JOURNEYS
“Destiny is not a matter of chance, it is a matter of choice …” – William Jennings Bryan
SPRING 2018
JOURNEYS SPRING 2018
How healthy is your heart? A simple screening could save your life
1 FROM OUR PRESIDENT 2 EPIC Introducing Epic: New electronic health record benefits us all 4 INTRODUCING MyCHART Bryan Health MyChart puts your health at your fingertips Patients look forward to MyChart 7 11
EPIC VOICES Physicians and nurses enthusiastic about Epic journey PATIENT SUCCESS STORY As if by magic: Updated Gamma Knife allows precise neurosurgery without incisions
14 16
BRYAN HEART Harry’s back at the zoo MEDICAL STAFF SPOTLIGHT Ask the doctor: Which vaccinations are right for my family?
18 BRYAN HEART Farewell to pioneering heart doctors 20 MEDICAL STAFF UPDATE New faces at Bryan / Remembering our colleagues 24 WHAT’S NEW AT BRYAN 5055: Ready for you 26 CRETE AREA MEDICAL CENTER A brother’s love is helping others: Gift supports cancer care 28 BRYAN FOUNDATION See your generosity in action 30 BRYAN COLLEGE OF HEALTH SCIENCES
Derek Trutna’s family — son Quinn, daughter Paige and wife Stephanie Trutna — is glad he took the HeartAware screening. It led to tests which revealed a potentially life-threatening heart condition. HeartAware is a free, easy and confidential online screening to determine your heart health. If you’re at risk, you can choose to meet with a nurse about your health. Take your screening now! Go to bryanhealth.org/heartaware.
31 ALUMNI NEWS 33 COMMUNITY CALENDAR
T H A N K YO U, B RYA N F O U N D AT I O N 2 0 1 8 E V E N T PA R T N E R S Sampson Construction Davis Design Inpatient Physician Associates
Cornhusker Bank Mapes Industries NRC Health
Duteau Chevrolet Subaru Liberty Lawn & Landscape
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 Bryan Health MyChart will forever change how you schedule and keep track of your family’s health information. See the related story on Page 4.
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.
Holmes Murphy Shared Service Systems
Kimberly Russel President & CEO, Bryan Health John Woodrich President & COO, Bryan Medical Center Darla Eisenhauer, MD Chief of Staff, Bryan Medical Staff Bob Ravenscroft Vice President of Advancement & CDO Edgar Bumanis Director of Public Relations Kevin Rummel, MD Medical Editor Paul Hadley Editor
FROM OUR PRESIDENT
“Cooperation is the thorough conviction that nobody can get there unless everybody gets there.” – Virginia Burden
O
ur charge was clear: Give life to a leading-edge electronic health record for thousands of patients, each with a personal story and unique health needs, at all Bryan Health locations. (Epic will go live later at Merrick Medical Center in Central City.) On Saturday, March 3, Bryan Health staff and physicians confidently moved from our previous patient computer systems to the Epic electronic health record we have devoted the past two years to building. Epic is a worldwide leader in this area. More than 1 million Nebraskans who already have an Epic record with other facilities now can also access their records for care received at Bryan Health through this same system. This transformation was possible because of our workforce, including the physicians, advanced practice providers and other caregivers who serve at our medical centers and clinic locations. Their support, cooperation and hands-on assistance to build and then train on the new system has been indispensable. Our community has prospered from this two-year initiative,
with an infusion of dollars into our local economy, including: u 5,900 flights into the Lincoln and Omaha airports; u 10,500+ hotel nights booked for Epic consultants and employees; u 46,000 square feet of office space leased, renovated and furnished for Epic offices and training. To all of our community partners who made this possible, we offer our sincere thanks. Bryan Health’s 4,700 dedicated co-workers and more than 850 physicians, advanced practice providers and independent practitioners are using one unified tool to meet your health care needs. It is now our way, and it will enhance care for those we serve for decades to come. Bryan Health is honored to bring this new tool to Lincoln and its surrounding communities. Bryan Health. Forward. Together.
Physicians joined other providers in embracing training related to our new electronic health record system. In this photo, Epic trainers Frank Wilson (standing at left), Yvette McCarthur and
Victoria Egbetokun are instructing Craig Sitzman, MD (seated at left), Scott Heasty, MD, and Albert Owusu-Ansah, MD, during a provider personalization lab.
Kimberly A. Russel President and Chief Executive Officer, Bryan Health
Bryan Journeys 1
EPIC
Introducing Epic at Bryan Health
New electronic health
P
Dr. Scott Heasty, medical director for clinical informatics at Bryan, and Epic “super user” Deb Brockman-Custer, a nurse in the renal unit, emphasize that today’s technology gives caregivers immediate access to information and empowers patients.
This story is brought to you by Sampson Construction. 2 Spring 2018
atients expect Bryan Health to do whatever it takes to provide the highest quality care in the region. This means hiring the best people and using up-to-date equipment and the most effective tools to provide excellent patient care. Now, after two years of planning and development utilizing the expertise of over 500 employees and physicians, Bryan Health has launched Epic. This systemwide project will revolutionize the way patient information is communicated and shared — and improve care and convenience for our patients. “Our goal was to have the best system that will allow us to provide the best care,” says clinical informatics medical director Scott Heasty, MD, of Inpatient Physician Associates. “In addition to this, our patients now have a fabulous tool called Bryan Health MyChart. Through MyChart, patients only have to go to one place to access all their health information from any Bryan Health location.” What is Epic? Epic is an electronic health record and patient portal that will be used at all Bryan Health locations. (Merrick Medical Center will adopt Epic at a later date.) It connects all the information needed to provide excellent care and service. This includes everything
from scheduling appointments to patient care information to billing. It also includes secure online access for our patients through Bryan Health MyChart. Epic creates “one patient story” by having all information in a single system that is readily available to those who need it, whether it’s the doctor, care team, scheduler or patient financial services staff. Best system “Our research showed Epic is the best system for our patients, providers and staff. The decision to replace our previous systems included a great deal of thought from many people — our board of trustees and senior management, as well as doctors, advanced practice providers, nurses and employees from areas throughout the organization. The implementation of Epic at Bryan Health will have a huge impact on patients, providers, the health system and our community,” says Dr. Heasty. “With Epic, nurses, doctors and other providers have immediate access to the most complete patient information including medical histories, test results, allergies, medications and more. This access to information — and the advanced technical aspects in Epic — allows us to provide the best possible care to our patients.” Since Epic is the most widely used electronic health record system in the United States and around the world,
EPIC
record benefits us all Bryan Health has the ability to quickly access information for patients who have received care from any hospital or physician office that also uses Epic. This feature greatly improves patient safety as providers can view a patient’s most current medical information. For example, Peter Davidson, DO, of Nebraska Emergency Medicine, who also works in the Bryan Emergency Department, shared this story of how Epic improved the care he was able to provide to his patient. Dr. Davidson was working in the emergency department of another hospital that used Epic. A man who had gotten off a plane from California to visit his family in Omaha had chest pain. He was brought to the emergency department, and with about three clicks on the computer, Dr. Davidson had all of the patient’s health history including prior EKGs at his fingertips. Such access is extremely beneficial to providing fast, quality patient care. Less repetition, more efficiencies There are many features in Epic that will promote efficiencies for providers and patients. In the past when a patient in the emergency department needed to be admitted to the hospital, doctors had to log on to three different systems. Now Epic is all they need. One of the first things patients will likely notice is that they do not have to repeat information since doctors and
staff have immediate access to their health history. Rather than starting over each time, they will only be asked questions that confirm identities and help promote safety, such as their name, date of birth and allergies. This is not only convenient, but most importantly, it increases the safety and quality of the care they receive. Plus, patients at any Bryan Health location can access their own medical information through Bryan Health MyChart. They can see test results, receive notifications when new information is in MyChart, schedule appointments, pay bills and more. They can even keep track of health records for their entire family — all in one place. Information from hospital visits, outpatient procedures and tests, doctor office visits and tracking healthy activities through a Fitbit all can be found in MyChart. This provides patients with their total health picture. Dr. Heasty says, “The ideal health care scenario is one seamless process. We now have technology that allows us immediate access to information we need. This access also empowers our patients. By working together we can improve outcomes and help people live healthier lives.” n To learn how you can support the work of Bryan Health, contact the Bryan Foundation at 402-481-8605.
Where Epic is making a difference These locations use Epic and offer Bryan Health MyChart: Bryan Medical Center • Bryan East Campus • Bryan West Campus • Bryan LifePointe Campus clinical services • Bryan Pine Lake Campus Bryan Heart • Cardiology care in Lincoln, Columbus and Hastings • Cardiothoracic and Vascular Surgery Bryan Physician Network • Breast & General Surgical Specialties • Bryan Heartland Psychiatry • Bryan Neurology • Bryan Pain Service • Bryan Palliative Care • Bryan Trauma • Bryan Urgent Care • Bryan Women’s Care Physicians • Center for Maternal & Fetal Care • Family Medicine of Lincoln • Heartland Neonatology Associates • Holmes Lake Family Medicine & Internal Medicine • Lincoln Aesthetic Surgical Institute • Southeast Lincoln Family Medicine and Internal Medicine Crete Area Medical Center Hospital and Clinics • Crete Area Medical Center • Crete Area Medical Center Physician Clinic • Friend Medical Clinic • Wilber Medical Clinic
Bryan Journeys 3
INTRODUCING MyCHART
Bryan Health MyChart puts your health at your fingertips “Bryan, when was Sam’s last tetanus shot?” “Bryan, let me know when Mom’s test results come back.” “Bryan, what’s my cholesterol level?” You’ll see “Bryan” in TV messages, responding to these and other requests as he helps people easily take care of their health needs. Although there’s no real “Bryan,” there is Bryan Health MyChart. With MyChart, you have online access to your health information. Your health is literally at your fingertips!
4 Spring 2018
What is MyChart?
B
ryan Health MyChart gives you secure online access to your health information. It includes your records from Bryan Health locations, including Bryan Medical Center, Bryan Heart, Bryan Physician Network and Crete Area Medical Center. You can see test results, schedule and request appointments and even access your family’s records. All of this is really convenient when you need to know your child’s immunization record for school, are involved with the care of a parent or are anxiously awaiting your own test results. Best of all, it’s available in one place, 24/7, on your computer, tablet or smartphone. You also can access your health information in Spanish. Some patients already have asked a very good question: If I have a MyChart account with another hospital, do I need one with Bryan Health? Yes! To access your Bryan Health records, you need a Bryan Health MyChart account. The good news is you can link your MyChart accounts so that you only have to log in once, and you’ll have access to your health records in any MyChart account anywhere — whether it’s a hospital in Lincoln, Omaha, Indiana or Australia. MyChart fits your lifestyle for your health needs. Ready to make life easier? Sign up for MyChart. Learn more and sign up today at bryanhealth.org/ mychart. n
INTRODUCING MyCHART
“MyChart puts you at the center of your care by providing easy and convenient online access to your health information,” says Janel Fricke, MHA, an application analyst who helped implement MyChart at Bryan Health. “I can’t wait for everyone in our community to experience how convenient and empowering MyChart is!”
Key features of MyChart include: See your test results
In addition, if you’re a patient at one of the Bryan Heart, Bryan Physician Network or Crete Area Medical Center physician clinics, you also have access to these features:
No more waiting for a phone call or a letter. View your test results in real time — most results arrive in MyChart at the same time your doctor’s office receives the information. You have the option of receiving an alert when your results are ready to view.
Get answers to medical questions through online messaging with your doctor’s office. You can even take a photo of your condition and send it to see if you need an appointment.
Manage your family’s health
Request prescription refills
Request access that allows you to view health information for your children, your spouse or others you are assisting with their health care.
Communicate with your doctor
Send a refill request for any of your refillable medications.
Manage your appointments
You can receive reminders of when preventive health exams are due or steps you can take to manage conditions such as heart failure or diabetes.
Schedule or request appointments, and view details of your past or upcoming appointments. You also can receive alerts about upcoming appointments or when care is due. You may even be able to check in ahead of time from your phone, tablet or computer.
Easy access, anytime
Track immunizations
It’s all available from your computer or with the MyChart app on your phone or tablet.
When was your last tetanus shot? Find out quickly with the immunization record in Bryan Health MyChart.
Receive wellness and health maintenance reminders
See a doctor online You can see a Bryan Physician Network family medicine or internal medicine doctor online for minor conditions.
Bryan Journeys 5
INTRODUCING MyCHART
Patients look forward to MyChart Karen Freimund Wills and Janet Sorensen both know first-hand the value of having access to their health information through a system like MyChart. Both women received care at Bryan Medical Center and were then referred to subspecialists in Omaha. They signed up for OneChart (which is the Omaha hospital’s name for its Epic MyChart system). After experiencing the benefits, both are looking forward to having a Bryan Health MyChart account. They will be able to access their health information from any Epic-using facility that provides care.
Karen Freimund Wills says, “MyChart is a great service.”
6 Spring 2018
W
hile in the midst of rehearsals for her performance in The Little Mermaid at Lincoln’s Pinewood Bowl, Karen Freimund Wills learned she had a hernia that was most likely the result of a dance injury. But her surgery at Bryan Medical Center found she also had cancer of the appendix. This led to an additional 14-hour surgery in Omaha two weeks later. While in that hospital, Karen’s nurses suggested she sign up for OneChart to get faster access to her results from tests and procedures. And Karen is thankful for the recommendation. “Keeping track of the treatments and schedules can be overwhelming, so being able to view my medical history to see everything that was done has been very helpful. And as my care continues, I am able to see my medications, when I need to schedule appointments and update immunizations, and I can even check in for my appointments,” she says. Why should patients sign up for Bryan Health MyChart? “It is a great service where you have access to your own medical information with the click of a button,” Karen says. “I even have the app on my phone. You can’t get any more convenient than that.” Now that Bryan Health MyChart is available, Karen plans to sign up and manage all of her family’s health care on the site. “Just think how many times you have had to recreate your kids’ immunization records for school or clubs. Now it will be right there in Bryan Health MyChart!”
J
anet Sorensen, a theater costume designer and coordinator who had surgery for ovarian cancer two years ago, finds OneChart to be invaluable. “I appreciate being able to access all of my records from my surgery, as there are gray areas I don’t remember because of chemotherapy. Now my complete history is right at my fingertips.”
Janet Sorensen notes, “My complete medical history is right at my fingertips.” Janet finds viewing test results especially beneficial and uses the graph feature to track her progress. She also likes to communicate with her provider through the messaging function, view upcoming visits and request prescription refills online. This former library director naturally researches her own, as well as her family’s, health conditions and treatment options. She says understanding medical terms and results can be challenging. That’s why she’s glad to learn Bryan Health MyChart provides reliable information through links to MedlinePlus, the world’s largest medical library produced by the National Library of Medicine. Janet says, “It’s important to have information you can trust. Having access to this is very helpful.” Janet encourages everyone to sign up for Bryan Health MyChart. “We need to be in charge of our own health. And MyChart helps empower us by giving us the tools we need to be in charge.” n
EPIC VOICES
Physicians and nurses enthusiastic about Epic journey Providers and patients enthusiastically endorse Epic. Find out what physicians and nurses have to say about Bryan’s new electronic health record system.
Ryan Whitney, MD
Ryan Whitney, MD, Bryan Heart
C
ardiologist Ryan Whitney, MD, has spearheaded efforts to ensure all Bryan Heart services
operate smoothly with Bryan Health’s new Epic electronic health record system. In addition to its Lincoln office, Bryan Heart has more than 40 clinics throughout Nebraska and one each in Iowa and Missouri. He says, “The biggest benefit with Epic is patients’ medical records are all in one place. This makes it much easier for doctors to view patient information, especially Bryan Heart patients who are being followed up in their neighborhood clinic.” Previously, Bryan Heart’s electronic health records were separate from Bryan Medical Center records. So if a patient was at Bryan Medical Center and was told to follow up with a Bryan Heart doctor in an outreach clinic, Bryan Heart doctors may not have had immediate access to the studies or even the patient’s discharge summary. With Epic, all the information is in one record — and physicians can immediately view patient data. “This centralized system also benefits Bryan Heart patients through MyChart, which allows us to share information with patients more quickly,” he adds. “MyChart will make patients’ check-in process
This story is brought to you by Inpatient Physician Associates.
much faster. It also will improve communication between our patients and providers. Patients won’t have to wait to talk with a nurse or wait for a callback about a prescription refill. The MyChart electronic message function allows patients to send messages to us and for us to respond to non-emergent questions and requests.”
The speed with which patients get information, including lab results, in MyChart is amazing. Plus, it’s easy to use MyChart. “Our patient population tends to be a little older, but most are tech savvy. I believe they will adopt MyChart right away and find it very helpful in managing their health care,” Dr. Whitney says.
Michael Sayers, MD, Bryan Physician Network
A
s a member of the committee researching electronic health record systems, Michael Sayers, MD, is excited Bryan Health chose the leadingedge Epic platform. “From a physician standpoint, Epic is robust and userfriendly,” says Dr. Sayers of Family Medicine of Lincoln, part of the Bryan Physician Network. And he sees additional advantages for himself and his patients. Each Bryan Health patient has only one medical record. This record includes their medical history, as well as information from visits
to any Bryan Health location, including Bryan Physician
Michael Sayers, MD
Bryan Journeys 7
EPIC VOICES
Network, Bryan Heart, Bryan Medical Center and Crete Area Medical Center and Clinics. And now, all of the patient’s information is in Epic. Also, it’s available in real time; so once it is entered, everyone with access to Epic can view it. Dr. Sayers says, “In the past, if a patient came to my office in the afternoon and then went to the hospital emergency department during the night, the physicians in the emergency department wouldn’t have been able to see the outcome of my patient’s visit earlier that day. With Epic, they will be able to access that information. “And, rather than calling for records the next day, I can go into Epic and find out exactly what care my patient received in the emergency department. This type of communication between providers always results in an improvement in care.” Also, results from any tests patients receive at any Bryan Health location will go directly into MyChart, so patients will get their results immediately. “We believe every one of our patients should have a MyChart account, and we’re making a very concerted effort to communicate its many benefits to them,” Dr. Sayers says. In MyChart, patients view their records — immunizations, medication lists, diagnoses, test results
8 Spring 2018
— in real time and can schedule appointments and communicate back and forth with the office electronically. “Epic not only makes us safer in terms of communicating between providers, it also puts us in a much better position to communicate with our patients,” Dr. Sayers concludes. “And that results in better patient care, which is the main focus for our patients.”
Lisa Vail, DNP, chief nursing officer, Bryan Medical Center
“W
e are excited that patients will benefit from our implementation of Epic, a transformational change in the way we deliver care,” says Lisa Vail, vice president of patient care services and chief nursing officer at Bryan Health. Epic is Bryan Health’s new patient electronic health record that streamlines processes, consolidates information and provides comprehensive clinical tools to ensure patient safety. Lisa says, “Epic will help us provide the best care for our patients through the safeguards built within the system.” One safeguard is
Lisa Vail, DNP, chief nursing officer
standardization. This ensures everyone is following “best practice” approaches and doing things the same way when taking care of patients with similar problems. For instance, there are builtin notices for medications to consider when patients have certain allergies. Even though the information on the patient’s allergies is in their chart, Epic provides an alert that pops up every time a new medication is being ordered. “This helps us make the best choices for our patients,” she explains. Another safeguard is helping to identify and treat infection. Bryan Health uses scientific evidence and follows best practice guidelines on the use of antibiotics. This includes which antibiotic to use, when to give it and for how long to treat the
infection. These best practices are included in Epic to prevent patients who have infections from developing sepsis, a life-threatening complication. Epic assists by constantly looking at over 100 pieces of patient information — such as lab results, vital signs, urine output and temperature. The system sends an alert to the doctors and nurses if the results of the information being reviewed show a potential for the patient to develop sepsis. This in-depth assessment identifies subtle changes in the patient’s condition and allows us to act quickly. Epic also includes tools to help primary care physicians monitor their patients’ ongoing health status and chronic conditions. Beyond managing patient health in individual practices, a
EPIC VOICES
robust reporting component in Epic will help pinpoint health problems within the community. One example of this component power was demonstrated in Flint, Michigan, when a pediatrician noticed an increasing number of children in her practice having high levels of lead in their blood. That prompted contacting other providers in the community and tracking symptoms to a change in the
city’s water system. Without Epic, it would have taken hundreds of hours to compile the data to support what doctors suspected. With Epic, the data was compiled easily, allowing steps to be taken more quickly to safeguard the community. Lisa says, “We are fortunate to have an impressive Epic team, made up of representatives from across the entire Bryan Health organization. This group has
Dawn Isaacs, RN, director of nursing
invested a significant amount of time and expertise to prepare us for this change that will truly benefit our entire community today and into the future.”
Dawn Isaacs, RN, director of nursing, Bryan Medical Center
“I
t’s Epic!” Dawn Isaacs, director of nursing, can’t help but exclaim as she rattles off all the advantages the new electronic health record brings to Bryan Health patients. As a patient and mother, she values having her family’s medical information all in one place. She’s able to schedule appointments in the middle of the night and get reminders of when her kids’ immunizations are due through Bryan Health MyChart. As a nurse, she sees the quality of care improving through systemwide efficiencies and clinical safeguards. “A big advantage of Epic is freeing up a nurse’s time to be with patients,” she says. “Time will be saved as patient history and clinical information from multiple systems is brought together automatically. For instance, nurses used to have to document patient vital signs in
several places. Now they only need to document it once, and the information shows up wherever it is needed.” Epic provides excellent clinical alerts. For example, the system tracks test results and vital sign trends, and if something doesn’t look right, it will alert the health care team. Another helpful feature of Epic is in the medication system. If a patient has an IV with medication, the system will automatically track and calculate how much medication the patient has received. Nurses still will check patient IVs, they just won’t have to spend time documenting on the computer, unless they change the course of the medication. Though patients will likely be unaware of these and many other clinical features, they or their loved ones in the past may have noticed nurses spending a great deal of time on computers. Once charting time is reduced through Epic, nurses can spend less time on the computer and more time with their patients. According to Dawn, “When we talk about improving the quality of care, we don’t mean that it isn’t already excellent. Epic will just make us more efficient so doctors and nurses can spend more time at the bedside, which benefits patients and improves quality of care.”
Bryan Journeys 9
EPIC VOICES
Kama Bedient, RN
Kama Bedient, RN, Bryan pediatrics
K
ama Bedient, RN, became a nurse to make a difference in patients’ lives. Kama works on the pediatric unit at Bryan Medical Center. Now, thanks to Epic, she will be able to spend more time with her young patients. “I am ecstatic to be using the new system which contains technological enhancements that will greatly improve how we work. With Epic, everything is in one system and on one screen so charting is much easier and faster.” When patients come to Bryan from another medical center that uses Epic, doctors
10 Spring 2018
and nurses can quickly access patient information and share new information. This gives physicians and staff confidence they have all the information needed to care for their patients. “Epic ensures we have the most up-to-date patient information and also makes us more efficient with our time. As a nurse on the pediatric unit, I take care of people’s most precious gifts — their children. I am looking forward to spending more time with these special patients and their families,” Kama says.
Jeaniffr Snide, RN, CAMC chief nursing officer
“O
ur patients are going to really benefit from Epic,” says Crete Area Medical Center (CAMC) chief nursing officer Jeaniffr Snide. “This is especially true if they also receive care at Bryan Medical Center in Lincoln.” CAMC provides many services in Crete, which makes it very convenient for local patients. For services they don’t offer, CAMC transfers patients to Bryan Medical Center. With Epic, doctors at Bryan can quickly and easily see the patient’s health information since it’s in the same system. A doctor could even begin reviewing a
patient’s information before the patient arrives in Lincoln. “That is a huge bonus we didn’t have before Epic,” Jeaniffr says. She’s been part of the Epic build and development process, representing nursing as well as the unique needs of a critical access hospital. “We are significantly different from Bryan Medical Center because team members in a critical access hospital wear lots of hats — a nurse at CAMC may take care of inpatient acute patients, obstetrics patients and emergency department patients, all in one shift,” she says. Jeaniffr is not new to Epic. She managed a 45-bed medical/surgical unit at the time Epic went live at another hospital. She says, “I knew it was going to be a lot of work to install this new system, but the benefits make it all worthwhile. “The big win for everybody is transparency — the ability to see across the whole organization so we have a nice picture of where the patient has been and what care they have received. We can
look at the clinic record, the emergency department record and everywhere the patient received care in the system. This helps us to provide safer, higher quality care.” Patients also will have access to their medical records 24 hours a day, 7 days a
Jeaniffr Snide, RN, CAMC chief nursing officer
week through Bryan Health MyChart, an electronic patient portal that helps empower patients to manage their own health care. “This is an exciting time for Bryan Health and our patients — we will all benefit from having a single patient record for all of us to share.” n
PAT I E N T S U CC E S S S TO RY
As if
by magic
Gamma Knife neurosurgery successfully treats a wide range of conditions. Glen Moss (left) holds an apparatus that was part of the non-invasive surgery Dr. Benjamin Gelber performed at Bryan West Campus to relieve Glen’s chronic pain.
This story is brought to you by Cornhusker Bank. Bryan Journeys 11
PAT I E N T S U CC E S S S TO RY
Updated Gamma Knife allows precise neurosurgery without incisions
G
len Moss, 65, of Lincoln, is an avid athlete and coowner of Commonwealth Electric, a large Midwestern electrical and data communications contracting company. In May 2017, this energetic Nebraskan was sidelined by sudden, increasingly severe pain on the right side of his face. “Thankfully, I had no pain during my workouts,” says Glen, who is an endurance swimmer and marathon runner. “But when the pain did hit, it was really bad — the strongest I’ve experienced — and I’d have to stop everything and wait for it to subside. “Eventually, the pain was triggered by so many things, including heat, cold, eating and talking, that it seriously interfered with my life.”
After seeing his dentist and learning his pain was not a dental problem, Glen went to his physician, Michael Pace, MD, of Lincoln Internal Medicine. Dr. Pace found that Glen had trigeminal neuralgia, a chronic pain condition affecting the large nerve in his face, and sent him to Brian Boes, MD, of Neurology Associates to determine the cause. “After an MRI, Dr. Boes sat me down and gave me shocking news. He told me he was 99 percent sure it was benign, but that I had a brain tumor in my right ear canal. He then referred me to neurosurgeon Benjamin Gelber, MD, for more evaluation,” Glen recalls.
Incision-free, rapid recovery “It turned out that Glen’s tumor, which was indeed benign, put pressure on his
trigeminal nerve, causing burning pain on one side of his face,” says Dr. Gelber, of Neurological and Spinal Surgery. “Because the tumor was benign, I didn’t need to remove it. Instead, I performed radiosurgery using the updated Gamma Knife to block pain sensations through his trigeminal nerve. The procedure worked very well, and the pain in Glen’s face is now gone.” The Gamma Knife radiosurgical system is not a knife in the normal sense of the word, in that the doctor makes no incisions. Dr. Gelber says, “The Gamma Knife is a tool for performing non-invasive neurosurgery. It works by combining many beams of gamma radiation to deliver one high-intensity radiation dose to kill cancer cells, shrink benign tumors or produce a controlled injury to nerve or brain tissue
Commonwealth Electric executive Glen Moss gives two thumbs up before his Gamma Knife treatment for chronic pain. Now he’s able to continue enjoying an active lifestyle — Husker tailgating and overseas travels with wife Nancy, long-distance swimming and scuba diving. Although Glen no longer competes in marathons, he’s still a mainstay of the Lincoln Track Club as the organization’s president. 12 Spring 2018
PAT I E N T S U CC E S S S TO RY Treatment team The Gamma Knife treatment team includes a neurosurgeon, radiation oncologist and medical physicist. During the planning stage of treatment, the neurosurgeon identifies the brain or nerve area to be treated, while the radiation oncologist determines the exact amount of radiation required. The medical Medical physicist Joseph Milone and Dr. Gelber monitor Gamma physicist makes Knife treatments from a control room on Bryan West Campus. sure the Gamma Knife is operating correctly, the treatment plan provides the to block pain impulses. It can also treat intended treatment, and that treatment will Parkinson’s disease tremors and rigidity.” be delivered as prescribed. On the day of the The advantage of the Gamma Knife is procedure, a registered nurse also is present that each radiation to monitor the patient’s health and wellbeam is relatively being before, during and after treatment. low energy, so radiation is Precision, safety, patient comfort concentrated only The Gamma Knife has been an at the treatment important neurosurgery tool for many site, while years. Bryan obtained its first Gamma Knife surrounding brain in 1999 and installed this updated version and nerve tissues in 2017. are relatively Medical physicist Joseph Milone unaffected. explains the advantages of the updated “Also, because Gamma Knife. no incisions are “Our new Gamma Knife has many more made, postfeatures promoting treatment precision, operative recovery safety and patient comfort. For example, time is very minithe older model was programmed mostly mal, and patients by hand, while the updated Gamma Knife usually go home automates almost the entire process, the same day,” Dr. including patient positioning and changes Gelber adds. in treatment settings. With our new
machine, the treatment table moves automatically while the patient’s position on the table never changes. And planned treatment changes are automated inside the machine within seconds, rather than being made by hand,” he says. “All these improvements lead to more accurate, faster and more comfortable treatments for our patients,” says radiation oncologist Joseph Kam Chiu, MD, of Southeast Nebraska Cancer Center. “The time savings can be very significant, at up to 50 minutes less treatment time for some patients who have large or complex tumors.”
Immediate improvement During Gamma Knife treatment, the patient wears a specially designed helmet and is positioned on a treatment table. In describing his experience, Glen points out, “The doctors and the nurse taking care of me were very supportive, and that took all the stress away. I felt no pain during the treatment, which took about 30 minutes. I was comfortable and relaxed, and at one point, I fell asleep.” Glen says, “The pain in my face was much better right after the procedure. Dr. Gelber said it might take up to three months to get the full effect of treatment, but I was entirely pain-free within 30 days.” Now, six months after his Gamma Knife treatment, Glen remains completely pain-free. He is back to his busy, active life and will compete in an endurance swimming race across the Chesapeake Bay this summer. Thanks to the Gamma Knife radiosurgery procedure, this extraordinary Nebraskan is back in action. n To learn how you can support the work of Bryan Health, please contact the Bryan Foundation at 402-481-8605. VIDEO
To watch a related video, go to bryanhealth.org/GammaKnife.
Bryan Journeys 13
BRYAN HEART
Harry’s back at the zoo
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ryan Heart patient Harry Laudenklos had no idea that his son’s simple request would evolve into the adventure it is today. “When my son, Todd, was in kindergarten, he wanted a baby sheep, so I bought him one for five dollars,” says Harry. “From there he got baby goats, pot belly pigs, long horn cattle and more. The love of animals continued, and over two decades later after another local zoo closed, we decided to launch one of our own.” Tucked away near the small town of Monroe, Nebraska, the Horn T Zoo is a family-owned acreage with exotic animals and a oneof-a-kind experience for people of all ages. Open since May 2010, the Horn T Zoo takes pride in inspiring caring for nature and advanced conservation through education, recreation, breeding and survival. It’s here that you’ll find 78-year-old Harry, feeding the animals and leading visitors on tours through the zoo. While Harry’s son, 37-year-old Todd, is the owner and manager of the zoo, Harry lends a helping hand with the animals, ranging from bears and ring-tailed lemurs to monkeys and alligators. “If I’m doing all of the feeding and taking care of the animals by myself, it takes about 4 hours,” Harry says. A local celebrity, Harry lives an active lifestyle and continues to do
14 Spring 2018
so despite his age. His career has spanned from mayor of Monroe to the operator of a maintainer for county roads. He’s been on the rural board for more than 40 years and continues to serve as a volunteer firefighter — a role he’s fulfilled for more than 55 years. He also serves as a civil defense severe weather spotter. Something wasn’t right Harry’s worked at the zoo since before it opened its gates, so he was used to the physical labor that comes with the outdoors. Given this experience, he was alarmed in the fall of 2017, when he had sudden shortness of breath. “We were working with the goats, and all of a sudden I didn’t have enough strength to hold the goat,” he says. “I was out of breath and that wasn’t normal for me. Every time I got excited I would get sharp pains in my back.” As a result, Harry called his doctor to schedule a checkup. His primary care doctor referred Harry to Bryan Heart cardiologist Follow-up visits to Dr. Nadarajah Srikumar help ensure Harry can maintain his active lifestyle.
Todd brings animals to schools and assisted living communities.
Nadarajah Srikumar, MD, in nearby Columbus. After further review, “Dr. Sri” told Harry he would need to go to Bryan Heart in Lincoln. “We went to Lincoln the next day, and Dr. Sri performed a heart catheterization,” says Harry. “But
that wasn’t a long-term fix as they told me I would need bypass surgery.” Open heart surgery Tests showed that Harry had atherosclerosis — blockages
BRYAN HEART caused by plaque formation in the coronary arteries that supply blood to the heart muscle. So Harry was immediately scheduled for a coronary artery bypass with Ryan Shelstad, MD, a cardiothoracic surgeon at Bryan Heart. Harry seemed more concerned about the zoo. “I didn’t want to let anyone down, and I wasn’t sure that Todd could handle everything in my absence due to the amount of work it is,” says Harry. “But I quickly realized I didn’t have to worry. We had friends and family step in to help the entire time I was out.” John Steuter, MD, the Bryan Heart cardiologist in charge of Harry’s care during his stay at Bryan East Campus, reassured Harry that he would need recovery time but would be back to helping at the zoo in no time.
Dr. Ryan Shelstad and Dr. John Steuter discuss Harry’s care and recovery. “Each person is different, but many can return to routine activities in six weeks,” says Dr. Steuter. “Harry followed the standard postoperative schedule for bypass surgery. Each day he got a little
Elmer the camel playfully photobombs a portrait session with Todd, Sharon and Harry Laudenklos at the zoo.
stronger and when he was ready, he was discharged to return home to continue recovery.” The Bryan Heart team also taught Harry about steps he could take to lessen the risk of his cardiovascular disease returning. “The most important aspect of postoperative care after bypass surgery is what we call secondary prevention,” says Dr. Shelstad. “This includes risk factor modifications such as maintaining a heart healthy diet, exercise, controlling medical conditions such as high blood pressure, diabetes and maintaining a healthy weight. These steps help slow the progression of coronary artery disease and maximize the lifespan of bypass grafts.” Recovery back home Harry followed up with Dr. Srikumar in Columbus, and approximately a month after his procedure, he was back to working with the animals at the zoo. “I’m excited for the
opportunity to get back to doing what I love,” says Harry. “I see Dr. Srikumar for checkups, and I’d say I’m as good as new!” It’s a good thing Harry is back to his routine as 2018 will be a big year for the Horn T Zoo. Todd has started taking the zoo on the road, traveling around Nebraska with a customized trailer of exotic animals. The family also is wrapping up the opening of a new heated facility that makes it possible to invite schools and groups in March, rather than waiting for the summer months. “There’s so much to look forward to — a birthday party for Cletus (Todd’s capuchin monkey), alligator wrestling, school tours and growing the pumpkin patch for next fall,” says Harry. “Plus, we recently had a baby zebra born at the zoo!” Bryan Heart fans When asked about the experience, Harry is quick to recommend Bryan Heart. Both he and his wife Sharon have been cared for by the Bryan Heart team, as Sharon had a stroke a few years ago. “The doctors and nurses who took care of me were simply the best,” says Harry. “Sharon and I are fortunate to have access to such an extraordinary health care team.” n To learn how you can support the work of Bryan Heart, please contact the Bryan Foundation at 402-481-8605. For more details about the Laudenklos family and the Horn T Zoo, visit their Facebook page.
This story is brought to you by Davis Design.
Bryan Journeys 15
MEDICAL STAFF SPOTLIGHT
Ask the doctor: Which vaccinations are right for my family? Immunizations can prevent life-threatening childhood illnesses, and other serious diseases that strike at any age. They can even protect against viruses that cause some cancers. Still, changes in vaccination schedules and the multiple vaccinations required in childhood leave many of us with questions: Is my family getting all vaccinations they need? How do I keep track and make sure we’re all on schedule? Why do we need vaccinations, anyway? In the following article, Anthony Dresbach, MD, of Family Medicine of Lincoln, part of the Bryan Physician Network, answers some common questions. Q: Why do we need immunizations? It’s smart to immunize because vaccinations protect us against some of the most dangerous illnesses out there. Childhood vaccinations are, for instance, one of the best ways parents can protect their babies, children and teenagers from 16 potentially harmful diseases. These diseases can be very serious, and even deadly, especially to infants and young children. Immunization against influenza (the “flu”) is another example — although it’s not required, it’s highly recommended to keep people from becoming sick. Influenza can actually be much more severe than people realize — unfortunately, there were four deaths from the flu in Nebraska just before Christmas in 2017.
16 Spring 2018
Q: It seems that vaccine-preventable illnesses are pretty rare now. Do people still need to immunize? People sometimes wonder whether they need to vaccinate because they’ve not known anyone affected by these illnesses. But it’s important to understand that we rarely see these dangerous illnesses today because of the success of vaccines. That is, immunization keeps people from getting polio, pertussis, diphtheria and other diseases that at one time killed many people, or made them very seriously ill. So yes, we need to keep vaccinating to keep dangerous diseases that were once widespread from becoming common again. Our practice feels so strongly about the importance of immunization that we’ve made it our office policy that immunization is expected of patients in our practice. This is both to maintain the health of well children and to safeguard the health of children who are chronically ill or too young to be fully immunized. Q: How worried should people be about side effects of vaccinations? Immunizations can have side effects, just like other medicines. But these side effects are almost always minor, such as soreness at the injection site or a low fever, and can be treated with a mild pain reliever/fever reducer like acetaminophen. Severe side effects are extremely rare. Q: Where can families learn more about immunizations, including when they are due? As health care professionals, we know that patients and families have questions about vaccinations and vaccination schedules, so we offer lots of information at our office. Patients and families also can get very good information from the Centers for Disease Control and Prevention website, at www.cdc.gov/ vaccines/parents. Q: When do I need vaccinations? How do I get them? To get routine vaccinations, go to your primary care physician’s office or the immunization clinic at the county health department. If you’ll be traveling outside of the United States, contact
MEDICAL STAFF SPOTLIGHT
the travel clinic at the University of Nebraska — they have updated travel vaccination schedules, as well as the vaccines themselves. This is important because not all primary care physician offices carry all recommended vaccines for travel. UNL’s travel clinic can be reached at https://health.unl. edu/travel, or 402-472-5000. Be sure to get travel immunizations four to six weeks before your trip to allow time for the immunizations to take effect.
Q: What interested you in family practice medicine, and where did you go to medical school? I decided on a career in family practice because it involves treating patients of all ages, with many kinds of health issues and concerns. I definitely enjoy the family practice focus on keeping people healthy, while also being part of a team caring for patients with chronic illnesses. To tell you a little about my background, I grew up in a rural community outside Sioux Falls, South Dakota, so I was very pleased to stay in the Midwest for medical school at the University of South Dakota in Vermillion and Sioux Falls. My wife Lisa and I first came to Lincoln in 1998 for my medical residency training, and we enjoyed Lincoln’s welcoming, small-town feeling so much that we decided to stay. We also appreciate the excellent school system — our daughter, Emily, has gone through all her schooling here and is a senior in high school. n
There’s a new way to keep track of your family’s medical history: Bryan Health MyChart gives you secure, convenient access to your health information. It includes your records from all Bryan Health locations, including Bryan Medical Center, Bryan Heart, Bryan Physician Network and Crete Area Medical Center. You can see test results and schedule and request appointments. This is really convenient when you need to know your child’s last immunization for school, are involved with the care of a parent, or waiting for your own test results. Best of all, it’s available in one place, 24/7, from your computer, laptop or smartphone. See the related article about Bryan Health MyChart on Page 4, or learn more at bryanhealth.org/mychart.
Dr. Anthony Dresbach is a family practice physician with Family Medicine of Lincoln, which is part of the Bryan Physician Network, 402-483-3700.
Bryan Journeys 17
BRYAN HEART
DR. KRUEGER AND DR. COATSWORTH RETIRE
Farewell to pioneering heart doctors Long-time cardiologists Steven Krueger, MD, and Scott Coatsworth, MD, are retiring after decades of service with Bryan Heart.
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s a cardiologist, Steven Krueger, MD, FACC, has dedicated his life to developing new ideas to advance patient care. “I’ve had the opportunity to make a difference in the quality and duration of life for many patients,” he says. “One of the most rewarding aspects has been the ability to do clinical research and participate in the discovery and development of multiple therapies that have impacted the lives of millions of patients.” A Lincoln Northeast High School alum, Dr. Krueger received his undergraduate degree in biology from Nebraska Wesleyan University in 1976. He then studied at the University of Nebraska College of Medicine and completed his internship
and residency at Stanford University in Palo Alto, California. Dr. Krueger has served in a number of roles throughout the course of his career ranging from cardiologist and adjunct professor to director of a firefighter’s risk assessment and protection program and organizer of the Bryan Heart Medical Conference. He’s a member of a number of professional societies including the American Medical Association
and Heart Failure Society. With more than four decades in medicine, Dr. Krueger has seen significant changes in the field of cardiology. “Interventional work with balloons and stents has been very important,” he says. “There have been great advances in electrophysiology regarding diagnosis and therapy — particularly ablation. We’ve also seen notable improvements in the area of heart transplants.”
He also notes striking advances in the medical treatment of heart failure, one of his deep interest areas. Dr. Krueger served 16 years as the director of the Bryan Heart Improvement Program (BHIP), which researches, monitors and treats heart failure patients. As he moves into retirement, Dr. Krueger is looking forward to spending more time with family — especially his new grandchildren.
Dr. Steven Krueger is known for research leadership, especially regarding heart failure treatments. 18 Spring 2018
BRYAN HEART
Dr. Scott Coatsworth became involved early in the field of interventional cardiology.
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fter more than 40 years of practicing medicine, Bryan Heart cardiologist Scott Coatsworth, MD, FACC, retired at the end of 2017. “I’ve thoroughly enjoyed the field of cardiac medicine,” explains Dr. Coatsworth. “One of the most rewarding aspects has been the continuity of taking care of patients — working with multiple generations of families and communities.” A native of Lincoln, Dr. Coatsworth attended the
University of NebraskaLincoln and received his medical degree with high distinction from the University of Nebraska Medical Center College of Medicine, Omaha. He then went to the University of Iowa, Iowa City, for both his residency in internal medicine and a fellowship in cardiology and where he served as Chief Fellow in Cardiology. After his fellowship, Dr. Coatsworth joined Consultants in Cardiology in Omaha, then Internal Medicine Associates, before coming
to Bryan Heart in 2002. Certified by the American Board of Internal Medicine and the American Board of Internal Medicine Subspecialty Board of Cardiovascular Diseases, Dr. Coatsworth has achieved fellowship status for a number of additional professional societies, including the American College of Cardiology, Society for Cardiac Angiography and Interventions, and the American Heart Association Clinical Council. Committed to improving
patient outcomes and advancing cardiac medicine, Dr. Coatsworth has been involved in 36 clinical trials and has witnessed many changes to the practice. “With the inception of interventional cardiology in 1977, I was able to get involved early and watch it develop through the years,” says Dr. Coatsworth. “Now, we’re seeing the transition to structural heart disease — intervening upon valvular disease and aortic disease in a non-open surgical approach. “This could revolutionize the practice for the next generation.” Upon retirement, Dr. Coatsworth is looking forward to exploring new places and spending time with his wife and family. n To learn how you can support the work of Bryan Heart, please contact the Bryan Foundation at 402-481-8605.
Bryan Journeys 19
MEDICAL STAFF UPDATE
New faces at
Bryan
Welcome these colleagues to the Bryan medical community Derrick Anderson, MD, family medicine, is now chief medical officer with Bluestem Health, previously known as People’s Health Center, 402-476-1455. Dr. Anderson graduated from the Medical University of South Carolina, Charleston, in 1999 and completed a family practice residency at the University of Missouri School of Medicine, Kansas City. He served as the president of the Lancaster County Medical Society from 2008 to 2009, and he was named Young Physician of the Year in 2008. Dr. Anderson is a member of the Nebraska Medical Association and is board certified in family practice. Rachel Brock, DO, nephrology, has joined Lincoln Nephrology & Hypertension, 402-484-5600. Dr. Brock graduated in 2009 from Michigan State University College of Osteopathic Medicine, Lansing. She completed an internal medicine residency at Cleveland Clinic Foundation and a fellowship in nephrology at the University of Michigan, Ann Arbor. Dr. Brock is certified by the American Board of Internal Medicine in nephrology and internal medicine, and she is a member of the National Kidney Foundation Scientific Advisory Board. She also was an academic lecturer at Michigan State University College of Osteopathic Medicine and St. Joseph Mercy Hospital in Ann Arbor. Before moving to Lincoln, Dr. Brock was a dialysis medical director in Michigan.
20 Spring 2018
Russell DeGroote, MD, orthopedic surgery, has joined the Bryan Trauma Center, 402-481-4167. Dr. DeGroote graduated in 1994 from the University of Calgary Medical School, where he also completed an internship and orthopedic residency. In 2011, he completed a fellowship in preventive medicine, nutrition and sports medicine. He is currently researching new methods to treat arthritis and tendon injuries. He is a fellow of the Canadian Royal College of Surgeons and a member of the American Association of Orthopedic Surgeons. Dr. DeGroote has served as a team doctor for professional hockey teams, including the Calgary Flames and the St. Louis Blues of the National Hockey League. Leah E.A. Hastings, DO, pediatrics, is associated with Complete Children’s Health, 402-465-5600. Dr. Hastings graduated from Des Moines University College of Osteopathic Medicine in 2006 and completed residency training in pediatrics at Tripler Army Medical Center in Honolulu. She served as a general pediatrician and supervisor of allergy/immunology at BayneJones Army Community Hospital at Fort Polk, Louisiana. During this time, she maintained her training as a major in the U.S. Army, and in 2011, she was deployed as a medical officer in Afghanistan. Dr. Hastings is certified by the American Board of Pediatrics. Amanda Knapp, MD, FAAP, pediatrics, has joined Lincoln Pediatric Group, 402-489-3834. Dr. Knapp graduated in 2010 from the University of Nebraska Medical Center College of Medicine, Omaha. She completed a pediatric residency at Children’s Mercy Hospital and Clinics, Kansas City. In 2013, she began as a pediatric associate in emergency medicine at Children’s Mercy South in Overland Park, Kansas, and she also served as a clinical assistant professor of pediatrics at The University of Missouri Kansas City School of Medicine. She is a fellow of the American Academy of Pediatrics.
MEDICAL STAFF UPDATE Tracy Mak, MD, emergency medicine, is associated with Nebraska Emergency Medicine, 402-481-3142. Dr. Mak graduated in 2011 from Weill Cornell Medical College, New York, and she completed an emergency medicine residency at Baylor College of Medicine, Houston. She has been published in the Proceedings of the National Academy of Sciences of the United States of America, and she is certified by the American Board of Emergency Medicine. Dr. Mak served as an attending emergency physician at CHI St. Luke’s Health in Houston for three years before joining Nebraska Emergency Medicine. Michael Myers, MD, family medicine, has joined Holmes Lake Family Medicine, which is part of the Bryan Physician Network, 402-489-3200. Dr. Myers graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 1992 and completed the Lincoln Family Practice Residency Program. He practiced in Scottsbluff from 1995 to 2000, when he joined the faculty of the Lincoln Family Practice Residency Program. He served as a liaison between the Lincoln Medical Education Foundation and the Lancaster County Health Department and was appointed program director of the Lincoln Family Medicine Program. Before joining Holmes Lake Family Medicine, Dr. Myers practiced in Branson West, Missouri. He is a diplomat of the American Board of Family Medicine. Bradley G. Sawtelle, MD, family medicine, is associated with East Lincoln Family Health Professionals, 402-483-7507. Dr. Sawtelle graduated in 1998 from the University of Nebraska Medical Center College of Medicine, Omaha, where he went on to complete a residency in family medicine and a fellowship in rural family practice. Dr. Sawtelle served in the United States Armed Forces for 14 years, earning a U.S. Army Commendation
Medal and achieving the rank of captain. He has been a physician at Memorial Community Hospital in Blair since 2001, where he served three terms as president of the hospital’s medical staff. Mark J. Stavas, MD, radiation oncology, is associated with Southeast Nebraska Cancer Center Medical and Radiation Oncology, 402-481-6090. Dr. Stavas graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2010. He completed his internal medicine internship at the University of North Carolina School of Medicine, Chapel Hill, and his residency in radiation oncology at Vanderbilt University Medical Center, Nashville. He became an assistant professor in the department of radiation oncology at Vanderbilt. During his time there, he established one of the first inpatient palliative radiation programs in the United States. He also coproduced documentaries exploring the intersection of art and medicine for patients facing serious illness, and he established several projects to comfort children undergoing radiation therapy. Dr. Stavas has presented at annual conferences in his field and has written numerous articles and book chapters for peerreviewed publications. Chad Travers, MD, FACC, cardiology, has joined Bryan Heart, 402-483-3333. Dr. Travers graduated in 2006 from the University of Nebraska Medical Center College of Medicine, Omaha. He completed an internal medicine residency and cardiology fellowship at Rush University Medical Center, Chicago. In 2012, he began serving as director of echocardiography of CHI Nebraska Western Service Line, and he also began practice as an invasive cardiologist in Lincoln. He is a fellow of the American College of Cardiology and is board certified in cardiovascular disease, nuclear cardiology, echocardiography and internal medicine. n
Bryan Journeys 21
MEDICAL STAFF UPDATE
Welcome, advanced practice providers and independent practitioners Karen Earney, CRNA, Associated Anesthesiologists Kimberly Goracke, APRN, Heartland Neonatology Associates Judith Grabow, APRN, Bryan Heartland Psychiatry Cassie Held, CRNA, Associated Anesthesiologists Brittany Justa, PA-C, Bryan Trauma Latrice Martin, CNM, Good Life Birth Place Korinne Murcek, APRN, Southeast Nebraska Cancer Center Melinda Pearson, PsyD, Bryan Counseling Center Rachael Rice, CNM, Good Life Birth Place Jaimie Russell, APRN, Arthritis Center of Nebraska William Saalfeld, APRN, Arthritis Center of Nebraska Heather Talbott, APRN, Bryan Trauma Holly Marie Young, APRN, Bryan Acute Pain Services Katherine Yunghans, CNM, Good Life Birth Place
Dr. Eisenhauer leads Bryan Medical Staff as newest chief of staff
Dr. Eisenhauer
Dr. Gross
Dr. Johnson
Darla Eisenhauer, MD, of Gynecology & Fertility PC is the new chief of staff of the Bryan Medical Staff. She succeeds Edward Mlinek Jr., MD. Dr. Eisenhauer graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2002 and completed an obstetrics and gynecology residency at the University of Missouri, Kansas City. She was a member of the Professional Practice Evaluation Committee and Credentials Committee and served as secretary/treasurer, then as vice chief of staff of the Medical Executive Committee before being elected chief of staff. Anesthesiologist Ken Gross, MD, of Associated Anesthesiologists succeeds Dr. Eisenhauer as vice chief of staff. He was chair of the Professional Practice Evaluation Committee and served as Hospital-based Department chair and Anesthesia Division chair and secretary/treasurer. Dr. Gross graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 1988 and completed an anesthesiology residency at Brigham and Women’s Hospital, Boston. He was an instructor at Harvard Medical School from 1992-1996. Pulmonologist William Johnson, MD, of Nebraska Pulmonary Specialties was elected secretary/treasurer. Dr. Johnson also is chair of the Medical Subspecialty Department and the Clinical Integration and Collaboration Committee and is co-chair of the Sleep Medicine Committee. Dr. Johnson graduated in 1990 from the University of Nebraska Medical Center College of Medicine, Omaha, where he also completed an internal medicine residency. He then fulfilled a pulmonary and critical care fellowship at the University of Iowa Hospitals and Clinics, Iowa City.
At-large representatives on the Medical Staff Executive Committee are Robert Oakes, MD, of Bryan Heart Cardiothoracic Surgery; David Rallis, DDS, MD, Nebraska Oral and Facial Surgery; and John Steuter, MD, Bryan Heart. Designees for quality are Michael Jobst, MD, Surgical Associates; Alissa Clough, MD, Inpatient Physician Associates; Jeffrey Jarrett, MD, Nebraska Pulmonary Specialties; Corwin Friesen, MD, Bryan Women’s Care Physicians, part of the Bryan Physician Network; and Robert Oakes, MD, Bryan Heart Cardiothoracic Surgery.
22 Spring 2018
MEDICAL STAFF UPDATE
Remembering our colleagues Gene Edwards, Bryan’s longest-serving president, dies Former Bryan President Eugene G. Edwards died Dec. 9 at age 93. This Benkelman native served in Europe during World War II and earned a business degree from the University of Nebraska in 1950 and a master’s in hospital administration from Washington University, St. Louis, in 1952. He led a hospital in Hiawatha, Kansas, until moving to Lincoln in 1955 to become president and CEO of Bryan Memorial Hospital — which was a year younger than Edwards — and held the post until his retirement 32 years later. “Gene” Edwards was known for continually modernizing what now is Bryan East Campus. He oversaw five major renovations and expansions that tripled the number of beds and added several medical specialties. The best-known of these was cardiac care — the first open heart surgery and first heart transplant in Lincoln were performed at Bryan. Today’s Bryan Health CEO Kim Russel notes, “He was a phenomenally visionary leader and way ahead of his time.”
Bryan medical community notes physicians’ passing Bruce E. Gfeller, MD, died Nov. 1 at age 62. Dr. Gfeller was a Lincoln native who graduated from Creighton University School of Medicine, Omaha, and completed a family practice residency in Lincoln. He served as a major in the U.S. Army at Fort Lewis, Washington. Dr. Gfeller returned to Lincoln to join the faculty of the Lincoln Medical Education Foundation, and he later served as director of the program. He also served as chair of the Bryan Credentials Committee. He practiced with Holy Family Medical Specialties. Monte M. Scott, MD, died Oct. 26 at age 85. Dr. Scott graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 1957. He was a major in the U.S. Army for 10 years and served at hospitals in Denver, San Antonio, San Francisco and Tacoma. Dr. Scott moved to Lincoln in 1969 to help establish Wedgewood Medical Associates, where he practiced internal medicine and
endocrinology. He served on several boards, including the Tabitha Hospice Advisory Board, and consulted for Nebraska Health and Human Services. He was a Fellow of the American College of Physicians and served as chair of the Task Force on AIDS. Dr. Scott was elected president of the Nebraska Society of Internal Medicine in 1982 and served as chief of staff at Bryan Memorial Hospital from 1991 to 1992. Daniel J. Till, MD, died Nov. 1 at age 79. Dr. Till served as a physician during the Vietnam War. He graduated from Loras College, Dubuque, Iowa, and earned his medical degree from the University of Iowa Carver College of Medicine, Iowa City. Dr. Till moved to Lincoln and practiced pathology with Pathology Medical Services from 1973 until his retirement in 1995. He served as chief of staff at the former Lincoln General Hospital from 1982 to 1983.
Bryan Journeys 23
WHAT ’S NEW AT BRYAN
5055: Ready for you
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January open house gave the public an early peek at features of Doctors Outpatient Surgery Center (DOSC), the new ambulatory surgery center that’s in the 5055 Building by Bryan East Campus. DOSC administrator Crystal Livingston says the goal following accreditation and insurance credentialing is to have the facility open to all patients this spring. This project is a joint venture of Bryan Health and 76 physicians who have invested in the center. Nine specialties are included so far: obstetrics and gynecology, otolaryngology (ear, nose and throat), podiatry, dentistry, oral/maxillofacial, pain management, plastics, general surgery and orthopedics. The 5055 Building has four stories and approximately 100,000 square feet: n DOSC occupies 1st Floor and features six surgical suites with room for future expansion. It’s projected that about 5,000 surgeries will be performed in DOSC’s first year. n Bryan Women’s Care Physicians, part of the Bryan Physician Network, will be on 2nd Floor. Ear, Nose & Throat Specialties will be on 3rd. The attractive 5055 Building is designed to fit visually with other architecture in the neighborhood while maintaining its own identity, and its landscaping includes shrubbery and 130 new trees. n
24 Spring 2018
Bryan Health leaders hold the ribbon as Doctors Outpatient Surgery Center Board members officially open the entrance to the new building.
WHAT ’S NEW AT BRYAN The outpatient surgery center has six surgical suites, like the one in the photo on the left, with room for future expansion.
To learn how you can support the work of Bryan Health, please contact the Bryan Foundation at 402-481-8605.
VIDEO
To watch a video about the new facility, go to bryanhealth.org/5055.
Waiting areas are inviting, and pre- and postoperative rooms have efficient floor plans, comfortable furnishings and the latest technology. The 5055 Building and parking lot are in a two-square-block area bounded by 50th and 52nd streets and A and Everett streets, just northeast of the medical center at Bryan East Campus. DOSC is on the 1st Floor, and physician offices are being constructed on the upper floors.
Bryan Journeys 25
CRETE AREA MEDICAL CENTER
A brother’s love is helping others Lambert Zoubek sits in an infusion chair as he visits with Jade Roth, RN, in Crete Area Medical Center’s new Oncology Suite.
26 Spring 2018
CRETE AREA MEDICAL CENTER
Gift supports cancer care
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or all of Lambert Zoubek’s n The comfort of heated infusion life, his brother, Leonard, chairs. n The private restroom. had been there. n Individual televisions and The oldest of three blanket warmer. brothers, Leonard looked “Those kinds of details might out for Lambert as older not sound like a big deal, but they siblings do, no matter their age. are,” says Jade Roth, a nurse and The brothers farmed together, lived Oncology Suite staff member from together and spent much of their time Milford. She also lost her brother, together. That included Leonard’s battle John Kildare, to cancer in 2016. with lung cancer. Lambert drove him He, too, was a veteran, serving from their Wilber farm to chemotherapy nine years in the U.S. Navy before in Lincoln. a career in law enforcement. After Leonard’s death in 2015 at age Jade was with her brother 84, Lambert looked for a way to honor when he learned he had a rare his big brother, a U.S. Army veteran who cancer of the thymus gland, an received the Silver Star for heroism and organ of the lymphatic system gallantry in action during the Korean War. that’s in the chest and normally The result is the new Oncology Suite shrinks away after puberty. John at Crete Area Medical Center (CAMC), was 39, married with a first baby made possible by his donation to the on the way. His son was born Crete Area Health Care Foundation. just three days after his first “Lambert’s vision was to ensure that chemotherapy treatment. Jade patients would be able to receive Lambert Zoubek displays a 1950s portrait of his big often drove John to treatments oncology services close to home. With brother, Leonard Zoubek of rural Wilber. in Lincoln. Her voice still catches his overwhelming generosity we can when she talks about John, the now make this a reality, providing baby brother she and her sister could never rile, the one with so chemotherapy infusions in a dedicated space that is soothing, much patience and so much kid in him. “He would have made a comfortable and designed especially for our patients,” says great dad, if he had gotten the chance,” she says. Rebekah Mussman, CAMC president and chief executive officer. Jade is specially trained to administer chemotherapy. Like the To Lambert, driving to Lincoln for chemotherapy wasted time plaque at the Oncology Suite’s entrance bearing Leonard’s name, made all the more precious by a cancer diagnosis, and he also her role there honors her brother. She believes the location and came to realize how others from his home area were driving for care in the new suite will comfort other families as they face the same reason. cancer. “I felt it would help if Crete could do this service,” he recalls. Lambert made it possible, Rebekah says. “I can’t thank him Lambert’s donation funded construction of the Oncology enough for his compassion, dedication and passion toward Suite as well as upgrades to the existing CAMC pharmacy. The patients who are battling cancer. It is our honor to be a part of suite houses two infusion chairs, a nurses station and a passthis journey in remembrance of his brother, and we will strive through to the pharmacy. daily in our quest to serve those close to home.” n And it’s the little touches that stand out:
Bryan Journeys 27
BRYAN FOUNDATION
See your generosity in
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atients, visitors and nary lab employee who helped providers are benefiting develop Nebraska’s first cardiac from the generosity of rehab program, purchased the donors. artwork through the SesquiIn recent months, we: centennial “Nebraska by Heart” l Named the Gregorius public art project and donated it Conference Center at Bryan to the Bryan Foundation. West Campus in honor of Peter says, “This sculpture Charles Gregorius, MD, and recognizes all the employees and Carolyn Gregorius. Gifts from staff who helped grow the heart the couple are supporting the program to what it is today.” l Brought Stop the Bleed future of education for health training to first respondcare professionals. l Installed 21 original pieces ers and the general public of artwork created by Beth throughout the region. Van Hoesen and Mark Adams This national initiative teaches of California. The artwork is life-saving techniques to control brightening spaces in the bleeding, such as applying tourniNeonatal Intensive Care Unit, quets, until emergency respondthanks to this gift from the ers arrive. Our efforts are suplate artists’ trust. ported by a Community Health l Dedicated artist Valery Endowment of Lincoln grant. n Wachter’s “Nebraska Stop the Bleed training Wildflowers” empowers the public to respond. sculpture at Bryan East Campus to recognize Bryan’s award-winning heart program. Her design is an ode to the types of flowers that greeted pioneers in early Nebraska and that we still enjoy today. Jim Peter, a former Bryan cardiopulmo-
28 Spring 2018
Dr. Charles and Carolyn Gregorius are supporting education for health care professionals. “I am grateful to Bryan Health for providing me with a wonderful career, and we wanted to give back not only to Bryan but to our community,” Dr. Gregorius says.
BRYAN FOUNDATION
action Original artworks by Beth Van Hoesen and Mark Adams of San Francisco are brightening areas of the NICU.
Ellen Beans, director of Volunteers & Customer Care, introduces Art Committee members Anne Pagel, June Pederson and Valery Wachter during the unveiling of the art collection.
Jim Peter (wearing red jacket) and artist Valery Wachter show off “Nebraska Wildflowers� for friends at Bryan East Campus.
Bryan Journeys 29
BRYAN COLLEGE OF HEALTH SCIENCES
Farewell to Maize, welcome new provost Anderson Bryan College of Health Sciences said goodbye to a familiar face: Provost Kay Maize, EdD, retired after almost 38 years with the college. Kelsi Anderson, PhD, associate professor and director of the Biomedical Sciences Program, succeeded her in January. The provost serves as the chief academic officer and oversees curriculum, faculty and academic policies.
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have died within Bryan, so it is a lifelong family connection.” The couple is looking forward to traveling and spending time with family. They plan more visits to her mother, who still lives in Madison, and they hope to get extra time with their granddaughter, who lives in Lincoln. Dr. Maize says that she was proud to serve students and help them advance professionally, and she commends her colleagues at the college for their dedication. “It truly has been a wonderful journey,” she says.
ay Maize, EdD, was born and raised in Madison, a small town in northeastern Nebraska. She elsi Anderson, PhD, grew up in recalls an early experience that drew her Lincoln and, even as a child, says she to nursing. was drawn to a career in health care. “ When I was in grade school, my “I thought from a young age I wanted to grandmother died from breast cancer, and be a physician, until I did some shadowing my interest in health care grew from that,” and realized that wasn’t for me,” she recalls. she says. Later she attended Nebraska In 1998, she left Lincoln to attend Methodist College of Nursing, Omaha; North Park University in Chicago, where she after earning a nursing diploma in 1977, continued to explore her interest in science. her first job was night nurse at Good She earned a bachelor’s in biology there Samaritan Hospital in Kearney. In 1980, and in 2008, she completed a doctorate in she applied for a pediatric nurse instructor microbiology at the University of Nebraska position that would begin her relationship Medical Center, Omaha. with Bryan College of Health Sciences. During a fellowship at the University of She went on to serve in several roles yaK Michigan, Ann Arbor, she became interested here: curriculum manager, dean of nursing in education as a possible career path. and acting president. In 2011, she was “I decided I wanted a career where I could appointed the college’s first-ever provost. Kay Maize, EdD, and Kelsi Anderson, PhD impact lives daily, and as a result, I took a Throughout her career, Dr. Maize course to learn more about undergraduate continued her own education. She earned teaching careers,” she says. bachelors degrees in psychology and in Dr. Anderson began as an assistant nursing and masters degrees in nursing professor at Concordia University, Ann and in human development and the family. Arbor, Michigan, in 2010. In 1997, she earned a doctorate in education. “I truly found my calling and passion — helping college students find “You can say I truly believe in lifelong learning,” she adds with a laugh. their way inside and outside the classroom,” she recalls. Dr. Maize says being part of the team that guided the college through During her time at Concordia, Dr. Anderson was appointed director of periods of substantial growth was especially rewarding. academic operations. She says her time in that role helped her recognize “It was a very exciting time, developing the college from the ground up important trends in higher education, and she was able to learn a great and implementing degree programs for associate, baccalaureate, master’s deal about serving faculty, developing academic programs and improving and doctoral students,” she says. “Our team is very committed to student student retention and success. success and quality in education.” Dr. Anderson has appreciated her experience at Bryan, and she looks Dr. Maize says her time at Bryan influenced her personally as well. forward to serving the deans and being a voice for Bryan College of Health She met her husband, Paul, at a management development class at Bryan. Sciences in the community. Paul retired four years ago from his position as manager of environmental “ The best part of working at Bryan is watching students pursue their services, and the two served Bryan for a combined 70 years. passions and achieve their dreams,” she says. “Ultimately, I look forward “You talk about an institution feeling like a family — my husband and to continuing the mission of Bryan as we move forward together to offer I met here, our daughter was born here, and a couple of years ago, our excellent academic experiences for our students.” n granddaughter was born here. We’ve also said goodbye to parents who
30 Spring 2018
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ALUMNI NEWS
Celebrating achievements together
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3 Bryan College of Health Sciences awarded 86 diplomas Dec. 15 at commencement. During her address, Lincoln attorney and former nursing manager Erin Duggan Pemberton, chair of the Bryan College of Health Sciences Board of Trustees, encourages graduates to applaud those who helped them fulfill their dreams. In photo 1) Kay Maize places a hood on Wendy Muir to signify completion of a Master of Science in Nursing. 2) Faculty are all smiles as they cheer on Bryan’s newest grads after the ceremony. 3) Forty-nine earned BSN degrees. Bryan College of Health Sciences President Rich Lloyd helps alumna Helen Weber (Class of 1939) celebrate her 100th birthday in January. Bryan Journeys 31
PUBLIC NOTICE
Discrimination is against the law
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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.
32 Spring 2018
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COMMUNITY CALENDAR
Bryan Health Kids’ Club presents:
Home Run for Health with the Lincoln Saltdogs
Friday, June 22 Haymarket Park Pregame Activities: 4:30-7 p.m. • More than 30 exhibitors with interactive health and safety activities • Meet and greet with Lincoln Saltdogs players • Bounce houses and play area • One lucky child will be invited to throw the first pitch • Every child will receive a glow necklace
Baseball Game: 7:05 p.m. Lincoln Saltdogs vs. Chicago Dogs Fireworks Show: Following the game
Tickets available May 1 at:
saltdogs.com/bryanhomerun • General Admission Berm Seat - FREE • Reserved Seat - $6 Both ticket levels include admittance to the Home Run for Health pregame activities.
Podcasts focus on healthy topics Listen to these and other free 10-minute podcasts at bryanhealth.org/podcasts. New Blood Pressure Guidelines: What You Need to Know Todd Tessendorf, MD, Bryan Heart cardiologist, explains the new blood pressure guidelines. These research-based guidelines indicate high blood pressure should be treated earlier. Find out how this affects you and get tips on how you can stay within a healthy range. Are You at Risk for Shingles? Anyone who has had chickenpox may develop shingles, even children. However, the risk of shingles increases as you get older. Suzanne Vandenhul, MD, Southeast Lincoln Family Medicine, part of Bryan Physician Network, discusses this potentially painful condition and what precautions you can take to avoid getting shingles. Cancer diagnosis? What’s your next step? Talk to a Nurse Navigator A cancer diagnosis can be overwhelming — the emotions, the unknown, the decisions. At Bryan, we have specially trained nurses who are here to help you and your family through each step of your cancer journey. Oncology nurse navigators Joanna Morgan and Carrie Waltemath discuss how they can help support you after you’ve been diagnosed with cancer. 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 reoccurring and how physical therapy can help you feel better.
Bryan Journeys 33
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