My Boone Health Winter 2021

Boone Health WINTER 2021

A New Era at

Boone Hospital Center Get to Know our New President, Troy Greer

P G. 8

PG. 14

Back On The Trail

A New Vision for

Nursing Education

in partnership with Boone Hospital Center

Small class sizes and early access to clinical experiences: That’s the Stephens difference.

The Stephens College Nursing program is

enrolling now!

Apply at stephens.edu/nursing.

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Table of Contents 18

President Troy Greer 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 Anthony Jinson, Sadie Thibodeaux Contributing Writers Katie Goodlet, Ashley Lyon, Brenna McDermott, Kate Mirly

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Please submit comments or feedback to erin.wegner@bjc.org or call 573.815.3217 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.

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A Note from Troy

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Grant Us Grace

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Hospital Headlines

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A Family’s Journey

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A New Era

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Get to Know a BHC Provider

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A Century of Care

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Get to Know a BHC Nurse

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Support System

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One Pot Meals

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Back on the Trails

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Winter Weather Workout

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Tummy Time Tips

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Foundation News

HAPPY RETIREMENT After a combined 102 years of caring for patients, Charles Chapman, MD and Michael Daly, MD, have retired from practicing medicine. Boone Hospital Center, Boone Medical Group and the citizens of mid-Missouri thank you for your care and expertise.

A NOTE FROM TROY

A Note from Troy

N

ot long after I joined Boone Hospital Center, I went grocery shopping after work and realized I’d forgotten to take my badge off when another customer saw it and told me, “I’m a Boone Baby!”

The culture at Boone is absolutely phenomenal. It’s refreshing not only to see our employees and medical staff be excited about a hospital, but to see a community stand so firmly behind it. While this culture was evident during my interview process, I couldn’t truly appreciate how deep this support goes until I began living here. Being a Boone Baby means something to our community — it tells me that people consider Boone Hospital to be their hospital. They feel like a part of it.

We have a responsibility to uphold this special relationship and return the trust we’re given. Just as I embrace my responsibility to get to know and invest in our community as the new guy, Boone Hospital Center never loses sight of its mission to improve the health of the people and communities we serve. Our board of trustees had this responsibility in mind when they made the decision to transition Boone to being an independent hospital.

Our responsibility to the community starts with our employees. Being employee-focused so that we can stay

patient-centered is a necessary part of our transition. Our trustees and senior leadership have worked hard to ensure that our employees remain well cared for and that we continue to provide competitive benefits.

As part of our transition to an independent hospital, Boone Hospital Center is also adding over 74 new employees. Creating local jobs helps our community not only economically — it gives more people from mid-Missouri the opportunity to join the Boone family.

I’m grateful for how well our transition is going. I appreciate our trustees’ courage and focus on our patients in taking this path. I appreciate our Boone team members who’ve worked hard to find creative solutions. I appreciate BJC HealthCare’s commitment to ensuring we have a smooth transition.

2021 will see both Boone Hospital’s 100th anniversary as well as our return to being an independent hospital, celebrating both our history and our future. Our hospital was founded in the era of a global pandemic. Nearly a century later, we are again here when our community needs us most. Our history makes clear that to meet the needs of our community, we must be willing to change. Going independent will allow us to be more agile and responsive to changing community needs.

The Boone Baby I met at the grocery store couldn’t see it, but my employee badge includes a list of our hospital’s 10 standards of excellence for employees. One of these standards is “Support change.” The solutions needed to serve our community today will look different than they did even 10 years ago.

Going independent is a monumental change — and change is not easy — but we can find stability by continuing to live the values that have distinguished Boone in its first 100 years as we look to our next hundred. Highquality care, high standards of service and passionate community support reflect who we are and will continue to drive our decision-making. I think learning how we can become something new while staying true to who we are is actually the fun part.

This is an exciting time for Boone, for our employees, for our community, for Boone Babies and future Boone Babies, and I am fortunate to be part of it.

Thank you for welcoming me.

Troy Greer President, Boone Hospital Center

MyBooneHealth.org

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HOSPITAL HEADLINES

Boone Hospital Trustees and BJC HealthCare Agree to April 1 Transition Date

Boone Hospital Center Board of Trustees and BJC HealthCare have agreed to an April 1, 2021 date for Boone Hospital Center’s full transition from the BJC system.

The date was originally set for January 1, 2021.

The three-month adjustment in the timeline is largely a result of the coronavirus pandemic, which has required the full attention of Boone Hospital and BJC HealthCare staff.

Boone Hospital Center has been a part of BJC HealthCare for nearly 30 years.

In September 2018, the Trustees and BJC mutually agreed that BJC’s lease of Boone Hospital would conclude. After evaluating options, the Trustees announced in August 2019 that Boone Hospital would transition to an independent community hospital.

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Boone Hospital Center Receives Major Awards from the American Heart Association and the American Stroke Association Boone Hospital received the Get With The Guidelines®-Stroke Gold Plus Quality Achievement Award, which recognizes the hospital’s commitment to ensuring stroke patients receive the most appropriate treatment according to nationally recognized, research-based guidelines based on the latest scientific evidence.

Boone Hospital additionally received the Association’s Target: Stroke Elite Honor Roll Award. To qualify for this recognition, hospitals must meet quality measures developed to reduce the time between the patient’s arrival at the hospital and treatment with the clot-buster tissue plasminogen activator, or tPA, the only drug approved by the U.S. Food and Drug Administration to treat ischemic stroke.

Boone Hospital also received the Mission: Lifeline® Gold Plus Receiving Quality Achievement Award for implementing specific quality improvement measures outlined by the American Heart Association for the treatment of patients who suffer severe heart attacks.

Last but not least, they also received the Mission: Lifeline NSTEMI Gold Quality Achievement. Boone earned the award by meeting specific criteria and standards of performance for the quick and appropriate treatment of NSTEMI heart attack patients by providing emergency procedures to re-establish blood flow to blocked arteries when needed.

Boone Medical Group Adds Three New Primary Care Providers to Mid-Missouri

Bethany Mullinix, DO, is a boardcertified Family Medicine physician.

Dr. Mullinix earned her Doctor of Osteopathic Medicine degree from Ohio University Heritage College of Osteopathic Medicine in Athens, OH. She then went on to complete her residency at Summa Health in Akron, OH. Patients of all ages can visit Dr. Mullinix. Dr. Mullinix will practice at Boone Medical Group - Central.

Ayaaz Anees Habibullah, MD, board-certified in Family Medicine, completed his medical education at the University of Medicine & Health Sciences – St. Kitts in the West Indies. He completed his Family Medicine Residency at Southern Illinois University School of Medicine in Quincy, IL. Dr. Habibullah will practice at Boone Medical Group - South.

O’Hara Norman is a board-certified Family Nurse Practitioner. O’Hara earned her Nursing degree at the University of Missouri - Columbia and her Masters in Nursing at the University of Missouri - St. Louis.

O’Hara has served as a Nurse Practitioner since 2011 in the St. Louis area. O’Hara Norman will practice at Boone Medical Group Boonville with Aaron Whiting, MD.

To make an appointment, call 573.815.8130 or visit boone.org/medicalgroup

To make an appointment, call 573.499.9009 or visit boone.org/medicalgroup

To make an appointment, call 660.882.3955 or visit boone.org/medicalgroup

Boone Hospital Center Cardiac Care Recognized in Top 100 Healthgrades has recognized Boone Hospital Center as having one of the top 100 cardiac care programs in the nation as part of its Specialty Excellence Awards™. The hospitals in the top 100 ranking demonstrate excellent clinical outcomes for heart bypass surgery, coronary interventional procedures, heart attack treatment, heart failure treatment and heart valve surgery. Congratulations to the cardiac care team at Boone Hospital and the physicians of Missouri Heart Center.

See the complete list of Cardiac Care winners at healthgrades.com.

MyBooneHealth.org

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Embracing

a New Era at Boone Hospital Boone Hospital welcomes Troy Greer as its new CEO.

2020 has been a pivotal year in the healthcare industry; healthcare institutions around the nation have undergone dramatic changes that have forced professionals to recalibrate and assess how their roles function within the industry and how they can best provide for their patients’ needs.

For Boone Hospital Center, change came in the form of parting with BJC HealthCare and embracing operations as an independent hospital with Troy Greer helming the organization as CEO. The beginning of Troy’s tenure marks a shift at the hospital — one that focuses on not only serving Columbia’s community but also imparting hope to the community as it navigates what has been an incessantly difficult year.

WHEN CURIOSITY MORPHS INTO EFFERVESCENT PASSION

Troy’s journey to the top of Boone Hospital’s leadership was somewhat unexpected but

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also predestined. In graduate school, he was fascinated by the merger between Barnes-Jewish Hospital and Christian Health Services and the complexity that characterized that partnership.

Troy mentions, “It goes back to graduate school. The first thing I studied was the Barnes Jewish-Christian merger and the complexity of bringing those organizations together. So, when I saw the headline in a healthcare publication that Boone Hospital was going to become independent and move away from BJC, it just sparked [in me] a professional curiosity.”

Troy’s curiosity persisted, and as he dwelled on the topic more, discussing it at length with his wife, he got a message from the lead recruiter asking him to consider applying for Boone’s CEO post. Troy accepted the offer and then underwent a series of interviews with Boone’s leadership, staff and other important members of Columbia’s community. Eventually, he became the

final select out of almost 200 applicants, and he and his family relocated to Columbia soon after.

Pre-Boone Hospital, Troy had spent 13 years in the Lovelace Health System in Albuquerque, New Mexico. There, he was the CEO and oversaw two hospitals, including a cardiac center in downtown Albuquerque, which he describes as “one of the market leaders for cardiovascular services in the country.”

The health system in Albuquerque was close to Troy and his family’s heart, and deciding to move to Columbia was far from easy. However, Boone Hospital’s interview process awakened in him an excitement for the new opportunities that awaited him in Columbia.

“Two unique moments defined the uniqueness of the role. The first being that I was given the opportunity to be interviewed by the Daisy and Bee award winners (nurse and support staff members) from the hospital. I thought, culturally, it was a strong

indication of how important team members are to [the hospital’s] leadership,” says Troy.

“The second unique moment was the lunch interview with members of the community. I was pleased to speak with a wide range of people from religious organizations, academic institutions, the business community and elected officials. It was amazing to see them all be there because it meant so much to them to be involved in this process,” he further mentions.

Reflecting on his path to Columbia, one can conclude that what began as pure professional curiosity became an endeavor Troy fiercely hoped would come to fruition.

TAKING ON THE WORK AT BOONE HOSPITAL

Troy’s biggest motivator as he works at Boone Hospital is to make sure that the organization lives by its mission, and he describes his role as being the “defender of culture.”

“A place like Boone has such great culture, and I want to make sure we enhance that. As CEO, you want to make sure you have direction laid out to position the organization to carry out the mission well and put in place the kind of infrastructure that’ll provide for the community’s needs,” says Troy.

With this in mind, Troy has steered the organization towards asking the necessary questions that seek to locate patients’ needs and assess the community’s health trends to best inform how said needs can be met.

To do this, the organization conducts a Community Health Needs Assessment.

“We carry out a Community Health Needs Assessment, where we ask what are the resources that are lacking in the community, and we find ways to combine those resources with those needs. Our goal is to try to deliver the services most required by people in the community,” says Troy.

LEADING IN THE MIDDLE OF A NATIONAL HEALTH CRISIS

Stepping into leadership at Boone Hospital amidst the rapid spread of the coronavirus hasn’t presented itself to be the simplest of undertakings for Troy. Not only is he tasked with trekking through a discovery phase where he has to learn intricacies about Columbia’s healthcare, but he also has to be prompt with his action plan to combat the pandemic and keep the hospital functioning well.

“It’s always challenging coming into a new role,” says Troy. “However, one thing you need to do is use your ears more than your mouth. You need to listen and get Troy and Mandy Greer

to know people and to see what those challenges are. I’m very purposeful about not making any big decisions during the early stages because you don’t feel like you know enough about the community and its people from afar to feel empowered to make those decisions.”

He further mentions, “The toughest challenge is that COVID requires immediate responses. Things change day to day and sometimes hour to hour regarding what we are able to do,” says Troy.

However, his burden has been lightened by the support he has received from his environment.

“I have been blessed that the trustees had the wisdom of having some overlap with the outgoing CEO, Jim Sinek. Jim and I were able to have a collaborative partnership regarding the handoff, and having him running the hospital on a day-to-day basis while I’ve been getting to know the players and the community and the various levels of healthcare in the area has been a blessing to me,” says Troy.

WHAT DOES THE FUTURE HOLD?

Looking ahead at his future at Boone and what his plans are for the organization, Troy says, “There’s already a wonderful foundation at Boone. We were rated as the number one hospital in mid-Missouri, which is amazing!

“The first strategic thing we need to work on is daily operations. We need to make sure that the hospital continues running well as it goes from a 32-year relationship with BJC to having to do things on its own. I want to make sure we handle independence as effectively and efficiently as we can,” says Troy.

Come 2021, the first quarter is going to bring some exciting times for Boone Hospital. Troy will be spearheading a new strategic plan for the independent Boone Hospital that will involve leaders from the community.

“We want to make sure that we have a lot of community voice in what the future of Boone looks like. This is not my institution; it is our institution, and I want to make sure that as we build for our future, it’s a collective effort designed in a way that meets the needs of our community,” says Troy. By Brenna McDermott

MyBooneHealth.org

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DECEMBER 10, 1921

Boone County Hospital hosts a grand opening with refreshments and live music. On Dec. 14, Ella Hickam is the first patient admitted to the 40-bed hospital. The next day, Drs. Frank Nifong and Andrew McAlester jointly perform the hospital’s first surgery — a hernia repair — in the new operating bay.

DECEMBER 24, 1921

Fannie and William Etheridge welcome David, their third son and the first-ever Boone Baby.

1930s

Boone County Hospital weathers both the Depression and a tuberculosis epidemic.

1953

The Pink Ladies of Boone County Hospital Auxiliary form the hospital’s first volunteer services program.

1954

The hospital opens a new wing named after Dr. Frank Nifong. Further expansion includes additional wings in 1959, 1973 and 1979.

1964

Boone County Hospital treats its 100,000th patient.

1967

Boone County Hospital begins its own ambulance service.

1973

The hospital enters the computer age, modernizing its billing and records department.

A Century OF CA RE

On May 30, 1920, construction crews broke ground on what would become Boone County Hospital. The April 19, 1920 Columbia Daily Tribune had reported, “It will be the hospital of all the people. And to it, from every section of the county, they may come, regardless of race, sex, religion, or color.” While much has changed in the last century, our commitment to the people of mid-Missouri remains strong. Here are just a few highlights from the last 100 years of Boone!

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1980

The Board of Trustees renames Boone County Hospital to Boone Hospital Center to reflect the hospital’s growth and expanding service area.

1981

Barbara Weaver is the first woman elected to the Boone Board of Trustees.

She served as a trustee for over 30 years until her retirement in 2015.

1996

Our Level III Neonatal Intensive Care Unit provides specialized care for Boone babies born before 35 weeks.

2005

Boone Hospital Center earns its first Magnet® designation from the American Nurses Credentialing Center’s (ANCC) Magnet Recognition Program® — the highest honor a hospital can receive for nursing. BHC earns Magnet designation again in 2009, 2014 and 2019.

2006

BHC’s 80,000-square-foot Outpatient Services tower adds room for more diagnostic screenings and minimally invasive procedures.

2014

The Norm and Virginia Stewart Cancer Center at Boone Hospital Center opens.

2016

Nifong Medical Plaza offers more convenient access to primary care, imaging and lab services, and physical therapy to the growing community in south Columbia.

AUGUST 2019

The Trustees announce their decision to transition Boone Hospital Center to an independent community hospital in 2021.

1981

For its 60th anniversary, the hospital unveils a 22-foot-tall aluminum sculpture of Boone Hospital Center’s new logo, affectionately called the Spoonheads, created by artist Kathy Montie. The Spoonheads moved to the South tower in 2011.

1982

The first life flight helicopter touches down on Boone’s new landing pad.

1990

Boone goes 100% smoke-free.

1993

Boone Hospital Center starts its first lease with Christian Health Services. In 1993, Christian Health Services merges with Barnes Hospital and Jewish Hospital in St. Louis to form BJC HealthCare.

2011

The hospital’s new eight-story patient bed tower provides private rooms for more patients. Opening celebrations include a public event that gives community members a chance to tour their hospital. Boone also takes health screenings on the road with the launch of its Mobile Health Unit.

JANUARY 2020

Boone Hospital Center CEO Jim Sinek and Stephens College President Dianne Lynch announce the joint development of a new nursing school program. The first class starts in fall 2020.

2012

1996

The hospital’s 75th anniversary is commemorated by “Nexus,” a sculpture

by Larry Young, enhancing a newly expanded campus that includes the Broadway Medical Plaza buildings.

A new Healing Garden provides a calm environment for patients, visitors and employees. The garden includes bricks and pavers honoring donations from the community, medical staff, employees and patient families. In 2016, the garden is dedicated to Barbara Weaver.

APRIL 1, 2021

Boone Hospital Center will enter its next phase as an independent community hospital. By Jessica Park

MyBooneHealth.org

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Support System Boone social workers help patients during and after their hospital stay.

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pril Bernhardt was attending college when her grandfather got very sick. On top of having COPD and emphysema, he’d also been diagnosed with lung cancer. April’s family found themselves in and out of the hospital as her grandfather was readmitted with complications. The hospital staff talked to her family about hospice options, but sadly, her grandfather passed away before a plan for discharge could be implemented.

April remembers thinking, “The whole situation just felt awful and icky. It should not have played out this way. Why didn’t someone step in sooner to educate my family on what some of our options were before it was too late?”

Little did April know this event would send her down a new career path. She changed her interest to medical social

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work, wanting to prevent as many of these last-minute situations as she could for other families.

April started as an intern at Boone Home Care & Hospice in 2005 while finishing her bachelor's degree in social work and fell in love with Boone.

“I just loved the Boone family feeling,” April says. She later applied for an open position and has been a Boone employee for six years. She was named Employee of the Year in 2018 and wears her gold name badge proudly.

April says she enjoys being a social worker because of “the ability to make a difference, whether it’s big or small. I reflect often on the fact that this is my niche, and I have so much knowledge about the resources and the processes that are available.”

April Bernhardt, MSW, LCSW Inpatient Supervisor

Patti Blanchard, MSW, LCSW

Liz Eikel, Manager of Social Work, Patient Access and Case Management

Lynnette Huddleston, MSW

Meet the Social Work Team INPATIENT • Patti Blanchard MSW, LCSW • Lisa Delissio MSW • Carrie Wiswall MSW • Megan Widmer MSW • Carol Terrazas MSW, LCSW • Amber Huffman MSW • Shayla Steiner MSW • Cathryn Trendle MSW • April Bernhardt MSW, LCSW Inpatient Supervisor • Cherise Still MSW • Beth Farmer MSW, LMSW INPATIENT REHAB • Lynnette Huddleston MSW EMERGENCY DEPARTMENT • Rachael Kibble MSW, LMSW • Kim Oliver MSW, LCSW • Cynde Patrick MSW, LCSW HOME HEALT H & HOSPICE • Destiny Koch MSW • Suzette Bacon MSW, LCSW

Medical social work is a sub-discipline of social work, where social workers help patients plan for discharge. Social workers assess the patient’s home life and support system, then arrange necessary support after they leave the hospital, such as an oxygen tank, assisted living arrangements, or tools and support to care for themselves at home.

Liz Eikel, Manager of Social Work, Patient Access and Case Management says, “Among other skills, social workers are experts in identifying needs, serving as patient advocates, providing emotional support and crisis intervention, and connecting persons to resources that subsequently may improve the health of the individual.”

One reason April loves being a social worker ties back to her reason for choosing this career.

She says, “You can see the relief instantly in a patient and their family when I say ‘I’m here to help you with your discharge plan. I’m going to make these referrals. Let’s talk about options.’

You can just see the weight lift as you see them thinking, ‘Wow. I don’t have to do all these things — there’s someone here to help me’.”

Lynnette Huddleston is a social worker on the hospital’s Inpatient Rehab unit, which provides specialized medical and therapeutic services to help patients become more independent after an illness or injury.

She says, “We help patients regain mobility, enhance swallowing safely and efficiency, recoup concentration and problem-solving skills, improve balance and attain skills for independent living. These patients could have had a stroke, brain injury, spinal cord injury, debility or surgery."

Lynnette’s role in discharge planning for her patients is all-encompassing. She schedules where they go after they leave the hospital — whether that’s home, hospice, or a nursing home — and determines their medical equipment needs. She schedules follow-up appointments and sleep studies.

She also makes sure the patient charts are completed on time and in a way that meets Medicare requirements.

Lynnette enjoys working on the Rehab Unit because she sees patients arrive while very ill, but by the time they leave, they’re using limited or moderate assistance. When they return a few months later for follow-up, they are more independent. She says, “I get to watch them return to healthy individuals and help them with their care plan.”

Lynnette, who has been with Boone for 10 years, has prior experience in hospital settings, home health, hospice, children and families, dialysis and outpatient therapies. She has found this to be one of her strengths — as a medical social worker, she helps patients in all these areas. Lynnette loves being a social worker. “I like helping people and helping families. I enjoy talking to them and making sure we’re doing the best we can to help them out.”

Liz says, “Financial constraints, social support, access to transportation and access to nutritious food are factors that can directly affect health. Social workers can be key in identifying and addressing the social determinants of health that impact health outcomes.”

Patti Blanchard works with our youngest patients — our Boone Babies — and supports families at Boone Family Birthplace, including the Neonatal Intensive Care Unit.

All NICU babies are seen by a social worker for assessment. She also sees babies by referral — and anyone can make a referral. She may help a mother with a history of drug use or domestic violence, a new mother or family who needs resources and infant care items, a mother who finds it difficult to bond with her new baby, or even a mother who may be at risk for postpartum depression.

Patti originally wanted to go into private practice but realized that social work was her calling. She says, “Social work was a really good fit for me because it treats the person in their environment, and I really liked the holistic approach to helping people.

“I was interested in returning to medical social work after having worked in adoption and mental health. I was drawn to Boone because of its reputation. They offered me the opportunity to work with women and children, which I love, and to work with a multidisciplinary team as a medical social worker.”

Liz says, “Professional social workers have unique expertise in working from a framework of ‘person in environment,’ which recognizes that a person’s behavior is directly connected to the environment in which they live and operate.”

April says, “Just to know that on a large scale, I am making a difference because there are so many patients that I am helping move on to their recovery.” By Erin Wegner

MyBooneHealth.org

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Melissa and David hiking at Zion National Park in Utah

BACK ON THE TRAIL Boone Therapy helps a couple enjoy retirement together.

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etired Columbia couple David and Melissa Carr are living their retirement to the fullest. They love to travel, and one of their favorite things to do when they visit new places is to go on hikes.

They have already been to 46 national parks. The Carrs are always looking forward to their next hiking trip, but they are quick to tell you they wouldn’t be up to it if it weren’t for Boone Therapy.

Both David and Melissa have benefited from Boone Therapy. In January 2016, David had his right knee replaced by Benjamin Holt, MD, of Columbia Orthopaedic Group. After his surgery, he had appointments with Robin, a physical therapist with Boone Therapy.

“I already knew Robin because I had been her patient years before for other issues, so I asked to have her again. Recovery from knee replacement surgery was intense. I didn’t know going in how hard it was going to be both mentally and physically. Robin really helped me get on my feet again. After a few weeks of therapy, I was feeling so much better,” says David.

David ended up having his other knee replaced not long after. Once again, Robin helped him with his recovery.

“I’d say I have a love-hate relationship with physical therapy. I love how therapy makes me feel and recover, but the work that goes into it isn’t easy. Robin always knows just how far to push. That way, I am doing what I need to do to get better as soon as I can,” says David.

David also appreciates the educational component of Boone Therapy, saying it helps him to know what is expected of him and why.

Patients are given exercises to do at home. The therapist explains how doing those exercises at home and in the session will help them recover.

In July 2020, Melissa underwent rotator cuff surgery on her shoulder

by Bus Tarbox, MD, of Columbia

For more information about Boone Therapy and its locations, visit boone.org/therapy

Orthopaedic Group. After her operation, she also saw Robin at Boone Therapy.

“I knew I wanted to go to Robin and Boone Therapy because we’ve always had such a good experience there through the years with David,” says Melissa.

Melissa and Robin talked about her goals for physical therapy early on. Some of Melissa’s goals were to sleep without pain, to no longer have any movement limitations, and to be able to carry a backpack again while hiking. After months of hard work, Melissa is proud to say she has met her goals.

Robin says she has enjoyed getting to know the Carrs through the years and that building relationships and trust is an important part of her job.

“The Carrs are very sweet people, and we are so happy they’ve always chosen Boone. I enjoy talking to them about their kids and listening to stories about their grandkids growing up. I get to hear about their trips and learn about

places I may want to visit with my family. Working with families is great because they can get to know you and build trust with you. They also see firsthand how therapy worked with their family member. This helps them understand your knowledge and why you’re asking them to do what they need to do,” says Robin.

Boone Therapy often sees families. The therapists say they love when they are able to help another patient’s loved ones.

“Sometimes, people will talk to me about how their dad or grandma or son is in pain and needs help. Then they will come in, and we will be able to help them, too. That’s always a really good feeling,” says Robin.

David and Melissa also love the Boone Therapy Nifong location as it is very close to their house.

“I can actually walk to my therapy appointments sometimes.

We were really excited when that location opened, and it has been great,” says Melissa. By Madison Loethen

Pictured below: Melissa at a physical therapy appointment with Robin. Melissa says Robin always knows just how hard to push.

Melissa stopped to take a photo with the “shoulder work” sign while on a hiking trip in Montana. She sent this photo to Robin.

Melissa and David hiking at Rocky Mountain National Park in Colorado.

Melissa and David hiking at Yellowstone National Park in Wyoming.

Melissa and David hiking at Spearfish Canyon in South Dakota.

MyBooneHealth.org

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Tummy Time Tips FOR Y O U R BA B Y

Tummy time on parent’s forearm

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recent Boone Baby, named Daisy Dye, was about to go to her twoweek checkup with her parents, Brent and Lilly, when her dad noticed that her head was a little flat. At her appointment, the pediatrician confirmed that the baby had plagiocephaly. She was referred to Boone Therapy and started physical therapy at just three weeks old.

One of the things Daisy began working on was tummy time.

Tummy time is critical for infant development. Infants who do not get enough tummy time may have delayed motor development, a higher risk for sensory and coordination disorders, and an irregular head shape. Tummy time is needed for strengthening motor and sensory development and head shape.

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More parents are using equipment such as bouncy seats, swings and seats. This can be problematic because the infant spends most of their time with pressure on the back of their head, either from the equipment, the floor, their bed, or their parent’s arm.

Infants must sleep on their back to reduce the risk of Sudden Infant Death Syndrome or SIDS, however, that does not mean that infants should not ever be on their tummy. From the day you leave the hospital, any time your infant is awake and has your attentive supervision, they can work on tummy time. Be sure to remove all distractions, including your phone, so you can actively watch your child.

The recommended length of tummy time varies for each infant. A newborn infant will probably spend just a couple of minutes

on their tummy before they fall asleep and need to be moved onto their back. To increase a newborn’s tummy time, try to do it right before each feeding. A hungry infant is more likely to turn towards an object touching their face — in this case, the floor — which will help build strength as they lift their head.

Older infants can tolerate several minutes of tummy time at once. To assist with tummy time, you can use a ball, have your infant lie on her tummy over a blanket roll or wedge, have your infant lie on your forearm, or get down on your tummy as well, so your child can see your face.

Laying your baby on your chest is also a great way to get in tummy time. Make sure you are also laying your infant on the floor for tummy time a couple of

To learn more about pediatric services available at Boone Therapy, call 573.815.3868 or visit boone.org/therapy

times a day. Keep your infant on their tummy until they fall asleep or start to cry excessively.

When this happens, either pick your infant up or roll them onto their back.

Tummy time is critical for infants with torticollis or plagiocephaly, but some infants who get plenty of tummy time still end up with torticollis or plagiocephaly.

Torticollis, which is caused by tight muscles in the neck, is a turning or tilting of the head which limits motion in the opposite direction.

Plagiocephaly is an asymmetrical head shape — the back of the head may be flat or asymmetrical, or the baby’s head is wider or longer than normal.

Both conditions can be caused by spending too much time in equipment or the infant’s position in utero before birth.

Your infant may need to be seen by a physical therapist for stretching and strengthening exercises. These exercises focus on stretching tight muscles and strengthening weak ones. For instance, a baby who looks to the left and tilts their head to the right will need exercises to help them look to the right and tilt to the left.

Treating torticollis is necessary to prevent further motor delays. An infant who only can look to the left will not use her right side as much, which can lead to weakness and decreased coordination on the right. This will impact rolling, bringing toys to midline and other activities as your child grows — for example, they may only be able to climb steps with their dominant leg first instead of alternating feet on each step. Untreated plagiocephaly may result in a misshapen head requiring further medical intervention.

Both conditions are treatable, but parent education, activity modification, and stretching and strengthening are a must. If you suspect your baby has torticollis or plagiocephaly, talk to your pediatrician to get a referral to physical therapy at Boone Therapy. By Katie Goodlet, PT

Tight muscles in the neck cause torticollis, a turning or tilting of the baby's head.

Tummy time on a wedge

When you first place your infant on the ball, she may not lift her head right away. Rolling the ball backward may make it easier for her to lift her head.

Sometimes infants may cry because this is a challenging activity.

Plagiocephaly: What To Look For

• Head is wider than normal

• Back of head is flat on one side

• Head is longer and narrower than normal

• Back of head is flat rather than curved

• Head shape resembles a parallelogram from above

• Head is taller than normal

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Grant Us Grace A Boone physician and his family confront a rare childhood illness.

The Goodin family on vacation in Mexico shortly after Grace and Grant’s MSD diagnosis.

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hen you meet the Goodin family, their love for each other is the first thing you notice. Boone Hospital Center physician Jason Goodin, DO, and his wife Tonya adore their three children, Brittney (23), Grace (10) and Grant (8). Brittney is an independent young professional who works overseas but loves to come home and spend time with her younger siblings. Grace is a spunky little girl who enjoys dancing and wearing princess dresses.

Grant is a lively boy who likes basketball and baseball. This family’s love is staying strong through a great hardship.

In 2016, Grace was diagnosed with mild autism and Grant was diagnosed with a growth hormone deficiency. Dr. Goodin and Tonya knew their children seemed a little more medically complex than other children, but they were not expecting a big diagnosis ahead.

In 2019, Grace was diagnosed with Multiple Sulfatase Deficiency, or MSD. MSD is a very rare genetic disease that

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causes major neurologic and bodily impairment. Children with this disease have an average lifespan of 10 years old.

The Goodins were devastated by Grace’s diagnosis and concerned for Grant who they had noticed had many characteristics similar to his sister.

“When Grace went to her first MSD appointment, I had a spreadsheet of all of the similarities between Grace and Grant. Our worst nightmare came true, and both children had MSD. It was lifeshattering. It was the worst news a parent could hear,” says Tonya.

There are 20 children currently diagnosed with MSD in the United States. Grace and Grant are the oldest non-regressed children. There are fewer than 100 cases documented worldwide.

Dr. Goodin and Tonya dove into finding out everything they could about MSD and treatment options. There is not much information or research on MSD because it is so rare and there is no known

To follow their story or make a donation to MSD, go to grantusgrace.love

treatment or cure. During this time, the family found comfort from their faith and their community.

“You of course think ‘Why me?’ or ‘Why us?’ when going through something like this, but that’s why our faith has been so important.

We have to know that there is a bigger purpose than we are able to understand. When God sent his son Jesus to be born, He knew that Jesus would die on the cross and there would be pain and suffering but good would come from it,” says Dr. Goodin.

The Goodins’ friends and family have brought them meals, babysat and prayed with them.

“I feel like I hear this gentle whisper of God saying, ‘Trust me.’ I know that he is in control. He has his plan for us and no matter what happens in our life and in our situation, God is writing this book,” says Tonya.

Dr. Goodin was practicing in the ICU when his children were diagnosed. He felt he needed to take a step back to focus on his family and MSD research, so he transitioned to working in the outpatient pulmonary clinic. This was a hard decision for him since he is passionate about helping the critically ill.

“Everyone at Boone Hospital was so understanding and supportive. I have a group that meets with me once a week, and we pray for Grace and Grant among other things,” says Dr. Goodin.

As the Goodins researched MSD and similar rare diseases, they found a severe lack of funding for research. That’s when they created the Grant Us Grace Foundation to fund the scientific research of rare diseases. They met with MSD scientists from across the world.

“We are still looking to find more scientists that might move us closer to a cure,” says Tonya.

Dr. Goodin and Tonya attended the World Symposium for Rare Disease in February 2020 and found evidence that a bone marrow transplant can have a positive effect on children with rare diseases like MSD – however, it is a hard process that requires weeks of hospitalization.

“It was a difficult decision, but we knew we just had to do something to help them,” says Tonya.

Grace recently underwent her transplant at University of Minnesota Masonic Children’s Hospital. Her bone marrow donor was a 24-year-old woman from Europe who had never met the Goodin family.

The transplant process was hard, but Grace was incredibly brave and strong. She is the first MSD child in the world to undergo this kind of transplant and could lay ground for the treatment or cure of children with MSD. Grant will be the second.

The Goodin family continues to love and support each other, while leaning on the support of their community. Two fundraising events planned for their foundation had to be canceled because of COVID-19, but donations are accepted online through the Grant Us Grace Facebook and Instagram pages. Tonya also regularly posts updates about Grace and Grant, and encourages people to follow them to stay informed about the Goodin family’s journey. By Madison Loethen

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Grace and Grant Goodin both have MSD, a very rare genetic disease.

Grace at dance class Grant at his baseball game Grace loves to dress like a princess, especially Cinderella.

Tonya and Grace celebrate a bone marrow transplant.

Grant and Dr. Goodin wear matching Grant Us Grace foundation shirts.

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A FAMILY’S Cancer screens reveal a history of hereditary disease.

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ne mom’s discovery of a hereditary disease was traced back two generations to her mother and grandfather, which helped her teenage daughter Sheila and her then-unborn grandson Blane prepare for their own future.

It was 1978, and Mary Ann Whitehead was 32 years old. She had been married to Gary for 13 years, had one daughter Sheila, a German Shepherd named Gypsy, and owned a beauty salon in Hallsville, Mo. When she noticed blood in her stools, she contacted her doctor, who suggested she have a colonoscopy.

Mary Ann thought she was too young to have a colonoscopy, but her doctor assured her that was the best way for them to screen her colon for cancer.

The colonoscopy revealed that Mary Ann had hundreds of polyps in her colon.

Her polyps had been growing for a long time. The blood in her stools was the result of the polyps being in the beginning stages of cancer. Surgery was scheduled to remove all but the last six inches of her large intestine. At that time, Mary Ann’s doctors were able to determine that she had familial adenomatous polyposis, or FAP. The doctors discovered Mary Ann’s mother had also had FAP. She had previously had portions of her colon resected, but the hereditary connection had not been known at the time.

Looking back further, they realized Mary Ann’s grandfather also had FAP, which ultimately took his life because it went undetected.

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FAP is a hereditary condition with a genetic mutation in the adenomatous polyposis coli gene. It can be passed down from generation to generation. With this condition, hundreds to thousands of polyps form in the large intestine, colon, rectum and small intestine. In most cases, surgery to remove the large intestine is needed to prevent polyps from growing into cancer.

Lucy Shaffer, a certified gastroenterology registered nurse, worked in Boone Hospital Center’s GI Lab for 37 years. She says, “A polyp is a small growth in the colon. Some polyps, if not removed, could grow and change into a cancerous polyp.

“You have no idea if you have a polyp or multiple polyps. You can’t feel them growing. It’s not like you’re walking around one day and say, ‘Hmmm, I think I’ve got a polyp.’ That’s why it’s important to have the colorectal screening, which is the colonoscopy.”

Since Mary Ann had a young child, she was instructed to have her daughter Sheila screened when she was older.

Because FAP can start after the onset of puberty, teenagers may have screening colonoscopies to look for polyps or measure the amount of polyp growth.

Growing up, Sheila Whitehead – now Bias – always knew that there was a possibility that she carried this gene and could pass this to her children. Sheila was 18 when she had her first colonoscopy.

There were 20 polyps present that were removed and found to be benign.

Sheila attended her first year of college

Sheila Bias

and had a repeat colonoscopy at 19. This time, she had over 100 polyps. Even though the polyps weren’t cancerous, her family and doctor decided that the best course of action would be to remove all but six inches of her large intestine to remove the area of the colon where most of the polyps were found.

After her surgery, Sheila had colonoscopies every six months for years.

Now she has annual screenings. Polyps can also grow in the small intestine, so Sheila also has upper endoscopies every other year to make sure the polyps aren’t growing in her small intestine.

Sheila and her husband Bob Bias have been married for 32 years and have two boys, Nathan and Blane. Sheila knew FAP could be passed down to her boys and was prepared when it was time for their

Journey Dropping Blane off at College of the Ozarks in 2012 Pictured: Bob, Sheila, Nate, Mary Ann and Blane

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Bob and Sheila Bias

colorectal screens. Nathan was 16 years old when he had his first colonoscopy. His results didn’t show any polyps, so he took a DNA test to determine if he had the FAP gene. He didn’t carry the gene.

Sheila and Bob had planned on waiting for Blane, who was five years younger than Nathan, to get older before having his first colonoscopy, until a surprise symptom emerged.

Bone growths are a symptom of FAP. Sheila had a bone growth on her jaw removed when she was 16, and her mother, Mary Ann, has one on her forehead.

One day, while sitting on the couch with Blane, Sheila felt a knot in his shin. She contacted gastroenterologist Peter Cleavinger, MD to schedule Blane for a colonoscopy.

Blane had polyps present, which meant he carried the gene.

Reflecting back, Sheila did not understand the importance of regular screenings and would put them off. She wanted to be a teenager and scheduling colonoscopies did not top her priority list. When she finally made an appointment, her physician, Walter Peters, MD, sat her down, looked her straight in the eyes, and emphasized that if she didn’t come in for these screening colonoscopies, that she could develop cancer, it could metastasize and she could die.

Sheila realized then how important it was to maintain her colonoscopy appointments. She says, “God allowed this to help me begin to learn to trust him.” She started taking her screenings seriously after that and never missed making another appointment.

Because Blane already had polyps at the age of 12, she felt surgery for him was inevitable. When it came time to make a decision about their son’s surgery, Sheila and Bob decided to go ahead with it. Because of her struggles with being inconsistent so young, she wanted him to learn the importance of that while he was still under their roof so that by the time he was 18 or 19, he would already have an established pattern.

Being only 13, Blane was scared at the thought of having surgery. He knew what his mom deals with, and that was a lot for a 13-year-old to take in. Thankfully, they were on a mission trip in St. Louis the week before Blane's surgery, doing Bible School for younger students. Through that trip, and from his studies, he learned some things that helped him trust God and made him feel a lot stronger.

Today, Blane is doing great and still has his colonoscopies every 6 months. Now 27, he is a firefighter and EMT and is currently attending paramedic school.

This disease, as it comes in each generation, presents a little sooner and a little stronger. So, it started with Sheila’s great-grandfather dying of it, her grandma had portions of her colon removed, her mom found out she had it at 32, Sheila found out at 18 and her son Blane at 13.

At Grandson Gage’s 1st Birthday Party December 2020 – Blane, Melissa Bias, Mary Ann, Sheila, Bob, Gage and Nate

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For questions about screening colonoscopies, please call the GI Lab at 573.815.6344

Six Ways to Lower Risk for Colorectal Cancer

Blane in 2007 Post Surgery with Dr. Peters and his nurse Tammy

Limit alcohol

Don't smoke

Get regular exercise

Eat lots of vegetables, fruits and whole grains

Watch your weight

Get screened for colorectal cancer

Sheila has had people ask her how she continuously returns for colonoscopies.

Her faith has really helped her – to her, it's one day out of the year, and the prep is the worst part, but it’s better than the alternative. “So, it comes down to my choice and how I choose to think about it,” she says. “It’s all about your perspective. Yes, prepping for the colonoscopies is the worst part, but it’s better than cancer.”

Looking back, one of the highlights of her experience has been the time she has spent with the team and staff at the GI Lab. The “GI Ladies,” as she calls them, have all worked at the hospital for a long time. “I’ve grown up with them,” Sheila recalls. The team was also accommodating. Sheila, her son and her mom could all get colonoscopies on the same day.

March is Colorectal Cancer Awareness Month. In the last two years, the recommended age for getting colonoscopies has been lowered from 50 to 45 because many younger people are presenting with polyps.

Lucy says, “You may not realize you have a growth in the colon until it is large enough to either cause an obstruction or cause bleeding. That is

why beginning the screening process at the recommended age by your doctor is so important. Most healthy individuals should start screening at 45.

It’s also important to talk to your doctor about your family history, as this may determine the date to begin screening colonoscopies.

“We want people to know that it’s not normal to have rectal bleeding or to have a change in your stools. If that happens at any age, you need to talk to your physician.

“Colorectal cancer is the second leading cancer death among men and women. Symptoms usually do not appear until the disease has spread.

That is why it is so important to keep educating the community. 19 million colonoscopies are performed each year.

For most people, this is a preventable cancer," says Lucy.

Since her retirement, Lucy has joined the Corporate and Community Wellness department at Boone Hospital. “Our goal is to have 100% of our community screened. And that will be my job once I can get out there and share presentations for our folks on colorectal health, “says Lucy. By Erin Wegner

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GETTING TO KNOW A BHC PROVIDER

Rachael Brashears, MBA, DO Pain Medicine

I

grew up in Hannibal, Missouri, but have lived most of my life in Columbia.

I attended Hickman High School and attended Columbia College. I went to medical school in Kansas City at Kansas City University – Medicine & Biosciences and did my internship at UMKC. I came to the University of Missouri for my Physical Medicine & Rehabilitation residency then moved to Minneapolis for an ACGME-accredited pain medicine fellowship at the University of Minnesota. I am married to my junior high school sweetheart — we will celebrate 18 years together in February. We have one daughter, Joella, who recently turned 2 years old.

Why did you get into the health care field? I’ve always enjoyed helping people. I also loved science, technology and working with my hands. Medicine seemed to be the one field that would encompass all the things I loved. Plus, I didn’t want a job where I sat at a computer most of the day (little did I know at the time)!

What interested you in your particular specialty? Pain is multifaceted — there are biological, psychological and social components that all play key roles in a patient’s pain experience. I like the idea of offering holistic and multidisciplinary patient care. I also thoroughly enjoy the procedural aspects of my specialty.

I’m also a realist and realize this will not change any time soon unless physicians and medical providers come together and stand up for themselves on a larger scale. I can see direct primary care, or concierge medicine, taking a bigger role in primary care services in the near future.

What is the most rewarding part of your job?

Establishing trusting relationships with my patients and helping to make an impact that improves their quality of life.

What advice would you give someone looking to become a doctor? Most important — have a support system.

Take care of yourself. Make sure to take time to take a break and do non-medicine things that you enjoy.

What is the most challenging aspect of your job?

Initially, I was going to say telling patients things that they may not want to hear or accept, but the more I think about it, the most challenging part is dealing with insurance companies and the denials, prior authorizations, pre-certifications, and peer-to-peers.

What do you see changing in health care in the next 5 to 10 years? I hope that the impact and control that insurance has over the way we practice medicine will change, but

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What do you enjoy doing outside of work? I’m an outdoorsy girl. I love hiking, fishing, floating, canoeing and traveling. I also really enjoy photography and crafts.

What advice would you give to someone who is going to be a patient in a hospital for a period of time? Bring little pieces of home with you to help you “escape” and keep you socially, emotionally and spiritually connected to those you love.

GETTING TO KNOW A BHC NURSE

Becky Sherwood, BSN, RN, CNOR Intensive Care Unit

I

have been a nurse for over 20 years.

I was born at Boone Hospital Center and grew up in Columbia. Since 2004, I’ve been living in the country about an hour away from Columbia. I received my Associate's Degree in Nursing in 1997 and obtained my Bachelors of Science in Nursing from the University of Missouri in 2017.

Why did you get into the health care field? I got into health care because I really like helping others during their worst times.

What interested you in your particular specialty? I was drawn to being a nurse in the ICU because of the high level of acuity and the constant learning required to keep up in that environment. There’s never a dull moment!

What is the most rewarding part of your job? The most rewarding part of being an ICU nurse is the ability to contribute and to make a difference for patients and their families in a crisis situation.

What is the most challenging aspect of your job? The most challenging part of being a nurse is keeping up my physical energy as I get older!

What has changed in your field since you started practicing? Over the 23 years that I’ve been in nursing, the technology has changed immensely.

What do you see changing in the next 5 to 10 years? I think technology will continue to evolve. Also, our population and community needs will both continue to grow in the coming years. There will be even greater need for — and greater access to — providers in all disciplines.

What do you enjoy doing outside of work? When I’m not working, I enjoy staying active by biking, kayaking, hiking, cooking, knitting and gardening.

What advice would you give someone looking to become a nurse? Nursing is a hugely rewarding and expansive field that will teach you things about the patients and people around you — and it will also teach you things about yourself.

WELLNESS

ONE-POT MEALS Slow and instant pressure cookers can help you make a hearty meal even with a busy schedule.

C

oming home to the smell of a fresh-cooked meal is a satisfying feeling. Even more satisfying is using little effort to make the meal a reality. That’s the beauty of one-pot meals. Slow cookers, instant pressure cookers and large stock pots can all be used to make entire meals without dirtying too many dishes.

Slow cookers are popular due to their set-and-forget nature.

Cooking a meal is as easy as adding ingredients to the pot, setting the cooking level and returning hours later to serve your meal. Some slow cookers come with thermometer attachments to monitor the internal temperature of meats and will keep food at a certain temperature for a prolonged period of time. Almost anything can be made in a slow cooker — soups, stews, meat and vegetable blends, and more. One of my favorite ways to make using a slow cooker even more effortless is to combine my ingredients ahead of time in a plastic bag and freeze them to use later. (Remember to label the bag with the name of the meal, cooking time, and any extra ingredients that need to be added.)

Slow cookers usually reach a simmer point of about 210 degrees Fahrenheit — the high and low settings set how much time it

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takes for the food to reach this simmer point. As a general rule, the low setting takes about four extra hours to reach the simmer point than the high setting. If a recipe calls for three hours on the high setting, you can set it for seven hours on the low setting.

Instant pressure cookers have recently been showing up on people’s countertops. They are as easy to use as a slow cooker and cook food in a fraction of the time.

Unlike a slow cooker, an instant pressure cooker needs at least one cup of liquid added to the pot. If you don’t want your food submerged in liquid while pressure cooking, accessories are available to elevate food off the bottom of the pot. In fact, there are many pressure cooker accessories, including trays for hardboiling eggs, steaming vegetables or rice, silicone molds, and so much more.

Instant pressure cookers usually have preprogrammed proper cooking times for various types of foods or cooking methods.

Conversion charts in the owner’s manual can help you determine the approximate cooking time if you're adapting a recipe from another cooking method.

For example, see the differences between using a slow cooker and instant pressure cooker to prepare beans. I have found beans to be one of the easiest and cheapest foods to make from scratch and use as a plant-based protein in many meals. By Kate Mirly, MS, RDN, LD, Boone Hospital Center Registered Dietitian

How to Cook Dry Beans

SLOW C OOK E R • No soaking is required before cooking.

• Place dry beans in the pot and add water until it reaches two inches above the beans.

• Allow room for the beans to expand — they will at least double in volume during cooking.

• Do not add more than 2 pounds of beans in a 5-quart slow cooker.

• Cook on low for 3 to 6 hours until beans are tender.

Source: The Bean Institute

PRESSURE CO O K E R • Soaking beans before cooking is optional.

Soaking speeds up the actual cooking time and usually produces a better texture. Soak the beans in water for 4 to 8 hours before cooking. Discard the soaking water and use new water to cook. Cooking times for soaked beans can range from 5 to 10 minutes depending on the type of bean. Chickpeas tend to take the longest to cook — up to 15 minutes from soaked.

• Due to change in volume as the beans cook, never fill the pot more than half full with dry beans.

• Pour water over the dry beans and cook between 25 to 40 minutes. The exact cooking time will vary based on the kind of bean.

Source: Instant Pot Cooking Time Tables

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WELLNESS

Winter Weather Workout A simple plan to stay active even if you’re staying indoors.

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ven though colder weather and snow may keep us indoors, we can continue to stay active by exercising at home — and you don’t have to own fancy fitness equipment to beat the winter blues. From soup cans to cups, you can use everyday objects around the house to stay motivated to move this winter.

Moving our bodies is important to keeping us happy and healthy, but during the winter months, we become increasingly sedentary. The American Heart Association recommends 150 minutes of moderate physical activity per week.

This means you can exercise every day for just 30 minutes by incorporating these exercises into your daily routine. Even while sitting in a chair, you can target and strengthen muscle groups in your arms and legs.

This winter workout includes several simple exercises you can easily do at home. Start with a five-minute warm-up like walking or riding a stationary bicycle at low intensity. Stretching before and after exercising is also beneficial. A warm-up gets your blood flowing and loosens your muscles to avoid injury.

Perform each exercise for two sets of 10 to 12 repetitions and rest for 60 seconds between each set. Move in a slow, controlled manner for each exercise. Stop exercising immediately if you feel any pain or discomfort. Always talk to your physician before starting a new exercise program.

And remember, no matter the weather, you can always stay active! By Ashley Lyon, DPT, LAT, ATC

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Forward Step Up Stand in front of a step with feet shoulder-width apart. Tighten your buttocks and step onto the step with one leg, straightening your knee. Repeat with the other leg. Pause briefly, then step back onto the floor with your leading leg first, followed by the other leg. With each repetition, alternate which foot you place first on the step.

Marching Standing with feet shoulder-width apart, raise one leg towards your chest, then lower. Repeat with the opposite leg. If needed, use a stable chair or countertop for support, safety and balance. Stand a comfortable distance away from the supporting surface so your legs have room to move and your back remains straight.

Variation: Seated marching — sitting at the edge of a stable chair, alternate raising each leg towards your chest.

For more information, visit boone.org/therapy or call 573.815.3868

Lateral Step Up Standing beside a step, tighten your buttocks and raise the leg closest to the step. Step up and follow with your other leg. Pause briefly, then step down to the floor in the same direction you started from. Face the other direction and repeat step-ups, leading with your opposite leg.

Forward Step Over Set cones, cups or small objects equal distance apart on the floor.

Use a stable chair or countertop for support if needed. Tighten your core and step over the cone with a high knee. With each step over, alternate your leading leg as if you were marching.

Variation: Return to starting position by slowly stepping backwards over the cups.

Seated Push Up Sitting tall in a stable chair, place your hands at your side and on the armrests. Push down through your arms, straightening your elbows. Your buttocks should raise from the chair. Slowly bend your elbows and lower your buttocks back down to the chair.

Remember to keep your shoulders and trunk in a neutral position.

Bicep Curl While standing or seated in a chair, begin with a straightened elbow with palm facing forward. Bend your elbow up while keeping it close to your side and keeping your wrist straight in line with your forearm the entire time. Do not rotate your forearm at any point during the motion. Straighten your elbow to return to starting position. For increased resistance, perform this movement with light dumbbells or soup cans.

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FOUNDATION NEWS

Dr. Daly Retires After 30 Years of Dedicated Service

Healing Garden Donation Opportunities The Barbara A. Weaver Healing Garden opened in 2012 to provide a calm environment where patients, visitors and staff can find comfort and solitude. The Healing Garden is filled with trees, benches, waterfalls, and brick pavers purchased by community members and engraved with messages honoring their loved ones. A Healing Garden donation is a unique way to memorialize a lost loved one or celebrate a success.

Proceeds from Healing Garden donations directly support the Boone Hospital Foundation — your gift will also impact the programs and services that the hospital provides.

For more information on the donation options listed below, contact the Boone Hospital Foundation at 573.815.2800 or email Barbara Danuser, executive director, at barbara.danuser@bjc.org.

Tree + Engraved Plaque ($1,000) Engraved plaque sits next to the tree. Engraving includes 75 total characters.

Michael M. Daly, DO, of Boone Medical Group-Central, retired on October 1, 2020, after a long medical career. In his early years, Dr. Daly covered call at multiple hospitals, occasionally commuting in his single-engine plane. His last 30 years of practice were at Boone Hospital Center, which he considered his home. Dr. Daly served as Chief of Staff from 2002 to 2003 and served on the hospital’s Ethics Committee for many years. In 1997, he had the honor of being asked to serve as the first physician champion for Boone’s fledgling Palliative Care Program, alongside the tireless Dorreen Rardin, RN, who was the ultimate champion of palliative care at Boone Hospital. It was Dr. Daly’s great pleasure to serve Boone’s patients and their families and to guide them with compassion through difficult times.

To honor their father’s retirement, Dr. Daly’s children purchased a seated wall panel in the Barbara A. Weaver Healing Garden from the Boone Hospital Foundation, complete with a heartfelt, engraved message commemorating Dr. Daly’s years of service. The panel was installed in the Healing Garden on Dr. Daly’s last day of employment at Boone Hospital Center, allowing his legacy as a caregiver to live on.

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8” x 12” Seated Wall Panel ($1,000) Panel sits off the ground and is individually lighted. Engraving includes 6 lines of text with 20 total characters per line.

12”x 12” Paver ($500) Engraving includes 9 lines of text with 20 total characters per line.

8”x 8” Paver ($250) Engraving includes 6 lines of text with 14 total characters per line.

4”x 8” Paver ($150) Engraving includes 3 lines of text with 14 total characters per line.

Boone Hospital Foundation 2020 Gala Thank you to the following sponsors for supporting the Boone Hospital Foundation’s 2020 Stay-At-Home Gala. Since we were unable to host an in-person event this year, 100% of the proceeds will go directly to support the programs and services provided at Boone Hospital Center. Thank you for helping us continue to make Boone Hospital Center the best place to receive health care in mid-Missouri!

2021

CALENDAR OF EVENTS

PRESENTING SPONSOR:

JANUARY 18 - 21 Dr. Wilson & Jan Beckett Troy & Mandy Greer

Linen Sale FEBRUARY 1 - 28

Uniform Sale MAY 3 - 5

Book & Toy Sale

Becky & Aaron Willard

Drs. Blake & Carol Danuser Dr. Jerry & Michele Kennett Kate & Matt Pitzer Dr. James & Carol Roller Larry & Nancy Swindle

*All sales will take place online.

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

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