MED Magazine Sept/October 2019

DLSH and LifeSource on New Partnership The Link Between Brachytherapy and Cancer Disparities

BREAKING DOWN BARRIERS TO INTIMACY

OB-GYN LAURIE LANDEEN, MD

THE SOUTH DAKOTA REGION’S PREMIER PUBLICATION FOR HEALTHCARE PROFESSIONALS

SEPTEMBER OCTOBER

Caring for Migrant Farm Workers

VOL. 10 NO. 6

2019

REGIONAL HEALTH

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Education

•

Research

•

Advocacy

•

Care

VO LU M E 1 0, N O. 6 ■ S E P T E M B E R / O C TO B E R 2019

Inside This Issue

CONTENTS PAGE 6 | Facing the Challenges of

Caring for Migrant Farm Workers ■ By Terry Dell PAGE 8 | THIS MONTH ONLINE Telemedicine catches on, Critical business questions for independent practices, Where to find the link to the digital issue, Exclusive online articles PAGE 12 | NEWS & NOTES A comprehensive roundup of recent medical community news from around the region PAGE 18 | [Sponsored Feature]

ON THE COVER

LAURIE LANDEEN, MD BREAKING DOWN BARRIERS TO INTIMACY After years of helping individual patients cope with intimacy issues, this Sioux Falls ObGyn has started the region’s first clinic devoted to women’s sexual health.

PAGE

10

Dakota Lions Sight and Health + LifeSource Leaders say new partnership is good for everyone they serve PAGE 19 | Petereit on Brachytherapy,

Cancer Disparities, and National Recognition PAGE 20 | CNOS Sports Medicine

Specialist: Education is Key to Effective PRP PAGE 21 | Sanford Researchers Try

to Answer Critical Stem Cell Question New multi-center study asks what is the best source for stem cells?

PAGE 23 | Upcoming Events Conferences, Symposiums, Openings, and Fall CME Events

I

T NEVER FAILS. As the summer winds down, MED’s Inboxes begin to

fill up. We love it. Because it allows us to bring you an issue jam-packed with news and events you’ll want to know about.

As you read through “News & Notes” and “Upcoming Events” (MED’s two most popular segments), remember that each news item or event is available in expanded form online. Whether you want to skim through all the news quickly or go in-depth on just a few stories, MED Magazine and MidwestMedicalEdition.com have got you covered!

Our thanks to Laurie Landeen, Chad Kurtenbach, Josh Crabtree, and Tiffany Facile of Sanford Health, Daniel Petereit of Regional Health and Avera, and Joseph Carreau of CNOS for speaking with us for this issue.

Finally, be sure to join the VIP list at MidwestMedicalEdition.com for access to the digital issue and up-tothe-minute medical community news and events in your Inbox between issues.

Wishing you a colorful Fall!

ON THE COVER Laurie Landeen, MD, Sanford Women’s Plaza Photo courstesy Sanford.

4

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FACING THE CHALLENGES OF CARING FOR MIGRANT FARM WORKERS

BY TERRY DELL

A

GRICULTURE IS NOT ONLY the largest

worker understands the safety protocols that

industry in the upper Great Plains, but

would have helped prevent the injury. The

it is also one of the most hazardous.

worker should be able to explain job tasks, how

According to the Bureau of Labor

Statistics, about 100 agricultural workers suffer

work is done, controls used, and express any concerns.

a lost-work-time injury every day and over

The Centers for Disease Control has identi-

400 die from work-related injuries each year.

fied the need for ensuring the availability of

Although these numbers are high, they do reflect

occupational health medical services, including

an overall improvement in injuries and fatalities

medical monitoring, diagnosis, and treatment

over the decades. 1, 2

as well as the payment for such services,

One group that has a high proportion of inju-

especially for workers’ compensation. Medical

ries are migrant workers. Migrant farm workers

providers can also support return-to-work

are at a higher risk for injury than non-migrant

issues following a disabling injury or illness.

workers. According to recent research, “They

Although agriculture injuries and fatalities

work for less pay, for longer hours, and in worse

have come down over the decades, injury rates

conditions than do non-migrants.” 3

remain higher than most industries and are

Some of the main agriculture hazards include

especially high for migrant populations.

heat/cold, pesticides and other chemicals,

Preventative and injury management measures

machinery such as augers, engulfment in grain

for this population can be challenging and

bins, animal handling, driving slow-moving vehi-

require additional effort. ❖

cles, loose clothing or long hair getting caught in equipment, and fast-paced temporary work.

Migrant workers are also more prone to certain diseases such as tuberculosis and prenatal issues. Risk-taking is increased by employers paying by the product, employee fear of losing work, and not understanding injury exposures.

Generally, it is the employer’s responsibility to provide safety training to employees so that they fully understand injury risks and proper safety controls to help keep them safe. Unfortu-

Terry Dell is a Loss Control Specialist with RAS. He holds an MA in Human Factors Psychology and is an authorized OSHA trainer.

nately, this does not always happen. The problem is made worse when there are language barriers or when the job penalizes workers for taking time off to get medical care.

Injured workers who need medical treatment are likely to return to the same job where they were injured. Medical providers can help encourage safety awareness by ensuring the injured

References: 1. Injuries, Illnesses, and Fatalities. (2017). Retrieved from https://www.bls.gov/iif/ 2. Agricultural Safety (n.d.). Retrieved from https://www. cdc.gov/niosh/topics/aginjury/default.html 3. Moyce, SC & Schenker, M. (2018) Migrant workers and their occupational health and safety. Annual Review of Public Health, 39, 351-365.

PROVIDERS CAN HELP ENCOURAGE SAFETY AWARENESS “ MEDICAL

BY ENSURING THE INJURED WORKER UNDERSTANDS THE SAFETY PROTOCOLS THAT WOULD HAVE HELPED PREVENT THE INJURY.

6

”

MidwestMedicalEdition.com

September /October 2019

7

THIS MONTH ONLINE Highlighting content and opportunities available exclusively at MidwestMedicalEdition.com

Telemedicine is ‘Catching On’ Among Physicians

US E BECA . . .

S KE D YOU A

ACCORDING TO A NATIONAL ANALYSIS, A LITTLE OVER 15% OF PHYSICIANS REPORTED HAVING TELEMEDICINE SKILLS IN 2016. Last year, the figure had Eye Bank Leads the Way in QA USD Healthcare Students Expand Their World View

JANUARY FEBRUARY

A Conversation with LifeScape’s New CEO

VOL. 10 NO. 1

2019

grown to nearly 1 in 4. We asked Josh Crabtree, MD, Senior VP of Clinic Operations at Sanford Health, where Sanford physicians stand on their comfort level with consulting and caring via telemedicine.

JC: I think it’s important in this conversation to define a telemedicine interaction. This can be anything from a provider-to-provider consultation–which we have had in place in rural

SANFORD’S FIRST LORRAINE CROSS AWARD DR. KATHERINE HIGH AND DR. JEAN BENNETT

emergency rooms for many years–to a clinician interaction in an outpatient setting, to eVisits and video chats, to remote patient monitoring. As we look for ways to provide better care at a lower cost, we are finding more and more

THE SOUTH DAKOTA REGION’S PREMIER PUBLICATION FOR HEALTHCARE PROFESSIONALS

potential for this.

MED: Are Sanford providers as a group getting more comfortable with

“ How do I access the digital version of MED Magazine?”

telemedicine?

JC: Yes. As recently as five years ago, there was resistance on the part of both patients and doctors. People wondered, how can a patient really be taken care of if there is not that face-to-face interaction?

MED: What do you think has made the difference?

MED Magazine’s popular digital

JC: One thing is that more patients are looking for alternative ways to access

issue is now reserved exclusively

providers. I think they are seeing that there are some conditions that lend

for those on MED’s VIP email list.

themselves to being taken care of remotely. A run-of-the-mill cold or respi-

VIPs not only get access to every

ratory infection, fevers in kids, rashes, etc. are very appropriate to at least

digital issue, but they also receive

start the care for that condition through a telemedicine approach. This also

twice-a-month summaries of local

keeps people from being exposed to things–or exposing others–in the phy-

medical news and calendar events.

scian’s waiting room.

If you are already on the list, you’ll

Telemedicine also means that some of our rural patients do not have to

find a link to the digital issue in

travel long distances for care. We have seen over 900 percent growth in this

every email from MED. Be sure to

area in recent years.

bookmark the page so you can find it easily! (And if you lose the link, just search your email)

See the website for a link to the full Doximity telemedicine analysis and more of our conversation on telemedicine with Dr. Crabtree.

Never miss an event! Check out MED’s online calendar for a complete listing of Fall conferences and symposiums. MidwestMedicalEdition.com

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Independent Physician Practices:

Sell, Consolidate, or Stay Put?

BY RICHARD D. WAGNER, CPA, EIDE BAILLY, LLP

Digital Partners

With more than 40 years of working in the healthcare industry, I have seen health systems buy practices and divest of them over two or three cycles. Private equity firms come in and consolidation happens. This is often touted as the end of the private practice.

Currently, these transactions seem to be even more intense due to the high cost of technology, staffing and other general operating costs. There are also concerns about contracting with the payers at acceptable rates if you’re not rolled up into a health system.

The pundits might be right, but if they are, then why do we see very successful groups and some individuals faring better than average, and some of them working less?

Let’s examine each option, starting with working as an employee of a health system… Go online to read the entire article from Eide Bailly on the website.

EXCLUSIVE ONLINE ARTICLES Sioux Falls Named One of America’s “Least Stressed” City

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January / February 2019

Daniel Megard, MD, and Tom Viereck, CNP, of Yankton Medical Clinic on a mission trip to Inida

9

Dr. Landeen and nurse practitioner Molly Kuehl, DNP, work with national organizations to advocate for women's sexual health issues. Photo courtesy Sanford

Breaking Down Barriers to Intimacy

Laurie Landeen,MD

BY ALEX STRAUSS

MENOPAUSE, PREGNANCY, PAST TRAUMA, DEPRESSION, CANCER, ANATOMICAL issues. One thing that all of these disparate situations have in common is that any one of them can stand in the way of physical intimacy for women. It’s an all-too-common problem that has become increasingly apparent to long-time Sanford ObGyn Laurie Landeen, MD. “Throughout my career, I have worked with a lot of women who have had issues with intimacy,” says Dr. Landeen. “Figuring out ways to help them has become more important to me as I’ve gone through my own life span.”

Landeen was drawn to women’s health issues early in life. She grew up on the East Coast, the little sister of an ObGyn Nurse Practitioner who is 14 years her senior. After training at Georgetown and the University of Minnesota, Landeen spent five years on active military duty, caring for military women and their dependents, before joining Sanford in 1997.

“I come from a family of nurses and I knew that I really wanted to be in a nurturing environment,” she says. “So I just took off with women’s healthcare.”

10

MidwestMedicalEdition.com

Bringing Intimacy Issues Into the Open

can make it easier for patients to be honest, open, and

For decades, Dr. Landeen has helped her patients deal with

treatment, couples therapy, cognitive behavioral therapy,

various intimacy issues on a “case by case” basis. These

medication? Or maybe something like the Mona Lisa

might stem from hormonal changes or other problems

touch laser that addresses problems like vaginal dryness

mentioned above. Often, they surfaced among patients

and painful intercourse? We have a lot of tools in our

who had had cancer.

toolbag.”

Landeen says doing this initial assessment on paper thorough.

“Because I need to know . . . does she need medical

“Initially, when they have cancer, all they care about

After the initial assessment, patients will be directed

is whether they are going to survive,” says Landeen. “But

to the appropriate therapy or intimacy clinic team member

eventually, months or even years later, they realize that

for their unique situation.

they want to live the life they had before. I wanted to help

“It’s not about me giving a pill or doing a procedure,”

women restore their full self, regardless of the reason for

says Landeen. “It’s about involving people with other types

the problem.”

of expertise, such as self esteem, weight management,

Although 42 percent of women report having sexual

psychology, couples therapy, etc. I have therapists lined

dysfunction at some point in their lives, Landeen says

up, psychiatrists, family physicians, spiritual health. We

many providers simply do not want to open this “Pandora’s

even have a life coach here at the Plaza to help patients

box” and so do not ask the relevant questions.

with defining boundaries.”

“It’s not like coming in with a sore throat. It’s not

Landeen is a passionate advocate for women’s sexual

about just one thing. It’s very complex.” says Landeen.

health issues outside of the clinic, too. She and nurse

After years of facing issues of intimacy and sexual health

practitioner Molly Kuehl, DNP, work with national orga-

head-on with her own patients, Landeen has become

nizations to push for recognition of these issues and

known as “the person who deals with these kinds of

insurance coverage for things like vaginal treatment after

things.”

cancer.

“I wanted to take away the taboo and the stigma

“They are still saying that this is cosmetic,” says

around intimacy issues in women,” she says. “There are

Landeen. “My goal is for insurance companies to look at

now over 20 medications available for men’s sexual

this like they look at thyroid disease.”

health. But what about women’s health? This is about how you feel about yourself. It’s about giving and receiving pleasure and it helps our entire wellness.”

A Multidisciplinary Approach to Sexual Problems Landeen’s innovative solution has been to establish the area’s first multidisciplinary “intimacy clinic” at the Sanford Women’s Plaza. She plans to devote two full days a month to helping women identify and address their sexual health problems.

“When a patient comes in, I will be giving her a lot of things to fill out so I can get a female sexual distress score and a urogenital distress score,” says Dr. Landeen. “I want to know exactly what is going on and how much distress it is causing. Some people are at peace with where they are. But I need to see where these problems are affecting their life.”

September /October 2019

A Question of Total Wellness Like the act of sexual intimacy itself, Landeen says she expects the new intimacy clinic to evolve somewhat spontaneously, based on the needs of the community.

“Over time, people will know that this is the go-to place for this kind of thing,” she says. “I am already at the point where I am getting patients referred to me because I saw their friend or their sister, etc.” Landeen emphasizes that the clinic is not exclusively for husband and wife couples. Sexual health, she says, is a matter of total wellness that even impacts longevity.

“There are studies that show that patients who have a healthy intimate life actually live longer,” says Dr. Landeen. “As humans, we all want to love and be loved.

It’s who we are. I want people who understand that this is not taboo or dirty. This is about providing a woman with the best way to become her full self.” ❖

11

Happenings around the region

News & Notes

South Dakota | Southwest Minnesota | Northwest Iowa | Northeast Nebraska

AVERA

BLACK HILLS

Avera Heart Hospital has earned Chest Pain Center Accreditation from the American College of Cardiology’s Early Heart Attack Care (EHAC) program. The programs help teach people the warning signs of heart attack and chest pain emergencies, as well as web-based training and learning management systems.

For the first time, Black Hills patients will be able to receive treatment for complex liver disease from a team of liver transplant specialists and hepatologists from Nebraska Medicine. In a partnership between Rapid City Medical Center, LLC, Nebraska Medicine and Regional Health, Nebraska Medicine physicians will be seeing patients in Rapid City.

Individual treatment plans will be developed in conjunction with patients’ Rapid City doctors.

Avera McKennan Hospital & University Health Center has earned CEO Cancer Gold Standard re-accreditation. The CEO Roundtable on Cancer, a nonprofit organization of CEOs, created the Gold Standard to recognize employers for taking exceptional health and wellness measures on behalf of their employees to reduce the risk and burden of cancer.

Avera has been named to the inaugural Forbes list of America’s Best-in-State Employers 2019. Avera is ranked No. 1 in South Dakota and in the Top 20 in Minnesota. Based on an independent survey, researchers made the list from a sample of more than 80,000 US workers in companies with at least 500 people in their US operations.

12

ERIKA TOYODA Family Physician Erika Toyoda, MD, has joined Rapid City Medical Center. She moved to the Black Hills from Osaka, Japan when she was seven years old. Dr. Toyoda graduated from the School of Mines & Technology, attended the USD Sanford School of Medicine, and just finished her specialty training in family medicine in a program affiliated with the University of Iowa.

Regional Health Rapid City Hospital has added Avera eCARE Behavioral Health, giving staff and patients in the Rapid City ED round-the-clock, real-time access to psychiatrists, medical social workers and behavioral health nurses at the Avera eCARE hub in Sioux Falls.

Services will be provided through high-resolution two-way audio and video and software data management platforms that interface with hospitals’ electronic medical records.

Regional Health Rapid City Hospital hosted the Abiomed Impella Mobile Learning Lab in August.

The lab is an interactive learning experience to train hospital staff on the Impella heart pump, the world’s smallest heart pump. The Mobile Learning Lab was parked in the hospital parking lot for staff training but was open to the public for four hours.

Regional Health Rapid City Hospital will install an ozone-based system to shred and sterilize medical waste and hospital trash.

Hospital caregivers will no longer have to separate the regulated medical waste from the regular trash.

When the new system is in place, all of the hospital’s trash can be disposed of in the Rapid City landfill. The new system is expected to begin processing waste by the end of 2019.

Regional Health Rapid City Hospital has received the American Heart Association/American Stroke Association’s Get With The Guidelines Target: Stroke Honor Roll Elite Gold Plus Quality Achievement Award. Regional Health also received the association’s Target: StrokeSM Honor Roll/Target: StrokeSM Elite award.

Black Hills Surgical Hospital (BHSH) has been awarded full accreditation by the Center for Improvement in Healthcare Quality (CIHQ). Black Hills Surgical Hospital underwent a rigorous unannounced on-site survey in June. A team of CIHQ expert surveyors evaluated BHSH for compliance to standards specifically designed to assure that hospitals provide safe quality care to the communities they serve.

MidwestMedicalEdition.com

Dr. Sandeep Gupta of UnityPoint Clinic Pulmonology and Critical Care now performs EBUS-TBNA

SANFORD

SIOUXLAND

Two national rare disease advocacy organizations brought their road tour to Sanford Health in July. Global Genes and the EveryLife Foundation are in the midst of their RARE on the Road tour, a collective effort to build and activate the rare disease community at a local level. The multi-city event increases value, insights and knowledge for rare disease patients, caregivers and advocates.

UnityPoint Health–St. Luke’s has introduced a new imaging method that allows for the non-surgical sampling of suspected lung cancers more precisely than ever before. The EBUS-TBNA (endobronchial ultrasound transbronchial needle aspiration) system involves inserting an ultrasound mechanical probe and a biopsy sampling device down a bronchoscope. St. Luke’s is the only Siouxland provider to offer EBUS-TBNA.

UnityPoint Health and Sanford Health announced in June that they have signed a letter of intent to explore joining their brands. Timelines are still fluid, but leaders intend for the transaction to be completed, pending regulatory reviews, by the end of 2019.

A partnership with Sanford Health, Harvard Medical School, and Brigham and Women’s Hospital will help determine best practices for genetic screening to improve population health. The Imagenetics program at Sanford offers expanded genetic screening and counseling through primary care clinics using a blood draw and the Sanford Chip, a test that examines patients’ DNA. Genomic medicine experts from Harvard and Brigham and Women’s will help guide Sanford’s use and interpretation of data collected through the test.

UnityPoint Health–St. Luke’s and Cardiovascular Associates, PC (CVA) has been granted three year accreditation by the Intersocietal Accreditation Commission (IAC) in Vascular Testing in the area(s) of Extracranial Cerebrovascular Testing and Peripheral Arterial Testing. Accreditation requires a detailed self-evaluation and a review by a panel of medical experts.

UnityPoint Health–St. Luke’s has received the following awards for heart care: ■

A merican Heart Association’s Get With The Guidelines-Heart Failure Silver Plus Quality Achievement Award

■

M ission: Lifeline Gold Plus Receiving Quality Achievement Award

■

M ission: Lifeline NSTEMI Gold Quality Achievement Award

■ American

College of Cardiology’s NCDR Chest Pain – MI Registry Platinum Performance Achievement Award for 2019.

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September / October 2019

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13

Happenings around the region

CLAUDINE VAN MEETEREN Claudine Van Meeteren, RT (R)(M) RDMS, RVT, has joined UnityPoint Health–St. Luke’s as Director of Imaging Services. Van Meeteren has spent the last 17 years in leadership roles at hospitals in Minnesota and Iowa. Most recently, she served as Director of Diagnostic Services at Winona Health Services in Winona, Minnesota.

RANEE EHRICH UnityPoint Health–St. Luke’s Foundation recently welcomed Ranee Ehrich as its new Director of Annual Giving. Ehrich joins a team focused on developing philanthropic support for the programs and services of UnityPoint Health–St. Luke’s. Prior to joining St. Luke’s, Ehrich served as the Director of Marketing & Development at Holy Spirit Retirement Home in Sioux City.

JAMES R. HEGVIK General Surgeon Dr. James R. Hegvik has joined Midlands Clinic in Dakota Dunes. Dr. Hegvik received his Doctorate at the University Of North Dakota School Of Medicine and completed his residency at the Iowa Methodist Medical Center. He will offer a full range of general surgery services.

14

RENE GROVER Rene Grover, RN, CHPN, has earned her Certification in Healthcare Compliance and Certification in Healthcare Privacy Compliance through the HealthCare Compliance Association. Grover is the manager of compliance for Health, Inc. which includes the June E. Nylen Cancer Center, Siouxland Paramedics and Hospice of Siouxland.

MercyOne Siouxland Heart and Vascular Center has received a Gold Plus rating with the American Heart Association’s 2019 Get with the Guidelines-Heart Failure and special mention for the Target: Heart Failure Honor Roll award. MercyOne has also received the Mission: Lifeline NSTEMI Gold Performance achievement award and a Gold rating for the Mission: Lifeline–STEMI Receiving Center.

Family Health Care of Siouxland, PLC, has recently partnered with multiple independent specialty physicians through Siouxland Surgery Center Physician Investors. LLC. This group will work with the Dunes Surgical Hospital and will be focused on clinical integration with the MercyOne ACO. This partnership will allow the independent groups in the Siouxland market to collaborate and focus on strategies promoting high quality, cost-effective healthcare in the market.

MidwestMedicalEdition.com

INDEPENDENTS & THE VA FARAH HAQUE Pathologist Farah Haque, MD, has joined Prairie Lakes Healthcare System (PLHS) in Watertown. Dr. Haque is board certified in anatomic and clinical pathology. She completed her residency at Nassau University Medical Center in New York, and a fellowship in surgical pathology at Staten Island University Hospital. She brings more than twelve years of pathology experience with trainings in GU and Breast pathology to PLHS.

SVIEN SENNE Pulmonologist Svien Senne, DO, has joined PLHS. Dr. Senne will see patients at Prairie Lakes Specialty Clinic.

Dr. Senne received his MD from Lake Erie College of Osteopathic Medicine and completed his residency in internal medicine and a fellowship in pulmonary and critical care medicine at the University of Nebraska Medical Center.

Prairie Lakes Healthcare System’s Home Health has been recognized by Strategic Healthcare Programs as a “Superior Performer” for achieving an overall patient satisfaction score that ranked in the top 20% of all eligible SHP clients for the 2018 calendar year. Prairie Lakes Home Health serves residents in Codington, Clark, Hamlin, Grant, Deuel, Day, and Roberts counties.

JENNIFER BENDER Jennifer Bender is the new Director of Marketing at PLHS. Bender holds an Associate’s Degree in Marketing, a Bachelor’s Degree in Business Management, and is projected to receive her Master’s Degree in Public Health. She has eight years marketing and public relations experience, with five of those years in healthcare marketing at PLHS.

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September /October 2019

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15

• Happenings around the region

News & Notes

Happenings around the region

WADE SENDELBACH Wade Sendelbach, CNP, has joined Surgical Institute of South Dakota. Sendelbach earned his MS in Nursing from SDSU. He is board certified by the American Nurses Credentialing Center as a Family Nurse Practitioner and holds certifications with ATLS, FCCS, BLS, ACLS and PALS. He will primarily practice in the acute surgical service at Avera McKennan Hospital.

Two new surgeons have also joined Surgical Institute of South Dakota.

DUSTIN SMOOT Dustin Smoot, MD, FACS, previously worked for Spearfish Regional Hospital. He received his MD from the University of Kansas Medical Center and completed his general surgery residency at Iowa Methodist Medical Center. Dr. Smoot completed a fellowship in surgical critical care at Mayo Clinic. He will primarily practice in the acute surgical service at Avera McKennan Hospital.

JESSE GUARDADO, MD, Surgical Institute’s second new surgeon, Jesse Guardado, MD, received his MD from the University of Illinois and completed his general surgery residency at the University of Pittsburgh Medical Center. He completed his colon and rectal surgery fellowship at Penn State. Dr. Guardado will specialize in the medical and surgical treatment of conditions of the lower digestive tract.

DARREN CHESTER , Darren Chester, MD, has joined Physicians Vein Clinics in Sioux Falls as its new director. Before joining Dr. Lornell Hansen’s team, Dr. Chester worked dual roles 21 years as a family medicine physician and a flight surgeon for the SD Air National Guard. A native South Dakotan, Dr. Chester studied mechanical engineering at SDSU and received his MD at the USD Sanford School of Medicine.

WEB EXTRA Read More ❱R ead the full versions of these and other recent news items on our website.

16

Vance Thompson Vision is rebranding its aesthetics center as Kalon Medical Spa. Kalon features the first and only Sciton JOULE XTM laser in the region, which addresses a range of skin restorative and revitalizing concerns. The center will continue to offer a variety of skin treatments and injectables along with news products and services, including new skincare lines and a boutique feel in a tranquil setting.

TODD ANDERSON Boardcertified orthopedic surgeon Todd Anderson, MD, has joined Huron Regional Medical Center.

Dr. Anderson will work at the HRMC Physicians Clinic on a two-week-per-month rotation.

He specializes in trauma surgery, sports medicine and total joint replacement. Dr. Anderson received his MD from the University of Southern California and completed his residency at the University of USC Medical Center.

SARA BRASKAMP Huron Regional Medical Center has announced the addition of Sara Braskamp, RN, LN, as hospital dietitian. Braskamp earned her BS in nutrition and dietetics from SDSU and completed a dietetic internship at USD. Prior to joining HRMC, she worked as a dietitian/nutritionist for the WIC program at the state Health Department for 12 years.

Dr. Scott Peterson was the 2019 recipient of the Dr. Earl Kemp Scholarship Award. Dr. Peterson is from Salem, South Dakota and is a 2010 graduate of the Sioux Falls Family Medicine Residency program at Center for Family Medicine in Sioux Falls. He has been in practice at Avera Medical Group Flandreau since he graduated.

MidwestMedicalEdition.com

U.S. News & World Report has once again ranked Children’s Hospital & Medical Center in its 2019-20 Best Children’s Hospitals rankings in five pediatric specialties: Cardiology & Heart Surgery, Diabetes & Endocrinology, Gastroenterology & GI Surgery, Orthopedics and Pulmonology. The 13th annual Best Children’s Hospitals rankings recognize the top 50 pediatric facilities across the US in 10 pediatric specialties.

GREG DESAUTEL Sinus and ENT specialist Dr. Greg DeSautel has joined Northwest Iowa Ear, Nose & Throat in Spencer. Dr. DeSautel will provide care in Spencer and at six satellite clinics. He graduated from the University of Iowa College of Medicine and completed residencies in general surgery and otolaryngology at the University of California.

Dr. DeSautel has practiced in the Sioux Falls area since 1997, most recently at Sanford Ear, Nose & Throat.

Dakota Dermatology has partnered with the Sioux Falls Parks and Recreation Department to sponsor sunscreen dispensers throughout the city. The dispensers were purchased by donors and Dakota Dermatology sponsored the sunscreen supplies. The dispensers provide SPF 50 sunscreen and are located at the five outdoor aquatics facilities, the McKennan Park wading pool, and Prairie Green and Elmwood golf courses.

JESSICA REISSIG Foot and Ankle Specialist Jessica Reissig, DO, has joined Yankton Medical Clinic. Reissig grew up in Montana and is a graduate of Montana State University. She received her DE from the Rocky Vista University College of Osteopathic Medicine in Parker, Colorado. She completed her residency in orthopedic surgery at Hofstra Northwell School of Medicine in New York and did her fellowship at the University of Virginia.

CNOS is expanding orthopaedic coverage to include Unity Point Health–Trinity Regional Medical Center in Fort Dodge, Iowa. Surgeon Richard Lawton, MD, holds a clinica at the Unity Point facility once a week.

In addition to the partnership with the hospital, CNOS is also working with the athletic department at Iowa Central Community College to cover their sports medicine needs.

EXPERIENCED IN HEALTH CARE LAW Boyce Law Firm has decades of experience in providing counsel to hospitals, health systems, health care providers, in-house counsel, and health care insurers across South Dakota.

Over the years, our attorneys have been involved with shaping the health care law landscape in South Dakota. This wealth of experience helps us to provide effective and efficient legal counsel to help clients with whatever health care related issues that arise.

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• Roger A. Sudbeck • Lisa K. Marso • Matthew D. Murphy • Tommy L. Johnson

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September /October 2019

17

• Happenings around the region

News & Notes

[ S P O NS O R E D F E AT UR E ]

DAKOTA LIONS SIGHT AND HEALTH + LIFE SOURCE

Leaders Say Partnership is Good for Everyone

BY ALEX STRAUSS

“ The best part of this is that we are going to be able to offer more opportunities for donation to more people.

”

An advanced corneal preparation technique at DLSH

T

HIS SPRING, DAKOTA LIONS SIGHT AND HEALTH (DLSH),

Dimond. “We see benefit in partnering

the Sioux Falls-based tissue

in North Dakota, so that we can process

and eye donation organization,

and return the gift locally.”

and LifeSource, an organ, eye, and

“This partnership really leverages

tissue donation organization based

the strengths of both of our organi-

in Minneapolis announced a new

zations to make sure we have the

partnership.

highest level of quality and a high

While the two groups have been

level of service for our hospital

competitors in the area of tissue dona-

partners and families,” says Susan

tion over the years, the leaders of both

Mau Larson, Director of Partner and

organizations say their new relation-

Community Relations at LifeSource.

ship stands to benefit everyone they serve.

Although DLSH’s number of corneal donors rose from 686 in 2017 to 807 last

“The best part of this is that we are

year, the organization placed more

going to be able to offer more opportu-

than 880 corneas in the fiscal year that

nities for donation to more people,”

ended June 30. That means that a

says Marcy Dimond, CEO of DLSH.

number of them had to be imported to

DLSH performs some of the most

meet the demand. Even so, nearly 70

advanced corneal tissue preparation

percent of those corneas stayed in the

techniques available anywhere,includ-

Midwest.

ing Descemet Membrane Endothelial

“DLSH has strong relationships

Keratoplasty (DMEK), and provided 443

with local surgeons and can make

corneas in North Dakota, South Dakota

those corneas available to their

and Minnesota last year.

patients,” says Mau Larson. “In part-

LifeSource contracts with about

nership, we are ensuring that donated

59 North Dakota and Minnesota

corneal tissue is prioritized back to

hospitals and the IHS hospitals in

patients in this area. DLSH is a critical

South Dakota to recover corneas. The

partner so we are honored to partner

partnership means that more corneas

with them even more strategically to

recovered in North Dakota will be

serve the community.”

able to stay in the area for distribution through DLSH. “The goal is always to keep the tissue as local as possible,” says

18

with LifeSource who recovers corneas

“To donor families, a gift is a gift,” says Dimond. “If working together streamlines the process, that honors the gift even more.” ❖

MidwestMedicalEdition.com

Petereit on Brachytherapy, Cancer Disparities, and National Recognition

R

ADIATION ONCOLOGIST

revive it with a national

recognized in the presti-

Daniel

of

initiative to recruit and

gious Journal of Oncology

the Regional Health John

train 300 new brachy- ther-

Practice earlier this year,

T. Vucurevich Cancer Care

apists in the next decade.

Petereit was paid an unex-

Institute in Rapid City, a long-time

At the same time,

pected visit by the incoming

advocate of the radiotherapy tech-

Walking Forward, now a

president of the American

nique known as brachytherapy,

joint Regional and Avera

Society of Clinical Oncology

was recently installed as the new

program, continues to gain

who went on to mention

president of the American Brachy-

momentum. The latest

therapy Society.

iteration is a lung cancer screening

Petereit,

MD,

Walking Forward in her presidential address.

Many also know Petereit as the

program aimed at identifying and

“Walking Forward has begun to

brains behind the NIH-funded cancer

screening 1,000 at-risk West River

gain a regional and national reputa-

disparity project, Walking Forward,

patients with Low-Dose CT in the

tion,” says Petereit. “And it is good

now in its 17th year.

next two years.

to connect with people who have

These two facts are more closely

After Walking Forward was

connections.” ❖

-related than they may, at first, seem.

“There is a direct relationship between cancer disparities and brachytherapy,” says Dr. Petereit.

“If you have prostate cancer and want a non-surgical approach, you

WEB EXTRA

Read More

❱R ead More about the JOP article mention of Walking Forward

❱F ind a link to Monica Bertagnolli’s ASCO presidential address

could be looking at daily radiation for two months. That is hard if you live three hours away, as many people in rural areas do.”

Honey Balsamic-Glazed Ham

Prostate brachytherapy, says Petereit, takes just 45 minutes and offers some of the best cure rates at the lowest cost. The treatment is even more critical for cervical cancer patients.

“If cervical cancer patients don’t have access to brachytherapy, their cure rates are cut in half,” says Petereit. “With breast cancer, if it is caught early, brachytherapy can dramatically shorten the course of external beam radiation. Again, that can make all the difference for rural patients.”

Despite the statistics, brachytherapy utilization is declining nationally. Petereit is hoping to help

Let’s make this.

Let’s make it happen – simply and deliciously.

Get the recipe at pork.org/cooking ©2018 National Pork Board, Des Moines, IA USA. This message funded by America’s Pork Producers and the Pork Checkoff.

September /October 2019

19

CNOS SPORTS MEDICINE SPECIALIST:

EDUCATION IS KEY TO EFFECTIVE PRP

A

S MORE PATIENTS stay

of these orthobiologics (which are

In the right patients, Dr. Carreau

active into their later years,

usually not covered by insurance),

says PRP injections can provide

an increasing number are

Joseph Carreau, MD, a sports medi-

three to six months of relief from

looking for alternative treat-

cine specialist with CNOS in Dakota

arthritis pain. Some of his patients

ments for orthopedic pain and

Dunes, says it’s incumbent upon

are still doing well after a year.

limitations. The search leads many

physicians to choose patients care-

On the other hand, patients who

of them to biologic treatments like

fully, manage their expectations,

get only minimal improvement

PRP and stem cell injections.

and monitor their progress.

from PRP, are not likely to benefit

These autologous treatments con-

“For patients with advanced

tain concentrated plasma and growth

arthritis of the knee (Grade 3 or 4),

orthopedic

factors that reduce inflammation and

clinical improvement is minimal,”

c l i n ic

augment healing for conditions like

says Carreau. “These patients prob-

CNOS, these

mild to moderate tendonitis or arthri-

ably should not undergo platelet

patients can

tis. Side effects are few and downtime

injections because of the minimal

be

is usually minimal.

response they are likely to get. It’s

other options.

But with “pop up” organizations trying to cash-in on the popularity

not a medical issue, it’s more an ethical issue.”

from repeated injections. At an like

of fe r e d

While stem cell treatment may be more powerful than PRP due to the higher levels of

Mediterranean-Style

growth factors,

Eating with Supports a Healthy

which patients should be told.

Lean Beef

Heart

Recent research demonstrates that following a Mediterranean-style eating pattern that includes up to 18 ounces of cooked, fresh lean beef and pork per week – along with poultry and fish – is just as effective at improving certain heart disease risk factors (such as blood pressure and total and LDL cholesterol) as a Mediterranean-style eating pattern that limits red meat.1

“

When we understand their role, we can better counsel patients

”

Carreau says this, too, has its limits, “It may be able to control the local environment better, but what it is not going to do is regrow cartilage in an arthritic knee. That could not be any further from the truth.”

Carreau says the key to countering the hype around biologics is to frame this approach as one of several good options that an orthopedic specialist can offer.

“Biologic treatments have amazing potential to maximize the effectiveness of other modalities,” he says. “When we understand their role, we can better counsel

BeefItsWhatsForDinner.com/newsroom/Mediterranean-Diet 1

patients.” ❖

Report of the Dietary Guidelines Advisory Committee on the Dietary Guidelines for Americans, 2015. Available at https://health.gov/dietaryguidelines/2015-scientific-report/PDFs/Scientific-Report-of-the-2015-Dietary-Guidelines-Advisory-Committee.pdf A Mediterranean-style eating pattern with lean, unprocessed red meat has cardiometabolic benefits for adults who are overweight or obese in a randomized, crossover, controlled feeding trial. Am J Clin Nutr 2018, nqy075. https://academic.oup.com/ajcn/article/108/1/33/5036105

* Fresh meats were defined in the study as requiring no further preservation or processing beyond refrigeration or freezing; they are not cured, salted or smoked or include chemical preservatives.

20

MidwestMedicalEdition.com

[ RESE ARCH ]

SANFORD RESEARCHERS TRY TO ANSWER CRITICAL STEM CELL QUESTION

R

ESEARCHERS AT SANFORD

Kurtenbach, MD. “In medicine, we are

have embarked on what may

still trying to determine exactly what

“A head-to-head comparison of

be one of the most import-

is the best source. The FDA is asking

these various stem cell sources has

ant stem cell trials ever

for that same information.”

never been done before,” says Tiffany

lead us to a lot of good answers.”

conducted. This time, they are

Kurtenbach says some studies

Facile, Sanford’s Director of Regener-

trying to answer the question of

suggest adipose-derived stem cells

ative Medicine. “Sanford was asked

which stem cell source–adipose,

are the most stable and viable for

to be a strong collaborator in this trial

bone marrow, or umbilical cord–is

injection into a knee or shoulder. But

because we have been identified as a

most effective for the treatment of

younger stem cells, such as embryonic

leader in regenerative therapy.”

knee osteoarthritis.

stem cells, may be more potent.

The study will enroll 480 knee

The trial is being conducted in

“The goal of this trial is to quan-

osteoarthritis patients across the four

conjunction with Duke University,

tify what these differences mean,”

institutions, including a 120 from San-

Emory University and Andrews

says Dr. Kurtenbach. “A lot of stem

ford. Participants will receive a single

Research Education Foundation.

cell trials have been small and

injection followed by six follow-up

“This is the first multi-center

retrospective and they haven’t

visits over the course of a year.

study comparing the effectiveness of

been specific about exactly what

“This is Level I evidence that will

stem cells from different locations,”

was in the injection. The credibility

really raise the bar in orthobiologics,”

says orthopedic surgeon Chad

of this study is very high so it could

says Facile. ❖

“

THE CREDIBILITY OF THIS STUDY IS VERY HIGH SO IT COULD LEAD US TO A LOT OF GOOD ANSWERS.

”

September /October 2019

21

Save the Date 37th Annual North Central Heart

Cardiac S Y M P O S I U M

Friday, Nov. 8, 2019 • Sioux Falls Convention Center 1201 N. West Ave. • Sioux Falls, S.D. • 8 a.m. - 3:30 p.m.

19-HHSD-17116

Learn the latest trends in the diagnosis, technology and treatment of cardiac disease during this daylong symposium.

Call 605-322-8950 for more information or go to Avera.org/cardiology-symposium to register.

19-HHSD-18491

4520 W. 69th St. • Sioux Falls, S.D. 57108 • AveraHeartHospital.org

22

MidwestMedicalEdition.com

FALL 2019

UPCOMING EVENTS SEPTEMBER 6

SEPTEMBER 20

OCTOBER 17

Sanford Imagenetics Genomic Medicine Symposium

Regional Health Diabetes Symposium

UnityPoint Health-St. Luke’s 34th Annual Cardiology Conference

Location: Sanford Center

Location: Rushmore Plaza

Location: Delta Hotel, South Sioux City

Information: sanfordhealth.org/

Civic Center

Information and Registration:

classes-and-events

Information:

712-279-8941

7:50 am – 4:40 pm

8:00 am – 5:00 pm

9:00 am – 3:30 pm

education@ regionalhealth.org

SEPTEMBER 7 9:00 am – 1:00 pm

Grand Opening of Regional Health New ED and Heart & Vascular Unit Information: 605-755-9179

SEPTEMBER 11 – 12 11:00 am – 3:00 pm

4th Annual Rehab Education and Equipment Conference Location: Avera Living Well Center

SEPTEMBER 26 – 27

OCtOBER 17

7:30 am – 5:00 pm

6:00 pm Friday –7:00 pm Saturday

Regional Health Cardiovascular Disease & Wellness Symposium

Avera Cancer Institute Oncology Symposium

Location: Rushmore Plaza Civic Center

Location: Holiday Inn City Centre,

education@regionalhealth.org,

Information: 605-755-5510

Sioux Falls Information: 605-322-7879 averacontinuingeducation@avera.org,

SEPTEMBER 28

OCTOBER 29 – 30 8:00 am Oct. 29 – 12:00 pm Oct. 30

The Many Faces of Addiction: Hope and Healing

Information: 605-322-7879

8:00 am

averacontinuingeducation@avera.org

4th Annual ‘Mammo or Bust’ Run/Walk

Location:

SEPTEMBER 13

Location:

Information: 605-322-7879

Regional Health Custer Hospital

averacontinuingeducation@avera.org

8:00 am – 4:00 pm

CNOS Orthopaedic & Sports Medicine Symposium Location: Holiday Inn Express,

Sioux Falls Convention Center

Information: 605-755-9193

OCTOBER 7 – 8

NOVEMBER 8

7:30 am – 3:30 pm

1:00 pm – 5:00 pm, 7:45 am – 4:30 pm

37th Annual North Central Heart Cardiac Symposium

Registration: 605-217-2817

Annual Trauma Symposium 2019 & Air Transport Symposium

Location:

SEPTEMBER 19 – 20

Location:

Information: 605-322-7879

Sanford Center Dakota Room

averacontinuingeducation@avera.org

Dakota Dunes Information: cnos.net/events

8:00 am – 5:00 pm

SDAHO 93rd Annual Convention Location: Sioux Falls Convention Center Information & Registration:

Sioux Falls Convention Center

Information: jonathan.bohlen@ sanfordhelath.org Registration: sanfordhealth.org/ classes-and-events

sdaho.org, 605-361-2281

VISIT THE ONLINE CALENDAR at MidwestMedicalEdition.com to find more information on these and other upcoming events between issues. You can also add your own event to the calendar for free.

Cutting-edge cancer care AT SANFORD HEALTH

Sanford Health is dedicated to bringing the latest in technology and treatment options to your region. Our team of cancer experts works with you to deliver your patients their best chance.

To learn more or to refer a patient, call (844) 851-1515.

sanfordhealth.org/referral-center

Early phase novel-therapy research trials Genomics Intraoperative radiation therapy

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