I’m Ashley Ryan. With my husband Luke, we are raising four boys. Our youngest son, Evander, has a rare genetic disorder. He is so unique that he is the only reported person in the U.S. with this disorder.
At age 2, he goes to Mankato Clinic Pediatric Therapy Services where he’s building strength and coordination to crawl, stand, walk and play. He’s also learning to communicate. We don’t know what to expect as he grows up, but we are doing all we can to help him reach his full potential.
Our second son, Finnegan, has Tourette syndrome, a rare disorder of the nervous system that causes sudden and repeated tics, movements and sounds. School days are hard, but with the right support and accommodations at school, it’s getting better.
I’m sharing our story to connect with other families who are facing the challenges, heartbreaks and, yes, joys, of raising children with special abilities.
We are not raising our boys alone. I have learned the importance of support and community on this journey.
Every step of the way, Dr. Ben Dexter, Mankato Clinic pediatrician, has been a trusted partner in the care of our children. Dr. Dexter, along with Abby Schneider, RN, pediatric nurse care manager, helped us navigate and advocate for Evander’s specialty care and complex needs.
Our family wouldn’t be where we are today without their efforts. I am a registered nurse. From another mom on social media, I learned about 1st Choice Pediatric Home Care. Through this company, I am employed as Evander’s full-time RN. Dr. Dexter wrote a letter of recommendation to help me land this job. This is the very best solution for our family.
As a mom and nurse, I want to spread awareness, education and understanding for families and children with special needs and abilities. We are all human, we are all different, and we all deserve the same respect.
If you have a story idea, email co-editor Marie Wood at mariew@mankatoclinic.com
Connect with me on social media: Facebook @ashley.ryan.798 or TikTok Ashley Ryan @ashleyann598. 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
Mankato Clinic Thrives
LOVE + GRATITUDE + PERSEVERANCE
= THE RYAN FAMILY
By MARIE WOOD PHOTOS BY MICHELLE ISEBRAND PHOTOGRAPHY
Ashley and Luke Ryan are raising four boys. Their youngest son, Evander, is so unique that he is the only reported person in the United States that has CAMRQ2. There are only three other people in Italy who have the disorder.
“When people say I’m sorry. I say ‘Don’t be, he’s a happy kid. He’s loved by his brothers. We enjoy being together. We’re still living life every day and grateful for every day we have. It just looks different’” Ashley Ryan says.
A rare genetic disease diagnosed by DNA testing at Children’s Minnesota and Mayo Clinic, CAMRQ2 causes his brain to be structurally different. Symptoms are extreme vertigo, lack of coordination, hypermobile joints, low muscle tone and involuntary muscle movements. Autism is also present with this disorder.
Ashley and Luke know that Evander won’t be a typical human when he grows up. But with no documented history of this disorder, they have no idea what to expect as Evander grows. Will he walk on his own? Will he talk? Will he play with his older brothers? There are no answers.
On TikTok, Ashley shared a video of Evander standing at a table. She captured the first time he was able to go from standing to gently sitting down.
“My sweet Lil’ Evander is 2.5 and has made so many gains. He continues to amaze me every day and I am so incredibly blessed to be his mom,” Ashley posted.
In raising Evander, Ashley learned that support is everything. She found her support and care team with Dr. Ben Dexter, the family’s pediatrician, Abby Schneider, RN, pediatric nurse care manager, and therapists at Mankato Clinic Pediatric Therapy Services. She has also joined Help Me Grow, the early childhood special education program, in Mankato Area Public Schools.
A registered nurse, Ashley is Evander’s full-time nurse employed by 1st Choice Pediatric Home Care, which is the best solution for Ashley, Evander and the Ryan family. Her oldest son has his CPR certification as a backup in case of an emergency. Her shift ends at 4 pm, but she works around the clock to care for him.
“I have the best job in the world!” Ashley says.
Therapy
Evander attends physical, speech and occupational therapy twice a week at Pediatric Therapy Services. Ashley joins him in his sessions and updates his therapists on Evander’s progress at home. In return, she finds joy, encouragement and understanding in raising a child with special needs. This is their happy place.
In the PTS gym, he works with his therapists, plays with toys, exercises and has lots of smiles for his therapists and mom. His speech pathology therapist sings and acts out “Wheels on the Bus” with him. Swinging soothes him so sometimes he works on tasks while laying on a swing.
Therapy looks like play because that is how children learn and develop. However, it’s also hard work for Evander and can be frustrating. Ashley caresses his arm to calm him.
Physically, he struggles to support himself and prefers to lay on his back. He can pull himself up, but his joints are so flexible that his legs and arms give out.
“My little guy is getting stronger every day. He has become more mobile. He is crawling and spending more time upright,” Ashley says.
When Lindsay Dexter, PT, DPT, joins Ashley and Evander for physical therapy, he greets her with what sounds like “hi”, a
clap and strong eye contact. Evander is mostly non-verbal, but he communicates. He is also saying “ma-ma-mom” for his mom, Ashley.
During the session, Ashley sets up Evander’s feeding tube that pumps liquid nutrition from a small backpack into his stomach, allowing him to receive the nutrition he needs. Evander’s diagnosis of eosinophilic esophagitis (EoE), which impacts his esophagus and esophageal tissue, makes oral feeding and swallowing difficult.
Physical therapy helps him to explore his environment, strengthen his muscles and improve his balance and coordination to crawl, stand and walk.
“We have been working on creeping on hands and knees and pulling himself up to standing at a support surface, two skills he is now able to do on his own. We also work on increasing his tolerance to upright postures, cruising along surfaces, and developing balance reactions while in standing for increased safety,” Lindsay explains.
Adaptive equipment is a game changer for children with special needs. At home and in therapy, Evander is learning to walk with a gait trainer which is similar to a walker but offers extra support for his torso.
For occupational therapy, he sees Amanda Schultz, MA, OTR/L. Amanda looks at Evander’s daily routine. With the support of an activity chair, Evander can sit and play. He is learning to pick up small pieces, push together and pull apart toys, and put shapes into a shape sorter. Amanda helped the Ryan family get an activity and bath chair to meet his needs at home.
“Evander is a sweet boy! We are currently working on arm strength, coordination and fine motor skills,” Amanda says.
Beth Knoll-Fleming and Stephanie Blume are Evander’s speech language therapists. In speech therapy, Evander learns to communicate and engage with others in various ways such as using his voice, gestures and simple sign language. He also practices with a speech generating device.
“Evander is a fun, little guy with an amazing, supportive family! His family does an excellent job of carrying over communication strategies that he has learned during therapy sessions to integrate into his everyday life,” Beth and Stephanie report.
Life at Home
The Ryans spend as much time outdoors in their backyard as weather allows. Indoors, Evander’s older brothers get on the floor with him.
“He doesn’t talk back, he wiggles over to them like a worm. He laughs and wants to be tickled. With my husband, he loves the scruff on his face. He will rub his arm on his face,” Ashley says.
Evander’s brothers are Sullivan, 11, Finnegan, 9 and Malakai, 6. Finnegan has Tourette syndrome, a condition of the nervous system that causes people to make sudden and repeated twitches, movements or sounds often called tics. Finnegan works hard to control his tics during the school day. Eventually the tics need to come out – often at home where there is no judgment.
“My boys are very close. They are not your typical rough and rowdy boys, which I’m totally fine with. It’s fine that the boys are sensitive. They are super understanding,” Ashley says.
Ashley makes sure she spends one-on-one time with the older boys since so much of her attention goes to Evander. Ashley and Luke never thought they’d be raising two children with very rare disabilities.
“Maybe, it’s because I’m a nurse, it’s meant to be. Down
the road, maybe I can help someone else. This is my purpose. I do believe everything happens for a reason,” Ashley says.
Ashley focuses on being present in the moment and taking each day as it comes. She has lived with type 1 diabetes for nearly 32 years since she was diagnosed at age 8. She learned to manage it and take care of herself. It made her who she is today.
“It’s a daily challenge managing my own health and my children’s health,” Ashley says.
To care for herself, Ashley talks with a therapist regularly and relies on exercise for her mental and physical well-being. She shares that passion with her boys and works out with them to spend time together. Sometimes they do workout videos. Evander watches and gets excited when his brothers do jumping jacks. Nutrition is also important to Ashley. She has a big garden and teaches her older boys how to cook.
People ask Ashley: How do you do it?
“We have our moments of grieving of your typical child who is not medically complex. It’s hard for me too sometimes. People think I’m a super mom. I’m not perfect. I’m just doing the best I can. That’s my goal,” Ashley says.
When Evander was first diagnosed, Ashley felt very isolated. Now she shares her story to advocate for children with disabilities and bring awareness and education. She also advocates for the understanding of Tourette syndrome. Her hope is to connect with other families who are raising children with special needs and abilities.
“The more people understand, the more support you have, the less judgment. The more people understand what to say in those moments. The more awareness, the better. Maybe it can help another family out there who is struggling,” Ashley says.
Connect with Ashley on Facebook @ashley.ryan.798 or TikTok Ashley Ryan @ashleyann598. ■
To learn more, visit mankatoclinic.com/specialties/pediatric-therapy-services A referral from your primary care provider is needed.
MANKATO CLINIC PEDIATRIC THERAPY SERVICES
150 St Andrews Ct, Mankato 507-388-5437
EARLY INTERVENTION WORKS
Children grow and develop exponentially in the first years of life. That’s why it’s so important to attend regular well-child exams. In the early years, we see them a lot – 1, 2, 4, 6, 9, 12, 15, 18 months, 2 years, 2.5 years and 3 years old. Then we switch to annual check-ups.
Before well visits, parents complete an Ages and Stages Questionnaire through age 5. At each visit, we do a comprehensive physical exam and talk with parents and caregivers about their child’s growth and development.
If you have any concerns about your child reaching milestones, such as crawling, walking or talking, tell your pediatrician or healthcare provider right away.
We can help and offer further evaluation. If needed, we can refer you to services in our clinic and the community. Mankato Clinic Pediatric Therapy Services offers speech, occupational and physical therapy.
Early intervention is key. The circuits in our brain are most adaptable in the first 3 years of life. These circuits are the basis for learning and behavior. That’s why early intervention can change a child’s developmental path and help them reach their full potential.
You know your child best. As pediatricians, we rely on parents and caregivers to provide information about their children’s health. Be open and honest and find a pediatrician or healthcare provider who you trust.
A trusting relationship with your pediatrician leads to the very best care and outcomes for your child.
BEN DEXTER, MD MANKATO CLINIC CHILDREN’S HEALTH CENTER PEDIATRICIAN
1421 Premier Drive Mankato
507-389-8529
mankatoclinic.com/specialties/pediatrics
CHECK YOUR MEDS WITH A CLINICAL PHARMACIST
Do you take several medications for one or more chronic conditions? If your answer is yes, then it may be a good idea to have an annual medication review with a clinical pharmacist.
A medication review is an in-depth look at the prescriptions, over-the-counter drugs and supplements you are taking to make sure they all work well together.
As a clinical pharmacist, I lead Medication Therapy Management at the Mankato Clinic. I work closely with patients and their providers to optimize medication use. Simply put, I make sure your medications are working well for you. A medication review is one way I do this.
Here are some answers to frequently asked questions.
What is a medication review?
A medication review is a one-on-one visit to review all your medications, including prescriptions, over-the-counter medications, vitamins and herbal supplements. A clinical pharmacist can help simplify complex medication regimens, recommend less-expensive alternatives, check for side effects and drug interactions, and make sure you are only taking what you need.
As people age, more medications are often needed to manage chronic conditions such as diabetes, high blood pressure, high cholesterol or heart failure. It’s very important to check for drug interactions and side effects.
How can a medication review improve your health?
Every patient is different. In reviews, we sometimes find drug-to-drug interactions and drugs dosed too high for kidney function. Kidneys play a key role in clearing many medications from the body. Since older age and some health conditions can reduce our kidney function, doses may need to be adjusted. Drug-to-drug interactions and inappropriately dosed medications can lead to more severe side effects like dizziness and falls, visits to the emergency department and increased healthcare costs. In addition, some medications can make other medications ineffective. In these cases, we can usually find a more effective mix of medications.
Are you taking your medications as directed?
Taking medication as prescribed is important for treating and preventing disease. For example, not taking blood pressure medications as prescribed may not cause problems on a day-to-day basis. However, over time untreated high blood pressure can lead to an increased risk of heart disease, stroke and kidney problems. It is better to prevent a disease than to treat it. Let your provider know if you aren’t taking a prescribed medication and the reasons why. Whether the reason is a side effect, forgetfulness, affordability, or more understanding on the importance of the medication, there is often a solution to adjust the plan or make the plan easier to follow.
Why is it important to include vitamins and herbal supplements in a medication review?
Although vitamins and herbal supplements can be purchased without a prescription, this doesn’t necessarily make them benign. Dietary supplements have the potential to cause drug interactions that may result in increased risk of side effects or reduced efficacy. St. John’s Wort, for example, can decrease the effectiveness of certain medications like antidepressants and blood thinners. Some supplements are linked to adverse effects like increased bleeding, worsening chronic conditions and affecting the absorption of other medications. For these reasons, it is important to include vitamins and herbal supplements in any medication review.
burden for patients. How can a clinical pharmacist help?
A clinical pharmacist can identify less expensive generic drugs, utilize manufacturer copay cards, advise pill splitting, and find patient assistance programs. For patients with Medicare, it is also important to review your plan yearly during open enrollment to make sure you are on the correct drug plan for your mix of medications. For most patients, there is usually a way we can help to make medications more affordable.
Is a medication review covered?
Patients with Medicare Part D and Medicare Advantage plans are eligible for a Medication Therapy Management (MTM) review. To qualify, members must have more than one chronic disease and take multiple Part D drugs. It’s always a good idea to check your plan with your insurance company.
If you have commercial, also called private, health insurance, call the number on the back of your insurance card to see if this service is covered.
To see if a medication review is right for you, contact your primary care provider. ■
In the fall and winter, viruses tend to spread as we head indoors and schools are back in session. Follow these tips to help your family stay well.
Get your vaccines.
It’s time for your updated flu and COVID-19 vaccines to protect you during the fall-winter respiratory virus season. The vaccines are recommended for everyone ages 6 months and older. It’s safe and convenient to receive both vaccines in the same visit. Flu and COVID shots can reduce your chances of getting the virus, but their main power is to prevent severe illness, hospitalization and death.
Hand washing works.
On average, the human hand is home to 150 different kinds of bacteria! Germs can survive for 3 hours on our hands. Wash your hands often with soap and water for 20 seconds. Sing the “Happy Birthday” song which may also make you smile! Make sure to wash your thumbs and between fingers. Teach your kiddos to wash their hands after they cough, sneeze, blow their nose, go to the bathroom and before eating. Clean hands are the one of the best ways to remove germs and prevent illness.
Stay home when you're sick.
If you or your children are ill, stay home and away from others until your symptoms are better and you are fever-free, without medication, for 24 hours. Take extra precautions for the next 5 days by distancing or wearing a mask. This is especially helpful if you are in contact with those at higher risk for the virus like older adults and young children.
Clean the air in your home.
If you have central heating, you can set the fan to the “on” position instead of “auto” when you have visitors. As we head into the holidays, we tend to have many indoor gatherings. Change your furnace filter every three months and open windows when you can. ■
Cover your cough and sneeze.
An average sneeze or cough can spray thousands of germs at speeds up to 100 mph over distances of several feet! Sneeze or cough into your elbow.
To learn more, visit the CDC's Respiratory Virus Guidance at cdc.gov/respiratory-viruses/guidance/index.html.
RSV Immunization
As a pediatrician, respiratory syncytial virus, or RSV, is the worst part of winter. For healthy children and adults, RSV may cause a cold. For infants and young children, RSV can cause bronchiolitis, an inflammation of the small airways in the lungs, and pneumonia. RSV is the leading cause of infant hospitalization in the U.S.
The RSV season is generally October through April.
Mankato Clinic pediatricians and the American Academy of Pediatrics recommend the RSV immunization for infants. There are two ways to protect infants: Maternal RSV vaccination or an infant immunization. Here are the CDC guidelines:
• Maternal RSV vaccine during weeks 32 to 36 weeks of pregnancy to protect babies who will be born in the RSV season. The vaccine needs to be timed 2 weeks ahead of delivery to allow mom to build immunity and pass it on to baby.
• One dose of the RSV immunization for infants younger than 8 months of age who are born shortly before or are entering their first RSV season.
• One dose of the RSV immunization for infants and children aged 8–19 months who are at increased risk for severe RSV disease and entering their second RSV season. Young children are at an increased risk if they were born prematurely, have chronic lung disease or are immunocompromised.
At Mankato Clinic, your pediatric or family medicine provider will be offering the RSV immunization October through March. If you are pregnant, Mankato Clinic obstetricians will be offering this vaccine to their eligible patients September through January.
We encourage you to talk with your provider if you have any questions or concerns about this vaccine. We are happy to answer your questions.
RSV VACCINE TESTS for adults can provide useful
Older adults are also at risk for severe illness and hospitalization from RSV. The adult RSV vaccine is recommended for everyone ages 75 and older. At this time, RSV is not an annual vaccine and older adults do not need to get a dose every season. The vaccine is also advised for adults aged 60-74 who are at increased risk for severe RSV disease. Talk with your healthcare provider or pharmacist to see if this vaccine is right for you. The adult RSV vaccine is available at local pharmacies.
Testing for flu or COVID-19 is advised if you have risk factors for severe illness and may benefit from antiviral treatments. Testing can also help you take steps to help prevent spreading the virus to others.
Source: CDC
NOELLE BACH, MD
MANKATO CLINIC PEDIATRICS
CHILDREN’S HEALTH CENTER
1421 Premier Drive
Mankato 507-389-8529
mankatoclinic.com/specialties/pediatrics
ARE YOU DUE FOR A MAMMOGRAM ?
Early detection matters, as 1 in 8 women will develop breast cancer in their lifetime. Regular screening mammograms are the most effective test to detect cancer early when it is more treatable. Your primary care provider can help you stay on track with annual screening exams.
When should a woman begin having mammograms?
Mankato Clinic follows the guidelines of the American College of Radiology (ACR) and recommends annual 3D screening mammograms starting at age 40 for women of average risk and at age 30 for women at high risk. While the machine and positioning are the same as a 2D mammogram, a 3D mammogram is our standard of care as it offers a more detailed view of the breast tissue, resulting in fewer callbacks for additional imaging.
Should I do monthly breast self-exams? Today, we encourage breast self-awareness by being familiar with how your breasts normally look and feel. If you notice any changes in your breasts, let your healthcare provider know right away. Clinical breast exams performed by your healthcare provider are also important and can be done every 1-3 years depending on discussions with your healthcare provider. What determines a woman’s risk of developing breast cancer in their lifetime?
Understanding your risk often begins at well women visits with your primary care provider or gynecologist by gathering information on your personal and family history. For women aged 40 and older, the information is reviewed at your annual screening mammogram visit. Mankato Clinic Breast Health then enters personal and family history into the TyrerCuzick model, to calculate an individual’s risk score. For women with a high-risk score, the American College of Radiology (ACR) and Mankato Clinic recommends an annual screening breast MRI beginning at age 25 and annual 3D screening mammograms starting at age 30. After turning 30, alternating the two screenings in 6-month intervals is recommended for women at high risk.
What factors increase your risk?
• Being a woman
• Personal or family history of breast or ovarian cancer
• Dense tissue type on mammography
• Personal history of a breast biopsy with a high-risk lesion found
• Age over 30 at first full term pregnancy
• No history of full-term pregnancy
• Ashkenazi Jewish ancestry
• Black American ancestry
• Chest radiation therapy between the ages of 10 and 30
• Smoking
• More than one alcoholic drink a day
• Being overweight
Your risk score is re-evaluated at every mammogram appointment. Women may see their score fluctuate with aging or changes in personal and family history. One of the biggest changes you will see when having your mammogram is the Mankato Clinic uses artificial intelligence when evaluating your breast density. This is calculating the total volume of density in your breasts. Having dense breast tissue can increase your risk of developing breast cancer so we believe it’s important to get an accurate measurement of the density of your breasts. Breast density can change over time.
How do I schedule an annual screening mammogram at the Mankato Clinic?
Contact your primary care provider to order your annual mammogram. You may also schedule a screening mammogram on the Mankato Clinic Breast Health and Imaging website page by scanning the QR code below.
Most health insurance plans cover regular mammograms. Call the number on the back of your insurance card to check your coverage. ■
SCHEDULE YOUR ANNUAL SCREENING
Mankato Clinic Breast Health and Imaging Center Main Street Clinic 507-389-8570 mankatoclinic.com/specialties/breast-health-imaging-center
DR. HANNAH BRANDTS
MANKATO CLINIC RADIOLOGIST
EMILY RETZLAFF, RN BREAST HEALTH MANAGER
ADVANCE DIRECTIVES UNDERSTANDING
Only 33% of adults in the United States have any type of advance directive for end -of-life care.
One of the obvious reasons contributing to this low percentage is simply the fact that people do not feel comfortable discussing disease, death, and dying. Yet, completing an advanced directive has become more crucial than ever as advances in medical technology can artificially prolong life, while at the same time, patients are not always educated on the limitations of medicine and quality of life issues.
There are many types of advanced care directives and healthcare decision directives:
Do not Resuscitate Order (DNR)
A DNR is a legal document that states you do not want excessive measures used to be revived (i.e., CPR) if your heart or lungs stop working. A DNR does not apply if an individual is having breathing difficulties, and it does not prevent other types of medical interventions.
HealthCare Power of Attorney (POA)
A healthcare POA is a legal document in which you choose another person to make healthcare decisions on your behalf if you become incapacitated. This person is appointed as your “agent” or “proxy”.
Financial Power of Attorney (POA)
A financial POA grants another individual the authority to act on your behalf concerning financial and personal matters. You must fill out separate paperwork for both financial and healthcare POAs.
Living Will
A living will is a legal document that only applies if you are both terminally ill and unable to speak for yourself. It allows you to describe ahead of time what you want to happen or not happen in specific situations that are listed in the document. It will only cover those specific situations that you include. It is important to note that if you have not designated a healthcare POA, then the doctor will be put in the situation to decide what they think you would want in certain scenarios.
An advance directive is only meaningful if you share them with the appropriate people. Copies should be shared with your primary physician, and any doctor who is part of the care team. Copies should also be given to those who will be present to help enforce wishes. There are also cards to carry that inform responders that an advance directive is in place and where to find it.
Free living will forms are generally available through the state, at local sites or online. Your doctor would likely be able to assist with completing a DNR, and POA forms can be requested at most medical facilities and online. ■
A protein powder can be used to substitute a partial amount of flour in a recipe. Adjustments to the amounts of liquid, fat and baking time are necessary for preventing a dried-out or overcooked product, so it is best to use recipes that already include it as an ingredient. Protein helps make our meals and snacks heartier, and blood sugars more stable.
Go ahead and sprinkle some mini semi-sweet, milk, or dark chocolate chips over the tops along with the seeds to make these muffins extra-special. I would pair this treat with a hot, spiced brew tea like Chai or Vanilla Spice, and add a splash of low-fat milk or unsweetened alternative milk if desired. ■
Recipe adapted from therealfooddietitians.com/pumpkin-protein-muffins/
VANESSA MACK, RD, LD, CLS MANKATO CLINIC DIABETES CARE CENTER
INGREDIENTS
1 ¼ c. all-purpose flour
½ c. powdered collagen peptides (unflavored)
2 tsp. pumpkin pie spice
1 tsp. baking soda
½ tsp. salt
1 15-oz. can pumpkin puree (not pumpkin pie filling)
½ c. brown sugar
2 large eggs
¼ c. avocado oil
¼ c. maple syrup
1 tsp. pure vanilla extract
Raw green pepitas (pumpkin seeds) chopped
INSTRUCTIONS
1. Preheat the oven to 375°. Spray 12-cup muffin tin with cooking spray.
2. Combine flour, protein powder, pumpkin pie spice, baking soda and salt.
3. Make a well in the center. Add pumpkin puree, sugar, eggs, oil, maple syrup and vanilla. Stir until blended.
4. Pour ¼ cup batter into each muffin cup. Sprinkle pepitas over the batter.
5. Bake 18-20 minutes. Cool for a few minutes before moving to a wire rack to cool completely.
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.
ME TIME
BORROWING SUGAR
By HOLLY DODGE
When I first met Nicholas in 2021, it was hard not to fall in love at first sight. He had piercing brown eyes and a perfectly poised mustache above a sly smirk.
I met him in a most unlikely place: Tinder. As a single, working mom of two, I found the dating scene to be very cumbersome and unreliable. In a moment of curiosity, I decided to try Tinder for a week and was reminded of how picky I truly was at this stage in life.
After many left swipes and empty conversations, a unicorn appeared. It was Nicholas. His profile, with the aforementioned handsome photo, also humbly boasted that he was a certified herbalist, a classical pianist, and an avid reader of philosophy, particularly Spinoza and Johann Wolfgang von Goethe.
My nature-loving, intellectual brain was astounded to find someone with such closely aligned interests. This was the man I
had been manifesting since I was a child. My excited fingers swiftly fumbled to swipe right. He was living in Excelsior, Minnesota, which seemed like a long commute, but I was so curious to meet him.
The next Tinder suitor was a left swipe for me. And then a message popped up that I was out of matches. It was official. Wow. I did it. I broke Tinder. Defeated and feeling a little pathetic, I started to go to the settings of the dating app to delete my account.
Then a message popped up. Nicholas quickly matched with me, and we began talking. After a four-hour-long phone conversation and an all-day date in Mankato, we both knew we were fated to be together forever.
Both of us had been married twice before, and Nicholas brought three wonderful boys into our growing relationship. During our first year of dating, we hauled our children back and forth to one another’s homes for fun-filled, long weekends and holidays. To our pleasure, the kids all took to one another quickly.
Nicholas and I decided early on that moving in together with our five children might not be the best decision for our family unit. I got
lucky, though. In 2022, Nicholas and the boys purchased a home in Mankato. The home, ironically, is next door to one of my best friends.
Now, our one-hour commute to spend time together became a one-mile commute. We spent weekday dinners together with all the kids and had the benefit of more spontaneity for gathering. As our families grew closer, even one mile apart felt too far.
In 2023, imagine our shock when the house kitty corner from Nicholas was placed on the market. The quaint Queen Anne house comfortably suited the needs of my children and I and it even had a fenced-in backyard that butted right up to Nicholas’ backyard.
Within 48 hours, I purchased the home that is less than 100 feet away from my sweetheart and his boys. Soon after, we crafted a garden gate in the wooden fence separating our backyards and built a garden path to lead to each other’s doors.
The proximity of our unique living situation has been valuable for our blended family. Our home doors have become rotating doors, with our children moving freely between our two houses. Our yards have become a communal gathering space, freely accessed by all.
Nicholas and I also have more casual time for ourselves. In the mornings, we can share a quick cup of coffee before ushering the kids to school and heading to work. The sounds of Schubert, Glass, Brahms, and Mozart from Nicholas’ home piano intermingle with the windchimes in my backyard. We share meals and ingredients between our two houses, and if we ever run out of toilet paper, help is not far away.
But besides the domestic conveniences, we have discovered the proximity of our families has deepened all of our relationships. Nicholas and I now have the opportunity to spend more time with one another’s children and to earn increased respect and trust as parental figures without living together. Our closeness has allowed more casual conversation and connection with our children, and I am always grateful to pop over and read bedtime stories with Nicholas and his youngest.
According to Psychology Today, blended families increase the number of people available in members’ social support networks and lead to expanded opportunities to form strong and loving connections. We feel fortunate to experience that firsthand.
Today, our strikingly unique children are 19, 16, 14, 13, and 5. Our very special living situation makes it easy to support all of our children in a loving and mutual way. Nicholas and I are lucky to partner together in love, parenting, art, intellect, and even sometimes yard work.
Our unique blended situation makes it easy to borrow a cup of sugar, but it also allows us to borrow something even sweeter: mutual love, support, and guidance between our families. ■
Holly is a writing professor at Minnesota State University, Mankato. She is good at cooking.
Nicholas is an artist and web developer. He is good at doing dishes.
BOOKS CAN CHANGE LIVES Literacy Support in our Communities
By HOLLY DODGE
Parents want nothing more than for their children to be happy, healthy, and successful in life. Research consistently demonstrates that early childhood literacy is crucial for a child’s academic success and emotional well-being. Before a baby can even begin to talk, the roots of language are developing. It is important for parents and caretakers to read to children as soon as possible.
High-quality educational books can increase a child’s vocabulary, comprehension, and language skills, providing critical support in preparing children for school.
However, the resources to support literacy and language development can be dependent upon circumstance and not all families may have the same access to books. That’s where the Greater Mankato Area United Way steps in to help provide knowledge and resources to families so they can begin to foster and support early literacy habits at home on a consistent basis. The organization has many programs to support early readers.
Reading Festival
For the past eleven years, the Greater Mankato Area United Way, in partnership with Capstone Publishing, has hosted an Annual Reading Festival for pre-K to 3rd graders to promote reading and literacy skills among youth. The widely attended event is hosted at the Mankato Family YMCA and allows families and youth to take complimentary youth books in an effort to promote literacy. The expo-style event also hosts a multitude of additional activities and resources that may benefit families.
ABOUT THE PROGRAM
Books for Kids
“Books for Kids” is another initiative of the Greater Mankato Area United Way. It is a program designed to instill the joy of reading in children by providing free books and parenting resources to families in Blue Earth, Nicollet, Le Sueur, and Nicollet Counties. The free-of-cost program, which began in 1997, has helped build children’s home libraries, encourage literacy skills, and foster school readiness. Again, Capstone Publishing, partners with the organization and donates thousands of books every other month, which are subsequently distributed via mail to children ages two months through four years. Several hundred books are also distributed via community outreach events such as Project Community Connect and Mankato Public Schools Early Childhood Screening program. In 2023 alone, Books for Kids distributed nearly 30,000 books to children in our region.
Books for Kids is a Greater Mankato Area United Way program designed to instill the joy of reading in children by providing free books and parenting resources to families in our region. Children receive a free, age-appropriate book every other month in the mail, donated by Capstone. This program encourages literacy, builds home libraries and fosters school readiness.
The Kindness Booth
The partnership with Capstone Publishing and the Greater Mankato Area United Way has remained strong, and in 2024, Capstone published the children’s book, The Kindness Booth, to support the Greater Mankato Area United Way’s initiatives of learning and literacy. The picture book, geared towards Pre-K to 2nd grades was written by Laura Murray and illustrated by Andrea Boatta.
The story focuses on young Mya, who wakes up on a gloomy day and asks her grandpa how she could make the day brighter. His simple response puts Mya into motion, and together with her little brother, Oliver, and neighbor, Addie, she opens the kindness booth. Their plan? Help spread some sunshine to her apartment complex by helping them throughout the day. But what happens when Mya’s booth gets rained out?
The uplifting book, full of colorful illustrations, teaches children the importance of being kind to one another and how one nice deed can spread to others. Capstone Publishing donated paperback copies to all first graders in their service area. Barb Kaus, CEO of the Greater Mankato Area United Way shares, “With United Way’s focus on childhood literacy and development, I have had the long-time goal of releasing our own picture book. This book has a beautiful message centered on kindness, which is foundational at every age. We are thrilled to partner with Capstone on this initiative and can’t wait to see this book in the hands of children throughout our region and beyond.” ■
2024 READING FESTIVAL
Greater Mankato Area United Way’s Reading Festival is a free annual event held in November. Sponsored by Capstone, this expo-style event geared toward PreK-3rd-graders is held in partnership with local organizations to promote literacy and celebrate reading. To volunteer in literacy efforts and books for Kids, visit getconnected.mankatounitedway.org
Dr. Noelle Bach has joined the Mankato Clinic Pediatrics department at Children’s Health Center.
“I pride myself on being a good listener and making joint decisions with patients and their families. I pride myself on giving high quality, consistent care each visit of the day.”
As a pediatrician, she loves taking care of kids, watching them grow and achieving their milestones in life. She is compassionate about positive parenting, enjoys newborn care and talking about ways to stay healthy as kids grow and mature.
Originally from Eagle Lake, Dr. Bach practiced pediatrics in Northern Virginia for 14 years.
She earned her Doctor of Medicine from the University of Minnesota-Twin Cities. She completed her residency at Children’s National Medical Center, Washington, D.C. She received her Bachelor of Science in Biochemistry and Molecular Biology and a Bachelor of Arts in Chemistry from the University of Minnesota-Duluth.
Outside of work, she enjoys running, reading, walking her dog, and making her family go on hikes.
Here to care.
MEET DR. BACH
What makes you thrive?
Sleep, exercise and hiking with her family.
Why did you join the Mankato Clinic? I joined to be closer to my family. I’m loving the supportive atmosphere and meeting lots of new patients.
What do you love about fall? The crisp, chill air, fall colors and wearing sweaters.
What did you want to be when you grew up?
A singer! A teacher! Now I can be both as I take care of kids and both skills come in handy.
Do you have any hidden talents?
Making up new words to pop songs, kids music and nursery rhymes.
MANKATO CLINIC CHILDREN’S HEALTH
1421 Premier Drive, Mankato 507-389-8529
mankatoclinic.com/specialties/pediatrics
NOELLE BACH, MD MANKATO CLINIC PEDIATRICS
Nutrition Presentation
April Graff, Hy-Vee Dietitian, will give a presentation to your group on a topic of your choice. Businesses may select from topics below or request an additional topic. All presentations will last approximately 45 minutes, leaving 10-15 minutes for questions at the end.
Topics Available
• Eat Well, Live Well: Disease Prevention
• Love Your Lunch
• Good Mood Food
• Up in Flames: Inflammation 101
• Uncomplicate Your Plate
• Build a Better Salad
• Other topics available, upon request
Contact April Graff with questions or scan the QR code to schedule your appointment.
Graff,
Your Employees’ Health Matters
Make HappenHealthy in the Workplace
Biometric Screenings
Blood cholesterol, height, weight, blood glucose, waist circumference, and blood pressure will be taken by a registered dietitian.
HgA1c Screenings
Prevent and detect your risk for diabetes in less than 10 minutes. Hemoglobin A1c is a blood test that shows your average blood sugar levels over the past 2-3 months.
The Hy-Vee difference is that April can explain your results and provide suggestions on how to improve your numbers, if necessary.
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Dr. Matthew Morrissey joined Mankato Clinic Dermatology at River’s Edge Campus in St. Peter.
“I enjoy treating patients of all ages and believe in providing patient-centered, comprehensive dermatologic care. I look forward to meeting you at your next visit.”
Dr Morrissey is a board-certified Dermatologist; his clinical interests include complex skin conditions and skin cancer surgery.
Dr. Morrissey earned his medical degree from the Uniformed Services University of the Health Sciences, Bethesda, MD. He completed his internship and dermatology residency at the San Antonio Military Medical Center in Texas.
He was assigned as a staff dermatologist to Womack Army Medical Center at Fort Bragg, NC. While at Fort Bragg, Dr. Morrissey deployed to Mosul, Iraq, as a battalion surgeon with 1st Battalion, 327th Infantry Regiment, of the 101st Airborne. Upon returning, Dr. Morrissey served as the Womack Dermatology Clinic chief.
Next, Dr. Morrissey joined the faculty of the Dermatology Residency Program at San Antonio Uniformed Services Health Education Consortium. In addition to training dermatology residents, he led the Executive Medicine program and the Inpatient Dermatology service, which provided 24-hour coverage to the Department of Defense's largest inpatient facility and only Burn Unit.
After serving 15 years on active duty, Dr Morrissey spent the last years working in private practice in the Twin Cities.
Originally from Rockville, MD, he earned his Bachelor of Arts degree in religion from Middlebury College in Vermont.
Dr. Morrissey enjoys spending time with his wife, Lindsay, and five children. They enjoy traveling, camping and skiing.
Here to care.
MEET DR. MORRISSEY
MATTHEW MORRISSEY, MD
MANKATO CLINIC DERMATOLOGY
What makes you thrive?
Spending time outdoors with my family. I particularly enjoy camping and fishing with my wife and kids.
Why did you join the Mankato Clinic?
I was impressed by the clinic culture and strong physician leadership.
What do you love about fall?
Cool mornings and colorful foliage.
What did you want to be when you grew up?
An Officer in the United States Military
RIVER’S EDGE CAMPUS
What surprises you about people?
How kind and good natured the people of Minnesota are.
What’s your favorite thing to cook and eat? Venison chili
If you could travel anywhere in the world, where would you go? Skiing in the Swiss Alps
Mankato Clinic Dermatology, St. Peter 507-934-2144
mankatoclinic.com/specialties/dermatology
Nurse Practitioner Vonnie Gratz has joined Mankato Clinic Urgency Care.
Her clinical interests are emergency and disaster medicine.
Vonnie has 34 years of experience in emergency medicine. For 13 years, she served with the National Disaster Medical System on the Minnesota Disaster Medical Assistance Team. Vonnie completed many deployments to natural disasters throughout the United
Here to care.
MEET VONNIE
VONNIE GRATZ, APRN, CNP MANKATO CLINIC URGENCY CARE
Sates, as well as high-security events at the U.S. Capitol in Washington, D.C.
Vonnie earned her Bachelor of Science in Nursing from St. Olaf College in Northfield and her Master of Science in Nursing and Nurse Practitioner degree from Minnesota State University, Mankato. She is also a BoardCertified Emergency Nurse Practitioner.
Sophie Willems, occupational therapist, joined Mankato Clinic Pediatric Therapy Services.
“I grew up with a passion for working with children and am grateful to be in a career that fuels that passion. I strive to collaborate with families on goals that will create and leave a positive impact on their children’s everyday lives.”
Sophie’s clinical interests include sensory integration, fine motor skills and feeding.
She earned her Master of Arts in Occupational Therapy from St. Catherine’s University, St. Paul.
Originally from Ham Lake, Sophie loves being on the lake, hammocking and reading.
Vonnie’s top bucket list item is to become fluent in Spanish.
What makes you thrive?
I love to do anything outside in the sunshine. I love to walk, cycle and lift weights. I also enjoy gardening and spending time with my first grandchild.
MANKATO CLINIC URGENCY CARE
Main Street Clinic
507-389-8680
mankatoclinic.com/urgency-care
Here to care.
MEET SOPHIE
MEET SOPHIE WILLEMS, MA, OTR/L MANKATO CLINIC PEDIATRIC THERAPY SERVICES
What makes you thrive?
Spending time with friends and family, being outside, and checking out new coffee shops!
Why did you join the Mankato Clinic?
When I completed fieldwork in the Pediatric Therapy Services department, I saw first-hand the awesome team at the Mankato Clinic. I wanted to be part of that team.
Enjoy exclusive savings on select styles of hard and soft surface flooring.
Tickets are $5 and support tools for schools through the mrba education fund
11 Coventry Lane North Mankato
Here to care. MEET LARISSA & GALEN
LARISSA HALVORSON, APRN, CNP
MANKATO CLINIC OBSTETRICS AND GYNECOLOGY
GALEN BECKEL, PA-C
MANKATO CLINIC OBSTETRICS AND GYNECOLOGY
Larissa Halvorson, APRN, CNP, and Galen Beckel, PA-C, have joined the Obstetrics and Gynecology Department to offer Fertility Services and Women’s Healthcare.
Meet Larissa
“I am very passionate about all aspects of fertility and women’s health from teenage years through menopause. Fertility can be a long journey, and I will be there with you from the consultation appointment through conception. With the help of fertility services and in vitro fertilization, I was able to have my second son. Since he was born, I have grown a special interest in being able to help patients start or grow their families. The overall health of women is an important interest of mine as well. My goal is to support and uplift women by giving them the highest quality of care they deserve."
As a nurse practitioner in Obstetrics and Gynecology, Larissa's clinical interests include women's health and fertility. She was a registered nurse in the Mankato Clinic OB-GYN department from 2019 to 2023.
Originally from Hanska, Larissa earned her Master of Science in Nursing from Walden University, Minneapolis.
Larissa is married with two boys. She enjoys playing sports, working out, baking and spending time with her family and friends.
Meet Galen
“In my practice, I focus on treating patients with dignity, respect and compassion while also involving them in their care decisions. I am focused on aiding women through all stages of life. From their teen years, fertility journeys, and menopausal/ postmenopausal paths, I aim to care for them where they are at in life and help them in any way that I can.”
As a physician assistant, her clinical interests include women’s health at all ages, fertility and acute care. Galen joined the Mankato Clinic in 2018 and has experience in Urgency Care and Family Medicine.
Originally from Trimont, she earned her Master of Science and Physician Assistant degree at Bethel University in Arden Hills. Galen enjoys spending time with her growing family, reading, relaxing and going to the lake.
MANKATO CLINIC OBSTETRICS AND GYNECOLOGY
1230 E Main Street, Mankato 507-389-8522
mankatoclinic.com/specialties/ob-gyn
Here to care.
MEET COLLEEN
Colleen Vitzthum, AuD, has joined the Mankato Clinic Hearing Care Center.
“I deliver evidence-based care to all ages — especially newborns and children — who have audiologic concerns. I focus on my patient's needs and create a friendly, welcoming, and safe environment, so they feel comfortable asking questions and participating in their care.”
Her clinical interests include pediatrics, cochlear implants and Auditory Brainstem Response (ABR) testing which measures how the inner ear (cochlea) and brain pathways are working.
She earned her Doctor of Audiology from the University of Wisconsin-Madison and her Bachelor of Arts in Communication Disorders from Minnesota State University, Mankato. She is a fellow of the American Academy of Audiology, member of the American Speech language Hearing Association and Minnesota Academy of Audiology.
What makes you thrive?
Spending time with my friends and family, especially my husband and baby daughter. My daughter has such a personality and can always bring a smile to my face. I also thrive when there is a challenge or competition. It encourages me to be a better person and do my best.
Why did you join the Mankato Clinic?
Growing up, I doctored at Mankato Clinic. It has always had a great reputation and strong values that continue to this day. Mankato Clinic is family friendly and supportive of a good work-life balance.
What do you love about fall?
Going to state parks while the leaves change. My family farms, so I like delivering meals to the guys in the field and taking a ride in the combine.
WICKERSHAM HEALTH CAMPUS
Mankato Clinic Hearing Care Center, Mankato 507-385-4025
mankatoclinic.com/specialties/hearing-care-center
MEET COLLEEN VITZTHUM, AUD MANKATO CLINIC EAR, NOSE AND THROAT
Dr. Jennifer Service has joined the Mankato Clinic Department of Psychiatry to offer mental health care primarily through telehealth services.
“I use a patient-centered approach. I understand that meeting with a psychiatrist can be overwhelming and that each patient has different issues and expectations. My first priority with every patient is a thorough diagnostic assessment. I then focus on choosing the best medication regimen with the goal to effectively treat symptoms with the least amount of medication possible. I support an integrative approach and work closely with patients’ medical providers and therapists.”
Her clinical interests include treating psychotic disorders and refractory mood and anxiety disorders. Refractory means that two or more medications have not improved symptoms. She also treats individuals who have mental health symptoms related to medical conditions.
Dr. Service earned her medical degree from the University of Minnesota-Duluth with an Internal Medicine internship at North Shore Medical Center and residency at the Department of Psychiatry, Massachusetts General Hospital, Boston. Dr. Service completed a fellowship in Forensic Psychiatry at Harvard Law and Psychiatry Service. She has practiced extensively in the Twin Cities.
In her free time, she enjoys gardening, maple sugaring, traveling and spending time with family.
Here to care.
MEET DR. SERVICE
JENNIFER SERVICE, MD
Why did you join the Mankato Clinic?
I have family members that have worked at the Mankato Clinic for 30 years. You don’t get a better endorsement than that.
What do you love about fall?
Everything! It’s my favorite season. I love the cool weather, picking pumpkins, and wearing costumes on Halloween.
What’s your favorite thing to eat? Ice cream
What surprises people about you?
When I am not caring for patients at the Mankato Clinic, I am a forensic psychiatrist working on criminal and civil cases across Minnesota.
Do you have any hidden skills? I love to garden and miss my gardens in the fall. So, I started indoor hydroponic gardening. I grow enough lettuce and herbs for my neighborhood!
MANKATO CLINIC DEPARTMENT OF PSYCHIATRY
Madison East Center 507-387-3195 mankatoclinic.com/specialties/psychiatry
MANKATO CLINIC DEPARTMENT OF PSYCHIATRY
Grand Forks, and a Bachelor of Science Degree in Nursing from Minnesota State University, Mankato. She also holds a Bachelor of Arts degree in Biology, Society and Environment from the University of Minnesota, Twin Cities. She joined the Mankato Clinic because of the team-based culture, community presence and longevity of staff. Originally from Lakeville, she enjoys outdoor activities, anything next to a body of water, and travel.
What makes you thrive?
Time with family and friends, my daughter Penelope’s laugh, traveling, warm weather and sunshine, star and moongazing, yoga and running.
What do you love about fall?
Flannel shirts, bonfires, Halloween, and crisp air.
Ayan supports your healthcare journey
By MARIE WOOD
Ayan Mohamed begins her day reviewing the department schedule and preparing for upcoming appointments. She checks patient records to ensure all necessary information is updated and ready for the day’s appointments.
“I serve as a primary point of contact for patients, ensuring they have a smooth and supportive experience throughout their healthcare journey,” Ayan says.
As a Patient Support Coordinator, Ayan works at the front desk of departments, assigned to different departments as needed.
“Coordinating care is a crucial part of my role, so I often liaise with different departments to schedule tests, consultations, and followups, ensuring that everything aligns smoothly with the patient’s care plan. Overall, my role is to provide comprehensive support to both patients and healthcare providers, contributing to the seamless delivery of care at the clinic,” Ayan explains.
In between patients, she updates patient records, processes paperwork and ensures all documentation is accurate. When unexpected issues arise, such as scheduling conflicts, she works quickly to resolve the issue to minimize disruption to patient care.
“I joined Mankato Clinic because I was drawn to its strong reputation for providing high-quality,
JOIN OUR TEAM
patient-centered care in a communityfocused environment. As a Patient Support Coordinator, I contribute directly to enhancing the patient experience, helping to ensure that everyone receives the best possible care and support throughout their healthcare journey,” Ayan says.
Ayan finds her work incredibly fulfilling due to the teamwork among staff members and the supportive and collaborative culture at the Mankato Clinic.
“Everyone is dedicated to the common goal of improving patient outcomes, and that sense of shared purpose makes the work meaningful. Additionally, the opportunity to directly interact with patients and help them navigate their healthcare journey is something I find deeply rewarding. It’s a place where I feel I can make a real difference every day,” Ayan says.
Ayan, a college student, will be graduating with degrees in psychology and communication. She plans to attend law school. Her goal is to specialize in family law, where she can combine her passion for helping others with legal advocacy to make a positive impact in the lives of families and children. ■
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.
-Assistance
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Photo by Archibald LeBoutillier
Nicole Helget “WORK HARD. PLAY FAIR.” Make Me A Thriver
Nicole Helget’s humbleness takes center stage. A busy mother of many, a grandmother, a teacher, a writer, and a community advocate. She’s hard not to admire. But she insists she is driven to thrive by her commitment to her community and future generations.
Helget grew up on a farm outside of Hanska. There, she spent her formative years working on the dairy farm and spending days in the field with her father. “I still love the rural life,” she reflects. One of her early and well-received memoirs, “The Summer of Ordinary Ways,” bittersweetly recalls her rural youth.
Her love for writing began as she attended Minnesota State University, Mankato, for her master’s in teaching. Although, she found herself drawn by the Creative Writing program and faculty and made the switch. “I was always interested in storytelling. I’ve usually been the quiet person who enjoys listening.” Growing up Catholic, she was captivated by the stories of martyrdom. Through the years, she wrote six adult and young adult books and dozens of early reader books.
Nowadays, she happily resides on a hobby farm outside of Saint Peter with her partner and traveling musician, Erik Koskinen. She has three adult children: Isabella, Mitchell and Phillip. This fall, she moved her daughter Violette to the University of Minnesota, Duluth for her freshmen year, and her boys Archie and Gordie are at Mankato West High School. She also has four grandchildren.
As her children age, she prepares for an empty nest by challenging herself to find good deeds and tasks to fill her time. Helget shares, “Start saying yes to things. You have to try different things and see what fits.”
Heeding her own advice, she began as a paraprofessional at Prairie Winds Middle School in 2020, which led her to teach Special Education at Dakota Meadows Middle School. “I absolutely love it. I have the best students.”
She views teaching as a community responsibility and strives to be the best teacher she can possibly be. “I do not take it for granted that parents entrust me with their children’s physical, emotional, and mental safety, security and growth for eight hours a day.”
By HOLLY DODGE
Her writing has taken a break due to her role in education. “I might be of good use here,” she says. Her current novel still waits on the same page she left it three years ago, but she’s not worried, “I’ll get to it someday,” she says with a lighthearted laugh.
Her spirit of willingness and service reach far beyond the duties of a teacher, mother, and grandmother. Helget has charged ahead with her “say yes” mantra and is running for Nicollet County Commissioner. “I am really motivated to get to work,” she says.
Her passion for community service runs deep. After earning a graduate certificate in public policy and organizational leadership from the University of Minnesota, she realized she was interested in “policy” not “politics.” A county commissioner is a nonpartisan position which appeals to Helget because it focuses on the work.
“The way that we get a group of people together, to come to an agreement, to work together on an issue for a particular outcome is more important than politics,” Helget says.
Her motivation is hope and urgency. As a mother and grandmother, she is deeply invested in leaving a better world for our future generations to inherit, setting them up for success in the best way we can. “I honestly can’t wait for the younger people to come up and take these roles. These are the best generations that this planet has ever seen.”
She is also dedicated to issues that are particularly important for women and children in her county.
Helget thrives by spending time with her family. “Raising these wonderful human beings and witnessing what they choose to do with their lives and the impact that they have on their families and their communities, it’s awesome.”
“I have this hope in the future and this driving sense of responsibility and urgency to set these kids up for success,” she says.
And with her limitless motivation and commitment to hard work, there is no doubt she will change lives. ■
ORTHOPAEDIC & FRACTURE CLINIC AND MANKATO CLINIC TEAM UP FOR
CONCUSSION CARE
High school sports – football, volleyball, baseball, softball, basketball and others – are a leading cause of concussions for young people. In fact, teenagers experience more concussions than ot her age groups.
A concussion is a traumatic brain injury from a blow to the head or a jolt to the body. It’s important to seek medical care for a head injury. When an athlete suffers a concussion, it takes time and a personalized recovery plan to safely return to learn and play.
Dr. Thomas Finn, Sports Medicine physician at Mankato Clinic, explains: “Concussions need to be diagnosed, treated and managed properly for the best recovery and to prevent lifelong impacts on young athletes.”
That’s why the Mankato Clinic, Mankato Clinic Foundation and Orthopaedic & Fracture Clinic are continuing their partnership to fund and administer concussion testing for student athletes in 12 area high schools, at no cost to the schools.
This school year, OFC athletic trainers working in local high schools are using a new diagnostic tool called Sway. Student athletes use their smartphones or an iPad for concussion testing that measures memory balance, reaction time, impulse control and inspection time.
“In OFC’s continued commitment to provide the best sports medicine care to area athletes, we partnered with Mankato Clinic to identify the best tools available to implement concussion testing for student-athletes. OFC has been providing sports medicine coverage to our local high schools for 25 years and ensuring the athlete’s
safe return to play after any injury is our top priority,” Tonya Paulsen, Orthopaedic & Fracture Clinic Physical Therapist and Athletic Trainer Supervisor, says.
To date, over 1,200 student athletes across various fall sports have completed baseline testing. Currently, athletes will have to complete Sway testing once every year. More baseline testing will be completed at the start of both winter and spring seasons.
If athletes are diagnosed with a concussion, their symptoms are monitored daily. When the symptoms have decreased, the athlete can begin the return to play protocol which includes being retested with Sway to determine if their cognitive functions have returned to their initial baseline values.
Sway is another resource that athletic trainers and other healthcare providers can access to follow the safest practice in returning the athlete to sport.
“Mankato Clinic and Orthopaedic & Fracture Clinic are proud to team up to ensure the health and well-being of our young athletes,” Dr. Finn says.
Mankato Clinic Sports Medicine, along with physical, occupational and speech therapists and OFC athletic trainers work together to diagnose and support student athletes in recovery and returning to learn and play. ■
DID YOU KNOW
Since 2009, the Mankato Clinic Foundation has funded concussion management software in Greater Mankato high schools and youth sports. The Orthopaedic & Fracture Clinic began partnering with the Mankato Clinic Foundation to fund concussion management software in 2020.
Photo Credit Sarah Hughes
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 $29,200 in grants to community organizations during quarter three. Grants approved are:
• Friends of Learning Backpack of school supplies for students in Saint Peter and rural Nicollet County ($1,000)
• Blue Earth County Library Summer Learning Program ($1,200)
• Camp Sweet Life Adventures Summer Camp for children with diabetes and Camp Sweet Life (CSL) Connects year-round programming ($10,000)
• New Foundation Saint Peter Backyard Scientists and Outdoor Explorers no-cost, after-school & out-of-school programs for East African and Latino youth from Grass & Roots Outdoors ($5,000)
• Key City Bike Low-cost bikes for low-income youth and adults ($5,000)
• MRCI Community-based day services for people with disabilities ($4,500)
• Lake Crystal Wellcome Memorial Elementary School-wide Positive Behavior Supports program ($2,500)
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 December 1. Visit mankatoclinic.com/foundation-pages/mankatoclinic-foundation
Photo Credit Sarah Hughes
Photo Credit Evan Taylor
SOLUTIONS SUDOKU
MANKATO MARATHON
Friday-Saturday, October 18-19
Register at mankatomarathon.com
For more info, visit mankatomarathon.com
Choose from the full marathon, relay, half marathon, KidsK or Kato Challenges with the Mini-Kato (5K + 10K), Mighty-Kato (5K + Half) and the Mega-Kato (5K + Full). Come for the run, stay for the fun.
Registration fees vary.
ILLUMINATE HOPE GALA 2024
Friday, October 25, 5pm
Royal Oak Event Center 301 20th S Street, New Ulm
For tickets, visit bthelightinfo.org
Royal Oak Event Center New Ulm
The Illuminate Hope Gala is a night of Hope and Love. This special event is dedicated to raising funds for B the Light, an organization that offers support, connection and hope to breast cancer survivors. Celebrate the strength and courage of these incredible women as they continue their breast cancer journey and into survivorship.
$125 for individual tickets/$1,000 table of 4.
OLD TOWN MANKATO DAY OF THE DEAD
Saturday, October 26, 11am-4pm
300-600 blocks of Riverfront Drive, Mankato
For more info, visit oldtownmankatomn.com
Experience Day of the Dead in Old Town Mankato. This family cultural event aims to honor and preserve cultural traditions while promoting unity and understanding among people of all backgrounds. Enjoy food, art, performances, activities and more!
2024 READING FESTIVAL
Saturday, November 16, 9am-12pm
Mankato Family YMCA 1401 S Riverfront Drive, Mankato
Greater Mankato Area United Way’s Reading Festival is geared toward preK-third graders. Sponsored by Capstone, this expostyle event is held in partnership with local organizations to promote literacy and celebrate reading. For more info, visit mankatounitedway.org/reading-festival-0
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