Hello,

I just wanted to let you all know about my wonderful labor and delivery experience.

Our son, Taylor, was born at your hospital in February of 2016 and it went very

well...Our daughter, Sophia, was born just 2 weeks ago and it was such a mem-

orable experience. I cannot say enough good things about the Stewart Memorial

doctors and OB nurses! I had several different nurses during my 2 night stay

and they all took such great care of Sophia and I. They made us feel like family.

My husband is the best support system, but I truly feel that my nurses helped my

labor and delivery go that much more smoothly. My nurse, Susan, happened to be

with me when our daughter was born... she knew which positions would help my labor

move along. I also really wanted to nurse after Sophia was born so that she would

receive colostrum. I have always had a hard time with helping my babies latch on, so

she assisted. We had a great first feeding!

Not only do I adore the nursing staff, but also the accommodations. I think moms

should be pampered after delivery :) Stewart Memorial definitely makes sure that

happens. Both times I delivered there I felt like I was staying in a nice hotel ;)

After just having a baby I was able to enjoy room service and a nice whirlpool bath.

Then the dietary staff sent us home with a nice meal that we could enjoy together. All

of these extra touches added to the already wonderful experience of having a

new baby.

My doctor happens to be Dr.

Susan Hornback....she and Danni Anderson are

two of my very favorite people. Their entire staff is so caring... I like to ask a lot of

questions ;) They always take the time to answer them and they never make me feel like

they’re rushing to go to the next room. I know that my husband and I and our four

kids are in good hands when we visit Dr. Hornback or Danni.

The registration staff, the lab techs, the pharmacy, and radiology staff are all so friend-

ly. A couple months ago I had brought my 3 boys in because my son was sick. We

stopped at the cafeteria to get some Sprite for his upset stomach. When I went to

pay I didn’t realize I didn’t have any cash on me. One of the hospital staff was in

Stewart Memorial Community Hospital

Health CareConnection

Thanks for Outstanding Experience

Fall 2017 www.stewartmemorial.orgCommitted to quality health and wellness for you and your family

Memorial doctors and OB nurses! I had several dif-ferent nurses during my two night stay, and they all took such great care of Sophia and me. They made us feel like family.

My husband is the best support system, but I truly feel that my nurses helped my labor and delivery go that much more smooth-ly. My nurse, Susan Stevens, happened to be with me when our daughter was born. She knew which positions would help my labor move along. I also really wanted to nurse after Sophia was born so that she would receive colostrum. I have always had a hard time with helping my babies latch on, so she assisted. We had a great first feeding!

Not only do I adore the nursing staff, but also the accommo-dations. I think moms should be pampered after delivery. Stewart Memorial definitely makes sure that happens. Both times I deliv-ered there I felt like I was staying in a nice hotel. After just having a baby, I was able to enjoy room service and a nice whirlpool bath. Then the dietary staff sent us home with a nice meal that we could enjoy together. All of these extra touches added to the already wonderful experience of having a new baby.

My doctor happens to be Dr. Susan Hornback. She and cer-tified physician assistant Danni Anderson are two of my very fa-vorite people. Their entire staff is so caring. I like to ask a lot of questions, and they always take the time to answer them. They never make me feel like they’re rushing to go to the next room. I know that my husband and I and our four kids are in good hands when we visit Dr. Hornback or Danni.

The registration staff, the lab techs, the pharmacy, and radiol-ogy staff are all so friendly. A couple months ago I had brought my 3 boys in because my son was sick. We stopped at the cafete-ria to get some Sprite for his upset stomach. When I went to pay I realized I didn’t have any cash on me. One of the hospital staff was in front of us and was quick to say, “Don’t worry, it’s on me.” I didn’t catch her name but was very thankful as I was pregnant and had my 3 boys with me.

Great health care is sometimes hard to find, and I truly feel blessed that I came across Dr. Hornback and Stewart Memorial!

Brandy Nagl Brandy Nagl Farnhamville, Iowa

Stewart Memorial Community Hospital received this letter from Brandy Nagl of Farnhamville who had had a great experience delivering her fourth baby, Sophia, and wanted to share her grat-itude for her medical provider and the staff who made her feel pampered during her stay.

I just wanted to let you all know about my wonderful labor and delivery experience. Our son, Taylor, was born at your hos-pital February of 2016, and it went very well. Our daughter, So-phia, was born just 2 weeks ago, and it was such a memorable experience. I cannot say enough good things about the Stewart

Photo courtesy of Rock Paper Picture

Brandy and Sophia Nagl are surrounded by staff members at Stewart Memorial Community Hospital and McCrary Rost Clinic who cared for the mom and baby during Sophia’s birth. Pictured are: (front) Danni An-derson, PA-C, Brandy and Sophia Nagl, Dr. Susan Hornback, (second row)

Amy Schumacher, RN, Lisa McGuire, LPN, (third row) Lisa Wiederin, Susan Stevens, RN, Valerie Mapel, LPN, (fourth row) Mary

Reiter, RT, Tammy Fredericksen, MLT, (fifth row) Sue Sievers, and Jane Moeller, RPh.

Volunteer Seeks Relief at Pain Solutions Clinic“The best way to find yourself is to lose yourself in the service of others.” Rex “Duffy” Buttolph and his wife, Marty, have taken Mahatma Gandhi’s words to heart. After retiring, the couple has devoted them-selves to volunteer work.

Duffy owned and operated a sanitation and recycling business in Rockwell City for 27 years, and Marty worked at the USDA FSA office for 31 years. When retirement came, Duffy and Marty decided to hit the road. Pulling a 40 foot fifth-wheel camper, the cou-ple is living their dream of traveling the country and giving back.

Their resumé reads like a travel guide. They have spent time at Ocala National Forest in Florida helping to care for machinery. They have cared for campsites at Farragut State Park in Idaho. The Havasu Wildlife Refuge in Arizona and the Craig Brook National Fish Hatchery in Maine were each home for a time to the travelers. They have volunteered at Upper Souris Wildlife Refuge in North Dakota and Leavenworth National Fish Hatchery in Washington.

Duffy portrayed Smokey Bear at Pactola Visitor Cen-ter in the Black Hills of South Dakota. A favorite story of Duffy’s is about the time he was asked to greet a group of Missoula Smoke Jumpers bike club

as Smokey. Wanting a photo of Smokey on one of their motorcycles, they physically lifted Duffy, who couldn’t manage it in the costume, and seated him. “I’m no lightweight,” Duffy laughs, “but those guys threw me around like a toothpick!”

Wherever the road leads, the Buttolphs are willing to go, volunteering their time and skills. In recent years the pair decided to stop volunteering in winter months, preferring instead to seek the warmer cli-mate of Texas. They prefer to volunteer for the U.S. Fish and Wildlife Service and have seen beautiful landscapes all over the country. Their hours of volun-teer work have earned them certificates of apprecia-tion from the parks they have served, as well as from President Barack Obama.

Duffy’s certification in heavy equipment operation piqued the interest of the National Elk Refuge in Jack-son Hole, Wyoming, and the couple were invited to work there in 2016. When Duffy’s mother entered the nursing home in Rockwell City, the pair decided to stay close to help care for her. Instead, they volun-teered their time at the Rockwell City RV Park, trim-ming trees and improving sites for campers.

That summer of cutting and dragging tree limbs was hard on Duffy. In January 2017 he had rotator cuff surgery on his shoulder while he wintered in Texas. He did physical therapy for 13 weeks. In the spring they returned to Rockwell City and worked at the RV Park. While Duffy was moving a picnic table, he fell and landed on his elbow, jamming his shoulder.

The neck and arm pain was intense and kept getting worse. For three weeks, Duffy kept hoping it would improve. “I would go from my bed to my recliner to my dining table and back to bed for three weeks straight.”

Finally, he made an appointment with certified ad-vanced registered nurse practitioner Barb Weber at McCrary Rost Clinic Rockwell City. “By that time,” says Duffy, “it hurt to breathe.” Barb referred Duffy to the Pain Solutions Clinic at Stewart Memorial Com-munity Hospital.

Duffy met with nurse anesthetists Sarah Crilly and Jeremy Johnson at the Lake City hospital for a con-

sultation. After examination, it was

Duffy Buttolph dressed as Smokey Bear and greeted guests during his assignment at the

Pactola Visitor Center

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IntroducingSarah Crilly

The providers and staff at Stewart Memorial Community Hospital and McCrary Rost Clinic are pleased to welcome certified registered nurse anesthetist Sarah Crilly.

When meeting someone new, the Sioux City native is often asked about her height and if she ever played basketball. She is quick to respond, “Yes, in fact, I played six-on-six basketball.” Sarah earned her nursing degree from Mercy School of Nursing. She worked in the neo-natal intensive care unit in Des Moines before marrying her husband and moving with him to Pocahontas.

Sarah earned her bachelor of science in nursing degree from the University of Iowa. She attended the Mayo School of Health Scienc-es where she earned her nurse anesthetist degree and then worked for seven years. She completed a pain fellowship at Hamline Uni-versity and is board certified in non-surgical pain management.

Sarah’s passion for providing pain relief for her patients began when she worked as a nurse. “Seeing the role of a rural CRNA taking care of a terminally ill cancer patient illustrated another way nurse anesthetists can serve their community. Oftentimes people think we are only in operating rooms giving anesthesia or helping women in labor.”

For the last five years, Sarah has practiced as nurse anesthetist at area hospitals. She joins Jeremy Johnson, CRNA, at the Lake City Hospital. “Jeremy and I have similar philosophies in terms of tech-niques and practices. We have very similar practice styles and will make a good team.”

She looks forward to helping patients in the Pain Solutions clinic at the hospital where she will administer treatments focused on all areas of the spine. “Pain is a multidimensional issue encompassing physical, emotional, cognitive, behavioral, spiritual, cultural and in-terpersonal layers,” says Sarah. “The goal is to improve the quality of life of our patients.”

“What’s exciting to me about the Pain Solutions clinic is the col-laborative approach we take to resolving the patient’s pain. We work with the patient’s primary care provider and specialty services like physical therapy,” she enthuses.

Sarah and her husband, Kevin, have a 10-year-old son, Brock. In her spare time, Sarah enjoys bicycling, especially RAG-BRAI, reading, watching the Iowa State Cyclones and spending time with family.

deemed Duffy needed a magnetic resonance imaging exam (MRI). He was able to have this imaging performed a few days later in Lake City. As suspected, he had a cervical disc irri-tating a nerve, causing his neck and arm pain.

Duffy returned to the pain clinic to discuss the MRI results and treatment options. Sar-ah says, “We utilized a multidisciplinary ap-proach to treating his pain.” Duffy decided to pursue invasive treatment and received a cer-vical epidural steroid injection. “Not only is it important to educate our patients about why they are experiencing pain, but also about expectations. Steroids need about a week be-fore the reduction of inflammation occurs,” explains Sarah.

After the injection, Duffy received physical therapy at McCrary Rost clinic in Rockwell City located near where his mother is living. The results were amazing for Duffy. “Sarah is a miracle worker,” he enthuses. “The Pain Solutions Clinic was super. I went from a 10+ pain rating (on a scale of 1-10) to zero pain level.”

Because of the Pain Solutions clinic, the But-tolphs’ drive to Texas for the winter was pain-free and uneventful. They plan to relax while Duffy continues to get the strength back in his shoulder from his surgery in January. Then they will be back on the road, volunteering for the U.S. Department of the Interior, do-ing what they love. Duffy says volunteering is a spiritual, uplifting experience. “It lifts your heart to help people. It’s very gratifying.”

Jeremy Johnson, CRNA

Anesthesia

Duffy and Marty Buttolph receive a certificate of appreciation for the volunteer work they did at Leavenworth National Fish

Hatchery in Washington.

Sarah Crilly, MNA, ARNP, NSPM-C

Anesthesia

According to Cancer in Iowa, a publication by the University of Iowa College of Health that compiles data collected about the disease, lung cancer is the leading cause of cancer deaths in the state. An estimated 6,200 people in Iowa will

die from cancer in 2017 with 1,670 dying from lung cancer. The Centers for Disease Control and Prevention says, “The only recommended screening test for lung cancer is low-dose computed tomography (also called a low-

dose CT scan, or LDCT). In this test, an X-ray machine scans the chest and uses low doses of radiation to make pictures of the lungs.” Stewart Memorial Community Hospital (SMCH) now offers lung cancer screening.

Lung cancer happens when abnormal cells form in the lungs and grow out of control. These cells can form a tumor and can spread to other parts of the body. Lung cancer is often diagnosed once it has spread

outside the lungs. About 9 out of every 10 people with lung cancer die from the disease because it is found after it has spread. Treatment can include surgery, chemotherapy, radiation therapy or targeted drug therapy.

The American Cancer Society says, “Usually symptoms of lung cancer don’t appear until the disease is already at an advanced, non-curable stage. Even if lung cancer does cause symptoms, many people may mistake them for other problems, such as an infection or long-term effects from smoking. This

may delay the diagnosis. Doctors have looked for many years for a good screening test for lung can-cer, but only in recent years has a study shown that a test known as LDCT scan can help lower the

risk of dying from this disease.”Yearly lung cancer screening is recommended for people who have a history of heavy smoking, are 55-80 years old, do not have signs or symptoms of lung cancer, and have not

had lung cancer before. The U.S. Preventive Services Task Force, made up of experts in preventive medicine, defines heavy smoking to mean a smoking history of 30 pack years or more. A pack year is smoking an average of one pack of cigarettes per day for a year. For example, a person could have a 30 pack-year history by smoking one pack a day for 30 years or two packs a day for 15 years.

After the five minute CT scan, the images are sent to a radiologist who will read the exam and get a report back to the ordering medical provider. The exam informa-tion is also entered into the national database and used for year to year comparison, quality improvement and to collect data for continued research.

A consideration for patients receiving LDCT is the amount of radiation they are exposed to during the screening. LDCTs expose people to a small amount of radiation

with each test. It is less than the dose from a standard CT, but it is more than the dose from a chest x-ray. Some people who are screened may end up needing more CT scans, which

means more radiation exposure. When done in tens of thousands of people, this radiation may cause a few people to develop breast, lung, or thyroid

cancers later on.SMCH is registered with the National Radiology Data Registry (NRDR) which is a data warehouse. The primary purpose of NRDR is to aid facilities with their quality improvement programs and efforts to improve patient care by comparing facility data to that of their region and the nation. Mary Reiter, director of radiology at SMCH says, “We are excited to offer the low dose CT scan as part of the lung cancer screening program. Our goal is early detection of lung cancer with this new service of LDCT and shared decision making with the patient’s medical provider.”

Patients who are current or past smokers are encour-aged to discuss lung cancer screening with their med-

ical provider to determine if screening is right for them.

Is Lung Cancer Screening Right for You?

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Stewart Memorial Community Hospital has been named one of the top 150 workplaces in Iowa by the Des Moines Register for the the sixth time in seven years. The goal and desire of Stewart Memorial Community Hospital (SMCH) is to be the best place for patients to receive care, the best place for employees to work, and the best place for physi-cians to practice. The Top 150 Workplaces are determined based solely on feedback from employee surveys. The survey is conducted by WorkplaceDynamics, LLP, a leading research firm on organizational health and employee engagement. Work-placeDynamics conducts regional Top Workplaces pro-grams with 40 major publishing partners across the United States. Over the past year, more than 6,000 organizations and two million employees in the U.S. have turned to WorkplaceDynamics to better understand what is on the minds of their employees. Through its workplace improve-ment offerings, WorkplaceDynamics provides solutions, training and tools to help clients improve their workplaces. This is the seventh year the Des Moines Register has iden-tified top workplaces in Iowa. They collaborate with Work-placeDynamics to conduct employee satisfaction surveys. Companies were either contacted by WorkplaceDynamics to participate in the survey process or nominated to partici-pate by an employee. WorkplaceDynamics survey comple-tion has a benchmark of 64% and SMCH has consistently performed above that at 79% of employees having their voices heard through this survey.

“The Top Workplaces award is not a popularity contest. Oftentimes, people assume it’s all about fancy perks and benefits,” says Doug Claffey, CEO of WorkplaceDynamics. “But to be a Top Workplace, organizations must meet our strict standards for organizational health. And who better to ask about work life than the people who live the cul-ture every day—the employees. Time and time again, our research has proven that what’s most important to them is a strong belief in where the organization is headed, how it’s going to get there, and the feeling that everyone is in it together.” Claffey adds, “Without this sense of connection, an organization doesn’t have a shot at being named a Top Workplace.” “This is the fifth consecutive year (sixth time overall) we have been nominated as a Top Workplace in the state of

Stewart Memorial Community Hospital Earns Top Workplaces 2017 Award

Iowa, and each time it is a true gift to be selected. Having a culture that supports and encourages employees to have their voices heard is vital to being a Top Workplace. Our number one strategic priority is to recruit and retain high performing staff, and through this recognition we believe our priorities continue to be in the right place. Our patients deserve high quality care, and that care is being delivered by highly engaged, passionate healthcare professionals across our organization. Our staff and leaders truly deserve all the recognition for the hard work and dedication they put in each and every day to make this a great place to work and to receive care,” comments Holly Espenhover, Chief People Officer at Stewart Memorial.

Cindy Carstens, Chief Executive Officer at SMCH says, “The news reminds us almost daily that the healthcare en-vironment is in constant change. The one constant that our organization can provide to our employees is a great place to work and a culture that allows them to do work that has purpose, is worthwhile and makes a difference not only to the people we serve , but also for each other. It is an honor for SMCH and our employees to be recognized as a Top Workplace for the sixth year time. As an organization, we are blessed with an abundance of great people that are filled with passion to provide quality care and an excep-tional patient experience.”

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2017

As Francene Olesen drove home from Minneapolis to Lohrville, she gripped the steering wheel as another wave of stomach pain hit. After four years, she was accustomed to the pain but fed up with it at the same time. She pulled over in Albert Lea and considered going to the emergency room there. Finally, the pain eased and she was able to get the rest of the way home.

Her stomach pain began in 2013 when Francene lived in Minnesota. She moved to Iowa to be close to family, but continued to travel north every three weeks to see friends and her endocrinologist for hypothyroidism. At times, her pain was so severe she had to visit the ER in Minneapolis. “They would give me an enema to relieve the constipation. The pain would let up but then get worse,” she recalls. Her medical provider prescribed laxatives and a special diet to help get things going.

“Finally, I told my medical provider in Iowa, ‘You have to do something,’ since the pain was occuring almost nightly,” Francene remembers. A magnetic resonance image (MRI) created a detailed image of Francene’s abdomen. It revealed she had cecal volvulus, or twisted bowel. A cecal volvulus is the rotation of the ascending colon, which causes approximately 1 to 3 percent of all large bowel obstructions. If untreated, cecal volvulus can progress to restriction in blood supply to tissues in the bowels, death of the bowel tissue, or a hole forming in the intestine. In Francene’s case, the ascending colon was detached.

Francene was advised to visit an emergency room if she began to feel sick. By the time she returned home, Francene was in pain and she was brought to Stewart Memorial Community Hospital’s ER where she was seen by board certified physican assistant

Mark Mogensen, who was able to study the MRI and contacted surgeon Josh

Smith who was on call at the hospital.

Dr. Smith examined Francene and recommended surgery to correct the problem. “Surgery to repair the torsion of the colon was the most viable option for Francene. Her colon would actually flip from side to side. I moved her colon back into the proper place and afixed it securely to be confident the problem wouldn’t recur,” he explains.

“Dr. Smith exuded confidence. I sensed that I could trust his skills. I didn’t feel so scared when he explained what was going to happen. He told me, ‘I’m going to take really good care of you.’ And he did,” says Francene.

Dr. Smith performed the surgery laparascopically at SMCH, which resulted in reduced recovery time and little scarring. “After surgery he told me there was no evidence of gangrene in my colon, which was good news for an easier recovery. ”

“I had lived with the pain for four long years. It had really impacted my life. I was in pain almost every night. I would take walks, but because of the pain I couldn’t go very far and would have to take three to four day breaks between walks due to the pain. I would have to cancel times with friends and family because of it. I had to learn to live with it. I

Patient Receives Top Notch Care During Emergency Surgery

Dr. Josh Smith and Francene Olesen are all smiles after Dr. Smith performed surgery on Francene to repair her twisted bowel that had caused her pain

for four years.

7

used a heating pad and sometimes pain medication to sleep. When I woke up after surgery the pain was completely gone,” says Francene.

Her recovery was brief. “I spent a day or two in the hospital. I had good care from the very attentive and friendly staff. When I needed pain medication, the nurses were quick to administer. The food in this hospital was the best I’ve ever had,” laughs Francene.

When she was released to go home, Francene recalls how simple the recovery was. “During past surgeries, I’ve had reactions to the anesthesia. It was difficult to recover from the side effects. For this surgery, I didn’t have any of those issues,” she says.

After four years of living with pain, Francene says she is a lot more comfortable. “I’m not on edge all the time about when the pain would strike and what would make it go away.”

Her experience with Dr. Smith and her move to Gowrie led her to choose medical providers at McCrary Rost Clinic in Gowrie. “I now see certified family nurse practitioner Rochelle Guess and board certified doctor of osteopathic medicine Margaret Vitiritto in the Gowrie clinic. They really listen. As I get older, the more valueable it is to me that doctors listen. It seems to me people don’t listen as well as they used to do when I was younger,” comments Francene. “I really appreciate Rochelle, Dr. Vitiritto, and Dr. Smith. Being believed when I talk about my symptoms and having people come up with creative solutions is so important.”

Francene is especially grateful to Dr. Smith. “He inspired me to trust him. It was obvious he cared, was knowledgeable, and had the patience to listen to me.”

When You Need Surgery... Our Team is ReadyWhen you need surgery, rely on the outstanding

surgical team at Stewart Memorial Community Hospital in Lake City. Our modern surgery center and exceptional team offers first class service to you and your family. We provide private recovery suites, made to order meals, and personalized

General/Gynecological• Abdominal Surgery (Colon,

Gallbladder, Hernia, Hysterectomy)• Cystocele or Rectocele Repair• Laparascopic Surgery (Gallbladder, Appendectomy, Tubal

Ligation, Hysterectomy)• Cesarean Section• Breast Biopsy• Mastectomy and Lumpectomy• D&C• Excision Lesions, Cysts, Tumors• Pilonidal Cyst Excision• Hemorrhoidectomy• Vasectomy• Venous Access Port Placement

Orthopaedic• Fracture Management (Cast)• Open Reduction Internal Fixations

(Plates & Screws)• Hand Surgery (ie Carpal & Cubital

Tunnel, Ganglion)• Total Joint Replacement

ENT• Ear Tube Placement• Tonsillectomy• Adenoidectomy• Nasal/Sinus Procedures• Neck/Facial Lesion Excision

Opthalmology • Cataract Surgery

Podiatry• Foot/Ankle Surgery

GI Endoscopy• EGD• Colonoscopy

Pain Management• Lumbar & Cervical

Steroid Injections

Urology• Cystoscopy

nursing attention. Our surgeons are highly trained in many surgery procedures, including general, orthopaedic and cancer. When possible, minimally invasive surgery techniques are used so you can recover quicker with less pain.

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Occupational Therapy: Restoring Function Hands Down

Amanda Kerber, OTD, OTR/L, earned her doctorate at Creighton University in May 2017, and has expe-rience working with individuals with various diag-noses including various upper extremity pathologies. Additionally, Amanda worked with individuals with Alzheimer’s and their caregivers, providing support and education about the disease. Amanda works with inpatients, outpatients, home health and hospice pa-tients. She has certifications in the Alzheimer’s Association’s Memories in the Making paint-ing program and Dementia Capable Care training. Addi-tionally, Amanda will be play-ing an active role in growing SMCH’s Occupational Health program. Amanda Kerber

OTD, OTR/L

Meet Amanda Kerber, OTD, OTR/L

As Deanne Strandberg cuts fabric for her newest quilt creation, she pauses to massage her left hand the way the occupational therapists at Stewart Memorial Community Hospital taught her.

Last winter, Deanne noticed the pinky finger on her hand was beginning to contract toward her palm. She could not straighten her swollen hand and found the fingers catching on items. It was painful. She had diffi-culty doing chores around the house, like dusting her beloved antique chandeliers, and sewing and tying her quilts was nearly out of the question.

In 2004 her right hand suffered the same symptoms. The diagnosis was Dupuytren’s contracture. The Mayo Clinic describes the condition as “a hand deformity that usually develops over years. The condition affects a layer of tissue that lies under the skin of your palm. Knots of tissue form under the skin — eventually cre-ating a thick cord that can pull one or more fingers into a bent position.” There’s no known cause for it, but it most commonly occurs in men, in people over the age of 50, in people of northern European descent, and in families with a history of the condition.

Thirteen years ago, Deanne opted to have surgery on her hand. During the operation the surgeon re-moved tissue affected by the disease. In May 2017 Deanne decided to have the same surgery on her left hand. With surgery came the need for occupational therapy to help Deanne regain more use of her hand.

When she spoke with friends about her upcoming surgery, they recommended she utilize the occupa-tional therapy services at SMCH. “They told me Lisa Findley is the best for hands,” recalls Deanne. For the Rockwell City resident, the drive to the Lake City hos-pital was convenient.

A week after her surgery, Deanne started therapy with occupational therapist Lisa Findley and later con-tinued with Amanda Kerber, doctor of occupational therapy. “Deanne experienced hypersensitivity with her scars. We worked on desensitization techniques to help retrain the nerve endings to not react so in-tensely.” The therapists also utilized photolight and ul-trasound therapies, strengthening and range of motion

techniques, and massage.

Deanne has noticed a huge dif-f e r e n c e . “The feel-ing in my hand is starting to return. We are real-ly gaining, b e c a u s e nerve-wise it’s waking up.”

Deanne’s sessions at SMCH ended on September 15. At home she massages her hand and performs the stretches prescribed by Amanda. She is pleased with the success of the surgery and therapy. “I’m able to move my fingers. I can sew again and dust my chan-deliers. I’m getting back to my life,” she says with a smile.

Lisa Findley, MS, OTR/L, (left) and Amanda Kerber, OTD, (right) worked with Deanne Strandberg (center) after

Deanne’s surgery to release the contracture of the fingers on her left hand to great success.

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Stewart Memorial Community Hospital (SMCH) of Lake City, Iowa has received a $360,000 zero interest loan from Webster-Calhoun Cooperative Telephone Asso-ciation (WCCTA) of Gowrie to fund a portion of its Patient Centered Healing Environment Project. The budget for the entire project is $860,000 and fundraising efforts contine. In order to create a revolving loan fund, WCCTA was awarded a $300,000 grant through USDA’s Rural Eco-nomic Development Loan and Grant Program. As part of the application requirement WCCTA also committed an additional $30,000. This amount was applied for and matched by Aureon’s Ripple Effect grant for $30,000. SMCH’s committment to quality health and wellness for its patients and its vision to transform our communities by providing coordinated care and exceptional experiences lead to the development of the Patient Centered Healing Environment Project. The project encompasses not only the aesthetics of its clinics in Lake City, Rockwell City, Lake View and Gowrie, but functionality as well, which are both crucial for the needs of patients. The clinics were built 30 years ago, before the Americans with Disabilities Act was adopted. Pro-viding areas that accommodate patients with disabilities for ease of use, includ-ing larger restrooms and exam rooms, plus clean, safe finishes lead to improved patient satisfaction and will enhance the overall patient experience by reducing stress and positively impacting patient perception. The patient centered heal-ing environment will be created with the physical, mental and emotional needs of patients in mind, and reflect our team’s dedication to quality health care for ev-ery patient, every time. “The project budget that will cre-ate the patient centered healing en-vironment in all four of our clinics is $860,000,” says Cindy Carstens, CEO at SMCH. “We are committed to providing quality healthcare to the communities we serve. Through funding partnerships such as the one with Webster Calhoun Telephone Association our communities will have the benefit of receiving care locally and an exceptional patient expe-rience in our clinics. Efforts will continue to secure additional funds for the project as we move forward with the ADA up-

Stewart Memorial Community Hospital Receives USDA No Interest Loan

dates this fall and interior upgrades.” Fundraising for the project began in December 2016. In addition to the WCCTA loan, another funding source is dollars raised by the hospital Auxiliary. The Auxiliary has committed to raising dollars for the next two years to fund the project up to $200,000. The Auxiliary raises funds through membership, fundraising events, and hospital gift shop sales. The combination of these efforts resulted in a total of $67,000 for the 2016-2017 fundraising season. Stewart Memorial Community Hospital has committed additional funds from the capital budget. Also, 50 percent of the cost of labor will be contributed by Stewart Me-morial in an in-kind capacity. Because SMCH is a private not-for profit health facility they rely on fundraising cam-paigns for additional improvements, most recently creat-ing a foundation board to help sustain long term financial support. Construction on the project is set to begin in October and will conclude by summer 2019. Services will contin-ue at each location with minimal interruption.

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Discussing the improvements slated for the Gowrie clinic in Stewart Memorial Community Hospital’s Patient Centered Healing Environment Project are Daryl

Carlson, EVP, General Manager and Marcie Boerner, office manager, of Webster-Calhoun Cooperative Telephone Association, Kari Swisher, ARNP-C, Dr. Adam

Swisher, and SMCH CEO Cindy Carstens.

Stewart Memorial Community Hospital Auxiliary Presents

Saturday, February 3, 2018Doors open at 5:45 p.m.

Games begin at 7:00 p.m.at Opportunity Living, Lake City, IA

How it works: Create your own team of eight. Your team will receive points by answering questions correctly. The winning team receives a prize! Win extra points

by decorating your table, dressing as a team, or participating in extra events between rounds.

Meal included. Cash bar available.Tickets $25 each

Contact the Committee for more details:Mary Ludwig (712) 464-4117 Kathy Baker (712) 656-2523

Marci Duncan (712) 464-3670Mary Sporleder (712) 464-9991Marie Schwarm (920) 213-9018

The Premier Event of the Year!Join the Fun and Excitement!

Everyone Welcome!

Tuesday, November 7, 9:30am“Matter of Balance” by Barb Riley, Calhoun County Health Administrator

Tuesday, December 5, 9:30am“Annual Christmas Tea”

Tuesday, January 2, 9:30am“Iowa’s Tie to Titanic” by Darcy Maulsby

Tuesday, February 6, 9:30am“Keep the Beat and Telehealth” by Dr. Feigofsky, M.D. and Zacharina Winker, Director of Nursing

All meetings held in the SMCH Lower Level Conference Center other than April *TBA

Stewart Memorial Community Hospital Auxiliary2017-2018 Meeting Schedule

Tuesday, March 6, 9:30am“Perk Up” with Ellen Frank, Coffee Roastery, owner

Tuesday, April 3 *NoonVolunteer Appreciation LuncheonReservations required

Tuesday, May 1, 9:30am“What’s New in the Nursery” by Jane Johnson

10

Fall

2017

Hospice Loving Tree AngelsCommunity Hospice Loving Tree

Number of Angels needed: ___________

Name(s) to be placed on ornament(s): _____________________(please print clearly) _____________________________________________

______________________________________________________________

Donation given by: ____________________________________(donor names will be listed in a notebook to be placed near the tree)

Address: _________________________________________________________________________________________________

$10 donation payable to Stewart Memorial Community Hospice,

PO Box 114, 1301 W. Main St.Lake City, IA 51449

This December, angel ornaments will decorate the Hospice Loving Tree

once again. Each ornament will be printed with the name

of a loved one whom family or friends wish to remember during the Christmas season. The Loving Trees will be on display in the Stewart Memorial Community Hospital lobby and in the McCrary-Rost Clinic lobby through the month of December.

If you wish to remember your loved one with an angel ornament, please mail this form, along with your $10 minimum donation, to Stewart Memorial Community Hospice, PO Box 114, Lake City, IA 51449.

PLEASE PICK UP YOUR KEEPSAKE ANGEL AFTER CHRISTMAS.

✁ ✁

A Community Service of RemembranceA program dedicated to those who have lost a loved one this past year.

Tuesday, December 5, 20176:30 p.m.

Lanesboro United Methodist Church

In recognition that the holidays can be a difficult time for those enduring grief, Lampe Funeral Home and SMCH Hospice invite you to join us for a program with a message of hope and love.

For more information about this program call 712-464-7665.Sponsored by: Lampe Funeral Home www.lampefuneralhome.com and SMCH Hospice

11

Health CareConnection

Stewart MemorialCommunity Hospital1301 W. MainLake City, IA 51449

Outpatient Clinics at Stewart Memorial Community Hospital

Stewart Memorial CommunityHospital Calendar of Events

For comments, questions or more information, call SMCH at 712-464-3171 or go to www.stewartmemorial.org

Auxiliary Meetings

All meetings held in the SMCH Conference Center. No registration necessary. Everyone is welcome!

Oh Baby! Classes

To register, call 712-464-3171, ext. 6040.Early Bird ClassesWednesday, November 8, 6:30 p.m.Wednesday, February 7, 6:30 p.m.

Pre-Natal ClassesSaturday, January 20, 8:30 a.m.Saturday, April 14, 8:30 a.m.

Big Brother/Big Sister ClassesWednesday, January 31, 6:00 p.m.Wednesday, April 25, 6:00 p.m.

Lunch Connection

Recognizing the Subtle Signs of Mental IllnessThursday, November 2SMCH Conference CenterRSVP: 712-464-4214 by October 26

Fall 2017

This publication does not constitute professional medical advice. Although it is intended to be accurate, neither the publisher nor any other party assumes liability for loss or damage due to reliance on this material. If you have a medical question, consult your medical professional. Websites not belonging to this organization are provided for information only. No endorsement is implied. Images may be from one or more of these sources: ©Thinkstock, ©Fotolia.

Stewart Memorial Community Hospital complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sexual orientation, gender identity, or sex.ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-712-464-4203.注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-712-464-4203.Stewart Memorial Community Hospital

offers a wide range of outpatient clinics to meet the varying needs of the people in our communities. Appointments for the outpatient clinics can be made by calling 712-464-7907 or 1-800-560-7500.◗ Audiology Brittany Pearson, H.I.S.◗ Cardiology Mark Berry, D.O. Suzanne Feigofsky, M.D.◗ Ear, Nose and Throat Diana Smith, ARNP Tracey Wellendorf, M.D.◗ General Surgery Ronald Cheney, D.O. Marc Miller, D.O. Josh Smith, D.O.◗ Mental Health Services Holly Galles, DNP, ARNP Kendra Walker, ARNP◗ Opthalmology Ryan D. Vincent, M.D.◗ Orthopaedics Thomas Dulaney, M.D.◗ Pain Solutions Sarah Crilly, CRNA Jeremy Johnson, CRNA◗ Podiatry Mark Hartman, D.P.M.◗ Pulmonology James C. Meyer, D.O.◗ Rural Behavioral Health Amy Riesberg, LISW Emile McNace, LISW Karla Manternach, LISW◗ Urology Stephen L. Piercy, M.D.

Health care providers at Stewart Memorial Community Hospital and McCrary-Rost Clinics

◗ Danni Anderson, P.A.-C.◗ Tonja Petersen-Anderson, ARNP-C◗ Stephanie Bellcock, ARNP-C◗ Sarah Crilly, CRNA◗ Derek Duncan, D.O.

◗ Nancy Flink, P.A.-C.◗ Megan Grodahl, P.A.-C.◗ Rochelle Guess, FNP-C◗ Susan Hornback, D.O.◗ Jeremy Johnson, CRNA

◗ Mark Mogensen, P.A.-C.◗ Adam Swisher, D.O.◗ Kari Swisher, ARNP-C◗ Margaret Vitiritto, D.O.◗ Barbara Weber, ARNP-C

New Patients Always Welcome!

Tuesday, November 7, 9:30am“Matter of Balance” by Barb Riley, Calhoun County Health Administrator

Tuesday, December 5, 9:30am“Annual Christmas Tea”

Tuesday, January 2, 9:30am“Iowa’s Tie to Titanic” by Darcy Maulsby

Tuesday, February 6, 9:30am“Keep the Beat and Telehealth” by Dr. Feigofsky, M.D. and Zach Winker, Director of Nursing

Tuesday, March 6, 9:30am“Perk Up” with Ellen Frank, Coffee Roastery, owner

New Expanded

hours

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