Friday, October 12, 2012
FALL INTO GOOD HEALTH
PAGE 1
HEALTH FALL 2012
www.Wasecacountynews.com
PAGE 2
FALL INTO GOOD HEALTH
Breast Cancer
3
Fast Facts on Cervical Cancer
4
How to Reduce Perscription Costs
5
Tinntius
6
How to make Informed Healthcare Decisions
7
What to look for in an Elder Care Facility
8
Safeguarding a home for an Eldery Relative
9
The Five most deadly cancers
10
Put your best Smile Forward
11
Fall Into Good Health Fall 2012
A special project of the Waseca County News 213 2nd Street NW, Waseca, MN 56093 507-835-3380
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Friday, October 12, 2012
Friday, October 12, 2012
FALL INTO GOOD HEALTH
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B
reast cancer is the second most diagnosed cancer among women after skin cancer according to the American Cancer Society. During October, Breast Cancer Awareness Month, a nationwide effort is made to increase awareness and raise funds to find a cure for the disease.
reast Cancer The Second-most Diagnosed of all cancers...
At the Mayo Health System - Waseca they get extremely busy providing mammograms in October, according to Meghan Vollbrecht, radiologic technologist. Mammograms are given in one-half hour time slots but take approximately 20 minutes to complete and the X-ray could save a woman’s life, she said. “It’s worth it,” Vollbrecht said.
By Ruth Ann Hager, Correspondent
Waseca physician Dr. Amy Dettmer said there are lots of different schools of thought regarding the frequency of mammograms. According to the Centers for Disease Control and Prevention, the best way to find breast cancer early is with a mammogram. However, a 2010 landmark and sweeping recommendation by the U.S. Preventive Task Force discouraged women between the ages of 40 and 50 from routine screenings. The American Academy of Family Physicians, of which Dettmer is a member, recommends that women in that age group discuss the risks and benefits of mammograms with their doctor who would make a recommendation on a person to person basis.
See Breast Cancer, Page 4
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FALL INTO GOOD HEALTH
Friday, October 12, 2012
Breast Cancer,
The Second-most Diagnosed of all cancers... Continued from Page 3
“It’s very important to have that conversation with your doctor to determine what’s right for you,” she said. In addition, Dettmer said, “Once you obtain a mammogram, you have a baseline.” Based on that, a radiologist is able to recommend whether further tests are necessary following a mammogram. “Any established patient can come in for a mammogram,” she said. However, Dettmer recommends a routine physical first which includes a discussion on mammograms. Most of the time, a mammogram reveals no further testing is required, she said. If it is, an additional mammogram would include additional views followed by further imaging with ultrasound, if necessary, Dettmer said. Patient-centered and individual care is the focus, Dettmer said. “It’s important to come and talk to your doctor, to have a breast exam and follow that with a mammogram.” The medical field has made “tremendous progress in both treatment and diagnosis,” she said. While there are different schools of thought about the recommended frequency of mammograms, Dettmer said women should make sure their doctor knows what the current recommendations are. “That’s my responsibility,” she said. Because of well funded fundraisers such as Race for the Cure, advances are being made in cancer treatment and diagnosis, including digital mammograms and real time radiologist reading. Screening at the Waseca facility includes follow-up the same day by a technician who calls the patient regardless of what is seen or not seen on the mammogram, Dettmer said. “It’s been a real huge patient satisfier for us,” she said.
Meghan Vollbrecht, radiologic technologist at Mayo Health System - Waseca, adjusts a mammography X-ray machine. (Ruth Ann Hager/Waseca County News)
Trevor Krawchuk, manager of imaging services at the Waseca Medical Center, said they have had lots of experiences of early diagnosis following mammograms. “If a patient comes in with a breast concern, she will receive a same-day mammogram with same-day results,” he said. Imaging studies are sent to Mankato where a radiologist will view the test to see if an ultrasound is needed. That would also be performed the same day, he said. While the standard turn around for mammograms is five days and for screening is seven days, their turnaround is the same or the next day. Krawchuk said the clinic regularly gives five to 12 mammograms a day. In October the number is up to 15 a day, often with a backlog. As for the value of mammograms, Dettmer said, “We’ve all had patients who have benefited [by early detection of breast cancer].” “See your doctor,” she said.
No one wants to think about contracting a disease or facing a life-threatening illness like cancer. But knowing about risk factors and getting educated about signs and symptoms can make a difference in early detection and treatment. With most cancers, the earlier the diagnosis, the best chance for survival. Cervical cancer affects thousands of women in North America. It begins in the cells of the cervix, essentially the gateway between the vagina and the uterus in the female reproductive system. Before cancer develops, the Canadian Cancer Society says that abnormal cells in the cervix will develop. But there’s more to know. Here are some facts about cervical cancer.
• Every 47 minutes, another woman in the United States is diagnosed with cervical cancer. • The disease is caused by a sexually transmitted virus called HPV. • There are rarely any symptoms of cervical cancer early on that can be detected by the average woman. That makes routine examination and testing by a doctor important.
• Cervical cancer is detected through a PAP test, where cells from the cervix are collected in the doctor’s office and then examined in a lab. • Most women diagnosed with cervical cancer are under the age of 50. • All women who have been sexually active are at risk for cervical cancer.
Friday, October 12, 2012
FALL INTO GOOD HEALTH
How
F
PAGE 5
to reduce prescription medication costs....
or the millions of people who rely on prescription medications every day, the day when a drug faces generic competition is one many circle on their calendars. That’s because generic prescriptions are often significantly less expensive than brand name medications, and consumers are able to save substantial amounts of money once a brand name drug faces generic competition. But many men and women currently taking a brand name prescription might be quick to point out that, while generic medications cost less, brand name prescriptions often rise in price in the months before they face generic competition. Such was the findings of a 2011 study from the AARP Public Policy Institute that examined the 217 brand name drugs most commonly used by people in Medicare. Prices of drugs facing generic competition in 2010 rose by an average of nearly 14 percent in 2009, an increase that was nearly twice the amount of all other drugs. So while drugs might be more affordable once they can be purchased generically, consumers can expect brand name drug manufacturers to drastically increase their prices in the months prior to facing generic competition, as the manufacturers are, in a way, looking for one last big revenue score before their patents expire. That’s a troublesome reality for anyone taking a brand name prescription, but especially so for older men and women living on fixed incomes. Though drug manufacturers aren’t likely to change their practices, there are still ways men and women can reduce prescription medication costs. • Ask for generics. If there are generic alternatives to brand name medications available, always ask a physician for those medications instead of their more expensive brand name counterparts. Don’t just assume a physician will prescribe generics. Sometimes doctors prescribe brand name medications despite the availability of cheaper and equally effective generic medications. • “Test drive” a drug first. Just because a doctor prescribes a drug doesn’t mean the patient will respond to that drug. Many men and women find they are too sensitive to a given medication and stop taking it after just a few days. Unfortunately, they paid for a full prescription and cannot return the pills they don’t plan to use. Individuals who have a history of sensitivity to medications should “test drive” a drug first, ordering just a few pills or asking a physician for samples to see how well the body handles them. This won’t necessarily matter for people with flatdollar copayments (you will essentially have to pay two copayments if the drug proves effective), but those without such a plan can save themselves some money if medication does not work out.
On a similar note, men and women taking medications for two different conditions might also be able to take just one medication that treats both conditions. For instance, some blood pressure medications have proven effective at treating other conditions as well. But don’t experiment on your own. Consult your physician about your medications and ask if any of them can be used to effectively serve double-duty and save you money. • Look for programs that offer relief. There are programs that offer some relief with regards to paying for prescription medications. Discuss such plans with a physician to determine your eligibility, which might be determined by your age or current prescriptions.
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• Buy in bulk. Men and women who have been taking a certain medication for a long time and expect to keep taking it might want to consider buying the medicine in bulk. This can save money; just make sure pills purchased won’t surpass their expiration date before you take them. • Inquire about combination medications. Sometimes medications used to treat the same condition can be purchased as combination pills. This will only require one prescription instead of two.
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FALL INTO GOOD HEALTH
Friday, October 12, 2012
Tinnitus
R
inging, high-pitched noises and other ambient sounds that seem to be emanating from deep within the ear are often signs of tinnitus, which is generally a symptom of some other medical condition.
The Mayo Clinic says that one in five people are affected by tinnitus. It may result from age-generated hearing loss, an ear injury, exposure to loud noises, or even a circulatory system disorder. Though not always serious, tinnitus can be very bothersome for the person experiencing it. Understanding what causes tinnitus and the ways to cope with it can provide some measure of relief. Causes of tinnitus There are several different factors that can contribute to the onset of tinnitus, though in some cases the actual cause is never identified. Here are the most common conditions that may lead to tinnitus. • Earwax blockage: Earwax is a natural defense against dirt and bacteria. It is formed to trap these particles and naturally eject them from the ear. Over time an abundance of earwax may form and accumulate, making it hard for it to go away naturally. This may cause pain, hearing loss and irritation of the eardrum. Any one of these factors also may lead to tinnitus.
AMY SWAIN HEARING CENTERS
• Ear bone changes: All bones in the body are subject to stiffening or arthritic-like conditions, including inner ear bones. Stiffening of middle ear bones may affect hearing and cause tinnitus. This is a condition that usually runs in families. • Unprotected exposure to loud noises: Those who have attended a concert or a fireworks display may have walked away afterward with a temporary ringing in the ears. Frequent exposure to loud noises without the use of earplugs or special noise-blocking headsets may cause permanent damage. Even listening to portable music devices may cause tinnitus if See Tinnitus, Page 7
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Friday, October 12, 2012
Fall Into Good Health
PAGE 7
Get to the Root of Tinnitus... Continued from Page 6
• Other causes: Everything from head and neck injuries, depression, stress, Meniere’s disease, and benign tumors forming in the cranial nerve or elsewhere may lead to tinnitus.
Treatment options Tinnitus is often more of a nuisance than a serious health condition. However, prolonged ringing or noise in the ear may affect concentration and sleeping patterns, which can lead to other health problems.
Symptoms Many people think tinnitus only constitutes a high-pitched ringing in the ears. Actually, tinnitus can take the form of ringing, pulsing, a heartbeat sound, buzzing, hissing, roaring, or even clicking. Any noise in the ear(s) constitutes tinnitus.
Doctors may be able to diagnose the source of the tinnitus and treat the underlying condition, such as earwax removal, thus reducing the tinnitus. When a source cannot be found, a doctor may recommend a noise suppression device. These white noise generators can distract from the internal noise in the ear.
In many cases tinnitus is something only the person suffering can hear, called subjective tinnitus. In some cases a doctor performing an examination may be able to hear the tinnitus also, called objective tinnitus. This is rare and generally the result of blood vessel problems or an inner ear bone condition.
Changes in medication or use of certain antidepressants or anxiety medications may also reduce the severity of symptoms. However, these may be accompanied by additional side effects.
played loudly for extended periods of time.
If tinnitus is overly bothersome or is accompanied by dizziness or pain, consult a doctor.
How to make informed healthcare decisions The typical healthcare patient has changed in recent years. No longer are individuals putting all of their healthcare decisions into the hands of nurses and doctors. Patients are more informed than ever before and are interested in taking a more active role in their own care. Thanks to the Internet, people are able to access information that, in the past, was not easily available. A few decades ago, medical data may have been elusive and filled with confusing jargon the layperson might not have understood without a crash course in biology. However, today there are different Web sites that clearly spell out information about certain illnesses and diseases. This means that patients may no longer be walking blindly into appointments with doctors. Facing an illness is never easy, and the decision-making abilities could be hampered by emotions and the desire to improve as quickly as possible. Patients who do not have all of the facts may have to rely solely on the expertise of caregivers and physicians when making important healthcare decisions. By knowing the avenues of information, a patient can find assistance with careful decision-making. While learning about an ailment is important, there are some things to consider. • The Internet isn’t foolproof. Many online medical sites are very reliable and offer a wealth of pertinent information. They can be good starting points when seeking out information on a particular condition. It is in your best interest to visit sites that are well-known and monitored by respected medical affiliations. Other sites may be peppered with exaggerated claims or misinformation. Therefore, do not go by online information alone. • Don’t self-diagnose. It can be easy to use the Internet as a means to narrowing down symptoms and making assumptions about what ailments you may have. Instead of using the Internet to self-diagnose your condition, leave the diagnosis up to your doctor and rely on online information after you are diagnosed. This can improve your understanding of the condition and any potential treatment options. • Seek other avenues of information. You should never hesitate to seek a second opinion or go to a published medical journal to find out more about a condition. You have rights as a patient to be comfortable with the advice doctors give and be as involved in your treatment as you want to be.
• Online forums could be more harm than help. Many people turn to online forums and blogs to gain more insight into particular diseases. While these forums may be good sources of support, information published on these sites could be misleading, inaccurate or unsafe. Before trying any proposed treatment, it is best to consult with your doctor. Having a general knowledge of a medical condition can enable healthcare consumers to make more informed decisions about their situations.
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FALL INTO GOOD HEALTH
Friday, October 12, 2012
What to look for in an
A
Elder Care Facility
s men and women enter their golden years, many decide they can no longer maintain their homes and choose to downgrade to something smaller, be it an apartment or a condominium. For millions of others, health plays a significant role when deciding where to move when it’s time to sell their homes. According to the AARP, slightly more than five percent of people 65 years and older reside in nursing homes, congregate care, assisted living, and board-and-care homes. Statistics Canada notes that by 2004-05, the most recent year for which statistics are available, one in 30 Canadians over the age of 65 were living in homes for the aged. Though no one plans to live in a nursing home, seniors and their families should at least know what to look for just in case. Determine Individual Needs Men and women researching potential living facilities might find it difficult to determine their specific needs. Unforeseen health conditions, for instance, might dictate which option is the best fit. Men and women who have a medical condition that requires routine monitoring will almost certainly want a skilled nursing facility. But those without medical conditions who need help with simpler tasks of everyday life are likely to have those needs met by an intermediate facility. Some facilities provide both types of care, which can make transitioning from one to another much easier if or when that need arises. Facilities typically have intake planners on staff who evaluate each individual and determine which level of care is the best fit. Research Policies and Procedures Each facility should be ready and willing to share and discuss its policies and procedures with regards to residents. What is the procedure when a resident has a medical emergency? What if a resident finds a living situation unpleasant? What is the facility’s philosophy regarding staff and resident interaction? What are the facility’s hiring practices, including certification requirements, for its personnel? What is the ratio of staff to residents? Each facility should be able to answer these questions promptly and adequately. Those who can’t should be checked off the list of residences to consider. Facility Ratings According to the AARP, recent research has shown that nonprofit nursing homes offer higher-quality care, better staff-resident ratios, and have fewer health violations than facilities managed by for-profit companies. Men and women researching facilities can visit Caring.com, an online resource for men and women caring for aging relatives. The Web site enables adults to compare nursing homes in their areas, including if a home is for profit or nonprofit, and the home’s capacity. U.S. residents can even learn each facility’s Medicare ratings, which are determined by examining the safety of the facility and its overall quality of care and a host of other factors. Get a Firsthand Account of the Facility Before choosing a facility for themselves or an elderly relative, individuals should spend some time at the facilities they’re considering to get a firsthand account of what life at that facility is like. Observe the staff interactions with residents, including if they address residents with respect and patience. How do the current residents look? Are they unkempt and left to their own devices, or do they appear
A host of factors, including staff interaction with residents, should be considered when choosing an elderly care facility.
well groomed and are they encouraged to interact with other residents? Does the facility seem warm and welcoming, or is it antiseptic? The move to an elderly care facility is often difficult and sometimes depressing, so each of the above conditions can carry significant weight when choosing a facility. Finding a nursing home or a similar facility for yourself or an aging relative is not necessarily easy. Men and women facing such a difficult decision should begin the process as early as possible to ensure they find the facility that is the best fit. Care Center
New Richland
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Many other specialized services and accommodations…
312 1st St. NE, New Richland 507-465-3292 Fax: 507-465-3403 www.newrichlandcarecenter.com
Friday, October 12, 2012
FALL INTO GOOD HEALTH
PAGE 9
Safeguarding
a Home for an Elderly Relative
S
ince the economy began to slip, a notable and often newsworthy trend reported on across the country was the growing number of “boomerang” kids. After a brief period living on their own, boomerang kids return to live with their parents, mimicking an actual boomerang that returns to where it started after a brief period away. While boomerang kids might get the most publicity, another trend has also been steadily growing. According to the Pew Research Center, 20 percent of individuals age 65 and older lived in a multigenerational household in 2008. That marked a 3 percent increase from 1990. While there’s no single reason why more and more elderly residents are moving in with their adult children, the still-struggling economy has likely played a significant role. Elderly men and women who lost retirement savings as the market tumbled can no longer afford the costly expense of an assisted living facility, causing many of those people to move back in with their children.
use the restroom or get a glass of water in the middle of the night. Clear Out the Clutter
For adult children welcoming a parent or an in-law into their home, a common priority is to ensure the home is safe for an elderly resident. Some safety measures might be easier to plan than others, but the following guidelines should help adults prepare their homes for the arrival of an elderly housemate.
A cluttered home is a fire hazard regardless of whom is living inside. However, a cluttered home is also a considerable safety risk for seniors. When preparing a home for an elderly resident, be sure the bedroom is not overcrowded. Make certain there is a clear path in which elderly residents can walk around the bed.
Reduce Risk of Injury in the Bathroom
Clutter can also collect in the living room. Ideally, elderly residents should have a clear path on which to walk from room to room. Make sure cords from the entertainment system are bundled and not lying open in the floor. In addition, magazine or newspaper baskets should be moved away from where residents will be walking.
Perhaps no room can be more difficult or seniors to navigate than the bathroom. Wet tiled floors can greatly increase the risk of falling, so men and women should make sure to have bathroom rugs that are slip-resistant. Slip-resistant rugs typically have a rubber bottom and won’t move even if the floor is wet. Another step to secure the bathroom is to install grab bars on the walls, including in the bathtub and next to the toilet. Also, make sure the towel bars are secure, as seniors might grab onto towel bars if they feel they are about to fall or need to regain their balance. As for the bathtub, be sure to place a non-skid mat or strips on the standing area. This can help secure arguably the riskiest part of a home not just for elderly residents but all inhabitants of a home. According to the National Safety Council, most falls in the home occur in the bathroom. Securing a slippery tub with nonskid mats or strips can greatly reduce the risk of a fall.
Clutter can also collect outside the home, particularly in homes with young children. Explain to kids that their toys need to be put away and kept off of walkways to help Grandma and Grandpa avoid injury. Homeowners who love to work around the house should also clean their work areas thoroughly and put everything away before calling it a day. The above are just a few of the many steps homeowners can take to make their homes safer for elderly guests.
Keep the Home Illuminated Understandably, many homeowners look to save money around the house, and turning off the lights at night is both common and financially savvy. However, when a home has an elderly resident, it’s best to ensure the home is at least partially illuminated. Nightlights should be used in hallways and along the staircase as well as in the bathroom and the kitchen. Elderly residents likely won’t be familiar with where the light switches are, at least not immediately. So keep the house at least partially illuminated overnight in case a senior housemate must wake up to
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FALL INTO GOOD HEALTH
Friday, October 12, 2012
of cancer, characterized by their location in the body and abnormal cell growth in that area. Millions of dollars have been raised and spent on cancer research and finding new and innovative methods of treatment. Although the five-year survival rate for those with cancer in the United States has improved considerably over the last three decades, the National Cancer Institute still lists many cancers as the primary killers of many people. Here is the most recent classification of the five cancers that claim the most lives each year. 1. Lung cancer: Lung cancer is responsible for more deaths than any other cancer. Roughly 160,000 people succumb to lung and bronchial-related cancers each year. Although it is the most deadly, it is also the most preventable, as many cases of lung cancer are the result of certain lifestyle choices. Quitting smoking is the single most effective way to reduce your risk of lung cancer. 2. Colorectal cancer: In 2008, 52,857 Americans died from colorectal cancer, says the CDC. Most cases of colorectal cancer begin with groupings of small, benign cells called polyps that over time become cancerous. Screening is necessary to check for cancer of the colon and rectum, but because they are embarrassed and uncomfortable, many people avoid preventive measures. 3. Breast cancer: The second most common cancer in women, breast cancer can affect both sexes. It is also the most deadly cancer among women, with roughly 35 percent of the cases in the United States resulting in fatality.
The five most deadly cancers Cancer has surpassed heart disease as the foremost cause of death for people in North America. A cancer diagnosis can be life-altering. Although there are many successful treatments for cancer, there is no definitive cure. Plus, certain cancers continue to be more ominous than others.
4. Pancreatic cancer: The pancreas aids in digestion and metabolism. This cancer is deadly because it is difficult to detect in its early stages, as it does not always produce symptoms and the cancer tends to progress rapidly. Pancreatic cancer claims around 40,000 lives each year. 5. Prostate cancer: Prostate cancer is exclusive to men and is the second-leading cause of cancer deaths among them, according to the NCI. This type of cancer forms in the prostate, a gland that produces seminal fluid that carries sperm. It is estimated that 28,000 men will die from prostate cancer in 2012.
Although many cancers are fatal, survival rates are improving. Thousands of people diagAccording to the Centers for Disease Control and Prevention, there are more than 100 types nosed with cancer beat the odds and go on to live healthy, disease-free lives.
Friday, October 12, 2012
FALL INTO GOOD HEALTH
d
est Smile B r For ou Y wa t r Pu
PAGE 11
can help alleviate concerns and a dentist can suggest varieties available that will best fit one’s needs. Most people look to the Fixodent brand because of its superior benefits. “With the 12 hour hold of Fixodent, I can wear my dentures all day without worrying about them getting loose or having to re-apply it,” says Beverly R., a Fixodent user. George G., who also took the Fixodent 12 Hour Hold Challenge, offers, “I can eat any type meal or chew gum without fear that my denture will fail me.” Fixodent Original is the most popular denture adhesive of the Fixodent line, providing a great fit and a strong, long hold. The product allows denture wearers to eat, laugh, talk, and enjoy life with confidence. The adhesive holds for 12 hours, enabling people to no longer worry about their dentures. The product is guaranteed to have staying power or Fixodent will refund the cost.** For more information about Fixodent, advice from denture experts and denture wearers, visit www.dentureliving.com. The website discussion board is a place to connect, share, and learn from others who are either considering or living with dentures.
S MILE
M
illions of people rely on dentures to improve their smiles and oral health. Thanks to years of advancement in the design and fitting of dentures it can be nearly impossible to detect dentures from real teeth. However, loose dentures can make people self-conscious or uncomfortable, with fear that they will fall out when they least expect it and put them in an uncomfortable situation. Keeping dentures secure the entire day is one of the primary desires for denture-wearers and is a key approach for people to put their best smile forward. Dentures are prosthetic devices that mimic the look of a full set of teeth for individuals who have lost teeth, or may have required extractions due to poor oral health or bone loss. History has found that dentures date back to around 700 BC.
*All Statistics came from the “Fixodent Beauty & Aging Survey.” The Fixodent Beauty & Aging Survey was conducted by Wakefield between August 22nd and August 31st, 2009. For this research, 504 interviews were fielded among nationally representative American women ages 40 and older using random-digit telephone dialing. Quotas were set to ensure reliable and accurate representation of the total U.S. population of women ages 40 and older. As part of this survey, an oversample was also fielded by telephone to reach a total of 202 women, ages 40+, who wear dentures Results of any sample are subject to sampling variation. The magnitude of that variation is measurable and is affected by the number of interviews conducted. For the 504 interviews conducted among women 40+, the chances are 95 in 100 that a survey result does not vary, plus or minus, by more than 4.4 percentage points from the result that would be obtained if interviews had been conducted with all persons in the universe represented by the sample. For the 202 interviews conducted among women who wear dentures, the chances are 95 in 100 that a survey result does not vary, plus or minus, by more than 6.9 percentage points from the result that would be obtained if interviews had been conducted with all persons in the universe represented by the sample.
But even the best-looking denture set can be a nuisance if they are loose or don’t stay in place. Denture adhesive, like the No. 1 dentist recommended brand Fixodent, can help alleviate some of the common problems associated with dentures. Support, stability and retention are the common principles of well-fitting dentures. For the 33 million people of all ages and walks of life that have dentures or are considering them, there are some important things to consider. First and foremost, individuals realize they are not alone with their concerns. According to a recent “Fixodent Beauty & Aging” study* of women age 40 and older, the prospect of eventually needing dentures is a common fear. Additionally, men also have reservations about wearing dentures with confidence. Finding the right denture adhesive
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PAGE 12
Fall Into Good Health
Friday, October 12, 2012
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HyVee Pharmacy is open 7 days a week Monday-Friday 9am-8pm Saturday 9am-5pm Suday 11am-3pm
Come in and meet our Dietitian Amy Scheuerell, MS, RD, LD, CPT. Find out more on Pharmacy, Hy-Vee Dieticians, Healthy Bites, Merck Source, Live Healthy American and much much more at HyVee.com - Click on HEALTH
1230 N. State St., Waseca 507-835-8030 OPEN 24 HOURS