, bathe and dress herself, and finally on day 10, to walk

8 Winter 2021

again, unassisted. When she was strong enough to return home, Ann continued her therapy at Bryan’s Outpatient Rehabilitation Center.

Advantage in inpatient rehabilitation Bryan’s assistant therapy manager Samantha Penas points to an advantage of inpatient rehabilitation at Bryan that is unique in Lincoln.

“We’re the only health care institution in town that provides acute hospitalization, inpatient rehabilitation and outpatient rehabilitation in the same facility. This continuum of care provides significant advantages for patients,” she says. “While on the inpatient rehab unit, patients have access to Bryan’s specialists and hospital services at any time. Physicians, respiratory therapists, laboratory, radiology and other hospital services are available within minutes for patients who may develop unexpected medical needs, such as vital sign changes during therapy on the inpatient rehab unit.”

Goals inspired recovery Ann understood goal setting was essential to regaining her active lifestyle, so she asked to be challenged at each therapy session.

“I love my grandkids, hiking, paddleboarding, traveling, and I’ve practiced yoga for over 10 years, so I was eager to get back to enjoying life,” she says.

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PAT I E N T E X P E R I E N C E “My therapists and I talked about what was on my calendar before the stroke. The first event was the Cattlemen’s Ball in my hometown of Columbus; they put together an ambitious strategy, and with extra effort, I was able to attend, just 2 ½ weeks post stroke. Two months later I was paddleboarding on Holmes Lake and was able to go on a long-planned trip to Estes Park. Four months after my stroke, my family and I enjoyed an unforgettable and action-packed celebratory Disney World vacation, and at five months, I was able to support a friend at her Walk to End Alzheimer’s event near San Francisco. I’m so grateful I was able to walk and hope I never again take for granted the ability to exercise.”

Her therapists broke each goal into manageable steps, then helped Ann develop the strength, coordination and skills she needed.

“Reaching each goals gave me such hope and helped me stay determined to work toward as full of a recovery as possible.”

Special thanks to the team “Throughout my hospitalization my nurses went above and beyond in encouraging and supporting my recovery, starting with Raina Keel in the ICU and Trista Roque and Kathy Lammermann, who were so comforting and compassionate during my inpatient care,” she says.

Ann points out Raina and physical therapist Jennifer Suelter got her back on her feet during the ICU stay. Her rehab team has included occupational therapists Stacey Bostwick and Cathryn Breutzmann, speech therapists Alyssa Cook and Dan Kasparek, physical therapist Taylor Zacharias and certified physical therapy assistant Kaitlin Jacobsen.

“I’d also like to thank my doctors at Bryan — rehabilitation physiatrist Rhondel McCann, MD, oversaw my inpatient care, and hospitalist Quinn Willet, MD, and neuropsychologist Robert Arias, PhD, were key to my stroke recovery. I learned that the first 3-6 months after stroke is the most critical time for regaining mobility and creating new brain pathways to return to prior level of function, yet gains can still be made 18 months and beyond,” she says.

“This insight motivates me to keep working to regain as much of my cognitive abilities, strength and fine motor skills as possible.”

She adds, “My care has truly been extraordinary. Bryan’s amazing nurses and therapists supported my recovery and motivated me even when I felt my goals weren’t realistic. They understood me both as a patient and a person and have gone the extra mile and beyond to work with me to get my abilities back. They indeed care like crazy.”

So what’s Ann’s next goal?

“Hopefully in May 2022, one year post stroke, I will be back in Washington, D.C., for the Alzheimer’s Advocacy Forum and meet with members of Congress in person rather than through Zoom,” she says.

“I know we have much more work in front of us, and — thanks to the Bryan team — I’m able to continue to advocate and do my part.” n

VIDEO

To watch a national broadcast about Ann’s experience, go to bryanhealth.org/stroke-on-zoom To support the work of Bryan Health, please call 402-481-8605

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4 Ann met her goal to enjoy Disney World (1) with her family, thanks to a team of inpatient (2) and outpatient therapists (3 and 4) at Bryan.

Bryan Journeys 9

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

Bryan stroke care earns national recognition

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he American Heart Association and American Stroke Association recognized Bryan Medical Center with national awards for upholding the latest guidelines for stroke care.

Bryan achieved Gold Plus with Honor Roll Elite status for adherence to the Get with the Guidelines – Target: Stroke program and Honor Roll status for Target: Type 2 Diabetes program.

Stroke Program coordinator Mary

Ellen Hook, APRNCNS, says, “These awards recognize the incredible expertise of the front line staff and providers who care for patients with a stroke.

“Providers follow national guidelines for care and treatments based on nationally recognized best practice standards.

Front line staff members provide bedside care and education to put patients in position to recover from stroke.”

Neurologist Learning the F.A.S.T. warning signs of Trevor Gregath, MD, stroke may mean the difference between medical director life or death, and recovery or disability for of Bryan’s stroke someone you love. Make acting F.A.S.T. program, adds, “The Bryan stroke team your superpower to defeat stroke. is a well-integrated Face – Facial droop, uneven smile group extending Arms – Arm numbness, arm weakness throughout the Speech – Slurred speech, difficulty health care system. It speaking or understanding includes stroke-trained nurses; providers in Time – Call 911 and get to a hospital neurology, emergency immediately, preferably a certified and radiology; stroke center, like Bryan Medical Center technologists in multiple departments; and many others, all

Can you defeat a stroke?

Think F.A.S.T.

• • • •

10 Winter 2021

collaborating to provide excellent care.

“It is great to see the team’s passion result in national recognition, and I expect bigger and better things in the future.”

A stroke may occur at any age. Every 40 seconds someone in the United States has a stroke, caused by a loss of blood to the brain or the rupture of a blood vessel supplying the brain. Suffering a stroke can lead to longterm disability and life changes.

Bryan Medical Center is the only Stroke Center in Lincoln that also performs mechanical Dr. Trevor Gregath thrombectomy to treat a stroke caused by a clot in an artery. Our interventional radiologists are available 24/7 to remove the clot from the brain and restore blood flow.

Many patients can be treated with a “clot busting” medication or by mechanical removal of the clot.

To learn more, visit bryanhealth. org/stroke. n

TRAUMA CHAMPION

Timeline to overcoming tragedy On Feb. 8, 2021: Willie and Kim Mohlman Orthopedic trauma surgeon Alesha and their three-year-old daughter, Aella Scott, DO, of Bryan Trauma fixed Willie’s Grace, left their home in Red Cloud to pick up open tibial shaft fracture and ankle fractures. semitruck parts in Hastings.

Because the tibia broke through Willie’s skin, Snow was falling and at midday, the wind it put him at risk of infection and possible chill was below zero. In their warm car, the amputation. But he responded well.

Mohlmans had no warning that these would Dr. Scott admires the physical and be their last minutes together as a family. emotional strength Willie showed, recovering On a highway between Red Cloud and more quickly than anticipated while grieving Blue Hill, a car in the opposite lane attempted his wife and worrying about their children at to pass a snowplow and struck the Mohlmans’ home: son Tanner Land, 10, and daughters car head on. The other vehicle’s driver was Audrey Joe, 5, and Aella Grace, now 4. killed in the crash.

“The fact that Willie always looks Twenty-nine-year-old Kim, Willie’s wife forward, looking to move ahead, leaves an Willie Mohlman, surrounded by his children of six years and mother of three, also did not Tanner Land, Audrey Joe and Aella Grace, continimpression on all of us every time he visits survive the day. the clinic,” Dr. Scott says. ues to heal from physical and emotional injuries Aella Grace was bruised but all right. following a car crash that claimed his wife, Kim. In April, after two months in Lincoln Willie, on the other hand, would fight for his hospitals, Willie returned home. He was 50 life in the hours and days ahead. It was a battle he eventually won. pounds lighter and still working to bear weight on his legs. At every Nine months after the crash, 33-year-old Willie’s back on his feet. step, family members lightened his burdens, from his mother sitting bedside in the hospital to his in-laws taking care of the children in his His journey back absence. His brother moved in with Willie to help care for the family.

“I’ve healed faster than I thought I would. But I had great care, great friends and great family helping me. You just do what you can to stay Stays thankful positive and to physically recover,” he says.

But there were some trials Willie faced alone.

The accident scene the Red Cloud ambulance squad came upon “I struggled to accept my limitations at times,” he says. And no that day was horrific, one EMT recalls. The weather forced responders to amount of help could fill the chasm that opened up with the loss of choose between removing Willie from the smashed front portion of the Kim. The well-being of his young children was a strong motivator. “My car to prevent hypothermia or leave him exposed to frigid temperatures mindset was: I have three kids who need their dad,” Willie points out. “I while they stabilized his neck and spine. They extricated Willie and can’t just lay down and quit — although there were days I wanted to.” called Hastings Fire and Rescue to meet them en route.

He worked instead, pushing himself to regain mobility and return That put in motion the statewide trauma system that saved Willie’s to work. By July he could climb in and out of tractors and return to work life. as a truck driver.

The Hastings EMTs stabilized Willie’s lower extremities and noted Today, he feels better physically than he expected. When the abnormality of his left chest. The trauma team at Mary Lanning weather changes, he feels it in one ankle and has a deep ache in his Memorial Hospital in Hastings was in place when Willie arrived. right leg. “You just take Tylenol and keep going.”

They also spotted the asymmetry of Willie’s chest and were alarmed That’s the one thing he hopes his children take away from this that he complained of chest pain rather than about his broken leg tragic, upside-down year. “Don’t ever give up — keep going and know and dislocated ankles. An X-ray pinpointed the cause — a ruptured that the next day isn’t promised. Always hug your loved ones.” diaphragm. The team intubated Willie and summoned an air ambulance Willie is figuring out this new version of normal that still feels to transport him to Bryan’s Level 2 Advanced Trauma Center. wrong. But he is here, healing, and grateful for the medical teams who Willie arrived in Lincoln with a weakened pulse. “He was starting saved him. to spiral a little bit down the trauma cascade,” says surgeon Brad Kuhn, “All the times I’ve thanked them can never be enough,” he says. n MD, of Bryan Trauma, which is part of the Bryan Physician Network. He To watch a video about the Mohlman family, go to and two other surgeons repaired Willie’s injuries; Willie survived but still bryanhealth.org/traumachamps. To find out how you can faced multiple orthopedic surgeries.

VIDEO support the work of Bryan Health, call 402-481-8605.

This story is brought to you by Inpatient Physician Associates.

Bryan Journeys 11

BRYAN FOUNDATION

They’re making cancer center a reality Many thoughtful friends and organizations are supporting our vision to build the April Sampson Cancer Center at the new Bryan South Campus. This comprehensive community cancer center will be conveniently located on a beautiful tract of land near 40th and Rokeby Road. The $45 million, 140,000-square-foot facility will open in 2023.

Following are profiles of six supporters.

To see more information about the center, visit bryanhealth.org/new-cancer-center. To learn how you can support the work of Bryan Health, please call 402-481-8605.

Margaret and Larry Small

Memorial gift benefits chapel/meditation room Margaret Small was the portrait of an active retiree. She walked the course when golfing, conquered puzzles from the

newspaper, played bridge with friends, transformed her yard into a “palette of sweeping color” and nurtured her faith as a lifelong Catholic. “She was trying to be as well-rounded in every field for her mind and body and her health,” says Larry Small, her husband of 45 years.

Her pancreatic cancer diagnosis in 2018 “was so devastating; it seemed so incredibly unfair,” he remembers.

The opportunity to fund the allfaiths chapel in Margaret’s name came with “incredible timing,” Larry says. “I look back on it and couldn’t have even wished for something like this. It’s such a blessing. Like Margaret, the chapel will be loving and welcoming to all people.”

Chapel/meditation room

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Resource education center Resource education center named for Riordan Education was central to who Judy Riordan was as a professional and as a cancer patient. She had a PhD in special education, and she was a 34-year survivor of breast cancer who “really studied the literature,” says Terry Riordan, Judy’s husband of 53 years.

Judy went to her oncology consultations equipped with wide-ranging knowledge about emerging medications and outcomes gleaned from her personal research. She also arrived with an unwavering smile, an optimist’s spirit and a fighter’s persistence.

“She never gave up. She always went in there and was happy, talking with everybody,” Terry says.

Judy Riordan

“So, it was kind of a no brainer to do something like this in Judy’s name. I had been looking for charities that I’d like to support, and the new cancer center sounded like a good one.”

Borgogna’s culinary legacy endures in new kitchen Geanine Bordogna’s recipes live on at Tico’s Restaurant in Lincoln through dishes like the Tia Maria Pie and the tortilla chip spice mix. Thanks to Geanine’s charitable trust, her legacy will also endure in the cancer center’s kitchen.

“She was a natural cook,” says Dalene DeGeest, Geanine’s niece. “Food was her passion.”

Geanine Bordogna Geanine died of pancreatic cancer in 2017.

She’s remembered as a pioneering female entrepreneur who owned property developments, an assisted living facility and of course Tico’s, now owned by the trust.

“It was important to her to make the world a better place,” Dalene says of Geanine’s philanthropic focus. “She spent a lot of time in life thinking through what she wanted her legacy to be.”

Bryan Journeys 13

BRYAN FOUNDATION Dr. Casey supports infusion pharmacy For decades, Dr. John Casey has advocated for cancer care in Lincoln to be easier to navigate, less stressful to organize, and more centralized to encourage professional collaboration.

“For patients coming from a small town, it’s almost impossible to coordinate all those appointments at various locations, and they’re going back and forth while not feeling well,” says Dr. Casey, a retired Lincoln pathologist.

For doctors and other providers, being immersed in cancer care every day alongside cancer-focused colleagues leads to increased expertise in an ever-changing field, he says.

“I was overjoyed when Bryan announced that they were going to have a cancer center,” Dr. Casey adds. “This will be an enormous benefit for Lincoln and the surrounding areas.”

Radiation oncology waiting area banking and city ambassador for Lincoln.

“When our Chairman and President Clark Lauritzen talks about what the bank needs to be doing, he talks about the strength of communities and the role the bank plays in that,” Nathan says. “Helping people have options and services for

Bank’s generosity helps create staff lounge Dr. John Casey

Like Dr. Casey, First National Bank of Omaha (FNBO) was eager to contribute to a center that will ease the burden for patients.

“The development team at Bryan did a really nice job of being patient, equipping us with information, describing the experience of people who are asked to drive all the way to Omaha and the strain that puts on families and patients,” says Nathan McKown, First National’s senior director of community

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Kaye Jesske of the Bryan Foundation (second from left) and Bryan Vice President of Advancement and Chief Development Officer Bob Ravenscroft accept a contribution from FNBO’s Nathan McKown (left), Doug Sutko (fourth from left), Jim Hoffmann and Mary Lou Lemonds.

BRYAN FOUNDATION cancer care makes for a stronger community.”

The staff lounge at the cancer center will be named in honor of FNBO’s gift.

Café

Café recognizes fraternities’ major pledge Food trucks and cornhole tournaments are just a couple of the creative ways that fraternities at the University of Nebraska-Lincoln are raising money to support the cancer center’s café.

Shortly after Bryan announced plans for the center, Interfraternity Council leaders met to brainstorm how each of the 24 fraternities at the University of Nebraska-Lincoln could contribute.

Some chapters decided to host events, while others are gathering individual donations from members.

“Bryan’s development team provided the grace to be able to do it over the course of multiple semesters,” Intrafraternity Council leaders says Jon Gayer, UNL’s meet Bryan facilities & construction assistant director of director Don Sheets and cancer center director Susan fraternity life. The Schreiner at the site of the future cancer center.

Council’s fundraising drive, which is its first-ever long-term philanthropic project, will wrap up in To watch a video about the new April Sampson Cancer Center, go to Spring 2023. n bryanhealth.org/new-cancer-center.

VIDEO To find out how you can support the work of April Sampson Cancer Center, please call the Bryan Foundation staff at 402-481-8605.

Bryan Journeys 15

MEDICAL STAFF SPOTLIGHT

Ask the doctors:

Currently the board meets every other Tuesday morning.

This hybrid meeting allows providers to attend in person for face-to-face interaction, but it also allows individuals who cannot be immediately present to participate by Zoom, as well.

How can the Breast Tumor Board help me?

Dr. Jendro says: There's a unique opportunity to have cases

The Breast Tumor Board has three co-chairs: general surgeon Greg Fitzke, MD, of Surgical Associates; and breast surgical oncologists Rachel Jendro, DO, FACOS, of General Surgery Associates; and Kelsey Williams, MD, of Advanced Medical Imaging.

Q: What is the Breast Tumor Board?

Dr. Jendro says: The Bryan Breast Tumor Board includes doctors who have expertise in surgical oncology, medical oncology, radiation oncology, radiology and pathology, as well as genetic counselors and oncology nurse navigators. They meet to discuss the imaging, pathology, best surgical options and treatment plans for breast cancer patients.

Dr. Fitzke says: The three medical specialties associated with comprehensive treatment of breast cancer — surgeons, medical oncologists and radiation oncologists — comprise this board, as well as radiologists, pathologists and advanced practice providers, all of whom are involved in the diagnosis and management of breast disease.

Other specialties also can be represented on an as-needed basis. For example, a neurologist was invited to discuss the implications of breast cancer treatment for a patient who had an advanced neurologic condition.

These types of opportunities afford educational opportunities and aid in creating the recommended treatment algorithm for individual patients. Physicians from other specialties are certainly welcome to attend to discuss their patients’ care, too.

16 Winter 2021

Q: What value does this board bring to patients, providers, and hospitals in our region?

Dr. Greg Fitzke

MEDICAL STAFF SPOTLIGHT discussed by expert physicians from many disciplines. These physicians work in concert to form the most cutting edge, upto-date treatment plans for patients.

Dr. Williams says: Treating patients with breast cancer truly is multidisciplinary. Excellent care requires input from multiple specialties. Having these providers come together to discuss treatments helps ensure we are bringing the best care to patients in our region.

It is clear to me that providers in this community care

Dr. Rachel Jendra

Dr. Kelsey Williams

deeply for their patients and want to provide them with the most excellent care.

They are truly patient advocates.

Q: After the board reviews a case, what are the next steps?

Dr. Jendro says: After the Breast Tumor Board meets, the surgical oncologist, medical oncologist and radiation oncologist all are aware of and in agreement with the patient’s individualized care plan.

That plan is then discussed in detail with the patient when they meet with their physician prior to initiating treatment.

Q: What are some of the benefits of having the board review a patient’s case history? How do I as a provider get them to see my cases?

Dr. Williams says: We, as a multispecialty group, can review all aspects of a case, including imaging, pathology, care plans from surgery, medical oncology and radiation oncology.

Discussion ensures that a clear plan is in place and that all members of the team are communicating the same plan to the patient. Cases are submitted bi-weekly and a list is compiled for the next Tumor Board meeting.

Dr. Fitzke says: At the time a diagnosis of breast cancer is made and our providers become involved in the patient’s care, they can request that the patient be reviewed by the board.

Subsequently the board reviews their clinical presentation, radiologic studies and pathology, and establishes a treatment plan including any ancillary studies or evaluations. This

Bryan Journeys 17

MEDICAL STAFF SPOTLIGHT plan can then be presented back to the patient by any of the involved practitioners.

Q: What role has Bryan played in advancing regional cancer care?

Dr. Jendro says: A patient’s case is reviewed by the board after first meeting with a doctor who specializes in surgical oncology, medical oncology or radiation oncology.

Any provider can request that a patient be reviewed by the Bryan Breast Tumor Board.

Dr. Jendro says: Bryan Health has been instrumental in acknowledging the need for and putting the board into place to advance breast cancer care in our community.

Q: How does being on the board help you in your practice?

Dr. Williams says: Many breast cancer cases are straight forward, but sometimes there are difficult decisions to make regarding management.

Having trusted colleagues from all disciplines available to review a case from start to finish is extremely beneficial.

The Bryan Breast Tumor Board meets every other Tuesday morning in the Board Room at Bryan East Campus. These hybrid meetings allow physicians to attend in person or as a virtual participant. The co-chairs emphasize the meetings

18 Winter 2021

Dr. Fitzke says: By providing a dedicated board whose sole purpose is to advance the treatment and prognosis of breast cancer for the women of Lincoln and its surrounding communities, Bryan continues to show its commitment to the welfare of our community.

The expertise represented by the Bryan Breast Tumor Board is just one more way to provide the confidence to our patients that their care is being provided in an effective and comprehensive manner. n

are unique opportunities for specialists to discuss patient situations and possible treatment plans for breast cancer.

MEDICAL STAFF UPDATE

New faces at

Bryan

Welcome these colleagues to the Bryan medical community

Justin Adkins, MD, emergency medicine, has joined Nebraska Emergency Medicine, 402-481-3142.

Dr. Adkins graduated from Marshall University School of Medicine, Huntington, West Virginia, in 2008. He completed an emergency medicine residency at the Ohio State University College of Medicine, Columbus.

He is certified by the American Board of Emergency Medicine.

Rajeev Anchan, MD, interventional cardiology, has joined Bryan Heart, 402-483-3333.

Dr. Anchan graduated in 2010 from the University of Nebraska Medical Center College of Medicine, Omaha, where he also completed a residency in internal medicine. He then went on to complete fellowships in cardiology and interventional cardiology at the University of Chicago. He is certified by the American Board of Internal Medicine in internal medicine, cardiovascular disease and interventional cardiology. His additional board certifications include nuclear cardiology and echocardiography.

Samuel Braden, MD, radiology, has joined Lincoln Radiology Group, 402-420-3500.

Dr. Braden graduated from the University of Utah Medical Center, Salt Lake City, in 2015 and completed an internship in transitional medicine at Providence Sacred Heart Medical Center, Spokane, Washington.

He completed a residency in diagnostic radiology and a fellowship in mammography at the University of Utah Medical Center. He is certified by the American Board of Radiology.

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

Dr. Dornbos earned her medical degree at the University of Nebraska Medical Center College of Medicine, Omaha, in 2018, where she also completed a residency in internal medicine.

Stephanie Foster, DO, nephrology, joined Lincoln Nephrology and Hypertension, 402-484-5600.

Dr. Foster graduated from Michigan State University College of Osteopathic Medicine, Lansing, in 2016. She completed a residency in internal medicine and a fellowship in nephrology at Beaumont Health Farmington Hills. She is board certified in internal medicine and nephrology.

Arthur Grinstead, MD, family practice, joined Holy Family Medical Specialties, 402-484-8383.

Dr. Grinstead earned his medical degree at Trinity School of Medicine, Kingstown, St. Vincent in the Grenadines, in 2015. He completed a residency in family medicine at the University of Nebraska Medical Center, Omaha.

Bryan Journeys 19

MEDICAL STAFF UPDATE Tanner Harmon, MD, radiology, joined Lincoln Radiology Group, 402-420-3500.

Dr. Harmon graduated from the University of Utah School of Medicine, Salt Lake City, in 2015.

He completed an internship in transitional medicine at Spokane Teaching Health Center, Washington, a residency in diagnostic radiology through the Creighton University/Arizona Health Education Alliance, Phoenix, and a fellowship in diagnostic and interventional musculoskeletal radiology at New England Baptist Hospital, Boston. He is certified by the American Board of Radiology.

Bradley Hohwieler, MD, family medicine, joined NorthPointe Family Medicine, which is part of the Bryan Physician Network, 402-483-8830.

He graduated in 2018 from the University of Nebraska Medical Center College of Medicine, Omaha, where he also completed a family medicine residency. He is certified by the American Board of Family Medicine.

Dawn Hosein, MD, internal medicine/ hospitalist, joined Inpatient Physician Associates, 402-481-8566.

Dr. Hosein graduated in 2013 from the University of Nebraska Medical Center College of Medicine, Omaha. She trained in internal medicine at UNMC and at the University of Colorado School of Medicine, Aurora. Dr. Hosein is certified by the American Board of Internal Medicine.

Jeremy Hosein, MD, neurosurgery, joined Neurological and Spinal Surgery, 402-488-3002.

Dr. Hosein graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2014.

He completed a residency in neurological surgery at the University of Colorado

20 Winter 2021

School of Medicine, Aurora.

Anuj Jain, MD, cardiology, has joined Bryan Heart, 402-483-3333.

Dr. Jain graduated from the Maulana Azad Medical College, India, in 1987.

He completed a residency in internal medicine at New York Medical College and Lincoln Memorial Center, New York, and a fellowship in cardiovascular disease at the University of Missouri- Columbia School of Medicine.

Dr. Jain is certified by the American Board of Internal Medicine in cardiovascular disease and heart failure transplant, and he also is board certified in nuclear cardiology.

Navya Joseph, MBBS, neurology, has joined Bryan Neurology, which is part of the Bryan Physician Network, 402-483-8534.

Dr. Joseph earned her medical degree at Trivandrum Medical College, Kerala, India, in 2010.

She completed an internal medicine internship at St. John’s Medical College, Bangalore, and an internal medicine residency at Bangalore Medical College.

She completed a neurology residency at the University of Nebraska Medical Center, Omaha.

Isaac Meier, MD, interventional cardiology, has joined Bryan Heart, 402-483-3333.

Dr. Meier graduated from the University of Kansas School of Medicine, Kansas City and Wichita, in 2014. He completed an internal medicine residency at the Mayo Clinic School of Graduate Medical Education, Rochester, Minnesota, and fellowships in cardiovascular disease and interventional cardiology at the University of Oklahoma Health Sciences Center, Oklahoma City.

He is certified by the American Board of Internal Medicine in internal medicine, cardiovascular disease and

MEDICAL STAFF UPDATE interventional cardiology, and he also is board certified in nuclear cardiology and in echocardiography.

William Michael, MD, psychiatry, has joined Bryan Heartland Psychiatry, which is part of the Bryan Physician Network, 402-483-8555.

Dr. Michael graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 1996, where he completed a residency in psychiatry. He is certified by the American Board of Psychiatry and Neurology.

Megan Miller, MD, pediatrics, has joined Complete Children’s Health, 402-465-5600.

Dr. Miller graduated from St. Louis University School of Medicine, Missouri, in 2018 and completed a pediatrics residency at the University of Iowa Hospitals and Clinics, Iowa City.

Carmen Mostek, DO, pediatrics, has joined Children First Pediatrics, 402-488-7337.

Dr. Mostek graduated from Kansas City University of Medicine and Bioscience, Kansas, in 2018. She completed an internship and residency in pediatrics at the University of MissouriColumbia School of Medicine.

She is board certified in pediatrics.

William Naylor, DO, trauma, joined Bryan Trauma, which is part of the Bryan Physician Network, 402-481-5860.

Dr. Naylor received his medical degree from Touro University Nevada, Henderson, in 2015. He completed a residency in orthopedic surgery at University Hospitals, Cleveland, Ohio, and a fellowship in orthopedic trauma surgery at Wright State University, Dayton, Ohio.

Ismatt Niazi, MD, psychiatry, joined Bryan Heartland Psychiatry, which is part of the Bryan Physician Network, 402-483-8555.

Dr. Niazi graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2016. He completed his psychiatry residency at MedStar Georgetown University, Washington, D.C., and a fellowship in child and adolescent psychiatry at the UCLA Medical Center, Los Angeles.

He is certified by the American Board of Psychiatry and Neurology.

Ross Pacini, MD, cardiology, joined Bryan Heart, 402-483-3333.

He graduated from the Creighton University School of Medicine, Omaha, in 2006. He completed an internal medicine residency at Emory University School of Medicine, Atlanta, Georgia, and a cardiovascular disease fellowship at Loyola University Medical Center, Maywood, Illinois.

Dr. Pacini is certified by the American Board of Internal Medicine in cardiovascular disease, and he also is board certified in nuclear cardiology and echocardiography.

Aaron Pomajzl, MD, urology, has joined Urology, PC, 402-489-8888.

Dr. Pomajzl graduated in 2016 from the Creighton University School of Medicine, Omaha, where he also completed a general surgery internship and a urology residency.

Bryan Journeys 21

MEDICAL STAFF UPDATE Donald Schmidt, MD, internal medicine, joined Madonna Rehabilitation Physicians, 402-413-3531.

He graduated in 1996 from the University of Nebraska Medical Center College of Medicine, Omaha, where he also completed a residency in internal medicine.

Dr. Schmidt is certified by the American Board of Internal Medicine.

Matt Steffens, MD, family physician, joined Southeast Lincoln Family Medicine & Internal Medicine, which is part of the Bryan Physician Network, 402-483-8500.

Dr. Steffens graduated in 2017 from Ross University School of Medicine, Portsmouth, Dominica. He completed the MercyOne Family Medicine Residency Program, Mason City, Iowa, in 2021.

Michael Vavra, MD, neurology, joined Bryan Neurology, which is part of the Bryan Physician Network, 402-483-8534.

Dr. Vavra graduated from Wake Forest University Baptist Medical Center, Winston-Salem, North Carolina, in 2005.

He completed a transitional internship at Mayo Clinic Jacksonville, Florida, where he also completed a neurology residency and a clinical neurophysiology fellowship.

He is certified by the American Board of Psychiatry & Neurology.

Kelsey WIlliams, MD, breast surgical oncology, has joined Advanced Medical Imaging, 402-484-6677.

Dr. Williams earned her medical degree at Eastern Virginia Medical School, Norfolk, in 2012.

She then completed a general surgery residency at Carilion Clinic-Virginia Tech Carilion School of Medicine, Roanoke, Virginia, and a fellowship in surgical breast oncology at Bryn Mawr Hospital, Bryn Mawr, Pennsylvania.

22 Winter 2021

Welcome these advanced practice providers These advanced practice providers are working at Bryan Medical Center: Sarah Baas, PA-C, Bryan Heartland Psychiatry, part of the Bryan Physician Network Rebecca Bayne, APRN-NP, Bryan Trauma, part of the Bryan Physician Network Makayla Doolittle, PA-C, Bryan Trauma, part of the Bryan Physician Network Brittany England, APRN-NP, Advanced Radiology of Grand Island Zachery Gokie, PA-C, Bryan Heart Lauren Hays, APRN-NP, Nebraska Pulmonary Specialties Jordan Hiatt, PA-C, Lincoln Orthopaedic Center Krystle Hajek, APRN-NP, Urology, PC Abigail Hoefer, APRN-NP, Nebraska Internal Medicine, part of the Bryan Physician Network Cindy Keckler, APRN-NP, Bryan Trauma, part of the Bryan Physician Network Zachery Lerner, APRN-NP, MD Pain Joshua Cruz, PA-C, Inpatient Physician Associates Azusa Ronhovde, APRN-NP, Bryan Neurology, part of the Bryan Physician Network Vanessa Saxton, APRN-NP, Heartland Neonatology Associates, part of the Bryan Physician Network Ray Skelton, PA-C, Madonna Rehabilitation Physicians Taylor Straube, APRN-NP, Consultants in Infectious Disease Michelle Vietz, PA-C, Nebraska Hematology Oncology Taylor Vitosh, PA-C, Bryan Heart Vascular Surgery

BRYAN HEART

Bryan Heart welcomes Dr. Anchan, Dr. Jain, Dr. Meier and Dr. Pacini The Bryan Heart physician team is growing to meet the needs of patients and the Midwest communities served. Fall 2021 brought four new physicians to Bryan Heart — two invasive cardiologists and two interventional cardiologists.

Invasive cardiologists, such as Dr. Anuj Jain and Dr. Ross Pacini, specialize in a wide variety of testing and treatments to help individuals with any sort of heart disease or heart condition. Invasive cardiologists perform minimally invasive tests to further identify or treat coronary artery disease and other issues within the heart.

Interventional cardiologists, like Dr. Rajeev Anchan and Dr. Isaac Meier, receive additional training in treating cardiovascular diseases and conditions using a variety of nonsurgical procedures known as “interventions.” Interventional cardiologists perform catheter-based procedures such as placing stents to open blocked arteries, repairing holes in the heart and replacing aortic or mitral valves.

I

nterventional cardiologist Rajeev Anchan, MD, is a native of Omaha who was interested in math and science in high school.

While in college at Creighton University, Dr. Anchan worked as an EKG technician at a local hospital, but it wasn’t until medical school at the University of Nebraska Medical Center College of Medicine that he decided to specialize in cardiology.

“I was involved in some research projects and that’s when I really fell in love with the heart, how it works and why it is important,” he says.

Dr. Anchan stayed in Omaha and completed his residency in internal medicine at the University of Nebraska Medical Center.

He continued his training at the University of Chicago, where he completed a cardiology fellowship followed by an additional interventional cardiology fellowship.

He is certified by the American Board of Internal Medicine and holds ABIM board certification in internal medicine, cardiovascular disease and interventional cardiology. Dr. Anchan also is board certified in nuclear cardiology and echocardiology.

He is excited to join Bryan Heart because of its focus on excellent patient care. He says, “Bryan Heart has put themselves at the forefront as far as being at the cutting-edge of procedures they are able to offer patients.”

While heart issues are extremely complex, Dr. Anchan believes it is important to provide his patients with an understanding of

Dr. Rajeev and Elisa Anchan enjoy walks in the park with their son, Gus — and plan to begin taking him on bike rides soon.

This story is brought to you by NRC Health.

Bryan Journeys 23

BRYAN HEART how the heart should function. He says, “Cardiologists are like detectives. We figure out how things are broken, what things should look like, and then together (with the patient) what we can do to actually fix things.”

His ultimate goal is to “come alongside my patients so they can have a good quality of life.”

Dr. Anchan not only appreciates Bryan Heart’s emphasis on patient care and the latest technology, he is also grateful to be working with a team of colleagues who “strengthen one another and lead the field together in cardiovascular care.”

He has been married to Elisa for nearly five years. The couple met through mutual friends at a bonfire in Omaha when she was in law school and he was finishing his internal medicine residency at the University of Nebraska Medical Center. The Anchans have a one-year old son named Gus who “just started walking,” Dr. Anchan shares.

When Dr. Anchan isn’t working, he enjoys spending time with his family. On weekends they meet relatives in the park, shoot basketball hoops in their driveway, Dr. Ritoo Jain (left) and Dr. Anuj Jain (far right) have two accomplished children: their and hike and bike. son, Ojus, is studying at Georgetown University, and daughter, Isha, also is a physician.

“Now that Gus is getting a little bigger, you can expect to see us out on the trails Dr. Jain is certified by the American Board of Internal Medicine biking with him in tow,” he says. in cardiovascular disease and heart failure transplant, and he is Dr. Anchan is enjoying life to the fullest and he’s working hard board certified in nuclear cardiology. to ensure that his patients can do the same.

No matter how much he has experienced, Dr. Jain continues to be fascinated with the evolving nature of cardiology. He says, “I To watch an interview with Dr. Anchan, go to enjoy being on the cutting edge of my field. I am constantly bryanheart.com/DrAnchan.

VIDEO learning new procedures and improving myself as a physician. I especially enjoy the field of heart failure and cardiac imaging.” ardiologist Anuj Jain, MD, is from New Delhi, India. Dr. Armed with such an extensive understanding of the heart, Dr. Jain attributes his interest in medicine to his father, who Jain is prepared to offer exceptional care for his patients. Equally also was a physician. He says, “Watching him help the comimportant to him is the willingness to listen to his patients. “During munity inspired me to follow in his footsteps.” a visit with me, you can expect to be listened to. I always put my As a first step, Dr. Jain earned his medical degree from the patients first and want people to feel taken care of. I treat them as I Maulana Azad Medical College in New Delhi in 1987. The next part would treat my family,” he says. of his journey took him much further away from India, to New York Family is important to Dr. Jain. He and his wife, Ritoo, who is City, where he completed his internal medicine residency at New an internal medicine physician with Lincoln Internal Medicine, have York Medical College and Lincoln Medical Center. From there he been married for nearly 30 years. They decided to live in Lincoln pursued a fellowship in cardiovascular disease at the University of because it was “the ideal choice to raise a family.”

Missouri-Columbia School of Medicine.

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24 Winter 2021

BRYAN HEART He says, “I moved to Lincoln about 20 years ago and have never looked back.”

The couple have two adult children. Their daughter, Isha, also is a doctor and pursuing further education in public health. Their son, Ojus, is a student at Georgetown University, Washington, D.C. Dr. Anuj Jain says, “I am excited to see where they end up.”

If they are like their parents, they will be dedicated to serving their community with great skill and commitment.

As busy as he is, Dr. Jain finds ways to relax outside of work. He says, “I enjoy playing tennis, traveling with my family and spending time in the community.”

I

disease and interventional cardiology, and he also is board certified in nuclear cardiology and echocardiography.

Dr. Meier appreciates that Bryan Health is locally operated and makes decisions with the local community in mind. He says, “I was not familiar with Bryan Heart before my interviews but it immediately made a strong and lasting impression on me, especially because of their desire to be on the cutting edge and deliver the most patient-centric cardiac care in the region.”

Offering patients the best quality care is his main objective. He says, “I try to understand what they want and build trust.”

Bryan Heart affords Dr. Meier a multitude of tools and opportunities to provide excellent care and to build trust. He says, “Whether I’m seeing a patient for the long term and making small changes over several months or doing a procedure where the patient can go from being really sick to ready to walk out of the hospital the next morning, I think cardiology is a fantastic specialty.”

Joining Bryan Heart and living in Lincoln has been a good move for Dr. Meier and his wife, Theresa.

The couple met through mutual friends and have been married for six years. They have a three-yearold son, Max. Dr. Meier says, “Location was key in our decision. We both grew up in Kansas and have family spread throughout Kansas and Iowa.

Being close to family was important to us.

“When we visited Lincoln, we loved the feeling of community and were blown away by the kindness and hospitality we were shown.

We are excited to call Lincoln our home.”

When Dr. Meier isn’t caring for patients, he enjoys listening to music, being outdoors and spending time with family. “Both Theresa and Max also enjoy the outdoors so we like to spend our weekends exploring state parks and camping,” he says.

nterventional cardiologist Isaac C. Meier, MD, grew up in a family dedicated to medicine. This native of Salina, Kansas, points out, “My father was a physician, and I was interested in medicine for as long as I can remember.”

Dr. Meier did his undergraduate work at the University of Kansas, Lawrence, and earned his medical degree at the University of Kansas School of Medicine. Following graduation from medical school in 2014, he completed an internal medicine residency at Mayo Clinic School of Graduate Medical Education, Rochester, Minnesota.

His interest in cardiology solidified while he was at Mayo. He says, “During my time in internal medicine I decided I would enjoy a procedural field and that tipped me towards cardiology.”

He continued his education with fellowships in cardiovascular disease and interventional cardiology at the University of Oklahoma Health Sciences Center in Oklahoma City.

Dr. Meier is certified by the American Board of Internal Medicine in internal Dr. Isaac and Theresa Meier enjoy outdoor activities with Max. medicine, cardiovascular

VIDEO

To watch an interview with Dr. Meier, go to bryanheart.com/DrMeier.

Bryan Journeys 25

BRYAN HEART

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ardiologist Ross Pacini, MD, grew up in Grand Junction, Colorado, the son of a cardiologist. However, he says, “I swore I wasn’t going to be a doctor and definitely not a cardiologist.”

Despite his initial reluctance to follow in his father’s professional footsteps, Dr. Pacini earned his medical degree at the Creighton University School of Medicine in Omaha, where his interest gravitated towards the cardiac subjects.

He says, “When we did pharmacology and talked about cardiac medicines, I would memorize those better. When we saw cardiac patients I realized I really like helping these people.”

Dr. Pacini continued his medical education with a residency in internal medicine at Emory University School of Medicine in Atlanta, followed by a fellowship in cardiovascular disease at Loyola University Medical Center in Maywood, Illinois.

He is certified by the American Board of Internal Medicine in cardiovascular disease, and Dr. Ross and Milly Pacini have three daughters — Penelope, Colette and Evelyn. he is board certified in nuclear cardiology and echocardiology. the nutritional content.”

In 2012, he returned to Colorado and Dr. Pacini is married to Milly, whom he met on a blind date. He worked in private practice until joining Bryan Heart this year. says, “My friend from high school was a partner in Milly’s law firm He says, “I had never been to Lincoln and was about to in Chicago, where I trained. He was back in Grand Junction having sign with a group in Omaha. Bryan was my last interview. I was dinner with my parents and they complained that I was single. My immediately impressed. No other place compared in terms of friend’s wife suggested Milly.” organization, kindness and professionalism.”

That was nine years ago. Today the Pacinis are the parents Dr. Pacini enjoys many aspects of being a cardiologist, but his of three beautiful little girls; Penelope (“P”), Colette (“Coco”) and favorite part is spending time with patients.

Evelyn (“Evie”).

“One of the nice things about cardiology is that there is so When he isn’t working, Dr. Pacini relishes spending time with much we can do for patients now. Most people have a pretty good his family, taking the girls to the zoo, going to the movies and prognosis,” he says. visiting kids’ parks. He also likes to do yardwork and landscaping To set his patients at ease, he uses anecdotes from his own life projects, and he studies apologetics, finance and investing. to reassure them. “I tell people with extra heart beats (PVCs) that On a final note, he says, “I enjoy following the news and my my wife gets those, too. I calmly tell her to go back to bed, as those new favorite team, the Huskers.” are completely benign,” he says.

A happy husband, a doting dad and a dedicated doctor, Dr. Another favorite is his father’s rule of thumb: If you can point Pacini is an outstanding addition to Bryan Heart. n to your area of chest pain with one finger, then it’s never your heart causing the pain.

Finally, when older patients are losing weight unintentionally he tells them to eat whatever they want. He says, “When my grandfather was in his 90s, we would bring him Raisinets and Butterfinger candy bars for dinner. My grandmother objected, but my father and I knew the calories were much more important than

26 Winter 2021

VIDEO

To watch an interview with Dr. Pacini, please go to bryanheart.com/DrPacini.

To learn more about the work of Bryan Heart, call 402-483-3333.

BRYAN INDEPENDENCE CENTER

Celebrating 50 years of making a difference

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ince 1971, the Bryan Independence Center has helped several hundred thousand individuals overcome addictions. In September, staff, alumni and families celebrated the center’s 50th anniversary.

It all started in the early 1970s, when the city of Lincoln was hoping to receive a federal grant to help address drunk driving, a problem that was gaining more attention. To be eligible, applicants had to have a substance abuse treatment program, so the former Lincoln General Hospital partnered with the Johnson Institute, a pioneering treatment group in Minnesota, to begin the project.

This local program was just the second of its kind, and it has grown to be a leader in treatment programs. In 1988, the Independence Center was named one of the top drug and alcohol treatment centers in the nation, and it’s recognized as a Blue Distinction Center for Substance Use Treatment and Recovery by Blue Cross and Blue Shield of Nebraska.

As the program began to take shape, Ron and Paige Namuth The center’s first permanent home was became involved. in the former Lincoln General Hospital The Namuths had School of Nursing dormitory. started a grass roots recovery movement in the 1960s through their work with Houses of Hope, Alateen and Alatots. Ron was first hired as a counselor-in-training, and two years later, hospital administrators asked him to direct the program.

In 1975, the Alumni Association began, and this continues to be a vital part of the Bryan Independence Center.

“It got started because people who completed treatment still wanted to be part of the program,” Paige says. Many former clients went through rigorous group leader training, so they could continue being part of the recovery work at the center.

“Everything Ron did was geared toward making them Alumni

Association members,” adds Paige. “That was the aftercare that was going to help them stick with treatment.” They organized events to help members have fun in a sober environment and build a community of support. Members put on plays, went camping and skiing, and headed to Brownville to spend the day boating.

One year Ron and another counselor delivered more than 400 presentations in the community, and people from all backgrounds came in for help with addictions.

During the 40th anniversary in 2011, In 1979, the former directors Ron Namuth, Duke Engel program added and Jerome Barry reviewed plans for what more mental would become the new Bryan Independence health services Center three years later. for clients, and the detoxification services unit opened. Two years later, specific programs began for youth and women. Duke Engel, who succeeded Ron as director in 1992, says these programs were essential.

“We had discovered that our walk out rate with women was so much higher than with men, and we realized we needed to do something,” he recalls. “We saw there was so much more sharing and such important therapy that could happen when we tailored treatment for women.”

In 1999 Jerome Barry took the baton to serve as director of the Bryan Independence Center. During that time, he focused on a major need — a new building. Since 1976, the program had been housed in an old nursing dormitory, and they often faced maintenance and building code issues.

“I spent an entire year speaking to any organization or group of people that would listen to me talk about the center’s mission and accomplishments,” he says. “The way our employees and the community stepped up to donate to our cause was humbling, to say the least.”

In 2014, Bryan Independence Center moved into its

This story is brought to you by MMC Contractors.

Bryan Journeys 27

BRYAN INDEPENDENCE CENTER new home, which provided a welcoming environment with more space, confidentiality and client rooms that were closer to nurses’ stations.

Current director Dave Miers, PhD, says the continuum of services provided sets Bryan Independence Center apart. Because they are a part of the medical center, they are able to treat patients who may be more medically fragile and can address medical needs that clients might experience while in treatment.

“Physicians and specialists are right here at the Bryan West Campus to help patients and to ensure their safety,” he says.

Recently, the treatment program moved under the umbrella of Behavioral Health Services. Although the care they provide hasn’t changed, this change has made it easier for staff to collaborate and train together, and it helps patients navigate the many services Bryan offers. Now patients can call one main number, which helps direct them to the services they need.

Thousands of clients, coming from all over Nebraska and neighboring states, come to Bryan Independence Center every year.

In addition, the intervention nurse program, which was started in 1980, helps more than a thousand people every year. Nurses visit patients in different hospitals in Lincoln who may need help with substance use.

Bryan Independence Center often is referred to as “The Miracle Factory,” and for good reason.

“It’s just a very special place,” says Engel.

“It’s an amazing process. When somebody does get sober, and when somebody does get clean, it’s always a miracle.”

Dr. Miers agrees.

“I take great pride in leading this team, which serves clients who need help along their treatment journeys,” he says. “I know there’s hope, there’s help, there’s healing — because I see it every day here. It’s so wonderful to see clients make great progress in their recoveries.

“That’s what motivates me every day.” n

28 Winter 2021

Party celebrates 50th anniversary

It was all fun and games Sept. 19 when friends and family joined the Bryan Independence Center Alumni Association for a 50th Birthday party on Bryan West Campus.

CRETE AREA MEDICAL CENTER

This trail can help you improve wellness while circling CAMC campus renovations

C

rete Area Medical Center has completed Phase 1 of its renovation and expansion project — and beautiful new additions for patients and the community have emerged, including a peaceful walking trail, spacious clinic rooms and new delivery and postpartum rooms.

events and educational programs.

“People can relax, enjoy the water feature and wildlife — it all makes for a great walking trail and helps us provide community wellness, which is one of the things we take pride in,” notes CAMC President and CEO Stephanie Boldt.

A donation from the Acklie Charitable Foundation made the trail possible.

Walking trail A nearly two-mile sidewalk trail now weaves its way through 30 acres of land surrounding the medical center, helping promote health and wellness. Along with walkers who use the Crete Carrier Walking Trail, the project’s Amish gliders, benches, pond and large outdoor pavilion offer gathering places and additional sites for

Labor and Delivery Suite A renovated and expanded Labor and Delivery Suite opened to families in midOctober. Only four days later, the first baby was delivered in the new space. The two delivery rooms, post-partum rooms and nursery provide families with spacious and updated surroundings.

Family Practice Clinic The first stage of the renovation of the Family Practice Clinic is completed, and patients marvel at the difference in the size of the clinic rooms, Boldt says.

There’s more to come Phase 2 construction is under way with completion scheduled for mid-2022.

A new surgery wing is emerging with two operating rooms and three recovery rooms. Renovation of the second half of the Family Practice Clinic also is moving along quickly. Once completed, the outpatient specialty clinic will be remodeled, creating more exam rooms, and in turn allowing additional specialist providers to bring their care to Crete. n

Bryan Journeys 29

ACHIEVEMENTS

Organizations applaud staff for pandemic responses Bryan Health received the annual Lincoln Chamber of Commerce Cornerstone Award for helping guide the city through the stages of the pandemic.

This award recognizes the business or organization that best demonstrates leadership, and it recognizes the entrepreneurial spirit of those who take risks and invest time and resources to grow Lincoln.

The Lincoln Friends Optimist Club presented all of Bryan’s nurses with the group’s annual Community Service Award, in recognition of the care givers’ work during the COVID pandemic.

The Intensive Care Unit staff at Bryan West Campus received this year’s Team DAISY Award. The award’s nomination notes the unit deserves recognition for its display of empathy and compassion for a patient and family, whicht encompassed Bryan’s core values.

This patient was in the ICU for about 70 days, suffering from the effects of COVID. “He had a personality that drew him to our hearts,” the nomination states. “We were his cheerleaders, although many times we came out of his room feeling a lift from him. His passing was traumatic, but it was heart warming to realize how many have been positively affected by this patient.”

The ICU staff at Bryan East Campus also was nominated for an Excellence in Human Underderstanding Award from NRC Health. Read an inspiring story at nrchealth.com/bryan-health- recognized-for-their-excellence. n

30 Winter 2021

Sue Kaltenberger, RN This year’s Team DAISY Award went to the Intensive Care Unit staff at Bryan West Campus.

Neuroscience nurse manager Nicole Babst, Ashton Gerken, RN, and Brittany Solorzano Romero, RN, accepted the Community Service Award from Lincoln Friends Optimist Club representative Angela Driver on behalf of all Bryan nurses who care for COVID patients.

Kaltenberger wins DAISY award Presurgical and post anesthesia care unit nurse manager Sue Kaltenberger, RN, received this year’s DAISY Leader Award.

Her nominators enthusiastically endorse her.

“She’s an amazing leader,” one writes. “The timeliness of her follow through is the best I have experienced in my 39 years at Bryan. She listens without reacting, then, taking all things into account, shares her response and the reasoning behind it. She is accessible to staff and encourages critical thinking and challenges us to strive for excellence.”

Another adds, “When you have a project to undertake, you are grateful for her presence, manner and leadership. Sue is the leader that others want to be like, and she promotes Bryan in our community through volunteering and mentoring students.” n

ACHIEVEMENTS

They’re the Caring Kind

Dr. David Miers

Dr. Stacy Waldron

Heroes of Hope honors Dr. Miers

Dr. Waldron leads boards

David Miers, PhD, received a Heroes of Hope Award from the HopeLNK Suicide Prevention Coalition for his efforts to inspire hope, elevate the conversation about mental health and assist in efforts to prevent suicide.

Dr. Miers is the founder of the Nebraska State Suicide Prevention Coalition and director of behavioral health services at Bryan. He is a longtime advocate for ways to help prevent suicides and provide support to those who have lost a loved one to suicide, through the development of Local Outreach to Suicide Survivor Teams (LOSS), and he is one of the leaders who is bringing the “My Companion” app to Nebraska to help students cope with mental health issues.

His nomination notes, “He is a true servant leader, especially in the area of suicide prevention, treatment and postvention.” n

Stacy Waldron, PhD, has been elected chair of the College of Boards of Psychology Chairs for the Association of State and Provincial Psychology Boards (ASPPB).

She also has been reelected to Nebraska’s Board of Psychology.

Dr. Waldron is psychology and therapy supervisor for the Bryan Medical Center Counseling Center.

In 2022, she begins a two-year term as chair of the College of Board Chairs, which is a committee of the Board Chairs representing each jurisdiction in the association.

The ASPPB is responsible for certifying psychologists throughout the United States and Canada, as well as the U.S. Virgin Islands, Puerto Rico, Guam and the Northern Mariana Islands.

The State Board of Health reelected her as a psychologist member on the Board of Psychology, which she currently chairs. n

During the Nebraska Hospital Association convention, three Bryan co-workers were recognized with Caring Kind Awards.

Congratulations to care management coordinator Chelsie Edwards, RN, of Merrick Medical Center in Central City; Sarah Kelly, RN, of the Specialty Clinic at Bryan East Campus; and Anna Warnes, APRN-NP, of Crete Area Medical Center.

Sarah’s nominator said, “She has so much compassion when individuals are at their most vulnerable. She truly cares about others — enough to listen, to give hugs, to go above and beyond.

She also works as a SANE nurse and understands that the work she is doing is so important. She’s a huge advocate for mental health patients and was instrumental in gathering information to help staff assist patients suffering from PTSD. Anna’s nominator said, “She’s

always willing to do what it takes to ensure patient needs are met.

She is kind and respectful and faces difficult situations with a willing and compassionate heart.”

Bryan Health also received a Pacesetter Award in the Non- critical Access Hospital category. n

Chelsie Edwards, RN

Anna Warnes, APRN-NP

Sarah Kelly, RN

Bryan Journeys 31

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 Corporate Compliance Officer. You can either call 402-481-8432, write to Bryan Medical Center, Attn: Patient Liaison Department, 1600 South 48th Street, Lincoln, NE 68506 or email Patient_Liaison@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 Liaison 2300 S. 16th Street, Lincoln, NE 68502 Phone 402-481-5761 – TTY 800-833-7352 – Fax 402-481-5711 Patient_Liaison@bryanhealth.org

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)

You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Patient Liaison Department is available to help you.

Please see the contact information above.

ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-800-742-7844 (телетайп: 1-800-833-7352).

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:

ໂປດຊາບ: ຖ້າວ່າທ່ານເວົ້າພາສາລາວ,ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ,

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.

32 Winter 2021

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

care for others

Bryan Health is now hiring for a variety of positions, including: Registered Nurse Respiratory Therapist Medical Technologist/ Medical Laboratory Technician Surgical Technologist Radiology Social Worker Non Invasive Technician Clinic LPN/CMA Information Technology Find the opportunity that’s right for you at

bryanhealth.org/careers bryanhealth.com/careers

Bryan Journeys 33

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

Address service requested

3 Ways to Beat Breast Cancer Podcast with: Rachel N. Jendro, DO, FACOS

Fellowship Trained Breast Surgical Oncologist

Did you know exercise, medications and alcohol can impact your risk of breast cancer?

Learn ways to prevent breast cancer, detect it and treat it with personalized care.

Listen at: bryanhealth.org/podcasts