Mankato Clinic Thrives Summer 2023

BEAUTY. IMPACT. GROWTH.

WE SPECIALIZE IN A VARIETY OF SERVICES DESIGNED TO HELP YOU AGE GRACEFULLY AND BOOST YOUR SELF-CONFIDENCE. FROM ADVANCED MEDICAL TECHNOLOGY TO OUR OWN EXPERTISE, WE’LL HELP YOU ACHIEVE THE LOOK YOU’VE ALWAYS DREAMED OF.

UNLOCK YOUR INNER BEAUTY

OUR TEAM OF EXPERIENCED MEDICAL PROFESSIONALS KNOW THAT TRUE BEAUTY COMES FROM WITHIN, BUT WE ALSO UNDERSTAND THAT SOMETIMES WE ALL NEED A LITTLE HELP FEELING OUR BEST.

AESTHETIC CREATOR

ACNE TREATMENTS

BODY WRAPS

BOTOX® AND FILLERS

CHEMICAL PEELS

DIMAONDGLOW®

IPL AND FRAX LASER

KYBELLA®

LASER HAIR REMOVAL

PRP-HAIR RESTORATION

SCULPTRA®

SKINPEN®

SKIN RESURFACING

COOLSCULPTING®

COOLTONE®

Because We Care

In 1916, Mankato Clinic was founded in Mankato by five area physicians who believed that a comprehensive, multi-specialty group practice was the best way to provide high quality health care to the residents of southern Minnesota.

That’s still true today! Since then, Mankato Clinic has grown to over 190 physicians and practitioners and employs over 800 people. We are a physician owned and led medical clinic and I am proud to serve my first term on the Mankato Clinic Board of Directors.

Many people know Mankato Clinic for Family Medicine, which is where patients will find me in our Main Street location. You may also find me at the Mankato Family YMCA teaching fitness classes or at youth sports with my family!

In addition to primary care, we continue to expand our specialty care – Diabetes Care Center, Pain Management Center and Urgency Care – to name a few. We have added certified nurse-midwives to our Obstetrics and Gynecology team. You can meet our nurse-midwives and learn how they care for women in this issue.

Our summer issue highlights a critical, and often overlooked, specialty – Sleep Medicine and the J. Scott Sanders Center for Sleep Medicine. You’ll meet Jeff Nickels who is being treated by Dr. Lisa Davidson, neurologist and sleep medicine specialist, for obstructive sleep apnea. Jeff is sharing his story to show others that getting a sleep study is no big deal. And treatment is life changing!

The Sleep Center is named after J. Scott Sanders, MD, Mankato Clinic physician, pulmonologist and critical care specialist who died in May 2006. The Mankato Clinic Foundation has developed a $2,000 scholarship for local high school graduates. Ian Barnes of Janesville is the 2023 Sanders Scholar and we hope you’ll read his winning essay on character in our community pages.

One reason I joined the Mankato Clinic is because of its deep roots. The Mankato Clinic Foundation is one way the Mankato Clinic gives back to our community.

We love to feature the non-profit organizations our Foundation supports. In this issue, we introduce you to people who are bringing new learning experiences to kiddos at Camp Maverick Rec & Read and Grass & Roots Outdoors in Saint Peter.

And our Thriver is Dr. Steven Haugen, retired Mankato Clinic radiologist. Instead of reading mammograms, he’s reading books to children at Mankato Youth (MY) Place!

Volunteers are always needed. Interested? Visit getconnected.mankatounitedway.org for opportunities in our region.

Have a good summer!

If you have a story idea, email co-editor Marie Wood at mariew@mankatoclinic.com

Read Mankato Clinic

Thrives online, visit luxequarterlies.com/mankato -clinic-thrives

You can share Thrives Magazine with your friends on social media! Join us on Facebook @mankatoclinic.

Dr. Lisa Davidson treats Jeff Nickels for sleep apnea.

Kari Grisim has Jeff Nickels' CPAP supplies ready for him at Sanders Sleep Center.

Kim Davis, sleep technician III, prepares a room for a patient.

HOW ARE YOU

SLEEPING?

"I HAD A BETTER NIGHT'S SLEEP HERE THAN AT HOME"

By MARIE WOOD

PHOTOS BY MICHELLE ISEBRAND PHOTOGRAPHY

“It got to the point that I was tired all the time. I’d wake up in the morning and it felt like I didn’t even sleep,” Jeff Nickels, 54, of North Mankato says.

Jeff’s snoring rattled the windows. As a registered nurse, his wife Heather knew the signs of obstructive sleep apnea and was concerned for Jeff’s health. His dad also had sleep apnea and told Jeff that treatment changed his life as good sleep can.

So, in September 2022, Jeff scheduled a sleep study at the J. Scott Sanders Center for Sleep Medicine, also known as the Sanders Sleep Center. Sleep study data confirmed that Jeff had obstructive sleep apnea.

Obstructive sleep apnea is a common condition in which breathing stops and restarts many times while sleeping and can prevent the body from getting enough oxygen. Frequent loud snoring, breathing that starts and stops during sleep, gasping for air during sleep are signs.

While snoring brings people in because it can disrupt our bed partners’ sleep, we are concerned about choking episodes not snoring, explains Dr. Lisa Davidson, board certified neurologist and sleep medicine specialist at Mankato Clinic.

“Choking episodes cause oxygen to dip which puts the brain into fight-or-flight mode and floods the body with adrenaline. This can lead to arrhythmia, or irregular heartbeat, rise in blood pressure, elevation in blood sugar. This can happen a hundred times per night,” Dr. Davidson says. “We are worried about the medical dominoes.”

Left untreated, sleep apnea puts people at greater risk for type 2 diabetes, heart disease, stroke, heart attack and vehicle accidents.

To treat Jeff’s sleep apnea, Dr. Davidson prescribed a CPAP (continuous positive airway pressure) machine. The CPAP keeps the airways open so the body can receive optimal oxygen and quality sleep. The machine can even transmit data so the care team may monitor how well treatment is working.

“The energy is so much better. You wake up in the morning refreshed. The biggest thing for me is the energy that I’ve gotten,” Jeff says.

Sleep is key to our health and well-being. Good sleep helps improve our mood, promote heart health, regulate blood sugar, relieve stress, maintain a healthy weight and restore our muscles. It helps us think more clearly and solve problems.

Sleep Studies

Every week, Sanders Sleep Center staff and Dr. Davidson hear patients say, “I don’t know why I didn’t do this sooner” or “I had a better night’s sleep here than at home.”

Many people compare the experience to checking into a hotel. Bedrooms look like hotel rooms with Sleep Number Beds, TVs, bedside lamps and private bathrooms so you can follow your normal bedtime routine.

“You’re very comfortable. The staff is amazing. They’re always checking on you before you go to bed, making sure you have everything you need. You can bring your own pillow,” Jeff says. 

SLEEP STUDY MYTHS & TRUTHS

Are you hesitant to get a sleep study?

Let’s bust some myths and get to the truth.

Myth: People will be watching me sleep.

Truth: When you turn out the lights to sleep, rest assured the sleep technologist is not watching you sleep. The technologist monitors brain waves, eye movements, breathing patterns, vital signs and sleep stages on large computer screens in a separate room.

There is a video camera in your room, but that’s mostly for safety. If you need anything at all or get up to use the bathroom, you can give a wave and let your sleep technologist know.

Myth: I won’t be able to sleep hooked up with wires to a monitor.

Truth: Sleep aids are an option if you are concerned about falling asleep. In addition, sensor wires are long enough to allow you to move around in your sleep. Wires aren’t so long that you will get tangled either.

Myth: I don’t want to sleep in a clinical setting.

Truth: Sanders Sleep Center rooms look like hotel rooms with Sleep Number Beds to accommodate all patients. After getting comfortable, you can watch the news or read before bed just like you do at home. Even the lobby feels like a hotel lobby complete with a coffee maker for your morning coffee. To ease any anxiety, Sleep Center staff welcome patients to stop by for a tour during the day.

SLEEP CENTER

 Patients arrive for the sleep study in the evening – 1-2 hours before bedtime. Jeff reported at 8:30 p.m. for his study. Staff will greet you and show you to your room where you can change into night clothes and make yourself at home.

Next, the sleep technologist will apply sensors with wires on the skin of your head and body with a mild adhesive. Sensors connect to a computer that records vital signs while you sleep. The technologist monitors vital signs, breathing and brain activity on large screens in a separate room.

“A sleep study gets at the root causes of sleep problems to best treat and manage the condition so you can feel more refreshed and productive,” Dr. Davidson says.

In the morning when you wake, the sleep technologist removes the sensors and wires and then your study will be reviewed by a sleep medicine specialist.

Treatment

After getting his sensors removed in the morning, Jeff was able to receive his results, diagnosis and prescription in a bedside consult with Dr. Davidson. Next, Kari Grisim, office specialist at Sanders Sleep Center, showed him how to use, care for and clean his CPAP machine.

Patients may choose between three different masks: partial nasal mask, nasal plugs and a full-face mask with memory foam. With Kari’s help, Jeff has found the full-face mask works best for him.

“They’re very good about finding what’s comfortable for you,” Jeff says. Today’s CPAP models are quieter, smaller, more convenient and pack easily for travel. Travel models are also available.

Jeff’s advice to others beginning CPAP treatment: “Give it time. You need to give it a couple weeks to get used to it. Once you get used to it you don’t even know you’re wearing it.”

Heart Health

In December 2022, Jeff was diagnosed with heart failure which means the heart is not pumping enough blood through the body. Jeff is healthy, eats well and works out so heart failure came as quite a shock.

As a pharmaceutical representative, Jeff sells the number one prescribed drug by cardiologists for heart failure. In a twist of irony, Jeff is taking the medication he sells. He also does cardiac rehab to improve his heart health.

Dr. Lisa Davidson prescribed a second sleep study this spring to make sure his CPAP pressure numbers are spot on. The sleep study indicated that Jeff should switch to a BiPAP Auto SV machine. A BiPap machine provides two levels of air pressure – one for inhaling and one for exhaling. A CPAP machine provides the same air pressure whether you are breathing in or out. Jeff is scheduling a third sleep study to dial in the pressure settings and numbers for his new machine.

Jeff tackles life with a sense of humor and a positive attitude. When he puts his mask on before bed, he jokes that he looks like a fighter pilot. That’s just fine with him and his wife.

“Heather knows it’s better for my health. She’s happier because she knows I’m doing what’s right for my heart and sleep apnea is a huge contributor to heart issues,” Jeff says. ■

The J. Scott Sanders Center for Sleep Medicine offers sleep studies and carries a full line of CPAP and BiPAP machines and supplies. You do not need to be a Mankato Clinic patient to purchase supplies. Due to federal regulations, Sanders Sleep Center cannot sell equipment or supplies to individuals covered by Medicare/Medicaid.

To learn more, visit mankatoclinic.com/specialties/j-scottsanders-center-for-sleep-medicine

J. SCOTT SANDERS CENTER FOR SLEEP MEDICINE

120 N Augusta Court, Mankato | 507-389-8520

If you have young children, summer is both wonderful and exhausting! So, remember this: Put your own oxygen mask on first before trying to help others. Children thrive best when their parents are thriving emotionally. Find time to take care of yourself even if it’s just five minutes of joy such as a cold drink, deep breathing, a quick stretch.

When we, as parents, find the calm, we’re in a better space to help our children deal with BIG emotions that may be leading to behaviors such as tantrums, crying, yelling, hitting. Behavior is a form of communication. Every behavior – positive or negative –serves a purpose. So, what is your child trying to communicate?

To shift our perspective from seeing behavior as naughty, let’s focus on the “Why” of behaviors using the Everyone EATS acronym.

ESCAPE

ATTENTION

By SHELBY WOLF, PH.D., LP

LET’S LOOK AT A FEW EXAMPLES

PARENTING THROUGH BIG EMOTIONS AND BEHAVIORS EVERYONE

Escape: Behave in a way to avoid something we do not like. For instance, a child may cling to mom and cry at childcare drop-off. Attention: Children can seek attention in positive or negative ways. For instance, when a child whines, a parent may give the child attention to stop them from whining.

Tangibles: Behavior aimed at getting things we want when we want them. A child may grab a toy from a friend because they want to play with it now.

Sensory: A child may do things because they physically feel good or to relieve something that feels bad. For instance a child may turn lights off because they hurt their eyes, scratch a bug bite because it itches, or crack their knuckles or flap their hands just because it feels good.

TANGIBLES SENSORY

So how do we help children get their wants and needs met without big emotions and challenging behaviors?

• Offer choices and alternatives to meet their EATS! Choices give children a sense of control over their world.

• Follow routines. Knowing what will happen next gives kiddos security and emotional stability.

• Set limits and develop positive behavior expectations.

• Praise good behavior.

• Minimize attention for unsafe or aggressive behavior. Every time we talk with children about their emotions, soothe them with a hug, or model a positive coping strategy, we are helping them handle big emotions!

CONNECTING WITH CHILDREN

Did you know carving out 10-15 minutes of special playtime with a child can help prevent challenging behavior? Special time with a parent or caregiver can improve behavior by boosting motivation to cooperate, strengthening connection, and building self-esteem. It’s also a chance to teach emotions and positive behavior through play.

For special playtime, let your child choose and lead the activity, set a timer, and use PRIDE skills! ■

PPRAISE

Say what you like about how they are playing. Praise them for positive behavior like sharing a toy, talking nicely to their doll, problem solving, focus, persistence. “Great sharing!”

RREFLECT

Repeat what they are saying or doing. Show you are listening. “Yes, that is a red car.”

IIMITATE

Do what they do. Play like them. Roll your car up the ramp too.

DDESCRIBE

Say what your child is doing. “You’re making a house of blocks.” And then keep the sports play-by-play flowing!

EENJOYMENT

Have fun and stay in the moment. Let them know by saying it with positive energy. “Wow, this is cool!”

SHELBY WOLF, PH.D., LP MANKATO CLINIC CHILDREN’S HEALTH CENTER

1421 Premier Drive Mankato

507-389-8529

mankatoclinic.com/specialties/ pediatrics-childrens-health

Psychologist Shelby Wolf brings behavioral health services to Mankato Clinic Children’s Health Center, beginning July 31. Shelby offers short-term therapy for children who have social, emotional and behavioral issues. Your pediatric or family medicine provider can refer you to Shelby. Children often get in to see Shelby right away or within a few days. Families can expect 1 to 4 visits, but timeframes vary.

WHAT ARE THE BENEFITS OF JOINING A CLINICAL TRIAL?

If you've ever considered participating in a clinical trial, you may have questions about what it involves and whether it's the right choice for you. It’s important to consider the possible risks and benefits. By participating in a clinical trial, you're not only contributing to medical research but also potentially benefiting from an innovation that could improve your physical and mental well-being.

Additional medical attention and monitoring

Participants in a clinical trial are under the care of a team of medical professionals dedicated to ensuring their safety and well-being throughout the study. This means that participants in clinical trials often receive more frequent and comprehensive medical evaluations, including physical exams, lab tests, and imaging.

Reduced healthcare costs

Clinical trials often provide medical evaluations at no cost and compensation for time and travel expenses, which can help offset any costs associated with participating in the trial. In addition, the experimental treatments being tested may be more effective and have fewer side effects than standard approved treatments.

Participants in clinical trials are closely monitored for any potential side effects or complications. If a participant experiences adverse effects, the medical team can intervene quickly to provide or arrange for appropriate care and support. This level of monitoring and care is not always available in standard medical practice, where participants may not receive such close attention or where side effects may be missed or not addressed in a timely manner.

Access to new care options

Participants in clinical trials can often obtain novel and cutting-edge experimental therapies that are unavailable to the general public. These treatments are in the process of undergoing comprehensive testing to collect data about their safety and effectiveness, and clinical trial patients may be among the first to receive their benefits. Sometimes the remedy offered in clinical trials may be more potent or have fewer side effects than the conventional FDA-approved treatments currently accessible to the public. Successful clinical trials benefit everyone involved. If you're interested in learning more, talk to your doctor or visit findyourclinicaltrial.com.

Mankato Clinic has partnered with Javara to bring clinical research close to home. Javara research teams work on location and alongside your trusted Mankato Clinic physicians and staff. ■

KATIE SMENTEK, MD MANKATO CLINIC CHILDREN’S HEALTH CENTER

TOP 5 TIPS TO PREVENT HEAT-RELATED ILLNESSES

Keep cool indoors.

If your home doesn’t have air conditioning, seek relief in public buildings such as a shopping mall or library. A few hours in air conditioning can help your body stay cool. While fans provide comfort, they do not cool the body. A cool shower or bath is a better way to cool down. Watch or listen for news on extreme heat alerts because your community may open heat relief shelters.

Stay hydrated.

Water promotes good health and is the best way to stay hydrated. Drink small amounts of water frequently and before you’re feeling thirsty. A sports drink can perk you up by replacing the salt and minerals you lose when you sweat. Avoid sugary, alcoholic and caffeinated drinks because they cause us to lose fluids. Skip hot and heavy meals and replace with cold salads, sandwiches and juicy foods like fruit.

When the temps rise in the 90s and the heat index goes higher, it’s important to take steps to prevent heat-related illnesses such as heat stroke and heat exhaustion. Stay cool, stay hydrated and stay informed advises the Centers for Disease Control and Prevention.

Play it smart outdoors.

Plan outside activities – recreation, lawn mowing, gardening, exercise – in the morning and evening when it’s coolest. Go inside during the heat of the day. Wear lightweight and loose-fitting clothing and choose light colors over dark colors that absorb heat. Keep a close eye on little ones who overheat more easily. Always listen to your body, pace yourself and take lots of breaks in the shade or even better, indoors.

Be sun safe.

The sun’s rays are strongest from 10am to 4pm. Try to stay inside during these hours or find shade. To protect yourself, wear a wide-brimmed hat, sunglasses and sunscreen. Choose a sunscreen that says “broad spectrum” or “UVA/UVB protection” with an SPF of 30 or higher. Dermatologists recommend lotions over spray. Apply freely and often! A sunburn affects your body’s ability to cool down.

Watch out for infants and elderly.

Infants and young children, people age 65 years and older, those with heart disease or high blood pressure and other conditions are at higher risk for heat-related illness. Check on neighbors and family members who are at risk at least twice a day. Always keep a close eye on infants and young children who sweat less which reduces their ability to cool down.

SOURCE: CENTERS FOR DISEASE CONTROL AND PREVENTION

BE INFORMED

Know the signs and symptoms of heat-related illnesses and what to do if you or someone else is ill.

MANKATO CLINIC URGENCY CARE

1230 East Main Street, Mankato 507-389-8680

To learn more, visit mankatoclinic.com/urgent-care

HOURS

Monday-Friday 8am-8pm

Saturday 8am-5pm

Sunday 11am-5pm

WHAT TO LOOK FOR WHAT TO DO HEAT STROKE

• High body temperature (103°F or higher)

• Hot, red, dry, or damp skin

• Fast, strong pulse

• Headache

• Dizziness

• Nausea

• Confusion

• Losing consciousness (passing out)

• Call 911 right away-heat stroke is a medical emergency

• Move the person to a cooler place

• Help lower the person's temperature with cool cloths or a cool bath

• Do not give the person anything to drink

HEAT EXHAUSTION

• Heavy sweating

• Cold, pale, and clammy skin

• Fast, weak pulse

• Nausea or vomiting

• Muscle cramps

• Tiredness or weakness

• Dizziness

• Headache

• Fainting (passing out)

• Move to a cool place

• Loosen your clothes

• Put cool, wet cloths on your body or take a cool bath

• Sip water

Get medical help right away if:

• You are throwing up

• Your symptoms get worse

• Your symptoms last longer than 1 hour

SOURCE: CENTERS FOR DISEASE CONTROL AND PREVENTION

What is the nurse-midwife’s role in women’s health?

By MARIE WOOD

The Mankato Clinic has launched a nurse-midwife program to offer women’s health care from adolescence through childbearing years, with a focus on pregnancy, labor and delivery in a clinical and hospital setting.

Sue Beavis, APRN, DNP, CNM, and Lisa Brown, APRN, CNP, CNM, are the Mankato Clinic nurse-midwife team. Certified by the American College of Nurse-Midwives, both Sue and Lisa hold a doctorate degree in nursing to provide a high level of care. They are independent practitioners who work in collaboration and in close communication with Mankato Clinic obstetricians and gynecologists.

“We work as a team with our patients, providing strong education so they can make the decision that’s best for them. No one can make the decision better than a truly educated patient can for themselves,” Sue says. “I also try to recognize their future needs to set them up for success.”

The biggest myths about midwives are they only deliver babies at home and women cannot have an epidural if they have a midwife.

Lisa and Sue deliver babies at Mayo Clinic Hospital-Mankato where epidurals and other pain medications are available to patients. The use of pain medication is up to each individual and Lisa and Sue care for and support women who choose an epidural.

“My goal is to help you have as natural a childbirth as you want in a hospital setting. I like the safety nets. We don’t need them all the time. If you do need them, you’re so glad they are right there,” Lisa says. “We offer a more natural approach to labor and delivery and prenatal care. We are supportive of conventional and complementary care to support pregnancy and health and wellness.”

Sue and Lisa take a holistic approach, which means they treat the whole person to support health and well-being. They work closely with patients and their families to create a care plan that best suits them.

“We are with women through big health changes. As we provide care, we consider all of women’s different roles in life, their beliefs and culture,” Sue says.

Lisa Brown and Sue Beavis are certified nurse-midwives at Mankato Clinic.

“Globally, there are a lot of different beliefs around pregnancy and childbirth. We like to incorporate and know what our patients’ cultural preferences are because it is so deeply rooted,” Lisa adds. “We share what we know but we also come with the understanding that this is the way you grew up and this is what your culture believes and practices. I’m here to help you make the best decision for your family.”

Just like our Mankato Clinic OB-GYNs, certified midwives are dedicated to the safety of baby and mother during pregnancy, labor and delivery. Medical interventions such as induction and cesarean sections may be necessary. In these situations, your midwife will explain your options and ensure you get the care you need.

What can you expect in pregnancy care and childbirth?

• Individualized pregnancy care plan with the ability to comanage complications or risk factors with Mankato Clinic OB-GYNs

• Support of birthing plans that are safe and appropriate

• Labor and delivery at Mayo Clinic Health System-Mankato Hospital

• Support for your decision to use or not use medication during labor and delivery

Midwives also offer health care services for growing your family, birth control, menstruation issues and annual health exams.

MANKATO

Obstetrics and Gynecology, Main Street 507-389-8522

To learn more, visit mankatoclinic.com/specialties/ob-gyn

HELLO BABY

Jayd and Jake Kaufman of Mankato welcomed Baby Louis into the world on April 30, 2023, under the care of Sue Beavis, certified nurse-midwife.

“I wanted less intervention. When I talked to Sue the first time, she was very receptive to what I was saying. It was perfect to go with her. It aligned with how I wanted my birth to go. Any time I had any questions, I could message Sue on the patient portal and she was really quick to respond. She calmed any nerves that I had going through pregnancy,” Jayd says.

While Jayd was hoping for a more natural birth, medical interventions were needed. And that’s OK. With Sue’s guidance, Jayd knew her plans had to change for a safe delivery. She was induced as the baby was a week and a day overdue, she received an epidural for the intense pain, and complications led to a challenging birth.

Jake held Jayd’s head up, fed her ice chips and let her squeeze his hand. When Sue asked for one final push, Louis came into the world. And they became a family.

“Sue talked me through everything and made me feel comfortable. It was great to have her there,” Jayd says. “Making sure everyone is safe in the end is the most important. By the time I got to hold Louis for the first time, it was pure bliss.” ■

Jayd, Baby Louis and Jake Kaufman visit with Sue Beavis, CNM, in clinic.

CLINIC MIDWIFE PROGRAM

Sue Beavis, CNM, sees Jayd and Baby Louis in the Mankato Clinic OB-GYN department.

Lisa Brown, CNM, sees patients in the Mankato Clinic OB-GYN department.

CARE

CAN I GET MEDICARE HOME HEALTH SERVICES IF I LIVE IN AN ASSISTED LIVING?

The short and easy answer is YES! Home health frequently works with residents living in an assisted-living setting. In fact, there are many benefits of doing so.

There is a financial benefit first and foremost. For those who qualify, Medicare home health is 100% covered. Utilizing this benefit prevents additional charges that may be added to assisted living services. Moreover, Medicare will cover the cost of supplies.

There are additional benefits for the client, as well as for the assisted living facility.

The Resident WIN

• Age in place

• Increase quality of life and abilities while in residency

• Maintain independence

• Use of part A services (free to qualifying residents) versus part B services co-pays/deductibles)

The Assisted Living WIN

• Increased ability to care for their residents long-term

• Increased length of residency and reduction of open rooms

• Various aspects of ‘heavy’ care are reduced or assisted

• Reduction in worker’s comp. from heavy lifts or accidents

• Caregiver education available for difficult situations

• Adara Home Health offers our Adara Connect program which includes daily communication notes and all documents needed to satisfy survey requirements of record-keeping

There are many qualifying events that may allow access to Medicare-covered services for those living in assisted living environments. A few common examples include:

• New diagnosis to provide education and disease management

• Shortness of breath during or post activity

• Needing more assistance when bathing, dressing or grooming

• Difficulty coming to activities or meals on their own

SLOW COOKER PORK CARNITAS Burrito Bowls

As a mom of three, I have learned to appreciate meals that can be prepared with just one available hand, ready when we get home and, on the table, ready to eat in under 15 minutes! My family loves it.

This recipe is versatile, delicious and nutritious. This set-it-and-forget-it takes 8 hours to cook undisturbed so it’s ready to eat when you walk through your door at the end of the day. Everything can be prepped ahead, even the toppings! A “you choose” meal – each family member can choose how they want to eat it – burrito bowl, softshell taco, atop leafy greens.

Pork is an excellent protein source that contains all essential amino acids for building and repairing muscles and body tissue from everyday wear and tear, pork also has B vitamins (needed to convert food to energy) and minerals (to help regulate body fluids)

INGREDIENTS

3 lbs. boneless pork shoulder or butt roast, patted dry (about 3½ lbs. for bone-in)

4 tsp. minced garlic

1 medium yellow onion, thinly sliced or chopped

1 tbsp. chili powder

1 tbsp. cumin

2 tsp. dried oregano

1/8 tsp. cinnamon

2 tsp. fine salt

½ tsp. black pepper

¼ cup lime juice

½ cup orange juice

Recipe adapted from therealfooddietitians.com/ easy-slow-cooker-carnitas

DIRECTIONS

1. Pat the pork shoulder or butt dry with paper towels.

2. In a small bowl, combine the chili powder, cumin, dried oregano, cinnamon, chipotle powder, salt, and black pepper to make the spice rub.

3. Rub the spice mixture onto the entire surface of the pork. This can be done up to 3 days in advance and the pork stored, covered, in the fridge until ready to cook.

4. Place the pork in the slow cooker, fat cap facing up (the ‘fat cap’ is the thick layer of fat). Place the onions and garlic on top of the pork.

5. Pour the lime juice and orange juice over all and place the lid on the slow cooker. No stirring necessary!

6. Set the slow cooker to LOW and cook for 8-9 hours or until the pork shreds easily with a fork.

7. When the pork is done (internal cooking temperature of 145˚F), remove from the slow cooker to a bowl or baking dish and shred with two forks, adding a little of the liquid from the slow cooker as needed to moisten and season the meat.

8. Serve with desired toppings.

BURRITO BOWL TOPPINGS

Rice (white rice, brown rice, or cauliflower rice)

Beans (refried, black or pinto beans)

Lettuce (chopped romaine lettuce, spring mix or ‘power’ greens salad mix)

Chopped tomatoes, pico de gallo, salsa and/or your favorite hot sauce

Guacamole or diced avocado

Bolthouse Farms cilantro avocado yogurt dressing

Sour cream

Crumbled Cotija or feta cheese

Jalapeños, banana peppers

Pickled onions

Sauteed fajita veggies (peppers and onions)

Fresh cilantro

Lime wedge

DIETITIAN TIP for Diabetes Management

Eating carbs with protein at meals can help manage your blood sugar and help your body best utilize the nutrients in your food. Many foods with carbohydrates raise blood sugar. Eating carbohydrates with a protein or fat slows down digestion, helps keep your blood sugars steady, and prevents spikes and crashes. ■

HOLLY ELLISON, RD, LD REGISTERED DIETITIAN MANKATO CLINIC DIABETES CARE CENTER

Holly Ellison, RD, LD, shared this recipe on Twin Cities Live.

ME TIME

PERSONAL WELLNESS GOALS

By CATHERINE A. BRENNAN

We often limit the idea of “Wellness” to the health of our body. “Personal Wellness,” however, is so much broader. It has to do with what makes you feel well. Consider your body, mind and spirit. These components make up your personal wellness.

I feel well:

• When I’m neither hungry nor thirsty, well rested from getting enough sleep, or exhilarated from exercise.

• When I’m looking at a sunrise, watching my grandsons play, or laughing with friends until tears run down my cheeks.

• When I’m peaceful, confident and grateful.

I struggled with anxiety and depression for 35 years until overcoming it in 2009. This journey took me on a trip to heal my body, my mind, and my spirit. My body was unhealthy, my mental health skills were lacking and my spiritual perspective was limited. Fixing any one of the areas alone would not have brought me to the personal wellness I experience today.

These three areas represent the proverbial three-legged stool, which cannot stand unless all three legs are strong. It also illustrates that weakness in one leg causes an imbalance that can be compensated for by the other two being stronger.

Physical Health – Your physical health is the easiest place to start on your personal wellness journey. You live in your body 24 hours a day and feel the effects of how well it operates. Are you achy? Hungry? Tired? Are your systems and the numbers that monitor them healthy such as digestion, cholesterol, heart rate, and flexibility? It’s important to gather this information on yourself and monitor it over time.

Your body deserves your love and needs your care. Physical wellness is having a body that does what you want it to do based on how well you care for it. Stress, age, diet, genetics and habits all contribute to your physical wellness. Each person will have to come up with a plan that works for them.

Love your body and take care of it well!

Mental Health – Your mental health is more difficult to measure. Poor mental health can show up in difficult relationships, the inability to manage your life, or ill-health in your body.

Good mental health is having a mind that is free to plan, create, observe and deal with the challenges of life. When you are mentally well, you are confident in your abilities, humble enough to see your weak spots and able to separate your own thoughts and opinions from others without trouble.

Learning good mental health skills is not complicated but you do need to be intentional about it. Some areas to improve your mental health skills include connecting with others, connecting with yourself, having healthy personal boundaries and taking ownership of your life by being responsible for the direction of it, having a strong work-ethic, delaying gratification, being proactive and practicing resilience.

Spiritual Health – The most difficult component to describe in your overall personal wellness is your spiritual health. Although some people find this through their religious practices, others are strong spiritually through individual beliefs.

Every one of us has a spirit which needs nurturing and strengthening. This often-overlooked part of your personal wellness can be the part that elevates you to a new level.

To enhance your spiritual wellness, practice in these areas.

• Faith – Discover and grow your faith.

• Gratitude – practice gratitude daily by telling others what you are grateful for or writing in a gratitude journal.

• Hope – although simply hoping is not a strategy to achieve goals, it is a necessary component of your life.

• Joy – choose joy even when circumstances do not call for it.

• Meaning – find meaning in life’s everyday events.

• Purpose – you’ll find purpose in the thing that you are good at, passionate about, and the world needs.

• Love – love is the answer to all our problems. It is so much more than butterflies in your stomach as you see a potential romantic partner. There are many kinds of love. It’s something we can get better at as we practice loving ourselves and others better.

Your personal wellness depends on taking care of yourself physically, mentally, and spiritually. Find ways to heal and strengthen each area of your life!

Catherine A. Brennan is the author of “So Now What? A Guide for People Who Feel Stuck” and a guided workbook. She speaks to groups about looking, feeling and doing better. She is an enthusiastic athlete, runner and supporter of local organizations that make Mankato a better place to live, work and play for all. To follow her blog, visit catherineabrennan.com.

SHADES SLEEP YOUR BEST WITH

In a fast-paced world filled with constant stimulation, achieving a restful night’s sleep has become more important than ever. If you’ve been yearning for the perfect solution to create a sleep haven in your bedroom, look no further than blackout shades. These remarkable window treatments are designed to block out light, reduce distractions, and promote optimal sleep quality. And when it comes to finding the finest blackout shades on the market, Blinds & More is a name you can trust.

Blackout shades have gained immense popularity in recent years, and it’s no wonder why. Not only do they create a serene and peaceful environment, but they also offer a range of benefits that go beyond your wildest dreams.

Let’s explore why blackout shades are an essential addition to your bedroom.

First and foremost, blackout shades excel at blocking out external light sources, such as streetlights and early morning sun rays. The complete darkness they provide signals your body to produce melatonin, the hormone responsible for regulating sleep. Say goodbye to tossing and turning, and embrace the blissful embrace of a deep, uninterrupted slumber.

The advantages of blackout shades don’t stop there. They are the ultimate antidote to distractions. By significantly reducing ambient noise and creating a tranquil atmosphere, blackout shades transform your bedroom into a sanctuary of peace. Whether you live in a bustling city or near a busy street, these shades can help you escape the noise and find solace in a calm oasis.

Furthermore, blackout shades offer exceptional temperature regulation. Their insulating properties help keep your bedroom cool in the summer and cozy in the winter, ensuring your comfort all year round. This not only enhances your sleep experience but also helps you save on energy costs.

When it comes to finding the perfect blackout shades for your home, give Blinds & More a call. With their commitment to quality, style, and exceptional customer service, Blinds & More has established itself as a trusted name in the industry. Their extensive range of blackout shades are meticulously designed to cater to your unique needs and preferences, ensuring a seamless integration with your bedroom decor. Prioritize your sleep and embrace the power of blackout shades. Contact Blinds & More today!

Rec N' Read

LEARN TO LOVE LEARNING

By LISA COWNIE

Through their work at Minnesota State University Mankato, Brooke Burk and Megan Mahowald could see the road to literacy was not a smooth one for every child.

So, the duo used their training as educators and a willing set of volunteers, aka their students, to develop the Rec N’ Read after-school program and Camp Maverick, a summer Rec N' Read program. The mission is to help struggling readers in grades K-5 improve their reading and writing skills while having fun and playing games. Both the after-school and summer programs feature small group literacy intervention, thematic recreation activities and tons of fun.

“We started Rec N’ Read in 2016 after a conversation about our mutual concern for programming opportunities to help youth with learning delays, and to find ways to support families who needed assistance and had limited options to support youth after school and in the summer. Children need opportunities to play and learn social skills to foster belonging and connection. We provide an environment that is engaging. Reading is an important life skill and we also hope to show kids that reading is recreation and fun. Facing our biggest challenges and struggles is hard and is something that even adults will avoid. By pairing reading and writing with fun engaging kids, we are hoping to motivate them to see the fun in reading. We let them pick books that excite them and meet them where they are at. We let them write about what excites them. Reading and writing can help us find our passions and strengthen them as well,” explains Brooke Burk, director of the Center for Excellence in Teaching and Learning at MNSU.

Burk and Mahowald believe they are seeing progress in breaking down literacy barriers.

“We have heard so many positive comments from parents and kids, from igniting a passion for reading. My own daughter now regularly asks to go to the library. Children are also exposed to a college campus which is so vital at a young age. They learn from counselors who share their own struggles with reading, writing and navigating diagnoses from Dyslexia to neuro-divergence. Kids get to see what is possible in the face of struggle. Undergraduate and graduate students are gaining vital skills of working in a team setting to help children succeed where multiple perspectives and expertise are needed and valued,” says Burk.

Rec N’ Read serves about 100 kids each year with most kids attending multiple weeks in the summer. The duo is always looking for more community volunteers as well as donations.

“We like to take field trips at the end of each week to recognize the kids' efforts – donations to support a bus to the park, community garden, or other space. We give the kids breakfast, snacks and lunch, so healthy foods are needed as well,” Burk says.

The Mankato Clinic Foundation is proud to support Camp Maverick Rec N’ Read programming with a $5,000 grant in 2023. ■

Make Me A Thriver

Dr. Steven Haugen Finds the Key to Thriving in Retirement

By LISA COWNIE

For 40 years, Dr. Steven Haugen has gone into each day knowing that as a radiologist, he would be helping people. When he decided it was time to retire from Mankato Clinic in June of 2023, he worried a bit about losing that sense of serving others.

“To be honest, I had mixed feelings about retirement,” he explains. “As a radiologist I have been able to help people with their health and I wanted to ensure that I would be doing something meaningful with my life once my professional life ends. I am happy to say, I have found that meaningful place.”

When a colleague suggested Dr. Haugen check out volunteer opportunities at the nonprofit, Mankato Youth Place, or MY Place as it is commonly known, he gave it a try and found it to be a good fit. The mission of MY Place is to provide a nurturing environment that empowers youth to build the confidence, knowledge and skills needed to reach their full potential. MY Place removes financial barriers for families by giving children a safe and fun place to go after school and during the summer at no cost.

Now almost a year later, he says his work there has been more rewarding than he could have ever imagined.

“I read to the kids Wednesdays from 3pm to 4:30pm,” explains Dr. Haugen. “I walk in and say ‘who wants to read today’ and then there is a riot because everyone wants to read!” he chuckles. “It is awesome. Sometimes I read to them and sometimes they read to me!”

Dr. Haugen says he quickly realized his time at MY Place is about more than the words in the books.

“As I get to know the kids there, I understand it is about much more than the reading. Over the last eight months of volunteering, my feelings about it have changed. I thought I was just part of the entertainment but as I get to know them and get more attached, I realize I am a mentor. My presence shows them that someone cares about them. So, my idea of my role there has changed, it is more important than I initially thought it was,” he says.

“I was reading a few weeks ago to one little girl and it was a book about super powers. I asked her if she could have a super power, what would it be? and she replied ‘I would make people love me.’ That was impactful to me. Now I know that I have found my place at MY Place. I can’t think of a better way to spend retirement!” ■

For more information on how you can volunteer or donate, visit myplacemankato.org

Dr. Anna Steffan has joined our Department of Psychiatry to provide telehealth psychiatry services.

“My approach to patient care is one size does not fit all. I consider how each patient’s unique circumstances – medical illness, occupation, family dynamics, stress, and character traits – affect their mental health and create an individualized treatment plan,” Dr. Steffan says.

Her clinical interests include general psychiatry and treating adults of all ages. She has a particular interest in supporting women throughout the reproductive journey. She cares for women before and during pregnancy, postpartum and perimenopause. In addition, she treats psychosis, mania, bipolar disorder, schizophrenia as well as medically complex patients who have psychiatric conditions.

Dr. Steffan has a Doctor of Medicine Degree from the University of Minnesota Medical School in Minneapolis. She completed her General Psychiatry Residency at the University of North Carolina-Chapel Hill.

She lives in Wake Forest, NC, where she loves to spend time with her husband, young children, dog and two cats. She also enjoys arts and crafts of all kinds, especially embroidery and cross-stitch.

Here to care.

MEET DR. STEFFAN

Why did you join the Mankato Clinic?

I wanted to work for a company that had firm roots in its community.

As a child, what did you want to be when you grew up? A pilot

What surprises people about you?

I LOVE Star Trek: The Next Generation.

What’s your favorite thing to cook or eat?

Mac and Cheese

If you could travel anywhere in the world, where would you go?

Galapagos Islands

Where’s your happy place?

My porch

Madison East Center 507-387-3195

mankatoclinic.com/specialties/psychiatry

MANKATO CLINIC DEPARTMENT OF PSYCHIATRY

ANNA STEFFAN, MD MANKATO CLINIC DEPARTMENT OF PSYCHIATRY

Ashley Forstner, RN, a Madelia native, joined the Mankato Clinic in January 2017. Since 2020, she has been on the Diabetes Care Center team and recently became a certified diabetes care and education specialist. Her clinical interests include diabetes management and care and teaching personalized strategies to improve health outcomes.

"My approach is to care for and individualize each and every patient’s experience at the Diabetes Care Center. Assisting patients in their healthcare journey, particularly diabetes care, is my number one priority,” Ashley says.

Ashley earned her associate of applied science in nursing from South Central College, North Mankato. She completed the RN Baccalaureate program at Minnesota State University, Mankato.

In her free time, Ashley enjoys spending time with family and friends, gardening and traveling.

Here to care.

MEET ASHLEY

What makes you thrive?

Many things make me THRIVE but most importantly, my family, friends, helping others, and being involved with different events within the community.

Why did you join Mankato Clinic?

As an RN, I have worked in a variety of healthcare settings including urgent care, the emergency room and home care. I joined the Mankato Clinic because of its reputation for employee satisfaction and regular business hours so I could build a family and cherish the holidays with them!

What do you love most about summer?

Being Outdoors! I love camping, going on walks, gardening, grilling, and relaxing outside!

What's the best piece of advice you've ever been given?

To never give up even when you have people who doubt you. Keep smiling and be your true authentic self!

As a child, what did you want to be when you grew up?

I knew I wanted to care for and help people.

What’s your favorite sport?

I have several favorite sports I like to watch/play, but golf is something I truly enjoy. I am also in a bowling league!

Where’s your happy place?

My happy place is at home with my two children, dog, and husband!

ASHLEY FORSTNER, RN, CDCES MANKATO CLINIC DIABETES CARE CENTER

Sugar Plum Fairies

Beginner Ballet

Ages 5+ July 17-20 5-5:55

Princess & Prince Dance Camp

Ages 3-5

July 24-27 5-5:55

August 14-17 4-4:55

Dance Around The World Camp

Ages 3-5 August 7-10 4-4:55

Wee Dancers Summer Camp

Ages 2-3 August 7-10 4:30-5

Hip Hop Try It Ages 5+

August 7-10 TRY IT Camp 5-5:45

*Free for NEW students or if you bring a friend

Alice in Wonderland Camp (Tap/Jazz Ballet) Ages 5+

August 7-10 6-6:55

Tap/Jazz/Lyrical Ages 6-10

August 14-17 5-5:55

Boys Dance Combo Hip Hop & Jazz

August 14-17 6-6:55

Leap! Tech Camp Ages 8 and under August

Hanh Nguyen-Vaselaar, nurse practitioner, joined the Diabetes Care Center.

“I enjoy connecting with people and will work to build an atmosphere of understanding and trust. The opportunity to help people make healthier choices is what I enjoy the most in health care and I believe that knowledge and support are strong tools in making those choices,” Hanh says.

Hanh’s clinical interests include endocrinology and diabetes. Endocrinology is the study of the endocrine system which includes the pancreas. The pancreas is responsible for producing insulin and plays a key role in digestion, blood sugar and diabetes.

Prior to joining Mankato Clinic, Hanh has been a registered nurse at Avera Endocrinology and Diabetes Clinic in Sioux Falls, SD.

She completed her Doctor of Nursing Practice–Family Medicine at Creighton University, Omaha, NE. She earned her Bachelor of Science in Nursing from South Dakota State University, Brookings.

In her spare time, she loves bike rides, camping and hiking with her husband and three children.

Here to care.

MEET HANH

What makes you thrive?

Spending time with my family and getting a good night's rest.

What do you love most about summer?

Getting to go outside and enjoy the weather and fresh air.

What’s the best piece of advice you’ve ever been given?

If you're going to do anything at all, do it to the best of your abilities.

What surprises people about you? The placement of the second "H" in my first name and that it's silent.

If you could travel anywhere in the world, where would you go? Why?

This is a hard question for me, but I can narrow it down to continents. It would be Australia, Europe and Asia. Australia because my brother lives there, Europe because of the beautiful architecture and history, and Asia because of the wonderful types of food you get to experience.

Do you have any hidden skills? I can speak Vietnamese fluently.

HANH NGUYEN-VASELAAR, APRN, DNP MANKATO CLINIC DIABETES CARE CENTER

SHADES

DREAMY SLUMBER BLACKOUT

The perfect solution to create a sleep haven in your bedroom. These remarkable window treatments are designed to block out light, reduce distractions, and promote optimal sleep quality.

Lisa Brown, certified nursemidwife, has joined the OB/ GYN department. Lisa cares for women from adolescence through childbearing years with a focus on pregnancy, labor and delivery.

“My entire nursing career has been devoted to women’s health and obstetrics. Pregnancy and birth have always been my greatest passion as I value life at all stages,” Lisa says. “We share the biggest life moments with our patients. Because you’ve established a relationship with them, it’s really meaningful.”

Lisa has extensive experience in restorative reproductive medicine to correct and normalize underlying health conditions such as heavy and painful periods, irregular cycles and polycystic ovary syndrome.

“I have a deep understanding of several fertility awareness methods helping women and couples work with their cycle and their body to identify underlying health conditions affecting their fertility,” Lisa says.

Lisa’s skills also include family planning and treating perimenopausal symptoms. She completed her Nurse Midwifery Master’s Degree and Doctor of Nursing Practice from Bethel University, St. Paul. She earned her LPN and RN degree from South Central College and her BSN from Kaplan University. Lisa volunteers at Options for Women in Mankato.

Here to care.

MEET LISA

What makes you thrive?

I love spending time with my family. We have 4 children, 2 children-in-law and a grandson. My siblings, nieces, nephews and my mom all live very close. Big family gatherings are the best! I also love hiking, kayaking, baking, and reading.

Why did you join the Mankato Clinic?

You just can’t put a price on the deeply committed community atmosphere here. Being part of the Mankato Clinic family is a treasure.

What do you love most about summer?

Water and mountains fill my soul and travel anywhere with mountains

and water are always my favorite parts of summer.

What did you want to be when you grew up?

When I was 5 years old, I wanted to be the charge nurse of a baby hospital. I have always loved babies, always loved the nursing profession, and midwifery is the perfect fit for me.

What’s the best way to spend a day off?

Usually it involves a nap (babies love middle-of-the-night arrivals), a hike, and a good home-cooked meal with as many family members as possible.

LISA BROWN, APRN, DNP, CNM MANKATO CLINIC OBSTETRICS AND GYNECOLOGY

Dr. Rohaan Mehta has joined the Mankato Clinic Pain Management Center.

“I focus on minimally invasive, nonsurgical procedures to help treat or control various painful conditions. I have 15-plus years of clinical experience and continue to train and advance my skills so I can provide the highest quality of care to my patients,” Dr. Mehta says. His clinical interests include minimally invasive pain relief for neck and back along with treatments for joint and nerve pain and fractured vertebrae. Pain management techniques include spinal injections, nerve stimulation, nerve blocks, spinal cord

MEET DR. MEHTA

stimulation and other procedures. Dr. Mehta is returning to the Pain Management Center, having worked at the center from 2011 to 2016. Most recently, Dr. Mehta has been serving as pain specialist and Medical Director of Specialty Care Clinics for North Memorial Health in Minneapolis. Originally from Mumbai, India, he earned his medical degree from the University of Mumbai – Seth GS Medical College. He completed a general surgery internship with Drexel University-Easton Hospital in Pennsylvania. He completed his Physical Medicine and Rehabilitation Residency as

MANKATO CLINIC PAIN MANAGEMENT CENTER

Madison East Center 507-625-7246

mankatoclinic.com/specialties

/pain-management-center

Chief Resident and an Anesthesiology Pain Management Fellowship at the University of Rochester in New York.

ROHAAN MEHTA, MD MANKATO CLINIC PAIN MANAGEMENT CENTER

HIBO M. YOUSSOUF, CMA

loves helping others

By MARIE WOOD

“I love helping people especially when they are in a tough situation with their skin or health care. They get better and they come back and they’re happy and they’re healthy and their skin looks great. It just does a great thing for their mental state of mind. It changes their whole outlook in life,” Hibo says.

As a certified medical assistant in the Dermatology department, Hibo works with Paul Otteson, PA-C. She checks in patients, takes vital signs, documents the reason for the visit, questions or concerns. She also obtains prior authorization from insurance plans for specialty medications and prescriptions, answers phone calls, draws blood and assists providers with biopsies, surgeries and laser treatments. Hibo does nurse visits such as suture removals and bandage changes. She’s cross-talented for sure!

“I like the environment. We have a great group of people in our department, a really good group, very accepting, kind, generous people,” Hibo says.

In high school, Hibo wanted to be a pastry chef and attend Le Cordon Bleu, which she says with a perfect French accent. The famous culinary arts school had just opened in Atlanta, where she grew up, but it was too expensive.

Hibo turned to a career in nursing. “I wanted to help people heal. I realized I enjoyed helping people, taking care of people and helping them feel better. It was actually right there all along and I was doing it anyway.”

So she went to school by working two jobs. Meanwhile, she helped raise her little sister who is nine years younger because her parents were working. Hibo drove her sister to and from school and managed extracurricular activities.

Since 2007, Hibo has been a CMA and joined the Mankato Clinic in 2016. Hibo and her husband, Abshir, moved here so he could care for his father and help his family. Plus, Hibo and Abshir have two daughters, Jasmine, 9, and Layla, 2.

To make a greater impact in patient care and work culture, Hibo is a founding member of the clinic’s Diversity, Equity and Inclusion Committee. “I wanted to make my voice heard especially when it comes to being a Somali American, educating people on our culture, our religion our beliefs. I am Muslim.”

The DEI Committee is committed to advancing health equity and promoting workforce diversity, equity and inclusion. Hibo has also joined the Mankato Clinic Patient Advisory Council – a collaboration between patients, providers and staff – to help improve the patient experience. Hibo shares DEI efforts with patient advisors and brings patient insights to the DEI committee. ■

JOIN OUR TEAM

Hibo M. Youssouf, CMA, Dermatology

KIDS NEED NATURE & NATURE NEEDS KIDS

By LISA COWNIE

That is the motivation that centers Grass & Roots Outdoors in the work it does for youth in the Saint Peter community.

“Young people who spend time in nature develop a better sense of connection and care for the planet while building self-confidence, independence, shared knowledge, and a deeper curiosity about the world around them. Time spent enjoying the outdoors in all seasons can make us healthier, both mentally and physically. Getting kids outside is good for kids and good for the planet,” explains Trish HiscockAustin, youth program director and outdoor instructor.

Grass & Roots Outdoors has been exploring outdoors with kids and families, classrooms, schools, and community youth groups since 2021. It is committed to creating public spaces and shared outdoor experiences that are inclusive, safe, and welcoming to all folks in our community.

“We focus on Saint Peter area kids and families, especially those with limited access to play- and nature-based learning opportunities,” says Hiscock-Austin. “Grass & Roots Outdoors inspires kids and families to connect with the natural world and with each other, through inclusive, shared, positive experiences in the great outdoors.”

Helping them achieve that mission is the Mankato Clinic Foundation. The Foundation grant ensures the weekly nature outings, expeditions and hands-on learning experiences can be offered at no cost, making them accessible to all.

“We've adventured on expeditions with kids throughout Nicollet, Blue Earth, LeSueur, and Sibley counties,” she says. “Some favorite outings so far include Seven Mile Creek, Traverse de Sioux trails, The Arboretum at Gustavus, Riverside Park, fishing at Hiniker Pond, Minneopa State Park, Kasota Prairie, Duck Lake and Rush River County Park.”

Hiscock-Austin says there are ways the public can help as well.

“The right clothing and weather-appropriate gear makes outdoor explorative play possible and enjoyable for kids. The wrong clothing can make outside playtime miserable. Grass & Roots Outdoors seeks funds and/ or donations of new wool socks in children's sizes, water-resistant gloves or mittens, sealed rain boots, waterproof winter boots, and snowpants in sizes 4T/5T to 16/18.” ■

To donate gear or to make a financial contribution contact Trish Hiscock-Austin, Program Director, at trish@grassandrootsoutdoors.org

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.

During the second quarter of 2023, the Mankato Clinic Foundation awarded $37,500 in community grants to:

• Blue Earth County Library System Summer Health and Wellness Events ($500)

• Greater Mankato Area United Way Mental Health Youth Navigator ($12,500)

• Greater Mankato Diversity Council K-12 Promoting Respect Workshops ($1,000)

• Friends of Learning Backpacks of school supplies for St. Peter and rural Nicollet County ($2,000)

• HACER Workshops on how to handle bullying for Latino families ($3,000)

• Junior Achievement North Biz Town ($1,000)

• Lutheran Social Services Foster Care children’s immediate needs ($2,000)

• Mankato Area BMX Helmets ($2,500)

• Minnesota State University, Mankato Foundation Camp Maverick Rec ‘N Read programs ($5,000)

• MRCI

Inclusive Communities ($4,500)

• New Foundations Saint Peter Grass and Roots Outdoors for youth ($2,500)

• Wellcome Manor Family Services Opioid Overdose Project ($1,000)

The foundation receives the majority 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 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 September 1. To learn more, visit mankatoclinic.com/foundation-pages/mankatoclinic-foundation

Ian Barnes

By MARIE WOOD

receives the J. Scott Sanders, M.D. Memorial Scholarship

Ian Barnes, Janesville-Waldorf-Pemberton High School graduate, received the $2,000 J. Scott Sanders, M.D., Memorial Scholarship from the Mankato Clinic Foundation. In the fall, Ian will be attending Minnesota State University, Mankato to major in ecology and fisheries.

“We chose Ian as our 2023 scholar because his essay is extremely well written and shows us how to treat all people with respect, how to find joy in life, and how to stand up for your principles,” Barb Sanders, widow of Dr. J. Scott Sanders, says.

The scholarship honors J. Scott Sanders, M.D., Mankato Clinic’s beloved physician, pulmonologist and critical care specialist, who died in May 2006 after a courageous battle with cancer.

Dr. Sanders’ character was renowned in all aspects of his life which resulted in an unforgettable and lifelong impact on others. To apply for the scholarship, high school seniors write about a time when their character or someone else’s character made a difference in their life or the lives of others, what they learned from this experience, and how it will make a difference in their future.

“When we read these essays from our young people, our scholarship committee is moved by their life experiences and the depth of their characters. We have some inspiring young adults in our community,” Barb says.

Barbara Sanders presents the J. Scott Sanders Memorial, M.D., Scholarship certificate to Ian Barnes, Janesville-WaldorfPemberton High School graduate.

J. Scott Sanders, M.D.

Memorial Scholarship Essay

By IAN BARNES

“Be more concerned with your character than your reputation, because your character is what you really are, while your reputation is merely what others think you are.”

John Wooden - UCLA College Basketball Coach

This quote sums up precisely the essence of character. The world of high school is full of people trying to build a reputation for themselves. Some use athletics as their platform. Others may use academics. Less thought is given to how they conduct themselves around others. Instead, popularity is often the goal. The definition of popularity is difficult to nail down, but I know it doesn’t always equal kindness.

My character development began early in my childhood. My parents always stressed the importance of right and wrong, treating others with respect, and doing my best. However, I think my uncle Brandon has had the most profound impact on my character development. Brandon was born with Down syndrome. He is now 38 years old. He has no idea, but the lessons he has taught me over the years have shaped me into the person I am today.

The first lesson he taught me was the ability to build connections with people with disabilities. The students who are in special education at my school are often not included in things. Something as simple as sitting with them in the lunchroom is a small way to show compassion and understanding. There is a student at my school who often has behaviors to try and get the attention of others and not always in a positive way. My classmates and friends will take advantage of the situation because he is good for a laugh. I always imagine my uncle Brandon in this situation, and it doesn’t sit well with me. I put a stop to this and redirect my friends so this student doesn’t become the brunt of their jokes. Having Brandon in my life has allowed me to see that people with disabilities are special and they deserve to have people that will talk and interact with them just like everyone else.

Another lesson I’ve learned from Brandon is to try and find fun in everything and to live life to the fullest. He is human and Brandon does get in bad moods sometimes, but even the simplest things can make him laugh and smile. It goes to show that even someone with a challenging life, can find joy and share it with others. This is something I try hard to keep in mind. Maintaining a positive attitude goes a long way.

Brandon is the most authentic person I know. He doesn’t spend time trying to impress others. He isn’t judgmental and accepts others at face value. He tells and shows others how he feels about them without fear of rejection. High school is full of people trying to impress others all while fearing judgment of others. I think my friends would describe me as someone who stays true to who I am. I have core principles and values that I live by. I am not someone who caves to peer pressure just to fit in. In fact, I have found myself in many situations where I have relied on these values and faced possible backlash. But what I have found is that having these principles has actually made me more respected. People know what I stand for and what I won’t.

My character is something that has developed over time and is important to me. My reputation is only what others think of me. People will come and go in my life. My character will always follow me. Even when it isn’t the easiest thing to do, I always try to be myself and keep in mind the lessons Brandon has taught me. As with anything, I fall short sometimes but there is no doubt, I am a better person for having my uncle Brandon in my life. ■

To learn more, visit mankatoclinic.com/foundation-pages/ mankato-clinic-foundation

Ian learned the lessons of respect, joy and standing up for others from his uncle Brandon.

LEEP LEGENDS 2023

Thursday, July 13, 5:15pm

Gates Open

For more info, visit mankatoleep.org

ISG Field

LEEP Legends 2023 is a celebrity softball game fundraiser. When you buy tickets or make a donation, choose the local legend you want to support. Proceeds go to LEEP (Leisure Education for Exceptional People). Tickets are $15 for children age 4-14; $25 for adults; $300 for premium seating for 4 with food and beverages included. Children 4 and younger are free. First pitch is at 7:05pm.

Mankato Clinic’s LEEP Legend is Heather Stehr, APRN, CNP, FNP, Family Medicine.

WALK WITH ENARA HEALTH

Thursday, July 20, 6pm

Mankato YMCA – Start of Red Jacket Trail 1401 S Riverfront Drive, Mankato

Mankato Clinic has teamed up with Enara Health to launch a program focused on health and weight management. Join the first Walk with Enara Health event and connect with local Enara Health program providers and members. The trail distance is 1 mile out, 1 mile back, at your own pace.

WOMEN WITH HEART LUNCHEON

Wednesday, August 2, 11:30am - 1:00pm

Mayo Clinic Health System Event Center 1 Civic Center Plaza, Mankato

For more info, visit mankatounitedway.org/women-heart for tickets and info.

Mankato YMCA

Start of Red Jacket Trail

Mayo Clinic Health System Event Center

Women of all ages are invited to Greater Mankato Area United Way’s Women with Heart Luncheon. This year’s event will focus on supporting children in our community with a discussion from local leaders on child development and wellbeing. Tickets are $40 per person or $300 for a table of 8.

MAHKATO WACIPI Land of

Memories Park

September 15-17

The 51st Annual Mahkato Wacipi or pow wow honors the 38 Dakota and is committed to the spirit of reconciliation and healing. This cultural event preserves and shares Dakota history, traditions and culture. General admission is $7 for the weekend. Children 12 and younger and seniors 60 and older are free. For more info, visit mahkatowacipi.org

VINE 55+ EXPO: LOVE YOUR AGE

Tuesday, September 19, 1-4pm

Mayo Clinic Health System Event Center 1 Civic Center Plaza, Mankato

For more info, visit vinevolunteers.org/expo for info.

Mayo Clinic Health System Event Center

The Love Your Age VINE’s 55+ Expo presented by Monarch Healthcare Management is FREE and open to the public. Visit with vendors in the Grand Hall, attend presentations, register to win door prizes and more. VINE’s Health and Wellness team will be offering free balance assessments and class demonstrations.

ISG Field 601 Reed Street, Mankato

Land of Memories Park 100 Amos Owen Lane, Mankato