July/Aug 2024 GCMS Journal

JULY AUG

2024

UPCOMING EVENTS

CARE TO LEARN

See additional information on pp. 11 & 23

See article and additional photos on pp. 7 & 10

Mission Statement Bringing physicians together to improve the health of our community.

TABLE OF CONTENTS In this issue: 6

Editor's Page Jim Blaine, MD.......................................................................... 4 President's Page James Rogers, MD..................................................................... 5 Meeting One Need Makes All the Difference Krystal Simon............................................................................ 6

8

Editor’s Note: All materials for the Journal must be submitted by the first of the month prior to publication.

Education From A Judge's Perspective Hon. Jerry Jarmison, Jr.......................................................8

Co-Editors:

The Care To Learn Impact: Meeting Health, Hunger, and Hygiene Needs Doug Pitt...................................................................................9

Junior Co-Editor:

Welcome New GCMS members ...................................................................................................10 Cox Family Medicine Residency Class of 2027 ...............................................................................................12 AMAA Annual Meeting Update And The Physicians Family Day at the Zoo Jana Wolfe...............................................................................15 Hey Man, you good?

Nancy Yoon................................................................................18

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Vol 83, No. 3 • MAY/JUNE 2024

SANE Nurses Dawn Day.........................................................................19 2024 Rocky Mountain Medicine CME ...........................................................................................21

Professional Directory...........................................................25

Jim Blaine, MD Minh-Thu Le, MD Andrew K. Le

Managing Editor: Dalton Boyer

Editorial Committee: Michael S. Clarke, MD Frank Cornella, DDS, MD Dalton Boyer Andrew Le Jean Harmison Barbara Hover Nancy Yoon, MD Jana Wolfe

SOCIETY OFFICERS James Rogers, MD President Vu Le, MD Secretary Jim Blaine, MD Treasurer Sanjay Havaldar, MD Immediate Past President

Council Members: David Haustein, MD Melissa Gaines, MD Steven Gradney, MD Keith LeFerriere, MD Kyle John, MD Jaya LaFontaine, MD Nancy Yoon, MD

Managing Director: Jean Harmison

On the Cover: Care To Learn

The GCMS Journal is available online:

www.gcms.us

Executive Office: 4730 S. National Ave. Suite A1 Springfield, MO 65810 email: director@gcms.us www.gcms.us All communications should be sent to the above address. Those marked for the attention of a particular officer will be referred.

EDITOR'S PAGE

by Jim Blaine, MD

This 2024 July/August GCMS Journal is our Care To Learn (CTL) issue. A few weeks ago, CTL Founder Doug Pitt and CTL Executive Director Krystal Simon presented to a meeting of the GCMS Foundation Board at the request of Dr Vu Le.

Director Dr. Nancy Yoon’s article in this issue urges men to reach out to their male friends (Hey man, you good?) in an effort to decrease increasing male suicides in our community.

Doug and Krystal are passionate about their program! Doug described visiting 16 years ago with then SPS Superintendent Norm Ridder and Norm telling him that, if a child came to school without shoes or a coat, he had no answers for him/ her. Fortunately, Doug did have an answer. He, along with many supporters, stepped up to the plate and began to fund raise and organize Care To Learn. The program became very successful, and has now spread state wide.

The Greene County Medical Society returned to Breckenridge on July 14 - 20 for our annual CMA retreat, Rocky Mountain Medicine. It is great fun to spend a week with our GCMS friends and their families. Our CME was provided once again

by Cox Medical Staff Education Coordinator Triesa Massey MHA; we are very grateful for her considerable effort on our behalf. Please check out the pictures, and consider joining us next year!

Care To Learn promises to address “Three H’s” for needy students: Health, Hygiene and Hunger. Although CTL has been unbelievably successful with the Hunger and Hygiene components, they are finding that the Health promise is a bit challenging at times, and wanted our suggestions to better serve the students' health care needs in a timely fashion.

GCMS Alliance Co President Jana Wolfe reminds us that our popular Family Day at Dickerson Zoo will be on Saturday August 24. Bring your families and connect with new GCMS members!

The CTL issue with Health is not so much financial as appropriate referrals and access. The GCMS is now in active discussion with CTL on how we can best help to address their worthy cause.

Early CTL supporter Judge Jerry Harmison writes in this issue about the connection he has noted between a successful educational experience and avoiding his courtroom. It turns out that a pair of shoes, a coat, a breakfast, and adequate healthcare access each has the potential to be the difference between becoming a criminal or a good citizen. The CTL program does clearly make sense for GCMS physicians. Please let us know if you would like to be involved in our effort to assist them.

Springfield/Greene County Health Department Medical

4 • JULY/AUG 2024 • GCMS Journal

As an emergency physician for 17 years, I quickly realized that the last thing a sexually assaulted female victim wants to do is have a male doctor exam her. The Sexual Assault Nurse Examiner (SANE) program solved that issue by training registered nurses to evaluate sexual assault victims in a kind and empathetic manor. Certified SANE nurse Dawn Day is one of those heroines. Her article in this issue concerning her passion to help her patients is inspiring.

Please also check out our new GCMS Burrell member pictures in this issue along with our new GCMS Cox Family Practice residents’ bios and pictures. Welcome!

Finally, there is now good evidence that Child Abuse can be prevented. The Greene County Medical Society will host a Prevent Child Abuse event on Thursday evening, September 26. Please mark your calendars. We will be sending out additional information soon.

Breckenridge, Colorado. (Photo courtesy of Dr. Kyle John)

PRESIDENT'S PAGE

by James Rogers, MD

Within this issue of the Journal let me introduce to more of your Green County medical Society Council members.

Dr. John and Dr. Gradney are both incredibly busy and both demonstrate a focus on family, profession, and community. As you get to know these two individuals, please accept this imitation to join us in creating a "physician community".

Dr. Kyle John, MD Psychiatry (Child & Adolescent)

Born in Independence, Missouri, Dr. John is not only a native, but also an integral part of his community.

Kyle was consistently at Dad's side in his veterinarian practice. He assisted in procedures, helped with “patients”, and did many of the "less glorious" jobs–especially on the holidays, when his father wanted to give the regulars some extra time off.

His transition to people care came from time spent as a scrub tech in the local community hospital and his high school counselor declaring, "You are awfully good with people, have you ever considered human medicine?" This led him to medical school at MU and residency at the Mayo Clinic, leading to his child psychiatry specialty training.

While home life has settled a bit, his wife Melissa (Bass Pro Fitness Series Director) and two grown sons (Brennan 26/Garrett 24) are still tightly connected with family and social activities together. He enjoys doing things that keep him active. A Peloton enthusiast (follow him as BikeHoncho), you can also find him and his wife running, swimming, skiing, and exploring as a passion. His favorite color is green and his death row meal is “meat and potatoes.”

His goals for the next few years are to improve access to autism care in the area and promote new and developing treatments. He directs the Arc of the Ozark’s Autism and Neurodevelopmental Center and sees it as a community asset that is obligated to serve and improve the care in this region. As for the Medical Society, he supports us finding ways to be more relevant to our members and to the community in a way that encourages all of us to be more involved.

Dr. Steven Gradney, MD Internal Medicine, Sleep Medicine

A naturalized Missourian from growing up and attending high school in Mount Vernon, Dr. Gradney's parents and 3 brothers taught him survival skills and hard work.

Although he did not have much exposure to medicine as an occupation, he discovered a fondness for life sciences as an undergraduate at Drury. This led him to medical school at St. Louis University.

From there he served in the Air Force for 5 years (including a year in Afghanistan), which led him to discover and pursue his interest in the importance of sleep physiology. Next, back to Indiana University to complete internal medicine and then a fellowship in sleep medicine completed his training. After fellowship he and his new wife Megan moved to Alaska to pursue adventure and a job in Sleep Medicine. After starting a family, he and Megan decided to move back to the lower 48 to be closer to family. He heads the sleep center at Mercy and participates in numerous national sleep organizations.

He is a fitness and outdoor enthusiast. Trying to keep up with his wife and 2 young sons has found him actively engaged in hiking, hunting, fishing, and ever-increasing gardens. : His favorite color is blue because "it is the color of my scrubs and I love my work."

He describes his career path much like a long hike that takes you in different directions, uncertain where you are heading with each step. However, upon realizing that once you are at your destination and after witnessing your surroundings, you have no doubt that the journey has been correct and you are in the right place.

His passion for sleep medicine guides his goals for the next several years. He plans to grow the sleep program, increase patient access to care, and to be a leader in innovation and sleep care for this whole region. His comments for the GCMS Council are to consider more collaboration when considering patient care and work toward more inclusion for providers.

JULY/AUG 2024 • GCMS Journal • 5

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Meeting One Need Makes All the Difference

by Krystal Simon, Chief Executive Officer, Care to Learn

Glucose strips. That’s what was standing between one child and their ability to learn.

The child was a local student who was also a Type 1 Diabetic. His family couldn’t access any more strips due to limited supply and insurance issues.

Not only was Care to Learn able to help this student get a critical medical supply from Amazon, but the local Care to Learn Chapter also purchased specialized snacks to keep on hand for other diabetic students who didn’t have the means to bring them to school. Meeting this immediate need may have saved a student’s life. It also provided a wave of relief.

When a child has what they need to succeed, then they can focus on school. When a child is healthy, then they can focus on learning.

Needs like these aren’t grand but, when addressed, they do make a big difference.

Nurses and Their Critical Role School nurses play a huge part in identifying student health, hunger, and hygiene needs with our partnering districts. That’s why we have equipped every single school nurse in the Springfield Public Schools District with a fully-stocked Care to Learn Closet to meet many needs on-site. They have everything from brand-new clothing items to on-site food packs, as well as a multitude of hygiene supplies.

Sometimes, all it takes is a stick of deodorant or a pair of socks; other times the health need goes deeper and makes an even bigger impact.

When met, one simple thing can be a complete game changer: A pair of orthopedic shoes. The cost of an important doctor’s visit. Temporary help with a critical prescription medication.

Meeting even one of these needs can remind a child that they matter. It reminds them that their community and school district don’t count them out, they count them in, and they want them to succeed.

That’s when they are ready to conquer their day. When they are at their best they are ready to build friendships, and they are ready to overcome obstacles and problemsolve. But, when they don’t have their needs met, all of their focus is directed towards taking care of these critical issues. We hear so many stories of students with simple health, hunger, or hygiene needs that if met, could make a huge impact on their daily lives.

Helping a Student Heal A high school student wasn’t attending school due to suspected scabies. Seeking treatment wasn’t easy, as the student was uninsured. Not only did their Care to Learn Chapter connect them with a local health clinic, but they paid for the visit and the medication.

Once the health issue was treated, the student was able to return to school healed and ready to graduate. The student was also able to return to work. What an incredible victory!

For a moment, nothing else mattered to this student. They didn’t care if they had a test or a school project. They needed medical care. And they needed time to feel better.

Soon, the student was back in class and making strides toward a brighter future.

They want them to feel safe and healthy, and to stay in school where they can focus on learning. That’s powerful.

Care to Learn’s Impact Care to Learn is deeply rooted in the Southwest Missouri community, but we’re proud to say that we’ve grown to partner with more than 46 school districts all over the state and we’re available to meet more student needs than ever.

We’re so grateful to the healthcare community for coming alongside us to support student health needs as we continue to grow. Together we can show students they deserve to feel well and succeed in school.

JULY/AUG 2024 • GCMS Journal • 7

Education: From A Judge's Perspective

by Hon. Jerry Harmison Jr., Presiding Judge, 31st Judicial Circuit of Missouri

In 1999 I decided to campaign for a position on the Springfield School Board. At that time, the district had 25,000 students in 5 high schools, 9 middle schools, and 40 elementary schools. In an effort to get a feel for the district I jogged the 40 neighborhoods that comprised the district and personally visited each of the schools. It became clear we live in an economically diverse community. While jogging certain neighborhoods on cold mornings I saw students at bus stops without proper coats, hats, and gloves. I visited schools where personal items were placed in plastic bags to prevent head lice from jumping from one student’s items to another student’s items. I was elected and served from 2000 to 2006, serving as president for 2 years.

In 2006 I became a member of the Springfield Area Chamber of Commerce Board of Directors. I had the honor of being the Chairman of the Board in 2011. While on the board I attended a meeting where we learned that our school district now exceeded 50% of the students qualifying for the free or reduced lunch program. Doug Pitt was in the meeting and was alarmed to learn this information. To help combat the emergent health, hunger, and hygiene needs of students, he started Care To Learn. The primary goal is to provide an immediate response to a student’s need in an attempt to ensure the child will not miss school as a result of an unfulfilled need. I was honored to be asked by Doug to be a charter board member of Care to Learn, and honored to serve as the first board president to follow Doug.

2017: Jerry Harmison Jr., left, succeeds Doug Pitt as Care To Learn board President.

Fast forward to present day, I am the Presiding Judge of the 31st Judicial Circuit. I was an Associate Circuit Judge for five years and I have been a Circuit Judge the past two years. I 8 • JULY/AUG 2024 • GCMS Journal

handle felony cases on a daily basis.

Many cases are resolved by plea agreements between the prosecutor and the defendant’s attorney. Plea agreements must be approved by the judge after a lengthy questioning process. One question is “What is the highest grade of education you have completed?” After approving hundreds of felony pleas during the past two years, it is my observation that approximately 70% of the felons did not finish high school. I found this to be shocking.

I recall when I was on the school board we were informed of a study done in Michigan in the 1980s where the test scores of elementary students were analyzed to determine how many prison beds would be required in 20 years. At the time I thought there is no way such a correlation could accurately be determined. Now I think otherwise.

Education is vital to individual growth and community growth. I now recognize that it is also vital to community safety. The first step to ensuring each student has the opportunity for a successful educational experience is to eliminate hurdles that prevent full participation in the classroom such as health, hunger, and hygiene needs.

I congratulate the Greene County Medical Society Foundation for its commitment to partner with Care To Learn. Anything your members can do to give students the opportunity to stay in the classroom will give students the chance for a successful education. Hopefully, it will make our community more safe in the future and reduce the number of prison beds required 20 years from now.

The Care to Learn Impact: Meeting Health, Hunger & Hygiene Needs

by Doug Pitt, Care to Learn Founder

I’m passionate about three major things: My family, my hometown of Springfield, and making the world a little better.

Nearly 16 years ago, I heard some sobering statistics about children experiencing poverty right here in Greene County.

This community is a place I’ve lived and worked in for over 40 years, and it broke my heart to hear that there were kids in my hometown who needed help.

I shared these statistics and stories with fellow business leaders in the area who also felt strongly that no child should suffer physically or emotionally due to lack of food, or access to medical, dental, mental health care, or hygiene resources. Before the end of the business day, we raised the funds to meet a significant number of these health, hunger, and hygiene needs and established what is now known as Care to Learn.

students to attend school regularly and we provide transportation to needed medical appointments, removing a major barrier that many students and their families face. We’re also there for the big health needs and have helped provide hearing aids and power wheelchairs to students who otherwise would not have received this type of support.

When we started Care to Learn in 2008, I didn’t have a grand plan. I didn’t have a model for how it would all work. But, I knew there were kids out there who needed our support.

I’ll never forget receiving a thank you note from a child who was overjoyed to receive fresh fruit from us. It’s amazing what a second grader today has to deal with, especially one who is in poverty. Kids today are incredibly resilient.

That was just the beginning.

Since its inaugural year, Care to Learn has had incredible growth and success: • 16 Years of Meeting Needs • 46+ Partner School Districts & Communities • 3,000,000+ Health, Hunger, and Hygiene Needs Met • 120,000+ Needs Met in Greene County this School Year • 130,000+ Missouri Students with access to Care To Learn Resources We work to fill the gaps because no child should worry about where their next meal is coming from or whether their family can afford to go to the doctor when they have a critical unmet health need.

I’m so grateful we provide support to help children and provide a valuable tool for teachers and nurses to help students, too. Care to Learn is changing lives more than we’ll ever know.

We’re able to do so because our mission is clear: We meet health, hunger, and hygiene needs. Staying focused on these three pillars over the past 16 years has allowed us to be successful and strategic in helping schools and students with what they need.

Care to Learn is truly changing lives more than we’ll ever know. I’m proud of what we’ve started, but it’s because of this community that we can continue making an impact, and that’s something I invite you all to join me in being a part of.

It has also allowed us to be innovative. Because we know our mission well, we can be creative in how we meet these needs. We’re paying for needed prescriptions that allow JULY/AUG 2024 • GCMS Journal • 9

Welcome new GCMS members from

Dr. Pratibha Agarwal, MD Child & Adolescent Psychiatry

Dr. Marwa Badawy, MD Psychiatry

Dr. Balkozar Adam, MD Child & Adolescent Psychiatry

Dr. Scott Brenner, DO Psychiatry

Dr. Brett Chamberlain, MD Child & Adolescent Psychiatry

Dr. Swati Dhankikar, MD Psychiatry Sleep Medicine

Dr. Ken Fattmann, MD Psychiatry

Dr. Amit Jagtiani, MD Child & Adolescent Psychiatry

Dr. Krishnendu Ghosh, MD Psychiatry Addiction Medicine

Dr. Lauren Owenby, MD Child & Adolescent Psychiatry

Dr. Suhasini Pokala, MD Psychiatry

Dr. Drew Shoemaker, MD Family Medicine Addiction Medicine

Dr. Rex Taber, MD Child & Adolescent Psychiatry 10 • JULY/AUG 2024 • GCMS Journal

COXHEALTH FAMILY MEDICINE RESIDENCY CLASS OF 2027 Maggie Baker - Hello! My name is Marjorie (Maggie) Baker, and I am originally from Southeastern Iowa, a little over an hour south of Iowa City! I grew up on a small farm with my younger brother and spent a lot of my childhood rodeoing all over the Midwest with my family! I participated in a multitude of sports, music, drama, 4-H, FFA, and community activities growing up. I attended the University of Iowa for undergrad, so I am a huge Hawkeye fan! I attended the University of Illinois College of Medicine at Rockford for medical school, and graduated from the Rural Medicine Education Program. I met my husband there!

I chose family medicine because I love caring for the whole family and promoting preventative care and health education measures. I am excited to be on a journey learning full-scope family medicine. CoxHealth Family Medicine Residency offers a great location for immersive learning and training as well as caring staff.

In my spare time, I enjoy getting out in nature with my husband and our rescue dog, Major. I love watching football in the fall and traveling anywhere warm whenever I can. I also enjoy cooking, baking, spending time with friends and family, and finding the best diner breakfast and ice cream for dessert!

Austin Bell - Hello! My name is Austin Bell, and I am from the small town of Hindsville, Arkansas. I attended the University of Arkansas in Fayetteville for my undergraduate education, where I received my Bachelor of Science in Biology. After this, I earned my MD at the University of Arkansas for Medical Sciences in Little Rock.

While I was there, I was also able to complete my Master of Public Health degree, which has helped me to gain a greater understanding of how to improve the health of communities in addition to individuals.

I met my wife while at the University of Arkansas, where we were both very active in the music department. We have been married since 2022, and have two dogs, Wicket and Jonas. I have been a lifelong Razorback fan and love attending football, basketball, and baseball games in Fayetteville. In my free time, I also enjoy watching and reviewing movies, going to concerts with my wife, and playing basketball.

Being from a rural town of less than 100 people, my interests have always been in rural medicine. I plan to 12 • JULY/AUG 2024 • GCMS Journal

practice full-scope rural family medicine in the future, incorporating my public health knowledge to enrich the entire community with a focus on highly needed services such as obstetrics and preventative care.

Kelsey Ellis - Hello! My name is Kelsey Ellis. I was born and raised in Kansas City, MO, and made my way down to Springfield for undergrad. I attended Missouri State University, where I majored in Cell & Molecular Biology and rode for the MSU Equestrian and Ranch Horse team. While in Springfield, I worked here at CoxHealth as a scribe in the emergency department, which helped further solidify my passion to become a physician. I moved south to Arkansas for medical school, and I am so excited to be returning to Springfield for residency.

I have interests in nearly every aspect of medicine, which is what led me to choose the broad-scope specialty of family medicine. I especially love procedures, preventive medicine, women’s health, and dermatology. I chose CoxHealth FMR because I know they will give me the training I need to be well equipped to serve a variety of communities.

Outside of the hospital, you can find me hanging out with my golden retriever, Karter, and my fiancé, Jordan.

We love spending time with friends and family, hiking, kayaking, traveling, and riding our horses.

Quincey Fort - Hello! My name is Quincey Fort. I was born and raised in Tulsa, OK. I attended the University of Oklahoma, where I studied biology and French. While living in Norman, I also met my incredible husband, Tristan. We have been married for almost four years, and welcomed our daughter, Blair, to the world in 2023. To say she has changed our lives for the better is an understatement -she brings us so much joy, love, and laughter daily!

Although I am originally an Oklahoma girl, I am no stranger to Missouri. One of my favorite family traditions is our annual holiday trip to Branson. I have fond memories of watching the Christmas tree light show at Silver Dollar City while drinking hot chocolate. We took Blair on her first Branson trip last year, and it made the tradition that much more special. In addition to holiday fun, I attended medical school at Kansas City University's Joplin campus. Tristan and I would often road trip to Springfield to see a movie at Alamo and get some stir-fry at Hy-Vee.

I love that family medicine allows for long-lasting, multi-generational relationships with patients and has a wide variety of cases. My interests include obesity medicine, lifestyle medicine, women's health, and osteopathic manipulative techniques. When looking at residency programs, I knew I wanted to be somewhere with a strong curriculum, supportive community, and appreciation for the osteopathic skills DO residents can provide. CoxHealth Family Medicine Residency offered me all of this, but it was the people that put them at the top of my list. Everyone here is so kind and welcoming that I knew it was somewhere I would thrive.

Outside of medicine, I enjoy spending time with my family, baking, traveling, going to concerts, and listening to podcasts (true crime ones are my favorite and I'm always looking for suggestions).

Brady Garmon - My name is Brady Garmon. I was born and raised in Grain Valley, Missouri. After graduating from high school, I attended college at Missouri Southern State University in Joplin. I enjoyed living in the Joplin area and was fortunate enough to stick around for medical school at Kansas City University- Joplin.

I decided to pursue a career in family medicine during my third year of medical school, after having the opportunity to work with a couple of outstanding physicians in southeast Kansas. I was drawn to the longitudinal care and broad knowledge base associated with a career in primary care. After completing a rotation with the CoxHealth Family Medicine residency in my 4th year, I knew it was where I needed to train. The residents I met were passionate, knowledgeable, and friendly. The faculty treated me with respect as a learner and pushed me to gain new skills and knowledge. I feel very fortunate to train here and take care of the people in Springfield and surrounding areas.

Noah Holmes - My name is Noah Holmes.

I was born and raised in Houlton, Maine nestled just off the last exit of I-95 before crossing the US and Canadian border.

After graduating from high school, I felt the pull to explore beyond the familiar, so I journeyed halfway across the country to attend Evangel University. Little did I know, this decision would not only shape my academic and professional path, but also lead me to the greatest joy of my life— my best friend turned wife, Sarah. Our adventures led us to Tampa, FL, where I pursued my goal of becoming a physician at Nova Southeastern University KPCOM. Sarah has been my constant support and been by my side through the challenges and celebrations.

It was during my third year of medical school that I discovered my passion for primary care—a calling rooted in creating enduring relationships with patients. In this field, trust is paramount, and I relish the opportunity to foster an environment where open dialogue flourishes, paving the way for comprehensive, holistic healthcare driven by the patients’ desire and goals. In addition to my medical studies, I honed my skills in osteopathic manipulative medicine, embracing a holistic approach that incorporates both traditional and conservative treatment modalities.

Outside the hospital, I enjoy being outside to go for a hike or a walk with our dog, Sherlock. I also enjoy playing pickleball, volleyball, and basketball. Sarah and I are also collectors of board games to host some epic game nights. We are ecstatic to be back in Springfield, and I am cherishing the opportunity to learn from this community while serving as a resident physician.

Michael Lay - Hello, my name is Michael Lay. I was born and raised in South Central Illinois. I grew up with five siblings, in a small town where I enjoyed playing basketball, golf, and baseball.

I followed in my dad's footsteps and attended Southern Illinois University in Carbondale, majoring in Physiology.

Throughout undergrad, I got involved with mentoring students with disabilities as well as partnering with St. Jude for fundraising events on campus.

Growing up in a town with few physicians helped spark my interest to give back to a small community in the future. When it came time for medical school, I chose to go to the University of Illinois College of Medicine in Rockford to participate in their Rural Medical Education Program to receive additional training in caring for smaller communities, which is also where I met my wife.

I am excited to continue with my training at CoxHealth and become the best family physician I can be.

In my free time, I enjoy golfing, hiking, running, spending time with family and friends, managing a fantasy football team every fall, and watching March Madness every spring. My wife and I have a rescue dog we enjoy spending time with as well.

Rebekah Miller – Hello! My name is Rebekah Miller and I am from Belle, Missouri.

During my childhood, my grandparents had a lake house in Branson, MO, and we would frequently visit Springfield on the way to enjoy the lake! While attending community college, I worked part-time at JULY/AUG 2024 • GCMS Journal • 13

a family physician’s office, and that’s when I decided to pursue medicine. I finished my undergraduate degree at Truman State University. In 2019, I married my husband, who is a Green Beret stationed at Fort Liberty, NC. Thankfully, I was able to attend Campbell University in North Carolina and lived with my husband during those medical school years.

Matching at CoxHealth was a dream because it is an unopposed moderate-sized, level-one trauma center, which is exactly what I was looking for! It was amazing to see the number of graduates who continued to work for CoxHealth, join as faculty, or stay in the surrounding area to practice; it spoke volumes about the residency, that was unparalleled to others. Most of all, the sense of community amongst staff and passion from the residents made me feel that this would be the best place for me.

Any free time that I have off, I love spending with my husband and two French Bulldogs, going on walks, hikes, to the gym, or relaxing at home!

Claire Reagen - Hello! My name is Claire, and I'm from Kansas City, MO, home of the Chiefs! I have a younger brother who is a year behind me in medical school and is one of my best friends. After high school, I attended Rockhurst University in Kansas City, where I studied molecular biology and went through the early acceptance partners program with Kansas City University's College of Osteopathic Medicine. I attended medical school at their Joplin campus where I fell in the love with the community of southern Missouri and saw the vast unmet need for primary care.

Family Medicine was the medical specialty that sparked my passion for medicine and my desire to become a physician. As I underwent my training in medical school, I was delighted by the versatility of Family Medicine, which would equip me with the skills to provide excellent care in managing a vast array of diseases across a spectrum of age groups and prognoses.

Family Medicine revolves around many of my interests, including obstetrics, women's health, osteopathic manipulation, procedures, and sports medicine. The dedication to holistic care sparked my passion for advocacy and community engagement, which is exactly what CoxHealth FMR embodies.

CoxHealth stood out to me on the interview trail by how friendly everyone was. The residents, faculty, and staff made me feel welcomed and valued. It was clear how close everyone was, and they all seemed to be 14 • JULY/AUG 2024 • GCMS Journal

having so much fun - not the first word that typically comes to mind when I think of residency training!

It felt like a family and a place where I would fit in well and be supported. The learning opportunities and ability to tailor your residency to what you want your practice to look like is also a unique part to their training. CoxHealth FMR's reputation extends out past Springfield, and I have only ever heard its praises.

Outside of medicine, you can find me at church, on the soccer field or pickleball court, or at church!

Ashton Skopec I grew up in Bolivar, MO, with my parents and two sisters who continue to live in the area to this day. I met my husband in high school, and we attended the University of Central Missouri in Warrensburg for our undergraduate degrees. We then moved to Columbia, MO, where I completed my medical education at the University of Missouri School of Medicine.

Growing up in a small town, my idea of a doctor was always that of a family medicine physician. During medical school, I found that I enjoyed seeing patients of all ages from various walks of life, and I love the diversity that family medicine offers in terms of the patient population and the scope of practice. I have special interests in women's health, obstetrics, and pediatrics, but am excited to learn all the ins and outs of family medicine at CoxHealth! This program is filled with amazing people, and I am so excited to be able to learn from them.

My husband and I welcomed our son in early 2024, and we are so thrilled to be able to move closer to home for my residency training. In our free time, we love playing with our pets, spending time outside and going for walks.

Welcome to the Family Medicine Class of 2027

AMAA Annual Meeting Update and the Physician Family Day at the ZOO!

by Jana Wolfe, Co-president - GCMS Alliance

Enthusiasm is at an invigorating level at alliance meetings and the level is always over-the-top at the American Medical Association Alliance (AMAA) Annual Meeting.

The terrible effects of COVID have changed our lives in a lot of ways and, at least for now, the way some organizations conduct meetings. In recent years, the AMAA has conducted their Annual Meeting in two-parts, a Virtual ZOOM combined with an In-person Meeting. This bifurcated meeting has seemed to satisfy members for the present time.

In mid-May we held the Virtual ZOOM portion of the Annual Meeting where the business section of the AMAA took place.

The hearing for proposed Bylaw changes, the budget, the proposed slate of nominations, reference committees, and voting all took place, as well as Council Chair reports and the final report of the reference committee on Bylaws.¹ This year we enjoyed two guest speakers, Savitri Rajali, the Founder of Tukee Foundation², and Dr. Kim Blackham³, Marriage & Family Therapist. (Dr. Blackham visited GCMS & GCMSA as the 2016 Doctors’ Day, “Taking Care of Our Own” event guest speaker.)

There is something lost in Virtual Zoom meetings, a camaraderie that you form being together, complex discussions, relationship cultivation and team building.

However, it does provide accessibility, cost-savings, reduces travel expenses, and as the AMAA points out, is more inclusive for our members. As a veteran member of our local, state, and national alliances, I much prefer the rejuvenation felt from In-person meetings.

May 31-June 2 saw a BIG Southern Welcome in downtown Nashville, Tennessee! Here, the AMAA celebrated achievements! They presented the national awards, the AMAA Leadership Academy Certification Awards, chosen states shared their successful projects, Presidential Recognitions, more elaborate Council Chair reports were shared with time for question & answer sessions, and the Regional Meetings were held, and of course, the excitement of the installation of the new AMAA President, Patricia Klettke, and the Board of Directors. As well as some of the most inspiring, provocative, and motivating speakers I have ever heard. I will not mention all the speakers, but one I think deserves a closer look and I would like to bring your attention to the organization of the other. The first is Jeremy Rosario, artist/creator of the tribute, “The Disposables,” breathtaking portraits, made from donated disposable medical materials, honoring physicians lost to suicide.⁴ As he poignantly described in his presentation, “Our doctors are in danger,” speaking directly to the unacceptable number of physicians lost and

fuel for meaningful change. The other speaker was Dr. Stefanie Simmons, Dr. Lorna Breen Heroes’ Foundation5, Chief Medical Officer. Her presentation, while emotional and disturbing, inspired the great need for continued legislative advocacy efforts around physician mental health, and for the healthcare industry; to implement well-being initiatives, bring awareness of these issues to reduce the stigma; and change to safeguard the well-being, job securities, and satisfaction of our spouses and those in the healthcare industry as a whole.

Once again, the AMAA Annual Meeting was inspiring and celebrated the good alliances have accomplished in their communities through their health education projects across the nation. It also encouraged us of the great need to continue to advocate for physician well-being with our legislators.

And on that note, Barbara and I would like to invite area physician families to the Celebration of Physician Family Day at Dickerson Park Zoo, Saturday, August 24th from 6:00 pm – 8:30 pm. This is a FREE, private, after-hours event for physician families to join together for a time spent relaxing and socializing with other physician families as an essential part of maintaining a balanced lifestyle. Bring your kids, grandkids and have an amazing time enjoying the family atmosphere, company of friends, a picnic-style dinner, the Titus Train Ride, feeding the giraffes and babies at the Outback Corral Petting Zoo! This will be our 4th year Celebrating PFD at Dickerson Park Zoo and we could not achieve this without the continued generosity of our sponsors, Mercy and Ferrell Duncan Clinic Foundation.

This special day, Physician Family Day, was established by the AMAA in 2018, to bring awareness to physician burnout and acknowledge physicians and their families for the vital role they play in the health care system. Physician family health and wellness is a priority and it is believed to be that the physicians’ family should be recognized for their contributions.

Please mark your calendars for Saturday, August 24th! amaalliance.org ²https://tukee.org.np/ ³https://drkimblackham.com/ ⁴https://www.disappearingdoctors.com/ 1

JULY/AUG 2024 • GCMS Journal • 15

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JULY/AUG • 17 It’s 2024 the• GCMS rightJournal thing.

Hey Man, you good?

by Nancy Yoon, MD MPH, Chief Medical Officer Springfield-Greene County Health Department The Springfield-Greene County Health Department initiated a community-wide men’s mental health campaign in November 2023 with the Healthy Living Alliance of the Ozarks. The campaign encourages men in our community to start and continue conversations about mental health with their peers.

These conversations can start with a simple question: “Hey man, you good?”

One conversation can save a life. Connection with friends, family and peers can alleviate a mental health condition before it becomes a crisis. We encourage men to talk to someone they trust about their mental health. It can be with a doctor, a spouse, a partner, family member or a friend.

“Conversation is a valuable tool in breaking down the barriers of mental health stigma and in building connection with the people around us who can help when we aren’t doing well,” said Jon Mooney, Assistant Director at SGCHD. “When we talk about our experiences, it makes them less difficult to face head-on.”

Men and their loved ones can learn how to start these often difficult conversations with resources and guides on MentalHealth417.com. Additionally, several campaign videos were created with community leaders talking about mental health. These videos included Mayor Ken McClure and Director of Health Katie Towns discussing how to start mental health conversations in real-life scenarios, alongside Missouri State University President Clif Smart, Fire Chief David Pennington and President of Mercy Springfield Communities David Argueta.

Men over age 45 are at the greatest risk of dying by suicide in Greene County. Though men make up about 50% of the total population, they account for 80% of suicides. A multitude of factors play into this, including method (men often use firearms, which leads to higher levels of suicide completion), stigma, stereotypes and a lack of resource and care seeking.

We want to encourage men in Greene County to check in with other men in their life and to be open and honest about how they are feeling. This conversation can start with a simple question: “Hey man, you good?” It doesn’t have to be awkward. It may be out of your comfort zone, but opening these lines of communication between the people in your life could be the reason someone you love takes action to better their mental health. They will also know they have someone who is looking out for them along the way.

Mental Health 417 is a comprehensive mental health resource hub. Its purpose is to connect people in Springfield and Greene County with vital mental health information, with the goal of halting progression before it reaches a crisis. Resources include tools to identify your 18 • JULY/AUG 2024 • GCMS Journal

symptoms, learn about your mental health or better understand what a loved one is going through, tips to build your self-care routine, and information on treatment options.

July is Minority Mental Health Awareness Month. Culture, ethnicity, and race all play a role in the way that each person experiences the world. These factors, among others, have profound effects on mental health, especially for Black, Indigenous, and people of color (BIPOC). Mental Health America's BIPOC Mental Health Resource Center helps you learn more about the strengths and challenges communities of color face when it comes to mental well-being and mental health care (www.mhanational.org/bipoc/mental-healthmonth).

Contact the 988 Suicide and Crisis Lifeline if you are experiencing mental health-related distress or are worried about a loved one who may need crisis support. 988 is confidential, free, and available 24/7/365.

• Call or text 988 • Chat at 988lifeline.org

"SANE" Nurses

by Dawn Day, RN, BSN, Sexual Assault Nurse Examiner & Sexual Assault Program Coordinator, Mercy Hospital According to the Violence Resource Center, nearly 1 in 5 women and 1 in 71 men have been sexually assaulted at some time in their lives. However, these figures only represent the instances of violence that are reported. It is estimated that more than 2 out of 3 assaults go unreported. Factoring in those unreported rapes, only about 6% of rapists ever serve a day in jail. According to Greene County Prosecutor Dan Patterson, the most difficult cases to prosecute involve acquaintances where the issue is consent and is ofen complicated by intoxication and consensual acts.

Although these statistics are challenging, this is where law enforcement officers, prosecutors, advocates, physicians, sexual assault nurse examiners (SANE) and other community leaders step up.

My name is Dawn Day, and I began caring for victims 18 years ago as a RN and, in 2012, I officially stepped into the role as a

certified nurse, we care for adult and adolescent victims of sexual assault.

This includes anyone age 14 and older in Missouri. The function of a SANE nurse is to conduct a forensic interview and collect forensic evidence while all the time comforting their patient.

This specialized forensic care goes far beyond the basics of evidence collection. The SANE nurse might be the first person a victim encounters after their assault. It is imperative to create a trusting and safe environment. We approach each situation with a trauma informed patient centered approach, starting off each interaction by first seeking the permission to enter the room and speak to our patient. It is the goal to provide the opportunity for a victim to oversee every decision made, as they have just experienced a nightmare of having their choices disregarded. SANE nurses have the autonomy to be able to go past providing medical and forensic care. We are their advocates, their support, their safety, and their empowerment.

Throughout my career as a SANE nurse, I have provided care to over 350 victims. I have been asked why I continue to do this work. After all, SANE nurses have one of the highest turnover rates in nursing. My answer is simple. I want to provide a caring and empowering support to individuals of violent crimes in their time of need. However, you will never find me saying this is an easy job. Many who do this work suffer from vicarious trauma.

The role is traumatically stressful and often accompanied with frustrations. My main frustration being the outrageously small percentage of assailants that are successfully prosecuted. But we continue to fight for and with the victims and we know we have a community of individuals that share in that fight.

2019., Dawn Day wins "The Daisy Award" for Extraordinary Nurses.

SANE nurse. A SANE nurse is an RN who has undergone an accredited 40-hour training course on sexual assault . As a SANE

I am currently the Forensic Program Coordinator at Mercy Springfield and have earned my Sexual Assault Nurse Examiner for Adults and Adolescents certification. SANE nurses specialize in all forms of including physical assault, human trafficking, domestic violence, abuse or neglect, and homicides as the world of forensics has progressed past sexual assaults. I have taken pride in assisting other Mercy hospitals in southwest Missouri in developing their programs and I specialize in education of human trafficking and trauma informed care.

Throughout the years I have trained countless SANE nurses and have built a program of support and mentorship. Mercy is also host to our monthly Sexual Assault Response Team (SART) meetings. This is a community-based multidisciplinary team that coordinates the response to victims of sexual violence. The team is comprised of individuals from Mercy, Cox, Springfield Police, Greene County Sheriff’s Department, Missouri State JULY/AUG 2024 • GCMS Journal • 19

Highway Patrol, Greene and Christian County Prosecuting attorney’s offices, Missouri State Highway Patrol Crime Lab, the Victim Center, the Child Advocacy Center, The Family Justice Center, the Springfield/Greene County Health Department, the Children’s Division, the Juvenile Division, several local college and university members and other advocates. This team creates professional partnerships throughout the community that aid in improved care of the victims. The number of agencies that provide support in our community and surrounding areas is astounding!

A SANE nurse can care for any victims 14 or older in accordance with Missouri law. There is a standard approach of evidence collection up to 120 hours post assault and all victims can receive care despite any time frame. A standard process is followed when a SANE nurse is providing care. Every victim in the state is notified of their following rights: “No victim will ever be charged for evidence collection, they have the right for any support person at their side, they can contact a victim advocate, and they are allowed to shower free of charge.” Many programs proceed further by following the national best standard of practice by offering prophylactic mediations for sexually transmitted infections, HIV, and emergency contraception.

The SANE nurse will go over all options with a victim, including which reporting option they would like to consider. A victim can choose to be reported, unreported or anonymous, in participating jurisdictions. Unreported evidence can be stored at the state repository where it will be held for 5 years.

Once the victim is provided with options they proceed with the forensic interview. In reported cases, every effort is made to do this in conjunction with law enforcement. Upon completion of the interview evidence collection will begin, and may be more invasive than expected. The SANE nurse will start with undressing the patient to complete a full body assessment.

Clothing will be bagged separately, including underwear. Any injuries found will be photographed. The following items are in the Missouri Kit: Hair evidence consisting of 50 pulled hairs

20 • JULY/AUG 2024 • GCMS Journal

(not cut), buccal swab for a DNA standard, fingernail scrapings, pubic hair combings, pubic hair evidence consisting of 25 pulled hairs (not cut), and oral, external genitalia, vaginal, cervical, and rectal swabs. Individual swabs are taken from all over the body as forensically indicated. If a vaginal injury is suspected a toluidine blue dye is utilized to make it more visible. This process is photographed. Blood and urine specimens are collected if there is a suspected drug facilitated assault.

All of this right after a victim has been violated. Is this part of the reason so many victims don’t come forward? Or is it the feeling of guilt, shame, embarrassment, fear, thinking no one would believe them, the belief that it doesn’t’ matter because the assailant will say it was consensual and there will be no proof, with up to 85% of violent sexual assaults displaying no visible injuries. One of the most heart wrenching reasons I hear is that they don’t want to get him in trouble. On average a SANE nurse will spend 3-4 hours with a victim providing much support because of the above-mentioned victim responses.

It is odd to say given the situation, but I love what I do. My goal is to enter the room of a person who is experiencing perhaps the worst day of their lives and have them depart with a smile, a hug and a thank you. Of course, I want all bad guys in jail!

Throughout the years I have become more realistic. I pour my heart into my job, and I will continue to work 24 hours a day if it means that one victim can be saved. People ask me if I had a magic wand, what would I do? Rid the world of violence. Of course! But my answer is this; I want to be busier. I want to help more victims. I want everyone to know that they have options, and we are here to support them. I want them to report. And I must tell everyone; I am not in the career of saving anyone.

They save themselves. I merely do what I can to care for a victim so that they may leave a survivor. Wouldn’t it be nice to prevent most of these assaults?

Hope springs eternal.

2024 Rocky Mountain Medicine CME

Left to right: Dr. Karim Moukrime, Chris Saddler, Dr. Ken Shewell, Dr. Abha Havaldar, Dr. Drew Shoemaker and wife Reme, Dr. Minh-Thu Le, Dr. Jim Rogers and wife Laurie, Melissa John and husband Dr. Kyle John, Dr. Vu Le (back), Dr. Sanjay Havaldar, Gretchen Cliborn, Dr. Giselle Kohler and husband Dr. Jake Thomas, and Jean and Jerry Harmison

Minh-Thu Le, MD, giving her presentation on "Anaphylaxis Practice Parameters"

"Update on Intraocular Lenses" by Jake Thomas, MD

JULY/AUG 2024 • GCMS Journal • 21

Brightli Medical Group President Shawn Sando

Drew Shoemaker, MD, talks about "Risks and Benefits of Marijuana Use."

Enjoying the local cuisine!

22 • JULY/AUG 2024 • GCMS Journal

And attractions!

Ready to hit the bike trails near the Cambria Hotel Copper Mountain owned by O'Reilly Hospitality. Mountain Biking is just one of the many activities in Breckenridge, Colorado.

Amit Jagtiani, MD and his presentation on "Optimizing AHDH Medications."

Dinner at the highest floating restaurant in the world: Ollie's Pub & Grub

James T. Rogers, MD, discusses the fundamentals and benefits of the Greene County Medical Society's Foundation.

Vu Le, MD, presenting his "Change Management" discussion.

24 • JULY/AUG 2024 • GCMS Journal

professional directory

To Advertise in this directory call Jean Harmison at the Society office: 417-887-1017.

Please Note: Changes to ads will be made quarterly and must be submitted in writing.

H Denotes GCMS Membership “A” Denotes GCMS Applicant GCMS Member Ad Rates: $10.00 per 2” sq. • Non-Member Ad Rates: $13.75 per 2”sq.

Direct Primary Care ASCENT DIRECT PRIMARY CARE, LLC MATTHEW GREEN, DO H

Mission Statement

Bringing physicians together to improve the health of our community.

Dermatology, Procedural

Family Medicine www.ascentdpc.com 417-595-0956 413 N McCroskey, Ste 2 Nixa, MO 65714

Family Medicine COXHEALTH FAMILY MEDICINE RESIDENCY FAMILY MEDICAL CARE CENTER 3800 S National Ste 700 Springfield, MO 65807 (417) 269-8817 American Board of Family Medicine

Eye Surgery/Ophthalmology EYE SURGEONS OF SPRINGFIELD, INC.

C. BYRON FAULKNER, MD H

Comprehensive Cataract Ophthalmology

JUDD L. McNAUGHTON, MD H

Comprehensive Cataract Ophthalmology Diplomates, American Board of Ophthalmology 1330 E. Kingsley St. • Springfield, MO 65804

Marc Carrigan, MD Cameron Crymes, MD Kristin Crymes, DO Kristen Glover, MD Kyle Griffin, MD Shelby Hahn, MD Laura Isaacson, DO Evan Johnson, MD Katie Davenport-Kabonic, DO Michael Kabonic, DO Jessica Standeford, MD

Phone 417-887-1965 • Fax 417-887-6499 417eyecare.com

MICHAEL H. SWANN, MD H BRETT NEILL, MD MICHAEL KREMER, MD JOHN CANGELOSI, MD AUTUMN BERTHOLDI, PA-C PATSY DUGGAN, PA-C LORI MILLER, NP-C HANNAH LEE, FNP-BC 3850 S. National Ave, Suite 705 Springfield, MO 65807 (Located inside Hulston Cancer Building-7th floor) 1240 E. Independence Springfield, MO 65804 Phone: 417-888-0858 • Fax: 417-889-0476 www.swanndermatology.com Hollister Location 590 Birch Rd, Ste 2c Hollister, MO 65672 PH. 417-690-3858 Fax 417-690-3862 Monett Satellite Location (Inside CoxHealth Urgent Care) 2200 E. Cleveland Ave Monett, MO 65708 Phone: 417-888-0858 • Fax: 417-889-0476

Eye Surgery/Ophthalmology MATTAX • NEU • PRATER EYE CENTER

JAMES B. MATTAX, JR., MD, FACS …

American Board of Ophthalmology

LEO T. NEU III, MD, FACS H

Internal Medicine

MERCY CLINIC– INTERNAL MEDICINE WHITESIDE

RAJ ANAND, MD JAMES T. ROGERS, JR. MD, FACP H Board Certified in Internal Medicine

MARIA DELA ROSA, MD

NELSON DELA ROSA, MD AMANDA MCALISTER, MD ALEJANDRA ROA, MD KELLY TRYGG, MD GABBY BONNER, NP STEVEN BOWLIN, MD

Board Certified in Internal Medicine

STEPHANIE HOVE, NP CARRIE KUGLER, PA COURTNEY WEATHERFORD, PA JENNIFER WHITE, PA VICTOR GOMEZ, MD

Gynecology WOMAN’S CLINIC www.womansclinic.net

Leaders in Minimally Invasive Gynecology & Infertility

DONALD P. KRATZ, MD, FACOG H

Board Certified in Internal Medicinee

2115 S. Fremont, Suite 2300 Springfield, MO 65804 Phone 417-820-5600 Fax 417-820-5606

Urology MERCY CLINIC UROLOGY (FREMONT)

American Board of Ophthalmology

American Board of Obstetrics and Gynecology

DAVID NASRAZADANI, MD

AMY LINN, FNP-BC American Academy of Family Nurse Practitioners

ERIC P. GUILLIAMS, MD, FACS H

THOMAS PRATER, MD, FACS H

VANESSA MCCONNELL, APRN, DNP, FNP-C

ROBERT D. JOHNSON, MD, FACS H

JACOB K. THOMAS, FACS, MD H

1135 E. Lakewood, Suite 112 Springfield, MO 65810

TYRUN K RICHARDSON, MD

DREW A. YOUNG, MD American Board of Ophthalmology American Board of Ophthalmology

BENJAMIN P. HADEN, MD H American Board of Ophthalmology

MICHAEL S. ENGLEMAN, OD MARLA C. SMITH, OD MATTHEW T. SMITH, OD 1265 E. Primrose Springfield, MO 65804 417-886-3937 • 800-995-3180

Located inside Tri-Lakes Family Care 1065 Hwy 248 Branson, MO 65616 Phone 417-887-5500 Fax 883-8964 or toll free 877-966-2607 Monday-Thursday 8am-4:30pm Friday 8am-12pm

American Board of Urology

American Board of Urology American Board of Urology

MARK J. WALTERSKIRCHEN, MD, FACS American Board of Urology

Phone 417-820-0300 Fax 417-882-9645 1965 S Fremont, Ste. 370 Springfield, MO 65804

JULY/AUG 2024 • GCMS Journal • 25

Internal Medicine ADULT MEDICINE & ENDOCRINOLOGY JONBEN D. SVOBODA, MD, FACE, ECNU American Board of Endocrinology JAMES T. BONUCCHI, DO, ECNU, FACE American Board of Endocrinology NICOLA W. GATHAIYA, MD, ECNU, FACE, CCD American Board of Internal Medicine American Board of Endocrinology STEPHEN M. REEDER, MD, FACP American Board of Internal Medicine ANA MARCELLA RIVAS MEJIA, MD, CCD American Board of Internal Medicine American Board of Endocrinology JACQUELINE L. COOK, FNP-BC, CDCES, CCD KELLEY R. JENKINS, FNP-C, CDCES ALINA CUMMINS, PA-C STACY GHOLZ, FNP-C SHELLEY L. CARTER, DNP JESSICA A. CROUCH, FNP-C Phone (417) 269-4450

960 E. Walnut Lawn, Suite 201

Springfield, MO 65807

Nephrology

Neurosurgery SPRINGFIELD NEUROLOGICAL AND SPINE INSTITUTE CoxHealth Jared Neuroscience West Tower • 3801 S National, Ste 700 Springfield, MO 65807 • 417-885-3888

Neurosurgery:

H. MARK CRABTREE, MD, FACS EDWIN J. CUNNINGHAM, MD MAYUR JAYARAO, MD

J. CHARLES MACE, MD, FACS H CHAD J. MORGAN, MD

MICHAEL L. MUMERT, MD

SALIM RAHMAN, MD, FACS ANGELA SPURGEON, DO ROBERT STRANG, MD

Interventional Neuroradiology MICHAEL J. WORKMAN, MD

Physiatry:

TED A. LENNARD, MD KELLY OWN, MD

Physician Assistants:

JOSHUA BARBIERI, PA-C MARK BROWN, PA-C ERIC CHAVEZ, PA-C

BLAKE MARTIN, PA-C

HEATHER TACKETT, PA-C

Nurse Practitioner:

EMILY CROUSE, NP-C

BILL HAMPTON, ANP-BC ROZLYN MCTEER, FNP

BRANDON RUBLE, ACNP-AG ALYSSA CHASTAIN, FNP

Obstetrics/Gynecology

SPRINGFIELD NEPHROLOGY ASSOCIATES, INC. 1911 South National, Suite 301 Springfield, MO 65804 Phone 417-886-5000 • Fax 417-886-1100 www.springfieldnephrology.com

STEPHEN E. GARCIA, MD H American Board of Internal Medicine American Board of Nephrology

ETHAN T. HOERSCHGEN, MD American Board of Internal Medicine American Board of Nephrology

GISELLE D. KOHLER, MD H American Board of Internal Medicine American Board of Nephrology

DAVID L. SOMMERFIELD, MD American Board of Internal Medicine American Board of Nephrology

SUSAN A. WOODY, DO H

American Board of Internal Medicine American Board of Nephrology

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COXHEALTH PRIMROSE OB/GYN MARCUS D. MCCORCLE, MD, FACOG Diplomate, American Board of Obstetrics and Gynecology

THOMAS M. SHULTZ, MD, FACOG Diplomate, American Board of Obstetrics and Gynecology

GREGORY S. STAMPS, MD, FACOG Diplomate, American Board of Obstetrics and Gynecology

P. MICHAEL KIDDER, DO, FACOOG Diplomate, American Osteopathic Board of Obstetrics & Gynecology

Phone 882-6900 1000 E. Primrose • Suite 270 Springfield, MO 65807

Obstetrics/Gynecology SPRINGFIELD OB/GYN, LLC MATTHEW H. TING, MD, FACOG H American Board of Obstetrics & Gynecology

909 E. Montclair, Suite 120 Springfield, MO 65807 Phone 417/882-4466 • Fax 417/890-5631

Oncology/Hematology ONCOLOGYHEMATOLOGY ASSOCIATES OF SPRINGFIELD, MD, P.C.

Otolaryngology MERCY CLINIC– EAR, NOSE & THROAT BENJAMIN L. HODNETT, MD, PHD H ERICH D. MERTENSMEYER, DO, FAOCOO AARON R. MORRISON, MD A. DANIEL PINHEIRO, MD, PhD, FACS H RAJEEV MASSON, MD MARK J. VAN ESS, DO, FAOCOO Diplomates, American Board of Otolaryngology

SHELBY BRITT, PA

WILLIAM F. CUNNINGHAM, MD, FACP

MELISSA COONS, FNP

JIANTAO DING, MD H

ELIZABETH (BETSY) MULLINGS, FNP

American Board of Internal Medicine American Board of Medical Oncology American Board of Internal Medicine American Board of Hematology American Board of Medical Oncology

ROBERT J. ELLIS, MD, FACP American Board of Internal Medicine American Board of Hematology American Board of Medical Oncology

BROOKE GILLETT, DO

American Board of Internal Medicine American Board of Medical Oncology

V. ROGER HOLDEN, MD, PhD American Board of Hematology American Board of Medical Oncology

DUSHYANT VERMA, MD, FACP American Board of Internal Medicine American Board of Hematology American Board of Medical Oncology

Springfield Clinic 3850 S. National, Ste. 600 Springfield, Missouri 65807 Monett Clinic 802 US Hwy 60 Monett, Missouri 65708 Phone 882-4880 Fax 882-7843 Visit our website: www.ohaclinic.com

TAHRA LOCK, NP

PAUL STRECKER, FNP Audiology

JASON BOX, AuD, CCC-A MAMIE JAYCOX, AuD, CCC-A JENNIFER PLOCH, AUD ALLISON WHITE, AUD, CCC-A Phone 417-820-5750 Fax 417-820-5066 1229 E. Seminole, Ste. 520 Springfield, MO 65804

Plastic Surgery

MERCY CLINIC– FACIAL PLASTIC SURGERY MATTHEW A. KIENSTRA, MD, FACS American Board of Facial Plastic & Reconstructive Surgery

American Board of Otolaryngology

Phone 417-887-3223

1965 S. Fremont, Ste. 120 Springfield, MO 65804 facialplasticsurgeon.com

Psychiatry JAMES E. BRIGHT, MD H

Diplomate, American Board of Psychiatry & Neurology.

Practice Limited to: Adult Psychiatry Phone 882-9002 1736 E. Sunshine, Ste. 400 Springfield, MO 65804

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