My Boone Health — Summer 2024

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MANAGING

Erin Wegner

Marketing &

COPY

Jessica Park

Communications

CONTRIBUTING

Madison Loethen

Digital Communications & Marketing Consultant II

ADDITIONAL

Jason Anderson; Hayden Legg; Paula Stuebben, MD; Jenny Workman

CONTRIBUTING PHOTOGRAPHERS

Madi Green

Board of Directors

CHAIR

Jerry Kennett, MD

VICE CHAIR

William “Barry” Orscheln

SECRETARY

Dianne M. Lynch, Ph.D.

TREASURER

Randy Morrow

Mary Beck, DNP, RN, NE-BC, FAONL

Jan Beckett

Charles P. Bondurant, MD, FABNS, FACS

Stacye Smith

Judy Starr

Gary W. Thompson, MBA

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This summer, Boone Health celebrates our staff for providing exceptional patient-centered care. Their commitment to high standards for their patients’ safety and experience is reflected in our recognition as one of America’s 100 Best Hospitals by Healthgrades for the second year in a row and our recent 5-star ranking by the Centers for Medicare and Medicaid Services, known as CMS.

But what do these recognitions mean for you and your family? I’d love to walk you through it.

Organizations like Healthgrades and CMS don’t rank hospitals by their size or reputation, but by what matters most to you and your loved ones – your health. When you’re preparing for or unexpectedly need a hospital stay, you want to feel assured that your care team is invested in your safety and comfort. You likely have questions about the cost of your care or how you’ll feel after a procedure or treatment. Both Healthgrades and CMS review data for thousands of hospitals nationwide to help you answer these questions.

Healthgrades bases their Best Hospitals list on extensive analysis of patient outcomes for 45 million Medicare claims, covering 31 different groups of procedures and conditions from 2020 through 2022 at 4,500 hospitals across the United States. They compare the hospital’s reported patient outcomes to estimated outcomes for each procedure or condition group. Hospitals can’t submit their own data or opt out of this research.

Boone Hospital Center is the only hospital in Missouri to be recognized as one of Healthgrades’ America’s 100 Best Hospitals and among the top 2% of hospitals nationwide to receive this ranking. Healthgrades has also recognized Boone Health as one of America’s 100 Best Hospitals for Joint Replacement, a Patient Safety Excellence Award recipient, and additional specialty recognitions for heart attack, heart failure, stroke, upper GI surgery, and more.

According to Healthgrades, if every hospital they reviewed had performed similarly as the hospitals on their America’s Best Hospitals Award last year on average, 178,402 lives could have been saved.

The Centers for Medicare and Medicaid Services is a federal agency providing health care coverage for 160 million Americans. They also review data to assess over 4,000 hospitals across the country for 46 measures related to safety, timely and effective care, and patients’ experiences during their stay.

This information is made available to the public on their Care Compare site. Formerly called Hospital Compare, Care Compare lets you find and compare multiple hospitals, providers, and other care services in your area. Hospital information includes patient satisfaction scores, patient outcomes, quality and safety measures, and cost and value for patients. Scores are also compared to state and national averages, and the site lets you know if differences between these scores are significant or about the same. To find and compare health care services, visit medicare.gov/care-compare.

What really makes the difference for your care – and the reason we achieve these designations – are our people. Everyone at Boone Health, including our medical staff, nurses, environmental services, food and nutrition, and everyone in-between, working together with a singular focus on taking care of you and your family.

Brady Dubois CEO, Boone Health

What really makes the difference for your care – and the reason we achieve these designations –are our people.

Chris Jones Announced as Next COO of Boone Health

Chris Jones has accepted the position of Chief Operating Officer (COO) with Boone Health. His first day with Boone was on Monday, April 29.

Jones brings 35 years of health care experience to Boone Health, which began in the US Army Reserves where he served as an orthopedic technician. Jones has 20 years of experience in hospital leadership roles, having served as both COO and CEO at various facilities, most recently as COO and Interim CEO at St. Mary’s Regional Medical Center in Enid, Oklahoma. He is a Fellow of the American College of Healthcare Executives.

Drew Wilkinson Promoted to Boone Health’s Next Vice President, Provider and Ambulatory Operations

Drew Wilkinson has accepted the position of Vice President, Provider and Ambulatory Operations for Boone Health, encompassing 155 providers across 11 specialty clinics, 11 primary care clinics and 2 convenient care clinics. His first day in his new role was on April 8.

Jones is a native of central Missouri. He graduated from the University of Missouri with a Bachelor of Health Science in Radiology/Computed Tomography and William Woods University with his MBA and MHA. Chris also spent four years as CEO of Moberly Regional Medical Center.

“I am excited to come home,” says Jones. “Having been born and raised in the Columbia area, I am very familiar with Boone Health and its outstanding reputation for quality care. I look forward to joining the team and lending my experience and leadership to the hospital’s operations.”

Wilkinson has been with Boone Health since 2006, beginning his career in the Nutrition and Food Services department before transitioning to the Laboratory. Most recently, Wilkinson expanded his role and served as the Director of Laboratory Services and Emergency Services. Wilkinson was recognized as the Boone Health Leader of Year by his peers in 2020. Wilkinson currently serves on the Boone Hospital Foundation Board.

Wilkinson is a native of Columbia. He received his Bachelor of Health Science from the University of Missouri and his MBA from Columbia College.

“I am excited for this opportunity,” says Wilkinson. “Our provider and ambulatory service platforms continue to expand, and I look forward to helping foster that growth while maintaining the high standard of care that Boone is known for.”

Boone Health Opens Vascular Surgery Clinic

Boone Health recently opened Boone Health Vascular Surgery. The clinic includes providers Erica Salinas, MD, Sarah Severance, MD, and Jamie Markway, FNP-BC.

Dr. Salinas is Board Certified in Vascular Surgery and has practiced in mid-Missouri since 2014. She specializes in abdominal aortic aneurysm repair, carotid interventions, including carotid stenting, peripheral vascular disease interventions and venous interventions.

Dr. Severance is Board Certified in Vascular Surgery and has practiced in mid-Missouri since 2022. She specializes in vascular surgery, treatment of aneurysms, and diseases of the arteries.

Jamie Markway graduated from the Sinclair School of Nursing at the University of Missouri and earned her Master of Science in Nursing from Maryville University. Jamie currently works at the Boone Health Heart Surgery clinic and is excited to join the Boone Health Vascular Surgery team.

Erica Salinas, MD

Sarah Severance, MD

Jamie Markway, FNP-BC

Healthgrades Names Boone Hospital Center One of America’s 100 Best Hospitals

Boone Hospital Center is one of America’s 100 Best Hospitals for 2024, according to new research released by Healthgrades, a leading resource for finding a hospital or doctor. This is the second year in a row for Boone Hospital to receive this ranking and this year it is the only hospital in the state of Missouri make the list. The achievement puts Boone Hospital in the top 2% of hospitals nationwide for overall clinical performance and reflects Boone’s commitment to exceptional patient care.

“Our people make the difference,” says Brady Dubois, Boone Health CEO. “Our medical staff, nurses, environmental services, food and nutrition, and everyone in-between. To be in the top 2%, it takes everyone working together with a singular focus of taking care of our patients.”

To determine the top hospitals for 2024, Healthgrades evaluated risk-adjusted mortality and complication rates for more than 30 conditions and procedures at approximately 4,500 hospitals nationwide. The 2024 Healthgrades analysis revealed significant variation in hospital performance, making it increasingly important to seek care at top-rated programs. Healthgrades research reports that in 20202022, if all hospitals, as a group, performed similarly to America’s 100 Best Hospitals, 180,413 lives could have been saved.*

“Healthgrades commends Boone Hospital Center for their leadership and continued dedication to high quality care,” said Brad Bowman, MD, Chief Medical Officer and Head of Data Science at Healthgrades. “As one of America’s 100 Best

Hospitals, Boone Hospital Center is elevating the standard for quality care nationwide and ensuring superior outcomes for the patients in their community.”

Consumers can visit Healthgrades.com to learn more about Healthgrades.

In addition to being a Top 100 Hospital overall, Boone ranked in the Top 100 for Joint Replacement in 2023 and 2024, and received the Patient Safety Excellence Award in 2023 and 2024.

*Statistics are based on Healthgrades analysis of MedPAR data for 2020 through 2022 and represent three-year estimates for Medicare patients only. Click here to view the complete 2024 America’s Best Hospital Awards Methodology.

was not able to get to the patient at the hospital before he was discharged, but he did receive a taxi pass to The Room At The Inn and COMAC was able to make sure he had a pair of shoes, in his correct size, when he got there.

Unfortunately, in Amy’s line of work, she frequently encounters an unhoused person with either no shoes, or shoes that are not appropriate for the weather.

Feeling that no patient should leave Boone Hospital without shoes, Amy quickly got to work. She reached out to her boss, Shawn Gerstner, and soon had a meeting with Administration and Shannon Kuczynski, Chief Nursing Executive, who leads Boone Hospital’s Mission Moments.

Shannon joined Boone Health in 2022 and incorporated Mission Recruitment: Meet the Mission. “I have a deep belief that people in a community want to work for an organization that meets the needs of its community,” says Shannon. “When I came to Boone, I started Mission Recruitment: Meet The Mission based upon that premise.”

After Amy described the need that she saw, “Boone’s Crews for Shoes” was born.

For one week in February, staff donated new adult-sized socks and new or gently used adult-sized shoes that were comfortable and suitable for walking outdoors. All sizes of shoes were welcomed, and donations would be used for patients at Boone Hospital and provided to the unsheltered community through COMAC.

What was thought would be a small drive turned into a huge success. Amy was hoping to collect a few dozen pairs of shoes. Boone Hospital staff donated 173 pairs of shoes and 110 pairs of socks. “From this shoe drive, Boone Health has

started a partnership with COMAC to ensure we have a wide variety of shoe sizes at the ready for anyone who comes to our facility in need of shoes,” says Amy. Boone saved a dozen pairs for the ER and the rest went to COMAC.

“I think it’s important for people to remember that the majority of us live in a place of privilege,” says Amy. “When it comes to our accessibility to safe food to eat and a safe shelter to stay in, we have a few hundred people in our community that do not experience the same privilege. It is our place, as privileged people to help them out. Most of us have an excess and there are a lot of people out there with a need, and we should use our excess to fill that need.”

Boone Health’s partnership with COMAC ensures there is a wide variety of shoe sizes available to anyone who comes to Boone in need of shoes. To learn more about COMO Mobile Aid Collective, visit comomobileaid.org. By Erin Wegner

COMO Mobile Aid Collective held a donation drive in May where they provided foot and wound care, gave out first aid and clothing items, including shoes from the shoe drive at Boone Hospital.

MOTHERS Caring for

Pelvic floor therapy helps a mom of two under two regain her strength.

These days Josie Rutledge can be found baby-wearing her newborn daughter Odette while she and her husband Caleb play with their almost two-year-old daughter Evangeline.

“It is very busy but we love having them so close in age,” says Josie.

Josie did notice recovery was a bit harder after having Odette.

“I just wasn’t recovering as quickly as I did after having Evangeline, likely because

this time I was chasing a toddler instead of resting as much as I should. I had several friends do pelvic floor therapy at Boone Therapy, so I talked to my doctor about getting a referral,” says Josie.

Boone Health’s pelvic floor therapists are specially trained to understand the issues that arise during pregnancy and the postpartum healing phase. They specialize in addressing back and pelvic pain, urinary leakage, pelvic organ prolapse, and diastasis

recti (commonly called “ab split”), as well as other pregnancy and postpartum-related concerns. Pelvic floor therapy can help patients recover the function they had before childbirth and return to movement without limitation.

Josie was matched with Beth Frazier, DPT. At a first pelvic floor therapy appointment, the patient will spend an hour one-on-one with a therapist discussing their strengths and concerns

Josie and Caleb with their daughters Odette and Evangeline.

from head to toe. The therapist will then design a personalized treatment program to address imbalances and strengthen the whole body. Treatment will progress and adapt with the patient over their follow-up appointments to ensure goals are met.

“During pregnancy, the body experiences a variety of anatomical and postural changes that affect the way you move, breathe, and use your core. Pelvic floor therapy can help mothers understand what is going on in their body and help lay a pathway to optimally heal. The goals of pelvic floor therapy are whatever the mom’s goals are: running and lifting without urinary leakage, restoring your core strength and function to feel strong and stable, lifting children without pelvic heaviness, returning to sex without pain, etc. We just want you to feel your best,” says Beth.

At Josie’s first appointment, Beth did an examination, and they discussed Josie’s concerns and goals.

“Before that first appointment, I didn’t know that pelvic floor therapy could help if your pelvic floor was tense. I thought it was just to regain bladder function if things were too loose, but after my my birth, everything actually felt more tense than before. I didn’t realize that could happen! We worked on a plan to relax the muscles for me,” says Josie.

Beth showed Josie some specific exercises and gave her a personalized printout of exercises that could be done at home.

“Beth held Odette while I did my exercises. It’s great you can bring your baby!” says Josie.

After a couple of weeks of appointments and home workouts, Josie began noticing a big difference.

“My body feels stronger and healthier. I feel like doing pelvic floor therapy is giving me the strength I need to be the mom I want to be to my two little ones,” says Josie.

One of the goals Josie and Beth discussed was future children for Josie and Caleb.

“We know we want more babies so it is also important to me to help my body recover for future pregnancies. Beth provided me with some great information, and I know this therapy will help me prepare for that as well,” says Josie.

Beth recommends that all mothers receive pelvic floor therapy after birth.

“The postpartum timeframe is busy and filled with sleep deprivation and exhaustion. We get it! Many women put off their own care because they don’t think they have the energy or they don’t think their symptoms are severe enough. We want women to know we are used to working with women during this time. We are here to support you, not add to your load. We will cater your treatment to the time and energy you realistically have. We will work to support and prioritize your needs while you care for the needs of your little one. It is easier to address symptoms early before they worsen, so we encourage women to come early. However, we also want women to know it is never too late. Your children may already have their own children, and we are still here to support you,” says Beth.

Pelvic floor therapy requires a referral, so be sure to discuss it with your physician. Boone Therapy sees pelvic floor therapy patients at both their Broadway Medical Plaza and Nifong Medical Plaza Locations. By Madison Loethen

SPEECH THERAPY

Anew partnership was formed in 2023 between Boone Hospital Center and Our Lady of Lourdes Interparish School (OLLIS).

This partnership started as OLLIS was looking to expand services to students with special needs. “It was very obvious as we watched students do speaking parts at Mass, that there was a great need to provide speech services to our students,” says Elaine Hassemer, OLLIS principal.

Jeri Schoemehl, Speech Therapy Supervisor, has children who attend OLLIS and knew they were looking for a Speech-Language Pathologist. “I’m always looking for ways to promote speech therapy and had the idea ‘what if Boone could partner with OLLIS to provide these services?’ OLLIS has a history of excellence in education and Boone is known for excellence in providing care. It seemed like a partnership that could work for both parties,” Jeri explains.

The next step was finding the right speech therapist for this position. Jeri knew that Angie Rentel was the right

person for the job. “She’s the person I had in mind,” Jeri says. “We’ve worked together for 23 years. Angie has experience working with other schools in her area, she’s great with kids, an excellent therapist, she’s Catholic by faith and familiar with the Catholic school system and this would be a perfect fit for her.”

Angie’s first assignment was to screen the entire school. Every Kindergarten through 8th grade student who consented was screened - all 629 students. They came two days a week and Angie was able to identify all the students who would benefit from speech therapy – 65 students, which was right at about 10% of the population. Realizing Angie had more students than she could handle by herself, a second speech therapist, Brianne Graves, was brought in to help.

“This is an incredible service for our families,” Elaine says, “as it is often difficult to pick a child up during the school day, multiple times a week, to access speech services. And often times, private services are not covered by insurance or are very costly to the families.”

Angie Rentel with two of her Speech Therapy students.

“Parents work during the day,” says Jeri, “so to have this inhouse is just such a gift for the students and so helpful for the parents.”

In larger schools, therapists may be seeing up to 4 students at one time, which makes it really tricky for the therapist to make sure each child is getting their own individualized time. Angie is able to see students individually or in groups of 2, so

students are still getting individualized attention. “We keep the therapy playbased to make it fun and engaging for the students. We want them to want to come back and we want them to have a good time,” says Angie. “But we are also getting them lots of practice with their articulation targets so they can be more efficient, set them up for success and help them reach their goals.”

Pictured from left to right: Jeri Schoemehl, Elaine Hassemer, Katie Helfer and Angie Rentel.

After working with adults and with pediatrics for 25 years, this was the change Angie didn’t know she needed. “The kids are delightful and keep me laughing,” says Angie.

When it came time to evaluate the need for speech services in the upcoming school year, Boone and OLLIS agreed on increasing the number of days Angie was on-site from 2 – 3 days. “The size of this school is enormous. With 4 new Kindergarten classes starting in the fall, that will bring in an additional 72 students. Adding the 3rd day allows me to accommodate more students,” Angie says.

“Being a former publicschool administrator, I saw firsthand the impact of providing service to students. Additionally, my husband served as the executive director of ACT (now Impact Support Services) for numerous years. Special services is something very important to our family,” says Elaine.

“OLLIS has welcomed us and made us a part of their school community. The faculty and the families have been so supportive as we worked to establish this service within the school. We look forward to continuing our partnership next year!” says Jeri. By Erin Wegner

First Aid

In the theater of life, emergencies often take center stage without warning, demanding swift and decisive action. Amidst the chaos, first aid emerges as a beacon of hope, offering a lifeline to those in distress. Beyond being a mere set of skills, first aid knowledge represents a powerful tool that empowers individuals to become proactive agents of change in their communities. The benefits of acquiring first aid proficiency and the transformative impact it can have on individuals and society as a whole.

Immediate Response in Emergencies

First aid serves as the frontline defense in times of crisis, bridging the critical gap between injury and professional medical intervention. Whether it’s a minor cut or a lifethreatening situation, the ability to administer immediate care can make all the difference in the outcome. Equipped with first aid knowledge, individuals can swiftly assess the situation, apply appropriate interventions, and stabilize the injured party until professional medical help arrives.

Empowerment and Confidence

Acquiring first aid skills instills individuals with a profound sense of empowerment and confidence. It transforms them from passive bystanders into proactive responders capable of taking control in emergency situations. This newfound selfassurance not only benefits the individual but also radiates outward, inspiring others within their community to follow suit and equip themselves with life-saving knowledge.

Saving Lives

The impact of first aid in saving lives cannot be overstated. Studies have shown that immediate and effective first aid interventions can significantly improve survival rates in various emergencies, including cardiac arrest, choking incidents, and severe injuries. By disseminating first aid education widely, communities can effectively bolster their resilience against such life-threatening events, ultimately saving countless lives.

Minimizing Severity of Injuries

Beyond preserving lives, first aid plays a crucial role in minimizing the severity of injuries and preventing complications. Timely interventions such as wound cleaning, bandaging, and immobilization can prevent further damage and facilitate faster healing. By addressing injuries promptly, first aid not only reduces the suffering of the injured individual but also minimizes the burden on healthcare systems.

Promoting Recovery and Well-Being

First aid extends beyond the immediate aftermath of an injury or illness, encompassing support and care throughout the recovery process. By providing comfort, reassurance, and practical assistance, first aid responders contribute to the holistic well-being of the affected individual. Moreover, early interventions can prevent long-term complications and promote a smoother recovery trajectory.

Building Prepared and Resilient Communities

The dissemination of first aid knowledge fosters a culture of preparedness within communities, wherein individuals are not only equipped with the necessary skills but also possess the awareness to recognize and respond to emergencies effectively. This proactive approach not only enhances community safety but also fosters unity and solidarity as members band together in their commitment to safeguarding one another’s well-being.

The benefits of knowing first aid extend far beyond the realm of individual proficiency, permeating through the fabric of society to foster a culture of safety, empowerment, and resilience. By equipping individuals with the skills and knowledge needed to intervene in emergencies, first aid not only saves lives but also cultivates compassion, unity, and preparedness within communities. As we navigate the unpredictable currents of life, let us embrace the transformative power of first aid and strive to become catalysts for positive change in our communities.

For more information on first aid and training contact the Red Cross or American Heart Association. If you or your organization would like to become CPR/first aid certified contact Boone Health’s Community Wellness nurse coordinator at 573-815-6333 or visit boone.health/community-wellness/ corporate-services. By Jenny L. Workman

GETTING HER Strength Back

Veronica Goff’s pain started five years ago as general neck pain. Being a nurse for close to fifteen years, she thought to herself, “This is normal. Nurses have neck pain.”

Over the years, the pain would get worse. The pain was starting to go down her left arm, and within the last year, it had become noticeably worse. She was having sharp pains through her shoulder and into her hand and lost feeling in two of her fingers.

From this pain, Veronica was also experiencing a lot of weakness. Working in the GI lab at Boone Hospital Center, Veronica’s weakness was causing her to need assistance with many of her daily activities. The activities that she continued to do herself would cause her increased pain. “I had to have help doing things that I should have been more independent in,” Veronica says.

Her sleep was even affected because of the amount of pain she was in. She tried a steroid injection that helped temporarily, and she also tried physical therapy, but couldn’t get any relief from that.

Veronica was inspired to schedule an appointment after reading “Relief From Pain,” an article in the Winter 2024 My Boone Health where another satisfied patient shared their experience at MidMo Neurosurgery and getting back their quality of life.

“Reading that article was part of why I decided to have the surgery,” Veronica explains. “I was really nervous and really scared, but I’m reading this article

thinking, ‘Oh my gosh, it’s me! And she’s really happy with it!’ I can do this.”

The other reason why Veronica wanted to see if the surgery was right for her was because of the weakness she was experiencing at work and at home. It was the weakness that finally got her to say to herself, “Okay, you have to do something.”

Veronica had an MRI of her neck done that showed a disc which was bulging and placing pressure on a nerve that went to her left arm. The pressure on this nerve was causing her pain and was also causing the weakness in her left arm.

After meeting with Charles Bondurant, MD, Veronica decided it was worth it to try and have this operation to see if it would provide her any relief from her pain.

On the day of her surgery, Veronica was not scared at all. The staff assured her that they do this all the time and that Veronica was in good hands. She says, “Everybody was so wonderful and calmed me down if I seemed nervous.”

Dr. Bondurant performed a laminotomy/foraminotomy. This procedure removes a part of the spinal bone to allow room to take pressure off the compressed nerve. In Veronica’s case, that was discs C6-C7.

After surgery, Veronica was moved up to Boone Hospital’s Progressive Care Unit for recovery. “The nurse I had up there was awesome,” Veronica says. “It was just neat to be the patient and to see that it really is what everyone describes. When you hear ‘Boone’s awesome.

Boone takes care of you,’ they really do. Nobody knew I worked at Boone and I wasn’t treated any differently.” Veronica had the option to stay overnight for pain control, but she felt so good afterward, that she was discharged and able to go home the same evening.

“I have a pretty large tattoo on my back,” Veronica said. “When Dr. Bondurant came to discharge me, he said, I didn’t even get your incision in your tattoo!” Veronica says, “That was not my concern whatsoever. I just wanted the surgery, so the fact that he took the time to make this little bitty scar cosmetically appealing was kind of cool.”

Within one week after her surgery, Veronica had complete relief from the sharp pains and had all the feeling and sensation return to her arm, hand, and fingers. Within two weeks, she was able to do most of her normal activities with her weight restriction of 10 pounds. Today, she has no pain and is working to rebuild her muscle and strength. She is also able to sleep through the night and is no longer taking Ibuprofen around the clock.

Veronica’s boyfriend Justin played a huge role in her recovery. While she was resting, he took on the household chores and took care of their pets, a 3-year-old boxer Hemi and their cat Meatloaf. In her free time, Veronica likes to walk, play the guitar, garden or do anything outdoors.

Thinking of someone who may be hesitant to have surgery, Veronica hopes they read this article and tell themselves, “I can do this too!” By Erin Wegner

HEAT vs ICE

Injuries causing aches, sprains and pulled muscles happen year round, so it’s important to know when to apply ice and when to apply heat.

How Heat Works

• Heat opens blood vessels which helps to increase blood flow. Increasing blood flow helps provide oxygen and nutrients.

• Heat helps alleviate pain.

• Heat loosens muscles, helping them relax, and this can help increase range of motion.

When To Use Heat

• Because heat helps loosen stiff joints and tight muscles, it’s best to use heat when treating chronic conditions like recurring injuries and tight muscles.

• Heat is also a good method of pain relief for tension headaches and other chronic conditions.

• Always wait 48-72 hours before considering heat therapy.

• When in doubt, use ice.

Heat Helpful Tips

• Treat for no longer than 20 minutes at a time.

• Apply to painful area in cycles on 20-23 minutes per hour.

• Discontinue if skin becomes painful or inflamed.

• Do not lie on a hot pack. You could fall asleep and potentially burn yourself.

• Do not use heat if you have no feeling in that affected part of your body.

• Never use heat if there is swelling or bruising.

• Do not apply heat directly to skin, use a thin towel.

• Do not use heat if you have poor circulation.

• Wait 1 hour in between heat treatments.

How Ice Works

• Ice slows down blood flow to an injury.

• Ice helps to calm down damaged tissue.

• Ice helps reduce swelling and inflammation.

• Ice helps to control pain.

When To Use Ice

• Because ice slows blood flow to an injury, it’s best to use it right after an injury or activity that aggravates a chronic condition.

• Apply to the injured area within 48-72 hours in cycles of 10-20 minutes.

• Use on acute injuries such as sprains, sciatica or sudden back pain.

• Good for migraine headaches, bumps, sprains, and strains that may occur with sports, slips and falls or lifting.

• Cold therapy is also beneficial for minor burns .

• Cold therapy is also helpful in treating some overuse injuries or chronic pain in athletes.

• When in doubt, use ice!

Ice Helpful Tips

• After a new acute injury, use RICE (Rest, Ice, Compression, Elevation.

• Treat for no longer than 20 minutes at a time.

• During treatment, check skin every 5 minutes to make sure there is no damage such as frost bite (skin would become reddened or blistered just as when burned with heat).

• Do not apply ice directly to skin, use a thin towel as a barrier.

• Compare skin temperature to the opposite side. Once skin returns to normal temperate, it is safe to ice again.

• Wait 1 hour between cold treatments.

DO NOT RUN AT THE POOL!

BOONE BABIES GROWING UP and Other Summer Safety Tips

BY PAULA STUEBBEN, MD

Aw summer, we are so ready!

However, it will be a great summer only if our little ones remain safe. Breaking this down by the elements seems to make sense to me.

WATER

Swimming

Learning to swim is so much fun, but safety should be a priority. The American Academy recommends learning how to swim by the age of 4 but starting that process as early as 12 months. As drowning is the second most common cause of unintentional injury death in children in the United States (in children aged 1-14yr), it makes sense that learning to swim could potentially save a life. Children are very curious and should never be unattended near water. Having a fence around the pool is a must. If you are in a watercraft, all children need to be in a life vest that fits well.

Stay hydrated

Children are more susceptible to dehydration than adults, so be sure to push water frequently while active outdoors. Fluids and electrolytes are lost with sweating so electrolyte solutions, such as Gatorade, can be helpful tools for older children who are active outside. Cool wet clothes or actual cooling towels on the neck, wrist and ankles help to dissipate the heat from circulating blood.

would be appropriate for those with sensitive skin. SPF stands for sun protection factor and specifically is a measure of how well the sunscreen will protect you from UVB rays. Sunscreen should be applied at least 15 minutes before skin exposure and should be reapplied at least every 2 hours (more frequently if in the water). There is much discussion of what components of sunscreen to avoid, and oxybenzone is one of those. Due to concerns of mild hormonal properties, it is to be avoided. Zinc oxide is a more aggressive way to cover sensitive areas such as cheeks, tops of ears, shoulders and nose. Even cloudy days can provide significant UV rays — so keep it in your bag!

Is there an age where sunscreen is not allowed? I would use sunscreen in the under 6 month group ONLY if swimsuits with sleeves and shade are not available. Be careful around the face!!

Sunburn

Sometimes, “things” happen — so some treatments for sunburn are listed below:

• A cool bath can be soothing but I would avoid soap.

• Oatmeal can be added to the bath to help reduce inflammation and itching.

• Try to avoid rubbing skin dry after bathing, as this can abrade sensitive skin so a good pat dry does the trick.

• Ice in a damp cloth for nastier burns can reduce swelling by constricting blood vessels. This can be done several times per day but can be trickier in the younger age group.

• Hydrocortisone cream can be used to help reduce inflammation up to 2 to 3 times per day if skin is intact.

• Aloe vera can be used and feels great if chilled.

SUN Sunscreen

It is important for sunscreen to be “broad spectrum” -which means that it will screen out both UVB and UVA rays. I would recommend SPF of 30+ as a minimum and something hypoallergenic

• Avoid opening blisters as the skin underneath is very susceptible to infection and irritation.

Sunglasses

I am not sure if there is anything more cute that a chubby baby in sunglasses!

However, not all sunglasses were created equal. Sunglasses that do not protect against both UVA and UVB rays are downright dangerous. They cause dilation of the pupil and let in the harmful rays. All of a sudden they are not so cute!! Do your research when buying sunglasses for children and make sure they do prevent these rays and are impact/shatter-resistant.

EARTH

Protective gear

“Go outside for heaven’s sake!” Well I sure heard that a lot as a kid. And for good reason, as getting good exercise is never easier than in the summer. The days are long and school is a distant memory. The importance of protective gear in play cannot be overstated. When riding a bicycle — just wear the helmet already!! The good news is that they are now cool and decorative as well as a great way to protect your noggin. Elbow and knee pads are also important, especially with skateboarding. If you are in organized sports, be sure to have the head/face and arm gear appropriate for that sport.

Children need to run and play. It is our job to make sure that they are safe. And no, bubble wrap is not the answer. The American Academy of Pediatrics is dedicated to health and wellness of children and is a great resource for information. Go to healthychildren.org for questions related to all child safety topics.

Dr. Paula Stuebben is a pediatrician at Tiger Pediatrics. She is accepting new patients.

Kurt P. Bormann, MD

Orthopedics: Shoulder Replacement; Columbia Orthopaedic Group

Igrew up in Iowa on a farm with two older sisters. We raised hogs and farmed land. I went to the local high school and played sports year-round. After graduating, I went to Truman State and played football. I graduated with a degree in Exercise Science and then attended medical school at the University of Iowa. Following that I spent five years in orthopedic residency in Omaha and then a year overseas for fellowship. I’ve lived in Columbia since 2011. I am married and have three boys.

Why did you get into the health care field? I was drawn to the medical field because of the challenge and, of course, the desire to help others.

What interested you in your particular specialty? Orthopedics was actually about the only field of medicine I enjoyed while I was in medical school. That made it a fairly easy decision on what I hoped to do in residency and for a career. I enjoyed shoulder surgery because of the ability to do joint replacement, arthroscopy, and trauma.

What is the most rewarding part of your job? The most rewarding part of my job is the satisfaction I see from patients when they go from a situation where they are in pain daily to improved function and very little pain following surgery.

What is the most challenging aspect of your job?

The most challenging aspect of my job is helping patients handle complications following their procedures and getting them back to health.

What do you see changing in health care in the next 5 to 10 years? Regarding the future of healthcare, I suspect that changes with insurance providers and Medicare will be one of the biggest challenges faced by providers and patients.

What advice would you give someone looking to become a doctor? Anyone looking at becoming a physician will have to consider the length of time involved in reaching that

goal, the associated cost, and weighing the time and cost with the satisfaction in helping patients as specifically as a doctor. There are many paths in healthcare that lead to a satisfying career.

What do you enjoy doing outside of work? I enjoy spending time with my wife, children, family, and friends. We do a lot of traveling, attending concerts, and watching the kids’ athletics.

What advice would you give to someone who is going to be a patient in a hospital for a period of time? I think one of the most difficult aspects of being a patient in the hospital for an extended period of time is not getting frustrated or not developing a sense of hopelessness. Try to have faith in your providers and in the process.

Kristin Walker, BSN, RN, PMGT-BC

Staff Nurse 4-P Pain Management

Iwas born in Louisville, Ky. After several moves to different states while I was growing up, I ended up back in Kentucky at the University of Louisville where I received my BSN degree in 1995. I met my husband Brian while in nursing school and moved to Columbia, Mo in 1995. We married in 1997 and have two daughters, Alexis 22, and Brooke 20. In July of 2022, I became the first nurse at Boone Health to obtain a certification in Pain Management.

Why did you get into the health care field? I think healthcare was in my blood. My father is an OB/GYN, my mother is a registered nurse, and my stepmother was a nurse practitioner. I can remember working at my father’s private practice right out of high school and knew then that I wanted to pursue nursing.

What interested you in your particular specialty? I started my first nursing job at Boone Hospital in 1995 and worked Neurology/Orthopedics. From there I worked in PACU for 4 years. I started working with Donald Meyer, MD in Pain Management in 2003 and have worked with him ever since.

What is the most rewarding part of your job? The most rewarding part of my job is seeing the patients who are having such severe pain get better with our treatments. I love the relationships that I have formed with our patients through the years.

What is the most challenging aspect of your job? Sometimes not all treatments are successful for patients, so that can be a challenge to try and “figure out” the best treatment plan.

What has changed in your field since you started practicing? I started in Pain Management in a private practice, then integrated to a Surgery Center, and for the past 6 years, have been back at Boone Hospital with two physicians and two nurse practitioners. There are new techniques and procedures that have evolved in the past 21 years.

What do you see changing in the next 5 to 10 years? I would predict that insurance companies are going to put even more constraints on what they deem acceptable, making it more difficult for patients to obtain quality care for their pain complaints.

What do you enjoy doing outside of work? I enjoy spending time with my family and our golden retriever, Nala. My youngest daughter goes to college out of state and runs track and cross country, so we travel as much as possible to see her compete. My oldest daughter recently graduated from MU School of Nursing and moved to Texas, so we hope to travel to see her as well.

What advice would you give someone looking to become a nurse? I would say, you would be getting into a field that can offer you many different types of nursing opportunities. If you love interacting and helping others, this is your calling. I love my job and especially the people I work with and would not change it at all!

LEADER OF THE YEAR

Shanna

Marshall

Our Leader of the Year, Shanna Marshall, has been highly respected across Boone as a problemsolver who is motivated by compassion for our patients and employees alike. Shanna has worked at Boone Hospital for 27 years. One of Shanna’s peers said,“Patient Care is their mission; effective Leadership is their passion.” In 2023, she led initiatives to maintain our high standards of patient care while improving our throughput, length of stay, and financial sustainability.

2023 Celebrating

EMPLOYEE OF THE YEAR

David

Forte

Our Employee of the Year, David Forte, was our January 2023 Employee of the Month. David has worked for Boone Hospital for 33 years. He is greatly appreciated by his team members for his positivity, work ethic, and emphasis on communication. He encourages respect and trust within his unit and has a very team-oriented approach. David is an exemplary employee, showing integrity, dependability and reliability.

Spicy Thai Shrimp Salad

INGREDIENTS

• 1lb Shrimp

• 1 Head Romaine chopped

• 8 oz Spring Mix

• 2 Cups sliced Red cabbage

• 1 Sliced cucumber

• 1 red bell pepper sliced

• 1 red onion sliced

• 3 green onions sliced

• 1 bunch cilantro chopped

• 1 cup sweet Thai chili sauce

• 2 cups sesame oil

• ½ cup granulated garlic

• ¼ cup ground ginger

• 1/8 cup red pepper flakes

• 1 cup and 2 tbsp soy sauce

• 3 tbsp rice wine vinegar

• 1 clove garlic

• 1 tbsp minced ginger

• 1 tbsp sriracha

• ¼ cup sesame seeds

• 3 tbsp honey

• 1 cup sesame seeds

DIRECTIONS

1. Marinate the shrimp in ½ cup sesame oil, 2 tbsp granulated garlic, 1 tbsp ground ginger, and 1 tsp red pepper flakes overnight or for at least 2 hours.

2. Marinate the cucumbers in ½ cup sesame oil, 2 tbsp granulated garlic, 1 tbsp ground ginger, 1 tsp red pepper flakes for 30 minutes or overnight.

3. Make your lettuce mix by adding your chopped romaine, spring mix and sliced red cabbage in a bowl together.

4. Skewer your marinated shrimp and preheat gas grill to medium heat. Cook on both sides for 2 minutes or until the internal temperature reads 145 degrees. Right before pulling your shrimp off the grill, brush each skewer with sweet Thai chili sauce.

5. Make the vinaigrette by adding all the ingredients in a blender and drizzle the remaining sesame oil in slowly the vinaigrette will thicken slightly.

6. Add your cucumbers, peppers, red onion, shredded carrot, green onion, cilantro to the salad mix bowl then add your vinaigrette and toss everything together in the bowl.

7. You can keep the shrimp hot or cool it down and place them on top of your salad bowl.

8. Enjoy! By Jason Anderson, Boone Health Chef

Grow Stronger to Grow Your Garden!

These strength and stability building exercises can help you safely complete your summertime projects.

Missouri in summertime includes BBQs with family and friends, lounging by the pool, and, if you’re like me, cheering on the St. Louis Cardinals. Summertime also includes tackling projects in our yards, landscaping, or working in the garden. For many of us, these projects can be daunting. A standard bag of mulch from Lowes or Menards can weigh anywhere from 20 to 40 pounds and many landscaping stones and bricks weigh nearly as much. Considering that most outdoor projects require several of these products, it’s important to know how to move hefty items safely and e ectively. Learning how to bend and pick up items in a safe manner can prevent injury and soreness. ese exercises can help build your lower body and trunk muscles and create safe and e cient movement patterns to tackle your summer projects.

Romanian Deadlift (RDL)

is is a very e ective and simple lift to strengthen muscles of the lower back, glutes, and hamstrings commonly used to pick up heavy objects. Stand with your feet shoulder width apart in an upright posture. Hold a dumbbell in each hand or a barbell with both hands. Hinge at your hips while you push your glutes back and lower the weight in front of your body. Keep a straight back and legs while keeping your knees slightly bent. Lower the weight to the midpoint of your shin or until you begin to feel a gentle pull in your hamstring. Brie y pause at the bottom of the motion then, using your glutes and hamstrings, stand and return to the starting position. Remember to maintain a straight back as you return to starting position. Repeat for your desired number of repetitions.

Goblet Squat

is exercise is great for building quadricep strength and working muscles in the trunk that aid in standing and stabilizing. e goblet squat’s di culty can be modi ed based on your level of strength. Stand with your feet shoulderwidth apart and toes pointed forward. Keeping your chest tall, press your hips back and lower yourself into a squat position. Ensure that your knees are aligned with your toes at the lowest point. When you have reached your desired depth, press your heels into the oor, keep a tall chest, and stand back up. Goblet squats are typically done while holding a kettlebell or dumbbell with both hands close to the chest. If you use a weight, make sure to maintain a good posture and tall chest throughout the exercise. Don’t let the weight cause your chest to sink forward. If

you’re worried about squatting too low or not low enough, you can place a chair or bench behind you to help you reach your desired depth. While squatting down, tap the chair with your back side before standing up again.

Farmer’s Carry

If you’re a fan of strongman competitions, you’ve likely seen the farmer’s carry exercise, but you don’t need to lift outrageously heavy objects to bene t from this simple exercise. e farmer’s carry involves carrying weights in both hands while you walk a set distance. is can improve your cardiovascular tness, core stability, and grip strength. It can be performed with dumbbells, kettlebells, a trap bar, or leftover landscaping stones from last year’s summer project! As you walk, make sure your path is clear. Keep a steady upright position throughout the exercise. When you are nished walking, lower the weight gently to the ground to prevent injury or damage to the weights. Repeat for a desired number of sets.

Standing from a Kneeling Position

e ability to stand up from kneeling is crucial if you plan to be on your hands and knees pulling weeds or planting new owers. e ability to get back up with less e ort is especially essential as we get older. To start, move your dominant foot forward and place it at on the ground so that your knee is directly above your ankle. Use your hands to push up from the ground or from your dominant leg while you simultaneously bring your other foot forward. If you’re working outside, you can use a tool such as a shovel or rake, or even a tree, as a support to help yourself stand back up. Once you are up, take a moment to make sure you’re not light-headed – many people often are when they stand after being on the ground for an extended period. e RDL and goblet squat will help strengthen the muscles used in this movement. If you’re uncomfortable, practice this movement in a safe environment with someone to assist you until you are sure you can stand up with minimal assistance.

Remember, summer temperatures in Missouri average in the high 80s. Work on your outside projects early in the morning or later in the evening to beat the heat. It’s also incredibly important to stay hydrated if you are working outside. As always, if you are new to exercise, talk to your doctor before starting a new exercise routine. By Hayden Legg, ACSM-CEP

Your Financial Future, Clear and Confident

UMB Private Wealth Management

UMB Private Wealth Management cuts through the noise to provide time-tested solutions and uncomplicated advice. We ask the right questions and use the best tools for a financial strategy that aligns with your needs for today and dreams for tomorrow.

Ties,

and Blue

To learn more about sponsorship and tickets to the event, visit our website at Boone.health/Foundation. TO MAKE A GIFT TO THE FOUNDATION, SCAN THE QR CODE: SATURDAY, AUGUST 24 • BUR OAK BREWING COMPANY

Proceeds from the year’s gala celebration will support Boone Health Emergency Services, whose reach covers Boone’s 26-county service area.

The Foundation held their annual golf classic on May 6, 2024 at The Club at Old Hawthorne. Thanks in large part to our sponsors, 50 teams enjoyed a fun day of golf, raising over $105,000 to benefit the NICU and Maternal Health Unit at Boone Hospital. Thank you to all who made this day a rousing success! We are grateful to our sponsors:

Scorecard Sponsor

A HUGE thank you to our hole sponsors and in-kind sponsors.

Hole Sponsors:

• Midwest Alarm Services

• Morrison Healthcare

• Boyce & Bynum

• BreakTime

• Septagon Construction

• Cardinal Elevator

• Columbia Landcare

• Will Electronics

• Meyer Electric

• Healthcare Services Group

• Environmental Engineering

• Paytient Technologies

• Nichols Mohs & Skin Surgery

• United Mechanical Services

• Fitzgibbon Hospital

• Columbia Insurance Group

• Harold Butzer

Event Donors and in-kind sponsors:

• Orscheln Industries

• Modern Litho

• Shelter Insurance

• Macadoodles

• Logboat Brewing Company

• Waves Cider Company

• American Document Solutions

• Fast Yowie

• 7 Brew Coffee

• Peak Sport & Spine

• Craig and Monica Collins

• Genie Rogers

• Joss and Kristen Fernandez

• Bill and Jolene Schulz

• Arlene and Terry Heins

• Jack and Terre Franken

• Jim and Carol Roller

• Stephanie Goans

• Erica Pefferman

• Dianne Lynch

• Jan and Wilson Beckett

• Pat and Lynn Hostetler

• Sycamore Restaurant

• Kent’s Floral Gallery

• D Rowe’s

• Pappo’s

• First Watch

• El Maguey

• The Club at Old Hawthorne

• Country Club of Missouri

• Casey Buckman Photography

• The Strand Salon

• Kansas City Chiefs

• MOSY

• B & B Bagels

• Murry’s

• My Sister’s Circus

• Rich Prinkey

• Boonique Gift Shop

Refresh Station Sponsors

• Hitachi Energy

• Rusk

Foundation Champion

Gift Sponsor

Lunch Sponsor

Prize Sponsor

Snack Sponsor

19th Hole Sponsor

19th Hole Sponsor

Marketing Sponsor

SATURDAY, AUGUST 24 TH