Journeys, Fall 2011
Statesman William Jennings Bryan, one of the original benefactors of BryanLGH, said: “Destiny is not a matter of chance, it is a matter of choice; it is not a thing to be waited for, it is a thing to be achieved.”Journeys tells our story of how BryanLGHchooses to achieve. This free publication ismailed quarterly to our employees, physicians, volunteers and the communities we serve.
JOURNEYS "Destiny is not a matter of chance, it is a matter of choice ..." � William Jennings Bryan fall 2011 miracles Dr. Albert Ansah enjoys a moment with the Loxterkamp triplets, who are thriving after successful treatment in the neonatal intensive care unit at BryanLGH Everyday JOURNEYS FALL 2011 1 2 6 8 10 14 17 18 20 23 24 26 29 30 32 34 37 FROM OUR PRESIDENT NEONATAL INTENSIVE CARE Miracle on 48th Street MEDICAL STAFF UPDATE New faces at BryanLGH MEDICAL STAFF SPOTLIGHT Ask the doctor: The good and bad of prescription drugs BRYANLGH INDEPENDENCE CENTER Helpusbuildanewhomeforthosewalkingthefineline CRETE AREA MEDICAL CENTER Teamwork puts Frankie back in the game CELEBRATING 85 YEARS BryanLGH celebrates 85th year with Celebrate Lincoln BRYANLGH HEART INSTITUTE Staying alive: Communication saves Joy McCage's future NEW AT BRYANLGH Calming tremors through deep brain stimulation BRYANLGH TRAUMA CENTER Tribute to Trauma Champions VOLUNTEER RESOURCES Volunteering keeps them energized COLLEGE OF HEALTH SCIENCES New leaders have new vision COLLEGE ALUMNI NEWS 55PLUS ACHIEVEMENTS BRYANLGH LIFEPOINTE LifeTracks: It's not just about losing weight. It's about changing your life. CALENDAR OF EVENTS `Like' us on Facebook, join the conversation "Like" BryanLGH on Facebook to get important health tips, updates on technologies and therapies and news about BryanLGH classes and events. Just use the QR code application on your smartphone to access the code at right, or type: facebook.com/bryanlgh into your Web browser. Scanning this code takes you directly to our Facebook page, where you can join the conversation! Or, log on at your desktop. We hope to hear from you soon. "Facebook Basics: You Can Do It!" was a popular presentation brought to you this summer by the BryanLGH Community Education Program and 55PLUS. If you missed this presentation, you still can watch a video recording of it by accessing the "Community Health Video Archive" in the "Health Information" section at bryanlgh.org. ALL ABOUT JOURNEYS Statesman William Jennings Bryan, one of the original benefactors of BryanLGH, said: "Destiny is not a matter of chance, it is a matter of choice; it is not a thing to be waited for, it is a thing to be achieved." Journeys tells our story of how BryanLGH chooses to achieve. This free publication is mailed quarterly to our employees, physicians, volunteers and the communities we serve. Journeys also is available online at: bryanlgh.com. STAY IN TOUCH We welcome your comments. For more information about Journeys, contact the Advancement team by calling 402-481-8674. To learn more about BryanLGH programs and services, visit us online at bryanlgh.org. Kimberly Russel President & Chief Executive Officer, BryanLGH Health System John Woodrich President & Chief Operating Officer, BryanLGH Medical Center Ryan Whitney, MD Chief of Staff, BryanLGH Medical Staff Bob Ravenscroft Vice President of Advancement Edgar Bumanis Director of Public Relations Paul Hadley Editor OPPORTUNITIES TO SUPPORT Your contributions help us care for those who come to BryanLGH at every stage of life. To find out how you can participate, please contact the BryanLGH Foundation by calling 402-481-8605, or write to us at: BryanLGH Foundation 1600 S. 48th St. Lincoln, NE 68506 FROM OUR PRESIDENT S uch a gift. Those simple words convey great meaning at BryanLGH. Gifts, both personal and from the business community, led to the creation of Bryan Memorial Hospital and Lincoln General Hospital 85 years ago. William Jennings Bryan and other pioneers inspired others to act, and today we are proud to continue their vision. This edition of Journeys contains the BryanLGH Annual Report on Giving.Thisisespeciallyfittingsincethisissuefeaturesactsof generosity occurring within our halls each day. While uncertainty hovers over national health care reform efforts,ourcollaborativeteamofhealthandwellnessprofessionals has a keen understanding of the role donors will have in our community's future health care, and the obligation we hold -- to be good stewards of our resources. It is through the energy and commitment of our talented caregivers and generous supporters that BryanLGH will be positioned to address anticipated changes and still maintain the level of quality and service we promise in our mission. Pleasetakeamomenttoreadaboutrecentfinancialgiftsthat willbenefitfamiliesinourcommunityforyearstocome,including the exciting plans for the new BryanLGH Independence Center. To all who have made gifts to BryanLGH, please accept our most sincere thanks. Helping you prepare for what's next in your life will always bewhat'snextinours.Onbehalfofallthestaff,physiciansand volunteers at BryanLGH Health System -- who this year have been recognized for their quality care and expertise by numerous accrediting agencies, culminating in this summer's survey by the Joint Commission on Accreditation of Healthcare Organizations -- thank you to everyone who is sharing for the betterment of health care in our community. Kimberly A. Russel PresidentandChiefExecutiveOfficer BryanLGH Health System t Annual Repor on Giving This edition of Journeys includes our Annual Report on Giving. BryanLGH Journeys 1 Miracle on 48th Street Nathan, Emma and Benjamin Loxterkamp of Beatrice, Neb., are thriving, thanks to the NICU at BryanLGH. M 2 Fall 2011 iracles happen every day in the BryanLGH neonatal intensive care unit -- even on Friday the 13th, when Gail Loxterkamp's routine appointment with her obstetrician turned into her triplets' birthdays. On Aug. 13, 2010, Gail learned that all three of her triplets were breech, and she was in labor. A fast trip from the Women's Clinic of Lincoln to BryanLGH ensued, where Gail was met by a team of Family Birthplace and neonatal intensive care unit (NICU) professionals, preparing to help bring the triplets into the world. Gail and her obstetrician, Stephen Swanson, MD, had hoped for her to deliver at 36 weeks, but at 32 weeks, the day had arrived for Gail and her husband Joe to meet their daughter and two sons. Benjaminwasbornfirst,weighinginat3pounds,13 ounces. Arriving second was Nathan, the smallest, at only 2 pounds, 13 � ounces. And then 3-pound Emma joined her brothers, with all three babies' entrances directed by James Maly, MD, and Svjetlana Dziko, MD. Gail's experience with BryanLGH began just four weeks into her pregnancy when she was hospitalized with early complications. Even though she had delivered her 7-year-old son, Nick, at another local hospital, after experiencing the BryanLGHfacilityandstaffforfourdays,shemadeadecision to give birth to her triplets at BryanLGH. Gail says, "There was no way I was going anywhere else to deliver my babies. The nurses were so wonderful. I felt an NEONATAL INTENSIVE CARE instant connection with them -- I just fell in love with the whole environment." "We knew there would be risks carrying triplets because of my age (36) and my thyroid disorder," she continues. "But I expected to deliver healthy babies. I wasn't prepared for all ofthehealthcomplicationsandlongstays--butthestaffat BryanLGH provided support throughout my stay and after we went home." The babies were born with health challenges. Benjamin was a good weight but had other complications and needed to be on an apnea monitor when he went home. Emma had to undergo a blood transfusion and was monitored for a cardiac disorder commonly associated with prematurity. Nathan was born with a severe brain hemorrhage and had complicated feeding issues. The BryanLGH Level III NICU is capable of treating babies as young as 24 weeks for all but the rarest of medical complications, so the triplets were able to stay in Lincoln. All three babies went home at separate times: Emma at 5 � weeks, Benjamin at 8 � weeks and Nathan at 11 � weeks. Gail says, "Being in the NICU area so long, I got to know the nurses quite well, and we seemed to really bond with them. I feel like they loved those children like they were their own. And the neonatologists were wonderful." Care provided to the Loxterkamp triplets was directed by BoardcertifiedneonatologistsAlbertAnsah,MD,MarkBrisso, MD, and Lawrence Bausch, MD. Dr. Ansah happened to be the triplets' primary neonatologist. "Dr. Ansah took time to explain everything to us in a very positive manner. We took comfort in his expertise and knowing we could ask any question and get straight-up answers -- answers that were delivered with compassion," Gail recalls. Less than two weeks after the babies were born, Gail developed a condition that led to her having another surgery. "The neonatologists, themselves -- all three of them -- would call me with progress reports. Every day. Every single day. I was really impressed with that," she says. "When I have been back from Beatrice to visit, Dr. Ansah has come out and held the babies; he is a very caring doctor and you can just tell that he loves them." The families and the NICU team develop strong relationships, and it can be bittersweet when families go home. "But when we part, it isn't goodbye, but rather, `See you later,' as most come back to visit us periodically," adds Dr. Ansah. Parents appreciate how Dr. Albert Ansah and his partners from Heartland Neonatology Associates combine expertise and compassion when answering questions about babies in the NICU at BryanLGH. BryanLGH Journeys 3 NEONATAL INTENSIVE CARE I NICU thrives with family involvement magine starting from scratch, planning the most stateof-the-art facility possible and then attracting a highly trainedstaff,buildinganenvironmentoftopqualityand compassionate care, and delivering it in a secure setting. This was RN Laurie Ketterl's dream in 1998, and it became a reality in 2008. Laurie, now manager of the neonatal intensive care unit (NICU) at BryanLGH, was involved throughout the unit's 10-year planning and implementation process. Though BryanLGH was always a well respected and highly rated stabilization center for premature babies, its new NICU is among the nation's best, receiving some of the top ratings from the Vermont Oxford Network, an international group of roughly 850 Neonatal Intensive Care Units dedicated to improving the quality and safety of medical care for newborns. Neonatologist Albert Ansah, MD, originally from Ghana, left his position at Cook County Hospital in Chicago to take advantage of this ideal situation: becoming medical director for the new neonatal intensive care unit at BryanLGH. "It was a very exciting opportunity that does not come around very often," Dr. Ansah says. "And it has been a very good decision; I am able to experience the joy of helping premature babies improve -- the reason I became a neonatologist -- with people who are so very committed, in an organizationthatsupportsourefforts." than letting them be involved. According to Gail Loxterkamp of Beatrice, Neb., whose triplets were born at BryanLGH and cared for in the NICU, "They did so much to involve us, and helped us transition to life at home.Aseachofthekidswasslatedtogohome,thestaffwould meet with us to set goals and plan their next stages." Families are part of the team that consists of neonatologists, neonatal nurse practitioners, NICU nurses, speech, occupational, physical and respiratory therapists, pharmacists, dietitians, social workers and lactation specialists. "The reason we are here is to care for our tiny patients and their families -- the reason we have come this far is because of ourwonderfulstaff,"saysDr.Ansah. "I can't say enough about how competent and compassionate they are." Environment matters A family-centered environment -- with private rooms, sleeping couches, refrigerators, laundry and shower facilities, food delivery, self-serve nutrition centers and family lounges -- Family involvement Within the Women's & Children's Tower, the neonatal intensive care unit houses BryanLGH's tiniest patients -- some who will be here only a day or two and others who will spend several months getting ready to go out into the world. "Our facility rivals NICU facilities anywhere in the country," says Jack Malizzi, director of women's and children's services, "but what really sets us apart is the unending focus on the family, not just on our new NICU patients. Their families will be going through a very special, but trying time." The culture of the unit is that of expecting families to be involved, rather Families work closely with the NICU team of neonatologists; neonatal nurse practitioners; nurses; speech, occupational, physical and respiratory therapists; pharmacists; dietitians; social workers; and lactation specialists. 4 Fall 2011 Infant Apnea Center notes 30 years of service Premature triplet Benjamin Loxterkamp was treated by the BryanLGH Infant Apnea Center shortly after he was born. Benjamin left the hospital on a monitor because he was among the 70 percent of babies born six or more weeks early who have apnea. The Infant Apnea Center at BryanLGH is celebrating its 30th year of serving babies at risk for respiratory, cardiac or sleep problems as a result of apnea. Established in 1981 by the late Patricia Cole Stivrins, MD, the center is under the medical direction ofAkhtarNiazi,MD,who,withahighlytrainedstaffofnurses, therapists and social workers, provides evaluation, diagnostic testing and treatment. "Our Apnea Center has cared for thousands of infants in the community and in the region," Dr. Niazi says. "We help to decide if an apnea monitor is needed and work with the primary physician to determine when it is safe to discontinue the monitor." Premature infants at risk for apnea often need monitoring after leaving the hospital, so they are sent home on a portable machine that monitors breathing and heart rate. The monitor sounds an alarm when it doesn't detect a breath for a preset number of seconds. CPR training and lessons on how to use the monitor are provided by BryanLGH registered nurses and respiratory therapists beforeat-riskbabiesaredismissed.Thestaffalsoprovidescomprehensive follow up and home visits as needed. "It is so important to make sure parents know how to properly care for their infant on an apnea monitor and how to respond to alarms or events at home," says Deb Bailey, RN, manager of the center. "Nurses talk to each family at least weekly to assess how the infant is doing and to provide support." Go to bryanlgh.org/InfantApneaCenter to learn more. n The Loxterkamps -- Gail (left, holding Nathan), Nick (holding sister Emma) and Joe (holding Benjamin) -- believe in the NICU team at BryanLGH. helps families feel at home while allowing them not only to be involved in their babies' care, but also to stay close while still maintaining some sense of daily life and family relationships. "When you are in the hospital that long, the environment canreallyaffectyourpsyche,"Gailnotes,"Iwouldn'tchoose a hospital just because it is beautiful and new, but if it is state of the art with great care, why not spend time in a nice environment?" When asked her reaction when parents-to-be tell her they areexpectingmultiples,Gailresponds,"Ifirstcongratulate them and tell them how blessed we feel we are to have our triplets, and then I rave about my experiences at BryanLGH." n For information on how you can support the neonatal intensive care unit and other women's and children's programs at BryanLGH Medical Center, call the BryanLGH Foundation at 402-481-8605. Mary Bornman, RN (left), Kathy Berndt, RN, Phyllis Busch, RN, Akhtar Niazi, MD, and Lisa McNeel, RN, comprise the Infant Apnea Center at BryanLGH. BryanLGH Journeys 5 MEDICAL STAFF UPDATE Anthony Bonin, MD, emergency medicine, joined Nebraska Emergency Medicine, 402-481-8644. He graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2007 and completed a residency in emergency medicine at Truman Medical Center, University of Missouri Kansas City School of Medicine, Kansas City. Before moving to Lincoln, Neb., Dr. Bonin practiced at St. Mary's Hospital in Blue Springs, Mo., and at St. Joseph's Hospital in Kansas City, Mo., as a member of Carondelet Emergency Physicians. Aaron Bott, MD, orthopedic surgery, joined Nebraska Orthopaedic and Sports Medicine, 402-488-3322. Dr. Bott graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2003 and completed a clinical research fellowship and an orthopedic surgery residency at the University of Texas, Houston, and a sports medicine fellowship at Methodist Hospital in Houston. Abhilash Teja Kolli, MD, internal medicine, joined Inpatient Physician Associates, 402-481-8566. He graduated from Guntur Medical College, Guntur, Andhra Pradesh, India, in 2004 and completed a residency at Bronx Lebanon HospitalCenter,Bronx,N.Y. Dr.KolliisBoardcertifiedininternal medicine. Chandra Ljunggren, MD, obstetrics and gynecology, joined Contemporary Health Care for Women, 402-486-4000. Dr. Ljunggren graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2007. She completed her residency in obstetrics and gynecology at the University of Oklahoma Health Science Center, Oklahoma City, before moving to Lincoln, Neb. New faces at BryanLGH Welcome these new members to the BryanLGH Medical Staff Khalid Bashir, MD, FACP, FASN, nephrology, joined Nebraska Kidney Care, 402-466-8259. In 1987, Dr. Bashir graduated from King Edward Medical College, Lahore, Pakistan. He completed residency studies in general medicine, general surgery and administration at Mayo Hospital, Lahore, and an internal medicine residency at DanburyHospital,anaffiliatewithYaleUniversitySchoolofMedicine, Danbury, Conn., and fellowships in nephrology and hypertension at the University of Colorado Health Sciences, Denver, and in critical care medicine at the University of Massachusetts Medical Center, Worcester. Dr. Bashir is a diplomate of the American Board of Critical Care Medicine, American Board of Nephrology and Hypertension and the American Board of Internal Medicine. He was on the clinical faculty of the Department of Medicine at the University of Colorado until 2005, when he became an assistant professor at the Creighton University Department of Medicine, Omaha. 6 Fall 2011 Heidi Moser, MD, internal medicine, joined Inpatient Physician Associates, 402-481-8566. Dr. Moser graduated in 2008 from the University of Nebraska Medical Center College of Medicine, Omaha, where she also completed an internal medicine residency. David S. Pan, MD, ophthalmology, joined Eye Surgical Associates, 402-484-9000. Dr. Pan graduated from Drexel University College of Medicine, Philadelphia, in 2006. He completed his ophthalmology residency atNewYorkMedicalCollege-St.Vincent's Hospital Manhattan and at the Harvard Medical School-MassachusettsEye&EarInfirmary, Boston, where he also completed a fellowship in vitreoretinal surgery. Before moving to Lincoln, Neb., Dr. Pan was an instructor at the HarvardMedicalSchool-MassachusettsEye&EarInfirmary. Ron Rawlings, MD, anesthesiology, joined Associated Anesthesiologists, 402-489-4186. He graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2006 and completed a residency and adult cardiothoracic anesthesia and critical care medicine fellowship at Duke University Medical Center, Durham, N.C., before moving to Lincoln, Neb. Dr. Rawlings also conducted a clinical trial related to statin therapy at Brigham and Women's Hospital, Boston, and has published several research articles. Kathryn Rosenberger, MD, otorhinolaryngology, joined Ear, Nose and Throat Specialties, 402-488-5600. This Lincoln, Neb., native graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2006 and completed a residency at the Department of OtolaryngologyHead and Neck Surgery of the University of Kansas Medical Center, Kansas City. Michael Roth, MD, gastroenterology, joined Gastroenterology Specialties, 402-465-4545. Dr. Roth graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2004 and completed an internal medicine residency and gastroenterology fellowship at the Feinberg School of Medicine, Northwestern University, Chicago. HeiscertifiedbytheAmericanBoardof Internal Medicine and before moving to Lincoln, Neb., he was an advanced endoscopy fellow and instructor of medicine for the Northwestern Medical Faculty Foundation, Chicago. Abram Schumacher, MD, internal medicine, joined Inpatient Physician Associates, 402-481-8566. Dr. Schumacher graduated from the Saint Louis University School of Medicine, Mo., in 2007, earned a Master of business administrationatCornellUniversity,N.Y.,in 2008 and completed an internal medicine residency at the University of Nebraska Medical Center, Omaha, in 2011. Sarah Vander Pol, DO, family medicine, joined Autumn Ridge Family Medicine, 402-435-5300. She earned a master's degree in nutrition at the University of Nebraska-Lincoln and in 2008 graduated from the Des Moines (Iowa) University College of Osteopathic Medicine. Dr. Vander Pol completed a family practice residency at St. Anthony Hospital, Oklahoma City. BryanLGH Journeys 7 MEDICAL STAFF SPOTLIGHT Ask the doctor: The good and bad of prescription drugs Q: What are the differences between an over-thecounter drug and a prescription drug? Over-the-counter (OTC) drugs don't require a prescription from a physician. Prescription drugs go through a much tighter process with the U.S. Food and Drug Administration (FDA). OTC drugs go through a process with the FDA, but it's not as stringent.Prescriptiondrugshavemorerisksofsideeffects. Q: When are prescription drugs good for patients? Prescription drugs are good for patients when a proper diagnosis has been made, treatment has been chosen and a prescription drug has been selected. The patient and the doctorhavedecidedthatthebenefitsofthedrugoutweighthe risks. It's a process. Q: What are common misconceptions about prescription drugs? A common misconception is that a prescription drug can't be harmful. Sometimes people think that a prescription drug is always better than an OTC drug, but that is not the case. There are very excellent drugs that are nonprescription. Q: How are prescription drugs abused? People get a prescription and then sell the drugs for nonmedical purposes. Another way prescription drugs are abused is by taking more than the directions prescribe. Andrew Bohart, MD, FACP, internal medicine and primary care, BryanLGH Physician Network 8 Fall 2011 Q: What kinds of drugs are abused? The most common drugs that are abused are pain pills and anti-anxiety medication. Q: What are the dangers of taking someone else's prescription drug? There are legal, medical and employment risks. Taking someone else's prescription drug is illegal. If it's a narcotic (a pain medicine related to or derived from morphine), it's a felony. The drug could interact with other drugs the person is taking. There are many drugs that don't mix, and a person couldexposehimselftoanegativesideeffect.Therealsoisa high risk of addiction. Pain pills and anti-anxiety drugs show up on drug screens for employment. If you're taking a prescription narcotic, keep it in a nonpublic area of the house, never in an area where guests use the bathroom. The best place to keep a narcotic is in a locked box. The most common theft of drugs out of the medicine cabinet is not by strangers, but by family members or friends. Q: How does a patient use a prescription drug safely? A patient uses a prescription drug safely by understanding whattheprescriptionisfor,knowingthepossiblesideeffects, andwhentoreportthosesideeffects. Q: What steps does a physician take to ensure that a prescription drug is safe for the patient? We write prescriptions on tamper-proof paper. Or we electronically transmit the prescription directly to the pharmacy. The patient can't alter that dose or frequency without the physician's permission. And we have scheduled visits where we see people for follow-up to make sure we don't need to make any changes in the prescription. n For more information about the benefits and potential dangers of prescription drugs, contact BryanLGH Physician Network by calling 402-483-8500 or a pharmacist at BryanLGH at 402-481-3039. BryanLGH Physician Network includes many primary care physicians and specialists who are accepting new patients. To learn more, go to bryanlghphysiciannetwork.com. Use your smartphone QR application and the code at left to view a short video introduction of Dr. Andrew Bohart on bryanlgh.org. Watching out for abuse "The abuse of prescription drugs is increasing at an alarming rate," says Jerome Barry, director of the BryanLGH Independence Center, a drug and alcohol treatment center. Prescription drugs are in the top three of abused substances causing a need for treatment, he notes. Marijuana and alcohol have always been the first two, but prescription drugs have moved into the No. 3 spot. "It's a big problem. Prescription drugs can also become a gateway drug to other drugs. It used to be tobacco, alcohol and marijuana were the gateway drugs," Barry says. "Now, someone takes a prescription drug for a legitimate reason, such as back surgery or knee surgery; they like the feeling they get, and they'd like more of this relief. "When their prescription runs out, they seek the drug illegally." Barry says 10-40 percent of cases at the BryanLGH Independence Center are prescription drug related. "We see all ages, male and female, from as young as 14 to as old as 80," he notes. n BryanLGH Journeys 9 BRYANLGH INDEPENDENCE CENTER Help us build a new home for those walking the fine line t here'safinelinebetweenbeinganaddictornot.Between having hope or having to live with the despair of mental illness. For some, the line is perilously thin: Crossing it daily are children, adolescents, men, women, husbands, wives, family, friends, neighbors, veterans -- virtually anyone is vulnerable. The results of untreated substance abuse and mental health issues are devastating. That's why this health system continues to provide behavioral health services for these patient populations. And it's why BryanLGH has launched the Fine Line capital campaign, seeking $2.5 million in contributions to complete construction and renovation of these needed facilities. With the community's support, this campaign will remove physical barriersthatcouldotherwisepreventsomefromfindinghelp. First, the current BryanLGH Counseling Center will be relocated to theProfessionalOfficeBuildingontheWestsite,wherethecenterwill be in greater proximity to BryanLGH Heartland Psychiatry physicians. Moving to larger quarters will allow mental health services to meet a growing outpatient demand while expanding its programs. Second, the present facility will be renovated and expanded to become the new home of the BryanLGH Independence Center. The current Independence Center, specializing in substance abuse treatment, is in an 83-year-old nursing school dormitory. The IndependenceCenterstaffhashadto"madedo"since1971,finding ways to deliver the best possible clinical services in an outdated, inefficientfacilitythatwasn'tdesignedfortoday'sneeds. Shirley Travis, vice president of clinical services and president of BryanLGH Physician Network, notes that the Fine Line campaign will bring about many improvements. For example, the new Independence Center will have: � Larger, private family rooms. � Spacious,invitingfloorplansandd�cortocreateawelcoming, This architects' drawing shows the south side of the proposed Independence Center, looking from the corner of 16th and Lake. 10 Fall 2011 Welcome sight restful environment that's conducive to healing. � Public and private waiting areas. � Soundproofgrouptherapyroomsandcounselors'offices. � Sleepingroomsononefloorthatarecentrallylocatedtothe nurses' station. � Sickest patients (in detox) situated in rooms in view of the nurses' station for patients' safety and access to immediate care. � Classrooms that allow adolescents to keep up with studies. � A private phone area, where clients can contact loved ones. � Eating,recreationandrelaxationareasononefloorforamore private living situation. "Our program continues to be a regional leader in drug, alcohol andsubstanceabusetreatment.Ourexcellent,professionalstaffisthe foundation for our success," Travis notes. "We treat adults and adolescents in a variety of levels of care -- such as inpatient and outpatient stays, partial care and short-term residentiallevels--andwewereoneofthefirstacutehospital programstoofferamedicaldetoxinpatientprogram." The BryanLGH Independence Center also fosters a very strong The future reception area and lobby (top photo) will replace the smaller and less private reception area in the current Independence Center (bottom photo). BryanLGH Journeys 11 BRYANLGH INDEPENDENCE CENTER family support system and after care programs that help keep individuals connected as they strive toward successful recoveries. "We're going to be able to do even more," Travis says. "Our new facilitywillbetailoredspecificallytomeettheneedsofourcurrent programs and our expanding services. "While we appreciate the current building for its rich heritage and memories, we look forward to our new facility which will more closely identify with our programs and services today and in the future." n To learn more about how you can help the Independence Center and the Fine Line campaign, please contact the BryanLGH Foundation by calling 402-481-8605 or go to bryanlgh.org. From this ... ... to this Compared to current rooms, as shown in the top photo, client suites in the new Independence Center will be more inviting while eliminating potential dangers of exposed pipes overhead and electrical circuitry found in today's facility. 12 Fall 2011 Gatherings salute 40 years of recovery, endless horizons Former Independence Center directors Ron Namuth (below, left) and Duke Engel, now a counselor, review drawings of the proposed facility with current director Jerome Barry. University of Nebraska athletic director, Hall of Fame coach and former Congressman Tom Osborne (left) congratulates Independence Center alumnus Bob Newton following his successful speech. Bob was the lead counselor at the Betty Ford Center and was a Husker All-American and NFL football star. D uring the BryanLGH Independence Center's 40th Anniversary Celebration June 17-18, plans for a new facility were unveiled to program alumni, families and supporters. CurrentandpaststaffmembersgatheredJune17foranevening reunion at BryanLGH West, and the health system hosted an all-day celebration June 18. To learn more about Independence Center programs, please call 402-481-5268 or log onto bryanlgh.org. n Cheryl Kapustka, RN (left), leads a tour of the Independence Center facility. Hundreds attended the event in the BryanLGH West parking garage (above) to hear live music and presentations from alumni, Tom Osborne, BryanLGH senior managers and Independence Center staff. BryanLGH Journeys 13 Physical therapist Lance Kuhlmann, sports medicine outreach director at Crete Area Medical Center, works with Frankie Patino to improve the pitcher's muscle strength and throwing mechanics. Teamwork puts Frankie back in the game I t felt like something in his back had ripped. Francisco "Frankie" Patino has no trouble remembering exactly how his back pain felt or when it started. First week of the fall semester at Doane College in Crete, Neb. Third day of baseball practice. Second pitch. Searing pain. Just 19 years old, he'd never had any kind of back pain. So he told himself it would go away. He kept pitching. A few days later the painmadeithardtobreatheandfinishing practice was out of the question. He visited the team physician, Douglas Tewes, MD, from Lincoln Orthopaedic Center, who diagnosed him with low back pain secondary to sacroiliac (SI) dysfunction. Frankie would fully recover and be back to practice in about seven weeks, after his time with the Crete Area Medical Center Physical Therapy Department and the Sports Medicine Outreach Program between CAMC and Doane. But at that moment, Frankie didn't know thedifferencephysicaltherapywouldmake. Being told he would be out of baseball for a minimum of six weeks was a low point. He thought about quitting the team and 14 Fall 2011 CRETE AREA MEDICAL CENTER Now he was lying awake at night in his residence hall because of the back pain. "I couldn't sleep because it hurt so bad. I could barely walk," Frankie remembers. AmonthworkingwithCAMCstaff and Doane's athletic trainers made all the difference. Therapy began slowly, with electrical stimulation for pain relief and repositioning exercises. He progressed to stabilization exercisesandfinallystrengtheningand conditioning. "Frankie's SI dysfunction and back pain was really exacerbated by high velocity rotational movements involved with pitching," said physical therapist Lance Kuhlmann, CAMC's sports medicine outreach director, who worked with Frankie on repositioning and strengthening of the hip rotator muscles and muscles that stabilize the pelvis and low back. Frankie made rapid progress, but as soon as he rotated his body to pitch, the SI joint would become irritated again. A combination of a sacroiliac support belt and a visit to the pitcher's mound changed that. Kuhlmann met Frankie and coach Jorgensen on campus to watch Frankie throw. Working with athletes in their environment is his favorite part of the job, he said. Sometimes, Kuhlmann even examines video of players to help come up with solutions. In this case, he and Jorgensen watched the technique and biomechanics of Frankie's throw. They tweaked his delivery to ensure his push-offleglinedupproperly. Body alignment and cueing the correct musclestoturnonandoffcanmakeahuge differencetoapitcher,Kuhlmannsaid. He notes, "There is a high-velocity rotational component in the sport. Many people just associate shoulder or elbow injuries with pitching, but they are predisposed to back and hip injuries, as well. Yougeneratealotofforcethroughareas of the body when you are pitching 90 mph. Adequate core strength is very important to stabilize and protect the body from injury against the forces being generated." "I feel great, like I never had a problem," Frankie says now. Atfirst,hethrewlikeheexpectedtofeel the ripping pain again. "But now I know I can do anything -- pitch. run, sprint -- and nothing hurts." He is hoping he will remain injury free his last 2 � years on campus, pitch wins for the Tigers and use his sociology and criminal justicedegreetobecomeapoliceofficerin southern California. Frankie has a much better chance of competing throughout college now that his injury is being treated and he's received education on how to prevent further injury, according to Kuhlmann. "The key to this good outcome was bringing everything together in the athlete's environment," the sports medicine outreach director said. "Analyzing Frankie's throwing mechanics with coach Jorgensen was crucial in both the treatment and prevention aspects of his care. He wouldn't have been able to pitch effectivelywiththatinjury,andwewereable to provide quality care in Crete, keeping him from missing classes and practice." n To learn more about how to support BryanLGH's Crete Area Medical Center, contact Jody Vondra at 402-826-6581. returning home to Anaheim, Calif. Baseball had been a constant in his lifesincehewasfive.Byhissenioryearat Esperanza High School, he was the closing pitcher. A showcase in Lincoln brought him to the area and one of the games took place on Doane's Crete campus, where head baseball coach Jeremy Jorgensen persuaded him to leave California for Doane. BryanLGH Journeys 15 CRETE AREA MEDICAL CENTER baseball, peanuts & cracker jack at camc T Concussion screening benefits young athletes he Crete Area Medical Center provides concussion screening to area athletes as an innovative part of its Sports Medicine Outreach Program. ImPACT (Immediate Post-Concussion Assessment and Cognitive Testing) is a brain injury measurement tool used for assessing athletes who have sustained a traumatic brain injury (concussion). Through a series of computerized tests, ImPACTidentifiessubtlechangesinbrainfunction,evaluates post-injury condition and tracks recovery. By comparing pre-injury (baseline) and post-injury test results, ImPACT can help determine the extent of damage caused by a concussion. CAMC's sports medicine team uses ImPACT, along with an evaluation by a medical professional, to help parents, coaches and athletes make appropriate return-to-activity decisions. The goal is to eliminate the risk of recurrent or permanent injuries that may lead to other health issues. The Centers for Disease Control and Prevention says there are about 300,000 sports-related concussions each year, and the likelihood of an athlete in a contact sport experiencing a concussion may be as high as 19 percent. A $2,000 grant from the Crete Area Health Care Foundation brought ImPACT to the medical center. "We have a responsibility to keep our student athletes safe," said physical therapist Lance Kuhlmann, sports medicine outreach director at CAMC. That's why CAMC began working with area schools last fall. All athletes involved in contact sports at Doane College in Crete, Neb., Crete High School and Crete Middle School were administered the baseline ImPACT test, and administrators are working with other area schools to implement this screening program. ImPACT is being used at all levels of competition -- Major League Baseball, the NFL, NHL and NBA, as well as at more than 360 colleges and universities and 1,200 high schools. "We'repleasedtoofferthispotentiallylife-savingservice to our community," Kuhlmann added. n To learn more about concussion screening, contact the Sports Medicine Department at CAMC at 402-826-6514. Lincoln Saltdogs mascot Homer (above) was part of the high-fiving fun this summer at the CAMC community picnic, which featured kids' games, music, food, coaching presentations and recognition of local teams -- like the Legion players sponsored by CAMC (below). 16 Fall 2011 CELEBRATING 85 YEARS BryanLGH celebrates 85th year with ur BryanLGH 85th Anniversary events in June had something fun for everyone! For Celebrate Lincoln June 11, we helped bring country music superstar Rodney Atkins of Tennessee to downtown Lincoln. The singer was the headline act of the annual festival that celebrates our community's diversity and showcases about 20 local bands. These photos show just some of the fun. Bob Ravenscroft, BryanLGH vice president of advancement (top left, with the microphone), addressed the evening crowd (photo above) before Atkins (at left in the photo below) hit the stage. We also celebrated by hosting a College of Health Sciences Alumni Weekend June 10-11 (see Page 29), the BryanLGH Kids' Health & Safety Fair June 11, the Independence Center 40th Anniversary June 17-18 (see Page 13) and the 55PLUS Ice Cream Social June 26. O BryanLGH Journeys 17 BRYANLGH HEART INSTITUTE Staying alive Communication saves Joy McCage's future J EKG equipment in the Beatrice Fire & Rescue ambulance helped Nick Koch, EMT (left), and paramedics Bryan Jelinek and Jeff Hays steer Joy McCage (seated) to the fastest possible care for his heart attack -- BryanLGH Heart Institute. oy McCage was determined to give his cat, Alex, a proper burial after it was run over by a car. Rather than just burying his pet in the dirt, Joy wanted to bury Alex in the little house he'd made for her. That meant he'd have to dig a wider, deeper hole, and Joy's wife Marilyn didn't like the idea -- especially since he'd just had surgery to remove his cancerous prostate 13 days earlier. She knew there was no reasoning with him. As Joy, 70, dug the hole in an orchard near their house, he began feeling ill. He walked to the house and told Marilyn his jaw and chest hurt. "It felt like I had a car literally sitting on my chest," Joy said. Marilyn, a registered nurse, told him to sit on a bed while she called 911. Joy said he wanted to take a shower, but Marilyn knew he might be having a heart attack, and told him to skip that. He already had two stents and a pacemaker -- but lucky for him, Beatrice Fire & Rescue is uniquely equipped to deal with people who are having heart attacks, and it's participating in a program designed to save more heart attack victims. The ambulance has a 12-lead machine that can perform an electrocardiogram, or EKG, to determine if patients are having a heart attack. The ambulance crew did an EKG on Joy and transmitted the results to BryanLGH Heart Institute (BHI) cardiologist Joseph Kummer, MD -- who read the EKG waves on his cell phone in Lincoln, Neb., as the ambulance sped away from Joy's home west of Beatrice, Neb. Dr. Kummer could see that Joy was having an acute heart attack and told the crew to bring Joy directly to BryanLGH East rather than the Beatrice hospital, which was not equipped to handle Joy's condition. "Whenwebackedintothehospital,staffmemberswere waiting for my arrival," Joy remembers. As part of the heart attack program, the emergency room is bypassed and patients are taken straight to the heart catheterization lab. Even so, they almost lost Joy. "In the cath lab, he actually coded (his heart stopped)," Dr. Kummer said. "He pretty much died halfway through the procedure." 18 Fall 2011 where to take the patient: Should they drive to the nearest ER and get medicine or drive farther to a hospital that can handle a heart attack? Most medical literature says it's best to go straight to a cardiac cath lab in less than 90 minutes. The ability to do a more informative 12-lead electrocardiogram in the fieldis"paramounttothisprocess,"Dr.Ricesaid,butonly about 10 percent of rescue services statewide are currently equipped to do so. "We'd like to see that number go up," he added. Beatrice Fire & Rescue has been doing 12-lead EKGs and following Rice's protocol since February 2010, said BeatriceFireChiefBrianDaake.Onemanwhobenefitted from the new protocol had a heart attack on a Tuesday night and was back gardening by Friday. "He popped in (to the station) and said, `If it wasn't for you and this program, I'd probably be dead right now,' " Dr. Joseph Kummer of BHI sees Joy McCage during a follow-up Daake recalled. visit at Beatrice Community Hospital. Beatrice has Nebraska's only "fully functioning" EKG systemoutsideofLincoln'sfiredepartment,Dr.Ricesaid. "We wanted to do this as a proof of concept -- to show that it can be done," Dr. Rice said. "I needed one hospital that was Joy was resuscitated, and angioplasty opened the blocked artery and cooperative in giving me good feedback on what we needed to change allowedbloodtoflowtohisheartagain. and do to make it work better. Once we If the Beatrice rescue crew hadn't had that EKG and wasn't involved finishthat,we'dliketoinvolveother in the program designed to recognize heart attacks in the ambulance, hospitals that demonstrate a willingness Joy probably wouldn't be alive today. Normally, the ambulance would to participate with us on this project." have taken Joy to the Beatrice Community Hospital, which is not Dr. Kummer said they are trying to get equipped to do a catheterization (heart test) or angioplasty to open all rural communities within 100 miles of blood vessels. He likely would have been given clot-busting medicine -- Lincoln on board with the program. which only works about half the time, according to Dr. Kummer -- and Why do it? "Because it saves lives," Dr. then transported to Lincoln. Rice said. He would have lost precious time -- as much as 45 minutes to an He points out there are people he'll hour, Dr. Kummer estimated. never meet whose lives will be saved by Timothy Gardner, MD, an interventional cardiologist at BHI, said Joy this program -- people like Joy McCage. didnothaveevenfiveminutestospare. Dr. Timothy Gardner Marilyn has no doubt Joy was saved "The time that we saved was really what ended up saving his life," Dr. because he went straight to Lincoln. Gardnersaid."Thestaffwastherewaitingwithopenarmstohelphim." "He'dneverhavemadeitifhe'dhavegonetoBeatricefirst,"she This is exactly the type of scenario Donald Rice, MD, envisioned said on a sunny morning in her dining room, as she sat next to Joy sharwhen, as Gage County's medical director, he set up the protocol for ing sliced strawberries and bananas. "He had not a minute to spare." heart attack victims. He oversees other county medical directors stateJoy doesn't doubt it either. wide as EMS physical medical director for Nebraska, and he has worked "I would've been dead by then," he said. n to develop statewide protocol and get EKGs on ambulances so heart attacks can be detected in ambulances, rather than emergency rooms. For information on how you can support heart care at BryanLGH, That way, ambulance crews can make informed decisions about contact the BryanLGH Foundation by calling 402-481-8605. BryanLGH Journeys 19 After Bonnie Carr's surgery, she and her husband Jim can again enjoy farm chores together, such as caring for "Sugaree's Legacy" and their other champion Arabians. 20 Fall 2011 NEW AT BRYANLGH Calming tremors through deep brain stimulation Dr. Benjamin Gelber introduced a neurosurgical procedure that's making a big difference for Bonnie Carr of rural Otoe County. B onnie Carr loves cooking, but for the past 10 years she's had tremors so bad that she couldn't cook without breaking dishes and making a mess of the kitchen. Shealsocouldn'twritelegibly,getcoffeeout of the microwave or go out to eat without feeling embarrassed. "Atbuffets,I'dspill(food)fromone(container)toanother,"she said. She'dwatchpeopledrinkcoffeewithonehandandthink,"They don't know how good they have it." She had to use two hands to drink a glass of water. Last winter, when the tremors worsened, a friend told her about a procedure that Benjamin Gelber, MD, of Neurological & Spinal Surgery has been doing at BryanLGH to help people, like her. Dr. Gelber, a Lincoln neurosurgeon, and neurologist John Puente, MD, work together to treat people with Parkinson's disease and tremors by using deep brain stimulation -- implanting electrodes in the brain to stimulate areas of the brain and block signals that cause tremors. The electrodes are connected by wires to a pulse generator -- similar to a pacemaker -- that's implanted in the chest. But the idea of having brain surgery can be daunting for patients. "AtfirstIthought,`Ohno,Idon'tthinkI'lldothat,'"saidCarr,who is 70. "I didn't think it would be brain surgery." Notonlythat,butthepatientisawakeduringthefirstpartofthe surgery to help the neurosurgeon determine the right place to put the electrodestoconfirmtheaccuracyoftheMRIandCTscantargets. "If it works, we're in the right place," Dr. Gelber said. "Their tremor goes away and rigidity goes away. If we're in the wrong place, they get double vision, burning or stinging in the arm. Then we reposition the electrode until we get the desired response." The more Carr thought about it, the more she decided, "I've got to do something." First, they tried it on her right hand, which was most shaky. Dr. Gelber made two cuts on top of her head and implanted the electrodes, but left them unconnected. After she recovered from the surgery about a week later, the neurosurgeon implanted a battery in BryanLGH Journeys 21 NEW AT BRYANLGH her chest and hooked up the pulse stimulator. The procedure worked for Carr right away. "It came out so good, I'm telling you, I was just so excited," Carr said. So they did the left hand a couple of months later and Carr now brims with excitement about how well the surgery worked. "It's just heaven. I don't shake at all," she said. "I'm so glad I went to Dr. Gelber. I can't thank him enough." Dr. Gelber started doing the procedure at BryanLGH about four years ago, after a year of preparation. He and physician assistant Todd Sorensen went to the Cleveland Clinic for training by one of the world's experts and his fellows, according to the neurosurgeon. Dr. Gelber said deep brain stimulation has been around for more than 10 years and stemmed from an old treatment for Parkinson's dating to the 1950s, in which basically you "burn a little hole in the brain." He's done the procedure on about 40 local patients with Parkinson's disease, Essential Tremor or Dystonia. Dr. Gelber, Sorensen and Dr. Puente conduct a multidisciplinary clinicattheNeurological&SpinalSurgeryofficeonceamonth.Dr. Puente decides which patients would be good candidates for the procedure; Dr. Gelber performs the surgery, and both provide follow-up care. "Overallwe'vehadgoodresultswithpeoplehavingsignificant improvement in their symptoms," Dr. Gelber said. Dr.Puentefirstlearned about deep brain stimulation while working at the Omaha VA Medical Center about 10 years ago. When he began practicing in Lincoln in 2004, he and Dr. Gelber began working together on brain stimulation. Dr. Puente says he's like a gatekeeper, identifying which patients would likelybenefitfromthesurgery. Often the best candidates findmedicationiseffective,but Dr. John Puente calls deep brain notforverylong.Theyhave"off stimulation a breakthrough for and on" times throughout the day. treating Parkinson's and other "Most patients aren't excited conditions. about the prospect of brain surgery," said Dr. Puente, but he says physicians have found it can provide a "real breakthrough." Bonnie, with Pomeranian Pepi, says the local hay-baling crew that came to the farm this year "couldn't get over the difference in me. Every day, from the time I wake up, I'm glad I had this surgery!" Deepbrainstimulationparticularlybenefitspeoplewith Parkinson's. According to Dr. Puente, "It doesn't for sure cure the disease, but it kind of turns back the clock a few years." Oftentheprocedurecontrolstremorsindefinitely.Carrishoping that will be the case for her. She controls the electrodes with a "little remotecontrolthing,"shuttingitoffatnightandthenfiringupthe electrodes again during the day. She says she "can do anything I want to" on her 77-acre farm near Douglas, Neb., where she and her husband raise Arabian horses and put up hay. "I can write again. I can go out to dinner. I can do anything in the house," she said. "That surgery is fantastic." Dr. Puente said it's unusual for a city the size of Lincoln to be able toofferthistreatment. "Lincoln is pretty fortunate to have this, because it can make a big differenceforpatients,"hesaid. n For information on how you can support neurosciences at BryanLGH, contact the BryanLGH Foundation at 402-481-8605. 22 Fall 2011 BRYANLGH TRAUMA CENTER TributeChampions to Trauma More than 300 gathered April 28 at The Rococo Theatre in Lincoln, Neb., for the third annual Tribute to Trauma Champions. This BryanLGH Health System event recognized Jason Kort and Cody Van Pelt, two remarkable trauma survivors, and honored dedicated professionals involved in saving their lives. Honorees comprised individuals from all aspects of the trauma system, such as EMS providers, rural trauma center personnel, StarCare, physicians, BryanLGH staff members and rehabilitation professionals, as well as family, community members and ongoing care providers. To view Jason's and Cody's stories, log onto bryanlgh.org/ traumacenter, or use your smartphone's QR application to access the codes below and go directly to their videos on Facebook. n For more information on how you can support trauma care at BryanLGH, contact the BryanLGH Foundation by calling 402-481-8605. It was a night to remember for Jason Kort of Blue Hill (left), BryanLGH trauma and surgical critical care director Dr. Reginald Burton and Cody Van Pelt of York. To see Jason's story, scan here. For Cody's story, scan here. Those participating in the care of Jason and Cody following their traumatic injuries were saluted during the event hosted by BryanLGH. BryanLGH Journeys 23 VOLUNTEER RESOURCES Volunteering keeps them P Pat Alber and Richard Cotter are among the many who hold jobs in the community and still find time to give back to others. Why do they volunteer? They come from different backgrounds, but both of these long-time volunteers say they've reaped many rewards. at Alber grew up on a farm outside of Otoe, Neb., and went to country school as a youngster. She moved to Lincoln soon after graduating from the high school in Syracuse in 1967 and went to work for State Farm Insurance Co. "I was in their administrative service department for seven years and sometimes worked on the switchboard and even ran the Teletype equipment," she recalls. PattookacoupleyearsoffwhilesheandhusbandDalehadason and daughter. Thirty-three years ago, she accepted a job at the Schoenleber, ShrinerandHittlearchitecturalfirm--andshe'sbeenthereever since. "I'mtheofficemanageranddotheaccounting,correspondence andspecificationsforthem.Ienjoyitbutalsolookforwardtomy volunteer work here at the hospital," she notes. Since 1994, Pat's contributed about 2,100 hours doing what beganasawaytofillsomefreetime. She says, "I hurt my knee while snow skiing in 1988 so later, when our son was in college and our daughter was a high school senior, I began to think about ways I could be more active other than sports. "Volunteering proved to be the answer." Her regular job can involve a lot of sitting at a computer, but as a caring touch volunteer at BryanLGH East, Pat's out among the patientsandstaff,meetingnewfolkswhilegettingsomeexercise. Every Monday night, she delivers food trays to patients, assists them with walks and answers their call lights. "Interacting with the people is my favorite part of volunteering. The nurses are so appreciative when we're able to do things that free them up to concentrate on patient care. "And there are times when I can tell a patient's just lonely and would like someone to talk with -- it's amazing what interesting stories they have to share," Pat says. "And sometimes they ask me to R hold their hand and pray with them. For me, `God's Work, Our Hands' is what `caring touch' is all about." ichard Cotter is a New York City native whose journey to BryanLGH included several teaching positions. "I was teaching in upstate New Yorkbutmoved to Florida in the 1970s to be near my parents, who had retired there," he Pat Alber says being a caring touch volunteer at recalls. BryanLGH East provides opportunities to interact. While in the Sunshine State, he met Ann -- a Kansan who's a graduate of Union College and now works for the State of Nebraska -- and he's taught in the Lincoln Public Schools system and volunteered at BryanLGH West since 1992. "As an LPS mentor at Elliott School, I teach super bright kids in the highly gifted program. These elementary students are already doing high school level math, so that's very fun, to be a part of their growth," Richard says. Over the years, he's also logged more than 750 hours as a volunteer at BryanLGH West. Richard has served in the oncology unit and at the information desk in the surgery waiting area. "I really enjoy this," he notes. "I've met some nice people; it's always fun to interact with the families, and from being in the waiting area for so many years, I'm able to recognize the names and faces of many of the hospital employees and surgeons. "ItoldthevolunteerresourcesstaffthatIwouldbeavailableon school holidays and during the summer, and they've kept me busy!" He's witnessed many changes in the medical center, from 24 Fall 2011 VOLUNTEER RESOURCES energized Scholarships recognize four for service Scholarships went to a quartet of volunteers this spring to recognizetheireffortsandhelppreparethemforcareers. Mario Ostiguin and Sandy Ngo received Saralyn Gaston Cunningham Memorial Volunteer Scholarships. This award is named after Cunningham, a former director of VolunteerResourceswhodiedin1990afteracourageousfight against kidney disease. Family, friends and colleagues established the scholarship in Cunningham's name to commemorate her belief in the value of life, and recipients epitomize her spirit of determination and accomplishment. Ostiguin has been a volunteer since 2007 and has served as emergency room receptionist, lobby service escort, magazine cart delivery person and information desk receptionist. Ngo started volunteering in 2008 and has worked in the Child Development Center and with the activity cart. Both are enrolled at the University of Nebraska. Tom Marston and Amy Hensley received BryanLGH Volunteer Services Volunteer Scholarships. This award pays tribute to those demonstrating a strong commitment to volunteering and serving as positive role models. Marston has volunteered in the emergency department since 2008 and plans to attend the University of Nebraska as a pre-med student. Hensley started volunteering in 2009 as a unit assistant in the emergency department. She is a nursing student at the BryanLGH College of Health Sciences. These annual scholarships are provided through volunteer fundraisingefforts.n Volunteer Richard Cotter enjoys greeting families in the surgery waiting area at BryanLGH West. differencesinhowpatientinformationissharedtothecomplete remodeling of BryanLGH West. One thing that's stayed consistent is every family's need to know. Richard says, "They appreciate having volunteers at the desk to answer their questions about when their loved one's surgery will be over, when the doctor's coming to talk with them or to even suggest wheretofindaplacetoeatwhilethey'reintown. "That makes us feel great. We volunteers of course aren't paid, but it's very rewarding in many other ways." n More than 600 volunteers, from students to retirees, contribute to the success of BryanLGH by serving in various roles throughout the medical center. To find out about volunteer opportunities for all ages and abilities, contact BryanLGH Volunteer Resources at 402-481-3032 or visit our website, bryanlgh.org. Volunteer Resources Board President Byron Darrington (center) presented college scholarships to (from left) Amy Hensley, Tom Marston, Sandy Ngo and Mario Ostiguin. BryanLGH Journeys 25 New leaders ome bright new leaders are shining at the BryanLGH College of Health Sciences. They are visionaries, enthusiastic in their new roles; they love to learn; and they teach with delight. "We have leaders running key programs who are committed to taking the college to the next stage in its evolution as an academic institution," said Elizabeth MacLeod Walls, PhD, president of the College of Health Sciences. National trend seen here One of these visionaries is the new Dean of the School of Nurse Anesthesia: SharonHadenfeldt,PhD,acertified registered nurse anesthetist. The current program is a master's level program. Dr. Hadenfeldt will be leading the momentous change to develop a doctorate program, which will begin in 2014. Students will earn a doctorate in nurse anesthesia practice (DNAP) in 36 months. "It's a national trend," said Dr. Hadenfeldt. "Evolving is important because we have to produce graduates who can function in an environment that's constantly changing." Reshaping the nursing program Another new leader at the college is Dean of Nursing Theresa Delahoyde, EdD, RN. "Dr. Delahoyde is reshaping our nursing program," Dr. MacLeod Walls said. "She'smadeourprogrammoreefficient S BryanLGH College of Health Sciences Associate Professor Paul Stevens, PhD 26 Fall 2011 COLLEGE OF HEALTH SCIENCES have new vision and is looking to the future to make us a better-run organization." This includes a change in the curriculum that maintains the high number of clinical hours for which the program is known while streamlining content and reducing the number of electives. Dr. Delahoyde also is emerging as a national leader in nursing education. She is oneoffiveprot�g�esacrossthenationto be selected as a Johnson & Johnson/ for BryanLGH College of Health Sciences National League for Nursing Fellow. She is paired with a mentor from Ball State University, and together they are studying barriers that nurse educators face.Prot�g�esandmentorsalsowillpresent "Best Practices for Mentoring" at the National League for Nursing conference at Orlando, Fla., in September. Cultivating communication skills Thecollegealsohashireditsfirst permanent associate professor in the humanities and social sciences: Paul Stevens, PhD. "This is a big shift for us," said Dr. MacLeod Walls. "We are committed to educating holistic, well-rounded individuals, and Dr. Stevens' leadership is helping to increase students' enrollment in our general education courses." Dr. Stevens pointed out, "The humanities cultivate strong communication skills, writing skills and an overall appreciation for all aspects of the human condition, including interpersonal relationships in the role of the health care provider." The college leadership and faculty believe that students completing their general education requirements at BryanLGH will be able to see clear connections between the liberal arts and sciences and their future careers in health care. Launching new graduate program Nursing Professor Marcia Kube, EdD, RN, CNE, is the fourth new leader to Dean of Nursing Theresa Delahoyde, EdD School of Nurse Anesthesia Dean Sharon Hadenfeldt, PhD BryanLGH Journeys 27 COLLEGE OF HEALTH SCIENCES They're preparing students for the next stage emerge at the college. Her vision is to prepare graduate level courses for students so that they may continue their education. In January, the college will begintooffercoursesforanewmasterof science in nursing program. This program will prepare graduates for teaching positions in collegiate programs, patienteducation,staffdevelopmentand continuing education. "There's evidence that shows the quality of care increases with level of education," said Dr. Kube. "It's the next stage of professional nursing." With her graduate courses, Dr. Kube wants to create an atmosphere of intellectual challenge and support. "My vision is to create a learning environment where faculty help students explore their own potential," she said. The National Academies' Institute of Medicine (IOM) has set a goal to increase the number of nurses who earn doctorates. "Doctorally prepared nurses have a wealthofknowledgetooffer,"saidDr. Delahoyde. This decree by the IOM is a major shift and shows the direction health care is going. Dr. Kube's work will help to meet this goal and provide new degree options at the college. Supporting faculty This is a vision that is promoted throughout the college. Dr. MacLeod Walls and her leadership team have made it a priority to support faculty in going back to school. This vision is supported by community members and friends of the model for others who want to promote faculty development. These gifts also acknowledge that faculty who pursue advanced degrees use their research to enhance classroom education. Fruitful research All four of the new leaders at the college are committed to linking their research to student learning. For example, Dr. Kube is digging into research about how students learn during clinical time with patients. Dr. Hadenfeldt works with students on projects in which they study such topics as pre-operative anxiety or the appropriate administration of routine medications in the operative period. Dr. Stevens is interested in how patients respond to personal revelations from health care providers. Looking ahead BryanLGH College of Health Sciences will continue to grow and evolve with the help of these new team members. President MacLeod Walls added, "We're looking to the future to provide outstanding education in the health sciences and to meet the needs of a complex society." n For information about degrees offered at BryanLGH College of Health Sciences, call 402-481-8697. To find out how you can support the college, contact the BryanLGH Foundation at 402-481-8605. Nursing Professor Marcia Kube, EdD college who see the value of promoting lifelong learning for nurses and health professionals. A recent philanthropic gift from Wayne and Nancy Hester supports faculty going back to school, and Dr. MacLeod Walls hopes the Hesters' gift will serve as a 28 Fall 2011 COLLEGE ALUMNI NEWS Staying true to our school 1 5 Nursing alumni reunite 2 3 4 Graduates of BryanLGH College of Health Sciences returned to Lincoln, Neb., June 10-11 for an Alumni Reunion. College president Elizabeth MacLeod Walls and the staff and faculty sponsored a series of special events, such as reunions of the 1961 graduating classes for Lincoln General Hospital School of Nursing (Photo 1) and Bryan School of Nursing (Photo 5). Dr. Elizabeth MacLeod Walls hosted informational sessions and informal teas (Photo 3) for the alumni. Lincoln General nursing grad Sharon Jacobson DeVries (at right in Photo 2) reminisces with classmate Betty Bock Thomas. BryanLGH College of Health Sciences Alumni Association saluted Lois Stark Ullman (at left in Photo 4) for loyalty, Kristi Harris Scheele and Nancy Westing Wellensiek for volunteerism and Charlie Meyer for clinical excellence. BryanLGH Journeys 29 55PLUS Make sure you're in the right plan for 2012 If you are covered by a Part D drug plan, take time between Oct. 15 and Dec. 7 to make sure you have the right Medicare drug plan for 2012. Although your prescriptions may be the same, your Part D plan for 2012 may have changed. Open enrollment dates are different this year -- any changes you want to make must be completed by Dec. 7. It's easy to check your plan. � Log onto medicare.gov. Click "Health and Drug Plans" and then click "Compare Drug and Health Plans." Enter your Medicare and prescription information in this secure website, and the plan finder will help you determine which plan is best for you. If you would like assistance, the Nebraska Senior Health Insurance Information Program (SHIIP) staff can help you. In conjunction with SHIIP, 55PLUS will host two drug card enrollment events: Nov. 2 at BryanLGH East and Nov. 15 at BryanLGH West. Bring your Medicare Card and a complete list of your medications, including dosage. To schedule your appointment, call 402-471-2841 or 1-800-234-7119. NEWS YOU CAN USE I am now a 55PLUS member! It is hard to believe that after almost 24 years of planning 55PLUS events and seminars, visiting members when they are hospitalized, going to the ice cream socials and holiday socials and on 55PLUS trips -- I can now do it all as an actual member. There are advantages to getting older! Staying healthy is the key to successful aging, and a great way to do that is to stay connected. I sing in several groups at my church and have recently reconnected with high school friends using Facebook. My husband is learning about beekeeping from our new neighbor; and my husband in return is teaching that neighbor, who is the age of our kids, how to do some repairs on his family's first home. The important thing is to stay in a strong social network. It improves your physical and emotional health and overall quality of life. Volunteer, take a class, join an exercise or walking group, or go on a 55PLUS trip. Within this issue of Journeys is information about all of these things. Consider joining us on your next step to health. Seminars available anytime If you have missed one of our educational seminars, you now will be able to watch most of them on our website. Just go to bryanlgh.org/CommunityHealthVideoArchive to find out which seminars are available. We are excited to be able to offer this. Grandparents Day at the zoo I really enjoy going to the zoo and taking my grandchildren. I'm sure many of you do, too. 55PLUS members and their grandchildren celebrated Grandparents Day at the Lincoln Children's Zoo Sunday, Sept. 11. All members of 55PLUS and BryanLGH Kids' Club received free admission to the zoo that day. We hope it was fun for you! If your grandchildren are not members of BryanLGH Kids' Club, encourage them to sign up today by going to bryanlgh.org, click on "Kids' Club" under "Join Our Clubs" and fill out the Kids' Club application. Or call 402-481-8886 for an application. Please see Page 31 for more information about upcoming events. Until next time, Kathy Wolf, 55PLUS program manager � � Take a trip with 55PLUS Traveling with 55PLUS is a great way to meet new people and see wonderful attractions. There still is room on our final 2011 trips, but don't delay because reservations are on a first-come, first-served basis. � Amelia Earhart and Haunted Houses � Thursday, Oct. 6. � Kansas City Christmas � Friday-Saturday, Dec. 2-3. To get a brochure, call 402-481-3355 or 1-800-742-7844 and ask for 55PLUS; or visit bryanlgh.org and click on "55PLUS" under "Join Our Clubs." Then select "Travel" and download your chosen brochures. Win a trip for two when you refer a friend! Refer a friend to 55PLUS, and if they join before Oct. 1, both you and your friend will be entered in a drawing for a free trip! Two lucky winners and one guest each will join us on our Kansas City Christmas trip. There's no limit on the number of friends you can refer or how many times your name can be entered. Tell your friends to go to bryanlgh.org, click on "55PLUS" under "Join Our Clubs" and complete the online application. Be sure and have them include your name on the "referred by" line. Or, call 402-481-3355, and we will mail an application. 30 Fall 2011 55PLUS Upcoming community seminars and events To register for these seminars or other community events from BryanLGH Community Education and 55PLUS, please call 402-481-8886 or toll free 1-800-742-7844 and ask for Community Education. All of these are scheduled in the Plaza Conference Center at BryanLGH East and are free unless otherwise noted. Seasonal Flu Shot Clinics Tuesday, Oct. 18, or Thursday, Oct. 20 7:30-11:30 a.m. Fee: $20; free with Medicare Part B Please bring your Medicare ID card, and wear a short-sleeved shirt, if possible. For 55PLUS members only. Call 402-481-3355 to schedule an appointment or to become a member. Medicare Update 2012 Saturday, Sept. 24 9:30-11 a.m. Alicia Jones, acting program director for the Senior Health Insurance Information Program (SHIIP), will present Medicare 101, explaining the ins and outs of original Medicare, Medicare Supplement Insurance, Medicare Advantage Plans and the prescription drug benefit. Changes and updates to the Medicare program in 2012 also will be discussed. Save Time, Money and Energy by Cooking with Homemade Master Mixes Thursday, Nov. 10 7-8:30 p.m. Learn how to prepare "master mixes" for future use, featuring common household ingredients. Homemade master mixes can include basic baking mixes (pancakes, muffins, cookies) or mixes for sauces, seasoning, rice, salad dressing and many more. Alice Henneman, registered dietitian and University of Nebraska Lancaster County Extension educator, shares tips and recipes for creating your own master mixes for quick, delicious and nutricious meals. Some of these mixes also make great holiday gifts! Participants receive an extensive handout of tips and recipes. What Does Health Care Reform Mean to You? Tuesday, Sept. 27 7-8:30 p.m. Join John Woodrich, president and chief operating officer of BryanLGH Medical Center, as he reviews and provides updates regarding health care reform and how it might impact consumers of health care services. Elder Care Resources ... A Path through the Wilderness of Senior Care Tuesday, Nov. 15 7-8:30 p.m. The world of elder care often can be confusing. There are answers, and many are found in the ElderCare Resource Handbook compiled by Care Consultants for the Aging. Robbie Nathan, branch manager for that organization, shows how to navigate the journey of remaining independent and safe as one ages. Information regarding medical support, home health care, living options, senior services, and government/financial/legal issues will be presented. What Is Mental Health and Why Don't People Talk about It? Wednesday, Oct. 5 7-8:30 p.m. Join Margaret Bertram, speaker with Active Minds, as she describes the path she navigated to a more positive, integrated and balanced life. Bertram will discuss how to create an understanding of mental illness, overcoming the stigma, creating your own story, the impact of mental illness on family and friends, and committing to treatment. This free seminar is co-sponsored with BryanLGH Medical Center, CenterPointe, Community Health Endowment of Lincoln and the Lincoln Lancaster Mental Health Foundation. 55PLUS Holiday Social Sunday, Dec. 11 10 a.m. - 3:30 p.m. 55PLUS members are invited to join us at our annual holiday social. More details are coming soon. Call 402-481-3355 to become a member. BryanLGH Journeys 31 ACHIEVEMENTS Linda Becker is the new clinical operations manager for the BryanLGH Physician Network. Gene Stohs, MD, is the first physician to chair the Medical Center Board of Trustees. Jude Cook, MD, is medical director of clinical informatics at BryanLGH. Priscilla Adams, RN, earned acclaim for her contributions to mental health nursing. Becker leads Physician Network BryanLGH Medical Center is pleased to welcome Linda Becker as clinical operations manager for the BryanLGH Physician Network. The BryanLGH Physician Network includes primary care physicians and specialists in addition to an Urgent Care Center. Practices include Family Medicine of Lincoln, Southeast Lincoln Family Medicine, BryanLGH Center for Maternal & Fetal Care, Heartland Neonatology Associates, Lincoln Aesthetic Surgical Institute, BryanLGH Heartland Psychiatry and Urgent Care at LifePointe. To learn more about the BryanLGH Physician Network and view physician video profiles, please go to bryanlgh.org. n Dr. Stohs chairs Board of Trustees Gene Stohs, MD, has been elected chair of the BryanLGH Medical Center Board of Trustees. Dr. Stohs has served as vice chair of the Board since 2009 and is the first physician to be elected Board chair. "BryanLGH and the patients we serve are fortunate to have a physician of Dr. Stohs' caliber providing leadership and guidance as Board chair," said Kim Russel, president and chief executive officer of BryanLGH Health System. "He brings to this role a wealth of experience, collaborative skills and vision for the future of BryanLGH Medical Center." Dr. Stohs is Board certified in obstetrics & gynecology and holds teaching appointments at the University of Nebraska Medical Center and the Lincoln Medical Education Partnership. n Dr. Cook directs clinical informatics BryanLGH Health System is pleased to welcome Jude Cook, MD, as its medical director of clinical informatics. In this role, Dr. Cook will serve as a medical staff advisor to the chief information officer and senior management team regarding all information technology matters that affect the practice of medicine at BryanLGH. Dr. Cook will serve as liaison among medical staff physicians as well as IT and other BryanLGH staff members and help develop and implement clinical information strategies. Dr. Cook also serves as an inhouse physiatrist at BryanLGH and maintains a medical practice, Midwest Rehabilitation, in Omaha, Neb. n Mental health nursing group salutes Adams Priscilla Adams, RN, mental health services, received the Division Leadership Award from the International Society of Psychiatric Consultation Liaison Nurses (ISPCLN) during their annual conference in Tucson, Ariz. "Priscilla has served as a PCLN for 20 years at BryanLGH, where she has made significant contributions to this subspecialty in clinical practice, education and leadership roles," the ISPCLN leadership said. "She continues to evolve in her role by seeking new learning experiences that enhance her practice, including bereavement counseling, sexual assault nurse examiner program and geriatric nursing. She is a committed and trusted nurse." The award is given to an ISPCLN member who demonstrates outstanding achievement in the field. n 32 Fall 2011 ACHIEVEMENTS Linda Stones is new director of our comprehensive rehabilitation services department. Celia Weskamp, PharmD (left), and Kathleen Packard, PharmD, were recognized by the Creighton University School of Pharmacy for being exceptional teachers to students from that school. inpatient rehabilitation unit. This unit recently received three-year accreditation for rehabilitation services for adults, children and adolescents and has achieved specialty certification for caring for stroke, brain injury and amputation patients. Stones also will provide leadership to more than 100 therapists who work in the outpatient clinic at BryanLGH West, as well as therapists who work with BryanLGH patients in our inpatient medical surgical programs and neonatal intensive care unit. "I am very excited about joining the rehabilitation team at BryanLGH Medical Center," she said. "We have a tremendously talented team that works in all areas of the hospital, from serving survivors of trauma, to pre-term infants in our neonatal intensive care unit. Our staff makes an impact on the lives of many individuals, and it is an honor to join this team." n Stones directs rehabilitation services BryanLGH Medical Center welcomes Linda Stones as director of rehabilitation services. Stones received a bachelor's degree in psychology from Nebraska Wesleyan University, a bachelor's in nursing from Creighton University, a master's in business from Johns Hopkins University and has completed course work toward a PhD in nursing. She has more than 20 years of experience in nursing management; for the last four years, Stones has served in nursing leadership roles at Madonna Rehabilitation Hospital. She is responsible for overseeing BryanLGH's comprehensive rehabilitation services, including its 30-bed BryanLGH pharmacists recognized Two BryanLGH pharmacists have been recognized as exceptional educators by the Creighton University School of Pharmacy, Omaha, Neb. Celia Weskamp, PharmD, was named "Preceptor of the Year" in recognition of outstanding contributions to the educational development of future pharmacists by demonstrating high standards of professionalism, ethics and clinical practice. Kathleen Packard, PharmD, was recognized as the 2011 "Teacher of the Year" -- the highest recognition a senior class can bestow on a faculty member. The awards highlight the interest these co-workers exhibit in supporting our future professionals and clinicians; they are mentoring heroes who set a leadership example in our health care community. n BryanLGH Journeys 33 BRYANLGH LIFEPOINTE LifeTracks: It's not just about losing weight. The Gemar family -- Sam (left), Nicole, Kris and Tim -- enjoys a golf outing at a local course. 34 Fall 2011 BRYANLGH LIFEPOINTE It's about changing your life. A s a nurse, Kris Gemar knew better. She knew how excessweightcouldaffectaperson'squalityoflife. How it could impact health. As a teenager, she was athletic, participating in many high school sports. And yet, in her mid-40s here she was -- overweight and uncomfortable. She found herself with health challenges that kept her from family activities and other social events. Kris knew it was time to make a change, and just at that time, she saw the ad for LifeTracks at BryanLGH LifePointe, with its accompanying before-and-after photos and decided to see what it was all about. She came away from an informational meeting inspired and ready to make new choices -- to lose weight and regain her health. LifeTracks, a medically supervised program for rapid and safe weight loss, focuses on health and weight management, and less on "dieting." The 20-week program isspecificallyforthosewhoneed to lose 40 pounds or more and includes exercise, meal supplement, weekly group sessions and individual sessions with a registered dietitian. Bob and Mary Baker were at that inspirational meeting, too. Working ondifferentschedules,thecouple found dining out to be one thing they could do together. But instead of making reasonable choices, they indulged, ultimately packing on more pounds than they care to discuss. "We just got complacent. We really enabled one another," Mary says. Not only that, Mary was on the verge of being placed on cholesterollowering medication. Bob was already on it. They, too, decided the time was right to commit to a healthier Kris Gemar, before beginning way of living. the LifeTracks program. It wasn't an easy decision. As anyone with unhealthy habits knows,takingthefirststepisthehardest."Youfeelasthoughyou will never lose the weight," Mary continues. "And stepping into a gym can be intimidating. But the atmosphere at LifePointe is safe and nonjudgmental. Everyone is welcome and accepted as they are." JonCook,ahealthandfitnessinstructoratLifePointe,pointsout, "We aren't the typical gym. We're geared toward health and wellness -- we want to help people address underlying causes of health issues. It's a very noncompetitive atmosphere here." Kris, the mother of two teenagers, Sam and Nicole, and wife to Tim, now looks forward to her workouts. She likes the variety of activities at LifePointe -- water classes, weight machines, the cardio theater. She mixes it up to keep it from becoming boring. Kris emphasizes that After losing 75 pounds in seven months, Kris maintains a healthy lifestyle; here she discusses meal options with Katie Walz. BryanLGH Journeys 35 BRYANLGH LIFEPOINTE the program is "not just about losing weight. It's about changing your lifestyle.Youhavetomakemovementapartofeveryday." Today, Kris has shed nearly 75 pounds and doesn't take her health forgranted."I'mhappier,moreconfident.Irealizeditwasjustas important for me to take care of me -- you can't take care of everyone else in your family if you're not taking care of yourself." Working as a couple, the Bakers became one another's supporters, rather than enablers. Bob has shed 60 pounds on the program; Mary 90andcounting."It'sbeenfuntryingtofindthingswebothlikeand exploring new foods," the Bakers said. Bob wasn't a big vegetable and fruit eater before, but has learned to enjoy them. Perhaps more importantly, Mary has dodged cholesterol medication altogether. At the start of the program, her total cholesterol was 267. In four months it went down to 162 -- without medication. The Bakers are as committed to a healthier lifestyle as Kris Gemar, who enjoys family activities now -- as a joiner rather than a spectator. And the Bakers like the way they feel. They laugh, saying they relish going to the movies or sitting in an airplane and being able to sit in the seats with the armrest between them down. "Seriously, we want to be here for our kids and grandkids," Mary says. "And for each other." n Interested in LifeTracks? See the schedule below to learn about free information sessions. Go to bryanlghlifepointe.com or use your smartphone QR application to access this code and see a video about Kris Gemar's successful journey through LifeTracks. For more information about BryanLGH LifePointe's programs and facilities, call 402-481-6300 or log onto bryanlgh.org. To register for the following courses at LifePointe, located south of 27th and Pine Lake Road, please contact the staff at 402-481-6300 or log onto bryanlgh.org/calendar. prepare flavorful meals, read food labels to better understand how to choose healthy ingredients, and create a plan for reasonable and attainable weight loss. There's time each session for questions, too! Cost: $30 for the three-session program. LifeTracks Changed my Life! Do you have weight to lose? Is extra weight impacting your life? There comes a time when you realize, it's time. This is my life, my health and it's important. It's time to take control and take action. LifeTracks is a highly effective, medically supervised program for long-term health and weight management. This 20-week program is specially designed for people who want to lose 40 pounds or more. � � Attend a free information session: Tuesday, Sept. 20, 5:30-6:30 p.m. Wednesday, Sept. 21, noon-1 p.m. or 5:30-6:30 p.m. Cooking Class: Cook Once, Eat Twice Thursday, Oct. 13, 7-8 p.m. Registration deadline: Monday, Oct. 10. Ever wonder what to do with the extra food from your evening meal? Turn those leftovers into "planned-overs." Join registered dietitian Melissa Dragoo to learn how to transform tonight's roasted chicken into tomorrow's chicken stirfry. See how cooking a food once and using it for future meals can save time and money, as well as add variety to your meals. Enjoy samples and recipes during this class. Cost: $10. Try LifePointe for free Log onto bryanlghlifepointe.com to request your free pass. We look forward to seeing you! September Spotlight: Spa Service As summer ends, take special care of dry summer skin. Reveal your soft, supple skin with our Mediterranean Salt Glow body treatment. This involves Dead Sea salts infused with chamomile, geranium and lavender expertly applied by a licensed skin therapist to exfoliate your skin. Application of lavender-infused lotion (or another lotion of your choice) leaves you feeling revitalized and your skin hydrated and nourished. Cost for this Spa Service: $50. Pre-diabetes: What Do You Need to Know? Mondays, Oct. 3, 10 and 17, noon-1 p.m. The No. 1 risk factor for pre-diabetes is being overweight. The good news is you can change your health. Attend this class -- it's taught by a registered dietitian -- and learn how to 36 Fall 2011 CALENDAR OF EVENTS BryanLGH Run to Overcome Join us for 2011 Adam's Race Sunday, Oct. 9, 12:30 p.m. Kids' Fun Run starts at 12:30 p.m. 5K and 10K races begin at 1 p.m. at BryanLGH LifePointe, 7501 S. 27th St. Cost: Kids' Run is $10 and includes a T-shirt; 5K and 10K runners pay a $20 fee, which includes a T-shirt, or $25 for a long-sleevecottonorlong-sleevedri-fitshirt. To register, call 402-481-5643, or go to bryanlgh.org, then click on "Classes and Screenings" and then "Community Education." Or use your smartphone's QR application to access the code below and learn more about Adam Zetterman and this event.Proceedswillbenefitmentalhealthservices. Adam was a gifted athlete and musician at Norris High School, an honor student at the University of Nebraska Medical Center, and a caring nurse in cardiac ICU at BryanLGH. He had an unquenchable thirst for happiness, yet the grip of depression repeatedly interfered and ultimately cost him his life. Knowing Adam would wanttomakelifedifferentforothers,thisrunwillhonorhis life and bring hopeful awareness to a disease that can be treated -- and overcome. RUN to OVERCOME Adam's Race 2011 BryanLGH Breast Cancer Awareness Luncheon Cancer with Joy: How to Thrive from Diagnosis through Treatment Tuesday, Oct. 11, 11 a.m. - 1 p.m. Cost: $15. Register online before Oct. 5 at byranlgh.org. Click on "Classes and Screenings" and go to "Community Education." For more details, call 402-481-5643. This year's luncheon keynote speaker is Joy Huber, stage-four, young adult cancer survivor, award-winning international presenter and author of Cancer with Joy. This Pawnee City, Neb., native shares her personal journey of transforming fear into happiness, including seven ways she handled cancer. Listen, laugh and learn ways to respond to life-altering obstacles! What is Mental Health and Why Don't People Talk about It? Wednesday, Oct. 5, 7-8:30 p.m. Plaza Conference Center at BryanLGH East, 1600 S. 48th St. Join us to hear Margaret Bertram of Active Minds describe her path to a more positive, integrated and balanced life. She will discuss how to create an understanding of mental illness, overcoming stigmas and the impact of mental health issues on familyandfriends.Youmustregisterforthisfreepresentationby going to bryanlgh.org or by calling 402-481-8886. Making Strides against Breast Cancer Sunday, Oct. 23, Holmes Lake Park Registration at noon; 5k walk begins at 1 p.m. Join your friends from BryanLGH in a fun walk to salute survivors and to further breast cancer research. Register online at makingstrideslincoln.org or call the American Cancer Society at 402-423-4893. We're a community partner for this year's event. BryanLGH Journeys 37 1600 S. 48th St., Lincoln, NE 68506