Journeys | Summer 2017

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

SUMMER 2017

Life in harmony

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JOURNEYS SUMMER 2017

1 FROM OUR PRESIDENT 2 GIVING BACK TO THE COMMUNITY Nurse’s career in tune with her passion for music 5 VOLUNTEERS & CUSTOMER CARE Sharing the songs in their hearts 6

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BRYAN TRUSTEES Business leaders Cusick and Vokoun leading Bryan boards b2020 LEGACY GIFTS Heart doctors’ families create lasting legacies

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BRYAN FOUNDATION Sorority shows heart for sisterhood Angel Eye provides big views of our smallest patients Mother’s gift repays earlier generosity Visual “map” of veins makes starting IVs easier

TV messages win national Telly award

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elly Awards celebrate television advertising campaigns that have creative, effective messages.

This year, Bryan Health received a top-place Silver Telly Award for our series of “Bryan-ologist” TV messages, in which nine physicians explained the role of their respective medical specialties to groups of young children.

The ads aired earlier this year and were part of a regional campaign that included print ads and billboards. See the address below to find out how you can view these award-winning TV messages again.

18 INFANT APNEA CENTER Sleep safely, baby: 36 years promoting healthy, safe sleep for children

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IN THE COMMUNITY — KAWASAKI Bryan and local businesses partner to prevent type 2 diabetes MEDICAL STAFF SPOTLIGHT Ask the doctor: Is skin cancer preventable?

24 MEDICAL STAFF UPDATE

New faces at Bryan / Remembering our colleagues 27 PATIENT EXPERIENCE

Living life to the fullest

She’s determined to live well, despite Crohn’s disease 32 OUR SUPPORT OF YOU

Bryan Health community benefits report

Our award-winning series of “Bryan-ologist” TV spots featured physicians from eight medical specialties. Here, Todd Martin, MD, FACOG, of Bryan Women’s Care Physicians (part of Bryan Physician Network) and Darla Eisenhauer, MD, FACOG, of Gynecology and Fertility talk with children about babies. To watch these messages, go to bryanhealth.org/doctors.

34 YOUR SUPPORT OF US 35 2016 ANNUAL REPORT ON GIVING 44 CRETE AREA MEDICAL CENTER

Connecting community with caregivers 47 ACHIEVEMENTS 49 COMMUNITY CALENDAR

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 quarterly to the communities we serve.

ON THE COVER Amy Fischer, RN, shares a passion outside of nursing — performing with the Lincoln Civic Orchestra.

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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.

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

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FROM OUR PRESIDENT

“In matters of style, swim with the current.

“In matters of principle, stand like a rock.”

— Thomas Jefferson

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or those of us who share the honor of being stewards of Bryan Health, we stand firm in our mission to advance the health of individuals in our region through collaboration with physicians and communities. When our medical staff and community leaders ask Bryan to step up to serve, we do.

From eight dedicated mental health units, to a nationally recognized trauma center, to leading-edge intervention for stroke patients, we will provide needed health and medical care services.

We also welcome Merrick Medical Center (with locations in Central City and Fullerton) to the Bryan Health team. We are honored to have this new partnership in central Nebraska.

This edition of Journeys includes our annual report on giving. You’ll read about gifts from your friends and neighbors that have helped Bryan further its mission. On Page 6, you also will meet two new board chairs. They join our other trustees who share their time and expertise to guide our efforts and, as President Jefferson urged, stay true to our mission and vision.

Our commitment to support and collaborate with those who work so hard to make our community safe, vital and welcoming remains steadfast. Our total, quantifiable community benefit of $91.1 million attests to our unwavering promise, as your Nebraska-governed, nonprofit health care system, to always be there for all who turn to us for care, including those who cannot afford to pay.

Our Bryan Health family now tops 4,500 dedicated professionals who feel a strong obligation to pay it forward — to work tirelessly for Bryan to serve as the system our region needs it to be in the future. 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

Giving back to the community means sharing recipes — and samples — for healthy eating. Bryan Health executive chef Nazim Khan, with oncology nurse navigator Carrie Waltemath and radiology director Sharon Harms, prepared delicious and nutritious steak and salad at the Old Cheney Road Farmers’ Market this spring. Catch our next free cooking demonstration on Sunday, Aug. 20, from 11 a.m. to 1 p.m.

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GIVING BACK TO THE COMMUNITY

Nurse’s career in tune with her passion for music

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Many Bryan co-workers know Amy Fischer (left, with Samantha Mlinar, RN) by her career as a registered nurse — but she shares an equal passion for performing in the Lincoln Civic Orchestra.

hen you enter the auditorium of Nebraska Wesleyan University before the start of a Lincoln Civic Orchestra concert, you’re greeted by a familiar hum of instruments as the musicians warm up.

As the start time draws near, concertgoers will see the concertmaster — a young woman named Amy Fischer — walk up to the front and begin tuning the orchestra.

This particular concertmaster is a familiar face at Bryan Health. Amy Fischer spends her nights working as a registered nurse on the 7th floor of Bryan East Campus.

She invests her spare time in sharing her gift of music with the community.

Amy’s been the concertmaster for the Lincoln Civic Orchestra (LCO) since 2012.

The concertmaster is the lead violinist — the violinist with the highest “rank” in the orchestra. She sits in the first chair, next to the conductor’s podium.

“It’s my job to tune the orchestra prior to a concert,” she explains.

The concertmaster also marks the orchestra’s scores with the appropriate bowings.

“It’s a tedious task, but it creates a powerful visual experience,” says Amy. “When we’re all following the bowings, the strings move in the same, beautiful way.”

Discovering love of violin Amy’s passion for music started in 3rd grade and continued through scores of music camps, classes and private violin

lessons. It became part of the rhythm of her life.

“My parents put up with me in the early years when I was probably awful and squeaky,” she laughs. “But they continued to cheer me on, honing my talents and encouraging me to share my music. I wouldn’t be where I am today without their support.”

As a student at East High School, she played violin in the school orchestra, as well as the Lincoln Youth Symphony and Nebraska All State Orchestra.

When it came time to make a decision about her future, Amy’s internal metronome has always remained strong — she wanted to pursue a career in health care.

“I always knew I wanted to be a nurse,” Amy explains. “My Aunt Patsy Gleim works at Bryan Heart, so I looked up to her. Plus, I did an internship with a local hospital and really got to see what nursing was all about.”

Academics in concert with music While many schools offer nursing programs, Amy had her sights set on Bryan College of Health Sciences. But she was concerned about whether her musical ambitions would harmonize with a nursing school schedule.

“I was afraid I’d have to give up my love of music and performance,” she says. “But that’s where the Lincoln Civic Orchestra came into play.”

Amy’s mom introduced her to LCO, and she decided to audition before starting classes at Bryan.

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Several orchestra members have medical backgrounds, such as Dr. Dorothea Jacobsen (left) and Amy Fischer, RN, on violin and Drs. Scott McPherson and Richard Crusinberry playing trombone.

The rest is history.

“It’s one of the best choices I’ve ever made,” says Amy. “I was able to play throughout college — and two years into it, I tried out for the position of concertmaster.”

Amy earned her nursing degree in May 2015. She continues to serve as concertmaster for the orchestra while caring for renal patients on her progressive care unit at Bryan East Campus.

Other familiar faces Richard Crusinberry, MD, of Urology P.C., cares for patients on the same floor in which Amy works. A member of the Lincoln Civic Orchestra since 2007, he says he too enjoys giving back to the community through music and understands the joy that comes from

sharing musical gifts.

“A friend encouraged me to join the orchestra,” says Dr. Crusinberry. “They needed more trombones and that’s my instrument. A few years ago, I realized that the young woman at rehearsals was the same nurse who cares for many of my patients!”

Amy and Dr. Crusinberry are among a handful of musicians from Bryan Health who are involved in community music.

They both believe in the synergy between music and medicine.

“Music forces you to use your entire brain,” says Dr. Crusinberry. “It relaxes me when I practice, but it also opens my mind to think outside the box in dealing with patient challenges or problems. It comes with incredible intangible benefits, both personally and professionally.”

At the Lincoln Civic Orchestra

performances, the conductor regularly poses a question to showcase the diversity of the group to the audience. He says to the players, “Raise your hand if you make your living from music.”

Only a few hands go up.

“Raise your hand if you make your living doing something other than music.”

Nearly all hands go up.

“It’s just a testament to the dedication of the group — we’re all there voluntarily to give back with our gifts, and truly enjoy music at a high level,” says Amy.

Best of both worlds Amy is grateful to Bryan Health for her education and the opportunity to serve patients each day. But she’s also grateful for the scheduling flexibility and support.

“If you’re a nurse, the scheduling can be a challenge,” she says. “My supervisor Bryan Journeys 3

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GIVING BACK TO THE COMMUNITY

Amy Fischer smiles during rehearsal.

supports my musical passions. You just have to make sure to plan ahead.”

While Amy loves music, she also loves her job at Bryan. Whether she’s helping a patient and his family figure out how to manage a chronic condition, or watching an individual bounce back from a liver transplant, Amy says she’s privileged to be part of a patient’s medical team.

“As a nurse, I’m confident that my patients benefit from my dedication to music,” she explains. “My time management skills are great as I’ve always been balancing practices and performances, and I’ve memorized thousands of notes, melodies and rhythms throughout the course of my life. It makes it easier for me to recall and process information.”

Over the years, Amy has also played for different church groups, weddings, benefits, fundraisers and more.

“You have to set aside time for the things that make you come alive,” Amy says with a smile. “Otherwise, we risk

losing those things that really bring us joy.”

See them in action From September to April, you can find Amy and the rest of the Lincoln Civic Orchestra on Thursday nights, practicing for their upcoming concerts. The ensemble has three performances each year — in November, February and April — and dates are posted on their website and Facebook page.

LCO is a symphonic orchestra comprised of community musicians like Amy from throughout this region. The ensemble regularly performs on the Nebraska Wesleyan University campus and travels to other communities to present concerts. Auditions typically are held in August.

If you ask Amy whether you should try out for the orchestra, she has just two words for you.

“Do it!” n

Piano brightens patient, visitor and staff experiences The corridor inside the main entrance at Bryan West Campus often resounds with passages from classical composers’ master works. Benjamin Gelber, MD, of Neurological and Spinal Surgery, is among those who use the piano to entertain while unwinding between cases. Dr. Gelber was trained in music theory and studied violin and organ for years.

The Bryan Foundation provided funds for this player piano, so musical CDs of everything from show tunes to pop songs are played.

Benjamin Gelber, MD, performs Beethoven’s music at Bryan West Campus. This piano was funded through the Bryan Foundation; earlier, volunteers bought a player piano for Bryan East Campus.

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VOLUNTEERS & CUSTOMER CARE

Sharing the songs in their hearts

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classical, hits from the 1950s, pon entering self-composed music and so the Bryan Medical on. Volunteers are not limited Center lobby, you may be greeted by a musical number to a certain repertoire; rather, they are encouraged to select or two. Thanks to a handful melodies that are appropriate of music volunteers at Bryan for a health care setting — Health, patients and families music that’s familiar, soothing can relax and ease their minds and relaxing. for a brief interlude.

In addition to seven piano “Music creates a healing volunteers, the Volunteers and environment. Research shows Customer Care department that music decreases stress also has a harpist and guitarist and anxiety. It’s therapeutic on board. New musicians are for patients and creates a nice always welcome. environment for families and “We staff,” says would love to Customer Care include more supervisor musicians in Sarah Carter. our volunteer Bringing program!” music to Bryan Sarah says. started more “Our hope is than a decade to expand the ago, when program and volunteers bring music purchased a to the patient grand piano floors.” for Bryan East The rewards Campus. run deep for “It was a both sides. player piano, Just ask Deb but we didn’t Harpist Margaret Nelson performs Ruhrdanz. have live in the Bryan East Campus lobby.

“I’ve been talent until playing the about three piano since 4th grade,” she years ago,” Sarah says. “At that says. “I thought it was just a fun time another player piano was thing I did at home, but my inpurchased for the Bryan West laws encouraged me to explore Campus, utilizing a grant from playing at Bryan.” the Bryan Foundation, so we Deb is also a registered began recruiting volunteers to nurse at Bryan, which pairs play and share their music with well with volunteering as she others.” earns professional development If you listen closely, you’ll credits. But she says that’s only hear all kinds of music —

Deb Ruhrdanz, RN, shares her musical talents with colleagues such as recreation therapist Ele Halsted and patients in the Senior Mental Health Unit on Bryan West Campus.

a happy coincidence.

“You get so much joy out of it,” she says. “When you see patients tapping their feet or singing along, you know you’re making a difference.”

Deb volunteers for a few 1 ½ to 2 hour time slots each month, going back and forth between the Bryan West Campus lobby and the Senior Mental Health Unit.

“I work with the recreation therapists to develop a play list of 15-20 songs from several different genres,” she explains.

“The most requested song by far is ‘Happy Trails to You’.”

If individuals have been thinking about getting involved, Deb encourages them to act,

as the intangible benefits are infinite.

“You just need to jump in and get your feet wet!” she says.

“There are blessings on both sides.”

To get involved, musicians must be at least 14 and must become a Bryan Medical Center volunteer. They also are asked to make a minimum four-month commitment and be willing to submit an audition piece during the interview. n To learn more, call Bryan Volunteers and Customer Care at 402-481-3032 or visit bryanhealth.org/volunteer.

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BRYAN TRUSTEES

Business leaders Cusick and Vokoun leading Bryan boards SERVING IS HIS PASSION

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ick Cusick might say his hobbies are fishing and golfing, but even he is the first to admit that his true passion is community service.

“If I look at my calendar, I spend about 70 percent of my time in some kind of community involvement. I enjoy it,” he says.

Nick, who is the new chair of the Bryan Medical Center Board of Trustees, has an impressive résumé of community service. Recently, he’s been working as co-chair for the Lincoln Children’s Zoo expansion campaign. He’s also been involved with Junior Achievement, the YMCA, Red Cross, Lincoln Airport Authority Board, Lincoln Chamber of Commerce, Lincoln Public Schools Foundation and Pius X Foundation, to name a few.

As a child, he watched as his parents served their Fremont community through Boy Scouts and Girl Scouts, city council and their church.

“Pretty much every activity that ever happened at the church, my parents were either in charge of or heavily involved with,” Nick says. “I just grew up around a culture of volunteerism and community involvement.”

The summer before Nick’s junior year, his family moved to Lincoln. He attended Pius X High School, where he met Elmer Wessel, who later became his business partner for almost 40 years. Nick is president of Bison Inc., a sporting equipment company the two began after Elmer invented a softball caddy.

The company now manufactures equipment for a variety of sports.

During his time at Pius X, Nick also met his future wife, Ann. During their senior year, Ann learned she had diabetes. At that time, people with diabetes went to the hospital for a week to learn how to manage their health.

“We had gone to prom together, and then she was diagnosed. She was in the hospital at Bryan East Campus — since Pius didn’t have open campus at that time, every day I

snuck out to go see her and have lunch with her at Bryan,” he recalls.

This early connection with Bryan has evolved into a strong bond for the couple. Nick and Ann supported Bryan Independence Center through the Fine Line campaign, and Nick has spent the past decade serving on Bryan boards. He says he’s willing to serve beyond his current term if he’s asked.

“There’s a level where you view it as a privilege. It’s really great, and you become passionate about it to the point that you become disappointed when your term is up,” he adds.

SHE SHARES BRYAN VALUES

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ori Vokoun has spent her career literally building communities. As a vice president at Sampson Construction, she helps run a business her grandparents started in 1952 in their garage.

Since that time, Sampson Construction Co. Inc. has grown, and some of its more recent projects include residence halls and parking garages for both the University of Nebraska-Lincoln and Nebraska Wesleyan University, Memorial Stadium’s expansions and the collaborative project between the YMCA and Schoo Middle School.

“It’s really personally rewarding to go back and use the buildings that you build. I have that same experience sometimes when we go to schools, or gymnasiums or our church, and Bryan is one of those. That’s where we go for everything,” she says.

Cori didn’t always plan on being so involved in the family business. After graduating from Lincoln Southeast High School, she attended Princeton University. She graduated with a liberal arts degree and decided to return to Nebraska while she considered going to law school.

“I originally intended for this to be a short-term stop. I’m an only child of a business owner, and I felt like it was important that I at least had a good understanding of what our family

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Bison Inc. President Nick Cusick, the newest chair of the Bryan Medical Center Board, has been a trustee for more than a decade — and is a lifelong advocate for community service.

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BRYAN TRUSTEES business was all about, especially if I would have to make decisions about it when I was older. I ended up coming back, and then I just stayed. I liked it, and I really enjoyed working with my family,” she says.

A few years later, Cori met her husband, Dan, when the two worked together on a project. He was working for one of Sampson’s subcontractors at the time.

“We met in a job trailer, hard hats and all,” she recalls with a laugh.

Cori credits Sampson’s early Bryan projects as being a springboard for the company’s ability to grow.

She says the first project between Bryan and Sampson made it possible for the company to start a health care division, and since that time, Sampson has built hospitals all over the state and surrounding areas.

In the past decade, Cori has supported Bryan through her work on the Foundation Board, and she started her new role as chair this year. As chair, she has a seat on the Bryan Health System Board, as well, and acts as a liaison between the two boards.

“I feel very responsible for connecting those two worlds in a way that’s meaningful,” she says.

Besides Bryan, Cori serves on the Nebraska Wesleyan

Board of Governors, and she was appointed to serve on the Nebraska Educational, Health and Social Services Finance Authority. She also has served on boards for the Lincoln Children’s Zoo, the Lincoln Community Foundation and the Lincoln Chamber of Commerce.

She credits Bryan with being forward-thinking and adaptable, and she says her respect for Bryan and its leadership team made her want to be involved. She also says that through her experiences traveling, she has come to appreciate how fortunate Lincoln is to have Bryan and its reputation for excellence.

“I just can’t emphasize enough how important it is.

My family is very rooted here, and so to have outstanding health care, public schools and universities right here in a city of 300,000 people is phenomenal. You have to leave Lincoln to really understand how awesome it is, and Bryan is a critical piece of that. Being actively involved in Bryan’s leadership has been important for me because those things are important to me and to my community,” Cori says.

“I’m really thankful that I’ve been able to be involved with Bryan in that way.” n

Cori Vokoun of Sampson Construction says it’s personally rewarding to use buildings her family’s company built. She’s in her first term as chair of the Bryan Foundation Board.

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BRYAN TRUSTEES

Meet our Board members Bryan Health Gene Brake Bill Cintani Nick Cusick David Dyke, MD Steve Erwin, Chair Richard Evnen Jon Hinrichs, MD Andrew Hove Jr. Meg Lauerman William Lester Donde Plowman, PhD Kimberly Russel Renee Sjulin Cori Vokoun Mark Walz Ross Wilcox John Woodrich

Bryan Medical Center

Trey Pittenger Bob Ravenscroft Kimberly Russel Nick Cusick, Chair Aina Silenieks, MD John Decker Jr. Beth Smith John Dittman Kathy Stewart Darla Eisenhauer, MD, FACOG Layne Sup Steve Erwin Jennifer Tricker Richard Evnen Cori Vokoun, Chair Brenda Franklin, RN Charles Wilson, MD Shannon Harner Gary Hustad, MD Crete Area David Keck, PhD Medical Center Martin Massengale, PhD Tad Eickman, Chair Edward Mlinek Jr., MD Tom Kozisek Erin Pemberton, JD, MSN Troy Miller, DO Beau Reid Rebekah Mussman Kimberly Russel Mike Pavelka Gene Stohs, MD Bob Ravenscroft Lisa Vail, RN, DNP, NEA-BC David Reese John Woodrich Linda Stones, RN Scott Young

Bryan Foundation

Bryan Enterprises

Brian Bossard, MD Loel Brooks Dick Campbell Joseph Kam Chiu, MD Bill Cintani Carolyn Cody, MD Greg Dynek Ben Kiser Janet Labenz Andrew Loudon Jaine Merliss, PhD Katie Miller Albert Owusu-Ansah, MD

Pat Ganyo Russ Gronewold Robert Nefsky, Chair Bob Ravenscroft John Reed, MD Kimberly Russel Kristian Rutford John Woodrich

Bryan College of Health Sciences Larry Dlugosh Brenda Franklin, RN James Griesen, PhD Rich Lloyd, PhD Georgianne Mastera, PhD Andrew Merliss, MD Angie Muhleisen Shannon Pecka, PhD, CRNA Erin Pemberton, JD, MSN, Chair Sameano Porchea, PhD Roger Reamer Kimberly Russel Maurice Russell, RPh Brady Shaw Lisa Vail, DNP, RN, NEA-BC Sue Wilkinson, CPA, FLMI John Woodrich

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b2020 LEGACY GIFTS

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t Bryan Health, our mission is to advance the health of individuals in the region through collaboration with physicians and communities.

The $40 million b2020 Choose Your Impact campaign is making this possible.

Donors can direct their donations based on their passions and interests.

Gifts can be designated in three areas: The Environment You Create, The Lives You Enrich, and The Knowledge You Help Impart.

More than $33 million has been secured, providing funds for capital construction, programmatic support, endowment, growth and student support — all of which will enhance health care for the region.

To support the b2020 campaign and celebrate the 50th anniversary of the Bryan Heart program, four families are leaving a legacy through the Bryan Foundation.

Though they practiced together and pioneered the first heart surgeries and procedures at Bryan Health, each family chose a different impact and focus for their gift.

Heart doctors’ families create lasting legacies

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anniversary of the Bryan Heart program. r. Stephen Carveth’s impact as one of “The reason to give was two-fold. I want to the founding fathers of the Bryan Heart thank my parents for making it possible for me to program can be felt throughout the focus on building the heart program rather than hospital. And now, thanks to a philanthropic servicing a large load of medical school debt,” gift from the Carveth family, it will be seen he explains. “And I want to give back to Bryan in two specific areas: a named room in the Health to carry the torch to the next generation, cardiac intensive care unit and a named patient consultation room.

“When Dr. Herb Reese and I first came to Bryan to work with Dr. Walt Weaver, there was no intensive care unit at any hospital in Nebraska,” Dr. Carveth says. “Through our diligent efforts, we created the state’s first intensive care unit.

The ICU is a critical aspect of cardiac care as patients require close observation and monitoring.”

The named patient consultation room is an important part of cardiac care as well.

“When sharing news with the family, you’re often sharing very complex and personal Dr. Stephen Carveth and Beth (front row) were surrounded by family at the Bryan details regarding a Heart 50th anniversary. The Oct. 26 event prompted the Carveths to contribute patient’s condition. It to the b2020 Choose Your Impact campaign. can be a challenge to discuss such matters in helping them continue the tradition of progressive an open waiting area,” says Dr. Carveth. “A patient thinking in patient care. The Bryan administration consultation room allows a surgeon to meet with — specifically President Gene Edwards and the the family and privately discuss the status of the board at that time — believed in our vision and patient.” provided the resources and personnel needed to The gift from the Carveth family is part of make it a reality.” n the b2020 campaign, prompted by the 50th

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b2020 LEGACY GIFTS

Caudills create college scholarship

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s a cardiologist, Christopher Caudill, MD, had the opportunity to work alongside the founding fathers of cardiovascular services at Bryan — Herb Reese, MD, Stephen Carveth, MD, Charles Wilson, MD, and Walt Weaver, MD. “Drs. Reese and Carveth had started years earlier, testing surgical techniques in a lab,” Dr. Caudill says.

“In the early 1970s, Drs. Wilson and Weaver invited me to visit Nebraska and see what they were doing. Once I was here, I could see the importance of their work.

They were creating the future of cardiovascular medicine in

Nebraska. I performed the first angioplasty in the state in 1981 and the program has continued to grow.”

Debra, Dr. Caudill’s wife, graduated from Bryan School of Nursing and worked as a nurse at Bryan, as well as being a nurse practitioner at the Bryan Heart Institute. Debra was directly involved with patient care following the innovative heart procedures being done at Bryan.

To the Caudills, one of the main things that contributed to the growth of the Bryan Heart program was the ongoing dedication to resources and talent.

“The Bryan administration

Debra and Dr. Christopher Caudill created a scholarship for Bryan College of Health Sciences students.

trusted us to make decisions about equipment, resources, staff, you name it,” Dr. Caudill says. “Through their support, they really facilitated the evolution of the program. It was a challenge for the whole team.”

The Caudills are firm believers in ongoing education and training the next generation of medical leaders and pioneers.

While they’d discussed the idea of creating a scholarship someday, they were inspired to take action during the

Bryan Heart 50th Anniversary celebration.

“We love working with students who trained at Bryan,” Debra says. “They get a lot of hands-on experience through the program. When they graduate, they’re able to begin practicing right away.”

The Caudill Scholarship is for incoming Nebraska students at the Bryan College of Health Sciences. The first scholarship will be awarded for the 2017-18 school year. n

Heart surgery patients benefit from Reese family’s gift In this family portrait, the late Dr. Herb and Virginia Reese are surrounded by their children: David and Ann (front row) and (back row, from left) Mary, Marty, Margaret, Herb, Dr. Chuck and Pat.

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erb Reese, MD, was a leading pioneer in cardiovascular surgery and one of the founding fathers of the Bryan Heart program.

Performing the first heart transplant in Lincoln in 1986, Dr. Reese was involved in the state’s earliest efforts to adopt cardiac catheterizations and

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b2020 LEGACY GIFTS coronary bypass surgeries. He also served as chief of staff at Bryan from 1978 to 1982.

To commemorate Dr. Reese’s impact and celebrate the 50th anniversary of the Bryan Heart program, the Reese family chose to make a donation through the Foundation’s b2020 campaign.

“Growing up, medicine

was all around us,” says David Reese, one of eight Reese children. David works as Clinical & Support Services vice president at Bryan Health. “All of my siblings saw him perform a heart surgery, and we continue to hear stories of lives saved through his work.”

The Reese family gift supports the Bryan Heart Pillow

Program. These pillows are an important part of the healing process for heart patients.

Each year, thousands of people benefit from the comfort and relief of having a pillow to clutch across their chest to ease the pain of coughing and movement after heart surgery.

“Mom and Dad both loved taking care of people,” says

pathologist Charles Reese, MD. “This gift fits well with their life’s mission. It also illustrates the memory of Dad’s impact on the Bryan Heart program.”

Pillows will be adorned with a patch that reads, “In memory of Dr. Herb Reese and Virginia Reese. Made for you by volunteers at Bryan Medical Center.” n

Weaver Classroom honors pioneer in heart care

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ryan Medical Center has a new classroom in memory of Walt Weaver, MD, one of Bryan’s pioneers of cardiac care.

Dr. Weaver was a leading cardiologist who, along with Dr. Stephen Carveth and Dr. Herb Reese, developed Bryan’s first heart catheterization lab in 1962. Dr. Weaver also served as a clinical associate professor in cardiovascular disease at the University of Nebraska Medical Center. He passed away in 2013.

Dr. Weaver’s daughter, Lisa, chose to donate to the Bryan Foundation and create a lasting memory of Dr. Weaver at Bryan Health.

“Dad gave his all to his patients,” she says. “He was a loving and compassionate person. He was committed not only to the best care but also to helping patients understand what was going on inside their heart. He had a way with people and always gave the patient quality time with him.”

For Lisa, the Walt Weaver Classroom was the perfect

Lisa Weaver (seated, second from left) donated to b2020 to create a classroom in memory of her father, Dr. Walt Weaver (seated, third from left, beside his wife, Joann).

match for her financial gift.

“He had a brilliant mind and wanted to share that with anyone who would listen,” Lisa says. “Having a classroom in his name will allow his passion for teaching to live on.”

The Walt Weaver Classroom

can be found on the cardiac care floor at Bryan East Campus, where current nurses and nursing students can continue their education and training in health care. n

To learn more about the b2020 campaign or other ways to support the work of Bryan Health, contact the Bryan Foundation at 402-481-8605.

To learn about the first 50 years of heart care, go to bryanhealth.org/50years.

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Sorority shows heart for sisterhood

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ryan Medical Center’s women’s heart program has foundation,” Sara notes. “This year, our donations are being received a significant boost thanks to the Alpha Phi used for an orchestrated educational outreach campaign for chapter at the University of Nebraska-Lincoln. With women’s heart health. Seeing how we can educate others in our total donations over the past seven years surpassing community about heart health is amazing!” $70,000, the sorority is making an impact on The educational campaign’s “heart-to-heart” theme women’s health in the community. encourages daughters to talk with their “We have worked with Bryan for mothers about warning signs of heart many years and have been able to see disease and to share information on how the difference our donations make,” to stay heart healthy. Bryan’s website says Sara Tefft, director of philanthropy page bryanhealth.org/mom provides for UNL’s chapter. “And by supporting five podcasts addressing women’s heart such a large foundation for heart health health. Bryan’s HeartAware online risk in Lincoln, we are able to help a lot of assessment program also is available on different people.” the site.

The 173-member UNL chapter has To honor Alpha Phi’s contributions, embraced Alpha Phi’s international the Bryan Foundation has placed a Alpha Phi officers pose in the cardiac inpatient philanthropy of supporting women’s plaque in the fourth floor waiting room floor waiting area, where a plaque salutes their heart health and has been raising funds at Bryan East Campus. Bryan Foundation support of women’s heart health education. for Bryan Medical Center’s women’s development officer Rachel Greene, who heart program since 2010. Last year, they has worked closely with Alpha Phi, says, transitioned from a small poker night event to the Red Dress “It is inspiring to see the women of Alpha Phi make such an Gala, a large formal dinner with silent and vocal auctions of impactful gift dedicated to helping women. They are encouraging items and attended by current Alpha Phi members and alumna, women to stay heart aware and share with other women the parents, family and friends. The chapter also has a golf outing in importance of cardiovascular health.” the spring which contributes to the cause.

To learn how you can support the work of Bryan Health, “The most gratifying part of supporting women’s heart health contact the Bryan Foundation at 402-481-8605. at Bryan is seeing the local impact that we have on another

The UNL chapter of Alpha Phi has 173 members.

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Angel Eye provides b

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Even when they’re away from the neonatal intensive care unit, thanks to the new Angel Eye video system, Jeff and Whitney Morris can watch their baby Corbin.

Whitney adjusts the camera angle ...

or being such a tiny guy, Corbin Morris has a pretty good hold on his parents. Corbin was born 13 weeks early on April 2, weighing only 1 pound, 15 ounces.

So when it was time for his dad, Jeff, to head back to work a few weeks after Corbin was born, the new father was reluctant. “It’s probably one of the harder things I’ve had to do in my life. You can’t really do a whole lot for him, but you still want to be there. You feel like you’re going to miss something,” Jeff says.

Jeff and his wife, Whitney, were relieved to hear the transition would be a little easier because of Angel Eye, a new camera system at Bryan Medical Center that allows parents to watch their babies in real time in the neonatal intensive care unit. A camera in every NICU room can be positioned to show views of the baby, and parents can log into their accounts using a smartphone, tablet or computer to watch their loved one at any time of day.

Laurie Ketterl, RN, nursing manager of the NICU, says this new system has been a huge relief for many families.

“Babies often are in our care for months at a time, while parents have to commute, go back to work or look after their other children. This frequently creates anxiety. Now, Angel Eye allows them to check in on their little one at any time, from any place,” she says.

Laurie says the possibilities for serving NICU families are endless. Military families, sick parents and moms recovering from complications can stay connected with their babies by using Angel Eye. The NICU is exploring the camera’s potential, and in the future, parents possibly could use a one-way microphone to talk to or read stories to their babies.

“We’re just so new to Angel Eye, I don’t think we totally realize what impact this is going to make,” Laurie says.

Bryan recently acquired these cameras through a generous grant from the Git-R-Done Foundation. The foundation hosts an annual celebrity golf tournament in Lincoln, and in 2016, the organization named Bryan’s Angel Eye project as the beneficiary.

For the Morris family, Angel Eye has made Corbin’s time in the NICU a little less stressful. Doctors decided to deliver Corbin early after Whitney was admitted for a life-threatening liver condition, and she says finding time to rest and recover isn’t

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es big views of our smallest patients always easy for a new mom with a baby in the NICU. Whitney feels better about going home to rest at night because she knows Corbin is only a click away.

“I get up for most of the set care times, even in the middle of the night, and I’ll watch him. It makes me feel less guilty about not being there,” she says.

Jeff and Whitney also use Angel Eye to help their families outside of Lincoln connect with Corbin. Jeff’s parents live near Loup City; Whitney’s live in Valparaiso; and the two have siblings in Kearney and Chicago. They’re all signed up to watch Corbin.

Whitney says her mom especially loves it.

“Even at work, she’s got the two screens, and one has her work on it, and the other has Corbin on it.”

Jeff says that a fun part of Angel Eye is being able to tell when ... so video of Corbin is sent in real time someone is watching to Jeff and other friends and family. They Corbin. Once someone can watch the secure Angel Eye images online through smartphones, tablets and logs on, a red light computers. on top of the camera blinks.

“It’s usually my mom,” Whitney adds with a laugh.

As for Jeff, who works as a material handler for BNSF Railway, he says that although his first day back at work was difficult, Angel Eye made a huge difference.

“It was comforting to be able to check up on Corbin and see him breathing, and feel like you’re still interacting with him. I pulled it up a lot that first day,” Jeff says.

Since then, Whitney has kept him updated on Corbin’s care schedule, and Jeff can log in when he’s on break and be a part of those moments. He says it’s reassuring to see Whitney there, and she’ll sometimes wave to the camera when she knows he’s watching.

They hope Corbin will be able to come home near the end of June, but Whitney says she’ll go back to her job as a virus lab

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technician at Zoetis before then. She plans on using Angel Eye to check in on Corbin.

Both Jeff and Whitney appreciate that the NICU nurses are intentional about showing via the cameras what they’re doing, because even simple things like a dirty diaper can be such a big deal for Corbin right now.

“In perspective, when they’re that little, it’s the tiniest things that you don’t even really think about that are a huge win in the grand scheme of things. It’s kind of crazy,” Jeff says. n To learn how you can support the work of Bryan Health, contact the Bryan Foundation at 402-481-8605.

To watch a video about Angel Eye in use at Bryan VIDEO Medical Center, go to bryanhealth.org/nicu.

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Mother’s gift repays earlier generosity

A plaque (shown below) in the neonatal intensive care unit recognizes Phyllis Anton’s gift, which is benefiting families and babies in the Women’s & Children’s Tower. These photos show Phyllis and Mark with Steven in 1955, Steven in elementary school and Steven (age 25) with Phyllis.

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hyllis Anton of Meza, Arizona, has been thinking about how to repay an act of kindness at Bryan Health from decades ago. She recently got her chance.

Married at a young age, Phyllis and her husband, Mark, were anxiously awaiting the arrival of their first child. However, a case of walking pneumonia landed Phyllis in the hospital, which led to the early birth of their son, Steven.

“He was born on Christmas Day in 1950, weighing only 2 ½ pounds,” she says. “They put him in this incubator sort of thing and tended to him around the clock. It was nothing like the technology or devices like they have in hospitals today, but it helped

him grow stronger so we could eventually bring him home.”

Steven was in the former Lincoln General Hospital — now Bryan West Campus — for nearly two months. When it came time for Steven to be discharged, Phyllis and Mark were nervous about the medical bill that awaited them.

“We knew we couldn’t pay for two months of hospital care,” says Phyllis. “The amount of money it would take was just not in the cards for us. We said we would pay a small amount each month for the rest of our lives if we could.”

But they never had to finalize the details of a payment plan.

In talking to the hospital staff, Mark discovered that their entire bill had been taken care of.

“We’re not even sure how much it was.

We never saw the bill,” says Phyllis. “We were simply flabbergasted that a hospital would do that for us.”

It was this powerful experience that led Phyllis to give to the Bryan Foundation.

“Mark and I said that if we ever were in a financial position to repay the generosity we received, we certainly would,” she recalls. “I hope that others will give to the people and causes that changed their lives.”

The Antons’ gift will benefit families and babies in the neonatal intensive care unit in the Women’s & Children’s Tower. n To learn how you can support the work of Bryan Health, please contact the Bryan Foundation by calling 402-481-8605.

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Bryan Foundation funds vein finder lights

Visual ‘map’ of veins makes starting IVs easier

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bit nervous about IVs? You’re not alone. patient discomfort is minimal.

“Most patients are apprehensive about IV “Vein finders work really well for all patients, so most IVs starts,” says Missy Bartels, MSN, RN, CCRN, nurse are started on the first attempt,” Missy adds. “Very importantly, manager of Bryan’s neurotrauma intensive care this means fewer patients now require surgically placed central unit, “because they’ve had the experience of the intravenous lines, so patients’ risk for infection is much lower.” person starting the IV pushing the needle through the skin, “The vein finder project is absolutely impressive,” says then ‘fishing around’ to find the right vein.”

Rachel Greene of the Bryan Foundation. “The project came At Bryan, however, IV starts together quickly after nurses just got a whole lot easier, on Bryan’s Peripheral IV because Bryan nurses now Team presented the idea to routinely use vein finder lights, the foundation. The Bryan a pain-free new technology Foundation was able to fund using LED or infrared light to it through its general fund, in locate veins that are best for which community financial intravenous starts. Through gifts of all sizes combine to contributions to the Bryan fund important new patient Foundation, the vein finder care ideas.” lights are available to all She says, “Vein finders adult inpatient care areas. improve patients’ experiences (Similar lights also are used at Bryan by making IV starts for newborn and pediatric easier and are a perfect patients, thanks to earlier example of how community gifts.) donors can directly impact “In the past, IV starts could patient care through the power be difficult because of curves of giving. and other changes in vein “It’s exciting that everyone anatomy that can’t be seen has the opportunity to make on the skin surface,” explains an impact, because gifts of all Missy. “The vein finder lights sizes come together to make project bright light onto the successful programs like this a patient’s skin, and that light reality." n reflects against the patient’s To learn how you can muscles to clearly outline support the work of Bryan the vein anatomy,” she says.

Health, contact the Bryan “Veins show up in great Foundation at 402-481-8605. detail, just like a road map, Aliza Brunsing, RN, uses a new vein finder light in the post anesthesia care unit to find the best place to insert an intravenous line in patient and the nurse then chooses a Jill Crisler’s right arm. A Bryan Foundation grant provided this pain-free site along the vein where IV technology for all adult inpatient care areas. insertion is most precise and

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I N FA N T A P N E A C E N T E R

Sleep safely, baby 36 years promoting healthy, safe sleep for children

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n the second day of her newborn son’s life, Kristin Ford of Lincoln noticed that her son, Jasper, wasn’t breathing well.

“We noticed shallow breathing,” says Kristin, who, along with husband Marshall, had weathered earlier concerns about abnormal breathing when their first son, Wilem, was born. “Wilem had infant apnea, which meant he sometimes paused between breaths, so there was a risk he might not get enough oxygen.”

Fortunately, Wilem outgrew infant apnea at a few months of age and went on to thrive and grow normally. “We expect that Jasper will outgrow his apnea too, but until then, for safety sake, he’s on home apnea monitoring through Bryan’s Infant Apnea Center,” she points out.

in car seats, but not when being held or played with. “The apnea monitoring involves a soft band placed around the baby’s chest with two rubber pads touching the baby’s skin,” explains Deb. Monitoring provides a “safety net” when parents are not directly with the baby, as an alarm sounds if the baby stops breathing for 20 seconds or longer.

“Our nurses and doctors also teach parents general information about safe infant sleep,” says Kim Dierks, RN, nurse manager of Pediatrics and Women’s

Health. Specifically, they learn about the American Academy of Pediatrics “Back to Sleep” campaign, which has reduced babies’ risk for sudden infant death syndrome (SIDS) by 50 percent since the campaign began in 1994. A full list of the Academy of Pediatrics’ interventions can be viewed online at www.aap.org.

PROUD TRADITION “Our aim is to help families keep their babies safe during sleep,” says Kathy Berndt, RN, of the Infant Apnea Center,

KEEPING BABIES SAFE Staff in the Infant Apnea Center, part of Bryan’s Department of Sleep Medicine, evaluate babies’ heart and respiratory rates, airflow through the nose and mouth, and how well oxygen gets into the baby’s bloodstream.

“Our work addresses safety when babies are asleep or in a car seat,” says Deb Bailey, RN, manager of the Sleep Center. We also provide testing in the infant’s car seat to make sure that heart rate and breathing are OK with positioning.”

Babies at risk for apnea are monitored when asleep at night, during naps and

Apnea Center medical director Akhtar Niazi, MD, of Complete Children’s Health, and Mary Bornman, RN, of pulmonary services, discuss baby Jasper Ford’s sleep study results.

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I N FA N T A P N E A C E N T E R

addition to depression, anxiety, attention deficit disorder and other issues,” he continues.

“Dr. Niazi and the Infant Apnea Center staff nurses were really there for us as a family,” says Kristin. “I would tell other parents who need to take their baby home on a monitor that they won’t be doing it alone. The nurses walked us through how to use the monitor, then called Kristin Ford (right) watches as Kama Bedient, RN, and respiratory therapist Zachary Goering prepare Jasper every day or so to make sure for his sleep study in Bryan’s pediatric unit. everything was OK. So we knew if we had questions or “and home apnea monitoring may be an in infants and older children,” says Dr. concerns, the nurses were just a phone important part of that for some babies.”

Niazi. “In addition to studies at the Infant call away, 24 hours a day.

The Center was founded in 1981 Apnea Center on Bryan East Campus, we “Together with knowing that our sons by pediatrician Patricia Stivrins, MD, to perform sleep studies for older children at would likely outgrow their breathing assure safety of premature infants as they the Sleep Center on Bryan West Campus.” problems, having the Infant Apnea transitioned from Center staff there for us made a world CAREFUL the hospital to of difference in what could have been a SCREENING care at home. scary situation.” n “Good-quality Pediatrician sleep is a crucial Akhtar Niazi, If you have questions about infant part of school and MD, the Center’s apnea, Sudden Infant Death Syndrome or social success for current medical other conditions, ask your doctor. older children, so director, has been To learn more about how you can we carefully screen involved in the support the work of Bryan Health, for sleep disorders program for the please contact the Bryan Foundation at in addition to other past 28 years.

402-481-8605. issues in children “We’re having school problems or behavioral grateful to Bryan for purchasing very updifficulties. We know sleep deprivation to-date sleep study monitors that provide can cause behavior problems in children, very good data showing whether apnea so we evaluate for sleep disorders in or other sleep-related problems exist

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IN THE COMMUNITY - KAWASAKI

Bryan and local businesses partner to

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Less than a year after enrolling in the Bryan Diabetes Program, Kawasaki employee Rich Soukup lost nearly 40 pounds, got his blood sugar levels back to normal and improved his health so that his risk for developing type 2 diabetes was greatly reduced.

t a routine doctor’s visit last fall, Rich Soukup of Valparaiso got alarming news — he was at high risk for type 2 diabetes, with its frightening possible consequences of stroke, heart disease, kidney disease, blindness and amputation.

In short, his blood sugar levels were too high, so he was what his doctor called “pre-diabetic.”

That’s where Bryan’s Diabetes Prevention Program and Rich’s employer, Kawasaki Motors Manufacturing, stepped up to help.

Last fall, he took classes at Kawasaki through Bryan’s program. Rich was encouraged to lose weight and improve his nutrition and overall fitness so the pre-diabetes might go away, and he might not get type 2 diabetes.

“Now that was a relief,” says Rich, “but it meant making big changes to eat a healthier diet and somehow fit a lot more exercise into my life.”

“Type 2 diabetes can be a huge workforce issue. We’ve already partnered with eight local businesses to decrease their employees’ risk,” explains certified diabetes educator Kathy Helmink, RN, of the Bryan Diabetes Center.

“Diabetes is a serious chronic illness costing employers about $69 billion every year in medical expenses and lost productivity.

Research shows that people with diabetes have about twice the medical expenses of those

without the disease, and that it’s much cheaper to prevent diabetes than treat its consequences.”

Kawasaki partnered with Bryan in 2016 to assist employees like Rich. Kawasaki wellness coordinator Luke Gifford says, “Kawasaki has a long-term commitment to employee wellness, with onsite fitness facilities, in-house smoking cessation and weight management programs and now, the diabetes prevention partnership with Bryan.

“When I joined Kawasaki in 2016, 10 percent of our workforce in Lincoln had type 2 diabetes, and nearly 50 percent were pre-diabetic,” says Luke. “So helping those people not develop diabetes was a top-priority focus.”

Kathy shares more about Bryan’s partnership with businesses to prevent diabetes type 2. “One in three American adults has pre-diabetes, but the great majority of those people don’t know it. Without intervention, 15-30 percent of them will develop diabetes within five years.

“In our year-long Diabetes Prevention classes, people learn healthy cooking techniques using many of their favorite recipes and foods, and how to deal with problems like stress that can lead to overeating. We also talk about how people can fit regular exercise into their lives, which can be no small challenge,” she says. “A great thing about the

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IN THE COMMUNITY - KAWASAKI

to prevent type 2 diabetes class environment is that people really support one another in what they’re doing to improve their health.

“Bryan Medical Center is the only place in Lincoln offering the National Diabetes Prevention Program, which was created by the U.S. Centers of Disease Control and Prevention in 2011,” she adds. “It’s based on medical research showing that lifestyle changes are the most effective way for people with pre-diabetes

to keep from progressing to type 2 diabetes.

“And we know the NDPP helps prevent or delay type 2 diabetes, because people who participate in the program cut their diabetes risk by half.”

Rich is one of those success stories — eight months after starting Bryan’s Diabetes Prevention classes, he’s lost nearly 40 pounds, exercises at least three times a week, and his blood sugar levels are back to normal.

Kawasaki Motors Manufacturing partners with the Bryan Diabetes Program to improve employee health. Rich is more fit today because of nutritional guidance and interesting workouts with certified diabetes

“I would tell anyone thinking about joining the Diabetes Prevention classes that they are well worth the time,” Rich says.

“You get all kinds of information about foods that are good for you and find there are lots of people out there going through the same experience you are.”

“I really applaud Kawasaki Motors for investing in employee wellness and continuing to push the envelope of wellness programming,” says Kathy. “And

at Bryan, we’re very happy to be a part of that.” n Bryan provides Diabetes Prevention classes onsite at corporate locations and at Bryan East Campus, Bryan West Campus and Bryan LifePointe Campus. For more information, contact Kathy Helmink, RN, at 402-481-6300 or visit bryanhealth.org/diabetesprevention.

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

educator Kathy Helmink, RN. Kawasaki wellness coordinator Luke Gifford (in photo at lower left) says the Bryan Diabetes Prevention classes are an important part of his company’s employee wellness plan.

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MEDICAL STAFF SPOTLIGHT

Ask the doctor:

carcinoma is a close second.

These two are very similar in the way they act, but they look slightly different. Basal cell carcinomas are fleshy growths that bleed easily, and squamous cell growths are red and crusty.

Malignant melanomas are less common, but they are more serious and can be fatal. They have a dark brown or black pigment.

Q: What are the best ways to prevent skin cancer?

Since all forms of skin cancer are caused at least in part by the

Is skin cancer preventable?

Rodney S.W. Basler, MD, is a dermatologist with offices in Lincoln and Fremont. He is an associate professor at the University of Nebraska Medical Center and served as chairman of the Advisory Board of the American Academy of Dermatology.

Q: Would you please tell us a little about yourself?

I was born in West Point, and after high school I attended the University of Nebraska-Lincoln and then UNMC. I interned at St. Joseph’s Hospital in Phoenix and completed my dermatology residency training at the University of Michigan, Ann Arbor. I spent some time in Arizona, first serving as a flight surgeon in the Air Force, and then I accepted a position as an assistant professor at the University of Arizona Health Sciences Center.

Q: What brought you back to Lincoln?

My short answer is pheasants and football!

I’ve always had a great affinity for our state.

Q: What attracted you to dermatology as a medical specialty?

More than anything, I like having advanced knowledge in a specialized area of medicine.

Q: How common is skin cancer? Please describe some of its basic forms.

It is very common. Of all types of cancer, the two most common happen to be skin cancers. Basal cell carcinoma is the most common, and squamous cell

Rodney Basler, MD, of South Lincoln Dermatology, can be reached at 402-421-3335.

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MEDICAL STAFF SPOTLIGHT sun, the best preventive measure is to avoid ultraviolet rays. Any exposed areas of your skin have the greatest risk for developing skin cancer. Try to spend outdoor time in the shade, wear protective clothing and use sunscreen.

All tanning is evidence of damage to the skin, and for that reason, the concept of a “base tan” is scientifically baseless.

Tanning beds may not be acutely dangerous, but again, their use is never “safe” in terms of damage to the skin.

Q: Does family history play a role in a person’s likelihood to develop skin cancer?

Yes. A strong family history can also put a person at a higher risk for skin cancer.

Q: Photoprotective clothing is becoming more common. What can you tell us about this — do you recommend it? Does it remain effective over time, even after laundering?

Photoprotective clothing is a great idea, especially for children.

It is more effective than sunscreens, and I strongly recommend it to anyone who will consistently wear it. It remains effective for a reasonable amount of time, even with washing.

Q: How about occupation or lifestyle as factors?

Occupation and lifestyle are definitely factors. This is especially true for those who spend a large amount of time outdoors, such as farmers, construction workers, golfers and those who fish.

Q: What advice can you offer on sunscreens?

Sunscreens are the most effective weapon against sunburn, skin aging and skin cancer.

The first and foremost direction is to use them! Sunscreen doesn’t do any good if it stays in your golf bag or tackle box.

Make sure you’re covering every area of skin that is exposed to the sun. Two areas that people often miss are their ears and the tops of their feet. Guys who wear caps especially tend to forget about putting sunscreen on their ears.

If you’re at the lake or the pool and you put your feet in the water, be sure to reapply sunscreen on them often. Reapply sunscreen every four hours if you’re staying dry. If you’re in the water or perspiring, reapply sunscreen every two hours.

Q: Sunscreens are available as lotions, creams, sprays and other forms. Do certain types work better than others?

The form of a sunscreen is really not as important as the protection it offers. Use a sunscreen with an SPF of at least 30, and I recommend ones that offer UVA and UVB coverage.

Q: Should my skin care routine change in the summer?

Not necessarily. It’s a good idea to use a daily moisturizer or makeup with sunscreen year-round, not just in the summer.

Q: Do certain medications make skin more sensitive to sunlight?

Yes, they can. If you aren’t sure, check the product information.

Medications that may cause sensitivity usually include a precaution in the instructions.

Q: Some people believe getting a “base tan” will protect them later from sunburns. Is this a good idea? What about tanning beds?

Q: If someone is diagnosed with one of the forms of skin cancer you mentioned earlier, what treatment is available?

Are these conditions curable?

A simple surgery can treat most cases effectively. For large growths or ones in unusual places, we can use a procedure called Mohs surgery or radiation therapy.

Recently, a pill treatment became available for patients who have multiple or recurring cancerous growths. Melanomas are always removed surgically, and the success rate can depend on the size and location of the area that needs treatment.

Q: When should I be concerned and schedule an appointment?

Watch for persistent lesions or areas that have an abnormal appearance or growth. If you have an area like this, especially if it has a thick crust or bleeds, get in to see your doctor.

Q: How frequently should patients come in to have moles checked?

Full-body mole checks become more important as a person ages.

Have any changing lesions examined as soon as possible, but beyond a quick check at a yearly wellness exam, a dedicated skin exam every two or three years after the age of 40 should suffice.

Q: What’s new in the field of dermatology?

Currently, the hot topic in dermatology is a new psoriasis treatment that involves immune suppressive biologic agents.

These agents are extremely effective and can be life-altering, especially for patients who suffer from arthritis as well.

However, the medication does have side effects, which you might have seen on its TV ad. Treatment also requires regular injections and can be expensive.

For more information about preventing skin cancer, consult your physician.

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MEDICAL STAFF UPDATE

New faces at

Bryan

Welcome these colleagues to the Bryan medical community Matthew Byington, DO, orthopedic surgery, has joined Prairie Orthopaedic & Plastic Surgery, 402-489-4700.

Born and raised in Lincoln (graduate of Lincoln Pius X High School and Nebraska Wesleyan University), Dr. Byington is a Board certified orthopedic surgeon with advanced fellowship training in sports medicine and arthroscopic surgery. He specializes in the non-operative and operative treatment of joint pain and sports-related injuries, as well as knee, shoulder and elbow reconstruction.

Dr. Byington earned his medical degree from Midwestern University, Chicago, in 2007 and completed his orthopedic surgery residency at Michigan State University. He went on to complete fellowship training in orthopedic surgery, sports medicine and arthroscopic surgery at Garden City Hospital in Garden City, Michigan, and a fellowship in orthopedic sports medicine at Orthopaedic Research of Virginia, Richmond.

Before returning to Lincoln, he practiced since 2013 in the Omaha-Fremont metro area and was the orthopedic team physician for the Midland University Athletic Department. Dr. Byington is an avid runner and trained professionally for the Olympics with the Santa Monica Track Club.

Katherine Gogela, MD, pediatrics, has joined the Lincoln Pediatric Group, 402-489-3834.

Dr. Gogela graduated in 2010 from the University of Nebraska Medical Center College of Medicine, Omaha, where she also completed an internship in obstetrics and gynecology. She completed a pediatrics residency at Cincinnati Children’s Hospital and Medical Center.

She has had her research published in

several journals and book chapters. As a senior resident, she received a teaching award from the medical students. Dr. Gogela was on staff at Cincinnati Children’s, working in both the outpatient clinic and emergency department.

Steven Gogela, MD, neurosurgery, has joined Neurological and Spinal Surgery, 402-488-3002.

Dr. Gogela graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2011. He completed his residency in neurosurgery at the University of Cincinnati College of Medicine.

He was awarded a grant for his anatomical study comparing minimally invasive and open skull base approaches to the optic canal. Dr. Gogela has published several articles and book chapters, and he has presented his work at multiple national meetings.

Sukchan Lee, MD, orthopedic surgery, is associated with Nebraska Orthopaedic and Sports Medicine, 402-488-3322.

Dr. Lee graduated in 1995 from the University of Auckland School of Medicine in New Zealand. He was admitted as a Fellow of the Royal Australasian College of Surgeons.

He completed Harvard Medical School fellowships in orthopedic trauma and arthroplasty in Boston, and he has more than 20 years of experience as a surgeon.

Before joining Nebraska Orthopaedic and Sports Medicine, Dr. Lee was the attending orthopedic surgeon at Hays Orthopedic Institute in Hays, Kansas.

Ahsan Naseem, MD, psychiatry, is associated, as medical director, with Bryan Heartland Psychiatry, which is part of the Bryan Physician Network, 402-483-8555.

Dr. Naseem completed his residency in psychiatry and a fellowship in geriatric psychiatry at the Wayne State University School of Medicine, Detroit, in 2001. He has extensive experience in treatment of PostTraumatic Stress Disorder (PTSD) and memory disorders. He has published articles and contributed to textbooks on related subjects while presenting at regional and national conferences.

Dr. Naseem serves as a consultant to the National Health Services, United Kingdom, for program development and patient-

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MEDICAL STAFF UPDATE centered care delivery systems. He is considered one of the pioneers in design and implementation of telehealth services in the Midwest with the aim of improving access to care.

The American Board of Psychiatry and Neurology has certified Dr. Naseem both in adult and geriatric psychiatry.

David Newton, MD, gastroenterology, has joined Gastroenterology Specialties, 402-465-4545.

Dr. Newton graduated in 2009 from the University of Nebraska Medical Center College of Medicine, Omaha. He completed an internship and residency in internal medicine at the University of Alabama at Birmingham School of Medicine, then returned to the University of Nebraska Medical Center to complete a fellowship in gastroenterology and hepatology.

He has presented at several national conferences. Before joining Gastroenterology Specialties, he was with the Iowa Digestive Disease Center and Iowa Endoscopy Center in Clive, Iowa.

Jonathan Spencer, MD, pulmonology, is associated with Nebraska Pulmonary Specialties, 402-483-8600.

Dr. Spencer received a doctorate in pharmacy from the University of Nebraska Medical Center College of Pharmacy, Omaha, in 1992. After completing a residency in clinical pharmacy, he earned a medical degree in 1998 from the University of Nebraska Medical Center College of Medicine, Omaha.

He completed an internal medicine residency there, as well as fellowships in sleep medicine, and pulmonary and critical care medicine.

Dr. Spencer is a member of the American College of Chest Physicians and the American Academy of Sleep Medicine and is a diplomate in sleep medicine and pulmonary medicine. He maintains a practice in Omaha and Lincoln.

Louis Violi, MD, pulmonology, is associated with Nebraska Pulmonary Specialties, 402-483-8600.

Dr. Violi graduated in 1991 from the University of Nebraska Medical Center College of Medicine, Omaha, and completed a residency there in internal medicine.

He completed a fellowship in pulmonary and critical care medicine at the Ohio State

University Wexner Medical Center, Columbus.

Dr. Violi is certified by the American Board of Internal Medicine in the areas of pulmonary disease and critical care medicine. He sees patients in Lincoln and Omaha.

Lyle Woerth, MD, anesthesiology, has joined Associated Anesthesiologists, 402-489-4186.

Dr. Woerth graduated in 1984 from the University of Nebraska Medical Center College of Medicine, Omaha. He completed an internship and residencies in internal medicine and anesthesiology there, as well.

Before studying anesthesiology, he was medical director of the emergency medicine department at Kuakini Medical Center in Honolulu, Hawaii. He also was an assistant professor of internal medicine at the John A. Burns School of Medicine, Honolulu.

Dr. Woerth is a diplomate of the American Board of Anesthesiology. Before joining Associated Anesthesiologists, he practiced at CHI Health St. Elizabeth in Lincoln. n

Welcome, advanced practice providers and independent practitioners These providers are working at Bryan Medical Center: Danielle Bachman, PA-C, Bryan Trauma Heidi Beynon Solano, PA-C, Urology, P.C. Charles Blankman, PA-C, CHI Health Creighton Orthopedics Jill Brandl, APRN-C, Bryan Heartland Psychiatry Theresa Brodeur, PA-C, Nebraska Emergency Medicine Joanna Coe, CRNA, Associated Anesthesiologists Sarah Froehlich, PA-C, Nebraska Pulmo- nary Specialties Lacey Gottula, APRN, Prairie Lake Family Medicine Matthew Hathaway, CRNA, Associated Anesthesiologists Seth Lauterbach, PA-C, Bryan Trauma Nancy Mize, PhD, Arias Neuropsychology & Behavioral Medicine Garner Wilson, PA-C, Bryan Heart Cardio- thoracic Surgery Amber Walter, CMN, Lincoln OB/GYN

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MEDICAL STAFF UPDATE

Remembering our colleagues Bryan medical community notes physicians’ passing William J. Bailey, MD, died March 17 at age 67.

Dr. Bailey graduated from the Creighton University School of Medicine, Omaha, and he served in the U.S. Navy Reserve for nearly 15 years. He practiced family medicine in Millington, Tennessee, Seward and Lincoln.

In Sioux City, Iowa, Dr. Bailey taught in the Sioux City Family Medicine Residency program, which is affiliated with the University of Iowa Carver College of Medicine, Iowa City. He was on the Bryan Medical Staff 1982 to 1999. Dr. Bailey practiced at Lincoln Centre Clinic and served on mission trips to Bolivia, Nigeria, Tanzania, Togo, Peru and Mexico.

Orlando Garland Bare, MD, died April 3 at age 87.

Dr. Bare received his medical degree in 1969 from Chiang Mai University in Thailand. He served as a missionary in Thailand for nearly 20 years; during that time, he also worked as the Princess Mother’s helicopter doctor. Dr. Bare was a war zone surgeon in Southeast Asia during the Vietnam War. After the war, he moved to Lincoln and became the medical director for University Health Services at the University of NebraskaLincoln.

Dr. Bare joined Christian Family Practice group in 1995. After he retired, he volunteered with Lancaster County to provide medical care to refugees and the homeless.

He went on medical mission trips to Russia, Romania, Honduras and Guatemala. In 2008, Dr. Bare moved to Joplin, Missouri. He served as a triage doctor in the aftermath of the 2011 Joplin tornado.

Noah C. Beadell, MD, died May 26 at age 32.

Dr. Beadell was a native of Lincoln who graduated from Tecumseh High School and the University of Nebraska Medical Center College of Medicine, Omaha. He completed a neurology

residency and a fellowship in vascular neurology at the Oregon Health and Science University, Portland. In 2016, he joined Bryan Neurology, part of the Bryan Physician Network. Dr. Beadell presented his research findings at national and international medical conferences. He is survived by his wife, Kayla Greeninger, his parents, siblings and extended family.

Dale W. Ebers, MD, died April 23 at age 87.

Dr. Ebers graduated from the University of Nebraska Medical Center College of Medicine, Omaha. As a pediatrician, Dr. Ebers worked with state senators to create a law requiring car seats for Nebraska children. He also served as the medical director for Nebraska Crippled Children’s Services.

Dr. Ebers was chief of staff at the former Lincoln General Hospital and president of the Nebraska Chapter of the American Academy of Pediatrics. In 1990, he retired after 35 years at Lincoln Pediatric Group, where his son, Dr. Douglas Ebers, continues to practice.

William T. Griffin, MD, died June 4 at age 87.

Dr. Griffin was a Lincoln native who graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 1956. As a U.S. Army captain, he served in France before interning in San Francisco.

He served as president of the Nebraska Division of the American Cancer Society and the Lancaster County Medical Society and chaired the surgery departments at Bryan Medical Center and CHI Health St. Elizabeth.

Dr. Griffin also was a medical missionary in Tanzania, Belize, Taiwan, Dominican Republic and Haiti, He supported the arts in Nebraska, as well as cycling in the U.S. and Europe.

Noble L. Swanson, MD, died June 6 at age 78.

Dr. Swanson grew up in Wahoo. He graduated from the University of Nebraska Medical Center College of Medicine, Omaha, and interned at Sioux Valley Hospital, Sioux Falls, South Dakota. He joined the U.S. Air Force in 1966 and served as a medical officer in Greenland and Michigan.

Dr. Swanson was a primary care physician in Lincoln for more than 38 years and was an avid tree planter, bird watcher and hunter.

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

Living life to the fullest

L

Even with ulcerative colitis, Lacie Ferguson was a golf star at Adams Central High School and Hastings College. Today she enjoys an active lifestyle and her career as a Bryan nurse.

acie Ferguson has a life motto, “Everybody you meet is fighting a battle you know nothing about, so be kind, always.” And she is on a mission to help others fighting their battles and to spread kindness and positivity wherever she goes.

The 24-year-old registered nurse has had her fair share of battles. She credits many of her biggest successes to her family, as well as experiences within Bryan College of Health Sciences and the Bryan Health System.

This native of Hastings was diagnosed with ulcerative colitis (UC) when she was in middle school.

UC is a bowel disease that causes long-lasting inflammation and ulcers in the digestive tract. UC can be debilitating and sometimes can lead to life-threatening complications. It is a chronic illness with no known cure.

Due to the nature of the illness, she kept her diagnosis private, outside of family, until she was a sophomore in high school and her symptoms were too obvious and debilitating to hide. Some days, she would have to use the restroom more than 30 times.

Treatment drugs impacted her mood and general ability to function, and compromised her immune system.

This left her sick and feeling like she wasn’t living her life to the fullest.

This didn’t stop her, though; if anything, it fueled her drive to succeed.

“I learned a lot from those very Bryan Journeys 27

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

‘Bryan encouraged me to be part of something bigger than myself’ challenging years. No matter how your day is going, even when it seems dark, there is a light somewhere,” she says. “My family was there to help me see the positivity in every day. Even something as simple as the grass being greener — that’s positivity on which to focus.”

As a person with chronic illness, Lacie knew she wanted to help others in a career in the medical field. As high school graduation neared, Lacie wanted to stay close to home, so she felt like hometown Hastings College was her only option. Her freshman year, she lived in the dorms, but was at her parent’s house three or four days a week. She recalls feeling like something was missing from her college experience.

Second semester of that year, her UC complications were at an all-time high. She was missing classes and having a generally rough time. During winter break, she was having a lot of interaction with Matthew Hrnicek, MD, of Gastroenterology Specialties and his nurses, who were helping her cope with the illness. She was very sick; her treatment plans changed, and the nurses were checking up on her.

That’s when she decided to become a nurse. She made it her goal to help others the way those nurses were helping her — on the front line every day, showing they cared and helping her fight her battle.

One Wednesday night, she was sitting at the kitchen table at her parent’s house when she saw a Facebook ad for Bryan College

of Health Sciences. She clicked on the link to read about the college.

She applied immediately and never looked back.

ATTRACTED TO BRYAN There were several things about Bryan’s nursing school that were instantly appealing to Lacie. She read about the school’s 1,200-plus clinical hour requirement that would give her great firsthand experience; that nursing students are exposed to all fields within the profession; the 1:6 teacher-to-student ratio; the exclusive 60 students per class that spoke to her desire to continue school in a family-like environment; and student involvement and professional development through activities ranging from student government to the nursing association.

Lacie had several conversations with college representatives leading up to her enrollment, “Like what I might need in terms of completing my studies while living with a chronic illness. The instructors were medical professionals themselves, so they truly understood. Everyone went in with our eyes wide open, and Bryan helped set me up for success. That was a special quality of Bryan — it was absolutely the right call for me.”

Being away from home had its challenges, but she made great friends with other students in Lincoln. “I always felt like I had the support and love of family at Bryan.

What a blessing. I still feel that way,” Lacie says.

Between her freshman and sophomore year, and again during

Lacie’s sunny disposition encourages patients to see the positive side to every situation.

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PAT I E N T E X P E R I E N C E her junior year, Michael Jobst, MD, of Surgical Associates performed two major surgeries related to her UC. The floor on Bryan East Campus where she was a patient is where Lacie works now as a nurse — she looks at this as coming full circle.

“Dr, Jobst, Dr. Hrnicek and their teams gave me my life back, to where I can live my life to the fullest,” she says.

LIFE-CHANGING OPERATIONS As a result of the surgeries, Lacie received a permanent ileostomy bag, which is an external bag that collects stool. Through her life experience and medical training, she notes that many people facing similar circumstances can feel afraid, sad or even depressed. Lacie is proof that having this procedure can help one live their life to the fullest and be an example of positivity and hope for others.

Because her instructors were nurses themselves, they were very understanding and accommodating. Lacie’s determination to keep going with her schooling and the care and attention given by her instructors helped her stay on track to graduate. In December 2016, she did just that, and with honors.

“Having been a patient at Bryan, I knew that they give extraordinary care,” she says.

“I wanted to be a part of that on my new journey. The nurses, and really all of the caregivers, took amazing care of me and I knew right away I wanted to be a part of that family after graduation. I wanted to help patients the way they took care of me.”

Lacie describes her experience with Bryan as welcoming and crucial for success.

Most of her classes had 25 or fewer students. Having taken several general education classes before, she found a lot of benefit in the health-based approach for her Bryan courses. As an example, general college economics seemed less applicable to her future career than taking health carebased economics.

“Understanding the direct correlation between general education courses and the

that other Bryan graduates and professionals health care field allows me to be a stronger were there to help me, so I am involved to and better professional. That’s Bryan — assist the next group of future professionals creating the best-possible future health care develop into the best people they can be. provider,” she says. “Their method makes That is very rewarding and it is part of the perfect sense and pays dividends once we culture of success at Bryan.” are in our careers.”

She adds, “Now as a nurse, I can easily Lacie was the President of the Nebraska understand and remember what it is like State Student Nurses Association during her to be on the receiving end of truly lifeeducation. “The College of Nursing always changing, excellent care. I have tremendous encouraged professional development. By empathy from my experiences and relate to working through the nurses association, we were able to help demonstrate leadership for patients. I encourage them to communicate and be vulnerable, but also to be positive others on both the state and national level. and find gratitude in the day. Bryan College The faculty saw my passion in this area and helped encourage me to be a part of something bigger than myself. This is another reason why the education you receive at Bryan College of Health Sciences is a step above the rest and helps us be our best selves.”

At Bryan, prioritization is another key component in the education process.

Lacie isn’t bashful about sharing her message. Last year, she showed “There seem to be off her ileostomy bag after finishing the Lincoln Half Marathon. She endless demands earned her nursing degree in 2016 and was recognized as a March on our time. Bryan of Dimes Nurse of the Year (nursing student category). taught us how to delegate and of Health Sciences prepared me to fulfill my manage time, and the critical thinking skills life-long dream of helping others.” we obtained are helpful in anticipating and Lacie says that she knows others are preparing for outcomes. I feel fortunate that facing battles, and she hopes her kindness Bryan recognized these needs and prepared and vulnerability will help. She will continue us for success,” says Lacie. to “spread a smile; go the extra mile” for the rest of her career. She is thankful for CARRYING IT FORWARD the team she works with every day and the There are benefits to being an alumna. opportunities to impact patients at Bryan. n Even today, Lacie is involved with Bryan in many ways.

To learn more about Bryan College of “Being a college within a health care Health Sciences, visit bryanhealthcollege.edu system, there are resources available that are or call 402-481-3801. very helpful,” she says. “I feel so fortunate

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

She’s determined to live well, despite Crohn’s d Rebecca Brammer-Shlay and fiancé Matt Seidholz seemed on top of the world as they posed in Borneo during a round-the-world trip — before she began suffering from the symptoms of Crohn’s disease.

This story comes from Matt Seidholz, a freelance writer from Omaha. Last year the staff at Bryan helped his wife, Rebecca, manage a devastating diagnosis — Crohn’s disease.

I

n 2015, my fiancé Rebecca Brammer-Shlay and I took a year-long trip around the world. Thailand.

Borneo. India. Tanzania. Egypt. France. It was as blissful as it sounds. Then we moved back to the States. We got married and set up shop in Lincoln, where Rebecca would start nursing school.

Life looked rosy, until one night, when I came home from work to find my wife curled on the floor, clutching her stomach, weeping.

There had been odd stomach pains before. A few times during our world tour, she got feverish and her stomach swelled up. Since it often happened after she ate some bread or pasta, we assumed she had a gluten intolerance. If she stopped eating gluten, the problem usually passed.

But not this time. This time it was only getting worse.

It scared her. It scared me.

That’s why we went to the emergency room at Bryan.

The staff found Rebecca a cot. They arranged a CT scan, which showed severe inflammation in her colon.

Rebecca got transferred to a room, where she wouldn’t stay for long before nurses observed signs of sepsis.

They acted quickly, hooking Rebecca up to an IV. They rehydrated her with saline and gave her antibiotics, along with two units of blood.

That’s when I realized just how sick Rebecca had become. Although I tried not to show it, the sight of my wife hooked up to four IV bags really rattled me.

She was transferred to the progressive care unit.

That’s where we met Angie Richmond, our nurse. She managed to calm us down. After the whiplash of staying up all night, transferring from one unit to the next, Angie sat me down and explained what had happened.

“I saw that you needed a little extra communication,” Angie said later. “I think every patient deserves that.

You needed a rundown of what we knew and what was going to happen next.”

She told us how Rebecca’s case had been referred

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

s disease to Mark Griffin, MD, a gastroenterologist great idea when we told her Rebecca’s from Gastroenterology Specialties. He news. She went to fetch hospitalist wanted Rebecca to have a colonoscopy.

Tamer Mahrous, MD, of Inpatient To prepare, Rebecca needed to drink 64 Physician Associates. ounces of a laxative solution. That can be Dr. Mahrous instantly soothed our a strain for healthy people — for my ill fears when he said, “I heard about your wife, it was miserable. diagnosis. I have Crohn’s, too. I can Our night nurse, Aly Ferguson, was a tell you firsthand — it’s going to be all crucial help for Rebecca. right.”

“I know that drink tastes terrible, and That had a powerful effect on us. As Rebecca looked really sick,” Aly said. the hospitalist fielded our questions, we “There’s no way to make that pleasant, felt calm for the first time since Rebecca but I did what I could.” was admitted.

She gently kept Rebecca on task, Rebecca would go on to spend a bringing her cans of Sprite, easing her couple more days at Bryan, learning Katie Barnes, RN, and Angie Richmond, RN, were part through the ordeal. And in the wee hours of the team that cared for Rebecca. about how to manage her condition as of the morning, when I collapsed onto she recovered. When Rebecca finally a cot beside Rebecca’s bed, Aly even was well enough to leave, Katie gave thought to toss a blanket over me. each of us a big hug on our way out.

The next day Rebecca got her These days, Rebecca’s thriving. colonoscopy, and Dr. Griffin showed us Although we live in Omaha now, she pictures of what he had seen. still sees Dr. Griffin for treatments, They brought tears to my eyes. Angry, and she rarely experiences symptoms. white ulcers had erupted all over her In fact, after years of abstaining, she colon. Dr. Griffin broke the news gently, can enjoy gluten again — and a pasta saying, “I’m sorry to say, it looks like dinner with no pain afterward seems Crohn’s disease.” like a little miracle.

This is a chronic inflammatory disease She’s as active as ever — in the of the digestive tract. Symptoms include lap pool for a workout every morning abdominal pain, diarrhea and weight loss. at 6. And she’s a straight-A student at Rebecca, still confused from nursing school. No kids yet, but we’re anesthesia, didn’t fully take in the planning on it. Crohn’s disease doesn’t Tamer Mahrous, MD, of Inpatient Physician Associates, diagnosis. And I was too stunned to affect fertility or childbirth risks.

Mark Griffin, MD, of Gastroenterology Specialties, and ask intelligent questions. Neither of us And that shows how Bryan brought Aly Ferguson, RN, remember Rebecca’s hospitalization. remembers too much of what Dr. Griffin hope back into our lives. The staff said, except for this: did more than heal Rebecca. They “There’s no cure for Crohn’s right now, but this doesn’t mean empowered her to live well, despite a serious chronic illness. your life is over. You have options, treatments work, there’s no Neither of us will ever forget it. reason you can’t have a good life with this illness.”

Thank you Angie, Aly, Katie, Dr. Griffin, Dr. Mahrous and all the Later, despite Dr. Griffin’s assurances, worries about the future staff at Bryan! n swirled around us. What would life be like now? Could Rebecca still To learn how you can support the work of Bryan Health, please become a nurse? We were newlyweds — could we still have kids? contact the Bryan Foundation at 402-481-8605.

Back in the room, we had a new nurse, Katie Barnes, who had a

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OUR SUPPORT OF YOU

Bryan Health community benefits report

Community receives more than $91 million Cash & In-kind Contributions 1.4% Other Community Programs & Subsidized Services 12% Unreimbursed Cost of Medicare 53.7%

Cost reported for the year ended Dec. 31, 2016 $11,970,998

Unreimbursed Cost of Medicaid and Other Public Programs 19.3%

Cost of Charity Care 13.1%

Health Professionals Education 0.5%

Cost of charity care 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.

$17,568,952

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

$48,913,127

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

$48,428,371

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.

$10,971,649

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.

$01,263,831

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

$91,116,929

Total cost of community benefits provided and the unpaid cost of Medicare

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 byranhealth,org/financial-assistance or call our financial counselors at 402-481-5791 (toll free 877-577-9277).

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O U R PA R T N E R S

Bryan partnered with these organizations by financially supporting them in 2016 Alzheimer’s Association American Cancer Society American Heart Association American Red Cross Antelope County Healthcare Foundation April’s Kids Beatrice Community Hospital Foundation Better Business Bureau Foundation Big Brothers Big Sisters Boone County Health Center Foundation Brain Injury Alliance of Nebraska Butler County Health Care Center CEDARS CenterPointe Cherry County Hospital Foundation Child Advocacy Center Child Guidance Center Clinic With A Heart College View Academy Community Action Program Community Crops Community Hospital Health Foundation Community Memorial Hospital Foundation Crete Area Health Care Foundation Crete Public Schools El Centro de las Americas Family Violence Council Food Bank of Lincoln Free to Breathe Fresh Start Girls & Women in Sports & Fitness Git-R-Done Foundation

Habitat for Humanity Heartland Cancer Foundation Interfaith Church Jefferson Community Health & Life Johnson County Hospital Foundation Junior Achievement Junior League Juvenile Diabetes Research Foundation Kim Foundation KZUM - Stansky Park Concert Series Lincoln Arts Council Lincoln Christian School Lincoln East High School Post Prom Lincoln Literacy Lincoln Northstar High School Post Prom Lincoln Public Schools Foundation Lincoln Rotary Club #14 Lincoln Southeast High School Post Prom Litzenberg Health Care Foundation Lutheran Education Foundation Madonna Rehabilitation Hospital Malone Community Center March of Dimes Matt Talbot Kitchen & Outreach Mayor’s Interfaith Prayer Breakfast Mental Health Association of Nebraska Mourning Hope Nebraska Academy of Family Physicians Nebraska by Heart Nebraska Cancer Research Center Nebraska Chamber of Commerce Nebraska Nurses Association

Nebraska Stroke Association Palmyra High School Post Prom Parkview Christian School Partnership for a Healthy Lincoln Pius X Foundation Raymond Central High School Post Prom Remembering Our Children Saunders Health Services Foundation Saunders Medical Center Auxiliary School Community Intervention & Prevention Program (SCIP) Southeast Community College St. Monica’s Services for Women United Way University of Nebraska Foundation Voices of Hope Wear Yellow Nebraska Willard Community Center Workwell - Nebraska Safety Council Wyuka Foundation YMCA York General Auxiliary

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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 2016 Community Benefit Report and our Annual Report on Giving.

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

time and treasure from the community to Bryan eclipsed $7 million in 2016.

It also is evident in our investment into our communities. Bryan’s quantifiable community benefit — more than $91.1 million in 2016 — is extraordinarily impactful.

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

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

In 2017 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.

Our supporters

Bryan employee giving in FY 2016

Total number of donors ............................................$1,1 13,285 Total number of gifts .................................................$1,1 10,711 Average per donor ...................................................... $ 1,734

Number of employee donors ................................. $1,1 62,115 Dollars committed . ................................................... $1,541,000

How gifts were designated by donors

Investing in a healthy future

Bryan Medical Center clinical and support departments Bryan College of Health Sciences Bryan College of Health Sciences scholarships Crete Area Medical Center Other

Total private support generated during Fiscal Year 2016 to benefit Bryan Health: Gifts and pledges from individuals, corporations and foundations ............................. $4,020,589 Planned gifts ................................................................. $1,619,728 Subtotal . ........................................................................ $5,640,317

Gifts to be received at a future date Number of confirmed estate gifts in FY 2016 to benefit Bryan Health �������������������������������������� 9 Cumulative confirmed estate gifts .......................................... 66 Historical average estate gift to the Bryan Foundation ........................................ $ ,106,147

In-kind gifts . ............................................................... $7,656,602 Volunteer support* .................................................... $1,376,658 Subtotal .................................................................... $1,433,260 Total charitable support for Bryan Health in FY 2016 ..................................................................... $7,073,577

Average amount of confirmed planned gifts received in FY 2016, with a disclosed amount, and to be received at a future date** ................................. $ ,095,420

* 1,151 volunteers served throughout Bryan Health and contributed 58,432 hours of service in FY 2016, valued at $1,376,658. The Institute of Philanthropy quantifies the value of each hour of service at $23.56.

bryan college of health sciences $550,083 clinical & support $3,371,838

$03,371,838 $1, 550,083 $01,445,087 $ 0.74,311 $ 0198,998

** Confirmed gifts without a disclosed amount are not factored in the amount listed.

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

scholarships $1,445,087 crete area medical center $74,311

How donors designated their gifts in FY 2016

other $198,998

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2016 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 Patrick E. & Ellen A. Beans Vilis (DC) & Helen Berst Lyle F. Bigley Mary H. Brown Frances Buell Jeff & Amy Burg Dick & Kathy Campbell Joseph & Margaret Carlson Dr. Carolyn Cody

Edward L. Cooley 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 Joyce & Fred Harb Dr. Nancy Harms & Gerhart Weirbein Dorothy & Francis Haskins Johni Hays Catherine & Gregory Hershberger Lloyd Hinkley Donna Hinkley Phylis Hollamon Craig Howlett

Diane & Larry Kathol Dr. Alexander Kingsley Nelis Lago Kim Leighton Tom Lesoing 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 Jerry & Barbara Solomon Jim & Suanne Stange Debra Steinmiller & Don Chotro Mark Stephens David & Linda Sundberg Dr. Lisa & Mark Vail Marilyn & Warren Viehl Virginia & Burnell Von Seggern Patricia & Clinton Webb Herm & Helen Wiebers David Wilcox

Cecil Albert Estate Anonymous Bryan Medical Center Bryan Volunteers and Customer Care Aaron Buckstaff (DC) The Community Health Endowment of Lincoln

Crete Area Health Care Foundation E.J. Faulkner Estate Duane F. & Dee M. Fjellin Estate Dr. Charles & Carolyn Gregorius Phylis Hollamon Berg 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

The Dr. Bastani Family Patrick E. & Ellen A. Beans Jim Cuddeford (DC) Davis Design Joyce & Fred Harb The Hawks Foundation Wayne & Nancy Hester

Albert & Lois Hoesch Estate Christine Janda (DC) The Kim Foundation Lincoln Hospital Association 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.

HealthLincoln, Inc. Tim & Sondra Hepburn Kim Leighton Lincoln Community Foundation, Inc. Lincoln Radiology Group, PC Medtronic 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

(DC) indicates deceased.

Founders Cumulative gifts of $500,000 or more

(DC) indicates deceased.

Leaders Cumulative gifts of $250,000-499,999

Builders Cumulative gifts of $100,000-249,999

Marilyn Baker Bryan Heart Bryan Medical Center West Auxiliary Bryan Woman’s Board Jeff & Amy Burg Dr. Carolyn Cody DKJL Family Foundation Electronic Contracting Dean & Debbie Fisher Git-R-Done Foundation Frederick & Hallie Houtz Estate Dorothy & Francis Haskins

(DC) indicates deceased.

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2016 ANNUAL REPORT ON GIVING

Progressives Cumulative gifts of $50,000-99,999

Duane (DC) & Phyllis Acklie Allied Tour & Travel Robert Allington Estate Ameritas Charitable Foundation 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 Wayne E. Carnicle Estate Carver Trust Fund Dr. Stephen & Beth Carveth Dick & Jacquie Chapin City of Lincoln Eleanor Dixon Estate J.E. Dunn Construction Company Alice G. Eberhard Estate EducationQuest Foundation, Inc. Emergency Medical Services, Inc.

Richard Evnen & Kimberly Heier Dale Fadschild Estate Marie Fletcher Helene Fuld Trust Jan Garvin & Jim Spalding Russ & Jane Gronewold Dr. Lewis Harris (DC) Lloyd & Donna Hinkley Craig Howlett Independence Center Alumni Association Kinder Porter Scott Family Foundation 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. Father Fred L. & Susan C. Raybourn Bob & Karen Ravenscroft

Shirley & Alan Retzlaff Mildred Rowley (DC) Sandhills Publishing The James Stuart III Family Foundation Fern D. Swanson (DC) Swing Against Cancer Ellen Weissinger William (DC) & Mae Whitmer John & Jeannie Woodrich Woods Charitable Fund

Abel Foundation Alpha Phi Craig & Devon Ames Carl & Jane (DC) Ander Marjorie J. Bartels 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 Carr Dr. Chris & Deb Caudill Commercial Investment Properties Edward & Doris (DC) Cooley Joseph Cooper Estate Cornhusker Bank Lois Dargeloh (DC) Dialysis Center of Lincoln Donlan Foundation Duteau Chevrolet-Subaru EPreward Inc. Ken & Deb Foster Don Freeman Connie Ganz

Genentech, Inc. Barbara A. Godden Jim & Margaret Griesen Guidepoint Global Nancy Hakel-Smith & David Smith Richard Hansen Dr. Nancy Harms & Mr. Gerhart Wehrbein Viola Hronis (DC) Adam & Sandy Karavas Everett & Mary Jane Knoche (DC) Wilma Kuster (DC) Dr. Glen & Elba Lau Charles (DC) & Hermine Leffler Bill & Judy Lewis Arthur & Gladys Marquardt (DC) Florence Mauroules DeEtta & Terry Mayrose Lynette & Bruce McKeag NAI FMA Realty Nebraska Emergency Medicine PC Nebraska Hospital Association Nebraska Trauma & Acute Care Surgery Erin Pemberton Pfizer, Inc. Quest Diagnostics

The Robert Wood Johnson Foundation Runza National Ruth Schwartz (DC) Jeri Shute Jerry & Barbara Solomon Donna Stone (DC) David & Linda Sundberg Swanson Russell Beverly & Robert Taylor Shirley Travis UNICO Group, Inc. 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 Doug & Lois Wilson Windstream

(DC) indicates deceased.

Defenders Cumulative gifts of $25,000-49,999

(DC) indicates deceased.

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Champions Cumulative gifts of $10,000-24,999

Dorothy & Edwin “Bud”* Abbott Action For Students Ameritas Financial Services Dr. Albert Ansah & Matilda Frimpong Associated Anesthesiologists, PC Phyllis Anton Ken & Sidonia Babcock Viola Babcock Trust Bailey Lauerman Sam & 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 Marshall & Jennie Borchert Debra Border Roger & Mary Breitbarth Brester Construction, Inc. Bryan Women’s Care Physicians Edgar Bumanis Burlington Northern Foundation Ruth Jones Cadwallader (DC) Jack (DC) & Mary Carey Alda Carlson Joseph & Margaret Carlson Jack Carnie Bill & Marilyn Cintani Cline Williams Wright Johnson & Oldfather Cooper Foundation Nick & Ann Cusick Roger & Gayle-Ann Douglas William (DC) & Betty Dresser Mike & Terri Dunlap Dr. David & Elaine Dyke Eells Trust Everett & Elaine Evnen T.A. Filipi Estate Neil (DC) & Gail Finsand FirsTier Bank Ted & Marlene (DC) Forke Harriet Fort (DC) Ruth Foster Estate Esther Fox Carol & Ardell Friesen Dr. Deepak Gangahar Dr. Benjamin Gelber General Mills Foundation Generals’ Club Sharon & Eric Hadenfeldt Ron & Chris Harris Ron & Chris Harris Charitable Foundation

Ruth Hartley (DC) Leonard Hartwig (DC) Larry & Sandy Harvey Dr. Bob & Helen Hayes Jean & Larry Hennings Angela Herbert Frank & Liz Hilsabeck Dr. Jon Hinrichs & Donna Woods George & Alice Holmstedt (DC) Kathleen Howlett IMSCORP Inpatient Physician Associates Don B. Johnson (DC) Mabel H. Johnston Estate Harold & Charlotte (DC) Kelley Kensington Quilters Kidwell, Inc. KLKN-TV Rick & Anita Leggott Lincoln Association of Health Underwriters Lincoln General Hospital Foundation Lincoln Insurance Group Lincoln Telephone & Telegraph Lincoln Voiture 103 Marv & June Lyman Paul & Kay Maize Drs. Christopher & Erin Masada James A. & Georgianne Mastera Campbell McConnell Suzanne McMasters Dr. Clyde & Susan Meckel Wynn & Sheila Mehlhaff Dr. Andrew & Jaine Merliss Charlie & Sherry Meyer Cheryl & Marty Miller Dr. Keith & Katie Miller Gates & Daisy Minnick 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 Novartis Consumer Health, Inc. Olney Foundation, Inc. Sarah & Casey Olson David & Ruth Patrick (DC) Margaret Pavelka Estate Elvin L. Platt Estate Verla & Tom Plummer Marian Price PrivIT Healthcare, Inc. Professional Choice Recovery Purdue Lecture Program Group Mrs. E.B. Reed (DC)

Dr. John & Kay Reed Dr. Chuck & Catherine Reese David & Laura Reese Dr. Herb & Ginny Reese (DC) Region V Services Susan & Paul Rego Karen & Dennis Rock Rural Health Partners, Inc. Saint Elizabeth Regional Medical Center Administration Steven D. Salisbury Trust Benno Sand & Marlys Gapstur Sand Schneider (USA) Inc. Florence & Paul Schorr (DC) The Joe W. & Ruth K. Seacrest Foundation Vern & Phyllis Shires Julie & Bruce Smith June Smith SmithKline Beecham Southeast Nebraska Cancer Center State of Nebraska Thomas Stoeckinger Stuart Foundation Sutter Place Interiors Takeda Pharmaceuticals North America Thoratec TierOne Bank Mary Jo Tietjen Janet & Dale Tubbs Nancy & Jim Van Kirk Dennis & Pat Vermaas VHA Lisa Weaver Dr. Walt* & Joann Weaver Weller Foundation Dr. Vernon & Janet Westberg Dr. Ryan & Marietta Whitney Herm & Helen Wiebers Dr. Eric & Kathleen Williams Lynn & Robyn Wilson Shirley & Carl Wohlfarth Dr. Larry Wood Woods Bros Realty, Inc. Wyeth Ayerst Laboratories Verla & Gordon Youngquist

(DC) indicates deceased.

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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 2016.

Cynthia Abbott Jenny Abler Rebecca Ackermann Ashley Adams Priscilla Adams Jennifer Admire Frances M. Alcarde-Suyo Carmen Alexander Toria Amerson Dr. Albert Ansah Alina Anthony Jeffrey Austin Nancy Austin Karen Bade Amanda Bady Barbara Bakenhus Shelley Baldassano Katie Barnard Tandy Becher Jane Bedient Emily Beiermann Sheryl Best Brittany Bigham Mike Bingeman Dr. David Bingham Gay Bogan Jill Brandle Kimberly Brinser Dorothy Brokering Todd Brown Lisa Brumm Kathy Brune John Buechel Abbianne Burris Linda Cahoon Pam Calkins Arlene Carlin Cassandra Camenzind Brandie Campbell Arlene Carlin Rhonda Carolus Dawn Carta Sheena Case Veronica Cerveny Kylie Chapman

Elizabeth Chesebro Todd Chilson Shannon Chrisp Tammara Christensen Angela Clark Dave Clodfelter Kristine Cole Chrissie Ann Coleman Dakotah Comes Gwen Cook Mike Conway Ethan Cook Andrew Corbin Jill Crisler Diane Cummings Heidi Dailey Andrea Davenport Wanda Davis Donna Densberger Adam Depue Sadie Dilley Melissa Diltz Jayme Droge Alison Dunlap Shane Durham LuAnn Ebke Abigail Eden Kate Edwards Lisa Egle Ronda Eitzmann Sally Eppenbach Stephanie Everett Brittany Fett Ruth Few Kylee Fitch Kelly Flesner Daisy Foote Suzelene Fortune Jasmine Foster Michelle Frederick Susan Gardner Dr. Timothy Gardner Suzanne Gasper David Geistlinger Nic Genrich Piper Gillen Vita Gorbun Lacey Gottula Christina Green Dr. Ken Gross Andrea Haberman Rachel Hagele Jennifer Hagen Kimberly Haller Elenora Halsted Alec Handy Joshua Hanes Jan Harris Laurie Haszard

Annie Hauptman Heather Heesacker Jodi Henning Deanna Herman Heather Hill Rachel Hladik Amy Hobbiebrunken Abigail Hoefer Carey Hofmeister Jessica Holland Keri Holstein Jill Holtz Michelle Horstman Steven Hubka Rebecca Hunter Shannon Hurt Corrine Jarecke Dr. Jeffrey Jarrett Autumn Jay Brooke Johnson Macey Johnson Stephanie Johnson Kari Jones McKenzie Jones Madhulika Joshi Miranda Jurgensen Cheryl Kapustka Katheryn Kathe Timothy Kelly David Kimbrough Allison Kleier Wendy Klems Megan Knievel Franklin Krause Nick Krejci Calista Kringen Adelyn Kroeker Dr. Steven Krueger Jessica Kuhr Beth Kurpgeweit Barbara Lacher Dr. Elizabeth Lau Amy Le

Lan Le Elizabeth Learmouth Nancy Leavitt Sunnie Lefgren Teresa Lesoing Sara Linder Johnna Lipskey Deanna Lloyd Tracy Loveless Deborah Lynch Aimy Mahony Jessica Maier Lyn Makovicka Gail Marino Dori Martin Jessica Martin Jessica Martinez Amber Mason Brooke Mason Sushmit Mazumdar Dr. Rhondel McCann Melissa McCullough Vonna McNeese Sara McQuistan Stacie Meder Rebecca Meinders Ashley Merrill Mary Metz April Miller Janine Miller Terra Miller Dr. Ed Mlinek Breanna Nedved Rachael Neukirch Lindsay Nielsen Alyssa Nimic Reba Nitzel Steve Nitzsche Dr. Robert Oakes Stephanie Oelke Kilee Oetjen Alicia O’Keefe Tami Orton

Emily Owen Agnieszka Page Amy Pandorf Yolanda Papke Greg Parizek Jennifer Pearson Jessica Pedersen Brittany Pengra Brooke Pengra Debrah Peterson Talia Peterson Sara Pfeiffer Sara Pika Sonja Piper Nadezhda Popova Tracy Prenosil Crystal Price Nancy Price Erin Pulec Michelle Rathe Nina Redl Carrie Reed Valorie Reit Gayle Resh Nancy Richards Stephanie Ritter Sylvia Roberts Kalan Root Joanne Rosenbaugh Ann Roth Sara Roth Lisa Rothgeb Malynda Royuk Stephanie Rubenthaler Tammy Ruoff Elizabeth Rupp Deanna Sand Sheryl Sanders Tarah Sapp Kenzie Sattler Kristin Schaffert Emily Schnoor Jane Schuller Joy Schwarting Courtney Schwisow Zemis Sedriks Gretch Sehnert Diane Shriver Sherry Shum Nicholas Smith Rita Smith Samuel Smith Rebecca Spade Katie Speer Stefanie Staab Stacy Standage Christina Stemper William Sterns Ashley Stuart

James Sullivan Dr. Kenton Sullivan Chelsie Sutton Shannon Sveeggen Dyanna Swanigan Cassandra Sylvester Katelynn Synhorst Katie Teel Kyle Thelen Stacy Thoene Katie Tiedeman Amee Tontegode Kimberly Troudt William Trumler Mikayla Tyerman Susan Uland Oxana Ustimchuk Claire Valder Heather Valenzuela Ruth Van Gerpen Meleaha Viergutz Stacy Vollmar Jennifer Volz Jordan Wagner Emily Walter Krista Wearden Megan Weber Nicole Weedman Karen Werner Mickie Werner Stephanie Wheeler Alex White Corena Wiechert Jennifer Williss Erin Willnerd Jeanine Worley Yvette Yoder Karrie York Carol Zalewski Frances Zessin Emily Zink Raychal Zupan

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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2016 ANNUAL REPORT ON GIVING

Honor roll of donors This list recognizes gifts of $250 or greater which were made during Fiscal Year 2016. An asterisk (*) denotes a Bryan Health employee.

Acklie Charitable Foundation Action For Students Karen* Adamsheck Mary Ann* Agpawa Air Methods April* Allen Alpha Phi Margie* Amato Shirley & Harry Amen Dawn* & Scott Andersen Deanne* Anderson Kelsi* & Dirk Anderson Michael* Anderson Morgan* Anderson Tori Anderson Colleen* Andrews Dr. Albert* Ansah Phyllis Anton Aon Dorthy* & Rob Applegate Stacy* Arkfeld Armstrong Family Tiffani* & J J Arndt Associated Anesthesiologists, PC Astellas Cynthia* Ault Brenda & Regan Avery Sid & Ken Babcock Sally* & Travis Bach Jamie* & Rustin Bader Teri* Baer Sam (DC) & Joyce Baird Bob* & Mary Baker Marilyn Baker Dr. Mathue* Baker & Dr. Colleen Baker Shelley* Baldassano Mary Baldus Lois* Baldwin Anissa* & Mike Ballard Bank of America Merrill Lynch Byron & Ann Barker Susan* Barnason Mary Ann Barnett Jerome* & Chelsa* Barry Marjorie Bartels Patricia Bartels Christie* Bartelt Herbert Barter The Dr. Bastani Family Kathy Batterman Ann* & Shayne Bauer Carlene Bauer Phyllis & Dennis Bauman

Dawn* & Kevin Baxa Kristopher* Beahan Ellen* & Patrick Beans Jacalyn* Beau Tandy* Becher Jane* Bedient Barb* Bedke Jeff* Bedke Marsha* Belz Daniel* & Stacy* Benson Melinda* Bentjen Casey* Beran Holly* Beran Melanie* Bernadt Carolyn* Bernasek Bettenhausen Family Foundation Debra* & Jack Bewley Marjorie & Wayne Bigelow Gary* & Connie* Binder Timothy J. Binder Estate Darcy* & Jerod Blayney Pam* Bly Deb* & Ed Boehle Norma & Robert Bolton Scott* Boltz Leslie* & Anthony Bonelli Marshall Borchert Deb* Border Mary* Bornman Carole & Gary Bors Denise & Jon Borton Sharon* Boshart Olinda Boslau Lina* & Brett Bostwick Phyllis Bovee Eileen* Bradbury Nikea & John Brady Janelle* & Ryan Bray Paula* Brennan Dr. Mark* Brisso Betty Jane* & Ron Brittenham Dona Brockley Estate Ann Brown Michael* Brown Nancy Brown Bryan Medical Center Bryan Medical Staff Bryan Volunteers & Customer Care Bryan Woman’s Board Sandra & Fran Bulawa Edgar* Bumanis Jeff & Amy Burg Jennie* Burianek Julie* Burton Dana* Buss Patricia* & Curtis Butler Austin* Byleen Judson & Karen Byleen Alan* & Judy Cable

Judy & Jim Cada Campbell’s Nurseries & Garden Centers Capitol City Electric Joseph & Margaret Carlson George* & Elaine Carr Dr. Stephen & Beth Carveth Dr. Chris & Deb Caudill Debra* Cerveny Barbara* Chadek Frances Chaffee Richard & Jacquie Chapin Colleen Chapp & Dan Williamson Dr. Pradipta* & Sharon Chaudhuri Arnie* Christensen Bill & Marilyn Cintani Dr. Carolyn* Cody Kris* Cole Norma & Randy Coleman The Community Health Endowment of Lincoln Complete Family Foot Care Raymond Coniglio Valerie* Consbruck Sue* Corkill Cornhusker Bank Brooke* & Chad Cose Linda* Coulter Miriam G. Cowan Kay* Crabtree Crete Area Health Care Foundation Brian* Cross Julie* & Kelly Cummings Nick & Ann Cusick Cindy* Dahl Datapeak, Inc. Robin* Davenport Lori* Davidsaver Davis Design Michael & Teri Davis John & Tammy Decker Theresa* & Aaron* Delahoyde Donna* Densberger Arlyn* De Peel David* Dermann Holly* Didier Lureta Dierberger Kim* & Jon Dierks Directions EAP, LLC John & Susan Dittman Mike* & Julie* Dixon Alice Doane Heidi* & Jamie Dostal Roger & Gayle-ann Douglas Shelley Doyle Linda* Dragoo Sara* & Dave Draus Jessica* Drieling Greta Duncan Wiebe

Dianne* Dunkle Alison* Dunlap DuTeau Chevrolet-Subaru Dr. David & Elaine Dyke Lu Ann* Ebke Debra Eckles Delores* Eden EducationQuest Foundation, Inc. Edwards Lifesciences Pam Edwards Eells Trust Alice Eggers Laureen* & Roger Ehmen Ronda* Eitzmann Wendy & Douglas Elder Marcia Emal Christa* Engel Loretta* & Mike Engel Shannon* Engler Michael* Epp EPreward, Inc. Alice Epstein Dr. Nicole & Bruce Ericksen Dr. Charles & Mary Ann Erickson Summer* Erickson Matt Erikson Steve & Janice Erwin Robin Eschliman Kari* & Mike Eskens Estate of Don Hammel Patty* & Roger Evans Sheryl* & Dennis Evans Excel Chiropractic and Wellness Dr. Lynette Exum Tammy* & Todd Fandrich Mary & Robert Feit Carolyn* & David Fiala David* Filbert Lana Flagtwet Marie Fletcher Focus One Solutions, LLC Ken* & Deb Foster Sherry* & Ken Fougeron Esther Fox Steve* & Valerie Frager Leigh Anne* Frame Janelle* & James Francis Brenda Franklin Jean Frazer Michelle* Frederick Kimberly* French Janel* Fricke Bruce & Linda Friedrich Carol* & Ardell Friesen Matilda* Frimpong Leia* Gadeken Connie* Ganz Lawrence Garcia Dr. Timothy* & Patti Gardner

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2016 ANNUAL REPORT ON GIVING Jan* Garvin & Jim Spalding Tena* & Brian Gebers Adam* & Whitney Gibson Margaret & Douglas Gibson Craig & Ginger Gies Gwen* Gies Pam & Tom Gillaspie Git-R-Done Foundation Patsy* & Scott Gleim Roger* Glen Glenn W. Mooberry Trust Fund Michelle* Glenn Melinda* Gonzalez Jill* Gorton Judith* & Eugene Grabow Rachel* Greene Dr. Charles & Carolyn Gregorius Jim & Margaret Griesen David* Griffiths Patricia* & Joe Grof Russ* & Jane Gronewold Wanda* Grothen Kathy* & Dr. Jeffery Grubbe Guidepoint Global Sharon* & Eric Hadenfeldt Paul* & Rachelle Hadley Barbara Hafer Sharon* & Brian Hagelgantz Nancy* Hakel-Smith & David Smith Kimberly* Haller Cynthia* Hamik David* Hamilton Barbara* & David* Hanen Rebecca* & James Hansbrough Mary* Hansen Dr. Dale* & Sandy Hansen Richard Hansen Derrel Hanson Sharon* & Daniel Harms Ron & Chris Harris Mary* & Bruce Hart Kari* Hartley Linda* Haun Hausmann Construction Kimberley* Hazelton HDR, Inc. Sue* Heckman Tami* Helmick Sally* Hempel Sara* & John Hennessy Jodi* Henning Jean & Larry Hennings Danielle* & Collin Henricksen Arlis Helzer Henry Angela* Herbert Catherine & Gregory Hershberger Wayne & Nancy Hester Jim & Marjorie Hewitt Donna* & Larry Heyen Christine* & Ivan Hildreth Frank & Liz Hilsabeck Lloyd & Donna Hinkley Dan & Nancy Hinnah Dr. Jon Hinrichs and Donna Woods

Dianne Hite Jennifer* & Scott Hitzemann Milton & Betty Hofstad Joan* Hogancamp Phylis Hollamon Berg Jessica* Holland Patricia* & Jim Holloway Jason Holmes Larry* Holmquist Glennis Holtmeier Home Services of Nebraska Mary Ellen* Hook Mary* Hoppe Joe Horky Virgil* & Susan Horne Carla* Hottovy Andrew & Ellan Hove Janis* & William Howlett Craig Howlett Kathleen Howlett Janice Hueske Colleen* Hughes Nancy* & Mike Hula Valerie* & Adam Hunt Dr. Rubab* Husain & Dr. Ahsan Nasam Michelle* Hynek-Thomas & Randy Thomas Karen Ibach Inpatient Physician Associates Jennifer* Jacoby Chris* Jambor Kim* & Steven Janssen Tricia* & James Jara Linda* & William Jeffery Jensen Consulting Jacqulyn* Jepsen Jim’s Home Health Supplies Gayle Johnson Linda* & Scott Johnson Lori* Johnson Matthew* & Kacey Johnson Heidi Joiner & Scott Look Christina* Jones Edna* & Larry Jones Lisa* & Chris Jones Roger Jorgenson & Jan Meyer Sue* Kaltenberger Robin* Kappler Karol & Robert Kapustka Adam & Sandy Karavas Katheryn* Kathe Linda* Kattes David Keck & Jeannine Falter Ruth* & Michael Kellner Laurie* & Bernie Ketterl Colette* Kiefer-Barton The Kim Foundation Amy* Kimminau Linda* Kimminau Frank* & Sharon* Kimmons Michelle* King Sarah* & Sammy Kirchoff Genna* Kiser

Admin Klipic KLKN-TV Mary* Knabe Nancy Knape Linda* Knudsen Sherry* Koenigsman Jean* Kolar Dixie* Kornfeld Katie* Kranau Larry* & Karen Krebsbach Kerri* Kreifels Bonnie* & Lonnie Kreiter Lauren* & Larry Kroeker Shawn* & Desarai Krogh Dr. Steven* & Judy Krueger Michelle* & Michael Krumland Marcia* Kube Pamela* Kuhl Dr. Joseph* & Lyn Kummer Karen* Kurbis Catherine* Kurpgeweit Amanda* Kuta Dr. Michael* & Amber Kutayli Janet & Richard Labenz Barbara* Lacher Julie* Lacy Eleanor & Leonard Lamberty Ron* & Martha Lane Daniel* Lantis Julia* & Duane Lantz Dian* Larrew Diane Larson Larry* Laschanzky Latsch’s Inc. Steve & Beth Lau Ronald* & Marti Lee Sandra* Leeling Kim Leighton Louis* Lemon Ellie* & Mark Lewis Brenda* & Dr. Tim Lieske Ann* & Dean Lif Lincoln Association of Health Underwriters Lincoln Community Foundation, Inc. Lincoln Track Club Lincoln Voiture 103 Mary Lou & Edgar Lindberg Scott* Linke Rich* & Monica Lloyd Dale* Lobb Maureen* Lobb Denise* Logan Burdette Lukert Andrew* & Ashley Lundstrom Sarah* & Kevin Lundy Steffani* & Michael Maas Kimberly* & Dave Macoubrie Madonna Rehabilitation Hospital Dorinda* Magnus Chris* & Todd Magnuson Jennifer* & Kent Mahler Kay* & Paul Maize Janice* & Ryan Malone

Candolin* Malousek Chase* & Kami Manstedt Peggy* & Larry Maresh Carol & Douglas Marsh Garry Martin Jaime* Martinez Marvin Graf Estate Martin & Ruth Massengale James A. & Georgianne Mastera Dale* & Ila Matthes Mary* Mattox DeEtta* & Terry Mayrose Sandra* McGinnis J. Thomas & Marilyn McGreer Sheila* McKeegan Jennifer* & Jason McLaughlin Barbara* McMeekin Ruth McPherson (DC) Dr. Clyde* & Susan Meckel Medtronic Lois & John Meeske Candace* Melcher Keith & Donna Mercer Lori Mercer (DC) Dr. Andy* & Jaine Merliss Charlie* & Sherry Meyer Jeremy* & Susan Middleton Midwest Medical Transport David* & Lanae Miers Dr. Keith* & Kathryn Miller Gates & Daisy Minnick Peggy* & Kim Moeller Kurt* Moes Shirley* Mohr-Burt Paul Mohtares Marilyn* & David Moore Eric* & Rebecca Mooss Julie* Morton Heather* & Shawn Mosley Jean & Gerald Muehlmeier Angie & Dan Muhleisen Wendy* & Ray Muir Dee* Murman Tamala* Murphy Cari* & Vern Musgrove Farmers Mutual Insurance Company of Nebraska NAI FMA Realty Jim & Cheryl Neal Ernest & Susan Neben Lisa* Neddenriep Brenda* & Mark Neemann Robert & Mary Nefsky Cynthia* & Michael Nehe Dr. James & Patricia Neid Jennifer* Neilan Nelnet, Inc. Roger & Vicki Nelson Ronald & Bonnie Nelson Christina* & Kerman Nickel Jason* Nider Pam* Nienaber Jackie* & Brent Nisley James F. & Virginia Nissen

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2016 ANNUAL REPORT ON GIVING Karen* & Douglas Nissen Pat Novak Judith Nye Kilee* & Henry Oetjen Betty* Ohs Rhonda* Olmsted Sarah* & Kasey Olson Lil* & Mike O’Neill Desta Osborne Carolyn & Rob Otte Bill* & Rita Overton Deanna* & Michael Overton Sheri* & Mark Paneitz Tom Patrick Slava* Paul Erin & Dr. James Pemberton Susan* & Carter Pendergrass Jon* & Karen Peppmuller Don* & Sylvia Percy Jayme* Perdew Scott* & Holly* Persson Missy* Peters Jessica* Peterson Nancy* Pew Harold & Marilyn Pfeiffer Pfizer, Inc. John* Pfrimmer Marcia* Phillips Piedmont Shopping Center LLC Aaron* & Crystal Pierce Jackie & David Pittman Kristy* & Tim Plander Troy* & Sara Poole Rosemary* & Tony Porto Premier Connections Jennifer* & Dale Preston Marian Price Professional Choice Recovery, Inc. Margaret* & Duane Puckett QLI Heidi* Rademacher Ruth & Raleigh Radenslaben Scott* Rahn Arlen* Rasmussen Judy Curtiss Rasmussen Michelle* & Michael Rathe Bob* & Karen Ravenscroft Father Fred L. & Susan C. Raybourn Debbie* Redetzke Carol* & Ivan Reed Dr. John & Kay Reed Jennifer* Reedy Dr. Chuck & Catherine Reese David* & Laura Reese Susan & Paul Rego Travis* Reinke Robert & Becky Reisdorff Shirley & Alan Retzlaff Mona* Reynolds Jan* & William Rice Nancy* Richards Norma* Rieck Carolyn* & Bernie Rieke Brittany* Robertson

Dr. Kay & Leroy Rockwell Kelli* Rodie Rogers Foundation Lowene Rosendahl Beth* & Adrian Roth Jackie* Roth Sharri Rowley Staci Rudolph Debra* Ruhrdanz Dot* Rung Runza National Kimberly* Russel & Dirk Brom, MD Tamara* Russman Caren Rutt Richard & Julienne Salvesen Sampson Construction Benno Sand & Marlys Gapstur Sand Joann* & Luke Sanders Rachael* Saniuk Christina* Saum Thomas* Schadl Marita* Schafers Ward Kay & Paul Schellpeper Londa Schiebinger Dennis* Schmidt Amy* Schroeder Sarah* & Charles Schroeder Andrea* Schultz Natalie* Schultz Janelle* & Tim Schulz Robin* & Todd Schumacher Mark* Schwede Jane & John Scott Aimee* Scudder James (DC) & Rhonda Seacrest Heather* & Justin Seeba Sara* Seemann Shelley* Seiler-Prasek & Rick Prasek Select Specialty Hospital Nicole* Shaffer Shanahan Mechanical & Electrical, Inc. Erin* Sharpe Robert & Elizabeth Shaw Don* & Pam Sheets Nathan* Shelbourn Shell Oil Company Chris & Mitchell Sheridan Vern & Phyllis Shires Jeri Shute Zakaria* Siddiqui Dr. Aina Silenieks & Tyler Sutton Mary* & Kevin Silvey Dianne* & Donald Simpson Katy* Simpson Renee & Carl Sjulin Jan Skala Erik & Leia Skie Megan* Skradis Cindy* & Larry Smack Catherine* Smetter Kate* & Duane Smid Debbie Smith Julie* Smith

June* Smith Kimberly* Smith Mary Jean Sohl Southeast Nebraska Cancer Center Rebecca* Spade Robin* & Randy Spangler Brian* Speich Marilyn & Charles Spohr Michelle* Squier Matt* & Shannon* Standage Debra* Stanek Jim & Suanne Stange Wade & Heidi Stange Michele & James Steckelberg Christie & Joseph Steele William* Sterns Dr. John* & Pamela Steuter Bonnie & Donald Stewart Kathy & Keith Stewart Janet* Stiefel Opal Stivrins Dr. Tim & Carol Stivrins Shar & Darrell Stock Jill Stoefen-Fisher Sherri Stoll Shawn* Stoner Linda* & Martin Stones Darren Strizek Bonnie* Struthers Stryker Sustainability Solutions Don & Janet Stucky Steven* & Tammi Sufficool Jenny* & Brett Sundberg Swanson Russell Sysco Kristie* Tang Amy* & Chad Termaat Dr. Todd* & Lisa Tessendorf Joan* Texel Kandi* & Jeffrey Thomas Dr. Rick* & Jen Thompson Suzanne* Thompson W. David Thompson Estate Mary Jo* Tietjen Rachel Tietz Robert* & Julie Timme Tyler* Toline Dr. John* & Stacy Trapp Joleen Traudt Mary* Trauernicht Shirley Travis Rebekah* & Conrad Trevino Jenny Tricker & John Linscott Jan* & Dale Tubbs Jerry* & Joyce Turman Joyce* Turman Sheryl Tyrrell Susan* Uland Jayne Unyi Jodi* Urban Dr. Craig & Joyce Urbauer Cheryl* Urwiller US Bank Oxana* & Alex Ustimchuk

Dr. Lisa* & Mark Vail Ruth* & Richard Van Gerpen Nancy* & Jim Van Kirk Dennis* VerMaas Marilyn & Warren Viehl James* Volkmer Ron & Valery Wachter Chris* Wagner Jordan* Wagner Robert Wakelam Beverly Wakely Estate William Wakely John Walters Craig Wanamaker Jessica* Warren Benjamin Weaver Joann Weaver Lisa Weaver Helen Weber Jeffrey* Weber Scott* Weber Sherril & Lyle Wegele Margrett Wehland Robert* & Kelli Weichel Paul & Marie Weir Ellen Weissinger Barbara & Louis Welch Michael* Welch Wells Fargo Home Mortgage Dr. Vernon & Janet Westberg Karen Westover Roberta* & Ty* Westover Mae Whitmer Dr. Ryan* & Marietta Whitney Herm & Helen Wiebers Laura & Douglas Wilcox Ross & Judy Wilcox Vicky* Wilkinson Jane* Williams Lisa* Williams Sondra Williams Doug & Lois Wilson Dwayne* & Caryll Wilson Mykah* Wilson Sheri* Wilson Patricia* Wing Rodney* & Linda Witfoth Cheryl & John Witzel Margaret* Woeppel Jerome* Wohleb Kathy* & Roger Wolf Donna Wood John* & Jeannie Woodrich Yvonne Wright Marcy* Wyrens Rose* & James Yankech Sonja & William Yates Karmin* & Kevin* Yeackley ZOLL Medical Corporation

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2016 ANNUAL REPORT ON GIVING

Memorials This list recognizes gifts made in memory of the following people in 2016.

Evan Anderson John Baldus Steven Bauer Betty Bennett Byron Boslau JoAnn Thompson Boyd Nancy Breunig Dona Brockley Jim Cuddeford Donald “Bud” Day Irv Doeschot Betty Sue Eschliman Vernon Fisher Peggy Freudenburg Dee Harlan William Hilgers Ruth Holstein Karen Roesler Holtmeier Marian Horky

Barbara Johnson Mike Karlsson Nicky Keeney Bryson Kucera Jim Leslie Lloyd & Eleanor MacDowell Linda McPherren Ruth McPherson Laurie Mercer Richard Middendorf Charles Moyer James O’Malley Mary Premer Mary Ravenscroft Dr. Herb Reese Carol Scheidt Inge Schlichting Loren Schwaninger Carson Smith

Emma Sorrell Richard Spellman Rudy Spousta Janice Strizek Donald R. Swanson Dr. Bowen & Caroline Taylor Stan Terveer Margaret Travis-Kluver Dr. Marjorie Viehl Dianne Vogt Beverly Wakely Donna Wasco Dr. Walt Weaver Shirley West Alta Wickless Judy Willoughby Laurel R. Wilson-Lukert Janet Zenner

Irene G. Alexander Marilyn Amos Anne Armstrong Amy Barker Judith Bartow Linda Bliss-Kline Nancy Brown Caleb Carley Dr. Stephen Carveth Gary Cavey Jay Gildersleeve Ann Hall

Dr. Dale Hansen Clara Jane Hilgers Eldon Johnson Richard Lloyd Marilyn Moore Ann Nebel Marcia Nelson John Olsson Ronald Peppmuller Anna Petrovich Raymond “Dale” & Phyllis Philson Kimberly A. Russel

Frieda Siefkes Barbara Suing Mary Swanson Janet Zimmer

In Honor This list recognizes gifts made in honor of the following people in 2016.

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BRYAN ALUMNI NEWS This year’s Bryan Alumni Awards went to Linda (Logan) Bahe – Bryan 1984 – in Clinical Excellence, Katie (Ingram) Sladky – Bryan 2009 and 2014 – in Professional Development, Keith Mercer – Lincoln General 1967 – in Clinical Excellence, Charleyne (Riecken) Spangler – Bryan 2009 – in Clinical Excellence, and (not pictured) Karri (Shiers) Ahlschwede – Bryan 2006 – and Heidi (Kitrell) Little – Bryan 2000 – in Volunteerism.

They’re true to their school Graduates and families gathered June 2-3 for the annual Bryan College of Health Sciences Alumni Days. The 1967 graduates of Lincoln General Hospital School of Nursing (left) and of Bryan School of Nursing (above right) were honored on their golden anniversaries.

Bryan’s 93 newest alumni received diplomas May 5 during commencement at Saint Paul United Methodist Church.

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CRETE AREA MEDICAL CENTER

Connecting community with caregivers

E

very other month, 18 faces gather around a conference table at Crete Area Medical Center.

An eye doctor pulls up a chair next to a retired teacher and a lawyer across the table. Their voices mix with Crete business owners, retirees and members of higher education and banking fields.

This group is the Crete Area Health Care Foundation. Everyone is local. Every director cares profoundly about CAMC. Not just in the general we-need-a-great-

Dr. Troy Miller and limited radiologic technologist Helen Holroyd are thankful new digital imaging equipment is available to help diagnose patients at the Wilber Medical Clinic, such as 6-year-old Lauren Musil.

hospital kind of way — but in the detailed, protective way, down to the patients, staff, equipment, volunteers, events and supporting communities, repeatedly asking: “Is the medical center serving them in the best way possible?”

Foundation President Tom Klein moved to Crete from West Point 28 years ago and brought an appreciation for a progressive medical center with him. “West Point had community backing that would not stop, so I knew what a small town hospital meant,” he says. There, it was the difference between quality care within the city limits or a 30-minute drive to a larger town — much like Crete-area residents would do without CAMC. “The care at CAMC saves trips to larger facilities, trips that cause time off work or school. It can help someone who is sick avoid driving to Lincoln over and over … Crete residents get that. They are supportive,” he says.

A retired Crete Dairy Queen owner, Klein has volunteered with the Foundation for more than a decade, as an untiring and determined voice for its cause.

He donates — helping purchase equipment for babies, from heating blankets to tiny stretchers on rescue squads.

He pushes — reminding his peers they must “outpace complacency.”

“You have to keep educating. You have to keep asking for dollars to keep a good and viable hospital,” he notes.

The Foundation incorporated in 1990 (originally as the Crete Municipal Hospital Foundation) to solicit and raise funds for the benefit of CAMC. By 2016, it had

Physical therapist Lance Kuhlmann explains to Kimber Shumate how the new Game Ready equipment is used in therapy at CAMC.

granted more than $2.5 million toward the purchase of medical equipment and professional development scholarships.

“We’re fortunate that our foundation is active and progressive, with good vision,” says Lance Kuhlmann, physical therapist in Rehabilitation Services. He and his wife, Angela, led the Foundation’s annual Care & Share fundraising drive in 2016, which raised nearly $40,000.

Other fundraising events each year connect communities to the medical center, including a golf scramble and this year a wine/beer tasting and silent auction. All money received stays in Saline County to benefit CAMC and the Wilber Medical Clinic.

The Foundation also provides scholarships to students planning to study health care and continuing education funds for employees.

“We are very blessed to have such a dedicated, active and supportive

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Foundation,” says Rebekah Mussman, president of CAMC. “They understand the importance of having a thriving medical community in the rural setting and keeping services close to home. They have been a true partner in ensuring we live out our mission, which is to advance the health of the communities we serve.”

Here are two examples of the Foundation’s impact over the past year:

Rehabilitation Services When the Rehabilitation Services Department learned it would receive about $40,000 toward equipment, therapists chose six pieces of equipment that benefit patients in physical therapy, occupational therapy and cardiac rehabilitation. n With the Foundation’s grant, Rehabilitation Services received a second hi/low treatment table. It can be raised to accommodate patients who struggle to get up from low surfaces, and its varying height also addresses the needs of therapists by helping them maintain proper body mechanics, Kuhlmann says. n The new arm bike is a valuable rehabilitation tool for patients, whether they had open-heart surgery or a shoulder injury. The arm bike increases upper body strength and cardiovascular endurance. Its chair pushes away from the machine and swivels out, allowing for easy transfer from a wheelchair. n The Game Ready unit combines cold and compression therapies, circulating icy water through a wrap placed around injured areas to reduce swelling and joint pain. n The fluidotherapy unit treats extremities, providing pain relief, treating minor stiffness, increasing local blood circulation and improving range of

motion. It has proven particularly useful for patients recovering from hand surgeries or traumatic hand injuries. The fluidotherapy unit heats and circulates particles that in turn heat up the injured area, promoting movement the patient might otherwise not be able to do at that stage. n An Ultrasound/Estim/Laser combination unit is another tool to treat pain and inflammation to improve movement and function. n A FreeMotion Dual Cable Cross weight machine will help patients build upper and lower extremity strength and improve core strength.

Wilber Medical Clinic digital imaging equipment Foundation funds allowed the Wilber Medical Clinic to replace adequate equipment with excellent equipment.

Although the clinic upgraded to digital images a few years ago, “The old equipment was just slower; patients received more exposure than with the new,” lab assistant and limited radiologic technologist Helen Holroyd says.

With the new digital radiography model, technologists can take all images except for skull, sinus or head injuries. A local 6-yearold, Lauren Musil, was the first patient to use the equipment; its images revealed a growth-plate fracture on her pinky. Her family was one of many to tell staff they appreciate having imaging capabilities so close to home.

Those images are more defined with more detail, Holroyd says. “It’s almost like going from regular TV to HDTV.” n

Welcome, Merrick Medical Center Litzenberg Memorial County Hospital has a new name — Merrick Medical Center — for a new commitment.

In July, Merrick Medical Center officially became part of Bryan Health’s award-winning, regional system of hospitals and providers.

“We still are the care providers you know and trust during times of illness and injury, and now our focus is expanding to embrace our role in keeping people healthy throughout their lives,” says Merrick Medical Center CEO Julie Murray.

“As we join Bryan Health, we are providing a more comprehensive approach to individual health — and we are very excited to help healthy lives take root in our local communities.”

Central City Community Hospital opened in the mid-1930s, moved to a new location in 1945 and evolved to become Litzenberg Memorial County Hospital in 1959.

Bryan Health President and CEO Kimberly Russel notes, “We are thrilled to have the team in Central City join our 4,500 employees in Nebraska. With a superb medical staff in place, community excitement, talented staff and desire to improve the health of people, Merrick Medical Center is an outstanding addition.”

For more details, please go to merrickmedicalcenter.org.

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LINCOLN MARATHON

Hydration station

Thousands of runners in the May 7 Lincoln National Guard Marathon and Half Marathon enjoyed our refreshment station. We’ve volunteered to serve water and Gatorade every year for decades.

The marathon is just one of many community events in which we participate. Last year, Bryan Health employees volunteered more than 29,000 hours.

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ACHIEVEMENTS

Leigh Anne Frame

Brian Cross and Kathy Helmink

Dawn Carta

Bryan Vice President Carol Friesen

Frame takes helm Two cited as of AHDI wellness champs

JA of Lincoln salutes Carta

Friesen leads HFMA

Transcription manager Leigh Anne Frame, CHDS, AHDI-F, health information services, will lead the Association for Healthcare Documentation Integrity (AHDI) as its next president.

AHDI represents individuals and organizations in health care documentation. AHDI leads, educates and advocates for professional excellence and integrity in documentation policies and practices.

Frame says AHDI envisions a future where health care delivery and outcomes are facilitated by complete, accurate and timely clinical documentation to convey patient health stories. n

Clinical assistant Dawn Carta received the 2017 Junior Achievement Peak Performance Volunteer of the Year award at the local JA Spirit of Achievement Luncheon.

Carta is a 13-year Bryan Medical Center employee who works on the 7S/7N medical surgical vascular area at Bryan East Campus.

As a Junior Achievement of Lincoln volunteer, Carta teaches 4th and 5th graders about being entrepreneurs. She has volunteered nine years at Holmes Elementary School. n

Bryan Vice President of Health System Services Carol Friesen, FHFMA, is the new Chair of the National Board of Directors of the Healthcare Financial Management Association (HFMA).

Friesen began her term June 1 and was installed June 26 during the organization’s annual conference in Orlando.

Friesen has served as a National Board member, Chair-elect and secretary-treasurer. She’s been recognized with national and regional awards, such as the Founders Medal of Honor from the Nebraska Chapter.

With more than 40,000 members, HFMA is the nation’s premier organization for health care finance leaders. n

This spring, Workwell saluted wellness coordinator Brian Cross with the Breakthrough Leadership Award, which recognizes a new or advancing leader in the field of health and wellness promotion.

For significant contributions to the promotion of personal health or the health of others, Workwell honored certified diabetes educator Kathy Helmink, RN, with its Wellness Leadership Champion Award.

(See Page 20 to see a related story about Kathy’s involvement with the Bryan Diabetes Prevention Program.)

Workwell is a Nebraska worksite wellness council that’s a division of the Nebraska Safety Council. 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

Join us at Tribute to Trauma Champions Wednesday, Sept. 6, beginning at 6 p.m. at the Lincoln Marriott Cornhusker Hotel, 333 S. 13th St.

Cost: The programs below are free, but you need to preregister.

Where: All are at the Bryan East Campus, Plaza Conference Center, 1500 S. 48th St.

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

Welcome to Medicare Tuesday, Aug. 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), will explain the ins and outs of Medicare, including online resources available to you and extra help for those with limited income and resources.

Stomp the Stigma of Mental Illness: A Tough Guy Battles Back Tuesday, Oct. 3, 6:30-8 p.m.

Thanks to Bryan and the statewide trauma system, Brock Melton survived life-threatening injuries from a hunting accident. Hear his story Sept. 6.

This year, we recognize trauma survivor Brock Melton of Oak, Nebraska. During Tribute to Trauma Champions, presented by Union Bank and Trust, we will honor dedicated professionals from throughout the statewide trauma system who were involved in saving Brock.

Hear his remarkable story and join us in saluting his responders and caregivers.

Cost is $35. To learn more or to register, go to bryanhealth.org/ trauma-champs.

Joe Pantoliano is one of today’s best-known character actors and boasts over 100 film, TV and stage credits. He is the creator of No Kidding, Me Too! a nonprofit dedicated to removing the stigma associated with mental illness. He will share his journey through fame, the depression and addiction that followed his success, and his mental illness diagnosis and recovery.

Please join us in thanking The Kim Foundation for its support of this program.

10-minute podcasts on Bryan Health Radio Listen to these free podcasts and see our full podcast library at bryanhealth.org/podcasts.

Restless Leg Syndrome: Symptoms, Triggers and Treatments

If you often feel throbbing, pulling or creeping in your legs — or have the urge to move them — you may have restless leg syndrome. This common condition can be treated.

Listen as pulmonologist Tim Lieske, MD, of Lincoln Pulmonary & Critical Care discusses symptoms, triggers and treatments.

Vertigo: Causes, Prevention and Treatment

Can’t stop the world from spinning? You may be suffering from a common form of vertigo. Bryan physical therapist Laura Corbridge explains what causes vertigo, how you can prevent it from reccurring and how physical therapy can help you feel better.

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

BRYAN HEALTH CAPITAL CITY CLASSIC

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

Address service requested

Sunday, October 22 3 p.m.

Nebraska State Capitol • 1445 K St. This event benefits mental health education and awareness.

5K Run/Walk and 15K Run

1-Mile Kids Run

Early Registration: through October 14 $25 – ages 20 and older $19 – ages 19 and under

Early Registration: through October 14 $6 – ages 12 and under

Late Registration: October 15-October 17 $35 – for all entries

Late Registration: October 15-October 17 $16 – ages 12 and under

Learn more and register: bryanhealth.org/run Presented by:

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