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For Your Health Medical Guide

August 2020

Northeast Nebraska

2020 — For Your Health

Providence Medical Center Extraordinary Care Rooted in Compassion Outpatient Specialty Services

Medical Staff

(402) 375-7953 Behavioral Health Counseling Cardiology

Dr. Benjamin J. Martin

Dr. Mark McCorkindale

Dr. Samuel J. Recob

Dr. Melissa Dobbins

Dermatology E.N.T. G.I./Surgery Nephrology Neurologist Neurosurgery OB-GYN Oncology Ophthalmology

Dr. Angela McLaughlin

Gary West, PA-C

Ross Hansen, PA-C

Diane Meyer, APRN

Orthopedics Pain Management Podiatry Psychiatry Pulmonology Urology Vascular Wound Care

MaKayla Garcia, APRN

Kathy Mohlfeld, EdD, LCSW MercyOne Heart & Vascular Center Dr. Hakim Faith Regional CardioVascular Institute Dr. Hartzell and Dr. Velagapudi Dr. Chabra Emily Kruse, P.A. Dr. Ford Dr. Vollstedt Dr. Nemechek Dr. Weitzmann Dr. He Dr. Johnson Dr. Schulte Dr. Eastman Dr. Fahed Dr. Haskins Dr. Carreau Dr. Woodbury Dr. Piperis Dr. Gangwer Dr. Meinhold Dr. Gillette Dr. Nadala Camille Kantai, P.A. Dr. Althaus Dr. Laurich Janis Harrison

Services available 24 hours a day, 7 days a week: (402) 375-3800 Trauma Level IV Emergency, Inpatient Nursing Services, OB Services Providence Therapy Service

Providence Wellness Center

Providence Community Pharmacy

Physical Occupational Speech

Open:

M-Th: 5am-10pm Friday: 5am-7pm Saturday: 8am-3pm Sunday: Noon-6pm (402) 375-7927

M-F: 9am-6pm Saturday: 9am-2pm 803 Providence Road Suite 101 (402) 375-8862

Wayne: (402) 375-7937 Laurel: (402) 256-9551 Wakefield: (402) 287-1005

Providence Medical Center complies with applicable Federal civil rights lawas and does not discriminate on the basis of race, color, national origin, age, disabiity or sex. Espanol (Spanish) — ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-402-375-3800. Tiếng Việt (Vietnamese) — CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-402-375-3800.

1200 Providence Road, Wayne, NE • Providencemedical.com

2020 — For Your Health

IN THIS issue PMC recognized as Top 100 Critical Access Hospital.......................................... 4 He’s my Godwink........................................................ 5 Migraine sufferers guaranteed relief......................... 7 Faith Regional Foundation provides defibrillators............................................ 8 Signs you might be allergic to your medication.......10 PMC working to meet community needs................. 11 Brookdale Wayne becomes Kinship Pointe..............13 Still struggling with hearing aids?.............................14 PMC receives Women’s Choice Award.....................16 Migraines differ from other types of headaches..... 17 Patient Navigators at your side.................................18 Nebraska Cancer Specials offer cancer treatment...................................................19 Post-intensive care syndrome................................... 21 Get to know mental health like the back of your hand..................................................22 Home Instead Senior Care hosts series of webinars.................................................23 New equipment helps Providence Therapy patients take ‘steps’ to recovery ........................ 24 Heritage of Emerson focuses on providing ‘Dignity in Life’..................................... 25 Our ancestors may have held the secret to better brain health................................27 PMC here for Northeast Nebraska during pandemic................................................... 28 Parkinson Voice Project awards 2020 grant to PMC................................................ 30 PMC adds telehealth capabilities..............................31 Prediabetes can be a serious precursor to Type 2 diabetes................................32 Northeast Nebraska Health Department, partners join forces.............................................. 33 Sleep apnea more than just excessive snoring....... 34 Learn the signs of thyroid cancer............................ 34 Diet checkup tool, counseling can help heart health........................................... 35 Five big health threats for men................................ 36 Depression may complicate recovery from peripheral artery disease............................ 37 Seven myths about sunglasses that could damage your vision............................ 38 Published by

114 Main Street • Wayne, NE 68787 • 402-375-2600 Advertising: Tracy Daniels, Brianna Forman, Jade Olsufka Ads & Layout: Alyce Henschke

2020 — For Your Health

Providence Medical Center recognized by The Chartis Center for Rural Health as a Top 100 Critical Access Hospital Providence Medical Center in Wayne announced it has been named a 2020 Top 100 Critical Access Hospital by The Chartis Center for Rural Health. This annual award honoring rural hospital performance is determined by the results of iVantage Health Analytics’ Hospital Strength INDEX, which is celebrating its

10th anniversary in 2020. “We are proud to share this is the second consecutive year that PMC has received this ranking and the third time in the past five years,” Jim Frank CEO of Providence Medical Center said. “There are approximately 1,300 Critical Access Hospitals in the nation, and PMC in ranked in the top 8

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percent in the country.” Based entirely on publicly available data, the INDEX is the industry’s most comprehensive and objective assessment of rural hospital performance. Utilizing 50 independent indicators, the INDEX assesses performance across eight pillars of performance that span market-, value- and financebased categories. Hospitals recognized as a Top 100 facility had one of the 100 highest overall scores among all Critical Access Hospitals nationally. “The Top 100 Critical Access Hospital award program re-

minds us that rural providers haven’t lost touch with their mission and are committed to delivering better quality, better outcomes and better patient satisfaction,” Michael Topchik, National Leader, The Chartis Center for Rural Health said. In 2020, PMC was also named one of America’s Best Hospitals for Emergency Care by the Women’s Choice Award. The award signifies that Providence Medical Center is in the top eight percent of 4,191 U.S. hospitals offering emergency care services.

2020 — For Your Health

He’s my Godwink Marcia Johnson is one tough lady. During the Christmas Blizzard of 2009, Johnson fell. Even though she was in a significant amount of pain, she didn’t go to the emergency room. That Christmas, much of Nebraska was experiencing whiteout conditions that upended holiday plans and stranded many people far from home. So she toughed it out, went to bed, hobbled around for a few months and, eventually, the pain started to dissipate. Years later, Stephen Smith, MD, a local orthopedic surgeon, discovered that Johnson had actually broken her hip in that fall. But Johnson pushed on. Then, last year, she began experiencing consistent pain. “Slowly the pain got worse and worse, until it became unbearable,” she says. In July, she went to the doctor again. “The pain was too much,” she says. Johnson consulted with all the orthopedic surgeons in Norfolk, but her situation was very complex. She’d had both of her hips replaced in 2001. When she fell and fractured her pelvis, a fibrous scar tissue formed, which initially provided her stability, but, over time, failed to fully heal. The cup of her hip replacement moved past the bony stop inside her pelvis because of significant

bone loss, putting it near her bladder and other vital structures. For a case like hers, Johnson would need a surgeon trained in advanced hip revisions with experience in dealing with bone loss and achieving stability, if needed. The final consensus was that Johnson would need to go out of the area for this type of operation. Her orthopedic team first tried Nebraska Medicine, but Johnson wasn’t going to be able to get in, even for a consultation, until Sept. 18. It was only the second week in July. “The orthopedic team at Faith Regional tried everyone they could think of: Grand Island, Omaha, Lincoln,” she says. At one point, the pain grew so severe that Johnson traveled to the emergency room at Nebraska Medicine. “They kept me overnight, did a CT scan, and tried to help with the pain, but I was released the next day,” she says. “I cried all the way home.” Johnson was at the orthopedic office in Norfolk, getting an injection, when Dr. Smith let her know that there was a new doctor in town. This doctor had completed an adult reconstruction and hip arthroscopy fellowship during his training. “He said, ‘Marcia, I think he can help you,’” she says. The

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following Monday, Johnson met Michael Woodbury, DO. Johnson remembers the moment vividly. “He entered the room, sat down and looked at the x-rays. His eyes opened up. I could tell he knew what he was looking at, and he knew what he was doing. Just watching him gave me so much hope.” “He said, ‘Marcia, I can fix this, and you’ll only need one incision,’” she says. “I can’t describe the feeling in my stomach -- this huge realization of letting go: This is actually going to happen.” “When we walked out, I looked at my aunt who was with me and said, ‘This is a God thing,’” Johnson says. “’I will be able to have the surgery done in Norfolk, and it’s going to be sooner.’ She said, ‘I know.’”

Protecting what’s important Protecting what’s important

Johnson’s surgery was scheduled for a week and a half later. “I can’t tell you the relief I felt. I can’t describe the pain I was in,” she says. In the time leading up to the surgery, Johnson kept coming across this term: Godwink. “It’s when God knows where you are, what you are and what you need,” she explains. Johnson had the surgery on Oct. 3. Today, she is no longer in pain. “The hospital staff was all wonderful,” she shares. “They were knowledgeable, caring – honest-to-God, genuine caring. This is what it means to have care at home. It’s wonderful. I can’t believe my luck.” When it comes to Dr. Woodbury, “He’s my Godwink,” Johnson says.

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2020 — For Your Health

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Omaha, NE Location 825 N. 90th Street Omaha, NE 68114 • Lincoln, NE Location 965 South 27th Street, Suite D Lincoln, NE 68510 • Columbus, Nebraska Location 4508 38th St Columbus, NE 68601 • Missouri Valley, Iowa Location 631 N 8th St Missouri Valley, IA 51555

2020 — For Your Health

Migraine sufferers guaranteed relief at Dakota Dunes Headache Management Center Ninety percent of people experiencing a migraine cannot function normally. Along with severe head and neck pain, symptoms include vision disruption; sensitivity to light, sound and smells; and nausea and vomiting. Symptoms vary from patient to patient, but the common thread is that most spend years trying treatment after unsuccessful treatment and find themselves no closer to relief. Migraines and chronic headaches are disruptive and expensive. Treatments prescribed by family physicians, neurologists and other specialists are costly and may or may not be effective. Alternative treatments like essential oils are not backed by any scientific research, and the tab for these can quickly add up too. And just as fast as the costs stack up, so do side effects. These drugs can leave you drowsy, dizzy and less alert and are among the long list of potential side effects. Some, like hair loss, diarrhea, kidney damage, increased chance of stroke and erectile dysfunction are less frequent, but frankly, scarier for many patients. Frequently, migraine sufferers will have to take a drug to combat the side effects caused by the drug prescribed for migraine relief. It’s truly a situation where the treatment is sometimes as bad as the disease. Most migraine sufferers have tried it all, and after years of missing work, games, birthdays, movies, walks and more, most migraine sufferers are frustrated, fearful and often hopeless. Dr. Steve Ferguson, medi-

Patients who suffer from migraines, chronic or daily headaches, dizziness and imbalance or digital vision syndrome can get back to life with guaranteed neurolens treatment at Dunes Eye Consultants’ Headache Management Center. cal director for the Headache Management Center at Dunes Eye Consultants, says shots, pills and even surgery are the go-to treatments for many patients and doctors. These routine treatments can add another layer of complication to an already debilitating problem with unwanted side effects. But the doctors and staff at the Headache Management Center offer a ray of hope. “Vision is a neurological process,” says Ferguson, “and when there’s a disruption in how nerves process information between the eyes and the brain, neurovision symptoms – like migraines and chronic headaches – are a frequent result when the brain has to compensate for this misalignment.” An early adopter of neurolens® technology and a critical investigator in the technolo-

gy’s development, Dunes Eye Consultants is one of the first clinics in the world to offer neurolens testing and treatment for migraines and chronic headaches. These specialized lenses correct this fixation misalignment. Patients frequently see immediate results. “Migraines can knock a strong patient down and keep them down,” says Dr. Ferguson. “Big guys … athletes … I’ve seen them practically brought to tears from the pain.” But when a patient’s fixation misalignment is diagnosed and treated at the Headache Management Center with these specialized lenses, symptoms – and migraines – can be immediately improved.” Ferguson says those are the patients who are crying for joy because this innovative treat-

ment – and a pair of glasses – are game changers. After unsuccessful treatments, many migraine sufferers are wary of promised relief. Ferguson says that patients can set that uncertainty aside. With nearly a 100% success rate and a rare-in-the-industry guarantee, neurolens treatment and the potential to reduce the frequency and severity of migraines and chronic headaches is essentially risk-free. Ferguson believes neurolenses are one of the most promising treatment developments in the last few years. Not only can they provide relief from migraines and chronic headaches, they can alleviate the symptoms associated with digital eye strain or computer vision syndrome. And as our lives revolve more and more around digital devices, symptoms including eye strain, headaches, blurry vision, dry eyes and neck and shoulder pain are becoming a daily struggle for some patients. “We’re so confident in the powerful and demonstrated success of neurolens treatment that if they don’t provide the relief expected, we offer a full refund,” says Ferguson. “Patients whose lives are adversely affected by these headache events really have no reason not to explore neurolens treatment.” Relief is in sight! The Headache Management Center at Dunes Eye Consultants changes lives, reducing or eliminating the need for pills, shots, side effects and treatments used to mask symptoms. “They make life livable

See MIGRAINE, page 8

2020 — For Your Health

Faith Regional Foundation provides businesses, schools with Automated External Defibrillators Faith Regional Health Services recently delivered an Automated External Defibrillator (AED) to Burrows Family Dentistry and Kaler Orthodontics in Wayne. Staff at the facility submitted an application for the AED earlier this year and were notified that they were among those who received the lifesaving devices.

Faith Regional Health Services’ cardiac care coordinator Jenny Simmons, RN and manager of cardiac services, Kim Long, RN have been traveling the region, gifting Automated External Defibrillators (AEDs) to businesses, schools and organizations. “We’ve really enjoyed being able to give back to our communities and the surrounding

area,” said Simmons. “Especially since it’s a gift that could save a life.” AEDs are, by design, easy to use. By following an AED’s simple, clear voice, bystanders can perform the crucial steps that can save a life. Sudden cardiac arrest occurs when the heart stops beating suddenly and unexpectedly. Often, this is caused

by ventricular fibrillation, an abnormality in the heart’s electrical system. When this occurs, blood stops pumping to the brain, heart and rest of the vital organs. Bystanders who promptly begin CPR and defibrillation can keep oxygenated blood flowing through the body and preserve life. However, the biggest hurdle for many schools and businesses who don’t have an AED, is cost. The minimum cost for an AED is around $1,200 which is why Faith Regional launched its AED Community Initiative in 2019. The goal of this initiative is to raise funds to equip schools, businesses and organizations across the region with an AED if in need. Funds to purchase AEDs were raised through two big events - Faith Regional’s par-

See DEFIBRILLATORS, page 9

Migraine

(continued from page 7) again,” says Susan of her neurolenses. “If I meet someone affected by migraines, I immediately start to share my story. I know the pain … the uncertainty that accompanies these headaches, and I also know how life changes when migraines are out of the picture!” Learn if neurolens treatment is right for you. Call the Headache Management Center at Dunes Eye Consultants at (605) 232-6900, or visit duneseye.com to learn more or schedule an appointment today.

2020 — For Your Health

Defibrillators (continued from page 8)

ticipation in the annual Norfolk Area Big Give last May and Faith Regional’s Game of Hearts event in August. After funds were raised, any business, school or organization could submit an application to Faith Regional. All 26 of those that applied received a free AED. Burrows Family Dentistry/ Kaler Orthodontics in Wayne was among those on the list of recipients. “Every two years we (staff) have to be CPR certified. An AED is often talked about at these certifications and demonstrations given on how to use one. That is one reason we chose to apply for one for our office. It is nice to have, but we hope never to have to use it,” Dr. Rob Burrows said. This AED will be kept at the office, located at Seventh and

Pearl Streets, and is available to whomever needs it during regular business hours. Other entities receiving the devices include businesses, schools and churches in Norfolk and Battle Creek, schools in Hartington, the nursing home in Laurel, the Madison County courthouse, schools in Madison, the Neligh Commu-

nity Center, Northeast Nebraska Area Agency on Aging and Disability, Norfolk, Norfolk Country Club, Norfolk Fire and Rescue, Station #1 and Station #2, Norfolk Senior Center, Randolph Community Center, Tilden Community Pool and a school in Plainview. Sudden Cardiac arrest is the leading cause of death in

the United States. Even if you don’t have access to an AED, CPR can help sustain a life until paramedics arrive. Any business, school, or organization that is interested in offering on-site hands-only CPR training to employees, students, or members, is asked to call (402) 644-7222 or email jsimmons@frhs.org.

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2020 — For Your Health

Signs you might be allergic to your medication Medicine helps billions of people across the globe stay healthy. Medicines are used to treat existing illnesses and reduce a patient’s risk of developing others. As effective as medicines can be, no two humans are the same, so medications that may help one person could prove harmful to another. The American Academy of Allergy, Asthma & Immunology notes that all medications can cause side effects, but only 5 to 10 percent of adverse reactions are due to allergies. Allergic reactions begin in the immune system, which controls how the human body defends itself. If a person is allergic to a certain type of medication, his or her immune system identifies the drug as an invader or allergen and it can respond in various ways. The AAAAI notes that the most common im-

mune response to medication is a result of the expansion of T cells. These cells identify the drug as foreign and create a delayed immune response that most often affects the skin. While allergic reactions to medications may not be very common, the AAAAI says that such reactions can be lifethreatening. That highlights the importance of learning the signs of allergic reactions. Symptoms of drug allergies The American College of Allergy, Asthma & Immunology advises anyone who experiences these symptoms while taking medication to speak with their physicians, including an allergist, immediately: • Skin rash or hives • Itching • Wheezing or other breathing problems • Swelling

As effective as medicines can be, no two humans are the same, so medications that may help one person could prove harmful to another. • Anaphylaxis Anaphylaxis is a rare but severe allergic reaction that can occur suddenly and quickly worsen. Symptoms of allergic reactions to medication are not often life-threatening,

but anaphylaxis can be deadly. The ACAAI notes that anaphylaxis occurs when an overrelease of chemicals forces a person to go into shock. Even

See ALLERGIC, page 11

www.providencemedical.com 1200 Providence Road • Wayne, Nebraska 68787 • 402-375-3800

2020 — For Your Health

PMC working to meet community needs Providence Medical Center has always been there for Wayne and the surrounding communities. As a way to continue that commitment, PMC joined the Northeast Nebraska Health Department, Pender Community Hospital and the Winnebago Tribal Health Department to perform an area health assessment with the goal of identifying health needs in the service area with a goal to improve the health of those living in the area. After surveys and townhall-style meetings, behavioral health was identified as one of the key concerns in Northeast Nebraska. Providing Access to appropriate, quality mental and behavioral health services is one way PMC is prepared to serve the healthcare needs of the community. In response to the community health needs assessment, PMC announced a partnership with Senior Life Solutions in January. Senior Life Solutions is an

intensive outpatient group therapy program designed to meet the unique needs of older adults typically ages 65 and over struggling with symptoms of depression and anxiety, stress from age-related health concerns, or difficult life transitions such as the loss of a loved one. Individuals may benefit from the Senior Life Solutions program if they are experiencing any of the following common indicators or triggers of depression and anxiety: •Recently experienced a traumatic event •Lost a spouse or close family member •Loss of interest in previously enjoyed activities •Changes in appetite •Difficulty sleeping •Loss of energy •Feelings of sadness or grief lasting more than two weeks •Feelings of worthlessness or hopelessness. After an individual assessment, seniors can meet up to

Allergic

(continued from page 10) people who have already administered epinephrine, the drug used to treat severe allergic reactions, should visit an emergency room immediately at the first sign of anaphylaxis, which may include trouble breathing, tightness of the throat, hoarse voice, nausea, vomiting, abdominal pain, diarrhea, and dizziness. Rapid heartbeat, low blood pressure, a feeling of doom, cardiac arrest, and fainting are some additional signs of anaphylaxis. According to the AAAAI, most anaphylactic reactions occur within one hour of taking a medication or receiving an injection of the medication. However, such reactions also can take place hours after a medication has been taken. Antibiotics are the most common cause of anaphylaxis, but the AAAAI notes that recent research has shown that chemotherapy drugs and monoclonal antibodies also can induce anaphylaxis. People take medicine to feel better, but sometimes their bodies and certain medications are not a match. As a result, people must be vigilant when taking medications for the first time, paying particular attention to how their bodies react. More information about allergic reactions to medication is available at aaaai. org.

three times per week in a supportive, encouraging group setting. The program staff includes a board-certified psychiatrist, a licensed social worker, a registered nurse, and a patient coordinator all dedicated to the emotional well-being of the seniors in our community. Referrals to the program can be made by anyone, including a patient’s physician, family member, the patient themselves, or another healthcare professional. For more information, call the Providence Medical Center’s Senior Life Solutions program at (402) 375-7958. “Partnering with Senior Life Solutions helps us fill an important healthcare gap in our community. I am excited about the future of this program and confident it will bring great value to the seniors in our area,” said Jim Frank CEO Provi-

dence Medical Center. In addition to partnering with Senior Life Solutions, PMC has also added counseling services with the addition of Kathy Mohlfeld, EdD, MSW, LCSW, LMHP. Mohlfeld is a Licensed Clinical Social Worker with over 20 years of experience. She specializes in helping people manage their stress, increase their coping skills and process their experiences. Mohlfeld said seeking Behavior Health support can be daunting and those who need it can be at a variety of stages in processing their needs. “We’re here for those people who are at a stage where they’re ready to work on an issue,” Mohlfeld said. A wellness perspective is used to assist patients with:

T f T w

See NEEDS, page 12

We provide solutions for all your hearing and communication needs. Katie M. Gamerl, Au.D. Doctor of Audiology

Call today! (402) 371-2724 Norfolk Audiology, P.C. 109 North 29th Street | Norfolk, NE 68701 norfolkaudiology.com

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a g

2020 — For Your Health

Needs

(continued from page 11) •Anxiety •Stress •Depression •Substance abuse and relapse prevention •Geriatric issues •Adolescent and parent education •LGBTQ issues •Grief •�oss •�tress and adjustment issues •�ounseling during and after Amplified Musculoskeletal Pain Syndrome (AMPS) treatment Mohlfeld holds a Specialized Provider Endorsement in Low-Cognitive Disorders and Mental Illness and is a Certified Trainer for Understanding Infant Adoption. Family Systems Therapy is utilized in working with separation, divorce and/ or blended family issues. Additionally, she also pro-

ed concern Are you r u about yo ehavior? child's b

(From left) Emma Wiebelhaus (office and patient coordinator), Jennifer Brummels (LIMHP,LADC) and Sasha Nelson (program director and registered nurse) are here for patients as part Senior Life Solutions team at Providence Medical Cente vides counseling for PMC’s always been important, the the rise. Providence Medical hospice department as well as COVID-19 pandemic has dem- Center is there for the commuleading Tai Chi classes. onstrated how quickly one’s nity, providing services to help For an appointment with mental health can be affected. area communities reach their Mohlfeld, call (402) 375- 7937. With COVID-19 creating chang- goal of having increased acAlthough the need for prop- es to everyone’s daily lives, cess to mental and behavioral er mental health services has stress and depression are on health support. Are you struggling with an addiction?

Is anxie ty or wo rry making it hard for you to live y our life?

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2020 — For Your Health

Brookdale Wayne becomes Kinship Pointe After a change in facility management, Brookdale Wayne became Kinship Pointe effective June 1. According to a press release from Kinship Pointe, Foster

Senior Living, a Springfield, Mo.-based senior living operator and management company acquired four senior living communities in Nebraska, including Wayne’s.

“Foster Senior Living will assume the new management role for senior living communities in Kearney, McCook, Seward, and Wayne Nebraska. Each of the four communities offer the convenience of independent living and assisted living while providing a wide array of services and amenities that encourage their residents to be as independent as desired while offering the care and oversight often needed. They are excited to announce the new community names—Kinship Pointe. You can find more information on their website – KinshipPointe. com,” the release said. Foster Senior Living is a family-owned and operated organization with a hands-on approach with every aspect of their communities. John and Susan Foster’s philosophy of

a family-centered approach with staff and residents have gained them the reputation that has allowed them to flourish in senior living management for over 50 years. “It has been our passion, our dedication and our determination to treasure the elders in our lives that has guided us to where we stand today. What started out as a vision, over the years, has turned into much more than we could have ever imagined. While we have developed home-like communities, trained the quality leadership, and proactively nurtured our developed and managed communities, we foster nothing short of premium care. This is what we will provide, our family taking care of your family,” Susan said.

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2020 — For Your Health

Still struggling with hearing aids? How to maximize their benefits By Katie Gamerl, Au.D.

Doctor of Audiology Owner and Audiologist of Norfolk Audiology, P.C.

A good hearing aid fitting can improve quality of life by keeping us connected with loved ones through better communication. Also, well-fitting hearing aids can increase a person’s safety with the ability to monitor environmental sounds. Hearing aids have come a long way since the days of wheeling up a volume dial on the aid until it squeals with feedback and then dialing it back. Hearing aids now have computer chips that can sample the sounds in the environment and make decisions about which sounds to de-

crease and which to increase in order to offer the wearer the best chance to understand speech while keeping sound in a comfortable range. Many hearing aids today can be paired with smart phones. The wearer can make volume and setting adjustments with the phone and stream calls, music, and audiobooks or podcasts directly to the hearing aids. With this amazing technology, why do people still struggle? First, the process used to diagnose and fit the hearing aids should be evaluated. The American Academy of Audiology has developed a comprehensive list of evidence-based best practices. A patient will have the best chance of a positive result if their audiologist

follows these best practices. Unfortunately, not all do. For example, hearing aids can easily be programmed to the manufacturer’s settings for a particular hearing loss without accounting for the physical fit and needs of the patient. While this method of fitting is easy and requires little expertise for the audiologist or hearing instrument specialist to perform, generic programming is not optimal for most patients. Incomplete assessments, generic recommendations, and generic fittings may be to blame for poor hearing aid benefit. Best practices should be patient centered. A patient should expect the following care: • a complete audiological

evaluation including a case history, otoscopy, air and bone conduction testing, word recognition testing, and speech in noise testing • an explanation of the results and appropriate medical referrals if needed • determination of hearing aid candidacy and a hearing needs assessment • appropriate hearing aid recommendations for the patient based on audiological data and patient needs assessment • hearing aids fit using Real Ear verification measures • subjective measurement of hearing aid benefit • instruction on care and

See BENEFITS, page 15

JamesBertus, Bertus, MD Price, MDMD • Stephanie Wortman, APRN James MD••Christopher Christopher Price, • Meredith Hunhoff, CNP

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2020 — For Your Health

Benefits

(continued from page 14) use of the devices • comprehensive follow up care One of the most important procedures in a hearing aid fitting is Real Ear measures. This is performed by measuring the sound produced by the hearing aid near the patient’s ear drum with a small probe tube. Each ear canal is unique and has qualities that affect the sound from the hearing aid. The hearing aids are then adjusted by the audiologist until the measurements from Real Ear match prescriptive targets. This ensures the devices are specifically programmed for the patient and optimizes the speech sounds needed to improve conversational speech. There are many more procedures included in audiological best practices. For more information about best practices, please visit the American Academy of Audiology at audiology.org, and for a patientfriendly check list of best practices to take with you to your audiological appointment, visit Dr. Cliff Olson’s website at drcliffaud.com. With appropriate hearing aids properly programmed, some individuals may find significant benefit while others may still struggle with communication especially in challenging environments with background noise and reverberation. The simple reason for this is that we are sending a signal to the brain through a system that has been damaged. It is the brain’s duty to interpret that imperfect signal. Until we achieve scientific advancements that allow us to physically repair the damage and restore the auditory system to normal function, this will be the case. For individuals continuing to experience difficulty, hear-

ing aids are only one part of better communication. Communication strategies are integral to hearing aid success. The listener, the speaker, and the environment are all factors. Controlling background noise when possible, getting the listeners attention before speaking, and speaking at an easy distance to see facial expressions and cues are examples of these strategies. The audiologist will provide more techniques tailored to the patient’s needs. The current technology in hearing aids is designed to reduce background noise, but not eliminate it. Situations in which the background noise is still an issue or distance from the speaker is too great, hearing aid accessories can be an asset by improving the speakers voice above the noise and overcoming distance. A remote microphone can accomplish just that. It can be worn by the patient’s communication partner, picking up his voice and sending it directly to the listener’s hearing aids. They work great in a car where there might be road noise and it is difficult to see the speaker’s face. Table microphones work in much the same way but have the benefit of picking up multiple voices at small table groupings. They are very effective for dining out and for conference meetings. Finding a comfortable television volume can be a struggle between couples. A TV accessory can send the audio signal directly to the listener’s hearing aids and can be adjusted for comfort, while the partner can then adjust the volume on the tv for his or her comfort. Individuals with hearing loss commonly struggle in places like churches or auditoriums because of sound reverberation. Hearing Loops are an

excellent solution. A Hearing Loop is a band of cooper wire professionally installed around the perimeter of a space and is connected to the sound system. When voices and music are sent through the sound system, the signal is also sent through the Hearing Loop. Many hearing aids are equipped with a telecoil which is a special program to receive the signals from the Loop. When the hearing aid wearer is in the

Loop, he activates the telecoil program on the hearing aids, and the sound will be sent directly to the hearing aids. This is a great technology because it works for multiple brands and technology levels of hearing aids. Facilities equipped with a Hearing Loop post a sign with a blue ear and a ‘T’ to notify the public of the Loop. You can find an example of this symbol along with much more information and resources at hearingloop.org. Hearing aids can make a significant improvement in a person’s life. Loved ones, friends, and care givers also reap the benefit of easier communication. The outcomes significantly improve with high quality hearing health care and the combination of communication strategies and hearing aid accessories.

Aging with Dignity, Caring with Quality Wakefield Health Care Center provides skilled rehabilitation services and nursing care for your loved one in a home-like environment. Our professional staff takes great pride in providing a spotless facility, noted for excellent meals. Our facility has maintained, nurtured and enhanced a tradition that forms the very foundation of our approach to delivering our services to our families, friends, and neighbors.

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2020 — For Your Health

Providence Medical Center receives the 2020 Women’s Choice Award as one of America’s Best Hospitals for Emergency Care Providence Medical Center has been named one of America’s Best Hospitals for Emergency Care by the Women’s Choice Award, America’s trusted referral source for the best in healthcare. The award signifies that Providence Medical Center is in the top eight percent of 4,191 U.S. hospitals offering emergency care services. The methodology for America’s Best Hospitals for Emergency Care award is unique in that it combines Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey results with primary research about women’s healthcare preferences. The award recognizes excellence in emergency care based on several process of care measures focused on time pa-

tients spent in the emergency department, including: •Time to admission •Time from admission to room •Door to diagnosis Criteria for selecting Providence Medical Center as one of America’s best also included the average time before outpatients with chest pain or a possible heart attack received an ECG, and the average time patients with broken

bones had to wait before getting pain medication. Awarded hospitals represent those with emergency departments with average measure times in the highest 25th to 50th percentile in the country. The award is especially significant given that long waits and high crowding can negatively impact patient outcomes, including patients leaving without receiving medical treatment, longer overall length of hospital stay and an increase in mortality rates. “We have found that recommendations are an important consideration used by women in selecting a hospital for themselves and their family. By helping women know which hospitals in their area provide the best critical care, we are able to help

them make better decisions, especially when it comes to emergency situations,” Delia Passi, CEO and founder of the Women’s Choice Award said. “Women make over 80 percent of healthcare decisions and want to be confident that they know which emergency departments in their communities will take care of their loved ones quickly and with the best possible care.” Providence Medical Center is one of 336 award recipients representing the hospitals that have met the highest standards for emergency care in the U.S. by the Women’s Choice Award. “It is an honor to receive this recognition as it is a testament to the exceptional care provid-

See AWARD, page 17

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2020 — For Your Health

Migraines differ from other types of headaches Migraine sufferers are adept at recognizing when migraines begin to form. Many people only find relief after spending several hours lying down in pitch-black rooms. Calling a migraine a headache is somewhat misleading, as migraines produce an assortment of symptoms and may not feature pain at all. The Mayo Clinic says sinus headaches, which occur with sinus infections or symptoms like congestion and facial pressure, sometimes are mistaken for migraines. But migraines often are much more menacing than sinus headaches. Migraines stand alone because they are often intense and severe and have other symptoms in addition to head pain, states Healthline. Symptoms associated with migraines include: • pain behind one eye or ear • temple pain • seeing spots or flashing lights

Migraines stand alone because they are often intense and severe and have other symptoms in addition to head pain. • nausea • sensitivity to light and/or sound • temporary vision loss • vomiting Changes in brain activity can affect blood flow in the brain

Award

(continued from page 16) ed by our nursing and medical staff on a daily basis. We are proud to receive this award as it is validation of the steps, we have taken to offer the high level of emergency services our patients deserve,” Jim Frank CEO Providence Medical Center said. For more information about the America’s Best Hospitals for Emergency Care, please visit womenschoiceaward.com/besthospitals/

KEL Physical Therapy & Wellness

and surrounding tissues that contribute to migraine symptoms. That’s what makes migraines more than just severe head pain. Penn Medicine states that migraines occur in four different phases. 1. Prodome phase: This preheadache phase includes painless symptoms that can occur days or hours before the migraine. Mood swings, stiffness in the neck and food cravings are some of these symptoms. 2. Aura phase: Auras are sensory disturbances that occur before or during a migraine. Auras can affect vision, hearing, touch, or speech. 3. Headache phase: If pain appears, sufferers are in the headache phase. Pain may range from mild to debilitating. It’s important to note people can have a migraine with-

out head pain. The American Migraine Foundation notes that silent or acephalgic migraine is a type of migraine that can be very alarming. During these types of migraines, one experiences dizzying aura and other visual disturbances and nausea, but no head pain. 4. Postdromal phase: This is when the migraine pain has subsided. People may feel tired and unwell during this phase. Migraines generally have triggers. Finding the cause can help sufferers avoid these triggers and tame the severity or frequency of migraines. Allergies, hormonal changes, family history, changes in weather, certain aromas, and lack of sleep can contribute to migraines. Learn more about migraines at Americanmigrainefoundation.org.

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2020 — For Your Health

Patient Navigators at your side Learning you have a serious illness or preparing for a big operation can be overwhelming, leaving you frightened and facing unknowns. But there are some special people who can step in and help when that happens. They’re called patient navigators. You may never have heard of them— they’re a fairly new member

of hospital health care teams. But if you’re facing a difficult diagnosis, or preparing for a hip or knee replacement, patient navigators provide an extra layer of practical and emotional support to help ease your stress and help you get the best care possible. Very simply, they’re your advocate—someone to whom you Make your Body Great Again!

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can turn whenever you need a helping hand. If your loved ones have a concern, a patient navigator will be there to help them too. Many ways they can help Just how might a patient navigator help you? In more ways than you can count. Faith Regional’s cancer navigators can help set up doctor visits and medical tests so that you get timely care. They can also attend appointments with you and help coordinate your care among different providers so that nothing falls between the cracks. Our orthopedic patient navigator serves in a similar role for our total joint replacement patients and even conducts Faith Regional’s Orthopedics in Motion program, designed

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to prepare our hip or knee replacement patients for their pre- and post-surgical care. Patient navigators also: • Help you understand your diagnosis and treatment options. • Educate you about your follow-up medical care. • Communicate with your health care team so that your wishes and needs are clear. • Assist your caregivers. • Connect you with resources and community services that can help remove barriers to your care. • Address any concerns you have about your care. In short, a patient navigator’s crucial support allows you to focus on what’s most important: getting better.

2020 — For Your Health

Nebraska Cancer Specialists offer ‘start to finish’ cancer treatment - now at Pender Community Hospital Receiving a cancer diagnosis is life changing. For many patients it means trips to the oncologist, surgery, treatment, radiation therapy, or other treatment plans. There is a toll that cancer can take on family members, finances, and the patient’s own mental health. In the face of so many life changes, hav-

ing a dedicated team of people to help from start to finish can mean all the difference. And for Nebraska Cancer Specialists, that is the goal. “Our physicians are some of the most experienced and highly qualified in the area,” Kelly Horn, NCS Physician Liaison, said. “Not only will you have a medical oncologist, you

Meet Faith Regional’s Nurse Navigators Whether you’re facing a cancer diagnosis or preparing for a knee or hip replacement, Faith Regional’s nurse navigators can help you navigate all aspects of your care. As you and your family interact with many providers and healthcare settings, you nurse navigator will remain a constant point of contact to help guide, educate and advocate for you.

will have an entire dedicated care team to support you throughout your treatment.” Nebraska Cancer Specialists began as the brainchild of Dr. Robert Langdon and Dr. Margaret Block in 1989 and since its inception, the practice has grown to include 12 medical oncologists, 1 radiation oncologist, 1 nuclear medicine physician, 17 nurse practitioners and nearly 200 dedicated staff members operating at eight locations throughout the state — including Pender Community Hospital. No matter which location a patient visits, they are cared for by a care team made up of a dedicated medical oncologist, advance practice provider, nurse case manager, medical assistant and scheduler. “Patients are always cared

for by the same team members,” Horn said. “Establishing a trusting relationship with a care team is important and we find it to provide a certain level of comfort to patients and families as they go through their course of care.” Dr. M. Salman Haroon proudly provides care in the area, seeing patients in Pender, West Point, Fremont, and Omaha. Haroon received his M.D. from Dow Medical College and University of Karachi in Pakistan, and completed his Internal Medicine Internship and residency through the AHEC Residency Training Program at the University of North Carolina School of Medicine. He is board certified in medical oncology and a clinical

See CANCER, page 20

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2020 — For Your Health

Cancer

(continued from page 19) assistant professor. Physicians at Nebraska Cancer Specialists are independent community oncologists who provide efficient, patient-centered oncology care at lower costs in a convenient outpatient setting. Haroon says that one benefit of Nebraska Cancer Specialists, and its community oncology framework, is that patients can receive cutting-edge care in a comfortable environment close to home. “It’s really about personalized care,” he said. “We have access to all the same treatments as some of the top can-

cer centers across the country, but here patients can live minutes away and can get those treatments right in their neighborhood.” Treatment services also include an Integrative Health Care program which provides whole person care to patients, families and caregivers. “Services such as occupational therapy, mental health, in-house pharmacy, genetic counseling, and fitness and nutrition classes are essential components to treatment and recovery,” Haroon said. “Patients really need help not only medically, but emotionally, socially, and financially so

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there are a lot of aspects that go into it.” Along with providing a variety of treatment options to patients, Nebraska Cancer Specialists also offers a variety of clinical research opportunities. The Nebraska Cancer Specialists research team is comprised of dedicated research physicians, advanced practice providers, research nurses, data coordinators, a regulatory coordinator, research pharmacy technicians, research assistants, research manager, and research director. The research program conducts phase I-IV trials and has enrolled over 200 patients on clini-

cal trials in the past few years. Currently Nebraska Cancer Specialists has over 100 active clinical research trials available. “Our focus is, and has always been, providing the highest level of patient care and the best patient experience. Easy access is key to the way healthcare will be done in the future, and we look forward to offering our patients this opportunity to receive services from NCS in Pender and the surrounding areas,” said Danielle Geiger, MSN, APRN-NP, AOCNP Nebraska Cancer Specialists Practice Administrator. For more information, visit NebraskaCancer.com.

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2020 — For Your Health

Post-intensive care syndrome: Why patients may face issues after recovery A cancer diagnosis can be a life-changing moment marked by uncertainty. As patients and their families prepare for treatment, they may not know what to expect, though it’s important to remember that the

condition called post-intensive care syndrome, or PICS. PICS is a series of physical, mental and emotional symptoms that persist after a patient leaves the ICU. Medical professionals have recently begun to delve

ICU-acquired muscle weakness. The SCCM says 33 percent of patients on ventilators, 50 percent of all patients admitted with severe sepsis and up to 50 percent of patients who stay in the ICU for at least one week will experience PICS. Some with PICS may have memory issues, trouble solving problems, issues speaking, and difficulties working on complex tasks. Anywhere from 30 to 80 percent of those who have been in the ICU may experience these kinds of problems. The health resource After the ICU states that PICS can contribute to mental health issues, including anxiety, depression, posttraumatic stress disorder, and nightmares/trouble sleeping.

Health professionals believe that PICS occurs due to the intense, often stressful level of treatment in the ICU. The Cleveland Clinic says the use of life-sustaining equipment as well as medicines geared toward managing pain that can cause sedation or other mindaltering effects may result in PICS. Doctors will use various cognitive impairment screening tests and physical diagnoses to uncover any physical, mental and cognitive issues associated with PICS. Post-intensive care syndrome can be a side effect of intensive care treatment. Individuals or caregivers who recognize symptoms should discuss them with their physicians.

Quality Life, Quality Care, Quality Reputation

According to the Cleveland Clinic, anyone who survives a critical illness that warranted admission to an intensive care unit may be susceptible to a condition called post-intensive care syndrome, or PICS. five-year survival rates for ma- further into tracking patients ny types of cancer have risen and their recoveries, especialdramatically over the last sev- ly long-term outcomes of sureral decades. vivors of critical illnesses. The A remission or recovery Cleveland Clinic says that, even from cancer can bring about as the rate of ICU survival has great happiness and relief. improved, patients do not alHowever, for some people, it ways return to their previous may be the beginning of an- levels of function, noting it can other set of hurdles, particu- take anywhere from weeks to larly if treatment involved time even years to get back to norspent in intensive care. mal. According to the Cleveland The Society of Critical Clinic, anyone who survives a Care Medicine offers that critical illness that warranted PICS symptoms can include admission to an intensive care thoughts or feelings that afunit may be susceptible to a fect emotional well-being and

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2020 — For Your Health

Get to know mental health like the back of your hand Monitoring one’s mental health is now more important than ever. With a global pandemic causing numerous disruptions to the normal ebb and flow of life, some are finding coping with the changes difficult. Donna Wolff, president of Northeast Nebraska Suicide Prevention Coalition, said people need to think about their physical and mental health as the two sides of their hand. “The top of your hand is our physical health. We talk about this all the time, we need to exercise, get enough sleep, drink more water. We teach our kids physical health; shampoo your hair, use deodorant, cleanse yourself,” Wolff said. “If you put your hand up on the other side you have your palm, that can be your mental health. It’s the very same hand. We need to start talking about mental health just

like we do physical health. We know, it’s proven scientifically, that with most mental health disorders, there’s a chemical imbalance in the brain that (with) talk therapy and medication, it can be lived with. It can be managed.” Unfortunately, there is still a negative stigma surrounding treatment for mental health issues. Wolff said it’s important to break that down, and the first step to doing so is through education, preferably, the earlier the better. “We need to normalize this and let (children) know, it’s okay if you’re not okay and it’s okay to talk about it with anybody and everybody,” Wolff said. “If we need to take diabetes pills or insulin, if we need to take heart medication or we have COPD, no big deal to go to the doctor and get medication for that. So if a kid

needs an antidepressant, no big deal.” Especially during this time of social distancing, working from home and the various other impacts COVID-19 and social unrest, it’s important to check in with loved ones and friends as well. “As human beings, we need that human contact,” Wolff said. If changes in someone’s sleep patterns occur, whether that be sleeping too much, or too little, it can be a sign of mental distress. Lack or self care and lack of desire for social interaction can also be something to look out. Wolff said that if someone notices a friend or loved one has a dramatic shift in mood, even if that person has quickly gone from being down in the dumps to overly happy, they may need help.

“If they’ve been in a funk for so long and all of a sudden everything’s better and they’re so happy, that can truly be a sign to watch out for as well because they’re getting enough energy to follow through with a plan (to selfharm),” Wolff said. More warning signs to look out for include someone showing apathy for things they used to care a lot about, not eating and a lack of self care. If these behaviors are noticed or if someone is feeling suicidal, Wolff suggests calling the 1-800-273-8255. “They can always call that number, for those who can text, and maybe not have a conversation, the texting number is 741741. That’s a 247 texting hotline number and

See MENTAL, page 23

Now Seeing Patients at the Pender Community Hospital! To schedule your next appointment call 402.334.4773 or visit NebraskaCancer.com/Pender

2020 — For Your Health

Home Instead Senior Care hosts series of webinars Home Instead Senior Care has offered a number of webinars throughout the year. The webinars will continue throughout the summer, providing resources for those looking for eldercare information, especially for those looking to become senior care professionals. The webinars can be attended for continuing educa-

tion (CE) credits. According to a release from Home Instead, CEs are offered in cooperation with the American Society on Aging. CEs are available for 60 days following the live webinar. Find past webinars and sign up for future webinars at caregiverstress.com/professionaleducation. Upcoming classes include: •Fall Prevention-Oct. 7

Mental

(continued from page 22) somebody will get back to you immediately,” Wolff said. For veterans, there’s also a hotline with Spanish option, which can be reached at the same number followed by pressing 1, with a text number of 838255. With so much going on in today’s society through a pandemic and social unrest to broken routines, now is the time to get to know your mental health like the back of your hand. Check on loved ones and know that if help is needed, it is out there and things will get better. For further information or to make a donation, contact Northeast Nebraska Suicide Prevention Coalition at (402) 841-3834.

•Cooking and Nutrition for Older Adults-Nov. 4 •Alzheimer’s Caregiving During the Holidays-Dec. 2 Webinars all begin at noon and are led by Lakelyn Hogan, MA, MBA. Hogan is a gerontologist and caregiver advocate at the global headquarters of Home Instead Senior Care. She began her career at a local franchise working one-on-one with

seniors and CAREgivers. Hogan works to educate professionals, families and communities on Home Instead’s services and how to navigate the unique challenges that face older adults. For more information about Home Instead Senior Care’s webinars, visit caregiverstress. com/professionaleducation, or contact Norfolk’s Home Instead location at (402) 379-8225.

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2020 — For Your Health

New equipment helps Providence Therapy patients take ‘steps’ to recovery Providence Medical Center Therapy Department announces the addition of an innovative piece of therapy equipment. In mid-October, the Solo Step overhead track and harness system was installed, helping patients go through therapy more independently and reducing fall risk for patients with stability issues. According to the company’s website, “Solo Step is designed to protect patients from falling during the rehabilitation process while giving them the confidence they need to break through their barriers in a safe environment.” The Solo Step consists of a fitted harness, which attaches to a 30 foot ceiling

track that allows them to be hands free. The harness provides weightbearing support for those that need more assist with standing. “The Solo System assists in supporting the patient. We are able to try more challenging balance exercises sooner with having the harness system to assist. Patients can be less afraid of falling and be walking sooner,” Michele Albers, physical therapist said. From a patient’s perspective, the sense of independence is a huge benefit. “It makes you feel like you can do it yourself,” Harlan Thompson, a Providence Physical Therapy patient said. “Even though there is assistance beside you (the therapist), you

have some freedom.” The equipment can benefit the following types of patients:

*neurological disorders *balance disorders

See RECOVERY, page 25

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Patients, like Thompson are able to practice everyday activities like lifting their feet, without the fear of falling.

2020 — For Your Health

Solo Step is easy to use, Providence Physical Therapists just help the patients into the Solo Step harness and therapy can begin. Michele Albers, PT (far right), helps patient Harlan Thompson into the harness.

Recovery

(continued from page 24) *Geriatrics *Bariatrics *Pediatrics *Amputees *Adaptive athletes Solo-Step helps patients get back on their feet after an injury, illness or surgery. “Getting people up on their feet sooner, and attempting walking with only the harness system opens up a whole new set of tools in our therapy tool box and is exciting for Providence Therapy to offer this to our patients,” Jean Harrold-Loberg, physical therapist, said. For more information about the Solo-Step system or other services offered by Providence Therapy, contact them at (402) 375-7937.

Heritage of Emerson focuses on providing ‘Dignity in Life’ Heritage of Emerson, a skilled nursing and rehabilitation facility, works daily to carry out their mission statement: Dignity in Life. “Our seniors, residents and families, customers and team members all deserve to be treated as the most important person,” Shellee Huggenberger, Heritage of Emerson administrator said. Heritage of Emerson is a 38bed facility that offers a variety of care options to provide residents with the services that can help them the most. Skilled Nursing Care Having a loved one who needs extra care can be difficult, but Heritage of Emerson ensures their residents get quality care that offers their residents the dignity in life that everyone deserves. Skilled nursing facilities offer nursing care for residents 24 hours a day, seven days a week. Along with skilled care, Heritage of Emerson offers services specifically for those suffering from Alzheimer’s and Dementia. Heritage of Emerson “specialize(s) in individualized programs designed to reduce feelings of confusion, fear, and agitation and offer meaningful, enjoyable activities that stimulate the mind and body,” according to their website.

Supportive Care The need for an assisted living facility is a topic that has been broached in the small community of Emerson in the past, but because of the nature of small towns, there wasn’t enough need to fill a whole new building. That’s when Heritage of Emerson decided to offer supportive care. “Maybe somebody does not need nursing home care, but they just need to live in a safe environment and have somebody around them and have their meals prepared for them. So, instead of assisted living, we put in a supportive care level to meet that need that we may have in our community,” Huggenberger said. Short-term Care Whether it’s to recover from surgery or recoup from an illness, Heritage of Emerson offers personalized short-term care for those who need it. The goal of short-term care is to get those temporary residents healthy enough to return to their homes, so care is specialized for the individual with an emphasis on Heritage of Emerson’s rehabilitation services that encourage health and wellness. Heritage of Emerson is able to offer Occupational, Physical and Speech Therapy.

See FOCUSES, page 26

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2020 — For Your Health

Focuses

(continued from page 25) Outpatient Therapy Heritage of Emerson also extends their therapy services to those in the community. Huggenberger said that the facility has opened to providing outpatient services as well. With a doctor’s referral, non-residents can gain access to the Occupational, Physical and Speech Therapy services residents have access to, including stateof-the-art equipment to help strengthen bodies and minds and help patients get back to healthy, productive lives. Respite Care/Adult Daycare For caregivers, taking a break is important, but can be stressful if quality care is hard to find. Heritage of Emerson can provide both adult daycare services and respite care, ensuring guests receive quality, dignified care from certified, licensed caretakers.

“Once in a while a husband or wife is taking care of their loved one at home and maybe a wedding comes up, and they need to go out of town,” Huggenberger said. “So we have taken people in for a week while they could still go travel to the wedding, or just to give them a break.” Hospice Dignity in Life is Heritage of Emerson’s mission and that extends to end of life services. Hospice Care at Heritage of Emerson helps those in need “benefit from guidance and comfort provided by medical professionals, hospice organizations, clergy, counselors, and skilled volunteers.” Hospice patients have access to a team that provides 24-hour care to make the final days as comfortable and peaceful as possible. Social Services

Denise Roeber, Social Services coordinator at Heritage of Emerson can help families and patients immensely before and during stays at the facility. “Even the admission process coming into the nursing home, it’s all new to them (residents’ families) and Denise does an excellent job on guiding people through the process,” Huggenberger said. “She knows the right questions to ask so she can lead them smoothly.” Roeber also can help residents and their families apply for Medicare Part D services and extends that service to the outside public as well. “She’s just a good go to person to answer questions,” Huggenberger said. Meals on Wheels Not only is the staff at Heritage of Emerson dedicated to their residents, they’re al-

WHEN YOU NEED DIABETES AND THYROID CARE,

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Diabetes, osteoporosis, and thryoid disorders are just a few of the conditions that Dr. Enas and Dr. Brau treat. They work closely with other medical providers to help manage and treat adults with disorders of the endocrine system, including: • Adrenal Disorders • Thyroid and • Diabetes Parathyroid Disorders • Osteoporosis • Pituitary Disorders Seeing patients in Norfolk and Pender. (402) 844-8680

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so there to provide services for those in the community as well. After Emerson’s senior center closed several years ago, Heritage of Emerson stepped in to fill the void for those in need of Meals on Wheels. For those who are shut in or need help getting a healthy meal together, Meals on Wheels is an essential life line. “It’s not always as fun to fix a big meal and eat it by yourself so they don’t have to worry about fixing it, and they get at least one good meal a day,” Huggenberger said. Heritage of Emerson specializes in offering quality, personalized care in their facilities that ensures everyone experiences the Dignity in Life that they deserve. For more information, visit their website, heritage-emerson.com or call (402) 695-2683.

Endocrinology

2020 — For Your Health

Our ancestors may have held the secret to better brain health By Karen Longe, MPT, DPT KEL Physical Therapy & Wellness It turns out that while our early ancestors spent their days out in the wilderness hunting and foraging for food, they may also have been keeping their brains sharp. Researchers at the University of Arizona have found a connection between the highly active lifestyle that was prevalent in those ancient days and the prevention and treatment of Alzheimer’s disease and other age-related diseases. Some two million years ago, our ancestors covered long distances—mixing moderate and intense bouts of aerobic activity throughout the day— as a means of survival. In sharp contrast, today’s average American starts his day by getting ready for work or school, then travels by car or train to an office where he’ll likely spend hours in meetings or in front of a computer, only to retire home to catch up on the latest series on Netflix. For the most active among us, exercise might consist of an hour at the gym three or more days a week and perhaps a few short walks sprinkled in throughout

the day. But contrary to popular belief, that level of activity doesn’t completely erase the damage we do to our bodies during the other 23 hours in the day—which are largely spent sitting in a desk chair or at the dining room table, reclining on the family sofa or sleeping. An obvious connection can be drawn between today’s sedentary lifestyle and a host of prevalent modern-age health problems like obesity and chronic illness, but how do low levels of activity affect our cognitive abilities? The study’s co-authors hypothesize that the amount of exercise that our ancestors engaged in reduced the burden

of a genotype that leads to a high risk of Alzheimer’s disease, cardiovascular disease and increased mortality. As a result, the researchers stress the importance of exercise as a potential disease prevention and intervention tool. Beyond reducing the risk of disease, the role that movement and exercise play in a person’s cognitive performance cannot be underestimated. Many research studies have proven that engaging in regular physical activity keeps our brains in top form, helping us to focus, recall and think more clearly. And while it’s not exactly feasible to adopt a hunter/gatherer way of life in today’s world, perhaps the takeaway is that moving— more frequently and for longer periods of time—can help

stave off disease and boost our brain function. Just some food for thought next time you settle in to binge watch Game of Thrones or pass up an opportunity to bike to the park. Karen Longe, Doctor of Physical Therapy, is the founder of KEL Physical Therapy & Wellness in Wayne. She enjoys helping people get back to activities that they love to do NATURALLY using her manual therapy skills, dry needling, powerful education and instruction in corrective exercises. She is passionate about educating and provides monthly workshops open to all. For more information on her services contact her via phone at (402) 999-4564, Karen@ KEL-PTwell.com, or visit KELPTwell.com or her business Facebook page.

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2020 — For Your Health

PMC here for Northeast Nebraska during pandemic Contributed by Providence Medical Center Providence Medical Center has been taking many precautions over the course of the COVID-19 pandemic to ensure safety for our patients and staff. These safety measures have included patient and staff screening questions, temperature monitoring, closing of several entrances to be able to monitor those entering our facility, limiting visitors and increased personal protective equipment (PPE) utilization during interactions with others. These measures were all put in place with the guidance of the CDC, state and local public health entities and the PMC Emergency Operations Center Team.

See PANDEMIC, page 29

Providence Medical Center staff has been working throughout the pandemic to continue to provide their high-quality health care for the area. Whether it’s at PMC’s locations in Wayne, Wakefield or Laurel, or through use of Providence Wellness Center or outpatient clinics, as CEO Jim Frank said, PMC is “here for you!”

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2020 — For Your Health

Pandemic

(continued from page 28) being. As we continue to move forward and the DHMs evolve, we have been lessening restrictions within the organization. We have always been open for emergent and essential needs and will continue to be. As of May 4, the governor’s DHM allowed us to resume our elective procedures. We have also opened the Wellness Center for member use. At this time, all of the outpatient/specialty providers that hold clinics at PMC have returned and are QUARANTINE keeps someone who was ISOLATION keeps someone who is sick or seeing patients. We continue in close contact with someone who has tested positive for COVID-19 without to offer a full line of therapy COVID-19 away from others. symptoms away from others, even in services (physical, occupational, and speech) at our Wayne, their own home. Laurel and Wakefield locations. “While we have experienced low patient volumes over the past couple months, some put onSTLT hold. Collect and Analyze Data to Provide Tools and Guidance things weren’tSupport Public We have recently experienced Understand COVID-19 and Its Spread to Minimize Impact Health Capacity one of our busiest months for If you had close Case contact with a Healthcare If you are sick and think or know labor and delivery, by welcomMonitoring you have COVID-19 person who Identiﬁcation has COVID-19 ing 11 new babies in June,” Nicole Haglund, VP or Nursing Services • Stay home until 14 days after your • Stay home until after We are currently limiting last contact. ū 3 daysContact with no fever and visitor access. All patients, visiTravel COVID Corps Innovative Tracing Guidance Technologies tors and staff continue to be Inform ū Symptoms improved and screened and monitored for National Critical Clinical • Check your temperature twice a day Clinician and PPE ū 10 days since symptoms Training Picture of Infrastructure Recommendations COVID-19 symptoms On-call and watch for symptoms of COVID-19. is utilized as appropriate. We Guidance first appeared COVID-19 hope to lift some of those reVulnerable Populations Tools weeks and strictions in the coming Protection Strategies Checklists If you tested positive for COVID-19 • If possible, stay away from people who and will keep the public inbut do not have symptoms are at higher-risk for getting very sick formed as we do. from COVID-19.Illness “We recognize that some Testing Expansion Monitoring people continue to be fearful • Stay home until after and may be putting off their ū 10 days have passed since your healthcare needs. We urge positive test. people to not put off your appointments or ignore concerns about their health. With If you live with others, stay in a specific telehealth options our com“sick room” or area and away from other mitted staff and strict safety people or animals, including pets. Use a measures in place, we assure separate bathroom, if available. you it is safe to receive services at PMC – We are here cdc.gov/coronavirus for you!” Jim Frank CEO ProviCS317422-A 6/8/2020 2PM dence Medical Center.

As a healthcare organization, we have always been prepared and ready to care for our patients and the community’s healthcare needs and we continue to be during and after this pandemic. WE ARE

HERE FOR YOU! Over the course of the last few months, things have looked a little different at PMC. One noticeable difference is that we’ve been seeing fewer patients and visitors due to some of the Directed Health

Measures (DHM) put out by Nebraska Governor Ricketts. Although we have not seen a large surge of positive (COVID-19) cases in our local service area, we continue to take appropriate precautions to protect your health and well-

COVID-19: Quarantine vs. Isolation

2020 — For Your Health

Parkinson Voice Project awards 2020 SPEAK OUT! & LOUD Crowd Grant to PMC – Therapy Services Parkinson Voice Project, a 501(c)(3) nonprofit organization, has named Providence Medical Center as a recipient of its 2020 SPEAK OUT! & LOUD Crowd Grant Program. Grant recipients include hospitals, university speech therapy clinics, private practices and nonprofit organizations. Each clinic receives free training for their speechlanguage pathologists and graduate students, as well as speech therapy supplies. Some grant recipients will also receive funding. Providence Medical Center is committed to offering Parkinson Voice Project’s effective speech therapy program at the Providence Therapy locations.

“Up to 90 percent of people with Parkinson’s are at high risk of losing their ability to speak, and aspiration pneumonia caused by swallowing issues accounts for 70 percent of the mortality rate in this patient population. Awarding these grants substantially increases access to quality speech treatment to those living with Parkinson’s,” Parkinson Voice Project’s Founder and CEO Samantha Elandary said. This grant program hon-

Caring for babies, parents and families 1200 Providence Road Wayne, NE 68787 402-375-3800 www.providencemedical.com

ors Daniel R. Boone, PhD, CCC-SLP, a world-renowned speech-language pathologist and voice expert who recognized in the late 1950s that individuals with Parkinson’s could improve their communication if they spoke with “intent.” Parkinson Voice Project’s highly effective speech therapy program is based on Boone’s teachings and combines individual therapy (SPEAK OUT!) with ongoing group therapy (The LOUD Crowd) to convert speech from an automatic function to an intentional act. “We currently offer important programs for people who live with Parkinson’s Disease and this additional option will allow us to provide a more comprehensive approach to those individuals. The Rock Steady Boxing program is a very popular program and being able to expand the scope of our services to those participants is very exciting,” Kayla Korth, PMC’s Speech Language Pathologist and grant applicant

said. Parkinson Voice Project is the only 501(c)(3) nonprofit organization in the world solely dedicated to helping individuals with Parkinson’s improve their speech and swallowing. The organization runs a speech therapy clinic in the Dallas-Fort Worth area and also hosts the World’s Largest Parkinson’s Chorus, consisting of nearly 100 individuals with Parkinson’s whose voices have been restored. Parkinson Voice Project’s vision is to replicate its speech therapy program across the globe to help individuals with Parkinson’s preserve their speech and swallowing abilities. More than 2800 speechlanguage pathologists have been trained to date, including clinicians in Australia, Canada, Finland, Israel, Italy, Greece, Japan, Korea, New Zealand, Taiwan, and the United Kingdom. More information can be found at parkinsonvoiceproject.org.

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2020 — For Your Health

PMC adds telehealth capabilities Providence Medical Center’s highly trained medical staff and state of the art equipment are always readily available for patients who enter the Emergency Department. Providence Medical Center offers large trauma rooms equipped with the right supplies and expertise at the right time. This last year, services were also expanded to include Avera eCare Emergency telehealth which allows for a Board-Certified Emergency Medicine Physician to be in immediate contact with the PMC staff and provide support throughout the care of critical patients who are experiencing unique needs. “Our goal is to provide robust services and effectively meet the healthcare needs of those living in Northeast

“The addition of eCare Emergency Services has been a great resource in providing emergency care in a rural community. It is nice having access to board certified emergency physicians to collaborate with for complex cases. It’s also nice having access to nursing services for documentation so the staff at Providence can focus on what’s important, which is our patients,” Diane Meyer, Emergency Services, APRN said. Nebraska. Making this important addition is just one way we can better serve the people in our area,” said Nicole Haglund, VP of Nursing Services. To date, of all patients who presented to the PMC ER, 15.2 percent of those patients utilized some type of service through eCARE Emergency. Common things eCARE Emergency Services is used for: • Trauma • Chest Pain

• Respiratory Distress • Stroke • Mental/Behavioral Health These services are many times used when medical staff are waiting for the arrival of the on-call physician. In these instances, the eCARE physician can order lab work and radiology scans prior to the on-call physician arriving to assist in providing timely care. The eCARE physician can read electrocardiograms to determine if

a patient is having a myocardial infarction (heart attack). The eCARE physician can also prescribe medications for emergent situations, such as pain medication for traumas, blood thinners for heart attacks and other critical care medications for things such as strokes. If needed, they can assist in setting up bipap and ventilator (respiratory support) machine settings. Pharmacists, behavior health specialists and transfer coordination assistance is also available through eCare Emergency services and has been utilized by the medical staff at PMC. This additional support from the eCare Emergency services ultimately provides that extra back up to medical staff and allows them to focus and address the patient’s urgent needs.

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2020 — For Your Health

Prediabetes can be a serious precursor to Type 2 diabetes, but can be managed According to the American Diabetes Association, over 7 million Americans have undiagnosed diabetes. Before most diabetics contract Type 2 diabetes, they experience prediabetes. Prediabetes is caused when the body cannot properly process glucose anymore. Because of this, glucose, or sugar, builds up in the blood instead of fueling energy in the cells of muscles and tissue. Moving sugar throughout the bloodstream to the cells creates the hormone insulin. Insulin comes from the pancreas and is released when a person eats. As insulin circulates, energy is delivered to cells. Prediabetes disrupts that process, and the pancreas is no longer

able to make enough insulin, or cells become resistant to insulin. A prediabetes diagnosis means a person has elevated blood sugar, but not elevated enough to be in the Type 2 range. There usually aren’t distinct symptoms for prediabetes, but knowing family history and monitoring weight and fat build up around the abdomen is important. Those with a family history of Type 2 diabetes is one risk factor, according to the Mayo Clinic, other risk factors include: Weight - Being overweight is the primary risk factor for prediabetes according to the Mayo Clinic. The more fat tissue there is between muscles and skin around the abdomen,

the more resistant cells become to insulin. Waist Size - Men with waists larger than 40 inches and women with waists larger than 35 inches have an increased risk for insulin resistant cells. Diet - Diets heavy in red meat, processed foods and sugary beverages can lead to a greater chance of prediabetes. Inactivity - Those who are less active stand a greater chance of developing prediabetes. Age -P rediabetes can develop at any age, but those 45 years old or older have a greater risk of development. Race - Certain groups, including Black Americans, Hispanics, Asian Americans, Pacific Islanders and Native Americans

have a greater likelihood of developing prediabetes. Gestational Diabetes - Women who developed diabetes while pregnant (gestational diabetes) and their children are more likely to prediabetes. Polycystic Ovary Syndrome (PCOS) - Women who suffer PCOS, a condition that causes irregulat menstrual cycles, excess hair growth and obesity, have an increased risk for developing prediabetes. Sleep Apnea - It’s estimated that 22 million Americans suffer from obstructive sleep apnea. Sleep apnea can also contribute to a higher risk for prediabetes.

See DIABETES, page 33

Protect yourself and others from COVID-19 by using the 3 W’s … We touch our eyes, nose and mouth many times during the day without even knowing it. Keep your hands clean to reduce the risk of infection! A recent scientific article from CDC reported that 2 hair stylists with COVID-19 spent at least 15 minutes with 139 clients. Everyone wore face coverings. No clients are known to be infected! Even normal talking produces a lot of spit—stay 6ft back to stay out of range! For up-to-date info and tips on how to stay healthy, visit our Facebook page at https://www.facebook.com/nnphd/ or use the QR code at the right!

2020 — For Your Health

Northeast Nebraska Health Department, partners join forces to create Northeast Nebraska Rural Health Network In 2018, Northeast Nebraska Health Department (NNPHD), Pender Community Hospital, Providence Medical Center and Winnebago Tribal Health Department started collaborating to answer an important question, according to Julie Rother, Health Director at NNPHD. “(We) came together and talked about how do we work together on community assessment and working together on developing a plan that will address some of these health issues for the public in the area without duplicating efforts and, by working together to support each other,” Rother said. After coming together for a healthier northeast Nebraska, the entities applied for a federal grant to carry out a community needs assessment and to develop a community health improvement plan. As

a result of those assessments and thanks to the grant, those partners were able to officially establish the Rural Health Network, and quickly, the Rural Health Network got to work. Through those discussions, a community needs assessment was carried out and two areas of concern were picked to bring citizens and health providers to work on - behavioral health and obesity. Throughout 2019 and into 2020, real momentum was beginning to build up in both groups. In November 2019, the Rural Health Network applied for a received a three-year $300,000 grant from the U.S. Health Resources and Services Administration (HERSA). With the grant, the group gained a new partner and a new project. UNMC College of Nursing through Northeast Community College in Norfolk was

Diabetes

(continued from page 32) Tobacco Smoke - Smoking can increase a person’s risk of developing insulin resistance. Prediabetes can also lead to high blood pressure, low levels of HDL (or “good” cholesterol) and high levels of triglycerides, according to the Mayo Clinic. Though the thought of developing insulin resistance can be scary, those at risk have the power to lessen the effects if not delay the disorder all together. Through simple lifestyle changes, if caught early enough, some people may be able to return their blood sugar levels to normal range before prediabetes becomes serious. According to the American Diabetes Association, weight loss of 5-7 percent and 150 minutes of moderate exercise can go a long way to help blood sugar levels. It also helps create better blood glucose levels. Speaking to a doctor about the right type of diet to counteract prediabetes will also be beneficial. The American Diabetes Association provides a quick 60-second test to assess prediabetic risk. While signs and symptoms may not make themselves known, anyone with risk factors should monitor blood sugar levels do that prediabetes does not lead to Type 2 Diabetes. More information can be found diabetes.org, or by discussing concerns with a physician.

added to the Rural Health Network, and a project conducted there was recreated through the coalition on obesity. “We decided to replicate a project that they had done. They had worked on a research project in northeast Nebraska, not just in our health districts, but we worked closely with them on the project and we had community health workers stationed here that did quite a bit of the legwork with participants, but their focus was on men in rural areas of Nebraska to use this technology to manage their weight,” Rother said. “Their focus was really weight reduction and then hopefully stability from when they reach their goal. They had a lot of success with that.” The Rural Health Network hopes to include women in their re-creation of the project as well as bringing the Pender Clinic and Wayne Family Medicine into the group as well. The HERSA grant will also allow Rural Health Network to hire a director. Working together as a cohesive unit could have long lasting positive health outcomes for northeast Nebraska. “Especially in rural areas, we’re really limited on the number of resources that we have whether that be human resources, financial resources, whatever it might be,” Rother said. “We know that if we are working together and complementing or supporting what each other is doing, then we can actually be more efficient and more effective and have better outcomes than we can if we’re trying to do something alone.” Work plans for both the behavioral health and obesity

coalitions were underway and projects being planned when COVID-19 hit and Rural Health Network partners were forced to focus on pandemic response. Though the coalition work had to slow down, collaboration and open communication from regional and local health partners has not. Rother and NNPHD have held a series of regular meetings with a number of partners whether it be local governments, school districts or other community leaders, to help pass on information. “What I’ve seen on those calls is that there’s a willingness to share ideas, there’s a willingness to share questions, and just be very open with each other and say ‘we don’t know how to do this’ or ‘does anybody have any suggestions on how to do that.’ People are willing to share,” she said. “I think it’s that network of people that are trying to do the right thing and figure it out together and maximize our resources. Of course we’ve had a lot of bumps in the road and new turns and everything along the way because it’s just all so new, but I feel like people have been very flexible and very adaptable.” NNPHD has been busy working through the pandemic to track and chart coronavirus in the Cedar, Dixon, Thurston and Wayne county areas. Rother said they’ve also recently developed a risk dial that shows people if coronavirus exposure is low, moderate, high or severe in the four-county district. To see COVID-19 information, Rural Health Network’s Community Health Improvement Plan or for other public health information, visit NNPHD’s website, nnphd.org.

2020 — For Your Health

Sleep apnea more than just excessive snoring Excessive snoring may be more than an inconvenience for those who share a room, it may actually be a warning sign of a deadly sleep disorder, obstructive sleep apnea. According to the Sleep Foundation, “sleep apnea is a disorder in which breathing is briefly and repeatedly interrupted during sleep.” Apnea refers to a breathing pause that lasts at least 10 seconds. Sleep apnea is caused by the muscles at the back of the throat’s inability to keep the airway open. While obstructive sleep apnea causes disruptive sleep, it can be more serious than that. For the over 18 million Americans diagnosed with sleep apnea, and the many more who go undiagnosed, obstructive sleep apnea can also lead to hypertension, heart disease and even mood problems. According to the Sleep Foundation, a number of factors can indicate an increased risk for obstructive sleep apnea (OSA). Those include having a small upper airway, large tongue, tonsils, or uvula. Being overweight, having an overbite, recessed chin or large neck, especially if over the age 40 can also be risk factors. Smoking and drinking increases the chance of developing OSA as well. There is some indication that OSA may also be genetic. Sleep apnea has several symptoms that should be monitored by health care professions. For people who experience chronic snoring, sleep deprivation, irritability, difficulty concentrating, depression, memory difficulty or chronic tiredness, a sleep test may be ordered by a doctor. An OSA diagnosis is important because left untreated it can cause drowsy driving, heart

A CPAP machine, like the one above helps OSA suffers sleep by blowing a constant stream of air through the airways, keeping them open for a restful night’s sleep. problems mentioned above, heart attack, cardiac arrhythmia, stroke and more. During a consultation with a doctor, patients will need to discuss their sleep patterns and patterns of sleepiness and fatigue during waking hours. A list of medications, both prescription and over the counter

is also important to have on hand. A sleep study is typically used to diagnose OSA. A sleep study monitors blood oxygen levels, airflow, respiratory effort, sleep state, eye movement, heart rate and more during a night’s sleep. Typically, for those diagnosed, a CPAP,

or continuous positive airway pressure devise is prescribed. A CPAP is a machine that utilizes a mask or nasal cover that blows air into the users airway, keeping it open all night. Other treatments may include surgery to remove airway blockages, dental work to reposition the lower jaw and/ or tongue, and more. A doctor will help determine the best form of treatment for OSA. Lifestyle choices like losing weight and giving up smoking will also have a positive outcome for those seeking to alleviate the sleep disorder. A good night’s sleep is essential for the body to recover daily. Sleeping also helps cognitive capabilities and memory. Sleep Apnea is incredibly common in the United States, but very much treatable. For more information, contact a physician or find more information on sleepfoundation. org.

Learn the signs of thyroid cancer Cancer can affect any part of the body, even a small gland at the base of the neck known as the thyroid. The thyroid gland has two lobes that are located on either side of the trachea (windpipe). Its purpose is to release various hormones that play a role in maintaining metabolic rate and blood calcium levels. According to Cancer Treatment Centers of America, thyroid cancer, in its early stages, may not be immediately detectable, as the signs and symptoms may be nonexistent or go unnoticed. Thyroid cancer may be discovered during a routine neck examination or after an imaging scan performed to diagnose another issue. The American Cancer So-

According to Cancer Treatment Centers of America, thyroid cancer, in its early stages, may not be immediately detectable, as the signs and symptoms may be nonexistent or go unnoticed.

ciety advises that thyroid cancer may produce the following symptoms: •a lump in the neck that sometimes may grow quickly •swelling of the neck •hoarsnesss or other voice changes that do not subside •pain in the front of the neck, sometimes traveling up to the ears •difficulty breathing •a constant cough that cannot be attributed to a cold •unexplained fatigue •trouble swallowing, or feeling like something is caught in the throat The National Cancer Institute’s SEER program indicates thyroid cancer makes up about

See THYROID, page 35

2020 — For Your Health

Diet checkup tool, counseling can help heart health By: American Heart Association News A quick, simple questionnaire in the doctor’s office can help fight one of the leading causes of cardiovascular disease – a poor diet, a new report says. What and how much you eat can affect other heart risk factors, such as high cholesterol, high blood pressure, diabetes and being overweight. About 11 million deaths – and about half the heart disease deaths globally – can be blamed on a poor diet, according to the 2017 Global Burden of Disease Study, a look at the health impact of diet in 195 countries. The new scientific statement from the American Heart Association, published Friday in its journal Circulation: Cardiovascular Quality and Outcomes,

calls for routine health care visits to include some form of dietary assessment and counseling. The diet screening tool could be integrated into electronic health records across all health care settings, the statement said. “Dietary patterns and quality are not sufficiently prioritized when addressing modifiable risk factors during regular health care office visits,” nutritional epidemiologist Maya Vadiveloo, chair of the statement writing group, said in a news release. “Given the evidence that diet contributes to disease and mortality, it is a risk factor worth screening for continuously.” The statement authors reviewed 15 existing screening tools, which ask questions about consumption of fruits, vegetables, sugary and pro-

Thyroid

(continued from page 34) 3 percent of all new cancer cases in the United States, and accounts for less than one-half of 1 percent of all cancer deaths. Even though thyroid cancer may not be the most common or aggressive cancer, it does have a 30 percent recurrence rate. Papillary carcinoma is the most common form of thyroid cancer, accounting for approximately 80 percent of all cases, says Cancer Treatment Centers of America. These carcinomas are slowgrowing and can develop in one or both lobes of the thyroid. While it may spread to nearby lymph nodes in the neck, papillary carcinoma is generally treatable and patients typically are given a good outlook for survival. Follicular carcinoma is the second most common type of thyroid cancer. Even though it does not typically spread to lymph nodes, follicular carcinoma is more likely to spread to other organs, like the lungs or bones. This type of cancer is found more frequently in countries with inadequate dietary intake of iodine. Hürthle cell carcinoma, medullary thyroid carcinoma, and anaplastic carcinoma are other, more rare types of thyroid cancer. Early diagnosis is the key to successful treatment of thyroid cancer. Should any signs or symptoms present themselves, individuals should speak with their doctors right away. The ACS says lumps in the thyroid are common and are usually benign. However, it is essential to play it safe. Learn more about thyroid cancer at cancercenter.com.

cessed food, juice and alcohol. The statement didn’t endorse specific tools but said an effective screening should be quick to use, be based in scientific evidence, and ask about the whole diet pattern, not just single foods or nutrients. The tool also should give guidance and support, the authors said. “An important component in addition to evaluating diet quality is targeting actionable changes – helping patients set achievable dietary goals – and then following up at the next visit,” Alice H. Lichtenstein, vice-chair of the writing group, said in the release. She is senior scientist of the Cardiovascular Nutrition Team at the Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University in Boston.

According to the statement, diet patterns can be overlooked during an office visit because of lack of training and knowledge; lack of time and reimbursement; competing demands during the oftenshort office visit; and because nutrition services aren’t integrated into many health care settings. “However, these barriers can be overcome,” said Vadiveloo, an assistant professor of nutrition and health sciences at the University of Rhode Island in Kingston. “We want a valid, reliable way to assess diet that reflects the best science, and most of the tools assessed take under 10 minutes to use.” If you have questions or comments about this story, please email editor@heart. org.

EXPERIENCE WAYNE COUNTRYVIEW At Wayne CountryView, our talented and focused staff will work with you, your family, and your healthcare provider, to create a comprehensive and effective care and treatment plan. Our welcoming smiles will tell you that Wayne CountryView Care and Rehabilitation is a place to regain your strength and mobility and a place you can call home.

Call us at (402) 375-1922 and schedule a personalized tour.

811 E. 14th St. — Wayne, Nebraska 402-375-1922

2020 — For Your Health

Five big health threats for men Many men do not feel the need to visit a doctor unless there is something that is causing problems that can no longer be ignored. The Centers for Disease Control and Prevention says men are 33 percent less likely than women to have visited a doctor within the past year. By the time men see a physician, the window of opportunity to screen for early health problems may already have passed, and now it becomes essential to treat complications of a disease. Men are at a higher risk for certain health conditions than others. Among the 15 top causes of death, men lead women in all of them, except for Alzheimer’s disease, according to WebMD. 1. Cardiovascular disease: The American Heart Association says more than one in

Men are at a higher risk for certain health conditions than others. three adult men have a form ward preventing the onset of of cardiovascular disease. High heart disease. blood pressure is a major con2. Liver disease: High levels cern and stroke affects more of alcohol and tobacco use than three million men. Chang- among men can put them at ing one’s diet, exercising and a risk for diseases of the liver, getting routine health exami- such as cirrhosis and alcoholic nations can go a long way to- liver disease. Globally, cirrhosis

caused more than 1.3 million deaths in 2017, two-thirds of which were men. And experts at the Institute for Health Metrics and Evaluation at the University of Washington School of Medicine say hepatitis B and excessive use of alcohol are notoriously high in men, contributing to liver issues. In addition, nonalcoholic fatty liver disease, which is especially prevalent among obese individuals, can contribute to cirrhosis. 3. Respiratory diseases: COPD and other respiratory conditions can lead to lifethreatening conditions. The American Lung Association says more men are now being diagnosed with lung cancer than in years past. Smoking

See THREATS, page 37

WHEN YOU NEED COMPLETE CARDIOVASCULAR CARE,

HAVE FAITH.

Your heart is in the right place at Faith Regional CardioVascular Institute. Our heart and vascular program is supported by local, board-certified cardiologists and surgeons who will be with you every step of the way. • • •

General Cardiology Interventional Cardiology Cardiac Electrophysiology

FRHS.ORG

• • •

Heart Failure Cardiothoracic Surgery Vascular Surgery

(402) 844-8284

Find a clinic near you. Albion, Atkinson, Columbus, Creighton, Genoa, Lynch, Neligh, Norfolk, O’Neill, Tilden, and Wayne

2020 — For Your Health

Depression may complicate recovery from peripheral artery disease By: American Heart Association News People with a vascular condition that commonly affects arteries in the legs could have a tougher road to recovery if they also have depression, according to a new study. The research, focusing on 1,243 people in the U.S., the Netherlands and Australia treated for peripheral artery disease, or PAD, showed women were more likely to be depressed than men. The research was published Wednesday in the Journal of the American Heart Association. PAD causes a narrowing of the arteries serving the legs, stomach, arms and head. It is associated with a high risk of death and illness from cardiovascular diseases and may cause excruciating pain while walking, impacting mobility

and quality of life. “A major goal of PAD treatment is improving patients’ health status and quality of life,” the study’s lead author Dr. Qurat-Ul-Ain Jelani said in a news release. She is an interventional cardiologist in training at Yale University School of Medicine in New Haven, Connecticut. “Not recognizing or treating depressive symptoms may stand in the way of realizing optimal recovery. … A multidisciplinary approach that includes mental health supports for patients with PAD would be beneficial.” Researchers assessed depression symptoms at the beginning of the study using an eight-item survey that included questions about their energy, appetite, sleep pattern and interest or pleasure in participating in activities. Their medical conditions were

assessed via phone interviews four times over a year. The results showed: – At the start of the study, 21% of women had symptoms of depression compared to 13% of men. – Men and women with depression symptoms had worse health status at each time point, compared to patients who did not report such symptoms. “This is the first study to document how depressive symptoms may complicate PAD recovery even among patients receiving specialty care,” senior study author Kim G. Smolderen said in a news release. She is a clinical health psychologist and co-director of the Vascular Medicine Out-

comes Research Program at Yale University’s New Haven Hospital. Because the study focused on people treated at vascular specialty clinics, the findings may not apply to the general population of PAD patients who may not have access to specialty care. In addition, the study excluded other mental health issues, such as anxiety and stress. “PAD is more than treating the legs and the corresponding pain,” Smolderen said. “We need awareness for the patient as a whole in order to provide patient-centric care.” If you have questions or comments about this story, please email editor@heart. org.

Threats

(continued from page 36) remains the leading cause of lung cancer. 4. Depression: Men can experience depression and suicidal thoughts. Researchers at The National Institute of Mental Health estimate that at least six million men in the United States suffer from depressive disorders, including suicidal thoughts, each year. Men may exhibit different symptoms of depression, such as fatigue and irritability, than women. Although more women are likely to attempt suicide, men are more likely to die by suicide. Anyone who needs help is urged to call the National Suicide Prevention Lifeline at 800-273-8255. 5. Unintentional injuries: Risky behaviors, such as driving recklessly, can lead to injuries and accidents. In 2016, unintentional injuries were the third most common cause of death in men above the age of 20, according to the CDC. Men need to assess their risks for various medical conditions and take charge of their personal well-being.

Protect the precious gift of your vision by making regular checkups a part of your healthcare routine. We specialize in eye care for the whole family. From eye health and vision exams, LASIK Consultation, Contact Lenses, a wide selection of designer frames and friendly service, you’ll find it all right here.

MAGNUSON-HOPKINS

Eye Care, PC 1112 West 7th Street • Wayne, NE 402-375-5160

2020 — For Your Health

Seven myths about sunglasses that could damage your vision By: American Academy of Ophthalmology Did you know that too much sun on unprotected eyes increases the risk of eye disease? The good news is that prevention is simple: Wear sunglasses that block 99 to 100 percent of UVA and UVB radiation. But there are a lot of common myths about sunglasses and eye health. That’s why the American Academy of Ophthalmology is working to debunk the myths and offer tips to promote smart eye health choices. Myth #1: Sunglasses are only for sunny days False. UV light gets through clouds and haze. Regardless of the season, sun exposure can increase the risk of developing cataracts, growths on the eye and cancer. Sun reflecting off ice and snow can also lead

to photokeratitis, a painful eye condition sometimes referred to as snow blindness. Myth #2: Babies and children don’t need to wear sunglasses False. Children are just as susceptible to the sun’s harmful rays as adults. Start them on healthy habits early. Myth #3: Cheap sunglasses don’t offer protection False. Sunglasses don’t have to cost a lot of money to provide adequate eye protection. Less expensive pairs marked as 100 percent UV-blocking can be just as effective as more expensive options. Labels can sometimes be confusing. Some indicate sunglasses offer 100 percent protection from UVA/UVB radiation, others offer 100 percent UV 400 protection. Both block 100 percent of the sun’s harmful radiation. Myth #4: Size doesn’t mat-

ter False. The more coverage sunglasses provide, the less sun damage inflicted on the eyes. Consider oversized sunglasses or wraparound-style glasses, which can help cut down on UV light entering the eye from the side. Wraparound glasses may also protect against dry eye due to the wind. Myth #5: Polarized lenses offer more protection from the sun False. Polarized lenses do not block more radiation; however, they can cut down on glare reflecting off cars, water or pavement, which can make activities such as driving or boating more enjoyable. Myth #6: Darker lenses offer more protection from the sun False. The darkness of the lens isn’t indicative of protection. Make sure the label on

the lens says 100% UV-blocking. Myth #7: Tinted lenses offer more protection from the sun False. Amber, green and grey lenses do not block more of the sun’s harmful rays. However, tinted lenses do offer increased contrast for those who play sports, making a softball or a golf ball easier to see. “Your eyes need protection from the sun’s damaging ultraviolet rays just like your skin,” said Dianna Seldomridge, MD, clinical spokesperson for the American Academy of Ophthalmology. “Sunglasses are your prescription for eye health. They are effective, inexpensive, and provide protection year-round.” For more information about eye health, visit the Academy’s EyeSmart website, aao.org/ eye-health.

INDEX of ADVERTISERS Burrows Family Dentistry ................25 CNOS ...................................................4 Discount Furniture ...........................23 Dr. Daniel Kaler, D.D.S...................... 31 Dunes Eye Consultants .................... 16 Faith Regional Health Services Cardiovascular Institute ..............3y Faith Regional Health Services, Carson Cancer Center.................. 18 Faith Regional Physician’s Services Endocrinology..............................26 Faith Regional Physician’s Services Family Medicine ...........................39 Family 1st Dental ..............................30 Good Life Counseling & Support ..... 12 Heritage of Emerson ........................ 21 Hillcrest Care Center ..........................9 Home Instead Senior Care .................9 Jan Harrison Wound Care ................ 31 KEL Physical Therapy & Wellness .... 17

Kinship Pointe Independent & Assisted Living .... 8 Magnuson-Hopkins Eye Care ...........37 Mainstreet Apothecary ....................24 Midwest Health Partners P.C. ........ 27 Midwest Pain Clinics ......................... 6 NE Nebraska Coalition for Suicide Prevention....................... 17 NE Nebraska Public Health Department ..........32 Nebraska Cancer Specialists ............ 22 Nebraska Pain Management Physicians PC ........ 14 Norfolk Audiology P.C. .....................11 Norfolk Family YMCA .......................25 Norfolk Oncology .............................23 Northeast Nebraska Insurance Agency ..........................5 Providence Medical Center Mother & Baby Care ....................30

Providence Medical Center Ortho ........................................... 40 Providence Medical Center Outpatient .....................................2 Providence Physical Therapy ........... 10 Security Bank .................................... 27 State Nebraska Bank & Trust.............3 Todd Luedeke Pain Management Clinic..............28 U Save Pharmacy .............................20 Vital Care Pharmacy ...........................5 Wakefield Health Care Center ......... 15 Wayne Country View Care & Rehabilitation ...........................35 Wayne Eye Care ................................ 13 Wayne Sport & Spine ....................... 18 Wieseman Endodontics .....................4 Women’s Health ............................... 19

2020 — For Your Health

Family Medicine Laurel – Wakefield Wayne – Wisner

WHEN YOU NEED HEALTHCARE FOR YOUR WHOLE FAMILY,

HAVE FAITH.

Find a partner in your health and the health of your family. No matter what milestone you’re approaching, our family medicine providers are here to care for you. If you need more specialized care, we’re connected to specialists and surgeons who can care for you right here in Wayne. frpsclinics.org

BACK ROW: Ross Hansen, PA-C, Sam Recob, MD, Gary West, PA-C, Mark McCorkindale, MD, Ben Martin, MD FRONT ROW: Diane Meyer, APRN, Makayla Garcia, APRN, Melissa Dobbins, DO, Angela McLaughlin, DO, Bonnie Vrbicky, PA-C

PSYCHIATRIC SERVICES

AVAILABLE IN LAUREL, WAKEFIELD, AND WAYNE Our mental health professional provides comprehensive outpatient treatment in a safe environment for patients to be empowered, rebuild hope, and move forward with an improved quality of life. Jill Belt, LIMHP

SPECIALISTS AND SURGEONS WHO COME TO WAYNE. CARDIOLOGY Maryanne Hartzell, MD

CARDIOLOGY Krishna Velagapudi, MD

FOOT & ANKLE Zackary Gangwer, DPM

NEPHROLOGY Jonathan Weitzmann, MD

ORTHOPEDICS Michael Woodbury, MD

PULMONOLOGY Camille Kantai, APRN

2020 â€” For Your Health

Your Life is Waiting Providence Medical Orthopedics

Dr. Joseph Carreau

Dr. Michael Woodbury

Orthopedic Surgeon CNOS

Orthopedic Surgeon Faith Regional Physician Services

Get Back to Living The Providence Medical Center orthopedic team offers extraordinary specialty care for a variety of bone, muscle and joint diseases. Our programs include an experienced surgical team and specialists who provide innovative options to help you get back to living your life. Whether you are an athlete coming back from an injury, in need of knee or hip replacement, rotator cuff repair or simply ready to get back to life free of discomfort and pain, we are here to help. Call the Outpatient Specialty Clinic at 402-375-7953 to make an appointment today!

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