HOLLY'S
MEET THRIVERS GRAFF FAMILY KRUSEMARK FAMILY BACK TO SCHOOL OUR COMMUNITY FRIENDS OF LEARNING
KITCHEN CHICKEN TACOS FALL 2022 • VOLUME 1 • ISSUE 3 • PRICELESS
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The beauty in family medicine is you feel like you know a little more about where your patients are coming from because you know their families and multiple generations.
I’m proud to share the cover with the Krusemark family, one of the extended families that I care for as a family medicine physician at Mankato Clinic, Main Street. The Krusemarks are dedicated teachers and my children have learned so much in their classrooms.
Our lives became intertwined in daycare, school and health care. Over the years, we have become family friends. They take care of my kids and I take care of them! Taking care of each other is what community means to me.
I’ve been practicing family medicine here for 17 years and enjoyed starting my family medicine practice when I was starting my own family. In the beginning, I delivered babies as part of my practice so I was taking care of pregnant people too.
My patients mark the passage of time in my life. Now those first babies I delivered are teenagers. In the clinic, I get to answer many healthcare questions from young people. And I love it!
My own children are growing up alongside my patients. I often see my patients in the schools and participating in sports, music, drama and events. That’s what’s wonderful about living and working in a community this size.
Besides watching children grow, I also get to see parents grow and see how their parenting changes over time. I hope I have helped people get through the hard things – phases, navigating the aging of their own parents, the stress of the pandemic.
As a primary care physician, I get to know the whole person, refer them to other specialists, and keep an eye on all of their care. For instance, our family medicine department offers behavioral health services to help people find ways to cope with stress, anxiety, grief, parenting, change and more. These mental health services – usually 3-4 visits – are really good at addressing issues early.
I also have a number of patients who are elderly. In clinic, I always love when I see a 97-year-old person followed by a 9-month-old baby and everyone in between!
In our fall issue, grab a quick taco recipe from Holly’s Kitchen, learn how Jon and April Graff thrive, and check out our tips for handling holiday stress.
See you around!
If you have a story idea, e-mail co-editor Marie Wood at mariew@mankatoclinic.com
Read Mankato Clinic Thrives online, visit issuu.com/luxequarterlies
You can share Thrives Magazine with your friends on social media! Join us on Facebook @mankatoclinic.
ALYSSA STITT, MD MANKATO CLINIC FAMILY MEDICINE Alyssa Stitt Mankato Clinic mankatoclinic.com 507-389-8587
6 DIRECTORY HERE TO CARE
8 KRUSEMARK FAMILY BACK TO SCHOOL
12 CLINICAL RESEARCH CLOSE TO HOME
14 HOLIDAY STRESS FOCUS ON WHAT REALLY COUNTS
16 TOP FIVE CHECKLIST BREAST HEALTH
LIFESTYLE
20 HOME HEALTH CARE UNDERSTAND HOMEBOUND CRITERIA
22 HOLLY'S KITCHEN 15-MINUTE CHICKEN TACOS
23 DIABETES
SNACK SMARTER
24 ME TIME LIVE IN THE MOMENT
26 SKIN ESSENTIALS SPIDER VEIN TREATMENT
28 BOOK NOOK UNITED WAY READING FESTIVAL
THRIVERS
30 MAKE ME A THRIVER JON AND APRIL GRAFF
32 HERE TO CARE MEET OUR PROVIDERS
44 JOIN OUR TEAM MEET ALLIE JOHNSON
CONTENTS
PUBLISHER LUXE QUARTERLIES NATASHA WEIS MARKETING NATASHA WEIS KAREN TOFT CO-EDITORS LISA COWNIE MARIE WOOD DESIGN EXPOSURE CREATIVE HIM & HER DESIGN
46 MANKATO CLINIC FOUNDATION FRIENDS OF LEARNING
50 CALENDAR COMMUNITY EVENTS
COVER PHOTOGRAPHY MICHELLE ISEBRAND PHOTOGRAPHY PRINTER CORPORATE GRAPHICS COMMERCIAL ADVERTISING INQUIRIES TO INFO@LUXEQUARTERLIES.COM
Mankato Clinic Thrives is published and distributed quarterly by Luxe Quarterlies. The content used in this magazine is copyright 2022. The opinions or points of view expressed within are those of our authors.
COMMUNITY HEALTH
FALL 2022
30 8 22 46
1421 Premier Drive, Mankato | 507-389-8529
Craig Anderson, MD Kelly Bryan, DO Amy Deehr, DO Ben Dexter, MD
Crystal Dubbelde, MSW, LICSW
Marlene Jilek, APRN, CNP, PNP Sheila Ruschmeyer, MD Katie Smentek, MD Brian Williams, MD Darla Wrage, MD
305 Main Street NE, Mapleton | 507-524-3835
Bryan Pucik, MD Dar Schauer, PA-C
1809 Adams Street, Mankato | 507-385-4075
Monday-Thursday 8 a.m.-5 p.m. Friday 8 a.m.- 4:00 p.m.
James Dungan, MD
ST. ANDREWS DRIVE
150 St. Andrews Ct, Suite 310, Mankato | 507-388-5437
CHILDREN’S HEALTH CENTER 1421 Premier Drive, Mankato | 507-388-5437
Amber Becker, AAS, SLPA
Stephanie Blume, MS, CCC-SLP
Lindsay Dexter, PT, DPT
Samantha Erickson, MA, CCC-SLP
Alisa Heiling, MOTR/L
Jill Jacobson, MA, OTR/L
Heather Johnson, PT, DPT
Beth Knoll-Fleming, MS, CCC-SLP
Elizabeth Landgraff, MS, CCC-SLP
Kristin Lehne, PT
Nevada Maertens, MS, CCC-SLP
Lindsey Mork, PT, DPT
Lindsay Peterson, MS, OTR/L
Lindsey Pfarr, MS, OTR/L
Amanda Scharfe, MS, CCC-SLP
Amanda Schultz, MA, OTR/L
Angie Scott, MS, CCC-SLP
Amanda Senal, MA, OTR/L
Sara Sieberg, MS, OTR/L
Abby Stroup PT, DPT
Mary VanRavenhorst, OTR/L, BCN
McKenzie Vermeire, PT, DPT
Rylee Wagner, MA, CCC-SLP
Wendy White, PT, DPT
THE KRUSEMARKS
ARE BACK TO SCHOOL, BIG-TIME
By MARIE WOOD
After a recon trip to Italy for the Mankato West Music Club, a family road trip out West, lake time and a relaxed summer schedule, teachers Brady and Kristin Krusemark are refreshed, ready and recharged for t he school year.
“We invest so much in our students and pour so much of our heart into them. Summer helps us recharge and provide that for next year’s students,” Kristin said. “My favorite thing about the summer are mornings because I don’t have to be out the door. I get up early, have a cup of coffee.”
“You feel renewed when you get back. Certainly we’re thinking and reflecting on the past year and coming year,” Brady said.
Kristin teaches fourth grade at Roosevelt Elementary and Brady is band director for Mankato West High School and director of the Mankato Area 77 Lancers Marching Band. With three children, ages 11, 7 and 5, life ratchets up when school starts. This school year will be a big one for the Krusemarks. The Lancers have switched from the summer to fall marching season and Brady is co-leading the Mankato West Music Club trip to Italy in June 2023.
TAKING CARE OF each other
Ciao Italy
Brady and Kristin kicked off summer with a trip to Italy to firm up logistics for the West Music Club’s Italy tour. About 125 band, choir and orchestra students and chaperones are going. A friends and family tour is also planned to let parents attend concerts and split up for sightseeing.
Brady and the Mankato West High School choir director, met with the tour company to view hotels, plan sightseeing stops and choose performance venues.
Brady was inspired by a concert by the Greater Twin Cities Youth Symphony in a venue where they will perform. “It was a random Thursday night in Rome and 600-800 people were at the concert. There was a sign out front and people just go because of the classical music culture there. We expect to have a lot of locals at our performance. It’s a way for our community to share with another culture across the world.”
The West Music Club is flying into Rome and heading south through Naples, Pompeii, Assisi and Isle of Capri. In Rome, it’s the Sistine Chapel, Coliseum and Pantheon. The 10-day tour combines sightseeing with 3-4 concerts.
“Travel is enhanced so much when you go with a purpose. Our purpose is sharing our music and our culture. We’re able to give and not just take when we visit new places. Our students will be able to experience a broader world and gain the
“They are both so kind and enthusiastic and you know they are taking good care of your kids and they have a passion for teaching,” Dr. Stitt added.
When the family headed to Washington, D.C., for their summer road trip, they stopped at Indian Dunes National Park because Jonah had his Fourth Grade park pass from Mrs. Krusemark’s class.
Jonah said Mrs. Krusemark is very enthusiastic. Zoe added, “She’s good at making learning fun and engages the students in creative ways.”
As the primary care provider for the Krusemarks and their extended family, Dr. Alyssa Stitt is grateful for their friendship and for the positive role they have played in teaching her own three children at Roosevelt Elementary and Mankato West High School!
“It’s why being in a community this size is awesome. I take care of them and they take care of my kids,” Dr. Stitt said. “You have all your patients you take care of and you see them out in the community. And they are taking care of yours and you are collaboratively working together.”
Mrs. Krusemark taught Jonah and Zoe in third and fourth grade. And Mr. Krusemark is Noah’s band director at West High School. In fact, Dr. Stitt's family is going on the West Music Club trip to Italy – Noah and Zoe as band and choir students while the rest will be joining the friends and family tour.
Mr. Krusemark teaches in a way that makes teenagers love music. “Mr. Krusemark has a good rapport with the high school students. He’s so calm and chill and loves music. He’s easygoing,” Garron Williams, Dr. Stitt’s husband, said.
This family friendship between the Krusemarks and Dr. Stitt began 10 years ago when the children were in daycare together!
Brady’s mom has a daycare and watched Dr. Stitt’s children part-time while Garron was building their home. Naturally, the Krusemarks and their extended family gravitated to Dr. Stitt for medical care.
“She has a really kind demeanor. She’s someone we can trust,” Brady said.
Dr. Stitt is truly honored to be their family physician!
9MANKATO CLINIC THRIVES | FALL 2022
School Year Survival
“I have to be very good about time management,” Kristin says.
After school, she spends about a half hour making sure everything in her classroom is ready to go for the next day. Then she exercises and de-stresses – sometimes at the YMCA – before picking up the kids.
Meal planning is key to surviving and thriving during the school year. She suggests finding a friend to prep easy freezer and slow cooker meals for the week.
“I like to know what I’m having for dinner each night. On a good week, I try to plan ahead for the week, get the grocery shopping done and some meal prep on the weekend,” Kristin says.
perspective that our world is bigger than Mankato,” Brady says.
While touring the ruins of Pompeii, the ancient city destroyed by Mount Vesuvius, Kristin made a language arts lesson plan. Their tour guide will join her class for a Greek and Latin Roots and Stems lesson. Talking with an Italian speaker will help students better understand the role Latin roots play in language and her students will get to learn about the connections between Ancient Rome and the world today.
“I have a hard time turning school off. I’m always thinking of what I can bring back or how to make this part of a lesson. Definitely my students benefit from me being able to travel,” Kristin says.
She also encourages her students to explore. Kristin ends each school year with an Every Kid Outdoors activity. Through Every Kid Outdoors, all fourth grade students get a FREE pass to bring their families to national parks, lands and waters for an entire year!
In July, the Krusemarks took a two-week road trip west to Teddy Roosevelt and Glacier national parks. Ben was the fourth grade MVP, getting the family into both parks! Then it was on to Alberta, Canada. For the pass, visit everykidoutdoors.gov.
Mankato Lancers
Under the direction of Brady Krusemark, the Mankato 77 Lancers brings together students from District 77 and private high schools. The Lancers are marching into fall at Mankato East and West football games, marching band festivals and competitions.
“We are excited to present a similar product in a new format to new audiences,” Brady says. “It will be the Lancers, revamped.” Highlights for the kids will be marching in the Minnesota State Fair Parade and at U.S. Bank Stadium.
If you go to the Mankato East-West Jug Game, you’ll see the Lancers perform their “Our Town” show at halftime. Listen for the songs “We Built this City” by Jefferson Starship and “Come Together” by the Beatles.
“Our show is a celebration of Mankato. It’s about unity and bringing East and West high schools together. People who are familiar with marching band will love it. People who have never seen it before will love it too. Our show is geared to any audience and designed to be competitively successful as well,” he said. For the schedule, visit 77lancers.com. ■
EXPERT ADVICE
Mankato West Music Club Italy Tour
Music Club students and families are fundraising for the Summer 2023 Italy tour. They are working concerts and hockey games at the Event Center in downtown Mankato. Donations welcome! Venmo @mankatowestmusicclub or use the QR Code. Follow the Mankato West Music Club Facebook page.
setting the downtime restrictions so they’re not up after a certain hour.
For younger kiddos, you can help out your teachers by not allowing screen time in the morning. Morning shows and cartoons can over-activate their brains and make it harder to get them out of the house too. Stick to getting ready for school and eating breakfast.
Getting a good night’s sleep and establishing a good sleep routine so children are well rested and ready to go in the morning is huge. My advice is being really thoughtful about screen time especially phones. I’m a big believer in getting the phone out of the room at night or
Establishing healthy eating habits as a family is really important. Make sure you’re eating the rainbow: greens, reds, oranges and blues. It’s an easy way for kids to remember to get a little more nutritious foods. Also eat around the outside of the grocery stores
where fruits, veggies, proteins and dairy foods are. Make water the go-to drink at home and on-the-go! Remember, nothing is forbidden, but a good rule of thumb is ‘We have everyday foods and sometimes foods.’
As always, teach your children to wash their hands often while singing “Happy Birthday.” If they’re sick, keep them home from school.
I also encourage you to consider the COVID-19 vaccine for your children. The vaccine is now available for all children ages 6 months and older. Stay up-to-date on boosters as recommended.
Be sure to get the flu vaccine in the fall too!
To learn more, visit mankatoclinic.com/family-medicine
DR. ALYSSA STITT MANKATO CLINIC FAMILY MEDICINE
Photo courtesy of SPX Sports
FALL 2022 | MANKATO CLINIC THRIVES10
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MANKATO CLINIC AND JAVARA BRING CLINICAL RESEARCH CLOSE TO HOME
Mankato Clinic has partnered with Javara to bring clinical trials to our region. This collaboration gives people who live here access to medical innovations that are usually only available to people living in cities with research hospitals.
“We are proud to partner with Javara to give our patients and physicians the opportunity to participate in clinical trials” said Dr. Katie Smentek, Mankato Clinic pediatrician. “Our physicians are excited to offer new care options to our patients and take part in research that can make a difference for many more people.”
Javara is transforming health care and changing lives through a new approach to clinical trials. Javara joins forces with large healthcare organizations to deliver clinical trial opportunities to patients through their trusted provider. Javara research teams will work on location and alongside Mankato Clinic physicians and staff.
“Together with Mankato Clinic, we will work to bridge the gap between clinical research and clinical care throughout the communities they serve. We look forward to offering more patients access to cutting-edge care options and advancing our mission to improve health and change lives,” said Amanda Wright, Javara co-founder and chief development officer. ■
KATIE SMENTEK, MD
MANKATO CLINIC CHILDREN’S HEALTH CENTER
To learn more about clinical research, visit javararesearch.com/patients/
FALL 2022 | MANKATO CLINIC THRIVES12
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MAKE YOUR HOLIDAY SEASON
MORE REWARDING, LESS STRESSFUL
By KATIE WOJTALEWICZ
As the holidays approach each year, a number of common themes surface in therapy. Some people look forward to spending time with loved ones or decking out their house in seasonal décor. But for many, holidays are associated with feeling overwhelmed , tense or sad.
The reasons are diverse, though they often involve grief over those who are absent, tension amongst family members, pressures to pull off perfection, or dread about the sheer amount of work involved. Fortunately, there are a number of things that can help us manage these challenging emotions and channel them into a more rewarding, less stressful season.
For those struggling with grief after the death of a family member or friend, holidays can be a painful reminder that they’re gone. Perhaps we can’t help but see their empty seat at the table or miss their role in a long-standing family tradition. There is no right way to grieve.
Some families choose to take a break from their yearly holiday rituals and travel elsewhere or celebrate at a different time entirely. Others find it helpful to talk through their feelings and remember their loved one with stories while they’re all under the same roof. Sometimes it can be comforting to continue favorite traditions while adding new ones to reflect changes in the family over time. Most important is to allow room for everyone to experience their grief differently – with compassion and nonjudgment.
For those families who are divided by tension and conflict, holiday get-togethers can stir anxiety and frustration. When possible, it’s appropriate to set some boundaries or request more controversial topics be avoided.
If it’s difficult for the room full of people to find common ground, a structured activity can be a good way to redirect tense conversation into purposeful cooperation. This might take the form of playing a game, teaching a skill, going on an outing, or baking holiday treats. If you’re particularly tense, it’s helpful to remember that your discomfort is temporary and you won’t have to navigate these dynamics once you wave goodbye and head for home.
Most people can identify at least one aspect of the holidays that bring them joy, whether it’s spending time with loved ones, decorating, cooking, or participating in activities and events through their community or places of worship.
However, doing justice to ALL aspects of the holiday season at once tends to cause people to feel overwhelmed and burnt out. It’s easy to get swept up in societal messages about what the holidays are supposed to look like; how much money we should spend, and how effortlessly we should pull it off. But why?
While we’re tempted to create a sort of magic during the holidays, our fondest memories are often of simple moments and the people who mattered to us. Choose one or two areas where you’d like to put more of your effort and consider doing a “good enough” job for the other holiday tasks you find less rewarding or difficult.
By setting more realistic expectations for ourselves during this time, we are freed up to focus on what really counts. ■
To learn more, visit mankatoclinic.com/psychology
FALL 2022 | MANKATO CLINIC THRIVES14
KATIE WOJTALEWICZ, PSY.D, LP MANKATO CLINIC DEPARTMENT OF PSYCHOLOGY Mankato Clinic mankatoclinic.com 507-387-3195
THE WAY YOU ARE TREATED is JUST AS IMPORTANT as the TREATMENT YOU RECEIVE.
At River’s Edge Hospital, you are more than a patient. Every person who receives care is treated with compassion and respect. From the most basic health services to surgery, recovery and rehabilitation, River’s Edge Hospital makes your well-being a priority. You’ll receive a level of attention that goes well beyond your expectations.
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TOPFIVE
Breast cancer is among the most common cancers in women. Now for the good news: Early detection and treatment are making a difference. When found early, breast cancer is easiest to treat.
So put these five things on your healthy woman checklist!
Schedule an ANNUAL screening mammogram.
A screening mammogram is a mammogram that checks for breast cancer when no symptoms are present. Mammograms can find breast cancer years before physical symptoms occur. That’s why mammograms are one of the most effective tools to find breast cancer early when it’s small and easiest to treat. For women of average risk, annual mammograms are recommended beginning at age 40.
LEARN about 3D mammograms.
The first choice in breast cancer screening, 3D mammograms (breast tomosynthesis) offer a more detailed view of the breast tissue. Proven to detect more breast cancers in all women and all breast types, a 3D mammogram looks and feels similar to a conventional 2D mammogram. Above all, women appreciate that the 3D technology greatly reduces the need to call women back for further imaging. Most insurance covers the cost of 3D mammograms. Call the number on the back of your insurance card to make sure.
Get to know your GIRLS.
Physicians encourage breast self-awareness since most lumps and changes are found in normal daily activities like showering or dressing. So be familiar with how your breasts normally look and feel. If you notice any new lumps or changes in your breast tissue, let your healthcare provider know right away. Remember, not all breast lumps are cancer but it’s important to get it checked out.
FALL 2022 | MANKATO CLINIC THRIVES16
Understand your RISK.
Being a woman and getting older are the biggest risk factors for breast cancer, but there are others. Gene changes that are passed down in families or a high incidence of close relatives – mother, sister or child –who have been diagnosed with breast cancer can increase a woman’s risk. Talk with your healthcare provider to assess your risk for breast cancer no matter how old you are. If you are at a higher risk, annual screenings may be advised before age 40.
FOR BREAST HEALTH
LOWER your risk.
A healthy lifestyle might lower your risk for breast cancer.
Increased body weight and weight gain and drinking alcohol are linked with a higher risk of breast cancer after menopause. Studies also show a link between moderate to vigorous physical activity and a lower risk for breast cancer. So do your best to limit alcohol and maintain a healthy weight by staying active and eating a balanced diet.
HANNAH BRANDTS, MD MANKATO CLINIC DIAGNOSTIC IMAGING
Main Street 507-389-8570 mankatoclinic.com/breasthealth-imaging-1
Annual screening mammograms help radiologists compare the breast tissue from year to year and look for any changes in the breasts. A screening mammogram usually takes two views of each breast from different angles. When reading the mammogram, your radiologist may see an abnormality or change and recommend that you return for a diagnostic mammogram. In a diagnostic mammogram, we take additional views of the small area of tissue that needs further evaluation. Diagnostic mammograms zoom in and give us a closer look. Women who are called in for additional imaging should not be alarmed. Your radiologist is being thorough and carefully examining any questionable findings. ■
If it’s time for an annual mammogram, contact your primary care provider.
17MANKATO CLINIC THRIVES | FALL 2022
checklist
Get Better
SLEEP
Do you get restful and regenerative sleep on most nights? If so, that is fantastic!
If not, do you have some of these symptoms?
• Snoring
• Waking abruptly, gasping, or choking
• You’ve been told you stop breathing during sleep
• Your mouth is dry or have a sore throat in the morning
• You can fall asleep easily when sitting down to watch TV or read
• Find it hard to concentrate during the day
• Getting up more than once per night to urinate
• Tend to get irritable quickly
• Wake up with a headache
If you have any of these symptoms, please talk to your medical provider about a sleep evaluation. This test, whether done at home or in a sleep lab, will monitor and analyze your sleep patterns. Your provider will make recommendations on how best to improve your sleep.
By LAURIE TOMASZEWSKI LRT, CRT-NPS Handi Medical Supply
If it is determined that you have a sleep disorder called obstructive sleep apnea (OSA), continuous positive airway pressure (CPAP) therapy is often prescribed. CPAP is the standard treatment for OSA. With CPAP, you will wear a comfortable mask over your nose while the CPAP machine provides a flow of air. The flow of air acts like an air stent to keep your airway open during sleep.
Once prescribed, CPAP equipment is available at Handi Medical Supply, Mankato Clinic’s J. Scott Sanders Center for Sleep Medicine and other local suppliers. Handi Medical and Mankato Clinic teams will educate and coach you to make sure you are successful with your therapy.
Compliance to therapy is important not only to you, but to your health care provider and to your health insurance.
CPAP has benefits beyond better sleep:
• More energy
• Increased alertness
• Your blood pressure may improve
• Lower your risk, or improve your glucose tolerance
• Better moods
• Reduce risk of traffic accidents
• Stronger immune system
If these symptoms describe you, please reach out to your health care provider and ask what you can do to improve your sleep. To learn more about a sleep evaluation, call Mankato Clinic Neurology at 507-389-8568. We want you to have a great night’s sleep!
■
FALL 2022 | MANKATO CLINIC THRIVES18
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CARE
HOW DO I KNOW IF I AM HOMEBOUND?
The word homebound scares a lot of people, however when you look at the criteria more closely, it is less alarming to consider. For individuals to assess their 100%-covered homecare benefit through Medicare, they must meet certain requirements.
It’s important to understand that being considered homebound is not a permanent label. Often times it is a temporary precaution. For example, if someone is at higher risk for contracting illness such as COVID-19 or have a higher likelihood of complications, their doctor might advise them to remain homebound as much as is reasonable. Additionally, if a patient has received a surgery and they are homebound during the recovery, Medicare will cover needed services under the home health benefit during that time.
In cases where patients no longer meet the homebound criteria, they can transition to outpatient services. These services are covered up to 80% through a Medicare benefit for those who qualify.
In general, Medicare considers a person homebound if they are unable to leave their home without difficulty. Sometimes, they use the phrase ‘taxing effort’.
So, what exactly does taxing mean? What constitutes difficult? These are common questions that even professionals in the field need to discuss at times.
First of all, as mentioned previously, homebound status can be temporary. It is typically due to advanced age, illness, surgery or a disability.
Secondly, Medicare considers you homebound if you need the help of another person or the aide of medical equipment to leave your home. This could be crutches, a wheelchair, or a walker. An individual may also be considered homebound if their doctor believes that the individual’s health or illness could get worse if they leave their place of residence.
Lastly, Medicare has made some adjustments due to COVID-19. If the patient has a medical condition which makes them more at risk for contracting COVID-19 and/or experiencing severe outcomes due to COVID-19 exposure, the person can meet the homebound requirement for home health services.
Can I leave my home at all?
Yes! Even if you are homebound, you can still leave your home for the following:
• Medical treatment such as kidney dialysis, chemotherapy treatments, radiation therapy
• Regular doctor’s appointments
• Religious services
• Adult day care
Leaving home for short periods of time or for special nonmedical events such as a family reunion, funeral, or graduation, most often do not affect homebound status. Recipients of home health under Medicare may also take occasional trips to the barber or beauty parlor, grocery store, or even a short walk. However, these events must be infrequent and for short periods of time.
Who ultimately decides if someone is homebound?
Generally, the person’s primary physician makes that determination. Often times, providers have questions themselves about what Medicare considers homebound. When home health is working with patients, they are continually assessing homebound criteria. Homehealth professionals are the best resource for helping to determine if the homebound criteria are being met under the Medicare benefit.
Because there are so many nuances to meeting these criteria, at times even professionals may misinterpret who may or may not meet the guidelines. Also, providers are diligent about accurately making this assessment, as Medicare can and will deny payment for services rendered if the homebound criteria is in question. This diligence can lead to an overly conservative decision about homebound status. If it is not determined that an individual meets homebound requirement, and you believe that they do, additional questions are appropriate. ■
KELLY SIMMONS ADARA HOME HEALTH
To learn more, visit adarahomehealth.com
FALL 2022 | MANKATO CLINIC THRIVES20
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15-MINUTE MEAL: Air fryer chicken tacos
By HOLLY ELLISON, RD, LD
As a mom of three, I have learned to appreciate meals that can be ready in under 15 minutes and prepared with just one hand! This taco recipe is versatile, delicious and nutritious. Here’s why my family loves it:
Chicken. Air fryer chicken thighs are extra juicy, plus I love the ease and promptness of the air fryer. I will fully admit to substituting with chicken nuggets, chicken bites, or chicken strips for a super quick fix meal (or when I forget to thaw and marinade the chicken thighs).
Tortillas. My family prefers the soft and small “street taco” flour tortillas (about 4 inches) but any size or type would work.
Spices. For extra flavor, marinate the chicken overnight with orange juice, vinegar and spices for an extra kick. The orange juice and vinegar tenderize the chicken.
Cheese. Cheese is optional but who doesn’t love cheese!? In our family, adults prefer Cotija cheese and the kiddos prefer shredded sharp cheddar.
Toppings. Go wild here or follow my lead and keep it quick and simple. We use a bagged salad kit – they’re a sensational combination of leafy greens, toppings and dressing and mindless in the very best way! If I have the time or an extra hand, I toss on some additional toppings like cilantro, green onion, avocado, salsa or fresh lime juice. I am also known to “bulk up” the salad kit with more leafy greens. Revol Greens are Minnesotagrown year-round and are my fave.
ALL YOU NEED
2 lbs boneless skinless chicken thighs*
1/2 c orange juice
3 cloves garlic minced
1 T olive oil
1 T white vinegar
1 T chili powder
2 tsp paprika
2 tsp dried oregano
2 tsp ground cumin
1 tsp black pepper
1 tsp salt or to taste
12 (4-inch) tortillas
1 Bagged salad kit (Try Southwest or Asian Mix)
Optional: Cojita cheese, fresh cilantro, green onion, avocados, salsa, limes cut into wedges.
ALL YOU DO
1. In an airtight container or plastic storage bag, whisk together the orange juice, garlic, oil, vinegar and spices. Add chicken thighs and marinate covered in the fridge overnight (or for at least two hours).
2. Remove the chicken from the marinade, lightly brush the air fryer basket with oil, and place the chicken in a single layer in the air fryer basket and cook at 360 degrees for 14 minutes, flipping halfway through.
3. Meanwhile, in a bowl, mix contents from salad kit.
4. Remove the chicken thighs from the air fryer and chop or shred.
5. Prepare tacos by layering shredded chicken, salad and other toppings on tortilla(s).
* To substitute chicken breasts: 12 minutes, flipping halfway through.
* To substitute beef: Slice 1 lb steak of choice into strips, air fry for 7-8 minutes at 400 degrees.
* To substitute pork: Slice 1 lb thick cut pork chops into strips, air fry for 10-12 minutes at 375 degrees. ■
HOLLY ELLISON, RD, LD
FALL 2022 | MANKATO CLINIC THRIVES22
HOLLY'S KITCHEN
Smart snacking is good for everyone! For people with diabetes, smart snacks also help keep your blood sugar levels stable. Focus on pairing carbohydrates with a protein and/or fat. As an added bonus, you will feel fuller.
Whether you’re making your own snacks or buying them at a convenience store, here are some helpful tips from Mankato Clinic and the American Diabetes Association to fuel your body to feel your best:
• Keep individual servings of nonperishable snacks such as nuts – walnuts, almonds, peanuts, cashews – on hand. These snacks are great sources of healthy fats and protein and keep you full.
• Choose snacks that are high in fiber. Examples may include: whole grain/rice/nut crackers with nut butter; hummus and raw veggies; cottage cheese and berries; guacamole and chips; apple slices, baby carrots or celery with nut butter. Boost the nutrients by sprinkling some chia seeds on top!
• Keep it simple with whole pieces of fruit and string cheese or hard-boiled eggs.
• Purchase snack packs such as tuna or chicken salad kits, nut/cheese/dried fruit, or deli meat/ cheese/crackers.
• Prepare your own snack packs. Snack pack ideas include: tuna pouches with whole grain crackers; individually portioned nut butter paired with an apple or banana; guacamole and whole grain crackers; hummus and pretzel crisps.
• Similar to snack packs, find protein bars that are high in protein, healthy fat, and fiber such as: Perfect Bars, Orgain, KIND protein, Lara Bar Protein, Nature Valley Protein, and RX Bars. Or consider making your own. Check out the Chocolate Covered Katie blog for fast and easy protein bar recipes that use only five ingredients. Visit chocolatecoveredkatie.com/ protein-bars-recipe/.
Check out Diabetes Food Hub at diabetesfoodhub. org from the nutrition experts at the American Diabetes Association.
Red Quinoa and Farro Shake things up with this red quinoa and farro! The grains are flavored with a tangy dressing made with lime juice and oregano, plus a little heat from crushed red pepper flakes. If you can’t find red quinoa, regular white quinoa works just as well.
Add a protein and vegetable, such as grilled shrimp and asparagus, and you have a dinner just bursting with flavor and enjoyment! ■
What’s for supper? Diabetes: Snack Smarter November is National Diabetes Month Scan for Chocolate Covered Protein Bar Recipe! Scan for Red Quinoa and Farro Recipe! 23MANKATO CLINIC THRIVES | FALL 2022 MANKATO CLINIC DIABETES CARE CENTER Main Street 507-385-4114 mankatoclinic.com/diabetes-care-center
ME TIME
CONFESSIONS OF A HIGH-CAPACITY PERSON, LEARNING TO LIVE IN THE MOMENT
By LISA COWNIE
I have been described as a high-capacity person. I’ll admit that has generally been true in both my personal and my professional life. I raised four children, that alone means high capacity! My ability to get a lot done day in and day out comes in quite handy especially during the holidays, when there is so much extra to do!
A high-capacity person is often described as a person who has the same 24 hours in the day as everyone else, yet seems to maximize every minute and do all the things at once.
Wrong.
Want to know a little secret? I get A LOT done, by doing ONE thing at a time.
One thing I have learned over the years is to always be in the moment I am in. I have learned, practiced even, to focus only on the thing I am doing at any given moment. Because to be honest, if I thought about all the things I have to do, my stress level would be through the roof! So, I take things literally one thing at a time. To focus on what I am doing right then. That way I can enjoy the experience fully, give it my full attention, then quickly move on to the next thing!
When my kids were little, this took on a very different meaning than it does now. Then, it was pushing work from my mind to be present during their games or dance recitals. It meant not worrying about the sink full of dishes until after I read them the bedtime story. It meant talking to them during carpool instead of making phone calls. Being fully present with them was my priority.
Now, as an empty-nester, life looks different.
For example, when I am on the KEYC morning show from 5:30 – 7 a.m., I’m not thinking about the class I have to teach later that day, or the dry cleaning I have to pick up, or the story I have to edit, or what’s for dinner. I think only of what is happening with the show. After the show, my calendar may tell me I have to make some phone calls to set up future stories. So that’s what I do, I don’t think about the gift I have to pick up for my daughter’s birthday or the interview I have later that day. At 9 a.m., I go to teach my class at Minnesota State University, Mankato, focused only on what I have
prepared for the class and how I can best help the students for that hour and a half with them. I don’t think about the meeting I have at MRCI at 1 p.m.
You see, high capacity doesn’t mean constantly multitasking. It does mean creating a calendar and to-do list that helps keep you on track with preparing for what you need to get done in a day.
Here’s what I do; each Sunday night I take 15 minutes to plan ahead. I split that into five-minute increments. I spend five minutes looking a month out at my schedule. Do I have a trip? A social gathering? A fundraiser to attend? I think about what needs to be done for these things: get a pedicure for the beach, I put that in the calendar; make reservations for the get-together, I put when to do that in the calendar; I make sure the fundraiser is on my calendar too, including travel time.
Then I spend five minutes looking at the week ahead. Do I have a holiday party on Friday that I need to bring a treat to? I plan when I am going to make (or more likely go buy) that treat and put it in my calendar. I plan what I am going to wear. I look at my work projects and block off time on my calendar to conduct that interview, write that story, prepare for class, well, you get the drift, each task has its own time allotment and that is all I do during that time. Then finally I look at the next day, what is coming up tomorrow? I just make sure I know the flow of my day, when I need to be where and what I need to have with me.
Really that 15 minutes is what I need so I can feel prepared for each step of my day. Yes, this means I put EVERYTHING in my calendar: errands I have to run, a time to return texts/calls, time to focus on a work project. By doing a little bit each day on a big project, it helps keep it manageable.
VERY IMPORTANT: I schedule Me Time every single day. At least 45 minutes to exercise and 30 minutes to read. Those are my priorities. If other fun stuff comes along, like a happy hour with a friend, that is a bonus!
Now, are there times when something goes wrong and the calendar gets off track. Oh yes, in fact that often happens by 9 a.m.! So I just adjust. Knowing that while I am teaching class, I can’t do anything about the meeting at 1 p.m. anyway, so why worry about it now? While I am in the meeting at 1 p.m., I can’t make dinner, so why worry about it now?
It takes practice to be intentional about living in the moment, it takes practice to put your long to-do list out of your head, but once you get the hang of it, you’ll find your capacity might grow too! What matters most, though, is knowing your current capacity, accepting it, and optimizing what you have. ■
FALL 2022 | MANKATO CLINIC THRIVES24
We all need time to rest and regroup. The amount of necessary downtime increases during times of stress. The more stressed you are, the more you need that downtime. To increase your level of happiness and life satisfaction, one of the best changes you can make is to find more time in your schedule for a life that reflects what you’d really like to be doing. Taking a few minutes a day can make a difference but carving out a
to do what you’d really enjoy. Body Concepts can help you unwind, relax, reset and rejuvinate.
time” here and there can add up to a greater feeling of personal
little “me
freedom
TAKE TIME TO UNWIND STRESS LESS PACKAGE SALT ROOM + FOOT SOAKS + SAUNA POD + + Only $99 PURCHASE GIFT CERTIFICATES AND VISIT OUR HEALTH AND WELLNESS BOUTIQUE TIME YOURSELFfor Shop 543 Carli Jordan MOTHER-DAUGHTER DUO Gari Jo Jordan CUSTOMIZABLE FACIALS LOCATED IN BODY CONCEPTS BUILDING
SPIDERS ARE FOR HALLOWEEN
By LISA MONTAG
Have you been hiding your legs due to spider veins? Then it may be time to say goodbye to spider veins and feel confident in how your legs look. Skin Essentials at Mankato Clinic offers spider vein treatment to reduce or eliminate the appearance of spider veins.
When should you consider spider vein treatment?
• If you have visible veins on your legs or thighs that have a branching or web-like pattern.
• If you feel that your spider veins are a sign of aging that you would like to eliminate.
• If you are embarrassed by the noticeable branching or web-like veins.
• If you avoid wearing shorts, swimsuits or dresses because you don’t want others to see your spider veins.
How are spider veins treated?
Spider vein therapy called sclerotherapy is a procedure where a solution is injected into the vein which then causes the vein to shrink and gradually disappear. This is a minimally invasive procedure that can take about 30-45 minutes. Several treatments may be needed.
How do I know if treatment is right for me?
Lisa Montag, NP, of Skin Essentials at the Mankato Clinic offers complimentary consultations. To find out if you are a good candidate for spider vein treatment, call 507-625-6599.
OR VARICOSE VEINS?
Mankato Clinic provides treatment for both spider veins and varicose veins. While they are related, there are important differences between the conditions.
Varicose veins are twisted veins that can be blue, red or skincolored. The larger veins may appear ropelike and make the skin bulge out. Varicose veins are often found on the thighs, backs and fronts of the calves or inside the legs near the ankles and feet. They can be painful. Your legs may feel tired, heavy or achy. Some people experience throbbing, cramping, swelling and itching. Spider veins, or thread veins, are smaller than varicose veins.
They are usually red. They may look like tree branches or spider webs. Spider veins can usually be seen under the skin, but they do not make the skin bulge out like varicose veins do.
Lisa Montag, NP, of Skin Essentials will examine your legs to diagnose spider or varicose veins. Lisa treats spider veins with sclerotherapy at Skin Essentials.
If you have varicose veins, there are various treatments available from a Mankato Clinic physician. ■
Source: U.S. Office on Women’s Health
Call to schedule a FREE consultation.
IS IT SPIDER VEINS
LISA MONTAG, NP SKIN ESSENTIALS Skin Essentials Mankato Clinic skinessentialsmankato.com 507-625-6599
27MANKATO CLINIC THRIVES | FALL 2022
BOOK NOOK
READING FESTIVAL
Community partnerships promote literacy, celebrate reading
FALL 2022 | MANKATO CLINIC THRIVES28 By LISA COWNIE
Literacy is a vital part of Greater Mankato Area United Way’s mission. Based on the belief that books have the power to change a child’s life, the Reading Festival was born.
“Reading at an early age is proven to increase school readiness by developing literacy skills, comprehension, language patterns, attention spans, and creativity,” explains Elizabeth Harstad, Greater Mankato Area United Way Community Impact Director. “As a child grows, reading becomes increasingly important for understanding the world.”
Experts certainly back up this claim. The American Academy of Pediatrics recommends reading aloud to children daily, beginning in infancy. Reading aloud not only builds children’s language skills, but also exposes them to new ideas, develops motor skills, builds social, emotional, and problem-solving skills as well as strengthens parent-child relationships. The hope is that it also inspires them to be lifelong learners.
The Reading Festival is an annual event held each November where children receive free books donated by Capstone Publishing and participate in activities provided by local organizations. In fact, North Mankato-based Capstone has been a sponsor of the event from the very beginning.
“It is an awesome opportunity to get children excited about reading/learning and that is what Capstone is all about, making learning fun,” says Gail Beer, vice president of customer relations and fulfillment at Capstone.
The expo-style event, geared toward pre-Kindergarten through third-grade students, is held at the Mankato Family YMCA. All children are welcome. The festival relies on many community partners. You can also join the literacy efforts.
“People can get involved in children’s literacy through volunteer opportunities with United Way such as the Reading Festival. Those opportunities will be listed on Get Connected this fall. We also need volunteers in our Books for Kids program,” says Harstad.
Last year, Books for Kids distributed nearly 30,000 Capstone books to children in Greater Mankato Area United Way’s service area of Blue Earth, Le Sueur, Nicollet and Waseca counties.
“Next spring, people can volunteer with our Fourth Grade Book project delivering Shel Silverstein books to elementary schools in our region. There are also opportunities to help with tutoring through our United Way partner programs, Good Counsel Learning Center and Minnesota Reading Corps,” adds Harstad. ■
The Greater Mankato Area United Way’s Reading Festival is
geared
PreK-Third
from Capstone.
The Mankato Clinic Human Resources Team –Dani Syverson, Becky Kahle, Keith Bauer, Sara Will and Jen Groebner – volunteered for United Way’s Books for Kids.
2022 READING FESTIVAL 9 am-12 pm / Saturday, Nov. 19 Mankato Family YMCA Mankato Family YMCA 1401 S Riverfront Drive, Mankato For more info, visit mankatounitedway.org/reading-festival-0
an event
toward
graders offering fun activities to celebrate reading. Children receive a free book
To volunteer in literacy efforts and books for Kids, visit getconnected.mankatounitedway.org 29MANKATO CLINIC THRIVES | FALL 2022 FREE
Make Me A Thriver
By LISA COWNIE
Thriving is a way of life for the Graff Family
She is a mom to three kids, wife to an educator and ultra-marathoner, as well as being a dietitian and entrepreneur.
He is a dad to three kids, husband to a dynamo, high energy go-getter, as well as being a junior high school principal.
Together, Jon and April Graff are thriving and teaching their children to thrive along the way. They truly set the example of living a full life.
“I hope they learn the value in living a healthy, active lifestyle,” says Jon. “Most of all, I hope that they know how powerful they are, and that they can achieve anything they set their mind to.”
Not just lip service, as April echoes those sentiments.
“I hope they learn self-confidence and compassion for others,” says April. “I hope they put themselves in new and uncomfortable adventures and continue to not be afraid to try something new.”
Indeed, Jon, who is Principal at Saint Peter Middle School, and April, a registered dietitian with Hy-Vee, set the example by tackling new things in their own lives.
Jon says, “I ran my first ultra-marathon in 2010. I’ve always enjoyed pushing my physical limits. In high school, I participated in multiple sports. In college, I quickly realized how much I missed being active/competitive,” explains Jon. “I tried a club sport, but didn’t like how it impacted my study and work schedules. Running became my outlet. It kept me healthy, satisfied my need to push myself physically, and awarded me an opportunity to turn off the stressors of the real world.
“In 2009, three years after college graduation, I ran my first marathon to prove to myself that I could do it. I crossed the finish line and immediately thought, ’What’s next?’ A
year later I ran my first ultra and was hooked. Overall, trail running brings me peace, closer to nature, and provides me with a sense of accomplishment. It’s a bit counterintuitive but for an introvert like myself, getting lost in the woods for a few hours at a time has a definite recharging effect.”
April too, finds ways to recharge. She knows that self-care is the best way to ensure she can care for others.
“I prioritize the things and people that are most important to me, realizing that something will always have to give. To thrive, it’s important to make time for things that fill your cup. For me that includes DIY projects, friends and travel. I’m a much better wife, mom, employee, and friend when I’m coming from a place of energy. Also, erasable, colorcoded pens are a life saver,” she smiles.
As a registered dietitian, April knows all too well the importance of nutrition. As a mom she has also learned how to make it a priority for her kids to.
“Don’t take it too seriously. Make food and nutrition fun,” she says. “Once meals become high-pressure events, they become battlegrounds where no one wins. Instead, include kids in to the meal and food process. Let them get their hands, and your kitchen, dirty with meal prep. Have them choose a meal and recipes. And, like with anything, learning takes time and repetition. So, keep serving those leafy greens, but try them in a new way. Both you and the kids will learn something new.”
Do you know a Thriver?
If so, email Lisa Cownie at LCownie@gmail.com
What is an ultra-marathon?
Jon Graff explains, “An ultra-marathon is a running event that is greater in distance than the 26.2 miles of a traditional marathon. I have participated in a number of trail events ranging in distances from 50K to 103.3 miles. My favorite event is the Fall Superior Trail Race which follows the Superior Hiking Trail from Gooseberry Falls to Lutsen. The trail is peaceful, Lake Superior is humbling, the race is incredibly challenging, and the people are amazing.” ■
31MANKATO CLINIC THRIVES | FALL 2022
MEET DR. BRANDTS Here to care.
Dr. Hannah Brandts has joined Diagnostic Imaging.
Originally from Lake Crystal, she attended the University of Minnesota Medical School, Duluth/Minneapolis. She completed her diagnostic radiology residency at Mayo Clinic Rochester and breast imaging fellowship at Mayo Clinic Rochester.
She enjoys general radiology, particularly breast imaging. She spends her free time with her husband and kids doing anything and everything outdoors!
Main Street 507-389-8570 mankatoclinic.com/breast-health-imaging-1
FALL 2022 | MANKATO CLINIC THRIVES32
MANKATO CLINIC DIAGNOSTIC IMAGING
HANNAH BRANDTS, MD MANKATO CLINIC DIAGNOSTIC IMAGING 526 M-F 9-7 • SAT 9-5 • SUN 12-5 | 507.388.7958 | 1310 MADISON AVE, MANKATO FOUR EASY STEPS GET THE ULTIMATE FIT OUR CERTIFIED FIT SPECIALISTS WILL ENSURE YOU GET A CUSTOMIZED SOLUTION STOP IN AND EXPERIENCE THE ULTIMATE FIT Find The Right Shoe For Your Unique Style Measure Each Foot Build A Complete System For All-Day Comfort Stop In Any Time For Continued Service 1 2 3 4
33MANKATO CLINIC THRIVES | FALL 2022 542 528 We pride ourselves in freshly served food daily with a variety of gourmet cuisines. 507-779-7191 | sadakadeli.com Madison East Mall | Mankato Catering Available Monday-Friday 8am-3pm Deli Available 1800 Adams Street • Mankato petexpomankato.com 507-625-2505 540 OCT. 1 12 -3: 0 0 P M :0 0 P M Happy Anniversary 1987-2022 CELEBRATE WITH US!
Here to care.
MEET ANNA
Anna Johanson, clinical social worker, has joined the Department of Psychology.
“My biggest priority is to create a nonjudgmental environment where patients feel comfortable to speak freely about their feelings and concerns,” Anna says. “Developing a trusting and positive working relationship with my clients is the best foundation to affect change.”
Her clinical interests include depression, anxiety, obsessivecompulsive disorder and family relationships. She has experience working with children, adolescents, adults and families with the majority of her experience in elementary and high school settings.
A native of Wells, she earned her master of social work degree from Minnesota State University, Mankato.
She enjoys spending time with her husband and son, going to movies and reading.
MANKATO CLINIC DEPARTMENT OF PSYCHOLOGY
Madison East Center 507-387-3195 mankatoclinic.com/psychology
ANNA JOHANSON, MSW, LICSW MANKATO CLINIC DEPARTMENT OF PSYCHOLOGY
FALL 2022 | MANKATO CLINIC THRIVES34
NEW PROVIDER partnersforhousing.org Sips 4 S helte r Sa ovember 13, 2021 M to 5:00 PM Hosted by Circle Inn Live Music The Jeremy Poland Band Food by The Pelican food truck Silent Auction Ticckets s on n sale e Noov. 1stt: : $775 5 Dessiignaateed d drrivveer Tickeetss: $35 Siipps 4 S helte r Nov , 2021 M t M Hosteed d by Circle Inn Live Music The Jeremy Poland Band Food by The Pelican food truck Silent Auction Ticckkeets s on n sale e N Noov v 1st t $75 5 Deessiignaateed d drriver Tickeets s $35 5 Sips 4 S helte r Sa ovember 13, 2021 M to 5:00 PM Hosted by Circle Inn Live Music The Jeremy Poland Band Food by The Pelican food truck Silent Auction Tickeets s on n sale e N Noovv. 1stt: : $775 5 Deessiignaateed drriver Ticckets: $35 539 Whether you’re starting or advancing, we have the undergraduate and graduate Nursing programs to fit your goals and support to help you at every step. Enroll now. In Mankato and Online Nursing Programs at Every Level Mankato 507-625-6556 rasmussen.edu 529 Learn More! mankatoclinic.com/join-our-team
531
Here to care.
MEET MARGIE
Margie Bach, nurse practitioner, has joined the Mankato Clinic Nephrology (kidney care) Department.
“By creating and growing relationships with my patients and their families, I find enjoyment and true fulfillment each day in clinic. Establishing a level of trust with my patients and ensuring they have a voice in their healthcare plan is extremely important to me,” Margie says.
Margie’s clinical interests include acute and chronic kidney disease, chronic disease management, hemodialysis and family medicine.
Originally from Lake Crystal, Margie earned her bachelor and master of science in nursing at Minnesota State University, Mankato. She completed her nurse practitioner clinical residency with Mayo Clinic School of Health Sciences.
She enjoys reading, being outside and spending time with family and friends.
What makes you thrive?
I enjoy traveling, exercising, playing fetch with my Chocolate Lab, Sadie, and going to country music concerts with my husband, Joe.
JOIN OUR TEAM
What’s your favorite thing to cook? I love trying new recipes – anything and everything!
What’s your favorite food or beverage? Coffee and Diet Coke.
What’s the best way to spend a day off? At the lake on the pontoon with music playing and the sun shining!
MANKATO CLINIC NEPHROLOGY
Main Street 507-389-8544 mankatoclinic.com/nephrology-kidney-care
Mankato Clinic is hiring. Visit mankatoclinic.com/join-our-team
MARGIE BACH, APRN, CNP, FNP MANKATO CLINIC NEPHROLOGY (KIDNEY CARE) DEPARTMENT
FALL 2022 | MANKATO CLINIC THRIVES36
37MANKATO CLINIC THRIVES | FALL 2022 -Personal Care -Companionship -Medication Reminders -Meal Preparation -Assist with Pet Care -Light Housekeeping -Assistance Getting Ready -Memory Care -Fall Prevention -Exercise Encouragement -Appointment Reminders -Run Errands 100 Warren St Suite 347, Mankato, MN 56001 |(507) 769 0828 | synergyhomecare.com 544 519 Small Children Classes Wee Dancers Ages 2-3 Sat 10-10:30 Tiny Ballerinas Ages 3-5 Tue 5-5:30 Sat 10:30-11 Preschool Movement Ages 3-4 Tue 5:30-6 Sat 11-11:30 Ballet Classes Beginner Ballet Ages 5+ Tue 6-6:55 Intermediate Ballet Thur 4:30-5:35 Lyrical/Ballet Thur 6:30-7:25 Pointe Approval Only Tue 8-8:55 Pre-Pointe Approval Only Tue 5-5:30 Combo Classes Combo A Ages 5-6 Mon 5:15-6 Wed 5-5:45 Sat 11:30-12:15 Combo B Ages 7-8 Wed 5-5:55 Combo C Ages 9-10 Thur 5:30-6:25 Tap/Jazz Class Tap/Jazz 1 Thur 7:30-8:25 Tap/Jazz 2 Thur 7:30-8:25 Day Time Combos Starts Oct 5 Combo E Ages 5-6 Wed 1:45-2:30 Combo D Ages 7+ Wed 2:30-3:15 Boys Classes Beginner Combo (Tap, Jazz, Hip Hop) Ages 5+ Wed 5-5:55 Intermediate Hip Hop Ages 9+ Thur 6-6:55 Intermediate Tap Jazz Ages 9+ Thur 7-7:55 Adult Classes Adult Tap Mon 7-7:55 Adult Sampler Class *Jazz, Tap, Hip Hop, Ballet Sat 10-10:55 Annual Membership Fee $20 per dancer if registered by Aug 1st. $30 after Aug 1st. Membership fee is non refundable Tuition $32 for 30 minute classes, $40 for 45 minute classes, $50 for 55 minutes classes Discount for multiple classes *All subject to change based on Enrollment. Minimum 4 students per class to keep classes.**Costume Packages of $115-120 will be due in October 2022. Package includes costume, tights when needed, practice cd, & recital t-shirt. Hip Hop Classes Hip Hop 1-2 Ages 6+ Tue 7-7:55 Wed 6-6:55 Boys Inter. Hip Hop &Hip Hop 3/4 Ages 6+ Thur 6-6:55 For the full schedule visit dcsmdance.com 1400 Madison Ave Suite 318 | Mankato 507-625-2005 DANCE SCHEDULE MANKATO 2022-2023 Classes Start Sept 6
NEW PROVIDER
Holly Ellison, registered and licensed dietitian, is a diabetes educator at the Mankato Clinic Diabetes Care Center.
“My approach to diabetes is to provide practical solutions for patients and their families that balance taste and nutritional needs. I have a strong passion to help people of all ages live fuller, easier, and healthier lives,” Holly says.
Originally from Worthington, Holly earned a bachelor of science in dietetics from Minnesota State University, Mankato. She completed her dietetic internship through the University of Wisconsin-Green Bay. She is a member of the Academy of Nutrition and Dietetics, MN Dietetic Association and South Central Dietetic Association.
You may know Holly from her role as registered dietitian at the downtown Mankato Hy-Vee and Minnesota State University, Mankato.
She enjoys baking, gardening, biking, reading, and spending time with family and friends (of the human and animal kind).
What makes you thrive? Order, control, efficiency, organization, and planning balanced with time spent outdoors walking, hiking, biking or just lying in the hammock.
Here to care.
MEET HOLLY
What’s the best piece of advice you’ve ever been given? Be kind. Always. You never know what someone else is going through. Be gentle, have compassion, and default to empathy.
What surprises people about you?
I was a cheerleader in high school and college.
What’s your favorite thing to cook?
I enjoy baking cookies and muffins – I associate doing so with many happy memories of time spent in the kitchen with my granny. Baking slows down my body and quiets my mind by giving me a sole task with exact instructions to focus on, so I guess it is like a form of meditation for me. The only thing better than baking is sharing the goodies with everyone, that act of kindness fills my bucket!
MANKATO CLINIC DIABETES CARE CENTER
Main Street 507-385-4114 mankatoclinic.com/diabetes-care-center
HOLLY ELLISON, RD, LD MANKATO CLINIC DIABETES CARE CENTER
FALL 2022 | MANKATO CLINIC THRIVES38
Angie Owens,
Kristen Mellen
Sarah McCourtney
Supervisor
Supervisor
39MANKATO CLINIC THRIVES | FALL 2022 BACK, NECK & SPINE ELBOW & SHOULDER FOOT & ANKLE HAND & WRIST HIP & KNEE JOINT REPLACEMENT & REVISION ORTHOPAEDIC TRAUMA PEDIATRIC ORTHOPAEDICS SPORTS MEDICINE SPECIALIZED CARE WHERE YOU NEED IT 525 537 507.227.2545 KAREN TOFT Marketing/Sales NATASHA WEIS Owner/Publisher SCAN TO READ OUR PUBLICATIONS ONLINE FOLLOW US ON Facebook LUXE is seeking an Advertising Sales Rep. If you understand how your hard work, creativity, and developing and maintaining good relationships pays off, this could be your dream job! If you have a winning attitude, can work un-supervised and are a self-starter, then you have what it takes. Contact Natasha Weis Today! DREAM JOB ALERT! WE work HERE & WE live HERE, too Skilled Nursing • Physical Therapy Occupational & Speech Therapy NURSE OPERATED Adara collaborates with Mankato Clinic to offer a complementary care needs assessment. We provide high-quality healthcare by focusing on continuity of care. This care helps maintain your optimal health, wellness, and independence. Let your Mankato Clinic provider know that you’d like to see what services you may qualify for and benefit from by requesting a care needs assessment through Adara Home Health. Servicing Mankato, Fairmont, New Ulm, Owatonna, Faribault, Albert Lea, and surrounding communities. Call ADARA at 507-519-4016 Adara Home Health is MN Home Care Licensed & Medicare Certified 518 VOTED BEST OF 2021 & 2022 HOME HEALTH CARE
GM
Clinical
Clinical
NEW PROVIDER
Heather Stehr, nurse practitioner, has joined Mankato Clinic Family Medicine at Wickersham Health Campus.
“My goal is to take the time to make each patient feel listened to and to help them achieve their desired level of health,” Heather says.
Heather’s clinical interests include family medicine, occupational health and behavioral health.
Originally from Mankato, Heather earned her master of science in nursing from Briar Cliff University, Sioux City, Iowa, and her bachelor of science in nursing from Minnesota State University, Mankato.
In her free time, she enjoys spending time with family and friends, watching her children play sports, playing softball, traveling and exercising.
What makes you thrive? Waking up early to exercise and allowing myself some “me” time and watching my kids participate in their activities.
Here to care.
MEET HEATHER
Why did you join the Mankato Clinic?
I completed two clinical rotations at Mankato Clinic and felt valued even as a student.
What’s the best piece of advice you’ve received? Follow your heart and you can do anything you put your mind to.
What did you want to be when you grew up?
I spent many hours attending my mom’s nursing classes when she couldn’t find daycare. Ever since, I have always wanted to be a nurse!
What’s your favorite food? Tacos.
What’s your favorite sport or game? I love all sports, card games or anything competitive really!
MANKATO CLINIC FAMILY MEDICINE
Wickersham Health Campus 507-385-4060
mankatoclinic.com/family-medicine
HEATHER STEHR, APRN, CNP, FNP MANKATO CLINIC FAMILY MEDICINE
FALL 2022 | MANKATO CLINIC THRIVES40
Freedom Home Care is the ideal solution for aging adults who want to maintain their independence by continuing to live in the comfort of their own homes. Our team is passionate about serving others and it’s our goal to care for the whole person with our home care and case management services. Learn more at: www.freedomhomecarellc.com.
MN
NURSING
41MANKATO CLINIC THRIVES | FALL 2022 ALLIED HEALTH PROGRAMS • Dental Assisting • Emergency Medical Services • Health Unit Coordinator • Intensive Care Paramedic Technician • Medical Assisting • Medical Laboratory Technician • Phlebotomy
PROGRAMS • Practical Nursing (Preparation for LPN) • Professional Nursing (Preparation for RN) • Nursing Assistant (Preparation for CNA and HHA) An affirmative action, equal opportunity employer and educator. This material can be made available in alternative formats by contacting the Academic Support Center at 507-389-7222 or ds@southcentral.edu. Faribault | North Mankato www.southcentral.edu/programs Providing Health Sciences Education for 50+ Years All two-year programs are nationally accredited. 516 Proud to be locally owned. Set Up your free in home assessment. Call 507 387 4663 today.
MORE CARE MORE PEACE OF MIND 1635 North Riverfront Drive Mankato,
56001 520
Dr. Ashley Thorson has joined Mankato Clinic Obstetrics and Gynecology (OB/GYN).
“Providing women’s health care is very important to me. I enjoy establishing relationships with my patients and partnering with them to make the best healthcare decisions throughout their lifetime,” Dr. Thorson says.
Her clinical interests include prenatal care, high risk obstetrics, gynecology and minimally invasive surgery.
A native of Le Sueur, she earned her medical degree at the University of Minnesota Medical School, Minneapolis, and completed her residency at the University of Nebraska Medical Center, Omaha.
She enjoys traveling, spending time with family, running with her husband after their three boys, movies, quilting and gardening.
What makes you thrive? Traveling! There are so many things to do, see and experience in this world.
Here to care.
MEET DR. THORSON
ASHLEY THORSON, MD MANKATO CLINIC OBSTETRICS AND GYNECOLOGY
Who was your favorite teacher?
Mrs. Straub, first grade. She was so nurturing and instilled a desire for learning in me.
Mr. Bruns, high school social studies. He taught me it was okay to advocate for things I’m passionate about.
Why did you join the Mankato Clinic?
I was born and raised in southern Minnesota. It’s important for me to live here – close to family. When I was interviewing, Mankato Clinic felt like family!
As a child, what did you want to be when you grew up? An astronaut. Reach for the stars, right?!
What’s your favorite thing to cook? I really don’t like cooking. I leave the cooking to my husband, but I love to bake.
If you could travel anywhere in the world, where would you go? Antarctica or Africa.
What’s your favorite game? Super Mario Party with my boys.
MANKATO CLINIC OBSTETRICS AND GYNECOLOGY
Main Street 507-389-8522
Meet Dr. Thorson in her video by visiting mankatoclinicobgyn.com/gynecology
FALL 2022 | MANKATO CLINIC THRIVES42
NEW PROVIDER
FIND THE DIFFERENCES
43MANKATO CLINIC THRIVES | FALL 2022
7
ALLIE JOHNSON
makes a difference every day
ALLIE JOHNSON DEPARTMENT SPECIALIST NORTH MANKATO FAMILY MEDICINE
For the last 16 years, Allie Johnson has been the familiar face patients see when they come to North Mankato Family Medicine. Working the front desk, Allie warmly greets patients and checks them in for their appointments.
“I enjoy helping our patients and getting to know them. Every day is always a little different,” Allie says. “My job is rewarding. We are able to watch families grow and change. We may see patients who are facing difficult health issues and it is always rewarding to see them come back feeling so much better. It may be challenging at times but knowing we are helping our patients outweighs everything!”
Allie makes sure the clinic has all the correct personal, insurance and billing information when the patient checks in and registers. She also gives patients medical forms to fill out and supports providers and nurses as needed.
Allie was looking for a change of pace when a friend encouraged her to apply at Mankato Clinic. Looking into the position, she found that wages and benefits were comparable.
“I felt welcomed and it was a great fit from the start,” says Allie. “I also enjoy my team and have made some lifelong friends here.”
Allie lives in rural Saint Peter with her fiancé, Scott, and their German Shepherd, Barrett. They have two adult children, Brook and her fiancé Dan and Parker and his wife, Nikole. In her free time, she enjoys spending time with her family and good friends. She also enjoys baking and reading.
If you’re looking for a good book series this fall, Allie recommends the Cork O’Connor Mystery Series by William Kent Krueger, New York Times best-selling author. Set in the north woods of Minnesota, there are 19 books and counting! ■
Mankato Clinic is hiring. Visit mankatoclinic.com/join-our-team
for people. It fuels our passion and commitment. Our actions demonstrate it and it's in everything we do
JOIN OUR TEAM
Our purpose is to care
every day. Don’t be afraid to try something new! Prior to Mankato Clinic, I never pictured myself working in health care. Mankato Clinic has been a great place to work –our team! come join
Apply today and explore careers, well lived at Habilitative Services.
DISCOVER CAREERS, WELL LIVED.
Our mission at Habilitative Services is to create a world where every person has the right to live well. As a Caregiver, you’ll provide assistance and strategies to the individuals we serve to help them live well in their community and environment.
1400 Madison Ave. Ste. 206, Mankato
This role is part of HSI, a member of the Sevita family. At Sevita, we believe that everyone deserves to live a full, more independent life. Through home and community-based specialized care, our work changes lives and inspires growth at every turn. When you join our mission-driven team, you’ll create relationships that motivate us all to be better every day. We have a bright future and the determination to get there. Join us today — careers, well lived. Equal Opportunity Employer, including disability/veterans.
45MANKATO CLINIC THRIVES | FALL 2022
SevitaCareers.com 535
FULL-TIME, PART-TIME AND WEEKEND POSITIONS AVAILABLE IN MANKATO, NORTH MANKATO AND ST. PETER. WAGES STARTING AT $15 PER HOUR! PRINTING REFRESHING COLOR EVERY DAY 1750 Northway Drive • North Mankato, MN 56003 www.corpgraph.com 541
Back to School Project LIGHTENS THE LOAD
By MARIE WOOD
The Friends of Learning Back to School Project serves families in public and private schools in Saint Peter and rural Nicollet County. Now in its 10th year of providing backpacks filled with school supplies, the program served about 600 students this year. For each student to receive a sturdy backpack filled with school supplies, the cost is $60 per student, $36,000 total.
“I think back to what it was like when I was going back to school and the excitement of having all those new supplies. It’s one less barrier that the child has to overcome in going back to school,” Michelle Zehnder Fischer, said.
Backpacks are filled with the school supplies needed for each grade; kindergartners receive different supplies than third graders. This program removes the stigma and anxiety of going to school without new crayons and folders. Kids start the year with the tools they need to learn.
Michelle Zehnder Fischer, Nicollet County Attorney, is a St. Peter Lions Club member. The service project is in collaboration with St. Peter Lions Club, Nicollet County Health and Human Services, The Salvation Army, and Friends of the Saint Peter Library.
“Education is so important for our children. We know that kids who are receiving an education and are able to connect in school do so much better as they grow and develop into adults,” she said.
Over the years, the need has grown from 372 students served in 2012 to about 600 students today.
“The community has always stepped up to meet the need in supplies and financial support. Our area businesses have always been very generous in contributing funds and now we’ve been asking for more volunteers to help with the stuffing and filling event. It takes a lot to fill 600 backpacks!” she said.
Every August, backpacks are filled at Johnson Hall on the Nicollet County Fairgrounds where parents pick them up.
“Parents don’t have to make difficult choices if they have a limited amount of funds to meet their family’s needs,” Zehnder Fischer explained.
The Back To School Project also supports teachers who would otherwise spend their own money to give students supplies.
A longtime supporter, the Mankato Clinic Foundation awarded a $3,000 grant to the Back to School Project 2022-23. ■
The Back to School Project is a game changer. It allows us to give backpacks and school supplies to kids so that when they walk in the building, they have the same things the other kids have. They have their own school supplies. No one knows if the backpack came from this program or if parents purchased it for them. It’s one of those burdens we can lift from families. It’s so great to see the generosity of the community.
Friends of Learning is a collaborative group who lead the Back to School Project. Friends of Learning includes Jeff Owen, Michelle Zehnder Fischer, Nicole Goettl, Dean Wahlund and Chanelle Braekkan. All members are not pictured.
The Saint Peter Football Team brings the muscle to help fill backpacks and set up workstations with pounds of notebooks, paper, crayons, glue sticks and more!
— Principal Doreen Oelke South Elementary, Saint Peter
FALL 2022 | MANKATO CLINIC THRIVES46
Our Community
Giving back to the community is part of who we are at the Mankato Clinic. A small, dedicated group of physicians started the Mankato Clinic Foundation in 1965, making it one of the oldest foundations in Minnesota.
Our mission is to encourage and support the health and well-being of the communities we serve through health initiatives that promote and improve community wellness. In the last 10 years, the Mankato Clinic Foundation has provided more than $1.8 million in scholarships and grants to worthwhile organizations, programs and projects.
During the third quarter of 2022, the Mankato Clinic Foundation awarded $14,162 in community grants to:
• Friends of Learning Back to School Project ($3,000)
• Minnesota State University Foundation Maverick Camp Rec & Read Scholarships ($4,662)
• Helping Paws of Minnesota Service dog for a person with physical disabilities, veteran or first responder with PTSD ($3,000)
• City of Saint Peter Active Aging Week 2022 ($1,000)
• Lake Crystal Wellcome Memorial Elementary School Every Knight Every Day positive behavior program ($2,500)
The foundation receives the majority of its funding from Mankato Clinic physicians, along with giving by Mankato Clinic staff and the greater Mankato community.
If you would like to help build a healthier tomorrow for greater Mankato communities, you can give to the Mankato Clinic Foundation at: Mankato Clinic Foundation
1400 Madison Avenue, Suite 324B Mankato, MN 56001
Grants are awarded on a quarterly basis. The next grant deadline is December 1. To learn more, visit mankatoclinic.com/mankato-clinic-foundation
47MANKATO CLINIC THRIVES | FALL 2022
Getting to know those who serve
The Mankato Clinic Foundation Board is made up of physicians, staff and community members. This fall, the Foundation Board says goodbye and thank you to two members who have completed three, three-year terms on the board. That is the longest term allowed! Both women say they are proud to be part of an organization that has understood the importance of giving back to the Mankato area for more than 50 years.
Katie Smentek, MD Cathy Davis, MD
Dr. Davis has been on the board since 2014, it seemed a natural extension to other Clinic initiatives she was involved in at the time. She has spent many years volunteering around the world in the Doctors Without Borders program, through the Foundation though, she can help those closer to home.
“It surprised me that there are so many organizations in our service area that are working to make our communities a better place. It is also surprising how much fun giving away money can be!” she reflects.
Dr. Davis acknowledges they often receive more requests than they can fund, so she wants all to know the decisions are not made lightly.
“The foundation carefully considers all requests and grants those that fit into the mission of the Foundation,” she says.
Dr. Davis also volunteers in medical mission trips to Guatemala and Mexico with other Mankato Clinic physicians and staff for the organization Minnesota Doctors for People.
Dr. Smentek has been on the Foundation Board since 2015.
“I joined the Foundation because I was looking for a way to become more involved in clinic leadership and the community and this was a perfect way to start,” she reflects.
She says being on the board has been rewarding in a number of ways.
“This is the absolute best committee to be a part of. We get to give money to organizations that promote health and wellness in our area. I also get to learn about many of the new non-profit activities and organizations that might benefit my patients directly. It is always nice to be able to direct patients and their families to resources in our area that can support them.”
First Steps is one program Dr. Smentek has seen patients benefit from. First Steps, a collaboration between the Foundation, Mankato Clinic, Greater Mankato Area United Way, and Blue Earth County, supports pregnant women and young children. “Families in need of enhanced social support are identified at prenatal appointments and are connected to a coordinator who provides immediate help to access essential services. The families I see in clinic who have been supported by First Steps have a solid foundation and can focus on helping their baby grow and thrive,” she says. ■
Photo by The Free Press
FALL 2022 | MANKATO CLINIC THRIVES48
SOLUTIONS SUDOKU 49MANKATO CLINIC THRIVES | FALL 2022
Family Solutions
Good Counsel
To learn more or sign
CALENDAR
Mankato
session, contact Stephanie Jordan, LADC, SJordan@wlcfs.org
Participants learn about the current opioid crisis, signs of an overdose, how to administer Narcan and receive an overdose prevention kit. Trainings are in partnership with the Steve Rummler Hope Network.
Choose from the full marathon, relay, half marathon, 10K, 5K, KidsK and Bold Challenges.
Minnesota State
Union-Upper
620 West, S Road, Mankato
Attend a dark and starry night of culinary delights to benefit Feeding Our Communities Partners.
visit feedingourcommunitiespartners.org/cirque-du-crave.html
TRUNK SHOW
Mankato Clinic Optical, Wickersham
1421 Premier Drive, Mankato
Mankato Clinic Optical
Check out the Eyewear Trunk Show at the grand opening of Mankato Clinic Optical in its new location in the Wickersham lobby. The Trunk Show will feature frames from Fossil, Kate Spade, Banana Republic, Marc Jacobs, Helium, Danny Gokey, Adrienne Vittadini.
Mankato Family
S Riverfront
more info, visit mankatounitedway.org/reading-festival-0
The Greater Mankato Area United Way’s Reading Festival is an event geared toward PreK-Third graders offering fun activities to celebrate reading. Children receive a free book from Capstone.
EYEWEAR
9 am / Monday, November 7
Health Campus
To register, visit mankatomarathon.com MANKATO MARATHON October 14–15
Mankato Minnesota COMMUNITY NALOXONE (NARCAN) TRAINING 5-6 pm / Oct. 10, 24 / Nov. 14-28 / Dec. 12
Christian
44
Drive,
up for a training
Christian Family Solutions FREE For tickets,
CIRQUE DU CRAVE 5:30-8:30 pm / Oct. 27
University Ballroom Centennial
Level
Minnesota State University Ballroom
FALL 2022 | MANKATO CLINIC THRIVES50
OF EVENTS 2022 READING FESTIVAL 9 am-Noon / Saturday, Nov. 19
YMCA 1401
Drive, Mankato Mankato Family YMCA
FREE For
MENS • WOMENS • GIFTS 1640 MADISON AVENUE, MANKATO • 507.345.8885 • JLONGS.COM 523
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