For Your Health Medical Guide
August 2021
Northeast Nebraska
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2021 — For Your Health
Providence Medical Center Extraordinary Care Rooted in Compassion Medical Staff
Dr. Benjamin J. Martin
Dr. Melissa Dobbins
Dr. Mark McCorkindale
Dr. Angela McLaughlin
Outpatient Specialty Services (402) 375-7953
Dr. Samuel J. Recob
Gary West, PA-C
Behavioral Health Counseling
Kathy Mohlfeld, EdD, LCSW
Cardiology
Faith Regional CardioVascular Institute Dr. Hartzell and Dr. Velagapudi
E.N.T.
Dr. Ford
G.I./Surgery
Dr. Nemechek
Nephrology
Dr. Weitzmann
Neurologist
Dr. He
Neurosurgery
Dr. Johnson
Oncology
Dr. Fahed
Ophthalmology
Dr. Haskins
Orthopedics
Dr. Carreau
Pain Management Podiatry Psychiatry
Ross Hansen, PA-C
Diane Meyer, APRN
MaKayla Garcia, APRN
Dr. Piperis Dr. Gangwer Dr. Meinhold Dr. Gillette Dr. Nadala
Pulmonology
Camille Kantai, P.A.
Urology
Dr. Althaus
Vascular
Dr. Laurich
Wound Care
Janis Harrison
Services available 24 hours a day, 7 days a week | (402) 375-3800 Trauma Level IV Emergency • Inpatient Nursing Services • OB Services
Bonnie Vrbicky, PA-C
Providence Therapy Services
Providence Wellness Center
Providence Community Pharmacy
Physical Occupational Speech
Open: M-Th: 5am-9pm Friday: 5am-7pm Saturday: 8am-3pm Sunday: Noon-6pm
Open: M-F: 9am-6pm Saturday: 9am-2pm
Wayne: (402) 375-7937 Laurel: (402) 256-9551 Wakefield: (402) 287-1005
(402) 375-7927
803 Providence Road Suite 101 (402) 375-8862
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
2021 — For Your Health
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Providence Medical Center receives the 2021 Women’s Choice Award® as one of America’s Best Hospitals for Obstetrics Providence Medical Center has been named as one of America’s Best Hospitals for Obstetrics & Outpatient Experience 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 8% of 4,542 U.S. hospitals offering obstetrics. Obstetrics The methodology for America’s Best Hospitals for Obstetrics is unique in that it combines national accreditations, Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey results and hospital outcome scores with primary research about women’s healthcare preferences. It is the only award recognizing excellence in obstetric services based on robust criteria that consider patient satisfaction and clinical excellence. The America’s Best Hospitals for Obstetrics gives consideration to the following specific criteria (all are not required): •The percentage of patients reporting through the HCAHPS survey that they would definitely recommend the hospital •Patient safety ranking based on 11 Centers for Medicare and Medicaid Services’ measures of infection and complication rates •Low rates of early elective deliveries (between 0-1%) •Baby-Friendly USA designation, a World Health Organization (WHO)/United Nations Children’s Fund (UNICEF) initiative to support best practices for breast feeding education and counseling •Level III and Level IV neonatal intensive care designations to provide comprehensive care for the most complex and critically ill newborns. “Pregnancy is one of the most special times in a woman’s life,” said Delia Passi founder and CEO of the Women’s Choice Award. “New moms have many choices when it comes to having their ba-
by, so choosing where to deliver the baby is right up there with choosing the best doctor. We’ve made it easy for moms to identify the hospitals that are proven to deliver an outstanding experience.” Providence Medical Center is one of 408 award recipients representing the hospitals that have met the highest standards for obstetrics across the U.S. Outpatient Experience Hospitals aiming to provide the most appropriate and value-based care along with advances in technology such as minimally invasive techniques have shifted many patient cases to outpatient settings. As a result, hospitals have made significant strides in providing increased customer service to improve the outpatient experience. “Overnight stays in the hospital can be very stressful and costly. With the advancement of technology, hospitals are now able to offer more procedures on an outpatient basis which is much more convenient, more affordable and less stressful,” said Delia Passi, founder and CEO of the Women’s Choice Award. “Women have demanding lifestyles with over 70% of moms employed, so making it easy for her to find hospitals that provide the best outpatient experience helps simplify her life.” The methodology used to select Providence Medical Center as one of America’s Best Hospitals for Outpatient Experience is exclusive in that it evaluates patient satisfaction measures with a hospital visit based on the criteria in the Outpatient and Ambulatory Published by
Surgery Survey (OAS-CAHPS). The evaluation process is the only national list that focuses on the opinion of females. It is the only award recognizing excellence in outpatient satisfaction based on robust criteria that considers the patient experience and clinical excellence. To receive the award, hospitals must first be accredited by the Joint Commission (JC), The Healthcare Facilities Outpatient Program (HFAP) or Det Norske Veritas Healthcare (DNV). Accredited facilities are continuously improving the safety and quality of patient care and this certification signifies the facility’s commitment in meeting regulations and best
practices for the medical industry. The categories in the OASCAHPS survey are assigned weights based on the feedback received from the Women’s Choice Award Survey. Only hospitals that achieve rankings higher or equal to the national average in communication and care by hospital staff, pre and post-surgical coordination, facility ratings and patients’ recommendation are eligible for the outpatient experience award. Providence Medical Center is one of 294 award recipients representing the hospitals that have met the highest standards for outpatient experience in the U.S. by the Women’s Choice Award. “We are honored to receive this recognition for our Obstetrics and Outpatient services,” said Jim Frank, CEO Providence Medical Center. Our goal is to be the health care provider of choice for our region and to deliver exceptional healthcare to our patients and community. Receiving this award reinforces the intentional steps we’ve taken to make sure our patient experience is one of the best in the country.”
IN THIS issue Another year brings another completed Medical Guide to Northeast Nebraska. For our staff, a lot of hard work and energy has gone into every page of the publication you are holding in your hand right now, and all of it well spent. It is such a privilege to work with our region’s healthcare professionals. We would like to take this opportunity to thank them, not only for working with us on this project, but for doing such an important job. From dentists to pain management, surgeons to eye specialists and everyone in between, they have some of the most important jobs on the planet. We appreciate the opportunity to collect and pass on important information about health matters to readers in the region. Medical Guide allows us the opportunity to share with people who may not read our paper, pick up our Morning Shopper or regularly visit mywaynenews.com. We enjoy the opportunity to present free, reliable information to new readers and long-time subscribers.
The Wayne Herald © All rights reserved
114 Main Street • Wayne, NE 68787 • 402-375-2600 Advertising: Tracy Daniels, Dali O’Neill, Nicky Zara Ads & Layout: Alyce Henschke
Editorial: Clara Osten
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2021 — For Your Health
Inspiring self-care: Be kind to yourself while caring for the ones you love Nearly one in five Americans serve as an unpaid family caregiver. Many struggle to balance personal obligations such as work and caring for children, with caregiving responsibilities. These challenges can place significant stress on the caregiver, especially as many tend to place the needs of their loved ones before their own, which can make the caregiver more susceptible to health risks such as high blood pressure, diabetes and increased risk of stroke. By taking time to tend to your own needs and acknowledge the challenges you may be facing, you can create a caregiving environment that is healthy and rewarding for everyone involved. To avoid
isolation and self-neglect we recommend the following strategies and tips: •Schedule “me time.” Just a few mindful moments each day can help reduce feelings of stress or resentment. A quick walk around the block, a 30-minute music break or a three-minute deep breathing exercise on a meditation app can make all the difference. If you’re struggling to find time for yourself, consider asking other family members and friends to momentarily step in. Or, consider a professional caregiver for intermittent help. •Create a gratitude jar. It can be easy to lose sight of why you took on the role of caregiver in the first place. Try
to remain optimistic by using note cards to record what you are thankful for and at the end of the year or season, reflect on the small moments that made you smile. This simple exercise can retrain your brain for positive thinking. If you need help getting started, try filling in the blank: The best part of being a caregiver is __________. •(Actually) unplug. Plan for respite care to take single days off or even enjoy a week-long vacation. When you’re away, stay away. Talk about things other than caregiving and treat yourself to something special as a reward for everything you’ve accomplished. Whenever possible, avoid long periods of time on social
media, which can leave you comparing yourself to others or feeling down in the dumps about your current situation. •Explore workplace benefits. Balancing a career and caregiving can be challenging. Oftentimes, employees aren’t aware of family-friendly benefits offered by their employer. Since the start of the pandemic, many companies have introduced flexible arrangements, such as more paid time off or remote working solutions. •Join a support group. Caring for a loved one can be time consuming and can lead to isolation for caregivers. Dedicate time each week to connect
See INSPIRING, page 5
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2021 — For Your Health
Soaking up the sun: Benefits of getting outdoors for aging adults Being outdoors has many advantages for seniors, whether it’s taking a walk or relaxing on the patio. In addition to increasing physical activity, lowering stress and boosting energy levels, spending time outside increases vitamin D levels, which is critical to healthy aging. Vitamin D supports functions of the immune, digestive, circulatory and nervous systems, and reinforces calcium absorption for bone strength. Despite its importance, an estimated 40% of the U.S. population is reported to be vitamin D deficient. Studies also show that seniors should spend more time outside than others to receive the same amount of vitamin D. Adding nutrient-rich foods to your diet can raise vitamin D levels in older adults, but the advantages of fresh air and direct sunlight cannot be beat. As the warm weather continues, older adults can find ways to soak up the sun. To promote healthy living, here are some reasons to get outside: •Supports mental well-being. Seasonal Affective Disorder (SAD) is a form of depression most often experienced in the winter months. Symptoms
of SAD can improve with the arrival of spring and more sunlight. Spending time outdoors triggers vitamin D synthesis in the skin, which provides a boost to your immune system and overall mood. Going to the park or taking a drive with the windows down can help reduce feelings of isolation, depression and stress. If mobility is a challenge, sit in the sun near a window with open curtains or blinds. •Keeps you moving. According to the Physical Activity Guidelines for Americans from the U.S. Department of Health and Human Services, adults, including seniors, need nearly three hours of moderate aerobic physical activity a week. Planning activities such as a daily walk or bird watching can help contribute to better physical health.
Inspiring (continued from page 4) with other caregivers. Lean on your own support group, whether your “team” is friends, family or even an online community like Home Instead’s Caregiver Stress Facebook page. Practicing self-care is not selfish. By making time for yourself, you can ensure you’re able to provide the best care for your loved one for years to come. For more resources to help manage stress visit HomeInstead. com/#CaregiverSupport or call 800.732.2577.
•Encourages new hobbies. Warmer weather can provide opportunities to explore new activities. Gardening is a fun hobby and a great way to spend time outdoors. Vegetables, herbs and flowers can be cultivated in container gardens, which are convenient and easy to maintain. There are various adaptive tools available to help seniors with arthritis or trouble with grip strength. •Improves bone and cardiovascular health. Low levels of vitamin D can lead to osteoporosis, a disease that causes bone weakening, which increases the risk of falls. Older adults can combat this and other diseases by spending time outdoors.
5
•Enhances personal connections. After many months being entertained indoors by screens, spending time outside without the distraction of technology can be refreshing. Doing so with loved ones by your side can strengthen relationships and deepen bonds. Consider sharing a meal outdoors, taking a walk with your neighbor or starting a garden at home with a loved one. When you need a change of scenery, try getting outside. Nurture your mind and body by spending time in nature. For more information and tips on healthy aging, visit https://www.homeinstead. com/care-resources/low-vitamin-d/ or call your local Home Instead office at 800.732.2577.
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AGENCY NAME GOES HERE Northeast Nebraska Insurance Agency Wayne: 375-2696 • Wakefield: 287-9150 CITY • 000.000.0000 bestinsuranceagency.com Laurel: 256-9138 • Pender: 385-6500
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2021 — For Your Health
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LOCATIONS
Dakota Dunes, SD Location 211 Sioux Point Rd Suite 200 Dakota Dunes SD 57049
Omaha, Nebraska Location 825 N. 90th Street Omaha, NE 68114 • Columbus, Nebraska Location 4508 38th St Columbus, NE 68601 • Missouri Valley, Iowa Location 631 N 8th St Missouri Valley, IA 51555
2021 — For Your Health
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Cancer warning signs are listed No one is immune to cancer, which the World Health Organization notes is the second leading cause of death across the globe. Though cancer is responsible for more than nine million deaths per year, the WHO notes that many cases of cancer are preventable. The WHO estimates that onethird of deaths from cancer are due to five behavioral and dietary risks: high body mass index, low fruit and vegetable intake, lack of physical activity, tobacco use, and alcohol consumption. People who smoke, drink to excess and/or eat unhealthy diets can greatly reduce their risk for cancer and the likelihood that they will join the millions of cancer
patients who die from the disease each year. Learning the warning signs for cancer is another way people can reduce the likelihood that they will die from cancer. Cancer Research UK notes that cancers diagnosed at early stages are more likely to be treated successfully than those that are in the later stages. Late-stage cancers have typically spread beyond their origination point, making treatment more difficult and survival less likely. Early detection of cancer is vital to survival. For instance, Cancer Research UK notes that more than nine in 10 bowel cancer patients will survive their disease for more
than five years if diagnosed at the earliest stage. The five-year survival rates are similar for breast cancer and ovarian cancer patients whose diseases are diagnosed in their earliest stages. By learning some of the common warning signs of cancer, people can increase the likelihood of early detection, greatly improving their chances of surviving this potentially deadly disease. Each type of cancer has its own unique symptoms, and people with family histories of cancer are urged to discuss those histories with their physicians so they can learn the warning signs of the specific cancers that may run in their families. In addition to such
discussions, men and women can keep an eye out for these symptoms, which the Cleveland Clinic notes are some of the more general indicators of cancer. •Change in bowel or bladder habits •A sore that does not heal •Unusual bleeding or discharge •Thickening or lump in the breast or elsewhere •Indigestion or difficulty swallowing •Obvious change in a wart or mole •Nagging cough or hoarseness More information about cancer is available at www. who.int.
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2021 — For Your Health
Setting the standard for exceptional, personalized care - Pender hospital There’s no place like Pender Community Hospital & Medical Clinics when it comes time to expand your family. The passion and knowledge of our dedicated OB team means that expectant, delivering and post-partum mothers get personalized care from providers who truly love what they do. Dr. Ashley Tiahrt is a family medicine provider (and new mom of twins!) for Pender and loves how she can connect with her patients. “As a family medicine provider at Pender, we are with mothers from their first appointment of the pregnancy through their postpartum care,” Dr. Tiahrt explained. “We form a special connection
and are able to provide a full continuum of care that also includes caring for their new baby!” One of the ways the OB and maternity care at Pender stands out is that the OB team consists of a small, highly trained group of caregivers that are passionate about this area of women’s health. Bethany Sedivy, an OB nurse and the OB nurse coordinator, shares, “We have a specific group of nurses for OB that go through six months of training before becoming part of the OB staff to ensure they’re ready to give mothers the level of care they expect from Pender.” “Pender really provides a unique and special experience
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for mothers,” Bethany said. “Being in a small town means we have special connections with our patients. This is especially helpful in areas like lactation counseling. We have the time and resources to meet with new moms—up to two to three times a week—and coach them until they are confident in their nursing.” It’s that tailored experience that Dr. Tiahrt believes makes Pender such a special place for expectant mothers to have their babies. “With a rural practice like Pender you develop a special bond with these patients,” she said. “The level of care we provide is excellent, and it gives mothers a sense of comfort as they move through the stages of pregnancy, delivery and postpartum.” Education is also an essential aspect of the OB experience at Pender. Rebecca Miller, an OB health coach, acts as a liaison between the patient, provider, and other facility departments to ensure expectant mothers have someone who can answer their questions and help them feel comfortable and prepared. “There are a lot of changes and emotions that go along with pregnancy. And, whether it’s your first or third, ev-
ery pregnancy is different. I hope that by patients knowing there is someone available to them for questions, needs or concerns, it gives them peace of mind.” At Pender, we believe that OB patients should have the ability to connect with their healthcare providers and have access to resources and information throughout their entire pregnancy. Having the same dedicated group of staff members guide patients through each stage of the journey to motherhood is something our team is very proud to provide our community. Why choose PCH? For expectant mothers who choose Pender for their OB and maternity care, there are a multitude of services that make the birthing experience stand out. •All family medicine doctors provide OB and delivery services so the same doctor you see during pregnancy, and develop a relationship with, also delivers your baby. •No-cost prenatal classes. •Two certified lactation counselors on staff. •Level 1 nursery with the ability to care for babies with a wide range of special needs. •State-of-the-art equipment such as fetal monitors. •A dedicated OB health coach and nurses on call to answer questions anytime— even after going home with baby. •Spa-like delivery rooms for a calm, comfortable birthing experience. To learn more about OB and maternity care call 402-3854066 or visit us online at pendercommunityhospital.com/ Birth.
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Well- rounded
Care
From prenatal care to delivery, we’re with you every step of the way
At Pender Community Hospital, all of our family medicine physicians provide prenatal, delivery, postnatal and family care, so you have one, trusted provider with you throughout your entire pregnancy and beyond. And with complete and comprehensive OB and Maternity Care all right here, find expert capabilities, specialty services, and personalized care after delivery—for you and baby—where it’s close and convenient.
PERSONALIZED CARE IS ALL RIGHT HERE: • No-cost prenatal classes • Nurses on call to answer questions—day or night • Two certified lactation counselors • Dedicated on-staff obstetrics health coach for support before, during and after pregnancy • Private, spa-like birthing suites • Babies’ first pictures taken by visiting professional photographer • Coordination with area neonatal intensive care unit for quick transfer if complications arise
Call 402-385-4066 to learn more or visit pendercommunityhospital.com/birth.
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2021 — For Your Health
FYZICAL therapists able to treat dizziness Dizziness is the second Dr. Ford saw a need in the most common complaint community for their patients heard by physicians. Though to be treated for vestibular patients often go to the therapy. They were seeing emergency room or their these patients for dizziness, primary care physician for they needed therapy, but treatment of their dizziness, there was no place to send medications are often not the them. They had learned about cure for these issues. Instead, FYZICAL and thought, ‘This is vestibular rehabilitation is exactly what we need for our needed through specialized patients!’” According to Dr. Hertz, therapy to retrain the balance systems and reduce dizziness. equipment is the number With specially trained one thing that sets FYZICAL Utilizing Bertec therapists and cutting-edge apart. equipment to analyze and equipment, a Computerized Posturography treat balance, dizziness, and Dynamic vestibular disorders, FYZICAL (CDP) can be performed to Therapy & Balance Centers evaluate the three parts of is the most comprehensive your balance system (vision, physical therapy clinic in somatosensory, and vestibular Siouxland for balance and function) for deficits that may be contributing to dizziness. “We’re connected to Ear, your imbalance or dizziness Nose & Throat Consultants,” symptoms. The test measures Dr. Mallory Hertz, PT, DPT, your movement under six 159395-(MAIN).crtr - Page 1 - Composite Pagedifferent 1 - Composite conditions where explains.159395 “Dr. (MAIN).crtr Powell and
the floor and visual surround move both independently and simultaneously. Information gathered from this test is used to develop a treatment plan that is most appropriate to you, individually. (Only FYZICAL Therapy & Balance Centers have equipment of this kind in both Iowa and South Dakota). Rapid involuntary eye movements, called nystagmus, are often associated with dizziness. However, not all nystagmus is created equal. Recording and studying these eye movements helps in the diagnosis of your dizziness. The team at FYZICAL uses a specialized test called videonystagmography (VNG) where goggles are placed over the eyes to record eye movements associated with various tests. The results help to better
determine the reason for your dizziness. You and your provider will review your test results together and discuss options and further interventions if necessary. The Safety Overhead System (SOS) is an overhead track and harness system which is a unique feature to FYZICAL. It 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. “We’re able to challenge patients more because it’s safer,” Dr. Hertz explains. “It also gives patients more confidence to be challenged, because they know they can’t fall.”
See THERAPISTS, page 11
Support Group for People Affected by Suicide Meetings: 2nd Tuesday of each month at 7 p.m. First Baptist Church 404 W. Benjamin Ave. Norfolk, NE
Support for anyone 18 or over whose life has been touched by suicide. Confidential meetings where all are fellow survivors. Donna Wolff, Facilitator (Lost her son to suicide) Questions, call 402-841-3834 • donna68701@yahoo.com Donations can be sent to: Suicide Prevent Coalition c/o Donna Wolff 107 E. Wilson Ave. Norfolk, NE 68701
159395
159395
Funding provided & supported by grant number 5U79SM061741 from the Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (HHS) via the Nebraska Department of Health and Human Services, Division of Behavioral Health, & Region 4 Behavioral Health System.
2021 — For Your Health
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Therapists (continued from page 10)
FYZICAL is changing healthcare by focusing on prevention and healthy lifestyles. Their well-care approach is all about improving and extending the lives of the patients they serve. Another area that might not seem like a natural match to imbalance and dizziness is pelvic health. “In 2018 we expanded our practice into pelvic health,” Dr. Hertz shares. “People think, ‘Those are two weird specialties to be together!’ But the truth is, the risk factors for falls are highly correlated with the risk factors for incontinence. The people with incontinence are also having poor balance, and they’re falling in their rushed trips to the bathroom. So, it’s actually two specialties that go hand-in-
hand. Pelvic floor rehabilitation is your first line of treatment for better bladder control, better bowel control, control of pelvic pain conditions, pelvic girdle pain in pregnancy and postpartum, and Type III prostatitis in men. Dr. Hertz is very passionate about their pelvic health program, for both women and men. “From a pelvic health standpoint, we have a lot of different techniques that we use. We have a biofeedback machine where we do assessments of the pelvic floor. We combine that with our education and internal work.” “Our goal is to help the people who need us,” says Dr. Hertz. “What we do is so unique. I’m the only physical therapist in the Siouxland area certified to do internal pelvic
exams doing pelvic work fulltime. We’re the only physical therapy clinic that specializes in the dizziness and imbalance like we do, too” Now a team of two physical therapists, two physical therapy assistants, and a front desk person, Dr. Hertz and her team thoroughly enjoy working together. “We really strive for personalized care. We don’t double book
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sessions. We don’t see multiple patients at a time. We really want to give patients the one-on-one time that they deserve,” she explains. Contact FYZICAL Therapy & Balance Centers at (605) 2174330 to find out more about help with dizziness, balance, or pelvic health. Visit www. fyzical.com/dakota-dunes-sd to learn more.
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2021 — For Your Health
Procedure available at Faith Regional to assist with enlarged prostate Men: If you find yourself waking up several times a night to go to the bathroom or feel like your day is constantly interrupted by the need for restroom breaks, you may be suffering from a common condition experienced as men age – an enlarged prostate. About half of all men 50 and older have an enlarged prostate and by the age of 85, it’s as high as 90%. Common Symptoms of an enlarged prostate include: •Waking up several times at night to urinate; •Weak, interrupted urine stream; •Hard time starting and stopping; •Feeling a sudden urge to urinate; •Not sure your bladder is
empty; •Dribbling at the end of your stream; •Painful or burning urination; •Inability to go when you feel the need; •Lack of control over urination. Your doctor may prescribe medicine to help shrink your prostate or relax muscles near it to ease symptoms. If the medications are no longer working or you’re unhappy with their side effects, you may be a candidate for a new minimally invasive procedure that provides lasting relief without surgery or medication. Dr. Yemi, a urologist at Faith Regional Physician Services Urology in Norfolk, now offers
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Rezūm Water Vapor Therapy to treat enlarged prostate, or benign prostatic hyperplasia (BPH) as its known in the medical field. Performed right in the office, natural water vapor is released throughout the targeted prostate tissue. When the steam contacts the tissue and turns back into water, it releases energy, killing the excess prostate cells that squeeze the urethra. With the extra tissue removed, the urethra opens, reducing symptoms. “As many men get older, their prostate gland enlarges, which may squeeze the urethra and obstruct the flow of
urine,” said Dr. Yemi. “Some minimally invasive procedures may treat the symptoms but not the underlying condition. What’s great about Rezūm Therapy is that it does not require general anesthesia, and most men see symptoms improve within a few weeks. Patients typically return to regular activities within a few days after the treatment.” If you feel you may benefit from Rezūm Therapy, schedule an appointment with Dr. Yemi at Faith Regional Physician Services Urology in Norfolk. Call (402) 844-8341 to schedule an appointment. Visit frpsclinics.org to learn more.
•New Patients Welcomed •Member of the 101 Tower Road, Suite 110 American Association of Dakota Orthodontists Dunes, SD 57049
Also t with pe and
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spelled FROM different because,we are different FREEDOM DIZZINESS VERTIGO , AND IMBALANCE! . Bladder leaking? Pain with intercourse? FYZICAL takes a whole-body approach to Balance Specialty Programs: Dizziness? Imbalance? Fear of falls? (inner ear) therapy • Vestibular consider whether issues with the inner • Repositioning maneuver (BPPV) WE CAN HELP! ear, spine, hip, knee, or feet might be • Balance retraining therapy contributing to your imbalance or 605.217.4330 • www.fyzical.com/dakota-dunes-sd • Fall prevention program dizziness concerns. edge for difficulty walking 101 Tower Rd Cutting #110, Dakota Dunes,• Training SD 57049 technologies, equipment, and treatments are available to help you achieve your highest level of independence.
• Neurological rehabilitation • VNG and CDP testing
2021 — For Your Health
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Eye Physicians provide for eye care needs Nebraska’s Leading Eye Care Practice Eye Physicians, P.C., is proud to celebrate over 20 years of caring for our patients’ every eye care need. Our team of doctors are board-certified, highly trained and provide years’ worth of eye care experience. Using the most advanced technology and highest quality standards, we ensure each patient receives the safest and best eye care available. Eye Physicians, P.C. is the only provider for LASIK refractive surgery in northeast Nebraska.
At Eye Physicians we are: •Medical and Surgical Specialists •Focused on Professional Care and Personal Attention •Committed to Thorough Eye Exams •Invested in the Most Advanced Technology The health of your eyes has
an immediate and significant impact upon the quality of your life. Eye Physicians offers the latest in preventative, diagnostic, and restorative treatments of the eye, to ensure your view of the world is as clear as possible. Our professional team includes Doctors of Medicine, and Doctors of Optometry – each excelling in specialties involving the latest techniques in their field. Next to our office in Columbus is the fully accredited Columbus Surgery Center. It is equipped with the most advanced surgical equipment and technology available. In addition to having the Surgery Center, our surgeons also provide surgical services throughout the year in Albion, Neligh, and Norfolk meaning that your care can always be close to home.
We offer a wide array of procedures and services to ensure our patients’ long-term ocular health. Our services include, but are not limited to: •Cataract Surgery in the fully accredited Columbus Surgery Center •Advanced Technology Intraocular Lens Implants (IOLs), Including IOLs that Correct Astigmatism and Reduce the Need for Reading Glasses •Laser Vision Corrections procedures (Blade-Free LASIK, PRK and Implantable Contact Lenses) •Medical Treatment of Ocular Diseases including: - Conjunctivitis (Pink Eye) - Diabetic Retinopathy - Dry Eye Treatment - Flashes & Floaters - Glaucoma - Macular Degeneration - Strabismus (Lazy Eye) •Full Service Optical Shop
- Eye Glasses - Contact Lenses - Low Vision Aids (Magnifiers) Comprehensive Ophthalmology
Advancements in Cataract Surgery A cataract is the clouding of the natural clear lens of the eye, which prevents light entering the eye from being focused properly on the retina. Cataracts are a normal part of the aging process and can begin to affect the clarity of vision as early as age 50. In fact, it is said that most people will develop cataracts if they live long enough. Currently, there is no medical treatment to reverse or prevent the development of cataracts. Once they form, the only way to achieve clear vision again is with cataract surgery. Cataract Surgery involves creating a microscopic incision through
See EYE CARE, page 14
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2021 — For Your Health
Eye Care
(continued from page 13) which the cataract is removed, and a foldable intraocular lens (IOL) is implanted to replace the clouded lens. IOLs are soft, foldable lenses that are inserted into the eye to replace the focusing power of the natural lens that developed the cataract. The small incision then seals itself naturally and allows for comfortable and rapid healing. In addition to having your cataracts treated, relatively small amounts of pre-existing astigmatism can be corrected using the LenSx femtosecond laser. For patients with higher amounts of astigmatism, there are a number of Toric IOLs that correct astigmatism including Toric Monofocal IOLs and Toric Multifocal IOLs. Blade-Free LASIK LASIK is an effective treatment used to correct mild to moderate cases of nearsightedness, farsightedness, and astigmatism. Our doctors perform the most modern type of LASIK called
Blade-Free LASIK (IntraLase). LASIK is the most well-studied and popular vision correction procedure available today, improving, or in most cases, fully restoring vision. You can be assured that at Eye Physicians your LASIK procedure will be completely bladeless. Ideal candidates for LASIK are patients 18 and older with a history of stable vision who are nearsighted, farsighted, and/or have astigmatism, as well as have normal corneal topography (corneal thickness and treatable shape). Photo-Refractive Keratectomy (PRK) PRK may be the best choice for some patients. The procedure is very similar to LASIK, but no flap is created. During PRK, the surface cells of the cornea, called the epithelium, are removed. The surgeon then uses the Excimer laser to reshape the cornea to your customized prescription. Ideal candidates for PRK are patients 18 and older with a history of stable vision, who are nearsighted, farsighted, and/or have astigmatism, and have no evi-
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dence of corneal disease or certain autoimmune conditions. Our Vision Correction Technology One of the reasons Eye Physicians is so respected and well-established in northeast Nebraska is due to our constant pursuit of the most state-of-the-art technology available. The lasers and medical devices we utilize help us give our patients the most accurate and precise vision correction treatment possible. Our technology allows you to enjoy significantly improved vision without the need for glasses or contacts. The use of lasers instead of manual incisions using microkeratome blades allows for more accurate incisions with reduced complications. For our LASIK and PRK procedures, we use the iDESIGN Wavefront System, delivering unprecedented measurement accuracy, enhancing the precision of your vision correction procedure and personalizing each treatment. We then utilize the Intralase iFS™ Advanced Femtosecond Laser and the VISX Star S4 IR Excimer Laser for the refractive error treatment. For our cataract procedures, Eye Physicians has also invested
in the ORA (Optiwave Refractive Analysis) System Technology that measures the eye after the cataract has been removed to verify and/or modify the selection of the best IOL power and insure proper placement. Our surgeons then use the LenSx Femtosecond Laser to perform many of the surgical steps that were traditionally performed manually with a blade. Contact Lenses Our doctors determine which contact lens will benefit you best for your individual needs. The goal being to give you the clearest vision possible. When you wear contact lenses, they sit right on your eye. Therefore, they need to fit right to keep your eyes healthy. You will have follow-up appointments to ensure your contacts fit as they should. Optical Shop We are a Zeiss Certified Practice and we use high-quality spectacle lenses and coatings with maximum protection in every lens we sell. We have an educated optical staff to assist you in the selection from our large frame inventory. We offer frames in every price range, from basic to designer. We want to help you look good and have the best vision.
2021 — For Your Health
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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 release 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 be-
come 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-Prediabetes 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 irregular 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. Tobacco Smoke-Smoking can increase a person’s risk of
See DIABETES, page 17
Vaccination is the best prevention we have against COVID-19. Getting vaccinated protects against getting sick, severe illness, hospitalization, and death. Adding other interventions such as •wearing a mask •keeping 6 feet or more physical distance •washing your hands well and often and •staying home when sick will help protect more people, including those who cannot get vaccinated, such as children ages 0-11 years. Follow us on Facebook at http://www.facebook.com/nnphd/ for other COVID-19 updates, info, and tips.
The vaccine is FREE and available to the public across the health district from: v Northeast NE Community Action Partnership - 800-445-2505 v Northeast NE Public Health Department - 800-375-2260 v Pender Apothecary - 402-385-3350 v Providence Community Pharmacy - 402-375-8862 v Steffen Drug – 402-254-3549
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2021 — 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
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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. cause drowsy driving, heart 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.
KEL Physical Therapy & Wellness 402-999-4564 KEL-PTwell.com
Dr. Karen Longe Physical Therapist
Private Treatment Rooms • FREE Monthly Workshops Convenient Downtown Wayne Location
2021 — For Your Health
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Kubat HealthCare comes to Norfolk Kubat HealthCare, a leading health care service provider in the Heartland, is excited to expand their services in the Norfolk area with the addition of a full-service community pharmacy opening in September 2021. With this addition, Kubat HealthCare will offer prescription medications including customized compounding of medications, a full line of home medical equipment, and top-quality respiratory care. The new pharmacy will offer free local prescription delivery, medication synchronization to help patients manage all their prescriptions, and immunization services. They will accept nearly all prescription insurance plans including Medicaid and Medicare Part D. “By opening up a full-service pharmacy in Norfolk, Kubat
HealthCare is able to provide the community with more personalized services and extended care,” said Tony Schmid, Director of Pharmacy at Kubat HealthCare. “We believe that everyone deserves access to premium health care products
and services to better their health and wellbeing.” With the collaboration of their franchise partner, Vital Care of Norfolk, they will continue to offer infusion services throughout the community and beyond.
Kubat HealthCare is located at 120 N 27th Street, Suite 100 in Norfolk. Vital Care of Norfolk is next door at 120 N 27th Street, Suite 200 in Norfolk. For more information, call (402) 371-3444 or visit Kubat HealthCare.com.
Diabetes
(continued from page 15) 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.
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Pharmacy hours: Monday - Friday • 9 a.m. - 6 p.m. Saturday • 9 a.m. - 2 p.m.
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2021 — For Your Health
Pender Community Hospital & Medical Clinics welcome Chelsea (Brinkman) Moore, PA-C The Pender Community Hospital (PCH) and Medical Clinics have welcomed Chelsea (Brinkman) Moore, PA-C to their list of providers. She will primarily care for patients in the PCH emergency department. As a passionate, skilled medical professional and native of Pender, she will be an invaluable asset to the healthcare system. Chelsea recently graduated from UNMC and is excited to be able to start her career in the same place that rooted her desire to help others. Being born and raised in Pender made it an easy decision to return and give back to the community that has supported her throughout her education. “The desire to help others and also expand my knowl-
edge in the ever-changing field of medicine is what inspired me to become a Physician Assistant,” Moore said. She will be stepping into a new role at PCH that will further support their mission to provide the highest quality care for patients. Her main care focus will be within the ER, where she will provide daytime coverage four days a week and night coverage twice a month. This will allow other providers to focus on patients at the medical clinic. Chelsea will also provide clinic coverage as needed. The addition of another fulltime provider at PCH is a great benefit to patients, staff and the community. In her downtime, Chelsea enjoys spending time with
her husband Spencer, their corgi Archie, and friends and family. She also enjoys cooking, watching movies, reading
books, and being outdoors as much as possible through camping and hiking.
Chelsea (Brinkman) Moore
BHS Pender Outpatient Clinic now open full time 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.
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Behavioral Health Specialists (BHS) has announced that due to the overwhelming support of their community partners, they are now open fulltime hours and have expanded to offer both substance abuse and mental health services in person in our outpatient clinic located at 326 Main Street, in Pender New Hours of Operation are from 8 a.m. to 6 p.m. Monday – Thursday (Walk-Ins Welcome) and from 8 a.m. to 4 p.m. on Friday (Walk-Ins Welcome) Evening and weekend appointments are available, as
needed. The clinic will be offering Alcohol & Drug Evaluations & Mental Health Evaluations, Individual Therapy, Anger Management, and Community Support services. Intensive Outpatient and Outpatient Group Therapy will begin as demand continues to grow. We are hoping to start an Outpatient Group on Saturday mornings at 9 a.m. to accommodate our working client schedules. We will also assist
See CLINIC, page 19
2021 — For Your Health
19
Providence Community Pharmacy strives to serve Providence Community Pharmacy has implemented a number of services to assist customers in their health care needs. Several of these include: Compliance Packaging Providence Pharmacy is able to put together a package of all the medications a patient needs for a week in one, convenient package. The time the medications are to be taken is colored coded on a sheet indicating which medications are to be taken in the morning, at noon, in the evening and at bedtime. Each sheet contains the medications needed for one week. All medications are sealed for safety. “We generally package enough medication for one month for those patients whose medication needs are stable. However, we can customize the packages for those who need this service,” said Becky Barner, PharmD, RP at
Providence Community Pharmacy. Each ‘pod” of medications is labeled to identify which medications are included and a full list and description of the medications is included at the top of the package. “This system means no more guesswork, and no more bottles or pillboxes. And, because they’re clearly labeled by date and time of day, the patient has the comfort of knowing they took the right medication at the right time,” Barner said. The “pods” are detachable and portable, allowing a patient to take medicine on the go. All the sheets of medication are filled by a pharmacist, eliminating the worry of mixing up medications. The packing allows patients the peace of mind and confidence that they are taking their medication correctly. Barner said that the compliance packaging is helpful for those of any age, but is espe-
cially designed for seniors. She encourages anyone interested in the packaging to stop in to the pharmacy to discuss options. Senior Day Senior Day is offered every Wednesday and those 55 years and over will receive a 10 percent discount on all over the counter (OTC) products. The pharmacy also provides free home delivery in Wayne and Wakefield and free mail out services.
The drive-thru at Providence Community Pharmacy has been used extensively and the pharmacy also offers curbside delivery of medications. Free personalized blood pressure checks are also available for anyone at the pharmacy. Anyone with questions about the services offered at Providence Community Pharmacy or for more information, contact the Pharmacy at (402) 375-8862.
Clinic
(continued from page 18) with navigating the process of getting individuals in to our two Social Detox and Short-Term Residential Programs, which include Seekers of Serenity in Columbus and Sunrise Place in Norfolk. BHS has been providing quality professional care for nearly 29 years. Additionally, we offer services via Zoom, Go-To Meeting, and via telephone for our clients with transportation and technology difficulties. We accept all funding sources including, but not limited to: Region 4 (based off a sliding fee scale), Probation Vouchers, Private Insurance, Medicaid, and Self-Pay. Please call 402-922-7555 to complete a referral to the Pender Clinic and/or to access any of our many programs. We will walk through the easy process and get an appointment scheduled! BHS covers the Crisis Response Team/CARELINE at 888-3707003. If you or someone you know is in crisis, please reach out for help. Any questions regarding the Pender Clinic, please call Jenna Kennedy, LADC, CAMF, Director of Outpatient Services, at 402922-7555 or email: jkennedy@4bhs.org. Our fax number is 402922-7614.
Becky Barner, PharmD, RP, at Providence Community Pharmacy, explains the benefits of Compliance Packaging of medications for patients.
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2021 — For Your Health
Do you want to stay healthy? Move more! COVID has certainly shown us the importance of health as well as how quickly illness can change our lives. While COVID is front and center in most people’s thoughts, it isn’t the only illness out there that can be life changing. Heart disease, diabetes, strokes and cancer can all be devastating too. To become more resilient and defend against these things, research says you should move
more. The dangers of being sedentary are well known and documented in the research. High amounts of sedentary time has even been called the new smoking. Unfortunately for many of us, sitting and being inactive is part of our jobs. However, research has shown that getting in enough movement can counteract the negative effects of being sedentary. A large study done in the
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United Kingdom found no association between the amount of time people spent sedentary and their chances of illness. But the authors did NOT conclude that being sedentary is okay. Instead, they felt their findings were likely “attributable to a protective effect of the high volumes of daily walking.” The study was conducted in London, where people tend to spend much more time walking or standing than average. The people in the study had daily walking times that were over double the average amount reported in the United States. While walking was the activity in this particular study, other research has shown that all kinds of movement can help protect your health. If you’re looking to get those protective benefits for yourself you could choose to walk, bike, lift weights, dance or garden. If you’re not moving as much or as well as you’d like, see your physical therapist. Physical thera-
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Enas Al Zaghal, MD Kaitlin G. Brau, MD
pists are the most qualified professionals on the planet to help you move better and allow you to stay healthy and enjoy life. From designing a program to get started to helping you move more all the way to helping you recover from an injury or serious illness, your physical therapist is the right person to look to for help. —— Karen Longe, Doctor of Physical Therapy, is the founder of KEL Physical Therapy & Wellness in Wayne, NE. 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 KEL-PTwell.com or her business Facebook page.
Endocrinology
2021 — For Your Health
21
LifeServe - Providing blood and blood products to hospitals in three state area Did you know LifeServe Blood Center is the SOLE provider of blood to more than 120 local hospitals in Iowa, Nebraska and South Dakota? From Avera St. Anthony’s in O’Neill, Nebraska to Allen Memorial Hospital in Waterloo, Iowa, hospitals choose US to be their ONLY provider. Successful decades-long partnerships with these medical centers se-
cured LifeServe a reputation as a trusted local blood center. Your donation with LifeServe will help save your neighbor, a friend, family member or a stranger in your community! When donors donate with another blood collection organization within our community, their local donation does not support their local hospital. Only blood collected
by LifeServe Blood Center is provided to our local hospitals. We need 200,000 community members to donate each year to ensure our local hospital patients have the blood products they need. History The Blood Center of Iowa and Siouxland Community Blood Bank, two strong, Iowabased, not-for-profit blood
centers, merged operations in April 2010 to become LifeServe Blood Center. The decision to combine operations marked a positive move forward in the centers’ ability to counter-act the rising costs of healthcare by providing hospital customers with lower blood costs and additional value-added benefits. Today, LifeServe Blood Center collects approximately 156,000 units of blood a year and provides blood and blood products to more than 120 hospitals in Iowa, Nebraska and South Dakota. LifeServe — Our Mission “We save lives in partnership with the communities we serve.” Our Vision — Trusted by patients, sought by hospitals, favored by communities, and chosen by employees. Our Guiding Pillars & Core Values — LifeServe Blood Center is dedicated to a set of guiding pillars and core values that define and shape our organization’s commitment to our customers; blood donors and hospitals, community and employees. It’s Achievement… Recognizing donors, hospitals and employees for their achievement of being a part of a special team of contributors committed to providing a vital community resource. Providing our customers with only the highest quality products and services, on time, and in the best possible way, through continuous improvement in the quality of our work and people. Adhering to a strict code of ethics and will promote integrity through honest, fair and moral behaviors.
See BLOOD, page 23
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2021 — For Your Health
‘Live Safe at Home’ program available at Providence Therapy Services In an effort to keep people in their homes, safe and happy, Providence Therapy Services has developed a new program
entitled “Live Safe at Home.” Put together by Michelle Albers, Physical Therapist, Britni Nordhues, Occupational Ther-
apist and Kayla Korth, Speech Therapist, the program has been in the planning stages for several months and is now
Kayla Korth Speech Therapist
Britni Nordhues Occupational Therapist
Michele Albers Physical Therapist
available throughout the community. Korth said the program requires a doctor’s referral and an evaluation by all three disciplines - physical therapy, occupational therapy and speech therapy. Information from the evaluation is shared with the patient’s doctor. Those who feel they may benefit may also contact Providence Therapy Services with questions. After the initial visit, the patient generally is seen by all three therapists two to three times a week for four to six weeks. The visits take place at the PMC clinics in Wayne, Wakefield or Laurel.
See PROGRAM, page 23
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2021 — For Your Health
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Program
(continued from page 22) Following the time at the clinic, the actual therapy takes place in the home. “We go into the home and work with the patient and perform activities such as baking a cake, doing laundry or setting up a budget for groceries,” Korth said. “Co-treatment is so important to the patient as we work with all daily events of living. In terms of what I do, in addition to helping the patient with eating and drinking without coughing or choking, the cognitive skills are important. These include things such as how to balance a checkbook or use a credit card or problem solving to be safe in the
home,” Korth said. In addition to the services available through the therapists, the evaluation could also determine if the patient is not eating appropriately. At that point, he or she could be referred to a dietitian. If needed, the staff at Providence Pharmacy could assist with making sure medication needs are met. Also available is a licensed clinical social worker. The amount of time the patient receives care varies from patient to patient The program is designed for those 65 years and older and services provided through the program are covered by insurance, including Medicare. The services offered through
Blood
(continued from page 21) It’s Service… We strive to understand and exceed the current and future service expectations of our customers, our donors and each other and to serve with personal humility and the highest level of professional courtesy. We will exercise full respect for the contributions and needs of all people and processes affected by our organization. It’s Community… We will assume responsibility for stewardship of the blood supply and pledge to represent our community’s best interests in making wise use of all resources and doing our part to keep blood costs affordable for our customers. We assume personal accountability for our actions and the quality and outcomes resulting from our work. We strive for excellence and are accountable when we do not achieve desired results.
513 N. Main St. Wayne 888-275-0374
the program are available to anyone within a 30 mile radius of Wayne. For more information on the
program, contact Providence Therapy Services at (402) 3757937 or www.providencemedical.com
Stroke symptoms By learning and sharing the F.A.S.T. warning signs, you just might save a life from stroke. Use the letters in “F.A.S.T.” to spot stroke signs and know when to call 9-1-1. Face Drooping Does one side of the face droop or is it numb? Ask the person to smile. Is the person’s smile uneven or lopsided? Arm Weakness Is one arm weak or numb? Ask the person to raise both arms. Does one arm drift downward? Speech Is speech slurred? Is the person unable to speak or hard to understand? Ask the person to repeat a simple sentence. Time to Call 9-1-1 If the person shows any of these symptoms, even if the symptoms go away, call 9-1-1 and get them to the hospital immediately.
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2021 — For Your Health
Cognition, swallowing among the common challenges persisting for many after COVID-19 With an estimated 10 to 30% of COVID-19 survivors experiencing “long-haul” symptoms including brain fog and swallowing difficulties, Wayne speech-language pathologist Kayla Korth, M.A., CCC-SLP is encouraging the public to seek care from qualified experts who can help them regain their functioning and quality of life. Korth is sharing this message in an effort to assist anyone who may be experiencing any of these symptoms and to let them know their symptoms are not unique. “The pandemic has posed so many challenges to us all as a society, but one of the persisting and most vexing ones right now is the daunting set of difficulties many people are having
for months after contracting COVID-19,” said Korth. “From brain fog, to difficulty eating and drinking, to speech and language problems, these can affect return to work, the ability to take care of one’s family, and overall recovery. Many people don’t know about the services of speech-language pathologists — professionals trained in these areas who can make a huge difference for these people. This is an important time for us to spread the word: Help is available.” How They Help Speech-language pathologists (SLPs) can help people with, or recovering from, COVID-19 who are having shortand longer-term difficulties in the following areas: •Cognition. Many COVID-19
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“long-haulers” are reporting persistent brain fog as a debilitating symptom after their bout with the virus. This can
prevent a return to work and impact their ability to tend to
See PERSISTING, page 25
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Persisting
(continued from page 24) family responsibilities. SLPs can work with individuals to improve their memory, attention, organization and planning, problem solving, learning, and social communication—such as re-learning conversational rules or understanding the intent behind a message or behind nonverbal cues. The focus is on the person’s specific challenges as well as regaining the skills that are most important to their daily life and priorities. •Swallowing. People diagnosed with COVID-19 may experience swallowing problems that can put them at risk for choking or aspirating, which is when food goes into the lungs instead of the stomach. This may be the result of time spent on a ventilator, or
it may be another side effect of the virus. SLPs use different types of tests to determine what happens when a person swallows and how the related muscles are working—helping a patient’s medical team, including the SLP, decide on the best course of action with the patient and their family. SLPs may recommend modified textures of food and drink for patients; therapy exercises to strengthen the tongue, lips, and muscles in the mouth and throat; and strategies to make eating and drinking safer, such as modifying the pace of chewing/eating, size of food, and more. •Communication. People diagnosed with COVID-19 are also experiencing speech and language difficulties. Some, such as those who spent a sig-
nificant amount of time on a ventilator or experienced low oxygen to the brain, may have muscle weakness or reduced coordination in the muscles of the face, lips, tongue, and throat—making it difficult to talk. Others, particularly those who experienced a COVID-related stroke, may experience a language disorder called aphasia—which makes it hard for someone to understand, speak, read, or write. SLPs work with patients through targeted therapy to improve their communication and understanding. People who have severe speech and/or language difficulties may need to find other ways to answer questions or tell people what they want, such as through gesturing with their hands, pointing to
letters or pictures on a paper or board, or using a computer. These are all forms of augmentative and alternative communication (AAC). SLPs help find the appropriate AAC method to meet an individual’s needs. Where to Find Care SLPs work in settings that include hospitals, long- and short-term care facilities, private practices, and patients’ homes. Many SLPs are also providing their services via telehealth at this time. If you or a loved one are experiencing communication challenges, Korth recommends letting your doctor know. For more information, Wayne area residents can contact Providence Therapy 402375-7937—or visit www.asha. org/public.
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Training helps OB team prepare for real-life deliveries Adequate training is the key to success in any profession. When it comes to healthcare, that training can mean the difference between life and death. The nurses and providers with the Obstetric team at Providence Medical Center (PMC) in Wayne recently were able to have Bryan Health Systems, Heartland Health Alliance come to Wayne to give them training on Obstetric/ Newborn complications. “Bryan providers and nurses evaluated and walked us through each scenario, which was amazing to have them as resources to answer any questions or offer advice,” said Elizabeth Sievers, RN, Director of Inpatient and Obstetric Services at PMC. Scenario number one was preeclampsia/eclampsia which was maternally focused (fo-
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Providers and nurses at Providence Medical Center conducted a training on Obstetric/Newborn complications. cused on mother). After the provider has iden“This is a very serious con- tified that gestational diabedition that needs close moni- tes is an issue, these mothers toring and early identification. are very closely monitored and Our providers are great at have routine non-stress tests monitoring labs and vital signs, and ultrasounds. as well as communicating with “This scenario was a great and educating the mothers way to get our OB team and early in pregnancy about signs doctors prepared for comand symptoms. All of our OB plications in these types of team is trained in identifying babies. We used equipment and treating this pregnancy that we are trained on in our complication, and hosting Neonatal Resuscitation (NRP) simulations like this one helps Class that all of our OB team is us put our training in action,” certified to use,” Sievers said. Sievers said. Nicole Haglund, vice presiThe second scenario was dent of Nursing Services, said dealing with a newborn in facilitating the training at which the mother had gesta- PMC with the OB department tional diabetes. These babies helped them solidify not just have a tendency to be larg- what to do, but how to do it. er, have complications with “It’s important for us to breathing and respiration, and practice working through the have issues maintaining their entire process, including the glucose outside of the womb. communication piece. With “Again, early interventions these simulations, our nurses with these babies are key. and doctors get to practice Mothers take a glucose test how and what to communifairly early in pregnancy to determine if this will be an isSee TRAINING, page 27 sue,” Sievers said.
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Dental hygiene is about more than just your teeth Individuals tend to learn about dental hygiene at an early age. On the recommendation of their children’s pediatricians, parents may begin brushing their youngsters’ teeth the moment the first tooth breaks through the gums. While proper dental hygiene is vital to oral health, it also can have a profound effect on the rest of the body. According to the Mayo Clinic, poor oral health might contribute to various diseases and conditions. Periodontitis is a severe yet preventable gum infection that can lead to tooth loss if
Training
(continued from page 26) cate to each other in a real-life situation. It is an important exercise that better prepares them for an actual situation, Haglund said. “Nearly 70 babies were born at PMC last year, and each year our number of newborns continues to grow. We are excited about this growth and want to make sure we continue to provide a great service for our moms and babies,” Haglund said. Both Sievers and Haglund agreed that “Bryan Health is great at offering classes to our hospital at no cost, and each year, they pick a new complication to do a simulation over and offer to us, as well as surrounding hospitals, the opportunity to keep up competencies in all areas of pregnancy and delivery complications.” For more information about Providence Medical Center’s services such as Mother/Baby Care or any other healthcare services, please contact the hospital at (402) 375-3800 or visit providencemedical.com
left untreated. But the threat of periodontitis doesn’t end in the mouth. The American Academy of Periodontology notes there’s a connection between periodontitis and several other diseases. While bacteria was long suspected to be the link between periodontitis and other diseases in the body, the AAP notes that recent research points to inflammation as the culprit that connects periodontitis with diseases such as diabetes and heart disease.
Diabetes The AAP notes that people with diabetes are at increased risk for periodontal disease, speculating that diabetes patients’ risk is higher because people with diabetes are more vulnerable to infections than those without diabetes. While that suggests periodontal disease is a byproduct of diabetes, the AAP notes that research points to the relationship being a two-way street. Periodontal disease may make it more difficult for people with diabetes to control their blood sugar, making dental hygiene an especially vital component of routine healthcare for people with diabetes. Heart disease The AAP notes that research indicates periodontal disease increases a person’s risk for heart disease, with the inflammation caused by the former leading to the latter. People with existing heart conditions also may find that periodontal disease exacerbates those
conditions. The Mayo Clinic notes that the link between heart disease and periodontal disease is not fully understood, but enough studies have been conducted for scientists to support the notion that the two are connected. Can periodontal disease be prevented? Periodontal disease is preventable. A daily dental hygiene regimen that includes brushing after meals, flossing at least once per day and swishing with mouthwash are some simple, healthy habits that can prevent periodontal disease. In addition, the AAP recommends that people at increased risk for periodontal disease, including the elderly and smokers, should discuss their risk with their dental professionals. Dental hygiene can do more for individuals than produce a mouthful of pearly white teeth. In fact, people who prioritize dental hygiene may lower their risks for various diseases.
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Latest treatments for Parkinson’s disease listed Researchers still have much to learn about Parkinson’s disease. As researchers continue to work hard in the fight against this disease, the lessons they learn may lead to new, innovative treatments. Parkinson’s disease is a neurodegenerative disorder that affects dopaminergic neurons in the substantia nigra area of the brain, advises the Parkinson’s Foundation. Even though the disease itself is not fatal, PD is a serious condition — one which the Centers for Disease Control and Prevention rates as the 14th most common cause of death in the United States due to the disease’s related complications. PD symptoms affect autonomous functions and the ability to move limbs. The Mayo Clinic notes that most people with PD may show little or no expression, speech may become
slurred, arms may not swing when one walks, and stiffness and gait issues may become apparent. PD can affect balance and posture as well. There is no cure for PD, but there are many different treatments that can slow its progress and reduce symptoms. WebMD says new treatments for PD give individuals con-
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tinued hope. Here’s a look at some of the potential options. •Stem cell usage: Stem cells can turn into any type of cell, and there is hope that they can transform into the dopamineproducing neurons used to treat PD. But there is increased risk of involuntary movement from too much dopamine with this treatment. Stem cell therapy also may present ethical and moral issues with some patients. • Glial Cell Line-Derived Neurotrophic Factor treatment: Researchers at the University of Bristol have used robot-assisted neurosurgery to implant a special delivery system that releases a new drug called glial cell line-derived neurotrophic
factor into the brain cells of Parkinson’s patients. The researchers found that, after 18 months of treatment, all participants showed “moderate to large improvements in symptoms compared to before they started the study.” •PTB protein therapy: Senior researcher Xiang-Dong Fu, a professor at the University of California, San Diego, studies a protein known as PTB, which influences which genes in a cell are turned on or off. It also tells the genes within a cell whether they should become neurons or not. Fu found that silencing PTB might produce new neurons in a diseased brain. •Drug treatments: Researchers are investigating drugs that block the action of glutamate, an amino acid that destroys nerve cells, in addition to the role coenzyme Q-10 may play in slowing the progression of PD. Parkinson’s disease affects millions of people and may gradually steal movement and expression from a person’s life. New treatment possibilities are continually being explored to improve quality of life and slow down the disease.
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Anyone can suffer from depression Depression is a mood disorder that causes a persistent feeling of sadness and loss of interest. Also called major depressive disorder or clinical depression, it affects how you feel, think and behave and can lead to a variety of emotional and physical problems. You may have trouble doing normal day-to-day activities, and sometimes you may feel as if life isn’t worth living. More than just a bout of the blues, depression isn’t a weakness and you can’t simply “snap out” of it. Depression may require long-term treatment. But don’t get discouraged. Most people with depression feel better with medication, psychotherapy or both. Symptoms Although depression may occur only once during your
life, people typically have multiple episodes. During these episodes, symptoms occur most of the day, nearly every day and may include: •Feelings of sadness, tearfulness, emptiness or hopelessness •Angry outbursts, irritability or frustration, even over small matters •Loss of interest or pleasure in most or all normal activities, such as sex, hobbies or sports •Sleep disturbances, including insomnia or sleeping too much •Tiredness and lack of energy, so even small tasks take extra effort •Reduced appetite and weight loss or increased cravings for food and weight gain •Anxiety, agitation or restlessness •Slowed thinking, speaking
or body movements •Feelings of worthlessness or guilt, fixating on past failures or self-blame •Trouble thinking, concentrating, making decisions and remembering things •Frequent or recurrent thoughts of death, suicidal thoughts, suicide attempts or suicide •Unexplained physical problems, such as back pain or headaches For many people with depression, symptoms usually are severe enough to cause noticeable problems in dayto-day activities, such as work, school, social activities or relationships with others. Some people may feel generally miserable or unhappy without really knowing why. Depression symptoms in children and teens
Common signs and symptoms of depression in children and teenagers are similar to those of adults, but there can be some differences. In younger children, symptoms of depression may include sadness, irritability, clinginess, worry, aches and pains, refusing to go to school, or being underweight. In teens, symptoms may include sadness, irritability, feeling negative and worthless, anger, poor performance or poor attendance at school, feeling misunderstood and extremely sensitive, using recreational drugs or alcohol, eating or sleeping too much, self-harm, loss of interest in normal activities, and avoidance of social interaction.
See SUFFER, page 30
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(continued from page 29) Depression symptoms in older adults Depression is not a normal part of growing older, and it should never be taken lightly. Unfortunately, depression often goes undiagnosed and untreated in older adults, and they may feel reluctant to seek help. Symptoms of depression may be different or less obvious in older adults, such as: •Memory difficulties or personality changes; •Physical aches or pain; •Fatigue, loss of appetite, sleep problems or loss of interest in sex — not caused by a medical condition or medication; •Often wanting to stay at home, rather than going out to socialize or doing new things; •Suicidal thinking or feelings, especially in older men. When to see a doctor If you feel depressed, make an appointment to see your doctor or mental health professional as soon as you can. If you’re reluctant to seek treatment, talk to a friend or loved one, any health care professional, a faith leader, or someone else you trust. When to get emergency help If you think you may hurt yourself or attempt suicide, call 911 or your local emergency number immediately. Also consider these options if you’re having suicidal thoughts: •Call your doctor or mental health professional. •Call a suicide hotline number — in the U.S., call the National Suicide Prevention Lifeline at 1-800-273-TALK (1800-273-8255). Use that same number and press “1” to reach the Veterans Crisis Line. •Reach out to a close friend or loved one. •Contact a minister, spiri-
tual leader or someone else in your faith community. If you have a loved one who is in danger of suicide or has made a suicide attempt, make sure someone stays with that person. Call 911 or your local emergency number immediately. Or, if you think you can do so safely, take the person to the nearest hospital emergency room. Causes It’s not known exactly what causes depression. As with many mental disorders, a variety of factors may be involved, such as: •Biological differences. People with depression appear to have physical changes in their brains. The significance of these changes is still uncertain, but may eventually help pinpoint causes. •Brain chemistry. Neurotransmitters are naturally occurring brain chemicals that likely play a role in depression. Recent research indicates that changes in the function and effect of these neurotransmitters and how they interact with neurocircuits involved in maintaining mood stability may play a significant role in depression and its treatment. •Hormones. Changes in the body’s balance of hormones may be involved in causing or triggering depression. Hormone changes can result with pregnancy and during the weeks or months after delivery (postpartum) and from thyroid problems, menopause or a number of other conditions. •Inherited traits. Depression is more common in people whose blood relatives also have this condition. Researchers are trying to find genes that may be involved in causing depression. Risk factors
Depression often begins in the teens, 20s or 30s, but it can happen at any age. More women than men are diagnosed with depression, but this may be due in part because women are more likely to seek treatment. Factors that seem to increase the risk of developing or triggering depression include: •Certain personality traits, such as low self-esteem and being too dependent, self-critical or pessimistic; •Traumatic or stressful events, such as physical or sexual abuse, the death or loss of a loved one, a difficult relationship, or financial problems; •Blood relatives with a history of depression, bipolar disorder, alcoholism or suicide; •Being lesbian, gay, bisexual or transgender, or having variations in the development of genital organs that aren’t clearly male or female (intersex) in an unsupportive situation; •History of other mental health disorders, such as anxiety disorder, eating disorders or post-traumatic stress disorder; •Abuse of alcohol or recreational drugs; •Serious or chronic illness, including cancer, stroke,
chronic pain or heart disease; •Certain medications, such as some high blood pressure medications or sleeping pills (talk to your doctor before stopping any medication). Complications Depression is a serious disorder that can take a terrible toll on you and your family. Depression often gets worse if it isn’t treated, resulting in emotional, behavioral and health problems that affect every area of your life. Examples of complications associated with depression include: •Excess weight or obesity, which can lead to heart disease and diabetes; •Pain or physical illness; •Alcohol or drug misuse; •Anxiety, panic disorder or social phobia; •Family conflicts, relationship difficulties, and work or school problems; •Social isolation; •Suicidal feelings, suicide attempts or suicide; •Self-mutilation, such as cutting; •Premature death from medical conditions. Prevention There’s no sure way to prevent depression. However, these strategies may help. •Take steps to control stress, to increase your resilience and boost your self-esteem. •Reach out to family and friends, especially in times of crisis, to help you weather rough spells. •Get treatment at the earliest sign of a problem to help prevent depression from worsening. •Consider getting longterm maintenance treatment to help prevent a relapse of symptoms. Source: MayoClinic.org
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Find COVID-19 vaccine near you Contact: Julie Rother, Health Director julie@nnphd.org Getting the COVID-19 vaccination is fast, easy and free in Northeast Nebraska! COVID-19 vaccinations are offered in all four counties of the health district: Cedar, Dixon, Thurston and Wayne Counties. There are several providers who offer the vaccine to the general public. Some providers offer walk-in services; others request services be provided by appointment. There are both traveling and stationary vaccination clinics as well as vaccination services provided at places of work and in-home if that service is needed. If you would like to know how and where you or your loved one can get vaccinated, call Northeast Nebraska Public Health
Department at (402) 375-2200. You can also ask your healthcare provider if they have the vaccine available for their patients. It is important that even those people who are fully vaccinated continue to take recommended actions to protect themselves and others
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from COVID-19. Viruses mutate often and the new delta variant of the COVID-19 virus is proving to be much more contagious than previous versions of the virus. Because of this, research is showing that people who are fully vaccinated can be infected with the virus, not even know they
are sick because the vaccine is working to reduce severe illness, and in turn spread the virus to other people who are not vaccinated. There are many people in our communities who cannot currently get the vaccine, including children ages 0-11 years. By taking the recommended actions to protect yourself and others from COVID-19, you are protecting the children in your community. COVID-19 vaccines are safe and effective. COVID-19 vaccines were evaluated in tens of thousands of participants in clinical trials. The vaccines met the Food and Drug Administration’s (FDA) rigorous scientific standards for safety, effectiveness and manufacturing quality needed to support emer-
See VACCINE, page 32
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(continued from page 31) gency use authorization (EUA). Millions of people in the United States have received COVID-19 vaccines under the most intense safety monitoring in U.S. history. Over 346 million doses of COVID-19 vaccine have been given in the United States from Dec. 14, 2020 through Aug. 2, 2021. These vaccines have undergone and will continue to undergo the most intensive safety monitoring in U.S. history through established and new safety monitoring systems to make sure that COVID-19 vaccines are safe. Results from vaccine safety monitoring efforts are reassuring. Some people have no side effects. Others have reported common side effects like swelling, redness and pain at injection
site; fever; headache; tiredness; muscle pain; chills; and nausea. The systems in place to monitor the safety of these vaccines have found only three serious types of health problems after vaccination, all of which are rare. A small number of people have had a severe allergic reaction called anaphylaxis after vaccination. Anaphylaxis can occur after any vaccination. If this occurs, vaccination providers have medicines available to effectively and immediately treat the reaction. After you get a COVID-19 vaccine, you will be asked to stay for 15–30 minutes so you can be observed in case you have a severe allergic reaction and need immediate treatment. Another rare health problem after vaccination is Throm-
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bosis with Thrombocytopenia Syndrome (TTS) which sometimes occurs after receiving the Johnson & Johnson/Janssen COVID-19 vaccine. This involves the development of blood clots together with low platelets (thrombosis with thrombocytopenia syndrome, or TTS). Women younger than 50 years old should especially be aware of their increased risk for this rare adverse event. There are other COVID-19 vaccines available for which this risk has not been seen. This adverse event has occurred at a rate of about 7 cases per 1 million vaccinated women between 18 and 49 years old. For women 50 years and older and men of all ages, this adverse event is even more rare. Cases of myocarditis and pericarditis in adolescents and young adults have been reported, more often after getting the second dose than after the first dose of one of the two mRNA COVID-19 vaccines. These reports are rare and the known and potential benefits of COVID-19 vaccination outweigh the known and potential risks, including the possible risk of myocarditis or pericarditis. Serious side effects that
could cause a long-term health problem are extremely unlikely following any vaccination, including COVID-19 vaccination. Vaccine monitoring has historically shown that side effects generally happen within six weeks of receiving a vaccine dose. For this reason, the FDA required each of the authorized COVID-19 vaccines to be studied for at least two months, or eight weeks, after the final dose for their research participants. The CDC continues to closely monitor the safety of COVID-19 vaccines. If scientists find a connection between a safety issue and a vaccine, the FDA and the vaccine manufacturer will work toward an appropriate solution to address the specific safety concern, for example, a problem with a specific lot, a manufacturing issue, or the vaccine itself. There is still much we do not know about the long-lasting effects of having COVID-19 illness, but we do know the vaccine is working to prevent severe illness, hospitalizations and death. For more information, contact the Northeast Nebraska Public Health Department at (402) 375-2200.
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June E. Nylen - Hope and healing close to home When you hear the dreaded words, “It’s cancer,” your world stops. Whether it’s a loved one’s diagnosis or your own, everything changes in that instant. The last thing you want to do next is travel far from home and all that is familiar to you. Fortunately for those of us in Siouxland,
personalized, coordinated, patient-centered cancer care, is available right here in Sioux City at the June E. Nylen Cancer Center (JENCC). Everything Under One Roof From diagnosis to staging, diagnostic imaging, lab work, chemo and radiation therapies, and support services, all
your comprehensive cancer care is under one roof. Every June E. Nylen cancer patient has a team of specialists that constantly coordinate to ensure treatments are working in unison to maximize successful outcomes and save lives. As soon as you walk through the doors to JENCC, you’ll un-
derstand you are not alone in your fight. Team members take pride in being an integral part of a patient’s journey and understand they are not just treating cancer; they are treating people. Your health is at the heart of everything and JENCC personalizes your treatment plan based on your unique needs. The doctors, nurses, staff, and patient advocates provide only the highest quality care so you can focus on getting better. Navigating The Cancer Journey Managing life with cancer can be difficult. It can be overwhelming to deal with a diagnosis, doctor visits, treatment, cost, and other stress that can come with a cancer diagnosis. The JENCC patient navigation program is available to
See HOME, page 34
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(continued from page 33) support you and your loved ones. Offered free of charge, the program is focused on coordinating your care and connecting you with support resources. It’s important that you understand your diagnosis and treatment plan. During your first visit, you will meet with one of our patient advocates who will explain the care process and answer your initial questions. Your patient advocate will then serve as your one point of contact throughout your treatment at the June E. Nylen Cancer Center. You will also take a survey to provide important information on the areas within your health journey causing you the most stress or concern. This information will be used to connect you with team members
that can assist you during your treatment at the cancer center such as social workers for emotional support and information on community resources, financial navigators to answer questions about the cost of treatment and financial assistance, and dietitians to provide information on nutritional care during treatment. The patient navigation team will be the extra help you need in assisting with additional services unique to your diagnosis and needs. State-Of-The-Art Services For 25 years, JENCC has been providing patients with life-saving care and support. They are committed to providing the most advanced and comprehensive treatment options so you can achieve your individual goals. As a patient at the June E.
Seeing patients in Norfolk, Columbus and York
Nylen Cancer Center, you can expect experienced professionals, affordable care, easy scheduling, support care, and state-of-the-art technology and treatment options. Another key in the fight against cancer is access to clinical trials. The physician-supervised Research Department at JENCC makes sure that active trials are available to each patient. The June E. Nylen Cancer Center values the support of the community and are stewards of this generosity. They advocate in reducing the impact of cancer in our region by striving to provide education, prevention, and early detection initiatives to the 15-county service area. JENCC pursues quality and excellence and follows best practices to contin-
ue to expand its cutting-edge services. Your Journey of Hope and Healing Your journey should be one of hope and healing. JENCC has experienced experts in treating all types of cancer and offers the region’s most advanced services and treatment options – all close to your home. They know your diagnosis is personal and the team takes the time to get to know you beginning at your first visit and will create a coordinated treatment plan around your unique needs, supporting you through your entire journey. Discover how personalized care at the June E. Nylen Cancer Center can benefit you. Contact them at 712-252-0088 for more information.
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How to eat right and save money at the same time Published: July 8, 2021 By Michael Merschel, American Heart Association News You want to eat healthy. You need to save cash. Can you have it both ways? Yes, experts say. “People think that healthy eating is an elite thing, that it’s something you can only do if you have lots of money, and lots of spare time, and all kinds of fancy equipment,” said Christine Hradek, a nutrition specialist at Iowa State University Extension and Outreach in Ames. “And really, that isn’t true.” Here’s how to make it happen. Start in a happy place. The first step is to think about what kinds of foods you like, said Cheryl Anderson, dean of the Herbert Wertheim School of Public Health and Human Longevity Science at the University of California San Diego. Then, envision the healthiest version of them. Are you a french-fry fiend? Ponder a baked potato seasoned with herbs as an affordable, not-soaked-in-fat option. Is boxed macaroni and cheese your go-to quick meal? You can get a whole bag of pasta for much less per serving. Sprinkle olive oil, fresh herbs and spices and maybe just a sprinkling of cheese, and you’ve just stretched your dollar and made something that’s better for you. Learn to cook. “If you are always buying food that is at least partially prepared for you, chances are you’re going to spend a lot more money on food than you need to,” Hradek said. You don’t need to make something out of a gourmet magazine, she said. “But for overall habits, we tend to say
investing a little bit of time can save you a lot of money.” Plan on it. “You should not have to start fresh cooking from scratch every day,” Hradek said. Planning before you shop can save time in the kitchen and money at the store. If the idea of planning out a whole week is too much, start by planning just workdays, or just one meal a day. Take inventory of what you have on hand to make sure perishable items won’t go to waste. Then fill in your list with things to purchase. It can help keep you from being tempted by things you don’t need. Planning also can ensure you hit all the healthy food groups you need each day. Several resources can be found online. For example, Iowa State’s Spend Smart Eat Smart webpage has a printable menu planner with a checklist. Leverage your leftovers. Hradek calls them “plannedovers.” Find a meal you can make, double the size, freeze half. You’ve just knocked out two meals in the time it takes to make one. Planned leftovers let you take advantage of sale items. And they take away an excuse to grab something unhealthy in a rush. Anderson, who travels a lot for work, uses this strategy. “When I make a meal on a Saturday afternoon, it looks like it’s Thanksgiving in my house, because I’ve not just thought about me eating today – I’m thinking about that day when I get off of the airplane, and it’s 9:30, and I don’t want to drive through some fast-food restaurant.” Planning lets her go home and pull a nourishing, homecooked meal out of the freezer. Canned can be OK.
Frozen, too. At least when it comes to fruits and vegetables. If canned beans make your time in the kitchen easier, have at it. “Just be mindful of what’s in the can by looking at the labels,” Anderson said. Be store-savvy. A lot of things that look like a sale are actually advertisements, Hradek said. Always compare the price with the items above and below on the store shelf. Coupons also call for caution. If it’s for a product you use regularly – fine, she said. “If the coupon is instead acting as an advertisement and is getting me to buy something I wouldn’t have bought otherwise, I would probably avoid it.” Especially if it would cause you to buy a bunch of something perishable. This is another area where
planning helps, Hradek said, by preventing you from impulsively stocking up on things you won’t use. “Don’t improvise with perishable items outside of your plan, because chances are you’ll lose them.” Know where to get help. If you’re struggling to put food on the table, you’ve got plenty of company. According to Census Bureau numbers gathered in May, 19 million U.S. adults reported their household sometimes or often didn’t have enough to eat in the last seven days. Although many people look to local food pantries, the federal Supplemental Nutrition Assistance Program is the best place to start, Hradek said. State-by-state instructions can be found at the Department of
See EAT RIGHT, page 36
Providing Comprehensive, Up-to-Date Cancer Care Close to Home Rabih C. Fahed, M.D. Mohammed K. Zahra, M.D. Amir Zahra, D.O. Alison Stover, APRN Shelley Reichmuth, PA-C Abraham P. Matthews, M.D. Inaganti M. Shah, M.D. Samer I. Renno, M.D.
Providence Medical Center, Wayne, NE 68787 Appointments - 402-375-3800 110 North 29th Street, Suite 101, Norfolk, NE 68701 Appointments — 402-644-7550
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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
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. and are among the long list of potential side effects. Some, like hair loss, diarrhea, kidney damage, increased chance of
Eat right
(continued from page 35) Agriculture’s website. SNAP even allows shopping at farmers markets, Anderson said. “So that’s a new and healthy thing.” Remember, she said, cheap food that’s heavy on calories and light on nutrition comes with long-term costs, including obesity, diabetes and other heart disease risks. Enjoy yourself. “Food is more than just nourishment,” Hradek said. It’s about culture and memories, and there’s no one-plan-fits-all approach to find balance. “If you’re miserable, you’re doing it wrong. It should be a source of pleasure.” But, she said, “a little bit of knowledge, a little bit of planning can add up to a lot of savings and healthier choices, regardless of your budget.” ——— HEALTH CARE DISCLAIMER: This site and its services do not constitute the practice of medical advice, diagnosis or treatment. Always talk to your health care provider for diagnosis and treatment, including your specific medical needs.
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, medical 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 complica-
tion 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 technology’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 treatment – and a pair of glasses – are game changers. After unsuccessful treatments, many migraine suf-
See MIGRAINE, page 37
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Eating patterns could affect risk of dying from heart disease Published: June 23, 2021 By American Heart Association News Not just what – but when – people eat certain foods may affect their risk of dying from heart disease, cancer and other illnesses, a new study finds. Published in the Journal of the American Heart Association, the research concluded that eating starchy snacks after meals and eating a Western-style lunch containing refined grains, cheese and cured meat raised the risk of dying from heart disease and other illnesses. Meanwhile, eating fruits as a snack after breakfast or with lunch, eating vegetables with dinner and snacking on dairy foods in the evening lowered the risk of death. “People are increasingly concerned about what they eat as well as when they eat,” lead study author Ying Li said in a news release. Li is a professor in the department of nutrition and food hygiene at Harbin Medical University School of Public Health in Harbin, China.
“Our results revealed that the amount and the intake time of various types of foods are equally critical for maintaining optimal health,” he said. Li’s team analyzed eating patterns for 21,503 adults 30 and older across the U.S. from 2003 to 2014, using data from the National Health and Nutrition Examination Survey. They used the Centers for Disease Control and Prevention’s National Death Index to determine which participants had
died. They found eating starchy snacks high in white potato or other starches after any meal could raise the risk of dying from any illness by at least 50% and the risk of dying from heart-related problems by up to 57%. People who ate lunches high in refined grains, solid fats, cheese, cured meat and added sugars – considered a typical Western-style lunch – had a 44% higher risk of dying from heart-related issues. People who ate the most
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 pro-
vide 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 again,” says Susan of her neurolenses. “If I meet someone
servings of whole grains, fruits, yogurt and nuts at lunch had a 34% lower risk of dying from heart disease. Meanwhile, consuming dinners high in dark vegetables, red and orange vegetables, tomatoes, other vegetables and legumes meant a 23% lower risk of dying from heart disease and 31% lower overall death risk. The findings could help people plan meals for better health results, according to Li. “Future nutrition guidelines and interventional strategies could integrate optimal consumption times for foods across the day.” —— HEALTH CARE DISCLAIMER: This site and its services do not constitute the practice of medical advice, diagnosis or treatment. Always talk to your health care provider for diagnosis and treatment, including your specific medical needs. If you have or suspect that you have a medical problem or condition, please contact a qualified health care professional immediately. If you are in the United States and experiencing a medical emergency, call 911 or call for emergency medical help immediately.
Migraine
(continued from page 36) ferers 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
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.
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Smile makeover available at Family 1st Dental Because your smile is one of the first things that people notice about you, it makes sense to have your teeth, gums, and lips carefully assessed by a dentist. Once your overall oral health has been addressed, we can begin improving the look of your smile with Invisalign to help straighten your smile, tooth-whitening which improves the color of yellowed and stained teeth, and we can even replace your older amalgam (silver) fillings with toothcolored composite materials to update the aesthetics of your smile. If necessary, composite bonding or porcelain veneers
can be used to cover damaged teeth, while bridges, crowns, or implants fill in the gaps left by missing teeth. Irregularities in tooth length and shape can be addressed with tooth-contouring procedures so that the smile line formed by the edges of the upper teeth follows the curvature of the lower lip. These changes get noticed! Everybody loves a healthy, bright white smile, and there are a variety of products and treatments available to help you improve the look of yours. If you have any further questions about Invisalign or tooth whitening, please ask us. Our goal at Family 1st Dental is to help preserve your smile
throughout a lifetime. We welcome you to modern dentistry and to an unparalleled level of service in your search for a beautiful smile.
Please call 402-375-2889 to schedule a dental appointment with Dr. Knudsen. We’re located at 401 N Main in Wayne.
INDEX of ADVERTISERS Ameritas ...........................................23 AseraCare Hospice ........................... 10 Clarkson Care Center .......................20 Burrows Family Dentistry .................11 CNOS .................................................33 Discount Furniture ............................ 8 Dr. Daniel Kaler, D.D.S...................... 12 Dr. Dan Wik .......................................34 Dunes Eye Consultants .................... 22 Eye Physicians, PC ..............................7 Faith Regional Health Services Cardiovascular Institute .............. 13 Faith Regional Health Services, Carson Cancer Center..................29 Faith Regional Physician’s Services Endocrinology..............................20 Faith Regional Physician’s Services Family Medicine ...........................39 Family 1st Dental .............................. 19
Fyzical ............................................... 12 Heritage of Emerson ........................32 Hillcrest Care Center ........................28 Home Instead Senior Care ............... 27 Jan Harrison Wound Care ................24 June E. Nylen Cancer Center ...........26 KEL Physical Therapy & Wellness .... 16 Magnuson-Hopkins Eye Care ........... 18 Mainstreet Apothecary .................... 14 Midwest Health Partners P.C. ........23 Midwest Pain Clinics ......................... 6 NE Nebraska Coalition for Suicide Prevention....................... 10 NE Nebraska Public Health Department .......... 15 Nebraska Pain Management Physicians PC ........25 Norfolk Audiology P.C. .................... 31 Norfolk Oncology .............................35
Northeast Nebraska Insurance Agency ..........................5 Pender Community Hospital..............9 Providence Medical Center Ortho ........................................... 40 Providence Medical Center Outpatient .....................................2 Providence Medical Center Pharmacy ..................................... 17 Security Bank ....................................32 Todd Luedeke Pain Management Clinic...............11 U Save Pharmacy ...............................4 Vital Care Pharmacy - Kubat ............28 Wakefield Health Care Center ......... 16 Wayne Eye Care ................................ 31
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Family Medicine
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Our primary care providers are here to care for the health and wellness of you and your family. And if you need more specialized care, we’re connected to specialists and surgeons who can care for you right here in Wayne. frpsclinics.org
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AVAILABLE IN LAUREL, WAKEFIELD, AND WAYNE Our mental health professionals provide care in a safe environment for patients to feel empowered, rebuild hope, and move forward with an improved quality of life. Jill Belt, MSE, LIMHP, CSW, Jenna Johnson, APRN
SPECIALISTS AND SURGEONS WHO COME TO WAYNE. CARDIOLOGY Maryanne Hartzell, MD
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2021 — 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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