GRHSONLINE.ORG FALL 2021 TOUCHING LIVES New Providers Meet our Dr. Matthew Patterson | Allergy & Sleep Medicine Dr. Elizabeth Colsen | General Surgery Dr. Jake Traxler | Family Medicine
WE NEED YOUR HELP
Our best tools in the fight against COVID-19 are masks and the vaccines, which are safe, effective, FDA-approved, and fully supported by GRH medical staff. Learn more ways you can help by reading our letter to the community: grhsonline.org/a-letter-to-our-community/
Progress Despite Pandemic Pressures
I’d love to be able to report that the pandemic and its pressures on GRH and our staff are clearly in our rearview mirror. However, that isn’t the case. The demands of COVID-19 are still very much with us.
One thing has become very apparent during the pandemic – we have an amazing team that can pivot rapidly to respond to the changes needed to care for our community. Our team, though tired at times, continues to show up to provide quality care from their hearts. They are truly dedicated to the care of our patients, residents of GlenFields, and tenants of Orchard Estates – I am very proud of each one of them. They have proven over and over that we are Stronger Together. I would also like to thank each member of our community that has sent kudos to our staff, cards of thanks, and direct email messages to me – I want you to know how those messages uplift and touch the hearts of our staff!
We know how valuable it is for our community to access care close to home, so we’ve added new providers to our medical staff, who are helping us expand our services.
Jake Traxler, MD, brings a passion for family medicine in a rural setting. Elizabeth Colsen, MD, FACS, is a general surgeon trained in bariatric medicine and critical care medicine.
Matthew Patterson, MD, FACS, MBA, MHA, is board certified in three specialties: sleep, allergy, and otolaryngology (ENT). We’re excited to have these providers join our team, and can’t wait for you to meet each of them in this issue.
We remain dedicated to our mission of improving every life by offering high-quality, safe, and accessible healthcare, and we ask that you help us keep our community healthy – please be sure to continue using prevention measures such as social distancing and masking in public spaces, and consider getting vaccinated against COVID-19. Our providers have answered some frequently asked COVID-19 questions, which you can read on pages 8 and 9. We know we are stronger together – let’s work together for a healthier community.
Sincerely,
Patty Henderson, MBA, BSN President & CEO
WE WANT TO HEAR FROM YOU
We’re always interested in hearing from our patients, friends, and neighbors about how we’re doing. If you have thoughts you’d like to share with Patty, send an email to asktheceo@grhsonline.org. Your message will be sent privately to her office.
Care & Services
MEDICAL SERVICES
Acute Care
Allergy Medicine
Anticoagulation Clinic
Audiology
Birthing Services
Cardiac Rehabilitation
Cardiology
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Ear, Nose, & Throat
Emergency Services
Family Medicine
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Hospitalists
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Surgery
Transitional Care
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SKILLED NURSING CARE
GlenFields
Living with Care
SENIOR LIVING
Orchard Estates
Touching Lives E-Newsletter
PERSONALIZED HEALTH NEWS & UPDATES FROM GRH
Glencoe Regional Health’s monthly email newsletter keeps you informed with the latest health and wellness news on the topics you choose. Get the latest healthcare news on medical topics, from 350+ medically-reviewed sources. Additional resources such as health reminders and health risk assessments also are included with your free subscription.
We’ll also keep you up-to-date on events and services at GRH.
Expecting? You can also subscribe to the My Baby Expectations e-newsletter. From conception to age one, parents and parents-to-be can track their baby’s development and learn valuable information on baby care. Once the baby turns one, the subscriber automatically graduates to the parenting topics in the adult newsletter.
To sign up, visit grhsonline.privatehealthnews.com
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Our new path is giving our community something to "walk" about.
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From sewing needles to paintbrushes, volunteer Annette Ahlfs uses her creativity to give back.
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Our providers are here to answer your questions about COVID-19.
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FROM PROVIDER TO PATIENT
Kari Knodel Vettel, MPAS, PA-C, shares her journey with breast cancer.
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MEET DR. COLSEN AND DR. PATTERSON
Our new family medicine provider will see patients in Glencoe and Stewart.
Help us welcome new members of our medical team.
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Pfizer booster doses are now available in our clinic.
NURSING ASSISTANT TRAINING PROGRAM
Earn while you learn through our nursing assistant training program.
Jill Hatlestad Denise Lemke
1 GRHSONLINE.ORG FALL 2021 CONTENTS PUBLISHER
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EDITORS
Glencoe Regional Health
Hennepin Avenue North Glencoe, MN 55336 MANAGING
Ana Alexander Lynn Beranek Stephanie Beste
Your feedback is important to us. Contact the GRH Marketing Team at marketingteam@grhsonline.org with suggestions and comments.
PRAIRIE
TRAIL
VOLUNTEER
SPOTLIGHT
6 MEET JAKE TRAXLER, MD
7 COVID BOOSTERS
ASK THE EXPERTS
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FROM FIELDS TO FOOTSTEPS
“Prairie Trail” is a Path for Everyone
We’re giving our community something to “walk” about with a brand new walking path on our Glencoe campus.
The new path officially opened at the end of August when we held a ribbon cutting and grand opening event, welcoming our community to tour the new space. Attendees also had the opportunity to cast their vote for the official name of the path, and the votes were overwhelmingly in favor of “Prairie Trail.”
Prairie Trail will be maintained for use through three seasons, and includes routes ranging in distances from .35 to .80 of a mile. The path is open to our patients, residents, tenants, staff, and community members.
“We know this investment in our campus is setting the foundation for good health,” said President & CEO Patty Henderson, MBA, BSN. “We’re excited to offer a place for all to enjoy the mental and physical benefits of being outdoors and getting active.”
Benches for rest and reflection have been added in key locations along Prairie Trail, so visitors may take time for quiet and meaningful contemplation. Residents of our skilled nursing facility, GlenFields Living with Care, will be able to enjoy a festive evergreen tree during the holiday season, which has been planted along the path near GlenFields for all to enjoy. The work is not done yet! Prairie Trail is a work-in-progress that will continue to develop. We’ve planted native prairie grasses along the path, which may take several years to fully grow and flourish. We’re also adding several features to the path, which will be built and implemented over time with the help of community donations. Learn more about how you can get involved on page 4.
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Foundation Board Members gathered with GRH President & CEO, Patty Henderson, MBA, BSN, for our ribbon cutting. From L to R: Cindy Klaustermeier, Laura Kuvaas, Patty Henderson, Mary Ott, Orville Trettin.
Future features include:
A Monarch Waystation, also known as a butterfly garden. The Monarch Waystation will be a peaceful haven for our fluttery friends. Two beautiful gardens will include flowers and plants vital for the survival of the monarch. Educational signage will provide future opportunities for local school groups and organizations to visit and learn about monarchs.
The Helping Hands Garden.
This space will give our GlenFields residents a place to enjoy a beautiful garden. Wheelchair-accessible, raised-bed garden boxes will allow our residents to easily tend to plants. Fruit and vegetables from the garden will be used in GlenFields households to make snacks or special meals for residents.
Our Veteran’s Memorial.
This dedicated memorial will offer visitors a place of reflection and
Want to get involved? Check out page 4 for details on how you can support this community space, or visit our website to learn more: grhsonline.org/walking-path
We’re grateful to the Glencoe Regional Health Foundation, who made a generous donation toward the construction of the path. The Foundation’s investment in the health and wellness of our community has made
Paving the Way to Good Health
GETTING INVOLVED WITH PRAIRIE TRAIL IS A WALK IN THE PARK!
And that’s not just a metaphor – if you have a green thumb or a passion for working with others, volunteering at Prairie Trail may be a good fit for you! As work continues on each area of Prairie Trail, we’ll be looking for volunteers to tend to plants in the Monarch Waystation, to assist GlenFields residents in planting and watering the Helping Hands Garden, and eventually to maintain the Veteran’s Memorial once the project is complete.
Interested in volunteering at Prairie Trail? Fill out our volunteer interest form, and we’ll contact you when opportunities become available: grhsonline.org/walking-path.
If gardening and growing isn’t quite your style, you can still support Prairie Trail! As we continue to develop our Monarch Waystation, Helping Hands Garden, and Veteran’s Memorial, we’re looking for donations to fund and enhance each space. To make a donation online, visit our website: grhsonline.org/walking-path
Help us build the path!
Your support will help us fund the features below.
Monarch Waystation
• Seeds and flowers to create beautiful garden beds
• Educational signage to provide future opportunities for local school groups and organizations to visit and learn about monarchs
• Trees to provide shade and a break from the wind
Helping Hands Garden
• Wheelchair-accessible, raised-bed garden boxes, so residents may easily access plants
• Individual planters for larger vegetables to grow in
• Seeds to grow plants and vegetables
• Gardening tools
Veteran’s Memorial
Work will begin to conceptualize the Veteran’s Memorial in 2022. We’re seeking donations to fund the materials and work needed to build the Veteran’s Memorial on our campus once designs have been finalized.
Prairie Trail General Fund
• Trees to provide shade for visitors and to enhance the beauty of the path
• Bike racks for visitors to safely secure their bikes before walking on the path
• Seeds to add native prairie grasses along the route of the path
We look forward to sharing more with you as our path continues to come to life!
There are a variety of ways to make a donation to Prairie Trail:
• Text-to-give. You can make a donation to Prairie Trail by sending a text to 44-321. Choose where you’d like your gift to go by typing “MonarchWaystation,” “HelpingHandsGarden,” “VeteransMemorial,” or “GRH Walking Path” in your text.
• Visit our website. Send in a donation electronically by visiting grhsonline.org/walking-path
• Mail in a donation. You may send a check made out to Glencoe Regional Health or a cash donation dedicated to any of the four areas of the path. Donations may be mailed to: 1805 Hennepin Ave. N., Glencoe, MN 55336.
PRAIRIE TRAIL
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GRH Volunteer Makes a Difference
1,213 lives. At a minimum, that’s how many lives Annette Ahlfs, GRH Environmental Services Specialist, has impacted.
Annette has worked at GRH for 27 years and began volunteering at GRH a few years ago – or, 416 surgical caps ago. When she received an email looking for volunteers to sew caps, Annette was quick to volunteer.
The caps are worn by pediatric patients during surgery – each child picks out their own cap from a variety of bright patterns and colors.
“Surgery is scary for kids,” said Annette. “Having a fun cap brings them a little comfort and eases their fears.”
The caps are just the beginning. Annette also sews ice pack covers used across the facility, Foley bag covers for patients requiring catheters, burp cloths for our littlest patients at our Birth Center, and “angel blankets” for parents who have lost their baby. After Annette sews the soft blankets, a small angel is added to them. She recalls the impactful moment when she delivered the first bundle of blankets.
“The nurse said, 'God must have sent you,’ because we needed one that day. Someone had a stillborn baby,” said Annette. “I got goosebumps. It’s so hard when you lose a baby. Hopefully the blankets bring some comfort to those parents.”
Annette has also volunteered at many GRH events and serves on the Monarch Waystation Committee for Prairie Trail (Read more on page 2).
“When there’s an opportunity to help and it’s something I can do, I’ll raise my hand and do it,” said Annette.
Letters of Hope
When quarantine began in early 2020, Annette still found a way to touch the lives of others.
While our GlenFields residents were unable to have visitors, our team created a pen pal program, which matched up GRH staff with a resident they could write letters to each week. Annette, of course, was eager to get involved right away.
“It was fun,” Annette said. “My pen pal was my inspiration to start drawing again.”
Annette enjoys all things creative, such as painting and drawing. She’d set down her charcoal and watercolors while raising her kids, but writing to her resident inspired her to start creating again. Her pen pal was a former farmer, so Annette painted images of the fields, blooming crabapple trees, and colorful flowers.
“I wanted to bring the outside world in through my drawings,” said Annette.
While cleaning rooms at GlenFields, Annette noticed her resident had hung
up her drawings in his room. He’d also gifted some of the drawings to others to spread the cheer. Eventually, one of the household coordinators made a book with all of Annette’s drawings in it, now located in the household’s living room for all to enjoy.
“Those letters were good for both of us,” said Annette. “Staff said he really looked forward to them, and he got me back into drawing and painting.”
As for Annette’s volunteer work, she has no plans of slowing down.
“When I retire – then I’ll have even more time,” said Annette. “Just think what I can do then!”
Annette was recently honored with the Glencoe Area Chamber of Commerce's 2021 Community Volunteer Award. We're so proud of Annette!
Annette’s Activity
Check out how Annette gives back:
• Surgical caps sewn for GRH pediatric surgery patients – 416
• Ice pack covers sewn – 149
• Burp cloths sewn – 88
• Foley bag covers sewn – 65
• Angel blankets sewn – 16
• Glencoe Days Committee – 8 years
• Glencoe Lions – 6 years
• Salvation Army – 6 years
• Allina Thrift Store – 3 years
• GlenFields Pen Pal – 2 years
• Blood donor – 375 lives impacted
• Living Nativity
• Habitat for Humanity
5 GRHSONLINE.ORG FALL 2021 VOLUNTEER SPOTLIGHT
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INTERESTED IN VOLUNTEERING? Call Denise Lemke at 320-864-7816
JAKE TRAXLER, MD
Jake Traxler, MD, joined our medical staff as a family medicine provider a few short months ago, and already feels at home.
“My family and I have really enjoyed living in Glencoe and we feel very welcome,” said Dr. Traxler. “The staff at GRH are great, and the patients are all very friendly, which makes coming to work fun!”
Dr. Traxler sees patients in our Glencoe and Stewart Clinics, rounds on residents at GlenFields Living with Care, and serves as one of our hospitalists.
“There is a lot of pride in Glencoe and at GRH,” said Dr. Traxler. “Our staff are very proud to be serving people in Glencoe and the surrounding community, with care and service that rivals any larger city or health system.”
Dr. Traxler has already made an impact with his recent presentation on opioid use and addiction at a professional development day hosted by McLeod Education and Drug Awareness (MEADA). Dr. Traxler will continue to be heavily involved in our community, in particular as he becomes the Medical Director at Integrations Wellness & Recovery Center, a treatment program for patients with substance-use disorders and mental health needs.
Medical Focus
Originally from Le Center, he and his wife wanted to find a small community closer to their families, and GRH was the perfect fit. Dr. Traxler will see patients for a range of medical concerns and routine care.
“I enjoy working with patients of all ages, to provide them with the education and resources to help improve their quality of life,” said Dr. Traxler.
Dr. Traxler was first drawn to the sciences in high school, and quickly realized he could unite his love for science with his passion for helping people by pursuing a career in the medical field.
“I enjoy accompanying patients through their different journeys in life – whether that’s through childhood, adolescence, becoming a parent, or working through a chronic disease,” said Dr. Traxler. “Being with patients as they go through tough times, and being everything from someone who can provide guidance to simply a positive voice in their corner is extremely rewarding.”
After Hours
Away from work, you can find Dr. Traxler spending time with his family. He also enjoys hitting the trails on a great hike, going for a run, spending time on the water kayaking, and reading a good book.
Learn more about Dr. Traxler by visiting grhsonline.org/jake-traxler-md, or make an appointment by calling 320-864-3121
6 GRHSONLINE.ORG FALL 2021 NEW PROVIDER - FAMILY MEDICINE
NEW PROVIDER SPOTLIGHT
“The staff at GRH are great, and the patients are all very friendly, which makes coming to work fun!”
Jake Traxler, MD
COVID-19 VACCINE BOOSTERS
Getting vaccinated is the best way to prevent the spread of COVID-19. Vaccination is also the best way to prevent additional variants of COVID-19 from being created as the virus is passed from person-toperson and mutates.
COVID-19 vaccines are working well to prevent severe illness, hospitalization, and death, even against the Delta variant. Medical researchers have been studying how long protection from the COVID-19 vaccines lasts. There is data that suggests that protection from the vaccine decreases over time.
Who is eligible for the booster?
A booster dose of the COVID-19 is recommended for certain populations, at least six months after their second dose for the Pfizer and Moderna vaccines. The Johnson & Johnson vaccine has been approved for booster doses at least two months after the initial dose.
The following individuals should get a booster dose of the Pfizer or Moderna vaccines (6 months after their second dose):
• Ages 65+
• Ages 18+ who live in long-term care settings
• Ages 18+ who work or live in high-risk settings
• Ages 50-64 with certain underlying medical conditions. Consult with your medical provider.
Individuals who are 18 years of age or older and received the Johnson & Johnson vaccine should receive a booster dose at least 2 months after their initial dose.
Prevention and Protection
Please continue to follow these proven prevention measures, regardless of vaccination status:
• Wear a mask when indoors in public, and while outdoors and unable to keep 6 feet apart from others.
• Avoid crowds and poorly ventilated indoor spaces.
• If you have COVID-19 symptoms, stay home and away from others.
• Avoid close contact with those who have tested positive for COVID-19 in the past 14 days.
• Stay away from those who've had close contact with COVID-positive people.
• Use good hand hygiene. Wash your hands often with soap and water for at least 20 seconds. Use an alcohol-based hand sanitizer with at least 60% alcohol if soap and water are not available.
7 GRHSONLINE.ORG FALL 2021 COVID BOOSTERS
APPOINTMENT SCHEDULING We are currently offering the Pfizer vaccine by an injection nurse for ages 5+ at our Glencoe Clinic. To schedule, please call 320-864-7816.
Ask the Experts Your COVID-19 Questions Answered
How has the Delta variant impacted healthcare systems and their capacity?
Dr. Knudten: The Delta variant has caused more disruption within the healthcare system than anticipated, and has stretched hospital capacity across the nation to its limits. I know people are tired of hearing this, but immunization is where the solution to this starts. The risk of hospitalization and death in those immunized is dramatically lower than those who are not immunized.
The number of people hospitalized currently, along with a staffing shortage, has put a strain on our healthcare system like I have never seen. Nursing homes across the State are full, so it is hard to help patients recuperate outside of the hospital. When it is hard to get patients home or into a nursing home, patients need to stay in the hospital longer and the beds in the hospitals become full.
Is it actually safe for kids to get the COVID-19 vaccine?
Dr. helland: COVID-19 vaccination is approved for children 12 and older for emergency use. This is the same dose as is used for adults. It has also been approved for children ages 5 - 11 at a lower dose. This vaccine has a similar safety profile as any existing vaccination, especially when it comes to severe or long-term reactions. I tell my patients: if you have little reservation about a tetanus shot, then you should have little reservation about the COVID-19 shot. Over the past 9 months, roughly 150 million Americans and billions of people worldwide have been vaccinated. There are no examples of any other existing vaccines that cause side effects outside of 2 months after immunization, which appears to be true with COVID-19 vaccines, as well.
How long will the pandemic last?
Dr. Knudten: In March of 2020, I was hoping for 6 months. Now I am holding onto the fact that most of the previous viral pandemics really only lasted about two years. But as we have seen, the viruses are getting smarter. They know how to mutate to cause worsening disease. It is hard to know if new variant strains will continue to cause significant disease in humans for an even longer period of time.
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Kristen Budahn, MD Family Medicine Provider & Hospitalist
Tyler Helland, MD Family Medicine Provider & Hospitalist
Kristine Knudten, MD Chief Medical Officer & Family Medicine Provider
Mitch Palmer, MD Emergency Medicine Provider
If a woman contracts COVID-19 while she’s pregnant, how can that affect her and her baby?
Dr. Budahn: Women who get COVID-19 while pregnant are at increased risk of severe illness, hospitalization, requiring oxygen, and requiring a breathing tube/ventilator compared to non-pregnant women. This is not unique to COVID-19. We see this with other respiratory illnesses, as well. Moms who get COVID-19 while pregnant are also at risk of giving birth too early and having babies who don’t grow well during pregnancy. They may also be at increased risk of stillbirth or miscarriage. Fortunately, the COVID-19 vaccine helps decrease these risks and is safe for both mom and baby. Moms who get vaccinated while pregnant are also able to pass protective antibodies through the placenta to help protect their baby after birth from contracting COVID-19 too!
Will the COVID-19 vaccine make you infertile?
Dr. Budahn: Nope! This is a huge myth going around right now, but it is 100% false. There is no increase in infertility in people who are vaccinated. The COVID-19 vaccine is recommended and safe for women who are trying to get pregnant and who already are pregnant!
What does it mean if my community is in an area of high transmission?
Dr. Palmer: This means the virus is spreading rapidly through a particular community. The cause of this is generally due to a low vaccination rate within a particular community, and/or possibly improper social distancing practices. McLeod County is currently an area of high transmission.
What is a “breakthrough” case of COVID-19? Do breakthrough cases mean that the vaccine doesn’t work?
Dr. Palmer: A breakthrough case is when someone tests positive for COVID-19 despite having completed vaccination at least two weeks prior. The vast majority of breakthrough cases are much less severe than those in unvaccinated patients. I have not had to hospitalize a patient here at GRH with a breakthrough case – they have all been safely discharged home. The fact that breakthrough cases occur does not at all mean that the vaccine does not work. No vaccine is 100% effective.
How do variants form? Are variants like Delta more dangerous than the original strain of COVID-19? Are symptoms different or worse with the Delta variant?
Dr. Palmer: Variants develop when a virus is transmitted. Every time it reproduces in a new host (person), a virus has an opportunity to mutate. Most of these mutations are harmless, but sometimes the change will result in a stronger or more contagious version of the virus. The Delta variant is estimated to be 60% more contagious than the original virus. Studies have found the Delta variant produces a thousand times more particles in the nasal passage than the original virus. That means there are many more viral particles being pushed out when we breathe, and the recipient inhales a bigger viral load and is more likely to become infected. That's why masking is so important. Delta variant symptoms appear to be very similar to the original strain.
Why are more children being hospitalized now?
Dr. Knudten: The Delta variant is much more infectious and therefore much more contagious than the original strain. It is easier to transmit from one person to the next. We have definitely seen more children that are sicker and hospitalized, but it is hard to know if that is because of the sheer increase in volume of kids that are sick, or if it is because the strain is more severe.
If I’ve already had COVID-19, why should I get the vaccine?
Dr. helland: COVID-19 vaccines cause your body to become immunologically better able to fight off infection from COVID-19, but perhaps more importantly, they make it much less likely that you get a serious case of COVID-19. The vaccines cause a very predictable amount of antibody-based protection. While it appears that having had COVID-19 also protects against future infection and likely severe illness, there is much less predictability in the level of protection. Some people are protected, and others are not as protected, for reasons which we don’t yet fully understand. The current recommendation is that it is safe to become vaccinated after an infection, as soon as symptoms from the illness have resolved.
HAVE OTHER QUESTIONS? Trust sources like our providers, the GRH website (grhsonline.org), the Minnesota Department of Health, and the Centers for Disease Control and Prevention for factual and up-to-date information.
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FROM PROVIDER T PATIENT
Aside from her Wednesday evening shifts as a hospitalist, the last time
Kari Knodel Vettel, MPAS, PA-C, had spent time in the hospital was 22 years ago, when her second daughter was born.
That all changed when her mother-in-law was admitted to our transitional care unit in late 2019, after becoming critically ill with strep throat that had traveled into her chest, causing a massive open chest wound. That was just the beginning –over the course of the next year, Kari was treated for vertigo in our rehab department, her aunt suffered from a stroke and utilized our transitional care unit and rehab services to learn how to walk again, and Kari’s husband was admitted to our hospital after becoming seriously ill with COVID-19.
And between it all, Kari was diagnosed with breast cancer.
After her annual mammogram, the results came back with what appeared to be abnormal calcification. She returned for a diagnostic mammogram to follow-up on the results, followed by a core needle biopsy in the radiology department, which revealed abnormal cells.
“It was actually pretty shocking,” said Kari. “I have no risk factors for breast cancer, and I have no family history of breast cancer at all.”
Kari took the news in stride, but admitted the most difficult part was sharing the news with her family.
“It was hard - I had to go home and tell my husband and kids. I felt sad, because now my daughters have a higher risk. That was probably the hardest part for me.”
The results initially indicated that the cells were pre-cancerous, which meant it was recommended that Kari have a lumpectomy, a surgical procedure to remove the dangerous tissue. She knew immediately who she wanted to perform the surgery: Chad Robbins, DO, FACOS.
“I know Dr. Robbins is a good surgeon, so it wasn’t even a question,” said Kari. “I just knew the quality was going to be good, and I wanted quality care.”
Looking back, Kari is glad she made that decision.
“I felt like Dr. Robbins cared about me as a person and a colleague – he understood I had daughters, he understood it was a pandemic, and he was empathetic. He was professional and got the job done. I knew I would have quality care with Dr. Robbins, because he’s very wise, he studies hard, and he knows what he’s doing. He makes sure people get the best care.”
Dr. Robbins ensures all of his patients have an understanding of their diagnosis
and care plan, and they feel comfortable having an open, two-way conversation with him.
“The litmus test I always use is: are the things I’m recommending to my patients the same as what I would expect to have recommended for my family members and friends?” said Dr. Robbins. “Having an understanding of what’s happening to your body and what we’re going to do to improve your health is a critical step in actually healing the patient.”
Kari’s surgery went off without a hitchcredit that she gives to the entire team who helped her through the process. After her surgery, Kari worked with oncologist Steven Rousey, MD, FACP, who developed a four-week treatment plan for radiation. Kari would undergo radiation in the morning, and then return to work at GRH, seeing patients after her own appointment for care.
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KARI KNODEL VETTEL, MPAS, PA-C CONQUERS BREAST CANCER
“I was amazed by Kari and how she continued to care for her patients through her whole journey,” said Kristine Knudten, MD, Kari’s primary care provider and GRH’s Chief Medical Officer. “She set up her treatments so she wouldn’t have to cancel patient appointments. Kari is one of the most thoughtful and caring providers you will find.”
During Kari’s treatments, COVID-19 cases began to increase locally and nationwide, and a sick clinic for patients experiencing symptoms of COVID-19 was established. Kari noticed that she was not assigned to the sick clinic during her radiation.
“I know Dr. Knudten was trying to protect me from dealing with COVID-19 and breast cancer at the same time. I really appreciated that,” said Kari. “I feel like we’ve really worked together to support each other at GRH, and this was an example of that.”
Kari finished her radiation the week before Mother’s Day, and she and her daughter were committed to participating in the virtual Race for a Cure.
“I finished the entire thing. I was really proud of myself,” said Kari. “It was very cold out that day, but we were not going to be stopped!”
When she arrived at the Lester Prairie Clinic after her last radiation treatment, Kari was emotionally struck by a surprise the staff had put together for her. They had decorated the door with little hearts, saying “Last day of treatment! Congrats, Kari!” As a special treat, they brought her chocolate donuts.
“I sat in my car and cried a little bit,” said Kari. “I really feel blessed by the support system I’ve had. This is a good place to work - it’s like a family.”
Kari’s advice to others? Stay on top of your screenings.
“I didn’t have any risk factors, and I lead a healthy lifestyle,” said Kari. “I was not expecting a cancer diagnosis. That’s why people should do their screenings. You want to diagnose illness early so you have good outcomes and very little interruption in your life.”
SCREENINGS SAVE LIVES. SCHEDULE YOURS TODAY!
For your convenience, we have appointments for mammograms beginning at 6:15 a.m., MondayFriday. Call us at 320-864-7080 to make an appointment.
WANT TO LEARN MORE ABOUT MAMMOGRAMS?
Visit our website for more information and details on what to expect at your appointment: grhsonline.org/mammograms
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“I was amazed by Kari and how she continued to care for her patients through her whole journey.”
Kristine Knudten, MD
“I feel really blessed by the support system I've had. This is a good place to work - it's like a family.”
Kari Knodel Vettel, MPAS, PA-C
Kari received a beautiful quilt from June Grimm and Jo Mochinski-Haugen in our coding department.
Staff at our Lester Prairie Clinic celebrated Kari's last day of radiation by decorating the doors of the clinic and bringing Kari chocolate donuts.
ELIZABETH COLSEN, MD, FACS
Dr. Colsen prioritizes high quality care, excellent patient outcomes, and healthcare organizations who are active and present in the health of the communities they serve. That’s why she was drawn to the team at GRH.
“From the application process to the interviews, I could tell that GRH is run very well, and that the environment and leadership here is superb,” said Dr. Colsen. “Everyone matters at GRH, and that is very important to me as a surgeon.”
Dr. Colsen will bring a variety of skills to GRH in her practice as a general surgeon, including a special interest in gastroesophageal reflux disease and bariatric surgery.
“I enjoy helping people explore surgical options available to assist with the challenges of morbid obesity and relief from reflux,” said Dr. Colsen. “I’m driven by my desire to help patients achieve relief, and enjoy thinking about complex medical issues.”
Gastroesophageal reflux disease, one of the most common conditions patients may experience, is a disease in which
stomach acid moves backward into the esophagus instead of forward through the digestive system.
Dr. Colsen performs surgical procedures which help alleviate discomfort related to reflux by recreating or tightening the door to the entrance of the stomach, making it more difficult for acid in the stomach to move backward.
Dr. Colsen will partner with general surgeon Chad Robbins, DO, FACOS. Dr. Robbins is excited to welcome Dr. Colsen’s unique perspective and expertise to the surgical practice at GRH.
“The nice thing about having two surgeons at a facility is that you have two unique perspectives on any one problem. There are areas each of us have our expertise in, and having that balance is great,” said Dr. Robbins. “Having someone here who is an expert on reflux, for example, who you can refer to is going to be a huge benefit for our patients. I’m excited about that aspect – Dr. Colsen is
able to bring services to Glencoe that we haven’t had in the past.”
Motivated by her desire to help people, Dr. Colsen has always been drawn to the surgical field.
“I enjoy taking care of sick patients and helping them and their families during what can be very taxing times in their lives,” said Dr. Colsen. “I love helping people find a solution to their medical issues.”
After hours
Out of the operating room, you can most likely find Dr. Colsen on the lake, both in sunshine and snow. Dr. Colsen and her husband are avid fishers who enjoy spending time on the water at their cabin in Osakis, MN, with their two dogs, Tank and Brutus.
12 GRHSONLINE.ORG FALL 2021 NEW PROVIDER SPOTLIGHT NEW PROVIDER - GENERAL SURGEON
To learn more about Dr. Colsen, visit grhsonline.org/elizabeth-colsen-md-facs, or call 320-864-7080 to schedule an appointment.
- ALLERGY AND SLEEP MEDICINE
MATTHEW PATTERSON, MD, FACS, MBA, MHA
We’re excited to welcome (back) Matthew Patterson, MD, FACS, MBA, MHA! You may recognize Dr. Patterson from his time as an ENT provider in the 1990s. Since then, Dr. Patterson has maintained friendships with many providers at GRH. It was these friendships and the rewarding experience working at GRH that led to his return.
Now he’s bringing his expertise in Sleep Medicine and Allergy Medicine to GRH. He is passionate about helping patients address health concerns before they become serious issues. Obstructive sleep apnea is a condition he treats regularly, which not only improves how patients feel, but also the progression of hypertension and obesity, and prevents the development of cardiovascular disease, kidney disease, and strokes.
Dr. Patterson also helps patients manage asthma and allergies – two of the most common conditions in the U.S. Treating them has been shown to prevent frequent ER visits, progressive damage to the lungs, sinus infections, and ear infections. While his focus will be on Sleep and Allergy Medicine, Dr. Patterson will continue to care for patients with ear, nose, and throat conditions.
Dr. Patterson pursued a career in the medical field after
being inspired at an early age by his grandfather, who was a pulmonologist and internal medicine physician during the 1930s and 1940s.
“I admire his sacrifice and commitment to the medical field before antibiotics were available,” said Dr. Patterson. “He taught me the importance of listening to patients and hearing out their concerns as we work to diagnose and treat their conditions.”
In his spare time, Dr. Patterson enjoys watching his children play hockey and lacrosse, and has several pets, including four dogs, one cat, twelve chickens, and two horses. He also enjoys horseback riding, skiing, and photography.
To schedule an appointment, call 320-864-7816, or visit our website to learn more: grhsonline.org/matthew-patterson
Sleep and Allergy Medicine Make Reducing Sneezes and Wheezes a Breeze!
Sleep Medicine
Why did the man run around his bed? He wanted to catch up on his sleep! Kidding aside, sleep is a vital part of our health and when we don’t get enough of it, we feel it. Sleep deprivation can take a toll on your physical and mental health. Not only can it lead to moodiness and irritability, it can cause chronic conditions such as diabetes, obesity, heart disease, and high blood pressure. If you are feeling tired during the day or if members in your household are complaining that your loud snoring keeps them up, it may be time to see a provider.
In order to determine if you have a sleep disorder, pay attention to your sleep habits by keeping a sleep diary and discussing patterns and characteristics of your sleep with your provider. There are more than 100 sleep disorders. Among the most common are:
• Sleep apnea: breathing stops during sleep
• Insomnia: difficulty getting to sleep or staying asleep
• Narcolepsy: feeling extremely sleepy during the day and possibly falling asleep suddenly
• Restless Legs Syndrome: a condition that causes an uncontrollable urge to move your legs, happening in the evening or nighttime hours when sitting or lying down
Allergy Medicine
Allergies are developed when our immune system “misreads” a natural substance by thinking it is harmful and therefore reacts to it. Allergy medicine treats people with asthma, rhinitis, sinus problems, seasonal allergies, or life-threatening allergies to drugs, food, and more.
If you feel like you’re always getting sick with a chronic sinus infection, nasal congestion, or difficulty breathing, it may be time to see an allergist. Symptoms of asthma or allergies develop gradually over time.
Allergy sufferers may become used to frequent symptoms such as sneezing, nasal congestion, or wheezing. With the help of an allergist, these symptoms usually can be prevented or controlled with major improvement in quality of life.
13 GRHSONLINE.ORG FALL 2021 NEW PROVIDER SPOTLIGHT
NEW PROVIDER
Earn While You Learn NEW! Nursing Assistant Training Program
Glencoe Regional Health has launched a new Nursing Assistant training program. This free, flexible program is open to people 16 years of age and older. It can be completed in a few weeks and provides graduates with the skills they need to pass the State exam and start a rewarding career as a Certified Nursing Assistant at GRH. The courses are flexible, engaging, interactive, and fun!
Get paid to learn!
Each student accepted into the program is hired as a GRH employee, and is paid an hourly rate for their time for training during the online modules, skills learning, and practical training. There is no cost to the student to participate in the program, which is approximately an $885 value! Our nursing assistant training program is flexible and only takes three weeks to complete.
Once a student has completed the program, they will participate in the State licensing exam. After both are successfully completed, the student will become a Minnesota Registered Nursing Assistant and ready to make a difference as part of our team!
Make friends and have fun!
We offer small class sizes to facilitate each student’s learning needs, and to promote success every step of the way. Our small class sizes also allow students to learn and work together. The friends you make in the program may also be team members you work alongside when you complete training and the State licensing exam.
We’re so proud of Ana and Lily, students who recently passed their nursing assistant exams! Here’s what they had to say about their experience:
“The program helped prepare me for my first day," Ana said. "I really enjoyed the hands-on practicing.”
“I felt prepared to work as a nursing assistant, especially training in GlenFields. My favorite part of the program was doing clinicals. I really liked meeting some residents that I would be working with in the future," said Lily. "Practicing hands-on skills helped me prepare for my State exam.”
APPLY TODAY!
We’re looking for individuals who are caring, compassionate, and want to make a difference in the lives of the seniors we serve. To apply for the program, visit grhsonline.org/current-job-openings and complete the job application for Nursing Assistant Training Program
Brittany Myers
Resources Generalist
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NURSING ASSISTANT TRAINING PROGRAM
Brittany.Myers@grhsonline.org 320-864-7802
Human
Join Our Team Quality Care. Exceptional People.
According to Kristi Morris, GlenFields Assistant Director of Nursing, nothing compares to the team at our skilled-nursing facility, GlenFields Living with Care.
“I have worked in different skilled-nursing facilities, and GlenFields is really such a unique place,” says Kristi. “It has a very good spirit, and the amount of teamwork and commitment our staff has to our residents is incredible. Our team does such a wonderful job – they’re amazing.” While this past year has certainly not been without its challenges for healthcare, our team has been able to lean into each other for support, and has worked together to bring extra joy to GlenFields residents.
“Even through the hardships of the pandemic, our team has done so many beautiful things, and really just provided the friendship and camaraderie that our residents have needed,” said Kristi. “They’ve always come together to make things better for our residents.”
If you’re looking for a place in which you can make a positive difference in the lives of others, we want you to join our team of compassionate, dedicated healthcare professionals!
We currently have open positions in several departments at Glencoe Regional Health, including GlenFields. We also have several openings in our Clinic!
If you’re looking for a career that does not involve direct patient care, but still want to make a positive impact in your community, we also have open positions in non-clinical roles.
Visit our website to check out our full listing of open positions, and apply today: grhsonline.org/current-job-openings
A rewarding career awaits you at GRH!
INTERESTED IN APPLYING?
Contact Brittany or Stacey with any questions.
15 GRHSONLINE.ORG FALL 2021
CAREERS
LuAnn Kalis, LPN, works in our Glencoe Clinic. Visit our website to check out current openings to join LuAnn's team!
Stacey Waletzko Human
320-864-7812
Resources Generalist Stacey.Waletzko@grhsonline.org
Kristi Morris, GlenFields Assistant Director of Nursing, talks with Kari Graupmann, NAR, and LaRue Scheidt, Household Coordinator.
In 2020, we continued to improve in order to better serve you, our patients, and community. Here are a few highlights from the year.
We began offering Drive-Up Flu Shot Clinics, to provide an easier, more convenient way for our community members to get their flu vaccine in a safe, social-distanced environment.
We responded quickly to the COVID-19 pandemic by adding Drive-Up COVID-19 Testing sites, COVID-19 Vaccine Clinics, and Monoclonal Antibody Infusion Services for our COVID-19 patients.
We implemented Telehealth Services in our Clinics, Rehab Services, and Diabetic Education departments to provide our patients with convenient, safe options for care that helped them feel at ease throughout the pandemic.
Otolaryngologist John Meccia, MD, joined our team, and we also welcomed orthopedist Tilok Ghose, MD, to our medical staff.
Patty Henderson, MBA, BSN, was named President & CEO of Glencoe Regional Health in January 2020. Patty had served the organization for nearly 30 years prior to her appointment as President & CEO, previously serving as the Chief Nursing Officer.
Joslin Thiemann, CRNA, MS, and Director of Anesthesia Services, began providing care to patients in the Advanced Pain Clinic in September 2020.
Capital investments of $30,000 for Radiofrequency Treatment equipment for Advanced Pain Radiofrequency Ablation procedures.
Capital investments of $12,000 to update patient rooms with new televisions.
Capital investments of $256,000 in sidewalk, landscaping, and parking lot improvements to allow bigger parking spaces and improve patient safety.
Capital investments of $196,000 to provide updated and additional equipment in our Medical Imaging, Surgery, Cardiac Rehab, and Lab departments.
FINANCIAL ASSISTANCE AVAILABLE
Glencoe Regional Health provides medically necessary hospital and emergency room care regardless of a patient’s ability to pay. We provide this care at a reduced rate to patients who have exhausted all forms of insurance coverage and meet defined eligibility requirements. For details and a downloadable application, look for the Financial Assistance link at grhsonline.org/patients-visitors. You may also contact our billing department at 320-864-7101.
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ANNUAL REPORTS TO THE 2020 JAN. 1 - DEC. 31
COMMUNITY
Operating Revenue Operating Expense Net Income from Operations Total Other Income Excess of Revenues Over Expenses Capital Grants and Contributions Increase in Unrestricted Net Assets Net Operating Margin Gross Margin $65,794,567 $63,478,207 $2,316,360 $4,185,721 $6,502,081 $58,873 $6,560,954 3.5% 9.3% 2019 FINANCIALS 2020 $62,525,042 $61,784,445 $740,597 $5,383,637 $6,124,234 $193,423 $6,317,657 1.2% 9.0% | OPERATIONS
REPORT
Tilok Ghose, MD Patty Henderson, MBA, BSN
We work every day to improve the health of our region. Here’s a summary of the gifts and services we provided to our community in 2020.
UNCOMPENSATED CARE – $2,158,000
The total cost of healthcare services that GRH provides to patients without being paid, including charity care and underpayment of services.
COMMUNITY HEALTH SERVICES – $204,000
Health Talks and other community health presentations, flu clinics, interpreter services, MNsure certified application counselors, prenatal classes, online health education, and case management of uninsured and underinsured patients.
FINANCIAL AND IN-KIND CONTRIBUTIONS –$35,000
Staff present at area school and community events, administrative support provided to the GRH Foundation, and in-kind donations and sponsorships to area community groups.
COMMUNITY-BUILDING ACTIVITIES – $52,000
Disaster and emergency preparedness, in addition to community disease surveillance, reporting, and preparedness.
STUDENT SHADOWING & INTERNSHIPS
Our staff dedicated nearly 8,400 hours to provide on-the-job training to 86 students from 15 different schools.
We’re proud to make these contributions of time, talent, and treasure for the health of our community.
Award Winning Wound Care
Our Center for Advanced Wound Care is proud to have received the Center of Distinction Award for the fourth year in a row. This award, given by Healogics®, recognizes the Wound Center for achieving outstanding clinical outcomes for 12 consecutive months.
“This award is a representation of our commitment to providing quality care to our patients. Despite the challenges we are facing during the COVID-19 pandemic, our focus continues to be consistent, safe, and exceptional care,” said Clinical Program Director Macky Schmitt, RN. “I am very proud of our team. This is a testament to their expertise and dedication.”
The Wound Center is a member of the Healogics network of over 600 Wound Care Centers® and offers highly specialized wound care to patients suffering from diabetic ulcers, pressure ulcers, infections, and other chronic wounds which have not healed in a reasonable amount of time. Leading edge treatments at the Wound Center include negative pressure wound therapy, total contact casting, bio-engineered tissues, biosynthetic dressings and growth factor therapies. The Wound Center also offers hyperbaric oxygen therapy, which works by surrounding the patient with 100% oxygen to help progress the healing of the wound.
To schedule an appointment, call 320-864-7040.
Community Health Needs Assessment
Every three years, we conduct a Community Health Needs Assessment (CHNA) and adopt an implementation strategy to meet the community health needs as identified.
In 2019, this was a collaborative process involving our local hospitals, county public health staff, Ridgewater College students, and feedback from the community. Information was shared among the organizations as it related to individual efforts occurring by each group.
Through this work and the review of available data, priority areas emerged.
Priority Areas
Mental Health | Obesity Vaping Lung Disease
Similar to our past CHNAs, the highestpriority health needs for the community
served by Glencoe Regional Health were identified as access to needed services (specifically mental health) and obesity trends (especially in our female population). Responding to those obesity trends will call for us to positively impact individual behavioral choices related to healthy eating and being active. An additional emerging area of concern was related to vaping lung disease. Because vaping is an emerging issue and data is still forthcoming, it is not a focus or official priority area for this CHNA.
You can review our current and past CHNA reports on our website at grhsonline.org/community-health-needs-assessment. These requirements are part of the Patient Protection and Affordable Care Act (ACA).
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| COMMUNITY BENEFIT REPORT
Healogics Clinical Director Christina Richardson, MSN, APRN, FNP-BC, CWON; Wound Center Clinic Program Director Macky Schmitt, RN; and Wound Center Medical Director Bryan Petersen, MD, hold the Wound Center's recent award for outstanding patient care.
Glencoe Regional Health
1805 Hennepin Ave. N.
Glencoe, MN 55336-1416
2021
SANKEN-HATZ SCHOLARSHIP WINNERS
Carl Sanken, a farmer from the Biscay area, and Don Hatz, a farmer and postal clerk from the Glencoe area have made an incredible impact on our area students through their gifts to the Glencoe Regional Health Foundation. Both Carl and Don remembered the Foundation in their wills with generous bequests, which established and maintain our Sanken-Hatz Scholarship Program.
Sanken-Hatz scholarships are awarded annually to encourage and support students pursuing healthcare careers. The Glencoe Regional Health Foundation awarded scholarships to 57 deserving applicants who are studying for careers in healthcare.
The legacy Carl and Don have left behind has touched the lives of so many – from the students who are supported in their pursuit of higher education, to the patients those students will eventually care for and serve.
Pursuing a career in healthcare? The 2022 scholarship application begins on January 1, 2022. Learn more and apply: grhsonline.org/scholarships
GRADUATING HIGH SCHOOL SENIORS POST-SECONDARY STUDENTS
Buffalo Lake High School
Katie Buboltz
Payton Markgraf
Braden McColley
Jessica Novotny
Central High School
Cole Becker
Alison Dose
Hayden Glander
Lydia Schrempp
Glencoe-Silver Lake High School
Teagan Hansch
Kendra Klobe
Howard Lake-WaverlyWinsted High School
Mariana Parkin
Hutchinson High School
Jayda Goldschmidt
Hannah Ladwig
Emily Lenarz
Mikayla Witte
Lester Prairie High School
Elizabeth Anderson
Maddie Stuedemann
Sibley East High School
Ellie Harens
Lillian Beneke
Leah Bettcher
Thomas Bock
Miah Busse
Grace Daak
Cody Dickhausen
Jayden Fritz
Alexis Fronk
Emma Fury
Brooke Good
Alexandra Hansch
Abbie Hatlestad
Paul Lemke
Paige Litzau
Anna Mackenthun
Kaitlyn McCracken
Tarin Michaelis
Kennedy Pexa
Kaitlyn Popp
Madalyn Prokosch
GRADUATE STUDENTS
Cassidy Berg
Katherine Fink
Samantha Good
Kali Grimm
Abbie Nistler
Rachael Popp
Abagail Raiter
Ellie Schmidt
Miranda Rannow
Brittney Richter
Kenady Rosckes
Erin Schultz
Addyson Struck
Connor Sturges
Emily Thalmann
Jaci Tourtellott
Victoria Sweely
April Trebelhorn
Alyssa Weber