Journeys | Summer 2018 by Bryan Health

JOURNEYS

“Destiny is not a matter of chance, it is a matter of choice …” – William Jennings Bryan

SUMMER 2018

Heroes of the game

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JOURNEYS SUMMER 2018

FROM OUR PRESIDENT

2 SUCCESS STORY Teamwork on and off the field 5 PATIENT EXPERIENCE Stroke can’t silence this language expert Pulmonary care helps dressmaker ensure bride’s dreams come true 10

BRYAN FOUNDATION Trauma outreach classes teach thousands to Stop the Bleed Tourniquet stops bleeding, helps save Dale’s life

BRYAN HEART Cardiologists Balwanz and Travers join medical staff VADs improve quality of life Farewell, Dr. Merliss

MEDICAL STAFF SPOTLIGHT Ask the doctor: My husband snores. I have allergies. Our daughter gets ear infections. What can we do?

MEDICAL STAFF UPDATE New faces at Bryan / Remembering our colleague

MERRICK MEDICAL CENTER

CRETE AREA MEDICAL CENTER

OUR SUPPORT OF YOU Bryan Health community benefits report

YOUR SUPPORT OF US

2017 ANNUAL REPORT ON GIVING

BRYAN COLLEGE OF HEALTH SCIENCES

ACHIEVEMENTS

Your health at your fingertips

early 10,000 people signed up for Bryan Health MyChart in the first three months! MyChart provides a convenient, easy way to see test results, view family health records and even request and schedule appointments. “It’s definitely a service our patients enjoy,” says Scott Heasty, MD, of Inpatient Physician Associates. He’s the medical director for clinical informatics at Bryan and a huge proponent of MyChart. With Bryan Health MyChart, your health information is at your fingertips — in one place from your computer, tablet or phone. If you are using your phone or tablet, the best way to see your information is with the MyChart app.

Download the MyChart app at After you download the app, select Bryan Health as your provider. To learn more and sign up for Bryan Health MyChart, visit bryanhealth.org/MyChart.

T H A N K YO U, B RYA N F O U N D AT I O N 2 0 1 8 E V E N T PA R T N E R S Sampson Construction Union Bank & Trust Davis Design Inpatient Physician Associates Cornhusker Bank

Mapes Industries NRC Health Lockton Companies DuTeau Chevrolet Subaru Eakes Office Solutions

HDR Holmes Murphy Home Real Estate Liberty Lawn & Landscape Lincoln Marriott Cornhusker Hotel

ALL ABOUT JOURNEYS

STAY IN TOUCH

Statesman William Jennings Bryan, one of the original benefactors of Bryan Health, said:

We welcome your comments. For more information about Journeys, contact the Advancement team by calling 402-481-8674. To learn more about Bryan programs and services, visit us online at bryanhealth.org.

“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 Bryan chooses to achieve. This free publication is mailed three times a year to the communities we serve.

ON THE COVER When he was seriously injured playing football, Andrew Fricke was grateful athletic trainer Terry Adair was at the game. See their story on Page 2.

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OPPORTUNITIES TO SUPPORT Your contributions help us care for those who come to Bryan at every stage of life. To find out how you can participate, call 402-481-8605, or write to us at: Bryan Foundation 1600 S. 48th St., Lincoln, NE 68506 You can learn how to help and make a gift online at bryanhealth.org/bryan-foundation.

LincOne Federal Credit Union Premier Connections Shared Service Systems VTI Security Xenex Disinfection Services

Kimberly Russel President & CEO, Bryan Health John Woodrich President & COO, Bryan Medical Center Darla Eisenhauer, MD Chief of Staff, Bryan Medical Staff Bob Ravenscroft Vice President of Advancement & CDO Edgar Bumanis Director of Public Relations Kevin Rummel, MD Medical Editor Paul Hadley Editor

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FROM OUR PRESIDENT

“Alone we can do little. Together we can do so much.”

he photo below speaks to a bright future. These physicians are in the first class to graduate from our new Physician Leadership Academy. We partnered with the University of Nebraska-Lincoln’s College of Business to create a nine-month medical leadership program for 20 members of Bryan’s medical staff. These busy physicians devoted one day per month to the program. College of Business faculty taught innovation, change management, health care operations, finance and emotional intelligence — all skills the physicians will rely on as they strive to make our communities healthier while improving medical care in Nebraska. Another cohort of 20 physicians will begin the program this fall. These leaders epitomize a spirit of collaboration. And our partnership with the university is another example of how Bryan Health embraces the best of local resources to advance our mission. It’s a win-win for all involved. This edition of Journeys includes our annual report on giving. You’ll read about gifts from your friends and neighbors that have

— Helen Keller

helped Bryan further its mission. You also will meet, on Page 13, our board members. These trustees represent the patients and communities we serve by sharing their time and expertise to guide our efforts. Our commitment to support and collaborate with those who work so hard to make our community safe, vital and welcoming remains steadfast. Our total, quantifiable community benefit of nearly $100 million attests to our unwavering promise, as your Nebraska-governed, nonprofit health care system, to always be here for all who turn to us, including those who cannot afford to pay for their medical care. We look forward to keeping your family healthy for generations to come. Bryan Health. Forward. Together.

Kimberly A. Russel President and Chief Executive Officer, Bryan Health

These 20 local doctors are the first to graduate from the Physician Leadership Academy, created by Bryan Health and the University of NebraskaLincoln’s College of Business. Bryan Journeys 1

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SUCCESS STORY

Teamwork on and off the field

Middle school football player Andrew Fricke (No. 7) and his mother ( Jessica Holloway, top right) appreciate the efforts of Certified Athletic Trainer Terry Adair (far left) and Lincoln Youth Football officials like Andrew’s coach, Kyle Bellamy. Bryan Health and Lincoln Orthopaedic Center partner to provide athletic trainer services to high school and youth sports program in the community.

He’s thankful an athletic trainer was on hand

ootball is an exciting sport for athletes of all ages. The action, strategy and camaraderie found on the field is invigorating for kids, parents and coaches. But a simple play can quickly go from fast-moving to standstill, specifically when a

life-threatening injury strikes. “Football is a contact sport,” says Certified Athletic Trainer Terry Adair. “While measures are being taken to continually improve the safety of the game, there is still a possibility of injury while competing on the field.” Terry has been serving athletes as an athletic trainer

with Bryan Health on the fields of southeast Nebraska for more than seven years. Through a partnership with Lincoln Orthopaedic Center, Bryan Health offers athletic trainer services to high school athletes, as well as community youth sports such as Lincoln Youth Football, Lancaster Youth

Softball Association, Cornhusker State Games and some YMCA events including lacrosse. His role as an athletic trainer to Lincoln Youth Football is how Terry first encountered 13-yearold football player Andrew Fricke. Irving Middle School student Andrew is no stranger to a

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SUCCESS STORY playing field or sports court. “He spent most of his early years playing soccer, and now he is playing roller hockey, too. He loves to swim and bike and rollerblade all the time,” says his mother, Jessica Holloway, who is a math teacher at Irving. “In fifth grade, he decided to add another sport to his resume by playing tackle football through the Lincoln Youth Football program. While he didn’t play in sixth grade, he picked it back up again in seventh grade.” At a game on Oct. 15, Andrew was on the field, blocking for the ball carrier when he was hit by an opposing player and landed on the ground near his team’s bench.

Andrew’s coach, Kyle Bellamy, knew the hit was bad. “It was a heck of a hit,” he says. “It was so hard, you could hear it. At that moment you realize you may have an injury situation.” Terry was one of the athletic trainers on site that day. He quickly recognized that something wasn’t right. “This happened right next to our medical tent,” says Terry. “I saw Andrew laying on the ground, and he wasn’t getting up. So I thought I’d walk over there to see what was going on.” Terry discovered Andrew was in a lot of pain. “Sometimes when a player gets hit, they experience initial discomfort before the pain Interventional radiologist John Allen, MD, (left) and trauma surgeon Stanley Okosun, MD, were able to preserve Andrew’s spleen.

subsides,” says Terry. “But in Andrew’s situation, the pain didn’t lose intensity. In fact, it seemed to be getting worse.” Terry noticed Andrew’s pain was limited to the upper left quadrant. Knowing the spleen is located in that part of the body, Terry thought Andrew may have an internal injury. Erring on the side of caution, he decided to send Andrew on to Bryan West Campus for a trauma evaluation. Once they arrived at the Bryan Trauma Center, Andrew was prepped by the trauma team and evaluated by trauma surgeon Stanley Okosun, MD. Dr. Okosun already was familiar with the family — he had treated Andrew’s stepdad,

Andrew still plays youth sports because Coach Kyle Bellamy (left) and athletic trainers like Terry Adair have his back.

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Jim, exactly two years before when he’d been injured in a motorcycle crash while traveling to Andrew’s youth football game. “It was unfortunate that we were at the hospital again, but we were pleased to be cared for by outstanding professionals like Dr. Okosun and his team,” Jessica says. A CT scan revealed that Andrew had suffered a lacerated spleen and was bleeding internally. “With a young patient like this, because of the care on the field and swift intervention from our team, we were able to quickly identify the problem and put a plan into action,” says Dr. Okosun. The medical team was

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SUCCESS STORY outcome is a testament to the focused on preserving the spleen if success of the teams working possible, which led them to call John together, from the Youth Football Allen, MD, of Advanced Radiology. organization to the athletic trainers “To stop the bleeding, you can to the Bryan Trauma Center. do one of two things,” says Dr. Allen. “I’ve been coaching youth “You can either surgically remove football for 10 years and wouldn’t the spleen, which is not ideal — the know what to do without these spleen does serve a purpose in folks,” says Coach Kyle. “They helping fight off infection — or you provide an amazing service — can use embolization to stop the not only are they on the field for bleeding, which is much quicker and injuries, but they also help with leads to shorter recovery time while taping athletes before the game preserving the function of the spleen and doing pre-game assessments if for the patient.” needed.” After discussing the procedure In all his years as an athletic with the family, Dr. Allen performed a trainer, Terry says Andrew’s injury splenic embolization. was unique. For this procedure, the medical “I’ve spent 13 years as a team makes an incision in the certified athletic trainer, and I’ve femoral artery in the groin and never seen a spleen injury before advances a thin catheter through the now,” he says. “Despite that, the aorta into the splenic artery. protocols we had in place were Then they inject a contrast appropriate in leading to the care agent into the artery and capture an Andrew needed, that ultimately angiogram. That image allows the saved his spleen, and maybe even team to precisely inject a gel foam his life.” medication that stops the bleeding Andrew’s mom has glowing instantly. After treatment for his serious football-related injury, Andrew reviews for everyone from the “While embolization does stop and his mom are big fans of Bryan’s athletic trainer program. athletic trainers to the trauma team the bleeding, we take an extra step and interventional radiologists. She to ensure it doesn’t happen again by also has a few words of wisdom for fellow youth sports parents. inserting a couple of coils covered in a fuzzy substance that enables “If you’re guessing about what level your child’s injury is, the platelets to adhere to the coils,” Dr. Allen explains. don’t think twice. Take them in to get checked out,” Jessica says. Dr. Allen and his partners at Advanced Radiology — Michael “Looking back on it, I’m very thankful for the advice of the medical Budler, MD, Jeffrey Himmelberg, MD, and Kyle Pfeifer, MD — have professionals on site at the event. As a parent, you never expect your specialized training in interventional radiology and practice all over child to have internal injuries, but it can happen.” Nebraska. Dr. Allen has embolized more than 100 spleens during his Since the athletic training program was started in 2011, athletic career. trainers have treated athletes at hundreds of games, covering a wide “Injuries that involve internal bleeding are common in trauma, variety of injuries, mostly minor. specifically motor vehicle accidents,” he says. “It is rare, however, to “Next time you’re at a game and you see a medical tent, stop by see this from a football injury. It’s wonderful that the athletic medical and say thanks,” says Coach Kyle. “These professionals are the true team took the action they did to get Andrew to the ER.” heroes of the game.” n Andrew recovered well from surgery and was back home within a few days — a good thing, as he celebrated his 13th birthday on Oct. 21, less than a week after his injury. For more information about the athletic training program, visit He was cleared for sports 90 days after his injury and is now bryanhealth.org/athletic-training-youth-program. back on the field for the spring/summer soccer season. To learn how you can support the work of Bryan Health, please Everyone involved with Andrew’s situation agrees the positive contact the Bryan Foundation at 402-481-8605.

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PAT I E N T E X P E R I E N C E

A thrombectomy at Bryan Medical Center helped Professor Jane Hanson recover from the effects of a stroke and return to the classroom.

Stroke can’t silence this language expert

ane Hanson, PhD, tells remarkable stories. She was with the first round of foreign journalists to visit China during the 2008 Olympics. She is a descendent of Timothy Matlack, who served as Thomas Jefferson’s scribe and penned the original Declaration of Independence. As a young woman, she studied in Venezuela and eventually learned to speak four languages fluently: English, Spanish, Chinese and French. Her latest story is just as remarkable. Jane, who is an academic adviser and senior instructor of English as a second language at the University of NebraskaLincoln, had been spending Oct. 4 the way she spends most of her Thursday evenings — watching “Star Trek Voyager” with her son, Michael. They finished the show, and when Jane went to plug in her laptop, she noticed that something felt off.

“I really didn’t know what was going on,” she recalls. “All of a sudden, I had no field of vision on my right side.” When Michael walked back into the room, he was startled by what he saw. “She was waving her arm around, not plugging in the laptop, and her eyes looked distant,” he says. “I went downstairs to get my brother, Dan, and he immediately said we should call an ambulance.” As Michael dashed out of the room, Jane tried to stand up to reassure him. She stumbled over a footstool, fell and broke two bones in her right ankle. Jane didn’t realize it at the time, but she was having a massive ischemic stroke. An ambulance transported her to Bryan West Campus, and James Bobenhouse, MD, of Neurology Associates, gave her tPA, an agent that

can dissolve blood clots in the brain that are causing a stroke. She showed improvement at first, but it became clear that she would need more intervention. “If there’s a large clot, as there was in Jane’s case, the intravenous tPA is just not enough to melt it, and the clot has to be removed,” explains Dr. Bobenhouse. He told Jane’s family about another option: a thrombectomy to mechanically remove the clot. The choice fell on Jane’s sister, Ann Kansier, who is an assistant manager of care management at Bryan. “I knew I wanted to give her every chance to recover the life she had enjoyed,” Ann says. “In my mind, this procedure was giving her the only chance she had.” That’s when interventional radiologist Kyle Pfeifer, MD, of Advanced Radiology got involved. Dr. Pfeifer began an

This story is brought to you by Sampson Construction. Bryan Journeys 5

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PAT I E N T E X P E R I E N C E which took months to heal. Both Dr. Pfeifer and Dr. Bobenhouse are quick to point to a key factor in Jane’s success story: her family reacted quickly and called 911. “Unfortunately, roughly 70 percent of people don’t get to the hospital soon enough,” says Dr. Bobenhouse. “Studies show that if a person is treated even 15 minutes earlier, there is an increased chance of recovery.” Mary Ellen Hook, APRN-CNS, stroke program coordinator at Bryan, encourages families to remember the acronym FAST to help them quickly identify stroke symptoms. (See the illustration on Page 7.) “We teach the public to recognize if the face is droopy,

and they don’t smile equally, their arm is numb or tingling, and they develop slurred speech,” she says. Mary Ellen says the “T” in FAST stands for time, and it reminds people to call 911 rather than try to drive themselves to the hospital. Jane agrees. “I think it’s very important to trust the EMTs. You might, in your frugality, think you’re going to save money, but they’re preparing the ER on the other end for what’s coming in,” she adds. “You’re giving yourself the best possible chance for the best care.” Mary Ellen says Bryan is well-equipped to care for stroke patients, and it is the only hospital in Lincoln to offer a full range of stroke treatments, such as the

Quick thinking by Michael D’Lima (right) and Dan D’Lima was key to their mother’s successful recovery from a massive ischemic stroke.

angiogram, an imaging process that allows him to pinpoint the exact location of the clot. He was then able to try the first of two tools available to him for the procedure. “The first tool we tried for Jane is called an aspiration catheter,” he says. “This is a device that uses suction, similar to a vacuum cleaner, to grab the clot and pull it out of the blood vessel.” But for Jane, it wasn’t working. Dr. Pfeifer then

tried a device called a stent retriever, which can capture a blood clot by using an expandable mesh “cage.” This time, he was successful. When Jane awoke after the surgery, she tested herself to see if her language skills were intact. English, Spanish, Chinese, French — yes, she still had them all. She spent the next week in acute rehab and rested frequently. Soon it was difficult to tell that she’d had a stroke, aside from her broken ankle,

Kyle Pfeifer, MD, was able to remove clots threatening Jane’s brain.

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PAT I E N T E X P E R I E N C E thrombectomy procedure. Jane says she’s grateful to all the emergency responders, nurses, doctors and therapists who cared for her. “There could have been so many other places this could have happened to me,” she reflects. “It happened at

exactly the right time, here in Lincoln, with this hospital, with these staff and doctors, for me to survive. I’m just so thankful.” n To learn how you can support the work of Bryan Health, call 402-481-8605.

Jane Hanson passes a ball to a Fitness Counts classmate during an exercise directed by Kristi Beyer at Bryan LifePointe Campus.

Jane’s story continues

Fitness Counts class slows progression of neurological conditions Stroke program coordinator Mary Ellen Hook consults with medical director James Bobenhouse, MD.

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ane Hanson, PhD, has enrolled in Fitness Counts, an exercise class at Bryan LifePointe Campus that’s tailored to people dealing with Parkinson’s Disease, multiple sclerosis, cerebral palsy or stroke. Exercise physiologist Kristi Beyer notes that while exercise can’t get rid of a disease, it can significantly slow its progression. She says individuals with these conditions have similar needs for exercise: endurance, strength, flexibility and balance. These conditions can also affect an individual’s gait, or walking pattern, and Kristi says each class is designed to target all of these needs. Every three months, Kristi assesses each student and monitors individual progress. Many of her students notice improvement in at least one category every assessment. Jane says the test helped her realize her strength needed work and adds, “The class is helping me, and the group is welcoming and supportive.” Fitness Counts meets Tuesdays, Thursdays and Saturdays. For more information, call 402-481-6300. To get your own stroke risk factor card (left), call 402-481-8674. Bryan Journeys 7

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Felicia Radu (left) was pleased to design a wedding dress for Sydney Bowmaster, MD, daughter of the physician who years ago saved Feliciaâ&#x20AC;&#x2122;s life â&#x20AC;&#x201D; Bill Johnson, MD (right).

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PAT I E N T E X P E R I E N C E

Pulmonary care helps fashion designer ensure bride’s dreams come true

ou often can find Felicia Radu in her dress shop — Felicia’s Couture — working tirelessly on myriad creations, ranging from pageant gowns to bridal masterpieces. While watching her at work, most would have no idea that she’s had to fight for her life — twice. “When my daughter was nine months old, I was diagnosed with breast cancer,” she says. After a lumpectomy and chemotherapy, Felicia was declared cancer-free, and she was anxious to return her life to normal. However, in 2008, she found herself out of breath doing everyday tasks. A short time later, Felicia suffered two blood clots in her lungs, and a cascade of events landed her in an emergency room at Bryan Medical Center. “I first saw Felicia as a patient more than a decade ago,” says pulmonologist Bill Johnson, MD, of Nebraska Pulmonary Specialties. “I explained to her that the blood pressure in her lungs was nearly twice what it should be.” Felicia was diagnosed with chronic thromboembolic pulmonary hypertension. In this condition, clots travel from veins in the body to clog arteries in the lungs. Once lodged in the lung’s arteries, they cause more clots to form and over time add more resistance to blood flow through the lungs. Approximately 1-5 percent of people who’ve had a pulmonary embolism or blood clot end up developing this lifethreatening condition. Dr. Johnson recommended a pulmonary endarterectomy, which is a marathon surgery that involves chilling the body, stopping the heart repeatedly and slicing along the entire arterial tree of the lungs to remove the clots. The mortality rate for this surgery is 1 in 20. “While I was scared, I also realized the bigger risk was not having the surgery,” says Felicia. “Without it, I wasn’t sure I’d be here in even five years.” Felicia would need to go to San Diego, to be operated on by

specialists in this delicate and intricate procedure. That surgery lasted nine and a half hours, and she remained in a medical coma for 52 hours. Felicia and her family stayed in San Diego for another month while she recovered. With the successful surgery behind her, Felicia was able to return to her dressmaking, to the delight of her clientele — including one of her newest customers, Dr. Johnson’s daughter, Sydney. “I’ve known Felicia for over 10 years,” says Dr. Johnson. “When Sydney got engaged, I suggested that she talk to Felicia about her wedding dress. We couldn’t be more pleased that Felicia was able to be part of Sydney’s big day.” Sydney graduated from the University of Nebraska Medical Center College of Medicine this May, and her springtime wedding was later in the month. Felicia was thrilled to design a dress for the daughter of the doctor who helped save her life. “I was excited for the opportunity,” says Felicia. “It was very special.” Felicia has made a number of unique dresses over the years, including a skirt made out of a parachute from the 70s for a senior portrait session. “It’s not about the dress, it’s about the story,” she points out. Felicia visits Dr. Johnson a couple of times throughout the year to monitor her condition and adjust the medications that help keep her pulmonary hypertension under control. “Felicia has a good prognosis for the future,” says Dr. Johnson. “My goal is to help her have the best quality of life that she can without the residual effects of the disease.” Felicia lives in Lincoln with her husband and their 13-yearold daughter, and — thanks to the surgery she underwent in California and her ongoing care here — she continues to fashion beautiful dresses for happily-ever-after memories. n To learn how you can support the work of Bryan Health, please call 402-481-8605.

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BRYAN FOUNDATION

Trauma outreach classes teach thousands to

Stop the Bleed

urgeon Lenworth Jacobs, MD, was on duty in Hartford, Connecticut, Dec. 14, 2012, the day 20 schoolchildren and seven adults died in the Sandy Hook School mass shooting. He and his trauma team prepared quickly for dozens of gunshot victims they expected would be brought to the hospital’s emergency room. But no patients arrived. Tragically, all had died at the scene. After the shooting, Dr. Jacobs looked over autopsy records, which confirmed his suspicion — all 27 died from massive bleeding following their gunshot injuries. Out of his determination to improve survival after disastrous mass casualty events, Dr. Jacobs worked with colleagues to create a dynamic team of physicians, emergency first responders and Stop the Bleed is ensuring Lincoln Airport represenpersonnel are ready for emergencies. tatives from the American College of Surgeons, the U.S. Departments of Defense and Homeland Security, the FBI and the White House, among others. This group made recommendations known as “The Hartford Consensus” with the goal of improving the survival rate of victims of an active shooter and other mass casualty events.

Bikers learned about Stop the Bleed at Frontier Harley-Davidson.

255,000 people in the United States and across the world. The goal of the campaign is to train 3 million Americans to identify life-threatening bleeding and feel empowered to help keep someone from bleeding to death. In Nebraska, over 3,000 people have learned how to “Stop the Bleed” in bleeding control classes made possible by a $95,000 grant from the Community Health Endowment to the Bryan Foundation. Through these classes and the bleedingcontrol.org website, the campaign offers kits for purchase containing Stop the Bleed campaign begins a high-quality tourniquet, In October 2015, based on those recommendations, a QuikClot bleeding control the White House announced Stop the Bleed, a dressing, a compression public education campaign designed to train and bandage and gloves. encourage bystanders to treat life-threatening bleeding High schoolers learned about Stop the Bleed at Participants in the classes emergencies before professional help arrives. a Lincoln Fire and Rescue job shadowing event. learn to use their hands and Since that time, the campaign has taught more than This story is brought to you by Davis Design. 10 Summer 2018

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BRYAN FOUNDATION

Through a financial gift to the Bryan Foundation from retired trauma surgeon Paul Collicott, MD, and his wife Irvene, Bryan provided wall-mounted and portable bleeding control kits to Pinnacle Bank Arena for bleeding emergencies that might occur there. The Bryan Foundation also is working to provide Lincoln with additional bleeding control kits throughout the city. “The Foundation’s goal is to raise an additional $50,000 to place trauma kits in high-traffic areas, such as schools, parks, malls and movie theaters,” says senior development officer Valerie Hunt. Interested in taking Stop the Bleed? Call Bryan’s Trauma Outreach Services at 402-481-5150 or contact them at stopthebleed@bryanhealth.org.

this equipment to stop life-threatening bleeding in everyday emergencies and man-made and natural disasters to potentially save lives. A person who is bleeding can die from blood loss within five minutes, so it’s important to quickly stop the bleeding. Guy Pinkman, a Lincoln Fire and Rescue captain and paramedic, is very familiar with bleeding emergencies. He was first on the scene at Dale Johnson’s motorcycle crash (please refer to the related article on Page 12) and applied a tourniquet to stop Dale’s blood loss long enough for Dale to receive life-saving surgery at the Trauma Training will help Troop 51’s Scouts Center at Bryan West “Be Prepared.” Bryan’s trauma outreach program is teaching a wide regional Campus. audience, from students to care givers. “The tourniquet,

bleeding control dressing and compression bandage in Stop the Bleed’s bleeding control kit are very easy to use and have obvious usefulness in the kind of mass casualty situations that unfortunately are becoming more common,” Guy says. “But there are other situations that are much more likely that I suggest people keep in their minds,” he adds. “Whenever glass or metal breaks, there is the potential for a bleeding emergency, so at many car and motorcycle crashes, such as Dale’s, someone who knows how to use a tourniquet could stop bleeding long enough for paramedics to get there. “As paramedics, we’ve responded to bleeding emergencies in homes where people were badly cut by a broken drinking glass or picture frame, by falling through a plate glass window, or even dropping a knife in the kitchen. People who have a bleeding control kit at home can apply the tourniquet or apply pressure using the gauze to stop the bleeding until we arrive.” Guy says there also is a serious need in farm settings, because farmers often work alone. ”Injuries can happen with farm machinery and sadly, people can lose a lot of blood or even die before someone finds them or they can get themselves to help. Because of the kit’s simple design, you could even apply the tourniquet and gauze pads to yourself, and how to do that is taught in Stop the Bleed’s bleeding control class,” he points out. Preparation may save a life Anytime there is large machinery running, such as at a machine shop or construction site, there’s potential for traumatic injury and serious blood loss. A person trained to use a bleeding control kit can minimize bleeding on site until the rescue team is on the scene. If someone is bleeding from an extremity, Guy explains, the tourniquet can be applied to control bleeding. On the torso, neck or groin, apply very firm pressure directly to the wound, using the QuikClot gauze (or any clean cloth available) until the paramedics arrive. Guy knows that people often feel scared and unsure in bleeding emergencies. With that in mind, he says, “Anytime we educate ourselves, we’re better prepared for an unknown event and ready to serve others and possibly save a life. With a little bit of experience, even in practice like in the one-hour bleeding control class, you may end up saving someone’s life — perhaps a stranger’s, your family member’s or even your own.” n To learn how you can support the work of Bryan Health, contact the Bryan Foundation at 402-481-8605. To watch a related video, go to bryanhealth.org/ VIDEO Stop-The-Bleed.

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BRYAN FOUNDATION

Tourniquet stops bleeding, helps save Dale’s life

n March 2016, Dale Johnson of Lincoln was hit by a car while riding his new motorcycle — and the crash left him with a lifethreatening bleeding injury. After impact, Dale struggled to stay conscious. One of his legs was broken in seven places and bleeding a lot. People stopped to help and dialed 911, while blood soaked into Dale’s clothing and onto the pavement where he lay. He heard sirens, and moments later, paramedics and firefighters from Lincoln’s Fire Station 4 arrived. Fire Captain and paramedic Guy Pinkman quickly assessed Dale’s injuries, then took the first steps in saving his life. Though he didn’t know them at the time, Dale would come to know these steps well: 1) wrap the tourniquet around the arm or leg above the bleed, 2) tighten the tourniquet to compress blood vessels to stop the bleed and 3) secure the tourniquet in place. “The surgeon told me that I at first had about a 7 percent chance of survival,” says Dale, who is news director at Lincoln’s radio station KFOR. “I became curious about what had helped me survive the crash, and I realized that Guy’s fast use of a tourniquet is what initially saved me — it helped me survive long enough to get to the Trauma Center for emergency surgery. “So when things settled down in my life, I took the Stop the Bleed class to learn how to use the equipment that helped save me that day.”

Dale Johnson’s amazing attitude — on display here while he vacations in Peru just six months after his crash — is helping him overcome life-threatening injuries.

Dale says the bleeding control kit was easy to use after taking the class. “It contains simple equipment, and using it to help someone during a bleeding emergency can give that person a fighting chance. Bleeding control is something you as a bystander can do while the rescue team is on its way — and that might be what helps that person survive.” n

Paramedic Guy Pinkman’s knowledge of tourniquets helped save Dale Johnson. Although his left leg had to be amputated above the knee, Dale’s unwavering determination to recover has led to his returning to work, enjoying hobbies and promoting Stop the Bleed.

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BRYAN TRUSTEES

Meet our Trustees and Board Members Bryan Health Trustees Bill Cintani Nick Cusick David Dyke, MD Steve Erwin, Chair Richard Evnen Anthony Goins Jon Hinrichs, MD Meg Lauerman William Lester Donde Plowman, PhD Kimberly Russel Renee Sjulin Cori Vokoun Mark Walz Ross Wilcox John Woodrich

Bryan Enterprises Board Members Pat Ganyo Russ Gronewold Robert Nefsky, Chair Bob Ravenscroft John Reed, MD Kimberly Russel Kristian Rutford John Woodrich

Bryan Medical Center Trustees Nick Cusick, Chair John Decker Jr. Darla Eisenhauer, MD Steve Erwin Richard Evnen Brenda Franklin, RN Ken Gross, MD Shannon Harner Jack Huck David Keck, PhD Edward Mlinek Jr., MD Angie Muhleisen Patricia Pansing Brooks Beau Reid Kimberly Russel Gene Stohs, MD Lisa Vail, DNP, RN, NEA-BC John Woodrich Scott Young

Bryan Physician Network Trustees Andrew Bohart, MD John Dittman Amanda Fitzgerald, MD Russ Gronewold, Gary Milius, MD Eric Moss Albert Owusu-Ansah, MD, Chair Ben Pankonin

Bryan Foundation Trustees Brian Bossard, MD Loel Brooks Dick Campbell Joseph Kam Chiu, MD Bill Cintani Carolyn Cody, MD Greg Dynek Ben Kiser Janet Labenz Andrew Loudon Jaine Merliss, PhD Katie Miller Albert Owusu-Ansah, MD Trey Pittenger Bob Ravenscroft Kimberly Russel Aina Silenieks, MD Beth Ann Smith Kathy Stewart Layne Sup Jennifer Tricker Cori Vokoun, Chair Charles Wilson, MD

Crete Area Medical Center Trustees Tad Eickman, Chair Tom Kozisek Troy Miller, DO Rebekah Mussman Mike Pavelka Bob Ravenscroft David Reese Linda Stones, RN

Merrick Medical Center Trustees Paul Clark, Chair Ken Foster Carol Friesen Raymond Huggett Nathan Krug, MD Julie Murray

Bryan College of Health Sciences Trustees Kelsi Anderson, PhD Laurie Bellows, PhD Deb Border, RN, MSN Samantha Dirkschneider Larry Dlugosh, PhD Bill Evans Brenda Franklin, RN Beth Lau, MD Rich Lloyd, PhD Angie Muhleisen, Chair Bill Nunez, PhD Shannon Pecka, PhD, CRNA Erin Pemberton, JD, MSN Sameano Porchea, PhD Bob Ravenscroft Roger Reamer Kimberly Russel Maurice Russell, RPh Lisa Vail, DNP, RN, NEA-BC Sue Wilkinson, CPA, FLMI John Woodrich

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BRYAN HEART

Cardiologists Balwanz and Travers join m

hen Chris Balwanz, MD, started his freshman year at the University of Nebraska-Lincoln, he planned on becoming an engineer, but it didn’t take him long to change course. “Within my first semester, I realized that it wasn’t what I wanted to do,” he says. He began volunteering at a Lincoln hospital, and through his experiences with critically ill patients, he became interested in studying medicine. Dr. Balwanz grew up in Omaha and attended Millard South High School. After completing his undergraduate degree in Lincoln, he decided to return to Omaha to attend the University of Nebraska Medical Center College of Medicine. Dr. Balwanz says he was drawn to cardiology because of the variety and complexity involved, and he enjoyed opportunities to make a difference in his patients’ lives. He went on to complete an internal medicine residency at the University of California, Davis, and a general cardiovascular diseases fellowship at the University of Kansas Medical Center, Kansas City. JOINS BRYAN TEAM Dr. Balwanz had been teaching internal and cardiovascular medicine at UNMC when he got a call asking him to join Bryan Heart. It didn’t take him long to decide. “Bryan has a well-known reputation. It provides high-quality care and all the services that one would need for cardiovascular health,” he says. Bryan Heart cardiologist Chris Balwanz, MD, and Katie Garcia, DDS, and puppies As a cardiologist who specializes in imaging, Oliver and Finn welcomed baby Connor to the family this spring. including vascular ultrasound, Dr. Balwanz strives to give his patients the best care possible, and he The doctors also enjoy spending time with friends, and Dr. believes the technology available at Bryan makes this easier. Balwanz says it’s fun bumping into Bryan Medical Staff colleagues Dr. Balwanz says the move to Lincoln has been good for his he first met in college and medical school. family. His wife, Katie Garcia, DDS, is a pediatric dentist in Lincoln, “It has been nice that somehow everyone ended up in Lincoln,” and they both appreciate that her commute is shorter. This April, the he says. Looking ahead, he’s eager to continue his work serving couple welcomed another change: their son, Connor, was born. The couple enjoy going to Husker football and basketball games, patients in his home state. “Being able to come back to Lincoln and help care for spending time with family and staying active outside — but with a Nebraskans throughout the state has been very special, not just to newborn, their hobbies are a little different. me, but also to my family,” he says. “Now it’s sleep,” Dr. Balwanz jokes.

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BRYAN HEART

n medical staff

had Travers, MD, says the influence on his medical career goes back to the day he was born. Dr. Travers spent a lot of time around his best friend’s dad — Ronald Klutman, MD — who happened to be not only his physician, but also the doctor who delivered him. “He cared for my whole family, and I have a lot of respect for him,” says Dr. Travers, who grew up in Columbus. Dr. Travers says he planned to follow in Dr. Klutman’s footsteps by pursuing family practice while attending the University of Nebraska Medical Center College of Medicine in Omaha, but he was drawn to cardiology during his residency at Rush University Medical Center in Chicago. As a cardiologist at Bryan Heart, Dr. Travers specializes in

echocardiography, or advanced imaging of the heart, and nuclear medicine. He says he’s excited that at Bryan he’s able to treat his patients using some of the newest and best technology available. “Some of this technology is usually only available in university hospital settings, and for a community hospital to have it, that’s a big deal,” he says. HAS NEBRASKA ROOTS Dr. Travers and his brother spent their early years like a lot of kids in Nebraska: detasseling corn and shingling roofs in the summers, and playing sports year-round. Their dad was a physical education teacher at the middle school, and mom worked at Nebraska Public Power District. Dr. Travers met his wife, Carolyn, through a mutual friend during his residency in Chicago. Carolyn — who is a dentist in Lincoln — grew up near Chicago. When they considered where they wanted to raise a family, Nebraska rose to the top of the list. The couple has four children — Audrey (6), Lucas (4), Amelia (2) and their newest addition in March, Tessa. The Travers enjoy traveling and make regular trips to Chicago to visit Carolyn’s parents. The kids have fun playing sports and love spending time with the family’s 8-yearold chocolate lab, Cooper. Like many of his Bryan Heart colleagues, Dr. Travers travels to see patients in smaller communities. He says his visits to Columbus are especially meaningful, and developing those relationships with patients has been extremely rewarding. “I’ve even seen some of my older teachers as patients,” he says. “It’s rewarding when you’re caring for people who taught you, and now you’re able to help keep them going.” n

Cardiologist Chad Travers, MD, and Carolyn Travers, DDS, have four children — Lucas (left), Amelia, baby Tessa and Audrey — and Cooper, the chocolate lab.

To learn how you can support the work of Bryan Heart, contact the Bryan Foundation at 402-481-8605. To watch a related video, go to VIDEO bryanhealth.org/DrBalwanz.

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BRYAN HEART

VADs improve quality of life

uch of the history of ventricular assist devices (VADs), otherwise known as mechanical heart pumps, has unfolded at Bryan Medical Center. VADs have been implanted in failing hearts since the 1960s, initially used only as a bridge for patients awaiting heart transplants, but now they also help those not eligible for transplants. The first VADs were the size of a cantaloupe — today’s devices are much smaller, about the size of a baseball. They help patients treated with medications and procedures for heart failure who still experience symptoms like shortness of breath and worsening fatigue. VADs are surgically placed in the bottom of the patient’s heart to circulate blood from a failing, weak heart, improving blood flow to vital organs. VADs may dramatically improve patients’ quality of life and physical endurance, helping them spend more time with family and friends and doing the things they enjoy. Bryan Heart is not new to the world of mechanical circulatory support and VADs. The first HeartMate XVE pump placed at Bryan was

implanted in 1996, and over time new models allowed better patient mobility, independence and, eventually, discharge from the hospital. In 2011, cardiothoracic surgeon Richard Thompson, MD, joined Bryan Heart, and along with cardiologist Mathue Baker, MD, began a new, expanded VAD program to offer comprehensive heart failure care for Bryan’s patients. During the next five years, Bryan Heart’s VAD program grew exponentially, with more than 40 devices implanted. VAD nurse practitioner and program coordinator Sarah Schroeder joined the program in 2014 along with cardiologist John Steuter, MD, and cardiothoracic surgeon Ryan Shelstad, MD. Together,

The HeartMate 3 is the newest implantable VAD.

HeartMate 3 recipient Richard Noddings (in black cap) is thankful for Bryan Heart VAD team members (from left) Dr. Mathue Baker, nurse practitioner Sarah Schroeder and Dr. Richard Thompson.

the team brings immense experience in VAD therapy. Bryan now provides the newest and smallest VAD pump, the HeartMate 3, for patients with heart failure. “The HeartMate 3 is a technological marvel,” says Dr. Baker. “It represents the latest advancements in mechanical cardiac support and has the potential to keep our sickest patients alive, active and complication-free for years.” “This advanced pump is also much easier to implant from a surgical standpoint. It’s a big deal to minimize risk as much as possible for this patient population following VAD implantation,” adds Dr. Thompson.

In 2016, one Nebraskan very much in need of the Bryan VAD team’s assistance was Richard Noddings, a 65-yearold alfalfa farmer living near Wilber. This Vietnam War veteran was exposed to the defoliant “Agent Orange,” which badly damaged his heart. “By age 45 or so,” Richard says, “I had chest pain and other symptoms that just got worse and worse. By 2014, I’d had several heart attacks, and many procedures, to try to help my heart work better. “After yet another severe heart attack, I saw cardiologist Dale Hansen, MD, at Bryan, who considered referring me for a heart transplant, but my heart problems were too

This story is brought to you by Mapes Industries. 16 Summer 2018

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BRYAN HEART

Farewell, Dr. Merliss complex. So he sent me to Dr. Baker at Bryan’s VAD center — early in 2018, the team decided I was a candidate for the HeartMate 3.” Just three months later, Richard was able to walk well enough to look at his farm fields with his wife Janet, and he soon may return to his favorite hobby, fishing. “I’m so thankful to the doctors and nurses and the skills that they have. I couldn’t ask for anything more. And the continuity of care is excellent,” he adds. “I can reach Sarah, the coordinator, any time of day with questions.” Sarah shares the philosophy underlying the VAD team’s devotion to care by noting, “Patients in our program are like family. I treat each as if they were my mother, father or another family member. We’ve seen the quality of our patients’ lives improve to where they are experiencing things they otherwise could not have — a child graduating from nursing school, grandchildren being born, or escorting a daughter down the aisle on her wedding day. “Every patient has a story. We just have to listen.“ n To learn how you can support the work of Bryan Heart, call 402-481-8605.

ardiologist and electrophysiologist Andrew “Andy” Merliss, MD, retires in July after a medical career of more than 40 years — including 16 years of service at Bryan Heart. Before he moved to Lincoln in 2002, this East Coast native had been practicing in Fargo, North Dakota. “I was raised in New Jersey, just outside of New York City, and went to North Dakota to establish an electrophysiology program,” he recalled in an earlier interview. “I’ve come to appreciate Midwesterners as hardworking, honest people, and I enjoy being with them!” He added, “I was very happy in North Dakota, with a wonderful lab and a terrific staff, but Lincoln was even more attractive. Bryan is such a beautiful facility with the resources to allow me to work with a staff that’s on the cutting edge of the latest procedures.” Dr. Merliss is Board certified in cardiology. He graduated from George Washington University School of Medicine, Washington, D.C. in 1976 and completed a residency at Harvard Medical School, Mt. Auburn Hospital, Cambridge,

Massachusetts, and Beth Israel Deaconess Medical Center, Boston, and cardiology fellowships at Harvard Medical School and Brigham and Women’s Hospital, Boston. He comes from a medical family — both his parents as well as a grandfather were physicians. While in medical school, Dr. Merliss became

hooked on technological advances in diagnostic equipment and treatments. He stoked that interest while at Bryan Heart. He was director of arrhythmia services and helped introduce technology such as the Watchman stroke prevention device; Micra, the world’s smallest pacemaker; and cryoablation surgery to correct atrial fibrillation. “Electrophysiology is a form of interventional cardiology, in which we ‘fix’ the heart’s electrical system,” this former Bryan College of Health Sciences trustee said. “The field has evolved in exciting ways, and we have a state of the art EP lab at Bryan that’s constantly improving.” Dr. Merliss is a big fan of golf and fly fishing, but his favorite times involve his wife and their children. n

Dr. Merliss introduced many technological advances while at Bryan Heart — and showed off his musical skills during a TV commercial.

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MEDICAL STAFF SPOTLIGHT

Ask the doctor: My husband snores. I have allergies. Our daughter gets ear infections. What can we do?

Benton Nelson, MD, can be reached at ENT Specialties, 402-488-5600.

Benton Nelson, MD, is an ear, nose and throat (ENT) specialist who will answer these questions and more. Dr. Nelson joined ENT Specialties in Lincoln in 2016. Earlier, he earned a Bachelor of Science in Biology from Nebraska Wesleyan University, then a medical degree with high distinction at the University of Nebraska College of Medicine, Omaha. He completed his otolaryngology residency at Indiana University School of Medicine, Indianapolis, where he was exposed to a full spectrum of the ENT subspecialty. He is Board certified in OtolaryngologyHead and Neck Surgery.

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MEDICAL STAFF SPOTLIGHT Q: What is otorhinolaryngology? The official medical name for ENT is otorhinolaryngology. This is a surgical subspecialty that deals with conditions of the ear, nose and throat and related structures of the head and neck. Q: Are there certain areas within this discipline in which you specialize? I practice the full spectrum of otolaryngology disorders. My special interests lie within treating pediatric otolaryngology, chronic sinus disease, nasal obstruction, salivary disorders, skin cancer and thyroid/parathyroid disease. Q: What attracted you to this branch of medicine? What special training is needed to become an ENT specialist? I was attracted to ENT due to the wide breadth of procedures we perform and the ability to treat patients both surgically and medically. So many important structures lie within small areas of the head and neck. I found the surgeries and anatomy fascinating. After medical school, an ENT must complete a five-year residency to become competent in the field. Q: What do you find rewarding about being an ENT doctor? The doctor-patient relationship is a very special connection, and I love working with my patients to achieve their health goals. I really enjoy being able to treat my patients both medically and surgically. Q: Where are you from? What drew you to Lincoln to begin your practice? What are the benefits of being a member of the Bryan Health network? I grew up in Lincoln and have only lived away while I was in medical school and completing residency training. I returned to Lincoln due to the high-quality care the medical community provides. I felt it was a privilege to be invited back to join such a fantastic community. My wife and I have two children, and Lincoln is a wonderful place to raise kids. Having a relationship with Bryan Health ensures our patients have access to this high-quality care. Q: What are some common issues with which an ENT doctor could help me or my family members? I help patients with recurrent ear and tonsil infections, chronic

sinus drainage, poor nasal breathing, head and neck masses, decreased hearing and many other ailments. In our practice, we treat all ages of patients, from newborns to retirees. Q: With summer here, do you see more patients looking for help with allergy management? Living in Nebraska, we are very much prone to the changes of seasons with an uptick in allergy symptoms especially during the spring and fall. Allergies can significantly affect your quality of life, with some being seasonal and others being year round. Testing for allergies can help us determine offending allergens and help us to find the proper treatment to alleviate symptoms. Q: What can be done to provide relief to those suffering from allergy symptoms? A great deal of the time we can find a balance of medications to control symptoms during times of allergy flare ups. If symptoms are severe enough, we may even recommend immunotherapy (allergy shots) to help correct the changes in the immune system. Allergies can make you feel miserable, but we can find you relief. Q: What causes my hoarseness? There are many different causes of hoarseness, some of which are minor and others more worrisome. The most common culprits are viruses, allergies, acid reflux, sinus drainage and age-related changes to the muscles of the voice box. If hoarseness persists more than four weeks, it is recommended to be evaluated by an ENT. During an in-office visit, we can examine the voice box to determine the cause of your hoarseness. Q: What can be done about snoring? Snoring is a very bothersome airway disorder in which tissues in the nose and throat cause vibrations. Sometimes this is a sign of a more serious condition called obstructive sleep apnea, in which there is restriction of air flow in the upper airway. Other times, it is an annoyance for the patient as well as their significant other. Many surgical and nonsurgical therapies can be initiated to help with snoring. If you feel like snoring is affecting you or your partnerâ&#x20AC;&#x2122;s quality of life, we would be glad to evaluate you or your partner.

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MEDICAL STAFF SPOTLIGHT Q: How do I know if I have sleep apnea and what can be done about it? What other medical specialties deal with this condition? If you have any significant symptoms of obstructive sleep apnea, such as daytime sleepiness, never feeling rested, morning headaches, snoring or witnessed apneas, you should undergo a sleep study. Primary care physicians, as well as pulmonologists, are well versed in discussing and obtaining a sleep study. Lifestyle changes and medical devices can help open the airway. Surgery can also be very beneficial in treating snoring/obstructive sleep apnea. ENT specialists can examine the upper airway to determine the likely site of obstruction and then offer treatment based on the findings. Q: If I think I am experiencing hearing loss, should I see an ENT? Hearing is very important for communication and interaction in our society. The loss of hearing can be quite debilitating. Protecting and maintaining hearing is of utmost importance to ENTs. It is always useful to see an ENT for hearing loss to determine if there are treatable conditions to restore your hearing. Other times, hearing aids are indicated. If you feel like your hearing suddenly decreases, it is very important to be evaluated immediately by your primary care physician or an ENT. Q: Do I need a referral to see an ENT doctor? You do not always need a referral to see an ENT. If you feel you have an ENT-related issue, we would be glad to evaluate you. It is very important to have a close relationship with a primary care physician, and many times discussing the issue with them will lead to a referral. Q: Will you keep my primary care physician in the loop? Communication between practitioners is of utmost importance in achieving high-quality care. We always send a note to your primary care physician, letting them know what we discussed and if there will be any changes in treatment.

Q: What new, leading-edge research and treatments in ENT are available here in Lincoln? What’s on the horizon for patients in our community? As with the rest of medicine, new technology and advancements are coming to the forefront of surgery. New technologies allow us to decrease risk to patients, and minimally invasive surgery expedites the recovery process. New tools are being used in nasal surgery, sinus surgery and in-office based procedures. Q: What should parents be aware of when it comes to kids’ ENT health? Pediatric ENT-related visits to the primary care physician are extremely common. From colds to ear infections to tonsillitis, it is estimated more than 40 percent of pediatric acute care visits are for an ENT-related ailment. If your child is having recurrent issues, we would be glad to see them for further treatments involving either medicine or surgery. Having a chronically sick child is never fun, and we would be glad to evaluate them if you feel their health could be improved. Q: I’ve heard of children having tubes in their ears to treat ear infections. When is this the best option, and what should parents know when making this decision? Ear tubes are a very successful way of treating recurrent ear infections. Ear infections are very common in children. Tubes are not always necessary, although in some cases they play an important role in treatment. A good rule of thumb is if there are three to four ear infections in less than a year or continual fluid behind the ear drum for three months, then evaluation for potential tubes may be necessary. If you are worried about the ear health of your child, discuss with your primary care physician if they think a consultation with an ENT would be beneficial. Q: When you aren’t at work, what do you enjoy doing? I enjoy spending time with my family and friends. My personal interests include running, soccer, Husker sports, traveling, cooking and home brewing. n

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BRYAN FOUNDATION

Rosens grateful for Independence Center experience

he Bryan Independence Center holds a special place 1990. “We learned that we had to work together,” Lou recalls. in Lou Rosen’s heart. “We needed to trust the process and practice tough love. It was “It saved our family,” she says with a smile. hard, and it put a strain on us emotionally and financially. But “Simple as that.” slowly, we began rebuilding our At the Bryan Independence Center, life.” clients receive the most comprehensive The Rosen family has not had substance abuse treatment in a touch of alcohol since that day. southeast Nebraska. The program is Lou and Marv moved to Minnesota oriented to the 12-step approach, to live closer to their children. which has been proven over the years Their goal was to make the most of to be highly successful, as witnessed their second lease on life. But that by the Rosen family. lease was cut short after Marv was “Our son, Doug, was going to diagnosed in the fall of 2016 with college in Florida in 1988,” says Lou. “A pancreatic cancer, which eventually friend of Doug’s contacted us and said spread to his liver. Doug was in trouble with drugs and He passed away on March 19, alcohol and needed help.” 2017 — nearly 27 years after he first Lou and her husband Marv decided entered the Bryan Independence to fly Doug home to Nebraska to find Center. treatment options. A friend of the When the family was discussing Rosen family set up a meeting with a the way they might be able to give counselor, who referred them to the back, they decided to designate the Bryan Independence Center. funds from the memorial to benefit “We’ll never forget that day,” says the Bryan Independence Center. Lou. “Doug didn’t want to go, but he “We are grateful for the sucknew he should. We just trusted that the cessful outcomes we experienced as Bryan Independence Center could help.” a result of the Bryan Independence Doug completed a 30-day intensive Center, and we want others to program, and then transitioned to experience the same,” says Lou. Lou Rosen and her son, Doug, tour the memorial garden a halfway house. He continued to The other Rosen children improve, landing a part-time job, and and Bryan Independence Center with director Jerome Barry. also contributed to the gift in then another, and later graduated from gratitude for the impact it had on the University of Nebraska-Omaha. their dad and brother. Despite Doug’s success on the road to recovery, the Rosen When asked about how one should react when a family family was far from healed. Doug’s progress only amplified the member is struggling with an addiction, Lou’s words of advice are need for another family member to seek treatment. straightforward and simple. “Marv had struggled with alcohol for many years,” says Lou. “Go get help,” she says. “You’ll lose your family if you don’t. “It was beginning to affect our family — especially our other Don’t let that happen. Take action.” n children, who were grown at the time. They didn’t want their To contact the Bryan Independence Center about available families being around him and endangering others’ lives with programs, call 402-481-5268. To learn how you can support the his drinking.” work of Bryan Health, call the Bryan Foundation at 402-481-8605. Marv entered the Bryan Independence Center in October

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MEDICAL STAFF UPDATE

New faces at

Bryan

Welcome these colleagues to the Bryan medical community Christopher Balwanz, MD, internal medicine and cardiovascular disease, has joined Bryan Heart, 402-483-3333. Dr. Balwanz is from Omaha. He graduated from the University of Nebraska-Lincoln and in 2005 he earned his medical degree at the University of Nebraska Medical Center College of Medicine, Omaha. He completed a residency at the University of California, Davis, and a fellowship at University of Kansas Medical Center, Kansas City. He was an assistant professor at UNMC and authored several publications. Dr. Balwanz practices general cardiology with interests in cardiac and vascular imaging. He is Board certified in Internal Medicine, Cardiovascular Diseases, Echocardiography, Nuclear Cardiology and Vascular Imaging. He and his wife Katie Garcia, DDS, enjoy spending time with their newborn son as well as their two dogs and family and friends. S. Matthew Davis, DDS, MD, oral surgery, has joined Nebraska Oral and Facial Surgery, 402-327-9400. Dr. Davis attended the University of Nebraska-Lincoln where he studied engineering physics. He earned a Doctorate of Dental Surgery in 2009 from the University of Nebraska Medical Center and a Doctorate of Medicine in 2012 from the Mayo Medical School in Rochester, Minnesota. Dr. Davis completed an oral and maxillofacial surgery residency at the Mayo Clinic. He is a member of several professional boards including the American Board of Oral and Maxillofacial Surgery. He also volunteers at charitable organizations as a fundraiser, and tutors and

provides dental care to underserved communities and youth. Dr. Davis enjoys family activities with his wife, their children and their dog. He also enjoys tennis, golf, fishing and playing violin and guitar. Matthew Driewer, MD, internal medicine, has joined Madonna Rehabilitation Hospitals, 402-413-3531. Dr. Driewer has been practicing for more than 10 years as an internal medicine physician and hospitalist. Dr. Driewer graduated from Hastings College, Hastings, in 1997 with a Bachelor of Arts in Biology and a minor in English literature. He graduated from the University of Nebraska Medical Center College of Medicine, Omaha, in 2002 and completed a residency at the University of Iowa, Des Moines, in 2005. During his career, he has served on several medical committees. His roles have included committees on the topics of critical care, credentials and strokes among others. He is an active member and small group leader at his church and is a youth coach for football, basketball and baseball. Dr. Driewer also enjoys camping, cooking and brewing beer. Manmohan â&#x20AC;&#x153;Monaâ&#x20AC;? Pothuloori, MD, psychiatry, has joined Bryan Heartland Psychiatry, which is part of the Bryan Physician Network, 402-483-8555. Dr. Pothuloori recently returned to Nebraska to work in her specialty areas of child and adult psychiatry. She practiced in Kentucky for the past seven years and returned to be closer to her family. Earlier in her career, she worked as a psychiatrist at Bryan Medical Center and at Mary Lanning Hospital in Hastings. Dr. Pothuloori graduated from Osmania Medical College, Hyderabad, India in 1974 with a Bachelor of Medicine and Bachelor of Surgery. She completed her residency in psychiatry and a fellowship in child and adult psychiatry at Tulane University in New Orleans in 1990. She has held many leadership roles in her career, has been a member of numerous boards and received several honors for her work. Additionally, she has been an adjunct associate professor at the University of Nebraska Medical Center, as well as a mentor and supervisor at UNMC and other Nebraska colleges and universities. n

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MEDICAL STAFF UPDATE

Welcome, advanced practice providers and independent practitioners These advanced practice providers and independent practitioners are working at Bryan Medical Center: Brett Baird, CRNA, Associated Anesthesiologists Mary Cammack, APRN, Lincoln Pulmonary & Critical Care Associates James Clements, CRNA, Associated Anesthesiologists Mandi Dierberger, CRNA, Associated Anesthesiologists Megan Foss, PA-C, Bryan Heartland Psychiatry, Bryan Physician Network Brandon Garvin, CRNA, Associated Anesthesiologists Lauren Havens, APRN, Bryan Trauma & Acute Care Surgery, Bryan Physician Network Joseph van den Hoven, CRNA, Associated Anesthesiologists Kristin Keebler, APRN, Inpatient Physician Associates Sirenia Knight, APRN, Bryan Neurology, Bryan Physician Network Allison Koester, PA-C, General Surgery Associates Stephanie Millington, APRN, Inpatient Physician Associates Jackie Oden, APRN, Women’s Clinic of Lincoln Sergio Quinones, CRNA, Associated Anesthesiologists James Rose, PA-C, Bryan Heartland Psychiatry, Bryan Physician Network Courtney Sams, APRN, Women’s Clinic of Lincoln Kristen Speaker, APRN, Complete Children’s Health Chelsie Sutton, APRN, Bryan Heartland Psychiatry, Bryan Physician Network Brittny Stewart, CRNA, Associated Anesthesiologists Jeri Tegtmeier, APRN, Women’s Clinic of Lincoln

Remembering our colleague Bryan medical community notes physician’s passing Kiyoshi “George” Hachiya, MD, died Feb. 23 at age 97. Dr. Hachiya was known throughout his life as George, because his kindergarten teacher could not pronounce his name, so she called him George and the name stuck. Dr. Hachiya attended the University of California, Berkeley, the University of NebraskaLincoln, and the University of Nebraska Medical Center College of Medicine, Omaha. He was a U.S. Army veteran of World War II and the Korean War and was awarded the Combat Infantry Badge. Following the bombing of Pearl Harbor in 1942, when Dr. Hachiya was a senior at the University of California, Berkley, his family was sent to an internment camp in Wyoming. He and his siblings were Americanborn citizens, but their parents were from Japan. In spite of this experience, Dr. Kiyoshi Hachiya and his brother, Keay Hachiya, MD, served honorably in the U.S. military. Dr. Hachiya specialized in psychiatry. He retired from his medical practice in Lincoln in 1989 and then was a volunteer consultant for mental health and social services. This proud veteran attended military reunions, supported military organizations, funded ROTC scholarships and cared for veterans at the Lincoln VA Medical Center. Dr. Hachiya and his wife, Chiyoko, had five children, four of whom went into medicine. He was preceded in death by his brother, Dr. Keay Hachiya, who was an anesthesiologist and worked at Bryan Memorial Hospital until 1991; his sister Satsuki Hidaka; and sons Steven and John Hachiya, MD. He is survived by his wife of 67 years; daughters Kiyomi Hachiya, MD, (St. Paul, Minnesota) and Harumi Lee Hachiya, MD, (Minneapolis), and son Ron Hachiya, MD, (Lincoln); daughters-in-law Mary Beth and Deborah; seven grandchildren and seven great-grandchildren.

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MERRICK MEDICAL CENTER

Addressing our community’s health needs

errick Medical Center officially joined the Bryan Health family in July of 2017 and is focused on the health and wellness of Central City and its surrounding community. “The goal is to integrate health and life services so seamlessly, that healthy living becomes the natural state of being for people across our service area,” says Merrick Medical Center CEO Julie Murray. Walk With Ease Merrick Medical Center has been able to make progress on that goal by implementing several new programs that have the ability to impact a variety of age groups. Walk With Ease, a program designed by the Arthritis Foundation and led by the Rehabilitation Department, kicked off in the fall of 2017. Under the guidance of instructors Melissa Gragg, physical

Jeanene Vosicky (middle) walks with Christina Flodman (left) and Melissa Gragg while discussing how the program has helped her stay active.

diabetes education — Jacey Schwarz, RN. therapist, and Christina Flodman, Under the leadership of Schwarz, occupational therapist, participants will Merrick Medical Center is in the middle walk independently and set their own of the third session of Shape My Health, exercise goals. a national diabetes prevention program The program can help to improve overall health, as well as help to reduce the pain and discomfort of arthritis; increase balance, strength, and walking pace; and build the participant’s confidence to be physically active. Jeanene Vosicky, a recent graduate of the program, found it to be extremely beneficial. “It really inspired me to get Congratulations to the participants of Merrick Medical Center’s back to walking,” first Shape My Health class. This group collectively lost over 100 she says. “I hardly pounds and averaged about 277 minutes of moderate activity per walked at all due to week! Those packages in front of them? That’s 100 pounds of rice falling last year, and to remind them of what they lost. now I walk at least five days a week. I that is recognized by the Centers for even rejoined the fitness center in town Disease Control, and their fourth session so I could walk inside when the weather will begin later this summer. wasn’t nice outside.” “This program is designed for people The Walk With Ease class, which also who have prediabetes or who are at risk includes a self-guided assessment book, for type 2 diabetes,” says Schwarz. “I am wellness tips and a T-shirt, is $15. a trained lifestyle coach, as is our dietitian “The book really reinforced what I Stephanie Scott, and we lead you through already knew, and I thought that was an in-person program that can help you helpful. It’s a really good deal if someone to change certain aspects of your lifestyle, is interested in getting active again,” like eating healthier, reducing stress and states Vosicky. getting more physical activity.” Merrick Medical Center chose to Shape My Health pursue the program based on its new, Merrick Medical Center is fortunate more comprehensive approach to to employ a community wellness individual health. coordinator, who also is certified in

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MERRICK MEDICAL CENTER “In looking at statistics specifically for Merrick County, we found we are above both the state and national averages for obesity and physical inactivity,” Schwarz says. “This class was designed to help educate those who are interested in making a change and give new ideas and support from other members in the class.” Recent graduate Deb Ueckert had great success with the inaugural class. “I did lose about 15 pounds, and I was also able to cut my blood pressure medicine in half. One of the most important things I have learned from this class is that staying active and eating healthy helps to drop my numbers, whether that is my blood sugar, my blood pressure or my cholesterol.”

In addition to screenings, a business also receives monthly e-newsletters with tips and healthy recipes, as well as getting to partake in various wellness challenges and lunch and learns. “The most recent challenge completed was a weight loss competition, and it was amazing to see the businesses get so engaged. Special congrats to Archer Credit Union for taking home the bragging rights,” says Schwarz.

Community partnerships With a fresh perspective on promoting community health and wellness, Merrick Medical Archer Credit Union, which is a member of the Wellness Connections Group, won the weight loss challenge during the Center has also looked to improve ways it can partner with various month of March! Their business had the highest percentage of weight loss, in addition to the individual winner. community events already in place. “We are continually looking registered nurse to review screening for ways to increase our impact in Wellness Connections results, are another of the program’s our community,” says Shauna Graham, In addition to offering programs benefits. Participants also may partake director of Professional Services. directly to individuals, Merrick Medical in a HeartAware screening, which is a “We recently teamed up with the Center also launched a Wellness session that lets the participant know if Merrick County Child Development Connections Program, led by Schwarz. they are at risk for heart disease. Center on their annual Color Run. A This is a business wellness program “I offer screenings in various settings 5K event will be held in the middle of designed to encourage, empower and throughout the year,” Schwarz says. “Most the summer, and one of our physician educate participants to maintain or individuals have insurance that covers assistants, Erica Pirog, worked to develop improve their health. preventative screenings 100 percent, a training plan.” What really sets Merrick Medical although the majority of individuals do Pirog notes, “People who do not Center’s Wellness Connections program not utilize that service because they ‘feel participate in regular physical activity apart is the personalized approach. good’ and don’t want to take time off are at a higher risk of developing chronic “We live in and enjoy the same work. This program allows them to be illness including heart disease, high blood community as our participants,” says screened while at work and also allows pressure, high cholesterol, obesity, cancer Schwarz, “which makes counseling and for a more personalized consultation and low back pain. coaching on food choices and wellness regarding results. “We wanted to develop a plan for activities more relatable. Our goal is to “Several people I’ve screened were those who aren’t as active as they want educate adults about healthy choices and unaware that they had elevated blood to be, with an end goal of being able to physical activity so that our community pressure, blood sugar or cholesterol participate in a 5K run (3.1 miles). This is members are not only more healthy and numbers, putting them at risk for certain an eight-week workout plan that consists productive at work, but also at home with health conditions. They were very of three running workouts and two their families.” thankful we had the opportunity to get strength-training workouts per week, with On-site wellness screenings, including together.” stretching added in throughout.” n personalized consultations with a

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CRETE AREA MEDICAL CENTER

New program for students creates interest, helps grow tomorrow’s health care workforce

Lance Kuhlmann, DPT, demonstrates electrical stimulation, intended for pain reduction and muscle stimulation, for Claire Holling and other high school students in the Medical Academy.

rete Area Medical Center is opening doors for future medical professionals. Through the Medical Academy program, current health care providers share a realistic and exciting view of how students can achieve their goals for lifelong success in the medical field. Recently, students from area high schools completed a year of unique and exciting experiences and learned essential, beneficial information. Those 15 students, grades 9-12, are planning careers in a variety of medical areas. These include radiology, nursing, dentistry, elderly care and occupational and physical therapy. Local practitioners in these areas spoke with students and offered a firsthand look into their professions and practices. High school senior Claire Meinke says, “I knew I wanted to pursue a career in health care, but I wasn’t certain which career. This was a good opportunity to learn about a wide variety of job options and see what they are really like.” The students aren’t the only ones to benefit from the program. Rebekah Mussman, president and CEO of Crete Area Medical Center, sees the Medical Academy as a way to help grow the future workforce with quality individuals. “As part of our strategic planning process we know that workforce development is of extreme importance. The idea of ‘growing our own’ and getting local kids excited about health care professions is something we strongly believe in,” she notes. Program coordinator Marilea Thiem enjoys helping students find

their paths. She points out, “By bringing in experts, students hear success stories directly from those in the areas in which they are interested. The young people learn what they will need in terms of education, dedication and commitment. They also learn what their lives will look like in various professions. “The Medical Academy helps put students on the right path to achieve their goals.” Vy Nguyen, a junior in high school, is interested in becoming a registered nurse. She signed up for the Medical Academy because she wanted to learn more about this possible career, as well as the successful paths others have taken. Vy gained important insight, stating, “If you want to be a nurse, you need to have love for everyone first. Passion is the key to success. The thing that makes you happiest is to see your patients’ smiles.” Her classmate, high school senior Claire Holling, recapped her experience by saying, “I will forever be thankful for the things I learned and the memories Mackensie Crumbliss investigates I made in this program. the paraffin bath, which is used for Without a doubt, the treating stiffness and pain in hands. Medical Academy is one of the big influences on why I chose physical therapy as my major.” Mussman adds, “The Medical Academy has been a great program and so much fun for all of us — we enjoy seeing kids excited about health care and learning about all of the various career paths they have available to them.” n The Medical Academy kicks off again in the fall. Students in the Crete, Wilber, Friend and Dorchester areas can contact their high school guidance counselor. Others interested in supporting the program can contact Foundation and Community Relations Director Marilea Thiem at 402-826-6581 or Marilea.Thiem@bryanhealth.org.

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OUR SUPPORT OF YOU

Bryan Health community benefits report

Community receives nearly $100 million Unreimbursed Cost of Medicare 53.5% Health Professionals Education 2.7%

Cost of Charity Care 13.6%

Unreimbursed Cost of Medicaid and Other Public Programs 21.9%

Cost reported for the year ended Dec. 31, 2017

Other Community Programs & Subsidized Services 7.6% Cash & In-kind Contributions 0.7%

$13,556,725

Cost of charity care Free or discounted health services provided to patients who cannot afford to pay and who meet all the criteria for financial assistance. Charity care does not include bad debt.

$21,926,703

Unreimbursed cost of Medicaid and other public programs Represents the shortfall between the actual cost of providing care and payments received from the government.

$53,322,024

Unreimbursed cost of Medicare Represents the shortfall between the actual unpaid cost of providing care and payments received from the government.

$42,653,488

Health professionals education Cost of providing accredited training and education programs for physicians, nurses and other health professionals through residency education and continuing medical education, plus financial support of the cost of the Bryan College of Health Sciences.

$07,567,743

Other community programs and subsidized services Activities and programs carried out to improve community health and wellness, and health care services that are subsidized because they meet an identified need in the community.

$00,682,793

Cash and in-kind contributions Cash and in-kind donations to other nonprofit organizations for charitable purposes.

$99,709,476

Total cost of community benefits provided and the unpaid cost of Medicare

Having trouble paying your bill? You may be eligible for financial assistance if you have limited or no insurance and can demonstrate financial need. Complete a Bryan Health financial assistance application and submit with required financial documents. Learn more and get an application at bryanhealth.org/financial-assistance or call our financial counselors at 402-481-5791 (toll free 877-577-9277). Bryan Journeys 27

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O U R PA R T N E R S

Bryan partnered with these organizations by financially supporting them in 2017 Aiding Angels Alzheimer’s Association American Cancer Society American Foundation for Suicide Prevention American Heart Association Antelope County Healthcare Foundation AWHONN (Association of Women’s Health, Obstetrics & Neonatal Nurses) Beatrice Community Hospital Foundation Better Business Bureau Foundation Boone County Health Center Foundation Boy Scouts of America — Cornhusker Council Brain Injury Alliance of Nebraska Burwell Public Schools Capital Humane Society CASA of Lancaster County Cathedral of the Living Christ School CEDARS CenterPointe Child Advocacy Center Child Guidance Center Clarinda Regional Health Center Auxiliary Clinic With A Heart Community Action Program Community Crops Community Hospital Health Foundation Crohn’s and Colitis Foundation Crudem Foundation DSAF of Nebraska El Centro de las Americas

For decades, runners in the annual Lincoln Marathon have appreciated Bryan’s refreshment station near the Bryan West Campus. Bryan employees help at the race and at many other events — a survey found 368 co-workers volunteered 32,950 total hours in 2017. Elliott Elementary School Food Bank of Lincoln Food Fort Friends of Lied Center Friendship Home Girls & Women in Sports & Fitness Git-R-Done Foundation Habitat for Humanity Heartland Cancer Foundation Jefferson Community Health & Life Johnson County Hospital Foundation Junior Achievement Junior League of Lincoln Juvenile Diabetes Research Foundation ( JDRF) Kim Foundation KZUM — Stransky Park Concert Series Lighthouse Lincoln Arts Council

Lincoln Children’s Zoo Lincoln Community Foundation Lincoln Community Playhouse Lincoln High School Lincoln Literacy Lincoln Medical Education Partnership Lincoln Northstar High School Lincoln Tennis Association LOSS Team of Lincoln Madonna Rehabilitation Hospital Malone Community Center Martyrs Mom Matt Talbot Kitchen & Outreach Matters on Tomorrow Mental Health Association of Nebraska Mourning Hope Grief Center Nebraska Academy of Family Physicians

Nebraska Cancer Research Center Nebraska Coalition to End Sexual & Domestic Violence Nebraska Human Resources Institute Nebraska Medical Association Nebraska Nurses Association Nebraska Stroke Association No Footprint Too Small Palmyra High School Park Middle School Partnership for a Healthy Lincoln Pediatric Cancer Action Network Peoples City Mission Pius X High School Remembering Our Children Rotary Clubs of Lincoln Salvation Army Saunders Health Services Foundation Saunders Medical Center Auxiliary Southeast High School Southeast Nebraska Medical Reserve Corps Spirit of Hope Lutheran Church ELCA Saint Monica’s Behavioral Health Services for Women Tabitha Tri Valley Medical United Way Village of Pleasant Dale Voices of Hope Waverly Public School Wear Yellow Nebraska YMCA York General Auxiliary

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YOUR SUPPORT OF US

Support is a two-way street

ollaboration. This powerful action is prominent in the mission and vision statements of Bryan Health. Collaboration also is the central theme for our 2017 Community Benefit Report and our Annual Report on Giving. Through your gracious support, collaborations are working. Gifts of both

time and treasure from the community to Bryan surpassed $9 million in 2017. Collaboration also is evident in our investment into our communities. Bryan’s quantifiable community benefit — more than $99.7 million in 2017 — is extraordinarily impactful. As a Nebraska-owned and governed nonprofit, Bryan Health is acutely aware

Bold type indicates amounts which exceeded totals from the previous year.

and attentive to the region’s health needs and therefore many elect to give back through philanthropic support. In 2018 and beyond, in order to move forward, we must continue to work together. Thank you for your support — we are honored to care for your families and communities.

Bryan employee giving in FY 2017

Our supporters

Number of employee donors ................................ $1,1 62,142 Dollars committed .................................................... $1,601,000

Total number of donors .................................................. $1,1 13,017 Total number of gifts ....................................................... $1,1 10,349 Average per donor ........................................................... $ 2,827

How gifts were designated by donors

Investing in a healthy future Total private support generated during Fiscal Year 2017 to benefit Bryan Health: Gifts and pledges from individuals, corporations and foundations .................................. $7,785,381 Planned gifts ....................................................................... ,3329,510 Subtotal ......................................................................... $8,114,891 In-kind gifts ......................................................................... 8,131,470 Volunteer support* ........................................................... 1,313,505 Subtotal ......................................................................... $1,444,975 Total charitable support for Bryan Health in FY 2017 .................................................................... $9,559,866

clinical & support $6,698,965

Bryan Medical Center clinical and support departments ................................. $6,698,965 Bryan College of Health Sciences 1, 71,430 Bryan College of Health Sciences scholarships 0767,850 Crete Area Medical Center 6,494,538 Other 6,213,578

Gifts to be received at a future date Number of confirmed estate gifts in FY 2017 to benefit Bryan Health .................................... 74 Cumulative confirmed estate gifts ......................................... 70 Historical average estate gift to the Bryan Foundation ....................................... $ 111,161 Average amount of confirmed planned gifts received in FY 2017, with a disclosed amount, and to be received at a future date** ................................. $ ,075,938

bryan college of health sciences $71,430

* 766 volunteers served throughout Bryan Health and contributed 55,751 hours of service in FY 2017, valued at $1,313,505. The Institute of Philanthropy quantifies the value of each hour of service at $23.56.

scholarships $767,850

** Confirmed gifts without a disclosed amount are not factored in the amount listed.

crete area medical center $494,538

How donors designated their gifts in FY 2017

other $213,578

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2017 ANNUAL REPORT ON GIVING

William Jennings Bryan Society The William Jennings Bryan Society recognizes people who have invested in the future of Bryan through a planned gift. Carl J. Ander Diane & Steve Andersen Anonymous (2) Marilyn M. Baker Marjorie J. Bartels Ellen & Patrick Beans Vilis (DC) & Helen Berst Lyle F. Bigley Mary H. Brown Dr. Robert Buchman Frances Buell Jeff & Amy Burg Dick & Kathy Campbell Joseph & Margaret Carlson

Dr. Carolyn Cody Edward L. Cooley Ken (DC) & Shirley Dermann Dr. Alan Domina Dean & Debbie Fisher Barbara A. Godden Gerald & Nancy Gondringer Dr. Charles & Carolyn Gregorius Jim & Margaret Griesen Ron Groepper Richard Hansen Dr. Nancy Harms & Gerhart Weirbein Dorothy & Francis Haskins Johni Hays Catherine & Gregory Hershberger Lloyd Hinkley Donna Hinkley Phylis Hollamon Craig Howlett

Diane & Larry Kathol Dr. Alexander Kingsley Art & Earlene Knox Nelis Lago Kim Leighton Tom Lesoing Jim & Georgianne Mastera DeEtta & Terry Mayrose Lynette & Bruce McKeag Dr. Bruce Miller Marilyn & David Moore Rev. Dr. Clarke Mundhenke Rosanne Marie Neukirch Erin Pemberton Harold & Marilyn Pfeiffer Verla & Tom Plummer Ruth & Raleigh Radenslaben Bob & Karen Ravenscroft Shirley & Alan Retzlaff

Dr. Vonn & Debra Roberts Cheryl Rourke Sharri Rowley Kimberly A. Russel Diane Snapp Jim & Suanne Stange Debra Steinmiller & Don Chotro Mark Stephens David & Linda Sundberg Dr. Lisa & Mark Vail Marilyn & Warren Viehl Virginia & Burnell Von Seggern Patricia & Clinton Webb Herm (DC) & Helen Wiebers David Wilcox Kathy & Roger Wolf

Cecil Albert Estate Anonymous Bryan Medical Center Bryan Volunteers and Customer Care Aaron Buckstaff (DC) Community Health Endowment of Lincoln

Crete Area Health Care Foundation E. J. Faulkner Estate Duane F. & Dee M. Fjellin Estate Dr. Charles & Carolyn Gregorius Phylis Hollamon Berg Robert E. & Mary J. Moore (DC) Harold & Marilyn Pfeiffer

Lee & Betty Schroeder (DC) Mary G. & Duane T. Swanson (DC) John L. & Sophy H. Teeters (DC) Ross & Judy Wilcox

The Dr. Bastani Family Patrick E. & Ellen A. Beans Dr. Robert Buchman Jim Cuddeford (DC) Davis Design The Hawks Foundation Wayne & Nancy Hester

Albert & Lois Hoesch Estate Christine Janda (DC) The Kim Foundation Lincoln Hospital Association Elizabeth M. Miller Estate Dr. Vonn & Debra Roberts Rogers Foundation

Kimberly A. Russel & Dirk Brom, MD Sampson Construction Jim & Suanne Stange Debra Steinmiller & Don Chotro Donald R. & Mary L. Swanson (DC) Union Bank & Trust Company (DC) indicates deceased.

Catholic Health Initiatives Dr. Carolyn Cody Richard & Jacquie Chapin DKJL Family Foundation Electronic Contracting Company Dean & Debbie Fisher Jan Garvin & Jim Spalding Git-R-Done Foundation Frederick & Hallie Houtz Estate Dorothy & Francis Haskins HealthLincoln, Inc. Tim & Sondra Hepburn

Kim Leighton Lincoln Community Foundation, Inc. Lincoln Radiology Group, PC Medtronic Charles & Esther Miller Estate Marilyn & David Moore Desta Osborne Ruth & Raleigh Radenslaben Vance & Barbara Rogers (DC) Sharri Rowley Richard Saduikis (DC)

John & Laura Slife (DC) Diane Snapp Ken Snider US Bank Dr. Lisa & Mark Vail Odeth Wall (DC) Helen Weber

(DC) indicates deceased.

Founders Cumulative gifts of $500,000 or more

(DC) indicates deceased.

Leaders Cumulative gifts of $250,000-499,999

Builders Cumulative gifts of $100,000-249,999 E. Mark Adams & Beth Van Hoesen Trust Marilyn Baker Bryan Heart Bryan Medical Center West Auxiliary Bryan Womanâ&#x20AC;&#x2122;s Board Jeff & Amy Burg Dr. Stephen & Beth Carveth

(DC) indicates deceased.

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2017 ANNUAL REPORT ON GIVING

Progressives Cumulative gifts of $50,000-99,999

Duane (DC) & Phyllis Acklie Allied Tour & Travel Robert Allington Estate Alpha Phi Ameritas Charitable Foundation Jean Ames Trust Agnes Asmussen Estate Assurity Life Insurance Company Raymond J. Becker (DC) Lyle F. Bigley Bryan Medical Center Administration Bryan School of Nurse Anesthesia Dr. Reginald Burton & Dr. Jamie Snyder Dick & Kathy Campbell Wayne E. Carnicle Estate Carver Trust Fund City of Lincoln Eleanor Dixon Estate J.E. Dunn Construction Company Alice G. Eberhard Estate

EducationQuest Foundation, Inc. Emergency Medical Svcs., Inc. Richard Evnen & Kimberly Heier Dale Fadschild Estate Marie Fletcher Helene Fuld Trust Russ & Jane Gronewold Dr. Lewis Harris (DC) Lloyd & Donna Hinkley Craig Howlett Independence Center Alumni Association Kinder Porter Scott Family Foundation Dr. Sushil & Jane Lacy Beth & Steve Lau Jim Leslie (DC) Lincoln Industries Daniel & Ruth McPherson (DC) MDS Pharma Services Angie & Dan Muhleisen

Stuart Nichols (DC) James & Virginia Nissen Pathology Medical Services, P.C. Bob & Karen Ravenscroft Father Fred L. & Susan C. Raybourn Shirley & Alan Retzlaff Mildred Rowley (DC) Sandhills Publishing The James Stuart III Family Foundation Fern D. Swanson (DC) Swing Against Cancer Ellen Weissinger William (DC) & Mae Whitmer Doug & Lori Wilson John & Jeannie Woodrich Woods Charitable Fund

Abel Foundation Craig & Devon Ames Carl & Jane (DC) Ander Marjorie J. Bartels Timothy Binder (DC) Robert & Gloria Brockley Bob (DC) & Ann Brown Bryan Medical Staff Bryan School of Nursing Alumni Association Osvalds (DC) & Daila Bumanis Campbellâ&#x20AC;&#x2122;s Nursery & Garden Center George & Elaine Carr Dr. Chris & Deb Caudill Commercial Investment Properties Edward & Doris (DC) Cooley Joseph Cooper Estate Cornhusker Bank Lois Dargeloh (DC) Dialysis Center of Lincoln Donlan Foundation DuTeau Chevrolet-Subaru Eells Trust EPreward Inc. Ken & Deb Foster Don Freeman Carol & Ardell Friesen Connie Ganz Genentech, Inc. Barbara A. Godden Jim & Margaret Griesen Guidepoint Global Sharon & Eric Hadenfeldt

Nancy Hakel-Smith & David Smith Richard Hansen Dr. Nancy Harms & Mr. Gerhart Wehrbein Sandy & Larry Harvey Viola Hronis (DC) Karen Ibach Adam & Sandy Karavas Everett & Mary Jane Knoche (DC) Wilma Kuster (DC) Dr. Glen & Elba (DC) Lau Charles (DC) & Hermine Leffler Bill & Judy Lewis Dr. Tim & Brenda Lieske Paul & Kay Maize Arthur & Gladys Marquardt (DC) James & Georgianne Mastera Florence Mauroules DeEtta & Terry Mayrose Lynette & Bruce McKeag Robert & Cynthia Milligan NAI FMA Realty Nebraska Emergency Medicine PC Nebraska Hospital Association Nebraska Trauma & Acute Care Surgery Erin Pemberton Pfizer Inc. Quest Diagnostics The Robert Wood Johnson Foundation Runza National Benno Sand & Marlys Gapstur Sand Ruth Schwartz (DC)

Jeri Shute Jerry (DC) & Barbara Solomon Donna Stone (DC) David & Linda Sundberg Swanson Russell Beverly & Robert Taylor Shirley Travis UNICO Group, Inc. Marilyn & Warren Viehl W. K. Kellogg Foundation Ron & Valery Wachter Robert Wade Trust Beverly & William Wakely (DC) Patricia & Clinton Webb Wells Fargo Dr. James & Mimi Wickless Windstream Kathy & Roger Wolf

(DC) indicates deceased.

Defenders Cumulative gifts of $25,000-49,999

(DC) indicates deceased.

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2017 ANNUAL REPORT ON GIVING

Champions Cumulative gifts of $10,000-24,999

Dorothy & Edwin “Bud” (DC) Abbott Action For Students Ameritas Financial Services Dr. Albert Ansah & Matilda Frimpong Associated Anesthesiologists, PC Phyllis Anton Ken & Sidonia Babcock Viola Babcock Trust Bailey Lauerman Sam (DC) & Joyce Baird Oliver Baker Memorial Trust Dr. John Baldwin Jerome & Chelsa Barry Nadyne Bauer Anita & Charles Bernholz Bob & JoAnne Bettenhausen Bettenhausen Family Foundation Esther Beynon (DC) Gary & Connie Binder Ray & Betty Bloomquist Deb & Ed Boehle Jennie Borchert Marshall Borchert Debra Border Roger & Mary Breitbarth Brester Construction, Inc. Bryan Women’s Care Physicians Edgar Bumanis Burlington Northern Foundation Ruth Jones Cadwallader (DC) Jack & Mary Carey (DC) Alda Carlson (DC) Joseph & Margaret Carlson Jack Carnie Bill & Marilyn Cintani Cline Williams Wright Johnson & Oldfather Cooper Foundation Nick & Ann Cusick Roger & Gayle-Ann Douglas William (DC) & Betty Dresser Mike & Terri Dunlap Dr. David & Elaine Dyke Patty & Roger Evans Everett & Elaine Evnen T.A. Filipi Estate Neil (DC) & Gail Finsand FirsTier Bank Ted & Marlene (DC) Forke Harriet Fort (DC) Ruth Foster Estate Esther Fox Dr. Deepak Gangahar Dr. Benjamin Gelber General Mills Foundation Generals’ Club Margaret & Douglas Gibson Ron & Chris Harris

Ron & Chris Harris Charitable Foundation Ruth Hartley (DC) Leonard Hartwig (DC) Dr. Bob & Helen Hayes Jean & Larry Hennings Angela & John Herbert Cathy & Greg Hershberger Frank & Liz Hilsabeck Dr. Jon Hinrichs & Donna Woods Milton & Betty Hofstad George & Alice Holmstedt (DC) Kathleen Howlett IMSCORP Inpatient Physician Associates Don B. Johnson (DC) Mabel H. Johnston Estate Harold & Charlotte (DC) Kelley Kensington Quilters Laurie & Bernie Ketterl Kidwell, Inc. KLKN-TV Art & Earlene Knox Rick & Anita Leggott Lincoln Association of Health Underwriters Lincoln General Hospital Foundation Lincoln Insurance Group Lincoln Telephone & Telegraph Lincoln Voiture 103 Dale & Maureen Lobb Marv & June Lyman Drs. Christopher & Erin Masada Campbell McConnell Suzanne McMasters Dr. Clyde & Susan Meckel Wynn & Sheila Mehlhaff Dr. Andrew & Jaine Merliss Charlie & Sherry Meyer Cheryl & Marty Miller Dr. Keith & Katie Miller Gates & Daisy Minnick Ken & Pat Morrison (DC) Wendy & Ray Muir Rev. Dr. Clarke & Sharon Mundhenke Tressie Murdock Estate National Park Service Nebraska Community Blood Bank Nebraska Heart Institute Robert & Mary Nefsky Lucille Nefsky Estate Novartis Consumer Health, Inc. Olney Foundation, Inc. Sarah & Casey Olson David & Ruth Patrick (DC) Margaret Pavelka Estate Elvin L. Platt Estate Verla & Tom Plummer

Marian Price PrivIT Healthcare, Inc. Professional Choice Recovery Purdue Lecture Program Group Mrs. E.B. Reed (DC) Dr. John & Kay Reed Dr. Chuck & Catherine Reese David & Laura Reese Dr. Herb & Ginny Reese (DC) Region V Services Susan & Paul Rego Karen & Dennis Rock Rural Health Partners, Inc. Saint Elizabeth Regional Medical Center Administration Steven D. Salisbury Trust Schneider (USA) Inc. Florence & Paul Schorr (DC) The Joe W. & Ruth K. Seacrest Foundation Vern & Phyllis Shires Julie & Bruce Smith SmithKline Beecham Southeast Nebraska Cancer Center Robin & Randy Spangler State of Nebraska Dr. Tim & Carol Stivrins Stuart Foundation Virginia Stryker (DC) Sutter Place Interiors Takeda Pharmaceuticals North America Thoratec TierOne Bank Mary Jo & Dalton Tietjen Janet & Dale Tubbs Nancy & Jim Van Kirk Dennis & Pat Vermaas VHA Lisa Weaver Dr. Walt (DC) & Joann Weaver Weller Foundation Dr. Vernon & Janet Westberg Dr. Ryan Whitney Herm (DC) & Helen Wiebers Dr. Eric & Kathleen Williams Doug & Carol Willoughby Lynn & Robyn Wilson Patricia & Max Wing Shirley & Carl Wohlfarth Dr. Larry Wood Woods Bros Realty, Inc. Wyeth Ayerst Laboratories Verla & Gordon Youngquist (DC) indicates deceased.

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BEYOND EXPECTATIONS

Gifts salute exceptional service Our patients and their families made gifts in honor of these physicians and employees, who went beyond expectations to provide exceptional service in 2017.

Bedrie Ademi Janice Ayres Katie Barnes Kelsey Beatty Christopher Bell Sana Benayache-Poole Nicholas Bertucci Sirod Berwary Dorothy Bockoven Linda Bonjoc Emma Borgmann Bryan Trauma Team Rebecca Butler Nancy Bundy Jennifer Burianek Jaimie Calmus Cortney Chapin Shannon Chrisp Julie Cummings Wanda Davis Brooke Drought Kay Dunham Nicole Espinoza Erin Evans Carolyn Fiala Jill Geschke Tamara Goodyear Mindy Greenrod Merri Hackbarth Sharon Hagelgantz

Dr. Raymond Hansen Linda Harms Brenda Herrick Jennifer Heusinkvelt Huu Hoang Kelli Holechek

Patricia Holloway Lacey Huber Sarah Jacobsen Dr. Jeffrey Jarrett Amy Jensen Dr. Bill Johnson Lindsey Johnston Gretchen Jones Galina Jorgensen Sarah Kelly Alyssa Kincheloe Liz Kneifl Deanne Kobza Anne Krause Jessica Kuhr Deborah Kurtz Kassandra Lamoree Cole Lane Heather Luff Kim Maddocks Stephanie Madej Jennifer Mahler Holli Masek

Jake McCain Megan McGrath Samantha Mlinar Clarissia Mooberry Clare Noren Aaron Ostrander Yolanda Papke Marcia Phillips Vicki Podwinski Meredith Ray Kimberly Reinhardt Lucinda Ridder Katherine Robinson Shanon Roblyer Debra Ruhrdanz Kenzie Sattler Kristin Schaffert Dr. Lance Schupbach Allison Selig Monica Shaw Virginia Sieck

Janet Streedbeck Robyn Stroeh Beata Tabaka Joan Texel Kaitlin Thalken Jackie Thebodo Kristin Thorberg Breanna Tripp Amber Vinton Amy Vodicka Stephanie Watson Corena Wiechert Christine Wilhelm James Yow

You can recognize outstanding care with a Beyond Expectations gift. To learn more, contact the Bryan Foundation staff at 402-481-8605

Michael Argello made a gift to the Beyond Expectations program in recognition of the care he received from Katie Barnes, Breanna Tripp, Monica Shaw, Stephanie Watson, Beata Tabaka, Samantha Mlinar and their co-workers.

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2017 ANNUAL REPORT ON GIVING

Honor roll of donors This list recognizes gifts of $250 or greater which were made during Fiscal Year 2017. An asterisk (*) denotes a Bryan Health employee. Action For Students Karen* Adamsheck Douglas & Joyce Ahlberg Air Methods Alpha Kappa Alpha Sorority Alpha Phi Margie* Amato Dawn* & Scott Andersen Kimberly* & Bill Anderson Kelsi* & Dirk Anderson Deanne* Anderson Mickey* Anderson Morgan* Anderson Nicole Anderson Ericksen Colleen* Andrews Dr. Albert* Ansah & Matilda* Frimpong Dorthy* & Rob Applegate Stacy* Arkfeld Armstrong Family Tiffani* & J J Arndt Judy* Arnold Taylor Ashburn B & R Stores, Inc. Ken & Sidonia Babcock Sally* & Travis Bach Michelle Bade Theresa* & Greg Baer Gayla Bahm Marilyn Baker Dr. Mathue* Baker & Dr. Colleen Baker Bob* & Mary Baker Shelley* Baldassano Lois* Baldwin Anissa* Ballard Bank of America Merrill Lynch Amy* Barker Sean & Stephanie Barry Jerome* & Chelsa* Barry Marjorie Bartels Melissa* & Tanner Bartels Christie* Bartelt Herbert Barter Dr. Abhijeet* Basoor & Dr. Mina Todorov The Dr. Bastani Family Roseanne & Kipp Bauchert Ann* & Shayne Bauer Dawn* & Kevin Baxa Bob & Ginny Beadell

Alpha Phi sisters toured the new hybrid room, for surgical and endovascular procedures, during a visit to Bryan East Campus. The sororityâ&#x20AC;&#x2122;s University of Nebraska-Lincoln chapter supports womenâ&#x20AC;&#x2122;s heart health with annual fundraising events.

Kristopher* Beahan Ellen* & Patrick Beans Julie* & Kevin Beasley Jacalyn* & Louis Beau Tandy* & Benjamin Becher Jennifer* Beckman Kama* & Chris Bedient Jane* Bedient Barb* Bedke Vaughn & Teresa Beed Marsha* Belz Melinda* & Brad Bentjen Casey* Beran Holly* Beran Ann* & Eric Berg Melanie* & Galen Bernadt Carolyn* Bernasek Anita & Charles Bernholz Bettenhausen Family Foundation Debra* & Jack Bewley Darcy* & Jerod Blayney Doreen & Randy Blazek Debra* & Ed Boehle

Scott* Boltz Leslie* & Anthony Bonelli Marshall Borchert Deb* Border Mary* Bornman Denise* & Jon Borton Olinda Boslau Lina* & Brett Bostwick Eileen* Bradbury Janelle* & Ryan Bray Paula Brennan Betty Jane* & Ron Brittenham Ann Brown Dan* Brown Michael* Brown Kathy* Brune Bryan College of Health Sciences Student Government Bryan Volunteers and Customer Care Edgar* Bumanis Jennie* Burianek Burlington Northern Santa Fe Foundation Patricia* & Curtis Butler

Lisa* & Ian Butler Rufina Butterfield Judson Byleen Alan* & Judy Cable Jaimi* & Todd Calfee Joseph & Margaret Carlson Colleen* & Gregory Carpenter George* & Elaine Carr Dr. Stephen & Beth Carveth Catholic Health Initiatives CenterPointe Debra* Cerveny Barbara* Chadek Frances Chaffee Richard & Jacquie Chapin Colleen Chapp & Dan Williamson Kristin Christensen Arnie* & Jana Christensen Bill & Marilyn Cintani Dee* Clark Bobbi* & Sam Clinch Marie* Clinton Dr. Alissa & Aaron Clough Kristine* Cole

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2017 ANNUAL REPORT ON GIVING Dr. Paul & Irvene Collicott Community Health Endowment of Lincoln Connected Forever Linda Conrad Valerie* Consbruck Megan* Corney Cornhusker Bank Brooke* & Chad Cose Jean* & Rick Cotton Linda* Coulter Kay* Crabtree Larry & Linda Crawford Crete Area Health Care Foundation Brian* Cross Dr. Christopher & Shannon Cuciti Julie* & Kelly Cummings Cindy* & Mark Dahl Stacy* & Dustin Dam Lori* Davidsaver Michael & Teri Davis Jim & Lana Daws Arlyn* & Jalene De Peel Kristi* Deffenbaugh Theresa* & Aaron* Delahoyde Sandy* Delp Donna* Densberger David* Dermann Holly* Didier Lureta Dierberger Kim* Dierks Andrea* Dinkelman Jennifer Dirkschneider John & Susan Dittman Alice Dittman Mike* & Julie* Dixon Sharon Doll Heidi* & Jamie Dostal Carol* Dougherty Brenda* Downey Linda* Dragoo Melisa* Draper Sara* & Dave Draus Dianne* Dunkle Alison* Dunlap Dr. David & Elaine Dyke E. Mark Adams and Beth Van Hoesen Trust Dr. Kent & Jan Eakins Lu Ann* Ebke Melanie* Ebke EducationQuest Foundation, Inc. Pam Edwards Eells Trust Alice Eggers Laureen* & Roger Ehmen Ronda* Eitzmann Wendy & Douglas Elder Loretta* & Mike Engel Shannon* Engler Michael* Epp EPreward, Inc.

Summer* Erickson Michaela* Erixson Robin Eschliman Kari* Eskens Jim* & Dana Evans Sheryl* & Dennis Evans Patty* & Roger Evans Excel Chiropractic and Wellness Dr. Lynette Exum Tammy* & Todd Fandrich Linda* & Rick Faris Susan* Fehringer Carolyn* Fiala Firespring Ken* & Debra Foster Jackie* & Troy Foster Sherry* & Ken Fougeron Janelle* & James Francis Kimberly* French Janel* Fricke Carol* & Ardell Friesen David Frydendall Dianne Frydendall-Smith Melinda* Gallegos Barbara Galvin Lawrence Garcia Dr. Timothy* & Patti Gardner Jan* Garvin & Jim Spalding Tena* & Brian Gebers Margaret & Douglas Gibson Adam* & Whitney Gibson Pamela & Tom Gillaspie Git-R-Done Foundation Patsy* & Scott Gleim Roger* & Lucinda Glen Michelle* Glenn Glenn W. Mooberry Trust Fund Tiffany* Goeller Melinda* & Carlos Gonzalez Jennie Gossett Donald & Barbara Gray Rachel* Greene Dr. Charles & Carolyn Gregorius Jim & Margaret Griesen David* Griffiths Patricia* & Joe Grof Russ* & Jane Gronewold Wanda* & David Grothen Kathy* & Dr. Jeffery Grubbe Guidepoint Global Sharon* & Eric Hadenfeldt Paul* & Rachelle Hadley Sharon* & Brian Hagelgantz Bug* & Robert Hahn Nancy* Hakel-Smith & David Smith Kimberly* Haller Cynthia* Hamik Alec* Handy Dr. Dale* & Sandy Hansen Mary* Hansen Dr. Sara* Hargreaves Sharon* & Daniel Harms

Susan & Clifford Harris Mary* & Bruce Hart Kari* Hartley Sandy & Larry Harvey Sheila Hasenkamp Linda* Haun Kimberley* Hazelton HDR, Inc. Susan* Heckman Sally* & Rodger Hempel Sara* & John Hennessy Jodi* Henning Jean & Larry Hennings Danielle* & Collin Henricksen Angela* Herbert Catherine & Gregory Hershberger Wayne & Nancy Hester Jim & Marjorie Hewitt Donna* & Larry Heyen Christine* & Ivan Hildreth Hillcrest Health Services Lloyd & Donna Hinkley Dan & Nancy Hinnah Dr. Jon Hinrichs and Donna Woods Edward & Marilyn Hladky Hoegemeyer Family Foundation Milton & Betty Hofstad Joan* Hogancamp Kelli* Holechek Phylis Hollamon Berg Cindy* Holley Patricia* & Jim Holloway Holmes Murphy & Associates Mary Ellen* Hook Mary* Hoppe Virgil* & Susan Horne Skip & Ellan Hove Craig Howlett Kathleen Howlett Janis* & William Howlett Lisa* Huettner Joyce Huff Colleen* Hughes Nancy* & Mike Hula Valerie* & Adam Hunt Dr. Rubab* Husain & Dr. Ahsan* Naseem Karen Ibach Mikuki* Inamura Inpatient Physician Associates Dawn* & Travis* Isaacs Jennifer* & Brandon Jacoby Chris* Jambor Kim* & Steven Janssen Tricia* & James Jara Linda* & William Jeffery Brenda Johnson Diane* & Craig Johnson Deena* & Dennis Johnson Dr. Matthew* & Kacey Johnson Linda* & Scott Johnson Lori* Johnson

Lisa* & Chris Jones Edna* & Larry Jones Heather* Kalkwarf Sue* Kaltenberger Ann* Kamino Robin* Kappler Cheryl* Kapustka Adam & Sandy Karavas Katheryn* Kathe Linda* Kattes David Keck & Jeannine Falter Kristina* Kehm Ruth Ann* Kellner & Michael Royse Sean* Kenney Laurie* & Bernie Ketterl Colette* Kiefer-Barton & Gregory Barton Amy* Kimminau Linda* Kimminau Sharon* & Frank* Kimmons Kinder Porter Scott Family Foundation Mary* & Christian Kingery Kathryn & Patrick Kinne Tracy* Kleinschmit Mary* Knabe Linda* Knudsen Kristina* & Daniel Koch Anne Koehler Jean* Kolar Dixie* Kornfeld Cheryl* & Rico Kotrous Katie* Kranau Carol Kraus Larry* & Karen Krebsbach Jennifer* Kreifels Kerri* Kreifels Bonnie* & Lonnie Kreiter Lauren* & Larry Kroeker Dr. Steven* & Judy Krueger Michelle* & Michael Krumland Marcia* Kube Dr. Joseph* & Lyn Kummer Karen* Kurbis Beth* Kurpgeweit Dr. Michael* & Amber Kutayli Janet & Richard Labenz Barbara* Lacher Dr. Sushil & Jane Lacy Julie* Lacy Ron* Lane Daniel* Lantis Julia* & Duane Lantz Dian* Larrew Larry* Laschanzky April* Lau Seth* Lauterbach Ronald* & Marti Lee Stacy* Lee Sandra* Leeling Louis* Lemon Ellie* & Mark Lewis Brenda* & Dr. Tim Lieske

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2017 ANNUAL REPORT ON GIVING Lincoln Association of Health Underwriters Lincoln Community Foundation, Inc. Lincoln Lancaster County Mental Health Foundation Inc. Lincoln Quilters Guild Lincoln Voiture 103 LincOne Federal Credit Union Scott* Linke Rosalena* Livers Rich* & Monica Lloyd Dale* Lobb Maureen* Lobb Denise* Logan Mark & Bobbie Long Burdette Lukert Sarah* & Kevin Lundy Helen & Dale Maahs Steffani* & Michael Maas Kimberly* & Dave Macoubrie Elizabeth* Magana Dorinda* Magnus Chris* & Todd Magnuson Jennifer* & Kent Mahler Kay* & Paul Maize Janice* & Ryan Malone Candolin* Malousek Chase* & Kami Manstedt Peggy* & Larry Maresh Mark Industries, LTD Kimberly* & Brian Maschmann Martin & Ruth Massengale Mary* Mattox DeEtta* & Terry Mayrose Ryan & Heidi McConnell Angela* & Kyle McCown Julie* McDaniel Brenda* McGinn Sandra* McGinnis Jennifer* & Jason McLaughlin MaryBeth* & Dave McWilliams Dr. Clyde* & Susan Meckel Tim* & Chris Meier Candace* Melcher Dr. Andrew* & Jaine Merliss Kristina* & Jerry Meyer Joy* Meyer James Meyerhoff Jeremy* & Susan Middleton Randy Mierau Dr. Dave* & Lanae Miers Katie & Keith Miller Dr. Keith* & Katie Miller Tova* Miller Gates & Daisy Minnick Peggy* & Kim Moeller Kurt* Moes Shirley* Mohr-Burt Marilyn* & David Moore Eric* & Rebecca Mooss Julie* & Maurice Morton Heather* & Shawn Mosley

Angie & Dan Muhleisen Wendy* & Ray Muir Dee Murman Tamala* Murphy Cari* & Vern Musgrove NAI FMA Realty Wendie* Nash Marvin & Darlene Navratil Lisa* Neddenriep Brenda* & Mark Neemann Robert & Mary Nefsky Cynthia* & Michael Nehe Dr. James & Patricia Neid Heather* Neilan Jennifer* Neilan Roger & Vicki Nelson Ronald & Bonnie Nelson Norma Nichelson Cathy Nichols Kevin Nichols Christina* & Kerman Nickel Pam* Nienaber Jackie* & Brent Nisley James & Virginia Nissen Karen* & Douglas Nissen Vicki* & Steven Norton Dr. Robert* & Fayette Oakes Kilee* & Henry Oetjen Betty* Ohs Bridgett* & Eric Ojeda Dr. Stanley* & Melinda* Okosun Rhonda* Olmsted Sarah* & Kasey Olson Lois* Olson Sandra* Omelia Lil* & Michael Oâ&#x20AC;&#x2122;Neill Bill* & Rita Overton Deanna* Overton John Palic Sheri* & Mark Paneitz Robert* & Margaret Pass Slava* Paul Steven & Elizabeth Pearson Susan* & Carter Pendergrass Jon* & Karen Peppmuller Dr. Robert* & Michelle Percell Don* & Sylvia Percy Jayme* Perdew Scott* & Holly* Persson Jim & Denise Peter Patty* & Mike Peters Missy* Peters Merrill & Nancy Peterson Jessica* Peterson Nancy* Pew John* Pfrimmer Marcia* Phillips Carla* & Kevin Pinneo Kristy* & Tim Plander Troy* & Sara Poole Rosemary* & Tony Porto Jennifer* & Dale Preston

Professional Choice Recovery, Inc. Heidi* Rademacher Scott* Rahn Cara* Ramaekers Arlen* Rasmussen Michelle* & Michael Rathe Bob* & Karen Ravenscroft Meredith* Ray & Mike LaFave Father Fred L. & Susan C. Raybourn Dr. John & Kay Reed Carol* & Ivan Reed Region V Services Travis* Reinke Bob & Becky Reisdorff Shirley & Alan Retzlaff Mona* Reynolds Jan* & William Rice Nancy* Richards Mikaela* Ridder Norma* Rieck Kelli* Rodie Michael & Teresa Rosen Lowene Rosendahl Beth* & Adrian Roth Jackie* Roth Stephanie* Rubenthaler Staci Rudolph Dorothy* Ruhl Debra* Ruhrdanz Dot* Rung Taylor* Rung Kimberly* Russel & Dirk Brom, MD Tamara* Russman Sampson Construction Benno Sand & Marlys Gapstur Sand Joann* & Luke Sanders Sandhills Outreach Charity, Inc. Christina* Saum Thomas* Schadl Marita* Schafers Ward Kay & Paul Schellpeper Dennis* Schmidt Kelli* Schreiner Sarah* & Charles Schroeder Amy* Schroeder Andrea* Schultz Janelle* & Tim Schulz Susan* & Mark Schumacher Robin* & Todd Schumacher Carrie* Schumacher Mark* & Carolyn Schwede Jane & John Scott Aimee* Scudder Heather* Seeba Sara* Seemann Shelley* Seiler-Prasek & Rick Prasek Select Specialty Hospital Nicole* Shaffer Erin* Sharpe Don* & Pam Sheets Nathan* Shelbourn Vern & Phyllis Shires

Diane* Shriver Dr. Aina Silenieks & Tyler Sutton Karen* Simms Dianne* & Don Simpson Katy* Simpson Craig* & Traci Sitzman Renee & Carl Sjulin Jan Skala Megan* Skradis Julie Sloane Cathie* Smetter Kate* & Duane Smid Margie Smith Julie* & Bruce Smith Sally* & Roger Smith Kimberly* Smith Russell* Smith Mary Jean Sohl Jerry (DC) & Barbara Solomon Diann & Mark Sorensen Robin* & Randy Spangler Brian* Speich Michelle* Squier Matt* & Shannon* Standage Debra* Stanek Jim & Suanne Stange Maggie Stanosheck & Larry Mitchell Frances* & Gary Statler Crystal* & Benjamin Stech Nancy* & Alan Steckelberg Christie & Joseph Steele Dr. John* & Pamela Steuter Kathy & Keith Stewart Stacy* Stewart Janet* Stiefel Opal Stivrins Dr. Tim & Carol Stivrins Shawn* Stoner Linda* & Martin Stones Bonnie* Struthers Stryker Sustainability Solutions Don & Janet Stucky Steven* & Tammi Sufficool Lorraine Sullivan Jenny* & Brett Sundberg Maxine Sutton Stacy* & Daniel Sveen Jaime* & TJ Swendener Brad Swiggart Heather* Talbott Kimberly* & Jamie Tallman Kristie* Tang Amy* & Chad Termaat Dr. Todd* & Lisa Tessendorf Joan* Texel The Kim Foundation Pam* Thoeming Dr. Rick* & Jennifer Thompson Suzanne* & Patrick* Thompson Mary Jo* & Dalton Tietjen Robert* & Cinthia Tobey Tyler* & Sarah Toline

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2017 ANNUAL REPORT ON GIVING Totes of Hope Dr. John* & Stacy Trapp Mary* Trauernicht Rebekah* & Conrad Trevino Jenny Tricker & John Linscott Jan* & Dale Tubbs Jerry* & Joyce Turman Susan* & Terry Uland Union Bank & Trust Company Jodi* Urban Cheryl* Urwiller Oxana* & Alex Ustimchuk Dr. Lisa* and Mark Vail Ruth* & Richard Van Gerpen Nancy* & Jim Van Kirk Dwayne* Ventry Sr. Dennis* & Patricia* VerMaas Marilyn & Warren Viehl

Jordan* & Jordan Wagner Barbara* & Lance Wagner Laura* & Jordan Walklin Jennifer & Joshua Wallin Jessica* Warren DeAnn* Watermeier Jeff* & Rosalie Weber Scott* Weber Neala & Ralph Weddle Del Weed Robert* & Kelli Weichel Paul & Marie Weir Ellen Weissinger Dr. Vernon & Janet Westberg Karen Westover Roberta* & Ty* Westover Michele* & Thomas Wheeler Mae Whitmer

Dr. Ryan* Whitney Christine* Wiedel Vicky* Wilkinson Sondra Williams Jane* Williams Lisa* Williams Joy* & Linda* Williamson Doug & Carol Willoughby Doug & Lois Wilson Patricia* Wing Rodney* & Linda Witfoth Margaret* Woeppel Jerome* Wohleb Shirley & Carl Wohlfarth Kathy* & Roger Wolf John* & Jeannie Woodrich Woods Bros. Realty Yvonne Wright

Marcy* Wyrens Rose* & James Yankech Richard & Patricia Young Judith A. Zabel

Linda Kay Baker Dr. Noah Beadell Walter Bennett Hieu Cao Mary Carey Alda Carlson Ken Dermann Dorothy Doling Eugene Edwards Bonnie Erickson Ron Frame Dr. William Griffin Henry Hartig Jeff Hoffman Elva Janak Doug Kaltenberger

Lloyd Lane Craig Loeck Lee Loseke Donald Majors Brian L. Mariska Linda McPherren Marilyn Morden Dennis Nichols Marilyn Nissen Julie Owens Ruben Peters Mary Premer Portia Reed Susan Rego Mike Riggins Marven Rosen

Donna Saathoff Ruth Shirtzinger Ed Smetter Dianne Vogt Beverly â&#x20AC;&#x153;Peteâ&#x20AC;? Wakely William Wakely Thomas Wallin Karen Weed Donald Wenz Raymond Wesely

Mark Bodnar Austin Byleen Caleb Carley Savannah Jean & Kaleb E. Clark Carol Friesen

Dr. Matthew Goettsch Kaye Jesske Adelyn Madsen Kay Maize Paul Maize

Dr. Robert Oakes Dr. David Schneider

Memorials This list recognizes gifts made in memory of the following people in 2017.

In Honor This list recognizes gifts made in honor of the following people in 2017.

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BRYAN COLLEGE OF HEALTH SCIENCES

Veteran follows his dream to sonography school in Middle America

arry Garcia remembers the moment he fell in love with sonography. “It all started back in 2012, when I saw an image of my unborn son in the womb,” he says. “I could see Ozais’ little heart beating and his little hands, and it was just amazing.” The next year, he and his wife Bernadette were able to see their daughter, Sienna, via ultrasound. Larry, a U.S. Army veteran, had been working as a forestry contractor at the time, but he decided to apply for a sonography program at a local college in New Mexico. The college offered admittance on a first-come, first-serve basis, and that year, Larry smacked into the first of many roadblocks to his new career path. “As soon as I hit the submit button on my application, the program was already full,” he recalls. Larry applied again the next year, but this time, the college accepted applicants by lottery. He wasn’t selected. He applied a third year. Still, nothing. Despite his excellent GPA, he wasn’t getting anywhere. “I realized that I was getting older, and I needed to do something,” he says. Larry researched other programs throughout the country and came across a program in Nebraska. “I looked at the Bryan College of Health Sciences, and I saw the reviews. It was one of the top 15 in the nation, and I decided to look into it more,” he says. Larry applied — but with no guarantee that he’d get in, he considered continuing with the respiratory therapy program he had begun in New Mexico. On his last day of clinical rotation in that program, a sonographer came in with the transducer cart. “I told her, ‘You know, I really love ultrasound,’ and she offered to let me try it,” he recalls. “When she handed me that transducer, I knew — I just had to follow my heart.” Larry was at the post office when Bernadette noticed he was getting a cellphone call from Nebraska. It was the college

admissions staff on the line, telling Larry that he had been accepted! “It was like a Publishers Clearing House moment,” Larry says with a laugh. This May marked the start of his third semester, and Larry says he’s come to notice what sets Bryan College of Health Sciences apart. He appreciates that the college offers so many resources and opportunities for involvement. “That’s what Bryan really wants — student success,” he says. “And there’s a lot of congruence here. It’s not just a smile on a face, but there’s a realness behind it.” Josef Kren, ScD, PhD, a biomedical sciences instructor at Bryan, says he was impressed with Larry from the beginning. “When he got a chance to be here, he took it seriously,” Dr. Kren says. “On the first day of class, he was asking questions, and I noticed how much knowledge he had.” Besides being a full-time student, Larry volunteers as a patient escort in the Bryan Medical Plaza and as a student ambassador. He also acts as a liaison for the cadaver plastinate program and serves on the Diagnostic Medical Sonography Advisory Board, and he and his family regularly donate to Bryan’s pediatric program. He plans to graduate with his bachelor’s in Diagnostic Medical Sonography in December of 2020. Despite the setbacks he faced early on, Larry says he’s glad he and his family are here in Lincoln. “There have been some bumps in the road, but we’re doing it,” he says. “I’m glad we came here. It’s been well worth it.” n To learn more about degrees offered at Bryan College of Health Sciences or watch a related video, go to bryanhealthcollege.edu/academic-programs. To learn how you can support the work of Bryan Health, please contact the Bryan Foundation staff by VIDEO calling 402-481-8605.

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BRYAN COLLEGE OF HEALTH SCIENCES Larry and Bernadette Garcia are interested in historical architecture, so they shared a tour of Fairview, William Jennings Bryanâ&#x20AC;&#x2122;s home, with their children, Sienna and Ozais.

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BRYAN COLLEGE OF HEALTH SCIENCES

Bryan’s 72 newest alumni received diplomas May 4 during commencement at Saint Paul United Methodist Church.

Congratulations, new Bryan graduates!

Nurse Anesthesia Practice graduate Sergio Quiñones accepts congratulations from college trustee Angie Muhleisen. Jessica Wallander (left), Melissa Anderson and Olivia Anderson celebrate completing the Adult Cardiac/Vascular Sonography bachelor’s program. 40 Summer 2018

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BRYAN ALUMNI NEWS

B-SMA+RT leads to bachelorâ&#x20AC;&#x2122;s Bryan nurses are among students choosing the RN to BSN completion option at Bryan College of Health Sciences. More than 40 employees have been in the B-SMA+RT program, which allows them the flexibility to finish coursework leading to a bachelorâ&#x20AC;&#x2122;s degree while continuing their work at Bryan Health. For more details about the RN to BSN program, contact recruitment coordinator Kala Carroll at 402-481-8863. To apply, go to bryanhealthcollege.edu or call 402-481-8697. Faculty and RN to BSN participants from recent years gather for an informal photo. They are (front row, from left) alumni Nancy Shook (May 2018 grad), Lauren Kroeker, Barb Lacher and Kari Hartley and (back row), Melissa McCullough, Associate Professor Michelle Johnson, Bryan Chief Nursing Officer Lisa Vail, and alumni Robyn Gasseling, Christina Portwood (May 2018 grad), Julie Bratt, Jody Cosimano and Kerri Kreifels.

Arizona event hosts alumni Bryan College of Health Sciences President Rich Lloyd talks with alumni and friends of the college at the first annual Arizona gathering. The event in Phoenix was hosted by Ken Snider, a friend and supporter of the college. For questions about future events, please contact the Bryan Foundation staff at 402-481-8605. Bryan Journeys 41 Bryan Journeys 41

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ACHIEVEMENTS

National award recognizes Bryan workplace Bryan Health received The Advisory Board Company’s 2018 Workplace of the Year Award, based on our 2017 Employee Engagement Survey feedback. This honor recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. “Being an employer of choice is something that we strive for every day, so to receive this kind of recognition from The Advisory Board Company is very exciting,” says Jan Garvin, vice president of human resources at Bryan Health. “This award confirms to us that we have highly engaged and committed employees delivering outstanding care to our patients.” Sarah Rothenberger, managing director of Advisory Board Survey Solutions, adds, “Engaged staff don’t just enjoy their jobs and workplace, they’re willing to go above and beyond to help their organization succeed. Bryan Health has demonstrated an impressive ability to inspire the highest levels of engagement.” Bryan is one of 20 organizations in the United States to be recognized as a Workplace of the Year for 2018. Bryan also earned the award in 2013, 2014 and 2016. n

Ronald Craig, MD, is this year’s Styner Award honoree.

Bryce Betke received a Founders Medal of Honor.

Chef Nazim Khan has earned an international certification.

Colleagues cheer HFMA chapter Khan earns ATLS pioneer recognizes Betke culinary honors The American College of Surgeons Committee on Trauma recognized retired family medicine physician Ronald Craig, MD, this March with the Styner Meritorious Service Award during the COT Annual Meeting and ATLS Global Symposium in San Antonio. More than 40 years ago, the family of orthopedic surgeon James Styner, MD, was in an airplane crash in rural Nebraska which claimed the life of Dr. Styner’s wife and injured him and three of their children. The incident and subsequent treatment led Dr. Styner and Dr. Craig to work with other pioneers to develop the Advanced Trauma Life Support (ATLS) program that’s now used throughout the world. n

Bryan Health Rural Division CFO Bryce Betke, FHFMA, received a Founders Medal of Honor from the Nebraska Chapter of Healthcare Financial Management Association. This year’s chapter president, Crete Area Medical Center President and CEO Rebekah Mussman, FHFMA, presented the award to Betke at the organization’s annual banquet. Founders Medal of Honor recipients are nominated by the Chapter Board of Directors in recognition of previous Muncie Gold Award winners who continue to provide significant service to the HFMA. With more than 40,000 members, HFMA is the nation’s premier organization for health care finance leaders. n

Executive chef Nazim Khan has achieved the prestigious Worldchefs Certified Executive Chef status. The Worldchefs Culinary Certification Award recognizes skills, knowledge and achievements of professional chefs, cooks and culinary educators. Chef Khan is known for his passion for and expertise in French, Italian, Asian, Southwestern, Polynesian and Creole cuisines. He also is a certified executive chef through the American Culinary Federation. With Bryan patients and visitors in mind, he focuses on healthy and nutritious creations and uses locally sourced organic ingredients when possible. n

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ACHIEVEMENTS

Shannon Pecka, PhD, received the Outstanding Faculty Award.

Kristy Plander, PhD, received the Educational Technology Award.

Ash Wimes received this year’s President’s Award.

Irakli Loladze, PhD, research led to international recognition.

Bryan College of Health Sciences salutes Pecka, Plander and Wimes

Award winner cites Loladze

Bryan College of Health Sciences recognized Shannon Pecka, PhD, Kristy Plander, PhD, and Ash Wimes during the annual faculty and staff awards presentations. Associate Professor and School of Nurse Anesthesia Assistant Program Director Shannon Pecka, PhD, CRNA, received the 2018 Outstanding Faculty Award. Her peers noted this Faculty Senate chair has served on several shared governance and college committees. Dr. Pecka’s nominators say, “She works closely with faculty and students to provide an education that emphasizes clinical and academic excellence. She is honest, trustworthy, accountable and

Environmental research by Irakli Loladze, PhD, was the basis of an article that won a 2018 James Beard Foundation Journalism Award this spring. Dr. Loladze is an associate professor of General Education at Bryan College of Health Sciences. His study of how atmospheric changes are damaging the quality of food supplies worldwide was a key part in investigative reporter Helena Bottemiller Evich’s “The Great Nutrient Collapse,” which was published in 2017 in Politico magazine. A new paper regarding the declining quality of rice was highlighted in the New York Times, Washington Post, the Guardian, NPR and other news outlets. n

ethical. She is passionate about teaching and collaborating, and her work in teaching, serving and scholarship is insightful. “You can’t talk about her without speaking about her service to the college — this is who she is and part of what defines her.” Dean of General Studies and Academic Advancement Kristy Plander, PhD, received the Educational Technology Award for Bryan College of Health Sciences. According to her nomination, “Dr. Plander integrates current technology into course design and classroom instruction. “She provides multiple ways for students to engage in course content, and her use of technology increases

student commitment, depth of learning, collaboration skills and creativity. “She is a role model for not only enhancing technologyrelated knowledge, skills and attitudes, but also is a mentor to others.” Recruitment and Diversity Coordinator Ash Wimes received this year’s President’s Award. His nominator points out, “Ash exemplifies the college’s essential mission by educating prospective students on the quality of our programs, our distinctive impact, our academic and clinical excellence, and he always highlights the benefits of our Bryan Medical Center affiliation.” n

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PUBLIC NOTICE

Discrimination is against the law

ryan Medical Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. Bryan Medical Center does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.

If you have questions about the law, please contact our Patient Experience Officer. You can either call at 402-481-0139, write to Bryan Medical Center, Attn: Patient Experience Officer, 1600 South 48th Street, Lincoln, NE 68506 or email patientexperience@bryanhealth.org. Bryan Medical Center Provides free aids and services to people with disabilities to communicate effectively with us, such as: • Qualified sign language interpreters • Written information in large print, audio, accessible electronic formats or other formats Provides free language services to people whose primary language is not English, such as: • Qualified interpreters • Information written in other languages If you need these interpreter services, contact our Administrative Managers 24/7: 800-742-7844. You may also email a request for interpreter services: communicationassist@bryanhealth.org If you believe Bryan Medical Center has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with: Patient Family Relations Representative 1600 S. 48th Street, Lincoln, NE 68506 Phone 402-481-5761 - TTY 800-833-7352 - Fax 402-481-8306 patientexperience@bryanhealth.org You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, the Patient Family Relations Representative is available to help you. Please see the contact information above. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/ portal/lobby.jsf, or by mail or phone at: U.S. Department of Health and Human Services 200 Independence Avenue, SW Room 509F, HHH Building Washington, D.C. 20201 1-800-368-1019 -TTY 800-537-7697 Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html.

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 1-800-742-7844; TTY: 1-800-833-7352. ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-742-7844; TTY: 1-800-833-7352. CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-800-742-7844; TTY: 1-800-833-7352. 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 1-800-742-7844; (TTY: 1-800-833-7352）。 ‫م لحوظة‬: ‫ اذك ر ت تحدث ك نت إذا‬،‫ل ك ت تواف ر ال ل غوي ة ال م ساعدة خدمات ف إن ال ل غة‬ ‫ب ال مجان‬. ‫ ب رق م ات صل‬Fa1-800-742-7844 (‫وال ب كم ال صم هات ف رق م‬: 1-800-833-7352).

1-800-742-7844 (TTY: 1-800-833-7352). ATTENTION : Si vous parlez français, des services d'aide linguistique vous sont proposés gratuitement. Appelez le 1-800-742-7844; (ATS: 1-800-833-7352). XIYYEEFFANNAA: Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-800-742-7844; (TTY 1-800-833-7352). ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-800-742-7844; TTY: 1-800-833-7352. 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-800-742-7844; (TTY: 1-800-833-7352) 번으로 전화해 주십시오. ध्यान दिनह ु ोस ्: तपार्इंले नेपाली बोल्नह ु ु न्छ भने तपार्इंको ननम्तत भाषा सहायता सेवाहरू ननिःशल् ु ोस ् 1-800-742-7844; ु क रूपमा उपलब्ध छ । फोन गनह

(दिदिवार्इ: 1-800-833-7352) ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-800-742-7844 (телетайп: 1-800-833-7352). ໂປດຊາບ: ຖ້າວ່າທ່ານເວົ້າພາສາລາວ,ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-800-742-7844 (TTY: 1-800-833-7352). ‫ئ اگ اداری‬: ‫ قە سە ک وردی زمان ی ب ە ئەگە ر‬،‫ي ارمەت ی خزمەت گوزاريەک ان ی دەکەي ت‬ ،‫ زمان‬،‫بەردە س تە ت ۆ ب ۆ بەخ ۆڕاي ی‬. ‫ ب ە پەي وەن دی‬1- 800-742-7844 (TTY (1-800-833-7352 ‫ب کە‬. ‫ت وجە‬: ‫ می گ ف ت گو ف ار سی زب ان ب ە اگ ر‬،‫راي گان ب صورت زب ان ی ت سه یالت ک ن ید‬ ‫ب ا شد می ف راهم شما ب رای‬. ‫ ب ا‬1-800-742-7844 (TTY: 1-800-833-7352) ‫ت ماس‬ ‫ب گ یري د‬. 注意事項：日本語を話される場合、無料の言語支援をご利用いただけます 1-800-742-7844; (TTY: 1-800-833-7352) まで、お電話にてご連絡ください

44 Summer 2018

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COMMUNITY CALENDAR

Osteoarthritis: Causes, Symptoms & Treatment Thursday, July 19, 6:30-8 p.m. Osteoarthritis is the most common form of arthritis and it can affect any of your joints. It occurs most often in the lower back and neck, knees, hips and small joints of the fingers and toes. Join Melvin Churchill, MD, Arthritis Center of Nebraska, to learn more about the causes, symptoms and the latest treatments for osteoarthritis.

New Treatment for Your Sacroiliac Joint Pain Thursday, Aug. 9, 6:30-8 p.m. Are you experiencing pain in your lower back, buttocks or pelvic region? Pain in these areas is a common symptom that affects many during their lifetime. Join us for a panel discussion featuring Robert Vande Guchte, MD, Lincoln Orthopaedic Center; Steven Gogela, MD, Neurological & Spinal Surgery; David Diamant, MD, Neurological & Spinal Surgery; and Justin Hash, Bryan physical therapist, as they share: n Treatment options for SI (sacroiliac) joint pain. n Information on a new non-invasive procedure. n Who is a good candidate for this new treatment.

Cost: These programs are free, but you need to preregister. Where: Both are at the Bryan East Campus, Plaza Conference Center, 1500 S. 48th St. To register, go online to bryanhealth.org/calendar, or call 402-481-8886.

BRYAN HEALTH CAPITAL CITY CLASSIC Sunday, October 21 Linco Only ln’s 15K!

1-Mile Kids Run 2:30 p.m.

5K and 15K 3 p.m.

Nebraska State Capitol • 1445 K St. This event benefits mental health education and awareness.

Early registration through October 10

1-Mile Kids Run

5K and 15K

$6 – ages 12 and under

$25 – ages 20 and older $19 – ages 19 and under

Learn more and register: bryanhealth.org/run Presented by:

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Nonprofit Org. U.S. Postage PAID Permit No. 267 Lincoln, NE 1600 S. 48th St., Lincoln, NE 68506

Address service requested

Bryan Trauma Center 2018

rauma Champions

Tribute to

Presented by

Sampson Construction Union Bank and Trust

September 13, 2018 â&#x20AC;˘ 6 p.m.

Join us to honor the trauma system professionals who saved Miles Margritz.

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