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Bridging gaps CaringEdge providing more options to area seniors By ASHTON GERARD
Staff Writer • agerard@minotdailynews.com dgewood Healthcare, formerly Edgewood Vista, celebrates 25 years serving Minot and the surrounding areas. Since 1993, Edgewood has been giving seniors in the area more options and have continuously worked to expand to meet the needs of the seniors here. Now, Edgewood Healthcare introduces CaringEdge to Minot. CaringEdge offers outpatient therapy, home health and hospice. It is working to bridge the gaps in healthcare that exist for seniors in North Dakota. “Once upon a time, Edgewood was established as a means for senior housing with a social living
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aspect,” CaringEdge Regional Vice President Brendan Weidler said. For the first 23 years, Weidler explained Edgewood’s focus was to build a small senior housing company. Now spanning seven states and 60 communities across the United States, Edgewood has remained diligent in looking for new markets to move into to better serve their seniors. Since 1993, Edgewood has added Memory Care and Enhanced Care Units in Minot. In 2010 came the Edgewood junction that includes a movie theater, fitness center, spa, outdoor patio, convenience store and the Fireside Bistro, a restaurant that is also open to the public. Now, Edgewood is shifting its primary focus and addressing senior living with a new approach.
“They’ve really shifted their focus in the last few years from just having a social living senior housing to ‘What can Edgewood do for the people living in our communities to make their lives better?’” Weidler said. Now, Edgewood is focusing on a healthcare centric model to better provide services to seniors in the community with their new CaringEdge Clinic. The first to be added was Home Health. “A lot of times when someone has an illness or an accident like a fall, they end up in the hospital. Sometimes, they get to a point where it’s tough for them to come straight back to independent or assisted living,” Weidler explained. “Home Health can help bridge that gap.” See CARINGEDGE — Page 4
Submitted photo
Chelsey Gronewald, a speech-language pathologist, gives a presentation about the normal and abnormal signs of memory loss as people age, during a Lunch and Learn at Edgewood Assisted Living in Minot.
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“We now have all three services on board with us and we look to expand into other Edgewood locations as we see a need for Continued from Page 2 them,” Weidler said. Home Health also helps to keep seniors Edgewood has remained diligent in active in their own living environments. working to provide the best possible care to One of the overwhelming responses of resi- its residents and the community of Minot dents is that at some point, they have to and the surrounding areas. move out. Home Health allows Edgewood to The Home Health initiative includes assist even those outskilled nursing, nursing side of the Edgewood assistance, therapy community, or those services (physical, ocwho have moved out cupational and speech but would like to retherapy), palliative care main under care. and hospice services. The next area EdgeEdgewood is hoping wood moved into was to add primary care (Edgewood has) really hospice, which Weidler providers to its Home shifted their focus in the Health program as well. said is severely underutilized in the state of It is something that was last few years from just North Dakota. attempted in the past, having a social living “Edgewood decided but now with its senior housing to ‘What CaringEdge Clinic, it that having a hospice company to serve the could become a stable can Edgewood do for people within the Edgereality for the Edgethe people living in our wood community as wood and greater Minot well as the greater comcommunity. communities to make munity of Minot would “What a great opportheir lives better?’ be really beneficial for tunity for a provider to the residents that live come to the building to – Brendan Weidler within Edgewood,” see patients, in acute Regional Vice President of Weidler said. needs, because someCaringEdge in Minot In going through the times it can take weeks process of becoming to get into your provider Medicare-certified for if you have an ailment Home Health and Hospice, Edgewood had or maybe just some questions about your overlooked the fact that some people may healthcare,” Weidler explained. not qualify for Home Health if they need Before, Edgewood had tried to use pritherapies, which led to its Outpatient Ther- mary care providers from different organiapy services. zations, and the few days or short periods of “A lot of assisted living facilities have out- time they were at Edgewood didn’t really patient therapy services that come into their seem worth it. At the time, Edgewood wasbuilding and provide care, but usually it’s n’t big on driving that business for them. once or twice a week,” Weidler explained. Now, if Edgewood can guarantee a “We decided we were going to have thera- provider will be in the building a couple pists on staff anyways, so why not just start days a week, it can steadily provide that as our own outpatient clinic as well.” an option to the residents at Edgewood. The outpatient therapy clinic opened in “It’s easy to look at a healthcare model December of 2017. The clinic offers speech and say ‘If you have these four pieces, you’re therapy, occupational therapy and physical going to have a significantly more rounded therapy for anyone in the community with a approach to the healthcare you are providfocus on the residents in Edgewood. ing,’” Weidler said. “It’s going to be better Since adding the clinic, Edgewood in than trying to call and wait on hold with Minot has seen a strong uptick in residents someone’s healthcare provider.” that live in the community using the exerTo introduce the new CaringEdge Clinic cise room because there are people around and to educate seniors in the area about their to help every single day. health, Edgewood and CaringEdge have For Home Health, Edgewood brought its been hosting Lunch and Learns, which have first patients on in April of 2018, had its seen a great turn out according to Weidler. Medicare survey in July and are a fullWith questions regarding CaringEdge, fledged up and running home health busi- visit the website at caringedge.com or call at ness as of August. (888) 223-4287. Edgewood Assisted Living Its hospice care started in September of and CaringEdge are located at 800 16th Avthis year. enue SE.
SPECIALIZING IN COMPLEXITY
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November 2018
Trinity surgeon brings new orthopedic expertise to Minot I plan on fixing each fragment of each fracture in a different way. You use basic concepts for each fracture, but that’s where the art of medicine comes in – to try to recreate anatomy from the broken pieces of a puzzle. Jill Schramm/MDN
Dr. Cody Pehrson holds a model of a pelvis in explaining the complexities of traumatic pelvic and acetabular surgery. By JILL SCHRAMM
Senior Staff Writer • jschramm@minotdailynews.com omplex bone fracture surgeries are Dr. Cody Pehrson’s specialty. Recently joining the orthopedic staff at Trinity Health, Pehrson brings an expertise that’s new to the area with his fellowship training in orthopedic trauma. “That’s my passion. That’s what I enjoy doing,” he said. Pehrson, who also has introduced anterior hip replacement to Minot, is giving area residents options that enable them to stay closer to home for their medical care. Previously, Trinity had referred patients to other centers, often in Minneapolis, when they presented with trauma-related fractures to the pelvis or acetabulum, the cup where the femur meets the pelvis. Trauma might result from a vehicle crash or major fall, such as might occur with oil field or sports and playground injuries, although an eld-
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erly person might sustain a traumatic injury from less force. Unless trained in trauma, orthopedic surgeons typically do not want to address these injuries because of the complexity with larger blood vessels and other factors that make the surgical approach into the pelvic region difficult. Pehrson describes it as “recreating a structure you can’t see, through deep, dark holes with a lot of dangerous structures surrounding it.” His role as a trauma-trained surgeon is to bring bones back into anatomical alignment and stimulate healing without sacrificing all the surrounding structures that allow healing to take place, he said. He developed an appreciation and interest in trauma care from exposure during his residency in a busy hospital in Fresno, Calif. He See TRINITY — Page 7
– Dr. Cody Pehrson
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November 2018
Andrea Johnson/MDN
Lori Wolff, physician assistant, is now working at Sanford Health Highway 2 Clinic.
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a specialist. Staff Writer “We see them when ajohnson@minotdailynews.com they’re healthy too,” said t was only her first day at Wolff, who advises that paSanford Health Highway tients establish a connection 2 Clinic, but certified with a regular medical physician assistant Lori provider. Wolff has a long history Wolff already had lots of paof working in the medical tients lining up to see her. Wolff had made the move field. She said she started out to the clinic from another working as a paramedic, medical provider in the area then eventually went to and some of her patients had nursing school and became a nurse and then returned to followed her. Wolff said many medical obtain certification as a institutions advertise their physician assistant. Born and raised in Elgin, commitment to health and healing, but “Sanford has she attended the University such enthusiasm” about its of North Dakota in Grand mission that she is enthusi- Forks. She has lived in Minot for 33 years and is astic about working here. A physician assistant pro- married with two grown vides primary medical care children. She is looking forward to to patients of all ages, whether they need an an- continuing to serve the comnual exam or a flu shot. She munity at Sanford Health will refer patients with more Highway 2 Clinic in Minot.
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Sanford to get portable ultrasound machine By ANDREA JOHNSON
confirm the viability of a pregnancy. The ultrasound can also help determine whether the woman is carrying a
single fetus or two. Detecting the fetal heartbeat via an early ultrasound can be an exciting as well as reassuring experience for the parents-to-be and their families. “Patients really seem to enjoy this too,” said Sedevie. Sanford started offering OB/GYN outreach last year, which saved some patients from making a trip to Bismarck to receive medical care. The portable ultrasound machine will enable her to offer the same level of care to her patients in Minot that she does for patients in Bismarck, said Sedevie.
it’s more of a muscle-sparing approach. In order to access the hip from the back or the side, you actually have to release muscles from their origin or insertion,” Pehrson said, explaining the frontal approach leaves muscles intact by going between them. Studies show reduced post-operative pain and enhanced early mobility with the anterior method, he said. His goal is to have patients walking the same day as surgery and walking out the door the next day. “Another benefit is that it does not have the same precautions that the other approaches have,” he said. “Those precautions being certain positions that put yourself at very high risk for dislocation. The anterior approach has a lower dislocation rate long-term. I find that to be very helpful for patients not to have to worry about the position they are in.” From a technical stand-
point, he appreciates that he can assess the placements of implants using fluoroscopy, a type of medical imaging that shows a continuous X-ray image on a monitor, much like an Xray movie. It gives a high sense of accuracy to the procedure. Pehrson is trained in each of the different hip replacement approaches and can perform the other surgery types when necessary. For instance, the anterior approach is more difficult with morbidly obese patients because of a higher risk of infection so a different approach is likely to be used. Each of the various procedures for replacing hips result in the same functional outcomes in the long term, Pehrson said. “The other approaches are great. They are standard approaches that are utilized all over the country still. The anterior is also becoming more and more common,” he said.
Staff Writer ajohnson@minotdailynews.com bstetrics patients at Sanford Health Northwest Clinic will soon benefit from a new portable ultrasound machine. Dr. Jessica Sedevie, an OB/GYN physician, said she has been told that the portable ultrasound machine will be available within the next couple of months. Sedevie said it can be a challenge for her to detect a heart beat at 10 or 12 weeks gestation, so she uses an ultrasound to help
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Trinity
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concluded he would not be bored in providing trauma care. He went on to complete his Orthopaedic Trauma Fellowship with Sonoran Orthopaedic Trauma Surgeons in Phoenix, Ariz., where he provided orthopedic trauma care at the four Level I trauma centers in the Phoenix area. “Everything is different. No two fractures are the same,” he said. “I prepare for each case. I plan on fixing each fragment of each fracture in a different way. You use basic concepts for each fracture, but that’s where the art of medicine comes in – to try to recreate anatomy from the broken pieces of a puzzle.” Pehrson also trained in Phoenix in reconstructive and revision surgery of the hip, with an emphasis on using the anterior approach. “What makes the anterior approach different is
Dr. Jessica Sedevie
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November 2018
Food handling and beverage server classes are conducted by the First District Health Unit. Left to right are Renae Byre, director of health promotions, Jake Windsor, environmental health specialist, and Margie Zietz, law enforcement coordinator. All three work for First District Health Unit. Kim Fundingsland/MDN\
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Education key for First District Health Unit By KIM FUNDINGSLAND
Staff Writer • kfundingsland@minotdailynews.com roper food handling and responsible beverage serving are two areas of concern for the First District Health Unit. The health agency hosts classes for both topics on a monthly basis and makes a year round effort aimed at promoting public safety, both from food borne illnesses and servers of adult beverages. Renae Byre, director of health promotions, says it is important work. “We know that if we can implement a responsible beverage server training class to all people who
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Beverage Server Training
November 21 .....5-7 p.m. December 14 .....4-6 p.m. Classes held at First District Health Unit Call 852-1376
November 2018 serve alcohol we can reduce the rate of our youth that are dying,” said Byre. “We lose a lot of kids, mostly kids, to drinking and driving and we know our classes can reduce that.” Classes for beverage servers are offered the first Thursday of each month at the First District Health Unit. Classes are also offered in the seven county area that is the responsibility of First District. “A lot of servers don’t realize how important their job is and how important it is to take it seriously,” said Margie Zietz, law enforcement coordinator for First District. “We give them all sorts of tips and ideas of how not to over-serve customers.” Additionally, says Zietz, an important message to all servers is that they can be held liable, both under criminal and civil law, if a customer who drank too much alcohol is involved in an accident resulting in injury or death. “There’s more of these civil lawsuits than most people know,” said Zietz. “Many of them are settled out of court.” Among the lessons taught during alcohol server training sessions, which are about two hours in length, is how to recognize false identification. With today’s technology some false ID’s are almost impossible to detect. Fortunately, there’s technology available to help counter the problem. “There’s scanners now, about the size of a television remote, businesses can utilize to check ID’s,” said Zietz. “Just by utilizing them a business gets the reputation of checking ID’s.” There’s advantages to liquor establishment owners who attend beverage server training classes and
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Minot Police Crime Prevention Unit . . . . . . . . . . 857-4711 Ward County Sheriff’s Department . . . . . . . . . . 857-6500 Surrey Police Department . . . . . . . . . . . . . . . . . 852-4159 McHenry County Sheriff’s Department . . . . . . . 537-5633 Renville County Sheriff’s Department . . . . . . . . 756-6386 McLean County Sheriff’s Department . . . . . . . . 462-8103 Bottineau County Sheriff’s Department . . . . . . . 228-2740 Sheridan County Sheriff’s Department . . . . . . . 363-2200 1st District Health Unit . . . . . . . . . . . . . . . . . . . . 852-1376
A lot of servers don’t realize how important their job is and how important it is to take it seriously. We give them all sorts of tips and ideas of how not to over-serve customers – Margie Zietz
law enforcement coordinator for First District Health Unit
have their employees do the same. “The class dramatically reduces the owner’s liability insurance,” said Byre. One commonly asked question at the classes, says
Zietz, is if it is okay to serve someone alcohol after 12 a.m. if their ID says they turn 21 years old that day. Twenty-one is the legal drinking age in North Dakota. The answer is no. According to state law a person cannot purchase or consume alcohol until 8 a.m. on the date of their birthday. This prevents birthday binge drinking at establishments between midnight and the 1 a.m. closing time. “You can’t drink at a bar or buy off-sale under those conditions,” explained Zietz. “We’ve had times when a person would have 21 shots between midnight and 1 a.m. We had five die from alcohol poisoning in one year.” Jake Windsor, environmental health specialist, concentrates his educational efforts on food safety. Currently he is informing food servers about changes in the 2019 food code as defined by the Food and Drug Administration. “We’re working to be consistent with the federal code, the state code and the local code,” said Windsor. “That’s one thing the food industry has wanted for a long time, consistency.”
The biggest change in the food code for 2019, at least in terms of garnering the most attention, is the requirement of that any establishment that has over
10 food preparation employees have a certified food protection manager. “That’s active managerial control, conveying information on food safety and food handling to line cooks and on down,” explained Windsor. Incidents involving restaurant customers becoming ill from consuming food is rare, but it can happen. Windsor says sanitary food preparation comes down to active managerial control to make sure every employee has the information necessary to stay compliant with proper food handling procedures. “Anybody that serves food is under the same code, brick and mortar or food trucks. Nothing changes,” said Windsor. “Basically what we’re here for is to be an information resource, to get that info
out there.” Windsor says Minot “has a lot of great food establishments” and credits them with keeping up to date on proper food handling. That praise extends to other venues as well. “We have big events such as the State Fair and Hostfest. Those are huge events,” remarked Windsor. “Knock on wood, so far we have not had any major outbreaks. It’s a rare occasion when people get diagnosed with salmonela.” Windsor says First District does regular risk assessments of businesses that serve food. “It’s not an inspection, but an evaluation,” said Windsor. “We’ll see what’s right and what’s wrong. That’s what they pay their license fee for. We give them options for how to correct things.”
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November 2018
Shingrix in high demand Shingles vaccine up to 97 percent effective By KIM FUNDINGSLAND
Staff Writer • kfundingsland@minotdailynews.com t’s a good one. A new vaccine is said to be up to 97 percent effective in preventing shingles. Shingrix has completed extensive testing with impressive results and is now available to the public. Sort of anyway. The demand for Shingrix has been so high that the manufacturer can’t keep pace. At Minot’s First District Health Unit, Lacy McNichols, immunization coordinator, estimates that about 1,000 people have already received the vaccine. They Kim Fundingsland/MDN are the fortunate ones as the supply of Shingrix is now very Lacey McNichols, limited. First District Health “We still have over 300 people that need their second dose,” Unit, holds a dose of said McNichols. “Right now I’d say people that want the vacShingrix, a new vaccine should call us in the spring.” cine that provides Shingrix is given in two doses, from two to six months apart. strong protection “The manufacturer can’t keep up because everybody is against a dreaded out- wanting it,” said McNichols. “Nationwide there’s a shortage right now. The distributors can’t keep up.” break of shingles. Shingles is a painful condition that can emerge after years of lying dormant in a person’s body. It is caused by the chicken pox virus, meaning anyone who had chicken pox or was exposed to chicken pox is a likely candidate for developing shingles. “There’s a one in three chance. It effects your nerves and can be debilitating. That nerve pain might never go away,” cautioned McNichols. “The older you get the worse your immune system gets. The good thing is that it’s really unheard of for a vaccine to be this effective, especially in older adults.” The previous leading vaccine for the prevention of shingles was Zostavax. However, the effectiveness of Zostavax dwindled significantly in just a few years, putting many people who thought they were protected at high risk of getting shingles. “This new vaccine is anywhere from 90 to 97 percent effective and, after seven years, still over 90 percent effective,” said McNichols. “It’s a much, much better vaccine. Because it is so much better it is recommended you get it even if you’ve had the old vaccine. It is for everybody 50 years of age and older.” Shingrix costs about $180 per dose. McNichols says “most private insurance pays for it” but recommends a person check with their medical insurance provider to see for certain whether or not the Shingrix vaccine is covered by their individual policy. While the vaccine is said to be remarkably effective, there are some possible side effects. According to studies conducted by the Center for Disease Control, the main effect has been soreness, redness and swelling at the location on the arm where the shot was given. About one in 10 people studied said the side effect was severe enough to disrupt their daily life. “It varies depending on the person,” said McNichols. “Some say no problem and others get a very sore arm from it. It can radiate up into the neck too. Some people feel somewhat sick but it won’t last more than two or three days.”
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CHI St. Alexius in Minot gets new 3D mammogram unit By SHYANNE BELZER
“I’m really pleased with the results,” Lemon said. She says it is recommended that women between the ages of 35 and 40 receive their first mammogram. Then, after the age of 40, it is recommended that they receive one yearly to ensure breast health and to catch anything that may pop up. According to Lemon, most insurance companies do cover the 3D scanner, but if it patients aren’t sure, they can give their companies a call to ask. If a company doesn’t cover it, she assured that the mammogram with the new 3D machine isn’t costly. St. Alexius charges patients only $58 for a mam-
Staff Writer sbelzer@minotdailynews.com aking care of a community’s health is something that the CHI St. Alexius Health Minot Medical Plaza takes very seriously. The plaza offers both primary and special care alongside imaging, physical therapy, and laboratory services. To offer the best care they can, the plaza works to keep up to date on machinery. Recently this has meant installing a new, top of the market 3D mammogram machine. The new unit, Mammograt Siemens Revelation, was installed over this past Labor Day weekend and has been in use for just over a month. According to CHI mammographer Jennifer Lemon, the machine has already proven why it is top of the line. “In the first two weeks we had it, we found three cancers. Two of them were really small,” she said. Lemon has been a mammographer since 2011 and has experienced quite a few different mammogram machines. This new one, she says, is top of the market because of the updated paddles, comfort, and wide angles, which allow for more breast tissue to be caught. The Revelation machine makes use of new paddles that have rounder edges for more comfort along with different size options to match the variety of breast sizes the machine will scan. “A lot of patients have said how much more comfortable it is, even though they are under pressure for a little bit longer for the 3D im-
T
mogram. For many who have never had a mammogram or are not a fan of the process, Lemon said to not be afraid and that the process isn’t painful. “A mammogram should never be painful. If you’ve had a bad experience, give it another try. People need their moms, their grandmas, and their aunts around. It’s really important,” she said. CHI St. Alexius Health Minot Medical Plaza is placed on North Hill at 2111 Landmark Circle. They are open Monday through Friday from 8 a.m. to 5 p.m. To make an appointment or for more information, call 858-
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Jennifer Lemon, mammographer at CHI St. Alexius Health Minot Medical Plaza, has said the new 3D mammogram unit has already helped to spot possible cases of cancer that were still too small for regular machines to catch. ages,” Lemon explained. The machine takes roughly 25 different pictures as it sweeps across the top of the breasts. The process takes 15 to 20 minutes, but
offers a much truer 3D form and also allows Lemon and other mammographers to view the inside of the breast in layers versus as one big image of overlapping layers.
These more accurate photos allow more detail to be seen and for smaller cancers to be caught earlier, allowing for a better outcome for the patient.
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November 2018 PULSE Lakeview Health Clinic opens its doors
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By SHYANNE BELZER
Staff Writer sbelzer@minotdailynews.com Providing affordable and good health care options is something that is important to Desiree Desjardins, owner of the newly opened Lakeview Health Clinic. A Minot native, Desjardins has spent her entire adult life providing healthcare. She is now taking her experience and knowledge and putting it toward her own clinic to provide affordable options for those of the Minot community and surrounding areas. Desjardins has worked hard throughout her career, becoming a nursing assistant, a licensed practical nurse, a registered nurse, and finally a nurse practitioner. She became a family nurse pracSubmitted Photo titioner in 2010, certified in orthopedics Brookelyn Pfau, left, office manager, Desiree Des- in 2013. She’s spent her career until rejardins, APRN, FNP-C, ONP-C, Connie Pease, of- cently working at Trinity. fice nurse, and Amanda Heinrich, receptionist, “I decided to separate from Trinity pose for a photo at Lakeview Health Clinic in Minot. Health to start my own practice, Lakeview
We’ve been received really well. Patients were excitied I didn’t leave the area and had opened my own clinic. – Desiree Desjardins, APRN, FNP-C, ONP-C
Health Clinic, which opened its doors to patients on Aug. 1,” Desjardins said. Her main reason for moving was to try to offer services for a cheaper price to members of the community. Many healthcare providers will charge a facility fee on top of the medical fees, rising prices. Desjardins didn’t want to do this.
The Lakeview Health Clinic has a lot to offer patients. The clinic offers primary and family care, care of osteopenia and osteoporosis, chronic pain management, joint injections, non-operative care of broken bones, DOT physicals and employment urine drug testing. Desjardins has worked to offer the many services her new clinic gives to the public. She works to keep the clinic a welcoming, relaxed place where patients can come and be taken care of. “We’ve been received really well,” Desjardins said. “Patients were excited I didn’t leave the area and had opened my own clinic.” One thing she pointed out was that many of her previous patients who will follow her to Lakeview Health Clinic will notice many familiar faces. A couple of the people she had previously worked with moved with her to her new clinic. Patients old and new can contact Lakeview Health Clinic by calling 852-8502. The clinic is located at 3108 S. Broadway.
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