Summer 2021 Monument Health Issue 3 by Evergreen Media

M O N U M E N T

H E A L T H

issue 03

Summer 2021

RURAL MEDICINE

When a young boy needed support for a rare heart condition, caregivers rose to the challenge of providing world-class care in one of the most rural counties in the country.

ROSA Robotic Technology

Da Vinci Surgical System

Intelligent Surgery With the most advanced robotic-assisted technology program in the region, Monument Health offers surgical procedures in general surgery, orthopedics, bariatrics, urology and gynecology. This translates to smaller, more precise incisions, quicker recovery, less chance for infection and minimal to no pain medication.

The first to offer ROSA robotic technology in the Black Hills

The da Vinci surgical system

Having chronic knee pain shouldn’t mean

The da Vinci® Surgical System is an advanced

giving up the things you love. Thankfully,

robotic system that is less invasive than

Monument Health has a new way to keep

traditional laparoscopic surgery. Controlled

you moving: ROSA Knee robotic technology.

by a skilled surgeon, tiny tools enter the body

Our specially trained surgeons use ROSA

through small incisions and translate the

Knee to personalize the approach to total

surgeon’s hand movements into small, precise

knee replacement — providing a solution

actions inside your body. As a result, the

that works for you and your unique anatomy.

surgeon can operate on a smaller scale with enhanced vision and exact movements.

Visit monument.health/robotics to find out if robotic surgery is right for you

W E LC O M E

F R O M

Paulette Davidson

President and Chief Executive Officer, Monument Health

F The Black Hills are an incredible natural playground, and rock climbing is the perfect way to explore them. We’ll share advice on getting started in the sport so you can climb safely.

or this edition of Monument Health Magazine, we decided to get out – get out of the office, get out of the house, get out of town, get out into the hills and get a healthy dose of West River summer fun. Inside the summer issue, you’ll find stories about getting in shape by rock climbing, bicycling without injury and ways to keep your golf game sharp. We also ventured to Buffalo in the far northwest corner of South Dakota. There, Monument Health’s Buffalo clinic and its three-person

team provide a surprisingly broad range of health care services to the Harding County ranching community. And you get to meet their favorite patient, Brady Thompson. This entertaining little 7-year-old is outgoing, talkative and has a fondness for spicy food. The hotter the better. Because of a serious heart condition, he almost didn’t see his fourth birthday. We have a story about Mary McLaughlin’s knee replacement surgery. She put her trust in Orthopedic Surgeon Richard Little, M.D. He not only restored her knee, he restored her mobility so she can get out and enjoy her life. During the summer of 2020, we all had to give up many of the things we love in order to protect our communities from COVID-19. Live music, restaurant meals, public gatherings and travel are just a few. Our lives seemed to be on hold. This summer, I think we can safely make up for some of those lost opportunities. It will be a busy, fun summer. However, I hope you have a chance to put your feet up and enjoy this issue of Monument Health Magazine.

C O N T E N T S SUMMER 2021

Regulars

In Case You Missed It A round up of the latest news and happenings throughout Monument Health. page 4 Awareness Month Highlights of key health issues and medical staff. page 6 My Space Meet Joy Wilczynski, an EMT in Lead-Deadwood who also trains and cares for her local community. page 9

H E A L T H Managing Editor Melissa Haught Editor Stephany Chalberg Senior Writer Dan Daly Contributors Karlee Baumann Jennessa Dempsey Wade Ellett 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 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 magazine.monument.health Monument Health Magazine is a free, quarterly publication distributed throughout the Black Hills. Follow us on Facebook and Instagram for updates.

Ask The Doc Jacob Weasel, M.D., discusses bariatric treatment and the use of robotic technology in surgery. page 10 Patient Stories Colin Gholson is the 2020 and 2021 Children’s Miracle Network Champion who doesn’t let his rare condition get in the way of enjoying life. page 26

Mary McLaughlin found more than renewed mobility after her knee replacement; she also regained hope. page 28 Season Strong Improve your golf swing with advice from a Titleist Performance Institute physical therapist. page 12

Learn how a professional bike fitting can improve cycling performance and maximize comfort when riding. page 14 A Monument Health physician and RN explain rock climbing is a great workout for all ages and abilities. page 16

Introducing Get to know physicians who have recently joined Monument Health. page 31 Meet the Volunteers Sue Holloway and Doris Ann Mertz volunteer to fill needs in the Lead-Deadwood and Custer communities. page 32 Physician Spotlight Meet Josephine Davis, M.D., a board certified family medicine physician, and Hunter Moyer, M.D., a plastic surgeon. page 34 My Space McKenzie Grimm provides mental health care for all life stages and events, and hopes to normalize seeking help. page 37 Calendar Upcoming events at Monument Health. page 39 Directory Find a Monument Health provider near you. page 40

Features and Stories

Sports Medicine in Schools Monument Health has partnered with three local universities to provide free specialized care and training to their collegiate athletes. page 18 Rural Medicine Brady Thompson is a feisty 7-year-old with a unique heart condition. Luckily, the Monument Health Buffalo clinic rises to the needs of the entire Harding County ranch community. page 22

NEWS // EXCELLENCE

Specialized Hand Therapy Now Available For Northern Hills Patients

Vanessa Jones, Monument Health Occupational Therapist, earned credentials as a Certified Hand Therapist (CHT), the Hand Therapy Certification Commission Inc. announced. The CHT credential assures that the therapist has achieved the highest recognition of competency in the profession of upper limb rehabilitation. Jones has been working as an occupational therapist specializing in hand and upper extremity rehabilitation at Monument Health in Spearfish and Belle Fourche for over 10 years. She is currently the only certified hand therapist in the Northern Hills.

COVID-19 VACCINE AVAILABILITY EXPANDS QUICKLY On Dec. 14, 2020, Monument Health administered its first COVID-19 vaccination. In the beginning, only front-line health care workers, nursing home residents and nursing home staff were vaccinated. Other groups were added in quick succession. By April 5, Monument Health entered Phase 2 and anyone 16 or older could get a vaccination. During the first full week of Phase 2, Monument Health vaccinated nearly 3,000 individuals. More recently 12- to 15-year-olds were eligible. By late May, anyone age 12 or older who wanted the vaccine could get one. They could get vaccinated at hospital clinics, drug stores, retail stores and grocery stores. Apparently a lot of South Dakotans did want the vaccine. By mid-June, 51 percent of the state’s residents age 12 and older had been fully vaccinated. As a result, infections, hospitalizations and deaths fell dramatically. It looks as if life in South Dakota might return to normal this summer. 4

New Treatment For Sleep Apnea

Ethan Levine, D.O., FHRS, an electrophysiologist at Monument Health Heart and Vascular Institute, performed the region’s first implantation of Respicardia’s remedë® System in partnership with the Monument Health Sleep Center in December 2020. The implant is a breakthrough treatment that has been shown to improve sleep, breathing and quality of life in adult patients with moderate to severe central sleep apnea (CSA). People with moderate to severe CSA often suffer from chronic fatigue, daytime sleepiness, and memory or concentration problems. SUMMER 2021 // HEALTH

Whether it’s ground-breaking procedures, administering vaccines, or honoring military veterans, Monument Health provides worldclass care while investing in the communities that we call home.

Kiewit-Alberici Makes Donation To Monument Health LeadDeadwood Hospital

STURGIS EXPANDS EMERGENCY DEPARTMENT

Sturgis Hospital Emergency Department Renovation

Conceptual Drawing

ED Core

Storage and documentation areas will be simplified and fully refurbished. Access back into decontamination will be maintained. Additional storage wardrobe units and

storage alcove has been provided back towards the main A construction project will be completed this summer hospital corridor. to renovate and expand the Emergency Department at Monument Health Sturgis Hospital. This architectural rendering shows how the finished renovation will look. “The new Emergency Department will offer more privacy for patients and a more efficient workspace for physicians and caregivers,” said Mark Schulte, President of Monument Health Sturgis Hospital and Market. “Some of the department’s patient treatment areas are currently separated by curtains, which offer little privacy,” he said. When the project is done, patient spaces will be separated by walls instead of curtains. This change will provide more privacy for patients but also allow for improved infection control.

Kiewit-Alberici, the construction firm involved in the Sanford Underground Lab’s Deep Underground Neutrino Experiment (DUNE), donated $5,000 to Monument Health LeadDeadwood Hospital and Clinic in February. The joint venture created by Omaha-based Kiewit and St. Louis-based Alberici Corp. was hired to rehabilitate, repair and refurbish the former Homestake Gold Mine to accommodate DUNE. The Kiewit-Alberici teams will likely be working in the LeadDeadwood area for four years, said Project Manager Scott Lungren. “We’re kind of new to the area, and we want to show our support for the local community,” Lungren said. “We live and work here, too.”

PARTNERING WITH CHADRON STATE COLLEGE Monument Health and Chadron State College have created a partnership that makes Monument Health the official sports medicine provider for Chadron’s athletic programs. Monument Health will employ one strength and conditioning coach, two certified athletic trainers, and a physician to work at Chadron State College. These services will be provided at no cost. On hand for the Jan. 26 signing ceremony were, from left, Mike Latour, Director of Musculoskeletal Care and Sports Medicine for Monument Health;

HEALTH // SUMMER 2021

Dr. Randy Rhine, President of Chadron State College; Mark Longacre, Vice President of Operations at Monument Health Rapid City Hospital; and Joel Smith, Athletic Director for Chadron State College.

Group’s Hero Walk Gives Veterans A Final Tribute The Monument Health Military and Veteran’s Group launched a Hero Walk tribute for veteran and first responder patients after they have passed away. When a veteran or military patient passes away, the on shift hospital coordinator notifies security to activate the Hero Walk procedure. Military and Veterans Group members and additional available caregivers line the hallway and stand respectfully silent as the patient is walked past while “Taps” is played.

New Arena To Be Named Summit Arena At The Monument Summit Arena at The Monument. That is the winning name of the underconstruction arena at Rapid City’s Rushmore Plaza Civic Center, which will be named The Monument. The new 250,000square-foot arena is expected to open this fall. When it does, Summit Arena will join Don Barnett Arena, LaCroix Hall, Rushmore Hall and other venues under the umbrella of The Monument. Monument Health acquired the naming rights to the new civic center complex in late 2019.

NEWS // EXCELLENCE

Jack and Barrett, NICU graduates. To learn more about Jack and Barrett and the Monument Health NICU, visit monument. health/lbhb

NICU MONTH Every September we honor our smallest and most vulnerable patients, and the physicians and caregivers who care for them, during Neonatal Intensive Care Awareness Month. The Neonatal Intensive Care Unit at Rapid City Hospital cares for premature and critically ill infants born throughout the immediate five-state area.

As a Level III healing environment, Monument Health’s NICU is the only one of its kind in western South Dakota and is capable of treating most neonatal medical problems. The NICU team is composed of neonatologists and neonatal nurse practitioners — the latter of which are in-house 24/7 to provide immediate care when needed.

IMMUNIZATION MONTH National Immunization Awareness Month is observed every August. Immunization has been in the spotlight since the COVID-19 vaccines

received the FDA’s Emergency Use Authorization. Monument Health collaborated with the other major health care systems in South Dakota to deploy the vaccine according to the phases set by the South Dakota Department of Health. Vaccinators who administered the vaccines were crucial to the success of the rollout, including several nurses who came out of retirement to help immunize their communities.

Assisted Living Week September 12-18 is National Assisted Living Week. This week recognizes the important role that assisted living communities and caregivers have in caring for senior citizens and individuals with disabilities. Monument Health offers Senior Care, Long Term Care and Assisted Living environments in Custer and Sturgis, where caregivers help provide both support as well as independence.

Surgical Technologist Week

Since 1984 the third week of September has been designated National Surgical Technologists Week. Surgical technologists, also known as surg techs, are members of surgical teams that help prepare operating rooms, set up sterile surgical equipment and instruments, and ensure that everything is working properly. During surgical procedures, they provide needed supplies and instruments to the surgeon. At Monument Health, surgical technologists and technicians are key team members. They have a clear understanding of operative procedures and by maintaining vigilance in maintaining the sterile field they make sure that patients have the least possible chance of infection.

Pain Awareness Month

Nearly 100 million Americans suffer from chronic pain. For many, this has an adverse effect on daily life. September is Pain Awareness Month, which exists to shine a spotlight on issues involving pain and pain management. Pain is meant to serve as a warning, indicating that the body has a problem that needs attention. Living with chronic pain, however, can become debilitating. Monument Health’s pain management team uses physical therapy, psychology, occupational therapy and coordinates cognitive behavior therapy, surgical referrals, rehabilitative therapies and alternative therapies in order to treat chronic and acute pain to help patients regain a higher level of function. SUMMER 2021 // HEALTH

Sports physicals are available

FREE OF CHARGE in all of our clinics and urgent care locations

Monument Health wants to keep all of our area athletes going higher, faster and farther. To prep our athletes and provide the best care to our communities, we’re offering free sports physicals. Call your local clinic to schedule an appointment or stop into one of our Urgent Care locations throughout the hills.

Keep going with Monument Health as your partner.

www.monument.health

FILL IN THE BLANK

MON MENT H E A LT H

At Monument Health, our vision is to be one team, to listen, to be inclusive and to show we care. There’s only one thing missing … You. The time is right for you to join a supportive team at the only Level II Trauma Center in the region, with access to Mayo Clinic’s knowledge and expertise — all at a health care organization that prioritizes being a great place to work and delivering high-quality care. We are Monument Health. Are you?

For more information or to apply visit: monument.health/careers

During their 24-hour shifts, Monument Health paramedics and EMTs work in the Emergency Department, provide community paramedicine, offer CPR training and provide on-site first aid for events happening in Deadwood.

COMMUNITY // MY SPACE

Joy Wilczynski EMT, Lead-Deadwood Hospital

The Monument Health Lead-Deadwood Ambulance team has 18 Paramedics and EMTs. They operate three ambulances and respond to calls in a 450-squaremile area covering Lawrence County and parts of Meade and Pennington counties. The team most often treats patients involved in ATV, snowmobile or ski accidents. Sometimes it can take the team three to four hours to get a patient to the hospital due to weather conditions and terrain. The paramedics respond to multiple traumas during a shift and work together to get the patients the care they need.

Paramedics and EMTs are emergency responders, but they also provide training and first aid in their communities. For Joy Wilczynski, caring for her neighbors in the LeadDeadwood area has been her passion for over two decades.

My Role I have been an Emergency Medical Technician (EMT) for 24 years, and I work on the ambulance in LeadDeadwood. EMTs are first responders for accidents and also help in the Emergency Department when needed. My Goal To make sure my patients and coworkers feel safe. It’s also important to me to help make sure the patient and their family are getting the right help that they need at the time. My Passion I love my job and what I do for the community. I’m able to help people with medical emergencies, and I am always doing my best to make patients feel like they matter and that we are going to get them the help they need.

HEALTH // SUMMER 2021

ASK THE DOC // TRUST

Robotic-Assisted Bariatric Surgery Jacob Weasel, M.D., a General Surgeon at Monument Health’s Rapid City Clinic on Fifth Street, explains how bariatric surgery can help patients beyond simply losing weight. With the use of the da Vinci Surgical System robot-assisted technology, he helps patients live fuller, healthier lives. How would you describe bariatric treatment?

I like to explain it as a three-legged stool, which includes diet, exercise and surgery. The aim isn’t just weight loss, but better overall health allowing patients to live a life where they’re unencumbered by some of the physical issues they have. I always set clear expectations that surgery is not a cure-all. Do bariatric patients have options other than surgery?

It’s important to note that we don’t just rush off to surgery as a primary solution to any chronic illness or weight issue. There’s a process where patients meet with dietitians, mental health professionals and their primary care doctors. We’ve had success with weight management clinics and working on diet and exercise programs. What advice would you give someone who is anxious about having surgery?

I would encourage them not to diminish those feelings of anxiety, but I would reassure them they’re in capable hands. It’s not just me; I’m surrounded by a team whose

goal is to treat them to the best of our abilities. Who is a candidate for bariatric surgery?

An indication of someone being a good candidate for bariatric surgery is someone with a BMI, or body mass index, over 35, or a BMI over 30 with comorbidities associated with their obesity.

Before sleeve gastrectomy

What is the most common procedure you perform?

Sleeve gastrectomies are the most common procedure I do. The sleeve gastrectomy seems to have fewer side effects; there are certain complications with a gastric bypass that I don’t necessarily see with sleeve gastrectomies. Patients with a BMI over 50 might be better served by a Roux-en-Y gastric bypass, but for most patients sleeve gastrectomy is a good option. Do patients undergo bariatric surgery for reasons other than weight loss?

I always tell patients the number on the scale is not the goal. The goal is how you feel when you wake up in the morning, being able to do the

After sleeve gastrectomy Gastric sleeve section (reduced stomach area)

Surgically removed stomach section

SUMMER 2021 // HEALTH

To learn more about bariatric surgery options at Monument Health, visit www.monument.health/services/bariatrics.

activities that you want to do and lead a healthy life for years to come. We can also look to reduce high blood pressure, hypertension, heart disease, lung disease and diabetes in addition to weight loss.

to perform procedures as effective as open surgery while offering a minimally invasive procedure. I’ve seen an improvement in patient outcomes including less pain and quicker healing times.

What is the da Vinci roboticassisted surgery system?

What do you want patients to know about robotic technology when considering surgery?

It’s a system which takes the principles of standard laparoscopic surgery and applies them to a totally different platform. It allows us as surgeons to have the same functional mechanics of motion with our hands but miniaturized to a tenth of the size. It also lets us have greater visibility of tissue, which increases our ability to offer minimally invasive care. How does the use of robotic technology assist in bariatric surgery?

It’s a common misconception that it’s the robot performing the procedure, and that is not the case at all. All the procedures are performed by a surgeon sitting at the console. I tell patients that the da Vinci is simply another tool at our disposal, like a scalpel or hemostat. This is a time-tested and proven technology that’s been shown to be a benefit for patients. What lifestyle changes can patients expect after surgery?

The increased visualization, greater Most of the lifestyle changes center ergonomics and functionality in around diet and exercise. Some terms of fine motor skills enable me patients have difficulties with

David Fromm, M.D. General Surgeon Monument Health Rapid City Clinic A da Vinci robotictrained general surgeon who provides a variety of surgeries including hernia repair, bariatric and metabolic surgery.

HEALTH // SUMMER 2021

Irony C. Sade, M.D. General Surgeon Monument Health Rapid City Clinic A da Vinci robotictrained general surgeon specializing in a variety of robotic surgeries including bariatric, hernia and antireflux, in addition to other open and laparoscopic procedures.

exercise because of excess weight; hopefully in three to six months after surgery they lose that weight and can keep it off because of less joint pain and greater ability to exercise. Restrictive surgery decreases the amount of food you can take in, which leads to smaller meal sizes; I give patients expectations that meals will go from a large plate to a little bigger than a walnut at first. What are the most common complications you see? How can patients prevent them?

There is always risk in surgery, but we reduce complications by making sure patients don’t have a hiatal hernia or significant reflux disease, for example. We also see a lesser risk profile with the sleeve gastrectomy, which is why I favor that procedure. Patients also need to know that if they don’t make changes in diet and exercise, they can regain weight after initial success in losing it.

Andrew VanOsdol, M.D. General Surgeon Monument Health Spearfish Clinic A fellowship-trained bariatric surgeon who focuses on minimally invasive diaphragmatic hernia, anti-reflux and bariatric surgery.

Jacob Weasel, M.D. General Surgeon Monument Health Rapid City Clinic A da Vinci robotictrained general surgeon who provides a variety of surgeries including thyroid and parathyroid, gallbladder removal and bariatric.

SEASON STRONG // EXCELLENCE

TAKE YOUR SWING STAYING STRONG ON THE GOLF COURSE GOLF IS AN EXCELLENT WAY TO STAY ACTIVE. BEING PHYSICALLY PREPARED FOR THE DEMANDS OF A GOLF SWING, AND UNDERSTANDING HOW TO SWING EFFICIENTLY, CAN ALLOW GOLFERS OF ALL AGES AND ABILITIES TO ENJOY THE SPORT AND AVOID INJURIES.

Golf almost always gets portrayed as a low-impact sport, and while it’s true that golfers don’t necessarily experience the same forces a person playing football or basketball might, that doesn’t mean that there’s zero impact. “The golf swing can put a great deal of stress on the body,” says Justin Feeser, manager of rehabilitation at Monument Health Rehabilitation, and Titleist Performance Institute (TPI) certified physical therapist. “It’s not unusual for golfers to experience lower back, wrist, shoulder and elbow issues and these often can be traced back to poor preparation and fitness levels.” Most golfers probably think that a good summer season means avoiding the sand traps, and hopefully improving their handicap. A great season, however, should also include avoiding 12

SUMMER 2021 // HEALTH

Golf is a low impact sport, but injuries still occur. Monument Health’s Titleist Performance Institute certified professionals can analyze your fitness level and golf swing to keep you in shape and on the course.

Justin Feeser, MPT Titleist Performance Certified Physical Therapist: “These exercises are designed to address the needs of golfers and will help create a more efficient swing — improving ability and lowering the chances of injury,” says Justin. These exercises should be performed with good form and without pain. Those who would prefer simpler or more advanced exercises should consult a physical therapist with specialty golf training.

downtime from injury or pain. The best way to do that? Physical conditioning throughout the year. Maintaining strength, range of motion and flexibility not only decreases the likelihood of injury, but can also lead to a more consistent and efficient golf swing. Ultimately, that can mean lower scores. “An efficient golf swing requires different areas of the body to function in specific ways. Areas like the shoulders, upper back, wrists, hips and ankles need adequate mobility,” advises Justin. “Other areas, like the lower back, pelvis, knees, feet and elbows, need to demonstrate strength and stability. The motion seems simple, but there’s a lot happening throughout the body when a golfer takes a swing.” IT’S NEVER TOO LATE TO START

What if you haven’t trained in the offseason? You can still make the most of the summer with some simple exercises; scan the QR code on this page to access them. These don’t require six-pack abs, a bodybuilder physique or hours in the gym, just a little bit of time a few days each week. The end results — a more efficient swing, reduced chance of injury and pain and the possibility of improved scores — are well worth the effort. Justin says that adequate strength and mobility are the foundation of a good golf swing, and that starts with good posture; addressing this foundation while also working with a knowledgeable professional to understand and apply appropriate swing mechanics can make a tremendous difference in both performance and enjoyment of the game. No two golf swings are identical, but consistency and efficiency are important when it comes to creating a powerful and repeatable swing. That requires practice, but bringing your “A” game means conditioning your body to avoid injury and to maximize effectiveness. Because while not everyone is going to win the Masters, everyone wants to play as well — and as pain-free — as possible. HEALTH // SUMMER 2021

Michael Cavazos, DPT Titleist Performance Certified Physical Therapist: The Titleist Performance Institute (TPI) developed a program to train medical professionals in understanding the correlation between a golfer’s physical limitations and their swing flaws. Monument Health Rehabilitation employs two TPI certified physical therapists, Justin Feeser, MPT, is located at Monument Health Rehabilitation in Spearfish, and Michael Cavazos, DPT, is located at Monument Health Rehabilitation at the Orthopedic and Specialty Hospital in Rapid City.

SEASON STRONG // EXCELLENCE

SUMMER CYCLING MAXIMIZE COMFORT AND IMPROVE PERFORMANCE WITH SUMMER WEATHER AND HUNDREDS OF MILES WORTH OF RIDING, CYCLING IN THE BLACK HILLS NEVER GETS OLD. There are hundreds of miles of picturesque road riding for the “roadies,” endless quiet gravel roads crisscrossing the region for the “gravel grinders” and dozens of single track trails for adventurous mountain bikers. Whatever flavor you prefer, cycling in this area can offer anyone a healthy and exciting opportunity to experience the roads, trails and bike paths of the beautiful Black Hills. Cycling stimulates your heart and lungs, improves circulation and reduces the risk of cardiovascular disease and diabetes. Regular cycling also strengthens heart muscles, lowers resting heart rate and reduces blood fat levels. It’s easy to see why so many people love hopping on their bikes. MEET THE EXPERTS

Bike fitting is the process of adjusting a bike for a cyclist to optimize comfort, performance and efficiency. “Our goal is to prevent injuries and maintain form,” says Kim Greenlee, a Monument Health Rehabilitation BikeFit™ certified physical therapist. “We want to keep people active, and promote their healthy lifestyle choices. By offering an option of a BikeFit we’re giving them extra information to keep them riding longer.”

ENJOY THE RIDE, PAIN-FREE

Bryan Haivala, PT First and foremost, bicycling shouldn’t be painful. You have five-contact points on a bicycle — two hands, two feet and your saddle. You should be able to minimize pain, and address stress areas by correcting positioning and wearing properly fitted gear. Every cyclist should have padded bike shorts, padded gloves and shoes that fit well — understand that feet can swell when you ride. If you’re going to ride a bike, you should have good equipment. Not only will it last longer, it can also prevent pain and injury.

Spending time on your bike can take a bit of getting used to, but certainly shouldn’t be painful. Finding a bike that fits properly and finding the optimal position will make your ride more comfortable, and more enjoyable. Bryan Haivala, a Monument Health Rehabilitation BikeFit™ certified physical therapist says, “Improper cycling position can lead to pain, numbness and inefficient cycling. A biomechanical bicycle fit assessment can address and correct poor cycling positions and mechanics in order to improve your cycling experience.” “We have a variety of things we’re looking for during a fit,” Kim explains. “We complete a tri-plane biomechanical fit analysis, then identify issues and correct movement patterns of the cyclists we’re evaluating. While the fit is taking place we’re also making small adjustments to the position of the saddle, seat post, handlebars, stem and pedals. Finally, we complete a foot and pedal analysis.” For riders who are experiencing discomfort, or want to take their cycling to the next level, visiting a BikeFit™ certified physical therapist like Kim or Bryan in Spearfish can make a world of difference.

SUMMER 2021 // HEALTH

Some of Kim and Bryan’s favorite trails to ride in the Black Hills include Dakota Ridge in Spearfish and the Deadman or Bulldog trail in Sturgis.

F = ma

1 N = (1 kg)(1 m/s2)

HEALTH // SUMMER 2021

Kim Greenlee, PT Top three ways to tell your bike doesn’t fit All of these pains can also be attributed to improper form: Back or neck pain. This is often caused by an improper position or poor posture. Professionals will be able to assess your position and help make adjustments. Knee pain. Repetitive motion over the course of an extended ride can cause exhaustion and overuse of the joint. Identifying and improving movement patterns can help alleviate some of this pain. Foot pain, numbness or burning. Often how our foot naturally hangs is directionally different than a flat pedal. This requires looking at how the foot interfaces with the pedal. When you ride for an extended period of time at a flat angle, it can cause problems in your arches leading to pain, numbness or burning.

STORY // PILLAR

HANG IN THERE– IT’S WORTH THE EFFORT 16

Rock climbing is a great totalbody workout, but it’s important to establish general fitness beforehand. It may seem counterintuitive, but getting in climbing shape is more about core strength, cardio training and flexibility than simply muscular strength.

Most consider climbing an extreme sport that’s only accessible for elite athletes in peak physical condition. While the sport does pose greater risk than others, climbing doesn’t actually require above average fitness to get started. Beginners can enjoy themselves and the great outdoors with basic safety guidelines and climbing technique — the rest will fall into place with practice and experience. LEARN TECHNIQUE FIRST

Luke Kretschmar, a Registered Nurse at Custer Hospital, says, “beginners don’t need to worry about training specific muscles so much as learning solid technique. I would recommend starting off in a gym to learn basic movements.” This approach has two benefits — first, there are professional climbers and guides who teach the basics of the sport, and second, climbing walls are controlled environments that will make sure beginners don’t encounter obstacles they aren’t ready for. When you’re ready to go out, Luke

SUMMER 2021 // HEALTH

Luke Kretschmar is a Registered Nurse at Custer Hospital. He has been featured in local and national climbing publications such as “Rock and Ice” and “Climbing Magazine.”

says, “hire a guide service the first time so you learn how to be safe.” Going with others ensures a safe climbing experience, but also teaches a variety of techniques based on the style of each individual climber. START OUT RIGHT

Like any sport, warming up and stretching prior to climbing is important. Short, tight muscles can restrict blood circulation, which limits range of motion, power and strength. Stretching prior to climbing can prevent this, and practicing a basic yoga routine on nonclimbing days will keep the muscles limber. Increased flexibility also allows your muscles to work more efficiently; when your working muscles tire, the antagonist — or opposite — muscles will take some of the pressure off. For example, as your quads begin to tire, your hamstrings will naturally take on some of the load. Before heading to the gym or the rockface, be sure to get in 10–15 minutes of light cardio, do dynamic stretching to warm your entire body up and start your climb on easy, non-technical terrain. As you gain strength and confidence in your climbing skills, you can adjust your regular workout routine to help you get to the next level. While it may seem like upper body strength is the name of the game in climbing, it’s more important to have a solid lower body and core. Climbers need good footwork for positioning on a rock or climbing wall, and rely on leg stamina to support their entire body throughout the climb. Strengthening your lower front and back core will help you

Downward-facing dog pose: Stretches your hamstrings, lower back and shoulders. Start on hands and knees on the floor, with knees shoulder-width apart and arms straight. Push into your palms and raise your hips up and back while straightening your legs. The key is to lengthen your spine — don’t worry if your legs are bent or feet aren’t flat on the floor. Butterfly pose: Opens your hips and stretches your inner thighs. While sitting, bring the soles of your feet together in front of you and drop your knees to the sides. Grab your ankles or toes with your hands, and as you exhale, relax your hips and engage your glutes to draw your knees toward the floor. Boat pose: Strengthens your abs and hip flexors while working on balance. Sit with knees bent and feet flat on the floor. Rock back to balance on your tailbone and lift your heels off the floor, holding your arms straight in front of you. Keep your chest high and your back straight. When you’re balanced, straighten and lift your legs until your thighs and torso form a 45-degree angle.

Dr. Scott Burry, M.D., Emergency Medicine at Monument Health Spearfish Hospital, is an avid climber in his spare time. “Most people think climbing is all upper body but that’s not true. Climbers rely more on position on the rock and good footwork. Stamina is important; the muscles in your legs and feet will keep you going longer than trying to hang on with just your arms. Finger strength is also important, but go slow. Muscles grow faster than tendons, so your fingers won’t be ready to go as quickly as your arms and legs. Doing technical climbs or using hang boards before you’re ready can injure your fingers, which can easily set you back for months at a time.”

HEALTH // SUMMER 2021

Luke Kretschmar has been climbing for more than 25 years.

keep your feet properly positioned in tricky terrain. Workouts like yoga and bodyweight training are great for building a solid core, and are easy to do without having to go to the gym. Bolstering these muscles will advance your climbing, but also improve your posture and reduce back pain by stabilizing your spine.

GO BEYOND THE GYM

Rock climbing is a great way to explore and enjoy nature, and with its inclusion in the Summer Olympics for the first time this year, its popularity will only increase. Even if it seems intimidating starting out, Luke says, “Good technique will help prevent injuries, and getting out and climbing as much as you can will build up those muscles and tendons. Most of all, have fun and enjoy the beautiful Black Hills.”

FEATURE STORY // COMMUNITY

TEAMS Joseph Humpherys, D.O.,Team Physician

Ray Jensen, D.O.,Team Physician

Hollan Harper, D.O, Team Physician

MONUMENT HEALTH TEAM PHYSICIANS 18

David Maxfield, M.D., Associate Team Physician

Darshan Patel, M.D., Associate Team Physician

Brian Shelmadine, D.O., Team Physician

Chase McLendon, Assistant Director Strength and Conditioning

Karen Stone, Assistant Athletic Trainer

CHADRON STATE COLLEGE MONUMENT HEALTH TEAM

SUMMER 2021 // HEALTH

By providing care for collegiate athletes in the region, Monument Health’s sports medicine team maintains itself as the most comprehensive athletic medicine provider in the area. Providers are employed at no cost to the universities, freeing up funds for equipment, scholarships and training facilities.

WORK Allison Curtis, Assistant Athletic Trainer

Sara Chatham, Assistant Athletic Trainer Kellan Anderson, Athletic Performance Director

Austin Westland, Assistant Athletic Trainer

Derek Van Blarcom, Assistant Director - Athletic Performance

BLACK HILLS STATE UNIVERSITY MONUMENT HEALTH TEAM

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Brock Behrndt, Director of Performance

Carl Wise, Associate Director of Performance

Bekah Rye, Assistant Athletic Trainer

Kaleb Birney, Head Athletic Trainer

SOUTH DAKOTA SCHOOL OF MINES MONUMENT HEALTH TEAM 19

FEATURE STORY // COMMUNITY

BLACK HILLS STATE UNIVERSITY

When Black Hills State University transitioned from the NAIA conference to NCAA Division II, the school knew their teams would need more support to remain competitive. They reached out to Monument Health, and the resulting partnership has set the standard for schools in the region. Sara Chatham, a Monument Health athletic trainer, says the impact she’s seen with the program is huge. “The way our team collaborates and trusts one another makes the athletes feel valued, so they know we’re here for them no matter what. Black Hills State is growing, and this partnership has helped the school grow by helping the athletics programs really excel,” she says. Athletic Performance Director Kellan Anderson agrees, saying, “the opportunity for us to communicate directly from athletic trainers, to strength coaches, to the physicians, makes a tremendous impact. If one of our athletes is injured, we can all communicate and collaborate seamlessly. Monument Health donating resources to the university really lets us take care of the teams in a way we otherwise couldn’t.” The partnership also gives the training and medical staff opportunities outside their normal practice. Team Physician Ray Jensen, D.O., says, “we have continuing conversations about the overall health of the players and the teams, and we look to help them train, compete, and recover as efficiently as possible. Working with young, competitive athletes also keeps our team in touch with innovative care techniques and emerging technologies we

SINCE 2012, MONUMENT HEALTH HAS IMPACTED AND IMPROVED THE LIVES OF STUDENT-ATHLETES BY PROVIDING CAREGIVERS TO ACADEMIC INSTITUTIONS. probably wouldn’t see otherwise.” The partnership opens avenues for Monument Health professionals to bring emerging technology to the colleges, but also to our communities. Jhett Albers, Director of Athletics: “I think all student-athletes looking to compete at the collegiate level consider the sports performance and sports medicine care as an essential part of their athletic experience. It plays a huge role in the decision to commit to and return to institutions that provide quality sports medicine programs. Our partnership with Monument Health has given us stateof-the-art sports performance training programs, sports medicine care, injury evaluation and prevention and preand post-injury rehabilitation. They help us provide the best health, safety and overall wellness possible for our studentathletes, which in turn boosts our entire athletic department.”

SOUTH DAKOTA SCHOOL OF MINES AND TECHNOLOGY

South Dakota School of Mines and Technology is one of the nation’s leading engineering, science, and technology universities. Their partnership with Monument Health means studentathletes are prepared not only for competition, but for balancing athletics with the rigorous curriculum and heavy course loads unique to their university. The resources Monument Health brings to the school’s athletics department allows for specific treatment plans that help athletes recover quickly. Team Physician Hollan Harper, D.O., says, “a partnership like this allows for on-site care and quick turnaround times for injuries, which keeps these competitive athletes out of play for the shortest possible duration.” The partnership has also resulted in vast improvements in consistency of care. Associate Team Physician Darshan Patel, M.D., says, “we provide care from the initial visit through physical therapy, surgery, or anything else. We take care of every aspect of their treatment; it builds trust and makes them more willing

Joel Lueken, Director of Athletics: “We have a challenging curriculum at South Dakota Mines, so it’s important that the student-athletes we recruit to our teams understand there’s something bigger than sports. What the ball does to the athlete is more important than what the athlete does to the ball. Most of our athletes are doing something other than going on to professional athletics; our coaches understand that, and Monument Health understands that. We work together to do everything we can to set them up for success. Monument Health helps us meet our goal to recruit, retain, graduate and place each student, but also to make sure they succeed no matter where they go after Mines.”

SUMMER 2021 // HEALTH

Monument Health’s mission is to make a difference. Every day. This statement isn’t taken lightly, and its impact stretches into every corner of the organization; even in areas most people don’t realize.

to participate in their care.” Athletes are now able to see the same team of professionals every day, and the system has already paid dividends. Team Physician Joseph Humpherys, D.O., says, “We recently had an athlete with a major injury, and watching him fight back into a starting spot and eventually sign with an NFL team was hugely rewarding.” Collegiate athletes at South Dakota Mines aren’t the only ones who benefit from the school’s partnership with Monument Health. Brock Behrndt, Director of Sports Performance at South Dakota Mines, says, “Last winter we hosted a high school softball clinic; because of our partnership with Monument Health, we were able to have better staffing and a level of excellence that might not happen with just our own resources.” It’s clear the partnership not only propels South Dakota Mines’ athletic performance forward, it also increases the level of civic involvement in communities served by Monument Health. CHADRON STATE COLLEGE

In January of this year, Chadron State College became the latest school to partner with Monument Health. With 12 varsity programs including football, softball and rodeo, the school is already seeing results from their partnership with Monument Health. Making sure athletes receive high-quality training helps prevent injuries before they happen. Chase McLendon, Chadron’s Assistant Director of Strength and Conditioning, says, “having more staff means each of us can focus on our specific role. The athletes get individualized training, which better

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prepares them for their sport and helps them prevent getting injured in the future.” Injuries happen less frequently with top-notch training, but when they do, the team has streamlined the athletes’ care. Allison Curtis, an athletic trainer at Chadron State College, says, “this partnership has helped our athletes get faster, quality care for athletic injuries now that we have more full-time athletic trainers.” Karen Stone, also an athletic trainer employed by Monument Health, agrees: “Monument Health’s Orthopedics team makes sure athletes are seen quickly, whether that’s getting imaging done, being seen in the clinic or having surgery. Our athletes are able to return to play much quicker because of this partnership.” One of the most important aspects of the partnership is the personalized nature of the care the athletes receive. Team Physician Brian Shelmadine, D.O., says, “we try to not only treat the injury before us, but look at the athlete as a whole to see if there are underlying issues that lead to the injury or can be addressed to help them return sooner. This may be identifying an underlying biomechanical deficiency, strength imbalance, poor nutrition or even poor sleep.” This whole-person approach to injury care and prevention means Chadron State’s teams can compete at a higher level, and is made possible through the school’s partnership with Monument Health.

Joel Smith, Director of Athletics:“This Athletics: “This is our first year partnering with Monument Health, but we’re already seeing changes in both coverage of and service to our athletes. With the strength coach and two trainers provided by Monument Health, we are able to provide full coverage of all our sports, and enhance conditioning and rehabilitation for our athletes. We currently have 315 athletes, and this partnership greatly enhances our ability to provide quality medical services to them. Monument Health has been instrumental in providing an edge for Chadron State in recruiting and retaining athletes, not to mention staying competitive in our conference.

The bigger picture Monument Health provides caregivers to three universities and 10 high schools in South Dakota, Nebraska and Wyoming. Not only do athletes stay healthy and compete at a higher level, providing these services at no cost allows schools to allocate funds to scholarships, facility maintenance, technology upgrades and student support programs.

COVER STORY // COMMUNITY

HEALTH CARE

Brady’s heart condition, hypoplastic left heart syndrome (HLHS), means that the left side of his heart didn’t fully develop before birth. The right side pumps blood to the lungs, but the left side can’t properly pump that oxygen-rich blood to the rest of the body.

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Harding County has 0.47 people per square mile, one of the lowest population densities of all counties in America. By comparison, the Island of Manhattan has almost 70,000 people per square mile.

ON THE HIGH PLAINS A PHYSICIAN ASSISTANT, REGISTERED NURSE AND A PATIENT ACCESS SPECIALIST WHO DOUBLES AS AN EMT ARE MEETING THE HEALTH CARE NEEDS OF SOUTH DAKOTA’S MOST ISOLATED COUNTY. Mention Brady Thompson to pretty much anyone in Buffalo, and they’ll respond with a smile. Everybody knows this pint-sized 7-year-old, and they agree he’s a character. Brady lives on the family ranch southwest of town with his parents, two older sisters, a dog, a cat and three goats. He’s outgoing, talkative and has a fondness for spicy food – the hotter the better. He can talk ranching like an old timer, but when asked to pose for a photo inside the goat pen, Brady firmly replied, “Ah, no.” “He has kind of an old soul,” said his mom, Terisa Thompson. “His teacher told me he thinks the other kindergartners are too noisy. He’d rather sit down over a cup of coffee and talk about life.” “He’s so cute. He carries hot sauce

HEALTH // SUMMER 2021

everywhere,” said Crystal Page, the physician assistant at Monument Health Buffalo Clinic. She has cared for Brady for much of his young life. It’s a childhood that almost didn’t get this far. Brady was born with hypoplastic left heart syndrome, a rare condition in which the left ventricle is underdeveloped. Before he was 3, Brady had undergone open heart surgery three times, the first when he was just two days old. Not long after returning home from the third surgery, Brady started crying and grabbing at his chest one afternoon. The family called 911. His dad, Mac Thompson, scooped the child up and they headed for help. By the time they made the bumpy 7-mile drive to the nearest paved

COVER STORY // COMMUNITY

Crystal Page, Ann Parfrey, and Jennie Glines go above and beyond to adapt their clinic’s resources to the needs of the Harding County community.

road, Brady was completely limp. When they reached the highway, Crystal Page, PA-C, and Jennie Glines, RN, of the Buffalo Clinic were there to meet them. They stabilized Brady’s condition and made sure he was ready for the 80-mile ambulance ride to the hospital in Spearfish. Brady pulled through, but still needs regular medical care. Along with a list of other medications, he takes blood thinners that require regular blood tests. At one point early in his illness, Brady’s parents seriously wondered whether the Thompson family could stay on the Harding County ranch that has been in Mac’s family for more than 100 years. Fortunately, the three-person staff at Monument Health Buffalo Clinic provides a surprising breadth of medical services for Brady and his neighbors throughout the Buffalo area.

serenity offer an attractive lifestyle for Harding County’s 1,200 residents. Buffalo — population 350 — has a selfsupporting downtown business district. There’s a SuperValu grocery store on Main Street, a few doors down from Buffalo Hardware and Lumber. Buffalo also has convenience stores, a handful of bars and restaurants, a modern school that hosts grades K–12, a bank, a couple of churches and a post office. Tucked away on Ramsland Street a block north of Main Street is the Monument Health Buffalo Clinic. Staff at the Monument Health Buffalo Clinic consists of Crystal, a physician assistant, Jennie, a registered nurse, and patient access specialist Ann Parfrey. Ann is also an emergency medical technician, which allows her to assist with checking patient vitals and other clinical duties.

WIDE OPEN SPACES

PART OF THE COMMUNITY

Harding County, in the far northwestern corner of South Dakota, is about as rural as you can get. With 0.47 people per square mile, it’s South Dakota’s least-densely populated county, and the 24th least-densely populated in the United States. But the rolling prairies, sweeping views and quiet

On a recent Thursday afternoon, the clinic waiting room had a handful of patients, including Steve Pemble, who was stopping in for his COVID-19 vaccination. Steve joked with Ann before heading back to get his shot. The COVID-19 vaccination is a good example of the importance of having health

SUMMER 2021 // HEALTH

In addition to the rural clinics in Belle Fourche, Hill City, Hot Springs and Wall, Monument Health also runs critical care hospitals in Custer, Deadwood and Sturgis.

“He has kind of an old soul,” said his mom, Terisa Thompson. “His teacher told me he thinks the other kindergartners are too noisy. He’d rather sit down over a cup of coffee and talk about life.”

Managing conditions like Brady’s requires regular blood tests. Luckily, the Buffalo Clinic is able to run the tests in-house.

care close to home. Spearfish is a three-hour round trip; a long drive for a shot that takes fewer than 20 minutes. It helps that Crystal, Jennie and Ann are woven into the fabric of the Buffalo community. Crystal grew up in Nebraska, and Jennie is from Spearfish — but they are married to Harding County natives. Crystal has four school-age children who attend Harding County School. Jennie’s two kids are not old enough for school yet. Ann’s three grown children completed school here. Crystal, Jennie and Ann know the families,

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attend school events, go to football games – occasionally opening the clinic on a Friday night to X-ray a football injury. They are active in the community and well-known. MEETING THE NEEDS

The Buffalo Clinic is fairly well-equipped. Monument Health recently installed a new X-ray machine, and the lab has an Abbot ID Now analyzer for diagnosing COVID-19. They can also process several lab tests inhouse, including analysis of blood samples for heart patients like Brady. Tests that can’t be processed in-house are sent to Rapid City Hospital, usually with a one-day turnaround. “We have to be well-equipped,” said Crystal. “Otherwise, what’s the point of having a clinic?” The team works closely with the ambulance service. In fact, there are times when they’ve had to close the clinic so Ann, Jennie and Crystal could respond to a serious automobile accident. “When things like that happen, patients with appointments are gracious about rescheduling,” Crystal said. FAVORITE PATIENT

When Brady Thompson stops by the clinic, hot sauce in hand, he brightens everyone’s day, Crystal said. On a recent visit, Jennie told him that Cheetos has a new Cheesy Jalapeño Mac ‘n Cheese. His eyes grew wide, and he turned to his mom and said, “We need to get that!” Apparently a fondness for spicy foods is not unusual for youngsters with hypoplastic left heart syndrome, according to Terisa. How else can you explain that a 7-yearold’s favorite snack is bread dipped in Tabasco sauce?

PATIENT STORY // COMMUNITY

TAKING IT ALL IN STRIDE Colin Gholson started his life with ARPKD, a genetic disease that often leads to kidney failure. As the 2020 and 2021 Children’s Miracle Network Champion, one thing is clear — his condition hasn’t slowed him down.

When you look at Colin Gholson, you see an active, healthy teen. He spends a lot of time running; he’s on both the track and cross country teams at his school. “That’s been a big thing in my life,” Colin says. “But a bigger thing has been playing piano. I’ve been doing that since I was six.” Colin plays in his school’s jazz band, and loves that it gives him the opportunity to have fun with different musical styles, including a

SUMMER 2021 // HEALTH

Autosomal recessive polycystic kidney disease (ARPKD) is a genetic condition characterized by the growth of cysts in the kidneys and liver that can eventually lead to organ failure.

“ARPKD is a genetic disease that requires both parents to carry the trait, and there is a 25 percent likelihood of their child exhibiting the disease associated with that trait.There’s no cure to speak of. In Colin’s case it’s simply keeping up with the progression of the disease, and an eventual transplant will restore the function of the organ and alleviate many of the disease’s symptoms.” Dr. Steven Benn

Every year, Children’s Miracle Network Hospitals select a CMN Champion. These individuals become ambassadors for the 17 million children treated in CMN hospitals each year. Colin was selected as Monument Health’s 2020 CMN Champion and will also serve as the 2021 CMN Champion. In his role, Colin will be featured in various campaigns throughout the year to share his story and help increase awareness about the amazing work being done at Monument Health every day with the help of CMN. Providing special equipment in the hospital’s NICU where Colin received care, and funds when he needs to travel, are just a couple of the many ways CMN helps make medical miracles happen.

jazz rendition of the Sesame Street theme. Like most teenagers, Colin has a lot on his plate. Unlike his classmates, however, he has an inherited condition known as autosomal recessive polycystic kidney disease (ARPKD). The condition causes abnormal development of the kidneys and liver, and eventually leads to organ failure. ARPKD is rare, occurring roughly once in 25,000 children, and can be deadly in the first month of life. Colin spent the first two months of his life in the Monument Health NICU, but since then things have been fairly normal. “You know, as long as I manage it there are really no problems. I just have to stay hydrated and take my meds,” Colin says. For children who survive the initial challenges, kidney failure is almost always a looming threat. Because of this, Colin was placed on the transplant list in 2019. “They told me that I would need a transplant in six months,” he says. “We found a donor, but I haven’t needed the transplant.” Colin’s mother, Jennifer, explains the surprise when they learned he wouldn’t need the transplant. “The team in

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Minneapolis really weren’t sure what happened. We thought we were just biding our time, waiting for the folks in Minneapolis to say, ‘okay, it’s time to do this based on how you’re feeling and how the numbers look on your lab work,’ but he never started feeling worse, the lab numbers actually improved and they’ve been steady since then.” Colin has a living donor should he need the transplant, and he is still on the United Network for Organ Sharing (UNOS) transplant waiting list. For kids with ARPKD, a kidney transplant isn’t a cure — and requires the lifelong use of immunosuppressant medication — but it can restore the majority of kidney function. Colin is happy to bide his time on the transplant list. He’s too busy running, playing piano, and — like most teens — hanging out with friends. The time may come when he needs it, but for now he’s just happy to take each day as it comes.

Steven Benn, M.D. I actually have a picture of Colin sitting on my horse from many years ago — I followed his family for some time, and they’re lovely people. They have always been able to roll with the punches and stay optimistic about the future.”

PATIENT STORY // COMMUNITY

A SECOND CHANCE. PAIN-FREE MARY MCLAUGHLIN DIDN’T KNOW IF SHE WOULD EVER WALK WITHOUT PAIN. ORTHOPEDIC SURGEON RICHARD LITTLE, M.D., GAVE HER WHAT SHE NEEDED MOST: HOPE.

Mary’s positive experience with Dr. Little wasn’t simply a question of a good surgical outcome. The attention he paid to her, the time he spent assessing her knee and his overall demeanor helped her envision a future without knee pain.

SUMMER 2021 // HEALTH

Whether you have pain from a previous injury, arthritis, or from normal wear-and-tear, Monument Health’s orthopedic surgeons can help you regain quality of life and live pain-free.

“I just believe in taking good care of patients. Treat them the way you want to be treated yourself, with a thoughtful, careful approach,” said Dr. Little.

It’s not uncommon for patients to fear that something will go wrong with an upcoming surgery. Most of the time, those fears are unfounded, but Mary McLaughlin knows all too well what it’s like when a surgery doesn’t go as planned. In April 2018, she experienced an ineffective knee replacement. What was supposed to reduce pain and improve quality of life did just the opposite — she was left with permanent nerve damage and unable to walk without a severe limp. “I woke up in excruciating pain and nobody believed me,” Mary said of her surgery. “I was worse off than I was before the surgery, but I thought never in a million years would I ever agree to another replacement.” Mary had always been fit and active — she used to be an aspiring bodybuilder and always worked out. She’s also a musician who plays an

HEALTH // SUMMER 2021

PATIENT STORY // COMMUNITY

Dr. Little put Mary at ease about having a second surgery, and helped her return to the things she loves like working out and playing bass guitar.

electric bass guitar, which requires standing for long periods of time. With the severe pain and weakness in her knee, however, she could no longer exercise or play music. With her quality of life so greatly diminished, Mary did what she thought she never would — she sought out a second surgery to rectify the problem. This time, however, she followed the advice of a coworker and researched Richard Little, M.D., a board-certified orthopedic surgeon with Monument Health Orthopedics and Sports Medicine. “Even from what I read online, I felt good about seeing him,” Mary said. “So I

scheduled an appointment with him in September 2018.” “Right away, I knew he was different. Even during his initial assessment, I felt like he was the right doctor for me,” Mary said. “She was in a really tough position,” Dr. Little said, reflecting on Mary’s situation. “She had a really difficult problem that she presented with and it took a lot of investigation to find out what it was. Trying to revise things is difficult — a lot of people won’t take that challenge because it is such a long, difficult surgery with high likelihood of complications. A lot of people won’t even take on an operation like Mary’s.” “I like a challenge,” Dr. Little said, smiling. “I like complicated issues like this — yes, they’re difficult, but it’s incredibly rewarding in a situation like Mary’s to have the patient wake up after surgery already feeling a whole lot better than she did before surgery.” Dr. Little completed Mary’s knee revision in 2019. She experienced almost instant improvement in her level of pain, but she still didn’t have full use of her leg. It can take up to a year to recover from a knee revision, and the initial, ineffective surgery had led to significant muscular atrophy in her quadricep. For Mary, regaining full usage requires a long-term commitment to physical therapy, and she’s been diligent about putting in the effort. “I’m working on it, and I can go on short walks and use my leg again,” she says. “I can’t stand for long periods of time, but I’m hopeful that if I keep putting in the work, I’ll be able to play regularly in a band again.” Mary paused, before continuing, “I’m so hopeful, and that’s what Dr. Little gave me. He gave me hope. He gave me hope, which for me, saved my life.”

Richard Little, M.D. “A knee revision is challenging in a lot of ways, and a lot of providers don’t want to do them. An easy total knee replacement takes about 45 minutes to an hour, while a revision can take up to four hours. You have to adjust, and readjust and make sure everything works properly. Sometimes that means going through it multiple times to get the best possible results. That’s very time-consuming. I like it because it’s challenging. It really helps people out, turns them around and they can start to live life again. That’s a very rewarding part of my job.”

SUMMER 2021 // HEALTH

Monument Health makes it a priority to deliver high-quality EXCELLENCE care to every patient we care for. With a team of over 5,000 physicians and caregivers throughout the region, we do just that.

// NEW PHYSICIANS

Please welcome our newest physicians PEDIATRICS

JONATHAN BIGWOOD, m.d. is a pediatrician at the Monument Health Spearfish Clinic – North Avenue. His decision to specialize in pediatrics was a natural choice, having grown up with six brothers and sisters. He graduated from the University of Southampton in Southampton England with a Bachelor of Medicine in 1998. He moved to New York for his pediatric residency in 2000. Dr. Bigwood enjoys all aspects of

pediatric medicine and is especially drawn to acute care medicine. Experiences he gained during his work in the emergency room, urgent care settings and in office-based pediatrics have helped to broaden his clinical skills, while also helping him to empathize with children and their families who face a variety of medical concerns. Dr. Bigwood was born in London and at eight years old, moved with

his parents and six siblings to the English countryside. Growing up on a farm, he learned a great deal about nature, how to care for animals and the value of working hard. Spending time together is very important to his family. He enjoys carpentry and cooking when at home, and how these contributions help bring his family together. Running and cycling are some of the ways he enjoys staying fit.

PHYSICAL MEDICINE & REHABILITATION

DEREK BUCK, m.d., d.c.

is an Interventional and Spine Care Specialist and Physiatrist at Monument Health’s Orthopedic & Specialty Hospital in Rapid City. Dr. Buck received his medical degree from Ross University School of Medicine on the island of Roseau Dominica in the West Indies and went on to receive his Doctor of Chiropractic at Texas Chiropractic College. He completed his residency in physical medicine and rehabilitation at the University of Arkansas for Medical Sciences and received his fellowship training in

Interventional Spine Care at Virginia iSpine Physicians in Richmond, Va. A typical day for Dr. Buck includes diagnosing and treating spinal conditions using minimally invasive techniques. Before becoming an Interventional and Spine Care Specialist, Dr. Buck was a sports medicine chiropractor. As his knowledge and skill set grew during his 10 years of chiropractic practice, he wanted to provide more care options for his patients and found interventional spine care to be the

best path forward. Dr. Buck enjoys helping his patients feel better and works to ensure they respond to treatment. The most rewarding part of his job is seeing patients regain and improve their quality of life. When he’s not in the office, you’ll find Dr. Buck and his wife cheering for their kids from the sidelines at their sporting events. He and his family also love spending time outdoors, kayaking, canoeing and camping whenever they have the opportunity.

program in Newport Beach, Calif. Dr. Leong’s practice specializes in foot and ankle trauma, reconstructive surgery, tendon and ligament repair, arthroscopy, minimally invasive techniques, diabetic limb salvage and complex deformity correction. Dr. Leong is certified by the American Board of Podiatric Medicine and qualified by the American Board of Foot and Ankle

Surgery in foot and reconstructive hindfoot and ankle surgery. He has written for peer-reviewed publications and textbooks in topics pertaining to foot and ankle surgery. In his spare time, Dr. Leong trains, competes and coaches various martial arts. He also enjoys fitness training, hiking, playing the piano and spending time with his family.

PODIATRY

WESLEY LEONG, dpm, aac-fas is a Podiatrist at Monument Health’s Orthopedic and Specialty Hospital in Rapid City. He earned his medical degree from Rosalind Franklin University of Medicine and Science in Chicago. He completed his internship and residency at Carilion Clinic in Roanoke, Va. Dr. Leong then completed his fellowship training at the Newport Advanced Foot and Ankle Surgery

HEALTH // SUMMER 2021

VOLUNTEER PROFILE // COMMUNITY

Sue’s husband, James Holloway, M.D., is an internal medicine physician at the Monument Health Lead-Deadwood Clinic, so she has always felt connected to the medical community.

Sue Holloway Volunteer, Lead-Deadwood Hospital

Since moving to the area in 1992, Sue has been actively involved with many organizations including Meals on Wheels, Lutheran Quilting Ladies and the school library, connecting to the community through volunteering. Why do you volunteer? Volunteering is the glue that connects a person with their community. Since high school, I have lived in five states and two countries, have been on over 30 short-term international mission trips and have had connections with several hundred foreign exchange students. Volunteering has provided me with insights into peoples’ lives and cultures that make the world a smaller, more intimate place. What is your connection to the Lead-Deadwood community? I have come to know the people and most of the streets through the various groups and projects I have had the privilege to participate in. God has shown the needs of the community and has provided me with opportunities to participate in existing organizations or start projects to meet those needs.

For almost 30 years, Sue Holloway has found ways to volunteer in the Lead-Deadwood community — from helping the school library to supporting seniors.

In her many years of volunteering in Lead-Deadwood, Sue has found no shortage of ways to contribute to her community, including making blankets for patients during their hospital stays.

What makes the Lead-Deadwood community unique or special? By far, it is the people. I do nothing alone. Our community has had several significant struggles since we moved here 28 years ago, and the citizens come together to help where they can. Not having mosquitoes and high humidity is also a huge benefit and I am at the point in my life where I can stay home and enjoy the snow coming down.

SUMMER 2021 // HEALTH

Doris Ann has served as the Custer County Library Director for ten years. Her role there and her volunteer efforts have helped her feel deeply rooted in the community.

COMMUNITY // VOLUNTEER PROFILE

Throughout the last year, Doris Ann helped sew masks and provided Custer residents with accurate COVID-19 and vaccination information.

Doris Ann served on the Monument Health Custer Advisory Board from 2013-2019, helping to present the community’s needs to Monument Health and establishing trust between the two. Since then, she continues to do her part to improve life in Custer. Why do you volunteer? I volunteer because I have a vital need to help others — to make a difference in some small way. When I see a need and know that I have the time and ability to help alleviate that need, I like to do what I can to help. How did COVID-19 impact your role over the last year? We had to find different ways to contribute because volunteer programs were suspended during COVID-19. I spearheaded a maskmaking effort in Custer, and volunteers in the community donated well over 1,000 masks to health care facilities and members of our community. It felt good to know that our efforts would help protect our neighbors and allow our nursing home residents to leave their rooms to socialize with other residents.

Doris Ann Mertz Volunteer, Custer Hospital

Whether it’s serving on the Monument Health Custer Advisory Board or helping provide the community with accurate information about COVID-19, Doris Ann Mertz is committed to helping Custer.

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What makes the Custer community unique or special? It’s our people and our true sense of community that make us special. Our doctors are not just our health care providers. They are our neighbors and friends, and they serve in various roles within our community. Our business owners support each other like no place I have ever seen. They seem to truly have a view that a rising tide lifts all boats. I also love that the long-term residents of Custer have accepted those of us who are latecomers and treat us as their neighbors. It’s not like that in all communities.

PHYSICIAN PROFILE // EXCELLENCE

Family physicians establish a baseline of well-being for your entire family, and care for your physical, emotional and mental health throughout your entire life cycle.

Family medicine physicians are trained to provide comprehensive health care for patients of all ages, with education and training in pediatrics, obstetrics, gynecology, internal medicine, neurology, psychology, surgery and community medicine. In their practice, they often treat every member of a family, from grandparents to the youngest children. This is especially true of communities like Sturgis, where physicians and their teams get to know their patients, and as families grow and change, physicians like Dr. Davis are there to help.

My Role I am a board-certified family medicine physician providing care to patients of all ages in the Sturgis clinic, emergency department and hospital. My Goal In my practice I aim to be engaged in my patients’ health from preventative care to chronic and acute care management. I believe in treating patients the way I would like to be treated, and I enjoy getting to follow my patients in the clinic, hospital and emergent settings. My Passion I enjoy the pace and variety my practice brings to me. I also very much enjoy being part of a small town community. I grew up in the Black Hills and am thankful to be able to raise my family here.

Josephine Davis, M.D. Family Medicine Physician, Sturgis

After leaving Rapid City — the town where she grew up — to complete her Family Medicine residency, Dr. Davis returned to the area to treat patients in the Black Hills. SUMMER 2021 // HEALTH

Reconstructive surgery can restore and improve body function and correct appearance issues caused by trauma or medical conditions.

EXCELLENCE // PHYSICIAN PROFILE

Hunter Moyer, M.D. Plastic Surgeon, Rapid City

For Dr. Moyer, plastic surgery isn’t just about enhancing appearance. It’s a way to ensure that patients not only look their best, but feel their best as well.

Dr. Moyer believes that medicine is a collaborative effort between physicians and patients. After moving to Rapid City four years ago, he started a monthly surgeons’ journal club to improve physician education through collaboration and study of the latest advancements in surgery. Through this endeavor he has learned that few patients need to travel to receive the highest level of care.

My Role I am the plastic and reconstructive surgeon at Monument Health providing both cosmetic and reconstructive care for patients of the Black Hills and beyond. Our mission is to restore physical and emotional health after pregnancy, trauma or cancer removal. We know the road to recovery can be a difficult fight, and we strive to support our patients along every step. My Goal To provide the safest and most advanced care for you and your loved ones. Undergoing surgery can be a frightening time, and it is our goal to ensure that patients are informed and take part in the decisionmaking. We also focus on results through continued learning and adopting the latest surgical techniques. Outside of the hospital, I am focused on my family and our church. I have found that being a father and spiritual man has enhanced my ability to care for patients well beyond the operating room. My Passion I enjoy all plastic surgery procedures, but I have a true passion for breast cancer reconstruction. My wife underwent bilateral mastectomies followed by breast reconstruction seven years ago, and her battle helped me to understand the daily trials that our patients and their families endure. Healing is much more than surgery alone, and a surgeon has to be more than a technician. When I am not in the hospital, you can find me coaching our boys’ soccer teams or traveling to foreign countries enjoying various peoples and cultures. Our goal is to open our eyes to the unbelievable beauty and value of this world.

HEALTH // SUMMER 2021

PAMELA RAPID CITY

REAL WOMEN. REAL RESULTS. NOW OFFERING 20% OFF MOMMY MAKEOVERS

Restore your pre-baby body after dramatic changes brought on by pregnancy, childbirth, or breastfeeding. MOMMY MAKEOVER MAY INCLUDE: + Tummy Tuck + Breast Lift + Breast Augmentation

To download the 20% off coupon, scan this QR code. For more information about Monument Health Plastic Surgery, visit www.monument.health/plasticsurgery.

HUNTER R. MOYER, M.D. Plastic Surgery

MONUMENT HEALTH PLASTIC SURGERY 2805 5th St., Rapid City, SD 57701 605-755-6000

Must present coupon for discount. Expires 10/1/21.

If a primary care physician thinks a patient may benefit from counseling services, having them in the Sturgis clinic makes it simple to facilitate an introduction and schedule future appointments.

The counseling services at Monument Health Sturgis Clinic offer opportunities for personal development and prevention of distress, and assist in developing self-awareness, self-reliance and self-confidence throughout the lifespan. In conjunction with primary care, Monument Health offers confidential services through crisis intervention, individual and group counseling, and confidential comprehensive assessment and mental health treatment services for children, adults and couples located right in the clinic.

McKenzie Grim CSW-PIP LAC, QMHP, Behavioral Health Counselor, Sturgis

Health isn’t just a physical trait — mental health plays a significant role in people’s lives. Despite this, some people are hesitant to seek help. Luckily McKenzie Grim is ready to help them find what they need. HEALTH // SUMMER 2021

COMMUNITY // MY SPACE

My Role My role at the Sturgis Clinic and Hospital is primarily to provide therapy services for all lifespans. I also provide consults for emergency department, urgent care and primary care patients when needed. My Goal My hope is to normalize mental health and to help people realize that it doesn’t matter who you are, everybody has some sort of speed bump to overcome. Mental health needs to be a part of daily conversations. Life isn’t easy, and it’s okay to seek help, whether longor short-term. My Passion As a social worker and licensed addiction counselor, I am entrusted with people’s thoughts and feelings that are not often shared with others in their daily lives. It is a giant responsibility and something that I thoroughly enjoy. I became active in the mental health field so that I could help others better understand themselves and learn how to feel better. We all have situations that arise that cause bumps along the way, and life doesn’t stop. We are not our mental health, but we are responsible for getting ourselves back on track. Having the opportunity to have an influential role in people’s lives is exactly why I do what I do.

2ND ANNUAL

RUN

ORTHOPEAK

Presented by Monument Health and Terry Peak

SEPTEMBER 18, 2021

monument.health/orthopeakrun

SPRING 2020 // HEALTH

When it comes to making a difference, nothing matters more than taking action. At Monument Health we strive to put actions behind our mission statement: Make a difference. Every day.

COMMUNITY // CALENDAR

July 20

Lead Live

Aug 10

Paint the Rock Pink Ladies Charity Golf Tournament

Aug 21

Walk to Defeat ALS

Sept 10

Play Yellow – CMN’s Golf Tournament

Sept 18

2nd Annual Monument Health OrthoPeak Run

Handley Recreation Center, Lead

The Golf Club at Red Rock, Rapid City

Rapid City

Hart Ranch Golf Course, Rapid City

Terry Peak Ski Resort

*All events are subject to change due to COVID-19 concerns. Schedules were correct at time of publication.

HEALTH // SUMMER 2021

DIRECTORY // COMMUNITY

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

Hot Springs Clinic 1100 Highway 71 South, Suite 101 Hot Springs, SD 57747 605.745.8050

Rapid City Urgent Care 2116 Jackson Blvd. Rapid City, SD 57702 605.755.2273

Lead-Deadwood Hospital 61 Charles St. Deadwood, SD 57732 605.717.6000

Lead-Deadwood Clinic 71 Charles St. Deadwood SD, 57732 605.717.6431

Lead-Deadwood Urgent Care Services 71 Charles St. Deadwood, SD 57732 605.717.6431

Rapid City Hospital 353 Fairmont Blvd. Rapid City, 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 605.720.2400 Orthopedic & Specialty Hospital 1635 Caregiver Cir. Rapid City, SD 57702 605.755.6100 MEDICAL CLINICS Belle Fourche Clinic 2200 13th Ave. Belle Fourche, SD 57717 605.723.8970 Buffalo Clinic 209 Ramsland St. Buffalo, SD 57720 605.375.3744 Custer Clinic 1220 Montgomery St. Custer, SD 57730 605.673.9400 Gillette Clinic 620 W. Four-J Ct. Gillette, WY 82716 307.682.1204 Hill City Clinic 238 Elm St. Hill City, SD 57745 605.574.4470

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 N. 10th St. Spearfish, SD 57783 605.717.8595 Sturgis Clinic 2140 Junction Ave. Sturgis, SD 57785 605.720.2600 Wall Clinic 112 7th Ave. Wall, SD 57790 605.279.2149 Family Medicine Residency Clinic 502 E. Monroe St. Rapid City, SD 57701 605.755.4060 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

Spearfish Urgent Care 1420 N. 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 SPECIALTY CLINICS Assisted Living 432 N. 10th St. Custer, SD 57730 605.673.5588 Behavioral Health Center 915 Mountain View Rd. Rapid City, SD 57702 605.755.7200 Custer Care Center 1065 Montgomery St. Custer, SD 57730 605.673.2237 Sturgis Care Center 949 Harmon St. Sturgis, SD 57785 605.720.2400 Dermatology 550 E. Colorado Blvd. Spearfish, SD 57783 605.717.8860

Dermatology 4150 5th St. Rapid City, SD 57783 605.755.5340 Dialysis Center 640 Flormann St. Rapid City, SD 57701 605.755.6950 Dialysis Center 132 Yankee St. Spearfish, SD 57783 605.722.8110 Heart and Vascular Institute 353 Fairmont Blvd. Rapid City, SD 57701 605.755.4300 Home+ Home Health 1440 N. Main St. Spearfish, SD 57783 605.644.4444 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 Home+ Home Medical Equipment 1800 N. Haines Ave. Rapid City, SD 57701 605.755.9000 Home+ Home Medical Equipment 911 E. Colorado Blvd. Spearfish, SD 57783 605.717.8930 Home+ Home Medical Equipment 2707 Lazelle St. Sturgis, SD 57785 605.720.2676 Home+ Pharmacy 353 Fairmont Blvd. Rapid City, SD 57701 605.755.8184 Home+ Pharmacy 1420 N. 10th St., Suite 1 Spearfish, SD 57783 605.717.8741

Home+ Specialty Pharmacy 2006 Mount Rushmore Rd., Suite 2 Rapid City, SD 57701 605.755.3065 Cancer Care Institute 353 Fairmont Blvd. Rapid City, SD 57701 605.755.2300 Orthopedic and Specialty Hospital 1635 Caregiver Cir. Rapid City, SD 57702 605.755.6100 Neurology and Rehabilitation 677 Cathedral Dr. Rapid City, SD 57701 605.755.4150 Neuropsychology 677 Cathedral Dr., Suite 201 Rapid City, SD 57701 605.755.5276 Rehabilitation 2200 13th Ave. Belle Fourche, SD 57717 605.723.8961 Rehabilitation 2449 E. 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 E. 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 Cir. Rapid City, SD 57702 605.755.6683 Surgery Center 1316 N. 10th St. Spearfish, SD 57783 605.642.3113

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.

Brox Hunt

Monument Health offers pediatric services close to home. www.monument.health/lbhb

Brox Hunt was diagnosed with Down syndrome and Complete Antrioventricular (AV) Canal defect at birth. Complete AV Canal defect is a severe congenital heart disease in which there is a large hole in the tissue that separates the left and right sides of the heart. The condition is often associated with Down syndrome. Brox’s care team in Monument Health’s Neonatal Intensive Care Unit and Pediatric Unit worked closely with a pediatric cardiologist from Omaha, Neb., ensuring that Brox was healthy enough to travel to Omaha at 2.5 months for open heart surgery and was instrumental in providing support before he was transferred. Brox is now a strong, healthy kid who loves people and anything related to baseball — especially Post 22 Baseball!

NEXT ISSUE Monument Health security Meet the team working to keep patients and caregivers safe Recruiting physicians How Monument Health works across the country to bring the best care, close to home Bacterial vs viral infections Learn the difference and why antibiotics aren’t always the best choice

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CONTACT General information 605-755-1000

MyChart For assistance with MyChart, please call the MyChart patient portal hotline at 605-755-9890 or email mycharthelp@ monument.health