Monument Health Magazine - Spring 2021

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issue 1

Spring 2021

HEALING GENERATIONS Creating environments that will foster connections and serve our communities for years to come.



LIFESTYLE LIFESTYLE MEDICINE MEDICINE 82% 82% ofof disease disease and and illness illness can can bebe prevented prevented through through healthy healthy lifestyle lifestyle choices. choices.

WeWe understand understand that that making making those those choices choices aren’t aren’t always always easy. easy. Monument Monument Health Health is now is now offering offering lifestyle lifestyle medicine, medicine, an an evidence-based evidence-based approach approach that that focuses focuses on on preventing, preventing, treating treating andand potentially potentially reversing reversing certain certain health health conditions conditions through through healthy healthy lifestyle lifestyle choices. choices. OurOur health health coaches coaches andand physician-led physician-led team team of experts of experts willwill take take thethe time time to provide to provide youyou with with an an individualized individualized lifestyle lifestyle plan plan designed designed to promote to promote your your physical, physical, mental mental andand emotional emotional well-being. well-being.

Lifestyle Lifestyle Medicine Medicine Monument Monument Health Health Rapid Rapid CityCity Clinic Clinic 640640 Flormann Flormann Street Street | Rapid | Rapid City, City, SD SD 57701 57701 605-755-3300 605-755-3300




Paulette Davidson

President and Chief Executive Officer, Monument Health

W With a new look and a new name, Monument Health is ready to meet the needs of Rapid City and the Black Hills communities for generations to come.

elcome to the first issue of our quarterly magazine devoted to the health of our communities across the Black Hills and western South Dakota. On the pages ahead, we’ll introduce you to the doctors, nurses, caregivers, patients and families who comprise our Monument Health community. I’m sure you’ll see familiar faces. But I also hope you will meet new people whose stories will bring a better understanding of the care and compassion they bring to their jobs every day. After all, Monument Health is not just a collection of hospitals, clinics and other buildings. It’s a

group of 5,145 individuals whose expertise and compassion keep our communities healthy. We literally can’t live without them. As you will see, many of the people at Monument Health have great stories to tell. In Custer, Joy Falkenburg, M.D., is an advocate for healthy living—the Healing Garden at Custer Hospital and Clinic provides the perfect space. We also talk with Shirley Bell, who has been a volunteer at Rapid City Hospital for an incredible 45 years. Patient Carol Engel shares her battle with stage IV lung cancer. Thankfully, she has access to world-class care close to home. And you will meet Elle Larsen, the Monument Health Real Estate Manager, who handles a large portfolio of owned and leased properties. She also works with area artists to bring the beauty of the Black Hills to patients in the form of photography, sculpture and art throughout our health system. These are just a few of the stories in our first issue. I hope you enjoy it, and if you have ideas for future issues, please let us know.




In Case You Missed It Monument Health continues investing in people, technology and the community. Read more about how this growth is impacting the Black Hills. page 4

H E A L T H Managing Editor Melissa Haught Editor Stephany Chalberg Senior Writer Dan Daly Contributors Karlee Baumann Jennessa Dempsey Cory Ferguson Kathleen Fitzgerald-Ellis Art Director Stacy Brozik Photographer Allison Geier-Barlow Social Media Manager Breanne Canaday Production courtesy of Rapid City Hospital Volunteer Auxiliary Published in association with Evergreen Media Creative Director John Edwards Digital Director Jay Eining Design Director Chris Valencia Photographer Jesse Brown Nelson Writer Ashley Johnson Monument Health Magazine. All rights reserved. Reproduction of any part of this publication without the expressed consent of the publisher is prohibited. The information included in this publication is believed to be accurate at the time of publishing. Additional articles are available online at Monument Health Magazine is a free, quarterly publication distributed throughout the Black Hills. Follow us on Facebook and Instagram for updates.



Awareness Month Shining a spotlight on several key health issues and caregivers who make a difference, everyday. page 7 My Space Patient Care Champions (PCC) play a vital role in the team nursing model at Monument Health Hospitals. Meet Laura Holland, PCC supervisor. page 9 Ask The Doc Ray B. Jensen, D.O. discusses winter sports injuries and prevention tips. page 11


Meet The Volunteers Shirley Bell and Paul Winckler donate their time to helping patients and families. page 12 Patient Stories Carol Engel, who has cancer, is one of the patients who is benefiting from the clinical collaboration between Monument Health and Mayo Clinic physicians. page 28 Carter Berlin loves normal kid things, but he also spends time with Monument Health managing a rare autoimmune disorder. page 30

Physician Spotlight Meet Joy Falkenburg, M.D., a family medicine physician, and Helen Frederikson, M.D., ACOG, a Gynecologic Oncologist. page 32 Introducing Expanding care in multiple specialties, introducing new physicians to Monument Health. page 34 My Space Real estate and artwork play a unique role in health care. Meet the woman behind the scenes with a focus on providing a caring experience. page 37 Calendar Upcoming events sponsored by Monument Health. page 39 Directory Find a Monument Health provider near you. page 40

Features and Stories

Food—It’s A Big Deal Food is one of the key factors in maintaining good health. We take a deep dive into nutrition and learn how COVID-19 has forced us to adapt. page 14 Building for Generations A nurse for 46 years, Marcia Taylor, RN, understands what it’s like to be a patient and caregiver. Her empathy and compassion helped shape the largest construction project in Monument Health history. page 18


CUSTER HOSPITAL Pictured from left, Meghan Holtquist, Wendy MeadowsAnderson, Becca Noyes, Mark Schmidt and Nan Bradeen.


For the eighth year in a row, Monument Health Heart and Vascular Institute has received the American College of Cardiology (ACC) National Cardiovascular Data Registry Chest Pain Myocardial Infarction Registry Platinum Performance Achievement Award. The award reflects Monument Health Heart and Vascular Institute’s quality outcomes for the previous two years, according to the ACC. Monument Health is one of only 140 hospitals nationwide to receive the honor this year.


GENIUS 3D MAMMOGRAPHY Monument Health in Custer, Sturgis and Lead-Deadwood joined Rapid City and Spearfish in offering Genius 3D Mammography for patients. The new technology improves early detection and treatment of breast cancer. Using this three-dimensional technology, radiologists can better detect breast cancer deep within the tissue, where it might be hidden during a traditional two-dimensional mammogram. Wendy Meadows-Anderson, Monument Health Director of Medical Imaging Services, said “Screening mammography has proven to be highly effective at identifying abnormalities that would otherwise go undetected. This helps save lives and decrease the impact of disease due to early detection.” 4

Realtor Spencer Rossi donated a collaborative art piece depicting a sewing machine to Monument Health Spearfish Hospital. Rossi won the piece during a fundraising raffle sponsored by a local art group. The sewing machine theme is appropriate, given the volunteer efforts to sew face masks for Monument Health caregivers to protect from COVID-19. Rossi, a longtime Spearfish Realtor, community member and supporter of local art noted, “This piece and these times often remind me of my grandmother and the ‘Rosie Riveters’ of World War II, a symbol of communities coming together for a cause. It seemed appropriate to donate it to the hospital.” In fact, she named the painting “Rosie the Mask Maker.” SPRING 2021 // HEALTH

Innovating, fundraising, award-winning. Everything Monument Health does focuses on providing the best care possible for patients at every location throughout the Black Hills.


BRINGING IPADS TO PATIENTS Monument Health launched a project that supplied iPads to help COVID-19 patients stay in touch with loved ones who couldn’t visit in person. It turned into an initiative to deploy over 300 iPads across the Monument Health system. The Monument Health Foundation received $25,000 from the John T. Vucurevich Foundation and $20,000 from the South Dakota Community Foundation to purchase iPads and wall mounts for patient use.

The COVID Care Companion program provides a care monitoring platform for those who test positive for COVID-19 so they can safely recover at home, without being hospitalized. COVID Care Companion is a secure, interactive tool that enables personalized care through the MyChart mobile app, website, or via daily check-in phone calls. Patients are enrolled for 14 days, and will need a pulse oximeter and thermometer to check their symptoms daily. They can then log their data in MyChart. If patients don’t have access to MyChart and prefer a phone call, a nurse will call daily to monitor their symptoms.

“When we consider the Foundation’s purpose and how our funds are distributed, we focus on efforts that will help caregivers at the bedside and help improve the experience for patients.” - Angie Kliewer, Monument Health Foundation Director

THE POWER OF IONS The new Global Plasma Solutions (GPS) Needlepoint BiPolar Ionization technology used in Monument Health’s air handling systems has proven effective in killing pathogens like the SARS Cov-2 virus, which causes COVID-19. Initially used to reduce helicopter fumes at Rapid City Hospital, GPS’s coronavirus-killing ability prompted installations in Custer, Lead-Deadwood, Spearfish and Sturgis. HEALTH // SPRING 2021

Implanted device tracks heart rhythms Monument Health Heart and Vascular Institute recently became the first health care system in the Dakotas to use the LUX, a cardiac recording device. The tiny recorder reports diagnostics that help physicians choose the right course of care for cardiac patients. Implanting the device under the skin of a patient’s chest takes about five minutes. The LUX then records patient heart rhythms and monitors for conditions such as atrial fibrillation or abnormal rhythms. Children’s Miracle Network Mediathon raises $85,500 for ill and injured kids Donors, sponsors and supporters came together in July to help make miracles happen for Monument Health’s youngest patients. The 2020 event surpassed last year’s total, as well as the goals set by the Monument Health Foundation. The Mediathon is a yearly campaign that benefits the Children’s Miracle Network program at Monument Health.




Pharmacists keep us healthy throughout the year, and play a direct role in patient care and recovery beyond dispensing prescriptions. Every January 12, they are recognized and honored for the impact they make on our health and well-being. At Monument Health there are approximately 65 Pharmacists that work in different clinical settings including, Specialty Pharmacy, Retail Pharmacy, Infusion Services, Clinical Pharmacy and Pharmacy Residency.

AMERICAN HEART MONTH Heart disease is the nation’s biggest health threat, killing about 2,300 Americans every day—more than any other disease. Since 1964, February has been federally designated as American Heart Month, an event designed to raise awareness of this often-silent killer and provide tips on staying healthy and preventing heart disease. The first Friday of the month is National Wear Red Day, with citizens from coast to coast encouraged to wear the color red in support of combating heart disease. At Monument Health Heart and Vascular Institute, you’ll find western South Dakota’s largest group of cardiovascular specialists offering the full spectrum of care including diagnostic services, cardiovascular research and nationally accredited labs.

NATIONAL COLORECTAL CANCER AWARENESS MONTH Following efforts by the Prevent Cancer Foundation to designate March as National Colorectal Cancer Awareness Month, the proclamation became official in 1999. Colorectal cancer is the second leading cause of cancer death in the U.S., affecting men and


women equally. Because it is treatable when detected early, health care providers use the month of March to educate the community about the disease and the importance of screening, prevention and treatment. Visit with your primary care physician about screening for colorectal cancer.

National Nutrition Month The food we eat plays a huge role in our overall health. The Academy of Nutrition and Dietetics launched National Nutrition Week in 1973— expanded to all of March in 1980. It provides the American public with information on healthy eating, making informed food choices and promoting good eating and physical activity habits. Monument Health employs 26 dietitians across the system.

Brain Injury Awareness Month Traumatic brain injuries affect millions of Americans every year. The Brain Injury Association of America led the charge to designate March as Brain Injury Awareness Month, helping to destigmatize brain injuries and to educate the public about them. Monument Health offers a variety of services to treat brain injuries—including rehabilitation in all five market settings, as well as a neurology clinic in Rapid City.

National Athletic Training Month Established by the National Athletic Trainers Association, March has been designated National Athletic Training Month. The recognition is used to educate the public about the important work done by athletic trainers, who focus on preventing injury and illness. Athletic Trainers can diagnose and treat injuries ranging from concussions and cardiac arrest, to spine injuries and heat stroke. Monument Health has 15 athletic trainers on staff in local high schools and colleges as part of their commitment to community health and wellness. SPRING 2021 // HEALTH

New location The new Gifts With Heart gift shop at Rapid City Hospital offers more room and advanced merchandising to enhance your shopping experience. The gift shop offers a variety of items including flowers, gifts, get-well cards and personal necessities for friends and families

We are proud to offer in-room delivery to all our Rapid City Hospital patients. TO ORDER:

visiting patients at Rapid City Hospital.

Call 605-755-8041.

Purchase with a Purpose

We accept MasterCard, Visa, Discover, and American Express.

Our volunteers have been raising money for Monument Health since they began selling gifts out of carts in the

All phone orders have applicable (6.5%) sales tax and a $2 processing fee added.

1960’s. All proceeds from gift shop sales are donated back to the hospital to fund special projects such as the artwork throughout our hospital, as well as the printing and distribution of this magazine.

Once our lobby reopens to the public, we hope you’ll stop by and visit Gifts with Heart.

Located inside the Fifth Street Entrance | Rapid City Hospital | 353 Fairmont Blvd. 605-755-8041 | HEALTH // SPRING 2021




Patient Care Champions focus on finding ways to improve patient care and increase positive outcomes from the moment patients come through our doors.


Patient Care Champions (PCCs) support clinical staff in providing excellent, effective and safe patient care. They have the opportunity to truly make a difference in patients’ lives. Every day.

For our heroes in gray scrubs, positively impacting a life doesn’t require experience—just heart Patient Care Champions greet patients and visitors, help patients with personal hygiene and the activities of daily life, assist patients during the admission, transfer and discharge process, and provide general office support. Caregivers can spend their entire careers as PCCs, getting to impact patients at the bedside each day. Some PCCs choose to go to nursing school or into other medical fields, using their experience in future roles.

Laura Holland Patient Care Champion, Rapid City Hospital

My Role I take care of patients. I am there to take vital signs and walk with them. Sometimes we assist with their eating and hygiene needs, and we make sure they are comfortable and feel safe. I am the support for the patient while they are in the hospital and a link between the patient and the nurse. My Goal I love making a difference in someone’s life every day, even if only for five minutes. That five minutes can be a game-changer in that person’s life. My Passion I help patients every day, and I like being that support person for daily comfort— and to be there when they need someone the most. PCCs are companions, and we recognize that patients are human, and need our support. We are a shoulder to lean on or to provide company.




Winter Sports Injuries Winter in South Dakota is both beautiful and treacherous. Ice and snow pose a threat for outdoor enthusiasts—particularly skiers and snowboarders. Dr. Ray B. Jensen, a board-certified Orthopedic & Sports Medicine Surgeon, discusses various injuries and shares tips on staying safe during the winter months. What are a few of the most common injuries you treat at Monument Health during the winter months?

I see a lot of ski injuries, ranging from minor bumps and bruises to fractures and dislocations. Shoulder and knee injuries are most common.

Can you briefly explain the nature of each injury?

Each injury is unique. Knee injuries are common in skiing; falling forces the ACL or MCL into a vulnerable position that can rupture. Falling on an outstretched arm can cause an arm or elbow fracture. Snowboarders are more likely to fall onto a wrist or elbow, fracture their clavicle or separate their shoulder.

What does the rehabilitation process look like for winter sports injuries?

Simple injuries are easy: rest, ice, heat and activity modifications allow you to get back into your sport as quickly as possible. Recovery time is longer for higher-velocity injuries—broken bones, torn-up knees and shoulders. That process could last as long as 9 to 12 months and include surgery, physical therapy, rest and additional rehabilitation. What steps can people take to prevent winter sports injuries?

Be aware of your surroundings, stay fit and healthy and don’t overestimate your abilities. Choose a ski run appropriate for your skill level, dress in How are winter sports proper attire and learn how to injuries treated? turn and stop. Knowing how to It depends on the severity of the fall is helpful, too! Falling on an injury. Minor bumps, bruises and outstretched arm is dangerous strains can be treated with ice, heat, because you put weight on the oral and herbal medicines. Broken wrist or shoulder and the impact bones, shoulder injuries, torn goes directly into those bones ligaments, ACLs and MCLs may or joints. The old adage “tuck require a brace, cast, injections or and roll” is a good option when surgical intervention. falling.


RAY B. JENSEN, D.O. Board Certified Orthopedic & Sports Medicine Surgeon Monument Health Spearfish A fellowshiptrained Orthopedic Surgeon specializing in arthroscopic treatment and shoulder and knee replacements.

The biggest danger with any winter activity is ice. Maintain good contact with the ground by wearing appropriate shoes or boots and consider investing in traction devices that slip onto the bottoms of your shoes. Not all winter injuries are sports-related. What are some common injuries that affect everyday people going about their normal routines?

We see a lot of falls and icerelated injuries from people just coming in and out of homes and businesses. De-icer is great when you can use it. Shoveling snow causes a lot of shoulder and back injuries. Even starting a snowblower can lead to a torn rotator cuff. Always be cautious and maintain a proper position.

For a full video of the interview please go to magazine.





A new knee for a more active you. Thanks to robotic technology. Having chronic knee pain shouldn’t mean giving up the things you love. Thankfully, Monument Health has a new way to keep you moving: ROSA Knee robotic technology. Our specially trained surgeons use ROSA Knee to personalize the approach to total knee replacement — providing a solution that works for you and your unique anatomy. Contact Monument Health today to find out whether treatment is right for you, and the risks of knee replacement.

Learn more at

Zimmer Biomet is a medical device manufacturer that provides products and other services used by health care professionals to create personalized care plans. Zimmer Biomet is not a medical professional and does not practice medicine. Zimmer Biomet is not responsible for the content of The persons in these advertisements are models and not actual recipients of Zimmer Biomet products and services. Results are not necessarily typical and will vary due to health, weight, activity and other human variables. *Not all patients are candidates for joint procedures or ROSA Knee robotic technology. Only a medical professional can determine the treatment appropriate for your specific condition. Talk to your surgeon about whether joint replacement is right for you and the risks of the procedure, including the risk of impact wear, loosening, breakage, failure or risk of infection, all of which could require additional surgery. For general information on joint pain and technology, visit or call 1.800.447.5633. ©2020 Zimmer Biomet.


The Volunteer Auxiliary has donated over $4 million to programs, projects and specialized equipment for Rapid City Hospital since 1974.

Shirley Bell Volunteer, Rapid City Hospital

Long past the age when most people retire, Shirley Bell can still be found in the gift shop at Monument Health—a position she has held for 45 years.

Even more remarkable than her years of service, is the fact she has never been paid a dime—and that’s exactly how this feisty 81-year old wants it. “They thought about paying me, but I said no,” she explains. “I took this job to volunteer and that’s all I want to do!” Why do you volunteer? St. John’s Hospital Auxiliary placed an ad in 1973 looking for volunteers to work in the gift shop. I couldn’t do it during the week so I said I would work on Saturday. I enjoy meeting with people and helping them. It’s just the way I’ve always been. How has your role changed over the years? When I started, there wasn’t even a cash register—just a box to put the money in and a piece of paper for jotting down every sale. St. John’s merged with Bennett-Clarkson and eventually became Regional Health, and now Monument Health.

The Volunteer Auxiliary recently provided $60,000 to pay for artwork for three floors in the North Tower of Rapid City Hospital.

What keeps you going after all this time? When I take on something, I do it. It’s almost like I’ve got a paid job because I’m there every Saturday. Nobody else wants that weekend job, but I’ve always enjoyed it. How would you respond to people who say they would love to volunteer but don’t have the time? Make some time! Even if it’s only a couple hours a week, just volunteer. How long will you continue volunteering? Everybody says, “Shirley, when are you going to retire?” And I tell them, never! I want to volunteer at the hospital as long as I can.



For more information about volunteering or how to get involved visit or call Volunteer Services at 605-755-8980


It starts with heart: hundreds of community members volunteer in various capacities at Monument Health locations throughout the Black Hills.

Pastor Paul finds joy in building relationships with patients and their families as they go through periods of uncertainty. “I hope this will help our community become a wonderful, caring place,” he says. Why do you volunteer? As a pastor, I spend a lot of time at the hospital visiting my own parishioners— almost on a daily basis. It became apparent that a lot of people outside our parishioners were looking for help and support as well. What is the role of a spiritual services adviser? I make myself available to anybody who has spiritual concerns or desires a listening ear to talk about what they’re experiencing during their time in the hospital and discuss their hopes. For patients and family members, the health care system can feel strange and overwhelming. I give a personal face to their care.

Paul Winckler Pastor, Zion Lutheran Church, School and Preschool

Paul Winckler brings spiritual comfort and emotional support to those in need within the hospital community.


What do you hope to accomplish? I just want to help and support the healing of the patient. Our medical personnel do such a tremendous job in caring for the health needs and concerns of the patient; I focus on whatever I can do on the emotional or spiritual side to help the healing process, preparing the patient for recovery and recuperation and whatever the future might hold. Why should people volunteer? It’s just so rewarding, in whatever capacity you can help and support— whether it’s significant amounts of time or short-term opportunities here and there, you get so much out of it—more than you give.



Over 1.5 billion pounds of pumpkin are produced each year in the United States.




Pumpkins are technically fruit. They are a winter squash in the family Cucurbitacae, but because they’re savory, many people think of them as vegetables.


The farm to fork movement (also known as farm to table) got its unofficial start in the 1960s during the countercultural revolution, when hippies began growing their own food locally and organically. Renowned chefs like Alice Waters, whose influential restaurant Chez Panisse opened in 1971, embraced the concept of local, sustainable agriculture, helping to push the movement into the mainstream. Today, it’s not uncommon to find restaurants in South Dakota and across the country marketing farm to fork dining, as processed foods fall out of favor and Americans adopt healthier lifestyles. Put simply, farm to fork is a food system in which food production, processing, distribution, and consumption are integrated to enhance the environmental, economic, social and nutritional health of a particular place. It consists of four principles: food security, proximity, self-reliance, and sustainability. The basic idea is that communities should have easy access to locally grown food, eliminating the need for outside suppliers. With farmers markets gaining in popularity and because consumers are more conscious than ever about the effects of food on their health, the farm to fork movement has seen explosive growth—especially over the past eight months, as the food chain has come under increasing scrutiny.


Product traceability. Monument Health Executive Chef Scott Brinker says it’s important to know the story of your food. A lot of produce sold in western South Dakota is sourced from Florida or Mexico; it’s impossible to know the growing conditions without that traceable story. For this reason, he sources his beef and produce from local farms that allow him to investigate where his food is coming from and inspect the growing conditions firsthand. He is able to see the whole story of his food and pay attention to his carbon footprint in the process—everything from the grass the cows are eating to the soil and nutrients feeding that grass.

The food landscape has changed dramatically this year, forcing us to rethink how we buy, prepare, and eat food. As a result, the farm to fork movement is seeing a huge increase in popularity as the food chain comes under closer scrutiny. FOOD SUPPLY CHAIN DISRUPTIONS

COVID-19’s impacts have been wideranging, and the food supply chain is no exception. We witnessed this early on when plant shutdowns across the country led to meat shortages. When restaurants began closing their doors nationwide or switching to takeout service only, the opposite problem occurred: there was too much food and not enough space in which to store it. Consumers contributed to these supply chain disruptions through panic buying and hoarding, leading to empty shelves. While stores are better stocked these days, the problem persists because of labor shortages in the agricultural industry and shifting demand associated with on-again, off-again lockdowns and restaurant/school closures. Factor in smaller spending due to loss of income—a trend that affects nutritious foods such as fruits and vegetables more than most others,

Keeping the supply chain alive While many organizations struggled to keep meat and produce on shelves at the beginning of the COVID-19 pandemic, Monument Health wasn’t one of them. Using local food sources ensured patients and their families always had food available, so they could focus on their health.



Prep Time 15 min. Cooking Time 45 min. Yield Serves: 10

THE CHEF My Role I’m the Executive Chef, responsible for all food that comes and goes within the Rapid City Hospital. Cafe Nourish is a full-service cafe with a grill, salad bar, deli station, and outdoor cooking area; create Bistro is more upscale, with a focus on vegan and vegetarian dishes. Both are open to the public. My Goal Instilling pride and excitement for cooking. Also teaching the next generation of cooks and chefs to understand and respect food and appreciate the important role they play in the hospital; food is medicine. My Passion Anything with fresh ingredients. I’m locked into wholesome, all-natural foods. It’s also important to know the story of your food. I can go out to the pasture and see the cows, and the grass they’re grazing. Top Tip Keep it simple! Don’t overthink food with fancy stuff; make a recipe with 6 ingredients, execute it well, and make it look and taste good. Everything else comes with time.


Nutrition Facts Per Serving: Calories 72.8 Carbs 17.2g Fat 0.6g Fat Calories 5.5 Saturated Fat 0.1g Protein 1g Cholesterol 0mg Fiber 1.4g Sodium 475 mg Sugar 9.8g

Creamy Butternut Squash Soup

This hearty soup is always a big hit at Cafe Nourish. The medley of spices will warm you up—perfect for a chilly day in the hills! Ingredients • 1 pound butternut squash • 2 cup apple juice • 1/2 cup yellow onions diced small • 2 tsp Kosher salt • 2 tbsp honey • 1 tsp fine ground • black pepper • 1/2 tbsp ground ginger • 1 each cinnamon stick • 6 cup boiling water • 1/8 tsp canola oil • 6 tsp vegetable stock

Step 1 Mist the bottom of a medium soup pot with oil. Over medium-high heat saute the onions until they become slightly translucent. Step 2 Add the diced butternut squash and saute a little longer (2-3 minutes). Add the apple juice, water, vegetable base and honey. Bring to a boil and reduce to a simmer. Add the cinnamon stick, salt, pepper and ginger. Simmer for 45 min-1 hr or until squash is fully cooked. Step 3 Discard the cinnamon stick. Transfer the soup to a blender and puree until silky smooth. Pass the soup through a strainer, taste and adjust seasoning. Serve right away or chill to 40 F within 4 hours. Can be garnished with pumpkin seeds, cilantro, pecans, apples, cinnamon or creme fraiche.


On the Rise. The number of Google searches related to bread and sourdough has shot up, reports show there’s been a 5-fold increase for the term “sourdough” since early March 2020.

the very heart of the farm to fork movement—and it’s evident that supply chains will continue struggling to keep up with demand. NATURAL AND ORGANIC

With more of an emphasis on locally grown and sourced produce and meat, natural and organic foods are surging in popularity. Though they’re often lumped together, there are some key differences between the two. “Natural” foods are perceived to be pure and healthy, but the United States Department of Agriculture (USDA) doesn’t regulate use of the word on product labels for crops. Natural foods might actually contain pesticides, as well as genetically engineered and highly processed ingredients. Organic foods, by contrast, are heavily regulated by both agencies. Foods that are labeled organic contain no toxic pesticides, chemicals, synthetic growth hormones, antibiotics, genetically modified organisms (GMO), artificial additives or preservatives. While organic foods are always natural and pesticide-free, consumers don’t always have to buy organic. Theresa Ferdinand, Manager of Employee Health & Wellbeing at Monument Health, says consumers should focus on meat, milk, and eggs above all else. “Those are where you’d want to spend your money,” she says. For additional information, consult the “Dirty Dozen” (foods most likely to be contaminated by pesticides) and “Clean 15” (non-organic items that are generally safe to purchase) lists. THE RISE OF MEAL KITS

With COVID-19 forcing many restaurants to close and the cramped aisles of grocery stores leaving many


shoppers jittery, consumers turned to meal kits as a convenient, socially distanced alternative. Meal kits take the guesswork out of cooking, providing ingredients and step-bystep instructions even the most novice of cooks can master. Best of all, they’re delivered right to the consumer’s doorstep. They’re the perfect model for sheltering-in-place and avoiding potential exposure to coronavirus. NUTRITION CONFUSION

Most of us at least make a halfhearted attempt to eat healthy, balanced meals, but nutrition is an area where there is ever-changing (and often conflicting) information. Knowing what to eat can be confusing! Yet, it’s crucial we get it right. Theresa says, “Nutrition is key in overall health and wellness—not only in preventing and treating chronic conditions, but being able to be at your peak and perform all day long.” While exercise is important, Theresa adds, “You can’t out-exercise a bad diet.” Eating well and making smart choices isn’t all that difficult. There are several things you can do, according to Theresa. Portion control is huge; aim for moderation, and stick to fruits, vegetables, lean cuts of meat, and whole grains. Avoid sugar and refined grains as much as possible. Theresa recommends keeping a food diary or using an app, such as MyFitness Pal, to hold yourself accountable. Similarly, using an app to keep track of steps can be a good motivator to get moving.

Our organic journey Michelle and Rick Grosek of Bear Butte Gardens near Sturgis say three things contribute to eating healthy: organic, local and fresh. Any one is going to lead to better nutrition, and all three together will build your health, your community and your food knowledge. We enjoy being THAT neighbor (producer) and coordinating with other producers to help build a healthy food community.

Energy, exercise and sleep A balanced diet is important, but sleep and exercise are also critical components to our health. Kari Anders, a Physical Therapist at Monument Health Lead-Deadwood Hospital, says “The effects of sleep and exercise are far-reaching, spanning across the brain and body systems. They affect cardiovascular health, immune response, energy levels, concentration and memory—just to name a few.” Luckily, we don’t need to sign up for a marathon to reap the benefits. Kari says “People who engage in even low to moderate exercise report an increase in energy levels.”

Having trouble practicing portion control? If you’re going out to eat, ask for a to-go box when you place your order and package up half your food before you even start eating. Whether dining at home or in a restaurant, take your time eating, and pay attention to hunger cues. Stop eating and push your plate away the moment you feel full.



Marcia Taylor RN, has been a Monument Health caregiver for 46 years. As a Clinical Coach she works daily to ensure the best possible patient experience for everyone who comes to Monument Health. Her calling is also personal, as she is a daughter and mother who trusts Monument Health with the care of generations of her family.

BUILDING THE CONNECTION BETWEEN GENERATIONS Introducing you to the people instrumental in developing and changing the landscape of health care in Rapid City for generations to come.


Coming to Monument Health may sometimes mean patients and their families are experiencing some of life’s biggest hardships. With this in mind, the team at Monument Health wanted entering the doors on Fifth Street to feel like walking into somewhere familiar. The stone facade evokes our golden South Dakota prairies, while inside visitors are greeted by pictures of Spearfish Canyon, Custer State Park, the Badlands and more. In a word: home. Whatever brings patients to Monument Health, creating familiarity helps take the stress off their shoulders as they are embraced by the world-class, caring staff. Marcia Taylor, RN, has worked for Monument Health for 46 years; a journey she says has been gratifying due to the variety of


Monument Health used patient-centric model that focuses on reducing patients’ stress and anxiety, which increases positive outcomes and reduces hospital stay times.

Designed with natural materials that echo the surrounding landscape, the new Fifth Street entrance to Monument Health is commanding, but welcoming.

As a Clinical Coach, Marcia Taylor, RN ensures everyone who comes to Monument Health receives the best care possible.


job experiences. But even more importantly, Monument Health has been there for her and generations of her family in some of their toughest times. Her mother in law, now 93, was hospitalized years ago for a broken hip, and amidst a tough situation Marcia says “Monument Health really stepped up and helped her recover, with great outcomes, and now she’s in good health.” Marcia’s husband, Randy Taylor, has also spent time in the care of Monument Health. A number of years ago, Randy called Marcia to tell her his back hurt. “I told him to come in, and on the way in he blacked out and his truck left the road” Marcia says. Both Randy and their son were transported to the Emergency Department, and treated upon arrival. Their son was fine, and while Randy had suffered a heart attack, he recovered well under the care of Monument Health.

Dave Ellenbecker Vice President of Facilities Management and Plant Operations

John Pierce President of Rapid City Hospital and Market



Moving away from the traditional “sterile” hospital setting and designing a more pleasant space promotes healing. This included chosing soothing paint colors, comfortable finishes, and artwork.

No matter what her family has had to visit Monument Health for—when Marcia gave birth to their sons, various trips to the Emergency Department that come with childhood, even Randy’s open heart surgery—Marcia says that their entire family is grateful for the specialties and level of care that Monument Health provides. Not only that, she says “everyone at Monument Health really focuses

on their patients. It’s not just about the medical outcomes, they make sure that your care serves you and your goals.” PATIENTS AND FAMILIES

Marcia Taylor RN, is a Clinical Coach at Monument Health. It’s a role that allows her to give guidance in clinical situations and work with patients, families and staff to find the best plan of care.

The new entrance on Fifth Street is open and airy, with plenty of natural light. Warm materials keep it inviting, while the large glass art installations liven the space with local scenery.


“We know that environment can create healing effects,” she explains. “A lot of work went into talking about what healing means and how that can be shown through physical structure.” This resulted in not only reworking the Fifth Street Entrance at Rapid City Hospital, but also the healing room, garden, and other quiet places where people can take a moment and refocus. “The majority of people in acute care settings did not plan to be there,” Marcia says. “Their whole life is disrupted, causing significant stress. Quiet areas allow for a moment of reflection or prayer, or even just being with loved ones in silence for a little bit.” It’s also about the family, health care settings help foster a connection between generations. Children might be visiting


The new art installation primarily focuses on photography, with several from local photographer Joe Lowe. There are other mediums as well, including watercolors and abstract prints. The collection houses 130 pieces, all of which depict the Black Hills




1,250 CARS

Finding calm The Emergency Department is often the highest stress location of any hospital. When designing the new space in the Fifth Street expansion, Jennifer Murray, the Director of Emergency Services at Monument Health says, “Our main objective in building this new space was to make sure that we used a patientcentric design so that patients are protected from seeing and feeling all of the stress.” The department is designed with patient rooms and corridors around the outside, with all of the health care functions and trauma rooms situated on the inside. Patient hallways are wide and airy, with natural light streaming in with art displayed on the walls. When coming to the new Emergency Department, Murray notes that community members can expect to

“Nobody really plans to be here, but our new art helps take patients’ minds off things and lets them be somewhere different. You need that sometimes, and art allows that to happen.” Marcia Taylor, RN.


enter a calm environment that has their best interests in mind. Patient areas are intentionally separated from the noise of what’s happening behind the scenes. The renovations are also functional; there is a new helipad and drive through ambulance garage. Both enable the health care team to transfer patients more efficiently to where they need to go; whether that’s straight into a patient room or into a trauma suite. They have also reduced the incidence of transferring patients outside in the elements—a crucial benefit in the winter. Murray says, “Far and away, the patient focus of the physical space being more private for patients has been the best part of this redesign.” The health care team in the Emergency Department agree that the new aesthetics make a difference. They have already seen the positive impact on their patients, and in each other. The Emergency Department opened in September 2020.

parents or grandparents, and everybody is feeling stress over the experience. “You just strive to see what you can do to meet their needs with the situation at hand and make their experience as individualized as possible,” she says. “We like their feedback and want to make sure it improves their outcome. That’s our goal and something we should be doing every day.” This brings a human element to what is often a difficult and unsettling period in an individual’s life, and is at the heart of patient-centered design, a concept that puts an emphasis on quality care and patient satisfaction.

Wicozani Otipi: “Healing Room” in Lakota, the space is circular room located on the third floor of the Fifth Street Entrance. It is designed to provide patients, families, caregivers and physicians with a place to gather in solitude and in peace. Healing gardens Just outside the creat cr eate e lobby, you will find the healing gardens. In spring 2021 more landscaping will be completed to add outdoor space for anyone seeking a moment of quiet. creat cr eate e—a name with EAT at its heart—will provide an exhibitionstyle culinary experience. Executive Chef Scott Brinker focuses on locally sourced vegetarian and vegan dishes, with meat options available, too. creat create e is also a teaching kitchen where guests can boost their culinary and nutritional literacy, preparing them to make healthier food choices.




While the new entrance is aesthetically appealing, the goal for this construction project wasn’t merely cosmetic improvements. With the busiest Emergency Department in the state of South Dakota, the need for more space—and more efficient use of that space—was the overriding impetus for the expansion. John Pierce, President of Rapid City Hospital and Market, has dreamed of expansion ever since joining Monument Health 21 years ago. He was particularly passionate about bringing heart and vascular care onto the Rapid City Hospital campus. “We are an important asset to our community, so being able to grow our campus in a way that will help us better serve our communities for years to come is very exciting,” John says. The addition of 380,000 square feet of building space, includes a brand new Emergency Department, complete with rooftop helipad and a drive-through ambulance garage. There’s also the newly relocated Heart and Vascular Institute, and the Heart and Vascular Unit which combines a 32 private room inpatient facility with outpatient cardiovascular services all under one roof.

Dale Lamphere As South Dakota’s Artist Laureate, Dale has completed 60 major public sculptures. His work covers the spectrum from classic figurative sculpture in cast bronze to monumental fabricated stainless steel sculptures. Lamphere’s two most recent works, Dignity of Earth and Sky, a 50-foot monument in Chamberlain, and the 300foot Arc of Dreams over the Big Sioux River are examples of his innovative use of varied materials and technologies.

Sculptor Dale Lamphere, invited regional artists to collaborate with him on an art installation in Monument Health Rapid City Hospital’s new lobby. The piece is called “Community Tapestry.” “It’s the weaving together of diversity that creates the fabric of a community,” Lamphere said. The final piece will feature metal diamonds arranged in a 16-foot by 32-foot space. Up to 20 of the diamonds will showcase the work of artists from the Black Hills and west river. Artists were invited to submit a detailed proposal, including a sketch, description of materials, and a written statement explaining “What Healing Means to Me.” “As the South Dakota Artist Laureate, I feel an obligation to encourage other artists,” Dale said. “We want people of all ages and abilities to share their ideas about healing.” The final piece will be unveiled late spring 2021.


When selecting artwork, Monument Health’s curation team focused on how each piece would impact both patients and caregivers. Choosing art that creates a sense of familiarity and calm has been proven to relieve anxiety associated with a health care environment and ultimately decrease stay times. Not to mention, the presence of art reduces stress and


increases satisfaction for caregivers, enabling them to better assist those trusted to their care. While spending money on art may seem strange in a health care setting, Monument Health believes that health care needs to be functional, not institutionalized.

Patients have enough stress when they walk in the doors, the space they walk into should be welcoming and comforting. The new art installation does exactly that, welcomes patients in, make them feel at ease, assists in their healing and helps them continue their life’s journey.


Flipping the main entrance from the north to the south reconfigured the campus to better accommodate future growth.




Fairmont Entrance 5 + No patient services available West Entrance 6 + Cardiac Rehab + Dialysis + Hyperbaric Oxygen + Pharmacy + Women’s and Children’s Infusion Entrance 7 + Infusion Plus Patient/Guest Parking Only


Undesignated Parking


Free Valet Services 605-755-4700 | Monday - Friday Fifth Street Entrance 5 a.m. - 6 p.m. Fairmont Entrance 8 a.m. - 4:30 p.m. (Cancer Care Institute Patients)





7 P P




















Cancer Care Institute Entrance 4



Emergency Entrance 2



Fifth Street Entrance 1 + Cath and Electrophysiology Lab + Direct Admission + Endoscopy + Guest Services + Gift Shop + Heart and Vascular Institute + Lab + Medical Imaging + Respiratory Care + Registration/Check-In + Surgery Pre-Admit + Surgical Services + Inpatient Visitors






Increase PHYSICAL ACTIVITY Develop strategies to MANAGE STRESS

HEALTHFUL EATING of whole, plant-based food

Form and maintain RELATIONSHIPS

Avoid risky SUBSTANCES Improve your SLEEP


Monument Health’s new Lifestyle Medicine program seeks to change the way we approach our health and chronic condition management.

LIFESTYLE MEDICINE A new approach to health care Preventable disease is the most expensive cost to patients and health care providers nationwide. 82 percent of chronic disease can be avoided, and Monument Health has launched a new Lifestyle Medicine service to help patients prevent disease or manage existing ones. According to the American Cancer Society, at least 42 percent of newly diagnosed cancers in the U.S.—about 750,000 cases in 2020—may have been avoidable, including the 19 percent of all cancers that are caused by smoking and the 18 percent caused by a combination of excess body weight, alcohol consumption, poor nutrition and physical inactivity. Lifestyle Medicine is an evidence-based approach to preventing and treating these chronic diseases that are typically caused by modifiable lifestyle habits such as poor diet, inadequate exercise, smoking and other choices. Some common examples


of diseases that respond well to this intervention are atherosclerotic heart disease (cholesterol buildup in the arteries of the heart), type 2 diabetes and obesity. Patients are given a health coach to oversee their entire treatment process. This health coach will work with the patient’s physician, pharmacist, counselor, dietitian and potentially a strength coach to provide them with a whole model method of wellness focusing on six areas. In general, the health coach will be the first point of contact and will go with the patient to each individual visit with the physician and dietitian. The goal of the health coach will be working

CDC Facts on Diabetes in the United States • Total: 34.2 million people have diabetes (10.5 percent of the U.S. population) • Diagnosed: 26.9 million people, including 26.8 million adults • Undiagnosed: 7.3 million people (21.4 percent are undiagnosed) Prediabetes • Total: 88 million people 18 years or older have prediabetes (34.5 percent of the adult U.S. population) • 65 years or older: 24.2 million people aged 65 years or older have prediabetes



Nutrition: food is medicine. Encouraging patients to choose predominately whole, plantbased foods that are rich in fiber and nutrients, such as vegetables, fruits, beans and whole grains. Exercise: encouraging regular and consistent physical activity that can be maintained on a daily basis is an essential piece of the equation. Stress management: helping patients recognize negative stressors and identify coping mechanisms leads to improved well-being. Relationships: social connectedness is essential to emotional resiliency. Considering a patient’s home and community environment improves overall health. Sleep: lack of sleep or poorquality sleep can lead to a strained immune system. Substances: dangers of any addictive substance use are welldocumented, and can increase risk for many cancers and heart disease. Positive behaviors that improve health include removing tobacco product consumption and limiting alcohol intake.


“There is more work involved than simply taking an extra medication every day, but the rewards are much greater.” to keep the patient motivated and on course with goals. “Lifestyle Medicine is relevant to nearly every patient, since everyone wants to either prevent or reverse disease. As a service, it works well with—and complements—nearly every other specialty,” said Stephen Neabore, M.D., “There are clinical benefits to nearly every organ and organ system as well as to overall health and wellbeing.” According to the Centers for Disease Control & Prevention, 90 percent of the nation’s $3.5 trillion of annual healthcare costs are spent on chronic conditions. Early intervention is important as people become sicker earlier in life. “We need to reform our health from the ground up and lifestyle medicine provides the tools to do that,” he said. Dr. Neabore is one of the two physicians at Monument Health who have developed the Lifestyle Medicine service for Monument Health. “Looking at lifestyle factors and formulating a plan for improving health takes time. Typically, these visits are longer and include specific and detailed instructions for patients—and sometimes even for families. We often work


Heart disease is the leading cause of death for men, women and people of most racial and ethnic groups in the United States.

The CDC reports that 90 percent of the nation’s $3.5 trillion annual health care budget is spent on chronic conditions. as a team with dietitians, health coaches and others,” Neabore said. “Changes can take some time and progress will partially depend on the patient. There is more work involved than simply taking an extra medication every day, but the rewards are much greater. I like to think of it as an investment in health—on par with saving money for retirement.” As patients begin to make healthful changes, they will feel better and will notice improvements in relevant measures of health (such as blood pressure, weight, blood sugar, etc.). This is the short-term benefit, while the long-term benefit is a longer, healthier life, with significantly lower risk for chronic illness such as heart disease and certain cancers, all while needing less medication and less time spent in the hospital. “I realized early on in my medical career that we rarely cure people of chronic diseases in the way we do for acute issues like heart attacks, infections and broken bones. Instead, we ‘manage’ or ‘control’ these diseases, and patients tend to stay on medication for the rest of their lives,” Dr. Neabore added. “To me—and


CDC Facts on Heart Disease • One person dies every 36 seconds in the United States from cardiovascular disease. • About 655,000 Americans die from heart disease each year—that’s 1 in every 4 deaths. • Heart disease cost the United States about $219 billion each year from 2014 to 2015. This includes the cost of health care services, medicines and lost productivity due to death.

STEPHEN NEABORE, M.D. Dr. Neabore is a diplomate of the American College of Lifestyle Medicine. He focuses on helping his patients achieve optimal health through methods such as diet, exercise and stress reduction. Dr. Neabore completed his training in New York City and then practiced in Washington, D.C. and Maryland before coming to the Black Hills. His areas of specialty include Lifestyle Medicine, Internal Medicine and Primary Care Medicine. Dr. Neabore enjoys promoting health in his community and living an active lifestyle himself, competing in marathons, ultra-marathons and longdistance bicycle riding.

to patients—this was not truly making them well. I went into medicine to make people healthy and not just make them live longer with an ever-expanding list of medications. Lifestyle Medicine interventions allow people to improve their health and sometimes even reduce their medication requirements. They tend to live longer, healthier lives, feel better and experience greater life satisfaction. As a primary care physician, this is extremely rewarding to both myself and the patient.”

Lifestyle Medicine Team Also Includes: Health Coach: A Health Coach is a supportive mentor and wellness consultant who helps patients feel their best through individualized coaching and assisting in lifestyle changes that meet their unique needs and health goals. Dietitian: A Dietitian is an expert in human nutrition and the regulation of diet. A dietitian modifies their patient’s nutrition based upon their medical condition and individual needs.



Dr. Than Than Aye is a Hematologist and Oncologist at the Monument Health John T. Vucurevich Cancer Care Institute. She says “The Mayo Clinic Care Network relationship greatly impacts a disease progression like Carol’s; they are a great source for us to confirm we’re doing the right protocol and gives our patients confidence that they are getting the best care, close to home.

Sidebar Biological therapies, also known as immunotherapy, are the newest types of medicines used to treat cancer. Immunotherapy is a cancer treatment that helps your immune system detect and fight cancer. The treatment attacks specific “targets” on cancer cells without harming normal cells. Research using these targeted therapies is ongoing, a few agents are now available for use on patients not enrolled in a research trial. Immunotherapies can be used alone or in conjunction with chemotherapy treatments—the health care team at Monument Health in conjunction with the Mayo Clinic Care Network determine the best course of care based on each individual patient’s needs.

CANCER WARRIOR After her diagnosis, Carol Engel turned to the experts at the Monument Health John T. Vucurevich Cancer Care Institute. Working together, they’ve defied the odds against stage IV lung cancer.


Carol Engel was born and raised in Rapid City. She enjoys working at Bear Country in the summer, admires Dolly Parton and Willie Nelson, and loves talking to people; a tad too enthusiastically sometimes, she admits. Her personality is welcoming and passionate—she makes you feel like you’re old friends catching up rather than strangers meeting for the first time.


Lung cancer is one of the most common types of cancer in the United States and, by far, the leading cause of cancer deaths. According to the American Cancer Society, 228,820 Americans will be diagnosed in 2020.

“Carol had no symptoms, this was a routine screening. It was a devastating diagnosis for her out of the blue. To see her resilience and positive attitude, and how she is engaged with her care has been very rewarding.” Dawn Utzman

In February 2019, Carol attended a “Welcome to Medicare” preventive care visit at Monument Health. After reviewing her file, Dawn Utzman, a Family Nurse Practitioner, recommended Carol have a chest CT lung cancer screening. A CT scan and biopsy later, the diagnosis was determined to be stage IV lung cancer; doctors gave Carol six months to live. She says “You just feel so alone. But Dawn called me, and she said ‘Carol, you remember, you are the same person as you were yesterday.’” After reviewing her case with Mayo Clinic, Monument Health started Carol on immunotherapy. When her progress slowed, the team changed her to chemotherapy; but Carol says “I know my body, and I knew something wasn’t right.” She discussed it with her team, and they decided to return to immunotherapy. It turned out to be the right decision—her condition greatly improved. Dr. Than Than Aye, M.D., said “Carol’s case is amazing, she is the only case I’ve seen where brain lesions have disappeared without radiation.” By advocating for her care, Carol and her team worked together to achieve the best possible result. Carol will celebrate two years since her diagnosis in February—well past her original prognosis—which she credits to her team at Monument Health. Dr. Aye agrees with Carol: “Great care is team management; we cannot do it alone. Having the patient engaged, our nursing staff, the whole team


Monument Health joined the Mayo Clinic Care Network in January 2020. This prestigious collaboration grants special access to Mayo Clinic’s extensive knowledge, resources and world-leading expertise. By working together with Mayo Clinic, Monument Health physicians and caregivers can provide patients with more of the care they need, close to home, at no additional cost to them.

“Carol has what has to be on the same page.” we call the ‘survivor Carol’s care has gene.’ We can’t been an incredible measure it, but combination of she’s got it.” caring teamwork, innovative medical Dawn Utzman Family Nurse practices and a positive patient Practitioner attitude. Moving forward, Carol hopes to join advocacy groups for cancer patients and survivors and volunteer her time talking to those dealing with cancer. Until then, she has one piece of advice for those dealing with cancer: “Take a deep breath. Don’t panic. Just be true to yourself and take care of yourself. You can do the research but it’s what you’ve got inside, the positive thinking that keeps you going.”

Biological therapies, also known as immunotherapy, are the newest types of medicines used to treat cancer. Immunotherapy is a cancer treatment that helps your immune system detect and fight cancer. The treatment attacks specific “targets” on cancer cells without harming normal cells. Research using these targeted therapies is ongoing, a few agents are now available for use on patients not enrolled in a research trial. Immunotherapies can be used alone or in conjunction with chemotherapy treatments—the health care team at Monument Health, in consult with the Mayo Clinic experts determine the best course of care based on each individual patient’s needs.



Outside of his medical condition, Carter is a normal kid who enjoys doing normal kid activities. He likes to spend time with his family and friends, including his brother Mason. He enjoys spending as much time as possible outdoors, going camping, playing basketball and soccer, and reading in his backyard hammock. He also plays in his backyard with his rabbit, Onyx.



Carter Berlin’s autoimmune disorder diagnosis means he’s had to deal with more in the last six years than most do in a lifetime—but he’s one tough ten-year-old.

Carter Berlin was just four years old when he was diagnosed with a disease that is especially rare in children. Chronic Inflammatory Demyelinating Polyneuropathy (CIDP) is a chronic autoimmune disorder that causes his body to attack his myelin sheaths, the fatty coverings that protect his nerves. Carter’s parents first noticed something was wrong when their young son started to stumble and fall a lot. As his condition progressed, Carter began dragging one of his legs, and he got to the point where he couldn’t hold a spoon or sit up on his own. Heather and Ryan Berlin took Carter to the Mayo Clinic Emergency Department in Rochester, MN, where he was diagnosed with CIDP and received his first Immunoglobulin (IVIg) therapy treatment. Since then Carter, now 10, has been receiving regular care at Monument Health, where pediatric nurses are able to administer Carter’s infusions through an IV port inside his chest. IVIg therapy essentially replaces Carter’s immune system so it doesn’t attack his nerves. The Monument Health Pediatric Unit is able to care for children like Carter by offering outpatient maintenance visits like IVIg infusions. The Rapid City Hospital Pediatric team works closely with Carter’s care team at Mayo Clinic to carry out his plan of care in a setting closer to home. Carter has been receiving care every 10 to 14 days at Monument Health since his diagnosis. When Carter was younger, he had anxiety about his infusion appointments. His mom credits a trusting relationship with the

“CIDP is a rare illness that isn’t completely understood. Something triggers the body’s immune system to attack the protective myelin coating around the nerves that activate muscles. This myelin coating normally acts like the insulation around an electrical wire. When it is destroyed, electrical impulses don’t travel normally between the spinal cord and the muscles. This causes muscle weakness and sometimes sensory problems. Carter has a lot of muscle weakness, and comes in regularly for IVIg infusions. IVIg is an immunoglobulin that suppresses his body’s abnormal immune response so the myelin can repair itself, ” says Wendy Asher, Certified Nurse Practitioner in the Pediatric Department at Monument Health. Wendy acts as an intermediary caregiver between Carter’s care team of specialists at Mayo Clinic and his primary care physician at Monument Health. She manages his care plan, communicates and helps implement any changes from his physicians.

caregivers at Monument Health for Carter’s progress in overcoming this anxiety. Carter’s nurses helped him build confidence by listening to what makes him scared and what they can do to make it easier for him. “We’ve gotten to know all of Carter’s nurses really well at Monument Health, and we’ve built a friendship with all of them. They’ve been friendly, caring and supportive throughout this whole journey with us,” Heather said. Carter’s journey has been a long one. In addition to his infusions, he’s undergone therapy to build up his muscles, and relearned how to walk and run. He has overcome more than most adults could only imagine. Yet, you’d never know it if you saw him.

Monument Health provides pediatric outpatient services close to home, including • Maintenance Chemotherapy • Infusions • Immunotherapy Infusions • Injections • Blood Administration • IV Fluid Hydration • Stimulation Testing

LITTLE BLACK HILLS BATTLES Little Black Hills Battles is a recognition of Monument Health’s pediatric patients who bravely fight childhood illness and disease every day right here in our community. Donations through Monument Health’s Children’s Miracle Network ( CMN) program are devoted to helping these children. All funds stay local.




The Healing Garden is a continuing project of Dr. Falkenburg, and is dedicated in memory of local resident and benefactor Delmer Brown.

When she isn’t treating patients, you can find Dr. Falkenburg working the soil and finding peace in the Healing Garden, located on the Monument Health Custer Hospital and Clinic campus.

Joy Falkenburg M.D. My Role I am a family medicine physician who has been with Monument Health’s Custer Hospital and Clinic for 20 years. As a leader in our organization, I also act as a mentor to our younger physicians on the Custer Care Team. I am a thoughtleader by nature, so within our organization I create vision for both the Monument Health Custer facilities and the Custer community at large. My Goal To live my best life, which means spending quality time with my children, being in the garden and being with my patients. I’m always striving for balance and focus in life, and I want to bring love, commitment and authenticity to every one of my relationships.

Specialty/ Environment Dr. Falkenburg is a family medicine physician, which means she treats patients of all ages. Physicians in the Custer Clinic treat a large variety of patients, from prenatal patients to palliative, end of life care. Family medicine physicians such as Dr. Falkenburg take care of patients throughout their entire lives, guiding them on their wellness journeys. In addition to working in the Custer Clinic, she also sees patients in the Custer Hospital and works in the Emergency Department.

My Passion My true passion is to be a healer that achieves interconnectedness with every patient, as well as the community around me every day. I want people to feel listened to, and to feel like they have a clear path to solve any problem. By the end of our conversation, I want them to feel less vulnerable. I also try to leave the discussion or conversation feeling like my own cup is filled as well.



Gynecological cancers affects over 90,000 women in the United States every year.


Helen Frederickson M.D. ACOG Since 2001, Dr. Frederickson has been helping women battle gynecological cancer at the Cancer Care Institute. With advances in research, technology and resources she is showing no signs of slowing.

My Role To provide quality gynecologic oncology care for the women of the Black Hills through all stages. I couldn’t do my job without the support of a comprehensive team. My nurse, Wendy Van Loan and all of the nurses at the Cancer Care Institute as well as the dedicated oncology nurses and staff on the oncology floor help me deliver the best care I can give. Dr. Daniel Petereit and the wonderful radiation staff provide world class radiation therapy for our patients and are a crucial part of our team. I am grateful for all of the providers at the Cancer Care Institute who make caring for our patients possible, especially our director, Kristi Gylten. My Goal To provide quality, continuous care for my patients as long as I am able to provide this service. The environment I choose to create is one where my patients feel supported in every aspect of their oncology treatment. I want my patients to know they can trust their care and have the ability to reach out to me at any time. My Passion My patients and my husband are my greatest passion. I especially enjoy providing surgical services to my patients that I also follow during their cancer treatments. Continuity of care is very important to me. I also enjoy traveling to different countries and regions when I am able. HEALTH // SPRING 2021

What is Gynecologic Oncology? Gynecologic Oncology is the treatment of patients with primary gynecologic malignancies, including cervical cancer, ovarian, primary peritoneal cancers, vulvar/ vaginal cancers and endometrial cancers. Gynecologic oncologists are trained to care for the whole patient, including surgery, chemotherapy, palliative care for gynecologic oncology patients as well as hospice care. The safe, excellent trustworthy care of our patients is the ideal environment that we strive for in my practice.



Please welcome our newest physicians HEART & VASCULAR CARE:


is a Cardiothoracic and Vascular Surgeon at the Heart and Vascular Institute. Dr. Vunnamadala completed his residency in general surgery at Easton Hospital in Easton, PA, where he was also Chief Surgical Resident. He completed his residency in cardiothoracic surgery at Texas Heart Institute/Baylor College of Medicine in Houston, TX.

spent 21 years in the United States Navy before he joined Occupational Medicine in Rapid City in August 2020. He is board certified in Occupational and Aerospace Medicine and has over 25 years of experience in hospital and clinic settings, including acute care, primary care, and surgery.

Kalyan Vunnamadala, m.d.

Charan Mungara, m.d.

is a Cardiothoracic and Vascular Surgeon at the Heart and Vascular Institute. He completed his residency in General Surgery and his fellowship in Cardiothoracic Surgery at the University of Wisconsin Hospital & Clinics in Madison, WI. Dr. Mungara was named a Top Doc in Milwaukee in 2020.

Stephen Wasemiller, m.d.

is a Non-Invasive Cardiologist at the Heart and Vascular Institute specializing in general cardiovascular disease. He completed his residency in Internal Medicine at Loma Linda University Medical Center in Loma Linda, CA and his fellowship in General Cardiology at Pennsylvania State University’s Milton S. Hershey Medical Center in Hershey, PA. Dr. Wasemiller was awarded a certificate of recognition for values in practice from Loma Linda University Health for his “whole-person” approach to patient care.

NEUROSURGERY Kyle Schmidt, m.d.

is a Neurosurgeon at the Orthopedic and Specialty Hospital in Rapid City. Dr. Schmidt completed his Neurosurgery Residency at the University of Nebraska Medical Center. Dr. Schmidt is a member of the American Association of Neurosurgical Surgeons and the Congress of Neurological Surgeons.


Dr. Chad Storch, d.o., mph


is a Primary Care Sports Medicine Physician at the Orthopedic & Specialty Hospital in Rapid City. Dr. Harper completed his Family Medicine Residency at Monument Health Rapid City Hospital’s Family Medicine Residency program and his sports medicine fellowship at John Peter Smith Hospital in Fort Worth, TX. Dr. Harper is one of the team physicians for the South Dakota School of Mines and Technology Hardrockers.

David Maxfield, m.d.

is an Orthopedic Surgeon specializing in hip and knee joint reconstruction at the Orthopedic & Specialty Hospital in Rapid City. Dr. Maxfield completed his Orthopedic Surgery Residency at Texas Medical Center and Baylor College of Medicine followed by additional fellowship training in hip and knee joint reconstruction at Florida Orthopaedic Institute in Tampa, FL.

Darshan Patel, m.d.

is an Orthopedic Hand Surgeon at the Orthopedic & Specialty Hospital in Rapid City. He received his orthopedic training at Baylor College of Medicine in Texas Medical Center and completed a fellowship in hand/ upper extremity surgery at the University of California-San Diego.


Doctors have a strong presence in Monument Health’s governance structure. Physicians not only push the organization to operate at the highest possible level of quality—they help set the strategic direction.


is a Pulmonology and Critical Care Physician at the Rapid City Clinic on Flormann Street and at Rapid City Hospital. He completed his residency at the University of Arizona in Tucson, AZ and his fellowship training at the University of Nebraska in Omaha, NE.


Melissa Brown, m.d.

is a Urologist at the Rapid City Clinic on 5th Street with more than 27 years of experience treating the full spectrum of general urology conditions. Dr. Brown completed her residency at the University of Utah in Salt Lake City, UT. She is also a clinical instructor with the South Dakota Sanford School of Medicine.

Russell Hayden, m.d.

is a Urologist at the Rapid City Clinic on 5th Street. He completed residencies in General Surgery and Urology at Massachusetts General Hospital in Boston, MA with a subspecialty in male infertility. Before joining Monument Health he served as the Fellow in Male Infertility and Sexual Medicine and as an Instructor of Urology at Weill Cornell Medicine in New York, NY.

FAMILY MEDICINE Eammon Grosek, m.d.

is an Internal Medicine-Pediatric Physician at the Rapid City Clinic on Flormann Street. He completed his residency at Marshfield Clinic Health System in Wisconsin. A native of Lead, SD, he is excited to return to the Black Hills to practice medicine.

Louise Halbleib d.o.

is a Family Medicine Physician at the Custer Hospital and Clinic. She completed her Family Medicine Residency at the Monument Health Rapid City Hospital Family Medicine Residency Program. Dr. Halbleib is proficient in Spanish.

Travis Ptacek, m.d.

is a Family Medicine Physician working with geriatric patients in skilled nursing facilities located in Rapid City. Dr. Ptacek completed his residency at the Monument Health Family Medicine Residency Program in Rapid City.

Kent Wright, m.d.

is a Primary Care Physician at Monument Health Sturgis Clinic. He completed his Family Medicine Residency at the University of Arkansas for Medical Sciences where the faculty noted his excellence in patient care and medical competency. Dr. Wright also has the rare distinction of being a farmer turned doctor who returned to college to pursue medicine after 18 years of dairy farmings.


is a Hospitalist at the Rapid City Hospital. He completed his residency in General Surgery at Summa Health Systems in Akron, OH and his Internal Medicine Residency at Billings Clinic in Billings, MT. In addition, he has completed fellowships in Vascular Surgery and Cardiothoracic Surgery at the Carolinas Medical Center in Charlotte, NC.

Maryam Malik, m.d.

is a Hospitalist at the Rapid City Hospital. Dr. Malik completed her Internal Medicine Residency at Prince George’s Hospital Center in Cheverly, MD.

Tal Pollak, m.d.

is a Hospitalist at the Rapid City Hospital. Dr. Pollak completed his residency in Internal Medicine at the Icahn School of Medicine at Mount Sinai in Elmhurst, NY.

Brian Westerhuis, m.d.

is a Neurohospitalist at Neurology and Rehabilitation in Rapid City. He completed his Neurology Residency at the University of Nebraska Medical Center in Omaha, NE. Dr. Westerhuis specializes in treating conditions that affect the central and peripheral nervous systems.


is an Emergency Medicine Physician at Monument Health Spearfish Hospital. Dr. Burry completed his Emergency Residency at the University of Virginia.

Joshua Told, d.o.

is an Emergency Medicine Physician at Monument Health Rapid City Hospital. Dr. Told completed his residency at the Monument Health Family Medicine Residency Program in Rapid City.







In just two years the art committee added 632 pieces of art through 12 installations, featuring work by 30 different local artists.


Monument Health’s Real Estate Department is working to transform the health care landscape of the Black Hills. This includes new buildings to ensure the future needs of these communities are met.

Expanding access to care Monument Health increased its footprint in Rapid City with its most significant renovation and expansion project to date. The multi-year project includes opening the Orthopedic & Specialty Hospital in January 2019, and constructing the south tower at the Monument Health Rapid City Hospital. Combined, the two projects added 883,341 square feet of clinical and patient care spaces, with room for future growth.

Elle Larsen Real Estate Manager, Rapid City Hospital

My Role As the Real Estate Manager for Monument Health, I provide support for all things involving Real Estate to ensure we are meeting the ever-growing needs of our system and the communities we serve. Managing a large portfolio of owned and leased properties can look very different from day to day. My role also includes analyzing the total liability of a property, writing contracts, touring potential new spaces, following up on maintenance issues, and selecting the perfect piece of artwork. It is always an adventure! My Goal To positively impact the care our patients receive by providing spaces that are comfortable and functional for both patients and caregivers. My Passion I am passionate about connection, both human connection and connecting with our surroundings. Working on our art program at Monument Health has allowed me to help create connections with our patients and visitors. Seeing photographs that are welcoming and look like home allows patients to instantly feel a connection that will stay with them long after their visit.



COMMUNITY HEALTH SUMMIT Health Screenings | Vaccinations | Discounted Labs | Seminars


For more information and a schedule of activities, visit:




EMS Refresher Jan 15-17 Course The Lodge at Deadwood

Jan 28-30

South Dakota Academy of Family Physicians Winter Seminar The Lodge at Deadwood

Jan 29

Black Hills Stock Show & Rodeo

Jan 29-Feb 6

Community Health Summit

Rapid City Rushmore Plaza Civic Center

Rapid City Rushmore Plaza Civic Center

Tough Enough to Wear Pink Night

Jan 30 Cornerstone Mission Mar 6 Celebrates Banquet Northern Hills Mar 27 Hospice Ball Rapid City Rushmore Plaza Civic Center

Rushmore Plaza Holiday Inn

Location to be announced

*All events are subject to change due to COVID-19 concerns. Schedules were correct at time of going to press. HEALTH // SPRING 2021



Please call your local clinic to schedule an appointment. Monument Health is also offering extended services through video and telephone visits with your provider.

Find a location or provider near you HOSPITALS Custer Hospital 1220 Montgomery St., Custer, SD 57730 605.673.9400 Lead-Deadwood Hospital 61 Charles St., Deadwood, SD 57732 605.717.6000 Rapid City Hospital 353 Fairmont Blvd., Rapid, SD 57701 605.755.1000 Spearfish Hospital 1440 N Main St., Spearfish, SD 57783 605.644.4000 Sturgis Hospital 2140 Junction Ave., Sturgis, SD 57785 605.720.2600 MEDICAL CLINICS Belle Fourche Clinic 2200 13th Ave., Belle Fourche, SD 57717 605.723.8970

Newcastle Clinic 1121 Washington Blvd., Newcastle, WY 82701 307.746.6720 Rapid City Clinic 640 Flormann St., Rapid City, SD 57701 605.755.3300 Rapid City Clinic 2805 5th St., Rapid City, SD 57701 605.755.5700 Spearfish Clinic 1445 North Ave., Spearfish, SD 57783 605.644.4170 Spearfish Clinic 1420 North 10th St., Spearfish, SD 57783 605.717.8595 Sturgis Clinic 2140 Junction Ave., Sturgis, SD 57785 605.720.2400 Upton Clinic 717 Pine St., Upton, WY 82730 307.468.2302

Buffalo Clinic 209 Ramsland St., Buffalo, SD 57720 605.375.3744

Wall Clinic 112 7th Ave., Wall, SD 57790 605.279.2149

Custer Clinic 1220 Montgomery St., Custer, SD 57730 605.673.9400

Family Medicine Residency Clinic 502 East Monroe St., Rapid City, SD 57701 605.755.4060

Hill City Clinic 238 Elm St., Hill City, SD 57745 605.574.4470 Hot Springs Clinic 1100 Hwy 71 South, Suite 101 Hot Springs, SD 57747 605.745.8050 Lead-Deadwood Clinic 71 Charles St., Deadwood, SD 57732 605.717.6431


Family Health Education Services 930 N 10th St., Spearfish, SD 57783 605.642.6337 URGENT CARE Rapid City Urgent Care 1303 N Lacrosse St., Rapid City, SD 57701 605.755.2273

Rapid City Urgent Care 2116 Jackson Blvd., Rapid City, SD 57702 605.755.2273 Lead-Deadwood Urgent Care Services 71 Charles St., Deadwood, SD 57732 605.717.6431 Spearfish Urgent Care 1420 North 10th St., Spearfish, SD 57783 605.717.8595 Sturgis Urgent Care Services 2140 Junction Ave., Sturgis, SD 57785 605.720.2600 Custer Urgent Care Services 1220 Montgomery St., Custer, SD 57730 605.673.9400

Home+ Specialty Pharmacy 2006 Mount Rushmore Rd., Suite 2 Rapid City, SD 57701 605.755.3065

Dermatology 550 East Colorado Blvd., Spearfish, SD 57783 605.717.8860 Dialysis Center 640 Flormann St., Rapid City, SD 57701 605.755.6950

John T. Vucurevich Cancer Care Institute 353 Fairmont Blvd., Rapid City, SD 57701 605.755.2300

Dialysis Center 132 Yankee St., Spearfish, SD 57783 605.722.8110

Orthopedic and Specialty Hospital 1635 Caregiver Circle Rapid City, SD 57702 605.755.6100

Heart and Vascular Institute 4150 5th St., Rapid City, SD 57701 605.755.4300

Neurology and Rehabilitation 677 Cathedral Dr., Rapid City, SD 57701 605.755.4150

Home+ Home Health 1440 N Main St., Spearfish, SD 57783 605.644.4444

Neuropsychology 677 Cathedral Dr., Suite 201 Rapid City, SD 57701 605.755.5276

Home+ Hospice 1440 N Main St., Spearfish, SD 57783 605.644.4444 Home+ Home Health 224 Elk St., Rapid City, SD 57701 605.755.7710 Home+ Hospice House 224 Elk St., Rapid City, SD 57701 605.755.7710 Infusion Services 224 Elk St., Suite 100 Rapid City, SD 57701 605.755.1155

Newcastle Urgent Care Services 1121 Washington Blvd., Newcastle, WY 82701 307.746.6720

Home+ Home Medical Equipment 1800 N. Haines Ave., Rapid City, SD 57701 605.755.9000

SPECIALTY CLINICS: Assisted Living 432 North 10th St., Custer, SD 57730 605.673.5588

Home+ Home Medical Equipment 911 East Colorado Blvd., Spearfish, SD 57783 605.717.8930

Behavioral Health Center 915 Mountain View Rd., Rapid City, SD 57702 605.755.7200

Home+ Home Medical Equipment 2707 Lazelle St., Sturgis, SD 57785 605.720.2676

Custer Care Center 1065 Montgomery St., Custer, SD 57730 605.673.2237

Home+ Pharmacy 353 Fairmont Blvd., Rapid City, SD 57701 605.755.8184

Sturgis Care Center 949 Harmon St., Sturgis, SD 57785 605.720.2400

Home+ Pharmacy 1420 North 10th St., Suite 1 Spearfish, SD 57783 605.717.8741

Rehabilitation 2200 13th Ave., Belle Fourche, SD 57717 605.723.8961 Rehabilitation 2449 East Colorado Blvd., Spearfish, SD 57783 605.644.4370 Rehabilitation Center 1050 Fairmont Blvd., Suite A100 Rapid City, SD 57701 605.755.1230 Orthopedics and Sports Medicine 2479 East Colorado Blvd., Spearfish, SD 57783 605.644.4460 Sleep Center 2929 5th St., Rapid City, SD 57701 605.755.4000 Sports Performance Institute powered by EXOS 1635 Caregiver Circle Rapid City, SD 57702 605.755.6683 Surgery Center 1316 North 10th St., Spearfish, SD 57783 605.642.3113




MON. - FRI. 7 A.M. - 7 P.M.

SAT. 9 A.M. - 1 P.M.

We treat, sprains, strains, dislocations, and fractures, as well as other orthopedic injuries to muscles, tendons, bones, joints and spine.

1635 Caregiver Circle, Rapid City, SD 57702 | 605-755-6180 |

NEXT ISSUE Behind the scenes An inside look at two people who keep Monument Health growing and innovating Spring into fitness Health across the generations Growth In Cancer Care Expansion in services, providers and care close to home


CONTACT General information 605-755-1000 Mychart For assistance with mychart, please call the mychart patient portal hotline at 605-755-9890 or email