Healthcare Directory 2019

Sentinel HEALTHCARE 2019 DIRECTORY

Donna McMurtry, Cardiac Rehab nurse at Mayo Clinic Health System in Fairmont, checks a patient’s blood pressure.

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New tech aids newborns

By JUDY BRYAN Sentinel Staff Writer

FAIRMONT — With the increasing shortage of physicians, communities the size of Fairmont don’t have a population large enough to support certain medical specialists, but these specialists often make periodic visits to see patients at local medical facilities.

The innovation of telemedicine has allowed staff at Mayo Clinic Health System in Fairmont to connect any time and any day with world-class medical providers at Mayo’s flagship clinic in Rochester.

Although all branches of medicine benefit from this technology, it is especially essential for the smallest, most fragile patients — newborn infants.

The original telemedicine equipment at the Fairmont hospital’s Birth Center consisted of a computer tablet the obstetrics nurse would focus on a newborn experiencing distress, sending real-time images to specialists in Rochester. This method was considered groundbreaking when it was introduced locally in 2013, but it has since been bypassed by more cuttingedge technology.

Sandee Vaske, emergency department and obstetrics nurse manager at Fairmont Mayo, explained how telemedicine works to bridge the physical divide between Fairmont providers and Mayo neonatologists, specialists in the care of newborns.

“It’s simple. It takes just one phone call to activate the system,” she said.

“Once we make that phone call,

Study: Time to rethink aspirin WASHINGTON (AP) — Millions of people who take aspirin to prevent a heart attack may need to rethink the pill-popping, Harvard researchers reported recently.

A daily low-dose aspirin is recommended for people who have already had a heart attack or stroke and for those diagnosed with heart disease.

But for the otherwise healthy, that advice has been overturned. Guidelines released this year ruled out routine aspirin use for many older adults who don’t already have heart disease — and said it’s only for certain younger people under doctor’s orders.

How many people need to get that message?

Some 29 million people 40 and older were taking an aspirin a day despite having no known heart disease in 2017, the latest data available, according to a new study from Harvard and Beth Israel Deaconess Medical CenASPIRIN Continued on Page 4

Rochester calls us back, and that fires the connection that we need. It’s a picture-in-picture display so we can see them, and they can see us.”

Local medical staff turns the monitor to focus on the newborn, and the Rochester specialists take command of the machine.

“They are able to run the controls of this camera from Rochester so they can zoom in or get the angle that they need to see. They can adjust it as they need it,” Vaske said.

Two auxiliary features of the machine, a stethoscope and headphones, also are significant.

“The neonatologist in Rochester can hear the baby’s heartbeat through the stethoscope here. That’s an incredNEONATAL Continued on Page 5

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Judy Bryan

Above: Sandee Vaske, emergency department and obstetrics nurse manager at Fairmont Mayo, holds a stethoscope that allows neonatology specialists in Rochester to hear a babyĘźs heartbeat in Fairmont.

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Haas enjoys orthopedics

By BROOKE WOHLRABE Sentinel Staff Writer

FAIRMONT — Dr. Jonathan Haas is the newest team member at Center for Speciality Care in Fairmont.

Haas is an orthopedic surgeon with many years of experience.

He grew up in Waverly, Pa., but has lived in Minnesota for 14 years.

Haas went to Kings College in Pennsylvania for his undergrad work, before attending the University of Pittsburg School of Medicine.

He did five years of residency in St. Louis, where he specialized in orthopedics.

“I wanted to be a physician when I was younger. My grandfather was a physician so I took after him,” Haas said.

However, it wasn’t until Haas was in medical school doing rotations that he decided to go into orthopedics.

“I like the type of operations that are performed.

Dr. Jonathan Haas Usually I can help people that are in pain. I like doing the mechanics of it,” Haas said.

As an orthopedic surgeon, Haas works with bones and joints, which involves muscles and tendons. “‘Ortho’ means straight,” he explained.

Next, Haas did one year of fellowship at Hennepin County Med-

ASPIRIN Continued from Page 2

ter. About 6.6 million of them were doing so on their own — a doctor never recommended it.

And nearly half of people over 70 who don’t have heart disease — estimated at about 10 million — were taking daily aspirin for prevention, the researchers reported in Annals of Internal Medicine.

For years doctors urged people to leverage aspirin’s blood-thinning properties to lower the chances of a first heart attack or stroke. Then last year, three surprising new studies challenged that dogma. In March, those findings prompted a change in guidelines from the American Heart Association and American College of Cardiology: ❏ People over 70 who don’t have heart disease — or are younger but at increased risk of bleeding — should avoid daily aspirin for prevention. ❏ Only certain 40- to 70-year-olds who don’t already have heart disease are at high enough risk to warrant 75 to 100 milligrams of aspirin daily, and that’s for a doctor to decide.

Nothing has changed for heart attack survivors: Aspirin still is recommended for them.

ical Center in Minneapolis.

“Someone I did my residency with had done his fellowship there and said it was good so I took his recommendation. I had never been to Minnesota before that,” Haas said. “A lot of older people keep in shape in Minnesota and I like that.”

Prior to moving to Fairmont, Haas was in Willmar. He has been with Center for Speciality Care for five weeks.

“I want to treat the orthopedic patients. I enjoy doing joint replacements,” said Haas, explaining that is what he did during his fellowship.

Haas said the approach to joint replacement is the same now as it was HAAS Continued on Page 8

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NEONATAL Continued from Page 2

ible capture,” Vaske said.

The headphones provide a level of privacy between the medical providers in Fairmont and Rochester.

Often, one or both of the newborn’s parents are present, and while the intent is not to hide the situation from family members, the headphones allow the local medical professional to receive instructions without interruption and then to relay all the pertinent information in layman’s terms at a more appropriate time.

Dr. Jonathan Buchholz, who shares obstetric duties at Fairmont Mayo with Dr. Okey Osuebi, has a high regard for the telemedicine aspect of newborn care.

“It’s always a comfort to have a team of specialists available to help you with things you don’t see every day like they do,” he said. “It’s really

impressive technology.”

The local obstetricians deliver about 250 babies each year with support from a team of nurses.

“We have some new nurses, and we have nurses that have been here for more than a decade and some that have been here for a couple of decades. That’s hard to beat,” Buchholz said. “A doctor cannot work without great nurses. That’s a lesson you learn early on.”

Buchholz estimates they use telemedicine technology a couple of times per month. If a less-than-normal situation is anticipated with the birth or with the newborn, it is preferable to send the patient to Rochester prior to delivery, but that might not be possible if the mother already is in labor.

“With telemedicine, we can have the quick connection with the critical

care team in Rochester,” Buchholz said.

If the telemedicine consultation deems it, a transportation team is immediately dispatched from Rochester to fly the patient back after the patient is stabilized.

“We get the whole team on board,” Vaske said. “The team in Rochester already knows what’s coming toward them. It’s amazing. It really is because you just can’t have that level of specialty in a small hospital.”

That level of technology continues to be improved. It was upgraded in July when the obstetrics staff underwent training on the new state-of-theart machine.

“These little ones are so sensitive, and to have that level of expertise at our fingertips is phenomenal,” Vaske said.

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Coordinator supports care

By JUDY BRYAN Sentinel Staff Writer

FAIRMONT — People who face severe or numerous health issues can easily be overwhelmed by a visit to their health care provider.

They forget to ask questions, miss out on instructions or advice from the provider, or just feel overcome by their situation.

At Mayo Clinic Health System in Fairmont, registered nurse Kendra Pomerenke steps in to offer support as care coordinator.

“When people ask me what I do, I tell them it all depends on what the patient needs,” she said. “We always say the patient is the center of the team. We’ve got the provider. We’ve got specialists,

and then the care coordinator can be tagged with them. I am an additional team member for patients.”

In her four years as care coordinator, Pomerenke has served as a liaison between the health care provider and the patient, with much of her work focusing on patient education. She meets with a patient and does a baseline assessment. She calls the patient to check how he or she is doing. She makes sure the patient has her direct telephone number to call with questions.

“I become a partner with you in your health care, help you selfmanage conditions that you may have,” she said. “I get to know you, where you are at and what

you know about your health.

“When I meet with the patient, I see if there are barriers. They may want home care but don’t even know how to get home care.

I collaborate with social workers.

I collaborate with the provider. We all come together as a team.”

Pomerenke gets referrals from primary care providers, specialists, the diabetes educator and also from Human Services. No matter the source of the patient, she is passionate about getting on the patient’s level to see what they understand about their disease or illness.

“Sometimes it’s really eyeopening for me to see what they COORDINATOR Continued on Page 9

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Judy Bryan

Above: Jessica Meyer, left, care coordinator supervisor for the southwest district of Mayo Clinic Health System, and Kendra Pomerenke, care coordinator at Fairmont Mayo, work with providers and patients for healthy outcomes.

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Scalp cooling saves hair

By JUDY BRYAN Sentinel Staff Writer

FAIRMONT — When the Lutz Cancer Center opens this month at Mayo Clinic Health System in Fairmont, a new program — scalp cooling therapy — will be available to help prevent hair loss caused by certain chemotherapy drugs.

The loss of hair during cancer treatment can be emotionally upsetting to cancer patients, especially females.

As one woman said, “It’s like wearing a big sign that says ‘I have cancer.

Treat me differently.’”

“It (hair loss) shows you have cancer. That’s a big thing,” said Dr. Amrit Singh, oncologist at Fairmont Mayo.

While scalp cooling therapy will be new to Fairmont, it has been well received at other Mayo cancer centers

in New Prague and Mankato, where it has been offered since June.

“The response is good. Many people want to use it, but the problem is the money,” Singh

treatments required.

Patients undergo scalp cooling therapy for 30 minutes before a chemotherapy session, during the session and for one hour after the session.

“In FDA clinical trials, 66 percent of patients had less than 50 percent hair loss,” Singh said. “It protects the hair follicles, so you get back your Dr. Amrit Singh same type of hair. Normally, when said. you lose your hair, when it comes The total cost of scalp cooling ther- back, it is always invariably differapy is $2,200. While a few insurance ent.” companies cover the cost, the majorChemotherapy targets all rapidly ity do not. Each patient must have dividing cells in the body. Hair is the their own cap, which is fitted by nursing staff and ordered accordingly. The second-fastest dividing cell, which is cost of the cap is $500, with the cool- why many chemo drugs damage hair COOLING ing service running at $1,700 regardless of the number of chemo Continued on Page 10

HAAS Continued from Page 4

in the past, but the materials used are better and lasts longer.

Haas said he has been getting busier and has been slowly getting to know the Fairmont area better.

“I swim all the time so I like the lakes,” said Haas, noting that last August he was on a relay team that swam the 26 miles from England to France. He did the same swim in 2011 with a team from Minnesota.

Haas will provide general orthopedic care at all the Center for Speciality Care locations, with a special in total joint replacements.

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COORDINATOR Continued from Page 6

know and what they don’t know, to see if there is education to help with self-management of the disease,� she said. “The ultimate goal is empowering the patient and helping them improve their selfmanagement.�

That education can include determining when and how to seek medical attention. Patients learn when situations can wait until their next appointment, when to go to urgent care or when an emergency room visit is appropriate. “Patients say they love the program — a lot,� Pomerenke said. “They get excited to know they have a team working for them.�

Jessica Meyer, a registered nurse at Fairmont Mayo, is manager of all the clinic nurses and also supervises the nine care coor-

“Patients say they love the program — a lot.

They get excited to know they have a team working for them.� — Kendra Pomerenke, R.N. care coordinator at Mayo Clinic Health System-Fairmont

dinators in Mayo’s southwest district which includes Fairmont. The goal of the care coordinators, she says, is to keep the patients out of the hospital, but the specifics of the job are always changing. “It constantly evolves, just like

health care,� Meyer said. “We find where the gaps are, what we might be missing, and fill it. “Providers are very busy so we fill in those gaps between the patient and the provider,� she said. “Do they know what they can do without medication? Are we teaching them that? Do they understand how their medication is going to work? Do they understand how their body is working? What can we do to have a healthier lifestyle?� “The idea of the RN care coordinator is not long-term. It’s shortterm,� Pomerenke said. “We want patients to get to the point where they don’t need us.� “We want our patients to get independence in their health,�

Meyer said.

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COOLING Continued from Page 8

follicles and cause hair loss about two weeks after the start of treatment.

Cooling the scalp causes blood vessels in that area to constrict, reducing blood flow to the area so less chemo drugs get into the hair follicles.

To keep cold liquid circulating through the therapy cap, it is connected to a computer that maintains the temperature at approximately 32 degrees.

Some patients might experience minor side effects from the cold, including headaches, scalp irritation and/or neck and shoulder discomfort.

Singh said Sloan Kettering Cancer Center in New York, the world’s largest and oldest private cancer care Above: When the Lutz Cancer Center opens this month at Mayo center, features a special lounge for patients undergoing scalp cooling Clinic Health System in Fairmont, it will offer a new program: scalp therapy. It is appropriately named the cooling therapy. It helps prevent hair loss caused by certain chemotherapy drugs.

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Diverse roles offer care

By JASON SORENSEN Sentinel Staff Writer

FAIRMONT — Doctors and nurses provide a variety of services to patients, and each position comes with its own particular skill set that is invaluable to the health care community.

That especially holds true when it comes to the widespread shortage of health care providers. Dr. Steven Parnell of Dulcimer Medical Center in Fairmont offered some information on the value of the nursing profession.

“First of all, there’s a significant shortage of primary care physicians, particularly in the rural DULCIMER Continued on Page 12

Jason Sorensen

Above: Sara Hugoson, Certified Nurse Practitioner, and Kaylynn Steinkamp, physician assistant, enjoy their careers at Dulcimer Medical Center in Fairmont.

Cities now see more overdoses NEW YORK (AP) — U.S. drug overdose deaths, which have been concentrated in Appalachia and other rural areas for more than a dozen years, are back to being most common in big cities again, according to a recent government report.

The report by the Centers for Disease Control and Prevention said the urban overdose death rate surpassed the rural rate in 2016 and 2017. Rates for last year and this year are not yet available. But experts, citing available data, say the urban rate is likely to stay higher in the near future.

The difference between the urban and rural counties was not large. In 2017, there were 22 overdose deaths per 100,000 people living in urban areas, compared with 20 per 100,000 in rural areas.

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DULCIMER Continued from Page 11

areas,” he said. “So the mid-level practitioners like nurse practitioners and physician assistants have moved in to fill that gap in providing many primary care services.

That allows the doctors to then focus on more complex cases and tougher things, because there just aren’t enough primary care doctors to go around.”

Parnell said the shortage in rural areas is sometimes due to the amount of debt incurred in becoming a physician or mid-level practitioner. The debt causes those in the field to pursue careers in cities rather than rural towns.

He also elaborated on some of the differences between doctors and mid-level practitioners, from education to training.

“Doctors have a college degree

and then go through four years of medical school and then have to have a minimum of three years residency before they begin practice.

Registered Nurses can get their RN degree, often with a bachelor’s degree, at four years of college.

“Sometimes an RN can get on a shorter two- to three-year program, then if they were going to move on to an advanced practice generally they have to work for a couple of years in a critical care unit or someplace where they’re really able to cut their teeth on taking care of sick patients. Historically, the nurse practitioners have been master’s level nurses, but they’re all moving now toward the doctorate level.

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get a lot more training than most doctors do in terms of care plans and things like that, whereas the doctors are studying more of the pathophysiology of disease. So the nurse practitioners bring a level of compassion that people appreciate.”

Parnell noted that despite any differences, every nursing position provides a level of value that is integral to the health care field, as they often rely on each other and doctors to be able to do their jobs to the best of their abilities.

“In the health care field, there’s nursing assistants (NAs), there’s Licensed Practical Nurses (LPNs) and then there’s Registered Nurses PROFESSIONALS Continued on Page 13

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Sentinel Health Care Directory - August 2019 - Page 13

PROFESSIONALS Continued from Page 12

(RNs) and they each have a specific niche to fill that the system needs. For instance, a Registered Nurse is able to do things that a Licensed Practical Nurse couldn’t do, but then a Nurse Practitioner can do things that a Registered Nurse can’t do.”

Kaylynn Steinkamp is a physician assistant at Dulcimer, and discussed her training.

“I graduated in 2010 from the University of Nebraska Medical Center in Omaha,” she said. “I did a four-year undergraduate degree at Drake University in Des Moines, and following that I went to PA school for 28 months, with 13 months in the classroom.

“The rest of the training was clinical rotations, where we would go to different sites and learn how

to practice in the real world. We are also required to do 100 hours of continuing medical education every two years to maintain our licensure. We also have to repeat board exams every ten years to maintain certification.”

Emphasizing the different workloads and levels of patient interaction for different positions, Steinkamp said she ultimately decided to pursue a PA position for personal reasons.

“I thought about doing a lot of different things, but I wanted more interaction with people,” she said.

“I was debating on going to medical school and becoming a physician, but I changed my mind close toward the end of my college career. I wanted a little more flexibility to be able to have a family.”

Sara Hugoson is a Family Nurse Practitioner, and shared that there are different routes to go even in the Nurse Practitioner degree.

“You can do primary care, you can specialize in acute care, there’s midwifery and geriatric care,” she said. “I knew I wanted to go into the medical field, but I wasn’t sure exactly where.

“My aunt encouraged me to look at FNP a little more. I really liked how it was based in the nursing model, which is a more holistic approach to patient care. So you’re really diving in a little more into lifestyle and what other contributing factors make up a person’s health and where they’re at. That’s what’s nice about working here too is that you do get that time to spend with patients.”

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Study travels inside body

By MARILYNN MARCHIONNE Associated Press Writer

Patients are about to be enrolled in the first study to test a gene-editing technique known as CRISPR inside the body to try to cure an inherited form of blindness.

People with the disease have normal eyes but lack a gene that converts light into signals to the brain that enable sight.

The experimental treatment aims to supply kids and adults with a healthy version of the gene they lack, using a tool that cuts or “edits” DNA in a specific spot. It’s intended as a onetime treatment that permanently alters the person’s native DNA. Two companies, Editas Medicine and Allergan, will test this in up to 18

people around the United States, in- year — altering the DNA of embryos cluding Massachusetts Eye and Ear at conception in a way that can pass in Boston, starting this fall. the changes to future generations.

This gene editing in people after CRISPR birth is different from the controverContinued on Page 17 sial work a Chinese scientist did last

Sentinel Healthcare Directory - August 2019 - Page 17

Clues emerge on Alzheimerʼs LOS ANGELES (AP) — New research gives some biological clues to why women may be more likely than men to develop Alzheimer’s disease and how this most common form of dementia varies by sex.

At the recent Alzheimer’s Association International Conference in Los Angeles, scientists offered evidence that the disease may spread differently in the brains of women than in men. Other researchers showed that several newly identified genes seem related to the disease risk by sex.

Two-thirds of Alzheimer’s cases in the U.S. are in women and “it’s not just because we live longer,” said Maria Carrillo, the association’s chief science officer. There’s also “a biological underpinning” for

sex differences in the disease, she said.

Some previous studies suggest that women at any age are more likely than men to develop Alzheimer’s. Scientists also know that a gene called APOE-4 seems to raise risk more for women than for men in certain age groups.

At the same time, women with the disease in its early stages may go undiagnosed because they tend to do better on verbal tests than men, which masks Alzheimer’s damage.

Vanderbilt University researchers found differences in how tau, a protein that forms tangles that destroy nerve cells, spreads in the brains of women compared to men. They found that tau networks in women with mild impairment were more

diffuse and spread out than in men, suggesting that more areas of the brain were affected.

It’s long been known that women do better on tests of verbal memory — skills like recalling words and lists. University of California, San Diego, researchers found that women did better on these skills despite similar signs of early to moderate Alzheimer’s than men.

Using scans on more than 1,000 older adults, they found sex differences in how the brain uses sugar, its main energy source. Women metabolized sugar better, which may give them more ability to compensate for the damage from dementia and make them less likely to be diagnosed with it by tests that involve verbal skills.

CRISPR Continued from Page 16

The DNA changes in adults that the new study aims to make will not be inherited by any offspring.

CRISPR has captivated scientists because it’s a very simple way to do gene editing, although it’s so new that its risks are not fully known. But researchers believe it has great potential to cure or treat many diseases caused by gene flaws that have no good treatments now.

The blindness study is for people with one form of Leber congenital amaurosis. It’s the most common cause of inherited childhood blindness, occurring in about 2 to 3 of every 100,000 births. People often see only bright light and blurry shapes and eventually can lose all sight.

Parents are carriers of the flawed gene and it can lurk undetected for generations, suddenly emerging when an unlucky combination gives a child two copies of it.

A gene therapy called Luxturna already is sold for other forms of the disease, and the treatment is similar — a modified virus is used to carry the replacement gene into cells in the retina in the back of the eye. It’s delivered as an injection during a brief surgery.

The new study will test children at least 3 years old and adults with a range of vision.

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ACUPUNCTURE

BONE DENSITY

Fairmont Family Chiropractic & Acupuncture

Mayo Clinic Health System

Dr. Timothy Hamp 1125 Spruce St., Fairmont, MN (507) 235-6629

800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8500

AMBULATORY SURGERY CENTER

Mayo Clinic Health System

Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8100

APARTMENTS Maplewood Residence Senior Independent Living Portion Of Lakeview Health Services 620 Summit Drive, Fairmont, MN 56031 (507) 235-3443

Remick Ridge Estates 350 6th Ave, Windom, MN 56101 (507) 831-1788

CARDIAC REHABILITATION 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8100 x 85081

CARDIOLOGY Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8500

United Hospital District 515 South Moore Street, Blue Earth, MN 56013 (507) 526-3273

CAREGIVER EDUCATION CREST

850 Goldfinch Street, Fairmont, MN 56031 (507) 235-9405

820 Winnebago Ave., Fairmont, MN (507)-235-3833 Rob Stauter - Executive Director Karen Koeder - Associate Director Joyce Peterson - Caregiver Support Coordinator Tina Krumwiede - Martin County West Care Coordinator

Ingleside

CAREGIVER SUPPORT GROUPS

ASSISTED LIVING Goldfinch Estates

A Colony Court Senior Living Solution Assisted Living, Memory Care & Care Suites 2811 Roland Avenue, Fairmont, MN 56031 (507) 238-9654 or 1-800-450-1019

Woodland Manor 610 Summit Drive, Fairmont, MN 56031 (507) 235-6606

AUDIOLOGY Fairmont Hearing Aid Service 400 North State Street, Fairmont, MN 56031 (507) 235-5323 or Toll Free 1-800-967-2039 Paul D. Nelson, Au.D. Doctor Of Audiology

Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8500 John Tunnell, Au.D. Board Certified Audiologist

BALANCE CLINIC

CREST 820 Winnebago Ave., Fairmont, MN (507)-235-3833 Rob Stauter - Executive Director Karen Koeder - Associate Director Joyce Peterson - Caregiver Support Coordinator Tina Krumwiede - Martin County West Care Coordinator

CARRY OUT FOOD SERVICE Lakeview Methodist Health Care Center Dietary Department 610 Summit Drive, Fairmont, MN 56031 (507) 235-6606, ext. 233 Dru Egeness

CHEMICAL DEPENDENCY ADDICTION United Hospital District Adolescent Treatment Center 620 First Street, S.W., Box 278, Winnebago, MN 56098 (507) 893-3885

CHEMOTHERAPY

Mayo Clinic Health System

Mayo Clinic Health System

800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8500 John Tunnell, Au.D. Board Certified Audiologist

CHIROPRACTIC

800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8515

Fairmont Family Chiropractic & Acupuncture Dr. Timothy Hamp 1125 Spruce St., Fairmont, MN (507) 235-6629

Sentinel Healthcare Directory - August 2019 - Page 19

CHIROPRACTIC

COUNSELING SERVICES

Lund Chiropractic Clinic

Dr. Joseph E. Switras

118 W. 2nd Street, Fairmont, MN 56031 (507) 235-3331 Dr. John B. Lund

208 West 2nd Street, Fairmont, MN 56031 (507) 235-5651

Optimal Health & Chiropractic 115 1/2 W. Blue Earth Ave. Fairmont, MN 56031 (507) 235-5505

Jackson MN Office 402 2nd St., Jackson, MN 56143 507-847-2112

CLINICS Dulcimer Medical Center 1950 Center Creek Drive, Fairmont, MN 56031 (507) 238-4968 Steven E. Parnell, M.D. Rebekah Boer, N.P. Samantha Farnum, C-FNP Amy Fitzgerald, C-FNP Carolyn Drevlow C-FNP Nate Reyelts, PA-C Kaylynn Steinkamp, PA-C Dr. Kevin Kimm, DO Dr. Rick Erbes, DPM

Mayo Clinic Health System • Fairmont 800 Medical Center Drive, Fairmont, MN 56031 238-8500 or 1-800-234-6141 (Toll Free)

• Armstrong 412 Sixth Street, Armstrong, IA 50514 (507) 238-8500

• Sherburn 32 North Main Street, Sherburn, MN 56171 (507) 238-8500

• Truman 401 N. Fourth Avenue East, Truman, MN 56088 (507) 238-8500

United Hospital District and Clinics Blue Earth 515 South Moore Street, Blue Earth, MN 56013 (507) 526-7388

Fairmont 221 East First Street, Fairmont, MN 56031 (507) 238-1287

Wells 55 First Street S.E., Wells, MN 56097 (507) 553-6550

Winnebago 1 N. Main Street, Winnebago, MN 56098 (507) 893-3399

Eunoia Family Resource Center, P.A. • Fairmont 1420 N. State Street, Fairmont, MN 56031 (507) 235-6070

• Gaylord 112 5th Street, P.O. Box 392, Gaylord, MN 55334 (507) 299-6038

• Mankato 1400 Madison Avenue, Suite 602, Mankato, MN 56001 (507) 779-7366

• New Ulm 1226 S. Broadway, New Ulm, MN 56073 (855) WEL-MIND

• St. James 116 7th Street South, St. James, MN 56081 (855) WEL-MIND

Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8598 Annette Bremer, L.I.C.S.W. Siri Heille, C.N.P. Brian Koranda, L.P.

Mayo Clinic Health System Blue Earth Counseling Services Town & Country Plaza, 411 S. Grove Street, Suite 3, Blue Earth, MN 56013 (507) 526-4642 Annette Bremer, L.I.C.S.W. Brian Koranda, L.P.

United Hospital District 515 South Moore St., Blue Earth, MN 56013 (507) 526-7388 Carol Follingstad, Psy. D. Rebecca Mensing, LICSW

DENTISTRY Birch Street Dentistry Jeff Fordice, DDS 1120 Birch Street, Fairmont, MN 56031 (507) 238-4276 www.BirchStreetDentistry.com

Fairmont Family Dentistry, P.A. Jon T. Erickson, DDS Kurt D. Erickson, DDS 1950 Center Creek Drive, Suite 200, Fairmont, MN 56031 (507) 238-2812

Sentinel Healthcare Directory - August 2019 - Page 20

DERMATOLOGY

EYE CARE/PRODUCTS

Mayo Clinic Health System

Mayo Clinic Health System

800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8500 (Monday-Friday)

800 Medical Center Drive, Fairmont, MN 56031 (507) 238-4311 Optical Center (507) 238-4312 Robert Friese, O.D. Anna Kitzmann, M.D.

DIABETES EDUCATION Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8500 Jill O’Donnell, RN, CDE

United Hospital District 515 South Moore Street, Blue Earth, MN 56013 (507) 526-3273 Janel Buseman, C.D.E. Carolyn Kryzer, RDN, LD

DIETITIAN Lakeview Health Services 610 Summit Drive, Fairmont, MN 56031 (507) 235-6606

Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8500 Anne Sheppard, LD

United Hospital District 515 South Moore St., Blue Earth, MN 56013 (507) 526-3273 Carolyn Kryzer, RDN, LD

EMERGENCY CARE Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8100 Information or 1-800-234-6141 (Toll Free) Emergency Department - 24/7

United Hospital District 515 South Moore Street, Blue Earth, MN 56013 (507) 526-3273 Emergency Department - (507) 526-7965

ENT Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8500 Kaveh Karimnejad, M.D. Sarah Moyle, P.A.-C.

United Hospital District 515 South Moore Street, Blue Earth, MN 56013 (507) 526-7388 Joshua Espelund, MD Matthew Patterson, MD

FAMILY MEDICINE Dulcimer Medical Center 1950 Center Creek Drive, Fairmont, MN 56031 (507) 238-4968 Steven E. Parnell, M.D. Rebekah Boer, N.P. Samantha Farnum, C-FNP Amy Fitzgerald, C-FNP Carolyn Drevlow, C-FNP Nate Reyelts, PA-C Kaylynn Steinkamp, PA-C Dr. Kevin Kimm, DO Dr. Rick Erbes, DP.M Consultants Providing Services Dr. Mark Taylor, OB/OYN Dr. Kanwai, caradiology Dr. Gary Goldbert, Urology Echocardiography Mpls. Heart Inst.

Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8500 Ingrid Chan, M.D. Trevor Chan, M.D. Jeffrey Green, M.D. Anissa Hoffmann, P.A.-C. Adriana Jensen, C.N.P. Marie Morris, M.D. Nirmala Narasimha, M.D. April Poolman, C.N.P. Tim Slama, D.O. Heidi Stevermer, C.N.P. Jessica Julig-Weedman, D.N.P.

Sentinel Healthcare Directory - August 2019 - Page 21

FAMILY MEDICINE

GYNECOLOGY

United Hospital District

Mayo Clinic Health System

515 South Moore Street, Blue Earth, MN 56013 (507) 526-7388 Timothy Bachenberg M.D. Mandy Carr, PA-C Julie Clements, CNP Aaron Johnson, M.D. Bob Karp, M.D. Deb McCarty D.O. Michael McCarty, PA-C Mary Sebos, APRN-FNP Mary Trites, M.D. Teresa Stevermer, CNP

800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8500 Jonathan Buchholz, M.D. Okey Osuebi, M.B.B.S.

221 E.First St., Fairmont, MN56031 (507) 238-1287 Timothy Bachenberg, M.D. Julie Clements, CNP Bob Karp M.D.

Hy-Vee

55 First St. S.E., Wells, MN 56097 (507) 553-6550 Aaron Johnson, M.D. Deb McCarty, D.O. Kara Ristau, CNP Teresa Stevermer, CNP 1 N. Main St., Winnebago, MN 56098 (507) 893-3399 Mary Trites, M.D.

GENERAL SURGERY Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8500 Kendra Kamlitz, M.D. Hyun Kim, M.D.

United Hospital District 515 South Moore Street, Blue Earth, MN 56013 (507) 526-3273 Alex Wong, M.D. Anesthesia Staff Carmelle McHarg, CRNA James Dorn, CRNA Laraine Klunder, CRNA

GROCERY STORE Hy-Vee 907 South State Street, Fairmont, MN 56031 (507) 238-4323

United Hospital District 515 South Moore Street, Blue Earth, MN 56013 (507) 526-7388 Joesph Montanaro Jr., M.D.

HEALTH MARKET/GLUTEN FREE FOODS, SPECIAL DIETARY 907 South State Street, Fairmont, MN 56031 (507) 238-4323

HEARING AIDS/TESTING Fairmont Hearing Aid Service 400 North State Street, Fairmont, MN 56031 (507) 235-5323 or Toll Free 1-800-967-2039 Paul D. Nelson, Au.D., Doctor Of Audiology Karen Marlow, LHIS Licensed Hearing Instrumental Specialist

Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8500 John Tunnell, Au.D. Board Certified Audiologist

HOME HEALTH CARE ADARA Home Health 117 West Blue Earth Avenue, Fairmont, MN 56031 (507) 235-3898

Baywood Home Care 1001 E. Blue Earth Ave, Fairmont. MN (507) 399-2080

United Hospital District-Home Health and Hospice-Blue Earth 125 S. Main Street, Blue Earth, MN 56013 (507) 526-7970

United Hospital District-Home Health and Hospice-Fairmont 99 Downtown Plaza., Fairmont, MN 56031 (507) 238-2001

Sentinel Healthcare Directory - August 2019 - Page 22

HOME HELPER SERVICES

HOUSING WITH SERVICES

ADARA Home Health

Goldfinch Estates

117 West Blue Earth Avenue, Fairmont, MN 56031 (507) 235-3898

850 Goldfinch Street, Fairmont, MN 56031 (507) 235-9405

Baywood Home Care

Ingleside

1001 E. Blue Earth Ave, Fairmont. MN (507) 399-2080

A Colony Court Senior Living Solution Assisted Living, Memory Care & Care Suites 2811 Roland Avenue, Fairmont, MN 56031 (507) 238-9654 or 1-800-450-1019

CREST 820 Winnebago Avenue, Fairmont, MN (507)-235-3833 Rob Stauter - Executive Director Karen Koeder - Associate Director Joyce Peterson - Cargiver Support Coordinator Tina Krumwiede - Martin County West Care Coordinator

Maplewood Residence Senior Independent Living Portion Of Lakeview Health Services 620 Summit Drive, Fairmont, MN 56031 (507) 235-3443

HOME MEDICAL SUPPLIES

Remick Ridge Estates

Mayo Clinic Health System Home Oxygen Services/CPAP/BIPAP

350 6th Ave, Windom, MN 56101 (507) 831-1788

800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8100 or 1-800-234-6141 (Toll Free)

Woodland Manor

HOSPICE Compassionate Care Hospice Serving Martin and 12 other counties on a daily basis 31361 State Highway 266, Worthington, MN 56187 1-877-372-7003 (Toll Free)

Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 594-2618 or 1-800-327-3721 (Toll Free)

United Hospital District-Home Health and Hospice-Blue Earth

610 Summit Drive, Fairmont, MN 56031 (507) 235-6606

INDEPENDENT LIVING Maplewood Residence Senior Independent Living Portion Of Lakeview Health Services 620 Summit Drive, Fairmont, MN 56031 (507) 235-3443

Remick Ridge Estates 350 6th Ave, Windom, MN 56101 (507) 831-1788

125 South Main Street, Blue Earth, MN 56013 (507) 526-7970

INR/COUMADIN CLINIC

United Hospital District-Home Health and Hospice-Fairmont

800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8500

99 Downtown Plaza, Fairmont, MN 56031 (507) 238-2001

United Hospital District

HOSPITAL Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8100 or 1-800-234-6141 (Toll Free)

United Hospital District 515 South Moore Street, Blue Earth, MN 56013 (507) 526-3273 (24/7) TTY (507) 526-4411

Mayo Clinic Health System

515 South Moore Street, Blue Earth, MN 56013 (507) 526-3273

INTERNAL MEDICINE Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8500 Durga Komaragiri, M.D. Julie Rolstad, C.N.P. Timothy Sheneman, D.O.

Sentinel Healthcare Directory - August 2019 - Page 23

INTERNAL MEDICINE

MEDICAL CENTER

United Hospital District

Dulcimer Medical Center

515 South Moore Street, Blue Earth, MN 56013 (507) 526-7388 Timothy Bachenberg M.D. Mandy Carr, PA-C Julie Clements, CNP Aaron Johnson, M.D. Bob Karp, M.D. Deb McCarty D.O. Michael McCarty, PA-C Mary Sebas, APRN, FNP Mary Trites, M.D. Teresa Stevermer, CNP

1950 Center Creek Drive, Fairmont, MN 56031 (507) 238-4968 Steven E. Parnell, M.D. Rebekah Boer, N.P. Samantha Farnum, C-FNP Amy Fitzgerald, C-FNP Carolyn Drevlow C-FNP Nate Reyelts, PA-C Kaylynn Steinkamp, PA-C Dr. Kevin Kimm, DO Dr. Rick Erbes, DPM

Mayo Clinic Health System 221 E.First St., Fairmont, MN56031 (507) 238-1287 Timothy Bachenberg, M.D. Julie Clements, CNP Bob Karp M.D. 55 First St. S.E., Wells, MN 56097 (507) 553-6550 Aaron Johnson, M.D. Deb McCarty, DO Kara Ristau, CNP Teresa Stevermer, CNP 1 N. Main St., Winnebago, MN 56098 (507) 893-3399 Mary Trites, M.D.

INVISALIGN DENTAL TREATMENT Birch Street Dentistry Jeff Fordice, DDS 1120 Birch Street, Fairmont, MN 56031 (507) 238-4276 www.BirchStreetDentistry.com

LABORATORY SERVICES Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-5105 or (507) 238-5106

United Hospital District 515 South Moore Street, Blue Earth, MN 56013 (507) 526-3273

MAGNETIC RESONANCE IMAGING (SHORT BORE OPEN MRI) Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8184

800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8500 or 1-800-234-6141 (Toll Free)

United Hospital District 515 South Moore Street, Blue Earth, MN 56013 (507) 526-3273 (24/7) TTY (507) 526-4411 Timothy Bachenberg, M.D. Mandy Carr PA-C Julie Clements, CNP Steven Curtis, M.D. Joshua Espelund, M.D. Carol Follingstad, Psy.D. Christopher Gran, M.D. Chad Helmstetter, PA-C Aaron Johnson, M.D. Bob Karp, M.D. Michael McCarty, PA-C Rebecca Mensing, LICSW Joseph Montanaro Jr., M.D. Matthew Patterson, M.D. Mary Sebas, APRN, FNP Tim Soelter, PA-C Teresa Stevermer, CNP Mary Trites, M.D. Alex Wong, M.D. 221 E. First Street, Fairmont, MN 56031 (507) 238-1287 Timothy Bachenberg, M.D. Julie Clements, CNP Christopher Gran, M.D. Chad Helmstetter, PA-C Bob Karp, M.D. Joseph Montanaro Jr., M.D. Tim Soelter, PA-C Scott Stevens. M.D. 55 First Street, Wells, MN 56097 (507) 553-6550 Aaron Johnson, M.D. Deb McCarty, DO Kara Ristau, CNP Teresa Stevermer, CNP 1 N. Main Street, Winnebago, MN 5608 (507) 893-3399 Mary Trites, M.D.

Sentinel Healthcare Directory - August 2019 - Page 24

MEMORY CARE LIVING

NEPHROLOGY

Goldfinch Estates

Mayo Clinic Health System

850 Goldfinch Street, Fairmont, MN 56031 (507) 235-9405

800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8500 Mohamed (Samir) Toumeh, M.D. Becky Ness, PA-C

Ingleside A Colony Court Senior Living Solution Assisted Living, Memory Care & Care Suites 2811 Roland Avenue, Fairmont, MN 56031 (507) 238-9654 or 1-800-450-1019

MENTAL HEALTH Dr. Joseph E. Switras 208 West 2nd Street, Fairmont, MN 56031 (507) 235-5651

Eunoia Family Resource Center, P.A. • Fairmont 1420 N. State Street, Fairmont, MN 56031 (507) 235-6070

• Gaylord 112 5th Street, P.O. Box 392, Gaylord, MN 55334 (507) 299-6038

• Mankato 1400 Madison Avenue, Suite 602, Mankato, MN 56001 (507) 779-7366

• New Ulm 1226 S. Broadway, New Ulm, MN 56073 (855) WEL-MIND

• St. James 116 7th Street South, St. James, MN 56081 (855) WEL-MIND

Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8598 Annette Bremer, L.I.C.S.W. Siri Heille, C.N.P. Brian Koranda, L.P.

Mayo Clinic Health System

NURSING HOME Lakeview Methodist Health Care Center 610 Summit Drive, Fairmont, MN 56031 (507) 235-6606

NUTRITION COUNSELING United Hospital District 515 South Moore Street, Blue Earth, MN 56013 (507) 526-7388 Carolyn Kryzer, RDN, LD

OBSTETRICS Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8500 Jonathan Buchholz, M.D. Okey Osuebi, M.B.B.S.

United Hospital District 515 South Moore Street, Blue Earth, MN 56013 (507) 526-7388 Bob Karp, M.D. Joseph Montanaro Jr., M.D. 221 East First Street, Fairmont, MN 56031 (507) 238-1287 Bob Karp, M.D. Joseph Montanaro Jr., M.D.

OCCUPATIONAL HEALTH Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-5129

OCCUPATIONAL THERAPY

Blue Earth Counseling Services Town & Country Plaza, 411 S. Grove Street, Suite 3, Blue Earth, MN 56013 (507) 526-4642 Annette Bremer, L.I.C.S.W. Brian Koranda, L.P.

Lakeview Health Services

United Hospital District

800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8196

515 South Moore Street, Blue Earth, MN 56031 (507) 526-7388 Carol Follingstad, Psy.D. Rebecca Mensing, LICSW

610 Summit Drive, Fairmont, MN 56031 (507) 235-6606

Mayo Clinic Health System Rehabilitation Services

United Hospital District 515 South Moore Street, Blue Earth, MN 56013 (507) 526-3273 115 South Park Street (Presentation College), Suite 117 Fairmont, MN (507) 238-1287

Sentinel Healthcare Directory - August 2019 - Page 25

ONCOLOGY

ORTHOPEDICS

Mayo Clinic Health System

United Hospital District

800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8515 Mohammad Ranginwala, M.D. Amrit Singh, M.D. Stephan Thome, M.D.

515 South Moore Street, Blue Earth, MN 56013 (507) 526-7388 Steven Curtis, M.D. Chad Helmstetter, PA-C Tim Soelter, PA-C

OPHTHALMOLGISTS Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-4311 Anna Kitzmann, M.D. Board Certified Ophthalmologists

United Hospital District 515 South Moore Street, Blue Earth, MN 56013 (507) 526-3273 Todd Gavin, M.D.

OPTICAL CENTER Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-4312

OPTOMETRISTS Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-4311 Robert Friese, O.D. Licensed Optometrist

ORAL DENTISTRY WITH SEDATION Fairmont Family Dentistry, P.A. Jon T. Erickson, DDS 1950 Center Creek Drive, Suite 200, Fairmont, MN 56031 (507) 238-2812

ORTHODONTICS Birch Street Dentistry Jeff Fordice, DDS 1120 Birch Street, Fairmont, MN 56031 (507) 238-4276 www.BirchStreetDentistry.com

ORTHOPEDICS Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8500 Stephen Berthelsen, M.D. Mark Wikenheiser, M.D. Board Certified Orthopedic Surgeons Luke Madsen, D.P.M. Board Certified Podiatrist Jauclyn Green, APRN, C.N.P.

221 East First Street, Fairmont, MN 56031 (507) 238-1287 Chad Helmstetter, PA-C Tim Soelter, PA-C Scott Stevens, M.D.

ORTHOPEDICS & SPORTS MEDICINE United Hospital District 515 South Moore Street, Blue Earth, MN 56013 (507) 526-7388 Steven Curtis, M.D. Chad Helmstetter, PA-C Tim Soelter, PA-C 221 East First Street, Fairmont, MN (507) 238-1287 Chad Helmstetter, PA-C Tim Soelter, PA-C Scott Stevens, M.D.

PATHOLOGY United Hospital District 515 South Moore Street, Blue Earth, MN 56013 (507) 526-3273

PEDIATRIC & ADOLESCENT DENTISTRY Fairmont Family Dentistry, P.A. Jon T. Erickson, DDS Kurt D. Erickson, DDS 1950 Center Creek Drive, Suite 200, Fairmont, MN 56031 (507) 238-2812

PEDIATRIC & ADOLESCENT MEDICINE Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8500

United Hospital District 515 South Moore Street, Blue Earth, MN 56013 (507) 526-7388 221 East First Street, Fairmont, MN 56031 (507) 238-1287 55 First St. S.E., Wells, MN 56097 (507) 553-6550 1 N. Main St., Winnebago, MN 56098 (507) 893-3399

Sentinel Healthcare Directory - August 2019 - Page 26

PHARMACY

PSYCHIATRY-PSYCHOLOGY

Hy-Vee

Mayo Clinic Health System

907 South State Street, Fairmont, MN 56031 (507) 238-2880

Blue Earth Counseling Services Town & Country Plaza, 411 S. Grove Street, Suite 3, Blue Earth, MN 56013 (507) 526-4642 Annette Bremer, L.I.C.S.W. Brian Koranda, L.P.

PHYSICIAL MEDICINE & REHABILITATION Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8196

United Hospital District

Lakeview Health Services

515 South Moore Street, Blue Earth, MN 56013 (507) 526-3273 Carol Follingstad, Psy. D Rebecca Mensing, LICSW

610 Summit Drive, Fairmont, MN 56031 (507) 235-6606

PSYCHOLOGY

Mayo Clinic Health System

Eunoia Family Resource Center, P.A. • Fairmont

800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8500

1420 N. State Street, Fairmont, MN 56031 (507) 235-6070

PHYSICAL THERAPY

• Gaylord United Hospital District 515 South Moore Street, Blue Earth, MN 56013 (507) 526-3273 115 South Park Street, (Presentation College), Suite 117, Fairmont, MN 56031 (507) 238-4162 55 First Street S.E., Wells, MN 56097 (507) 553-6550

PODIATRY Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8500 Luke Madsen, D.P.M. Board Certified Podiatrist Jodi Ndemo, C.N.P.

PREGNANCY COUNSELING

112 5th Street, P.O. Box 392, Gaylord, MN 55334 (507) 299-6038

• Mankato 1400 Madison Avenue, Suite 602, Mankato, MN 56001 (507) 779-7366

• New Ulm 1226 S. Broadway, New Ulm, MN 56073 (855) WEL-MIND

• St. James 116 7th Street South, St. James, MN 56081 (855) WEL-MIND

PULMONARY Compassionate Care Hospice Pulomary Connections - An end stage lung disease management program 31361 State Highway 266, Worthington, MN 56187 1-877-372-7003 (Toll Free)

Options Pregnancy Center

RADIOLOGY/IMAGING

322 E. blue Earth Avenue Fairmont, MN 56031 (507) 238-2330

Mayo Clinic Health System

PSYCHIATRY-PSYCHOLOGY Dr. Joseph E. Switras 208 West 2nd Street, Fairmont, MN 56031 (507) 235-5651

Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8598 Annette Bremer, L.I.C.S.W. Siri Heille, C.N.P. Brian Koranda, L.P.

800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8184

United Hospital District 515 South Moore Street, Blue Earth, MN 56013 (507) 526-3273 221 East First Street, Fairmont, MN 56031 (507) 238-1287 55 First Street S.E., Wells, MN 56097 (507) 553-6550

Sentinel Healthcare Directory - August 2019 - Page 27

REHABILITATION

SPINE CARE

Lakeview Methodist Health Care Center

Lund Chiropractic Clinic

610 Summit Drive, Fairmont, MN 56031 (507) 235-6606

118 W. 2nd Street, Fairmont, MN 56031 (507) 235-3331

Mayo Clinic Health System

URGENT CARE

Physical & Occupational Therapy Speech-Language Therapy 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8196

RETIREMENT LIVING Goldfinch Estates 850 Goldfinch Street, Fairmont, MN 56031 (507) 238-9405

Ingleside

Dulcimer Medical Center 1950 Center Creek Drive, Fairmont, MN 56031 (507) 238-4968

Mayo Clinic Health System 800 Medical Center Drive, Located In The Clinic, Fairmont, MN 56031

UROLOGY

A Colony Court Senior Living Solution Assisted Living, Memory Care & Care Suites 2811 Roland Avenue, Fairmont, MN 56031 (507) 238-9654 or 1-800-450-1019

Dulcimer Medical Center

Maplewood Residence

800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8500 Mark Leo, M.D. Sara Snyder, C.N.P.

Senior Independent Living Portion Of Lakeview Healthview Health Services 620 Summit Drive, Fairmont, MN 56031 (507) 235-3443

Remick Ridge Estates 350 6th Ave S, Windom, MN 56010 (507) 831-1788

1950 Center Creek Drive, Fairmont, MN 56031 (507) 238-4968

Mayo Clinic Health System

United Hospital District 515 South Moore Street, Blue Earth, MN 56013 (507) 526-7388 Christopher Gran, M.D.

610 Summit Drive, Fairmont, MN 56031 (507) 235-6606

221 East First St., Fairmont MN 56031 (507) 238-1287 Christopher Gran, M.D.

SKILLED NURSING CARE

VOLUNTEER OPPORTUNITIES

Woodland Manor

Lakeview Methodist Health Care Center

CREST

Mayo Clinic Health System

820 Winnebago Avenue, Fairmont, Mn 56031 (507)-235-3833 Rob Stauter - Executive Director Karen Koeder - Associate Director Joyce Peterson - Caregiver Support Coordinator Tina Krumwiede - Martin County West Care Coordinator

800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8500

WEIGHT LOSS SURGERY

610 Summit Drive, Fairmont, MN 56031 (507) 235-6606

SLEEP STUDIES

United Hospital District 515 South Moore Street, Blue Earth, MN 56013 (507) 526-3273 Matthew Patterson, M.D.

SPEECH/LANGUAGE PATHOLOGY Lakeview Health Services 610 Summit Drive, Fairmont, MN 56031 (507) 235-6606

Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8196 Jean Gerdes, CCC-SLP

United Hospital District 515 South Moore Street, Blue Earth, MN 56013 (507) 526-3273

WEIGHT LOSS SURGERY PRE- AND POST-SURGICAL CARE Mayo Clinic Health System 800 Medical Center Drive, Fairmont, MN 56031 (507) 238-8500 Megan Gilmore, M.D. Board Certified Surgeon Heidi Bednarchuk, C.N.S.

Sentinel Healthcare Directory - August 2019 - Page 28

Do pregnancy, pot mix?

CHICAGO (AP) — Pregnancy started out rough for Leslie Siu. Morning sickness and migraines had her reeling and barely able to function at a demanding New York marketing job, so like rising numbers of U.S. mothers-to-be, she turned to marijuana. “l was finally able to get out from under my work desk,” said Siu, who later started her own pot company and says her daughter, now 4, is thriving.

There’s no proof that cannabis can relieve morning sickness, and mainstream medicine advises against use in pregnancy because of studies suggesting it might cause premature birth, low birthweight and infant brain deficits. But the National Institute on Drug Abuse is pressing for more solid evidence. Many of those studies were in animals or complicated by marijuana users’ other habits and lifestyles.

“I don’t want us to cry wolf,” said Dr. Nora Volkow, the agency’s director. “We have to do these studies in a way that can identify risks.”

With nearly $200,000 from her agency, University of Washington scientists in Seattle are seeking clearer answers in a new study investigating potential effects on infants’ brains. The agency is supporting three similar studies in other states.

In Seattle, they’re enrolling pregnant women during their first trimester who are already using marijuana for morning sickness. Researchers don’t provide the pot, and the use of other drugs, tobacco and alcohol isn’t allowed. Infants will undergo brain scans at 6 months and will be compared with babies whose mothers didn’t use marijuana while pregnant.

Associated Press

Above: Leslie Siu poses for a portrait next to her cannabis spray products geared toward women at Groundswell dispensary in east Denver. Pregnancy started out rough for her. Morning sickness and migraines had her reeling and barely able to function at a demanding New York marketing job, so like rising numbers of U.S. mothers-tobe, she turned to marijuana.

For government and university authorities, it’s worthy research that takes advantage of a booming trend.

Recent data show the number of pregnant U.S. pot users has doubled since 2002, with 7% reporting recent use and higher rates in some states.

But some opponents of recreational marijuana who think the science is settled have complained to the university and the federal government, calling it bogus research that endorses drug use and needlessly endangers fetuses.

The criticism underscores the challenges of investigating how drugs of any kind affect pregnant

women and their offspring.

“There are so many reasons NOT to study drugs — particularly fear of causing birth defects. But the results would be no studies of the drugs’ efficacy during pregnancy, or the risks to the fetus,” said Dr. John Lantos, director of pediatric bioethics at Children’s Mercy hospital in Kansas City, Missouri. “It’s risky to do studies of potentially risky drugs but it’s risky not to do studies.”

Scientist Natalia Kleinhans is leading the University of Washington’s study, aiming to recruit 35 pregnant marijuana users and 35 pregnant women who didn’t use pot.

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