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Assembling the Pieces of Health Care Reform in South Dakota

Save the Dates for the SDAHO 84th Annual Convention September 22-24, 2010 • Sioux Falls, South Dakota


Table of Contents April / May Volume 1, Issue 1

Cover Story 6 Caring for a Needy World

By: Alex Strauss

While many physicians dream about putting their skills to use on a global scale, some local doctors are doing it. MED talks with five doctors who’ve travelled the globe to bring hope and healing to some of the most impoverished parts of the world.

4 Publisher’s/Editor’s Page 5 Meet the MED Advisory Board 13 Preventive Healthcare

Legislation By Dave Hewitt

14 Ode to Joy! Symphony to

Offer Special Concert

19 Pham Performs First SD Laser

Lead Extraction

Feature Story 20 Stroke Screening by CNOS

By: Alex Strauss

Stroke is the third leading cause of death and disability in the U.S., behind cancer and heart disease The CNOS Clinic in Dakota Dunes has launched a concentrated effort to reduce the number of strokes in our region by offering regular carotid screenings and stroke education. An Iowa man owes his life to one of those screenings after the results prompted doctors to perform emergency late-night surgery

25 Avera Offers New Cancer

Treatment

30 News & Notes

17 Sanford Children’s Clinic

Belize Receives Community Support

Staff Publisher Steffanie Liston Editor in Chief Alex Strauss Magazine Layout & Web Design 5j Design LLC - Sioux Falls, SD Creative Director - Jake Peterson Cover & Logo Design Darrel Fickbohm Contributing Writers Mary Olinger, Charlotte Hofer, Dave Hewitt

Reproduction or use of the contents of this magazine is prohibited.

Advisory Board: John Berdahl, MD Mary Berg, MD Michelle L. Daffer, MD James M. Keegan, MD, Timothy Metz, MD Patty Peters, MD Juliann Reiland-Smith, MD Luis A. Rojas, MD Daniel W. Todd, MD Published by: MED Magazine, LLC Sioux Falls, South Dakota

©2010 Midwest Medical Edition, LLC MED Magazine is committed to bringing our readership of 3500 South Dakota area physicians and healthcare professionals the very latest in regional medical news and information to enhance their lives and practices. MED is published 8 times a year by MED Magazine, LLC and strives to publish only accurate information, however Midwest Medical Edition, LLC cannot be held responsible for consequences resulting from errors or omissions. All material in this magazine is the property of MED Magazine, LLC and cannot be reproduced without permission of the publisher. We welcome article proposals, story suggestions and unsolicited articles and will consider all submissions for publication. Please send your thoughts, ideas and submissions to alex@midwestmedicaledition.com. Magazine feedback and advertising and marketing inquiries, subscription requests and address changes can be sent to steff@ midwestmedicaledition.com. MED is produced eight times a year by MED Magazine, LLC which owns the rights to all content.


Letter from the Publisher

I

would like to welcome you to the first issue of Midwest Medical Edition – MED Magazine, the only locally-produced publication specifically for all doctors in our region. We hope you will enjoy it, and will let us know how we can improve.   One of my goals as publisher in 2010, is to make Steffanie Liston sure we are out there in the medical community, attending events, meeting our readers and getting your feedback. We have already been busy in our first month prior to publication, travelling across the region and letting everyone know about this new communication tool. If you would like to know more about MED or find out how we can help you promote your practice or business to the rest of the healthcare community, please call or email me.   

It was great to see many doctors there showing their support.   I was particularly impressed that local oncologist Dr. Luis Rojas and his wife stepped up at the last minute to offer an extra item – dinner at their house – for the fundraising auction. That kind of spirit makes me proud to be promoting this great medical community. MED will be at the South Dakota Medical Group Manager’s Association Spring Conference at the end of April.  Please look for our booth and pick up extra copies of this first issue.   We are planning an official Chamber Ribbon cutting in the next month or two and we’ll post the date on our website – www.midwestmedicaledition.com. If you have an event you would like MED to attend or promote, just let me know.   I look forward to seeing you out about this spring! Steffanie

I was honored recently to be able to attend this year’s American Cancer Society Gala event on March 26 in my role as publisher.

Letter from the Editor

O

ne of the greatest joys of covering medicine in this community for more than 20 years has been the opportunity to get to know some of the finest doctors in the world, right in our backyard. These physicians are not only highly trained, worldAlex Strauss class professionals in their fields, but so many are also just genuinely fine individuals. The doctors I interviewed for our first MED Cover Story are excellent examples. They hail from different backgrounds, specialties, health systems and even parts of the state, but they have one thing in common – a shared desire to use their skills and knowledge to make this world a better, healthier place. While many of us were enjoying family vacations, these doctors were battling bugs, disease, primitive working conditions, oppressive heat, and unthinkable poverty in remote parts of the world, to bring hope and healing to people who desperately need both. Of course, they represent just a tiny sampling of the hundreds of healthcare professionals in our region who regularly volunteer

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Midwest Medical Edition - April/May 2010

their time, both domestically and abroad to help those in need. We applaud all of you and we thank these five doctors for their willingness to let us tell their stories. Our thanks also to the CNOS Clinic in Dakota Dunes for sharing their story of the life-saving power of carotid artery screening. An Iowa man owes his life to this simple test, and to the CNOS doctors who took quick action to help him. MED is committed to telling the great stories of medicine in our region, from human interest stories to reports of new technology, new innovations, new research and more. If you know of a great story that our 3500 physician readers should hear, please drop me a line at alex@midwestmedicaledition.com. I look forward to hearing from you and to continuing to bring you all the best news of the dynamic medical community here in the South Dakota region. Alex


Introducing…

The MED Magazine Advisory Board

The following area physicians have agreed to serve on the new

you want to read and will be an effective communication tool

MED Magazine Advisory Board. Their input will help ensure

for this diverse medical community. Our thanks to them for their

that MED Magazine continues to bring you the kind of content

willingness to be a part of this new venture.

Juliann Reiland-Smith, MD, Breast Surgery Comprehensive Breast Care, Sioux Falls; Medical School: University of South Dakota (Sanford) School of Medicine; Residency: Surgery, Creighton University Medical Center

Michelle L. Daffer, MD, Dermatology

John Berdahl, MD, Ophthalmology

Patty Peters, MD, Family Practiceogy

Vance Thompson Vision, Sioux Falls; Medical School: Mayo Medical School, Rochester, MN; Internship: May Clinic, Scottsdale, AZ; Residency: Ophthalmology, Duke University; Fellowship: Cornea and Glaucoma, Minnesota Eye Consultants

Avera McGreevy Clinic, Sioux Falls; Medical School: University of South Dakota School of Medicine; Residency: Sioux Falls Family Medicine Resdiency Program; Board Certified: American Board of Family Medicine

Mary Berg, MD, Family Practice

Timothy Metz, MD, Anesthesiology, Anesthesiology and Pain Management

Midlands Clinic, PC, Dakota Dunes; Medical School: Creighton University School of Medicine, Omaha; Residency: Dermatology, Texas Tech University Health Sciences Center

Sioux Falls; Medical School: University of South Dakota; Residency: Anesthesiology, University of Missouri; Board Certified: Anesthesiology, Perioperative Ultrasound

Sanford Clinic Family Medicine, Sioux Falls; Medical School: Creighton University School of Medicine, Omaha; Residency: Creighton University Medical Center, Omaha

Luis A. Rojas, MD, Gynecologic Oncology

James M. Keegan, MD, Infectious Disease

Daniel W. Todd, MD, Otolaryngology

Avera Women’s Center for Gynecologic Cancer, Avera Cancer Institute, Sioux Falls; Medical School: Universidad Nacional Pedro Henrriquez Ureña, Santo Domingo, Dominican Republic; Residency: Temple University Hospital, Philadelphia Fellowship: Cleveland Clinic Foundation, Cleveland; Board Certified: American Board of Obstetrics and Gynecology; Candidate for the Board in Gynecologic Oncology

Regional Health System, Rapid City Medical School: Regional Health Chief Medical Officer, Regional Health Physicians Chief Executive Officer, & Rapid City Regional Hospital Medical Director of Infection Control.; Medical School: Emory University, Atlanta; Residency: University of Tennessee; Fellowship: University of Vermont

Midwest Ear, Nose & Throat, P.C.; Medical School: University of North Dakota; Residency: OtolaryngologyHead & Neck Surgery, University of Missouri Health Sciences Center; Internship: General Surgery, University of Missouri Health Sciences Center; Board Certified: Otolaryngology

Midwest Medical Edition - April/May 2010

5


Caring for a Needy World By Alex

Strauss

Local Doctors Travel the Globe to Give Back

I

t is not unusual for physicians to dream of practicing medicine purely, without the constraints of managed care, malpractice and Medicare. Many think longingly about a simpler time when the doctor/patient relationship could be their sole focus, and perhaps

even wish for the challenge of making diagnoses using only their skill and a stethoscope. If for no other reason than to know they could do it. While most doctors today would not seriously consider forgoing the technology and other advantages in their modern offices for the chance to have these experiences, some do have the chance to practice this way again, through charitable organizations that put their skills to use in some of the most impoverished parts of the world. MED talked to several area physicians who have made medical missions work a part of their professional lives. Regardless of where they’ve gone, why, or how often, every physician agreed the experience

was not only rewarding and satisfying, but also life-changing.


Cataract patients in Burma

Dr. John Berdahl, Ophthalmologist, Vance Thompson Vision

saw 2300 people, prescribed 1500 pairs of glasses and performed

Dr. John Berdahl is one such physician. An ophthal-

nearly 300 cataract surgeries. “Cataracts are the number one cause of blindness world-

mologist with Vance Thompson Vision in Sioux Falls, the Hills,

wide,” explains Dr. Berdahl. “The World Health Organization

Minnesota native has devoted many weeks of his medical career

has shown that cataract surgery is one of the best things you can

since the early 2000’s to serving patients in such exotic locales as

do economically. When you give a person back their sight, it

poorest country in Asia.

“Burma was one

of the most life-changing experiences of my life,” says Dr. Berdahl of his time in a leprosy com-

frees up not only that person,

I always find that I complain a lot less about my life after I go on a mission trip.

pound. Travelling with

but also that person’s caretaker so that they can both be

Mexico and Burma, the

contributing members of the community again. It can give two people their lives back.”

But the presence of

the white Western doctors in-

Medical Ministry International, Dr. Berdahl and his team of

side the Burmese leprosy compound attracted more than just the

optometrists and assistants converted the compound’s plastic sur-

sight-impaired. Dr. Berdahl and his group were such a curiosity

gery clinic, normally used for surgeries like releasing skin con-

that within days, vendors showed up to sell concessions.

tractures, into an eye hospital. During their nine-day stay they

“It’s interesting to see the reaction. They’re very interMidwest Medical Edition - April/May 2010

7


and understood the depth of the need for quality medical care. Like Dr. Berdahl, the brothers worked in a leprosy hospital, delivery basic care in exchange for room and board.

“We knew that there was a very

big need for medical care there and a lot of underserved people,” says Dr. Adam, who recalls seeing 50 or 60 patients before lunch, and making the rounds on a hundred more in the afternoon. “The care is very basic and equipment is scarce. You don’t have access to much technology, so you are really forced to rely on your own skill, a stethoscope, and a basic exam.” Cardiologist Dr. Adam Stys with young patients outside an African leprosy hospital.

ested in Western visitors. But it’s even more amazing to see people’s reaction to surgery,” says Dr. Berdahl. “We always have people who don’t recognize themselves

“Subspecialty medicine such

as cardiology is almost non-existent in these

You don’t have access to much technology, so you are really forced to rely on your own skill, a stethoscope, and a basic exam.

remote missionary places, so we end

Near Jeremie, Haiti

a grandchild or didn’t recognize a

spouse. Not only does this surgery quickly restore their sight, but

in their native tongue was a major advantage. “We saw traumatic

it offers a permanent solution.”

injuries, infections, fractures. You sometimes have to approach

very complex conditions, very simply.”

in a mirror because they had been blind for so long. We have people who have never seen the face of

Dr. Berdahl says ophthalmology lends itself to charitable

up treating a broad spectrum of conditions,” adds Dr. Tom, who says the ability to communicate with some patients

work since it doesn’t require large equipment. And because cata-

ract surgery is fast, doctors can treat a larger volume of patients.

losis unit, is still amazed to remember young TB patients walking

to the hospital guest house to escort the doctors to the clinic.

“I really feel as though I am called to do this,” says Dr.

Dr. Tom, who was once in charge of a pediatric tubercu-

Berdahl. “I always find that I complain a lot less about my life

Both doctors say they take a measure of pride in remembering

after I go on a mission trip.”

the European doctors who sometimes left the primitive medical environment after just a few days, unable to tolerate the working

8

Dr. Adam Stys and Dr. Tom Stys, Cardiologists, Sanford Heart Hospital

conditions.

get in realizing that you are making a major, life-changing differ-

Brothers and Sanford cardiologists Drs. Tom and Adam

“There is no substitute for the personal satisfaction you

Stys were no strangers to foreign culture when they first began

ence in people’s lives,” says Dr. Tom.

travelling to Africa for charitable work early in their careers. The

two were raised largely in Nigeria and parts of Southern Africa

place early in their careers, the attitude of service fostered during

Midwest Medical Edition - April/May 2010

Although the bulk of their foreign mission trips took


that time has carried into their current

cially remembers her very first Haitian patient.

busy practices. Dr. Tom sits on the

Board of directors for the American

back door and just wandered out the front door,” she recalls. “He

Heart Association’s Midwest chap-

didn’t seem to really need any medical care.”

ter and is an active supporter of the

organization’s efforts to improve the

morning and wait for hours in the sun to see the doctor for every-

management of acute heart attack pa-

thing from skin infections to hypertension, diabetes, pneumonia,

tients in the rural Midwest. Dr. Adam

ear infections sore throats and gastrointestinal disorders, all of

travels to Poland twice a year to

which are common in this squalid, poverty-stricken country.

But her human patients do. People arrive early in the

ing cases for a Polish hospital.

Dr. Patty Peters, Family Practice, Avera McGreevy Clinic Avera Family Practice Physi-

In these poor countries, people are just so grateful and appreciative.

provide quality assurance by review-

“It was a rooster that wandered in through the open

cian Patty Peters has been active in medical missions around the globe

since her first trip to Kazakhstan and

be very challenging,” says Dr. Peters, who says her strong Chris-

Kurdistan in the mid 1990’s. She has

tian faith prompts her to keep going back.

been to Guatemala four times with

“You’re diagnosing on your background without the benefit of

MOST (Mission Opportunities for the

things like X-rays or lab tests. Sometimes patients die, despite

Short Term) through her church. This

our best efforts. So it is frustrating when American patients think

spring she’ll travel to Jeremie, Haiti

they should be entitled to every test immediately or get angry if

for the fourth time, as part of a long-

the doctor is running a few minutes late. In these poor countries,

standing Avera project there.

“You never know what you are going to see and it can

people are just so grateful and appreciative.”

“We go into the mountains around Jeremie and set up lit-

tle clinics,” says Dr. Peters. “There are about a hundred villages in the mountains. I see people for coughs, infections, high blood pressure and diabetes. I also do a fair number of prenatal visits, pap smears and new baby exams.”

The Haitian Health Foundation, which runs the

Jeremie-based project, has a goal of reducing infant and maternal mortality through education, AIDS testing, and regular medical care from volunteer doctors like Dr. Peters. The doctors are driven to villages over deeply rutted roads in Toyota Land Cruisers, while patients walk miles wearing their Sunday best, just for the chance to be seen.

The makeshift ‘clinic’ is typically just a portable

exam table in a dirt-floored village home. Because there is no electricity, exams are conducted close to a window and clinic ‘hours’ are over when the sun goes does. Although she sees hundreds of patients of all ages, Dr. Peters espeDr. Patty Peters on a Haitian Street.

Midwest Medical Edition - April/May 2010

9


Dr. Terry Graber, Family Practice, Custer Regional Medical Clinic

to attract people and to demonstrate Christian caring, as well.”

has been to Uganda and Peru multiple times, delivering primary

is another physician whose love for global volunteerism had its beginnings in childhood. He and his family lived in India for three years and he went to college in Indonesia. Travel and cultural immersion have been a passion ever since.

“I started going on mis-

Since his first trip, which was to Venezuela, Dr. Graber care either by himself or with a

There is no substitute for the personal satisfaction you get in realizing that you are making a major, lifechanging difference in people’s lives

sion trips with some local churches in the late 1990s and got hooked up with some organizations that

Dr. Terry Graber of Custer

group of doctors in remote villages. His passion for travel and service took a dangerous turn when he happened to be in Port Au Prince, Haiti when the recent earthquake struck.

“In the immediate aftermath

of the quake we were needed to do a lot of basic first aid, treating bro-

are primarily focused on supporting indigenous churches,” says

ken bones and terrible lacerations,” he recalls of his ‘wild experi-

Dr. Graber. “These churches will often utilize medicine as a tool

ence.’ “ It was a real mix of emotions because on the one hand we

Dr.Terry Graber administers emergency care in the aftermath of the earthquake in Port Au Prince, Haiti.

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Midwest Medical Edition - April/May 2010


couldn’t do nearly enough. On the other hand we were able to step in and help right away in a situation where help was desperately needed. I do feel like we were really meant to be there.”

Rather than causing him to trivialize

the aches of pains of his American patients, Dr. Graber says such first-hand experience with devastating medical emergencies has increased his compassion as a physician by reinforcing the fact that all patients are fighting their own physical battles.

As for his foreign patients, Dr. Graber

says there is value in the medical care he provides, but there may be even greater long-term value in terms of the support it provides to developing communities and the precedent it A young boy of Jeremie, Haiti.

sets for caring service. “You could say, what good could it do

for an American doctor to go all the way over there and pass out a little bit of medicine? But I think we are sending a message when we do this, that there is a non-material realm to life, a right way to live, and that service comes out of that. When these kinds of resources are attached to an ethic, rather than just being government-based, there is a better

I think we are sending a message when we do this, that there is a non-material realm to life, a right way to live, and that service comes out of that.

chance of helping development to stick long term and supporting real change.”

A Sampling of Medical Mission Organizations: Medical Ministry International: 972-727-5864 www.mmint.org Mission Opportunities for the Short Term (MOST) (734) 994-7909 www.mostministries.org

Hope Haven Ministries (712) 476-3180 www.hopehaven.org Global Health Ministries (763) 586-9590 www.ghm.org Doctors Without Borders (212) 679-6800 www.doctorswithoutborders.org

Midwest Medical Edition - April/May 2010 11


Avera at Work in Haiti

Since 2002, the Avera system has enjoyed a working re-

Before the earthquake, Avera colleagues had contrib-

lationship with the Haitian Health Foundation (HHF) in JĂŠrĂŠmie,

uted some $215,535.86 to the Avera Haiti Project over the years.

Haiti, the poorest country in the Western Hemisphere. Avera

Funds have provided more than 130 goats and nearly 60 Happy

chose HHF as a partner after an extensive search for a place

House for the people of Haiti, and much more. Since the quake

to extend the healing ministry of Jesus beyond U.S. borders.

the Avera Foundation has collected more than $110 thousand

Avera supports the HHF with a modest annual donation and two

dollars in gifts from communities and donations from the medical

working visits per year for about 12 individuals each time. Avera

staff. Funds are distributed through HHF, Catholic Relief Ser-

volunteers work alongside HHF workers to provide health-care

vices and Doctors Without Borders.

related education and handson care. Volunteers also do construction work and repairs and bring needed supplies.

Just before the recent

earthquake, some 58 Avera colleagues established a fund to provide salaries for teachers at the St. Pierre School. The school was undamaged by the quake, and now, in addition to the students served prior to the quake, the school has opened an afternoon session

An Avera employee escorts young girl in Jeremie, Haiti

A group of Avera employees on a recent work trip to Haiti

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Midwest Medical Edition - April/May 2010


Preventive Health Care Legislation By: Dave Hewitt, SDAHO It may be one of the most frustrating aspects of the legislative process for health care providers – legislation that attempts to improve society’s health status. Usually, the proposal is a “no-brainer” for physicians and other provider groups. But more times than not, those “no-brainer” proposals are hotly contested and often have as good a chance of failure as they do success. There are several examples. Efforts to raise tobacco taxes were never approved by the South Dakota State Legislature; that had to be accomplished with an initiative approved by the voters. The near-ban on indoor smoking in public places passed the Legislature last year but only after several years of trying and that measure still must be approved by the voters next November. For the past three sessions the Legislature has failed to approve a slight toughening of the state’s seat belt laws (even though the State could have collected an additional $4 million in Federal Highway Aid at the time). There are also proposals that threaten the overall safety and health of South Dakotans -- the primary example being the perennial lay midwifery legislation that would provide for the

State licensure of minimally trained laypersons to administer to home births. In years gone by, the proposal has been defeated but those margins have been narrowing in recent years. So why the controversy when “everyone” is supposedly committed to improving health status thereby reducing the cost of health care? Two reasons. First, as committed as the health Dave Hewitt care community is to passing laws that improve health status, there are others who view those as an infringement on their personal liberties. Second, the proposal may be viewed as a financial threat to a small but vocal segment of the state’s economy. What it means for physicians and the rest of the health care community is that if we are really committed to improving health status through legislation, we need to work for it. That means taking the time to discuss these issues with elected officials. It’s a very important piece of making sure the State’s laws contribute to a healthier South Dakota and it starts with you! The South Dakota Medical Group Management Association is dedicated to the quality of health care management in South Dakota. To enhance the quality of health care services, SDMGMA assists their members in developing effective and efficient practices. The South Dakota Medical Group Management Association Is Dedicated To: • The promotion of professional growth and development of members. • Increasing visibility of medical group managers and their services. • Providing a variety of educational op portunities to all members. • Providing opportunities for members to share information and experiences of mutual interest. • Maintaining active relationships with other key public and private organiza- tions that affect the management, funding, and delivery of quality health care services. • Legislative involvement to represent the medical community and to be reli- able source of legislative information.

Midwest Medical Edition - April/May 2010 13


South Dakota Symphony Orchestra Celebrates 10 Years in Washington Pavilion of Beethoven’s Ode to Joy.

This musical celebration heralds the long-time

partnership between the Symphony and the Washington Pavilion. The New York Philharmonic first opened the Great Hall for the Pavilion and Yo-Yo Ma was the Symphony’s first guest artist that season. Since then, renowned musicians and vocalists have performed before thousands in this world-class concert hall.

The April 20 “Ode to Joy” concert is sponsored by

Symphony past board presidents, who will be honored that evening. Tickets for the performance are specially-priced for all to participate. Main floor and Mezzanine tickets are $25 while

The South Dakota Symphony Orchestra, in partner-

ship with the Washington Pavilion and Past Presidents of the SDSO Board of Directors, celebrates 10 years of music and

Balcony seats are $15. For more information about the event and to purchase tickets, visit www.sdsymphony.org or call (605) 3357933, toll free at (866) 681-7376.

friendship shared in a remarkable facility with a performance of Beethoven’s “Ode to Joy” on April 20, 2010. Beethoven’s 9th Symphony has been a popular celebratory performance piece since its premiere on May 7, 1824.

The story is told that Beethoven conducted

it himself and, by that time, was completely deaf. After the orchestra and singers had played and sung the last note, Beethoven continued conducting. One of the singers went to him and gently, respectfully stilled his arms. This great composer, of common beginnings, turned to receive five ovations from a joyous audience before the Vienna police broke up the crowd. This symphony is famous for its triumphant tone, a veritable hymn to hope and celebration of human aspirations. Leonard Bernstein used it to commemorate the fall of the Berlin Wall and remarked, “What other piece could I have used?”

In the true spirit of this masterful piece of mu-

sic, the Sioux Falls music community is joyously joining together to donate their talent and time for the concert as a benefit for the South Dakota Symphony Orchestra. South Dakota Symphony Orchestra Music Director, David Gier, along with supporters, musicians, vocalists, guest soloists, and Pavilion staff are personifying the sentiment

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Midwest Medical Edition - April/May 2010

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Dr. Earl Kemp Named 2010 South Dakota Academy of Family Physicians Family Doctor of the Year

Kemp

Dr. Earl Kemp has

Dakota Department of Health. Dr. Kemp’s professional interests

been awarded the 2010

include smoking cessation, patient education, health promotion/

South Dakota Family Doctor

disease prevention, and maternity care in family medicine.

of the Year by the South

Dakota Academy of Fam-

lished in May, 1973, and has graduated nearly 300 residents to

ily Physicians. Dr. Kemp is

date. Seventy-five percent of these physicians practice in South

the current director of the

Dakota and the contiguous states. The Program is sponsored

Sioux Falls Family Medicine

jointly by Avera McKennan and Sanford Hospitals and is affili-

Residency program at the

ated with the Sanford School of Medicine with the University of

Center for Family Medicine

South Dakota.

and has been associated with

the medical school for more

of Family Physicians Winter Seminar in February in Dead-

than 30 years.

wood. The award was presented by last year’s winner, Mitchell

physician Marty Christensen, MD. Another Center for Family

Dr. Kemp is a 1972

graduate of the University of Iowa School of Medicine and interned at McKennan Hospital. He

The Sioux Falls Family Medicine Residency was estab-

Dr. Kemp received the award during the SD Academy

Medicine faculty member, Dr. David Brechtelsbauer, received the award in 2004.

© 2009 American Cancer Society, Inc.

serves as tuberculosis consultant and clinician for the South

Birthdays have a special meaning for cancer patients and their loved ones. We hope they’ll celebrate many more. So we give them expert answers and help them find guidance and hope. Learn about a world with more birthdays at morebirthdays.com Or call 1-800-227-2345. Together we’ll stay well, get well, find cures and fight back.

Midwest Medical Edition - April/May 2010 15


South Dakota Hospitals Again Among Top 100

Sanford USD Medical Center and Avera McKennan

mortality, medical complications, patient safety, average length

Hospital & University Health Center have again been named

of stay, expenses, profitability, patient satisfaction, adherence to

among the nation’s 100 Top Hospitals® by Thomson Reuters,

clinical standards of care, and post-discharge mortality and read-

a leading provider of information and solutions to improve the

mission rates for acute myocardial infarction, heart failure, and

cost and quality of healthcare. The award recognizes hospitals

pneumonia.

that have achieved excellence in clinical outcomes, patient safety,

patient satisfaction, financial performance and operational ef-

edition of Modern Healthcare magazine.

ficiency. This is the eighth time Sanford USD Medical Center has

been recognized with this honor and the fourth consecutive year

this year, delivering a higher level of reliable care and greater

for Avera McKennan.

value for their communities,” said Jean Chenoweth, senior vice

president for performance improvement and 100 Top Hospitals

Sanford USD Medical Center was recognized in the

The winning hospitals were announced in the March 29 “The 100 Top Hospitals winners raised the bar again

Teaching Hospitals category. With more than 500 beds, Sanford

programs at Thomson Reuters.

USD Medical Center is the largest tertiary hospital in South

Dakota, serving as the primary teaching hospital for the Sanford

as those treated in these 100 Top Hospitals award winners:

If all Medicare inpatients received the same level of care

School of Medicine of The University of South Dakota. Employing more than 4,700 staff, Sanford USD Medical Center is the

• More than 98,000 additional patients would survive each year. • More than 197,000 patient complications would be avoided annually. • Expenses would decline by an aggregate $5.5 billion a year. • The average patient stay would decrease

by nearly half a day.

More information on this study and other 100 Top Hospitals research is available at www.100tophospitals.com.

largest employer in Sioux Falls.

Avera McKennan Hospital and University Health

Center in Sioux Falls consists of 545 hospital beds and extensive inpatient facilities recognized for excellence in many areas.

The winners were identified through an in-depth

analysis, the Thomson Reuters 100 Top Hospitals®: National Benchmarks study. The study evaluated 2,926 short-term, acute care, non-federal hospitals in 10 areas:

16

Midwest Medical Edition - April/May 2010


Sanford Children’s Clinic Belize Receives Community Support need for them to be flown abroad, while at the same time providing valuable training and experience for Belize’s own medical personnel in the field of pediatrics.”

“Sanford Health is extremely

pleased to partner with these organizations in order to move this project forward and expand children’s healthcare in Belize,” said Ruth Krystopolski, Sanford Health Executive Vice President, Growth and Development. “Sanford Children’s providers in Belize will provide the highest level of care possible to children and together, we can improve the BHCT signs donation agreement in Belize

health of children in the country.”

New funding by the Belize Healthcare Charitable Trust

In addition to the BHCT and

(BHCT) is accelerating building plans for Sanford Children’s

Belize Healthcare Partners Limited, Sanford continues to work

Clinic in Belize City, Belize. The BHCT has signed an agreement

with the Government of Belize as well as a variety of other indi-

which donates $2 million Belize dollars ($1 million U.S.) for the

viduals and organizations in the development and on-going op-

construction of the clinic. To develop the clinic, Sanford Health

erations of Sanford Children’s Clinic in Belize. This new Sanford

will also partner with Belize Healthcare Partners Limited. The

Children’s Clinic will provide pediatric care and be designed in

full-service hospital located in Belize City, Belize is donating

a castle theme similar to other Sanford Children’s facilities. The

land near its facility for the new Sanford Children’s Clinic.

clinic location was announced in 2009. Groundbreaking of the

clinic site is planned for this spring with an expected opening in

Philip Osborne, on behalf of the Belize Healthcare

Charitable Trust, commented, “A full-time pediatric clinic is a

2011. It is the second Sanford Children’s World Clinic announced

first for Belize. It represents a great leap forward in the provision

by Sanford Health.

of child healthcare for this country. We are happy to partner with Sanford World Clinics and Belize Healthcare Partners to ensure the construction and operation of a facility that will provide world class medical treatment for Belize’s children, reducing the

Midwest Medical Edition - April/May 2010 17


Autism Conference: Lighting The Way, June 10-11

Lighting The Way: Autism Spectrum Disorders in our

with help from his parents, teachers, and others, completed his

Community will be held at Augustana College , June 10-11.

doctoral dissertation at Boston University focused on matching

best practice to the needs of people on the autism spectrum. He

This year’s conference features Dr. Cathy Pratt, director

of the Indiana Resource Center for Autism at the Indiana Insti-

recently accepted a professorship at Adelphi University teaching

tute on Disability and Community, and Dr. Stephen Shore, who

courses in special education and autism. In addition to work-

was viewed as “too sick” to be treated on an outpatient basis and

ing with children and talking about life on the autism spectrum,

recommended for institutionalization. A preconference session is

Dr. Shore presents and consults internationally on adult issues

scheduled for June 9 from 8:30 a.m. to 4:00 p.m.

pertinent to education, relationships, employment, advocacy, and

disclosure as discussed in his books, Beyond the Wall: Personal

Autism is a complex neurobiological disorder that

typically lasts throughout a person’s lifetime. It is a group of

Experiences with Autism and Asperger Syndrome; Ask and

disorders known as Autism

Tell:Self-advocacy and

Spectrum Disorders (ASD).

Disclosure for People on

Today, one in 110 individu-

the Autism Spectrum; and

als is diagnosed with autism

the critically acclaimed

and it occurs in all racial,

Understanding Autism for

ethnic, and social groups.

Dummies. President emeri-

Autism presents challenges

tus of the Asperger’s Asso-

in communication skills

ciation of New England, he

and the ability to relate to

serves on the Interagency

others.

Autism Coordinating Com-

Educators, parents,

mittee, for the Board of Di-

social workers, counselors,

rectors for Autism Society

therapists, adult service

of America, Unlocking

providers, and business

Autism, MAAP, the Col-

and community members are encouraged to attend the two-day

lege Internship Program, and USAAA.

conference. All sessions will be held in Gilbert Science Center,

located on the corner of 33rd Street and Summit Avenue on the

Augustana, Children’s Care Hospital and School, Independent

Augustana campus.

Living Choices, Sanford School of Medicine Center for Disabili-

ties, Sioux Falls School District, South Dakota Parent Connec-

Dr. Pratt serves as Chair of the Board for the national

The conference at Augustana is co-sponsored by

Autism Society and has been honored by the Autism Society of

tion, Division for Developmental Disabilities, and Holiday inn

America with the Individual Achievement Award, the 2005 Princ-

Express.

eton Fellowship Award, and various awards through NYFAC (New York Families for Autistic Children, Inc.), including recog-

The conference registration deadline is June 1. Register online at

nition from the United States House of Representatives. In 2008,

www.augie.edu/autism

she was awarded the Distinguished Service Award by the Indiana Council of Administrators of Special Education. She is a writer

The Walk Now for Autism will be held Saturday, June 12,

and national presenter on a variety of topics related to autism

from 8:30 a.m. to noon on the Augustana campus and Kirkeby-

spectrum disorders. She is a board certified behavior analyst.

Over Stadium. For more information call Jennifer Miller at

605.376.5959 or owensmom@sio.midco.net

Diagnosed with “Atypical Development with strong

autistic tendencies,” Dr. Shore was nonverbal until four, and 18

Midwest Medical Edition - April/May 2010


Pham Performs First SD Laser Lead Extraction Sanford Heart Hospital

used to safely, effectively and efficiently dissolve scar tissue that

FACC performed the first

lead can be safely removed.

cardiologist Scott Pham, MD, laser lead extraction procedure in the state of South Dakota

this week. In order to perform this procedure, Dr. Pham

used a new state-of-the-art

technology that uses a laser to remove one or more cardiac

leads from inside the heart. A

lead is a special wire or wires

Pham

that deliver energy to the heart

muscle. When leads are not working properly, it can cause the

binds the lead to the body. Once the scar tissue is dissolved, the

“Laser lead extraction offers patients with implanted

cardiac devices a more sophisticated and minimally invasive

way to manage or replace cardiac leads,” said Scott Pham, MD, FACC, cardiologist and electrophysiologist with Sanford Heart

Hospital. “Quicker recovery, high success rates and reduced risks of complications make this option a better alternative than traditional surgical methods.”

This technology has been used in the U.S. and Europe in

more than 45,000 successful procedures and is an important tool to manage lead-related issues that may arise in patients.

pacemaker/defibrillator to malfunction.  The leads may need to be removed because of infection.  

During the procedure, a circle of fibers that emit pulses

of energy travels over the lead. A “cool” ultraviolet laser light is

Sanford Spine Center Because no two patients are the same.

The Sanford Spine Center offers: All spine care services in one location Each patient is assigned a case manager to help navigate a customized treatment plan for their unique needs

The Sanford Spine Center provides the best possible care for patients by combining clinical excellence and leading-edge technology

Physician collaboration means you receive the best care possible Minimally invasive options are available

to ensure that every treatment alternative is explored. The physicians, surgeons and staff are able to facilitate a smooth process of diagnosis, treatment, and rehabilitation for back and neck pain all in one location.

1210 West 18th Street, Suite 103, Sioux Falls, SD (Van Demark Building) (605) 328-1550

N

toll-free: 1-888-315-0876

500-54325-0025 19 Midwest Medical Edition - April/May 2010 7/09


Stroke Screening at CNOS A Carotid Ultrasound Success Story

By Alex Strauss

“The screening ultrasound is less complete than a full diagnostic ultrasound...but it is a good snapshot of what’s going on in these vessels”

Photo Courtesy of Douglas Burg


S

ing, in the vital arteries that feed

Stroke is the third leading cause of death and disability

in our society, killing an estimated 170,000 people every year,

the brain. Narrowing in these

according to the CDC. Recently, Jack Delfs almost became one

arteries substantially increases

of those statistics.

the risk of stroke.

“I had had some numbness and tingling in my arm and

“The screening

hand but I never really thought about stroke,” says the 62-year-

ultrasound is less complete

old Iowa man. “I had a hunch that there might be something to it,

than a full diagnostic

but I just didn’t give it a whole lot of thought.”

ultrasound that a doc-

tor might order, but

Fortunately, Delfs had heard about a new Lunch &

Learn program being offered by the CNOS Clinic in Dakota

it is a good snapshot

Dunes. The informational session featured a discussion of stroke

of what’s going on

by CNOS Vascular Neurologist Jennifer Pary, MD, who is fel-

in these vessels,”

lowship trained in stroke and heads the Stroke Programs at both

explains Dr. Pary. By

Mercy and St. Luke’s Hospitals in Sioux City. Free ultrasound

running the ultra-

screenings of the carotid arteries were offered afterward.

sound probe painless-

As a business owner, Delfs isn’t covered by an employer’s

ly up and down each

healthcare plan. He attended the talk as much out of a desire

side of the neck, it is

to take advantage of a low-cost way to be proactive about his

possible to measure the

health, than out of real concern for his unexplained symptoms.

speed of the blood trav-

Stroke screening is recommended for anyone over 50, those who

elling through the vessels as

have high blood

Stroke screening is recommended for anyone over 50, or for those over 40 with multiple risk factors including high blood pressure, elevated cholesterol, diabetes, a history of smoking or a family history of stroke or of the risk factors for stroke.

pressure, elevated cholesterol, diabetes, a history of smoking or a family history of stroke or of the risk factors for stroke. “Jack has a num-

Stroke Neurologist Dr. Jennifer Pary helped interpret Delfs’ carotid screening and determine that emergency surgery was indicated.

well as the level of plaque buildup. “Based on that information, we decide whether a rescreening is needed or whether some-

Photo Courtesy CNOS

thing more needs to be done,” says Pary.

ber of the risk factors for stroke including high blood pressure,

sleep apnea, high cholesterol and diabetes,” says Dr. Pary. “He

cost of $35, which is not typically covered by insurance. Screen-

is the exact type of person that we are trying to target with these

ings are free when they are offered as part of the periodic Lunch

carotid artery screenings.”

& Learn programs. Carotid artery ultrasound screening take

Carotid Screening

about 20 to 30 minutes and the patient leaves the clinic with a re

CNOS Ultrasound Technician Joyce Vasgaard performs a carotid screening. The noninvasive test takes 20 to 30 minutes and costs $35. An estimated 10 to 50 percent of all strokes are caused by carotid disease.

Ultrasound imaging is a noninvasive

Screening ultrasounds are offered weekly at CNOS at a

port of the finding, which is also sent to their primary care doctor.

medical test that uses sound waves to create

When the results of a screening are of concern, as they

detailed images of the blood flowing through

were in Delfs’ case, the patient’s primary care physician is typi-

the carotid arteries on either side of the neck.

cally contacted to obtain authorization for a complete diagnostic

Because ultrasound uses no ionizing radia-

ultrasound. Patients who have their screening at the CNOS clinic

tion, it is a safe way for doctors to determine

have the advantage of being able to have more comprehensive

whether or not there is stenosis, or narrow-

testing and interpretation of those tests right away, if necessary.


In a case like Delfs’, that kind of efficiency can be life-saving.

Jack Delfs’ carotid ultrasound screening revealed such significant stenosis that his doctors recommended emergency surgery. With such a high degree of blockage, a stroke would likely have been inevitable without endarterectomy.

Recognizing Red Flags Prior to having a carotid ultrasound screening, patients are asked about their risk factors and possible symptoms. Jack Delfs’ risk factors, coupled with the fact that he had classic stroke symptoms of numbness and weakness in his hand and arm, sent up red flags for Dr. Pary, who saw him immediately after his test.

“What we discovered is that

he had high-grade carotid sclerosis,” says Dr. Pary, who says as many as half of all strokes are believed to be caused by carotid disease. “Based on his level of carotid narrowing and his symptoms, I thought that

he had probably been experiencing mini-strokes or TIAs. It

Photo Courtesy CNOS

“I know how lucky I was because I could have had a stroke... Everybody should go and get a neck check.”

was clear that he was at very high risk of a major stroke and we

ling because he had had these symptoms as well as significant

needed to take action immediately to prevent that.”

blockage. When I saw him later that day, I confirmed the findings

and determined that he was an excellent candidate for carotid

“I figured there was something wrong because they kept

moving the probe up and down the one side, and then they called

endarterectomy.”

the doctor back,” recalls Delfs.

Working in High Gear

Dr. Pary contacted CNOS stroke neurosurgeon Quentin

Recognizing that there was no time to lose, the experts

Durward, MD, to discuss the case.

at CNOS moved into high gear, preparing to do surgery on Delfs

“People who have this level of carotid stenosis are at

just a few hours after his afternoon ultrasound test. Doctors and

increased risk for stroke, even if they haven’t had symptoms,”

nurses quickly rearranged their schedules to perform a late-night

says Dr. Durward. “This patient’s case was even more compel-

operation that almost certainly prevented what could have been a

Photo Courtesy of Douglas Burg

major stroke. “This is an open operation that requires a two to threeinch long incision on the side of the neck,” explains Dr. Durward. With the brain protected, the narrowed artery is opened, the plaque removed, and the artery repaired. “When we opened up that artery, there was a fresh blood clot sitting in it that could easily have travelled to his brain. I have absolutely no doubt that this would have led to a significant stroke in the short term if we had not gotten to him as quickly as we did.” Carotid endarterectomy is the most common surgery treatment for narrowed arteries, but in some cases, it can be beneficial to place an endovascular stent into the artery. CNOS works closely with an Omaha surgeon who travels to the clinic monthly to offer this delicate

Neurosurgeon Dr. Quentin Durward performed the carotid endarterectomy that helped Jack Delfs avoid a stroke.

and advanced operation to appropriate candidates. Delfs was fortunate that his carotid stenosis was diag-


have no symptoms at all before they have a stroke, which is why carotid screening is such a valuable tool. Now that his artery is clean and blood is flowing freely again,

Photo Courtesy of Douglas Burg

nosed and treated in time. Most people

Delfs has made a full recovery and is symptom free. With medical management of his risk factors, he can help to reduce the possibility of restenosis in the future.

“I was really shocked to find

out about this but I know how lucky I was because I could have had a stroke,” says Delfs. “I would say that everybody should go and get a neck check.”

“We know that this is a very du-

rable procedure, so we would expect this improvement to last for a very long time,” says Dr. Pary. “We follow these patients very carefully to make sure that they do

“It was clear that he was at very high risk of a major stroke and we needed to take action immediately to prevent that.”

not get more disease.”

“Everybody really pulled to-

gether in this case to do what had to be done for this patient. I just feel so privileged to work at a place that provides this level of care for patients. We really want to increase awareness of stroke prevention and to let people know that we are here to help.” Carotid endarterectomy is an open procedure during which the neurosurgeon physically cleans the fatty builtup out of the narrowed artery to allow blood to flow freely to the brain again. Careful medical management can help prevent restenosis.

Vascular Screening from CNOS Triple Screens are now available at CNOS - A triple vascular screen tests for plaque build-up in the blood vessels in three regions of the body; the neck, abdomen, and legs or feet. This helps your physician have a better overall assessment of the health of your blood vessels. CNOS offers carotid and triple vascular screenings at its Dakota Dunes facility on Tuesdays and Fridays and carotid screenings at the Southern Hills Hy-Vee, 3301 Gordon Drive, on the first Tuesday of each month from 8:30 am to 12 pm. Call (605) 217-2667 to make an appointment.


American Cancer Society rolls out red carpet to fight cancer with Hollywood Gala

It was a night of pure Hollywood

magic… and all for a very important cause! Sioux Falls docs and area residents came decked out in their finest to support the glam event of the year… the American Cancer Society’s “Lights, Camera, Action…for a Cure!” Gala. By Charlotte Hofer,

American Cancer Society

Honored at the event were Dr. John

Lee, sponsored by Sanford Cancer Center,

and Dr. John Griffin, sponsored by Avera Cancer Institute.

“We’re delighted to honor these doctors,” said Jami

Gates, ACS Corporate Relations. “Their commitment to the fight against cancer is inspirational. Cancer still takes too many of our

Cancer Society has devoted 3.4 billion to cancer research and has

loved ones. This event is a way to fight back; to raise vital funds

consistently funded programs to educate people about cancer and

for the American Cancer Society and to make a difference every

cancer treatment.

day in the lives of people touched by cancer.”

with Docs” event. It’s a popular event because it’s a chance for

The American Cancer Society estimates that this year in

One of the big hits of the night was the ACS “Dinner

South Dakota, 4120 people are expected to be diagnosed with

the community to bid on a doctor who will make an exotic dinner

cancer and 1640 people are expected to die. Fundraising pro-

for them. It’s also popular because it’s a chance for people to

ceeds from Lights, Camera, Action…for a Cure! Gala are used to

turn the tables and have the doctor wait on them…. He not only

support programs, services and research of the American Cancer

prepares and cooks a delicious meal for the bidder– but he serves

Society – to keep fighting the fight against cancer. The American

it to them, too. Want to try out your culinary skills next year? There are many opportunities for doctors to get involved in the Gala, and plan are already in the works for next year. Contact ACS to be part of this event to fight cancer. To find out how you can get involved, or for cancer information anytime, contact the Society at 1.800.227.2345 or visit cancer.org.

“The American Cancer Society honored two community leaders for their dedication to the fight against cancer -Dr. John Lee (sponsored by Sanford Cancer Center) and Dr. John Griffin, (sponsored by Avera Cancer Institute) at Lights, Camera, Action for a Cure!” cancer gala. Reserve tickets for next year’s Gala at 605.323.3555.”

24

Midwest Medical Edition - April/May 2010


Avera McKennan to Offer First-of-its-Kind Cancer Treatment for the Region

Avera McKennan Hospital has received $2,492,032

In the rural Midwest, this therapy will save significant

in funding over two years from The Leona M. and Harry B.

drive time, stress and expense to cancer patients. Dr. Wade Do-

Helmsley Charitable Trust to implement first-of-its-kind cancer

sch, one of two surgeons and three radiation oncologists involved

treatment in the region. The treatment, intra-operative electron-

in the project, explained the value of the treatment for women

beam radiation therapy, uses a mobile device to deliver high-dose

with breast cancer.

radiation to tumors during surgery.

a mastectomy because she cannot tolerate the time commitment

“This therapy is not available anywhere in South Dakota

“It is heartbreaking to watch a woman choose to have

and can only be found at 12 other locations in the United States,”

required of radiation therapy after breast conservation. Offer-

explained David Erickson, MD, Avera’s chief medical officer.

ing a treatment that will decrease post-operative radiation visits

“This therapy will be a great benefit to many cancer patients in

will help women decide to pursue breast conservation instead of

the region.”

mastectomy,” he said.

The therapy primarily will be used for breast cancer, and

Funds will be used primarily to assist with equipment

to a lesser extent for ovarian and colorectal cancers. It has been

and implementation. A clinical research coordinator also will be

shown to:

employed to conduct clinical research trials. The therapy and

clinical trials are scheduled to begin in conjunction with the

• Eliminate the need for three to five treatments

of conventional radiation

• Speed recovery times

• Improve tumor control and long-term survival rates

opening of the Avera Cancer Institute on the Avera McKennan Campus in Fall 2010.

Are you treating a child with an Autism Spectrum Disorder? Children’s Care can help with In-Home Behavior Therapy and other services. sUses the research-based principles of

Applied Behavior Analysis (ABA) sTherapists come to the child’s home for one-on-one teaching with the child, plus parent training sImproves social, communication, self-help, and functional skills sProven treatment for use with any population regardless of ability or disability Insurance coverage may apply

Call (605) 782-2300 for information about this service or others, including autism evaluations, sensory integration therapy, incontinence training, adaptive aquatics, short-term inpatient evaluations, inpatient care, or free autism screenings.

CHILDREN’S CARE HOSPITAL & SCHOOL For Children with Special Needs and Their Families 2501 W. 26th St., Sioux Falls, SD 57105-2498 (605) 782-2300

www.cchs.org

April is Autism Awareness Month Join us for Arms Around Autism, Friday, April 30, 2-4:30 p.m. for information about our services for children with Autism Spectrum Disorders, plus food and entertainment.

Midwest Medical Edition - April/May 2010 25


Avera Cancer Institute Wins Outstanding Achievement Award

26

The Avera Cancer Institute at Avera McKennan Hospi-

once again earned three-year accreditation with commendation

tal & University Health Center has received the 2009 Outstand-

from the CoC as a Community Hospital Comprehensive Cancer

ing Achievement Award from the Commission on Cancer of

Program.

the American College of Surgeons. The Outstanding Achieve-

ment Award is given to facilities that meet the highest standard

onsite surveyor ensures that a cancer facility meets 36 stan-

of care for cancer patients. For 2009, Avera is one of only 81

dards in areas such as cancer committee leadership, cancer data

cancer programs in the nation receiving this award, and the only

management, clinical services, research, community outreach,

winner in the state of South Dakota in 2009. Avera St. Luke’s

and quality improvement. Only 18 percent of the 432 programs

in Aberdeen earned the OAA in 2007.

surveyed during the past year received this designation.

This is the first time Avera McKennan’s cancer

To designate the Outstanding Achievement Award, an

The Avera Cancer Institute is among approximately

program has won the Outstanding Achievement Award. The

1,400 cancer programs in the United States and Puerto Rico that

program has been accredited since 1986. In 2009, the program

are accredited by the CoC.

Midwest Medical Edition - April/May 2010


Sanford Diabetes Researcher Recognized

For the second year in a row, a Sanford Project research-

to substitute for

er was honored during the annual Rachmiel Levine Symposium

lost insulin-producing beta cells in patients with T1D.

on diabetes in Las Vegas in March. Alexei Savinov, MD, was the

2010 winner of the Achievement Award for his abstract on type 1

juvenile diabetes through research. The research team, assembled

diabetes (T1D).

in 2009, includes Paul Burn, PhD, Alexander Rabinovitch, MD,

 

Alexei Savinov, MD and Da-Qing Yang, PhD.

Dr. Savinov gave an oral presentation and presented a

The goal of the Sanford Project is to find a cure for

poster of his abstract entitled “Specific Inhibition of Autoimmune T Cell Transmigration Contributes to Beta Cell Regeneration and Insulin Synthesis in NOD Mice.” Savinov’s work is aimed at discovering novel approaches that interfere with the disease process by blocking infiltration of harmful T lymphocytes into the pancreatic tissue.

The Levine Symposium focuses on new research in

diabetes that can be applied in the laboratory and in patient care. Last year, Sanford Project researcher Da-Qing Yang, PhD was honored for his research on using healthy fibroblast donor cells from a type 1 diabetic reprogrammed into glucoseresponsive, insulin-producing beta cells. If successful, the reprogrammed cells may be used in transplantation approaches Yang

Savinov

Midwest Medical Edition - April/May 2010 27


Ride, Golf, Play for Make-a-Wish By: Mary Olinger

of these wishes possible.   I want YOU to help change a child’s life and be part of a “wish experience”, by inviting you to attend

There are few things in the world that can truly change

some of our events this summer.

a child’s life. I’m a firm believer that one of them is seeing a child’s most heartfelt wish come true. 

As the President & CEO of the Make-A-Wish Founda-

Events are held throughout the state of South Dakota:

tion® of South Dakota, I’m com-

mitted to our mission of granting

the wishes of children suffering

ing a golf tournament on May 17th at Moccasin Creek Country

with life-threatening medical con-

Club. Contact Mike Hogg at (605) 225-1275, Ext. 121 to partici-

ditions. Since the first wish was

pate and help his company raise money for sick children.

granted in South Dakota in 1984,

we have taken nearly 870 very ill

the 15th Annual Hot Harley Nights in Sioux Falls. Shine up your

children on magical journeys away

motorcycle and ride in the most fun-filled event of the summer.

from the hospitals, doctors and

If you don’t have a motorcycle, take the family to J & L and see

excruciating medical treatments. 

the bike show, listen to the music and enjoy the food. And, Sat-

Our many, wonderful supporters

urday night head to downtown Sioux Falls for the parade. Raffle

have made each and every one

tickets are also being sold on a 2010 Harley-Davidson Dyna

If you are in the Aberdeen area, CashWa will be host-

On July 9 and 10, J & L Harley Davidson will be hosting

Wide Glide motorcycle for $25.00 – only 2,000 tickets will be sold.  Where else can buy a motorcycle for $25.00?  On Monday, July 26th, the 10th Annual Make-A-Wish® Golf Tournament will be held at Minnehaha Country Club.  Featured at the event is David

2010 Advertising Editorial Deadlines

Feherty, CBS Golf Commentator and Author. Play 18 holes beginning at 11:30 a.m.  Have your spouse or significant other attend the Ladies Luncheon

ISSUE

Copy/AD Deadline

at noon. Wish children and their fami-

April/May (Premier Issue)

March 15th

lent auction will be held. Special shirts

June

May 5th

July/August

June 5th

September/October

August 5th

November

October 5th

December

November 5th

lies will be special guests. A live and siand gifts for the golfers with dinner and cocktails are all part of the package. Please give me a call at 335-8000 or 1-800-640-9198 to hear more about our summer events and how you can participate.  All money from these events stays in South Dakota for our many sick children. 

**Ads/Copy turned in past deadline, subject to not make it in the issue. Not all copy will be published in the magazine; some copy may be put in later issues. The features are subject to change.  Please make sure all copy is ready for print. Related photos or graphics are welcome.

28

Midwest Medical Edition - April/May 2010


Avera McKennan Expands Intensivist Care

Avera McKennan has recently expanded on the Avera

hospital respond quickly to patients’ needs and give more consis-

eICU® concept that’s been in place for over five years by adding

tent care over time. The Hospitalist Service is staffed 24/7 for 365

a bedside intensivist program. These two programs provide dedi-

days each year.

cated specialized critical care services both electronically and on

Similar to a hospitalist, surgicalists are in the hospital to

the ICU unit.

immediately respond to emergency or non-

scheduled surgical needs and trauma. This

Today’s hospital patient is

sicker, yet stays a shorter amount of time

is also comparable to the laborist concept,

in the hospital than in years past, said Dr.

in which an OB/GYN specialist is in house

David Kapaska, senior vice president of

24/7 to help women with labor and deliv-

Medical Staff Affairs. “Having immedi-

ery.

ate response capabilities to handle sig-

nificant medical issues is more important

provides a specially-trained critical care

than ever,” he said.

physician available to monitor all ICU

Avera McKennan is enhancing programs for intensivists,

The new bedside intensivist service

cases, seven days a week, providing continuity of care and

as well as hospitalists and surgicalists. The role of a hospitalist

coordination within the unit. Five physicians currently take part

is to provide expert hospital medicine and support, and to be an

in this program: Dr. Edward Zawada, Dr. Michael Heisler, Dr.

advocate for a hospital patient who may have no primary care

Tony Hericks, Dr. Fady Jamous and Dr. Rina Awan. While Drs.

physician locally. Enhanced availability of physicians helps the

Zawada and Heisler are employed full-time between the intensivist program and Avera eICU, Drs.

“ The only constant

Jamous, Hericks and Awan are continu-

we see is change.”

ing their pulmonology practices. Avera McKennan’s ICU remains open so that any physician with hospital privileges can admit to the unit and

Learn how MMIC is continually developing ways to protect you from and to help you prevent medical malpractice lawsuits.

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physician remains the lead physician for the patient’s care. “Avera McKenteamwork,” said Pat Herr, director of Avera eICU® CARE. Intensivists assume the role of a consultant on every case in the ICU. Physicians benefit from the support and collaboration of a consulting physician. ICU staff benefit from having a physician already in the unit to give

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Exclusively promoted and recommended by the South Dakota State Medical Association.

benefit from having the physician at hand to consult with about their loved

Protecting and Promoting the Practice of Good Medicine

one’s care. Patients benefit by having an expert in critical care medicine involved in their care. Midwest Medical Edition - April/May 2010 29


News & Notes Custer Regional Hospital is

People in North Dakota will soon have another health insurance

pleased to announce the addi-

option. The North Dakota Insurance Department announced this

tion of Amanda Taglioli, Certi-

morning it has given Sanford Health Plan a certificate of author-

fied Physician Assistant (PA-C).

ity to provide health insurance in the state. Local, independent

She assists physicians at Custer

agents will offer Sanford Health Plan to the community once the

and Hill City Clinics, and began

state of North Dakota approves rates and forms for each product

seeing patients at the Edge-

line.

mont Clinic in March. Taglioli

Taglioli

earned her Bachelor’s degree

Regional Medical Clinic is

as a Physician Assistant from

pleased to announce the addi-

the University of South Dakota,

tion of Sonalika Khachikian,

in Vermillion. For the last eight years, Taglioli has practiced as a

M.D., an Endocrinologist,

Physician Assistant in Loveland, Colo., and in Rapid City, S.D.

to the clinic staff. Her office

The clinics allow patients to schedule appointments with their

is located at Regional Medi-

physicians as well as welcome walk-in visits.

cal Clinic-Aspen Centre, 640 Flormann St. Khachikian is

Laurie Gill has accepted the position of Clinic Admin-

board certified in endocrinol-

istrator at Avera Medical Associates Clinic in Pierre SD. Gill has worked for the South Dakota Department of Health for thirteen

ogy and internal medicine and Khachikian

earned her Medical Degree

years and is currently serving as the Deputy Secretary. Prior to

from Albany Medical College, in Albany, N.Y. She completed her

her career in state government she served for several years as a

residency in Internal Medicine at Albany Medical Center.

business manager at Capital Area Counseling Services. Gill is very active in the community, and currently serves as the Mayor of the City of Pierre.

Index of Advertisers SDAHO....................................................................................................................................... Inside Front Cover Sioux Falls Cardio........................................................................................................................................ Page 13 American Cancer Socieity........................................................................................................................... Page 15 Sanford Spinal Clinic................................................................................................................................... Page 19 Children’s Care Hospital.............................................................................................................................. Page 25 MED............................................................................................................................................................ Page 27 MMCI Group............................................................................................................................................... Page 29 Make a Wish................................................................................................................................Inside Back Cover Sanford Health.......................................................................................................................................Back Cover 30

Midwest Medical Edition - April/May 2010


Leading the future of HEART CARE takes singular vision. Bringing the most innovative heart care to the region takes a team with the same foresight. These specialists always look beyond convention. They lead research. They publish. Sharing knowledge, exploring breakthroughs, and bringing the world’s most innovative solutions to you. The future of heart care is here. To make an appointment, call 605-328-2929. For more information, visit BeHeartSmart.org.

Š Sanford Heart Hospital

MED-Midwest Medical Edition-April/May 2010  

Premiere Issue! Featuring: Caring for a needy world, Stroke Screening by CNOS

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