In 2006, I co-founded Minnesota Doctors for People to create a way for local healthcare providers to serve on short-term medical mission trips. We serve in Guatemala and Mexico and made our first medical mission trip in 2007.
Our teams of medical providers, nurses, interpreters and pharmacy assistants, numbering 10-12 per team, travel to remote rural areas and set up free medical clinics. We coordinate our outreach with local service agencies. We make a sincere effort to serve their medical needs while being sensitive and respectful of local cultural traditions.
My faith has led me here.
I have served in Guatemala and Mexico countless times, along with my husband, Rich Peller, MD, Mankato Clinic Family Medicine. The trips are impactful as both the level of poverty and the need for healthcare can be severe.
Mankato is so blessed to have a large medical community. We are grateful for our volunteers across many organizations. Mankato Clinic colleagues and nurses have been very supportive and joined us in our journeys. Since the beginning, Dr. Cathy Davis and I have traveled and worked side by side.
At MDP, we are guided by our mission to serve the underserved, embodying the belief that service is not a one-way street but a reciprocal journey. Through our work, we’ve discovered that every act of compassion not only benefits those we help but also enriches our own lives. Many of our volunteers share that serving with MDP is a deeply fulfilling experience that nourishes their heart.
This issue is dedicated to medical mission trips around the world. MDP is just one of many organizations doing this work. Our colleagues Drs. Penny Swanson and Nataliya Danylkova perform eye surgeries in Kenya, Dr. Scott Barnacle trained healthcare professionals in the Democratic Republic of the Congo, Dr. Daniel Watson performs ENT surgeries in El Salvador, and Dr. Susan Pearson teaches at a hospital in Taiwan.
We hope we inspire you to serve. There are opportunities for all of us – medical and non-medical alike – to serve around the world or in our own backyard.
If you have a story idea, email co-editor Marie Wood at mariew@mankatoclinic.com SUSAN PELLER, APRN, CNP
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MEDICAL MISSION TRIPS AROUND THE WORLD
By MARIE WOOD
PHOTOS BY MICHELLE ISEBRAND PHOTOGRAPHY
Up to 3.5 billion people, almost half of the world’s population, lack access to the health services they need reports the World Health Organization.
In response to this great need, Mankato Clinic physicians, practitioners and nurses go on medical mission trips to care for people. They travel to Africa, Central America, Mexico and other locations. They know they are helping people; the reward is deep and profound gratitude. Here is a glimpse of their work and the places and people who have captured their hearts.
Specialty Care in El Salvador
Dr. Daniel Watson, Ear, Nose and Throat physician, joined the Moreano World Medical Mission to El Salvador in February 2024. In a small town outside of San Salvador, Dr. Watson and four surgeons provided free ENT surgeries to those in desperate need of care.
“I did this mission trip because of the need for specialty care in El Salvador. There are relatively few ENT providers for their population; a simple tonsillectomy can be life changing for some patients,” Dr. Watson says.
On the first day, the ENT specialists saw close to 200 patients. Over the next three days, they completed 80 surgeries – tonsillectomy, ear surgery, ear tubes, nasal surgery, and burn/ scar revision surgery.
“What is amazing to me is how stoic and brave the people are going into surgery, and how they recover from surgery with such grace and gratitude,” he says. “The mission trips help me connect with individual hardships that many of us here in the U.S. rarely have to face. It’s an honor to earn their trust and provide them with much needed care.”
Moreano World Medical Mission is founded by Edwin Moreano, MD, an ENT facial plastics surgeon in New York.
Eye Care in Kenya, Africa
Since 2019, Dr. Nataliya Danylkova and Dr. Penelope Swanson, Mankato Clinic ophthalmologists, have been participating in annual surgical mission trips to Kenya with the nonprofit organization Kenya Relief. Their February 2024 trip marked yet another week of life-changing work, during which the dedicated team conducted over 400 eye exams and performed 74 cataract surgeries in a remote region of the country.
“It’s incredibly touching to witness the transformation surgery brings,” Dr. Swanson shares. “Some patients arrive being led in because they can’t see, and moments after surgery, they’re smiling, able to see the world again. The clinical days are a whirlwind, but the experience gives me far more than I feel I contribute.”
In Kenya, many patients wait until they are completely blind before seeking help, a stark contrast to the less severe cases typically seen by ophthalmologists in the U.S. The doctors also encountered a range of trauma-related injuries and other eye diseases during their time there.
“We know we’re making a significant impact on many lives,” Dr. Danylkova says. “Practicing medicine in a place like
single person who walks through the door, doing everything we can with the resources available. Even though it’s a small contribution compared to the overwhelming need, it’s deeply rewarding.”
Beyond the clinic, Dr. Danylkova and Dr. Swanson dedicated time to the Kenya Relief orphanage and school, where they witnessed the resilience and joy of the local community despite limited material resources. Both doctors sponsor children at the orphanage, strengthening their connection to the mission and its impact.
“In our community work, I’m always struck by how much happiness and gratitude people have, even with so little. It’s a reminder that what truly matters isn’t material possessions but the relationships and connections we build,” Dr. Swanson says.
For Dr. Danylkova, the connection to the orphanage is deeply personal. She sponsors three children there and returns each year to continue supporting their growth and education. Her own children have joined her on a mission trip, meeting the children they’ve corresponded with through letters.
“I wanted to give hope to the children we sponsor and, at the same time, show my own children the power of making a difference in someone’s life,” Dr. Danylkova says.
Their ongoing commitment to the mission is a testament to the profound impact of compassionate care and global outreach, leaving a legacy of hope and vision for those in need.
Women's Healthcare in Africa
Dr. Scott Barnacle, Mankato Clini and gynecologist, completed a mission trip to the Democratic Republic of the Congo (DRC), where he trained Congolese healthcare providers and surgeons to safely deliver babies and perform hysterectomies in challenging conditions. The medical mission trip was conducted by the Paul Carlson Partnership.
“The people in Congo suffer from all the conditions we have in the United States, but the hospitals and clinics do not have the most basic resources to care for patients. Things we take for granted like running water and basic sanitation are scarce in this area of Africa. The doctors and nurses must make do with very little. The care they provide though is excellent despite their limitations,” Dr. Barnacle says. “You can see their passion for caring for their patients.”
“Our mantra is ‘Teach the Teacher,’” Dr. Barnacle adds. “Each medical mission is designed to teach skills to Congolese doctors and nurses so when the volunteers leave, the Congolese doctors and nurses can continue to provide high quality care to their patients.”
Dr. Barnacle conducted medical training with Congolese healthcare partners in the Karawa region. With another physician, they trained 26 students from the region to deliver babies under incredibly difficult circumstances. As part of their training, the students learned how to treat postpartum hemorrhages. In addition, they trained a master trainer to continue education and training across the DRC.
Dr. Barnacle also performed hysterectomies and trained three surgeons to safely perform hysterectomies in very
Surgical instruments were purchased by Dr. Barnacle. Upon completion of the training, the equipment was donated to the Karawa Hospital where it was greatly needed for future surgeries.
Stand with Ukraine MN
Since the onset of the Russian-Ukrainian war in 2022, Dr. Nataliya Danylkova and her husband have been at the forefront of Stand with Ukraine MN, an organization delivering critical aid to those affected by the conflict. With the support of numerous volunteers and generous donations, the organization provides lifesaving medical supplies, humanitarian aid, and off-road evacuation vehicles to t he front lines.
A particular focus for Dr. Danylkova is supplying protective eyewear to soldiers and volunteers, safeguarding their vision amidst the dangers of war in her homeland.
Dr. Danylkova is also a dedicated fundraiser for the Protez Foundation, which offers prosthetic care to children, civilians, and soldiers who have lost limbs in the war. Each month, wounded soldiers travel to Minneapolis for prosthetic fittings, with
To learn more, visit paulcarlson.org
around 80% returning to active duty. In addition, she has treated soldiers with eye injuries, guiding them through specialized medical care and recovery.
Since May 2022, The Protez Foundation has made a remarkable impact, serving 356 patients and fitting 755 prosthetics, though the need remains overwhelming, with a waitlist of over 2,000 individuals.
“It’s challenging and emotional work,” Dr. Danylkova shares. “But providing continuous support is essential—it makes a real difference in saving lives and restoring hope.”
In April 2022, Dr. Danylkova traveled to the PolishUkrainian border to support refugees in a camp in Przemyśl, Poland. Using her multilingual skills in English, Ukrainian, Russian, and Polish, she assisted in triaging medical and psychological needs, offering care, support, clothing, and medication to those displaced by the war.
For more information, visit standwithukrainemn.com and protezfoundation.org.
Minnesota Doctors for People
Minnesota Doctors for People, based in Mankato, brings free health care to Guatemala and Mexico. They have completed 35+ medical mission trips with 350+ volunteers and served over 15,000 patients since 2007.
Susan Peller, family nurse practitioner, and Dr. Cathy Davis, pediatrics and dermatology, have been leading trips to San Lucas Tolimán, Guatemala for more than 15 years. They just completed a nine-day trip together in November 2024.
“They have a beautiful culture built on faith and family. The gratitude of the people is deeply fulfilling. In serving, you get more than you give,” Susan says. “Learning a different culture is mind opening and makes the world a little smaller.”
“I still feel this draw to provide care for people who do not have the access to healthcare that we do in the United States. It’s really gratifying. They grab your hand and say thank you,” Dr. Davis says.
In Guatemala, MDP partners with Friends of San Lucas for their outreach. The town of San Lucas Tolimán is their home base. They eat meals together at the San Lucas Mission, taking turns doing the dishes morning and night.
During the day, they travel to remote villages to set up free pop-up medical clinics where they care for the Mayan people. The care model relies on a team of 10-12 people – medical doctors, nurses, interpreters and pharmacy assistants. For many patients, this is the only medical care they will receive all year.
On their recent journey, the team served 152 patients with 3 providers in 4 days of clinic.
Teams have set up clinics and pharmacies in churches, community centers, schools, a tienda and many outdoor sites. On the most recent trip, they ran a clinic in a building with wires and light bulbs, but ironically no electricity or light.
“It brings you back to why you went into health care in the first place. You are doing the best you can with the resources you have for the person in front of you,” Susan says.
“We always say ‘We’re going to make it work.’ That’s the adventure part of it,” Dr. Davis says.
Teaching and Learning in Taiwan
Dr. Susan Pearson, Ear, Nose and Throat specialist and surgeon, speaks Mandarin Chinese and lived for 6 years in Taiwan, where she worked at a hospital. Taiwan is her second home and she returns most every year to teach at Chia-Yi Christian Hospital, Chia-Yi, Taiwan.
In April 2024, she delivered a lecture to the entire hospital staff and taught an education module for the ENT department. She teaches to help develop medical care in Taiwan.
Jessica Miller, LPN, who works with Susan at Mankato Clinic, loved every minute of the Guatemala November 2024 mission trip.
“The people are a gentle people with the most gracious hearts. There was a constant contrast between the ineffable beauty and the poverty, however there was joy and great family dynamics, a lot we can learn from them,” Jessica says. “It was one of the best things I have ever done in my life and I hope to do more!”
The Mayan people do hard, physical labor, carrying heavy loads on their backs. In clinic, they see body aches, joint pains, ear infections, respiratory illnesses, diabetes, hypertension, skin rashes, digestive issues and malnutrition. The San Lucas Mission’s child nutrition program has reduced childhood deaths due to malnutrition by 80%. Still malnutrition exists as does extreme poverty. Both bring tears to the volunteers.
Mankato Clinic colleagues, friends and family, have joined MDP medical missions through the years. Susan’s husband, Dr. Rich Peller, Family Medicine, has been to Guatemala and Mexico many times. Dr. John Benson has traveled to Mexico three times. Dr. Scott Barnacle, OB-GYN, has also completed an MDP trip to Mexico.
Medical and non-medical volunteers are needed.
“They are great people to work with. I learn so much more than I ever teach. It’s so great to learn from other cultures and countries,” Dr. Pearson says.
CLINICAL TRIALS OFFER SILVER LINING THIS WINTER
By MARIE WOOD AND JAVARA STAFF
As cold weather sets in, we head indoors where viruses spread more easily from person to person. The increased risk of illnesses like RSV can be concerning for families.
RSV – Respiratory Syncytial Virus – is a highly contagious virus that targets the upper and lower respiratory tracts. Young children under the age of 5 and older adults are most vulnerable to the impacts of RSV. An RSV treatment clinical trial taking place at the Mankato Clinic could offer a silver lining to adults age 60 and older this winter.
According to the CDC, each year RSV causes approximately 2.1 million outpatient visits among children under 5, and over 100,000 hospitalizations among adults over 60. A multitude of health conditions can increase one’s risk of severe RSV infections, especially in older adults. Your Mankato Clinic provider can be a valuable resource in protecting you and your loved ones from severe RSV. Clinical research may be one option.
Clinical trials, such as the RSV treatment trial available through Mankato Clinic, offer access to medical innovations. Traditionally, clinical trials have only been available in cities with research hospitals. Clinical research participation offers a robust care experience and the opportunity to better understand RSV and develop more effective interventions.
A partnership with Javara, Mankato Clinic’s dedicated clinical research partner, makes clinical studies in Greater Mankato possible. Now adults over age 60 have access – close to home – to a clinical trial aimed at developing a treatment for RSV. Studies for asthma and major depressive disorder are also available. COVID-19 treatment and blood pressure device trials are coming in 2025.
The collaboration between Mankato Clinic and Javara was established to bring clinical trial opportunities directly to this region. Javara, a leader in transforming healthcare has teamed up with healthcare organizations to deliver clinical trial opportunities to patients through their trusted providers. ■
Dr. Katie Thompson, Mankato Clinic Family Medicine and Javara Investigator, recently joined KMSU The Maverick FM to talk about conducting clinical trials in the community. From Asthma to RSV, Dr. Thompson discusses the value of clinical research and what to expect during the clinical trial process. The conversation is perfect for anyone interested in better understanding clinical research and the benefits to patients.
Listen to the podcast here!
To learn more about clinical research, visit mankatoclinic.com/resources/ clinical-researchguidance/index.html
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Javara to learn more.
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TOP 6 TIPS TO NOURISH YOUR GUT
Eat a variety of whole foods.
Enjoy whole grain breads, oatmeal, quinoa, wild rice, popcorn, barley and more. Add more vegetables, fruits and nuts to your meals and snacks. Plant fibers feed beneficial microbes in your gut microbiome which in turn nourish your gut. Many of these plant foods are called prebiotics. Some foods with high amounts of prebiotics include apples, asparagus, bananas, berries, green vegetables, legumes, onions and tomatoes. Try to eat 30 different plant-based foods a week. Coffee, herbs and spices count!
Add probiotic foods.
Probiotics are helpful microbes that you’ll find in fermented foods and drinks. Probiotic foods include yogurt, kefir, cottage cheese, kombucha, sauerkraut or kimchi, pickles and pickle juice. Look for “live and active cultures” on the label.
Gut health is connected to our brain, mood, immune system and overall health. The gut is shorthand for the gastrointestinal system that includes the esophagus, stomach, small intestine, liver, gall bladder, pancreas and colon.
Our gut digests and absorbs nutrients from food and keeps things moving. The gut is fascinating and sometimes called the second brain because the GI tract has about 100 million nerve cells which communicate with the brain. To break down food, the gut uses enzymes, mechanical activity, nerves, and hormones like insulin. Our gut is also inhabited by over 1,000 species of microbes, bacteria and viruses, called the microbiome.
Bacteria plays a major role in the gut microbiome. The gut microbiome is a buzzword in the health field. The gut microbiome is like a garden. When we grow a diverse garden, our health thrives.
While this is an amazing field of research, the lessons we are learning bring us back to the basics of eating whole foods, lean protein and fresh fruits and veggies for good health.
Chew your food.
When we chew, we begin digesting and breaking down our food to help the body absorb nutrients well. Chewing also increases the production of saliva and enzymes to support your gut microbiome and help prevent the overgrowth of bacteria and fermentation in the gut. Both can lead to indigestion, bloating, increased gas and constipation. Plus, when you focus on chewing, you will find you are eating more slowly, enjoying your food more, and skipping the discomfort of feeling too full.
Drink water.
Water, the best drink for our bodies, is also good for our gut health. Like chewing, water also helps break down our food to help our body absorb nutrients. Plus, it helps prevent constipation to keep things moving. Research from the National Library of Medicine shows that drinking water contributes to a diverse gut microbiome.
Limit ultra-processed foods and sugar.
Ultra-processed foods are cereal, white breads, cookies, chips, pop, fast food, candy, mass-produced baked goods and many energy bars. These foods do not contain the good fiber that feeds our gut microbiome. Research shows they can change the gut microbiome and lead to inflammation. These foods are absorbed quickly into our body with little digestion. The gut absorbs the sugar which can cause spikes in blood sugar levels. Not only are these foods designed to make us keep eating, our gut may not send the signal to our brain that we are satisfied. Limiting processed foods and sugar can improve your gut microbiome and reduce the risk for obesity, cardiovascular disease, type 2 diabetes and inflammation.
Get regular physical activity.
New research is showing a connection between exercise and the gut microbiome. High intensity cardio exercise, such as running, increases the oxygen in the brain and bloodstream which helps create an environment for good bacteria to thrive. Low intensity exercise, such as walking, helps keep us regular and supports healthy digestion. Exercise can also lower the risk of Crohn’s disease, ulcerative colitis, colon cancer and improve the body’s immune function. ■
FOLLOW YOUR GUT
At Mankato Clinic Gastroenterology, our physicians, providers and staff understand that digestive issues affect your quality of life. It impacts how we eat and live. We may miss work, stay home and sk ip activities.
Listen to your gut. If you have ongoing diarrhea, constipation, frequent or severe heartburn, bloating and gas, sudden abdominal pain or blood in your stool, see your primary care provider. Your PCP can refer you to a Gastroenterologist. In our first visit, we will learn about your symptoms and create a plan to diagnose and treat.
We may recommend blood tests, stool tests, imaging (such as ultrasound, x-rays) or endoscopic evaluation, including upper endoscopy or colonoscopy.
Sometimes, we find that certain foods are irritating your gut. To reach a diagnosis, we may ask you to stop eating these foods for a short period of time. If you are feeling better, then we can create a treatment plan and support you in altering your diet. Throughout your care, we work closely with your primary care provider.
Above all, we encourage you to seek medical care if you have digestive symptoms. Lean on your primary care provider and GI specialist for diagnosis and treatment.
KARA SULLIVAN, MD MANKATO CLINIC GASTROENTEROLOGY AND ENDOSCOPY CENTER
1230 East Main Street Mankato 507-389-8509 mankatoclinic.com/specialties/ gastroenterology-digestive-care
DOES MY CHILD HAVE AN EAR INFECTION Q & A
By SUSAN PEARSON, MD
During the winter months, ear infections in children are common. They often occur after a cold or virus. Fluid can build up in the middle part of the ear behind the ear drum, become infected and de crease hearing.
In infants and toddlers, signs and symptoms are fever, pulling on one ear, being fussy or less active, lack of appetite, vomiting or diarrhea and decreased or delayed speech and language development. Older children may have ear pain, temporary loss of hearing and regression or lack of progression of speech and language.
If you think your child has an ear infection, see your primary care provider or go to Urgency Care. They will do an exam and look in your child’s ears.
Antibiotics can treat ear infections, but they are not always the answer. Antibiotics kill the bacteria that cause some ear infections. However, many ear infections are caused by viruses. Antibiotics do not work on viruses. Research shows that many children heal from ear infections without medicine. Every time we take antibiotics; bacteria can change and evolve to become resistant to the antibiotic. To help antibiotics remain effective, it’s important to only take antibiotics when truly needed.
In general, physicians tend to prescribe antibiotics in infants younger than 2 years old. Your provider may recommend waiting a couple days before taking antibiotics if your child is older than 2 years old, generally healthy, pain and fever are not severe, eardrum is not bulging, and fever is lower than 102 F. Let your provider know if symptoms worsen or fluid is draining from the ear. In addition, your provider will consider your child’s general health and number of ear infections.
To help your little ones feel better, give them acetaminophen (Tylenol) or ibuprofen (Advil) for pain and fever. Do not use aspirin as it can be dangerous for children.
If your child gets a lot of ear infections or is speech delayed, ask your primary care provider for a referral to the Ear, Nose and Throat department.
As a Pediatric Ear, Nose and Throat specialist, I treat children with frequent ear infections and perform ear tube surgeries when needed. Ear tubes are placed in the eardrums to drain fluid, relieve pressure, help prevent future ear infections, improve hearing and speech and language development.
We can discuss the best options to help your child be healthy and hear well! ■
DR. SUSAN PEARSON EAR, NOSE AND THROAT
Wickersham Health Campus
507-385-4025
mankatoclinic.com/specialties/ent
Why are ear infections more common in children than adults?
There are three parts of the ear: outer ear, middle ear and inner ear. The middle ear is an open space, normally filled with air, between the ear drum and the inner ear. The eustachian tube runs from the middle ear to the throat. It opens and closes to equalize pressure when you go up or down a hill or fly.
The eustachian tube doesn’t always work properly if there is a viral or bacterial infection, allergies, colds, or respiratory illnesses. Children are more susceptible to ear infections because the eustachian tube is smaller and more horizontal, making it difficult for the fluid to drain out. In fact, 5 out of 6 children have at least one ear infection by 3 years old. As we get older the eustachian tube gets bigger and tilts, so the fluid can drain out easier.
Can an ear infection cause hearing loss?
An ear infection, also called otitis media, can affect hearing because sound can’t get to the inner ear as well. Things can sound quieter, muffled and not clear. The hearing loss is usually mild and usually gets better after the ear infection goes away. If ear infections are chronic, hearing loss can be worse or can cause a hole in the eardrum. In some children, fluid can stay in the ear after the infection has cleared. If hearing loss lasts a long time, it can cause problems with children’s speech. If they can’t hear speech well, they can’t say it well.
If you have concerns about your child’s speech, hearing, or a possible ear infection, see your primary care provider so proper treatment can be taken, and referrals can be made if necessary.
Can ear infections be prevented?
The best way to help prevent ear infections is to try to stay healthy, get recommended vaccines, avoid people who are sick, wash your hands, and avoid exposure to secondhand smoke.
AUDIOLOGIST
Mankato Clinic Hearing Care Center
Wickersham Health Campus
507-385-4025
mankatoclinic.com/specialties/hearing-care-center
COLLEEN VITZTHUM, AU.D, CCC-A
A SENSE OF PURPOSE MAINTAINING
For most people, feeling as though they have a sense of purpose is an important driver in life. It doesn’t need to be something grand and world changing. A sense of purpose can come from many things, such as how we care for our loved ones, how we contribute to the world daily, and how we express our values.
Our purpose can change depending on our life circumstances and where we are in our individual life journey. For those over age 65, changes in how purpose is recognized can lead to challenges.
Psychoanalyst Erik Erikson is most known for his theory on psychosocial development. He identified eight stages in life, each of which carries a basic conflict and an assigned virtue. For example, stage one is infancy, and the focus here is trusting vs mistrust. Babies are learning whether they can trust the people and the world around them, and when they are met with an environment that facilitates trust-building, they acquire the virtue of hope.
In the beginning stages, more is out of personal control and very much influenced by the environment. However, as one progresses through the stages, one gains more responsibility for how one reacts and attends to each conflict.
When we reach the final psychosocial stage, which is old age, it becomes a time in which people grapple and lean towards integrity or despair. The ultimate value that is being strived for is wisdom.
Integrity prevails when individuals feel a sense of fulfillment in their lives and accept what has been. Despair elicits feelings of regret, disappointment, and fear of dying.
Actively maintaining a sense of purpose during this time is critical to achieving a feeling of integrity and wisdom. There are many ways to cultivate a sense of purpose at this stage of life.
Engage in a Daily Practice
Daily practices could include things like yoga, meditation, or taking a walk. It might involve a phone call with a friend, a letter written to a grandchild, reading, learning something new, or keeping a journal.
Be Needed by Others
Humans are social beings, and that remains true no matter what stage of life. Being needed by others can come in many different forms. Volunteering or donating to a cause is one way to help maintain a feeling of purpose. Caring for a pet, tutoring a child, or sharing knowledge and experience with others are purposeful acts.
Create
The act of creating, even if it is something small and even if it doesn’t turn out to be a masterpiece, is a very effective way to elicit purpose. Hobbies such as gardening, even if it is just growing a tomato plant, playing an instrument, writing, or reading are all beneficial. Basic arts and crafts and even coloring are ways to help keep purpose thriving.
Participate in Fun Activities with Peers
Even introverts need socialization to thrive. It may look different for some, however, connecting with others is critical to mental health, and that holds true for every age. Spending time with those who we care about gives us something to look forward to. It doesn’t need to be a whole day of socializing. Perhaps a card game, baking some cookies, or going on a short walk with a friend would suffice. The bottom line is that socializing with those who share our values can help us find a deeper sense of purpose.
Without a sense of purpose, individuals may struggle with feelings of depression. Depression is not a normal part of aging. If you or someone you know is struggling with feelings of depression, consult your primary care provider and make a plan for self-care. ■
This article is for general knowledge and informational purposes only, and should not be considered as a substitute for professional medical advice, diagnosis, or treatment.
YUM!
Breakfast for Dinner = Brinner
In our house, breakfast is by far our favorite meal, so why not enjoy it more often?
These recipes are staples in our home. When served together you get a wellbalanced meal that is veggie-filled, sweet and savory, healthy, satisfying and contains an adequate source of protein, carbohydrates, and fats. And I have it on good authority from my three children,
that it tastes even better the next day as a reheat-and-eat meal (or snack).
The only things I love more than breakfast are gathering with my family and any food that can be made in the crockpot! These recipes can be prepped ahead of time and enjoyed right out of your crockpot! Perfect for breakfasts, weekends, entertaining, and brunches, too.
For faster clean-up, use slow-cooker liners.
Recipe adapted from therealfooddietitians.com/sweet-potato -breakfast-casserole/#tasty-recipes-9699
1. Mist the bottom and sides (about 3 inches up from the bottom) of the slow cooker with cooking spray or grease with butter.
Pinch of black pepper
Pinch of cayenne
½ small red onion, diced or thinly sliced (about ½ c.)
½ bell pepper, diced or thinly sliced (about 2/3 c.)
3 c. spinach leaves
8 large eggs
Fine salt and pepper
Avocado, sliced (optional, but not if you ask my 4-year-old)
5. Once peppers are soft and onions are translucent. Add spinach and cook for 1-2 minutes or until spinach is wilted, then stir in the cooked sausage and remove pan from heat.
2. In a medium sauté pan, heat the oil over medium-high heat. Once hot, add sweet potato. Dash with salt. Cover and let cook for about 10-12 minutes or until sweet potatoes are slightly tender. Stir occasionally.
3. Meanwhile, in another sauté pan on medium-high heat add the ground pork and seasoning and cook until browned. Drain pork if needed.
4. Add the peppers and onion to the tender sweet potatoes and continue sautéing for 3-4 minutes.
6. In a large bowl, crack the eggs, add a dash of salt and pepper, and whisk.
7. Add the sweet potato and sausage mixture to slow cooker, then pour whisked eggs over the top. Make sure to submerge all the ingredients so that they are covered with the eggs.
8. Cover and cook on low for 4-6 hours or until the center is set.
9. Cut into 6-8 servings.
10. Serve with sliced avocado, and/ or drizzle of hot sauce if desired.
HOLLY ELLISON, RD, LD MANKATO CLINIC DIABETES CARE CENTER
CROCKPOT FRENCH TOAST
INGREDIENTS
6 large eggs
2 c. milk of choice (we use full-fat dairy)
2 T pure maple syrup
(We love to source and buy local, our favorite maple syrup, Wesley’s, comes from Elysian, MN)
1 tsp. pure vanilla extract
2 T ground cinnamon, divided
1/8 tsp. ground nutmeg
1 tsp. pumpkin pie spice
6 c. bread cubes
(We use gluten-free. Our favorite GF bread is made at Wooden Spoon on Riverfront Drive in Mankato.)
1 T brown sugar
BERRY SAUCE
My Grandma Marlene cans a wide variety of sauces every year and graciously keeps us stocked. Don’t fret if you don’t have a “Grandma Marlene,” there are plenty of store-bought jams. I recommend Chia Smash Blueberry Jam, The Jam Shoppe Blackberry Jam, or this simple recipe for a homemade berry sauce.
INGREDIENTS
1 lb. frozen berries of choice
INSTRUCTIONS
1. Mist the bottom and sides (about 3 inches up from the bottom) of the slow cooker with cooking spray or grease with butter.
2. In a large bowl, whisk together the eggs, milk, maple syrup, vanilla, 1 T of cinnamon, nutmeg and pumpkin pie spice.
3. Fold in the bread cubes and allow mixture to rest 5-10 minutes to soften. Sprinkle with sugar and the remaining 1 T cinnamon.
4. Slowly pour the mixture into slow cooker, cover with the lid, and cook on HIGH for 2 hours or on LOW for 4 hours or until cooked through.
5. Serve with desired toppings, such as berry sauce, fresh berries, maple syrup, yogurt, powdered sugar, cinnamonsugar, or whipped cream.
INSTRUCTIONS
1. Place a medium saucepan with lid over medium heat. Add frozen berries and maple syrup to the saucepan. Stir and place lid on saucepan. Cook for 7-8 minutes.
2. Remove lid from saucepan, stir berries. Adjust heat to maintain a steady simmer. Replace lid and cook another 7 minutes.
3. Remove lid, mash berries with the back of a large spoon or potato masher. Cook an additional 15-20 minutes uncovered at a steady simmer until sauce starts to thicken.
Remove sauce from heat, stir in
ME TIME
A TRIP THAT CHANGED MY LIFE
By KIM HINIKER
I said Yes to the Minnesota Doctors for People medical mission trip to Guatemala. Our journey spanned November 5-13, 2024, and we completed four days of clinics in mountain villages surrounding San Lucas Toliman.
Guatemala has no idea how much it truly changed my life and made me feel capable of going outside of my comfort zone and taking care of those who don’t have access to basic medical care like we have in the U.S.
Our team was Dr. Cathy Davis, Susan Peller, CNP, Emily Hendel, CNP, Jessica Miller, LPN, Jennifer Prochaska, nurse, her son Alex Prochaska, future medical student, and me, Kim Hiniker, RMA. Seven different people with different titles turned into a family.
This trip is one I will never forget: From Guatemala’s rich and beautiful colors of the handmade woven items sold in tiendas (stores) and the breathtaking views to the heartbreak and poverty in the four villages, we had the honor of serving.
UPDATES FROM THE FIELD
November 6, 2024
Clinic Day 1 – 37 patients
The amount of appreciation that we received today put me in disbelief. From hugs, gum, soft kisses on the cheek and words of thankfulness made me realize how appreciative they were for all of us and made me feel so much more grateful for my job and realize how important it truly is.
November 7, 2024
Clinic Day 2 – 57 patients
This country has become more and more interesting every day and I’ve grown to love it so much. The kind people in the streets saying “buenos dias, buenos tardes and just a simple “hola,” made me feel that “Minnesota nice” was in the streets of Guatemala.
November 8, 2024
Clinic Day 3 – 35 patients
My eyes opened up wider and wider. Seeing the villages where there was no plumbing, the people remembering your name hoping you’d buy from them to help support their families, and the patients we cared for opened my eyes to how blessed we are in the United States. I know and understand that poverty and homelessness exist here, but I’m referring to it as a “take a look in the mirror and realize how lucky you are” moment.
Working alongside 6 very smart and caring individuals and seeing 150+ patients with medical ailments in 4 clinic days truly made me grow as a person, a woman and a nurse. It painted a bigger picture that some things in life that may seem really hard aren’t always the worst thing that could be happening to you.
Another amazing thing I witnessed was how happy the people were in Guatemala. They may have had very little, or seemingly nothing at all, but they were happy. Sometimes we don’t need the fancy things. Sometimes it’s the understanding that we have health care, a home, a job, family and friends to help support us and to never take those things for granted. ■
It's another beautiful morning here in Guatemala. I don’t ever get tired of listening to the birds singing or the breathtaking views.
After we ate a delicious breakfast and washed dishes down the mountain we went to our third village. I loved this village the most because we were located right next to a school where Jess Miller and I could watch the kids play at recess. The laughter filling the air, the sound of the soccer ball being kicked and the joy on the kids’ faces made my heart feel so pure.
November 11, 2024
Clinic Day 4 – 24 patients
Breakfast was served with a beautiful prayer from Dr. Cathy Davis and our fourth and last day of clinic up the mountain began. This was the poorest village I’ve seen but it was filled with the richness of the coffee beans and avocado trees that surrounded it.
Special gracias to our Spanish translators, health promoters, Friends of San Lucas Mission, and of course this amazing group of doctors and nurses who have turned into family.
— Kim Hiniker’s blog.
To read more, visit mndoctors.org/news
KIRSTIN CRONN-MILLS Creating Space for Authentic Stories
By HOLLY DODGE
Author and educator Kirstin Cronn-Mills of North Mankato has established a notable presence in the world of young adult (YA) literature. Her ability to weave compelling narratives that resonate with teenagers has earned her many accolades in the publishing world. With her signature blend of empathy, humor, and unflinching honesty, her work illuminates the complexities of identity, relationships, and self-discovery.
Cronn-Mills grew up in a typically midwestern, small Nebraska town. Coming from a long lineage of teachers and literature lovers, she had an early affinity for reading and writing. She began reading at the age of 3.
“One of my earliest memories with my grandmother was her telling me, ‘I sha’n’t be gone long.—You come too.’, which is a line from Robert Frost’s poem The Pasture,” Cronn-Mills recalls.
Cronn-Mills received her master of arts in creative writing and her Ph.D. in rhetoric and professional communication. She is also currently pursuing a master of fine arts in creative writing at Minnesota State University, Mankato.
In 1992, she moved to Mankato and began her teaching career. Over the last three decades, Cronn-Mills has taught literature, composition, technical writing, creative writing, developmental writing, and critical thinking at South Central College.
“Poetry is my first creative writing language; I started writing fiction as a mission. I’ve only been writing fiction for 21 years,” Cronn-Mills says.
Her successful fiction mission began after a real-life experience that inspired her first book. Several years after graduating high school in Nebraska, Cronn-Mills received a phone call from a former classmate. After some small talk, the classmate asked her, “Do you know why I was always so mean to you in high school?” The classmate admitted that she had a crush on Cronn-Mills in high school.
“Aha! Number one, that explains everything. And number two, wouldn’t that be an interesting book idea,” Cronn-Mills reflects.
Cronn-Mills reflected on the confession and thought about the possible implications of that revelation being revealed in a small, rural town in the 1980s. The ruminations led her to write from a 16-year-old teen’s
viewpoint in her first young adult novel, The Sky Always Hears Me.
“After that, I really just enjoyed writing in the teen voice,” says Cronn-Mills. “Teenagers are people that get passed over so often, but they are so smart and so interesting and so passionate.”
Cronn-Mills has published nine books, four of which are nonfiction. Her most recent young adult publication, Rules for Camouflage, was released in June of 2024.
After her diagnosis of attention-deficit/hyperactivity disorder (ADHD) nine years ago, Cronn-Mills was
inspired to write a novel about a neurodivergent teenager navigating the complexities of high school. The story centers around Evvie Chambers, a high school senior striving to graduate while managing the challenges of her neurodiversity. Add in a nemesis biology teacher and, of course, an octopus named Aretha, and you have a humorous and heartfelt novel that explores themes of self-acceptance, resilience, and the seemingly never-ending quest for understanding in an often unaccommodating world.
“With young adult literature, you want to make sure that you are writing an entertaining story. The teaching part can’t be in the foreground,” says Cronn-Mills.
Rules for Camouflage promotes inclusivity, especially concerning adults’ lack of understanding and resistance against neurodivergent teens. It’s a coming-of-age story that empowers young neurodivergent youth to live and love comfortably in their own skin.
According to Cronn-Mills, some reviewers were upset that the main character, Evvie, never states her diagnosis in the book.
“Sometimes it’s important to name things, but sometimes it isn’t. I wanted to give neurodivergent readers a safe space without a label,” says Cronn-Mills of her decision.
“Labels are great for two things: labels help you find help if you need help. Labels can also help you find your people. Beyond that, I don’t know how helpful labels are.”
Cronn-Mills is working on one more contemporary YA novel, but after that, she will focus solely on completing a historical YA story written in poetic verse for her current MFA thesis at Minnesota State University, Mankato.
Her grandmother, who is also neurodivergent, inspired her historical thesis. She grew up in a Nebraska community of 300 residents and lived a colorful life during a time when conformity was encouraged.
“Conformity is not very useful. Progress comes from non-conformity,” says Cronn-Mills.
With her grounded sensibility, keen observations, and sharp wit, one thing is for certain. Kirstin Cronn-Mills isn’t just writing stories; she’s creating safe spaces, sparking conversations, and changing lives—one page at a time. ■
To learn more about Kirstin and her writing, visit kirstincronn-mills.com
Nurse Practitioner Leann Steffensmeier has joined Mankato Clinic Urology.
Her clinical interest is general urology with a background in cardiology, gastroenterology and kidney transplant.
Leann earned a Master of Science in Nursing from Vanderbilt University School of Nursing, Nashville, TN. She received her Associate of Science Degree in Nursing from Dyersburg State Community College, Dyersburg, TN. She also holds an Acute Care Nurse Practitioner certification.
Born in Pinckneyville, IL, she grew up primarily in Oklahoma and Tennessee. Leann enjoys spending time with her family, cooking and watching college and pro football. Biking, running, gardening and hiking are some of her favorite activities.
What do you love about winter? Snow (just not when I have to shovel it).
What did you want to be when you grew up? Storm chaser
What do you love to cook or eat?
Pad Thai and sushi
If you could travel anywhere in the world, where would you go?
When my daughter gets a little older, I plan to take her to all the U.S. national parks and stamp her National Park passport. I want to do this as a tradition like my parents did for me.
What’s one of your favorite things to do?
I love spending my time off with my 2-yearold daughter putting together puzzles or reading books.
MANKATO CLINIC UROLOGY
Wickersham Health Campus 507-385-4045
mankatoclinic.com/specialties/urology
PEOPLE CARING FOR PEOPLE
At River’s Edge Hospital, every patient, family member, employee and partner is valued. Every person who enters River’s Edge Hospital is treated with compassion and respect. You’ll receive a level of attention that goes well beyond your expectations.
Learn more about River’s
Hospital by scanning this QR Code
Here to care.
MEET TARA
TARA SCHROEDER, APRN, CNP
MANKATO CLINIC URGENCY CARE
Nurse Practitioner Tara Schroeder has joined Mankato Clinic Urgency Care.
“My goal is to meet each patient where they are at in their life and provide them with guidance and tools to improve their health and quality of life.”
Her clinical interests are acute care and pediatrics with a holistic approach. She has 11 years of experience as a nurse practitioner in urgent care. In addition, she has eight years of experience in urgent care, critical access and maternal-child health.
Tara earned her Master of Science in Nursing from Briar Cliff University, Sioux City, Iowa. Originally from Yankton, SD, she completed her Bachelor of Science in Nursing from Mount Mary College in Yankton.
Tara has been living in the Mankato area for more than a decade. She enjoys making memories with family and friends, geocaching, gardening, puzzles, listening to podcasts, organizing ANYTHING and learning new skills. She is dipping her toes into the world of horse ownership, which is new to her family this year!
What makes you thrive?
My amazing kiddos make me thrive. Being a good role model for them has always been a priority to me. Watching who they become as they grow up is the neatest thing. They are such wonderful people and I am incredibly proud of each of them.
What do you love about winter?
Winter is a beautiful time of year and I love watching the landscape around us change through all the seasons.
What surprises people about you?
People are usually surprised to find out that I have five kids! I also claim a few bonus kids too, but five of them are actually mine. I LOVE being a mom! Everyone needs a good mama in their life!
MANKATO CLINIC URGENCY CARE
Main Street Clinic 507-389-8680
mankatoclinic.com/urgency-care
Dr. Erisa Alia, MD, has joined Mankato Clinic Dermatology at Madison East Center, Mankato.
“Skin is a significant component of overall health. My approach integrates the latest advancements in dermatology with a strong emphasis on preventive care. I personalize care to address each patient’s unique skin type, cultural background and individual priorities. I have the privilege of helping my patients feel more confident in their skin, and their trust in me inspires me to provide the best medical and cosmetic care possible.”
Her clinical interests include psoriasis, eczema, acne, rosacea, hair loss, skin cancer, skin exams, autoimmune skin disorders,
Here to care.
MEET DR. ALIA
ERISA ALIA, MD MANKATO CLINIC DERMATOLOGY
cosmetic dermatology and skincare. Dr. Alia is a published author of several peer-reviewed articles and textbooks in dermatology.
Dr. Alia completed her Dermatology Residency at Medstar Georgetown University Hospital in Washington, D.C. She did an Internal Medicine Internship at Jersey Shore University Medical Center in Neptune, NJ, and a Clinical Research Fellowship in Dermatology at University of Connecticut Health, Farmington. She completed Medical School and a Dermatology Residency at the University of Tirana School of Medicine, Albania.
She is a fellow of the American Academy of Dermatology. She is a member of the
American Academy of Dermatology, European Academy of Dermatology and Venereology, American Society of Dermatologic Surgery and American Society for Laser Medicine and Surgery.
Dr. Alia has moved from Rockville, Maryland to join the Mankato Clinic. Originally from Albania, she speaks English, Albanian, Italian and some Spanish and Turkish. She enjoys traveling with her husband and two children, baking and trying new restaurants. She is also a soccer fan.
MANKATO CLINIC DERMATOLOGY
Madison East Center 507-389-8538
mankatoclinic.com/specialties/dermatology
Here to care.
MEET DR. CASSIDY-WESCOTT
KYLE CASSIDY-WESCOTT, MD
MANKATO CLINIC URGENCY CARE
Kyle Cassidy-Wescott, MD, has joined Mankato Clinic Urgency Care. His clinical interest is urgent and acute care.
Dr. Cassidy-Wescott completed Medical School at American University of the Caribbean. He completed Family Medicine Residency at Cedar Rapids Medical Education Foundation and University of Iowa Hospitals and Clinics. He earned his Bachelor of Arts Degree in Biology from Coe College in Cedar Rapids, Iowa.
He was a Clinical Assistant Professor at the University of Iowa Hospitals and Clinic for two years. He has worked in Urgent Care in Champaign, Illinois.
MANKATO CLINIC URGENCY CARE
Main Street Clinic, Mankato 507-389-8680
mankatoclinic.com/urgency-care
Here to care. MEET CASSIE & SARAH
Nurse Care Managers support patients with complex medical needs. They coordinate care with primary care and specialty providers to help patients better manage chronic conditions. Mankato Clinic has Nurse Care Managers in Family Medicine, Internal Medicine and Pediatrics.
Meet Cassie
Cassie Kindgren, RN, is a Nurse Care Manager at North Mankato Family Medicine.
“I am dedicated to ensuring every patient receives the highest level of care tailored to their unique needs, while providing guidance and support to patients and families through complex healthcare decisions and disease management. My goal as a care manager is to ensure every patient feels supported, heard, empowered and understands their care pathway.”
Cassie enjoys working with all patients in every stage of life. Her focus is in geriatric care, chronic disease management, end-of-life hospice care and patient education.
Cassie joined the Mankato Clinic in 2023 as an RN before becoming a Nurse Care Manager. She earned her Nursing Degree at Rasmussen College, Mankato. She has additional training in advanced care planning, end-of-life hospice care and dementia care.
What makes you thrive?
Connections with family, friends, and colleagues. I enjoy spending time outdoors, taking walks, watching my kids play soccer, and baking with my daughter. With my colleagues having meaningful conversations that look at challenging questions or complex problems pushes me to think outside the box and connect ideas in new ways.
Sarah Nichols, MSN, RN, PHN, is a Nurse Care Manager in Family Medicine at the Main Street Clinic.
“As a Nurse Care Manager, my approach is centered on compassion, respect, and personalized care. I believe in treating each patient as a unique individual, understanding their specific needs, and working collaboratively to achieve the best possible outcomes. My goal is to ensure that every patient feels heard, valued, and supported throughout their healthcare journey.”
Her clinical interests include patient education, geriatric care and complex disease management. She is experienced in medicalsurgery nursing, long-term care and geriatric home healthcare.
Sarah earned her Master of Science Degree in Nursing from St. Catherine’s University, St. Paul, MN. She is certified in Public Health, Basic Life Support and Oncology Nursing Society Fundamentals of Chemotherapy Administration.
Originally from Illinois, Sarah moved to the Mankato area in 2012.
What makes you thrive?
There’s nothing more fulfilling than having deep, meaningful connections with the people around me. Whether it’s sharing laughs with friends, having meaningful conversations with family, or collaborating with colleagues, I thrive in an environment where relationships are at the core.
MANKATO CLINIC FAMILY MEDICINE
Main Street Clinic
507-389-8587
mankatoclinic.com/locations/main-street-mankato
SARAH NICHOLS, RN FAMILY MEDICINE, MAIN STREET CLINIC
CASSIE KINDGREN, RN NORTH MANKATO FAMILY MEDICINE
When you’re always on the move, finding time for healthy snacks can be a challenge. However, with a bit of planning and the right choices, you can fuel your body with nutritious options that keep you energized throughout the day. Here are some healthy snacks that are perfect for busy people
FRESH FRUIT.
Fresh fruit is a quick and portable snack that provides essential vitamins, minerals, and fiber. Grab an apple, banana, or a handful of grapes for a sweet and satisfying treat.
NUTS AND SEEDS.
Nuts and seeds are packed with healthy fats, protein, and fiber. Opt for almonds, walnuts, or pumpkin seeds. Portion them into small bags for easy access and to avoid overeating.
GREEK YOGURT.
Greek yogurt is rich in protein and calcium, making it a great snack to keep you full and satisfied. Choose plain or low-sugar varieties and add fresh fruit or a drizzle of honey for extra flavor.
VEGGIE STICKS AND HUMMUS.
Cut up some carrots, celery, and bell peppers and pair them with hummus. This combo provides a satisfying crunch along with fiber, vitamins, and
HARD-BOILED EGGS.
Hard-boiled eggs are a portable source of high-quality protein. Prepare them ahead of time and keep them in the fridge for a quick grab-and-go snack.
WHOLE GRAIN CRACKERS & NUT BUTTER.
TRAIL MIX.
Whole grain crackers paired with almond or peanut butter make for a balanced snack with complex carbohydrates and healthy
Create your own trail mix with a mix of nuts, seeds, dried fruit, and a small amount of dark chocolate. This blend offers a variety of nutrients and can be easily packed into a small container.
By choosing these healthy on-the-go snacks, you can stay nourished and energized no matter how hectic your schedule gets. Enjoy the convenience without compromising on nutrition!
Melissa Sunderman A Health Journey of Dedication and New Beginnings
By ENARA STAFF & MARIE WOOD
Melissa Sunderman proves that with the right support and mindset, you can transform your life from nervous beginnings to empowered change.
Melissa, a 53-year-old Medical Laboratory Technician at Mankato Clinic, is a school board member, wife and proud mom of two. Balancing a career, family life and community involvement, she’s an avid reader who loves spending time at the lake.
Like many, she struggled with weight loss for years, trying countless times without sustainable results.
In 2022, she joined Enara Health at the Mankato Clinic. Enara Health is a weight management program that supports each member with a care team – a Medical Provider, Nutrition Specialist and Exercise Specialist. As part of your medical care, Enara Health is covered by most insurance plans and your primary care provider can follow your progress.
Melissa has lost 115 pounds, but her results are more than the numbers on the scale. Increased energy, better sleep, lower stress, more focus and an overall sense of happiness and confidence are her biggest victories. She no longer feels weighed down — literally or emotionally.
At first, Melissa was afraid of another failed attempt. Yet, that first appointment with her Enara Medical Provider sparked hope. “I really felt like she cared and wanted to help me be successful.”
The next step is a comprehensive evaluation of body composition, metabolic and hormonal testing, genetic testing and an emotional assessment. With this information, you and your Enara provider can create a personalized plan.
When Melissa started her weight loss journey, her A1C (average blood sugar level) was borderline pre-diabetes. Today, her A1C is back down in the normal range. For almost three years now, she has had no knee or Achilles heel pain and hasn’t needed a cortisone injection.
“My blood pressure has gone down and I was able to lower the dose of medication I had been taking. My blood sugar, LDL “bad” cholesterol, and Triglycerides have all gone down as well. My body mass (BMI) and body fat percentage are lower too,” Melissa says.
Strong Support System
Her Enara team was crucial to her success. Primarily a telehealth program, Melissa used the Enara smartphone app for weekly check-ins with her Nutrition and Exercise Specialists. Between visits, members can contact their team when they have questions or need extra support.
“My favorite part was being able to connect with my team easily through messaging and online appointments. The technology makes it so simple to stay in touch with everyone, which has made this journey much more manageable,” she says.
In addition, Enara members go to Mankato Clinic for some in-person visits for diagnostic tests and body composition scans.
Melissa’s Nutrition Specialist, Natalie Devlin, was by her side, providing helpful meal ideas, explaining body scan results, and keeping her motivated through plateaus. There were times when she was frustrated, and progress felt slow. “Natalie would talk me through it and remind me that plateaus were important to reset before losing weight again.”
Her mindset about food has changed. Melissa now wants and enjoys healthier foods, less processed and greasy foods. “I don’t crave sugar and I can leave sweets and desserts alone or I am good with just one bite.”
Melissa’s team helped her stay on track. Her Exercise Specialist adjusted her routine when knee pain flared up and offered encouragement. Her Medical Provider guided her through challenges, adjusted medications and kept her spirits high.
For now, Melissa enjoys going on walks and playing outside with the family dog. Looking forward, she wants to sign up for 5-Ks and get down on the floor to play with grandchildren.
Melissa’s advice: “Just start. I know it can be intimidating and even overwhelming at first. Believe in yourself and take that step. Then trust, listen, and be honest with yourself and with your Enara care team.” ■
Interested
Gricel answers your questions
As a Patient Support Coordinator for Cardiology, Gastroenterology and Neurology, Gricel Tetzloff checks patients in for their appointments. She makes sure patient demographic, insurance and contact information is up to date. She hands out forms that need to be completed prior to the visit. In addition, she schedules appointments, accepts co-pays and answers phone calls.
In a typical day, Gricel answers lots of questions!
“We are the first people patients see. We get a lot of patients who come to our desk. I direct patients to the right departments, location and clinic,” Gricel says.
Gricel speaks Spanish and English. For Spanish-speaking patients, she’s happy to answer their questions in Spanish.
“I am bilingual, and it has helped me a lot. I inform patients which department they should be going to and if they have an appointment at Mankato clinic. There are times when I help our nurses communicate
JOIN OUR TEAM
easy instructions,” Gricel explains.
Gricel had prior experience in healthcare before joining Mankato Clinic.
“My Primary Care Provider was in Mankato clinic and the employees are always friendly,” Gricel says.
So Gricel applied and was hired. She has worked at Mankato Clinic for three years. She likes that she has the opportunity to expand her knowledge by transferring to other departments, move forward in her career, or return to school. Gricel recommends working at Mankato Clinic and has told a few friends and family members to apply.
In her team, she has found support and kindness.
“I enjoy working with my coworkers; staff are always friendly and understanding. If I have a family emergency, my coworkers are always willing to help and support. In the past we had death in the family and the department come together to donate,” Gricel says. ■
Mankato Clinic is hiring. Visit mankatoclinic.com/join-our-team
Our purpose is to care for people. It fuels our passion and commitment. Our actions demonstrate it and it's in everything we do every day.
A Natural Path to Wellness
ElectroDermal Screening (EDS)
-Personal
-Companionship -Medication Reminders -Meal Preparation -Assist with Pet Care -Light Housekeeping -Assistance Getting Ready -Memory Care -Fall Prevention -Exercise Encouragement -Appointment Reminders -Run Errands
Hallie O’Connor Make Me A Thriver
By HOLLY DODGE
The mission of the Children’s Museum of Southern Minnesota (CMSM) is to ignite the natural curiosity of every child through the power of play in a dynamic, awe-inspiring environment.
Tucked behind that dynamic, awe-inspiring environment is a master of play and strategy: Hallie O’Connor, the museum’s exhibits manager.
O’Connor has been the exhibits manager for a decade. Her position requires a high level of strategy, problem-solving, skill, creativity, and fun. She studied fine arts at college and specialized in welding, metal casting, woodworking, and public art.
Even as a child, O’Connor was heavily exposed to the creative arts. While growing up in Excelsior, her mother was an artist in residence. O’Connor began teaching art courses during summers and after school when she was only in middle school.
Although she eventually pivoted away from teaching, she remained committed to creatively responding to challenges. After some time working with the Minnesota Children’s Museum, she heard that the Children’s Museum of Southern Minnesota was seeking an exhibit fabricator. With her extensive woodworking and fabricating experience, she took a chance and applied.
Well, Mankato got lucky, and O’Connor was hired to lead the charge and help spearhead the interactive and educational exhibits that the Children’s Museum of Southern Minnesota hosts. She moved to North Mankato with her partner, Matt, where they still reside with their two cats.
Her job at the museum always varies, but with a chuckle, she admits that most of her job consists of exhibit repairs.
O’Connor specializes in creating safe, engaging, durable, educational, and creative exhibits and components. Recently, she updated the Healthy Me exhibit, sponsored by the Mankato Clinic Foundation and the Orthopaedic & Fracture Clinic (OFC).
The Healthy Me exhibit allows children to step into the roles of surgeon, lab technician, nurse, or patient within a doctor’s office, lab, and operating room. For this exhibit, O’Connor built an interactive wooden neuron pathway that young visitors can physically travel, one synapse at a time, as they participate in a scavenger hunt.
She also hand-cast and painted miniature 3-D fruits, vegetables, and legumes attached to parachutes that shoot up inside the
IF YOU BUILD IT, THEY WILL PLAY
popular wind tunnel. In her workshop at the museum, she displays a squishy, handmade 3-D replica of a liver that young ones can use on a nearly life-size operation game in the Healthy Me exhibit. A replica of an oversized mouth hosts a complete set of teeth she cast, as well as a spatula-sized toothbrush for young patrons to polish the pearly whites.
O’Connor’s job requires a lot of creativity, but even more so, logistics. She regularly tests molds, paints, cures, and finishes in the museum’s workshop.
Flanking the edges of the workshop walls are interactive snowmen cutouts that youth can complete with pegged accessories— including hand-carved wooden noses, coal eyes, and buttons. All meticulously made to endure endless hours of imaginative play and handling.
O’Connor has created countless elements that make the museum especially entrancing to the younger population: a snowmobile, a little red Corvette, an electric car, and youth-sized ice fishing poles. A few lifelike pigs rest under her workshop paint station, awaiting the most durable and realistic finishes to withhold thousands of pats and pets from tiny hands.
The Northwoods Cabin exhibit changes each season, ensuring young guests can enjoy the great outdoors no matter the weather. In winter, youth can enjoy ice fishing on little ice-covered ponds, dressing their best ‘Frosty the Snowman,’ or they can relax inside the log cabin with realistic cocoa and roasted marshmallows.
In addition to her innovative creations in Mankato, O’Connor travels the U.S. three times a year to install Minnesota Children’s Museum traveling exhibits. This allows her to see other museums and libraries throughout the country and explore new ideas and concepts. Her most recent installation was at the Exploreum Science Center in Mobile, Alabama.
O’Connor admits she is task-driven and thrives with the physical challenges of making things work. Her creative mind and logistical considerations can be seen throughout the museum’s unique exhibits, but even more so in the excited faces of the young visitors. ■
To learn more about the Children's Museum of Southern Minnesota, visit cmsouthernmn.org
HALLIE’S FAVORITE CHILDHOOD MEMORY
“My favorite childhood memory is playing in the ravine with my little brother. As the seasons changed, our play would change; late spring the waterfall would be flowing with the snowmelt and we could divert the water and collect it in buckets. In the fall, with only a small trickle from the stream, we could make the rocky pit below the waterfall into an elaborate fort hideout. With the freezing and thawing during winter, the waterfall would form into a big ice flow, and we could excavate items frozen in the ice.”
WHAT IS A COMMUNITY HEALTH WORKER?
By MARIE WOOD
Denisse, mother of four children, was depressed, stressed, caring for her new baby girl, and seeking employment. With the help of a community health worker and Mankato Clinic’s Project Well-Being, Denisse changed her life.
Community Health Workers are trusted community members who bridge the gap between healthcare providers, patients, social services and community resources. They connect patients to services and resources to address culture and language gaps, housing, income, food security, employment, health insurance and other issues.
“We know a person needs more than healthcare to be healthy. Community health workers can connect people to services to stabilize their lives and build a foundation for better health,” Nicole Krenik, RN, Project Well-Being lead, Mankato Clinic, says.
During a visit to the Mankato Clinic, Denisse filled out a form and checked “Yes” to concerns about meeting basic needs and asked to be matched with a community health worker. There is no cost to receive services from a community health worker.
Maria De Jesus Guerrero, certified community health worker, of the WellShare International Mankato office, reached out to Denisse.
“She didn’t talk to me as a community health worker. She talked to me down to my core. She really saw through me,” Denisse says. “She had lots of words of encouragement and still does.”
“When I encounter young women and see their struggles, I give the same advice and assistance I would give to my own daughters and granddaughters. Even if they are deep in the hole, I encourage them to get up and get out. It helps to start with one thing and then we move on to the next,” Maria explains.
Maria connected Denisse to services including an attorney for legal issues and Wi-Fi so her children could do their homework. Denisse secured employment, sold her home and moved to the Mankato region. Today, she has custody of her children, a solid career, a safe home and a new outlook on life. Upon Maria’s advice, Denisse took the free, online course – living life to the full. In this evidence-based class, Denisse learned skills to handle stress and depression and tackle problems.
“I am so proud of who I have become, and the life I have created for myself and my daughters,” Denisse says. “My focus is on my kids and how to better my life and better their life.”
Did you know?
In 2021, the Mankato Clinic Foundation and Blue Cross Blue Shield of Minnesota partnered to fund a community health worker hub in Mankato. Today, WellShare International employs 7 certified community health workers here. So far in 2024, they have served 234 patients. While most referrals come from Mankato Clinic, the hub is open to people who receive care elsewhere.
“Community Health Workers are life-changing for the patients we serve.” Evan Curtin, Regional Director, WellShare International says. “Community health workers improve chronic disease management, increase healthy behavior and reduce hospitalizations, health crises and costs. We help people lead happier and healthier lives.”
Since 2021, the Mankato Clinic Foundation has granted $127,831 to WellShare International to serve Greater Mankato. This includes a $35,000 grant in 2024. ■
Our Community
Giving back to the community is part of who we are at the Mankato Clinic. A small, dedicated group of physicians started the Mankato Clinic Foundation in 1965, making it one of the oldest foundations in Minnesota.
Our mission is to encourage and support the health and well-being of the communities we serve through efforts that promote and improve community wellness. In the last 10 years, the Mankato Clinic Foundation has provided more than $2 million in scholarships and grants to worthwhile organizations and programs.
The Mankato Clinic Foundation approved $79,000 in grants to community organizations during quarter four.
• Mankato Area Public Schools Connecting Kids scholarships for out-of-school activities ($5,000)
• Saint Peter Recreation Department Fall Music Series for Seniors ($1,000)
• Lutheran Social Service of MN Meals on Wheels ($5,000)
• WellShare International Community Health Worker hub ($35,000)
• House of Hope Non-residential treatment ($6,000)
• Good Counsel Learning Center Tutoring for youth and adult English language learners ($5,000)
• Children’s Museum of Southern MN Healthy Me Exhibit ($7,500)
• Southern MN Crisis Nursery Safe place for children when families are in crisis ($3,000)
• Mankato Symphony Music on the Hill Chamber Music Concert ($500)
• Nicollet Public Schools
Positive Behavioral Interventions and Supports program ($1,000)
• ECHO Food Shelf Freezer to increase capacity ($10,000)
The foundation receives most of its funding from Mankato Clinic physicians, along with giving by Mankato Clinic staff and the greater Mankato community.
If you would like to help build a healthier tomorrow for our greater Mankato communities, you can give to the Mankato Clinic Foundation at: Mankato Clinic Foundation
1400 Madison Avenue, Suite 324B Mankato, MN 56001
Grants are awarded on a quarterly basis. The next grant deadline is March 1. Visit mankatoclinic.com/foundation-pages /mankato-clinic-foundation
Maria De Jesus Guerrero
SUDOKU
SOLUTIONS
GROW YOUR BUSINESS.
THE POWER OF PRINT
In the United States, there were 222.2 million magazine readers who were 18 years of age or older in 2021, which was 300,000 more readers than the previous year.*
Magazine advertising continues to provide a return on investment. Averaging a $3.94 return on every dollar invested in advertising, magazines offer the highest ROI across all media, which is 50% more than all other categories combined.
REAL SURPASSES VIRTUAL
Many people spend a lot of time online, trying to record their everyday lives on Twitter or posting the newest selfie on Instagram. However, most readers only scan a website for 15 seconds before moving on. The physical experience of reading a magazine outperforms the virtual one and has the potential to establish a mind share.
A LONGER SHELF LIFE
Digital adverts come and go. Companies sometimes need to continue to pay to ensure that their advertising is wellplaced on websites and is repeated daily.
Magazines, on the other hand, are often published weekly or monthly. They have a longer “shelf life” since they sit in physicians’ waiting rooms, magazine racks, shops, malls, and supermarkets.
BRAND RECOGNITION AND CREDIBILITY
Many magazines are well-respected among their target audience; therefore, a magazine for advertising allows individuals to become acquainted with your brand and builds trust.
This identification is then reinforced when they encounter you in person, whether at your place of business or a local trade exhibition or charity event.
PASS-ON READERSHIP
One advantage of magazine advertising is that many people give magazines to their friends and relatives. This raises the likelihood that your marketing will reach more prospective buyers.
AFFORDABLE
Magazine advertising costs may begin as little as $300. This is less expensive than certain newspaper advertisements, phone book advertisements, and even radio or television advertisements.
MULTIPLE DESIGN OPTIONS
Advertisements in magazines can be put on the inner front cover or buried in the back pages. It might be a branding ad or discount code incorporated in a QR Code, a survey, or even a little mini-article that appears to have been produced for a magazine.
INCREASED TRAFFIC AND LEADS
Another advantage is that magazine advertising can help your business get more traffic and leads. You can increase interest in your product or service and persuade potential buyers to take action by targeting the correct audience.
For tickets, visit eventsandexpos.com/baby--kids-expo.html
Adult and youth teams of all levels play pond hockey. Watch games from the pier, enjoy food and beverages, warming houses and sledding hill. Volunteers also needed. Event raises funds for Mankato Area Hockey Association. Team registration fees vary. FREE for spectators.
Enjoy a fun, family day out during the doldrums of winter! Visit with many exhibitors and learn from our healthcare providers, local businesses and organizations, and check out the newest products in the market for kids and families. FREE.
PEDAL PAST POVERTY
Saturday, February 22, 8am-1pm
Mankato Family YMCA 1401 S Riverfront Drive, Mankato
For more info, visit p2p.onecause.com/2025-ppp FREE for spectators
Family YMCA
Get ready to pedal to the limit at Partners for Housing’s annual Pedal Past Poverty race. This fun stationary bike race is open to 40 teams of 8 riders each. Each rider pedals for 15 minutes. Each team is asked to raise at least $1,000 for Partners for Housing and the homeless population in Greater Mankato.
VOLUNTEER IN 2025
No need to go around the world to volunteer and serve. There are many opportunities in our local region to get involved and volunteer. Visit Greater Mankato Area United Way to volunteer today!
