My Boone Health Spring 2019 by My Boone Health

Boone Health SPRING 2019

A Miracle & a Blessing Emilee and Baby Brock had to fight for life during birth. PG. 14

PG. 10

From Stress Test to Life-Saving Stents

The Region’s Premier Heart Hospital The heart is the rhythm of life, and Boone Hospital is there for every beat. More experience, more expertise, and more compassion make Boone the region’s premier heart hospital. From diagnosis and treatment to rehab and recovery, we’re there for you every step of the way. That’s the Boone Touch.

boone.org/heart

Table of Contents 22

President Jim Sinek Director of Marketing & Public Relations Ben Cornelius Communications Consultant II Jessica Park Digital Communications & Marketing Consultant II Madison Loethen Marketing Consultant I Erin Wegner Photography Sadie Thibodeaux, Angelique Hunter Contributing Writers Nicole Flood

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

Snacks to Keep You Moving

Hospital Headlines

A New Beginning for All

Rocky Rhythms

You Have Cancer

Get to Know a BHC Doctor

Get to Know a BHC Nurse

I Will Win

10-minute Tune-Up

Foundation News

10 12 14 16

From Stress Test to Life-Saving Stents Finding the Words Emileeâ&#x20AC;&#x2122;s Road to Recovery From AFE Bringing up Boone Babies

Boone Hospital Center Mid-Missouriâ&#x20AC;&#x2122;s only 5-star hospital

The U.S. Centers for Medicare and Medicaid have rated Boone Hospital Center as 5-star, placing us in the top 8 percent of hospitals nationwide. Thank you to our physicians, nurses, support staff, volunteers and foundation for providing excellent care to our community. That is the Boone Touch.

Information sourced from www.medicare.gov/hospitalcompare

A NOTE FROM JIM

Safety First

t Boone Hospital Center, we have ten Standards of Excellence defining the qualities required to become and remain a Boone Hospital teammate. Our #1 and most important Standard of Excellence is “Promote safety.” Providing the highest quality care in the safest environment, for our patients and staff, is our highest priority. We have long established patient safety protocols in place such as the “time-outs” we execute prior to the beginning of each and every invasive or surgical procedure. This protocol is systemically designed to assure we perform the correct procedure, on the right site, on the right patient, if their clinical condition indicates it’s safe to proceed. Patient fall risk protocols, patient lifts, handrails aligned from patients’ bed to their restrooms, and clinical protocols to prevent conditions such as pressure ulcers, post-operation hemorrhaging, respiratory failure, or infections, are a few more examples of how the Boone team promotes patient and teammate safety.

Providing the highest quality care in the safest environment, for our patients and staff, is our highest priority.

These high standards for safety require each of our teammates to be leaders. A teammate who speaks up during a procedural time-out, who follows through in applying each step of a safety protocol, who cleans up a water spill on the floor to prevent a slip and fall, and who assists their teammates in safely caring for each and every one of our patients demonstrates exemplary leadership. More recently, Boone has implemented significant components of a Just Culture environment. This culture promotes open, honest and transparent reporting of events, like medication errors or near-misses, which facilitate more accurate reporting and effective solutions. Additionally, we’ve embarked upon a journey of implementing an operating system that supports daily safety huddles, shift readiness boards and tiered escalation for more efficient problem-solving. These initiatives position Boone as a highly reliable organization. All of these efforts are designed to reach the ultimate goal of doing Zero Harm to our patients. Your Boone team is committed to your safety and to upholding our most important standard of excellence: Promote safety.

Jim Sinek, President, Boone Hospital Center

MyBooneHealth.org

HOSPITAL HEADLINES

Boone Hospital Appoints First Executive Director of Patient Care Services Laura Noren, MBA, BSN, RN, NE-BC, was recently named Boone Hospital Center’s first Executive Director of Patient Care Services. In her new role, Laura is responsible for inpatient care services, patient care policy and procedures, clinical outcomes, training and development and the Magnet program for nursing excellence. Laura first joined Boone Hospital in 1992 as a Training and Development Specialist and has since held several roles, including Service Line Director for Boone Hospital’s Women and Children’s Services and Director of Patient Care Support Services and Nursing Administration.

Boone Hospital Opens New Lab Draw Location Boone Hospital’s Laboratory Services team believes that, when it comes to lab testing, your comfort and convenience are equally as important as receiving timely and accurate results. Their high standards for customer service and clinical care led to the recent opening of their new Lab Draw location in Broadway Medical Plaza 2. The Lab Draw’s convenient location makes it easy for patients visiting their physician’s office at Broadway Medical Plaza to have their labs drawn without driving somewhere else, which was especially helpful earlier this year, during the dreary winter. The space is designed with the patient’s comfort and dignity in mind, with private rooms for specialty testing. “There’s a subgroup of tests that typically require patients to come into the hospital. These are often specialty tests or tests that must be processed very quickly after collection,” explains Drew Wilkinson, Boone Hospital’s Director of Laboratory Services. The Lab Draw location was also designed to benefit physicians, both when referring patients and receiving results. Samples are drawn by Boone Hospital technicians and tested locally by our lab professionals. “As we designed this new space, we were able to include a pneumatic tube system that allows us to literally send samples over Broadway!” says Drew. By tube, the trip across the street takes 3 minutes – faster than most people could run – and

BOONE HOSPITAL CENTER

Spring 2019

allows physicians to potentially get their patients’ results before they’ve even left the building. Patients can also have their labs drawn at Boone Hospital, which offers extended hours, including weekends, or at Nifong Medical Plaza in south Columbia. Future additional lab draw locations are currently being planned. No matter where you have your labs drawn, you can count on Boone Hospital’s high standards of customer service and clinical care. Drew says, “Boone Hospital Laboratory has a very highly skilled team working behind the scenes to deliver accurate, timely and high-quality lab results to our patients and providers. Opening this new location makes our services more convenient and accessible to our patients!”

2019 Free Skin Cancer Screening Events Thursday, April 18 8:30am – 3:30pm Linn Co. Health Department 635 S Main St., Brookfield, MO 64628

Boone Hospital Center Given 5-Star Rating by Centers for Medicare & Medicaid Services

Friday, April 26 8:00am – 2:00pm Parks Management Center 1507 Business Loop 70 W Columbia, MO 65202

Wednesday, May 15 8:00am – 2:00pm Wabash Bus Station 126 North 10th St. Columbia, MO 65201

Wednesday, May 22 8:00am – 2:00pm Boone County Health Department 1005 West Worley St. Columbia, MO 65203

Tuesday, June 4 12:00pm – 6:00pm BMG – Osage Beach / HyVee 931 Hwy D, Osage Beach, MO 65065

Wednesday, June 5 8:00am – 2:00pm BMG – Osage Beach / HyVee 931 Hwy D, Osage Beach, MO 65065

Friday, June 21 9:00am – 4:00pm Livingston County Health Department 800 Adams Dr., Chillicothe, MO 64601

Wednesday, July 31 8:00am – 5:30pm 1701 E. Broadway Columbia, MO 65201 (BMP 3 Suite #102)

Wednesday, August 21 8:00am – 5:30pm 1701 E. Broadway Columbia, MO 65201 (BMP 3 Suite #102) These free skin cancer screenings are made possible with support from Boone Hospital Foundation. Appointments are necessary. To schedule an appointment, call 1-800-872-9008 or visit boone.org/KYN

Boone Hospital Center was rated a 5-star hospital by the Centers for Medicare & Medicaid Services (CMS) on its website medicare.gov/hospitalcompare. It is the only hospital in mid-Missouri to receive this recognition. The hospital ratings range from 1 to 5 stars. The more stars, the better a hospital performed on the available quality measures. The quality measures rated are the hospital’s mortality rate, safety of care, readmission rate, patient experience, effectiveness of care, timeliness of care and efficient use of medical imaging. The overall hospital rating shows how well each hospital performed, on average, compared to other hospitals in the U.S. The most common hospital rating is 3 stars.

MyBooneHealth.org

Rocky

RHYTHMS

Electrophysiology specialist Dr. John Verbsky performed a procedure that helped get John Weston back on the golf course.

Dr. Verbsky studies the image of a diseased heart.

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Visit youtube.com/boonehospital to hear from John and Dr. Verbsky

Exhaustion, weakness, shortness of breath, and dizziness dominated once-active John Weston’s life. That is, until John met John Verbsky, MD of Missouri Heart Center. In 2016, John experienced a stroke that took him by surprise. John was an lively man in his early 60s who enjoyed spending time outdoors and golfing. Sure, he had been extra tired the past few months, but he hadn’t thought a lot of it. He already knew he had atrial fibrillation, an irregular heart beat and atrial flutter, a condition where the heart’s upper chambers beat too quickly. Both conditions can cause heart palpitations and shortness of breath, but so far they had not been something that he considered too serious. Soon after his stroke, John was also diagnosed with cardiomyopathy, a disease of the heart muscle. His cardiomyopathy quickly turned into congestive heart failure, meaning his heart was not pumping blood to his body correctly. “I was getting to the point where I was so weak and tired that I could hardly do anything. There were nights where I was going to bed at 7 or 8,” says John. In 2017, John had his first appointment with Dr. Verbsky. Dr. Verbsky is a electrophysiology specialist-expert at understanding and treating abnormal heart rhythms like John’s. Dr. Verbsky used a combination of both medicines and techniques to get John out of this bad rhythm. He did a procedure called an ablation that burns and scars the heart in a way that causes it to go back into a normal rhythm. “There’s been evidence that people with weak hearts like John’s are able to do better when they have their rhythm issues corrected. This was certainly true in John’s case. He is now staying in a more normal rhythm and has a stronger heartbeat,” says Dr. Verbsky. John says he started feeling better right away. The fatigue that was dominating his life was quickly easing, and he even found himself wanting to get back out on the golf course. “It was just an immediate surge of energy after that. My endurance is way higher, my strength is way higher and everything is just a lot better… I have already played two golf games and walked all 9 holes both times, which was unheard of for me before,” says John. John says the ablation turned his life around, and he would recommend anyone with a similar condition or symptoms to reach out to the physician team at Missouri Heart Center for help. By Madison Loethen

John Weston is able to golf again after a successful ablation procedure.

FROM STRESS TEST TO LIFE-SAVING STENTS: One patient’s journey with coronary artery disease. Shortness of breath and the occasional tightening of the chest were concerning symptoms for Lisa Coulter, 56, of California, Mo. Lisa has COPD and a history of coronary artery disease with previous stents inserted in 2002 and 2007. Lisa decided it was time to talk with her doctor about the worsening symptoms she had been experiencing for over 6 months. That’s when her physician, Nathan Granneman, MD, referred her to Mozow Zuidema, MD, at Boone Hospital Center’s Cardiac Diagnostic Center for a stress test on December 26, 2018. On the day of the stress test, Lisa didn’t feel well during the drive to Columbia with her husband and had to have her window down most of the drive. “I didn’t get to do the stress test at the diagnostic center because of how bad I was,” says Lisa. “When I got in the elevator it was to the point where I was in tears from how tight my chest was. I pushed my way up to the desk to tell them I needed help and I started to panic. The nurses went straight to work and took my blood pressure and it was 200/114. They didn’t Lisa Coulter

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Learn more about Boone Hospital Center’s Cardiac Services at boone.org/heart

From the night nurse who made jokes with Lisa about enjoying a snack at 1a.m.; to the dietitian who helped explain recipes and gave her ideas and books on how to change her diet to more heart-healthy alternatives; to Tabitha, who was great company and got her laughing; to the ICU nurse who was there every time she needed him and never made her feel bad about vomiting or knocking over an IV pole, Lisa is thankful. “That’s a good cardiac team up there - they were all so kind and encouraging.” Lisa also is grateful to her doctor. “Dr. Zuidema is just amazing,” says Lisa. “I had never met her before and I always get nervous meeting a new doctor, but she has this great aura about her. She’s a great doctor and answered all of my questions and made sure I understood what they were doing. “I had never been to Boone Hospital Center before,” says Lisa. “If you have heart problems and need them taken care of, that’s the place to be. I definitely was in the right place at the right time when the first event took place.”

Mozow Zuidema, MD

talk much, called the ER, put me in a wheelchair and took me straight over to the hospital.” Once in the Emergency Room, the nurses gave Lisa nitroglycerin to help with her tightened chest and pain. Since Lisa was already fasting for her stress test, she was able to go right in for a cath lab procedure. “I was having pain and tightness in my chest because my artery was clogged,” said Lisa. “They put in my stent and started to wheel me back to my room and my EKG started to do weird things, and I began to have chest pain again. They took me back to the cath lab and discovered I had a blood clot forming where the stent was placed. They went in and placed a stent end-to-end with one of my older stents and got the blood clot out.” Lisa stayed in the hospital 4 days after her emergency procedure. “There was no hesitation in my treatment. I was very impressed with that during this scary time. They saved my life!” A Helping Hand through Kindness “Everything with my treatment was so great! All the nurses and staff - Jason, Kendra, Richard and Tabitha to name a few, even the guy who fixed my blinds was so kind to me,” says Lisa.

Back to Work Because of Lisa’s coronary artery disease, she has a few other arteries her providers wanted to closely monitor and planned to treat with medication. Lisa was released to go back to work 2 weeks after her procedure. She was doing well and then one day began having shortness of breath and tightness in her chest again while bringing in a few groceries from the car. “I called Dr. Zuidema’s office and she said to come in and go to the cardiac cath lab. They put in 2 more stents on January 30th and I got to go home the next day,” says Lisa. “Again, everyone at Boone was great and so kind to me.” Lisa went back to work on February 15 and is feeling great. She’s enjoying getting outside more, being back to work and spending time with her 6 grandchildren. She also loves to sing and is able to do her online karaoke again. “Before these events, I just hadn’t been feeling good and didn’t feel like even fixing my hair or going out because I was scared my chest would hurt. Now I’m looking forward to playing with the grandkids and getting out more this summer.” “If I can help other people by sharing my story, it’s a good thing,” she adds. “I didn’t have a heart attack, I had clogged arteries that could have led to that. Everyone can have different symptoms. There are people who might be scared and are having similar symptoms. It’s better to go and find out. They certainly have helped me feel better and I’m so glad I went to get it checked out.” By Nicole Flood

MyBooneHealth.org

Tim Salisbury and speech therapist Kelsey Kramper play Taboo during their therapy sessions. Taboo helps Tim with his word-finding skills.

Finding the Words After treatment with a Boone Therapy speech therapist, Tim Salisbury is cracking jokes again. When 63-year-old Tim Salisbury opened his eyes on September 14, he quickly realized he was in a hospital bed, but wasn’t immediately sure why he was there. The day before he had been on the phone when he started having trouble speaking. His arm felt numb and his fingers were tingly. Tim told his wife he was going to go lay down, but not long after, she came in and said he didn’t look good and they needed to go to Boone Hospital Center. The rest of the day is mostly a blur, but Tim recalls being in the Emergency Department, and receiving an MRI and a CAT scan. The next morning, Tim opened his mouth to speak.

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“I’m okay,” Tim wanted to say, but nothing came out. He tried several more times to speak, but all he could say was his name. It was then that Tim learned he had suffered a stroke. Tim’s stroke had impacted his ability to produce language and his ability to formulate specific speech sounds. These deficits are known as expressive aphasia and apraxia of speech. Tim was also exhibiting neurogenic stuttering, which can sometimes result from a stroke. In addition to his speech difficulties, Tim had weakness in his arms and legs, decreased coordination, difficulties performing activities of daily living, double vision and difficulty walking due to poor balance.

While in the hospital, Tim was seen by Boone Hospital’s physical, occupational and speech therapists to begin working on the various deficits resulting from his stroke. Tim was in the hospital for five days and received visits from his team of therapists daily. When it was time for discharge, Tim was referred to Boone Therapy, Boone Hospital’s outpatient therapy program to continue to work on his recovery. Tim had an appointment with speech therapist Kelsey Kramper, ST, just days after leaving the hospital. Before Tim arrived, Kelsey had the opportunity to review Tim’s history from his recent stay at Boone Hospital and determine which evaluations she would need to perform in order to assess Tim’s current abilities. In his first session, Kelsey completed the assessments of Tim’s speech and language. Together they developed a plan of care to start addressing the areas most impacted by his stroke. Tim attended his speech therapy sessions two to three times a week, for an hour at a time. They worked on a variety of techniques to assist Tim with his communication needs. They did drills to address placement of Tim’s tongue, lips and teeth in order to produce the specific sounds Tim needed to speak. They also did activities to help Tim retrieve the words he needed to express his wants and needs in a way that family and friends could understand. Kelsey taught Tim relaxation techniques to reduce the tension he was demonstrating while trying to speak. Tim rapidly began to show improvement. “When Tim first started coming to me, he could only say a few phrases and had long pauses in between thoughts. I could tell it was really frustrating for him. We started therapies that helped him find the words he wanted to say. One of the ways we did this was through divergent naming. For example, I would ask him to name four things that are round, and he would have to name four things,” says Kelsey. As Tim progressed in therapy, Kelsey began introducing more difficult tasks. One activity that Tim enjoyed was the game Taboo. “The game helped him with his wordfinding skills. It’s a fun, more advanced therapy that helps Tim form multiple

sentences in conversation. Taboo helps bridge the gap between drills and conversational speech, and he is getting pretty good at it,” says Kelsey. Tim’s family even purchased the game as a Christmas gift, so they can practice with him at home. “At first, I could hardly say anything, but with Kelsey’s help I was able to get my speech back. I am actually able to say what I am wanting to say,” says Tim. Tim loves to laugh and enjoys telling a good joke now and then. He says one of the best parts of his speech improving is being able to express his sense of humor. “When I had to talk real slow and think real hard, I wasn’t able to have fun and crack jokes. I feel like I’m able to be myself again,” says Tim.

Every week Tim has shown dramatic improvement. Tim’s speech is now almost back to normal and he is about to graduate from speech therapy. Tim completed his work with Physical and Occupational Therapy last fall. “I’m glad I’m doing better, but I’m going to really miss Kelsey. I’m just going to have to come back and say hi sometimes,” says Tim. By Madison Loethen For more information about Boone Therapy’s speech, occupational or physical therapy services, visit boone.org/therapy or call 573.815.3868.

MyBooneHealth.org

Emilee’s Road to Recovery from AFE

n October 2017, Emilee Lenz and her son Brock survived an Amniotic Fluid Embolism (AFE), an unpreventable, unpredictable and often-fatal complication of pregnancy during childbirth. “My pregnancy was very normal,” says Emilee. “My husband, Travous, and I checked into Boone Hospital Center Monday, October 2, to be induced. My last memory was checking in. Travous and my doctors have told me I had an epidural when I was about 6cm dilated. About an hour and half later I started complaining of being nauseous. My blood pressure started to drop and I told my husband it felt like something was sitting on my chest.” As Emilee recounts, the nurse paged anesthesiologist Abram Elsenraat, MD, and Leah Smith, MD, the OB on call. “As Dr. Elsenraat told me, by the time he arrived to the room I was lifeless,” says Emilee. “They quickly disconnected me from all monitors and the bed, and rushed me off to the operating room. They started chest compressions on me at the same time that Dr. Smith was performing an emergency C-section to deliver our son, Brock.” Brock was born at 5:30 a.m., Tuesday, October 3. “Dr. Smith actually set a record at Boone for the quickest C-section! At the time of delivery Brock was stunned due to lack of oxygen and blood flow. He was rushed to the NICU. After they were able to get a pulse back on me, I started to hemorrhage due to the body’s reaction to the amniotic fluid in the blood stream,” says Emilee. Over the next several hours, Emilee developed DIC (disseminated intravascular coagulation) – this is when the blood does not clot properly. She received a large amount of blood products to help her blood clot. THE ROAD TO RECOVERY Emilee spent the first three days in the ICU. She was then transferred to the step-down floor and was in the hospital from her induction on October 2 through 14

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The Lenz Family; Travous, Emilee, and son, Brock.

From right to left; Abram J. Elsenraat, MD, Emilee, Sarah Bernard, MD and Leah Smith, MD. Emilee and her sister, Erica Peters.

October 11. “Fast forward four days and October 15 my husband had to rush me back to the ER because I was having problems breathing,” says Emilee. She was readmitted and spent four more days in the hospital. “I had a significant amount of blood products and fluids in my initial stay. Unfortunately my body didn’t eliminate the excess fluids off of me naturally, so I spent the next four days receiving medicine to help get the fluids off that had built up around my heart and lungs. Recovery was brutal,” she says. SMALL ACTS OF CARING ADD UP “I can tell you from Travous and our families’ perspectives, the care throughout my stay was absolutely amazing,” says Emilee of her time at Boone. “They offered my husband and family rooms to stay in so they could be close while I was in ICU. Dr. [Sarah] Bernard, my OB, continually updated my husband and family throughout the night regarding planned procedures to address the clotting issues. The hospital also had social workers arrive early to address any needs of the family. Apparently when they brought me out of sedation, I repeatedly asked for people to pray. Dr. Bernard prayed over me with my family. How wonderful!” During her first stay on the step-down floor, Emilee fondly remembers nurse Molly Tennyson. “I had an amazing nurse named Molly who quickly asked me if I wanted to breastfeed and that I could still pump if I wanted to. That small thought was amazing to me. She wasn’t just thinking about me,

Amniotic Fluid Embolism (AFE) occurs in 2.5 of 100,000 births in the US & Europe (1 of 40,000 US only). she was also thinking about what my wishes were for my son. This was honestly my first real memory I have since checking in October 2.” During recovery, Emilee had to take walking and other daily tasks in small increments. “I remember in step-down I got up to walk for one of the first times and I came out of my room with a walker and made a lap around the nurse’s station. All the nurses were cheering me on and so amazed that I was up walking. Those nurses were some of my biggest cheerleaders and truly supported every small improvement I made.” BABY BROCK Brock spent six hours in the NICU at Boone before he was transferred to Women’s and Children’s Hospital just after birth to be put on a cooling treatment. He was there for two weeks. He was born on October 3 and released on October 13. “The first day I got to hold my son was October 11,” says Emilee. “Brock is such a blessing. He is 16 months old and all boy. He tests the limits, is sassy, loving, and full of life. He is meeting all of his milestones and brings our family so much joy. He is a truly a miracle and blessing. “The simple fact that he not only lived through our AFE, he also lived with no long-term problems is astonishing and a true testament to the care we received at Boone.

If our medical team had not reacted as quickly as they did, neither of us would have made it.” MENTAL RECOVERY AFTER TRAUMA “The mental recovery was something I honestly did not take into consideration,” says Emilee. “Dr. Bernard warned us what a trauma like ours can do to not just myself, but my entire family as well.” In December 2017, Emilee started suffering from PTSD and post-partum depression at the same time, including flashbacks from her second hospital stay. “The weight of the world was on my shoulders, trying to recover mentally, physically, be a mom, be a wife, and going back to work.” Dr. Bernard spent time talking to Emilee about what happened and helped her get the care she needed. In January 2019, Emilee was ready with her mental recovery to sit down and talk with her physicians about what happened. “Three doctors went out of their way to sit down with me and tell me my story again. They genuinely cared about helping in my recovery, catching up to see how Brock was doing and seeing how we were doing as a family. They all gave time out of their personal lives and careers to help with my recovery. Words cannot express how much their caring and sharing means to me and our family.” By Nicole Flood MyBooneHealth.org

BRIN GIN G UP BO O N E BABIES

TIPS FOR ADJUSTING TO LIFE WITH A NEWBORN Oh, the joys of bringing a new baby into this world! There are lots of changes that come along with a new baby – some you may have known or heard about, while others are surprises. As a new mom, I understand how overwhelming and exciting life with a newborn can be. I’m also a nurse and lactation consultant at Boone Family Birthplace, where we help new parents make a smooth and easy transition. Here are some helpful reminders and tips for you as you take on your new adventure. BY TARA PHILLIPS, RN, IBCLC, BOONE FAMILY BIRTHPLACE

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NEED MORE SUPPORT?

Rest when your baby rests. It’s simple, but true! Your baby will demand your time morning and night with feedings every two to four hours, so sleeping while they sleep is a great plan.

Accept and ask for help from friends and family. Housework and meal prep are a few things that can be hard for new parents to find the time to do. Friends and family will help you out, but they may not see everything you need unless you specifically ask for help. Don’t be afraid to speak up.

2. For safe sleeping, remember your ABC’s: • A for Alone: Baby should not sleep with other people, pillows, blankets, or stuffed animals. • B for Back: Baby should sleep on their back, not on their stomach or side. • C for Crib: Baby should sleep in their own crib, not on an adult bed, sofa, cushion, or other soft surfaces.

3. Stay hydrated and eat a wellbalanced diet. This can help your milk supply and overall health. You should see your energy levels improve as well. (I don’t know many new parents who wouldn’t love extra energy.)

5. Have a support system. Plan who you will call when you need help. No parent is perfect, and you shouldn’t expect perfection from yourself. A lot of questions will come up when you’re taking care of a newborn. When you have questions, write them down for your next doctor visit. If you need help quickly, ask your physician if they have an after-hours help line. Most pediatricians provide this service. Boone Family Birthplace supports new parents after they take baby home by offering a lactation consultant line and our monthly parenting support group, Bringing Up Boone Babies.

6. Enjoy your baby! They grow and change so quickly.

Bringing Up Boone Babies is a monthly support group provided by Boone Family Birthplace. We meet on the third Thursday of each month at 10 a.m. at Boone Hospital Center. Each hourlong session is led by a Boone Family Birthplace nurse and includes a short presentation on a different topic, followed by open group discussion. This support group is free and open to all parents of newborns, infants, and toddlers – and you’re welcome to bring your baby with you. No registration is required.

For a list of upcoming dates and information on how to join our Bringing Up Boone Babies Facebook group, visit boone.org/ BringingUpBooneBabies MyBooneHealth.org

SNACKS TO KEEP YOU MOVING As the weather warms up, going for a hike is a fun, healthy family activity, or a great way to find some peace and quiet. Having just the right snack in your pack can help keep you moving and enjoy a longer hike.

Hiking Snack Ideas: • Crackers (look for products without added sugars or refined grains) • Popcorn

• Pre-slice fruits and veggies, like apples, pears, or carrots and peppers for quick munching • Pack soft fruits like bananas or grapes in a protected container • For little ones, try no-sugar-added squeeze pouches filled with drinkable blended fruits or yogurts

• Reusable snack bags or lightweight stackable containers can help reduce littering along the trails • Pack travel-size wipes for hands and faces

• Sliced fruits and veggies • Dried fruit • Fruit and nut bars • Squeeze pouches of yogurt or puréed fruit • Cheese cubes or string cheese (These work fine if eaten within a couple of hours) • Dried meats • Nuts • Trail mix • Peanut butter sandwiches • Don’t forget to pack water!

BOONE HOSPITAL CENTER

Portability:

Cleanliness:

• Roasted chickpeas

Other things to keep in mind when packing trail snacks

Spring 2019

Are you up to the fun challenge of making your own trail bars or energy bites for your next outdoor adventure? When you give it a shot, you’ll quickly realize how easy they are to blend, shape and chill! These energy bites and bars can be stored in your refrigerator for a week or in your freezer indefinitely. I like to freeze my bites and bars on a sheet pan first, then place them in a freezer bag later, so they keep their shape and don’t stick together. Recipes by Kelsie Knerr, RD LD, Boone Hospital Clinical Dietitian

Find more recipes at boone.org/food

Cake Batter Bites

Cherry Pie Fruit & Nut Bars

Banana Oat Bites

Makes 26 tablespoon-sized bites

Makes 12 2-inch square bars

Makes 18 2 tablespoon-sized bites

Ingredients

• 1 cup raw walnuts

• 1 cup raw almonds

• 1 cup almond flour

• 3/4 cup dried cherries

• 1 cup packed pitted Medjool dates

• Pinch of salt

• 1 cup packed, pitted Medjool dates

• 1 teaspoon pure vanilla extract

• 1 cup packed pitted Medjool dates • 1 teaspoon pure vanilla extract

Instructions

Instructions 1. Add almonds to food processor, pulse to a coarse meal.

1. Add walnuts, almond flour and salt to food processor. Blend until you have a coarse meal, then set aside in a separate small bowl.

2. Add dried fruit to almonds and blend together in food processor.

2. Blend pitted dates in food processor. They will gum up into a ball in the food processor container: separate the date ball into a few smaller chunks in the food processor, then pour in the nut mixture.

4. Refrigerate until firm and cut into bars.

3. Pulse until a loose dough forms. Be careful not to over-blend. You want a pliable dough, not a purée. 4. Using 1 tablespoon of the dough each, roll into balls. Nutrition Facts (1 tablespoon serving) 52 calories, 3g total fat, 3g polyunsaturated fat, 11mg sodium, 46mg potassium, total carbohydrates 6g, dietary fiber 1g, sugars 5g, protein 1g

3. Press mixture into a parchment paper lined 8-inch square dish.

Nutrition Facts (2 inch square serving) Calories 99, total fat 5g, saturated fat 0.5g, monounsaturated fat 4.5g, total carbohydrates 13g, dietary fiber 2g, sugars 9g, protein 2g

• 1 ripe medium banana • 1 ¼ cup quick oats • 4 tablespoons hulled hemp hearts • 1/4 cup raw walnuts • 4 tablespoons mini semi-sweet chocolate chips

Instructions 1. In a food processor, blend all ingredients except walnuts and chocolate chips, until well combined. 2. Add the nuts and chocolate by pulsing them just a few times to break them up, but not too much (leave some texture). 3. Using 2 tablespoons of the mixture for each, roll into balls – I use a small cookie scoop to measure. Place on sheet pan and freeze to hold shape. Nutrition Facts (2 tablespoon serving) 106 calories, 4g total fat, 1g saturated fat, 3g polyunsaturated fat, 0mg sodium, 113mg potassium, 17g total carbohydrates, 2g dietary fiber, 10g sugars, 2g protein

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FAMILY WELLNESS

A New Beginning for All Spring is the perfect time to build healthy habits together as a family! The smell of spring in the air means longer days, warmer weather and signs of new life, as trees start to bloom, flowers start to grow and fresh gardens are planted. With the cold and snowy days behind us, spring is a time of new energy and motivation for the entire household, as families head off to the trail for a bike ride, or pick tomatoes and cucumbers from their garden for the dinner salad. Spring is a wonderful time for the entire family to get outdoors. Fewer layers are needed for family walks. Time playing outside is extended as the sun is up longer and our bodies can soak up some much needed Vitamin D. Children ages 6 to 17 need at least 60 minutes of physical activity every day â&#x20AC;&#x201C;â&#x20AC;&#x201C; and those younger than 6 need even more. As children become more stationary, your family should soak up the opportunities that spring provides before the weather switches to hot and humid.

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Fun family outdoor activities: • Ride bikes on the MKT Trail • Visit a local park • Make “kindness rocks” • Do a nature scavenger hunt • Fly kites • Have a parents vs. kids soccer game • Visit a local farmers market • Pack a picnic • Plant a garden • Sign up for the Kids on Track kick-off in May at boone.org/kidsontrack Spring is also a great time to refresh your family’s diet. Winter months bring plenty of holidays, each with their own array of sweets, sweets and more sweets, as well as the warm comfort foods we crave for dinner. With the freshness of spring arrives the beautiful colors of the fresh, local produce in season. If you’ve thought about changing your family’s dietary habits, such as eating more fruits and vegetables, spring is the perfect time to start. Whether you enjoy them as side dishes or additional veggies in a favorite dish, spring offers delicious, natural choices the whole family will enjoy.

Try these great spring dinner ideas with fresh, inseason produce from your garden, farmers market or supermarket: • Roast Chicken with Spring Vegetables • Pasta Primavera with Spring Vegetables • Spring Vegetable Fettuccine Alfredo • Spinach Ravioli • Chicken Fajitas • Chicken Lettuce Wraps

Other springtime tips for the whole family: • Drink more water. Keep a pitcher of water filled, then add sliced lemons and limes one day and frozen berries and pineapple chunks the next. • Plan ahead and make fresh fruit and veggie snacks for the day, so they’re easy for kids and parents to grab on their way out the door. • Use your lunch break to take a walk. You’ll get a break away from your desk, soak up some Vitamin D, and smell the wonderful spring air. • Make sleep a priority. As the sun stays up longer, set up blackout curtains in bedroom windows to make the room as dark as possible. As a family, turn your electronics off 1 hour before bedtime. • Keep your brains active, too! Enjoy family reading time outdoors or complete scavenger hunts together. By Erin Wegner MyBooneHealth.org

You Have Cancer Dealing with my diagnosis by living in the moment.

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Follow Angela’s video journey at youtube.com/c/365DaysOfCancer

YOU HAVE CANCER. Three life-changing words. Everything else after that becomes a total blur. Then the separation from your old life to your new life begins in an instant. Change is inevitable. I would cope with my diagnosis by saying, “My life was never the same after the birth of my first child, Amanda, either.” Everyone copes a little differently. But I was determined to be the best cancer patient ever – and this is what worked for me. The day after my biopsy at Boone Hospital Center, I started to record my journey through a YouTube channel called 365 Days of Cancer. I wasn’t quite sure what I was doing (clearly the early videos with the camera sideways are proof of that) or why, but I wanted to document the raw emotions that presented themselves on a daily basis. It became my own personal video journal. As I maneuvered from diagnosis to treatment at Missouri Cancer Associates with my oncologist Mark Vellek, MD, at the hub of all my medical care, I felt like I was treading water, just barely staying afloat by only dealing with what was necessary to get through that particular point. I would categorize myself as a Type A, with ambitious goals and plans for my future. Then all of a sudden, I was dealing with how I was just going to get through the next hour managing the grueling side effects of the chemotherapy. I was forced to live in the moment, which was difficult for me. With this newly required change in outlook, I found myself literally planning my own pity party – yes, there’s a video! I began to pay attention to and track my emotions and realized they followed a regular, repeating cycle: • Stage 1: Denial • Stage 2: Anger and frustration (I started cussing at this point) • Stage 3: Acceptance

Diagnosed September 17, 2018 with Breast Cancer Stage 2B. E+ P+ HR2 -

Angela with her oncologist Dr. Vellek

Angela and breast cancer survivor Barb Hagebusch

• Stage 4: Build a bridge and get over it! Over time, the cycle from denial to building a bridge and getting over it became shorter. I was able to move past the anger and directly into what I needed to do to cope with the side effects. As a curious person by nature, I began reaching out to other breast cancer survivors through local support groups, online apps (such as Breast Cancer Healthline) and fellow patients at Missouri Cancer Associates. This became my new social network. I found knowledge and comfort in people that were just like me – they just got it. In the infusion room, it’s hard to move around and introduce yourself when you’re hooked up by an IV pole, but you don’t have to know someone’s first name to have an instant connection. I found a lot of comfort and fun in the chemo room and even looked forward to Fridays when I could catch up with my new chemo buddies. It was also nice at those times to be surrounded by family and friends waiting on me hand and foot. I might have earned the “high maintenance” sticker on my IV pole a few times, but what the heck, I have cancer. I wanted to take advantage of any perk that came along with it. After five long months of chemotherapy, nearing the end of treatment is bittersweet. Change is inevitable, and I’ll have to adjust once again. What will it be like to be done with chemotherapy and surgery, and to move toward maintaining life after a breast cancer diagnosis? I’m not sure what the future holds, but do any of us? For now, I’ll take living in the moment and truly being present to enjoy everything life has to offer. By Angela Huhman

Angela with nurse Erin Korman

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GETTING TO KNOW A BHC DOCTOR

Andrew Getzoff, MD Radiology

grew up in California and majored in English at the University of California at Berkeley. I’d always been a good science student, but wanted to become a screenwriter, so I moved to Columbia and earned a master’s degree at the Mizzou School of Journalism. But before I could return to California and write movies, I met my future wife, Kim. She suggested I revisit my early interest in science and technology. I completed my medical school prerequisites at the University of Missouri, then followed Kim to Memphis. I started medical school at the University of Tennessee while Kim worked as a TV news producer. We moved back west for my neuroradiology residency at the University of Washington and started our family in Seattle. After completing my residency, we moved to my wife’s hometown of Little Rock, Ark., where I joined a private practice radiology group and built an interventional neuroradiology service to treat brain aneurysms and strokes. We realized we missed the charming “big small town” of Columbia and wanted to move here to raise our children, Jacob and Emily. In 2008, I joined Radiology Consultants at Boone Hospital. I’ve served as the radiology department chair and just started a 2-year term as chief of Boone Hospital’s medical staff. Kim currently serves on the Boone Hospital Foundation board. As teenagers, my kids both volunteered at Boone Hospital. Jacob just graduated from Grinnell College in Iowa, and Emily is studying at Washington University in St. Louis. We feel strongly that the citizens of mid-Missouri need a strong Boone Hospital, and we will work hard to support Boone.

Why did you get into the health care field? I lost my father to cancer when he was 34 years old, and his passing is always with me. As I started my 20s, I wanted to do something meaningful that would challenge me over the course of my life. I envisioned getting married and starting a family, and medicine seemed like a firm path. Of course, I was extremely fortunate to have a strong educational background, family support and a little luck along the way to help me become a physician. What interested you in your particular specialty? Because radiologists have to maintain a wide knowledge of different medical specialties, it promised to be challenging career. I did a fellowship in neuroradiology, radiology of the brain and spine, because it seemed even more challenging. When I saw that radiology wasn’t just looking at X-ray films in a dark room but included working with patients and performing minimally invasive procedures, I was hooked. What is the most rewarding aspect of your job? I joined Boone in part to help build the stroke program. My partner, Max Lazinger, MD, and I took interventional stroke call by ourselves every night for years to ensure patients in mid-Missouri had access to leading

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edge technology. Sometimes when we use our catheters to retrieve a clot from the brain of a patient having a stroke, their weakness and inability to speak improves right in front of us. As a physician, this is as close to an instant cure I will ever see. What is the most challenging aspect of your job? As I read X-rays and CT and MRI scans, I often find serious diseases like cancer in otherwise healthy people. While it’s gratifying to solve the mystery of why someone is sick, I often have to deliver terrible news that will change people’s lives. What do you see changing in health care in the next five to 10 years? Advancements in computers and artificial intelligence will help radiologists work faster and more accurately. We’re going to need the help as America’s aging population will make us even busier. What advice would you give someone looking to become a doctor? Spend time working or volunteering in a hospital. You might be a brilliant student, but if don’t like being around patients, doctors, nurses or other hospital staff, you won’t be happy. What do you enjoy doing outside of work? When not hiking and bicycling in Columbia’s parks with my family and dog, I enjoy planning and taking trips to favorite places and places I’ve never been. I play video games occasionally to keep up my handeye coordination. What advice would you give to someone who is going to be a patient in a hospital for a period of time? I’ve been a patient myself and lost both my parents to cancer when I was young. But I also watched with joy as both my kids were born in the hospital. Being a patient or having a loved one in the hospital is often stressful and scary. Don’t be afraid to ask the medical staff questions, especially when you’re unclear as to what is going on. Everyone needs to be their own health care advocate or have family or close friends who can do so.

GETTING TO KNOW A BHC NURSE

Kathy Rhodes, BSN, RN Cardiology

y family was lucky to have been able to leave Vietnam during the wartime in 1975, when I was 2 years old. My parents always taught us a good work ethic and the importance of getting a good college education. I went to college at the University of Illinois at Chicago, where I received my BSN degree in nursing. I have been a cardiac nurse for the past 22 years, with 16 of those years at Boone Hospital Center. My husband and I have two children and have been married for 16 years.

Why did you get into the health care field? When my family arrived here from Vietnam, my mother was diagnosed with a heart murmur and needed her mitral and aortic valves replaced. My mom was lucky to have lived a much longer, better quality of life than if had she remained in Vietnam. I was very grateful when my mom did well after her heart surgeries, and I wanted to make it my life’s work to help other patients in the same position as my mother. I saw that nurses had a crucial role in helping their patients in their recovery process. What interested you in your particular specialty? Cardiac and cardiac surgery patients. I love to help patients and their families prior to surgery or procedures. I love to educate them, get them through that process, see them recover, and go home with their families to live a better quality of life. What is the most rewarding aspect of your job? Seeing my patients do well and hearing their stories of personal triumph. What is the most challenging aspect of your job? Doing the best I can for my patients and fellow coworkers. I’m always looking out for everyone, because everyone can always use a helping hand in one way or another. I wish I could be there for everyone when they need me. I hope I have made a small difference in someone’s life over the course of a day. What has changed in your field since you started practicing? The way things are done. When I started in nursing, there were charts in binders with paper orders, doctors handwriting orders, the secretary transcribing everything and nursing staff confirming all the orders. Now everything is computerized. What do you see changing in the next five to 10 years? Technology will be continually improving, including new heart medications and better procedures and techniques to help heart patients. I see it happening now. It can really make you hold back tears when you see how things keep getting better and better to improve the quality of someone’s life.

What do you enjoy doing outside of work? Spending time with my family and friends. Being there for my children whenever they need me. Eating good food, just relaxing and having a good time in the outdoors. I love buying different fresh flowers for the house – I could probably use my own green house! My husband and I love ‘80s music, going to concerts and traveling. What advice would you give to someone looking to become a nurse? Give yourself time to understand and observe those around you. It will give you an idea what’s best to do in all situations. As in life, in nursing, you learn with time how best to handle things. Be proud of yourself for the little things, and the big things will eventually come to you with hard work and determination. Have confidence so that others have confidence in you.

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“I WILL WIN!” Brenda Wagner finds strength and balance thanks to her personal trainer at Boone Hospital Fitness Center

Brenda Wagner does strength and balance exercises with her personal trainer and certified exercise physiologist, Heidi Salter

THE FIRST TIME Brenda Wagner’s personal trainer pointed to an inflatable balance disc on the floor, she laughed and asked, “You don’t want to me to stand on that, do you?” Her trainer did want her to stand on it. Fortunately, Brenda’s training session was at Boone Hospital’s Community and Medical Fitness Center – a familiar location – with certified exercise physiologist Heidi Salter, a familiar face. Brenda, 75, (though she notes “threequarters of a century is NOT old”) had been a nurse on Boone County Hospital’s surgery unit starting in 1971, when she and her husband, Bob, moved from St. Louis

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to Columbia. Decades later, Bob Wagner would be elected to Boone Hospital’s Board of Trustees. With three grandchildren in their teens and active in multiple sports, staying active is a priority for Brenda and Bob. “We follow all their games – basketball, softball, football, baseball and soccer. It keeps us busy!” Brenda and Bob have been married for 53 years and like to do many activities together. Last spring, Brenda had an idea: “I suggested we go to the Fitness Center for an hour, two to three times a week.” After visiting the facility, Bob agreed to try her plan.

“Now working out here has become part of us,” Brenda says. “We enjoy it. I believe so much in being around others and having fun. And it’s fun to exercise!” A few months later, Brenda talked to Heidi about personal training. She wanted to improve her strength and balance, to prevent falls, keep up with her grandchildren and tone her arms. She also experienced hip, back and knee pain and had received injections before. Brenda asked her primary care physician if personal training at the Fitness Center would be right for her. She says her doctor “didn’t say I had to do it, but I did, and it has helped a lot!”

Brenda trains once a week, one-on-one with Heidi or Doug McDowell, another Fitness Center Coordinator at the Fitness Center. The exercises vary each session and are designed to help her build strength, balance and flexibility. While Brenda does leg presses, uses resistance bands, or walks heel-to-toe in a straight line, her trainer observes her form and progress to make sure the exercises aren’t too hard – or too easy. “Heidi has me walking with a 7-pound dumbbell in each hand,” Brenda says, proudly. “We started at 2 pounds, then went to 3, then there was no challenge for me, so she said, ‘How about we try this?’ I like to be challenged!” Because she enjoys a challenge, Brenda came to love her balance exercises most. In one exercise, she stands on two balance discs and extends both arms in front of her for a few seconds. It’s harder than it sounds. “My 15-year-old grandson tried to stand on one of those things at the gym, and he couldn’t do it!” Brenda says. Conquering the balance discs is one of Brenda’s goals, along with standing on one foot with her eyes closed and walking heel-to-toe without wobbling. Between her personal training and her Fitness Center workouts, she’s seeing progress. Brenda can now climb up and down 3 flights of stairs without getting exhausted. She no longer needs to take pain relievers every day. She has more energy and sleeps better. Plus, her clothes fit better. “It’s all easier. Life is easier,” Brenda says. “Brenda’s improvements in strength, balance and coordination have been remarkable,” Heidi says. “It is a real privilege to work with her and other members as we set and achieve personal health and fitness goals.” According to Brenda, the feeling is mutual: “I like working with Heidi because she explains every

exercise, why I’m doing it, and she’ll tell me when I’m doing good.” Brenda’s trainer also lets her know when she can safely increase the intensity on an exercise. “On my own, I would push myself too hard, then I’d get sore and I’d quit,” she says. “But here, nobody’s pushing you. You do it at your own pace. They’re very good about helping you and showing you how to be safe.” Brenda also enjoys emotional rewards from personal training. “I’m so proud of myself! I’ve shown myself that I don’t have to be that person who can’t stand while putting her sock on. I am determined – and I will win,” she says. Perhaps the only people with mixed feelings about Brenda’s progress are her grandchildren, because now she can do things they’d normally do for her. “I know they like doing things for me. If it weren’t for me, nobody would pick on them,” she says, laughing. For Brenda, it’s definitely a win to keep up with her loved ones and friends, many of whom she discovered also exercise at the Fitness Center. “All the cool kids are here! Just coming into the Fitness Center, where it’s bright and people are shining and they’re fun to be with, is an emotional high.” By Jessica Park Whether you want to start a new fitness program on the right foot, need new ideas for your exercise routine or want to see more progress towards your goals, Boone Hospital’s Community and Medical Fitness Center offers personal training with certified exercise physiologists to help you develop a safe, effective workout program that’s customized to fit your needs. For more information, contact the Fitness Center at 573.815.3876.

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LIVING WELL

10-Minute Tune-Up In the balancing act of daily life, finding time to exercise is often overshadowed. We intend to be active, but life has different plans. Lack of time is the most common reason why we fall short of getting our recommended physical activity. The current gold standard for physical activity is 150 minutes of moderate activity per week, or 30 minutes a day, 5 days a week. Among the best ways to stay active on a busy schedule is to do an exercise program you can perform in short periods of time throughout the day. Circuit-style workouts are interval-style training, incorporating both muscular resistance and cardiovascular endurance training. Circuits alternate between different exercises you perform briefly. This 10-minute circuit is performed in 1-minute intervals, doing as many repetitions as you can in each minute. The exercise changes allow you to work many muscle groups. Use the “talk test” to measure your exercise intensity level. Moderate intensity, which is recommended for most people, is defined by being able to hold a conversation. If you’re unable to hold a conversation or have to catch your breath after each word, your intensity level is too high and should be adjusted. Before starting any workout, it’s important to prepare your body. A 2 to 5 minute warm-up, such as walking, jogging, or riding a stationary bicycle at low intensity, will get blood flowing to working muscles. Remember to breathe while performing these exercises. Move in a controlled matter through a full range of motion. If pain or discomfort develops, stop immediately. Remember to talk to your physician before starting a new exercise program. Do each exercise in order, for one minute each. Perform as many repetitions as you can of each exercise in a minute. By Hunter Blume, Boone Hospital Center Exercise Physiologist 28

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Push-Ups

March or Jog in Place Stand with both elbows bent at 90-degree angles and feet shoulder-width apart. Swing left elbow forward while simultaneously lifting your right knee towards chest. Repeat motion, alternating between your left knee/ right elbow and right knee/left elbow. Variation: Seated Marching. Sitting on the front half of a stable chair, alternate arms and lift knees towards chest.

Find a stable surface, like a countertop or wall. Stand 1 to 2 feet away from wall or countertop, with feet shoulder-width apart and your weight on balls of your feet. Place your hands about shoulder-width apart, palms flat on the surface (if using a countertop, you can grip the counter’s edge with palms). Extend your arms so that they’re straight out in front of your shoulders, with elbows fully extended. Brace your core so your back keeps a straight line from your heels to shoulders. Slowly lower your body towards the surface, bending your elbows until they form a 90-degree angle. Return to starting position by pressing through your palms into the surface until elbows are fully extended again, using controlled movements and keeping your back straight.

Bodyweight Squats Stand with your feet shoulder-width apart and toes turned out slightly. Brace your core, and begin movement by bending hips and knees, driving buttocks and hips backward as if sitting into a chair. Keep knees out, and head and chest up, as you bend to a comfortable depth, ideally with your hip joint is slightly lower or even with knees. Pause briefly, then return to starting position by driving up through your heels, straightening knees and hips. Variation: Sit Stand. Sit on front half of a stable chair and perform the squatting motion. Drive through your heels to stand. Return to seated position in slow, controlled manner.

Triceps Extension While standing or seated in a chair, brace core, elbows bent 90 degrees at your side. Press arms straight back, moving away from body. Be careful not to hyperextend elbows. Pause to squeeze back of your arms at this level, then return to starting position. To increase resistance, perform the movement holding light dumbbells or soup cans.

Wall Sits Start with your back flat against a wall and your feet shoulder-width apart. Brace your core and keep your shoulder blades and lumbar spine in contact with the wall. Slowly slide buttocks down the wall, walking your feet out until your knees form a 90-degree angle and thighs are parallel with the floor. Hold this position as long as you can. Return to starting position to rest as needed.

March or Jog in Place Set a faster pace to get your heart rate up!

Variation: If you canâ&#x20AC;&#x2122;t reach a 90-degree knee bend, hold wall sit at a depth that challenges you, where you can feel tightness in your quads.

Lateral Leg Lifts (30 seconds each leg) Stand behind a stable chair or solid surface, like a railing or counter. With feet shoulderwidth apart, brace core so that your back remains straight. Use the chair or surface for balance as you place weight on right foot and lift left foot 2 to 3 inches from floor. Lift left leg laterally, to the side, as high as possible or until you reach a 45-degree angle at the hip. Return leg to starting position in a controlled manner. Repeat for the desired number of repetitions before switching legs.

Curl Press

Standing Calf Raises

Start with hands straight down at sides, palms facing your legs. Keeping elbows tight to your side, bend elbows toward front of body until hands are at shoulder level. Pause briefly, then press hands upward and overhead, extending your elbows. Pause for a second at full extension before returning to shoulder level. Pause briefly at shoulder level, then return to starting position by straightening elbows at sides.

Use a stable chair or countertop for balance. Stand a comfortable distance from counter, with feet flat on floor and shoulder-width apart. Keeping toes and balls of your feet on the floor, drive heels upward to full plantar flexion. Pause briefly at the top and return to starting position in a controlled manner.

March or Jog in Place Set a faster pace to get your heart rate up!

Variation: Seated Calf Raises. Sit on the front half of a stable chair and drive through the balls of your feet. MyBooneHealth.org

FOUNDATION NEWS

Your Gifts Are Changing And Saving Lives The Boone Hospital Foundation is grateful for our generous donors who help us strengthen and expand the programs and services of Boone Hospital Center. Your gift, big or small, is felt across the communities that we serve. The following are a few of the programs and services that you helped make possible. • You provided supplies for over 1,000 health screenings through the Mobile Health Unit. • You funded skin cancer certification training for an additional nurse to help us provide 424 skin cancer screenings. • You helped us touch 12,529 lives through our outreach programs. • You helped provide the Kids on Track program, keeping 1,699 children active over the summer. • You provided eight scholarships for Outpatient Cardiac Rehab patients making it possible for them to participate in therapy. • You funded certifications and conferences, helping educate approximately 165 caregivers. • You partnered with Columbia College’s Nursing Camp program by sponsoring 21 high school students interested in the field of nursing. • You purchased five Accuvein devices that increase the likelihood of successful first attempt blood draws and IV startups. • You purchased 10 monitors for Boone Hospice and Home Care families, helping caregivers monitor their loved one when away from the hospital. • You purchased seven training mannequins for the Boone Family Birth Place. 30

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2018 Distribution of Funds 12.6%

14.5%

4.4%

11.6%

2019

CALENDAR OF EVENTS SPRING

56.9%

Flower / Plant Sale MARCH 25 – 27

Collective Goods Sale Caregiver Education Community Benefit

Other Department Specific Funds Supportive Care

Current Need

APRIL 30 – MAY 1

Scrubs on Site Sale MAY 13

Annual Golf Tournament JULY

Community Campaign

Save the Date

AUGUST 27 -28

Scrubs on Site Sale SEPTEMBER 16 - 18

Book Sale OCTOBER

Jewelry Sale NOVEMBER

Annual Gala

BOONE HOSPITAL FOUNDATION GOLF TOURNAMENT May 13 | The Club at Old Hawthorne

NOVEMBER 19 – 20

Scrubs on Site Sale DECEMBER

COMO Gives Campaign MyBooneHealth.org

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

NONPROFIT U.S. POSTAGE

PAID

COLUMBIA, MO PERMIT 286

Save the Date! For booth and other info visit MidMoBabyExpo.com

Holiday Inn Expo Center

June 1st 8am - 12noon

Presented by