My Boone Health Fall 2017 by My Boone Health

Boone Health FALL 2017

CHALLENGE ACCEPTED Lilly Ann never lets anything hold her back. PAGE 16

P AG E 26 S P O R T S S P E C I A L I Z AT I O N

Three years in a row.

Table of Contents 12

President

Jim Sinek Director of Marketing and Public Relations

Ben Cornelius

Marketing Coordinator

Jessica Park

Multimedia Marketing Specialist

Madison Loethen Photography

Madison Loethen Keith Borgmeyer Chelsea Skidmore Drew Piester Contributing Writer

Jordan Milne Maya McDowell

Please submit comments or feedback to bcc1170@bjc.org or call 573.815.3392 1600 East Broadway Columbia, MO 65201 573.815.8000

For a FREE subscription, call 573.815.3392 or visit myBooneHealth.com and click on the subscription link on the right side of the page.

A Note from Jim

Workout Nutrition

Hospital Headlines

Recognize Overtraining

Smarter, Faster, More Epic.

Get to Know a BHC Doctor

One Day at a Time

Get to Know a BHC Nurse

3-D Mammography

Sports Specialization

The Right Birth Control for You

Meet BHCâ&#x20AC;&#x2122;s Ambulance Crews

Kids on Track

Foundation News

Healthy Kid Lunches MyBooneHealth.org

Introducing

BOONE MEDICAL GROUP - SURGERY Ly Phan, MD; Anne Petersen, MBA, MD, FACS; Reggie Vaden, MD, FACS, FACRS

From your first doctor’s visit to your post-op care, our Boone Medical Group surgery team is there for you 24 hours a day. Every general surgery procedure, inpatient or outpatient, is done in the care, privacy and safety of Boone hospital.

That’s the Boone Touch.

573.815.8145 boone.org

A NOTE FROM JIM

An Epic Month!

n August 5, 2017, Boone Hospital Center went live with our new Epic electronic medical record system. This system is arguably the most sophisticated and most desired electronic charting system in the world. Boone was the first BJC HealthCare hospital to go live with Epic. Other BJC hospitals will go live throughout the remainder of 2017 and into 2018. In July, our BJC Medical Group successfully implemented the Epic system in their clinics. Epic allows our patients to review their medical records anytime from anywhere through MyChart. In addition, your physician has access to your Epic chart from my any health care facility in the world that utilizes the Epic system. Epic has built-in, evidencedbased, best clinical protocols that will enhance and reinforce our culture of patient safety and excellent clinical outcomes.

“Epic has builtin, evidencedbased, best clinical protocols that will enhance and reinforce our culture of patient safety and excellent clinical outcomes.”

Another epic event in August was the conclusion of one of my favorite events, Kids on Track. This exciting and popular summer event, held in nine communities across Mid-Missouri, motivates approximately 2,300 kids to run 26.2 miles – a full marathon! – over the course of the summer. The objective is to encourage kids ages 12 and under to get outside, learn about making healthy decisions and their positive impact, and make exercise a part of their daily lives. In each community we host a finale event, where participating kids pick up their Kids on Track T-shirts and receive their medals! These finales also include picnics, games, entertainment, health education and a whole lot of fun! Both epic events this month reflect Boone Hospital’s continuous pursuit of our mission to improve the health of the people and communities we serve.

Jim Sinek President, Boone Hospital Center

MyBooneHealth.org

HOSPITAL HEADLINES

Angel Gowns

Michele Spry (center), members of her family and Boone Family Birthplace staff gather for the donation presentation.

ichele Spry celebrated her birthday by donating nine bonnets and 18 gowns to the Boone Family Birthplace. These items were made from her wedding dress and will be given to bereaved families so that they have something beautiful to dress their baby in for final photos and burial services. Michele donated the items by participating in The Angel Gowns Project. The stationery for her letter was donated by The Ink Cafe LLC.

Boone Hospital Center Opens New Inpatient Rehabilitation Unit

oone Hospital Center held a ribbon cutting ceremony for its newly remodeled inpatient rehabilitation unit, on the sixth floor of the hospital’s north tower, on June 28. The remodeled unit includes 15 patient rooms, a rehabilitation gym, training kitchen, dining room and the latest fall prevention technology. It also includes a bariatric unit that improves safety for both staff and bariatric patients through the use of a ceiling lift. This ceiling lift provides the comfortable and safe transfer of a patient from their bed to a chair or wheelchair. The unit spans more than 11,000 square feet, encompassing the entire sixth floor of the hospital’s north tower. The project cost around $423,000 and took four months to complete. “Everything about the remodel is aimed at improving care for our patients. The large dining room allows patients and their families to eat meals together, something that

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Members of the Boone Hospital Board of Trustees, administration, staff and Chamber of Commerce respresentitives cut the ribbon on the Rehab unit.

can be comforting during a long hospital stay. The gym on the floor allows our patients to get the therapy they need without having to go far from their room. And the ceiling lift in the bariatric unit provides an extra degree of safety for both our staff and patients,” says rehabilitation unit service line director Rob McEver, MSN, RN, BAA.

Also included on the unit is a beauty shop where volunteers pamper patients by washing and styling their hair free of charge. Donations by the Dunscombe family to the Boone Hospital Foundation provided the materials for the beauty shop and maintain a supply of beauty products for volunteers to use.

Boone Hospital Center Recognized as No. 1 Hospital in Mid-Missouri By U.S. News & World Report

or the third year in a row, Boone Hospital Center was ranked the No. 1 hospital in Mid-Missouri by U.S. News & World Report. It also ranked No. 4 in the state of Missouri. U.S. News ranks hospitals based on 12 specialties utilizing a mathematical model combining reputation, mortality rate, patient safety and care-related factors such as nursing and patient services. Four additional specialties – ophthalmology, psychiatry, rehabilitation and rheumatology – are ranked solely based on their reputation among specialists nationwide. The U.S. News methodology for rating procedures and conditions for nearly every U.S. hospital includes assessment of hospital performance in nine common procedures and conditions: abdominal aortic aneurysm, aortic valve surgery, chronic obstructive pulmonary disease, colon cancer surgery,

congestive heart failure, heart bypass surgery, hip replacement, knee replacement and lung cancer surgery. Hospitals are rated as High Performing, Average or Below Average for each procedure or condition, and there is no overall assessment across the group. The analysis includes a mix of risk-adjusted data on mortality, readmission and other outcomes, the occurrence of common types of health care-acquired infections, federally mandated patient satisfaction surveys and selected hospital-survey measures. Boone Hospital Center was rated High Performing in eight of the nine categories. “This recognition is a testament to the excellent quality of care provided here at Boone Hospital Center. It also reflects our physicians’, nurses’, and clinical and support staff ’s dedication to their patients. It is truly an honor to once again be rated the No. 1 hospital in mid-Missouri,” says Boone

Hospital Center president Jim Sinek. Boone Hospital Center is a part of the 15-hospital BJC HealthCare system. BJC’s Barnes-Jewish Hospital ranked No. 1 and Missouri Baptist Medical Center ranked No. 3 in the state. Barnes-Jewish West County Hospital ranked No. 4 in the St. Louis region and No. 7 in the state. Saint Luke’s Hospital in Kansas City, a member of the BJC Collaborative, ranked No. 2 in the state. The adult hospital rankings were released August 8, 2017. In pediatric rankings announced in June, BJC’s St. Louis Children’s Hospital was rated among the Best Children’s Hospitals in the country in all 10 ranked pediatric specialties. The rankings have been published on the U.S. News website, usnews.com/ besthospitals, and appear in print in the “Best Hospitals 2018” guidebook.

MyBooneHealth.org

Smarter, Faster, More Epic. An electronic records system ushers in a new chapter at Boone Hospital Center.

ust like it takes a village to raise a child, it takes an entire hospital to raise a new medical records system. Boone Hospital Center began the process leading up to the go-live of Epic, their new electronic record system, three years ago, and on August 5, the Epic go-live began at BHC, the first of the 15 BJC HealthCare hospitals to implement the system. Rosi Fowler, BHC vice president and chief operating officer, says Epic is an electronic medical record that cuts across a variety of environments, encompassing every aspect of clinical care and the documentation of such. These areas include outpatient, procedural, and inpatient visits. “Epic is unique in the sense that it’s patient-focused, so it’s one record per patient versus one record per environment,” Fowler says. Ben Cornelius, director of marketing and public relations at BHC, says BJC was unique in the inclusion of its clinicians in the selection of Epic. “It was the people that are actually going to be taking care of the patients who got to choose what they’re going to use,” Cornelius says. Fowler says, overall, the go-live of Epic has gone quite well in the past couple months — no easy feat, considering the process included training over 2,000 employees while they continued treating patients. “I think it’s important to set the stage for the scale of

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Rhonda Parton, executive director and Monica Smith, MSN, RN, NE-BC, vice president and chief nursing officer, study the screen at an update meeting.

this, the number of people involved and the amount of time that was involved,” Cornelius says. “The scale of the thing was so huge, so to say it went well is a pretty big deal.” PREPARING FOR A CHANGE In the eight weeks leading up to the Epic go-live at the beginning of August, every care provider—regardless of role—had to go through six to 15 hours of training, Fowler says. In all, 2,600 physicians, advanced level practitioners, nurses, therapists and patient-care technicians completed the training, including a test at the end.

One-hundred and fifty employees went through additional training to become “super-users.” These individuals were able to be the “at-the-elbow support” for their colleagues at the time of go-live, Fowler says. Boone also spent about six weeks deploying and testing more than 2,000 devices — scanners, printers, signature pads, etc. — to ensure they would be ready. Those working in the hospital during Epic go-live benefitted from face-toface contact with the command center, comprised of roughly 300 people. Twohundred worked the command center during the day, and 100 worked at night.

To learn more about Epic, visit epic.com

Jim Sinek, president of BHC and Sandra Van Trease, BJC group president, discuss go-live in the command center.

The command center housed nearly 300 staff during the first two weeks of go-live.

Tim Holeman of the Epic team works with Boone staff members during go-live.

One week prior to the official Epic go-live, BHC’s scheduling module went live — that meant converting 10,000 appointments in the scheduling system, with the scheduling staff working in two systems for the whole week. At go-live, 100 staff members began the “cutover” process, manually entering key clinical data—vitals, height, weight—for every patient before bringing Epic online. Thirty pharmacists translated and manually entered all medications for every patient as well. “A lot of the complexity just comes from how complicated what we do is,” Cornelius says. “We don’t get to close or do this on the weekend, or overnight during off-hours, because we’re never closed. Switching from one system to the other while we have patients in the hospital made it all that more complex.” Despite the complexity of the situation, Fowler says Boone was only “down”—systems down—for two hours. They documented care up until midnight, then shut the system down and went to paper. Roughly two hours later, at 2:18 a.m., Epic came online, and the staff entered the paper data and began a new era. ‘EPIC’ BENEFITS BHC was an ideal candidate for the first implementation of Epic in the BJC system because of its Mid-Misosuri location and an active physician IT group, Fowler says. “We have employed and community-aligned physicians, so we could test many aspects of Epic in the community, as well as in the hospital,” she says. “We have just about everything that all the other hospitals will need to implement on a smaller scale.” Fowler says physicians and providers have embraced the applications of Epic. In the emergency department, a module called ASAP documents clinical information and monitors how long a patient has spent in the department, among other things. Physician Order Entry, an application in Epic, allows pharmacists to speed up care. “We really reduce the amount of error when the provider is entering the order electronically, and then it automatically translates to the pharmacy,” Fowler says. Fowler says the best-practice advisory feature in Epic will have an immediate benefit. “If there is a set of symptoms or a set of clinical information that’s entered into the electronic medical record, it will prompt a note to the provider to say this [treatment] may be warranted,” she says. “It’s giving alert to the providers for critical decision-making.” LOOKING FORWARD Epic has already fostered greater efficiency among care providers. “They will be able to have more time to spend with the patients because the electronic medical record documentation is so intuitive,” Fowler says. Any hospital that uses Epic will have access to a patient’s records, which will assist in providing more comprehensive care. “Epic is the most clinically intuitive product on the market, and that’s why it was selected,” Fowler says. “It was the best clinical documentation system — and still is, today.” By Maya McDowell

MyBooneHealth.org

Watch Dan’s video on YouTube.com/BooneHospital

NE DAY AT A TIME Dan Wright quit smoking with the love and support of his family and friends.

an Wright sat back one spring evening and got out his phone to call one of his longtime friends. But this call was not to reconnect or to set up a time to visit, this call was to ask for support. Dan was going to ask for help on his journey to quit smoking. Dan noticed he was slowing down over the past few years. It was gradual at first, and then it became a real problem. He could no longer mow the lawn in one day. He could no longer take his dog on long walks. Dan decided it was time to quit smoking. He had been smoking for 39 years, as much as two packs a day, and he knew that smoking had to be behind his recent health decline. At first, Dan felt overwhelmed by the thought of quitting. He had tried and failed several times throughout the years – he knew this time had to be different. “I’m the type of person that would rather be beaten with a stick than disappoint someone, and I thought I could use this method to help me quit. I heard that it takes 21 days to kick a bad habit, so for each of those 21 days, I assigned

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Dan Wright regularly execises at the WELLAWARE gym.

“Quitting smoking was the best decision I ever made. I will also always be grateful for the teams at Missouri Heart Center and Boone Hospital’s cardiac rehab for helping me get my health back on track.”

someone near and dear to me a day. I would call them the day before and tell them I was quitting for them. The next day, I would be flooded with supportive texts and phone calls,” says Dan. Dan made it all the way to day 19 successfully. He couldn’t believe it. His hard work was paying off. On that day, he was speaking to a friend who encouraged him to do his last day for him and make it a life decision. Dan agreed that day 21 would be for him, and he made day 20 for his wife. “On the second-to-last day, I wanted to stand by my wife as I always have. So, day 20 was for her, and day 21 was for me,” says Dan. And it worked. Dan was able to successfully kick the habit. But

unfortunately, his health did not immediately improve. Dan was still having health concerns and decided to see a doctor. “I saw Dr. William Woods at Missouri Heart Center and found out that I had a pretty major blockage. They did a couple stents and a balloon. I then did my rehab at Boone Hospital’s cardiac rehab,” says Dan. Boone Hospital Center’s cardiac rehabilitation program provides exercise, health education and training to people recovering from heart-related issues or procedures. Dan says that he really didn’t know much about his heart rate or the steps he should take to improve his heart health before going to cardiac rehab.

“We were all so inspired by Dan’s quitting smoking story when he first came to us. You could see his commitment to improving his health from the get-go. We showed him ways to be physically active and encouraged him to adopt healthy habits and reduce stress,” says cardiac rehab nurse Lugine Hein. Slowly but surely, Dan’s health began improving. Now, almost six months after he quit smoking, he says he feels better than he’s ever felt. “Quitting smoking was the best decision I ever made. I will also always be grateful for the teams at Missouri Heart Center and Boone Hospital’s cardiac rehab for helping me get my health back on track,” says Dan. By Madison Loethen

MyBooneHealth.org

3-D Mammography Helps Find Cancer Early J

ill Cox stepped into Boone Hospital’s Harris Breast Center feeling somewhat confident. She scheduled her routine mammogram for that day after realizing it’d been a few years since her last scan. The friendly admissions staff greeted her, and she took a seat. Soon, she was called back and prepared for the exam. “The staff at the Harris Breast Center are so calm and reassuring. They just chat with you and keep you comfortable,” says Jill. Jill opted for the 3-D mammogram. “I had researched it and was grateful that we have such state-of-theart equipment available here in Columbia,” says Jill. 3-D mammography, or breast tomosynthesis, is an image technology that provides an incredibly precise view of the breast tissue. It allows doctors to examine the breast one layer at a time while also seeing the location, size and shape of any abnormal tissue. Small cancers are more visible through this technology. Jill was at work when she got the call that she had early stage breast cancer. “I was in shock! It took a while to set in. My mind was racing and all the normal fears rose up in my head. Would I lose my hair? Can I continue to work? Am I going to die?” she wondered. Jill had successful surgery to remove the cancer; but she soon learned she would need aggressive chemotherapy to ensure the cancer does not return. Jill went to Missouri Cancer Associates and met with oncologist Liana Makarian, MD.

Jill with sons Jordan, Taylor and Carter.

Boone Hospital’s Harris Breast Center offers mammography services at the Nifong Medical Plaza and inside the hospital’s Outpatient Services wing. With convenient parking and registration, the Harris Breast Center combines the ease of a freestanding center with the technology, expertise and resources of a hospitalbased provider. Choosing the Harris Breast Center gives our patients the best of both worlds. The Harris Breast Center also has a longstanding commitment to being a leader in technology. The center is ACR-accredited with licensed, certified, professional and well-trained radiology staff, technologists and associates ready to attend to patient needs.

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To schedule your next mammogram call 573.815.8150.

• It is recommended women ages 45 to 54 get yearly mammograms. After that, they can switch to every two years. Women with high risk factors may be advised to go at an earlier age.

Jill with husband Art and new grandchild, Wilson.

Jill with son Carter at the American Cancer Society Relay for Life.

Photo by Drew Piester

• Describe any breast changes or issues you’ve had with the technologist. • Tell your technologist if you’re breastfeeding or may be pregnant. • Tell the technologist if you feel pain during the exam. • Don’t wear deodorant or lotion the day of your exam. Some contain substances that can affect the X-ray. • It is best to avoid scheduling your mammogram around the time of your period since your breasts could be extra tender during that time. • Wear a 2 piece oufit, as you will only have to remove your top half.

“I was scared. Thank goodness for the wonderful care and support of Dr. Makarian and her nurse Ashley at MCA,” says Jill. She is also grateful to her friends and family who supported her during her surgery and chemo. They comforted her during her sickness and through losing her hair. “I had really long hair, so losing it was an adjustment for me. The chemo nurses and my loved ones were so supportive. They gave me the strength to face each day of treatment,” says Jill.

Jill is now cancer-free and back at work at her job as senior vice president of commercial lending at Central Bank of Boone County. She is a strong cancer awareness advocate and often encourages friends and family to get screened. “I am sharing my story in hopes that others get screened. I also want those who are going through what I went through to know there can be a happy ending,” says Jill. By Madison Loethen MyBooneHealth.org

It’s a Matter of Choice THE RIGHT BIRTH CONTROL FOR YOU

CHOOSING THE BEST PERSONAL BIRTH CONTROL method can be overwhelming. It’s important to take into account recent information, knowledge of yourself, and your doctor’s advice. There are many options — barrier methods (condoms, diaphragms, and spermicidals); oral contraceptive pills; the patch; the vaginal ring; injections; the rod (implanted in your arm); intrauterine devices; and sterilization (both female and male) — it’s easy to get lost trying to navigate your best options. “The unintended pregnancy rate is slowly starting to decline, and we think that’s because women are using more long-term options,” says Leah Smith, MD, OB-GYN at Women’s Health Associates. “I see more women using the arm implant and the IUD, but overall, the pill is still the most commonly used.” Let’s talk delivery and effectiveness. “The science behind birth control has pretty much always stayed the same,” Dr. Smith says. “We’ve just gotten better at the delivery methods. Women are becoming increasingly more interested in longterm contraceptives, such as the arm implant and IUD, because the side effects are minimal and they offer over 99 percent efficacy at preventing pregnancy.” Dr. Smith says that barrier methods are the least effective. “For the most part,” she says, “you have a 20 in 100 chance of getting pregnant.” Dr. Smith also notes that despite their questionable reputation, there are some benefits to barrier methods. They don’t require a prescription, they’re relatively inexpensive, and condoms are the only method that protects against sexually transmitted diseases. Users of the shot, pills, the patch, and the ring have about a nine in 100 chance of becoming pregnant. With the IUD, the rod implant, or sterilization, the risk is less than one in 100. The various types of IUDs are good for three, five, and 10 years. The rod, which is implanted into the arm, is good for three years. There are two different types of IUDs: ones that have progesterone (those last for three or five years) and ones that have copper (those last for 10 years). The copper type works by causing an inflammation reaction that keeps the sperm from reaching the egg. IUDs require a pelvic exam, whereas the rod does not. “If a woman decides she wants to get pregnant, she can have the IUD [or rod] removed,” Dr. Smith says. “Sterilization is, of course, permanent.” Men have the option of a vasectomy, while there are varying sterilization procedures for women. “One involves coils placed in the fallopian tubes, which then takes about three months for scar tissue to form, stopping the

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sperm and the egg from joining,” says Dr. Smith. “The other option, a laparoscopic procedure, involves a small incision in the navel, through which the fallopian tubes are clipped or burned. It may be possible to have sterilization done at the time of a Cesarean section.” Now let’s cover the spectrum of cost. “Currently, under the Affordable Care Act, almost all insurances are covering contraception 100 percent,” says Dr. Smith. “I would encourage people to call their insurance and make sure it’s paid for.” Dr. Smith says there is a pill for less than $10 a month for uninsured folks, compared to an IUD or an implant, which typically costs between $800 and $1,000 for the uninsured. For those with insurance, any of the methodologies, including surgical procedures, vary in cost depending upon co-pays and deductibles. “Sterilization is usually an outpatient procedure but can be hundreds or thousands of dollars [without insurance],” says Dr. Smith. “Vasectomies are cheaper because they can usually be done in the office.” So what about side effects or contraindications? “The shot, rod, IUD, and some pills may stop menstruation,” Dr. Smith says. “The shot, rod, and pills work by keeping a woman from ovulating every month and thickening the mucous in the cervix so sperm can’t get to the egg. [Not menstruating] is safe because the birth control methods are keeping the lining of the uterus very thin, so there’s nothing to shed every month.” Dr. Smith says that some women like having a monthly period, which only the pill, patch, and ring will allow. The main downside to these methods is that a woman must remember to tend to them daily, weekly, or monthly, but Dr. Smith notes that there are smart phone apps now available to remind you. “There are some contraindications [signs a method should be avoided] to some versions of the pill, including being a smoker over the age of 35, having a personal history of blood clots, and migraines for some women,” says Dr. Smith. “There used to be worries of infection with IUDs, but that’s something we rarely see anymore. The IUD, rod, and shot are only progesterone, so they have hardly any contraindications.” So what’s the best choice for you? “It’s a personal choice,” says Dr. Smith. “Factors that women should consider are: How good are they at taking a pill every day? Do they have a fear of needles? Are they comfortable with options that stop periods (which is totally safe)? When are they planning on having children? And what kind of efficacy are they looking for? To name a few.” By Jordan Milne

PROS

CONS

Inexpensive

Least effective of all methods Condoms

Some contraindications

Inexpensive Oral Contraceptive Pills

Inexpensive

Must take daily

Not most effective

Self-removable

Requires weekly upkeep Patch

Lasts a month

Not most effective

Self-removable

Requires monthly upkeep Vaginal Ring

Lasts years

Must be removed for pregnancy

Very effective Arm Implant

Lasts years

Must be removed for pregnancy

Very effective Intrauterine Devices

Lasts a month

Not most effective Requires monthly upkeep Injection

Permanent

Permanent Expensive Sterlization MyBooneHealth.org

KIDS ON TRACK CREATING CHAMPIONS 5-year-old Lilly Ann walked a marathon despite her fibular hemimelia.

5-year-old Lilly Ann Powell beamed with pride when the Kids on Track medal was placed around her neck. She walked an entire marathon that summer just for this moment. Her mom, Bethanie Faye, couldn’t help but smile right along with her. She was so proud of how hard her daughter had worked. Lilly Ann was born with fibular hemimelia, without her right fibular bone or ankle. She relies on a prosthetic foot to walk. Bethanie heard about the Kids On Track program through family, and asked Lilly Ann if it was something that she would like to do. “Of course she said she wanted to do it. She never lets anything hold her back. She’s one determined little girl,” says Bethanie. Lilly Ann and Bethanie walked together throughout the summer. “It was a great bonding time for us. We both really enjoyed it,” says Bethanie.

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Visit youtube.com/boonehospital to hear from Lilly Ann and her mom Bethanie!

Kids On Track is Boone Hospital Center’s community youth program for youth 12 years or younger. Participants are challenged to accumulate 26.2 miles (a full marathon) of physical activity over the summer months. They can do this through walking, running, biking, skating or swimming. “The goal is to get kids active and make physical activity a habit at an early age,” says Kids On Track program coordinator Erin Wegner. Kids On Track currently has programs in nine towns throughout Mid-Missouri and each town has local mile sponsors that provide prizes to the participants for meeting goals throughout the summer. “Having incentives along the way keeps kids motivated and provides some fun ways for families to spend time together,” says Erin. Lilly Ann would get every excited every time she would meet a goal. “When I walked enough miles, I would get a prize!” says Lilly Ann. At the Kids On Track finale, participants receive a free Kids on Track T-shirt provided by the Boone Hospital Foundation, a medal and time to enjoy a fun evening with their families. “We noticed Lilly Ann wasn’t the only child with a disability that was given a medal at the finale. That was really cool for both of us to see,” says Bethanie. Lilly Ann says she hopes to do Kids On Track again next year. “It was so much fun!” says Lilly Ann. By Madison Loethen

CITIES WITH KIDS ON TRACK PROGRAMS

• Ashland • Boonville • Brookfield • Centralia • Columbia • Hallsville • Macon • Mexico • Moberly Jim Sinek, president of BHC, requested a picture with Lilly Ann after being inspired by her at the finale event. MyBooneHealth.org

Healthy School Lunches for Kids Involve kids in the entire lunch-packing process • Help them brainstorm their favorite foods from each food group • Designate food group areas in the pantry and fridge so they can grab items on their own • Encourage lunches to include at least four of the five food groups

Keep it cool Store cold food at 40 degrees or less. Try cold packs, freezing items like drinks, yogurts, fruits, and using insulated lunch boxes. Don’t have a cold pack? Try freezing a wet (but not dripping) sponge in a Ziploc.

Keep it hot Look into stainless steel vacuum lunch jars. Also thermos jars stay even warmer if you fill them with hot water first then empty and fill with whatever you want to keep hot.

FRUITS

VEGETABLES

DAIRY

GRAINS

PROTEIN/FATS

Grapes Pineapples Raisins Cantaloupes Watermelons Bananas Strawberries Blueberries Apples Kiwis

Green beans Broccoli Cucumbers Salads Carrots Bell peppers Tomatoes Salsa

Cheese Milk Yogurt

Whole grain crackers Whole wheat tortillas Brown rice English muffins Tortilla chips Pizza crusts

Pulled pork Peanut butter Nuts Tuna Grilled chicken Eggs Lean ground beef Canadian bacon Avocado Hummus Vinaigrette

Picky eater? Kids need repeated exposures. Keep trying new cooking methods and preparation techniques. 18

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Peanut Butter & Banana Wraps

The sa lsa packs a punch of flavor!

Thatâ&#x20AC;&#x2122;s a wrap! Tuna Cucumber Wraps Healthy fats provide lasting energy!

Pulled Pork & More

Breakfa st for Lunc h

Cooked veggies work too

Keep it colorful!

Fresh Fiesta Tacos

n Hawaiia a z iz P Party Try preslicing fruit!

h! for lunc t a e r g e ar eftovers Dinner l n Chicke e ic R &

Grilled Cheese & Fresh Veg

Cut food into fun shapes! MyBooneHealth.org

WELLAWARE

Fuel Up! Good nutrition is key to a good workout.

Athlete’s Omelet NUTRITIONAL FACTS Serving: 1 Calories: 250 (without cheese) Carbs: 28gm | Protein: 15gm | Fat: 9gm Sport’s Nutrition Guidebook, Fifth edition, Nancy Clark, MS, RD

Whether you’re trying to achieve your fitness goals on the trails or at the gym, a vital part of your training takes place in the kitchen. If you’re training hard, your body needs healthy food to fuel up before and recharge after intense workouts. Fortunately, figuring out which foods will give you the energy you need without making you feel sluggish isn’t hard.

BEFORE WORKOUT

If you’re preparing for an intense workout, it’s better to eat something than to eat nothing before you begin. Exercising on an empty stomach may cause fatigue sooner and make it harder for you to make the most of your workout. “It’s good not to go out on a completely empty stomach,” says Jennifer Anderson, a registered dietitian and diabetes education and nutrition supervisor with Boone Hospital Center. Jennifer is also an active runner and has participated in several marathons, including the Boston Marathon. Jennifer says a good rule of thumb for a pre-workout snack or meal may be about 200 to 300 calories an hour or two before you work out. Because your body burns carbohydrates for fuel as you exercise, this meal should mainly consist of healthy carbs, such as fruits and vegetables, oatmeal, or whole-grain cereals, pasta or bread. Avoid eating foods heavy in saturated fats – they can slow you down. “If I’m doing a longer run in the morning, I might have a piece of toast with peanut butter, or banana and a cheese stick. If I’m going out for a short run, I may just eat a banana. A small glass of chocolate milk could be a good choice, too,” Jennifer says. Some trial and error may be necessary to figure out the best foods and servings for your needs, especially for longer or more intense workouts. “Before long runs, people should go by their gut for the most part,” Jennifer says. “Eat what you know you can tolerate, because this will be different from person to person. There is really no right or wrong choice.”

AFTER WORKOUT

After an intense workout, your body needs to replenish its glycogen stores, so make sure you get more healthy carbohydrates and add healthy, leaner proteins – such as chicken or turkey, eggs, fish, tofu, nuts, seeds or low-fat or fat-free dairy products – to fuel your body’s muscle recovery process. “When I get back home from a run, I definitely try to get carbs and a little protein within the next few hours, like eggs and toast if it’s still morning or a turkey sandwich with some fruit if closer to lunch,” Jennifer says. “Other recovery foods include a bagel with peanut butter, pasta with tomato sauce, or a smoothie made with Greek yogurt and fruit.” And don’t forget to stay hydrated before, during and after you exercise. Jessica Park and Boone Hospital Center WELLAWARE

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INGREDIENTS

• 1 tsp olive oil • 1 large egg and 2 egg whites, or 2 whole eggs • ½ cup brown rice (precooked and chilled) • ½ tomato, diced • Handful of fresh spinach • ¼ sweet yellow bell pepper, diced • Salt and pepper, as desired • Optional: ¼ cup shredded cheese

INSTRUCTIONS

1. Lightly coat the bottom of a small skillet with the olive oil. 2. Stir the egg and egg whites together and set them aside. 3. On medium heat, lightly cook the vegetables until tender-crisp. 4. Add the eggs, rice (and cheese) at the same time. Cook the mixture until the eggs are firm and moist, but not hard. You can cook the egg mixture into a “pancake” (that you flip) or a folded omelet.

Light as a Feather Pancakes with Berry Sauce NUTRITIONAL FACTS Serving: 3 pancakes with 1/3 cup of fruit sauce (Makes 4 servings) WITHOUT SAUCE Calories: 215 | Carbs: 22.3gm Protein 14.7gm | Fat 7.5gm WITH SAUCE Calories: 283 | Carbs: 36.8gm Protein 15.5gm | Fat 8.3gm The Ultimate Volumetrics Diet, Dr. Barbara Rolls

PANCAKE INGREDIENTS

• ½ cup white whole wheat flour • 2 tablespoons corn starch • 2 tablespoons sugar • 1 ½ teaspoons baking powder • ¼ teaspoon salt • 1 ¼ cups 1% fat cottage cheese • 3 large eggs • 1 Tablespoon butter or oil

SAUCE INGREDIENTS

• 3 cups frozen or fresh berries • 1 tablespoon cornstarch

INSTRUCTIONS 1. Stir together flour, corn starch, sugar, baking powder, and salt in a large bowl. Whisk together the cottage cheese, eggs, and butter in a small bowl. Add to the flour mixture and stir to combine. It is okay for the batter to have a few small lumps.

2. Heat a nonstick griddle or large skillet on the stove over medium-low heat. Place 2 Tablespoons of batter on the griddle for each pancake, leaving space for the pancakes to spread without touching each other. Flip the pancakes with a spatula when the bubbles on the top begin to pop and the bottom is dry. Cook for 1 or 2 minutes more, until the bottom is lightly browned.

3. Toss berries with the corn starch and sugar in a medium microwaveable bowl. Microwave at 1-minute intervals, gently stirring between intervals, until berries are soft and the liquid is bubbling and thickened, about 5 minutes.

MyBooneHealth.org

GO HARD (But Not Too Hard)

Don’t let overtraining block the path to your fitness goals.

Go Hard or Go Home.

You may have seen this motivational message on T-shirts, social media or the wall at your gym. Fitness culture focuses on competition and hard work. You don’t see motivational images of an athlete getting a good night’s sleep, and you don’t get a cool window decal for eating a balanced diet. But recovery is a necessary part of athletic training. Most Americans don’t get enough exercise, but some people can get too much exercise in pursuit of their goals. Setting new personal records or winning competitions can be very motivating, and pushing yourself beyond your comfort zone can feel great. But too many tough workouts without rest may make you lose sight of the best reason to stay active— to feel your best. Overtraining, or burnout, can occur when you exercise too hard, too often, without the recovery and refueling needed to help your body adapt. While pushing

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yourself at every training session and taking no breaks might sound necessary to succeed, overtraining can actually be counterproductive to your goals. When you work out, you break down muscle tissue and burn up some of your body’s energy stores. When you recover by resting, eating and sleeping, your body repairs the tissue and becomes more efficient, helping you grow stronger, run faster or improve your endurance. But if you don’t give your muscles time to recover from your workout, then work the same muscles at the same intensity

tomorrow, you risk accumulating damage to muscle tissue. And if you don’t eat an optimal diet to replace your expended energy and support tissue repair, over time, your body will break down your muscles, instead of body fat, to get that energy. Overtraining can cost you strength, speed and endurance, and increase your risk for serious injury. Overtraining syndrome is rare, but its physiological and psychological effects can wreck your performance and make you feel tired, ill and unmotivated. Knowing what to watch for can help you train more effectively.

You may be overtraining if: • You work hard with little or no rest. If you train every day or nearly every day of the week and work out for hours at a time, you’re not giving your body time to adapt to your workout. • You’re not seeing any progress. You train harder and more often, but your performance hasn’t improved and may even be worse. • Your workouts feel more difficult than usual. • Your resting heart rate has become slower or faster than normal. Your heart rate may take longer to return to your usual resting heart rate after you work out. • You have constant aches and pains in joints and muscles beyond the expected soreness a day or two after working out, or you feel pain while working out. • You’re wiped out. If you feel more tired than usual after working out or feel fatigued even after a rest day, you might not be getting enough rest. • You have trouble falling or staying asleep. Overtraining can affect your body’s production of cortisol, which can make it hard to get the sleep your body needs. • Your appetite has decreased. Increased cortisol and too little sleep can upset your appetite, causing you to not eat enough to meet your body’s needs while in heavy training. • You feel moody, irritable or unfocused. Physical stress and fatigue can affect your concentration, decision-making and mood. You may experience depression.

• You feel ill. The metabolic demands of overtraining can affect your immune system. You may frequently have sore throats or other infections. • You no longer enjoy working out. Feeling unwell and not seeing desired results can bring you down and make you see exercise as a grueling punishment. • You get injured more easily. Don’t work out if you’ve been injured! If you aggravate an injury, you could become unable to work out for a very long time. See your doctor.

If you’re feeling run down and notice your performance has been slipping even though you’re training harder, don’t assume you’re not training hard enough. Instead: • Rest. Rest is the best way to recover from overtraining – and not just for one day. If you’ve been overtraining, you may need a week or two off. Rest doesn’t mean being idle; you can find ways to keep moving your body like going for an easy walk. Don’t compensate by training extra hard in a different kind of exercise. Your heart needs a rest, too. • Sleep. Try to get around eight hours a night and go to bed around the same time every night. Limit anything that might make it hard to fall asleep, like caffeinated drinks or electronic devices in bed. • Eat a balanced diet with plenty of healthy carbohydrates, proteins and fat. A registered dietitian can help you plan meals that satisfy your body’s nutritional needs and your taste buds. (See page 20 for more information about what to eat while training.)

• Include rest days in your training plan. • Add variety. Don’t do the same thing at every workout. If you’re a runner, add strength training. If you’re a weight lifter, do cardio. • Step it back. Plan occasional periods where you stay active, but have fewer, shorter or less intense workout sessions. • Keep a log not just of your workout days, time, miles or reps, but also how you feel during and after your workout. • Be clear about what you want to accomplish. Set short-term and long-term goals. Recognize that you may not get to do everything you’d like to do. • Talk to a professional. Overtraining can occur if you feel overly anxious about failure, guilty about not exercising, or depressed about changes in your performance. A mental health professional may help you identify issues that lead you to overtrain. • Make time with a personal trainer. A certified fitness instructor can help you develop a personalized program that helps you meet your goals, get the recovery you need, and stay challenged. • See your doctor. Some symptoms of overtraining could be caused by another condition.

Whether you’re training for a competition or a new personal best, go hard, then go home -- so you can recover! By Jessica Park

MyBooneHealth.org

GETTING TO KNOW A BHC DOCTOR

Maria Bernabe, MD

’m Dr. Maria Bernabe, a pediatrician by profession; a wife to a fellow physician, Paul; and a mother of four children: Justin, 22; Joey, 16; Jeremy, 15; and Jillian, 13. And, of course, the dog, Wiggles. I graduated from med school at the University of Santo Tomas, in the Phillipines. I met my husband there — he was my seatmate all those years in school. I emigrated to the States in 1991 to pursue medical residency at Cook County Hospital, in Chicago. It was an immense shock for me when we moved here, thousands of miles away from my family. I grew up in a close-knit, traditional Catholic family of six. My father was a lawyer and was gone most of the time. My mother was the local town pharmacist and earned quite a reputation with her charismatic and gentle personality. Back then, in the Phillipines, our family co-owned a tiny drug store, and I grew up spending hours helping out at the pharmacy. I grew up meeting all sorts of people, all while they were blurting out names of medicines needed to relieve their various ailments. I’ve been in practice since 1995 and moved from Chicago to practice with Paul down in the Lake area, which is now home to my children. I value the concept of playing a vital role in the family dynamics as I take on the care of a newborn. It takes a special relationship to be able to reach out to the parents as I help in the care of their children, both when kids are well and healthy and when they’re sick and at their most needy.

What is the most rewarding aspect of your job? The most rewarding aspect of my job as a pediatrician is when I am able to make that connection with the family and, through that connection, I am able to cause a positive change in their life. What is the most challenging aspect of your job? The most challenging aspects of my job as a pediatrician are having to balance my work and my family life, having to adapt to changes in this ever-changing health care environment, and facing up to the challenges that medical innovation and technology bring. What do you see changing in health care in the next 5-10 years? Due to the rising costs of medical technology, I anticipate to see more mergers and acquisitions happening. Because of this wave of new technology in medicine, it is giving consumers a first hand in controlling and influencing decisions over their own health. People are more aware now and because they are empowered by technology like the Apple Watch, Fitbits, and health apps to improve their health, they take a more active role rather than be at the passive end. like it used to be in the past.

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What advice would you give someone looking to become a doctor? My four Ps. • Be persistent in what you believe in and what you aspire to be. • Be passionate in what you dream for in life. • Prioritize the patient as number one and think of what you would do if you were the patient. That will steer your actions to do good, rather than harm. After all, that is the oath that you will take once you become a physician. • Think of making a positive difference in this world through volunteering and service to others. What you you enjoy doing outside of work?I love to do activities centered around wellness like walking, biking, Zumba, yoga, running – I did three half-marathons and that’s it! -- cooking Filipino dishes and gardening. What advice would you give to someone who is going to be a patient in a hospital for a period of time? Do your research first. Find a hospital with excellent ratings that reflect superior performance in satisfying all quality measures.

GETTING TO KNOW A BHC NURSE

Brenda Wilson, BSN, RN-C

grew up on a farm in southern Missouri. It was a great place to grow up, but job opportunities were not plentiful. I went to a diploma nursing program in Springfield and then earned my BSN from Missouri State (SMSU at the time). I met my tolerant and adorable husband of 37 years at work shortly after I got out of nursing school. We moved to Columbia in late 1988, and it seems to have been good for us! We have two grown sons and two wonderful daughters-in-law. Our boys live in Kansas City and California, which is much too far away.

Why did you get into the health care field? I’ve wanted to be a nurse since before I started elementary school. I didn’t know why or how I came to that decision until several years ago, when a counselor asked me about earliest memories. I told her that my earliest memory was of having dinner in the bedroom with my dad when I was 3 years old, while he was recovering from smoke inhalation pneumonia. She said that’s what solidified the idea. Maybe she was right. Now that he’s 90, I’m still watching out for my dad – he sure did it for me for a long time! What interested you in your particular specialty? Cardiology was on my short list of favorites by the time I finished my first cardiology nursing rotation. I found it absolutely fascinating! My family history put me at higher risk for cardiovascular disease, so it was a bit personal, too. I worked cardiac critical care for 12 years before moving to outpatient cardiac rehab. I loved the pace and challenge of critical care, but wanted to help people manage after they got better and not return to my unit in a year or two. Cardiac rehab gives me that opportunity. I also do diabetes education, which is closely linked to cardiovascular disease. It allows me to help patients make connections that hopefully will improve their quality and quantity of life. Recently I added some time with our corporate and community wellness programs through WELLAWARE. This allows me to use my knowledge base to help people be pro-active in reducing their risks by making small changes that add up to big benefits. What is the most rewarding aspect of your job? People. They are fun, caring, loving, hurting and thankful. Being able to celebrate with a patient about losing weight, getting off a blood pressure medication, feeling strong enough to make a trip they thought they couldn’t or getting their blood sugar down makes every day different, exciting and worth it! What is the most challenging aspect of your job? People. We can sometimes be our own worst enemy and getting self-defeating ideas out of our head to move forward is challenging. Just because it didn’t work before doesn’t mean it might not work this time – and every one of us is worth the effort. You have to help yourself before

you can help others in your family or close group. People tend to sell themselves short of what they’re capable of, unless they truly try and have support doing it. What has changed in your field since you started practicing? Nurses don’t have to wear white uniforms, caps and support hose! Much of the electronic stuff that is everyday now was new or fairly new when I started. There is more collaboration across disciplines now. We did almost everything on paper, but there is more documentation now than ever. What hasn’t changed is that taking a personal interest in your patient is vital. What do you see changing in the next five to 10 years? I think there will continue to be more electronic records and equipment. Invasive procedures will continue to be done through smaller incisions. More research will provide better direction in managing individual health risk to better titrate each person’s health care. What do you enjoy doing outside of work? I love walking outdoors – it’s therapeutic! I have always done some type of exercise, but right now I am embracing Pilates and yoga. I enjoy reading – when I can slow down long enough to do it. Traveling to visit family and friends and to see new places is a passion. What advice would you give to someone looking to become a nurse? The profession is your oyster. Nursing opens up lots of opportunities. You have to enjoy people and have compassion. Classes can teach you a lot of information, but they can’t tell you how to care with empathy. Don’t be in a hurry to get x, y and z ticked off your list. Enjoy the journey and learn from each step and each patient. I’ve never regretted for a minute my decision to be a nurse.

MyBooneHealth.org

CHILDHOOD SPORTS SPECIALIZATION A Damaging Trend?

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Sports specialization means training exclusively in one sport, often year-round. Sports specialization as early as elementary school is becoming very common and has many parents wondering if the practice could have negative effects on their children’s bodies. Josh Hamann, MD, a sports injury specialist with Columbia Orthopaedic Group, answers some common questions about childhood sports specialization.

How have you seen adolescent athletic injuries change over the last few years? Most commonly I see injuries from acute incidents on the field or court, but I have noticed that more kids are coming in with chronic injuries. A big problem I see is kids giving up other sports to focus on a single sport that they love. When this occurs before adolescence, it can lead to chronic overuse injuries that can have lasting effects. I see this mostly among baseball and softball athletes, but also soccer players, wrestlers, gymnasts and dancers. Is it OK for kids to play the same sport year-round or should they take breaks? Specializing in one sport has been shown in recent studies to place athletes at a higher risk of injuries. Technically, being “specialized” means playing one sport more than eight months out of the year, while giving up other sports. From my standpoint, breaks are necessary for the young athlete to recover from an intense season. The bones, muscles and tendons need a chance to rest. This doesn’t necessarily mean sitting and playing video games – playing other sports places different strains on the body and allows other parts to heal.

Josh Hamann, MD, sports injury specialist with Columbia Orthopaedic Group.

What dangers do you see arising from children specializing in sports at a young age? I think the biggest problem for kids who specialize too early would be burnout. If injuries mount up, they could steer a child away from playing the sport they used to love. The worst-case scenario is turning a child away from healthy activities by overdoing it. In your opinion, does specializing in a sport at a young age give kids a better chance at being successful later on? Personally, I don’t think so. There are many instances of professional athletes not specializing until later in their athletic development. A recent survey showed almost 80 percent of professional baseball players would not want their own children specializing in sports. What are some warning signs to look out for? Kids with lingering injuries and pains who play in a single sport for more than 8 months of the year should think about taking a break or changing sports for a season to help their bodies heal.

What advice do you have for parents who want to support their children’s dreams while still keeping them safe and healthy? Being competitive and helping athletes advance their skills is not a bad thing – at some point every collegiate and professional athlete had to specialize. But parents and young athletes have to know the risks that early sport specialization brings. The mindset of more hours of training leading to elite athletic status doesn’t translate perfectly to most sports. Studies have shown that specializing over the age of 15 is more likely to translate to elite status. Other studies show that having more unstructured time was more beneficial for young athletes than more practices, tournaments and competitions.

MyBooneHealth.org

Answering the For five decades, Boone Hospital Center’s ambulance crews have cared for patients all over Mid-Missouri.

n 1967, Boone County Hospital launched its first ambulance service. Fifty years later, Boone Hospital Center’s emergency services team includes nine ambulances, two wheelchair transport vans, and 55 health care professionals, all trained and licensed in emergency pre-hospital care. In 2016 alone, Boone Hospital’s blue ambulances answered over 12,000 calls for help throughout Mid-Missouri, treating patient before they arrive at the hospital. “Every one of our ambulances you see on the street is essentially a rolling emergency room, with many of the same tools for treatment,” says Marc Carr, Boone Hospital Center’s EMS administrator. And, just like the emergency department at Boone Hospital Center, these units on wheels are staffed with highly trained and certified emergency medical technicians and paramedics. All BHC ambulances are staffed with at least one paramedic and one EMT to provide immediate and critical care to patients. EMTs are trained and licensed to assist in life-threatening situations. They’re able to assess patient conditions; manage injuries, fractures and burns; control bleeding; provide oxygen; perform CPR and AED; and, if needed, deliver babies in emergency situations. Most of Boone Hospital Center’s EMS team – about 70 percent of the staff – are paramedics. Paramedics in Missouri must receive over 1,000 hours of education and an additional 500-plus hours of on-the-job training for certification. In addition to what EMTs do, a paramedic can monitor a patient’s

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Bonnie Locher, paramedic and Colt Doman, paramedic, stand in front of a BHC ambulance.

heart rhythm through EKG, start IV therapy or blood transfusions, provide endotracheal intubation to help a patient breathe and more. Both EMTs and paramedics are required to receive continuing education to keep their licenses and to keep up with the rapidly evolving field of emergency medicine. “We provide some of the most advanced pre-hospital life support capabilities in Mid-Missouri,” Marc says. While the primary coverage area for Boone Hospital ambulances are downtown Columbia and north central and northeast Boone

County, Boone Hospital Center’s emergency services crews frequently treat and transport patients all over Missouri, even out of state. They safely transport and monitor patients to hospitals in St. Louis, Kansas City or occasionally Chicago. They also transport patients between the hospital and rehabilitation or skilled nursing facilities. Boone Hospital Center’s EMS collaborates with other ambulance districts in Missouri to treat patients on-site, transport them to the most appropriate facility for care and, most importantly, respond as immediately as possible.

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Locher and Doman inspect equipment in the back of an ambulance.

Most of Boone Hospital Center’s EMS team – about 70 percent of the staff – are paramedics. “The county’s EMS system is dynamic. Calls are assigned based on the computeraided dispatch system, in order of who’s closest and available. You may see a BHCEMS ambulance anywhere in Boone County,” Marc explains. A patient’s choice usually determines which hospital they’re taken to, provided

that the hospital has the capabilities to treat their condition. Anyone whose conditions meet trauma alert criteria is always taken to the nearest trauma center. “All other patient conditions are able to be treated at Boone Hospital Center,” Marc says. This includes time-critical diagnoses like stroke. Boone Hospital Center has been designated a level one stroke center by the Missouri Department of Health and Senior Services. Boone Hospital Center’s EMS team also trains to support rescue operations, working with local, state and federal agencies to respond quickly should a crisis occur. “We work closely with all of our public safety partners and meet regularly to discuss process improvements in the community and plan for major disasters as best we can,” Marc says. You may have seen Boone Hospital Center ambulances at community events, including the Roots N Blues N BBQ Festival, Summerfest, City of Columbia’s Fire in the Sky, and community high school football games. The football

game partnership initially started with Columbia Public Schools and then quickly expanded to support Hallsville, Centralia and Father Tolton Catholic high schools. This partnership gives Boone Hospital’s EMS teams the chance to interact with the public in (hopefully) a non-emergent situation and assures players and fans that trained health care professionals are on the spot should they be needed. EMS crews spend most of their shifts away from the hospital building, but they’re definitely part of the Boone Hospital Center team. They work closely with almost every patient care unit. Above all, they bring Boone Hospital’s high standards of clinical care and patient safety to wherever it’s needed. “It’s about serving our customers and community at our highest level, at all times,” Marc says. “Every member of this team takes pride in wearing the Boone Blue. And we do our best to meet the needs our community expects and deserves.” By Jessica Park

MyBooneHealth.org

FOUNDATION NEWS

A Lifetime of Commitment Larry Chapman, MD, has been taking care of people for a long time. In fact, he has been practicing longer than any other physician at Boone Hospital Center – 51 years. This lifetime of service to our community is the reason why we will be honoring Dr. Chapman and his wife, Paula, at this year’s Boone Hospital Foundation Gala. His career started with a basketball scholarship at the University of Missouri in 1954, a freshman playing alongside then Mizzou senior Norm Stewart. After graduating from medical school in 1962, he began working at Boone Hospital in Columbia. It was a small 90-bed hospital with no intensive care unit. Dr. Chapman realized more facilities were needed for the growing community, so he and Grafton Smith borrowed $250,000 from Boone County Bank and rented space from Boone Hospital to start an ICU. In two years it paid for itself and they donated it to Boone Hospital. Today, Boone Hospital Center and Dr. Chapman are still going strong. In his private practice, he has a current patient enrollment of 4,400 people. That’s even more impressive when you consider that each patient has Dr. Chapman’s cell phone number and can reach him day or night. But, they don’t always call with medical questions. Paula likes to tell the story of a husband and wife who were both patients of Dr. Chapman. “A few years ago, this couple’s son was on a hunting trip in Wyoming and

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had gotten lost. They were in a panic and couldn’t think what to do, so they called Larry,” she said. “He was a little surprised but then got on the phone and was able to reach park rangers who did finally track down the missing man.” Smiling, Paula said, “This is an example of the kind of relationship Larry has with his patients.” Dr. Chapman credits much of his success to his wife and family, but also to

the nursing and medical staff at Boone Hospital. He says, “They are so dedicated and professional; it’s amazing to see the level of skill and compassion shown by these nurses every day.” If you are interested in attending the Gala honoring Dr. Larry and Paula Chapman, you can contact the Boone Foundation Office at (573) 815-2800 or Yvonne.gibson@bjc.org or Barbara. Danuser@bjc.org.

CALENDAR OF EVENTS SEPTEMBER 11-13

Nursing Camp Columbia College and Boone Hospital Foundation partnered to introduce junior and senior high school students to the nursing profession. Columbia College hosted this 3-day residential camp that ended with a Boone Hospital Center tour. The Boone Hospital Foundation funded 22 scholarships, thanks to the generous support of George Hulett, ensuring interested students were given this opportunity.

Gala Boone Hospital Foundation Join us Saturday October 28, 2017 For more information call 573.815.2800

Common Goods Sale (Formerly Books are Fun) OCTOBER 26 & 27

Jewelry Sale OCTOBER 28

Annual Gala NOVEMBER 8

Uniform Sale (Uniforms Plus) NOVEMBER 23

Turkey Trax DECEMBER 5 & 6

Linen Sale DECEMBER

COMO Gives Campaign JANUARY 23 & 24, 2018

Uniform Sale (Scrubs on Site)

Sharing the Gift of Health

MAY 14, 2018

Annual Golf Tournament MyBooneHealth.org

Boone Hospital Center 1600 East Broadway Columbia, Mo 65201 573-815-8000

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