Page 1

A Mother/Daughter Survivor Story PAGE 4

Skilled Care Q & A PAGE 6





My journey as a mother

began at GMHC with the birth of our daughter

Audrey in August of 2017. Each of our parents lived over an hour away, so

we had no local family support. Dr. Dikkers

Message from Kelly It has already been a year since I began my role at GMHC and what a great year it has been! I am honored to lead here beside an incredible staff who serves our communities with such care and concern. Kelly Dybvig, CEO Stories similar to new mom Kayleen’s, on this page, are heart warming and keep us motivated to always do our best for you. We love to hear and share stories from our patients and you will see a few more here in this winter issue of our community newsletter, The Update. As we strive to make your patient experience one that is excellent, how can we better serve you? We value your input. Perhaps you’d like to make more of an impact and join our Patient and Family Advisory Council. The group includes patients and family members of patients who participate in discussions around current services, future services, and general process improvement. If this maybe of interest to you, please let us know. I’m happy to introduce our newest Emergency Department provider, George Osai, ARNP, who started in October. George and his family moved to Northeast Iowa from Ames where he spent the last nine years as an RN in the Mary Greeley Medical Center ED. Please help us welcome George to GMHC.

and the staff embraced us. With love, care and attentiveness, they

patiently answered all of

my questions, (and there were many!) becoming my support system. We

celebrated Audrey’s first

birthday bringing cookies

for the staff at GMHC who

Finally, I’d like to thank you for your overwhelming support in our efforts to raise funds for 3D Mammography technology. It is such a blessing to serve communities who take such pride in their hospital and clinics by giving to help us provide the best technology for our patients. We appreciate your generosity and thank you for helping us with our final $17,500 with a year-end gift to reach our goal of $50,000 for 3D Mammography. George Osai, ARNP


helped bring her into the

world and supported us so much throughout her first year. We are thankful for

all of them and so happy they are a part of our

family and community.”

KAYLEEN LASHELLE A grateful patient

Share Your Story

Have you recently received care at Guttenberg Municipal Hospital & Clinics?

We’d love to hear about your experience and share it with others. Please call 563-252-5516 or e:mail the following information to • Your name

2 The Update | Winter 2018

• Reason for stay or visit

• Hometown

My first major surgery,

a cholecystectomy, or gall

bladder removal, was done at GMHC. I was a little

nervous about it, but my

surgeon Dr. Holzer assured me that I would feel so

much better. My surgery team did a fantastic job!

Smaller Incision. Less Pain. Less Scarring. Faster Recovery. ROBOTIC-ASSISTED SURGERY is a form of

minimally-invasive surgery that is performed through small incisions. During a robotic-assisted surgical procedure, our surgeon sits at a console while viewing a high-definition, 3D image of the patient’s target anatomy. The surgeon’s hand, wrist and finger movements made at the console are translated into precise, realtime movement of surgical instruments attached to three robotic arms. Robotic-assisted surgery allows Dr. Mansfield and Dr. Holzer to perform many types of complex procedures with more precision, flexibility and control than is possible with conventional techniques. To find out if robotic surgery is an option for you, please call (563) 252-5536 to speak with a GMHC surgery expert.

With the assistance of the robot, my incisions were

very minimal, so I had less scarring and pain. I also had less recovery time,

which was great being the

active and working person that I am. It was so easy. I definitely recommend

robotic-assisted surgery at GMHC.”

JENNY ABBOTT Robotic-assisted surgery patient

Rehabilitation Services at GMHC Guttenberg Municipal Hospital & Clinics offers a broad range of rehabilitation services in a spacious and welcoming environment. With private treatment rooms and a large open exercise area, experienced therapists help patients recover function after surgery, stroke, heart attack, injury or other disabling condition. Our therapists work together with patients, their loved ones and/ or staff at other facilities to develop a customized treatment plan to reach the best outcome for each patient. GMHC offers: • Physical Therapy

• Occupational Therapy

• Cardiac Rehabilitation

• Speech Therapy

• Pulmonary Rehabilitation

• Lymphedema Therapy

To learn more about our rehabilitation services call 563-252-5527 or visit

He performed a radical masectomy removing her right breast along with her lymph nodes. Eunice recovered in the hospital for five days and without any further treatment, she has remained cancer free for 49 years. Eunice just celebrated her 86th birthday November 16th.

Mother & Daughter

SURVIVORS Diane Johnson and her mother Eunice Barry share

much in common. They both share the love of reading, baking, quiet evenings in the country and the same great smile. They’ve both worked at Benders Foods in Guttenberg, Eunice working in the deli for 10 years, retiring 20 years ago, and Diane, aka “the cake lady” decorating cakes there for the last 26 years. The mother and daughter also share a history of breast cancer. It was 49 years ago, in 1969, when Eunice felt a lump in her right breast during a self examination. With five of her seven aunts diagnosed with breast cancer, Eunice knew the

4 The Update | Winter 2018

importance of self examinations. Her physician, Dr. Downey at Guttenberg Hospital ordered a mammogram in which the lump was confirmed and then ordered a biopsy. Protocol was a bit different in 1969. While Eunice was under sedation, the surgeon, Dr. George Auer, performed a biopsy at the hospital. She remained under sedation while the biopsy was driven to Cedar Rapids to be examined by pathology. It was confirmed cancerous and a call was made to Dr. Auer to proceed with surgery.

Eunice’s daughter Diane Johnson’s story is a bit different. She did not feel a lump. Radiologist, Dr. David Jensen, saw a suspicious abnormality in Diane’s routine mammogram in December, 2017. She was called back for additional views in January, 2018 and a tiny lump, less that 1/8” in size, was discovered in her left breast. Dr. Jensen performed a stereotactic breast biopsy, a procedure that uses mammography to precisely identify and biopsy any abnormality within the breast. The biopsy results confirmed that the lump was cancerous. Before making a decision on her treatment, with the guidance of her Cornerstone Family Practice provider, Diane had genetic BRCA1 and BRCA2 testing to see if she inherited the breast cancer gene. “I was so relieved when the tests came back negative,” commented Diane. In April, Diane’s surgeon, Dr. Keith Shaw, performed a lumpectomy and it appeared that all of the cancerous cells had been removed during Dr. Jensen’s initial biopsy. Diane’s cancer was Stage 0. Radiation was still recommended and beginning in May, Diane’s husband, Marlin, drove her to Dubuque five days a week, for five weeks, for a total of 25 radiation treatments.

I can’t emphasize enough how important it is for

women to get their routine mammograms. I would

have never felt such a small lump, and am so grateful for the excellent mammography technologists at

GMHC as well radiologist Dr. Jensen for finding it.” DIANE JOHNSON GMHC patient

“He was my radiation buddy,” reflects Diane. “The treatments were exhausting, especially because of the daily drive to Dubuque. It really made us appreciate the five minute trip into Guttenberg to GMHC for our health care. Besides the convenience, I think patients at GMHC appreciate and value the ability to call and talk to a doctor, nurse, tech or office personel they feel comfortable with. I know I do! I am not just a name on a file. They take the time to get to know me and my family. They’ve helped us get through the good and the bad with the compassion of a friend. This important quality is lost in larger hospitals/clinics. It’s a quality that we are thankful for every time we walk through the doors.” Eunice and Diane were happy to learn that 3D Mammography technology is coming to GMHC. “I think the GMHC mammography technologists and radiologists do a terrific job now. But knowing the improved image quality of 3D offers more accurate detection and could save women the emotional toll of

being called back for further scans is wonderful. We’re thankful that GMHC strives to provide the best service they can to patients,” said Eunice. I can’t emphasize enough how important it is for women to get their routine mammograms,” commented Diane. “I would have never felt such a small lump, and am so grateful for the excellent mammography technologists at GMHC as well radiologist Dr. Jensen for finding it.” “I’m not shy about sharing my story,” Diane concludes. “Some women tell me they can’t afford their routine mammograms, but they can’t afford not to. My routine mammogram may have saved my life and I’m happy to advocate to help save someone else’s.” Do you need help with the cost of your mammogram? CARE FOR YOURSELF is a program that helps women with exam expenses. Please call 563-556-6200 or 1-800 862-6133 for more information.

Please consider a year-end gift to GMHC to help us fund 3D Mammography. The increased image quality and detail of 3D Mammography helps radiologists better see the size, shape and location of any abnormalities, so breast cancer can be diagnosed even sooner.

Why 3D Mammography? 3D Mammography technology combines conventional 2-dimensional mammogram images with additional 3-dimensional views, enhancing the views of breast tissue resulting in several benefits.


By minimizing the impact of overlapping breast tissue, 3D mammography can make a tumor easier to see. This technology creates multiple images of the breast in many very thin layers so radiologists can examine tissue one layer at a time instead of viewing just a single flat image. Fine details are more visible and no longer hidden by the tissue above or below. The increased image quality and detail help radiologists better see the size, shape and location of any abnormalities, finding more cancers than with 2D images alone.


Overlapping tissue can hide small cancers in a 2D scan. However, with 3D mammography, the image “slices” can be analyzed one by one. By looking at the breast tissue in one millimeter slices, the radiologist can provide a more accurate assessment. 3D mammography provides a 25 percent improvement in overall cancer detection rates, finding 40 percent more invasive cancers than conventional mammography.

BETTER DETECTION IN DENSE BREAST TISSUE. Dense breast tissue can cause shadows due to overlapping tissue, which hides tumors from traditional 2D mammography. 3D mammography takes images of the breast from multiple angles, thereby offering a cutting-edge look through and around breast tissue helping radiologists better see any abnormalities.

LESS ANXIETY. The improved

accuracy in diagnosing abnormal structures offered by a 3D view of the breast decreases the number of unnecessary callbacks to women for additional scans and biopsies because of overlapped normal structures. The “false positive” rates are reduced by up to 40 percent. For many, this may mean being spared the emotional and economic burdens of additional diagnostic evaluations, including biopsies.

Health Coaching

Helping you feel your best!

Q & A: Skilled Care at GMHC What is Skilled Care?

Skilled Care allows patients to receive extended care at GMHC. Once acute (short term) hospital care is no longer needed, patients may still require care not easily provided at home. GMHC Skilled Care will help patients reach their highest potential for health and independence prior to going home.

Who is eligible? Looking for an opportunity to improve your lifestyle? Health Coaches help individuals successfully manage medical conditions, such as heart disease, high blood pressure, diabetes, asthma and other health issues. They help people develop a personalized plan to reach their goals for healthy living.

Most Skilled Care admissions require a 3-day acute inpatient hospital stay that has been within the last 30 days. Patients who require specialized care on a daily basis benefit from Skilled Care. Care includes nursing staff, physical, occupational, speech, or respiratory therapy. Through Skilled Care, it can be determined if the patient can return home to live independently. A recent stroke, a recent cardiac event, an orthopedic injury or joint replacement surgery, or a complicated hospital stay with subsequent loss of functional independence are conditions that may require Skilled Care.

The Health Coaches at Cornerstone Family Practice Clinic assist individuals in understanding their diagnosis, their medical condition, and their doctor’s treatment plan so they can make sure they are getting the best care close to home.

Meet the GMHC Health Coaches:

GMHC patient Brandon Schumann spent a total of 7 days in Skilled Care recovering from an infection in his knee following an injury. The GMHC staff worked closely with Brandon and his family to specialize his care, providing a comfortable healing setting.

What kind of care will patients receive? • 24 hour nursing care Amy Sadewasser RN, BSN , Lori Kuehl, RN Rachel Fritz, RN, and Joan Parker, RN, BSN

Cornerstone Family Practice Clinic offers Health Coaching in Guttenberg, Garnavillo and Edgewood. Call 563-252-2141 to make your appointment.

• A physician will follow the patient’s care every 14 days or as needed. • The hospital pharmacy will provide the patient with all of the necessary medications. • The patient may bring their own pajamas, robe and slippers or GMHC can provide if requested. If part of the patient’s therapy is to practice dressing, it may be helpful to have the patient’s own clothing. • Knowledgeable assistance in arranging follow-up services for all patients To learn more about Skilled Care at GMHC, please call 563-252-1121.

6 The Update | Winter 2018

Yes! I’d like to make a year-end gift to 3D Mammography o $25

o $50

o $100

o $500

o $1000

o Other $_________________

In Honor / Memory of: (circle one)___________________________________________________ Your Name: _____________________________________________________________________ Address: _______________________________City/State/Zip_____________________________ Please detach form and send with your gift to: GMHC-3D, PO Box 550, Guttenberg, IA 52052

Only $17,500 to Go!

Most likely breast cancer has touched your life, perhaps your aunt, niece, mother, wife, sister, daughter, good friend, or maybe even yourself has been diagnosed. With 3D Mammography technology at GMHC, our technologists will be able to detect cancer earlier, so treatment can begin sooner. To date $32,500 has been raised! We’d like to thank everyone who participated in our 5k, or bought a “Let’s Tackle Cancer Together” shirt, or bought pink purse tickets at the Pink Out Game, or purchased flocks of flamingos, or sent us a donation to help in our fundraising efforts. Special recognition to our GMHC staff members who contributed $17,750. We appreciate our staff’s commitment to improving the healthcare of our patients with 3D Mammography technology. As we wrap up 2018, would you please consider a year-end gift to help us reach our goal of $50,000. Whether you give in honor of, or in memory of, any gift amount would be appreciated.

Nearly 100 participants strolled along the Mississippi at our GermanFest 5K on September 22, raising $2,700 for 3D Mammography. Winners were Logan Keehner: 20:35 (2nd place male) Grant Yersin: 20:34 (1st place male) Kasandra Rosenbum: 21:46 (1st place female) and Tasha Fritz: 25:30 (2nd place female)

Thank you!

The Guttenberg Women’s Golf League gave a $1,000 gift and enjoyed their pink flock of flamingos.

GMHC Cornerstone Family Practice staff sported their pink as they dressed up as “Meet the Flockers” with a flamingo spin on Halloween.

The GMHC Auxiliary made a $3,500 gift towards 3D Mammography technology. The Update | Winter 2018 7

200 Main Street Guttenberg, IA 52052 (563) 252-1121

For all of your urgent care needs. Same Day Appointments (563) 252-2141 Mon/Wed/Thurs:10am-7pm Tues/Fri: 8am-5pm Sat: 8am-12pm Cornerstone Family Practice - Guttenberg

RECOGNIZED AS PATIENT CENTERED MEDICAL HOME The Patient Centered Medical Home model emphasizes care coordination and communication between the patient, their provider, and the care team, leading to higher quality, lower costs, and improved patient satisfaction.

Education. Experience. Physical Therapy Services at GMHC. With Doctoral degrees in Physical Therapy, our three physical therapists have the education and expertise to be your rehabilitation specialist, getting you quickly on the road to recovery. Whether you are recovering from surgery, illness or injury, or dealing with a long-term health condition, physical therapy can often be the difference between living with limited movement and being able to return to maximal function and mobility. Carolyn Hoffmann, PT

Joel Gourley, DPT

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Kimberly Franzen, DPT

Amber Glawe, PTA

Physical therapy helps relieve pain and can be used to improve strength, flexibility, balance, coordination and/or endurance, restore function and/or prevent disability. Our physical therapists and physical therapy assistants are trained in the use of heat, cold, electrical stimulation, massage, the Graston Technique and exercise to treat health problems or injuries that make movement difficult. Services are provided in the hospital as well as on an outpatient basis. To learn more about Physical Therapy Services at GMHC, please call our Rehabilitation Department at 563-252-5527.

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The Update - Winter 2018