JCMG eMag - June 2015

eMag JUNE 2015 • JCMG.ORG

MARGINPROBE

JCMG Surgeon Utilizing New Breast Lump Removal Technology WHAT’S INSIDE

2 COVER STORY JCMG Surgeon utlizes new MarginProbe Technology

4 NEEED PROJECT Cultivating Food and Friendship

6 CURRENT MEDICINE 8 JCMG PODIATRY Vein Disease and Deep Putting Our Best Foot Venous Thrombosis Forward

10 NEW PHYSICIANS

JCMG Welcomes Pain Management & Anesthesia Couple

15 EMPLOYEE SPOTLIGHT

Sam Mebruer

15 WHAT’S HAPPENING 18 WELLNESS CORNER /

MONEY MATTERS

COVER STORY

JCMG SURGEON UTILIZES NEW MARGINPROBE TECHNOLOGY

for Advanced Breast Lump Removal Surgeries Jonathan Roberts, M.D., JCMG Surgeon and a member of the American Society of Breast Surgeons, was the first in Missouri to use the state of the art MarginProbe system at SSM Health St. Mary’s Hospital-Jefferson City to remove a cancerous lump from a patient’s breast.

“To safely perform breast conserving surgery for breast cancer, we have to remove the entire tumor and we have to know that it is all out,” Dr. Roberts explained. “Until now, there has been no way to tell if all of the cancer was removed on the day of surgery. Patients have always had to wait several days for the final pathology report. If tumor is present at the edge or margin of the removed lump, the patient needs a second operation. With standard treatment, one in three to one in five patients need a second operation, because the cancer isn’t completely removed the first time. Unexpectedly needing a second operation is frustrating for patients, delays treatment and sometimes results in mastectomy.”

The MarginProbe is a new advanced device used in the operating room to detect cancer not visible to the naked eye, which is on the edge of a lumpectomy. If cancer is present on the margin, it can be removed while the patient is still asleep.

Getting it all out the first time avoids a second operation. Dr. Roberts said he has been following the MarginProbe since it

Pictured with the MarginProbe system is Mike Hyde, SSM Health St. Mary’s Hospital, and Dr. Jonathan Roberts, JCMG Surgical Specialists.

2 JUNE 2015

was first developed. Trials abroad and then in the United States showed that its use cut the need for second operations in half, so he was eager to bring this technology to our community. Until now it has only been available in a handful centers in the United States.

“The margin probe really proved its worth in this case,” Dr. Roberts added. “The device not only identified tumor on the edge of the first small lump that was removed, it also showed tumor on the edge of the second specimen. Only after even more tissue was taken was the final margin clear. The final pathology report showed that the MarginProbe was right and tumor was bigger than had been seen on her MRI. In this patient it prevented a second operation and it prevented a third operation.

Typically the third operation would have been a mastectomy,” Dr. Roberts explained. “The device saved her breast.”

One of the top priorities in the design of the Operating Room at the new St. Mary’s Hospital was to introduce innovative technologies for surgical patients. “St. Mary’s continues to look for ways to improve the patient care experience. MarginProbe is just one of the latest advances that allows us to offer exceptional care with the most advanced equipment available. We are excited to be the first in the state of Missouri to offer this technology to our patients,” said Mike Hyde, SSM Health St. Mary’s Hospital Director of Surgery.

Dr. Roberts has several cases scheduled in which he’ll be able to use the breast conserving procedure. “The key to good cosmetic results during breast cancer surgery is to get the entire tumor out while removing as little normal tissue as possible,” he said. Dr. Roberts and Dr. Anne Petersen, also a member of the American Society of Breast Surgeons, anticipate using this technology extensively at St. Mary’s for their breast cancer surgery practice.

“Surgeons have been hampered because of the inability to see where the cancer begins and ends in the operating room.

The MarginProbe lets us see,” said Dr. Petersen. “Now that this technology is available at St. Mary’s, there will not be guess work with lumpectomy surgery. Our patients will have the best chance to save their breast.”

JCMG and St. Mary’s Hospital-Jefferson City have joined together to provide a complete breast program for patients. They offer 3D mammography at both facilities, the MarginProbe surgery at St. Mary’s Hospital and both medical oncology and radiation oncology at the SSM Health Cancer Center at JCMG.

Sick of not knowing who to call?

Get a Primary Care Physician You Can Call Your Own! These physicians will care for you in the office and the hospital!

JCMG Internal Medicine physicians are accepting new patients.

Internists are primary care physicians who specialize in treating adults.

Stop searching for a doctor when you are sick or have a medical concern. Develop a relationship with a physician who will know your family history, care for you when you are sick and schedule regular screening tests that are appropriate for you.

Sima Ovais, D.O.

Indumathi Baskar, M.D. Steve Linsenbardt, D.O.

Donald Miller, M.D. and his Nurse Practitioner

Cathy Schafer, MSN RN BC FNP

To make an appointment and begin your path to better health, call

573-556-1725

www.jcmg.get-a-doc.com

JCMG eMAG  3

COMMUNITY OUTREACH

NEEED PROJECT Cultivating Food and Friendship

BY HALEY GLEASON, JCMG COMMUNITY RELATIONS

Are you familiar with the phrase, “An apple a day keeps the doctor away?” Although this may not always be

the case, a variety of fruits and vegetables can help you maintain a healthy lifestyle.

Did you know that there is an effort in our community to help those who don’t have access to healthy options to obtain them?

The NEEED Project is a charitable, educational and community service organization. The Project is designed as an opportunity for individuals in all demographic groups to volunteer for the benefit of the community.

The NEEED Project was first incorporated into Jefferson City in January, 2013. The NEEED Project focuses on Nutrition, Energy, Environment and Economic Developments. These key concepts built the foundation to benefit, not only the environment, but people in need and provide informal education for the volunteers.

Volunteers for the NEEED Project perform jobs appropriate for the season. From the beginning to the middle of the season, volunteers plant, water, weed and prune the garden. Toward the

end of the season, volunteers harvest and transport the fruits and vegetables locally. All of the supplies are provided by the NEEED Project.

JCMG has been a supporter of the NEEED Project. Their volunteer gardeners kept a focus on their fruits by nurturing the tomato garden. The volunteers gained valuable knowledge that they were able to put to use in their home gardens.

The NEEED Project is made possible through the efforts of volunteers. Any and all talents are appreciated!

Check out more about the NEEED Project by visiting Twitter, @theNEEEDproject, or Facebook at Heart of Missouri Gardens and neeedproject.org.

For general questions you may contact Shubha Miller at smiller@jcmg.org. To coordinate your volunteer participation contact Jack Ryan at (573) 635-0636 or at neeed2013@ embarqmail.com.

The NEEED garden is located at 1009 Big Horn Drive, Jefferson City. Pictured at left are JCMG volunteers, Carol Sanderson and Shubha Miller.

4 JUNE 2015

Having surgery?

Ask us how to save 50%.

JCMg outpatient Surgery Center has a patient satisfaction score of 99%.

Facts about JCMg’s outpatient Surgery Center: • Lower cost • Lower infection rates • Dedicated workers’ comp coordinator

• Minimally invasive same day surgeries (arthroscopic & laparoscopic)

Today more than of surgeries in the U.S. are performed in an outpatient setting.

Staff is trained in all aspects of surgical care from pediatrics to senior citizens.

oUTpaTienT SUrgery CenTer

ask your physician if you would qualify for an outpatient surgery.

Not all procedures can be performed in an outpatient setting.

573-556-7765

providers and Specialties that work in the JCMg outpatient Surgery Center Colorectal Surgery Reggie Vaden, M.D. Cosmetic procedures Chandra Prasad, MD, FACS enT & Sinus Surgery Douglas J. Howland, DO Michael J. Simmons, MD Reese E. Thompson, MD

gastroenterology Sara Echelmeyer, MD Richard B. Jennett, MD, FACP Joseph L. Wang, MD, FACP

1241 W. Stadium Blvd.

oncology/ Hematology Shadi Haddadin, MD gynecology Jodi Berendzen, MD, FACOG Lorraine Dodson, MD, FACOG Robert E. Ferris, MD, FACOG Brandi Nichols, MD, FACOG Amanda Rodemann, DO, FACOG Brian T. Stephens, MD, FACOG

general Surgery Anne Petersen, MD, FACS, MBA Hand Surgery Jonathan Roberts, MD, FACS Joyce Wilson, MD Reggie Vaden, MD

ophthalmology Andrew Weiss, MD Philip J. Wilson, DO orthopaedics Jonathan Craighead, MD John J. Krautmann, MD Michael J. Snyder, MD Joyce Wilson, MD

pain Management Karl J. Haake, MD Clinton Harris, MD phlebology Chandra Prasad, MD, FACS podiatry William J. Duke, DPM J.P. McAleer, DPM Sports Medicine Jonathan Craighead, MD John J. Krautmann, MD Michael J. Snyder, MD

JCMG eMAG 5

CURRENT MEDICINE

VEIN DISEASE AND DEEP VENOUS THROMBOSIS

BY DR. CHANDRA PRASAD, JCMG LASER & VEIN CENTER

Vein disease is not just about being vain. Many

serious consequences can occur if vein disease is left untreated.

Each of us is genetically unique and how vein disease will impact us can be very individual.

One potential risk factor associated with vein disease is an increased risk for a deep venous thrombosis. A DVT is a blood clot in the deep veins of your legs. These clots can break free and cause damage somewhere else in your body. When blood pools in your legs, it causes swelling. When blood doesn’t flow freely, it wants to clot. When you treat venous insufficiency, the swelling goes down and there are fewer places for the blood to pool.

The National Institute of Health states that over 50 percent of patients with a DVT have no sign or symptom of the blood clot.

It also stated that sometimes the first sign of a DVT is a blood clot in the lungs. This can be a serious or even fatal occurrence.

There are so many reasons to be proactive about treating vein disease.

6 JUNE 2015

This was very informative because most doctors, and the public, have the perception that you will always know when you have a DVT. The fact is that most will not have any symptoms. It is important that your DVT risk factors are taken into consideration when making treatment decisions.

When we treat patients with complex vein disease, it is known that the risk for DVT will decrease and leg health will increase.

There are so many reasons to be proactive about treating vein disease. Decreasing your risk of a DVT, especially if you have other risk factors, should be an important consideration. Yes, you may look better in a pair of shorts after treatment, but that just is a happy bonus. The many health benefits far outweigh the cosmetic bonus.

This is my

Active

My varicose veins were so bad at the end of the day it hurt to walk. More than that, I was extremely self-conscious about my legs. I met with Dr. Prasad and knew immediately I had made the right decision in choosing a doctor. The level of care and concern I received was incredible. Even though I’m forty now, I have the legs that I did when I was in my twenties!

Betsy

Go to www.jcmglaser.com for Betsy’s full testimonial.

Services vein care | skin care | hair removal | body contouring | Botox ® | fillers | Ulthera ® manicures & pedicures | tattoo removal

2511 W. Edgewood, Suite H (Creektrail Center) Jefferson City

JCMG eMAG 7

CLINIC PROFILE

JCMG PODIATRY Putting Our Best Foot Forward Have you ever considered the workout that your feet go through in a day’s time? Your feet feel the

pressure of one to two times your body weight per step when you walk, and when you run that increases by four to five times.

That’s why caring for your feet is so important.

JCMG Podiatrists, William Duke, DPM and JP McAleer, DPM, have more than 25 years of combined experience in all aspects of foot and ankle care including surgical and conservative means of treatment. They care for patients with in-grown toenails, bunions and hammertoes, to more complex issues such as foot reconstruction, ankle fractures and joint fusion. In addition, JCMG Podiatry offers internal and external fixation devices and ultrasound-guided injections, which means fewer injections and significantly better response to treatment for patients.

“We see patients of all ages for anything related to the foot and ankle,” says Dr. McAleer. “Our biggest patient complaint is heel pain. Around 15 percent of our patients come to us looking for relief from discomfort in or around their heel.”

Whatever the ailment, the podiatrists layout options for patients that will best fit their needs and lifestyle.

JCMG Podiatry has four full-time and two part time staff members dedicated to providing a positive patient experience.

Dr. Duke completed his residency at Mt. Sinai Hospital in Chicago, Ill. He earned his doctor of podiatric medicine from the Dr. William M. Scholl of Podiatric Medicine at Rosalind Franklin University of Medicine and Science in Chicago, Ill. Dr. McAleer completed his residency at Mt. Sinai Hospital in New York. He earned his doctor of podiatric medicine from New York College of Podiatric Medicine.

The podiatrists not only see patients in their JCMG location, located on the lower level of the JCMG Medical Building, but they also work closely with diabetic patients at the wound center located at SSM Health St. Mary’s Hospital. They provide cosmetic services, such as Botox for excessive sweaty feet, dermal fillers and laser fungal nail treatment at JCMG Laser & Vein Center.

“When I started in 2006, my goal was to bring world-class foot and ankle care to the Jefferson City community. Dr. McAleer and I continue to provide the latest treatment options to our patients,” says Dr. Duke.

JCMG Podiatry staff from left to right: Mary, Beth, Amy, Dr. Duke, Dr. McAleer, Kristen, Ashley, and Brooke.

8 JUNE 2015

All of our pharmacists are parents of young children and are eager to help parents in their journey.

We offer: • Online and mobile app prescription refills.

• FLAVORx so that we can customize the taste of almost all liquid prescription and over-the-counter medications.

• Vaccines for teens and adults, including Pertussis (Whooping Cough), Flu, Pneumonia and Shingles.

Search the app store for “Health Mart” or go to:

jcmgpharmacy.org

HOURS:

Monday-Friday: 8 am - 6 pm Weekends & most holidays: 9 am - 2 pm

573.556.7780 1241 W. Stadium Blvd.

JCMG eMAG 9

JCMG NEW PHYSICIANS

JCMG WELCOMES PAIN MANAGEMENT & ANESTHESIA COUPLE JCMG is pleased to welcome a dynamic new couple to the group, Drs. Blythe & Clint Harris.

Blythe (Bante) Harris, MD, has returned to her hometown to establish and oversee anesthesiology services for the group.

Blythe received her medical degree from the University of Missouri-Kansas City. She completed her anesthesia residency at the University of Iowa Hospital and Clinics.

“I’m excited to be back in my hometown. Growing up in Jefferson City, I watched JCMG grow into a medical power house. When the opportunity became available to help transition anesthesia services internally, I thought it was a great time for me to come back to the community where I was raised and give back,” says Blythe.

The couple comes from Des Moines, Iowa, where Clint Harris, M.D., provided chronic and interventional pain medicine services. Clint received his medical degree from the University of Iowa College of Medicine. He completed an internship in general surgery at the University of Texas Health Science

Clint Harris, M.D.

10 JUNE 2015

Center in San Antonio. His residency in anesthesia and fellowship in pain management were completed at the University of Iowa.

Clint is board certified by the American Board of Anesthesiology in anesthesiology and pain medicine. He treats chronic pain conditions with a focus on interventional pain medicine. He joins Dr. Karl Haake in JCMG Pain Management.

“Pain management is challenging. Each patient is different. My goal is to create a unique treatment option for each patient, to address the difficulties they’ve been dealing with, and improve their living,” says Clint.

In their spare time, the couple enjoys spending time with their three young sons, and balancing black and gold for both the Hawkeyes and the Tigers.

Blythe Harris, M.D.

EXTENDED

Care

Immediate Care without the Rush Charge.

Immediate health concerns shouldn’t be an inconvenience to your wallet. That’s why JCMG Extended Care offers newly expanded hours without the added cost.

The fee for an Extended Care visit is billed as an office visit to your insurance. Patients may be seen for any condition that is not life-threatening but cannot wait for a doctor’s appointment.

Walk-ins welcome!

No appointment needed.

Located within JCMG Family Medicine.

New Hours!

Monday – Friday 7:30 a.m. to 5 p.m.

573-635-JCMG (5264) 1241 W. STADIUM BLVD. • JEFFERSON CITY, MO • WWW.JCMG.ORG

Weekends 9 a.m. to 2 p.m.

JCMG eMAG 11

Welcomes...

Dr. Johnson has 14 years experience as a board certified infectious disease specialist. He has been in practice in Columbia since completing his training in 2000. For the past 12 years he served as the Infection Control Committee Chairman at Boone Hospital Center.

Brian Johnson, M.D. JCMG Infectious Diseases

Joining JCMG’s Infectious Diseases Team: Donald P. Miller, M.D. Cathy Schafer, MSN, RN, BC, FNP

Dr. Johnson completed medical school and his infectious diseases fellowship at the University of Missouri-Columbia.

While in training during 1999 and 2000, he won the Department of Internal Medicine Student Teaching Award “Outstanding Fellow.” He also completed an internal medicine residency at St. John’s Mercy Medical Center in St. Louis.

Dr. Johnson enjoys working with patients with complicated infectious disease conditions, especially those with HIV. Dr. Johnson said, “My wife and I are both physicians and we made our home in mid-Missouri over 30 years ago. This is where we raised our children and built our careers and I am very pleased to be able to join Dr. Donald Miller and JCMG so that I can continue to serve my patients and colleagues here at home.”

To make an appointment or referral, please call WWW.JCMG.ORG 12 JUNE 2015

635-JCMG (5264).

EMPLOYEE SPOTLIGHT

SAM MEBRUER JCMG OPHTHALMOLOGY

Q&A Q: How long have you worked at JCMG? A: I have worked at JCMG for six years.

Q: What do you do at JCMG? A: I am an Ophthalmology technician/receptionist.

Q: What do you like to do in your spare time?

A: I love spending time with my husband Brandon and my 11 month old son Royce on the farm. I enjoy nature walks, gardening, bottle feeding calves, shopping, and playing volleyball.

Q: What is something that most people don’t know about you?

A: I’m a licensed cosmetologist. I also love to read. My favorite type of books to read are non-fiction novels.

Q: What is your favorite quote or book and why?

A: My favorite quote is, “Do unto others as you would have done unto you.” Everyone wants to be treated in a kind manner, including me. I hope that I show respect and that I also gain the respect of others.

Q: Is there anything else that you’d like to share about yourself?

A: I am always up for an adventure.

Sam is pictured here with her husband, Brandon, and their son, Royce.

Sam and her husband are pictured here with one of their heifers, Rosie. She’s a spunky calf that they bottle fed.

JCMG eMAG 13

EMPLOYEE EXCLUSIVE

Congratulations

SUMMER EVENTS

Quality Service Awards Congratulations to Patty Blume and Cassie Bosch who were recognized as the quarterly Signature Care Customer Service award winners.

Congratulations to Stefanie Contreras and Greg Rehagen, the Family Medicine employees of the month for April and May. Congratulations to Megan Burch who received her certification and is now a Certified Professional Medical Auditor through the American Academy of Professional Coders.

JCMG Family Night at the Pool July 19, 7:30-9 p.m. ~ Memorial Park Aquatic Center EIC is treating JCMG staff & physicians and their guests to an evening of fun. Admission is only $1 for anyone entering the aquatic center (swimmers & non-swimmers) payable at the gate. EIC is covering the cost of the pool rental. No pre-registration necessary. Concessions are available for purchase. Participants may bring their own food & beverages (just NO GLASS). Enjoy pool games & competitions organized by EIC members and/or make your own fun on the slides, fountains & other amenities at the center.

Congratulations to Paula Zuck who received her certification and is now a Certified Physician Practice Coder through the American Academy of Professional Coders.

More information about the events listed above may be found on the JCMG Intranet.

James J. Weiss, MD

Thank You! Thanks to the community for voting... for JCMG physicians as some of the best in Jefferson City.

We appreciate your confidence and are committed to providing you with the best possible medical care.

George W. Carr, MD

Patrick Sporleder, DO

www.jcmg.org Andrew Weiss, MD

14    JUNE 2015

WHAT’S HAPPENING

JCMG Awards $4,000 in Health Sciences Scholarships to Area Students JCMG is pleased to announce that four area students, pursuing nursing or pre-medicine degrees, were recently awarded scholarships by the group. The JCMG Health Sciences Scholarships

were established in 2009 because of the increasing demand for physicians and nurses due to the aging population and increase in life expectancy. Since that time, the group has invested $28,000 in the medical education of area students.

All scholarship winners reside within the JCMG service area.

JCMG is very interested in encouraging students to work in the healthcare field and hope that they will return to their hometown after they receive their medical education.

THIS YEAR’S WINNERS INCLUDE: • Sidney McMillan, daughter of Stacy McMillan and Holly Finch, Jefferson City, is a recent graduate of Jefferson City High School. She will major in chemical engineering (pre-medicine) at the University of Missouri – Columbia.

• Lydia Page, daughter of Joseph and Elizabeth Page, Jefferson City, is a recent graduate of Helias Catholic High School. She will major in chemistry (pre-medicine) at the University of Missouri Columbia.

• Jolie Duffner, daughter of Paul and Sharon Duffner, Wardsville, is a recent graduate of Blair Oaks High School. She will major in health sciences (pre-medicine) at the University of Missouri-Columbia.

Sidney McMillan

Lydia Page

Jolie Duffner

Christine Gleeson

• Christine Gleeson, Hermann, is a recent graduate of Lincoln University. She received her Bachelor of Science Degree in Nursing. Gleeson plans to work as an Infection Prevention Specialist/Infection Control Nurse.

JCMG eMAG 15

WHAT’S HAPPENING

This great group of “athletes” took to the court to raise money for Relay for Life. The Dribbling Strong event, dedicated in memory of Dr. Ronald Strong, raised $477. The staff walked away with bragging rights this year.

Several JCMG physicians participated in a bill signing ceremony on Thursday, May 7 with Missouri Governor Jay Nixon.

Senate Bill 239 marks historic changes in Missouri’s medical malpractice laws.

16 JUNE 2015

WHAT’S HAPPENING

“Sneaky Salt” with the American Heart Association was recently caught shaking his stuff at JCMG. His mission is to bring awareness to the amount of salt hidden in food that individuals eat every day. Too much sodium can lead to a higher risk of health problems, like heart disease. Several JCMG physicians and employees signed pledge cards agreeing to reduce their sodium intake.

JCMG welcomed the following new employees in April (front L to R): Jessica Wieberg, ORTHO; Cassandra Verslues, AUD; Brittanie Wolfe, PEDS; Rachel Prasad, LVC; (back L to R): Brooke Adkison, POD; Megan Sommerer, FM; Chelsea Knuth, PEDS; Krista Reed, FHC; Scarlett Garrett, OSC; Stefanie Contreras, FM.

JCMG recently welcomed the following new employees (front L to R): Kasandra Nicks, CBO; Jenna Markway, CBO; Amanda Schneider, LVC; Colleen Kraus, ONC/HEM; Stephanie Rimiller, LVC; Sarah Jennett, OSC; (back L to R): Jeremey LaFlamme, EC; Brooke Jaegers, FM; Samantha Johnson, EC; Nyarrius Day, IM; Star Cooper, OSC; Marilyn Landrum, EC; Angela Hunt, ANE; Jennifer Vogt, ANE ORTHO.

JCMG eMAG 17

WELLNESS CORNER

MONEY MATTERS

June is Men’s Health Month

Identity Theft Precautions

SUBMITTED BY EVELYNN MCVICKER, JCMG HUMAN RESOURCES

Fifty percent of men will receive a cancer diagnosis sometime in their lifetime. However, men are half as likely as

women to visit a doctor for annual exams and preventive services that could catch potential problems when they are most treatable.

June is recognized as Men’s Health Month, sponsored by the Men’s Health Network, to raise awareness of preventable health problems and encourage early detection and treatment. And with Father’s Day coming up June 21, this a great time to remind the men in our lives of how important their health is to us.

SUBMITTED BY SEAN DUGGAN, MONETA GROUP

Cyber crime—we hear it almost every week. A major retailer has announced a data

breach or security leak. A unique phishing scam has swept social media. The result is always the same: cyber criminals have compromised individuals’ private personal information, and the hackers plan to use their ill-gotten data to wreak financial havoc on the victims.

These simple, but effective, common precautions to online identity theft are still very important. Change passwords frequently, use letters (both capital and lowercase), numerals and special characters ($,%, #) in your passwords, do not use the same password for all sites, and never respond to an email asking for personal information. Be intentional in taking steps to protect your identity and passwords.

Did you like what you read?

Please forward to a friend!

For more information about JCMG, log onto www.jcmg.org or friend us on Facebook under Jefferson City Medical Group.

To receive this in your email box, click on our website address above, then select media/eMag.

1241 W Stadium Blvd.

Jefferson City, MO 65109 573-635-JCMG (5264)

Questions or comments? Contact Emily Mantle, emantle@jcmg.org.