Transcript
Page 1: 2011 WINTER · Jane Hays was born and raised in South Dakota. She is married to Chris Hays and they have 2 children Eric, 14 and Samantha, 10. Jane graduated from nursing school in

InsIde thIs Issue

Published Quarterly By:

AJhC health Fair ......... 2 Foundation Receives hi-Bred Grant ............. 2 AJ scholarships ........... 2 Behind the scenes surgery/OP ................. 3 Meet Our specialists ... 3 Volunteers donate for Admissions desk and new Waiting .............. 4 2010 Foundation Family tree ................ 4 2010 Annual Report ... 5

2011 snowman Marathon

etyourNewYear’sResolutionsoff toagreatstartbyparticipatinginthe2011SnowmanMarathoncoordinatedbyAnnieJeffreyHealthCenter.ThankstoagenerousgrantfromBlueCrossBlueShield,weareexpandingour6weekpro-gramintoeachcommunitythisyear.TheoverallpurposeoftheSnowmanMarathonistoestablisharoutineofregularactiv-ityandhealthyeatingbyprovidingweeklygoals,nutritioninformation,andkeepingyoumotivatedwithfunandprizes.

• SignupbetweenJanuary11-15.Regis-trationcostwillbe$20.

• Allparticipantsinvolvedinanagricul-turally related field, may also choose to becomeamemberofthe“Red”team(CaseInternational)or“Green”(JohnDeere)teamor“Orange”(AGCO)team.Inordertogeneratesomehealthycom-petition,theaveragenumberofmilessubmittedbyeachteamwillbepostedon-lineatwww.ajhc.org–Maythebesttractorwin!

• Packetpickupwillbeduringakick-offeventineachcommunityduringtheweekofJanuary11-15.Duringthisevent,participantswillbegiveninstructions,startingpackets(includ-ingmileagelogs,andweeklyFruitandVegetablecontestforms).

• ‘Marathoners’willalsohavetheop-portunitytolearnaboutexcitingnewresearchinhealthyeatingandweightlossfromregistereddietitian,SandraBurwell.

• FreeuseoftheAJWellnessCenterwillbeofferedtoallparticipants,butthoseusingequipmentathomearealsoen-couragedtoparticipate.

G

heartbeat

WIN

TER

201

1www.ajhc.org

Medical Staff:DavidJameson,MDCameronSidak,MDBryanMyers,PA-C

MichaelKarel,PA-C

Board of Trustees:StevenJ.Peterson,Chairman

DougRathjen,ViceChairKarenStevens,SecretaryJohnGirard,Treasurer

PeggyHopwood

JoeLohrman,Administrator

• ThemarathonwillbeginJanuary18.Participantshave6weekstocomplete26.2miles.Participantstracktheirownmilesandsubmitthemeachweek–on-lineatwww.ajhc.orgorin specified locations in each community.

• SpecialprizeswillbegivenawayeachMondaytoreward“runners”whoturninweeklymileagesheetstotheboxintheWellnessCenterorsubmittheirmilesonlinebythepreviousSunday.

• Topromotehealthiereating,weeklychallengeswillfocusonincreas-ingfruitandvegetableintake.Eachweek,wewilldrawaprizewinnerfromthosewhosubmittheirFruitandVegetableContestforms.

• Contestwinnersandaleaderboardwillbeavailableviaourwebsitewww.ajhc.org.

• All finishers will receive a Snowman MarathonT-shirt.

• SnowmanMarathonconcludesatourSpringHealthFaironMarch3.Allfinishers will receive a prize and be enteredtowina1yearmembershiptotheAJWellnessCenter.

• FreebloodscreeningtestsbeforeandaftertheSnowmanMarathonwillbeavailable to the first 75 people to signup.

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Annie Jeffrey scholarships

Foundation for Annie Jeffrey Receives $1,000 Grant from Pioneer hi-Bred ioneerHi-Bred,aDuPontbusiness, recentlydonated$1,000totheFoundationforAnnieJeffreyfornewsurgeryequipmentfortheAnnieJeffreyHealthCenter.PioneerhasbeendoingbusinessinPolkCountyformanyyears.Givingbacktothecommunityisimportanttothebusiness.ThisgrantoriginatedwitharequestfromTimPallas,throughPioneerCommunityInvestment.Asthephil-anthropicarmofPioneer,CommunityInvestmentmakescontributionstocommunity-basedorganizationsonbehalfofthebusinessandemployees.ConsiderationforCommunityOutreachgrantsaregiventocommunitieswherePioneerrepresentatives,employ-eesandcustomersliveandworkandthatsupportquality-of-lifeinitiativestocreateanimproved,sustainablelifestyleforpeopleworldwide.

P

heFoundationfor AnnieJeffreyrecentlystartedofferingscholar-shipstoAnnieJeffreyHealthCenteremployeeswhowanttofurthertheireducation. The first schol-arshipwinnerwasSusanHyatt.SusanisanLPNgoingbacktoschooltobe-comeaRegisteredNurse.

SusanhasworkedatAnnieJeffreyHealthCenterfor1½years.

Thenewemployeeschol-arshipprogramfundedbytheFoundationwillhelptheAnnieJeffreystaffcontinuetheeducationalopportunitiesneededforthemtoadvanceintheirhealth care field.

Annie Jeffrey health Fair heseventhannualAnnieJeffrey MemorialCountyFallHealthFairheldonOctober5thwasahugesuccess.Over 170 fairgoers, from a variety of Nebraskacommunities,visitedthehealthexhibitswith151takingadvantageofthediscountedcomprehensivehealthbloodprofiles. A healthy continental breakfast wasprovidedbyAnnieJeffrey’sstaff.

Thehealthfairisdesignedtobeaneventwherepeoplecanlearnabouttheirownhealthandobtaininformationaboutservicesprovidedinthearea.Thefairprovidedseveralinteractiveopportuni-tiesforthosewhovisited.Participantswereabletovisitdifferentboothswherevendorsprovidedfreebodyfatanalysis,oximetry,bloodtyping,complimentarymassages,bloodpressurescreening,skincancerscreening,andtoursoftheStarCareVhelicopterwereavailable.Severaladultsandchildrenreceivedtheirseason-

t

al flu vaccination from the Polk County HealthDepartment.

Therewere26vendorsatthefairpro-vidinghealthinformationandservices.ThisyearnewvendorsonhandincludedBeltonAudiologyHearingCenterandYorkHomeMedicalEquipment.TheAging Partners office from Lincoln con-ducted53SaharaBoneDensityscreen-

JoeLohrman,CEO,AnnieJeffreyHealthCenter,stated“WearegratefulforthisgiftfromPioneerHi-Bredtohelpuspur-chasenewequipmentforourhospital,”saidLohrman.

t

Pictured are Joe Lohrman, CEO, AJHC, Karleen Watts, Foundation for Annie Jeffrey Board Member, John Girard, Foundation for Annie Jeffrey Board Member, and Tim and Colleen Pallas, Pioneer Hi-Bred dealers.

Susan Hyatt Scholarship Recipient

Continued on page 5.

The health fair is designed to be an event where people can learn about their own health and obtain information about services provided in the area.

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t

Meet two of Our specialists

StephenM.Nagengast,M.D.istheGeneralSurgeonforAnnieJeffreyHealthCenter.HewenttocollegeandmedicalschoolatCreightonUniversityinOmaha.Dr.NagengastdidhisresidencyinPhoenix,Arizonaandhasbeenperforminggeneralsurgerysince1991.

As a board certified GeneralSurgeon,Nagengastmanagesabroadspectrumofsurgicalconditionsaffect-ingalmostanyareaofthebody.Hecanestablishthediagnosisandprovidethepreoperative,operative,andpostoperativecaretosurgicalpatientsandisusuallyresponsibleforthecomprehensivemanage-mentofthetraumavictimorthecriticallyillsurgicalpatient.

Ifyouareinneedofsurgicalcareorasecondopinioncontactthehospital at 402-747-2031.

Behind the scenes at Annie Jeffrey - surgery/OPJane HayswasbornandraisedinSouthDakota.SheismarriedtoChrisHaysandtheyhave2childrenEric,14andSamantha,10.Janegraduatedfromnursingschoolin1999andhasworkedatAnnieJeffreyeversince.Sheisthesurgerysupervisorandworksinthefollowingdepartments:nurs-ing,surgery,andGIclinic.ThethingJanelikesbestaboutworkingatAnnieJeffreyisthatshealreadyknowsmostofthepatientsshetakescareofandalsoenjoysthepeoplesheworkswith.WhenJaneisnotatworksheenjoysattendingherchildren’sactivi-tiesandquilting.

Kimberly Yungdahlworksasacirculatorinsurgery.ShewasbornandraisedinAlbi-on,NEandgraduatedfromMethodistCol-legewithaBachelorsdegreeinnursingin2002.KimberlymarriedherhusbandEricin2005andtheyhavetwoboysTanner,age3andCooper,age2whichkeepthembothverybusy.ShehasworkedatAnnieJeffreyfor6yearsasanurseandenjoystakingcareofpatientsandworkingatAnnieJeffrey.Sheworksinsurgery,urologyclinic,andnursing. She enjoys golfing, shopping, and readingwhenshecan.

Cheryl Higginsworksasacirculatorinsurgery.ShewasborninStillwater,Oklaho-maandattendednursingschoolatCentralCommunityCollege,graduatingin2004.CherlstartedworkingatAnnieJeffreyMe-morialCountyHealthCenterin2008.ShehasbeenmarriedtoherhusbandTimfor23years.Theyhave4sonsJordan,Bryce,Collin,andSamuel.Sheenjoyssewing,bikeridingandreading.

Donna Hellbusch worksasascrubtechinsurgery.Herbiowasfeaturedinapreviousnewsletter.

Vicki Mestl worksasascrubtechinsurgeryandworksinsterileprocessingdepartment.Herbiowasfeaturedinapreviousnewsletter.

Lorri Marsden ST,LR: LorristartedworkingatAnnieJeffreyin1991asaSurgicalTechnologist.Overthelast19years,withadditionaleducation,Lorrihasexpandedheroccupation.SheisaSurgicalTechnologist,Radiographer,theOutpatientAssociateforDr.Nagengast,Dr.Heiser,andDr.Wiltfong,Sheworksinothervarious

outpatientclinicsandshealsoworksinCentralSupply.LorriandherhusbandRogerhavebeenmarriedfor19yearsandhavetwosons,Kjell(10),andChanner(7). Lorri is a 4-H and Cub Scout leader andaSundaySchoolTeacher.Sheenjoysworkingwithhersonswiththeir4-HandCubScoutprojects.Sheenjoysanythingandeverythingtodowiththeoutdoorsandfarmlife.ShehasseenmanyfacesandmanythingschangeatAnnieJef-frey,butknowsthatAnnieJeffreyisandneedstoremainastrongfamilytopro-videexcellentcaretoourclientele.Chris Gabel, RN wasbornandraisedinOsceola,andstartedworkingatAnnieJeffreyshortlyaftergraduatingfromUNMCCollegeofNursinginLincoln.Shestartedworkinginsurgeryin1985.SheiscurrentlyDirectorofNursing,butcontinuestoworkinSurgeryandinLa-borandDelivery.ChrisismarriedtoPatandhasthreesonsanddaughters-in-law:BrianandHeather,TomandJodiandMikeandKelsey.Sheenjoysplayingwithhersixadorablegrandchildren,garden-ing,andreadinginhersparetime.Becky Kumpf worksinthesterileprocessingdepartmentandistheinven-toryandpurchasingsupervisor.ShehasworkedatAnnieJeffreyformorethan30years.Sheworkedasanurseaidwhen she first started and has worked in severalareas/departmentsovertheyears.SheismarriedtoSteveKumpf.Shehas4childrenand6grandchildren.Whennotatworksheenjoysshopping,spoilinghergrandchildren,andexercising.

Stephen Nagengast, MD Board Certified

General Surgeon

Continued on page 4.

Left to right (front): Jane Hays, Donna Hellbusch, Kim Yungdahl and Chris GabelLeft to right (back): Vicki Mestl, Cheryl Higgins, Lorri Marsden and Becky Kumpf.

Page 4: 2011 WINTER · Jane Hays was born and raised in South Dakota. She is married to Chris Hays and they have 2 children Eric, 14 and Samantha, 10. Jane graduated from nursing school in

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Annie Jeffrey Volunteers donate for Admissions desk and new Waiting

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Pictured with the new waiting room furniture are (Standing left to right): Janet Carlson, Marie Jarmin, Karleen Watts, Ardie Hayes, Sally Bresnahan, Gloria Oquist, Bev Brigham, Joe Lohrman, Susan Chrastil. (Seated): Arlene Tonniges, Idelle Jacobsen

RobertN.Hibbard,MDistheCardiologistforAnnieJeffreyHealthCenter.HegraduatedfromtheCreightonUni-versitySchoolofMedicineinOmahain1980.

Followinggraduationhecompletedhisinternship,aresidencyininternalmedicineandfellow-shipincardiologyattheCreightonUniversitySchoolofMedicine.Heis certified with the AmericanBoardofInternalMedicineandtheAmericanBoardofInter-nalMedicineSubspecialtyBoardsofCardiology.Heisalsoamemberofsev-eraladditionalprofession-alsocietiesandislistedinthereferencevolume,“America’sBestDoctors,”alistingofthetopreferralspecialiststhroughouttheUnitedStates.

Dr.HibbardisavailabletwiceeachmonthattheAnnieJefferyHealthCentertoseepatients.IfyouareinneedofcarefromaCardiologistorarewantingasecondopinioncontactthehospitalat402-747-2031 for anappointment.

Robert Hibbard, MD, FACC Board Certified Cardiologist

Continued from page 3.

Our specialists

The names submitted for the Family Tree were: amily,friendsandlovedonesare cherishedjoysoftheChristmassea-son.TheFoundationforAnnieJeffreyhas

setasideaspecialtimeeachyeartopausetorememberandhonorourlovedones.

Foundation for Annie Jeffrey Board members decorate Foundation Family Tree. Pictured from left are: John Girard, Brian Beckner, Karleen Watts, Karen Stevens, Steve Peterson, Mary Lerch, Terry Fusco, Joe Lohrman and Susan Chrastil. Not pictured is Doug Rathjen

2010 Foundation Family tree

heAnnieJeffreyVolun- teersdonatedfundstoAnnieJeffreyHealthCentertohelppurchaseanewadmissionsdeskandnewwaitingroomfurnitureforthehospital.Duringthepast15years,theAJVolunteershavedonated$80,860.00toAnnieJeffreyHealthCenterwithpro-ceedsfromtheThriftShop.JoeLohrman,AnnieJeffreyCEO,says“WereallyappreciateallofthecontributionstheAnnieJeffreyVolunteershavemadeovertheyears.Theyhavegivencountlesshoursofworkinaddi-tiontotheirmonetarydonations.”

F

If you would like to receive an electronic copy of our Heartbeat

newsletter, please go to the Health News link on our website at:

www.ajhc.org to submit your email address.

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Open house december 1st nnieJeffreyHealth CenterandAnnieJeffreyFamilyMedicineheldanopenhouseonWednesday,December1,2010.CommunitymemberswereabletovisitthenewlyremodeledAnnieJeffreyFamilyMedicineClinicandmeetDr.CameronSidakandtherestoftheclinicandhospitalstaff.Toursofthemedicalclinic,business office, medical records andtheOB/nurserywereoffer-ed.Dr.Sidakheldaninform-ationtalkforthepublicduringtheevent.InformationontheWellnessprogram,AnnieJeffreySnowmanMarathon,wasalsoavailable.

Ahealth Fair

Newly remodeled Annie Jeffrey Family Medicine Clinic waiting room at Open House

Annie Jeffrey Memorial County health Center Annual Report 2010 atientsandcommunitymembers cometousinneedandhonoruswiththeirtrust.Theyplacetheirhealth,andofteneventheirlives,inourhands.Wetakethatresponsibilityseriouslyanden-sureourpatientsreceivequality,person-alizedandcompassionatehealthcareinasafe and efficient manner.

Wecontinuetodevelopourworkplaninconjunctionwithourstrategicplan.OurBalancedScoreCardgivesusmeasurableinformationthatallowsustotrackhowwearedoingintheareasofFinancialPerformance,CommunityandCustomers,InternalProcessesandOurPeople(Em-ployees).Wealsocontinueourworkintheareasofcustomerserviceexcellence,providerrecruitmentandretention,com-municationwiththepublic,expansionofservices,andretainingahighqualityworkforce.The following is a summary of activities for the past year:

• Dr.CameronSidakbeganhisfamilypracticecareeratAnnieJeffreyFam-ilyMedicine&PrairieCreekFamilyMedicine.

• ContinuedOctoberMammogramsincentivesprogram

• Wenttoareaschoolstoofferdiscount-edblooddrawsinconjunctionwithannualAnnieJeffreyHealthFair.

• QuietTimeatAnnieJeffreyinitiated

• CompletedPhaseIIofourbuildingprojectwhichincludedremodelingtheBusiness Office, Medical Records and theAnnieJeffreyFamilyMedicineClinic

• ContinuedBalancedScoreCardtrainingforstaff

• HostedtheFoundationFamilyTreeCelebration

P

Continued on page 6.

ingsinanattempttomaketheearlydetectionofosteoporosispossible.BlueValleyCommu-nityActionsponsoredanon-perishablefooddrive.Arearesidentsexpressed their selfless generositybydonatingfoodandmonetarydona-tions.TheAnnieJeffreyVolunteersheldabakesaleraisingover$300.Approximately 7 other entitieswereunabletoattendthisyear’sfairbuthadinformationonhandforparticipantstotakehome.

TheHealthFairCommit-teewouldliketothankalloftheexhibitors,participants,andstaffwhohelpedmakethe2010healthfairasuccess.Planninghasalreadybegunfornextyear’sevent.Lookforupcominginformationonthe4thannualMini-SpringHealthFair.

Continued from page 2.

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the Foundation for Annie Jeffrey Board Members:

Brian Beckner Terry Fusco John Girard Mary Lerch Steven J. Peterson

Doug Rathjen Karen Stevens Karleen Watts

• PurchasednewanesthesiamachinewithhelpoftheFoundationforAnnieJeffreyandBryanLGHFoundation

• PurchasednewEKGmachinewithproceedsfromgolftournament

• SnowmanMarathonWellnessProgramwaswellattended

• FeaturedaBabyinsertwithallbabiesbornatAnnieJeffreyduringthepastyearinthePolkCountyNews

• PurchasednewIVpolesandnewStressTesttreadmill

• SeveralAnnieJeffreyemployeesstart-edvolunteeringasTeammatesMentorsattheschool

• PartneredwithPinnacleBankinsponsoringBC/BSWalkforLunchDay

• AnnieJeffreyHealthCenterwaschosenasthebusinessofthemonth

• AnnieJeffreyparticipatedindisastertrainingaspartoftheSoutheastNebraskaMedicalSystem(SEMRS)

• BegancomputertrainingforElectronicMedicalRecords(EMR)

• HostedthesecondAnnualFounda-tionforAnnieJeffreyGolfTourna-ment

• OfferedMatureDrivingClassesatAnnie Jeffrey in partner with Traffic SafetyPlus

• UpdatedOBRoomwithAJVolun-teersdonatingfundsforanewrocker,tableandchairs

• Received$10,000BlueCrossBlueShieldwellnessgranttohelpfundSnowmanMarathon

• PublishededucationonAdvancedDirectives

• HostedCongressmanAdrianSmithatfacilitytomeetwithBoardofDirec-tors,staff,medicalstaffandinvitedpublictodiscussviewsonhealthcarereform

• MikeKarel,PACtouredtheSeniorCentersinPolkCountytodiscussseniorhealthconcernsandtheH1N1flu outbreak

• PolkCountyFoundationpresenteda$20,000checkforaCauteryUnit/SurgerytoAnnieJeffrey

• Hostedmonthlytraumameetingswitharearescueunits

In addition to the financial and statistical measures, Annie Jeffrey participated in the following community partnerships:

• Offered2HealthFairstocommunitymemberswithdiscountedhealthinformationandscreenings

• PublishedanumberofinformationalarticlesinThePolkCountyNews

• PublishedaquarterlyHeartbeatnewsletter

Annual Report continued from page 5.

Continued on page 7.

Nataly Sanley and Larry LeSuer of Annie Jeffrey Health Center joined area hospitals

affiliated with Southeast Medical

Response System (SEMRS) to set up a

portable hospital.

Page 7: 2011 WINTER · Jane Hays was born and raised in South Dakota. She is married to Chris Hays and they have 2 children Eric, 14 and Samantha, 10. Jane graduated from nursing school in

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Annual Report continued from page 6.

“To insure

good health:

eat lightly,

breathe

deeply, live

moderately,

cultivate

cheerful-

ness, and

maintain an

interest in

life.”

~ William Londen

• ParticipatedinShelbyandOsceolaschoolsystemcareerdayandotherschoolrelatedactivities

• Provideshadowingopportunitiesforcollegeandhighschoolstudents

andarehonoredthatyoutrustuswithyourmostvaluedpossession…yourhealth.ThefoundationforAnnieJeffreyMemorialCountyHealthCenter’sfuturecontinuestobeourrelianceonthestrengthofourstaffanditsresolvetoremaintruetotheheartofourmissionandvalues–theprovisionofquality,compassionatehealthcareforthecitizensofPolkCountyandthesurroundingarea.

Dr. Sidak visits with community members at the Open House on December 1st.

Pictured above are the Annie Jeffrey Volunteers Board of Directors: Ardie Hayes, Gloria Oquist, Marie Jarmin,

Karleen Watts, Sally Bresnehan and Idelle Jacobsen. Not Pictured are Janet Carlson

and Arlene Tonniges.

• Utilizedtele-healthforBryanLGHnursingstudentsandCentralCommunityCollegemedicalcareerstudents

• Co-sponsoredandparticipatedinNa-tionalWalkDay,fourblooddrivesandStromsburgFestivalFunRun.

• Utilizedtele-healthequipmentforeducationalanddiagnosticpurposes.

• ActiveinareaChamberofCommerceandcommunityorganizations

Wewishtoexpressoursinceregratitudeforallowingustheprivilegetoserveyourhealthcareneedsduringthepastyear.Welookforwardtoprovidingyouandyourlovedoneswiththebestqualityhealthcareservicesintheupcomingyear

Financial and Statistical HighlightsStatistic 2010 2009Acuteadmissions 224 224SwingBedDays 298 322SurgicalCases 40 38ObservationHours 1894 2562CTScans 405 388ER Visits 676 606X-ray Visits 1325 1374Specialty Clinic Visits 847 938PT Procedures 9726 9763OperatingGain(Loss) ($315808) ($42275)

Page 8: 2011 WINTER · Jane Hays was born and raised in South Dakota. She is married to Chris Hays and they have 2 children Eric, 14 and Samantha, 10. Jane graduated from nursing school in

ECRWSS POSTAL CUSTOMER

see Annie’s Babies on our website at:www.AJhC.org

531 Beebe Street PO Box 428 Osceola, Nebraska 68651

nonprofit Organization us Postage

PAId Osceola, ne 68651

Permit no. 15 standard Route Presort

seRVICes AVAIlABle At AnnIe JeFFReyIt is reassuring to know that specialized medical care for your family is available

right here in Polk County.

GENERAL SERVICES:

InpatientandOutpatientCareSwingBedSurgicalServicesincludingInpatientandOutpatientSpecialtyClinicsOBCareincludingLaborandDelivery,C-section,nurseryEmergencyServices24-hourER,Lab,X-RayandCTCardiacRehabRadiologyServicesincludinggeneralradiology,CT,MammographyandbonedensitystudiesPharmaceuticalServicesSocialServicesLabServicesPhysicalTherapy

Child/AdolescentHealthServicesandFamilyCounselingFamilyMedicineClinic

WE ALSO PROVIDE:

OutpatientTreatmentsincluding: bloodtransfusions, IVtherapies,specialty medicationadministration (suchasProcritorRemicade), dressingchanges,etc.AnesthesiaServicesincluding: general,local,regional anesthesia,steroidinjections forpainmanagementCardioliteStudiesWellnessProgramsincluding: communityeducation, diabetes,andOBeducation

NutritionalServicesincluding: inpatientandoutpatient consultationsElectrocardiogramRespiratoryTherapyprovidedby: nursingincludingoxygen administration,handheld nebulizertreatments, incentivespirometryand peak flow measurementsPulmonaryFunctionTestingPulmonaryRehabWellnessCenter

AT AJHC BY CONTRACT:SpeechTherapyMRIScansNuclearMedicineSleepStudiesEchocardiogramCardiovascularDopplerStudiesDopplerStudiesOccupationalTherapyPathologyServicesUltrasoundPET/CTScans

SPECIALTY SERVICES:GeneralSurgeryGastroenterologyObstetrics&GynecologyOrthopaedicsPhysical&SportsMedicineUrologyEar,Nose&ThroatCardiologyClinic

Please contact the hospital at 747-2031

for more information.


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