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Contents Midwest Medical Edition

January / February 2012

REGULAR FEATURES 2|

From Us to You

5|

Meet a MED Advisor / Luis Rojas, MD

16 |

Then & Now / Four of a Kind in Yankton

20 |

Medicine and the Arts / The South Dakota Symphony’s Music as Medicine Program

22 |

In Review / INCOGNITO The Secret Lives of the Brain By David Eagleman, PhD

27 |

Grape Expectations / A Taste for Tasting By Heather Taylor Boysen

28 | 29 |

News & Notes / News from around the region Learning Opportunities Upcoming Symposiums, Conferences and CME Courses

IN THIS ISSUE 4|

AMA Adopts New Policies

6|

Physician Leadership: Key to Quality/Safety Improvements

7|

Project Draws Support for Organ Donation

9|

Northern Hills Benefit “Crystal Ball”

By Dave Hewett

14 |

Going Red for Women

15 |

Your Logo: A Tiny Little Picture That Says a Lot

18 |

Timmerman Named Chair of Surgery at Sanford School of Medicine

19 |

New ‘My Medications’ App

24 |

The Importance of Post Injury Ergonomic Analysis

25 |

New Equipment for Lead-Deadwood Ambulance

26 |

100,000 Primary Care Providers Commit to HER

By Maria Stys, MD By Heather Monaster

By Dan Friedrich

The cover image is from a watercolor painting by retired physician, Charles Monson, MD of Parkston, South Dakota. Dr. Monson’s whimsical paintings decorate many homes and offices in that region. The sales of most of these paintings went toward a scholarship fund established in the name of his late wife, Kay. The image “Lilies and Lark” won top honors at the South Dakota State Fair in 2001.

COVER FEATURE

Finding Tranquility

The Role of Palliative Care in Medicine • Millions of people with serious illnesses live with symptoms, whether physical, emotional or social, that seriously impact the quality of their lives. In some cases, they are senior patients with terminal diseases. In other cases, they may be small children with genetic anomalies. Whether their problems stem from the condition itself or side effects of its treatment, palliative care specialists are trained to help patients find the tranquility to live life on their terms.

page

10


From Us to You





Staying in Touch with MED

A letter from the VP and Editor PUBLISHER

W

E ARE EXCITED TO BE BRINGING YOU ANOTHER YEAR OF MED, the region’s premier source for timely, local, relevant health news to benefit you and your practice. We handpick each feature article and contributed column with a view toward how it might serve you, the South Dakota healthcare provider. We welcome your feedback on our choices. Our thanks go out to the deeply compassionate physicians and nurses from around the region who helped us better understand the complex issue of palliative medicine for this month’s cover feature. Also in this issue, you’ll find features on a pair of father/daughter doctors in Yankton, an exciting new collaboration between local hospitals and the South Dakota Symphony, the case for revamping your practice logo, and, of course all of the region’s current news and upcoming CME courses. As always, we welcome your book reviews and reminiscences as well as your letters and comments on issues you see in these pages or elsewhere. We continue to look for physicians willing to speak with us about their unique hobby or artistic pursuit. Contact us any time at Alex@MidwestMedicalEdition.com. Let us know what you’re up to and we’ll do the rest. Best wishes to you and yours for a healthy, happy and a prosperous new year. Thank you for making MED a part of it. —Alex & Steff

VP SALES & MARKETING EDITOR IN CHIEF DESIGN/ART DIRECTION COVER DESIGN WEB DESIGN CONTRIBUTING EDITOR

MED Magazine, LLC Sioux Falls, South Dakota Steffanie Liston-Holtrop Alex Strauss Corbo Design Darrel Fickbohm 5j Design Darrel Fickbohm

Heather Boysen JeniceHewett Dave Deming Michael Dan Friedrich Fleming Dave Hewett Heather Monaster Jeff Roach Maria Stys CONTACT INFORMATION

CONTRIBUTING WRITERS

Steffanie Liston-Holtrop

Alex Strauss

Steffanie Liston-Holtrop, VP Sales & Marketing CONTACT INFORMATION 605-366-1479 Steff@MidwestMedicalEdition.com Steffanie Liston-Holtrop, VP Sales & Marketing Alex Steff@MidwestMedicalEdition.com Strauss, Editor in Chief 605-366-1479 605-759-3295 Alex@MidwestMedicalEdition.com Alex Strauss, Editor in Chief Fax 605-271-5486 605-759-3295 Alex@MidwestMedicalEdition.com MAILING ADDRESS PO Box 90646 Sioux Falls, SD 57109 Fax 605-271-5486 WEBSITE MidwestMedicalEdition.com MAILING ADDRESS PO Box 90646 Sioux Falls, SD 57109 WEBSITE MidwestMedicalEdition.com

2012 Advertising / Editorial Deadlines 2012 Advertising / Editorial Deadlines

Jan/Feb Issue June Issue November Issue December 5 May 5 October 5 Jan/Feb Issue June Issue November Issue March Issue July/August December December 5 May 5 Issue OctoberIssue 5 February 5 June 5 November 5 March Issue July/August Issue December Issue April/May Sep/Oct FebruaryIssue 5 June Issue 5 November 5 March 5 August 5 April/May Issue Sep/Oct Issue March 5 August 5 Reproduction or use of the contents of this magazine is prohibited. Reproduction or use of the contents of this magazine is prohibited.

WE HOPE YOU ENJOY “MED QUOTES” AS YOU FIND THEM IN EACH ISSUE OF MED MEDQUOTES

Disease is war with the laws of our being, and all war, as a great general has said, is hell. ~Lewis G. Janes

CORRECTION In a November, 2011 article on H. Thomas Hermann, MD, the name of the graduate program and professional organization in which Dr. Hermann is a fellow were incorrectly identified. Dr. Hermann is a graduate of the Sioux Falls Family Medicine Residency Program and is a fellow of the American Academy of Family Physicians.

2

©2011 Midwest Medical Edition, LLC Midwest Medical Edition (MEDLLC Magazine) is committed ©2011 Midwest Medical Edition, to bringing our readership of 3500 South is Dakota area Midwest Medical Edition (MED Magazine) committed physicians the very latest in to bringingand ourhealthcare readershipprofessionals of 3500 South Dakota area regional news andprofessionals information the to enhance their physiciansmedical and healthcare very latest in lives and practices. MEDand is published 8 times a year by MED regional medical news information to enhance their Magazine, LLC and MED strivesis to publish only accurate lives and practices. published 8 times a yearinformaby MED tion, however Medical Edition, cannotinformabe held Magazine, LLCMidwest and strives to publish onlyLLC accurate responsible forMidwest consequences resulting errors or tion, however Medical Edition,from LLC cannot beomisheld sions. All material in this magazine is the property ofomisMED responsible for consequences resulting from errors or Magazine, LLC andincannot be reproduced without of permissions. All material this magazine is the property MED sion of the LLC publisher. We welcome article without proposals, story Magazine, and cannot be reproduced permissuggestions and unsolicited articles and will consider all sion of the publisher. We welcome article proposals, story submissions and for publication. Please send yourconsider thoughts, suggestions unsolicited articles and will all ideas and submissions to alex@midwestmedicaledition.com. submissions for publication. Please send your thoughts, Magazine feedback and and marketing inquiries, ideas and submissions toadvertising alex@midwestmedicaledition.com. subscription requests address and changes can be sent to Magazine feedback andand advertising marketing inquiries, steff@midwestmedicaledition.com. subscription requests and address changes can

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be sent to steff@midwestmedicaledition.com. MED is produced eight times a year by MED Magazine,eight LLC which MED is produced times aowns year the rights toMagazine, all content.LLC which owns the by MED rights to all content.

Midwest Medical Edition


Intensive Care for Newborns

In whose hands will you place her?

PHYSICIANS’ PRIORITY LINE

1.888.592.7955

When a newborn is critically ill, a single call gives you instant access to our neonatal intensive care specialists and a full range of pediatric and surgical subspecialists, all supported by state-of-the-art technology and equipment. It can also link you to our neonatal transport service team, who will arrange for transport to Children’s Hospital & Medical Center based on the child’s needs. Twenty-four hours a day, seven days a week, one call links you to physician-to-physician consults, referrals and admissions. There’s no problem too large, no child too small. www.ChildrensOmaha.org

December 2011

MidwestMedicalEdition.com

3


AMA Adopts

New Policies

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Hypertension is one

of the most serious health problems in the country. Fortunately, itĘźs also one of the easiest to diagnose and treat. You know the classifications and risks. DonĘźt assume your patients do. Talk to them about their BP and do it often. Breaking the silence is one of the best ways to fight this silent killer.

4

Midwest Medical Edition


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MEDQUOTES

It is sometimes as dangerous to be run into by a microbe as by a trolley car.

Stop the Implementation of ICD-10 7KH$0$+RXVHRI'HOHJDWHVYRWHG WRZRUNYLJRURXVO\WRVWRSLPSOHPHQWD WLRQ RI ,&' 7KH ,QWHUQDWLRQDO &ODVVL¿FDWLRQRI'LVHDVHVDQG5HODWHG +HDOWK3UREOHPVWK5HYLVLRQ DQHZ FRGHVHWIRUPHGLFDOGLDJQRVHV,&' KDVDERXWFRGHVDQGZLOOUHSODFH WKH,&'GLDJQRVLVFRGHVFXU UHQWO\LQXVH ³7KH LPSOHPHQWDWLRQ RI ,&' ZLOOFUHDWHVLJQL¿FDQWEXUGHQVRQWKH SUDFWLFH RI PHGLFLQH ZLWK QR GLUHFW EHQH¿WWRLQGLYLGXDOSDWLHQWV¶FDUH´ VDLG 3HWHU : &DUPHO 0' $0$ SUHVLGHQW³$WDWLPHZKHQZHDUHZRUN LQJWRJHWWKHEHVWYDOXHSRVVLEOHIRU RXU KHDOWK FDUH GROODU WKLV PDVVLYH DQGH[SHQVLYHXQGHUWDNLQJZLOODGG DGPLQLVWUDWLYH H[SHQVH DQG FUHDWH XQQHFHVVDU\ZRUNÃ&#x20AC;RZGLVUXSWLRQV7KH WLPLQJ FRXOG QRW EH ZRUVH DV PDQ\ SK\VLFLDQVDUHZRUNLQJWRLPSOHPHQW HOHFWURQLF KHDOWK UHFRUGV LQWR WKHLU SUDFWLFHV´ $VWXG\IRXQGWKDWDVPDOO WKUHHSK\VLFLDQSUDFWLFHZRXOGQHHGWR VSHQGWRLPSOHPHQW,&' DQG D SK\VLFLDQ SUDFWLFH ZRXOG VSHQG  WR PDNH WKH FRGLQJ FKDQJH

Stop Legal Prohibition of Male Circumcision )LQDOO\EDOORWDQGRWKHUOHJDOLQLWLD WLYHVKDYHUHFHQWO\EHHQSURSRVHGLQ &DOLIRUQLDWKDWZRXOGEDQLQIDQWPDOH FLUFXPFLVLRQDQGSHQDOL]HDQ\SK\VL FLDQ ZKR SHUIRUPHG LW 7KH $0$ YRWHGWRRSSRVHDQ\DWWHPSWWROHJDOO\ SURKLELW PDOH LQIDQW FLUFXPFLVLRQ ³7KHUH LV VWURQJ HYLGHQFH GRFX PHQWLQJWKHKHDOWKEHQH¿WVRIPDOH FLUFXPFLVLRQDQGLWLVDORZULVNSUR FHGXUHVDLG'U&DUPHO³7KH$0$ KDV DJDLQ PDGH LW FOHDU WKDW LW ZLOO RSSRVHDQ\DWWHPSWVWRLQWUXGHLQWR OHJLWLPDWHPHGLFDOSUDFWLFHDQGWKH LQIRUPHGFKRLFHVRISDWLHQWV´Ŷ

A talk with MED Advisor

Luis A. Rojas, MD

Gynecologic Oncologist

Q: You came from the Dominican Republic. How did you end up in Sioux Falls? When I completed my training in gynecologic oncology at Cleveland Clinic, the government required me to work in an underserved area. That policy is fine in principal, but it can be very difficult for people in highly specialized fields like mine to find an underserved area with the need and volumes for their services. Of the places I interviewed, Sioux Falls was by far the best. Q: The requirement is 3 years and you have been here more than four. Have you decided to stay? Absolutely. This is home for us. My wife and my three boys and I love it here. For us to move now, they would have to deport us! And I am kept very busy as one of only two Gynecological Oncologists in town. Q: What are you most excited about professionally? Connecting with places like Cleveland Clinic and Case Western Reserve University for research. We are also working on several new clinical trials. We are studying the impact of obesity on endometrial cancer. We are also going to conduct microarray studies on cancer cells which will give us important genetic information that may impact on how we administer chemotherapy in the future. We are on the verge of some breakthrough research that is going to put Avera on the map. Q: You came here from a large center. Does being in Sioux Falls hold you back at all? Not at all. There is a great deal of freedom and opportunity here. Honestly, the only thing that holds us back here is the hospital politics that prevent our being able to have the advantages of a residency program. We could have a great residency program if the hospitals could agree to do it.

~J.J. Walsh

January February 2012

MidwestMedicalEdition.com

5


Physician Leadership

Key to Quality/Safety Improvements By Dave Hewett , President/CEO, SDAHO

4

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We Treat You Like Family. RELY ON THE EXPERTISE OF THE AVERA HEART HOSPITAL Avera Heart Hospital has a culture that is unmatched in the region, thanks to our dedication to the Patient-Focused Care model. This model means youâ&#x20AC;&#x2122;re treated by a dedicated circle of staff during your stay, which fosters relationships â&#x20AC;&#x201D; and helps us reach our goal of treating you like family.   And weâ&#x20AC;&#x2122;ve been recognized for our care: Avera Heart Hospital was selected as one of the Thomson Reuters Top Cardiovascular Hospitals in the nation five years in a row from 2007-2011. This award is only given to hospitals that have superior performance â&#x20AC;&#x201D; which means 93 percent of their patients remain complication-free and have better outcomes.   When you want advanced technology and advanced care, you want Avera Heart Hospital.

www.AveraHeartHospital.com January February 2012

MidwestMedicalEdition.com

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Over 1,100 attend

Avera McKennan

Centennial

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Our Regionâ&#x20AC;&#x2122;s Heart Team 4150 5th Street

Rapid City, SD 57701

(605) 399-4300

1-800-HEART-22

www.regionalhealth.com/rhd 16582-1211

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Courtesy Sanford

Katie Gilmore, PA, Sioux Falls VA Medical Center

Pam Koepsell, CNS, Sanford Children’s’

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Palliative Care for Pediatric Patients

“Palliative care is focused on providing patients with relief from the symptoms, pain, and stress of a serious illness—whatever the diagnosis. The goal is to improve quality of life for both the patient and the family.” – Center to Advance Palliative Care (CAPC)

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Katie Gilmore, PA, Sioux Falls VA Medical Center

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2 2011 Public Opinion Research on Palliative Care, Center to Advance Palliative Care. http:// www.capc.org/tools-for-palliative-careprograms/marketing/public-opinionresearch/2011-public-opinion-research-onpalliative-care.pdf

1 â&#x20AC;&#x153;Palliative Care in Hospitals Continues Rapid Growth for 10th Straight Year, According to Latest Analysisâ&#x20AC;?, Press Release, July 14, 2011, Center to Advance Palliative Care. http://www. capc.org/news-and-events/releases/07-14-11

3 Temel, Jennifer et al, â&#x20AC;&#x153;Early Palliative care for Patients with Metastatic Non-small cell Lung Cancerâ&#x20AC;?, August 2010, New England Journal of Medicine, 363:733-742. http://www.nejm. org/doi/full/10.1056/NEJMoa1000678

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January February 2012

MidwestMedicalEdition.com

13


ction Learn CPR Volunteer

assion Committee Tell 5 women you love

Red Help save lives today

in our mission Get involved locally 2012 Sioux Falls

Go Red For Women® Luncheon

ore about women and heart disease Thursday, Feb. 23 10 am – 1 pm

Sioux Falls Convention Center

e your experience Go Red ORFDOO\VSRQVRUHGE\

a difference Wear Red For tickets and sponsorship information, call 605-360-2542.

©2011, American Heart Association. Also known as the Heart Fund. TM Go Red trademark of AHA, Red Dress trademark of DHHS.

Going Red for Women

A CRUCIAL STEP IN FEMALE HEART CARE By Maria Stys, MD

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Midwest Medical Edition


Your Logo A tiny little picture that says a lot By Heather Monaster, PCM, Marketing Manager at CQuence Health Group

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MidwestMedicalEdition.com

Original Logo

Redesign Before Valley County Health System in Ord, Nebraska revamped its logo, the logo featured all capital letters and faceless people. The redesigned logo features a sunrise/sunset image which can have many connotations for health care, while the river represents the hospitalâ&#x20AC;&#x2122;s river valley.

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Then & Now Our Changing Medical Landscape

Four of a Kind By Darrel Fickbohm Editor’s Note: 7KH <DQNWRQ &OLQLF ERDVWVWZRSDLUVRISDUHQWFKLOGSK\VL FLDQV:HVSRNHZLWK)DPLO\3UDFWLFH 3K\VLFLDQV'DYLG%DUQHV0'DQGKLV ,QWHUQLVWGDXJKWHU&ODULVVDDVZHOODV UHWLUHGVXUJHRQ-RKQ6WHUQTXLVW0' DQGKLVGDXJKWHU-LOODQHZ2E*\Q DERXWWKHLUXQLTXHVLWXDWLRQ

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16

“I remember that she would dress up for Halloween as a medical person a lot, but I didn’t realize she was strongly interested until much later” David Barnes, MD. DERXWWKHPVRPHWLPHV,IWKLQJVJRRQ SURJUHVVLQJWKDWZD\LQWKHQH[WIRUW\ \HDUVLWZLOOEHDPD]LQJ´ +LV GDXJKWHU -LOO 6WHUQTXLVW 0' DJUHHV³7KHUH¶VORWVRIRYHUODS²LQWHU HVWLQJFDVHVDQGUDUHKDSSHQLQJV,GRD IDLUDPRXQWRIVXUJHU\DQGWKDWZDVKLV OLIHVRZHFDQWDONVKRSLQPDQ\DUHDV´ 6KHLVDOVRTXLFNWRSD\WULEXWHWRKHU XSEULQJLQJ ³)RU VRPH IDPLOLHV WKH LGHD RI HQWHULQJ PHGLFLQH KROGV DQ DXUD RI LPSRVVLELOLW\²LW¶VDQXQNQRZQSURFHVV µ$GRFWRU"2K\RXFRXOGQHYHUEHWKDW :KDWDOOGR\RXKDYHWRGR"¶,WZDVQ¶W WKDWZD\DVDSK\VLFLDQ¶VNLGZHMXVW JUHZXSNQRZLQJWKHSURFHVV%XW,WKLQN GDGLQÀXHQFHGWKHZD\,SUDFWLFHPRVW RI DOO , NQRZ D ORW RI SHRSOH DURXQG KHUH²PRVWO\KLVIULHQGV²ZKRUHPHP EHUHGKLVSROLWHQHVVDQGKRZQLFHKHZDV 7KDWHIIHFWZDVDJUHDWHQFRXUDJHPHQW WRPHWRGROLNHZLVHDOVRKLVYROXQWHHU LQJDQGDGPLQLVWUDWLYHZRUN´ %XW'U-LOOVD\VWKHUHLVDOVRDOLYLQJ WLPHPDFKLQHHIIHFWWKDWLVLQHYLWDEOH ZKHQHQWHULQJ\RXUIDWKHU¶VSUDFWLFH

David Barnes, MD, and his daughter Clarissa Barnes, MD.

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Midwest Medical Edition


John Sternquist, MD, and his daughter Jill Sternquist, MD.

â&#x20AC;&#x153;For some families, the idea of entering medicine holds an aura of impossibility â&#x20AC;&#x201D;itâ&#x20AC;&#x2122;s an unknown process: â&#x20AC;&#x2DC;A doctor? Oh you could never be that! What all do you have to do?â&#x20AC;&#x2122; â&#x20AC;? Jill Sternquist, MD

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January February 2012

MidwestMedicalEdition.com

17


Gary Timmerman named CHAIR OF SURGERY at SANFORD SCHOOL OF MEDICINE GARY TIMMERMAN, M.D. HAS BEEN QDPHG FKDLU RI WKH 'HSDUWPHQW RI 6XUJHU\ RI WKH 6DQIRUG 6FKRRO RI 0HGLFLQH RI WKH 8QLYHUVLW\ RI 6RXWK 'DNRWDHIIHFWLYH-DQXDU\ 7LPPHUPDQ EULQJV QHDUO\ WKLUW\ \HDUV RI H[SHULHQFH LQ VXUJHU\ DQG WHDFKLQJWRWKHSRVLWLRQ0RVWUHFHQWO\ 7LPPHUPDQ KDV VHUYHG VWXGHQWV DQG SDWLHQWV LQ WKH 6LRX[ )DOOV DUHD LQ D YDULHW\RIFDSDFLWLHVLQFOXGLQJDVFKLHI RIVWDIIDW6DQIRUG86'0HGLFDO&HQWHU DQG DV D FOLQLFDO DVVRFLDWH SURIHVVRU RI VXUJHU\ DW WKH 6DQIRUG 6FKRRO RI 0HGLFLQH ³'U7LPPHUPDQ¶VHQHUJ\DQGFRP PLWPHQWZLOOEHDZRQGHUIXOSODWIRUP RQZKLFKWKH'HSDUWPHQWRI6XUJHU\FDQ H[SDQGLWVUROHRISURYLGLQJRSSRUWXQL WLHV IRU VXUJLFDO HGXFDWLRQ IRU 6RXWK

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18

Midwest Medical Edition


AMA INTRODUCES â&#x20AC;&#x2DC;MY MEDICATIONSâ&#x20AC;&#x2122; APP

&+,&$*2¹THE AMERICAN MEDICAL ASSOCIATION $0$  KDV LQWURGXFHG LWV VHFRQG VPDUWSKRQH DSS GHVLJQHGWRDOORZSDWLHQWVWRVWRUHFDUU\DQGVKDUHWKHLU PHGLFDO LQIRUPDWLRQ 7KH DSS LV QRZ DYDLODEOH WKURXJK WKHL7XQHVVWRUHIRUFHQWV ³7KH$0$œVQHZ0\0HGLFDWLRQVDSSSURYLGHVDSODFH IRUSDWLHQWVWRVWRUHWKHLUPHGLFDOLQIRUPDWLRQDQGVKDUHLW ZLWKWKHLUSK\VLFLDQV:KHQDSK\VLFLDQKDVDFFHVVWRD SDWLHQWœVFXUUHQWPHGLFDWLRQVDOOHUJLHVDQGLPPXQL]DWLRQV WKHULVNRIPHGLFDWLRQHUURUVDQGDGYHUVHUHDFWLRQVWRPHGLFD WLRQVGHFUHDVHV´VDLG$0$&KDLU(OHFW6WHYHQ-6WDFN0' 0\0HGLFDWLRQVOHWVSDWLHQWVVWRUHFDUU\DQGVKDUHPHGL FDOLQIRUPDWLRQLQRQHSODFHWKDWSDWLHQWVFDQWDNHZLWKWKHP DQ\ZKHUHWKH\JR,WJLYHVSDWLHQWVWKHDELOLW\WRFUHDWHDQG XSGDWHDOLVWRIPHGLFDWLRQVLQFOXGLQJGRVLQJDQGVFKHGXOH LQIRUPDWLRQ,PPXQL]DWLRQUHFRUGVDQGDOOHUJ\LQIRUPDWLRQ FDQDOVREHWUDFNHG7KHDSSDOORZVSDWLHQWVWRHPDLOPHGL FDOLQIRUPDWLRQWRKHDOWKFDUHSURYLGHUVIDPLO\PHPEHUV RUIULHQGV,WDOVRDOORZVSDWLHQWVWRPDLQWDLQDOLVWRIWKHLU PHGLFDOWHDPœVFRQWDFWLQIRUPDWLRQ )RUPRUHLQIRUPDWLRQDERXW0\0HGLFDWLRQVYLVLWKWWS ZZZDPDDVVQRUJDPDSXEDERXWDPDDSSVP\PHGLFD WLRQVSDJHŜ

One thing I am certain about is my malpractice protection.â&#x20AC;?

Medicine is feeling the eďŹ&#x20AC;ects of regulatory and legislative changes, increasing risk, and profitability demandsâ&#x20AC;&#x201D;all contributing to an atmosphere of uncertainty and lack of control.

Seeking

Urgent Care

What we do control as physicians: our choice of a liability partner.

Physician 42 physician independently owned multi-specialty clinic seeking BE/BC Family Medicine physician to staff our urgent care Clinic. Current schedule is Sun, T-F with Saturday and Monday off but could be subject to change with the right person; Urgent care clinic is open 5-9 M-F and 12-5 Sat and Sun. Competitive salary and outstanding benefits; No State Income Tax; work closely with 3rd year medical students from USD Sanford School of Medicine; teaching opportunities.

1104 West 8th Street â&#x20AC;˘ Yankton, SD 57078 605-665-7841 â&#x20AC;˘ www.yanktonmedicalclinic.com

So Much Care, So Close to Home. ÂŽ

January February 2012

â&#x20AC;&#x153;As physicians, we have so many unknowns coming our way...

MidwestMedicalEdition.com

I selected ProAssurance because they stand behind my good medicine. In spite of the maelstrom of change, I am protected, respected, and heard. I believe in fair treatmentâ&#x20AC;&#x201D;and I get it.

Professional Liability Insurance & Risk Management Services ProAssurance Group is rated A (Excellent) by A.M. Best. For individual company ratings, visit www.ProAssurance.com ĂĽ 800.279.8331

19


Medicine

&Arts

“ . . . music gives us the power to feel, as well as experience, life.”

Life is short but art endures —Hippocrates

Music

Mark Vande Braak, PhD, a board certified Music Therapist and Fellow in Thanatology at Avera

as Medicine Hospitals welcome symphony musicians

,

Doosook Kim, Concertmaster South Dakota Symphony Orchestra

20

to enhance healing environments

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Midwest Medical Edition


UPCOMING

Music as Medicine PERFORMANCES

January 4

KICKOFF EVENTS Dakota String Quartet /Dakota Wind Quintet Augustana String Quartet / SDSYO participants Volunteer SDSO Musicians 9:00 am to 9:00 pm both hospital campuses

January 11

Augustana String Quartet 10 am & 11:30 am, Avera Prairie Center

January 17

Dakota String Quartet 10 am & 11:30 am at Avera BHC/Avera Heart Hospital, 2 pm & 3:30 pm at Sanford Research/Locken Lobby

January 26

Maestro Gier presentation for Staff and Volunteers 10 am at Avera Prairie Center and 11:30 at Sanford’s Schroeder Auditorium.

February 3

SDSO Guest Artist Benjamin Beilman 10 am at Avera Prairie Center

February 7

Dakota Wind Quintet 3:00 & 4:30 at Avera BHC/Avera Heart Hospital, 10 am & 11:30 am at Sanford Research/Sanford Locken Lobby

February 13 Volunteer SDSO/SDSYO Musicians, Dougherty Hospice Late Afternoon/Evening Maxim Koslov, Principal Cellist South Dakota Symphony Orchestra

February 24 SCSO Guest Artist Margaret Lattimore 11 am at Avera Prairie Center, Sanford Children’s Hospital, time TBA. February 28 SDSYO Orchestras – Philharmonia 7 pm at Dougherty Hospice

January February 2012

MidwestMedicalEdition.com

21


In Review What You’re Reading, Watching, Hearing

Author David Eagleman, PhD

INCOGNITO The Secret Lives of the Brain Reviewed by Alex Strauss, MED Editor

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Author Paul A. Offit,

In Review

What You’re Readin

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Autism’s False Pr ophets

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&Arts

retir ed OBGYN 29

Passionate Pursuits Outside the Office

Otolaryngologist and Student of Archaeology

In Review shines a light on what you’re reading, watching and writing. Don’t keep it to yourself – share your recommendations – or critiques – with fellow readers.

&Violinist

tion.com

Off Hours

Dr. Patrick Collison

Then & Now is an opportunity to share your memories. How has time changed the way you practice medicine?

Dr. Shirley Kunkel,

November 2010

MidwestMedicalEdi

At MED Magazine, we believe the knowledge and experience of readers like you are the medical community’s most valuable resource. We invite you to share your thoughts, memories, and insights with your peers through regular reader columns.

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MED: 7HOOXVDOLWWOHDE RXW\RXU KLVWRU\Z LWKWKHYLROLQ Dr. Kunkel:,VWDUWHGYLROLQZ KHQ , ZDV HOHYHQ DQG , FRQWLQXH G XQWLO,ZDVDVRSKRPRUHLQ KLJK VFKRRO,SOD\HGL QDOLWWOH FROOHJH RUFKHVWUDZKHQ,ZDVLQSUH PHG DVZHOODVWKH3XUGXH6\P SKRQ\ RUFKHVWUD :KLOH , ZDV LQ SUDFWLFH  , SOD\HG YHU\ PLQLPDO O\²RQFH  D \HDUZLWKWKH$XJ XVWDQDRU FRP PXQLW\ RUFKHVWU D MXVW WR NHHS P\KDQGLQ,¶GSOD\RQFHRU WZLFH D\HDURQSLDQR7 KHQZKHQ ,ZDV D UHVLGHQW LQ 5RFKHVWH U , GLGQ¶W SOD\ DW DOO ,W ZDV MXVW WRR EXV\ DVDGRFWRU$QGWKDW¶VK RZOLIH ZDVIRUPH ,W ZDV DQ HLJKW\KRXU ZRUN ZHHN DQG , KDG NLGV 1RZ ,¶P “Interview and photo KLJKHQHUJ\ EXW , KDG by Darrel Fickbohm WR VOHHS VRPHWLPH,MXVWDOZD\VWKR XJKWWKDWWKHUHZRXOGEHD WLPHLQP\OLIHZKHQ ,¶GJHWEDFNWRLW :H¶YHDOZD\VKDGDSLDQR LQWKHKRXVHEXW ,¶YHDOZD \VOLNHG WKHYLROLQ EHWWHU: KHQ,KDGLQKRXVH FDOO  KRXUV ,¶GDFWXDOO \WDNHWKHYLROLQLQWR WKHFOLQLFZLWKPHVRPHWLP HVDQGSOD\,ZRXOGQ¶WGRW KDWDWKRPHEHFDXVH ,KDGWKHNLGVDWKRPHVRWK HUHZDVMXVWQRTXLHWWLPH MED: :KHQ \RX UHVWDUWHG  WKH YLROLQ KRZ ORQJ GLG LW WDNH WR JHW \RXU FKRSVXS Dr. Kunkel:)LUVW,WKRXJKW³, ¶PZD\WRRROGIRUWKLV´,Z DVDZUHFN,ZDV UHDOO\QHU YRXVIRUWKHV\PS KRQ\DXGLWLRQ,WDOOFDPHE DFNPXFKVORZHUWKDQ ,WKRXJKWLWZRXOGEXWWZH QW\¿YH\HDUVLVDORQJWLPHIRU DWDOHQW WRUHVW /XFNLO\,ZDVUHWLUHGE\WK DWWLPHVR,¿QDOO\KDGVRPHWL PHWRSUDFWLFH ,WKLQNP\¿HOGRI2%*<1LV DOVRD¿HOGRIDU WPRUHV RWKDQVFLHQFH 7KHUH¶VDORWRIKX PDQFRQ WDFWDQGPRUHWKDQRQHZD \WRVNLQDFDW²PRUH WKDQRQHZD\WRVROYHDSU REOHP,W¶VFUHDWLYH1RZZ KHQ,¶P LQVXUJHU \ ,¶PQRWH[DFWO\ZHDYLQJG HVLJQVEXWRWKHUZ LVHWKHUH ¶VDORWRIFUHDWLRQ JRLQJRQ ,WKLQNWKH\DUHERWKWKHVD PHNLQG RIGLVFLSOLQH7RE HDEOHWRH[FHOLQ PXVLFRULQPHGLFLQH\RXK DYHWREHGHGLFDWHGDQGZLO OLQJWRSXWLQWKHWLPH 7KH\JRWRJHWKHUŶ 14

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Medicine & the Arts gives recognition to the vast undercurrent of artistic talent in our local medical community. Tell us about the art you love.

Off Hours follows the passionate pursuits – from mountain climbing and hang gliding to gourmet cooking and wine making – that fill your time outside the office

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21 November 2011

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Send your submissions and ideas to Editor Alex Strauss at Alex@MidwestMedicalEdition.com or 605-759-3295.


THE IMPORTANCE OF

Post Injury Ergonomic Analysis By Jeff Roach, MS, OTR/L, CEES

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“The art of medicine consists in amusing the patient while nature cures the disease.” ~Voltaire

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Midwest Medical Edition


Grape Expectations

A Taste for Tasting By Heather Taylor Boysen

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January February 2012

MidwestMedicalEdition.com

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News & Notes

Happenings around the region

AVERA Brian Wienk, PT, ScD, COMT, was named Physical Therapist of the YearE\WKH6RXWK'DNRWD 3K\VLFDO7KHUDS\$VVRFLDWLRQDWWKH )DOO&RQIHUHQFHKHOGLQ6LRX[)DOOV :LHQNFXUUHQWO\SUDFWLFHVDW$YHUD 0HGLFDO*URXS0F*UHHY\WK$YHQXH +HKDVEHHQDVWDIISK\VLFDOWKHUDSLVWZLWK $YHUD0F.HQQDQ+RVSLWDO 8QLYHUVLW\ +HDOWK&HQWHUVLQFHDQGKDVEHHQ DOLFHQVHGSK\VLFDOWKHUDSLVWIRU\HDUV +HLVDOVRDFOLQLFDOLQVWUXFWRUZRUNLQJ ZLWKSK\VLFDOWKHUDS\VWXGHQWVIURP YDULRXVDFFUHGLWHGVFKRROV+HKROGVD EDFKHORUÂśVGHJUHHLQSK\VLFDOWKHUDS\ IURP$XJXVWDQD&ROOHJHDQGDPDVWHUÂśV IURPWKH8QLYHUVLW\RI6RXWK'DNRWD,Q KHHDUQHGDGRFWRUDWHRIVFLHQFH GHJUHHLQSK\VLFDOWKHUDS\IURP7H[DV 7HFK8QLYHUVLW\+HDOVRKROGVDQ DVVRFLDWHÂśVGHJUHHLQWKHRORJ\IURP <DQNWRQ&ROOHJH

Avera Medical Group Pierre welcomes pediatrician Bretta Olson, MD, Ob/Gyn Jessica Rasmussen, MD, physical medicine and rehabilitation specialist 'DQLHO5DVPXVVHQ'2DQG 1LFROH3RSSLQJD0'ZKRVSHFLDOL]HV LQERWKLQWHUQDOPHGLFLQHDQGSHGLDWULFV 'U2OVRQDQG'U-HVVLFD5DVPXVVHQ DUHJUDGXDWHVRI86'60'U2OVRQGLG KHUSHGLDWULFUHVLGHQF\DWWKH8QLYHUVLW\ RI10DQG'U5DVPXVVHQFRPSOHWHG KHU2E*\QUHVLGHQF\DWWKH8QLYHUVLW\ RI:LVFRQVLQ'U'DQLHO5DVPXVVHQLV

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Avera St. Lukeâ&#x20AC;&#x2122;s hospital-based physician radiology group has joined Avera Medical Group. 'U6WHSKHQ3HWHUV'U0HOFKRU$JXLODU 'U'DQLHO)ULW]'U'RXJODV.LPPHO 'U/HV/HQWHU'U&DUROLQH/XQGHOODQG 'U6KHU\O6LHJPXQG:HHNO\DUHQRZ SDUWRI$YHUD0HGLFDO*URXS5DGLRORJ\ $EHUGHHQ'U3HWHUVZKRKDVVHUYHGDV PHGLFDOGLUHFWRUIRU5DGLRORJ\IRUPDQ\ \HDUVZLOOFRQWLQXHLQWKLVOHDGHUVKLSUROH

Julie Alfaro, a certified and registered respiratory therapist and registered polysomnographic technologist, is the new Respiratory/Sleep Lab manager at Avera St. Lukeâ&#x20AC;&#x2122;s Hospital. $OIDURDWWHQGHGWKH 8QLYHUVLW\RI1HEUDVNDDW2PDKDIRU EXVLQHVVDFFRXQWLQJDQG0HWUR &RPPXQLW\&ROOHJHIRUUHVSLUDWRU\ WKHUDS\JUDGXDWLQJZLWKKRQRUVLQDSSOLHG VFLHQFH$OIDUREHJDQKHUVSHFLDOL]DWLRQLQ VOHHSPHGLFLQHVWDUWLQJLQDQGKDV EHHQLQYROYHGLQVOHHSODEPDQDJHPHQW VLQFH$YHUD6W/XNHÂśV6OHHS/DE ZDVUHFHQWO\UHPRGHOHGDQGXSJUDGHG DQGLQFOXGHVIRXULQGLYLGXDOVOHHSODEV

Avera McKennan Hospital & University Health Center has recently welcomed Amy Lindaman, MD, family practitioner with Avera Medical Group McGreevy 7th Avenue.'U/LQGDPDQKDVDPHGLFDO GHJUHHIURPWKH8QLYHUVLW\RI,RZD &ROOHJHRI0HGLFLQHDW,RZD&LW\6KH FRPSOHWHGUHVLGHQF\DWWKH8QLYHUVLW\RI ,RZD+RVSLWDOVDQG&OLQLFVDW,RZD&LW\ DQGLVFHUWLÂżHGE\WKH$PHULFDQ%RDUG RI)DPLO\0HGLFLQH

REGIONAL Rapid City Regional Hospital (RCRH) has earned awards in a Centers for Medicare & Medicaid Services (CMS), 3UHPLHUKHDOWKFDUHDOOLDQFHYDOXHEDVHG SXUFKDVLQJ 9%3 SURMHFWWKDWUHZDUGV KRVSLWDOVIRUGHOLYHULQJKLJKTXDOLW\ FDUHLQVL[FOLQLFDODUHDV%DVHGRQ\HDU VL[UHVXOWVIURPWKH+RVSLWDO4XDOLW\ ,QFHQWLYH'HPRQVWUDWLRQÂ&#x152; +4,'  SURMHFW5&5+UHFHLYHGIRXU$WWDLQPHQW $ZDUGVLQWKHFOLQLFDODUHDVRI $FXWH0\RFDUGLDO,QIDUFWLRQ +HDUW)DLOXUH 3QHXPRQLD 6XUJLFDO&DUH,PSURYHPHQW3URMHFW

Black Hills Cardiovascular Research (BHCR) is seeking participants for an investigational study called PEGASUS-TIMI 54.7KHSXUSRVHRI

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SANFORD Sanford USD Medical Center in Sioux Falls recently received the Joint Commissionâ&#x20AC;&#x2122;s Gold Seal of Approval for Bariatric Surgery.6DQIRUGHDUQHG WKHUHFRJQLWLRQDIWHUDVLWHYLVLWE\WKH -RLQW&RPPLVVLRQWKHQDWLRQÂśVODUJHVW LQGHSHQGHQWDFFUHGLWLQJERG\7KH UHYLHZLQFOXGHGDULJRURXVVXUYH\RI VWDIIIDFLOLWLHVSDWLHQWFDUHSURFHGXUHV SROLFLHVFKDUWVHOHFWURQLFUHFRUGVDQG PRUH6DQIRUGLVWKHRQO\EDULDWULFFHQWHU LQ6RXWK'DNRWDWRDFKLHYHWKH-RLQW &RPPLVVLRQÂśV*ROG6HDORI$SSURYDO IRU%DULDWULF6XUJHU\

OTHER Brookings Health System announces Terri Mohror has been hired as the new director of nursing for Brookview Manor. 0RKURUD6RXWK'DNRWDQDWLYH KDVVHYHQ\HDUVRIGLUHFWRURUQXUVLQJ H[SHULHQFHDWYDULRXVIDFLOLWLHVDURXQG 6RXWK'DNRWDLQFOXGLQJ0LG'DNRWD +RVSLWDO&KDPEHUODLQ:LQQHU5HJLRQDO +HDOWKFDUH&HQWHU*RRG6DPDULWDQ &HQWHU&DQWRQDQG%HQQHWW&RXQW\ 1XUVLQJ+RPH0DUWLQ

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Midwest Medical Edition


Learning Opportunities

Happenings around the region

January / February 2012 Third Wednesday of each month

January 16-17

Healthcare Provider CPR Classes Location: Avera St. Luke’s Education Center, Aberdeen Description: The class covers the practice of CPR in the health care setting for one- and two-man adult, child and infant CPR, obstructed airways instruction, use of the bag mask and the automatic external defibrillator. Information & registration: (605) 622-5588

CISM: Group Crisis Intervention

8:00 am – 5 pm

Location: Avera Living Well Center, Sioux Falls Description: This two-day learning activity will prepare personnel to use a variety of critical incident stress management procedures for emergency intervention in crisis settings. Information: mckeducation@avera.org, 322-8950

January 17

HealthPOINT Webinar “Unlocking the Power of Data Information: HealthPOINT at Dakota State University

January 25

8:00 am – 4:15 pm

38th Annual Perinatal Conference Location: St. Luke’s Regional Medical Center, Sioux City, IA Information: 712-279-3235 Website: www.stlukes.org/professional-education

Distance Learning Opportunities through

SDAHO January 17

9:00 am – 10:30 am

February 24th

Tri-State Pulmonary Care Conference

8:00 am – 4:15 pm

Location: St. Luke’s Regional Medical Center, Sioux City, IA Information: 712-279-3235 Website: www.stlukes.org/professional-education

February 29

Reminder from HealthPOINT: is the last day for eligible professional to register and attest to receive an Incentive Payment for calendar year 2011.

March 3, 2012

8:00 am – 12 pm

March 29 & 30

Nuclear Medicine Conference Location: Avera Cancer Institute Information and Registration: mckeducation@avera.org, 322-8950

21ST Annual Perinatal, Neonatal & Women’s Healthcare Conference Sanford Medical Center, Sioux Falls, SD Contact Sanford for more information

May 1

7:30 am – 4 pm

20th Annual Trauma Symposium: Excellence in Trauma and Surgical Critical Care Location: Sioux Falls Convention Center Information and Registration: mckeducation@avera.org, 322-8950

CMS Hospital CoP Telemedicine Regulations: Ensuring Compliance Description: CMS recently finalized the new rule on telemedicine. Learn strategies to ensure compliance with the new regulations and interpretative guidelines.

January 18

8:30 am – 10 am The Value of Strategic Planning for ICD-10 Readiness

January 24

12:00 pm– 1 pm Walking the Social Media Tightrope Information and registration: Rhonda.christensen@sdaho.org, 605-361-2281.

MED reaches more than 5000 doctors and other healthcare professionals across our region 8 times a year. If you know of an upcoming class, seminar, webinar, or other educational event in the region in which these clinicians may want to participate, help us share it in MED. Send your submissions for the Learning Opportunities calendar to the editor at Alex@MidwestMedicalEdition.com.



MED-Midwest Medical Edition-January/February 2012