Wynette’s Story PAGE 4
Welcoming New Provider Hayle Bockenstedt, ARNP PAGE 3
2019
spring
the UPDATE
PATIENT
“
Thank you to the physical therapy staff for their professionalism and
friendliness. They do a great job of explaining
how and why the exercises work, and they are so patient with me. The
entire staff make coming
to therapy a pleasure and I will definitely recommend the physical therapy services at GMHC.”
A GRATEFUL PATIENT
Message from Clint My name is Clint Christianson and I have had the privilege of serving as the interim CEO for Guttenberg Municipal Hospital and Clinics since January 8, 2019. Here is a little information about my background Clint Christianson Interim CEO and how I came to serve in the interim role here in Guttenberg. Guttenberg Municipal Hospital is where I began my career as a Chief Executive Officer. I was here from 1984 to 1987. After leaving GMH, I worked at Wellmark Blue Cross and Blue Shield of Iowa for 10 years. In 1997, I began the last leg of my career with Mercy Medical Center – Des Moines. During this 21 year relationship with Mercy, I served in three different roles. The first three years, I served as the Executive Director of the Health Network of Iowa PHO. Next I served two years as the Vice President of Networking. In this role, I was responsible for providing leadership and coordination of our thirteen affiliate/managed hospitals. The last fourteen years of my career took me to Mercy Medical Center – Centerville where I served as President and CEO. Mercy Centerville was a Critical Access Hospital with 20 Long Term Care Beds and we also had a Provider Based Rural Health Clinic. I retired from Mercy Centerville last August. So here I am two months into the role as Interim CEO and loving everything but the really cold weather! It is great to see those team members who I knew from my previous tour and it has been great getting to know all of the team members that work day in and day out to make this great organization what it is today. Needless to say, the facilities have changed dramatically since my time here in the 1980’s, but it is not the facilities that make Guttenberg Municipal Hospital and Clinics what it is today. It is each and every one of our teammates that make this organization great. Knowing that my title is “Interim CEO” I did want to share some information on the progress that has been made on the recruitment of a permanent CEO. There were more than thirty applicants that were screened to see if they met the qualifications of the position. From this group of thirty potential candidates seven were interviewed via phone. From the phone interviews four candidates were chosen to participate in the first round of face-to-face interviews. These interviews were conducted on Friday, March 1. From these interviews it will be determined who will be offered an on-site interview with the Board, Medical Staff, and Management Staff. Just so you know, being back here where I started my career has been great. I thank all of you for your kindness and patience as I work to get up to speed with all of the great things happening here at GMHC.
On February 1st, we celebrated with colleagues during a live video simulcast revealing the new MercyOne logo. 2 The Update | Spring 2019
Sincerely,
Upcoming Events Guttenberg Gallopers Wellness Club Informational Meeting Monday, March 25: 6pm GMHC Education Center 563-252-5527
GMHC Blood Drive
2018 Auxiliary Gifts to GMHC
THANK YOU to the GMHC Auxiliary for all that they do to help Guttenberg Municipal Hospital & Clinics. Proceeds from the gift shop sales, Easter Baskets, Christmas Cookie Walk, Scrub Sales and all of the other fundraiser are generously gifted back to GMHC and the community. In 2018, the Auxiliary donated the following:
American Red Cross Friday, April 19: 12pm to 5pm GMHC Education Center Visit redcrossblood.org or call 1-800733-2767 to make your appointment
Clayton County Wellness Fair Thursday, May 2: 4pm to 6:30 pm Johnson’s Reception Hall, Elkader
ONGOING: Cancer Support Group
• $315 popcorn machine for employees
1st Thursday of each month 4:30pm to 5:30pm Family Resource Center | 563-252-3215
• $3,500 donation for 3D mammography technology
Grief Support Group
• $2,400 for a Life Fitness Cycle GX for Rehab
• $2,305 for a Symmetry Plus Treatment Chair – Patient Care Unit • $500 scholarships each to students who are furthering their health care careers: Kelsey Bries, Brandie Tomkins, Molly Andersen, Libby Creery, and Josalyn Konichek Would you like to become a member of the GMHC Auxiliary to help support GMHC? Please call 563-252-5532 to learn more.
3rd Thursday of each month 4pm to 5pm Family Resource Center | 563-252-3215
Parkinson’s Exercise Group 2nd & 4th Tuesday of each month 6pm GMHC | 563-252-5527
Welcoming Hayle Bockenstedt, ARNP
Hayle Bockenstedt, ARNP
Guttenberg Municipal Hospital & Clinics is pleased to announce the addition of provider Hayle Bockenstedt to the Cornerstone Family Practice. Hayle is a Nurse Practitioner who grew up on a farm between Edgewood and Strawberry Point and attended Edgewood/Colesburg High School. She received her Bachelor’s Degree in Nursing from Mount Mercy University and her Doctorate in Family Nurse Practitioner from Clarke University. Hayle will assume her duties on April 15, 2019 and will be accepting new patients in the Edgewood and Guttenberg clinics. Please join us in welcoming Hayle to our GMHC team. To schedule an appointment with Hayle, please call 563-252-2141.
The Update | Spring 2019 3
A Life Saving
SCREENING The begonia in Wynette Koehn’s kitchen towers over her. She started it from a 6” cutting ten years ago. As she nurtures it throughout the year, Wynette is rewarded with an abundance of colorful blooms. The begonia sits in Wynette’s kitchen, in front of a sliding glass door overlooking a large bird feeder. Wynette lives in the country south of Millville, and enjoys caring for her plants and feeding the birds. Wynette has been a patient at Guttenberg Municipal Hospital & Clinics for a good 40 years. She had her first screening colonoscopy in 2007 and had no issues. In 2015, Wynette started feeling weak and had some pain in her stomach. She’d suffered previously from a bleeding ulcer, but this felt different. Her provider, Dr. Andrew Smith, scheduled an upper endoscopy and colonoscopy with Dr. Hugo, general surgeon, at GMHC. During the procedure, a tumor mass was discovered taking up 50% of her bowel. A biopsy determined the mass to be malignant and Wynette was referred to oncologist, Dr. Lawrence Kukla. She was scheduled for a major surgery, in Dubuque, for a total bowel reconstruction to remove the tumor, requiring her to be hospitalized for 2-3 weeks.
“I really preferred to stay closer to home,” commented Wynette. “So, I asked if there was any way to have the surgery at GMHC.” She was pleasantly surprised to be told not only could she have her surgery at GMHC, her surgery could also be performed laparoscopically by surgeon Dr. Tamara Holzer, reducing her hospital recovery stay to 3 days. “I’ll never forget Dr. Holzer was 9 months pregnant! In fact, she had her son just a few days after my surgery,” reflects Wynette. “My surgery went well, and I was compassionately cared for by people that I know. I just felt more comfortable in a smaller setting, being closer to home where my family and good friends could easily visit me.”
“
Following surgery, Wynette traveled to Dubuque every other week for six months for chemotherapy. Wynette is now cancer free. If her three year colonoscopy is clear, her next screening will be in five years. “I’m so thankful I have a family doctor that knows me personally, for the hospital and all of the services it offers to our community,” says Wynette.” When first asked about sharing her story, Wynette was apprehensive, but knew the importance of sharing it. As she gazed out the window at the birds, she said, “My second colonoscopy saved my life. Whether you’re at that special age of 45, have a family history, or are having symptoms, get your screening. It really is an easy procedure and a life saving one.”
I’m so thankful I have a family doctor that
knows me personally, for the hospital and all of the services it offers to our community.” WYNETTE KOEHN GMHC surgery patient
4 The Update | Spring 2019
Colorectal Cancer Awareness Colorectal cancer, first develops with few, if any, symptoms. When discovered early, it is highly treatable. Most colorectal cancers (cancer of the colon or rectum) develop first as polyps, which are abnormal growths inside the colon or rectum that may later become cancerous if not removed. SYMPTOMS MAY INCLUDE: A Change in Bowel Habits
Including diarrhea, constipation, a change in the consistency of your stool or finding your stools are narrower than usual
Persistent Abdominal Discomfort
Such as cramps, gas, or pain and/or feeling full, bloated or that your bowel does not empty completely
“
A screening
colonoscopy is the number one way you can reduce
your risk of colon cancer and rectal cancer. If you’re over 45, have a family history,
or symptomatic, don’t put it off.
Talk to your doctor
Rectal Bleeding
about scheduling
Weakness or Fatigue
colonoscopy.”
Finding blood (either bright red or very dark) in your stool Can also accompany losing weight for no known reason, nausea or vomiting
If you are experiencing any of these symptoms, are over 45, or have a family history, please contact your provider to schedule a screening. If you are age 45 or above, have a family history of colorectal cancer, or are experiencing symptoms, please talk to your provider about a screening colonoscopy.
your screening
DR. MANSFIELD GMHC General Surgeon
Behavioral Health Counseling Services
-Wellness Club-
Nicole Makovec, LISW
Informational Meeting
Integrated Medical and Behavioral Care
MONDAY, MARCH 25, 2019 GMHC Education Center | 6PM
WALKERS | JOGGERS | RUNNERS Whether your goal is to walk half a mile, or complete a 5k, walkers, joggers, and runners of all experience and abilities are Joel Gourley, DPT encouraged to attend this informational meeting. The club will meet weekly and provide you with the expertise to build strength and stamina. Join us to learn more about the Guttenberg Gallopers, a free wellness club sponsored by the GMHC Physical Therapy Department, led by physical therapist Joel Gourley. For more information, email Joel.Gourley@ GuttenbergHospital.org
“
With an advanced degree in Physical Therapy, and a passion for fitness, I’m looking forward to offering my expertise to help you achieve your wellness goals through walking, jogging or running.� JOEL GOURLEY Join us on Facebook
Guttenberg Municipal Hospital & Clinics is pleased to announce the addition of two mental health counselors at Cornerstone Family Practice Clinic in Guttenberg. Offering appointments two days a week, Nicole Makovec, LISW, and Kate DeWall, LISW, are taking new patients. Our therapists are professional clinicians licensed in the State of Iowa treating patients age 3 and above and couples.
Katherine DeWall, LISW
We use an Integrated Model of care. In this model, medical and behavioral problems are treated together. We work closely with your doctor and other professionals to deliver the best overall medical care. To schedule an appointment please call 563-252-2141.
LSVT BIG
ÂŽ
Physical/Occupational Therapy for Parkinson’s Disease and Neurological Conditions LSVT BIGŽ treatment helps people with Parkinson disease (PD) to use their body more normally. People living with PD or other neurological conditions often move differently, with gestures and actions that become smaller and slower. They may have trouble with getting around, getting dressed and with other activities of daily living. LSVT BIGŽ effectively trains improved movements for any activity, whether “small motor� tasks like buttoning a shirt or “large motor� tasks like getting up from sofa or chair or maintaining balance while walking. The treatment improves walking, self-care and other tasks by helping people “recalibrate� how they perceive their movements with what others actually see. GMHC Physical Therapy department has two certified LSVT BIGŽ therapists who provide treatment.
LSVT BIGÂŽ TREATMENT CONSIST OF:
• 16 Sessions: 4 consecutive days a week for 4 weeks • Individual 1 hour sessions • Daily homework practice • Daily carryover exercises • Continued participation in Parkinson’s Exercise Group LSVT BIGŽ will help you establish a life-long habit of BIG practice. To schedule your sessions please call GMHC Therapy Services 563-252-5527.
Medicare Covers Yearly Preventative Screening Visits Did you know Medicare covers yearly preventative screening visits with your provider? Goals of these visits are health promotion, disease prevention and early detection. This is your opportunity to discuss health maintenance and prepare your personalized health plan with your provider. We are committed to improving the health of our community, one person at a time, but we need you to take the first step and call to schedule your appointment. Schedule your Medicare Preventative Health Visit today at one of our three Cornerstone Family Practice Clinics. GUTTENBERG 563-252-2141 200 Main Street
GARNAVILLO 563-964-2608 101 E Watson Street
EDGEWOOD 563-928-6435 101 S Washington Street
Robotic-Assisted Surgery at GMHC Robotic-assisted surgery is a form of minimally-invasive surgery that is performed through
Dr. Daniel Mansfield General Surgeon
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, real-time 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.
PATIENT BENEFITS:
• Significantly less pain following surgery • Less risk of infection • Less use of anesthesia • Less scarring • Less blood loss • Shorter hospital stay • Faster and more complete recovery • Quicker return to normal daily activities Dr. Tamara Holzer General Surgeon
PROCEDURES:
• Hernia repair • Hysterectomy and other gynecological procedures • Fibroid removal (Myomectomy) • Endometriosis procedures • Colon resections • Gallbladder removal (Cholecystectomy)
“
I was back to work in one week after the removal of
my gall bladder with roboticassisted surgery at GMHC. ” SHIRLEY FOWLER | GMHC Surgery Patient
To find out if robotic surgery is an option for you, please call (563) 252-5536 to speak with a GMHC surgery expert.
Smaller incision. Less pain. Less scarring. Faster recovery.
The Update | Spring 2019 7
200 Main Street Guttenberg, IA 52052 (563) 252-1121
Well-Child Visits
Same Day Appointments
Cornerstone Family Practice offers well-child visits, a complete physical exam for children. During an exam, a provider will check your child’s growth and development and answer any health questions you may have. The main purpose of a well-child visit is to keep your child up to date on immunizations and track their growth and development. It is also an opportunity to develop a trusting relationship with a primary care provider and ask questions about your child’s health.
(563) 252-2141
For all of your urgent care needs, we’re here for you! Mon/Wed/Thurs:10am-7pm Tues/Fri: 8am-5pm Sat: 8am-12pm Cornerstone Family Practice - Guttenberg
Meet Our Cornerstone Family Practice Providers From infancy through the end of life, our family medicine providers are trained to care for patients of all ages. In addition to diagnosing and treating acute and chronic illnesses, our providers focus on preventative and routine care, men’s and women’s health, and children and adolescents. We encourage you to have a continuous relationship with your health care provider to coordinate care during both wellness and illness.
Andrew Smith, MD
Jeffrey Hoffmann, DO
Michele Dikkers, DO
Lana Erion, DNP, FNP-BC
Amber Wessels, ARNP
Vanessa Solomon, ARNP
Shelly Klein, DNP
Hayle Bockenstedt, ARNP
Cornerstone Family Practice Guttenberg is proud to be your Patient Centered Medical Home.
GUTTENBERG 563-252-2141 Like us on Facebook 200 Main Street
GARNAVILLO 563-964-2608 101 E Watson Street
EDGEWOOD 563-928-6435 101 S Washington Street
